2012-05-11T13:30:30-05:00 2011-06-30 990 2010-07-01 240795959 GEISINGER MEDICAL CENTER GEIS 5702716624 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 DAVID J FELICIO ESQUIRE 5702716624 2012-04-19 2012-05-11 2010 2016-02-24 21:20:13Z X GLENN D STEELE MD PHD 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 869008577 false X WWW.GEISINGER.ORG X 1932 PA TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT CORPORATION, OWNS AND OPERATES A 490 BED REGIONAL REFERRAL QUATERNARY HEALTHCARE MEDICAL CENTER LOCATED IN DANVILLE, PENNSYLVANIA, A PREDOMINATELY RURAL AREA OF NORTHEASTERN AND CENTRAL PENNSYLVANIA. THE EXISTENCE OF A QUATERNARY HEALTHCARE CENTER IN A GENERALLY RURAL, MEDICALLY UNDER-SERVED, AREA IS UNUSUAL. GMC IS HOME TO THE JANET WEIS CHILDREN'S HOSPITAL, THE WOMEN'S HEALTH PAVILION AND THE OUTPATIENT SURGERY CENTER IN ADDITION TO TREATMENT CENTERS FOR CANCER; KIDNEY, LIVER AND PANCREAS TRANSPLANTS; HEART AND NEUROLOGICAL DISEASE; DIALYSIS AND INFERTILITY. A. SPECIALTIES AND SUBSPECIALTIES GEISINGER CLINIC PHYSICIANS PRACTICING AT GMC PROVIDE SKILLED S 9 7 4186 353 6153739 850226 0 802564953 857924231 11702847 9409274 1542378 1625089 815810178 868958594 0 0 255820421 274141367 0 0 480987866 512949557 736808287 787090924 79001891 81867670 618791296 627088939 412245071 523732063 206546225 103356876 X TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT CORPORATION, OWNS AND OPERATES A 490 BED REGIONAL REFERRAL QUATERNARY HEALTHCARE MEDICAL CENTER LOCATED IN DANVILLE, PENNSYLVANIA, A PREDOMINATELY RURAL AREA OF NORTHEASTERN AND CENTRAL PENNSYLVANIA. THE EXISTENCE OF A QUATERNARY HEALTHCARE CENTER IN A GENERALLY RURAL, MEDICALLY UNDER-SERVED, AREA IS UNUSUAL. GMC IS HOME TO THE JANET WEIS CHILDREN'S HOSPITAL, THE WOMEN'S HEALTH PAVILION AND THE OUTPATIENT SURGERY CENTER IN ADDITION TO TREATMENT CENTERS FOR CANCER; KIDNEY, LIVER AND PANCREAS TRANSPLANTS; HEART AND NEUROLOGICAL DISEASE; DIALYSIS AND INFERTILITY. A. SPECIALTIES AND SUBSPECIALTIES GEISINGER CLINIC PHYSICIANS PRACTICING AT GMC PROVIDE SKILLED S false false 279207085 281917931 ADULT INPATIENT SERVICES GMC IS A QUATERNARY MEDICAL CENTER INCLUDING ADULT MEDICAL AND CARDIAC INTENSIVE CARE UNITS, A HEMATOLOGY/ONCOLOGY UNIT, BONE AND JOINT UNIT AND ADDITIONAL MEDICAL/SURGERY CARE UNITS. GMC HAS A KIDNEY, LIVER, PANCREAS TRANSPLANT PROGRAM. SEE SCHEDULE O FOR MORE DETAILED DESCRIPTION OF SERVICES 188910809 191451347 WOMEN'S AND CHILDREN SERVICES GMC HAS A DEDICATED 86 BED INPATIENT PEDIATRIC HOSPITAL INCLUDING BOTH A NEWBORN AND PEDIATRIC INTENSIVE CARE UNIT. IN ADDITION GMC PROVIDES PEDIATRIC SPECIALTY AND SUBSPECIALTY SERVICES. GMC ALSO HAS A WOMEN'S PAVILION THAT IS THE ONLY AREA HOSPITAL PROVIDING 24 HOUR COVERAGE BY OBSTETRICIANS, MIDWIVES, NEONATOLOGISTS, PEDIATRICIANS, AND ANESTHESIOLOGISTS. IN ADDITION SPECIALIZED OUTPATIENT SERVICES ARE PROVIDED INCLUDING BUT NOT LIMITED TO OBSTETRICS, GYNECOLOGY, BREAST CARE, AND FERTILITY CLINIC. SEE SCHEDULE O FOR MORE DETAILED DESCRIPTION OF SERVICES. 132936209 141291814 EMERGENCY AND TRAUMA CARE GMC IS BOTH A REGIONAL RESOURCE TRAUMA CENTER (LEVEL 1) AND A PEDIATRIC TRAUMA PROGRAM (LEVEL II). IN FISCAL YEAR 2010 GMC' EMERGENCY ROOM TREATED 33,302 OUTPATIENTS AND 12,864 INPATIENTS. THE TRAUMA CENTER INCLUDES LIFE FLIGHT, A MULTIPLE AIRCRAFT RAPID RESPONSE HELICOPTER RETRIEVAL PROGRAM. IN FISCAL YEAR 2010, LIFE FLIGHT PROVIDED EMERGENCY TRANSPORTATION TO 2,584 PATIENTS BY HELICOPTER, SERVING MULTIPLE HOSPITALS IN PENNSYLVANIA AND NEIGHBORING STATES. SEE SCHEDULE O FOR MORE DETAILED DESCRIPTION OF SERVICES. 163083735 254297495 GMC PROVIDES SPECIALTY AND SUBSPECIALTY OUTPATIENT CARE AT THE OUTPATIENT SURGERY CENTER, ON WOODBINE LANE, DANVILLE, PA, AND AT THE MAIN HOSPITAL, DANVILLE, PA. 163083735 254297495 764137838 true false false true false false false false false true true true false false true false false true false false false false false false false false true true false false true false false false true false false true true false false false false false true true true true false true X 2 0 true 4186 true true true false false false false false false false false false X 9 7 true false false false true true true true true false false true true true true true true true true true true PA X MARK ERATH VP FINANCECFO 5702715523 100 NORTH ACADEMY AVENUE MC 01-50 DANVILLE PA 17822 X WILLIAM H ALEXANDER 2.00 X 0 0 0 E ALLEN DEAVER 2.00 X 0 0 0 DORRANCE R BELIN ESQUIRE 2.00 X 0 0 0 WILLIAM R GRUVER 2.00 X 0 0 0 FRANK M HENRY 2.00 X 0 0 0 THOMAS H LEE JR MD 2.00 X 0 0 0 GLENN D STEELE JR MD PHD 40.00 X X 0 2043610 372104 ROBERT E POOLE 2.00 X 0 0 0 DON A ROSINI 2.00 X 0 0 0 KENNETH E WOOD DO 40.00 X 0 390110 92631 DAVID J FELICIO ESQUIRE 40.00 X 0 491282 81063 EDWARD J ZYCH ESQUIRE 40.00 X 0 268638 37700 KEVIN F BRENNAN CPA FHFMA 40.00 X 0 809261 184136 ALBERT BOTHE JR MD 40.00 X 0 750450 160100 FRANK J TREMBULAK 40.00 X 0 883837 194894 EDELYN L MILLER 40.00 X 504513 0 71935 SUSAN M HALLICK RNC BSN MHA NEA 40.00 X 464913 0 115003 THOMAS P SOKOLA 40.00 X 0 350422 50055 CHERYL A MCHALE RN CCRN 40.00 X 210337 0 20262 MATTHEW J SHELLENBERGER DO 40.00 X 30498 158162 30255 ERIK N HILL MSW LCSW 40.00 X 27762 221259 22540 BRENDA A WANDS CRNA MBA 40.00 X 83703 106438 30990 ARTHUR F RICHER CRNA MS 40.00 X 169182 37565 26769 KEVIN J KERESTUS CIA 40.00 X 0 189203 31017 DUANE E DEIVERT DO 40.00 X 0 429833 34934 JOHN R JONES 40.00 X 0 223515 26337 AMITPAL JOHAL MD 40.00 X 0 361821 32896 BRUCE H HAMORY MD 40.00 X 0 704474 153658 JON D GABRIELSEN MD 40.00 X 0 319433 35699 RONALD A PAULUS MD 40.00 X 0 583752 182536 JOANNE E WADE 40.00 X 0 884047 186303 1490908 10207112 2173817 108 true true false ERA MED LLC 1 EARHART DRIVE SUITE 11 COATESVILLE PA 19320 FLIGHT STAFF 5141879 INSIGHT HEALTH SERVICES CORP PO BOX 847689 DALLAS TX 75284 DIAGNOSTIC IMAG 3323100 HEALTHSOUTHGHS LLC 2 REHAB LANE DANVILLE PA 17822 MEDICAL SERVICE 2921986 GE HEALTHCARE PO BOX 640200 PITTSBURG PA 15264 EQUIP SVC CONTR 2715022 QUEST DIAGNOSTICS INC PO BOX 994 HORSHAM PA 19044 LAB TESTS 1934144 49 PATIENT HEALTHCARE 809435439 809435439 OUTPATIENT PHARMACY 31795308 31795308 LABORATORY SERVICES 621500 4736216 4736216 OTHER HEALTHCARE REVENUE 3889902 3889902 RENTAL INCOME 2902012 2902012 5165354 2758096 1417523 989735 857924231 6727402 6727402 30870 23529 7341 7341 7341 2531906 176420 26454 2531906 149966 2681872 2681872 VENDOR REBATES 729757 729757 GIFT SHOP 635638 635638 ROOM RENTAL - 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SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIV EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM(1) ("GHS") ADOPTED FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AN INTERPRETATION OF FASB STATEMENT NO. 109 ("FIN 48"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF JUNE 30, 2011 OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2011 GHS CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE ACRONYM "GHS" OR THE TERMS "SYSTEM", "GEISINGER", OR "GEISINGER HEALTH SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF THE GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE SYSTEM. true true X true X true X 3.80000 true true false true true 7689281 7689281 0.00980 113346151 62694139 50652012 0.06470 4652838 3705478 947360 0.00120 125688270 66399617 59288653 0.07570 1801561 1801561 0.00230 51891849 10824541 41067308 0.05250 8086268 8086268 0.01030 61779678 10824541 50955137 0.06510 187467948 77224158 110243790 0.14080 true 2150370 132213086 145707521 -13494435 X true true HEALTHSOUTHGHS LLC REHABILITATION HOSPITAL SERVICES 0.50000 2 1 GEISINGER MEDICAL CENTER

100 NORTH ACADEMY AVENUE DANVILLE PA 17822

X X X X X 2 GEISINGER HEALTHSOUTH REHAB HOSPITAL

2 REHAB LANE DANVILLE PA 17821

X GEISINGER MEDICAL CENTER 1 false GEISINGER HEALTHSOUTH 2 false false false false false false EXCLUSIONS FROM PERCENT OF TOTAL EXPENSE PART I LINE 7 COLUMN F THE BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR USED TO CALCULATE THE PERCENT OF COMMUNITY BENEFIT WAS 11041704 COSTING METHODOLOGY EXPLANATION PART I LINE 7 A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYER EG MEDICARE MEDICAID COMMERCIAL PAYERS SELFPAY ETC NEEDS ASSESSMENT PART VI PART VI LINE 2 DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES GMC ALONG WITH OTHER NONPROFIT HOSPITALS WITHIN GMCS MULTICOUNTY SERVICE AREA HAS PARTNERED WITH ACTION HEALTH TO ENGAGE THE COMMUNITIES TO ASSESS AND IDENTIFY THE HEALTH NEEDS OF THE COMMUNITIES SERVED AND TO FACILITATE THE PARTNERS COMMUNITY BENEFIT EFFORTS PARTICIPATING PARTNERS INCLUDE BERWICK HOSPITAL BLOOMSBURG HOSPITAL EVANGELICAL COMMUNITY HOSPITAL SHAMOKIN AREA COMMUNITY HOSPITAL AND SUNBURY COMMUNITY HOSPITAL ACTION HEALTH IS A 501C3 CHARITABLE ORGANIZATION WITH THE MISSION TO PROVIDE COMMUNITY HEALTH OUTREACH AND EDUCATION THROUGH EASILY ACCESSIBLE HEALTH PROGRAMS FOCUSED ON ENHANCING COMMUNITY SERVICES AND DEVELOPING NEW INITIATIVES TO ADDRESS UNMET HEALTH AND WELLNESS NEEDS DATA FROM A VARIETY OF SPONSORS AND REFERENCE RESOURCES WAS REVIEWED TO DETERMINE THE COMMUNITIES SPECIFICS NEEDS INCLUDING PENNSYLVANIA DEPARTMENT OF HEALTH PENNSYLVANIAS STATE HEALTH IMPROVEMENT PLAN SHIP SPECIAL REPORT AND PLAN TO IMPROVE RURAL HEALTH STATUS PENNSYLVANIA DEPARTMENT OF HEALTH AND THE PENNSYLVANIA ADVOCATES FOR NUTRITION ACTIVITY PENNSYLVANIA NUTRITION PHYSICAL ACTIVITY PLAN TO PREVENT OBESITY AND RELATED CHRONIC DISEASES THE GOVERNORS INTERAGENCY COORDINATING COUNCIL ON CHILD NUTRITION HEALTH PHYSICAL EDUCATION PENNSYLVANIA CHILD WELLNESS PLAN 200607 2006 GOVERNORS CABINET ON CHILDREN FAMILIES PA HEALTHY KIDS PENNSYLVANIA STRATEGY FOR BALANCING NUTRITION AND EXERCISE IN KIDS U S DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTHY PEOPLE 2010 AND HEALTHY PEOPLE 2020 DATA BY COUNTY MONTOUR COLUMBIA NORTHUMBERLAND SNYDER UNION NATIONAL ACADEMY OF SCIENCES PREVENTING CHILDHOOD OBESITY HEALTH IN THE BALANCE COLUMBIA COUNTY HUMAN SERVICE COALITION COLUMBIA COUNTY NEEDS ASSESSMENT 2006 STEPS TO HEALTHIER PA LUZERNE COUNTY STEPPING INTO A HEALTHIER FUTURE CENTER COUNTY PARTNERSHIP FOR COMMUNITY HEALTH SHIP PARTNER 2007 BEHAVIORAL HEALTH RISKS OF CENTRE COUNTY ADULTS GEISINGER HEALTH SYSTEM IS ALSO AN ACTIVE PARTICIPANT IN MULTIPLE COMMUNITYBASED ORGANIZATIONS THAT STRIVE TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY INCLUDING CONDUCTING COMMUNITY NEEDS ASSESSMENTS OF VARYING SCOPE THESE RELATIONSHIPS HAVE ENABLED GEISINGER TO PARTICIPATE AND UNDERSTAND MORE CLEARLY THE UNDERLYING REASONS FOR A SPECIFIC COMMUNITYS HEALTH STATUS AND TO USE THAT INFORMATION IN MAKING FOCUSED DECISIONS ABOUT APPROPRIATE SERVICE MIX AND COMMUNITY OUTREACH SERVICES THERE WERE TWO MAJOR HEALTH NEED THEMES WHICH CONSISTENTLY SURFACED IN THE VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS OBESITY AND BROADLY THE RELATED DISEASE BURDENPREVENTION PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI PART VI LINE 3 DESCRIBE HOW THE ORGANIZATION INFORMS PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL 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 PATIENTS METHOD OF PAYMENT OR INSURANCE STATUS FOR OTHER THAN URGENT AND EMERGENT SERVICES THE HOSPITAL PROVIDES UNCOMPENSATED CARE FREE OF CHARGE OR ON A DISCOUNTED BASIS TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY DEPENDING UPON FAMILY SIZE AND INCOME FREE OR DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME RANGING FROM 200 UP TO 380 OF THE FEDERAL POVERTY GUIDELINES IT IS GEISINGER POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIALBILLING PROCESS INFORMATION SIGNS BROCHURES ETC REGARDING GEISINGERS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL NOTICE OF GEISINGERS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWWGEISINGERORG PATIENTS ARE ALSO PROVIDED INFORMATION ON GEISINGERS CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL COMMUNITY INFORMATION PART VI PART VI LINE 4 DESCRIBE THE COMMUNITIES SERVES GMC IS AFFILIATED WITH THE GEISINGER HEALTH SYSTEM WHICH IS ONE OF THE LARGEST RURAL HEALTH CARE SYSTEMS IN THE NATION AND COVERS A 20000 SQUARE MILE AREA IN NOTHERN AND CENTRAL PENNSYLVANIA AS AN INTEGRATED HEALTH CARE SYSTEM IT SERVES MORE THAN 24 MILLION PEOPLE IN 43 COUNTIES OF PENNSYLVANIAS 67 COUNTIES WITH A VARIETY OF CHARITABLE HEALTH CARE PROVIDERS INCLUDING GEISINGER MEDICAL CENTER THE 65 AND OVER AGE GROUP IS 175 OF THE TOTAL POPULATION WHICH IS GREATER THAN THE STATE 159 AND NATIONAL 133 PERCENTAGES ADDITIONALLY THE 65 AND OVER AGE GROUP IS THE AGE SEGMENT PROJECTED TO EXPERIENCE THE LARGEST FIVEYEAR POPULATION GROWTH AT 11 THE REGION IS PRIMARILY RURAL MEDIAN HOUSEHOLD INCOME IS 52229 WITH APPROXIMATELY 144 OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES HIGHER THAN THE STATE PERCENTAGE OF 134 THE UNEMPLOYMENT RATE IS 92 WHICH IS HIGHER THAN THE STATES RATE OF 87 BUT LOWER THAN THE NATIONAL RATE OF 96 APPROXIMATELY 23 OF GMCS PATIENT SERVICES DURING FISCAL YEAR 2011 WERE PROVIDED TO CHARITY CARE AND MEDICAID RECIPIENTS COMPARATIVELY OF ALL HOSPITAL INPATIENTS FROM THE REGION REGARDLESS OF THEIR SOURCE OF CARE 179 WERE UNINSURED OR WERE MEDICAID RECIPIENTS THE REGION INCLUDES MULTIPLE MEDICALLY UNDERSERVED AREAS AND POPULATIONS HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI PART VI LINE 6 DESCRIBE HOW THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCOMMUNITY BENEFIT REPORTED IN SCHEDULE O AFFILIATED HEALTH CARE INFORMATION PART VI PART VI LINE 6 DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITY GMC IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM WHICH IS ONE OF THE LARGEST RURAL HEALTH CARE SYSTEMS IN THE NATION AND COVERS A 20000 SQUARE MILE AREA IN NORTHERN AND CENTRAL PENNSYLVANIA AS AN INTEGRATED HEALTH CARE SYSTEM IT SERVES MORE THAN TWO MILLION PEOPLE IN 43 OF PENNSYLVANIAS 67 COUNTIES WITH A VARIETY OF CHARITABLE HEALTH CARE PROVIDERS AND A NONPROFIT HMO THE GHS MISSION IS TO ENHANCE THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE EDUCATION RESEARCH AND COMMUNITY SERVICE GMC A 404 BED TERTIATY AND QUARTERNARY MEDICAL CENTER IS LOCATED IN DANVILLE PENNSYLVANIA A SMALL COMMUNITY OF 6000 PEOPLE SINCE ITS BEGINNING IN 1915 GHS HAS EMPHASIZED MULTISPECIALTY CARE AND HAS MORE THAN 80 MEDICAL SPECIALTIES AND SUBSPECIALTIES GMC IS A LEVEL 1 REGIONAL RESOURCE TRAUMA CENTER AND HAS RECENTLY BEEN NAMED TO THE TOP 100 HOSPITALS IN THE COUNTRY THE MEDICAL CENTER HAS ALSO BEEN DESIGNATED AS A MAGNET HOSPITAL BY THE AMERICAN NURSES CREDENTIALING CENTER ANCC GHS PHYSICIANS WERE LISTED IN THE BEST DOCTORS IN AMERICA AND THE GHS INTEGRATED COSTEFFECTIVE DELIVERY OF MANAGED CARE WAS FEATURED IN A FRONTPAGE NEW YORK TIMES ARTICLE MEDICAL EDUCATION HAS PLAYED A PROMINENT ROLE AT THE GMC WITH MORE THAN 200 RESIDENTS AND FELLOWS RECEIVING POSTDOCTORAL TRAINING AND RESEARCH EXPOSURE GMC IS ALSO HOME TO THE JANET WEIS WOMENS AND CHILDRENS HOSPITAL THE FIRST RURAL ACUTECARE CHILDRENS HOSPITAL IN THE NATION THE 85 BED CHILDRENS HOSPITAL WAS CONSTRUCTED IN 1995 ENTIRELY FROM DONATIONS AND BOASTS A NEONATAL INTENSIVE CARE UNIT A PEDIATRIC INTENSIVE CARE UNIT AND TWO FLOORS OF MEDICALSURGICAL INPATIENT ROOMS IN JANUARY OF 2000 THE TWOSTORY WOMENS PAVILION OPENED AND STRATEGICALLY ADJOINS THE CHILDRENS HOSPITAL FOSTERING FAMILYCENTERED CARE FOR ALL OBSTETRICAL AND NEWBORN SERVICES THE PAVILION FEATURES 19 LABOR DELIVERY RECOVERY POSTPARTUM ROOMS AND HAS THE STATES FIRST PASSTHROUGH WINDOWS FROM TWO HIGHRISK AND CSECTION DELIVERY ROOMS DIRECTLY INTO THE ADJOINING NEONATAL INTENSIVE CARE UNIT GEISINGER WYOMING VALLEY MEDICAL CENTER GWV SERVES PATIENTS IN THE GREATER WYOMING VALLEY AND WESTERN POCONO REGION OF THE STATE WITH A COMPREHENSIVE MATERNITY PROGRAM PEDIATRIC SERVICES MEDICAL AND SURGICAL UNITS THE FRANK M AND DOROTHEA HENRY CANCER CENTER A COMPLETE EMERGENCY DEPARTMENT AS WELL AS OFFERING AN EXTENSIVE COMMUNITYHEALTH EDUCATION PROGRAM OPENING IN THE FALL OF 2001 AND CONNECTED DIRECTLY TO GWV WAS THE REGIONS FIRST AND ONLY HEART HOSPITAL THE THREESTORY STRUCTURE OFFERED LIFESAVING HEART PROCEDURES THAT WERE NOT CURRENTLY AVAILABLE IN THE REGION AS WELL AS A RESEARCH PROGRAM NEW THERAPIES AND SPECIAL HEART SERVICES THE ENTIRE HEALTH SYSTEM IS SERVED BY LIFE FLIGHT THE 20 PLUSYEAR OLD AIRMEDICAL TRANSPORT PROGRAM ONE HELICOPTER IS HOUSED ON THE CAMPUS OF GEISINGER MEDICAL CENTER AND ANOTHER IS STATIONED AT THE UNIVERSITY PARK AIRPORT IN STATE COLLEGE GHS PROVIDED THE FIRST FULLSERVICE FULLTIME MEDICAL HELICOPTER STATIONED IN THE WILKESBARRESCRANTON AREA BY ADDING A THIRD HELICOPTER IN THE FLEET IN JULY 2001 A FOURTH HELICOPTER WAS ADDED IN WILLIAMSPORT IN 2005 WITH A FIFTH GOING ONLINE IN POTTSVILLE IN 2006 GEISINGER CLINIC IS A 501C3 NOTFORPROFIT CORPORATION OPERATING A MULTISPECIALTY GROUP PRACTICE GEISINGER CLINIC PROVIDES PATIENT STAFF FOR PATIENT CARE EDUCATION AND RESEARCH THERE ARE MORE THAN 750 EMPLOYED PHYSICIANS PRACTICING AT AN ARRAY OF HEALTH CARE DELIVERY PROVIDER FACILITIES AT 61 MEDICAL GROUPS SERVING 31 COUNTIES OPERATED WITHIN THE GEISINGER CLINIC ORGANIZATION THE WEIS CENTER FOR RESEARCH LOCATED ON THE CAMPUS OF GEISINGER MEDICAL CENTER IS HOME TO THE HENRY HOOD RESEARCH PROGRAM THE PREEMINENT FUNCTION OF THE HOOD RESEARCH PROGRAM IS TO CONDUCT ORIGINAL AND INNOVATIVE RESEARCH OF WORLD CLASS QUALITY OUR SCIENTISTS APPLY MODERN MOLECULAR AND CELLULAR APPROACHES TO DIVERSE RESEARCH PROBLEMS IN THE AREAS OF CARDIOVASCULAR FUNCTION CANCER AND DEVELOPMENTAL BIOLOGY BEGUN IN 1972 THE GEISINGER HEALTH PLAN IS A 501C4 NOTFORPROFIT ORGANIZATION THAT HAS GROWN TO BE ONE OF THE LARGEST RURAL HMOS IN THE COUNTRY IT CURRENTLY SERVES APPROXIMATELY 200000 MEMBERS IN A 42COUNTY SERVICE AREA MARWORTH IS A 501C3 NOTFORPROFIT ORGANIZATION AND OPERATES A 77 BED CENTER THAT ALSO OFFERS A BROADBASED OUTPATIENT PROGRAM FOR THE TREATMENT OF ALCOHOL AND CHEMICAL DEPENDENCY MARWORTH IS LOCATED IN WAVERLY PENNSYLVANIA AND IS ANNUALLY RANKED AMONG THE TOP 20 TREATMENT CENTERS IN THE UNITED STATES GEISINGER COMMUNITY HEALTH SERVICES IS A 501C3 NOTFORPROFIT ORGANIZATION DESIGNED TO CONDUCT CHARITABLE SCIENTIFIC AND EDUCATIONAL ACTIVITIES FOR THE CITIZENS OF THE COMMUNITIES SERVED BY GHS ADDITIONAL INFORMATION PART VI PART I LINE 6A6B DOES THE ORGANIZATION PREPARE AN ANNUAL COMMUNITY BENEFIT REPORT A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GEISINGER MEDICAL CENTER GMCAND ITS RELATED CHARITABLE ORGANIZATIONS IS AVAILABLE AT GEISINGERORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST GO TO WWWGEISINGERORGABOUTINDEXHTML PART III SECTION A LINE 2 AND LINE 4 GEISINGER MEDICAL CENTER IS A MEMBER OF A GROUP WITH CONSOLIDATED FINANCIAL STATEMENTS PER THE FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE THE ORGANIZATIONS OF THE CONSOLIDATED GROUP RECOGNIZE THE ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON AGING OF ACCOUNTS RECEIVABLE AND HISTORICAL EXPERIENCE GMC REPORTS ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYERS PATIENTS AND OTHERS AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS RECEIVABLES IS PROVIDED BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS THE RATIO OF PATIENT COST TO CHARGES IS APPLIED TO THE GMCS BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD EXPENSE REPORTED ON LINE 2 OF PART III PATIENTS ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND RECLASSIFIED TO FREE OR DISCOUNTED CARE WHENEVER THE PATIENT BECOMES ELIGIBLE UNDER GMCS UNCOMPENSATED CARE POLICIES ACCORDINGLY THE BAD DEBT ACCOUNTS SHOULD NOT INCLUDE AMOUNTS THAT MAY BE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FREE OR DISCOUNTED CARE UNDER GMCS UNCOMPENSATED CARE POLICIES PART III LINE 6 LINE 7 MEDICARE SHORTFALL LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE ALLOWED TO BE REPORTED ON GMCS MEDICARE COST REPORT THAT ARE REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT THESE COSTS DO NOT INCLUDE ALL OF THE COSTS THAT ARE REQUIRED TO TREAT MEDICARE PATIENTS THEREFORE WHEN ALL OR GMCS COSTS ARE INCLUDED THE ACTUAL SHORTFALL FOR PROVIDING CARE TO MEDICARE PATIENTS IS 14598026 PART III SECTION B LINE 8 MEDICARE SHORTFALL IS COMMUNITY BENEFIT GMC CONSIDERS THAT THE TOTAL MEDICARE SHORTFALL OF 14598026 IS REPORTED AS COMMUNITY BENEFIT 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 GMC TO USE OTHER FUNDS TO COVER THE SHORTFALL MEDICARE SHORTFALLS MUST BE ABSORBED BY GMC IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY GMC PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS PENNSYLVANIA REQUIRES NONPROFIT HOSPITALS LIKE GMC 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 IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES PART III SECTION C LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IT IS GMC POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANYTIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIALBILLING AND COLLECTION PROCESS PART VI LINE 7 AT THIS TIME GMC 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 false false false false false true false GLENN D STEELE JR MD PHD 940039 719216 384355 339686 32418 2415714 241531 KENNETH E WOOD DO 323787 44354 21969 67778 24853 482741 DAVID J FELICIO ESQUIRE 318670 123064 49548 64346 16717 572345 19288 EDWARD J ZYCH ESQUIRE 222920 31827 13891 17778 19922 306338 KEVIN F BRENNAN CPA FHFMA 463447 268032 77782 164879 19257 993397 41972 ALBERT BOTHE JR MD 471310 244569 34571 152195 7905 910550 FRANK J TREMBULAK 552005 285273 46559 184975 9919 1078731 EDELYN L MILLER 331602 132506 40405 59906 12029 576448 SUSAN M HALLICK RNC BSN MHA NEA 292571 151115 21227 96795 18208 579916 THOMAS P SOKOLA 231866 73130 45426 32778 17277 400477 CHERYL A MCHALE RN CCRN 189879 18090 2368 14514 5748 230599 MATTHEW J SHELLENBERGER DO 29120 135424 1378 22738 10463 11756 8036 42254 176661 ERIK N HILL MSW LCSW 27649 219561 113 1698 16529 3127 2884 30889 240672 BRENDA A WANDS CRNA MBA 82437 105021 1266 1417 8358 5295 7130 10207 99191 121940 ARTHUR F RICHER CRNA MS 150024 36341 10821 8337 1224 12452 1839 10116 2362 191750 41766 KEVIN J KERESTUS CIA 159907 26114 3182 12867 18150 220220 DUANE E DEIVERT DO 349213 60313 20307 17778 17156 464767 JOHN R JONES 167948 50000 5567 15425 10912 249852 AMITPAL JOHAL MD 306251 32000 23570 17778 15118 394717 BRUCE H HAMORY MD 456961 120250 127263 133879 19779 858132 80909 JON D GABRIELSEN MD 231586 64635 23212 17778 17921 355132 RONALD A PAULUS MD 331500 218409 33843 169124 13412 766288 JOANNE E WADE 531456 268237 84354 177664 8639 1070350 47691 FRINGE OR EXPENSE EXPLANATION 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. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 GLENN D. STEELE JR., M.D. PH.D. 0 241,531 0 DAVID J. FELICIO, ESQUIRE 0 19,288 0 KEVIN F. BRENNAN, CPA, FHFMA 0 41,972 0 FRANK J. TREMBULAK 0 3,293 0 BRUCE H. HAMORY, M.D. 0 80,909 0 JOANNE E. WADE 0 47,691 0 NON-FIXED PAYMENTS PROVIDED SCHEDULE J, PAGE 1, PART I, LINE 7 BECAUSE THE PAYMENT OF EARNED PERFORMANCE BASED COMPENSATION IS AT THE DISCRETION OF MANAGEMENT AND THE BOARD OF DIRECTORS, SUCH PAYMENTS MAY BE CONSIDERED NON-FIXED PAYMENTS. PERFORMANCE BASED COMPENSATION IS DETERMINED BY MEETING INDIVIDUALLY MEASURED PERFORMANCE GOALS THAT ARE ALIGNED WITH OVERALL SYSTEM OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT AND FINANCIAL STEWARDSHIP. OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM" AND "SYSTEM" OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. BRENDA A WANDS CRNA MBA EDUCATION X 9165 9165 false true true 9165 GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 1417523 IC SHARED SERV EXP false GEISINGER MEDICAL MANAGEMENT CORP BUSINESS 219397 IC SHARED SERV REV false GEISINGER INDEMNITY INSURANCE COMP BUSINESS 5721248 IC SHARED SERV REV false GEISINGER QUALITY OPTIONS INC BUSINESS 20293427 IC SHARED SERV REV false INTERNATIONAL SHARED SERVICES INC BUSINESS 11793080 IC SHARED SERV EXP false HEALTHSOUTH GHS LLC BUSINESS 152570 LEASE REVENUE false HEALTHSOUTH GHS LLC BUSINESS 3018195 SERVICE EXPENSE false HEALTHSOUTH GHS LLC BUSINESS 2704821 SERVICE REVENUE false GEISINGER ASSURANCE COMPANY LTD BUSINESS 6990783 IC SHARED SERV EXP false HIRTLE CALLAGHAN BUSINESS 310091 INVESTMENT MGMT FEES false KIMBERLY M HALLICK FAMILY 25498 EMPLOYEE COMPENSAT. false JESSE R MILLER FAMILY 23341 EMPLOYEE COMPENSAT. false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L PART IV KIMBERLY M HALLICK 25498 FAMILY EMPLOYEE COMPENSAT JESSE R MILLER 23341 FAMILY EMPLOYEE COMPENSAT ADDITIONAL INFORMATION SCHEDULE L PART V WILLIAM R GRUVER A DIRECTOR OF GEISINGER MEDICAL CENTER IS A DIRECTOR OF HIRTLE CALLAGHAN EDELYN L MILLER AND THOMAS SOKOLA KEY EMPLOYEES OF GEISINGER MEDICAL CENTER ARE MEMBERS OF THE GOVERNING BODY OF HEALTHSOUTHGHS LLC KIMBERLY M HALLICK IS A FAMILY MEMBER OF SUSAN M HALLICK RNC BSN MHA A KEY EMPLOYEE OF GEISINGER MEDICAL CENTER JESSE R MILLER IS A FAMILY MEMBER OF EDELYN L MILLER A KEY EMPLOYEE OF GEISINGER MEDICAL CENTER IN ADDITION GEISINGER MEDICAL CENTER GMC IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTERORGANIZATIONAL TRANSACTIONS WHICH MAY INCLUDE SALES EXCHANGES AND LEASE OF PROPERTY EXTENSIONS OF CREDIT FURNISHING OF GOODS SERVICES AND FACILITIES AND TRANSFERS OF ASSETS THESE TYPES OF INTERORGANIZATIONAL TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IRS IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF PRIVATE LETTER RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS TAX EXEMPT STATUS THE FOLLOWING ORGANIZATIONS REPRESENT THE AFFILIATED FORPROFIT ORGANIZATIONS WITHIN THE GEISINGER HEALTH SYSTEM FOR WHOM BUSINESS TRANSACTIONS MUST BE DISCLOSED FOR PURPOSES OF SCHEDULE L PART IV TRANSACTIONS WITH INTERESTED PERSONS OFFICERS AND DIRECTORS OF GEISINGER MEDICAL CENTER ARE OFFICERS AND DIRECTORS OF THESE ORGANIZATIONS AS DESCRIBED BELOW GEISINGER MEDICAL MANAGEMENT CORPORATION GMMC DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GMC AND GMMC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GMC AND THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR OF GMMC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GMC AND GMMC EDWARD J ZYCH ESQUIRE IS THE ASSISTANCT SECRETARY OF GMC AND GMMC WILLIAM H ALEXANDER IS A DIRECTOR OF GMC AND GMMC WILLIAM R GRUVER IS A DIRECTOR OF GMC AND GMMC ROBERT E POOLE IS A DIRECTOR OF GMC AND GMMC DON A ROSINI IS A DIRECTOR OF GMC AND GMMC GEISINGER QUALITY OPTIONS INC GQO DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GMC AND GQO GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIOOF GQO FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GMC AND SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF GQO WILLIAM H ALEXANDER IS A DIRECTOR OF GMC AND GQO DON A ROSINI IS A DIRECTOR OF GMC AND GQO THOMAS H LEE JR IS A DIRECTOR OF GMC AND GQO GEISINGER INDEMNITY INSURANCE COMPANY GIIC DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GMC AND GIIC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GIIC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GMC AND SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF GIIC WILLIAM H ALEXANDER IS A DIRECTOR OF GMC AND GIIC DON A ROSINI IS A DIRECTOR OF GMC AND GIIC THOMAS H LEE JR IS A DIRECTOR OF GMC AND GIIC INTERNATIONAL SHARED SERVICES INC ISS DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GMC AND ISS GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR OF ISS FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GMC AND THE SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF ISS EDWARD J ZYCH ESQUIRE IS THE ASSISTANCT SECRETARY OF GMC AND ISS GEISINGER ASSURANCE COMPANY LTD GAC DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GMC AND THE SECRETARY AND DIRECTOR OF GAC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GMC AND THE CHAIRMAN OF THE BOARD AND DIRECTOR OF GAC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GMC AND THE PRESIDENT CHIEF EXECUTIVE OFFICER AND DIRECTOR OF GAC FOOTNOTE THROUGHOUT FORM 990 THE TERMS GEISINGER HEALTH SYSTEM AND SYSTEM OR THE ACRONYM GHS SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION THE FOUNDATION AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. I. GENERAL PROGRAM SERVICE INFORMATION GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT CORPORATION, OWNS AND OPERATES A 490 BED REGIONAL REFERRAL QUATERNARY HEALTHCARE MEDICAL CENTER LOCATED IN DANVILLE, PENNSYLVANIA, A PREDOMINATELY RURAL AREA OF NORTHEASTERN AND CENTRAL PENNSYLVANIA. THE EXISTENCE OF A QUATERNARY HEALTHCARE CENTER IN A GENERALLY RURAL, MEDICALLY UNDER-SERVED, AREA IS UNUSUAL. GMC IS HOME TO THE JANET WEIS CHILDREN'S HOSPITAL, THE WOMEN'S HEALTH PAVILION AND THE OUTPATIENT SURGERY CENTER IN ADDITION TO TREATMENT CENTERS FOR CANCER; KIDNEY, LIVER AND PANCREAS TRANSPLANTS; HEART AND NEUROLOGICAL DISEASE; DIALYSIS AND INFERTILITY. A. SPECIALTIES AND SUBSPECIALTIES GEISINGER CLINIC PHYSICIANS PRACTICING AT GMC PROVIDE SKILLED SERVICES IN NUMEROUS SPECIALTY AND SUBSPECIALTY AREAS. SPECIAL SERVICES AVAILABLE INCLUDE, BUT ARE NOT LIMITED TO: ADULT & PEDIATRIC TRAUMA CENTER CYROABLATION ADULT MEDICAL ONCOLOGY CYTOLOGY AERO-MEDICAL SERVICES DEEP BRAIN STIMULATION AIMI (ACUTE INTERVENTION IN ECHOCARDIOGRAPHY MYOCARDIAL INFARCTION) ELECTROPHYSIOLOGY ANTICOAGULATION CLINIC EMERGENCY SERVICES BACLOFEN PUMPS ENDOVASCULAR PROCEDURES BAHA (BONE ANCHORED HEARING AID) ENDOVASCULAR GRAFT IMPLANTS BALANCE CENTER EPILEPSY BARIATRIC SURGERY EXTRACORPOREAL SHOCK WAVE BLOOD BANK LITHOTRIPSY BLOOD CONSERVATION GYNONCOLOGY BODY CONTOURING HEAD AND NECK ONCOLOGY BRAIN TUMOR HEADACHE BREAST SURGERY HEART FAILURE CANCER GENETICS CLINIC HEMATOLOGY CAPSULE ENDOSCOPY HEPATIC INTRA-ARTERIAL CARDIAC CAT SCAN ANGIOGRAPHY CHEMOTHERAPY CARDIAC MRI TESTING HIGH DOSE INTERLEUKIN-2 THERAPY CAROTID STENTING HIGH DOSE RATE INTRACAVITARY CAT SCAN CARDIAC SCORING BRACHYTHERAPY CAT SCAN VIRTUAL COLONOSCOPY IMMUNOLOGY CHEMISTRY INFERTILITY C CHEMO-EMBOLIZATION OF LIVER INTENSIVE O/P PSYCHIATRIC PROGRAM AND KIDNEY CANCER INTERVENTIONAL PAIN MANAGEMENT CLEFT PALATE CLINIC INTRA-OPERATIVE HEPATIC COCHLEAR IMPLANT ULTRASOUND AND RADIOFREQUENCY COLORECTAL SURGERY ABLATION OF LIVER TUMORS CORNEAL TRANSPLANTS KIDNEY, LIVER AND PANCREAS MAGNETIC RESONANCE IMAGING TRANSPLANTS PEDS COCHLEAR IMPLANT LASER SURGERY (YAG LASER) MATERNAL FETAL MEDICINE PET SCANS MICROBIOLOGY PODIATRY MINIMALLY INVASIVE SURGERY PRE-SURGERY CENTER MOHS SURGERY PSYCHIATRY (ADOLESCENCE) MOLECULAR DIAGNOSTICS RADIATION ONCOLOGY MOVEMENT DISORDERS REGIONAL ANESTHESIA PROGRAM NEUROENDOVASCULAR ROBOTIC SURGERY NEUROMUSCULAR SKULL BASE SURGERY NEUROPSYCH SLEEP DISORDERS LABORATORY NEUROPHYSIOLOGY SPINA BIFIDA CLINIC NEUROSTIMULATORS SPINAL CORD INJURY NEUROTRAUMA SPINE SURGERY OPEN HEART SURGERY SPINE ASSESSMENT PROGRAM OPHTHALMOLOGY (GLAUCOMA, SURGERY STEM CELL TRANSPLANT RETINAL, PEDIATRIC, CORNEA STEREOTACTIC RADIOSURGERY GENERAL, OPHTHALMOPLASTIC) STRETTA (LASER PROCEDURE) ORTHOPAEDICS (TRAUMA, SPINE, STROKE/TELE-STROKE JOINT, SPORTS MEDICINE, HAND, SURGICAL ONCOLOGY (COLON, RENAL PEDIATRIC, FOOT/ANKLE, GENERAL) PANCREAS, ESOPHAGEAL, LIVER) ORTHOPAEDIC ONCOLOGY SURGICAL PATHOLOGY PEDIATRIC GENETICS TRANSCATHETER AORTIC VALVE PEDIATRIC MEDICAL ONCOLOGY IMPLEMENTATION PEDS NEUROLOGY / NEUROSURGERY TRAUMATIC BRAIN INJURY PEDIATRIC OBESITY TOXICOLOGY PEDIATRIC REHABILITATION TRAUMA SURGERY PEDIATRIC SURGERY UROGYNECOLOGY PEDIATRIC UROLOGY VAGAL NERVE STIMULATORS WOUND CARE B. RESIDENCY & FELLOWSHIP PROGRAMS GMC CONDUCTS FIFTEEN GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS AND SIXTEEN FELLOWSHIP PROGRAMS. THERE WERE APPROXIMATELY 264 GRADUATE PHYSICIANS PARTICIPATING IN THESE PROGRAMS IN FISCAL YEAR 2011. PROGRAM SPECIALTIES ARE AS FOLLOWS: RESIDENCY PROGRAMS DERMATOLOGY OPHTHALMOLOGY EMERGENCY MEDICINE ORAL SURGERY GENERAL SURGERY ORTHOPAEDIC SURGERY INTERNAL MEDICINE (INCLUDES OSTEOPATHIC - TRADITIONAL OSTEOPATHIC MEDICINE) OTOLARYNGOLOGY MEDICINE-PEDIATRICS (INCLUDES PEDIATRICS (INCLUDES OSTEOPATHIC OSTEOPATHIC MEDICINE/PEDICTRICS) PEDIATRICS) NEUROSURGERY RADIOLOGY OBSTETRICS/GYNECOLOGY(INCLUDES UROLOGY OSTEOPATHIC OBSTETRICS/GYNECOLOGY) FELLOWSHIP PROGRAMS ADVANCED ENDOSCOPY INTERVENTIONAL CARDIOLOGY ADVANCED GYNECOLOGICAL SURGERY MATERNAL FETAL MEDICINE CARDIOVASCULAR MEDICINE MINIMALLY INVASIVE MEDICINE CLINICAL CARDIAC ELECTROPHYSIOLOGY NEPHROLOGY CRITICAL CARE MEDICINE PROCEDURAL DERMATOLOGY CYTOPATHOLOGY REPRODUCTIVE ENDOCRINOLOGY DERMATOPATHOLOGY RHEUMATOLOGY GASTROENTEROLOGY & NUTRITION VASCULAR SURGERY C. ALLIED HEALTH AND RELATED EDUCATION PROGRAMS GMC OPERATES FIVE SCHOOLS OF ALLIED HEALTH EDUCATION. THESE SCHOOLS ARE CONDUCTED WITHIN GMC AND ARE OPERATED IN CONJUNCTION WITH VARIOUS COLLEGES AND UNIVERSITIES. IN ADDITION TO CLASSROOM TIME, STUDENTS CONTRIBUTE CLINICAL EDUCATION HOURS AS AN INTEGRAL PART OF THEIR CURRICULUM. DURING THE FISCAL YEAR, THE DIETETIC INTERNSHIP PROGRAM HAD FOUR STUDENTS CONTRIBUTING 4,000 HOURS OF SERVICE; THE SCHOOL OF CARDIOVASCULAR TECHNOLOGY HAD FOUR STUDENTS CONTRIBUTING 4,480 HOURS OF SERVICE; THE SCHOOL OF RADIOLOGY HAD TWENTY STUDENTS CONTRIBUTING 21,480 HOURS OF SERVICE; THE CHAPLAIN SCHOOL HAD FOUR STUDENTS AND THE PHARMACY RESIDENCY PROGRAM HAD TWO STUDENTS. THE TOTAL COST TO GMC OF PROVIDING RESIDENCY, FELLOWSHIP, ALLIED HEALTH, AND RELATED EDUCATION PROGRAMS, NET OF THIRD PARTY REIMBURSEMENTS WAS 41,067,308. D. TRAUMA CARE IN OCTOBER 1986 GMC WAS DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION AS A REGIONAL RESOURCE TRAUMA CENTER (LEVEL I) BASED ON THE PROVISION OF COMPREHENSIVE TRAUMA CARE 24 HOURS A DAY AND THE CONDUCT OF OUTREACH, EDUCATIONAL AND RESEARCH PROGRAMS IN TRAUMA CARE. IN 1996, THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION ACCREDITED GMC AS ADDITIONAL QUALIFICATIONS IN PEDIATRICS. AS OF OCTOBER 1, 2008, GMC HAS BEEN ACCREDITED AS A LEVEL II PEDIATRIC TRAUMA CENTER. GMC'S PEDIATRIC TRAUMA PROGRAM IS ACCREDITED THROUGH SEPTEMBER 2011 AND THE ADULT TRAUMA PROGRAM IS ACCREDITED THROUGH SEPTEMBER 2012. THE TRAUMA CENTER INCLUDES LIFE FLIGHT, A MULTIPLE AIRCRAFT RAPID RESPONSE HELICOPTER RETRIEVAL PROGRAM, WHICH HAS PLAYED A VITAL PART IN SAVING HUNDREDS OF LIVES. GEISINGER HAS FIVE AIRCRAFT AVAILABLE FOR DISPATCH ON A 24-HOUR BASIS. THE CURRENT BASE LOCATIONS ARE IN DANVILLE, ST. COLLEGE, AVOCA, WILLIAMSPORT AND MINERSVILLE, PA. THE DISPATCHING OF LIFE FLIGHT FOR INTER-HOSPITAL TRANSFERS AND SCENE CALLS IS AUTHORIZED BY A PHYSICIAN OR OTHER QUALIFIED PERSONNEL AND IS DETERMINED ON AN INDIVIDUAL BASIS ACCORDING TO MEDICAL NEED. IN FISCAL YEAR 2011, LIFE FLIGHT PROVIDED EMERGENCY TRANSPORTATION TO 2,778 PATIENTS BY HELICOPTER AND SERVED MULTIPLE HOSPITALS IN PENNSYLVANIA AND NEIGHBORING STATES. E. JANET WEIS CHILDREN'S HOSPITAL THE JANET WEIS CHILDREN'S HOSPITAL HOUSES ALL INPATIENT PEDIATRIC BEDS INCLUDING 36 MEDICAL AND SURGICAL, 41 NEWBORN INTENSIVE AND SPECIAL CARE AND 12 PEDIATRIC INTENSIVE CARE BEDS. THE FACILITY ALSO PROVIDES SPACE FOR PEDIATRIC REHABILITATION AND HAS ESTABLISHED AN AMBULANCE TRANSPORT SERVICE FOR NEONATAL RETRIEVALS. THE FACILITY IS CONNECTED WITH THE REST OF THE MEDICAL CENTER AT FOUR OF THE FIVE LEVELS TO ALLOW FOR SMOOTH INTEGRATION OF ANCILLARY AND SUPPORT SERVICES. THE FUNDING FOR THE CONSTRUCTION OF THE JANET WEIS CHILDREN'S HOSPITAL WAS PROVIDED BY THE DONATING PUBLIC, INCLUDING FUNDS RAISED BY THE CHILDREN'S MIRACLE NETWORK TELETHON. THIS FACILITY IS VISIBLE EVIDENCE OF GEISINGER'S COMMITMENT TO THE CHILDREN OF PENNSYLVANIA. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE JANET WEIS CHILDREN'S HOSPITAL DISCHARGED 3,249 PATIENTS AND PROVIDED 21,226 PATIENT DAYS OF SERVICE. THE FACILITY AFFORDS MORE EFFICIENT CARE WITH AN IMPROVED LENGTH OF STAY. F. WOMEN'S HEALTH PAVILION THE WOMEN'S HEALTH PAVILION, ON THE CAMPUS OF GMC, WAS DEDICATED AS PART OF THE JANET WEIS CHILDREN'S AND WOMEN'S HOSPITAL IN 2000. THE WOMEN'S PAVILION FEATURES FAMILY-ORIENTED BIRTHING SUITES THAT ALLOW EACH WOMAN TO LABOR, DELIVER AND RECOVER IN THE SAME SPACE. IN ADDITION, THERE ARE SEMI-PRIVATE ROOMS, A NURSERY AND TWO CAESAREAN SECTION OPERATING SUITES. THE GEISINGER WOMEN'S PAVILION IS THE ONLY HOSPITAL IN THE AREA THAT OFFERS COVERAGE BY OBSTETRICIANS, MIDWIVES, NEONATOLOGISTS, PEDIATRICIANS AND ANESTHESIOLOGISTS 24 HOURS A DAY, SEVEN DAYS A WEEK. OUTPATIENT SERVICES AT THE WOMEN'S PAVILION INCLUDE OBSTETRICS, GYNECOLOGY, FEMALE INCONTINENCE, MAMMOGRAPHY AND BREAST CARE, LABORATORY SERVICES AND A FERTILITY CLINIC. FOR THE FISCAL YEAR ENDING JUNE 30, 2011, THE WOMEN'S HEALTH PAVILION DISCHARGED 1,933 PATIENTS AND PROVIDED 5,589 PATIENT DAYS OF SERVICE. G. OUTPATIENT SURGERY CENTER - WOODBINE IN JANUARY 2005, GEISINGER HEALTH SYSTEM OPENED ITS OUTPATIENT SURGICAL CENTER ON WOODBINE LANE. THE SURGERY CENTER FEATURES SIX FULLY EQUIPPED OPERATING ROOMS, PERI-OPERATIVE FACILITIES, STERILE PROCESSING, SUPPLY STORAGE, ANCILLARY SUPPORT AND ADMINISTRATIVE OFFICE SPACE. THE FACILITY ALSO HO ADDITIONAL INFORMATION FORM 990, PART III FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH SYSTEM FOUNDATION, PARENT OF GEISINGER MEDICAL CENTER IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 850,319,214 INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2011. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GEISINGER HEALTH SYSTEM FOUNDATION SUBSIDIARIES, THE BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER, EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER, EIN: 23-1996150 GEISINGER CLINIC, EIN: 23-6291113 MARWORTH, EIN: 23-2171417 GEISINGER SYSTEM SERVICES, EIN: 23-2164794 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH SYSTEM FOUNDATION, EIN: 23-1995911. ALL OTHER ACHIEVEMENTS DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D GMC PROVIDES SPECIALTY AND SUBSPECIALTY OUTPATIENT CARE AT THE OUTPATIENT SURGERY CENTER, ON WOODBINE LANE, DANVILLE, PA, AND AT THE MAIN HOSPITAL, DANVILLE, PA. ADDITIONAL INFORMATION FORM 990, PART V FORM 990, PART V, LINE 1A: ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL ORGANIZATIONS OF THE GEISINGER HEALTH SYSTEM. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER IT'S EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2010 REPORTING PERIOD ON BEHALF OF ITSELF AND IT'S AFFILIATES WAS 1,113. 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 IT'S BEHALF. ADDITIONAL INFORMATION FORM 990, PART VI FORM 990, PART I, SECTION A, LINE 4: FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, ONE VOTING MEMBER IS NOT INDEPENDENT BECAUSE HE IS COMPENSATED AS AN EMPLOYEE OF A RELATED TAX-EXEMPT ORGANIZATION. ONE VOTING MEMBER IS NOT INDEPENDENT DUE TO A TRANSACTION REPORTED ON SCHEDULE L, PART IV. INCLUDING THE VOTING MEMBERS DESCRIBED ABOVE, A TOTAL OF SIX VOTING MEMBERS OF THE GOVERNING BODY ARE ALSO VOTING MEMBERS OF AFFILIATED TAXABLE ORGANIZATIONS FOR WHICH BUSINESS TRANSACTIONS MAY BE DISCLOSED ON SCHEDULE L, PART IV. HOWEVER, IF THE RELATED TAXABLE ORGANIZATIONS WERE REQUIRED TO FILE SCHEDULE L, THESE TRANSACTIONS WOULD NOT BE OF A TYPE THAT WOULD BE REPORTABLE ON THEIR SCHEDULE L. IN ADDITION, THESE VOTING MEMBERS ARE NOT COMPENSATED BY THE AFFILIATED TAXABLE ORGANIZATIONS FOR WHICH TRANSACTIONS ARE DISCLOSED IN SCHEDULE L, PART IV, DO NOT HAVE AN OWNERSHIP INTEREST IN OR RECEIVE ANY ECONOMIC BENEFIT FROM THE ACTIVITIES OF THESE AFFILIATED TAXABLE ORGANIZATIONS, RECEIVE NO PRIVATE INUREMENT / PRIVATE BENEFIT FROM THE TRANSACTIONS WITH THE RELATED TAXABLE ORGANIZATIONS AND THE VOTING MEMBERS OF THE GOVERNING BODY ABSTAIN FROM VOTING AND ARE ABSENT FROM BOARD DELIBERATIONS AND DECISIONS ON MATTERS IF A CONFLICT EXISTS. REFER TO THE RESPONSE FOR FORM 990, PART VI, SECTION B, QUESTION 12A, 12B, AND 12C REGARDING THE GEISINGER HEALTH SYSTEM CONFLICTS OF INTEREST POLICY, DISCLOSURE, AND ENFORCEMENT. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? GLENN D. STEELE, JR. M.D., PH.D., DAVID J. FELICIO, ESQUIRE, FRANK J. TREMBULAK, EDWARD J. ZYCH, ESQUIRE, WILLIAM H. ALEXANDER, WILLIAM R. GRUVER THOMAS H. LEE, JR., M.D., ROBERT E. POOLE, AND DON A. ROSINI ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/ OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF GEISINGER MEDICAL CENTER. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM. CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS, ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION, AND APPROVE AMENDMENTS TO THE CORPORATE BYLAWS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, 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, 2011. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF GEISINGER MEDICAL CENTER ARE SUBJECT TO THE GHS CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GHS EMPLOYED BOARD DIRECTORS, OFFICERS AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE MANAGEMENT AND COMPENSATION COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE MANAGEMENT AND COMPENSATION COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE MISSION STATEMENT IS AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE AT WWW.GEISINGER.ORG. THE COMMUNITY BENEFIT REPORT AND ANNUAL REPORT FOR GEISINGER HEALTH SYSTEM. CONTAINING CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, ARE AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE AT: WWW.GEISINGER.ORG. 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. ADDITIONAL INFORMATION FORM 990, PART VII FORM 990, PART VII, SECTION A, COLUMN B - AVERAGE HOURS PER WEEK: FOR ALL CURRENT OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES REPORTED IN FORM 990, PART VII, THE AVERAGE HOURS PER WEEK REPRESENTS THE MINIMUM HOURS DEVOTED TO THE ORGANIZATION AND RELATED ORGANIZATIONS OF THE GEISIGNER HEALTH SYSTEM, AS APPLICABLE. FORMER OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENATED EMPLOYEES WORK A MINIMUM OF 40 HOURS PER WEEK FOR RELATED ORGANIZATIONS. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: INCREASES: UNREALIZED GAIN ON INVESTMENTS 39,775,789 UNREALIZED GAIN ON DERIVATIVE 1,556,403 TRANSFERS FROM AFFILIATES 3,003,580 BOOK TO TAX DIFFERENCE ON HEALTHSOUTH K-1 103,883 DECREASES: TRANSFER TO AFFILIATE -229,000,000 EXTINGUISHMENT OF DEBT - 496,670 TOTAL DECREASE -185,057,015 ADDITIONAL INFORMATION FORM 990, PART XII FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM" AND "SYSTEM" OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232164794 SUPPT SVCS PA 501C3 11A GHSF true GEISINGER INSURANE CORP RRG 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 141909894 SELF INSUR VT 501C3 11A GHSF true GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 NA true GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 256220019 SELF INSUR PA 501C3 11A GMC true GEISINGER EXCESS COV PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 236852932 SELF INSUR PA 501C3 11A GMC true GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 236291113 PHSYN SVCS PA 501C3 11A GHSF true GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GHSF true HERSHEY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232891807 HOSPITAL PA 501C3 3 GHSF true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232311553 HMO PA 501C4 GHSF true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 9 GSS true MARWORTH 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GHSF true HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 721398803 PHYS THERA PA NA RELATED 2517472 4767536 false true 0.50000 HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 721398803 PHYS THERA PA NA RELATED 2517472 4767536 false true 0.50000 GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232077663 LAB/CONSUL PA N/A INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232159597 CLIN ENGIN PA N/A GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232815174 HEALTH INS PA N/A GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 204275139 HEALTH INS PA N/A GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN GRAND CAYMNA CJ 981016737 INSURANCE CJ N/A GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232077663 LAB/CONSUL PA N/A INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232159597 CLIN ENGIN PA N/A GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232815174 HEALTH INS PA N/A GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 204275139 HEALTH INS PA N/A GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN GRAND CAYMNA CJ 981016737 INSURANCE CJ N/A true true true false false false false false true false true true false false true false false false GEISINGER ASSURANCE COMPANY LTD L 6990783 GAAP GEISINGER CLINIC L 61116332 GAAP GEISINGER CLINIC B 7194000 GAAP GEISINGER CLINIC K 2888125 GAAP GEISINGER CLINIC K 17151614 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 80656 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 93088 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 457832 GAAP GEISINGER HEALTH PLAN K 1337030 GAAP GEISINGER HEALTH PLAN K 124938971 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 2609316 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 3009399 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 229000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION A 2290 FMV GEISINGER INDEMNITY INSURANCE COMP K 5721248 GAAP GEISINGER INSURANCE CORP RRG L 312695 GAAP GEISINGER INSURANCE CORP RRG O 2684329 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 120674 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 1417523 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 98723 GAAP GEISINGER QUALITY OPTIONS INC K 20293427 GAAP GEISINGER SYSTEM SERVICES L 147276979 GAAP GEISINGER SYSTEM SERVICES O 24433503 GAAP GEISINGER SYSTEM SERVICES A 2373010 GAAP GEISINGER WYOMING VALLEY MED CTR L 199869 GAAP GEISINGER WYOMING VALLEY MED CTR K 8518863 GAAP HEALTHSOUTH GHS LLC L 3018195 GAAP HEALTHSOUTH GHS LLC K 2704821 GAAP HEALTHSOUTH GHS LLC A 152570 FMV INTERNATIONAL SHARED SERVICES INC L 11793079 GAAP GEISINGER CLINIC K 17151619 GAAP GEISINGER CLINIC J 10560 FMV GEISINGER ASSURANCE COMPANY LTD L 6990783 GAAP GEISINGER CLINIC L 61116332 GAAP GEISINGER CLINIC B 7194000 GAAP GEISINGER CLINIC K 2888125 GAAP GEISINGER CLINIC K 17151614 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 80656 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 93088 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 457832 GAAP GEISINGER HEALTH PLAN K 1337030 GAAP GEISINGER HEALTH PLAN K 124938971 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 2609316 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 3009399 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 229000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION A 2290 FMV GEISINGER INDEMNITY INSURANCE COMP K 5721248 GAAP GEISINGER INSURANCE CORP RRG L 312695 GAAP GEISINGER INSURANCE CORP RRG O 2684329 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 120674 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 1417523 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 98723 GAAP GEISINGER QUALITY OPTIONS INC K 20293427 GAAP GEISINGER SYSTEM SERVICES L 147276979 GAAP GEISINGER SYSTEM SERVICES O 24433503 GAAP GEISINGER SYSTEM SERVICES A 2373010 GAAP GEISINGER WYOMING VALLEY MED CTR L 199869 GAAP GEISINGER WYOMING VALLEY MED CTR K 8518863 GAAP HEALTHSOUTH GHS LLC L 3018195 GAAP HEALTHSOUTH GHS LLC K 2704821 GAAP HEALTHSOUTH GHS LLC A 152570 FMV INTERNATIONAL SHARED SERVICES INC L 11793079 GAAP GEISINGER CLINIC K 17151619 GAAP GEISINGER CLINIC J 10560 FMV GEISINGER ASSURANCE COMPANY LTD L 6990783 GAAP GEISINGER CLINIC L 61116332 GAAP GEISINGER CLINIC B 7194000 GAAP GEISINGER CLINIC K 2888125 GAAP GEISINGER CLINIC K 17151614 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 80656 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 93088 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 457832 GAAP GEISINGER HEALTH PLAN K 1337030 GAAP GEISINGER HEALTH PLAN K 124938971 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 2609316 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 3009399 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 229000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION A 2290 FMV GEISINGER INDEMNITY INSURANCE COMP K 5721248 GAAP GEISINGER INSURANCE CORP RRG L 312695 GAAP GEISINGER INSURANCE CORP RRG O 2684329 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 120674 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 1417523 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 98723 GAAP GEISINGER QUALITY OPTIONS INC K 20293427 GAAP GEISINGER SYSTEM SERVICES L 147276979 GAAP GEISINGER SYSTEM SERVICES O 24433503 GAAP GEISINGER SYSTEM SERVICES A 2373010 GAAP GEISINGER WYOMING VALLEY MED CTR L 199869 GAAP GEISINGER WYOMING VALLEY MED CTR K 8518863 GAAP HEALTHSOUTH GHS LLC L 3018195 GAAP HEALTHSOUTH GHS LLC K 2704821 GAAP HEALTHSOUTH GHS LLC A 152570 FMV INTERNATIONAL SHARED SERVICES INC L 11793079 GAAP GEISINGER CLINIC K 17151619 GAAP GEISINGER CLINIC J 10560 FMV GEISINGER ASSURANCE COMPANY LTD L 6990783 GAAP GEISINGER CLINIC L 61116332 GAAP GEISINGER CLINIC B 7194000 GAAP GEISINGER CLINIC K 2888125 GAAP GEISINGER CLINIC K 17151614 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 80656 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 93088 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 457832 GAAP GEISINGER HEALTH PLAN K 1337030 GAAP GEISINGER HEALTH PLAN K 124938971 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 2609316 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 3009399 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 229000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION A 2290 FMV GEISINGER INDEMNITY INSURANCE COMP K 5721248 GAAP GEISINGER INSURANCE CORP RRG L 312695 GAAP GEISINGER INSURANCE CORP RRG O 2684329 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 120674 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 1417523 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 98723 GAAP GEISINGER QUALITY OPTIONS INC K 20293427 GAAP GEISINGER SYSTEM SERVICES L 147276979 GAAP GEISINGER SYSTEM SERVICES O 24433503 GAAP GEISINGER SYSTEM SERVICES A 2373010 GAAP GEISINGER WYOMING VALLEY MED CTR L 199869 GAAP GEISINGER WYOMING VALLEY MED CTR K 8518863 GAAP HEALTHSOUTH GHS LLC L 3018195 GAAP HEALTHSOUTH GHS LLC K 2704821 GAAP HEALTHSOUTH GHS LLC A 152570 FMV INTERNATIONAL SHARED SERVICES INC L 11793079 GAAP GEISINGER CLINIC K 17151619 GAAP GEISINGER CLINIC J 10560 FMV GEISINGER ASSURANCE COMPANY LTD L 6990783 GAAP GEISINGER CLINIC L 61116332 GAAP GEISINGER CLINIC B 7194000 GAAP GEISINGER CLINIC K 2888125 GAAP GEISINGER CLINIC K 17151614 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 80656 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 93088 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 457832 GAAP GEISINGER HEALTH PLAN K 1337030 GAAP GEISINGER HEALTH PLAN K 124938971 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 2609316 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 3009399 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 229000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION A 2290 FMV GEISINGER INDEMNITY INSURANCE COMP K 5721248 GAAP GEISINGER INSURANCE CORP RRG L 312695 GAAP GEISINGER INSURANCE CORP RRG O 2684329 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 120674 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 1417523 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 98723 GAAP GEISINGER QUALITY OPTIONS INC K 20293427 GAAP GEISINGER SYSTEM SERVICES L 147276979 GAAP GEISINGER SYSTEM SERVICES O 24433503 GAAP GEISINGER SYSTEM SERVICES A 2373010 GAAP GEISINGER WYOMING VALLEY MED CTR L 199869 GAAP GEISINGER WYOMING VALLEY MED CTR K 8518863 GAAP HEALTHSOUTH GHS LLC L 3018195 GAAP HEALTHSOUTH GHS LLC K 2704821 GAAP HEALTHSOUTH GHS LLC A 152570 FMV INTERNATIONAL SHARED SERVICES INC L 11793079 GAAP GEISINGER CLINIC K 17151619 GAAP GEISINGER CLINIC J 10560 FMV GEISINGER ASSURANCE COMPANY LTD L 6990783 GAAP GEISINGER CLINIC L 61116332 GAAP GEISINGER CLINIC B 7194000 GAAP GEISINGER CLINIC K 2888125 GAAP GEISINGER CLINIC K 17151614 GAAP GEISINGER COMMUNITY HEALTH SERVICES L 80656 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 93088 GAAP GEISINGER COMMUNITY HEALTH SERVICES K 457832 GAAP GEISINGER HEALTH PLAN K 1337030 GAAP GEISINGER HEALTH PLAN K 124938971 GAAP GEISINGER HEALTH SYSTEM FOUNDATION L 2609316 GAAP GEISINGER HEALTH SYSTEM FOUNDATION C 3009399 GAAP GEISINGER HEALTH SYSTEM FOUNDATION B 229000000 GAAP GEISINGER HEALTH SYSTEM FOUNDATION A 2290 FMV GEISINGER INDEMNITY INSURANCE COMP K 5721248 GAAP GEISINGER INSURANCE CORP RRG L 312695 GAAP GEISINGER INSURANCE CORP RRG O 2684329 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 120674 GAAP GEISINGER MEDICAL MANAGEMENT CORP K 1417523 GAAP GEISINGER MEDICAL MANAGEMENT CORP L 98723 GAAP GEISINGER QUALITY OPTIONS INC K 20293427 GAAP GEISINGER SYSTEM SERVICES L 147276979 GAAP GEISINGER SYSTEM SERVICES O 24433503 GAAP GEISINGER SYSTEM SERVICES A 2373010 GAAP GEISINGER WYOMING VALLEY MED CTR L 199869 GAAP GEISINGER WYOMING VALLEY MED CTR K 8518863 GAAP HEALTHSOUTH GHS LLC L 3018195 GAAP HEALTHSOUTH GHS LLC K 2704821 GAAP HEALTHSOUTH GHS LLC A 152570 FMV INTERNATIONAL SHARED SERVICES INC L 11793079 GAAP GEISINGER CLINIC K 17151619 GAAP GEISINGER CLINIC J 10560 FMV ADDITIONAL INFORMATION SCHEDULE R INFORMATION REGARDING TRANSFERS TO AND FROM CONTROLLED ORGANIZATIONS GEISINGER MEDICAL CENTER IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTERORGANIZATIONAL TRANSACTIONS WHICH MAY INCLUDE SALES EXCHANGES AND LEASES OF PROPERTY EXTENSIONS OF CREDIT FURNISHING OF GOODS SERVICES AND FACILITIES AND TRANSFERS OF ASSETS THESE TYPES OF INTERORGANIZATIONAL TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF PRIVATE LETTER RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS TAX EXEMPT STATUS