GEISINGER MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: GEISINGER MEDICAL CENTER (EIN 24-0795959)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-17
IRS object ID: 202543219349319044
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-17T15:44:48-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PwC US Tax LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	2001 MARKET ST SUITE 1800	AddressLine1Txt
City	PHILADELPHIA	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	19103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	240795959	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% ERIN FITZGERALD CPA	InCareOfNm
Business Name Control	GEIS	BusinessNameControlTxt
Phone	5702716624	PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ERIN M FITZGERALD CPA	PersonNm
Person Title	INTERIM CO-CFO	PersonTitleTxt
Phone	5702716624	PhoneNum
Signature	2025-11-11	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ROBERT W FRIZ	PreparerPersonNm
PTIN	P00438748	PTIN
Phone	2673303000	PhoneNum
Preparation	2025-11-10	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	TERRY GILLILAND MD	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$2,019,868,992	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1932	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	STRIVE TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE MODELS THAT SUPPORT PATIENT CARE, EDUCATION, RESEARCH, & COMMUNITY SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	8480	TotalEmployeeCnt
Total Volunteers	146	TotalVolunteersCnt
Total Gross UBI	$137,945	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$99,017	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$25,565,119	PYContributionsGrantsAmt
CY Contributions Grants	$24,290,886	CYContributionsGrantsAmt
PY Program Service Revenue	$1,833,406,254	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,975,446,934	CYProgramServiceRevenueAmt
PY Investment Income	$9,283,532	PYInvestmentIncomeAmt
CY Investment Income	$13,223,759	CYInvestmentIncomeAmt
PY Other Revenue	$10,685,212	PYOtherRevenueAmt
CY Other Revenue	$6,489,706	CYOtherRevenueAmt
PY Total Revenue	$1,878,940,117	PYTotalRevenueAmt
CY Total Revenue	$2,019,451,285	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$3,500	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$563,796,107	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$605,114,332	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,047,884,245	PYOtherExpensesAmt
CY Other Expenses	$1,148,642,762	CYOtherExpensesAmt
PY Total Expenses	$1,611,680,352	PYTotalExpensesAmt
CY Total Expenses	$1,753,760,594	CYTotalExpensesAmt
PY Revenues Less Expenses	$267,259,765	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$265,690,691	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,007,730,644	TotalAssetsBOYAmt
Total Assets EOY	$5,649,870,803	TotalAssetsEOYAmt
Total Liabilities BOY	$818,294,240	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,487,123,718	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$189,436,404	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$162,747,085	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	STRIVE TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE MODELS THAT SUPPORT PATIENT CARE, EDUCATION, RESEARCH, & COMMUNITY SERVICES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,696,754,476	ExpenseAmt
Grant	$3,500	GrantAmt
Revenue	$1,975,668,696	RevenueAmt
Desc	SEE SCHEDULE O - HEALTHCARE	Desc
Total Program Service Expenses	$1,696,754,476	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	2	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8480	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ERIN FITZGERALD CPA	PersonNm
Phone	5702142299	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JAEWON RYU MD JD
PRESIDENT, DIRECTOR	0.0	40.0	Yes (X)	Yes (X)	$0	$8,428,472	$5,867,423
TERRY GILLILAND MD
PRESIDENT, DIRECTOR	0.0	40.0	Yes (X)	Yes (X)	$0	$2,349,920	$867,580
KEVIN V ROBERTS MBA CPA
EVP, CFO, TREASURER	0.0	40.0		Yes (X)	$0	$2,685,093	$66,232
STEVEN B BENDER ESQUIRE
EVP, CLO, SECRETARY	0.0	40.0		Yes (X)	$0	$905,815	$244,367
RONALD BEER MHA FACHE
DIRECTOR	0.0	40.0	Yes (X)		$0	$876,035	$116,292
GERALD V MALONEY DO
DIRECTOR	0.0	40.0	Yes (X)		$0	$835,370	$133,826
MEGAN BROSIOUS
CAO, CENTRAL REGION	40.0	0.0			$688,185	$0	$110,253	Yes (X)
JENNIFER BROOKS MD
FORMER 5 HIGHEST	0.0	40.0			$0	$733,669	$34,798		Yes (X)
NATALIE SENTER MD
FORMER 5 HIGHEST	0.0	40.0			$0	$706,615	$44,554		Yes (X)
ROBERT J MOYER MD
FORMER 5 HIGHEST	0.0	40.0			$0	$671,324	$45,541		Yes (X)
HARSH PATEL MD
FORMER 5 HIGHEST	0.0	40.0			$0	$681,494	$24,711		Yes (X)
GRANT CIAVARELLA DO
FORMER 5 HIGHEST	0.0	40.0			$0	$604,967	$67,963		Yes (X)
MATTHEW VAN LEEUWE
CAO, HOSPITAL SVCS, POP HLTH	40.0	0.0			$184,879	$383,103	$76,341	Yes (X)
GINO SARTORI DO
FORMER 5 HIGHEST	0.0	40.0			$0	$556,729	$64,055		Yes (X)
MICHAEL FITZPATRICK MD
CMO	0.0	40.0		Yes (X)	$0	$557,956	$59,259
DAVID DECOSKEY DO
FORMER 5 HIGHEST	0.0	40.0			$0	$532,419	$63,527		Yes (X)
CRYSTAL K MUTHLER BSN RN
VP, CHIEF NURSING OFFICER	40.0	0.0			$491,920	$0	$38,795	Yes (X)
KYLE YEBERNETSKY MD
FORMER 5 HIGHEST	0.0	40.0			$0	$462,210	$44,399		Yes (X)
CAROL STOJINSKI MD
FORMER 5 HIGHEST	0.0	40.0			$0	$450,577	$39,471		Yes (X)
JUSTIN HARK DO
FORMER 5 HIGHEST	0.0	40.0			$0	$431,523	$40,181		Yes (X)
LORI R GRAMLEY ESQUIRE
ACLO, ASSISTANT SECRETARY	0.0	40.0		Yes (X)	$0	$367,079	$52,253
TAMMY ANDERER CRNP PHD
FORMER KEY EMPLOYEE	0.0	40.0			$0	$330,692	$74,346		Yes (X)
ANDREA WARY MED BSN RN
VP, CANCER, WOMENS	40.0	0.0			$329,039	$0	$23,299			Yes (X)
ROSEMARY LEEMING MD
FORMER OFFICER	0.0	40.0			$0	$299,871	$50,699		Yes (X)
CHELSEA KON DO
PHYSICIAN, EMERGENCY MEDICINE	40.0	0.0			$60,020	$225,740	$36,884			Yes (X)
DARSHAN SUTHAR DO
PHYSICIAN, GASTROENTEROLOGY	40.0	0.0			$36,957	$229,933	$42,129			Yes (X)
NICOLE WOLL
VICE DEAN, FACULTY, PROF DEV	40.0	0.0			$279,115	$0	$28,378			Yes (X)
NICHOLAS SEBES MD
FORMER 5 HIGHEST	0.0	40.0			$0	$301,272	$5,375		Yes (X)
VINCENT MARTELLO DO
PHYSICIAN, ANESTHESIOLOGIST	40.0	0.0			$36,173	$238,368	$29,090			Yes (X)
THOMAS SOKOLA
FORMER OFFICER	0.0	0.0			$0	$113,029	$0		Yes (X)
MATTHEW WALSH
DIRECTOR	0.0	40.0	Yes (X)		$0	$8,926	$2,890
JEFFREY A JACOBSON
CHAIR, DIRECTOR	0.25	2.75	Yes (X)		$0	$0	$0
V CHRIS HOLCOMBE PE
VICE CHAIR, DIRECTOR	0.25	2.75	Yes (X)		$0	$0	$0
BENJAMIN K CHU MD MPH MACP
DIRECTOR	0.25	3.25	Yes (X)		$0	$0	$0
VIRGINIA MCGREGOR
DIRECTOR	0.25	3.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,754,043	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$24,076,673	TotReportableCompRltdOrgAmt
Total Other Compensation	$8,287,049	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	919	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EWING COLE
PO BOX 535	SOUTHEASTERN	PA	193990535	ARCHITECTURE	$16,397,783
THE WHITING TURNER CONTRACTING
PO BOX 17596	BALTIMORE	MD	21297	CONSTRUCTION	$16,255,753
MEDEFIS CONSOLIDATED
PO BOX 5068	NEW YORK	NY	100875068	STAFFING	$11,537,391
GEISINGER ENCOMPASS HEALTH LLC
64 REHAB LANE	DANVILLE	PA	17821	MEDICAL TESTING	$6,437,202
QUEST DIAGNOSTICS
PO BOX 912512	PASADENA	CA	911102512	MEDICAL TESTING	$5,338,986

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	80	CntrctRcvdGreaterThan100KCnt
Government Grants	$24,265,277	GovernmentGrantsAmt
All Other Contributions	$25,609	AllOtherContributionsAmt
Noncash Contributions	$13,893	NoncashContributionsAmt
Total Contributions	$24,290,886	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
HEALTHCARE	621110	$1,970,379,780	$1,970,256,730	$123,050
RENTAL REVENUE	531120	$2,368,930		$5,295	$2,363,635
PARTNERHSIP INCOME	622310	$1,517,034	$1,517,034
EDUCATION	611310	$1,179,014	$1,179,014
INTERCOMPANY REVENUE	900099	$2,176	$2,176

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,975,446,934	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,510,318	TotalRevenueColumnAmt
Exclusion	$5,510,318	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$417,200	RealAmt
Personal	$9,600	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$417,707	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$507	RealAmt
Personal	$9,600	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,093	TotalRevenueColumnAmt
Unrelated Business Revenue	$9,600	UnrelatedBusinessRevenueAmt
Exclusion	-$507	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,713,441	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,713,441	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,713,441	TotalRevenueColumnAmt
Exclusion	$7,713,441	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
GUEST SERVICES	722514	$4,948,718	$4,948,718
GIFT SHOP	459420	$774,838	$774,838
REIMBURSEMENTS	900099	$391,022	$391,022

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$366,035	TotalRevenueColumnAmt
Related Or Exempt Func Income	$221,762	RelatedOrExemptFuncIncomeAmt
Exclusion	$144,273	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,480,613	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,019,451,285	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,973,176,716	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$137,945	UnrelatedBusinessRevenueAmt
Exclusion	$21,845,738	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$2,500	TotalAmt
Program Services	$2,500	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,000	TotalAmt
Program Services	$1,000	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,348,894	TotalAmt
Program Services	$1,348,894	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$132,571	TotalAmt
Program Services	$132,571	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$452,228,035	TotalAmt
Program Services	$444,042,809	ProgramServicesAmt
Management And General	$8,185,226	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$18,789,578	TotalAmt
Program Services	$18,463,391	ProgramServicesAmt
Management And General	$326,187	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$100,230,995	TotalAmt
Program Services	$98,441,274	ProgramServicesAmt
Management And General	$1,789,721	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$32,384,259	TotalAmt
Program Services	$31,822,069	ProgramServicesAmt
Management And General	$562,190	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,060,386	TotalAmt
Program Services	$416,886	ProgramServicesAmt
Management And General	$643,500	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$267,581	TotalAmt
Management And General	$267,581	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$29,146	TotalAmt
Management And General	$29,146	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$611,981	TotalAmt
Program Services	$521,870	ProgramServicesAmt
Management And General	$90,111	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$80,423,659	TotalAmt
Program Services	$72,126,960	ProgramServicesAmt
Management And General	$8,296,699	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,709	TotalAmt
Program Services	$5,709	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$34,699,418	TotalAmt
Program Services	$33,731,384	ProgramServicesAmt
Management And General	$968,034	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,593,436	TotalAmt
Program Services	$2,906,634	ProgramServicesAmt
Management And General	$686,802	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$25,860,174	TotalAmt
Program Services	$25,152,874	ProgramServicesAmt
Management And General	$707,300	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,126,912	TotalAmt
Program Services	$4,083,761	ProgramServicesAmt
Management And General	$43,151	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$958,857	TotalAmt
Program Services	$957,807	ProgramServicesAmt
Management And General	$1,050	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,995,000	TotalAmt
Program Services	$23,215,043	ProgramServicesAmt
Management And General	$779,957	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$50,694,111	TotalAmt
Program Services	$49,309,319	ProgramServicesAmt
Management And General	$1,384,792	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$69,921,579	TotalAmt
Program Services	$59,910,341	ProgramServicesAmt
Management And General	$10,011,238	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$439,713,552	$439,511,813	$201,739
INTERCOMPANY EXPENSE	$373,342,532	$351,651,669	$21,690,863
MEDICAID MODERNIZATION FEE	$37,122,674	$37,122,674
UNRELATED BUSINESS INC. TAX	-$6,463		-$6,463

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,222,518	TotalAmt
Program Services	$1,875,224	ProgramServicesAmt
Management And General	$347,294	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,753,760,594	TotalAmt
Program Services	$1,696,754,476	ProgramServicesAmt
Management And General	$57,006,118	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$14,515	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$76,635,456	BOYAmt
EOY	$181,006,499	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$163,103,125	BOYAmt
EOY	$193,272,391	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$16,872	BOYAmt
EOY	$7,016	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$6,684,645	BOYAmt
EOY	$6,993,512	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$35,448,094	BOYAmt
EOY	$40,524,043	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,203,411	BOYAmt
EOY	$9,210,102	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,187,859,572	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$727,642,209	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$396,233,707	BOYAmt
EOY	$460,217,363	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$81,520,599	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$67,400,348	BOYAmt
EOY	$164,938,661	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$169,484,387	BOYAmt
EOY	$4,593,686,701	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,007,730,644	BOYAmt
EOY	$5,649,870,803	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$12,528,673	BOYAmt
EOY	$77,445,338	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$253,128	BOYAmt
EOY	$71,654	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$641,996,397	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$18,280,649	BOYAmt
EOY	$14,270,742	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$145,235,393	BOYAmt
EOY	$5,395,335,984	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$818,294,240	BOYAmt
EOY	$5,487,123,718	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$189,436,404	BOYAmt
EOY	$162,747,085	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$189,436,404	BOYAmt
EOY	$162,747,085	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,007,730,644	BOYAmt
EOY	$5,649,870,803	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$265,690,691	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,951,905	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$298,331,915	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$29,146	OtherActivitiesAmt
Total Lobbying Expenditures	$29,146	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind
Form4720 Filed4912 Tax	0	Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1I:	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. LINE 1I ALSO INCLUDES $276 FLOW THROUGH LOBBYING EXPENSES FROM A PARTNERSHIP K-1.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$373,673,000	BeginningYearBalanceAmt
Contributions	$1,177,000	ContributionsAmt
Investment Earnings Or Losses	$13,235,000	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$4,642,000	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$383,443,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$361,844,000	BeginningYearBalanceAmt
Contributions	$1,066,000	ContributionsAmt
Investment Earnings Or Losses	$15,229,000	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$4,466,000	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$373,673,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$385,529,000	BeginningYearBalanceAmt
Contributions	$1,170,000	ContributionsAmt
Investment Earnings Or Losses	-$20,189,000	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$4,666,000	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$361,844,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$372,716,000	BeginningYearBalanceAmt
Contributions	$699,000	ContributionsAmt
Investment Earnings Or Losses	$19,881,000	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$7,767,000	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$385,529,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$369,232,000	BeginningYearBalanceAmt
Contributions	$1,328,000	ContributionsAmt
Investment Earnings Or Losses	$20,022,000	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$17,866,000	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$372,716,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.74340	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.18050	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.07610	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,583,390	OtherCostOrOtherBasisAmt
Book Value	$31,583,390	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$692,834,940	OtherCostOrOtherBasisAmt
Depreciation	$440,383,433	DepreciationAmt
Book Value	$252,451,507	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,535,570	OtherCostOrOtherBasisAmt
Depreciation	$3,651,604	DepreciationAmt
Book Value	$883,966	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$355,536,845	OtherCostOrOtherBasisAmt
Depreciation	$267,999,971	DepreciationAmt
Book Value	$87,536,874	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,368,827	OtherCostOrOtherBasisAmt
Depreciation	$15,607,201	DepreciationAmt
Book Value	$87,761,626	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$460,217,363	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$4,589,136,279
INVESTMENT IN JOINT VENTURE	$4,348,708
OTHER CURRENT ASSETS	$201,714

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$4,593,686,701	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Due to Affiliates	$5,343,236,481
INVESTMENT IN JV	$47,128,607
Accounts Receivable Credit Balances	$4,965,896
Deposits	$5,000

Field	Value	IRS element (for citing)
Total Liability	$5,395,335,984	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS

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

PART XIII - SUPPLEMENTAL FINANCIAL INFORMATION

EFFECTIVE JULY 1, 2007, GEISINGER ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES"FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE CALENDAR YEAR OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	false	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,746,671	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,746,671	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$286,177,744	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$218,653,100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,524,644	NetCommunityBenefitExpnsAmt
Total Expense	0.03850	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,634,429	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,986,634	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$647,795	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$303,558,844	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$224,639,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,919,110	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,423,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,706	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,385,903	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,193,431	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,817,893	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$34,375,538	NetCommunityBenefitExpnsAmt
Total Expense	0.01960	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$857,350	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$857,350	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,037,342	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,037,342	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,511,732	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,855,599	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,656,133	NetCommunityBenefitExpnsAmt
Total Expense	0.03000	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$374,070,576	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$242,495,333	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$131,575,243	NetCommunityBenefitExpnsAmt
Total Expense	0.07500	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$201,558,645	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$257,112,296	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$55,553,651	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

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

Field	Value	IRS element (for citing)
Primary Activities	REHABILITATION HOSPITAL SVCS.	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.0	PhysiciansProfitOrOwnershipPct

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd	OtherOtherDesc
GEISINGER MEDICAL CENTER
1	100 NORTH ACADEMY AVENUE	DANVILLE	PA	17822	WWW.GEISINGER.ORG	07180100	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
GEISINGER ENCOMPASS HEALTH LLC
2	64 REHAB LANE	DANVILLE	PA	17821	WWW.ENCOMPASSHEALTH.COM	07180100	Yes (X)					A	REHABILITATION HOSPITAL

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.GEISINGER.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	24	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	REFER TO RESPONSE TO 7D	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.GEISINGER.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.GEISINGER.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.GEISINGER.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 5	THE 2024 CHNA WAS CONDUCTED FROM JANUARY TO DECEMBER 2023 AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES IN CENTRAL AND NORTHEAST PENNSYLVANIA. OUR PROCESS WAS IN LINE WITH IRS TAX CODE 501(R) REQUIREMENTS TO CONDUCT A CHNA EVERY THREE YEARS AS SET FORTH BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA). THROUGH A COMPREHENSIVE VIEW OF STATISTICAL HEALTH INDICATORS AND COMMUNITY STAKEHOLDER FEEDBACK, A PROFILE OF PRIORITY AREAS WAS DETERMINED. THE FINDINGS WILL GUIDE HEALTHCARE SERVICES AND HEALTH IMPROVEMENT EFFORTS, AS WELL AS SERVE AS A COMMUNITY RESOURCE FOR GRANTMAKING, ADVOCACY, AND TO SUPPORT THE MANY PROGRAMS PROVIDED BY HEALTH AND SOCIAL SERVICE PARTNERS. SECONDARY DATA ANALYSIS SECONDARY DATA, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC, AND PUBLIC HEALTH INDICATORS, WERE ANALYZED FOR SERVICE AREA COUNTIES TO MEASURE KEY DATA TRENDS AND PRIORITY HEALTH ISSUES AND TO ASSESS EMERGING HEALTH NEEDS. DATA WERE COMPARED TO STATE AND NATIONAL BENCHMARKS AND HEALTHY PEOPLE 2030 (HP2030) GOALS, AS AVAILABLE, TO ASSESS AREAS OF STRENGTH AND OPPORTUNITY. HEALTHY PEOPLE 2030 IS A NATIONAL INITIATIVE ESTABLISHING 10-YEAR GOALS FOR IMPROVING THE HEALTH OF ALL AMERICANS. ALL REPORTED DEMOGRAPHIC AND SOCIOECONOMIC DATA WERE PROVIDED BY THE US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, UNLESS OTHERWISE NOTED. PUBLIC HEALTH DATA WERE COMPILED FROM A VARIETY OF SOURCES LIKE THE PENNSYLVANIA DEPARTMENT OF HEALTH AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), AMONG OTHERS. PRIMARY RESEARCH AND COMMUNITY ENGAGEMENT COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2024 CHNA. INPUT WAS SOLICITED AND RECEIVED FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED PERSPECTIVES ON HEALTH NEEDS, EXISTING RESOURCES TO MEET THOSE NEEDS, AND SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES. PRIMARY RESEARCH AND COMMUNITY ENGAGEMENT STUDY METHODS INCLUDED: -AN ONLINE KEY STAKEHOLDER SURVEY COMPLETED BY 180 INDIVIDUALS SERVING THE CENTRAL REGION, WHO REPRESENT HEALTHCARE PROVIDERS, SOCIAL SERVICES PROFESSIONALS, EDUCATORS, FAITH-BASED LEADERS, AND COMMUNITY LEADERS, AMONG OTHERS; -REGIONAL COMMUNITY FORUM BRINGING TOGETHER 39 RESIDENTS AND DIVERSE COMMUNITY REPRESENTATIVES TO REVIEW CHNA FINDINGS AND COLLECTIVELY DEFINE CHALLENGES AND CO-DEVELOP MEANINGFUL STRATEGIES FOR HEALTH IMPROVEMENT; AND -CONVERSATIONS WITH HEALTH SYSTEM LEADERS TO ALIGN COMMUNITY HEALTH PLANNING WITH POPULATION HEALTH MANAGEMENT AND COMMUNITY ENGAGEMENT STRATEGIES.
FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 6A	THE 2024 CHNA WAS CONDUCTED COLLABORATIVELY BY GEISINGER(1), ALLIED SERVICES(2), AND EVANGELICAL COMMUNITY HOSPITAL. THE THREE HEALTH SYSTEMS HAVE PARTNERED SINCE 2012 TO CREATE A COLLECTIVE CHNA FOR THEIR OVERLAPPING SERVICE AREAS SPANNING CENTRAL AND NORTHEAST PENNSYLVANIA. COLLABORATION IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR COLLECTIVE IMPACT THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. THE CHNA FOCUSED ON THE PRIMARY SERVICE COUNTY(IES) OF EACH PARTICIPATING HOSPITAL TO IDENTIFY HEALTH TRENDS AND UNIQUE DISPARITIES WITHIN THESE COMMUNITIES. HOSPITALS WITH OVERLAPPING SERVICE AREAS WERE GROUPED INTO REGIONS FOR COMPARISONS OF HEALTH AND SOCIOECONOMIC DATA. COMMON PRIORITIES WERE DETERMINED TO ADDRESS WIDESPREAD HEALTH NEEDS. SPECIFIC STRATEGIES WERE OUTLINED IN EACH HOSPITAL'S IMPLEMENTATION PLAN TO GUIDE LOCAL EFFORTS AND COLLABORATION WITH COMMUNITY PARTNERS. (1) GEISINGER INCLUDES: GEISINGER MEDICAL CENTER (INCLUDING GEISINGER-SHAMOKIN AREA COMMUNITY HOSPITAL), GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY (DBA GEISINGER ENCOMPASS HEALTH REHABILITATION HOSPITAL), GEISINGER WYOMING VALLEY MEDICAL CENTER (INCLUDES GEISINGER SOUTH WILKES-BARRE), GEISINGER-BLOOMSBURG HOSPITAL, COMMUNITY MEDICAL CENTER (DBA GEISINGER COMMUNITY MEDICAL CENTER), GEISINGER JERSEY SHORE HOSPITAL, GEISINGER-LEWISTOWN HOSPITAL, AND GEISINGER MEDICAL CENTER MUNCY. (2) ALLIED SERVICES INCLUDES ALLIED SERVICES REHAB HOSPITAL AND HEINZ REHAB HOSPITAL.
FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 7D	COPIES OF THE FINAL CHNAS ARE SHARED WITH THE COMMUNITY REPRESENTATIVES WHO PARTICIPATED IN THE CHNA PROCESS. ADDITIONALLY, THE HOSPITAL'S CHNA AND CHNA IMPLEMENTATION STRATEGY ("COMMUNITY HOSPITAL IMPROVEMENT PLAN") ARE POSTED ON THE HOSPITAL'S WEBSITE AT: WWW.GEISINGER.ORG/ABOUT-GEISINGER/COMMUNITY-ENGAGEMENT/CHNA HARD COPIES ARE ALSO MAILED, UPON REQUEST.
FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 11	SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA CONTINUE TO BE: ACCESS TO CARE BEHAVIORAL HEALTH CHRONIC DISEASE MANAGEMENT GEISINGER, LEVERAGES ITS ENTIRE HEALTH CARE SYSTEM TO BETTER IMPACT THE ENTIRE GEOGRAPHIC AREA SERVED AND DEVELOPS SYSTEM-WIDE INITIATIVES AS WELL AS INDIVIDUAL HOSPITAL INITIATIVES TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. THESE INITIATIVES, ADOPTED BY THE BOARD ARE INCLUDED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN, AVAILABLE AT HTTPS://WWW.GEISINGER.ORG/ABOUT-GEISINGER/COMMUNITY-ENGAGEMENT/CHNA. THOSE COMMUNITY NEEDS THAT ARE GENERALLY OUTSIDE THE SCOPE OF A HOSPITAL, SUCH AS HOUSING INSECURITY, CHILDCARE SHORTAGES AND OTHER SOCIAL DETERMINANTS OF HEALTH FACTORS ARE NOT ADDRESSED DIRECTLY BY THE HOSPITAL. ALTHOUGH INDIRECTLY, GEISINGER MAINTAINS POSITIVE SUPPORT AND INFLUENCE THROUGH COALITIONS, REFERRALS AND ADVOCACY WITHIN THE COMMUNITIES IN ITS FOOTPRINT OF EXISTING SOCIAL AGENCIES WHO BETTER ADDRESS THESE COMMUNITY NEEDS. FOLLOWING ARE THE GEISINGER SYSTEM-WIDE AND HOSPITAL SPECIFIC INITIATIVES BASED ON THE MOST RECENT CHNA. PRIORITY AREA: ACCESS TO CARE GOAL: EMPOWER OUR COMMUNITIES TO BE WELL BY REMOVING BARRIERS TO HEALTHCARE. OBJECTIVE: INCREASE THE NUMBER OF RESIDENTS WHO RECEIVE REGULAR PRIMARY CARE SERVICES. SYSTEMWIDE STRATEGIES: . ASSIST WITH ELIGIBILITY DETERMINATION AND ENROLLMENT IN AVAILABLE HEALTH INSURANCE PROGRAMS. . CONDUCT POINT OF CARE PRIMARY CARE SCREENING AND SCHEDULING ASSISTANCE WITHIN THE EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS. . EXPAND PRIMARY CARE SERVICES INCLUDING ACCESS TO GEISINGER 65 FORWARD HEALTH CENTERS AND COMMUNITYCARE SLIDING FEE HEALTH SERVICES. . CULTIVATE TRUSTING AND INCLUSIVE CARE ENVIRONMENTS THAT PROMOTE HEALTHCARE ACCESS FOR DIVERSE POPULATIONS. GEISINGER MEDICAL CENTER TACTICS: . CONTINUE DEI TRAINING FOR STAFF TO ASSURE SAFE, HIGH QUALITY AND SATISFYING EXPERIENCES FOR OUR PATIENTS AND THEIR FAMILIES. . CONTINUE TO PROMOTE AVAILABLE SERVICES IN THE RIGHT COMMUNITIES THROUGH HEALTH SCREENINGS AND OTHER COMMUNITY OUTREACH EVENTS. OBJECTIVE: INCREASE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN UNDERSERVED COMMUNITIES. SYSTEMWIDE STRATEGIES: . PROVIDE OR SPONSOR SLIDING FEE PROGRAMS FOR INDIVIDUALS WITHOUT HEALTH INSURANCE AND/OR WITH LOW INCOMES. . PROVIDE MOBILE AND HOME- AND COMMUNITY-BASED SERVICES THAT BRING CARE TO RESIDENTS. . SEEK OUT PARTNERSHIPS AND STRATEGIC OPPORTUNITIES TO DEVELOP OR AUGMENT CARE ENVIRONMENTS IN UNDERSERVED COMMUNITIES. . EXPAND ACCESS TO QUALITY TELEHEALTH INCLUDING AGE-INCLUSIVE TELEHEALTH FOR OLDER ADULTS. GEISINGER MEDICAL CENTER TACTICS: . RELOCATION OF MULTIPLE HIGH-VOLUME SERVICES TO LOCATIONS MORE READILY ACCESSIBLE FOR PATIENTS AND THEIR FAMILIES IN THE DANVILLE COMMUNITY. . CONTINUE TO INVEST IN UPGRADING INFRASTRUCTURE AND TECHNOLOGICAL RESOURCES FOR PROVIDING CONVENIENT CLINICAL AND HOME-BASED TELEHEALTH SERVICES TO OUR PATIENTS. OBJECTIVE: INCREASE THE AVAILABLE HEALTHCARE WORKFORCE AND ADVANCE DIVERSITY OF TALENT. SYSTEMWIDE STRATEGIES: . PARTNER WITH SCHOOL DISTRICTS, UNIVERSITIES, AND OTHER YOUTH SERVICE PROVIDERS TO FOSTER HEALTHCARE CAREER PATHWAYS. . COLLABORATE WITH SCHOOLS OF MEDICINE, NURSING, AND OTHER HEALTH PROFESSIONALS TO FOSTER CAREERS IN NEEDED HEALTH SERVICES AND RECRUITMENT FOR UNDERSERVED AREAS. . EMBED INCLUSIVE PRACTICES AND PROCESSES INTO HOW WE ATTRACT, RECRUIT, RETAIN, AND ADVANCE A DIVERSITY OF TALENT. GEISINGER MEDICAL CENTER TACTICS: . CONTINUE TO ENCOURAGE HIGH SCHOOL AND COLLEGE STUDENTS TO ENTER THE HEALTHCARE FIELD BY PROVIDING HIGH SCHOOL STEAM AND CAREER TOURS OF GBH, PARTICIPATE IN COLLEGE ORIENTATIONS AND HEALTH SYMPOSIUMS, AND PROVIDE VOLUNTEERISM OPPORTUNITIES. REPORT ON # OF TOURS/SCHOOLS, # OF EVENTS/COLLEGES, # OF VOLUNTEERS AND THE DEPARTMENTS SERVED. . OFFERING TRAINING AND EDUCATION PROGRAMS WHICH INCLUDE CO-OP PROGRAMS, NURSE RESIDENCY PROGRAM, MED SURG FELLOWSHIP AND ABIGAIL SCHOLARS PROGRAM, WHICH WILL HELP TO INCREASE RECRUITMENT AND RETENTION. OBJECTIVE: REDUCE DISPARITIES IN HEALTHCARE ACCESS. SYSTEMWIDE STRATEGIES: . INCREASE COLLECTION OF REAL, SOGI, ZIP CODE, AND OTHER DEMOGRAPHIC DATA IN ORDER TO BETTER UNDERSTAND AND ADDRESS DISPARITIES. . LEVERAGE LOCAL TRUSTED PEOPLE, PLACES, AND METHODS TO EXPAND HEALTHCARE SERVICES FOR DIVERSE POPULATIONS. . PROVIDE QUALIFIED LANGUAGE SERVICES TO MEET THE DIVERSE AND PREFERRED LANGUAGE NEEDS OF PATIENTS. . SUPPORT NEIGHBORLY ONLINE PLATFORM AND OTHER RESOURCES TO INCREASE AWARENESS OF AVAILABLE SERVICES TO MEET SOCIAL DRIVERS OF HEALTH NEEDS. . SEEK OUT PARTNERSHIPS AND STRATEGIC OPPORTUNITIES WITH COMMUNITY-BASED ORGANIZATIONS TO COORDINATE REFERRALS AND COLLECTIVELY ADDRESS SOCIAL DRIVERS OF HEALTH BARRIERS. . IN PARTNERSHIP WITH GEISINGER HEALTH PLAN, HELP ADDRESS HEALTHCARE TRANSPORTATION BARRIERS. GEISINGER MEDICAL CENTER TACTICS: . LEVERAGE INFORMATION FROM THE DEP ON ENVIRONMENTAL JUSTICE AREAS COMBINED WITH CHRONIC HEALTH DISEASE AND OTHER KEY DEMOGRAPHICS TO BRING EDUCATION, SERVICES, AND COMMUNITY IMPROVEMENTS TO OUR AREA. PRIORITY AREA: BEHAVIORAL HEALTH GOAL: IMPROVE BEHAVIORAL HEALTH BY FOSTERING COMMUNITIES AND CARE ENVIRONMENTS THAT PROMOTE WELLNESS, RECOVERY, AND RESILIENCE. OBJECTIVE: REDUCE DISPARITIES IN BEHAVIORAL HEALTH AND WELLBEING. SYSTEMWIDE STRATEGIES: . STRENGTHEN AND SUPPORT COMMUNITY INITIATIVES THAT FOSTER YOUTH RESILIENCE (E.G., MENTORSHIP, CAREER DEVELOPMENT, SOCIAL EMOTIONAL LEARNING OPPORTUNITIES). . PROVIDE TRAUMA SENSITIVE TRAINING, INCLUDING IDENTIFYING AND SUPPORTING INDIVIDUALS WITH ADVERSE CHILDHOOD EXPERIENCES (ACES), IN CLINICAL AND COMMUNITY SETTINGS. . SUPPORT AND PROMOTE EFFORTS TO RAISE COMMUNITY AWARENESS OF BEHAVIORAL HEALTH. . INVEST IN COMMUNITY INITIATIVES AND INFRASTRUCTURE THAT PROMOTE RESIDENT ENGAGEMENT AND SENSE OF COMMUNITY. . INCREASE COLLECTION OF REAL, SOGI, ZIP CODE, AND OTHER DEMOGRAPHIC DATA IN ORDER TO BETTER UNDERSTAND AND ADDRESS DISPARITIES. GEISINGER MEDICAL CENTER TACTICS: . ENDORSE THE USE OF 988 SUICIDE LINE. . DEVELOPMENT AND DEPLOYMENT OF COMMUNITY TRAINING PROGRAMS FOR MENTAL HEALTH. OBJECTIVE: INCREASE ACCESS TO AND CAPACITY OF BEHAVIORAL HEALTH SERVICES. SYSTEMWIDE STRATEGIES: . PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO ASSESS BEHAVIORAL HEALTH NEEDS, FACILITATE SERVICE REFERRALS, AND COORDINATE CARE. . IMPLEMENT UNIVERSAL BEHAVIORAL HEALTH SCREENINGS IN CARE SETTINGS. . PROVIDE COMMUNITY-BASED SUBSTANCE USE PREVENTION AND TREATMENT OPTIONS (E.G., MEDICATION TAKE BACK PROGRAMS, NARCAN DISTRIBUTION, FREE2BMOM). . SEEK OUT PARTNERSHIPS AND STRATEGIC OPPORTUNITIES TO DEVELOP OR AUGMENT CARE ENVIRONMENTS IN UNDERSERVED COMMUNITIES. . IN PARTNERSHIP WITH THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE'S BEHAVIORAL HEALTH INITIATIVE, INCREASE INTEGRATION OF BEHAVIORAL AND PHYSICAL HEALTHCARE. GEISINGER MEDICAL CENTER TACTICS: . COMPLETION OF A BEHAVIORAL HEALTH EDUCATION NEEDS ASSESSMENT WITH THE INSTITUTE PA. . INCREASE COLLABORATION WITH CMSU TO SUPPORT PEDIATRIC PATIENTS. . EXECUTION OF THE PROJECTAWARE GRANT TO INCREASE MENTAL HEALTH SERVICES WITH 17 SCHOOL DISTRICTS IN CENTRAL PA. . REORGANIZE OUTPATIENT SERVICES TO CREATE ONSITE AND VIRTUAL RESOURCES DEDICATED TO COLUMBIA/MONTOUR. OBJECTIVE: INCREASE ACCESS TO RECOVERY-ORIENTED CARE AND RECOVERY SUPPORT SYSTEMS. SYSTEMWIDE STRATEGIES: . INCREASE PARTICIPATION OF PEOPLE WITH LIVED EXPERIENCE IN CARE DEVELOPMENT AND DELIVERY. . PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO ASSESS RECOVERY NEEDS AND STRATEGIC OPPORTUNITIES TO ENHANCE RECOVERY OPTIONS. . SUPPORT AND PROMOTE RECOVERY SUPPORT GROUPS AND OTHER ACTIVITIES. GEISINGER MEDICAL CENTER TACTICS: . GEISINGER ENCOMPASS HEALTH TO OFFER (3) DISEASE-SPECIFIC SUPPORT GROUPS MONTHLY, PROMOTING EDUCATION, SUPPORT, AND COMMUNITY REINTEGRATION. . HIRING OF CERTIFIED RECOVERY SPECIALISTS AND/OR PEER SUPPORT TO AUGMENT THE PROVIDER TEAMS. PRIORITY AREA: CHRONIC DISEASE PREVENTION AND MANAGEMENT GOAL: MANAGE TOTAL HEALTH FROM COVERAGE AND PREVENTION TO CARE AND TREATMENT. OBJECTIVE: REDUCE RISK FACTORS FOR CHRONIC DISEASE. SYSTEMWIDE STRATEGIES: . INVEST IN COMMUNITY INITIATIVES AND INFRASTRUCTURE THAT PROMOTE A HEALTHY BUILT ENVIRONMENT. . PROVIDE COMMUNITY-BASED ACCESS TO EARLY SCREENING AND DETECTION SERVICES AND HEALTH PROMOTION PROGRAMMING. . LEVERAGE LOCAL TRUSTED PEOPLE, PLACES, AND METHODS TO EXPAND PREVENTION SERVICES FOR DIVERSE POPULATIONS. . SUPPORT NEIGHBORLY ONLINE PLATFORM AND OTHER RESOURCES TO INCREASE AWARENESS OF AVAILABLE SERVICES TO MEET SOCIAL DRIVERS OF HEALTH NEEDS. . SEEK OUT PARTNERSHIPS AND STRATEGIC OPPORTUNITIES WITH COMMUNITY-BASED ORGANIZATIONS TO COORDINATE REFERRALS AND COLLECTIVELY ADDRESS SOCIAL DRIVERS OF HEALTH BARRIERS.
FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 11 (CONT.)	GEISINGER MEDICAL CENTER TACTICS: . GEISINGER ENCOMPASS HEALTH TO OFFER MONTHLY STROKE EDUCATION AND BLOOD PRESSURE SCREENINGS AT SENIOR CENTERS, SERVICE ORGANIZATIONS, ETC. . SUPPORT THE ZING543210 PROGRAM. . CONTINUE TO SUPPORT HEALTH OF OUR STAFF AND THE COMMUNITY THROUGH WELLNESS EVENTS BOTH PHYSICAL AND MENTAL. OBJECTIVE: REDUCE DISPARITIES IN CHRONIC DISEASE OUTCOMES. SYSTEMWIDE STRATEGIES: . INCREASE COLLECTION OF REAL, SOGI, ZIP CODE, AND OTHER DEMOGRAPHIC DATA IN ORDER TO BETTER UNDERSTAND AND ADDRESS DISPARITIES. . PROVIDE COORDINATED CARE PROGRAMS FOR INDIVIDUALS WITH COMPLEX MEDICAL CONDITIONS AND/OR AT RISK FOR DISEASE COMPLICATIONS. . PROVIDE SELF-MONITORING AND SELF-MANAGEMENT TOOLS AND PROGRAMS TO EMPOWER INDIVIDUALS TO MANAGE THEIR CONDITION(S). GEISINGER MEDICAL CENTER TACTICS: . LEVERAGE INFORMATION FROM THE DEP ON ENVIRONMENTAL JUSTICE AREAS COMBINED WITH CHRONIC HEALTH DISEASE AND OTHER KEY DEMOGRAPHICS TO ESTABLISH A LIST OF RECOMMENDATIONS TO BRING EDUCATION, SERVICES, AND COMMUNITY IMPROVEMENTS TO OUR AREA.
FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 13B	RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY.
FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 16J	THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT HTTPS://WWW.GEISINGER.ORG/PATIENT-CARE/PATIENTS -AND-VISTORS/BILLING-AND-INSURANCE/NEED-HELP. IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 20E	REFER TO RESPONSE FOR PART III, SECTION C, LINE 9B

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	SUPPORTING DOCUMENTATION FOR ELIGIBILITY MAY CONSIST OF INCOME AND ASSET INFORMATION, INCLUSIVE BUT NOT LIMITED TO: FEDERAL INCOME TAX FORM 1040 FROM THE PRIOR YEAR, PAY STUB COPIES, WRITTEN VERIFICATION OF ANY OTHER INCOME RECEIVED (I.E. SOCIAL SECURITY, ADC, CHILD SUPPORT, ALIMONY, ETC.), CURRENT CREDIT REPORTS AND ASSET VERIFICATION. THE HOSPITAL MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICAL TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY). GEISINGER PROVIDERS, WITHOUT DISCRIMINATION, CARE FOR ALL EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR FINANCIAL ASSISTANCE ELIGIBILITY OR ABILITY TO PAY. IT IS THE POLICY OF GEISINGER HOSPITAL FACILITIES TO COMPLY WITH THE STANDARDS OF THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR TRANSPORT ACT OF 1986 ("EMTLA") AND REGULATIONS IN PROVIDING MEDICAL SCREENING EXAMINATION AND SUCH FURTHER TREATMENT AS MAY BE NECESSARY TO STABILIZE AN EMERGENCY MEDICAL CONDITION FOR ANY INDIVIDUAL PRESENTING TO THE EMERGENCY DEPARTMENT SEEKING TREATMENT.
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYERS, SELF-PAY, ETC.). A COST TO CHARGE RATIO, CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS, WAS USED TO CALCULATE THE COST OF CHARITY CARE.
PART III, LINE 4 - BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	GEISINGER RECORDS PATIENT SERVICE REVENUE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, EXPLICIT CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS AND IMPLICIT PRICE CONCESSIONS PROVIDED TO PATIENTS AS REDUCTIONS FROM ESTABLISHED BILLING RATES. GEISINGER DETERMINES ITS ESTIMATES OF EXPLICIT AND IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL DATA WHICH CONSIDERS EXPERIENCE, MARKET CONDITIONS, AND OTHER FACTORS. EXPLICIT AND IMPLICIT PRICE CONCESSIONS TO PATIENT SERVICE REVENUE ARE RECORDED AT THE TIME THE PERFORMANCE OBLIGATIONS ARE SATISFIED. SUBSTANTIALLY ALL CHANGES TO THESE CONCESSIONS, AS A RESULT OF SUBSEQUENT REASSESSMENT, ARE RECOGNIZED IN THE PERIOD THE CHANGE IS IDENTIFIED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE A RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S OR PAYOR'S ABILITY TO PAY AND ARE MATERIAL ARE RECORDED AS BAD DEBT EXPENSE. NO BAD DEBT EXPENSE WAS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023 RELATED TO PATIENT SERVICE REVENUE.
PART III, LINE 8 - MEDICARE EXPLANATION	MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM. THE ORGANIZATION BELIEVES THE MEDICARE UNDERPAYMENTS (SHORTFALL) ARE COMMUNITY BENEFIT AND SHOULD BE INCLUDED ON FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND IS CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER THE INTERNAL REVENUE CODE ("IRC") 501(C)(3). SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). THIS RULING REMOVED THE PREVIOUS REQUIREMENT OF REVENUE RULING 56-185, KNOWN AS THE "CHARITY CARE STANDARD," THAT IN ORDER TO BE A CHARITABLE ORGANIZATION, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR THEIR CARE. THIS EARLIER RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT MEAN THAT A HOSPITAL WAS CHARITABLE SINCE THAT LEVEL COULD REFLECT THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE SUCH CARE. REVENUE RULING 56-185 ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT IMPACT A HOSPITAL'S CHARITABLE STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. AS DEVELOPED IN REVENUE RULING 69-545, UNDER THE COMMUNITY BENEFIT STANDARD, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THIS RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED THOSE WHO COULD PAY FOR THE SERVICES EITHER BY THEMSELVES, THROUGH PRIVATE INSURANCE OR PUBLIC PROGRAMS SUCH AS MEDICARE. IN ADDITION, THE HOSPITAL OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL WAS CHARITABLE BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM CHARITABLE, AS REQUIRED BY TREASURY REGULATION SECTION 1.501(C)(3)-1(D)(2). THE IRS RULED THAT THE PROMOTION OF HEALTH, LIKE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES OF THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THE MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. THIS ORGANIZATION AGREES WITH THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUED THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) IS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: -PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS REMAINS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. -MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES ONLY 92 CENTS FOR EVERY DOLLAR HOSPITALS SPEND TO CARE FOR MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10 YEAR LOW AT NEGATIVE 5.4 PERCENT. -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 ELIGIBLES". PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE AND BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES. PART III, LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE PERMITTED TO BE REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT THAT IS REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. THE HOSPITAL CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF $166,449,195 SHOULD BE REPORTED AS COMMUNITY BENEFIT ON THE FORM 990, SCHEDULE H, PART I, LINE 7. ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW-INCOME PATIENTS, THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. LIKE MEDICAID, MEDICARE DOES NOT PAY THE FULL COST OF PROVIDING CARE TO THESE PATIENTS, FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY THAT MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEED-BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	THE 2024 CHNA WAS CONDUCTED COLLABORATIVELY BY GEISINGER, ALLIED SERVICES, AND EVANGELICAL COMMUNITY HOSPITAL. THE THREE HEALTH SYSTEMS HAVE PARTNERED SINCE 2012 TO CREATE A COLLECTIVE CHNA FOR THEIR OVERLAPPING SERVICE AREAS SPANNING CENTRAL AND NORTHEAST PENNSYLVANIA. COLLABORATION IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR COLLECTIVE IMPACT THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. FROM THIS COLLABORATION, ONGOING RELATIONSHIPS WITH VARIOUS COMMUNITY STAKEHOLDERS HAVE BEEN DEVELOPED. THESE STAKEHOLDER RELATIONSHIPS ARE AN INVALUABLE RESOURCE TO THE HOSPITAL'S IN ITS ONGOING MONITORING OF COMMUNITY HEALTH NEEDS AND OPPORTUNITIES AS TIME PASSES AS WELL AS THOSE IDENTIFIED IN THE TRIENNIAL CHNA. REGIONALLY, GEISINGER CROSS-FUCTIONAL TEAMS ARE ACCOUNTABLE FOR REVIEW OF THE OPERATIONAL HEALTH INITIATIVES IN SUPPORT OF THE COMMUNITY HEALTH IMPROVEMENT PLANS. THESE TEAMS MONITOR AND TRACK PROGRESS IN MEETING THE INITIATIVES AND RESPOND TO ANY NEW OPPORTUNITIES FOR MEETING COMMUNITY HEALTH NEEDS IN FURTHERANCE OF GEISINGER'S CHARITABLE MISSION. BILLING AND COLLECTION POLICY: THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN ACCORDANCE WITH THE MISSION AND VALUES OF THE HOSPITAL AS WELL AS FEDERAL AND STATE LAW. THE POLICY IS DESIGNED TO PROMOTE APPROPRIATE ACCESS TO MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WHILE MAINTAINING GEISINGER'S FISCAL RESPONSIBILITY TO MAXIMIZE REIMBURSEMENT AND MINIMIZE BAD DEBT. THE ORGANIZATION'S BILLING AND COLLECTION POLICY IS INTENDED TO TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. THE ORGANIZATION MAKES SURE THAT PATIENTS ARE ASSISTED IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES, WHENEVER POSSIBLE. ALL BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT REPRESENTATIVES ARE EDUCATED ON ALL ASPECTS OF THE BILLING AND COLLECTION POLICY AND ARE EXPECTED TO ADMINISTER THE POLICY ON A REGULAR AND CONSISTENT BASIS. BUSINESS OFFICE CUSTOMER SERVICE REPRESENTATIVES ARE HELD ACCOUNTABLE TO TREAT ALL PATIENTS WITH COURTESY, RESPECT, CONFIDENTIALITY AND CULTURAL SENSITIVITY. THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN CONJUNCTION WITH THE PROCEDURES OUTLINED IN INTERNAL ADMINISTRATIVE POLICIES. THE GEISINGER EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND VICE PRESIDENT, CHIEF REVENUE OFFICER HAVE OVERALL RESPONSIBILITY FOR THE BILLING AND COLLECTION ACTIVITIES OF THE HOSPITAL. THE BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT STAFF IS RESPONSIBLE FOR THE DAY-TO-DAY ENFORCEMENT OF APPROVED POLICIES AND PROCEDURES. GEISINGER MAY OFFER EXTENDED PAYMENT PLANS TO PATIENTS WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS. EMERGENCY & MEDICALLY NECESSARY SERVICES: GEISINGER DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. THE ORGANIZATION WILL NEVER DEMAND THAT AN EMERGENCY DEPARTMENT PATIENT PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. ADDITIONALLY, GEISINGER DOES NOT PERMIT DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NONDISCRIMINATORY BASIS. ALL MEDICALLY NECESSARY HOSPITAL SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF ABILITY TO PAY AND ARE NOT DELAYED PENDING APPLICATION OR APPROVAL OF MEDICAL ASSISTANCE OR THE GEISINGER FINANCIAL ASSISTANCE PROGRAM. ADVANCE PAYMENT IS NOT REQUIRED FOR ANY MEDICALLY NECESSARY SERVICES. COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6): GEISINGER DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R)(6) PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD OR GREATER, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS ARE INITIATED AGAINST THE PATIENT. SUBSEQUENT TO THE NOTIFICATION PERIOD GEISINGER, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. GEISINGER MAY AUTHORIZE THIRD PARTIES TO REPORT ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THE ORGANIZATION ENSURES REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AND ENSURES THE FOLLOWING ACTIONS ARE TAKEN AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1) THE PATIENT IS PROVIDED WITH WRITTEN NOTICE WHICH: INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; IDENTIFIES THE ECA(S) THAT GEISINGER INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2) THE PATIENT IS PROVIDED WITH A COPY OF THE PLAIN LANGUAGE SUMMARY; AND 3) REASONABLE EFFORTS ARE MADE TO ORALLY NOTIFY THE PATIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. GEISINGER PROCESSES ALL APPLICATIONS FOR FINANCIAL ASSISTANCE SUBMITTED DURING THE APPLICATION PERIOD. THE APPLICATION PERIOD BEGINS ON THE DATE THE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT.
PART VI, LINE 2 - NEEDS ASSESSMENT	THE 2024 CHNA WAS CONDUCTED COLLABORATIVELY BY GEISINGER, ALLIED SERVICES, AND EVANGELICAL COMMUNITY HOSPITAL. THE THREE HEALTH SYSTEMS HAVE PARTNERED SINCE 2012 TO CREATE A COLLECTIVE CHNA FOR THEIR OVERLAPPING SERVICE AREAS SPANNING CENTRAL AND NORTHEAST PENNSYLVANIA. COLLABORATION IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR COLLECTIVE IMPACT THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. FROM THIS COLLABORATION, ONGOING RELATIONSHIPS WITH VARIOUS COMMUNITY STAKEHOLDERS HAVE BEEN DEVELOPED. THESE STAKEHOLDER RELATIONSHIPS ARE AN INVALUABLE RESOURCE TO THE HOSPITAL'S IN ITS ONGOING MONITORING OF COMMUNITY HEALTH NEEDS AND OPPORTUNITIES AS TIME PASSES AS WELL AS THOSE IDENTIFIED IN THE TRIENNIAL CHNA. REGIONALLY, GEISINGER CROSS-FUCTIONAL TEAMS ARE ACCOUNTABLE FOR REVIEW OF THE OPERATIONAL HEALTH INITIATIVES IN SUPPORT OF THE COMMUNITY HEALTH IMPROVEMENT PLANS. THESE TEAMS MONITOR AND TRACK PROGRESS IN MEETING THE INITIATIVES AND RESPOND TO ANY NEW OPPORTUNITIES FOR MEETING COMMUNITY HEALTH NEEDS IN FURTHERANCE OF GEISINGER'S CHARITABLE MISSION. BILLING AND COLLECTION POLICY: THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN ACCORDANCE WITH THE MISSION AND VALUES OF THE HOSPITAL AS WELL AS FEDERAL AND STATE LAW. THE POLICY IS DESIGNED TO PROMOTE APPROPRIATE ACCESS TO MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WHILE MAINTAINING GEISINGER'S FISCAL RESPONSIBILITY TO MAXIMIZE REIMBURSEMENT AND MINIMIZE BAD DEBT. THE ORGANIZATION'S BILLING AND COLLECTION POLICY IS INTENDED TO TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. THE ORGANIZATION MAKES SURE THAT PATIENTS ARE ASSISTED IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES, WHENEVER POSSIBLE. ALL BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT REPRESENTATIVES ARE EDUCATED ON ALL ASPECTS OF THE BILLING AND COLLECTION POLICY AND ARE EXPECTED TO ADMINISTER THE POLICY ON A REGULAR AND CONSISTENT BASIS. BUSINESS OFFICE CUSTOMER SERVICE REPRESENTATIVES ARE HELD ACCOUNTABLE TO TREAT ALL PATIENTS WITH COURTESY, RESPECT, CONFIDENTIALITY AND CULTURAL SENSITIVITY. THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN CONJUNCTION WITH THE PROCEDURES OUTLINED IN INTERNAL ADMINISTRATIVE POLICIES. THE GEISINGER EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND VICE PRESIDENT, CHIEF REVENUE OFFICER HAVE OVERALL RESPONSIBILITY FOR THE BILLING AND COLLECTION ACTIVITIES OF THE HOSPITAL. THE BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT STAFF IS RESPONSIBLE FOR THE DAY-TO-DAY ENFORCEMENT OF APPROVED POLICIES AND PROCEDURES. GEISINGER MAY OFFER EXTENDED PAYMENT PLANS TO PATIENTS WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS. EMERGENCY & MEDICALLY NECESSARY SERVICES: GEISINGER DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. THE ORGANIZATION WILL NEVER DEMAND THAT AN EMERGENCY DEPARTMENT PATIENT PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. ADDITIONALLY, GEISINGER DOES NOT PERMIT DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NONDISCRIMINATORY BASIS. ALL MEDICALLY NECESSARY HOSPITAL SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF ABILITY TO PAY AND ARE NOT DELAYED PENDING APPLICATION OR APPROVAL OF MEDICAL ASSISTANCE OR THE GEISINGER FINANCIAL ASSISTANCE PROGRAM. ADVANCE PAYMENT IS NOT REQUIRED FOR ANY MEDICALLY NECESSARY SERVICES. COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6): GEISINGER DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R)(6) PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD OR GREATER, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS ARE INITIATED AGAINST THE PATIENT. SUBSEQUENT TO THE NOTIFICATION PERIOD GEISINGER, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. GEISINGER MAY AUTHORIZE THIRD PARTIES TO REPORT ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THE ORGANIZATION ENSURES REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AND ENSURES THE FOLLOWING ACTIONS ARE TAKEN AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1) THE PATIENT IS PROVIDED WITH WRITTEN NOTICE WHICH: INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; IDENTIFIES THE ECA(S) THAT GEISINGER INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2) THE PATIENT IS PROVIDED WITH A COPY OF THE PLAIN LANGUAGE SUMMARY; AND 3) REASONABLE EFFORTS ARE MADE TO ORALLY NOTIFY THE PATIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. GEISINGER PROCESSES ALL APPLICATIONS FOR FINANCIAL ASSISTANCE SUBMITTED DURING THE APPLICATION PERIOD. THE APPLICATION PERIOD BEGINS ON THE DATE THE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	GEISINGER IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES TO OUR COMMUNITY. GEISINGER IS COMMITTED TO A SERVICE EXCELLENCE PHILOSOPHY THAT STRIVES TO MEET OR EXCEED PATIENT EXPECTATIONS. ALL PATIENTS WILL RECEIVE A UNIFORM STANDARD OF CARE THROUGHOUT ALL GEISINGER FACILITIES, REGARDLESS OF SOCIAL, CULTURAL, FINANCIAL, RELIGIOUS, RACIAL, GENDER OR SEXUAL ORIENTATION. GEISINGER STRIVES TO ENSURE THAT ALL PATIENTS RECEIVE ESSENTIAL EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTH SERVICES REGARDLESS OF THEIR ABILITY TO PAY. FOR URGENT AND EMERGENT SERVICES, PATIENTS ARE PROVIDED CARE REGARDLESS OF THEIR ABILITY TO PAY. IN THE EVENT A PATIENT HAS AN EMERGENCY MEDICAL CONDITION; TREATMENT IS NOT DELAYED TO PERMIT AN INQUIRY REGARDING A PATIENT'S METHOD OF PAYMENT OR INSURANCE STATUS. FOR OTHER THAN URGENT AND EMERGENT SERVICES, THE HOSPITAL PROVIDES UNCOMPENSATED CARE, FREE OF CHARGE, OR ON A 100% DISCOUNTED BASIS, TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. DEPENDING UPON FAMILY SIZE AND INCOME, FREE OR 100% DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS THE HOSPITAL'S POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS. A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING PROCESS. INFORMATION (SIGNS, BROCHURES, ETC.) REGARDING THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM, REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL. REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. NOTICE OF THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWW.GEISINGER.ORG. PATIENTS ARE ALSO PROVIDED INFORMATION ON THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL. THE FINANCIAL ASSISTANCE POLICY ("FAP"), THE FAP APPLICATION AND PLAIN LANGUAGE SUMMARY ("PLS") ARE AVAILABLE ON-LINE. PAPER COPIES ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL OR ARE AVAILABLE AT REGISTRATION AREAS WHICH INCLUDES EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL-BASED CLINICS AND PATIENT FINANCIAL SERVICES DEPARTMENTS. ALL FAP DOCUMENTS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED ENGLISH PROFICIENCY ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE HOSPITAL'S SERVICE AREA. SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, ADMISSIONS DEPARTMENT AND REGISTRATION DEPARTMENT THAT INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE AND DISCHARGE PROCESSES. ADDITIONALLY, FINANCIAL COUNSELORS AND CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO ASSIST PATIENTS WITH CONCERNS.
PART VI, LINE 4 - COMMUNITY INFORMATION	THE HOSPITAL IS LOCATED WITHIN THE CENTRAL REGION OF PENNSYLVANIA. THE CENTRAL REGION IS COMPRISED OF SIX RURAL PENNSYLVANIA COUNTIES: COLUMBIA, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, SNYDER, AND UNION. THE CENTER FOR RURAL PENNSYLVANIA DEFINES A COUNTY AS RURAL WHEN POPULATION DENSITY, OR THE NUMBER OF PEOPLE PER SQUARE MILE WITHIN THE COUNTY, IS FEWER THAN 291. NORTHUMBERLAND AND SCHUYLKILL COUNTIES ARE THE MOST POPULATION DENSE (206 AND 190, RESPECTIVELY) COUNTIES. OTHER CENTRAL REGION COUNTIES HAVE SIMILAR POPULATION DENSITY OF 121 TO 142. OUR COMMUNITY AND RESIDENTS CONSISTENT WITH PENNSYLVANIA OVERALL, THE CENTRAL REGION IS AGING, WITH A SIGNIFICANT INCREASE IN THE NUMBER OF OLDER ADULTS FROM 2010 TO 2021 IN ALL COUNTIES. IN CONTRAST, THE YOUTH POPULATION DECLINED ACROSS ALL COUNTIES BY AN AVERAGE OF APPROXIMATELY 7% FROM 2010 TO 2021. MONTOUR AND SNYDER COUNTIES WERE THE ONLY COUNTIES TO SEE POPULATION GROWTH, ALTHOUGH GROWTH WAS MODEST AT AN ESTIMATED <2%. MONTOUR, NORTHUMBERLAND, AND SCHUYLKILL ARE AMONG THE OLDEST COUNTIES IN THE REGION; APPROXIMATELY ONE IN FIVE RESIDENTS ARE AGED 65 OR OLDER AND MEDIAN AGES ARE NEARLY THREE YEARS OLDER THAN THE STATE MEDIAN. IT IS WORTH NOTING THAT THE POPULATION OF RESIDENTS AGED 65 OR OLDER OUTPACES THE NATIONAL ESTIMATE OF 16% IN NEARLY ALL ZIP CODES ACROSS THE REGION. CENTRAL REGION COUNTIES ARE MAJORITY WHITE COMMUNITIES WITH LESS RACIAL DIVERSITY THAN STATE AND NATIONAL BENCHMARKS. UNION COUNTY BENEFITS FROM THE MOST POPULATION DIVERSITY WITH 13% OF RESIDENTS IDENTIFYING WITH A RACE OTHER THAN WHITE AND 6% IDENTIFYING AS LATINX (ANY RACE). UNION COUNTY IS HOME TO THE LEWISBURG PENITENTIARY, A FEDERAL FACILITY WITH AN ESTIMATED INMATE POPULATION OF 1,284. POPULATION DIVERSITY AND SOCIOECONOMIC DISPARITIES BETWEEN RACIAL GROUPS IN UNION COUNTY REFLECT, IN PART, DEEPER INSTITUTIONAL INEQUITIES. AVAILABLE DATA PROVIDED BY THE SENTENCING PROJECT REVEAL THAT BLACK AMERICANS ARE IMPRISONED AT A RATE THAT IS ROUGHLY FIVE TIMES THE RATE OF WHITE AMERICANS. LATINX INDIVIDUALS ARE INCARCERATED IN STATE PRISONS AT A RATE THAT IS 1.3 TIMES THE INCARCERATION RATE OF WHITES. CONSISTENT WITH STATE AND NATIONAL TRENDS, POPULATION DIVERSITY IS INCREASING WITHIN THE REGION, THOUGH ONLY MARGINALLY. MONTOUR COUNTY EXPERIENCED A FOUR-PERCENTAGE POINT DECLINE IN THE WHITE POPULATION FROM 2010 TO 2021, THE LARGEST OF ANY COUNTY IN THE REGION. INCOME AND WORK ALL CENTRAL REGION COUNTIES HAVE LOWER MEDIAN HOUSEHOLD INCOMES THAN STATE AND NATIONAL MEDIANS, ALTHOUGH COUNTY-WIDE POVERTY LEVELS ARE ONLY ELEVATED IN COLUMBIA (15% COMPARED TO 12% AND 13% RESPECTIVELY). COLUMBIA AND SCHUYLKILL COUNTIES HAVE THE HIGHEST PERCENTAGES OF CHILDREN IN POVERTY, OUTPACING THE STATE AND THE NATION, AT 18% AND 19% RESPECTIVELY. OVERALL, DESPITE A DRAMATIC UPTICK IN UNEMPLOYMENT RATES AT THE HEIGHT OF THE COVID-19 PANDEMIC, UNEMPLOYMENT RATES ARE DOWN, LOWER EVEN THAN PRE-PANDEMIC LEVELS IN MOST PLACES. HOWEVER, REPORTS OF FINANCIAL HARDSHIP REMAIN. ALICE AND POVERTY DATA DEMONSTRATE THAT ALTHOUGH PEOPLE ARE WORKING, MANY STILL DO NOT HAVE ENOUGH MONEY TO MEET THEIR BASIC NEEDS, OR TO DO SO WITHOUT THE FEAR OF AN UNEXPECTED EXPENSE. THE PERCENTAGE OF PEOPLE IN THE REGION EXPERIENCING POVERTY CONTINUED A SLOW, DOWNWARD TREND, BUT ALICE HOUSEHOLDS HAVE INCREASED. WHEN ANALYZED BY ZIP CODE, POCKETS OF HIGH POVERTY ARE LARGELY SEEN WITHIN NORTHUMBERLAND AND SCHUYLKILL COUNTIES. CHILDREN ARE HISTORICALLY DISPROPORTIONATELY AFFECTED BY POVERTY, AND WITHIN COMMUNITIES INCLUDING SHAMOKIN, MOUNT CARMEL, MAHANOY CITY, SHENANDOAH, AND GIRARDVILLE, APPROXIMATELY ONE-THIRD TO NEARLY HALF OF CHILDREN LIVE IN POVERTY. POVERTY IS NOT EXPERIENCED BY EVERY COMMUNITY EQUALLY AND CONTRIBUTES TO FURTHER INEQUALITIES SUCH AS ACCESS TO SAFE LIVING AND WORKING CONDITIONS, HEALTH SERVICES, AND BASIC NEEDS, AMONG OTHER THINGS. UNION COUNTY HAS THE MOST SIGNIFICANT SOCIOECONOMIC DISPARITIES BETWEEN RACIAL GROUPS; ONLY 10% OF WHITE RESIDENTS LIVE IN POVERTY COMPARED TO 42% OF BLACK RESIDENTS AND A STAGGERING 78% OF LATINX RESIDENTS. THIS DISPARITY REFLECTS, IN PART, THE INMATE POPULATION AT THE LEWISBURG PENITENTIARY. EDUCATION HIGH SCHOOL GRADUATION IS ONE OF THE STRONGEST PREDICTORS OF LONGEVITY AND ECONOMIC STABILITY. WITHIN CENTRAL REGION COMMUNITIES, APPROXIMATELY 89% OF ADULTS GRADUATED HIGH SCHOOL, A SLIGHTLY LOWER PROPORTION THAN THE STATE OVERALL. OUTSIDE OF MONTOUR COUNTY, ADULTS ARE GENERALLY LESS LIKELY TO PURSUE OR ATTAIN HIGHER EDUCATION, SUCH AS A BACHELOR'S OR GRADUATE DEGREE. OUR HOMES AND WHERE WE LIVE WHERE YOU LIVE IMPACTS THE CHOICES AVAILABLE TO YOU. THESE CHOICES IMPACT YOUR INCOME, WELLNESS, AND ULTIMATELY HOW LONG YOU LIVE. WHEN CONSIDERED WITH LIVED EXPERIENCES SUCH AS ACCESS TO QUALITY SERVICES LIKE EDUCATION AND TRANSPORTATION, PLACE-BASED CHOICES MAY ALSO INFORM PERCEPTION OF OPPORTUNITIES. FOR NEIGHBORHOODS, A HIGHER PROPORTION OF HOMEOWNERSHIP MEANS GREATER NEIGHBORHOOD STABILITY. GREATER NEIGHBORHOOD STABILITY MEANS MORE OPPORTUNITIES FOR INVESTMENT IN INFRASTRUCTURE, SUCH AS SCHOOLS, ROADS, PUBLIC TRANSPORTATION, AND GREEN SPACES, KEY ELEMENTS FOR HEALTHY LIVING. FOR FAMILIES, HOMEOWNERSHIP IS TYPICALLY THEIR LARGEST ASSET. THE SECURITY OF KNOWING ONE HAS A HOME CAN ALSO REDUCE CHRONIC STRESS, A SIGNIFICANT FACTOR IN DEVELOPING CHRONIC DISEASE. IN GENERAL, CENTRAL REGION RESIDENTS ARE MORE LIKELY TO OWN THEIR HOME WHEN COMPARED TO STATE AND NATIONAL BENCHMARKS. HOMEOWNERSHIP INCREASES IN MORE RURAL COMMUNITIES. HOUSING IS OFTEN THE LARGEST SINGLE MONTHLY EXPENSE FOR HOUSEHOLDS AND SHOULD REPRESENT NO MORE THAN 30% OF A HOUSEHOLD'S MONTHLY INCOME. WHEN HOUSEHOLDS SPEND MORE THAN 30% OF THEIR INCOME ON HOUSING, THEY ARE CONSIDERED HOUSING COST BURDENED AND GENERALLY HAVE FEWER RESOURCES FOR OTHER NECESSITIES LIKE FOOD, TRANSPORTATION, AND CHILDCARE. RENTAL COSTS HAVE BALLOONED ACROSS THE COUNTRY SINCE COVID-19, LEAVING MANY TO STRUGGLE TO CONTINUE TO AFFORD THEIR CURRENT RENT, WHILE ALSO HAVING LESS AND LESS OPPORTUNITY TO SAVE MONEY TO MAKE FUTURE HOME OWNERSHIP POSSIBLE. THE CENTRAL REGION IS NO EXCEPTION TO THESE TRENDS. SCHUYLKILL AND SNYDER COUNTIES HAVE THE HIGHEST PERCENTAGE OF HOMEOWNERS AND BOAST THE LOWEST PERCENTAGES OF COST-BURDENED HOMEOWNERS, MEANING THAT HOUSING COSTS ARE RELATIVELY AFFORDABLE; HOWEVER, APPROXIMATELY 20% OF HOMEOWNERS AND ONE-THIRD OR MORE OF RENTERS IN THESE COUNTIES STILL MEET THE CRITERIA OF BEING COST-BURDENED. NEIGHBORHOOD AND BUILT ENVIRONMENT IN ADDITION TO THE RESOURCES AVAILABLE IN COMMUNITIES, THE PHYSICAL ENVIRONMENT AND INFRASTRUCTURE OF NEIGHBORHOODS IMPACTS HEALTH. THE AVAILABILITY OF WELL-MAINTAINED ROADS AND SAFE SIDEWALKS, AND ACCESS TO RECREATION, STORES, BANKS, AND OTHER AMENITIES ARE IMPORTANT COMPONENTS FOR HEALTHY LIVING. FEEDBACK FROM KEY STAKEHOLDER SURVEY PARTICIPANTS CENTERED AROUND THE SCARCITY OF RELIABLE AND AFFORDABLE PUBLIC TRANSPORTATION OPTIONS AVAILABLE TO RESIDENTS. COMBINED WITH A REGION THAT IS, ON THE WHOLE, "BELOW AVERAGE" IN ITS WALKABILITY RATING, AS WELL AS A RAPIDLY AGING POPULATION, IT CAN BE DIFFICULT TO ACCESS OPPORTUNITIES FOR PHYSICAL ACTIVITY. THESE FACTORS MAKE AFTERNOON STROLLS OR REACHING PUBLIC PARKS - ACTIVITIES THAT MIGHT OTHERWISE BE FREE OF COST - CHALLENGING. OTHER OPPORTUNITIES TO BE ACTIVE MAY COST MONEY, CREATING AN ADDITIONAL BARRIER TO PARTICIPATION. DESPITE THESE CONCERNS, RESIDENTS OF THE CENTRAL REGION HAVE DEMONSTRATED RESILIENCE IN PRIORITIZING PHYSICAL ACTIVITY. MONTOUR, NORTHUMBERLAND, AND SNYDER COUNTIES ARE FAR BELOW COLUMBIA AND UNION COUNTIES, AS WELL AS THE STATE AND NATION, IN THE PERCENTAGE OF THE POPULATION WITH ADEQUATE ACCESS TO LOCATIONS FOR PHYSICAL ACTIVITY. YET, IN ALL THREE OF THESE PLACES, THE PERCENTAGE OF ADULTS WHO PARTICIPATE IN LEISURE TIME PHYSICAL ACTIVITY IS ON PAR WITH THEIR COUNTERPARTS, AND FAR OUTPACES WHAT WOULD BE EXPECTED GIVEN THE REPORTED LACK OF ACCESS. FOOD INSECURITY IS DEFINED AS NOT HAVING RELIABLE ACCESS TO A SUFFICIENT AMOUNT OF NUTRITIOUS, AFFORDABLE FOOD. FOOD INSECURITY IS ASSOCIATED WITH BOTH DISPARITIES IN BUILT ENVIRONMENT, SUCH AS FOOD DESERTS, AND SOCIOECONOMIC BARRIERS, SUCH AS LOWER HOUSEHOLD INCOME AND POVERTY. FOOD INSECURITY CAN ULTIMATELY AFFECT OVERALL HEALTH STATUS, CONTRIBUTING TO A HIGHER PREVALENCE OF DISEASE AND POORER DISEASE OUTCOMES. IN 2020, FEEDING AMERICA CONSERVATIVELY PROJECTED A 36% GROWTH IN NATIONAL FOOD INSECURITY RATES AS A RESULT OF THE PANDEMIC. SIMILAR TO POVERTY AND UNEMPLOYMENT TRENDS, FOOD INSECURITY DECLINED POSTPANDEMIC, CONTINUING AN OVERALL DOWNWARD TREND, BUT THE IMPACT OF THIS EXPERIENCE ON LONG-TERM HEALTH OUTCOMES SHOULD CONTINUE TO BE MONITORED. ACROSS THE CENTRAL REGION IN 2021, APPROXIMATELY 1 IN 10 RESIDENTS WERE ESTIMATED TO BE FOOD INSECURE.
PART VI, LINE 4 - COMMUNITY INFORMATION (CONT.)	THE PERCENTAGE OF CHILDREN WHO EXPERIENCE FOOD INSECURITY OUTPACES THAT FOR ADULTS, BUT THE PERCENTAGE OF CHILDREN EXPERIENCING FOOD INSECURITY DECLINED MORE RAPIDLY IN RECENT YEARS THAN THE PERCENTAGE OF ALL RESIDENTS. THIS FINDING OFFERS THE HOPEFUL IMPLICATION THAT CHILDREN ARE BEING REACHED EVEN MORE WITH THE SERVICES THEY NEED. EFFORTS TO REACH RESIDENTS MAY HAVE BEEN HELPED BY THE PANDEMIC EXPERIENCE, WHICH INCREASED RECOGNITION OF PEOPLE'S WIDESPREAD STRUGGLES TO MEET BASIC NEEDS AND INCREASED AVAILABILITY AND AWARENESS OF RESOURCES TO MEET THOSE NEEDS. IT IS WORTH NOTING DISPARITIES AMONG INDIVIDUALS WITH LOW INCOME LIVING IN UNION COUNTY. UNION COUNTY OVERALL HAS A SIMILAR PROPORTION OF RESIDENTS LIVING IN POVERTY AND/OR EXPERIENCING FOOD INSECURITY AS NEIGHBORING COMMUNITIES, BUT APPROXIMATELY 11% OF RESIDENTS WITH LOW INCOME DO NOT LIVE CLOSE TO A GROCERY STORE, THE HIGHEST PROPORTION IN THE REGION. UNION COUNTY'S RURAL STATUS LIKELY CONTRIBUTES TO RESIDENTS' - INCLUDING LOW-INCOME RESIDENTS' - DISTANCE FROM GROCERY STORES, COMPOUNDING HEALTH AND FINANCIAL HARDSHIPS. DURING THE COVID PANDEMIC, WE WERE ABLE TO USE TECHNOLOGY TO BRING SERVICES TO PEOPLE IN THEIR HOMES, BUT NOT UNIFORMLY. WE NEED TO BRIDGE THE WIDE DIGITAL DIVIDE WITHIN OUR COMMUNITIES TO EFFECTIVELY REACH ALL RESIDENTS. RESIDENTS OF THE CENTRAL REGION GENERALLY HAVE SLIGHTLY LOWER DIGITAL ACCESS AS COMPARED TO STATE AND NATIONAL BENCHMARKS. HOWEVER, DEEPER ANALYSIS REVEALS THAT IN SOME SMALLER COMMUNITIES, FEWER THAN 65% OF RESIDENTS HAVE RELIABLE INTERNET ACCESS. IN DEWART IN DELAWARE TOWNSHIP, NORTHUMBERLAND COUNTY, ONLY 22% OF RESIDENTS HAVE RELIABLE INTERNET ACCESS.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX EXEMPT PURPOSE.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	GEISINGER HEALTH AND ITS SUBSIDIARIES (COLLECTIVELY REFERRED TO AS "GEISINGER") COMPRISE A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: (I) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SEVEN WHOLLY-CONTROLLED ACUTE-CARE HOSPITALS WITH MULTIPLE CAMPUSES, JOINT VENTURE FACILITIES AND A DRUG AND ALCOHOL TREATMENT FACILITY; (II) MULTISPECIALTY PHYSICIAN GROUP PRACTICES; (III) INSURANCE OPERATIONS, INCLUDING A LICENSED HEALTH MAINTENANCE ORGANIZATION AND A NONLICENSED, RISK ASSUMING PREFERRED PROVIDER ORGANIZATION; AND (IV) A COMMUNITY-BASED MEDICAL COLLEGE AND DEGREE-GRANTING INSTITUTION. GEISINGER OPERATES ACROSS PENNSYLVANIA WITH THE MOST CONCENTRATED PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. GEISINGER HEALTH SERVES AS THE CORPORATE PARENT AND EXERCISES CONTROL OVER GEISINGER'S AFFILIATED ENTITIES COMPRISING SUBSTANTIALLY ALL FINANCIAL AND OPERATIONAL ACTIVITY ARE TAX-EXEMPT PURSUANT TO SECTIONS 501(C)(2), 501(C)(3), OR 501(C)(4) OF THE INTERNAL REVENUE CODE. ON MARCH 31, 2024, RISANT HEALTH, INC. BECAME THE SOLE CORPORATE MEMBER OF GEISINGER HEALTH THROUGH A MEMBER SUBSTITUTION PURSUANT TO THE TERMS OF A HEALTH SYSTEM AGREEMENT DATED APRIL 26, 2023 BETWEEN KAISER FOUNDATION HOSPITALS ("KFH"), RISANT HEALTH, INC ("RISANT") AND GEISINGER HEALTH. RISANT IS A NONPROFIT ORGANIZATION, CREATED BY KFH, TO EXPAND AND ACCELERATE THE ADOPTION OF VALUE-BASED CARE IN DIVERSE, MULTI PAYER, MULTI-PROVIDER, AND COMMUNITY-BASED HEALTH SYSTEM ENVIRONMENTS. THE HOSPITAL IS AN AFFILIATE WITHIN GEISINGER. SEE ALSO SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	AT THIS TIME, THE HOSPITAL AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAEWON RYU MD JD
PRESIDENT, DIRECTOR	$0	$2,822,318	$0	$3,931,000	$0	$1,675,154	$0	$5,848,696	$0	$18,727	$0	$14,295,895	$0	$1,316,166
TERRY GILLILAND MD
PRESIDENT, DIRECTOR	$0	$2,212,113	$0	$0	$0	$137,807	$0	$836,806	$0	$30,774	$0	$3,217,500	$0	$0
KEVIN V ROBERTS MBA CPA
EVP, CFO, TREASURER	$0	$1,749,843	$0	$525,000	$0	$410,250	$0	$24,306	$0	$41,926	$0	$2,751,325	$0	$0
STEVEN B BENDER ESQUIRE
EVP, CLO, SECRETARY	$0	$708,600	$0	$0	$0	$197,215	$0	$209,306	$0	$35,061	$0	$1,150,182	$0	$167,904
RONALD BEER MHA FACHE
DIRECTOR	$0	$464,048	$0	$75,000	$0	$336,987	$0	$73,699	$0	$42,593	$0	$992,327	$0	$48,140
GERALD V MALONEY DO
DIRECTOR	$0	$720,238	$0	$0	$0	$115,132	$0	$98,569	$0	$35,257	$0	$969,196	$0	$62,504
MEGAN BROSIOUS
CAO, CENTRAL REGION	$451,691	$0	$100,000	$0	$136,494	$0	$71,306	$0	$38,947	$0	$798,438	$0	$47,229	$0
JENNIFER BROOKS MD
FORMER 5 HIGHEST	$0	$658,498	$0	$1,750	$0	$73,421	$0	$24,306	$0	$10,492	$0	$768,467	$0	$0
NATALIE SENTER MD
FORMER 5 HIGHEST	$0	$378,005	$0	$0	$0	$328,610	$0	$24,306	$0	$20,248	$0	$751,169	$0	$0
ROBERT J MOYER MD
FORMER 5 HIGHEST	$0	$529,829	$0	$0	$0	$141,495	$0	$24,306	$0	$21,235	$0	$716,865	$0	$0
HARSH PATEL MD
FORMER 5 HIGHEST	$0	$424,422	$0	$5,000	$0	$252,072	$0	$24,306	$0	$405	$0	$706,205	$0	$0
GRANT CIAVARELLA DO
FORMER 5 HIGHEST	$0	$490,961	$0	$0	$0	$114,006	$0	$24,306	$0	$43,657	$0	$672,930	$0	$0
MATTHEW VAN LEEUWE
CAO, HOSPITAL SVCS, POP HLTH	$165,529	$239,378	$0	$75,000	$19,350	$68,725	$51,113	$15,111	$4,213	$5,904	$240,205	$404,118	$6,538	$0
GINO SARTORI DO
FORMER 5 HIGHEST	$0	$535,284	$0	$0	$0	$21,445	$0	$24,306	$0	$39,749	$0	$620,784	$0	$0
MICHAEL FITZPATRICK MD
CMO	$0	$528,524	$0	$0	$0	$29,432	$0	$24,306	$0	$34,953	$0	$617,215	$0	$0
DAVID DECOSKEY DO
FORMER 5 HIGHEST	$0	$505,583	$0	$2,125	$0	$24,711	$0	$24,306	$0	$39,221	$0	$595,946	$0	$0
CRYSTAL K MUTHLER BSN RN
VP, CHIEF NURSING OFFICER	$405,763	$0	$75,000	$0	$11,157	$0	$24,306	$0	$14,489	$0	$530,715	$0	$0	$0
KYLE YEBERNETSKY MD
FORMER 5 HIGHEST	$0	$226,776	$0	$0	$0	$235,434	$0	$24,306	$0	$20,093	$0	$506,609	$0	$0
CAROL STOJINSKI MD
FORMER 5 HIGHEST	$0	$338,492	$0	$1,000	$0	$111,085	$0	$24,306	$0	$15,165	$0	$490,048	$0	$0
JUSTIN HARK DO
FORMER 5 HIGHEST	$0	$339,889	$0	$0	$0	$91,634	$0	$24,306	$0	$15,875	$0	$471,704	$0	$0
LORI R GRAMLEY ESQUIRE
ACLO, ASSISTANT SECRETARY	$0	$338,553	$0	$0	$0	$28,526	$0	$24,306	$0	$27,947	$0	$419,332	$0	$0
TAMMY ANDERER CRNP PHD
FORMER KEY EMPLOYEE	$0	$313,163	$0	$0	$0	$17,529	$0	$54,780	$0	$19,566	$0	$405,038	$0	$0
ANDREA WARY MED BSN RN
VP, CANCER, WOMENS	$324,686	$0	$0	$0	$4,353	$0	$22,520	$0	$779	$0	$352,338	$0	$0	$0
ROSEMARY LEEMING MD
FORMER OFFICER	$0	$273,264	$0	$1,750	$0	$24,857	$0	$21,227	$0	$29,472	$0	$350,570	$0	$0
CHELSEA KON DO
PHYSICIAN, EMERGENCY MEDICINE	$33,970	$128,372	$0	$0	$26,050	$97,368	$0	$14,716	$12,995	$9,173	$73,015	$249,629	$0	$0
DARSHAN SUTHAR DO
PHYSICIAN, GASTROENTEROLOGY	$36,325	$223,074	$0	$0	$632	$6,859	$0	$15,215	$17,335	$9,579	$54,292	$254,727	$0	$0
NICOLE WOLL
VICE DEAN, FACULTY, PROF DEV	$276,327	$0	$0	$0	$2,788	$0	$18,376	$0	$10,002	$0	$307,493	$0	$0	$0
NICHOLAS SEBES MD
FORMER 5 HIGHEST	$0	$41,051	$0	$0	$0	$260,221	$0	$2,100	$0	$3,275	$0	$306,647	$0	$62,500
VINCENT MARTELLO DO
PHYSICIAN, ANESTHESIOLOGIST	$35,928	$185,458	$0	$10,000	$245	$42,910	$0	$15,213	$7,847	$6,030	$44,020	$259,611	$0	$0
THOMAS SOKOLA
FORMER OFFICER	$0	$0	$0	$0	$0	$113,029	$0	$0	$0	$0	$0	$113,029	$0	$19,159

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A - FRINGE OR EXPENSE EXPLANATION	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OR GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS.
PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY BASED PAYMENTS	SEVERANCE NONQUALIFIED EQUITY-BASED JAEWON RYU, MD, JD 0 1,479,829 0 STEVEN B. BENDER, ESQUIRE 0 167,904 0 RONALD BEER, MHA, FACHE 0 48,140 0 GERALD V. MALONEY, DO 0 62,504 0 MEGAN BROSIOUS 0 47,229 0 MATTHEW VAN LEEUWE 0 44,038 0 NICHOLAS SEBES, MD 0 228,941 0 THOMAS SOKOLA 0 113,029 0
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.
PART I, LINE 8 - PURSUANT TO CONTRACT PER REGS. SECTION 53.4958-4(A)(3)	THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	MATTHEW VAN LEEUWE	PersonNm
Relationship With Org	KEY EMPLOYEE	RelationshipWithOrgTxt
Loan Purpose	RECRUITMENT	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$50,000	OriginalPrincipalAmt
Balance Due	$7,016	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$7,016	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT	I. GENERAL PROGRAM SERVICE INFORMATION SINCE 1915, GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT CORPORATION, HAS BEEN PROVIDING HIGH-QUALITY HEALTHCARE SERVICES TO MORE THAN TWO MILLION RESIDENTS IN CENTRAL AND NORTHEAST PENNSYLVANIA. GEISINGER IS HOME TO SOME OF THE MOST ADVANCED TECHNOLOGY IN THE COUNTRY, INCLUDING A LEVEL I TRAUMA CENTER, THE REGION'S LONE PEDIATRIC TRAUMA CENTER, THE RENOWNED JANET WEIS CHILDREN'S HOSPITAL, THE STATE-OF-THE-ART HOSPITAL FOR ADVANCED MEDICINE AND CLINICAL RESEARCH FACILITIES. LOCATED IN DANVILLE, PENNSYLVANIA, A PREDOMINANTLY RURAL AREA, GMC OPERATES A 541 BED FACILITY ALONG WITH A 48 BED HOSPITAL LOCATED IN COAL TOWNSHIP, PENNSYLVANIA. PHYSICIANS IN PENNSYLVANIA AND THE SURROUNDING STATES REFER THEIR MOST COMPLEX CASES TO GEISINGER MEDICAL CENTER WHERE THE EXISTENCE OF QUATERNARY HEALTHCARE IN A GENERALLY RURAL AND MEDICALLY UNDERSERVED POPULATION IS UNCOMMON. GMC'S LIFE FLIGHT IS THE LEADER IN MEDICAL AIR TRANSPORTATION IN THE REGION SPECIALIZING IN TRANSPORTING CRITICAL CARE PATIENTS, INCLUDING PREMATURE NEWBORNS, CARDIAC PATIENTS, ORGAN TRANSPLANT PATIENTS AND ACCIDENT VICTIMS. A. SPECIALTIES AND SUBSPECIALTIES GEISINGER CLINIC PHYSICIANS PRACTICING AT GMC PROVIDE SKILLED SERVICES IN NUMEROUS SPECIALTY AND SUBSPECIALTY AREAS. SPECIAL SERVICES AVAILABLE INCLUDE, BUT ARE NOT LIMITED TO: ADULT & PEDIATRIC TRAUMA CENTER MATERNAL FETAL MEDICINE ADULT MEDICAL ONCOLOGY MICROBIOLOGY AERO-MEDICAL SERVICES MINIMALLY INVASIVE SURGERY ACUTE INTERVENTION IN MOHS SURGERY MYOCARDIAL INFRACTION MOLECULAR DIAGNOSTICS ANTICOAGULATION CLINIC MOVEMENT DISORDERS BACLOFEN PUMPS NEUROENDOVASCULAR BONE ANCHORED HEARING AID, BAHA NEUROMUSCULAR BALANCE CENTER NEUROPSYCH BARIATRIC SURGERY NEUROPATHOLOGY BLOOD BANK NEUROPHYSIOLOGY BLOOD CONSERVATION NEUROSTIMULATORS BODY CONTOURING NEUROTRAUMA BRAIN TUMOR NUCLEAR STRESS TESTING BREAST SURGERY OPEN HEART SURGERY CANCER GENETICS CLINIC OPHTHALMOLOGY: GLAUCOMA, CAPSULE ENDOSCOPY RETINAL, PEDIATRIC, CARDIAC CAT SCAN ANGIOGRAPHY CORNEA, GENERAL CARDIAC MRI TESTING OPHTHALMOPLASTIC SURGERY CAROTID STENTING ORTHOPAEDICS: TRAUMA, SPINE, HAND CAT SCAN CARDIAC SCORING SPORTS MEDICINE: PEDIATRIC, CAT SCAN JOINT, FOOT/ANKLE, GENERAL CHEMISTRY ORTHOPAEDIC ONCOLOGY CHEMO-EMBOLIZATION OF LIVER PEDIATRIC CONGENITAL HEART SURGERY AND KIDNEY CANCER PEDIATRIC GENETICS CLEFT PALATE CLINIC PEDIATRIC MEDICAL ONCOLOGY COAGULATION PEDIATRIC NEURODEVELOPMENT COCHLEAR IMPLANT PEDIATRIC OBESITY COLORECTAL SURGERY PEDIATRIC REHABILITATION CORNEAL TRANSPLANTS PEDIATRIC SURGERY CYTOLOGY PEDIATRIC UROLOGY DEEP BRAIN STIMULATION PEDIATRIC COCHLEAR IMPLANT DERMATOPATHOLOGY PEDIATRIC NEUROLOGY/NEUROSURGERY ECHOCARDIOGRAPHY PET SCANS ELECTROPHYSIOLOGY PODIATRY EMERGENCY SERVICES PRE-SURGERY CENTER ENDOVASCULAR PROCEDURES PSYCHIATRY, ADOLESCENCE ENDOVASCULAR GRAFT IMPLANTS RADIATION ONCOLOGY EPILEPSY REGIONAL ANESTHESIA PROGRAM EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY RENAL DENERVATION GYNONCOLOGY ROBOTIC SURGERY GYNECOLOGIC & UROPATHOLOGY SKULL BASE SURGERY HEAD AND NECK ONCOLOGY SLEEP DISORDERS LABORATORY HEADACHE SPINAL BIFIDA CLINIC HEART FAILURE SPINAL CORD INJURY HEMATOLOGY SPINE SURGERY HEMATOPATHOLOGY SPINE ASSESSMENT PROGRAM HEPATIC INTRA-ARTERIAL CHEMOTHERAPY STEM CELL TRANSPLANT HIGH DOSE INTERLEUKIN-2 THERAPY STEREOTACTIC RADIOSURGERY HIGH DOSE RATE INTRACAVITARY STRETTA, LASER PROCEDURE BRACHYTHERAPY STROKE/TELE-STROKE IMMUNOLOGY SURGICAL ONCOLOGY: COLON, LIVER, INFERTILITY PANCREAS, ESOPHAGEAL, & RENAL INTENSIVE O/P PSYCHIATRIC PROGRAM SURGICAL PATHOLOGY INTERVENTIONAL PAIN MANAGEMENT TRANSCATHETER AORTIC VALVE INTERVENTIONAL RADIOLOGY IMPLEMENTATION INTRA-OPERATIVE HEPATIC ULTRASOUND TISSUE BANKING AND RADIOFREQUENCY ABLATION OF TRAUMATIC BRAIN INJURY LIVER TUMORS TOXICOLOGY KIDNEY, LIVER & PANCREAS TRANSPLANTS TRAUMA SURGERY LASER SURGERY, YAG LASER UROGYNECOLOGY LVAD, LEFT VENTRICULAR ASSIST DEVICE VAGAL NERVE STIMULATORS MAGNETIC RESONANCE IMAGING WOUND CARE MEDICATION THERAPY MANAGEMENT PROGRAM B. RESIDENCY, FELLOWSHIP AND ALLIED HEALTH PROGRAMS GMC CONDUCTS 32 GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS AND 26 FELLOWSHIP PROGRAMS. THERE WERE 607 GRADUATE PHYSICIANS PARTICIPATING IN THESE PROGRAMS IN THE YEAR ENDED DECEMBER 31, 2024. PROGRAM SPECIALTIES ARE AS FOLLOWS BUT ARE NOT LIMITED TO: RESIDENCY PROGRAMS: ANESTHESIOLOGY OBSTETRICS & GYNECOLOGY CHILD NEUROLOGY OPHTHALMOLOGY CLINICAL PSYCHOLOGY ORAL & MAXILLOFACIAL SURGERY COLON & RECTAL SURGERY ORTHOPAEDIC SURGERY DERMATOLOGY OTOLARYNGOLOGY DIAGNOSTIC RADIOLOGY PATHOLOGY INTERVENTIONAL RADIOLOGY INTEGRATED PEDIATRIC DENTISTRY EMERGENCY MEDICINE PEDIATRICS FAMILY MEDICINE PHYSICAL MEDICINE & REHAB. GENERAL SURGERY PLASTIC SURGERY INTERNAL MEDICINE PODIATRY INTERNAL MEDICINE - PEDIATRICS UROLOGY NEUROLOGY TRANSITIONAL YEAR NEUROSURGERY VASCULAR SURGERY FELLOWSHIP PROGRAMS: DERMATOPATHOLOGY HEMATOLOGY AND ONCOLOGY MICROGRAPHIC SURGERY & HOSPICE & PALLIATIVE MEDICINE DERMATOLOGIC ONCOLOGY INFECTIOUS DISEASE INTERVENTIONAL RADIOLOGY INTERVENTIONAL CARDIOLOGY SPORTS MEDICINE NEPHROLOGY ADDICTION MEDICINE PULMONARY MEDICINE SURGICAL CRITICAL CARE RHEUMATOLOGY VASCULAR SURGERY SLEEP MEDICINE CARDIOVASCULAR MEDICINE MEDICAL PHYSICS CLINICAL CARDIAC ELECTROPHYSIOLOGY VASCULAR NEUROLOGY CLINICAL INFORMATICS MATERNAL FETAL MEDICINE CRITICAL CARE MEDICINE CYTOPATHOLOGY GASTROENTEROLOGY PEDIATRIC SPORTS MEDICINE GMC OPERATED TWO SCHOOLS OF ALLIED HEALTH EDUCATION. THESE SCHOOLS ARE OPERATED WITHIN GMC IN CONJUNCTION WITH VARIOUS COLLEGES AND UNIVERSITIES. IN ADDITION TO CLASSROOM TIME, STUDENTS CONTRIBUTE CLINICAL EDUCATION HOURS AS AN INTEGRAL PART OF THEIR CURRICULUM. DURING THE YEAR ENDED DECEMBER 31, 2024, THE CHAPLAIN SCHOOL HAD ONE STUDENT AND THE PHARMACY RESIDENCY PROGRAM HAD NINE STUDENTS. THE TOTAL COST TO GMC OF PROVIDING RESIDENCY, FELLOWSHIP, ALLIED HEALTH, AND RELATED EDUCATION PROGRAMS, NET OF THIRD-PARTY REIMBURSEMENTS WAS $34,375,538.
FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT (CONTINUED)	C. TRAUMA CARE IN OCTOBER 1986 GMC WAS DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION AS A REGIONAL RESOURCE TRAUMA CENTER (LEVEL I) BASED ON THE PROVISION OF COMPREHENSIVE TRAUMA CARE 24 HOURS A DAY AND THE CONDUCT OF OUTREACH, EDUCATIONAL AND RESEARCH PROGRAMS IN TRAUMA CARE. IN 1996, THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION ACCREDITED GMC AS ADDITIONAL QUALIFICATIONS IN PEDIATRICS. GMC HAS BEEN ACCREDITED AS A LEVEL II PEDIATRIC TRAUMA CENTER. THE TRAUMA CENTER INCLUDES LIFE FLIGHT, A MULTIPLE AIRCRAFT, REGIONAL HELICOPTER SERVICE. LIFE FLIGHT PROVIDES RAPID RESPONSE TO CRITICALLY ILL PATIENTS WHO NEED ADVANCE LIFE SUPPORT CARE AND TRANSPORTATION TO CRITICAL CARE FACILITIES. GEISINGER LIFE FLIGHT OPERATED NINE AIRCRAFTS AND FOUR GROUND CRITICAL CARE EQUIPPED AMBULANCES FROM SEVEN OPERATIONAL SITES FOR THE YEAR ENDED DECEMBER 31, 2024. NINE STATE-OF-THE-ART MEDICAL HELICOPTERS INCLUDE ONE BK117 AND EIGHT EC145S. THE GROUND UNITS CONTAIN THE SAME EQUIPMENT AS THE AIRCRAFT FOR CRITICAL CARE GROUND TRANSPORTS. THE BASE LOCATIONS FOR THE YEAR ENDING DECEMBER 31, 2024 WERE IN DANVILLE, SELINSGROVE, STATE COLLEGE, AVOCA, WILLIAMSPORT, MINERSVILLE AND LEHIGHTON PA. THE DISPATCHING OF LIFE FLIGHT FOR INTER-HOSPITAL TRANSFERS AND SCENE CALLS IS AUTHORIZED BY A PHYSICIAN OR OTHER QUALIFIED PERSONNEL AND IS DETERMINED ON AN INDIVIDUAL BASIS ACCORDING TO MEDICAL NEED. IN THE YEAR ENDED DECEMBER 31, 2024, LIFE FLIGHT PROVIDED EMERGENCY TRANSPORTATION TO 4,342 PATIENTS AND SERVED MULTIPLE HOSPITALS IN PENNSYLVANIA AND NEIGHBORING STATES. D. JANET WEIS CHILDREN'S HOSPITAL THE JANET WEIS CHILDREN'S HOSPITAL HOUSES ALL INPATIENT PEDIATRIC BEDS INCLUDING 36 MEDICAL AND SURGICAL, 41 NEWBORN INTENSIVE AND SPECIAL CARE AND 14 PEDIATRIC INTENSIVE CARE BEDS. THE FACILITY ALSO PROVIDES SPACE FOR PEDIATRIC REHABILITATION AND HAS ESTABLISHED AN AMBULANCE TRANSPORT SERVICE FOR NEONATAL RETRIEVALS. THE FACILITY IS CONNECTED WITH THE REST OF THE MEDICAL CENTER AT FOUR OF THE FIVE LEVELS TO ALLOW FOR SMOOTH INTEGRATION OF ANCILLARY AND SUPPORT SERVICES. THE FUNDING FOR THE CONSTRUCTION OF THE JANET WEIS CHILDREN'S HOSPITAL WAS PROVIDED BY THE DONATING PUBLIC, INCLUDING FUNDS RAISED BY THE CHILDREN'S MIRACLE NETWORK TELETHON. THIS FACILITY IS VISIBLE EVIDENCE OF GEISINGER'S COMMITMENT TO THE CHILDREN OF PENNSYLVANIA. FOR THE YEAR ENDED DECEMBER 31, 2024, THE JANET WEIS CHILDREN'S HOSPITAL DISCHARGED 3,998 PATIENTS AND PROVIDED 22,722 PATIENT DAYS OF SERVICE. THE FACILITY AFFORDS MORE EFFICIENT CARE WITH AN IMPROVED LENGTH OF STAY. E. WOMEN'S HEALTH PAVILION THE WOMEN'S HEALTH PAVILION, ON THE CAMPUS OF GMC, WAS DEDICATED AS PART OF THE JANET WEIS CHILDREN'S AND WOMEN'S HOSPITAL IN 2000. THE WOMEN'S PAVILION FEATURES FAMILY-ORIENTED BIRTHING SUITES THAT ALLOW EACH WOMAN TO LABOR, DELIVER AND RECOVER IN THE SAME SPACE. IN ADDITION, THERE ARE SEMI-PRIVATE ROOMS, A NURSERY AND TWO CAESAREAN SECTION OPERATING SUITES. THE GEISINGER WOMEN'S PAVILION IS THE ONLY HOSPITAL IN THE AREA THAT OFFERS COVERAGE BY OBSTETRICIANS, NEONATOLOGISTS, PEDIATRICIANS AND ANESTHESIOLOGISTS 24 HOURS A DAY, SEVEN DAYS A WEEK. OUTPATIENT SERVICES AT THE WOMEN'S PAVILION INCLUDE OBSTETRICS, PERINATOLOGY, MIDWIFERY OUTREACH, GYNECOLOGY, GYNECOLOGIC ONCOLOGY, UROGYNECOLOGY, GENETICS COUNSELING, PSYCHOLOGY, SOCIAL WORK, NUTRITION, MAMMOGRAPHY AND BREAST CARE, LABORATORY SERVICES, AND A FERTILITY CLINIC. FOR THE YEAR ENDED DECEMBER 31, 2024, THE WOMEN'S HEALTH PAVILION DISCHARGED 3,607 PATIENTS AND PROVIDED 8708 PATIENT DAYS OF SERVICE. F. OUTPATIENT SURGERY CENTER - WOODBINE IN JANUARY 2005, GEISINGER OPENED ITS OUTPATIENT SURGICAL CENTER ON WOODBINE LANE. THE SURGERY CENTER FEATURES SIX FULLY EQUIPPED OPERATING ROOMS, PERI-OPERATIVE FACILITIES, STERILE PROCESSING, SUPPLY STORAGE, ANCILLARY SUPPORT AND ADMINISTRATIVE OFFICE SPACE. THE FACILITY ALSO HOUSES THREE FULLY EQUIPPED ENDOSCOPIC PROCEDURE ROOMS. THE CENTER OPERATES UNDER THE DEPARTMENT OF HEALTH GUIDELINES WITH MORE THAN 100 SURGICAL PROCEDURES AVAILABLE. FOR THE YEAR ENDED DECEMBER 31, 2024, THE OUTPATIENT SURGERY CENTER HANDLED 6,523 SURGICAL CASES. G. GMC SPORTS MEDICINE OUTPATIENT CLINIC - WOODBINE LANE IN JULY 2006, GEISINGER RELOCATED ITS SPORTS MEDICINE - ORTHOPAEDIC CLINICAL PRACTICE TO THE WOODBINE COMPLEX IN CONCERT WITH A COMPREHENSIVE REHABILITATION CLINIC OPERATED THROUGH A JOINT VENTURE WITH ENCOMPASS HEALTH. II. UNCOMPENSATED CARE GMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GMC 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 GMC PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GMC IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GMC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO GMC OF PROVIDING THIS CHARITY CARE DURING THE YEAR ENDED DECEMBER 31, 2024 WAS $10,746,671. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE), THE POOR (MEDICAID) AS WELL AS OTHERS. GMC PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GMC IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID AND/OR OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2024, THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS $234,621,634. III. RESEARCH SUPPORT GEISINGER MEDICAL CENTER CONTRIBUTED $8,104,176 TO GEISINGER CLINIC DURING THE YEAR ENDED DECEMBER 31, 2024 TO SUPPORT ITS CHARITABLE MISSION THROUGH MEDICAL RESEARCH ACTIVITIES CONDUCTED THROUGHOUT GEISINGER IN BOTH ITS DEDICATED RESEARCH CENTERS AND INSTITUTES, AS WELL AS IN ITS CLINICAL DEPARTMENTS AND SERVICE LINES. THE MAJOR LOCUS OF RESEARCH ACTIVITY AND LEADERSHIP ARE THE RESEARCH INSTITUTES AND CENTERS THAT SERVE AS HOME TO FULL TIME INVESTIGATORS IN BASIC, TRANSLATIONAL, AND HEALTH SERVICES RESEARCH AND WHICH PROVIDE FACILITIES, SOPHISTICATED RESEARCH EQUIPMENT, AND ADMINISTRATIVE SUPPORT TO FOSTER INNOVATIVE AND COLLABORATIVE RESEARCH: - THE SIGFRIED AND JANET WEIS CENTER FOR RESEARCH FOCUSES ON LABORATORY-BASED RESEARCH ON THE MOLECULAR AND CELLULAR BASIS OF DISEASES AND ON TRANSLATIONAL RESEARCH, AND IN PARTICULAR GENOMIC MEDICINE. - THE GEISINGER CENTER FOR HEALTH RESEARCH ADVANCES OUTCOMES AND POPULATION-BASED RESEARCH AND DEVISES NEW MODELS OF CARE TO IMPROVE THE EFFICIENCY AND QUALITY OF CARE TO PATIENTS. - THE CENTER FOR RE-ENGINEERING HEALTH CARE SEEKS TO IMPROVE HEALTHCARE DELIVERY BY APPLYING THE PRINCIPLES OF ENGINEERING TO HEALTH CARE. THE CRH IS ONE OF THREE CENTERS UNDER THE INSTITUTE FOR ADVANCED APPLICATIONS. THE OTHER TWO CENTERS ARE THE CENTER FOR EMERGING TECHNOLOGY AND INFORMATICS AND CENTER FOR CLINICAL INNOVATION. - THE GEISINGER OBESITY INSTITUTE FACILITATES RESEARCH THAT ADDRESSES THE CHALLENGES OF OBESITY AND OBESITY-RELATED DISEASE. - THE GENOMIC MEDICINE INSTITUTE USES GENOMIC MEDICINE TO DEVELOP INNOVATIVE TREATMENT STRATEGIES AND CURES. - THE AUTISM AND DEVELOPMENTAL MEDICINE INSTITUTE (ADMI) IS DEDICATED TO CLINICAL CARE, RESEARCH, AND EDUCATION THAT WILL IMPROVE AND EXPEDITE THE DIAGNOSIS, TREATMENT, AND CARE OF CHILDREN WITH AUTISM SPECTRUM DISORDERS AND OTHER DEVELOPMENTAL DISORDERS. - THE ENVIRONMENTAL HEALTH INSTITUTE WORKS TO UNDERSTAND LINKS BETWEEN LAND USE, ECOSYSTEM HEALTH, COMMUNITY HEALTH, AND HUMAN HEALTH, AND TO TRANSLATE KNOWLEDGE INTO CHANGES THAT PROMOTE SUSTAINABLE HEALTHY COMMUNITIES. CLINICAL DEPARTMENTS AND CLINICAL SERVICE LINES INCLUDE EXTENSIVE RESEARCH BEING CONDUCTED BY THE DEPARTMENTS OF CARDIOLOGY, RHEUMATOLOGY, ORTHOPAEDICS AND VASCULAR SURGERY, AMONG OTHERS. BOTH PEDIATRIC AND ADULT ONCOLOGY DEPARTMENTS ARE ACTIVELY INVOLVED IN TRIALS THROUGH THE NATIONAL CANCER INSTITUTE-DESIGNATED COOPERATIVE ONCOLOGY GROUPS, AN EFFORT WHICH IS DIRECTLY FACILITATED BY GEISINGER'S COMMUNITY CLINICAL ONCOLOGY PROGRAM (CCOP) AWARD FROM THE NATIONAL INSTITUTES OF HEALTH.
FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT (CONTINUED)	IV. COMMUNITY HEALTH, EDUCATION AND OUTREACH AS A HOSPITAL AND MAJOR EMPLOYER GEISINGER MEDICAL CENTER STRIVES TO SERVE AS A PARTNER TO OUR LOCAL COMMUNITY AND RESIDENTS. GMC PROVIDES CARE TO THE COMMUNITY THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH GMC BELIEVES WILL SERVE A GENUINE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS INCLUDE COMMUNITY EDUCATION, SELF-HELP, SUPPORT GROUPS, CLINICAL HEALTH SCREENINGS, FREE HEALTH CLINICS, HEALTH CARE SUPPORT SERVICES, CASH AND IN-KIND COMMUNITY CONTRIBUTIONS, HEALTH PROFESSIONS EDUCATION, AND SUBSIDIZED SERVICES. A. COMMUNITY HEALTH EDUCATION THE UNREIMBURSED COST TO GMC OF PROVIDING SERVICES FOR COMMUNITY HEALTH EDUCATION WAS $109,043. DURING 2024, SOME OF THE TOPICS INCLUDED: FALL PREVENTION, INJURY PREVENTION PROGRAMS, TEEN DRIVER, DISTRACTED DRIVER, STOP THE BLEED, AND VARIOUS NEWSLETTERS, ARTICLES AND EDUCATIONAL MEDIA. B. COMMUNITY SUPPORT GROUPS THE COST TO GMC OF PROVIDING SERVICES AND/OR FACILITIES FOR SUPPORT GROUP MEETINGS WAS $538,935. THE SUPPORT GROUPS INCLUDED: -LACTATION SERVICES/BREASTFEEDING CONSULTANTS -HOUSE OF CARE C. HEALTH CARE SUPPORT SERVICES GMC SPONSORED REGULAR COMMUNITY HEALTH CARE SUPPORT WITH A TOTAL BENEFIT OF $631,161 THAT INCLUDED THE FOLLOWING PROGRAMS: -INDIGENT PATIENT TRANSPORTATION -SEXUAL ASSAULT MEDICATIONS -LIFE FLIGHT, AIR AMBULANCE DISPATCH ON-CALL PROGRAM D. DONATIONS, CASH AND IN-KIND TO THE COMMUNITY GMC DONATED ROOM USAGE, PAID UTILITY BILLS AND PROVIDED SERVICES TO THE COMMUNITY AT A COST OF $229,667 FOR DIABETES AND WELLNESS CLASSES, PATIENT FAMILY RESOURCES, FRESH FOOD FARMACY, AND THE RONALD MCDONALD HOUSE. E. COMMUNITY BUILDING ACTIVITIES GMC TAKES PRIDE IN PARTICIPATING IN ACTIVITIES THAT IMPROVE THE HEALTH OF LOCAL AREAS. DURING THE YEAR ENDED DECEMBER 31, 2024, GMC INCURRED $28,689 TO PROVIDE A RURAL TRAUMA TEAM DEVELOPMENT COURSE. F. HEALTH PROFESSIONS EDUCATION IN ADDITION TO PARTICIPATION IN THE RESIDENCY, FELLOWSHIP AND ALLIED HEALTH PROGRAMS, GEISINGER MEDICAL CENTER PROVIDED $6,078,075 IN SUPERVISION OF NURSING, PHARMACY, ADVANCED PRACTITIONERS AND SPIRITUAL CARE PRACTITIONERS COMPLETING ROTATIONS AS PART OF THEIR STUDIES DURING THE YEAR ENDED DECEMBER 31, 2024. G. SUBSIDIZED SERVICES THE REIMBURSEMENT RECEIVED FOR CERTAIN SERVICES PROVIDED BY GMC DOES NOT COVER THE COST OF THOSE SERVICES. PROVIDING CHILDLIFE SERVICES COST GMC $857,350 (NET OF REIMBURSEMENT) DURING THE YEAR ENDED DECEMBER 31, 2024. H. COMMUNITY ASSISTANCE PAYMENT GEISINGER MEDICAL CENTER PROVIDED FINANCIAL ASSISTANCE TO THE COMMUNITY THROUGH A COMMUNITY ASSISTANCE PAYMENT. THE VALUE OF THE PAYMENT IS $1,703,499. THIS AMOUNT IS PAID TO MONTOUR COUNTY, DANVILLE AREA SCHOOL DISTRICT, AND MAHONING TOWNSHIP IN LIEU OF REAL ESTATE TAXES BEING ASSESSED ON THEIR PROPERTY. THE PAYMENTS SUPPORT LOCAL GOVERNMENT PROVIDED SERVICES SUCH AS POLICE AND FIRE PROTECTION AND CORONER SERVICES. V. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER MEDICAL CENTER ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GMC. VOLUNTEERS FROM LOCAL COMMUNITIES HAVE CONTRIBUTED 11,341 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION OF $375,631 IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. VI. COMMUNITY BENEFIT SUMMARY HEALTH PROFESSIONS EDUCATION, RESIDENCIES & FELLOWSHIPS $ 34,375,538 CHARITY CARE 10,746,671 MEDICARE, MEDICAID, OTHER GOVERNMENTAL 234,621,634 RESEARCH SUPPORT 8,104,176 COMMUNITY ASSISTANCE PAYMENT 1,703,499 COMMUNITY HEALTH, EDUCATION, OUTREACH AND OTHER 7,615,570 SUBSIDIZED SERVICES, CHILDLIFE 857,350 VOLUNTEER SERVICES, VALUED AT JAN 1, 2024 STATEWIDE AVERAGE WEEKLY WAGE 375,631 TOTAL COMMUNITY SERVICE $ 298,400,069 VII. STATISTICS, ALL CAMPUSES DISCHARGES, EXCLUDING NURSERY & PSYCH 30,177 AVERAGE LENGTH OF STAY, EXCLUDING NURSERY & PSYCH 5.3 PERCENT OF OCCUPANCY, EXCLUDING NURSERY & PSYCH 79.3% TOTAL OR CASES 30,390 OUTPATIENT VISITS, INCLUDES OUTPATIENT ER VISITS 1,425,319 OUTPATIENT EMERGENCY ROOM VISITS 51,973 BEDS, EXCLUDING SNF/NURSERY/EACU 574 BASSINETS IN NURSERY 15
FORM 990, PART V, LINE 1A - ADDITIONAL INFORMATION	GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. 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 2024 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,166. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN, IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF.
FORM 990, PART VI, LINE 1A - AUTHORITY DELEGATED TO COMMITTEE EXPLANATION	THERE WAS A DELEGATION OF AUTHORITY TO THE GEISINGER HEALTH EMERGENCY ACTION COMMITTEE, WHICH IS COMPRISED OF THE CHAIR OF THE BOARD, VICE-CHAIR OF THE BOARD, THE PRESIDENT AND CEO (EX-OFFICIO DIRECTOR), CHAIR OF THE FINANCE COMMITTEE AND CHAIR OF THE PATIENT EXPERIENCE, ACADEMIC AFFAIRS AND QUALITY COMMITTEE. UNDER THE NONPROFIT CORPORATION LAW AND UNDER GEISINGER HEALTH'S CORPORATE BYLAWS, THE EMERGENCY ACTION COMMITTEE SHALL EXERCISE THE POWER AND AUTHORITY OF THE BOARD OF DIRECTORS TO ACT ON EMERGENCY MATTERS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 2 - ADDITIONAL INFORMATION	BENJAMIN K. CHU, MD, MPH, MACP , GERALD V. MALONEY, DO , JAEWON RYU, MD, JD, JEFFREY A. JACOBSON, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, MATTHEW VAN LEEUWE, MEGAN BROSIOUS, RONALD BEER, MHA, FACHE, STEVEN B. BENDER, ESQUIRE, TERRY GILLILAND, MD, V. CHRIS HOLCOMBE, PE, AND VIRGINIA MCGREGOR ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER.
FORM 990, PART VI, LINE 6 - CLASSES OF MEMBERS OR STOCKHOLDERS	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, PART VI, LINE 7A - ELECTION OF MEMBERS AND THEIR RIGHTS.	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, PART VI, LINE 7B - DECISIONS SUBJECT TO APPROVAL OF MEMBERS	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 PENNSYLVANIA NONPROFIT CORPORATION LAW.
FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990	THE FORM 990 IS PREPARED BY KAISER FOUNDATION HEALTH PLAN, INC.'S TAX PREPARATION AND OVERSIGHT DEPARTMENT WITH INFORMATION PROVIDED FROM GEISINGER FINANCE, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY PWC US TAX, LLP. THE CHIEF FINANCIAL OFFICER OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. 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.
FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY	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 COMPLIANCE OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND/OR 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 COMMITTEE/BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE COMMITTEE/BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.
FORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL	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, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS	SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A.
FORM 900, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990- PART XI, LINE 9, OTHER CHANGES IN NET ASSETS EXPLANATION	NET TRANSFERS <TO>/FROM PARENT, GEISINGER HEALTH -$217,075,715 TRANSFER FROM KAISER $ 4,475,027 LOSS FROM SUBSIDIARY GEISINGER-HM JV, LLC -$ 54,365,720 GAIN FROM SUBSIDIARY GEISINGER MEDICAL CENTER MUNCY $ 23,394,725 GEISINGER-HM JV, LLC NET ASSETS UPON CONVERSION TO SMLLC OF GEISINGER MEDICAL CENTER -$ 95,692,206 GAIN ON EXTINGUISHMENT OF DEBT $ 50,931,974 PRIOR YEAR ACCRUAL OF JV BUYOUT -$ 10,000,000 TOTAL -$298,331,915
FORM 990, PART XII, LINE 3A - ADDITIONAL INFORMATION	FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F. FOOTNOTE: THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER"GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (54 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
KAISER FOUNDATION HOSPITALS
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	941105628	HEALTH CARE	CA	501(C)(3)	3	NA	false
KAISER FOUNDATION HEALTH PLAN INC
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	941340523	HEALTH CARE	CA	501(C)(3)	10	NA	false
KAISER FDN HEALTH PLAN OF COLORADO
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	840591617	HEALTH CARE	CO	501(C)(3)	10	KFHP INC	false
KAISER FDN HEALTH PLAN OF GEORGIA INC
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	581592076	HEALTH CARE	GA	501(C)(3)	10	KFHP INC	false
KAISER FOUNDATION HEALTH PLAN OF THE MAS
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	520954463	HEALTH CARE	MD	501(C)(3)	10	KFHP INC	false
KAISER FDN HEALTH PLAN OF THE NORTHWEST
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	930798039	HEALTH CARE	OR	501(C)(3)	10	KFHP INC	false
KAISER FDN HEALTH PLAN OF WASHINGTON
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	910511770	HEALTH CARE	WA	501(C)(3)	3	KFHPW HLDGS	false
KAISER HOSPITAL ASSET MANAGEMENT INC
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	943299125	ASSET MGMT	CA	501(C)(3)	12-I	KFH	false
KAISER HEALTH PLAN ASSET MANAGEMENT INC
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	943299124	ASSET MGMT	CA	501(C)(3)	12-I	KFHP INC	false
CAMP BOWIE SERVICE CENTER
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	943299123	ADMIN	CA	501(C)(3)	12-I	KFHP INC	false
LOKAHI ASSURANCE LTD
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	912171891	WC PLACEMENT	HI	501(C)(3)	12-I	KFHP INC	false
1800 HARRISON FOUNDATION
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	943317484	FINANCING	CA	501(C)(3)	12-I	KFHP INC	false
KAISER HOSPITAL ASSISTANCE CORPORATION
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	311779500	FINANCING	CA	501(C)(3)	12-I	KFH	false
KAISER HEALTH ALTERNATIVES
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	930954562	HEALTH CARE	OR	501(C)(3)	10	KFHP INC	false
KP BERNARD J TYSON SCHOOL OF MEDICINE
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	814053028	MEDICAL EDUCA	CA	501(C)(3)	2	KFH	false
KFHPW HOLDINGS
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	930480268	HEALTH CARE	WA	501(C)(3)	12-I	KFHP INC	false
GROUP HEALTH NORTHWEST
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	911216856	INACTIVE	WA	501(C)(3)	12-I	KFHP OF WA	false
KAISER FDN FOR THE ADV OF INTEGRATED HC
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	823819611	ADVOCACY	CA	501(C)(4)	N/A	KFHP INC	false
KAISER FDN HEALTH PLAN OF NEVADA INC
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	372097870	HEALTH CARE	DE	501(C)(4)	N/A	KFHP INC	false
KP MEDICAL FOUNDATION
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	920685740	HEALTH CARE	DE	501(C)(3)	12-I	KFHP INC	false
KFH HOLDINGS INC
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	884172095	HOLDING CO	DE	501(C)(3)	12-I	KFH	false
RISANT HEALTH INC
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	923467590	HEALTH CARE	DE	501(C)(3)	12-I	RISANT HLTH	false
GEISINGER HEALTH
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	231995911	PHILANTHROPY	PA	501(C)(3)	7	RISANT HLTH	false
COMMUNITY MEDICAL CENTER
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	240862246	HEALTH CARE	PA	501(C)(3)	3	GH	Yes (true)
GEISINGER-BLOOMSBURG HOSPITAL
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232193572	HEALTH CARE	PA	501(C)(3)	3	GH	Yes (true)
GEISINGER CLINIC
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	236291113	HEALTH CARE	PA	501(C)(3)	3	GH	Yes (true)
GEISINGER COMMONWEALTH SCH OF MEDICINE
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	260812968	MEDICAL EDU	PA	501(C)(3)	2	GH	false
GEISINGER COMMUNITY HEALTH SERVICES
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232967235	HEALTH CARE	PA	501(C)(3)	10	GSS	false
GEISINGER HEALTH PLAN
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232311553	HEALTH CARE	PA	501(C)(4)	N/A	GH	false
GEISINGER INSURANCE CORPORATION RRG
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	141909894	INSURANCE	VT	501(C)(3)	12-I	GH	Yes (true)
GEISINGER JERSEY SHORE HOSPITAL
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	240792115	HEALTH CARE	PA	501(C)(3)	3	GH	Yes (true)
GEISINGER-LEWISTOWN HOSPITAL
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	231352187	HEALTH CARE	PA	501(C)(3)	3	GH	Yes (true)
GEISINGER MEDICAL CENTER MUNCY
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	851226106	HEALTH CARE	PA	501(C)(3)	3	GHMJV	false
GEISINGER SYSTEM SERVICES
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232164794	SUPPORT SVCS	PA	501(C)(3)	12-I	GH	Yes (true)
GSL HOSPITAL
801 OSTRUM STREET	BETHLEHEM	PA	18015	824432109	HEALTH CARE	PA	501(C)(3)	3	GH	false
GSLPG INC
801 OSTRUM STREET	BETHLEHEM	PA	18015	825423865	HEALTH CARE	PA	501(C)(3)	3	GSL HOSPITAL	false
GEISINGER WYOMING VALLEY MEDICAL CENTER
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	231996150	HEALTH CARE	PA	501(C)(3)	3	GH	Yes (true)
KEYSTONE HEALTH INFORMATION EXCHANGEINC
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	464359893	HEALTH CARE	PA	501(C)(3)	12-I	GH	false
MARWORTH
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232171417	HEALTH CARE	PA	501(C)(3)	3	GH	Yes (true)
WEST SHORE ADVANCED LIFE SUPPORT SVCS
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232463002	HEALTH CARE	PA	501(C)(3)	7	GC	Yes (true)
GNJ PHYSICIANS GROUP PC
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	820681884	HEALTH CARE	NJ	501(C)(3)	10	GH	false
THE MOSES H CONE MEMORIAL HOSPITAL
1200 NORTH ELM ST	GREENSBORO	NC	27401	560532302	HEALTH CARE	NC	501(C)(3)	12-II	RISANT HLTH	false
THE MOSES H CONE MEMORIAL HOPS OPER CORP
1200 NORTH ELM ST	GREENSBORO	NC	27401	581588823	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL	false
MOSES CONE AFFILIATED PHYSICIANS INC
1200 NORTH ELM ST	GREENSBORO	NC	27401	300554775	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL	false
MOSES CONE PHYSICIAN SERVICES INC
1200 NORTH ELM ST	GREENSBORO	NC	27401	800249057	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL	false
MOSES CONE MEDICAL SERVICES INC
1200 NORTH ELM ST	GREENSBORO	NC	27401	561714318	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL	false
REIDSVILLE OB & GYN PHYSICIANS INC
1200 NORTH ELM ST	GREENSBORO	NC	27401	800217430	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL	false
ARMC HEALTH CARE
1200 NORTH ELM ST	GREENSBORO	NC	27401	581681363	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL	false
ALAMANCE REGIONAL MEDICAL CENTER INC
1200 NORTH ELM ST	GREENSBORO	NC	27401	560529994	HEALTH CARE	NC	501(C)(3)	3	ARMC HC	false
CONE HEALTH PHILANTHROPIC FOUNDATION
1200 NORTH ELM ST	GREENSBORO	NC	27401	581681560	FUNDRAISING	NC	501(C)(3)	12-II	ALAMANCE MC	false
ARMC PHYSICIANS CARE INC
1200 NORTH ELM ST	GREENSBORO	NC	27401	562095382	HEALTH CARE	NC	501(C)(3)	3	ARMC HC	false
THE MOSES CONE - WESLEY LONG HEALTH FDN
1200 NORTH ELM ST	GREENSBORO	NC	27401	562001399	FUNDING	NC	501(C)(3)	12-II	MC HOSPITAL	false
ALAMANCE COMMUNITY & HEALTH FDN INC
1200 NORTH ELM ST	GREENSBORO	NC	27401	462505818	FUNDING	NC	501(C)(3)	12-II	ALAMANCE MC	false
REF CONE INC
20 NORTH BENBOW ROAD	GREENSBORO	NC	27411	991330813	REAL ESTATE	NC	501(C)(3)	12-I	MC HOSPITAL	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	UBI Code VUBICodeVAmt	OwnershipOwnershipPct	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
NXT CAP SR LOAN FUND I LLC
191 N WACKER DR STE 1200	CHICAGO	IL	60606	371651297	INVESTMENT	DE	NA	N/A	$0	$0	$0	0.00000
MAUI NUI ASC HOLDCO LLC
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612		HOLDING CO	HI	NA	N/A	$0	$0	$0	0.00000
KEYSTONE ACCOUNTABLE CARE ORGANIZATION
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	455484165	ACCOUNTABLE CARE	PA	NA	N/A	$0	$0	$0	0.00000
NSC GREENSBORO WEST
3000 RIVERCHASE GALLERIA	BIRMINGHAM	AL	35244	561963226	HEALTH CARE	AL	NA	N/A	$0	$0	$0	0.00000
GEISINGER HM JOINT VENTURE LLC
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	831871064	HEALTH CARE	PA	GMC	RELATED	$31,098,731	-$33,954,440	$0	1.00000	false	Yes (true)
EVANGELICAL-GEISINGER HEALTH LLC
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	460567687	HEALTH CARE	PA	NA	N/A	$0	$0	$0	0.00000
GEISINGER ENCOMPASS HEALTH LLC
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	721398803	HEALTH CARE	PA	GMC	RELATED	$1,393,906	$3,879,100	$0	0.50000	false	Yes (true)
KEYSTONE HEALTHCARE PARTNERSHIP LLC
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	833134941	HEALTH CARE	PA	NA	N/A	$0	$0	$0	0.00000
HTA HOLDINGS LLC
1200 NORTH ELM ST	GREENSBORO	NC	27401	920615196	HOLDING COMPANY	NC	NA	N/A	$0	$0	$0	0.00000
CONE HEALTH VENTURES LLC
1200 NORTH ELM ST	GREENSBORO	NC	27401	920712783	INNOVATION	NC	NA	N/A	$0	$0	$0	0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
OAK TREE ASSURANCE LTD
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	030329760	INSURANCE	VT	NA	C CORP	$0	$0	0.00000	false
KAISER PERMANENTE INSURANCE COMPANY
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	943203402	INSURANCE	CA	NA	C CORP	$0	$0	0.00000	false
KAISER PERMANENTE INTERNATIONAL
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	943245176	CONSULTING	CA	NA	C CORP	$0	$0	0.00000	false
KFHP OF WASHINGTON OPTIONS INC
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	911467158	INSURANCE	WA	NA	C CORP	$0	$0	0.00000	false
GROUP HEALTH OF WASHINGTON
ONE KAISER PLAZA - 26TH FL	OAKLAND	CA	94612	911314907	INACTIVE	WA	NA	C CORP	$0	$0	0.00000	false
GARFIELD HEALTH SOLUTIONS EAST PVT LTD
					ADMIN		NA	C CORP	$0	$0	0.00000	false	LEVEL 10 TOWER C PANCHSHIL BUSINESS	BALEWADI	PUNE	IN	411045	IN
GARFIELD HEALTH SOLUTIONS WEST SRL
					ADMIN		NA	C CORP	$0	$0	0.00000	false	ULTRAPARK II FREE TRADE ZONE BLD 4	LAGUNILLA	HEREDIA	CS		CS
GEISINGER ASSURANCE COMPANY LTD
				981016737	FINANCIAL		NA	C CORP	$0	$0	0.00000	false	PO BOX 1159	GRAND CAYMAN		CJ	KY1-1102	CJ
GEISINGER INDEMNITY INSURANCE COMPANY
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232815174	INSURANCE	PA	NA	C CORP	$0	$0	0.00000	false
GEISINGER QUALITY OPTIONS INC
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	204275139	INSURANCE	PA	NA	C CORP	$0	$0	0.00000	false
ISS SOLUTIONS INC
100 N ACADEMY AVE MC 49-70	DANVILLE	PA	17822	232077663	CLIN ENGINEERING	PA	NA	C CORP	$0	$0	0.00000	Yes (true)
CARE N' CARE INSURANCE CO NORTH CAROLINA
1200 NORTH ELM ST	GREENSBORO	NC	27401	472847536	INSURANCE	NC	NA	C CORP	$0	$0	0.00000	false
WESLEY LONG COMMUNITY HEALTH SVCS INC
1200 NORTH ELM ST	GREENSBORO	NC	27401	561441377	HEALTH CARE	NC	NA	C CORP	$0	$0	0.00000	false
INSURANCE CASUALTY AND RISK ENTERPRISE
				981491204	INSURANCE		NA	C CORP	$0	$0	0.00000	false	PO BOX 1159	GRAND CAYMAN		CJ	KY1-1102	CJ
PIEDMONT PRACTICE ASSOCIATES INC
1200 NORTH ELM ST	GREENSBORO	NC	27401	561954739	HEALTH CARE	NC	NA	C CORP	$0	$0	0.00000	false

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

Transactions Related Org TransactionsRelatedOrgGrp (38 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY MEDICAL CENTER
L	$12,975,942	GAAP
GEISINGER ASSURANCE COMPANY LTD
P	$14,014,324	GAAP
GEISINGER BLOOMSBURG HOSPITAL
A	$1,657	FMV
GEISINGER BLOOMSBURG HOSPITAL
K	$96,122	FMV
GEISINGER BLOOMSBURG HOSPITAL
L	$2,258,907	GAAP
GEISINGER CLINIC
A	$408,689	FMV
GEISINGER CLINIC
C	$742,500	GAAP
GEISINGER CLINIC
K	$124,883	FMV
GEISINGER CLINIC
L	$16,906,747	GAAP
GEISINGER CLINIC
M	$203,074,988	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
L	$2,012,752	GAAP
GEISINGER HEALTH
B	$220,000,000	GAAP
GEISINGER HEALTH
C	$2,181,785	GAAP
GEISINGER HEALTH
M	$2,239,763	GAAP
GEISINGER HEALTH
S	$1,145,881	GAAP
GEISINGER HEALTH PLAN
A	$5,674	FMV
GEISINGER HEALTH PLAN
L	$354,392,752	GAAP
GEISINGER INDEMNITY INSURANCE COMPANY
L	$60,262,909	GAAP
GEISINGER INSURANCE CORPORATION RRG
P	$14,085,272	GAAP
GEISINGER JERSEY SHORE HOSPITAL
A	$53,083	FMV
GEISINGER JERSEY SHORE HOSPITAL
L	$874,118	GAAP
GEISINGER JERSEY SHORE HOSPITAL
M	$200,451	GAAP
GEISINGER LEWISTOWN HOSPITAL
L	$6,210,269	GAAP
GEISINGER MEDICAL CENTER MUNCY
K	$1,251,060	FMV
GEISINGER MEDICAL CENTER MUNCY
L	$3,712,231	GAAP
GEISINGER PHARMACY LLC
A	$77,225	FMV
GEISINGER PHARMACY LLC
M	$75,149,710	GAAP
GEISINGER QUALITY OPTIONS INC
L	$32,058,383	GAAP
GEISINGER SYSTEM SERVICES
A	$1,621,392	FMV
GEISINGER SYSTEM SERVICES
K	$505,704	FMV
GEISINGER SYSTEM SERVICES
L	$214,181	GAAP
GEISINGER SYSTEM SERVICES
M	$262,147,386	GAAP
GEISINGER WYOMING VALLEY MEDICAL CENTER
L	$22,057,371	GAAP
GEISINGER WYOMING VALLEY MEDICAL CENTER
M	$340,983	GAAP
ISS SOLUTIONS INC
M	$7,317,749	GAAP
KAISER
B	$4,475,028	GAAP
KAISER
S	$1,431,162	GAAP
WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC
M	$1,340,499	GAAP

Supplemental Information Detail SupplementalInformationDetail

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