2016-05-13T11:29:34-05:00 2015-06-30 990 2014-07-01 231996150 GEISINGER WYOMING VALLEY MEDICAL CENTER GEIS 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 DAVID J FELICIO ESQUIRE SECRETARY 5702716624 2016-05-06 2014 2016-08-17 19:52:53Z DAVID T FEINBERG MD MBA 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 472494207 false X WWW.GEISINGER.ORG X 1976 PA 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. 11 10 2229 330 501972 -86691 57050 17500 475169727 466164490 4953209 5321356 1598962 856388 481778948 472359734 0 0 133363124 129235197 0 0 309337592 304855637 442700716 434090834 39078232 38268900 372286927 321900796 299164915 316755529 73122012 5145267 X MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. false false 385818238 466744688 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 385818238 true false false true false false false false false true true true false false true false false true false false true false false false false false true true false false true false false false false false false true false false false false false false true true true true false true X 7 0 true 2229 true true true false false false false false false false false false X 11 10 true false false false true true false true true false false true true true true true true true true false PA X THOMAS BIELECKI VP FINANCE CFO 5708087397 1000 EAST MOUNTAIN DRIVE WILKES BARRE PA 18711 DAVID T FEINBERG MD MBA PRES, CHAIR, 40.00 X X 0 0 0 DON A ROSINI DIRECTOR 0.25 5.25 X 0 0 0 E ALLEN DEAVER DIRECTOR 0.25 4.25 X 0 0 0 FRANK M HENRY DIRECTOR 0.25 4.25 X 0 0 0 GLENN D STEELE JR MD PHD PRES, CHAIR, 40.00 X X 0 4288180 472126 RICHARD A GRAFMYRE DIRECTOR 0.25 5.25 X 0 0 0 ROBERT J DIETZ DIRECTOR 0.25 5.00 X 0 0 0 ROBERT E POOLE DIRECTOR 0.25 4.75 X 0 0 0 ROBERT L TAMBUR DIRECTOR, VI 0.25 4.50 X 0 0 0 THOMAS H LEE JR MD DIRECTOR 0.25 5.00 X 0 0 0 WILLIAM R GRUVER DIRECTOR 0.25 4.50 X 0 0 0 WILLIAM H ALEXANDER DIRECTOR 0.25 5.50 X 0 0 0 DAVID J FELICIO ESQUIRE CLO, SECRETA 40.00 X 0 662625 101181 EDWARD J ZYCH ESQUIRE ACLO, ASST S 40.00 X 0 390565 42470 FRANK J TREMBULAK SR VP, TREAS 40.00 X 0 1192394 219582 KEVIN F BRENNAN CPA FHFMA EVP, FINANCE 40.00 X 0 1028344 201791 STEVEN B PIERDON MD CHIEF MEDICA 40.00 X 0 851890 279385 GERALD MALONEY DO FACP CHIEF MEDICA 0.00 40.00 X 0 410304 42749 JOHN J BUCKLEY CAO, GNE 40.00 X 248550 0 53113 MARY P GILDEA BSN RN VP NURSING, 40.00 X 206333 0 33154 MAUREEN FITZSIMMONS RN NEA-BC NE, CHIEF NU 40.00 X 387570 0 60253 RONALD BEER MHA FACHE VP CLINICAL 40.00 X 242006 33198 40310 MARGARET HENNELLY BERGIN RN MSN CNO, GNE 40.00 X 242134 0 33055 CARLA J SCOFIELD MS RADIATION P 40.00 X 195602 0 27370 CONRAD W SCHINTZ VP COMMUNITY 40.00 X 277565 0 36429 ERIN A PICA AVP, SURGICA 40.00 X 202438 0 34399 JOHN P WIERCINSKI VP STRATEGIC 40.00 X 415076 0 41019 LISSA L BRYAN SMITH CAO 40.00 X 360568 0 33083 2777842 8857500 1751469 64 false true false ALLIANCE HEALTHCARE SERVICES PO BOX 6600 NEWPORT BEACH CA 926586600 MRI SERVICES 1339272 QUEST DIAGNOSTICS 12436 COLLECTION CENTER DRIVE CHICAGO IL 606930124 LAB TESTING 707137 E AND B PARKING SERVICE ONE PARK PLACE SUITE 200 ANNAPOLIS MD 21401 VALET SERVICE 660013 FRESENIUS MANAGEMENT SERVICES 16343 COLLECTION CENTER DRIVE CHICAGO IL 60693 HEMODIALYSIS TE 543000 SCRIBE AMERICA 20900 NE 30TH AVE AVENTURA FL 33180 PHYSICIAN SCRIB 502669 14 X 17500 17500 HEALTHCARE 622110 464286153 464286153 OTHER PROFESSIONAL SERVICES 621990 876504 876504 RENTAL INCOME 531120 491484 491484 LAB REVENUE 621500 462391 462391 RENTAL INCOME 531120 37851 37851 10107 1730 8377 466164490 1733993 1733993 68 68 24451 34250 -9799 -9799 -9799 3665157 22361 41001 59222 3624156 -36861 3587295 3587295 PURCHASE DISCOUNTS 900099 421243 421243 GIFT SHOP 453220 238512 238512 EHR - MEDICARE & MA 621110 158955 158955 47477 47477 866187 472359734 465742855 501972 6097407 1326207 234341 1091866 384152 384152 96969477 95094429 1875048 4520826 4367303 153523 18667463 18033535 633928 7367072 7243523 123549 28416 28416 64362 64362 1940 1940 347410 225571 121839 12185714 8315221 3870493 10068 4187 5881 6917376 6122798 794578 104757 104757 7981788 7094732 887056 465394 326997 138397 643499 520722 122777 6954407 6181529 772878 22408657 19918270 2490387 3402221 3376353 25868 INTER-ENTITY SERVICES 129361869 95554909 33806960 MEDICAL SUPPLIES 100431440 100281131 150309 UNCOLLECTIBLE EXPENSE 9226572 9226572 INTERCO. TEACHING & ADMIN 4009416 3300228 709188 310331 291130 19201 434090834 385818238 48272596 0 88658 9204757 12389574 6088712 35547036 34199084 3393 228712 176099 9090953 9142410 5161904 2369238 409906108 212249217 206305590 197656891 17935701 6663306 82329161 53239976 3166594 3087794 39651 72529 372286927 321900796 4562542 5195556 240003436 242890648 54598937 68669325 299164915 316755529 X 73122012 5145267 73122012 5145267 372286927 321900796 X 38268900 -8647021 -97598624 X X false true X true true true X X 1940 672443 1940 672443 434088894 3815671532 434090834 3816343975 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 640652 650175 710974 672443 2674244 250000 250000 250000 250000 1000000 1500000 1437 1437 106445000 5503000 -1560000 -3616000 106772000 94662000 1425000 13880000 -3522000 106445000 80086000 8933000 9257000 -3614000 94662000 77598000 5172000 -9000 -2675000 80086000 75302000 627000 13943000 -12274000 77598000 0.24000 0.65000 0.11000 false true true 4055616 4055616 154700434 74052412 80648022 346653 225017 121636 230621305 130165423 100455882 20182100 7806365 12375735 197656891 53239976 F 53239976 DUE TO AFFILIATES 26618345 ESTIMATED 3RD PARTY PAYOR SETTLEMENT 20839963 FINANCIAL CONTRACT 12309123 ACCOUNTS RECEIVABLE CREDIT BALANCES 5318277 MEDICAL LEGAL CLAIMS ALLOWANCE 3583617 68669325 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. CENTRAL AMERICA AND THE CARIBBEAN INVESTMENTS 9394243 9394243 9394243 false false false false false false SCHEDULE F, PAGE 1, PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN 0 9,394,243 true true X true X 3.000000000000 false true true true false true true 9508209 9508209 0.02190 68440957 39759063 28681894 0.06610 2001622 1825059 176563 0.00040 79950788 41584122 38366666 0.08840 818978 818978 0.00190 7011828 2237258 4774570 0.01100 4108250 4108250 0.00950 11939056 2237258 9701798 0.02230 91889844 43821380 48068464 0.11070 true 9226573 4539474 92363373 102693353 -10329980 X true true 1 1 GEISINGER WYOMING VALLEY MEDICAL CENTER 1000 EAST MOUNTAIN DRIVE WILKESBARRE PA 18711 WWW.GEISINGER.ORG 148901 X X X X X X GEISINGER WYOMING VALLEY MEDICAL 1 false false true X X X X X X X X X X 12 true true false true X WWW.GEISINGER.ORG X WWW.GEISINGER.ORG/SITES/CHNA X true 12 true WWW.GEISINGER.ORG/SITES/CHNA-2015/GWV false false true X 300.000000000000 X X X X X true true X X X X true X WWWGEISINGERORG REFER TO SECTION C X WWWGEISINGERORG REFER TO SECTION C X WWWGEISINGERORG REFER TO SECTION C X X X X X X true X true X X X X X true X false false 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. 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. X true true X X X X X X false true true false false false false true true true GLENN D STEELE JR MD PHD PRES, CHAIR,DIRECTOR 1091895 1131217 2065068 440136 31990 4760306 1191920 DAVID J FELICIO ESQUIRE CLO, SECRETARY 390448 164846 107331 76118 25063 763806 61110 EDWARD J ZYCH ESQUIRE ACLO, ASST SECTY 262471 80515 47579 18720 23750 433035 30485 FRANK J TREMBULAK SR VP, TREASURER 628294 313196 250904 208746 10836 1411976 209318 KEVIN F BRENNAN CPA FHFMA EVP, FINANCE, CFO 531656 273329 223359 176933 24858 1230135 185023 STEVEN B PIERDON MD CHIEF MEDICAL OFFICE 407745 169650 274495 259839 19546 1131275 165546 GERALD MALONEY DO FACP CHIEF MEDICAL OFFICE 307226 87193 15885 18720 24029 453053 JOHN J BUCKLEY CAO, GNE 84388 71665 92497 47975 5138 301663 50117 MARY P GILDEA BSN RN VP NURSING, GWV 154118 27033 25182 12917 20237 239487 MAUREEN FITZSIMMONS RN NEA-BC NE, CHIEF NURSING EX 260790 79067 47713 51472 8781 447823 RONALD BEER MHA FACHE VP CLINICAL OPS 176700 30920 46001 19305 2278 17053 1666 18008 3583 277067 38447 MARGARET HENNELLY BERGIN RN MSN CNO, GNE 189253 38829 14052 16340 16715 275189 CARLA J SCOFIELD MS RADIATION PHYSICIST 185500 10102 12198 15172 222972 CONRAD W SCHINTZ VP COMMUNITY REL. 191880 47937 37748 18720 17709 313994 ERIN A PICA AVP, SURGICAL SP 169964 29045 3429 13483 20916 236837 JOHN P WIERCINSKI VP STRATEGIC DEVELOP 260502 105534 49040 18720 22299 456095 LISSA L BRYAN SMITH CAO 261805 82692 16071 18720 14363 393651 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. JILLIAN R GROCHAL FAMILY 12727 EMPLOYEE COMP./BEN false SCHEDULE L, PART V JILLIAN R. GROCHAL IS A FAMILY MEMBER OF MARY P. GILDEA, A KEY EMPLOYEE OF GEISINGER WYOMING VALLEY MEDICAL CENTER. FORM 990 - ORGANIZATION'S MISSION MISSION: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING ACCESS TO QUALITY POPULATION HEALTH AND HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. FORM 990 FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? 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. GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 NA true GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GHSF true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSICIAN PA 501C3 11A GHSF true MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GHSF true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS PA 501C4 GHSF true GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 11A GHSF true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 9 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 11A GHSF true COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GHSF true COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232429776 PHYSICIAN PA 501C3 9 GHSF true MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232568288 LONG TERM PA 501C3 9 GHSF true COMMUNITY MEDICAL CTR HEALTHCARE SY 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232279376 SUPPORT SV PA 501C3 11A GHSF true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GHSF true GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKILLED NU PA 501C3 9 GHSF true LEWISTOWN HEALTHCARE FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344363 PHILANTHRO PA 501C3 11A GHSF true GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501C3 3 GHSF true LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344362 RE HOLDIN PA 501C3 11A GHSF true FAM HEALTH ASSOC OF GEISINGER-LEWIS 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251651582 PHYSICIAN PA 501C3 11A GHSF true KEYSTONE HEALTH INFO EXCHANGE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501C3 11A GHSF true HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SV PA 501C3 11A CMC true SUN HOME HEALTH SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231736912 HEALTHCARE PA 501C3 9 GCHS true HOLY SPIRIT HEALTH SYSTEM 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251865142 PHILANTHRO PA 501C3 11A GHSF true HOLY SPIRIT HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231512747 HOSPITAL PA 501C3 3 HSHS true HOLY SPIRIT CORPORATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232214540 REALESTATE PA 501C2 HSHS true SPIRIT PHYSICIAN SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251766971 PHYSICIAN PA 501C3 9 HSHS true WEST SHORE ADVANCED LIFE SUPPORT 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232463002 HEALTHCARE PA 501C3 7 HSHS true NORTHEAST REGIONAL CANCER INSTITUTE 334 JEFFERSON AVENUE SCRANTON PA 18506 232662214 HEALTHCARE PA 501C3 11A N/A false 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 GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A true GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A true GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A true HEALTH ENTERPRISES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232353212 PHARMACY PA N/A true XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE N/A true GEISINGER ASSURANCE COMPANY LTD 23 LINE TREE BAY AVE PO BOX 1159 GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 981016737 INSURANCE CJ N/A true HOLY SPIRIT VENTURES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232407709 MED. SERV. PA N/A true true true true false false false false false false false true true true false false true false true true MARWORTH L 242872 GAAP GEISINGER-BLOOMSBURG HOSPITAL L 288112 GAAP GEISINGER SYSTEM SERVICES M 85241330 GAAP GEISINGER SYSTEM SERVICES L 854 GAAP GEISINGER QUALITY OPTIONS INC L 7060031 GAAP GEISINGER MEDICAL MANAGEMENT CORP M 8273968 GAAP GEISINGER MEDICAL MANAGEMENT CORP A 65759 FMV GEISINGER MEDICAL MANAGEMENT CORP L 1936 GAAP GEISINGER MEDICAL CENTER M 9016429 GAAP GEISINGER MEDICAL CENTER L 921358 GAAP GEISINGER MEDICAL CENTER A 24000 FMV GEISINGER LEWISTOWN L 44628 GAAP GEISINGER INSURANCE INDEMNITY CO L 3963787 GAAP GEISINGER INSURANCE CORP RRG P 1429590 GAAP GEISINGER HEALTH SYSTEM FOUNDATION M 2059612 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 213130 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 18723 GAAP GEISINGER HEALTH SYSTEM FOUNDATION S 296626 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 98000000 FMV GEISINGER HEALTH PLAN L 96513994 GAAP GEISINGER COMMUNITY MEDICAL CENTER L 476142 GAAP GEISINGER COMMUNITY MEDICAL CENTER M 33724 GAAP GEISINGER COMMUNITY HEALTH SERVICES M 125803 GAAP GEISINGER COMMUNITY HEALTH SERVICES A 3600 FMV GEISINGER COMMUNITY HEALTH SERVICES L 77558 GAAP GEISINGER CLINIC S 3816899 FMV GEISINGER CLINIC M 30268424 GAAP GEISINGER CLINIC K 853762 FMV GEISINGER CLINIC A 174186 FMV GEISINGER CLINIC L 919145 GAAP GEISINGER CLINIC B 4052000 GAAP GEISINGER CLINIC R 950004 FMV GEISINGER CLINIC C 188246 GAAP GEISINGER BLOOMSBURG HEALTHCARE CEN L 229 GAAP GEISINGER ASSURANCE COMPANY LTD P 2369856 GAAP SCHEDULE R FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN THE RESPONSE TO FORM 990, SCHEDULE R, GEISINGER WYOMING VALLEY MEDICAL CENTER IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS.