Liabilities / Assets
90th percentile
Higher debt load relative to assets than 90% of similar nonprofits.
EIN 23-2967235 • 501(c)3 • Danville, PA
Profile
Geisinger community health services strives to provide clinical excellence, advocacy and innovative solutions to enhance the health and independence of all its community members.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
90th percentile
Higher debt load relative to assets than 90% of similar nonprofits.
Liabilities / Revenue
68th percentile
Higher debt load relative to revenue than 68% of similar nonprofits.
Net Margin
17th percentile
Higher net margin than 17% of similar nonprofits.
Top Officer Pay
99th percentile
Higher top officer pay than 99% of similar nonprofits.
Top officer pay equals 6.6% of source-year revenue.
Asset Growth
96th percentile
Faster asset growth than 96% of similar nonprofits.
Revenue Growth
35th percentile
Faster revenue growth than 35% of similar nonprofits.
Assets
Up$25,634,390
Up $10,968,911 (+75%) from 2023
Liabilities
Up$23,193,522
Up $12,836,194 (+124%) from 2023
Net Assets
Down$2,440,868
Down $1,867,283 (-43%) from 2023
Revenue
Up$41,846,569
Up $765,506 (+1.9%) from 2023
Expenses
Down$45,837,052
Down $108,004 (-0.2%) from 2023
Net Income
Up-$3,990,483
Up $873,510 (+18%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Geisinger community health services is the premier home and community resource providing clinical excellence, advocacy, and innovative solutions to enhance the health and independence of all our community members.
Geisinger community health services strives to provide clinical excellence, advocacy and innovative solutions to enhance the health and independence of all its community members.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $8,520,233 | $7,374,960 | ▼ $1,145,273 |
| Savings and Temporary Cash Investments | $1,770,572 | $4,909,466 | ▲ $3,138,894 |
| Accounts Receivable | $4,148,578 | $1,461,788 | ▼ $2,686,790 |
| Prepaid Expenses and Deferred Charges | $226,096 | $21,161 | ▼ $204,935 |
| Cash and Non-Interest-Bearing Accounts | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Inventories for Sale or Use | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $14,665,479 | $25,634,390 | ▲ $10,968,911 |
| Other Assets Total | $0 | $11,867,015 | ▲ $11,867,015 |
| Liabilities | |||
| Other Liabilities | $114,608 | $12,124,784 | ▲ $12,010,176 |
| Mortgage Notes Payable Secured by Investment Property | $6,859,724 | $5,571,347 | ▼ $1,288,377 |
| Accounts Payable and Accrued Expenses | $3,382,996 | $5,497,391 | ▲ $2,114,395 |
| Grants Payable | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $10,357,328 | $23,193,522 | ▲ $12,836,194 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $4,308,151 | $2,440,868 | ▼ $1,867,283 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $4,308,151 | $2,440,868 | ▼ $1,867,283 |
| Total Liabilities and Net Assets / Fund Balance | $14,665,479 | $25,634,390 | ▲ $10,968,911 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $5,378,837 | $1,629,948 | $7,008,785 |
| Equipment | $858,941 | $1,710,213 | $2,569,154 |
| Leasehold Improvements | $1,137,182 | $835,530 | $1,972,712 |
| Other Assets Org | $11,867,015 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $373,673,000 | $1,177,000 | ▲ $13,235,000 | $4,642,000 | $383,443,000 |
| 2023 | $361,844,000 | $1,066,000 | ▲ $15,229,000 | $4,466,000 | $373,673,000 |
| 2022 | $385,529,000 | $1,170,000 | ▼ $20,189,000 | $4,666,000 | $361,844,000 |
| 2021 | $372,716,000 | $699,000 | ▲ $19,881,000 | $7,767,000 | $385,529,000 |
| 2020 | $369,232,000 | $1,328,000 | ▲ $20,022,000 | $17,866,000 | $372,716,000 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Charles Kelly Rn | Inpatient Rn Traveler | FT | $244,831 | $46,806 | $291,637 |
| Lawrence Nyatteng Rn | Inpatient Rn Traveler | FT | $231,621 | $59,483 | $291,104 |
| Annmarie Valentine Rn | Inpatient Rn Traveler | FT | $231,882 | $47,752 | $279,634 |
| Georgia Davis Rn | Inpatient Rn Traveler | FT | $226,678 | $43,828 | $270,506 |
| Fabrina Amicy Rn | Inpatient Rn Traveler | FT | $221,698 | $44,724 | $266,422 |
| Name | Title |
|---|---|
| Janet F Tomcavage Rn Msn | Pres, Chair, Director |
| Matthew Van Leeuwe | Director |
| Mellar Davis Md | Director |
| Ronald Beer Mha Fache | Director |
| Lori R Gramley Esquire | Aclo, Assistant Secretary |
| Steven B Bender Esquire | CLO, Secretary |
| Kevin V Roberts Mba CPA | Evp, CFO, Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Executive Management Services | Cleaning Services | PO BOX 501818, Indianapolis, IN 46250-6818 | $246,305 |
| Curatio Staffing | Temporary Services | 512 NORTHAMPTON ST, Edwardsville, PA 18704 | $229,724 |
| Enable Dental INC | Dental Services | 5555 N LAMAR BLVD STE H125, Austin, TX 78751 | $198,185 |
| Line Item | Amount |
|---|---|
| Other Expenses | $29,995,549 |
| Salaries, Compensation, and Employee Benefits | $15,841,503 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Fees for Services Other | $14,914,502 | $303 | - | $14,914,805 |
| Other Salaries and Wages | $11,504,034 | $75,621 | - | $11,579,655 |
| Other Employee Benefits | $2,824,146 | $18,566 | - | $2,842,712 |
| Occupancy | $1,638,647 | $12,850 | - | $1,651,497 |
| Office Expenses | $1,023,193 | $4,014 | - | $1,027,207 |
| Travel | $898,970 | $4,792 | - | $903,762 |
| Payroll Taxes | $837,665 | $5,507 | - | $843,172 |
| Depreciation Depletion | $828,795 | $6,499 | - | $835,294 |
| Insurance | $556,682 | $150,580 | - | $707,262 |
| Pension Plan Contributions | $572,203 | $3,761 | - | $575,964 |
| Information Technology | $267,394 | $23,375 | - | $290,769 |
| Interest | $40,260 | $316 | - | $40,576 |
| Other Expenses | $30,934 | $181 | - | $31,115 |
| Fees for Services Legal | - | $9,900 | - | $9,900 |
| Fees for Services Lobbying | - | $8,674 | - | $8,674 |
| Advertising | $1,970 | - | - | $1,970 |
| Fees for Service Investment Mgmnt Fees | - | $874 | - | $874 |
| Total Functional Expenses | $45,480,392 | $356,660 | $0 | $45,837,052 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $11,955,376 |
| Patient Credit Balance | $169,408 |
“Janet f. Tomcavage, rn, msn, kevin v. Roberts, mba, cpa, lori r. Gramley, esquire, matthew van leeuwe, ronald beer, mha, fache, and steven b. Bender, esquire all have a business relationship with one another because they serve as officers and/or directors on one or more for-profit affiliates of the entity. All of the affiliates are part of geisinger.”
“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.”
“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.”
“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 pennsylvania nonprofit corporation law. The members also have the reserve powers for certain significant transactions as set forth in the pennsylvania nonprofit corporation law.”
“The form 990 is prepared by kaiser foundation health plan, inc.'s tax preparation and oversight department with information provided from geisinger finance, human resources, legal services and other relevant departments within geisinger. Prior to finalization, the return is reviewed by pwc us tax, llp. The chief financial officer of geisinger and the individual organizations senior financial managers review their respective form 990 prior to making the final return available to the board. 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 board of director's finance committee charter, geisinger organizations' form 990 filings are reviewed annually.”
“The officers and directors of the organization are subject to the geisinger conflict of interest policy for directors, officers and senior leaders. At least once each year directors, officers, key employees, senior leaders 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 geisinger. The disclosures are reviewed by the office of the chief compliance officer and reported to the audit and compliance committee and/or board of directors. Disclosures are reviewed by the office of the chief compliance officer and reported to the audit and compliance committee and/or 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 committee/board decides if a conflict exists and takes appropriate action. The individual disclosing the financial interest is absent during the committee/board deliberations and decisions on the matter.”
“The process to review and approve the compensation of geisinger 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 geisinger. The consultant's report is presented to the geisinger family committee prior to any compensation adjustment. The report supports the rigorous review completed by the geisinger family 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 the geisinger family committee prior to the effective date of the payment. The geisinger family committee at its sole discretion may positively or negatively adjust any recommended compensation.”
“Financial statements, form 990, form 990-t, the conflicts of interest policy, and other governing documents are available to the public upon request.”
“Geisinger system services (gss), an affiliate of the organization, provides a centralized accounts payable function for all geisinger organizations. As the accounts payable processor, gss prepares and files form 1099 under its ein for reportable payments of the filing organization. The number of form 1099's filed by gss for the 2024 reporting period on behalf of itself and its affiliates was 1,166.”
“Transfer from parent, geisinger health $ 2,123,200”
“Federal awards are audited as a part of the geisinger's consolidated report on federal awards in accordance with uniform guidance, 2 c.f.r. Part 200, subpart f. Footnote: throughout this document, the terms "geisinger"geisinger health" shall refer to the entire health care system comprised of geisinger health foundation (the "foundation") as parent and all subsidiary corporate entities comprising the health care system. In addition, throughout this document, the term "system" shall refer to the entire health care system as previously defined plus its affiliates.”
“Description:outside purchased srvcs total fees:14153354”
“Description:cleaning services total fees:367131”
“Description:contracted labor-medical total fees:325629”
“Description:consulting fees total fees:34990”
“Description:equip. Maint. & repair total fees:33701”
“To support research, capital, and program expenses and patient care and patient education.”
“Effective july 1, 2007, geisinger adopted accounting standards codification 740 (fin 48), (formerly known as "statement 109: accounting for income taxes"fas 109"). Fin 48 clarifies the accounting and reporting for income taxes where interpretation of the tax law may be uncertain. Fin 48 prescribes a comprehensive model for the financial statement recognition, measurement, presentation and disclosure of income tax uncertainties with respect to positions taken or expected to be taken in income tax returns. The adoption of fin 48 had no impact on unrestricted net assets as of the end of the calendar year or any previous year since adoption. Accordingly, no fin 48 footnote disclosure was made in the geisinger consolidated financial statements.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 3382996 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5497391 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 4148578 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1461788 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | GEISINGER COMMUNITY HEALTH SERVICES STRIVES TO PROVIDE CLINICAL EXCELLENCE, ADVOCACY AND INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTH AND INDEPENDENCE OF ALL ITS COMMUNITY MEMBERS. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1970 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1970 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | ERIN FITZGERALD CPA |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5702142299 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 100 N ACADEMY AVE MC 49-70 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | DANVILLE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 178229800 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 246305 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 229724 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 198185 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 501818 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 512 NORTHAMPTON ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 5555 N LAMAR BLVD STE H125 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | INDIANAPOLIS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | EDWARDSVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | AUSTIN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | IN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 462506818 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 18704 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 78751 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | EXECUTIVE MANAGEMENT SERVICES |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | CURATIO STAFFING |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | ENABLE DENTAL INC |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CLEANING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | TEMPORARY SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | DENTAL SERVICES |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 39470 |
| IRS990/CYOtherExpensesAmt | 0 | 29995549 |
| IRS990/CYOtherRevenueAmt | 0 | 1146386 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 40660713 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -3990483 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 15841503 |
| IRS990/CYTotalExpensesAmt | 0 | 45837052 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 41846569 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 6499 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 828795 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 835294 |
| IRS990/Desc | 0 | I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER COMMUNITY HEALTH SERVICES (GCHS) WAS ESTABLISHED IN JULY 1998 AS A 501(C)(3) NOT-FOR-PROFIT CORPORATION. GCHS OPERATES GEISINGER'S LIFE PROGRAM. GCHS STRIVES TO PROVIDE CLINICAL EXCELLENCE, ADVOCACY, AND INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTH AND INDEPENDENCE OF ALL ITS COMMUNITY MEMBERS. GCHS PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR HANDICAP. LIFE GEISINGER (LIVING INDEPENDENTLY FOR ELDERS) PROVIDES ADDITIONAL INDEPENDENCE FOR OLDER INDIVIDUALS AND THEIR CAREGIVERS. LIFE GEISINGER IS A COORDINATED, COMPREHENSIVE MODEL OF CARE WHICH PROVIDES SERVICES THAT HELP OLDER ADULTS MAINTAIN THEIR QUALITY OF LIFE AND INDEPENDENCE WHILE LIVING AT HOME. THESE SERVICES INCLUDE PRIMARY CARE, TRANSPORTATION, IN-HOME CARE, THERAPY AND OTHER SERVICES. LIFE GEISINGER IS RECOGNIZED BY THE STATE OF PENNSYLVANIA AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AS A PACE PROVIDER. PACE MEANS PROGRAMS FOR ALL-INCLUSIVE CARE OF THE ELDERLY - THOSE THAT OFFER OLDER ADULTS A VARIETY OF SERVICES DESIGNED TO MAINTAIN HEALTH, PREVENT NURSING HOME PLACEMENT, AND IMPROVE THE QUALITY OF LIFE. FUNDING FOR THE LIFE PROGRAM IS RECEIVED FROM MEDICARE, MEDICAID AND/OR PRIVATE MONIES. TO QUALIFY TO BECOME A LIFE GEISINGER PARTICIPANT, INDIVIDUALS MUST: -BE 55 YEARS OF AGE OR OLDER -MEET ELIGIBILITY CRITERIA FOR NURSING FACILITY LEVEL OF CARE -LIVE IN ONE OF THE FOLLOWING COUNTIES: COLUMBIA, JUNIATA, LACKAWANNA, LUZERNE, MIFFLIN, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, OR SNYDER -BE ABLE TO LIVE SAFELY WITHIN THE COMMUNITY WITH SERVICES PROVIDED BY LIFE GEISINGER -FINANCIAL ELIGIBILITY IS BASED ON CURRENT MEDICAL ASSISTANCE CRITERIA OR THE ABILITY TO PAY PRIVATELY THE PROGRAM OPERATES FOUR FULL LIFE CENTERS LOCATED IN SCRANTON, LEWISTOWN, KULPMONT, WILKES-BARRE, AND MINERSVILLE. TOTAL PROGRAM MEMBER MONTHS FOR 2024 WERE 5,087 FOR AN AVERAGE CENSUS OF 424 PROGRAM PARTICIPANTS. II. UNCOMPENSATED CARE GCHS RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GCHS PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GCHS PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE GCHS PRACTICES. A. MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GCHS PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GCHS IS FURTHERING ITS MISSION TO THE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $4,412,454 DURING THE YEAR ENDED DECEMBER 31, 2024. V. COMMUNITY BENEFIT SUMMARY MEDICARE/MEDICAID SHORTFALL $4,412,454 |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | true |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 862 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 45480392 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 9900 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 9900 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 8674 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 8674 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 303 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 14914502 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 14914805 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 874 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 874 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 66232 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 204611 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 244367 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 116292 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 76341 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 52253 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 59676 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 46779 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 59447 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 47725 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 35065 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 29241 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KEVIN V ROBERTS MBA CPA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JANET F TOMCAVAGE RN MSN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | STEVEN B BENDER ESQUIRE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | RONALD BEER MHA FACHE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | MATTHEW VAN LEEUWE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | LORI R GRAMLEY ESQUIRE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MELLAR DAVIS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | CHARLES KELLY RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | LAWRENCE NYATTENG RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ANNMARIE VALENTINE RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | GEORGIA DAVIS RN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | FABRINA AMICY RN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 244858 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 231657 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 231909 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 235441 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 237181 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 2685093 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 1567284 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 905815 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 876035 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 492982 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 367079 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 294136 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | EVP, CFO, TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PRES, CHAIR, DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CLO, SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | ACLO, ASSISTANT SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | INPATIENT RN TRAVELER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | INPATIENT RN TRAVELER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | INPATIENT RN TRAVELER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | INPATIENT RN TRAVELER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | INPATIENT RN TRAVELER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1998 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossReceiptsAmt | 0 | 41846569 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 363 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartVInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 23375 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 267394 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 290769 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 150580 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 556682 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 707262 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 316 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 40260 |
| IRS990/InterestGrp/TotalAmt | 0 | 40576 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 39470 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 39470 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 4175691 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 8520233 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 7374960 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 11550651 |
| IRS990/LegalDomicileStateCd | 0 | PA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | true |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | GEISINGER COMMUNITY HEALTH SERVICES STRIVES TO PROVIDE CLINICAL EXCELLENCE, ADVOCACY AND INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTH AND INDEPENDENCE OF ALL ITS COMMUNITY MEMBERS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 6859724 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 5571347 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 4308151 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 2440868 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 4308151 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 2440868 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 12850 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1638647 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1651497 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 4014 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1023193 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1027207 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 11867015 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 2123200 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 18566 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2824146 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2842712 |
| IRS990/OtherExpensesGrp/Desc | 0 | INTER-ENTITY EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | BOOKS, LICENSES, FEES, DUES |
| IRS990/OtherExpensesGrp/Desc | 3 | MISCELLANEOUS |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 30361 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 486 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 181 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4887830 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 4542173 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 110994 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 30934 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4918191 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 4542659 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 110994 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 31115 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 114608 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 12124784 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 621990 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | RRHCP INCENTIVE |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | SERVICE COORDINATION |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1122986 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 23400 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 1122986 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 23400 |
| IRS990/OtherRevenueTotalAmt | 0 | 1146386 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 75621 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 11504034 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 11579655 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 5507 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 837665 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 843172 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 3761 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 572203 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 575964 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 226096 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 21161 |
| IRS990/PrincipalOfficerNm | 0 | JANET F TOMCAVAGE RN MSN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621610 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621610 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | HEALTHCARE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | INTER-ENTITY REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 40634473 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 26240 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 40634473 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 26240 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 21152 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 30874181 |
| IRS990/PYOtherRevenueAmt | 0 | 1156724 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 39903187 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -4863993 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 15070875 |
| IRS990/PYTotalExpensesAmt | 0 | 45945056 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 41081063 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -3990483 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
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