GEISINGER-LEWISTOWN HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: GEISINGER-LEWISTOWN HOSPITAL (EIN 23-1352187)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-10
IRS object ID: 201941309349301919
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	2019-05-10T10:12:03-05:00	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	231352187	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER-LEWISTOWN HOSPITAL	BusinessNameLine1Txt

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

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

Field	Value	IRS element (for citing)
IP	2019-05-10	IPDt
IP Tm	10:12:03	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	898C1895B8F201315E3AD013D20E33E4FB790411	AtSubmissionCreationDeviceId
At Submission Filing Device Id	768924B3E140BF8261684DD94139B4AA526C5F19	AtSubmissionFilingDeviceId

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

Form 990 IRS990

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 22-01	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17822	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$131,066,493	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	1905	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	1008	TotalEmployeeCnt
Total Volunteers	91	TotalVolunteersCnt
Total Gross UBI	$224,866	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$156,140	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$23,178	PYContributionsGrantsAmt
CY Contributions Grants	$21,631	CYContributionsGrantsAmt
PY Program Service Revenue	$122,454,155	PYProgramServiceRevenueAmt
CY Program Service Revenue	$129,817,135	CYProgramServiceRevenueAmt
PY Investment Income	-$244,795	PYInvestmentIncomeAmt
CY Investment Income	$260,775	CYInvestmentIncomeAmt
PY Other Revenue	$995,281	PYOtherRevenueAmt
CY Other Revenue	$961,442	CYOtherRevenueAmt
PY Total Revenue	$123,227,819	PYTotalRevenueAmt
CY Total Revenue	$131,060,983	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$52,910,044	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$51,798,763	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$54,455,257	PYOtherExpensesAmt
CY Other Expenses	$63,904,239	CYOtherExpensesAmt
PY Total Expenses	$107,365,301	PYTotalExpensesAmt
CY Total Expenses	$115,703,002	CYTotalExpensesAmt
PY Revenues Less Expenses	$15,862,518	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$15,357,981	CYRevenuesLessExpensesAmt
Total Assets BOY	$69,475,341	TotalAssetsBOYAmt
Total Assets EOY	$66,694,884	TotalAssetsEOYAmt
Total Liabilities BOY	$71,270,813	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$41,722,906	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$1,795,472	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$24,971,978	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$107,714,734	ExpenseAmt
Revenue	$130,269,736	RevenueAmt
Desc	HEALTHCARE - SEE SCHEDULE O MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. I. GENERAL INFORMATION GEISINGER-LEWISTOWN HOSPITAL (GLH), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER, OWNS AND OPERATES A 123-BED ACUTE CARE HOSPITAL IN LEWISTOWN, PA. GLH IS CONVENIENTLY LOCATED ONLY A FEW MILES FROM SEVERAL CENTRAL PENNSYLVANIA MAJOR HIGHWAYS. THE FACILITY OPENED IN 1905 IN RESPONSE TO A PRESSING NEED FOR HEALTH AND WELLNESS CARE IN THE COMMUNITY. DURING THE FISCAL YEAR ENDED JUNE 30, 2018, GLH PROVIDED 20,112 PATIENT DAYS; 4,620 SAME DAY SURGICAL PROCEDURES; AND 29,825 EMERGENCY ROOM VISITS. GLH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. MOST INSURANCES, INCLUDING MEDICARE AND MEDICAID, ARE ACCEPTED, AND ALL PATIENTS ARE OFFERED TREATMENT REGARDLESS OF THE TYPE OF INSURANCE THEY HAVE. NO PATIENT IS EVER REFUSED TREATMENT BECAUSE OF THE INABILITY TO PAY. THE ORGANIZATION ALSO PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SERVICES OFFERED BY GLH INCLUDE: GENERAL MEDICAL CARE IS PROVIDED BY IN-HOUSE HOSPITALISTS AND SUPPORTED BY CONSULTATIVE SERVICES IN THE AREAS OF CARDIOLOGY, INFECTIOUS DISEASE, NEUROLOGY, PULMONOLOGY, ORTHOPEDICS, HEMATOLOGY/ONCOLOGY, OTOLARYNGOLOGY, AND GASTROENTEROLOGY. A FULLY-STAFFED SURGICAL SERVICES SUITE OFFERING FIVE OPERATING ROOMS EQUIPPED FOR VARIOUS TYPES OF INPATIENT AND OUTPATIENT GENERAL AND SPECIALTY SURGICAL PROCEDURES. THE EMERGENCY DEPARTMENT(ED) IS COMMITTED TO PROVIDING HIGH QUALITY, PROMPT EMERGENCY SERVICES. GLH'S ED IS STAFFED 24/7 WITH FULL-TIME PHYSICIANS AND NURSES WHO ARE TRAINED IN ALL SPECIALTIES FROM PEDIATRICS TO CRITICAL CARE. IMMEDIATE ACCESS IS AVAILABLE TO LABORATORY SERVICES; IMAGING SERVICES SUCH AS CT SCANS, ULTRASOUND AND MRI; AND SURGICAL SERVICES. OB/GYN FOCUSES ON ALL ASPECTS OF WOMEN'S HEALTH AND EDUCATION, PROVIDING OBSTETRICAL AND GYNECOLOGICAL CARE FOR WOMEN OF ALL AGES. SERVICES INCLUDE BUT ARE NOT LIMITED TO ROUTINE VISITS AND TREATMENTS, PREVENTATIVE HEALTHCARE, BIRTH CONTROL EDUCATION, FAMILY PLANNING, OBSTETRICS, SURGERY & SURGERY CONSULTATIONS, MENOPAUSE COUNSELING, AND MIDWIFERY. MENTAL HEALTH & PSYCHIATRIC SERVICES PROVIDES ADULT INPATIENT SERVICES DESIGNED TO HELP INDIVIDUALS LIVE AS INDEPENDENTLY AS POSSIBLE. PATIENTS CAN ACCESS QUICK, EFFICIENT ADMISSION 24/7 AND RECEIVE TREATMENT THROUGH A PSYCHIATRIST AVAILABLE ON A DAILY BASIS. ADMISSIONS ARE CONFIDENTIAL AND MAY BE MADE BY PROFESSIONALS AS WELL BY INDIVIDUALS CONCERNED ABOUT THEMSELVES OR OTHERS. DURING HOSPITALIZATION, PATIENT CARE IS PROVIDED THROUGH MULTIPLE PROFESSIONALS WHO COMPRISE THE TREATMENT TEAM. OTHER SERVICES INCLUDE: CARDIAC SERVICES OTHER SURGERY SPECIALTIES CLINICAL NUTRITION OTOLARYNGOLOGY GASTROENTEROLOGY PAIN MANAGEMENT GENERAL SURGERY PATHOLOGY GYNECOLOGY PEDIATRICS ICCU PHYSICAL THERAPY LABORATORY SERVICES PODIATRY NEPHROLOGY PULMONARY/VASCULAR NEUROSURGERY RADIOLOGY NEWBORN NURSERY RESPIRATORY SERVICES ONCOLOGY/COMMUNITY CANCER SLEEP CENTER TREATMENT OPHTHALMOLOGY UROLOGY ORTHOPEDIC WOUND MANAGEMENT INFUSION CENTER GEISINGER LEWISTOWN HOSPITAL ALSO OPERATES A DIPLOMA NURSING PROGRAM AS A DEPARTMENT WITHIN ITS ORGANIZATION. OPENED IN 2008 AND ACCREDITED BY THE NATIONAL LEAGUE OF NURSING IN 2010, THE PROGRAM IS A 2-YEAR, SIX SEMESTER PROGRAM THAT ALSO OFFERS AN LPN TO RN TRACK. THE GEISINGER LEWISTOWN HOSPITAL SCHOOL OF NURSING (GLHSON) EXISTS TO PROVIDE QUALITY NURSING EDUCATION AND SEEKS TO ENGAGE A DIVERSE GROUP OF STUDENTS IN A MANNER THAT ENABLES ITS GRADUATES TO BECOME LEADERS IN PROVIDING COMPETENT AND SAFE BEDSIDE NURSING CARE ACROSS THE CONTINUUM AND THROUGHOUT THE SURROUNDING COMMUNITY. THE GLHSON HAS AN AVERAGE PASS RATE OF 99% FOR THE NCLEX/RN EXAM, WHICH IS A COMPETENCY AND LICENSURE EXAM USED BY ALL STATE NURSING BOARDS IN THE US. THIS HIGH EXAM PASS RATE ALONG WITH THE PROGRAM'S HIGH ADMISSION STANDARDS ARE TWO REASONS THAT THE PROGRAM HAS BEEN NAMED ONE OF THE TOP RANKED RN PROGRAMS IN PA BY REGISTERED NURSING.ORG, A NATIONAL RANKING ORGANIZATION, FOR THE LAST THREE YEARS. IN FY18, GLH COMPLETED PREPARATIONS FOR A FAMILY PRACTICE RESIDENCY PROGRAM, WHICH INCLUDED CONTRACTING WITH A CONSULTING FIRM, HIRING APPROPRIATE STAFF AND COMPLETING A SITE SURVEY. IN MAY 2018, GLH HIRED THE FIRST 4 FAMILY PRACTICE RESIDENTS INTO THE PROGRAM WHICH WILL OPERATE ON A 3-YEAR ROTATION, SO THAT BY THE THIRD YEAR OF THE PROGRAM, THERE COULD BE 12 FAMILY PRACTICE RESIDENTS ON SITE. II. UNCOMPENSATED CARE GEISINGER-LEWISTOWN HOSPITAL RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GLH PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF GLH IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF CENTRAL PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GLH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2018, THE TOTAL COST OF THE CHARITY CARE WAS 1.7 MILLION. B. MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GLH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GLH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 20.2 MILLION DURING THE FISCAL YEAR ENDED JUNE 30, 2018. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GLH PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2018, WAS 840 THOUSAND. D. OTHER UNINSURED FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE OR GOVERNMENT OR PRIVATE PROGRAMS GLH OFFERS PAYMENT DISCOUNTS AND TIME PAYMENTS WITHOUT INTEREST OR FEES. III. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER-LEWISTOWN HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GLH. IN FY18, THE VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 9,587 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION, 246 THOUSAND, IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. IV. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GLH STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GLH PROVIDES MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. AT A COST OF 121 THOUSAND, THESE SERVICES AND PROGRAMS INCLUDED: SUPPORT GROUPS, COMMUNITY HEALTH EDUCATION, HEALTH SCREENINGS AND OTHER UNIQUE SERVICES. GLH PROVIDES PROGRAMS FOR ALL DEMOGRAPHICS. A. SUPPORT GROUPS PREGNANCY SUPPORT: G-LH OFFERS LOW-COST PREPARED CHILDBIRTH AND BREASTFEEDING CLASSES TO PROMOTE POSITIVE OUTCOMES FOR EXPECTANT MOTHERS AND INFANTS THROUGH REALISTIC INSTRUCTION AND ACHIEVABLE GOALS. CLASSES FOCUS ON PREPARING FOR LABOR, DELIVERY AND POSTPARTUM. B. COMMUNITY HEALTH EDUCATION COMMUNITY HEALTH NEEDS ASSESSMENT OTHER CHRONIC DISEASE MANAGEMENT DIABETES MANAGEMENT DRUG & ALCOHOL COUNSELING WOMEN'S HEALTH RELATED TOPICS SMOKING CESSATION NUTRITION CLASSES LIVING WILLS PREPARING FOR YOUR DOCTOR'S VISIT MEDICATION SAFETY HEART DISEASE/FAILURE PREVENTION CANCER PREVENTION(SKIN, COLON, INFECTION CONTROL BREAST, PROSTATE) SENIOR CITIZEN EDUCATION & OUTREACH LIFE SAFETY/CPR CLASSES C. HEALTH SCREENINGS BLOOD PRESSURE BLOOD SUGAR LEVELS LUNG FUNCTION SCREENINGS BONE DENSITY HEAL SCANS DEPRESSION SCREENINGS SKIN CANCER SCREENING STROKE RISK ASSESSMENT D. OTHER SERVICES JUNIOR VOLUNTEER PROGRAM SILVER CIRCLES PROGRAM HEALTH FAIRS LOCAL ROTARY CLUB COALITION BUILDING AMISH COMMUNITY VISITS EDUCATION IN HEALTHCARE CAREERS COLLABORATE WITH LOCAL FACILITY TOURS FOR LOCAL SCHOOLS COMMUNITY HEALTH ADVOCACY GROUP V. PLANNED FUTURE ACTIVITIES IN KEEPING WITH ITS MISSION, GLH IS WORKING TO FULFILL THE HEALTH NEEDS OF ITS SURROUNDING COMMUNITIES BY PLANNING FOR THE FOLLOWING SERVICES OR ACTIVITIES IN THE UPCOMING FISCAL YEARS: IN THE FALL OF 2018, GLH ENTERED INTO A LEASE AGREEMENT FOR SPACE FOR A LABORATORY DRAW STATION IN A NEARBY, NEWLY CO	Desc
Total Program Service Expenses	$107,714,734	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	62	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1008	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KRISTY M HINE AVP FINANCE	PersonNm
Phone	7172427650	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1Txt
City	LEWISTOWN	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17044	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
EARL FOURA
VICE CHAIR,	0.25	3.75	Yes (X)	$0	$0	$0
EDELYN L MILLER
DIRECTOR		40.00	Yes (X)	$0	$1,565,659	$256,399
JAEWON RYU MD JD
DIRECTOR		40.00	Yes (X)	$0	$1,596,610	$218,215
ROBERT J DIETZ
CHAIR, DIREC	0.25	4.50	Yes (X)	$0	$0	$0
V CHRIS HOLCOMBE PE
VICE CHAIR,	0.25	3.75	Yes (X)	$0	$0	$0
VIRGINIA MCGREGOR
DIRECTOR	0.25	4.00	Yes (X)	$0	$0	$0
DAVID T FEINBERG MD MBA
PRESIDENT, D		40.00	Yes (X)	$0	$3,943,153	$1,025,348	Yes (X)
DANIEL E LOHR ESQUIRE
ACLO, ASST S		40.00		$0	$441,235	$43,464	Yes (X)
DAVID J FELICIO ESQUIRE
EVP, CLO, SE		40.00		$0	$1,142,940	$258,756	Yes (X)
KEVIN F BRENNAN CPA FHFMA
EVP, CFO, TR		40.00		$0	$2,133,432	$36,848	Yes (X)
MICHAEL T HEGSTROM MD
CMO		40.00		$0	$476,484	$42,603	Yes (X)
KIRK E THOMAS FACHE MHA RRT
CAO, WESTERN	40.00			$298,204	$0	$25,659	Yes (X)
CHRISTINE W MATHEWS RN MSN
VP, NURSING	40.00			$227,878	$0	$4,019		Yes (X)
KRISTY M HINE
AVP, FINANCE	40.00			$188,762	$0	$26,475			Yes (X)
NANCY S REINKE
DIRECTOR, HU	40.00			$163,319	$0	$28,982			Yes (X)
PETER A GOYER
RAD. PHYSICI	40.00			$196,743	$0	$5,738			Yes (X)
RICHARD F STOMACKIN RPH
DIRECTOR, PH	40.00			$191,953	$0	$23,843			Yes (X)
KAY HAMILTON RN MS
CAO	40.00			$339,983	$0	$5,650			Yes (X)
ALBERT BOTHE JR MD
FORMER OFFIC		40.00		$0	$3,097,868	$4,032				Yes (X)
RONALD M COWAN
FORMER OFFIC		40.00		$0	$280,534	$19,399				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,606,842	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$14,677,915	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,025,430	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	26	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	CompensationCompensationAmt	ServicesServicesDesc
MEDEFIS CONSOLIDATED
PO BOX 5068	NEW YORK	NY	100875068	$1,476,602
HEALTHSOUTH NITTANY VALLEY
550 WEST COLLEGE AVENUE	STATE COLLEGE	PA	16823	$702,002	REHAB SERVICES
ALLIANCE HEALTHCARE SERVICES
PO BOX 96485	CHICAGO	IL	606936485	$686,409	IMAGING SERVICE
EPA
PO BOX 634850	CINCINNATI	OH	452634850	$521,652	ED PHYSICIANS
ENLIGHTEN PSYCHIATRIC SERVICES
300 CORNFIELD CIRCLE	LEWISTOWN	PA	17044	$474,700	PSYCH LOCUMS

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$21,631	AllOtherContributionsAmt
Total Contributions	$21,631	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$128,824,898	$128,824,898
SCHOOL OF NURSING TUITION	611600	$533,913	$533,913
LAB REVENUE	621500	$222,965		$222,965
INTERCOMPANY REVENUE	541900	$196,415	$196,415
COMMUNITY EDUCATION TRAINING	621400	$38,944	$38,944

Field	Value	IRS element (for citing)
Total Program Service Revenue	$129,817,135	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,549	TotalRevenueColumnAmt
Exclusion	$38,549	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$227,736	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,510	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$222,226	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$222,226	TotalRevenueColumnAmt
Exclusion	$222,226	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PURCHASE DISCOUNTS	561000	$451,291	$451,291
CAFETERIA SALES	722514	$397,170		$397,170
GIFT SHOP SALES	453220	$89,905		$89,905

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,076	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,310	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,901	UnrelatedBusinessRevenueAmt
Exclusion	$19,865	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$961,442	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$131,060,983	TotalRevenueColumnAmt
Related Or Exempt Func Income	$130,046,771	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$224,866	UnrelatedBusinessRevenueAmt
Exclusion	$767,715	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$370,885	TotalAmt
Program Services	$370,885	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$523,665	TotalAmt
Program Services	$218,620	ProgramServicesAmt
Management And General	$305,045	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$39,953,664	TotalAmt
Program Services	$38,791,065	ProgramServicesAmt
Management And General	$1,162,599	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$434,854	TotalAmt
Program Services	$419,230	ProgramServicesAmt
Management And General	$15,624	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,528,762	TotalAmt
Program Services	$7,258,260	ProgramServicesAmt
Management And General	$270,502	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,986,933	TotalAmt
Program Services	$2,916,173	ProgramServicesAmt
Management And General	$70,760	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$67,406	TotalAmt
Management And General	$67,406	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$14,114	TotalAmt
Management And General	$14,114	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$4,887	TotalAmt
Management And General	$4,887	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$108,298	TotalAmt
Program Services	$8,600	ProgramServicesAmt
Management And General	$99,698	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,088,279	TotalAmt
Program Services	$6,360,983	ProgramServicesAmt
Management And General	$727,296	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$87,282	TotalAmt
Program Services	$12,223	ProgramServicesAmt
Management And General	$75,059	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,228,602	TotalAmt
Program Services	$2,865,949	ProgramServicesAmt
Management And General	$362,653	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$25,920	TotalAmt
Program Services	$21,298	ProgramServicesAmt
Management And General	$4,622	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,037,282	TotalAmt
Program Services	$1,896,679	ProgramServicesAmt
Management And General	$140,603	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$207,277	TotalAmt
Program Services	$196,918	ProgramServicesAmt
Management And General	$10,359	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$346	TotalAmt
Program Services	$346	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$992,821	TotalAmt
Program Services	$924,301	ProgramServicesAmt
Management And General	$68,520	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,492,874	TotalAmt
Program Services	$4,182,799	ProgramServicesAmt
Management And General	$310,075	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$887,350	TotalAmt
Program Services	$804,626	ProgramServicesAmt
Management And General	$82,724	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
INTERCOMPANY EXPENSE	$20,477,552	$16,392,673	$4,084,879
MEDICAL SUPPLIES	$20,349,945	$20,349,945
UNCOLLECTIBLE EXPENSE	$3,206,941	$3,206,941
IC TEACHING & ADMIN	$387,248	$387,248

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$239,815	TotalAmt
Program Services	$128,972	ProgramServicesAmt
Management And General	$110,843	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$115,703,002	TotalAmt
Program Services	$107,714,734	ProgramServicesAmt
Management And General	$7,988,268	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,006,119	BOYAmt
EOY	$8,189,165	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$126,295	BOYAmt
EOY	$156,465	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,928,370	BOYAmt
EOY	$8,085,900	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$167,412	BOYAmt
EOY	$345,486	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,093,504	BOYAmt
EOY	$2,204,576	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,163,067	BOYAmt
EOY	$1,432,607	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$53,598,835	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$17,081,121	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$36,100,833	BOYAmt
EOY	$36,517,714	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,408,771	BOYAmt
EOY	$1,116,551	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$13,452,125	BOYAmt
EOY	$5,812,143	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$28,845	BOYAmt
EOY	$2,834,277	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$69,475,341	BOYAmt
EOY	$66,694,884	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,845,076	BOYAmt
EOY	$1,157,814	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,255,906	BOYAmt
EOY	$28,998,387	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,169,831	BOYAmt
EOY	$11,566,705	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$71,270,813	BOYAmt
EOY	$41,722,906	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$2,361,146	BOYAmt
EOY	$24,397,613	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$85,437	BOYAmt
EOY	$86,175	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$480,237	BOYAmt
EOY	$488,190	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$1,795,472	BOYAmt
EOY	$24,971,978	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$69,475,341	BOYAmt
EOY	$66,694,884	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$15,357,981	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$884,570	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$10,524,899	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	$1,269	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,887	OtherActivitiesAmt
Total Lobbying Expenditures	$6,156	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	$364,718,004	BeginningYearBalanceAmt
Contributions	$954,000	ContributionsAmt
Investment Earnings Or Losses	$8,483,375	InvestmentEarningsOrLossesAmt
Administrative Expenses	-$3,653,000	AdministrativeExpensesAmt
End Year Balance	$370,502,380	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$104,496,155	BeginningYearBalanceAmt
Contributions	$253,645,542	ContributionsAmt
Investment Earnings Or Losses	$10,396,613	InvestmentEarningsOrLossesAmt
Administrative Expenses	-$3,820,306	AdministrativeExpensesAmt
End Year Balance	$364,718,004	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$180,485	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,101	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,000	GrantsOrScholarshipsAmt
Administrative Expenses	-$431	AdministrativeExpensesAmt
End Year Balance	$180,155	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$179,962	BeginningYearBalanceAmt
Investment Earnings Or Losses	$907	InvestmentEarningsOrLossesAmt
Administrative Expenses	-$384	AdministrativeExpensesAmt
End Year Balance	$180,485	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$179,892	BeginningYearBalanceAmt
Contributions	$250	ContributionsAmt
Investment Earnings Or Losses	$1,105	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,000	GrantsOrScholarshipsAmt
Administrative Expenses	-$285	AdministrativeExpensesAmt
End Year Balance	$179,962	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.74930	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.20890	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04180	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	$638,236	OtherCostOrOtherBasisAmt
Book Value	$638,236	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,939,775	OtherCostOrOtherBasisAmt
Depreciation	$6,115,523	DepreciationAmt
Book Value	$12,824,252	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$179,262	OtherCostOrOtherBasisAmt
Depreciation	$73,999	DepreciationAmt
Book Value	$105,263	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,324,441	OtherCostOrOtherBasisAmt
Depreciation	$10,661,042	DepreciationAmt
Book Value	$20,663,399	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,517,121	OtherCostOrOtherBasisAmt
Depreciation	$230,557	DepreciationAmt
Book Value	$2,286,564	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$36,517,714	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$5,812,143	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$5,812,143	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$8,278,963
ESTIMATED 3RD PARTY PAYOR SETTLEMENT	$2,534,310
OTHER LIABILITIES	$753,432

Field	Value	IRS element (for citing)
Total Liability	$11,566,705	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

THE EARNINGS ON THE FRIENDS LEGACY ENDOWMENT FUND WILL BE USED SOLELY FOR THE PURPOSE OF CAPITAL AND BUILDING EXPENDITURES. NO EXPENDITURES CAN BE MADE UNTIL THE FUND REACHES 1,000,000 AND THEN ONLY THE EARNINGS FROM THE INVESTMENT CAN BE USED FOR THOSE PURPOSES. THE EARNINGS ON THE SCHOOL OF NURSING SCHOLARSHIP FUNDS ARE USED FOR SCHOLARSHIPS FOR GEISINGER- LEWISTOWN HOSPITAL SCHOOL OF NURSING STUDENTS SELECTED BY THE SCHOLARSHIP COMMITTEE BASED ON ESTABLISHED CRITERIA.

SCHEDULE D, PAGE 4, PART XIII

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

Schedule 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	$1,720,767	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,720,767	NetCommunityBenefitExpnsAmt
Total Expense	0.01490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,807,375	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,515,849	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,291,526	NetCommunityBenefitExpnsAmt
Total Expense	0.07170	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,528,142	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,515,849	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,012,293	NetCommunityBenefitExpnsAmt
Total Expense	0.08650	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$120,600	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$120,600	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,646,128	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$672,903	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$973,225	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,766,728	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$672,903	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,093,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,294,870	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,188,752	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,106,118	NetCommunityBenefitExpnsAmt
Total Expense	0.09600	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,206,941	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,763,818	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$22,855,850	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$32,669,694	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,813,844	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER-LEWISTOWN HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1Txt
City	LEWISTOWN	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17044	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
State License	121501	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER-LEWISTOWN HOSPITAL	BusinessNameLine1Txt

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	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.GEISINGER.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.GEISINGER.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GEISINGER.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.GEISINGER.ORG - REFER TO SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.GEISINGER.ORG - REFER TO SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.GEISINGER.ORG - REFER TO SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 5	SECTION B., COMMUNITY HEALTH NEEDS ASSESSMENT, LINES 3, 5 AND 6A: GEISINGER-LEWISTOWN HOSPITAL ("GLH- OR THE "HOSPITAL"), A 123 BED COMMUNITY MEDICAL CENTER LOCATED IN LEWISTOWN, PA, CONTRACTED WITH TRIPP UMBACH TO FACILITATE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BETWEEN OCTOBER 2014 AND MARCH 2015 THAT IDENTIFIES THE NEEDS OF THE RESIDENTS SERVED BY GLH. AS A PARTNERING HOSPITAL OF A REGIONAL COLLABORATIVE EFFORT TO ASSESS COMMUNITY HEALTH NEEDS; GLH COLLABORATED WITH HOSPITALS AND OUTSIDE ORGANIZATIONS IN THE SURROUNDING REGION (INCLUDING JUNIATA AND MIFFLIN COUNTIES) DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE FOLLOWING IS A LIST OF ORGANIZATIONS THAT PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN SOME WAY: AREA AGENCY ON AGING, JUNIATA BEHAVIORAL & DEVELOPMENTAL SERVICES, JUNIATA COUNTY COMMISSIONERS, JV TRI-COUNTY DRUG & ALCOHOL, MIFFLIN COUNTY COMMISSIONERS, MIFFLIN COUNTY INDUSTRIAL DEVELOPMENT CORPORATION, MIFFLIN-JUNIATA SPECIAL NEEDS CENTER, PA OFFICE OF RURAL HEALTH, SACRED HEART CATHOLIC SCHOOL, STATE HEALTH CENTER, AND UNITED WAY OF MIFFLIN-JUNIATA. TRIPP UMBACH, HEADQUARTERED IN PITTSBURGH, PA, IS A RECOGNIZED NATIONAL LEADER IN CONDUCTING CHNAS, HAVING CONDUCTED MORE THAN 250 CHNAS OVER THE PAST 20 YEARS, WITH MORE THAN 50 HAVING BEEN COMPLETED WITHIN THE LAST 2 YEARS. TODAY, MORE THAN 1 IN 5 AMERICANS LIVE IN A COMMUNITY WHERE TRIPP UMBACH HAS COMPLETED A CHNA. PAUL UMBACH, FOUNDER AND PRESIDENT OF TRIPP UMBACH, IS AMONG THE MOST EXPERIENCED COMMUNITY HEALTH PLANNERS IN THE NATION, HAVING DIRECTED PROJECTS IN EVERY STATE AND INTERNATIONALLY. TRIPP UMBACH HAS WRITTEN TWO NATIONAL GUIDE BOOKS ON THE TOPIC OF COMMUNITY HEALTH AND HAS PRESENTED AT MORE THAN 50 STATE AND NATIONAL HEALTH CONFERENCES. THE ADDITIONAL TRIPP UMBACH TEAM BROUGHT MORE THAN 30 YEARS OF COMBINED EXPERIENCE TO THE PROJECT. KEY DATA SOURCES IN THE CHNA INCLUDED: CHNA PLANNING: A SERIES OF PLANNING MEETINGS WAS FACILITATED BY TRIPP UMBACH AND THE CHNA OVERSIGHT COMMITTEE, CONSISTING OF REPRESENTATIVES FROM GLH AND OTHER PARTICIPATING HOSPITALS AND ORGANIZATIONS (I.E., GEISINGER MEDICAL CENTER, GEISINGER HEALTHSOUTH REHABILITATION HOSPITAL, GEISINGER WYOMING VALLEY MEDICAL CENTER, GEISINGER COMMUNITY MEDICAL CENTER, GEISINGER-LEWISTOWN HOSPITAL AND GEISINGER-BLOOMSBURG HOSPITAL.) SECONDARY DATA: THE HEALTH OF A COMMUNITY IS LARGELY RELATED TO THE CHARACTERISTICS OF ITS RESIDENTS. AN INDIVIDUAL'S AGE, RACE, GENDER, EDUCATION AND ETHNICITY OFTEN DIRECTLY OR INDIRECTLY IMPACT HEALTH STATUS AND ACCESS TO CARE. TRIPP UMBACH COMPLETED COMPREHENSIVE ANALYSIS OF HEALTH STATUS AND SOCIO-ECONOMIC ENVIRONMENTAL FACTORS RELATED TO THE HEALTH OF RESIDENTS OF THE GLH COMMUNITY FROM EXISTING DATA SOURCES SUCH AS STATE AND COUNTY PUBLIC HEALTH AGENCIES, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY HEALTH RANKINGS, THOMPSON REUTERS, CNI, HEALTHY PEOPLE 2020, AND OTHER DATA SOURCES. TRENDING FROM 2012 CHNA: IN 2012, GLH COMPLETED A CHNA FOR THE SAME COUNTIES INCLUDED IN THE SERVICE AREA (JUNIATA AND MIFFLIN COUNTIES). TRIPP UMBACH DID NOT COMPLETE THE 2012 CHNA. AS A RESULT, THE DATA SOURCES USED WERE NOT THE SAME DATA SOURCES FROM THE 2012 CHNA. HOWEVER, TRIPP UMBACH PROVIDED DATA FOR THE SAME YEARS WHICH MADE IT POSSIBLE TO REVIEW TRENDS AND CHANGES ACROSS THE HOSPITAL SERVICE AREA. WHEN POSSIBLE, FINDINGS FROM THE PREVIOUS CHNA HAVE BEEN INCLUDED IN THE EXECUTIVE SUMMARY "KEY COMMUNITY HEALTH PRIORITIES". THERE WERE SEVERAL DATA SOURCES WITH CHANGES IN THE DEFINITION OF SPECIFIC INDICATORS, WHICH RESTRICTED THE USE OF TRENDING IN SEVERAL CASES. THE FACTORS THAT COULD NOT BE TRENDED ARE CLEARLY DEFINED IN THE SECONDARY DATA. INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS: TRIPP UMBACH WORKED CLOSELY WITH THE COLLABORATING ORGANIZATIONS TO IDENTIFY LEADERS FROM ORGANIZATIONS THAT 1) HAD PUBLIC HEALTH EXPERTISE; 2) WERE PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; AND 3) WERE REPRESENTATIVES OF UNDERSERVED POPULATIONS (I.E., SENIORS, LOW-INCOME RESIDENTS, LATINO(A) RESIDENTS, AND RESIDENTS THAT ARE UNINSURED). SUCH PERSONS WERE INTERVIEWED AS PART OF THE NEEDS ASSESSMENT PLANNING PROCESS. A SERIES OF 20 INTERVIEWS WERE COMPLETED WITH KEY STAKEHOLDERS IN THE GLH COMMUNITY, INCLUDING: AREA AGENCY ON AGING, JUNIATA BEHAVIORAL & DEVELOPMENTAL SERVICES, JUNIATA COUNTY COMMISSIONERS, JV TRI-COUNTY DRUG & ALCOHOL, MIFFLIN COUNTY COMMISSIONERS, MIFFLIN COUNTY INDUSTRIAL DEVELOPMENT CORPORATION, MIFFLIN-JUNIATA SPECIAL NEEDS CENTER, PA OFFICE OF RURAL HEALTH, SACRED HEART CATHOLIC SCHOOL, STATE HEALTH CENTER, AND UNITED WAY OF MIFFLIN-JUNIATA. SURVEY OF VULNERABLE POPULATIONS: VULNERABLE POPULATIONS WERE IDENTIFIED BY THE CHNA OVERSIGHT COMMITTEE AND THROUGH STAKEHOLDER INTERVIEWS. VULNERABLE POPULATIONS TARGETED BY THE SURVEYS WERE SENIORS, LOW-INCOME RESIDENTS (INCLUDING FAMILIES), AND RESIDENTS WITH SPECIAL NEEDS. A TOTAL OF 154 SURVEYS WERE COLLECTED IN THE GLH SERVICE AREA. TRIPP UMBACH WORKED WITH THE OVERSIGHT COMMITTEE TO DESIGN A 33 QUESTION HEALTH STATUS SURVEY. THE SURVEY WAS ADMINISTERED BY COMMUNITY BASED ORGANIZATIONS (I.E., MIFFLIN-JUNIATA SPECIAL NEEDS CENTER AND AREA AGENCY ON AGING) PROVIDING SERVICES TO VULNERABLE POPULATIONS IN THE HOSPITAL SERVICE AREA. COMMUNITY BASED ORGANIZATIONS WERE TRAINED TO ADMINISTER THE SURVEY USING HAND-DISTRIBUTION. SURVEYS WERE ADMINISTERED ONSITE AND SECURELY MAILED TO TRIPP UMBACH FOR TABULATION AND ANALYSIS. IDENTIFICATION OF TOP COMMUNITY HEALTH NEEDS: TOP COMMUNITY HEALTH NEEDS WERE IDENTIFIED AND PRIORITIZED BY COMMUNITY LEADERS DURING A REGIONAL COMMUNITY HEALTH NEEDS IDENTIFICATION FORUM HELD ON MARCH 12, 2015. CONSULTANTS PRESENTED TO COMMUNITY LEADERS THE CHNA FINDINGS FROM ANALYZING SECONDARY DATA, KEY STAKEHOLDER INTERVIEWS, AND SURVEYS. COMMUNITY LEADERS DISCUSSED THE DATA PRESENTED, SHARED THEIR VISIONS AND PLANS FOR COMMUNITY HEALTH IMPROVEMENT IN THEIR COMMUNITIES, AND IDENTIFIED AND PRIORITIZED THE TOP COMMUNITY HEALTH NEEDS IN THE GLH COMMUNITY. PUBLIC COMMENT REGARDING THE 2012 CHNA AND IMPLEMENTATION PLAN: TRIPP UMBACH SOLICITED PUBLIC COMMENTARY FROM COMMUNITY LEADERS AND RESIDENTS. COMMENTERS WERE ASKED TO REVIEW THE CHNA AND ACTION PLAN ADOPTED BY GLH IN 2013 AND WERE PROVIDED ACCESS TO EACH DOCUMENT FOR REVIEW. COMMENTERS WERE THEN ASKED TO RESPOND TO A QUESTIONNAIRE WHICH PROVIDED OPEN AND CLOSED RESPONSE QUESTIONS. THE PRIOR CHNA AND IMPLEMENTATION PLAN AND A QUESTIONNAIRE WERE OFFERED IN HARD COPY AT TWO LOCATIONS INSIDE THE HOSPITAL AND WERE ALSO PROVIDED ELECTRONICALLY USING A WEB-BASED PLATFORM. THERE WERE NO RESTRICTIONS OR QUALIFICATIONS REQUIRED OF PUBLIC COMMENTERS. FLYERS WERE CIRCULATED AND ELECTRONIC REQUESTS WERE MADE FOR PUBLIC COMMENT THROUGHOUT THE COLLECTION PERIOD. THROUGHOUT THIS DOCUMENT THE TERMS "SYSTEM- OR "GEISINGER" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH ("GH") AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM.
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 6A	SEE EXPLANATION TO PART V, LINES 3 AND 5.
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 11	BELOW ARE SYSTEM-WIDE PROGRAMS OFFERED BY GEISINGER TO FULFILL COMMUNITY NEEDS THAT WERE IDENTIFIED IN GLH'S 2015 CHNA. SOME PROGRAMS ARE COMPLETELY OPERATED OR FUNDED BY GEISINGER AND SOME ARE OFFERED IN COOPERATION WITH LOCAL HEALTH AND HUMAN SERVICE AGENCIES. FOR MORE SPECIFIC NEEDS FOUND IN OUR LOCAL COMMUNITIES, WE OFFER PROGRAMS TO SERVE PATIENTS CLOSE TO HOME. THE TOP THREE NEEDS IDENTIFIED IN THE MOST RECENT AND/OR PAST CHNA SURVEYS FALL INTO ONE OF THREE COMMUNITY NEED CATEGORIES: 1)IMPROVING ACCESS TO HEALTHCARE: THE MOST SIGNIFICANT NEED IDENTIFIED WAS FOR BETTER, FASTER, MORE CONVENIENT AND LESS COSTLY ACCESS TO HEALTHCARE SERVICES. GEISINGER IS TAKING INNOVATIVE STEPS TO ADDRESS BARRIERS TO HEALTHCARE AND HELP PROVIDE PHYSICAL, MENTAL, DENTAL, REHABILITATIVE AND PREVENTIVE SERVICES TO PATIENTS, REGARDLESS OF THEIR HEALTH INSURANCE STATUS. THE TOPICS ADDRESSED INCLUDE: HOW TO FIND THE RIGHT DOCTOR, PROVIDER OR FACILITY; SPECIAL SERVICES PROVIDED TO PATIENTS WITH SPECIFIC NEEDS (SUCH AS THE ELDERLY, UNDERINSURED OR UNINSURED); TRAUMA PREVENTION AND TREATMENT; AND MANY OTHERS. 2)ADDRESSING BEHAVIORAL HEALTH AND SUBSTANCE ABUSE: GEISINGER HAS A WIDE RANGE OF PROGRAMS TO HELP PATIENTS FIND HEALTHCARE SERVICES WHEN THEY ARE FACING BEHAVIORAL HEALTH CHALLENGES OR STRUGGLING WITH ADDICTION. ALZHEIMER'S DISEASE AND OTHER AGING BRAIN ISSUES AS WELL AS ALCOHOLISM AND OPIOID ABUSE ARE ADDRESSED IN A LARGE AND GROWING NUMBER OF PROGRAMS SPECIFICALLY AIMED AT EXPANDING SERVICES. 3)IMPROVING HEALTHY BEHAVIORS: GEISINGER HAS NUMEROUS EDUCATIONAL PROGRAMS TO HELP PATIENTS LIVE WELL. EFFORTS INCLUDE COMMUNITY AND OUTREACH PROGRAMS THAT BRING HEALTHCARE PROFESSIONALS, EDUCATION, NUTRITION AND MEDICATION TO THE PEOPLE. OUR GOAL IS TO ASSIST PATIENTS WITH THEIR HEALTH BEFORE A SERIOUS PROBLEM ARISES SENDING THEM TO THE HOSPITAL. IMPROVING ACCESS TO HEALTHCARE COMPLEX CARE, CLOSER TO HOME: CARE FOR COMPLEX CONDITIONS SUCH AS HEART, LUNG AND KIDNEY DISEASE ARE USUALLY FOUND AT LARGE HEALTH FACILITIES. LONG DRIVES TO A HOSPITAL, LACK OF TRANSPORTATION OPTIONS AND OF SPECIALISTS IN THE AREA MAKES ACCESS TO CARE DIFFICULT. OUR SPECIALISTS TRAVEL SO PATIENTS ARE PROVIDED WITH NEEDED, CONVENIENT SPECIALTY CARE, WITHOUT LONG DRIVES OR THE CHALLENGES OF SEEKING CARE ONLY AT A HOSPITAL. INSTEAD OUR SPECIALISTS TRAVEL ACROSS THE REGION TO CLINICS THAT PROVIDE ADVANCED CARE, WITH THE BENEFIT OF BETTER TRACKING OF PATIENTS WITH CHRONIC CONDITIONS. CLINICS ARE STAFFED WITH DOCTORS, NURSES AND OTHER HEALTHCARE PROFESSIONALS AND DIAGNOSTIC LAB AND IMAGING SERVICES. MANY LOCATIONS ALSO OFFER SPECIALTY PEDIATRIC AND WOMEN'S HEALTH SERVICES. OUR SPECIALISTS, INCLUDING CARDIOLOGY, DERMATOLOGY, COMPLEX ORTHOPAEDIC AND THORACIC SURGERY AND NEUROSURGERY ARE AVAILABLE IN MORE THAN 30 COMMUNITIES ACROSS NORTHEAST AND CENTRAL PA. GEISINGER HEALTH PLAN (GHP): COMPREHENSIVE COVERAGE FOR THE UNINSURED AND SENIORS: GHP, A NONPROFIT HMO, OFFERS AFFORDABLE HEALTH PLANS THAT SERVES THE MOST VULNERABLE IN OUR COMMUNITIES: UNINSURED ADULTS, CHILDREN AND SENIORS. GHP FAMILY IS A MEDICAL-ASSISTANCE, MANAGED-CARE PLAN THAT OFFERS COMPREHENSIVE COVERAGE TO UNINSURED AND UNDERINSURED RESIDENTS OF 22 COUNTIES IN PA. MANY SERVICES ARE PROVIDED AT NO COST, INCLUDING DOCTOR'S OFFICE VISITS, EMERGENCY CARE, PREVENTIVE SERVICES (INCLUDING IMMUNIZATIONS AND SCREENINGS), DIABETES CARE, MATERNITY CARE, DENTAL AND VISION SERVICES AND PRESCRIPTION DRUGS. THERE IS ALSO 24-HOUR ACCESS TO E-NURSES AND HEALTH COACHES. GHP KIDS OFFERS HEALTH COVERAGE TO UNINSURED CHILDREN UNDER 20 YEARS OF AGE IN 40 COUNTIES THROUGH PA'S CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). FOR MOST CHIP IS FREE AND INCLUDES ROUTINE CHECKUPS AND IMMUNIZATIONS, PRESCRIPTION DRUGS, VISION AND DENTAL SERVICES AND EMERGENCY CARE. FOR SENIORS, NAVIGATING THE COMPLEXITIES OF HEALTHCARE COVERAGE CAN BE OVERWHELMING. GHP OFFERS A DUAL ELIGIBILITY PLAN FOR SENIORS WHO QUALIFY FOR MEDICARE PARTS A AND B COVERAGE AS WELL AS MEDICAID. GEISINGER GOLD SECURE RX IS DESIGNED TO MAKE MEDICAL EXPENSES MORE PREDICTABLE, ALLOW BETTER COORDINATION AMONG PROVIDERS AND LOWER OUT-OF-POCKET EXPENSES FOR SENIORS. THIS PLAN OFFERS CONVENIENT BENEFITS WITH LOW OR NO PREMIUMS, A SINGLE ID CARD, PRESCRIPTION DRUG COVERAGE, DENTAL AND VISION SERVICES, FITNESS PROGRAMS AND CARE MANAGEMENT NURSES. PROVENHEALTH NAVIGATOR: IS A TEAM-ORIENTED MEDICAL HOME. A MEDICAL "HOME" IS A PATIENT-CENTERED MODEL OF CARE LED BY THE PATIENT'S PRIMARY DOCTOR AND A TEAM OF HEALTHCARE PROFESSIONALS WORKING TOGETHER TO ENSURE THE PROPER CARE. THE TEAM OF SPECIALISTS, CARE MANAGERS, PHARMACISTS, SOCIAL WORKERS AND COMMUNITY HEALTH ASSISTANTS WORK WITH THE PATIENT, FAMILY AND CAREGIVERS TO PLAN CARE THAT WILL PREVENT URGENT/EMERGENT CARE VISITS AND HOSPITALIZATIONS. RESEARCH HAS SHOWN THAT PATIENTS UNDER THE MEDICAL HOME MODEL ARE HEALTHIER AND SPEND LESS TIME HOSPITALIZED. MEDICAL HOME CARE FOCUSES ON FREQUENT DOCTOR VISITS AND CONSISTENT FOLLOW-UP BY THE TEAM, WHICH HAS SHOWN TO BENEFIT THOSE WITH CHRONIC ILLNESSES (DIABETES, HEART DISEASE, ETC.) MEDICAL HOME PATIENTS ALSO HAVE ACCESS TO DOCTORS AND PHN CARE MANAGERS 24/7. CARE MANAGERS HELP PATIENTS NAVIGATE THE COMPLEX HEALTHCARE SYSTEM, COORDINATING CARE AND COMMUNICATING WITH THE TEAM OF PROVIDERS. CARE MANAGERS, SOCIAL WORKERS AND COMMUNITY HEALTH ASSISTANTS ARE ALSO AVAILABLE TO HELP OUR PATIENTS ADDRESS DIFFICULT CHALLENGES, SUCH AS COPING WITH MENTAL ILLNESS, ADDICTION, ABUSE AND LOSS AND MANAGING DISABILITIES. THE TEAM ALSO COORDINATES COMMUNITY RESOURCES THAT ARE AVAILABLE AND ASSISTS THE PATIENT WITH THEIR NEEDS. BY EXPANDING OUR SUCCESSFUL MEDICAL HOME INITIATIVE, WE'RE ENSURING THAT OUR PATIENTS HAVE ACCESS TO THE MOST EFFECTIVE MODELS OF CARE. GEISINGER TELEMEDICINE BRINGS HEALTHCARE CLOSER TO HOME: IN OUR 31COUNTY SERVICE AREA, NEARLY HALF OF OUR PATIENT POPULATION RESIDES IN RURAL AREAS, AND MORE THAN 60 PERCENT OF PATIENTS HAVE CHRONIC HEALTH CONDITIONS. OUR TELEMEDICINE PROGRAM ALLOWS PATIENTS TO STILL RECEIVE SPECIALIZED CARE LOCALLY. OUR PROGRAM USES HIGH-DEFINITION AUDIO/VIDEO TECHNOLOGY AND TOOLS SUCH AS DIGITAL STETHOSCOPES TO CONNECT REMOTE PATIENTS TO OUR HOSPITALS AND PRIMARY CARE CLINICS, AS WELL AS TO NON-GEISINGER FACILITIES. INPATIENTS ARE DIAGNOSED EARLIER, BEGIN TREATMENT SOONER AND AVOID HOSPITAL TRANSFERS, SINCE THEIR PHYSICIANS CAN CONSULT OUR SPECIALISTS ANYWHERE WITHIN OUR SYSTEM. OUR SPECIALISTS HAVE ACCESS TO PATIENTS AT CLINICS ACROSS THE STATE WITHOUT THE PATIENT TRAVELING TO A HOSPITAL TO SEE THE SPECIALIST. THIS SAVES TIME AND REDUCES TRAVEL COSTS AND ALLOWS THE SUPPORT OF LOVED ONES AT HOME. EARLIER DIAGNOSIS REDUCES COSTS FOR EVERYONE. THIS PROGRAM ALLOWS PATIENTS TO CONNECT WITH THE RIGHT SPECIALIST WHEN NEEDED. BY CONNECTING PATIENTS TO OUR SPECIALISTS, ACCESS TO HEALTHCARE IS AVAILABLE TO EVERY PATIENT IN OUR COMMUNITIES. SUPPORT FOR SENIORS AT HOME: LIFE GEISINGER (LIVING INDEPENDENTLY FOR ELDERS) HELPS SENIORS STAY AT HOME, STAY INDEPENDENT AND STAY HEALTHY. THE LIFE GEISINGER TEAM IS ON CALL 24/7, PROVIDING SUPPORT FOR SENIORS AND THEIR LOVED ONES. A PROVIDER TEAM ASSESSES PATIENTS' NEEDS, DEVELOPS CARE PLANS AND DELIVERS THE SERVICES SENIORS AND FAMILIES NEED. TRANSPORTATION SERVICES MAKE HOME DELIVERIES OF SUPPLIES AND/OR MEDICATIONS, CARRY SENIORS TO MEDICAL AND OTHER APPOINTMENTS AND DELIVER LIFE PARTICIPANTS TO AND FROM OUR ADULT DAY CENTERS FOR SCHEDULED VISITS. SENIOR DAY CENTERS OFFER SENIORS COMPREHENSIVE MEDICAL AND SOCIAL SERVICES AND OPPORTUNITIES TO SOCIALIZE AND EXERCISE. OUR ADULT DAY CENTERS ARE OPEN TO ALL SENIORS, REGARDLESS OF WHETHER THEY PARTICIPATE IN LIFE GEISINGER. HIGH-QUALITY, NON-EMERGENCY CARE: FOR PATIENTS EXPERIENCING A NON-EMERGENT INJURY OR ILLNESS, GEISINGER CAREWORKS CLINICS OFFER HIGH-QUALITY MEDICAL SERVICES AT CONVENIENT LOCATIONS THROUGHOUT PA. THESE URGENT CARE CLINICS PROVIDE ECONOMICAL AND CONVENIENT HEALTHCARE FROM HIGHLY TRAINED CERTIFIED NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. CAREWORKS ATTENDS TO THE MEDICAL NEEDS OF ADULTS AND CHILDREN 12 MONTHS OR OLDER, AND NO APPOINTMENT IS NECESSARY. THE OFFICES COMMUNICATE WITH THE PRIMARY CARE PHYSICIAN ABOUT THE PATIENT'S VISIT. CAREWORKS KEEPS FAMILIES WELL BY INCREASING ACCESS TO OUR PROVIDERS, PROFESSIONALS AND SERVICES IN CONVENIENT COMMUNITY LOCATIONS. BRIDGING THE COMMUNICATIONS GAP: AT GEISINGER, WE SEE PATIENTS WHO HAVE DIFFERENT LEVELS OF HEARING ABILITY AND LITERACY. THEY SPEAK HUNDREDS OF LANGUAGES. TO GIVE OUR PATIENTS THE BEST EXPERIENCE POSSIBLE, WE USE ADVANCED TECHNOLOGY AND CONTINUOUS TRAINING. OUR GOAL IS TO HELP PATIENTS CLEARLY UNDERSTAND HOW BEST TO MANAGE THEIR CONDITION. STRATUS IS A VIDEO-INTERPRETING DEVICE USED FOR PATIENTS WHO ARE HEARING-IMPAIRED OR WHO HAVE LIMITED ENGLISH SKILLS. THERE ARE NOW OVER 250 STRATUS DEVICES ACROSS THE SYSTEM. AVAILABLE 24 HRS/DAY IN MORE THAN 200 LANGUAGES, INCLUDING AMERICAN SIGN LANGUAGE, STRATUS IS OPERATED BY TRAINED I
FACILITY 1, GEISINGER-LEWISTOWN 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, GEISINGER-LEWISTOWN 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, GEISINGER-LEWISTOWN 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, GEISINGER-LEWISTOWN 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, GEISINGER-LEWISTOWN 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 55% 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 11,912,765 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 55% 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 840,251.
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	GLH, A 123-BED COMMUNITY MEDICAL CENTER LOCATED IN LEWISTOWN, PA, IN RESPONSE TO ITS COMMUNITY COMMITMENT, CONTRACTED WITH TRIPP UMBACH TO FACILITATE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BETWEEN OCTOBER 2014 AND MARCH 2015 THAT IDENTIFIED THE NEEDS OF THE RESIDENTS SERVED BY GLH. AS A PARTNERING HOSPITAL OF A REGIONAL COLLABORATIVE EFFORT TO ASSESS COMMUNITY HEALTH NEEDS; GLH COLLABORATED WITH HOSPITALS AND OUTSIDE ORGANIZATIONS IN THE SURROUNDING REGION (INCLUDING JUNIATA AND MIFFLIN COUNTIES) DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. 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	THE GLH SERVICE AREA IS COMPRISED OF MIFFLIN COUNTY, JUNIATA COUNTY, AND PARTS OF HUNTINGDON AND SNYDER COUNTIES. THIS RURAL AREA CONTAINS SOME 145,000 PEOPLE SPREAD OVER MORE THAN 2,500 SQUARE MILES OF RUGGED TERRAIN LOCATED IN THE HEART OF THE APPALACHIAN MOUNTAINS IN CENTRAL PENNSYLVANIA. THE AVERAGE POPULATION DENSITY IS APPROXIMATELY 60 PERSONS PER SQUARE MILE. THE JUNIATA RIVER RUNS ALONG THE VERDANT VALLEYS AND SLICES THROUGH NARROW MOUNTAIN PASSES TO CONNECT OUR RESIDENTS TOGETHER, WHICH IS WHY OUR AREA IS CALLED THE JUNIATA VALLEY. TRANSPORTATION BARRIERS PLAY A MAJOR ROLE IN ACCESS TO HEALTHCARE IN OUR REGION. THESE NATURAL BARRIERS INCLUDE NARROW ROADS THAT EITHER MEANDER ALONG STREAMS AND CREEKS OR CROSSOVER THE MOUNTAIN RANGES THAT TRAVERSE OUR APPALACHIAN RIDGE REGION. THESE BARRIERS ARE EVEN MORE DAUNTING GIVEN HAZARDOUS WINTER DRIVING CONDITIONS CAUSED BY SNOW OR ICE COVERED ROADS. LOW-INCOME AND SENIOR CITIZENS ALSO FACE TRANSPORTATION ISSUES, AS THERE IS NO PUBLIC TRANSPORTATION IN OUR SERVICE AREA. SENIOR CITIZENS AND MEDICAID-ELIGIBLE PERSONS CAN USE THE "CARS" VAN SYSTEM FOR TRANSPORTATION TO REGULARLY SCHEDULED APPOINTMENTS WITH A WEEKS' NOTICE BUT NOT FOR URGENT OR EMERGENCY CARE. LOW INCOME CITIZENS HAVE NO ACCESS TO ANY PUBLIC TRANSPORTATION AT ALL IN OUR COMMUNITY. IF A TRIP TO A SPECIALIST IS REQUIRED THE MAJOR SUPPORT HOSPITALS ARE AT LEAST A ONE AND HALF HOUR DRIVE AWAY. THE POPULATION OF OUR TOTAL SERVICE AREA IS JUST ABOUT 145,000 PERSONS BASED ON 2010 US CENSUS DATA. MIFFLIN COUNTY HAS A RELATIVELY FLAT GROWTH RATE WITH A POPULATION CHANGE OF 0.4% FROM 2000 TO 2010. JUNIATA COUNTY, ON THE OTHER HAND, HAS SEEN SIGNIFICANT GROWTH WITH A 10.6% INCREASE IN POPULATION FROM 2000 TO 2010. IT IS BELIEVED THAT THIS GROWTH IS MOSTLY COMING FROM PEOPLE WHO WORK IN THE NEARBY HARRISBURG AREA WHO ARE LOOKING FOR A LOWER COST OF LIVING. WITH THE RECENT COMPLETION OF A NEW FOUR-LANE HIGHWAY NORTH OF HARRISBURG, THE COMMUTE TO HARRISBURG HAS BECOME MORE CONVENIENT RESULTING IN AN INCREASE IN JUNIATA COUNTY'S POPULATION AS PEOPLE MOVE FURTHER AWAY FROM THE URBAN AREAS TO LIVE IN THE COUNTRY. HIGHER GROWTH IN FULTON COUNTY IS EXPLAINED BY MIGRATION FROM MARYLAND AS PEOPLE TRY TO MOVE AWAY FROM HIGHER HOUSING COSTS IN MARYLAND. HUNTINGDON COUNTY'S GROWTH IS MOSTLY OCCURRING IN THE NORTHERN PORTION OF THE COUNTY THAT IS CLOSE ENOUGH TO STATE COLLEGE TO ALLOW RESIDENTS TO COMMUTE TO PENN STATE UNIVERSITY. THESE GROWTH RATES ARE STILL VERY LOW WHEN COMPARED TO A NATIONAL GROWTH RATE OF OVER 13%. OTHER IMPORTANT DEMOGRAPHIC STATISTICS ARE OUTLINED BELOW. STATISTICS: MIFFLIN COUNTY(MC), JUNIATA COUNTY(JC), PENNSYLVANIA(PA) POPULATION: 46,682(MC), 24,636(JC, 12,702,379(PA) POPULATION LESS THAN 18 YEARS OF AGE: 23.1%(MC), 24%(JC), 22%(PA) AGE 65 AND UP: 18.5%(MC), 16.8%(JC), 15.4%(PA) PERCENTAGE OF POPULATION BELOW THE POVERTY LEVEL (2010): 16.6%(MC), 11.1%(JC), 13.4% (PA) POVERTY RATE FOR CHILDREN UNDER AGE 18 (2010): 28.1%(MC), 18.0%(JC), 18.9%(PA) MEDIAN HOUSEHOLD INCOME: 37,163(MC), 45,810(JC), 49,245(PA) UNINSURED ADULTS (2010): 19.1%(MC), 18.7%(JC), 14.5%(PA) UNEMPLOYMENT RATE (2010): 9.5%(MC), 7.7%(JC), 8.4%(PA) MIFFLIN COUNTY'S 65 AND OVER AGE GROUP IS 18.5 PERCENT (2010), WHILE JUNIATA COUNTY'S IS 16.8%, HUNTINGDON COUNTY'S, 16.2% AND FULTON COUNTY'S 17.1%. THE PENNSYLVANIA AVERAGE FOR THIS STATISTIC IS 15.4%. BOTH MIFFLIN AND JUNIATA COUNTIES HAVE HIGHER PERCENTAGES OF PERSONS LESS THAN 18 YEARS OF AGE, 23.1% AND 24.0% RESPECTIVELY, THAN THE PA AVERAGE OF 22.0%. BOTH OF THESE GROUPS REQUIRE MORE HEALTH CARE RESOURCES THAN OTHER AGE GROUPS IN OUR COMMUNITY. MIFFLIN COUNTY HAS 16.6% OF THE POPULATION WITH INCOME BELOW THE POVERTY LINE AND 28.1% OF CHILDREN UNDER 18 LIVING IN POVERTY. JUNIATA COUNTY HAS 11.1% OF THE POPULATION WITH INCOME BELOW THE POVERTY LINE, WHILE HUNTINGDON AND SNYDER COUNTIES ARE 13% AND 14% RESPECTIVELY. PER CAPITA PERSONAL INCOME (2009) FOR THE FOUR MAIN COUNTIES IN OUR SERVICE AREA ARE AS FOLLOWS: MIFFLIN 28.3K, JUNIATA 30.3K, HUNTINGDON 27.6K, AND SNYDER 30.8K. THE PERCENTAGES OF THE POPULATIONS WHO ARE UNINSURED (IN THE 18-64 AGE RANGE) FOR THOSE COUNTIES ARE AS FOLLOWS: MIFFLIN 19%, JUNIATA 19%, HUNTINGDON 19%, AND SNYDER 16%. AT THE BEGINNING OF FOR FISCAL YEAR 2014, APPROXIMATELY 14.1% OF OUR PATIENT POPULATION WAS MEDICAL ASSISTANCE, WHILE ANOTHER 3.8% WERE SELF- PAY. THERE IS ONE OTHER HOSPITAL LOCATED WITHIN THE SERVICE AREA DESCRIBED ABOVE, JC BLAIR MEMORIAL HOSPITAL IN HUNTINGDON, PA. THERE ARE ALSO SEVERAL OTHER HOSPITALS LOCATED IN AREAS SURROUNDING OUR SERVICE AREA. THESE INCLUDE MT. NITTANY MEDICAL CENTER IN STATE COLLEGE, PA; GEISINGER MEDICAL CENTER IN DANVILLE, PA; HOLY SPIRIT HOSPITAL IN CAMP HILL, PA; THE PENN STATE MILTON S. HERSHEY MEDICAL CENTER IN HERSHEY, PA; AND SEVERAL CAMPUSES OF PINNACLE HEALTH IN THE HARRISBURG, PA AREA. THERE ARE ALSO SEVERAL FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS WITHIN OUR SERVICE AREA. THERE ARE TWO LOCATED IN MIFFLIN COUNTY, ONE IN JUNIATA COUNTY, AND FOUR IN HUNTINGDON COUNTY. THE ADULT BEHAVIORAL HEALTH RISK FACTORS SURVEY (2008-2010) SHOWS THE FOLLOWING STATISTICS FOR THE POPULATION LIVING IN MIFFLIN AND JUNIATA COUNTIES: RISK FACTORS : -PERCENT FAIR OR POOR GENERAL HEALTH: 16% -OBESE: 31% -OVERWEIGHT (INCLUDES OBESE): 66% -DIABETIC: 11% -CURRENTLY HAS ASTHMA: 10% -CURRENT SMOKER:19% FOR MIFFLIN AND JUNIATA COUNTIES, THE HEALTH PROFILE FROM THE PA DEPARTMENT OF HEALTH SHOWS THE MAJOR CAUSES OF DEATH ARE DISEASES OF THE HEART, CANCER, STROKE, AND CHRONIC LOWER RESPIRATORY DISEASES. PROSTATE CANCER RANKS AS NUMBER ONE FOR THE HIGHEST INCIDENCE OF CANCER, FOLLOWED BY FEMALE BREAST CANCER. RANKING THIRD AND FOURTH ON THE LIST ARE LUNG CANCER AND COLON CANCER, RESPECTIVELY.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX EXEMPT PURPOSE.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	THE HOSPITAL IS AN AFFILIATE WITHIN GEISINGER. AS ONE OF THE NATION'S LARGEST HEALTH SERVICE ORGANIZATIONS, GEISINGER SERVES MORE THAN 3 MILLION RESIDENTS THROUGHOUT 45 COUNTIES IN CENTRAL, SOUTH-CENTRAL AND NORTHEAST PENNSYLVANIA, AND IN SOUTHERN NEW JERSEY AT ATLANTICARE. IN 2017, THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE AND GEISINGER JERSEY SHORE HOSPITAL BECAME THE NEWEST MEMBERS OF THE GEISINGER FAMILY. THE PHYSICIAN- LED SYSTEM IS COMPRISED OF APPROXIMATELY 30,000 EMPLOYEES, INCLUDING NEARLY 1,600 EMPLOYED PHYSICIANS, 13 HOSPITAL CAMPUSES, TWO RESEARCH CENTERS, AND A 583,000-MEMBER HEALTH PLAN, ALL OF WHICH LEVERAGE AN ESTIMATED 12.7 BILLION POSITIVE IMPACT ON THE PENNSYLVANIA AND NEW JERSEY ECONOMIES. HISTORY. GEISINGER HAD ITS BEGINNINGS IN THE SMALL COMMUNITY OF DANVILLE, WHICH IS LOCATED IN CENTRAL PENNSYLVANIA ON THE NORTHERN BRANCH OF THE SUSQUEHANNA RIVER. THERE, IN 1915, ABIGAIL A. GEISINGER FOUNDED THE GEORGE F. GEISINGER MEMORIAL HOSPITAL IN MEMORY OF HER HUSBAND. FROM THE BEGINNING, THE NEW HOSPITAL WAS DESIGNED AS A COMPREHENSIVE HEALTHCARE INSTITUTION THAT WOULD OFFER SPECIALIZED MEDICAL CARE TO PEOPLE IN THE RURAL AREAS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA. UNLIKE MOST HEALTHCARE SYSTEMS, WHICH EVOLVED WITH A HOSPITAL FOCUS, GEISINGER'S HISTORY AND TRADITION IS THAT OF A PHYSICIAN-LED AND PHYSICIAN-DRIVEN HEALTHCARE ORGANIZATION. THIS TRADITION BEGAN WHEN MRS. GEISINGER BROUGHT DR. HAROLD FOSS, A MAYO CLINIC TRAINED PHYSICIAN, TO BE HER HOSPITAL'S FIRST CHIEF OF STAFF. TODAY, GEISINGER IS REGARDED AS A NATIONAL MODEL OF HEALTHCARE DELIVERY CENTERED ON A SOPHISTICATED MULTISPECIALTY GROUP PRACTICE. SINCE THE 1970S, GEISINGER'S STRATEGY OF INTEGRATING PHYSICIANS AND HOSPITALS EXPANDED TO INCLUDE THE MANAGEMENT OF HEALTH AND THE FINANCING OF HEALTHCARE SERVICES THROUGH ITS WHOLLY CONTROLLED HEALTH MAINTENANCE ORGANIZATION, GEISINGER HEALTH PLAN. TWO INDEMNITY HEALTH INSURERS, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC. HAVE BEEN ADDED IN RECENT YEARS. CORPORATE STRUCTURE. THE ORGANIZATIONAL STRUCTURE OF THE SYSTEM REFLECTS THE STRATEGIC GOAL OF OPERATING AS A FULLY INTEGRATED HEALTHCARE SYSTEM WHOSE CORPORATE COMPONENTS SHARE THE COMMON GOALS OF MANAGING AND IMPROVING THE HEALTHCARE OF ITS PATIENTS AND MEMBERS, WHILE RECOGNIZING AND RESPECTING THE CORPORATE IDENTITY OF EACH ENTITY. THIS INTEGRATION LINKS THE AREAS OF PHYSICIANS, HOSPITALS/CLINICS, AND HEALTHCARE INSURANCE. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER.
ADDITIONAL INFORMATION	PART VI, LINE 7: FORM 990, SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, THE HOSPITAL AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
EDELYN L MILLER
DIRECTOR	$885,853	$358,117	$321,689	$234,397	$22,002	$1,822,058	$181,433
JAEWON RYU MD JD
DIRECTOR	$961,804	$471,004	$163,802	$179,214	$39,001	$1,814,825
DAVID T FEINBERG MD MBA
PRESIDENT, DIRECTOR	$2,399,174	$1,339,735	$204,244	$996,710	$28,638	$4,968,501
DANIEL E LOHR ESQUIRE
ACLO, ASST SECTY	$311,659	$82,777	$46,799	$19,212	$24,252	$484,699
DAVID J FELICIO ESQUIRE
EVP, CLO, SECRETARY	$668,203	$273,175	$201,562	$234,351	$24,405	$1,401,696	$70,559
KEVIN F BRENNAN CPA FHFMA
EVP, CFO, TREASURER	$941,959	$427,380	$764,093	$19,212	$17,636	$2,170,280
MICHAEL T HEGSTROM MD
CMO	$462,587		$13,897	$19,212	$23,391	$519,087
KIRK E THOMAS FACHE MHA RRT
CAO, WESTERN REGION								$222,520	$52,036	$23,648	$4,167	$21,492	$323,863
CHRISTINE W MATHEWS RN MSN
VP, NURSING								$79,400		$148,478	$3,800	$219	$231,897
KRISTY M HINE
AVP, FINANCE								$142,463	$21,730	$24,569	$3,067	$23,408	$215,237
NANCY S REINKE
DIRECTOR, HUMAN RESO								$138,890	$13,515	$10,914	$3,002	$25,980	$192,301
PETER A GOYER
RAD. PHYSICIST								$190,594	$100	$6,049	$3,824	$1,914	$202,481
RICHARD F STOMACKIN RPH
DIRECTOR, PHARMACY								$163,703	$15,936	$12,314	$3,679	$20,164	$215,796
KAY HAMILTON RN MS
CAO										$339,983	$5,300	$350	$345,633
ALBERT BOTHE JR MD
FORMER OFFICER	$49,395		$3,048,473	$2,567	$1,465	$3,101,900
RONALD M COWAN
FORMER OFFICER	$197,695	$41,998	$40,841	$18,154	$1,245	$299,933

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4	EDELYN L. MILLER 0 181,433 0 DAVID J. FELICIO, ESQUIRE 0 70,559 0 KEVIN F. BRENNAN, CPA, FHFMA 0 589,978 0 CHRISTINE W. MATHEWS, RN, MSN 110,525 0 0 KAY HAMILTON, RN, MS 296,400 0 0 ALBERT BOTHE, JR., MD 2,933,320 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, PART III	PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	GAYLE H COWAN	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY	RelationshipDescriptionTxt
Transaction	$124,543	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	GAYLE H. COWAN IS A FAMILY MEMBER OF RONALD M. COWAN A FORMER OFFICER OF GEISINGER-LEWISTOWN HOSPITAL.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, PART IX STATEMENT OF FUNCTIONAL EXPENSES, LINE 24E: INCLUDED ON LINE 24E IS UNRELATED BUSINESS INCOME TAX EXPENSE OF 14,156.
FORM 990, PAGE 2, PART III, LINE 4A	MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. I. GENERAL INFORMATION GEISINGER-LEWISTOWN HOSPITAL (GLH), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER, OWNS AND OPERATES A 123-BED ACUTE CARE HOSPITAL IN LEWISTOWN, PA. GLH IS CONVENIENTLY LOCATED ONLY A FEW MILES FROM SEVERAL CENTRAL PENNSYLVANIA MAJOR HIGHWAYS. THE FACILITY OPENED IN 1905 IN RESPONSE TO A PRESSING NEED FOR HEALTH AND WELLNESS CARE IN THE COMMUNITY. DURING THE FISCAL YEAR ENDED JUNE 30, 2018, GLH PROVIDED 20,112 PATIENT DAYS; 4,620 SAME DAY SURGICAL PROCEDURES; AND 29,825 EMERGENCY ROOM VISITS. GLH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. MOST INSURANCES, INCLUDING MEDICARE AND MEDICAID, ARE ACCEPTED, AND ALL PATIENTS ARE OFFERED TREATMENT REGARDLESS OF THE TYPE OF INSURANCE THEY HAVE. NO PATIENT IS EVER REFUSED TREATMENT BECAUSE OF THE INABILITY TO PAY. THE ORGANIZATION ALSO PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SERVICES OFFERED BY GLH INCLUDE: GENERAL MEDICAL CARE IS PROVIDED BY IN-HOUSE HOSPITALISTS AND SUPPORTED BY CONSULTATIVE SERVICES IN THE AREAS OF CARDIOLOGY, INFECTIOUS DISEASE, NEUROLOGY, PULMONOLOGY, ORTHOPEDICS, HEMATOLOGY/ONCOLOGY, OTOLARYNGOLOGY, AND GASTROENTEROLOGY. A FULLY-STAFFED SURGICAL SERVICES SUITE OFFERING FIVE OPERATING ROOMS EQUIPPED FOR VARIOUS TYPES OF INPATIENT AND OUTPATIENT GENERAL AND SPECIALTY SURGICAL PROCEDURES. THE EMERGENCY DEPARTMENT(ED) IS COMMITTED TO PROVIDING HIGH QUALITY, PROMPT EMERGENCY SERVICES. GLH'S ED IS STAFFED 24/7 WITH FULL-TIME PHYSICIANS AND NURSES WHO ARE TRAINED IN ALL SPECIALTIES FROM PEDIATRICS TO CRITICAL CARE. IMMEDIATE ACCESS IS AVAILABLE TO LABORATORY SERVICES; IMAGING SERVICES SUCH AS CT SCANS, ULTRASOUND AND MRI; AND SURGICAL SERVICES. OB/GYN FOCUSES ON ALL ASPECTS OF WOMEN'S HEALTH AND EDUCATION, PROVIDING OBSTETRICAL AND GYNECOLOGICAL CARE FOR WOMEN OF ALL AGES. SERVICES INCLUDE BUT ARE NOT LIMITED TO ROUTINE VISITS AND TREATMENTS, PREVENTATIVE HEALTHCARE, BIRTH CONTROL EDUCATION, FAMILY PLANNING, OBSTETRICS, SURGERY & SURGERY CONSULTATIONS, MENOPAUSE COUNSELING, AND MIDWIFERY. MENTAL HEALTH & PSYCHIATRIC SERVICES PROVIDES ADULT INPATIENT SERVICES DESIGNED TO HELP INDIVIDUALS LIVE AS INDEPENDENTLY AS POSSIBLE. PATIENTS CAN ACCESS QUICK, EFFICIENT ADMISSION 24/7 AND RECEIVE TREATMENT THROUGH A PSYCHIATRIST AVAILABLE ON A DAILY BASIS. ADMISSIONS ARE CONFIDENTIAL AND MAY BE MADE BY PROFESSIONALS AS WELL BY INDIVIDUALS CONCERNED ABOUT THEMSELVES OR OTHERS. DURING HOSPITALIZATION, PATIENT CARE IS PROVIDED THROUGH MULTIPLE PROFESSIONALS WHO COMPRISE THE TREATMENT TEAM. OTHER SERVICES INCLUDE: CARDIAC SERVICES OTHER SURGERY SPECIALTIES CLINICAL NUTRITION OTOLARYNGOLOGY GASTROENTEROLOGY PAIN MANAGEMENT GENERAL SURGERY PATHOLOGY GYNECOLOGY PEDIATRICS ICCU PHYSICAL THERAPY LABORATORY SERVICES PODIATRY NEPHROLOGY PULMONARY/VASCULAR NEUROSURGERY RADIOLOGY NEWBORN NURSERY RESPIRATORY SERVICES ONCOLOGY/COMMUNITY CANCER SLEEP CENTER TREATMENT OPHTHALMOLOGY UROLOGY ORTHOPEDIC WOUND MANAGEMENT INFUSION CENTER GEISINGER LEWISTOWN HOSPITAL ALSO OPERATES A DIPLOMA NURSING PROGRAM AS A DEPARTMENT WITHIN ITS ORGANIZATION. OPENED IN 2008 AND ACCREDITED BY THE NATIONAL LEAGUE OF NURSING IN 2010, THE PROGRAM IS A 2-YEAR, SIX SEMESTER PROGRAM THAT ALSO OFFERS AN LPN TO RN TRACK. THE GEISINGER LEWISTOWN HOSPITAL SCHOOL OF NURSING (GLHSON) EXISTS TO PROVIDE QUALITY NURSING EDUCATION AND SEEKS TO ENGAGE A DIVERSE GROUP OF STUDENTS IN A MANNER THAT ENABLES ITS GRADUATES TO BECOME LEADERS IN PROVIDING COMPETENT AND SAFE BEDSIDE NURSING CARE ACROSS THE CONTINUUM AND THROUGHOUT THE SURROUNDING COMMUNITY. THE GLHSON HAS AN AVERAGE PASS RATE OF 99% FOR THE NCLEX/RN EXAM, WHICH IS A COMPETENCY AND LICENSURE EXAM USED BY ALL STATE NURSING BOARDS IN THE US. THIS HIGH EXAM PASS RATE ALONG WITH THE PROGRAM'S HIGH ADMISSION STANDARDS ARE TWO REASONS THAT THE PROGRAM HAS BEEN NAMED ONE OF THE TOP RANKED RN PROGRAMS IN PA BY REGISTERED NURSING.ORG, A NATIONAL RANKING ORGANIZATION, FOR THE LAST THREE YEARS. IN FY18, GLH COMPLETED PREPARATIONS FOR A FAMILY PRACTICE RESIDENCY PROGRAM, WHICH INCLUDED CONTRACTING WITH A CONSULTING FIRM, HIRING APPROPRIATE STAFF AND COMPLETING A SITE SURVEY. IN MAY 2018, GLH HIRED THE FIRST 4 FAMILY PRACTICE RESIDENTS INTO THE PROGRAM WHICH WILL OPERATE ON A 3-YEAR ROTATION, SO THAT BY THE THIRD YEAR OF THE PROGRAM, THERE COULD BE 12 FAMILY PRACTICE RESIDENTS ON SITE. II. UNCOMPENSATED CARE GEISINGER-LEWISTOWN HOSPITAL RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GLH PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF GLH IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF CENTRAL PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GLH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2018, THE TOTAL COST OF THE CHARITY CARE WAS 1.7 MILLION. B. MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GLH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GLH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 20.2 MILLION DURING THE FISCAL YEAR ENDED JUNE 30, 2018. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GLH PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2018, WAS 840 THOUSAND. D. OTHER UNINSURED FOR UNINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE OR GOVERNMENT OR PRIVATE PROGRAMS GLH OFFERS PAYMENT DISCOUNTS AND TIME PAYMENTS WITHOUT INTEREST OR FEES. III. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER-LEWISTOWN HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GLH. IN FY18, THE VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 9,587 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION, 246 THOUSAND, IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. IV. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GLH STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GLH PROVIDES MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. AT A COST OF 121 THOUSAND, THESE SERVICES AND PROGRAMS INCLUDED: SUPPORT GROUPS, COMMUNITY HEALTH EDUCATION, HEALTH SCREENINGS AND OTHER UNIQUE SERVICES. GLH PROVIDES PROGRAMS FOR ALL DEMOGRAPHICS. A. SUPPORT GROUPS PREGNANCY SUPPORT: G-LH OFFERS LOW-COST PREPARED CHILDBIRTH AND BREASTFEEDING CLASSES TO PROMOTE POSITIVE OUTCOMES FOR EXPECTANT MOTHERS AND INFANTS THROUGH REALISTIC INSTRUCTION AND ACHIEVABLE GOALS. CLASSES FOCUS ON PREPARING FOR LABOR, DELIVERY AND POSTPARTUM. B. COMMUNITY HEALTH EDUCATION COMMUNITY HEALTH NEEDS ASSESSMENT OTHER CHRONIC DISEASE MANAGEMENT DIABETES MANAGEMENT DRUG & ALCOHOL COUNSELING WOMEN'S HEALTH RELATED TOPICS SMOKING CESSATION NUTRITION CLASSES LIVING WILLS PREPARING FOR YOUR DOCTOR'S VISIT MEDICATION SAFETY HEART DISEASE/FAILURE PREVENTION CANCER PREVENTION(SKIN, COLON, INFECTION CONTROL BREAST, PROSTATE) SENIOR CITIZEN EDUCATION & OUTREACH LIFE SAFETY/CPR CLASSES C. HEALTH SCREENINGS BLOOD PRESSURE BLOOD SUGAR LEVELS LUNG FUNCTION SCREENINGS BONE DENSITY HEAL SCANS DEPRESSION SCREENINGS SKIN CANCER SCREENING STROKE RISK ASSESSMENT D. OTHER SERVICES JUNIOR VOLUNTEER PROGRAM SILVER CIRCLES PROGRAM HEALTH FAIRS LOCAL ROTARY CLUB COALITION BUILDING AMISH COMMUNITY VISITS EDUCATION IN HEALTHCARE CAREERS COLLABORATE WITH LOCAL FACILITY TOURS FOR LOCAL SCHOOLS COMMUNITY HEALTH ADVOCACY GROUP V. PLANNED FUTURE ACTIVITIES IN KEEPING WITH ITS MISSION, GLH IS WORKING TO FULFILL THE HEALTH NEEDS OF ITS SURROUNDING COMMUNITIES BY PLANNING FOR THE FOLLOWING SERVICES OR ACTIVITIES IN THE UPCOMING FISCAL YEARS: IN THE FALL OF 2018, GLH ENTERED INTO A LEASE AGREEMENT FOR SPACE FOR A LABORATORY DRAW STATION IN A NEARBY, NEWLY CONSTRUCTED MEDICAL OFFICE BUI
FORM 990, PART V	FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF 1099'S FILED BY GSS FOR THE 2017 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,739. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN. IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF.
FORM 990, PART VI	FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, THREE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS 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, DAVID T. FEINBERG, MD, MBA, EARL FOURA, EDELYN L. MILLER, JAEWON RYU, MD, JD, KEVIN F. BRENNAN, CPA, FHFMA, ROBERT J. DIETZ, V. CHRIS HOLCOMBE, PE, AND VIRGINIA MCGREGOR ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER.
FORM 990, PAGE 6, PART VI, LINE 6	THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE.
FORM 990, PAGE 6, PART VI, LINE 11B	ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD.
FORM 990, PAGE 6, PART VI, LINE 12C	THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEES AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.
FORM 990, PAGE 6, PART VI, LINE 15A	THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15B	SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A.
FORM 990, PAGE 6, PART VI, LINE 19	THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS. FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9	PENSION ADJUSTMENT 10,461,633 TRANSFER FROM PARENT, GEISINGER HEALTH FOR PPE 62,528 OTHER CHANGES IN TEMPORARILY RESTRICTED 738 TOTAL 10,524,899
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 MED CTR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231996150	HOSPITAL	PA	501C3	3		Yes (true)	GH
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232171417	D&A REHAB	PA	501C3	3		Yes (true)	GH
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232311553	HEALTH INS	PA	501C4			Yes (true)	GH
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232164794	SUPPORT SV	PA	501C3	12A		Yes (true)	GH
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232967235	HEALTHCARE	PA	501C3	10		Yes (true)	GSS
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	141909894	SELF INS	VT	501C3	12A		Yes (true)	GH
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240862246	HOSPITAL	PA	501C3	3		Yes (true)	GH
MOUNTAIN VIEW NURSING HOME INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232568288	LONG TERM	PA	501C3	10		Yes (true)	GH
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232193572	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER-BLOOMSBURG HEALTHCARE CTR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232242854	SKILLED NU	PA	501C3	10		Yes (true)	GH
LEWISTOWN AMBULATORY CARE CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344362	HOLDING CO	PA	501C3	12A		Yes (true)	GH
FAMILY HEALTH ASSOCIATES OF GLH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251651582	PHYSICIAN	PA	501C3	12A		Yes (true)	GH
KEYSTONE HEALTH INFORMATION EXCH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	464359893	RHIO	PA	501C3	12A		Yes (true)	GH
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232337286	SUPPORT SV	PA	501C3	12A		Yes (true)	CMC
HOLY SPIRIT HEALTH SYSTEM
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251865142	PHILANTHRO	PA	501C3	12A		Yes (true)	GH
HOLY SPIRIT HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231512747	HOSPITAL	PA	501C3	3		Yes (true)	HSHS
HOLY SPIRIT CORPORATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232214540	HOLDING CO	PA	501C2			Yes (true)	HSHS
SPIRIT PHYSICIAN SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251766971	PHYSICIAN	PA	501C3	10		Yes (true)	HSHS
WEST SHORE ADVANCED LIFE SUPP SVCS
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232463002	HEALTHCARE	PA	501C3	7		Yes (true)	HSHS
GEISINGER COMMONWEALTH SCH OF MED
525 PINE STREET	SCRANTON	PA	18509	260812968	EDUCATION	PA	501C3	2		Yes (true)	GH
GEISINGER JERSEY SHORE HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240792115	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER JERSEY SHORE HOSPITAL FND
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232480603	HEALTHCARE	PA	501C3	3		Yes (true)	GH
ATLANTICARE BEHAVORIAL HEALTH INC
2511 FIRE ROAD	EGG HARBOR TOWNSHIP	NJ	08234	210721208	HEALTHCARE	NJ	501C3	7		Yes (true)	ARHS
ATLANTICARE FOUNDATION
6725 DELILAH ROAD	EGG HARBOR TOWNSHIP	NJ	08234	222148992	SUPPORT AR	NJ	501C3	7		Yes (true)	AH SYSTEM
ATLANTICARE HEALTH ENGAGEMENT INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	611608389	HEALTHCARE	NJ	501C3	12A		Yes (true)	AH SYSTEM
ATLANTICARE HEALTH SERVICES INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223265214	HEALTHCARE	NJ	501C3	10		Yes (true)	ARHS
ATLANTICARE HEALTH SYSTEM INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223265213	SUPPORT AR	NJ	501C3	12A		Yes (true)	GH
ATLANTICARE REGIONAL MEDICAL CENTER
1925 PACIFIC AVENUE	ATLANTIC CITY	NJ	08401	210634549	HOSPITAL	NJ	501C3	3		Yes (true)	ARHS
ATLANTICARE PHYSICIAN GROUP PA
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	020701782	HEALTHCARE	NJ	501C3	10		Yes (true)	AH SYSTEM
ATLANTICARE REGIONAL HEALTH SERVICE
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	800834222	HOLDING CO	NJ	501C3	12A		Yes (true)	AH SYSTEM
GNJ PHYSICIANS GROUP PC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	820681884	HEALTHCARE	NJ	501C3	10		Yes (true)	GH

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
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	N/A	false	false
GRANDVIEW SURGERY CENTER LTD
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	521597483	HEALTHCARE	PA	N/A	false	false
LACKAWANNA PHYS AMB SURG CTRLLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	233024998	HEALTHCARE	PA	N/A	false	false
SOUTHERN JERSEY ONCOLOGY PROPERTIES
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	943463625	HEALTHCARE	NJ	N/A	false	false
ATLANTICARE SURGERY CENTER LLC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223491867	HEALTHCARE	NJ	N/A	false	false
COOPERATIVE HEALTH SRVS OF S JERSEY
1301 ATLANTIC AVENUE	ATLANTIC CITY	NJ	08401	223619231	PURCHASING	NJ	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ISS SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232077663	HOTEL/REST	PA	N/A	Yes (true)
GEISINGER INDEMNITY INSURANCE CO
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232815174	HLTH INSUR	PA	N/A	Yes (true)
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	204275139	HLTH INSUR	PA	N/A	Yes (true)
XG HEALTH SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461657345	CONSULTING	DE	N/A	Yes (true)
GEISINGER ASSURANCE COMPANY LTD
				981016737	INSURANCE		N/A	Yes (true)	878 WEST BAY ROAD PO BOX 1159	GRAND CAYMAN	GRAND CAYMAN	CJ	KY1-1102	CJ
HOLY SPIRIT VENTURES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232407709	MED. SERV.	PA	N/A	Yes (true)
ENGLISH CREEK ASSURANCE LTD
				980656394	FINANCIAL		N/A	Yes (true)	44 CHURCH STREET HM12 HAMILTON	BERMUDA	BERMUDA	BD		BD
ATLANTICARE HEALTH SOLUTIONS INC
2500 ENGLISH CREEK AVENUE BLDG 500	EGG HARBOR TOWNSHIP	NJ	08234	383856295	ACO/HEALTH	NJ	N/A	Yes (true)
ATLANTICARE ASSURANCE ALLIANCE INC
2500 ENGLISH CREEK AVENUE BLDG 500	EGG HARBOR TOWNSHIP	NJ	08234	463730123	HEALTHCARE	NJ	N/A	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	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
COMMUNITY MEDICAL CENTER
L	$374	GAAP
GEISINGER ASSURANCE COMPANY
M	$335,061	GAAP
GEISINGER CLINIC
L	$462,749	GAAP
GEISINGER CLINIC
M	$4,792,043	GAAP
GEISINGER CLINIC
K	$4,608	GAAP
GEISINGER CLINIC
A	$225	GAAP
GEISINGER HEALTH
L	$1,814	GAAP
GEISINGER HEALTH
C	$115,756	GAAP
GEISINGER HEALTH PLAN
L	$36,043,860	GAAP
GEISINGER INSURANCE CORPORATIONRRG
P	$12,543	GAAP
GEISINGER MEDICAL CENTER
L	$14,078	GAAP
GEISINGER MEDICAL CENTER
M	$2,903,538	GAAP
GEISINGER SYSTEM SERVICES
M	$11,527,599	GAAP
GEISINGER SYSTEM SERVICES
L	$1,940	GAAP
GEISINGER SYSTEM SERVICES
A	$23,820	GAAP
GEISINGER WYOMING VALLEY MEDICAL CT
M	$28,613	GAAP
GEISINGER WYOMING VALLEY MEDICAL CT
L	$7,125	GAAP
HOLY SPIRIT HOSPITAL
L	$810	GAAP
HOLY SPIRIT HOSPITAL
M	$6,829	GAAP
ISS SOLUTIONS INC
M	$2,269,977	GAAP
LEWISTOWN AMBULATORY CARE CORP
L	$31,200	GAAP
LEWISTOWN AMBULATORY CARE CORP
K	$522,684	FMV
SPIRIT PHYSICIAN SERVICES INC
L	$390	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
L	$559	GAAP
GEISINGER COMMUNITY HEALTH SERVIES
M	$14,094	GAAP
GEISINGER JERSEY SHORE HOSPITAL
L	$3,500	GAAP
GEISINGER BLOOMSBURG HOSPITAL
L	$65	GAAP

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER-LEWISTOWN 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