2011-05-13T13:44:09-05:00 2010-06-30 990 2009-07-01 231996150 GEISINGER WYOMING VALLEY MEDICAL CENTER GEIS 5702716624 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 DAVID J FELICIO ESQUIRE 5702716624 2011-05-11 2011-05-13 2009 2016-02-24 21:20:13Z GLENN D STEELE JR MD PHD 100 NORTH ACADEMY AVENUE MC 22-01 DANVILLE PA 17822 374115706 false X WWW.GEISINGER.ORG X 1976 PA TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS IN THE WYOMING VALLEY THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. 9 8 1561 229 542680 68842 34800 64350 228385558 319247011 -929930 2401496 6162537 354771 233652965 322067628 5100 5000 0 74243556 85457458 0 0 157187543 224955806 231436199 310418264 2216766 11649364 225966172 279800996 165440383 206351505 60525789 73449491 TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS IN THE WYOMING VALLEY THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. false false 279974310 5000 319406212 PATIENT SERVICES SEE SCHEDULE O I.MISSION ENHANCING QUALITY OF LIFE IN NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. II.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 242-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. GWV IS A LEVEL 2 TRAUMA CENTER AND ACCREDITED CHEST PAIN CENTER OFFERING EMERGENCY AND TRAUMA CARE 24 HOURS A DAY. GEISINGER WYOMING VALLEY IS FULLY ACCREDITED BY THE JOINT COMMISSION. THE FACILITY OPENED IN 1981 AS THE NPW MEDICAL CENTER OF N.E. PENNSYLVANIA, INC. IN THE FALL OF 2008, THE CRITICAL CARE BUILDING WAS COMPLETED, WHICH IS A 178,000 SQUARE FOOT FACILITY THAT FEATURES AN EXPANDED 24/7 EMERGENCY DEPARTMENT WITH ROOFTOP HELIPAD AND HIGH-TECH SURGICAL SUITES. GWV PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SERVICES OFFERED BY GWV INCLUDE: COMPREHENSIVE MATERNITY AND PEDIATRIC SERVICES: A VARIETY OF WOMEN'S SERVICES ARE OFFERED INCLUDING THE SPECIAL DELIVERY PROGRAM IN OBSTETRICS, WHICH 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. ORTHOPAEDIC SURGERY: AN ORTHOPAEDIC SURGERY DEPARTMENT RECOGNIZED FOR ITS SPECIAL CAPABILITIES IN JOINT REPLACEMENT SURGERY - INCLUDING SERVICES FOR PEOPLE WHO PREVIOUSLY HAD JOINT REPLACEMENTS, ARTHROSCOPIC SURGERY, TREATMENT FOR TRAUMA PATIENTS AND THOSE WITH SPORTS INJURIES. CARDIAC 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 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, ANGIOJET THERAPY, BRACHYTHERAPY, AND THE USE OF A CUTTING BALLOON TO REPAIR BLOCKED VESSELS. THE PEARSALL HEART HOSPITAL OFFERS ANCILLARY CARDIAC TESTING, PHYSICIAN CARE AS WELL AS A NINE BED STEP-DOWN UNIT, CARDIAC REHABILITATION, AND AN EIGHT BED OUTPATIENT UNIT USED FOR PRE AND POST CARDIAC CATH RECOVERY. THE PEARSALL HEART HOSPITAL IS ALSO HOME TO GWV'S VASCULAR SURGERY DEPARTMENT AND INCLUDES AN ICAVL-ACCREDITED NONINVASIVE DIAGNOSTIC LABORATORY. EMERGENCY SERVICES: 24-HOUR EMERGENCY DEPARTMENT AND LEVEL 2 TRAUMA CENTER. LIFEFLIGHT, GEISINGER'S MEDICAL HELICOPTER SERVICE, PROVIDES QUICK AIR MEDICAL RESPONSE FOR TRANSPORTING PATIENTS FOR LIFE-SAVING CARE. PEDIATRIC SERVICES: THE JANET WEIS CHILDREN'S HOSPITAL PEDIATRICS UNIT AT GWV PROVIDES NUMEROUS PEDIATRIC SUB-SPECIALTY SERVICES. PEDIATRIC HOSPITALIST PHYSICIANS STAFF THE 7-BED UNIT. CANCER SERVICES: 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 AND MEDICAL 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. RADIOLOGY SERVICES: THE RADIOLOGY DEPARTMENT OFFERS A COMPREHENSIVE IMAGING PROGRAM. 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. DIGITAL IMAGING AND PACS WITH MRI, CAT SCAN, SONOGRAPHY AND NUCLEAR MEDICINE ELIMINATE THE NEED TO MAINTAIN HARD COPY FILM AND PROVIDE THE CLINICIANS EASY ACCESS TO IMAGING DATA NECESSARY FOR PATIENT TREATMENT. WOMEN'S IMAGING SERVICES: THE CENTER FOR WOMEN'S IMAGING OFFERS A FULL RANGE OF DIAGNOSTIC SERVICES AT ONE CONVENIENT LOCATION DESIGNED EXCLUSIVELY FOR WOMEN. LOCATED ON THE LOWER LEVEL OF THE VALLEY MEDICAL BUILDING, EXPERIENCED RADIOLOGISTS AND TECHNOLOGISTS PROVIDE HIGH QUALITY PATIENT CARE IN A COMFORTABLE SETTING. SERVICES INCLUDE: DIGITAL MAMMOGRAPHY, ULTRASOUND, DXA SCAN BONE DENSITY TESTING, STEREOTACTIC BREAST BIOPSY AND A COMPREHENSIVE BREAST PROGRAM. THE BREAST PROGRAM OFFERS A MULTI-DISCIPLINARY APPROACH TO DIAGNOSING AND TREATING BREAST DISEASE. A DEDICATED NURSE NAVIGATOR AND A TEAM OF SURGEONS, RADIOLOGISTS, PATHOLOGISTS, AND ONCOLOGISTS COLLABORATE IN ONE CONVENIENT LOCATION TO SPEED TREATMENT AND CARE. RESIDENCY PROGRAM GWV SERVES AS A TEACHING CAMPUS FOR FAMILY MEDICINE AND GENERAL SURGERY RESIDENTS AND OFFERS A SPORTS MEDICINE FELLOWSHIP PROGRAM. RESIDENTS ALSO ROTATE TO GWV FROM GEISINGER MEDICAL CENTER IN SPECIALTIES OF EMERGENCY MEDICINE, OBSTETRICS, ORTHOPAEDICS, DERMATOLOGY, RHEUMATOLOGY, FAMILY PRACTICE, AND GENERAL SURGERY. THE TOTAL COST OF PROVIDING THE RESIDENCY PROGRAM FOR THE FISCAL YEAR ENDED JUNE 30, 2010 WAS 1.7 MILLION. OTHER SERVICES INCLUDE: LITHOTRIPSY LABORATORY SERVICES FOUR MEDICAL/SURGICAL UNITS DIABETIC EDUCATION PROGRAM MEDIC 303 ADVANCED LIFE SUPPORT CRITICAL CARE UNIT DIAGNOSTIC AND AMBULATORY CARE SERVICES KIDNEY AND PANCREAS TRANSPLANTATION REHABILITATION MEDICINE (INPATIENT AND OUTPATIENT) SAME DAY SURGERY GENERAL, THORACIC AND VASCULAR SURGERY BARIATRIC SURGERY MINIMALLY INVASIVE SURGERY NEUROSCIENCES INCLUDING A BRAIN TUMOR INSTITUTE TELEMETRY UNIT NUTRITION COUNSELING MEDICAL, SURGICAL AND RADIATION ONCOLOGY BREAST HEALTH SERVICES ELECTROPHYSIOLOGY PEDIATRIC CARDIOLOGY NUMEROUS PEDIATRIC SUBSPECIALTIES VASCULAR LABORATORY EAR, NOSE AND THROAT SURGERY GYNECOLOGICAL SURGERY UROLOGICAL SURGERY OPHTHALMOLOGIC SURGERY III.UNCOMPENSATED CARE GEISINGER WYOMING VALLEY MEDICAL CENTER RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GWV PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. CHARITY CARE THE PRIMARY CONCERN OF GWV IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF NORTHEASTERN PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GWV INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2010, THE COST OF THE CHARITY CARE WAS 4.7 MILLION. B. MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GWV PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GWV PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 32 MILLION DURING THE FISCAL YEAR ENDED JUNE 30, 2010. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GWV PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2010, WAS 2.2 MILLION. IV. RESEARCH SUPPORT GEISINGER WYOMING VALLEY MEDICAL CENTER CONTRIBUTED 2.8 MILLION TO GEISINGER CLINIC TO SUPPORT ITS CHARITABLE MISSION THROUGH MEDICAL RESEARCH ACTIVITIES AT TWO FACILITIES ON THE CAMPUS OF THE GEISINGER MEDICAL CENTER: THE SIEGFRIED AND JANET WEIS CENTER FOR RESEARCH (WEIS CENTER) AND THE HENRY HOOD CENTER FOR HEALTH RESEARCH. THE WEIS CENTER PROVIDES A FOCUS FOR LABORATORY RESEARCH AND RESEARCH TRAINING, AND SUPPORTS THE CLINICAL STAFF IN THEIR RESEARCH PROGRAMS. THE PRIMARY MISSION OF THE WEIS CENTER IS TO CONDUCT ORIGINAL AND INNOVATIVE RESEARCH THAT CONTRIBUTES NEW KNOWLEDGE TO BIOMEDICAL SCIENCE. THE CENTER'S SCIENTISTS APPLY MODERN MOLECULAR AND CELLULAR APPROACHES TO DIVERSE RESEARCH PROBLEMS IN THE AREAS OF CARDIOVASCULAR FUNCTION, CANCER AND DEVELOPMENTAL BIOLOGY. THE HENRY HOOD CENTER FOR HEALTH RESEARCH CONDUCTS HEALTH SERVICES, EPIDEMIOLOGIC AND POPULATION GENETICS RESEARCH ON THE BROAD RANGE OF CONDITIONS TYPICALLY SEEN IN PRIMARY AND SPECIALTY CARE SETTINGS. THE CENTER ALSO INVESTIGATES EXTRAMURAL SOURCES OF FUNDING FOR CLINICAL RESEARCH. TOGETHER, THE WEIS CENTER AND HENRY HOOD CENTER ARE BUILDING C 279974310 true false false true false false false false true true false true false false false false false false false false true false false true false false false true false false false true false false false false false true true true false true 0 0 true 1561 true true true false false false false false false false false 9 8 true false true false true true true true true false false true true true true true true true true false PA X THOMAS BIELECKI VP FINANCE 5708087397 1000 EAST MOUNTAIN DRIVE WILKES BARRE PA 18711 X GLENN D STEELE JR MD PHD 40.00 X X 0 2018878 365448 WILLIAM H ALEXANDER 2.00 X 0 0 0 DORRANCE R BELIN ESQUIRE 2.00 X 0 0 0 E ALLEN DEAVER 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 ROBERT E POOLE 2.00 X 0 0 0 DON A ROSINI 2.00 X 0 0 0 GEORGE B SORDONI 2.00 X 0 0 0 FRANK J TREMBULAK 40.00 X 0 846738 193052 KEVIN F BRENNAN 40.00 X 0 785980 183310 STEVEN B PIERDON MD 40.00 X 0 536697 144792 DAVID J FELICIO ESQUIRE 40.00 X 0 474561 79093 EDWARD J ZYCH ESQUIRE 40.00 X 0 243024 37560 LISSA L BRYAN-SMITH RN 40.00 X 290282 0 63887 MARY P GILDEA RN 40.00 X 189267 0 18729 JOHN P WIERCINSKI 40.00 X 375427 0 34516 CONRAD W SCHINTZ 40.00 X 232997 0 30162 ERIN A PICA 40.00 X 164712 0 11419 PAMELA M LANGDON 40.00 X 153324 0 24928 RITA J SZOKE RN 40.00 X 151975 0 28117 JOANNE E WADE 40.00 X 0 850243 186118 RONALD A PAULUS MD 40.00 X 0 732651 194715 BRUCE H HAMORY MD 40.00 X 0 619829 240716 ERIC J BIEBER MD 40.00 X 0 602227 153178 ROBERT J KALLIN 40.00 X 0 235061 36899 KEVIN J KERESTUS 40.00 X 0 187841 31445 1557984 8133730 2058084 40 true true false INSIGHT HEALTH SERVICES CORP PO BOX 847689 DALLAS TX 752847689 MOBILE PET SCAN 1324871 MED STAFF INC PO BOX 404691 ATLANTA GA 30384 NURSES/TECHS AG 351071 REVOLUTIONARY NURSES 1619 MAIN STREET OLYPHANT PA 18447 NURSES/TECHS AG 316511 VIRTUAL RADIOLOGICAL CORP DEPARTMENT 7065 CAROL STREAM IL 60122 RADIOLOGY SERVI 271692 QUEST DIAGNOSTICS 12436 COLLECTIONS CENTER DRIVE CHICAGO IL 606932436 LAB TESTING 178565 8 64350 64350 HEALTHCARE 622110 317850769 317850769 RENTAL INCOME 531120 533165 533165 MEDICAL LABORATORY SERVICES 621500 509051 509051 OTHER PROFESSIONAL SERVICES 541380 293353 293353 ISS CVCC RENTAL INCOME 531120 33629 33629 27044 27044 319247011 896378 896378 7 7 23618 28278 -4660 -4660 -4660 53503511 21400 51088090 931710 2415421 -910310 1505111 1505111 GIFT SHOP 453220 198673 198673 VENDOR REBATES 900099 159201 159201 EMPLOYEE LOAN INTEREST 900099 1317 1317 240 240 359431 322067628 318330367 542680 3130231 5000 5000 533321 142984 390337 537672 537672 65483887 63744927 1738960 3048185 2926039 122146 10675108 10247338 427770 5179285 5018209 161076 46536 46536 288841 182197 106644 9638370 7995937 1642433 1111111 1111111 76309950 75178176 1131774 34041 33750 291 7439643 6710483 729160 454208 314716 139492 533303 404984 128319 5142427 4638417 504010 18797249 16954930 1842319 4077034 4029641 47393 INTER-ENTITY SERVICES 86543516 67616207 18927309 UNCOLLECTIBLE EXPENSE 10735004 10735004 INTERCO. TEACHING & ADMIN 3421863 1790229 1631634 BOOKS,LICENSES,FEES, DUES 280776 184404 96372 UNRELATED BUS. INCOME TAX 92307 92307 9627 9627 310418264 279974310 30443954 0 213748 4143470 44848219 4615770 14379685 21830855 23969 8962 1285 30407 125212 110419 6145685 6778563 1914512 3855756 288166620 126129961 137019824 162036659 6220448 15743849 7775354 50797825 7246513 9798646 51718 49815 225966172 279800996 2480716 4742966 142443948 162832793 1506459 20515719 37269287 165440383 206351505 X 60525789 73449491 60525789 73449491 225966172 279800996 X false true true X false X false false false X 574174 574174 310418264 2035993413 310418264 2036567587 1000000 1000000 250000 250000 false 1000000 1000000 1000000 1000000 4000000 6000000 238875 247880 402712 574174 1463641 250000 250000 250000 250000 1000000 1500000 3904 277 4181 false false false false false false false false false false false false false false false false false false false false false 71078000 1148000 8379000 -5303000 75302000 88270000 1005000 -13762000 4435000 71078000 0.35000 0.65000 false true true 2342628 2342628 117272973 53219361 64053612 505135 456460 48675 155741123 66752014 88989109 12304761 5702126 6602635 162036659 50797825 F 50797825 DUE TO AFFILIATES 16836957 DERIVATIVE OBLIGATION 9251406 ESTIMATED 3RD PARTY PAYOR SETTLEMENT 6504148 MEDICAL LEGAL CLAIMS ALLOWANCE 2940432 ACCOUNTS RECEIVABLE CREDIT BALANCES 1672047 REBATE PAYABLE 64297 37269287 322067628 310418264 11649364 1274338 1274338 12923702 327645531 5953609 5953609 321691922 209478 166228 375706 322067628 314721829 4679271 4679271 310042558 209478 166228 375706 310418264 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 ENDOWMENT FUNDS ARE USED BY THE GEISINGER HEALTH SYSTEM TO SUPPORT PATIENT CARE, RESEARCH, EDUCATION, AND CAPITAL AND PROGRAM EXPENSES. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X 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, 2010 OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2010 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. RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 LOSS ON ASSET 931,710 RENTAL EXPENSE OFFSET AGAINST RENTAL REVENUE 28,278 TRANSFER FROM AFFILIATE-GEISINGER HEALTH SYSTEM FOUNDATION 1,794,791 GEISINGER SOUTH WILKES-BARRE MERGER INTO GWV 3,198,830 REBATE REVENUE -159,201 RECALSS BANK FEES -7,027 CHANGE IN DERIVATIVE VALUE -386,910 UNREALIZED LOSS ON INVESTMENTS -1,579,724 LOSS ON SALE OF ASSET -931,710 RENTAL EXPENSE OFFSET AGAINST RENTAL REVENUE -28,278 UNREALIZED LOSS ON DERIVATIVES -1,752,649 REBATE REVENUE 159,201 RECLASS BANK FEES 7,027 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D LOSS ON ASSET 931,710 RENTAL EXPENSE OFFSET AGAINST RENTAL REVENUE 28,278 TRANSFER FROM AFFILIATE-GEISINGER HEALTH SYSTEM FOUNDATION 1,794,791 GEISINGER SOUTH WILKES-BARRE MERGER INTO GWV 3,198,830 REVENUE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 4B REBATE REVENUE 159,201 RECALSS BANK FEES 7,027 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D CHANGE IN DERIVATIVE VALUE 386,910 UNREALIZED LOSS ON INVESTMENTS 1,579,724 LOSS ON SALE OF ASSET 931,710 RENTAL EXPENSE OFFSET AGAINST RENTAL REVENUE 28,278 UNREALIZED LOSS ON DERIVATIVES 1,752,649 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B REBATE REVENUE 159,201 RECLASS BANK FEES 7,027 true true X true X true X 3.80000 true true true false true true 4674902 4674902 0.01560 36546714 15926639 20620075 0.06880 41221616 15926639 25294977 0.08440 425110 425110 0.00140 3403597 1654237 1749360 0.00580 2817168 2817168 0.00940 6645875 1654237 4991638 0.01660 47867491 17580876 30286615 0.10100 true 2153081 62393832 74005833 -11612001 X true true GEISINGER WYOMING VALLEY MEDICAL CENTER

1000 EAST MOUNTAIN DRIVE WILKESBARRE PA 18711

X X X GEISINGER SOUTH WILKES-BARRE

25 CHURCH STREET WILKESBARRE PA 18765

A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYER (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYERS, SELF-PAY, ETC.). THE BAD DEBT EXPENSE REMOVED FROM THE DENOMINATOR USED TO CALCULATE THE PERCENT OF COMMUNITY BENEFIT WAS 10,828,158. FORM 990, SCHEDULE H, PART I, LINE 6A-6B: A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV)AND ITS RELATED CHARITABLE ORGANIZATIONS IS AVAILABLE AT GEISINGER.ORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST. (GO TO: WWW.GEISINGER.ORG/ABOUT/2010COMMUNITYBENEFIT.PDF) FORM 990, SCHEDULE H, PART III, SECTION A, LINE 4: GEISINGER WYOMING VALLEY MEDICAL CENTER IS A MEMBER OF A GROUP WITH CONSOLIDATED FINANCIAL STATEMENTS. PER THE FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE, THE ORGANIZATIONS OF THE CONSOLIDATED GROUP RECOGNIZE THE "ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON AGING OF ACCOUNTS RECEIVABLE AND HISTORICAL EXPERIENCE." GWV 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 GWV'S 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 GWV'S 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 GWV'S UNCOMPENSATED CARE POLICIES. FORM 990, SCHEDULE H, PART III, SECTION B, LINE 8: GWV CONSIDERS THAT THE TOTAL MEDICARE SHORTFALL OF 11,612,001 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 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 THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS. 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 STATUTE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE IS CONSIDERED TO BE COMMUNITY BENEFIT. FORM 990, SCHEDULE H, PART III, SECTION C, LINE 9B: 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 ANYTIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING AND COLLECTION PROCESS. FORM 990, SCHEDULE H, PART VI, LINE 8: AT THIS TIME, GWV IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE. PART VI, LINE 2: DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES: GWV PARTICIPATED AS A MEMBER IN THE HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE THAT 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 HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE ("THE INITIATIVE") IS A COLLABORATION AMONG THE PENNSYLVANIA DEPARTMENT OF HEALTH AND MEMBER HEALTHCARE ORGANIZATIONS OPERATING WITHIN GWV'S LACKAWANNA COUNTY AND LUZERNE COUNTY SERVICE AREA. PARTICIPANTS IN THE INITIATIVE INCLUDED: ALLIED SERVICES, BLUE CROSS OF NEPA, COMMUNITY MEDICAL CENTER, MERCY HEALTH PARTNERS, MOSES TAYLOR HOSPITAL AND WYOMING VALLEY HEALTHCARE SYSTEM. BASED ON THE DATA GATHERED THROUGH RESEARCH CONDUCTED BY TRIPP UMBACK, 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. THERE WERE TWO MAJOR HEALTH NEED THEMES WHICH CONSISTENTLY SURFACED IN THE VARIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS: OBESITY AND BROADLY, THE RELATED "DISEASE BURDEN/PREVENTION." 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 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 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. 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. 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 2010 TOTAL POPULATION WITHIN THIS SERVICE AREA WAS 993,492. THIS POPULATION IS EXPECTED TO GROW 1.1% BY 2015, SLOWER THAN THE NATIONAL RATE BUT SLIGHTLY HIGHER THAN THE GROWTH RATE IN THE COMMONWEALTH. . 65 AND OVER AGE GROUP IS 17.1% OF THE TOTAL POPULATION, WHICH IS GREATER THAN THE STATE (15.7%) AND NATIONAL (13.2%) PERCENTAGES. ADDITIONALLY, THE 65 AND OVER AGE GROUP IS THE AGE SEGMENT PROJECTED TO EXPERIENCE THE LARGEST FIVE-YEAR POPULATION GROWTH AT 11.2%. THE REGION IS PRIMARILY RURAL, WITH SMALL SUBURBAN AND URBAN POCKETS. MEDIAN HOUSEHOLD INCOME IS 58,134, WITH APPROXIMATELY 12.6% OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES (HIGHER THAN THE STATE PERCENTAGE OF 12.1%). THE UNEMPLOYMENT RATE IS 6.3%, WHICH IS SLIGHTLY LOWER THAN THE NATIONAL AVERAGE OF 6.4%. 21.4% OF GWV'S INPATIENT DISCHARGES DURING CALENDAR YEAR 2009 WERE CHARITY CARE OR MEDICAID RECIPIENTS. COMPARATIVELY, OF ALL HOSPITAL INPATIENTS FROM THE REGION, REGARDLESS OF THEIR SOURCE OF CARE, 17.6% WERE CHARITY CARE OR MEDICAID RECIPIENTS. THE REGION INCLUDES MULTIPLE MEDICALLY UNDERSERVED AREAS AND POPULATIONS. THERE ARE 17 NON-GEISINGER ACUTE-CARE HOSPITALS IN THIS MARKET. SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS/COMMUNITY BENEFIT EPORTED IN SCHEDULE O. GEISINGER WYOMING VALLEY MEDICAL CENTER IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM, WHICH IS ONE OF THE LARGEST RURAL HEALTH CARE SYSTEMS IN THE NATION AND COVERS A 20,000 SQUARE MILE AREA IN NORTHERN AND CENTRAL PENNSYLVANIA. AS AN INTEGRATED HEALTH CARE SYSTEM, IT SERVES MORE THAN TWO MILLION PEOPLE IN 39 OF PENNSYLVANIA'S 67 COUNTIES WITH A VARIETY OF CHARITABLE HEALTH CARE PROVIDERS AND A NON-PROFIT HMO. THE GHS MISSION IS TO ENHANCE THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH AND COMMUNITY SERVICE. GWV SERVES PATIENTS IN THE GREATER WYOMING VALLEY AND WESTERN POCONO REGION OF THE STATE WITH A COMPREHENSIVE MATERNITY PROGRAM, PEDIATRIC SERVICES, MEDICAL AND SURGICAL UNITS, THE FRANK M. AND DOROTHEA HENRY CANCER CENTER, A COMPLETE EMERGENCY DEPARTMENT AS WELL AS OFFERING AN EXTENSIVE COMMUNITY-HEALTH EDUCATION PROGRAM. OPENING IN THE FALL OF 2001 AND CONNECTED DIRECTLY TO GWV WAS THE REGION'S FIRST AND ONLY HEART HOSPITAL. THE THREE-STORY STRUCTURE OFFERED LIFESAVING HEART PROCEDURES THAT WERE NOT CURRENTLY AVAILABLE IN THE REGION AS WELL AS A RESEARCH PROGRAM, NEW THERAPIES AND SPECIAL HEART SERVICES. GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT HOSPITAL, IS LOCATED IN DANVILLE, PENNSYLVANIA, A SMALL COMMUNITY OF 6,000 PEOPLE. SINCE ITS BEGINNING IN 1915, GHS HAS EMPHASIZED MULTI-SPECIALTY CARE AND HAS MORE THAN 80 MEDICAL SPECIALTIES AND SUB-SPECIALTIES. GMC IS A LEVEL 1 REGIONAL RESOURCE TRAUMA CENTER AND HAS BEEN NAMED TO THE 100 TOP HOSPITALS FOR STROKES LISTS. GHS PHYSICIANS WERE LISTED IN THE BEST DOCTORS IN AMERICA AND THE GHS INTEGRATED COST-EFFECTIVE DELIVERY OF MANAGED CARE WAS FEATURED IN A FRONT-PAGE NEW YORK TIMES ARTICLE. MEDICAL EDUCATION HAS PLAYED A PROMINENT ROLE AT THE GMC WITH MORE THAN 200 RESIDENTS AND FELLOWS RECEIVING POST-DOCTORAL TRAINING AND RESEARCH EXPOSURE. THE 437 BED MEDICAL CENTER IS HOME TO THE JANET WEIS WOMEN'S AND CHILDREN'S HOSPITAL, THE FIRST RURAL ACUTE-CARE CHILDREN'S HOSPITAL IN THE NATION. THE 85 BED CHILDREN'S HOSPITAL WAS CONSTRUCTED IN 1995 ENTIRELY FROM DONATIONS AND BOASTS A NEONATAL INTENSIVE CARE UNIT, A PEDIATRIC INTENSIVE CARE UNIT AND TWO FLOORS OF MEDICAL-SURGICAL INPATIENT ROOMS. IN JANUARY OF 2000, THE TWO-STORY WOMEN'S PAVILION OPENED AND STRATEGICALLY ADJOINS THE CHILDREN'S HOSPITAL FOSTERING FAMILY-CENTERED CARE FOR ALL OBSTETRICAL AND NEWBORN SERVICES. THE PAVILION FEATURES 19 LABOR, DELIVERY, RECOVERY, POSTPARTUM ROOMS, AND HAS THE STATE'S FIRST PASS-THROUGH WINDOWS FROM TWO HIGH-RISK AND C-SECTION DELIVERY ROOMS DIRECTLY INTO THE ADJOINING NEONATAL INTENSIVE CARE UNIT. THE ENTIRE HEALTH SYSTEM IS SERVED BY LIFE FLIGHT, THE 20 PLUS-YEAR OLD AIR-MEDICAL 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 FULL-SERVICE, FULL-TIME MEDICAL HELICOPTER STATIONED IN THE WILKES-BARRE/SCRANTON 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 ON-LINE IN POTTSVILLE IN 2006. GEISINGER CLINIC IS A 501(C)(3) NOT-FOR-PROFIT CORPORATION OPERATING A MULTI-SPECIALTY GROP 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 501(C)(4) NOT-FOR-PROFIT ORGANIZATION THAT HAS GROWN TO BE ONE OF THE LARGEST RURAL HMOS IN THE COUNTRY. IT CURRENTLY SERVES APPROXIMATELY 200,000 MEMBERS IN A 42-COUNTY SERVICE AREA. MARWORTH IS A 501(C)(3) NOT-FOR-PROFIT ORGANIZATION AND OPERATES A 77- BED CENTER THAT ALSO OFFERS A BROAD-BASED 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 501(C)(3) NOT-FOR-PROFIT ORGANIZATION DESIGNED TO CONDUCT CHARITABLE, SCIENTIFIC AND EDUCATIONAL ACTIVITIES FOR THE CITIZENS OF THE COMMUNITIES SERVED BY GHS. X true true X X X X X X false true false false false false false true true true GLENN D STEELE JR MD PHD 930649 660000 428229 335552 29896 2384326 241531 FRANK J TREMBULAK 546363 255671 44704 184306 8746 1039790 KEVIN F BRENNAN 457470 257271 71239 163707 19603 969290 32739 STEVEN B PIERDON MD 378671 120002 38024 124779 20013 681489 DAVID J FELICIO ESQUIRE 312016 134278 28267 61652 17441 553654 EDWARD J ZYCH ESQUIRE 202318 33699 7007 17483 20077 280584 LISSA L BRYAN-SMITH RN 253091 25539 11652 50865 13022 354169 MARY P GILDEA RN 143181 20409 25677 11170 7559 207996 JOHN P WIERCINSKI 233959 95144 46324 17778 16738 409943 CONRAD W SCHINTZ 172099 33420 27478 16021 14141 263159 ERIN A PICA 146354 16289 2069 10401 1018 176131 PAMELA M LANGDON 132695 14620 6009 9226 15702 178252 RITA J SZOKE RN 131173 20100 702 9769 18348 180092 JOANNE E WADE 526047 256010 68186 178354 7764 1036361 34886 RONALD A PAULUS MD 448916 236708 47027 173904 20811 927366 BRUCE H HAMORY MD 432851 100505 86473 222092 18624 860545 38274 ERIC J BIEBER MD 465793 61600 74834 132978 20200 755405 ROBERT J KALLIN 205568 29493 16269 20630 271960 KEVIN J KERESTUS 156230 28256 3355 12740 18705 219286 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 FUTHER GHS BUSINESS, FOR TAX OBLIGATIONS. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 GLENN D. STEELE JR., MD PHD 0 241,531 0 FRANK J. TREMBULAK 0 2,659 0 KEVIN F. BRENNAN 0 32,739 0 LISSA L. BRYAN-SMITH, RN 0 33,087 0 JOANNE E. WADE 0 34,886 0 BRUCE H. HAMORY, MD 0 38,274 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. PURSUANT TO CONTRACT PER REGS. SECTION 53.4958-4(A)(3) 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 UPON 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. 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. 39369 GEISINGER MEDICAL MANAGEMENT CORP SCHEDULE O 10442 LEASE REVENUE false GEISINGER MEDICAL MANAGEMENT CORP SCHEDULE O 808312 IC SHARED SERV EXP false GEISINGER QUALITY OPTIONS INC SCHEDULE O 11921942 IC SHARED SERV REV false INTERNATIONAL SHARED SERVICES INC SCHEDULE O 5630896 IC SHARED SERV EXP false INTERNATIONAL SHARED SERVICES INC SCHEDULE O 87159 IC SHARED SERV REV false 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 IN THE WYOMING VALLEY THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A I.MISSION ENHANCING QUALITY OF LIFE IN NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. II.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 242-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. GWV IS A LEVEL 2 TRAUMA CENTER AND ACCREDITED CHEST PAIN CENTER OFFERING EMERGENCY AND TRAUMA CARE 24 HOURS A DAY. GEISINGER WYOMING VALLEY IS FULLY ACCREDITED BY THE JOINT COMMISSION. THE FACILITY OPENED IN 1981 AS THE NPW MEDICAL CENTER OF N.E. PENNSYLVANIA, INC. IN THE FALL OF 2008, THE CRITICAL CARE BUILDING WAS COMPLETED, WHICH IS A 178,000 SQUARE FOOT FACILITY THAT FEATURES AN EXPANDED 24/7 EMERGENCY DEPARTMENT WITH ROOFTOP HELIPAD AND HIGH-TECH SURGICAL SUITES. GWV PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SERVICES OFFERED BY GWV INCLUDE: COMPREHENSIVE MATERNITY AND PEDIATRIC SERVICES: A VARIETY OF WOMEN'S SERVICES ARE OFFERED INCLUDING THE SPECIAL DELIVERY PROGRAM IN OBSTETRICS, WHICH 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. ORTHOPAEDIC SURGERY: AN ORTHOPAEDIC SURGERY DEPARTMENT RECOGNIZED FOR ITS SPECIAL CAPABILITIES IN JOINT REPLACEMENT SURGERY - INCLUDING SERVICES FOR PEOPLE WHO PREVIOUSLY HAD JOINT REPLACEMENTS, ARTHROSCOPIC SURGERY, TREATMENT FOR TRAUMA PATIENTS AND THOSE WITH SPORTS INJURIES. CARDIAC 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 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, ANGIOJET THERAPY, BRACHYTHERAPY, AND THE USE OF A CUTTING BALLOON TO REPAIR BLOCKED VESSELS. THE PEARSALL HEART HOSPITAL OFFERS ANCILLARY CARDIAC TESTING, PHYSICIAN CARE AS WELL AS A NINE BED STEP-DOWN UNIT, CARDIAC REHABILITATION, AND AN EIGHT BED OUTPATIENT UNIT USED FOR PRE AND POST CARDIAC CATH RECOVERY. THE PEARSALL HEART HOSPITAL IS ALSO HOME TO GWV'S VASCULAR SURGERY DEPARTMENT AND INCLUDES AN ICAVL-ACCREDITED NONINVASIVE DIAGNOSTIC LABORATORY. EMERGENCY SERVICES: 24-HOUR EMERGENCY DEPARTMENT AND LEVEL 2 TRAUMA CENTER. LIFEFLIGHT, GEISINGER'S MEDICAL HELICOPTER SERVICE, PROVIDES QUICK AIR MEDICAL RESPONSE FOR TRANSPORTING PATIENTS FOR LIFE-SAVING CARE. PEDIATRIC SERVICES: THE JANET WEIS CHILDREN'S HOSPITAL PEDIATRICS UNIT AT GWV PROVIDES NUMEROUS PEDIATRIC SUB-SPECIALTY SERVICES. PEDIATRIC HOSPITALIST PHYSICIANS STAFF THE 7-BED UNIT. CANCER SERVICES: 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 AND MEDICAL 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. RADIOLOGY SERVICES: THE RADIOLOGY DEPARTMENT OFFERS A COMPREHENSIVE IMAGING PROGRAM. 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. DIGITAL IMAGING AND PACS WITH MRI, CAT SCAN, SONOGRAPHY AND NUCLEAR MEDICINE ELIMINATE THE NEED TO MAINTAIN HARD COPY FILM AND PROVIDE THE CLINICIANS EASY ACCESS TO IMAGING DATA NECESSARY FOR PATIENT TREATMENT. WOMEN'S IMAGING SERVICES: THE CENTER FOR WOMEN'S IMAGING OFFERS A FULL RANGE OF DIAGNOSTIC SERVICES AT ONE CONVENIENT LOCATION DESIGNED EXCLUSIVELY FOR WOMEN. LOCATED ON THE LOWER LEVEL OF THE VALLEY MEDICAL BUILDING, EXPERIENCED RADIOLOGISTS AND TECHNOLOGISTS PROVIDE HIGH QUALITY PATIENT CARE IN A COMFORTABLE SETTING. SERVICES INCLUDE: DIGITAL MAMMOGRAPHY, ULTRASOUND, DXA SCAN BONE DENSITY TESTING, STEREOTACTIC BREAST BIOPSY AND A COMPREHENSIVE BREAST PROGRAM. THE BREAST PROGRAM OFFERS A MULTI-DISCIPLINARY APPROACH TO DIAGNOSING AND TREATING BREAST DISEASE. A DEDICATED NURSE NAVIGATOR AND A TEAM OF SURGEONS, RADIOLOGISTS, PATHOLOGISTS, AND ONCOLOGISTS COLLABORATE IN ONE CONVENIENT LOCATION TO SPEED TREATMENT AND CARE. RESIDENCY PROGRAM GWV SERVES AS A TEACHING CAMPUS FOR FAMILY MEDICINE AND GENERAL SURGERY RESIDENTS AND OFFERS A SPORTS MEDICINE FELLOWSHIP PROGRAM. RESIDENTS ALSO ROTATE TO GWV FROM GEISINGER MEDICAL CENTER IN SPECIALTIES OF EMERGENCY MEDICINE, OBSTETRICS, ORTHOPAEDICS, DERMATOLOGY, RHEUMATOLOGY, FAMILY PRACTICE, AND GENERAL SURGERY. THE TOTAL COST OF PROVIDING THE RESIDENCY PROGRAM FOR THE FISCAL YEAR ENDED JUNE 30, 2010 WAS 1.7 MILLION. OTHER SERVICES INCLUDE: LITHOTRIPSY LABORATORY SERVICES FOUR MEDICAL/SURGICAL UNITS DIABETIC EDUCATION PROGRAM MEDIC 303 ADVANCED LIFE SUPPORT CRITICAL CARE UNIT DIAGNOSTIC AND AMBULATORY CARE SERVICES KIDNEY AND PANCREAS TRANSPLANTATION REHABILITATION MEDICINE (INPATIENT AND OUTPATIENT) SAME DAY SURGERY GENERAL, THORACIC AND VASCULAR SURGERY BARIATRIC SURGERY MINIMALLY INVASIVE SURGERY NEUROSCIENCES INCLUDING A BRAIN TUMOR INSTITUTE TELEMETRY UNIT NUTRITION COUNSELING MEDICAL, SURGICAL AND RADIATION ONCOLOGY BREAST HEALTH SERVICES ELECTROPHYSIOLOGY PEDIATRIC CARDIOLOGY NUMEROUS PEDIATRIC SUBSPECIALTIES VASCULAR LABORATORY EAR, NOSE AND THROAT SURGERY GYNECOLOGICAL SURGERY UROLOGICAL SURGERY OPHTHALMOLOGIC SURGERY III.UNCOMPENSATED CARE GEISINGER WYOMING VALLEY MEDICAL CENTER RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GWV PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. CHARITY CARE THE PRIMARY CONCERN OF GWV IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF NORTHEASTERN PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GWV INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2010, THE COST OF THE CHARITY CARE WAS 4.7 MILLION. B. MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GWV PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GWV PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 32 MILLION DURING THE FISCAL YEAR ENDED JUNE 30, 2010. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GWV PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2010, WAS 2.2 MILLION. IV. RESEARCH SUPPORT GEISINGER WYOMING VALLEY MEDICAL CENTER CONTRIBUTED 2.8 MILLION TO GEISINGER CLINIC TO SUPPORT ITS CHARITABLE MISSION THROUGH MEDICAL RESEARCH ACTIVITIES AT TWO FACILITIES ON THE CAMPUS OF THE GEISINGER MEDICAL CENTER: THE SIEGFRIED AND JANET WEIS CENTER FOR RESEARCH (WEIS CENTER) AND THE HENRY HOOD CENTER FOR HEALTH RESEARCH. THE WEIS CENTER PROVIDES A FOCUS FOR LABORATORY RESEARCH AND RESEARCH TRAINING, AND SUPPORTS THE CLINICAL STAFF IN THEIR RESEARCH PROGRAMS. THE PRIMARY MISSION OF THE WEIS CENTER IS TO CONDUCT ORIGINAL AND INNOVATIVE RESEARCH THAT CONTRIBUTES NEW KNOWLEDGE TO BIOMEDICAL SCIENCE. THE CENTER'S SCIENTISTS APPLY MODERN MOLECULAR AND CELLULAR APPROACHES TO DIVERSE RESEARCH PROBLEMS IN THE AREAS OF CARDIOVASCULAR FUNCTION, CANCER AND DEVELOPMENTAL BIOLOGY. THE HENRY HOOD CENTER FOR HEALTH RESEARCH CONDUCTS HEALTH SERVICES, EPIDEMIOLOGIC AND POPULATION GENETICS RESEARCH ON THE BROAD RANGE OF CONDITIONS TYPICALLY SEEN IN PRIMARY AND SPECIALTY CARE SETTINGS. THE CENTER ALSO INVESTIGATES EXTRAMURAL SOURCES OF FUNDING FOR CLINICAL RESEARCH. TOGETHER, THE WEIS CENTER AND HENRY HOOD CENTER ARE BUILDING CAPABILITY FOR IMPROVED POPULATIO SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PAGE 6, PART VI, LINE 4 ON JUNE 28, 2010, THE TRUSTEE AGREEMENT DATED JUNE 30, 2000 WAS AMENDED TO SIMPLIFY THE REQUIREMENTS OF THE TRUST. ON MARCH 18, 2010, THE BOARD OF DIRECTORS OF GEISINGER HEALTH SYSTEM FOUNDATION, A 501(C)(3) CORPORATION AND PARENT OF GEISINGER WYOMING VALLEY MEDICAL CENTER, APPROVED BYLAW CHANGES THAT ESTABLISHED CLASSES OF DIRECTORS WITH STAGGERED TERMS OF SERVICE, SET TERM LIMITATIONS, CLARIFIED NO AGE LIMITATION, ESTABLISHED BOARD AND COMMITTEE QUORUM REQUIREMENTS, ESTABLISHED THE PROCESS FOR BOARD LEADERSHIP SUCCESSION, AND DESIGNATED THE DEVELOPMENT COMMITTEE AS A STANDING COMMITTEE OF THE BOARD. IN JUNE 2010, THE BOARDS OF DIRECTORS OF THE FOLLOWING AFFILIATED ORGANIZATIONS: GEISINGER CLINIC, GEISINGER MEDICAL CENTER, GEISINGER WYOMING VALLEY MEDICAL CENTER, HERSHEY MEDICAL CENTER, GEISINGER SYSTEM SERVICES, AND MARWORTH APPROVED SIMILAR CHANGES, FOLLOWED BY THE BOARD OF DIRECTORS OF GEISINGER COMMUNITY HEALTH SERVICES IN OCTOBER 2010. 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 15 P.A. C.S.A. SUBCHAPTER E OF 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 15 PA. C.S.A. SUPBCHATER E OF THE PENNSYLVANIA NONPROFIT CORPORATION LAW. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11 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, 2010. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF GEISINGER WYOMING MEDICAL CENTER ARE SUBJECT TO THE GHS CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GHS EMPLOYED BOARD DIRECTORS, OFFICERS AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE MANAGEMENT AND COMPENSATION COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE MANAGEMENT AND COMPENSATION COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE MISSION STATEMENT IS AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE AT: WWW.GEISINGER.ORG. THE ANNUAL REPORT FOR THE GEISINGER HEALTH SYSTEM, CONTAINING CONSOLIDATED FINANCIAL STATEMENT INFORMATION, COMMUNITY BENEFIT REPORT AND OTHER INFORMATION, IS AVAILABLE ON THE SYSTEM WEBSITE AT: WWW.GEISINGER.ORG. FINANCIAL STATEMENTS ALONG WITH THE COMPLETE FORM 990 AND 990-T ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GEISINGER HEALTH SYSTEM CONFLICTS OF INTEREST POLICY IS AVAILABLE ON THE SYSTEM WEBSITE AT: WWW.GEISINGER.ORG. ADDITIONAL INFORMATION SCHEDULE R FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN THE RESPONSE TO FORM 990, SCHEDULE R, GEISINGER WYOMING VALLEY MEDICAL CENTER IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. ___________________________________________________________________________ FORM 990, SCHEDULE R-1, PART IV - IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST: GEISINGER ASSURANCE COMPANY, LTD IS A FOREIGN ORGANIZATION INCORPORATED IN THE CAYMAN ISLANDS; AS SUCH, IT DOES NOT HAVE AN EIN AND IT IS NOT SUBJECT TO FEDERAL TAXATION. ___________________________________________________________________________ ADDITIONAL INFORMATION SCHEDULE O ___________________________________________________________________________ FORM 990, PART I, SECTION A, LINE 4, FORM 990, PART VI, SECTION A, LINE 1B: BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY ONE VOTING MEMBER OF THE GOVERNING BODY IS NOT INDEPENDENT BECAUSE HE IS COMPENSATED AS AN EMPLOYEE OF A RELATED TAX-EXEMPT ORGANIZATION. INCLUDING THE VOTING MEMBER DESCRIBED ABOVE, A TOTAL OF 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 THE 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 AN 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 IV, LINE 24A: GEISINGER HEALTH SYSTEM FOUNDATION, PARENT OF GEISINGER WYOMING VALLEY MEDICAL CENTER, IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 649,942,049 INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT, AS OF JUNE 30, 2010. THESE LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF GEISINGER MEDICAL CENTER, GEISINGER WYOMING VALLEY MEDICAL CENTER, GEISINGER CLINIC, MARWORTH, AND GEISINGER SYSTEM SERVICES BECAUSE THE BOND PROCEEDS HAVE BEEN DISBURSED TO THESE AFFILIATED ORGANIZATIONS. SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH SYSTEM FOUNDATION. ___________________________________________________________________________ FORM 990, PART V, LINE 1A: 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 ALL REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099S FILED BY GSS FOR THE REPORTING PERIOD ON BEHALF OF ITSELF AND IT'S AFFILIATES WAS 1,138. ___________________________________________________________________________ FORM 990, PART VI, SECTION A, LINE 2 - DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? GLENN D. STEELE, JR., M.D., PH.D., FRANK J. TREMBULAK, DAVID J. FELICIO, ESQUIRE, EDWARD ZYCH, ESQUIRE, WILLIAM H. ALEXANDER, WILLIAM R. GRUVER, THOMAS H. LEE JR. M.D., ROBERT E. POOLE, DON A. ROSINI, AND GEORGE B. SORDONI 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 WYOMING VALLEY MEDICAL CENTER. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM. ___________________________________________________________________________ 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 GEISINGER HEALTH SYSTEM, AS APPLICABLE. FORMER OFFICERS, DIRECTORS, KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES WORK A MINIMUM OF 40 HOURS PER WEEK FOR RELATED ORGANIZATIONS. ___________________________________________________________________________ FORM 990, PART XI, LINE 3A - AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE SINGLE AUDIT ACT OR OMB CIRCULAR A-133: FEDERAL AWARDS ARE AUDITED AS PART OF THE GEISINGER HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRULAR A-133. ___________________________________________________________________________ FORM 990, SCHEDULE L, PART IV - BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: 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 TYPES OF INTER-ORGANIZATIONAL 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 ORGANIZATION'S TAX EXEMPT STATUS. THE FOLLOWING ORGANIZATIONS REPRESENT THE AFFILIATED FOR-PROFIT 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 WYOMING VALLEY MEDICAL CENTER ARE OFFICERS AND OR DIRECTORS OF THESE ORGANIZATIONS AS DESCRIBED BELOW. GEISINGER MEDICAL MANAGEMENT CORPORATION (GMMC): DAVID J. FELICIO, ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GWV AND GMMC. GLENN D. STEELE, JR., M.D., PH.D. IS THE PRESIDENT, CHAIRMAN OF THE BOARD AND DIRECTOR (EX-OFFICIO) OF GWV AND THE PRESIDENT, CHAIRMAN OF THE BOARD AND DIRECTOR OF GMMC. FRANK J. TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GWV AND GMMC. EDWARD J. ZYCH, ESQUIRE IF THE ASSISTANT SECRETARY OF GWV AND GMMC. WILLIAM ALEXANDER IS A DIRECTOR OF GWV AND GMMC. WILLIAM R. GRUVER IS A DIRECTOR OF GWV AND GMMC. ROBERT E. POOLE IS A DIRECTOR OF GWV AND GMMC. DON A. ROSINI IS A DIRECTOR OF GWV AND GMMC. GEORGE B. SORDONI IS A DIRECTOR OF GWV AND GMMC. GEISINGER QUALITY OPTIONS, INC. (GQO): DAVID J. FELICIO, ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GWV AND GQO. GLENN D. STEELE, JR., M.D., PH.D. IS THE CHAIRMAN OF THE BOARD AND DIRECTOR (EX-OFFICIO) OF GWV AND GQO. FRANK J. TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GWV AND THE SENIOR VICE PRESIDENT, TREASURER, AND DIRECTOR OF GQO. WILLIAM ALEXANDER IS A DIRECTOR OF GWV AND GQO. DON A. ROSINI IS A DIRECTOR OF GWV AND GQO. THOMAS H. LEE, JR. IS A DIRETCOR OF GWV AND GQO. INTERNATIONAL SHARED SERVICES, INC. (ISS): DAVID J. FELICIO, ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GWV AND ISS. GLENN D. STEELE, JR., M.D., PH.D. IS THE PRESIDENT, CHAIRMAN OF THE BOARD AND DIRECTOR (EX-OFFICIO) OF GWV AND THE PRESIDENT, CHAIRMAN OF THE BOARD AND DIRECTOR OF ISS. FRANK J. TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GWV AND THE SENIOR VICE PRESIDENT, TREASURER, AND DIRECTOR OF ISS. ___________________________________________________________________________ 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 SUPPR SVCS PA 501 11A GHSF GEISINGER INSURANCE CORP RRG 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 141909894 SELF INSUR VT 501 11A GHSF GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 231995911 PHILANTHRO PA 501 7 NA GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 256220019 SELF INSUR PA 501 11A GMC GEISINGER EXCESS COV PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 236852932 SELF INSUR PA 501 11A GMC GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 240795959 HOSPITAL PA 501 3 GHSF GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 236291113 PHSYN SVCS PA 501 11A GHSF GEISINGER SOUTH WILKES-BARRE 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 203152743 HOSPITAL PA 501 3 GHSF HERSHEY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232891807 HOSPITAL PA 501 3 GHSF GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232311553 HMO PA 501 GHSF GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232967235 HEALTHCARE PA 501 9 GSS MARWORTH 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 232171417 D&A REHAB PA 501 3 GHSF HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 721398803 PHYS THERA PA N/A false false 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 CO 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 CORP LTD PO BOX 2196GT GRAND CAYMAN GRAND CAYMAN CJ INSURANCE CJ N/A CLINICAL COMMUNITY PHARMACY CO 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE PA 17822 562457548 INACTIVE DE N/A true true true false false false false false false true true true false false true false false true GEISINGER HEALTH SYSTEM FOUNDATION L 1109652 GEISINGER MEDICAL CENTER L 6750046 GEISINGER COMMUNITY HEALTH SERVICES L 112263 GEISINGER CLINIC L 20584002 GEISINGER CLINIC B 2706000 GEISINGER CLINIC J 996776 GEISINGER SYSTEM SERVICES L 58265163 GEISINGER SYSTEM SERVICES O 7321865 GEISINGER MEDICAL MANAGEMENT CORP L 808312 INTERNATIONAL SHARED SERVICES INC L 5630896 GEISINGER INSURANCE CORP RRG L 68088 GEISINGER ASSURANCE COMPANY LTD L 2341980 GEISINGER HEALTH SYSTEM FOUNDATION C 2031934 GEISINGER HEALTH SYSTEM FOUNDATION K 66623 GEISINGER MEDICAL CENTER K 1262773 GEISINGER CLINIC K 245780 MARWORTH K 331162 INTERNATIONAL SHARED SERVICES INC A 65759 GEISINGER MEDICAL MANAGEMENT CORP A 10441 GEISINGER CLINIC R 13145768 GEISINGER CLINIC A 144342 GEISINGER HEALTH PLAN K 56538258 GEISINGER QUALITY OPTIONS K 11921942 GEISINGER INSURANCE INDEMNITY CORP K 12078 GEISINGER SOUTH WILKES-BARRE R 33810038