GEISINGER-LEWISTOWN HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: GEISINGER-LEWISTOWN HOSPITAL (EIN 23-1352187)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-11
IRS object ID: 201501319349302635
Schema version: 2013v4.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-11T14:38:24-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231352187	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER-LEWISTOWN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	GEIS	BusinessNameControlTxt
Phone	5702716624	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH ACADEMY AVENUE MC 49-70	AddressLine1
City	DANVILLE	City
State	PA	State
ZIP Code	17822	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID J FELICIO ESQUIRE	PersonNm
Person Title	SECRETARY	PersonTitleTxt
Phone	5702716624	PhoneNum
Signature	2015-05-07	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparation	2015-05-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	GLENN D STEELE JR MD PHD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH ACADEMY AVENUE MC 22-01	AddressLine1
City	DANVILLE	City
State	PA	State
ZIP Code	17822	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$99,616,272	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1905	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM....SEE SCHEDULE O.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1007	TotalEmployeeCnt
Total Volunteers	85	TotalVolunteersCnt
Total Gross UBI	$2,063,041	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$500,561	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$236,422	PYContributionsGrantsAmt
CY Contributions Grants	$16,485	CYContributionsGrantsAmt
PY Program Service Revenue	$93,679,205	PYProgramServiceRevenueAmt
CY Program Service Revenue	$97,068,938	CYProgramServiceRevenueAmt
PY Investment Income	$1,529,552	PYInvestmentIncomeAmt
CY Investment Income	$1,293,096	CYInvestmentIncomeAmt
PY Other Revenue	$6,108,526	PYOtherRevenueAmt
CY Other Revenue	$1,237,753	CYOtherRevenueAmt
PY Total Revenue	$101,553,705	PYTotalRevenueAmt
CY Total Revenue	$99,616,272	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,058,008	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$19,909	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$51,144,169	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$49,831,779	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$47,277,246	PYOtherExpensesAmt
CY Other Expenses	$47,365,035	CYOtherExpensesAmt
PY Total Expenses	$102,479,423	PYTotalExpensesAmt
CY Total Expenses	$97,216,723	CYTotalExpensesAmt
PY Revenues Less Expenses	-$925,718	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,399,549	CYRevenuesLessExpensesAmt
Total Assets BOY	$82,611,335	TotalAssetsBOYAmt
Total Assets EOY	$79,653,058	TotalAssetsEOYAmt
Total Liabilities BOY	$56,826,533	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$61,739,574	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$25,784,802	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$17,913,484	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM....SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$90,760,917	ExpenseAmt
Grant	$19,909	GrantAmt
Revenue	$97,682,609	RevenueAmt
Desc	SEE SCHEDULE O I. MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. II.GENERAL INFORMATION GEISINGER-LEWISTOWN HOSPITAL (GLH), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 123 BED ACUTE CARE HOSPITAL IN LEWISTOWN, PA. GLH IS CONVENIENTLY LOCATED ONLY A FEW MILES FROM SEVERAL CENTRAL PENNSYLVANIA MAJOR HIGHWAYS. THE FACILITY OPENED IN 1905 IN RESPONSE TO A PRESSING NEED FOR HEALTH AND WELLNESS CARE IN THE COMMUNITY. DURING THE FISCAL YEAR ENDED JUNE 30, 2014, GLH PROVIDED 15,579 PATIENT DAYS; 3,292 BEHAVIOR HEALTH SERVICES PATIENT DAYS; 953 NURSERY PATIENT DAYS; 4,645 SAME DAY SURGICAL PROCEDURES; AND 19,679 EMERGENCY ROOM VISITS. GLH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. THE ORGANIZATION ALSO PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO MET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SERVICES OFFERED BY GLH INCLUDE: GENERAL MEDICAL CARE PROVIDED BY IN-HOUSE HOSPITALIST AND SUPPORTED BY CONSULTATIVE SERVICES IN THE AREAS OF CARDIOLOGY, NEUROLOGY AND PULMONOLOGY. THE EMERGENCY DEPARTMENT (ED) IS COMMITTED TO PROVIDING HIGH QUALITY, PROMPT EMERGENCY SERVICES. GLH'S ED IS STAFFED 24/7 WITH FULL- TIME PHYSICIANS AND NURSES THAT ARE TRAINED IN ALL SPECIALTIES FROM PEDIATRICS TO CRITICAL CARE. IMMEDIATE ACCESS TO LABORATORY SERVICES, X- RAYS, CAT SCANS, ULTRASOUND, MRI AND SURGICAL SERVICES. MOST INSURANCES, INCLUDING MEDICARE AND MEDICAID, ARE ACCEPTED AND NO PATIENT IS REFUSED TREATMENT BECAUSE OF INABILITY TO PAY. OB/GYN FOCUSES ON ALL ASPECTS OF WOMEN'S HEALTH AND EDUCATION, PROVIDING OBSTETRICAL AND GYNECOLOGICAL CARE FOR WOMEN OF ALL AGES. SERVICES INCLUDE BUT NOT LIMITED TO ROUTINE VISITS AND TREATMENTS, PREVENTATIVE HEALTHCARE, BIRTH CONTROL EDUCATION, FAMILY PLANNING, OBSTETRICS, SURGERY & SURGERY CONSULTATIONS, MENOPAUSE COUNSELING, AND MIDWIFERY. MENTAL HEALTH & PSYCHIATRIC PROVIDES INPATIENT SERVICES DESIGNED TO HELP INDIVIDUALS LIVE AS INDEPENDENTLY AS POSSIBLE. ALL AGE GROUPS FROM ADOLESCENTS TO GERIATRICS CAN ACCESS QUICK, EFFICIENT ADMISSION 24/7 AND RECEIVE TREATMENT THROUGH A PSYCHIATRIST AVAILABLE ON A DAILY BASIS. ADMISSIONS ARE CONFIDENTIAL AND MAY BE MADE BY PROFESSIONALS AS WELL BY INDIVIDUALS CONCERNED ABOUT THEMSELVES OR OTHERS. HOSPITALIZATION MEANS PATIENT CARE IS PROVIDED THROUGH MULTIPLE PROFESSIONALS WHO COMPRISE THE TREATMENT TEAM. OTHER SERVICES INCLUDE: CARDIAC SERVICES SURGERY SPECIALTIES RESPIRATORY SERVICES RADIOLOGY ORTHOPEDIC GENERAL SURGERY ICCU UROLOGY PAIN MANAGEMENT LABORATORY SERVICES GYNECOLOGY WOUND MANAGEMENT PHYSICAL THERAPY OTOLARYNGOLOGY III. UNCOMPENSATED CARE GEISINGER-LEWISTOWN HOSPITAL RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GLH PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF GLH IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF CENTRAL PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GLH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2014, THE COST OF THE CHARITY CARE WAS 1.7 MILLION. B.MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GLH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GLH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 13 MILLION DURING THE FISCAL YEAR ENDED JUNE 30, 2014. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GLH PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2014, WAS 2.0 MILLION. D.OTHER UNINSURED FOR UNINSURED CITIZENS THAT DO NOT QUALIFY FOR CHARITY CARE OR GOVERNMENT OR PRIVATE PROGRAMS GLH OFFERS PAYMENT DISCOUNTS AND TIME PAYMENTS WITHOUT INTEREST OR FEES. IV. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER-LEWISTOWN HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GLH. THE VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 15,000 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION. 349,500, IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. V. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GLH STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GLH PROVIDES MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. AT A COST OF 8 THOUSAND, THESE SERVICES AND PROGRAMS INCLUDED: SUPPORT GROUPS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A.GROUPS GLH PROVIDES PROGRAMS FOR ALL DEMOGRAPHICS CANCER CARE & SHARE SUPPORT GROUP: G-LH FACILITATES A LOCAL CANCER SUPPORT NETWORK THAT WELCOMES ALL CANCER SURVIVORS, FAMILY, AND FRIENDS. THE GROUP MEETS EACH MONTH. BARIATRIC SURGERY SUPPORT GROUP: GEISINGER-FHA CENTER FOR WEIGHT MANAGEMENT AND NUTRITION HOSTS A BARIATRIC SURGERY SUPPORT GROUP EVERY MONTH. SESSIONS ARE MODERATED BY VIRGINIA M. WRAY, DO, CNSP. LIVING WELL CANCER SURVIVORSHIP PROGRAM: CLASSES ARE OFFERED BY LEWISTOWN HOSPITAL TWO TIMES A YEAR. CLASSES ARE FREE AND HELD ONCE A WEEK FOR FOUR WEEKS AT THE COMMUNITY CANCER TREATMENT CENTER. THE PROGRAM ALLOWS CANCER SURVIVORS TO ASK QUESTIONS AND ADDRESS AREAS OF CONCERN. IT ALSO TEACHES PARTICIPANTS HOW TO LIVE A HEALTHY LIFESTYLE AND MAKE NECESSARY LIFESTYLE MODIFICATIONS. THE PROGRAM FOCUSES ON HEALTH AND WELLNESS; TREATMENT AND MANAGEMENT; RESOURCES AND FOLLOW UP CARE; AND INCLUDES A TREATMENT PLAN AND SUMMARY AS WELL AS SUPPORT GROUP INFORMATION. GEISINGER-FAMILY HEALTH ASSOCIATES TIME OF CHANGE WORKSHOPS: GEISINGER- FAMILY HEALTH ASSOCIATES (FHA) OFFERS A WORKSHOP DESIGNED ESPECIALLY FOR MOTHERS AND THEIR ADOLESCENT DAUGHTERS, AGES 9 - 12 YEARS. THE FOCUS OF THE WORKSHOP IS TO ASSIST MOTHERS IN EDUCATING THEIR DAUGHTERS ON CHANGES THAT OCCUR DURING ADOLESCENCE. INFORMATIONAL BOOKLETS FOR MOTHERS AND DAUGHTERS ARE GIVEN TO REINFORCE INFORMATION PRESENTED. PREGNANCY SUPPORT: G-LH OFFERS PREPARED CHILDBIRTH AND BREASTFEEDING CLASSES TO PROMOTE POSITIVE OUTCOMES FOR EXPECTANT MOTHERS AND INFANTS THROUGH REALISTIC INSTRUCTION AND ACHIEVABLE GOALS. CLASSES FOCUS ON PREPARING FOR LABOR, DELIVERY AND POSTPARTUM. B.COMMUNITY HEALTH EDUCATION COMMUNITY HEALTH NEEDS ASSESSMENT DIABETES MANAGEMENT WOMEN'S HEALTH RELATED TOPICS SMOKING CESSATION NUTRITION CLASSES LIVING WILLS PREPARING FOR YOUR DOCTOR'S VISIT MEDICATION SAFETY HEART DISEASE/HEART FAILURE PREVENTION CANCER PREVENTION (SKIN, COLON, BREAST, PROSTATE) VI. COMMUNITY SERVICE SUMMARY AT COST CHARITY CARE 1,705,385 MEDICARE/MEDICAID 12,966,788 BAD DEBT 1,994,870 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 7,760 VOLUNTEER SERVICES (VALUED AT 1/1/2014 349,500 PA STATEWIDE AVERAGE WEEKLY WAGE) TOTAL 17,024,303 VII. STATISTICS GEISINGER-LEWISTOWN HOSPTIAL FISCAL YEAR ENDED JUNE 30, 2014 ADMISSIONS (INCLUDING NEWBORNS) 5,472 ADMISSIONS (EXCLUDING NEWBORNS) 4,943 OUTPATIENT VISITS INCLUDING EMERGENCY DEPARTMENT 157,636 AVERAGE LENGTH OF STAY (EXCLUDING NEWBORNS AND PSYCH) 3.8 PERCENT OF OCCUPANCY (EXCLUDING NEWBORNS) 42.0% PATIENT SERVICE DAYS (EXCLUDING NEWBORNS) 18,871 TOTAL OR CASES 5,410 BEDS (EXCLUDING BASSINETS) (SET UP AND STAFFED) 123 BASSINETS IN NURSERY 12	Desc
Total Program Service Expenses	$90,760,917	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	Yes (true)	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	42	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1007	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	RANDY TEWKSBURY CFO	PersonNm
Phone	7172427650	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1
City	LEWISTOWN	City
State	PA	State
ZIP Code	17044	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
WILLIAM H ALEXANDER
DIRECTOR	0.25	6.00	Yes (X)	$0	$0	$0
JEFFREY W ANDERSON
DIRECTOR	0.25	0.50	Yes (X)	$0	$0	$0
EDWARD H RIDINGS DO
DIRECTOR(EX-	0.25	0.50	Yes (X)	$0	$0	$0
OKSANA DEARMENT
DIRECTOR(EX-	0.25	0.50	Yes (X)	$0	$0	$0
E ALLEN DEAVER
DIRECTOR	0.25	4.75	Yes (X)	$0	$0	$0
DORRANCE R BELIN ESQUIRE
DIRECTOR, VI	0.25	4.25	Yes (X)	$0	$0	$0
RICHARD A GRAFMYRE
DIRECTOR	0.25	5.75	Yes (X)	$0	$0	$0
WILLIAM R GRUVER
DIRECTOR	0.25	5.00	Yes (X)	$0	$0	$0
KAY HAMILTON
CAO, DIRECTO	40.00	0.00	Yes (X)	$295,061	$0	$53,662	Yes (X)
FRANK M HENRY
DIRECTOR	0.25	4.75	Yes (X)	$0	$0	$0
WILLIAM F HERKERT
CHAIR, DIREC	0.25	0.75	Yes (X)	$0	$0	$0	Yes (X)
JAMES L SHILLING JR
DIRECTOR	0.25	0.50	Yes (X)	$0	$0	$0
GURPREET S BHALLA MD
DIRECTOR	0.25	0.50	Yes (X)	$0	$59,769	$0
JOHN W GEHMAN MD
DIRECTOR	0.25	0.50	Yes (X)	$0	$0	$0
SHASHPAL K MALHOTRA MD
DIRECTOR	0.25	0.50	Yes (X)	$0	$0	$0
THOMAS H LEE JR MD
DIRECTOR	0.25	5.50	Yes (X)	$0	$0	$0
DIANE SPOKUS PHD MCHES
VICE CHAIR,	0.25	0.50	Yes (X)	$0	$0	$0	Yes (X)
DANA L PATTERSON
TREASURER, D	0.25	0.75	Yes (X)	$0	$0	$0	Yes (X)
GLENN D STEELE JR MD PHD
PRES, CHAIR,	0.00	40.00	Yes (X)	$0	$2,201,016	$451,279	Yes (X)
ROBERT E POOLE
DIRECTOR	0.25	5.00	Yes (X)	$0	$0	$0
DON A ROSINI
DIRECTOR	0.25	6.00	Yes (X)	$0	$0	$0
RANDY SHEAFFER
DIRECTOR	0.25	0.50	Yes (X)	$0	$0	$0
DONALD CHAPMAN SR
SECRETARY, D	0.25	0.75	Yes (X)	$0	$0	$0	Yes (X)
CATHERINE M STOUT
DIRECTOR	0.25	0.50	Yes (X)	$0	$0	$0
ROBERT L TAMBUR
DIRECTOR, VI	0.25	4.75	Yes (X)	$0	$0	$0
JON ZIMMERMAN
DIRECTOR	0.25	0.50	Yes (X)	$0	$0	$0
RONALD M COWAN
CIO	40.00	0.00		$126,517	$0	$23,273	Yes (X)
DAVID J FELICIO ESQUIRE
CLO, SECRETA	0.00	40.00		$0	$659,899	$97,523	Yes (X)
EDWARD J ZYCH ESQUIRE
ACLO, ASST.	0.00	40.00		$0	$339,360	$66,915	Yes (X)
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE	0.00	40.00		$0	$983,365	$207,098	Yes (X)
ALBERT BOTHE JR MD
CMO	0.00	40.00		$0	$952,866	$197,122	Yes (X)
CHRISTINE W MATHEWS
VP, NURSING	40.00	0.00		$155,925	$0	$17,274	Yes (X)
NANCY S REINKE
VP HR	40.00	0.00		$121,643	$0	$37,585	Yes (X)
RANDY TEWKSBURY
VP FINANCE,	40.00	0.00		$202,474	$0	$52,532	Yes (X)
KIRK E THOMAS
SVP, COO	40.00	0.00		$156,073	$0	$31,529	Yes (X)
FRANK J TREMBULAK
SR VP, TREAS	0.00	40.00		$0	$1,165,670	$221,282	Yes (X)
PETER A GOYER
RAD. PHYSICI	40.00	0.00		$124,616	$0	$3,700		Yes (X)
KEITH S GRAHAM
PHARMACIST	40.00	0.00		$121,186	$0	$28,117		Yes (X)
LEWIS D ALLSHOUSE III
PHARMACIST	40.00	0.00		$130,114	$0	$29,698		Yes (X)
NALIN G PATEL
PSYCHIATRIST	40.00	0.00		$389,661	$0	$21,261		Yes (X)
RICHARD F STOMACKIN
PHARMACIST	40.00	0.00		$155,957	$0	$14,285		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,979,227	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,361,945	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,554,135	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	12	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
CERNER CORPORATION
2800 ROCK CREEK PARKWAY	KANSAS CITY	MO	641172551	IT SERVICES	$1,557,480
EPA
PO BOX 634850	CINCINNATI	OH	452634850	ED PHYSICIANS	$916,379
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	LAB SERVICES	$902,176
MCKAY CONSULTING
8590 BUSINESS PARK DRIVE	SHREVEPORT	LA	71105	PROF SERVICES	$634,778
OPTIMAL RADIOLOGY
28 WHITE BRIDGE ROAD SUITE 316	NASHVILLE	TN	37205	PROF SERVICES	$511,580

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	21	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
All Other Contributions	$16,485	AllOtherContributionsAmt
Total Contributions	$16,485	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	622110	$94,384,039	$94,384,039
LAB REVENUE	621500	$2,037,373		$2,037,373
RESTRICTED FUNDS USED FOR OPS	621400	$499,395	$499,395
COMMUNITY EDUCATION TRAINING	621400	$97,284	$97,284
WELLNESS PROGRAM	621400	$50,847	$50,847

Field	Value	IRS element (for citing)
Total Program Service Revenue	$97,068,938	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$868,929	TotalRevenueColumnAmt
Exclusion	$868,929	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$424,167	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$424,167	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$424,167	TotalRevenueColumnAmt
Exclusion	$424,167	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
SCHOOL OF NURSING TUITION	611600	$581,217	$581,217
GIFT SHOP SALES	453220	$373,774		$373,774
CAFETERIA SALES	722514	$114,543		$114,543

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$168,219	TotalRevenueColumnAmt
Related Or Exempt Func Income	$32,454	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$25,668	UnrelatedBusinessRevenueAmt
Exclusion	$110,097	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,237,753	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$99,616,272	TotalRevenueColumnAmt
Related Or Exempt Func Income	$95,645,236	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,063,041	UnrelatedBusinessRevenueAmt
Exclusion	$1,891,510	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$19,909	TotalAmt
Program Services	$19,909	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,165,974	TotalAmt
Program Services	$304,854	ProgramServicesAmt
Management And General	$861,120	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,802,484	TotalAmt
Program Services	$34,567,258	ProgramServicesAmt
Management And General	$1,235,226	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,663,187	TotalAmt
Program Services	$3,455,961	ProgramServicesAmt
Management And General	$207,226	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,480,302	TotalAmt
Program Services	$6,112,828	ProgramServicesAmt
Management And General	$367,474	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,719,832	TotalAmt
Program Services	$2,565,600	ProgramServicesAmt
Management And General	$154,232	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$347,919	TotalAmt
Management And General	$347,919	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$56,450	TotalAmt
Management And General	$56,450	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$42,741	TotalAmt
Management And General	$42,741	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$38,150	TotalAmt
Program Services	$24,497	ProgramServicesAmt
Management And General	$13,653	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,131,199	TotalAmt
Program Services	$7,935,201	ProgramServicesAmt
Management And General	$195,998	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$122,485	TotalAmt
Program Services	$53,895	ProgramServicesAmt
Management And General	$68,590	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,586,023	TotalAmt
Program Services	$3,498,287	ProgramServicesAmt
Management And General	$87,736	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,710,121	TotalAmt
Program Services	$448,880	ProgramServicesAmt
Management And General	$1,261,241	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$152,598	TotalAmt
Program Services	$126,581	ProgramServicesAmt
Management And General	$26,017	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$12,169	TotalAmt
Program Services	$12,169	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,021,387	TotalAmt
Program Services	$1,004,023	ProgramServicesAmt
Management And General	$17,364	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,412,242	TotalAmt
Program Services	$3,078,678	ProgramServicesAmt
Management And General	$1,333,564	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$962,615	TotalAmt
Program Services	$959,877	ProgramServicesAmt
Management And General	$2,738	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$13,166,904	$13,166,389	$515
BAD DEBT EXPENSE	$5,306,092	$5,306,092
INTERCOMPANY EXPENSE	$4,156,016	$4,057,735	$98,281
INSPECTION & MAINTENANCE	$3,128,791	$3,128,791

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,011,133	TotalAmt
Program Services	$933,412	ProgramServicesAmt
Management And General	$77,721	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$97,216,723	TotalAmt
Program Services	$90,760,917	ProgramServicesAmt
Management And General	$6,455,806	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,870	BOYAmt
EOY	$11,771,611	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,459,028	BOYAmt
EOY	$6,437,973	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,937,965	BOYAmt
EOY	$5,315,044	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,390,545	BOYAmt
EOY	$20,106	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,463,555	BOYAmt
EOY	$2,351,843	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,437,627	BOYAmt
EOY	$997,336	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$49,173,098	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$27,800,016	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$25,404,862	BOYAmt
EOY	$21,373,082	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$30,907,607	BOYAmt
EOY	$6,031,315	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,137,833	BOYAmt
EOY	$23,820,639	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,470,443	BOYAmt
EOY	$1,534,109	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$82,611,335	BOYAmt
EOY	$79,653,058	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$31,041,583	BOYAmt
EOY	$6,730,512	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,915,000	BOYAmt
EOY	$19,815,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$947,467	BOYAmt
EOY	$816,365	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,922,483	BOYAmt
EOY	$34,377,697	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$56,826,533	BOYAmt
EOY	$61,739,574	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,016,718	BOYAmt
EOY	$17,108,125	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$229,158	BOYAmt
EOY	$229,034	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$538,926	BOYAmt
EOY	$576,325	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$25,784,802	BOYAmt
EOY	$17,913,484	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$82,611,335	BOYAmt
EOY	$79,653,058	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,399,549	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,918,216	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$12,189,083	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$42,741	OtherActivitiesAmt
Total Lobbying Expenditures	$42,741	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	THE LOBBYING EXPENSE REPORTED ON SCHEDULE C REPRESENTS THE PORTION OF ANNUAL DUES PAYMENTS TO TRADE ASSOCIATIONS ATRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$179,892	BeginningYearBalanceAmt
Contributions	$250	ContributionsAmt
Investment Earnings Or Losses	$1,105	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,000	GrantsOrScholarshipsAmt
Administrative Expenses	$285	AdministrativeExpensesAmt
End Year Balance	$179,962	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$177,960	BeginningYearBalanceAmt
Contributions	$2,103	ContributionsAmt
Investment Earnings Or Losses	$1,341	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,000	GrantsOrScholarshipsAmt
Administrative Expenses	$512	AdministrativeExpensesAmt
End Year Balance	$179,892	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$174,187	BeginningYearBalanceAmt
Contributions	$2,846	ContributionsAmt
Investment Earnings Or Losses	$2,329	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,000	GrantsOrScholarshipsAmt
Administrative Expenses	$403	AdministrativeExpensesAmt
End Year Balance	$177,960	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$80,371	BeginningYearBalanceAmt
Contributions	$91,939	ContributionsAmt
Investment Earnings Or Losses	$3,266	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,000	GrantsOrScholarshipsAmt
Administrative Expenses	$389	AdministrativeExpensesAmt
End Year Balance	$174,187	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$69,171	BeginningYearBalanceAmt
Contributions	$4,750	ContributionsAmt
Investment Earnings Or Losses	$7,758	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,000	GrantsOrScholarshipsAmt
Administrative Expenses	$308	AdministrativeExpensesAmt
End Year Balance	$80,371	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$224,653	OtherCostOrOtherBasisAmt
Book Value	$224,653	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,494,030	OtherCostOrOtherBasisAmt
Depreciation	$13,206,126	DepreciationAmt
Book Value	$12,287,904	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,104,485	OtherCostOrOtherBasisAmt
Depreciation	$494,044	DepreciationAmt
Book Value	$610,441	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,372,336	OtherCostOrOtherBasisAmt
Depreciation	$13,408,114	DepreciationAmt
Book Value	$6,964,222	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,977,594	OtherCostOrOtherBasisAmt
Depreciation	$691,732	DepreciationAmt
Book Value	$1,285,862	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$21,373,082	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$23,820,639	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$23,820,639	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$22,658,934
ESTIMATED 3RD PARTY PAYOR SETTLEMENT	$8,502,600
OTHER LONG TERM LIABILITIES	$3,000,000
OTHER LIABILITIES	$216,163
OBLIGATIONS UNDER CAPITAL LEASE
DUE TO AFFILIATES
BLUE CROSS FINANCING ADVANCE
ESTIMATED MEDICAL MALPRACTICE CLAIMS

Field	Value	IRS element (for citing)
Total Liability	$34,377,697	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

THE EARNINGS ON THE FRIENDS LEGACY ENDOWMENT FUND WILL BE USED SOLELY FOR THE PURPOSE OF CAPITAL AND BUILDING EXPENDITURES. NO EXPENDITURES CAN BE MADE UNTIL THE FUND REACHES 1,000,000 AND THEN ONLY THE EARNINGS FROM THE INVESTMENT CAN BE USED FOR THOSE PURPOSES. THE EARNINGS ON THE SCHOOL OF NURSING SCHOLARSHIP FUNDS ARE USED FOR SCHOLARSHIPS FOR GEISINGER-LEWISTOWN HOSPITAL SCHOOL OF NURSING STUDENTS SELECTED BY THE SCHOLARSHIP COMMITTEE BASED ON ESTABLISHED CRITERIA.

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, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET NET ASSETS AS OF JUNE 30, 2014 OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2014 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 HEALTHCARE SYSTEM COMPRISED OF THE GEISINGER HEALTH SYSTEM FOUNDATION (THE FOUNDATION) AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE SYSTEM.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,705,385	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,705,385	NetCommunityBenefitExpnsAmt
Total Expense	0.01750	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,148,422	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,072,476	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,075,946	NetCommunityBenefitExpnsAmt
Total Expense	0.06250	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,853,807	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,072,476	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,781,331	NetCommunityBenefitExpnsAmt
Total Expense	0.08000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$564,100	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$481,760	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$82,340	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$564,100	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$481,760	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$82,340	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,417,907	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,554,236	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,863,671	NetCommunityBenefitExpnsAmt
Total Expense	0.08090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,306,092	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,994,870	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$19,471,622	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$28,608,185	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,136,563	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER-LEWISTOWN HOSPITAL	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1
City	LEWISTOWN	City
State	PA	State
ZIP Code	17044	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.LEWISTOWNHOSPITAL.ORG	WebsiteAddressTxt
State License	121501	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER-LEWISTOWN HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.LEWISTOWNHOSPITAL.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.GEISINGER.ORG/SITES/CHNA	OtherWebsiteURLTxt
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	false	FPGUsedDetermEligDscntCareInd
Explained Basis	Yes (true)	ExplainedBasisInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 3	PART V, SECTION B, LINE 3: THE NEEDS ASSESSMENT STEERING COMMITTEE AND SEVERAL COMMUNITY PARTNERS MET TO DISCUSS THE KEY ISSUES IDENTIFIED IN THE NEEDS ASSESSMENTS. A TOTAL OF 16 INDIVIDUALS ATTENDED THE STRATEGIC PLANNING SESSION, INCLUDING EXPERTS IN PUBLIC HEALTH, REPRESENTATIVES OF UNDERSERVED POPULATIONS, HEALTH AND SOCIAL SERVICE AGENCIES, AND OTHER COMMUNITY STAKEHOLDERS. -LINDA ALLEN, DIRECTOR, PA DOH - JUNIATA COUNTY STATE HEALTH CENTER -MARIE MULVIHILL, DIRECTOR, UNITED WAY OF MIFFLIN JUNIATA COUNTIES -WALT WHITMER, SR. EXTENSION ASSOCIATE, PENNS STATE COOPERATIVE EXTENSION -CRYSTAL PAIGE, DIRECTOR, THE ABUSE NETWORK -MOLLY KINNEY, DIRECTOR, MIFFLIN COUNTY LIBRARY -PAULA LEACH, HEALTH & NUTRITION COORDINATOR, SUM CHILD DEVELOPMENT -ALETA KAMMERER, EARLY HEAD START COORDINATOR, SUM CHILD DEVELOPMENT -BOB HENRY, MENTAL HEALTH ADULT PROGRAM SPECIALIST, JUNIATA VALLEY BEHAVIORAL & DEVELOPMENT SERVICES -NANCY RECORDS, DIRECTOR COMMUNITIES THAT CARE -JOHN MCCULLOUGH, DIRECTOR, JUNIATA VALLEY YMCA -BETH ZONG, DIRECTOR, MIFFLINC JUNIATA SPECIAL NEEDS CENTER -GAYLE LANDIS, QUALITY ASSURANCE/RISK MANAGEMENT, MIFFLIN JUNIATA REGIONAL SERVICES -RANDY TEWKSBURY, CFO, GEISINGER-LEWISTOWN HOSPITAL -PHYLLIS MITCHELL, VP MARKETING & COMMUNITY AFFAIRS, GEISINGER-LEWISTOWN HOSPITAL -KERIA MEALS, COMMUNICATIONS COORDINATOR, GEISINGER-LEWISTOWN HOSPITAL -CINDY HOUSER, COMMUNICATIONS DIRECTOR, AMERICORPS-GEISINGER LEWISTOWN HOSPITAL
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 7	TWO AREAS OF SIGNIFICANT NEED IN THE COMMUNITY WOULD BE DENTAL AND MENTAL HEALTH CARE. THESE WOULD BE AREAS THAT OUR COMMUNITY PARTNERS WOULD ADDRESS AND WE WOULD HELP SUPPORT, SUCH AS THE MIFFLIN JUNIATA DENTAL CLINIC AND MH/MR OF JUNIATA VALLEY.
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 12I	PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE GLH FINANCIAL ASSISTANCE POLICY RECEIVE 100 % DISCOUNT ON ALL CHARGES. THIS DISCOUNT IS MORE GENEROUS THAN ANY NEGOTIATED COMMERCIAL INSURANCE RATE.
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 14G	REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 20D	PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE GLH FINANCIAL ASSISTANCE POLICY RECEIVE 100 % DISCOUNT ON ALL CHARGES. THIS DISCOUNT IS MORE GENEROUS THAN ANY NEGOTIATED COMMERCIAL INSURANCE RATE.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	UNDER THE FACILITY'S FINANCIAL ASSISTANCE POLICY ELIGIBILITY FOR FREE CARE IS BASED ON FEDERAL POVERTY GUIDELINES. DISCOUNTS ARE AVAILABLE.
PART I, LINE 6A - RELATED ORGANIZATION INFORMATION	A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GEISINGER-LEWISTOWN HOSPITAL (GLH) AND ITS RELATED CHARITABLE ORGANIZATIONS IS AVAILABLE AT GEISINGER.ORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST. GO TO: HTTP://WWW.GEISINGER.ORG/PAGES/NEWSROOM/INCLUDES/PDF/AR-FINAL-2014.PDF.
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 PAYER (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYORS, SELF-PAY, ETC.). A COST TO CHARGE RATIO CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS WAS USED TO CALCULATE THE COST OF THESE PROGRAMS.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND RECLASSIFIED TO FREE CARE WHENEVER THE PATIENT BECOMES ELIGIBLE UNDER GLH'S UNCOMPENSATED CARE POLICIES. ACCORDINGLY, THE BAD DEBT ACCOUNTS SHOULD NOT INCLUDE AMOUNTS THAT MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER GLH'S UNCOMPENSATED CARE POLICIES.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	GLH IS A MEMBER OF A GROUP WITH CONSOLIDATED FINANCIAL STATEMENTS. PER THE FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE, THE ORGANIZATIONS WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTABLE. AN ALLOWANCE FOR UNCOLLECTABLES IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME COLLECTABLE IN FUTURE PERIODS. THE FOOTNOTE CAN BE LOCATED ON PAGE 13 OF THE ATTACHED GEISINGER HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS, JUNE 30, 2014 AND JUNE 30, 2013.
PART III, LINE 8 - MEDICARE EXPLANATION	LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE ALLOWED TO BE REPORTED ON GLH'S MEDICARE COST REPORT THAT IS REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. GLH CONSIDERS THAT THE TOTAL MEDICARE SHORTFALL OF 9,136,563 IS REPORTABLE AS COMMUNITY BENEFIT. 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 GLH TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY GLH IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. GLH PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND THEREBY RELIEVES 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. PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS LIKE GLH 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 IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	GLH IS COMMITTED TO PROVIDING MEDICAL NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND GLH'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS GLH 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 GLH 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 GLH'S FINANCIAL ASSISTANCE PROGRAM.
PART VI, LINE 2 - NEEDS ASSESSMENT	GLH ASSESES THE NEEDS OF THE COMMUNITIES SERVED IN THE FOLLOWING MANNER: QUARTERLY ADVISORY GROUPS: THE PATIENT SATISFACTION ADVISORY GROUP PURPOSE IS TO PROVIDE FEEDBACK REGARDING THE HOSPITAL'S PATIENT SATISFACTION EFFORTS. THE COMMITTEE IS COMPOSED OF FORMER AND CURRENT PATIENTS, AS WELL AS COMMUNITY MEMBERS. MEMBERS GIVE INSIGHT INTO WHAT THE COMMUNITY IS SAYING ABOUT THE HOSPITAL AND SUGGESTIONS FOR CHANGES TO MAKE THE HOSPITAL EXPERIENCE MORE PATIENT- FOCUSED. THE MARKETING ADVISORY COMMITTEE'S PURPOSE IS TO PROVIDE GUIDANCE FOR THE HOSPITAL'S MARKETING AND OUTREACH EFFORTS. MEDICAL STAFF SURVEYS: THE PRIMARY OBJECTIVE OF THE MEDICAL STAFF ASSESSMENT PROCESS WAS TO CREATE A MEDICAL STAFF DEVELOPMENT PLAN FOR GLH THAT PROJECTS THE NEEDS FOR PHYSICIANS OVER THE NEXT SEVERAL YEARS, BY SPECIALTY, IN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. IN ADDITION, THE SURVEY WAS USED TO CREATE A PHYSICIAN RECRUITMENT STRATEGY FOR THE HOSPITAL AND MEMBERS OF THE MEDICAL STAFF. UTILIZATION STATISTICS AND ANALYSIS: DECISION SUPPORT SOFTWARE WITHIN THE HOSPITAL'S FINANCE DEPARTMENT PROVIDES HISTORICAL AND CURRENT DATA ON THE UTILIZATION OF INPATIENT AND OUTPATIENT SERVICES. STATE HEALTH IMPROVEMENT PLAN PARTNERSHIP (SHIP) DATA: GLH IS A KEY MEMBER OF THE LOCAL SHIP (MIFFLIN-JUNIATA PARTNERS ADVANCING TOMORROW'S HEALTH). THE PURPOSE OF THIS GROUP IS TO SUPPORT THE HEALTH PLANNING INITIATIVES FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH. THIS IS ACCOMPLISHED BY ENGAGING A BROAD SPECTRUM OF LOCAL COMMUNITY INDIVIDUALS AND ORGANIZATIONS WITH INTERESTS AND INFLUENCE ON LOCAL HEALTH STATUS BY WORKING TOGETHER TO PROMOTE EFFECTIVE HEALTH IMPROVEMENT STRATEGIES, INCLUDING PLANNING AND COORDINATION OF LOCAL RESOURCES. MEETINGS ARE HELD BI-MONTHLY. PA DEPARTMENT OF HEALTH STATISTICS: THE PA DEPARTMENT OF HEALTH WEBSITE PROVIDES A WEALTH OF HEALTH STATISTICS AND DATA FOR EACH COUNTY. THIS INCLUDES THE FOLLOWING: RATES FOR BIRTH, DEATH, CANCER, AND OTHER VITAL STATISTICS BEHAVIORAL RISK AND INJURY STATISTICS COMMUNICABLE DISEASES HEALTH FACILITIES SCHOOL HEALTH PA DEPARTMENT OF HEALTH BEHAVIORAL RISK FACTOR SURVEY: THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) IS AN ANNUAL TELEPHONE SURVEY IMPLEMENTED NATIONWIDE UNDER A GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION. SINCE 1989, THE PENNSYLVANIA DEPARTMENT OF HEALTH HAS RELEASED ANNUAL REPORTS USING BRFSS DATA ON VARIOUS HEALTH RISK BEHAVIORS, SUCH AS SMOKING, DRINKING, SEAT BELT USAGE AND HEALTH STATUS. HOW IS ALL OF THE ABOVE INFORMATION PULLED TOGETHER AND UTILIZED? VARIOUS HOSPITAL STAFF MEMBERS ASSIST WITH THE DATA COLLECTION. PRIMARY AND SECONDARY DATA IS ORGANIZED INTO COMPUTER FILES TO MAKE THE INFORMATION EASIER TO USE AND ANALYZE. ONCE THE HOSPITAL HAS THE PRIMARY AND SECONDARY DATA COLLECTED AND IN HAND, THE SENIOR TEAM SPENDS TIME ANALYZING THE DATA TO DISCERN PATTERNS AND THEMES. ASSESSMENT DATA FINDINGS ARE SHARED WITH A VARIETY OF GROUPS INTERNALLY AND EXTERNALLY (MANAGEMENT STAFF, MEDICAL- DENTAL STAFF, BOARD OF TRUSTEES, COMMUNITY ORGANIZATIONS). SINCE SUFFICIENT RESOURCES ARE NOT AVAILABLE TO ADDRESS ALL THE HEALTH CONCERNS IDENTIFIED IN THE ASSESSMENTS, CHOICES MUST BE MADE ABOUT WHICH ISSUES ARE DESIGNATED AS PRIORITIES FOR ACTION IN THE SHORT TO INTERMEDIATE TERM (ONE TO THREE YEARS). IN GENERAL, THE HOSPITAL ADDRESSES THREE TO FOUR PRIORITIES. THE HOSPITAL COLLABORATES WITH OTHER COMMUNITY STAKEHOLDERS TO GAIN A GREATER COMMITMENT TO ACTION. A CONSENSUS IS REACHED WITH INPUT FROM HOSPITAL STAFF, MEDICAL STAFF, THE BOARD OF TRUSTEES, AND COMMUNITY MEMBERS. CRITERIA THAT ARE USED TO IDENTIFY THE MOST SIGNIFICANT HEALTH ISSUES INCLUDE: THE MAGNITUDE OF THE PROBLEM THE SEVERITY OF THE PROBLEM A HIGH NEED AMONG VULNERABLE POPULATIONS CRITERIA THAT ARE USED TO EVALUATE WHICH HEALTH ISSUES THE HOSPITAL SHOULD PRIORITIZE INCLUDE: THE HOSPITAL'S CAPACITY TO ACT ON THE ISSUE, INCLUDING ECONOMIC,SOCIAL, AND CULTURAL CONSIDERATIONS. THE FEASIBILITY OF HAVING A MEASURABLE IMPACT ON THE ISSUE COMMUNITY RESOURCES ALREADY FOCUSED ON THE ISSUE WHETHER THE ISSUE IS A ROOT CAUSE OF OTHER PROBLEMS (THEREBY POSSIBLY AFFECTING MULTIPLE ISSUES) WHEN THE ISSUES HAVE BEEN PRIORITIZED, THE SENIOR TEAM AND BOARD OF TRUSTEES DISCUSS THE PRIORITIZED LIST AND ASK FOR ADDITIONAL INPUT AND VALIDATION. WHEN A FINAL DECISION IS MADE, A PLAN IS PUT INTO PLACE TO ADDRESS THE PRIORITIES AND IMPROVE COMMUNITY HEALTH. SPECIFIC GOALS HELP FOCUS THE SPECIFIC INTERVENTIONS AND PROVIDE A METHOD FOR VALUING EACH OPTION.
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, TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. FREE SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME OF 200% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS GLH 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 GLH 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. ALSO, TRANSLATORS ARE MADE AVAILABLE AS NEEDED. PATIENTS ARE ALSO PROVIDED INFORMATION ON GLH'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL AND ON THE HOSPITAL'S WEBSITE.
PART VI, LINE 4 - COMMUNITY INFORMATION	THE GLH SERVICE AREA IS COMPRISED OF MIFFLIN COUNTY, JUNIATA COUNTY, AND PARTS OF HUNTINGDON AND SNYDER COUNTIES. THIS RURAL AREA CONTAINS SOME 145,000 PEOPLE SPREAD OVER MORE THAN 2,500 SQUARE MILES OF RUGGED TERRAIN LOCATED IN THE HEART OF THE APPALACHIAN MOUNTAINS IN CENTRAL PENNSYLVANIA. THE AVERAGE POPULATION DENSITY IS APPROXIMATELY 60 PERSONS PER SQUARE MILE. THE JUNIATA RIVER RUNS ALONG THE VERDANT VALLEYS AND SLICES THROUGH NARROW MOUNTAIN PASSES TO CONNECT OUR RESIDENTS TOGETHER, WHICH IS WHY OUR AREA IS CALLED THE JUNIATA VALLEY. TRANSPORTATION BARRIERS PLAY A MAJOR ROLE IN ACCESS TO HEALTH CARE IN OUR REGION. THESE NATURAL BARRIERS INCLUDE NARROW ROADS THAT EITHER MEANDER ALONG STREAMS AND CREEKS OR CROSSOVER THE MOUNTAIN RANGES THAT TRAVERSE OUR APPALACHIAN RIDGE REGION. THESE BARRIERS ARE EVEN MORE DAUNTING GIVEN HAZARDOUS WINTER DRIVING CONDITIONS CAUSED BY SNOW OR ICE COVERED ROADS. LOW-INCOME AND SENIOR CITIZENS ALSO FACE TRANSPORTATION ISSUES, AS THERE IS NO PUBLIC TRANSPORTATION IN OUR SERVICE AREA. SENIOR CITIZENS AND MEDICAID-ELIGIBLE PERSONS CAN USE THE "CARS" VAN SYSTEM FOR TRANSPORTATION TO REGULARLY SCHEDULED APPOINTMENTS WITH A WEEKS' NOTICE BUT NOT FOR URGENT OR EMERGENCY CARE. LOW INCOME CITIZENS HAVE NO ACCESS TO ANY PUBLIC TRANSPORTATION AT ALL IN OUR COMMUNITY. IF A TRIP TO A SPECIALIST IS REQUIRED THE MAJOR SUPPORT HOSPITALS ARE OVER ONE AND HALF HOURS DRIVE. THE POPULATION OF OUR TOTAL SERVICE AREA IS JUST ABOUT 145,000 PERSONS BASED ON 2010 US CENSUS DATA. MIFFLIN COUNTY HAS A RELATIVELY FLAT GROWTH RATE WITH A POPULATION CHANGE OF 0.4% FROM 2000 TO 2010. JUNIATA COUNTY, ON THE OTHER HAND, HAS SEEN SIGNIFICANT GROWTH WITH A 10.6% INCREASE IN POPULATION FROM 2000 TO 2010. IT IS BELIEVED THAT THIS GROWTH IS MOSTLY COMING FROM PEOPLE WHO WORK IN THE NEARBY HARRISBURG AREA WHO ARE LOOKING FOR A LOWER COST OF LIVING. WITH THE RECENT COMPLETION OF A NEW FOUR-LANE HIGHWAY NORTH OF HARRISBURG, THE COMMUTE TO HARRISBURG HAS BECOME MORE CONVENIENT RESULTING IN AN INCREASE IN JUNIATA COUNTY'S POPULATION AS PEOPLE MOVE FURTHER AWAY FROM THE URBAN AREAS TO LIVE IN THE COUNTRY. HIGHER GROWTH IN FULTON COUNTY IS EXPLAINED BY MIGRATION FROM MARYLAND AS PEOPLE TRY TO MOVE AWAY FROM HIGHER HOUSING COSTS IN MARYLAND. HUNTINGDON COUNTY'S GROWTH IS MOSTLY OCCURRING IN THE NORTHERN PORTION OF THE COUNTY THAT IS CLOSE ENOUGH TO STATE COLLEGE TO ALLOW RESIDENTS TO COMMUTE TO PENN STATE UNIVERSITY. THESE GROWTH RATES ARE STILL VERY LOW WHEN COMPARED TO A NATIONAL GROWTH RATE OF OVER 13%. OTHER IMPORTANT DEMOGRAPHIC STATISTICS ARE OUTLINED BELOW. STATISTICS: MIFFLIN COUNTY(MC), JUNIATA COUNTY(JC), PENNSYLVANIA(PA) POPULATION: 46,682(MC), 24,636(JC, 12,702,379(PA) POPULATION LESS THAN 18 YEARS OF AGE: 23.1%(MC), 24%(JC), 22%(PA) AGE 65 AND UP: 18.5%(MC), 16.8%(JC), 15.4%(PA) PERCENTAGE OF POPULATION BELOW THE POVERTY LEVEL (2010): 16.6%(MC), 11.1%(JC), 13.4% (PA) POVERTY RATE FOR CHILDREN UNDER AGE 18 (2010): 28.1%(MC), 18.0%(JC), 18.9%(PA) MEDIAN HOUSEHOLD INCOME: 37,163(MC), 45,810(JC), 49,245(PA) UNINSURED ADULTS (2010): 19.1%(MC), 18.7%(JC), 14.5%(PA) UNEMPLOYMENT RATE (2010): 9.5%(MC), 7.7%(JC), 8.4%(PA) MIFFLIN COUNTY'S 65 AND OVER AGE GROUP IS 18.5 PERCENT (2010), WHILE JUNIATA COUNTY'S IS 16.8%, HUNTINGDON COUNTY'S, 16.2% AND FULTON COUNTY'S 17.1%. THE PENNSYLVANIA AVERAGE FOR THIS STATISTIC IS 15.4%. BOTH MIFFLIN AND JUNIATA COUNTIES HAVE HIGHER PERCENTAGES OF PERSONS LESS THAN 18 YEARS OF AGE, 23.1% AND 24.0% RESPECTIVELY, THAN THE PA AVERAGE OF 22.0%. BOTH OF THESE GROUPS REQUIRE MORE HEALTH CARE RESOURCES THAN OTHER AGE GROUPS IN OUR COMMUNITY. MIFFLIN COUNTY HAS 16.6% OF THE POPULATION WITH INCOME BELOW THE POVERTY LINE AND 28.1% OF CHILDREN UNDER 18 LIVING IN POVERTY. JUNIATA COUNTY HAS 11.1% OF THE POPULATION WITH INCOME BELOW THE POVERTY LINE, WHILE HUNTINGDON AND SNYDER COUNTIES ARE 13% AND 14% RESPECTIVELY. PER CAPITA PERSONAL INCOME (2009) FOR THE FOUR MAIN COUNTIES IN OUR SERVICE AREA ARE AS FOLLOWS: MIFFLIN 28.3K, JUNIATA 30.3K, HUNTINGDON 27.6K, AND SNYDER 30.8K. THE PERCENTAGES OF THE POPULATIONS WHO ARE UNINSURED (IN THE 18-64 AGE RANGE) FOR THOSE COUNTIES ARE AS FOLLOWS: MIFFLIN 19%, JUNIATA 19%, HUNTINGDON 19%, AND SNYDER 16%. AT THE BEGINNING OF FOR FISCAL YEAR 2014, APPROXIMATELY 14.1% OF OUR PATIENT POPULATION WAS MEDICAL ASSISTANCE, WHILE ANOTHER 3.8% WERE SELF PAY. THERE IS ONE OTHER HOSPITAL LOCATED WITHIN THE SERVICE AREA DEBCRIBED ABOVE, JC BLAIR MEMORIAL HOSPITAL IN HUNTINGDON, PA. THERE ARE ALSO SEVERAL OTHER HOSPITALS LOCATED IN AREAS SURROUNDING OUR SERVICE AREA. THESE INCLUDE MT. NITTANY MEDICAL CENTER IN STATE COLLEGE, PA; GEISINGER MEDICAL CENTER IN DANVILLE, PA; HOLY SPIRIT HOSPITAL IN CAMP HILL, PA; THE PENN STATE MILTON S. HERSHEY MEDICAL CENTER IN HERSHEY, PA; AND SEVERAL CAMPUSES OF PINNACLE HEALTH IN THE HARRISBURG, PA AREA. THERE ARE ALSO SEVERAL FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS WITHIN OUR SERVICE AREA. THERE ARE TWO LOCATED IN MIFFLIN COUNTY, ONE IN JUNIATA COUNTY, AND FOUR IN HUNTINGDON COUNTY. THE ADULT BEHAVIORAL HEALTH RISK FACTORS SURVEY (2008-2010) SHOWS THE FOLLOWING STATISTICS FOR THE POPULATION LIVING IN MIFFLIN AND JUNIATA COUNTIES: RISK FACTORS : -PERCENT FAIR OR POOR GENERAL HEALTH: 16% -OBESE: 31% -OVERWEIGHT (INCLUDES OBESE): 66% -DIABETIC: 11% -CURRENTLY HAS ASTHMA: 10% -CURRENT SMOKER:19% FOR MIFFLIN AND JUNIATA COUNTIES, THE HEALTH PROFILE FROM THE PA DEPARTMENT OF HEALTH SHOWS THE MAJOR CAUSES OF DEATH ARE DISEASES OF THE HEART, CANCER, STROKE, AND CHRONIC LOWER RESPIRATORY DISEASES. PROSTATE CANCER RANKS AS NUMBER ONE FOR THE HIGHEST INCIDENCE OF CANCER, FOLLOWED BY FEMALE BREAST CANCER. RANKING THIRD AND FOURTH ON THE LIST ARE LUNG CANCER AND COLON CANCER, RESPECTIVELY.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5: ALL OF THE ORGANIZATION'S BOARD MEMBERS RESIDE WITHIN THE ORGANIZATION'S PRIMARY SERVICE AREA. KAY HAMILTON, THE PRESIDENT, IS THE ONLY EMPLOYEE ON THE BOARD AND NONE OF THE BOARD MEMBERS ARE FAMILY MEMBERS OF EMPLOYEES WITHIN THE ORGANIZATION. THE ORGANIZATION EXTENDS STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE AREA. ANNUALLY DURING THE BUDGET PROCESS, A CASH FORECAST IS PREPARED TO DETERMINE THE AMOUNT OF CASH AVAILABLE FOR CAPITAL PURCHASES. CAPITAL REQUESTS ARE MADE BY MANAGEMENT OF THE ORGANIZATION DURING THE BUDGET PROCESS AS WELL. REQUESTS ARE REVIEWED AND APPROVED BY THE MEDICAL EXECUTIVE COMMITTEE ONCE ALL OF THE REQUESTS ARE COMPLETE. THE AMOUNT DETERMINED TO BE AVAILABLE AND APPROVED IS SET ASIDE INTO A FUNDED DEPRECIATION ACCOUNT IN WEEKLY INSTALLMENTS OVER THE COURSE OF THE FISCAL YEAR. LEWISTOWN HOSPITAL IS WHOLLY DEDICATED TO THE LIVES, HEALTH AND WELL-BEING OF THE INDIVIDUALS IN OUR COMMUNITY. ENSURING THAT ADEQUATE CAPITAL EQUIPMENT IS AVAILABLE TO PROVIDE THE BEST TREATMENT POSSIBLE FOR OUR PATIENTS IS AN EXAMPLE OF THAT DEDICATION. ALSO, SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS/COMMUNITY BENEFIT REPORTED IN SCHEDULE O.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	GLH IS A 123-BED ACUTE CARE COMMUNITY HOSPITAL SERVING THE RESIDENTS OF MIFFLIN AND JUNIATA COUNTIES AND MEMBERS OF THE SURROUNDING COUNTIES OF SNYDER, AND HUNTINGDON. ESTABLISHED IN 1905, THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, WELLNESS AND COMMUNITY SERVICES WHILE EMPLOYING OVER 1,000 FULL-TIME AND PART-TIME EMPLOYEES AND PROVIDING A MEDICAL STAFF CONSISTING OF 128 PHYSICIANS AND ALLIED HEALTH PRACTITIONERS REPRESENTING SPECIALTIES RANGING FROM FAMILY MEDICINE, INTERNAL MEDICINE, AND CARDIOLOGY TO INFECTIOUS DISEASE AND GENERAL/CARDIOVASCULAR SURGERY. THE MISSION OF GLH IS TO PROVIDE PERSONAL, HIGH-QUALITY, ECONOMICAL HEALTHCARE FOR OUR COMMUNITIES. GEISINGER HEALTH SYSTEM FOUNDATION (FOUNDATION) IS A 501(C)(3) NOT-FOR- PROFIT CORPORATION THAT, EFFECTIVE NOVEMBER 1, 2013, SERVES AS CORPORATE PARENT OF GLH. FOUNDATION COORDINATES AND SUPERVISES THE ACTIVITIES OF THE GEISINGER HEALTH SYSTEM'S AFFILIATED ENTITIES. THE GEISINGER HEALTH SYSTEM 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 WORD: HEAL. TEACH. DISCOVER. SERVE. THE FOUNDATION IS NOT A LICENSED HEALTH CARE PROVIDER, NOR DOES IT PROVIDE HEALTH CARE SERVICES TO PATIENTS. IT SERVES TO ENSURE THAT THE SYSTEM AFFILIATED ENTITIES HAVE ADEQUATE FINANCIAL RESOURCES TO FULFILL THEIR CHARITABLE MISSIONS AND TO INITIATE AND ADMINISTER GRANT AND PHILANTHROPIC SUPPORT PROGRAMS FOR ALL GEISINGER ENTITIES. THE GEISINGER HEALTH SYSTEM IS ONE OF THE LARGEST RURAL HEALTH CARE SYSTEMS IN THE NATION AND COVERS A 20,000 SQUARE MILE AREA IN NORTHERN AND CENTRAL PENNSYLVANIA. 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 FOUR ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,055 PHYSICIANS PRACTICING AT 78 PRIMARY AND SPECIALTY CLINICS; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 429,135 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. FAMILY HEALTH ASSOCIATES OF GLH(FHA): FHA, A PENNSYLVANIA NON-PROFIT CORPORATION,IS A MULTI-SPECIALTY PHYSICIAN/PRACTITIONER GROUP LOCATED IN CENTRAL PENNSYLVANIA. FHA'S PHYSICIANS ARE BOARD-CERTIFIED OR BOARD ELIGIBLE IN PRIMARY CARE AS WELL AS MANY SPECIALTY AREAS INCLUDING GENERAL SURGERY, PULMONARY MEDICINE, SLEEP MEDICINE, AND WEIGHT LOSS AND NUTRITION. FHA IS DEDICATED TO IT'S MISSION OF PROVIDING PERSONAL, HIGH QUALITY, ECONOMICAL HEALTH CARE THAT MEETS THE NEEDS OF OUR COMMUNITLES LEWISTOWN AMBULATORY CARE CORPORATION (LACC): LACC IS A PENNSYLVANIA NON-PROFIT ORGANIZATION THAT IS A REAL ESTATE HOLDING COMPANY THAT OWNS AND/OR MANAGES THE NON-HOSPITAL REAL ESTATE ASSETS IN THE LEWISTOWN AREA, INCLUDING A MEDICAL OFFICE BUILDING THAT IS ATTACHED TO THE HOSPITAL. GEISINGER MEDICAL CENTER (GMC)A 501(C)(3) NOT-FOR-PROFIT CORPORATION OPERATING A 505 BED REGIONAL REFERRAL TERTIARY/QUATERNARY CARE MEDICAL CENTER LOCATED IN DANVILLE, PENNSYLVANIA, A SMALL COMMUNITY OF 6,000 PEOPLE. SINCE ITS BEGINNING IN 1915, GHS HAS EMPHASIZED MULTI-SPECIALTY CARE AND HAS MORE THAN 80 MEDICAL SPECIALTIES AND SUB-SPECIALTIES. GMC MAINTAINS AN ACTIVE LEVEL 1 REGIONAL RESOURCE TRAUMA CENTER WITH ADDITIONAL QUALIFICATIONS IN PEDIATRICS (ONE OF ONLY FOUR IN PENNSYLVANIA). LIFE FLIGHT, AN AIR AMBULANCE MEDICAL SERVICE, PROVIDES GEISINGER STAFF TRAINED IN ADVANCED LIFE SUPPORT THAT SUPPLEMENTS THE TRAUMA PROGRAM AND THE NEONATAL INTENSIVE CARE UNIT ("NICU"). GEISINGER'S LIFE FLIGHT OPERATES FIVE BASE LOCATIONS, WHICH ARE THE GMC CAMPUS IN DANVILLE, SCRANTON/WILKES-BARRE, STATE COLLEGE, MINERSVILLE AND WILLIAMSPORT. THE MEDICAL CENTER HAS ALSO BEEN DESIGNATED AS A MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). MEDICAL EDUCATION HAS PLAYED A PROMINENT ROLE AT THE GMC WITH MORE THAN 200 RESIDENTS AND FELLOWS RECEIVING POST-DOCTORAL TRAINING AND RESEARCH EXPOSURE. GMC PROVIDES FOR PATIENT SERVICES IN VARIOUS SETTINGS ON OR NEAR THE DANVILLE CAMPUS. THEY INCLUDE THE FOLLOWING: JANET WEIS CHILDREN'S HOSPITAL - A PEDIATRIC TERTIARY HOSPITAL THAT WAS CONSTRUCTED IN 1995 ENTIRELY FROM DONATIONS WHERE MORE THAN 100 SPECIALISTS PROVIDE THEIR EXPERTISE IN OVER 40 MEDICAL FIELDS, INCLUDING ONCOLOGY, NEUROSURGERY, NEONATOLOGY, CARDIOLOGY AND CARDIOVASCULAR SURGERY. GSACH - A 55 BED MEDICAL/SURGICAL ACUTE CARE HOSPITAL SERVING THE PRIMARY AND SECONDARY NEEDS OF NORTHUMBERLAND COUNTY. GSACH IS EQUIPPED WITH A 24 -HOUR EMERGENCY DEPARTMENT, RELATED DIAGNOSTIC SERVICES AND OUTPATIENT SURGERIES. ADDITIONALLY, A 15 BED SHORT STAY SKILLED NURSING UNIT IS AVAILABLE FOR POST-ACUTE CARE NEEDS. GEISINGER WOODBINE LANE - LOCATED OFF ROUTE 11 IN DANVILLE, PA, THIS FACILITY HOUSES MANY OUTPATIENT SERVICES, INCLUDING SAME-DAY SURGERY, DERMATOLOGY AND MOHS SKIN CANCER SURGERY, AN INTERVENTIONAL PAIN CENTER, AND REHABILITATION AND SPORTS MEDICINE. GEISINGER-KNAPPER CLINIC - A CENTER WHICH HOUSES GEISINGER'S CANCER INSTITUTE, INCLUDING THE MOST HIGHLY SKILLED AND KNOWLEDGEABLE PHYSICIANS, NURSES AND CANCER SPECIALISTS IN THE REGION, PROVIDING CANCER CARE, RESEARCH, PREVENTION, CLINICAL TRIAL, TREATMENT AND EDUCATION. KNAPPER CLINIC IS ALSO HOME TO FAMILY MEDICINE, GENERAL PEDIATRICS AND SPECIALTY CARE IN ENDOCRINOLOGY AND METABOLISM AND PSYCHOLOGY. ON-SITE SERVICES LIKE X-RAY, LAB, AND PHARMACY MAKE IT ESPECIALLY CONVENIENT FOR PATIENTS. HEALTHSOUTH REHABILITATION HOSPITAL - A 42-BED FACILITY THAT INCLUDES PHYSICAL, OCCUPATIONAL, SPEECH AND OTHER THERAPY PROGRAMS IN INDIVIDUALIZED CARE PLANS. THIS PARTNERSHIP BETWEEN THE SYSTEM AND HEALTHSOUTH CORPORATION IS DESIGNED TO PROVIDE COMPREHENSIVE INPATIENT AND OUTPATIENT CARE. HOUSE OF CARE - A HOME-AWAY-FROM-HOME OFFERING LOW-COST LODGING FOR ADULT CANCER PATIENTS AND THEIR FAMILIES WHILE UNDERGOING TREATMENT AT GMC. GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV) IS A 501(C)(3) NOT-FOR-PROFIT CORPORATION THAT IS A 274 LICENSED-BED ACUTE/TERTIARY HOSPITAL AND REGIONAL REFERRAL CENTER SERVING THE HEALTHCARE NEEDS OF NORTHEASTERN PENNSYLVANIA. IT IS AN OPEN STAFF HOSPITAL WITH 861 PHYSICIANS HAVING MEDICAL STAFF PRIVILEGES. LOCATED IN PLAINS TOWNSHIP, NEAR WILKES-BARRE, PA, IT IS APPROXIMATELY 60 MILES NORTHEAST OF DANVILLE. GWV, INCLUDING ITS SOUTH WILKES-BARRE AMBULATORY CAMPUS ("GSWB"), GCMC AND A SERIES OF REGIONAL CLINICS, FORM THE SYSTEM'S NORTHEASTERN HUB. GWV OFFERS AN EXPANDING RANGE OF SERVICES THROUGH MULTIPLE CLINICAL DEPARTMENTS: MEDICINE, SURGERY, ANESTHESIA, ANATOMIC/CLINICAL PATHOLOGY, EMERGENCY MEDICINE, FAMILY PRACTICE, OBSTETRICS AND GYNECOLOGY, PEDIATRICS, NEUROSCIENCES, ONCOLOGY, TRAUMA SERVICES, ORTHOPAEDICS, TRANSPLANT SERVICES AND DIAGNOSTIC IMAGING SERVICES. GWV OPERATES A FULL-TIME HOSPITALIST PROGRAM. THE HOSPITALISTS WORK IN CONJUNCTION WITH ADMITTING AND REFERRING PHYSICIANS TO CARE FOR PATIENTS ADMITTED TO THE MEDICAL CENTER. THE GWV MAIN CAMPUS IS HOME TO THE HENRY CANCER CENTER. THIS FACILITY DEVELOPS CANCER PREVENTION STRATEGIES, CULTIVATES CANCER RESEARCH, AND PROVIDES ACCESS TO ADVANCED TREATMENT AND CLINICAL TRIALS FOR PEOPLE IN NORTHEASTERN PENNSYLVANIA. THE 55,000 SQUARE-FOOT FACILITY IS DEDICATED TO THE MULTI-DISCIPLINARY DELIVERY OF CANCER CARE THROUGH COMPREHENSIVE CONSULTATION, DIAGNOSIS, AND TREATMENT FOR A FULL RANGE OF CANCER RELATED DIAGNOSES INCLUDING HEMATOLOGY, MEDICAL ONCOLOGY AND RADIATION THERAPY. THE PEARSALL HEART HOSPITAL AT GWV OPENED IN 2001. THE THREE-STORY, 48,000 SQUARE-FOOT FACILITY OFFERS A FULL SPECTRUM OF INPATIENT AND OUTPATIENT CARDIAC SERVICES AND RESEARCH AND IS AN ACCREDITED CHEST PAIN CENTER. TREATMENTS PERFORMED AT THE PEARSALL HEART HOSPITAL INCLUDE DIAGNOSTIC CARDIOLOGY, CORONARY ARTERY BY-PASS SURGERY, ADVANCED VALVE REPAIR AND REPLACEMENT, CARDIAC REHABILITATION, ELECTROPHYSIOLOGY, AND A VARIETY OF INTERVENTIONAL CARDIOLOGY PROCEDURES INCLUDING ANGIOPLASTY, ANGIO-JET, AND CARDIAC STENT PLACEMENT. IN THE CURRENT FISCAL YEAR, THE PEARSALL HEART HOSPITAL BEGAN TO OFFER LEFT VENTRICULAR ASSIST DEVICE ("LVAD") SERVICES. THIS SERVICE PROVIDES PATIENTS WHO ARE AT END STAGE OF HEART FAILURE TWO OPTIONS: ACT AS A BRIDGE TO A HEART TRANSPLANT OR PRO-LONG THE PATIENT'S LIFE. THE JANET WEIS CHILDREN'S HOSPITAL PEDIATRICS UNIT AT GWV OPENED IN 2004 AND PROVIDES CHILDREN AND THEIR PARENTS ACCESS TO A FULL-TIME PEDIATRIC HOSPITALIST PROGRAM AND 45 BOARD-CERTIFIED PEDIATRIC SPECIALISTS IN NINE SUBSPECIALTIES. THE MEDICAL CENTER'S OBSTETRICS AND GYNECOLOGY DEPARTMENT IS HOME TO A LICENSED 15-BED NURSERY, TWO OBSTETRIC-OPERATING SUITES, AND A TEAM OF CHILDBIRTH PRACTITIONERS AND EDUCATORS. ADDITIONALLY, A 12 BED NICU OPENED IN NOVEMBER 2011 AND AN EXPANSION OF
ADDITIONAL INFORMATION	FORM 990, SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, GLH AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
PENN STATE UNIVERSITY
201 OLD MAIN	UNIVERSITY PARK	PA	16802	246000376	501C3	$10,000	BREAST CANCER AWAREN
ALL OTHER CONTRIBUTIONS COMBINED
EACH INDIVIDUALLY 5000 OR LESS	DANVILLE	PA	17822			$9,909

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PAGE 4, PART IV	FormAndLineReferenceDesc
Explanation	GEISINGER-LEWISTOWN HOSPITAL (GLH) DOES NOT AWARD GRANTS BUT PROVIDES ASSISTANCE IN THE FORM OF CHARITABLE CONTRIBUTIONS TO OTHER TAX-EXEMPT ORGANIZATIONS THAT QUALIFY FOR 501 (C)(3)STATUS UNDER THE INTERNAL REVENUE CODE, LIMITED 501(C)(4) ORGANIZATIONS BASED ON EXPLICIT CRITERIA, PUBLIC BENEFIT OR NON-EXEMPT ORGANIZATIONS WHOSE ACTIVITIES FURTHER THE EXEMPT PURPOSE OF GLH. GLH NOTIFIES THE PUBLIC BENEFIT OR NON-EXEMPT ORGANIZATIONS OF THE INTENT AND PURPOSE OF THE CHARITABLE CONTRIBUTION. ORGANIZATIONS SEEKING SUPPORT MUST DEMONSTRATE THAT THEY EFFECTIVELY MEET AN IMPORTANT COMMUNITY NEED.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
KAY HAMILTON
CAO, DIRECTOR	$294,628	$433	$43,078	$10,584	$348,723
GLENN D STEELE JR MD PHD
PRES, CHAIR, DIR.						$1,065,733	$1,000,000	$135,283	$418,415	$32,864	$2,652,295
DAVID J FELICIO ESQUIRE
CLO, SECRETARY						$381,608	$161,063	$117,228	$73,936	$23,587	$757,422	$63,492
EDWARD J ZYCH ESQUIRE
ACLO, ASST. SECTY.						$258,248	$59,566	$21,546	$44,585	$22,330	$406,275
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE, CFO						$520,243	$239,635	$223,487	$184,190	$22,908	$1,190,463	$185,631
ALBERT BOTHE JR MD
CMO						$544,296	$177,625	$230,945	$184,808	$12,314	$1,149,988	$168,915
CHRISTINE W MATHEWS
VP, NURSING	$150,401	$5,274	$10,651	$6,623	$173,199								$250
NANCY S REINKE
VP HR	$120,992	$401	$11,897	$25,688	$159,228								$250
RANDY TEWKSBURY
VP FINANCE, CFO	$195,462	$6,962	$31,357	$21,175	$255,006								$50
KIRK E THOMAS
SVP, COO	$155,893	$180	$6,804	$24,725	$187,602
FRANK J TREMBULAK
SR VP, TREASURER						$614,182	$280,856	$270,632	$210,979	$10,303	$1,386,952	$205,970
LEWIS D ALLSHOUSE III
PHARMACIST	$125,289	$4,575	$16,818	$12,880	$159,812								$250
NALIN G PATEL
PSYCHIATRIST	$308,203	$258		$21,261	$410,922								$81,200
RICHARD F STOMACKIN
PHARMACIST	$150,052	$5,905	$7,614	$6,671	$170,242

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4	DAVID J. FELICIO, ESQUIRE 0 63,492 0 KEVIN F. BRENNAN, CPA, FHFMA 0 185,631 0 ALBERT BOTHE, JR., M.D. 0 168,915 0 FRANK J. TREMBULAK 0 205,970 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 ("GHSF") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GEISINGER MEDICAL MANAGEMENT CORP
BUSINESS	$772,104	IC SHARED EXP.	false
GEISINGER INDEMNITY INSURANCE CO
BUSINESS	$178,031	IC SHARED EXP.	false
GEISINGER INDEMNITY INSURANCE CO
BUSINESS	$942,946	IC SHARED REV.	false
GEISINGER QUALITY OPTIONS INC
BUSINESS	$2,463,275	IC SHARED REV.	false
GEISINGER ASSURANCE LTD
BUSINESS	$989,000	IC SHRED EXP.	false
HEALTH ENTERPRISES INC
BUSINESS	$1,308,591	IC SHARED EXP.	false
HEALTH ENTERPRISES INC
BUSINESS	$75,017	IC SHARED REV.	false
GAYLE H COWAN
FAMILY	$80,340	EMPLOYEE COMP.	false
PHILLIP J STOUT
FAMILY	$78,723	EMPLOYEE COMP.	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	GAYLE H. COWAN IS THE SPOUSE OF RONALD M. COWAN WHO IS AN OFFICER OF GLH. PHILLIP J. STOUT IS THE SPOUSE OF CATHERINE STOUT WHO IS A DIRECTOR OF GLH. GEISINGER-LEWISTOWN HOSPITAL (GLH) IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF OPERATIONS OF THESE AFFILIATED ORGANIZATIONS, THERE ARE NUMEROUS INTER-ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASE 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 (IRS) 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. THE FOLLOWING ORGANIZATIONS REPRESENT THE AFFILIATED FOR-PROFIT ORGANIZATIONS WITHIN THE GEISINGER HEALTH SYSTEM FOR WHOM BUSINESS TRANSACTIONS MUST BE DISCLOSED FOR PURPOSES OF SCHEDULE L PART IV TRANSACTIONS WITH INTERESTED PERSONS: GEISINGER MEDICAL MANAGEMENT CORP. GEISINGER INDEMNITY INSURANCE CO. GEISINGER QUALITY OPTIONS, INC. GEISINGER ASSURANCE COMPANY, LTD HEALTH ENTERPRISES, INC. THE FOLLOWING OFFICERS AND/OR DIRECTORS OF GEISINGER-LEWISTOWN HOSPITAL ARE OFFICERS AND/OR DIRECTORS ARE OFFICERS AND/OR DIRECTORS OF SOME OR ALL OF THESE ORGANIZATIONS: WILLIAM H. ALEXANDER DORRANCE R. BELIN, ESQUIRE ALBERT BOTHE, M.D. ALLEN DEAVER DAVID J. FELICIO, ESQUIRE RICHARD GRAFMYRE WILLIAM R. GRUVER KAY HAMILTON FRANK HENRY THOMAS H. LEE, JR., M.D. ROBERT E. POOLE NANCY SUE REINKE DON A. ROSINI ROBERT L. TAMBUR RANDY E. TEWKSBURY GLENN D. STEELE, M.D., PH.D. FRANK J. TREMBULAK EDWARD J. ZYCH, ESQUIRE __________________________________________________________________________ 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.	ExplanationTxt

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail (8 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc	DistributionDistributionDt	Fair Market Value Of AssetFairMarketValueOfAssetAmt	Method Of FMV DeterminationMethodOfFMVDeterminationTxt	EINEIN	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	IRC SectionIRCSectionTxt
GEISINGER HEALTH SYSTEM FOUNDATION
CASH AND EQUIVALENTS	2013-11-01	$9,413,577	FMV	261995911	100 NORTH ACADEMY AVENUE	DANVILLE	PA	17822	501C3
GEISINGER HEALTH SYSTEM FOUNDATION
ASSETS HELD BY TRUSTEE	2013-11-01	$596,212	FMV	261995911	100 NORTH ACADEMY AVENUE	DANVILLE	PA	17822	501C3
GEISINGER HEALTH SYSTEM FOUNDATION
ACCOUNTS RECEIVABLE	2013-11-01	$8,907,281	BOOK VALUE	261995911	100 NORTH ACADEMY AVENUE	DANVILLE	PA	17822	501C3
GEISINGER HEALTH SYSTEM FOUNDATION
INVENTORIES	2013-11-01	$2,206,413	BOOK VALUE	261995911	100 NORTH ACADEMY AVENUE	DANVILLE	PA	17822	501C3
GEISINGER HEALTH SYSTEM FOUNDATION
PREPAID EXPENSES	2013-11-01	$1,666,934	BOOK VALUE	261995911	100 NORTH ACADEMY AVENUE	DANVILLE	PA	17822	501C3
GEISINGER HEALTH SYSTEM FOUNDATION
RESTRICTED ASSETS	2013-11-01	$31,051,700	FMV	261995911	100 NORTH ACADEMY AVENUE	DANVILLE	PA	17822	501C3
GEISINGER HEALTH SYSTEM FOUNDATION
PROPERTY AND EQUIPMENT	2013-11-01	$22,377,650	BOOK VALUE	261995911	100 NORTH ACADEMY AVENUE	DANVILLE	PA	17822	501C3
GEISINGER HEALTH SYSTEM FOUNDATION
OTHER LONG TERM ASSETS	2013-11-01	$1,890,914	BOOK VALUE	261995911	100 ACADEMY AVENUE	DANVILLE	PA	17822	501C3

Field	Value	IRS element (for citing)
Director Of Successor2	false	DirectorOfSuccessor2Ind
Employee Of Successor2	false	EmployeeOfSuccessor2Ind
Owner Of Successor2	false	OwnerOfSuccessor2Ind
Receive Compensation2	false	ReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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? GEISINGER HEALTH SYSTEM FOUNDATION, PARENT OF THE ORGANIZATION, IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 1,067,897,566 INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2014. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GEISINGER HEALTH SYSTEM FOUNDATION 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 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. MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. II.GENERAL INFORMATION GEISINGER-LEWISTOWN HOSPITAL (GLH), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 123 BED ACUTE CARE HOSPITAL IN LEWISTOWN, PA. GLH IS CONVENIENTLY LOCATED ONLY A FEW MILES FROM SEVERAL CENTRAL PENNSYLVANIA MAJOR HIGHWAYS. THE FACILITY OPENED IN 1905 IN RESPONSE TO A PRESSING NEED FOR HEALTH AND WELLNESS CARE IN THE COMMUNITY. DURING THE FISCAL YEAR ENDED JUNE 30, 2014, GLH PROVIDED 15,579 PATIENT DAYS; 3,292 BEHAVIOR HEALTH SERVICES PATIENT DAYS; 953 NURSERY PATIENT DAYS; 4,645 SAME DAY SURGICAL PROCEDURES; AND 19,679 EMERGENCY ROOM VISITS. GLH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. THE ORGANIZATION ALSO PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO MET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SERVICES OFFERED BY GLH INCLUDE: GENERAL MEDICAL CARE PROVIDED BY IN-HOUSE HOSPITALIST AND SUPPORTED BY CONSULTATIVE SERVICES IN THE AREAS OF CARDIOLOGY, NEUROLOGY AND PULMONOLOGY. THE EMERGENCY DEPARTMENT (ED) IS COMMITTED TO PROVIDING HIGH QUALITY, PROMPT EMERGENCY SERVICES. GLH'S ED IS STAFFED 24/7 WITH FULL- TIME PHYSICIANS AND NURSES THAT ARE TRAINED IN ALL SPECIALTIES FROM PEDIATRICS TO CRITICAL CARE. IMMEDIATE ACCESS TO LABORATORY SERVICES, X- RAYS, CAT SCANS, ULTRASOUND, MRI AND SURGICAL SERVICES. MOST INSURANCES, INCLUDING MEDICARE AND MEDICAID, ARE ACCEPTED AND NO PATIENT IS REFUSED TREATMENT BECAUSE OF INABILITY TO PAY. OB/GYN FOCUSES ON ALL ASPECTS OF WOMEN'S HEALTH AND EDUCATION, PROVIDING OBSTETRICAL AND GYNECOLOGICAL CARE FOR WOMEN OF ALL AGES. SERVICES INCLUDE BUT NOT LIMITED TO ROUTINE VISITS AND TREATMENTS, PREVENTATIVE HEALTHCARE, BIRTH CONTROL EDUCATION, FAMILY PLANNING, OBSTETRICS, SURGERY & SURGERY CONSULTATIONS, MENOPAUSE COUNSELING, AND MIDWIFERY. MENTAL HEALTH & PSYCHIATRIC PROVIDES INPATIENT SERVICES DESIGNED TO HELP INDIVIDUALS LIVE AS INDEPENDENTLY AS POSSIBLE. ALL AGE GROUPS FROM ADOLESCENTS TO GERIATRICS CAN ACCESS QUICK, EFFICIENT ADMISSION 24/7 AND RECEIVE TREATMENT THROUGH A PSYCHIATRIST AVAILABLE ON A DAILY BASIS. ADMISSIONS ARE CONFIDENTIAL AND MAY BE MADE BY PROFESSIONALS AS WELL BY INDIVIDUALS CONCERNED ABOUT THEMSELVES OR OTHERS. HOSPITALIZATION MEANS PATIENT CARE IS PROVIDED THROUGH MULTIPLE PROFESSIONALS WHO COMPRISE THE TREATMENT TEAM. OTHER SERVICES INCLUDE: CARDIAC SERVICES SURGERY SPECIALTIES RESPIRATORY SERVICES RADIOLOGY ORTHOPEDIC GENERAL SURGERY ICCU UROLOGY PAIN MANAGEMENT LABORATORY SERVICES GYNECOLOGY WOUND MANAGEMENT PHYSICAL THERAPY OTOLARYNGOLOGY III. UNCOMPENSATED CARE GEISINGER-LEWISTOWN HOSPITAL RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GLH PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF GLH IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF CENTRAL PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GLH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2014, THE COST OF THE CHARITY CARE WAS 1.7 MILLION. B.MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GLH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GLH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 13 MILLION DURING THE FISCAL YEAR ENDED JUNE 30, 2014. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GLH PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2014, WAS 2.0 MILLION. D.OTHER UNINSURED FOR UNINSURED CITIZENS THAT DO NOT QUALIFY FOR CHARITY CARE OR GOVERNMENT OR PRIVATE PROGRAMS GLH OFFERS PAYMENT DISCOUNTS AND TIME PAYMENTS WITHOUT INTEREST OR FEES. IV. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER-LEWISTOWN HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GLH. THE VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 15,000 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION. 349,500, IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. V. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GLH STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GLH PROVIDES MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. AT A COST OF 8 THOUSAND, THESE SERVICES AND PROGRAMS INCLUDED: SUPPORT GROUPS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A.GROUPS GLH PROVIDES PROGRAMS FOR ALL DEMOGRAPHICS CANCER CARE & SHARE SUPPORT GROUP: G-LH FACILITATES A LOCAL CANCER SUPPORT NETWORK THAT WELCOMES ALL CANCER SURVIVORS, FAMILY, AND FRIENDS. THE GROUP MEETS EACH MONTH. BARIATRIC SURGERY SUPPORT GROUP: GEISINGER-FHA CENTER FOR WEIGHT MANAGEMENT AND NUTRITION HOSTS A BARIATRIC SURGERY SUPPORT GROUP EVERY MONTH. SESSIONS ARE MODERATED BY VIRGINIA M. WRAY, DO, CNSP. LIVING WELL CANCER SURVIVORSHIP PROGRAM: CLASSES ARE OFFERED BY LEWISTOWN HOSPITAL TWO TIMES A YEAR. CLASSES ARE FREE AND HELD ONCE A WEEK FOR FOUR WEEKS AT THE COMMUNITY CANCER TREATMENT CENTER. THE PROGRAM ALLOWS CANCER SURVIVORS TO ASK QUESTIONS AND ADDRESS AREAS OF CONCERN. IT ALSO TEACHES PARTICIPANTS HOW TO LIVE A HEALTHY LIFESTYLE AND MAKE NECESSARY LIFESTYLE MODIFICATIONS. THE PROGRAM FOCUSES ON HEALTH AND WELLNESS; TREATMENT AND MANAGEMENT; RESOURCES AND FOLLOW UP CARE; AND INCLUDES A TREATMENT PLAN AND SUMMARY AS WELL AS SUPPORT GROUP INFORMATION. GEISINGER-FAMILY HEALTH ASSOCIATES TIME OF CHANGE WORKSHOPS: GEISINGER- FAMILY HEALTH ASSOCIATES (FHA) OFFERS A WORKSHOP DESIGNED ESPECIALLY FOR MOTHERS AND THEIR ADOLESCENT DAUGHTERS, AGES 9 - 12 YEARS. THE FOCUS OF THE WORKSHOP IS TO ASSIST MOTHERS IN EDUCATING THEIR DAUGHTERS ON CHANGES THAT OCCUR DURING ADOLESCENCE. INFORMATIONAL BOOKLETS FOR MOTHERS AND DAUGHTERS ARE GIVEN TO REINFORCE INFORMATION PRESENTED. PREGNANCY SUPPORT: G-LH OFFERS PREPARED CHILDBIRTH AND BREASTFEEDING CLASSES TO PROMOTE POSITIVE OUTCOMES FOR EXPECTANT MOTHERS AND INFANTS THROUGH REALISTIC INSTRUCTION AND ACHIEVABLE GOALS. CLASSES FOCUS ON PREPARING FOR LABOR, DELIVERY AND POSTPARTUM. B.COMMUNITY HEALTH EDUCATION COMMUNITY HEALTH NEEDS ASSESSMENT DIABETES MANAGEMENT WOMEN'S HEALTH RELATED TOPICS SMOKING CESSATION NUTRITION CLASSES LIVING WILLS PREPARING FOR YOUR DOCTOR'S VISIT MEDICATION SAFETY HEART DISEASE/HEART FAILURE PREVENTION CANCER PREVENTION (SKIN, COLON, BREAST, PROSTATE) VI. COMMUNITY SERVICE SUMMARY AT COST CHARITY CARE 1,705,385 MEDICARE/MEDICAID 12,966,788 BAD DEBT 1,994,870 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 7,760 VOLUNTEER SERVICES (VALUED AT 1/1/2014 349,500 PA STATEWIDE AVERAGE WEEKLY WAGE) TOTAL 17,024,303 VII. STATISTICS GEISINGER-LEWISTOWN HOSPTIAL FISCAL YEAR ENDED JUNE 30, 2014 ADMISSIONS (INCLUDING NEWBORNS) 5,472 ADMISSIONS (EXCLUDING NEWBORNS) 4,943 OUTPATIENT VISITS INCLUDING EMERGENCY DEPARTMENT 157,636 AVERAGE LENGTH OF STAY (EXCLUDING NEWBORNS AND PSYCH) 3.8 PERCENT OF OCCUPANCY (EXCLUDING NEWBORNS) 42.0% PATIENT SERVICE DAYS (EXCLUDING NEWBORNS) 18,871 TOTAL OR CASES 5,410 BEDS (EXCLUDING BASSINETS) (SET UP AND STAFFED) 123 BASSINETS IN NURSERY 12
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. INCLUDING THE VOTING MEMBER DESCRIBED ABOVE, A TOTAL OF TEN VOTING MEMBERS OF THE GOVERNING BODY ARE ALSO VOTING MEMBERS OF RELATED TAXABLE ORGANIZATIONS FOR WHICH BUSINESS TRANSACTIONS ARE DISCLOSED ON SCHEDULE L, PART IV. HOWEVER, IF THE RELATED TAXABLE ORGANIZATIONS WERE REQUIRED TO FILE SCHEDULE L, THESE TRANSACTIONS WOULD NOT BE OF A TYPE THAT WOULD BE REPORTABLE ON THEIR SCHEDULE L. IN ADDITION, THESE VOTING MEMBERS ARE NOT COMPENSATED BY THE RELATED TAXABLE ORGANIZATIONS FOR WHICH TRANSACTIONS ARE DISCLOSED IN SCHEDULE L, PART IV, DO NOT HAVE AN OWNERSHIP INTEREST IN OR RECEIVE ANY ECONOMIC BENEFIT FROM THE ACTIVITIES OF THESE RELATED TAXABLE ORGANIZATIONS, RECEIVE NO PRIVATE INUREMENT / PRIVATE BENEFIT FROM THE TRANSACTIONS WITH THE RELATED TAXABLE ORGANIZATIONS AND THE VOTING MEMBERS OF THE GOVERNING BODY ABSTAIN FROM VOTING AND ARE ABSENT FROM BOARD DELIBERATIONS AND DECISIONS ON MATTERS IF A CONFLICT EXISTS. REFER TO THE RESPONSE FOR FORM 990, PART VI, SECTION B, QUESTION 12A, 12B, AND 12C REGARDING THE GEISINGER HEALTH SYSTEM CONFLICTS OF INTEREST POLICY, DISCLOSURE, AND ENFORCEMENT. 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, DORRANCE R. BELIN, ESQUIRE, ALBERT BOTHE, JR., M.D., E. ALLEN DEAVER, DAVID J. FELICIO, ESQUIRE, RICHARD A. GRAFMYRE, WILLIAM R. GRUVER, KAY HAMILTON, FRANK M. HENRY, THOMAS H. LEE, JR., M.D., ROBERT E. POOLE, N. SUE REINKE, DON A. ROSINI, GLENN D. STEELE, JR., M.D., PH.D., ROBERT L. TAMBUR, RANDY E. TEWKSBURY, FRANK J. TREMBULAK AND 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-LEWISTOWN HOSPITAL. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM.
FORM 990, PAGE 6, PART VI, LINE 4	ON NOVEMBER 1, 2013, THE ORGANIZATION CHANGED ITS RESPECTIVE ARTICLES OF INCORPORATION AND BYLAWS TO REFLECT THE MERGER AND INTEGRATION BY AND BETWEEN LEWISTOWN HEALTH SYSTEM AND GEISINGER HEALTH SYSTEM IN WHICH GEISINGER HEALTH SYSTEM FOUNDATION BECAME THE SOLE MEMBER OF EACH OF THE FOLLOWING NON-PROFIT ORGANIZATIONS: LEWISTOWN HOSPITAL, NOW KNOWN AS GEISINGER-LEWISTOWN HOSPITAL, FAMILY HEALTH ASSOCIATES, NOW KNOWN AS FAMILY HEALTH ASSOCIATES OF GEISINGER-LEWISTOWN HOSPITAL, LEWISTOWN HEALTHCARE FOUNDATION AND LEWISTOWN AMBULATORY CARE CORPORATION. GEISINGER HEALTH SYSTEM FOUNDATION ALSO BECAME THE SOLE OWNER OF HEALTH ENTERPRISES, INC., A PENNSYLVANIA BUSINESS CORPORATION.
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, 2014.
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 REVEIWED 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 INDIVUAL 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 2B: THE IC SUPPORT SERVICE REVENUE 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 SHOULD 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	PENSION ADJUSTMENT 2,390,734 FAIR VALUATION OF ASSETS AND LIABILITIES -14,579,817 ---------------- TOTAL -12,189,083 EFFECTIVE NOVEMBER 1, 2013, LEWISTOWN HOSPITAL, NOW GEISINGER-LEWISTOWN HOSPITAL ("GLH") AND ITS AFFILIATED ENTITIES: LEWISTOWN HEALTH CARE FOUNDATION ("LHCF"), LEWISTOWN AMBULATORY CARE CORPORATION ("LACC"), HEALTH ENTERPRISES, INC. ("HEI"), AND FAMILY HEALTH ASSOCIATES OF LEWISTOWN HOSPITAL ("FHA"), NOW FAMILY HEALTH ASSOCIATES OF GEISINGER-LEWISTOWN HOSPITAL), MERGED WITH GEISINGER HEALTH SYSTEM. AS A PART OF THAT MERGER, GLH EVALUATED ALL ASSETS AND LIABILITIES AND ADJUSTED THEM TO THEIR FAIR MARKET VALUE, AS APPLICABLE.
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.
FORM 990, PAGE 12, PART XII, LINE 2C	EFFECTIVE NOVEMBER 1, 2013, GEISINGER-LEWISTOWN HOSPITAL WAS INTEGRATED INTO THE GEISINGER HEALTH SYSTEM. AS A RESULT OF THAT INTEGRATION, THE GEISINGER HEALTH SYSTEM FORM 990 REVIEW PROCESS, AS DESCRIBED IN THE SCHEDULE O RESPONSE TO FORM 990 PART VI, LINE 11B, WAS IMPLEMENTED. IN ADDITION, THE GEISINGER HEALTH SYSTEM AUDIT COMMITTEE IS NOW RESPONSIBLE FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (24 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
GEISINGER HEALTH SYSTEM FOUNDATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231995911	PHILANTHRO	PA	501C3	7	NA	Yes (true)
GEISINGER MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240795959	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	236291113	PHYSICIAN	PA	501C3	11A	GHSF	Yes (true)
GEISINGER WYOMING VALLEY MEDICAL CT
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231996150	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232171417	D&A REHAB	PA	501C3	3	GHSF	Yes (true)
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232311553	HEALTH INS	PA	501C4		GHSF	Yes (true)
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232164794	SUPPORT SV	PA	501C3	11A	GHSF	Yes (true)
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232967235	HEALTHCARE	PA	501C3	9	GSS	Yes (true)
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	141909894	SELF INS	VT	501C3	11A	GHSF	Yes (true)
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240862246	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
COMMUNITY MEDICAL CARE INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232429776	PHYSICIAN	PA	501C3	9	GHSF	Yes (true)
MEDICAL DIMENSIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232369788	RE HOLDIN	PA	501C2		GHSF	Yes (true)
MOUNTAIN VIEW NURSING HOME INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232568288	LONG TERM	PA	501C3	9	GHSF	Yes (true)
COMMUNITY MEDICAL CTR HEALTHCARE SY
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232279376	SUPPORT SV	PA	501C3	11A	GHSF	Yes (true)
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232193572	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
BLOOMSBURG PHYSICIANS SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232979856	PHYSICIAN	PA	501C3	3	GHSF	Yes (true)
GEISINGER-BLOOMSBURG HEALTHCARE CTR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232242854	SKILLED NU	PA	501C3	9	GHSF	Yes (true)
COLUMBIA-MONTOUR HOME HLTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231704399	HOME HEALT	PA	501C3	9	GHSF	Yes (true)
LEWISTOWN HEALTH CARE FOUNDATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344363	PHILANTHRO	PA	501C3	11A	GHSF	Yes (true)
GEISINGER-LEWISTOWN HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231352187	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
LEWISTOWN AMBULATORY CARE CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344362	RE HOLDIN	PA	501C3	11A	GHSF	Yes (true)
FAM HEALTH ASSOC OF GEISINGER-LEWIS
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251651582	PHYSICIAN	PA	501C3	11A	GHSF	Yes (true)
KEYSTONE HEALTH INFO EXCHANGE INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	464359893	RHIO	PA	501C3	11A	GHSF	Yes (true)
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232337286	SUPPORT SV	PA	501C3	11A	CMC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	454475297	ACO	PA	N/A	false	false
LIFESOURCE GEISINGER BLOOD CTR LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	364718005	BLOOD COLL	PA	N/A	false	false
MERIDIAN GEISINGER HLTH NETWORKLLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	455484165	ORG DEL SY	NJ	N/A	false	false
HEALTHSOUTH GHS LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	721398803	PHY THERAP	PA	N/A	false	false
EVANGELICAL-GEISINGER HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	460567687	HEALTHCARE	PA	N/A	false	false
LEMED II
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232391766	RENTAL	PA	N/A	false	false
GEISINGER-SCA HOLDINGS LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461615328	MANAGEMENT	DE	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
GEISINGER MEDICAL MANAGEMENT CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232077663	HOTEL/REST	PA	N/A	Yes (true)
GEISINGER INDEMNITY INSURANCE CO
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232815174	HLTH INSUR	PA	N/A	Yes (true)
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	204275139	HLTH INSUR	PA	N/A	Yes (true)
HEALTH ENTERPRISES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232353212	PHARMACY	PA	N/A	Yes (true)
XG HEALTH SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461657345	CONSULTING	DE	N/A	Yes (true)
GEISINGER ASSURANCE COMPANY LTD
				981016737	INSURANCE		N/A	Yes (true)	23 LINE TREE BAY AVE PO BOX 1159	GRAND CAYMAN	GRAND CAYMAN	CJ	KY1-1102	CJ

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

Transactions Related Org TransactionsRelatedOrgGrp (21 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FAM HEALTH ASSOC OF GEISINGER-LEWIS
L	$258,332	GAAP
GEISINGER ASSURANCE COMPANY LTD
M	$989,000	GAAP
GEISINGER CLINIC
L	$3,204	GAAP
GEISINGER CLINIC
M	$785,884	GAAP
GEISINGER HEALTH PLAN
L	$11,912,896	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
L	$850	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
B	$16,182,846	GAAP
GEISINGER INDEMNITY INSURANCE CO
M	$178,031	GAAP
GEISINGER INDEMNITY INSURANCE CO
L	$942,946	GAAP
GEISINGER MEDICAL CENTER
L	$1,090	GAAP
GEISINGER MEDICAL CENTER
M	$121,105	GAAP
GEISINGER MEDICAL MGMT CORP
M	$772,104	GAAP
GEISINGER QUALITY OPTIONS INC
L	$2,463,275	GAAP
GEISINGER SYSTEM SERVICES
M	$607,573	GAAP
HEALTH ENTERPRISES INC
L	$75,017	GAAP
HEALTH ENTERPRISES INC
M	$1,308,591	GAAP
KEYSTONE HEALTH INFO EXCHANGE INC
M	$60,000	GAAP
LEWISTOWN AMBULATORY CARE CORP
L	$45,669	GAAP
LEWISTOWN AMBULATORY CARE CORP
K	$322,728	FMV
LEWISTOWN HEALTH CARE FOUNDATION
L	$23,167	GAAP
GEISINGER INSURANCE CORPORATIONRRG
P	$567,496	GAAP

Supplemental Information Detail SupplementalInformationDetail

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