GEISINGER MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: GEISINGER MEDICAL CENTER (EIN 24-0795959)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-10
IRS object ID: 201931309349301468
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-10T10:00:41-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	240795959	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID J FELICIO ESQUIRE	PersonNm
Person Title	EVP, CLO, SECRETARY	PersonTitleTxt
Phone	5702716624	PhoneNum
Signature	2019-04-22	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.16.49	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-10	IPDt
IP Tm	10:00:41	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	898C1895B8F201315E3AD013D20E33E4FB790411	AtSubmissionCreationDeviceId
At Submission Filing Device Id	768924B3E140BF8261684DD94139B4AA526C5F19	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$1,289,488,930	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1932	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION IT SERVES BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH SERVICES DELIVERED BY PHYSICIANS AND ADVANCED PRACTITIONERS THROUGH AN INTEGRATED SERVICE...SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	6367	TotalEmployeeCnt
Total Volunteers	282	TotalVolunteersCnt
Total Gross UBI	$1,166,314	TotalGrossUBIAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$1,210,134,586	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,279,754,376	CYProgramServiceRevenueAmt
PY Investment Income	-$134,006	PYInvestmentIncomeAmt
CY Investment Income	$2,361,589	CYInvestmentIncomeAmt
PY Other Revenue	$2,678,300	PYOtherRevenueAmt
CY Other Revenue	$7,174,339	CYOtherRevenueAmt
PY Total Revenue	$1,212,678,880	PYTotalRevenueAmt
CY Total Revenue	$1,289,290,304	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$379,739,359	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$403,591,764	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$692,690,798	PYOtherExpensesAmt
CY Other Expenses	$745,457,370	CYOtherExpensesAmt
PY Total Expenses	$1,072,430,157	PYTotalExpensesAmt
CY Total Expenses	$1,149,049,134	CYTotalExpensesAmt
PY Revenues Less Expenses	$140,248,723	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$140,241,170	CYRevenuesLessExpensesAmt
Total Assets BOY	$652,373,132	TotalAssetsBOYAmt
Total Assets EOY	$859,939,682	TotalAssetsEOYAmt
Total Liabilities BOY	$748,210,075	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$804,682,632	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$95,836,943	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$55,257,050	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION IT SERVES BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH SERVICES DELIVERED BY PHYSICIANS AND ADVANCED PRACTITIONERS THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH AND COMMUNITY SERVICE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,097,235,171	ExpenseAmt
Revenue	$1,283,395,925	RevenueAmt
Desc	HEALTHCARE - SEE SCHEDULE O I. GENERAL PROGRAM SERVICE INFORMATION SINCE 1915, GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT CORPORATION, HAS BEEN PROVIDING HIGH-QUALITY HEALTHCARE SERVICES TO MORE THAN TWO MILLION RESIDENTS IN CENTRAL AND NORTHEAST PENNSYLVANIA. GEISINGER IS HOME TO SOME OF THE MOST ADVANCED TECHNOLOGY IN THE COUNTRY, INCLUDING A LEVEL I TRAUMA CENTER, THE REGION'S LONE PEDIATRIC TRAUMA CENTER, THE RENOWNED JANET WEIS CHILDREN'S HOSPITAL, THE STATE-OF-THE-ART HOSPITAL FOR ADVANCED MEDICINE AND CLINICAL RESEARCH FACILITIES. LOCATED IN DANVILLE, PENNSYLVANIA, A PREDOMINANTLY RURAL AREA, GMC OPERATES A 528 BED FACILITY ALONG WITH A 61 BED HOSPITAL LOCATED IN COAL TOWNSHIP, PENNSYLVANIA. PHYSICIANS IN PENNSYLVANIA AND THE SURROUNDING STATES REFER THEIR MOST COMPLEX CASES TO GEISINGER MEDICAL CENTER WHERE THE EXISTENCE OF QUATERNARY HEALTHCARE IN A GENERALLY RURAL AND MEDICALLY UNDERSERVED POPULATION IS UNCOMMON. GMC'S LIFE FLIGHT IS THE LEADER IN MEDICAL AIR TRANSPORTATION IN THE REGION SPECIALIZING IN TRANSPORTING CRITICAL CARE PATIENTS, INCLUDING PREMATURE NEWBORNS, CARDIAC PATIENTS, ORGAN TRANSPLANT PATIENTS AND ACCIDENT VICTIMS. A. SPECIALTIES AND SUBSPECIALTIES GEISINGER CLINIC PHYSICIANS PRACTICING AT GMC PROVIDE SKILLED SERVICES IN NUMEROUS SPECIALTY AND SUBSPECIALTY AREAS. SPECIAL SERVICES AVAILABLE INCLUDE, BUT ARE NOT LIMITED TO: ADULT & PEDIATRIC TRAUMA CENTER ADULT MEDICAL ONCOLOGY MATERNAL FETAL MEDICINE AERO-MEDICAL SERVICES MICROBIOLOGY AIMI (ACUTE INTERVENTION IN MINIMALLY INVASIVE SURGERY MYOCARDIAL INFARCTION) MOHS SURGERY ANTICOAGULATION CLINIC MOLECULAR DIAGNOSTICS BACLOFEN PUMPS MOVEMENT DISORDERS BAHA (BONE ANCHORED HEARING AID) NEUROENDOVASCULAR BALANCE CENTER NEUROMUSCULAR BARIATRIC SURGERY NEUROPSYCH BLOOD BANK NEUROPATHOLOGY BLOOD CONSERVATION NEUROPHYSIOLOGY BODY CONTOURING NEUROSTIMULATORS BRAIN TUMOR NEUROTRAUMA BREAST SURGERY NUCLEAR STRESS TESTING CANCER GENETICS CLINIC OPEN HEART SURGERY CAPSULE ENDOSCOPY OPHTHALMOLOGY (GLAUCOMA, RETINAL, CARDIAC CAT SCAN ANGIOGRAPHY PEDIATRIC, CORNEA, GENERAL, CARDIAC MRI TESTING OPHTHALMOPLASTIC SURGERY) CAROTID STENTING ORTHOPAEDICS (TRAUMA, SPINE, HAND, CAT SCAN CARDIAC SCORING SPORTS MEDICINE, PEDIATRIC, CAT SCAN JOINT, FOOT/ANKLE, GENERAL) CHEMISTRY ORTHOPAEDIC ONCOLOGY CHEMO-EMBOLIZATION OF LIVER PEDIATRIC CONGENITAL HEART SURGERY AND KIDNEY CANCER PEDIATRIC GENETICS CLEFT PALATE CLINIC PEDIATRIC MEDICAL ONCOLOGY COAGULATION PEDIATRIC NEURODEVELOPMENT COCHLEAR IMPLANT PEDIATRIC OBESITY COLORECTAL SURGERY PEDIATRIC REHABILITATION CORNEAL TRANSPLANTS PEDIATRIC SURGERY CYTOLOGY PEDIATRIC UROLOGY DEEP BRAIN STIMULATION PEDIATRIC COCHLEAR IMPLANT DERMATOPATHOLOGY PEDIATRIC NEUROLOGY/NEUROSURGERY ECHOCARDIOGRAPHY PET SCANS ELECTROPHYSIOLOGY PODIATRY EMERGENCY SERVICES PRE-SURGERY CENTER ENDOVASCULAR PROCEDURES PSYCHIATRY (ADOLESCENCE) ENDOVASCULAR GRAFT IMPLANTS RADIATION ONCOLOGY EPILEPSY RADIATION ONCOLOGY EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY REGIONAL ANESTHESIA PROGRAM GYNONCOLOGY RENAL DENERVATION GYNECOLOGIC & UROPATHOLOGY ROBOTIC SURGERY HEAD AND NECK ONCOLOGY SKULL BASE SURGERY HEADACHE SLEEP DISORDERS LABORATORY HEART FAILURE SPINAL BIFIDA CLINIC HEMATOLOGY SPINAL CORD INJURY HEMATOPATHOLOGY SPINE SURGERY HEPATIC INTRA-ARTERIAL CHEMOTHERAPY SPINE ASSESSMENT PROGRAM HIGH DOSE INTERLEUKIN-2 THERAPY STEM CELL TRANSPLANT HIGH DOSE RATE INTRACAVITARY STEREOTACTIC RADIOSURGERY BRACHYTHERAPY STRETTA (LASER PROCEDURE) IMMUNOLOGY STROKE/TELE-STROKE INFERTILITY SURGICAL ONCOLOGY (COLON, LIVER, INTENSIVE O/P PSYCHIATRIC PROGRAM PANCREAS,ESOPHAGEAL, AND INTERVENTIONAL PAIN MANAGEMENT RENAL) INTERVENTIONAL RADIOLOGY SURGICAL PATHOLOGY INTRA-OPERATIVE HEPATIC ULTRASOUND TRANSCATHETER AORTIC VALVE AND RADIOFREQUENCY ABLATION OF IMPLEMENTATION LIVER TUMORS TISSUE BANKING KIDNEY, LIVER,& PANCREAS TRANSPLANTS TRAUMATIC BRAIN INJURY LASER SURGERY (YAG LASER) TOXICOLOGY LVAD (LEFT VENTRICULAR ASSIST DEVICE) TRAUMA SURGERY MAGNETIC RESONANCE IMAGING UROGYNECOLOGY MEDICATION THERAPY MANAGEMENT PROGRAM VAGAL NERVE STIMULATORS WOUND CARE B. RESIDENCY & FELLOWSHIP PROGRAMS GMC CONDUCTS TWENTY GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS AND SIXTEEN FELLOWSHIP PROGRAMS. THERE WERE 426 GRADUATE PHYSICIANS PARTICIPATING IN THESE PROGRAMS IN FISCAL YEAR 2018. PROGRAM SPECIALTIES ARE AS FOLLOWS BUT ARE NOT LIMITED TO: RESIDENCY PROGRAMS ANESTHESIOLOGY CLINICAL PSYCHOLOGY DERMATOLOGY EMERGENCY MEDICINE FAMILY MEDICINE GENERAL SURGERY INTERNAL MEDICINE INTERNAL MEDICINE PEDIATRICS NEUROLOGY NEUROLOGICAL SURGERY OBSTETRICS GYNECOLOGY OPHTHALMOLOGY ORAL & MAXILLOFACIAL SURGERY ORTHOPAEDIC SURGERY OTOLARYNGOLOGY PATHOLOGY PHYSICAL MEDICINE & REHABILITATION PEDIATRICS PEDIATRIC DENTISTRY PODIATRY PSYCHIATRY RADIOLOGY UROLOGY FELLOWSHIP PROGRAMS CARDIOVASCULAR MEDICINE CLINICAL INFORMATICS CRITICAL CARE MEDICINE CYTOPATHOLOGY DERMATOPATHOLOGY GASTROENTEROLOGY HOSPICE & PALLIATIVE MEDICINE INTERVENTIONAL CARDIOLOGY MATERNAL FETAL MEDICINE MEDICAL PHYSICS NEPHROLOGY PROCEDURAL DERMATOLOGY - MICROGRAPHIC SURGERY & DERMATOLOGICAL ONCOLOGY PULONARY CRITICAL CARE MEDICINE RHEUMATOLOGY SPORTS MEDICINE VASCULAR INTERVENTIONAL RADIOLOGY VASCULAR SURGERY GMC OPERATES FOUR SCHOOLS OF ALLIED HEALTH EDUCATION. THESE SCHOOLS ARE OPERATED WITHIN GMC IN CONJUNCTION WITH VARIOUS COLLEGES AND UNIVERSITIES. IN ADDITION TO CLASSROOM TIME, STUDENTS CONTRIBUTE CLINICAL EDUCATION HOURS AS AN INTEGRAL PART OF THEIR CURRICULUM. DURING THE FISCAL YEAR, THE DIETETIC INTERNSHIP PROGRAM HAD SIX STUDENTS; THE SCHOOL OF RADIOLOGY HAD TWENTY-TWO STUDENTS; THE CHAPLAIN SCHOOL HAD FOUR STUDENTS AND THE PHARMACY RESIDENCY PROGRAM HAD THREE STUDENTS. THE TOTAL COST TO GMC OF PROVIDING RESIDENCY, FELLOWSHIP, ALLIED HEALTH, AND RELATED EDUCATION PROGRAMS, NET OF THIRD PARTY REIMBURSEMENTS WAS 72,774,046. C. TRAUMA CARE IN OCTOBER 1986 GMC WAS DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION AS A REGIONAL RESOURCE TRAUMA CENTER (LEVEL I) BASED ON THE PROVISION OF COMPREHENSIVE TRAUMA CARE 24 HOURS A DAY AND THE CONDUCT OF OUTREACH, EDUCATIONAL AND RESEARCH PROGRAMS IN TRAUMA CARE. IN 1996, THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION ACCREDITED GMC AS ADDITIONAL QUALIFICATIONS IN PEDIATRICS. GMC HAS BEEN ACCREDITED AS A LEVEL II PEDIATRIC TRAUMA CENTER. THE TRAUMA CENTER INCLUDES LIFE FLIGHT, A MULTIPLE AIRCRAFT, REGIONAL HELICOPTER SERVICE. LIFE FLIGHT PROVIDES RAPID RESPONSE TO CRITICALLY ILL PATIENTS WHO NEED ADVANCE LIFE SUPPORT CARE AND TRANSPORTATION TO CRITICAL CARE FACILITIES. GEISINGER LIFE FLIGHT OPERATED EIGHT AIRCRAFTS AND FIVE OPERATIONAL SITES IN FISCAL YEAR 2018. EIGHT FRONT LINE STATE OF THE ART MEDICAL HELICOPTERS INCLUDE TWO BK117S AND SIX EC145S. THE CURRENT BASE LOCATIONS ARE IN DANVILLE, STATE COLLEGE, AVOCA, WILLIAMSPORT AND MINERSVILLE, PA. THE DISPATCHING OF LIFE FLIGHT FOR INTER-HOSPITAL TRANSFERS AND SCENE CALLS IS AUTHORIZED BY A PHYSICIAN OR OTHER QUALIFIED PERSONNEL AND IS DETERMINED ON AN INDIVIDUAL BASIS ACCORDING TO MEDICAL NEED. IN FISCAL YEAR 2018, LIFE FLIGHT PROVIDED EMERGENCY TRANSPORTATION TO 2,792 PATIENTS AND SERVED MULTIPLE HOSPITALS IN PENNSYLVANIA AND NEIGHBORING STATES. D. JANET WEIS CHILDREN'S HOSPITAL THE JANET WEIS CHILDREN'S HOSPITAL HOUSES ALL INPATIENT PEDIATRIC BEDS INCLUDING 36 MEDICAL AND SURGICAL, 41 NEWBORN INTENSIVE AND SPECIAL CARE AND 14 PEDIATRIC INTENSIVE CARE BEDS. THE FACILITY ALSO PROVIDES SPACE FOR PEDIATRIC REHABILITATION AND HAS ESTABLISHED AN AMBULANCE TRANSPORT SERVICE FOR NEONATAL RETRIEVALS. THE FACILITY IS CONNECTED WITH THE REST OF THE MEDICAL CENTER AT FOUR OF THE FIVE LEVELS TO ALLOW FOR SMOOTH INTEGRATION OF ANCILLARY AND SUPPORT SERVICES. THE FUNDING FOR THE CONSTRUCTION OF THE JANET WEIS CHILDREN'S HOSPITAL WAS PROVIDED BY THE DONATING PUBLIC, INCLUDING FUNDS RAISED BY THE CHILDREN'S MIRACLE NETWORK TELETHON. THIS FACILITY IS VISIBLE EVIDENCE OF GEISINGER'S COMMITMENT TO THE CHILDREN OF PENNSYLVANIA. FOR THE FISCAL YEAR 2018, THE JANET WEIS CHILDREN'S HOSPITAL DISCHARGED 4,180 PATIENTS AND PROVIDED 23,358 PATIENT DAYS OF SERVICE. THE FACILITY AFFORDS MORE EFFICIENT CARE WITH AN IMPROVED LENGTH OF STAY. E. WOMEN'S HEALTH PAVILION THE WOMEN'S HEALTH PAVILION, ON THE CAMPUS OF GMC, WAS DEDICATED AS PART OF THE JANET WEIS CHILDREN'S AND WOMEN'S HOSPITAL IN 2000. THE WOMEN'S PAVILION FEATURES FAMILY-ORIENTED BIRTHING SUITES THAT ALLOW EACH WOMAN TO LABOR, DELIVER AND RECOVER IN THE SAME SPACE. IN ADDITION, THERE ARE SEMI-PRIVATE ROOMS, A NURSERY AND TWO CAESAREAN SECTION OPERATING SUITES. THE GEISINGER WOMEN'S PAVILION IS THE ONLY HOSPITAL IN THE AREA THAT OFFERS COVERAGE BY OBSTETRICIANS, NEONATOLOGISTS, PEDIATRICIANS AND ANESTHESIOLOGISTS 24 HOURS A DAY, SEVEN DAYS A WEEK. OUTPATIENT SERVICES AT THE WOMEN'S PAVILION INCLUDE OBSTETRICS, PERINATOLOGY, MIDWIFERY OUTREACH, GYNECOLOGY, GYNECOLOGIC ONCOLOGY, UROGYNECOLOGY, GENETICS COUNSELING, PSYCHOLOGY, SOCIAL WORK, NUTRITION, MAMMOGRAPHY AND BREAST CARE, LABORATORY SERVICES,	Desc
Total Program Service Expenses	$1,097,235,171	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	false	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	5	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6367	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KEVIN LANCIOTTI VP FINANCECFO	PersonNm
Phone	5702146181	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH ACADEMY AVENUE MC 01-50	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17822	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EARL FOURA
VICE CHAIR,	0.25	3.75	Yes (X)	$0	$0	$0
EDELYN L MILLER
DIRECTOR		40.00	Yes (X)	$0	$1,565,659	$256,399
JAEWON RYU MD JD
DIRECTOR		40.00	Yes (X)	$0	$1,596,610	$218,215
ROBERT J DIETZ
CHAIR, DIREC	0.25	4.50	Yes (X)	$0	$0	$0
V CHRIS HOLCOMBE PE
VICE CHAIR,	0.25	3.75	Yes (X)	$0	$0	$0
VIRGINIA MCGREGOR
DIRECTOR	0.25	4.00	Yes (X)	$0	$0	$0
DAVID T FEINBERG MD MBA
PRESIDENT, D		40.00	Yes (X)	$0	$3,943,153	$1,025,348	Yes (X)
DANIEL E LOHR ESQUIRE
ACLO, ASST S		40.00		$0	$441,235	$43,464	Yes (X)
DAVID J FELICIO ESQUIRE
EVP, CLO, SE		40.00		$0	$1,142,940	$258,756	Yes (X)
KEVIN F BRENNAN CPA FHFMA
EVP, CFO, TR		40.00		$0	$2,133,432	$36,848	Yes (X)
ROSEMARY LEEMING MD
CMO		40.00		$0	$639,179	$95,338	Yes (X)
THOMAS P SOKOLA
CAO GEISINGE	40.00			$726,144	$0	$91,718		Yes (X)
CRYSTAL K MUTHLER BSN RN MHA NE-
VP/CNO, CENT	40.00			$407,287	$0	$31,488		Yes (X)
ARVIND KALYAN SUNDARAM MD
PHYSICIAN	40.00			$62,871	$232,159	$34,132			Yes (X)
JOHN P BERNETT MD
PHYSICIAN	40.00			$73,901	$240,730	$29,028			Yes (X)
LISSA L BRYAN SMITH
VP OPS, GBH	40.00			$404,018	$0	$37,477			Yes (X)
STEVEN R BONEBRAKE DO
PHYSICIAN	40.00			$36,111	$279,720	$43,243			Yes (X)
TAMMY ANDERER
VP CLINICAL	40.00			$217,777	$79,984	$42,044			Yes (X)
CHARLES S BROWN MD
FORMER 5 HIG		40.00		$0	$498,731	$36,712				Yes (X)
DENNIS TORRETTI MD FACP
FORMER OFFIC		40.00		$0	$355,236	$38,786				Yes (X)
JASON C BROWN MD
FORMER 5 HIG		40.00		$0	$532,791	$43,212				Yes (X)
JOHN W ROSS DO
FORMER 5 HIG		40.00		$0	$502,553	$45,554				Yes (X)
KARI D HOPFER DO
FORMER 5 HIG		40.00		$0	$550,556	$50,445				Yes (X)
KYLE C SNYDER MHA
FORMER 5 HIG		40.00		$0	$423,670	$76,577				Yes (X)
RONALD BEER MHA FACHE
FORMER 5 HIG		40.00		$0	$437,260	$41,247				Yes (X)
SUSAN M ROBEL RNC BSN MHA
FORMER KEY E		40.00		$0	$915,106	$162,172				Yes (X)
ANGELO C VENDITTI DNP MBA RN FA
FORMER 5 HIG		40.00		$0	$380,894	$20,797				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,928,109	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$16,891,598	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,759,000	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	283	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	CompensationCompensationAmt
MEDEFIS INC
PO BOX 5068	NEW YORK	NY	100875068	$15,112,771
ROCHE DIAGNOSTICS CORPORATION
9115 HAGUE ROAD	INDIANAPOLIS	IN	46250	$7,355,977
HEALTHSOUTH GHS LLC
64 REHAB LANE	DANVILLE	PA	178222414	$3,409,012
QUEST DIAGNOSTICS
PO BOX 912512	PASADENA	CA	911102512	$3,289,706
MCKINSEY AND CO INC
PO BOX 7247-7255	PHILADELPHIA	PA	191707255	$2,400,000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	68	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
PATIENT HEALTHCARE	622110	$1,180,100,758	$1,180,100,758
OUTPATIENT PHARMACY	446110	$85,606,615		$85,606,615
RENTAL INCOME	531120	$5,754,788		$5,754,788
OTHER HEALTHCARE REVENUE	621300	$3,873,683	$3,873,683
PARTNERSHIP INCOME	622310	$2,667,143	$2,667,143

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,751,389	TotalRevenueColumnAmt
Related Or Exempt Func Income	$558,210	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,166,314	UnrelatedBusinessRevenueAmt
Exclusion	$26,865	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,279,754,376	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,141	TotalRevenueColumnAmt
Exclusion	$48,141	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$68,761	TotalRevenueColumnAmt
Exclusion	$68,761	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$112,747	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$39,476	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$73,271	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$73,271	TotalRevenueColumnAmt
Exclusion	$73,271	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,400,037	SecuritiesAmt
Other	$3,800	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$159,150	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,400,037	SecuritiesAmt
Other	-$155,350	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,244,687	TotalRevenueColumnAmt
Exclusion	$2,244,687	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PURCHASE DISCOUNTS	900099	$3,337,285	$3,337,285
CAFE SALES	722514	$3,017,610		$3,017,610
GIFT SHOP SALES	453220	$325,504		$325,504

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$420,669	TotalRevenueColumnAmt
Related Or Exempt Func Income	$304,264	RelatedOrExemptFuncIncomeAmt
Exclusion	$116,405	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,101,068	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,289,290,304	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,190,841,343	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,166,314	UnrelatedBusinessRevenueAmt
Exclusion	$97,282,647	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,266,134	TotalAmt
Program Services	$1,266,134	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$263,403	TotalAmt
Program Services	$263,403	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$304,418,056	TotalAmt
Program Services	$299,595,103	ProgramServicesAmt
Management And General	$4,822,953	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,670,967	TotalAmt
Program Services	$12,471,222	ProgramServicesAmt
Management And General	$199,745	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$62,304,469	TotalAmt
Program Services	$61,322,302	ProgramServicesAmt
Management And General	$982,167	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,668,735	TotalAmt
Program Services	$22,470,288	ProgramServicesAmt
Management And General	$198,447	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,220,408	TotalAmt
Management And General	$1,220,408	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$145,502	TotalAmt
Management And General	$145,502	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$39,920	TotalAmt
Management And General	$39,920	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$902,806	TotalAmt
Program Services	$468,609	ProgramServicesAmt
Management And General	$434,197	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$67,691,111	TotalAmt
Program Services	$60,447,919	ProgramServicesAmt
Management And General	$7,243,192	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$32,682	TotalAmt
Program Services	$17,953	ProgramServicesAmt
Management And General	$14,729	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,689,068	TotalAmt
Program Services	$21,612,160	ProgramServicesAmt
Management And General	$2,076,908	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,553,304	TotalAmt
Program Services	$1,543,417	ProgramServicesAmt
Management And General	$9,887	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,078,492	TotalAmt
Program Services	$20,128,434	ProgramServicesAmt
Management And General	$950,058	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,188,212	TotalAmt
Program Services	$2,870,005	ProgramServicesAmt
Management And General	$318,207	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,847,484	TotalAmt
Program Services	$1,766,230	ProgramServicesAmt
Management And General	$81,254	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$21,727,504	TotalAmt
Program Services	$20,748,194	ProgramServicesAmt
Management And General	$979,310	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$54,119,943	TotalAmt
Program Services	$51,694,750	ProgramServicesAmt
Management And General	$2,425,193	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$19,840,070	TotalAmt
Program Services	$13,888,049	ProgramServicesAmt
Management And General	$5,952,021	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
INTER-ENTITY EXPENSE	$237,930,833	$215,716,534	$22,214,299
MEDICAL SUPPLIES	$218,188,158	$217,943,579	$244,579
INTER-ENTITY TEACHING/ADM	$42,714,261	$42,714,261
UNCOLLECTIBLE EXPENSE	$27,072,385	$27,072,385

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,475,227	TotalAmt
Program Services	$1,214,240	ProgramServicesAmt
Management And General	$1,260,987	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,149,049,134	TotalAmt
Program Services	$1,097,235,171	ProgramServicesAmt
Management And General	$51,813,963	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,844,775	BOYAmt
EOY	$17,739,616	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$102,576	BOYAmt
EOY	$6,169,171	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$110,433,268	BOYAmt
EOY	$129,444,084	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$228,839	BOYAmt
EOY	$1,334,040	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$22,316,004	BOYAmt
EOY	$22,727,998	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,215,128	BOYAmt
EOY	$14,967,012	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$990,235,569	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$531,617,760	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$459,752,446	BOYAmt
EOY	$458,617,809	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$1,892,166	BOYAmt
EOY	$27,584,773	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$19,489,761	BOYAmt
EOY	$177,877,324	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$302,592	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,795,577	BOYAmt
EOY	$3,477,855	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$652,373,132	BOYAmt
EOY	$859,939,682	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,787,535	BOYAmt
EOY	$9,751,685	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$623,786,512	BOYAmt
EOY	$622,654,161	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$312,642	BOYAmt
EOY	$252,835	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,323,386	BOYAmt
EOY	$172,023,951	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$748,210,075	BOYAmt
EOY	$804,682,632	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$95,836,943	BOYAmt
EOY	$55,257,050	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$95,836,943	BOYAmt
EOY	$55,257,050	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$652,373,132	BOYAmt
EOY	$859,939,682	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$140,241,170	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$8,626,050	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,226,773	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	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$2,064	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$40,729	OtherActivitiesAmt
Total Lobbying Expenditures	$42,793	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$94,662,000	BeginningYearBalanceAmt
Contributions	$1,425,000	ContributionsAmt
Investment Earnings Or Losses	$13,880,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,522,000	OtherExpendituresAmt
End Year Balance	$106,445,000	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,800,190	OtherCostOrOtherBasisAmt
Book Value	$5,800,190	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$308,394,634	OtherCostOrOtherBasisAmt
Depreciation	$156,934,160	DepreciationAmt
Book Value	$151,460,474	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,217,714	OtherCostOrOtherBasisAmt
Depreciation	$3,637,158	DepreciationAmt
Book Value	$1,580,556	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$621,629,170	OtherCostOrOtherBasisAmt
Depreciation	$350,576,474	DepreciationAmt
Book Value	$271,052,696	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,193,861	OtherCostOrOtherBasisAmt
Depreciation	$20,469,968	DepreciationAmt
Book Value	$28,723,893	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$458,617,809	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$177,877,324	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$177,877,324	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$113,856,928
THIRD PARTY LIABILITIES	$36,676,669
DERIVATIVE OBLIGATION	$15,532,880
ACCOUNTS RECEIVABLE CREDIT BALANCES	$5,957,474

Field	Value	IRS element (for citing)
Total Liability	$172,023,951	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

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

SCHEDULE D, PAGE 4, PART XIII

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

Schedule 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	$6,731,183	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$6,731,183	SubtotalSpentAmt
Total Spent	$6,731,183	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 6,731,183	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	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,718,321	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,718,321	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$180,929,271	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$126,643,641	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,285,630	NetCommunityBenefitExpnsAmt
Total Expense	0.04720	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$185,647,592	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$126,643,641	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,003,951	NetCommunityBenefitExpnsAmt
Total Expense	0.05140	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,130,931	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,130,931	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,674,626	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,900,580	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$72,774,046	NetCommunityBenefitExpnsAmt
Total Expense	0.06330	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$851,114	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,644	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$845,470	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,905,188	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,905,188	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$104,561,859	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,906,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$86,655,635	NetCommunityBenefitExpnsAmt
Total Expense	0.07540	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$290,209,451	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$144,549,865	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$145,659,586	NetCommunityBenefitExpnsAmt
Total Expense	0.12680	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$27,141,572	BadDebtExpenseAmt
Bad Debt Expense Attributable	$6,242,562	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$191,821,354	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$224,248,823	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$32,427,469	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	GEIS ENCOMPASS HLTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	REHABILITATION HOSPITAL SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	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	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GEISINGER.ORG	StrategyWebsiteURLTxt
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 5	SECTION B., COMMUNITY HEALTH NEEDS ASSESSMENT, LINES 3, 5 AND 6AA: DURING 2014 AND 2015, A CHNA ACROSS A 14-COUNTY AREA WAS COMPLETED BY TRIPP UMBACH THROUGH A COLLABORATIVE EFFORT OF GEISINGER MEDICAL CENTER ("GMC- OR THE "HOSPITAL") (WHICH INCLUDES GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL (GSACH) AND GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY, FORMERLY GEISINGER HEALTHSOUTH REHABILITATION HOSPITAL), EVANGELICAL COMMUNITY HOSPITAL (ECH) AND ALLIED SERVICES INTEGRATED HEALTH SYSTEM (ASIHS), THREE MAJOR PROVIDERS IN STATE COLLEGE, CENTRAL SUSQUEHANNA VALLEY AND NORTHEASTERN PENNSYLVANIA. THE CHNA PROCESS INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITIES, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE. TRIPP UMBACH, HEADQUARTERED IN PITTSBURGH, PA, IS A RECOGNIZED NATIONAL LEADER IN CONDUCTING CHNAS, HAVING CONDUCTED MORE THAN 250 CHNAS OVER THE PAST 20 YEARS. TODAY, MORE THAN 1 IN 5 AMERICANS LIVE IN A COMMUNITY WHERE TRIPP UMBACH HAS COMPLETED A CHNA. PAUL UMBACH, FOUNDER AND PRESIDENT OF TRIPP UMBACH, IS AMONG THE MOST EXPERIENCED COMMUNITY HEALTH PLANNERS IN THE NATION, HAVING DIRECTED PROJECTS IN EVERY STATE AND INTERNATIONALLY. TRIPP UMBACH HAS WRITTEN TWO NATIONAL GUIDE BOOKS ON THE TOPIC OF COMMUNITY HEALTH AND HAS PRESENTED AT MORE THAN 50 STATE AND NATIONAL HEALTH CONFERENCES. THE TRIPP UNBACH TEAM BROUGHT MORE THAN 30 YEARS OF COMBINED EXPERIENCE TO THE PROJECT. CHNA PLANNING: A SERIES OF PLANNING MEETINGS WAS FACILITATED BY TRIPP UMBACH AND THE CHNA OVERSIGHT COMMITTEE, CONSISTING OF REPRESENTATIVES OF EACH OF THE PARTICIPATING HOSPITALS AND ORGANIZATIONS. SECONDARY DATA: THE HEALTH OF THE COMMUNITY IS LARGELY RELATED TO THE CHARACTERISTICS OF ITS RESIDENTS. AN INDIVIDUAL'S AGE, RACE, GENDER, EDUCATION AND ETHNICITY OFTEN DIRECTLY OR INDIRECTLY IMPACT HEALTH STATUS AND ACCESS TO CARE. TRIPP UMBACH COMPLETED COMPREHENSIVE ANALYSIS OF HEALTH STATUS AND SOCIO-ECONOMIC FACTORS RELATED TO THE HEALTH OF THE COMMUNITY RESIDENTS FROM EXISTING DATA SOURCES SUCH AS, STATE AND COUNTY PUBLIC HEALTH AGENCIES, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY HEALTH RANKINGS, THOMPSON REUTERS, CNI, HEALTHY PEOPLE 2020 AND OTHER DATA SOURCES. TRENDING FROM 2012 CHNA: IN 2012, TRIPP UMBACH COMPLETED A CHNA FOR MANY OF THE SAME ORGANIZATIONS IN THE SAME COUNTIES INCLUDED IN THIS STUDY AREA (I.E., CENTRE, COLUMBIA, JUNIATA, LACKAWANNA, LUZERNE, LYCOMING, MIFFLIN, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, SNYDER, SULLIVAN, UNION AND WAYNE COUNTIES). THE DATA SOURCES USED WERE THE SAME DATA SOURCES USED IN THE 2012 CHNA, WHICH MADE IT POSSIBLE TO REVIEW THE TRENDING IN SEVERAL CASES. THE FACTORS THAT COULD NOT BE TRENDED WERE DEFINED AS SECONDARY DATA. INTERVIEWS WITH KEY STAKEHOLDERS: TRIPP UMBACH WORKED CLOSELY WITH THE COLLABORATING ORGANIZATIONS TO IDENTIFY LEADERS FROM ORGANIZATIONS THAT: 1) HAD PUBLIC HEALTH EXPERTISE, 2) WERE PROFESSIONALS WITH ACCESS TO HEALTH RELATED DATA AND 3) WERE REPRESENTATIVES OF UNDERSERVED POPULATIONS, I.E., CHILDREN, SENIORS, LOW-INCOME RESIDENTS, HOMELESS, DISABLED AND RESIDENTS THAT OF THE LATINO(A), AMISH, AND MENNONITE COMMUNITIES AND UNINSURED RESIDENTS. A SERIES OF 16 INTERVIEWS WERE COMPLETED WITH KEY STAKEHOLDERS IN THE COMMUNITY, INCLUDING: PA DEPT. OF HEALTH, PA OFFICE OF RURAL HEALTH, SNYDER COUNTY CHILDREN AND YOUTH SERVICES, CMSU, UNION-SNYDER AGENCY OF AGING, INC., JUNIATA COUNTY, PENN STATE COOPERATIVE EXTENSION, SUSQUEHANNA UNIVERSITY, SHIKELLAMY SCHOOL DISTRICT, CENTRAL PA FOOD BANK, HANDUP FOUNDATION, HIGHER HOPE H2 CHURCH, ST. PAUL'S UCC, GREATER SUSQUEHANNA VALLEY'S YMCA AND UNITED WAY ORGANIZATIONS, WILLIAMSPORT/LYCOMING CHAMBER OF COMMERCE, A LOCAL CLINIC AND GEISINGER MEDICAL CENTER. SURVEY OF VULNERABLE POPULATIONS: TRIPP UMBACH AND THE COLLABORATING HOSPITALS WORKED CLOSELY TO ENSURE THAT COMMUNITY MEMBERS, INCLUDING UNDER-REPRESENTED RESIDENTS, WERE INCLUDED IN THE PROCESS. TRIPP UMBACH WORKED WITH THE HOSPITAL ORGANIZATIONS TO DESIGN A 33-QUESTION HEALTH STATUS SURVEY THAT WAS PRESENTED TO AND COLLECTED FROM A TOTAL OF 991 PARTICIPANTS. THE SURVEYS WERE ADMINISTERED BY THE COMMUNITY BASED ORGANIZATIONS PROVIDING SERVICES TO VULNERABLE POPULATIONS THROUGHOUT THE STUDY AREA, INCLUDING MANY OF THE ORGANIZATIONS LISTED ABOVE. OTHER ORGANIZATIONS INCLUDED BOTH HEAD START PROGRAMS IN MONTOUR AND COLUMBIA- SULLIVAN, THE DENTAL HEALTH CLINIC, SUM CHILD DEVELOPMENT CENTER, FAMILY HEALTH COUNCIL OF CENTRAL PA-SELINSGROVE, THE VOLUNTEERS IN MEDICINE FREE CLINIC, NHS HUMAN SERVICES, THE EDWARD LEAHY JR. CENTER CLINIC FOR THE UNINSURED, TREHAB, THE WRIGHT CENTER, MIFFLIN-JUNIATA SPECIAL NEEDS CENTER, AREA AGENCY ON AGING, AND MANY OTHERS. THESE ORGANIZATIONS WERE TRAINED TO ADMINISTER THE SURVEY USING HAND-DISTRIBUTION. VULNERABLE POPULATIONS TARGETED BY THE SURVEYS WERE SENIORS, CHILDREN, LOW-INCOME RESIDENTS, HOMELESS, DISABLED, LATINO(A) AND UNINSURED RESIDENTS. PRIORITIZATION OF TOP COMMUNITY HEALTH NEEDS: TOP HEALTH NEEDS WERE IDENTIFIED BY COMMUNITY LEADERS DURING A SERIES OF REGIONAL COMMUNITY HEALTH NEEDS IDENTIFICATION FORUMS HELD ON MARCH 10 AND MARCH 12, 2015. THE REGIONAL FORUMS WERE ORGANIZED BY NORTHEAST, CENTRAL AND WEST REGIONS OF THE STUDY AREA. THE CENTRAL REGION FORUM INCLUDED COMMUNITY LEADERS FROM COLUMBIA, MONTOUR, SCHUYLKILL, NORTHUMBERLAND, UNION, SNYDER, LYCOMING AND SULLIVAN COUNTIES. NORTHEAST REGIONAL FORUM INCLUDED COMMUNITY LEADERS FROM LACKAWANNA, LUZERNE AND WAYNE COUNTIES. WEST REGIONAL FORUM INCLUDED COMMUNITY LEADERS FROM JUNIATA, MIFFLIN AND CENTRE COUNTIES. AT EACH FORUM, CONSULTANTS PRESENTED COMMUNITY LEADERS THE CHNA FINDINGS FROM ANALYZING SECONDARY DATA, KEY STAKEHOLDER INTERVIEWS AND SURVEYS. COMMUNITY LEADERS DISCUSSED THE DATA PRESENTED, SHARED THEIR VISIONS AND PLANS FOR COMMUNITY HEALTH IMPROVEMENT AND IDENTIFIED AND PRIORITIZED THE TOP COMMUNITY HEALTH NEEDS IN THEIR RESPECTIVE COMMUNITIES. PUBLIC COMMENT REGARDING THE 2012 CHNA AND IMPLEMENTATION PLAN: TRIPP UMBACH SOLICITED PUBLIC COMMENTARY FROM COMMUNITY LEADERS AND RESIDENTS. COMMENTERS WERE PROVIDED ACCESS AND ASKED TO REVIEW THE CHNA AND ACTION PLAN ADOPTED FOR THE FISCAL YEAR BEGINNING JULY 1, 2013. COMMENTERS WERE THEN ASKED TO RESPOND TO A QUESTIONNAIRE WHICH PROVIDED OPEN AND CLOSED RESPONSE QUESTIONS. THE PRIOR CHNA AND IMPLEMENTATION PLAN ALONG WITH THE QUESTIONNAIRE WERE OFFERED IN HARD COPY AT TWO LOCATIONS INSIDE THE HOSPITAL AND WERE ALSO PROVIDED ELECTRONICALLY USING A WEB-BASED PLATFORM. THERE WERE NO RESTRICTIONS OR QUALIFICATIONS REQUIRED OF PUBLIC COMMENTERS. FLYERS WERE CIRCULATED AND ELECTRONIC INVITATIONS WERE MADE FOR PUBLIC COMMENT THROUGHOUT THE PROCESS WHICH LASTED FROM DECEMBER 2014 THROUGH FEBRUARY 2015. THROUGHOUT THIS DOCUMENT THE TERMS "SYSTEM- OR "GEISINGER" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH ("GH") AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM.
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 6A	GEISINGER MEDICAL CENTER, (WHICH INCLUDES THE GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL CAMPUS), GEISINGER-BLOOMSBURG HOSPITAL, GEISINGER HEALTH SOUTH REHABILITATION HOSPITAL, EVANGELICAL COMMUNITY HOSPITAL, AND ALLIED SERVICES INTEGRATED HEALTH SYSTEM PARTICIPATED IN THE 2015 CHNA.
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 11	BELOW ARE SYSTEM-WIDE PROGRAMS OFFERED BY GEISINGER TO FULFILL COMMUNITY NEEDS AS IDENTIFIED IN GMC'S 2015 CHNA. SOME PROGRAMS ARE COMPLETELY OPERATED OR FUNDED BY GEISINGER AND OTHERS OFFERED IN COOPERATION WITH LOCAL HEALTH AND HUMAN SERVICE AGENCIES. 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 AND HELP PROVIDE PHYSICAL, MENTAL, REHABILITATIVE AND PREVENTIVE SERVICES TO PATIENTS, REGARDLESS OF THEIR HEALTH INSURANCE STATUS. THE TOPICS ADDRESSED INCLUDE: HOW TO FIND THE RIGHT DOCTOR, PROVIDER OR FACILITY; SPECIAL SERVICES PROVIDED TO PATIENTS WITH SPECIFIC NEEDS (SUCH AS THE ELDERLY, UNDERINSURED OR UNINSURED); TRAUMA PREVENTION AND TREATMENT; AND MANY OTHERS. 2)ADDRESSING BEHAVIORAL HEALTH AND SUBSTANCE ABUSE: GEISINGER HAS A WIDE RANGE OF PROGRAMS TO HELP PATIENTS FIND HEALTHCARE SERVICES WHEN THEY ARE FACING BEHAVIORAL HEALTH CHALLENGES OR STRUGGLING WITH ADDICTION. ALZHEIMER'S DISEASE AND OTHER AGING BRAIN ISSUES AS WELL AS ALCOHOLISM AND OPIOID ABUSE ARE ADDRESSED IN A LARGE AND GROWING NUMBER OF PROGRAMS SPECIFICALLY AIMED AT EXPANDING SERVICES. 3)IMPROVING HEALTHY BEHAVIORS: GEISINGER HAS NUMEROUS EDUCATIONAL PROGRAMS TO HELP PATIENTS LIVE WELL. EFFORTS INCLUDE COMMUNITY AND OUTREACH PROGRAMS THAT BRING HEALTHCARE PROFESSIONALS, EDUCATION, NUTRITION AND MEDICATION TO THE PEOPLE. OUR GOAL IS TO ASSIST PATIENTS WITH THEIR HEALTH BEFORE A SERIOUS PROBLEM ARISES SENDING THEM TO THE HOSPITAL. IMPROVING ACCESS TO HEALTHCARE COMPLEX CARE, CLOSER TO HOME: COMPREHENSIVE TREATMENTS FOR COMPLEX HEALTH CONDITIONS SUCH AS HEART, LUNG AND KIDNEY DISEASE ARE ROUTINELY FOUND AT LARGE HEALTH FACILITIES. PATIENTS IN THE RURAL COMMUNITIES GEISINGER SERVES HAVE HIGHER RATES OF CHRONIC DISEASE THAN THOSE IN URBAN AREAS. LONG DISTANCES TO HOSPITAL FACILITIES, TRANSPORTATION PROBLEMS AND A LACK OF SPECIALISTS IN THE AREA CAN MAKE IT TOUGH FOR FAMILIES TO ACCESS THE RIGHT CARE. OUR SPECIALISTS TRAVEL SO PATIENTS DON'T HAVE TO, PROVIDING PATIENTS WITH A CONVENIENT WAY TO SEEK THE SPECIALTY CARE THEY NEED, WITHOUT EXCESSIVE DRIVING OR THE CHALLENGES OF SEEKING CARE ONLY AT A HOSPITAL. GEISINGER SPECIALISTS TRAVEL ACROSS THE REGION TO STAFF OUTREACH CLINICS THAT PROVIDE ADVANCED CARE, WHILE KEEPING BETTER TRACK OF PATIENTS WITH CHRONIC HEALTH CONDITIONS. EACH CLINIC IS STAFFED WITH DOCTORS, NURSES AND OTHER HEALTHCARE PROFESSIONALS AND MANY OFFER DIAGNOSTIC LAB AND IMAGING SERVICES. GEISINGER'S SPECIALTY SERVICES, INCLUDING CARDIOLOGY, DERMATOLOGY, COMPLEX ORTHOPAEDIC AND THORACIC SURGERY AND NEUROSURGERY ARE AVAILABLE IN MORE THAN 30 COMMUNITIES ACROSS NORTHEAST AND CENTRAL PENNSYLVANIA (PA). MANY LOCATIONS OFFER SPECIALTY PEDIATRIC AND WOMEN'S HEALTH SERVICES, AS WELL. GEISINGER HEALTH PLAN (GHP): COMPREHENSIVE COVERAGE FOR THE UNINSURED AND SENIORS: GHP, A NONPROFIT HMO, OFFERS AFFORDABLE, EASY-TO-USE HEALTH PLANS THAT ARE A LIFELINE FOR THE MOST VULNERABLE IN OUR COMMUNITIES: UNINSURED ADULTS, CHILDREN AND SENIORS, GHP, A NONPROFIT HMO, GHP FAMILY IS AN AFFORDABLE MEDICAL-ASSISTANCE, MANAGED-CARE PLAN THAT OFFERS COMPREHENSIVE COVERAGE TO UNINSURED AND UNDERINSURED RESIDENTS OF 22 COUNTIES IN PA. MANY SERVICES ARE PROVIDED AT NO COST, INCLUDING DOCTOR'S OFFICE VISITS, EMERGENCY CARE, PREVENTIVE SERVICES (INCLUDING IMMUNIZATIONS AND SCREENINGS), DIABETES CARE, MATERNITY CARE, DENTAL AND VISION SERVICES AND PRESCRIPTION DRUGS. THERE IS ALSO 24-HOUR ACCESS TO E-NURSES AND HEALTH COACHES. GHP KIDS OFFERS HEALTH COVERAGE TO UNINSURED CHILDREN UNDER 20 YEARS OF AGE IN 40 COUNTIES STATEWIDE, THROUGH PA'S CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). FOR MOST CHIP IS FREE AND INCLUDES ROUTINE CHECKUPS AND IMMUNIZATIONS, PRESCRIPTION DRUGS, VISION AND DENTAL SERVICES AND EMERGENCY CARE. FOR SENIORS, NAVIGATING THE COMPLEXITIES OF HEALTHCARE COVERAGE CAN BE OVERWHELMING. GHP OFFERS A DUAL ELIGIBILITY PLAN FOR SENIORS WHO QUALIFY FOR MEDICARE PARTS A AND B COVERAGE AS WELL AS MEDICAID. GEISINGER GOLD SECURE RX IS DESIGNED TO MAKE MEDICAL EXPENSES MORE PREDICTABLE, ALLOW BETTER COORDINATION AMONG PROVIDERS AND LOWER OUT- OF-POCKET EXPENSES FOR SENIORS. THIS USER-FRIENDLY PLAN OFFERS CONVENIENT BENEFITS WITH LOW OR NO MONTHLY PREMIUMS, A SINGLE ID CARD, PRESCRIPTION DRUG COVERAGE, DENTAL AND VISION SERVICES, FITNESS PROGRAMS AND CARE MANAGEMENT NURSES. PROVENHEALTH NAVIGATOR: IS A RESULTS-BASED, TEAM-ORIENTED MEDICAL HOME. A MEDICAL "HOME" IS A PATIENT-CENTERED MODEL OF CARE LED BY THE PATIENT'S PRIMARY DOCTOR AND A TEAM OF HEALTHCARE PROFESSIONALS WORKING CLOSELY TOGETHER TO ENSURE THE PROPER CARE. THE TEAM OF SPECIALISTS, CARE MANAGERS, PHARMACISTS, SOCIAL WORKERS AND COMMUNITY HEALTH ASSISTANTS WORK WITH THE PATIENT, FAMILY AND CAREGIVERS TO PLAN CARE THAT WILL PREVENT URGENT AND EMERGENT CARE VISITS AND HOSPITALIZATIONS. PROVENHEALTH NAVIGATOR (PHN) IS GEISINGER'S PATIENT-CENTERED MODEL OF CARE COMMITTED TO ENSURING PATIENTS RECEIVE THE HIGHEST QUALITY OF CARE. RESEARCH HAS SHOWN THAT PATIENTS UNDER THE MEDICAL HOME MODEL STAY HEALTHIER AND SPEND LESS TIME IN THE HOSPITAL. MEDICAL HOME CARE FOCUSED ON MORE FREQUENT DOCTOR VISITS AND CONSISTENT FOLLOW-UP BY THE TEAM, PROVIDES BENEFITS TO PATIENTS WITH CHRONIC ILLNESSES SUCH AS DIABETES AND HEART DISEASE. STUDIES SHOW THAT MEDICAL HOME PATIENTS ARE MORE LIKELY TO MEET HEALTH GOALS, SUCH AS LOWERING BLOOD SUGAR, CHOLESTEROL AND/OR BLOOD PRESSURE. PATIENTS IN OUR MEDICAL HOME PROGRAM ALSO HAVE ACCESS TO DOCTORS AND PHN CARE MANAGER 24/7. OUR CARE MANAGERS HELP PATIENTS NAVIGATE THE COMPLEX ASPECTS OF THE HEALTHCARE SYSTEM, COORDINATING CARE AND COMMUNICATING WITH THE TEAM OF HEALTHCARE PROVIDERS. CARE MANAGERS, SOCIAL WORKERS AND COMMUNITY HEALTH ASSISTANTS ARE ALSO AVAILABLE TO HELP OUR PATIENTS OVERCOME SOME OF LIFE'S MOST DIFFICULT CHALLENGES, SUCH AS COPING WITH MENTAL ILLNESS, ADDICTION, ABUSE AND LOSS AND MANAGING DISABILITIES. THEY COUNSEL INDIVIDUALS ON HOW TO COPE MORE EFFECTIVELY WITH THE STRESSES OF EVERYDAY LIFE AND FOCUS ON IMPROVING PSYCHOLOGICAL WELL-BEING. THE TEAM ALSO COORDINATES COMMUNITY RESOURCES THAT ARE AVAILABLE AND ASSISTS THE PATIENT AND FAMILY WITH THEIR NEEDS. BY EXPANDING OUR SUCCESSFUL MEDICAL HOME INITIATIVE, WE'RE ENSURING THAT OUR PATIENTS HAVE ACCESS TO THE MOST EFFECTIVE MODELS OF CARE. GEISINGER TELEMEDICINE-HEALTHCARE CLOSER TO HOME: IN OUR 45-COUNTY SERVICE AREA, NEARLY HALF OF OUR PATIENT POPULATION RESIDES IN RURAL AREAS, AND MORE THAN 60 PERCENT OF PATIENTS HAVE ONE OR MORE CHRONIC HEALTH CONDITIONS. OUR TELEMEDICINE PROGRAM ALLOWS PATIENTS TO REMAIN CLOSE TO HOME AND STILL RECEIVE SPECIALIZED CARE. OUR PROGRAM USES HIGH-DEFINITION AUDIO/VIDEO TECHNOLOGY AND TOOLS SUCH AS DIGITAL STETHOSCOPES TO CONNECT REMOTE PATIENTS TO OUR HOSPITALS AND PRIMARY CARE CLINICS, AS WELL AS TO NON-GEISINGER FACILITIES. INPATIENTS ARE DIAGNOSED EARLIER, BEGIN TREATMENT SOONER AND AVOID HOSPITAL TRANSFERS, SINCE THEIR PHYSICIANS CAN CONSULT OUR SPECIALISTS ANYWHERE WITHIN OUR SYSTEM. OUR SPECIALISTS HAVE ACCESS TO PATIENTS AT CLINICS ACROSS THE STATE WITHOUT THE PATIENT TRAVELING TO A HOSPITAL TO SEE THE SPECIALIST. THIS SAVES TIME AND REDUCES THE COSTS ASSOCIATED WITH TRAVEL AND ALLOWS PATIENTS TO HAVE THE SUPPORT OF LOVED ONES AT HOME. EARLIER DIAGNOSIS AND DETECTION CAN REDUCE COSTS FOR EVERYONE. IT IS AN ADDED TOOL FOR THOSE PROVIDERS, ALLOWING THEM TO REACH OUT TO THE RIGHT SPECIALIST WHEN NEEDED. BY CONNECTING PATIENTS, REGARDLESS OF WHERE THEY LIVE, TO OUR SPECIALISTS, HEALTHCARE IS ACCESSIBLE TO EVERY PATIENT IN THE COMMUNITIES WE SERVE. SUPPORT FOR SENIORS AT HOME: MORE SENIORS ARE CHOOSING TO STAY AT HOME AS THEY AGE. LIFE GEISINGER (LIVING INDEPENDENTLY FOR ELDERS) HELPS SENIORS STAY AT HOME, STAY INDEPENDENT AND STAY HEALTHY. THE LIFE GEISINGER TEAM IS ON CALL 24/7, PROVIDING SUPPORT AND PEACE OF MIND FOR SENIORS AND THEIR LOVED ONES. THE PROVIDER TEAM ASSESSES PATIENTS' NEEDS, DEVELOPS CARE PLANS AND DELIVERS THE SERVICES SENIORS AND FAMILIES NEED TO FEEL SECURE. TRANSPORTATION SERVICES MAKE HOME DELIVERIES OF SUPPLIES AND/OR MEDICATIONS, CARRY SENIORS TO NON-EMERGENCY MEDICAL AND OTHER APPOINTMENTS AS NEEDED AND DELIVER LIFE PARTICIPANTS TO AND FROM OUR ADULT DAY CENTERS FOR SCHEDULED VISITS. SENIOR DAY CENTERS OFFER SENIORS COMPREHENSIVE MEDICAL AND SOCIAL SERVICES AND OPPORTUNITIES TO SOCIALIZE AND EXERCISE. OUR ADULT DAY CENTERS ARE OPEN TO ALL SENIORS, REGARDLESS OF WHETHER THEY PARTICIPATE IN LIFE GEISINGER. PROVIDING ACCESS TO MORE AND BETTER OPTIONS FOR HIGH-QUALITY HEALTHCARE, ESPECIALLY FOR OUR MOST VULNERABLE PATIENTS, IS A PRIMARY GOAL ACROSS GEISINGER. HIGH-QUALITY, NON-EMERGENCY CARE: FOR PATIENTS EXPERIENCING A NON-EMERGENT INJURY OR ILLNESS, GEISINGER CARE
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 13B	RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY.
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 16J	THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT HTTPS://WWW.GEISINGER.ORG/PATIENT-CARE/PATIENTS-AND- VISITORS/BILLING-AND-INSURANCE/NEED-HELP. IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 20E	UNDER NO CIRCUMSTANCE 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. GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER PART V, LINE 22 PATIENTS WHOSE HOUSEHOLD INCOME IS 300% OR LOWER OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. PATIENTS WHO MEET THIS CRITERIA ARE ELIGIBLE FOR 100% DISCOUNT ON CHARGES, RESULTING IN 0 CHARGES FOR MEDICALLY NECESSARY CARE. NO OTHER DISCOUNTS ARE AVAILABLE UNDER THE HOSPITAL'S FAP. FREE CARE OR 0 CHARGE IS BELOW THE GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINES 23 AND 24: PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ARE PROVIDED 100% DISCOUNT AND CHARGED 0. SEE ALSO EXPLANATION OF PART V, LINE 22.

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 TREATMENT AND ACTIVE LABOR TRANSPORT ACT OF 1986 ("EMTLA") AND REGULATIONS IN PROVIDING MEDICAL SCREENING EXAMINATION AND SUCH FURTHER TREATMENT AS MAY BE NECESSARY TO STABILIZE AN EMERGENCY MEDICAL CONDITION FOR ANY INDIVIDUAL PRESENTING TO THE EMERGENCY DEPARTMENT SEEKING TREATMENT.
PART I, LINE 6A - 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 23% 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. THE ORGANIZATIONS WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTABLE. AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTABLE IN FUTURE PERIODS. FOR THE FOOTNOTES REGARDING ACCOUNTS RECEIVABLE, ALLOWANCES, AND BAD DEBT SEE PAGE 9 OF THE ATTACHED GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, JUNE 30, 2018 AND JUNE 30, 2017.
PART III, LINE 8 - MEDICARE EXPLANATION	PART III, LINE 3-BAD DEBT: LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE ALLOWED TO BE REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT THAT IS REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. 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 32,427,469 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 2018, APPROXIMATELY 23% 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 6/30/2018, THE HOSPITAL'S COST OF PROVIDING PATIENT CARE FOR SERVICES ACCOUNTED FOR AS BAD DEBT WAS 3,288,541.
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. THE HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") 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. THE HOSPITAL ENSURES REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY ("FAP") AND ENSURES THAT THE FOLLOWING ACTIONS ARE TAKEN AT LEAST 30 DAYS PRIOR TO INITIATING AN ECA: 1) THE PATIENT IS PROVIDED WITH WRITTEN NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; IDENTIFIES THE ECAS THAT THE HOSPITAL INTENDS TO TAKE TO OBTAIN PAYMENT FOR CARE; AND STATES A DEADLINE AFTER WHICH ECAS MAY BEGIN. 2) THE PATIENT IS PROVIDED WITH A PLAIN LANGUAGE SUMMARY OF THE FAP; AND 3) REASONABLE EFFORTS ARE MADE TO ORALLY NOTIFY THE PATIENT ABOUT THE FAP AND HOW THE PATIENT MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. THE HOSPITAL PROCESSES APPLICATIONS FOR FINANCIAL ASSISTANCE DURING THE APPLICATION PERIOD. THE APPLICATION BEGINS ON THE DATE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT.
PART VI, LINE 2 - NEEDS ASSESSMENT	DURING 2014 AND 2015, A CHNA ACROSS A 14-COUNTY AREA WAS COMPLETED BY TRIPP UMBACH THROUGH A COLLABORATIVE EFFORT OF GEISINGER MEDICAL CENTER (GMC) (WHICH INCLUDES GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL AND GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY, FORMERLY GEISINGER HEALTHSOUTH REHABILITATION HOSPITAL), EVANGELICAL COMMUNITY HOSPITAL (ECH) AND ALLIED SERVICES INTEGRATED HEALTH SYSTEM (ASIHS), THREE MAJOR PROVIDERS IN STATE COLLEGE, CENTRAL SUSQUEHANNA VALLEY AND NORTHEASTERN PENNSYLVANIA. THE CHNA PROCESS INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITIES, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE. THE ASSESSMENT ALSO CONSIDERED PUBLIC COMMENTS RELATED TO THE IMPACT OF THE PRIOR CHNA CONDUCTED IN 2012 AND THE IMPLEMENTATION PLAN ADOPTED TO ADDRESS THE NEEDS IDENTIFIED AT THAT TIME. 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	GMC'S SERVICE AREA INCLUDES 31 COUNTIES ACROSS CENTRAL AND NORTHEASTERN PENNSYLVANIA (BLAIR, BRADFORD, CAMBRIA, CAMERON, CARBON, CENTRE, CLEARFIELD, CLINTON, COLUMBIA, ELK, HUNTINGDON, JEFFERSON, JUNIATA, LACKAWANNA, LUZERNE, LYCOMING, MCKEAN, MIFFLIN, MONROE, MONTOUR, NORTHUMBERLAND, PIKE, POTTER, SCHUYLKILL, SNYDER, SULLIVAN, SUSQUEHANNA, TIOGA, UNION, WAYNE, AND WYOMING). THE APPROXIMATE 2013 TOTAL POPULATION WITHIN THIS SERVICE AREA WAS 2,398,200. THIS POPULATION IS EXPECTED TO INCREASE BY LESS THAN 0.1% BY 2018, WHICH IS LESS THAN THE RATE OF POPULATION GROWTH EXPECTED IN THE STATE (1.0%) AND THE NATION (3.3%). THE 65 AND OVER AGE GROUP IS 18.0% OF THE TOTAL POPULATION, WHICH IS GREATER THAN THE STATE (16.4%) AND NATIONAL (13.9%) PROPORTIONS. ADDITIONALLY, THE 65 AND OVER AGE GROUP IS THE AGE SEGMENT PROJECTED TO EXPERIENCE THE LARGEST FIVE-YEAR POPULATION GROWTH AT 11.7%. THE REGION IS PRIMARILY RURAL. AVERAGE HOUSEHOLD INCOME, IN 2013, WAS 55,932, WITH APPROXIMATELY 14.6% OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES IN 2012, WHICH IS A GREATER THAN THE STATE PROPORTION OF 13.7%. THE 2012 AVERAGE UNEMPLOYMENT RATE, THE MOST CURRENT FULL YEAR OF COUNTY LEVEL DATA AVAILABLE FROM THE BUREAU OF LABOR STATISTICS, WAS 8.5%, WHICH IS HIGHER THAN THE STATE'S RATE OR 7.9% AND NATIONAL RATE OF 8.1%. THE REGION INCLUDES MULTIPLE MEDICALLY UNDERSERVED AREAS AND POPULATIONS. DURING THE ASSOCIATED TIME PERIOD, THERE WERE FOUR GENERAL MEDICAL/SURGICAL GEISINGER HOSPITALS (GMC, INCLUDING THE GSACH CAMPUS, GEISINGER-BLOOMSBURG HOSPITAL, GEISINGER WYOMING VALLEY, INCLUDING THE GEISINGER SOUTH WILKES- BARRE CAMPUS, AND COMMUNITY MEDICAL CENTER) AND 42 GENERAL MEDICAL/SURGICAL NON-GEISINGER HOSPITALS IN THIS MARKET.
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. AS ONE OF THE NATION'S LARGEST HEALTH SERVICE ORGANIZATIONS, GEISINGER SERVES MORE THAN 3 MILLION RESIDENTS THROUGHOUT 45 COUNTIES IN CENTRAL, SOUTH-CENTRAL AND NORTHEAST PENNSYLVANIA, AND IN SOUTHERN NEW JERSEY AT ATLANTICARE. IN 2017, THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE AND GEISINGER JERSEY SHORE HOSPITAL BECAME THE NEWEST MEMBERS OF THE GEISINGER FAMILY. THE PHYSICIAN- LED SYSTEM IS COMPRISED OF APPROXIMATELY 30,000 EMPLOYEES, INCLUDING NEARLY 1,600 EMPLOYED PHYSICIANS, 13 HOSPITAL CAMPUSES, TWO RESEARCH CENTERS, AND A 583,000-MEMBER HEALTH PLAN, ALL OF WHICH LEVERAGE AN ESTIMATED 12.7 BILLION POSITIVE IMPACT ON THE PENNSYLVANIA AND NEW JERSEY ECONOMIES. 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	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
EDELYN L MILLER
DIRECTOR	$885,853	$358,117	$321,689	$234,397	$22,002	$1,822,058	$181,433
JAEWON RYU MD JD
DIRECTOR	$961,804	$471,004	$163,802	$179,214	$39,001	$1,814,825
DAVID T FEINBERG MD MBA
PRESIDENT, DIRECTOR	$2,399,174	$1,339,735	$204,244	$996,710	$28,638	$4,968,501
DANIEL E LOHR ESQUIRE
ACLO, ASST SECTY	$311,659	$82,777	$46,799	$19,212	$24,252	$484,699
DAVID J FELICIO ESQUIRE
EVP, CLO, SECRETARY	$668,203	$273,175	$201,562	$234,351	$24,405	$1,401,696	$70,559
KEVIN F BRENNAN CPA FHFMA
EVP, CFO, TREASURER	$941,959	$427,380	$764,093	$19,212	$17,636	$2,170,280
ROSEMARY LEEMING MD
CMO	$444,358	$134,876	$59,945	$65,712	$29,626	$734,517
THOMAS P SOKOLA
CAO GEISINGER CENTR.								$425,040	$128,372	$172,732	$67,990	$23,728	$817,862	$50,266
CRYSTAL K MUTHLER BSN RN MHA NE-
VP/CNO, CENTRAL								$281,737	$70,440	$55,110	$19,212	$12,276	$438,775
ARVIND KALYAN SUNDARAM MD
PHYSICIAN	$201,888		$30,271	$17,327	$8,190	$257,676		$35,675	$675	$26,521		$8,615	$71,486
JOHN P BERNETT MD
PHYSICIAN	$156,717		$84,013	$16,676	$7,681	$265,087		$33,654	$675	$39,572		$4,671	$78,572
LISSA L BRYAN SMITH
VP OPS, GBH WOODBINE								$260,138	$85,426	$58,454	$19,212	$18,265	$441,495
STEVEN R BONEBRAKE DO
PHYSICIAN	$253,442		$26,278	$19,212	$11,695	$310,627		$34,693	$1,275	$143		$12,336	$48,447
TAMMY ANDERER
VP CLINICAL OPS	$75,483		$4,501	$3,881	$10,779	$94,644		$125,422	$49,371	$42,984	$14,832	$12,552	$245,161
CHARLES S BROWN MD
FORMER 5 HIGHEST	$470,634		$28,097	$19,212	$17,500	$535,443
DENNIS TORRETTI MD FACP
FORMER OFFICER	$200,711	$65,444	$89,081	$19,212	$19,574	$394,022
JASON C BROWN MD
FORMER 5 HIGHEST	$340,128		$192,663	$19,212	$24,000	$576,003
JOHN W ROSS DO
FORMER 5 HIGHEST	$467,674		$34,879	$19,212	$26,342	$548,107
KARI D HOPFER DO
FORMER 5 HIGHEST	$543,909		$6,647	$19,212	$31,233	$601,001
KYLE C SNYDER MHA
FORMER 5 HIGHEST	$297,545	$87,750	$38,375	$46,591	$29,986	$500,247
RONALD BEER MHA FACHE
FORMER 5 HIGHEST	$289,830	$92,818	$54,612	$19,212	$22,035	$478,507
SUSAN M ROBEL RNC BSN MHA
FORMER KEY EMPLOYEE	$465,561	$216,068	$233,477	$137,514	$24,658	$1,077,278	$105,659
ANGELO C VENDITTI DNP MBA RN FA
FORMER 5 HIGHEST	$259,025	$75,942	$45,927	$16,886	$3,911	$401,691

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4	EDELYN L. MILLER 0 181,433 0 DAVID J. FELICIO, ESQUIRE 0 70,559 0 KEVIN F. BRENNAN, CPA, FHFMA 0 589,978 0 THOMAS P. SOKOLA 0 50,266 0 LISSA L. BRYAN SMITH 32,856 0 0 SUSAN M. ROBEL, RNC, BSN, MHA 0 105,659 0
SCHEDULE J, PAGE 1, PART I, LINE 7	BECAUSE THE PAYMENT OF EARNED PERFORMANCE BASED COMPENSATION IS AT THE DISCRETION OF MANAGEMENT AND THE BOARD OF DIRECTORS, SUCH PAYMENTS MAY BE CONSIDERED NON-FIXED PAYMENTS. PERFORMANCE BASED COMPENSATION IS DETERMINED BY MEETING INDIVIDUALLY MEASURED PERFORMANCE GOALS THAT ARE ALIGNED WITH OVERALL GEISINGER OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP.
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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION IT SERVES BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH SERVICES DELIVERED BY PHYSICIANS AND ADVANCED PRACTITIONERS THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH AND COMMUNITY SERVICE.
FORM 990	FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 1,745,563,379, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2018. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH SUBSIDIARIES, THE BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER EIN: 23-1996150 GEISINGER CLINIC EIN: 23-6291113 MARWORTH EIN: 23-2171417 GEISINGER SYSTEM SERVICES EIN: 23-2164794 COMMUNITY MEDICAL CENTER EIN: 24-0862246 GEISINGER-BLOOMSBURG HOSPITAL EIN: 23-2193572 GEISINGER-LEWISTOWN HOSPITAL EIN: 23-1352187 HOLY SPIRIT HOSPITAL EIN: 23-1512747 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE EIN: 26-0812968 ATLANTICARE REGIONAL MEDICAL CENTER EIN: 21-0634549 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911.
FORM 990, PAGE 2, PART III, LINE 4A	I. GENERAL PROGRAM SERVICE INFORMATION SINCE 1915, GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT CORPORATION, HAS BEEN PROVIDING HIGH-QUALITY HEALTHCARE SERVICES TO MORE THAN TWO MILLION RESIDENTS IN CENTRAL AND NORTHEAST PENNSYLVANIA. GEISINGER IS HOME TO SOME OF THE MOST ADVANCED TECHNOLOGY IN THE COUNTRY, INCLUDING A LEVEL I TRAUMA CENTER, THE REGION'S LONE PEDIATRIC TRAUMA CENTER, THE RENOWNED JANET WEIS CHILDREN'S HOSPITAL, THE STATE-OF-THE-ART HOSPITAL FOR ADVANCED MEDICINE AND CLINICAL RESEARCH FACILITIES. LOCATED IN DANVILLE, PENNSYLVANIA, A PREDOMINANTLY RURAL AREA, GMC OPERATES A 528 BED FACILITY ALONG WITH A 61 BED HOSPITAL LOCATED IN COAL TOWNSHIP, PENNSYLVANIA. PHYSICIANS IN PENNSYLVANIA AND THE SURROUNDING STATES REFER THEIR MOST COMPLEX CASES TO GEISINGER MEDICAL CENTER WHERE THE EXISTENCE OF QUATERNARY HEALTHCARE IN A GENERALLY RURAL AND MEDICALLY UNDERSERVED POPULATION IS UNCOMMON. GMC'S LIFE FLIGHT IS THE LEADER IN MEDICAL AIR TRANSPORTATION IN THE REGION SPECIALIZING IN TRANSPORTING CRITICAL CARE PATIENTS, INCLUDING PREMATURE NEWBORNS, CARDIAC PATIENTS, ORGAN TRANSPLANT PATIENTS AND ACCIDENT VICTIMS. A. SPECIALTIES AND SUBSPECIALTIES GEISINGER CLINIC PHYSICIANS PRACTICING AT GMC PROVIDE SKILLED SERVICES IN NUMEROUS SPECIALTY AND SUBSPECIALTY AREAS. SPECIAL SERVICES AVAILABLE INCLUDE, BUT ARE NOT LIMITED TO: ADULT & PEDIATRIC TRAUMA CENTER ADULT MEDICAL ONCOLOGY MATERNAL FETAL MEDICINE AERO-MEDICAL SERVICES MICROBIOLOGY AIMI (ACUTE INTERVENTION IN MINIMALLY INVASIVE SURGERY MYOCARDIAL INFARCTION) MOHS SURGERY ANTICOAGULATION CLINIC MOLECULAR DIAGNOSTICS BACLOFEN PUMPS MOVEMENT DISORDERS BAHA (BONE ANCHORED HEARING AID) NEUROENDOVASCULAR BALANCE CENTER NEUROMUSCULAR BARIATRIC SURGERY NEUROPSYCH BLOOD BANK NEUROPATHOLOGY BLOOD CONSERVATION NEUROPHYSIOLOGY BODY CONTOURING NEUROSTIMULATORS BRAIN TUMOR NEUROTRAUMA BREAST SURGERY NUCLEAR STRESS TESTING CANCER GENETICS CLINIC OPEN HEART SURGERY CAPSULE ENDOSCOPY OPHTHALMOLOGY (GLAUCOMA, RETINAL, CARDIAC CAT SCAN ANGIOGRAPHY PEDIATRIC, CORNEA, GENERAL, CARDIAC MRI TESTING OPHTHALMOPLASTIC SURGERY) CAROTID STENTING ORTHOPAEDICS (TRAUMA, SPINE, HAND, CAT SCAN CARDIAC SCORING SPORTS MEDICINE, PEDIATRIC, CAT SCAN JOINT, FOOT/ANKLE, GENERAL) CHEMISTRY ORTHOPAEDIC ONCOLOGY CHEMO-EMBOLIZATION OF LIVER PEDIATRIC CONGENITAL HEART SURGERY AND KIDNEY CANCER PEDIATRIC GENETICS CLEFT PALATE CLINIC PEDIATRIC MEDICAL ONCOLOGY COAGULATION PEDIATRIC NEURODEVELOPMENT COCHLEAR IMPLANT PEDIATRIC OBESITY COLORECTAL SURGERY PEDIATRIC REHABILITATION CORNEAL TRANSPLANTS PEDIATRIC SURGERY CYTOLOGY PEDIATRIC UROLOGY DEEP BRAIN STIMULATION PEDIATRIC COCHLEAR IMPLANT DERMATOPATHOLOGY PEDIATRIC NEUROLOGY/NEUROSURGERY ECHOCARDIOGRAPHY PET SCANS ELECTROPHYSIOLOGY PODIATRY EMERGENCY SERVICES PRE-SURGERY CENTER ENDOVASCULAR PROCEDURES PSYCHIATRY (ADOLESCENCE) ENDOVASCULAR GRAFT IMPLANTS RADIATION ONCOLOGY EPILEPSY RADIATION ONCOLOGY EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY REGIONAL ANESTHESIA PROGRAM GYNONCOLOGY RENAL DENERVATION GYNECOLOGIC & UROPATHOLOGY ROBOTIC SURGERY HEAD AND NECK ONCOLOGY SKULL BASE SURGERY HEADACHE SLEEP DISORDERS LABORATORY HEART FAILURE SPINAL BIFIDA CLINIC HEMATOLOGY SPINAL CORD INJURY HEMATOPATHOLOGY SPINE SURGERY HEPATIC INTRA-ARTERIAL CHEMOTHERAPY SPINE ASSESSMENT PROGRAM HIGH DOSE INTERLEUKIN-2 THERAPY STEM CELL TRANSPLANT HIGH DOSE RATE INTRACAVITARY STEREOTACTIC RADIOSURGERY BRACHYTHERAPY STRETTA (LASER PROCEDURE) IMMUNOLOGY STROKE/TELE-STROKE INFERTILITY SURGICAL ONCOLOGY (COLON, LIVER, INTENSIVE O/P PSYCHIATRIC PROGRAM PANCREAS,ESOPHAGEAL, AND INTERVENTIONAL PAIN MANAGEMENT RENAL) INTERVENTIONAL RADIOLOGY SURGICAL PATHOLOGY INTRA-OPERATIVE HEPATIC ULTRASOUND TRANSCATHETER AORTIC VALVE AND RADIOFREQUENCY ABLATION OF IMPLEMENTATION LIVER TUMORS TISSUE BANKING KIDNEY, LIVER,& PANCREAS TRANSPLANTS TRAUMATIC BRAIN INJURY LASER SURGERY (YAG LASER) TOXICOLOGY LVAD (LEFT VENTRICULAR ASSIST DEVICE) TRAUMA SURGERY MAGNETIC RESONANCE IMAGING UROGYNECOLOGY MEDICATION THERAPY MANAGEMENT PROGRAM VAGAL NERVE STIMULATORS WOUND CARE B. RESIDENCY & FELLOWSHIP PROGRAMS GMC CONDUCTS TWENTY GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS AND SIXTEEN FELLOWSHIP PROGRAMS. THERE WERE 426 GRADUATE PHYSICIANS PARTICIPATING IN THESE PROGRAMS IN FISCAL YEAR 2018. PROGRAM SPECIALTIES ARE AS FOLLOWS BUT ARE NOT LIMITED TO: RESIDENCY PROGRAMS ANESTHESIOLOGY CLINICAL PSYCHOLOGY DERMATOLOGY EMERGENCY MEDICINE FAMILY MEDICINE GENERAL SURGERY INTERNAL MEDICINE INTERNAL MEDICINE PEDIATRICS NEUROLOGY NEUROLOGICAL SURGERY OBSTETRICS GYNECOLOGY OPHTHALMOLOGY ORAL & MAXILLOFACIAL SURGERY ORTHOPAEDIC SURGERY OTOLARYNGOLOGY PATHOLOGY PHYSICAL MEDICINE & REHABILITATION PEDIATRICS PEDIATRIC DENTISTRY PODIATRY PSYCHIATRY RADIOLOGY UROLOGY FELLOWSHIP PROGRAMS CARDIOVASCULAR MEDICINE CLINICAL INFORMATICS CRITICAL CARE MEDICINE CYTOPATHOLOGY DERMATOPATHOLOGY GASTROENTEROLOGY HOSPICE & PALLIATIVE MEDICINE INTERVENTIONAL CARDIOLOGY MATERNAL FETAL MEDICINE MEDICAL PHYSICS NEPHROLOGY PROCEDURAL DERMATOLOGY - MICROGRAPHIC SURGERY & DERMATOLOGICAL ONCOLOGY PULONARY CRITICAL CARE MEDICINE RHEUMATOLOGY SPORTS MEDICINE VASCULAR INTERVENTIONAL RADIOLOGY VASCULAR SURGERY GMC OPERATES FOUR SCHOOLS OF ALLIED HEALTH EDUCATION. THESE SCHOOLS ARE OPERATED WITHIN GMC IN CONJUNCTION WITH VARIOUS COLLEGES AND UNIVERSITIES. IN ADDITION TO CLASSROOM TIME, STUDENTS CONTRIBUTE CLINICAL EDUCATION HOURS AS AN INTEGRAL PART OF THEIR CURRICULUM. DURING THE FISCAL YEAR, THE DIETETIC INTERNSHIP PROGRAM HAD SIX STUDENTS; THE SCHOOL OF RADIOLOGY HAD TWENTY-TWO STUDENTS; THE CHAPLAIN SCHOOL HAD FOUR STUDENTS AND THE PHARMACY RESIDENCY PROGRAM HAD THREE STUDENTS. THE TOTAL COST TO GMC OF PROVIDING RESIDENCY, FELLOWSHIP, ALLIED HEALTH, AND RELATED EDUCATION PROGRAMS, NET OF THIRD PARTY REIMBURSEMENTS WAS 72,774,046. C. TRAUMA CARE IN OCTOBER 1986 GMC WAS DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION AS A REGIONAL RESOURCE TRAUMA CENTER (LEVEL I) BASED ON THE PROVISION OF COMPREHENSIVE TRAUMA CARE 24 HOURS A DAY AND THE CONDUCT OF OUTREACH, EDUCATIONAL AND RESEARCH PROGRAMS IN TRAUMA CARE. IN 1996, THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION ACCREDITED GMC AS ADDITIONAL QUALIFICATIONS IN PEDIATRICS. GMC HAS BEEN ACCREDITED AS A LEVEL II PEDIATRIC TRAUMA CENTER. THE TRAUMA CENTER INCLUDES LIFE FLIGHT, A MULTIPLE AIRCRAFT, REGIONAL HELICOPTER SERVICE. LIFE FLIGHT PROVIDES RAPID RESPONSE TO CRITICALLY ILL PATIENTS WHO NEED ADVANCE LIFE SUPPORT CARE AND TRANSPORTATION TO CRITICAL CARE FACILITIES. GEISINGER LIFE FLIGHT OPERATED EIGHT AIRCRAFTS AND FIVE OPERATIONAL SITES IN FISCAL YEAR 2018. EIGHT FRONT LINE STATE OF THE ART MEDICAL HELICOPTERS INCLUDE TWO BK117S AND SIX EC145S. THE CURRENT BASE LOCATIONS ARE IN DANVILLE, STATE COLLEGE, AVOCA, WILLIAMSPORT AND MINERSVILLE, PA. THE DISPATCHING OF LIFE FLIGHT FOR INTER-HOSPITAL TRANSFERS AND SCENE CALLS IS AUTHORIZED BY A PHYSICIAN OR OTHER QUALIFIED PERSONNEL AND IS DETERMINED ON AN INDIVIDUAL BASIS ACCORDING TO MEDICAL NEED. IN FISCAL YEAR 2018, LIFE FLIGHT PROVIDED EMERGENCY TRANSPORTATION TO 2,792 PATIENTS AND SERVED MULTIPLE HOSPITALS IN PENNSYLVANIA AND NEIGHBORING STATES. D. JANET WEIS CHILDREN'S HOSPITAL THE JANET WEIS CHILDREN'S HOSPITAL HOUSES ALL INPATIENT PEDIATRIC BEDS INCLUDING 36 MEDICAL AND SURGICAL, 41 NEWBORN INTENSIVE AND SPECIAL CARE AND 14 PEDIATRIC INTENSIVE CARE BEDS. THE FACILITY ALSO PROVIDES SPACE FOR PEDIATRIC REHABILITATION AND HAS ESTABLISHED AN AMBULANCE TRANSPORT SERVICE FOR NEONATAL RETRIEVALS. THE FACILITY IS CONNECTED WITH THE REST OF THE MEDICAL CENTER AT FOUR OF THE FIVE LEVELS TO ALLOW FOR SMOOTH INTEGRATION OF ANCILLARY AND SUPPORT SERVICES. THE FUNDING FOR THE CONSTRUCTION OF THE JANET WEIS CHILDREN'S HOSPITAL WAS PROVIDED BY THE DONATING PUBLIC, INCLUDING FUNDS RAISED BY THE CHILDREN'S MIRACLE NETWORK TELETHON. THIS FACILITY IS VISIBLE EVIDENCE OF GEISINGER'S COMMITMENT TO THE CHILDREN OF PENNSYLVANIA. FOR THE FISCAL YEAR 2018, THE JANET WEIS CHILDREN'S HOSPITAL DISCHARGED 4,180 PATIENTS AND PROVIDED 23,358 PATIENT DAYS OF SERVICE. THE FACILITY AFFORDS MORE EFFICIENT CARE WITH AN IMPROVED LENGTH OF STAY. E. WOMEN'S HEALTH PAVILION THE WOMEN'S HEALTH PAVILION, ON THE CAMPUS OF GMC, WAS DEDICATED AS PART OF THE JANET WEIS CHILDREN'S AND WOMEN'S HOSPITAL IN 2000. THE WOMEN'S PAVILION FEATURES FAMILY-ORIENTED BIRTHING SUITES THAT ALLOW EACH WOMAN TO LABOR, DELIVER AND RECOVER IN THE SAME SPACE. IN ADDITION, THERE ARE SEMI-PRIVATE ROOMS, A NURSERY AND TWO CAESAREAN SECTION OPERATING SUITES. THE GEISINGER WOMEN'S PAVILION IS THE ONLY HOSPITAL IN THE AREA THAT OFFERS COVERAGE BY OBSTETRICIANS, NEONATOLOGISTS, PEDIATRICIANS AND ANESTHESIOLOGISTS 24 HOURS A DAY, SEVEN DAYS A WEEK. OUTPATIENT SERVICES AT THE WOMEN'S PAVILION INCLUDE OBSTETRICS, PERINATOLOGY, MIDWIFERY OUTREACH, GYNECOLOGY, GYNECOLOGIC ONCOLOGY, UROGYNECOLOGY, GENETICS COUNSELING, PSYCHOLOGY, SOCIAL WORK, NUTRITION, MAMMOGRAPHY AND BREAST CARE, LABORATORY SERVICES, AND A FERTILITY CLINIC. FOR
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 2017 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,739. 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 AN EMPLOYEE OF RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? DANIEL E. LOHR, ESQUIRE, DAVID J. FELICIO, ESQUIRE, DAVID T. FEINBERG, MD, MBA, EARL FOURA, EDELYN L. MILLER, JAEWON RYU, MD, JD, KEVIN F. BRENNAN, CPA, FHFMA, ROBERT J. DIETZ, THOMAS P. SOKOLA, V. CHRIS HOLCOMBE, PE, AND VIRGINIA MCGREGOR ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER.
FORM 990, PAGE 6, PART VI, LINE 6	THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE.
FORM 990, PAGE 6, PART VI, LINE 11B	ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD.
FORM 990, PAGE 6, PART VI, LINE 12C	THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEES AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.
FORM 990, PAGE 6, PART VI, LINE 15A	THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15B	SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A.
FORM 990, PAGE 6, PART VI, LINE 19	THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS. FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIII	FORM 990, PART VIII, LINE 2F: THE IC SHARED SERVICE REVENUE OF 12,663 REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF GEISINGER IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND ARE NOT TO BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.
FORM 990, PART XI, LINE 9	TRANSFER AFFILIATE,GEISINGER CLINIC 379,066 TRANSFER FROM PARENT, GEISINGER HEALTH 1,847,707 TOTAL 2,226,773
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 (34 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	Yes (true)
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	236291113	PHYSICIAN	PA	501C3	12A		Yes (true)	GH
GEISINGER WYOMING VALLEY MED CTR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231996150	HOSPITAL	PA	501C3	3		Yes (true)	GH
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232171417	D&A REHAB	PA	501C3	3		Yes (true)	GH
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232311553	HEALTH INS	PA	501C4			Yes (true)	GH
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232164794	SUPPORT SV	PA	501C3	12A		Yes (true)	GH
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232967235	HEALTHCARE	PA	501C3	10		Yes (true)	GSS
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	141909894	SELF INS	VT	501C3	12A		Yes (true)	GH
GEISINGER 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	LONG TERM	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	PHYSICIAN	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		Yes (true)	GH
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232337286	SUPPORT SV	PA	501C3	12A		Yes (true)	CMC
HOLY SPIRIT HEALTH SYSTEM
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251865142	PHILANTHRO	PA	501C3	12A		Yes (true)	GH
HOLY SPIRIT HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231512747	HOSPITAL	PA	501C3	3		Yes (true)	HSHS
HOLY SPIRIT CORPORATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232214540	HOLDING CO	PA	501C2			Yes (true)	HSHS
SPIRIT PHYSICIAN SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251766971	PHYSICIAN	PA	501C3	10		Yes (true)	HSHS
WEST SHORE ADVANCED LIFE SUPP SVCS
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232463002	HEALTHCARE	PA	501C3	7		Yes (true)	HSHS
GEISINGER COMMONWEALTH SCH OF MED
525 PINE STREET	SCRANTON	PA	18509	260812968	EDUCATION	PA	501C3	2		Yes (true)	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
ATLANTICARE BEHAVORIAL HEALTH INC
2511 FIRE ROAD	EGG HARBOR TOWNSHIP	NJ	08234	210721208	HEALTHCARE	NJ	501C3	7		Yes (true)	ARHS
ATLANTICARE FOUNDATION
6725 DELILAH ROAD	EGG HARBOR TOWNSHIP	NJ	08234	222148992	SUPPORT AR	NJ	501C3	7		Yes (true)	AH SYSTEM
ATLANTICARE HEALTH ENGAGEMENT INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	611608389	HEALTHCARE	NJ	501C3	12A		Yes (true)	AH SYSTEM
ATLANTICARE HEALTH SERVICES INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223265214	HEALTHCARE	NJ	501C3	10		Yes (true)	ARHS
ATLANTICARE HEALTH SYSTEM INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223265213	SUPPORT AR	NJ	501C3	12A		Yes (true)	GH
ATLANTICARE REGIONAL MEDICAL CENTER
1925 PACIFIC AVENUE	ATLANTIC CITY	NJ	08401	210634549	HOSPITAL	NJ	501C3	3		Yes (true)	ARHS
ATLANTICARE PHYSICIAN GROUP PA
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	020701782	HEALTHCARE	NJ	501C3	10		Yes (true)	AH SYSTEM
ATLANTICARE REGIONAL HEALTH SERVICE
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	800834222	HOLDING CO	NJ	501C3	12A		Yes (true)	AH SYSTEM
GNJ PHYSICIANS GROUP PC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	820681884	HEALTHCARE	NJ	501C3	10		Yes (true)	GH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Share Of Total IncomeShareOfTotalIncomeAmt
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	454475297	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		false	Yes (true)	NA	RELATED	$126,696	0.49000
MERIDIAN GEISINGER HLTH NETWORKLLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	455484165	ORG DEL SY	NJ	N/A	false	false
HEALTHSOUTH GHS LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	721398803	PHY THERAP	PA		false	Yes (true)	GMC	RELATED	$6,036,078	0.50000	$2,354,158
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	HEALTHCARE	DE	N/A	false	false
CAMP HILL AMBULATORY SURG CTR LLC
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 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	Yes (true)
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	204275139	HLTH INSUR	PA	N/A	Yes (true)
XG HEALTH SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461657345	CONSULTING	DE	N/A	Yes (true)
GEISINGER ASSURANCE COMPANY LTD
				981016737	INSURANCE		N/A	Yes (true)	878 WEST BAY ROAD PO BOX 1159	GRAND CAYMAN	GRAND CAYMAN	CJ	KY1-1102	CJ
HOLY SPIRIT VENTURES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232407709	MED. SERV.	PA	N/A	Yes (true)
ENGLISH CREEK ASSURANCE LTD
				980656394	FINANCIAL		N/A	Yes (true)	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	Yes (true)
ATLANTICARE ASSURANCE ALLIANCE INC
2500 ENGLISH CREEK AVENUE BLDG 500	EGG HARBOR TOWNSHIP	NJ	08234	463730123	HEALTHCARE	NJ	N/A	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (52 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GEISINGER COMMUNITY MEDICAL CENTER
M	$45,789	GAAP
GEISINGER COMMUNITY MEDICAL CENTER
L	$4,775,273	GAAP
GEISINGER ASSURANCE COMPANY LTD
M	$7,993,506	GAAP
GEISINGER CLINIC
L	$19,296,001	GAAP
GEISINGER CLINIC
M	$90,997,628	GAAP
GEISINGER CLINIC
P	$106,134,000	GAAP
GEISINGER CLINIC
C	$379,066	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
A	$2,812	FMV
GEISINGER COMMUNITY HEALTH SERVICES
L	$1,688,933	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
K	$155,527	FMV
GEISINGER COMMUNITY HEALTH SERVICES
M	$320,031	GAAP
GEISINGER HEALTH PLAN
L	$274,362,194	GAAP
GEISINGER HEALTH
L	$333,422	GAAP
GEISINGER HEALTH
C	$3,741,450	GAAP
GEISINGER HEALTH
M	$3,213,134	GAAP
GEISINGER INDEMNITY INSURANCE COMP
L	$7,653,852	GAAP
GEISINGER INSURANCE CORP RRG
P	$6,532,259	GAAP
ISS SOLUTIONS INC
A	$12,722	FMV
GEISINGER QUALITY OPTIONS INC
L	$19,205,275	GAAP
GEISINGER SYSTEM SERVICES
L	$292,259	GAAP
GEISINGER SYSTEM SERVICES
A	$5,035,375	FMV
GEISINGER SYSTEM SERVICES
M	$174,631,335	GAAP
GEISINGER WYOMING VALLEY MED CTR
M	$590,841	GAAP
GEISINGER WYOMING VALLEY MED CTR
L	$12,299,150	GAAP
BLOOMSBURG HEALTH CARE CENTER
L	$3,770	GAAP
GEISINGER BLOOMSBURG HOSPITAL
M	$22,580	GAAP
GEISINGER BLOOMSBURG HOSPITAL
K	$79,080	FMV
GEISINGER BLOOMSBURG HOSPITAL
L	$2,269,378	GAAP
GEISINGER LEWISTOWN HOSPITAL
M	$14,078	GAAP
GEISINGER LEWISTOWN HOSPITAL
L	$2,903,538	GAAP
HEALTHSOUTHGHS LLC
L	$2,974,815	GAAP
HEALTHSOUTHGHS LLC
P	$3,681,090	GAAP
HEALTHSOUTHGHS LLC
A	$175,520	FMV
MARWORTH
L	$3,265	GAAP
MOUNTAIN VIEW CARE CENTER
L	$3,839	GAAP
GEISINGER HOLY SPIRIT HOSPITAL
Q	$3,138,966	GAAP
SPIRIT PHYSICIAN SERVICES INC
L	$22,267	GAAP
WEST SHORE ADVANCED LIFE SUPPORT
L	$7,102	GAAP
WEST SHORE ADVANCED LIFE SUPPORT
M	$122,379	GAAP
HOLY SPIRIT HEALTH SYSTEM
L	$402	GAAP
ATLANTICARE REGIONAL MEDICAL CENTER
L	$65,350	GAAP
ISS SOLUTIONS INC
L	$12,925	GAAP
ISS SOLUTIONS INC
M	$17,214,305	GAAP
LEWISTOWN AMBULATORY CARE CORP
K	$1,953	FMV
GEISINGER CLINIC
A	$27,620	FMV
GEISINGER SCHOOL OF MEDICINE
L	$8,530	GAAP
GEISINGER SCHOOL OF MEDICINE
M	$8,425	GAAP
GEISINGER HEALTH PLAN
K	$36,959	FMV
GEISINGER HOLY SPIRIT HOSPITAL
M	$1,296	GAAP
GEISINGER JERSEY SHORE HOSPITAL
L	$18,225	GAAP
GEISINGER SYSTEM SERVICES
K	$725,084	FMV
KEYHIE
M	$47,954	GAAP

Supplemental Information Detail SupplementalInformationDetail

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