TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) WILLIAM H ALEXANDER DIRECTOR	2.00	X			0	0	0
(2) E ALLEN DEAVER DIRECTOR	2.00	X			0	0	0
(3) DORRANCE R BELIN ESQUIRE DIRECTOR	2.00	X			0	0	0
(4) WILLIAM R GRUVER DIRECTOR	2.00	X			0	0	0
(5) FRANK M HENRY DIRECTOR	2.00	X			0	0	0
(6) THOMAS H LEE JR MD DIRECTOR	2.00	X			0	0	0
(7) GLENN D STEELE JR MD PHD PRES, CHAIR,	40.00	X	X		0	2,043,610	372,104
(8) ROBERT E POOLE DIRECTOR	2.00	X			0	0	0
(9) DON A ROSINI DIRECTOR	2.00	X			0	0	0
(10) KENNETH E WOOD DO CHIEF MEDICA	40.00		X		0	390,110	92,631
(11) DAVID J FELICIO ESQUIRE CLO, SECRETA	40.00		X		0	491,282	81,063
(12) EDWARD J ZYCH ESQUIRE ASSISTANT SE	40.00		X		0	268,638	37,700
(13) KEVIN F BRENNAN CPA FHFMA EVP, FINANCE	40.00		X		0	809,261	184,136
(14) ALBERT BOTHE JR MD CMO	40.00		X		0	750,450	160,100
(15) FRANK J TREMBULAK SR VP, TREAS	40.00		X		0	883,837	194,894
(16) EDELYN L MILLER CAO, GMC	40.00			X	504,513	0	71,935
(17) SUSAN M HALLICK RNC BSN MHA NEA EVP, CNO	40.00			X	464,913	0	115,003

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(F) Estimated amount of other compensation from the organization and related organizations
(18) THOMAS P SOKOLA CAO, GMC	40.00	X			0	350,422	50,055
(19) CHERYL A MCHALE RN CCRN RN	40.00		X		210,337	0	20,262
(20) MATTHEW J SHELLENBERGER DO PHYSICIAN	40.00		X		30,498	158,162	30,255
(21) ERIK N HILL MSW LCSW LCSW	40.00		X		27,762	221,259	22,540
(22) BRENDA A WANDS CRNA MBA ASSISTANT DI	40.00		X		83,703	106,438	30,990
(23) ARTHUR F RICHER CRNA MS CRNA	40.00		X		169,182	37,565	26,769
(24) KEVIN J KERESTUS CIA FORMER KEY E	40.00			X	0	189,203	31,017
(25) DUANE E DEIVERT DO FORMER 5 HIG	40.00			X	0	429,833	34,934
(26) JOHN R JONES FORMER 5 HIG	40.00			X	0	223,515	26,337
(27) AMITPAL JOHAL MD FORMER 5 HIG	40.00			X	0	361,821	32,896
(28) BRUCE H HAMORY MD FORMER KEY E	40.00			X	0	704,474	153,658
(29) JON D GABRIELSEN MD FORMER 5 HIG	40.00			X	0	319,433	35,699
(30) RONALD A PAULUS MD FORMER KEY E	40.00			X	0	583,752	182,536
(31) JOANNE E WADE FORMER KEY E	40.00			X	0	884,047	186,303

(A) Name and business address	(B) Description of services	(C) Compensation
ERA MED LLC 1 EARHART DRIVE SUITE 11 COATESVILLE,PA19320	FLIGHT STAFF	5,141,879
INSIGHT HEALTH SERVICES CORP PO BOX 847689 DALLAS,TX75284	DIAGNOSTIC IMAG	3,323,100
HEALTHSOUTHGHS LLC 2 REHAB LANE DANVILLE,PA17822	MEDICAL SERVICE	2,921,986
GE HEALTHCARE PO BOX 640200 PITTSBURG,PA15264	EQUIP SVC CONTR	2,715,022
QUEST DIAGNOSTICS INC PO BOX 994 HORSHAM,PA19044	LAB TESTS	1,934,144
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 49

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	1,132,765	564,053	568,712
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	86,054	86,054
7	Other salaries and wages	211,274,465	208,960,521	2,313,944
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	9,394,168	9,266,977	127,191
9	Other employee benefits .......	36,114,425	35,624,760	489,665
10	Payroll taxes ...........	16,139,490	15,941,649	197,841
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	86,681	8,290	78,391
c	Accounting ...........	228,202	228,202
d	Lobbying ...........	13,373		13,373
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	995,005	969,835	25,170
g	Other ..........	32,219,176	29,063,110	3,156,066
12	Advertising and promotion ....	272,750	251,115	21,635
13	Office expenses .......	167,741,044	166,224,075	1,516,969
14	Information technology ......	753,579	750,819	2,760
15	Royalties ..
16	Occupancy ...........	15,777,937	15,310,410	467,527
17	Travel ............	2,484,598	2,264,796	219,802
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	1,537,561	1,472,596	64,965
20	Interest ...........	9,512,412	9,228,482	283,930
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	37,259,985	36,707,515	552,470
23	Insurance ..............	14,176,393	9,923,475	4,252,918
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	INTER-ENTITY EXPENSE	186,646,511	178,703,611	7,942,900
b	INTER-ENTITY TEACHING/ADM	30,880,987	30,880,987
c	UNCOLLECTIBLE EXPENSE	11,041,704	11,041,704
d	BOOKS, LICENSE, FEE, DUES	620,173	564,443	55,730
e	MISCELLANEOUS	601,366	263	601,103
f	All other expenses	100,120	100,096	24
25	Total functional expenses. Add lines 1 through 24f	787,090,924	764,137,838	22,953,086	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	11,293,191	1	7,953,373
2	Savings and temporary cash investments .......	11,243,220	2	61,223,034
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	49,522,818	4	56,348,856
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5	9,165
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	1,603,770	7	1,537,951
8	Inventories for sale or use ..............	6,682,623	8	6,887,538
9	Prepaid expenses and deferred charges ............	6,314,207	9	3,690,928
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	632,733,221
b	Less: accumulated depreciation. .....	10b	302,145,657	316,766,723	10c	330,587,564
11	Investments—publicly traded securities ..........	47,813,020	11	31,288,696
12	Investments—other securities. See Part IV, line 11 ......	166,300,028	12	126,044,435
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........	304,972	14	219,488
15	Other assets. See Part IV, line 11 ...........	946,724	15	1,297,911
16	Total assets. Add lines 1 through 15 (must equal line 34)...	618,791,296	16	627,088,939
	17	Accounts payable and accrued expenses .	11,350,764	17	12,699,923
18	Grants payable ..........		18
19	Deferred revenue ..........	58,152	19	51,586
20	Tax-exempt bond liabilities ..........	299,458,491	20	397,604,922
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	625,736	23	1,206,273
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....	100,751,928	25	112,169,359
26	Total liabilities. Add lines 17 through 25.....	412,245,071	26	523,732,063
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	206,546,225	27	103,356,876
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	206,546,225	33	103,356,876
34	Total liabilities and net assets/fund balances .....	618,791,296	34	627,088,939

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing Organization's Totals	(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......	13,373	611,545
c	Total lobbying expenditures (add lines 1a and 1b) ...................	13,373	611,545
d	Other exempt purpose expenditures ........................	787,077,551	2,224,325,905
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	787,090,924	2,224,937,450
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................	250,000	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	247,880	402,712	574,174	611,545	1,836,311

d	Grassroots non-taxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures	277				277

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Total. lines 1c through 1i ...................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back
1a	Beginning of year balance ....	75,302,000	71,078,000	88,270,000
b	Contributions ........	627,000	1,148,000	1,005,000
c	Investment earnings or losses ...	13,943,000	8,379,000	-13,762,000
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	-12,274,000	-5,303,000	-4,435,000
f	Administrative expenses ....
g	End of year balance ......	77,598,000	75,302,000	71,078,000

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

29.000 %

Permanent endowment: SchDMd Bullet

71.000 %

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	1,385,908		1,385,908
b	Buildings ................	207,602,430	105,462,200	102,140,230
c	Leasehold improvements ............	423,085	63,765	359,320
d	Equipment ................	388,474,778	185,723,435	202,751,343
e	Other .................	34,847,020	10,896,257	23,950,763
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				330,587,564

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests	126,044,435	F
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)	126,044,435

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
3RD PARTY COST REPORT ALLOWANCES		60,636,453
DUE TO AFFILIATES		29,847,822
DERIVATIVE OBLIGATION		11,097,248
MEDICAL LEGAL CLAIMS ALLOWANCE		6,976,648
ACCOUNTS RECEIVABLE CREDIT BALANCES		3,566,834
REBATES PAYABLE		41,754
DEPOSITS		2,600


Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		112,169,359
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
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.
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.

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other 380.000 %

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Charity care at cost (from Worksheets 1 and 2) ..	7,689,281		7,689,281	0.980 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .	113,346,151	62,694,139	50,652,012	6.470 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....	4,652,838	3,705,478	947,360	0.120 %
dTotal Charity Care and Means-Tested Government Programs .....	125,688,270	66,399,617	59,288,653	7.570 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	1,801,561		1,801,561	0.230 %
f Health professions education (from Worksheet 5) ..	51,891,849	10,824,541	41,067,308	5.250 %
g Subsidized health services (from Worksheet 6) ..
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	8,086,268		8,086,268	1.030 %
jTotal Other Benefits ...	61,779,678	10,824,541	50,955,137	6.510 %
kTotal. Add lines 7d and 7j. ..	187,467,948	77,224,158	110,243,790	14.080 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense (at cost).....

2,150,370

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

132,213,086

Enter Medicare allowable costs of care relating to payments on line 5.....

145,707,521

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-13,494,435

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %
1HEALTHSOUTHGHS LLC	REHABILITATION HOSPITAL SERVICES	50.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?2 Name and address		Other (Describe)
1	GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE,PA17822	X	X	X	X	X
2	GEISINGER HEALTHSOUTH REHAB HOSPITAL 2 REHAB LANE DANVILLE,PA17821	X

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:GEISINGER MEDICAL CENTER

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16		No
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:GEISINGER HEALTHSOUTH

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8		No
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9		No
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12		No
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13		No
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14		No
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16		No
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
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

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) GLENN D STEELE JR MD PHD	(i) (ii)	940,039	719,216	384,355	339,686	32,418	2,415,714	241,531
(2) KENNETH E WOOD DO	(i) (ii)	323,787	44,354	21,969	67,778	24,853	482,741
(3) DAVID J FELICIO ESQUIRE	(i) (ii)	318,670	123,064	49,548	64,346	16,717	572,345	19,288
(4) EDWARD J ZYCH ESQUIRE	(i) (ii)	222,920	31,827	13,891	17,778	19,922	306,338
(5) KEVIN F BRENNAN CPA FHFMA	(i) (ii)	463,447	268,032	77,782	164,879	19,257	993,397	41,972
(6) ALBERT BOTHE JR MD	(i) (ii)	471,310	244,569	34,571	152,195	7,905	910,550
(7) FRANK J TREMBULAK	(i) (ii)	552,005	285,273	46,559	184,975	9,919	1,078,731
(8) EDELYN L MILLER	(i) (ii)	331,602	132,506	40,405	59,906	12,029	576,448
(9) SUSAN M HALLICK RNC BSN MHA NEA	(i) (ii)	292,571	151,115	21,227	96,795	18,208	579,916
(10) THOMAS P SOKOLA	(i) (ii)	231,866	73,130	45,426	32,778	17,277	400,477
(11) CHERYL A MCHALE RN CCRN	(i) (ii)	189,879	18,090	2,368	14,514	5,748	230,599
(12) MATTHEW J SHELLENBERGER DO	(i) (ii)	29,120 135,424		1,378 22,738	10,463	11,756 8,036	42,254 176,661
(13) ERIK N HILL MSW LCSW	(i) (ii)	27,649 219,561		113 1,698	16,529	3,127 2,884	30,889 240,672
(14) BRENDA A WANDS CRNA MBA	(i) (ii)	82,437 105,021		1,266 1,417	8,358 5,295	7,130 10,207	99,191 121,940
(15) ARTHUR F RICHER CRNA MS	(i) (ii)	150,024 36,341	10,821	8,337 1,224	12,452 1,839	10,116 2,362	191,750 41,766
(16) KEVIN J KERESTUS CIA	(i) (ii)	159,907	26,114	3,182	12,867	18,150	220,220
(17) DUANE E DEIVERT DO	(i) (ii)	349,213	60,313	20,307	17,778	17,156	464,767
(18) JOHN R JONES	(i) (ii)	167,948	50,000	5,567	15,425	10,912	249,852
(19) AMITPAL JOHAL MD	(i) (ii)	306,251	32,000	23,570	17,778	15,118	394,717
(20) BRUCE H HAMORY MD	(i) (ii)	456,961	120,250	127,263	133,879	19,779	858,132	80,909
(21) JON D GABRIELSEN MD	(i) (ii)	231,586	64,635	23,212	17,778	17,921	355,132
(22) RONALD A PAULUS MD	(i) (ii)	331,500	218,409	33,843	169,124	13,412	766,288
(23) JOANNE E WADE	(i) (ii)	531,456	268,237	84,354	177,664	8,639	1,070,350	47,691

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
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.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No
(1) BRENDA A WANDS CRNA MBA EDUCATION		X	9,165	9,165		No	Yes		Yes





Total ............... $				9,165

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2010

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) GEISINGER MEDICAL MANAGEMENT CORP	BUSINESS	1,417,523	IC SHARED SERV EXP		No
(2) GEISINGER MEDICAL MANAGEMENT CORP	BUSINESS	219,397	IC SHARED SERV REV		No
(3) GEISINGER INDEMNITY INSURANCE COMP	BUSINESS	5,721,248	IC SHARED SERV REV		No
(4) GEISINGER QUALITY OPTIONS INC	BUSINESS	20,293,427	IC SHARED SERV REV		No
(5) INTERNATIONAL SHARED SERVICES INC	BUSINESS	11,793,080	IC SHARED SERV EXP		No
(6) HEALTHSOUTH GHS LLC	BUSINESS	152,570	LEASE REVENUE		No
(7) HEALTHSOUTH GHS LLC	BUSINESS	3,018,195	SERVICE EXPENSE		No
(8) HEALTHSOUTH GHS LLC	BUSINESS	2,704,821	SERVICE REVENUE		No
(9) GEISINGER ASSURANCE COMPANY LTD	BUSINESS	6,990,783	IC SHARED SERV EXP		No
(10) HIRTLE CALLAGHAN	BUSINESS	310,091	INVESTMENT MGMT FEES		No
(11) KIMBERLY M HALLICK	FAMILY	25,498	EMPLOYEE COMPENSAT.		No
(12) JESSE R MILLER	FAMILY	23,341	EMPLOYEE COMPENSAT.		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
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

Schedule L (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Identifier	Return Reference	Explanation
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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-2164794	SUPPT SVCS	PA	501C3	11A	GHSF	Yes
(2) GEISINGER INSURANE CORP RRG 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 14-1909894	SELF INSUR	VT	501C3	11A	GHSF	Yes
(3) GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-1995911	PHILANTHRO	PA	501C3	7	NA	Yes
(4) GEISINGER MED CTR PROF LIAB TRUST 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 25-6220019	SELF INSUR	PA	501C3	11A	GMC	Yes
(5) GEISINGER EXCESS COV PROF LIAB TR 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-6852932	SELF INSUR	PA	501C3	11A	GMC	Yes
(6) GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-6291113	PHSYN SVCS	PA	501C3	11A	GHSF	Yes
(7) GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-1996150	HOSPITAL	PA	501C3	3	GHSF	Yes
(8) HERSHEY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-2891807	HOSPITAL	PA	501C3	3	GHSF	Yes
(9) GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-2311553	HMO	PA	501C4		GHSF	Yes
(10) GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-2967235	HEALTHCARE	PA	501C3	9	GSS	Yes
(11) MARWORTH 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-2171417	D&A REHAB	PA	501C3	3	GHSF	Yes

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 72-1398803	PHYS THERA	PA	NA	RELATED	2,517,472	4,767,536		No		Yes		50.000 %
(2) HEALTHSOUTH GHS LLC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 72-1398803	PHYS THERA	PA	NA	RELATED	2,517,472	4,767,536		No		Yes		50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity
(1) GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-2077663	LAB/CONSUL	PA	N/A
(2) INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-2159597	CLIN ENGIN	PA	N/A
(3) GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-2815174	HEALTH INS	PA	N/A
(4) GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 20-4275139	HEALTH INS	PA	N/A
(5) GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN,GRAND CAYMNA CJ 98-1016737	INSURANCE	CJ	N/A
(6) GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-2077663	LAB/CONSUL	PA	N/A
(7) INTERNATIONAL SHARED SERVICES INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-2159597	CLIN ENGIN	PA	N/A
(8) GEISINGER INDEMNITY INSURANCE COMP 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 23-2815174	HEALTH INS	PA	N/A
(9) GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 30-50 DANVILLE,PA17822 20-4275139	HEALTH INS	PA	N/A
(10) GEISINGER ASSURANCE COMPANY LTD PO BOX 2196GT GRAND CAYMAN,GRAND CAYMNA CJ 98-1016737	INSURANCE	CJ	N/A

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) GEISINGER ASSURANCE COMPANY LTD	L	6,990,783	GAAP
(2) GEISINGER CLINIC	L	61,116,332	GAAP
(3) GEISINGER CLINIC	B	7,194,000	GAAP
(4) GEISINGER CLINIC	K	2,888,125	GAAP
(5) GEISINGER CLINIC	K	17,151,614	GAAP
(6) GEISINGER COMMUNITY HEALTH SERVICES	L	80,656	GAAP
(7) GEISINGER COMMUNITY HEALTH SERVICES	K	93,088	GAAP
(8) GEISINGER COMMUNITY HEALTH SERVICES	K	457,832	GAAP
(9) GEISINGER HEALTH PLAN	K	1,337,030	GAAP
(10) GEISINGER HEALTH PLAN	K	124,938,971	GAAP
(11) GEISINGER HEALTH SYSTEM FOUNDATION	L	2,609,316	GAAP
(12) GEISINGER HEALTH SYSTEM FOUNDATION	C	3,009,399	GAAP
(13) GEISINGER HEALTH SYSTEM FOUNDATION	B	229,000,000	GAAP
(14) GEISINGER HEALTH SYSTEM FOUNDATION	A	2,290	FMV
(15) GEISINGER INDEMNITY INSURANCE COMP	K	5,721,248	GAAP
(16) GEISINGER INSURANCE CORP RRG	L	312,695	GAAP
(17) GEISINGER INSURANCE CORP RRG	O	2,684,329	GAAP
(18) GEISINGER MEDICAL MANAGEMENT CORP	L	120,674	GAAP
(19) GEISINGER MEDICAL MANAGEMENT CORP	K	1,417,523	GAAP
(20) GEISINGER MEDICAL MANAGEMENT CORP	L	98,723	GAAP
(21) GEISINGER QUALITY OPTIONS INC	K	20,293,427	GAAP
(22) GEISINGER SYSTEM SERVICES	L	147,276,979	GAAP
(23) GEISINGER SYSTEM SERVICES	O	24,433,503	GAAP
(24) GEISINGER SYSTEM SERVICES	A	2,373,010	GAAP
(25) GEISINGER WYOMING VALLEY MED CTR	L	199,869	GAAP
(26) GEISINGER WYOMING VALLEY MED CTR	K	8,518,863	GAAP
(27) HEALTHSOUTH GHS LLC	L	3,018,195	GAAP
(28) HEALTHSOUTH GHS LLC	K	2,704,821	GAAP
(29) HEALTHSOUTH GHS LLC	A	152,570	FMV
(30) INTERNATIONAL SHARED SERVICES INC	L	11,793,079	GAAP
(31) GEISINGER CLINIC	K	17,151,619	GAAP
(32) GEISINGER CLINIC	J	10,560	FMV
(33) GEISINGER ASSURANCE COMPANY LTD	L	6,990,783	GAAP
(34) GEISINGER CLINIC	L	61,116,332	GAAP
(35) GEISINGER CLINIC	B	7,194,000	GAAP
(36) GEISINGER CLINIC	K	2,888,125	GAAP
(37) GEISINGER CLINIC	K	17,151,614	GAAP
(38) GEISINGER COMMUNITY HEALTH SERVICES	L	80,656	GAAP
(39) GEISINGER COMMUNITY HEALTH SERVICES	K	93,088	GAAP
(40) GEISINGER COMMUNITY HEALTH SERVICES	K	457,832	GAAP
(41) GEISINGER HEALTH PLAN	K	1,337,030	GAAP
(42) GEISINGER HEALTH PLAN	K	124,938,971	GAAP
(43) GEISINGER HEALTH SYSTEM FOUNDATION	L	2,609,316	GAAP
(44) GEISINGER HEALTH SYSTEM FOUNDATION	C	3,009,399	GAAP
(45) GEISINGER HEALTH SYSTEM FOUNDATION	B	229,000,000	GAAP
(46) GEISINGER HEALTH SYSTEM FOUNDATION	A	2,290	FMV
(47) GEISINGER INDEMNITY INSURANCE COMP	K	5,721,248	GAAP
(48) GEISINGER INSURANCE CORP RRG	L	312,695	GAAP
(49) GEISINGER INSURANCE CORP RRG	O	2,684,329	GAAP
(50) GEISINGER MEDICAL MANAGEMENT CORP	L	120,674	GAAP
(51) GEISINGER MEDICAL MANAGEMENT CORP	K	1,417,523	GAAP
(52) GEISINGER MEDICAL MANAGEMENT CORP	L	98,723	GAAP
(53) GEISINGER QUALITY OPTIONS INC	K	20,293,427	GAAP
(54) GEISINGER SYSTEM SERVICES	L	147,276,979	GAAP
(55) GEISINGER SYSTEM SERVICES	O	24,433,503	GAAP
(56) GEISINGER SYSTEM SERVICES	A	2,373,010	GAAP
(57) GEISINGER WYOMING VALLEY MED CTR	L	199,869	GAAP
(58) GEISINGER WYOMING VALLEY MED CTR	K	8,518,863	GAAP
(59) HEALTHSOUTH GHS LLC	L	3,018,195	GAAP
(60) HEALTHSOUTH GHS LLC	K	2,704,821	GAAP
(61) HEALTHSOUTH GHS LLC	A	152,570	FMV
(62) INTERNATIONAL SHARED SERVICES INC	L	11,793,079	GAAP
(63) GEISINGER CLINIC	K	17,151,619	GAAP
(64) GEISINGER CLINIC	J	10,560	FMV
(65) GEISINGER ASSURANCE COMPANY LTD	L	6,990,783	GAAP
(66) GEISINGER CLINIC	L	61,116,332	GAAP
(67) GEISINGER CLINIC	B	7,194,000	GAAP
(68) GEISINGER CLINIC	K	2,888,125	GAAP
(69) GEISINGER CLINIC	K	17,151,614	GAAP
(70) GEISINGER COMMUNITY HEALTH SERVICES	L	80,656	GAAP
(71) GEISINGER COMMUNITY HEALTH SERVICES	K	93,088	GAAP
(72) GEISINGER COMMUNITY HEALTH SERVICES	K	457,832	GAAP
(73) GEISINGER HEALTH PLAN	K	1,337,030	GAAP
(74) GEISINGER HEALTH PLAN	K	124,938,971	GAAP
(75) GEISINGER HEALTH SYSTEM FOUNDATION	L	2,609,316	GAAP
(76) GEISINGER HEALTH SYSTEM FOUNDATION	C	3,009,399	GAAP
(77) GEISINGER HEALTH SYSTEM FOUNDATION	B	229,000,000	GAAP
(78) GEISINGER HEALTH SYSTEM FOUNDATION	A	2,290	FMV
(79) GEISINGER INDEMNITY INSURANCE COMP	K	5,721,248	GAAP
(80) GEISINGER INSURANCE CORP RRG	L	312,695	GAAP
(81) GEISINGER INSURANCE CORP RRG	O	2,684,329	GAAP
(82) GEISINGER MEDICAL MANAGEMENT CORP	L	120,674	GAAP
(83) GEISINGER MEDICAL MANAGEMENT CORP	K	1,417,523	GAAP
(84) GEISINGER MEDICAL MANAGEMENT CORP	L	98,723	GAAP
(85) GEISINGER QUALITY OPTIONS INC	K	20,293,427	GAAP
(86) GEISINGER SYSTEM SERVICES	L	147,276,979	GAAP
(87) GEISINGER SYSTEM SERVICES	O	24,433,503	GAAP
(88) GEISINGER SYSTEM SERVICES	A	2,373,010	GAAP
(89) GEISINGER WYOMING VALLEY MED CTR	L	199,869	GAAP
(90) GEISINGER WYOMING VALLEY MED CTR	K	8,518,863	GAAP
(91) HEALTHSOUTH GHS LLC	L	3,018,195	GAAP
(92) HEALTHSOUTH GHS LLC	K	2,704,821	GAAP
(93) HEALTHSOUTH GHS LLC	A	152,570	FMV
(94) INTERNATIONAL SHARED SERVICES INC	L	11,793,079	GAAP
(95) GEISINGER CLINIC	K	17,151,619	GAAP
(96) GEISINGER CLINIC	J	10,560	FMV
(97) GEISINGER ASSURANCE COMPANY LTD	L	6,990,783	GAAP
(98) GEISINGER CLINIC	L	61,116,332	GAAP
(99) GEISINGER CLINIC	B	7,194,000	GAAP
(100) GEISINGER CLINIC	K	2,888,125	GAAP
(101) GEISINGER CLINIC	K	17,151,614	GAAP
(102) GEISINGER COMMUNITY HEALTH SERVICES	L	80,656	GAAP
(103) GEISINGER COMMUNITY HEALTH SERVICES	K	93,088	GAAP
(104) GEISINGER COMMUNITY HEALTH SERVICES	K	457,832	GAAP
(105) GEISINGER HEALTH PLAN	K	1,337,030	GAAP
(106) GEISINGER HEALTH PLAN	K	124,938,971	GAAP
(107) GEISINGER HEALTH SYSTEM FOUNDATION	L	2,609,316	GAAP
(108) GEISINGER HEALTH SYSTEM FOUNDATION	C	3,009,399	GAAP
(109) GEISINGER HEALTH SYSTEM FOUNDATION	B	229,000,000	GAAP
(110) GEISINGER HEALTH SYSTEM FOUNDATION	A	2,290	FMV
(111) GEISINGER INDEMNITY INSURANCE COMP	K	5,721,248	GAAP
(112) GEISINGER INSURANCE CORP RRG	L	312,695	GAAP
(113) GEISINGER INSURANCE CORP RRG	O	2,684,329	GAAP
(114) GEISINGER MEDICAL MANAGEMENT CORP	L	120,674	GAAP
(115) GEISINGER MEDICAL MANAGEMENT CORP	K	1,417,523	GAAP
(116) GEISINGER MEDICAL MANAGEMENT CORP	L	98,723	GAAP
(117) GEISINGER QUALITY OPTIONS INC	K	20,293,427	GAAP
(118) GEISINGER SYSTEM SERVICES	L	147,276,979	GAAP
(119) GEISINGER SYSTEM SERVICES	O	24,433,503	GAAP
(120) GEISINGER SYSTEM SERVICES	A	2,373,010	GAAP
(121) GEISINGER WYOMING VALLEY MED CTR	L	199,869	GAAP
(122) GEISINGER WYOMING VALLEY MED CTR	K	8,518,863	GAAP
(123) HEALTHSOUTH GHS LLC	L	3,018,195	GAAP
(124) HEALTHSOUTH GHS LLC	K	2,704,821	GAAP
(125) HEALTHSOUTH GHS LLC	A	152,570	FMV
(126) INTERNATIONAL SHARED SERVICES INC	L	11,793,079	GAAP
(127) GEISINGER CLINIC	K	17,151,619	GAAP
(128) GEISINGER CLINIC	J	10,560	FMV
(129) GEISINGER ASSURANCE COMPANY LTD	L	6,990,783	GAAP
(130) GEISINGER CLINIC	L	61,116,332	GAAP
(131) GEISINGER CLINIC	B	7,194,000	GAAP
(132) GEISINGER CLINIC	K	2,888,125	GAAP
(133) GEISINGER CLINIC	K	17,151,614	GAAP
(134) GEISINGER COMMUNITY HEALTH SERVICES	L	80,656	GAAP
(135) GEISINGER COMMUNITY HEALTH SERVICES	K	93,088	GAAP
(136) GEISINGER COMMUNITY HEALTH SERVICES	K	457,832	GAAP
(137) GEISINGER HEALTH PLAN	K	1,337,030	GAAP
(138) GEISINGER HEALTH PLAN	K	124,938,971	GAAP
(139) GEISINGER HEALTH SYSTEM FOUNDATION	L	2,609,316	GAAP
(140) GEISINGER HEALTH SYSTEM FOUNDATION	C	3,009,399	GAAP
(141) GEISINGER HEALTH SYSTEM FOUNDATION	B	229,000,000	GAAP
(142) GEISINGER HEALTH SYSTEM FOUNDATION	A	2,290	FMV
(143) GEISINGER INDEMNITY INSURANCE COMP	K	5,721,248	GAAP
(144) GEISINGER INSURANCE CORP RRG	L	312,695	GAAP
(145) GEISINGER INSURANCE CORP RRG	O	2,684,329	GAAP
(146) GEISINGER MEDICAL MANAGEMENT CORP	L	120,674	GAAP
(147) GEISINGER MEDICAL MANAGEMENT CORP	K	1,417,523	GAAP
(148) GEISINGER MEDICAL MANAGEMENT CORP	L	98,723	GAAP
(149) GEISINGER QUALITY OPTIONS INC	K	20,293,427	GAAP
(150) GEISINGER SYSTEM SERVICES	L	147,276,979	GAAP
(151) GEISINGER SYSTEM SERVICES	O	24,433,503	GAAP
(152) GEISINGER SYSTEM SERVICES	A	2,373,010	GAAP
(153) GEISINGER WYOMING VALLEY MED CTR	L	199,869	GAAP
(154) GEISINGER WYOMING VALLEY MED CTR	K	8,518,863	GAAP
(155) HEALTHSOUTH GHS LLC	L	3,018,195	GAAP
(156) HEALTHSOUTH GHS LLC	K	2,704,821	GAAP
(157) HEALTHSOUTH GHS LLC	A	152,570	FMV
(158) INTERNATIONAL SHARED SERVICES INC	L	11,793,079	GAAP
(159) GEISINGER CLINIC	K	17,151,619	GAAP
(160) GEISINGER CLINIC	J	10,560	FMV
(161) GEISINGER ASSURANCE COMPANY LTD	L	6,990,783	GAAP
(162) GEISINGER CLINIC	L	61,116,332	GAAP
(163) GEISINGER CLINIC	B	7,194,000	GAAP
(164) GEISINGER CLINIC	K	2,888,125	GAAP
(165) GEISINGER CLINIC	K	17,151,614	GAAP
(166) GEISINGER COMMUNITY HEALTH SERVICES	L	80,656	GAAP
(167) GEISINGER COMMUNITY HEALTH SERVICES	K	93,088	GAAP
(168) GEISINGER COMMUNITY HEALTH SERVICES	K	457,832	GAAP
(169) GEISINGER HEALTH PLAN	K	1,337,030	GAAP
(170) GEISINGER HEALTH PLAN	K	124,938,971	GAAP
(171) GEISINGER HEALTH SYSTEM FOUNDATION	L	2,609,316	GAAP
(172) GEISINGER HEALTH SYSTEM FOUNDATION	C	3,009,399	GAAP
(173) GEISINGER HEALTH SYSTEM FOUNDATION	B	229,000,000	GAAP
(174) GEISINGER HEALTH SYSTEM FOUNDATION	A	2,290	FMV
(175) GEISINGER INDEMNITY INSURANCE COMP	K	5,721,248	GAAP
(176) GEISINGER INSURANCE CORP RRG	L	312,695	GAAP
(177) GEISINGER INSURANCE CORP RRG	O	2,684,329	GAAP
(178) GEISINGER MEDICAL MANAGEMENT CORP	L	120,674	GAAP
(179) GEISINGER MEDICAL MANAGEMENT CORP	K	1,417,523	GAAP
(180) GEISINGER MEDICAL MANAGEMENT CORP	L	98,723	GAAP
(181) GEISINGER QUALITY OPTIONS INC	K	20,293,427	GAAP
(182) GEISINGER SYSTEM SERVICES	L	147,276,979	GAAP
(183) GEISINGER SYSTEM SERVICES	O	24,433,503	GAAP
(184) GEISINGER SYSTEM SERVICES	A	2,373,010	GAAP
(185) GEISINGER WYOMING VALLEY MED CTR	L	199,869	GAAP
(186) GEISINGER WYOMING VALLEY MED CTR	K	8,518,863	GAAP
(187) HEALTHSOUTH GHS LLC	L	3,018,195	GAAP
(188) HEALTHSOUTH GHS LLC	K	2,704,821	GAAP
(189) HEALTHSOUTH GHS LLC	A	152,570	FMV
(190) INTERNATIONAL SHARED SERVICES INC	L	11,793,079	GAAP
(191) GEISINGER CLINIC	K	17,151,619	GAAP
(192) GEISINGER CLINIC	J	10,560	FMV

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation
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

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	7
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	4,186
6	Total number of volunteers (estimate if necessary) ....	6	353
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	6,153,739
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	850,226

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........		0
9	Program service revenue (Part VIII, line 2g) .........	802,564,953	857,924,231
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,702,847	9,409,274
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,542,378	1,625,089
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	815,810,178	868,958,594
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	255,820,421	274,141,367
16a	Professional fundraising fees (Part IX, column (A), line 11e)....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	480,987,866	512,949,557
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	736,808,287	787,090,924
19	Revenue less expenses. Subtract line 18 from line 12......	79,001,891	81,867,670
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	618,791,296	627,088,939
21	Total liabilities (Part X, line 26)............	412,245,071	523,732,063
22	Net assets or fund balances. Subtract line 21 from line 20 .....	206,546,225	103,356,876

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 279,207,085 including grants of $ ) (Revenue $ 281,917,931 )
	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

4b	(Code: ) (Expenses $ 188,910,809 including grants of $ ) (Revenue $ 191,451,347 )
	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.

4c	(Code: ) (Expenses $ 132,936,209 including grants of $ ) (Revenue $ 141,291,814 )
	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.

	(Code: ) (Expenses $ 163,083,735 including grants of $ ) (Revenue $ 254,297,495 )
	GMC PROVIDES SPECIALTY AND SUBSPECIALTY OUTPATIENT CARE AT THE OUTPATIENT SURGERY CENTER, ON WOODBINE LANE, DANVILLE, PA, AND AT THE MAIN HOSPITAL, DANVILLE, PA.

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ 163,083,735 including grants of $ ) (Revenue $ 254,297,495 )
4e	Total program service expenses$ 764,137,838

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,490,908	10,207,112	2,173,817

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......
			Business Code
2a	PATIENT HEALTHCARE			809,435,439	809,435,439
b	OUTPATIENT PHARMACY			31,795,308			31,795,308
c	LABORATORY SERVICES		621,500	4,736,216		4,736,216
d	OTHER HEALTHCARE REVENUE			3,889,902	3,889,902
e	RENTAL INCOME			2,902,012			2,902,012
f	All other program service revenue .			5,165,354	2,758,096	1,417,523	989,735
g	Total. Add lines 2a–2f........			857,924,231
3	Investment income (including dividends, interest
	and other similar amounts).....			6,727,402			6,727,402
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	30,870
b	Less: rental expenses	23,529
c	Rental income or (loss)	7,341
d	Net rental income or (loss).......			7,341			7,341
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	2,531,906	176,420
b	Less: cost or other basis and sales expenses		26,454
c	Gain or (loss)	2,531,906	149,966
d	Net gain or (loss)..........			2,681,872			2,681,872
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	VENDOR REBATES			729,757	729,757
b	GIFT SHOP			635,638			635,638
c	ROOM RENTAL - EDUCATION			140,158			140,158
d	All other revenue ....			112,195			112,195
e	Total. Add lines 11a–11d ......			1,617,748
12	Total revenue. See Instructions....			868,958,594	816,813,194	6,153,739	45,991,661


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			11,293,191	1	7,953,373
2	Savings and temporary cash investments .......			11,243,220	2	61,223,034
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			49,522,818	4	56,348,856
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5	9,165
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			1,603,770	7	1,537,951
8	Inventories for sale or use ..............			6,682,623	8	6,887,538
9	Prepaid expenses and deferred charges ............			6,314,207	9	3,690,928
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	632,733,221
b	Less: accumulated depreciation. .....	10b	302,145,657	316,766,723	10c	330,587,564
11	Investments—publicly traded securities ..........			47,813,020	11	31,288,696
12	Investments—other securities. See Part IV, line 11 ......			166,300,028	12	126,044,435
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........			304,972	14	219,488
15	Other assets. See Part IV, line 11 ...........			946,724	15	1,297,911
16	Total assets. Add lines 1 through 15 (must equal line 34)...			618,791,296	16	627,088,939
17	Accounts payable and accrued expenses .			11,350,764	17	12,699,923
18	Grants payable ..........				18
19	Deferred revenue ..........			58,152	19	51,586
20	Tax-exempt bond liabilities ..........			299,458,491	20	397,604,922
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			625,736	23	1,206,273
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			100,751,928	25	112,169,359
26	Total liabilities. Add lines 17 through 25.....			412,245,071	26	523,732,063
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			206,546,225	27	103,356,876
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			206,546,225	33	103,356,876
34	Total liabilities and net assets/fund balances .....			618,791,296	34	627,088,939