2013-05-13T15:18:11-05:00 2012-06-30 990 2011-07-01 240862246 COMMUNITY MEDICAL CENTER COMM 5702716624 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID J FELICIO ESQUIRE 5702716624 2013-05-08 2013-05-13 2011 2016-02-24 21:20:13Z X GEISINGER-COMMUNITY MEDICAL CENTER GLENN D STEELE JR MD PHD 100 NORTH ACADEMY AVENUE MC 22-01 DANVILLE PA 17822 159917949 false X WWW.CMCCARE.ORG X 1962 PA TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. X 9 8 1720 274 25407 -26501 2042638 618746 166373151 157682384 862345 518851 2912353 948884 172190487 159768865 90902 125178 0 74864514 74126365 0 150394 94385671 87225129 169341087 161476672 2849400 -1707807 110672775 114404869 72135151 101342419 38537624 13062450 X TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. false false 149962754 125178 156445983 SEE SCHEDULE O GCOMMUNITY MEDICAL CENTER, DOING BUSINESS AS GEISINGER-COMMUNITY MEDICAL CENTER (G-CMC), OPENED IN 1897 AS THE HAHNEMANN HOSPITAL AND SCHOOL OF NURSING, THE HOSPITAL WAS SCRANTON'S FIRST HOSPITAL DEDICATED TO COMMUNITY SERVICE. G-CMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTATIVE, AMBULATORY, INPATIENT, AND EMERGENCY SERVICES. G-CMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED SPECIFIC AREAS OF EXPERTISE. SPECIALIZED / REGIONAL SERVICES, CENTER OF EXCELLENCE: G-CMC IS AN ACUTE CARE HOSPITAL LICENSED FOR 297 BEDS AND THE ONLY LEVEL II TRAUMA CENTER IN LACKAWANNA COUNTY. THE NORTHEAST PA TRAUMA CENTER, DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION IN 1988, PROVIDES 24-HOUR COMPREHENSIVE SURGICAL INTERVENTION FOR CRITICALLY INJURED PATIENTS. THE TRAUMA CENTER IS STAFFED CONTINUOUSLY BY AN EMERGENCY PHYSICIAN, TRAUMA SURGEON AND NURSES CERTIFIED IN CRITICAL CARE, TRAUMA, ORTHOPAEDICS, AND THE NEUROSCIENCES. THE UNREIMBURSED COSTS OF PROVIDING TRAUMA SERVICES TO THE COMMUNITY IN FY 2012 TOTALED 1,281,642. CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN HEART SURGERY CENTER. G-CMC IS ALSO A CERTIFIED CAROTID STENT FACILITY. NEUROLOGICAL SCIENCES AT THE HOSPITAL SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS. OTHER SPECIALIZED SERVICES INCLUDE: A SAME-DAY SURGERY CENTER, A 24 LICENSED BED SHORT TERM PSYCHIATRIC INPATIENT UNIT, AN ORTHOPAEDIC TRAUMA CLINIC, CT SCANNER, MRI IMAGING, ONCOLOGY SERVICES, RENAL DIALYSIS, HYPERBARIC OXYGEN CHAMBER TREATMENTS, THE NEW STEPS JOINT PROGRAM, WOUND CARE, AND STEREOTACTIC SURGERY. G-CMC OFFERS EMERGENCY MEDICAL TECHNICIAN AND TRAUMA NURSE TRAINING PROGRAMS. IT HAS AN AFFILIATION WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION, AN ACCREDITED PROVIDER OF INTERNAL MEDICINE RESIDENCY EDUCATION, BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION, AND THE REGION'S ONLY PODIATRIC RESIDENCY PROGRAM, AND ACCREDITED PROVIDER OF PODIATRIC MEDICINE AND SURGERY EDUCATION, BY THE COUNCIL OF PODIATRIC MEDICAL EDUCATION. UNCOMPENSATED COSTS FOR HEALTH PROFESSIONS EDUCATION TOTALED 1,186,186. G-CMC ALSO SPONSORS THE COMMUNITY HEALTH EDUCATION PROGRAM, THE REGION'S FIRST HOSPITAL-BASED AND COMMUNITY-WIDE WELLNESS AND PREVENTION PROGRAM. IN ADDITION, G-CMC SPONSORS THE PRIORITY CARE PROGRAM IN WHICH OVER 20,000 SENIOR CITIZENS ARE ENROLLED IN THE REGION'S FIRST HOSPITAL-BASED FREE MEMBERSHIP PLAN FOR PERSONS OVER 55 AND OLDER. PRIORITY CARE PROVIDES SENIOR CITIZENS WITH A WIDE VARIETY OF BENEFITS AND INFORMATION REGARDING HEALTH AND WELLNESS PROGRAMS. PRIORITY CARE OFFERS CONVENIENT ACCESS TO QUALITY SERVICES INCLUDING: FREE PARKING IN THE G-CMC PARKING COMPLEX COMMUNITY DISCOUNTS DISCOUNTED MEALS IN THE HOSPITAL'S DINING ROOM DISCOUNTS AT THE G-CMC GIFT SHOP PHYSICIAN REFERRAL SERVICE AFFILIATIONS: G-CMC HAS WORKING RELATIONSHIPS WITH OTHER HEALTH CARE PROVIDERS IN VENTURES SUCH AS THE NORTHEASTERN PENNSYLVANIA IMAGING CENTER, THE CHILDREN'S ADVOCACY CENTER, MATERNAL & FAMILY HEALTH SERVICES, AND THE RONALD MCDONALD HOUSE OF SCRANTON. G-CMC ALSO HAS A CONNECTION WITH NUMEROUS AREA INSTITUTIONS, COLLEGES, AND UNIVERSITIES FOR EDUCATIONAL AND CLINICAL PROGRAMS, INCLUDING, BUT NOT LIMITED TO, NURSING, MEDICAL TECHNOLOGY, PHYSICAL AND OCCUPATIONAL THERAPY, EMERGENCY MEDICAL TECHNICIANS, PHYSICIAN ASSISTANTS, SOCIAL WORK AND HEALTHCARE ADMINISTRATION. MEDICAL STAFF: AS OF JUNE 30, 2012, THE MEDICAL STAFF AT G-CMC TOTALED OVER 350 PHYSICIANS. UNDER G-CMC'S MEDICAL STAFF BY-LAWS, PHYSICIANS MAY HAVE ONE OF SEVERAL TYPES OF PRIVILEGES INCLUDING ACTIVE, COURTESY, CONSULTING, EMERGENCY, AND TEMPORARY. AUXILIARY: THE G-CMC AUXILIARY IS COMPRISED OF APPROXIMATELY 65 MEMBERS. FUNCTIONING WITH THE GUIDANCE OF ITS OWN ADVISORY BOARD, THE AUXILIARY HAS COMMITTEES, EACH WITH ITS OWN RESPONSIBILITY FOR FUND-RAISING, AND SERVICE. THE AUXILIARY ASSISTS IN OPERATING G-CMC'S GIFT SHOP SEVEN DAYS A WEEK. ALLOCATIONS OF FUNDS RAISED BY THE AUXILIARY ARE MADE TO G-CMC TO ENHANCE PATIENT SERVICES. VOLUNTEER SERVICES: FROM YEAR TO YEAR, G-CMC HAS APPROXIMATELY 250-300 ACTIVE ADULT AND JUNIOR VOLUNTEERS WHO VOLUNTEER THEIR TIME TO G-CMC AND CAN BE FOUND ASSISTING THE STAFF IN A VARIETY OF CAPACITIES IN HOSPITAL DEPARTMENTS SUCH AS: MAIL ROOM, MEDICAL RECORDS, SURGICAL SERVICES, EMERGENCY DEPARTMENT, AND GIFT SHOP. VOLUNTEERS ALSO ASSIST AT SPECIAL HOSPITAL FUNCTIONS. IN 2012, G- CMC VOLUNTEERS PROVIDED OVER 11,500 HOURS OF SERVICE TO G-CMC. THROUGH G-CMC'S VOLUNTEER DEPARTMENT, HUNDREDS OF SCHOOL AND COLLEGE STUDENTS ARE PROVIDED INFORMATION ABOUT HEALTHCARE TO ASSIST IN CAREER CHOICE THROUGH TOURS AND SHADOWING OPPORTUNITIES AT THE FACILITY. PATIENT ORIGIN AND SERVICE AREA: THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA COUNTY. THE SECONDARY SERVICE AREA INCLUDES LUZERNE, MONROE, PIKE, SUSQUEHANNA, WAYNE AND WYOMING COUNTIES. SUPPORT TO THE COMMUNITY: G-CMC AND RELATED AFFILIATES PROVIDE A VARIETY OF PROGRAMS TO THE COMMUNITY INCLUDING THE EDUCATION PROGRAM WHICH PROVIDES NUMEROUS COMMUNITY SERVICES SOME OF WHICH ARE LISTED BELOW. THE INTENT OF THESE PROGRAMS AND PARTNERSHIPS IS THE IMPROVED HEALTH OF THE COMMUNITY; I.E., ACCIDENT/ ILLNESS PREVENTION OR EARLY INTERVENTION AS A RESULT OF INCREASED EDUCATION. THE NORTHEAST PA TRAUMA CENTER PROVIDES EMERGENCY PREPAREDNESS ASSISTANCE AND MEDICAL EXPERTISE TO THE AMERICAN RED CROSS LACKAWANNA CHAPTER, LACKAWANNA COUNTY EMERGENCY MANAGEMENT AGENCY, AND THE SCRANTON/WILKES- BARRE INTERNATIONAL AIRPORT. ALSO, FALL AND INJURY PREVENTION FOR THE ELDERLY IS AVAILABLE TO AREA SENIOR CITIZENS AND SENIOR ORGANIZATIONS, AS WELL AS MANY AGE-SPECIFIC PREVENTION PROGRAMS TO VARIOUS ORGANIZATIONS AND SCHOOLS THROUGHOUT THE YEAR. EACH YEAR OVER 500 CHILDREN UNDER THE AGE OF 18 ARE INVOLVED IN EDUCATION'S EXTENSIVE PROGRAMS TARGETING THIS AGE GROUP. TRAUMA PREVENTION PROGRAMS SUCH AS TRAUMA ROOM AND THINK FIRST TEACH KIDS IMPORTANT SAFETY INFORMATION. ASTHMA SKI DAY HELD IN CONJUNCTION WITH SNO MOUNTAIN SKI AREA AND G-CMC'S COMMUNITY HEALTH EDUCATION PROGRAM, EMPHASIZE THAT DESPITE ILLNESS, INDIVIDUALS CAN STILL PARTICIPATE IN HEALTHY, EVEN STRENUOUS ACTIVITIES. IN ADDITION, A POISON PREVENTION PROGRAM IS AVAILABLE ALONG WITH OTHER SUCH PROGRAMS AS REQUESTED. MANY OF THESE PROGRAMS ARE THE RESULTS OF EDUCATION'S PARTNERSHIPS WITH OTHER COMMUNITY RESOURCES; E.G., THE AMERICAN LUNG ASSOCIATION, LACKAWANNA COUNTY DRUG AND ALCOHOL COMMISSION, AND ALLIED SERVICES. THE COMMUNITY HEALTH EDUCATION PROGRAM CONDUCTS A WIDE VARIETY OF HEALTH LIFESTYLE PROGRAMS, FREE OR AT MINIMAL COST, WHICH ARE DESIGNED TO 'PRACTICALLY' ASSIST AN INDIVIDUAL IN THEIR QUEST TO LEAD A HEALTHY AND PRODUCTIVE LIFE. SOME OF THE AREAS OF CONCENTRATION INCLUDE: SMOKING CESSATION, FIRST AID, CPR, AND WEIGHT WATCHERS SESSIONS THAT ARE OPEN TO THE PUBLIC AS WELL AS EMPLOYEES AND FAMILY. PUBLIC / COMMUNITY HEALTH LECTURES: LAST YEAR APPROXIMATELY 400 PEOPLE ATTENDED THESE SESSIONS WHICH ARE FREE TO THE PUBLIC. A SAMPLING OF THE TOPICS INCLUDED THE FOLLOWING: ALZHEIMER'S PROGRAM FOR CAREGIVERS, MENTAL HEALTH ISSUES, END OF LIFE ISSUES, BREAST CANCER AWARENESS, AND COLON CANCER AWARENESS. HEALTH FAIRS / SCREENING PROGRAMS: EDUCATION IN PARTNERSHIP WITH OTHER COMMUNITY RESOURCES PROVIDES HEALTH FAIRS AND SCREENINGS TO THE COMMUNITY AND LOCAL BUSINESS/INDUSTRY FREE OR AT A MINIMAL COST. PROGRAMS INCLUDED: CARBON MONOXIDE SCREENINGS, CHOLESTEROL/BLOOD PRESSURE SCREENINGS, AND DIABETIC SCREENINGS. THE UNREIMBURSED COST OF PROVIDING SUCH SCREENINGS IN FY 2012 TOTALED 24,081. THE SYSTEM PROVIDES MONTHLY MEETING PLACES FREE OF CHARGE TO MANY COMMUNITY SELF-HELP GROUPS WHICH INCLUDE: DIABETES SUPPORT GROUP, CROHNS & COLITIS SUPPORT GROUP, BETTER BREATHER'S CLUB, AND NAMI SUPPORT GROUP MEETINGS. G-CMC'S FACILITIES ARE MADE AVAILABLE TO OTHER COMMUNITY GROUPS UPON REQUEST AND AVAILABILITY; E.G., THE HILL NEIGHBORHOOD ASSOCIATION, AND THE EAST SCRANTON BUSINESS ASSOCIATION. UNCOMPENSATED CARE G-CMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. G-CMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD G-CMC PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. CHARITY CARE THE PRIMARY CONCERN OF G-CMC IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS OF NORTHEASTERN PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST G-CMC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO GMC OF PROVIDING THIS CHARITY CARE DURING THE FISCAL Y 149962754 true true false true false false false false false true true true false false true false false true false false false false false false true false true true true false true false false false false false false false true false false false true false true true true true false true 188 0 true 1720 true true true false false false false true true false false false false X 9 8 true true true false true true true true true false false true true true true true true true true false PA X EDWARD CHABALOWSKI CFO 5709698837 1822 MULBERRY STREET SCRANTON PA 18510 X WILLIAM H ALEXANDER 2.00 X 0 0 0 WILLIAM AUBREY 2.00 X 0 0 0 MICHAEL KONDASH DO 2.00 X 0 0 0 E ALLEN DEAVER 2.00 X 0 0 0 DEBRA PELLEGRINO EDD 2.00 X X 0 0 0 FRANK EPIFANO 2.00 X 0 0 0 DORRANCE R BELIN ESQUIRE 2.00 X 0 0 0 MELINDA C GHILARDI ESQUIRE 2.00 X X 0 0 0 RICHARD FINE ESQUIRE 2.00 X 0 0 0 DAVID LOHIN DO FACC 2.00 X 0 0 0 GEORGE GINADER 2.00 X X 0 0 0 RICHARD A GRAFMYRE 2.00 X 0 0 0 ROLAND GRECO 2.00 X 0 0 0 WILLIAM R GRUVER 2.00 X 0 0 0 FRANK M HENRY 2.00 X 0 0 0 JEFF JACOBSON 2.00 X X 0 0 0 BRIAN D MOTT MD 40.00 X 0 81330 3978 LOUIS DENAPLES MD 2.00 X 0 0 0 THOMAS H LEE JR MD 2.00 X 0 0 0 TIMOTHY FARRELL MD 2.00 X 0 0 0 VIRGINIA MCGREGOR 2.00 X X 0 0 0 GLENN D STEELE JR MD PHD 40.00 X X 0 5048679 390571 ROBERT E POOLE 2.00 X 0 0 0 DON A ROSINI 2.00 X 0 0 0 ROBERT P STEIGMEYER 40.00 X X 605284 0 20502 THOMAS TULANEY 2.00 X X 0 0 0 BARBARA BOSSI 40.00 X 268588 0 20703 ANTHONY AQUILINA DO 40.00 X 0 366104 34623 DAVID J FELICIO ESQUIRE 40.00 X 0 475750 133442 EDWARD J ZYCH ESQUIRE 40.00 X 0 336473 63965 KEVIN F BRENNAN CPA FHFMA 40.00 X 0 970130 192289 JAMES J JESIKIEWICZ 40.00 X 68870 0 15170 ALBERT BOTHE MD 40.00 X 0 881942 181727 SEAN MCANDREW 40.00 X 150356 0 7584 JOHN SKURKA 40.00 X 554986 0 0 FRANK J TREMBULAK 40.00 X 0 934746 206030 WENDY K WILSON 40.00 X 96769 0 10503 MICHELLE T BOYLE 40.00 X 296800 0 25932 JOHN DITCHKUS 40.00 X 244968 0 25655 ROSE A SADOWSKI 40.00 X 242944 0 19530 KHALEEL SHAIKH 40.00 X 236705 249964 24973 MARK R TRENTLY 40.00 X 241665 0 25219 BRIAN E KLOCK MD FACS 40.00 X 0 399634 35370 FREDERICK K TOY MD FACS 40.00 X 0 465548 33570 JOHN D KIZER MD 40.00 X 0 365600 34770 3007935 10575900 1506106 45 true true false ARAMARK 1101 MARKET STREET 29TH FLOOR PHILADELPHIA PA 19107 DIETARY, HOUSEK 1351215 MEDICAL STAFFING NETWORK PO BOX 203000 DALLAS TX 753203000 STAFFING 1062053 SIEMENS HEALTH SERVICES DIVISION 51 VALLEY STREAM PARKWAY MALVERN PA 19355 TECHNOLOGY 1048343 DUBRAWSKI & ASSOCIATES 11622 EL CAMINO REAL SUITE 100 SAN DIEGO CA 92130 INSURANCE CONS 1032251 ECG MANAGEMENT CONSULTANTS 1111 THIRD AVENUE SUITE 2700 SEATTLE WA 98101 MANAGEMENT 808950 45 45365 78926 446338 48117 618746 NET PATIENT SERVICE REVENUE 622110 156232846 156232846 INTERCOMPANY REVENUE 541900 1449538 1449538 157682384 541152 541152 210461 73690 136771 136771 136771 3458 25759 -22301 -22301 -22301 49635 45365 49635 DIETARY INCOME 722210 309782 309782 OTHER REVENUES 900099 150229 150229 PURCHASE DISCOUNTS 900099 139264 139264 212838 85209 25407 102222 812113 159768865 157917822 25407 1206890 125178 125178 1944320 286174 1658146 59356020 57306221 1940760 109039 3215199 3070790 138573 5836 4473336 4441925 23886 7525 5137490 4886590 241647 9253 383092 383092 969902 969902 131870 131870 1438 1438 306171 306171 22901412 22285645 610913 4854 474968 15812 448971 10185 2675787 1916473 758349 965 3156880 2501698 655182 231350 197997 33353 855076 855076 6387462 6325442 61556 464 1529448 1169637 359811 MEDICAL SUPPLIES 39169852 39086096 81483 2273 INTER-ENTITY EXPENSES 4910225 3298366 1611859 MA MODERNIZATION 2993737 2993737 DUES 90260 24038 66222 56199 29497 26702 161476672 149962754 11363524 150394 144639 23010308 1198524 2576176 16704295 15668341 2209505 1124049 3326607 3231348 1546721 1637029 36628868 2632544 38339481 33996324 6821559 7277044 29057839 21371643 11323605 4512607 110672775 114404869 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ESTIMATED 3RD PARTY PAYER SETTLEMENT 14929091 INSURANCE SELF-INSURANCE 12316740 ACCRUED EXPENSES 9055791 INTERCOMPANY PAYABLES 2525690 ADVANCES FROM 3RD PARTIES 910611 59507088 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 COMMUNITY MEDICAL CENTER USES ENDOWMENT FUNDS TO SUPPORT PATIENT CARE AND AWARD SCHOLARSHIPS TO EMPLOYEES. SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIV EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM(1) ("GHS") ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109 ("FIN 48"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE THE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MANAGEMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF JUNE 30, 2012 OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2012 GHS CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE ACRONYM "GHS" OR THE TERMS "SYSTEM", "GEISINGER", OR "GEISINGER HEALTH SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF THE GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE SYSTEM. ANNUAL GOLF TOU 95000 45365 49635 29200 7280 11894 1261 95000 45365 49635 29200 7280 11894 1261 49635 true true X true X true X 3.80000 true true true false true true 1917465 1917465 0.01190 23554967 12250664 11304303 0.07000 25472432 12250664 13221768 0.08190 1315585 9862 1305723 0.00810 2864725 1678539 1186186 0.00730 4180310 1688401 2491909 0.01540 29652742 13939065 15713677 0.09730 true 12780660 46114116 64839636 -18725520 X true true 1 1 COMMUNITY MEDICAL CENTER DBA GEISINGER COMMUNITY MEDICAL CTR

1822 MULBERRY STREET SCRANTON PA 18510

X X X COMMUNITY MEDICAL CENTER 1 true true 200.0 true 380.0 true X X X X X true true X X X X X X true false true false false RELATED ORGANIZATION INFORMATION PART I LINE 6A A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GEISINGERCOMMUNITY MEDICAL CENTER GCMC AND ITS RELATED CHARITABLE ORGANIZATIONS IS AVAILABLE AT GEISINGERORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST GO TO WWWGEISINGERORGABOUTMISSIONHTML EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F THE BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR USED TO CALCULATE THE PERCENT OF COMMUNITY BENEFIT WAS 12780660 COSTING METHODOLOGY EXPLANATION PART I LINE 7 A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYER EG MEDICARE MEDICAID COMMERCIAL PAYERS SELFPAY ETC BAD DEBT EXPENSE EXPLANATION PART III LINE 4 PART III SECTION A LINE 2 AND LINE 4 GCMC IS A MEMBER OF A GROUP WITH CONSOLIDATED FINANCIAL STATEMENTS PER THE FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE THE ORGANIZATIONS WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTABLE AN ALLOWANCE FOR UNCOLLECTABLES IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME COLLECTABLE IN FUTURE PERIODS PATIENTS ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND RECLASSIFIED TO FREE OR DISCOUNTED CARE WHENEVER THE PATIENT BECOMES ELIGIBLE UNDER GCMCS UNCOMPENSATED CARE POLICIES ACCORDINGLY THE BAD DEBT ACCOUNTS SHOULD NOT INCLUDE AMOUNTS THAT MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER GCMCS UNCOMPENSATED CARE POLICIES MEDICARE EXPLANATION PART III LINE 8 PART III LINE 6 LINE 7 MEDICARE SHORTFALL LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE ALLOWED TO BE REPORTED ON GCMCS MEDICARE COST REPORT THAT IS REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT PART III SECTION B LINE 8 MEDICARE SHORTFALL IS COMMUNITY BENEFIT GCMC CONSIDERS THAT THE TOTAL MEDICARE SHORTFALL OF 18725520 IS REPORTED AS COMMUNITY BENEFIT ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW INCOME PATIENTS THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS FOR MANY OF THE MEDICAL SERVICES PROVIDED BY THE HOSPITAL MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE TO THESE PATIENTS FORCING GCMC TO USE OTHER FUNDS TO COVER THE SHORTFALL MEDICARE SHORTFALLS MUST BE ABSORBED BY GCMC IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY GCMC PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS PENNSYLVANIA REQUIRES NONPROFIT HOSPITALS LIKE GCMC TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES ACCORDING TO STATE GUIDANCE AND CASE LAW THE UNREIMBURSED COST OF MEDICARE IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES COLLECTION PRACTICES EXPLANATION PART III LINE 9B GCMC IS COMMITTED TO PROVIDING MEDICAL NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND GCMCS COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS IT IS GCMC POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIALBILLING AND COLLECTION PROCESS IN ANY STAGE OF THE BILLING PROCESS COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE NEEDS ASSESSMENT PART VI GEISINGERCOMMUNITY MEDICAL CENTER REGULARLY PARTICIPATES IN COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS TO IDENTIFY FARREACHING HEALTH NEEDS FACED BY THE POPULATION SERVED BY THE HOSPITAL FOR COMMUNITY BENEFIT PURPOSES ASSESSMENT RESULTS ARE EVALUATED OVER TIME AND SERVE AS THE BASIS TO DEVELOP NEW OR EXPANDED PLANS TO ADDRESS SERVICES IN RESPONSE TO NEED ADDITIONALLY GCMC DEVELOPS PROGRAMS AND SERVICES TO ADDRESS COMMUNITY HEALTH NEEDS AND MAKES INVESTMENTS IN INITIATIVES THAT ALIGN WITH THE HOSPITALS CORE MISSION BEYOND THAT FOCUS ARE PROGRAMS AND SERVICES THAT BENEFIT EVERY RESIDENT AND SUPPORT THE FAR REACHING GOAL OF A HEALTHIER COMMUNITY THOSE HEALTHY COMMUNITY GOALS HAVE SERVED AS A CATALYST FOR A COLLABORATIVE COMMUNITY APPROACH GCMC HAS BEEN INSTRUMENTAL IN ESTABLISHING IN ORDER TO ACCESS THE HEALTHCARE NEEDS HEALTH STATUS AND QUALITY OF LIFE INDICATORS OF RESIDENTS LIVING IN THE LACKAWANNA COUNTY AND LUZERNE COUNTY COMMUNITIES THE HOSPITAL IS A CHARTER MEMBER OF HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE HNPI AN ALLIANCE AMONG MEMBER REGIONAL HEALTHCARE ORGANIZATIONS AND THE PENNSYLVANIA DEPARTMENT OF HEALTH THE GOAL OF THE ORGANIZATION IS TO ASSESS AND ADDRESS THE COMMUNITY HEALTH NEEDS INCREASE REGIONAL HEALTHCARE PROGRAMS AND SERVICES AND FACILITATE AWARENESS EDUCATION AND WELLNESS FOR RESIDENTS OF NORTHEAST PENNSYLVANIA IN ADDITION TO GCMC OTHER REGIONAL HEALTHCARE PROVIDERS IN THE CONSORTIUM INCLUDE ALLIED SERVICES BLUE CROSS OF NEPA MERCY HEALTH PARTNERS MOSES TAYLOR HOSPITAL AND WYOMING VALLEY HEALTHCARE SYSTEM ASSESSMENT SURVEYS WERE DONE IN 1997 AND 2003 WITH THE MOST RECENT SURVEY COMPLETED IN 2009 IN COORDINATION WITH TRIPP UMBACH A NATIONAL MARKETING RESEARCH AND CONSULTING FIRM THE STUDYS MAIN OBJECTIVE WAS TO COMPLETE A COMPREHENSIVE ASSESSMENT OF THE HEALTHCARE ACCESS NEEDS HEALTH STATUS AND QUALITY OF LIFE INDICATORS OF RESIDENTS LIVING IN THE LACKAWANNA COUNTY AND LUZERNE COUNTY COMMUNITIES MORE SPECIFICALLY THE PROJECT GOALS WERE TO OBTAIN STATISTICALLY VALID INFORMATION ON THE HEALTH STATUS AND SOCIOECONOMICENVIRONMENTAL FACTORS RELATED TO HEALTH OF RESIDENTS OF THE COUNTIES HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE HNPI SERVES TO SUPPLEMENT THE GENERAL POPULATION SURVEY DATA THAT IS CURRENTLY AVAILABLE TO HNPI AS AN ORGANIZATION TO ASSURE THAT COMMUNITY MEMBERS INCLUDING THOSE OF BROAD RACIAL ETHNIC CULTURAL AND LINGUISTIC MINORITY GROUPS ARE THE PRIMARY PARTICIPANTS IN THE NEEDS ASSESSMENT SURVEY PROCESS IN ADDITION EDUCATORS HEALTHRELATED PROFESSIONALS MEDIA REPRESENTATIVES LOCAL GOVERNMENT HUMAN SERVICE ORGANIZATIONS INSTITUTES OF HIGHER LEARNING RELIGIOUS INSTITUTIONS AND THE PRIVATE SECTOR ARE ALL ENGAGED AT SOME LEVEL OF THE SURVEY PROCESS TO DEVELOP ACCURATE COMPARISONS TO THE STATE AND NATIONAL BASELINES OF HEALTH MEASURES UTILIZING THE MOST CURRENT VALIDATED DATA AVAILABLE TO UTILIZE DATA OBTAINED FROM THE ASSESSMENT TO ADDRESS THE IDENTIFIED HEALTH NEEDS OF THE HNPI SERVICE AREA TO PROVIDE HNPI WITH APPROPRIATE DATA COMPARISONS ON LIKE SURVEY QUESTIONS TO THE 199798 AND 200304 COMMUNITY HEALTH NEEDS ASSESSMENTS HOUSEHOLD SURVEY DATA THESE DATA COMPARISONS WILL ALLOW HNPI TO DISCOVER BOTH POSITIVE AND NEGATIVE COMMUNITY HEALTH TRENDS TO COMPLETE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH NOT ONLY REACHES MINORITYUNDERSERVED POPULATIONS BUT ALSO ADDRESSES A WIDE VARIETY OF COMMUNITY HEALTH TOPICS INCLUDING BUT NOT LIMITED TO ACCESS TO CARE CHRONIC DISEASE PREVALENCE PREVENTIVE HEALTH HEALTH STATUS ACCESS TO COMMUNITY PROGRAMS AND SERVICES QUALITY OF LIFE INDICATORS AND HEALTHY LIFESTYLE BEHAVIORS RESEARCH STEPS INCLUDED COMMUNITY LEADER INTERVIEWS SOCIOECONOMIC PROFILES SECONDARY DATA IE SOCIOECONOMIC DATA AND DEMOGRAPHIC PROJECTIONS FROM NIELSEN CLARITAS AND THE US CENSUS BUREAU AND HEALTH PREVALENCE DATA FROM THE BRFSS CDC AND HRSA FOCUS GROUPS AND HOUSEHOLD SURVEYS BASED UPON THE DATA GATHERED THROUGH THIS RESEARCH METHODOLOGY TRIPP UMBACH IDENTIFIED FIVE COMMUNITY HEALTH AREAS OF NEED THAT ARE CONSIDERED PRIORITIES FOR LACKAWANNA AND LUZERNE COUNTIES LISTED IN ALPHABETICAL ORDER THE TOP FIVE PRIORITY AREAS ARE ACCESS TO CARE CHRONIC DISEASEOBESITY EMPLOYMENT MENTAL HEALTH SUBSTANCE ABUSE ONCE THIS LATEST NEEDS ASSESSMENT WAS COMPLETED ITS FINDINGS WERE FORMALLY PRESENTED TO THE GCMC BOARD OF DIRECTORS AND TO GCMCS CEO AND PRESIDENT BASED ON WHAT WAS IDENTIFIED AS PRIORITIES THROUGH THE ASSESSMENTS FINDINGS GCMCS CEO AND ITS BOARD OF DIRECTORS THEN COMMITTED HOSPITAL RESOURCES IN ORDER TO PROVIDE THESE MUCHNEEDED SERVICES TO THE COMMUNITY BASED ON THE SUBMITTED PRIORITY OF NEEDS FOR EXAMPLE HOSPITAL ADMINISTRATORS DETERMINED THAT IN ORDER TO BETTER SERVE THE HEALTH NEEDS OF THE COMMUNITY BY BATTLING OBESITY AND CHRONIC DISEASE A PREVENTIVE MEDICINE AND NUTRITION CLINIC WAS ESTABLISHED AT THE HOSPITAL ALSO THE HIGH INCIDENCE OF DIABETES IN THE REGION LED TO A DIABETES EDUCATOR POSITION AT THE HOSPITAL AND AN A RN POSITION THAT IS DEVOTED TO COMMUNITY HEALTH SCREENINGS EDUCATIONAL OUTREACH EFFORTS AND A VARIETY OF SUPPORT GROUPS SUCH AS SMOKING CESSATION AND WEIGHT LOSS PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI FOR URGENT AND EMERGENT SERVICES PATIENTS ARE PROVIDED CARE REGARDLESS OF THEIR ABILITY TO PAY IN THE EVENT A PATIENT HAS AN EMERGENCY MEDICAL CONDITION TREATMENT IS NOT DELAYED TO PERMIT AN INQUIRY REGARDING A PATIENTS METHOD OF PAYMENT OR INSURANCE STATUS FOR OTHER THAN URGENT AND EMERGENT SERVICES THE HOSPITAL PROVIDES UNCOMPENSATED CARE FREE OF CHARGE OR ON A DISCOUNTED BASIS TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY DEPENDING UPON FAMILY SIZE AND INCOME FREE OR DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME RANGING FROM 200 UP TO 380 OF THE FEDERAL POVERTY GUIDELINES IT IS GCMC POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIALBILLING PROCESS INFORMATION SIGNS BROCHURES ETC REGARDING GCMCS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL NOTICE OF GCMCS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWWGEISINGERORG PATIENTS ARE ALSO PROVIDED INFORMATION ON GCMCS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL COMMUNITY INFORMATION PART VI LIKE GEISINGER WYOMING VALLEY MEDICAL CENTER GEISINGERCMCS SERVICE AREA INCLUDES 9 COUNTIES IN NORTHEASTERN PENNSYLVANIA BRADFORD CARBON LACKAWANNA LUZERNE MONROE PIKE SUSQUEHANNA WAYNE AND WYOMING THE APPROXIMATE 2012 TOTAL POPULATION WITHIN THIS SERVICE AREA WAS 1020857 THIS POPULATION IS EXPECTED TO GROW 26 BY 2017 SLOWER THAN THE NATIONAL RATE 39 BUT SLIGHTLY HIGHER THAN THE GROWTH RATE IN THE COMMONWEALTH 19 THE 65 AND OVER AGE GROUP IS 168 OF THE TOTAL POPULATION WHICH IS GREATER THAN THE STATE 153 AND NATIONAL 129 PERCENTAGES ADDITIONALLY THE 65 AND OVER AGE GROUP IS THE AGE SEGMENT PROJECTED TO EXPERIENCE THE LARGEST FIVEYEAR POPULATION GROWTH AT 147 THE REGION IS PRIMARILY RURAL WITH SMALL SUBURBAN AND URBAN POCKETS AVERAGE HOUSEHOLD INCOME IS 55381 WITH APPROXIMATELY 132 OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES LOWER THAN THE STATE PERCENTAGE OF 137 THE 2012 AVERAGE UNEMPLOYMENT RATE WAS 91 WHICH IS HIGHER THAN BOTH THE COMMONWEALTH RATE OF 79 AND THE NATIONAL RATE OF 79 WITHIN THE 9 COUNTY SERVICE AREA 141 OF GCMCS INPATIENT DISCHARGES DURING FISCAL YEAR 2012 WERE SELFPAY OR CHARITY CARE OR WERE MEDICAID RECIPIENTS THERE ARE 2 GEISINGER GENERAL MEDICALSURGICAL HOSPITALS GWV AND GCMC AND 15 GENERAL MEDICALSURGICAL NONGEISINGER HOSPITALS IN THIS MARKET GCMC OFFERS A COMPLETE CONTINUUM OF EDUCATIONAL DIAGNOSTIC THERAPEUTIC AND REHABILITATIVE SERVICES AND PROGRAMS INCLUDING A LEVEL II TRAUMA CENTER AND INPATIENT BEHAVIORAL UNIT THERE ARE TWO OTHER HOSPITALS LOCATED IN SCRANTON AND SERVING LACKAWANNA COUNTY MERCY HOSPITAL A CATHOLIC NONPROFIT AND MOSES TAYLOR HOSPITAL ACCORDING TO THE 2010 CLARITAS CENSUS THE OFFICIAL POPULATION COUNT FOR LACKAWANNA COUNTY WAS 214437 THE CITY OF SCRANTON WHICH SERVES AS LACKAWANNA COUNTYS SEAT AND HAS DESIGNATED DISTRESSED CITY STATUS SINCE 1992 HAD A TOTAL POPULATION OF 76089 IN 2010 ACCORDING TO THE UNITED STATES CENSUS BUREAU SCRANTON IS THE LARGEST PRINCIPAL CITY IN THE SCRANTONWILKESBARRE METROPOLITAN AREA MAKING IT PENNSYLVANIAS SIXTHMOST POPULOUS CITY AFTER PHILADELPHIA PITTSBURGH ALLENTOWN ERIE AND READING THE US DEPARTMENT OF HEALTH AND HUMAN RESOURCES HAS DESIGNATED LACKAWANNA COUNTY AS A MEDICALLY UNDERSERVED AREAPOPULATION DUE TO TOO FEW PRIMARY CARE PROVIDERS HIGH INFANT MORTALITY HIGH POVERTY ANDOR HIGH ELDERLY POPULATION NEARLY ONE OF SIX SCRANTON RESIDENTS IS LIVING BELOW THE POVERTY LEVEL ACCORDING TO THE AMERICAN COMMUNITY SURVEY A BRANCH OF THE US CENSUS COMPARED TO PENNSYLVANIAS MEDIAN HOUSEHOLD INCOME OF 47913 THE AVERAGE EARNINGS FOR LACKAWANNA COUNTY RESIDENTS 41594 IS SIGNIFICANTLY LESS THAN THE STATE AVERAGE AND WELL BELOW THE NATIONAL MEDIAN HOUSEHOLD INCOME OF 50007 ACCORDING TO THE AMERICAN COMMUNITY SURVEY COMPOUNDING THE ECONOMIC CHALLENGES OF LOWER SALARIES LACKAWANNA COUNTY RESIDENTS ARE TWICE AS LIKELY TO NOT HAVE HEALTH INSURANCE AS LUZERNE COUNTY RESIDENTS THE INSTITUTE FOR PUBLIC POLICY ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009 SHOWS A TWO TO ONE RATIO FOR THIS STATISTIC REPORTING THAT 106 OF THE RESIDENTS IN LACKAWANNA COUNTY AND 52 OF RESIDENTS IN LUZERNE COUNTY ARE WITHOUT HEALTH INSURANCE EDUCATION IS ALSO LACKING IN THE REGION ONLY 195 OF RESIDENTS AGE 25 AND OLDER WITHIN LACKAWANNA COUNTY HOLDS A BACHELORS DEGREE OR HIGHER BY COMPARISON 256 OF THE PENNSYLVANIA POPULATION AGE 25 AND OLDER HAS A BACHELORS DEGREE OR HIGHER AND 27 OF THIS AGE GROUP IN THE US HAS A BACHELORS DEGREE OR HIGHER AND WHILE THE REGION IS PRIMARILY WHITE THE REGION IS EXPERIENCING AN INFLUX OF MINORITIES CLARITAS CENSUS ESTIMATES FOR 2009 SHOW THE STUDY AREA POPULATION IS PREDOMINATELY SELFDEFINED AS WHITECAUCASIAN IN LACKAWANNA COUNTY 945 HOWEVER THE REGIONS HISPANIC POPULATION INCREASED FROM 1999 TO 7531 THE ASIAN POPULATION GREW FROM 823 TO 2269 AND THE BLACK POPULATION GREW FROM 2304 TO 4150 ACCORDING TO THE MOBILIZING ACTION TOWARD COMMUNITY HEALTH MATCH PROJECT LACKAWANNA COUNTY RANKS 51ST OUT OF THE 67 PENNSYLVANIA COUNTIES IN OVERALL HEALTH STATUS MATCH IS COLLABORATION BETWEEN THE ROBERT WOOD JOHNSON FOUNDATION AND THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE ACCORDING TO THE HEALTH RANKINGS DEVELOPED BY MATCH LACKAWANNA AND LUZERNE COUNTIES DO NOT COMPARE WELL TO STATE AND NATIONAL AVERAGES FOR MANY OF THE KEY COMMUNITY HEALTH INDICATORS EVALUATED THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM REPORTS THAT THE TOP FIVE MOST PREVALENT CHRONIC DISEASES IN LACKAWANNA AND LUZERNE COUNTIES ARE BLOOD PRESSURE PROBLEMS CHOLESTEROL PROBLEMS ARTHRITIS HEART PROBLEMS AND RESPIRATORY PROBLEMS SUCH AS ASTHMA CHRONIC LUNG DISEASE EMPHYSEMA AND CHRONIC BRONCHITIS WITH THE REGION SCORING HIGHER THAN THE NATIONAL AVERAGE FOR ALL THOSE LISTED ACCORDING TO CENTER FOR DISEASE CONTROL DATA FROM 2010 THE REGIONS INCIDENCE OF DIABETES IS ALSO GETTING WORSE A RECENT FEDERAL STUDY PLACED PENNSYLVANIA IN A 15STATE DIABETES BELT WITH ALMOST 27 PERCENT OF PEOPLE 65 AND OLDER DIAGNOSED WITH DIABETES IN THE REGION BLOOD PRESSURE PROBLEMS REPORTED WITHIN THE STUDY REGION ARE HIGHER THAN BOTH THE STATE AND NATIONAL AVERAGES WITH 362 PERCENT FOR LACKAWANNA COUNTY VERSUS 281 FOR THE STATE OF PENNSYLVANIA AND 275 FOR THE UNITED STATES CONCURRENTLY COMPARED TO 2008 BRFSS STATE 213 AND NATIONAL 183 AVERAGES A HIGHER PERCENTAGE OF SURVEY RESPONDENTS SMOKE CIGARETTES IN LACKAWANNA AND LUZERNE COUNTIES 230 THE INSTITUTE FOR PUBLIC POLICY ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009 SHOWS INCREASING DRUG POSSESSION AND DRUG SALEMANUFACTURING OFFENSES WITHIN THE REGION AND THE PERCENTAGE OF BINGE DRINKERS IS ALSO HIGHER THAN THE NATIONAL AVERAGE 155 FOR THE US VERSUS 176 FOR LACKAWANNA COUNTY BETWEEN 2000 AND 2008 THE NUMBER OF DUI OFFENSES WITHIN LACKAWANNA AND LUZERNE COUNTIES ALSO INCREASED BY 441 SINCE 1997 THE PERCENTAGE OF HOUSEHOLD SURVEY RESPONDENTS REPORTING EMOTIONAL AND MENTAL HEALTH CONCERNS HAS ALSO INCREASED SIGNIFICANTLY IN THE REGION ANOTHER INDICATOR OF EMOTIONAL AND MENTAL HEALTH CONCERNS IS THE SUICIDE RATE BOTH LACKAWANNA AND LUZERNE COUNTIES HAVE HIGHER PREVALENCE RATES FOR SUICIDE THAN PENNSYLVANIA STATE AVERAGES ACCORDING TO THE INSTITUTE FOR PUBLIC POLICY ECONOMIC DEVELOPMENT INDICATORS REPORT FOR 2009 HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCOMMUNITY BENEFIT REPORTED IN SCHEDULE O AFFILIATED HEALTH CARE INFORMATION PART VI GCMC IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM WHICH IS ONE OF THE LARGEST RURAL HEALTH CARE SYSTEMS IN THE NATION AND COVERS A 20000 SQUARE MILE AREA IN NORTHERN AND CENTRAL PENNSYLVANIA AS AN INTEGRATED HEALTH CARE SYSTEM IT SERVES MORE THAN TWO MILLION PEOPLE IN 41 OF PENNSYLVANIAS 67 COUNTIES WITH A VARIETY OF CHARITABLE HEALTH CARE PROVIDERS AND A NONPROFIT HMO THE GHS MISSION IS TO ENHANCE THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE EDUCATION RESEARCH AND COMMUNITY SERVICE GMC A 404 BED TERTIARY AND QUATERNARY MEDICAL CENTER IS LOCATED IN DANVILLE PENNSYLVANIA A SMALL COMMUNITY OF 6000 PEOPLE SINCE ITS BEGINNING IN 1915 GHS HAS EMPHASIZED MULTISPECIALTY CARE AND HAS MORE THAN 80 MEDICAL SPECIALTIES AND SUBSPECIALTIES GMC IS A LEVEL 1 REGIONAL RESOURCE TRAUMA CENTER AND HAS RECENTLY BEEN NAMED TO THE TOP 100 HOSPITALS IN THE COUNTRY THE MEDICAL CENTER HAS ALSO BEEN DESIGNATED AS A MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER ANCC GHS PHYSICIANS WERE LISTED IN THE BEST DOCTORS IN AMERICA AND THE GHS INTEGRATED COST EFFECTIVE DELIVERY OF MANAGED CARE WAS FEATURED IN A FRONTPAGE NEW YORK TIMES ARTICLE MEDICAL EDUCATION HAS PLAYED A PROMINENT ROLE AT THE GMC WITH MORE THAN 200 RESIDENTS AND FELLOWS RECEIVING POSTDOCTORAL TRAINING AND RESEARCH EXPOSURE GMC IS ALSO HOME TO THE JANET WEIS WOMENS AND CHILDRENS HOSPITAL THE FIRST RURAL ACUTECARE CHILDRENS HOSPITAL IN THE NATION THE 85 BED CHILDRENS HOSPITAL WAS CONSTRUCTED IN 1995 ENTIRELY FROM DONATIONS AND BOASTS A NEONATAL INTENSIVE CARE UNIT A PEDIATRIC INTENSIVE CARE UNIT AND TWO FLOORS OF MEDICALSURGICAL INPATIENT ROOMS IN JANUARY OF 2000 THE TWOSTORY WOMENS PAVILION OPENED AND STRATEGICALLY ADJOINS THE CHILDRENS HOSPITAL FOSTERING FAMILYCENTERED CARE FOR ALL OBSTETRICAL AND NEWBORN SERVICES THE PAVILION FEATURES 19 LABOR DELIVERY RECOVERY POSTPARTUM ROOMS AND HAS THE STATES FIRST PASSTHROUGH WINDOWS FROM TWO HIGHRISK AND CSECTION DELIVERY ROOMS DIRECTLY INTO THE ADJOINING NEONATAL INTENSIVE CARE UNIT GEISINGER WYOMING VALLEY MEDICAL CENTER GWV SERVES PATIENTS IN THE GREATER WYOMING VALLEY AND WESTERN POCONO REGION OF THE STATE WITH A COMPREHENSIVE MATERNITY PROGRAM PEDIATRIC SERVICES MEDICAL AND SURGICAL UNITS THE FRANK M AND DOROTHEA HENRY CANCER CENTER A COMPLETE EMERGENCY DEPARTMENT AS WELL AS OFFERING AN EXTENSIVE COMMUNITYHEALTH EDUCATION PROGRAM OPENING IN THE FALL OF 2001 AND CONNECTED DIRECTLY TO GWV WAS THE REGIONS FIRST AND ONLY HEART HOSPITAL THE THREESTORY STRUCTURE OFFERED LIFESAVING HEART PROCEDURES THAT WERE NOT CURRENTLY AVAILABLE IN THE REGION AS WELL AS A RESEARCH PROGRAM NEW THERAPIES AND SPECIAL HEART SERVICES THE ENTIRE HEALTH SYSTEM IS SERVED BY LIFE FLIGHT THE 20 PLUSYEAR OLD AIRMEDICAL TRANSPORT PROGRAM ONE HELICOPTER IS HOUSED ON THE CAMPUS OF GEISINGER MEDICAL CENTER AND ANOTHER IS STATIONED AT THE UNIVERSITY PARK AIRPORT IN STATE COLLEGE GHS PROVIDED THE FIRST FULLSERVICE FULLTIME MEDICAL HELICOPTER STATIONED IN THE WILKESBARRESCRANTON AREA BY ADDING A THIRD HELICOPTER IN THE FLEET IN JULY 2001 A FOURTH HELICOPTER WAS ADDED IN WILLIAMSPORT IN 2005 WITH A FIFTH GOING ONLINE IN POTTSVILLE IN 2006 GEISINGER CLINIC IS A 501C3 NOTFORPROFIT CORPORATION OPERATING A MULTISPECIALTY GROUP PRACTICE GEISINGER CLINIC PROVIDES PATIENT STAFF FOR PATIENT CARE EDUCATION AND RESEARCH THERE ARE MORE THAN 750 EMPLOYED PHYSICIANS PRACTICING AT AN ARRAY OF HEALTH CARE DELIVERY PROVIDER FACILITIES AT 61 MEDICAL GROUPS SERVING 31 COUNTIES OPERATED WITHIN THE GEISINGER CLINIC ORGANIZATION THE WEIS CENTER FOR RESEARCH LOCATED ON THE CAMPUS OF GEISINGER MEDICAL CENTER IS HOME TO THE HENRY HOOD RESEARCH PROGRAM THE PREEMINENT FUNCTION OF THE HOOD RESEARCH PROGRAM IS TO CONDUCT ORIGINAL AND INNOVATIVE RESEARCH OF WORLD CLASS QUALITY OUR SCIENTISTS APPLY MODERN MOLECULAR AND CELLULAR APPROACHES TO DIVERSE RESEARCH PROBLEMS IN THE AREAS OF CARDIOVASCULAR FUNCTION CANCER AND DEVELOPMENTAL BIOLOGY BEGUN IN 1972 THE GEISINGER HEALTH PLAN IS A 501C4 NOTFORPROFIT ORGANIZATION THAT HAS GROWN TO BE ONE OF THE LARGEST RURAL HMOS IN THE COUNTRY IT CURRENTLY SERVES APPROXIMATELY 200000 MEMBERS IN A 42COUNTY SERVICE AREA MARWORTH IS A 501C 3 NOTFORPROFIT ORGANIZATION AND OPERATES A 77 BED CENTER THAT ALSO OFFERS A BROADBASED OUTPATIENT PROGRAM FOR THE TREATMENT OF ALCOHOL AND CHEMICAL DEPENDENCY MARWORTH IS LOCATED IN WAVERLY PENNSYLVANIA AND IS ANNUALLY RANKED AMONG THE TOP 20 TREATMENT CENTERS IN THE UNITED STATES GEISINGER COMMUNITY HEALTH SERVICES IS A 501C3 NOTFORPROFIT ORGANIZATION DESIGNED TO CONDUCT CHARITABLE SCIENTIFIC AND EDUCATIONAL ACTIVITIES FOR THE CITIZENS OF THE COMMUNITIES SERVED BY GHS MOUNTAIN VIEW CARE CENTER IS A MODERN 180BED HOMELIKE CENTER PROVIDING SHORT TERM REHABILITATION SKILLED NURSING AND LONG TERM CARE THE FACILITY FEATURES A SPECIALIZED 24BED UNIT DEDICATED TO THE SPECIAL NEEDS AND CARE OF PEOPLE WITH ALZHEIMERS OR MEMORYRELATED ILLNESSES THESE PATIENTS NEED A SAFE AND SECURE PLACE TO LIVE MOUNTAIN VIEW HAS DEVELOPED A SEPARATE UNIT DEDICATED TO THE SPECIAL NEEDS OF PEOPLE WITH ALZHEIMERS MOUNTAIN VIEW ALSO PROVIDES HOSPICE CARE SPECIFICALLY DEVOTED TO THE SPECIAL NEEDS OF SERIOUSLY ILL RESIDENTS THE HOSPICE TEAM PROVIDES COMPASSIONATE CARE WITH DIGNITY FOR FISCAL YEAR 2011 MOUNTAIN VIEW CARE CENTER REALIZED 27 MILLION IN UNREIMBURSED COSTS RELATED TO 39695 MEDICAL ASSISTANCE MEDICAID OR MEDICARE PATIENT CARE DAYS ADDITIONAL INFORMATION PART VI FORM 990 SCHEDULE H PART V BILLING AND COLLECTIONS UNDER NO CIRCUMSTANCE WILL GCMC FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENTENFORCE LIENS ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGEMENT OR GARNISH THE WAGES OF A PATIENT ANDOR FAMILY MEMBER FORM 990 SCHEDULE H PART V LINE 20 DID THE HOSPITAL FACILITY CHARGE ANY OF ITS PATIENTS WHO WERE ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL FACILITYS FINANCIAL ASSISTANCE POLICY AND TO WHOM THE HOSPITAL FACILITY PROVIDED EMERGENCY OR OTHER MEDICALLY NECESSARY SERVICES MORE THAN THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAD INSURANCE COVERING SUCH CARE GCMC POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 70 TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE WITH INCOME AT 260 TO 380 OF THE FEDERAL POVERTY GUIDELINES WHICH RESULTS IN AMOUNTS LESS THAN THE AVERAGE OF THREE BEST NEGOTIATED COMMERCIAL RATES PATIENTS WHO ARE AT LESS THAN 260 OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE TO RECEIVE UP TO A 100 DISCOUNT FORM 990 SCHEDULE H PART VI LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT AT THIS TIME GCMC AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE true THE COMMONWEALTH MEDICAL COLLEGE 525 PINE STREET SCRANTON PA 185093240 260612968 501 43500 CASH UNRESTRICTED CONTRIB AMERICAN HEART ASSOCIATION 5455 NORTH HIGH STREET COLUMBUS OH 432141127 135613797 501 10600 CASH UNRESTRICTED CONTRIB CHILDREN'S ADVOCACY CENTER 1710 MULBERRY STREET SCRANTON PA 185102336 232972024 501 6767 CASH UNRESTRICTED CONTRIB AMERICAN RED CROSS 2025 E STREET NW WASHINGTON DC 200065009 530196605 501 6264 CASH UNRESTRICTED CONTRIB GREATER SCRANTON CHAMBER 222 MULBERRY STREET SCRANTON PA 18501 240716460 501 5200 CASH UNRESTRICTED CONTRIB ALL OTHER ASSISTANCE COMBINED EACH INDIVIDUALLY 5000 OR LESS DANVILLE PA 178229800 52847 CASH UNRESTRICTED CONTRIB 5 ADDITIONAL INFORMATION SCHEDULE I, PAGE 4, PART IV COMMUNITY MEDICAL CENTER (CMC) DOES NOT AWARD GRANTS; CMC PROVIDES ASSISTANCE IN THE FORM OF CHARITABLE CONTRIBUTIONS TO TAX-EXEMPT ORGANIZATIONS THAT QUALIFY FOR 501(C)(3) STATUS UNDER THE INTERNAL REVENUE CODE, LIMITED 501(C)(4) ORGANIZATIONS BASED ON EXPLICIT CRITERIA, PUBLIC BENEFIT OR NON-EXEMPT ORGANIZATIONS WHOSE ACTIVITIES FURTHER THE EXEMPT PURPOSE OF CMC. CMC NOTIFIES THE PUBLIC BENEFIT OR NON-EXEMPT ORGANIZATIONS OF THE INTENT AND PURPOSE OF THE CHARITABLE CONTRIBUTION. ORGANIZATIONS SEEKING SUPPORT MUST DEMONSTRATE THAT THEY EFFECTIVELY MEET AN IMPORTANT COMMUNITY NEED. X X true true X X X X X X false true false false false false false false false GLENN D STEELE JR MD PHD 978712 825000 3244967 359130 31441 5439250 2824875 ROBERT P STEIGMEYER 446846 135000 23438 7356 13146 625786 BARBARA BOSSI 226932 34954 6702 11385 9318 289291 ANTHONY AQUILINA DO 251531 98379 16194 17778 16845 400727 DAVID J FELICIO ESQUIRE 293852 144222 37676 115877 17565 609192 EDWARD J ZYCH ESQUIRE 244966 72505 19002 42780 21185 400438 KEVIN F BRENNAN CPA FHFMA 481220 297816 191094 170858 21431 1162419 155504 ALBERT BOTHE MD 510811 253186 117945 171969 9758 1063669 66050 SEAN MCANDREW 129119 20847 390 2606 4978 157940 JOHN SKURKA 554986 554986 FRANK J TREMBULAK 574658 303886 56202 195777 10253 1140776 MICHELLE T BOYLE 295857 750 193 13342 12590 322732 JOHN DITCHKUS 243695 741 532 13574 12081 270623 ROSE A SADOWSKI 241353 750 841 13380 6150 262474 KHALEEL SHAIKH 198423 198423 36450 49867 1832 1674 11009 1241 6439 6284 254153 257489 MARK R TRENTLY 238504 750 2411 13145 12074 266884 BRIAN E KLOCK MD FACS 311801 62641 25192 17778 17592 435004 FREDERICK K TOY MD FACS 365699 77256 22593 17778 15792 499118 JOHN D KIZER MD 298007 41628 25965 17778 16992 400370 FRINGE OR EXPENSE EXPLANATION SCHEDULE J, PAGE 1, PART I, LINE 1A HOUSING ALLOWANE OR RESIDENCE FOR PERSONAL USE - A HOUSING ALLOWANCE IS PAID DIRECTLY TO ECG MANAGEMENT CONSULTANTS, INC. ON BEHALF OF COMMMUNITY MEDICAL CENTER'S INTERIM CFO. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - THE COMMUNITY MEDICAL CENTER BOARD OF DIRECTORS APPROVED REIMBURSEMENT OF ATHLETIC AND/OR SOCIAL CLUB DUES UP TO 2,500 FOR THE CHIEF EXECUTIVE OFFICER OF COMMUNITY MEDICAL CENTER. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 GLENN D. STEELE JR., M.D., PH.D. 0 3,128,364 0 KEVIN F. BRENNAN, CPA, FHFMA 0 155,504 0 ALBERT BOTHE, M.D. 0 66,050 0 FRANK J. TREMBULAK 0 3,662 0 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM" AND "SYSTEM" OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. GEISINGER QUALITY OPTIONS INC BUSINESS 1851902 IC SHARED SRVC REV false GEISINGER INDEMNITY INSURANCE CO BUSINESS 248813 IC SHARED SRVC REV false INTERNATIONAL SHARED SERVICES INC BUSINESS 484961 IC SHARED SRVC EXP false GEISINGER ASSURANCE COMPANY LTD BUSINESS 856013 IC SHARED SRVC EXP false EMERGENCY SERVICES PC BUSINESS 248802 EMERGENCY ROOM SVCS false GENERAL BILLING ASSOCIATES INC BUSINESS 113028 BILLING, CODING SVCS false ADDITIONAL INFORMATION SCHEDULE L PART V COMMUNITY MEDICAL CENTER DBA GEISINGERCOMMUNITY MEDICAL CENTER GCMC IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS WHICH MAY INCLUDE SALES EXCHANGES AND LEASE OF PROPERTY EXTENSIONS OF CREDIT FURNISHING OF GOODS SERVICES AND FACILITIES AND TRANSFERS OF ASSETS THESE TYPES OF INTERORGANIZATIONAL TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IRS IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF PRIVATE LETTER RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS TAX EXEMPT STATUS THE FOLLOWING ORGANIZATIONS REPRESENT THE AFFILIATED FORPROFIT ORGANIZATIONS WITHIN THE GEISINGER HEALTH SYSTEM FOR WHOM BUSINESS TRANSACTIONS MUST BE DISCLOSED FOR PURPOSES OF SCHEDULE L PART IV TRANSACTIONS WITH INTERESTED PERSONS OFFICERS AND DIRECTORS OF GCMC ARE OFFICERS AND DIRECTORS OF THESE ORGANIZATIONS AS DESCRIBED BELOW GEISINGER QUALITY OPTIONS INC GQO GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR OF GCMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR EX OFFICIO OF GQO DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GCMC AND GQO FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GCMC AND SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF GQO WILLIAM H ALEXANDER IS A DIRECTOR OF GCMC AND GQO RICHARD GRAFMYRE IS A DIRECTOR OF GCMC AND GQO DON A ROSINI IS A DIRECTOR OF GCMC AND GQO THOMAS H LEE JR IS A DIRECTOR OF GCMC AND GQO INTERNATIONAL SHARED SERVICES INC ISS GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR OF GCMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR OF ISS FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GCMC AND THE SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF ISS DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GCMC AND ISS EDWARD J ZYCH ESQUIRE IS THE ASSISTANT SECRETARY OF GCMC AND ISS GEISINGER INDEMNITY INSURANCE COMPANY GIIC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR OF GCMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR EX OFFICIO OF GIIC DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GCMC AND GIIC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GCMC AND SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF GIIC WILLIAM H ALEXANDER IS A DIRECTOR OF GCMC AND GIIC RICHARD GRAFMYRE IS A DIRECTOR OF GCMC AND GIIC DON A ROSINI IS A DIRECTOR OF GCMC AND GIIC THOMAS H LEE JR IS A DIRECTOR OF GCMC AND GIIC GEISINGER ASSURANCE COMPANY LTD GAC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR OF GCMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR OF GAC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GCMC AND THE PRESIDENT CHIEF EXECUTIVE OFFICER AND DIRECTOR OF GAC DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GCMC AND THE SECRETARY AND DIRECTOR OF GAC EDWARD J ZYCH ESQUIRE IS THE ASSISTANT SECRETARY OF GCMC AND GAC DR DENAPLES COMPANY EMERGENCY SERVICES PC PROVIDES MEDICAL AND EMERGENCY ROOM SERVICES TO COMMUNITY MEDICAL CENTER COMMUNITY MEDICAL CENTER ALSO PAYS A STIPEND TO EMERGENCY SERVICES PC FOR THE SERVICES PROVIDED BY DR DENAPLES AS A MEDICAL DIRECTOR IN THE HOSPITAL DR DENAPLES COMPANY GENERAL BILLING ASSOCIATES INC PROVIDES PROVIDES BILLING AND CODING SERVICES TO COMMUNITY MEDICAL CENTER FOOTNOTE THROUGHOUT FORM 990 THE TERMS GEISINGER HEALTH SYSTEM AND SYSTEM OR THE ACRONYM GHS SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION THE FOUNDATION AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM CASH AND INVESTMENTS 2012-02-01 32647879 MARKET 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) ACCOUNTS RECEIVABLE 2012-02-01 17146264 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) INVENTORY 2012-02-01 3379149 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) OTHER RECEIVABLES 2012-02-01 3238965 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) PREPAID EXPENSES 2012-02-01 1407078 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) PROPERTY AND EQUIP,NET 2012-02-01 36064702 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) NOTE RECEIVABLE 2012-02-01 2079219 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) OTHER 2012-02-01 1231973 BOOK VALUE 231995911 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 501(C)(3) false true false false ADDITIONAL INFORMATION SCHEDULE N ROBERT P STEIGMEYER PRESIDENT AND CEO OF COMMUNITY MEDICAL CENTER BARBARA BOSSI VICE PRESIDENT NURSING JAMES JESIKIEWICZ ASSISTANT TREASURER SEAN MCANDREW VICE PRESIDENT INFORMATION SERVICES AND WENDY K WILSON VICE PRESIDENT PUBLIC RELATIONS WILL CONTINUE TO BE COMPENSATED AS EMPLOYEES OF GEISINGERCOMMUNITY MEDICAL CENTER SUBSEQUENT TO THE ACQUISITION DATE OF 02012012 TIMOTHY FARRELL MD WILL BE AN INDEPENDENT CONTRACTOR OF GEISINGER COMMUNITY MEDICAL CENTER ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A GCOMMUNITY MEDICAL CENTER, DOING BUSINESS AS GEISINGER-COMMUNITY MEDICAL CENTER (G-CMC), OPENED IN 1897 AS THE HAHNEMANN HOSPITAL AND SCHOOL OF NURSING, THE HOSPITAL WAS SCRANTON'S FIRST HOSPITAL DEDICATED TO COMMUNITY SERVICE. G-CMC CONTINUES TO PROVIDE THE COMMUNITY WITH A VARIETY OF SERVICES AS PART OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. THIS CONTINUUM OF CARE INCLUDES PREVENTATIVE, AMBULATORY, INPATIENT, AND EMERGENCY SERVICES. G-CMC IS A NOTED REGIONAL REFERRAL CENTER WITH COMPREHENSIVE ACUTE CARE MEDICAL SERVICES AND HAS DEVELOPED SPECIFIC AREAS OF EXPERTISE. SPECIALIZED / REGIONAL SERVICES, CENTER OF EXCELLENCE: G-CMC IS AN ACUTE CARE HOSPITAL LICENSED FOR 297 BEDS AND THE ONLY LEVEL II TRAUMA CENTER IN LACKAWANNA COUNTY. THE NORTHEAST PA TRAUMA CENTER, DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION IN 1988, PROVIDES 24-HOUR COMPREHENSIVE SURGICAL INTERVENTION FOR CRITICALLY INJURED PATIENTS. THE TRAUMA CENTER IS STAFFED CONTINUOUSLY BY AN EMERGENCY PHYSICIAN, TRAUMA SURGEON AND NURSES CERTIFIED IN CRITICAL CARE, TRAUMA, ORTHOPAEDICS, AND THE NEUROSCIENCES. THE UNREIMBURSED COSTS OF PROVIDING TRAUMA SERVICES TO THE COMMUNITY IN FY 2012 TOTALED 1,281,642. CARDIOLOGY SERVICES AT THE HOSPITAL INCLUDE THE REGION'S FIRST ELECTROPHYSIOLOGY LAB AND AN OPEN HEART SURGERY CENTER. G-CMC IS ALSO A CERTIFIED CAROTID STENT FACILITY. NEUROLOGICAL SCIENCES AT THE HOSPITAL SPECIALIZES IN THE CARE OF PEOPLE WITH BRAIN AND SENSE ORGAN DISORDERS. OTHER SPECIALIZED SERVICES INCLUDE: A SAME-DAY SURGERY CENTER, A 24 LICENSED BED SHORT TERM PSYCHIATRIC INPATIENT UNIT, AN ORTHOPAEDIC TRAUMA CLINIC, CT SCANNER, MRI IMAGING, ONCOLOGY SERVICES, RENAL DIALYSIS, HYPERBARIC OXYGEN CHAMBER TREATMENTS, THE NEW STEPS JOINT PROGRAM, WOUND CARE, AND STEREOTACTIC SURGERY. G-CMC OFFERS EMERGENCY MEDICAL TECHNICIAN AND TRAUMA NURSE TRAINING PROGRAMS. IT HAS AN AFFILIATION WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION, AN ACCREDITED PROVIDER OF INTERNAL MEDICINE RESIDENCY EDUCATION, BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION, AND THE REGION'S ONLY PODIATRIC RESIDENCY PROGRAM, AND ACCREDITED PROVIDER OF PODIATRIC MEDICINE AND SURGERY EDUCATION, BY THE COUNCIL OF PODIATRIC MEDICAL EDUCATION. UNCOMPENSATED COSTS FOR HEALTH PROFESSIONS EDUCATION TOTALED 1,186,186. G-CMC ALSO SPONSORS THE COMMUNITY HEALTH EDUCATION PROGRAM, THE REGION'S FIRST HOSPITAL-BASED AND COMMUNITY-WIDE WELLNESS AND PREVENTION PROGRAM. IN ADDITION, G-CMC SPONSORS THE PRIORITY CARE PROGRAM IN WHICH OVER 20,000 SENIOR CITIZENS ARE ENROLLED IN THE REGION'S FIRST HOSPITAL-BASED FREE MEMBERSHIP PLAN FOR PERSONS OVER 55 AND OLDER. PRIORITY CARE PROVIDES SENIOR CITIZENS WITH A WIDE VARIETY OF BENEFITS AND INFORMATION REGARDING HEALTH AND WELLNESS PROGRAMS. PRIORITY CARE OFFERS CONVENIENT ACCESS TO QUALITY SERVICES INCLUDING: FREE PARKING IN THE G-CMC PARKING COMPLEX COMMUNITY DISCOUNTS DISCOUNTED MEALS IN THE HOSPITAL'S DINING ROOM DISCOUNTS AT THE G-CMC GIFT SHOP PHYSICIAN REFERRAL SERVICE AFFILIATIONS: G-CMC HAS WORKING RELATIONSHIPS WITH OTHER HEALTH CARE PROVIDERS IN VENTURES SUCH AS THE NORTHEASTERN PENNSYLVANIA IMAGING CENTER, THE CHILDREN'S ADVOCACY CENTER, MATERNAL & FAMILY HEALTH SERVICES, AND THE RONALD MCDONALD HOUSE OF SCRANTON. G-CMC ALSO HAS A CONNECTION WITH NUMEROUS AREA INSTITUTIONS, COLLEGES, AND UNIVERSITIES FOR EDUCATIONAL AND CLINICAL PROGRAMS, INCLUDING, BUT NOT LIMITED TO, NURSING, MEDICAL TECHNOLOGY, PHYSICAL AND OCCUPATIONAL THERAPY, EMERGENCY MEDICAL TECHNICIANS, PHYSICIAN ASSISTANTS, SOCIAL WORK AND HEALTHCARE ADMINISTRATION. MEDICAL STAFF: AS OF JUNE 30, 2012, THE MEDICAL STAFF AT G-CMC TOTALED OVER 350 PHYSICIANS. UNDER G-CMC'S MEDICAL STAFF BY-LAWS, PHYSICIANS MAY HAVE ONE OF SEVERAL TYPES OF PRIVILEGES INCLUDING ACTIVE, COURTESY, CONSULTING, EMERGENCY, AND TEMPORARY. AUXILIARY: THE G-CMC AUXILIARY IS COMPRISED OF APPROXIMATELY 65 MEMBERS. FUNCTIONING WITH THE GUIDANCE OF ITS OWN ADVISORY BOARD, THE AUXILIARY HAS COMMITTEES, EACH WITH ITS OWN RESPONSIBILITY FOR FUND-RAISING, AND SERVICE. THE AUXILIARY ASSISTS IN OPERATING G-CMC'S GIFT SHOP SEVEN DAYS A WEEK. ALLOCATIONS OF FUNDS RAISED BY THE AUXILIARY ARE MADE TO G-CMC TO ENHANCE PATIENT SERVICES. VOLUNTEER SERVICES: FROM YEAR TO YEAR, G-CMC HAS APPROXIMATELY 250-300 ACTIVE ADULT AND JUNIOR VOLUNTEERS WHO VOLUNTEER THEIR TIME TO G-CMC AND CAN BE FOUND ASSISTING THE STAFF IN A VARIETY OF CAPACITIES IN HOSPITAL DEPARTMENTS SUCH AS: MAIL ROOM, MEDICAL RECORDS, SURGICAL SERVICES, EMERGENCY DEPARTMENT, AND GIFT SHOP. VOLUNTEERS ALSO ASSIST AT SPECIAL HOSPITAL FUNCTIONS. IN 2012, G- CMC VOLUNTEERS PROVIDED OVER 11,500 HOURS OF SERVICE TO G-CMC. THROUGH G-CMC'S VOLUNTEER DEPARTMENT, HUNDREDS OF SCHOOL AND COLLEGE STUDENTS ARE PROVIDED INFORMATION ABOUT HEALTHCARE TO ASSIST IN CAREER CHOICE THROUGH TOURS AND SHADOWING OPPORTUNITIES AT THE FACILITY. PATIENT ORIGIN AND SERVICE AREA: THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF LACKAWANNA COUNTY. THE SECONDARY SERVICE AREA INCLUDES LUZERNE, MONROE, PIKE, SUSQUEHANNA, WAYNE AND WYOMING COUNTIES. SUPPORT TO THE COMMUNITY: G-CMC AND RELATED AFFILIATES PROVIDE A VARIETY OF PROGRAMS TO THE COMMUNITY INCLUDING THE EDUCATION PROGRAM WHICH PROVIDES NUMEROUS COMMUNITY SERVICES SOME OF WHICH ARE LISTED BELOW. THE INTENT OF THESE PROGRAMS AND PARTNERSHIPS IS THE IMPROVED HEALTH OF THE COMMUNITY; I.E., ACCIDENT/ ILLNESS PREVENTION OR EARLY INTERVENTION AS A RESULT OF INCREASED EDUCATION. THE NORTHEAST PA TRAUMA CENTER PROVIDES EMERGENCY PREPAREDNESS ASSISTANCE AND MEDICAL EXPERTISE TO THE AMERICAN RED CROSS LACKAWANNA CHAPTER, LACKAWANNA COUNTY EMERGENCY MANAGEMENT AGENCY, AND THE SCRANTON/WILKES- BARRE INTERNATIONAL AIRPORT. ALSO, FALL AND INJURY PREVENTION FOR THE ELDERLY IS AVAILABLE TO AREA SENIOR CITIZENS AND SENIOR ORGANIZATIONS, AS WELL AS MANY AGE-SPECIFIC PREVENTION PROGRAMS TO VARIOUS ORGANIZATIONS AND SCHOOLS THROUGHOUT THE YEAR. EACH YEAR OVER 500 CHILDREN UNDER THE AGE OF 18 ARE INVOLVED IN EDUCATION'S EXTENSIVE PROGRAMS TARGETING THIS AGE GROUP. TRAUMA PREVENTION PROGRAMS SUCH AS TRAUMA ROOM AND THINK FIRST TEACH KIDS IMPORTANT SAFETY INFORMATION. ASTHMA SKI DAY HELD IN CONJUNCTION WITH SNO MOUNTAIN SKI AREA AND G-CMC'S COMMUNITY HEALTH EDUCATION PROGRAM, EMPHASIZE THAT DESPITE ILLNESS, INDIVIDUALS CAN STILL PARTICIPATE IN HEALTHY, EVEN STRENUOUS ACTIVITIES. IN ADDITION, A POISON PREVENTION PROGRAM IS AVAILABLE ALONG WITH OTHER SUCH PROGRAMS AS REQUESTED. MANY OF THESE PROGRAMS ARE THE RESULTS OF EDUCATION'S PARTNERSHIPS WITH OTHER COMMUNITY RESOURCES; E.G., THE AMERICAN LUNG ASSOCIATION, LACKAWANNA COUNTY DRUG AND ALCOHOL COMMISSION, AND ALLIED SERVICES. THE COMMUNITY HEALTH EDUCATION PROGRAM CONDUCTS A WIDE VARIETY OF HEALTH LIFESTYLE PROGRAMS, FREE OR AT MINIMAL COST, WHICH ARE DESIGNED TO 'PRACTICALLY' ASSIST AN INDIVIDUAL IN THEIR QUEST TO LEAD A HEALTHY AND PRODUCTIVE LIFE. SOME OF THE AREAS OF CONCENTRATION INCLUDE: SMOKING CESSATION, FIRST AID, CPR, AND WEIGHT WATCHERS SESSIONS THAT ARE OPEN TO THE PUBLIC AS WELL AS EMPLOYEES AND FAMILY. PUBLIC / COMMUNITY HEALTH LECTURES: LAST YEAR APPROXIMATELY 400 PEOPLE ATTENDED THESE SESSIONS WHICH ARE FREE TO THE PUBLIC. A SAMPLING OF THE TOPICS INCLUDED THE FOLLOWING: ALZHEIMER'S PROGRAM FOR CAREGIVERS, MENTAL HEALTH ISSUES, END OF LIFE ISSUES, BREAST CANCER AWARENESS, AND COLON CANCER AWARENESS. HEALTH FAIRS / SCREENING PROGRAMS: EDUCATION IN PARTNERSHIP WITH OTHER COMMUNITY RESOURCES PROVIDES HEALTH FAIRS AND SCREENINGS TO THE COMMUNITY AND LOCAL BUSINESS/INDUSTRY FREE OR AT A MINIMAL COST. PROGRAMS INCLUDED: CARBON MONOXIDE SCREENINGS, CHOLESTEROL/BLOOD PRESSURE SCREENINGS, AND DIABETIC SCREENINGS. THE UNREIMBURSED COST OF PROVIDING SUCH SCREENINGS IN FY 2012 TOTALED 24,081. THE SYSTEM PROVIDES MONTHLY MEETING PLACES FREE OF CHARGE TO MANY COMMUNITY SELF-HELP GROUPS WHICH INCLUDE: DIABETES SUPPORT GROUP, CROHNS & COLITIS SUPPORT GROUP, BETTER BREATHER'S CLUB, AND NAMI SUPPORT GROUP MEETINGS. G-CMC'S FACILITIES ARE MADE AVAILABLE TO OTHER COMMUNITY GROUPS UPON REQUEST AND AVAILABILITY; E.G., THE HILL NEIGHBORHOOD ASSOCIATION, AND THE EAST SCRANTON BUSINESS ASSOCIATION. UNCOMPENSATED CARE G-CMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. G-CMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD G-CMC PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. CHARITY CARE THE PRIMARY CONCERN OF G-CMC IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS OF NORTHEASTERN PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST G-CMC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO GMC OF PROVIDING THIS CHARITY CARE DURING THE FISCAL YEAR ENDED JUNE ADDITIONAL INFORMATION FORM 990, PART VI FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, ONE VOTING MEMBER IS NOT INDEPENDENT BECAUSE HE IS COMPENSATED AS AN EMPLOYEE OF A RELATED TAX-EXEMPT ORGANIZATION. INCLUDING THE VOTING MEMBER DESCRIBED ABOVE, A TOTAL OF SIX VOTING MEMBERS OF THE GOVERNING BODY ARE ALSO VOTING MEMBERS OF AFFILIATED TAXABLE ORGANIZATIONS FOR WHICH BUSINESS TRANSACTIONS MAY BE DISCLOSED ON SCHEDULE L, PART IV. HOWEVER, IF THE RELATED TAXABLE ORGANIZATIONS WERE REQUIRED TO FILE SCHEDULE L, THESE TRANSACTIONS WOULD NOT BE OF A TYPE THAT WOULD BE REPORTABLE ON THEIR SCHEDULE L. IN ADDITION, THESE VOTING MEMBERS ARE NOT COMPENSATED BY THE AFFILIATED TAXABLE ORGANIZATIONS FOR WHICH TRANSACTIONS ARE DISCLOSED IN SCHEDULE L, PART IV, DO NOT HAVE AN OWNERSHIP INTEREST IN OR RECEIVE ANY ECONOMIC BENEFIT FROM THE ACTIVITIES OF THESE AFFILIATED TAXABLE ORGANIZATIONS, RECEIVE NO PRIVATE INUREMENT / PRIVATE BENEFIT FROM THE TRANSACTIONS WITH THE RELATED TAXABLE ORGANIZATIONS AND THE VOTING MEMBERS OF THE GOVERNING BODY ABSTAIN FROM VOTING AND ARE ABSENT FROM BOARD DELIBERATIONS AND DECISIONS ON MATTERS IF A CONFLICT EXISTS. REFER TO THE RESPONSE FOR FORM 990, PART VI, SECTION B, QUESTION 12A, 12B, AND 12C REGARDING THE GEISINGER HEALTH SYSTEM CONFLICTS OF INTEREST POLICY, DISCLOSURE, AND ENFORCEMENT. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? GLENN D. STEELE, JR MD, PHD, ALBERT BOTHE, MD, DAVID J. FELICIO, ESQUIRE, FRANK J. TREMBULAK, EDWARD J. ZYCH, ESQUIRE, WILLIAM H. ALEXANDER, WILLIAM R. GRUVER, RICHARD GRAFMYRE, THOMAS H. LEE, JR., M.D., ROBERT E. POOLE, DON A. ROSINI ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF GEISINGER-COMMUNITY MEDICAL CENTER. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM. FORM 990, PART VI, SECTION B, LINE 13: DID THE ORGANIZATION HAVE A WRITTEN WHISTLEBLOWER POLICY? AND LINE 14: DID THE ORGANIZATION HAVE A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY? THE GEISINGER HEALTH SYSTEM WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY HAVE BEEN IN EFFECT AND ENFORCED FOR MANY YEARS. IN ADDITION TO THE POLICIES BEING A BEST PRACTICE, GEISINGER HEALTH SYSTEM RECOGNIZES THEIR VALUE AS A GUIDE TO THE GOVERNING BODY OF THE ORGANIZATION , EMPLOYEES, AND OTHERS. THE BOARD OF DIRECTORS OF GEISINGER HEALTH SYSTEM FORMALLY APPROVED THE POLICIES IN THE SPRING OF 2013. AUTHORITY DELEGATED TO COMMITTEE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 1A OTHER THAN THE COMMITTEES' LISTED IN THE IRS INSTRUCTIONS AND THE MEDICAL AFFAIRS COMMITTEE WHOSE AUTHORITY IS LIMITED IN SCOPE, THERE WAS A DELEGATION OF AUTHORITY TO THE GEISINGER HEALTH SYSTEM FOUNDATION (GHSF) EXECUTIVE COMMITTEE WHICH IS COMPRISED OF THOSE INDIVIDUALS WHO SERVE AS GHSF BOARD MEMBERS. UNDER THE NONPROFIT CORPORATION LAW AND UNDER GHSF'S CORPORATE BYLAWS, THE EXECUTIVE COMMITTEE HAS THE FULL AUTHORITY TO ACT ON BEHALF OF THE FULL BOARD OF DIRECTORS WHEN IT IS NOT IN SESSION. MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 PRIOR TO THE AFFILIATION WITH GEISINGER HEALTH SYSTEM ON FEBRUARY 1, 2012, THE ORGANIZATION DELEGATED CHIEF FINANCIAL OFFICER RESPONSIBILITIES TO AN OUTSIDE MANAGEMENT COMPANY, ECG MANAGEMENT CONSULTANTS. THE ORGANIZATION DELINEATED THE RESPONSIBILITIES IN THE MANAGEMENT AGREEMENT AND REPORTED TO THE BOARD OF DIRECTORS COMPLIANCE WITH THE DELEGATED DUTIES. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PAGE 6, PART VI, LINE 4 COMMUNITY MEDICAL CENTER REVISED ITS ARTICLES OF INCORPORATION AND CORPORATE BYLAWS TO REFLECT GEISINGER HEALTH SYSTEM FOUNDATION HAS THE AUTHORITY TO APPOINT THE CORPORATE MEMBERS AND TO REFLECT NEW GOVERNING BODY AND COMMITTEE STRUCTURE. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE DIRECTORS, ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION AND APPROVE AMENDMENTS TO THE CORPORATE BYLAWS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, PAYROLL, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR-ENDED JUNE 30, 2012. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF COMMUNITY MEDICAL CENTER ARE SUBJECT TO THE GHS CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GHS EMPLOYED BOARD DIRECTORS, OFFICERS AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE MANAGEMENT AND COMPENSATION COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE MANAGEMENT AND COMPENSATION COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE MISSION STATEMENT IS AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE AT: WWW.GEISINGER.ORG. THE ANNUAL REPORT FOR THE GEISINGER HEALTH SYSTEM, CONTAINING CONSOLIDATED FINANCIAL STATEMENT INFORMATION, COMMUNITY BENEFIT REPORT AND OTHER INFORMATION, IS AVAILABLE ON THE SYSTEM WEBSITE AT: WWW.GEISINGER.ORG/ABOUT/2011_AR_FINAL.PDF FINANCIAL STATEMENTS ALONG WITH THE COMPLETE FORM 990 AND 990-T ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GEISINGER HEALTH SYSTEM CONFLICTS OF INTEREST POLICY IS AVAILABLE ON THE SYSTEM WEBSITE AT: WWW.GEISINGER.ORG. ADDITIONAL INFORMATION FORM 990, PART VII FORM 990, PART VII, SECTION A, COLUMN B - AVERAGE HOURS PER WEEK: FOR ALL CURRENT OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES REPORTED IN FORM 990, PART VII, THE AVERAGE HOURS PER WEEK REPRESENTS THE MINIMUM HOURS DEVOTED TO THE ORGANIZATION AND RELATED ORGANIZATIONS OF THE GEISINGER HEALTH SYSTEM, AS APPLICABLE. FORMER OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES WORK A MINIMUM OF 40 HOURS PER WEEK FOR RELATED ORGANIZATIONS. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 INCREASES IN NET ASSETS: TRANSFER FROM AFFILIATE 20,000,000 DECREASES IN NET ASSETS: UNREALIZED LOSS - 2,000,245 FAIR VALUATION OF ASSETS AND LIABILITIES -41,767,122 NET DECREASE IN NET ASSETS -23,767,367 EFFECTIVE FEBRUARY 1, 2012, COMMUNITY MEDICAL CENTER (CMC) WAS ACQUIRED BY GEISINGER HEALTH SYSTEM (GHS). AS PART OF THAT ACQUISITION, CMC EVALUATED ALL ASSETS AND LIABILITIES AND ADJUSTED TO FAIR MARKET VALUES. ADDITIONAL INFORMATION FORM 990, PART XII FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM" AND "SYSTEM" OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 NA true GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GHSF true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSICIAN PA 501C3 11A GHSF true GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GHSF true MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GHSF true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS PA 501C4 GHSF true HERSHEY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232891807 HOSPITAL PA 501C3 3 GHSF true GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 11A GHSF true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 9 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 11A GHSF true GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 256220019 SELF INS PA 501C3 11A GMC true GEISINGER EXCESS COV PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236852932 SELF INS PA 501C3 11A GMC true COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232429776 PHYSICIAN PA 501C3 9 GHSF true MEDICAL DIMENSIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232369788 RE HOLDIN PA 501C2 GHSF true CMC HEALTHCARE SYS MED PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 046990600 SELF INS PA 501C3 11A GHSF true MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232568288 LONG TERM PA 501C3 9 GHSF true COMMUNITY MEDICAL CTR HEALTHCARE SY 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232279376 SUPPORT SV PA 501C3 11A GHSF true NORTHEAST CANCER CENTER INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 201687320 HEALTHCARE PA 501C3 3 NA true HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SV PA 501C3 11A NA true KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 454475297 ACO PA N/A false false LIFESOURCE GEISINGER BLOOD CTR LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 364718005 BLOOD COLL PA N/A false false MERIDIAN GEISINGER HLTH NTWRK LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ORG DL SYS NJ N/A false false HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 721398803 PHY THERAP PA N/A false false KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 454475297 ACO PA N/A false false LIFESOURCE GEISINGER BLOOD CTR LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 364718005 BLOOD COLL PA N/A false false MERIDIAN GEISINGER HLTH NTWRK LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ORG DL SYS NJ N/A false false HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 721398803 PHY THERAP PA N/A false false GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232159597 COMPUTER PA N/A GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232159597 COMPUTER PA N/A GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A true true true false false false false false false true true true false false true false false false GEISINGER HEALTH SYSTEM FOUNDATION B 23187557 GAAP GEISINGER HEALTH PLAN K 6499328 GAAP GEISINGER HEALTH PLAN L 1904169 GAAP MEDICAL DIMENSIONS INC J 392001 FMV GEISINGER CLINIC L 208509 GAAP COMMUNITY MEDICAL CARE INC A 4932 FMV GEISINGER INSURANCE CORPORATIONRRG O 189777 GAAP GEISINGER SYSTEM SERVICES L 2716901 GAAP COMMUNITY MEDICAL CENTER HLTH SYS A 80741 GAAP COMMUNITY MEDICAL CENTER HLTH SYS C 78926 GAAP INTERNATIONAL SHARED SERVICES L 484961 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR L 1247072 GAAP MOUNTAIN VIEW NURSING HOME INC K 1051658 GAAP COMMUNITY MEDICAL CARE INC K 347058 GAAP GEISINGER INDEMNITY INSURANCE CO K 248813 GAAP GEISINGER QUALITY OPTIONS INC K 1851902 GAAP GEISINGER ASSURANCE COMPANY LTD L 856013 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 23187557 GAAP GEISINGER HEALTH PLAN K 6499328 GAAP GEISINGER HEALTH PLAN L 1904169 GAAP MEDICAL DIMENSIONS INC J 392001 FMV GEISINGER CLINIC L 208509 GAAP COMMUNITY MEDICAL CARE INC A 4932 FMV GEISINGER INSURANCE CORPORATIONRRG O 189777 GAAP GEISINGER SYSTEM SERVICES L 2716901 GAAP COMMUNITY MEDICAL CENTER HLTH SYS A 80741 GAAP COMMUNITY MEDICAL CENTER HLTH SYS C 78926 GAAP INTERNATIONAL SHARED SERVICES L 484961 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR L 1247072 GAAP MOUNTAIN VIEW NURSING HOME INC K 1051658 GAAP COMMUNITY MEDICAL CARE INC K 347058 GAAP GEISINGER INDEMNITY INSURANCE CO K 248813 GAAP GEISINGER QUALITY OPTIONS INC K 1851902 GAAP GEISINGER ASSURANCE COMPANY LTD L 856013 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 23187557 GAAP GEISINGER HEALTH PLAN K 6499328 GAAP GEISINGER HEALTH PLAN L 1904169 GAAP MEDICAL DIMENSIONS INC J 392001 FMV GEISINGER CLINIC L 208509 GAAP COMMUNITY MEDICAL CARE INC A 4932 FMV GEISINGER INSURANCE CORPORATIONRRG O 189777 GAAP GEISINGER SYSTEM SERVICES L 2716901 GAAP COMMUNITY MEDICAL CENTER HLTH SYS A 80741 GAAP COMMUNITY MEDICAL CENTER HLTH SYS C 78926 GAAP INTERNATIONAL SHARED SERVICES L 484961 GAAP CMC HEALTHCARE SYS MED PROF LIAB TR L 1247072 GAAP MOUNTAIN VIEW NURSING HOME INC K 1051658 GAAP COMMUNITY MEDICAL CARE INC K 347058 GAAP GEISINGER INDEMNITY INSURANCE CO K 248813 GAAP GEISINGER QUALITY OPTIONS INC K 1851902 GAAP GEISINGER ASSURANCE COMPANY LTD L 856013 GAAP ADDITIONAL INFORMATION SCHEDULE R FORM 990 SCHEDULE R PART V TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN THE RESPONSE TO FORM 990 SCHEDULE R COMMUNITY MEDICAL CENTER IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS WHICH MAY INCLUDE SALES EXCHANGES AND LEASES OF PROPERTY EXTENSIONS OF CREDIT FURNISHING OF GOODS SERVICES AND FACILITIES AND TRANSFERS OF ASSETS THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS TAX EXEMPT STATUS