Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
EIN 23-2480603 • 501(c)3 • Danville, PA
Profile
To promote and advance charitable, health, scientific, social, and educational purposes and to enhance the quality of life and benefit the residents of jersey shore, pennsylvania, and surrounding communities in clinton and lycoming counties.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on the latest valid filing.
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.
Net Margin
46th percentile
Higher net margin than 46% of similar nonprofits.
Top Officer Pay
100th percentile
Higher top officer pay than 100% of similar nonprofits.
Top officer pay equals 49927.7% of source-year revenue.
Asset Growth
10th percentile
Faster asset growth than 10% of similar nonprofits.
Revenue Growth
5th percentile
Faster revenue growth than 5% of similar nonprofits.
Assets
Down$0
Down $4,984 (-100%) from 2019
Liabilities
-
No earlier filing loaded for comparison.
Net Assets
Up$0
Up $421,894 (+100%) from 2019
Revenue
Down$9,218
Down $280,235 (-97%) from 2019
Expenses
Down$9,218
Down $280,232 (-97%) from 2019
Net Income
Down$0
Down $3 (-100%) from 2019
Most recent year
2020 • Form 990EZDetailed filing. Detailed filing data is available for this year.
Geisinger jersey shore hospital foundation strives to be the community's foundation for innovative, patient-centered care.
| Description | Grants | Expenses |
|---|---|---|
| GEISINGER JERSEY SHORE HOSPITAL FOUNDATION (GJSHF) OPERATED AN AMBULATORY CARE PROGRAM, PHYSICIAN SERVICES, AND AN URGENT CARE CENTER. TO INCREASE OPERATIONAL EFFICIENCY, THE PATIENT CARE OPERATIONS AND A MAJORITY OF THE EMPLOYEES OF GEISINGER JERSEY SHORE HOSPITAL FOUNDATION (GJSHF) WERE TRANSFERRED TO GEISINGER CLINIC, AN AFFILIATED 501(C)(3) ORGANIZATION WITH THE SAME CHARITABLE EXEMPT PURPOSES AS GJSHF. GJSHF IS IN THE PROCESS OF WINDING DOWN AND IS NONOPERATIONAL. GJSHF MERGED INTO GEISINGER JERSEY SHORE HOSPITAL, EFFECTIVE 7/1/2020. | - | $8,819 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| JAEWON RYU MD JD | President, D | - | $3,766,472 | $835,866 | $4,602,338 |
| KEVIN V ROBERTS MBA CPA | Evp, CFO, Tr | - | $1,679,991 | $360,091 | $2,040,082 |
| EDELYN L MILLER | Director | - | $1,769,959 | $40,679 | $1,810,638 |
| DAVID J FELICIO ESQUIRE | Evp, CLO, Se | - | $1,077,100 | $208,192 | $1,285,292 |
| MATTHEW WALSH | Director | - | $892,693 | $136,870 | $1,029,563 |
| GERALD V MALONEY DO | Director | - | $569,733 | $114,718 | $684,451 |
| LORI R GRAMLEY ESQUIRE | Aclo, Asst S | - | $304,113 | $30,799 | $334,912 |
| ROBERT J DIETZ | Chair, Direc | - | $0 | - | - |
| V CHRIS HOLCOMBE PE | Vice Chair, | - | $0 | - | - |
| VIRGINIA MCGREGOR | Director | - | $0 | - | - |
| JEFFREY A JACOBSON | Director | - | $0 | - | - |
“Expenses inter-entity expense 9,218 total 9,218”
“Net deficit, merged into gjsh 421,894”
“Due from affiliate 4,984 0 total 4,984 0”
“Accounts payable and accrued expenses 423,569 0 due to affiliate 1,691 0 accounts receivable credit balances 1,618 0”
“Geisinger jersey shore hospital foundation strives to be the community's foundation for innovative, patient-centered care.”
“Geisinger jersey shore hospital foundation (gjshf) operated an ambulatory care program, physician services, and an urgent care center. To increase operational efficiency, the patient care operations and a majority of the employees of geisinger jersey shore hospital foundation (gjshf) were transferred to geisinger clinic, an affiliated 501(c)(3) organization with the same charitable exempt purposes as gjshf. Gjshf is in the process of winding down and is nonoperational. Gjshf merged into geisinger jersey shore hospital, effective 7/1/2020.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990EZ/ActivitiesNotPreviouslyRptInd | 0 | false |
| IRS990EZ/BooksInCareOfDetail/PersonNm | 0 | KEVIN LANCIOTTI VP FINANCECFO |
| IRS990EZ/BooksInCareOfDetail/PhoneNum | 0 | 5702146181 |
| IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 100 N ACADEMY AVENUE MC 01-50 |
| IRS990EZ/BooksInCareOfDetail/USAddress/CityNm | 0 | DANVILLE |
| IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 17822 |
| IRS990EZ/ChgMadeToOrgnzngDocNotRptInd | 0 | false |
| IRS990EZ/DonorAdvisedFndsInd | 0 | false |
| IRS990EZ/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990EZ/FiledScheduleAInd | 0 | true |
| IRS990EZ/FinalReturnInd | 0 | X |
| IRS990EZ/ForeignFinancialAccountInd | 0 | false |
| IRS990EZ/ForeignOfficeInd | 0 | false |
| IRS990EZ/Form1120PolFiledInd | 0 | false |
| IRS990EZ/Form990TotalAssetsGrp/BOYAmt | 0 | 4984 |
| IRS990EZ/Form990TotalAssetsGrp/EOYAmt | 0 | 0 |
| IRS990EZ/GrossReceiptsAmt | 0 | 9218 |
| IRS990EZ/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIIInd | 0 | X |
| IRS990EZ/InfoInScheduleOPartIInd | 0 | X |
| IRS990EZ/InvestmentIncomeAmt | 0 | 3 |
| IRS990EZ/LobbyingActivitiesInd | 0 | false |
| IRS990EZ/MadeLoansToFromOfficersInd | 0 | false |
| IRS990EZ/MethodOfAccountingAccrualInd | 0 | X |
| IRS990EZ/NetAssetsOrFundBalancesBOYAmt | 0 | -421894 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt | 0 | -421894 |
| IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 0 | 0.25 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 1 | 0.25 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 2 | 0.25 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 3 | 0.25 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 4 | 000.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 5 | 000.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 6 | 000.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 7 | 000.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 8 | 000.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 9 | 000.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt | 10 | 000.00 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 0 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 1 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 2 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 3 | 0 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 4 | 3766472 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 5 | 569733 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 6 | 1769959 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 7 | 892693 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 8 | 1679991 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 9 | 1077100 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt | 10 | 304113 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 0 | 807386 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 1 | 74838 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 2 | 19884 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 3 | 107442 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 4 | 329887 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 5 | 182465 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt | 6 | 19884 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 0 | 28480 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 1 | 39880 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 2 | 20795 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 3 | 29428 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 4 | 30204 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 5 | 25727 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt | 6 | 10915 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 0 | ROBERT J DIETZ |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 1 | V CHRIS HOLCOMBE PE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 2 | VIRGINIA MCGREGOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 3 | JEFFREY A JACOBSON |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 4 | JAEWON RYU MD JD |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 5 | GERALD V MALONEY DO |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 6 | EDELYN L MILLER |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 7 | MATTHEW WALSH |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 8 | KEVIN V ROBERTS MBA CPA |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 9 | DAVID J FELICIO ESQUIRE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 10 | LORI R GRAMLEY ESQUIRE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 0 | CHAIR, DIREC |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 1 | VICE CHAIR, |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 2 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 3 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | PRESIDENT, D |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 6 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 7 | DIRECTOR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 8 | EVP, CFO, TR |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 9 | EVP, CLO, SE |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 10 | ACLO, ASST S |
| IRS990EZ/OperateHospitalInd | 0 | false |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | true |
| IRS990EZ/OrganizationHadUBIInd | 0 | false |
| IRS990EZ/OtherAssetsTotalDetail/BOYAmt | 0 | 4984 |
| IRS990EZ/OtherChangesInNetAssetsAmt | 0 | 421894 |
| IRS990EZ/OtherExpensesTotalAmt | 0 | 9218 |
| IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt | 0 | NONE |
| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | false |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | GEISINGER JERSEY SHORE HOSPITAL FOUNDATION STRIVES TO BE THE COMMUNITY'S FOUNDATION FOR INNOVATIVE, PATIENT-CENTERED CARE. |
| IRS990EZ/ProgramServiceRevenueAmt | 0 | 9215 |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | GEISINGER JERSEY SHORE HOSPITAL FOUNDATION (GJSHF) OPERATED AN AMBULATORY CARE PROGRAM, PHYSICIAN SERVICES, AND AN URGENT CARE CENTER. TO INCREASE OPERATIONAL EFFICIENCY, THE PATIENT CARE OPERATIONS AND A MAJORITY OF THE EMPLOYEES OF GEISINGER JERSEY SHORE HOSPITAL FOUNDATION (GJSHF) WERE TRANSFERRED TO GEISINGER CLINIC, AN AFFILIATED 501(C)(3) ORGANIZATION WITH THE SAME CHARITABLE EXEMPT PURPOSES AS GJSHF. GJSHF IS IN THE PROCESS OF WINDING DOWN AND IS NONOPERATIONAL. GJSHF MERGED INTO GEISINGER JERSEY SHORE HOSPITAL, EFFECTIVE 7/1/2020. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt | 0 | 8819 |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990EZ/ScheduleBNotRequiredInd | 0 | X |
| IRS990EZ/SchoolOperatingInd | 0 | false |
| IRS990EZ/SubjectToProxyTaxInd | 0 | false |
| IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt | 0 | 426878 |
| IRS990EZ/TanningServicesProvidedInd | 0 | false |
| IRS990EZ/TotalExpensesAmt | 0 | 9218 |
| IRS990EZ/TotalProgramServiceExpensesAmt | 0 | 8819 |
| IRS990EZ/TotalRevenueAmt | 0 | 9218 |
| IRS990EZ/TransactionWithControlEntInd | 0 | false |
| IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd | 0 | false |
| IRS990EZ/TypeOfOrganizationCorpInd | 0 | X |
| IRS990EZ/WebsiteAddressTxt | 0 | WWW.GEISINGER.ORG |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990ScheduleN/AssetsDistributedInd | 0 | true |
| IRS990ScheduleN/BondsOutstandingInd | 0 | false |
| IRS990ScheduleN/DirectorOfSuccessorInd | 0 | true |
| IRS990ScheduleN/EmployeeOfSuccessorInd | 0 | false |
| IRS990ScheduleN/LiabilitiesPaidInd | 0 | true |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc | 0 | CASH |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt | 0 | 2020-06-30 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN | 0 | 240792115 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt | 0 | 7292 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt | 0 | 3 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt | 0 | CASH |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm | 0 | GEISINGER JERSEY SHORE HOSPITAL |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt | 0 | 100 N ACADEMY AVE MC 49-70 |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm | 0 | DANVILLE |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd | 0 | 17822 |
| IRS990ScheduleN/OwnerOfSuccessorInd | 0 | false |
| IRS990ScheduleN/ReceiveCompensationInd | 0 | false |
| IRS990ScheduleN/RequiredToNotifyAGInd | 0 | false |
| IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt | 0 | THE OFFICERS AND DIRECTORS OF GEISINGER JERSEY SHORE HOSPITAL FOUNDATION ("GJSHF") IN PART IV OF THIS FORM 990-EZ ARE ALSO OFFICERS AND DIRECTORS OF GEISINGER JERSEY SHORE HOSPITAL THE RELATED ORGANIZATION INTO WHICH GJSHF MERGED ON 07/01/2020. |
| IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | SCHEDULE N, PAGE 1, PART I, LINE 2E |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | EXPENSES INTER-ENTITY EXPENSE 9,218 TOTAL 9,218 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | NET DEFICIT, MERGED INTO GJSH 421,894 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | DUE FROM AFFILIATE 4,984 0 TOTAL 4,984 0 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 423,569 0 DUE TO AFFILIATE 1,691 0 ACCOUNTS RECEIVABLE CREDIT BALANCES 1,618 0 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | GEISINGER JERSEY SHORE HOSPITAL FOUNDATION STRIVES TO BE THE COMMUNITY'S FOUNDATION FOR INNOVATIVE, PATIENT-CENTERED CARE. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | GEISINGER JERSEY SHORE HOSPITAL FOUNDATION (GJSHF) OPERATED AN AMBULATORY CARE PROGRAM, PHYSICIAN SERVICES, AND AN URGENT CARE CENTER. TO INCREASE OPERATIONAL EFFICIENCY, THE PATIENT CARE OPERATIONS AND A MAJORITY OF THE EMPLOYEES OF GEISINGER JERSEY SHORE HOSPITAL FOUNDATION (GJSHF) WERE TRANSFERRED TO GEISINGER CLINIC, AN AFFILIATED 501(C)(3) ORGANIZATION WITH THE SAME CHARITABLE EXEMPT PURPOSES AS GJSHF. GJSHF IS IN THE PROCESS OF WINDING DOWN AND IS NONOPERATIONAL. GJSHF MERGED INTO GEISINGER JERSEY SHORE HOSPITAL, EFFECTIVE 7/1/2020. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990-EZ, PART I, LINE 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990-EZ, PART I, LINE 20 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990-EZ, PART II, LINE 24 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990-EZ, PART II, LINE 26 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990-EZ, PART III |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990-EZ, PART III, LINE 28 |
| ReturnHeader/BuildTS | 0 | 2022-09-23 18:48:47Z |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | KEVIN V ROBERTS MBA CPA |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | EVP, CFO, TREASURER |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 5702716624 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2021-05-12 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | GEISINGER JERSEY SHORE HOSPITAL |
| ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt | 0 | FOUNDATION |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | GEIS |
| ReturnHeader/Filer/EIN | 0 | 232480603 |
| ReturnHeader/Filer/PhoneNum | 0 | 5702716624 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 100 N ACADEMY AVE MC 49-70 |
| ReturnHeader/Filer/USAddress/CityNm | 0 | DANVILLE |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | PA |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 178229800 |
| ReturnHeader/ReturnTs | 0 | 2021-05-16T19:58:29-05:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2019-07-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2020-06-30 |
| ReturnHeader/TaxYr | 0 | 2019 |
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