GEISINGER-LEWISTOWN HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: GEISINGER-LEWISTOWN HOSPITAL (EIN 23-1352187)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-13
IRS object ID: 201601349349303480
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-13T11:29:34-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231352187	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER-LEWISTOWN HOSPITAL	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH ACADEMY AVENUE MC 49-70	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17822	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID J FELICIO ESQUIRE	PersonNm
Person Title	SECRETARY	PersonTitleTxt
Phone	5702716624	PhoneNum
Signature	2016-05-06	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID T FEINBERG MD MBA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH ACADEMY AVENUE MC 22-01	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17822	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$106,565,026	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1905	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM....SEE SCHEDULE O.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	948	TotalEmployeeCnt
Total Volunteers	70	TotalVolunteersCnt
Total Gross UBI	$890,703	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$367,117	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$16,485	PYContributionsGrantsAmt
CY Contributions Grants	$52,112	CYContributionsGrantsAmt
PY Program Service Revenue	$97,068,938	PYProgramServiceRevenueAmt
CY Program Service Revenue	$103,242,477	CYProgramServiceRevenueAmt
PY Investment Income	$1,293,096	PYInvestmentIncomeAmt
CY Investment Income	$2,402,917	CYInvestmentIncomeAmt
PY Other Revenue	$1,237,753	PYOtherRevenueAmt
CY Other Revenue	$679,032	CYOtherRevenueAmt
PY Total Revenue	$99,616,272	PYTotalRevenueAmt
CY Total Revenue	$106,376,538	CYTotalRevenueAmt
PY Grants And Similar Paid	$19,909	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$15,206	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$49,831,779	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$50,392,167	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$47,365,035	PYOtherExpensesAmt
CY Other Expenses	$48,569,865	CYOtherExpensesAmt
PY Total Expenses	$97,216,723	PYTotalExpensesAmt
CY Total Expenses	$98,977,238	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,399,549	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,399,300	CYRevenuesLessExpensesAmt
Total Assets BOY	$79,653,058	TotalAssetsBOYAmt
Total Assets EOY	$86,074,490	TotalAssetsEOYAmt
Total Liabilities BOY	$61,739,574	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$72,244,717	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$17,913,484	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$13,829,773	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM....SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$94,744,835	ExpenseAmt
Grant	$15,206	GrantAmt
Revenue	$103,320,181	RevenueAmt
Desc	SEE SCHEDULE O I. MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. II.GENERAL INFORMATION GEISINGER-LEWISTOWN HOSPITAL (GLH), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 123 BED ACUTE CARE HOSPITAL IN LEWISTOWN, PA. GLH IS CONVENIENTLY LOCATED ONLY A FEW MILES FROM SEVERAL CENTRAL PENNSYLVANIA MAJOR HIGHWAYS. THE FACILITY OPENED IN 1905 IN RESPONSE TO A PRESSING NEED FOR HEALTH AND WELLNESS CARE IN THE COMMUNITY. DURING THE FISCAL YEAR ENDED JUNE 30, 2015, GLH PROVIDED 19,067 PATIENT DAYS; 4,700 SAME DAY SURGICAL PROCEDURES; AND 28,938 EMERGENCY ROOM VISITS. GLH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. THE ORGANIZATION ALSO PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO MET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SERVICES OFFERED BY GLH INCLUDE: GENERAL MEDICAL CARE IS PROVIDED BY IN-HOUSE HOSPITALISTS AND SUPPORTED BY CONSULTATIVE SERVICES IN THE AREAS OF CARDIOLOGY, NEUROLOGY, PULMONOLOGY, ORTHOPEDICS, HEMATOLOGY/ONCOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY. THE EMERGENCY DEPARTMENT (ED) IS COMMITTED TO PROVIDING HIGH QUALITY, PROMPT EMERGENCY SERVICES. GLH'S ED IS STAFFED 24/7 WITH FULL-TIME PHYSICIANS AND NURSES WHO ARE TRAINED IN ALL SPECIALTIES FROM PEDIATRICS TO CRITICAL CARE. IMMEDIATE ACCESS TO LABORATORY SERVICES, IMAGING SERVICES SUCH AS, CAT SCANS, ULTRASOUND, MRI, AND SURGICAL SERVICES. MOST INSURANCES, INCLUDING MEDICARE AND MEDICAID, ARE ACCEPTED AND NO PATIENT IS REFUSED TREATMENT BECAUSE OF INABILITY TO PAY. OB/GYN FOCUSES ON ALL ASPECTS OF WOMEN'S HEALTH AND EDUCATION, PROVIDING OBSTETRICAL AND GYNECOLOGICAL CARE FOR WOMEN OF ALL AGES. SERVICES INCLUDE BUT ARE NOT LIMITED TO ROUTINE VISITS AND TREATMENTS, PREVENTATIVE HEALTHCARE, BIRTH CONTROL EDUCATION, FAMILY PLANNING, OBSTETRICS, SURGERY & SURGERY CONSULTATIONS, MENOPAUSE COUNSELING, AND MIDWIFERY. MENTAL HEALTH & PSYCHIATRIC PROVIDES ADULT INPATIENT SERVICES DESIGNED TO HELP INDIVIDUALS LIVE AS INDEPENDENTLY AS POSSIBLE. PATIENTS CAN ACCESS QUICK, EFFICIENT ADMISSION 24/7 AND RECEIVE TREATMENT THROUGH A PSYCHIATRIST AVAILABLE ON A DAILY BASIS. ADMISSIONS ARE CONFIDENTIAL AND MAY BE MADE BY PROFESSIONALS AS WELL BY INDIVIDUALS CONCERNED ABOUT THEMSELVES OR OTHERS. DURING HOSPITALIZATION, PATIENT CARE IS PROVIDED THROUGH MULTIPLE PROFESSIONALS WHO COMPRISE THE TREATMENT TEAM. OTHER SERVICES INCLUDE: CARDIAC SERVICES NEUROSURGERY RESPIRATORY SERVICES SLEEP CENTER ORTHOPEDIC GENERAL SURGERY RADIOLOGY OTHER SURGERY SPECIALTIES ICCU UROLOGY PAIN MANAGEMENT LABORATORY SERVICES GYNECOLOGY WOUND MANAGEMENT PHYSICAL THERAPY OTOLARYNGOLOGY WEIGHT MANAGEMENT PEDIATRICS NEWBORN NURSERY GASTROENTEROLOGY NEPHROLOGY OPTHAMOLOGY PATHOLOGY COMMUNITY CANCER TREATMENT/ONCOLOGY III. UNCOMPENSATED CARE GEISINGER-LEWISTOWN HOSPITAL RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GLH PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF GLH IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF CENTRAL PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GLH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2015, THE COST OF THE CHARITY CARE WAS 1.3 MILLION. B.MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GLH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GLH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 18 MILLION DURING THE FISCAL YEAR ENDED JUNE 30, 2015. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GLH PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2015, WAS 1.7 MILLION. D.OTHER UNINSURED FOR UNINSURED CITIZENS THAT DO NOT QUALIFY FOR CHARITY CARE OR GOVERNMENT OR PRIVATE PROGRAMS GLH OFFERS PAYMENT DISCOUNTS AND TIME PAYMENTS WITHOUT INTEREST OR FEES. IV. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER-LEWISTOWN HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GLH. THE VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 11,340 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION 269,552 IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. V. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GLH STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GLH PROVIDES MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. AT A COST OF 41 THOUSAND, THESE SERVICES AND PROGRAMS INCLUDED: SUPPORT GROUPS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A.GROUPS GLH PROVIDES PROGRAMS FOR ALL DEMOGRAPHICS. CANCER CARE & SHARE SUPPORT GROUP: G-LH FACILITATES A LOCAL CANCER SUPPORT NETWORK THAT WELCOMES ALL CANCER SURVIVORS, FAMILY, AND FRIENDS. THE GROUP MEETS EACH MONTH. BARIATRIC SURGERY SUPPORT GROUP: GEISINGER-FHA CENTER FOR WEIGHT MANAGEMENT AND NUTRITION HOSTS A BARIATRIC SURGERY SUPPORT GROUP EVERY MONTH. SESSIONS ARE MODERATED BY VIRGINIA M. WRAY, DO, CNSP. LIVING WELL CANCER SURVIVORSHIP PROGRAM: CLASSES ARE OFFERED BY LEWISTOWN HOSPITAL TWO TIMES A YEAR. CLASSES ARE FREE AND HELD ONCE A WEEK FOR FOUR WEEKS AT THE COMMUNITY CANCER TREATMENT CENTER. THE PROGRAM ALLOWS CANCER SURVIVORS TO ASK QUESTIONS AND ADDRESS AREAS OF CONCERN. IT ALSO TEACHES PARTICIPANTS HOW TO LIVE A HEALTHY LIFESTYLE AND MAKE NECESSARY LIFESTYLE MODIFICATIONS. THE PROGRAM FOCUSES ON HEALTH AND WELLNESS; TREATMENT AND MANAGEMENT; RESOURCES AND FOLLOW UP CARE; AND INCLUDES A TREATMENT PLAN AND SUMMARY AS WELL AS SUPPORT GROUP INFORMATION. GEISINGER-FAMILY HEALTH ASSOCIATES TIME OF CHANGE WORKSHOPS: GEISINGER- FAMILY HEALTH ASSOCIATES (FHA) OFFERS A WORKSHOP DESIGNED ESPECIALLY FOR MOTHERS AND THEIR ADOLESCENT DAUGHTERS, AGES 9 - 12 YEARS. THE FOCUS OF THE WORKSHOP IS TO ASSIST MOTHERS IN EDUCATING THEIR DAUGHTERS ON CHANGES THAT OCCUR DURING ADOLESCENCE. INFORMATIONAL BOOKLETS FOR MOTHERS AND DAUGHTERS ARE GIVEN TO REINFORCE INFORMATION PRESENTED. PREGNANCY SUPPORT: G-LH OFFERS PREPARED CHILDBIRTH AND BREASTFEEDING CLASSES TO PROMOTE POSITIVE OUTCOMES FOR EXPECTANT MOTHERS AND INFANTS THROUGH REALISTIC INSTRUCTION AND ACHIEVABLE GOALS. CLASSES FOCUS ON PREPARING FOR LABOR, DELIVERY AND POSTPARTUM. B.COMMUNITY HEALTH EDUCATION COMMUNITY HEALTH NEEDS ASSESSMENT DIABETES MANAGEMENT WOMEN'S HEALTH RELATED TOPICS SMOKING CESSATION NUTRITION CLASSES LIVING WILLS PREPARING FOR YOUR DOCTOR'S VISIT MEDICATION SAFETY HEART DISEASE/HEART FAILURE PREVENTION CANCER PREVENTION (SKIN, COLON, BREAST, PROSTATE) VI. COMMUNITY SERVICE SUMMARY AT COST CHARITY CARE 1,330,220 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 17,571,450 UNCOMPENSATED CARE 1,705,153 HEALTH PROFESSIONS EDUCATION 257,493 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 40,945 VOLUNTEER SERVICES (VALUED AT 1/1/2014 269,552 PA STATEWIDE AVERAGE WEEKLY WAGE) TOTAL 21,174,813 VII. STATISTICS GEISINGER-LEWISTOWN HOSPTIAL FISCAL YEAR ENDED JUNE 30, 2015 ADMISSIONS (INCLUDING NEWBORNS) 5,514 ADMISSIONS (EXCLUDING NEWBORNS) 4,944 OUTPATIENT VISITS INCLUDING EMERGENCY DEPARTMENT 148,640 AVERAGE LENGTH OF STAY (EXCLUDING NEWBORNS AND PSYCH) 3.8 PERCENT OF OCCUPANCY (EXCLUDING NEWBORNS) 42.5% PATIENT SERVICE DAYS (EXCLUDING NEWBORNS) 19,067 TOTAL OR CASES 5,554 BEDS (EXCLUDING BASSINETS) (SET UP AND STAFFED) 123 BASSINETS IN NURSERY 12	Desc
Total Program Service Expenses	$94,744,835	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	20	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	948	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KRISTY M HINE AVP FINANCE	PersonNm
Phone	7172427650	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1Txt
City	LEWISTOWN	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17044	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per WeekAverageHoursPerWeekRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID T FEINBERG MD MBA
PRES, CHAIR,	40.00	Yes (X)	Yes (X)	$0	$0	$0
DON A ROSINI
DIRECTOR	5.25	Yes (X)		$0	$0	$0	0.25
E ALLEN DEAVER
DIRECTOR	4.25	Yes (X)		$0	$0	$0	0.25
FRANK M HENRY
DIRECTOR	4.25	Yes (X)		$0	$0	$0	0.25
GLENN D STEELE JR MD PHD
PRES, CHAIR,	40.00	Yes (X)	Yes (X)	$0	$4,288,180	$472,126
RICHARD A GRAFMYRE
DIRECTOR	5.25	Yes (X)		$0	$0	$0	0.25
ROBERT J DIETZ
DIRECTOR	5.00	Yes (X)		$0	$0	$0	0.25
ROBERT E POOLE
DIRECTOR	4.75	Yes (X)		$0	$0	$0	0.25
ROBERT L TAMBUR
DIRECTOR, VI	4.50	Yes (X)		$0	$0	$0	0.25
THOMAS H LEE JR MD
DIRECTOR	5.00	Yes (X)		$0	$0	$0	0.25
WILLIAM R GRUVER
DIRECTOR	4.50	Yes (X)		$0	$0	$0	0.25
WILLIAM H ALEXANDER
DIRECTOR	5.50	Yes (X)		$0	$0	$0	0.25
ALBERT BOTHE JR MD
CMO	40.00		Yes (X)	$0	$1,008,208	$182,440
DAVID J FELICIO ESQUIRE
CLO, SECRETA	40.00		Yes (X)	$0	$662,625	$101,181
EDWARD J ZYCH ESQUIRE
ACLO, ASST S	40.00		Yes (X)	$0	$390,565	$42,470
FRANK J TREMBULAK
SR VP, TREAS	40.00		Yes (X)	$0	$1,192,394	$219,582
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE	40.00		Yes (X)	$0	$1,028,344	$201,791
MICHAEL T HEGSTROM MD
CHIEF MEDICA	40.00		Yes (X)	$0	$439,654	$38,612	0.00
KAY HAMILTON RN MS
CAO			Yes (X)	$292,856	$0	$35,283	40.00
CHRISTINE W MATHEWS RN MSN
VP, NURSING				$171,558	$0	$13,924	40.00	Yes (X)
KIRK E THOMAS FACHE MHA RRT
VP, OPERATIO				$177,659	$0	$26,330	40.00	Yes (X)
LEWIS D ALLSHOUSE III
PHARMACIST				$129,768	$0	$27,353	40.00		Yes (X)
NALIN G PATEL MD
PSYCHIATRIST				$397,004	$0	$21,995	40.00		Yes (X)
PETER A GOYER
RAD. PHYSICI				$174,770	$0	$7,272	40.00		Yes (X)
RONALD M COWAN
AVP, IT				$124,186	$0	$16,331	40.00		Yes (X)
RICHARD F STOMACKIN BS RPH
DIRECTOR. PH				$154,808	$0	$6,251	40.00		Yes (X)
NANCY S REINKE
FORMER OFFIC				$121,583	$0	$35,275	40.00			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,744,192	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,009,970	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,448,216	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	12	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CERNER CORPORATION
2800 ROCK CREEK PARKWAY	KANSAS CITY	MO	641172551	IT SERVICES	$1,425,057
EPA
PO BOX 634850	CINCINNATI	OH	452634850	ED PHYSICIANS	$895,066
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	LAB SERVICES	$662,037
MCKAY CONSULTING
8590 BUSINESS PARK DRIVE	SHREVEPORT	LA	71105	PROF SERVICES	$650,921
ALLIANCE HEALTHCARE SERVICES
PO BOX 96485	CHICAGO	IL	606936485	IMAGING SERVICE	$642,516

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Government Grants	$21,438	GovernmentGrantsAmt
All Other Contributions	$30,674	AllOtherContributionsAmt
Total Contributions	$52,112	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE	621110	$101,419,720	$101,419,720
LAB REVENUE	621500	$882,758		$882,758
IC SHARED SERVICE- SCHEDULE O	541900	$480,252	$480,252
SCHOOL OF NURSING TUITION	611600	$414,994	$414,994
COMMUNITY EDUCATION TRAINING	621400	$44,753	$44,753

Field	Value	IRS element (for citing)
Total Program Service Revenue	$103,242,477	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$889,661	TotalRevenueColumnAmt
Exclusion	$889,661	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,701,744	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$188,488	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,701,744	SecuritiesAmt
Other	-$188,488	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,513,256	TotalRevenueColumnAmt
Exclusion	$1,513,256	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES	722514	$365,078	$365,078
GIFT SHOP SALES	453220	$93,420	$93,420
MEDICAL RECORDS TRANSCRIPTION	561000	$77,704		$77,704

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$142,830	TotalRevenueColumnAmt
Related Or Exempt Func Income	$17,537	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,945	UnrelatedBusinessRevenueAmt
Exclusion	$117,348	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$679,032	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,376,538	TotalRevenueColumnAmt
Related Or Exempt Func Income	$102,454,960	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$890,703	UnrelatedBusinessRevenueAmt
Exclusion	$2,978,763	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$15,206	TotalAmt
Program Services	$15,206	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$717,583	TotalAmt
Management And General	$717,583	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$687,438	TotalAmt
Program Services	$180,650	ProgramServicesAmt
Management And General	$506,788	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,423,759	TotalAmt
Program Services	$34,475,559	ProgramServicesAmt
Management And General	$948,200	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,557,730	TotalAmt
Program Services	$5,229,873	ProgramServicesAmt
Management And General	$327,857	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,089,001	TotalAmt
Program Services	$4,788,795	ProgramServicesAmt
Management And General	$300,206	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,916,656	TotalAmt
Program Services	$2,759,216	ProgramServicesAmt
Management And General	$157,440	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$36,470	TotalAmt
Management And General	$36,470	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$28,810	TotalAmt
Management And General	$28,810	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$10,499	TotalAmt
Management And General	$10,499	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$72,138	TotalAmt
Program Services	$69,908	ProgramServicesAmt
Management And General	$2,230	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,623,522	TotalAmt
Program Services	$8,450,184	ProgramServicesAmt
Management And General	$173,338	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$121,360	TotalAmt
Program Services	$15,055	ProgramServicesAmt
Management And General	$106,305	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,146,618	TotalAmt
Program Services	$3,015,004	ProgramServicesAmt
Management And General	$131,614	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$237,142	TotalAmt
Program Services	$236,429	ProgramServicesAmt
Management And General	$713	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,493,104	TotalAmt
Program Services	$1,429,164	ProgramServicesAmt
Management And General	$63,940	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$170,999	TotalAmt
Program Services	$149,236	ProgramServicesAmt
Management And General	$21,763	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$673	TotalAmt
Program Services	$673	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$970,763	TotalAmt
Program Services	$929,191	ProgramServicesAmt
Management And General	$41,572	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,252,910	TotalAmt
Program Services	$4,076,968	ProgramServicesAmt
Management And General	$175,942	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$580,748	TotalAmt
Program Services	$578,908	ProgramServicesAmt
Management And General	$1,840	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$13,344,098	$13,288,515	$55,583
INTERCOMPANY EXPENSE	$10,158,155	$9,906,950	$251,205
UNCOLLECTIBLE EXPENSE	$4,962,371	$4,962,371
CORPORATE INCOME TAX	$140,191		$140,191

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$219,294	TotalAmt
Program Services	$186,980	ProgramServicesAmt
Management And General	$32,314	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$98,977,238	TotalAmt
Program Services	$94,744,835	ProgramServicesAmt
Management And General	$4,232,403	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,771,611	BOYAmt
EOY	$10,121,227	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,437,973	BOYAmt
EOY	$7,308,255	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,315,044	BOYAmt
EOY	$7,392,193	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$20,106	BOYAmt
EOY	$216,763	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,351,843	BOYAmt
EOY	$2,279,485	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$997,336	BOYAmt
EOY	$186,427	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$28,750,564	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,842,773	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$21,373,082	BOYAmt
EOY	$22,907,791	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$6,031,315	BOYAmt
EOY	$4,772,829	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$23,820,639	BOYAmt
EOY	$29,816,284	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,534,109	BOYAmt
EOY	$1,073,236	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$79,653,058	BOYAmt
EOY	$86,074,490	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,730,512	BOYAmt
EOY	$7,474,586	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,815,000	BOYAmt
EOY	$20,364,067	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$816,365	BOYAmt
EOY	$329,404	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,377,697	BOYAmt
EOY	$44,076,660	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$61,739,574	BOYAmt
EOY	$72,244,717	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,108,125	BOYAmt
EOY	$13,164,328	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$229,034	BOYAmt
EOY	$112,986	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$576,325	BOYAmt
EOY	$552,459	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$17,913,484	BOYAmt
EOY	$13,829,773	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$79,653,058	BOYAmt
EOY	$86,074,490	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,399,300	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,672,548	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$8,810,463	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$10,499	OtherActivitiesAmt
Total Lobbying Expenditures	$10,499	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$179,962	BeginningYearBalanceAmt
Investment Earnings Or Losses	$907	InvestmentEarningsOrLossesAmt
Administrative Expenses	$384	AdministrativeExpensesAmt
End Year Balance	$180,485	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$244,654	OtherCostOrOtherBasisAmt
Book Value	$244,654	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,409,391	OtherCostOrOtherBasisAmt
Depreciation	$1,922,154	DepreciationAmt
Book Value	$11,487,237	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$682,347	OtherCostOrOtherBasisAmt
Depreciation	$118,603	DepreciationAmt
Book Value	$563,744	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,828,452	OtherCostOrOtherBasisAmt
Depreciation	$3,705,484	DepreciationAmt
Book Value	$9,122,968	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,585,720	OtherCostOrOtherBasisAmt
Depreciation	$96,532	DepreciationAmt
Book Value	$1,489,188	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$22,907,791	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$29,816,284	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$29,816,284	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$26,810,127
ESTIMATED 3RD PARTY PAYOR SETTLEMENT	$9,227,555
DUE TO AFFILIATES	$6,470,017
OTHER LONG TERM LIABILITIES	$1,200,000
OTHER LIABILITIES	$288,329
ESTIMATED MEDICAL MALPRACTICE CLAIMS	$80,632

Field	Value	IRS element (for citing)
Total Liability	$44,076,660	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 4, PART XIII	FormAndLineReferenceDesc
Explanation	PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS THE EARNINGS ON THE FRIENDS LEGACY ENDOWMENT FUND WILL BE USED SOLELY FOR THE PURPOSE OF CAPITAL ASND BUILDING EXPENDITURES. NO EXPENDITURES CAN BE MADE UNTIL THE FUND REACHES 1,000,000 AND THEN ONLY THE EARNINGS FROM THE INVESTMENT CAN BE USED FOR THOSE PURPOSES. THE EARNINGS ON THE SCHOOL OF NURSING SCHOLARSHIP FUNDS ARE USED FOR SCHOLARSHIPS FOR GEISINGER-LEWISTOWN HOSPITAL SCHOOL OF NURSING STUDENTS SELECTED BY THE SCHOLARSHIP COMMITTEE BASED ON ESTABLISHED CRITERIA. PART X, LINE 2 - FIN 48 FOOTNOTE EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM (1) (GHS) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREIVIOUS YEARS SINCE ADOPTION. ACCORDINLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GHS CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE ACRONYM "GHS- OR THE TERMS "SYSTEM", "GEISINGER", OR "GEISINGER HEALTH SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF THE GEISINGER HEALTH SYSTEM FOUNDATION (THE FOUNDATION) AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITITES COMPRISING THE SYSTEM.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	3.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,330,220	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,330,220	NetCommunityBenefitExpnsAmt
Total Expense	0.01340	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,212,851	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,117,347	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,095,504	NetCommunityBenefitExpnsAmt
Total Expense	0.07170	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$350,058	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$296,005	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,053	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,893,129	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,413,352	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,479,777	NetCommunityBenefitExpnsAmt
Total Expense	0.08570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,945	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,945	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$676,973	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$419,480	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$257,493	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$717,918	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$419,480	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$298,438	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,611,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,832,832	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,778,215	NetCommunityBenefitExpnsAmt
Total Expense	0.08870	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,962,315	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,984,926	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$20,822,929	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$27,518,446	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$6,695,517	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER-LEWISTOWN HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 HIGHLAND AVENUE	AddressLine1Txt
City	LEWISTOWN	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17044	ZIPCd

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER-LEWISTOWN HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.LEWISTOWNHOSPITAL.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.GEISINGER.ORG/SITES/CHNA	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GEISINGER.ORG/SITES/CHNA-2015/GLH	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWWGEISINGERORG REFER TO SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWWGEISINGERORG REFER TO SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWWGEISINGERORG REFER TO SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 5	PART V, SECTION B, LINE 3: THE NEEDS ASSESSMENT STEERING COMMITTEE AND SEVERAL COMMUNITY PARTNERS MET TO DISCUSS THE KEY ISSUES IDENTIFIED IN THE NEEDS ASSESSMENTS. A TOTAL OF 16 INDIVIDUALS ATTENDED THE STRATEGIC PLANNING SESSION, INCLUDING EXPERTS IN PUBLIC HEALTH, REPRESENTATIVES OF UNDERSERVED POPULATIONS, HEALTH AND SOCIAL SERVICE AGENCIES, AND OTHER COMMUNITY STAKEHOLDERS. -LINDA ALLEN, DIRECTOR, PA DOH - JUNIATA COUNTY STATE HEALTH CENTER -MARIE MULVIHILL, DIRECTOR, UNITED WAY OF MIFFLIN JUNIATA COUNTIES -WALT WHITMER, SR. EXTENSION ASSOCIATE, PENNS STATE COOPERATIVE EXTENSION -CRYSTAL PAIGE, DIRECTOR, THE ABUSE NETWORK -MOLLY KINNEY, DIRECTOR, MIFFLIN COUNTY LIBRARY -PAULA LEACH, HEALTH & NUTRITION COORDINATOR, SUM CHILD DEVELOPMENT -ALETA KAMMERER, EARLY HEAD START COORDINATOR, SUM CHILD DEVELOPMENT -BOB HENRY, MENTAL HEALTH ADULT PROGRAM SPECIALIST, JUNIATA VALLEY BEHAVIORAL & DEVELOPMENT SERVICES -NANCY RECORDS, DIRECTOR COMMUNITIES THAT CARE -JOHN MCCULLOUGH, DIRECTOR, JUNIATA VALLEY YMCA -BETH ZONG, DIRECTOR, MIFFLINC JUNIATA SPECIAL NEEDS CENTER -GAYLE LANDIS, QUALITY ASSURANCE/RISK MANAGEMENT, MIFFLIN JUNIATA REGIONAL SERVICES -RANDY TEWKSBURY, CFO, GEISINGER-LEWISTOWN HOSPITAL -PHYLLIS MITCHELL, VP MARKETING & COMMUNITY AFFAIRS, GEISINGER-LEWISTOWN HOSPITAL -KERIA MEALS, COMMUNICATIONS COORDINATOR, GEISINGER-LEWISTOWN HOSPITAL -CINDY HOUSER, COMMUNICATIONS DIRECTOR, AMERICORPS-GEISINGER LEWISTOWN HOSPITAL
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 11	THREE SIGNIFICANT NEEDS WERE IDENTIFIED BY THE CHNA CONDUCTED FOR GEISINGER-LEWISBURG HOSPITAL (GLH): 1) IMPROVE ACCESS TO HEALTH CARE FOR ALL RESIDENTS IN MIFFLIN AND JUNIATA COUNTIES; 2) IMPROVE THE QUALITY OF HEALTH CARE; AND, 3)PROVIDE ADDITIONAL RESOURCES TO MAKE HEALTH LIFESTYLE CHOICES. IN SUPPORT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT, GLH PLANS TO IMPLEMENT THE FOLLOWING STRATEGIES TO IMPACT AND MEASURE COMMUNITY HEALTH IMPROVEMENT: THE HOSPITAL WILL CONTINUE TO TAKE A TWO PRONG APPROACH TO ADDRESSING ACCESS AND QUALITY OF HEALTH CARE. 1) + 2) ACCESS TO QUALITY HEALTHCARE: GLH CONTINUES TO IDENTIFY WAYS THAT RESIDENTS CAN RECEIVE TIMELY, QUALITY CARE WHEN NEEDED. RECENT INITIATIVES TO REDUCE WAITING TIMES IN THE EMERGENCY DEPARTMENT, AS WELL AS WORKING WITH ITS FAMILY HEALTH ASSOCIATES PRACTICES TO IMPROVE SAME DAY SICK VISITS, HAVE BEEN SUCCESSFUL AND WILL CONTINUE. FURTHER, THE HOSPITAL HAS BEEN INTEGRAL IN AN INITIATIVE TO EXPLORE THE FEASIBILITY OF A FEDERALLY-QUALIFIED HEALTH CENTER IN THE REGION. GLH CONTINUE TO PARTNER WITH SOCIAL SERVICE ORGANIZATIONS TO BUILD UPON EXISTING ASSETS TO IMPROVE ACCESS TO CARE FOR RESIDENTS. THE FOLLOWING PROGRAMS ARE REPRESENTATIVE OF GLH'S EFFORTS TO IMPROVE ACCESS TO QUALITY HEALTHCARE: ED WAITING TIM INITIATIVE-THE EMERGENCY DEPARTMENT HAS INITIATED SEVERAL STRATEGIES TO IMPROVE WAITING TIME. CURRENTLY, THE ED HAS A "SPLIT FLOW MODEL- OR QUICK CARE, WHICH ALLOWS OUR LESS CRITICALLY-ILL PATIENTS TO BE SEEN, TREATED, AND DISCHARGED IN A TIMELY FASHION. THE HOSPITAL IS ADDRESSING THE REGISTRATION AND TRIAGE PROCEDURES TO BE MORE EFFICIENT IN ORDER TO GET PATIENTS INTO THE TREATMENT AREA FASTER. IN ADDITION, THE ED IS WORKING ON STRATEGIES WITH THE INPATIENT UNITS TO INCREASE THE SPEED AT WHICH PATIENTS ARE ADMITTED ONCE IT HAS BEEN DECIDED THAT AN INPATIENT STAY IS NECESSARY. SAME DAY APPOINTMENTS AT FAMILY HEALTH ASSOCIATES - THE PHYSICIAN OFFICES HAVE ESTABLISHED A PROCESS TO ENSURE SAME-DAY APPOINTMENTS FOR THEIR PATIENTS WHO ARE SICK. EVERY OFFICE HAS AT LEAST ONE PROVIDER WHO BEGINS THE DAY WITH ENOUGH OPEN APPOINTMENT SLOTS TO ENSURE THEY CAN ACCOMMODATE ANY PATIENTS WHO CALL FOR A SICK APPOINTMENT THAT DAY. HEALTH LITERACY INITIATIVES-THE HOSPITAL PROVIDES ITS PATIENT INFORMATION GUIDE AND SURGICAL CENTER INFORMATION IN SPANISH. THE PHYSICIAN OFFICES ALSO PROVIDES PATIENT INSTRUCTION INFORMATION IN SPANISH, AS NEEDED. IN ADDITION, VARIOUS STAFF TRAINING SESSIONS HAVE BEEN CONDUCTED ON CULTURAL AND GENERATIONAL DIVERSITY. THE HOSPITAL WILL DEVELOP A STRUCTURED EDUCATIONAL PROGRAM FOR ALL MEDICAL AND CLINICAL STAFF ON HOW TO EFFECTIVELY COMMUNICATE WITH PATIENTS. 3) HEALTHY LIFESTYLES. PROVIDE ADDITIONAL RESOURCES TO MAKE HEALTH LIFESTYLE CHOICES. THE CHNA IDENTIFIED A NUMBER OF LIFESTYLE FACTORS SUCH AS DIET, EXERCISE, AND SMOKING THAT PUT RESIDENTS AT RISK FOR CHRONIC DISEASE. GLH PLAYS A LEADERSHIP ROLE IN HELPING RESIDENTS MANAGE CHRONIC HEALTH CONDITIONS AND REDUCE RISK FACTORS FOR DISEASE. GLH WILL SEEK TO REDUCE CHRONIC CONDITIONS BY CONTINUING TO FOCUS ON EDUCATION AND AWARENESS PROGRAMS, AS WELL AS CONTINUING SUCCESSFUL SUPPORT PROGRAMS FOR PATIENTS WITH CHRONIC DISEASE. A REDUCTION IN DISEASE RATES WILL LIKELY NOT BE SEEN IN THE INITIAL THREE-YEAR CYCLE, HOWEVER, GLH EXPECTS THAT SUCCESS IN REDUCING THE PREVALENCE OF RESIDENTS WHO ARE AT RISK FOR CHRONIC CONDITIONS AND BETTER MANAGING CURRENT CHRONIC CONDITIONS WILL IMPACT THE INCIDENCE OF FUTURE CHRONIC DISEASE. THE OBJECTIVES OF THE VARIOUS HOSPITAL PROGRAMS LISTED BELOW ARE TO: PROVIDE EDUCATION AND AWARENESS ABOUT RISK FACTORS FOR CHRONIC DISEASE THROUGH EMPLOYEE WELLNESS PROGRAMS AND PUBLIC EDUCATIONAL FORUMS AND EVENTS; REDUCE PREVALENCE OF SMOKING AMONG ADULT AND YOUTH RESIDENTS; INCREASE THE PROPORTION OF PRIMARY CARE PHYSICIANS WHO REGULARLY ASSESS BODY MASS INDEX IN THEIR PATIENTS (INCLUDES CHILDREN AND ADULTS); INCREASE THE PROPORTION OF PHYSICIAN VISITS MADE BY PATIENTS WHO ARE OBESE THAT INCLUDE COUNSELING OR EDUCATION RELATED TO WEIGHT REDUCTION, NUTRITION, OR PHYSICAL ACTIVITY; IMPROVE CHRONIC DISEASE MANAGEMENT FOR DIAGNOSED PATIENTS THROUGH INTENSIVE CASE MANAGEMENT AND NURSE NAVIGATOR PROGRAMS; PROVIDE EDUCATION AND SUPPORT FOR FAMILIES OF PATIENTS WITH CHRONIC DISEASE THROUGH COMMUNITY BASED PROGRAMS; AND INCREASE THE PROPORTION OF WORKSITES THAT OFFER NUTRITION OR WEIGHT MANAGEMENT CLASSES OR COUNSELING. FHA WEIGHT MANAGEMENT AND NUTRITION PROGRAM-DR. VIRGINIA WRAY, DO, CNSP, DIRECTS THE WEIGHT MANAGEMENT AND NUTRITION PROGRAM FOR OBESE PATIENTS. THE PROGRAM STARTS WITH AN IN-DEPTH REVIEW OF THE PATIENT'S MEDICAL, PSYCHOLOGICAL, AND NUTRITIONAL HISTORY. PATIENTS SET REALISTIC GOALS AND DEVELOP A PLAN FOR SMART EATING AND EXERCISE. THE PATIENT'S MEDICAL CONDITION IS CLOSELY MONITORED AND TRACKED AS THE PLAN IS IMPLEMENTED. TRANSITIONS OF CARE, IN PARTNERSHIP WITH HIGHMARK BLUE SHIELD- THE GOAL OF THE TRANSITIONS OF CARE PROGRAM IS TO REDUCE 30-DAY READMISSIONS TO THE HOSPITAL. THE PROGRAM CONSISTS OF THREE COMPONENTS: MEDICATION LIST MONITORING, INFORMATION PROVIDED TO THE PATIENT AT DISCHARGE, AND DISCHARGE SUMMARY INFORMATION PROVIDED TO THE HEALTHCARE PROVIDER WITHIN 24 HOURS OF DISCHARGE. CONGESTIVE HEART FAILURE CASE MANAGEMENT-THE HOSPITAL EMPLOYS INTENSIVE CASE MANAGEMENT UTILIZING A CHF NURSE NAVIGATOR PROGRAM. CHF PATIENTS ARE MANAGED THROUGH PATIENT EDUCATION REGARDING MEDICATION SCHEDULES, LOW- SODIUM NUTRITION, ACTIVITY LEVEL, WEIGHT AND SYMPTOM MONITORING AS WELL AS KEEPING FOLLOW-UP APPOINTMENTS WITH SPECIALISTS AND FAMILY PHYSICIANS. CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) PROGRAM-GLH WILL EXPLORE OPPORTUNITIES TO INITIATE A COMPREHENSIVE PROGRAM TO IMPROVE OUTCOMES FOR PATIENTS WITH COPD. BUPRENORPHINE PROGRAM-FHA PARTICIPATES IN THE BUPRENORPHINE PROGRAM WHICH ASSISTS PATIENTS WITH SUBSTANCE ABUSE PROBLEMS. THE PROGRAM IS A COMMUNITY FOCUSED, COLLABORATIVE, AND COMPREHENSIVE APPROACH TO SUBSTANCE ABUSE THAT INCLUDES MEDICATION TO TREAT OPIOID DEPENDENCE AND EXTENSIVE DRUG COUNSELING. GLH WELLNESS PROGRAM-THE HOSPITAL PARTNERS WITH HIGHMARK BLUE SHIELD TO OFFER AN EMPLOYEE WELLNESS PROGRAM THAT INCLUDES THREE MODULES: WELLNESS PROFILE & EMPLOYEE INTEREST SURVEY, BIOMETRIC HEALTH SCREENINGS, AND WELLNESS INTERVENTIONS. ALL ACTIVITIES ARE TRACKED ON A SCORECARD AND EMPLOYEES CAN EARN A BONUS FOR COMPLETING ALL MODULE ACTIVITIES. SMOKING CESSATION PROGRAM-THE HMJ PATCH PROGRAM (HUNTINGDON, MIFFLIN, AND JUNIATA COUNTIES PROMOTING ADULT/ADOLESCENT TOBACCO CESSATION AND HEALTH) OFFERS A 10-WEEK PROGRAM FOR ADULTS AND TEENS COMBINING EDUCATIONAL MATERIALS, BEHAVIORAL COUNSELING, AND NICOTINE REPLACEMENT THERAPIES TO ASSIST AND SUPPORT INDIVIDUALS IN THEIR EFFORTS TO QUIT USING TOBACCO. HEALTH SCREENINGS-THE HOSPITAL OFFERS HEALTH AND SAFETY SCREENINGS FREE OF CHARGE INCLUDING: BLOOD PRESSURE, BLOOD SUGAR (GLUCOSE), BONE DENSITY, BODY MASS INDEX (BMI), HEALTHY HEART, SPIROMETRIES, AND CHILD SAFETY SEAT INSPECTIONS. BREASTFEEDING INITIATIVE-THE FAMILY PLACE AT GLH OFFERS A BREASTFEEDING BASICS CLASS GEARED TOWARD THE PREGNANT WOMAN AND HER PARTNER. TOPICS COVERED IN THE TWO-HOUR CLASS INCLUDE THE NUTRITIONAL BENEFITS OF BREAST- FEEDING; THE "HOW TO'S" OF GETTING YOU AND YOUR BABY STARTED WITH BREASTFEEDING; AND VARIOUS POSITION ALTERNATIVES. CANCER CARE & SHARE SUPPORT GROUP-GLH'S CANCER SERVICES FACILITATES A LOCAL CANCER SUPPORT NETWORK THAT WELCOMES ALL CANCER SURVIVORS, FAMILY, AND FRIENDS. THE GROUP MEETS EACH MONTH AT GLH. BARIATRIC SURGERY SUPPORT GROUP- FHA CENTER FOR WEIGHT MANAGEMENT AND NUTRITION HOSTS A BARIATRIC SURGERY SUPPORT GROUP EVERY MONTH AT THE HOSPITAL. SESSIONS ARE MODERATED BY VIRGINIA M. WRAY, DO, CNSP. DIABETES EDUCATION CLASSES-THE DIABETES RESOURCE CENTER AT GLH OFFERS EDUCATION CLASSES EACH SPRING AND FALL. CLASSES ARE HELD ONE DAY A WEEK FOR FIVE WEEKS. TOPICS MAY INCLUDE: DIABETES BASIC NUTRITION, CARBOHYDRATE COUNTING, MONITORING, MEDICATIONS, AND AVOIDING COMPLICATIONS. LEWIE B. HEALTHY CHILDREN'S-LEWIE B. HEALTHY IS GLH'S MASCOT. LEWIE MAKES SPECIAL APPEARANCES UPON REQUEST AT CHILD CARE CENTERS, SCHOOLS, AND COMMUNITY EVENTS TO HELP EDUCATE CHILDREN AND ADULTS ON VARIOUS HEALTH TOPICS INCLUDING: BONE HEALTH, FLU PREVENTION, 911 SAFETY, USDA'S MYPLATE, DENTAL HEALTH (IN PARTNERSHIP WITH THE MIFFLIN-JUNIATA DENTAL CLINIC), AND POISON SAFETY. FAMILY HEALTH ASSOCIATES TIME OF CHANGE WORKSHOPS-GLH'S FAMILY HEALTH ASSOCIATES (FHA) OFFERS A WORKSHOP DESIGNED ESPECIALLY FOR MOTHERS AND THEIR ADOLESCENT DAUGHTERS, AGES 9 - 12 YEARS. THE FOCUS OF THE WORKSHOP IS TO ASSIST MOTHERS IN EDUCATING THEIR DAUGHTERS ON CHANGES THAT OCCUR DURING ADOLESCENCE. INFORMATIONAL BOOKLETS FOR MOTHERS AND DAUGHTERS ARE GIVEN TO REINFORCE INFORMATION PRESENTED. KID CONNECTION'S "BEE" HEALTHY AVENUE-LEWISTOWN HOSPITAL, WITH THE HELP OF THEIR MASCOT, LEWIE B. HEALTHY, HOST "BEE" HEALTHY AVENUE ALONG WITH OTHER LOCAL HEALTHCARE AND HEALTH ORIENTED VENDORS WHO TEACH CHILDREN HOW TO
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 13B	RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY.
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 16I	THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT: HTTP://WWW.GEISINGER.ORG/FOR-PATIENTS/RESOURCE- CENTER/PATIENT-BILLING-SERVICES/INDEX.HTML IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 20E	UNDER NO CIRCUMSTANCES WILL GLH FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER GLH'S FINANCIAL ASSISTANCE PROGRAM.
FACILITY 1, GEISINGER-LEWISTOWN HOSPITAL - PART V, LINE 22D	PATIENTS WHOSE HOUSEHOLD INCOME IS 300% OR LOWER OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. PATIENTS WHO MEET THIS CRITERIA ARE ELIGIBLE FOR 100% DISCOUNT ON CHARGES, RESULTING IN 0 CHARGES FOR MEDICALLY NECESSARY CARE. NO OTHER DISCOUNTS ARE AVAILABLE UNDER GLH'S FAP. FREE CARE OR 0 CHARGE IS BELOW THE HOSPITAL FACILITY'S AMOUNT GENERALLY BILLED.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	PART I, LINE 3A: DID THE ORGANIZATION USE FPG AS A FACTOR IN DETERMINING FREE CARE? YES, EFFECTIVE 07/01/2014, THE ELIGIBILITY FOR 100% DISCOUNTED FREE CARE UNDER THE GEISINGER-LEWISTOWN HOSPITAL (GLH) FINANCIAL ASSISTANCE POLICY WAS EXPANDED BY INCREASING THE HOUSEHOLD INCOME THRESHOLD FROM 200% TO 300% OF THE FEDERAL POVERTY GUIDELINES. PART I, LINE 3C: FACTORS USED OTHER THAN FPG IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE: SUPPORTING DOCUMENTATION FOR ELIGIBILITY MAY CONSIST OF INCOME AND ASSET INFORMATION, INCLUSIVE BUT NOT LIMITED TO: FEDERAL INCOME TAX FORM 1040 FROM THE PRIOR YEAR, PAY STUB COPIES (FROM FOUR PRIOR PAY PERIODS), WRITTEN VERIFICATION OF ANY OTHER INCOME RECEIVED (I.E. SOCIAL SECURITY, ADC, CHILD SUPPORT, ALIMONY, ETC.), CURRENT CREDIT REPORTS AND ASSET VERIFICATION. GLH MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICS TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY).
PART I, LINE 6A - RELATED ORGANIZATION INFORMATION	A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GEISINGER-LEWISTOWN HOSPITAL (GLH) AND ITS RELATED CHARITABLE ORGANIZATIONS IS INCLUDED IN THE ANNUAL REPORT OF THE GEISINGER HEALTH SYSTEM AND IS AVAILABLE AT GEISINGER.ORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE REPORT CAN BE FOUND AT: HTTP://WWW.GEISINGER.ORG/PAGES/ABOUT-GEISINGER/PAGES/ANNUAL-REPORTS.HTML
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYORS, SELF-PAY, ETC.). A COST TO CHARGE RATIO WAS CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS WAS USED TO CALCULATE THE COST OF THESE PROGRAMS.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	REFER TO THE RESPONSE FOR PART III, LINE 4.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER GLH'S UNCOMPENSATED OR CHARITY CARE POLICIES. BASED ON EXPERIENCE, GLH ESTIMATES THAT APPROXIMATELY 40% OF THE BAD DEBT ACCOUNTS ARE SUBSEQUENTLY RECLASSIFIED TO UNCOMPENSATED OR CHARITY CARE.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	PART III, LINE 2 AND 4: GEISINGER HEALTH SYSTEM FOUNDATION AND ITS AFFILIATES (THE "SYSTEM"), THAT INCLUDES GEISINGER-LEWISTOWN HOSPITAL, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL CHARITABLE AFFILIATES. THE ORGANIZATIONS WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTABLE. AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTABLE IN FUTURE PERIODS. FOR THE FOOTNOTES REGARDING ACCOUNTS RECEIVABLE AND ALLOWANCES SEE PAGE 8 OF THE ATTACHED GEISINGER HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS, JUNE 30, 2015 AND JUNE 30, 2014. FOR THE FOOTNOTE REGARDING BAD DEBT, SEE PAGE 13 OF THE CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8 - MEDICARE EXPLANATION	PART III, LINE 3 - BAD DEBT AND LINE 8 - MEDICARE: LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE ALLOWED TO BE REPORTED ON GLH'S MEDICARE COST REPORT THAT ARE REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). THIS RULING REMOVED THE PREVIOUS REQUIREMENT OF REVENUE RULING 56-185, KNOWN AS THE "CHARITY CARE STANDARD," THAT IN ORDER TO BE A CHARITABLE ORGANIZATION, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR THEIR CARE. THIS EARLIER RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT MEAN THAT A HOSPITAL WAS NOT CHARITABLE SINCE THAT LEVEL COULD REFLECT THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE SUCH CARE. REVENUE RULING 56-185 ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT IMPACT A HOSPITAL'S CHARITABLE STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. REVENUE RULING 69-545 INVOLVED A HOSPITAL THAT ONLY ADMITTED THOSE WHO COULD PAY FOR THE SERVICES EITHER BY THEMSELVES, THROUGH PRIVATE INSURANCE OR PUBLIC PROGRAMS SUCH AS MEDICARE. IN ADDITION, THE HOSPITAL OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL WAS CHARITABLE BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM CHARITABLE, AS REQUIRED BY TREASURY REGULATION SECTION 1.501(C)(3)-1(D)(2). THE IRS RULED THAT THE PROMOTION OF HEALTH, LIKE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES OF THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") HOLDS THE POSITION THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. IN A LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUES THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) IS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: -PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS REMAINS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. -MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES ONLY 92 CENTS FOR EVERY DOLLAR HOSPITALS SPEND TO CARE FOR MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION IN ITS MARCH 2007 REPORT CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE. -MANY MEDICARE PATIENTS, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46% OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200% OF THE FEDERAL POVERTY LEVEL. MANY ARE ALSO ELIGIBLE FOR MEDICAID, SO CALLED -DUAL ELIGIBLES". PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS LIKE GLH TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE AND BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES. GLH CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF 6,695,517 SHOULD BE REPORTED AS COMMUNITY BENEFIT ON THE FORM 990, SCHEDULE H, PART I, LINE 7. ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW INCOME PATIENTS, THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. FOR MANY OF THE MEDICAL SERVICES PROVIDED BY THE HOSPITAL, MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE TO THESE PATIENTS, FORCING GLH TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY GLH IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. GLH PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY THAT MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEEDS BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. BOTH GLH AND THE AHA BELIEVE THAT PATIENT BAD DEBT (PART III, LINE 3) BE REPORTED AS A COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. LIKE MEDICARE UNDERPAYMENTS (SHORTFALLS), BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT BECAUSE: -A SIGNIFICANT PORTION OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO FOR MANY REASONS DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY UNDER GLH'S CHARITY CARE OR FINANCIAL ASSISTANCE POLICY (FAP). A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO"), "NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFIT", CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." -THE CBO REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF THE BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR CHARITABLE MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THE EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ACCORDING THE CBO REPORT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. (IN FY 2015, APPROXIMATELY 40% OF GLH'S BAD DEBT WAS SUBSEQUENTLY RECLASSIFIED TO CHARITY CARE.) THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE (BAD DEBT AND CHARITY CARE) AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZED NATIONALLY. THE EXPERIENCE OF HOSPITALS NATIONWIDE REINFORCE THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHS, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE CHARITABLE MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS' SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	GLH IS COMMITTED TO PROVIDING MEDICAL NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND GLH'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS GLH POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS. A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING AND COLLECTION PROCESS. IN ANY STAGE OF THE BILLING PROCESS, COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE. UNDER NO CIRCUMSTANCE WILL GLH FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER GLH'S FINANCIAL ASSISTANCE PROGRAM.
PART VI, LINE 2 - NEEDS ASSESSMENT	GLH ASSESES THE NEEDS OF THE COMMUNITIES SERVED IN THE FOLLOWING MANNER: QUARTERLY ADVISORY GROUPS: THE PATIENT SATISFACTION ADVISORY GROUP PURPOSE IS TO PROVIDE FEEDBACK REGARDING THE HOSPITAL'S PATIENT SATISFACTION EFFORTS. THE COMMITTEE IS COMPOSED OF FORMER AND CURRENT PATIENTS, AS WELL AS COMMUNITY MEMBERS. MEMBERS GIVE INSIGHT INTO WHAT THE COMMUNITY IS SAYING ABOUT THE HOSPITAL AND SUGGESTIONS FOR CHANGES TO MAKE THE HOSPITAL EXPERIENCE MORE PATIENT- FOCUSED. THE MARKETING ADVISORY COMMITTEE'S PURPOSE IS TO PROVIDE GUIDANCE FOR THE HOSPITAL'S MARKETING AND OUTREACH EFFORTS. MEDICAL STAFF SURVEYS: THE PRIMARY OBJECTIVE OF THE MEDICAL STAFF ASSESSMENT PROCESS WAS TO CREATE A MEDICAL STAFF DEVELOPMENT PLAN FOR GLH THAT PROJECTS THE NEEDS FOR PHYSICIANS OVER THE NEXT SEVERAL YEARS, BY SPECIALTY, IN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS. IN ADDITION, THE SURVEY WAS USED TO CREATE A PHYSICIAN RECRUITMENT STRATEGY FOR THE HOSPITAL AND MEMBERS OF THE MEDICAL STAFF. UTILIZATION STATISTICS AND ANALYSIS: DECISION SUPPORT SOFTWARE WITHIN THE HOSPITAL'S FINANCE DEPARTMENT PROVIDES HISTORICAL AND CURRENT DATA ON THE UTILIZATION OF INPATIENT AND OUTPATIENT SERVICES. STATE HEALTH IMPROVEMENT PLAN PARTNERSHIP (SHIP) DATA: GLH IS A KEY MEMBER OF THE LOCAL SHIP (MIFFLIN-JUNIATA PARTNERS ADVANCING TOMORROW'S HEALTH). THE PURPOSE OF THIS GROUP IS TO SUPPORT THE HEALTH PLANNING INITIATIVES FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH. THIS IS ACCOMPLISHED BY ENGAGING A BROAD SPECTRUM OF LOCAL COMMUNITY INDIVIDUALS AND ORGANIZATIONS WITH INTERESTS AND INFLUENCE ON LOCAL HEALTH STATUS BY WORKING TOGETHER TO PROMOTE EFFECTIVE HEALTH IMPROVEMENT STRATEGIES, INCLUDING PLANNING AND COORDINATION OF LOCAL RESOURCES. MEETINGS ARE HELD BI-MONTHLY. PA DEPARTMENT OF HEALTH STATISTICS: THE PA DEPARTMENT OF HEALTH WEBSITE PROVIDES A WEALTH OF HEALTH STATISTICS AND DATA FOR EACH COUNTY. THIS INCLUDES THE FOLLOWING: RATES FOR BIRTH, DEATH, CANCER, AND OTHER VITAL STATISTICS BEHAVIORAL RISK AND INJURY STATISTICS COMMUNICABLE DISEASES HEALTH FACILITIES SCHOOL HEALTH PA DEPARTMENT OF HEALTH BEHAVIORAL RISK FACTOR SURVEY: THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) IS AN ANNUAL TELEPHONE SURVEY IMPLEMENTED NATIONWIDE UNDER A GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION. SINCE 1989, THE PENNSYLVANIA DEPARTMENT OF HEALTH HAS RELEASED ANNUAL REPORTS USING BRFSS DATA ON VARIOUS HEALTH RISK BEHAVIORS, SUCH AS SMOKING, DRINKING, SEAT BELT USAGE AND HEALTH STATUS. HOW IS ALL OF THE ABOVE INFORMATION PULLED TOGETHER AND UTILIZED? VARIOUS HOSPITAL STAFF MEMBERS ASSIST WITH THE DATA COLLECTION. PRIMARY AND SECONDARY DATA IS ORGANIZED INTO COMPUTER FILES TO MAKE THE INFORMATION EASIER TO USE AND ANALYZE. ONCE THE HOSPITAL HAS THE PRIMARY AND SECONDARY DATA COLLECTED AND IN HAND, THE SENIOR TEAM SPENDS TIME ANALYZING THE DATA TO DISCERN PATTERNS AND THEMES. ASSESSMENT DATA FINDINGS ARE SHARED WITH A VARIETY OF GROUPS INTERNALLY AND EXTERNALLY (MANAGEMENT STAFF, MEDICAL- DENTAL STAFF, BOARD OF TRUSTEES, COMMUNITY ORGANIZATIONS). SINCE SUFFICIENT RESOURCES ARE NOT AVAILABLE TO ADDRESS ALL THE HEALTH CONCERNS IDENTIFIED IN THE ASSESSMENTS, CHOICES MUST BE MADE ABOUT WHICH ISSUES ARE DESIGNATED AS PRIORITIES FOR ACTION IN THE SHORT TO INTERMEDIATE TERM (ONE TO THREE YEARS). IN GENERAL, THE HOSPITAL ADDRESSES THREE TO FOUR PRIORITIES. THE HOSPITAL COLLABORATES WITH OTHER COMMUNITY STAKEHOLDERS TO GAIN A GREATER COMMITMENT TO ACTION. A CONSENSUS IS REACHED WITH INPUT FROM HOSPITAL STAFF, MEDICAL STAFF, THE BOARD OF TRUSTEES, AND COMMUNITY MEMBERS. CRITERIA THAT ARE USED TO IDENTIFY THE MOST SIGNIFICANT HEALTH ISSUES INCLUDE: THE MAGNITUDE OF THE PROBLEM THE SEVERITY OF THE PROBLEM A HIGH NEED AMONG VULNERABLE POPULATIONS CRITERIA THAT ARE USED TO EVALUATE WHICH HEALTH ISSUES THE HOSPITAL SHOULD PRIORITIZE INCLUDE: THE HOSPITAL'S CAPACITY TO ACT ON THE ISSUE, INCLUDING ECONOMIC,SOCIAL, AND CULTURAL CONSIDERATIONS. THE FEASIBILITY OF HAVING A MEASURABLE IMPACT ON THE ISSUE COMMUNITY RESOURCES ALREADY FOCUSED ON THE ISSUE WHETHER THE ISSUE IS A ROOT CAUSE OF OTHER PROBLEMS (THEREBY POSSIBLY AFFECTING MULTIPLE ISSUES) WHEN THE ISSUES HAVE BEEN PRIORITIZED, THE SENIOR TEAM AND BOARD OF TRUSTEES DISCUSS THE PRIORITIZED LIST AND ASK FOR ADDITIONAL INPUT AND VALIDATION. WHEN A FINAL DECISION IS MADE, A PLAN IS PUT INTO PLACE TO ADDRESS THE PRIORITIES AND IMPROVE COMMUNITY HEALTH. SPECIFIC GOALS HELP FOCUS THE SPECIFIC INTERVENTIONS AND PROVIDE A METHOD FOR VALUING EACH OPTION.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	FOR URGENT AND EMERGENT SERVICES, PATIENTS ARE PROVIDED CARE REGARDLESS OF THEIR ABILITY TO PAY. IN THE EVENT A PATIENT HAS AN EMERGENCY MEDICAL CONDITION, TREATMENT IS NOT DELAYED TO PERMIT AN INQUIRY REGARDING A PATIENT'S METHOD OF PAYMENT OR INSURANCE STATUS. FOR OTHER THAN URGENT AND EMERGENT SERVICES, THE HOSPITAL PROVIDES UNCOMPENSATED CARE, FREE OF CHARGE, OR ON A 100% DISCOUNTED BASIS, TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. DEPENDING UPON FAMILY SIZE AND INCOME, FREE OR 100% DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS GEISINGER POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS. A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING PROCESS. INFORMATION (SIGNS, BROCHURES, ETC.) REGARDING GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM, REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL. REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. NOTICE OF GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWW.GEISINGER.ORG. PATIENTS ARE ALSO PROVIDED INFORMATION ON GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL.
PART VI, LINE 4 - COMMUNITY INFORMATION	THE GLH SERVICE AREA IS COMPRISED OF MIFFLIN COUNTY, JUNIATA COUNTY, AND PARTS OF HUNTINGDON AND SNYDER COUNTIES. THIS RURAL AREA CONTAINS SOME 145,000 PEOPLE SPREAD OVER MORE THAN 2,500 SQUARE MILES OF RUGGED TERRAIN LOCATED IN THE HEART OF THE APPALACHIAN MOUNTAINS IN CENTRAL PENNSYLVANIA. THE AVERAGE POPULATION DENSITY IS APPROXIMATELY 60 PERSONS PER SQUARE MILE. THE JUNIATA RIVER RUNS ALONG THE VERDANT VALLEYS AND SLICES THROUGH NARROW MOUNTAIN PASSES TO CONNECT OUR RESIDENTS TOGETHER, WHICH IS WHY OUR AREA IS CALLED THE JUNIATA VALLEY. TRANSPORTATION BARRIERS PLAY A MAJOR ROLE IN ACCESS TO HEALTH CARE IN OUR REGION. THESE NATURAL BARRIERS INCLUDE NARROW ROADS THAT EITHER MEANDER ALONG STREAMS AND CREEKS OR CROSSOVER THE MOUNTAIN RANGES THAT TRAVERSE OUR APPALACHIAN RIDGE REGION. THESE BARRIERS ARE EVEN MORE DAUNTING GIVEN HAZARDOUS WINTER DRIVING CONDITIONS CAUSED BY SNOW OR ICE COVERED ROADS. LOW-INCOME AND SENIOR CITIZENS ALSO FACE TRANSPORTATION ISSUES, AS THERE IS NO PUBLIC TRANSPORTATION IN OUR SERVICE AREA. SENIOR CITIZENS AND MEDICAID-ELIGIBLE PERSONS CAN USE THE "CARS" VAN SYSTEM FOR TRANSPORTATION TO REGULARLY SCHEDULED APPOINTMENTS WITH A WEEKS' NOTICE BUT NOT FOR URGENT OR EMERGENCY CARE. LOW INCOME CITIZENS HAVE NO ACCESS TO ANY PUBLIC TRANSPORTATION AT ALL IN OUR COMMUNITY. IF A TRIP TO A SPECIALIST IS REQUIRED THE MAJOR SUPPORT HOSPITALS ARE OVER ONE AND HALF HOURS DRIVE. THE POPULATION OF OUR TOTAL SERVICE AREA IS JUST ABOUT 145,000 PERSONS BASED ON 2010 US CENSUS DATA. MIFFLIN COUNTY HAS A RELATIVELY FLAT GROWTH RATE WITH A POPULATION CHANGE OF 0.4% FROM 2000 TO 2010. JUNIATA COUNTY, ON THE OTHER HAND, HAS SEEN SIGNIFICANT GROWTH WITH A 10.6% INCREASE IN POPULATION FROM 2000 TO 2010. IT IS BELIEVED THAT THIS GROWTH IS MOSTLY COMING FROM PEOPLE WHO WORK IN THE NEARBY HARRISBURG AREA WHO ARE LOOKING FOR A LOWER COST OF LIVING. WITH THE RECENT COMPLETION OF A NEW FOUR-LANE HIGHWAY NORTH OF HARRISBURG, THE COMMUTE TO HARRISBURG HAS BECOME MORE CONVENIENT RESULTING IN AN INCREASE IN JUNIATA COUNTY'S POPULATION AS PEOPLE MOVE FURTHER AWAY FROM THE URBAN AREAS TO LIVE IN THE COUNTRY. HIGHER GROWTH IN FULTON COUNTY IS EXPLAINED BY MIGRATION FROM MARYLAND AS PEOPLE TRY TO MOVE AWAY FROM HIGHER HOUSING COSTS IN MARYLAND. HUNTINGDON COUNTY'S GROWTH IS MOSTLY OCCURRING IN THE NORTHERN PORTION OF THE COUNTY THAT IS CLOSE ENOUGH TO STATE COLLEGE TO ALLOW RESIDENTS TO COMMUTE TO PENN STATE UNIVERSITY. THESE GROWTH RATES ARE STILL VERY LOW WHEN COMPARED TO A NATIONAL GROWTH RATE OF OVER 13%. OTHER IMPORTANT DEMOGRAPHIC STATISTICS ARE OUTLINED BELOW. STATISTICS: MIFFLIN COUNTY(MC), JUNIATA COUNTY(JC), PENNSYLVANIA(PA) POPULATION: 46,682(MC), 24,636(JC, 12,702,379(PA) POPULATION LESS THAN 18 YEARS OF AGE: 23.1%(MC), 24%(JC), 22%(PA) AGE 65 AND UP: 18.5%(MC), 16.8%(JC), 15.4%(PA) PERCENTAGE OF POPULATION BELOW THE POVERTY LEVEL (2010): 16.6%(MC), 11.1%(JC), 13.4% (PA) POVERTY RATE FOR CHILDREN UNDER AGE 18 (2010): 28.1%(MC), 18.0%(JC), 18.9%(PA) MEDIAN HOUSEHOLD INCOME: 37,163(MC), 45,810(JC), 49,245(PA) UNINSURED ADULTS (2010): 19.1%(MC), 18.7%(JC), 14.5%(PA) UNEMPLOYMENT RATE (2010): 9.5%(MC), 7.7%(JC), 8.4%(PA) MIFFLIN COUNTY'S 65 AND OVER AGE GROUP IS 18.5 PERCENT (2010), WHILE JUNIATA COUNTY'S IS 16.8%, HUNTINGDON COUNTY'S, 16.2% AND FULTON COUNTY'S 17.1%. THE PENNSYLVANIA AVERAGE FOR THIS STATISTIC IS 15.4%. BOTH MIFFLIN AND JUNIATA COUNTIES HAVE HIGHER PERCENTAGES OF PERSONS LESS THAN 18 YEARS OF AGE, 23.1% AND 24.0% RESPECTIVELY, THAN THE PA AVERAGE OF 22.0%. BOTH OF THESE GROUPS REQUIRE MORE HEALTH CARE RESOURCES THAN OTHER AGE GROUPS IN OUR COMMUNITY. MIFFLIN COUNTY HAS 16.6% OF THE POPULATION WITH INCOME BELOW THE POVERTY LINE AND 28.1% OF CHILDREN UNDER 18 LIVING IN POVERTY. JUNIATA COUNTY HAS 11.1% OF THE POPULATION WITH INCOME BELOW THE POVERTY LINE, WHILE HUNTINGDON AND SNYDER COUNTIES ARE 13% AND 14% RESPECTIVELY. PER CAPITA PERSONAL INCOME (2009) FOR THE FOUR MAIN COUNTIES IN OUR SERVICE AREA ARE AS FOLLOWS: MIFFLIN 28.3K, JUNIATA 30.3K, HUNTINGDON 27.6K, AND SNYDER 30.8K. THE PERCENTAGES OF THE POPULATIONS WHO ARE UNINSURED (IN THE 18-64 AGE RANGE) FOR THOSE COUNTIES ARE AS FOLLOWS: MIFFLIN 19%, JUNIATA 19%, HUNTINGDON 19%, AND SNYDER 16%. AT THE BEGINNING OF FOR FISCAL YEAR 2014, APPROXIMATELY 14.1% OF OUR PATIENT POPULATION WAS MEDICAL ASSISTANCE, WHILE ANOTHER 3.8% WERE SELF PAY. THERE IS ONE OTHER HOSPITAL LOCATED WITHIN THE SERVICE AREA DEBCRIBED ABOVE, JC BLAIR MEMORIAL HOSPITAL IN HUNTINGDON, PA. THERE ARE ALSO SEVERAL OTHER HOSPITALS LOCATED IN AREAS SURROUNDING OUR SERVICE AREA. THESE INCLUDE MT. NITTANY MEDICAL CENTER IN STATE COLLEGE, PA; GEISINGER MEDICAL CENTER IN DANVILLE, PA; HOLY SPIRIT HOSPITAL IN CAMP HILL, PA; THE PENN STATE MILTON S. HERSHEY MEDICAL CENTER IN HERSHEY, PA; AND SEVERAL CAMPUSES OF PINNACLE HEALTH IN THE HARRISBURG, PA AREA. THERE ARE ALSO SEVERAL FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS WITHIN OUR SERVICE AREA. THERE ARE TWO LOCATED IN MIFFLIN COUNTY, ONE IN JUNIATA COUNTY, AND FOUR IN HUNTINGDON COUNTY. THE ADULT BEHAVIORAL HEALTH RISK FACTORS SURVEY (2008-2010) SHOWS THE FOLLOWING STATISTICS FOR THE POPULATION LIVING IN MIFFLIN AND JUNIATA COUNTIES: RISK FACTORS : -PERCENT FAIR OR POOR GENERAL HEALTH: 16% -OBESE: 31% -OVERWEIGHT (INCLUDES OBESE): 66% -DIABETIC: 11% -CURRENTLY HAS ASTHMA: 10% -CURRENT SMOKER:19% FOR MIFFLIN AND JUNIATA COUNTIES, THE HEALTH PROFILE FROM THE PA DEPARTMENT OF HEALTH SHOWS THE MAJOR CAUSES OF DEATH ARE DISEASES OF THE HEART, CANCER, STROKE, AND CHRONIC LOWER RESPIRATORY DISEASES. PROSTATE CANCER RANKS AS NUMBER ONE FOR THE HIGHEST INCIDENCE OF CANCER, FOLLOWED BY FEMALE BREAST CANCER. RANKING THIRD AND FOURTH ON THE LIST ARE LUNG CANCER AND COLON CANCER, RESPECTIVELY.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS / COMMUNITY BENEFIT REPORTED IN SCHEDULE O.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	GLH IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. GEISINGER HEALTH SYSTEM IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SIX ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,136 PHYSICIANS PRACTICING AT 91 PRIMARY AND SPECIALTY CLINICS; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 478,501 MEMBERS. GEISINGER OPERATES IN 44 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, PRIMARILY OUTSIDE THE MAJOR METROPOLITAN AREAS, GEISINGER AT A GLANCE. -PHYSICIAN PRACTICE GROUP - MULTISPECIALTY GROUP PRACTICE WITH 1,136 EMPLOYED PHYSICIANS PRACTICING AT 91 CLINIC SITES -MANAGED CARE COMPANIES 478,501 MEMBERS -PROVIDER FACILITIES INCLUDES 1,326 LICENSED HOSPITAL BEDS, 344 SKILLED NURSING FACILITY BEDS AND 91 CHEMICAL DEPENDENCY BEDS. MISSION. GEISINGER'S MISSION IS TO ENHANCE THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. THIS MISSION STATEMENT HAS BEEN SUMMARIZED INTO FOUR WORDS - "HEAL. TEACH. DISCOVER. SERVE." HISTORY. GEISINGER HAD ITS BEGINNINGS IN THE SMALL COMMUNITY OF DANVILLE, WHICH IS LOCATED IN CENTRAL PENNSYLVANIA ON THE NORTHERN BRANCH OF THE SUSQUEHANNA RIVER. THERE, IN 1915, ABIGAIL A. GEISINGER FOUNDED THE GEORGE F. GEISINGER MEMORIAL HOSPITAL IN MEMORY OF HER HUSBAND. FROM THE BEGINNING, THE NEW HOSPITAL WAS DESIGNED AS A COMPREHENSIVE HEALTHCARE INSTITUTION THAT WOULD OFFER SPECIALIZED MEDICAL CARE TO PEOPLE IN THE RURAL AREAS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA. UNLIKE MOST HEALTHCARE SYSTEMS, WHICH EVOLVED WITH A HOSPITAL FOCUS, GEISINGER'S HISTORY AND TRADITION IS THAT OF A PHYSICIAN-LED AND PHYSICIAN-DRIVEN HEALTHCARE ORGANIZATION. THIS TRADITION BEGAN WHEN MRS. GEISINGER BROUGHT DR. HAROLD FOSS, A MAYO CLINIC TRAINED PHYSICIAN, TO BE HER HOSPITAL'S FIRST CHIEF OF STAFF. TODAY, GEISINGER IS REGARDED AS A NATIONAL MODEL OF HEALTHCARE DELIVERY CENTERED ON A SOPHISTICATED MULTISPECIALTY GROUP PRACTICE. SINCE THE 1970S, GEISINGER'S STRATEGY OF INTEGRATING PHYSICIANS AND HOSPITALS EXPANDED TO INCLUDE THE MANAGEMENT OF HEALTH AND THE FINANCING OF HEALTHCARE SERVICES THROUGH ITS WHOLLY CONTROLLED HEALTH MAINTENANCE ORGANIZATION, GEISINGER HEALTH PLAN. TWO INDEMNITY HEALTH INSURERS, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC., KNOWN COLLECTIVELY WITH GEISINGER HEALTH PLAN AS "GEISINGER HEALTH PLANS- OR "GHPS", HAVE BEEN ADDED IN RECENT YEARS. CORPORATE STRUCTURE. THE ORGANIZATIONAL STRUCTURE OF THE SYSTEM REFLECTS THE STRATEGIC GOAL OF OPERATING AS A FULLY INTEGRATED HEALTHCARE SYSTEM WHOSE CORPORATE COMPONENTS SHARE THE COMMON GOALS OF MANAGING AND IMPROVING THE HEALTHCARE OF ITS PATIENTS AND MEMBERS, WHILE RECOGNIZING AND RESPECTING THE CORPORATE IDENTITY OF EACH ENTITY. THIS INTEGRATION LINKS THE AREAS OF PHYSICIANS, HOSPITALS/CLINICS, AND HEALTHCARE INSURANCE. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING THE GEISINGER HEALTH SYSTEM. THROUGHOUT THIS DOCUMENT THE TERMS "GEISINGER HEALTH SYSTEM", "GEISINGER- OR "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.
ADDITIONAL INFORMATION	FORM 990, SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, GLH AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALL OTHER CONTRIBUTIONS COMBINED	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	EACH INDIVIDUALLY 5000 OR LESS	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17822	ZIPCd

Field	Value	IRS element (for citing)
Cash Grant	$15,206	CashGrantAmt

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	6	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
GLENN D STEELE JR MD PHD
PRES, CHAIR,DIRECTOR	$1,091,895	$1,131,217	$2,065,068	$440,136	$31,990	$4,760,306	$1,191,920
ALBERT BOTHE JR MD
CMO	$557,191	$203,742	$247,275	$169,843	$12,597	$1,190,648	$185,129
DAVID J FELICIO ESQUIRE
CLO, SECRETARY	$390,448	$164,846	$107,331	$76,118	$25,063	$763,806	$61,110
EDWARD J ZYCH ESQUIRE
ACLO, ASST SECTY	$262,471	$80,515	$47,579	$18,720	$23,750	$433,035	$30,485
FRANK J TREMBULAK
SR VP, TREASURER	$628,294	$313,196	$250,904	$208,746	$10,836	$1,411,976	$209,318
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE, CFO	$531,656	$273,329	$223,359	$176,933	$24,858	$1,230,135	$185,023
MICHAEL T HEGSTROM MD
CHIEF MEDICAL OFFICE	$339,141	$73,335	$27,178	$18,720	$19,892	$478,266
KAY HAMILTON RN MS
CAO								$288,832	$4,024	$24,409	$10,874	$328,139
CHRISTINE W MATHEWS RN MSN
VP, NURSING								$147,989	$668	$6,677	$7,247	$185,482	$22,901
KIRK E THOMAS FACHE MHA RRT
VP, OPERATIONS								$152,905	$271		$26,330	$203,989	$24,483
LEWIS D ALLSHOUSE III
PHARMACIST								$123,723	$5,845	$13,869	$13,484	$157,121	$200
NALIN G PATEL MD
PSYCHIATRIST								$320,301	$76,703		$21,995	$418,999
PETER A GOYER
RAD. PHYSICIST								$172,905	$1,865		$7,272	$182,042
RICHARD F STOMACKIN BS RPH
DIRECTOR. PHARMACY								$148,256	$6,552		$6,251	$161,059
NANCY S REINKE
FORMER OFFICER								$118,548	$2,835	$8,106	$27,169	$156,858	$200

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990	FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GHSF IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 1,230,762,550, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2015. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GHSF SUBSIDIARIES, THE BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER, EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER, EIN: 23-1996150 GEISINGER CLINIC, EIN: 23-6291113 MARWORTH, EIN: 23-2171417 GEISINGER SYSTEM SERVICES, EIN: 23-2164794 COMMUNITY MEDICAL CENTER, EIN: 24-0862246 MOUNTAIN VIEW NURSING HOME, INC., EIN: 23-2568288 GEISINGER-BLOOMSBURG HOSPITAL, EIN: 23-2193572 GEISINGER-BLOOMSBURG HEALTH CARE CENTER, EIN: 23-2242854 GEISINGER-LEWISTOWN HOSPITAL, EIN: 23-1352187 HOLY SPIRIT HOSPITAL, EIN: 23-1512747 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH SYSTEM FOUNDATION, EIN: 23-1995911.
FORM 990, PAGE 2, PART III, LINE 4A	I. MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. II.GENERAL INFORMATION GEISINGER-LEWISTOWN HOSPITAL (GLH), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 123 BED ACUTE CARE HOSPITAL IN LEWISTOWN, PA. GLH IS CONVENIENTLY LOCATED ONLY A FEW MILES FROM SEVERAL CENTRAL PENNSYLVANIA MAJOR HIGHWAYS. THE FACILITY OPENED IN 1905 IN RESPONSE TO A PRESSING NEED FOR HEALTH AND WELLNESS CARE IN THE COMMUNITY. DURING THE FISCAL YEAR ENDED JUNE 30, 2015, GLH PROVIDED 19,067 PATIENT DAYS; 4,700 SAME DAY SURGICAL PROCEDURES; AND 28,938 EMERGENCY ROOM VISITS. GLH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. THE ORGANIZATION ALSO PROVIDES UNCOMPENSATED CARE TO PATIENTS WHO MET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SERVICES OFFERED BY GLH INCLUDE: GENERAL MEDICAL CARE IS PROVIDED BY IN-HOUSE HOSPITALISTS AND SUPPORTED BY CONSULTATIVE SERVICES IN THE AREAS OF CARDIOLOGY, NEUROLOGY, PULMONOLOGY, ORTHOPEDICS, HEMATOLOGY/ONCOLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY. THE EMERGENCY DEPARTMENT (ED) IS COMMITTED TO PROVIDING HIGH QUALITY, PROMPT EMERGENCY SERVICES. GLH'S ED IS STAFFED 24/7 WITH FULL-TIME PHYSICIANS AND NURSES WHO ARE TRAINED IN ALL SPECIALTIES FROM PEDIATRICS TO CRITICAL CARE. IMMEDIATE ACCESS TO LABORATORY SERVICES, IMAGING SERVICES SUCH AS, CAT SCANS, ULTRASOUND, MRI, AND SURGICAL SERVICES. MOST INSURANCES, INCLUDING MEDICARE AND MEDICAID, ARE ACCEPTED AND NO PATIENT IS REFUSED TREATMENT BECAUSE OF INABILITY TO PAY. OB/GYN FOCUSES ON ALL ASPECTS OF WOMEN'S HEALTH AND EDUCATION, PROVIDING OBSTETRICAL AND GYNECOLOGICAL CARE FOR WOMEN OF ALL AGES. SERVICES INCLUDE BUT ARE NOT LIMITED TO ROUTINE VISITS AND TREATMENTS, PREVENTATIVE HEALTHCARE, BIRTH CONTROL EDUCATION, FAMILY PLANNING, OBSTETRICS, SURGERY & SURGERY CONSULTATIONS, MENOPAUSE COUNSELING, AND MIDWIFERY. MENTAL HEALTH & PSYCHIATRIC PROVIDES ADULT INPATIENT SERVICES DESIGNED TO HELP INDIVIDUALS LIVE AS INDEPENDENTLY AS POSSIBLE. PATIENTS CAN ACCESS QUICK, EFFICIENT ADMISSION 24/7 AND RECEIVE TREATMENT THROUGH A PSYCHIATRIST AVAILABLE ON A DAILY BASIS. ADMISSIONS ARE CONFIDENTIAL AND MAY BE MADE BY PROFESSIONALS AS WELL BY INDIVIDUALS CONCERNED ABOUT THEMSELVES OR OTHERS. DURING HOSPITALIZATION, PATIENT CARE IS PROVIDED THROUGH MULTIPLE PROFESSIONALS WHO COMPRISE THE TREATMENT TEAM. OTHER SERVICES INCLUDE: CARDIAC SERVICES NEUROSURGERY RESPIRATORY SERVICES SLEEP CENTER ORTHOPEDIC GENERAL SURGERY RADIOLOGY OTHER SURGERY SPECIALTIES ICCU UROLOGY PAIN MANAGEMENT LABORATORY SERVICES GYNECOLOGY WOUND MANAGEMENT PHYSICAL THERAPY OTOLARYNGOLOGY WEIGHT MANAGEMENT PEDIATRICS NEWBORN NURSERY GASTROENTEROLOGY NEPHROLOGY OPTHAMOLOGY PATHOLOGY COMMUNITY CANCER TREATMENT/ONCOLOGY III. UNCOMPENSATED CARE GEISINGER-LEWISTOWN HOSPITAL RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GLH PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF GLH IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF CENTRAL PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GLH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2015, THE COST OF THE CHARITY CARE WAS 1.3 MILLION. B.MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GLH PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GLH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 18 MILLION DURING THE FISCAL YEAR ENDED JUNE 30, 2015. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GLH PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2015, WAS 1.7 MILLION. D.OTHER UNINSURED FOR UNINSURED CITIZENS THAT DO NOT QUALIFY FOR CHARITY CARE OR GOVERNMENT OR PRIVATE PROGRAMS GLH OFFERS PAYMENT DISCOUNTS AND TIME PAYMENTS WITHOUT INTEREST OR FEES. IV. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER-LEWISTOWN HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GLH. THE VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED 11,340 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION 269,552 IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. V. COMMUNITY HEALTH, EDUCATION, AND OUTREACH GLH STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GLH PROVIDES MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS. AT A COST OF 41 THOUSAND, THESE SERVICES AND PROGRAMS INCLUDED: SUPPORT GROUPS, COMMUNITY HEALTH EDUCATION, AND OTHER UNIQUE SERVICES. A.GROUPS GLH PROVIDES PROGRAMS FOR ALL DEMOGRAPHICS. CANCER CARE & SHARE SUPPORT GROUP: G-LH FACILITATES A LOCAL CANCER SUPPORT NETWORK THAT WELCOMES ALL CANCER SURVIVORS, FAMILY, AND FRIENDS. THE GROUP MEETS EACH MONTH. BARIATRIC SURGERY SUPPORT GROUP: GEISINGER-FHA CENTER FOR WEIGHT MANAGEMENT AND NUTRITION HOSTS A BARIATRIC SURGERY SUPPORT GROUP EVERY MONTH. SESSIONS ARE MODERATED BY VIRGINIA M. WRAY, DO, CNSP. LIVING WELL CANCER SURVIVORSHIP PROGRAM: CLASSES ARE OFFERED BY LEWISTOWN HOSPITAL TWO TIMES A YEAR. CLASSES ARE FREE AND HELD ONCE A WEEK FOR FOUR WEEKS AT THE COMMUNITY CANCER TREATMENT CENTER. THE PROGRAM ALLOWS CANCER SURVIVORS TO ASK QUESTIONS AND ADDRESS AREAS OF CONCERN. IT ALSO TEACHES PARTICIPANTS HOW TO LIVE A HEALTHY LIFESTYLE AND MAKE NECESSARY LIFESTYLE MODIFICATIONS. THE PROGRAM FOCUSES ON HEALTH AND WELLNESS; TREATMENT AND MANAGEMENT; RESOURCES AND FOLLOW UP CARE; AND INCLUDES A TREATMENT PLAN AND SUMMARY AS WELL AS SUPPORT GROUP INFORMATION. GEISINGER-FAMILY HEALTH ASSOCIATES TIME OF CHANGE WORKSHOPS: GEISINGER- FAMILY HEALTH ASSOCIATES (FHA) OFFERS A WORKSHOP DESIGNED ESPECIALLY FOR MOTHERS AND THEIR ADOLESCENT DAUGHTERS, AGES 9 - 12 YEARS. THE FOCUS OF THE WORKSHOP IS TO ASSIST MOTHERS IN EDUCATING THEIR DAUGHTERS ON CHANGES THAT OCCUR DURING ADOLESCENCE. INFORMATIONAL BOOKLETS FOR MOTHERS AND DAUGHTERS ARE GIVEN TO REINFORCE INFORMATION PRESENTED. PREGNANCY SUPPORT: G-LH OFFERS PREPARED CHILDBIRTH AND BREASTFEEDING CLASSES TO PROMOTE POSITIVE OUTCOMES FOR EXPECTANT MOTHERS AND INFANTS THROUGH REALISTIC INSTRUCTION AND ACHIEVABLE GOALS. CLASSES FOCUS ON PREPARING FOR LABOR, DELIVERY AND POSTPARTUM. B.COMMUNITY HEALTH EDUCATION COMMUNITY HEALTH NEEDS ASSESSMENT DIABETES MANAGEMENT WOMEN'S HEALTH RELATED TOPICS SMOKING CESSATION NUTRITION CLASSES LIVING WILLS PREPARING FOR YOUR DOCTOR'S VISIT MEDICATION SAFETY HEART DISEASE/HEART FAILURE PREVENTION CANCER PREVENTION (SKIN, COLON, BREAST, PROSTATE) VI. COMMUNITY SERVICE SUMMARY AT COST CHARITY CARE 1,330,220 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 17,571,450 UNCOMPENSATED CARE 1,705,153 HEALTH PROFESSIONS EDUCATION 257,493 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 40,945 VOLUNTEER SERVICES (VALUED AT 1/1/2014 269,552 PA STATEWIDE AVERAGE WEEKLY WAGE) TOTAL 21,174,813 VII. STATISTICS GEISINGER-LEWISTOWN HOSPTIAL FISCAL YEAR ENDED JUNE 30, 2015 ADMISSIONS (INCLUDING NEWBORNS) 5,514 ADMISSIONS (EXCLUDING NEWBORNS) 4,944 OUTPATIENT VISITS INCLUDING EMERGENCY DEPARTMENT 148,640 AVERAGE LENGTH OF STAY (EXCLUDING NEWBORNS AND PSYCH) 3.8 PERCENT OF OCCUPANCY (EXCLUDING NEWBORNS) 42.5% PATIENT SERVICE DAYS (EXCLUDING NEWBORNS) 19,067 TOTAL OR CASES 5,554 BEDS (EXCLUDING BASSINETS) (SET UP AND STAFFED) 123 BASSINETS IN NURSERY 12
FORM 990, PART VI	FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, ONE VOTING MEMBER IS NOT INDEPENDENT BECAUSE HE IS COMPENSATED AS AN EMPLOYEE OF A RELATED TAX-EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? WILLIAM H. ALEXANDER, ALBERT BOTHE, JR., M.D., E. ALLEN DEAVER, ROBERT J. DIETZ, DAVID T. FEINBERG, M.D., MBA, DAVID J. FELICIO, ESQUIRE, RICHARD A. GRAFMYRE, WILLIAM R. GRUVER, KAY HAMILTON, FRANK M. HENRY, THOMAS H. LEE, JR., M.D., ROBERT E. POOLE, DON A. ROSINI, GLENN D. STEELE, JR., M.D., PH.D., ROBERT L. TAMBUR, FRANK J. TREMBULAK, AND EDWARD J. ZYCH, ESQUIRE, ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF GEISINGER-LEWISTOWN HOSPITAL. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM.
FORM 990, PAGE 6, PART VI, LINE 6	THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE.
FORM 990, PAGE 6, PART VI, LINE 11B	ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR-ENDED JUNE 30, 2015.
FORM 990, PAGE 6, PART VI, LINE 12C	THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GHS CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVEIWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.
FORM 990, PAGE 6, PART VI, LINE 15A	THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GHS EMPLOYED BOARD DIRECTORS, OFFICERS AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE MANAGEMENT AND COMPENSATION COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE MANAGEMENT AND COMPENSATION COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15B	SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A.
FORM 990, PAGE 6, PART VI, LINE 19	THE MISSION STATEMENT IS AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE AT WWW.GEISINGER.ORG. THE ANNUAL REPORT FOR GEISINGER HEALTH SYSTEM, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, ARE AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE. GO TO: WWW.GEISINGER.ORG/PAGES/ABOUT-GEISINGER AND SELECT ANNUAL REPORTS. FINANCIAL STATEMENTS, THE COMPLETE FORM 990 AND FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIII	FORM 990, PART VIII, LINE 2C: THE IC SUPPORT SERVICE REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH SYSTEM FOUNDATION. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF THE GEISINGER HEALTH SYSTEM IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT TO BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.
FORM 990, PART XI, LINE 9	PENSION ADJUSTMENT -4,772,766 TRANSFER TO AFFILIATE, GHS FOUNDATION -4,062,935 OTHER CHANGES IN TEMPORARILY RESTRICTED -18,511 TRANSFER FROM AFFILIATE, HEALTH ENTERPRISES, INC. 43,749 TOTAL OTHER CHANGES IN NET ASSETS -8,810,463
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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GEISINGER HEALTH SYSTEM FOUNDATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231995911	PHILANTHRO	PA	501C3	7	NA	Yes (true)
GEISINGER MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240795959	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	236291113	PHYSICIAN	PA	501C3	11A	GHSF	Yes (true)
GEISINGER WYOMING VALLEY MEDICAL CT
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231996150	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232171417	D&A REHAB	PA	501C3	3	GHSF	Yes (true)
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232311553	HEALTH INS	PA	501C4		GHSF	Yes (true)
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232164794	SUPPORT SV	PA	501C3	11A	GHSF	Yes (true)
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232967235	HEALTHCARE	PA	501C3	9	GSS	Yes (true)
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	141909894	SELF INS	VT	501C3	11A	GHSF	Yes (true)
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240862246	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
COMMUNITY MEDICAL CARE INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232429776	PHYSICIAN	PA	501C3	9	GHSF	Yes (true)
MOUNTAIN VIEW NURSING HOME INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232568288	LONG TERM	PA	501C3	9	GHSF	Yes (true)
COMMUNITY MEDICAL CTR HEALTHCARE SY
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232279376	SUPPORT SV	PA	501C3	11A	GHSF	Yes (true)
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232193572	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
GEISINGER-BLOOMSBURG HEALTHCARE CTR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232242854	SKILLED NU	PA	501C3	9	GHSF	Yes (true)
LEWISTOWN HEALTH CARE FOUNDATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344363	PHILANTHRO	PA	501C3	11A	GHSF	Yes (true)
LEWISTOWN AMBULATORY CARE CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344362	RE HOLDIN	PA	501C3	11A	GHSF	Yes (true)
FAM HEALTH ASSOC OF GEISINGER-LEWIS
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251651582	PHYSICIAN	PA	501C3	11A	GHSF	Yes (true)
KEYSTONE HEALTH INFO EXCHANGE INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	464359893	RHIO	PA	501C3	11A	GHSF	Yes (true)
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232337286	SUPPORT SV	PA	501C3	11A	CMC	Yes (true)
SUN HOME HEALTH SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231736912	HEALTHCARE	PA	501C3	9	GCHS	Yes (true)
HOLY SPIRIT HEALTH SYSTEM
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251865142	PHILANTHRO	PA	501C3	11A	GHSF	Yes (true)
HOLY SPIRIT HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231512747	HOSPITAL	PA	501C3	3	HSHS	Yes (true)
HOLY SPIRIT CORPORATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232214540	REALESTATE	PA	501C2		HSHS	Yes (true)
SPIRIT PHYSICIAN SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251766971	PHYSICIAN	PA	501C3	9	HSHS	Yes (true)
WEST SHORE ADVANCED LIFE SUPPORT
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232463002	HEALTHCARE	PA	501C3	7	HSHS	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	454475297	ACO	PA	N/A	false	false
LIFESOURCE GEISINGER BLOOD CTR LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	364718005	BLOOD COLL	PA	N/A	false	false
MERIDIAN GEISINGER HLTH NETWORKLLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	455484165	ORG DEL SY	NJ	N/A	false	false
HEALTHSOUTH GHS LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	721398803	PHY THERAP	PA	N/A	false	false
EVANGELICAL-GEISINGER HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	460567687	HEALTHCARE	PA	N/A	false	false
LEMED II
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232391766	RENTAL	PA	N/A	false	false
GEISINGER-SCA HOLDINGS LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461615328	MANAGEMENT	DE	N/A	false	false
CAMP HILL AMBULATORY SURG CTR LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	521597478	HEALTHCARE	PA	N/A	false	false
HS ORTHOPEDIC MANAGEMENT CO LLC
503 NORTH 21ST STREET	CANP HILL	PA	17011	460887384	MANAGEMENT	PA	N/A	false	false
CAELIAN MEDICAL LLC
880 CENTURY DRIVE	MECHANICSBURG	PA	17055	208018724	HEALTHCARE	PA	N/A	false	false
GRANDVIEW SURGERY CENTER LTD
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	521597483	HEALTHCARE	PA	N/A	false	false
LACKAWANNA PHYS AMB SURG CTRLLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	233024998	HEALTHCARE	PA	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
GEISINGER MEDICAL MANAGEMENT CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232077663	HOTEL/REST	PA	N/A	Yes (true)
GEISINGER INDEMNITY INSURANCE CO
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232815174	HLTH INSUR	PA	N/A	Yes (true)
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	204275139	HLTH INSUR	PA	N/A	Yes (true)
HEALTH ENTERPRISES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232353212	PHARMACY	PA	N/A	Yes (true)
XG HEALTH SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461657345	CONSULTING	DE	N/A	Yes (true)
GEISINGER ASSURANCE COMPANY LTD
				981016737	INSURANCE		N/A	Yes (true)	23 LINE TREE BAY AVE PO BOX 1159	GRAND CAYMAN	GRAND CAYMAN	CJ	KY1-1102	CJ
HOLY SPIRIT VENTURES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232407709	MED. SERV.	PA	N/A	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (30 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
FAM HEALTH ASSOC OF GEISINGER-LEWIS
L	$197,123	GAAP
FAM HEALTH ASSOC OF GEISINGER-LEWIS
M	$2,000	GAAP
GEISINGER ASSURANCE COMPANY LTD
M	$281,176	GAAP
GEISINGER CLINIC
J	$2,025	GAAP
GEISINGER CLINIC
L	$52,322	GAAP
GEISINGER CLINIC
M	$1,521,172	GAAP
GEISINGER HEALTH PLAN
L	$24,104,737	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
L	$118,281	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
B	$4,000,000	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
M	$23,856	GAAP
GEISINGER INDEMNITY INSURANCE CO
M	$250,519	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
S	$52,996	GAAP
GEISINGER MEDICAL CENTER
L	$84	GAAP
GEISINGER MEDICAL CENTER
M	$648,434	GAAP
GEISINGER MEDICAL MGMT CORP
M	$1,636,919	GAAP
GEISINGER MEDICAL MGMT CORP
L	$2,417	GAAP
SUN HOME HEALTH SERVICES INC
L	$80	GAAP
GEISINGER SYSTEM SERVICES
M	$4,635,046	GAAP
GEISINGER SYSTEM SERVICES
L	$100	GAAP
HEALTH ENTERPRISES INC
L	$19,223	GAAP
HEALTH ENTERPRISES INC
M	$1,054,092	GAAP
HEALTH ENTERPRISES INC
C	$43,749	GAAP
KEYSTONE HEALTH INFO EXCHANGE INC
M	$4,320	GAAP
LEWISTOWN AMBULATORY CARE CORP
L	$30,857	GAAP
LEWISTOWN AMBULATORY CARE CORP
K	$523,665	FMV
LEWISTOWN HEALTH CARE FOUNDATION
L	$15,744	GAAP
GEISINGER INSURANCE CORPORATIONRRG
P	$89,596	GAAP
GEISINGER WYOMING VALLEY MEDICAL CT
M	$44,628	GAAP
HOLY SPIRIT HEALTH SYSTEM
M	$27,262	GAAP
HEALTHSOUTH GHS LLC
M	$328,322	GAAP

Supplemental Information Detail SupplementalInformationDetail

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