2014-05-13T10:59:06-05:00 2013-06-30 990 2012-07-01 231996150 GEISINGER WYOMING VALLEY MEDICAL CENTER GEIS 5702716624 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID J FELICIO ESQUIRE 5702716624 2014-05-02 false 2014-05-13 2012 2015-11-30 17:44:51Z GLENN D STEELE JR MD PHD 100 NORTH ACADEMY AVENUE MC 22-01 DANVILLE PA 17822 452260835 false X WWW.GEISINGER.ORG X 1976 PA 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. I.GENERAL INFORMATION GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 274 BED, ACUTE CARE, HOSPITAL WITH ADVANCED TERTIARY SERVICES IN WILKES-BARRE, PA. GWV'S CONVENIENT LOCATION NEAR SEVERAL MAJOR HIGHWAYS MAKES IT ACCESSIBLE FROM ALL AREAS OF NORTHEASTERN PENNSYLVANIA. GEISINGER WYOMING VALLEY IS FULLY ACCREDITED BY THE JOINT COMMISSION, AND IS A DESIGNATED LEVEL 2 TRAUMA CENTER, ACCREDITED CHEST PAIN CENTER, AND CERTIFIED PRIMARY STROKE CENTER OFFERING EMERGENCY AND TRAUMA CARE 24 HOURS A DAY. THE FACILITY OPENED IN 1981 AS THE NPW MEDICAL CENTER OF N.E. PENNSYLVANIA, INC., AND THE NAME CHANGED TO GEISINGER WYOMI 10 9 2154 355 592478 108316 58350 36150 417221052 440913483 2115484 3767416 5510128 2968425 424905014 447685474 0 0 112528351 122558568 0 0 277399605 290983662 389927956 413542230 34977058 34143244 317321136 354764616 294486278 289068290 22834858 65696326 X 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. I.GENERAL INFORMATION GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 274 BED, ACUTE CARE, HOSPITAL WITH ADVANCED TERTIARY SERVICES IN WILKES-BARRE, PA. GWV'S CONVENIENT LOCATION NEAR SEVERAL MAJOR HIGHWAYS MAKES IT ACCESSIBLE FROM ALL AREAS OF NORTHEASTERN PENNSYLVANIA. GEISINGER WYOMING VALLEY IS FULLY ACCREDITED BY THE JOINT COMMISSION, AND IS A DESIGNATED LEVEL 2 TRAUMA CENTER, ACCREDITED CHEST PAIN CENTER, AND CERTIFIED PRIMARY STROKE CENTER OFFERING EMERGENCY AND TRAUMA CARE 24 HOURS A DAY. THE FACILITY OPENED IN 1981 AS THE NPW MEDICAL CENTER OF N.E. PENNSYLVANIA, INC., AND THE NAME CHANGED TO GEISINGER WYOMI false false 370101547 443307804 PATIENT SERVICES SEE SCHEDULE O 370101547 true false false true false false false false false true true true false false true false false true false false true false false false false false true true false false true false false false false false true false true false false false false false true true true true false true X 8 0 true 2154 true true true false false false false false false false false false X 10 9 true false false false true true false true true false false true true true true true true true true false PA X THOMAS BIELECKI VP FINANCE 5708087397 1000 EAST MOUNTAIN DRIVE WILKES BARRE PA 18711 WILLIAM H ALEXANDER 0.25 5.25 X 0 0 0 E ALLEN DEAVER 0.25 4.25 X 0 0 0 DORRANCE R BELIN ESQUIRE 0.25 4.25 X 0 0 0 RICHARD A GRAFMYRE 0.25 5.25 X 0 0 0 WILLIAM R GRUVER 0.25 4.50 X 0 0 0 FRANK M HENRY 0.25 4.25 X 0 0 0 THOMAS H LEEJR MD 0.25 5.00 X 0 0 0 GLENN D STEELE JR MD PHD 0.00 40.00 X X 0 2062556 418454 ROBERT E POOLE 0.25 4.50 X 0 0 0 DON A ROSINI 0.25 5.25 X 0 0 0 DAVID J FELICIO ESQUIRE 0.00 40.00 X 0 512681 140659 EDWARD J ZYCH ESQUIRE 0.00 40.00 X 0 344575 65798 KEVIN F BRENNAN CPA FHFMA 0.00 40.00 X 0 1079326 202187 STEVEN B PIERDON MD 0.00 40.00 X 0 898249 156652 FRANK J TREMBULAK 0.00 40.00 X 0 1245352 216867 JOHN J BUCKLEY 40.00 0.00 X 444511 0 73069 MARGARET HENNELLY BERGIN MBAMSNRN 40.00 0.00 X 245100 0 36954 MARY P GILDEA BSN RN 40.00 0.00 X 208553 0 27954 CARLA J SCOFIELD MS 40.00 0.00 X 181024 0 24460 ERIN A PICA 40.00 0.00 X 193806 0 30215 CONRAD W SCHINTZ 40.00 0.00 X 266447 0 32606 JOHN P WIERCINSKI 40.00 0.00 X 397721 0 36471 KEVIN J KERESTUS CIA 0.00 40.00 X 0 232997 36505 BRUCE H HAMORY MD 0.00 40.00 X 0 1138449 162246 JOANNE E WADE 0.00 40.00 X 0 1170997 201114 LISSA L BRYAN SMITH 40.00 0.00 X 414636 0 30767 2351798 8685182 1892978 54 true true false QUEST DIAGNOSTICS 12436 COLLECTION CENTER DRIVE CHICAGO IL 606930124 LAB TESTING 936401 CROSS COUNTRY STAFFING 40 EASTERN AVENUE MALDEN MA 02148 NURSING AGENCY 691875 FRESENIUS MANAGEMENT SERVICES 16343 COLLECTION CENTER DRIVE CHICAGO IL 60693 HEMODIALYSIS TE 663642 INSIGHT HEALTH SERVICES CORP PO BOX 847689 DALLAS TX 752847689 MOBILE PET SCAN 615591 ALLIANCE HEALTHCARE SERVICES PO BOX 6600 NEWPORT BEACH CA 926586600 MRI SERVICES 615413 10 36150 36150 HEALTHCARE 622110 439002746 439002746 OTHER PROFESSIONAL SERVICES 621990 853150 853150 LABORATORY SERVICES 621500 560363 560363 RENTAL INCOME 531120 457184 457184 RENTAL INCOME 621990 32115 32115 7925 7925 440913483 1405271 1405271 419 419 24451 31533 -7082 -7082 -7082 6845814 59740 4330952 212876 2514862 -153136 2361726 2361726 EHR - MEDICARE & MA 900099 1606556 1606556 VENDOR REFUND 900099 407660 407660 VENDOR REBATES 900099 380105 380105 581186 581186 2975507 447685474 442250217 592478 4806629 1004963 227506 777457 846970 45808 801162 92840061 90938530 1901531 4399408 4237720 161688 16430196 15826348 603848 7036970 6882195 154775 7819 7819 45596 45596 7636 7636 341057 194714 146343 11601989 8737409 2864580 15614 2968 12646 7926587 7136496 790091 77705 76942 763 9040554 8091501 949053 605889 442997 162892 820377 639899 180478 6609399 5915562 693837 21079652 18866766 2212886 4368911 4292464 76447 INTER-ENTITY SERVICES 114267991 85883415 28384576 MEDICAL SUPPLIES 96928724 96780862 147862 UNCOLLECTIBLE EXPENSE 12729654 12729654 INTERCO. TEACHING & ADMIN 3848861 1868675 1980186 659647 283116 376531 413542230 370101547 43440683 0 8138265 33798563 42394770 26205163 29368506 30859522 3481 85679 178430 8560028 8932725 5786610 5634292 347531757 172640582 172325713 174891175 7957936 12084730 39254871 58887132 3392008 3245393 53269 47491 317321136 354764616 4861118 7159103 228662029 227656598 60963131 54252589 294486278 289068290 X 22834858 65696326 22834858 65696326 317321136 354764616 X 34143244 7361816 1356408 X X false true X true true true X X 1437 7636 648738 7636 650175 413534594 2932675696 413542230 2933325871 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 574174 611545 640652 650175 2476546 250000 250000 250000 250000 1000000 1500000 1437 1437 80086000 8933000 9257000 -3614000 94662000 77598000 5172000 -9000 -2675000 80086000 75302000 627000 13943000 -12274000 77598000 71078000 1148000 8379000 -5303000 75302000 88270000 1005000 -13762000 -4435000 71078000 0.25000 0.65000 0.10000 false true true 3660793 3660793 126680060 65852315 60827745 2895982 670838 2225144 197201221 99249138 97952083 17093701 6868291 10225410 174891175 58887132 F 58887132 ESTIMATED 3RD PARTY PAYOR SETTLEMENT 20842026 DUE TO AFFILIATES 16641923 FINANCIAL CONTRACT 11286742 MEDICAL LEGAL CLAIMS ALLOWANCE 3877894 ACCOUNTS RECEIVABLE CREDIT BALANCES 1604004 54252589 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 TO SUPPORT RESEARCH, CAPITAL AND PROGRAM EXPENSES AND PATIENT CARE AND PATIENT EDUCATION. SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIII 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 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 JUNE 30, 2013 OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2013 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. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 6168616 6168616 false false false false false false ACTIVITIES PER REGION SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 6,168,616 true true X true X true X 3.80000 true true true false true true 6407228 6407228 0.01550 57736906 31924161 25812745 0.06240 64144134 31924161 32219973 0.07790 792217 792217 0.00190 4549351 2075536 2473815 0.00600 3645250 3645250 0.00880 8986818 2075536 6911282 0.01670 73130952 33999697 39131255 0.09460 true 12729654 81804223 99515158 -17710935 X true true 1 1 GEISINGER WYOMING VALLEY MEDICAL CENTER

1000 EAST MOUNTAIN DRIVE WILKESBARRE PA 18711

X X X X X X GEISINGER WYOMING VALLEY MEDICAL 1 true X X X X X X X X X X 11 true true true X X X X X X X X X X X true false true true 200.0 true 380.0 true X X X X X X true true X X X X X X X true false true X false false RELATED ORGANIZATION INFORMATION PART I LINE 6A A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GEISINGER WYOMING VALLEY MEDICAL CENTER GWV AND ITS RELATED CHARITABLE ORGANIZATIONS IS AVAILABLE AT GEISINGERORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST GO TO HTTPWWWGEISINGERORGABOUTMISSIONHTML AND CLICK ON 2013 ANNUAL REPORT 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 PAYOR EG MEDICARE MEDICAID COMMERCIAL PAYERS SELFPAY ETC BAD DEBT EXPENSE EXPLANATION PART III LINE 4 GEISINGER WYOMING VALLEY MEDICAL CENTER 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 SEE PAGE 13 OF THE ATTACHED GEISINGER HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS JUNE 30 2013 AND JUNE 30 2012 PATIENTS ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND RECLASSIFIED TO FREE OR DISCOUNTED CARE WHENEVER THE PATIENT BECOMES ELIGIBLE UNDER GWVS 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 GWVS UNCOMPENSATED CARE POLICIES MEDICARE EXPLANATION PART III LINE 8 LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE REPORTED ON GWVS MEDICARE COST REPORT THAT IS FILED WITH THE FEDERAL GOVERNMENT THESE COSTS DO NOT INCLUDE ALL OF THE COSTS THAT ARE REQUIRED TO TREAT MEDICARE PATIENTS WHEN ALL OR GWVS COSTS ARE INCLUDED THE TOTAL COST OF PROVIDING CARE EXCEEDS REVENUE BY 19456656 THIS SHORTFALL IS THE TOTAL COMMUNITY BENEFIT PROVIDED THROUGH THE MEDICARE PROGRAM 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 GWV TO USE OTHER FUNDS TO COVER THE SHORTFALL MEDICARE SHORTFALLS ARE ABSORBED BY GWV IN ORDER TO CONTINUE PROVIDING ACCESS TO CARE FOR THE ELDERLY POPULATION IN ITS COMMUNITY GWV PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS ABSENT THE MEDICARE PROGRAM IT IS LIKELY THAT MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEEDS BASED GOVERNMENT PROGRAMS THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS PENNSYLVANIA REQUIRES NONPROFIT HOSPITALS LIKE GWV TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES ACCORDING TO STATE STATUTE AND CASE LAW THE TOTAL UNREIMBURSED COST OF MEDICARE IS DEFINED AS COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES COLLECTION PRACTICES EXPLANATION PART III LINE 9B GWV IS COMMITTED TO PROVIDING MEDICAL NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND GWVS COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS IT IS GWV 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 UNDER NO CIRCUMSTANCE WILL GWV FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT ENFORCE LIENS ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT ANDOR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER GWVS FINANCIAL ASSISTANCE PROGRAM NEEDS ASSESSMENT PART VI PART VI LINE 2 DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES GWV REGULARLY PARTICIPATES IN COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS TO IDENTIFY FARREACHING HEALTH NEEDS FACED BY THE POPULATION SERVED BY THE HOSPITAL ASSESSMENT RESULTS ARE EVALUATED OVER TIME AND SERVE AS THE BASIS TO INVEST IN NEW OR EXPANDED HEALTH PROGRAMS THAT ALIGN WITH THE HOSPITALS CORE MISSION AND RESPOND TO THE HEALTH CARE NEEDS OF THE COMMUNITY FOR FISCAL YEAR ENDED JUNE 30 2013 AS A MEMBER OF THE HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE THE INITIATIVE GWV PARTICIPATED IN A COMMUNITY HEALTH NEEDS ASSESSMENT CHNA CONDUCTED BY THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT THE INSTITUTE THE COMMUNITY NEEDS ASSESSMENT ENGAGED MEMBERS IN THE COMMUNITIES TO ASSESS AND ADDRESS COMMUNITY HEALTH NEEDS INCREASE REGIONAL FUNDING FOR PROGRAMS AND SERVICES AND FACILITATE THE AWARENESS EDUCATION AND WELLNESS FOR RESIDENTS OF NORTH EAST PENNSYLVANIA THE INITIATIVE IS COLLABORATION AMONG THE PENNSYLVANIA DEPARTMENT OF HEALTH AND MEMBER HEALTHCARE ORGANIZATIONS OPERATING WITHIN GWVS LACKAWANNA COUNTY AND LUZERNE COUNTY SERVICE AREA INITIATIVE PARTICIPANTS IN THE NEEDS ASSESSMENT INCLUDED AMONG OTHERS PENNSYLVANIA DEPARTMENT OF HEALTH WILKESBARRE HEALTH DEPARTMENT OF HEALTH WYOMING VALLEY UNITED WAY MIGRANT WORKERS PROGRAM IN HAZLETON MATERNAL AND FAMILY HEALTH LUZERNE COUNTY TASK FORCE ON DRUG AND ALCOHOL ALLIED SERVICES BLUE CROSS OF NEPA COMMUNITY MEDICAL CENTER MERCY HEALTH PARTNERS MOSES TAYLOR HOSPITALFOUNDATION THE COMMONWEALTH MEDICAL COLLEGE WYOMING VALLEY HEALTHCARE SYSTEM THE GOAL OF THE INITIATIVE WAS TO ASSESS AND ADDRESS THE COMMUNITY HEALTH NEEDS INCREASE REGIONAL HEALTH CARE PROGRAMS AND SERVICES AND FACILITATE AWARENESS EDUCATION AND WELLNESS FOR RESIDENTS BASED ON THE DATA GATHERED THROUGH RESEARCH 5 AREAS OF NEED WERE IDENTIFIED AS PRIORITIES FOR LACKAWANNA AND LUZERNE COUNTIES INCLUDING ACCESS TO CARE CHRONIC DISEASEOBESITY EMPLOYMENT MENTAL HEALTH AND SUBSTANCE ABUSE GEISINGER HEALTH SYSTEM IS ALSO AN ACTIVE PARTICIPANT IN MULTIPLE COMMUNITYBASED ORGANIZATIONS THAT STRIVE TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY INCLUDING CONDUCTING COMMUNITY NEEDS ASSESSMENTS OF VARYING SCOPE THESE RELATIONSHIPS HAVE ENABLED GEISINGER TO PARTICIPATE AND UNDERSTAND MORE CLEARLY THE UNDERLYING REASONS FOR A SPECIFIC COMMUNITYS HEALTH STATUS AND TO USE THAT INFORMATION IN MAKING FOCUSED DECISIONS ABOUT APPROPRIATE SERVICE MIX AND COMMUNITY OUTREACH SERVICES THE MAJOR HEALTH NEED THEMES WHICH CONSISTENTLY SURFACED IN THE VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS INCLUDED IMPROVING THE ACCESS TO HEALTHCARE FOR UNDER AND UNINSURED IMPROVING HEALTHY BEHAVIORS IE OBESITY AND BROADLY THE RELATED DISEASE BURDENPREVENTION AND EXPANDING TREATMENT AND EDUCATION ON DRUG AND ALCOHOL ABUSE PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI PART VI LINE 3 DESCRIBE HOW THE ORGANIZATION INFORMS PATIENTS OF THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY 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 GEISINGER 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 GEISINGERS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL REGISTRATION PERSONNEL ALSO REFER UNINSURED ANDOR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY NOTICE OF GEISINGERS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWWGEISINGERORG PATIENTS ARE ALSO PROVIDED INFORMATION ON GEISINGERS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL COMMUNITY INFORMATION PART VI GEISINGER WYOMING VALLEY MEDICAL CENTERS SERVICE AREA INCLUDES 9 COUNTIES IN NORTHEASTERN PENNSYLVANIA BRADFORD CARBON LACKAWANNA LUZERNE MONROE PIKE SUSQUEHANNA WAYNE AND WYOMING THE APPROXIMATE 2013 TOTAL POPULATION WITHIN THIS SERVICE AREA WAS 1009439 THIS POPULATION IS EXPECTED TO DECLINE0 2 BY 2018 WHILE AN INCREASE IN THE GROWTH RATE IS EXPECTED FOR THE COMMONWEALTH AND THE NATION 10 AND 33 RESPECTIVELY IN 2013 THE 65 AND OVER AGE GROUP IS 181 OF THE TOTAL POPULATION WHICH IS GREATER THAN THE STATE 164 AND NATIONAL 139 PROPORTIONS ADDITIONALLY THE 65 AND OVER AGE GROUP IS THE AGE SEGMENT PROJECTED TO EXPERIENCE THE LARGEST FIVEYEAR POPULATION GROWTH AT 125 THE REGION IS PRIMARILY RURAL WITH SMALL SUBURBAN AND URBAN POCKETS AVERAGE HOUSEHOLD INCOME IN 2013 WAS 60143 WITH APPROXIMATELY 144 OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES IN 2012 WHICH IS A GREATER PROPORTION THAN THE STATE PERCENTAGE OF 137 THE 2012 AVERAGE UNEMPLOYMENT RATE THE MOST CURRENT FULL YEAR OF COUNTY LEVEL DATA AVAILABLE FROM THE BUREAU OF LABOR STATISTICS WAS 92 WHICH IS HIGHER THAN BOTH THE STATE RATE OF 79 AND THE NATIONAL RATE OF 81 DURING FISCAL YEAR 2013 174 OF GWVS INPATIENT DISCHARGES WERE CHARITY CARE OR MEDICAID RECIPIENTS THE REGION INCLUDES MULTIPLE MEDICALLY UNDERSERVED AREAS AND POPULATIONS DURING THE ASSOCIATED TIME PERIOD THERE WERE 15 NONGEISINGER GENERAL MEDICALSURGICAL HOSPITALS IN THIS MARKET HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI PART VI LINE 6 DESCRIBE HOW THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCOMMUNITY BENEFIT REPORTED IN SCHEDULE O AFFILIATED HEALTH CARE INFORMATION PART VI GEISINGER WYOMING VALLEY MEDICAL CENTER GWV 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 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 THE PEARSALL HEART HOSPITAL 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 GEISINGER MEDICAL CENTER GMC A 501C3 NOTFORPROFIT HOSPITAL 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 BEEN NAMED TO THE 100 TOP HOSPITALS FOR STROKES LISTS GHS PHYSICIANS WERE LISTED IN THE BEST DOCTORS IN AMERICA AND THE GHS INTEGRATED COSTEFFECTIVE 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 THE 437 BED MEDICAL CENTER IS 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 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 GC 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 1000 EMPLOYED PHYSICIANS PRACTICING AT AN ARRAY OF HEALTH CARE DELIVERY PROVIDER FACILITIES AT OVER 60 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 GHP IS A 501C4 NOTFOR PROFIT ORGANIZATION THAT HAS GROWN TO BE ONE OF THE LARGEST RURAL HMOS IN THE COUNTRY IT CURRENTLY SERVES APPROXIMATELY 200000 MEMBERS IN A 42 COUNTY SERVICE AREA MARWORTH MW IS A 501C3 NOTFORPROFIT ORGANIZATION AND OPERATES A 91 BED INPATIENT 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 GCHS 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 LINE 21 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 GWV POLICY ALLOWS FOR A MINIMUM DISCOUNT OF 65 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 FORM 990 SCHEDULE H PART VI LINE 7 AT THIS TIME GWV AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE GEISINGER WYOMING VALLEY MEDICAL LINE NUMBER 1 PART V LINE 3 PART V LINE 3 THE COMMUNITY HEALTH NEEDS ASSESSMENT CHNA WAS CONDUCTED BY THE INSTITUTE FOR PUBLIC POLICY AND ECONOMIC DEVELOPMENT THE INSTITUTE THROUGH THE HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE HNPI A REGIONAL MEMBERSHIP BASED ORGANIZATION WITH EXPERTISE IN COMMUNITY HEALTH AND COMMUNITY EDUCATION PROGRAMS SURVEYS THE INSTITUTE CONDUCTED IN DEPTH PRIMARY RESEARCH BY DEPLOYING OVER 12000 SURVEYS IN GWVS PRIMARY AND SECONDARY SERVICE AREAS AND CONDUCTING SEVERAL INTERVIEWS AND FOCUS GROUPS A HOUSEHOLD SURVEY OF OVER 5 OF THE RESIDENTS WITHIN THE COMMUNITY WAS CONDUCTED TO DETERMINE COMMUNITY NEED ADDITIONALLY 200 SPANISH LANGUAGE SURVEYS WERE PREPARED AND DISTRIBUTED TO LOCAL HISPANIC CHURCHES AND FREE MEDICAL CLINICS WITHIN THE COMMUNITY A LOCAL HOUSING AGENCY ALSO HELPED DISTRIBUTE SPANISH LANGUAGE SURVEYS OVERALL 4 OF THE HISPANIC POPULATION RESPONDED ANOTHER 200 SURVEYS WERE DISTRIBUTED TO AFRICAN AMERICAN AND OTHER MINORITY AND IMMIGRANT POPULATIONS THESE SURVEYS WERE DISTRIBUTED THROUGH LOCAL YOUTH ORGANIZATIONS AND FREE MEDICAL CLINICS OVERALL 3 OF THE AFRICAN AMERICAN POPULATION RESPONDED THE SURVEYS MET ALL FEDERAL STANDARDS ESTABLISHED FOR THE PROTECTION OF HUMAN SUBJECTS RIGHTS IN RESEARCH THE WILKES UNIVERSITY INSTITUTIONAL REVIEW BOARD REVIEWED AND APPROVED ALL OF THE PRIMARY RESEARCH INSTRUMENTS AND CONSENTS THE SURVEY RESPONSES WERE UPLOADED INTO THE STATISTICAL PACKAGES FOR THE SOCIAL SCIENCES WHICH IS AN INTEGRATED SOFTWARE PROGRAM USED FOR ANALYTICAL DATA ANALYSIS INTERVIEWS CARE WAS TAKEN TO INTERVIEW STAKEHOLDERS THAT REPRESENTED THE ENTIRE STUDY REGION INTERVIEWS RANGED FROM 45 MINUTES TO 3 HOURS IN DURATION EACH INTERVIEWEE HAD THE OPPORTUNITY TO ADD OPEN COMMENTS AT THE SURVEYS END SIXTEEN INTERVIEWS WERE CONDUCTED WITH 26 STAKEHOLDERS INCLUDING THE FOLLOWING MAJOR EMPLOYERS FEDERALLY QUALIFIED HEALTH CENTER A FREE MEDICAL CLINIC PENNSYLVANIA DEPARTMENT OF HEALTH SOCIAL SCIENTISTS AND RESEARCHERS PHILANTHROPIST AND HEALTH POLICY ADVISOR DISEASEBASED ORGANIZATION SOCIAL SERVICE ORGANIZATION MENTAL AND BEHAVIORAL HEALTH ORGANIZATION EPIDEMIOLOGYENVIRONMENTAL SPECIALISTS PRIMARY CARE PHYSICIANS SURGEONS MEDICAL TECHNOLOGISTCLINICAL LABORATORY HEALTH INSURERS FOCUS GROUPS VARIOUS SEGMENTS OF THE COMMUNITY WERE CONSULTED IN ORDER TO DETERMINE THE UNIQUE HEALTH CARE NEEDS OF SPECIFIC GROUPS INCLUDING HISPANICLATINO COMMUNITY AFRICAN AMERICAN COMMUNITY 2 SEPARATE GROUPS IMPOVERISHED AGING PHYSICALLY AND MENTALLY CHALLENGED YOUR CHRONIC DISEASEPUBLIC HEALTH ORGANIZATIONS MAJOR EMPLOYERS BEHAVIORAL BASED SUBSTANCE ABUSE ORGANIZATIONS ADDITIONAL DATA UTILIZED WAS FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH THE US CENSUS BUREAU THE CENTER FOR RURAL PENNSYLVANIA THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM COUNTY HEALTH RANKING PREPARED BY THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE AND THE ROBERT WOOD JOHNSON FOUNDATION THE DATA INCLUDED DEMOGRAPHIC AND ECONOMIC INDICATORS HEALTH STATUS INCIDENCE OF DISEASE AND INSURANCE STATUS INFORMATION REGARDING THE HEALTH CARE DELIVERY SYSTEM UTILIZED WAS FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH PENNSYLVANIA COST CONTAINMENT COUNCIL PENNSYLVANIA HEALTH CARE ASSOCIATION THE US DEPARTMENT OF HEALTH AND THE LOCAL PARTICIPATING HOSPITALS GEISINGER WYOMING VALLEY MEDICAL LINE NUMBER 1 PART V LINE 4 PART V LINE 4 GEISINGERCOMMUNITY MEDICAL CENTER AND GEISINGER WYOMING VALLEY MEDICAL CENTER PARTICIPATED IN THE CHNA GEISINGER WYOMING VALLEY MEDICAL LINE NUMBER 1 PART V LINE 5C PART V LINE 5C THE COMMUNITY HEALTH NEEDS ASSESSMENT AND RELATED IMPLEMENTATION STRATEGIES ARE LOCATED AT WWWGEISINGERORGCHNA GEISINGER WYOMING VALLEY MEDICAL LINE NUMBER 1 PART V LINE 14G PART V LINE 14G REGISTRATION PERSONNEL ALSO REFER UNINSURED ANDOR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY X true true X X X X X X false true false false false false false true false GLENN D STEELE JR MD PHD 1021563 920000 120993 388588 29866 2481010 DAVID J FELICIO ESQUIRE 313540 152506 46635 120520 20139 653340 EDWARD J ZYCH ESQUIRE 250888 74435 19252 43763 22035 410373 KEVIN F BRENNAN CPA FHFMA 501671 290967 286688 181114 21073 1281513 247768 STEVEN B PIERDON MD 413646 198746 285857 143210 13442 1054901 242753 FRANK J TREMBULAK 592806 305296 347250 203077 13790 1462219 274280 JOHN J BUCKLEY 282962 118132 43417 59500 13569 517580 MARGARET HENNELLY BERGIN MBAMSNRN 180701 57668 6731 17460 19494 282054 MARY P GILDEA BSN RN 146831 36087 25635 13395 14559 236507 CARLA J SCOFIELD MS 176888 4136 11694 12766 205484 ERIN A PICA 161862 28730 3214 12963 17252 224021 CONRAD W SCHINTZ 184158 45845 36444 18096 14510 299053 JOHN P WIERCINSKI 249747 100940 47034 18096 18375 434192 KEVIN J KERESTUS CIA 179748 48224 5025 16563 19942 269502 BRUCE H HAMORY MD 470170 108216 560063 138526 23720 1300695 500931 JOANNE E WADE 574175 286871 309951 191976 9138 1372111 272636 LISSA L BRYAN SMITH 261065 74070 79501 18096 12671 445403 30414 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 KEVIN F. BRENNAN, CPA, FHFMA 0 247,768 0 FRANK J. TREMBULAK 0 276,507 0 BRUCE H. HAMORY, M.D. 0 500,931 0 JOANNE E. WADE 0 272,636 0 LISSA L. BRYAN SMITH 0 59,838 0 NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PAGE 1, PART I, LINE 7 BECAUSE THE PAYMENT OF EARNED PERFORMANCE BASED COMPENSATION IS AT THE DISCRETION OF MANAGEMENT AND THE BOARD OF DIRECTORS, SUCH PAYMENTS MAY BE CONSIDERED NON-FIXED PAYMENTS. PERFORMANCE BASED COMPENSATION IS DETERMINED BY MEETING INDIVIDUALLY MEASURED PERFORMANCE GOALS THAT ARE ALIGNED WITH OVERALL SYSTEM OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP. 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 16575206 IC SHARED SERV REV false GEISINGER INDEMNITY INSURANCE CO BUSINESS 4282489 IC SHARED SERV REV false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 4066390 IC SHARED SERV EXP false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 32879 LEASE REVENUE false INTERNATIONAL SHARED SERVICES INC BUSINESS 3595755 IC SHARED SERV EXP false INTERNATIONAL SHARED SERVICES INC BUSINESS 32880 LEASE REVENUE false GEISINGER ASSURANCE COMPANY LTD BUSINESS 2375664 IC SHARED SERV EXP false JILLIAN R GROCHAL FAMILY 14186 EMPLOYEECOMPENSATION false ADDITIONAL INFORMATION SCHEDULE L PART V GEISINGER WYOMING VALLEY MEDICAL CENTER IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTERORGANIZATIONAL 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 GEISINGER MEDICAL MANAGEMENT CORPORATION GEISINGER INDEMNITY INSURANCE COMPANY GEISINGER QUALITY OPTIONS INC INTERNATIONAL SHARED SERVICES INC GEISINGER ASSURANCE COMPANY LTD THE FOLLOWING OFFICERS ANDOR DIRECTORS OF GEISINGER WYOMING VALLEY MEDICAL CENTER ARE OFFICERS ANDOR DIRECTORS OF SOME OR ALL OF THESE ORGANIZATIONS WILLIAM H ALEXANDER DAVID J FELICIO ESQUIRE RICHARD A GRAFMYRE WILLIAM R GRUVER THOMAS H LEE JR MD ROBERT E POOLE DON A ROSINI GLENN D STEELE MD PHD FRANK J TREMBULAK EDWARD J ZYCH ESQUIRE JILLIAN R GROCHAL IS A FAMILY MEMBER OF MARY P GILDEA A KEY EMPLOYEE OF GEISINGER WYOMING VALLEY 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 ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION 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. I.GENERAL INFORMATION GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 274 BED, ACUTE CARE, HOSPITAL WITH ADVANCED TERTIARY SERVICES IN WILKES-BARRE, PA. GWV'S CONVENIENT LOCATION NEAR SEVERAL MAJOR HIGHWAYS MAKES IT ACCESSIBLE FROM ALL AREAS OF NORTHEASTERN PENNSYLVANIA. GEISINGER WYOMING VALLEY IS FULLY ACCREDITED BY THE JOINT COMMISSION, AND IS A DESIGNATED LEVEL 2 TRAUMA CENTER, ACCREDITED CHEST PAIN CENTER, AND CERTIFIED PRIMARY STROKE CENTER OFFERING EMERGENCY AND TRAUMA CARE 24 HOURS A DAY. THE FACILITY OPENED IN 1981 AS THE NPW MEDICAL CENTER OF N.E. PENNSYLVANIA, INC., AND THE NAME CHANGED TO GEISINGER WYOMING VALLEY MEDICAL CENTER IN 1985. GWV PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. GEISINGER WYOMING VALLEY MEDICAL CENTER OFFERS COMPREHENSIVE WOMEN'S AND CHILDREN'S SERVICES. THE MEDICAL CENTER'S SPECIAL DELIVERY PROGRAM IN OBSTETRICS FEATURES THE AREA'S ONLY SUB-SPECIALTY, FELLOWSHIP-TRAINED REPRODUCTIVE ENDOCRINOLOGIST/INFERTILITY SPECIALIST. GWV WAS ALSO THE FIRST HOSPITAL IN THE AREA TO OFFER LABOR, DELIVERY, RECOVERY, POST-PARTUM (LRDP) SUITES FOR EXPECTANT PARENTS AND OFFERS TWO DEDICATED C- SECTION SURGICAL SUITES. THE WOMEN'S UNIT WAS EXPANDED IN 2011 TO PROVIDE 15 ADDITIONAL PRIVATE ROOMS EQUIPPED WITH THE MOST ADVANCED TECHNOLOGY FOR POSTPARTUM AND POSTOPERATIVE CARE, AS WELL AS TWO NEW LABOR TRIAGE AREAS FOR ENHANCED LABOR AND DELIVERY CAPABILITIES. IN 2011, THE 13-BED TAMBUR NEONATAL INTENSIVE CARE UNIT (NICU) WAS BUILT. IT IS THE ONLY NICU IN LUZERNE COUNTY PROVIDING CARE FOR PREMATURE INFANTS AND OTHER BABIES IN NEED OF HIGHLY SPECIALIZED MEDICAL CARE. THE JANET WEIS CHILDREN'S HOSPITAL PEDIATRICS UNIT AT GWV PROVIDES NUMEROUS PEDIATRIC SUB-SPECIALTY SERVICES. PEDIATRIC HOSPITALIST PHYSICIANS STAFF THE 7-BED UNIT. THE 178,000 SQUARE FOOT CRITICAL CARE BUILDING, COMPLETED IN THE FALL OF 2008, FEATURES AN EXPANDED 24/7 EMERGENCY DEPARTMENT WITH TRAUMA SERVICES, ROOFTOP HELIPAD, AND INTENSIVE CARE UNIT (ICU). THE CRITICAL CARE BUILDING HOUSES GEISINGER WYOMING VALLEY'S HIGH-TECH SURGICAL SUITES, INCLUDING LUZERNE COUNTY'S FIRST ENDOVASCULAR OPERATING SUITE AND THE DAVINCI ROBOT TO PERFORM ADVANCED MINIMALLY INVASIVE PROCEDURES. IN FEBRUARY, 2013, A 24 -BED, 24,000-SQUARE-FOOT PROGRESSIVE CARE UNIT (PCU) OPENED ON THE BUILDING'S FIFTH FLOOR TO CARE FOR PATIENTS WHO REQUIRE A HIGHER LEVEL OF CARE BUT DO NOT NEED INTENSIVE CARE. TWO ROOMS ARE OUTFITTED TO CARE FOR INFECTIOUS ISOLATION PATIENTS, AND TWO ROOMS ARE FITTED WITH BARIATRIC LIFTS FOR SEVERELY OBESE PATIENTS. THE ORTHOPAEDIC SURGERY DEPARTMENT IS RECOGNIZED FOR ITS SPECIAL CAPABILITIES IN JOINT REPLACEMENT SURGERY - INCLUDING SERVICES FOR PEOPLE WHO PREVIOUSLY HAD JOINT REPLACEMENTS. OTHER SERVICES INCLUDE A GERIATRIC FRACTURE CARE PROGRAM, ARTHROSCOPIC SURGERY, TREATMENT FOR TRAUMA PATIENTS AND THOSE WITH SPORTS INJURIES (INCLUDING A SATURDAY MORNING SPORTS CLINIC DURING THE FALL SPORTS SEASON). IN JULY, 2012, THE DEPARTMENT RELOCATED TO 1175 EAST MOUNTAIN BLVD., A 25,000-SQUARE-FOOT FACILITY NEAR THE MAIN GWV CAMPUS WITH 33 EXAM ROOMS, 2,000-SQUARE-FOOT PHYSICAL THERAPY SUITE, 2,500 -SQUARE-FOOT FITNESS CENTER, TWO TREATMENT ROOMS AND A HYDROTHERAPY ROOM. THE GEISINGER SOUTH WILKES-BARRE FACILITY, LOCATED AT 25 CHURCH STREET, WILKES-BARRE, BECAME A CAMPUS OF GWV IN 2009. GWV'S SOUTH WILKES-BARRE CAMPUS PROVIDES AMBULATORY SERVICES SUCH AS ADULT AND PEDIATRIC URGENT CARE, PRE-SURGICAL TESTING, SAME DAY SURGERY, PODIATRY AND PAIN MANAGEMENT. THE FACILITY ALSO HOUSES A SLEEP DISORDERS CENTER AS WELL AS AN INPATIENT AND OUTPATIENT REHABILITATION THERAPY CENTER. LIFEFLIGHT, GEISINGER'S MEDICAL HELICOPTER SERVICE PROVIDES QUICK AIR MEDICAL RESPONSE FOR TRANSPORTING PATIENTS FOR LIFE-SAVING CARE. THE RICHARD AND MARION PEARSALL HEART HOSPITAL AT GWV OPENED IN OCTOBER, 2001. IT IS DEDICATED TO BRINGING THE LATEST TECHNOLOGY USED IN THE TREATMENT OF HEART AND VASCULAR DISEASE TO THE PEOPLE OF NORTHEAST PENNSYLVANIA. THREE CARDIAC CATHETERIZATION LABORATORIES OFFER ADVANCED TREATMENTS TO PATIENTS WITH HEART DISEASE, INCLUDING A 24 HOUR PER DAY PRIMARY ANGIOPLASTY PROGRAM, ELECTROPHYSIOLOGY FOR TREATING HEART RHYTHM DISORDERS, AND ADVANCED TECHNOLOGY TO OPEN AND REPAIR BLOCKED VESSELS. THE PEARSALL HEART HOSPITAL OFFERS ANCILLARY CARDIAC TESTING, PHYSICIAN CARE AS WELL AS A NINE BED STEP-DOWN UNIT, AND AN EIGHT BED OUTPATIENT UNIT USED FOR PRE AND POST CARDIAC CATHETERIZATION RECOVERY. THE PEARSALL HEART HOSPITAL IS HOME TO GWV'S CARDIOLOGY, CARDIOTHORACIC SURGERY AND VASCULAR SURGERY DEPARTMENTS AND INCLUDES AN ICAVL-ACCREDITED NONINVASIVE DIAGNOSTIC LABORATORY. THE FRANK AND DOROTHEA HENRY CANCER CENTER PROVIDES MULTIDISCIPLINARY AND COMPREHENSIVE CARE INCLUDING CONSULTATIONS, DIAGNOSIS AND TREATMENT FOR ALL TYPES OF ADULT CANCERS. GWV'S CANCER PROGRAM PROVIDES HEMATOLOGY, AS WELL AS MEDICAL, SURGICAL AND RADIATION ONCOLOGY SERVICES, CLINICAL TRIALS AND CANCER GENETIC COUNSELING. THE PROGRAM HAS EARNED A FULL FOUR-YEAR APPROVAL BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. A 32,000- SQUARE-FOOT EXPANSION PROJECT AT THE HENRY CANCER CENTER WAS COMPLETED IN SPRING 2009. THE RADIOLOGY DEPARTMENT OFFERS A COMPREHENSIVE IMAGING PROGRAM AND UPGRADED IN 2011 TO OFFER THE LATEST INTERVENTIONAL RADIOLOGY PROCEDURES AS WELL AS ENHANCED PRE-AND POST-PROCEDURE AREAS. NUCLEAR MEDICINE SERVICES INCLUDE P.E.T. SCANS THAT CAN DIAGNOSE AND MANAGE CERTAIN TYPES OF CANCER AS WELL AS CERTAIN OTHER METABOLIC DISEASES OF THE BODY. RADIOLOGY ALSO INCLUDES TWO DEDICATED MRI HIGH FIELD STRENGTH UNITS. THE IMAGING PROGRAM OFFERS GENERAL, OB AND VASCULAR SONOGRAPHY, CAT SCAN AND GENERAL DIAGNOSTIC RADIOLOGY. A PARKING EXPANSION PROJECT OCCURRED ON THE GEISINGER WYOMING VALLEY MEDICAL CENTER CAMPUS BETWEEN THE SPRING OF 2012 AND FALL OF 2013. AS A RESULT, 820 PARKING SPACES WERE ADDED TO THE CAMPUS FOR THE CONVENIENCE AND SAFETY OF GUESTS AND EMPLOYEES. IN JULY, 2013, THE CENTER FOR WOMEN'S IMAGING RELOCATED INTO A NEWLY REMODELED, 6,800-SQUARE -FOOT SPACE ON THE LOWER LEVEL OF THE HENRY CANCER CENTER. THE CENTER OFFERS A FULL RANGE OF DIAGNOSTIC SERVICES AT ONE CONVENIENT LOCATION DESIGNED EXCLUSIVELY FOR WOMEN. SERVICES INCLUDE: DIGITAL MAMMOGRAPHY, ULTRASOUND, DXA SCAN BONE DENSITY TESTING, STEREOTACTIC BREAST BIOPSY AND A COMPREHENSIVE BREAST PROGRAM. THE BREAST PROGRAM OFFERS A MULTI-DISCIPLINARY APPROACH TO DIAGNOSING AND TREATING BREAST DISEASE. A DEDICATED NURSE NAVIGATOR AND A TEAM OF SURGEONS, RADIOLOGISTS, PATHOLOGISTS, AND ONCOLOGISTS COLLABORATE IN ONE CONVENIENT LOCATION TO SPEED TREATMENT AND CARE. RESIDENCY PROGRAM GWV SERVES AS A TEACHING CAMPUS FOR FAMILY MEDICINE AND GENERAL SURGERY RESIDENTS AND OFFERS A SPORTS MEDICINE FELLOWSHIP PROGRAM. RESIDENTS ALSO ROTATE TO GWV FROM GEISINGER MEDICAL CENTER IN SPECIALTIES OF EMERGENCY MEDICINE, OBSTETRICS, ORTHOPAEDICS, DERMATOLOGY, RHEUMATOLOGY, FAMILY PRACTICE, AND GENERAL SURGERY. THE TOTAL COST OF PROVIDING THE RESIDENCY PROGRAM FOR THE FISCAL YEAR ENDED JUNE 30, 2013 WAS 1.1 MILLION. OTHER SERVICES INCLUDE: COLORECTAL SURGERY COSMETIC AND RECONSTRUCTIVE SURGERY DERMATOLOGY EAR, NOSE & THROAT SURGERY GASTROENTEROLOGY GENERAL SURGERY GYNECOLOGY GYNECOLOGIC ONCOLOGY INFECTIOUS DISEASE NEUROLOGY NEUROSURGERY OPHTHALMOLOGY & EYE SURGERY ORAL AND MAXILLOFACIAL SURGERY PERINATALOGY PULMONARY MEDICINE RHEUMATOLOGY SPINE SURGERY TRANSPLANT UROLOGY AND UROLOGIC SURGERY II.UNCOMPENSATED CARE GEISINGER WYOMING VALLEY MEDICAL CENTER RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GWV PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A.CHARITY CARE THE PRIMARY CONCERN OF GWV IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF NORTHEASTERN PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GWV INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2013, THE COST OF THE CHARITY CARE WAS 6.4 MILLION. B.MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GWV PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GWV PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PR ADDITIONAL INFORMATION FORM 990, PART III FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH SYSTEM FOUNDATION, PARENT OF THE ORGANIZATION IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 842,322,715 INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2013. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GEISINGER HEALTH SYSTEM FOUNDATION SUBSIDIARIES, THE BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER, EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER, EIN: 23-1996150 GEISINGER CLINIC, EIN: 23-6291113 MARWORTH, EIN: 23-2171417 GEISINGER SYSTEM SERVICES, EIN: 23-2164794 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH SYSTEM FOUNDATION, EIN: 23-1995911. ADDITIONAL INFORMATION FORM 990, PART V FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL ORGANIZATIONS OF THE GEISINGER HEALTH SYSTEM. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2012 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,386. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATION'S EIN, IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF. 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 SEVEN VOTING MEMBERS OF THE GOVERNING BODY ARE ALSO VOTING MEMBERS OF RELATED TAXABLE ORGANIZATIONS FOR WHICH BUSINESS TRANSACTIONS, BETWEEN GWV AND THE RELATED TAXABLE ORGANIZATION, ARE REPORTED 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 RELATED 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 RELATED 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. M.D., PH.D., 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, STEVEN B. PIERDON, M.D., AND DON A. ROSINI HAVE BUSINESS RELATIONSHIPS WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF THE ORGANIZATION. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM. 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. 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. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF GEISINGER WYOMING 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 GEISINGER HEALTH SYSTEM, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, ARE AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE. GO TO: WWW.GEISINGER.ORG/ABOUT/MISSION.HTML AND SELECT 2013 ANNUAL REPORT. FINANCIAL STATEMENTS, THE COMPLETE FORM 990 AND FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 9 TRANSFER FROM AFFILIATE 1,356,408 TOTAL OTHER CHANGES IN NET ASSETS 1,356,408 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 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 CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GHSF 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 GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GHSF true BLOOMSBURG PHYSICIANS SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232979856 PHYS SVCS PA 501C3 3 GHSF true GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKLD NURSE PA 501C3 9 GHSF true COLUMBIA-MONTOUR HOME HEALTH SVC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231704399 HOME HLTH PA 501C3 9 GHSF true BLOOMSBURG HOSP MED PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 146222837 SELF INS PA 501C3 11B GHSF true KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 454475297 ACO PA N/A RELATED false true 0.33000 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 EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 460567687 HEALTHCARE PA N/A false false GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 HOLDING CO DE N/A false false LACKAWANNA PHYSICIANS AMB SURG CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 233024998 HEALTHCARE 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 RELATED false true 0.33000 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 EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 460567687 HEALTHCARE PA N/A false false GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 HOLDING CO DE N/A false false LACKAWANNA PHYSICIANS AMB SURG CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 233024998 HEALTHCARE 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 true INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232159597 COMPUTER PA N/A true GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A true GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A true GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A true XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE N/A true GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A true INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232159597 COMPUTER PA N/A true GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A true GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A true GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN CJ 981016737 INSURANCE CJ N/A true XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE N/A true true true true false false false false false false false true true true false false true true true true GEISINGER CLINIC L 414106 FMV GEISINGER ASSURANCE COMPANY LTD P 2375664 GAAP GEISINGER CLINIC M 24173717 GAAP GEISINGER CLINIC K 1070252 FMV GEISINGER CLINIC A 135417 FMV GEISINGER CLINIC S 14084739 GAAP GEISINGER CLINIC B 3589000 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 109789 GAAP GEISINGER COMMUNITY HEALTH SERVICES A 18490 FMV GEISINGER HEALTH PLAN L 78047842 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 2156374 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 1470899 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 156477 GAAP GEISINGER INSURANCE CORP RRG M 78684 GAAP GEISINGER INSURANCE CORP RRG P 1215269 GAAP GEISINGER MEDICAL CENTER M 9873977 GAAP GEISINGER MEDICAL CENTER L 483191 GAAP GEISINGER QUALITY OPTIONS INC L 16575206 GAAP GEISINGER SYSTEM SERVICES M 76088930 GAAP GEISINGER SYSTEM SERVICES P 11829041 GAAP INTERNATIONAL SHARED SERVICES INC M 3595755 GAAP INTERNATIONAL SHARED SERVICES INC A 32880 FMV MARWORTH L 220615 GAAP GEISINGER INSURANCE INDEMNITY CO L 4282489 GAAP GEISINGER COMMUNITY MEDICAL CENTER L 598097 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 176460 GAAP GEISINGER CLINIC R 4419997 FMV GEISINGER MEDICAL MANAGEMENT CORP M 4066390 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 32879 FMV GEISINGER CLINIC L 414106 FMV GEISINGER ASSURANCE COMPANY LTD P 2375664 GAAP GEISINGER CLINIC M 24173717 GAAP GEISINGER CLINIC K 1070252 FMV GEISINGER CLINIC A 135417 FMV GEISINGER CLINIC S 14084739 GAAP GEISINGER CLINIC B 3589000 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 109789 GAAP GEISINGER COMMUNITY HEALTH SERVICES A 18490 FMV GEISINGER HEALTH PLAN L 78047842 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 2156374 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 1470899 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 156477 GAAP GEISINGER INSURANCE CORP RRG M 78684 GAAP GEISINGER INSURANCE CORP RRG P 1215269 GAAP GEISINGER MEDICAL CENTER M 9873977 GAAP GEISINGER MEDICAL CENTER L 483191 GAAP GEISINGER QUALITY OPTIONS INC L 16575206 GAAP GEISINGER SYSTEM SERVICES M 76088930 GAAP GEISINGER SYSTEM SERVICES P 11829041 GAAP INTERNATIONAL SHARED SERVICES INC M 3595755 GAAP INTERNATIONAL SHARED SERVICES INC A 32880 FMV MARWORTH L 220615 GAAP GEISINGER INSURANCE INDEMNITY CO L 4282489 GAAP GEISINGER COMMUNITY MEDICAL CENTER L 598097 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 176460 GAAP GEISINGER CLINIC R 4419997 FMV GEISINGER MEDICAL MANAGEMENT CORP M 4066390 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 32879 FMV GEISINGER CLINIC L 414106 FMV GEISINGER ASSURANCE COMPANY LTD P 2375664 GAAP GEISINGER CLINIC M 24173717 GAAP GEISINGER CLINIC K 1070252 FMV GEISINGER CLINIC A 135417 FMV GEISINGER CLINIC S 14084739 GAAP GEISINGER CLINIC B 3589000 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 109789 GAAP GEISINGER COMMUNITY HEALTH SERVICES A 18490 FMV GEISINGER HEALTH PLAN L 78047842 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 2156374 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 1470899 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 156477 GAAP GEISINGER INSURANCE CORP RRG M 78684 GAAP GEISINGER INSURANCE CORP RRG P 1215269 GAAP GEISINGER MEDICAL CENTER M 9873977 GAAP GEISINGER MEDICAL CENTER L 483191 GAAP GEISINGER QUALITY OPTIONS INC L 16575206 GAAP GEISINGER SYSTEM SERVICES M 76088930 GAAP GEISINGER SYSTEM SERVICES P 11829041 GAAP INTERNATIONAL SHARED SERVICES INC M 3595755 GAAP INTERNATIONAL SHARED SERVICES INC A 32880 FMV MARWORTH L 220615 GAAP GEISINGER INSURANCE INDEMNITY CO L 4282489 GAAP GEISINGER COMMUNITY MEDICAL CENTER L 598097 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 176460 GAAP GEISINGER CLINIC R 4419997 FMV GEISINGER MEDICAL MANAGEMENT CORP M 4066390 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 32879 FMV GEISINGER CLINIC L 414106 FMV GEISINGER ASSURANCE COMPANY LTD P 2375664 GAAP GEISINGER CLINIC M 24173717 GAAP GEISINGER CLINIC K 1070252 FMV GEISINGER CLINIC A 135417 FMV GEISINGER CLINIC S 14084739 GAAP GEISINGER CLINIC B 3589000 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 109789 GAAP GEISINGER COMMUNITY HEALTH SERVICES A 18490 FMV GEISINGER HEALTH PLAN L 78047842 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 2156374 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 1470899 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 156477 GAAP GEISINGER INSURANCE CORP RRG M 78684 GAAP GEISINGER INSURANCE CORP RRG P 1215269 GAAP GEISINGER MEDICAL CENTER M 9873977 GAAP GEISINGER MEDICAL CENTER L 483191 GAAP GEISINGER QUALITY OPTIONS INC L 16575206 GAAP GEISINGER SYSTEM SERVICES M 76088930 GAAP GEISINGER SYSTEM SERVICES P 11829041 GAAP INTERNATIONAL SHARED SERVICES INC M 3595755 GAAP INTERNATIONAL SHARED SERVICES INC A 32880 FMV MARWORTH L 220615 GAAP GEISINGER INSURANCE INDEMNITY CO L 4282489 GAAP GEISINGER COMMUNITY MEDICAL CENTER L 598097 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 176460 GAAP GEISINGER CLINIC R 4419997 FMV GEISINGER MEDICAL MANAGEMENT CORP M 4066390 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 32879 FMV GEISINGER CLINIC L 414106 FMV GEISINGER ASSURANCE COMPANY LTD P 2375664 GAAP GEISINGER CLINIC M 24173717 GAAP GEISINGER CLINIC K 1070252 FMV GEISINGER CLINIC A 135417 FMV GEISINGER CLINIC S 14084739 GAAP GEISINGER CLINIC B 3589000 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 109789 GAAP GEISINGER COMMUNITY HEALTH SERVICES A 18490 FMV GEISINGER HEALTH PLAN L 78047842 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 2156374 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 1470899 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 156477 GAAP GEISINGER INSURANCE CORP RRG M 78684 GAAP GEISINGER INSURANCE CORP RRG P 1215269 GAAP GEISINGER MEDICAL CENTER M 9873977 GAAP GEISINGER MEDICAL CENTER L 483191 GAAP GEISINGER QUALITY OPTIONS INC L 16575206 GAAP GEISINGER SYSTEM SERVICES M 76088930 GAAP GEISINGER SYSTEM SERVICES P 11829041 GAAP INTERNATIONAL SHARED SERVICES INC M 3595755 GAAP INTERNATIONAL SHARED SERVICES INC A 32880 FMV MARWORTH L 220615 GAAP GEISINGER INSURANCE INDEMNITY CO L 4282489 GAAP GEISINGER COMMUNITY MEDICAL CENTER L 598097 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 176460 GAAP GEISINGER CLINIC R 4419997 FMV GEISINGER MEDICAL MANAGEMENT CORP M 4066390 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 32879 FMV ADDITIONAL INFORMATION SCHEDULE R FORM 990 SCHEDULE R PART V TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN THE RESPONSE TO FORM 990 SCHEDULE R GEISINGER WYOMING VALLEY 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 GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231995911 X 0 0 0 0 0 0 0 0 0 0 GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 240795959 X 0 29290 29290 909722334 909751624 310143 77536 0 0 0 GEISINGER CLINIC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 236291113 X 0 37359 37359 777143985 777181344 264949 66237 0 0 0 GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232164794 X 1437 560350 561787 512135793 512697580 174784 43696 0 0 0 GEISINGER WYOMING VALLEY MEDICAL CTR 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231996150 X 0 7636 7636 413534594 413542230 140981 35245 0 0 0 MARWORTH 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232171417 X 0 5667 5667 12161456 12167123 4148 1037 0 0 0 HERSHEY MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232891807 X 0 0 0 0 0 0 0 0 0 0 GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232967235 X 0 4568 4568 40789275 40793843 13907 3477 0 0 0 GEISINGER INSURANCE CORP RRG 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 141909894 0 0 0 986617 986617 336 84 0 0 0 GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 256220019 0 0 0 5147 5147 2 0 0 0 0 GEISINGER EXCESS COV PROF LIAB TRUST 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 236852932 0 0 0 0 0 0 0 0 0 0 COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 240862246 X 0 2518 2518 184555653 184558171 62918 15729 0 0 0 COMMUNITY MED CTR HEALTHCARE SYSTEM 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232279376 0 0 0 15061 15061 5 1 0 0 0 COMMUNITY MED CTR HLTHCARE SYS TRUST 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 046990600 0 0 0 1279441 1279441 436 109 0 0 0 COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232429776 0 1029 1029 10186478 10187507 3473 868 0 0 0 MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232568288 0 0 0 16731974 16731974 5704 1426 0 0 0 GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232193572 0 209 209 36430143 36430352 12419 3105 0 0 0 BLOOMSBURG PHYSICIAN SERVICES 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232979856 0 0 0 2231806 2231806 761 190 0 0 0 GEISINGER-BLOOMSBURG HEALTH CARE CTR 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 232242854 0 0 0 9965074 9965074 3397 849 0 0 0 COLUMBIA-MONTOUR HOME HEALTH SVCS 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 231704399 0 112 112 4748651 4748763 1619 405 0 0 0 BLOOMSBURG HOSPITAL MED PROFL SIT 100 NORTH ACADEMY AVENUE DANVILLE PA 17822 146222837 0 0 0 52214 52214 18 4 0 0 0