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GEISINGER MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
GEISINGER MEDICAL CENTER (EIN 24-0795959)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-13
IRS object ID
201641349349302954
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-13T10:25:21-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN240795959EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GEISINGER MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGEISBusinessNameControlTxt
Phone5702716624PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 NORTH ACADEMY AVENUE MC 49-70AddressLine1Txt
CityDANVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17822ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID J FELICIO ESQUIREPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone5702716624PhoneNum
Signature2016-05-06SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID T FEINBERG MD MBAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 NORTH ACADEMY AVENUE MC 22-01AddressLine1Txt
CityDANVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17822ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,110,327,907GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GEISINGER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1932FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES AND ACCESS THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee5759TotalEmployeeCnt
Total Volunteers360TotalVolunteersCnt
Total Gross UBI$4,187,523TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,030,003,651PYProgramServiceRevenueAmt
CY Program Service Revenue$1,095,149,848CYProgramServiceRevenueAmt
PY Investment Income$14,123,408PYInvestmentIncomeAmt
CY Investment Income$12,590,945CYInvestmentIncomeAmt
PY Other Revenue$2,869,234PYOtherRevenueAmt
CY Other Revenue$1,402,607CYOtherRevenueAmt
PY Total Revenue$1,046,996,293PYTotalRevenueAmt
CY Total Revenue$1,109,143,400CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$349,548,344PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$339,257,248CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$625,116,352PYOtherExpensesAmt
CY Other Expenses$631,819,162CYOtherExpensesAmt
PY Total Expenses$974,664,696PYTotalExpensesAmt
CY Total Expenses$971,076,410CYTotalExpensesAmt
PY Revenues Less Expenses$72,331,597PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$138,066,990CYRevenuesLessExpensesAmt
Total Assets BOY$805,641,435TotalAssetsBOYAmt
Total Assets EOY$681,544,185TotalAssetsEOYAmt
Total Liabilities BOY$637,014,907TotalLiabilitiesBOYAmt
Total Liabilities EOY$703,190,879TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$168,626,528NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$21,646,694NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES AND ACCESS THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$925,057,112ExpenseAmt
Revenue$1,096,470,826RevenueAmt
DescHEALTHCARE - SEE SCHEDULE O I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT CORPORATION, OWNS AND OPERATES A 520 BED HOSPITAL LOCATED IN DANVILLE, PENNSYLVANIA, ALONG WITH A 70 BED HOSPITAL LOCATED IN COAL TOWNSHIP, PENNSYLVANIA. BOTH ARE REGIONAL REFERRAL QUATERNARY HEALTHCARE MEDICAL CENTERS LOCATED IN PREDOMINATELY RURAL AREAS OF NORTHEASTERN AND CENTRAL PENNSYLVANIA. THE EXISTENCE OF A QUATERNARY HEALTHCARE CENTER IN A GENERALLY RURAL, MEDICALLY UNDER-SERVED, AREA IS UNUSUAL. GMC IS HOME TO THE JANET WEIS CHILDREN'S HOSPITAL, THE WOMEN'S HEALTH PAVILION AND THE OUTPATIENT SURGERY CENTER IN ADDITION TO TREATMENT CENTERS FOR CANCER; KIDNEY, LIVER AND PANCREAS TRANSPLANTS; HEART AND NEUROLOGICAL DISEASE; DIALYSIS AND INFERTILITY. 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 ADULT MEDICAL ONCOLOGY MATERNAL FETAL MEDICINE AERO-MEDICAL SERVICES MICROBIOLOGY AIMI (ACUTE INTERVENTION IN MINIMALLY INVASIVE SURGERY MYOCARDIAL INFARCTION) MOHS SURGERY ANTICOAGULATION CLINIC MOLECULAR DIAGNOSTICS BACLOFEN PUMPS MOVEMENT DISORDERS BAHA (BONE ANCHORED HEARING AID) NEUROENDOVASCULAR BALANCE CENTER NEUROMUSCULAR BARIATRIC SURGERY NEUROPSYCH BLOOD BANK NEUROPATHOLOGY BLOOD CONSERVATION NEUROPHYSIOLOGY BODY CONTOURING NEUROSTIMULATORS BRAIN TUMOR NEUROTRAUMA BREAST SURGERY NUCLEAR STRESS TESTING CANCER GENETICS CLINIC OPEN HEART SURGERY CAPSULE ENDOSCOPY OPHTHALMOLOGY (GLAUCOMA, RETINAL, CARDIAC CAT SCAN ANGIOGRAPHY PEDIATRIC, 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 PEDS COCHLEAR IMPLANT DERMATOPATHOLOGY PEDS NEUROLOGY/NEUROSURGERY ECHOCARDIOGRAPHY PET SCANS ELECTROPHYSIOLOGY PODIATRY EMERGENCY SERVICES PRE-SURGERY CENTER ENDOVASCULAR PROCEDURES PSYCHIATRY (ADOLESCENCE) ENDOVASCULAR GRAFT IMPLANTS RADIATION ONCOLOGY EPILEPSY RADIATION ONCOLOGY EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY REGIONAL ANESTHESIA PROGRAM GYNONCOLOGY RENAL DENERVATION GYNECOLOGIC & UROPATHOLOGY ROBOTIC SURGERY HEAD AND NECK ONCOLOGY SKULL BASE SURGERY HEADACHE SLEEP DISORDERS LABORATORY HEART FAILURE SPINAL BIFIDA CLINIC HEMATOLOGY SPINAL CORD INJURY HEMATOPATHOLOGY SPINE SURGERY HEPATIC INTRA-ARTERIAL CHEMOTHERAPY SPINE ASSESSMENT PROGRAM HIGH DOSE INTERLEUKIN-2 THERAPY STEM CELL TRANSPLANT HIGH DOSE RATE INTRACAVITARY STEREOTACTIC RADIOSURGERY BRACHYTHERAPY STRETTA (LASER PROCEDURE) IMMUNOLOGY STROKE/TELE-STROKE INFERTILITY SURGICAL ONCOLOGY (COLON, LIVER, INTENSIVE O/P PSYCHIATRIC PROGRAM PANCREAS,ESOPHAGEAL, AND INTERVENTIONAL PAIN MANAGEMENT RENAL) INTERVENTIONAL RADIOLOGY SURGICAL PATHOLOGY INTRA-OPERATIVE HEPATIC ULTRASOUND TRANSCATHETER AORTIC VALVE AND RADIOFREQUENCY ABLATION OF IMPLEMENTATION LIVER TUMORS TISSUE BANKING KIDNEY, LIVER,& PANCREAS TRANSPLANTS TRAUMATIC BRAIN INJURY LASER SURGERY (YAG LASER) TOXICOLOGY LVAD (LEFT VENTRICULAR ASSIST DEVICE) TRAUMA SURGERY MAGNETIC RESONANCE IMAGING UROGYNECOLOGY MEDICATION THERAPY MANAGEMENT PROGRAM VAGAL NERVE STIMULATORS WOUND CARE B. RESIDENCY & FELLOWSHIP PROGRAMS GMC CONDUCTS SEVENTEEN GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS AND EIGHTEEN FELLOWSHIP PROGRAMS. THERE WERE APPROXIMATELY 330 GRADUATE PHYSICIANS PARTICIPATING IN THESE PROGRAMS IN FISCAL YEAR 2015. PROGRAM SPECIALTIES ARE AS FOLLOWS: RESIDENCY PROGRAMS ANESTHESIOLOGY OBSTETRICS/GYNECOLOGY DERMATOLOGY (INCL OSTEOPATHIC OB/GYN) EMERGENCY MEDICINE OPHTHALMOLOGY GENERAL SURGERY ORAL SURGERY INTERNAL MEDICINE ORTHOPEDIC SURGERY (INCL OSTEOPATHIC MEDICINE) OSTEOPATHIC - TRADITIONAL INTERNAL MEDICINE-PEDIATRICS OTOLARYNGOLOGY (INCL OSTEOPATHIC MED/PED) PEDIATRICS (INCLUDES OSTEOPATHIC NEUROLOGY PEDIATRICS) NEUROSURGERY RADIOLOGY UROLOGY FELLOWSHIP PROGRAMS ADVANCED ENDOSCOPY INTERVENTIONAL CARDIOLOGY ADVANCED GYNECOLOGICAL SURGERY MATERNAL FETAL MEDICINE CARDIOVASCULAR MEDICINE MINIMALLY INVASIVE MEDICINE CLINICAL CARDIAC ELECTROPHYSIOLOGY NEPHROLOGY CRITICAL CARE MEDICINE PROCEDURAL DERMATOLOGY CYTOPATHOLOGY PULMONARY DISEASE & CRITICAL CARE MED DERMATOPATHOLOGY REPRODUCTIVE ENDOCRINOLOGY GASTROENTEROLOGY & NUTRITION RHEUMATOLOGY HOSPICE AND PALLIATIVE VASCULAR SURGERY C. ALLIED HEALTH AND RELATED EDUCATION PROGRAMS GMC OPERATES FIVE SCHOOLS OF ALLIED HEALTH EDUCATION. THESE SCHOOLS ARE CONDUCTED WITHIN GMC AND ARE OPERATED 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 FISCAL YEAR, THE DIETETIC INTERNSHIP PROGRAM HAD FIVE STUDENTS CONTRIBUTING 5,000 HOURS OF SERVICE; THE SCHOOL OF RADIOLOGY HAD TWENTY STUDENTS CONTRIBUTING 21,480 HOURS OF SERVICE; THE SCHOOL OF CARDIOVASCULAR TECHNOLOGY HAD FOUR STUDENTS; THE CHAPLAIN SCHOOL HAD FIVE STUDENTS AND THE PHARMACY RESIDENCY PROGRAM HAD THREE STUDENTS. THE TOTAL COST TO GMC OF PROVIDING RESIDENCY, FELLOWSHIP, ALLIED HEALTH, AND RELATED EDUCATION PROGRAMS, NET OF THIRD PARTY REIMBURSEMENTS WAS 55,633,813. D. 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. GMC'S PEDIATRIC TRAUMA PROGRAM IS ACCREDITED THROUGH OCTOBER AND THE ADULT TRAUMA PROGRAM IS ACCREDITED THROUGH SEPTEMBER 2016. 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 SEVEN AIRCRAFT AND FIVE OPERATIONAL SITES IN FISCAL YEAR 2015. IN AUGUST 2014, GEISINGER SECURED A BACK-UP HELICOPTER TO SERVE MORE THAN 42 COUNTIES IN CENTRAL AND NORTHEASTERN PENNSYLVANIA. FIVE FRONT LINE STATE OF THE ART EC145 MEDICAL HELICOPTERS ARE BACKED UP BY TWO BK117 MEDICAL HELICOPTERS. THE CURRENT BASE LOCATIONS ARE IN DANVILLE, STATE COLLEGE, AVOCA, WILLIAMSPORT AND MINERSVILLE, 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 FISCAL YEAR 2015, LIFE FLIGHT PROVIDED EMERGENCY TRANSPORTATION TO 2,156 PATIENTS BY HELICOPTER AND SERVED MULTIPLE HOSPITALS IN PENNSYLVANIA AND NEIGHBORING STATES. E. 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 12 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 FISCAL YEAR ENDING JUNE 30, 2015, THE JANET WEIS CHILDREN'S HOSPITAL DISCHARGED 3,155 PATIENTS AND PROVIDED 21,558 PATIENT DAYS OF SERVICE. THE FACILITY AFFORDS MORE EFFICIENT CARE WITH AN IMPROVED LENGTH OF STAY. F. 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 (WITH MIDWIFE DELIVERIES PROVIDED AT GEISINGER BLODesc
Total Program Service Expenses$925,057,112TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5759EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEVIN LANCIOTTI VP FINANCECFOPersonNm
Phone5702146181PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 NORTH ACADEMY AVENUE MC 01-50AddressLine1Txt
CityDANVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP17822ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per WeekAverageHoursPerWeekRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID T FEINBERG MD MBA
PRES, CHAIR,40.00Yes (X)Yes (X)$0$0$0
DON A ROSINI
DIRECTOR5.25Yes (X)$0$0$00.25
E ALLEN DEAVER
DIRECTOR4.25Yes (X)$0$0$00.25
FRANK M HENRY
DIRECTOR4.25Yes (X)$0$0$00.25
GLENN D STEELE JR MD PHD
PRES, CHAIR,40.00Yes (X)Yes (X)$0$4,288,180$472,126
RICHARD A GRAFMYRE
DIRECTOR5.25Yes (X)$0$0$00.25
ROBERT J DIETZ
DIRECTOR5.00Yes (X)$0$0$00.25
ROBERT E POOLE
DIRECTOR4.75Yes (X)$0$0$00.25
ROBERT L TAMBUR
DIRECTOR, VI4.50Yes (X)$0$0$00.25
THOMAS H LEE JR MD
DIRECTOR5.00Yes (X)$0$0$00.25
WILLIAM R GRUVER
DIRECTOR4.50Yes (X)$0$0$00.25
WILLIAM H ALEXANDER
DIRECTOR5.50Yes (X)$0$0$00.25
DAVID J FELICIO ESQUIRE
CLO, SECRETA40.00Yes (X)$0$662,625$101,181
EDWARD J ZYCH ESQUIRE
ACLO, ASST S40.00Yes (X)$0$390,565$42,470
FRANK J TREMBULAK
SR VP, TREAS40.00Yes (X)$0$1,192,394$219,582
KENNETH E WOOD DO
CHIEF MEDICA40.00Yes (X)$0$639,569$101,331
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE40.00Yes (X)$0$1,028,344$201,791
THOMAS P SOKOLA
CAO, GMC$516,115$0$84,86440.00Yes (X)
CRYSTAL K MUTHLER BSN RN MHA NE-
VP/CNO$237,910$0$31,42740.00Yes (X)
RONALD BEER MHA FACHE
VP CLINICAL$33,198$242,006$40,31040.00Yes (X)
THOMAS R HARLOW FACHE
CAO, GSACH$253,438$0$35,73840.00Yes (X)
LISA SMITHGALL RNC-NIC NEA-BC CRNP
AVP, NURSING$211,936$0$31,40740.00Yes (X)
KYLE C SNYDER MHA
AVP, OPERATI$115,585$109,549$35,87940.00Yes (X)
ANGELO C VENDITTI BSN RN MBA NE
VP, CNO, GCM$29,099$173,778$21,82040.00Yes (X)
ALBERT BOTHE JR MD
FORMER OFFIC40.00$0$1,008,208$182,440Yes (X)
AMITPAL JOHAL MD
FORMER 5 HIG40.00$0$450,499$38,638Yes (X)
DUANE E DEIVERT DO
FORMER 5 HIG40.00$0$485,283$40,929Yes (X)
EDELYN L MILLER
FORMER KEY40.00$0$948,072$191,685Yes (X)
MATTHEW J SHELLENBERGER DO
FORMER 5 HIG40.00$0$455,362$39,628Yes (X)
SUSAN M ROBEL RN BSN MHA NEA-BC
FORMER KEY$0$586,976$130,44740.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,397,281TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,661,410TotReportableCompRltdOrgAmt
Total Other Compensation$2,043,693TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K173IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTHSOUTH GHS LLC
2 REHAB LANEDANVILLEPA178218498MEDICAL SERVICE$3,613,140
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DRIVECHICAGOIL60693MEDICAL TESTING$2,385,016
MCKESSON SPECIALTY CARE
401 MASON RDLA VERGNETN370863243LAB TESTS$1,982,524
OLYMPUS AMERICA INC
BOX 200194PITTSBURGHPA152510194SERVICE AGREEMT$1,537,266
HOSPITAL MANAGEMENT SERVICES LLC
PO BOX 3343HARRISBURGPA171053343MA MITIGATION$1,455,320
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K66CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT HEALTHCARE621110$1,019,520,403$1,019,520,403
OUTPATIENT PHARMACY446110$61,096,165$61,096,165
LABORATORY SERVICES621500$4,113,661$4,113,661
RENTAL INCOME531120$3,887,993$3,887,993
OTHER HEALTHCARE REVENUE621300$3,451,102$3,451,102

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,080,524TotalRevenueColumnAmt
Related Or Exempt Func Income$1,633,723RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$73,862UnrelatedBusinessRevenueAmt
Exclusion$1,372,939ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,095,149,848TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,296,828TotalRevenueColumnAmt
Exclusion$4,296,828ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,134TotalRevenueColumnAmt
Related Or Exempt Func Income$3,134RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$45,106RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$25,100RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$20,006RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,006TotalRevenueColumnAmt
Exclusion$20,006ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,052,390SecuritiesAmt
Other$398,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,761SecuritiesAmt
Other$1,153,646OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,046,629SecuritiesAmt
Other-$755,646OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,290,983TotalRevenueColumnAmt
Related Or Exempt Func Income-$5,761RelatedOrExemptFuncIncomeAmt
Exclusion$8,296,744ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PURCHASE DISCOUNTS900099$1,109,613$1,109,613
GSACH AMERINET900099$105,551$105,551
GSACH SETTLEMENT900099$45,137$45,137

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,300TotalRevenueColumnAmt
Related Or Exempt Func Income$63,304RelatedOrExemptFuncIncomeAmt
Exclusion$58,996ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,382,601OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,109,143,400TotalRevenueColumnAmt
Related Or Exempt Func Income$1,025,926,206RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,187,523UnrelatedBusinessRevenueAmt
Exclusion$79,029,671ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$808,961TotalAmt
Program Services$808,961ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$105,524TotalAmt
Program Services$105,524ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$255,286,892TotalAmt
Program Services$252,242,483ProgramServicesAmt
Management And General$3,044,409ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,069,216TotalAmt
Program Services$10,937,682ProgramServicesAmt
Management And General$131,534ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$52,570,967TotalAmt
Program Services$51,946,273ProgramServicesAmt
Management And General$624,694ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,415,688TotalAmt
Program Services$19,292,101ProgramServicesAmt
Management And General$123,587ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,832,943TotalAmt
Management And General$1,832,943ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$151,105TotalAmt
Management And General$151,105ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$29,826TotalAmt
Management And General$29,826ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$854,229TotalAmt
Program Services$617,138ProgramServicesAmt
Management And General$237,091ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$32,338,006TotalAmt
Program Services$27,507,310ProgramServicesAmt
Management And General$4,830,696ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,588TotalAmt
Program Services$15,588ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,056,466TotalAmt
Program Services$17,969,397ProgramServicesAmt
Management And General$1,087,069ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,299,538TotalAmt
Program Services$1,296,966ProgramServicesAmt
Management And General$2,572ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$17,926,546TotalAmt
Program Services$17,077,646ProgramServicesAmt
Management And General$848,900ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,485,800TotalAmt
Program Services$2,267,390ProgramServicesAmt
Management And General$218,410ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,933,236TotalAmt
Program Services$1,884,397ProgramServicesAmt
Management And General$48,839ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,852,559TotalAmt
Program Services$11,291,289ProgramServicesAmt
Management And General$561,270ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$44,514,207TotalAmt
Program Services$42,424,333ProgramServicesAmt
Management And General$2,089,874ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,217,532TotalAmt
Program Services$8,552,272ProgramServicesAmt
Management And General$3,665,260ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTER-ENTITY EXPENSE$239,987,661$213,733,234$26,254,427
MEDICAL SUPPLIES$197,725,486$197,700,187$25,299
INTER-ENTITY TEACHING/ADM$36,332,407$36,184,997$147,410
UNCOLLECTIBLE EXPENSE$10,958,977$10,958,316$661

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$307,050TotalAmt
Program Services$243,628ProgramServicesAmt
Management And General$63,422ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$971,076,410TotalAmt
Program Services$925,057,112ProgramServicesAmt
Management And General$46,019,298ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,279,174BOYAmt
EOY$12,793,607EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$29,410,381BOYAmt
EOY$11,830,534EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$82,333,207BOYAmt
EOY$90,553,121EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$38,963BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$703,072BOYAmt
EOY$385,659EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$16,592,070BOYAmt
EOY$17,113,168EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,838,876BOYAmt
EOY$4,506,687EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$848,248,489LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$433,908,541LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$380,605,338BOYAmt
EOY$414,339,948EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$49,818,872BOYAmt
EOY$12,725,452EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$228,633,769BOYAmt
EOY$109,918,543EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$20,700BOYAmt
EOY$1,512,961EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,367,013BOYAmt
EOY$5,864,505EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$805,641,435BOYAmt
EOY$681,544,185EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,270,522BOYAmt
EOY$19,547,313EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$40,133BOYAmt
EOY$34,507EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$455,845,818BOYAmt
EOY$509,260,393EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$475,159BOYAmt
EOY$423,666EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$166,383,275BOYAmt
EOY$173,925,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$637,014,907BOYAmt
EOY$703,190,879EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$168,626,528BOYAmt
EOY-$21,646,694EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$168,626,528BOYAmt
EOY-$21,646,694EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$805,641,435BOYAmt
EOY$681,544,185EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$138,066,990ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$19,933,981NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$308,406,231OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$30,458FilingOrganizationsTotalAmt
Affiliated Group Total$672,443AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$30,458FilingOrganizationsTotalAmt
Affiliated Group Total$672,443AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$971,045,952FilingOrganizationsTotalAmt
Affiliated Group Total$3,815,671,532AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$971,076,410FilingOrganizationsTotalAmt
Affiliated Group Total$3,816,343,975AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$640,652CurrentYearMinus3Amt
Current Year Minus2$650,175CurrentYearMinus2Amt
Current Year Minus1$710,974CurrentYearMinus1Amt
Current Year$672,443CurrentYearAmt
Total$2,674,244TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus2$1,437CurrentYearMinus2Amt
Total$1,437TotalAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$106,445,000BeginningYearBalanceAmt
Contributions$5,503,000ContributionsAmt
Investment Earnings Or Losses-$1,560,000InvestmentEarningsOrLossesAmt
Other Expenditures-$3,616,000OtherExpendituresAmt
End Year Balance$106,772,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$94,662,000BeginningYearBalanceAmt
Contributions$1,425,000ContributionsAmt
Investment Earnings Or Losses$13,880,000InvestmentEarningsOrLossesAmt
Other Expenditures-$3,522,000OtherExpendituresAmt
End Year Balance$106,445,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$80,086,000BeginningYearBalanceAmt
Contributions$8,933,000ContributionsAmt
Investment Earnings Or Losses$9,257,000InvestmentEarningsOrLossesAmt
Other Expenditures-$3,614,000OtherExpendituresAmt
End Year Balance$94,662,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$77,598,000BeginningYearBalanceAmt
Contributions$5,172,000ContributionsAmt
Investment Earnings Or Losses-$9,000InvestmentEarningsOrLossesAmt
Other Expenditures-$2,675,000OtherExpendituresAmt
End Year Balance$80,086,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$75,302,000BeginningYearBalanceAmt
Contributions$627,000ContributionsAmt
Investment Earnings Or Losses$13,943,000InvestmentEarningsOrLossesAmt
Other Expenditures-$12,274,000OtherExpendituresAmt
End Year Balance$77,598,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.24000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.65000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.11000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,992,788OtherCostOrOtherBasisAmt
Book Value$2,992,788BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$271,579,819OtherCostOrOtherBasisAmt
Depreciation$138,596,667DepreciationAmt
Book Value$132,983,152BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,598,295OtherCostOrOtherBasisAmt
Depreciation$1,608,274DepreciationAmt
Book Value$2,990,021BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$518,284,567OtherCostOrOtherBasisAmt
Depreciation$277,141,622DepreciationAmt
Book Value$241,142,945BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,793,020OtherCostOrOtherBasisAmt
Depreciation$16,561,978DepreciationAmt
Book Value$34,231,042BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$414,339,948TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$109,918,543BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$109,918,543TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
THIRD PARTY LIABILITIES$72,396,912
DUE TO AFFILIATES$64,183,348
DERIVATIVE OBLIGATION$21,455,957
MEDICAL LEGAL CLAIMS ALLOWANCE$8,733,890
ACCOUNTS RECEIVABLE CREDIT BALANCES$7,154,693
DEPOSITS$200
FieldValueIRS element (for citing)
Total Liability$173,925,000TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 2, PART V, LINE 4ENDOWMENT FUNDS ARE USED BY THE GEISINGER HEALTH SYSTEM (1) ("GHS") TO SUPPORT PATIENT CARE, RESEARCH, EDUCATION, AND CAPITAL AND PROGRAM EXPENSES.
SCHEDULE D, PAGE 4, PART XIIIPART X - LIABILITY UNDER FIN 48 FOOTNOTE EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM (1) ("GHS") ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASURMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GHS CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE ACRONYM "GHS- OR THE TERMS "SYSTEM", "GEISINGER", OR "GEISINGER HEALTH SYSTEM" SHALL REFER TO THE ENTIRE HEATHCARE SYSTEM COMPRISED OF THE GEISINGER HEALTH SYSTEM FOUNDATION (THE FOUNDATION) AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITITES COMPRISING THE SYSTEM.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Region Total Expenditures$25,751,065RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$25,751,065SubtotalSpentAmt
Total Spent$25,751,065TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE F, PAGE 1, PART I, LINE 3FormAndLineReferenceDesc
ExplanationCENTRAL AMERICA AND THE CARIBBEAN 0 25,751,065ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other3.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,760,626TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,760,626NetCommunityBenefitExpnsAmt
Total Expense0.01310TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$136,328,460TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$91,494,930DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,833,530NetCommunityBenefitExpnsAmt
Total Expense0.04620TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,047,406TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,979,924DirectOffsettingRevenueAmt
Net Community Benefit Expns$67,482NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153,136,492TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$95,474,854DirectOffsettingRevenueAmt
Net Community Benefit Expns$57,661,638NetCommunityBenefitExpnsAmt
Total Expense0.05940TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,930,527TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,930,527NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,654,903TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,021,090DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,633,813NetCommunityBenefitExpnsAmt
Total Expense0.05730TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,168,810TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,168,810NetCommunityBenefitExpnsAmt
Total Expense0.01050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$83,754,240TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,021,090DirectOffsettingRevenueAmt
Net Community Benefit Expns$67,733,150NetCommunityBenefitExpnsAmt
Total Expense0.06980TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$236,890,732TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$111,495,944DirectOffsettingRevenueAmt
Net Community Benefit Expns$125,394,788NetCommunityBenefitExpnsAmt
Total Expense0.12910TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$11,200,265BadDebtExpenseAmt
Bad Debt Expense Attributable$5,584,452BadDebtExpenseAttributableAmt
Reimbursed By Medicare$171,836,291ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$202,644,677CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$30,808,386MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1HEALTHSOUTHGHS LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesREHABILITATION HOSPITAL SERVICESPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndCritical Access HospitalCriticalAccessHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdBusiness Name Line2BusinessName/BusinessNameLine2Txt
GEISINGER MEDICAL CENTER
1100 NORTH ACADEMY AVENUEDANVILLEPA17822WWW.GEISINGER.ORG071801Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
GEISINGER HEALTHSOUTH
22 REHAB LANEDANVILLEPA17821WWW.GEISINGERHEALTHSOUTH.COM07180100Yes (X)AREHAB HOSPITAL

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
OtherYes (X)OtherInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.GEISINGER.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.GEISINGER.ORG/SITES/CHNAOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.GEISINGER.ORG/SITES/CHNA-2015/GMC/StrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWWGEISINGERORG REFER TO SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWWGEISINGERORG REFER TO SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWWGEISINGERORG REFER TO SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesYes (true)CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 5FORM 990, SCHEDULE H, PART V FACILITY INFORMATION, COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LINE 3 - IN CONDUCTING ITS MOST RECENT CHNA, DID THE HOSPITAL FACILITY TAKE INTO ACCOUNT INPUT FROM REPRESENTATIVES OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH? IF "YES", DESCRIBE HOW THE FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED. ACTION HEALTH, A COLLABORATIVE PARTNERSHIP IN THE CENTRAL SUSQUEHANNA VALLEY THAT INCLUDES GEISINGER MEDICAL CENTER, GEISINGER HEALTH SOUTH REHABILITATION HOSPITAL, GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL, EVANGELICAL COMMUNITY HOSPITAL, GEISINGER-BLOOMSBURG HOSPITAL AND BLOOMSBURG UNIVERSITY CONTRACTED WITH TRIPP UMBACH TO FACILITATE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA WAS CONDUCTED BETWEEN NOVEMBER 2011 AND APRIL 2012 AND RESULTED IN FIVE SEPARATE CHNA REPORTS: FOUR THAT ASSESSED THE HEALTH NEEDS OF THE COMMUNITIES WITHIN EACH HOSPITAL SERVICE AREA AS WELL AS AN ASSESSMENT OF THE REGIONAL NEEDS WITHIN THE FIVE-COUNTY SERVICE AREA (COLUMBIA, MONTOUR, NORTHUMBERLAND, SNYDER AND UNION COUNTY). TRIPP UMBACH IS A RECOGNIZED NATIONAL LEADER IN CONDUCTING CHNA, HAVING CONDUCTED MORE THAN 200 CHNA OVER THE PAST 20 YEARS. PAUL UMBACH, FOUNDER AND PRESIDENT OF TRIPP UMBACH, IS AMONG THE MOST EXPERIENCED COMMUNITY HEALTH PLANNERS IN THE NATION, HAVING DIRECTED PROJECTS IN EVERY STATE AND INTERNATIONALLY. TRIPP UMBACH HAS WRITTEN TWO NATIONAL GUIDE BOOKS ON THE TOPIC OF COMMUNITY HEALTH AND HAS PRESENTED AT MORE THAN 50 STATE AND NATIONAL HEALTH CONFERENCES. THE CHNA PROCESS INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY GEISINGER MEDICAL CENTER, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH ISSUES. COMMUNITY HEALTH ASSESSMENT PLANNING: A SERIES OF MEETINGS WERE CONDUCTED CONSISTING OF LEADERSHIP FROM GMC AND THE OTHER PARTICIPATING HOSPITALS AND ORGANIZATIONS: GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL, EVANGELICAL COMMUNITY HOSPITAL, BLOOMSBURG HOSPITAL AND BLOOMSBURG UNIVERSITY. SECONDARY DATA: THE HEALTH OF THE COMMUNITY IS LARGELY RELATED TO THE CHARACTERISTICS OF ITS RESIDENTS. TRIPP UMBACH COMPLETED COMPREHENSIVE ANALYSIS OF HEALTH STATUS AND SOCIO-ECONOMIC FACTORS RELATED TO THE HEALTH OF RESIDENTS WITHIN THE COMMUNITY FROM EXISTING DATA SOURCES SUCH AS STATE AND COUNTY PUBLIC HEALTH AGENCIES, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY HEALTH RANKINGS, THOMSON REUTERS, COMMUNITY NEED INDEX, PREVENTION QUALITY INDICATORS INDEX, THE CENTER OF RURAL PA, PENNDOT AND OTHER DATA SOURCES. INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS: WORKING CLOSELY WITH ACTION HEALTH, TRIPP UMBACH IDENTIFIED LEADERS FROM ORGANIZATIONS THAT HAVE SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH AND A SERIES OF 18 INTERVIEWS WERE CONDUCTED WITH THESE KEY STAKEHOLDERS (I.E., GEISINGER MEDICAL CENTER, PENNSYLVANIA OFFICE OF RURAL HEALTH CARE, MONTOUR COUNTY ASSISTANCE OFFICE, AMONG OTHERS). FOCUS GROUPS WITH COMMUNITY RESIDENTS: TO ASSURE THAT COMMUNITY MEMBERS, INCLUDING UNDER-REPRESENTED RESIDENTS, WERE INCLUDED IN THE NEEDS ASSESSMENT, THREE FOCUS GROUPS WERE CONDUCTED BY TRIPP UMBACH. SECONDARY DATA WAS USED TO IDENTIFY HEALTH NEEDS AND DEFICITS IN TARGETED POPULATIONS. FOCUS GROUP AUDIENCES INCLUDED NURSES EMPLOYED BY A PUBLIC SCHOOL, SMALL BUSINESS OWNERS, FARMERS AND WORKING PROFESSIONALS WITH YOUNG CHILDREN. IDENTIFICATION OF TOP COMMUNITY HEALTH NEEDS: NEEDS WERE PRIORITIZED BY COMMUNITY LEADERS DURING A REGIONAL COMMUNITY HEALTH NEEDS IDENTIFICATION FORUM HELD APRIL 5, 2012. THE FINDINGS PRESENTED WERE FROM ANALYZING DATA, KEY STAKEHOLDERS INTERVIEWS AND FOCUS GROUP INPUTS. COMMUNITY LEADERS DISCUSSED THE DATA PRESENTED, SHARED THEIR VISIONS AND PLANS FOR COMMUNITY HEALTH IMPROVEMENT IN THEIR COMMUNITIES, AND IDENTIFIED THE TOP HEALTH NEEDS IN THE GMC COMMUNITY.
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 6AGEISINGER MEDICAL CENTER, GEISINGER HEALTH SOUTH REHABILITATION HOSPITAL, GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL, EVANGELICAL COMMUNITY HOSPITAL, AND GEISINGER-BLOOMSBURG HOSPITAL PARTICIPATED IN THE CHNA.
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 11THREE SIGNIFICANT NEEDS WERE IDENTIFIED BY THE CHNA CONDUCTED FOR THE GMC: 1) IMPROVEMENT IN ACCESS TO HEALTHCARE FOR UNDERINSURED AND UNINSURED; 2) LACK OF EDUCATION FOR IMPROVING HEALTHY BEHAVIORS; AND, 3) IMPROVEMENT IN TRANSPORTATION SERVICES. 1.IMPROVING ACCESS TO HEALTH CARE FOR UNDER AND UNINSURED. THE FOLLOWING IS A REPRESENTATIVE SAMPLE OF SOME OF THE PROGRAMS DEVELOPED TO ADDRESS ACCESS TO HEALTH CARE. GHP DUAL ELIGIBILITY COVERAGE-GEISINGER NOW OFFERS A HEALTH PLAN DESIGNED FOR SENIORS WHO ARE FULLY ELIGIBLE FOR BOTH MEDICARE AND MEDICAID. THE PLAN IS EASIER TO USE, HAS LOWER OUT OF POCKET COSTS AND PROVIDES BENEFITS THAT TRADITIONAL MEDICARE AND MEDICAID DO NOT COVER. PATIENTS'/MEMBERS' PREMIUMS ARE PAID IN PART BY THE HEALTH PLAN. GHP KIDS COVERAGE- PENNSYLVANIA'S CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) THROUGH GEISINGER HEALTH PLAN KIDS IS WORKING TO ENSURE HEALTH CARE IS WITHIN REACH FOR ALL UNINSURED CHILDREN. GHP KIDS OFFERS COMPREHENSIVE CARE IN 40 COUNTIES ACROSS THE STATE TO CHILDREN UP TO 19 YEARS OF AGE. BENEFITS INCLUDE ROUTINE CHECKUPS/IMMUNIZATIONS, PRESCRIPTION DRUGS, VISION AND DENTAL AND EMERGENCY CARE. GHP FAMILY-GEISINGER HEALTH PLAN FAMILY (GHP FAMILY) WORKS WITH THE PENNSYLVANIA MEDICAL ASSISTANCE HEALTHCHOICES PROGRAM TO PROVIDE ACCESS TO COMPREHENSIVE, QUALITY HEALTH CARE COVERAGE TO MEDICAID ELIGIBLE RESIDENTS IN 22 COUNTIES ACROSS PENNSYLVANIA. MANY SERVICES ARE COVERED AT NO COST. PLANS TO CONTINUE EXPANSION THIS PROVISION OF HEALTH SERVICES TO MEDICAID PATIENTS ARE DEPENDENT UPON GOVERNMENT REIMBURSEMENT POLICIES AND OTHER AVAILABLE FUNDING RESOURCES. THE CHILD ADVOCACY CENTER (CAC)-CAC IS A DIVISION OF GMC'S JANET WEISS CHILDREN'S HOSPITAL AND WAS CREATED TO HELP REDUCE THE NUMBER OF INTERVIEWS CHILDREN UNDERGO DURING CHILD ABUSE INVESTIGATIONS. CAC WILL BE MOVING TO A NEW LOCATION IN SUNBURY THAT WILL QUADRUPLE ITS SIZE AND ALLOW IT TO BETTER SERVE REGIONAL VICTIMS OF CHILD ABUSE. THROUGH THE CAC, TRAINED FORENSIC INTERVIEWERS COORDINATE VICTIM INTERVIEWS THEREBY ELIMINATING MULTIPLE INTERVIEWS AND INCREASING THE LIKELIHOOD OF SUCCESS IN THE PROSECUTION OF OFFENDERS. SPECIALTY CARE OUTREACH PROGRAM-THIS PROGRAM ALLOW GEISINGER'S SPECIALTY SERVICES TO BE AVAILABLE IN MORE THAN 30 COMMUNITIES ACROSS THE REGION. THIS PROGRAM BREAKS DOWN BARRIERS TO CARE AND INCREASES ACCESS TO COMPLEX TREATMENTS THAT MIGHT NOT OTHERWISE BE AVAILABLE TO OUR RURAL POPULATIONS. FREE HEALTH CARE REFORM HELP-THROUGH TRUSTED ADVISOR PROGRAM, GEISINGER COUNSELORS HELP PATIENTS UNDERSTAND AND COMPLY WITH THE AFFORDABLE CARE ACT. FREE OF CHARGE OUR COUNSELORS EXPLAIN PLAN DIFFERENCES, HELP COMPLETE A HEALTHCARE.GOV INSURANCE APPLICATION AND HELP PATIENTS FIND THE BEST PLAN ALTERNATIVE. MEDICAL HOME INITIATIVE-PROVEN HEALTH NAVIGOTOR (PHN). THERE HAVE BEEN NUMEROUS STRATEGIES TO REDUCE ER USE FOR AMBULATORY SENSITIVE CONDITIONS AND LOW ACUITY NON-EMERGENT CONDITIONS RESULTING IN REDUCTION IN ADMISSIONS AND READMISSIONS. THE PROGRAM WILL CONTINUE TO EVOLVE AND INNOVATE MODELS OF CARE, FOCUSING ON QUALITY, EFFICIENCY AND OUTCOMES WHILE REDUCING THE COST OF CARE WITH UNNECESSARY HOSPITALIZATIONS AND READMISSIONS. PEDIATRIC MENTAL HEALTH PROGRAMS. THE ABILITY TO EXPAND EDUCATION FOR DRUG AND ALCOHOL ABUSE IS PREDICATED UPON INCREASED ACCESS TO BEHAVIORAL HEALTH SERVICES. ACCESS IS BEING EXPANDED VIA THE IMPLEMENTATION OF INTEGRATED BEHAVIORAL HEALTH SERVICES AT GEISINGER PRIMARY CARE PRACTICES. IT IS THROUGH THESE EXPANDED SERVICES THAT SCREENING AND ASSESSMENT FOR BEHAVIORAL HEALTH SERVICES (INCLUDING SUBSTANCE ABUSE) ARE CONDUCTED. INTEGRATED PEDIATRIC SERVICES ARE OPERTATING AT 3 PRIMARY CARE SITES WITH PLANS FOR A 4TH TO OPEN IN JULY OF 2015. USING PEDIATRIC INTEGRATED CARE AS A MODEL, INTEGRATED CARE HAS NOW BEEN LAUNCHED IN 4 ADDITIONAL SITES FOR ADULT CARE. TELEMEDICINE PROGRAMS. THE GEISINGER TELEMEDICINE PROGRAM IMPROVES ACCESS TO COMPREHENSIVE CARE THROUGHOUT OUR REGION. GEISINGER SPECIALISTS PROVIDE REMOTE PATIENT CONSULTS AT OUR HOSPITALS AND PRIMARY CARE CLINICS, AS WELL AS NON-GEISINGER PARTNER FACILITIES ACROSS THE REGION. LIKE OUR OUTREACH PROGRAMS, TELEMEDICINE INCREASES ACCESS TO COMPLEX TREATMENTS THAT MIGHT NOT OTHERWISE BE AVAILABLE WITHIN OUR REGION. NEURODEVELOPMENTAL SCREENING PROGRAM. THIS PROGRAM IS A SCREENING TOOL THAT HAS BEEN LAUNCHED IN TWO PHYSICIAN CLINIC LOCATIONS, BLOOMSBURG AND SELINSGROVE. THIS TOOL WILL GIVE IMMEDIATE ACCESS TO CHILDREN UP TO AGE 3 FOR EVALUATION OF AUTISM/SPECTRUM DISORDERS. EXPANSION OF THIS TOOL THROUGHOUT THE REGION IS BEING CONTINUOUSLY EXPLORED. FREE CLINIC SUPPORT-GEISINGER HELPS TO FILL THE CARE GAP FOR UNDER AND UNINSURED PEOPLE IN COLUMBIA, LUZERNE, MONTOUR, NORTHUMBERLAND, SNYDER AND UNION COUNTIES BY PROVIDING FREE SERVICES TO FREE CLINICS LIKE A COMMUNITY CLINIC IN SUNBURY AND VOLUNTEERS IN MEDICINE IN MIFFLINVILLE. LIFE GEISINGER- LIFE GEISINGER (LIVING INDEPENDENTLY FOR ELDERS) PROVIDES ADDITIONAL INDEPENDENCE FOR SENIORS, THEIR FAMILIES AND CAREGIVERS. THE PROGRAM HELPS FRAIL SENIORS TO STAY IN THEIR HOMES, GET THE DAILY LIVING AND HEALTH SERVICES THEY NEED, THUS AVOIDING COSTLIER HOSPITAL OR EMERGENT CARE. LIFE KULPMONT WAS APPROVED TO ADD 5 ADDITIONAL ZIP CODES WITHIN THE FOUR (4) COUNTIES SERVED BY LIFE. LIFE WILL START TO SERVICE THESE ADDITIONAL AREAS EFFECTIVE AUGUST 1, 2015. DENTAL CARE- GEISINGER IS WORKING WITH LOCAL HEALTH CARE GROUPS, INDEPENDENT DENTAL CARE PROVIDERS AND ELECTED OFFICIALS TO HELP LOW INCOME FAMILIES GET DENTAL CARE BY ACCEPTING PA MEDICAL ASSISTANCE THAT OTHER PROVIDERS REFUSE; REDESIGNING SCHEDULING AND CARE PROCESSES TO DECREASE WAIT LISTS; WORKING WITH PUBLIC TRANSPORTATION OFFICIALS TO EXPAND ROUTES TO PROVIDERS; EXPLORING THE CREATION OF MOBILE DENTAL CENTERS AT SCHOOLS, NURSING HOMES AND COMMUNITY CENTERS; AND BY INCREASING THE ACCESS BY RECRUITING YOUNG DENTAL PROFESSIONALS TO OUR REGION AND DEVELOPING A DENTAL RESIDENCY PROGRAM. MOVING FORWARD WITH PLAN TO OPEN MILTON PEDIATRIC DENTISTRY SITE ON 8/1/15. BRIDGING THE LANGUAGE GAP FOR BETTER HEALTH PROGRAM-FOR SOME OF THOSE WHO ARE DEAF AND OR WHO HAVE LIMITED ENGLISH PROFICIENCY (LEP), IT IS HARDER TO ACCESS PROPER CARE BECAUSE OF THE DIFFICULTY IN COMMUNICATING THEIR NEEDS. GEISINGER USES MARTTI (MY ACCESSIBLE REAL TIME TRUSTED INTERPRETER), A REMOTE VIDEO INTERPRETING DEVICE THAT IS AVAILABLE 24 HOURS A DAY IN 200+ LANGUAGES, INCLUDING AMERICAN SIGN LANGUAGE. GEISINGER CURRENTLY OPERATES MARTTI AT MORE THAN 135 LOCATIONS ACROSS THE COMMUNITY WITH PLANS TO EXPAND THIS SERVICE TO ALL CLINICAL OUTREACH SITES ACROSS THE REGION. ALSO, LANGUAGE LINE, AN AUDIO INTERPRETATION SERVICE PROVIDES LEP INTERPRETATION TO PATIENTS AT ALL LOCATIONS, AS WELL AS ON-SITE SIGN LANGUAGE INTERPRETERS. ALL OF THESE SERVICES ARE FREE OF CHARGE. CAREWORKS- GEISINGER CAREWORKS WALK-IN CLINICS ARE BRIDGING THE PRIMARY CARE GAP ACROSS THE COMMUNITY. CAREWORKS IS CONVENIENT, COMPREHENSIVE AND INCLUDES DIAGNOSTIC SERVICES. INCREASED USE OF THESE CLINICS IS EXPECTED TO DECREASE THE UTILIZATION OF THE EMERGENCY DEPARTMENT AND AVOID UNNECESSARY HOSPITALIZATION. POSSIBLE NEW LOCATIONS CURRENTLY IN THE PLANNING STAGES INCLUDE BERWICK, LEWISBURG, AND POTTSVILLE. BRINGING BROADBAND TO RURAL COMMUNITIES. GEISINGER ALSO SUPPORTS THE FCC RURAL HEALTH CARE PILOT PROGRAM TO PROVIDE BROADBAND INTERNET ACCESS TO RURAL HOSPITALS, AS WELL AS THE KEYSTONE HEALTH INFORMATION EXCHANGE (KEYHIE) TO PROVIDE ACCESS TO ELECTRONIC HEALTH INFORMATION SYSTEMS TO PROVIDERS ACROSS THE REGION AND TO IMPROVE HEALTH CARE COORDINATION. FOR DETAILED DESCRIPTIONS OF THE PROGRAMS GO TO: HTTP://WWW.GEISINGER.ORG/SITES/CHNA-2015/GMC/INDEX.HTML THE FURTHER EXPANSION OF EACH OF THE PROGRAMS DESCRIBED ABOVE IS DEPENDENT UPON FUTURE GOVERNMENT REIMBURSEMENTS AND OTHER AVAILABLE FUNDING FROM PHILANTHROPY AND OPERATIONS. TO THE EXTENT SCARCE FUNDING RESOURCES ALLOW, GEISINGER WILL CONTINUE TO EXPERIMENT AND INNOVATE WITH NEW PROGRAMS AND NEW DELIVERY MODELS OF CARE. 2. IMPROVING HEALTHY BEHAVIORS. TWO AREAS OF EMPHASIZES INCLUDED: INCREASED AWARENESS, EDUCATION AND MOTIVATION/INCENTIVES; AND, ACCESS TO HEALTHY OPTIONS (I.E., FOOD, RECREATION, SCHOOLS). THE FOLLOWING IS A REPRESENTATIVE SAMPLE OF SOME OF THE PROGRAMS TO ADDRESS THESE NEEDS HEALTHY FOOD OPTIONS AT GHS. GEISINGER HEALTHY SELECTIONS PROGRAM WAS DEVELOPED TO IMPROVE HEALTH AND REDUCE CHRONIC DISEASE RISK BY PROMOTING GOOD EATING HABITS TO OUR PATIENTS, EMPLOYEES AND THE COMMUNITY. THE PROGRAM PROVIDES EASY-TO-UNDERSTAND NUTRITIONAL INFORMATION SO EMPLOYEES, VOLUNTEERS, VISITORS AND PATIENTS CAN MAKE BETTER FOOD SELECTIONS AT OUR FACILITIES. HEALTHY SELECTIONS IS INTENDED TO EVOLVE TO DEVELOP ONGOING PARTNERSHIPS ACROSS MULTIPLE DEPARTMENTS, INCLUDING CLINICAL NUTRITION, GEISINGER WELLNESS & SUSTAINABILITY, AS WE FINE-TUNE OUR HEALTHY EATING STRATEGY FOR THE FUTURE. BRIDGING THE LANGUAGE GAP FOR BETTER HEALTH. AS DESCRIBED IN THE ABOVE DISCUSSION ON IMPROVING ACCESS TO HEALTH
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 13BRECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY.
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 16ITHE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT: HTTP://WWW.GEISINGER.ORG/FOR-PATIENTS/RESOURCE- CENTER/PATIENT-BILLING-SERVICES/INDEX.HTML IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 20EUNDER NO CIRCUMSTANCE WILL GMC FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER GMC'S FINANCIAL ASSISTANCE PROGRAM.
GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 22DPATIENTS WHOSE HOUSEHOLD INCOME IS 300% OR LOWER OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. PATIENTS WHO MEET THIS CRITERIA ARE ELIGIBLE FOR 100% DISCOUNT ON CHARGES, RESULTING IN 0 CHARGES FOR MEDICALLY NECESSARY CARE. NO OTHER DISCOUNTS ARE AVAILABLE UNDER GMC'S FAP. FREE CARE OR 0 CHARGE IS BELOW THE HOSPITAL FACILITY'S AMOUNT GENERALLY BILLED.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CAREPART I, LINE 3A: DID THE ORGANIZATION USE FPG AS A FACTOR IN DETERMINING FREE CARE? YES, EFFECTIVE 07/01/2014, THE ELIGIBILITY FOR 100% DISCOUNTED FREE CARE UNDER THE GEISINGER MEDICAL CENTER (GMC) FINANCIAL ASSISTANCE POLICY WAS EXPANDED BY INCREASING THE HOUSEHOLD INCOME THRESHOLD FROM 200% TO 300% OF THE FEDERAL POVERTY GUIDELINES. PART I, LINE 3C: FACTORS USED OTHER THAN FPG IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE: SUPPORTING DOCUMENTATION FOR ELIGIBILITY MAY CONSIST OF INCOME AND ASSET INFORMATION, INCLUSIVE BUT NOT LIMITED TO: FEDERAL INCOME TAX FORM 1040 FROM THE PRIOR YEAR, PAY STUB COPIES (FROM FOUR PRIOR PAY PERIODS), WRITTEN VERIFICATION OF ANY OTHER INCOME RECEIVED (I.E. SOCIAL SECURITY, ADC, CHILD SUPPORT, ALIMONY, ETC.), CURRENT CREDIT REPORTS AND ASSET VERIFICATION. GMC MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICS TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY).
PART I, LINE 6A - RELATED ORGANIZATION INFORMATIONA SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GEISINGER MEDICAL CENTER (GMC) AND ITS RELATED CHARITABLE ORGANIZATIONS IS INCLUDED IN THE ANNUAL REPORT OF THE GEISINGER HEALTH SYSTEM AND IS AVAILABLE AT GEISINGER.ORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE REPORT CAN BE FOUND AT: HTTP://WWW.GEISINGER.ORG/PAGES/ABOUT-GEISINGER/PAGES/ANNUAL-REPORTS.HTML
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATIONTHERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATIONA COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYORS, SELF-PAY, ETC.). A COST TO CHARGE RATIO WAS CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS WAS USED TO CALCULATE THE COST OF CHARITY CARE.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGYREFER TO THE RESPONSE FOR PART III, LINE 4.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCEPATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER GMC'S UNCOMPENSATED OR CHARITY CARE POLICIES. GMC ESTIMATES THAT APPROXIMATELY 49.9 % OF THE BAD DEBT ACCOUNTS ARE SUBSEQUENTLY RECLASSIFIED TO UNCOMPENSATED OR CHARITY CARE.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTSPART III, LINE 2 AND 4: GEISINGER HEALTH SYSTEM FOUNDATION AND ITS AFFILIATES (THE "SYSTEM"), THAT INCLUDES GEISINGER MEDICAL CENTER, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL CHARITABLE AFFILIATES. THE ORGANIZATIONS WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTABLE. AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTABLE IN FUTURE PERIODS. FOR THE FOOTNOTES REGARDING ACCOUNTS RECEIVABLE AND ALLOWANCES SEE PAGE 8 OF THE ATTACHED GEISINGER HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS, JUNE 30, 2015 AND JUNE 30, 2014. FOR THE FOOTNOTE REGARDING BAD DEBT, SEE PAGE 13 OF THE CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8 - MEDICARE EXPLANATIONPART III, LINE 3-BAD DEBT AND LINE 8-MEDICARE: LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE ALLOWED TO BE REPORTED ON GMC'S MEDICARE COST REPORT THAT ARE REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). THIS RULING REMOVED THE PREVIOUS REQUIREMENT OF REVENUE RULING 56-185, KNOWN AS THE "CHARITY CARE STANDARD," THAT IN ORDER TO BE A CHARITABLE ORGANIZATION, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR THEIR CARE. THIS EARLIER RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT MEAN THAT A HOSPITAL WAS NOT CHARITABLE SINCE THAT LEVEL COULD REFLECT THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE SUCH CARE. REVENUE RULING 56-185 ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT IMPACT A HOSPITAL'S CHARITABLE STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. REVENUE RULING 69-545 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 CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM CHARITABLE, AS REQUIRED BY TREASURY REGULATION SECTION 1.501(C)(3)-1(D)(2). THE IRS RULED THAT THE PROMOTION OF HEALTH, LIKE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES OF THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") HOLDS THE POSITION THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. IN A LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUES THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) IS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: -PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS REMAINS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. -MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES ONLY 92 CENTS FOR EVERY DOLLAR HOSPITALS SPEND TO CARE FOR MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION IN ITS MARCH 2007 REPORT CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE. -MANY MEDICARE PATIENTS, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46% OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200% OF THE FEDERAL POVERTY LEVEL. MANY ARE ALSO ELIGIBLE FOR MEDICAID, SO CALLED -DUAL ELIGIBLES". PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS LIKE GMC 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. GMC CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF 30,808,386 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. FOR MANY OF THE MEDICAL SERVICES PROVIDED BY THE HOSPITAL, MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE TO THESE PATIENTS, FORCING GMC TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY GMC IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. GMC PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY THAT MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEEDS BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. BOTH GMC AND THE AHA BELIEVE THAT PATIENT BAD DEBT BE REPORTED AS A COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. LIKE MEDICARE UNDERPAYMENTS (SHORTFALLS), BAD DEBT (PART III, LINE 3) SHOULD BE REPORTED AS COMMUNITY BENEFIT BECAUSE: -A SIGNIFICANT PORTION OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO FOR MANY REASONS DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY UNDER GMC'S CHARITY CARE OR FINANCIAL ASSISTANCE POLICY (FAP). A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO"), "NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFIT", CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." -THE CBO REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF THE BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR CHARITABLE MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THE EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENT WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ACCORDING THE CBO REPORT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. (IN FY 2015, APPROXIMATELY 50% OF GMC'S BAD DEBT WAS SUBSEQUENTLY RECLASSIFIED TO CHARITY CARE.) THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE (BAD DEBT AND CHARITY CARE) AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZED NATIONALLY. THE EXPERIENCE OF HOSPITALS NATIONWIDE REINFORCE THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHS, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE CHARITABLE MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS' SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATIONGMC IS COMMITTED TO PROVIDING MEDICAL NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND GMC'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS GMC POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS. A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING AND COLLECTION PROCESS. IN ANY STAGE OF THE BILLING PROCESS, COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE. UNDER NO CIRCUMSTANCE WILL GMC FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER GMC'S FINANCIAL ASSISTANCE PROGRAM.
PART VI, LINE 2 - NEEDS ASSESSMENTGMC, ALONG WITH OTHER NON-PROFIT HOSPITALS WITHIN GMC'S MULTI-COUNTY SERVICE AREA, HAS HISTORICALLY PARTNERED WITH ACTION HEALTH TO ENGAGE THE COMMUNITIES TO ASSESS AND IDENTIFY THE HEALTH NEEDS OF THE COMMUNITIES SERVED AND TO FACILITATE THE PARTNERS' COMMUNITY BENEFIT EFFORTS. PARTICIPATING PARTNERS HAVE INCLUDED: BERWICK HOSPITAL, GEISINGER MEDICAL CENTER, GEISINGER HEALTHSOUTH REHABILITATION HOSPITAL, BLOOMSBURG HOSPITAL, EVANGELICAL COMMUNITY HOSPITAL, SHAMOKIN AREA COMMUNITY HOSPITAL AND SUNBURY HOSPITAL. ACTION HEALTH'S 501(C)(3) CHARITABLE MISSION IS TO PROVIDE COMMUNITY HEALTH OUTREACH AND EDUCATION THROUGH EASILY ACCESSIBLE HEALTH PROGRAMS FOCUSED ON ENHANCING COMMUNITY SERVICES AND DEVELOPING NEW INITIATIVES TO ADDRESS UNMET HEALTH AND WELLNESS NEEDS. DATA FROM A VARIETY OF SPONSORS AND REFERENCE RESOURCES WAS REVIEWED TO DETERMINE THE COMMUNITIES' SPECIFICS NEEDS, INCLUDING: PENNSYLVANIA DEPARTMENT OF HEALTH - PENNSYLVANIA'S STATE HEALTH IMPROVEMENT PLAN (SHIP) - SPECIAL REPORT AND PLAN TO IMPROVE RURAL HEALTH STATUS PENNSYLVANIA DEPARTMENT OF HEALTH AND THE PENNSYLVANIA ADVOCATES FOR NUTRITION & ACTIVITY - PENNSYLVANIA NUTRITION & PHYSICAL ACTIVITY PLAN TO PREVENT OBESITY AND RELATED CHRONIC DISEASES; THE GOVERNOR'S INTERAGENCY COORDINATING COUNCIL ON CHILD NUTRITION, HEALTH & PHYSICAL EDUCATION - PENNSYLVANIA CHILD WELLNESS PLAN 2006-07; 2006 GOVERNOR'S CABINET ON CHILDREN & FAMILIES - PA HEALTHY KIDS - PENNSYLVANIA STRATEGY FOR BALANCING NUTRITION AND EXERCISE IN KIDS U. S. DEPARTMENT OF HEALTH AND HUMAN SERVICES - HEALTHY PEOPLE 2010 AND HEALTHY PEOPLE 2020, DATA BY COUNTY - MONTOUR, COLUMBIA, NORTHUMBERLAND, SNYDER, - UNION NATIONAL ACADEMY OF SCIENCES - PREVENTING CHILDHOOD OBESITY: HEALTH IN THE BALANCE COLUMBIA COUNTY HUMAN SERVICE COALITION - COLUMBIA COUNTY NEEDS ASSESSMENT 2006 STEPS TO HEALTHIER PA LUZERNE COUNTY - STEPPING INTO A HEALTHIER FUTURE CENTER COUNTY PARTNERSHIP FOR COMMUNITY HEALTH (SHIP PARTNER) - 2007 BEHAVIORAL HEALTH RISKS OF CENTRE COUNTY ADULTS GEISINGER HEALTH SYSTEM IS ALSO AN ACTIVE PARTICIPANT IN MULTIPLE COMMUNITY-BASED ORGANIZATIONS THAT STRIVE TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY, INCLUDING CONDUCTING COMMUNITY NEEDS ASSESSMENTS OF VARYING SCOPE. THESE RELATIONSHIPS HAVE ENABLED GEISINGER TO PARTICIPATE AND UNDERSTAND MORE CLEARLY THE UNDERLYING REASONS FOR A SPECIFIC COMMUNITY'S HEALTH STATUS AND TO USE THAT INFORMATION IN MAKING FOCUSED DECISIONS ABOUT APPROPRIATE SERVICE MIX AND COMMUNITY OUTREACH SERVICES.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEFOR URGENT AND EMERGENT SERVICES, PATIENTS ARE PROVIDED CARE REGARDLESS OF THEIR ABILITY TO PAY. IN THE EVENT A PATIENT HAS AN EMERGENCY MEDICAL CONDITION, TREATMENT IS NOT DELAYED TO PERMIT AN INQUIRY REGARDING A PATIENT'S METHOD OF PAYMENT OR INSURANCE STATUS. FOR OTHER THAN URGENT AND EMERGENT SERVICES, THE HOSPITAL PROVIDES UNCOMPENSATED CARE, FREE OF CHARGE, OR ON A 100% DISCOUNTED BASIS, TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. DEPENDING UPON FAMILY SIZE AND INCOME, FREE OR 100% DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS GEISINGER POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS. A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING PROCESS. INFORMATION (SIGNS, BROCHURES, ETC.) REGARDING GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM, REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL. REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. NOTICE OF GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWW.GEISINGER.ORG. PATIENTS ARE ALSO PROVIDED INFORMATION ON GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL.
PART VI, LINE 4 - COMMUNITY INFORMATIONGEISINGER MEDICAL CENTER'S SERVICE AREA INCLUDES 31 COUNTIES ACROSS CENTRAL AND NORTHEASTERN PENNSYLVANIA (BLAIR, BRADFORD, CAMBRIA, CAMERON, CARBON, CENTRE, CLEARFIELD, CLINTON, COLUMBIA, ELK, HUNTINGDON, JEFFERSON, JUNIATA, LACKAWANNA, LUZERNE, LYCOMING, MCKEAN, MIFFLIN, MONROE, MONTOUR, NORTHUMBERLAND, PIKE, POTTER, SCHUYLKILL, SNYDER, SULLIVAN, SUSQUEHANNA, TIOGA, UNION, WAYNE, AND WYOMING). THE APPROXIMATE 2013 TOTAL POPULATION WITHIN THIS SERVICE AREA WAS 2,398,200. THIS POPULATION IS EXPECTED TO INCREASE BY LESS THAN 0.1% BY 2018, WHICH IS LESS THAN THE RATE OF POPULATION GROWTH EXPECTED IN THE COMMONWEALTH (1.0%) AND THE NATION (3.3%). THE 65 AND OVER AGE GROUP IS 18.0% OF THE TOTAL POPULATION, WHICH IS GREATER THAN THE STATE (16.4%) AND NATIONAL (13.9%) PROPORTIONS. ADDITIONALLY, THE 65 AND OVER AGE GROUP IS THE AGE SEGMENT PROJECTED TO EXPERIENCE THE LARGEST FIVE-YEAR POPULATION GROWTH AT 11.7%. THE REGION IS PRIMARILY RURAL. AVERAGE HOUSEHOLD INCOME, IN 2013, WAS 55,932, WITH APPROXIMATELY 14.6% OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES IN 2012, WHICH IS A GREATER THAN THE STATE PROPORTION OF 13.7%. THE 2012 AVERAGE UNEMPLOYMENT RATE, THE MOST CURRENT FULL YEAR OF COUNTY LEVEL DATA AVAILABLE FROM THE BUREAU OF LABOR STATISTICS, WAS 8.5%, WHICH IS HIGHER THAN THE STATE'S RATE OR 7.9% AND NATIONAL RATE OF 8.1%. THE REGION INCLUDES MULTIPLE MEDICALLY UNDERSERVED AREAS AND POPULATIONS. DURING THE ASSOCIATED TIME PERIOD, THERE WERE FOUR GENERAL MEDICAL/SURGICAL GEISINGER HOSPITALS (GMC, INCLUDING THE GSACH CAMPUS, GBH, GWV, INCLUDING THE GSWB CAMPUS, AND GCMC) AND 42 GENERAL MEDICAL/SURGICAL NON-GEISINGER HOSPITALS IN THIS MARKET.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHDESCRIBE HOW THE HOSPITAL FURTHERS IT'S EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY: SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS / COMMUNITY BENEFIT REPORTED IN SCHEDULE O.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMGMC IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. GEISINGER HEALTH SYSTEM IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SIX ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,136 PHYSICIANS PRACTICING AT 91 PRIMARY AND SPECIALTY CLINICS; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 478,501 MEMBERS. GEISINGER OPERATES IN 44 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, PRIMARILY OUTSIDE THE MAJOR METROPOLITAN AREAS, GEISINGER AT A GLANCE. -PHYSICIAN PRACTICE GROUP - MULTISPECIALTY GROUP PRACTICE WITH 1,136 EMPLOYED PHYSICIANS PRACTICING AT 91 CLINIC SITES -MANAGED CARE COMPANIES 478,501 MEMBERS -PROVIDER FACILITIES INCLUDES 1,326 LICENSED HOSPITAL BEDS, 344 SKILLED NURSING FACILITY BEDS AND 91 CHEMICAL DEPENDENCY BEDS. MISSION. GEISINGER'S MISSION IS TO ENHANCE THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. THIS MISSION STATEMENT HAS BEEN SUMMARIZED INTO FOUR WORDS - "HEAL. TEACH. DISCOVER. SERVE." HISTORY. GEISINGER HAD ITS BEGINNINGS IN THE SMALL COMMUNITY OF DANVILLE, WHICH IS LOCATED IN CENTRAL PENNSYLVANIA ON THE NORTHERN BRANCH OF THE SUSQUEHANNA RIVER. THERE, IN 1915, ABIGAIL A. GEISINGER FOUNDED THE GEORGE F. GEISINGER MEMORIAL HOSPITAL IN MEMORY OF HER HUSBAND. FROM THE BEGINNING, THE NEW HOSPITAL WAS DESIGNED AS A COMPREHENSIVE HEALTHCARE INSTITUTION THAT WOULD OFFER SPECIALIZED MEDICAL CARE TO PEOPLE IN THE RURAL AREAS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA. UNLIKE MOST HEALTHCARE SYSTEMS, WHICH EVOLVED WITH A HOSPITAL FOCUS, GEISINGER'S HISTORY AND TRADITION IS THAT OF A PHYSICIAN-LED AND PHYSICIAN-DRIVEN HEALTHCARE ORGANIZATION. THIS TRADITION BEGAN WHEN MRS. GEISINGER BROUGHT DR. HAROLD FOSS, A MAYO CLINIC TRAINED PHYSICIAN, TO BE HER HOSPITAL'S FIRST CHIEF OF STAFF. TODAY, GEISINGER IS REGARDED AS A NATIONAL MODEL OF HEALTHCARE DELIVERY CENTERED ON A SOPHISTICATED MULTISPECIALTY GROUP PRACTICE. SINCE THE 1970S, GEISINGER'S STRATEGY OF INTEGRATING PHYSICIANS AND HOSPITALS EXPANDED TO INCLUDE THE MANAGEMENT OF HEALTH AND THE FINANCING OF HEALTHCARE SERVICES THROUGH ITS WHOLLY CONTROLLED HEALTH MAINTENANCE ORGANIZATION, GEISINGER HEALTH PLAN. TWO INDEMNITY HEALTH INSURERS, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC., KNOWN COLLECTIVELY WITH GEISINGER HEALTH PLAN AS "GEISINGER HEALTH PLANS- OR "GHPS", HAVE BEEN ADDED IN RECENT YEARS. CORPORATE STRUCTURE. THE ORGANIZATIONAL STRUCTURE OF THE SYSTEM REFLECTS THE STRATEGIC GOAL OF OPERATING AS A FULLY INTEGRATED HEALTHCARE SYSTEM WHOSE CORPORATE COMPONENTS SHARE THE COMMON GOALS OF MANAGING AND IMPROVING THE HEALTHCARE OF ITS PATIENTS AND MEMBERS, WHILE RECOGNIZING AND RESPECTING THE CORPORATE IDENTITY OF EACH ENTITY. THIS INTEGRATION LINKS THE AREAS OF PHYSICIANS, HOSPITALS/CLINICS, AND HEALTHCARE INSURANCE. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING THE GEISINGER HEALTH SYSTEM. THROUGHOUT THIS DOCUMENT THE TERMS "GEISINGER HEALTH SYSTEM", "GEISINGER- OR "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.
ADDITIONAL INFORMATIONFORM 990, SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, GMC AND ITS AFFILIATES AND HEALTHSOUTH/GHS LLC ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
GLENN D STEELE JR MD PHD
PRES, CHAIR,DIRECTOR$1,091,895$1,131,217$2,065,068$440,136$31,990$4,760,306$1,191,920
DAVID J FELICIO ESQUIRE
CLO, SECRETARY$390,448$164,846$107,331$76,118$25,063$763,806$61,110
EDWARD J ZYCH ESQUIRE
ACLO, ASST SECTY$262,471$80,515$47,579$18,720$23,750$433,035$30,485
FRANK J TREMBULAK
SR VP, TREASURER$628,294$313,196$250,904$208,746$10,836$1,411,976$209,318
KENNETH E WOOD DO
CHIEF MEDICAL OFFICE$426,525$100,143$112,901$74,350$26,981$740,900$64,633
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE, CFO$531,656$273,329$223,359$176,933$24,858$1,230,135$185,023
THOMAS P SOKOLA
CAO, GMC$329,794$94,375$91,946$62,451$22,413$600,979$42,451
CRYSTAL K MUTHLER BSN RN MHA NE-
VP/CNO$186,890$47,303$3,717$16,533$14,894$269,337
RONALD BEER MHA FACHE
VP CLINICAL OPS$176,700$46,001$19,305$17,053$18,008$277,067$30,920$2,278$1,666$3,583$38,447
THOMAS R HARLOW FACHE
CAO, GSACH$194,957$43,975$14,506$16,931$18,807$289,176
LISA SMITHGALL RNC-NIC NEA-BC CRNP
AVP, NURSING$172,725$29,812$9,399$13,732$17,675$243,343
KYLE C SNYDER MHA
AVP, OPERATIONS$66,182$38,652$4,715$9,365$6,967$125,881$111,379$4,206$5,660$13,887$135,132
ANGELO C VENDITTI BSN RN MBA NE
VP, CNO, GCMC$127,145$40,184$6,449$9,313$5,470$188,561$21,432$7,667$1,448$5,589$36,136
ALBERT BOTHE JR MD
FORMER OFFICER$557,191$203,742$247,275$169,843$12,597$1,190,648$185,129
AMITPAL JOHAL MD
FORMER 5 HIGHEST$334,449$95,127$20,923$18,720$19,918$489,137
DUANE E DEIVERT DO
FORMER 5 HIGHEST$364,251$100,048$20,984$18,720$22,209$526,212
EDELYN L MILLER
FORMER KEY$578,335$196,400$173,337$176,564$15,121$1,139,757$129,861
MATTHEW J SHELLENBERGER DO
FORMER 5 HIGHEST$330,557$89,729$35,076$18,720$20,908$494,990
SUSAN M ROBEL RN BSN MHA NEA-BC
FORMER KEY$324,714$108,167$154,095$109,508$20,939$717,423$116,063

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4GLENN D. STEELE JR., MD PHD 0 1,908,021 0 DAVID J. FELICIO, ESQUIRE 0 61,110 0 EDWARD J. ZYCH, ESQUIRE 0 30,485 0 FRANK J. TREMBULAK 0 209,318 0 KENNETH E. WOOD, DO 0 64,633 0 KEVIN F. BRENNAN, CPA, FHFMA 0 185,023 0 THOMAS P. SOKOLA 0 42,451 0 ALBERT BOTHE, JR., MD 0 185,129 0 EDELYN L. MILLER 0 129,861 0 SUSAN M. ROBEL, RN, BSN, MHA, NEA-BC 0 116,063 0
SCHEDULE J, PAGE 1, PART I, LINE 7BECAUSE THE PAYMENT OF EARNED PERFORMANCE BASED COMPENSATION IS AT THE DISCRETION OF MANAGEMENT AND THE BOARD OF DIRECTORS, SUCH PAYMENTS MAY BE CONSIDERED NON-FIXED PAYMENTS. PERFORMANCE BASED COMPENSATION IS DETERMINED BY MEETING INDIVIDUALLY MEASURED PERFORMANCE GOALS THAT ARE ALIGNED WITH OVERALL SYSTEM OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP.
SCHEDULE J, PART IIIPART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM- AND "SYSTEM- OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES AND ACCESS THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE.
FORM 990FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GHSF IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 1,230,762,550, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2015. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GHSF SUBSIDIARIES, THE BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER, EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER, EIN: 23-1996150 GEISINGER CLINIC, EIN: 23-6291113 MARWORTH, EIN: 23-2171417 GEISINGER SYSTEM SERVICES, EIN: 23-2164794 COMMUNITY MEDICAL CENTER, EIN: 24-0862246 MOUNTAIN VIEW NURSING HOME, INC., EIN: 23-2568288 GEISINGER-BLOOMSBURG HOSPITAL, EIN: 23-2193572 GEISINGER-BLOOMSBURG HEALTH CARE CENTER, EIN: 23-2242854 GEISINGER-LEWISTOWN HOSPITAL, EIN: 23-1352187 HOLY SPIRIT HOSPITAL, EIN: 23-1512747 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH SYSTEM FOUNDATION, EIN: 23-1995911.
FORM 990, PAGE 2, PART III, LINE 4AI. GENERAL PROGRAM SERVICE INFORMATION GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT CORPORATION, OWNS AND OPERATES A 520 BED HOSPITAL LOCATED IN DANVILLE, PENNSYLVANIA, ALONG WITH A 70 BED HOSPITAL LOCATED IN COAL TOWNSHIP, PENNSYLVANIA. BOTH ARE REGIONAL REFERRAL QUATERNARY HEALTHCARE MEDICAL CENTERS LOCATED IN PREDOMINATELY RURAL AREAS OF NORTHEASTERN AND CENTRAL PENNSYLVANIA. THE EXISTENCE OF A QUATERNARY HEALTHCARE CENTER IN A GENERALLY RURAL, MEDICALLY UNDER-SERVED, AREA IS UNUSUAL. GMC IS HOME TO THE JANET WEIS CHILDREN'S HOSPITAL, THE WOMEN'S HEALTH PAVILION AND THE OUTPATIENT SURGERY CENTER IN ADDITION TO TREATMENT CENTERS FOR CANCER; KIDNEY, LIVER AND PANCREAS TRANSPLANTS; HEART AND NEUROLOGICAL DISEASE; DIALYSIS AND INFERTILITY. 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 ADULT MEDICAL ONCOLOGY MATERNAL FETAL MEDICINE AERO-MEDICAL SERVICES MICROBIOLOGY AIMI (ACUTE INTERVENTION IN MINIMALLY INVASIVE SURGERY MYOCARDIAL INFARCTION) MOHS SURGERY ANTICOAGULATION CLINIC MOLECULAR DIAGNOSTICS BACLOFEN PUMPS MOVEMENT DISORDERS BAHA (BONE ANCHORED HEARING AID) NEUROENDOVASCULAR BALANCE CENTER NEUROMUSCULAR BARIATRIC SURGERY NEUROPSYCH BLOOD BANK NEUROPATHOLOGY BLOOD CONSERVATION NEUROPHYSIOLOGY BODY CONTOURING NEUROSTIMULATORS BRAIN TUMOR NEUROTRAUMA BREAST SURGERY NUCLEAR STRESS TESTING CANCER GENETICS CLINIC OPEN HEART SURGERY CAPSULE ENDOSCOPY OPHTHALMOLOGY (GLAUCOMA, RETINAL, CARDIAC CAT SCAN ANGIOGRAPHY PEDIATRIC, 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 PEDS COCHLEAR IMPLANT DERMATOPATHOLOGY PEDS NEUROLOGY/NEUROSURGERY ECHOCARDIOGRAPHY PET SCANS ELECTROPHYSIOLOGY PODIATRY EMERGENCY SERVICES PRE-SURGERY CENTER ENDOVASCULAR PROCEDURES PSYCHIATRY (ADOLESCENCE) ENDOVASCULAR GRAFT IMPLANTS RADIATION ONCOLOGY EPILEPSY RADIATION ONCOLOGY EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY REGIONAL ANESTHESIA PROGRAM GYNONCOLOGY RENAL DENERVATION GYNECOLOGIC & UROPATHOLOGY ROBOTIC SURGERY HEAD AND NECK ONCOLOGY SKULL BASE SURGERY HEADACHE SLEEP DISORDERS LABORATORY HEART FAILURE SPINAL BIFIDA CLINIC HEMATOLOGY SPINAL CORD INJURY HEMATOPATHOLOGY SPINE SURGERY HEPATIC INTRA-ARTERIAL CHEMOTHERAPY SPINE ASSESSMENT PROGRAM HIGH DOSE INTERLEUKIN-2 THERAPY STEM CELL TRANSPLANT HIGH DOSE RATE INTRACAVITARY STEREOTACTIC RADIOSURGERY BRACHYTHERAPY STRETTA (LASER PROCEDURE) IMMUNOLOGY STROKE/TELE-STROKE INFERTILITY SURGICAL ONCOLOGY (COLON, LIVER, INTENSIVE O/P PSYCHIATRIC PROGRAM PANCREAS,ESOPHAGEAL, AND INTERVENTIONAL PAIN MANAGEMENT RENAL) INTERVENTIONAL RADIOLOGY SURGICAL PATHOLOGY INTRA-OPERATIVE HEPATIC ULTRASOUND TRANSCATHETER AORTIC VALVE AND RADIOFREQUENCY ABLATION OF IMPLEMENTATION LIVER TUMORS TISSUE BANKING KIDNEY, LIVER,& PANCREAS TRANSPLANTS TRAUMATIC BRAIN INJURY LASER SURGERY (YAG LASER) TOXICOLOGY LVAD (LEFT VENTRICULAR ASSIST DEVICE) TRAUMA SURGERY MAGNETIC RESONANCE IMAGING UROGYNECOLOGY MEDICATION THERAPY MANAGEMENT PROGRAM VAGAL NERVE STIMULATORS WOUND CARE B. RESIDENCY & FELLOWSHIP PROGRAMS GMC CONDUCTS SEVENTEEN GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS AND EIGHTEEN FELLOWSHIP PROGRAMS. THERE WERE APPROXIMATELY 330 GRADUATE PHYSICIANS PARTICIPATING IN THESE PROGRAMS IN FISCAL YEAR 2015. PROGRAM SPECIALTIES ARE AS FOLLOWS: RESIDENCY PROGRAMS ANESTHESIOLOGY OBSTETRICS/GYNECOLOGY DERMATOLOGY (INCL OSTEOPATHIC OB/GYN) EMERGENCY MEDICINE OPHTHALMOLOGY GENERAL SURGERY ORAL SURGERY INTERNAL MEDICINE ORTHOPEDIC SURGERY (INCL OSTEOPATHIC MEDICINE) OSTEOPATHIC - TRADITIONAL INTERNAL MEDICINE-PEDIATRICS OTOLARYNGOLOGY (INCL OSTEOPATHIC MED/PED) PEDIATRICS (INCLUDES OSTEOPATHIC NEUROLOGY PEDIATRICS) NEUROSURGERY RADIOLOGY UROLOGY FELLOWSHIP PROGRAMS ADVANCED ENDOSCOPY INTERVENTIONAL CARDIOLOGY ADVANCED GYNECOLOGICAL SURGERY MATERNAL FETAL MEDICINE CARDIOVASCULAR MEDICINE MINIMALLY INVASIVE MEDICINE CLINICAL CARDIAC ELECTROPHYSIOLOGY NEPHROLOGY CRITICAL CARE MEDICINE PROCEDURAL DERMATOLOGY CYTOPATHOLOGY PULMONARY DISEASE & CRITICAL CARE MED DERMATOPATHOLOGY REPRODUCTIVE ENDOCRINOLOGY GASTROENTEROLOGY & NUTRITION RHEUMATOLOGY HOSPICE AND PALLIATIVE VASCULAR SURGERY C. ALLIED HEALTH AND RELATED EDUCATION PROGRAMS GMC OPERATES FIVE SCHOOLS OF ALLIED HEALTH EDUCATION. THESE SCHOOLS ARE CONDUCTED WITHIN GMC AND ARE OPERATED 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 FISCAL YEAR, THE DIETETIC INTERNSHIP PROGRAM HAD FIVE STUDENTS CONTRIBUTING 5,000 HOURS OF SERVICE; THE SCHOOL OF RADIOLOGY HAD TWENTY STUDENTS CONTRIBUTING 21,480 HOURS OF SERVICE; THE SCHOOL OF CARDIOVASCULAR TECHNOLOGY HAD FOUR STUDENTS; THE CHAPLAIN SCHOOL HAD FIVE STUDENTS AND THE PHARMACY RESIDENCY PROGRAM HAD THREE STUDENTS. THE TOTAL COST TO GMC OF PROVIDING RESIDENCY, FELLOWSHIP, ALLIED HEALTH, AND RELATED EDUCATION PROGRAMS, NET OF THIRD PARTY REIMBURSEMENTS WAS 55,633,813. D. 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. GMC'S PEDIATRIC TRAUMA PROGRAM IS ACCREDITED THROUGH OCTOBER AND THE ADULT TRAUMA PROGRAM IS ACCREDITED THROUGH SEPTEMBER 2016. 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 SEVEN AIRCRAFT AND FIVE OPERATIONAL SITES IN FISCAL YEAR 2015. IN AUGUST 2014, GEISINGER SECURED A BACK-UP HELICOPTER TO SERVE MORE THAN 42 COUNTIES IN CENTRAL AND NORTHEASTERN PENNSYLVANIA. FIVE FRONT LINE STATE OF THE ART EC145 MEDICAL HELICOPTERS ARE BACKED UP BY TWO BK117 MEDICAL HELICOPTERS. THE CURRENT BASE LOCATIONS ARE IN DANVILLE, STATE COLLEGE, AVOCA, WILLIAMSPORT AND MINERSVILLE, 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 FISCAL YEAR 2015, LIFE FLIGHT PROVIDED EMERGENCY TRANSPORTATION TO 2,156 PATIENTS BY HELICOPTER AND SERVED MULTIPLE HOSPITALS IN PENNSYLVANIA AND NEIGHBORING STATES. E. 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 12 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 FISCAL YEAR ENDING JUNE 30, 2015, THE JANET WEIS CHILDREN'S HOSPITAL DISCHARGED 3,155 PATIENTS AND PROVIDED 21,558 PATIENT DAYS OF SERVICE. THE FACILITY AFFORDS MORE EFFICIENT CARE WITH AN IMPROVED LENGTH OF STAY. F. 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 (WITH MIDWIFE DELIVERIES PROVIDED AT GEISINGER BLOOMSBURG HOSPITAL), GYNECOLOG
FORM 990, PART VFORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL ORGANIZATIONS OF THE GEISINGER HEALTH SYSTEM. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF 1099'S FILED BY GSS FOR THE 2014 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,582. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATION'S EIN. IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF.
FORM 990, PART VIFORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, ONE VOTING MEMBER IS NOT INDEPENDENT BECAUSE HE IS COMPENSATED AS AN EMPLOYEE OF A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? WILLIAM H. ALEXANDER, E. ALLEN DEAVER, ROBERT J. DIETZ, DAVID T. FEINBERG, M.D., MBA, DAVID J. FELICIO, ESQUIRE, RICHARD A. GRAFMYRE, WILLIAM R. GRUVER, FRANK M. HENRY, THOMAS H. LEE JR., M.D., ROBERT E. POOLE, DON A. ROSINI, THOMAS P. SOLKOLA, GLENN D. STEELE JR., M.D., PH.D., ROBERT L. TAMBUR, FRANK J. TREMBULAK, EDWARD J. ZYCH, ESQUIRE ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF GEISINGER MEDICAL CENTER. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM.
FORM 990, PAGE 6, PART VI, LINE 6THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW.
FORM 990, PAGE 6, PART VI, LINE 7ATHE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE.
FORM 990, PAGE 6, PART VI, LINE 11BALL 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 SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR-ENDED JUNE 30, 2015.
FORM 990, PAGE 6, PART VI, LINE 12CTHE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GHS CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.
FORM 990, PAGE 6, PART VI, LINE 15ATHE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GHS 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 GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE MANAGEMENT AND COMPENSATION 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 MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE MANAGEMENT AND COMPENSATION COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15BSEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A.
FORM 990, PAGE 6, PART VI, LINE 19THE MISSION STATEMENT IS AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE AT WWW.GEISINGER.ORG. THE ANNUAL REPORT FOR GEISINGER HEALTH SYSTEM, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, ARE AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE. GO TO: WWW.GEISINGER.ORG/PAGES/ABOUT-GEISINGER AND SELECT ANNUAL REPORTS. FINANCIAL STATEMENTS, THE COMPLETE FORM 990 AND FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIIIFORM 990, PART VIII, LINE 2F: THE IC SHARED SERVICE REVENUE IN THE AMOUNT OF 18,595 REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH SYSTEM FOUNDATION. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF THE GEISINGER HEALTH SYSTEM IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND ARE NOT TO BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.
FORM 990, PART XI, LINE 9TRANSFER FROM AFFILIATE - RESEARCH 656,502 TRANSFER FROM GEISINGER HEALTH SYSTEM FOUNDATION 937,267 TRANSFER TO GEISINGER HEALTH SYSTEM FOUNDATION -310,000,000 TOTAL OTHER CHANGES IN NET ASSETS -308,406,231
FORM 990, PART XIIFORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM- AND "SYSTEM- OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
GEISINGER HEALTH SYSTEM FOUNDATION
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231995911PHILANTHROPA501C37NAYes (true)
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822236291113PHYSICIANPA501C311AGHSFYes (true)
GEISINGER WYOMING VALLEY MEDICAL CT
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231996150HOSPITALPA501C33GHSFYes (true)
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232171417D&A REHABPA501C33GHSFYes (true)
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232311553HEALTH INSPA501C4GHSFYes (true)
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232164794SUPPORT SVPA501C311AGHSFYes (true)
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232967235HEALTHCAREPA501C39GSSYes (true)
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822141909894SELF INSVT501C311AGHSFYes (true)
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822240862246HOSPITALPA501C33GHSFYes (true)
COMMUNITY MEDICAL CARE INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232429776PHYSICIANPA501C39GHSFYes (true)
MOUNTAIN VIEW NURSING HOME INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232568288LONG TERMPA501C39GHSFYes (true)
COMMUNITY MEDICAL CTR HEALTHCARE SY
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232279376SUPPORT SVPA501C311AGHSFYes (true)
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232193572HOSPITALPA501C33GHSFYes (true)
GEISINGER-BLOOMSBURG HEALTHCARE CTR
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232242854SKILLED NUPA501C39GHSFYes (true)
LEWISTOWN HEALTHCARE FOUNDATION
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232344363PHILANTHROPA501C311AGHSFYes (true)
GEISINGER-LEWISTOWN HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231352187HOSPITALPA501C33GHSFYes (true)
LEWISTOWN AMBULATORY CARE CORP
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232344362RE HOLDINPA501C311AGHSFYes (true)
FAM HLTH ASSOC OF GEISINGER-LEWIST
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822251651582PHYSICIANPA501C311AGHSFYes (true)
KEYSTONE HEALTH INFO EXCHANGE INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822464359893RHIOPA501C311AGHSFYes (true)
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232337286SUPPORT SVPA501C311ACMCYes (true)
SUN HOME HEALTH SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231736912HEALTHCAREPA501C39GCHSYes (true)
HOLY SPIRIT HEALTH SYSTEM
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822251865142PHILANTHROPA501C311AGHSFYes (true)
HOLY SPIRIT HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822231512747HOSPITALPA501C33HSHSYes (true)
HOLY SPIRIT CORPORATION
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232214540REALESTATEPA501C2HSHSYes (true)
SPIRIT PHYSICIAN SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822251766971PHYSICIANPA501C39HSHSYes (true)
WEST SHORE ADVANCED LIFE SUPPORT
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232463002HEALTHCAREPA501C37HSHSYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822454475297ACOPAGMCRELATED-$537,287$223,785falseYes (true)0.50000
LIFESOURCE GEISINGER BLOOD CTR LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822364718005BLOOD COLLPANARELATED-$432,197$516,979falseYes (true)0.49000
MERIDIAN GEISINGER HLTH NETWORKLLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822455484165ORG DEL SYNJfalsefalseN/A
HEALTHSOUTH GHS LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822721398803PHY THERAPPAGMCRELATED$2,302,286$5,716,995falseYes (true)0.50000
EVANGELICAL-GEISINGER HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822460567687HEALTHCAREPAfalsefalseN/A
LEMED II
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232391766RENTALPAfalsefalseN/A
GEISINGER-SCA HOLDINGS LLC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822461615328MANAGEMENTDEfalsefalseN/A
CAMP HILL AMBULATORY SURG CTR LLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209521597478HEALTHCAREPAfalsefalseN/A
HS ORTHOPEDIC MANAGEMENT CO LLC
503 NORTH 21ST STREETCANP HILLPA17011460887384MANAGEMENTPAfalsefalseN/A
CAELIAN MEDICAL LLC
880 CENTURY DRIVEMECHANICSBURGPA17055208018724HEALTHCAREPAfalsefalseN/A
GRANDVIEW SURGERY CENTER LTD
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209521597483HEALTHCAREPAfalsefalseN/A
LACKAWANNA PHYS AMB SURG CTRLLC
569 BROOKWOOD VILLAGE SUITE 901BIRMINGHAMAL35209233024998HEALTHCAREPAfalsefalseN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
GEISINGER MEDICAL MANAGEMENT CORP
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232077663HOTEL/RESTPAN/AYes (true)
GEISINGER INDEMNITY INSURANCE CO
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232815174HLTH INSURPAN/AYes (true)
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822204275139HLTH INSURPAN/AYes (true)
HEALTH ENTERPRISES INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232353212PHARMACYPAN/AYes (true)
XG HEALTH SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822461657345CONSULTINGDEN/AYes (true)
GEISINGER ASSURANCE COMPANY LTD
981016737INSURANCEN/AYes (true)PO BOX 2196GTGRAND CAYMANCJCJ
HOLY SPIRIT VENTURES INC
100 NORTH ACADEMY AVENUE MC 49-70DANVILLEPA17822232407709MED. SERV.PAN/AYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (52 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
COMMUNITY MEDICAL CENTER
M$130,566GAAP
COMMUNITY MEDICAL CENTER
L$1,704,305GAAP
FAM HLTH ASSOC OF GEISINGER-LEWIST
L$4,313GAAP
GEISINGER ASSURANCE COMPANY LTD
M$8,240,764GAAP
GEISINGER CLINIC
C$656,502GAAP
GEISINGER CLINIC
L$3,380,553GAAP
GEISINGER CLINIC
S$6,177,606GAAP
GEISINGER CLINIC
B$9,049,000GAAP
GEISINGER CLINIC
M$76,600,978GAAP
GEISINGER CLINIC
P$80,700,000GAAP
GEISINGER COMMUNITY HEALTH SERVICES
A$1,612FMV
GEISINGER COMMUNITY HEALTH SERVICES
L$21,639GAAP
GEISINGER COMMUNITY HEALTH SERVICES
K$147,410FMV
GEISINGER COMMUNITY HEALTH SERVICES
M$218,036GAAP
GEISINGER COMMUNITY HEALTH SERVICES
L$1,099,957GAAP
GEISINGER HEALTH PLAN
A$2,239FMV
GEISINGER HEALTH PLAN
L$205,505,983GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
L$186,378GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
C$937,267GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
S$1,302,505GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
M$4,576,884GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
B$310,000,000GAAP
GEISINGER INDEMNITY INSURANCE COMP
S$93GAAP
GEISINGER INDEMNITY INSURANCE COMP
L$10,778,433GAAP
GEISINGER INSURANCE CORP RRG
M$4,867,337GAAP
GEISINGER MEDICAL MANAGEMENT CORP
A$852FMV
GEISINGER MEDICAL MANAGEMENT CORP
M$189,427GAAP
GEISINGER MEDICAL MANAGEMENT CORP
L$17,303GAAP
GEISINGER MEDICAL MANAGEMENT CORP
M$14,908,487GAAP
GEISINGER QUALITY OPTIONS INC
L$15,506,409GAAP
GEISINGER SYSTEM SERVICES
L$209,449GAAP
GEISINGER SYSTEM SERVICES
A$3,067,663FMV
GEISINGER SYSTEM SERVICES
M$186,208,055GAAP
GEISINGER WYOMING VALLEY MED CTR
K$24,000FMV
GEISINGER WYOMING VALLEY MED CTR
M$921,358GAAP
GEISINGER WYOMING VALLEY MED CTR
L$9,016,429GAAP
GEISINGER-BLOOMSBURG HEALTHCARE CTR
M$996GAAP
GEISINGER-BLOOMSBURG HEALTHCARE CTR
L$33,637GAAP
GEISINGER-BLOOMSBURG HOSPITAL
M$661GAAP
GEISINGER-BLOOMSBURG HOSPITAL
K$49,250FMV
GEISINGER-BLOOMSBURG HOSPITAL
L$1,076,093GAAP
GEISINGER-LEWISTOWN HOSPITAL
M$84GAAP
GEISINGER-LEWISTOWN HOSPITAL
L$648,434GAAP
HEALTH ENTERPRISES INC
L$440GAAP
HEALTHSOUTHGHS LLC
L$2,553,902GAAP
HEALTHSOUTHGHS LLC
P$3,240,479GAAP
HEALTHSOUTHGHS LLC
A$169,496FMV
HOLY SPIRIT HOSPITAL
L$9,166GAAP
KEYSTONE ACCOUNTABLE CARE ORG LLC
B$500,000GAAP
MARWORTH
L$4,709GAAP
MOUNTAIN VIEW NURSING HOME INC
L$10,788GAAP
SUN HOME HEALTH SERVICES INC
L$189GAAP

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE RFormAndLineReferenceDesc
ExplanationINFORMATION REGARDING TRANSFERS TO AND FROM CONTROLLED ORGANIZATIONS: GEISINGER MEDICAL CENTER 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 TYPES OF INTER-ORGANIZATIONAL TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF PRIVATE LETTER RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATION'S TAX EXEMPT STATUS. __________________________________________________________________________ExplanationTxt