2016-05-13T10:25:21-05:00 2015-06-30 990 2014-07-01 240795959 GEISINGER MEDICAL CENTER GEIS 5702716624 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID J FELICIO ESQUIRE SECRETARY 5702716624 2016-05-06 2014 2016-08-17 19:52:53Z DAVID T FEINBERG MD MBA 100 NORTH ACADEMY AVENUE MC 22-01 DANVILLE PA 17822 1110327907 false X WWW.GEISINGER.ORG X 1932 PA TO 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. 11 10 5759 360 4187523 0 1030003651 1095149848 14123408 12590945 2869234 1402607 1046996293 1109143400 0 0 349548344 339257248 0 0 625116352 631819162 974664696 971076410 72331597 138066990 805641435 681544185 637014907 703190879 168626528 -21646694 X TO 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. false false 925057112 1096470826 HEALTHCARE - 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 BLO 925057112 true false false true false false false false false true true true false false true false false true false false true false false false false false true true false false true false false false false false false false false false false false false false true true true true false true X 5 0 true 5759 true true true false false false false false false false false false X 11 10 true false false false true true false true true false false true true true true true true true true true true PA X KEVIN LANCIOTTI VP FINANCECFO 5702146181 100 NORTH ACADEMY AVENUE MC 01-50 DANVILLE PA 17822 DAVID T FEINBERG MD MBA PRES, CHAIR, 40.00 X X 0 0 0 DON A ROSINI DIRECTOR 0.25 5.25 X 0 0 0 E ALLEN DEAVER DIRECTOR 0.25 4.25 X 0 0 0 FRANK M HENRY DIRECTOR 0.25 4.25 X 0 0 0 GLENN D STEELE JR MD PHD PRES, CHAIR, 40.00 X X 0 4288180 472126 RICHARD A 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40.00 X 29099 173778 21820 ALBERT BOTHE JR MD FORMER OFFIC 40.00 X 0 1008208 182440 AMITPAL JOHAL MD FORMER 5 HIG 40.00 X 0 450499 38638 DUANE E DEIVERT DO FORMER 5 HIG 40.00 X 0 485283 40929 EDELYN L MILLER FORMER KEY 40.00 X 0 948072 191685 MATTHEW J SHELLENBERGER DO FORMER 5 HIG 40.00 X 0 455362 39628 SUSAN M ROBEL RN BSN MHA NEA-BC FORMER KEY 40.00 X 0 586976 130447 1397281 12661410 2043693 173 true true false HEALTHSOUTH GHS LLC 2 REHAB LANE DANVILLE PA 178218498 MEDICAL SERVICE 3613140 QUEST DIAGNOSTICS 12436 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 MEDICAL TESTING 2385016 MCKESSON SPECIALTY CARE 401 MASON RD LA VERGNE TN 370863243 LAB TESTS 1982524 OLYMPUS AMERICA INC BOX 200194 PITTSBURGH PA 152510194 SERVICE AGREEMT 1537266 HOSPITAL MANAGEMENT SERVICES LLC PO BOX 3343 HARRISBURG PA 171053343 MA MITIGATION 1455320 66 X PATIENT HEALTHCARE 621110 1019520403 1019520403 OUTPATIENT PHARMACY 446110 61096165 61096165 LABORATORY SERVICES 621500 4113661 4113661 RENTAL INCOME 531120 3887993 3887993 OTHER HEALTHCARE REVENUE 621300 3451102 3451102 3080524 1633723 73862 1372939 1095149848 4296828 4296828 3134 3134 45106 25100 20006 20006 20006 9052390 398000 5761 1153646 9046629 -755646 8290983 -5761 8296744 PURCHASE DISCOUNTS 900099 1109613 1109613 GSACH AMERINET 900099 105551 105551 GSACH SETTLEMENT 900099 45137 45137 122300 63304 58996 1382601 1109143400 1025926206 4187523 79029671 808961 808961 105524 105524 255286892 252242483 3044409 11069216 10937682 131534 52570967 51946273 624694 19415688 19292101 123587 1832943 1832943 151105 151105 29826 29826 854229 617138 237091 32338006 27507310 4830696 15588 15588 19056466 17969397 1087069 1299538 1296966 2572 17926546 17077646 848900 2485800 2267390 218410 1933236 1884397 48839 11852559 11291289 561270 44514207 42424333 2089874 12217532 8552272 3665260 INTER-ENTITY EXPENSE 239987661 213733234 26254427 MEDICAL SUPPLIES 197725486 197700187 25299 INTER-ENTITY TEACHING/ADM 36332407 36184997 147410 UNCOLLECTIBLE EXPENSE 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SCHEDULE D, PAGE 4, PART XIII PART 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. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 25751065 25751065 25751065 false false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 25,751,065 true true X true X 3.000000000000 false true true true false true true 12760626 12760626 0.01310 136328460 91494930 44833530 0.04620 4047406 3979924 67482 0.00010 153136492 95474854 57661638 0.05940 1930527 1930527 0.00200 71654903 16021090 55633813 0.05730 10168810 10168810 0.01050 83754240 16021090 67733150 0.06980 236890732 111495944 125394788 0.12910 true 11200265 5584452 171836291 202644677 -30808386 X true true HEALTHSOUTHGHS LLC REHABILITATION HOSPITAL SERVICES 0.50000 2 1 GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 WWW.GEISINGER.ORG 071801 X X X X X X A 2 GEISINGER HEALTHSOUTH REHAB HOSPITAL 2 REHAB LANE DANVILLE PA 17821 WWW.GEISINGERHEALTHSOUTH.COM 07180100 X A A false false true X X X X X X X X X X 12 true true false true X WWW.GEISINGER.ORG X WWW.GEISINGER.ORG/SITES/CHNA X true 12 true WWW.GEISINGER.ORG/SITES/CHNA-2015/GMC/ false false true X 300.000000000000 X X X X X true true X X X X true X WWWGEISINGERORG REFER TO SECTION C X WWWGEISINGERORG REFER TO SECTION C X WWWGEISINGERORG REFER TO SECTION C X X X X X X true X true X X X X X true X false false GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 5 FORM 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 6A GEISINGER MEDICAL CENTER, GEISINGER HEALTH SOUTH REHABILITATION HOSPITAL, GEISINGER SHAMOKIN AREA COMMUNITY HOSPITAL, EVANGELICAL COMMUNITY HOSPITAL, AND GEISINGER-BLOOMSBURG HOSPITAL PARTICIPATED IN THE CHNA. GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 11 THREE 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 13B RECENT 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 16I THE 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 20E 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. GROUP A, FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 22D PATIENTS WHOSE HOUSEHOLD INCOME IS 300% OR LOWER OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. PATIENTS WHO MEET THIS CRITERIA ARE ELIGIBLE FOR 100% DISCOUNT ON CHARGES, RESULTING IN 0 CHARGES FOR MEDICALLY NECESSARY CARE. NO OTHER DISCOUNTS ARE AVAILABLE UNDER GMC'S FAP. FREE CARE OR 0 CHARGE IS BELOW THE HOSPITAL FACILITY'S AMOUNT GENERALLY BILLED. PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE PART 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 INFORMATION A 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 EXPLANATION THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL 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 METHODOLOGY REFER TO THE RESPONSE FOR PART III, LINE 4. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER 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 STATEMENTS PART 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 EXPLANATION PART 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 EXPLANATION GMC 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 ASSESSMENT GMC, 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 ASSISTANCE FOR URGENT AND EMERGENT SERVICES, PATIENTS ARE PROVIDED CARE REGARDLESS OF THEIR ABILITY TO PAY. IN THE EVENT A PATIENT HAS AN EMERGENCY MEDICAL CONDITION, TREATMENT IS NOT DELAYED TO PERMIT AN INQUIRY REGARDING A PATIENT'S METHOD OF PAYMENT OR INSURANCE STATUS. FOR OTHER THAN URGENT AND EMERGENT SERVICES, THE HOSPITAL PROVIDES UNCOMPENSATED CARE, FREE OF CHARGE, OR ON A 100% DISCOUNTED BASIS, TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. DEPENDING UPON FAMILY SIZE AND INCOME, FREE OR 100% DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS GEISINGER POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS. A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING PROCESS. INFORMATION (SIGNS, BROCHURES, ETC.) REGARDING GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM, REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL. REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. NOTICE OF GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWW.GEISINGER.ORG. PATIENTS ARE ALSO PROVIDED INFORMATION ON GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL. PART VI, LINE 4 - COMMUNITY INFORMATION GEISINGER 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 HEALTH DESCRIBE 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 SYSTEM GMC 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 INFORMATION FORM 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. X X X X X X false true false false false false false true false GLENN D STEELE JR MD PHD PRES, CHAIR,DIRECTOR 1091895 1131217 2065068 440136 31990 4760306 1191920 DAVID J FELICIO ESQUIRE CLO, SECRETARY 390448 164846 107331 76118 25063 763806 61110 EDWARD J ZYCH ESQUIRE ACLO, ASST SECTY 262471 80515 47579 18720 23750 433035 30485 FRANK J TREMBULAK SR VP, TREASURER 628294 313196 250904 208746 10836 1411976 209318 KENNETH E WOOD DO CHIEF MEDICAL OFFICE 426525 100143 112901 74350 26981 740900 64633 KEVIN F BRENNAN CPA FHFMA EVP, FINANCE, CFO 531656 273329 223359 176933 24858 1230135 185023 THOMAS P SOKOLA CAO, GMC 329794 94375 91946 62451 22413 600979 42451 CRYSTAL K MUTHLER BSN RN MHA NE- VP/CNO 186890 47303 3717 16533 14894 269337 RONALD BEER MHA FACHE VP CLINICAL OPS 30920 176700 46001 2278 19305 1666 17053 3583 18008 38447 277067 THOMAS R HARLOW FACHE CAO, GSACH 194957 43975 14506 16931 18807 289176 LISA SMITHGALL RNC-NIC NEA-BC CRNP AVP, NURSING 172725 29812 9399 13732 17675 243343 KYLE C SNYDER MHA AVP, OPERATIONS 111379 66182 38652 4206 4715 5660 9365 13887 6967 135132 125881 ANGELO C VENDITTI BSN RN MBA NE VP, CNO, GCMC 21432 127145 40184 7667 6449 1448 9313 5589 5470 36136 188561 ALBERT BOTHE JR MD FORMER OFFICER 557191 203742 247275 169843 12597 1190648 185129 AMITPAL JOHAL MD FORMER 5 HIGHEST 334449 95127 20923 18720 19918 489137 DUANE E DEIVERT DO FORMER 5 HIGHEST 364251 100048 20984 18720 22209 526212 EDELYN L MILLER FORMER KEY 578335 196400 173337 176564 15121 1139757 129861 MATTHEW J SHELLENBERGER DO FORMER 5 HIGHEST 330557 89729 35076 18720 20908 494990 SUSAN M ROBEL RN BSN MHA NEA-BC FORMER KEY 324714 108167 154095 109508 20939 717423 116063 SCHEDULE J, PAGE 1, PART I, LINE 4 GLENN 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 7 BECAUSE THE PAYMENT OF EARNED PERFORMANCE BASED COMPENSATION IS AT THE DISCRETION OF MANAGEMENT AND THE BOARD OF DIRECTORS, SUCH PAYMENTS MAY BE CONSIDERED NON-FIXED PAYMENTS. PERFORMANCE BASED COMPENSATION IS DETERMINED BY MEETING INDIVIDUALLY MEASURED PERFORMANCE GOALS THAT ARE ALIGNED WITH OVERALL SYSTEM OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP. SCHEDULE J, PART III PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER 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. FORM 990 - ORGANIZATION'S MISSION TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES AND ACCESS THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. FORM 990 FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? 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 4A 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 BLOOMSBURG HOSPITAL), GYNECOLOG FORM 990, PART V FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL 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 VI FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, 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 6 THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. FORM 990, PAGE 6, PART VI, LINE 11B ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH 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 12C THE 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 15A THE 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 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE 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 VIII FORM 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 9 TRANSFER 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 XII FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER 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. GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 NA true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSICIAN PA 501C3 11A GHSF true GEISINGER WYOMING VALLEY MEDICAL CT 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GHSF true MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GHSF true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS PA 501C4 GHSF true GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 11A GHSF true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 9 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 11A GHSF true COMMUNITY MEDICAL CENTER 100 NORTH 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GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 MANAGEMENT DE N/A false false CAMP HILL AMBULATORY SURG CTR LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597478 HEALTHCARE PA N/A false false HS ORTHOPEDIC MANAGEMENT CO LLC 503 NORTH 21ST STREET CANP HILL PA 17011 460887384 MANAGEMENT PA N/A false false CAELIAN MEDICAL LLC 880 CENTURY DRIVE MECHANICSBURG PA 17055 208018724 HEALTHCARE PA N/A false false GRANDVIEW SURGERY CENTER LTD 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597483 HEALTHCARE PA N/A false false LACKAWANNA PHYS AMB SURG CTRLLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 233024998 HEALTHCARE PA N/A false false GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A true GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A true GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 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PA N/A true true true true false false false false false false false true true true false false true false false true COMMUNITY MEDICAL CENTER M 130566 GAAP COMMUNITY MEDICAL CENTER L 1704305 GAAP FAM HLTH ASSOC OF GEISINGER-LEWIST L 4313 GAAP GEISINGER ASSURANCE COMPANY LTD M 8240764 GAAP GEISINGER CLINIC C 656502 GAAP GEISINGER CLINIC L 3380553 GAAP GEISINGER CLINIC S 6177606 GAAP GEISINGER CLINIC B 9049000 GAAP GEISINGER CLINIC M 76600978 GAAP GEISINGER CLINIC P 80700000 GAAP GEISINGER COMMUNITY HEALTH SERVICES A 1612 FMV GEISINGER COMMUNITY HEALTH SERVICES L 21639 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 147410 FMV GEISINGER COMMUNITY HEALTH SERVICES M 218036 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 1099957 GAAP GEISINGER HEALTH PLAN A 2239 FMV GEISINGER HEALTH PLAN L 205505983 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 186378 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 937267 GAAP GEISINGER HEALTH SYSTEM FOUNDATION S 1302505 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 4576884 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 310000000 GAAP GEISINGER INDEMNITY INSURANCE COMP S 93 GAAP GEISINGER INDEMNITY INSURANCE COMP L 10778433 GAAP GEISINGER INSURANCE CORP RRG M 4867337 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 852 FMV GEISINGER MEDICAL MANAGEMENT CORP M 189427 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 17303 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 14908487 GAAP GEISINGER QUALITY OPTIONS INC L 15506409 GAAP GEISINGER SYSTEM SERVICES L 209449 GAAP GEISINGER SYSTEM SERVICES A 3067663 FMV GEISINGER SYSTEM SERVICES M 186208055 GAAP GEISINGER WYOMING VALLEY MED CTR K 24000 FMV GEISINGER WYOMING VALLEY MED CTR M 921358 GAAP GEISINGER WYOMING VALLEY MED CTR L 9016429 GAAP GEISINGER-BLOOMSBURG HEALTHCARE CTR M 996 GAAP GEISINGER-BLOOMSBURG HEALTHCARE CTR L 33637 GAAP GEISINGER-BLOOMSBURG HOSPITAL M 661 GAAP GEISINGER-BLOOMSBURG HOSPITAL K 49250 FMV GEISINGER-BLOOMSBURG HOSPITAL L 1076093 GAAP GEISINGER-LEWISTOWN HOSPITAL M 84 GAAP GEISINGER-LEWISTOWN HOSPITAL L 648434 GAAP HEALTH ENTERPRISES INC L 440 GAAP HEALTHSOUTHGHS LLC L 2553902 GAAP HEALTHSOUTHGHS LLC P 3240479 GAAP HEALTHSOUTHGHS LLC A 169496 FMV HOLY SPIRIT HOSPITAL L 9166 GAAP KEYSTONE ACCOUNTABLE CARE ORG LLC B 500000 GAAP MARWORTH L 4709 GAAP MOUNTAIN VIEW NURSING HOME INC L 10788 GAAP SUN HOME HEALTH SERVICES INC L 189 GAAP SCHEDULE R INFORMATION 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. __________________________________________________________________________