2018-05-14T16:41:46-04:00 2017-06-30 990 2016-07-01 240792115 GEISINGER JERSEY SHORE HOSPITAL GEIS 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 DAVID J FELICIO ESQUIRE SECRETARY 5702716624 2018-05-02 3370824862A80DCC39EED29CD8CF989E4E5ED423 0D6111DE887E7AF52DE09838A5A5DE7E32FE3032 2016 2021-01-29 14:40:06Z X DAVID T FEINBERG MD MBA 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 23830118 false X WWW.GEISINGER.ORG X 1922 PA TO PROVIDE INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF THE JERSEY SHORE AREA. 12 10 302 666605 75845 34877 24963411 23342875 39058 -864 902285 433106 25980599 23809994 2800 0 12583473 12721807 0 0 13873531 13320926 26457004 26045533 -476405 -2235539 20821259 19994287 23326144 23988570 -2504885 -3994283 X TO BE THE CMMUNITIES FOUNDATION FOR INNOVATIVE PATIENT-CENTERED CARE. false false 22411838 2800 23669494 HEALTHCARE - SEE SCHEDULE O AS A RURAL HEALTHCARE FACILITY AND DEDICATED COMMUNITY HOSPITAL WITH A COMMITMENT TO PROVIDING A HIGH QUALITY CIRCLE OF CARE, GEISINGER JERSEY SHORE HOSPITAL (GJSH) DEVELOPED DELIVERY SYSTEMS THAT PROVIDE AN EFFICIENT BALANCE OF OUTPATIENT CARE, ACUTE AND SUB-ACUTE INPATIENT CARE, PRIMARY CARE, AND OUTREACH SERVICES. THE HOSPITAL MAXIMIZES THE EFFECTIVENESS OF ITS PROGRAMS FOR QUALITY, EFFICIENCY, AND ACCESSIBILITY BY INTEGRATING WITH OTHER PROVIDERS AND ALTERNATIVE CARE ORGANIZATIONS IN THE SERVICE AREA TO ASSURE COMMUNITY ACCESS TO A BROAD ARRAY OF SERVICE OPTIONS. THE HOSPITAL PROVIDES AN ENVIRONMENT OF CARE THAT IS COMPASSIONATE, HIGHLY-PERSONALIZED, ANO FOCUSED ON THE PHYSICAL, PSYCHO-SOCIAL, AND SPIRITUAL NEEDS OF ITS PATIENTS THROUGH THE USE OF SKILLED NURSES, PHYSICIANS, TECHNICAL AND SUPPORT STAFF, MANAGEMENT, AND COMMUNITY LEADERS. THE HOSPITAL ALSO PROVIDES HEALTH EDUCATION, PROGRAMS IN PREVENTION, AND RELATED SUPPORT SERVICES TO THE COMMUNITY WITH THE GOAL OF IMPROVING THE OVERALL WELLNESS OF ITS RESIDENTS. THE HOSPITAL ENSURES THAT THE NECESSARY RESOURCES ARE AVAILABLE TO PROVIDE THE MOST COST EFFECTIVE MANNER WHILE MAINTAINING A SAFE, PLEASANT, AND MEANINGFUL WORK AND PATIENT CARE ENVIRONMENT. UNCOMPENSATED CARE GEISINGER JERSEY SHORE HOSPITAL RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GJSH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GJSH PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST, AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE GJSH PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GJSH IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN ITS PENNSYLVANIA SERVICE AREA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GJSH INCURRED BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO COULD NOT AFFORD TO PAY. FOR FISCAL YEAR ENDED JUNE 30, 2017, THE COST OF CHARITY CARE WAS 101,913. B. MEDICARE/MEDICAID RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). GJSH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GJSH IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR FISCAL YEAR ENDED JUNE 30, 2017, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 3,588,279. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GJSH PROVIDES OTHER PATIENT 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 627,406. COMMUNITY BENEFITS SUMMARY MEDICARE/MEDICAID/OTHER GOVERNMENTAL 3,588,279 CHARITY CARE 101,913 OTHER UNCOMPENSATED CARE 627,406 TOTAL 4,317,598 STATISTICAL SUMMARY FISCAL YEAR ENDED JUNE 30, 2017 DISCHARGES 603 OUTPATIENT VISITS (INCLUDING ER VISITS) 75,881 URGENT CARE VISITS 15,613 PATIENT DAYS 2,248 TOTAL OR PROCEDURES 948 AVAILABLE BEDS 25 22411838 true true false true false false false false false false true false false true true false false false false false false false false false false false true true false false true false false false false false false true false false false false false false true false false false true 39 0 true 302 true true true false false false false true true false false false false X 12 10 false true false false false false false true true false false true true true true true true true true false PA X KEVIN LANCIOTTI VP FINANCECFO 5702146181 100 N ACADEMY AVENUE MC 01-50 DANVILLE PA 17822 DAVID A SHANNON PRESIDENT AN 39.00 1.00 X X 0 0 0 SEAN SIMCOX CHAIRPERSON 1.00 1.00 X X 0 0 0 JAMES ELY VICE CHAIRPE 1.00 1.00 X X 0 0 0 RICHARD BEATTY DMD MEMBER 1.00 1.00 X 0 0 0 LEROY H KEILER III SECRETARY 1.00 1.00 X X 0 0 0 WILLIAM R CAMMERER III TREASURER 1.00 1.00 X X 0 0 0 STEPHEN GOYKOVICH DO MEDICAL STAF 1.00 39.00 X 6000 200050 12863 WALTER EISENHAUER MEMBER 1.00 0.00 X 0 0 0 CRAIG HARRIS MEMBER 1.00 0.00 X 0 0 0 STEPHEN P NEUN PHD MEMBER 1.00 0.00 X 0 0 0 CARMEN SPINNEY MD MEMBER 1.00 0.00 X 0 0 0 RICHARD DELANEY MEMBER 1.00 0.00 X 0 0 0 BETH CROSSLEY RN MEMBER 1.00 0.00 X 0 0 0 BARBARA KOZLOWSKI RN MEMBER 1.00 1.00 X 0 0 0 MARK RICE CFO CFO 39.00 1.00 X 99579 0 26449 PAULETTE NISH CHIEF NURSIN 40.00 0.00 X 150391 0 2077 THEORDORE FEDEROFF DO PHYSICIAN 40.00 0.00 X 293573 0 27590 ARLEEN KESSLER DIRECTOR OF 40.00 0.00 X 112705 0 20416 KAREN HORNE PHYSICAL THE 40.00 0.00 X 102280 0 3320 CHRISTINE HAAS CIO 40.00 0.00 X 134029 0 16382 KAREN JOHNSON PHYSICAL THE 40.00 0.00 X 100364 0 1281 RONALD N EISTER MD FORMER 5 HIG 0.00 40.00 X 0 148968 20266 998921 349018 130644 6 true true false EMERGENCY PHYSICIAN ASSOCIATES INC PO BOX 634850 CINCINNATI OH 452634850 PHYSICIAN SRVCS 949001 JERSEY SHORE RADIOLOGY 302 N THIRD STREET LEWISBURG PA 17837 RADIOLOGY 800000 QUORUM HEALTH RESOURCES 15 CONTINENTAL BLVD BRENTWOOD TN 370271018 MANAGEMENT FEES 612796 GULFSTREAM ANESTHESIA CONSULTANTS 11440 OKEECHOBEE BLVD ROYAL PALM BEACH FL 33411 ANESTHESIOLOGY 441614 SHARED IMAGING 801 PHOENIX LAKE AVENUE STREAMWOOD IL 60107 IMAGING 414978 9 2200 23164 9513 34877 PATIENT SERVICE REVENUE 621110 22588403 22588403 LAB REVENUE 621500 666605 666605 RENTAL REVENUE 531120 72194 72194 PHARMACY REVENUE 446110 12778 12778 OUTREACH PROGRAM 621990 2895 2895 23342875 17472 17472 18336 -18336 -18336 -18336 10525 2200 1788 8737 8737 MEANINGFUL USE 621110 229673 229673 DIETARY REVENUE 722514 80897 80897 RURAL ACO EXPENSE REIMBURSE 722210 53748 53748 60051 43198 16853 424369 23809994 22930695 666605 177817 X 2800 2800 278334 154337 123997 37519 37519 9655965 8473946 1182019 457054 397193 59861 1557982 1353932 204050 734953 638696 96257 69304 69304 3011 3011 56218 56218 4702323 3666990 1035333 76876 75 76801 1260649 1175087 85562 641862 578345 63517 591543 509015 82528 65240 55454 9786 796096 685030 111066 1754637 1509842 244795 323378 309763 13615 UNCOLLECTIBLE EXPENSE 1553601 1553601 MEDICAL SUPPLIES 1277933 1277933 BOOKS, LICENSES, DUES 144769 29164 115605 MISCELANEOUS 3394 3061 333 92 55 37 26045533 22411838 3633695 0 1420 1470 1594442 1445247 2229325 2030239 252192 297429 152857 245299 37857667 27352387 12288427 10505280 4302596 5469323 20821259 19994287 4334478 5658374 152292 13682329 13908806 5309337 4269098 23326144 23988570 X -2564809 -4011402 59924 17119 -2504885 -3994283 20821259 19994287 -2235539 746141 X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3011 3011 false SCHEDULE C, PART II-B, LINE 1 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. 154956 154956 18106028 9267726 8838302 96900 70114 26786 18824245 17643926 1180319 675538 370621 304917 10505280 DUE TO AFFILIATES 5281749 OTHER RECEIVABLES 102158 INVESTMENT CHART 85416 5469323 ACCRUED PENSION COST 3843273 THIRD PARTY SETTLEMENTS 425825 4269098 SCHEDULE D, PAGE 4, PART XIII SCHEDULE D, PART X, LINE 2 - THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2016 AND 2015. THE ORGANIZATION'S FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 990T EXEMPT ORGANIZATION BUSINESS TAX RETURN FOR THE YEARS ENDED PRIOR TO JUNE 30, 2015 ARE NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. true true X true X true X true false false 101913 101913 0.00390 3970380 2229530 1740850 0.06680 4072293 2229530 1842763 0.07080 4072293 2229530 1842763 0.07080 true 1553601 3780952 5628381 -1847429 X true true 1 1 GEISINGER JERSEY SHORE HOSPITAL 1020 THOMPSON STREET JERSEY SHORE PA 17740 WWW.JSH.ORG 101401 X X X X X GEISINGER JERSEY SHORE HOSPITAL 1 false false true X X X X X X X X X 16 true true false true X WWW.JSH.ORG X true 16 true WWW.JSH.ORG false true X 200.000000000000 250.000000000000 X X X true true X X X true X WWW.JSH.ORG/FINANCIALASSISTANCE.PHP X WWW.JSH.ORG/FINANCIALASSISTANCE.PHP X WWW.JSH.ORG/FINANCIALASSISTANCE.PHP X X X X X X X true X false X X X X X true X false false FACILITY 1, GEISINGER JERSEY SHORE HOSPITAL - PART V, LINE 3J THE RESPONSE TO QUESTION 3J INCLUDES DESCRIPTIONS RELATED TO QUESTIONS 3A THROUGH 3H. SCHEDULE H, PART V, SECTION B, LINE 3A-DEFINITION OF COMMUNITY: GEISINGER JERSEY SHORE HOSPITAL (GJSH) IN CONJUNCTION WITH QUORUM DEFINES ITS SERVICE ARE AS CLINTON AND LYCOMING COUNTIES IN PENNSYLVANIA. IN 2014, THE HOSPITAL RECEIVED 85% OF ITS PATIENTS FROM THIS AREA. SCHEDULE H, PART V, SECTION B, LINE 3B-DEMOGRAPHICS OF THE COMMUNITY: 2016 POPULATION WAS 155,153 OF WHICH WHITE, NON-HISPANIC COMPRISED 91.7%, AND BLACK, NON-HISPANIC COMPRISED 3.9%; THE MEDIAN AGE WAS 40.2; THE POPULATION LESS THAN AGE 65 WAS 18.2%; 18.8% OF THE POPULATION WERE WOMEN OF CHILDBEARING AGE. THE MEDIAN HOUSEHOLD INCOME WAS 49,146; THE UNEMPLOYMENT RATE WAS 5.5%. SCHEDULE H, PART V, SECTION B, LINE 3C-FACILITIES AND RESOURCES AVAILABLE TO RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY INCLUDE: SUSQUEHANNA HEALTH, LYCOMING & CLINTON COUNTIES MENTAL HEALTH / INTELLECTUAL DISABILITIES PROGRAM, THE MEADOWS, MOUNT NITTANY HEALTH SYSTEM, GEISINGER, SUSAN G KOMEN FOUNDATION, AMERICAN CANCER SOCIETY, CANCER CARE OF CENTRAL PA, AND CANCER CENTERS OF AMERICAN. SCHEDULE H, PART V, SECTION B, LINE 3D-HOW DATA WAS OBTAINED: MOST DATA USED IN THE ANALYSIS IS AVAILABLE FROM PUBLIC INTERNET SOURCES AND QUORUM PROPRIETARY DATA FROM TRUVEN. ANY CRITICAL DATA NEEDED TO ADDRESS SPECIFIC REGULATIONS OR DEVELOPED BY THE LOCAL EXPERT ADVISOR INDIVIDUALS COOPERATING WITH US IN THE STUDY ARE AS FOLLOWS: - WWW.COUNTYHEALTHRANKINGS.ORG FOR ASSESSMENT OF HEALTH NEEDS OF CLINTON COUNTY AND WESTERN LYCOMING COUNTY COMPARED TO ALL STATE COUNTIES. - WWW.COMMUNITYHEALTH.HHS.GOV FOR ASSESSMENT OF HEALTH NEEDS OF CLINTON COUNTY AND WESTERN LYCOMING COUNTY COMPARED TO ITS NATIONAL SET OF 'PEER COUNTIES'. - TRUVEN MARKET (FORMERLY KNOWN AS THOMPSON) TO ASSESS CHARACTERISTICS OF THE HOSPITAL'S PRIMARY SERVICE AREA, AT A ZIP CODE LEVEL BASED ON CLASSIFYING THE POPULATION INTO VARIOUS SOCIO-ECONOMIC GROUPS, DETERMINING THE HEALTH AND MEDICAL TENDENCIES OF EACH GROUP AND CREATING AN AGGREGATE COMPOSITION OF THE SERVICE AREA ACCORDING TO THE PROPORTION OF EACH GROUP IN THE ENTIRE AREA; AND, TO ACCESS POPULATION SIZE, TRENDS, AND SOCIO-ECONOMIC CHARACTERISTICS. - WWW.CAPC.ORG AND WWW.GETPALLIATIVE.ORG TO IDENTIFY THE AVAILABILITY OF PALLIATIVE CARE PROGRAMS AND SERVICES IN THE AREA. - WWW.CARINGINFO.ORG AND IWEB.NHPCO.ORG TO IDENTIFY THE AVAILABILITY OF HOSPICE PROGRAMS IN THE COUNTY. - WWW.HEALTHMETRICSANDEVALUATION.ORG TO EXAMINE THE PREVALENCE OF DIABETIC CONDITIONS AND CHANGE IN LIFE EXPECTANCY. SCHEDULE H, PART V, SECTION B, LINE 3E-SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY: PRIORITY RANKING OF AREA HEALTH NEEDS BY LOCAL EXPERT ADVISORS WERE USED TO ORGANIZE THE SEARCH FOR LOCALLY AVAILABLE RESOURCES AS WELL AS THE GJSH RESPONSE TO THE NEEDS. A LIST WAS DEVELOPED WHICH IDENTIFIED THE RANK ORDER OF EACH SIGNIFICANT NEED, THE FACTORS CONSIDERED IN DEVELOPING THE RANKING, A PROBLEM STATEMENT TO SPECIFY THE PROBLEM INDICATED BY USE OF THE SIGNIFICANT NEED TERM, GJSH CURRENT EFFORTS RESPONDING TO THE NEED INCLUDING ANY WRITTEN COMMENTS RECEIVED REGARDING PRIOR GJSH IMPLEMENTATION ACTIONS, THE IMPLEMENTATION STRATEGY PROGRAMS AND RESOURCES GJSH WILL DEVOTE TO ATTEMPT TO ACHIEVE IMPROVEMENTS, DOCUMENTS THE LEADING INDICATORS GJSH WILL USE TO MEASURE PROGRESS, PRESENTS THE LAGGING INDICATORS GJSH BELIEVES THE LEADING INDICATORS WILL INFLUENCE IN A POSITIVE FASHION, AND PRESENTS THE LOCALLY AVAILABLE RESOURCES NOTED DURING THE DEVELOPMENT OF THIS REPORT AS BELIEVED TO BE CURRENTLY AVAILABLE TO RESPOND TO THIS NEED. SCHEDULE H, PART V, SECTION B, LINE 3F-PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES: INFORMATION ANALYSIS AUGMENTED BY LOCAL OPINIONS SHOWED HOW CLINTON COUNTY AND WESTERN LYCOMING COUNTY RELATE TO PEERS IN TERMS OF PRIMARY AND CHRONIC NEEDS AND OTHER ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS AND MINORITY GROUPS, RESPONDENTS COMMENTED ON WHETHER THEY BELIEVE CERTAIN POPULATION GROUPS ("PRIORITY POPULATIONS") NEED HELP TO IMPROVE THEIR CONDITION, AND IF SO, WHO NEEDS TO DO WHAT TO IMPROVE THE CONDITIONS OF THE GROUPS. SCHEDULE H, PART V, SECTION B, LINE 3G-PROCESS OF IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS: LOCAL EXPERTS OFFERING SOLICITED WRITTEN COMMENTS ON 2013 PRIORITIES AND IMPLEMENTATION SURVEY. THEY RANKED THE FOLLOWING : PUBLIC HEALTH EXPERTISE, DEPARTMENTS AND AGENCIES WITH RELEVANT DATA/INFORMATION REGARDING HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL, PRIORITY POPULATIONS, REPRESENTATIVE/MEMBER OF CHRONIC DISEASE GROUP OR ORGANIZATION, AND REPRESENTS THE BROAD INTEREST OF THE COMMUNITY SCHEDULE H, PART V, SECTION B, LINE 3H-PROCESS FOR CONSULTING WITH PERSONS REPRESENTING THE COMMUNITY'S INTERESTS: THE FINAL REGULATIONS PROVIDE THAT CHNA (COMMUNITY HEALTH NEEDS ASSESSMENT) REPORT DOES NOT NEED TO NAME OR OTHERWISE IDENTIFY ANY SPECIFIC INDIVIDUAL PROVIDING INPUT ON THE CHNA, WHICH WOULD INCLUDE THAT PROVIDED BY INDIVIDUALS IN THE FORM OF WRITIEN COMMENTS. THE "LOCAL EXPERT" IS AN ADVISORY GROUP OF AT LEAST 15 LOCAL RESIDENTS, INCLUSIVE OF AT LEAST ONE MEMBER SELF-IDENTIFYING WITH EACH OF THE FIVE QUORUM HEALTH RESOURCES WRITTEN COMMENT SOLICITATION CLASSIFICATIONS, WITH WHOM THE HOSPITAL SOLICITED TO PARTICIPATE IN QUORUM HEALTH RESOURCES/HOSPITAL CHNA PROCESS. FACILITY 1, GEISINGER JERSEY SHORE HOSPITAL - PART V, LINE 5 SCHEDULE H, PART V, SECTION B, LINE 5- HAVING TAKEN THE STEPS TO IDENTIFY POTENTIAL COMMUNITY NEEDS, THE LOCAL EXPERTS THEN PARTICIPATED IN A STRUCTURED COMMUNICATION TECHNIQUE CALLED A "WISDOM OF CROWDS" METHOD. THE PREMISE OF THIS APPROACH RELIES ON A PANEL OF EXPERTS WITH THE ASSUMPTION THAT THE COLLECTIVE WISDOM OF PARTICIPANTS IS SUPERIOR TO THE OPINION OF ANY ONE INDIVIDUAL, REGARDLESS OF THEIR PROFESSIONAL CREDENTIALS. GJSH SOLICITED WRITTEN COMMENTS ABOUT ITS 2012 CHNA 16 INDIVIDUALS RESPONDED TO THE REQUEST FOR COMMENTS. FACILITY 1, GEISINGER JERSEY SHORE HOSPITAL - PART V, LINE 6A GEISINGER JERSEY SHORE HOSPITAL PARTNERED WITH QUORUM HEALTH RESOURCES (QHR). FACILITY 1, GEISINGER JERSEY SHORE HOSPITAL - PART V, LINE 11 SCHEDULE H, PART V, SECTION B, LINE 11-GJSH DEVELOPED AN IMPLEMENTATION STRATEGY FOR CANCER, OBESITY/OVERWEIGHT, HEART DISEASE, AND EDUCATION/ PREVENTION. THE STRATEGIES INCLUDE ACTIVITIES TO CONTINUE/PURSUE, COMMUNITY PARTNERS TO WORK ALONGSIDE, AND LEADING AND LAGGING INDICATORS TO TRACK. GJSH IS NOT PLANNING TO ADDRESS MENTAL HEALTH/SUBSTANCE ABUSE AT THIS TIME DUE TO RESOURCE CONSTRAINTS, RELATIVE LACK OF EXPERIENCE/COMPETENCY TO EFFECTIVELY ADDRESS THE NEED, AND THE AVAILABILITY OF OTHER RESOURCES TO ADDRESS THE NEED, SUCH AS SUSQUEHANNA HEALTH, LYCOMING & CLINTON COUNTIES MHID SERVICES, THE MEADOWS, MOUNT NITTANY HEALTH SYSTEM, AND GEISINGER. IT IS BELIEVED THAT THE COMMUNITY WILL SEE MORE BENEFIT IF TIME AND RESOURCS ARE DEVOTED TO THE FOURS NEEDS BEING ADDRESSED. FACILITY 1, GEISINGER JERSEY SHORE 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 JERSEY SHORE HOSPITAL - PART V, LINE 16J SCHEDULE H, PART V, SECTION B, LINE 16J: THE POLICY IS REFERENCED ON INVOICES AND VERBALLY DISCUSSED WITH PATIENTS, AND REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY IN ADDITION, THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT HTTP://WWW.JSH.ORG/FINANCIALASSISTANCE.PHP FACILITY 1, GEISINGER JERSEY SHORE HOSPITAL - PART V, LINE 20E UNDER NO CIRCUMSTANCE WILL GJSH 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 GJSH'S FINANCIAL ASSISTANCE PROGRAM. 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 JERSEY SHORE HOSPITAL (GJSH) MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICS TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY). 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 TO CHARGE RATIO, CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS, WAS USED TO CALCULATE THE COST OF SERVICES REPORTED ON LINE 7. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY BAD DEBT EXPENSE IS CALCULATED BASED ON ACTUAL WRITE-OFFS THROUGHOUT THE YEAR AND IS ESTIMATED AT COST USING THE RATIO OF PATIENT CARE COST TO CHARGE. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS. THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCES, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BAD DEBT EXPENSE IS BASED ON THE NECESSARY ALLOWANCE AT THE END OF EACH MONTH. PATIENT DISCOUNTS ARE NOT INCLUDED IN THE ALLOWANCE FOR BAD DEBT. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE THE HOSPITAL IS DILIGENT IN THE CLASSIFICATION OF AMOUNTS AS CHARITY CARE OR BAD DEBT. WE BELIEVE NONE OF THE AMOUNTS IN BAD DEBT WOULD BE RECLASSIFIED TO CHARITY CARE GIVEN ADDITIONAL INFORMATION. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS GJSH DID NOT HAVE AN AUDIT OF ITS FY2017 FINANCIAL STATEMENTS. PART III, LINE 8 - MEDICARE EXPLANATION 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. DEVELOPED IN REVENUE RULING 69-545, UNDER THE COMMUNITY BENEFIT STANDARD, 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 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") 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 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 LIKE GEISINGER JERSEY SHORE HOSPITAL (GJSH) 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 GJSH'S MEDICARE COST REPORT THAT ARE REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. GJSH CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF 2,101,612 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 GJSH TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY GJSH IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. MEDICARE SHORTFALLS MUST BE ABSORBED BY GJSH IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. GJSH 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 GJSH 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 GJSH'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 THE CBO REPORT, ROUGHLY 40% OF BAD DEBT IS PENDING 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. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION COLLECTIONS ARE PURSUED UP TO THE POINT THAT A PATIENT COMPLETES AND IS APPROVED FOR CHARITY CARE. ONCE CHARITY CARE IS APPROVED, NO FURTHER COLLECTION EFFORTS ARE MADE. GJSH IS COMMITTED TO PROVIDING MEDICAL NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND GSJH'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS GJSH 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 GJSH 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 GJSHBH'S FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 2 - NEEDS ASSESSMENT GEISINGER JERSEY SHORE HOSPITAL PERFORMED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO DETERMINE THE HEALTH NEEDS OF THE LOCAL COMMUNITY, DEVELOP AN IMPLEMENTATION PLAN TO OUTLINE AND ORGANIZE HOW TO MEET THOSE NEEDS AND FULFILL FEDERAL REQUIREMENTS. DATA WAS GATHERED FROM MULTIPLE WELL-RESPECTED SECONDARY SOURCES TO BUILD AN ACCURATE PICTURE OF THE CURRENT COMMUNITY AND HEALTH NEEDS. A SURVEY OF A SELECT GROUP OF LOCAL EXPERTS WAS PERFORMED TO REVIEW THE PRIOR CHNA, PROVIDE FEEDBACK, AND TO ASCERTAIN WHETHER THE PREVIOUSLY IDENTIFIED NEEDS ARE STILL PRIORITY. A SECOND SURVEY WAS DISTRIBUTED TO THE SAME GROUP THAT REVIEWED THE DATA GATHERED FROM THE SECONDARY SOURCES AND DETERMINED THE SIGNIFICANT NEEDS OF THE COMMUNITY. THE SIGNIFICANT HEALTH NEEDS FOR CLINTON COUNTY AND LYCOMING COUNTY WERE MENTAL HEALTH/SUBSTANCE ABUSE, CANCER, OBESITY/OVERWEIGT, HEART DISEASE, EDUCATION/PREVENTION. THE HOSPITAL DEVELOPED IMPLEMENTATION STRATEGIES FOR FOUR OF THE FIVE NEEDS, INCLUDING CANCER, OBESITY/OVER WEIGHT, HEART DISEASE, AND EDUCATION/PREVENTION. THE STRATEGIES INCLUDE ACTIVITIES TO CONTINUE/PURSUE, COMMUNITY PARTNERS TO WORK ALONGSIDE, AND LEADING AND LAGGING INDICATORS TO TRACK. THE HOSPITAL IS NOT PLANNING TO ADDRESS MENTAL HEALTH/SUBSTANCE ABUSE AT THIS TIME DUE TO RESOURCE CONSTRAINTS, RELATIVE LACK OF EXPERTISE/COMPETENCY TO EFFECTIVELY ADDRESS THE NEED, AND THE AVAILABILITY OF OTHER RESOURCES TO ADDRESS THE NEED. IT IS BELIEVED THAT THE COMMUNITY WILL SEE MORE BENEFIT IF TIME AND RESOURCES ARE DEVOTED TO THE OTHER FOUR NEEDS. 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 200% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS GJSH 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 GJSH'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 GJSH'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND HTTP://WWW.JSH.ORG/FINANCIALASSISTANCE.PHP . PATIENTS ARE ALSO PROVIDED INFORMATION ON GJSH'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL. PART VI, LINE 4 - COMMUNITY INFORMATION GEISINGER JERSEY SHORE HOSPITAL'S (GJSH) PRIMARY SERVICE AREA(PSA)COVERS EASTERN CLINTON COUNTY, AND WESTERN LYCOMING COUNTY, AN AREA WITH POPULATION OF APPROXIMATELY 42,000. THE PSA FOR GJSH CONSISTS OF FIVE ZIP CODES: 17721-AVIS,17740-JERSEY SHORE, 17745-LOCK HAVEN, 17779-WOOLRICH AND 17151-MILL HALL. GJSH'S SERVICE AREA IS CONSIDERED TO BE A MEDICALLY UNDERSERVED AREA (MUA). JERSEY SHORE AND GEISINGER JERSEY SHORE HOSPITAL ARE LOCATED IN LYCOMING COUNTY, WHICH HAS AN AREA OF 1,244 SQUARE MILES. IT IS THE LARGEST COUNTY IN PENNSYLVANIA AND OCCUPIES A HILLY AND HEAVILY FORESTED PART OF THE STATE. THE WEST BRANCH OF THE SUSQUEHANNA RIVER FLOWS THROUGH THE SOUTHERN PART OF THE COUNTY. JERSEY SHORE IS APPROXIMATELY 45 MILES NORTHEAST OF STATE COLLEGE, PENNSYLVANIA AND APPROXIMATELY 15 MILES WEST OF WILLIAMSPORT, PENNSYLVANIA. ABOUT SIXTEEN PERCENT (16%) OF INPATIENT STAYS IN THE PSA OCCUR AT GEISINGER JERSEY SHORE HOSPITAL. ABOUT FORTY PERCENT(40%) OF OUTPATIENT VISITS IN THE PSA OCCUR AT GEISINGER JERSEY SHORE HOSPITAL. JERSEY SHORE HOSPITAL RELIES UPON A RELATIVELY SMALL GEOGRAPHIC AREA TO SUPPORT THE HOSPITAL. THE SECONDARY SERVICE AREA (SSA) CONSISTS OF 20 ADDITIONAL ZIP CODES WHICH ARE IMPORTANT TO THE HOSPITAL. THESE ZIP CODES ARE PRIMARILY TO THE WEST AND NORTH OF THE PSA. ABOUT TWO PERCENT (2%) OF INPATIENT STAYS IN THE SSA OCCUR AT GEISINGER JERSEY SHORE HOSITPAL. ABOUT ELEVEN (11%) PERCENT OF OUTPATIENT VISITS IN THE SSA OCCUR AT GEISINGER JERSEY SHORE HOSPITAL. WITHIN THE PSA, THE TOTAL POPULATION IS EXPECTED TO INCREASE BY 1% BY 2019. A MAJOR DEMOGRAPHIC ISSUE AFFECTING GEISINGER JERSEY SHORE HOSPITAL IS THE AGING POPULATION. THE NUMBER OF INDIVIDUALS LIVING IN THE PSA OVER THE AGE OF 65 IS EXPECTED TO INCREASE 13.7% BY 2019. THIS AGE GROUP CURRENTLY MAKES UP OVER 16% OF THE POPULATION IN THE PSA COMPARED TO ABOUT 14% FOR THE U.S. THIS GROWING ELDERLY SEGMENT SHOULD GENERATE A FUTURE DEMAND FOR HEALTH CARE SERVICES. SINCE INDIVIDUALS OVER AGE 65 USE HEALTHCARE AND HOSPITAL SERVICES 2.7 TIMES THE RATE OF THE UNDER AGE 65 POPULATION. A DEMOGRAPHIC REALITY IS THE LOW INCOME LEVEL OF AREA HOUSEHOLDS. CURRENTLY, THE MEDIAN HOUSEHOLD INCOME IN THE PSA IS 47,303 COMPARED TO PA, 53,115, AND THE U.S., 53,482. THE MEDIAN HOUSEHOLD INCOME IN THE SSA IS 41,085. THE SERVICE AREA IS NOT RACIALLY DIVERSIFIED TO A SIGNIFICANT DEGREE, WITH 98.6% OF THE POPULATION CONSIDERED WHITE. THE EDUCATIONAL PROFILE OF THE SERVICE AREA DEMONSTRATES THAT 40.8% OF THE POPULATION HAS A HIGH SCHOOL EDUCATION AND 9.4% OF THE POPULATION HAS AN ASSOCIATES DEGREE. THE PERCENTAGE ACHIEVING A BACHELOR OR PROFESSIONAL DEGREE IS 11.6% WHICH IS LESS THAN PENNSYLVANIA OR THE U.S. AS A WHOLE. A HIGHER PERCENTAGE OF THE LABOR FORCE IN THE AREA IS ENGAGED IN MANUFACTURING/CONSTRUCTION WHEN COMPARED TO THE STATE AND U.S. AS A WHOLE. IN TERMS OF PATIENTS SERVED, COMBINED INPATIENT AND OUTPATIENT PAYER MIX IN 2014 REMAINED FAIRLY CONSISTENT. MEDICARE AND MEDICARE ADVANTAGE MAKE UP ABOUT 44% OF OUR PAYERS IN TERMS OF GROSS CHARGES. MEDICAL ASSISTANCE BUSINESS CONTINUED TO HAVE A SIGNIFICANT IMPACT ON JERSEY SHORE HOSPITAL AS A CRITICAL ACCESS HOSPITAL. MEDICAL ASSISTANCE CHARGES ACCOUNT FOR ABOUT 11% OF OUR PAYERS. SELF-PAY CHARGES ACCOUNTED FOR ABOUT 4% OF OUR PAYORS. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH ALL OF THE PERSONS SERVING ON OUR BOARD LIVE IN THE PRIMARY COMMUNITIES BEING SERVED BY THE HOSPITAL. THE BOARD CONSISTS OF SOME PHYSICIANS WHO ARE EMPLOYEES OF A RELATED ENTITY, A FEW CONTRACTORS, AND SEVERAL OTHER COMMUNITY MEMBERS. THE HOSPITAL EXTENDS STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE AREA. AS APPLICABLE, THE HOSPITAL APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE THROUGH NEW AND UPDATED EQUIPMENT, MAJOR FACILITY IMPROVEMENTS, AND COMMUNITY HEALTH PROGRAMS. THE HOSPITAL PARTICIPATES IN MEDICARE, MEDICAID, CHAMPUS, AND TRICARE. SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS/COMMUNITY BENEFIT REPORTED IN SCHEDULE O. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM THE HOSPITAL IS PART OF GEISINGER JERSEY SHORE HOSPITAL FOUNDATION, INC. THIS AFFILIATION INCLUDES A NON-PROFIT PHYSICIAN PRACTICE WITH FAMILY PRACTICE PHYSICIANS AND SURGEONS, AS WELL AS AN URGENT CARE CENTER. ADDITIONAL INFORMATION PART VI, LINE 7: FORM 990, SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, GEISINGER JERSEY SHORE HOSPITAL AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE. X X X false false false false false false false false false STEPHEN GOYKOVICH DO MEDICAL STAFF PRES. 6000 170900 28952 198 5034 7829 6000 212913 PAULETTE NISH CHIEF NURSING OFFICE 150010 381 2077 152468 THEORDORE FEDEROFF DO PHYSICIAN 293528 45 3702 23888 321163 CHRISTINE HAAS CIO 133960 69 4124 12258 150411 RONALD N EISTER MD FORMER 5 HIGHEST 148770 198 4597 15669 169234 MARY HOLLICK FAMILY MEMBER 37519 EMPLOYEE COMPENSAT. false SCHEDULE L, PART V MARY HOLLICK IS A FAMILY MEMBER OF JAMES ELY, AN OFFICER AND DIRECTOR OF GEISINGER JERSEY SHORE HOSPITAL. FORM 990, PAGE 2, PART III, LINE 4A AS A RURAL HEALTHCARE FACILITY AND DEDICATED COMMUNITY HOSPITAL WITH A COMMITMENT TO PROVIDING A HIGH QUALITY CIRCLE OF CARE, GEISINGER JERSEY SHORE HOSPITAL (GJSH) DEVELOPED DELIVERY SYSTEMS THAT PROVIDE AN EFFICIENT BALANCE OF OUTPATIENT CARE, ACUTE AND SUB-ACUTE INPATIENT CARE, PRIMARY CARE, AND OUTREACH SERVICES. THE HOSPITAL MAXIMIZES THE EFFECTIVENESS OF ITS PROGRAMS FOR QUALITY, EFFICIENCY, AND ACCESSIBILITY BY INTEGRATING WITH OTHER PROVIDERS AND ALTERNATIVE CARE ORGANIZATIONS IN THE SERVICE AREA TO ASSURE COMMUNITY ACCESS TO A BROAD ARRAY OF SERVICE OPTIONS. THE HOSPITAL PROVIDES AN ENVIRONMENT OF CARE THAT IS COMPASSIONATE, HIGHLY-PERSONALIZED, ANO FOCUSED ON THE PHYSICAL, PSYCHO-SOCIAL, AND SPIRITUAL NEEDS OF ITS PATIENTS THROUGH THE USE OF SKILLED NURSES, PHYSICIANS, TECHNICAL AND SUPPORT STAFF, MANAGEMENT, AND COMMUNITY LEADERS. THE HOSPITAL ALSO PROVIDES HEALTH EDUCATION, PROGRAMS IN PREVENTION, AND RELATED SUPPORT SERVICES TO THE COMMUNITY WITH THE GOAL OF IMPROVING THE OVERALL WELLNESS OF ITS RESIDENTS. THE HOSPITAL ENSURES THAT THE NECESSARY RESOURCES ARE AVAILABLE TO PROVIDE THE MOST COST EFFECTIVE MANNER WHILE MAINTAINING A SAFE, PLEASANT, AND MEANINGFUL WORK AND PATIENT CARE ENVIRONMENT. UNCOMPENSATED CARE GEISINGER JERSEY SHORE HOSPITAL RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GJSH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GJSH PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST, AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE GJSH PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GJSH IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS IN ITS PENNSYLVANIA SERVICE AREA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GJSH INCURRED BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO COULD NOT AFFORD TO PAY. FOR FISCAL YEAR ENDED JUNE 30, 2017, THE COST OF CHARITY CARE WAS 101,913. B. MEDICARE/MEDICAID RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE) AND THE POOR (MEDICAID). GJSH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GJSH IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT OF REIMBURSEMENT RECEIVED UNDER THE PROGRAM. FOR FISCAL YEAR ENDED JUNE 30, 2017, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 3,588,279. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GJSH PROVIDES OTHER PATIENT 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 627,406. COMMUNITY BENEFITS SUMMARY MEDICARE/MEDICAID/OTHER GOVERNMENTAL 3,588,279 CHARITY CARE 101,913 OTHER UNCOMPENSATED CARE 627,406 TOTAL 4,317,598 STATISTICAL SUMMARY FISCAL YEAR ENDED JUNE 30, 2017 DISCHARGES 603 OUTPATIENT VISITS (INCLUDING ER VISITS) 75,881 URGENT CARE VISITS 15,613 PATIENT DAYS 2,248 TOTAL OR PROCEDURES 948 AVAILABLE BEDS 25 FORM 990, PART VI THE PRESIDENT/CEO, DAVID SHANNON, IS AN EMPLOYEE OF QUORUM HEALTH RESOURCES (QUORUM), A MANAGEMENT COMPANY. GEISINGER JERSEY SHORE HOSPITAL PAYS QUORUM FOR THE PRESIDENT/CEO'S SALARY. THE COMPENSATION PAID FOR CALENDAR YEAR 2016 WAS 311,279. FORM 990, PAGE 6, PART VI, LINE 3 THE GEISINGER JERSEY SHORE HOSPITAL UTILIZED THE MANAGEMENT SERVICES OF QUORUM HEALTH RESOURCES DURING THE FISCAL YEAR ENDED JUNE 30, 2017. THE ORGANIZATION'S PRESIDENT, AND CHIEF EXECUTIVE OFFICER, DAVID A. SHANNON WAS COMPENSATED BY QUORUM HEALTH RESOURCES. GEISINGER JERSEY SHORE HOSPITAL PAID QUORUM HEALTH RESOURCES 311,279 DURING CALENDAR YEAR 2016 FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER'S SERVICES. 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 GEISINGER JERSEY SHORE HOSPITAL 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. FORM 990, PAGE 6, PART VI, LINE 12C ALL BOARD MEMBERS AND EMPLOYEES OF GEISINGER JERSEY SHORE HOSPITAL (GJSH) ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST STATEMENT. THE OFFICE OF THE CEO MONITORS THE PROCESS AND COMPLETION OF THE STATEMENTS. THE COMPLETED STATEMENTS ARE REVIEWED BY MANAGEMENT. BOARD MEMBERS ARE REQUIRED TO RECUSE THEMSELVES FROM VOTING ON MATTERS THAT ARE RELATED TO ANY POTENTIAL CONFLICTS. GJSH HAS NEVER HAD AN ISSUE INVOLVING CONFLICTS OF INTEREST. EFFECTIVE JULY 1, 2017, GJSH WAS ACQUIRED GEISINGER AND BEGAN FOLLOWING GEISINGER'S CONFLICTS OF INTEREST PROCESS. THE GJSH OFFICERS AND DIRECTORS ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) 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 COMMITTEE 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 ON AN ANNUAL BASIS, THE PERSONNEL SALARY COMMITTEE AND QUORUM HEALTH RESOURCES (MANAGEMENT COMPANY)REVIEWS AN EXECUTIVE COMPENSATION STUDY PERFORMED BY YAFFE, AN INDEPENDENT THIRD PARTY WHO IS EMPLOYED BY THE HOSPITAL ASSOCIATION OF PENNSYLVANIA TO CONDUCT A COMPENSATION STUDY. HUMAN RESOURCES PROVIDES A COMPENSATION STUDY FROM ACRS, BASED IN THE APPALACHIAN REGION. THESE TWO STUDIES ARE USED TO DETERMINE FAIR MARKET VALUE. THE RECOMMENDATIONS FOR COMPENSATION LEVELS ARE PROVIDED TO THE BOARD FOR APPROVAL. BOARD APPROVAL IS DOCUMENTED IN THE BOARD MINUTES. THE ACTUAL COMPENSATION AMOUNTS ARE NOT INCLUDED IN THE MINUTES TO PROTECT EMPLOYEE PRIVACY. EFFECTIVE JULY 1, 2017 GJSH IS SUBJECT TO THE GEISINGER COMPENSATION REVIEW PROCESS. 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 IX, LINE 11G OUTSIDE TESTS PURCHASED 186,029 0 0 CONTRACTED PHYSICIAN SERVICES 1,828,892 0 0 CONTRACTED MEDICAL SERVICES 113,700 0 0 CONSULTNG FEES 96,400 1,155 0 COLLECTION AGENCY FEES 0 35,039 0 EQUIPMNET MAINTENANCE CONT. 517,088 116,974 0 OUTSIDE PURCHASED SERVICES 289,336 470,848 0 TEMPORARY AGENCY SERVICES 605,284 347,591 0 EQUIPMENT REPAIR 18,221 13,589 0 RECRUITMENT 12,040 50,137 0 TOTAL 3,666,990 1,035,333 0 FORM 990, PART XI, LINE 9 PENSION ADJUSTMENT 744,966 ASSETS RELEASED FROM RESTRICTION 1,175 TOTAL 746,141 GEISINGER JERSEY SHORE HOSP FOUND 1020 THOMPSON STREET JERSEY SHORE PA 17740 232480603 HEALTHCARE PA 501C3 3 NA true false false false true false false false false false true false false true false false false true true false GEISINGER JERSEY SHORE HOSPITAL FND D 5281749 CASH GEISINGER JERSEY SHORE HOSPITAL FND M 72000 CASH GEISINGER JERSEY SHORE HOSPITAL FND R 116466 FMV GEISINGER JERSEY SHORE HOSPITAL FND Q 11647 CASH GEISINGER JERSEY SHORE HOSPITAL FND J 28924 CASH GEISINGER JERSEY SHORE HOSPITAL FND R 29605 CASH GEISINGER JERSEY SHORE HOSPITAL FND R 825588 CASH GEISINGER JERSEY SHORE HOSPITAL FND S 50000 CASH GEISINGER JERSEY SHORE HOSPITAL FND R 1400 CASH