Form 990 for tax year 2022

Totals

Total revenue

$12,276,405

Total expenses

$13,807,792

Contributions and grants received

$0

Grants paid

$0

Program service revenue

$12,158,684

Investment income

$44,260

Other revenue

$73,461

Total assets, end of year

$5,536,521

Total liabilities, end of year

$1,768,691

Net assets or fund balances, end of year

$3,767,830

Program services expenses (Part IX)

$12,650,184

Management and general expenses

$1,157,608

Fundraising expenses

$0

Program service expenses (Part III)

$12,650,184

Program services were 91.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2022

• I. GENERAL PROGRAM SERVICE INFORMATION MARWORTH, DBA GEISINGER MARWORTH, A 501(C)(3) NOT FOR PROFIT CORPORATION, OWNS AND OPERATES A FACILITY FOR ALCOHOL AND CHEMICAL DETOXIFICATION AND REHABILITATION. MARWORTH PROVIDES SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. MARWORTH IS CELEBRATING ITS 41ST YEAR OF CARING FOR PATIENTS FROM PENNSYLVANIA, NEW JERSEY, NEW YORK AND NEW ENGLAND. MORE THAN 40,000 PEOPLE HAVE CHOSEN MARWORTH FOR TREATMENT SINCE 1982. MARWORTH PROVIDES BOTH INPATIENT AND OUTPATIENT CARE AT ITS 101-BED FACILITY NEAR SCRANTON, IN WAVERLY, PENNSYLVANIA. THE BED CAPACITY INCREASED FROM 77 TO 91 IN JANUARY 2006. AN ADDITIONAL INCREASE FROM 91 TO 101 WAS APPROVED IN JANUARY 2021 TO SUPPORT SOCIAL DISTANCING REQUIREMENTS IN RESPONSE TO COVID19. MARWORTH IS REQUESTING FROM ITS STATE LICENSING AGENCY TO REDUCE BED CAPACITY TO 91 TO REFLECT BED CAPACITY NEEDS PRIOR TO THE PANDEMIC. (1) AN ADDICTION TREATMENT PROGRAM, WHICH PROVIDES EVIDENCE- BASED SERVICES TO INITIATE AND SUSTAIN RECOVERY FROM SUBSTANCE USE DISORDERS. THE PROGRAM CONSISTS OF THREE PHASES: (A) ASAM LEVEL 3.7 INPATIENT DETOX (B) ASAM LEVEL 3.5 HIGH INTENSITY INPATIENT REHABILITATION (C) ASAM LEVEL 1 AND 2 OUTPATIENT SERVICES (2) FAMILY TREATMENT. A VITAL PROGRAM COMPONENT OF MARWORTH IS FAMILY TREATMENT THAT PROVIDES EDUCATION AND COUNSELING TO FAMILY MEMBERS, ASSURING THE RECOVERY AND THE WELL-BEING OF THE ENTIRE FAMILY UNIT. THIS PROGRAM IS PROVIDED AT NO CHARGE TO THE FAMILY WHILE THE PATIENT IS RECEIVING TREATMENT. SINCE COVID19, THESE SERVICES ARE PROVIDED VIRTUALLY. (3) NON-RESIDENTIAL SERVICES. MARWORTH ALSO PROVIDES OUTPATIENT TREATMENT SERVICES. MARWORTH IS OPERATED IN CLOSE COOPERATION WITH EDUCATIONAL ACTIVITIES OF GEISINGER CLINIC AND HOSPITAL FACILITIES OF GEISINGER COMMUNITY MEDICAL CENTER AND GEISINGER WYOMING VALLEY MEDICAL CENTER. (4) SPECIALIZED THERAPIES AND PROGRAMS. A. RECREATIONAL THERAPY MARWORTH'S RECREATIONAL THERAPY PROGRAM FEATURES A HIGH ROPES COURSE, A LOW ELEMENTS ROPES COURSE, FITNESS CENTER AND OTHER EXPERIENTIAL LEARNING MEDIUMS. MORE THAN JUST EXERCISE, REC THERAPY ACTIVITIES SIMULATE A WIDE ARRAY OF ADDICTION RECOVERY THEMES, SUCH AS GROUP PROBLEM SOLVING, LEARNING TO TRUST OTHERS, ASKING FOR HELP AND CONFRONTING COMPULSIVE/ IMPULSIVE BEHAVIOR. B. EXPRESSIVE THERAPY EXPRESSIVE THERAPIES, SUCH AS MUSIC THERAPY AND SAND TRAY THERAPY, ALLOW INDIVIDUALS IN RECOVERY TO EXPRESS THEMSELVES WITH WORDS. THE PROCESS IS POWERFUL IN STRENGTHENING PHYSICAL, EMOTIONAL, COGNITIVE AND SOCIAL NEEDS. C. DIALECTICAL BEHAVIORAL THERAPY DIALECTICAL BEHAVIORAL THERAPY (DBT) SKILLS TRAINING TEACHES INDIVIDUALS IN ADDICTION TREATMENT THE CRITICAL COPING SKILLS OF MINDFULNESS, DISTRESS TOLERANCE, INTERPERSONAL EFFECTIVENESS AND EMOTION REGULATION. D. TRAUMA THE CONNECTION BETWEEN ADDICTION AND TRAUMA IS STRONG. MARWORTH'S SEEKING SAFETY: TRAUMA & PTSD SUPPORT GROUPS FOR TRAUMA SURVIVORS STRUGGLING WITH ADDICTION FOCUS ON COPING SKILLS, ASKING FOR HELP AND BOUNDARIES. PICC LINE PATIENTS PATIENTS WITH PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC LINES) WHO ARE BEING TREATED FOR VARIOUS INFECTIOUS COMPLICATIONS ARISING FROM THEIR SUBSTANCE USE CAN BE ADMITTED TO THE RESIDENTIAL PROGRAM. THESE PATIENTS ARE TREATED ON AN INDIVIDUAL BASIS. LENGTH OF STAY MAY DEPEND ON THE NUMBER OF DAYS REQUIRED FOR APPROPRIATE ANTIBIOTIC THERAPY. IF THE PATIENT HAS BEEN STABILIZED ON A MAINTENANCE DOSE OF BUPRENORPHINE, HE OR SHE WILL BE GIVEN THE OPTION TO CONTINUE THIS THERAPY OR BE TAPERED OFF AND TRANSITIONED TO AN OPIOID BLOCKER. THESE PATIENTS WILL UNDERGO DETOXIFICATION FROM ALL OTHER POTENTIALLY ABUSABLE SUBSTANCES. BUPRENORPHINE STABILIZATION AND MAINTENANCE PATIENTS WITH AN OPIOID USE DISORDER MAY BE STARTED AND MAINTAINED ON BUPRENORPHINE, THE GOLD STANDARD IN EVIDENCE-BASED TREATMENT FOR THIS DISEASE. THESE PATIENTS WILL BE MAINTAINED ON THE ESTABLISHED MAINTENANCE DOSE OF BUPRENORPHINE AND WILL UNDERGO DETOXIFICATION FROM ALL OTHER POTENTIALLY ABUSABLE SUBSTANCES. ACADEMICS A. ADDICTION MEDICINE FELLOWSHIP THE MARWORTH ADDICTION MEDICINE FELLOWSHIP IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) TO TRAIN PHYSICIANS IN ADDICTION MEDICINE. THE FELLOWSHIP ALSO BENEFITS FROM A HRSA GRANT TO SUPPORT THE TRAINING PROGRAM. PHYSICIANS WHO HAVE COMPLETED RESIDENCIES IN ANY MEDICAL SPECIALTY AND ARE ABLE TO OBTAIN A PENNSYLVANIA MEDICAL LICENSE, REGISTRATION WITH THE DRUG ENFORCEMENT AGENCY (DEA) AND A BUPRENORPHINE WAIVER ARE ELIGIBLE TO APPLY. ADDICTION MEDICINE FELLOWS RECEIVE ADVANCED TRAINING IN MEDICAL MANAGEMENT OF PATIENTS WITH SUBSTANCE USE DISORDERS, IN ADDITION TO EXPOSURE TO THE VARIOUS NON-MEDICAL ASPECTS OF CARE FOR THIS PATIENT POPULATION. IN ADDITION TO SPENDING TIME AT MARWORTH, FELLOWS ROTATE THROUGH SEVERAL OTHER FACILITIES, WHERE THEY WORK WITH ADDICTION MEDICINE SPECIALISTS IN THE HOSPITAL SETTING, PAIN MANAGEMENT SPECIALISTS AND MENTAL HEALTH PROFESSIONALS. THEY ALSO SPEND A SIGNIFICANT AMOUNT OF TIME AT THE GEISINGER MEDICATION-ASSISTED TREATMENT CLINICS WHERE THEY PROVIDE CARE FOR PATIENTS WITH SUBSTANCE USE DISORDERS IN THE OUTPATIENT SETTING. B. TRAINING OPPORTUNITIES FOR OTHER MEDICAL TRAINEES THERE ARE 105 RESIDENTS AND MEDICAL STUDENTS SCHEDULED TO ROTATE THROUGH ADDICTION MEDICINE PROGRAM IN THE 2023/2024 ACADEMIC YEAR. LEARNERS ARE FROM THE FOLLOWING RESIDENCY PROGRAMS AND GEISINGER COMMONWEALTH SCHOOL OF MEDICINE (GCSOM): FAMILY MEDICINE NORTHEAST INTERNAL MEDICINE NORTHEAST FAMILY MEDICINE LEWISTOWN INTERNAL MEDICINE DANVILLE/CENTRAL REGION MEDICINE/PEDIATRICS DANVILLE GEISINGER COMMONWEALTH SCHOOL OF MESICINE II. UNCOMPENSATED CARE MARWORTH RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. MARWORTH PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, MARWORTH 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 MARWORTH PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF MARWORTH IS THE DELIVERY OF CARE TO ALL, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST THAT MARWORTH INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY FOR SERVICES. THE COST TO MARWORTH OF PROVIDING THIS CHARITY CARE AND POLICY DEDUCTIONS DURING YEAR ENDED DECEMBER 31, 2022 WAS 100,981. B. OTHER GOVERNMENTAL IN RECOGNIZING ITS MISSION TO THE COMMUNITY, MARWORTH PROVIDES SERVICES TO MEDICAID PATIENTS THROUGH ACT 152 AND COUNTY PROGRAMS. MARWORTH PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE, MARWORTH IS FURTHERING ITS CHARITABLE MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO ACT 152/COUNTY PATIENTS DURING THE YEAR ENDED DECEMBER 31, 2022 WAS 1,674,267 MILLION. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION TO THE ABOVE, MARWORTH PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE YEAR ENDED DECEMBER 31, 2022 WAS 61,482. III. COMMUNITY BENEFIT SUMMARY CHARITY CARE 100,981 OTHER GOVERNMENTAL 1,674,267 UNCOMPENSATED CARE 61,482 TOTAL COMMUNITY BENEFIT 1,836,730 IV. STATISTICS ADMISSIONS 1,156 DISCHARGES 1,150 PATIENT SERVICE DAYS 22,676 OUTPATIENT VISITS 946 BEDS 101

  Expenses $12,650,184 · Revenue $12,170,323

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

• GEISINGER HEALTH

  501C3 · PHILANTHRO · PA

• GEISINGER MEDICAL CENTER

  501C3 · HOSPITAL · PA · controlled entity

  Directly controlled by GH

• GEISINGER CLINIC

  501C3 · PHYSN SVCS · PA · controlled entity

  Directly controlled by GH

• GEISINGER WYOMING VALLEY MED CTR

  501C3 · HOSPITAL · PA · controlled entity

  Directly controlled by GH

• GEISINGER HEALTH PLAN

  501C4 · HMO · PA

  Directly controlled by GH

• GEISINGER SYSTEM SERVICES

  501C3 · SUPPORT SV · PA · controlled entity

  Directly controlled by GH

• GEISINGER COMMUNITY HEALTH SERVICES

  501C3 · HEALTHCARE · PA · controlled entity

  Directly controlled by GSS

• GEISINGER INSURANCE CORPORATIONRRG

  501C3 · SELF INS · VT

  Directly controlled by GH

• COMMUNITY MEDICAL CENTER

  501C3 · HOSPITAL · PA · controlled entity

  Directly controlled by GH

• GEISINGER-BLOOMSBURG HOSPITAL

  501C3 · HOSPITAL · PA · controlled entity

  Directly controlled by GH

• GEISINGER-LEWISTOWN HOSPITAL

  501C3 · HOSPITAL · PA · controlled entity

  Directly controlled by GH

• LEWISTOWN AMBULATORY CARE CORP

  501C3 · HOLDING CO · PA · controlled entity

  Directly controlled by GH

• FAMILY HEALTH ASSOCIATES OF GLH

  501C3 · PHYSN SVCS · PA · controlled entity

  Directly controlled by GH

• KEYSTONE HEALTH INFORMATION EXCH

  501C3 · RHIO · PA

  Directly controlled by GH

• WEST SHORE ADVANCED LIFE SUPP SVCS

  501C3 · HEALTHCARE · PA · controlled entity

  Directly controlled by GC

• GEISINGER COMMONWEALTH SCH OF MED

  501C3 · EDUCATION · PA

  Directly controlled by GH

• GEISINGER JERSEY SHORE HOSPITAL

  501C3 · HOSPITAL · PA · controlled entity

  Directly controlled by GH

• GEISINGER MEDICAL CENTER MUNCY

  501C3 · HOSPITAL · PA

  Directly controlled by GHM

• GNJ PHYSICIANS GROUP PC

  501C3 · PHYSN SVCS · NJ

  Directly controlled by GH

• GSL HOSPITAL

  501C3 · HOSPITAL · PA

• GSLPG INC

  501C3 · HEALTHCARE · PA

  Directly controlled by GSL HOSP

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Provenance

Return type

form_990

Tax year

2022

Filed

7 November 2023

IRS schema version

2022v5.0

Source object

202333189349305463

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