GEISINGER WYOMING VALLEY MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: GEISINGER WYOMING VALLEY MEDICAL CENTER (EIN 23-1996150)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-13
IRS object ID: 201641349349303434
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule C
Schedule D
Schedule F
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-13T11:29:34-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231996150	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER WYOMING VALLEY MEDICAL	BusinessNameLine1Txt
Business Name Line2	CENTER	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	GEIS	BusinessNameControlTxt
Phone	5702716624	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 49-70	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	178229800	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID J FELICIO ESQUIRE	PersonNm
Person Title	SECRETARY	PersonTitleTxt
Phone	5702716624	PhoneNum
Signature	2016-05-06	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID T FEINBERG MD MBA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 22-01	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	178229800	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$472,494,207	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1976	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or 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.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	2229	TotalEmployeeCnt
Total Volunteers	330	TotalVolunteersCnt
Total Gross UBI	$501,972	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$86,691	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$57,050	PYContributionsGrantsAmt
CY Contributions Grants	$17,500	CYContributionsGrantsAmt
PY Program Service Revenue	$475,169,727	PYProgramServiceRevenueAmt
CY Program Service Revenue	$466,164,490	CYProgramServiceRevenueAmt
PY Investment Income	$4,953,209	PYInvestmentIncomeAmt
CY Investment Income	$5,321,356	CYInvestmentIncomeAmt
PY Other Revenue	$1,598,962	PYOtherRevenueAmt
CY Other Revenue	$856,388	CYOtherRevenueAmt
PY Total Revenue	$481,778,948	PYTotalRevenueAmt
CY Total Revenue	$472,359,734	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$133,363,124	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$129,235,197	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$309,337,592	PYOtherExpensesAmt
CY Other Expenses	$304,855,637	CYOtherExpensesAmt
PY Total Expenses	$442,700,716	PYTotalExpensesAmt
CY Total Expenses	$434,090,834	CYTotalExpensesAmt
PY Revenues Less Expenses	$39,078,232	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,268,900	CYRevenuesLessExpensesAmt
Total Assets BOY	$372,286,927	TotalAssetsBOYAmt
Total Assets EOY	$321,900,796	TotalAssetsEOYAmt
Total Liabilities BOY	$299,164,915	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$316,755,529	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$73,122,012	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,145,267	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$385,818,238	ExpenseAmt
Revenue	$466,744,688	RevenueAmt
Desc	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 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 2013, GEISINGER WYOMING VALLEY'S MATERNAL FETAL MEDICINE SERVICE RELOCATED TO A 6,300 SQUARE FOOT FACILITY AT 190 WELLES STREET, FORTY FORT. THE SERVICE FOR MOTHERS AND FAMILIES FACING COMPLEX, HIGH RISK PREGNANCIES FEATURES ULTRASOUND, NON-STRESS TESTING, COMPLEX FETAL MONITORING, AND GENETIC COUNSELING. 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 MEDICAL CENTER'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, 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. 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. 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. 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. THE RADIOLOGY DEPARTMENT OFFERS A COMPREHENSIVE IMAGING PROGRAM 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. IN OCTOBER, 2013, THE NEUROSURGERY DEPARTMENT RELOCATED INTO A NEWLY RENOVATED, EXPANDED SPACE ON THE SECOND FLOOR OF THE VALLEY MEDICAL BUILDING. THE DEPARTMENT HOUSES THE REGION'S LARGEST TEAM OF NEUROSURGEONS AS WELL AS ONE OF PENNSYLVANIA'S ONLY FELLOWSHIP TRAINED NEUROSURGICAL ONCOLOGISTS. 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. 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. THE ORTHOPAEDIC SURGERY DEPARTMENT IS RECOGNIZED FOR ITS SPECIAL CAPABILITIES IN JOINT REPLACEMENT SURGERY - INCLUDING SERVICES FOR PEOPLE WHO PREVIOUSLY HAD JOINT REPLACEMENTS. ADDITIONALLY, THE STAFF INCLUDES A FELLOWSHIP TRAINED ORTHOPAEDIC HAND SURGEON. OTHER SERVICES INCLUDE A GERIATRIC FRACTURE CARE PROGRAM, ARTHROSCOPIC SURGERY, TREATMENT FOR TRAUMA PATIENTS AND THOSE WITH SPORTS INJURIES. IN JULY, 2012, THE DEPARTMENT RELOCATED TO 1175 EAST MOUNTAIN BOULEVARD, A 25,200-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. GEISINGER WYOMING VALLEY OFFERS OUTPATIENT SERVICES AT 675 BALTIMORE DRIVE, INCLUDING AUDIOLOGY, CARDIAC REHABILITATION, OPHTHALMOLOGY, OPTOMETRY, ORAL SURGERY, NUTRITION, ENDOCRINOLOGY, EAR, NOSE AND THROAT, INFECTIOUS DISEASE, RHEUMATOLOGY AND AN EYE WEAR CENTER. IN JUNE, 2014, GEISINGER WYOMING VALLEY PURCHASED THE 42.294 SQUARE FOOT BUILDING AT 1155 EAST MOUNTAIN BOULEVARD WITH PLANS TO RELOCATE ADDITIONAL OUTPATIENT SERVICES FROM OTHER HOSPITAL CAMPUSES, INCLUDING DERMATOLOGY/MOHS, GENERAL INTERNAL MEDICINE, OBSTETRICS, GYNECOLOGY, PODIATRY, PRE-SURGICAL TESTING, REPRODUCTIVE ENDOCRINOLOGY/FERTILITY, AND UROGYNECOLOGY, AS WELL AS OPEN A NEW CAREWORKS WALK-IN URGENT CARE CLINIC. RESIDENCY AND FELLOWSHIP PROGRAMS 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, 2014 WAS 5.1 MILLION. OTHER SERVICES INCLUDE: COLORECTAL SURGERY COSMETIC AND RECONSTRUCTIVE SURGERY CRITICAL CARE MEDICINE GASTROENTEROLOGY GENERAL SURGERY GI NUTRITION GYNECOLOGIC ONCOLOGY HOSPITALIST PROGRAM LABORA	Desc
Total Program Service Expenses	$385,818,238	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	7	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2229	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	THOMAS BIELECKI VP FINANCE CFO	PersonNm
Phone	5708087397	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 EAST MOUNTAIN DRIVE	AddressLine1Txt
City	WILKES BARRE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	18711	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per WeekAverageHoursPerWeekRt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID T FEINBERG MD MBA
PRES, CHAIR,	40.00	Yes (X)	Yes (X)	$0	$0	$0
DON A ROSINI
DIRECTOR	5.25	Yes (X)		$0	$0	$0	0.25
E ALLEN DEAVER
DIRECTOR	4.25	Yes (X)		$0	$0	$0	0.25
FRANK M HENRY
DIRECTOR	4.25	Yes (X)		$0	$0	$0	0.25
GLENN D STEELE JR MD PHD
PRES, CHAIR,	40.00	Yes (X)	Yes (X)	$0	$4,288,180	$472,126
RICHARD A GRAFMYRE
DIRECTOR	5.25	Yes (X)		$0	$0	$0	0.25
ROBERT J DIETZ
DIRECTOR	5.00	Yes (X)		$0	$0	$0	0.25
ROBERT E POOLE
DIRECTOR	4.75	Yes (X)		$0	$0	$0	0.25
ROBERT L TAMBUR
DIRECTOR, VI	4.50	Yes (X)		$0	$0	$0	0.25
THOMAS H LEE JR MD
DIRECTOR	5.00	Yes (X)		$0	$0	$0	0.25
WILLIAM R GRUVER
DIRECTOR	4.50	Yes (X)		$0	$0	$0	0.25
WILLIAM H ALEXANDER
DIRECTOR	5.50	Yes (X)		$0	$0	$0	0.25
DAVID J FELICIO ESQUIRE
CLO, SECRETA	40.00		Yes (X)	$0	$662,625	$101,181
EDWARD J ZYCH ESQUIRE
ACLO, ASST S	40.00		Yes (X)	$0	$390,565	$42,470
FRANK J TREMBULAK
SR VP, TREAS	40.00		Yes (X)	$0	$1,192,394	$219,582
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE	40.00		Yes (X)	$0	$1,028,344	$201,791
STEVEN B PIERDON MD
CHIEF MEDICA	40.00		Yes (X)	$0	$851,890	$279,385
GERALD MALONEY DO FACP
CHIEF MEDICA	40.00		Yes (X)	$0	$410,304	$42,749	0.00
JOHN J BUCKLEY
CAO, GNE				$248,550	$0	$53,113	40.00	Yes (X)
MARY P GILDEA BSN RN
VP NURSING,				$206,333	$0	$33,154	40.00	Yes (X)
MAUREEN FITZSIMMONS RN NEA-BC
NE, CHIEF NU				$387,570	$0	$60,253	40.00	Yes (X)
RONALD BEER MHA FACHE
VP CLINICAL				$242,006	$33,198	$40,310	40.00	Yes (X)
MARGARET HENNELLY BERGIN RN MSN
CNO, GNE				$242,134	$0	$33,055	40.00	Yes (X)
CARLA J SCOFIELD MS
RADIATION P				$195,602	$0	$27,370	40.00		Yes (X)
CONRAD W SCHINTZ
VP COMMUNITY				$277,565	$0	$36,429	40.00		Yes (X)
ERIN A PICA
AVP, SURGICA				$202,438	$0	$34,399	40.00		Yes (X)
JOHN P WIERCINSKI
VP STRATEGIC				$415,076	$0	$41,019	40.00		Yes (X)
LISSA L BRYAN SMITH
CAO				$360,568	$0	$33,083	40.00		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,777,842	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,857,500	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,751,469	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	64	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
ALLIANCE HEALTHCARE SERVICES
PO BOX 6600	NEWPORT BEACH	CA	926586600	MRI SERVICES	$1,339,272
QUEST DIAGNOSTICS
12436 COLLECTION CENTER DRIVE	CHICAGO	IL	606930124	LAB TESTING	$707,137
E AND B PARKING SERVICE
ONE PARK PLACE SUITE 200	ANNAPOLIS	MD	21401	VALET SERVICE	$660,013
FRESENIUS MANAGEMENT SERVICES
16343 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	HEMODIALYSIS TE	$543,000
SCRIBE AMERICA
20900 NE 30TH AVE	AVENTURA	FL	33180	PHYSICIAN SCRIB	$502,669

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	14	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Membership Dues	$17,500	MembershipDuesAmt
Total Contributions	$17,500	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
HEALTHCARE	622110	$464,286,153	$464,286,153
OTHER PROFESSIONAL SERVICES	621990	$876,504	$876,504
RENTAL INCOME	531120	$491,484		$491,484
LAB REVENUE	621500	$462,391			$462,391
RENTAL INCOME	531120	$37,851			$37,851

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,107	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,730	UnrelatedBusinessRevenueAmt
Exclusion	$8,377	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$466,164,490	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,733,993	TotalRevenueColumnAmt
Exclusion	$1,733,993	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$68	TotalRevenueColumnAmt
Exclusion	$68	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$24,451	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$34,250	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$9,799	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$9,799	TotalRevenueColumnAmt
Exclusion	-$9,799	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$3,665,157	SecuritiesAmt
Other	$22,361	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$41,001	SecuritiesAmt
Other	$59,222	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,624,156	SecuritiesAmt
Other	-$36,861	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,587,295	TotalRevenueColumnAmt
Exclusion	$3,587,295	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PURCHASE DISCOUNTS	900099	$421,243	$421,243
GIFT SHOP	453220	$238,512		$238,512
EHR - MEDICARE & MA	621110	$158,955	$158,955

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$47,477	TotalRevenueColumnAmt
Exclusion	$47,477	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$866,187	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$472,359,734	TotalRevenueColumnAmt
Related Or Exempt Func Income	$465,742,855	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$501,972	UnrelatedBusinessRevenueAmt
Exclusion	$6,097,407	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,326,207	TotalAmt
Program Services	$234,341	ProgramServicesAmt
Management And General	$1,091,866	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$384,152	TotalAmt
Management And General	$384,152	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$96,969,477	TotalAmt
Program Services	$95,094,429	ProgramServicesAmt
Management And General	$1,875,048	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,520,826	TotalAmt
Program Services	$4,367,303	ProgramServicesAmt
Management And General	$153,523	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,667,463	TotalAmt
Program Services	$18,033,535	ProgramServicesAmt
Management And General	$633,928	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,367,072	TotalAmt
Program Services	$7,243,523	ProgramServicesAmt
Management And General	$123,549	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$28,416	TotalAmt
Management And General	$28,416	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$64,362	TotalAmt
Management And General	$64,362	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,940	TotalAmt
Management And General	$1,940	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$347,410	TotalAmt
Program Services	$225,571	ProgramServicesAmt
Management And General	$121,839	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,185,714	TotalAmt
Program Services	$8,315,221	ProgramServicesAmt
Management And General	$3,870,493	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,068	TotalAmt
Program Services	$4,187	ProgramServicesAmt
Management And General	$5,881	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,917,376	TotalAmt
Program Services	$6,122,798	ProgramServicesAmt
Management And General	$794,578	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$104,757	TotalAmt
Program Services	$104,757	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,981,788	TotalAmt
Program Services	$7,094,732	ProgramServicesAmt
Management And General	$887,056	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$465,394	TotalAmt
Program Services	$326,997	ProgramServicesAmt
Management And General	$138,397	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$643,499	TotalAmt
Program Services	$520,722	ProgramServicesAmt
Management And General	$122,777	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,954,407	TotalAmt
Program Services	$6,181,529	ProgramServicesAmt
Management And General	$772,878	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,408,657	TotalAmt
Program Services	$19,918,270	ProgramServicesAmt
Management And General	$2,490,387	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,402,221	TotalAmt
Program Services	$3,376,353	ProgramServicesAmt
Management And General	$25,868	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
INTER-ENTITY SERVICES	$129,361,869	$95,554,909	$33,806,960
MEDICAL SUPPLIES	$100,431,440	$100,281,131	$150,309
UNCOLLECTIBLE EXPENSE	$9,226,572	$9,226,572
INTERCO. TEACHING & ADMIN	$4,009,416	$3,300,228	$709,188

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$310,331	TotalAmt
Program Services	$291,130	ProgramServicesAmt
Management And General	$19,201	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$434,090,834	TotalAmt
Program Services	$385,818,238	ProgramServicesAmt
Management And General	$48,272,596	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$88,658	BOYAmt
EOY	$9,204,757	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,389,574	BOYAmt
EOY	$6,088,712	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,547,036	BOYAmt
EOY	$34,199,084	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$3,393	BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$228,712	BOYAmt
EOY	$176,099	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,090,953	BOYAmt
EOY	$9,142,410	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,161,904	BOYAmt
EOY	$2,369,238	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$409,906,108	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$212,249,217	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$206,305,590	BOYAmt
EOY	$197,656,891	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$17,935,701	BOYAmt
EOY	$6,663,306	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$82,329,161	BOYAmt
EOY	$53,239,976	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,166,594	BOYAmt
EOY	$3,087,794	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$39,651	BOYAmt
EOY	$72,529	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$372,286,927	BOYAmt
EOY	$321,900,796	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,562,542	BOYAmt
EOY	$5,195,556	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$240,003,436	BOYAmt
EOY	$242,890,648	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,598,937	BOYAmt
EOY	$68,669,325	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$299,164,915	BOYAmt
EOY	$316,755,529	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$73,122,012	BOYAmt
EOY	$5,145,267	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$73,122,012	BOYAmt
EOY	$5,145,267	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$372,286,927	BOYAmt
EOY	$321,900,796	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$38,268,900	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,647,021	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$97,598,624	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd

Total Direct Lobbying TotalDirectLobbyingGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,940	FilingOrganizationsTotalAmt
Affiliated Group Total	$672,443	AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,940	FilingOrganizationsTotalAmt
Affiliated Group Total	$672,443	AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$434,088,894	FilingOrganizationsTotalAmt
Affiliated Group Total	$3,815,671,532	AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$434,090,834	FilingOrganizationsTotalAmt
Affiliated Group Total	$3,816,343,975	AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$1,000,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$1,000,000	AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Filing Organizations Total	$250,000	FilingOrganizationsTotalAmt
Affiliated Group Total	$250,000	AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$1,000,000	CurrentYearMinus3Amt
Current Year Minus2	$1,000,000	CurrentYearMinus2Amt
Current Year Minus1	$1,000,000	CurrentYearMinus1Amt
Current Year	$1,000,000	CurrentYearAmt
Total	$4,000,000	TotalAmt

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$640,652	CurrentYearMinus3Amt
Current Year Minus2	$650,175	CurrentYearMinus2Amt
Current Year Minus1	$710,974	CurrentYearMinus1Amt
Current Year	$672,443	CurrentYearAmt
Total	$2,674,244	TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

Field	Value	IRS element (for citing)
Current Year Minus3	$250,000	CurrentYearMinus3Amt
Current Year Minus2	$250,000	CurrentYearMinus2Amt
Current Year Minus1	$250,000	CurrentYearMinus1Amt
Current Year	$250,000	CurrentYearAmt
Total	$1,000,000	TotalAmt

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

Field	Value	IRS element (for citing)
Current Year Minus2	$1,437	CurrentYearMinus2Amt
Total	$1,437	TotalAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$106,445,000	BeginningYearBalanceAmt
Contributions	$5,503,000	ContributionsAmt
Investment Earnings Or Losses	-$1,560,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,616,000	OtherExpendituresAmt
End Year Balance	$106,772,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$94,662,000	BeginningYearBalanceAmt
Contributions	$1,425,000	ContributionsAmt
Investment Earnings Or Losses	$13,880,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,522,000	OtherExpendituresAmt
End Year Balance	$106,445,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$80,086,000	BeginningYearBalanceAmt
Contributions	$8,933,000	ContributionsAmt
Investment Earnings Or Losses	$9,257,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,614,000	OtherExpendituresAmt
End Year Balance	$94,662,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$77,598,000	BeginningYearBalanceAmt
Contributions	$5,172,000	ContributionsAmt
Investment Earnings Or Losses	-$9,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$2,675,000	OtherExpendituresAmt
End Year Balance	$80,086,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$75,302,000	BeginningYearBalanceAmt
Contributions	$627,000	ContributionsAmt
Investment Earnings Or Losses	$13,943,000	InvestmentEarningsOrLossesAmt
Other Expenditures	-$12,274,000	OtherExpendituresAmt
End Year Balance	$77,598,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.24000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.65000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.11000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,055,616	OtherCostOrOtherBasisAmt
Book Value	$4,055,616	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$154,700,434	OtherCostOrOtherBasisAmt
Depreciation	$74,052,412	DepreciationAmt
Book Value	$80,648,022	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$346,653	OtherCostOrOtherBasisAmt
Depreciation	$225,017	DepreciationAmt
Book Value	$121,636	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$230,621,305	OtherCostOrOtherBasisAmt
Depreciation	$130,165,423	DepreciationAmt
Book Value	$100,455,882	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,182,100	OtherCostOrOtherBasisAmt
Depreciation	$7,806,365	DepreciationAmt
Book Value	$12,375,735	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$197,656,891	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$53,239,976	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$53,239,976	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$26,618,345
ESTIMATED 3RD PARTY PAYOR SETTLEMENT	$20,839,963
FINANCIAL CONTRACT	$12,309,123
ACCOUNTS RECEIVABLE CREDIT BALANCES	$5,318,277
MEDICAL LEGAL CLAIMS ALLOWANCE	$3,583,617

Field	Value	IRS element (for citing)
Total Liability	$68,669,325	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 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 EXPECT 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 YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE 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.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$9,394,243	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$9,394,243	SubtotalSpentAmt
Total Spent	$9,394,243	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PAGE 1, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEAN 0 9,394,243	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	3.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,508,209	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,508,209	NetCommunityBenefitExpnsAmt
Total Expense	0.02190	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,440,957	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,759,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,681,894	NetCommunityBenefitExpnsAmt
Total Expense	0.06610	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,001,622	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,825,059	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$176,563	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$79,950,788	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,584,122	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,366,666	NetCommunityBenefitExpnsAmt
Total Expense	0.08840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$818,978	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$818,978	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,011,828	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,237,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,774,570	NetCommunityBenefitExpnsAmt
Total Expense	0.01100	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,108,250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,108,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,939,056	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,237,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,701,798	NetCommunityBenefitExpnsAmt
Total Expense	0.02230	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$91,889,844	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,821,380	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,068,464	NetCommunityBenefitExpnsAmt
Total Expense	0.11070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,226,573	BadDebtExpenseAmt
Bad Debt Expense Attributable	$4,539,474	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$92,363,373	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$102,693,353	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,329,980	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER WYOMING VALLEY MEDICAL	BusinessNameLine1Txt
Business Name Line2	CENTER	BusinessNameLine2Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1000 EAST MOUNTAIN DRIVE	AddressLine1Txt
City	WILKESBARRE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	18711	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GEISINGER.ORG	WebsiteAddressTxt
State License	148901	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GEISINGER WYOMING VALLEY MEDICAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
Other	Yes (X)	OtherInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.GEISINGER.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.GEISINGER.ORG/SITES/CHNA	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GEISINGER.ORG/SITES/CHNA-2015/GWV	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWWGEISINGERORG REFER TO SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWWGEISINGERORG REFER TO SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWWGEISINGERORG REFER TO SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 5	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 12,000 SURVEYS IN GWV'S 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 SURVEY'S 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 -DISEASE-BASED ORGANIZATION -SOCIAL SERVICE ORGANIZATION -MENTAL AND BEHAVIORAL HEALTH ORGANIZATION -EPIDEMIOLOGY/ENVIRONMENTAL SPECIALISTS -PRIMARY CARE PHYSICIANS -SURGEONS -MEDICAL TECHNOLOGIST/CLINICAL 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: -HISPANIC/LATINO COMMUNITY -AFRICAN AMERICAN COMMUNITY (2 SEPARATE GROUPS) -IMPOVERISHED -AGING -PHYSICALLY AND MENTALLY CHALLENGED -YOUR -CHRONIC DISEASE/PUBLIC HEALTH ORGANIZATIONS -MAJOR EMPLOYERS -BEHAVIORAL BASED (SUBSTANCE ABUSE) ORGANIZATIONS ADDITIONAL DATA UTILIZED WAS FROM THE PENNSYLVANIA DEPARTMENT OF HEALTH, THE U.S. 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 U.S. DEPARTMENT OF HEALTH AND THE LOCAL PARTICIPATING HOSPITALS.
FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 6A	GEISINGER-COMMUNITY MEDICAL CENTER AND GEISINGER WYOMING VALLEY MEDICAL CENTER PARTICIPATED IN THE CHNA.
FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 11	THREE SIGNIFICANT NEEDS WERE IDENTIFIED BY THE CHNA CONDUCTED FOR THE HOSPITAL: 1) IMPROVEMENT IN ACCESS TO HEALTHCARE FOR UNDERINSURED AND UNINSURED; 2) LACK OF EDUCATION FOR IMPROVING HEALTHY BEHAVIORS; AND, 3) IMPROVEMENT IN TRANSPORTATION SERVICES. 1. IMPROVING ACCESS TO HEALTH CARE FOR UNDER AND UNINSURED. THE FOLLOWING IS A REPRESENTATIVE SAMPLE OF SOME OF THE PROGRAMS DEVELOPED TO ADDRESS ACCESS TO HEALTH CARE. FREE CLINIC NETWORK-GEISINGER HELPS TO FILL THE CARE GAP FOR UNDER AND UNINSURED PEOPLE IN NORTHEAST PENNSYLVANIA COUNTIES BY PROVIDING FREE SERVICES TO FREE CLINICS IN NORTHEAST PENNSYLVANIA. GEISINGER DONATES VITAL MEDICAL SERVICES SUCH AS LAB WORK, X-RAYS, CAT SCANS, ULTRASOUNDS AND MRIS TO MCAULEY CLINIC AND VOLUNTEERS IN MEDICINE EACH YEAR. FROM FIXING SCRAPES TO DIAGNOSING SERIOUS HEALTH CONDITIONS, HEALTHCARE WITH LITTLE TO NO COST MAKES A REAL DIFFERENCE IN THE LIVES OF PEOPLE WHO CAN'T AFFORD A DOCTOR. HEALTHY NEPA INITIATIVE- IN NORTHEASTERN PA CHRONIC DISEASES SUCH AS OBESITY, SUBSTANCE ABUSE AND MENTAL HEALTH ISSUES PERSIST AND ARE ON THE RISE. THE NUMBER OF DOCTORS, SPECIALISTS AND DENTISTS ACCEPTING MEDICAL ASSISTANCE IN LUZERNE AND LACKAWANNA COUNTIES IS LIMITED. AS A FOUNDING MEMBER OF THE HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE (HNPI), GEISINGER HAS PARTNERED WITH THE PENNSYLVANIA DEPARTMENT OF HEALTH AND OTHER HEALTHCARE ORGANIZATIONS TO: 1) FIND CARE GAPS AND RECOMMEND FIXES; 2) INCREASE REGIONAL HEALTHCARE RESOURCES; 3) CHANGE UNHEALTHY BEHAVIOR THROUGH EDUCATION. HNPI IS WORKING ON WAYS TO: DEVELOP AND MAINTAIN A REGIONAL DATABASE OF HEALTH CARE AND SOCIAL SERVICES IN THE MOST COMMON LANGUAGES IN OUR AREA; COORDINATE REGIONAL SOCIAL SERVICES, PUBLIC TRANSPORTATION, HEALTHCARE, CHRONIC DISEASE ORGANIZATIONS, THE LOCAL FREE CLINIC NETWORKS AND WORKFORCE DEVELOPMENT TO CREATE A NETWORK FOR THE REGION'S POOR AND MINORITY POPULATIONS; CLOSE THE CARE GAP FOR BETTER MENTAL AND BEHAVIORAL HEALTH. FREE HEALTH CARE REFORM HELP-THROUGH TRUSTED ADVISOR PROGRAM, GEISINGER COUNSELORS HELP PATIENTS UNDERSTAND AND COMPLY WITH THE AFFORDABLE CARE ACT. FREE OF CHARGE OUR COUNSELORS EXPLAIN PLAN DIFFERENCES, HELP COMPLETE A HEALTHCARE.GOV INSURANCE APPLICATION AND HELP PATIENTS FIND THE BEST PLAN ALTERNATIVE. PEDIATRIC SPECIALTY CARE OUTREACH- IN RURAL CENTRAL AND NORTHEASTERN PENNSYLVANIA, CONVENIENT ACCESS TO QUALITY CHILDREN'S HEALTH CARE IS LIMITED AND ACCESS IS CRITICAL WHEN A CHILD NEEDS SPECIALTY CARE. GEISINGER'S PEDIATRIC SPECIALTY OUTREACH BRINGS SPECIALIZED MEDICAL TREATMENT FOR HEART, LUNG AND KIDNEY AND OTHER PROBLEMS CLOSER TO THE REMOTE COMMUNITIES IN NORTHEAST PA. IN 1999, GEISINGER PROVIDED 23 FULL TIME PHYSICIANS REPRESENTING 13 PEDIATRIC SPECIALTIES. TODAY, PEDIATRIC SPECIALTY OUTREACH IS PROVIDED AT 28 LOCATIONS WITH 85 FULL-TIME PHYSICIANS AND 16 SPECIALTIES. GEISINGER CONTINUES TO INNOVATE AND EXPLORE NEW MODELS OF CARE TO BRING MORE OUTREACH CARE WHERE IT IS NEEDED THROUGHOUT THE COMMUNITY. SPECIALTY CARE OUTREACH PROGRAM-THIS PROGRAM ALLOW GEISINGER'S SPECIALTY SERVICES TO BE AVAILABLE IN MORE THAN 30 COMMUNITIES ACROSS THE REGION. THIS PROGRAM BREAKS DOWN BARRIERS TO CARE AND INCREASES ACCESS TO COMPLEX TREATMENTS THAT MIGHT NOT OTHERWISE BE AVAILABLE TO OUR RURAL POPULATIONS. GHP DUAL ELIGIBILITY COVERAGE-GEISINGER NOW OFFERS A HEALTH PLAN DESIGNED FOR SENIORS WHO ARE FULLY ELIGIBLE FOR BOTH MEDICARE AND MEDICAID. THE PLAN IS EASIER TO USE, HAS LOWER OUT OF POCKET COSTS AND PROVIDES BENEFITS THAT TRADITIONAL MEDICARE AND MEDICAID DO NOT COVER. PATIENTS'/MEMBERS' PREMIUMS ARE PAID IN PART BY THE HEALTH PLAN. GHP KIDS COVERAGE-PENNSYLVANIA'S CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) THROUGH GEISINGER HEALTH PLAN KIDS IS WORKING TO ENSURE HEALTH CARE IS WITHIN REACH FOR ALL UNINSURED CHILDREN. GHP KIDS OFFERS COMPREHENSIVE CARE IN 40 COUNTIES ACROSS THE STATE TO CHILDREN UP TO 19 YEARS OF AGE. BENEFITS INCLUDE ROUTINE CHECKUPS/IMMUNIZATIONS, PRESCRIPTION DRUGS, VISION AND DENTAL AND EMERGENCY CARE. GHP FAMILY-GEISINGER HEALTH PLAN FAMILY (GHP FAMILY) WORKS WITH THE PENNSYLVANIA MEDICAL ASSISTANCE HEALTHCHOICES PROGRAM TO PROVIDE ACCESS TO COMPREHENSIVE, QUALITY HEALTH CARE COVERAGE TO MEDICAID ELIGIBLE RESIDENTS IN 22 COUNTIES ACROSS PENNSYLVANIA. MANY SERVICES ARE COVERED AT NO COST. PLANS TO CONTINUE EXPANSION THIS PROVISION OF HEALTH SERVICES TO MEDICAID PATIENTS ARE DEPENDENT UPON GOVERNMENT REIMBURSEMENT POLICIES AND OTHER AVAILABLE FUNDING RESOURCES. THE CHILD ADVOCACY CENTER (CAC)-CAC IS A DIVISION OF GMC'S JANET WEISS CHILDREN'S HOSPITAL AND WAS CREATED TO HELP REDUCE THE NUMBER OF INTERVIEWS CHILDREN UNDERGO DURING CHILD ABUSE INVESTIGATIONS. CAC WILL BE MOVING TO A NEW LOCATION IN SUNBURY THAT WILL QUADRUPLE ITS SIZE AND ALLOW IT TO BETTER SERVE REGIONAL VICTIMS OF CHILD ABUSE. THROUGH THE CAC, TRAINED FORENSIC INTERVIEWERS COORDINATE VICTIM INTERVIEWS THEREBY ELIMINATING MULTIPLE INTERVIEWS AND INCREASING THE LIKELIHOOD OF SUCCESS IN THE PROSECUTION OF OFFENDERS. MEDICAL HOME INITIATIVE-PROVEN HEALTH NAVIGATOR (PHN). THERE HAVE BEEN NUMEROUS STRATEGIES TO REDUCE ER USE FOR AMBULATORY SENSITIVE CONDITIONS AND LOW ACUITY NON-EMERGENT CONDITIONS RESULTING IN REDUCTION IN ADMISSIONS AND READMISSIONS. THE PROGRAM WILL CONTINUE TO EVOLVE AND INNOVATE MODELS OF CARE, FOCUSING ON QUALITY, EFFICIENCY AND OUTCOMES WHILE REDUCING THE COST OF CARE WITH UNNECESSARY HOSPITALIZATIONS AND READMISSIONS. TELEMEDICINE PROGRAMS. THE GEISINGER TELEMEDICINE PROGRAM IMPROVES ACCESS TO COMPREHENSIVE CARE THROUGHOUT OUR REGION. GEISINGER SPECIALISTS PROVIDE REMOTE PATIENT CONSULTS AT OUR HOSPITALS AND PRIMARY CARE CLINICS, AS WELL AS NON-GEISINGER PARTNER FACILITIES ACROSS THE REGION. LIKE OUR OUTREACH PROGRAMS, TELEMEDICINE INCREASES ACCESS TO COMPLEX TREATMENTS THAT MIGHT NOT OTHERWISE BE AVAILABLE WITHIN OUR REGION. PEDIATRIC MENTAL HEALTH PROGRAMS. THE ABILITY TO EXPAND EDUCATION FOR DRUG AND ALCOHOL ABUSE IS PREDICATED UPON INCREASED ACCESS TO BEHAVIORAL HEALTH SERVICES. ACCESS IS BEING EXPANDED VIA THE IMPLEMENTATION OF INTEGRATED BEHAVIORAL HEALTH SERVICES AT GEISINGER PRIMARY CARE PRACTICES. IT IS THROUGH THESE EXPANDED SERVICES THAT SCREENING AND ASSESSMENT FOR BEHAVIORAL HEALTH SERVICES (INCLUDING SUBSTANCE ABUSE) ARE CONDUCTED. INTEGRATED PEDIATRIC SERVICES ARE OPERATING AT 3 PRIMARY CARE SITES WITH PLANS FOR A 4TH TO OPEN IN JULY OF 2015. USING PEDIATRIC INTEGRATED CARE AS A MODEL, INTEGRATED CARE HAS NOW BEEN LAUNCHED IN 4 ADDITIONAL SITES FOR ADULT CARE. NEURODEVELOPMENTAL SCREENING PROGRAM-THIS PROGRAM IS A SCREENING TOOL THAT HAS BEEN LAUNCHED IN TWO PHYSICIAN CLINIC LOCATIONS, BLOOMSBURG AND SELINSGROVE. THIS TOOL WILL GIVE IMMEDIATE ACCESS TO CHILDREN UP TO AGE 3 FOR EVALUATION OF AUTISM/SPECTRUM DISORDERS. EXPANSION OF THIS TOOL THROUGHOUT THE REGION IS BEING CONTINUOUSLY EXPLORED. LIFE GEISINGER- LIFE GEISINGER (LIVING INDEPENDENTLY FOR ELDERS) PROVIDES ADDITIONAL INDEPENDENCE FOR SENIORS, THEIR FAMILIES AND CAREGIVERS. THE PROGRAM HELPS FRAIL SENIORS TO STAY IN THEIR HOMES, GET THE DAILY LIVING AND HEALTH SERVICES THEY NEED, THUS AVOIDING COSTLIER HOSPITAL OR EMERGENT CARE. LIFE KULPMONT WAS APPROVED TO ADD 5 ADDITIONAL ZIP CODES WITHIN THE FOUR (4) COUNTIES SERVED BY LIFE. LIFE WILL START TO SERVICE THESE ADDITIONAL AREAS EFFECTIVE AUGUST 1, 2015. BRIDGING THE LANGUAGE GAP FOR BETTER HEALTH PROGRAM-FOR SOME OF THOSE WHO ARE DEAF AND OR WHO HAVE LIMITED ENGLISH PROFICIENCY (LEP), IT IS HARDER TO ACCESS PROPER CARE BECAUSE OF THE DIFFICULTY IN COMMUNICATING THEIR NEEDS. GEISINGER USES MARTTI (MY ACCESSIBLE REAL TIME TRUSTED INTERPRETER), A REMOTE VIDEO INTERPRETING DEVICE THAT IS AVAILABLE 24 HOURS A DAY IN 200+ LANGUAGES, INCLUDING AMERICAN SIGN LANGUAGE. GEISINGER CURRENTLY OPERATES MARTTI AT MORE THAN 135 LOCATIONS ACROSS THE COMMUNITY WITH PLANS TO EXPAND THIS SERVICE TO ALL CLINICAL OUTREACH SITES ACROSS THE REGION. ALSO, LANGUAGE LINE, AN AUDIO INTERPRETATION SERVICE PROVIDES LEP INTERPRETATION TO PATIENTS AT ALL LOCATIONS, AS WELL AS ON-SITE SIGN LANGUAGE INTERPRETERS. ALL OF THESE SERVICES ARE FREE OF CHARGE. CAREWORKS- GEISINGER CAREWORKS WALK-IN CLINICS ARE BRIDGING THE PRIMARY CARE GAP ACROSS THE COMMUNITY. CAREWORKS IS CONVENIENT, COMPREHENSIVE AND INCLUDES DIAGNOSTIC SERVICES. INCREASED USE OF THESE CLINICS IS EXPECTED TO DECREASE THE UTILIZATION OF THE EMERGENCY DEPARTMENT AND AVOID UNNECESSARY HOSPITALIZATION. POSSIBLE NEW LOCATIONS CURRENTLY IN THE PLANNING STAGES INCLUDE BERWICK, LEWISBURG, AND POTTSVILLE. FOR DETAILED DESCRIPTIONS OF THE PROGRAMS GO TO: HTTP://WWW.GEISINGER.ORG/SITES/CHNA-2015 THE FURTHER EXPANSION OF EACH OF THE PROGRAMS DESCRIBED ABOVE IS DEPENDENT UPON FUTURE GOVERNMENT REIMBURSEMENTS AND OTHER AVAILABLE FUNDING FROM PHILANTHROPY AND OPERATIONS. TO THE EXTENT SCARCE FUNDING RESOURCES ALLOW, GEISINGER WILL CONTINUE TO EXPERIMENT AND INNOVATE WITH NEW PROGRAMS AND NEW DELIVERY MODELS OF CARE. 2. IMPROVING HEALTHY BEHAVIORS. TWO AREAS OF EMPHASIZE
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 16I	THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT: HTTP://WWW.GEISINGER.ORG/FOR-PATIENTS/RESOURCE- CENTER/PATIENT-BILLING-SERVICES/INDEX.HTML 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 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 AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER GWV'S FINANCIAL ASSISTANCE PROGRAM.
FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 22D	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 GWV'S FAP. FREE CARE OR 0 CHARGE IS BELOW THE HOSPITAL FACILITY'S AMOUNT GENERALLY BILLED.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

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PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	PART I, LINE 3A: DID THE ORGANIZATION USE FPG AS A FACTOR IN DETERMINING FREE CARE? YES, EFFECTIVE 07/01/2014, THE ELIGIBILITY FOR 100% DISCOUNTED FREE CARE UNDER THE GEISINGER WYOMING VALLEY MEDICAL CENTER(GWV) FINANCIAL ASSISTANCE POLICY WAS EXPANDED BY INCREASING THE HOUSEHOLD INCOME THRESHOLD FROM 200% TO 300% OF THE FEDERAL POVERTY GUIDELINES. PART I, LINE 3C: FACTORS USED OTHER THAN FPG IN DETERMINING ELIGIBILITY 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. GWV MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICS TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY).
PART I, LINE 6A - RELATED ORGANIZATION INFORMATION	A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV) AND ITS RELATED CHARITABLE ORGANIZATIONS IS INCLUDED IN THE ANNUAL REPORT OF THE GEISINGER HEALTH SYSTEM AND IS AVAILABLE AT GEISINGER.ORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE REPORT CAN BE FOUND AT: HTTP://WWW.GEISINGER.ORG/PAGES/ABOUT-GEISINGER/PAGES/ANNUAL- REPORTS.HTML
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 PAYORS, 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 GWV'S UNCOMPENSATED OR CHARITY CARE POLICIES. BASED ON EXPERIENCE, GWV ESTIMATES THAT APPROXIMATELY 49.2% OF THE BAD DEBT ACCOUNTS ARE SUBSEQUENTLY RECLASSIFIED TO UNCOMPENSATED OR CHARITY CARE.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	PART III, LINE 2 AND 4: GEISINGER HEALTH SYSTEM FOUNDATION AND ITS AFFILIATES (THE "SYSTEM"), THAT INCLUDES GEISINGER WYOMING VALLEY MEDICAL CENTER, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'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 AND ALLOWANCES SEE PAGE 8 OF THE ATTACHED GEISINGER HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS, JUNE 30, 2015 AND JUNE 30, 2014. FOR THE FOOTNOTE REGARDING BAD DEBT, SEE PAGE 13 OF THE CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8 - MEDICARE EXPLANATION	PART III, LINE 3-BAD DEBT AND LINE 8-MEDICARE: LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE ALLOWED TO BE REPORTED ON GWV'S MEDICARE COST REPORT THAT ARE REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. 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 NOT 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. REVENUE RULING 69-545 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 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") HOLDS THE POSITION THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. IN A LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUES 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. THE MEDICARE PAYMENT ADVISORY COMMISSION IN ITS MARCH 2007 REPORT CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE. -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 LIKE GWV 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. GWV CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF 10,329,980 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. 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 MUST BE ABSORBED BY GWV IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR 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. BOTH GWV 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 (PART III, LINE 3) 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 GWV'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. PATIENT 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 THE CBO REPORT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. (IN FY 2015, APPROXIMATELY 49% OF GWV'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 AHS, 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' SHOULDER 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.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	GWV IS COMMITTED TO PROVIDING MEDICAL NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND GWV'S 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 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 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 AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER GWV'S FINANCIAL ASSISTANCE PROGRAM.
PART VI, LINE 2 - NEEDS ASSESSMENT	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 FAR-REACHING 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 HOSPITAL'S 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 GWV'S LACKAWANNA COUNTY AND LUZERNE COUNTY SERVICE AREA. INITIATIVE PARTICIPANTS IN THE NEEDS ASSESSMENT INCLUDED, AMONG OTHERS: PENNSYLVANIA DEPARTMENT OF HEALTH, WILKES-BARRE 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 HOSPITAL/FOUNDATION, 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 DISEASE/OBESITY; EMPLOYMENT; MENTAL HEALTH AND SUBSTANCE ABUSE. GEISINGER HEALTH SYSTEM IS ALSO AN ACTIVE PARTICIPANT IN MULTIPLE COMMUNITY-BASED 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 COMMUNITY'S 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 (I.E., OBESITY AND BROADLY, THE RELATED "DISEASE BURDEN/PREVENTION"); AND EXPANDING TREATMENT AND EDUCATION ON DRUG AND ALCOHOL ABUSE.
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 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 FINANCIAL/BILLING PROCESS. INFORMATION (SIGNS, BROCHURES, ETC.) REGARDING GEISINGER'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 GEISINGER'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 GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL.
PART VI, LINE 4 - COMMUNITY INFORMATION	GEISINGER WYOMING VALLEY MEDICAL CENTER'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	SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS/COMMUNITY BENEFIT REPORTED IN SCHEDULE O.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV) IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. GEISINGER HEALTH SYSTEM IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SIX ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,136 PHYSICIANS PRACTICING AT 91 PRIMARY AND SPECIALTY CLINICS; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 478,501 MEMBERS. GEISINGER OPERATES IN 44 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, PRIMARILY OUTSIDE THE MAJOR METROPOLITAN AREAS, GEISINGER AT A GLANCE. -PHYSICIAN PRACTICE GROUP - MULTISPECIALTY GROUP PRACTICE WITH 1,136 EMPLOYED PHYSICIANS PRACTICING AT 91 CLINIC SITES -MANAGED CARE COMPANIES 478,501 MEMBERS -PROVIDER FACILITIES INCLUDES 1,326 LICENSED HOSPITAL BEDS, 344 SKILLED NURSING FACILITY BEDS AND 91 CHEMICAL DEPENDENCY BEDS. MISSION. GEISINGER'S 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. THIS MISSION STATEMENT HAS BEEN SUMMARIZED INTO FOUR WORDS - "HEAL. TEACH. DISCOVER. SERVE." 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., KNOWN COLLECTIVELY WITH GEISINGER HEALTH PLAN AS "GEISINGER HEALTH PLANS- OR "GHPS", 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 THE GEISINGER HEALTH SYSTEM. THROUGHOUT THIS DOCUMENT THE TERMS "GEISINGER HEALTH SYSTEM", "GEISINGER- OR "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.
ADDITIONAL INFORMATION	FORM 990, SCHEDULE H, PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, GWV AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	Yes (true)	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
GLENN D STEELE JR MD PHD
PRES, CHAIR,DIRECTOR	$1,091,895	$1,131,217	$2,065,068	$440,136	$31,990	$4,760,306	$1,191,920
DAVID J FELICIO ESQUIRE
CLO, SECRETARY	$390,448	$164,846	$107,331	$76,118	$25,063	$763,806	$61,110
EDWARD J ZYCH ESQUIRE
ACLO, ASST SECTY	$262,471	$80,515	$47,579	$18,720	$23,750	$433,035	$30,485
FRANK J TREMBULAK
SR VP, TREASURER	$628,294	$313,196	$250,904	$208,746	$10,836	$1,411,976	$209,318
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE, CFO	$531,656	$273,329	$223,359	$176,933	$24,858	$1,230,135	$185,023
STEVEN B PIERDON MD
CHIEF MEDICAL OFFICE	$407,745	$169,650	$274,495	$259,839	$19,546	$1,131,275	$165,546
GERALD MALONEY DO FACP
CHIEF MEDICAL OFFICE	$307,226	$87,193	$15,885	$18,720	$24,029	$453,053
JOHN J BUCKLEY
CAO, GNE								$84,388	$71,665	$92,497	$47,975	$5,138	$301,663	$50,117
MARY P GILDEA BSN RN
VP NURSING, GWV								$154,118	$27,033	$25,182	$12,917	$20,237	$239,487
MAUREEN FITZSIMMONS RN NEA-BC
NE, CHIEF NURSING EX								$260,790	$79,067	$47,713	$51,472	$8,781	$447,823
RONALD BEER MHA FACHE
VP CLINICAL OPS	$30,920		$2,278	$1,666	$3,583	$38,447		$176,700	$46,001	$19,305	$17,053	$18,008	$277,067
MARGARET HENNELLY BERGIN RN MSN
CNO, GNE								$189,253	$38,829	$14,052	$16,340	$16,715	$275,189
CARLA J SCOFIELD MS
RADIATION PHYSICIST								$185,500		$10,102	$12,198	$15,172	$222,972
CONRAD W SCHINTZ
VP COMMUNITY REL.								$191,880	$47,937	$37,748	$18,720	$17,709	$313,994
ERIN A PICA
AVP, SURGICAL SP								$169,964	$29,045	$3,429	$13,483	$20,916	$236,837
JOHN P WIERCINSKI
VP STRATEGIC DEVELOP								$260,502	$105,534	$49,040	$18,720	$22,299	$456,095
LISSA L BRYAN SMITH
CAO								$261,805	$82,692	$16,071	$18,720	$14,363	$393,651

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GHS BOARD OF DIRECTORS OR GHS SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GHS BUSINESS, FOR TAX OBLIGATIONS.
SCHEDULE J, PAGE 1, PART I, LINE 4	GLENN D. STEELE JR., MD PHD 0 1,908,021 0 DAVID J. FELICIO, ESQUIRE 0 61,110 0 EDWARD J. ZYCH, ESQUIRE 0 30,485 0 FRANK J. TREMBULAK 0 209,318 0 KEVIN F. BRENNAN, CPA, FHFMA 0 185,023 0 STEVEN B. PIERDON, MD 0 165,546 57,990 JOHN J. BUCKLEY 0 50,117 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 SYSTEM OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP.
SCHEDULE J, PAGE 1, PART I, LINE 8	THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS.
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 ("GHSF") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JILLIAN R GROCHAL	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY	RelationshipDescriptionTxt
Transaction	$12,727	TransactionAmt
Transaction	EMPLOYEE COMP./BEN	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	JILLIAN R. GROCHAL IS A FAMILY MEMBER OF MARY P. GILDEA, A KEY EMPLOYEE OF GEISINGER WYOMING VALLEY MEDICAL CENTER.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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? GHSF IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 1,230,762,550, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2015. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GHSF 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 MOUNTAIN VIEW NURSING HOME, INC., EIN: 23-2568288 GEISINGER-BLOOMSBURG HOSPITAL, EIN: 23-2193572 GEISINGER-BLOOMSBURG HEALTH CARE CENTER, EIN: 23-2242854 GEISINGER-LEWISTOWN HOSPITAL, EIN: 23-1352187 HOLY SPIRIT HOSPITAL, EIN: 23-1512747 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH SYSTEM FOUNDATION, 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 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 2013, GEISINGER WYOMING VALLEY'S MATERNAL FETAL MEDICINE SERVICE RELOCATED TO A 6,300 SQUARE FOOT FACILITY AT 190 WELLES STREET, FORTY FORT. THE SERVICE FOR MOTHERS AND FAMILIES FACING COMPLEX, HIGH RISK PREGNANCIES FEATURES ULTRASOUND, NON-STRESS TESTING, COMPLEX FETAL MONITORING, AND GENETIC COUNSELING. 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 MEDICAL CENTER'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, 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. 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. 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. 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. THE RADIOLOGY DEPARTMENT OFFERS A COMPREHENSIVE IMAGING PROGRAM 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. IN OCTOBER, 2013, THE NEUROSURGERY DEPARTMENT RELOCATED INTO A NEWLY RENOVATED, EXPANDED SPACE ON THE SECOND FLOOR OF THE VALLEY MEDICAL BUILDING. THE DEPARTMENT HOUSES THE REGION'S LARGEST TEAM OF NEUROSURGEONS AS WELL AS ONE OF PENNSYLVANIA'S ONLY FELLOWSHIP TRAINED NEUROSURGICAL ONCOLOGISTS. 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. 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. THE ORTHOPAEDIC SURGERY DEPARTMENT IS RECOGNIZED FOR ITS SPECIAL CAPABILITIES IN JOINT REPLACEMENT SURGERY - INCLUDING SERVICES FOR PEOPLE WHO PREVIOUSLY HAD JOINT REPLACEMENTS. ADDITIONALLY, THE STAFF INCLUDES A FELLOWSHIP TRAINED ORTHOPAEDIC HAND SURGEON. OTHER SERVICES INCLUDE A GERIATRIC FRACTURE CARE PROGRAM, ARTHROSCOPIC SURGERY, TREATMENT FOR TRAUMA PATIENTS AND THOSE WITH SPORTS INJURIES. IN JULY, 2012, THE DEPARTMENT RELOCATED TO 1175 EAST MOUNTAIN BOULEVARD, A 25,200-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. GEISINGER WYOMING VALLEY OFFERS OUTPATIENT SERVICES AT 675 BALTIMORE DRIVE, INCLUDING AUDIOLOGY, CARDIAC REHABILITATION, OPHTHALMOLOGY, OPTOMETRY, ORAL SURGERY, NUTRITION, ENDOCRINOLOGY, EAR, NOSE AND THROAT, INFECTIOUS DISEASE, RHEUMATOLOGY AND AN EYE WEAR CENTER. IN JUNE, 2014, GEISINGER WYOMING VALLEY PURCHASED THE 42.294 SQUARE FOOT BUILDING AT 1155 EAST MOUNTAIN BOULEVARD WITH PLANS TO RELOCATE ADDITIONAL OUTPATIENT SERVICES FROM OTHER HOSPITAL CAMPUSES, INCLUDING DERMATOLOGY/MOHS, GENERAL INTERNAL MEDICINE, OBSTETRICS, GYNECOLOGY, PODIATRY, PRE-SURGICAL TESTING, REPRODUCTIVE ENDOCRINOLOGY/FERTILITY, AND UROGYNECOLOGY, AS WELL AS OPEN A NEW CAREWORKS WALK-IN URGENT CARE CLINIC. RESIDENCY AND FELLOWSHIP PROGRAMS 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, 2014 WAS 5.1 MILLION. OTHER SERVICES INCLUDE: COLORECTAL SURGERY COSMETIC AND RECONSTRUCTIVE SURGERY CRITICAL CARE MEDICINE GASTROENTEROLOGY GENERAL SURGERY GI NUTRITION GYNECOLOGIC ONCOLOGY HOSPITALIST PROGRAM LABORATORY SERVICES NEUROLOGY NUTRITIO
FORM 990, PART V	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 2014 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,582. 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.
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. 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? WILLIAM H. ALEXANDER, E. ALLEN DEAVER, ROBERT J. DIETZ, DAVID T. T. FEINBERG, M.D., MBA, DAVID J. FELICIO, ESQUIRE, RICHARD A. GRAFMYRE, WILLIAM R. GRUVER, FRANK M. HENRY, THOMAS H. LEE JR., M.D., ROBERT E. POOLE, DON A. ROSINI, GLENN D. STEELE, JR., M.D., PH.D., ROBERT L. TAMBUR, FRANK J. TREMBULAK, EDWARD J. ZYCH, ESQUIRE 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.
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 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-ENDED JUNE 30, 2015.
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.
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.
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 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/PAGES/ABOUT-GEISINGER AND SELECT ANNUAL REPORTS. 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.
FORM 990, PART VIII	FORM 990, PART VIII, LINE 2F: THE IC SUPPORT SERVICE REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH SYSTEM FOUNDATION. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF THE GEISINGER HEALTH SYSTEM IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT TO BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.
FORM 990, PART XI, LINE 9	TRANSFER FROM AFFILIATE 401,376 TRANSFER TO GEISINGER HEALTH SYSTEM FOUNDA -98,000,000 TOTAL CHANGES 97,598,624
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
GEISINGER HEALTH SYSTEM FOUNDATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231995911	PHILANTHRO	PA	501C3	7	NA	Yes (true)
GEISINGER MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240795959	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	236291113	PHYSICIAN	PA	501C3	11A	GHSF	Yes (true)
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232171417	D&A REHAB	PA	501C3	3	GHSF	Yes (true)
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232311553	HEALTH INS	PA	501C4		GHSF	Yes (true)
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232164794	SUPPORT SV	PA	501C3	11A	GHSF	Yes (true)
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232967235	HEALTHCARE	PA	501C3	9	GSS	Yes (true)
GEISINGER INSURANCE CORPORATIONRRG
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	141909894	SELF INS	VT	501C3	11A	GHSF	Yes (true)
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240862246	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
COMMUNITY MEDICAL CARE INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232429776	PHYSICIAN	PA	501C3	9	GHSF	Yes (true)
MOUNTAIN VIEW NURSING HOME INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232568288	LONG TERM	PA	501C3	9	GHSF	Yes (true)
COMMUNITY MEDICAL CTR HEALTHCARE SY
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232279376	SUPPORT SV	PA	501C3	11A	GHSF	Yes (true)
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232193572	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
GEISINGER-BLOOMSBURG HEALTHCARE CTR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232242854	SKILLED NU	PA	501C3	9	GHSF	Yes (true)
LEWISTOWN HEALTHCARE FOUNDATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344363	PHILANTHRO	PA	501C3	11A	GHSF	Yes (true)
GEISINGER-LEWISTOWN HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231352187	HOSPITAL	PA	501C3	3	GHSF	Yes (true)
LEWISTOWN AMBULATORY CARE CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344362	RE HOLDIN	PA	501C3	11A	GHSF	Yes (true)
FAM HEALTH ASSOC OF GEISINGER-LEWIS
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251651582	PHYSICIAN	PA	501C3	11A	GHSF	Yes (true)
KEYSTONE HEALTH INFO EXCHANGE INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	464359893	RHIO	PA	501C3	11A	GHSF	Yes (true)
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232337286	SUPPORT SV	PA	501C3	11A	CMC	Yes (true)
SUN HOME HEALTH SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231736912	HEALTHCARE	PA	501C3	9	GCHS	Yes (true)
HOLY SPIRIT HEALTH SYSTEM
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251865142	PHILANTHRO	PA	501C3	11A	GHSF	Yes (true)
HOLY SPIRIT HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231512747	HOSPITAL	PA	501C3	3	HSHS	Yes (true)
HOLY SPIRIT CORPORATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232214540	REALESTATE	PA	501C2		HSHS	Yes (true)
SPIRIT PHYSICIAN SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251766971	PHYSICIAN	PA	501C3	9	HSHS	Yes (true)
WEST SHORE ADVANCED LIFE SUPPORT
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232463002	HEALTHCARE	PA	501C3	7	HSHS	Yes (true)
NORTHEAST REGIONAL CANCER INSTITUTE
334 JEFFERSON AVENUE	SCRANTON	PA	18506	232662214	HEALTHCARE	PA	501C3	11A		false	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
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	MANAGEMENT	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
HS ORTHOPEDIC MANAGEMENT CO LLC
503 NORTH 21ST STREET	CANP HILL	PA	17011	460887384	MANAGEMENT	PA	N/A	false	false
CAELIAN MEDICAL LLC
880 CENTURY DRIVE	MECHANICSBURG	PA	17055	208018724	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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
GEISINGER MEDICAL MANAGEMENT CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232077663	HOTEL/REST	PA	N/A	Yes (true)
GEISINGER INDEMNITY INSURANCE CO
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232815174	HLTH INSUR	PA	N/A	Yes (true)
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	204275139	HLTH INSUR	PA	N/A	Yes (true)
HEALTH ENTERPRISES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232353212	PHARMACY	PA	N/A	Yes (true)
XG HEALTH SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461657345	CONSULTING	DE	N/A	Yes (true)
GEISINGER ASSURANCE COMPANY LTD
				981016737	INSURANCE		N/A	Yes (true)	23 LINE TREE BAY AVE PO BOX 1159	GRAND CAYMAN	GRAND CAYMAN	CJ	KY1-1102	CJ
HOLY SPIRIT VENTURES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232407709	MED. SERV.	PA	N/A	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (35 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MARWORTH
L	$242,872	GAAP
GEISINGER-BLOOMSBURG HOSPITAL
L	$288,112	GAAP
GEISINGER SYSTEM SERVICES
M	$85,241,330	GAAP
GEISINGER SYSTEM SERVICES
L	$854	GAAP
GEISINGER QUALITY OPTIONS INC
L	$7,060,031	GAAP
GEISINGER MEDICAL MANAGEMENT CORP
M	$8,273,968	GAAP
GEISINGER MEDICAL MANAGEMENT CORP
A	$65,759	FMV
GEISINGER MEDICAL MANAGEMENT CORP
L	$1,936	GAAP
GEISINGER MEDICAL CENTER
M	$9,016,429	GAAP
GEISINGER MEDICAL CENTER
L	$921,358	GAAP
GEISINGER MEDICAL CENTER
A	$24,000	FMV
GEISINGER LEWISTOWN
L	$44,628	GAAP
GEISINGER INSURANCE INDEMNITY CO
L	$3,963,787	GAAP
GEISINGER INSURANCE CORP RRG
P	$1,429,590	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
M	$2,059,612	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
C	$213,130	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
L	$18,723	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
S	$296,626	GAAP
GEISINGER HEALTH SYSTEM FOUNDATION
B	$98,000,000	FMV
GEISINGER HEALTH PLAN
L	$96,513,994	GAAP
GEISINGER COMMUNITY MEDICAL CENTER
L	$476,142	GAAP
GEISINGER COMMUNITY MEDICAL CENTER
M	$33,724	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
M	$125,803	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
A	$3,600	FMV
GEISINGER COMMUNITY HEALTH SERVICES
L	$77,558	GAAP
GEISINGER CLINIC
S	$3,816,899	FMV
GEISINGER CLINIC
M	$30,268,424	GAAP
GEISINGER CLINIC
K	$853,762	FMV
GEISINGER CLINIC
A	$174,186	FMV
GEISINGER CLINIC
L	$919,145	GAAP
GEISINGER CLINIC
B	$4,052,000	GAAP
GEISINGER CLINIC
R	$950,004	FMV
GEISINGER CLINIC
C	$188,246	GAAP
GEISINGER BLOOMSBURG HEALTHCARE CEN
L	$229	GAAP
GEISINGER ASSURANCE COMPANY LTD
P	$2,369,856	GAAP

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt