PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER (EIN 23-1512747)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-10
IRS object ID: 201931309349302258
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 B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-10T10:34:02-05:00	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	231512747	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID J FELICIO ESQUIRE	PersonNm
Person Title	SECRETARY	PersonTitleTxt
Phone	5702716640	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	10:34:02	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

Doing Business As Name DoingBusinessAsName

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

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$311,268,768	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1963	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY (DOING BUSINESS AS GEISINGER HOLY SPIRIT HOSPITAL), SHARES GEISINGER HOLY SPIRITS MISSION AS A COMMUNITY CATHOLIC HEALTH SYSTEM AND SERVES TO CARRY OUT...SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	2217	TotalEmployeeCnt
Total Volunteers	425	TotalVolunteersCnt
Total Gross UBI	$2,787,758	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$585,557	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$634,392	PYContributionsGrantsAmt
CY Contributions Grants	$927,043	CYContributionsGrantsAmt
PY Program Service Revenue	$298,155,286	PYProgramServiceRevenueAmt
CY Program Service Revenue	$307,911,085	CYProgramServiceRevenueAmt
PY Investment Income	-$1,296,372	PYInvestmentIncomeAmt
CY Investment Income	$397,757	CYInvestmentIncomeAmt
PY Other Revenue	$2,077,330	PYOtherRevenueAmt
CY Other Revenue	$1,826,913	CYOtherRevenueAmt
PY Total Revenue	$299,570,636	PYTotalRevenueAmt
CY Total Revenue	$311,062,798	CYTotalRevenueAmt
PY Grants And Similar Paid	$400	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,000	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$129,694,895	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$123,224,804	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$190,446,918	PYOtherExpensesAmt
CY Other Expenses	$191,769,273	CYOtherExpensesAmt
PY Total Expenses	$320,142,213	PYTotalExpensesAmt
CY Total Expenses	$314,999,077	CYTotalExpensesAmt
PY Revenues Less Expenses	-$20,571,577	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$3,936,279	CYRevenuesLessExpensesAmt
Total Assets BOY	$218,855,320	TotalAssetsBOYAmt
Total Assets EOY	$110,417,979	TotalAssetsEOYAmt
Total Liabilities BOY	$176,473,088	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$180,733,629	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$42,382,232	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$70,315,650	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY (DOING BUSINESS AS GEISINGER HOLY SPIRIT HOSPITAL), SHARES GEISINGER HOLY SPIRIT'S MISSION AS A COMMUNITY CATHOLIC HEALTH SYSTEM AND SERVES TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED AND PROVIDING HIGH QUALITY, ETHICALLY-GUIDED, AND COST-EFFECTIVE HEALTH SERVICES IN A CARING, PATIENT- FOCUSED ENVIRONMENT TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$286,289,730	ExpenseAmt
Grant	$5,000	GrantAmt
Revenue	$308,250,647	RevenueAmt
Desc	SEE SCHEDULE O PATIENT CARE SERVICES PATIENT CARE SERVICES IS DRIVEN BY THE HOSPITAL'S MISSION, VISION, AND VALUES. THE PROVISION OF HIGHLY SKILLED, COMPETENT, AND COMPASSIONATE NURSING CARE IS ESSENTIAL TO FULFILL OUR COMMITMENT TO EXCELLENCE IN CLINICAL PRACTICE, EDUCATION, AND NURSING RESEARCH. AWARDS AND RECOGNITION HOLY SPIRIT HOSPITAL EARNED MULTIPLE AWARDS IN 2018. HIGHMARK AWARDS INCLUDE: HIGHMARK BLUE SHIELD, DESIGNATED BLUEDISTINCTION CENTER FOR CARDIAC CARE, BLUEDISTINCTION CENTER+ FOR KNEE AND HIP REPLACEMENT, BLUEDISTINCTION CENTER FOR MATERNITY CARE, BLUEDISTINCTION CENTER FOR SPINE SURGERY. AMERICAN HEART ASSOCIATION AWARDS INCLUDE GOLD 2018 "GET WITH THE GUIDELINES" FOR AFIB, GOLD PLUS 2018 "GET WITH THE GUIDELINES" FOR HEART FAILURE, GOLD PLUS 2018 "GET WITH THE GUIDELINES" TARGET STROKE HONOR ROLL FOR STROKE, AND GOLD PLUS 2018 RECEIVING "MISSION: LIFELINE". AWARDED BY THE JOINT COMMISSION IS THE NATIONAL QUALITY APPROVAL FOR ADVANCED CERTIFICATION IN INPATIENT DIABETES CARE AND PRIMARY STROKE CARE. AWARDED BY THE AMERICAN COLLEGE OF CARDIOLOGY IS THE CHEST PAIN CENTER ACCREDITED PRIMARY PCI WITH RESUSCITATION. OTHER AWARDS INCLUDE THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) A QUALITY PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS ACCREDITED BREAST CENTER, AND NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS (NICHE) AS A NICHE DESIGNATED HOSPITAL. PRESENTATIONS REGISTERED NURSES IN PATIENT CARE SERVICES AND CLINICAL EDUCATION PROVIDED PRESENTATIONS IN HOUSE, AT PROFESSIONAL CONFERENCES, AND AT VARIOUS OTHER VENUES. IN HOUSE PRESENTATIONS: ACLS RHYTHM AND DRUG REVIEW 2015 (8/18/17, 9/13/17, 10/19/17, 11/7/17, 1/17/18, 2/13/18, 3/20/18, 4/12/18, 5/23/18, 6/12/18) - PRESENTED BY CHRISTY LIDDINGTON, BSN, RN RHYTHM REVIEW WHAT WOULD YOU DO? (4/12/18, 6/11/18, 6/19/18) - PRESENTED BY CHRISTY LIDDINGTON, BSN, RN CORE ESSENTIALS PROGRAM (9/16/17, 9/13/17, 9/20/17, 9/27/17, 10/18/17, 10/25/17, 11/15/17, 11/29/17) - PRESENTED BY DEB AUDETTE, DNP, RN, ACNS-BC, CCRN-CSC, MELANIE DUFFY, MSN, RN, CCRN, CCNS, ANN HENDRICKSON, MS, RN, ACNS-BC AND MARYANN BROGDEN-BRANDT, ND, MSN, RN, APN-C, CCNS, SCRN ESSENTIAL OILS: CLINICAL SIGNIFICANCE IN ACUTE AND CRITICAL CARE (2/12/18, 2/23/18, 5/29/18) - PRESENTED BY LAUREN MCNAUGHTON, MSN, RN, CCRN THE MICROBIOTA: OUR HEALTH DEPENDS ON IT (4/17/18) - PRESENTED BY AMY MONTGOMERY, BSN, RN IMPLEMENTING A SITTER REDUCTION PROGRAM TO REDUCE COST WHILE MAINTAINING PATIENT SAFETY - PRESENTED BY MICHAEL HAFER RN, EMT-B, ANN HENDRICKSON MS, RN, ACNS-BC AND MELANIE DUFFY MSN, RN, CCRN, CCNS AT THE NICHE ANNUAL CONFERENCE, APRIL 11, 2018 IN ATLANTA, GA THE FOLLOWING PRESENTATIONS WERE INCLUDED ON DECEMBER 7, 2017 IN IGNITING THE SPIRIT OF INQUIRY - WHY EVIDENCE BASED PRACTICE, NURSING RESEARCH/EBP CONFERENCE AT GEISINGER HOLY SPIRIT IN PARTNERSHIP WITH MESSIAH COLLEGE NURSING STUDENTS. POSTER PRESENTATIONS: CLINICAL EDUCATION: HOW CAN WE HELP YOU? - PRESENTED BY DONNA MONTORO, MSN, RN-BC DAILY CHLORHEXIDINE BATHING AND THE PREVENTION OF CLABSI IN THE ICU - PRESENTED BY JENNY MCKEE, BSN, RN, CCRN AND LINDSAY WEBER, BSN, RN, PCCN IMPLEMENTING A SITTER REDUCTION PROGRAM TO REDUCE COST WHILE MAINTAINING PATIENT SAFETY - PRESENTED BY MIKE HAFER, AD, RN, ANN HENDRICKSON, MS, RN, ACNS-BC AND MELANIE DUFFY, MSN, RN, CCRN, CCNS LATERAL VIOLENCE IN THE PERIOPERATIVE ENVIRONMENT - PRESENTED BY SHEILA RHOADES, RN, CNOR AND TAMARA RICE, RN, CPAN IMPROVING THE MEALTIME INSULIN GAP - PRESENTED BY PEGGY TRAHAN, RN, PCCN, ALISON NATTRESS, RN, PCCN AND JENNIFER KANE, BSN, RN, PCCN THE EFFECT OF PET THERAPY FOR PATIENTS WITH DEPRESSIVE BEHAVIOR PRESENTED BY STUDENTS - EMILY BRUBAKER, NICOLE FREY, ALYSSA HERR, EMILY RANSIL WITH MERCY ODOOM, BSN, RN, GEISINGER HOLY SPIRIT MEDICATION TIMEOUT DURING INTERPROFESSIONAL ROUNDS TO DECREASE MEDICATION ERRORS PRESENTED BY STUDENTS - AUBREY CORRIVEAU, SARAH KLAPPER, CHELSEA TOBUREN, CHRISTINA XENOS WITH SHARON TRUITT, BSN, RN, CCRN, GEISINGER HOLY SPIRIT EVIDENCE-BASED INTERVENTIONS TO IMPROVE FAMILY SATISFACTION DURING FAMILY WITNESSED RESUSCITATIONS PRESENTED BY STUDENTS - HANNAH CARD, KAITLYN O'NEIL, AUTUMN NELSON, STEPHANIE ROUSEY WITH MICHELLE KISSINGER, RN, PCCN, GEISINGER HOLY SPIRIT USING THE ROTHMAN INDEX SCALE AS A PREDICTIVE TOOL FOR PATIENT READMISSION PREVENTION PRESENTED BY STUDENTS - KELSEY CHESNUT, CARLY DOVE, CULLEN KANAGY, DEAN PATTON WITH SARAH TROUTMAN, BSN, RN, GEISINGER HOLY SPIRIT INTERVENTION TO IMPROVE ANTIPLATELET MEDICATION ADHERENCE IN ADULT CARDIAC PATIENTS PRESENTED BY STUDENTS - KYLIE HORNABERGER, ELIZABETH SAWYER, SARAH YUNEZ WITH LACEY CORL, BSN, RN, GEISINGER HOLY SPIRIT EVIDENCE-BASED EFFECTS OF DEBRIEFING ON NURSES FOLLOWING CRITICAL INCIDENTS PRESENTED BY STUDENTS - SIERRA BERRINGER, MELISSA CLASS, EMILY DORON, JANELLE KRAMER, KRISTEN MARIANI WITH ANN BOWER, BSN, RN-BC, GEISINGER HOLY SPIRIT PODIUM PRESENTATIONS: THE EFFECT OF PET THERAPY FOR PATIENTS WITH DEPRESSIVE BEHAVIOR PRESENTED BY STUDENTS - EMILY BRUBAKER, NICOLE FREY, ALYSSA HERR, EMILY RANSIL WITH MERCY ODOOM, BSN, RN, GEISINGER HOLY SPIRIT MEDICATION TIMEOUT DURING INTERPROFESSIONAL ROUNDS TO DECREASE MEDICATION ERRORS PRESENTED BY STUDENTS - AUBREY CORRIVEAU, SARAH KLAPPER, CHELSEA TOBUREN, CHRISTINA XENOS WITH SHARON TRUITT, BSN, RN, CCRN, GEISINGER HOLY SPIRIT EVIDENCE - BASED INTERVENTIONS TO IMPROVE FAMILY SATISFACTION DURING FAMILY WITNESSED RESUSCITATIONS PRESENTED BY STUDENTS - HANNAH CARD, KAITLYN O'NEIL, AUTUMN NELSON, STEPHANIE ROUSEY WITH MICHELLE KISSINGER, RN, PCCN, GEISINGER HOLY SPIRIT USING THE ROTHMAN INDEX SCALE AS A PREDICTIVE TOOL FOR PATIENT READMISSION PREVENTION PRESENTED BY STUDENTS - KELSEY CHESNUT, CARLY DOVE, CULLEN KANAGY, DEAN PATTON WITH SARAH TROUTMAN, BSN, RN, GEISINGER HOLY SPIRIT INTERVENTIONS TO IMPROVE ANTIPLATELET MEDICATION ADHERENCE IN ADULT CARDIAC PATIENTS PRESENTED BY STUDENTS - KYLIE HORNABERGER, ELIZABETH SAWYER, SARAH YUNEZ WITH LACEY CORL, BSN, RN, GEISINGER HOLY SPIRIT EVIDENCE - BASED EFFECTS OF DEBRIEFING ON NURSES FOLLOWING CRITICAL INCIDENTS PRESENTED BY STUDENTS - SIERRA BERRINGER, MELISSA CLASS, EMILY DORON, JANELLE KRAMER, KRISTEN MARIANI WITH ANN BOWER, BSN, RN-BC, GEISINGER HOLY SPIRIT PROFESSIONAL PRESENTATIONS BY MELANIE DUFFY, MSN, RN, CCRN, CCNS: NAVIGATING PUBLIC POLICY, I AND II - NACNS NATIONAL CONFERENCE, MARCH 2018 (PODIUM PRESENTATION) OBTAINING CERTIFICATION: NOW IS THE TIME - SUSQUEHANNA VALLEY CHAPTER OF AACN CERTIFICATION DINNER, MAY 2018 (PODIUM PRESENTATION) IMPLEMENTING A SITTER REDUCTION PROGRAM TO REDUCE COST WHILE MAINTAINING PATIENT SAFETY - 2018 GEISINGER PATIENT EXPERIENCE CONFERENCE: COMMUNICATION AND ENGAGEMENT FOR KEY PATIENT OUTCOMES, APRIL 2018 (POSTER PRESENTATION) PROFESSIONAL PRESENTATION BY MARYANN BROGDEN-BRANDT, ND, MSN, RN, APN-C, CCNS, SCRN: STROKE AND SEPSIS LECTURE FOR ASFME IN HARRISBURG, PA - AUGUST 17, 2017 TBI (TRAUMATIC BRAIN INJURY) LECTURE FOR GEISINGER HOLY SPIRIT EMERGENCY DEPARTMENT STAFF (RNS AND TECHNICIANS) - OCTOBER 15,2017 TBI (TRAUMATIC BRAIN INJURY) LECTURES (2) FOR GEISINGER HOLY SPIRIT EMERGENCY DEPARTMENT STAFF (RNS AND TECHNICIANS) - OCTOBER 9, 2017 WHEN TWO WORLDS COLLIDE - POSTPERFUSION SYNDROME "PUMP HEAD" VERSUS STROKE - POSTER PRESENTATION AT SUSQUEHANNA VALLEY CHAPTER OF THE AMERICAN CRITICAL CARE ASSOCIATION (SVAACN) AT CLARION HOTEL, NEW CUMBERLAND, PA WITH DEB AUDETTE, DNP, ACN-BC, CCRN-CSC - NOVEMBER 3, 2017 SEPSIS LECTURE FOR MANOR CARE STAFF (RNS AND NURSING TECHS) - MARCH 1, 2018 THE BIRTHPLACE AND NICU NURSES THE BIRTHPLACE AT HOLY SPIRIT IS EQUIPPED TO MEET THE NEEDS OF WOMEN DURING AND AFTER BABIES ARRIVE. A VARIETY OF SERVICES ARE OFFERED IN A COMFORTABLE AND WARM ENVIRONMENT WITH A TEAM OF SPECIALLY-TRAINED NURSES WHO PROVIDE CARE TO EACH MOM AND BABY DURING LABOR, DELIVERY, AND RECOVERY. THE NEONATAL INTENSIVE CARE UNIT (NICU) IS STAFFED BY SOME OF THE AREA'S MOST WELL-RESPECTED NEONATOLOGISTS, READY TO ASSIST PHYSICIANS OR MIDWIVES WITH BABIES' MEDICAL NEEDS. THE NICU OFFERS LEVEL III CARE ONSITE, WHICH MEANS TODAY'S MOST ADVANCED MEDICAL TECHNOLOGY IS CLOSE AT HAND TO DEAL WITH ANY SPECIAL NEEDS. STAFF MEMBERS HAVE CARED FOR BABIES AS YOUNG AS 24-WEEKS' GESTATION AND OTHER BABIES WHO NEED INTENSIVE CARE. SEXUAL ASSAULT NURSES CARING PROPERLY FOR INDIVIDUALS WHO ARE VICTIMS OF SEXUAL VIOLENCE AND PROVIDING A POSITIVE EXPERIENCE IN THE HOSPITAL SETTING CAN CONTRIBUTE GREATLY TO THE HEALING PROCESS. TO ENSURE DIGNITY AND COMPASSION, THE EMERGENCY DEPARTMENT HAS A DEDICATED EXAMINATION ROOM EQUIPPED WITH THE LATEST FORENSIC TECHNOLOGY. A TEAM OF NURSES TRAINED AS SEXUAL ASSAULT NURSE EXAMINERS (SANE CERTIFIED) COLLECT MEDICAL AND LEGAL EVIDENCE, WHILE BEING SENSITIVE AND EMPATHETIC TO PATIENT NEEDS. STUDENT NURSES HOLY SPIRIT STAFF FACILITATED CLINICAL EXPERIENCES FOR UNDERGRADUATE AND GRADUATE NURSING STUDENTS FROM THE FOLLOWING SCHOOLS: HARRISBURG AREA COMMUNITY COLLEGE, MESSIAH COLLEGE, PENN STATE UNIVERSITY, YORK COLLEGE, WIDENER UN	Desc
Total Program Service Expenses	$286,289,730	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2217	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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHARLES KINGSLEY MD
DIRECTOR	0.25	Yes (X)	$0	$0	$0
DEBORAH KEYS
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.75
GREG GUNN
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.25
HANK STRAUB
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.75
KYLE C SNYDER MHA
CAO, DIRECTO	40.00	Yes (X)	$423,670	$0	$76,577		Yes (X)
LAURIE SALTZGIVER ESQUIRE
VICE CHAIR,	0.25	Yes (X)	$0	$0	$0	0.75	Yes (X)
LENKE ERKI MD
DIRECTOR		Yes (X)	$0	$525,773	$39,553	40.00
MICHAEL SERLUCO
CHAIR, DIREC	0.25	Yes (X)	$0	$0	$0	0.25	Yes (X)
NORA HABIG
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.75
PATRICIA HUSIC
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.75
RANNY L SINGISER EDD
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.25
REVEREND ROBERT F SHARMAN
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.75
ROBERT SCAER
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.25
SISTER JOANN MARIE AUMAND SCC
DIRECTOR		Yes (X)	$0	$0	$0	40.00
SISTER MARIE PAULINE DEMEK SCC
DIRECTOR		Yes (X)	$0	$0	$0	40.00
RON DRNEVICH
CHAIR, DIREC	0.25	Yes (X)	$0	$0	$0	0.75	Yes (X)
DANIEL E LOHR ESQUIRE
ASST. SECRET			$0	$441,235	$43,464	40.00	Yes (X)
DAVID J FELICIO ESQUIRE
SECRETARY			$0	$1,142,940	$258,756	40.00	Yes (X)
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE			$0	$2,133,432	$36,848	40.00	Yes (X)
RANDY B MORRIS
TREASURER	40.00		$441,626	$0	$27,319		Yes (X)
DAVID A GATESMAN
VP OPERATION	40.00		$245,385	$42,970	$30,965			Yes (X)
ELLEN R LENKEVICH CRNP
VP CHIEF NUR	40.00		$280,139	$0	$18,994			Yes (X)
JOSEPH A TORCHIA MD
CMO, HSHS	40.00		$652,954	$0	$41,975			Yes (X)
ANDREW R WALKER MD
PHYSICIAN	40.00		$92,648	$148,236	$32,805				Yes (X)
CYNTHIA A SWARTZ
AVP NURSING	40.00		$205,955	$0	$21,679				Yes (X)
LISA F TORCHIA MSN RN NEA-BC
VP PATIENT C	40.00		$263,235	$0	$1,799				Yes (X)
RICHARD E LAVANTURE
VP, CHIEF ST	40.00		$338,582	$0	$235				Yes (X)
RICHARD SCHREIBER
ASSOC CH INF	40.00		$241,403	$0	$32,364				Yes (X)
ANJALI G BHATT MD
FORMER 5 HIG			$0	$292,975	$16,532	40.00				Yes (X)
BARBARA SUMBATIAN MD
FORMER 5 HIG			$0	$260,729	$39,839	40.00				Yes (X)
COURTNEY K BAKER DO
FORMER 5 HIG			$0	$253,907	$22,527	40.00				Yes (X)
GERALD R NEWHOUSE
FORMER KEY E			$0	$316,600	$29,484	40.00				Yes (X)
JAGADEESH K MOOLA MD
FORMER 5 HIG			$0	$255,138	$38,544	40.00				Yes (X)
MARIA E PRUDENCIO MD
FORMER 5 HIG			$0	$374,408	$14,623	40.00				Yes (X)
MICHAEL J PASZEK MD
FORMER 5 HIG			$0	$340,409	$38,949	40.00				Yes (X)
PAUL D BRETTSCHNEIDER MD
FORMER 5 HIG			$0	$267,884	$37,516	40.00				Yes (X)
THOMAS J GRIFONE MD
FORMER 5 HIG			$0	$372,049	$41,730	40.00				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,185,597	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,168,685	TotReportableCompRltdOrgAmt
Total Other Compensation	$943,077	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	99	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
MEDEFIS
2121 N 117TH AVE	OMAHA	NE	68164	CONTRA. AGENCY	$9,090,829
SODEXO INC
9801 WASHINGTONIAN BLVD	GAITHERSBURG	MD	20878	DIETARY ETC	$8,072,912
QUANTUM IMAGING THERAPEUTIC
629D LOWTHER RD	LEWISBERRY	PA	17339	IMAGING SERVICE	$1,750,088
WEST SHOARE ANESTHESIA ASSOC
P O BOX 1050	CANP HILL	PA	170011050	C.ANESTHESIOLOG	$1,513,940
ALLSCRIPTS HEALTHCARE LLC
101 LINDENWOOD DRIVE	MALVERN	PA	19355	IT SERVICE	$1,243,986	SUITE 300

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	49	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Government Grants	$875,090	GovernmentGrantsAmt
All Other Contributions	$51,953	AllOtherContributionsAmt
Total Contributions	$927,043	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICE REVENUE	621110	$303,786,397	$303,786,397
LAB SERVICES	531120	$1,998,791		$1,998,791
SELECT SPECIALTY HOSP. RENT	621400	$687,540		$687,540
PARTNERSHIP INCOME	531120	$429,574	$429,574
IC RENTAL INCOME	621400	$388,586			$388,586

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$620,197	TotalRevenueColumnAmt
Related Or Exempt Func Income	$386,729	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$14,341	UnrelatedBusinessRevenueAmt
Exclusion	$219,127	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$307,911,085	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$151,726	TotalRevenueColumnAmt
Exclusion	$151,726	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$36,652	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$36,652	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,652	TotalRevenueColumnAmt
Exclusion	$36,652	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$452,001	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$205,970	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$452,001	SecuritiesAmt
Other	-$205,970	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$246,031	TotalRevenueColumnAmt
Exclusion	$246,031	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DIETARY INCOME	722514	$1,211,287	$1,211,287
PURCHASE DISCOUNTS	900099	$304,019		$304,019
GIFT SHOP	453220	$152,326	$152,326

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$122,629	TotalRevenueColumnAmt
Related Or Exempt Func Income	$35,543	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$87,086	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,790,261	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$311,062,798	TotalRevenueColumnAmt
Related Or Exempt Func Income	$304,942,262	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,787,758	UnrelatedBusinessRevenueAmt
Exclusion	$2,405,735	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,000	TotalAmt
Program Services	$5,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,380,018	TotalAmt
Program Services	$325,467	ProgramServicesAmt
Management And General	$2,054,551	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,005,290	TotalAmt
Program Services	$408,608	ProgramServicesAmt
Management And General	$596,682	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$94,300,443	TotalAmt
Program Services	$91,235,379	ProgramServicesAmt
Management And General	$3,065,064	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,300,716	TotalAmt
Program Services	$4,049,050	ProgramServicesAmt
Management And General	$251,666	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,960,608	TotalAmt
Program Services	$13,143,672	ProgramServicesAmt
Management And General	$816,936	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,277,729	TotalAmt
Program Services	$6,981,275	ProgramServicesAmt
Management And General	$296,454	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$210,854	TotalAmt
Program Services	$5,202	ProgramServicesAmt
Management And General	$205,652	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$37,005	TotalAmt
Management And General	$37,005	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,165	TotalAmt
Management And General	$10,165	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$239,014	TotalAmt
Program Services	$38,087	ProgramServicesAmt
Management And General	$200,927	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$34,533,613	TotalAmt
Program Services	$32,381,226	ProgramServicesAmt
Management And General	$2,152,387	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$595,758	TotalAmt
Program Services	$568,670	ProgramServicesAmt
Management And General	$27,088	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,209,486	TotalAmt
Program Services	$7,694,093	ProgramServicesAmt
Management And General	$515,393	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,172,320	TotalAmt
Program Services	$3,039,915	ProgramServicesAmt
Management And General	$132,405	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,984,096	TotalAmt
Program Services	$6,653,518	ProgramServicesAmt
Management And General	$1,330,578	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$507,612	TotalAmt
Program Services	$347,170	ProgramServicesAmt
Management And General	$160,442	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$39,921	TotalAmt
Program Services	$39,796	ProgramServicesAmt
Management And General	$125	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,829,406	TotalAmt
Program Services	$2,357,876	ProgramServicesAmt
Management And General	$471,530	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,694,084	TotalAmt
Program Services	$13,078,610	ProgramServicesAmt
Management And General	$2,615,474	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,571,535	TotalAmt
Program Services	$2,926,529	ProgramServicesAmt
Management And General	$645,006	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
IC EXPENSE	$56,628,568	$44,190,500	$12,438,068
MEDICAL SUPPLIES	$49,261,033	$49,150,001	$111,032
UNCOLLECTIBLE EXPENSE	$7,383,112	$7,383,109	$3
BOOKS, LICENSES, FEES	$389,485	$284,167	$105,318

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$472,206	TotalAmt
Program Services	$2,810	ProgramServicesAmt
Management And General	$469,396	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$314,999,077	TotalAmt
Program Services	$286,289,730	ProgramServicesAmt
Management And General	$28,709,347	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	$7,818,753	BOYAmt
EOY	$25,200,701	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$192,941	BOYAmt
EOY	$136,484	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$982,246	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$42,962,600	BOYAmt
EOY	$35,834,224	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$10,800	BOYAmt
EOY	$2,626	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$323,873	BOYAmt
EOY	$2,206,655	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,559,124	BOYAmt
EOY	$4,908,069	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,260,942	BOYAmt
EOY	$2,143,526	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$78,401,460	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$54,162,997	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$132,962,989	BOYAmt
EOY	$24,238,463	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,559,088	BOYAmt
EOY	$610,273	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$22,928,269	BOYAmt
EOY	$5,676,422	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$293,695	BOYAmt
EOY	$9,460,536	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$218,855,320	BOYAmt
EOY	$110,417,979	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,033,828	BOYAmt
EOY	$3,574,489	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$120,317,827	BOYAmt
EOY	$120,022,221	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$822,897	BOYAmt
EOY	$754,120	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$47,298,536	BOYAmt
EOY	$56,382,799	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$176,473,088	BOYAmt
EOY	$180,733,629	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,933,577	BOYAmt
EOY	-$77,648,525	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,448,655	BOYAmt
EOY	$7,332,875	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$42,382,232	BOYAmt
EOY	-$70,315,650	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$218,855,320	BOYAmt
EOY	$110,417,979	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$3,936,279	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,802,877	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$110,564,480	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$6,983	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$10,165	OtherActivitiesAmt
Total Lobbying Expenditures	$17,148	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,563,164	BeginningYearBalanceAmt
Investment Earnings Or Losses	$285,795	InvestmentEarningsOrLossesAmt
End Year Balance	$2,848,959	EndYearBalanceAmt

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,450,617	OtherCostOrOtherBasisAmt
Book Value	$6,450,617	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,257,515	OtherCostOrOtherBasisAmt
Depreciation	$28,591,784	DepreciationAmt
Book Value	$10,665,731	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$62,112,094	OtherCostOrOtherBasisAmt
Depreciation	$27,240,280	DepreciationAmt
Book Value	$34,871,814	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$393,814	OtherCostOrOtherBasisAmt
Book Value	$393,814	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$52,381,976	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$5,676,422	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$5,676,422	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$8,452,888
MA MOD 17_18 ALLOW	$708,946
OTHER RECEIVABLE	$228,847
MED CARE REC_PAY	$69,855

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$9,460,536	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$42,561,356
3RD PARTY LIABILITIES	$5,122,380
OBLIGATION UNDER CAPITAL LEASE	$3,434,228
PATIENT CREDIT BALANCE	$1,734,590
SECURED 3RD PARTY NOTES	$1,562,643
ESTIMATED 3RD PARTY PAYOR SETTLEMENT	$1,258,517
MEDICARE RAC	$709,085

Field	Value	IRS element (for citing)
Total Liability	$56,382,799	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING FUND. PART V, LINE 1B - CONTRIBUTIONS 104,316,000 OF THE 253,720,000 REPORTED ON LINE 1B, COLUMN B, REPRESENTS THE TOTAL ENDOWMENTS HELD BY GEISINGER HEALTH ON BEHALF OF ALL ITS AFFILIATED ORGANIZATIONS. THE 2014 REPORTING PERIOD WAS THE FIRST REPORTING PERIOD DURING WHICH GEISINGER HEALTH HELD ENDOWMENTS ON BEHALF OF HOLY SPIRIT HOSPITAL.

SCHEDULE D, PAGE 4, PART XIII

PART X, LINE 2 - LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN (ASC 740): 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 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	$1,946,578	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,946,578	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,938,116	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,856,735	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,081,381	NetCommunityBenefitExpnsAmt
Total Expense	0.06690	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,884,694	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,856,735	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,027,959	NetCommunityBenefitExpnsAmt
Total Expense	0.07310	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$493,641	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$493,641	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$606,694	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$492,364	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,100,335	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$986,005	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,985,029	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,971,065	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,013,964	NetCommunityBenefitExpnsAmt
Total Expense	0.07620	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,383,109	BadDebtExpenseAmt
Bad Debt Expense Attributable	$73,831	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$49,205,393	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$70,587,529	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$21,382,136	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Field	Value	IRS element (for citing)
Primary Activities	PARTNERSHIP AGREEMENT WITH VARIOUS PHYSI	PrimaryActivitiesTxt
Org Profit Or Ownership	0.42000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.58000	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	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	HTTP://GEISINGER.ORG-REFER TO SECTIONC	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://GEISINGER.ORG-REFER TO SECTIONC	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://GEISINGER.ORG-REFER TO SECTIONC	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 5	SECTION B., COMMUNITY HEALTH NEEDS ASSESSMENT, LINES 3, 5 AND 6A: HOLY SPIRIT HOSPITAL ("HSH- OR THE "HOSPITAL) ENGAGED IN A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS THAT INVOLVED QUALITATIVE AND QUANTITATIVE DATA COLLECTION FROM A WIDE RANGE OF POPULATIONS, INCLUDING DIFFERENT AGES, INCOMES, HEALTH STATUS (INCLUDING RISK FACTORS, UTILIZATION, AND ACCESS), AND GEOGRAPHIC AREAS (INCLUDING URBAN, SUBURBAN, AND RURAL). AFTER DESIGNING SURVEY QUESTIONS AND INSTRUMENTS TO COLLECT PERTINENT INFORMATION FROM DIFFERENT AUDIENCES, THE CHNA TEAM EMPLOYED A VARIETY OF DATA COLLECTION TECHNIQUES. (1) COMMUNITY LEADERS WERE INTERVIEWED, INCLUDING PUBLIC HEALTH EXPERTS, MEDICAL PROFESSIONALS, SCHOOL SUPERINTENDENTS, EDUCATORS, CITIZEN ADVOCATES, AND ELECTED REPRESENTATIVES FROM LOCAL, COUNTY, AND STATE GOVERNMENTS AND AGENCIES. (2) DATA WAS COLLECTED ON HAND-DISTRIBUTED SURVEYS THAT WERE BROADLY DISTRIBUTED TO RESIDENTS ACROSS THE REGION, INCLUDING AT COMMUNITY CENTERS, HOMELESS SHELTERS, PUBLIC HEALTH CENTERS, FOOD BANKS, FREE CLINICS, SOCIAL SERVICES ORGANIZATIONS, SCHOOLS, CHURCHES, FAITH-BASED ORGANIZATIONS, CAREER AND JOB CENTERS, AND OTHER SETTINGS THAT SERVE POPULATIONS IN NEED. THIS SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. (3) HEALTH PROVIDERS WERE SURVEYED TO COLLECT THEIR THOUGHTS AND OPINIONS RELATED TO THE CARE AND SERVICES THEY PROVIDE, AS WELL AS THE TOP HEALTH PROBLEMS IN THE COMMUNITY. (4) A PUBLIC COMMENTARY SURVEY WAS DEVELOPED TO GATHER INPUT FROM THE PUBLIC REGARDING THE PREVIOUS CHNA REPORT AND ADOPTED IMPLEMENTATION PLAN. THIS SURVEY WAS AVAILABLE AT VARIOUS LOCATIONS WITHIN THE HOSPITAL. (5) A COMMUNITY FORUM WAS HELD TO GATHER INPUT FROM COMMUNITY ORGANIZATION LEADERS, RELIGIOUS LEADERS, GOVERNMENT STAKEHOLDERS, AND OTHER KEY CONSTITUENTS. THE CHNA FINDINGS, VARIOUS SURVEY RESULTS, AND SUPPORTING DATA WERE PRESENTED TO OBTAIN FEEDBACK REGARDING THE NEEDS AND CONCERNS OF THE COMMUNITY OVERALL. (6)SECONDARY DATA FROM SEVERAL RELIABLE SOURCES, INCLUDING COMMUNITY NEEDS INDEX (CNI), PENNSYLVANIA COUNTY HEALTH RANKINGS, HEALTHY PEOPLE 2020, KIDS COUNT, AND PENNSYLVANIA DEPARTMENT OF RURAL HEALTH, WAS USED TO PREPARE QUANTITATIVE DATA. EVERY EFFORT WAS UNDERTAKEN TO GATHER AND REPORT DATA CONSISTENT WITH THE CHNA GUIDELINES AND HOLY SPIRIT'S MISSION TO SERVE THOSE IN NEED. INFORMATION FROM THE FINAL SUMMARY REPORT WAS DELIVERED BACK TO THE COMMUNITY IN A VARIETY OF WAYS TO ASSURE BROAD DISTRIBUTION. THROUGHOUT THIS DOCUMENT THE TERMS "SYSTEM- OR "GEISINGER" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH ("GH") AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 6A	CARLISLE REGIONAL MEDICAL CENTER, PENN STATE MILTON S. HERSHEY MEDICAL CENTER, AND PINNACLEHEALTH SYSTEM PARTICIPATED IN THE CHNA.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 6B	HAMILTON HEALTH CENTER AND PENNSYLVANIA PSYCHIATRIC INSTITUTE PARTICIPATED IN THE CHNA.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 11	DURING TAX YEAR 2015, HSH, IN ACCORDANCE WITH IRS REGULATIONS REGARDING A COMMUNITY HEALTH NEEDS ASSESSMENT, AS STIPULATED IN THE AFFORDABLE CARE ACT PASSED BY THE U.S. CONGRESS, PARTNERED WITH CARLISLE REGIONAL MEDICAL CENTER, PENN STATE MILTON S. HERSHEY MEDICAL CENTER, PINNACLEHEALTH SYSTEM, HAMILTON HEALTH CENTER, AND PENNSYLVANIA PSYCHIATRIC INSTITUTE TO SELECT THE TRIPP-UMBACH FIRM TO FACILITATE HOLY SPIRIT HOSPITAL (AND THREE OTHER HOSPITAL/HEALTH SYSTEMS AND TWO OTHER HEALTH CARE ORGANIZATIONS) IN THE DEVELOPMENT OF THE SURVEY DESIGN, PROCESS, AND TIMETABLE FOR ITS CHNA. AS PART OF ITS CLINICAL PROGRAM PLANNING AND ENVIRONMENTAL ASSESSMENT PROCESS, HOLY SPIRIT HOSPITAL ADDRESSED THE HEALTH CARE NEEDS OF ITS GEOGRAPHIC FOOTPRINT COMMUNITY. HEART, CANCER, AND STROKE HAVE BEEN IDENTIFIED AS THE LEADING CAUSES OF DEATH. HOLY SPIRIT HAS COMMITTED RESOURCES TO THESE SERVICE LINES TO ADDRESS THE HEALTH NEEDS OF ITS COMMUNITY, AMONG OTHER ITEMS DRIVEN BY DEMOGRAPHICS AND EPIDEMIOLOGY. THE CEO/PRESIDENT AND EXECUTIVE LEADERSHIP OF HOLY SPIRIT HOSPITAL APPOINTED A TEAM OF DIRECTORS TO WORK WITH TRIPP-UMBACH TO PLAN AND CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HOLY SPIRIT HOSPITAL. THE HOLY SPIRIT HOSPITAL CEO/PRESIDENT, EXECUTIVE LEADERSHIP, AND STRATEGIC PLANNING DEPARTMENT, ALONG WITH THE APPOINTED HOLY SPIRIT COMMUNITY HEALTH NEEDS/ COMMUNITY BENEFIT COMMITTEE MEMBERSHIP, REVIEWED ALL FINDINGS OF THE CHNA AND PREPARED A REPORT WITH RECOMMENDATIONS TO ADDRESS THE THREE PRIORITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. THE PRIORITY HEALTH NEEDS ARE: 1.ACCESS TO HEALTH SERVICES - PRIMARY CARE, SPECIALTY CARE, AND DENTAL CARE 2.BEHAVIORAL HEALTH SERVICES - MENTAL HEALTH AND SUBSTANCE ABUSE 3.HEALTHY LIFESTYLES - LACK OF PHYSICAL ACTIVITY, INADEQUATE 4.NUTRITION/OBESITY, AND SMOKING CESSATION AND PREVENTION AN IMPLEMENTATION PLAN, OR ACTION PLAN, WAS DEVELOPED WITH INPUT FROM A VARIETY OF STAKEHOLDERS, INTERNAL AND EXTERNAL, AND PRESENTED FOR REVIEW AND APPROVAL BY OUR CEO/PRESIDENT AND EXECUTIVE LEADERSHIP. THE CHNA ACTION PLAN WAS THEN REVIEWED AND APPROVED BY HOLY SPIRIT PLATFORM LEADERSHIP, HOLY SPIRIT HOSPITAL BOARD OF DIRECTORS, HOLY SPIRIT HEALTH SYSTEM BOARD OF DIRECTORS, AND GEISINGER BOARD OF DIRECTORS. THE CHNA REPORT IS POSTED ON THE HOLY SPIRIT HOSPITAL WEBSITE AND HAS BEEN SHARED PROACTIVELY BY HOLY SPIRIT HOSPITAL WITH VARIOUS COMMUNITY STAKEHOLDERS AND PARTICIPANTS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE CHNA ACTION PLAN AND ACCOMPANYING BROCHURE THAT DESCRIBES OUR RESPONSE TO THE IDENTIFIED COMMUNITY NEEDS ARE ALSO POSTED ON THE HOSPITAL'S WEBSITE.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 13B	RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 16J	THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT HTTPS://WWW.GEISINGER.ORG/PATIENT-CARE/PATIENTS-AND- VISITORS/BILLING-AND-INSURANCE/NEED-HELP. IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
FACILITY 1, HOLY SPIRIT HOSPITAL - 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. FACILITY 1, HOLY SPIRIT HOSPITAL - 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 HOSPITAL FACILITY'S AMOUNT GENERALLY BILLED, AS WELL AS, MEDICARE'S OR MEDICAID'S PROSPECTIVE BILLING AMOUNT. FACILITY 1, HOLY SPIRIT HOSPITAL - 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)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	SUPPORTING DOCUMENTATION FOR ELIGIBILITY MAY CONSIST OF INCOME AND ASSET INFORMATION, INCLUSIVE BUT NOT LIMITED TO: FEDERAL INCOME TAX FORM 1040 FROM THE PRIOR YEAR, PAY STUB COPIES (FROM FOUR PRIOR PAY PERIODS), WRITTEN VERIFICATION OF ANY OTHER INCOME RECEIVED (I.E. SOCIAL SECURITY, ADC, CHILD SUPPORT, ALIMONY, ETC.), CURRENT CREDIT REPORTS AND ASSET VERIFICATION. THE HOSPITAL MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICAL TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY). GEISINGER PROVIDERS, WITHOUT DISCRIMINATION, CARE FOR ALL EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR FINANCIAL ASSISTANCE ELIGIBILITY OR ABILITY TO PAY. IT IS THE POLICY OF GEISINGER HOSPITAL FACILITIES TO COMPLY WITH THE STANDARDS OF THE FEDERAL EMERGENCY MEDICAL TREATEMENT AND ACTIVE LABOR TRANSPORT ACT NOF 1986 ("EMTLA") AND REGULATIONS IN PROVIDING MEDICAL SCREENING EXAMINATION AND SUCH FURTHER TREATMENT AS MAY BE NECESSARY TO STABILIZE AN EMERGENCY MEDICAL CONDITION FOR ANY INDIVIDUAL PRESENTING TO THE EMERGENCY DEPARTMENT SEEKING TREATMENT.
PART I, LINE 6A - RELATED ORGANIZATION INFORMATION	COMMUNITY BENEFIT REPORT: A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL AND ITS RELATED CHARITABLE ORGANIZATIONS IS INCLUDED IN GEISINGER'S ANNUAL REPORT AND IS AVAILABLE AT GEISINGER.ORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE REPORT CAN BE FOUND AT: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYERS, SELF-PAY, ETC.). A COST TO CHARGE RATIO, CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS, WAS USED TO CALCULATE THE COST OF CHARITY CARE.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	REFER TO THE RESPONSE FOR PART III, LINE 4.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER THE HOSPITAL'S UNCOMPENSATED OR CHARITY CARE POLICIES. THE HOSPITAL ESTIMATES THAT APPROXIMATELY 1% 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 47,392,763 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 1% 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 1,881,727.
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	AS PART OF ITS CLINICAL PROGRAM PLANNING AND ENVIRONMENTAL ANALYSIS, HSH ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITY. HEART, CANCER, AND STROKE HAVE BEEN IDENTIFIED AS THE LEADING CAUSES OF DEATH. HOLY SPIRIT HAS COMMITTED RESOURCES TO THESE SERVICE LINES TO ADDRESS THE HEALTH NEEDS OF ITS COMMUNITY, AMONG OTHER ITEMS DRIVEN BY DEMOGRAPHICS AND EPIDEMIOLOGY. HOLY SPIRIT HOSPITAL HAS REGULARLY CONDUCTED PHYSICIAN NEEDS ASSESSMENTS TO IDENTIFY MEDICAL AND SURGICAL SPECIALTIES THAT ARE IN SHORT SUPPLY WITHIN ITS PRIMARY SERVICE AREA. STRONG PHYSICIAN RECRUITMENT INITIATIVES HAVE BEEN DEVELOPED TO ASSURE THAT THE COMMUNITY HAS ACCESS TO THESE PHYSICIANS. HOLY SPIRIT HOSPITAL PARTICIPATED IN A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT WITH THREE OTHER LOCAL HOSPITAL/HEALTH SYSTEMS AND TWO OTHER HEALTH CARE ORGANIZATIONS IN KEEPING WITH IRS GUIDANCE. A THIRD-PARTY CONSULTANT WAS ENGAGED TO OUTLINE THE PROCESS, CONDUCT RESEARCH, AND ENGAGE COMMUNITY STAKEHOLDERS. THIS INFORMATION WAS USED AS THE BASIS FOR A FORMAL, REGIONAL HEALTH ASSESSMENT DOCUMENT. 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	HSH PROVIDES HIGH-QUALITY, COST-EFFECTIVE HEALTH SERVICES TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. HOLY SPIRIT HOSPITAL IS LOCATED IN CAMP HILL, WHICH IS IN SUBURBAN CUMBERLAND COUNTY, AND IS PART OF THE GREATER HARRISBURG- MECHANICSBURG-CARLISLE METROPOLITAN AREA. HOLY SPIRIT HOSPITAL'S PRIMARY SERVICE AREA COVERS PARTS OF THE FOUR COUNTIES OF CUMBERLAND, DAUPHIN, PERRY, AND NORTHERN YORK WITH A POPULATION OF APPROXIMATELY 500,000, INCLUDING STARKLY DIFFERENT AREAS OF URBAN, SUBURBAN, SEMI-RURAL, AND RURAL POPULATIONS. THIS SAME SERVICE AREA IS SERVED BY FOUR COMPETING HEALTH SYSTEMS: HOLY SPIRIT HOSPITAL, PINNACLEHEALTH SYSTEM, PENN STATE MILTON S. HERSHEY MEDICAL CENTER, AND CARLISLE REGIONAL MEDICAL CENTER. THE POPULATION IN THE HOSPITAL'S PRIMARY SERVICE AREA IS RAPIDLY AGING, AND THE OVER 65 POPULATION IS EXPECTED TO GROW TO ALMOST 20% OF THE TOTAL POPULATION IN THE NEXT FIVE YEARS. THE AVERAGE HOUSEHOLD INCOME IN THE PRIMARY SERVICE IS 80,522, COMPARED TO THE NATIONAL AVERAGE INCOME OF 77,153 (2016 TRUVEN HEALTH ANALYTICS, INC.).
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)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KYLE C SNYDER MHA
CAO, DIRECTOR	$297,545	$87,750	$38,375	$46,591	$29,986	$500,247
LENKE ERKI MD
DIRECTOR							$494,832	$30,941	$10,800	$28,753	$565,326
DANIEL E LOHR ESQUIRE
ASST. SECRETARY							$311,659	$46,799	$19,212	$24,252	$484,699	$82,777
DAVID J FELICIO ESQUIRE
SECRETARY							$668,203	$201,562	$234,351	$24,405	$1,401,696	$273,175	$70,559
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE, CFO							$941,959	$764,093	$19,212	$17,636	$2,170,280	$427,380
RANDY B MORRIS
TREASURER	$283,227	$84,725	$73,674	$11,250	$16,069	$468,945
DAVID A GATESMAN
VP OPERATIONS	$103,085		$142,300	$6,709	$16,454	$268,548	$38,013	$4,957	$1,987	$5,815	$50,772
ELLEN R LENKEVICH CRNP
VP CHIEF NURSING OFF	$206,473	$52,529	$21,137	$9,097	$9,897	$299,133
JOSEPH A TORCHIA MD
CMO, HSHS	$420,768	$130,008	$102,178	$11,067	$30,908	$694,929
ANDREW R WALKER MD
PHYSICIAN	$91,983		$665	$4,666	$10,066	$107,380	$147,172	$1,064	$1,965	$16,108	$166,309
CYNTHIA A SWARTZ
AVP NURSING SERVICES	$148,920	$27,542	$29,493	$9,210	$12,469	$227,634
LISA F TORCHIA MSN RN NEA-BC
VP PATIENT CARE SVCS			$263,235		$1,799	$265,034
RICHARD E LAVANTURE
VP, CHIEF STRATEGY			$338,582		$235	$338,817
RICHARD SCHREIBER
ASSOC CH INFO OFF	$217,608		$23,795	$10,735	$21,629	$273,767
ANJALI G BHATT MD
FORMER 5 HIGHEST							$255,516	$37,459	$9,911	$6,621	$309,507
BARBARA SUMBATIAN MD
FORMER 5 HIGHEST							$247,680	$13,049	$11,570	$28,269	$300,568
COURTNEY K BAKER DO
FORMER 5 HIGHEST							$245,505	$8,402	$12,686	$9,841	$276,434
GERALD R NEWHOUSE
FORMER KEY EMPLOYEE							$215,306	$45,290	$19,212	$10,272	$346,084	$56,004
JAGADEESH K MOOLA MD
FORMER 5 HIGHEST							$227,014	$28,124	$10,407	$28,137	$293,682
MARIA E PRUDENCIO MD
FORMER 5 HIGHEST							$353,452	$20,956	$11,699	$2,924	$389,031
MICHAEL J PASZEK MD
FORMER 5 HIGHEST							$323,365	$17,044	$10,996	$27,953	$379,358
PAUL D BRETTSCHNEIDER MD
FORMER 5 HIGHEST							$259,076	$8,808	$10,055	$27,461	$305,400
THOMAS J GRIFONE MD
FORMER 5 HIGHEST							$343,043	$29,006	$14,239	$27,491	$413,779

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OR GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS.
SCHEDULE J, PAGE 1, PART I, LINE 4	DAVID J. FELICIO, ESQUIRE 0 70,559 0 KEVIN F. BRENNAN, CPA, FHFMA 0 589,978 0 DAVID A. GATESMAN 114,633 0 0 LISA F. TORCHIA, MSN, RN, NEA-BC 257,754 0 0 RICHARD E. LAVANTURE 332,675 0 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, PAGE 1, PART I, LINE 8	THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS.
SCHEDULE J, PART III	PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan To OrganizationLoanToOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd	Loan From OrganizationLoanFromOrganizationInd
MICHAEL SERLUCO
BOARD DIRECTOR	MORTGAGE ON SPACE FOR PATIENT CARE	Yes (X)	$1,200,000	$754,120	false	Yes (true)	Yes (true)
ELLEN R LENKEVICH CRNP
KEY EMPLOYEE	RECRUITMENT		$15,000	$2,626	false	Yes (true)	Yes (true)	Yes (X)

Field	Value	IRS element (for citing)
Total Balance Due	$756,746	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

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

Field	Value	IRS element (for citing)
Relationship Description	FAMILY	RelationshipDescriptionTxt
Transaction	$45,220	TransactionAmt
Transaction	EMPLOYEE COMP/BEN	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY (DOING BUSINESS AS GEISINGER HOLY SPIRIT HOSPITAL), SHARES GEISINGER HOLY SPIRIT'S MISSION AS A COMMUNITY CATHOLIC HEALTH SYSTEM AND SERVES TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED AND PROVIDING HIGH QUALITY, ETHICALLY-GUIDED, AND COST-EFFECTIVE HEALTH SERVICES IN A CARING, PATIENT- FOCUSED ENVIRONMENT TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA.
FORM 990	FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES 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	PATIENT CARE SERVICES PATIENT CARE SERVICES IS DRIVEN BY THE HOSPITAL'S MISSION, VISION, AND VALUES. THE PROVISION OF HIGHLY SKILLED, COMPETENT, AND COMPASSIONATE NURSING CARE IS ESSENTIAL TO FULFILL OUR COMMITMENT TO EXCELLENCE IN CLINICAL PRACTICE, EDUCATION, AND NURSING RESEARCH. AWARDS AND RECOGNITION HOLY SPIRIT HOSPITAL EARNED MULTIPLE AWARDS IN 2018. HIGHMARK AWARDS INCLUDE: HIGHMARK BLUE SHIELD, DESIGNATED BLUEDISTINCTION CENTER FOR CARDIAC CARE, BLUEDISTINCTION CENTER+ FOR KNEE AND HIP REPLACEMENT, BLUEDISTINCTION CENTER FOR MATERNITY CARE, BLUEDISTINCTION CENTER FOR SPINE SURGERY. AMERICAN HEART ASSOCIATION AWARDS INCLUDE GOLD 2018 "GET WITH THE GUIDELINES" FOR AFIB, GOLD PLUS 2018 "GET WITH THE GUIDELINES" FOR HEART FAILURE, GOLD PLUS 2018 "GET WITH THE GUIDELINES" TARGET STROKE HONOR ROLL FOR STROKE, AND GOLD PLUS 2018 RECEIVING "MISSION: LIFELINE". AWARDED BY THE JOINT COMMISSION IS THE NATIONAL QUALITY APPROVAL FOR ADVANCED CERTIFICATION IN INPATIENT DIABETES CARE AND PRIMARY STROKE CARE. AWARDED BY THE AMERICAN COLLEGE OF CARDIOLOGY IS THE CHEST PAIN CENTER ACCREDITED PRIMARY PCI WITH RESUSCITATION. OTHER AWARDS INCLUDE THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) A QUALITY PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS ACCREDITED BREAST CENTER, AND NURSES IMPROVING CARE FOR HEALTHSYSTEM ELDERS (NICHE) AS A NICHE DESIGNATED HOSPITAL. PRESENTATIONS REGISTERED NURSES IN PATIENT CARE SERVICES AND CLINICAL EDUCATION PROVIDED PRESENTATIONS IN HOUSE, AT PROFESSIONAL CONFERENCES, AND AT VARIOUS OTHER VENUES. IN HOUSE PRESENTATIONS: ACLS RHYTHM AND DRUG REVIEW 2015 (8/18/17, 9/13/17, 10/19/17, 11/7/17, 1/17/18, 2/13/18, 3/20/18, 4/12/18, 5/23/18, 6/12/18) - PRESENTED BY CHRISTY LIDDINGTON, BSN, RN RHYTHM REVIEW WHAT WOULD YOU DO? (4/12/18, 6/11/18, 6/19/18) - PRESENTED BY CHRISTY LIDDINGTON, BSN, RN CORE ESSENTIALS PROGRAM (9/16/17, 9/13/17, 9/20/17, 9/27/17, 10/18/17, 10/25/17, 11/15/17, 11/29/17) - PRESENTED BY DEB AUDETTE, DNP, RN, ACNS-BC, CCRN-CSC, MELANIE DUFFY, MSN, RN, CCRN, CCNS, ANN HENDRICKSON, MS, RN, ACNS-BC AND MARYANN BROGDEN-BRANDT, ND, MSN, RN, APN-C, CCNS, SCRN ESSENTIAL OILS: CLINICAL SIGNIFICANCE IN ACUTE AND CRITICAL CARE (2/12/18, 2/23/18, 5/29/18) - PRESENTED BY LAUREN MCNAUGHTON, MSN, RN, CCRN THE MICROBIOTA: OUR HEALTH DEPENDS ON IT (4/17/18) - PRESENTED BY AMY MONTGOMERY, BSN, RN IMPLEMENTING A SITTER REDUCTION PROGRAM TO REDUCE COST WHILE MAINTAINING PATIENT SAFETY - PRESENTED BY MICHAEL HAFER RN, EMT-B, ANN HENDRICKSON MS, RN, ACNS-BC AND MELANIE DUFFY MSN, RN, CCRN, CCNS AT THE NICHE ANNUAL CONFERENCE, APRIL 11, 2018 IN ATLANTA, GA THE FOLLOWING PRESENTATIONS WERE INCLUDED ON DECEMBER 7, 2017 IN IGNITING THE SPIRIT OF INQUIRY - WHY EVIDENCE BASED PRACTICE, NURSING RESEARCH/EBP CONFERENCE AT GEISINGER HOLY SPIRIT IN PARTNERSHIP WITH MESSIAH COLLEGE NURSING STUDENTS. POSTER PRESENTATIONS: CLINICAL EDUCATION: HOW CAN WE HELP YOU? - PRESENTED BY DONNA MONTORO, MSN, RN-BC DAILY CHLORHEXIDINE BATHING AND THE PREVENTION OF CLABSI IN THE ICU - PRESENTED BY JENNY MCKEE, BSN, RN, CCRN AND LINDSAY WEBER, BSN, RN, PCCN IMPLEMENTING A SITTER REDUCTION PROGRAM TO REDUCE COST WHILE MAINTAINING PATIENT SAFETY - PRESENTED BY MIKE HAFER, AD, RN, ANN HENDRICKSON, MS, RN, ACNS-BC AND MELANIE DUFFY, MSN, RN, CCRN, CCNS LATERAL VIOLENCE IN THE PERIOPERATIVE ENVIRONMENT - PRESENTED BY SHEILA RHOADES, RN, CNOR AND TAMARA RICE, RN, CPAN IMPROVING THE MEALTIME INSULIN GAP - PRESENTED BY PEGGY TRAHAN, RN, PCCN, ALISON NATTRESS, RN, PCCN AND JENNIFER KANE, BSN, RN, PCCN THE EFFECT OF PET THERAPY FOR PATIENTS WITH DEPRESSIVE BEHAVIOR PRESENTED BY STUDENTS - EMILY BRUBAKER, NICOLE FREY, ALYSSA HERR, EMILY RANSIL WITH MERCY ODOOM, BSN, RN, GEISINGER HOLY SPIRIT MEDICATION TIMEOUT DURING INTERPROFESSIONAL ROUNDS TO DECREASE MEDICATION ERRORS PRESENTED BY STUDENTS - AUBREY CORRIVEAU, SARAH KLAPPER, CHELSEA TOBUREN, CHRISTINA XENOS WITH SHARON TRUITT, BSN, RN, CCRN, GEISINGER HOLY SPIRIT EVIDENCE-BASED INTERVENTIONS TO IMPROVE FAMILY SATISFACTION DURING FAMILY WITNESSED RESUSCITATIONS PRESENTED BY STUDENTS - HANNAH CARD, KAITLYN O'NEIL, AUTUMN NELSON, STEPHANIE ROUSEY WITH MICHELLE KISSINGER, RN, PCCN, GEISINGER HOLY SPIRIT USING THE ROTHMAN INDEX SCALE AS A PREDICTIVE TOOL FOR PATIENT READMISSION PREVENTION PRESENTED BY STUDENTS - KELSEY CHESNUT, CARLY DOVE, CULLEN KANAGY, DEAN PATTON WITH SARAH TROUTMAN, BSN, RN, GEISINGER HOLY SPIRIT INTERVENTION TO IMPROVE ANTIPLATELET MEDICATION ADHERENCE IN ADULT CARDIAC PATIENTS PRESENTED BY STUDENTS - KYLIE HORNABERGER, ELIZABETH SAWYER, SARAH YUNEZ WITH LACEY CORL, BSN, RN, GEISINGER HOLY SPIRIT EVIDENCE-BASED EFFECTS OF DEBRIEFING ON NURSES FOLLOWING CRITICAL INCIDENTS PRESENTED BY STUDENTS - SIERRA BERRINGER, MELISSA CLASS, EMILY DORON, JANELLE KRAMER, KRISTEN MARIANI WITH ANN BOWER, BSN, RN-BC, GEISINGER HOLY SPIRIT PODIUM PRESENTATIONS: THE EFFECT OF PET THERAPY FOR PATIENTS WITH DEPRESSIVE BEHAVIOR PRESENTED BY STUDENTS - EMILY BRUBAKER, NICOLE FREY, ALYSSA HERR, EMILY RANSIL WITH MERCY ODOOM, BSN, RN, GEISINGER HOLY SPIRIT MEDICATION TIMEOUT DURING INTERPROFESSIONAL ROUNDS TO DECREASE MEDICATION ERRORS PRESENTED BY STUDENTS - AUBREY CORRIVEAU, SARAH KLAPPER, CHELSEA TOBUREN, CHRISTINA XENOS WITH SHARON TRUITT, BSN, RN, CCRN, GEISINGER HOLY SPIRIT EVIDENCE - BASED INTERVENTIONS TO IMPROVE FAMILY SATISFACTION DURING FAMILY WITNESSED RESUSCITATIONS PRESENTED BY STUDENTS - HANNAH CARD, KAITLYN O'NEIL, AUTUMN NELSON, STEPHANIE ROUSEY WITH MICHELLE KISSINGER, RN, PCCN, GEISINGER HOLY SPIRIT USING THE ROTHMAN INDEX SCALE AS A PREDICTIVE TOOL FOR PATIENT READMISSION PREVENTION PRESENTED BY STUDENTS - KELSEY CHESNUT, CARLY DOVE, CULLEN KANAGY, DEAN PATTON WITH SARAH TROUTMAN, BSN, RN, GEISINGER HOLY SPIRIT INTERVENTIONS TO IMPROVE ANTIPLATELET MEDICATION ADHERENCE IN ADULT CARDIAC PATIENTS PRESENTED BY STUDENTS - KYLIE HORNABERGER, ELIZABETH SAWYER, SARAH YUNEZ WITH LACEY CORL, BSN, RN, GEISINGER HOLY SPIRIT EVIDENCE - BASED EFFECTS OF DEBRIEFING ON NURSES FOLLOWING CRITICAL INCIDENTS PRESENTED BY STUDENTS - SIERRA BERRINGER, MELISSA CLASS, EMILY DORON, JANELLE KRAMER, KRISTEN MARIANI WITH ANN BOWER, BSN, RN-BC, GEISINGER HOLY SPIRIT PROFESSIONAL PRESENTATIONS BY MELANIE DUFFY, MSN, RN, CCRN, CCNS: NAVIGATING PUBLIC POLICY, I AND II - NACNS NATIONAL CONFERENCE, MARCH 2018 (PODIUM PRESENTATION) OBTAINING CERTIFICATION: NOW IS THE TIME - SUSQUEHANNA VALLEY CHAPTER OF AACN CERTIFICATION DINNER, MAY 2018 (PODIUM PRESENTATION) IMPLEMENTING A SITTER REDUCTION PROGRAM TO REDUCE COST WHILE MAINTAINING PATIENT SAFETY - 2018 GEISINGER PATIENT EXPERIENCE CONFERENCE: COMMUNICATION AND ENGAGEMENT FOR KEY PATIENT OUTCOMES, APRIL 2018 (POSTER PRESENTATION) PROFESSIONAL PRESENTATION BY MARYANN BROGDEN-BRANDT, ND, MSN, RN, APN-C, CCNS, SCRN: STROKE AND SEPSIS LECTURE FOR ASFME IN HARRISBURG, PA - AUGUST 17, 2017 TBI (TRAUMATIC BRAIN INJURY) LECTURE FOR GEISINGER HOLY SPIRIT EMERGENCY DEPARTMENT STAFF (RNS AND TECHNICIANS) - OCTOBER 15,2017 TBI (TRAUMATIC BRAIN INJURY) LECTURES (2) FOR GEISINGER HOLY SPIRIT EMERGENCY DEPARTMENT STAFF (RNS AND TECHNICIANS) - OCTOBER 9, 2017 WHEN TWO WORLDS COLLIDE - POSTPERFUSION SYNDROME "PUMP HEAD" VERSUS STROKE - POSTER PRESENTATION AT SUSQUEHANNA VALLEY CHAPTER OF THE AMERICAN CRITICAL CARE ASSOCIATION (SVAACN) AT CLARION HOTEL, NEW CUMBERLAND, PA WITH DEB AUDETTE, DNP, ACN-BC, CCRN-CSC - NOVEMBER 3, 2017 SEPSIS LECTURE FOR MANOR CARE STAFF (RNS AND NURSING TECHS) - MARCH 1, 2018 THE BIRTHPLACE AND NICU NURSES THE BIRTHPLACE AT HOLY SPIRIT IS EQUIPPED TO MEET THE NEEDS OF WOMEN DURING AND AFTER BABIES ARRIVE. A VARIETY OF SERVICES ARE OFFERED IN A COMFORTABLE AND WARM ENVIRONMENT WITH A TEAM OF SPECIALLY-TRAINED NURSES WHO PROVIDE CARE TO EACH MOM AND BABY DURING LABOR, DELIVERY, AND RECOVERY. THE NEONATAL INTENSIVE CARE UNIT (NICU) IS STAFFED BY SOME OF THE AREA'S MOST WELL-RESPECTED NEONATOLOGISTS, READY TO ASSIST PHYSICIANS OR MIDWIVES WITH BABIES' MEDICAL NEEDS. THE NICU OFFERS LEVEL III CARE ONSITE, WHICH MEANS TODAY'S MOST ADVANCED MEDICAL TECHNOLOGY IS CLOSE AT HAND TO DEAL WITH ANY SPECIAL NEEDS. STAFF MEMBERS HAVE CARED FOR BABIES AS YOUNG AS 24-WEEKS' GESTATION AND OTHER BABIES WHO NEED INTENSIVE CARE. SEXUAL ASSAULT NURSES CARING PROPERLY FOR INDIVIDUALS WHO ARE VICTIMS OF SEXUAL VIOLENCE AND PROVIDING A POSITIVE EXPERIENCE IN THE HOSPITAL SETTING CAN CONTRIBUTE GREATLY TO THE HEALING PROCESS. TO ENSURE DIGNITY AND COMPASSION, THE EMERGENCY DEPARTMENT HAS A DEDICATED EXAMINATION ROOM EQUIPPED WITH THE LATEST FORENSIC TECHNOLOGY. A TEAM OF NURSES TRAINED AS SEXUAL ASSAULT NURSE EXAMINERS (SANE CERTIFIED) COLLECT MEDICAL AND LEGAL EVIDENCE, WHILE BEING SENSITIVE AND EMPATHETIC TO PATIENT NEEDS. STUDENT NURSES HOLY SPIRIT STAFF FACILITATED CLINICAL EXPERIENCES FOR UNDERGRADUATE AND GRADUATE NURSING STUDENTS FROM THE FOLLOWING SCHOOLS: HARRISBURG AREA COMMUNITY COLLEGE, MESSIAH COLLEGE, PENN STATE UNIVERSITY, YORK COLLEGE, WIDENER UNIVERSITY, CHAMB
FORM 990, PART V	FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR ALL REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2017 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,739.
FORM 990, PART VI	FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, TWO VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF RELATED TAX-EXEMPT ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? DANIEL E. LOHR, ESQUIRE, DAVID J. FELICIO, ESQUIRE, KEVIN F. BRENNAN, CPA, FHFMA, KYLE C. SNYDER, MHA, AND RANDY B. MORRIS ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER.
FORM 990, PAGE 6, PART VI, LINE 1A	EFFECTIVE OCTOBER 1, 2014, HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES (HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., SPIRIT PHYSICIAN SERVICES, INC., HOLY SPIRIT CORPORATION, AND HOLY SPIRIT VENTURES, INC.) DELEGATED CERTAIN AUTHORITIES TO GEISINGER SYSTEM SERVICES' GEISINGER FAMILY COMMITTEE TO REVIEW AND APPROVE MATTERS RELATING TO EMPLOYEE BENEFIT PLANS, EXECUTIVE LEADERSHIP, SENIOR LEADERSHIP AND STAFF PERFORMANCE AND COMPENSATION. HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES ALSO DELEGATED TO GEISINGER CLINIC'S GEISINGER FAMILY COMMITTEE THE REVIEW AND APPROVAL OF MATTERS RELATING TO PHYSICIAN COMPENSATION. GEISINGER SYSTEM SERVICES AND GEISINGER CLINIC ARE 501(C)(3) TAX-EXEMPT AFFILIATES OF HOLY SPIRIT HEALTH SYSTEM.
FORM 990, PAGE 6, PART VI, LINE 4	ON JANUARY 1, 2018 HOLY SPIRIT HEALTH SYSTEM (HSHS), PARENT ORGANIZATION OF HOLY SPIRIT HOSPITAL, AUTHORIZED RESTRUCTURING ITS GOVERNANCE FOR A MORE STREAMLINED AND CENTRALIZED GOVERNANCE STRUCTURE. HSHS AMENDED ITS CORPORATE BYLAWS TO PROVIDE FOR NON-HSHS DIRECTOR MEMBERSHIP ON HSHS STANDING COMMITTEES AND TO RENAME ITS EXECUTIVE COMMITTEE TO EMERGENCY ACTION COMMITTEE. ON JANUARY 1, 2018, THE SUBORDINATES OF HSHS, HOLY SPIRIT HOSPITAL, SPIRIT PHYSICIAN SERVICES, INC., WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. AND HOLY SPIRIT CORPORATION AMENDED THEIR RESPECTIVE CORPORATE BYLAWS TO IMPLEMENT CONSISTENT AND SIMPLIFIED DIRECTOR TERMS.
FORM 990, PAGE 6, PART VI, LINE 6	GEISINGER HEALTH SERVES AS THE SOLE CORPORATE MEMBER OF HOLY SPIRIT HEALTH SYSTEM AND HOLY SPIRIT HEALTH SYSTEM SERVES AS CORPORATE MEMBER FOR HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, SPIRIT PHYSICIAN SERVICES, INC., WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., HOLY SPIRIT CORPORATION AND SOLE SHAREHOLDER OF HOLY SPIRIT VENTURES INC. THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE.
FORM 990, PAGE 6, PART VI, LINE 11B	ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD.
FORM 990, PAGE 6, PART VI, LINE 12C	THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEES AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.
FORM 990, PAGE 6, PART VI, LINE 15A	THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15B	SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A.
FORM 990, PAGE 6, PART VI, LINE 19	THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS. FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIII	FORM 990, PART VIII, LINE 2F: IC SUPPORT SERVICE REVENUE REPORTED WITHIN THE LINE 2F REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF GEISINGER IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.
FORM 990, PART IX, LINE 11G	OUTSIDE AGENCY CLINICAL 8,060,928 0 0 CONTRACTED PHYS SVC OTHER 1,399,296 284,980 0 CLEANING SERVICE 338,690 3,938 0 CONSULTING FEE 14,465 149,160 0 COLLECTION AGENCY FEE 207,925 0 0 EQUIP MAINT SVC CONTRACTS 2,290,718 43,527 0 MICROFILM FICHE PROCESSING 42,914 7,803 0 OUTSIDE PURCHASED SERVICE 18,672,773 1,512,176 0 ISS TRAINING AND SVC SCHOOL E 83,086 14,987 0 OUT AGENCY NONCLIN TEMP 681,843 0 0 REPAIR OF EQUIPMENT 49,841 7 0 IC EXP GEN GSS TRANSCRIPTS 165,758 0 0 RECRUIT NONPROVIDER 0 135,809 0 OUTSIDE TESTS PURCHASE 372,989 0 0 TOTAL 32,381,226 2,152,387 0
FORM 990, PART X	FORM 990, PART IX STATEMENT OF FUNCTIONAL EXPENSES, LINE 24E: UNRELATED BUSINESS INCOME TAX EXPENSE 211,683.
FORM 990, PART XI, LINE 9	TRANSFER FROM , GEISINGER HEALTH 107,228 TRANSFER FROM PARENT HOLY SPIRIT HEALTH SYSTEM 8,500,000 ASSETS RELEASED FROM RESTRICTION 17,754 ASSET IMPAIRMENT CHARGE -119,189,462 TOTAL -110,564,480 THE AMOUNT REPORTED AS OTHER CHANGES IN NET ASSETS REPRESENTS THE ADJUSTMENT OF HOLY SPIRIT HOSPITALS LAND, BUILDINGS, AND EQUIPMENT TO FAIR MARKET VALUE.
FORM 990, PART XII	FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (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 MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240795959	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	236291113	PHYSICIAN	PA	501C3	12A		Yes (true)	GH
GEISINGER WYOMING VALLEY MEDICAL CE
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 CORPORATION RR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	141909894	SELF INS	VT	501C3	12A		Yes (true)	GH
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240862246	HOSPITAL	PA	501C3	3		Yes (true)	GH
MOUNTAIN VIEW NURSING HOME INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232568288	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 CEN
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 CORPORATI
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344362	HOLDING CO	PA	501C3	12A		Yes (true)	GH
FAMILY HEALTH ASSOCIATES OF GEISING
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251651582	PHYSICIAN	PA	501C3	12A		Yes (true)	GH
KEYSTONE HEALTH INFORMATION EXCHANG
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 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 SUPPORT SE
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 Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
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	N/A	false	false
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	N/A	false	false
EVANGELICAL-GEISINGER HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	460567687	HEALTHCARE	PA	N/A	false	false
LEMED II
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232391766	RENTAL	PA	N/A	false	false
GEISINGER-SCA HOLDINGS LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461615328	HEALTHCARE	DE	N/A	false	false
CAMP HILL AMBULATORY SURG CTR LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	521597478	HEALTHCARE	PA		false	Yes (true)	HSH	RELATED	$409,132	$1,891,128	0.51000
GRANDVIEW SURGERY CENTER LTD
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	521597483	HEALTHCARE	PA	N/A	false	false
LACKAWANNA PHYS AMB SURG CTRLLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	233024998	HEALTHCARE	PA	N/A	false	false
SOUTHERN JERSEY ONCOLOGY PROPERTIES
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	943463625	HEALTHCARE	NJ	N/A	false	false
ATLANTICARE SURGERY CENTER LLC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223491867	HEALTHCARE	NJ	N/A	false	false
COOPERATIVE HEALTH SRVS OF S JERSEY
1301 ATLANTIC AVENUE	ATLANTIC CITY	NJ	08401	223619231	PURCHASING	NJ	N/A	false	false

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	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (27 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GEISINGER ASSURANCE COMPANY LTD
M	$1,312,148	GAAP
GEISINGER CLINIC
L	$90,475	GAAP
GEISINGER CLINIC
M	$475,233	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
M	$4,736	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
L	$35	GAAP
GEISINGER COMMUNITY MEDICAL CENTER
L	$457	GAAP
GEISINGER HEALTH
C	$175,656	GAAP
GEISINGER HEALTH
L	$89,402	GAAP
GEISINGER HEALTH PLAN
L	$27,194,238	GAAP
GEISINGER LEWISTOWN HOSPITAL
L	$6,829	GAAP
GEISINGER LEWISTOWN HOSPITAL
M	$810	GAAP
GEISINGER MEDICAL CENTER
P	$3,138,966	GAAP
GEISINGER MEDICAL CENTER
L	$1,296	GAAP
GEISINGER RISK RETENTION GROUP
P	$15,959	GAAP
GEISINGER SYSTEM SERVICES
M	$33,993,999	GAAP
GEISINGER SYSTEM SERVICES
L	$44,263	GAAP
GEISINGER WYOMING VALLEY MEDICAL CE
L	$2,443	GAAP
GEISINGER WYOMING VALLEY MEDICAL CE
M	$275	GAAP
HOLY SPIRIT CORPORATION
K	$1,106,962	GAAP
HOLY SPIRIT HEALTH SYSTEM
C	$8,500,000	GAAP
HOLY SPIRIT HEALTH SYSTEM
M	$512,984	GAAP
HOLY SPIRIT VENTURES INC
K	$553,717	GAAP
ISS SOLUTIONS INC
L	$1,949	GAAP
ISS SOLUTIONS INC
M	$5,812,000	GAAP
SPIRIT PHYSICIAN SERVICES INC
M	$12,858,841	GAAP
SPIRIT PHYSICIAN SERVICES INC
A	$388,586	GAAP
WEST SHORE ADVANCED LIFE SUPPORT
M	$300,956	GAAP

Supplemental Information Detail SupplementalInformationDetail

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