2014-05-13T10:59:06-05:00 2013-06-30 990 2012-07-01 240862246 COMMUNITY MEDICAL CENTER COMM 5702716624 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID J FELICIO ESQUIRE 5702716624 2014-05-02 false 2014-05-13 2012 2015-11-30 17:44:51Z GEISINGER-COMMUNITY MEDICAL CENTER GLENN D STEELE JR MD PHD 100 NORTH ACADEMY AVENUE MC 22-01 DANVILLE PA 17822 184730118 false X WWW.CMCCARE.ORG X 1962 PA TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. 10 9 2188 181 97426 -72956 618746 18315 157682384 177160153 518851 1977447 948884 3395215 159768865 182551130 125178 61381 0 74126365 82327133 0 0 87225129 102169657 161476672 184558171 -1707807 -2007041 114404869 128547906 101342419 112040764 13062450 16507142 X TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. false false 167502068 61381 178956397 SEE SCHEDULE O I. GENERAL INFORMATION COMMUNITY MEDICAL CENTER (CMC), DOING BUSINESS AS GEISINGER-COMMUNITY MEDICAL CENTER (GCMC), IS A TAX-EXEMPT, PENNSYLVANIA NOT-FOR-PROFIT CORPORATIONORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GCMC IS A 297-BED ACUTE CARE HOSPITAL IN SCRANTON, PA. THE HOSPITAL WAS FOUNDED 116 YEARS AGO AT WHICH TIME IT WAS KNOWN AS HAHNEMANN HOSPITAL. THE HOSPITAL WAS SCRANTON'S FIRST AND CURRENTLY ONLY ACUTE CARE HOSPITAL DEDICATED TO SERVING THE COMMUNITY AND THEIR HEALTH NEEDS THROUGH A CHARITABLE PURPOSE. GCMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTIVE, AMBULATORY, INPATIENT, AND EMERGENCY SERVICES. GCMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED MANY SPECIFIC AREAS OF EXPERTISE. PATIENT ORIGIN AND SERVICE AREA: THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA COUNTY. THE SECONDARY SERVICE AREAS INCLUDE LUZERNE, MONROE, PIKE, SUSQUEHANNA, WAYNE AND WYOMING COUNTIES. SPECIALIZED / REGIONAL SERVICES, CENTERS OF EXCELLENCE: GCMC IS THE ONLY LEVEL II TRAUMA CENTER IN LACKAWANNA COUNTY. THE NORTHEAST PA TRAUMA CENTER, DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION IN 1988, PROVIDES 24-HOUR COMPREHENSIVE SURGICAL INTERVENTION FOR CRITICALLY INJURED PATIENTS. THE TRAUMA CENTER IS STAFFED CONTINUOUSLY BY AN EMERGENCY PHYSICIAN, TRAUMA SURGEON, AND NURSES CERTIFIED IN CRITICAL CARE, TRAUMA, ORTHOPEDICS, AND THE NEUROSCIENCES. CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN HEART SURGERY CENTER. GCMC IS ALSO A CERTIFIED CAROTID STENT FACILITY. GCMC HAS EARNED THE ACTION REGISTRY- GWTG PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR EIGHT CONSECUTIVE QUARTERS OF QUALITY CARDIOVASCULAR CARE. NEUROLOGICAL SCIENCES AT GCMC SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS. GCMC HAS EARNED THE AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES BRONZE AWARD. OTHER SPECIALIZED SERVICES INCLUDE: A SAME-DAY SURGERY CENTER, A 24-BED SHORT-TERM PSYCHIATRIC INPATIENT UNIT (THE ONLY ONE IN LACKAWANNA COUNTY), AN ORTHOPEDIC TRAUMA CLINIC, CT SCANNER, MRI IMAGING, ONCOLOGY SERVICES, RENAL DIALYSIS, HYPERBARIC OXYGEN CHAMBER TREATMENTS, THE NEW STEPS JOINT PROGRAM, WOUND CARE, AND STEREOTACTIC SURGERY. GCMC OFFERS EMERGENCY MEDICAL TECHNICIAN AND TRAUMA NURSE TRAINING PROGRAMS. IT HAS AN AFFILIATION WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION. THE WRIGHT CENTER IS AN ACCREDITED PROVIDER OF INTERNAL MEDICINE RESIDENCY EDUCATION BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. THE WRIGHT CENTER IS ALSO THE REGION'S ONLY PODIATRIC RESIDENCY PROGRAM AND ACCREDITED PROVIDER OF PODIATRIC MEDICINE AND SURGERY EDUCATION BY THE COUNCIL OF PODIATRIC MEDICAL EDUCATION. IN FY 2013, THE UNCOMPENSATED COSTS FOR HEALTH PROFESSIONS EDUCATION TOTALED 1,206,528. GCMC ALSO SPONSORS THE COMMUNITY HEALTH EDUCATION PROGRAM (DETAILED BELOW). THIS PROGRAM IS THE REGION'S FIRST HOSPITAL-BASED AND COMMUNITY- WIDE WELLNESS AND PREVENTION PROGRAM. IN ADDITION, GCMC SPONSORS THE PRIORITY CARE PROGRAM IN WHICH OVER 20,000 SENIOR CITIZENS ARE ENROLLED IN THE REGION'S FIRST HOSPITAL-BASED FREE MEMBERSHIP PLAN FOR PERSONS 55 AND OLDER. PRIORITY CARE PROVIDES SENIOR CITIZENS WITH A WIDE VARIETY OF BENEFITS AND INFORMATION REGARDING HEALTH AND WELLNESS PROGRAMS. PRIORITY CARE OFFERS CONVENIENT ACCESS TO QUALITY SERVICES INCLUDING: O FREE PARKING IN THE GCMC PARKING COMPLEX O COMMUNITY DISCOUNTS O DISCOUNTED MEALS IN THE HOSPITAL'S DINING ROOM O DISCOUNTS IN THE GCMC GIFT SHOP O PHYSICIAN REFERRAL SERVICE AFFILIATIONS: GCMC HAS WORKING RELATIONSHIPS WITH OTHER HEALTH CARE PROVIDERS IN VENTURES SUCH AS THE NORTHEAST SURGERY CENTER AND THE NORTHEASTERN PENNSYLVANIA IMAGING CENTER. GCMC ALSO HAS WORKING RELATIONSHIPS WITH THE CHILDREN'S ADVOCACY CENTER, MATERNAL & FAMILY HEALTH SERVICES, AND THE RONALD MCDONALD HOUSE OF SCRANTON. IN PARTICULAR, GCMC PROVIDES THE CHILDREN'S ADVOCACY CENTER AND MATERNAL & FAMILY HEALTH SERVICES WITH SPACE TO CONDUCT THEIR CHARTABLE PURPOSE FOR FREE. THESE CHARITABLE LEASES WERE VALUED AT 123,200 FOR FY 2013. GCMC ALSO HAS A CONNECTION WITH NUMEROUS AREA INSTITUTIONS, COLLEGES, AND UNIVERSITIES FOR EDUCATIONAL AND CLINICAL PROGRAMS INCLUDING, BUT NOT LIMITED TO, NURSING, MEDICAL TECHNOLOGY, PHYSICAL AND OCCUPATIONAL THERAPY, EMERGENCY MEDICAL TECHNICIANS, PHYSICIAN ASSISTANTS, SOCIAL WORK, AND HEALTHCARE ADMINISTRATION. MEDICAL STAFF: AS OF JUNE 30, 2013, THE MEDICAL STAFF OF GCMC TOTALED 568 PHYSICIANS. UNDER GCMC'S MEDICAL STAFF BY-LAWS, PHYSICIANS MAY HAVE ONE OF SEVERAL TYPES OF PRIVILEGES INCLUDING ACTIVE, COURTESY, CONSULTING, EMERGENCY, AND TEMPORARY. AUXILIARY: THE GCMC AUXILIARY IS COMPRISED OF APPROXIMATELY 60 MEMBERS. FUNCTIONING WITH THE GUIDANCE OF ITS OWN ADVISORY BOARD, THE AUXILIARY IS SPLIT INTO COMMITTEES, EACH OF WHICH HAS THEIR OWN RESPONSIBILITY FOR FUND-RAISING AND SERVICE. THE AUXILIARY ASSISTS IN OPERATING GCMC'S GIFT SHOP ON A DAILY BASIS. ALLOCATIONS OF FUNDS RAISED BY THE AUXILIARY ARE MADE TO GCMC TO ENHANCE PATIENT SERVICES. II. UNCOMPENSATED CARE: GCMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. GCMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD GCMC PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF GCMC IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS OF NORTHEASTERN PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GCMC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO GCMC OF PROVIDING THIS CHARITY CARE DURING THE FISCAL YEAR ENDED JUNE 30, 2013 WAS 2,015,856. B.MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE), THE POOR (MEDICAID), AND OTHER. GCMC PROVIDES CARE BELOW COST TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GCMC IS FURTHERING ITS CHARITABLE MISSION. THE UNREIMBURSED VALUE OF MEDICARE, MEDICAID AND OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR FISCAL YEAR 2013, THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS 23,906,040. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GCMC PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2013, WAS 2,371,082. III. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GCMC AND RELATED AFFILIATES PROVIDE A VARIETY OF PROGRAMS TO THE COMMUNITY. THE INTENT OF THESE PROGRAMS IS TO IMPROVE THE HEALTH OF THE COMMUNITY AND PROVIDE FOR COMMUNITY HEALTH NEEDS, E.G. THROUGH ACCIDENT/ ILLNESS PREVENTION OR EARLY HEALTH INTERVENTION AS A RESULT OF INCREASED EDUCATION. THE NORTHEAST PA TRAUMA CENTER PROVIDES EMERGENCY PREPAREDNESS ASSISTANCE AND MEDICAL EXPERTISE TO THE AMERICAN RED CROSS LACKAWANNA CHAPTER, LACKAWANNA COUNTY EMERGENCY MANAGEMENT AGENCY, AND THE SCRANTON/WILKES- BARRE INTERNATIONAL AIRPORT. ALSO, FALL AND INJURY PREVENTION FOR THE ELDERLY IS AVAILABLE TO AREA SENIOR CITIZENS AND SENIOR ORGANIZATIONS, AS WELL AS MANY AGE-SPECIFIC PREVENTION PROGRAMS TO VARIOUS ORGANIZATIONS AND SCHOOLS THROUGHOUT THE YEAR. EACH YEAR OVER 500 CHILDREN UNDER THE AGE OF 18 ARE INVOLVED IN EDUCATION'S EXTENSIVE PROGRAMS TARGETING THIS AGE GROUP. TRAUMA PREVENTION PROGRAMS SUCH AS TRAUMA ROOM AND THINK FIRST TEACH KIDS IMPORTANT SAFETY INFORMATION. ASTHMA SKI DAY HELD IN CONJUNCTION WITH MONTAGE MOUNTAIN SKI AREA AND GCMC'S COMMUNITY HEALTH EDUCATION PROGRAM, EMPHASIZING THAT DESPITE ILLNESS, INDIVIDUALS CAN STILL PARTICIPATE IN HEALTHY, EVEN STRENUOUS ACTIVITIES. IN ADDITION, A POISON PREVENTION PROGRAM IS AVAILABLE ALONG WITH OTHER SUCH PROGRAMS AS REQUESTED. MANY OF THESE PROGRAMS ARE THE RESULTS OF EDUCATION'S PARTNERSHIPS WITH OTHER COMMUNITY RESOURCES; E.G., THE AMERICAN LUNG ASSOCIATION, LACKAWANNA COUNTY DRUG AND ALCOHOL COMMISSION, AND ALLIED SERVICES. IN FY 2013, THE TRAUMA CENTER PROVIDED 20 TRAUMA PROGRAMS FOR ABOUT 6,000 OF UNCOMPENSATED COSTS. THE COMMUNITY HEALTH EDUCATION PROGRAM ("LIFECARE") CONDUCTS A WIDE VARIETY OF HEALTHLY LIFESTYLE PROGRAMS, FREE OR AT MINIMAL COST, WHICH ARE DESIGNED TO 'PRACTICALLY' ASSIST AN INDIVIDUAL IN THEIR QUEST TO LEAD A HEALTHY AND PRODUCTIVE LIFE. SOME OF THE AREAS OF CONCENTRATION INCLUDE: SMOKING CESSATION, FIRST AID, CPR, AND WEIGHT WATCHERS SESSIONS THAT ARE OPEN TO THE PUBLI 167502068 true true false true false false false false false true true true false true true false false true false false false false false false false false true true true false true false false false false false false false true false false false false false true true true true false true 188 0 true 2188 true true true false false false false true true false false false false X 10 9 true false false false true true false true true false false true true true true true true true true true true PA X EDWARD CHABALOWSKI CFO 5707038837 1822 MULBERRY STREET SCRANTON PA 18510 WILLIAM H ALEXANDER 0.25 5.25 X 0 0 0 E ALLEN DEAVER 0.25 4.25 X 0 0 0 DORRANCE R BELIN ESQUIRE 0.25 4.25 X 0 0 0 RICHARD A GRAFMYRE 0.25 5.25 X 0 0 0 WILLIAM R GRUVER 0.25 4.50 X 0 0 0 FRANK M HENRY 1.00 3.50 X 0 0 0 THOMAS H LEE JR MD 0.25 5.00 X 0 0 0 GLENN D STEELE JR MD PHD 0.00 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PHILADELPHIA PA 19107 DIETARY, HSKPNG 3141406 WRIGHT CENTER FOR MEDICAL GRAD 501 MADISON AVE SCRANTON PA 18510 STAFFING 1898894 SIEMENS HEALTH SERVICES DIVISION 51 VALLEY STREAM PARKWAY MALVERN PA 19355 TECHNOLOGY 1316319 HCSC LAUNDRY PO BOX 25092 LEHIGH VALLEY PA 180025092 LAUNDRY SERVICE 862777 MEDICAL STAFFING NETWORK PO BOX 203000 DALLAS TX 753203000 STAFFING 805990 86 16915 1400 18315 PATIENT HEALTHCARE 622110 177043300 177043300 RENTAL INCOME 531120 81060 81060 EDUCATION 622110 35793 35793 177160153 933190 933190 219893 146680 73213 73213 73213 3075854 711 1940779 91529 1135075 -90818 1044257 1044257 ELECTRONIC HEALTH RECORD INCE 900099 1877304 1877304 DIETARY INCOME 722514 705457 705457 PARKING GARAGE REVENUE 900099 240585 240585 498656 234484 97426 166746 3322002 182551130 179190881 97426 3244508 61381 61381 1267414 1267414 67192341 61595054 5597287 1556352 1400291 156061 7479437 6729447 749990 4831589 4433862 397727 100947 100947 64644 64644 2518 2518 102557 102557 15072382 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PART V, LINE 4 COMMUNITY MEDICAL CENTER USES ENDOWMENT FUNDS TO SUPPORT PATIENT CARE AND AWARD SCHOLARSHIPS TO EMPLOYEES. SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIII EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM (1) (GHS) ADOPTED FABS INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB NO. 109 ("FIN 48"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE THE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MOLED FOR THE FINANCIAL STATEMENT RECOGNITION, MANAGEMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INOCME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF JUNE 30, 2013 OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2013 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. true true X true X true X 3.80000 true true true false true true 2015856 2015856 0.01090 19372201 11186095 8186106 0.04440 21388057 11186095 10201962 0.05530 141561 141561 0.00080 2951913 1745385 1206528 0.00650 61381 61381 0.00030 3154855 1745385 1409470 0.00760 24542912 12931480 11611432 0.06290 true 10724163 49648711 59802915 -10154204 X true true 1 1 COMMUNITY MEDICAL CENTER DBA GEISINGER-COMMUNITY MEDICAL CTR

1822 MULBERRY STREET SCRANTON PA 18510

X X X COMMUNITY MEDICAL CENTER 1 true X X X X X X X X X X 11 true true true X X X X X X X X X X X true false true true 200.0 true 380.0 true X X X X X X true true X X X X X X X true false true X false false RELATED ORGANIZATION INFORMATION PART I LINE 6A A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GEISINGERCOMMUNITY MEDICAL CENTER GCMC AND ITS RELATED CHARITABLE ORGANIZATIONS IS AVAILABLE AT GEISINGERORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST GO TO WWWGEISINGERORGABOUTMISSIONHTML AND CLICK ON 2013 ANNUAL REPORT COSTING METHODOLOGY EXPLANATION PART I LINE 7 A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYER EG MEDICARE MEDICAID COMMERCIAL PAYORS SELFPAY ETC BAD DEBT EXPENSE EXPLANATION PART III LINE 4 PART III SECTION A LINE 2 AND LINE 4 GCMC 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 PERIODSSEE PAGE 13 OF THE ATTACHED GEISINGER HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS JUNE 30 2013 AND JUNE 30 2012 PATIENTS ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND RECLASSIFIED TO FREE OR DISCOUNTED CARE WHENEVER THE PATIENT BECOMES ELIGIBLE UNDER GCMCS 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 GCMCS UNCOMPENSATED CARE POLICIES MEDICARE EXPLANATION PART III LINE 8 PART III LINE 6 LINE 7 MEDICARE SHORTFALL LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE ALLOWED TO BE REPORTED ON GCMCS MEDICARE COST REPORT THAT IS REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT PART III SECTION B LINE 8 MEDICARE SHORTFALL IS COMMUNITY BENEFIT GCMC CONSIDERS THAT THE TOTAL MEDICARE SHORTFALL OF 15719934 IS REPORTED 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 GCMC TO USE OTHER FUNDS TO COVER THE SHORTFALL MEDICARE SHORTFALLS MUST BE ABSORBED BY GCMC IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY GCMC 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 NONPROFIT HOSPITALS LIKE GCMC 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 COLLECTION PRACTICES EXPLANATION PART III LINE 9B GCMC IS COMMITTED TO PROVIDING MEDICAL NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND GCMCS COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS IT IS GCMC 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 FINANCIALBILLING 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 GCMC FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT ENFORCE LIENS ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT ANDOR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER GCMCS FINANCIAL ASSISTANCE PROGRAM NEEDS ASSESSMENT PART VI GEISINGERCOMMUNITY MEDICAL CENTER REGULARLY PARTICIPATES IN COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS TO IDENTIFY FARREACHING HEALTH NEEDS FACED BY THE POPULATION SERVED BY THE HOSPITAL FOR COMMUNITY BENEFIT PURPOSES FOR FISCAL YEAR ENDED JUNE 30 2013 AS A MEMBER OF THE HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE THE INITIATIVE GCMC PARTICIPATED IN A COMMUNITY HEALTH NEEDS ASSESSMENT CHNA CONDUCTED BY THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT THE INSTITUTE ASSESSMENT RESULTS ARE EVALUATED OVER TIME AND SERVE AS THE BASIS TO DEVELOP NEW OR EXPANDED PLANS TO ADDRESS SERVICES IN RESPONSE TO NEED ADDITIONALLY GCMC DEVELOPS PROGRAMS AND SERVICES TO ADDRESS COMMUNITY HEALTH NEEDS AND MAKES INVESTMENTS IN INITIATIVES THAT ALIGN WITH THE HOSPITALS CORE MISSION BEYOND THAT FOCUS ARE PROGRAMS AND SERVICES THAT BENEFIT EVERY RESIDENT AND SUPPORT THE FAR REACHING GOAL OF A HEALTHIER COMMUNITY THOSE HEALTHY COMMUNITY GOALS HAVE SERVED AS A CATALYST FOR A COLLABORATIVE COMMUNITY APPROACH GCMC HAS BEEN INSTRUMENTAL IN ESTABLISHING IN ORDER TO ACCESS THE HEALTHCARE NEEDS HEALTH STATUS AND QUALITY OF LIFE INDICATORS OF RESIDENTS LIVING IN THE LACKAWANNA COUNTY AND LUZERNE COUNTY COMMUNITIES THE HOSPITAL IS A CHARTER MEMBER OF HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE HNPI AN ALLIANCE AMONG MEMBER REGIONAL HEALTHCARE ORGANIZATIONS AND THE PENNSYLVANIA DEPARTMENT OF HEALTH THE GOAL OF THE ORGANIZATION IS TO ASSESS AND ADDRESS THE COMMUNITY HEALTH NEEDS INCREASE REGIONAL HEALTHCARE PROGRAMS AND SERVICES AND FACILITATE AWARENESS EDUCATION AND WELLNESS FOR RESIDENTS OF NORTHEAST PENNSYLVANIA IN ADDITION TO GCMC OTHER REGIONAL HEALTHCARE PROVIDERS PARTICIPATING IN THE HNPI COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED AMONG OTHERS PENNSYLVANIA DEPARTMENT OF HEALTH WILKESBARRE HEALTH DEPARTMENT OF HEALTH WYOMING VALLEY UNITED WAY MIGRANT WORKERS PROGRAM IN HAZLETON MATERNAL AND FAMILY HEALTH LUZERNE COUNTY TASK FORCE ON DRUG AND ALCOHOL ALLIED SERVICES BLUE CROSS OF NEPA COMMUNITY MEDICAL CENTER MERCY HEALTH PARTNERS MOSES TAYLOR HOSPITALFOUNDATION THE COMMONWEALTH MEDICAL COLLEGE WYOMING VALLEY HEALTHCARE SYSTEM ASSESSMENT SURVEYS WERE DONE IN 1997 2003 AND 2009 WITH THE MOST RECENT SURVEY COMPLETED IN 2012 THE STUDYS MAIN OBJECTIVE WAS TO COMPLETE A COMPREHENSIVE ASSESSMENT OF THE HEALTHCARE ACCESS NEEDS HEALTH STATUS AND QUALITY OF LIFE INDICATORS OF RESIDENTS LIVING IN THE LACKAWANNA COUNTY AND LUZERNE COUNTY COMMUNITIES MORE SPECIFICALLY THE PROJECT GOALS WERE TO OBTAIN STATISTICALLY VALID INFORMATION ON THE HEALTH STATUS AND SOCIOECONOMICENVIRONMENTAL FACTORS RELATED TO HEALTH OF RESIDENTS OF THE COUNTIES HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE HNPI SERVES TO SUPPLEMENT THE GENERAL POPULATION SURVEY DATA THAT IS CURRENTLY AVAILABLE TO HNPI AS AN ORGANIZATION TO ASSURE THAT COMMUNITY MEMBERS INCLUDING THOSE OF BROAD RACIAL ETHNIC CULTURAL AND LINGUISTIC MINORITY GROUPS ARE THE PRIMARY PARTICIPANTS IN THE NEEDS ASSESSMENT SURVEY PROCESS IN ADDITION EDUCATORS HEALTHRELATED PROFESSIONALS MEDIA REPRESENTATIVES LOCAL GOVERNMENT HUMAN SERVICE ORGANIZATIONS INSTITUTES OF HIGHER LEARNING RELIGIOUS INSTITUTIONS AND THE PRIVATE SECTOR ARE ALL ENGAGED AT SOME LEVEL OF THE SURVEY PROCESS TO DEVELOP ACCURATE COMPARISONS TO THE STATE AND NATIONAL BASELINES OF HEALTH MEASURES UTILIZING THE MOST CURRENT VALIDATED DATA AVAILABLE TO UTILIZE DATA OBTAINED FROM THE ASSESSMENT TO ADDRESS THE IDENTIFIED HEALTH NEEDS OF THE HNPI SERVICE AREA TO PROVIDE HNPI WITH APPROPRIATE DATA COMPARISONS ON LIKE SURVEY QUESTIONS TO THE 199798 200304 AND 20082009 COMMUNITY HEALTH NEEDS ASSESSMENTS HOUSEHOLD SURVEY DATA THESE DATA COMPARISONS WILL ALLOW HNPI TO DISCOVER BOTH POSITIVE AND NEGATIVE COMMUNITY HEALTH TRENDS TO COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH NOT ONLY REACHES MINORITYUNDERSERVED POPULATIONS BUT ALSO ADDRESSES A WIDE VARIETY OF COMMUNITY HEALTH TOPICS INCLUDING BUT NOT LIMITED TO ACCESS TO CARE CHRONIC DISEASE PREVALENCE PREVENTIVE HEALTH HEALTH STATUS ACCESS TO COMMUNITY PROGRAMS AND SERVICES QUALITY OF LIFE INDICATORS AND HEALTHY LIFESTYLE BEHAVIORS THE MAJOR HEALTH NEED THEMES WHICH CONSISTENTLY SURFACED IN THE VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS INCLUDED IMPROVING THE ACCESS TO HEALTHCARE FOR UNDER AND UNINSURED IMPROVING HEALTHY BEHAVIORS IE OBESITY AND BROADLY THE RELATED DISEASE BURDENPREVENTION AND EXPANDING TREATMENT AND EDUCATION ON DRUG AND ALCOHOL ABUSE PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI 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 PATIENTS METHOD OF PAYMENT OR INSURANCE STATUS FOR OTHER THAN URGENT AND EMERGENT SERVICES THE HOSPITAL PROVIDES UNCOMPENSATED CARE FREE OF CHARGE OR ON A DISCOUNTED BASIS TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY DEPENDING UPON FAMILY SIZE AND INCOME FREE OR DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME RANGING FROM 200 UP TO 380 OF THE FEDERAL POVERTY GUIDELINES IT IS GCMC 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 FINANCIALBILLING PROCESS INFORMATION SIGNS BROCHURES ETC REGARDING GCMCS 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 ANDOR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY NOTICE OF GCMCS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWWGEISINGERORG PATIENTS ARE ALSO PROVIDED INFORMATION ON GCMCS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL COMMUNITY INFORMATION PART VI GEISINGERCCOMMUNITY MEDICAL CENTERS SERVICE AREA INCLUDES 9 COUNTIES IN NORTHEASTERN PENNSYLVANIA BRADFORD CARBON LACKAWANNA LUZERNE MONROE PIKE SUSQUEHANNA WAYNE AND WYOMING THE APPROXIMATE 2013 TOTAL POPULATION WITHIN THIS SERVICE AREA WAS 1009439 THIS POPULATION IS EXPECTED TO DECLINE2 BY 2018 WHILE AN INCREASE IN THE RATE OF GROWTH IS EXPECTED FOR THE STATE AND NATION 10 AND 33 RESPECTIVELTY IN 2013 THE 65 AND OVER AGE GROUP IS 181 OF THE TOTAL POPULATION WHICH WAS GREATER THAN THE STATE 1643 AND NATIONAL 139 PROPORTIONS ADDITIONALLY THE 65 AND OVER AGE GROUP IS THE AGE SEGMENT PROJECTED TO EXPERIENCE THE LARGEST FIVEYEAR POPULATION GROWTH OF 125 THE REGION IS PRIMARILY RURAL WITH SMALL SUBURBAN AND URBAN POCKETS AVERAGE HOUSEHOLD INCOME IN 2013 WAS 60143 WITH APPROXIMATELY 144 OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES IN 2012 WHICH IS GREATER THAN THE STATE PROPORTION OF 137 THE 2012 AVERAGE UNEMPLOYMENT RATE THE MOST CURRENT FULL YEAR OF COUNTY LEVEL DATA AVAILABLE FROM THE BUREAU OF LABOR STATISITICS WAS 92 WHICH IS HIGHER THAN BOTH THE COMMONWEALTH RATE OF 79 AND THE NATIONAL RATE OF 81 WITHIN THE 9 COUNTY SERVICE AREA 145 OF GCMCS INPATIENT DISCHARGES DURING FISCAL YEAR 2013 WERE SELFPAY OR CHARITY CARE OR WERE MEDICAID RECIPIENTS THE REGION INCLUDES MULTIPLE MEDICALLY UNDERSERVED AREAS AND POPULATIONS THE US DEPARTMENT OF HEALTH AND HUMAN RESOURCES HAS DESIGNATED LACKAWANNA COUNTY AS A MEDICALLY UNDERSERVED AREAPOPULATION DUE TO TOO FEW PRIMARY CARE PROVIDERS HIGH INFANT MORTALITY HIGH POVERTY ANDOR HIGH ELDERLY POPULATION THERE ARE 2 GEISINGER GENERAL MEDICALSURGICAL HOSPITALS GWV AND GCMC AND 15 GENERAL MEDICALSURGICAL NONGEISINGER HOSPITALS IN THIS MARKET HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCOMMUNITY BENEFIT REPORTED IN SCHEDULE O AFFILIATED HEALTH CARE INFORMATION PART VI GCMC IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM WHICH IS ONE OF THE LARGEST RURAL HEALTH CARE SYSTEMS IN THE NATION AND COVERS A 20000 SQUARE MILE AREA IN NORTHERN AND CENTRAL PENNSYLVANIA AS AN INTEGRATED HEALTH CARE SYSTEM IT SERVES MORE THAN TWO MILLION PEOPLE IN 41 OF PENNSYLVANIAS 67 COUNTIES WITH A VARIETY OF CHARITABLE HEALTH CARE PROVIDERS AND A NONPROFIT HMO THE GHS 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 GMC A 404 BED TERTIARY AND QUATERNARY MEDICAL CENTER IS LOCATED IN DANVILLE PENNSYLVANIA A SMALL COMMUNITY OF 6000 PEOPLE SINCE ITS BEGINNING IN 1915 GHS HAS EMPHASIZED MULTISPECIALTY CARE AND HAS MORE THAN 80 MEDICAL SPECIALTIES AND SUBSPECIALTIES GMC IS A LEVEL 1 REGIONAL RESOURCE TRAUMA CENTER AND HAS RECENTLY BEEN NAMED TO THE TOP 100 HOSPITALS IN THE COUNTRY THE MEDICAL CENTER HAS ALSO BEEN DESIGNATED AS A MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER ANCC GHS PHYSICIANS WERE LISTED IN THE BEST DOCTORS IN AMERICA AND THE GHS INTEGRATED COST EFFECTIVE DELIVERY OF MANAGED CARE WAS FEATURED IN A FRONTPAGE NEW YORK TIMES ARTICLE MEDICAL EDUCATION HAS PLAYED A PROMINENT ROLE AT THE GMC WITH MORE THAN 200 RESIDENTS AND FELLOWS RECEIVING POSTDOCTORAL TRAINING AND RESEARCH EXPOSURE GMC IS ALSO HOME TO THE JANET WEIS WOMENS AND CHILDRENS HOSPITAL THE FIRST RURAL ACUTECARE CHILDRENS HOSPITAL IN THE NATION THE 85 BED CHILDRENS HOSPITAL WAS CONSTRUCTED IN 1995 ENTIRELY FROM DONATIONS AND BOASTS A NEONATAL INTENSIVE CARE UNIT A PEDIATRIC INTENSIVE CARE UNIT AND TWO FLOORS OF MEDICALSURGICAL INPATIENT ROOMS IN JANUARY OF 2000 THE TWOSTORY WOMENS PAVILION OPENED AND STRATEGICALLY ADJOINS THE CHILDRENS HOSPITAL FOSTERING FAMILYCENTERED CARE FOR ALL OBSTETRICAL AND NEWBORN SERVICES THE PAVILION FEATURES 19 LABOR DELIVERY RECOVERY POSTPARTUM ROOMS AND HAS THE STATES FIRST PASSTHROUGH WINDOWS FROM TWO HIGHRISK AND CSECTION DELIVERY ROOMS DIRECTLY INTO THE ADJOINING NEONATAL INTENSIVE CARE UNIT GEISINGER WYOMING VALLEY MEDICAL CENTER GWV SERVES PATIENTS IN THE GREATER WYOMING VALLEY AND WESTERN POCONO REGION OF THE STATE WITH A COMPREHENSIVE MATERNITY PROGRAM PEDIATRIC SERVICES MEDICAL AND SURGICAL UNITS THE FRANK M AND DOROTHEA HENRY CANCER CENTER A COMPLETE EMERGENCY DEPARTMENT AS WELL AS OFFERING AN EXTENSIVE COMMUNITYHEALTH EDUCATION PROGRAM OPENING IN THE FALL OF 2001 AND CONNECTED DIRECTLY TO GWV WAS THE REGIONS FIRST AND ONLY HEART HOSPITAL THE THREESTORY STRUCTURE OFFERED LIFESAVING HEART PROCEDURES THAT WERE NOT CURRENTLY AVAILABLE IN THE REGION AS WELL AS A RESEARCH PROGRAM NEW THERAPIES AND SPECIAL HEART SERVICES THE ENTIRE HEALTH SYSTEM IS SERVED BY LIFE FLIGHT THE 20 PLUSYEAR OLD AIRMEDICAL TRANSPORT PROGRAM ONE HELICOPTER IS HOUSED ON THE CAMPUS OF GEISINGER MEDICAL CENTER AND ANOTHER IS STATIONED AT THE UNIVERSITY PARK AIRPORT IN STATE COLLEGE GHS PROVIDED THE FIRST FULLSERVICE FULLTIME MEDICAL HELICOPTER STATIONED IN THE WILKESBARRESCRANTON AREA BY ADDING A THIRD HELICOPTER IN THE FLEET IN JULY 2001 A FOURTH HELICOPTER WAS ADDED IN WILLIAMSPORT IN 2005 WITH A FIFTH GOING ONLINE IN POTTSVILLE IN 2006 GEISINGER CLINIC IS A 501C3 NOTFORPROFIT CORPORATION OPERATING A MULTISPECIALTY GROUP PRACTICE GEISINGER CLINIC PROVIDES PATIENT STAFF FOR PATIENT CARE EDUCATION AND RESEARCH THERE ARE MORE THAN 750 EMPLOYED PHYSICIANS PRACTICING AT AN ARRAY OF HEALTH CARE DELIVERY PROVIDER FACILITIES AT 61 MEDICAL GROUPS SERVING 31 COUNTIES OPERATED WITHIN THE GEISINGER CLINIC ORGANIZATION THE WEIS CENTER FOR RESEARCH LOCATED ON THE CAMPUS OF GEISINGER MEDICAL CENTER IS HOME TO THE HENRY HOOD RESEARCH PROGRAM THE PREEMINENT FUNCTION OF THE HOOD RESEARCH PROGRAM IS TO CONDUCT ORIGINAL AND INNOVATIVE RESEARCH OF WORLD CLASS QUALITY OUR SCIENTISTS APPLY MODERN MOLECULAR AND CELLULAR APPROACHES TO DIVERSE RESEARCH PROBLEMS IN THE AREAS OF CARDIOVASCULAR FUNCTION CANCER AND DEVELOPMENTAL BIOLOGY BEGUN IN 1972 THE GEISINGER HEALTH PLAN IS A 501C4 NOTFORPROFIT ORGANIZATION THAT HAS GROWN TO BE ONE OF THE LARGEST RURAL HMOS IN THE COUNTRY IT CURRENTLY SERVES APPROXIMATELY 200000 MEMBERS IN A 42COUNTY SERVICE AREA MARWORTH IS A 501C 3 NOTFORPROFIT ORGANIZATION AND OPERATES A 77 BED CENTER THAT ALSO OFFERS A BROADBASED OUTPATIENT PROGRAM FOR THE TREATMENT OF ALCOHOL AND CHEMICAL DEPENDENCY MARWORTH IS LOCATED IN WAVERLY PENNSYLVANIA AND IS ANNUALLY RANKED AMONG THE TOP 20 TREATMENT CENTERS IN THE UNITED STATES GEISINGER COMMUNITY HEALTH SERVICES IS A 501C3 NOTFORPROFIT ORGANIZATION DESIGNED TO CONDUCT CHARITABLE SCIENTIFIC AND EDUCATIONAL ACTIVITIES FOR THE CITIZENS OF THE COMMUNITIES SERVED BY GHS MOUNTAIN VIEW CARE CENTER IS A MODERN 180BED HOMELIKE CENTER PROVIDING SHORT TERM REHABILITATION SKILLED NURSING AND LONG TERM CARE THE FACILITY FEATURES A SPECIALIZED 24BED UNIT DEDICATED TO THE SPECIAL NEEDS AND CARE OF PEOPLE WITH ALZHEIMERS OR MEMORYRELATED ILLNESSES THESE PATIENTS NEED A SAFE AND SECURE PLACE TO LIVE MOUNTAIN VIEW HAS DEVELOPED A SEPARATE UNIT DEDICATED TO THE SPECIAL NEEDS OF PEOPLE WITH ALZHEIMERS MOUNTAIN VIEW ALSO PROVIDES HOSPICE CARE SPECIFICALLY DEVOTED TO THE SPECIAL NEEDS OF SERIOUSLY ILL RESIDENTS THE HOSPICE TEAM PROVIDES COMPASSIONATE CARE WITH DIGNITY FOR FISCAL YEAR 2011 MOUNTAIN VIEW CARE CENTER REALIZED 27 MILLION IN UNREIMBURSED COSTS RELATED TO 39695 MEDICAL ASSISTANCE MEDICAID OR MEDICARE PATIENT CARE DAYS ADDITIONAL INFORMATION PART VI FORM 990 SCHEDULE H PART V LINE 21 DID THE HOSPITAL FACILITY CHARGE ANY OF ITS PATIENTS WHO WERE ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL FACILITYS FINANCIAL ASSISTANCE POLICY AND TO WHOM THE HOSPITAL FACILITY PROVIDED EMERGENCY OR OTHER MEDICALLY NECESSARY SERVICES MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAD INSURANCE COVERING SUCH CARE GCMC POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 65 TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WITH INCOME AT 260 TO 380 OF THE FEDERAL POVERTY GUIDELINES WHICH RESULTS IN AMOUNTS LESS THAN THE AVERAGE OF THREE BEST NEGOTIATED COMMERCIAL RATES PATIENTS WHO ARE AT LESS THAN 260 OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE TO RECEIVE UP TO A 100 DISCOUNT FORM 990 SCHEDULE H PART VI LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT AT THIS TIME GCMC AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE COMMUNITY MEDICAL CENTER LINE NUMBER 1 PART V LINE 3 PART V LINE 3 THE COMMUNITY HEALTH NEEDS ASSESSMENT CHNA WAS CONDUCTED BY THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT THE INSTITUTE THROUGH THE HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE HNPI A REGIONAL MEMBERSHIP BASED ORGANIZATION WITH EXPERTISE IN COMMUNITY HEALTH AND COMMUNITY EDUCATION PROGRAMS SURVEYS THE INSTITUTE CONDUCTED IN DEPTH PRIMARY RESEARCH BY DEPLOYING OVER 12000 SURVEYS IN GCMCS PRIMARY AND SECONDARY SERVICE AREAS AND CONDUCTING SEVERAL INTERVIEWS AND FOCUS GROUPS A HOUSEHOLD SURVEY OF OVER 5 OF THE RESIDENTS WITHIN THE COMMUNITY WAS CONDUCTED TO DETERMINE COMMUNITY NEED ADDITIONALLY 200 SPANISH LANGUAGE SURVEYS WERE PREPARED AND DISTRIBUTED TO LOCAL HISPANIC CHURCHES AND FREE MEDICAL CLINICS WITHIN THE COMMUNITY A LOCAL HOUSING AGENCY ALSO HELPED DISTRIBUTE SPANISH LANGUAGE SURVEYS OVERALL 4 OF THE HISPANIC POPULATION RESPONDED ANOTHER 200 SURVEYS WERE DISTRIBUTED TO AFRICAN AMERICAN AND OTHER MINORITY AND IMMIGRANT POPULATIONS THESE SURVEYS WERE DISTRIBUTED THROUGH LOCAL YOUTH ORGANIZATIONS AND FREE MEDICAL CLINICS OVERALL 3 OF THE AFRICAN AMERICAN POPULATION RESPONDED THE SURVEYS MET ALL FEDERAL STANDARDS ESTABLISHED FOR THE PROTECTION OF HUMAN SUBJECTS RIGHTS IN RESEARCH THE WILKES UNIVERSITY INSTITUTIONAL REVIEW BOARD REVIEWED AND APPROVED ALL OF THE PRIMARY RESEARCH INSTRUMENTS AND CONSENTS THE SURVEY RESPONSES WERE UPLOADED INTO THE STATISTICAL PACKAGES FOR THE SOCIAL SCIENCES WHICH IS AN INTEGRATED SOFTWARE PROGRAM USED FOR ANALYTICAL DATA ANALYSIS INTERVIEWS CARE WAS TAKEN TO INTERVIEW STAKEHOLDERS THAT REPRESENTED THE ENTIRE STUDY REGION INTERVIEWS RANGED FROM 45 MINUTES TO 3 HOURS IN DURATION EACH INTERVIEWEE HAD THE OPPORTUNITY TO ADD OPEN COMMENTS AT THE SURVEYS END SIXTEEN INTERVIEWS WERE CONDUCTED WITH 26 STAKEHOLDERS INCLUDING THE FOLLOWING MAJOR EMPLOYERS FEDERALLY QUALIFIED HEALTH CENTER A FREE MEDICAL CLINIC PENNSYLVANIA DEPARTMENT OF HEALTH SOCIAL SCIENTISTS AND RESEARCHERS PHILANTHROPIST AND HEALTH POLICY ADVISOR DISEASEBASED ORGANIZATION SOCIAL SERVICE ORGANIZATION MENTAL AND BEHAVIORAL HEALTH ORGANIZATION EPIDEMIOLOGYENVIRONMENTAL SPECIALISTS PRIMARY CARE PHYSICIANS SURGEONS MEDICAL TECHNOLOGISTCLINICAL LABORATORY HEALTH INSURERS FOCUS GROUPS VARIOUS SEGMENTS OF THE COMMUNITY WERE CONSULTED IN ORDER TO DETERMINE THE UNIQUE HEALTH CARE NEEDS OF SPECIFIC GROUPS INCLUDING HISPANICLATINO COMMUNITY AFRICAN AMERICAN COMMUNITY 2 SEPARATE GROUPS IMPOVERISHED AGING PHYSICALLY AND MENTALLY CHALLENGED YOUR CHRONIC DISEASEPUBLIC HEALTH ORGANIZATIONS MAJOR EMPLOYERS BEHAVIORAL BASED SUBSTANCE ABUSE ORGANIZATIONS ADDITIONAL DATA UTILIZED WAS FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH THE US CENSUS BUREAU THE CENTER FOR RURAL PENNSYLVANIA THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM COUNTY HEALTH RANKING PREPARED BY THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE AND THE ROBERT WOOD JOHNSON FOUNDATION THE DATA INCLUDED DEMOGRAPHIC AND ECONOMIC INDICATORS HEALTH STATUS INCIDENCE OF DISEASE AND INSURANCE STATUS INFORMATION REGARDING THE HEALTH CARE DELIVERY SYSTEM UTILIZED WAS FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH PENNSYLVANIA COST CONTAINMENT COUNCIL PENNSYLVANIA HEALTH CARE ASSOCIATION THE US DEPARTMENT OF HEALTH AND THE LOCAL PARTICIPATING HOSPITALS COMMUNITY MEDICAL CENTER LINE NUMBER 1 PART V LINE 4 PART V LINE 4 GEISINGERCOMMUNITY MEDICAL CENTER AND GEISINGER WYOMING VALLEY MEDICAL CENTER PARTICIPATED IN THE CHNA COMMUNITY MEDICAL CENTER LINE NUMBER 1 PART V LINE 5C PART V LINE 5C THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RELATED IMPLEMENTATION STRATEGIES ARE LOCATED AT WWWGEISINGERORGCHNA COMMUNITY MEDICAL CENTER LINE NUMBER 1 PART V LINE 14G PART V LINE 14G REGISTRATION PERSONNEL ALSO REFER UNINSURED ANDOR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY true THE COMMONWEALTH MEDICAL COLLEGE 525 PINE STREET SCRANTON PA 185093240 260612968 501C3 27200 CASH UNRESTRICTED CONTRIB HEALTHY NEPA INITIATIVE 100 ABINGTON EXECUTIVE PARK CLARKS SUMMIT PA 18411 331030272 501C3 10000 CASH UNRESTRICTED CONTRIB ALL OTHER ASSISTANCE COMBINED EACH INDIVIDUALLY 5000 OR LESS DANVILLE PA 178229800 19181 CASH UNRESTRICTED CONTRIB 2 ADDITIONAL INFORMATION SCHEDULE I, PAGE 4, PART IV COMMUNITY MEDICAL CENTER (CMC) DOES NOT AWARD GRANTS; CMC PROVIDES ASSISTANCE IN THE FORM OF CHARITABLE CONTRIBUTIONS TO 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 CMC. CMC 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 HEALTH NEED. X true true X X X X X X false true false false false false false true false GLENN D STEELE JR MD PHD 1021563 920000 120993 388588 29866 2481010 ANTHONY D AQUILINA DO 312160 129532 14048 59439 17334 532513 DAVID J FELICIO ESQUIRE 313540 152506 46635 120520 20139 653340 EDWARD J ZYCH ESQUIRE 250888 74435 19252 43763 22035 410373 KEVIN F BRENNAN CPA FHFMA 501671 290967 286688 181114 21073 1281513 247768 ROBERT P STEIGMEYER 446114 455881 10653 11250 17839 941737 FRANK J TREMBULAK 592806 305296 347250 203077 13790 1462219 274280 BARBARA BOSSI 215818 73790 19625 11537 12531 333301 JOHN DITCHKUS CRNA 247907 541 13197 13001 274646 MARK R TRENTLY CRNA 237974 2004 12605 12995 265578 ROSE A SADOWSKI CRNA 257216 847 13216 6344 277623 MICHELLE T BOYLE MSN CRNA CRNP 292037 197 11893 15741 319868 GARY SEBASTIANELLI 226962 1023 12760 14769 255514 ALBERT BOTHE JR MD 528879 268143 274517 178224 11292 1261055 221209 JOHN D KIZER MD 320141 79668 27080 18096 19334 464319 KHALEEL SHAIKH MD 396635 39908 3584 13750 13563 467440 SEAN MCANDREW 129647 44341 409 2618 5286 182301 WENDY K WILSON 93216 34481 282 3999 12427 144405 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: FROM TIME TO TIME THE GEISINGER HEALTH SYSTEM BOARD OF DIRECTORS OR GEISINGER HEALTH SYSTEM SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES WHICH FURTHER GEISINGER HEALTH SYSTEM BUSINESS. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 KEVIN F. BRENNAN, CPA, FHFMA 0 247,768 0 FRANK J. TREMBULAK 0 276,507 0 ALBERT BOTHE, JR., M.D. 0 221,209 0 NON-FIXED PAYMENTS PROVIDED 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. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM" AND "SYSTEM" OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. GEISINGER QUALITY OPTIONS INC BUSINESS 3083167 IC SHARED SRVC REV false GEISINGER INDEMNITY INSURANCE CO BUSINESS 461928 IC SHARED SRVC REV false INTERNATIONAL SHARED SERVICES INC BUSINESS 983971 IC SHARED SRVC EXP false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 1438997 IC SHARED SRVC EXP false GEISINGER ASSURANCE COMPANY LTD BUSINESS 958829 IC SHARED SRVC EXP false GEISINGER-SCA HOLDINGS LLC BUSINESS 4702828 CAPITAL CONTRIBTION false GEISINGER-SCA HOLDINGS LLC BUSINESS 70259 DISTRIBUTIONRECEIVED false LACKAWANNA PHYSICIANS AMB SURG CTR BUSINESS 4168 REVENUE FOR SERVICES false ADDITIONAL INFORMATION SCHEDULE L PART V COMMUNITY MEDICAL CENTER CMC DBA GEISINGERCOMMUNITY MEDICAL CENTER 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 INTERORGANIZATIONAL 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 ORGANIZATIONS TAX EXEMPT STATUS THE FOLLOWING ORGANIZATIONS REPRESENT THE AFFILIATED FORPROFIT ORGANIZATIONS WITHIN THE COMMUNITY MEDICAL CENTER FOR WHOM BUSINESS TRANSACTIONS MUST BE DISCLOSED FOR PURPOSES OF SCHEDULE L PART IV TRANSACTIONS WITH INTERESTED PERSONS GEISINGER MEDICAL MANAGEMENT CORPORATION INTERNATIONAL SHARED SERVICES INC GEISINGER INDEMNITY INSURANCE COMPANY GEISINGER QUALITY OPTIONS INC GEISINGER ASSURANCE COMPANY LTD GEISINGERSCA HOLDINGS LLC LACKAWANNA PHYSICIANS AMBULATORY SURGERY CENTER LLC THE FOLLOWING OFFICERS ANDOR DIRECTORS OF COMMUNITY MEDICAL CENTER ARE OFFICERS ANDOR DIRECTORS OF SOME OR ALL OF THESE ORGANIZATIONS WILLIAM H ALEXANDER ANTHONY AQUILINA MD DAVID J FELICIO ESQUIRE RICHARD A GRAFMYRE WILLIAM R GRUVER THOMAS H LEE JR MD ROBERT E POOLE DON A ROSINI GLENN D STEELE MD PHD ROBERT STEIGMEYER 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 ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A I. GENERAL INFORMATION COMMUNITY MEDICAL CENTER (CMC), DOING BUSINESS AS GEISINGER-COMMUNITY MEDICAL CENTER (GCMC), IS A TAX-EXEMPT, PENNSYLVANIA NOT-FOR-PROFIT CORPORATIONORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. GCMC IS A 297-BED ACUTE CARE HOSPITAL IN SCRANTON, PA. THE HOSPITAL WAS FOUNDED 116 YEARS AGO AT WHICH TIME IT WAS KNOWN AS HAHNEMANN HOSPITAL. THE HOSPITAL WAS SCRANTON'S FIRST AND CURRENTLY ONLY ACUTE CARE HOSPITAL DEDICATED TO SERVING THE COMMUNITY AND THEIR HEALTH NEEDS THROUGH A CHARITABLE PURPOSE. GCMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTIVE, AMBULATORY, INPATIENT, AND EMERGENCY SERVICES. GCMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED MANY SPECIFIC AREAS OF EXPERTISE. PATIENT ORIGIN AND SERVICE AREA: THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA COUNTY. THE SECONDARY SERVICE AREAS INCLUDE LUZERNE, MONROE, PIKE, SUSQUEHANNA, WAYNE AND WYOMING COUNTIES. SPECIALIZED / REGIONAL SERVICES, CENTERS OF EXCELLENCE: GCMC IS THE ONLY LEVEL II TRAUMA CENTER IN LACKAWANNA COUNTY. THE NORTHEAST PA TRAUMA CENTER, DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION IN 1988, PROVIDES 24-HOUR COMPREHENSIVE SURGICAL INTERVENTION FOR CRITICALLY INJURED PATIENTS. THE TRAUMA CENTER IS STAFFED CONTINUOUSLY BY AN EMERGENCY PHYSICIAN, TRAUMA SURGEON, AND NURSES CERTIFIED IN CRITICAL CARE, TRAUMA, ORTHOPEDICS, AND THE NEUROSCIENCES. CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN HEART SURGERY CENTER. GCMC IS ALSO A CERTIFIED CAROTID STENT FACILITY. GCMC HAS EARNED THE ACTION REGISTRY- GWTG PLATINUM PERFORMANCE ACHIEVEMENT AWARD FOR EIGHT CONSECUTIVE QUARTERS OF QUALITY CARDIOVASCULAR CARE. NEUROLOGICAL SCIENCES AT GCMC SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS. GCMC HAS EARNED THE AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES BRONZE AWARD. OTHER SPECIALIZED SERVICES INCLUDE: A SAME-DAY SURGERY CENTER, A 24-BED SHORT-TERM PSYCHIATRIC INPATIENT UNIT (THE ONLY ONE IN LACKAWANNA COUNTY), AN ORTHOPEDIC TRAUMA CLINIC, CT SCANNER, MRI IMAGING, ONCOLOGY SERVICES, RENAL DIALYSIS, HYPERBARIC OXYGEN CHAMBER TREATMENTS, THE NEW STEPS JOINT PROGRAM, WOUND CARE, AND STEREOTACTIC SURGERY. GCMC OFFERS EMERGENCY MEDICAL TECHNICIAN AND TRAUMA NURSE TRAINING PROGRAMS. IT HAS AN AFFILIATION WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION. THE WRIGHT CENTER IS AN ACCREDITED PROVIDER OF INTERNAL MEDICINE RESIDENCY EDUCATION BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. THE WRIGHT CENTER IS ALSO THE REGION'S ONLY PODIATRIC RESIDENCY PROGRAM AND ACCREDITED PROVIDER OF PODIATRIC MEDICINE AND SURGERY EDUCATION BY THE COUNCIL OF PODIATRIC MEDICAL EDUCATION. IN FY 2013, THE UNCOMPENSATED COSTS FOR HEALTH PROFESSIONS EDUCATION TOTALED 1,206,528. GCMC ALSO SPONSORS THE COMMUNITY HEALTH EDUCATION PROGRAM (DETAILED BELOW). THIS PROGRAM IS THE REGION'S FIRST HOSPITAL-BASED AND COMMUNITY- WIDE WELLNESS AND PREVENTION PROGRAM. IN ADDITION, GCMC SPONSORS THE PRIORITY CARE PROGRAM IN WHICH OVER 20,000 SENIOR CITIZENS ARE ENROLLED IN THE REGION'S FIRST HOSPITAL-BASED FREE MEMBERSHIP PLAN FOR PERSONS 55 AND OLDER. PRIORITY CARE PROVIDES SENIOR CITIZENS WITH A WIDE VARIETY OF BENEFITS AND INFORMATION REGARDING HEALTH AND WELLNESS PROGRAMS. PRIORITY CARE OFFERS CONVENIENT ACCESS TO QUALITY SERVICES INCLUDING: O FREE PARKING IN THE GCMC PARKING COMPLEX O COMMUNITY DISCOUNTS O DISCOUNTED MEALS IN THE HOSPITAL'S DINING ROOM O DISCOUNTS IN THE GCMC GIFT SHOP O PHYSICIAN REFERRAL SERVICE AFFILIATIONS: GCMC HAS WORKING RELATIONSHIPS WITH OTHER HEALTH CARE PROVIDERS IN VENTURES SUCH AS THE NORTHEAST SURGERY CENTER AND THE NORTHEASTERN PENNSYLVANIA IMAGING CENTER. GCMC ALSO HAS WORKING RELATIONSHIPS WITH THE CHILDREN'S ADVOCACY CENTER, MATERNAL & FAMILY HEALTH SERVICES, AND THE RONALD MCDONALD HOUSE OF SCRANTON. IN PARTICULAR, GCMC PROVIDES THE CHILDREN'S ADVOCACY CENTER AND MATERNAL & FAMILY HEALTH SERVICES WITH SPACE TO CONDUCT THEIR CHARTABLE PURPOSE FOR FREE. THESE CHARITABLE LEASES WERE VALUED AT 123,200 FOR FY 2013. GCMC ALSO HAS A CONNECTION WITH NUMEROUS AREA INSTITUTIONS, COLLEGES, AND UNIVERSITIES FOR EDUCATIONAL AND CLINICAL PROGRAMS INCLUDING, BUT NOT LIMITED TO, NURSING, MEDICAL TECHNOLOGY, PHYSICAL AND OCCUPATIONAL THERAPY, EMERGENCY MEDICAL TECHNICIANS, PHYSICIAN ASSISTANTS, SOCIAL WORK, AND HEALTHCARE ADMINISTRATION. MEDICAL STAFF: AS OF JUNE 30, 2013, THE MEDICAL STAFF OF GCMC TOTALED 568 PHYSICIANS. UNDER GCMC'S MEDICAL STAFF BY-LAWS, PHYSICIANS MAY HAVE ONE OF SEVERAL TYPES OF PRIVILEGES INCLUDING ACTIVE, COURTESY, CONSULTING, EMERGENCY, AND TEMPORARY. AUXILIARY: THE GCMC AUXILIARY IS COMPRISED OF APPROXIMATELY 60 MEMBERS. FUNCTIONING WITH THE GUIDANCE OF ITS OWN ADVISORY BOARD, THE AUXILIARY IS SPLIT INTO COMMITTEES, EACH OF WHICH HAS THEIR OWN RESPONSIBILITY FOR FUND-RAISING AND SERVICE. THE AUXILIARY ASSISTS IN OPERATING GCMC'S GIFT SHOP ON A DAILY BASIS. ALLOCATIONS OF FUNDS RAISED BY THE AUXILIARY ARE MADE TO GCMC TO ENHANCE PATIENT SERVICES. II. UNCOMPENSATED CARE: GCMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. GCMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD GCMC PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF GCMC IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS OF NORTHEASTERN PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GCMC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO GCMC OF PROVIDING THIS CHARITY CARE DURING THE FISCAL YEAR ENDED JUNE 30, 2013 WAS 2,015,856. B.MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE), THE POOR (MEDICAID), AND OTHER. GCMC PROVIDES CARE BELOW COST TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GCMC IS FURTHERING ITS CHARITABLE MISSION. THE UNREIMBURSED VALUE OF MEDICARE, MEDICAID AND OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR FISCAL YEAR 2013, THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS 23,906,040. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GCMC PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2013, WAS 2,371,082. III. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GCMC AND RELATED AFFILIATES PROVIDE A VARIETY OF PROGRAMS TO THE COMMUNITY. THE INTENT OF THESE PROGRAMS IS TO IMPROVE THE HEALTH OF THE COMMUNITY AND PROVIDE FOR COMMUNITY HEALTH NEEDS, E.G. THROUGH ACCIDENT/ ILLNESS PREVENTION OR EARLY HEALTH INTERVENTION AS A RESULT OF INCREASED EDUCATION. THE NORTHEAST PA TRAUMA CENTER PROVIDES EMERGENCY PREPAREDNESS ASSISTANCE AND MEDICAL EXPERTISE TO THE AMERICAN RED CROSS LACKAWANNA CHAPTER, LACKAWANNA COUNTY EMERGENCY MANAGEMENT AGENCY, AND THE SCRANTON/WILKES- BARRE INTERNATIONAL AIRPORT. ALSO, FALL AND INJURY PREVENTION FOR THE ELDERLY IS AVAILABLE TO AREA SENIOR CITIZENS AND SENIOR ORGANIZATIONS, AS WELL AS MANY AGE-SPECIFIC PREVENTION PROGRAMS TO VARIOUS ORGANIZATIONS AND SCHOOLS THROUGHOUT THE YEAR. EACH YEAR OVER 500 CHILDREN UNDER THE AGE OF 18 ARE INVOLVED IN EDUCATION'S EXTENSIVE PROGRAMS TARGETING THIS AGE GROUP. TRAUMA PREVENTION PROGRAMS SUCH AS TRAUMA ROOM AND THINK FIRST TEACH KIDS IMPORTANT SAFETY INFORMATION. ASTHMA SKI DAY HELD IN CONJUNCTION WITH MONTAGE MOUNTAIN SKI AREA AND GCMC'S COMMUNITY HEALTH EDUCATION PROGRAM, EMPHASIZING THAT DESPITE ILLNESS, INDIVIDUALS CAN STILL PARTICIPATE IN HEALTHY, EVEN STRENUOUS ACTIVITIES. IN ADDITION, A POISON PREVENTION PROGRAM IS AVAILABLE ALONG WITH OTHER SUCH PROGRAMS AS REQUESTED. MANY OF THESE PROGRAMS ARE THE RESULTS OF EDUCATION'S PARTNERSHIPS WITH OTHER COMMUNITY RESOURCES; E.G., THE AMERICAN LUNG ASSOCIATION, LACKAWANNA COUNTY DRUG AND ALCOHOL COMMISSION, AND ALLIED SERVICES. IN FY 2013, THE TRAUMA CENTER PROVIDED 20 TRAUMA PROGRAMS FOR ABOUT 6,000 OF UNCOMPENSATED COSTS. THE COMMUNITY HEALTH EDUCATION PROGRAM ("LIFECARE") CONDUCTS A WIDE VARIETY OF HEALTHLY LIFESTYLE PROGRAMS, FREE OR AT MINIMAL COST, WHICH ARE DESIGNED TO 'PRACTICALLY' ASSIST AN INDIVIDUAL IN THEIR QUEST TO LEAD A HEALTHY AND PRODUCTIVE LIFE. SOME OF THE AREAS OF CONCENTRATION INCLUDE: SMOKING CESSATION, FIRST AID, CPR, AND WEIGHT WATCHERS SESSIONS THAT ARE OPEN TO THE PUBLIC AS WELL AS EM ADDITIONAL INFORMATION 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 SEVEN VOTING MEMBERS OF THE GOVERNING BODY ARE ALSO VOTING MEMBERS OF RELATED TAXABLE ORGANIZATIONS FOR WHICH BUSINESS TRANSACTIONS, BETWEEN GCMC AND THE RELATED TAXABLE ORGANIZATION ARE REPORTED 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? GLENN D. STEELE, JR MD, PHD, DAVID J. FELICIO, ESQUIRE, ROBERT STEIGMEYER, FRANK J. TREMBULAK, EDWARD J. ZYCH, ESQUIRE, WILLIAM H. ALEXANDER, WILLIAM R. GRUVER, RICHARD GRAFMYRE, THOMAS H. LEE, JR., M.D., ANTHONY AQUILINA, M.D., ROBERT E. POOLE, DON A. ROSINI 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-COMMUNITY MEDICAL CENTER. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE DIRECTORS, ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION AND APPROVE AMENDMENTS TO THE CORPORATE BYLAWS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. ELECTION OF MEMBERS AND THEIR RIGHTS 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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 THEIR 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, PAYROLL, 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, 2013. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF COMMUNITY MEDICAL CENTER ARE SUBJECT TO THE GHS CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. COMPENSATION PROCESS FOR TOP OFFICIAL 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. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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/ABOUT/MISSION.HTML AND SELECT 2013 ANNUAL REPORT. 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. ADDITIONAL INFORMATION FORM 990, PART XI FORM 990,PART XI, LINE 8: AS PART OF ITS AQUISITION OF GEISINGER-COMMUNITY MEDICAL CENTER, GEISINGER HEALTH SYSTEM RECORDED THE ASSETS AND LIABILITIES OF GEISINGER-COMMUNITY MEDICAL CENTER AT THEIR ESTIMATED FAIR VALUES. DURING 2012, AS MORE INFORMATION BECAME AVAILABLE, SEVERAL OF THE VALUATIONS WERE REVISED. THIS REVISION RESULTED IN A DECREASE IN NET ASSETS OF 2,539,718. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 PENSION ADJUSTMENT 5,920,365 CONTRIBUTIONS FROM AFFILIATE 658,753 EQUITY TRANSFER TO AFFILIATE -1,000 NET INCREASE IN NET ASSETS 6,578,118 ADDITIONAL INFORMATION FORM 990, PART XII FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM" AND "SYSTEM" OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 NA true GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GHSF true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSICIAN PA 501C3 11A GHSF true GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GHSF true MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GHSF true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS PA 501C4 GHSF true HERSHEY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232891807 HOSPITAL PA 501C3 3 GHSF true GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 11A GHSF true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 9 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 11A GHSF true GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 256220019 SELF INS PA 501C3 11A GMC true GEISINGER EXCESS COV PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236852932 SELF INS PA 501C3 11A GMC true COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232429776 PHYSICIAN PA 501C3 9 GHSF true MEDICAL DIMENSIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232369788 RE HOLDIN PA 501C2 GHSF true CMC HEALTHCARE SYS MED PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 046990600 SELF INS PA 501C3 11A GHSF true MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232568288 LONG TERM PA 501C3 9 GHSF true COMMUNITY MEDICAL CTR HEALTHCARE SY 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232279376 SUPPORT SV PA 501C3 11A GHSF true NORTHEAST CANCER CENTER INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 201687320 HEALTHCARE PA 501C3 3 NA true HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SV PA 501C3 11A NA true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GHSF true BLOOMSBURG PHYSICIANS SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232979856 PHYS SVCS PA 501C3 3 GHSF true GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKLD NURSE PA 501C3 9 GHSF true COLUMBIA-MONTOUR HOME HEALTH SVC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231704399 HOME HLTH PA 501C3 9 GHSF true BLOOMSBURG HOSP MED PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 146222837 SELF INS PA 501C3 11B GHSF true 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 NTWRK LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ORG DL SYS 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 GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 HOLDING CO DE N/A RELATED 4702828 false true 0.51000 LACKAWANNA PHYSICIANS AMB SURG CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 233024998 HEALTHCARE PA N/A false false 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 NTWRK LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ORG DL SYS 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 GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 HOLDING CO DE N/A RELATED 4702828 false true 0.51000 LACKAWANNA PHYSICIANS AMB SURG CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 233024998 HEALTHCARE PA N/A false false GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A true INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232159597 COMPUTER PA N/A true GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A true GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A true GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A true XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE N/A true GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A true INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232159597 COMPUTER PA N/A true GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A true GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A true GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A true XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE N/A true true true true false false false false false false false true true true false false false false false true COMMUNITY MEDICAL CARE INC A 81060 FMV COMMUNITY MEDICAL CARE INC M 72952 GAAP COMMUNITY MEDICAL CARE INC L 3863345 GAAP COMMUNITY MEDICAL CTR HEALTHCARE SY C 658753 GAAP GEISINGER ASSURANCE COMPANY LTD M 958829 GAAP GEISINGER CLINIC L 65340 GAAP GEISINGER CLINIC M 1390128 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 269182 GAAP GEISINGER HEALTH PLAN L 19298545 GAAP GEISINGER HEALTH PLAN M 5488053 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 109141 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 4555863 GAAP GEISINGER INDEMNITY INSURANCE CORP L 461928 GAAP GEISINGER INSURANCE CORPORATIONRRG M 520390 GAAP GEISINGER INSURANCE CORPORATIONRRG M 1000 GAAP GEISINGER MEDICAL CENTER M 292484 GAAP GEISINGER QUALITY OPTIONS INC L 3083167 GAAP GEISINGER SYSTEM SERVICES M 11089063 GAAP GEISINGER SYSTEM SERVICES L 40 GAAP GEISINGER WYOMING VALLEY MED CTR M 598098 GAAP INTERNATIONAL SHARED SERVICES INC M 983971 GAAP MEDICAL DIMENSIONS INC K 392001 FMV MEDICAL DIMENSIONS INC L 268250 GAAP MOUNTAIN VIEW NURSING HOME INC L 1140940 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR S 2181870 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR M 1279441 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 1438997 GAAP GEISINGER-SCA HOLDINGS LLC B 4702828 GAAP GEISINGER-SCA HOLDINGS LLC C 70259 GAAP LACKAWANNA PHYSICIANS AMB SURG CTR L 4168 GAAP COMMUNITY MEDICAL CARE INC A 81060 FMV COMMUNITY MEDICAL CARE INC M 72952 GAAP COMMUNITY MEDICAL CARE INC L 3863345 GAAP COMMUNITY MEDICAL CTR HEALTHCARE SY C 658753 GAAP GEISINGER ASSURANCE COMPANY LTD M 958829 GAAP GEISINGER CLINIC L 65340 GAAP GEISINGER CLINIC M 1390128 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 269182 GAAP GEISINGER HEALTH PLAN L 19298545 GAAP GEISINGER HEALTH PLAN M 5488053 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 109141 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 4555863 GAAP GEISINGER INDEMNITY INSURANCE CORP L 461928 GAAP GEISINGER INSURANCE CORPORATIONRRG M 520390 GAAP GEISINGER INSURANCE CORPORATIONRRG M 1000 GAAP GEISINGER MEDICAL CENTER M 292484 GAAP GEISINGER QUALITY OPTIONS INC L 3083167 GAAP GEISINGER SYSTEM SERVICES M 11089063 GAAP GEISINGER SYSTEM SERVICES L 40 GAAP GEISINGER WYOMING VALLEY MED CTR M 598098 GAAP INTERNATIONAL SHARED SERVICES INC M 983971 GAAP MEDICAL DIMENSIONS INC K 392001 FMV MEDICAL DIMENSIONS INC L 268250 GAAP MOUNTAIN VIEW NURSING HOME INC L 1140940 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR S 2181870 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR M 1279441 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 1438997 GAAP GEISINGER-SCA HOLDINGS LLC B 4702828 GAAP GEISINGER-SCA HOLDINGS LLC C 70259 GAAP LACKAWANNA PHYSICIANS AMB SURG CTR L 4168 GAAP COMMUNITY MEDICAL CARE INC A 81060 FMV COMMUNITY MEDICAL CARE INC M 72952 GAAP COMMUNITY MEDICAL CARE INC L 3863345 GAAP COMMUNITY MEDICAL CTR HEALTHCARE SY C 658753 GAAP GEISINGER ASSURANCE COMPANY LTD M 958829 GAAP GEISINGER CLINIC L 65340 GAAP GEISINGER CLINIC M 1390128 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 269182 GAAP GEISINGER HEALTH PLAN L 19298545 GAAP GEISINGER HEALTH PLAN M 5488053 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 109141 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 4555863 GAAP GEISINGER INDEMNITY INSURANCE CORP L 461928 GAAP GEISINGER INSURANCE CORPORATIONRRG M 520390 GAAP GEISINGER INSURANCE CORPORATIONRRG M 1000 GAAP GEISINGER MEDICAL CENTER M 292484 GAAP GEISINGER QUALITY OPTIONS INC L 3083167 GAAP GEISINGER SYSTEM SERVICES M 11089063 GAAP GEISINGER SYSTEM SERVICES L 40 GAAP GEISINGER WYOMING VALLEY MED CTR M 598098 GAAP INTERNATIONAL SHARED SERVICES INC M 983971 GAAP MEDICAL DIMENSIONS INC K 392001 FMV MEDICAL DIMENSIONS INC L 268250 GAAP MOUNTAIN VIEW NURSING HOME INC L 1140940 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR S 2181870 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR M 1279441 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 1438997 GAAP GEISINGER-SCA HOLDINGS LLC B 4702828 GAAP GEISINGER-SCA HOLDINGS LLC C 70259 GAAP LACKAWANNA PHYSICIANS AMB SURG CTR L 4168 GAAP COMMUNITY MEDICAL CARE INC A 81060 FMV COMMUNITY MEDICAL CARE INC M 72952 GAAP COMMUNITY MEDICAL CARE INC L 3863345 GAAP COMMUNITY MEDICAL CTR HEALTHCARE SY C 658753 GAAP GEISINGER ASSURANCE COMPANY LTD M 958829 GAAP GEISINGER CLINIC L 65340 GAAP GEISINGER CLINIC M 1390128 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 269182 GAAP GEISINGER HEALTH PLAN L 19298545 GAAP GEISINGER HEALTH PLAN M 5488053 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 109141 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 4555863 GAAP GEISINGER INDEMNITY INSURANCE CORP L 461928 GAAP GEISINGER INSURANCE CORPORATIONRRG M 520390 GAAP GEISINGER INSURANCE CORPORATIONRRG M 1000 GAAP GEISINGER MEDICAL CENTER M 292484 GAAP GEISINGER QUALITY OPTIONS INC L 3083167 GAAP GEISINGER SYSTEM SERVICES M 11089063 GAAP GEISINGER SYSTEM SERVICES L 40 GAAP GEISINGER WYOMING VALLEY MED CTR M 598098 GAAP INTERNATIONAL SHARED SERVICES INC M 983971 GAAP MEDICAL DIMENSIONS INC K 392001 FMV MEDICAL DIMENSIONS INC L 268250 GAAP MOUNTAIN VIEW NURSING HOME INC L 1140940 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR S 2181870 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR M 1279441 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 1438997 GAAP GEISINGER-SCA HOLDINGS LLC B 4702828 GAAP GEISINGER-SCA HOLDINGS LLC C 70259 GAAP LACKAWANNA PHYSICIANS AMB SURG CTR L 4168 GAAP COMMUNITY MEDICAL CARE INC A 81060 FMV COMMUNITY MEDICAL CARE INC M 72952 GAAP COMMUNITY MEDICAL CARE INC L 3863345 GAAP COMMUNITY MEDICAL CTR HEALTHCARE SY C 658753 GAAP GEISINGER ASSURANCE COMPANY LTD M 958829 GAAP GEISINGER CLINIC L 65340 GAAP GEISINGER CLINIC M 1390128 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 269182 GAAP GEISINGER HEALTH PLAN L 19298545 GAAP GEISINGER HEALTH PLAN M 5488053 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 109141 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 4555863 GAAP GEISINGER INDEMNITY INSURANCE CORP L 461928 GAAP GEISINGER INSURANCE CORPORATIONRRG M 520390 GAAP GEISINGER INSURANCE CORPORATIONRRG M 1000 GAAP GEISINGER MEDICAL CENTER M 292484 GAAP GEISINGER QUALITY OPTIONS INC L 3083167 GAAP GEISINGER SYSTEM SERVICES M 11089063 GAAP GEISINGER SYSTEM SERVICES L 40 GAAP GEISINGER WYOMING VALLEY MED CTR M 598098 GAAP INTERNATIONAL SHARED SERVICES INC M 983971 GAAP MEDICAL DIMENSIONS INC K 392001 FMV MEDICAL DIMENSIONS INC L 268250 GAAP MOUNTAIN VIEW NURSING HOME INC L 1140940 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR S 2181870 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR M 1279441 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 1438997 GAAP GEISINGER-SCA HOLDINGS LLC B 4702828 GAAP GEISINGER-SCA HOLDINGS LLC C 70259 GAAP LACKAWANNA PHYSICIANS AMB SURG CTR L 4168 GAAP ADDITIONAL INFORMATION SCHEDULE R FORM 990 SCHEDULE R PART V TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN THE RESPONSE TO FORM 990 SCHEDULE R COMMUNITY MEDICAL CENTER IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS WHICH MAY INCLUDE SALES EXCHANGES AND LEASES OF PROPERTY EXTENSIONS OF CREDIT FURNISHING OF GOODS SERVICES AND FACILITIES AND TRANSFERS OF ASSETS THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS TAX EXEMPT STATUS GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231995911 X 0 0 0 0 0 0 0 0 0 0 GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 240795959 X 0 29290 29290 909722334 909751624 310143 77536 0 0 0 GEISINGER CLINIC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 236291113 X 0 37359 37359 777143985 777181344 264949 66237 0 0 0 GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232164794 X 1437 560350 561787 512135793 512697580 174784 43696 0 0 0 GEISINGER WYOMING VALLEY MEDICAL CTR 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231996150 X 0 7636 7636 413534594 413542230 140981 35245 0 0 0 MARWORTH 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232171417 X 0 5667 5667 12161456 12167123 4148 1037 0 0 0 HERSHEY MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232891807 X 0 0 0 0 0 0 0 0 0 0 GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232967235 X 0 4568 4568 40789275 40793843 13907 3477 0 0 0 GEISINGER INSURANCE CORP RRG 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 141909894 0 0 0 986617 986617 336 84 0 0 0 GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 256220019 0 0 0 5147 5147 2 0 0 0 0 GEISINGER EXCESS COV PROF LIAB TRUST 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 236852932 0 0 0 0 0 0 0 0 0 0 COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 240862246 X 0 2518 2518 184555653 184558171 62918 15729 0 0 0 COMMUNITY MED CTR HEALTHCARE SYSTEM 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232279376 0 0 0 15061 15061 5 1 0 0 0 COMMUNITY MED CTR HLTHCARE SYS TRUST 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 046990600 0 0 0 1279441 1279441 436 109 0 0 0 COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232429776 0 1029 1029 10186478 10187507 3473 868 0 0 0 MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232568288 0 0 0 16731974 16731974 5704 1426 0 0 0 GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232193572 0 209 209 36430143 36430352 12419 3105 0 0 0 BLOOMSBURG PHYSICIAN SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232979856 0 0 0 2231806 2231806 761 190 0 0 0 GEISINGER-BLOOMSBURG HEALTH CARE CTR 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232242854 0 0 0 9965074 9965074 3397 849 0 0 0 COLUMBIA-MONTOUR HOME HEALTH SVCS 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231704399 0 112 112 4748651 4748763 1619 405 0 0 0 BLOOMSBURG HOSPITAL MED PROFL SIT 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 146222837 0 0 0 52214 52214 18 4 0 0 0