COMMUNITY MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY MEDICAL CENTER (EIN 24-0862246)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-13
IRS object ID: 201301339349304130
Schema version: 2011v1.5
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 G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-13T15:18:11-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	240862246	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	COMM	NameControl
Phone	5702716624	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	DAVID J FELICIO ESQUIRE	Name
Title	SECRETARY	Title
Phone	5702716624	Phone
Date Signed	2013-05-08	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Date Prepared	2013-05-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER-COMMUNITY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GLENN D STEELE JR MD PHD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	159917949	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.CMCCARE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1962	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Termination Or Contraction	X	TerminationOrContraction
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	1720	TotalNbrEmployees
Total Nbr Volunteers	274	TotalNbrVolunteers
Total Gross UBI	25407	TotalGrossUBI
Net Unrelated Business Txbl Income	-26501	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2042638	ContributionsGrantsPriorYear
Contributions Grants Current Year	618746	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	166373151	ProgramServiceRevenuePriorYear
Program Service Revenue CY	157682384	ProgramServiceRevenueCY
Investment Income Prior Year	862345	InvestmentIncomePriorYear
Investment Income Current Year	518851	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2912353	OtherRevenuePriorYear
Other Revenue Current Year	948884	OtherRevenueCurrentYear
Total Revenue Prior Year	172190487	TotalRevenuePriorYear
Total Revenue Current Year	159768865	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	90902	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	125178	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	74864514	SalariesEtcPriorYear
Salaries Etc Current Year	74126365	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	150394	TotalFundrsngExpCurrentYear
Other Expense Prior Year	94385671	OtherExpensePriorYear
Other Expenses Current Year	87225129	OtherExpensesCurrentYear
Total Expenses Prior Year	169341087	TotalExpensesPriorYear
Total Expenses Current Year	161476672	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2849400	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1707807	RevenuesLessExpensesCY
Total Assets BOY	110672775	TotalAssetsBOY
Total Assets EOY	114404869	TotalAssetsEOY
Total Liabilities BOY	72135151	TotalLiabilitiesBOY
Total Liabilities EOY	101342419	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	38537624	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	13062450	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	149962754	Expense
Grants	125178	Grants
Revenue	156445983	Revenue
Description	SEE SCHEDULE O GCOMMUNITY MEDICAL CENTER, DOING BUSINESS AS GEISINGER-COMMUNITY MEDICAL CENTER (G-CMC), OPENED IN 1897 AS THE HAHNEMANN HOSPITAL AND SCHOOL OF NURSING, THE HOSPITAL WAS SCRANTON'S FIRST HOSPITAL DEDICATED TO COMMUNITY SERVICE. G-CMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTATIVE, AMBULATORY, INPATIENT, AND EMERGENCY SERVICES. G-CMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED SPECIFIC AREAS OF EXPERTISE. SPECIALIZED / REGIONAL SERVICES, CENTER OF EXCELLENCE: G-CMC IS AN ACUTE CARE HOSPITAL LICENSED FOR 297 BEDS AND 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, ORTHOPAEDICS, AND THE NEUROSCIENCES. THE UNREIMBURSED COSTS OF PROVIDING TRAUMA SERVICES TO THE COMMUNITY IN FY 2012 TOTALED 1,281,642. CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN HEART SURGERY CENTER. G-CMC IS ALSO A CERTIFIED CAROTID STENT FACILITY. NEUROLOGICAL SCIENCES AT THE HOSPITAL SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS. OTHER SPECIALIZED SERVICES INCLUDE: A SAME-DAY SURGERY CENTER, A 24 LICENSED BED SHORT TERM PSYCHIATRIC INPATIENT UNIT, AN ORTHOPAEDIC TRAUMA CLINIC, CT SCANNER, MRI IMAGING, ONCOLOGY SERVICES, RENAL DIALYSIS, HYPERBARIC OXYGEN CHAMBER TREATMENTS, THE NEW STEPS JOINT PROGRAM, WOUND CARE, AND STEREOTACTIC SURGERY. G-CMC OFFERS EMERGENCY MEDICAL TECHNICIAN AND TRAUMA NURSE TRAINING PROGRAMS. IT HAS AN AFFILIATION WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION, AN ACCREDITED PROVIDER OF INTERNAL MEDICINE RESIDENCY EDUCATION, BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION, AND THE REGION'S ONLY PODIATRIC RESIDENCY PROGRAM, AND ACCREDITED PROVIDER OF PODIATRIC MEDICINE AND SURGERY EDUCATION, BY THE COUNCIL OF PODIATRIC MEDICAL EDUCATION. UNCOMPENSATED COSTS FOR HEALTH PROFESSIONS EDUCATION TOTALED 1,186,186. G-CMC ALSO SPONSORS THE COMMUNITY HEALTH EDUCATION PROGRAM, THE REGION'S FIRST HOSPITAL-BASED AND COMMUNITY-WIDE WELLNESS AND PREVENTION PROGRAM. IN ADDITION, G-CMC 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 OVER 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: FREE PARKING IN THE G-CMC PARKING COMPLEX COMMUNITY DISCOUNTS DISCOUNTED MEALS IN THE HOSPITAL'S DINING ROOM DISCOUNTS AT THE G-CMC GIFT SHOP PHYSICIAN REFERRAL SERVICE AFFILIATIONS: G-CMC HAS WORKING RELATIONSHIPS WITH OTHER HEALTH CARE PROVIDERS IN VENTURES SUCH AS THE NORTHEASTERN PENNSYLVANIA IMAGING CENTER, THE CHILDREN'S ADVOCACY CENTER, MATERNAL & FAMILY HEALTH SERVICES, AND THE RONALD MCDONALD HOUSE OF SCRANTON. G-CMC 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, 2012, THE MEDICAL STAFF AT G-CMC TOTALED OVER 350 PHYSICIANS. UNDER G-CMC'S MEDICAL STAFF BY-LAWS, PHYSICIANS MAY HAVE ONE OF SEVERAL TYPES OF PRIVILEGES INCLUDING ACTIVE, COURTESY, CONSULTING, EMERGENCY, AND TEMPORARY. AUXILIARY: THE G-CMC AUXILIARY IS COMPRISED OF APPROXIMATELY 65 MEMBERS. FUNCTIONING WITH THE GUIDANCE OF ITS OWN ADVISORY BOARD, THE AUXILIARY HAS COMMITTEES, EACH WITH ITS OWN RESPONSIBILITY FOR FUND-RAISING, AND SERVICE. THE AUXILIARY ASSISTS IN OPERATING G-CMC'S GIFT SHOP SEVEN DAYS A WEEK. ALLOCATIONS OF FUNDS RAISED BY THE AUXILIARY ARE MADE TO G-CMC TO ENHANCE PATIENT SERVICES. VOLUNTEER SERVICES: FROM YEAR TO YEAR, G-CMC HAS APPROXIMATELY 250-300 ACTIVE ADULT AND JUNIOR VOLUNTEERS WHO VOLUNTEER THEIR TIME TO G-CMC AND CAN BE FOUND ASSISTING THE STAFF IN A VARIETY OF CAPACITIES IN HOSPITAL DEPARTMENTS SUCH AS: MAIL ROOM, MEDICAL RECORDS, SURGICAL SERVICES, EMERGENCY DEPARTMENT, AND GIFT SHOP. VOLUNTEERS ALSO ASSIST AT SPECIAL HOSPITAL FUNCTIONS. IN 2012, G- CMC VOLUNTEERS PROVIDED OVER 11,500 HOURS OF SERVICE TO G-CMC. THROUGH G-CMC'S VOLUNTEER DEPARTMENT, HUNDREDS OF SCHOOL AND COLLEGE STUDENTS ARE PROVIDED INFORMATION ABOUT HEALTHCARE TO ASSIST IN CAREER CHOICE THROUGH TOURS AND SHADOWING OPPORTUNITIES AT THE FACILITY. PATIENT ORIGIN AND SERVICE AREA: THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA COUNTY. THE SECONDARY SERVICE AREA INCLUDES LUZERNE, MONROE, PIKE, SUSQUEHANNA, WAYNE AND WYOMING COUNTIES. SUPPORT TO THE COMMUNITY: G-CMC AND RELATED AFFILIATES PROVIDE A VARIETY OF PROGRAMS TO THE COMMUNITY INCLUDING THE EDUCATION PROGRAM WHICH PROVIDES NUMEROUS COMMUNITY SERVICES SOME OF WHICH ARE LISTED BELOW. THE INTENT OF THESE PROGRAMS AND PARTNERSHIPS IS THE IMPROVED HEALTH OF THE COMMUNITY; I.E., ACCIDENT/ ILLNESS PREVENTION OR EARLY 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 SNO MOUNTAIN SKI AREA AND G-CMC'S COMMUNITY HEALTH EDUCATION PROGRAM, EMPHASIZE 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. THE COMMUNITY HEALTH EDUCATION PROGRAM CONDUCTS A WIDE VARIETY OF HEALTH 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 EMPLOYEES AND FAMILY. PUBLIC / COMMUNITY HEALTH LECTURES: LAST YEAR APPROXIMATELY 400 PEOPLE ATTENDED THESE SESSIONS WHICH ARE FREE TO THE PUBLIC. A SAMPLING OF THE TOPICS INCLUDED THE FOLLOWING: ALZHEIMER'S PROGRAM FOR CAREGIVERS, MENTAL HEALTH ISSUES, END OF LIFE ISSUES, BREAST CANCER AWARENESS, AND COLON CANCER AWARENESS. HEALTH FAIRS / SCREENING PROGRAMS: EDUCATION IN PARTNERSHIP WITH OTHER COMMUNITY RESOURCES PROVIDES HEALTH FAIRS AND SCREENINGS TO THE COMMUNITY AND LOCAL BUSINESS/INDUSTRY FREE OR AT A MINIMAL COST. PROGRAMS INCLUDED: CARBON MONOXIDE SCREENINGS, CHOLESTEROL/BLOOD PRESSURE SCREENINGS, AND DIABETIC SCREENINGS. THE UNREIMBURSED COST OF PROVIDING SUCH SCREENINGS IN FY 2012 TOTALED 24,081. THE SYSTEM PROVIDES MONTHLY MEETING PLACES FREE OF CHARGE TO MANY COMMUNITY SELF-HELP GROUPS WHICH INCLUDE: DIABETES SUPPORT GROUP, CROHNS & COLITIS SUPPORT GROUP, BETTER BREATHER'S CLUB, AND NAMI SUPPORT GROUP MEETINGS. G-CMC'S FACILITIES ARE MADE AVAILABLE TO OTHER COMMUNITY GROUPS UPON REQUEST AND AVAILABILITY; E.G., THE HILL NEIGHBORHOOD ASSOCIATION, AND THE EAST SCRANTON BUSINESS ASSOCIATION. UNCOMPENSATED CARE G-CMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. G-CMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD G-CMC 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 G-CMC 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 G-CMC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO GMC OF PROVIDING THIS CHARITY CARE DURING THE FISCAL Y	Description
Total Program Service Expense	149962754	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	true	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	188	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1720	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	EDWARD CHABALOWSKI CFO	NamePerson
Telephone Number	5709698837	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1822 MULBERRY STREET	AddressLine1
City	SCRANTON	City
State	PA	State
ZIP Code	18510	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (45 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
WILLIAM H ALEXANDER
DIRECTOR	2.00	X	0	0	0
WILLIAM AUBREY
DIRECTOR	2.00	X	0	0	0
MICHAEL KONDASH DO
DIRECTOR	2.00	X	0	0	0
E ALLEN DEAVER
DIRECTOR	2.00	X	0	0	0
DEBRA PELLEGRINO EDD
DIRECTOR, SE	2.00	X	0	0	0	X
FRANK EPIFANO
DIRECTOR	2.00	X	0	0	0
DORRANCE R BELIN ESQUIRE
DIRECTOR	2.00	X	0	0	0
MELINDA C GHILARDI ESQUIRE
SECRETARY,VI	2.00	X	0	0	0	X
RICHARD FINE ESQUIRE
DIRECTOR	2.00	X	0	0	0
DAVID LOHIN DO FACC
DIRECTOR	2.00	X	0	0	0
GEORGE GINADER
DIRECTOR, TR	2.00	X	0	0	0	X
RICHARD A GRAFMYRE
DIRECTOR	2.00	X	0	0	0
ROLAND GRECO
DIRECTOR	2.00	X	0	0	0
WILLIAM R GRUVER
DIRECTOR	2.00	X	0	0	0
FRANK M HENRY
DIRECTOR	2.00	X	0	0	0
JEFF JACOBSON
DIRECTOR, CH	2.00	X	0	0	0	X
BRIAN D MOTT MD
PRES. MEDICA	40.00	X	0	81330	3978
LOUIS DENAPLES MD
DIRECTOR	2.00	X	0	0	0
THOMAS H LEE JR MD
DIRECTOR	2.00	X	0	0	0
TIMOTHY FARRELL MD
DIRECTOR	2.00	X	0	0	0
VIRGINIA MCGREGOR
DIR,CHAIR,VI	2.00	X	0	0	0	X
GLENN D STEELE JR MD PHD
DIRECTOR,PRE	40.00	X	0	5048679	390571	X
ROBERT E POOLE
DIRECTOR	2.00	X	0	0	0
DON A ROSINI
DIRECTOR	2.00	X	0	0	0
ROBERT P STEIGMEYER
DIR.,CAO,PRE	40.00	X	605284	0	20502	X
THOMAS TULANEY
TREASURER	2.00	X	0	0	0	X
BARBARA BOSSI
VP NURSING	40.00		268588	0	20703	X
ANTHONY AQUILINA DO
CMO	40.00		0	366104	34623	X
DAVID J FELICIO ESQUIRE
CLO,SECRETAR	40.00		0	475750	133442	X
EDWARD J ZYCH ESQUIRE
ASSISTANT SE	40.00		0	336473	63965	X
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE	40.00		0	970130	192289	X
JAMES J JESIKIEWICZ
ASSISTANT TR	40.00		68870	0	15170	X
ALBERT BOTHE MD
CMO	40.00		0	881942	181727	X
SEAN MCANDREW
VP INFORM. S	40.00		150356	0	7584	X
JOHN SKURKA
INTERIM CFO	40.00		554986	0	0	X
FRANK J TREMBULAK
SR VP, TREAS	40.00		0	934746	206030	X
WENDY K WILSON
VP PUBLIC RE	40.00		96769	0	10503	X
MICHELLE T BOYLE
CRNA	40.00		296800	0	25932		X
JOHN DITCHKUS
CRNA	40.00		244968	0	25655		X
ROSE A SADOWSKI
CRNA	40.00		242944	0	19530		X
KHALEEL SHAIKH
PHYSICIAN	40.00		236705	249964	24973		X
MARK R TRENTLY
CRNA	40.00		241665	0	25219		X
BRIAN E KLOCK MD FACS
FORMER 5 HIG	40.00		0	399634	35370			X
FREDERICK K TOY MD FACS
FORMER 5 HIG	40.00		0	465548	33570			X
JOHN D KIZER MD
FORMER 5 HIG	40.00		0	365600	34770			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3007935	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	10575900	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1506106	TotalOtherCompensation
Number Individuals GT100 K	45	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation	Business Name Line2NameOfContractor/NameBusiness/BusinessNameLine2
ARAMARK
1101 MARKET STREET 29TH FLOOR	PHILADELPHIA	PA	19107	DIETARY, HOUSEK	1351215
MEDICAL STAFFING NETWORK
PO BOX 203000	DALLAS	TX	753203000	STAFFING	1062053
SIEMENS
51 VALLEY STREAM PARKWAY	MALVERN	PA	19355	TECHNOLOGY	1048343	HEALTH SERVICES DIVISION
DUBRAWSKI & ASSOCIATES
11622 EL CAMINO REAL SUITE 100	SAN DIEGO	CA	92130	INSURANCE CONS	1032251
ECG MANAGEMENT CONSULTANTS
1111 THIRD AVENUE SUITE 2700	SEATTLE	WA	98101	MANAGEMENT	808950

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	45	NumberOfContractorsGT100K
Fundraising Events	45365	FundraisingEvents
Related Organizations	78926	RelatedOrganizations
Government Grants	446338	GovernmentGrants
All Other Contributions	48117	AllOtherContributions
Total Contributions	618746	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE	622110	156232846	156232846
INTERCOMPANY REVENUE	541900	1449538	1449538

Field	Value	IRS element (for citing)
Total Program Service Revenue	157682384	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	541152	TotalRevenueColumn
Exclusion	$541,152	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	210461	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	73690	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	136771	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	136771	TotalRevenueColumn
Exclusion	$136,771	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	3458	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	25759	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-22301	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-22301	TotalRevenueColumn
Exclusion	-$22,301	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	49635	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	45365	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	49635	FundraisingDirectExpenses

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DIETARY INCOME	722210	309782	$309,782
OTHER REVENUES	900099	150229		150229
PURCHASE DISCOUNTS	900099	139264	$139,264

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	212838	TotalRevenueColumn
Related Or Exempt Function Income	85209	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	25407	UnrelatedBusinessRevenue
Exclusion	$102,222	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	812113	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	159768865	TotalRevenueColumn
Related Or Exempt Function Income	157917822	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	25407	UnrelatedBusinessRevenue
Exclusion	$1,206,890	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	125178	Total
Program Services	125178	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1944320	Total
Program Services	286174	ProgramServices
Management And General	1658146	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	59356020	Total
Program Services	57306221	ProgramServices
Management And General	1940760	ManagementAndGeneral
Fundraising	109039	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3215199	Total
Program Services	3070790	ProgramServices
Management And General	138573	ManagementAndGeneral
Fundraising	5836	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4473336	Total
Program Services	4441925	ProgramServices
Management And General	23886	ManagementAndGeneral
Fundraising	7525	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5137490	Total
Program Services	4886590	ProgramServices
Management And General	241647	ManagementAndGeneral
Fundraising	9253	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	383092	Total
Management And General	383092	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	969902	Total
Management And General	969902	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	131870	Total
Management And General	131870	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	1438	Total
Program Services	1438	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	306171	Total
Management And General	306171	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	22901412	Total
Program Services	22285645	ProgramServices
Management And General	610913	ManagementAndGeneral
Fundraising	4854	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	474968	Total
Program Services	15812	ProgramServices
Management And General	448971	ManagementAndGeneral
Fundraising	10185	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2675787	Total
Program Services	1916473	ProgramServices
Management And General	758349	ManagementAndGeneral
Fundraising	965	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3156880	Total
Program Services	2501698	ProgramServices
Management And General	655182	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	231350	Total
Program Services	197997	ProgramServices
Management And General	33353	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	855076	Total
Management And General	855076	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6387462	Total
Program Services	6325442	ProgramServices
Management And General	61556	ManagementAndGeneral
Fundraising	464	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1529448	Total
Program Services	1169637	ProgramServices
Management And General	359811	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
MEDICAL SUPPLIES	39169852	39086096	81483	2273
INTER-ENTITY EXPENSES	4910225	3298366	1611859
MA MODERNIZATION	2993737	2993737
DUES	90260	24038	66222

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	56199	Total
Program Services	29497	ProgramServices
Management And General	26702	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	161476672	Total
Program Services	149962754	ProgramServices
Management And General	11363524	ManagementAndGeneral
Fundraising	150394	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	144639	BOY
EOY	23010308	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1198524	BOY
EOY	2576176	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	16704295	BOY
EOY	15668341	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2209505	BOY
EOY	1124049	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3326607	BOY
EOY	3231348	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1546721	BOY
EOY	1637029	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	36628868	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2632544	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	38339481	BOY
EOY	33996324	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	6821559	BOY
EOY	7277044	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	29057839	BOY
EOY	21371643	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	11323605	BOY
EOY	4512607	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	110672775	BOY
EOY	114404869	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	16859367	BOY
EOY	7943559	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	38278090	BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
EOY	33891772	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	16997694	BOY
EOY	59507088	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	72135151	BOY
EOY	101342419	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	33943615	BOY
EOY	9915708	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2557573	BOY
EOY	2130571	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2036436	BOY
EOY	1016171	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	38537624	BOY
EOY	13062450	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	110672775	BOY
EOY	114404869	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-1707807	ReconcilationRevenueExpenses
Reconcilation Other Changes	-23767367	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Form1120 Pol Filed	false	Form1120PolFiled
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	1438	FilingOrganizationsTotals
Affiliated Group Totals	640652	AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	1438	FilingOrganizationsTotals
Affiliated Group Totals	640652	AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	161475234	FilingOrganizationsTotals
Affiliated Group Totals	2670639189	AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	161476672	FilingOrganizationsTotals
Affiliated Group Totals	2671279841	AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals
Affiliated Group Totals	1000000	AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals
Affiliated Group Totals	250000	AffiliatedGroupTotals

Field	Value	IRS element (for citing)
Form4720 Filed	false	Form4720Filed

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus2	11426	CurrentYearMinus2
Current Year Minus1	1554	CurrentYearMinus1
Current Year	640652	CurrentYear
Total	653632	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmount
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax
Substantially All Dues Nondeduct	false	SubstantiallyAllDuesNondeduct
Only In House Lobbying	false	OnlyInHouseLobbying
Agree To Carryover Prior Year	false	AgreeToCarryoverPriorYear

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2036436	BeginningOfYearBalance
Investment Earnings Or Losses	5152	InvestmentEarningsOrLosses
Other Expenditures	-1024501	OtherExpenditures
End Of Year Balance	1017087	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1717248	BeginningOfYearBalance
Investment Earnings Or Losses	402937	InvestmentEarningsOrLosses
Grants Or Scholarships	-29451	GrantsOrScholarships
Other Expenditures	-40761	OtherExpenditures
Administrative Expenses	-13537	AdministrativeExpenses
End Of Year Balance	2036436	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1700302	BeginningOfYearBalance
Investment Earnings Or Losses	16946	InvestmentEarningsOrLosses
End Of Year Balance	1717248	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2108817	BeginningOfYearBalance
Investment Earnings Or Losses	-408515	InvestmentEarningsOrLosses
End Of Year Balance	1700302	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1034837	OtherCostOrOtherBasis
Book Value	1034837	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15988866	OtherCostOrOtherBasis
Depreciation	561876	Depreciation
Book Value	15426990	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	237677	OtherCostOrOtherBasis
Depreciation	22035	Depreciation
Book Value	215642	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19325876	OtherCostOrOtherBasis
Depreciation	2048633	Depreciation
Book Value	17277243	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	41612	OtherCostOrOtherBasis
Book Value	41612	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	33996324	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	NON PUBLICLY TRADED SECURITIES	Description
Book Value	21371643	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	21371643	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION	$19,769,165
ESTIMATED 3RD PARTY PAYER SETTLEMENT	$14,929,091
INSURANCE SELF-INSURANCE	$12,316,740
ACCRUED EXPENSES	$9,055,791
INTERCOMPANY PAYABLES	$2,525,690
ADVANCES FROM 3RD PARTIES	$910,611

Field	Value	IRS element (for citing)
Total Of Amounts	59507088	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDS	SCHEDULE D, PAGE 2, 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 XIV	EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM(1) ("GHS") ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT 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 MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MANAGEMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF JUNE 30, 2012 OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2012 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 G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	ANNUAL GOLF TOU	NameOfEvent1
Gross Receipts Event1	95000	GrossReceiptsEvent1
Charitable Contributions Event1	45365	CharitableContributionsEvent1
Gross Revenue Event1	49635	GrossRevenueEvent1
Non Cash Prizes Event1	29200	NonCashPrizesEvent1
Rent Facility Costs Event1	7280	RentFacilityCostsEvent1
Food And Beverage Event1	11894	FoodAndBeverageEvent1
Other Direct Expenses Event1	1261	OtherDirectExpensesEvent1
Gross Receipts Total	95000	GrossReceiptsTotal
Charitable Contributions Total	45365	CharitableContributionsTotal
Gross Revenue Total Events	49635	GrossRevenueTotalEvents
Non Cash Prizes Total Events	29200	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	7280	RentFacilityCostsTotalEvents
Food And Beverage Total Events	11894	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	1261	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	49635	DirectExpenseSummaryEvents

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	3.80000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1917465	TotalCommunityBenefitExpense
Net Community Benefit Expense	1917465	NetCommunityBenefitExpense
Percent Of Total Expense	0.01190	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23554967	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12250664	DirectOffsettingRevenue
Net Community Benefit Expense	11304303	NetCommunityBenefitExpense
Percent Of Total Expense	0.07000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	25472432	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12250664	DirectOffsettingRevenue
Net Community Benefit Expense	13221768	NetCommunityBenefitExpense
Percent Of Total Expense	0.08190	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1315585	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9862	DirectOffsettingRevenue
Net Community Benefit Expense	1305723	NetCommunityBenefitExpense
Percent Of Total Expense	0.00810	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2864725	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1678539	DirectOffsettingRevenue
Net Community Benefit Expense	1186186	NetCommunityBenefitExpense
Percent Of Total Expense	0.00730	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4180310	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1688401	DirectOffsettingRevenue
Net Community Benefit Expense	2491909	NetCommunityBenefitExpense
Percent Of Total Expense	0.01540	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	29652742	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13939065	DirectOffsettingRevenue
Net Community Benefit Expense	15713677	NetCommunityBenefitExpense
Percent Of Total Expense	0.09730	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$12,780,660	BadDebtExpenseAmount
Amount Reimbursed By Medicare	46114116	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	64839636	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-18725520	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER	BusinessNameLine1
Business Name Line2	DBA GEISINGER COMMUNITY MEDICAL CTR	BusinessNameLine2

Address Address

Field	Value	IRS element (for citing)
Address Line1	1822 MULBERRY STREET	AddressLine1
City	SCRANTON	City
State	PA	State
ZIP Code	18510	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.0	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	380.0	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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
EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE	PART I LINE 7 COLUMN F	THE BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR USED TO CALCULATE THE PERCENT OF COMMUNITY BENEFIT WAS 12780660
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 PAYERS 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 PERIODS 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 18725520 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 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
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 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 IN THE CONSORTIUM INCLUDE ALLIED SERVICES BLUE CROSS OF NEPA MERCY HEALTH PARTNERS MOSES TAYLOR HOSPITAL AND WYOMING VALLEY HEALTHCARE SYSTEM ASSESSMENT SURVEYS WERE DONE IN 1997 AND 2003 WITH THE MOST RECENT SURVEY COMPLETED IN 2009 IN COORDINATION WITH TRIPP UMBACH A NATIONAL MARKETING RESEARCH AND CONSULTING FIRM 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 AND 200304 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 RESEARCH STEPS INCLUDED COMMUNITY LEADER INTERVIEWS SOCIOECONOMIC PROFILES SECONDARY DATA IE SOCIOECONOMIC DATA AND DEMOGRAPHIC PROJECTIONS FROM NIELSEN CLARITAS AND THE US CENSUS BUREAU AND HEALTH PREVALENCE DATA FROM THE BRFSS CDC AND HRSA FOCUS GROUPS AND HOUSEHOLD SURVEYS BASED UPON THE DATA GATHERED THROUGH THIS RESEARCH METHODOLOGY TRIPP UMBACH IDENTIFIED FIVE COMMUNITY HEALTH AREAS OF NEED THAT ARE CONSIDERED PRIORITIES FOR LACKAWANNA AND LUZERNE COUNTIES LISTED IN ALPHABETICAL ORDER THE TOP FIVE PRIORITY AREAS ARE ACCESS TO CARE CHRONIC DISEASEOBESITY EMPLOYMENT MENTAL HEALTH SUBSTANCE ABUSE ONCE THIS LATEST NEEDS ASSESSMENT WAS COMPLETED ITS FINDINGS WERE FORMALLY PRESENTED TO THE GCMC BOARD OF DIRECTORS AND TO GCMCS CEO AND PRESIDENT BASED ON WHAT WAS IDENTIFIED AS PRIORITIES THROUGH THE ASSESSMENTS FINDINGS GCMCS CEO AND ITS BOARD OF DIRECTORS THEN COMMITTED HOSPITAL RESOURCES IN ORDER TO PROVIDE THESE MUCHNEEDED SERVICES TO THE COMMUNITY BASED ON THE SUBMITTED PRIORITY OF NEEDS FOR EXAMPLE HOSPITAL ADMINISTRATORS DETERMINED THAT IN ORDER TO BETTER SERVE THE HEALTH NEEDS OF THE COMMUNITY BY BATTLING OBESITY AND CHRONIC DISEASE A PREVENTIVE MEDICINE AND NUTRITION CLINIC WAS ESTABLISHED AT THE HOSPITAL ALSO THE HIGH INCIDENCE OF DIABETES IN THE REGION LED TO A DIABETES EDUCATOR POSITION AT THE HOSPITAL AND AN A RN POSITION THAT IS DEVOTED TO COMMUNITY HEALTH SCREENINGS EDUCATIONAL OUTREACH EFFORTS AND A VARIETY OF SUPPORT GROUPS SUCH AS SMOKING CESSATION AND WEIGHT LOSS
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 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	LIKE GEISINGER WYOMING VALLEY MEDICAL CENTER GEISINGERCMCS SERVICE AREA INCLUDES 9 COUNTIES IN NORTHEASTERN PENNSYLVANIA BRADFORD CARBON LACKAWANNA LUZERNE MONROE PIKE SUSQUEHANNA WAYNE AND WYOMING THE APPROXIMATE 2012 TOTAL POPULATION WITHIN THIS SERVICE AREA WAS 1020857 THIS POPULATION IS EXPECTED TO GROW 26 BY 2017 SLOWER THAN THE NATIONAL RATE 39 BUT SLIGHTLY HIGHER THAN THE GROWTH RATE IN THE COMMONWEALTH 19 THE 65 AND OVER AGE GROUP IS 168 OF THE TOTAL POPULATION WHICH IS GREATER THAN THE STATE 153 AND NATIONAL 129 PERCENTAGES ADDITIONALLY THE 65 AND OVER AGE GROUP IS THE AGE SEGMENT PROJECTED TO EXPERIENCE THE LARGEST FIVEYEAR POPULATION GROWTH AT 147 THE REGION IS PRIMARILY RURAL WITH SMALL SUBURBAN AND URBAN POCKETS AVERAGE HOUSEHOLD INCOME IS 55381 WITH APPROXIMATELY 132 OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES LOWER THAN THE STATE PERCENTAGE OF 137 THE 2012 AVERAGE UNEMPLOYMENT RATE WAS 91 WHICH IS HIGHER THAN BOTH THE COMMONWEALTH RATE OF 79 AND THE NATIONAL RATE OF 79 WITHIN THE 9 COUNTY SERVICE AREA 141 OF GCMCS INPATIENT DISCHARGES DURING FISCAL YEAR 2012 WERE SELFPAY OR CHARITY CARE OR WERE MEDICAID RECIPIENTS THERE ARE 2 GEISINGER GENERAL MEDICALSURGICAL HOSPITALS GWV AND GCMC AND 15 GENERAL MEDICALSURGICAL NONGEISINGER HOSPITALS IN THIS MARKET GCMC OFFERS A COMPLETE CONTINUUM OF EDUCATIONAL DIAGNOSTIC THERAPEUTIC AND REHABILITATIVE SERVICES AND PROGRAMS INCLUDING A LEVEL II TRAUMA CENTER AND INPATIENT BEHAVIORAL UNIT THERE ARE TWO OTHER HOSPITALS LOCATED IN SCRANTON AND SERVING LACKAWANNA COUNTY MERCY HOSPITAL A CATHOLIC NONPROFIT AND MOSES TAYLOR HOSPITAL ACCORDING TO THE 2010 CLARITAS CENSUS THE OFFICIAL POPULATION COUNT FOR LACKAWANNA COUNTY WAS 214437 THE CITY OF SCRANTON WHICH SERVES AS LACKAWANNA COUNTYS SEAT AND HAS DESIGNATED DISTRESSED CITY STATUS SINCE 1992 HAD A TOTAL POPULATION OF 76089 IN 2010 ACCORDING TO THE UNITED STATES CENSUS BUREAU SCRANTON IS THE LARGEST PRINCIPAL CITY IN THE SCRANTONWILKESBARRE METROPOLITAN AREA MAKING IT PENNSYLVANIAS SIXTHMOST POPULOUS CITY AFTER PHILADELPHIA PITTSBURGH ALLENTOWN ERIE AND READING 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 NEARLY ONE OF SIX SCRANTON RESIDENTS IS LIVING BELOW THE POVERTY LEVEL ACCORDING TO THE AMERICAN COMMUNITY SURVEY A BRANCH OF THE US CENSUS COMPARED TO PENNSYLVANIAS MEDIAN HOUSEHOLD INCOME OF 47913 THE AVERAGE EARNINGS FOR LACKAWANNA COUNTY RESIDENTS 41594 IS SIGNIFICANTLY LESS THAN THE STATE AVERAGE AND WELL BELOW THE NATIONAL MEDIAN HOUSEHOLD INCOME OF 50007 ACCORDING TO THE AMERICAN COMMUNITY SURVEY COMPOUNDING THE ECONOMIC CHALLENGES OF LOWER SALARIES LACKAWANNA COUNTY RESIDENTS ARE TWICE AS LIKELY TO NOT HAVE HEALTH INSURANCE AS LUZERNE COUNTY RESIDENTS THE INSTITUTE FOR PUBLIC POLICY ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009 SHOWS A TWO TO ONE RATIO FOR THIS STATISTIC REPORTING THAT 106 OF THE RESIDENTS IN LACKAWANNA COUNTY AND 52 OF RESIDENTS IN LUZERNE COUNTY ARE WITHOUT HEALTH INSURANCE EDUCATION IS ALSO LACKING IN THE REGION ONLY 195 OF RESIDENTS AGE 25 AND OLDER WITHIN LACKAWANNA COUNTY HOLDS A BACHELORS DEGREE OR HIGHER BY COMPARISON 256 OF THE PENNSYLVANIA POPULATION AGE 25 AND OLDER HAS A BACHELORS DEGREE OR HIGHER AND 27 OF THIS AGE GROUP IN THE US HAS A BACHELORS DEGREE OR HIGHER AND WHILE THE REGION IS PRIMARILY WHITE THE REGION IS EXPERIENCING AN INFLUX OF MINORITIES CLARITAS CENSUS ESTIMATES FOR 2009 SHOW THE STUDY AREA POPULATION IS PREDOMINATELY SELFDEFINED AS WHITECAUCASIAN IN LACKAWANNA COUNTY 945 HOWEVER THE REGIONS HISPANIC POPULATION INCREASED FROM 1999 TO 7531 THE ASIAN POPULATION GREW FROM 823 TO 2269 AND THE BLACK POPULATION GREW FROM 2304 TO 4150 ACCORDING TO THE MOBILIZING ACTION TOWARD COMMUNITY HEALTH MATCH PROJECT LACKAWANNA COUNTY RANKS 51ST OUT OF THE 67 PENNSYLVANIA COUNTIES IN OVERALL HEALTH STATUS MATCH IS COLLABORATION BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE ACCORDING TO THE HEALTH RANKINGS DEVELOPED BY MATCH LACKAWANNA AND LUZERNE COUNTIES DO NOT COMPARE WELL TO STATE AND NATIONAL AVERAGES FOR MANY OF THE KEY COMMUNITY HEALTH INDICATORS EVALUATED THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORTS THAT THE TOP FIVE MOST PREVALENT CHRONIC DISEASES IN LACKAWANNA AND LUZERNE COUNTIES ARE BLOOD PRESSURE PROBLEMS CHOLESTEROL PROBLEMS ARTHRITIS HEART PROBLEMS AND RESPIRATORY PROBLEMS SUCH AS ASTHMA CHRONIC LUNG DISEASE EMPHYSEMA AND CHRONIC BRONCHITIS WITH THE REGION SCORING HIGHER THAN THE NATIONAL AVERAGE FOR ALL THOSE LISTED ACCORDING TO CENTER FOR DISEASE CONTROL DATA FROM 2010 THE REGIONS INCIDENCE OF DIABETES IS ALSO GETTING WORSE A RECENT FEDERAL STUDY PLACED PENNSYLVANIA IN A 15STATE DIABETES BELT WITH ALMOST 27 PERCENT OF PEOPLE 65 AND OLDER DIAGNOSED WITH DIABETES IN THE REGION BLOOD PRESSURE PROBLEMS REPORTED WITHIN THE STUDY REGION ARE HIGHER THAN BOTH THE STATE AND NATIONAL AVERAGES WITH 362 PERCENT FOR LACKAWANNA COUNTY VERSUS 281 FOR THE STATE OF PENNSYLVANIA AND 275 FOR THE UNITED STATES CONCURRENTLY COMPARED TO 2008 BRFSS STATE 213 AND NATIONAL 183 AVERAGES A HIGHER PERCENTAGE OF SURVEY RESPONDENTS SMOKE CIGARETTES IN LACKAWANNA AND LUZERNE COUNTIES 230 THE INSTITUTE FOR PUBLIC POLICY ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009 SHOWS INCREASING DRUG POSSESSION AND DRUG SALEMANUFACTURING OFFENSES WITHIN THE REGION AND THE PERCENTAGE OF BINGE DRINKERS IS ALSO HIGHER THAN THE NATIONAL AVERAGE 155 FOR THE US VERSUS 176 FOR LACKAWANNA COUNTY BETWEEN 2000 AND 2008 THE NUMBER OF DUI OFFENSES WITHIN LACKAWANNA AND LUZERNE COUNTIES ALSO INCREASED BY 441 SINCE 1997 THE PERCENTAGE OF HOUSEHOLD SURVEY RESPONDENTS REPORTING EMOTIONAL AND MENTAL HEALTH CONCERNS HAS ALSO INCREASED SIGNIFICANTLY IN THE REGION ANOTHER INDICATOR OF EMOTIONAL AND MENTAL HEALTH CONCERNS IS THE SUICIDE RATE BOTH LACKAWANNA AND LUZERNE COUNTIES HAVE HIGHER PREVALENCE RATES FOR SUICIDE THAN PENNSYLVANIA STATE AVERAGES ACCORDING TO THE INSTITUTE FOR PUBLIC POLICY ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009
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 BILLING AND COLLECTIONS UNDER NO CIRCUMSTANCE WILL GCMC FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENTENFORCE LIENS ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGEMENT OR GARNISH THE WAGES OF A PATIENT ANDOR FAMILY MEMBER FORM 990 SCHEDULE H PART V LINE 20 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 70 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

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Method Of ValuationMethodOfValuation	Purpose Of GrantPurposeOfGrant
THE COMMONWEALTH MEDICAL COLLEGE
525 PINE STREET	SCRANTON	PA	185093240	260612968	501	43500	CASH	UNRESTRICTED CONTRIB
AMERICAN HEART ASSOCIATION
5455 NORTH HIGH STREET	COLUMBUS	OH	432141127	135613797	501	10600	CASH	UNRESTRICTED CONTRIB
CHILDREN'S ADVOCACY CENTER
1710 MULBERRY STREET	SCRANTON	PA	185102336	232972024	501	6767	CASH	UNRESTRICTED CONTRIB
AMERICAN RED CROSS
2025 E STREET NW	WASHINGTON	DC	200065009	530196605	501	6264	CASH	UNRESTRICTED CONTRIB
GREATER SCRANTON CHAMBER
222 MULBERRY STREET	SCRANTON	PA	18501	240716460	501	5200	CASH	UNRESTRICTED CONTRIB
ALL OTHER ASSISTANCE COMBINED
EACH INDIVIDUALLY 5000 OR LESS	DANVILLE	PA	178229800			52847	CASH	UNRESTRICTED CONTRIB

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	5	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE I, PAGE 4, PART IV	ReturnReference
Explanation	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 NEED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs	Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg
GLENN D STEELE JR MD PHD
978712	825000	3244967	359130	31441	5439250	2824875
ROBERT P STEIGMEYER
							446846	135000	23438	7356	13146	625786
BARBARA BOSSI
							226932	34954	6702	11385	9318	289291
ANTHONY AQUILINA DO
251531	98379	16194	17778	16845	400727
DAVID J FELICIO ESQUIRE
293852	144222	37676	115877	17565	609192
EDWARD J ZYCH ESQUIRE
244966	72505	19002	42780	21185	400438
KEVIN F BRENNAN CPA FHFMA
481220	297816	191094	170858	21431	1162419	155504
ALBERT BOTHE MD
510811	253186	117945	171969	9758	1063669	66050
SEAN MCANDREW
							129119	20847	390	2606	4978	157940
JOHN SKURKA
							554986					554986
FRANK J TREMBULAK
574658	303886	56202	195777	10253	1140776
MICHELLE T BOYLE
							295857	750	193	13342	12590	322732
JOHN DITCHKUS
							243695	741	532	13574	12081	270623
ROSE A SADOWSKI
							241353	750	841	13380	6150	262474
KHALEEL SHAIKH
198423	49867	1674	1241	6284	257489		198423	36450	1832	11009	6439	254153
MARK R TRENTLY
							238504	750	2411	13145	12074	266884
BRIAN E KLOCK MD FACS
311801	62641	25192	17778	17592	435004
FREDERICK K TOY MD FACS
365699	77256	22593	17778	15792	499118
JOHN D KIZER MD
298007	41628	25965	17778	16992	400370

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FRINGE OR EXPENSE EXPLANATION	SCHEDULE J, PAGE 1, PART I, LINE 1A	HOUSING ALLOWANE OR RESIDENCE FOR PERSONAL USE - A HOUSING ALLOWANCE IS PAID DIRECTLY TO ECG MANAGEMENT CONSULTANTS, INC. ON BEHALF OF COMMMUNITY MEDICAL CENTER'S INTERIM CFO. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - THE COMMUNITY MEDICAL CENTER BOARD OF DIRECTORS APPROVED REIMBURSEMENT OF ATHLETIC AND/OR SOCIAL CLUB DUES UP TO 2,500 FOR THE CHIEF EXECUTIVE OFFICER OF COMMUNITY MEDICAL CENTER.
SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS	SCHEDULE J, PAGE 1, PART I, LINE 4	GLENN D. STEELE JR., M.D., PH.D. 0 3,128,364 0 KEVIN F. BRENNAN, CPA, FHFMA 0 155,504 0 ALBERT BOTHE, M.D. 0 66,050 0 FRANK J. TREMBULAK 0 3,662 0
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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
GEISINGER QUALITY OPTIONS INC
BUSINESS	1851902	IC SHARED SRVC REV	false
GEISINGER INDEMNITY INSURANCE CO
BUSINESS	248813	IC SHARED SRVC REV	false
INTERNATIONAL SHARED SERVICES INC
BUSINESS	484961	IC SHARED SRVC EXP	false
GEISINGER ASSURANCE COMPANY LTD
BUSINESS	856013	IC SHARED SRVC EXP	false
EMERGENCY SERVICES PC
BUSINESS	248802	EMERGENCY ROOM SVCS	false
GENERAL BILLING ASSOCIATES INC
BUSINESS	113028	BILLING, CODING SVCS	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE L PART V	ReturnReference
Explanation	COMMUNITY MEDICAL CENTER DBA GEISINGERCOMMUNITY MEDICAL CENTER GCMC 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 GEISINGER HEALTH SYSTEM FOR WHOM BUSINESS TRANSACTIONS MUST BE DISCLOSED FOR PURPOSES OF SCHEDULE L PART IV TRANSACTIONS WITH INTERESTED PERSONS OFFICERS AND DIRECTORS OF GCMC ARE OFFICERS AND DIRECTORS OF THESE ORGANIZATIONS AS DESCRIBED BELOW GEISINGER QUALITY OPTIONS INC GQO GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR OF GCMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR EX OFFICIO OF GQO DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GCMC AND GQO FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GCMC AND SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF GQO WILLIAM H ALEXANDER IS A DIRECTOR OF GCMC AND GQO RICHARD GRAFMYRE IS A DIRECTOR OF GCMC AND GQO DON A ROSINI IS A DIRECTOR OF GCMC AND GQO THOMAS H LEE JR IS A DIRECTOR OF GCMC AND GQO INTERNATIONAL SHARED SERVICES INC ISS GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR OF GCMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR OF ISS FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GCMC AND THE SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF ISS DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GCMC AND ISS EDWARD J ZYCH ESQUIRE IS THE ASSISTANT SECRETARY OF GCMC AND ISS GEISINGER INDEMNITY INSURANCE COMPANY GIIC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR OF GCMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR EX OFFICIO OF GIIC DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GCMC AND GIIC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GCMC AND SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF GIIC WILLIAM H ALEXANDER IS A DIRECTOR OF GCMC AND GIIC RICHARD GRAFMYRE IS A DIRECTOR OF GCMC AND GIIC DON A ROSINI IS A DIRECTOR OF GCMC AND GIIC THOMAS H LEE JR IS A DIRECTOR OF GCMC AND GIIC GEISINGER ASSURANCE COMPANY LTD GAC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR OF GCMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR OF GAC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GCMC AND THE PRESIDENT CHIEF EXECUTIVE OFFICER AND DIRECTOR OF GAC DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GCMC AND THE SECRETARY AND DIRECTOR OF GAC EDWARD J ZYCH ESQUIRE IS THE ASSISTANT SECRETARY OF GCMC AND GAC DR DENAPLES COMPANY EMERGENCY SERVICES PC PROVIDES MEDICAL AND EMERGENCY ROOM SERVICES TO COMMUNITY MEDICAL CENTER COMMUNITY MEDICAL CENTER ALSO PAYS A STIPEND TO EMERGENCY SERVICES PC FOR THE SERVICES PROVIDED BY DR DENAPLES AS A MEDICAL DIRECTOR IN THE HOSPITAL DR DENAPLES COMPANY GENERAL BILLING ASSOCIATES INC PROVIDES PROVIDES BILLING AND CODING SERVICES TO COMMUNITY MEDICAL CENTER 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	Explanation

Schedule N IRS990ScheduleN

Disposition Table DispositionTable (8 entries)

Description Of AssetDescriptionOfAsset	Date Of DistributionDateOfDistribution	FMV Of AssetFMVOfAsset	Method Of FMV DeterminationMethodOfFMVDetermination	EINEIN	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	IRC SectionIRCSection
GEISINGER HEALTH SYSTEM FOUNDATION
CASH AND INVESTMENTS	2012-02-01	32647879	MARKET	231995911	100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	501(C)(3)
GEISINGER HEALTH SYSTEM FOUNDATION
ACCOUNTS RECEIVABLE	2012-02-01	17146264	BOOK VALUE	231995911	100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	501(C)(3)
GEISINGER HEALTH SYSTEM FOUNDATION
INVENTORY	2012-02-01	3379149	BOOK VALUE	231995911	100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	501(C)(3)
GEISINGER HEALTH SYSTEM FOUNDATION
OTHER RECEIVABLES	2012-02-01	3238965	BOOK VALUE	231995911	100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	501(C)(3)
GEISINGER HEALTH SYSTEM FOUNDATION
PREPAID EXPENSES	2012-02-01	1407078	BOOK VALUE	231995911	100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	501(C)(3)
GEISINGER HEALTH SYSTEM FOUNDATION
PROPERTY AND EQUIP,NET	2012-02-01	36064702	BOOK VALUE	231995911	100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	501(C)(3)
GEISINGER HEALTH SYSTEM FOUNDATION
NOTE RECEIVABLE	2012-02-01	2079219	BOOK VALUE	231995911	100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	501(C)(3)
GEISINGER HEALTH SYSTEM FOUNDATION
OTHER	2012-02-01	1231973	BOOK VALUE	231995911	100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	501(C)(3)

Field	Value	IRS element (for citing)
Director Of Successor2	false	DirectorOfSuccessor2
Employee Of Successor2	true	EmployeeOfSuccessor2
Owner Of Successor2	false	OwnerOfSuccessor2
Receive Compensation2	false	ReceiveCompensation2

Form990 Schedule N Part III Form990ScheduleNPartIII

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE N	ReturnReference
Explanation	ROBERT P STEIGMEYER PRESIDENT AND CEO OF COMMUNITY MEDICAL CENTER BARBARA BOSSI VICE PRESIDENT NURSING JAMES JESIKIEWICZ ASSISTANT TREASURER SEAN MCANDREW VICE PRESIDENT INFORMATION SERVICES AND WENDY K WILSON VICE PRESIDENT PUBLIC RELATIONS WILL CONTINUE TO BE COMPENSATED AS EMPLOYEES OF GEISINGERCOMMUNITY MEDICAL CENTER SUBSEQUENT TO THE ACQUISITION DATE OF 02012012 TIMOTHY FARRELL MD WILL BE AN INDEPENDENT CONTRACTOR OF GEISINGER COMMUNITY MEDICAL CENTER	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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	GCOMMUNITY MEDICAL CENTER, DOING BUSINESS AS GEISINGER-COMMUNITY MEDICAL CENTER (G-CMC), OPENED IN 1897 AS THE HAHNEMANN HOSPITAL AND SCHOOL OF NURSING, THE HOSPITAL WAS SCRANTON'S FIRST HOSPITAL DEDICATED TO COMMUNITY SERVICE. G-CMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTATIVE, AMBULATORY, INPATIENT, AND EMERGENCY SERVICES. G-CMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED SPECIFIC AREAS OF EXPERTISE. SPECIALIZED / REGIONAL SERVICES, CENTER OF EXCELLENCE: G-CMC IS AN ACUTE CARE HOSPITAL LICENSED FOR 297 BEDS AND 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, ORTHOPAEDICS, AND THE NEUROSCIENCES. THE UNREIMBURSED COSTS OF PROVIDING TRAUMA SERVICES TO THE COMMUNITY IN FY 2012 TOTALED 1,281,642. CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN HEART SURGERY CENTER. G-CMC IS ALSO A CERTIFIED CAROTID STENT FACILITY. NEUROLOGICAL SCIENCES AT THE HOSPITAL SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS. OTHER SPECIALIZED SERVICES INCLUDE: A SAME-DAY SURGERY CENTER, A 24 LICENSED BED SHORT TERM PSYCHIATRIC INPATIENT UNIT, AN ORTHOPAEDIC TRAUMA CLINIC, CT SCANNER, MRI IMAGING, ONCOLOGY SERVICES, RENAL DIALYSIS, HYPERBARIC OXYGEN CHAMBER TREATMENTS, THE NEW STEPS JOINT PROGRAM, WOUND CARE, AND STEREOTACTIC SURGERY. G-CMC OFFERS EMERGENCY MEDICAL TECHNICIAN AND TRAUMA NURSE TRAINING PROGRAMS. IT HAS AN AFFILIATION WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION, AN ACCREDITED PROVIDER OF INTERNAL MEDICINE RESIDENCY EDUCATION, BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION, AND THE REGION'S ONLY PODIATRIC RESIDENCY PROGRAM, AND ACCREDITED PROVIDER OF PODIATRIC MEDICINE AND SURGERY EDUCATION, BY THE COUNCIL OF PODIATRIC MEDICAL EDUCATION. UNCOMPENSATED COSTS FOR HEALTH PROFESSIONS EDUCATION TOTALED 1,186,186. G-CMC ALSO SPONSORS THE COMMUNITY HEALTH EDUCATION PROGRAM, THE REGION'S FIRST HOSPITAL-BASED AND COMMUNITY-WIDE WELLNESS AND PREVENTION PROGRAM. IN ADDITION, G-CMC 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 OVER 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: FREE PARKING IN THE G-CMC PARKING COMPLEX COMMUNITY DISCOUNTS DISCOUNTED MEALS IN THE HOSPITAL'S DINING ROOM DISCOUNTS AT THE G-CMC GIFT SHOP PHYSICIAN REFERRAL SERVICE AFFILIATIONS: G-CMC HAS WORKING RELATIONSHIPS WITH OTHER HEALTH CARE PROVIDERS IN VENTURES SUCH AS THE NORTHEASTERN PENNSYLVANIA IMAGING CENTER, THE CHILDREN'S ADVOCACY CENTER, MATERNAL & FAMILY HEALTH SERVICES, AND THE RONALD MCDONALD HOUSE OF SCRANTON. G-CMC 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, 2012, THE MEDICAL STAFF AT G-CMC TOTALED OVER 350 PHYSICIANS. UNDER G-CMC'S MEDICAL STAFF BY-LAWS, PHYSICIANS MAY HAVE ONE OF SEVERAL TYPES OF PRIVILEGES INCLUDING ACTIVE, COURTESY, CONSULTING, EMERGENCY, AND TEMPORARY. AUXILIARY: THE G-CMC AUXILIARY IS COMPRISED OF APPROXIMATELY 65 MEMBERS. FUNCTIONING WITH THE GUIDANCE OF ITS OWN ADVISORY BOARD, THE AUXILIARY HAS COMMITTEES, EACH WITH ITS OWN RESPONSIBILITY FOR FUND-RAISING, AND SERVICE. THE AUXILIARY ASSISTS IN OPERATING G-CMC'S GIFT SHOP SEVEN DAYS A WEEK. ALLOCATIONS OF FUNDS RAISED BY THE AUXILIARY ARE MADE TO G-CMC TO ENHANCE PATIENT SERVICES. VOLUNTEER SERVICES: FROM YEAR TO YEAR, G-CMC HAS APPROXIMATELY 250-300 ACTIVE ADULT AND JUNIOR VOLUNTEERS WHO VOLUNTEER THEIR TIME TO G-CMC AND CAN BE FOUND ASSISTING THE STAFF IN A VARIETY OF CAPACITIES IN HOSPITAL DEPARTMENTS SUCH AS: MAIL ROOM, MEDICAL RECORDS, SURGICAL SERVICES, EMERGENCY DEPARTMENT, AND GIFT SHOP. VOLUNTEERS ALSO ASSIST AT SPECIAL HOSPITAL FUNCTIONS. IN 2012, G- CMC VOLUNTEERS PROVIDED OVER 11,500 HOURS OF SERVICE TO G-CMC. THROUGH G-CMC'S VOLUNTEER DEPARTMENT, HUNDREDS OF SCHOOL AND COLLEGE STUDENTS ARE PROVIDED INFORMATION ABOUT HEALTHCARE TO ASSIST IN CAREER CHOICE THROUGH TOURS AND SHADOWING OPPORTUNITIES AT THE FACILITY. PATIENT ORIGIN AND SERVICE AREA: THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA COUNTY. THE SECONDARY SERVICE AREA INCLUDES LUZERNE, MONROE, PIKE, SUSQUEHANNA, WAYNE AND WYOMING COUNTIES. SUPPORT TO THE COMMUNITY: G-CMC AND RELATED AFFILIATES PROVIDE A VARIETY OF PROGRAMS TO THE COMMUNITY INCLUDING THE EDUCATION PROGRAM WHICH PROVIDES NUMEROUS COMMUNITY SERVICES SOME OF WHICH ARE LISTED BELOW. THE INTENT OF THESE PROGRAMS AND PARTNERSHIPS IS THE IMPROVED HEALTH OF THE COMMUNITY; I.E., ACCIDENT/ ILLNESS PREVENTION OR EARLY 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 SNO MOUNTAIN SKI AREA AND G-CMC'S COMMUNITY HEALTH EDUCATION PROGRAM, EMPHASIZE 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. THE COMMUNITY HEALTH EDUCATION PROGRAM CONDUCTS A WIDE VARIETY OF HEALTH 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 EMPLOYEES AND FAMILY. PUBLIC / COMMUNITY HEALTH LECTURES: LAST YEAR APPROXIMATELY 400 PEOPLE ATTENDED THESE SESSIONS WHICH ARE FREE TO THE PUBLIC. A SAMPLING OF THE TOPICS INCLUDED THE FOLLOWING: ALZHEIMER'S PROGRAM FOR CAREGIVERS, MENTAL HEALTH ISSUES, END OF LIFE ISSUES, BREAST CANCER AWARENESS, AND COLON CANCER AWARENESS. HEALTH FAIRS / SCREENING PROGRAMS: EDUCATION IN PARTNERSHIP WITH OTHER COMMUNITY RESOURCES PROVIDES HEALTH FAIRS AND SCREENINGS TO THE COMMUNITY AND LOCAL BUSINESS/INDUSTRY FREE OR AT A MINIMAL COST. PROGRAMS INCLUDED: CARBON MONOXIDE SCREENINGS, CHOLESTEROL/BLOOD PRESSURE SCREENINGS, AND DIABETIC SCREENINGS. THE UNREIMBURSED COST OF PROVIDING SUCH SCREENINGS IN FY 2012 TOTALED 24,081. THE SYSTEM PROVIDES MONTHLY MEETING PLACES FREE OF CHARGE TO MANY COMMUNITY SELF-HELP GROUPS WHICH INCLUDE: DIABETES SUPPORT GROUP, CROHNS & COLITIS SUPPORT GROUP, BETTER BREATHER'S CLUB, AND NAMI SUPPORT GROUP MEETINGS. G-CMC'S FACILITIES ARE MADE AVAILABLE TO OTHER COMMUNITY GROUPS UPON REQUEST AND AVAILABILITY; E.G., THE HILL NEIGHBORHOOD ASSOCIATION, AND THE EAST SCRANTON BUSINESS ASSOCIATION. UNCOMPENSATED CARE G-CMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. G-CMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD G-CMC 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 G-CMC 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 G-CMC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO GMC OF PROVIDING THIS CHARITY CARE DURING THE FISCAL YEAR ENDED JUNE
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 SIX VOTING MEMBERS OF THE GOVERNING BODY ARE ALSO VOTING MEMBERS OF AFFILIATED TAXABLE ORGANIZATIONS FOR WHICH BUSINESS TRANSACTIONS MAY BE 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 AFFILIATED 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 AFFILIATED 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, ALBERT BOTHE, MD, DAVID J. FELICIO, ESQUIRE, FRANK J. TREMBULAK, EDWARD J. ZYCH, ESQUIRE, WILLIAM H. ALEXANDER, WILLIAM R. GRUVER, RICHARD GRAFMYRE, THOMAS H. LEE, JR., 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. FORM 990, PART VI, SECTION B, LINE 13: DID THE ORGANIZATION HAVE A WRITTEN WHISTLEBLOWER POLICY? AND LINE 14: DID THE ORGANIZATION HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY? THE GEISINGER HEALTH SYSTEM WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY HAVE BEEN IN EFFECT AND ENFORCED FOR MANY YEARS. IN ADDITION TO THE POLICIES BEING A BEST PRACTICE, GEISINGER HEALTH SYSTEM RECOGNIZES THEIR VALUE AS A GUIDE TO THE GOVERNING BODY OF THE ORGANIZATION , EMPLOYEES, AND OTHERS. THE BOARD OF DIRECTORS OF GEISINGER HEALTH SYSTEM FORMALLY APPROVED THE POLICIES IN THE SPRING OF 2013.
AUTHORITY DELEGATED TO COMMITTEE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 1A	OTHER THAN THE COMMITTEES' LISTED IN THE IRS INSTRUCTIONS AND THE MEDICAL AFFAIRS COMMITTEE WHOSE AUTHORITY IS LIMITED IN SCOPE, THERE WAS A DELEGATION OF AUTHORITY TO THE GEISINGER HEALTH SYSTEM FOUNDATION (GHSF) EXECUTIVE COMMITTEE WHICH IS COMPRISED OF THOSE INDIVIDUALS WHO SERVE AS GHSF BOARD MEMBERS. UNDER THE NONPROFIT CORPORATION LAW AND UNDER GHSF'S CORPORATE BYLAWS, THE EXECUTIVE COMMITTEE HAS THE FULL AUTHORITY TO ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS WHEN IT IS NOT IN SESSION.
MANAGEMENT DELEGATED	FORM 990, PAGE 6, PART VI, LINE 3	PRIOR TO THE AFFILIATION WITH GEISINGER HEALTH SYSTEM ON FEBRUARY 1, 2012, THE ORGANIZATION DELEGATED CHIEF FINANCIAL OFFICER RESPONSIBILITIES TO AN OUTSIDE MANAGEMENT COMPANY, ECG MANAGEMENT CONSULTANTS. THE ORGANIZATION DELINEATED THE RESPONSIBILITIES IN THE MANAGEMENT AGREEMENT AND REPORTED TO THE BOARD OF DIRECTORS COMPLIANCE WITH THE DELEGATED DUTIES.
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PAGE 6, PART VI, LINE 4	COMMUNITY MEDICAL CENTER REVISED ITS ARTICLES OF INCORPORATION AND CORPORATE BYLAWS TO REFLECT GEISINGER HEALTH SYSTEM FOUNDATION HAS THE AUTHORITY TO APPOINT THE CORPORATE MEMBERS AND TO REFLECT NEW GOVERNING BODY AND COMMITTEE STRUCTURE.
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.
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	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.
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 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, 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, 2012.
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 THE GEISINGER HEALTH SYSTEM, CONTAINING CONSOLIDATED FINANCIAL STATEMENT INFORMATION, COMMUNITY BENEFIT REPORT AND OTHER INFORMATION, IS AVAILABLE ON THE SYSTEM WEBSITE AT: WWW.GEISINGER.ORG/ABOUT/2011_AR_FINAL.PDF FINANCIAL STATEMENTS ALONG WITH THE COMPLETE FORM 990 AND 990-T ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GEISINGER HEALTH SYSTEM CONFLICTS OF INTEREST POLICY IS AVAILABLE ON THE SYSTEM WEBSITE AT: WWW.GEISINGER.ORG.
ADDITIONAL INFORMATION	FORM 990, PART VII	FORM 990, PART VII, SECTION A, COLUMN B - AVERAGE HOURS PER WEEK: FOR ALL CURRENT OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES REPORTED IN FORM 990, PART VII, THE AVERAGE HOURS PER WEEK REPRESENTS THE MINIMUM HOURS DEVOTED TO THE ORGANIZATION AND RELATED ORGANIZATIONS OF THE GEISINGER HEALTH SYSTEM, AS APPLICABLE. FORMER OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES WORK A MINIMUM OF 40 HOURS PER WEEK FOR RELATED ORGANIZATIONS.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	INCREASES IN NET ASSETS: TRANSFER FROM AFFILIATE 20,000,000 DECREASES IN NET ASSETS: UNREALIZED LOSS - 2,000,245 FAIR VALUATION OF ASSETS AND LIABILITIES -41,767,122 NET DECREASE IN NET ASSETS -23,767,367 EFFECTIVE FEBRUARY 1, 2012, COMMUNITY MEDICAL CENTER (CMC) WAS ACQUIRED BY GEISINGER HEALTH SYSTEM (GHS). AS PART OF THAT ACQUISITION, CMC EVALUATED ALL ASSETS AND LIABILITIES AND ADJUSTED TO FAIR MARKET VALUES.
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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (19 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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

Form990 Schedule R Part III Form990ScheduleRPartIII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
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
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

Form990 Schedule R Part IV Form990ScheduleRPartIV (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Address Line1AddressForeign/AddressLine1	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
GEISINGER MEDICAL MANAGEMENT CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232077663	HOTEL/REST	PA	N/A
INTERNATIONAL SHARED SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232159597	COMPUTER	PA	N/A
GEISINGER INDEMNITY INSURANCE COMP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232815174	HLTH INSUR	PA	N/A
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	204275139	HLTH INSUR	PA	N/A
GEISINGER ASSURANCE COMPANY LTD
				981016737	INSURANCE		N/A	PO BOX 2196GT	GRAND CAYMAN	CJ	CJ
GEISINGER MEDICAL MANAGEMENT CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232077663	HOTEL/REST	PA	N/A
INTERNATIONAL SHARED SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232159597	COMPUTER	PA	N/A
GEISINGER INDEMNITY INSURANCE COMP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232815174	HLTH INSUR	PA	N/A
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	204275139	HLTH INSUR	PA	N/A
GEISINGER ASSURANCE COMPANY LTD
				981016737	INSURANCE		N/A	PO BOX 2196GT	GRAND CAYMAN	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (51 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
GEISINGER HEALTH SYSTEM FOUNDATION
B	23187557	GAAP
GEISINGER HEALTH PLAN
K	6499328	GAAP
GEISINGER HEALTH PLAN
L	1904169	GAAP
MEDICAL DIMENSIONS INC
J	392001	FMV
GEISINGER CLINIC
L	208509	GAAP
COMMUNITY MEDICAL CARE INC
A	4932	FMV
GEISINGER INSURANCE CORPORATIONRRG
O	189777	GAAP
GEISINGER SYSTEM SERVICES
L	2716901	GAAP
COMMUNITY MEDICAL CENTER HLTH SYS
A	80741	GAAP
COMMUNITY MEDICAL CENTER HLTH SYS
C	78926	GAAP
INTERNATIONAL SHARED SERVICES
L	484961	GAAP
CMC HEALTHCARE SYS MED PROF LIAB TR
L	1247072	GAAP
MOUNTAIN VIEW NURSING HOME INC
K	1051658	GAAP
COMMUNITY MEDICAL CARE INC
K	347058	GAAP
GEISINGER INDEMNITY INSURANCE CO
K	248813	GAAP
GEISINGER QUALITY OPTIONS INC
K	1851902	GAAP
GEISINGER ASSURANCE COMPANY LTD
L	856013	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
B	23187557	GAAP
GEISINGER HEALTH PLAN
K	6499328	GAAP
GEISINGER HEALTH PLAN
L	1904169	GAAP
MEDICAL DIMENSIONS INC
J	392001	FMV
GEISINGER CLINIC
L	208509	GAAP
COMMUNITY MEDICAL CARE INC
A	4932	FMV
GEISINGER INSURANCE CORPORATIONRRG
O	189777	GAAP
GEISINGER SYSTEM SERVICES
L	2716901	GAAP
COMMUNITY MEDICAL CENTER HLTH SYS
A	80741	GAAP
COMMUNITY MEDICAL CENTER HLTH SYS
C	78926	GAAP
INTERNATIONAL SHARED SERVICES
L	484961	GAAP
CMC HEALTHCARE SYS MED PROF LIAB TR
L	1247072	GAAP
MOUNTAIN VIEW NURSING HOME INC
K	1051658	GAAP
COMMUNITY MEDICAL CARE INC
K	347058	GAAP
GEISINGER INDEMNITY INSURANCE CO
K	248813	GAAP
GEISINGER QUALITY OPTIONS INC
K	1851902	GAAP
GEISINGER ASSURANCE COMPANY LTD
L	856013	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
B	23187557	GAAP
GEISINGER HEALTH PLAN
K	6499328	GAAP
GEISINGER HEALTH PLAN
L	1904169	GAAP
MEDICAL DIMENSIONS INC
J	392001	FMV
GEISINGER CLINIC
L	208509	GAAP
COMMUNITY MEDICAL CARE INC
A	4932	FMV
GEISINGER INSURANCE CORPORATIONRRG
O	189777	GAAP
GEISINGER SYSTEM SERVICES
L	2716901	GAAP
COMMUNITY MEDICAL CENTER HLTH SYS
A	80741	GAAP
COMMUNITY MEDICAL CENTER HLTH SYS
C	78926	GAAP
INTERNATIONAL SHARED SERVICES
L	484961	GAAP
CMC HEALTHCARE SYS MED PROF LIAB TR
L	1247072	GAAP
MOUNTAIN VIEW NURSING HOME INC
K	1051658	GAAP
COMMUNITY MEDICAL CARE INC
K	347058	GAAP
GEISINGER INDEMNITY INSURANCE CO
K	248813	GAAP
GEISINGER QUALITY OPTIONS INC
K	1851902	GAAP
GEISINGER ASSURANCE COMPANY LTD
L	856013	GAAP

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	ADDITIONAL INFORMATION	Identifier
Return Reference	SCHEDULE R	ReturnReference
Explanation	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	Explanation