October 2, 2023


Imagination at work

DOJ sues to block Geisinger Health’s partial acquisition of Evangelical Community Hospital

Image of Geisinger Medical Center from Facebook.Graphic of Geisinger Medical Middle from Fb.

The U.S. Department of Justice has sued to block Geisinger Health’s partial acquisition of its shut rival Evangelical Local community Clinic. 

The complaint alleges that the arrangement basically alters the relationship amongst the parties, elevating the likelihood of coordination and lessening incentives to compete aggressively from just one yet another. 

As a final result, the transaction is possible to lead to greater price ranges, reduced quality and lowered access to superior-top quality inpatient medical center companies for sufferers in central Pennsylvania, the DOJ said. 

The lawsuit was filed in the U.S. District Court for the Middle District of Pennsylvania. 


In October 2018, Geisinger introduced that Evangelical Local community Clinic experienced chosen Geisinger as its strategic partner but would continue being unbiased below the phrases of the offer.

Geisinger was to make cash investments in Evangelical and Evangelical was to transition to a solitary information and facts technological innovation system and leverage Geisinger’s company and functioning systems. 

In exchange, Geisinger Well being Strategy members would have access to Evangelical at reduced out-of-pocket fees. 

Evangelical and Geisinger also prepared to build clinical packages alongside one another.

Jointly, the two corporations ended up predicted to make investments $265 million over 5 years. 

According to the complaint, Geisinger has a record of getting neighborhood hospitals in Pennsylvania and initially sought to get Evangelical in entire.  

The defendants acknowledged, even so, that this kind of an acquisition would possible violate antitrust rules, the DOJ said.  Instead, on Feb. 1, 2019, Geisinger and Evangelical entered into a partial-acquisition arrangement, in part to stay clear of antitrust scrutiny, the DOJ said.  

The arrangement gave Geisinger a thirty% possession curiosity in Evangelical and necessary it to make investments $100 million in Evangelical, substantially of which was earmarked for unique projects approved by Geisinger.  

“These phrases website link the two corporations financially and established Geisinger up as a crucial source of funding to Evangelical for the foreseeable future,” the DOJ said. 

According to Geisinger paperwork quoted in the complaint, Geisinger’s investment decision tends to make Evangelical “tied to us” so “they you should not go to a competitor.”  

The arrangement also gives Geisinger legal rights of initially offer and initially refusal for specific transactions and joint ventures, which, in conjunction with other provisions in the arrangement, make it complicated for Evangelical to associate with other health care entities, the complaint said.  

THE Bigger Pattern

The DOJ said Geisinger, a substantial medical center method in central and northeastern Pennsylvania, and Evangelical, an unbiased neighborhood medical center in Lewisburg, Pennsylvania, are shut competitors for inpatient common acute-treatment medical center companies for a lot of sufferers in a six-county region in central Pennsylvania, with the two hospitals alongside one another accounting for somewhere around 71% of the current market in this location.
Geisinger’s flagship facility is Geisinger Medical Middle, a 574-bed medical center positioned in Danville, Pennsylvania. Geisinger Health’s revenues in 2019 ended up somewhere around $7.one billion.

Evangelical Local community Clinic is a 132-bed nonprofit medical center.  It owns medical doctor methods and operates an urgent-treatment facility and various other outpatient facilities in central Pennsylvania. Its revenues in 2019 ended up somewhere around $259 million.


“Preserving level of competition in health care markets is a precedence for the Department of Justice mainly because of its important effects on the overall health and well-currently being of People,” said Assistant Legal professional Typical Makan Delrahim of the Justice Department’s Antitrust Division. “This arrangement amongst Geisinger and Evangelical threatens to harm sufferers in central Pennsylvania by lessening level of competition that has improved the rate, top quality, and availability of health care in the location.”

Twitter: @SusanJMorse
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