2019-05-10T10:00:41-05:00 2018-06-30 990 2017-07-01 231996150 GEISINGER WYOMING VALLEY MEDICAL CENTER GEIS 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 DAVID J FELICIO ESQUIRE EVP, CLO, SECRETARY 5702715555 2019-04-22 167.68.16.49 2019-05-10 10:00:41 CD P 898C1895B8F201315E3AD013D20E33E4FB790411 768924B3E140BF8261684DD94139B4AA526C5F19 2017 2019-02-21 02:37:17Z JAEWON RYU MD JD 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 589374463 false X WWW.GEISINGER.ORG X 1976 PA TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE... SEE SCHEDULE O 6 3 2590 317 277147 0 521532860 585309217 -221348 1901740 1488385 2123525 522799897 589334482 0 0 145065288 157410504 0 0 321908417 345317364 466973705 502727868 55826192 86606614 303573641 427743098 312648759 343098927 -9075118 84644171 X MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND 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. false false 461155406 586338946 PATIENT SERVICES - SEE SCHEDULE O I.GENERAL INFORMATION GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH, OWNS AND OPERATES A 300-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 AN ACCREDITED LEVEL 2 TRAUMA CENTER, AMERICAN HEART ASSOCIATION ACCREDITED MISSION: LIFELINE ST- ELEVATION MYOCARDIAL INFARCTION (STEMI) RECEIVING CENTER AND JOINT COMMISSION-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 CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. IN 2016, GWV EARNED THE HUMAN RIGHTS CAMPAIGN (HRC) FOUNDATION'S LEADER IN LESBIAN, GAY, BISEXUAL AND TRANSGENDER (LGBT) HEALTHCARE EQUALITY DESIGNATION FOR ITS COMMITMENT TO PROVIDING NON-DISCRIMINATORY QUALITY HEALTHCARE TO THE LGBT COMMUNITY. GEISINGER WYOMING VALLEY MEDICAL CENTER OFFERS COMPREHENSIVE WOMEN'S AND CHILDREN'S SERVICES. THE MEDICAL CENTER'S OBSTETRICS UNIT FEATURES THE AREA'S ONLY SUB-SPECIALTY, FELLOWSHIP-TRAINED REPRODUCTIVE ENDOCRINOLOGIST/INFERTILITY SPECIALIST AS WELL AS A MATERNAL-FETAL MEDICINE SPECIALIST. GEISINGER WYOMING VALLEY'S MATERNAL FETAL MEDICINE SERVICE AT 190 WELLES STREET, FORTY FORT IS FOR MOTHERS AND FAMILIES FACING COMPLEX, HIGH RISK PREGNANCIES FEATURES ULTRASOUND, NON-STRESS TESTING, COMPLEX FETAL MONITORING, AND GENETIC COUNSELING. 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. GWV ALSO OFFERS A 13-BED LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU), THE ONLY LOCATION IN LUZERNE COUNTY PROVIDING THIS LEVEL OF INTENSIVE 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. GWV'S MEDICAL STAFF ALSO INCLUDES A FELLOWSHIP TRAINED PEDIATRIC CARDIOLOGIST. IN 2016, GWV EARNED BLUE DISTINCTION CENTER+ (BDC+) AWARD IN MATERNITY CARE BY HIGHMARK BLUE CROSS AND BLUE SHIELD FOR MEETING QUALITY-FOCUSED CRITERIA THAT EMPHASIZE PATIENT SAFETY AND OUTCOMES REGARDING BOTH VAGINAL AND CESAREAN DELIVERIES. BLUE DISTINCTION CENTERS+ HAVE A PROVEN TRACK-RECORD FOR DELIVERING BETTER RESULTS, INCLUDING FEWER COMPLICATIONS AND READMISSIONS. IN JUNE 2017, GWV OPENED A NEW OBSERVATION UNIT IN PART TO MAKE ITS EMERGENCY DEPARTMENT LESS CONGESTED. THE 10-BED UNIT ALLOWS HOSPITAL STAFF TO CLOSELY MONITOR PATIENTS AND EXPEDITE TESTING AND TREATMENTS. IN AUGUST 2017, GWV COMPLETED A 5.5 MILLION RENOVATION TO ITS MAGNETIC RESONANCE IMAGING (MRI) SUITE TO PROVIDE PATIENTS WITH MORE ADVANCED IMAGING TECHNOLOGY. THE SUITE INCLUDES A 1.9 MILLION SIEMENS SKYRA 3 TESLA MRI THAT DELIVERS CLEANER AND CRISPER IMAGES IN A SHORTER AMOUNT OF TIME AND ALLOWS ABNORMALITIES TO BE DETECTED ON A VERY SMALL SCALE. THE GWV CAMPUS ALSO CONSISTS OF SEVERAL SPECIALTY CENTERS, INCLUDING THE 42,000-SQUARE-FOOT GEISINGER EAST MOUNTAIN SPECIALTY CLINIC AT 1155 EAST MOUNTAIN BOULEVARD. THE FACILITY MAKES IT CONVENIENT FOR PATIENTS TO ACCESS OUTPATIENT SERVICES SUCH AS CAREWORKS WALK-IN CLINIC/URGENT CARE; DERMATOLOGY/MOHS; GENERAL INTERNAL MEDICINE; LABORATORY SERVICES; OBSTETRICS & GYNECOLOGY (OB/GYN); PODIATRY; PRE-SURGICAL TESTING; RADIOLOGY; REPRODUCTIVE ENDOCRINOLOGY; UROGYNECOLOGY AND WOMEN'S HEALTH. THERE IS ALSO THE PRECISION HEALTH CENTER OPENED AS A CAMPUS OF GWV TO HOUSE GEISINGER'S GENOMIC MEDICINE INSTITUTE, THE AUTISM AND DEVELOPMENTAL MEDICINE INSTITUTE (ADMI) AND RESEARCH IN NORTHEASTERN PENNSYLVANIA. THE 178,000 SQUARE FOOT CRITICAL CARE BUILDING FEATURES A 24/7 EMERGENCY DEPARTMENT WITH TRAUMA SERVICES, ROOFTOP HELIPAD, AND INTENSIVE CARE UNIT (ICU). THE EMERGENCY DEPARTMENT CONTAINS A RAPID EVALUATION AREA TO HELP THE TEAM EVALUATE UP TO SIX MORE PATIENTS AT A TIME AND DIRECT THEM TO THE APPROPRIATE LEVEL OF EMERGENCY CARE. THE CRITICAL CARE BUILDING ALSO 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. 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 AND ADVANCED TECHNOLOGY TO OPEN AND REPAIR BLOCKED VESSELS. IN AUGUST 2016, GWV OPENED ITS 8.7 MILLION ELECTROPHYSIOLOGY SUITE THAT INCLUDES TWO CATHETERIZATION LABORATORIES AND EIGHT REMODELED PATIENT ROOMS TO OFFER THE LATEST ADVANCES IN THE TREATMENT OF HEART RHYTHM DISORDERS. 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 INTERSOCIETAL ACCREDITATION COMMISSION (IAC) ACCREDITED NONINVASIVE DIAGNOSTIC LABORATORY. IN 2014, GWV BECAME THE FIRST AND ONLY REGIONAL HOSPITAL TO RECEIVE THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR LEFT VENTRICULAR ASSIST DEVICE (LVAD) TECHNOLOGY, WHICH PROVIDES LIFESAVING CARE FOR HEART FAILURE PATIENTS. IN 2016, GWV EARNED BLUE DISTINCTION CENTER (BDC) AWARD IN CARDIAC CARE BY HIGHMARK BLUE CROSS AND BLUE SHIELD FOR DEMONSTRATED EXPERTISE IN DELIVERING SAFE AND EFFECTIVE CARDIAC CARE, FOCUSING ON CARDIAC VALVE SURGERY, CORONARY ARTERY BYPASS GRAFT (CABG) AND PERCUTANEOUS CORONARY INTERVENTIONS (PCI) EPISODES OF CARE. 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. GWV IS CERTIFIED BY THE QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION PROGRAM, AN AFFILIATE OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO) FOR OUTPATIENT HEMATOLOGY-ONCOLOGY PRACTICES. ALSO LOCATED IN THE HENRY CANCER CENTER IS THE CENTER FOR WOMEN'S IMAGING. 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. GWV IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS' NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). THE RADIOLOGY DEPARTMENT OFFERS A COMPREHENSIVE IMAGING PROGRAM THAT OFFERS 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. GWV EARNED ACCREDITATION BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) FOR COMPUTERIZED TOMOGRAPHY (CT), MAGNETIC RESONANCE IMAGING (MRI) AND NUCLEAR M 461155406 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 false true false false false false false false true true true true false true X 3 0 true 2590 true true true false false false false false false false false false X 6 3 true false false false true true false true true false false true true true true true true true true false PA X WILLIAM M SCHULTZ VP FINANCE CFO 5708087392 1000 E MOUNTAIN DRIVE WILKES BARRE PA 18711 EARL FOURA VICE CHAIR, 0.25 3.75 X 0 0 0 EDELYN L MILLER DIRECTOR 40.00 X 0 1565659 256399 JAEWON RYU MD JD DIRECTOR 40.00 X 0 1596610 218215 ROBERT J DIETZ CHAIR, DIREC 0.25 4.50 X 0 0 0 V CHRIS HOLCOMBE PE VICE CHAIR, 0.25 3.75 X 0 0 0 VIRGINIA MCGREGOR DIRECTOR 0.25 4.00 X 0 0 0 DAVID T FEINBERG MD MBA PRESIDENT, D 40.00 X X 0 3943153 1025348 DANIEL E LOHR ESQUIRE ACLO, ASST S 40.00 X 0 441235 43464 DAVID J FELICIO ESQUIRE EVP, CLO, SE 40.00 X 0 1142940 258756 GERALD V MALONEY DO CMO 40.00 X 0 690415 48195 KARLYN B PAGLIA MD CMO 40.00 X 0 390414 19711 KEVIN F BRENNAN CPA FHFMA EVP, CFO, TR 40.00 X 0 2133432 36848 RONALD BEER MHA FACHE CAO, GNE 40.00 X 437260 0 41247 ERIN A PICA VP SURGERY 40.00 X 311217 0 44744 JOHN ZELONIS AVP, HEART I 40.00 X 241240 0 22044 KIMBERLY A ZIKOWSKI REG. 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THE DEPARTMENT PROMOTES LEGISLATIVE ACTIONS WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND ITS AFFILIATES. LINE 1I: OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. 364612000 954000 8483000 -3653000 370396000 104316000 253720000 10396000 -3820000 364612000 106772000 3027000 -2009000 -3474000 104316000 106445000 5503000 -1560000 -3616000 106772000 94662000 1425000 13880000 -3522000 106445000 0.75000 0.21000 0.04000 false true true 4070446 4070446 155104280 82951648 72152632 919784 344091 575693 274475063 173694656 100780407 34101210 10391845 23709365 201288543 117403804 F 117403804 DUE TO AFFILIATES 40522679 ESTIMATED 3RD PARTY PAYOR SETTLEMENT 9546006 FINANCIAL CONTRACT 9322997 ACCOUNTS RECEIVABLE CREDIT BALANCES 3061093 RENT 12159 62464934 SCHEDULE D, PAGE 2, PART V, LINE 4 TO SUPPORT RESEARCH, CAPITAL, AND PROGRAM EXPENSES AND PATIENT CARE AND PATIENT EDUCATION. SCHEDULE D, PAGE 4, PART XIII EFFECTIVE JULY 1, 2007, GEISINGER(1) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "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 FISCAL YEAR OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE TERMS "SYSTEM- OR "GEISINGER", SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 3890653 3890653 3890653 false false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 3,890,653 true true X true X 3.000000000000 false true true false true true 2750390 2750390 0.00550 90767194 61310777 29456417 0.05860 1782146 1649630 132516 0.00030 95299730 62960407 32339323 0.06430 1287646 1287646 0.00260 7338616 2576875 4761741 0.00950 4096254 4096254 0.00810 12722516 2576875 10145641 0.02020 108022246 65537282 42484964 0.08450 true 19755563 3160890 104384765 125241336 -20856571 X true true 1 1 GEISINGER WYOMING VALLEY MEDICAL CENTER 1000 EAST MOUNTAIN DRIVE WILKESBARRE PA 18711 WWW.GEISINGER.ORG 148901 X X X X X GEISINGER WYOMING VALLEY MEDICAL CENTER 1 false false true X X X X X X X X X X 15 true true false true X WWW.GEISINGER.ORG X WWW.GEISINGER.ORG X true 16 true WWW.GEISINGER.ORG false true X 300.000000000000 X X X X X true true X X X X true X WWW.GEISINGER.ORG - REFER TO SECTION C X WWW.GEISINGER.ORG - REFER TO SECTION C X WWW.GEISINGER.ORG - REFER TO SECTION C X X X X X X X true X false X X X X X true X false false FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 5 SECTION B., COMMUNITY HEALTH NEEDS ASSESSMENT, LINES 3, 5 AND 6A: GEISINGER WYOMING VALLEY MEDICAL CENTER ("GWV- OR THE "HOSPITAL"), A 182- BED COMMUNITY MEDICAL CENTER LOCATED IN WILKES-BARRE, PA, IN RESPONSE TO ITS COMMUNITY COMMITMENT, CONTRACTED WITH TRIPP UMBACH TO FACILITATE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). GWV INCLUDES GEISINGER SOUTH WILKES-BARRE (GSWB) AN OUTPATIENT AND URGENT CARE FACILITY. A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BETWEEN OCTOBER 2014 AND MARCH 2015 THAT IDENTIFIES THE NEEDS OF THE RESIDENTS SERVED BY BOTH FACILITIES (FURTHER REFERRED TO AS GWV). DURING THE CHNA PROCESS, GWV COLLABORATED WITH HOSPITALS AND OUTSIDE ORGANIZATIONS IN THE SURROUNDING REGION (INCLUDING COLUMBIA, LUZERNE AND MONTOUR COUNTIES). THE COMMUNITY SERVED BY GWV INCLUDES LUZERNE COUNTY. GWV'S PRIMARY SERVICE AREA INCLUDES 8 ZIP CODE AREA WHERE 80% OF THE HOSPITAL'S INPATIENT DISCHARGES ORIGINATED. THE CHNA PROCESS INCLUDED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITIES, INCLUDING THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE. THE FOLLOWING IS A LIST OF ORGANIZATIONS THAT PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN SOME WAY: ADVOCACY ALLIANCE, ALLIED SERVICES FOUNDATION, CATHOLIC SOCIAL SERVICES, DENTAL HEALTH CLINIC, GEISINGER FAMILY, NORTHEAST PENNSYLVANIA INITIATIVE, PA OFFICE OF RURAL HEALTH, PA DEPARTMENT OF HEALTH-NORTHEAST DIVISION, REHABILITATION COMMUNITY PROVIDER ASSOCIATION, SCRANTON CHAMBER OF COMMERCE, SCRANTON SCHOOL DISTRICT, SENIOR CENTERS, THE WRIGHT CENTER, UNITED NEIGHBORHOOD CENTERS, UNITED WAY OF WYOMING VALLEY, VOLUNTEERS IN MEDICINE FREE CLINIC AND WILKES-BARRE CITY HEALTH DEPARTMENT. TRIPP UMBACH, HEADQUARTERED IN PITTSBURGH, PA, IS A RECOGNIZED NATIONAL LEADER IN CONDUCTING CHNAS, HAVING CONDUCTED MORE THAN 250 CHNAS OVER THE PAST 20 YEARS. TODAY, MORE THAN 1 IN 5 AMERICANS LIVE IN A COMMUNITY WHERE TRIPP UMBACH HAS COMPLETED A CHNA. PAUL UMBACH, FOUNDER AND PRESIDENT OF TRIPP UMBACH, IS AMONG THE MOST EXPERIENCED COMMUNITY HEALTH PLANNERS IN THE NATION, HAVING DIRECTED PROJECTS IN EVERY STATE AND INTERNATIONALLY. TRIPP UMBACH HAS WRITTEN TWO NATIONAL GUIDE BOOKS ON THE TOPIC OF COMMUNITY HEALTH AND HAS PRESENTED AT MORE THAN 50 STATE AND NATIONAL HEALTH CONFERENCES. THE TRIPP UMBACH TEAM BROUGHT MORE THAN 30 YEARS OF COMBINED EXPERIENCE TO THE PROJECT. KEY DATA SOURCES IN THE CHNA INCLUDED: CHNA PLANNING: A SERIES OF PLANNING MEETINGS WAS FACILITATED BY TRIPP UMBACH AND THE CHNA OVERSIGHT COMMITTEE, CONSISTING OF REPRESENTATIVES FROM GWV AND OTHER PARTICIPATING HOSPITALS AND ORGANIZATIONS (I.E., GEISINGER MEDICAL CENTER, GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY FORMERLY GEISINGER HEALTHSOUTH REHABILITATION HOSPITAL, GEISINGER COMMUNITY MEDICAL CENTER, GEISINGER LEWISTOWN HOSPITAL, GEISINGER BLOOMSBURG HOSPITAL, AND EVANGELICAL COMMUNITY HOSPITAL.) SECONDARY DATA: THE HEALTH OF THE COMMUNITY IS LARGELY RELATED TO THE CHARACTERISTICS OF ITS RESIDENTS. AN INDIVIDUAL'S AGE, RACE, GENDER, EDUCATION AND ETHNICITY OFTEN DIRECTLY OR INDIRECTLY IMPACT HEALTH STATUS AND ACCESS TO CARE. TRIPP UMBACH COMPLETED COMPREHENSIVE ANALYSIS OF HEALTH STATUS AND SOCIO-ECONOMIC FACTORS RELATED TO THE HEALTH OF THE COMMUNITY RESIDENTS FROM EXISTING DATA SOURCES SUCH AS, STATE AND COUNTY PUBLIC HEALTH AGENCIES, THE CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY HEALTH RANKINGS, THOMPSON REUTERS, CNI, HEALTHY PEOPLE 2020 AND OTHER DATA SOURCES. TRENDING FROM 2012 CHNA: IN 2012, GWV CONTRACTED WITH TRIPP UMBACH TO COMPLETE A CHNA FOR THE SAME SERVICE AREA, LUZERNE COUNTY. THE DATA SOURCES USED WERE NOT THE SAME DATA SOURCES USED IN THE 2012 CHNA. HOWEVER, TRIPP UMBACH USED DATA FOR THE SAME YEARS WHICH MADE IT POSSIBLE TO REVIEW TRENDS AND CHANGES ACROSS THE HOSPITAL SERVICE AREA. DATA AND FINDINGS FROM THE PREVIOUS CHNA WERE CONSIDERED AND CARRIED OVER TO THIS CHNA WHEN APPLICABLE. THERE WERE SEVERAL DATA SOURCES WITH CHANGES IN THE DEFINITION OF SPECIFIC INDICATORS, WHICH RESTRICTED THE USE OF TRENDING IN SEVERAL CASES. THE FACTORS THAT COULD NOT BE TRENDED ARE CLEARLY DEFINED IN THE SECONDARY DATA. INTERVIEWS WITH KEY STAKEHOLDERS: TRIPP UMBACH WORKED CLOSELY WITH THE COLLABORATING ORGANIZATIONS TO IDENTIFY LEADERS FROM ORGANIZATIONS THAT 1) HAD PUBLIC HEALTH EXPERTISE, 2) WERE PROFESSIONALS WITH ACCESS TO HEALTH- RELATED DATA AND 3) WERE REPRESENTATIVES OF UNDERSERVED POPULATIONS (I.E., CHILDREN, SENIORS, LOW-INCOME RESIDENTS, HOMELESS, DISABLED AND RESIDENTS THAT OF THE LATINO(A), AND RESIDENTS THAT WERE UNINSURED. A SERIES OF 15 INTERVIEWS WERE COMPLETED WITH KEY STAKEHOLDERS IN THE COMMUNITY, INCLUDING: ADVOCACY ALLIANCE, ALLIED SERVICES FOUNDATION, CATHOLIC SOCIAL SERVICES, GEISINGER FAMILY, NORTHEAST PENNSYLVANIA INITIATIVE, PA OFFICE OF RURAL HEALTH, PA DEPARTMENT OF HEALTH-NORTHEAST DIVISION, REHABILITATION COMMUNITY PROVIDER ASSOCIATION, SCRANTON CHAMBER OF COMMERCE, SCRANTON SCHOOL DISTRICT, SENIOR CENTERS, THE WRIGHT CENTER, UNITED NEIGHBORHOOD CENTERS, UNITED WAY OF WYOMING VALLEY, VOLUNTEERS IN MEDICINE FREE CLINIC AND WILKES-BARRE CITY HEALTH DEPARTMENT. SURVEY OF VULNERABLE POPULATIONS: VULNERABLE POPULATIONS WERE IDENTIFIED BY THE CHNA OVERSIGHT COMMITTEE AND THROUGH STAKEHOLDER INTERVIEWS. VULNERABLE POPULATIONS TARGETED BY THE SURVEYS WERE SENIORS, LOW INCOME RESIDENTS (INCLUDING FAMILIES), RESIDENTS WITH BEHAVIORAL HEALTH NEEDS AND RESIDENTS THAT ARE UNINSURED. A TOTAL OF 93 SURVEYS WERE COLLECTED IN THE GWV SERVICE AREA. TRIPP UMBACH WORKED WITH THE HOSPITAL ORGANIZATIONS TO DESIGN A 33- QUESTION HEALTH STATUS SURVEY THAT WAS ADMINISTERED BY COMMUNITY BASED ORGANIZATIONS (I.E., UNITED WAY OF WYOMING VALLEY, THE WRIGHT CENTER, THE EDWARD R. LEAHY JR. CENTER CLINIC FOR THE UNINSURED, AND VOLUNTEERS IN MEDICINE FREE CLINIC) PROVIDING SERVICES TO VULNERABLE POPULATIONS IN THE HOSPITAL SERVICE AREA. COMMUNITY BASED ORGANIZATIONS (CBOS) WERE TRAINED TO ADMINISTER THE SURVEY USING HAND-DISTRIBUTION. SURVEYS WERE ADMINISTERED ONSITE AND SECURELY MAILED TO TRIPP UMBACH FOR TABULATION AND ANALYSIS. IN THIS CASE TRIPP UMBACH ASKED THE CBOS TO SELF-SELECT INTO THE STUDY RESULTING IN SEVERAL POPULATIONS THAT HAVE GREATER REPRESENTATION IN RAW DATA (I.E., SENIORS, LOW-INCOME, ETC.). THE MAJORITY OF THE SURVEY RESPONDENTS FOR LUZERNE COUNTIES REPORTED THEIR RACE AS WHITE (78.8%), THE NEXT LARGEST RACIAL GROUP WAS BLACK AND AFRICAN AMERICAN (8.2%) AND THIRD LARGEST WAS HISPANIC (8.2%). THE HOUSEHOLD INCOME LEVEL WITH THE MOST RESPONSES WAS LESS THAN 10,000 FOR LUZERNE COUNTY (23.1%). PRIORITIZATION OF TOP COMMUNITY HEALTH NEEDS: TOP HEALTH NEEDS WERE IDENTIFIED BY COMMUNITY LEADERS DURING A SERIES OF REGIONAL COMMUNITY HEALTH NEEDS IDENTIFICATION FORUMS HELD ON MARCH 5, 2015. CONSULTANTS PRESENTED TO COMMUNITY LEADERS THE CHNA FINDINGS FROM ANALYZING SECONDARY DATA, KEY STAKEHOLDER INTERVIEWS AND SURVEYS. COMMUNITY LEADERS DISCUSSED THE DATA PRESENTED, SHARED THEIR VISIONS AND PLANS FOR COMMUNITY HEALTH IMPROVEMENT IN THEIR COMMUNITIES, AND IDENTIFIED AND PRIORITIZED THE TOP COMMUNITY HEALTH NEEDS IN THE GWV COMMUNITY. PUBLIC COMMENT REGARDING THE 2012 CHNA AND IMPLEMENTATION PLAN: TRIPP UMBACH SOLICITED PUBLIC COMMENTARY FROM COMMUNITY LEADERS AND RESIDENTS. COMMENTERS WERE PROVIDED ACCESS AND ASKED TO REVIEW THE CHNA AND ACTION PLAN ADOPTED FOR THE FISCAL YEAR BEGINNING JULY 1, 2013. COMMENTERS WERE THEN ASKED TO RESPOND TO A QUESTIONNAIRE WHICH PROVIDED OPEN AND CLOSED RESPONSE QUESTIONS. THE PRIOR CHNA AND IMPLEMENTATION PLAN ALONG WITH THE QUESTIONNAIRE WERE OFFERED IN HARD COPY AT TWO LOCATIONS INSIDE THE HOSPITAL AND WERE ALSO PROVIDED ELECTRONICALLY USING A WEB-BASED PLATFORM. THERE WERE NO RESTRICTIONS OR QUALIFICATIONS REQUIRED OF PUBLIC COMMENTERS. FLYERS WERE CIRCULATED AND ELECTRONIC INVITATIONS WERE MADE FOR PUBLIC COMMENT THROUGHOUT THE PROCESS WHICH LASTED FROM DECEMBER 2014 THROUGH FEBRUARY 2015. GWV DID NOT RECEIVE ANY FEEDBACK RELATED TO THE PREVIOUS CHNA OR IMPLEMENTATION PLAN DURING THE COLLECTION PERIOD. THROUGHOUT THIS DOCUMENT THE TERMS "SYSTEM- OR "GEISINGER" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH ("GH") AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 6A SEE EXPLANATION TO PART V, LINE 3 AND 5. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 11 BELOW ARE SYSTEM-WIDE PROGRAMS OFFERED BY GEISINGER TO FULFILL COMMUNITY NEEDS IDENTIFIED IN GWV'S 2015 CHNA. SOME PROGRAMS ARE COMPLETELY OPERATED OR FUNDED BY GEISINGER AND SOME ARE OFFERED IN COOPERATION WITH LOCAL HEALTH AND HUMAN SERVICE AGENCIES. FOR MORE SPECIFIC NEEDS FOUND IN OUR LOCAL COMMUNITIES, WE OFFER PROGRAMS TO SERVE PATIENTS CLOSE TO HOME. THE TOP THREE NEEDS IDENTIFIED IN THE MOST RECENT AND/OR PAST CHNA SURVEYS FALL INTO ONE OF THREE COMMUNITY NEED CATEGORIES: 1)IMPROVING ACCESS TO HEALTHCARE: THE MOST SIGNIFICANT NEED IDENTIFIED WAS FOR BETTER, FASTER, MORE CONVENIENT AND LESS COSTLY ACCESS TO HEALTHCARE SERVICES. GEISINGER IS TAKING INNOVATIVE STEPS TO ADDRESS BARRIERS TO HEALTHCARE AND HELP PROVIDE PHYSICAL, MENTAL, DENTAL, REHABILITATIVE AND PREVENTIVE SERVICES TO PATIENTS, REGARDLESS OF THEIR HEALTH INSURANCE STATUS. THE TOPICS ADDRESSED INCLUDE: HOW TO FIND THE RIGHT DOCTOR, PROVIDER OR FACILITY; SPECIAL SERVICES PROVIDED TO PATIENTS WITH SPECIFIC NEEDS (SUCH AS THE ELDERLY, UNDERINSURED OR UNINSURED); TRAUMA PREVENTION AND TREATMENT; AND MANY OTHERS. 2)ADDRESSING BEHAVIORAL HEALTH AND SUBSTANCE ABUSE: GEISINGER HAS A WIDE RANGE OF PROGRAMS TO HELP PATIENTS FIND HEALTHCARE SERVICES WHEN THEY'RE FACING BEHAVIORAL HEALTH CHALLENGES OR STRUGGLING WITH ADDICTION. ALZHEIMER'S DISEASE AND OTHER AGING BRAIN ISSUES AS WELL AS ALCOHOLISM AND OPIOID ABUSE ARE ADDRESSED IN A LARGE AND GROWING NUMBER OF PROGRAMS SPECIFICALLY AIMED AT EXPANDING SERVICES. 3)IMPROVING HEALTHY BEHAVIORS: GEISINGER HAS NUMEROUS EDUCATIONAL PROGRAMS TO HELP PATIENTS LIVE WELL. EFFORTS INCLUDE COMMUNITY AND OUTREACH PROGRAMS THAT BRING HEALTHCARE PROFESSIONALS, EDUCATION, NUTRITION AND MEDICATION TO THE PEOPLE. OUR GOAL IS TO ASSIST PATIENTS WITH THEIR HEALTH BEFORE A SERIOUS PROBLEM ARISES SENDING THEM TO THE HOSPITAL. IMPROVING ACCESS TO HEALTHCARE COMPLEX CARE, CLOSER TO HOME: HEART, LUNG AND KIDNEY DISEASE TREATMENT ARE USUALLY FOUND AT LARGE HEALTH FACILITIES. LONG DRIVES TO A HOSPITAL, LACK OF TRANSPORTATION OPTIONS AND OF SPECIALISTS IN THE AREA MAKES ACCESS TO CARE DIFFICULT. OUR SPECIALISTS TRAVEL SO PATIENTS ARE PROVIDED WITH NEEDED, CONVENIENT SPECIALTY CARE, WITHOUT LONG DRIVES OR THE CHALLENGES OF SEEKING CARE ONLY AT A HOSPITAL. INSTEAD, OUR SPECIALISTS TRAVEL ACROSS THE REGION TO CLINICS THAT PROVIDE ADVANCED CARE, WITH THE BENEFIT OF BETTER TRACKING OF PATIENTS WITH CHRONIC CONDITIONS. CLINICS ARE STAFFED WITH DOCTORS, NURSES AND OTHER HEALTHCARE PROFESSIONALS AND DIAGNOSTIC LAB AND IMAGING SERVICES. MANY LOCATIONS ALSO OFFER SPECIALTY PEDIATRIC AND WOMEN'S HEALTH SERVICES. OUR SPECIALISTS, INCLUDING CARDIOLOGY, DERMATOLOGY, COMPLEX ORTHOPAEDIC AND THORACIC SURGERY AND NEUROSURGERY ARE AVAILABLE IN MORE THAN 30 COMMUNITIES ACROSS NE AND CENTRAL PA. GEISINGER HEALTH PLAN (GHP): COMPREHENSIVE COVERAGE FOR THE UNINSURED AND SENIORS: GHP, A NONPROFIT HMO, OFFERS AFFORDABLE HEALTH PLANS SERVING THE MOST VULNERABLE IN OUR COMMUNITIES: UNINSURED ADULTS, CHILDREN AND SENIORS. GHP FAMILY IS A MEDICAL-ASSISTANCE, MANAGED-CARE PLAN THAT OFFERS COMPREHENSIVE COVERAGE TO UNINSURED AND UNDERINSURED RESIDENTS OF 22 COUNTIES IN PA. MANY SERVICES ARE PROVIDED AT NO COST, INCLUDING DOCTOR'S OFFICE VISITS, EMERGENCY CARE, PREVENTIVE SERVICES (INCLUDING IMMUNIZATIONS AND SCREENINGS), DIABETES CARE, MATERNITY CARE, DENTAL AND VISION SERVICES AND PRESCRIPTION DRUGS. THERE IS ALSO 24-HOUR ACCESS TO E-NURSES AND HEALTH COACHES. GHP KIDS OFFERS HEALTH COVERAGE TO UNINSURED CHILDREN UNDER 20 YEARS OF AGE IN 40 COUNTIES THROUGH PA'S CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP). FOR MOST CHIP IS FREE AND INCLUDES ROUTINE CHECKUPS AND IMMUNIZATIONS, PRESCRIPTION DRUGS, VISION AND DENTAL SERVICES AND EMERGENCY CARE. FOR SENIORS, NAVIGATING THE COMPLEXITIES OF HEALTHCARE COVERAGE CAN BE OVERWHELMING. GHP OFFERS A DUAL ELIGIBILITY PLAN FOR SENIORS WHO QUALIFY FOR MEDICARE PARTS A AND B COVERAGE AS WELL AS MEDICAID. GEISINGER GOLD SECURE RX IS DESIGNED TO MAKE MEDICAL EXPENSES MORE PREDICTABLE, ALLOW BETTER COORDINATION AMONG PROVIDERS AND LOWER OUT-OF-POCKET EXPENSES FOR SENIORS. THIS PLAN OFFERS CONVENIENT BENEFITS WITH LOW OR NO PREMIUMS, A SINGLE ID CARD, PRESCRIPTION DRUG COVERAGE, DENTAL AND VISION SERVICES, FITNESS PROGRAMS AND CARE MANAGEMENT NURSES. PROVENHEALTH NAVIGATOR: IS A TEAM-ORIENTED MEDICAL HOME. A MEDICAL "HOME" IS A PATIENT-CENTERED MODEL OF CARE LED BY THE PATIENT'S PRIMARY DOCTOR AND A TEAM OF HEALTHCARE PROFESSIONALS WORKING TOGETHER TO ENSURE THE PROPER CARE. THE TEAM OF SPECIALISTS, CARE MANAGERS, PHARMACISTS, SOCIAL WORKERS AND COMMUNITY HEALTH ASSISTANTS WORK WITH THE PATIENT, FAMILY AND CAREGIVERS TO PLAN CARE THAT WILL PREVENT URGENT/EMERGENT CARE VISITS AND HOSPITALIZATIONS. RESEARCH HAS SHOWN THAT PATIENTS UNDER THE MEDICAL HOME MODEL ARE HEALTHIER AND SPEND LESS TIME HOSPITALIZED. MEDICAL HOME CARE FOCUSES ON FREQUENT DOCTOR VISITS AND CONSISTENT FOLLOW-UP BY THE TEAM, WHICH HAS SHOWN TO BENEFIT THOSE WITH CHRONIC ILLNESSES (DIABETES, HEART DISEASE, ETC.) MEDICAL HOME PATIENTS ALSO HAVE ACCESS TO DOCTORS AND PHN CARE MANAGERS 24/7. CARE MANAGERS HELP PATIENTS NAVIGATE THE COMPLEX HEALTHCARE SYSTEM, COORDINATING CARE AND COMMUNICATING WITH THE TEAM OF PROVIDERS. CARE MANAGERS, SOCIAL WORKERS AND COMMUNITY HEALTH ASSISTANTS ARE ALSO AVAILABLE TO HELP OUR PATIENTS ADDRESS DIFFICULT CHALLENGES, SUCH AS COPING WITH MENTAL ILLNESS, ADDICTION, ABUSE AND LOSS AND MANAGING DISABILITIES. THE TEAM ALSO COORDINATES COMMUNITY RESOURCES THAT ARE AVAILABLE AND ASSISTS THE PATIENT WITH THEIR NEEDS. BY EXPANDING OUR SUCCESSFUL MEDICAL HOME INITIATIVE, WE'RE ENSURING THAT OUR PATIENTS HAVE ACCESS TO THE MOST EFFECTIVE MODELS OF CARE. GEISINGER TELEMEDICINE-HEALTHCARE CLOSER TO HOME: IN OUR COUNTY SERVICE AREA, NEARLY HALF OF OUR PATIENT POPULATION RESIDES IN RURAL AREAS, AND MORE THAN 60 PERCENT OF PATIENTS HAVE CHRONIC HEALTH CONDITIONS. OUR TELEMEDICINE PROGRAM ALLOWS PATIENTS TO REMAIN HOME AND STILL RECEIVE SPECIALIZED CARE. OUR PROGRAM USES HIGH-DEFINITION AUDIO/VIDEO TECHNOLOGY AND TOOLS SUCH AS DIGITAL STETHOSCOPES TO CONNECT REMOTE PATIENTS TO OUR HOSPITALS AND PRIMARY CARE CLINICS, AS WELL AS TO NON-GEISINGER FACILITIES. INPATIENTS ARE DIAGNOSED EARLIER, BEGIN TREATMENT SOONER AND AVOID HOSPITAL TRANSFERS, SINCE THEIR PHYSICIANS CAN CONSULT OUR SPECIALISTS ANYWHERE WITHIN OUR SYSTEM. OUR SPECIALISTS HAVE ACCESS TO PATIENTS AT CLINICS ACROSS THE STATE WITHOUT THE PATIENT TRAVELING TO A HOSPITAL TO SEE THE SPECIALIST. THIS SAVES TIME AND REDUCES TRAVEL COSTS AND ALLOWS THE SUPPORT OF LOVED ONES AT HOME. EARLIER DIAGNOSIS REDUCES COSTS FOR EVERYONE. THIS PROGRAM ALLOWS PATIENTS TO CONNECT WITH THE RIGHT SPECIALIST WHEN NEEDED. BY CONNECTING PATIENTS TO OUR SPECIALISTS, ACCESS TO HEALTHCARE IS AVAILABLE TO EVERY PATIENT IN OUR COMMUNITIES. SUPPORT FOR SENIORS AT HOME: LIFE GEISINGER (LIVING INDEPENDENTLY FOR ELDERS) HELPS SENIORS STAY AT HOME, STAY INDEPENDENT AND STAY HEALTHY. THE LIFE GEISINGER TEAM IS ON CALL 24/7, PROVIDING SUPPORT FOR SENIORS AND THEIR LOVED ONES. A PROVIDER TEAM ASSESSES PATIENTS' NEEDS, DEVELOPS CARE PLANS AND DELIVERS THE SERVICES SENIORS AND FAMILIES NEED. TRANSPORTATION SERVICES MAKE HOME DELIVERIES OF SUPPLIES AND/OR MEDICATIONS, CARRY SENIORS TO MEDICAL AND OTHER APPOINTMENTS AND DELIVER LIFE PARTICIPANTS TO AND FROM OUR ADULT DAY CENTERS FOR SCHEDULED VISITS. SENIOR DAY CENTERS OFFER SENIORS COMPREHENSIVE MEDICAL AND SOCIAL SERVICES AND OPPORTUNITIES TO SOCIALIZE AND EXERCISE. OUR ADULT DAY CENTERS ARE OPEN TO ALL SENIORS, REGARDLESS OF WHETHER THEY PARTICIPATE IN LIFE GEISINGER. HIGH-QUALITY, NON-EMERGENCY CARE: FOR PATIENTS EXPERIENCING A NON-EMERGENT INJURY OR ILLNESS, GEISINGER CAREWORKS CLINICS OFFER HIGH-QUALITY MEDICAL SERVICES AT CONVENIENT LOCATIONS THROUGHOUT PA. THESE URGENT CARE CLINICS PROVIDE ECONOMICAL AND CONVENIENT HEALTHCARE FROM HIGHLY TRAINED CERTIFIED NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS. CAREWORKS ATTENDS TO THE MEDICAL NEEDS OF ADULTS AND CHILDREN 12 MONTHS OR OLDER, AND NO APPOINTMENT IS NECESSARY. THE OFFICES COMMUNICATE WITH THE PRIMARY CARE PHYSICIAN ABOUT THE PATIENT'S VISIT. CAREWORKS KEEPS FAMILIES WELL BY INCREASING ACCESS TO OUR PROVIDERS, PROFESSIONALS AND SERVICES IN CONVENIENT COMMUNITY LOCATIONS. BRIDGING THE COMMUNICATIONS GAP: AT GEISINGER, WE SEE PATIENTS WHO HAVE DIFFERENT LEVELS OF HEARING ABILITY AND LITERACY. THEY SPEAK HUNDREDS OF LANGUAGES. TO GIVE OUR PATIENTS THE BEST EXPERIENCE POSSIBLE, WE USE ADVANCED TECHNOLOGY AND CONTINUOUS TRAINING. OUR GOAL IS TO HELP PATIENTS CLEARLY UNDERSTAND AND HOW BEST TO MANAGE THEIR CONDITION. STRATUS IS A VIDEO-INTERPRETING DEVICE USED FOR PATIENTS WHO ARE HEARING-IMPAIRED OR WHO HAVE LIMITED ENGLISH SKILLS. THERE ARE NOW OVER 250 STRATUS DEVICES ACROSS THE SYSTEM. AVAILABLE 24 HRS/DAY IN MORE THAN 200 LANGUAGES, INCLUDING AMERICAN SIGN LANGUAGE, STRATUS IS OPERATED BY TRAINED INTERPRETERS. LANGUAGE LINE IS OUR AUDIO INTE FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 13B RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 16J THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT HTTPS://WWW.GEISINGER.ORG/PATIENT-CARE/PATIENTS-AND- VISITORS/BILLING-AND-INSURANCE/NEED-HELP. IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 20E UNDER NO CIRCUMSTANCE WILL THE HOSPITAL FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL CENTER - PART V, LINE 22 PATIENTS WHOSE HOUSEHOLD INCOME IS 300% OR LOWER OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. PATIENTS WHO MEET THIS CRITERIA ARE ELIGIBLE FOR 100% DISCOUNT ON CHARGES, RESULTING IN 0 CHARGES FOR MEDICALLY NECESSARY CARE. NO OTHER DISCOUNTS ARE AVAILABLE UNDER THE HOSPITAL'S FAP. FREE CARE OR 0 CHARGE IS BELOW THE HOSPITAL FACILITY'S AMOUNT GENERALLY BILLED, AS WELL AS, MEDICARE'S OR MEDICAID'S PROSPECTIVE BILLING AMOUNT. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL CENTER - PART V, LINES 23 AND 24: PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ARE PROVIDED 100% DISCOUNT AND CHARGED 0. SEE ALSO EXPLANATION OF PART V, LINE 22. PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE SUPPORTING DOCUMENTATION FOR ELIGIBILITY MAY CONSIST OF INCOME AND ASSET INFORMATION, INCLUSIVE BUT NOT LIMITED TO: FEDERAL INCOME TAX FORM 1040 FROM THE PRIOR YEAR, PAY STUB COPIES (FROM FOUR PRIOR PAY PERIODS), WRITTEN VERIFICATION OF ANY OTHER INCOME RECEIVED (I.E. SOCIAL SECURITY, ADC, CHILD SUPPORT, ALIMONY, ETC.), CURRENT CREDIT REPORTS AND ASSET VERIFICATION. THE HOSPITAL MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICAL TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY). GEISINGER PROVIDERS, WITHOUT DISCRIMINATION, CARE FOR ALL EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR FINANCIAL ASSISTANCE ELIGIBILITY OR ABILITY TO PAY. IT IS THE POLICY OF GEISINGER HOSPITAL FACILITIES TO COMPLY WITH THE STANDARDS OF THE FEDERAL EMERGENCY MEDICAL TREATEMENT AND ACTIVE LABOR TRANSPORT ACT NOF 1986 ("EMTLA") AND REGULATIONS IN PROVIDING MEDICAL SCREENING EXAMINATION AND SUCH FURTHER TREATMENT AS MAY BE NECESSARY TO STABILIZE AN EMERGENCY MEDICAL CONDITION FOR ANY INDIVIDUAL PRESENTING TO THE EMERGENCY DEPARTMENT SEEKING TREATMENT,. PART I, LINE 6A - RELATED ORGANIZATION INFORMATION COMMUNITY BENEFIT REPORT: A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL AND ITS RELATED CHARITABLE ORGANIZATIONS IS INCLUDED IN GEISINGER'S ANNUAL REPORT AND IS AVAILABLE AT GEISINGER.ORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE REPORT CAN BE FOUND AT: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYERS, SELF-PAY, ETC.). A COST TO CHARGE RATIO, CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS, WAS USED TO CALCULATE THE COST OF CHARITY CARE. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY REFER TO THE RESPONSE FOR PART III, LINE 4. PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER THE HOSPITAL'S UNCOMPENSATED OR CHARITY CARE POLICIES. THE HOSPITAL ESTIMATES THAT APPROXIMATELY 16% OF THE BAD DEBT ACCOUNTS ARE SUBSEQUENTLY RECLASSIFIED TO UNCOMPENSATED OR CHARITY CARE. BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS PART III, LINES 2 AND 4: GEISINGER HEALTH AND ITS AFFILIATES ("GEISINGER"), THAT INCLUDES THE HOSPITAL, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. GEISINGER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL CHARITABLE AFFILIATES. THE ORGANIZATIONS WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTABLE. AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTABLE IN FUTURE PERIODS. FOR THE FOOTNOTES REGARDING ACCOUNTS RECEIVABLE, ALLOWANCES, AND BAD DEBT SEE PAGE 9 OF THE ATTACHED GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, JUNE 30, 2018 AND JUNE 30, 2017. PART III, LINE 8 - MEDICARE EXPLANATION PART III, LINE 3-BAD DEBT: LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE ALLOWED TO BE REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT THAT IS REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND THE COST OF BAD DEBT ARE COMMUNITY BENEFIT AND SHOULD BE INCLUDED ON FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON- DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND IS CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER THE INTERNAL REVENUE CODE ("IRC") 501(C)(3). SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). THIS RULING REMOVED THE PREVIOUS REQUIREMENT OF REVENUE RULING 56-185, KNOWN AS THE "CHARITY CARE STANDARD," THAT IN ORDER TO BE A CHARITABLE ORGANIZATION, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR THEIR CARE. THIS EARLIER RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT MEAN THAT A HOSPITAL WAS CHARITABLE SINCE THAT LEVEL COULD REFLECT THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE SUCH CARE. REVENUE RULING 56-185 ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT IMPACT A HOSPITAL'S CHARITABLE STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. AS DEVELOPED IN REVENUE RULING 69-545, UNDER THE COMMUNITY BENEFIT STANDARD, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THIS RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED THOSE WHO COULD PAY FOR THE SERVICES EITHER BY THEMSELVES, THROUGH PRIVATE INSURANCE OR PUBLIC PROGRAMS SUCH AS MEDICARE. IN ADDITION, THE HOSPITAL OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL WAS CHARITABLE BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM CHARITABLE, AS REQUIRED BY TREASURY REGULATION SECTION 1.501 (C)(3)-1(D)(2). THE IRS RULED THAT THE PROMOTION OF HEALTH, LIKE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES OF THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. THIS ORGANIZATION AGREES WITH THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUED THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) IS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: -PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS REMAINS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. -MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES ONLY 92 CENTS FOR EVERY DOLLAR HOSPITALS SPEND TO CARE FOR MEDICARE PATIENTS. -MANY MEDICARE PATIENTS, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46% OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200% OF THE FEDERAL POVERTY LEVEL. MANY ARE ALSO ELIGIBLE FOR MEDICAID, SO CALLED -DUAL ELIGIBLES". PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE AND BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES. PART III, LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE PERMITTED TO BE REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT THAT IS REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. THE HOSPITAL CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF 23,275,248 SHOULD BE REPORTED AS COMMUNITY BENEFIT ON THE FORM 990, SCHEDULE H, PART I, LINE 7. 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. LIKE MEDICAID, MEDICARE DOES NOT PAY THE FULL COST OF PROVIDING CARE TO THESE PATIENTS, FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITAL 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 MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEED-BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. BOTH THE HOSPITAL AND THE AHA BELIEVE THAT PATIENT BAD DEBT BE REPORTED AS A COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. LIKE MEDICARE UNDERPAYMENTS (SHORTFALLS), BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT BECAUSE: -A SIGNIFICANT PORTION OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO FOR MANY REASONS DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY UNDER THE HOSPITAL'S CHARITY CARE OR FINANCIAL ASSISTANCE POLICY (FAP). A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO"), "NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFIT", CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." -THE CBO REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF THE BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR CHARITABLE MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THE EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ACCORDING TO THE CBO REPORT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. (IN FY 2018, APPROXIMATELY 16% OF THE HOSPITAL'S BAD DEBT WAS SUBSEQUENTLY RECLASSIFIED TO CHARITY CARE.) THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE (BAD DEBT AND CHARITY CARE) AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZED NATIONALLY. THE EXPERIENCE OF HOSPITALS NATIONWIDE REINFORCE THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE CHARITABLE MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS' BEAR IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE. FOR FISCAL YEAR ENDED 6/30/2018, THE HOSPITAL'S COST OF PROVIDING PATIENT CARE FOR SERVICES ACCOUNTED FOR AS BAD DEBT WAS 2,215,743. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE HOSPITAL IS COMMITTED TO PROVIDING MEDICALLY NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND THE HOSPITAL'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS THE HOSPITAL'S 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 FINANCIAL/BILLING 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 CIRCUMSTANCES WILL THE HOSPITAL FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE HOSPITAL DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD OR GREATER, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS ARE INITIATED AGAINST THE PATIENT. THE HOSPITAL ENSURES REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE POLICY ("FAP") AND ENSURES THAT THE FOLLOWING ACTIONS ARE TAKEN AT LEAST 30 DAYS PRIOR TO INITIATING AN ECA: 1) THE PATIENT IS PROVIDED WITH WRITTEN NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; IDENTIFIES THE ECAS THAT THE HOSPITAL INTENDS TO TAKE TO OBTAIN PAYMENT FOR CARE; AND STATES A DEADLINE AFTER WHICH ECAS MAY BEGIN. 2) THE PATIENT IS PROVIDED WITH A PLAIN LANGUAGE SUMMARY OF THE FAP; AND 3) REASONABLE EFFORTS ARE MADE TO ORALLY NOTIFY THE PATIENT ABOUT THE FAP AND HOW THE PATIENT MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. THE HOSPITAL PROCESSES APPLICATIONS FOR FINANCIAL ASSISTANCE DURING THE APPLICATION PERIOD. THE APPLICATION BEGINS ON THE DATE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT. PART VI, LINE 2 - NEEDS ASSESSMENT GWV, A 182-BED COMMUNITY MEDICAL CENTER LOCATED IN WILKES-BARRE, PA, IN RESPONSE TO ITS COMMUNITY COMMITMENT, CONTRACTED WITH TRIPP UMBACH TO FACILITATE A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). GWV INCLUDES GSWB AN OUTPATIENT AND URGENT CARE FACILITY. A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BETWEEN OCTOBER 2014 AND MARCH 2015 THAT IDENTIFIED THE NEEDS OF THE RESIDENTS SERVED BY BOTH FACILITIES. AS A PARTNERING HOSPITAL OF A REGIONAL COLLABORATIVE EFFORT TO ASSESS COMMUNITY HEALTH NEEDS; GWV COLLABORATED WITH HOSPITALS AND OUTSIDE ORGANIZATIONS IN THE SURROUNDING REGION (INCLUDING COLUMBIA, LUZERNE AND MONTOUR COUNTIES) DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. SEE ALSO THE DISCUSSION RELATED TO THE RESPONSE TO PART V, LINE 5. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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 PATIENT'S METHOD OF PAYMENT OR INSURANCE STATUS. FOR OTHER THAN URGENT AND EMERGENT SERVICES, THE HOSPITAL PROVIDES UNCOMPENSATED CARE, FREE OF CHARGE, OR ON A 100% DISCOUNTED BASIS, TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. DEPENDING UPON FAMILY SIZE AND INCOME, FREE OR 100% DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS THE HOSPITAL'S 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 FINANCIAL/BILLING PROCESS. INFORMATION (SIGNS, BROCHURES, ETC.) REGARDING THE HOSPITAL'S 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 AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. NOTICE OF THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWW.GEISINGER.ORG. PATIENTS ARE ALSO PROVIDED INFORMATION ON THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL. THE FINANCIAL ASSISTANCE POLICY ("FAP"), THE FAP APPLICATION AND PLAIN LANGUAGE SUMMARY ("PLS") ARE AVAILABLE ON-LINE. PAPER COPIES ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL OR ARE AVAILABLE AT REGISTRATION AREAS WHICH INCLUDES EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL-BASED CLINICS AND PATIENT FINANCIAL SERVICES DEPARTMENTS. ALL FAP DOCUMENTS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED ENGLISH PROFICIENCY ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE HOSPITAL'S SERVICE AREA. SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, ADMISSIONS DEPARTMENT AND REGISTRATION DEPARTMENT THAT INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE AND DISCHARGE PROCESSES. ADDITIONALLY, FINANCIAL COUNSELORS AND CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO ASSIST PATIENTS WITH CONCERNS. PART VI, LINE 4 - COMMUNITY INFORMATION GWV'S 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 1,009,439. THIS POPULATION IS EXPECTED TO DECLINE 0.2% BY 2018, WHILE AN INCREASE IN THE GROWTH RATE IS EXPECTED FOR THE COMMONWEALTH AND THE NATION (1.0% AND 3.3%, RESPECTIVELY). IN 2013, THE 65 AND OVER AGE GROUP IS 18.1% OF THE TOTAL POPULATION, WHICH IS GREATER THAN THE STATE (16.4%) AND NATIONAL (13.9%) PROPORTIONS. ADDITIONALLY, THE 65 AND OVER AGE GROUP IS THE AGE SEGMENT PROJECTED TO EXPERIENCE THE LARGEST FIVE-YEAR POPULATION GROWTH AT 12.5%. THE REGION IS PRIMARILY RURAL, WITH SMALL SUBURBAN AND URBAN POCKETS. AVERAGE HOUSEHOLD INCOME IN 2013 WAS 60,143, WITH APPROXIMATELY 14.4% OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES, IN 2012, WHICH IS A GREATER PROPORTION THAN THE STATE PERCENTAGE OF 13.7%. THE 2012 AVERAGE UNEMPLOYMENT RATE, THE MOST CURRENT FULL YEAR OF COUNTY LEVEL DATA AVAILABLE FROM THE BUREAU OF LABOR STATISTICS, WAS 9.2%, WHICH IS HIGHER THAN BOTH THE STATE RATE OF 7.9% AND THE NATIONAL RATE OF 8.1%. DURING THE ASSOCIATED TIME-PERIOD, THERE WERE 15 NON-GEISINGER GENERAL MEDICAL/SURGICAL HOSPITALS IN THIS MARKET. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART I IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX EXEMPT PURPOSE. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM THE HOSPITAL IS AN AFFILIATE WITHIN GEISINGER. AS ONE OF THE NATION'S LARGEST HEALTH SERVICE ORGANIZATIONS, GEISINGER SERVES MORE THAN 3 MILLION RESIDENTS THROUGHOUT 45 COUNTIES IN CENTRAL, SOUTH-CENTRAL AND NORTHEAST PENNSYLVANIA, AND IN SOUTHERN NEW JERSEY AT ATLANTICARE. IN 2017, THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE AND GEISINGER JERSEY SHORE HOSPITAL BECAME THE NEWEST MEMBERS OF THE GEISINGER FAMILY. THE PHYSICIAN- LED SYSTEM IS COMPRISED OF APPROXIMATELY 30,000 EMPLOYEES, INCLUDING NEARLY 1,600 EMPLOYED PHYSICIANS, 13 HOSPITAL CAMPUSES, TWO RESEARCH CENTERS, AND A 583,000-MEMBER HEALTH PLAN, ALL OF WHICH LEVERAGE AN ESTIMATED 12.7 BILLION POSITIVE IMPACT ON THE PENNSYLVANIA AND NEW JERSEY ECONOMIES. HISTORY. GEISINGER HAD ITS BEGINNINGS IN THE SMALL COMMUNITY OF DANVILLE, WHICH IS LOCATED IN CENTRAL PENNSYLVANIA ON THE NORTHERN BRANCH OF THE SUSQUEHANNA RIVER. THERE, IN 1915, ABIGAIL A. GEISINGER FOUNDED THE GEORGE F. GEISINGER MEMORIAL HOSPITAL IN MEMORY OF HER HUSBAND. FROM THE BEGINNING, THE NEW HOSPITAL WAS DESIGNED AS A COMPREHENSIVE HEALTHCARE INSTITUTION THAT WOULD OFFER SPECIALIZED MEDICAL CARE TO PEOPLE IN THE RURAL AREAS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA. UNLIKE MOST HEALTHCARE SYSTEMS, WHICH EVOLVED WITH A HOSPITAL FOCUS, GEISINGER'S HISTORY AND TRADITION IS THAT OF A PHYSICIAN-LED AND PHYSICIAN-DRIVEN HEALTHCARE ORGANIZATION. THIS TRADITION BEGAN WHEN MRS. GEISINGER BROUGHT DR. HAROLD FOSS, A MAYO CLINIC TRAINED PHYSICIAN, TO BE HER HOSPITAL'S FIRST CHIEF OF STAFF. TODAY, GEISINGER IS REGARDED AS A NATIONAL MODEL OF HEALTHCARE DELIVERY CENTERED ON A SOPHISTICATED MULTISPECIALTY GROUP PRACTICE. SINCE THE 1970S, GEISINGER'S STRATEGY OF INTEGRATING PHYSICIANS AND HOSPITALS EXPANDED TO INCLUDE THE MANAGEMENT OF HEALTH AND THE FINANCING OF HEALTHCARE SERVICES THROUGH ITS WHOLLY CONTROLLED HEALTH MAINTENANCE ORGANIZATION, GEISINGER HEALTH PLAN. TWO INDEMNITY HEALTH INSURERS, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC. HAVE BEEN ADDED IN RECENT YEARS. CORPORATE STRUCTURE. THE ORGANIZATIONAL STRUCTURE OF THE SYSTEM REFLECTS THE STRATEGIC GOAL OF OPERATING AS A FULLY INTEGRATED HEALTHCARE SYSTEM WHOSE CORPORATE COMPONENTS SHARE THE COMMON GOALS OF MANAGING AND IMPROVING THE HEALTHCARE OF ITS PATIENTS AND MEMBERS, WHILE RECOGNIZING AND RESPECTING THE CORPORATE IDENTITY OF EACH ENTITY. THIS INTEGRATION LINKS THE AREAS OF PHYSICIANS, HOSPITALS/CLINICS, AND HEALTHCARE INSURANCE. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER. ADDITIONAL INFORMATION PART VI, LINE 7: FORM 990, SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, THE HOSPITAL AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE. X X X X X X true true false false false false false true false EDELYN L MILLER DIRECTOR 885853 358117 321689 234397 22002 1822058 181433 JAEWON RYU MD JD DIRECTOR 961804 471004 163802 179214 39001 1814825 DAVID T FEINBERG MD MBA PRESIDENT, DIRECTOR 2399174 1339735 204244 996710 28638 4968501 DANIEL E LOHR ESQUIRE ACLO, ASST SECTY 311659 82777 46799 19212 24252 484699 DAVID J FELICIO ESQUIRE EVP, CLO, SECRETARY 668203 273175 201562 234351 24405 1401696 70559 GERALD V MALONEY DO CMO 461354 137476 91585 19212 28983 738610 KARLYN B PAGLIA MD CMO 358667 31747 19212 499 410125 KEVIN F BRENNAN CPA FHFMA EVP, CFO, TREASURER 941959 427380 764093 19212 17636 2170280 RONALD BEER MHA FACHE CAO, GNE 289830 92818 54612 19212 22035 478507 ERIN A PICA VP SURGERY 218310 63375 29532 19212 25532 355961 JOHN ZELONIS AVP, HEART INST/VASC 165807 30525 44908 13522 8522 263284 KIMBERLY A ZIKOWSKI REG. AVP, MEDICINE 160356 31393 33401 12336 16827 254313 MARY P GILDEA MSN RN NEA-BC AVP NURSING SERVICES 175110 34031 57052 15656 22547 304396 JOHN P WIERCINSKI REG VP GNE 228559 228559 LISSA L BRYAN SMITH FORMER 5 HIGHEST 260138 85426 58454 19212 18265 441495 MAUREEN FITZSIMMONS RN NEA-BC FORMER KEY EMPLOYEE 254156 89644 137245 19212 9588 509845 37646 STEVEN B PIERDON MD MMM FORMER OFFICER 343466 287060 10800 26088 667414 8795 SCHEDULE J, PAGE 1, PART I, LINE 4 EDELYN L. MILLER 0 181,433 0 DAVID J. FELICIO, ESQUIRE 0 70,559 0 KEVIN F. BRENNAN, CPA, FHFMA 0 589,978 0 JOHN P. WIERCINSKI 228,559 0 0 LISSA L. BRYAN SMITH 32,856 0 0 MAUREEN FITZSIMMONS, RN, NEA-BC 37,393 37,646 0 STEVEN B. PIERDON, MD, MMM 0 280,202 0 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 GEISINGER OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP. SCHEDULE J, PART III PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. 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- AND "SYSTEM" REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. JILLIAN R GROCHAL FAMILY 35021 EMPLOYEE COMP/BEN false SCHEDULE L, PART V JILLIAN R. GROCHAL IS A FAMILY MEMBER OF MARY P. GILDEA, A FORMER KEY EMPLOYEE OF GEISINGER WYOMING VALLEY MEDICAL CENTER. FORM 990 - ORGANIZATION'S MISSION MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND 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. FORM 990 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 (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 1,745,563,379, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2018. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH 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 COMMUNITY MEDICAL CENTER EIN: 24-0862246 GEISINGER-BLOOMSBURG HOSPITAL EIN: 23-2193572 GEISINGER-LEWISTOWN HOSPITAL EIN: 23-1352187 HOLY SPIRIT HOSPITAL EIN: 23-1512747 GEISINGER COMMONWEALTH SCHOOL OF MEDICINE EIN: 26-0812968 ATLANTICARE REGIONAL MEDICAL CENTER EIN: 21-0634549 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911. FORM 990, PAGE 2, PART III, LINE 4A I.GENERAL INFORMATION GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH, OWNS AND OPERATES A 300-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 AN ACCREDITED LEVEL 2 TRAUMA CENTER, AMERICAN HEART ASSOCIATION ACCREDITED MISSION: LIFELINE ST- ELEVATION MYOCARDIAL INFARCTION (STEMI) RECEIVING CENTER AND JOINT COMMISSION-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 CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. IN 2016, GWV EARNED THE HUMAN RIGHTS CAMPAIGN (HRC) FOUNDATION'S LEADER IN LESBIAN, GAY, BISEXUAL AND TRANSGENDER (LGBT) HEALTHCARE EQUALITY DESIGNATION FOR ITS COMMITMENT TO PROVIDING NON-DISCRIMINATORY QUALITY HEALTHCARE TO THE LGBT COMMUNITY. GEISINGER WYOMING VALLEY MEDICAL CENTER OFFERS COMPREHENSIVE WOMEN'S AND CHILDREN'S SERVICES. THE MEDICAL CENTER'S OBSTETRICS UNIT FEATURES THE AREA'S ONLY SUB-SPECIALTY, FELLOWSHIP-TRAINED REPRODUCTIVE ENDOCRINOLOGIST/INFERTILITY SPECIALIST AS WELL AS A MATERNAL-FETAL MEDICINE SPECIALIST. GEISINGER WYOMING VALLEY'S MATERNAL FETAL MEDICINE SERVICE AT 190 WELLES STREET, FORTY FORT IS FOR MOTHERS AND FAMILIES FACING COMPLEX, HIGH RISK PREGNANCIES FEATURES ULTRASOUND, NON-STRESS TESTING, COMPLEX FETAL MONITORING, AND GENETIC COUNSELING. 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. GWV ALSO OFFERS A 13-BED LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU), THE ONLY LOCATION IN LUZERNE COUNTY PROVIDING THIS LEVEL OF INTENSIVE 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. GWV'S MEDICAL STAFF ALSO INCLUDES A FELLOWSHIP TRAINED PEDIATRIC CARDIOLOGIST. IN 2016, GWV EARNED BLUE DISTINCTION CENTER+ (BDC+) AWARD IN MATERNITY CARE BY HIGHMARK BLUE CROSS AND BLUE SHIELD FOR MEETING QUALITY-FOCUSED CRITERIA THAT EMPHASIZE PATIENT SAFETY AND OUTCOMES REGARDING BOTH VAGINAL AND CESAREAN DELIVERIES. BLUE DISTINCTION CENTERS+ HAVE A PROVEN TRACK-RECORD FOR DELIVERING BETTER RESULTS, INCLUDING FEWER COMPLICATIONS AND READMISSIONS. IN JUNE 2017, GWV OPENED A NEW OBSERVATION UNIT IN PART TO MAKE ITS EMERGENCY DEPARTMENT LESS CONGESTED. THE 10-BED UNIT ALLOWS HOSPITAL STAFF TO CLOSELY MONITOR PATIENTS AND EXPEDITE TESTING AND TREATMENTS. IN AUGUST 2017, GWV COMPLETED A 5.5 MILLION RENOVATION TO ITS MAGNETIC RESONANCE IMAGING (MRI) SUITE TO PROVIDE PATIENTS WITH MORE ADVANCED IMAGING TECHNOLOGY. THE SUITE INCLUDES A 1.9 MILLION SIEMENS SKYRA 3 TESLA MRI THAT DELIVERS CLEANER AND CRISPER IMAGES IN A SHORTER AMOUNT OF TIME AND ALLOWS ABNORMALITIES TO BE DETECTED ON A VERY SMALL SCALE. THE GWV CAMPUS ALSO CONSISTS OF SEVERAL SPECIALTY CENTERS, INCLUDING THE 42,000-SQUARE-FOOT GEISINGER EAST MOUNTAIN SPECIALTY CLINIC AT 1155 EAST MOUNTAIN BOULEVARD. THE FACILITY MAKES IT CONVENIENT FOR PATIENTS TO ACCESS OUTPATIENT SERVICES SUCH AS CAREWORKS WALK-IN CLINIC/URGENT CARE; DERMATOLOGY/MOHS; GENERAL INTERNAL MEDICINE; LABORATORY SERVICES; OBSTETRICS & GYNECOLOGY (OB/GYN); PODIATRY; PRE-SURGICAL TESTING; RADIOLOGY; REPRODUCTIVE ENDOCRINOLOGY; UROGYNECOLOGY AND WOMEN'S HEALTH. THERE IS ALSO THE PRECISION HEALTH CENTER OPENED AS A CAMPUS OF GWV TO HOUSE GEISINGER'S GENOMIC MEDICINE INSTITUTE, THE AUTISM AND DEVELOPMENTAL MEDICINE INSTITUTE (ADMI) AND RESEARCH IN NORTHEASTERN PENNSYLVANIA. THE 178,000 SQUARE FOOT CRITICAL CARE BUILDING FEATURES A 24/7 EMERGENCY DEPARTMENT WITH TRAUMA SERVICES, ROOFTOP HELIPAD, AND INTENSIVE CARE UNIT (ICU). THE EMERGENCY DEPARTMENT CONTAINS A RAPID EVALUATION AREA TO HELP THE TEAM EVALUATE UP TO SIX MORE PATIENTS AT A TIME AND DIRECT THEM TO THE APPROPRIATE LEVEL OF EMERGENCY CARE. THE CRITICAL CARE BUILDING ALSO 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. 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 AND ADVANCED TECHNOLOGY TO OPEN AND REPAIR BLOCKED VESSELS. IN AUGUST 2016, GWV OPENED ITS 8.7 MILLION ELECTROPHYSIOLOGY SUITE THAT INCLUDES TWO CATHETERIZATION LABORATORIES AND EIGHT REMODELED PATIENT ROOMS TO OFFER THE LATEST ADVANCES IN THE TREATMENT OF HEART RHYTHM DISORDERS. 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 INTERSOCIETAL ACCREDITATION COMMISSION (IAC) ACCREDITED NONINVASIVE DIAGNOSTIC LABORATORY. IN 2014, GWV BECAME THE FIRST AND ONLY REGIONAL HOSPITAL TO RECEIVE THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR LEFT VENTRICULAR ASSIST DEVICE (LVAD) TECHNOLOGY, WHICH PROVIDES LIFESAVING CARE FOR HEART FAILURE PATIENTS. IN 2016, GWV EARNED BLUE DISTINCTION CENTER (BDC) AWARD IN CARDIAC CARE BY HIGHMARK BLUE CROSS AND BLUE SHIELD FOR DEMONSTRATED EXPERTISE IN DELIVERING SAFE AND EFFECTIVE CARDIAC CARE, FOCUSING ON CARDIAC VALVE SURGERY, CORONARY ARTERY BYPASS GRAFT (CABG) AND PERCUTANEOUS CORONARY INTERVENTIONS (PCI) EPISODES OF CARE. 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. GWV IS CERTIFIED BY THE QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION PROGRAM, AN AFFILIATE OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO) FOR OUTPATIENT HEMATOLOGY-ONCOLOGY PRACTICES. ALSO LOCATED IN THE HENRY CANCER CENTER IS THE CENTER FOR WOMEN'S IMAGING. 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. GWV IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS' NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). THE RADIOLOGY DEPARTMENT OFFERS A COMPREHENSIVE IMAGING PROGRAM THAT OFFERS 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. GWV EARNED ACCREDITATION BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) FOR COMPUTERIZED TOMOGRAPHY (CT), MAGNETIC RESONANCE IMAGING (MRI) AND NUCLEAR MEDICINE, AND GSWB EARNED THE ACCRE 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 GEISINGER ORGANIZATIONS. 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 1099'S FILED BY GSS FOR THE 2017 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,739. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN. IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF. 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, THREE VOTING MEMBERS ARE NOT INDEPENDENT BECAUSE THEY ARE COMPENSATED AS EMPLOYEES OF RELATED TAX-EXEMPT ORGANIZATIONS. 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? DANIEL E. LOHR, ESQUIRE, DAVID J. FELICIO, ESQUIRE, DAVID T. FEINBERG, MD, MBA, EARL FOURA, EDELYN L. MILLER, GERALD V. MALONEY, DO, JAEWON RYU, MD, JD, KEVIN F. BRENNAN, CPA, FHFMA, ROBERT J. DIETZ, RONALD BEER, MHA, FACHE, V. CHRIS HOLCOMBE, PE, AND VIRGINIA MCGREGOR ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATE OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. 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, 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. 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. 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 BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER 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 GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER 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 REPORTING PERIOD. FORM 990, PAGE 6, PART VI, LINE 12C 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 LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEES 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. FORM 990, PAGE 6, PART VI, LINE 15A 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. FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. FORM 990, PAGE 6, PART VI, LINE 19 THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS. FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 TRANSFER FROM PARENT, GEISINGER HEALTH 452,013 TRANSFER TO PARENT, GEISINGER HEALTH -231,511 TOTAL 220,502 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'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. GEISINGER HEALTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 N/A true GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GH true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSICIAN PA 501C3 12A GH true MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GH true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS PA 501C4 GH true GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 12A GH true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 10 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 12A GH true COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GH true MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232568288 LONG TERM PA 501C3 10 GH true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GH true GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKILLED NU PA 501C3 10 GH true GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501C3 3 GH true LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344362 HOLDING CO PA 501C3 12A GH true FAMILY HEALTH ASSOCIATES OF GLH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251651582 PHYSICIAN PA 501C3 12A GH true KEYSTONE HEALTH INFORMATION EXCH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501C3 12A GH true HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SV PA 501C3 12A CMC true HOLY SPIRIT HEALTH SYSTEM 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251865142 PHILANTHRO PA 501C3 12A GH true HOLY SPIRIT HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231512747 HOSPITAL PA 501C3 3 HSHS true HOLY SPIRIT CORPORATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232214540 HOLDING CO PA 501C2 HSHS true SPIRIT PHYSICIAN SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251766971 PHYSICIAN PA 501C3 10 HSHS true WEST SHORE ADVANCED LIFE SUPP SVCS 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232463002 HEALTHCARE PA 501C3 7 HSHS true GEISINGER COMMONWEALTH SCH OF MED 525 PINE STREET SCRANTON PA 18509 260812968 EDUCATION PA 501C3 2 GH true GEISINGER JERSEY SHORE HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240792115 HOSPITAL PA 501C3 3 GH true GEISINGER JERSEY SHORE HOSPITAL FND 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232480603 HEALTHCARE PA 501C3 3 GH true ATLANTICARE BEHAVORIAL HEALTH INC 2511 FIRE ROAD EGG HARBOR TOWNSHIP NJ 08234 210721208 HEALTHCARE NJ 501C3 7 ARHS true ATLANTICARE FOUNDATION 6725 DELILAH ROAD EGG HARBOR TOWNSHIP NJ 08234 222148992 SUPPORT AR NJ 501C3 7 AH SYSTEM true ATLANTICARE HEALTH ENGAGEMENT INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 611608389 HEALTHCARE NJ 501C3 12A AH SYSTEM true ATLANTICARE HEALTH SERVICES INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223265214 HEALTHCARE NJ 501C3 10 ARHS true ATLANTICARE HEALTH SYSTEM INC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223265213 SUPPORT AR NJ 501C3 12A GH true ATLANTICARE REGIONAL MEDICAL CENTER 1925 PACIFIC AVENUE ATLANTIC CITY NJ 08401 210634549 HOSPITAL NJ 501C3 3 ARHS true ATLANTICARE PHYSICIAN GROUP PA 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 020701782 HEALTHCARE NJ 501C3 10 AH SYSTEM true ATLANTICARE REGIONAL HEALTH SERVICE 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 800834222 HOLDING CO NJ 501C3 12A AH SYSTEM true GNJ PHYSICIANS GROUP PC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 820681884 HEALTHCARE NJ 501C3 10 GH true KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 454475297 ACO PA N/A false false 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 NETWORKLLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ORG DEL SY 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 LEMED II 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232391766 RENTAL PA N/A false false GEISINGER-SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 HEALTHCARE DE N/A false false CAMP HILL AMBULATORY SURG CTR LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597478 HEALTHCARE PA N/A false false GRANDVIEW SURGERY CENTER LTD 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 521597483 HEALTHCARE PA N/A false false LACKAWANNA PHYS AMB SURG CTRLLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 233024998 HEALTHCARE PA N/A false false SOUTHERN JERSEY ONCOLOGY PROPERTIES 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 943463625 HEALTHCARE NJ N/A false false ATLANTICARE SURGERY CENTER LLC 2500 ENGLISH CREEK AVENUE EGG HARBOR TOWNSHIP NJ 08234 223491867 HEALTHCARE NJ N/A false false COOPERATIVE HEALTH SRVS OF S JERSEY 1301 ATLANTIC AVENUE ATLANTIC CITY NJ 08401 223619231 PURCHASING NJ N/A false false ISS SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A true GEISINGER INDEMNITY INSURANCE CO 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 XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE N/A true GEISINGER ASSURANCE COMPANY LTD 878 WEST BAY ROAD PO BOX 1159 GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 981016737 INSURANCE CJ N/A true HOLY SPIRIT VENTURES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232407709 MED. SERV. PA N/A true ENGLISH CREEK ASSURANCE LTD 44 CHURCH STREET HM12 HAMILTON BERMUDA BERMUDA BD 980656394 FINANCIAL BD N/A true ATLANTICARE HEALTH SOLUTIONS INC 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 383856295 ACO/HEALTH NJ N/A true ATLANTICARE ASSURANCE ALLIANCE INC 2500 ENGLISH CREEK AVENUE BLDG 500 EGG HARBOR TOWNSHIP NJ 08234 463730123 HEALTHCARE NJ N/A true true false true false false false false false true false true true true false false true false true false GEISINGER ASSURANCE COMPANY LTD L 2431392 GAAP GEISINGER BLOOMSBURG HOSPITAL L 8847 GAAP GEISINGER CLINIC M 41134877 GAAP GEISINGER CLINIC K 1037990 FMV GEISINGER CLINIC A 273899 FMV GEISINGER CLINIC L 482241 GAAP GEISINGER CLINIC R 2594004 FMV GEISINGER COMMUNITY HEALTH SERVICES M 152577 GAAP GEISINGER COMMUNITY HEALTH SERVICES A 90672 FMV GEISINGER COMMUNITY HEALTH SERVICES L 900925 GAAP GEISINGER COMMUNITY MEDICAL CENTER L 672669 GAAP GEISINGER COMMUNITY MEDICAL CENTER M 40972 GAAP GEISINGER HEALTH M 1421538 GAAP GEISINGER HEALTH C 823413 GAAP GEISINGER HEALTH L 45244 GAAP GEISINGER HEALTH PLAN L 120265226 GAAP GEISINGER INSURANCE CORPORATIONRRG P 1934943 GAAP GEISINGER INSURANCE INDEMNITY CO L 4843491 GAAP GEISINGER LEWISTOWN HOSPITAL L 28613 GAAP GEISINGER LEWISTOWN HOSPITAL M 7125 GAAP GEISINGER MEDICAL CENTER M 12299151 GAAP GEISINGER MEDICAL CENTER L 590841 GAAP GEISINGER QUALITY OPTIONS INC L 11313753 GAAP GEISINGER SYSTEM SERVICES M 74099779 GAAP GEISINGER SYSTEM SERVICES L 51436 GAAP ISS SOLUTIONS INC A 64452 FMV ISS SOLUTIONS INC M 8223241 GAAP MARWORTH L 700 GAAP GEISINGER COMMONWEALTH SCHOOL OF ME M 8425 GAAP GEISINGER SYSTEM SERVICES A 1525175 FMV MARWORTH M 174231 GAAP HOLY SPIRIT HOSPITAL L 275 GAAP HOLY SPIRIT HOSPITAL M 2443 GAAP HOLY SPIRIT HOSPITAL I 231511 GAAP SCHEDULE R FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN 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 GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS.