2018-05-11T08:27:12-04:00 2017-06-30 990 2016-07-01 232193572 GEISINGER-BLOOMSBURG HOSPITAL GEIS 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 DAVID J FELICIO ESQUIRE CLO, SECRETARY 5702716624 2018-05-02 9954C644C6ABBAD4A0F7965D11F050AC36C618A5 0D6111DE887E7AF52DE09838A5A5DE7E32FE3032 2016 2021-01-29 14:40:06Z DAVID T FEINBERG MD MBA 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 45071166 false X WWW.GEISINGER.ORG X 1982 PA 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....SEE SCHEDULE O 7 4 411 86 67707 -34371 0 38606304 44091896 334614 243817 938312 660716 39879230 44996429 300 300 0 18356042 21269742 0 0 23127335 27342764 41483677 48612806 -1604447 -3616377 30536802 35387455 44167819 41465187 -13631017 -6077732 X 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. false false 45870429 300 44340887 HEALTHCARE - SEE SCHEDULE O TO OPERATE A 76 BED GENERAL MEDICAL AND SURGICAL HOSPITAL WHICH PROVIDED 4,659 PATIENT DAYS; 4,444 BEHAVIOR HEALTH SERVICES PATIENT DAYS; 603 NURSERY PATIENT DAYS; 3,013 SAME DAY SURGICAL CASES; 17,943 EMERGENCY DEPARTMENT VISITS DURING THE YEAR ENDED JUNE 30, 2017. THE ORGANIZATION ALSO PROVIDED CHARITY CARE TO PATIENTS WHO MET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. I.GENERAL INFORMATION GEISINGER-BLOOMSBURG HOSPITAL (GBH), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER, OWNS AND OPERATES A 76 BED, ACUTE CARE, HOSPITAL IN BLOOMSBURG, PA. GBH IS CONVENIENTLY LOCATED ONLY A FEW MILES FROM SEVERAL MAJOR HIGHWAYS THROUGHOUT CENTRAL PA. THE FACILITY OPENED IN 1905, ANSWERING A PRESSING NEED FOR HEALTH AND WELLNESS CARE IN THE COMMUNITY. GBH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. II. MAJOR PROGRAM SERVICES SERVICES OFFERED BY GBH INCLUDE: GENERAL MEDICAL CARE PROVIDED BY IN-HOUSE HOSPITALIST AND SUPPORTED BY CONSULTATIVE SERVICES IN THE AREAS OF CARDIOLOGY, NEUROLOGY AND PULMONOLOGY. EMERGENCY DEPARTMENT IS COMMITTED TO PROVIDING HIGH QUALITY, PROMPT EMERGENCY SERVICES. GBH'S ED IS STAFFED 24/7 WITH FULL-TIME PHYSICIANS AND NURSES THAT ARE TRAINED IN EMERGENCY MEDICINE AND ARE PREPARED TO TREAT CASES FROM PEDIATRICS TO CRITICAL CARE. IMMEDIATE ACCESS TO LABORATORY SERVICES, X-RAYS, CAT SCANS, 3D-4D ULTRASOUND, MRI AND SURGICAL SERVICES. MOST INSURANCES, INCLUDING MEDICARE AND MEDICAID, ARE ACCEPTED AND NO PATIENT IS REFUSED TREATMENT BECAUSE OF INABILITY TO PAY. THE WOMAN'S HEALTH UNIT FOCUSES ON ALL ASPECTS OF WOMEN'S HEALTH AND EDUCATION, PROVIDING OBSTETRICAL AND GYNECOLOGICAL CARE FOR WOMEN OF ALL AGES. SERVICES INCLUDE BUT NOT LIMITED TO ROUTINE VISITS AND TREATMENTS, PREVENTATIVE HEALTHCARE, BIRTH CONTROL EDUCATION, FAMILY PLANNING, OBSTETRICS, SURGERY & SURGERY CONSULTATIONS, MENOPAUSE COUNSELING, MIDWIFERY, LACTATION EDUCATION AND SUPPORT. MENTAL HEALTH & PSYCHIATRIC SERVICES IS A DESIGNATED COUNT 302 TRIAGE SITE THAT PROVIDES BOTH INPATIENT AND OUTPATIENT SERVICES DESIGNED TO HELP INDIVIDUALS LIVE AS INDEPENDENTLY AS POSSIBLE. ADULTS TO GERIATRICS CAN ACCESS QUICK, EFFICIENT ADMISSION 24/7 AND RECEIVE TREATMENT THROUGH ONE- ON-ONE PATIENT COUNSELING, TREATMENT MEETINGS AND ACTIVITIES 7 DAYS PER WEEK. A PSYCHIATRIST IS AVAILABLE ON A DAILY BASIS. ADMISSIONS ARE CONFIDENTIAL AND MAY BE MADE BY PROFESSIONALS AS WELL BY INDIVIDUALS CONCERNED ABOUT THEMSELVES OR OTHERS. INPATIENT CARE IS PROVIDED THROUGH MULTIPLE PROFESSIONALS WHO COMPRISE THE TREATMENT TEAM. OTHER SERVICES INCLUDE: CARDIAC SERVICES SURGERY SPECIALTIES- RADIOLOGY ORTHOPEDIC ICCU UROLOGY LABORATORY SERVICES OTOLARYNGOLOGY PHYSICAL THERAPY GYNECOLOGY RESPIRATORY SERVICES GENERAL SURGERY SLEEP SERVICES III. PROGRAM SERVICE ACCOMPLISHMENTS UNCOMPENSATED CARE GEISINGER-BLOOMSBURG HOSPITAL RECOGNIZES ITS MISSION IN THIS REGARD; GBH 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 GBH 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 GBH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2017, THE COST OF PROVIDING CHARITY CARE WAS 997,709. B.MEDICARE/MEDICAID/OTHER GOVERNMENTAL IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GBH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID), AS WELL AS OTHERS. GBH 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 8,703,662 DURING THE FISCAL YEAR ENDED JUNE 30, 2017. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GBH PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2017, WAS 105,892. RESIDENCY PROGRAMS: GBH HOSTS EMERGENCY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, AND NEUROLOGY, PEDIATRIC AND PSYCHIATRIC RESIDENTS AS A PART OF THEIR EDUCATION REQUIREMENTS UNDER GEISINGER MEDICAL CENTER'S ACCREDITED PROGRAMS. ALL OF THE PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION, OR THE AMERICAN OSTEOPATHIC ASSOCIATION. IN FY 2017, THE UNCOMPENSATED COSTS FOR GRADUATE MEDICAL EDUCATION TOTALED 344,043. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GBH STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GBH PROVIDES MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. THESE SERVICES AND PROGRAMS INCLUDE SUPPORT GROUPS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A. CLINICAL SERVICES THE COST TO GBH OF PROVIDING NUTRITIONAL SERVICES FOR THE ALS CLINIC DURING THE FISCAL YEAR WITH 72 ATTENDEES AND A COST OF 623. B. HEALTH EDUCATION GBH SPONSORS REGULAR COMMUNITY EDUCATION PROGRAMS. THE APPROXIMATE COST IS 23,233 WITH 11,773 ATTENDEES ON TOPICS SUCH AS: COMMUNITY NUTRITION PRESENTATIONS SENIOR EDUCATION HEALTH FAIRS STUDENT HEALTH EDUCATION C. COMMUNITY BUILDING ACTIVITIES GBH IS DEVELOPING NEW PROGRAMS TO IMPROVE THE SURROUNDING COMMUNITY WHILE WORKING TOGETHER WITH THE FOLLOWING OUTSIDE ORGANIZATIONS TO DETERMINE THE NEEDS SUCH AS: BLOOMSBURG UNIVERSITY ADVISORY COLUMBIA COUNTY UNITED WAY KIWANIS CLUB COLUMBIA MONTOUR CHAMBER VOLUNTEER AUXILIARY MEMBERS COLUMBIA COUNTY HUMAN SERVICES COALITION GENERAL MEETINGS COLUMBIA CHILD DEVELOPMENT PROGRAM MEETINGS THE COST OF THESE ACTIVITIES DURING THE FISCAL YEAR WAS 12,730. D. HEALTH CARE SUPPORT SERVICES - MEALS/NUTRITION SERVICES IN CONJUNCTION WITH CHARITABLE COMMUNITY ORGANIZATIONS AND/OR BUSINESS, GBH PARTICIPATED IN ACTIVITIES AT A COST TO GBH OF 12,121. ACTIVITIES INCLUDED A VETERAN'S DINNER, CLOTHING FOR PSYCH PATIENTS, MEDICATION DROP OFF CONTAINERS AND BUS AND CAB FARE FOR INDIGENT PATIENTS. E. FINANCIAL COMMUNITY DONATIONS GBH OFFERS A 300 SCHOLARSHIP TO A BLOOMSBURG HIGH SCHOOL SENIOR WHO WANTS TO PURSUE A DEGREE IN NURSING. F. FINANCIAL DONATIONS FOR THE COMMUNITY AT A COST OF 7,033, LINEN CLEANING AND EXCHANGE PROGRAM FOR AMBULANCES G. COMMUNITY BENEFIT OPERATIONS THE COST OF DEDICATED STAFF PARTICIPATING ON THE CHNA TEAM 596. H. COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS THE COST OF 4,239, BETTER BREATHERS SUPPORT GROUP. I. HEALTH PROFESSIONS EDUCATION THE COST OF 91,396, STUDENT VOLUNTEER, NURSE EXTERN AND INTERNS SUPERVISION. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER BLOOMSBURG HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE IMPORTANT CONTRIBUTION TO THE MISSION OF GBH. VOLUNTEERS FROM LOCAL COMMUNITIES HAVE CONTRIBUTED 9,350 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. COMMUNITY BENEFITS SUMMARY CHARITY CARE 997,709 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 8,703,662 OTHER UNCOMPENSATED PATIENT SERVICES 105,892 HEALTH PROFESSIONS EDUCATION 344,043 COMMUNITY HEALTH, EDUCATION, OUTREACH AND OTHER 152,271 COMMUNITY ASSISTANCE PAYMENT 4,152 VOLUNTEER SERVICES (VALUED AT 06/30/17 PA STATEWIDE AVERAGE WEEKLY WAGE) 232,628 TOTAL 10,540,357 STATISTICS FISCAL YEAR ENDED JUNE 30, 2017 ADMISSIONS (INCLUDING NEWBORNS) 2,666 ADMISSIONS (EXCLUDING NEWBORNS) 2,371 OUTPATIENT VISITS INCLUDING EMERGENCY DEPARTMENT 30,954 DISCHARGES (EXCLUDING NEWBORNS) 2,394 AVERAGE LENGTH OF STAY 3.8 PERCENT OF OCCUPANCY (EXCLUDING NEWBORNS) 34.40% PATIENT SERVICE DAYS (EXCLUDING NEWBORNS) 9,087 TOTAL OR CASES 3,391 LICENSED BEDS (EXCLUDING BASSINETS) 76 BASSINETS IN NURSERY 10 45870429 true false false true false false false false false true true false false true true false false true false false false false false false false false true true false false true false false false false 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0 ROBERT E POOLE DIRECTOR 0.25 3.25 X 0 0 0 THOMAS H LEE JR MD MSC DIRECTOR 0.25 3.50 X 0 0 0 V CHRIS HOLCOMBE PE DIRECTOR 0.25 3.00 X 0 0 0 VIRGINIA MCGREGOR DIRECTOR 0.25 3.25 X 0 0 0 WILLIAM H ALEXANDER DIRECTOR 0.25 3.50 X 0 0 0 WILLIAM R GRUVER DIRECTOR 0.25 3.25 X 0 0 0 WILLIAM E SORDONI DIRECTOR 0.25 3.25 X 0 0 0 DAVID T FEINBERG MD MBA PRES, FMR CH 40.00 X X 0 3189400 407514 DANIEL E LOHR ESQUIRE ACLO, ASST S 40.00 X 0 364409 42078 DAVID J FELICIO ESQUIRE CLO, SECRETA 40.00 X 0 818666 167300 FRANK J TREMBULAK SR VP, TREAS 40.00 X 0 1585085 224154 KEVIN F BRENNAN CPA FHFMA EVP, CFO, TR 40.00 X 0 1493043 39595 LISSA L BRYAN SMITH CAO 40.00 X 0 369526 35088 STEPHEN J PAOLUCCI MD CMO 40.00 X 0 553414 43117 BONNIE S HESS RN VP, CNO 40.00 X 184434 0 29799 BRENDA ALBERTSON NURSING OPS 40.00 X 33345 91090 34469 JEREMY R SCOTT MANAGER, PHA 40.00 X 26005 79445 26829 JOSEPH J SEMBORSKI RPH CLINICAL PHA 40.00 X 124655 0 15615 SHERRY L HAUN RN RN, INPATIEN 40.00 X 101380 0 29906 TIMOTHY J GUSCHEL PHARMD DIRECTOR, PH 40.00 X 133702 24021 28109 ALBERT BOTHE JR MD FORMER OFFIC 40.00 X 0 1075791 195096 EDWARD J ZYCH ESQUIRE FORMER OFFIC 40.00 X 0 123138 0 ERIN M FITZGERALD CPA FHFMA FORMER 5 HIG 40.00 X 0 260379 24261 JEAN R THOMAS CRNA FORMER 5 HIG 40.00 X 0 163281 17388 JOSEPH P RUDA CRNA FORMER 5 HIG 40.00 X 0 249833 34496 LINDA D BRENNAN CRNA FORMER 5 HIG 40.00 X 0 245440 25131 PATRICK J ERWIN MD FORMER OFFIC 40.00 X 0 449536 49221 PENNY E YENCHICK CRNA FORMER 5 HIG 40.00 X 0 223075 32578 THOMAS G SMITH CRNA FORMER 5 HIG 40.00 X 0 413475 41325 603521 13214555 1969311 1 true true false HCSC 2171 28TH ST SW ALLENTOWN PA 18103 LAUNDRY 167794 HEALTHSOUTH GHS LLC 2 REHAB LANE DANVILLE PA 17821 MEDICAL SERVICE 155489 CROSS COUNTRY STAFFING PO BOX 404674 ATLANTA GA 303844674 TEMPORARY HELP 131956 3 X PATIENT SERVICE REVENUE 621110 43028591 43028591 RENTAL INCOME 531120 866999 866999 IC NON PROFIT SHARED SERVICES 541900 128599 128599 LABORATORY SERVICES 621500 67707 67707 44091896 275394 275394 86 86 179378 33169 146209 146209 146209 9905 41568 -31663 -31663 -31663 CAFETERIA SALES 722514 204286 204286 PURCHASE DISCOUNTS 900099 156795 156795 MEANINGFUL USE REVENUE 900099 92196 92196 61230 61230 514507 44996429 43406181 67707 1522541 300 300 212140 212140 15471499 14906719 564780 1495612 1441754 53858 2907854 2803140 104714 1182637 1140049 42588 333156 333156 9804 6000 3804 594 594 23917 3289 20628 2063860 1466355 597505 19852 2372 17480 1476985 1329181 147804 8083 7396 687 1360033 1284056 75977 33765 29567 4198 986 836 150 751703 709710 41993 2154670 2045017 109653 412331 288632 123699 INTER-ENTITY SERVICES 12702386 12251420 450966 MEDICAL SUPPLIES 4960908 4913022 47886 IC TEACHING & ADMIN REV 510654 510654 UNCOLLECTIBLE EXPENSE 495243 495243 23834 23577 257 48612806 45870429 2742377 0 2970863 5910055 36300 6318 1265529 1315013 324190 324992 190180 135750 26613281 10517681 15040255 16095600 33505 116536 565827 694018 164093 185380 9946060 10603793 30536802 35387455 862085 837675 23316750 25086165 19988984 15541347 44167819 41465187 X -22365434 -15408395 -10938 -12000 8745355 9342663 -13631017 -6077732 30536802 35387455 -3616377 699686 10469976 X X false true X true true true X false false false false false false false false true 594 594 false SCHEDULE C, PART II-B, LINE 1 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. 8734417 12000 9330663 9063100 11073 134 8734417 9165426 32985 166 9063101 8369276 23102 174 20160 9165426 7917508 51067 34087 8369275 0.99000 0.01000 false false 422883 422883 9804336 3831199 5973137 14420662 6366770 8053892 1965400 319712 1645688 16095600 BENEFICIAL INTEREST, PERPETUAL TRUST 9347709 DUE FROM AFFILIATES 858870 DEFERRED COMPENSATION 389446 ACCRUED INTEREST 7434 OTHER RECEIVABLES 334 10603793 PENSION COSTS 8698936 DUE TO AFFILIATES 3659791 MEDICAL MALPRACTICE CLAIMS 1595413 EST. 3RD PARTY PAYOR SETTLEMENTS 1229423 PATIENT CREDITS AND REFUNDS 214248 MEDICAL STAFF AND OTHER LIABILITY 72257 DEFERRED RENT 71279 15541347 SCHEDULE D, PAGE 2, PART V, LINE 4 PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE HELD AT UNRELATED FUNANCIAL INSTITUTIONS WHO ARE RESPONSBILE FOR MAINTAINING AND INVESTING THE PRINCIPLE AND THE DISTRIBUTION OF THE FUND IN ACCORDANCE WITH THE DONOR STIPULATIONS. DISTRIBUTIONS FROM THE FUNDS ARE MADE BY THE RESPECTIVE FINANCIAL INSTITUTONS TO GEISINGER BLOOMSBURG HOSPITAL WHO USES THE FUNDS AS DIRECTED IN THE TRUST AGREEMENTS. PART XIII - SUPPLEMENTAL FINANCIAL INFORMATION PART X, LINE 2-LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): EFFECTIVE JULY 1, 2007, GEISINGER (1) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS109"). 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, MEANSUREMENT, 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 YEAR 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. true true X true X 3.000000000000 false true true false true true 997709 997709 0.02050 8901166 4631316 4269850 0.08780 247915 170596 77319 0.00160 10146790 4801912 5344878 0.10990 152271 152271 0.00310 416610 72567 344043 0.00710 4152 4152 0.00010 573033 72567 500466 0.01030 10719823 4874479 5845344 0.12020 true 495243 44572 5657492 7960249 -2302757 X true true 1 1 GEISINGER-BLOOMSBURG HOSPITAL 549 FAIR STREET BLOOMSBURG PA 17815 WWW.GEISINGER.ORG 025001 X X X GEISINGER-BLOOMSBURG HOSPITAL 1 false false true X X X X X X X X 15 true true false true X WWW.GEISINGER.ORG X WWW.GEISINGER.ORG X true 16 true WWW.GEISINGER.ORG false true X 300.000000000000 X X X X X true true X X X X true X WWW.GEISINGER.ORG - REFER TO SECTION C X WWW.GEISINGER.ORG - REFER TO SECTION C X WWW.GEISINGER.ORG - REFER TO SECTION C X X X X X X X true X false X X X X X true X false false FACILITY 1, GEISINGER-BLOOMSBURG HOSPITAL - PART V, LINE 5 SECTION B., COMMUNITY HEALTH NEEDS ASSESSMENT, LINES 3 AND 5 GEISINGER-BLOOMSBURG HOSPITAL (GBH), A 72-BED COMMUNITY HOSPITAL LOCATED IN BLOOMSBURG, PA, IN RESPONSE TO ITS COMMUNITY COMMITMENT, CONTRACTED WITH TRIPP UMBACH TO FACILITATE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BETWEEN OCTOBER 2014 AND MARCH 2015. AS A PARTNERING HOSPITAL OF A REGIONAL COLLABORATIVE EFFORT TO ASSESS COMMUNITY HEALTH NEEDS; GBH COLLABORATED WITH HOSPITALS AND OUTSIDE ORGANIZATIONS IN THE SURROUNDING REGION (INCLUDING COLUMBIA, LUZERNE AND MONTOUR 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: AGAPE, BLOOMSBURG AREA SCHOOL DISTRICT, BLOOMSBURG UNIVERSITY, CARING COMMUNITIES FOR AIDS, CENTRAL SUSQUEHANNA COMMUNITY FOUNDATION, CENTRAL SUSQUEHANNA OPPORTUNITIES CMSU, COLUMBIA COUNTY, COLUMBIA COUNTY VOLUNTEERS IN MEDICINE, COLUMBIA MONTOUR AGENCY ON AGING, COLUMBIA MONTOUR CHAMBER OF COMMERCE, COLUMBIA MONTOUR FAMILY HEALTH, COLUMBIA-SULLIVAN HEAD START, DENTAL HEALTH CLINIC, PA DEPARTMENT OF HEALTH, MONTOUR COUNTY HEAD START, NORTHERN COLUMBIA COMMUNITY & CULTURAL CENTER, NURSE FAMILY PARTNERSHIP, TAPESTRY OF HEALTH AND UNITED WAY OF WYOMING VALLEY WOMEN'S CENTER. TRIPP UMBACH, HEADQUARTERED IN PITTSBURGH, PA, IS A RECOGNIZED NATIONAL LEADER IN CONDUCTING CHNAS, HAVING CONDUCTED MORE THAN 250 CHNAS OVER THE PAST 20 YEARS. TODAY, MORE THAN 1 IN 5 AMERICANS LIVE IN A COMMUNITY WHERE TRIPP UMBACH HAS COMPLETED A CHNA. PAUL UMBACH, FOUNDER AND PRESIDENT OF TRIPP UMBACH, IS AMONG THE MOST EXPERIENCED COMMUNITY HEALTH PLANNERS IN THE NATION, HAVING DIRECTED PROJECTS IN EVERY STATE AND INTERNATIONALLY. TRIPP UMBACH HAS WRITTEN TWO NATIONAL GUIDE BOOKS ON THE TOPIC OF COMMUNITY HEALTH AND HAS PRESENTED AT MORE THAN 50 STATE AND NATIONAL HEALTH CONFERENCES. THE 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 MEETINGS WAS FACILITATED BY TRIPP UMBACH AND THE CHNA OVERSIGHT COMMITTEE CONSISTING OF LEADERSHIP FROM GBH AND OTHER PARTICIPATING HOSPITALS AND ORGANIZATIONS (I.E., GEISINGER MEDICAL CENTER, HEALTHSOUTH/GEISINGER HEALTH SYSTEM LLC; GEISINGER WYOMING VALLEY MEDICAL CENTER; GEISINGER SOUTH WILKES-BARRE; GEISINGER COMMUNITY MEDICAL CENTER; GEISINGER LEWISTOWN HOSPITAL; AND EVANGELICAL COMMUNITY 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 ANALYSES OF HEALTH STATUS AND SOCIO-ECONOMIC ENVIRONMENTAL FACTORS RELATED TO THE HEALTH OF RESIDENTS OF THE GEISINGER-BLOOMSBURG HOSPITAL 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 ADDITIONAL DATA SOURCES. TRENDING FROM 2012 CHNA: IN 2012, GBH CONTRACTED WITH TRIPP UMBACH TO COMPLETE A CHNA FOR THE SAME COUNTIES INCLUDED IN THE SERVICE AREA (COLUMBIA, LUZERNE, AND MONTOUR COUNTIES). THE DATA SOURCES USED WERE THE SAME DATA SOURCES FROM THE 2012 CHNA, WHICH MADE IT POSSIBLE TO REVIEW TRENDS AND CHANGES ACROSS THE HOSPITAL SERVICE AREA. DATA AND FINDINGS FROM THE PREVIOUS CHNA WERE CONSIDERED AND CARRIED OVER TO THIS CHNA WHEN APPLICABLE. 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 CHNA OVERSIGHT COMMITTEE TO IDENTIFY LEADERS FROM ORGANIZATIONS THAT INCLUDED 1) PUBLIC HEALTH EXPERTISE; 2) PROFESSIONALS WITH ACCESS TO COMMUNITY HEALTH RELATED DATA; AND 3) REPRESENTATIVES OF UNDERSERVED POPULATIONS (I.E., SENIORS, LOW-INCOME RESIDENTS, AND RESIDENTS THAT ARE UNINSURED). SUCH PERSONS WERE INTERVIEWED AS PART OF THE NEEDS ASSESSMENT PLANNING PROCESS. A SERIES OF 12 INTERVIEWS WAS COMPLETED WITH KEY STAKEHOLDERS IN THE GBH COMMUNITY, INCLUDING: AGAPE, BLOOMSBURG AREA SCHOOL DISTRICT, BLOOMSBURG UNIVERSITY, CARING COMMUNITIES FOR AIDS, CENTRAL SUSQUEHANNA COMMUNITY FOUNDATION, COLUMBIA COUNTY, COLUMBIA COUNTY VOLUNTEERS IN MEDICINE, COLUMBIA MONTOUR AGENCY ON AGING, COLUMBIA MONTOUR CHAMBER OF COMMERCE, COLUMBIA MONTOUR FAMILY HEALTH, COLUMBIA-SULLIVAN HEAD START, DENTAL HEALTH CLINIC, PA DEPARTMENT OF HEALTH, NORTHERN COLUMBIA COMMUNITY & CULTURAL CENTER, TAPESTRY OF HEALTH AND WOMEN'S CENTER. SURVEY OF VULNERABLE POPULATIONS: VULNERABLE POPULATIONS WERE IDENTIFIED BY THE CHNA OVERSIGHT COMMITTEE TO ASSURE THAT COMMUNITY MEMBERS, INCLUDING UNDERREPRESENTED RESIDENTS, WERE INCLUDED IN THE NEEDS ASSESSMENT THROUGH A SURVEY PROCESS. A TOTAL OF 267 SURVEYS WERE COLLECTED IN THE GBH SERVICE AREA. TRIPP UMBACH WORKED WITH THE OVERSIGHT COMMITTEE TO DESIGN A 33- QUESTION HEALTH STATUS SURVEY THAT WAS ADMINISTERED BY COMMUNITY BASED ORGANIZATIONS PROVIDING SERVICES TO VULNERABLE POPULATIONS IN THE HOSPITAL SERVICE AREA. (I.E., CENTRAL SUSQUEHANNA OPPORTUNITIES, CMSU, NURSE FAMILY PARTNERSHIP, MONTOUR COUNTY HEAD START, COLUMBIA-SULLIVAN HEAD START, AGAPE, NORTHERN COLUMBIA COMMUNITY & CULTURAL CENTER, THE DENTAL HEALTH CLINIC, AND THE UNITED WAY OF WYOMING VALLEY). 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. 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), RESIDENTS WITH BEHAVIORAL HEALTH NEEDS AND RESIDENTS THAT ARE UNINSURED. PRIORITIZATION 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 10, 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 GBH 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 GBH 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 QUESTIONNAIRE WAS OFFERED IN HARD COPY AT TWO LOCATIONS INSIDE THE HOSPITAL AS WELL AS ELECTRONICALLY USING A WEB-BASED PLATFORM. THE CHNA AND ACTION PLAN WERE PROVIDED TO COMMENTERS FOR REVIEW IN THE SAME MANNER (I.E., HARD COPY AT THE HOSPITAL AND ELECTRONICALLY). 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-BLOOMSBURG HOSPITAL - PART V, LINE 6A GEISINGER MEDICAL CENTER, GEISINGER HEALTH SOUTH REHABILITATION HOSPITAL, GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL, EVANGELICAL COMMUNITY HOSPITAL, AND GEISINGER-BLOOMSBURG HOSPITAL PARTICIPATED IN THE CHNA. FACILITY 1, GEISINGER-BLOOMSBURG HOSPITAL - PART V, LINE 11 BELOW ARE SYSTEM-WIDE PROGRAMS OFFERED BY GEISINGER TO FULFILL COMMUNITY NEEDS THAT WERE IDENTIFIED IN GBH'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 45 COUNTY 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 FACILITY 1, GEISINGER-BLOOMSBURG 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-BLOOMSBURG HOSPITAL - PART V, LINE 16J THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT HTTP:// WWW.GEISINGER.ORG/PATIENT-CARE/PATIENTS- AND-VISITORS/BILLING-AND-INSURANCE/NEED-HELP-PAYING-YOUR-MEDICAL-BILL IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. FACILITY 1, GEISINGER-BLOOMSBURG HOSPITAL - PART V, LINE 20E UNDER NO CIRCUMSTANCE WILL GBH 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 GBH'S FINANCIAL ASSISTANCE PROGRAM. FACILITY 1, GEISINGER-BLOOMSBURG 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 GBH'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-BLOOMSBURG HOSPITAL - PART V, LINES 23 AND 24 PATIENTS ELIGIBLE UNDER GBH'S FINANCIAL ASSISTANCE POLICY ARE PROVIDED 100% DISCOUNT AND CHARGED 0. SEE ALSO EXPLANATION OF PART V, LINE 22 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. GEISINGER-BLOOMSBURG HOSPITAL. (GBH) MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICS TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY). PART I, LINE 6A - RELATED ORGANIZATION INFORMATION COMMUNITY BENEFIT REPORT: A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GBH 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 WAS 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 GBH'S UNCOMPENSATED OR CHARITY CARE POLICIES. GBH ESTIMATES THAT APPROXIMATELY 9% 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 LINE 4: GEISINGER HEALTH AND ITS AFFILIATES (THE "SYSTEM"), THAT INCLUDES GBH, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL TAX-EXEMPT 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 AND ALLOWANCES SEE PAGE 7-8 OF THE ATTACHED GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, JUNE 30, 2017 AND JUNE 30, 2016. FOR THE FOOTNOTE REGARDING BAD DEBT, SEE PAGE 13 OF THE CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION PART III, LINE 3 - BAD DEBT: 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 NOT 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. UNDER THE COMMUNITY BENEFIT STANDARD DEVELOPED IN REVENUE RULING 69-545, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF 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 WHEN 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") HOLDS THE POSITION THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. IN A LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUES 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 LIKE GBH 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 ALLOWED TO BE REPORTED ON GBH'S MEDICARE COST REPORT THAT ARE REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. GBH CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF 2,302,757 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 GBH TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY GBH IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. GBH 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 MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEEDS BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. BOTH GBH 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 GBH'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 2017, APPROXIMATELY 9% OF GBH'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 AHS, 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' SHOULDER 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 6/30/2017, GBH'S COST OF PROVIDING PATIENT CARE FOR SERVICES ACCOUNTED FOR AS BAD DEBT WAS 105,892. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION GBH IS COMMITTED TO PROVIDING MEDICAL NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND GBH'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS GBH POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS. ALL BILLING STATEMENTS INCLUDE A NOTICE THAT A FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE AND THE NECESSARY CONTACT INFORMATION TO LEARN MORE ABOUT THE PROGRAM INFORMATION AND TO APPLY. 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 GBH 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 GBH'S FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 2 - NEEDS ASSESSMENT GBH, A 72-BED COMMUNITY HOSPITAL LOCATED IN BLOOMSBURG, 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 BOTH FACILITIES. AS A PARTNERING HOSPITAL OF A REGIONAL COLLABORATIVE EFFORT TO ASSESS COMMUNITY HEALTH NEEDS; GBH COLLABORATED WITH HOSPITALS AND OUTSIDE ORGANIZATIONS IN THE SURROUNDING REGION (INCLUDING COLUMBIA, LUZERNE AND MONTOUR 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 GEISINGER 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 GEISINGER'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 GEISINGER'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 GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL. PART VI, LINE 4 - COMMUNITY INFORMATION GBH'S SERVICE AREA INCLUDES ONE COUNTY IN CENTRAL PENNSYLVANIA (COLUMBIA). THE APPROXIMATE 2013 TOTAL POPULATION WITHIN THIS SERVICE AREA WAS 71,369. THIS POPULATION IS EXPECTED TO INCREASE BY 0.8% BY 2018, WHICH IS LESS THAN RATE OF POPULATION GROWTH EXPECTED IN THE STATE (1.0%) AND THE NATION (3.3%). THE 65 AND OVER AGE GROUP WAS 17.6% OF THE TOTAL POPULATION, WHICH IS GREATER THAN THE STATE (16.4%) AND NATIONAL (13.9%) PROPORTIONS. ADDITIONALLY, THE 65 AND OVER AGE GROUP IS PROJECTED TO EXPERIENCE THE SECOND LARGEST FIVE-YEAR POPULATION GROWTH AT 12.8%. THE LARGEST GROWTH IN POPULATION IS WITHIN THE 25-34 AGE GROUP, WHICH IS PROJECTED TO SEE A 24.1% INCREASE. THE REGION, WHICH INCLUDES COLUMBIA COUNTY, IS PRIMARILY RURAL. AVERAGE HOUSEHOLD INCOME IN 2013, WAS 53,121, WITH APPROXIMATELY 13.9% OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES IN 2012, WHICH IS A GREATER PROPORTION THAN THE STATE AND SMALLER PROPORTION THAN THE NATION (13.7% AND 15.9, RESPECTIVELY). THE 2012 AVERAGE ANNUAL UNEMPLOYMENT RATE, THE MOST CURRENT FULL YEAR OF COUNTY LEVEL DATA AVAILABLE FROM THE BUREAU OF LABOR STATISTICS, WAS 8.1%, WHICH IS HIGHER THAN THE STATE RATE OF 7.9%, BUT COMPARABLE TO THE NATIONAL RATE OF 8.1%. THE REGION, WHICH INCLUDES COLUMBIA COUNTY, INCLUDES MULTIPLE MEDICALLY UNDERSERVED AREAS AND POPULATIONS. DURING THE ASSOCIATED TIME PERIOD, THERE WAS ONE GENERAL MEDICAL/SURGICAL GEISINGER HOSPITAL, GBH, AND ONE GENERAL MEDICAL/SURGICAL NON-GEISINGER HOSPITAL IN COLUMBIA COUNTY. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS / COMMUNITY BENEFIT REPORTED IN SCHEDULE O. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM GBH IS AN AFFILIATE WITHIN THE GEISINGER SYSTEM. GEISINGER IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SIX ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,136 PHYSICIANS PRACTICING AT 91 PRIMARY AND SPECIALTY CLINICS; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 478,501 MEMBERS. GEISINGER OPERATES IN 45 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, PRIMARILY OUTSIDE THE MAJOR METROPOLITAN AREAS, GEISINGER AT A GLANCE. -PHYSICIAN PRACTICE GROUP - MULTISPECIALTY GROUP PRACTICE WITH 1,136 EMPLOYED PHYSICIANS PRACTICING AT 91 CLINIC SITES -MANAGED CARE COMPANIES 478,501 MEMBERS -PROVIDER FACILITIES INCLUDES 1,326 LICENSED HOSPITAL BEDS, 344 SKILLED NURSING FACILITY BEDS AND 91 CHEMICAL DEPENDENCY BEDS. MISSION. GEISINGER'S MISSION IS TO ENHANCE THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. THIS MISSION STATEMENT HAS BEEN SUMMARIZED INTO FOUR WORDS - "HEAL. TEACH. DISCOVER. SERVE." 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 THE SYSTEM. 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. ADDITIONAL INFORMATION PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, GBH AND ITS AFFILIATES WITHIN PA ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE. X X X X X X true true false false false false false true false EDELYN L MILLER DIRECTOR 698147 303706 227896 220308 17951 1468008 180093 JAEWON RYU MD JD DIRECTOR 198136 14623 173260 14723 400742 DAVID T FEINBERG MD MBA PRES, FMR CHAIR,DIR 1787047 1300100 102253 379121 28393 3596914 DANIEL E LOHR ESQUIRE ACLO, ASST SECTY 267976 74625 21808 19110 22968 406487 DAVID J FELICIO ESQUIRE CLO, SECRETARY 461905 233068 123693 141074 26226 985966 68090 FRANK J TREMBULAK SR VP, TREASURER 427338 306302 851445 216368 7786 1809239 167387 KEVIN F BRENNAN CPA FHFMA EVP, CFO, TREASURER 714647 375847 402549 19110 20485 1532638 273313 LISSA L BRYAN SMITH CAO 261235 82141 26150 19110 15978 404614 STEPHEN J PAOLUCCI MD CMO 385272 127023 41119 19110 24007 596531 BONNIE S HESS RN VP, CNO 147332 26096 11006 11678 18121 214233 BRENDA ALBERTSON NURSING OPS MGR 33005 89844 172 843 168 403 2129 4709 6534 21097 42008 116896 TIMOTHY J GUSCHEL PHARMD DIRECTOR, PHARMACY 114460 23451 11593 7649 570 6974 2125 16076 2934 156752 29080 ALBERT BOTHE JR MD FORMER OFFICER 561688 241266 272837 180589 14507 1270887 182525 EDWARD J ZYCH ESQUIRE FORMER OFFICER 123138 123138 ERIN M FITZGERALD CPA FHFMA FORMER 5 HIGHEST 179728 35894 44757 20036 4225 284640 JEAN R THOMAS CRNA FORMER 5 HIGHEST 154780 500 8001 9491 7897 180669 JOSEPH P RUDA CRNA FORMER 5 HIGHEST 232899 100 16834 16621 17875 284329 LINDA D BRENNAN CRNA FORMER 5 HIGHEST 242052 3388 17117 8014 270571 PATRICK J ERWIN MD FORMER OFFICER 386249 25113 38174 19110 30111 498757 PENNY E YENCHICK CRNA FORMER 5 HIGHEST 216573 5100 1402 15472 17106 255653 THOMAS G SMITH CRNA FORMER 5 HIGHEST 368038 28450 16987 19110 22215 454800 SCHEDULE J, PAGE 1, PART I, LINE 4 EDELYN L. MILLER 0 180,093 0 DAVID J. FELICIO, ESQUIRE 0 68,090 0 FRANK J. TREMBULAK 0 815,306 0 KEVIN F. BRENNAN, CPA, FHFMA 0 358,535 0 ALBERT BOTHE, JR., MD 0 182,525 0 EDWARD J. ZYCH, ESQUIRE 123,125 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. FORM 990 - ORGANIZATION'S 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. FORM 990, PAGE 2, PART III, LINE 4A I.GENERAL INFORMATION GEISINGER-BLOOMSBURG HOSPITAL (GBH), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER, OWNS AND OPERATES A 76 BED, ACUTE CARE, HOSPITAL IN BLOOMSBURG, PA. GBH IS CONVENIENTLY LOCATED ONLY A FEW MILES FROM SEVERAL MAJOR HIGHWAYS THROUGHOUT CENTRAL PA. THE FACILITY OPENED IN 1905, ANSWERING A PRESSING NEED FOR HEALTH AND WELLNESS CARE IN THE COMMUNITY. GBH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. II. MAJOR PROGRAM SERVICES SERVICES OFFERED BY GBH INCLUDE: GENERAL MEDICAL CARE PROVIDED BY IN-HOUSE HOSPITALIST AND SUPPORTED BY CONSULTATIVE SERVICES IN THE AREAS OF CARDIOLOGY, NEUROLOGY AND PULMONOLOGY. EMERGENCY DEPARTMENT IS COMMITTED TO PROVIDING HIGH QUALITY, PROMPT EMERGENCY SERVICES. GBH'S ED IS STAFFED 24/7 WITH FULL-TIME PHYSICIANS AND NURSES THAT ARE TRAINED IN EMERGENCY MEDICINE AND ARE PREPARED TO TREAT CASES FROM PEDIATRICS TO CRITICAL CARE. IMMEDIATE ACCESS TO LABORATORY SERVICES, X-RAYS, CAT SCANS, 3D-4D ULTRASOUND, MRI AND SURGICAL SERVICES. MOST INSURANCES, INCLUDING MEDICARE AND MEDICAID, ARE ACCEPTED AND NO PATIENT IS REFUSED TREATMENT BECAUSE OF INABILITY TO PAY. THE WOMAN'S HEALTH UNIT FOCUSES ON ALL ASPECTS OF WOMEN'S HEALTH AND EDUCATION, PROVIDING OBSTETRICAL AND GYNECOLOGICAL CARE FOR WOMEN OF ALL AGES. SERVICES INCLUDE BUT NOT LIMITED TO ROUTINE VISITS AND TREATMENTS, PREVENTATIVE HEALTHCARE, BIRTH CONTROL EDUCATION, FAMILY PLANNING, OBSTETRICS, SURGERY & SURGERY CONSULTATIONS, MENOPAUSE COUNSELING, MIDWIFERY, LACTATION EDUCATION AND SUPPORT. MENTAL HEALTH & PSYCHIATRIC SERVICES IS A DESIGNATED COUNT 302 TRIAGE SITE THAT PROVIDES BOTH INPATIENT AND OUTPATIENT SERVICES DESIGNED TO HELP INDIVIDUALS LIVE AS INDEPENDENTLY AS POSSIBLE. ADULTS TO GERIATRICS CAN ACCESS QUICK, EFFICIENT ADMISSION 24/7 AND RECEIVE TREATMENT THROUGH ONE- ON-ONE PATIENT COUNSELING, TREATMENT MEETINGS AND ACTIVITIES 7 DAYS PER WEEK. A PSYCHIATRIST IS AVAILABLE ON A DAILY BASIS. ADMISSIONS ARE CONFIDENTIAL AND MAY BE MADE BY PROFESSIONALS AS WELL BY INDIVIDUALS CONCERNED ABOUT THEMSELVES OR OTHERS. INPATIENT CARE IS PROVIDED THROUGH MULTIPLE PROFESSIONALS WHO COMPRISE THE TREATMENT TEAM. OTHER SERVICES INCLUDE: CARDIAC SERVICES SURGERY SPECIALTIES- RADIOLOGY ORTHOPEDIC ICCU UROLOGY LABORATORY SERVICES OTOLARYNGOLOGY PHYSICAL THERAPY GYNECOLOGY RESPIRATORY SERVICES GENERAL SURGERY SLEEP SERVICES III. PROGRAM SERVICE ACCOMPLISHMENTS UNCOMPENSATED CARE GEISINGER-BLOOMSBURG HOSPITAL RECOGNIZES ITS MISSION IN THIS REGARD; GBH 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 GBH 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 GBH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2017, THE COST OF PROVIDING CHARITY CARE WAS 997,709. B.MEDICARE/MEDICAID/OTHER GOVERNMENTAL IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GBH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID), AS WELL AS OTHERS. GBH 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 8,703,662 DURING THE FISCAL YEAR ENDED JUNE 30, 2017. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GBH PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2017, WAS 105,892. RESIDENCY PROGRAMS: GBH HOSTS EMERGENCY MEDICINE, GENERAL SURGERY, INTERNAL MEDICINE, AND NEUROLOGY, PEDIATRIC AND PSYCHIATRIC RESIDENTS AS A PART OF THEIR EDUCATION REQUIREMENTS UNDER GEISINGER MEDICAL CENTER'S ACCREDITED PROGRAMS. ALL OF THE PROGRAMS ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION, OR THE AMERICAN OSTEOPATHIC ASSOCIATION. IN FY 2017, THE UNCOMPENSATED COSTS FOR GRADUATE MEDICAL EDUCATION TOTALED 344,043. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GBH STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GBH PROVIDES MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. THESE SERVICES AND PROGRAMS INCLUDE SUPPORT GROUPS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A. CLINICAL SERVICES THE COST TO GBH OF PROVIDING NUTRITIONAL SERVICES FOR THE ALS CLINIC DURING THE FISCAL YEAR WITH 72 ATTENDEES AND A COST OF 623. B. HEALTH EDUCATION GBH SPONSORS REGULAR COMMUNITY EDUCATION PROGRAMS. THE APPROXIMATE COST IS 23,233 WITH 11,773 ATTENDEES ON TOPICS SUCH AS: COMMUNITY NUTRITION PRESENTATIONS SENIOR EDUCATION HEALTH FAIRS STUDENT HEALTH EDUCATION C. COMMUNITY BUILDING ACTIVITIES GBH IS DEVELOPING NEW PROGRAMS TO IMPROVE THE SURROUNDING COMMUNITY WHILE WORKING TOGETHER WITH THE FOLLOWING OUTSIDE ORGANIZATIONS TO DETERMINE THE NEEDS SUCH AS: BLOOMSBURG UNIVERSITY ADVISORY COLUMBIA COUNTY UNITED WAY KIWANIS CLUB COLUMBIA MONTOUR CHAMBER VOLUNTEER AUXILIARY MEMBERS COLUMBIA COUNTY HUMAN SERVICES COALITION GENERAL MEETINGS COLUMBIA CHILD DEVELOPMENT PROGRAM MEETINGS THE COST OF THESE ACTIVITIES DURING THE FISCAL YEAR WAS 12,730. D. HEALTH CARE SUPPORT SERVICES - MEALS/NUTRITION SERVICES IN CONJUNCTION WITH CHARITABLE COMMUNITY ORGANIZATIONS AND/OR BUSINESS, GBH PARTICIPATED IN ACTIVITIES AT A COST TO GBH OF 12,121. ACTIVITIES INCLUDED A VETERAN'S DINNER, CLOTHING FOR PSYCH PATIENTS, MEDICATION DROP OFF CONTAINERS AND BUS AND CAB FARE FOR INDIGENT PATIENTS. E. FINANCIAL COMMUNITY DONATIONS GBH OFFERS A 300 SCHOLARSHIP TO A BLOOMSBURG HIGH SCHOOL SENIOR WHO WANTS TO PURSUE A DEGREE IN NURSING. F. FINANCIAL DONATIONS FOR THE COMMUNITY AT A COST OF 7,033, LINEN CLEANING AND EXCHANGE PROGRAM FOR AMBULANCES G. COMMUNITY BENEFIT OPERATIONS THE COST OF DEDICATED STAFF PARTICIPATING ON THE CHNA TEAM 596. H. COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS THE COST OF 4,239, BETTER BREATHERS SUPPORT GROUP. I. HEALTH PROFESSIONS EDUCATION THE COST OF 91,396, STUDENT VOLUNTEER, NURSE EXTERN AND INTERNS SUPERVISION. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER BLOOMSBURG HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE IMPORTANT CONTRIBUTION TO THE MISSION OF GBH. VOLUNTEERS FROM LOCAL COMMUNITIES HAVE CONTRIBUTED 9,350 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. COMMUNITY BENEFITS SUMMARY CHARITY CARE 997,709 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 8,703,662 OTHER UNCOMPENSATED PATIENT SERVICES 105,892 HEALTH PROFESSIONS EDUCATION 344,043 COMMUNITY HEALTH, EDUCATION, OUTREACH AND OTHER 152,271 COMMUNITY ASSISTANCE PAYMENT 4,152 VOLUNTEER SERVICES (VALUED AT 06/30/17 PA STATEWIDE AVERAGE WEEKLY WAGE) 232,628 TOTAL 10,540,357 STATISTICS FISCAL YEAR ENDED JUNE 30, 2017 ADMISSIONS (INCLUDING NEWBORNS) 2,666 ADMISSIONS (EXCLUDING NEWBORNS) 2,371 OUTPATIENT VISITS INCLUDING EMERGENCY DEPARTMENT 30,954 DISCHARGES (EXCLUDING NEWBORNS) 2,394 AVERAGE LENGTH OF STAY 3.8 PERCENT OF OCCUPANCY (EXCLUDING NEWBORNS) 34.40% PATIENT SERVICE DAYS (EXCLUDING NEWBORNS) 9,087 TOTAL OR CASES 3,391 LICENSED BEDS (EXCLUDING BASSINETS) 76 BASSINETS IN NURSERY 10 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 FORM 1099'S FILED BY GSS FOR THE 2017 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,877. 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 A 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? CHRISTOPHER B. SULLIVAN, DANIEL E. LOHR, ESQUIRE, DAVID J. FELICIO, ESQUIRE, DAVID T. FEINBERG, MD, MBA, E. ALLEN DEAVER, EARL FOURA, EDELYN L. MILLER, EUGENE ARNONE, FRANK J. TREMBULAK, FRANK M. HENRY, GAIL R. WILENSKY, PHD, HEATHER M. ACKER, JAEWON RYU, MD, JD, JEFF JACOBSON, JOHN C. BRAVMAN, PHD, KAREN DAVIS, PHD, KEVIN F. BRENNAN, CPA, FHFMA, RICHARD A. GRAFMYRE, ROBERT E. POOLE, ROBERT J. DIETZ, THOMAS H. LEE, JR, MD, MSC, V. CHRIS HOLCOMBE, PE, VIRGINIA MCGREGOR, WILLIAM E. SORDONI, WILLIAM H. ALEXANDER, AND WILLIAM R. GRUVER ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. FORM 990, PAGE 6, PART VI, LINE 1A IN DECEMBER 2016, THE BOARD DELEGATED TO LEADERSHIP AND/OR BOARD STANDING COMMITTEES, CERTAIN OF ITS GENERAL POWERS, INCLUDING REVIEW OF ANNUAL BOARD ASSESSMENT, REVIEW AND APPROVAL OF DEFINED CONTRIBUTION PLANS, ORIENTATION OF NEW BOARD MEMBERS, CONTINUING EDUCATION FOR BOARD MEMBERS, APPROVAL OF INDEBTEDNESS AND THE PURCHASE, SALE OR MORTGAGE OF REAL PROPERTY UP TO 15 MILLION AND CREDENTIALING OF PROVIDERS. FORM 990, PAGE 6, PART VI, LINE 4 IN DECEMBER 2016, THE NUMBER OF DIRECTORS THAT SERVE ON THE ORGANIZATIONS BOARDS CHANGED FROM NO MORE THAN 15, TO SUCH NUMBER AS DETERMINED BY THE MEMBERS, INCLUDING GEISINGER EX-OFFICIO DIRECTORS. THE BOARD OF DIRECTORS SHALL CONSIST OF THE PRESIDENT OF THE CORPORATION, GEISINGER'S EXECUTIVE VICE-PRESIDENT, CHIEF MEDICAL OFFICER; GEISINGER'S EXECUTIVE VICE PRESIDENT, CHIEF ADMINISTRATIVE OFFICER, CLINICAL OPERATIONS (EX-OFFICIO DIRECTORS); TWO AT-LARGE DIRECTORS WHO ALSO SERVE AS MEMBERS OF THE GEISINGER HEALTH BOARD OF DIRECTORS, TWO (2) INDEPENDENT DIRECTORS AND SUCH NUMBER OF ADDITIONAL DIRECTORS AS THE MEMBERS MAY FROM TIME TO TIME DETERMINE. FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. FORM 990, PAGE 6, PART VI, LINE 11B ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD. FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEES AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS. FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VIII FORM 990, PART IX STATEMENT OF FUNCTIONAL EXPENSES, LINE 24E: UNRELATED BUSINESS INCOME TAX 500 FORM 990, PART XI, LINE 9 CHANGE IN PENSION LIABILITY 2,831,579 TRANSFER FROM GEISINGER HEALTH 7,650,397 TRANSFER TO GEISINGER HEALTH -12,000 TOTAL 10,469,976 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. GEISINGER HEALTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 N/A true GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GH true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSICIAN PA 501C3 12A GH true GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GH true MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GH true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS PA 501C4 GH true GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 12A GH true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 10 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 12A GH true COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GH true MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232568288 LONG TERM PA 501C3 10 GH true GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKILLED NU PA 501C3 10 GH true GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501C3 3 GH true LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344362 HOLDING CO PA 501C3 12A GH true FAMILY HEALTH ASSOCIATES OF GLH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251651582 PHYSICIAN PA 501C3 12A GH true KEYSTONE HEALTH INFORMATION EXCH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501C3 12A GH true HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SV PA 501C3 12A CMC true SUN HOME HEALTH SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231736912 HEALTHCARE PA 501C3 10 GCHS true HOLY SPIRIT HEALTH SYSTEM 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251865142 PHILANTHRO PA 501C3 12A GH true HOLY SPIRIT HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231512747 HOSPITAL PA 501C3 3 HSHS true HOLY SPIRIT CORPORATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232214540 HOLDING CO PA 501C2 HSHS true SPIRIT PHYSICIAN SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251766971 PHYSICIAN PA 501C3 10 HSHS true WEST SHORE ADVANCED LIFE SUPP SVCS 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232463002 HEALTHCARE PA 501C3 7 HSHS true GEISINGER COMMONWEALTH SCH OF MED 525 PINE STREET SCRANTON PA 18509 260812968 EDUCATION PA 501C3 2 GH true ATLANTICARE BEHAVORIAL HEALTH INC 2511 FIRE ROAD EGG HARBOR TOWNSHIP NJ 08234 210721208 HEALTHCARE NJ 501C3 7 ARHS true ATLANTICARE FOUNDATION 6725 DELILAH ROAD EGG HARBOR TOWNSHIP NJ 08234 222148992 SUPPORT AR NJ 501C3 7 AH SYSTEM true ATLANTICARE HEALTH ENGAGEMENT INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 611608389 HEALTHCARE NJ 501C3 12A AH SYSTEM true ATLANTICARE HEALTH SERVICES INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223265214 HEALTHCARE NJ 501C3 10 ARHS true ATLANTICARE HEALTH SYSTEM INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223265213 SUPPORT AR NJ 501C3 12A GH true ATLANTICARE REGIONAL MEDICAL CENTER 1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401 210634549 HOSPITAL NJ 501C3 3 ARHS true ATLANTICARE PHYSICIAN GROUP PA 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 020701782 HEALTHCARE NJ 501C3 10 AH SYSTEM true ATLANTICARE REGIONAL HEALTH SERVICE 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 800834222 HOLDING CO NJ 501C3 12A AH SYSTEM true GNJ PHYSICIANS GROUP PC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 820681884 PHYSICIANS NJ 501C3 10 GH true 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 ISS SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A true GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A true GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A true XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE N/A true GEISINGER ASSURANCE COMPANY LTD 878 WEST BAY ROAD PO BOX 1159 GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 981016737 INSURANCE CJ N/A true HOLY SPIRIT VENTURES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232407709 MED. SERV. PA N/A true ENGLISH CREEK ASSURANCE LTD 44 CHURCH STREET HM12 HAMILTON BERMUDA BERMUDA BD 980656394 FINANCIAL BD N/A true ATLANTICARE HEALTH SOLUTIONS INC 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 383856295 ACO/HEALTH NJ N/A true ATLANTICARE ASSURANCE ALLIANCE INC 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 463730123 HEALTHCARE NJ N/A true true true true false false false false false false false false true true false false true false false true GEISINGER CLINIC A 608181 GAAP GEISINGER CLINIC B 7525 GAAP GEISINGER CLINIC L 22540 GAAP GEISINGER CLINIC M 3182125 GAAP GEISINGER COMMUNITY HEALTH SERVICES A 136063 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 16136 GAAP GEISINGER HEALTH PLAN L 9495261 GAAP GEISINGER HEALTH C 7650397 GAAP GEISINGER HEALTH L 6868 GAAP GEISINGER HEALTH S 65508 GAAP GEISINGER INDEMNITY INSURANCE CO L 128982 GAAP GEISINGER RISK RETENTION GROUP P 364882 GAAP GEISINGER ASSURANCE CO LTD P 296400 GAAP GEISINGER MEDICAL CENTER A 79080 GAAP GEISINGER MEDICAL CENTER L 5269 GAAP GEISINGER MEDICAL CENTER M 1599028 GAAP ISS SOLUTIONS INC M 828428 GAAP GEISINGER QUALITY OPTIONS INC L 724339 GAAP GEISINGER SYSTEM SERVICES L 765 GAAP GEISINGER SYSTEM SERVICES M 7806440 GAAP GEISINGER WYOMING VALLEY MED CTR M 116226 GAAP GEISINGER-BLOOMSBURG HEALTHCARE CTR L 24498 GAAP HEALTHSOUTHGHS LLC A 223054 GAAP HEALTHSOUTHGHS LLC M 210322 GAAP SCHEDULE R INFORMATION REGARDING TRANSFERS TO AND FROM CONTROLLED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER-BLOOMSBURG 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 ORGANIZATIONAL TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE LETTER RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATION'S TAX EXEMPT STATUS. __________________________________________________________________________