Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
GEISINGER WYOMING VALLEY MEDICAL
CENTER
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
100 NORTH ACADEMY AVENUE MC 49-70
 
Room/suite
City or town, state or country, and ZIP + 4
DANVILLE, PA17822
D Employer identification number

23-1996150
E Telephone number

G Gross receipts $ 377,338,170
F Name and address of principal officer:
GLENN D STEELE JR MD PHD
100 NORTH ACADEMY AVENUE MC 22-01
DANVILLE,PA17822
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.GEISINGER.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1976
M State of legal domicile: PA
Part I
Summary
Activities & Governance 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 ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. I. GENERAL INFORMATION GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 242-BED, ACUTE CARE, HOSPITAL WITH ADVANCED TERTIARY SERVICES IN WILKES-BARRE, PA. GWV'S CONVENIENT LOCATION NEAR SEVERAL MAJOR HIGHWAYS MAKES IT ACCESSIBLE FROM ALL AREAS OF NORTHEASTERN PENNSYLVANIA. GWV IS A LEVEL 2 TRAUMA CENTER AND ACCREDITED CHEST PAIN CENTER OFFERING EMERGENCY AND TRAUMA CARE 24 HOURS A DAY. GEISINGER WYOMING VALLEY IS FULLY ACCREDITED BY THE JOINT COMMISSION. THE FACILITY OPENED IN 1981 AS THE NPW MEDICAL CENTER OF N.E. PENNSYLVANIA, INC. GWV PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HAND
2 Check this box MediumBullet
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 8
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 1,743
6 Total number of volunteers (estimate if necessary) .... 6 392
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 505,924
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 149,357
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 64,350 46,100
9 Program service revenue (Part VIII, line 2g) ......... 319,247,011 371,114,431
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,401,496 2,717,608
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 354,771 549,296
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 322,067,628 374,427,435
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 5,000 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) 85,457,458 96,623,877
16a Professional fundraising fees (Part IX, column (A), line 11e)....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 224,955,806 246,036,404
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 310,418,264 342,660,281
19 Revenue less expenses. Subtract line 18 from line 12...... 11,649,364 31,767,154
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 279,800,996 302,091,927
21 Total liabilities (Part X, line 26)............ 206,351,505 262,887,064
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 73,449,491 39,204,863
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: TO ENHANCE THE QUALITY OF LIFE OF THE POPULATION SERVED BY PROVIDING QUALITY HOSPITAL SERVICES AND ACCESS ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. I. GENERAL INFORMATION GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 242-BED, ACUTE CARE, HOSPITAL WITH ADVANCED TERTIARY SERVICES IN WILKES-BARRE, PA. GWV'S CONVENIENT LOCATION NEAR SEVERAL MAJOR HIGHWAYS MAKES IT ACCESSIBLE FROM ALL AREAS OF NORTHEASTERN PENNSYLVANIA. GWV IS A LEVEL 2 TRAUMA CENTER AND ACCREDITED CHEST PAIN CENTER OFFERING EMERGENCY AND TRAUMA CARE 24 HOURS A DAY. GEISINGER WYOMING VALLEY IS FULLY ACCREDITED BY THE JOINT COMMISSION. THE FACILITY OPENED IN 1981 AS THE NPW MEDICAL CENTER OF N.E. PENNSYLVANIA, INC. GWV PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HAND
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 304,978,991 including grants of $   ) (Revenue $ 371,363,088 )
PATIENT SERVICES SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 304,978,991
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? ........
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
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? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
1
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
1,743
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
9
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
PA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
THOMAS BIELECKI VP FINANCE
1000 EAST MOUNTAIN DRIVE
WILKES BARRE,PA18711
(570) 808-7397
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(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
PRESIDENT,CH
 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) DAVID J FELICIO ESQUIRE
CLO, SECRETA
 40.00     X       0 491,282 81,063
(11) EDWARD J ZYCH ESQUIRE
ASSISTANT SE
 40.00     X       0 268,638 37,700
(12) KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE
 40.00     X       0 809,261 184,136
(13) STEVEN B PIERDON MD
CHIEF MEDICA
 40.00     X       0 624,877 130,706
(14) FRANK J TREMBULAK
SR VP, TREAS
 40.00     X       0 883,837 194,894
(15) MARY P GILDEA RN BSN
VICE PRESIDE
 40.00       X     197,509 0 18,885
(16) MARGARET HENNELLY BERGINRNMSNMBA
CHIEF NURSIN
 40.00       X     211,629 0 28,786
(17) JOHN J BUCKLEY
CHIEF ADMIN
 40.00       X     429,274 0 69,918
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) CARLA J SCOFIELD MS
RADIATION PH
 40.00         X   87,754 84,728 21,894
(19) ERIN PICA
ASSOC VICE P
 40.00         X   86,586 85,014 11,754
(20) CONRAD W SCHINTZ
VICE PRESIDE
 40.00         X   238,092 0 29,083
(21) JOHN P WIERCINSKI
VICE PRESIDE
 40.00         X   377,152 0 34,576
(22) KEVIN J KERESTUS CIA
FORMERY KEY
 40.00           X 0 189,203 31,017
(23) BRUCE H HAMORY MD
FORMER KEY E
 40.00           X 0 704,474 153,658
(24) RONALD A PAULUS MD
FORMER KEY E
 40.00           X 0 583,752 182,536
(25) JOANNE E WADE
FORMER KEY E
 40.00           X 0 884,047 186,303
(26) LISSA L BRYAN SMITH
CAO, FORMER
 40.00         X X 318,881 0 29,416








1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 1,946,877 7,652,723 1,798,429
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet41
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
INSIGHT HEALTH SERVICES CORP
PO BOX 847689
DALLAS,TX752847689 		MOBILE PET SCAN 831,900
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DRIVE
CHICAGO,IL606932436 		LAB TESTING 730,667
VIRTUAL RADIOLOGICAL CORP
DEPARTMENT 7065
CAROL STREAM,IL60122 		RADIOLOGY SERVI 706,911
BMA OF WILKES BARRE
861 MARCONI BLVD SUITE 2
ALLENTOWN,PA18109 		HEMODIALYSIS TR 352,975
ATHENA DIAGNOSTICS
FOUR BIOTECH PARK
377 PLANTATION ST
WORCESTER,MA01605 		LAB TESTING 259,809
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet7
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b 46,100
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 46,100
Program Service Revenue Business Code
2a HEALTHCARE   369,074,278 369,074,278    
b OTHER PROFESSIONAL SERVICES   922,241 922,241    
c RENTAL INCOME   576,359     576,359
d LABORATORY SERVICES 621,500 468,539   468,539  
e RESEARCH   35,309 35,309    
f All other program service revenue . 37,705 320 37,385  
g Total. Add lines 2a–2f........MediumBullet 371,114,431
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 2,114,888     2,114,888
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 23,618  
b Less: rental expenses 26,688  
c Rental income or (loss) -3,070  
d Net rental income or (loss).......MediumBullet -3,070     -3,070
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 3,475,578 11,189
b Less: cost or other basis and sales expenses 2,644,598 239,449
c Gain or (loss) 830,980 -228,260
d Net gain or (loss)..........MediumBullet 602,720     602,720
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..MediumBullet      
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...MediumBullet        
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..MediumBullet        
Miscellaneous Revenue Business Code
11a VENDOR REBATES 900,099 405,998 405,998    
b GIFT SHOP 453,220 224,173     224,173
c IT SERVICES EHR 900,099 77,182     77,182
d All other revenue .... -154,987 -157,341   2,354
e Total. Add lines 11a–11d ......MediumBullet 552,366
12 Total revenue. See Instructions....MediumBullet 374,427,435 370,280,805 505,924 3,594,606
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
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 .... 905,058 193,878 711,180  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 739,885   739,885  
7 Other salaries and wages 74,230,325 71,984,714 2,245,611  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 3,496,499 3,326,148 170,351  
9 Other employee benefits ....... 11,510,643 10,949,839 560,804  
10 Payroll taxes ........... 5,741,467 5,551,194 190,273  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 38,257   38,257  
c Accounting ........... 28,828   28,828  
d Lobbying ........... 1,941   1,941  
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 344,602 251,432 93,170  
g Other .......... 10,939,091 8,451,785 2,487,306  
12 Advertising and promotion .... 28,424 28,424    
13 Office expenses ....... 90,008,404 89,114,234 894,170  
14 Information technology ...... 43,943 42,300 1,643  
15 Royalties ..        
16 Occupancy ........... 7,899,844 7,031,598 868,246  
17 Travel ............ 454,600 314,016 140,584  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 664,101 516,556 147,545  
20 Interest ........... 5,049,382 4,494,421 554,961  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 17,651,737 15,711,692 1,940,045  
23 Insurance .............. 4,331,310 4,284,906 46,404  
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 SERVICES 96,316,096 72,992,178 23,323,918  
b UNCOLLECTIBLE EXPENSE 7,618,523 7,618,523    
c INTERCO. TEACHING & ADMIN 4,327,568 1,941,201 2,386,367  
d BOOKS,LICENSES,FEES, DUES 296,806 179,952 116,854  
e UNRELATED BUS. INCOME TAX -7,053   -7,053  
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 342,660,281 304,978,991 37,681,290 0
26 Joint costs. Check here MediumBullet 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 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 4,143,470 1 6,296,513
2 Savings and temporary cash investments ....... 4,615,770 2 52,837,028
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 21,830,855 4 25,115,540
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 8,962 5 17,146
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 .......... 30,407 6  
7 Notes and loans receivable, net ............. 110,419 7 132,608
8 Inventories for sale or use .............. 6,778,563 8 7,931,702
9 Prepaid expenses and deferred charges ............ 3,855,756 9 2,101,250
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 306,063,374
b Less: accumulated depreciation. ..... 10b 139,091,320 162,036,659 10c 166,972,054
11 Investments—publicly traded securities .......... 15,743,849 11 7,708,248
12 Investments—other securities. See Part IV, line 11 ...... 50,797,825 12 29,818,329
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 9,798,646 14 3,117,122
15 Other assets. See Part IV, line 11 ........... 49,815 15 44,387
16 Total assets. Add lines 1 through 15 (must equal line 34)... 279,800,996 16 302,091,927
Liabilities 17 Accounts payable and accrued expenses . 4,742,966 17 3,334,888
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 162,832,793 20 219,247,204
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 ..   23  
24 Unsecured notes and loans payable to unrelated third parties .... 1,506,459 24 750,000
25 Other liabilities. Complete Part X of Schedule D..... 37,269,287 25 39,554,972
26 Total liabilities. Add lines 17 through 25..... 206,351,505 26 262,887,064
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 73,449,491 27 39,204,863
28 Temporarily restricted net assets .....   28  
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet 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 ..... 73,449,491 33 39,204,863
34 Total liabilities and net assets/fund balances ..... 279,800,996 34 302,091,927
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
374,427,435
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
342,660,281
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
31,767,154
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
73,449,491
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-66,011,782
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
39,204,863
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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.
right arrow 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 WYOMING VALLEY MEDICAL
CENTER
Employer identification number

23-1996150
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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
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)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(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?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
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).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
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.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
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:  
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 WYOMING VALLEY MEDICAL
CENTER
Employer identification number

23-1996150
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
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.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
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

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
B Check
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) ....... 1,941 611,545
c Total lobbying expenditures (add lines 1a and 1b) ................... 1,941 611,545
d Other exempt purpose expenditures ........................ 342,658,340 2,224,325,905
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 342,660,281 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? ......................................

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


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
No
(b)
Amount
1
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:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
No
 
j
Total. lines 1c through 1i ...................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
No
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
No
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
No
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”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
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).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
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:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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 WYOMING VALLEY MEDICAL
CENTER
Employer identification number

23-1996150
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 .......    
5
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? ............
6
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. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
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)? ....................................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
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 (d)Three Years Back (e)Four 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
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet29.000 %
b
Permanent endowment: SchDMd Bullet71.000 %
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   2,342,628 2,342,628
b Buildings ................   117,317,578 57,169,590 60,147,988
c Leasehold improvements ............   1,866,422 730,975 1,135,447
d Equipment ................   165,871,625 74,983,413 90,888,212
e Other .................   18,665,121 6,207,342 12,457,779
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 166,972,054
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other 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 29,818,329 F
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 29,818,329
Part VIII
Investments—Program 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.)Small Bullet  
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.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
DUE TO AFFILIATES 15,428,368
ESTIMATED 3RD PARTY PAYOR SETTLEMENT 10,793,642
FINANCIAL CONTRACT 7,785,462
MEDICAL LEGAL CLAIMS ALLOWANCE 3,521,302
ACCOUNTS RECEIVABLE CREDIT BALANCES 2,016,695
REBATE PAYABLE 9,503



Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 39,554,972
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

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 TO SUPPORT RESEARCH, CAPITAL AND PROGRAM EXPENSES AND PATIENT CARE AND PATIENT EDUCATION.
SUPPLEMENTAL FINANCIAL INFORMATION SCHEDULE D, PAGE 4, PART XIV EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM ("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 YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE JUNE 30, 2011 GHS CONSOLIDATED FINANCIAL STATEMENTS. 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 D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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 WYOMING VALLEY MEDICAL
CENTER
Employer identification number

23-1996150
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
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:
3a
Yes
 
b
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: .....
3b
Yes
 
c
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.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
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?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) .. 		    4,020,111   4,020,111 1.200 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    42,002,607 24,898,280 17,104,327 5.100 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....     2,306,461 1,739,376 567,085 0.170 %
dTotal Charity Care and
Means-Tested Government Programs ..... 		    48,329,179 26,637,656 21,691,523 6.470 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    1,003,419   1,003,419 0.300 %
f Health professions education
(from Worksheet 5) .. 		    3,134,594 1,534,460 1,600,134 0.480 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7)            
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    3,022,250   3,022,250 0.900 %
jTotal Other Benefits ...     7,160,263 1,534,460 5,625,803 1.680 %
kTotal. Add lines 7d and 7j. ..     55,489,442 28,172,116 27,317,326 8.150 %
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
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
1,409,578
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
74,170,541
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
89,845,811
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-15,675,270
8
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:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
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......
9b
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 % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
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?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 GEISINGER WYOMING VALLEY MEDICAL
CENTER
1000 EAST MOUNTAIN DRIVE
WILKESBARRE,PA18711 		    X X   X      
Schedule H (Form 990) 2010
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 WYOMING VALLEY MEDICAL
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
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    
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
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
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
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 7618523
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 GWV PARTICIPATED AS A MEMBER IN THE HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE THAT ENGAGED MEMBERS IN THE COMMUNITIES TO ASSESS AND ADDRESS COMMUNITY HEALTH NEEDS INCREASE REGIONAL FUNDING FOR PROGRAMS AND SERVICES AND FACILITATE THE AWARENESS EDUCATION AND WELLNESS FOR RESIDENTS OF NORTH EAST PENNSYLVANIA THE HEALTHY NORTHEAST PENNSYLVANIA INITIATIVE THE INITIATIVE IS A COLLABORATION AMONG THE PENNSYLVANIA DEPARTMENT OF HEALTH AND MEMBER HEALTHCARE ORGANIZATIONS OPERATING WITHIN GWVS LACKAWANNA COUNTY AND LUZERNE COUNTY SERVICE AREA PARTICIPANTS IN THE INITIATIVE INCLUDED ALLIED SERVICES BLUE CROSS OF NEPA COMMUNITY MEDICAL CENTER MERCY HEALTH PARTNERS MOSES TAYLOR HOSPITAL AND WYOMING VALLEY HEALTHCARE SYSTEM BASED ON THE DATA GATHERED THROUGH RESEARCH CONDUCTED BY TRIPP UMBACK 5 AREAS OF NEED WERE IDENTIFIED AS PRIORITIES FOR LACKAWANNA AND LUZERNE COUNTIES INCLUDING ACCESS TO CARE CHRONIC DISEASEOBESITY EMPLOYMENT MENTAL HEALTH AND SUBSTANCE ABUSE 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 OF THE ORGAQNIZATIONS FINANCIAL ASSISTANCE POLICY 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 GEISINGER WYOMING VALLEY MEDICAL CENTERS SERVICE AREA INCLUDES 9 COUNTIES IN NORTHEASTERN PENNSYLVANIA BRADFORD CARBON LACKAWANNA LUZERNE MONROE PIKE SUSQUEHANNA WAYNE AND WYOMING THE APPROXIMATE 2011 TOTAL POPULATION WITHIN THIS SERVICE AREA WAS 1000509 THIS POPULATION IS EXPECTED TO GROW 10 BY 2016 SLOWER THAN THE 40 NATIONAL RATE BUT SLIGHTLY HIGHER THAN THE 07 GROWTH RATE IN THE COMMONWEALTH 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 130 THE REGION IS PRIMARILY RURAL WITH SMALL SUBURBAN AND URBAN POCKETS MEDIAN HOUSEHOLD INCOME IS 55392 WITH APPROXIMATELY 136 OF THE POPULATION FALLING BELOW FEDERAL POVERTY GUIDELINES SLIGHTLY HIGHER THAN THE STATE PERCENTAGE OF 134 THE AVERAGE UNEMPLOYMENT RATE WAS 95 WHICH IS HIGHER THAN THE STATE RATE OF 87 AND SLIGHTLY LOWER THAN THE NATIONAL AVERAGE OF 96 211 OF GWVS INPATIENT DISCHARGES DURING CALENDAR YEAR 2010 WERE CHARITY CARE OR MEDICAID RECIPIENTS COMPARATIVELY OF ALL HOSPITAL INPATIENTS FROM THE REGION REGARDLESS OF THEIR SOURCE OF CARE 183 WERE CHARITY CARE OR MEDICAID RECIPIENTS THE REGION INCLUDES MULTIPLE MEDICALLY UNDERSERVED AREAS AND POPULATIONS THERE ARE 17 NONGEISINGER ACUTECARE HOSPITALS IN THIS MARKET
HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCOMMUNITY BENEFIT REPORTED IN SCHEDULE O
AFFILIATED HEALTH CARE INFORMATION PART VI PART VI LINE 6 DESCRIBE ROLES BETWEEN THE ORGANIZATION AND ITS AFFILIATES GEISINGER WYOMING VALLEY MEDICAL CENTER IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM WHICH IS ONE OF THE LARGEST RURAL HEALTH CARE SYSTEMS IN THE NATION AND COVERS A 20000 SQUARE MILE AREA IN NORTHERN AND CENTRAL PENNSYLVANIA AS AN INTEGRATED HEALTH CARE SYSTEM IT SERVES MORE THAN TWO MILLION PEOPLE IN 41 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 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 GEISINGER MEDICAL CENTER GMC A 501C3 NOTFORPROFIT HOSPITAL 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 BEEN NAMED TO THE 100 TOP HOSPITALS FOR STROKES LISTS 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 THE 437 BED MEDICAL CENTER IS 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 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 GROP PRACTICE GEISINGER CLINIC PROVIDES PATIENT STAFF FOR PATIENT CARE EDUCATION AND RESEARCH THERE ARE MORE THAN 800 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 FORM 990 SCHEDULE H PART I LINE 6A6B A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY GEISINGER WYOMING VALLEY MEDICAL CENTER GWVAND ITS RELATED CHARITABLE ORGANIZATIONS IS AVAILABLE AT GEISINGERORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST GO TO WWWGEISINGERORGABOUTINDEXHTML FORM 990 SCHEDULE H PART III SECTION A LINE 4 GEISINGER WYOMING VALLEY MEDICAL CENTER IS A MEMBER OF A GROUP WITH CONSOLIDATED FINANCIAL STATEMENTS PER THE FOOTNOTE RELATED TO ACCOUNTS RECEIVABLE THE ORGANIZATIONS OF THE CONSOLIDATED GROUP RECOGNIZE THE ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON AGING OF ACCOUNTS RECEIVABLE AND HISTORICAL EXPERIENCE GWV REPORTS ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD PARTY PAYERS PATIENTS AND OTHERS AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS RECEIVABLES IS PROVIDED BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS THE RATIO OF PATIENT COST TO CHARGES IS APPLIED TO THE GWVS 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 GWVS 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 GWVS UNCOMPENSATED CARE POLICIES FORM 990 SCHEDULE H PART III SECTION B LINE 8 GWV CONSIDERS THAT THE TOTAL MEDICARE SHORTFALL OF 19188876 IS REPORTED AS COMMUNITY BENEFIT ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW INCOME PATIENTS THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS FOR MANY OF THE MEDICAL SERVICES PROVIDED BY THE HOSPITAL MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE TO THESE PATIENTS FORCING GWV TO USE OTHER FUNDS TO COVER THE SHORTFALL MEDICARE SHORTFALLS MUST BE ABSORBED BY GWV IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY GWV PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND THEREBY RELIEVES THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS PENNSYLVANIA REQUIRES NONPROFIT HOSPITALS LIKE GWV TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES ACCORDING TO STATE STATUTE AND CASE LAW THE UNREIMBURSED COST OF MEDICARE IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES FORM 990 SCHEDULE H PART III SECTION C LINE 9B IT IS GWV POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANYTIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIALBILLING AND COLLECTION PROCESS FORM 990 SCHEDULE H PART VI LINE 7 AT THIS TIME GWV 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:  
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 WYOMING VALLEY MEDICAL
CENTER
Employer identification number

23-1996150
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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....
1b
Yes
 
2
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? ....
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 .............................
8
Yes
 
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(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) DAVID J FELICIO ESQUIRE (i)
(ii)		  
318,670 		 
123,064 		 
49,548 		 
64,346 		 
16,717 		 
572,345 		 
19,288
(3) EDWARD J ZYCH ESQUIRE (i)
(ii)		  
222,920 		 
31,827 		 
13,891 		 
17,778 		 
19,922 		 
306,338 		 
 
(4) KEVIN F BRENNAN CPA FHFMA (i)
(ii)		  
463,447 		 
268,032 		 
77,782 		 
164,879 		 
19,257 		 
993,397 		 
41,972
(5) STEVEN B PIERDON MD (i)
(ii)		  
385,301 		 
202,002 		 
37,574 		 
121,779 		 
8,927 		 
755,583 		 
 
(6) FRANK J TREMBULAK (i)
(ii)		  
552,005 		 
285,273 		 
46,559 		 
184,975 		 
9,919 		 
1,078,731 		 
 
(7) MARY P GILDEA RN BSN (i)
(ii)		 138,991
  		22,676
  		35,842
  		11,476
  		7,409
  		216,394
  		 
 
(8) MARGARET HENNELLY BERGINRNMSNMBA (i)
(ii)		 168,358
  		38,154
  		5,117
  		14,597
  		14,189
  		240,415
  		 
 
(9) JOHN J BUCKLEY (i)
(ii)		 271,062
  		125,000
  		33,212
  		45,280
  		24,638
  		499,192
  		 
 
(10) CARLA J SCOFIELD MS (i)
(ii)		 85,192
82,790 		 
  		2,562
1,938 		6,820
4,162 		5,458
5,454 		100,032
94,344 		 
 
(11) ERIN PICA (i)
(ii)		 85,294
62,242 		 
21,791 		1,292
981 		4,280
6,735 		428
311 		91,294
92,060 		 
 
(12) CONRAD W SCHINTZ (i)
(ii)		 174,220
  		34,572
  		29,300
  		16,255
  		12,828
  		267,175
  		 
 
(13) JOHN P WIERCINSKI (i)
(ii)		 235,816
  		95,144
  		46,192
  		17,778
  		16,798
  		411,728
  		 
 
(14) KEVIN J KERESTUS CIA (i)
(ii)		  
159,907 		 
26,114 		 
3,182 		 
12,867 		 
18,150 		 
220,220 		 
 
(15) BRUCE H HAMORY MD (i)
(ii)		  
456,961 		 
120,250 		 
127,263 		 
133,879 		 
19,779 		 
858,132 		 
80,909
(16) RONALD A PAULUS MD (i)
(ii)		  
331,500 		 
218,409 		 
33,843 		 
169,124 		 
13,412 		 
766,288 		 
 
(17) JOANNE E WADE (i)
(ii)		  
531,456 		 
268,237 		 
84,354 		 
177,664 		 
8,639 		 
1,070,350 		 
47,691
(18) LISSA L BRYAN SMITH (i)
(ii)		 255,591
  		51,039
  		12,251
  		17,778
  		11,638
  		348,297
  		 
 
Schedule J (Form 990) 2010

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.
PURSUANT TO CONTRACT PER REGS. SECTION 53.4958-4(A)(3) SCHEDULE J, PAGE 1, PART I, LINE 8 THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FORM TIME TO TIME, DEPENDING UPON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS.
OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM" AND "SYSTEM" OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
GEISINGER WYOMING VALLEY MEDICAL
CENTER
Employer identification number

23-1996150
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?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
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?
To From Yes No Yes No Yes No
(1) JOHN BUCKLEY
RECRUITMENT 		  X 40,000 17,146   No Yes   Yes  
Total ...............Small Bullet $ 17,146
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
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?
Yes No
(1) GEISINGER MEDICAL MANAGEMENT CORP
  		BUSINESS 4,360 IC SHARED SERV REV   No
(2) GEISINGER MEDICAL MANAGEMENT CORP
  		BUSINESS 2,866 IC SHARED SERV EXP   No
(3) GEISINGER QUALITY OPTIONS INC
  		BUSINESS 16,491,604 IC SHARED SERV REV   No
(4) INTERNATIONAL SHARED SERVICES INC
  		BUSINESS 6,116,065 IC SHARED SERV EXP   No
(5) INTERNATIONAL SHARED SERVICES INC
  		BUSINESS 65,759 LEASE REVENUE   No
(6) GEISINGER ASSURANCE COMPANY LTD
  		BUSINESS 2,092,152 IC SHARED SERV EXP   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
ADDITIONAL INFORMATION SCHEDULE L PART V GEISINGER WYOMING VALLEY MEDICAL CENTER GWV 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 WYOMING VALLEY 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 GWV AND GMMC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GWV AND THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR OF GMMC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GWV AND GMMC EDWARD J ZYCH ESQUIRE IS THE ASSISTANCT SECRETARY OF GWV AND GMMC WILLIAM H ALEXANDER IS A DIRECTOR OF GWV AND GMMC WILLIAM R GRUVER IS A DIRECTOR OF GWV AND GMMC ROBERT E POOLE IS A DIRECTOR OF GWV AND GMMC DON A ROSINI IS A DIRECTOR OF GWV AND GMMC GEISINGER QUALITY OPTIONS INC GQO DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GWV AND GQO GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GWV AND THE CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GQO FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GWV AND SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF GQO WILLIAM H ALEXANDER IS A DIRECTOR OF GWV AND GQO DON A ROSINI IS A DIRECTOR OF GWV AND GQO THOMAS H LEE JR IS A DIRECTOR OF GWV AND GQO INTERNATIONAL SHARED SERVICES INC ISS DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GWV AND ISS GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GWV AND THE CHAIRMAN OF THE BOARD AND DIRECTOR OF ISS FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GWV AND THE SENIOR VICE PRESIDENT TREASURER AND DIRECTOR OF ISS EDWARD J ZYCH ESQUIRE IS THE ASSISTANCT SECRETARY OF GWV AND ISS GEISINGER ASSURANCE COMPANY LTD GAC DAVID J FELICIO ESQUIRE IS THE CHIEF LEGAL OFFICER AND SECRETARY OF GWV AND THE SECRETARY AND DIRECTOR OF GAC GLENN D STEELE JR MD PHD IS THE PRESIDENT CHAIRMAN OF THE BOARD AND DIRECTOR EXOFFICIO OF GWV AND THE CHAIRMAN OF THE BOARD AND DIRECTOR OF GAC FRANK J TREMBULAK IS THE SENIOR VICE PRESIDENT AND TREASURER OF GWV 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:  




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 WYOMING VALLEY MEDICAL
CENTER
Employer identification number

23-1996150
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 ACROSS NORTHEASTERN PENNSYLVANIA THROUGH AN INTEGRATED SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. I. GENERAL INFORMATION GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH SYSTEM, OWNS AND OPERATES A 242-BED, ACUTE CARE, HOSPITAL WITH ADVANCED TERTIARY SERVICES IN WILKES-BARRE, PA. GWV'S CONVENIENT LOCATION NEAR SEVERAL MAJOR HIGHWAYS MAKES IT ACCESSIBLE FROM ALL AREAS OF NORTHEASTERN PENNSYLVANIA. GWV IS A LEVEL 2 TRAUMA CENTER AND ACCREDITED CHEST PAIN CENTER OFFERING EMERGENCY AND TRAUMA CARE 24 HOURS A DAY. GEISINGER WYOMING VALLEY IS FULLY ACCREDITED BY THE JOINT COMMISSION. THE FACILITY OPENED IN 1981 AS THE NPW MEDICAL CENTER OF N.E. PENNSYLVANIA, INC. GWV PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. SERVICES OFFERED BY GWV INCLUDE: COMPREHENSIVE MATERNITY AND PEDIATRIC SERVICES. A VARIETY OF WOMEN'S SERVICES ARE OFFERED INCLUDING THE SPECIAL DELIVERY PROGRAM IN OBSTETRICS, WHICH FEATURES THE AREA'S ONLY SUB-SPECIALTY, FELLOWSHIP-TRAINED REPRODUCTIVE ENDOCRINOLOGIST/INFERTILITY SPECIALIST. GWV WAS ALSO THE FIRST HOSPITAL IN THE AREA TO OFFER LABOR, DELIVERY, RECOVERY, POST-PARTUM (LRDP) SUITES FOR EXPECTANT PARENTS AND OFFERS TWO DEDICATED C-SECTION SURGICAL SUITES. THE WOMEN'S UNIT WAS EXPANDED IN 2011 TO PROVIDE 15 ADDITIONAL PRIVATE ROOMS EQUIPPED WITH THE MOST ADVANCED TECHNOLOGY FOR POSTPARTUM AND POSTOPERATIVE CARE, AS WELL AS TWO NEW LABOR TRIAGE AREAS FOR ENHANCED LABOR AND DELIVERY CAPABILITIES. IN 2011, THE 12-BED TAMBUR NEONATAL INTENSIVE CARE UNIT (NICU) WAS BUILT. IT IS THE ONLY NICU IN LUZERNE COUNTY PROVIDING CARE FOR PREMATURE INFANTS AND OTHER BABIES IN NEED OF HIGHLY SPECIALIZED MEDICAL CARE. THE JANET WEIS CHILDREN'S HOSPITAL PEDIATRICS UNIT AT GWV PROVIDES NUMEROUS PEDIATRIC SUB-SPECIALTY SERVICES. PEDIATRIC HOSPITALIST PHYSICIANS STAFF THE 7-BED UNIT. IN THE FALL OF 2008, THE CRITICAL CARE BUILDING WAS COMPLETED, WHICH IS A 178,000 SQUARE FOOT FACILITY THAT FEATURES AN EXPANDED 24/7 EMERGENCY DEPARTMENT WITH ROOFTOP HELIPAD AND HIGH-TECH SURGICAL SUITES. AN ORTHOPAEDIC SURGERY DEPARTMENT RECOGNIZED FOR ITS SPECIAL CAPABILITIES IN JOINT REPLACEMENT SURGERY - INCLUDING SERVICES FOR PEOPLE WHO PREVIOUSLY HAD JOINT REPLACEMENTS. OTHER SERVICES INCLUDE A GERIATRIC FRACTURE CARE PROGRAM, ARTHROSCOPIC SURGERY, TREATMENT FOR TRAUMA PATIENTS AND THOSE WITH SPORTS INJURIES. THE LATEST ITERATION OF THE DAVINCI ROBOT TO PERFORM ADVANCED MINIMALLY INVASIVE SURGICAL PROCEDURES. LIFEFLIGHT, GEISINGER'S MEDICAL HELICOPTER SERVICE PROVIDES QUICK AIR MEDICAL RESPONSE FOR TRANSPORTING PATIENTS FOR LIFE-SAVING CARE. THE RICHARD AND MARION PEARSALL HEART HOSPITAL AT GWV OPENED IN OCTOBER 2001. IT IS DEDICATED TO BRINGING THE LATEST TECHNOLOGY USED IN THE TREATMENT OF HEART DISEASE TO THE PEOPLE OF NORTHEAST PENNSYLVANIA. THREE CARDIAC CATHETERIZATION LABORATORIES OFFER ADVANCED TREATMENTS TO PATIENTS WITH HEART DISEASE, INCLUDING A 24 HOUR PER DAY PRIMARY ANGIOPLASTY PROGRAM, ANGIOJET THERAPY, BRACHYTHERAPY, AND THE USE OF A CUTTING BALLOON TO REPAIR BLOCKED VESSELS. THE PEARSALL HEART HOSPITAL OFFERS ANCILLARY CARDIAC TESTING, PHYSICIAN CARE AS WELL AS A NINE BED STEP-DOWN UNIT, CARDIAC REHABILITATION, AND AN EIGHT BED OUTPATIENT UNIT USED FOR PRE AND POST CARDIAC CATH RECOVERY. THE PEARSALL HEART HOSPITAL IS ALSO HOME TO GWV'S CARDIOLOGY, CARDIOTHORACIC SURGERY AND VASCULAR SURGERY DEPARTMENTS AND INCLUDES AN ICAVL-ACCREDITED NONINVASIVE DIAGNOSTIC LABORATORY. THE FRANK AND DOROTHEA HENRY CANCER CENTER PROVIDES MULTIDISCIPLINARY AND COMPREHENSIVE CARE INCLUDING CONSULTATIONS, DIAGNOSIS AND TREATMENT FOR ALL TYPES OF ADULT CANCERS. GWV'S CANCER PROGRAM PROVIDES HEMATOLOGY, AS WELL AS MEDICAL, SURGICAL AND RADIATION ONCOLOGY SERVICES, CLINICAL TRIALS AND CANCER GENETIC COUNSELING. THE PROGRAM HAS EARNED A FULL FOUR-YEAR APPROVAL BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. A 32,000 SQUARE FOOT EXPANSION PROJECT AT THE HENRY CANCER CENTER WAS COMPLETED IN SPRING 2009. THE RADIOLOGY DEPARTMENT OFFERS A COMPREHENSIVE IMAGING PROGRAM AND UPGRADED IN 2011 TO OFFER THE LATEST INTERVENTIONAL RADIOLOGY PROCEDURES AS WELL AS ENHANCED PRE-AND POST-PROCEDURE AREAS. NUCLEAR MEDICINE SERVICES INCLUDE P.E.T. SCANS THAT CAN DIAGNOSE AND MANAGE CERTAIN TYPES OF CANCER AS WELL AS CERTAIN OTHER METABOLIC DISEASES OF THE BODY. RADIOLOGY ALSO INCLUDES TWO DEDICATED MRI HIGH FIELD STRENGTH UNITS. THE IMAGING PROGRAM OFFERS GENERAL, OB AND VASCULAR SONOGRAPHY, CAT SCAN AND GENERAL DIAGNOSTIC RADIOLOGY. THE CENTER FOR WOMEN'S IMAGING OFFERS A FULL RANGE OF DIAGNOSTIC SERVICES AT ONE CONVENIENT LOCATION DESIGNED EXCLUSIVELY FOR WOMEN. LOCATED ON THE LOWER LEVEL OF THE VALLEY MEDICAL BUILDING, EXPERIENCED RADIOLOGISTS AND TECHNOLOGISTS PROVIDE HIGH QUALITY PATIENT CARE IN A COMFORTABLE SETTING. SERVICES INCLUDE: DIGITAL MAMMOGRAPHY, ULTRASOUND, DXA SCAN BONE DENSITY TESTING, STEREOTACTIC BREAST BIOPSY AND A COMPREHENSIVE BREAST PROGRAM. THE BREAST PROGRAM OFFERS A MULTI-DISCIPLINARY APPROACH TO DIAGNOSING AND TREATING BREAST DISEASE. A DEDICATED NURSE NAVIGATOR AND A TEAM OF SURGEONS, RADIOLOGISTS, PATHOLOGISTS, AND ONCOLOGISTS COLLABORATE IN ONE CONVENIENT LOCATION TO SPEED TREATMENT AND CARE. RESIDENCY PROGRAM GWV SERVES AS A TEACHING CAMPUS FOR FAMILY MEDICINE AND GENERAL SURGERY RESIDENTS AND OFFERS A SPORTS MEDICINE FELLOWSHIP PROGRAM. RESIDENTS ALSO ROTATE TO GWV FROM GEISINGER MEDICAL CENTER IN SPECIALTIES OF EMERGENCY MEDICINE, OBSTETRICS, ORTHOPAEDICS, DERMATOLOGY, RHEUMATOLOGY, FAMILY PRACTICE, AND GENERAL SURGERY. THE TOTAL COST OF PROVIDING THE RESIDENCY PROGRAM FOR THE FISCAL YEAR ENDED JUNE 30, 2011 WAS 1.5 MILLION. OTHER SERVICES INCLUDE: COLORECTAL SURGERY NEUROLOGY COSMETIC AND RECONSTRUCTIVE SURGERY NEUROSURGERY CRITICAL CARE MEDICINE OPHTHALMOLOGY & EYE SURGERY DERMATOLOGY ORAL AND MAXILLOFACIAL SURGERY EAR, NOSE & THROAT SURGERY PERINATALOGY ELECTROPHYSIOLOGY PODIATRY GASTROENTEROLOGY PULMONARY MEDICINE GENERAL SURGERY RHEUMATOLOGY GYNECOLOGY SPINE SURGERY GYNECOLOGIC ONCOLOGY TRANSPLANT NEONATOLOGY UROLOGY AND UROLOGIC SURGERY II. UNCOMPENSATED CARE GEISINGER WYOMING VALLEY MEDICAL CENTER RECOGNIZES ITS MISSION IS TO SERVE ALL MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. IN THIS REGARD, GWV PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH-RELATED ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. CHARITY CARE THE PRIMARY CONCERN OF GWV IS THE DELIVERY OF HEALTH CARE TO ALL CITIZENS OF NORTHEASTERN PENNSYLVANIA REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GWV INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. FOR THE FISCAL YEAR ENDED JUNE 30, 2011, THE COST OF THE CHARITY CARE WAS 4 MILLION. B. MEDICARE/MEDICAID IN RECOGNIZING ITS MISSION TO THE COMMUNITY, GWV PROVIDES SERVICES TO THE ELDERLY (MEDICARE) AND THE INDIGENT (MEDICAID). GWV PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS TO THE EXTENT THE GOVERNMENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTH CARE. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE COST OF PROVIDING HEALTHCARE SERVICES TO MEDICARE AND MEDICAID PATIENTS EXCEEDED REIMBURSEMENT BY APPROXIMATELY 36.3 MILLION DURING THE FISCAL YEAR ENDED JUNE 30, 2011. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, GWV PROVIDES SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2011, WAS 1.4 MILLION. III. RESEARCH SUPPORT GEISINGER WYOMING VALLEY MEDICAL CENTER CONTRIBUTED 3 MILLION TO GEISINGER CLINIC TO SUPPORT ITS CHARITABLE MISSION THROUGH MEDICAL RESEARCH ACTIVITIES AT TWO FACILITIES ON THE CAMPUS OF THE GEISINGER MEDICAL CENTER: THE SIEGFRIED AND JANET WEIS CENTER FOR RESEARCH (WEIS CENTER) AND THE HENRY HOOD CENTER FOR HEALTH RESEARCH. THE WEIS CENTER PROVIDES A FOCUS FOR LABORATORY RESEARCH AND RESEARCH TRAINING, AND SUPPORTS THE CLINICAL STAFF IN THEIR RESEARCH PROGRAMS. THE PRIMARY MISSION OF THE WEIS CENTER IS TO CONDUCT ORIGINAL AND INNOVATIVE RESEARCH THAT CONTRIBUTES NEW KNOWLEDGE TO BIOMEDICAL SCIENCE. THE CENTER'S SCIENTISTS APPLY MODERN MOLECULAR AND CELLULAR APPROACHES TO DIVERSE RESEARCH PROBLEMS IN THE AREAS OF CARDIOVASCULAR FUNCTION, CANCER AND DEVELOPMENTAL BIOLOGY. THE HENRY HOOD CENTER FOR HEALTH RESEARCH CONDUCTS HEALTH SERVICES, EPIDEMIOLOGIC AND POPULATION GENETICS RESEARCH ON THE BROAD RANGE OF CONDITIONS TYPICALLY SEEN IN PRIMARY AND SPECIALTY CARE SETTINGS. THE CENTER
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 WYOMING VALLEY 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.
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. INCLUDING THE VOTING MEMBER DESCRIBED ABOVE, A TOTAL OF SIX VOTING MEMBERS OF THE GOVERNING BODY ARE ALSO VOTING MEMBERS OF AFFILIATED TAXABLE ORGANIZATIONS FOR WHICH BUSINESS TRANSACTIONS MAY BE DISCLOSED ON SCHEDULE L, PART IV. HOWEVER, IF THE RELATED TAXABLE ORGANIZATIONS WERE REQUIRED TO FILE SCHEDULE L, THESE TRANSACTIONS WOULD NOT BE OF 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 WYOMING VALLEY 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 15 PA. C.S.A. SUPBCHATER E OF THE PENNSYLVANIA NONPROFIT CORPORATION LAW.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, PAYROLL, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR-ENDED JUNE 30, 2011.
ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE OFFICERS AND DIRECTORS OF GEISINGER WYOMING MEDICAL CENTER ARE SUBJECT TO THE GHS CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.
COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GHS EMPLOYED BOARD DIRECTORS, OFFICERS AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE MANAGEMENT AND COMPENSATION COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE MANAGEMENT AND COMPENSATION COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION.
COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE MISSION STATEMENT IS AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE AT: WWW.GEISINGER.ORG. THE ANNUAL REPORT FOR THE GEISINGER HEALTH SYSTEM, CONTAINING CONSOLIDATED FINANCIAL STATEMENT INFORMATION, COMMUNITY BENEFIT REPORT AND OTHER INFORMATION, IS AVAILABLE ON THE SYSTEM WEBSITE AT: WWW.GEISINGER.ORG. FINANCIAL STATEMENTS ALONG WITH THE COMPLETE FORM 990 AND 990-T ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE GEISINGER HEALTH SYSTEM CONFLICTS OF INTEREST POLICY IS AVAILABLE ON THE SYSTEM WEBSITE AT: WWW.GEISINGER.ORG.
ADDITIONAL INFORMATION 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 GEISINGER 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 INVESTMENT 12,844,473 UNREALIZED GAIN SELF-INSURANCE 17 UNREALIZED GAIN ON DERIVATIVE 1,153,571 CHANGE IN DERIVATIVE VALUE 312,373 TRANSFER FROM AFFILIATE 5,793,793 DECREASES: ENTITY TRANSFER ( 79,500,000) TRANSITIONAL GOODWILL IMPAIRMENT ( 6,616,009) TOTAL (66,011,782)
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:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
GEISINGER WYOMING VALLEY MEDICAL
CENTER
Employer identification number

23-1996150
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
Yes No
(1) GEISINGER SYSTEM SERVICES

100 NORTH ACADEMY AVENUE MC 30-50

DANVILLE,PA17822
23-2164794 		SUPPR SVCS PA 501C3 11A GHSF
 
Yes
 
(2) GEISINGER INSURANCE 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 MEDICAL CENTER

100 NORTH ACADEMY AVENUE MC 30-50

DANVILLE,PA17822
24-0795959 		HOSPITAL PA 501C3 3 GHSF
 
Yes
 
(7) GEISINGER CLINIC

100 NORTH ACADEMY AVENUE MC 30-50

DANVILLE,PA17822
23-6291113 		PHSYN SVCS PA 501C3 11A 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
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 V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) HEALTHSOUTH GHS LLC

100 NORTH ACADEMY AVENUE MC 30-50
DANVILLE,PA17822
72-1398803 		PHYS THERA PA N/A
         No     No  
(2) HEALTHSOUTH GHS LLC

100 NORTH ACADEMY AVENUE MC 30-50
DANVILLE,PA17822
72-1398803 		PHYS THERA PA N/A
         No     No  










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


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(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 CO
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 CORP LTD
PO BOX 2196GT
GRAND CAYMAN,GRAND CAYMAN  
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 CO
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 CORP LTD
PO BOX 2196GT
GRAND CAYMAN,GRAND CAYMAN  
CJ
98-1016737 		INSURANCE CJ N/A
        
Schedule R (Form 990) 2010
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
No
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 . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
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

 O 2,092,152 GAAP
(2) GEISINGER CLINIC

 L 21,256,358 GAAP
(3) GEISIGNER CLINIC

 J 863,853 FMV
(4) GEISINGER CLINIC

 K 336,482 GAAP
(5) GEISINGER CLINIC

 R 15,086,263 GAAP
(6) GEISINGER CLINIC

 A 196,010 FMV
(7) GEISINGER CLINIC

 L 753,828 GAAP
(8) GEISINGER COMMUNITY HEALTH SERVICES

 L 128,919 GAAP
(9) GEISINGER HEALTH PLAN

 K 65,044,529 GAAP
(10) GEISINGER HEALTH SYSTEM FOUNDATION

 L 1,110,484 GAAP
(11) GEISINGER HEALTH SYSTEM FOUNDATION

 C 5,903,870 GAAP
(12) GEISINGER HEALTH SYSTEM FOUNDATION

 K 200,038 GAAP
(13) GEISINGER INSURANCE CORP RRG

 O 86,113 GAAP
(14) GEISINGER INSURANCE CORP RRG

 O 768,429 GAAP
(15) GEISINGER MEDICAL CENTER

 L 8,518,863 GAAP
(16) GEISINGER MEDICAL CENTER

 K 199,869 GAAP
(17) GEISINGER CLINIC

 Q 4,419,997 GAAP
(18) GEISINGER COMMUNITY HEALTH SERVICES

 A 3,600 FMV
(19) GEISINGER QUALITY OPTIONS INC

 K 16,491,604 GAAP
(20) GEISINGER CLINIC

 B 2,966,000 GAAP
(21) GEISINGER SYSTEM SERVICES

 L 64,901,511 GAAP
(22) GEISINGER SYSTEM SERVICES

 O 8,117,092 GAAP
(23) INTERNATIONAL SHARED SERVICES INC

 L 6,116,065 GAAP
(24) INTERNATIONAL SHARED SERVICES INC

 A 65,759 FMV
(25) MARWORTH

 K 189,956 GAAP
(26) GEISINGER HEALTH SYSTEM FOUNDATION

 B 79,500,000 GAAP
(27) GEISINGER ASSURANCE COMPANY LTD

 O 2,092,152 GAAP
(28) GEISINGER CLINIC

 L 21,256,358 GAAP
(29) GEISIGNER CLINIC

 J 863,853 FMV
(30) GEISINGER CLINIC

 K 336,482 GAAP
(31) GEISINGER CLINIC

 R 15,086,263 GAAP
(32) GEISINGER CLINIC

 A 196,010 FMV
(33) GEISINGER CLINIC

 L 753,828 GAAP
(34) GEISINGER COMMUNITY HEALTH SERVICES

 L 128,919 GAAP
(35) GEISINGER HEALTH PLAN

 K 65,044,529 GAAP
(36) GEISINGER HEALTH SYSTEM FOUNDATION

 L 1,110,484 GAAP
(37) GEISINGER HEALTH SYSTEM FOUNDATION

 C 5,903,870 GAAP
(38) GEISINGER HEALTH SYSTEM FOUNDATION

 K 200,038 GAAP
(39) GEISINGER INSURANCE CORP RRG

 O 86,113 GAAP
(40) GEISINGER INSURANCE CORP RRG

 O 768,429 GAAP
(41) GEISINGER MEDICAL CENTER

 L 8,518,863 GAAP
(42) GEISINGER MEDICAL CENTER

 K 199,869 GAAP
(43) GEISINGER CLINIC

 Q 4,419,997 GAAP
(44) GEISINGER COMMUNITY HEALTH SERVICES

 A 3,600 FMV
(45) GEISINGER QUALITY OPTIONS INC

 K 16,491,604 GAAP
(46) GEISINGER CLINIC

 B 2,966,000 GAAP
(47) GEISINGER SYSTEM SERVICES

 L 64,901,511 GAAP
(48) GEISINGER SYSTEM SERVICES

 O 8,117,092 GAAP
(49) INTERNATIONAL SHARED SERVICES INC

 L 6,116,065 GAAP
(50) INTERNATIONAL SHARED SERVICES INC

 A 65,759 FMV
(51) MARWORTH

 K 189,956 GAAP
(52) GEISINGER HEALTH SYSTEM FOUNDATION

 B 79,500,000 GAAP
(53) GEISINGER ASSURANCE COMPANY LTD

 O 2,092,152 GAAP
(54) GEISINGER CLINIC

 L 21,256,358 GAAP
(55) GEISIGNER CLINIC

 J 863,853 FMV
(56) GEISINGER CLINIC

 K 336,482 GAAP
(57) GEISINGER CLINIC

 R 15,086,263 GAAP
(58) GEISINGER CLINIC

 A 196,010 FMV
(59) GEISINGER CLINIC

 L 753,828 GAAP
(60) GEISINGER COMMUNITY HEALTH SERVICES

 L 128,919 GAAP
(61) GEISINGER HEALTH PLAN

 K 65,044,529 GAAP
(62) GEISINGER HEALTH SYSTEM FOUNDATION

 L 1,110,484 GAAP
(63) GEISINGER HEALTH SYSTEM FOUNDATION

 C 5,903,870 GAAP
(64) GEISINGER HEALTH SYSTEM FOUNDATION

 K 200,038 GAAP
(65) GEISINGER INSURANCE CORP RRG

 O 86,113 GAAP
(66) GEISINGER INSURANCE CORP RRG

 O 768,429 GAAP
(67) GEISINGER MEDICAL CENTER

 L 8,518,863 GAAP
(68) GEISINGER MEDICAL CENTER

 K 199,869 GAAP
(69) GEISINGER CLINIC

 Q 4,419,997 GAAP
(70) GEISINGER COMMUNITY HEALTH SERVICES

 A 3,600 FMV
(71) GEISINGER QUALITY OPTIONS INC

 K 16,491,604 GAAP
(72) GEISINGER CLINIC

 B 2,966,000 GAAP
(73) GEISINGER SYSTEM SERVICES

 L 64,901,511 GAAP
(74) GEISINGER SYSTEM SERVICES

 O 8,117,092 GAAP
(75) INTERNATIONAL SHARED SERVICES INC

 L 6,116,065 GAAP
(76) INTERNATIONAL SHARED SERVICES INC

 A 65,759 FMV
(77) MARWORTH

 K 189,956 GAAP
(78) GEISINGER HEALTH SYSTEM FOUNDATION

 B 79,500,000 GAAP
(79) GEISINGER ASSURANCE COMPANY LTD

 O 2,092,152 GAAP
(80) GEISINGER CLINIC

 L 21,256,358 GAAP
(81) GEISIGNER CLINIC

 J 863,853 FMV
(82) GEISINGER CLINIC

 K 336,482 GAAP
(83) GEISINGER CLINIC

 R 15,086,263 GAAP
(84) GEISINGER CLINIC

 A 196,010 FMV
(85) GEISINGER CLINIC

 L 753,828 GAAP
(86) GEISINGER COMMUNITY HEALTH SERVICES

 L 128,919 GAAP
(87) GEISINGER HEALTH PLAN

 K 65,044,529 GAAP
(88) GEISINGER HEALTH SYSTEM FOUNDATION

 L 1,110,484 GAAP
(89) GEISINGER HEALTH SYSTEM FOUNDATION

 C 5,903,870 GAAP
(90) GEISINGER HEALTH SYSTEM FOUNDATION

 K 200,038 GAAP
(91) GEISINGER INSURANCE CORP RRG

 O 86,113 GAAP
(92) GEISINGER INSURANCE CORP RRG

 O 768,429 GAAP
(93) GEISINGER MEDICAL CENTER

 L 8,518,863 GAAP
(94) GEISINGER MEDICAL CENTER

 K 199,869 GAAP
(95) GEISINGER CLINIC

 Q 4,419,997 GAAP
(96) GEISINGER COMMUNITY HEALTH SERVICES

 A 3,600 FMV
(97) GEISINGER QUALITY OPTIONS INC

 K 16,491,604 GAAP
(98) GEISINGER CLINIC

 B 2,966,000 GAAP
(99) GEISINGER SYSTEM SERVICES

 L 64,901,511 GAAP
(100) GEISINGER SYSTEM SERVICES

 O 8,117,092 GAAP
(101) INTERNATIONAL SHARED SERVICES INC

 L 6,116,065 GAAP
(102) INTERNATIONAL SHARED SERVICES INC

 A 65,759 FMV
(103) MARWORTH

 K 189,956 GAAP
(104) GEISINGER HEALTH SYSTEM FOUNDATION

 B 79,500,000 GAAP
(105) GEISINGER ASSURANCE COMPANY LTD

 O 2,092,152 GAAP
(106) GEISINGER CLINIC

 L 21,256,358 GAAP
(107) GEISIGNER CLINIC

 J 863,853 FMV
(108) GEISINGER CLINIC

 K 336,482 GAAP
(109) GEISINGER CLINIC

 R 15,086,263 GAAP
(110) GEISINGER CLINIC

 A 196,010 FMV
(111) GEISINGER CLINIC

 L 753,828 GAAP
(112) GEISINGER COMMUNITY HEALTH SERVICES

 L 128,919 GAAP
(113) GEISINGER HEALTH PLAN

 K 65,044,529 GAAP
(114) GEISINGER HEALTH SYSTEM FOUNDATION

 L 1,110,484 GAAP
(115) GEISINGER HEALTH SYSTEM FOUNDATION

 C 5,903,870 GAAP
(116) GEISINGER HEALTH SYSTEM FOUNDATION

 K 200,038 GAAP
(117) GEISINGER INSURANCE CORP RRG

 O 86,113 GAAP
(118) GEISINGER INSURANCE CORP RRG

 O 768,429 GAAP
(119) GEISINGER MEDICAL CENTER

 L 8,518,863 GAAP
(120) GEISINGER MEDICAL CENTER

 K 199,869 GAAP
(121) GEISINGER CLINIC

 Q 4,419,997 GAAP
(122) GEISINGER COMMUNITY HEALTH SERVICES

 A 3,600 FMV
(123) GEISINGER QUALITY OPTIONS INC

 K 16,491,604 GAAP
(124) GEISINGER CLINIC

 B 2,966,000 GAAP
(125) GEISINGER SYSTEM SERVICES

 L 64,901,511 GAAP
(126) GEISINGER SYSTEM SERVICES

 O 8,117,092 GAAP
(127) INTERNATIONAL SHARED SERVICES INC

 L 6,116,065 GAAP
(128) INTERNATIONAL SHARED SERVICES INC

 A 65,759 FMV
(129) MARWORTH

 K 189,956 GAAP
(130) GEISINGER HEALTH SYSTEM FOUNDATION

 B 79,500,000 GAAP
Schedule R (Form 990) 2010
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 V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
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 FORM 990 SCHEDULE R PART V TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN THE RESPONSE TO FORM 990 SCHEDULE R GEISINGER WYOMING VALLEY MEDICAL CENTER IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS WHICH MAY INCLUDE SALES EXCHANGES AND LEASES OF PROPERTY EXTENSIONS OF CREDIT FURNISHING OF GOODS SERVICES AND FACILITIES AND TRANSFERS OF ASSETS THESE INTER ORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS TAX EXEMPT STATUS
Additional Data


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