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INTENDED USES FOR ENDOWMENT FUNDS TO SUPPORT RESEARCH, CAPITAL, AND PROGRAM EXPENSES AND PATIENT CARE AND PATIENT EDUCATION. PART XIII - SUPPLEMENTAL FINANCIAL INFORMATION EFFECTIVE JULY 1, 2007, GEISINGER ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES"FAS 109"). 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 RETURN. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE CALENDAR YEAR OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. true true X true X 300. false true true false true false 9452068 9452068 0.01070 176604385 141758935 34845450 0.03950 2608113 2139997 468116 0.00050 188664566 143898932 44765634 0.05070 5535658 5535658 0.00630 15048818 4118643 10930175 0.01240 6030063 6030063 0.00680 26614539 4118643 22495896 0.02550 215279105 148017575 67261530 0.07620 true 111916243 139569024 -27652781 X true true 1 1 GEISINGER WYOMING VALLEY MEDICAL CENT 1000 EAST MOUNTAIN DRIVE WILKES BARRE PA 18901 WWW.GEISINGER.ORG 148901 X X X X X GEISINGER WYOMING VALLEY MEDICAL CENT false false true X X X X X X X X X 23 true true false true X WWW.GEISINGER.ORG X X true 24 true REFER TO RESPONSE TO 7D false false true X 300. 0. X X X X X true true X X X X true X WWW.GEISINGER.ORG X WWW.GEISINGER.ORG X WWW.GEISINGER.ORG X X X X X X X true X false X X X X X true X false false FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 5 THE 2024 CHNA WAS CONDUCTED FROM JANUARY TO DECEMBER 2023 AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES IN CENTRAL AND NORTHEAST PENNSYLVANIA. OUR PROCESS WAS IN LINE WITH IRS TAX CODE 501(R) REQUIREMENTS TO CONDUCT A CHNA EVERY THREE YEARS AS SET FORTH BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA). THROUGH A COMPREHENSIVE VIEW OF STATISTICAL HEALTH INDICATORS AND COMMUNITY STAKEHOLDER FEEDBACK, A PROFILE OF PRIORITY AREAS WAS DETERMINED. THE FINDINGS WILL GUIDE HEALTHCARE SERVICES AND HEALTH IMPROVEMENT EFFORTS, AS WELL AS SERVE AS A COMMUNITY RESOURCE FOR GRANTMAKING, ADVOCACY, AND TO SUPPORT THE MANY PROGRAMS PROVIDED BY HEALTH AND SOCIAL SERVICE PARTNERS. SECONDARY DATA ANALYSIS SECONDARY DATA, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC, AND PUBLIC HEALTH INDICATORS, WERE ANALYZED FOR SERVICE AREA COUNTIES TO MEASURE KEY DATA TRENDS AND PRIORITY HEALTH ISSUES AND TO ASSESS EMERGING HEALTH NEEDS. DATA WERE COMPARED TO STATE AND NATIONAL BENCHMARKS AND HEALTHY PEOPLE 2030 (HP2030) GOALS, AS AVAILABLE, TO ASSESS AREAS OF STRENGTH AND OPPORTUNITY. HEALTHY PEOPLE 2030 IS A NATIONAL INITIATIVE ESTABLISHING 10-YEAR GOALS FOR IMPROVING THE HEALTH OF ALL AMERICANS. ALL REPORTED DEMOGRAPHIC AND SOCIOECONOMIC DATA WERE PROVIDED BY THE US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, UNLESS OTHERWISE NOTED. PUBLIC HEALTH DATA WERE COMPILED FROM A VARIETY OF SOURCES LIKE THE PENNSYLVANIA DEPARTMENT OF HEALTH AND CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), AMONG OTHERS. PRIMARY RESEARCH AND COMMUNITY ENGAGEMENT COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2024 CHNA. INPUT WAS SOLICITED AND RECEIVED FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AS WELL AS UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. THESE INDIVIDUALS PROVIDED PERSPECTIVES ON HEALTH NEEDS, EXISTING RESOURCES TO MEET THOSE NEEDS, AND SERVICE DELIVERY GAPS THAT CONTRIBUTE TO HEALTH DISPARITIES AND INEQUITIES. PRIMARY RESEARCH AND COMMUNITY ENGAGEMENT STUDY METHODS INCLUDED: -AN ONLINE KEY STAKEHOLDER SURVEY COMPLETED BY 169 INDIVIDUALS SERVING THE NORTHEAST REGION, WHO REPRESENT HEALTHCARE PROVIDERS, SOCIAL SERVICES PROFESSIONALS, EDUCATORS, FAITH-BASED LEADERS, AND COMMUNITY LEADERS, AMONG OTHERS; -REGIONAL COMMUNITY FORUM BRINGING TOGETHER 32 RESIDENTS AND DIVERSE COMMUNITY REPRESENTATIVES TO REVIEW CHNA FINDINGS AND COLLECTIVELY DEFINE CHALLENGES AND CO-DEVELOP MEANINGFUL STRATEGIES FOR HEALTH IMPROVEMENT; AND -CONVERSATIONS WITH HEALTH SYSTEM LEADERS TO ALIGN COMMUNITY HEALTH PLANNING WITH POPULATION HEALTH MANAGEMENT AND COMMUNITY ENGAGEMENT STRATEGIES. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 6A THE 2024 CHNA WAS CONDUCTED COLLABORATIVELY BY GEISINGER(1), ALLIED SERVICES(2), AND EVANGELICAL COMMUNITY HOSPITAL. THE THREE HEALTH SYSTEMS HAVE PARTNERED SINCE 2012 TO CREATE A COLLECTIVE CHNA FOR THEIR OVERLAPPING SERVICE AREAS SPANNING CENTRAL AND NORTHEAST PENNSYLVANIA. COLLABORATION IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR COLLECTIVE IMPACT THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. THE CHNA FOCUSED ON THE PRIMARY SERVICE COUNTY(IES) OF EACH PARTICIPATING HOSPITAL TO IDENTIFY HEALTH TRENDS AND UNIQUE DISPARITIES WITHIN THESE COMMUNITIES. HOSPITALS WITH OVERLAPPING SERVICE AREAS WERE GROUPED INTO REGIONS FOR COMPARISONS OF HEALTH AND SOCIOECONOMIC DATA. COMMON PRIORITIES WERE DETERMINED TO ADDRESS WIDESPREAD HEALTH NEEDS. SPECIFIC STRATEGIES WERE OUTLINED IN EACH HOSPITAL'S IMPLEMENTATION PLAN TO GUIDE LOCAL EFFORTS AND COLLABORATION WITH COMMUNITY PARTNERS. (1) GEISINGER INCLUDES: GEISINGER MEDICAL CENTER (INCLUDING GEISINGER-SHAMOKIN AREA COMMUNITY HOSPITAL), GEISINGER ENCOMPASS HEALTH LIMITED LIABILITY COMPANY (DBA GEISINGER ENCOMPASS HEALTH REHABILITATION HOSPITAL), GEISINGER WYOMING VALLEY MEDICAL CENTER (INCLUDES GEISINGER SOUTH WILKES-BARRE), GEISINGER-BLOOMSBURG HOSPITAL, COMMUNITY MEDICAL CENTER (DBA GEISINGER COMMUNITY MEDICAL CENTER), GEISINGER JERSEY SHORE HOSPITAL, GEISINGER-LEWISTOWN HOSPITAL, AND GEISINGER MEDICAL CENTER MUNCY. (2) ALLIED SERVICES INCLUDES ALLIED SERVICES REHAB HOSPITAL AND HEINZ REHAB HOSPITAL. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 7D COPIES OF THE FINAL CHNAS ARE SHARED WITH THE COMMUNITY REPRESENTATIVES WHO PARTICIPATED IN THE CHNA PROCESS. ADDITIONALLY, THE HOSPITAL'S CHNA AND CHNA IMPLEMENTATION STRATEGY ("COMMUNITY HOSPITAL IMPROVEMENT PLAN") ARE POSTED ON THE HOSPITAL'S WEBSITE AT: WWW.GEISINGER.ORG/ABOUT-GEISINGER/COMMUNITY-ENGAGEMENT/CHNA HARD COPIES ARE ALSO MAILED, UPON REQUEST. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 11 SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA CONTINUE TO BE: ACCESS TO CARE BEHAVIORIAL HEALTH CHRONIC DISEASE MANAGEMENT GEISINGER, LEVERAGES ITS ENTIRE HEALTH CARE SYSTEM TO BETTER IMPACT THE ENTIRE GEOGRAPHIC AREA SERVED AND DEVELOPS SYSTEM-WIDE INITIATIVES AS WELL AS INDIVIDUAL HOSPITAL INITIATIVES TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS. THESE INITIATIVES, ADOPTED BY THE BOARD ARE INCLUDED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN, AVAILABLE AT HTTPS://WWW.GEISINGER.ORG/ABOUT-GEISINGER/COMMUNITY-ENGAGEMENT/CHNA. THOSE COMMUNITY NEEDS THAT ARE GENERALLY OUTSIDE THE SCOPE OF A HOSPITAL, SUCH AS HOUSING INSECURITY, CHILDCARE SHORTAGES AND OTHER SOCIAL DETERMINANTS OF HEALTH FACTORS ARE NOT ADDRESSED DIRECTLY BY THE HOSPITAL. ALTHOUGH INDIRECTLY, GEISINGER MAINTAINS POSITIVE SUPPORT AND INFLUENCE THROUGH COALITIONS, REFERRALS AND ADVOCACY WITHIN THE COMMUNITIES IN ITS FOOTPRINT OF EXISTING SOCIAL AGENCIES WHO BETTER ADDRESS THESE COMMUNITY NEEDS. FOLLOWING ARE THE GEISINGER SYSTEM-WIDE AND HOSPITAL SPECIFIC INITIATIVES BASED ON THE MOST RECENT CHNA. PRIORITY AREA: ACCESS TO CARE GOAL: EMPOWER OUR COMMUNITIES TO BE WELL BY REMOVING BARRIERS TO HEALTHCARE. OBJECTIVE: INCREASE THE NUMBER OF RESIDENTS WHO RECEIVE REGULAR PRIMARY CARE SERVICES. SYSTEMWIDE STRATEGIES: . ASSIST WITH ELIGIBILITY DETERMINATION AND ENROLLMENT IN AVAILABLE HEALTH INSURANCE PROGRAMS. . CONDUCT POINT OF CARE PRIMARY CARE SCREENING AND SCHEDULING ASSISTANCE WITHIN THE EMERGENCY DEPARTMENT AND OTHER OUTPATIENT SETTINGS. . EXPAND PRIMARY CARE SERVICES INCLUDING ACCESS TO GEISINGER 65 FORWARD HEALTH CENTERS AND COMMUNITYCARE SLIDING FEE HEALTH SERVICES. . CULTIVATE TRUSTING AND INCLUSIVE CARE ENVIRONMENTS THAT PROMOTE HEALTHCARE ACCESS FOR DIVERSE POPULATIONS. GEISINGER WYOMING VALLEY MEDICAL CENTER TACTICS: . EXPAND THE GEISINGER AT HOME, CARE COORDINATION AND INTEGRATION PROGRAMS TO PROVIDE PRIMARY CARE PROVIDER VISITS VIA MOBILE AND AUDIO-VISUAL TECHNOLOGY TO THE HIGH-RISK AND HOMEBOUND POPULATION. . EXPLORE OPTIONS AND PARTNERS TO PROVIDE HOME-BASED CARE SERVICES (MOBILE INTEGRATED HEALTH, HOME HEALTH AGENCIES, GEISINGER AT HOME, ETC.). OBJECTIVE: INCREASE ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES IN UNDERSERVED COMMUNITIES. SYSTEMWIDE STRATEGIES: . PROVIDE OR SPONSOR SLIDING FEE PROGRAMS FOR INDIVIDUALS WITHOUT HEALTH INSURANCE AND/OR WITH LOW INCOMES. . PROVIDE MOBILE AND HOME- AND COMMUNITY-BASED SERVICES THAT BRING CARE TO RESIDENTS. . SEEK OUT PARTNERSHIPS AND STRATEGIC OPPORTUNITIES TO DEVELOP OR AUGMENT CARE ENVIRONMENTS IN UNDERSERVED COMMUNITIES. . EXPAND ACCESS TO QUALITY TELEHEALTH INCLUDING AGE-INCLUSIVE TELEHEALTH FOR OLDER ADULTS. GEISINGER WYOMING VALLEY MEDICAL CENTER TACTICS: . EXPLORE TELEMEDICINE OPTIONS TO PROVIDE SERVICES AND REDUCE BARRIERS TO CARE RELATED TO TRANSPORTATION. . EXPAND ACCESS TO PRIMARY CARE THROUGH GROWTH IN LEGACY COMMUNITY MEDICINE SITES AND NEW LOCATIONS TO INCLUDE 65 FORWARD, CONVENIENTCARE, CONVENIENTCARE+, AND COMMUNITY CARE. OBJECTIVE: INCREASE THE AVAILABLE HEALTHCARE WORKFORCE AND ADVANCE DIVERSITY OF TALENT. SYSTEMWIDE STRATEGIES: . PARTNER WITH SCHOOL DISTRICTS, UNIVERSITIES, AND OTHER YOUTH SERVICE PROVIDERS TO FOSTER HEALTHCARE CAREER PATHWAYS. . COLLABORATE WITH SCHOOLS OF MEDICINE, NURSING, AND OTHER HEALTH PROFESSIONALS TO FOSTER CAREERS IN NEEDED HEALTH SERVICES AND RECRUITMENT FOR UNDERSERVED AREAS. . EMBED INCLUSIVE PRACTICES AND PROCESSES INTO HOW WE ATTRACT, RECRUIT, RETAIN, AND ADVANCE A DIVERSITY OF TALENT. GEISINGER WYOMING VALLEY MEDICAL CENTER TACTICS: . OFFER COHORT PROGRAM IN MULTIPLE SPECIALTIES APPEALING TO HIGH SCHOOL STUDENTS. . STRONG PARTICIPATION IN LOCAL CAREER FAIRS TARGETING HIGH SCHOOL STUDENTS. OBJECTIVE: REDUCE DISPARITIES IN HEALTHCARE ACCESS. SYSTEMWIDE STRATEGIES: . INCREASE COLLECTION OF REAL, SOGI, ZIP CODE, AND OTHER DEMOGRAPHIC DATA IN ORDER TO BETTER UNDERSTAND AND ADDRESS DISPARITIES. . LEVERAGE LOCAL TRUSTED PEOPLE, PLACES, AND METHODS TO EXPAND HEALTHCARE SERVICES FOR DIVERSE POPULATIONS. . PROVIDE QUALIFIED LANGUAGE SERVICES TO MEET THE DIVERSE AND PREFERRED LANGUAGE NEEDS OF PATIENTS. . SUPPORT NEIGHBORLY ONLINE PLATFORM AND OTHER RESOURCES TO INCREASE AWARENESS OF AVAILABLE SERVICES TO MEET SOCIAL DRIVERS OF HEALTH NEEDS. . SEEK OUT PARTNERSHIPS AND STRATEGIC OPPORTUNITIES WITH COMMUNITY-BASED ORGANIZATIONS TO COORDINATE REFERRALS AND COLLECTIVELY ADDRESS SOCIAL DRIVERS OF HEALTH BARRIERS. . IN PARTNERSHIP WITH GEISINGER HEALTH PLAN, HELP ADDRESS HEALTHCARE TRANSPORTATION BARRIERS. GEISINGER WYOMING VALLEY MEDICAL CENTER TACTICS: . PROVIDE DEI EDUCATION TO FRONT LINE CARE GIVERS TO IMPROVE KNOWLEDGE OF APPROPRIATE COMMUNICATION FOR ALL INDIVIDUALS WHO PRESENT TO GWV/GSWB. PRIORITY AREA: BEHAVIORAL HEALTH GOAL: IMPROVE BEHAVIORAL HEALTH BY FOSTERING COMMUNITIES AND CARE ENVIRONMENTS THAT PROMOTE WELLNESS, RECOVERY, AND RESILIENCE. OBJECTIVE: REDUCE DISPARITIES IN BEHAVIORAL HEALTH AND WELLBEING. SYSTEMWIDE STRATEGIES: . STRENGTHEN AND SUPPORT COMMUNITY INITIATIVES THAT FOSTER YOUTH RESILIENCE (E.G., MENTORSHIP, CAREER DEVELOPMENT, SOCIAL EMOTIONAL LEARNING OPPORTUNITIES). . PROVIDE TRAUMA SENSITIVE TRAINING, INCLUDING IDENTIFYING AND SUPPORTING INDIVIDUALS WITH ADVERSE CHILDHOOD EXPERIENCES (ACES), IN CLINICAL AND COMMUNITY SETTINGS. . SUPPORT AND PROMOTE EFFORTS TO RAISE COMMUNITY AWARENESS OF BEHAVIORAL HEALTH. . INVEST IN COMMUNITY INITIATIVES AND INFRASTRUCTURE THAT PROMOTE RESIDENT ENGAGEMENT AND SENSE OF COMMUNITY. . INCREASE COLLECTION OF REAL, SOGI, ZIP CODE, AND OTHER DEMOGRAPHIC DATA IN ORDER TO BETTER UNDERSTAND AND ADDRESS DISPARITIES. GEISINGER WYOMING VALLEY MEDICAL CENTER TACTICS: . MEDICATION-ASSISTED TREATMENT (MAT) CLINIC AVAILABLE AT GSWB ALLOWING FOR BROADER ACCESS TO REVERSAL DRUGS. . HOST COMMUNITY NARCAN EVENT TO PROVIDE FREE NARCAN AND EDUCATIONAL OPPORTUNITIES. OBJECTIVE: INCREASE ACCESS TO AND CAPACITY OF BEHAVIORAL HEALTH SERVICES. SYSTEMWIDE STRATEGIES: . PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO ASSESS BEHAVIORAL HEALTH NEEDS, FACILITATE SERVICE REFERRALS, AND COORDINATE CARE. . IMPLEMENT UNIVERSAL BEHAVIORAL HEALTH SCREENINGS IN CARE SETTINGS. . PROVIDE COMMUNITY-BASED SUBSTANCE USE PREVENTION AND TREATMENT OPTIONS (E.G., MEDICATION TAKE BACK PROGRAMS, NARCAN DISTRIBUTION, FREE2BMOM). . SEEK OUT PARTNERSHIPS AND STRATEGIC OPPORTUNITIES TO DEVELOP OR AUGMENT CARE ENVIRONMENTS IN UNDERSERVED COMMUNITIES. . IN PARTNERSHIP WITH THE GEISINGER COMMONWEALTH SCHOOL OF MEDICINE'S BEHAVIORAL HEALTH INITIATIVE, INCREASE INTEGRATION OF BEHAVIORAL AND PHYSICAL HEALTHCARE. GEISINGER WYOMING VALLEY MEDICAL CENTER TACTICS: . PARTNER WITH GEISINGER BEHAVIORAL HEALTH NORTHEAST FOR APPROPRIATE ACCESS TO INPATIENT CARE. . CONTINUE TO GROW ACCESS TO OUTPATIENT BEHAVIORAL HEALTH SERVICES (TELEMEDICINE). OBJECTIVE: INCREASE ACCESS TO RECOVERY-ORIENTED CARE AND RECOVERY SUPPORT SYSTEMS. SYSTEMWIDE STRATEGIES: . INCREASE PARTICIPATION OF PEOPLE WITH LIVED EXPERIENCE IN CARE DEVELOPMENT AND DELIVERY. . PARTNER WITH COMMUNITY-BASED ORGANIZATIONS TO ASSESS RECOVERY NEEDS AND STRATEGIC OPPORTUNITIES TO ENHANCE RECOVERY OPTIONS. . SUPPORT AND PROMOTE RECOVERY SUPPORT GROUPS AND OTHER ACTIVITIES. GEISINGER WYOMING VALLEY MEDICAL CENTER TACTICS: . DEVELOP A CERTIFIED RECOVERY SPECIALIST PROGRAM IN THE GWV ED TO SUPPORT PATIENT AND RECOVERY PROVIDER PATHWAYS. PRIORITY AREA: CHRONIC DISEASE PREVENTION AND MANAGEMENT GOAL: MANAGE TOTAL HEALTH FROM COVERAGE AND PREVENTION TO CARE AND TREATMENT. OBJECTIVE: REDUCE RISK FACTORS FOR CHRONIC DISEASE. SYSTEMWIDE STRATEGIES: . INVEST IN COMMUNITY INITIATIVES AND INFRASTRUCTURE THAT PROMOTE A HEALTHY BUILT ENVIRONMENT. . PROVIDE COMMUNITY-BASED ACCESS TO EARLY SCREENING AND DETECTION SERVICES AND HEALTH PROMOTION PROGRAMMING. . LEVERAGE LOCAL TRUSTED PEOPLE, PLACES, AND METHODS TO EXPAND PREVENTION SERVICES FOR DIVERSE POPULATIONS. . SUPPORT NEIGHBORLY ONLINE PLATFORM AND OTHER RESOURCES TO INCREASE AWARENESS OF AVAILABLE SERVICES TO MEET SOCIAL DRIVERS OF HEALTH NEEDS. . SEEK OUT PARTNERSHIPS AND STRATEGIC OPPORTUNITIES WITH COMMUNITY-BASED ORGANIZATIONS TO COORDINATE REFERRALS AND COLLECTIVELY ADDRESS SOCIAL DRIVERS OF HEALTH BARRIERS. GEISINGER WYOMING VALLEY MEDICAL CENTER TACTICS: . SUPPORT VARIOUS COMMUNITY HEALTH AND WELLNESS EDUCATIONAL PROGRAMS. . PROMOTE AND SUPPORT THE GEISINGER FRESH FOOD FARMACY, INCLUDING DIABETES WELLNESS CLASSES AND DIETARY CONSULTATIONS, TO FOOD-INSECURE, DIABETIC PATIENTS.OBJECTIVE: REDUCE DISPARITIES IN CHRONIC DISEASE OUTCOMES. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 11 (CONT.) OBJECTIVE: REDUCE DISPATITIES IN CHRONIC DISEASE OUTCOMES SYSTEMWIDE STRATEGIES: . INCREASE COLLECTION OF REAL, SOGI, ZIP CODE, AND OTHER DEMOGRAPHIC DATA IN ORDER TO BETTER UNDERSTAND AND ADDRESS DISPARITIES. . PROVIDE COORDINATED CARE PROGRAMS FOR INDIVIDUALS WITH COMPLEX MEDICAL CONDITIONS AND/OR AT RISK FOR DISEASE COMPLICATIONS. . PROVIDE SELF-MONITORING AND SELF-MANAGEMENT TOOLS AND PROGRAMS TO EMPOWER INDIVIDUALS TO MANAGE THEIR CONDITION(S). GEISINGER WYOMING VALLEY MEDICAL CENTER TACTICS: . PROVIDE EVIDENCE BASED MEDICAL NUTRITION THERAPY FOR PATIENTS AT GEISINGER 65 FORWARD AND GEISINGER FEDERALLY QUALIFIED HEALTH CENTERS (KISTLER AND HAZLETON). FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 13B RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 16J THE FAP, FAP APPLICATION, AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT HTTPS://WWW.GEISINGER.ORG/PATIENT-CARE/PATIENTS -AND-VISTORS/BILLING-AND-INSURANCE/NEED-HELP. IN ADDITION, REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. FACILITY 1, GEISINGER WYOMING VALLEY MEDICAL - PART V, LINE 20E REFER TO RESPONSE FOR PART III, SECTION C, LINE 9B PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE SUPPORTING DOCUMENTATION FOR ELIGIBILITY MAY CONSIST OF INCOME AND ASSET INFORMATION, INCLUSIVE BUT NOT LIMITED TO: FEDERAL INCOME TAX FORM 1040 FROM THE PRIOR YEAR, PAY STUB COPIES, WRITTEN VERIFICATION OF ANY OTHER INCOME RECEIVED (I.E. SOCIAL SECURITY, ADC, CHILD SUPPORT, ALIMONY, ETC.), CURRENT CREDIT REPORTS AND ASSET VERIFICATION. THE HOSPITAL MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICAL TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY). GEISINGER PROVIDERS, WITHOUT DISCRIMINATION, CARE FOR ALL EMERGENCY MEDICAL CONDITIONS TO INDIVIDUALS REGARDLESS OF THEIR FINANCIAL ASSISTANCE ELIGIBILITY OR ABILITY TO PAY. IT IS THE POLICY OF GEISINGER HOSPITAL FACILITIES TO COMPLY WITH THE STANDARDS OF THE FEDERAL EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR TRANSPORT ACT OF 1986 ("EMTLA") AND REGULATIONS IN PROVIDING MEDICAL SCREENING EXAMINATION AND SUCH FURTHER TREATMENT AS MAY BE NECESSARY TO STABILIZE AN EMERGENCY MEDICAL CONDITION FOR ANY INDIVIDUAL PRESENTING TO THE EMERGENCY DEPARTMENT SEEKING TREATMENT. PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES. PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYERS, SELF-PAY, ETC.). A COST TO CHARGE RATIO, CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS, WAS USED TO CALCULATE THE COST OF CHARITY CARE. PART III, LINE 4 - BAD DEBT EXEPNSE FOOTNOTE TO FINANCIAL STATEMENTS GEISINGER RECORDS PATIENT SERVICE REVENUE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, EXPLICIT CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS AND IMPLICIT PRICE CONCESSIONS PROVIDED TO PATIENTS AS REDUCTIONS FROM ESTABLISHED BILLING RATES. GEISINGER DETERMINES ITS ESTIMATES OF EXPLICIT AND IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL DATA WHICH CONSIDERS EXPERIENCE, MARKET CONDITIONS, AND OTHER FACTORS. EXPLICIT AND IMPLICIT PRICE CONCESSIONS TO PATIENT SERVICE REVENUE ARE RECORDED AT THE TIME THE PERFORMANCE OBLIGATIONS ARE SATISFIED. SUBSTANTIALLY ALL CHANGES TO THESE CONCESSIONS, AS A RESULT OF SUBSEQUENT REASSESSMENT, ARE RECOGNIZED IN THE PERIOD THE CHANGE IS IDENTIFIED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE A RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S OR PAYOR'S ABILITY TO PAY AND ARE MATERIAL ARE RECORDED AS BAD DEBT EXPENSE. NO BAD DEBT EXPENSE WAS RECORDED FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023 RELATED TO PATIENT SERVICE REVENUE. PART III, LINE 8 - MEDICARE EXPLANATION MEDICARE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM. THE ORGANIZATION BELIEVES THE MEDICARE UNDERPAYMENTS (SHORTFALL) ARE COMMUNITY BENEFIT AND SHOULD BE INCLUDED ON FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND IS CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER THE INTERNAL REVENUE CODE ("IRC") 501(C)(3). SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). THIS RULING REMOVED THE PREVIOUS REQUIREMENT OF REVENUE RULING 56-185, KNOWN AS THE "CHARITY CARE STANDARD," THAT IN ORDER TO BE A CHARITABLE ORGANIZATION, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR THEIR CARE. THIS EARLIER RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT MEAN THAT A HOSPITAL WAS CHARITABLE SINCE THAT LEVEL COULD REFLECT THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE SUCH CARE. REVENUE RULING 56-185 ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT IMPACT A HOSPITAL'S CHARITABLE STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. AS DEVELOPED IN REVENUE RULING 69-545, UNDER THE COMMUNITY BENEFIT STANDARD, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THIS RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED THOSE WHO COULD PAY FOR THE SERVICES EITHER BY THEMSELVES, THROUGH PRIVATE INSURANCE OR PUBLIC PROGRAMS SUCH AS MEDICARE. IN ADDITION, THE HOSPITAL OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL WAS CHARITABLE BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM CHARITABLE, AS REQUIRED BY TREASURY REGULATION SECTION 1.501(C)(3)-1(D)(2). THE IRS RULED THAT THE PROMOTION OF HEALTH, LIKE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES OF THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") BELIEVES THE MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. THIS ORGANIZATION AGREES WITH THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUED THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) IS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: -PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS REMAINS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. -MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES ONLY 92 CENTS FOR EVERY DOLLAR HOSPITALS SPEND TO CARE FOR MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC") IN ITS MARCH 2007 REPORT TO CONGRESS CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE, WITH MARGINS REACHING A 10 YEAR LOW AT NEGATIVE 5.4 PERCENT. -MANY MEDICARE PATIENTS, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46% OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200% OF THE FEDERAL POVERTY LEVEL. MANY ARE ALSO ELIGIBLE FOR MEDICAID, SO CALLED ELIGIBLES". PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE AND BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES. PART III, LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE PERMITTED TO BE REPORTED IN THE HOSPITAL'S MEDICARE COST REPORT THAT IS REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. THE HOSPITAL CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF $90,083,834 SHOULD BE REPORTED AS COMMUNITY BENEFIT ON THE FORM 990, SCHEDULE H, PART I, LINE 7. ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW-INCOME PATIENTS, THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. LIKE MEDICAID, MEDICARE DOES NOT PAY THE FULL COST OF PROVIDING CARE TO THESE PATIENTS, FORCING THE HOSPITAL TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITIES. THE HOSPITAL PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY THAT MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEED-BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION THE HOSPITAL IS COMMITTED TO PROVIDING MEDICALLY NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND THE HOSPITAL'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS THE HOSPITAL'S POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS. A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING AND COLLECTION PROCESS. IN ANY STAGE OF THE BILLING PROCESS, COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE. UNDER NO CIRCUMSTANCES WILL THE HOSPITAL FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. GEISINGER MANAGEMENT HAS DEVELOPED POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR GOVERNMENTAL PROGRAMS OR FINANCIAL ASSISTANCE FROM GEISINGER AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS. BILLING AND COLLECTION POLICY: THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN ACCORDANCE WITH THE MISSION AND VALUES OF THE HOSPITAL AS WELL AS FEDERAL AND STATE LAW. THE POLICY IS DESIGNED TO PROMOTE APPROPRIATE ACCESS TO MEDICAL CARE FOR ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY WHILE MAINTAINING GEISINGER'S FISCAL RESPONSIBILITY TO MAXIMIZE REIMBURSEMENT AND MINIMIZE BAD DEBT. THE ORGANIZATION'S BILLING AND COLLECTION POLICY IS INTENDED TO TAKE INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. THE ORGANIZATION MAKES SURE THAT PATIENTS ARE ASSISTED IN OBTAINING HEALTH INSURANCE COVERAGE FROM PRIVATELY AND PUBLICLY FUNDED SOURCES, WHENEVER POSSIBLE. ALL BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT REPRESENTATIVES ARE EDUCATED ON ALL ASPECTS OF THE BILLING AND COLLECTION POLICY AND ARE EXPECTED TO ADMINISTER THE POLICY ON A REGULAR AND CONSISTENT BASIS. BUSINESS OFFICE CUSTOMER SERVICE REPRESENTATIVES ARE HELD ACCOUNTABLE TO TREAT ALL PATIENTS WITH COURTESY, RESPECT, CONFIDENTIALITY AND CULTURAL SENSITIVITY. THE BILLING AND COLLECTION POLICY IS ADMINISTERED IN CONJUNCTION WITH THE PROCEDURES OUTLINED IN INTERNAL ADMINISTRATIVE POLICIES. THE GEISINGER EXECUTIVE VICE PRESIDENT, CHIEF FINANCIAL OFFICER AND VICE PRESIDENT, CHIEF REVENUE OFFICER HAVE OVERALL RESPONSIBILITY FOR THE BILLING AND COLLECTION ACTIVITIES OF THE HOSPITAL. THE BUSINESS OFFICE CUSTOMER SERVICE DEPARTMENT STAFF IS RESPONSIBLE FOR THE DAY-TO-DAY ENFORCEMENT OF APPROVED POLICIES AND PROCEDURES. GEISINGER MAY OFFER EXTENDED PAYMENT PLANS TO PATIENTS WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR HOSPITAL BILLS. EMERGENCY & MEDICALLY NECESSARY SERVICES: GEISINGER DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. THE ORGANIZATION WILL NEVER DEMAND THAT AN EMERGENCY DEPARTMENT PATIENT PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS. ADDITIONALLY, GEISINGER DOES NOT PERMIT DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NONDISCRIMINATORY BASIS. ALL MEDICALLY NECESSARY HOSPITAL SERVICES ARE PROVIDED WITHOUT CONSIDERATION OF ABILITY TO PAY AND ARE NOT DELAYED PENDING APPLICATION OR APPROVAL OF MEDICAL ASSISTANCE OR THE GEISINGER FINANCIAL ASSISTANCE PROGRAM. ADVANCE PAYMENT IS NOT REQUIRED FOR ANY MEDICALLY NECESSARY SERVICES. COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6): GEISINGER DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R)(6) PRIOR TO THE EXPIRATION OF THE NOTIFICATION PERIOD. THE NOTIFICATION PERIOD IS DEFINED AS A 120-DAY PERIOD OR GREATER, WHICH BEGINS ON THE DATE OF THE 1ST POST-DISCHARGE BILLING STATEMENT, IN WHICH NO ECAS ARE INITIATED AGAINST THE PATIENT. SUBSEQUENT TO THE NOTIFICATION PERIOD GEISINGER, OR ANY THIRD PARTIES ACTING ON ITS BEHALF, MAY INITIATE THE FOLLOWING ECAS AGAINST A PATIENT FOR AN UNPAID BALANCE IF THE FINANCIAL ASSISTANCE ELIGIBILITY DETERMINATION HAS NOT BEEN MADE OR IF AN INDIVIDUAL IS INELIGIBLE FOR FINANCIAL ASSISTANCE. GEISINGER MAY AUTHORIZE THIRD PARTIES TO REPORT ADVERSE INFORMATION ABOUT THE INDIVIDUAL TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS ON DELINQUENT PATIENT ACCOUNTS AFTER THE NOTIFICATION PERIOD. THE ORGANIZATION ENSURES REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY AND ENSURES THE FOLLOWING ACTIONS ARE TAKEN AT LEAST 30 DAYS PRIOR TO INITIATING ANY ECA: 1) THE PATIENT IS PROVIDED WITH WRITTEN NOTICE WHICH: INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE FOR ELIGIBLE PATIENTS; IDENTIFIES THE ECA(S) THAT GEISINGER INTENDS TO INITIATE TO OBTAIN PAYMENT FOR THE CARE; AND STATES A DEADLINE AFTER WHICH SUCH ECAS MAY BE INITIATED. 2) THE PATIENT IS PROVIDED WITH A COPY OF THE PLAIN LANGUAGE SUMMARY; AND 3) REASONABLE EFFORTS ARE MADE TO ORALLY NOTIFY THE PATIENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW THE INDIVIDUAL MAY OBTAIN ASSISTANCE WITH THE FINANCIAL ASSISTANCE APPLICATION PROCESS. GEISINGER PROCESSES ALL APPLICATIONS FOR FINANCIAL ASSISTANCE SUBMITTED DURING THE APPLICATION PERIOD. THE APPLICATION PERIOD BEGINS ON THE DATE THE CARE IS PROVIDED AND ENDS ON THE 240TH DAY AFTER THE DATE OF THE FIRST POST-DISCHARGE BILLING STATEMENT. PART VI, LINE 2 - NEEDS ASSESSMENT THE 2024 CHNA WAS CONDUCTED COLLABORATIVELY BY GEISINGER, ALLIED SERVICES, AND EVANGELICAL COMMUNITY HOSPITAL. THE THREE HEALTH SYSTEMS HAVE PARTNERED SINCE 2012 TO CREATE A COLLECTIVE CHNA FOR THEIR OVERLAPPING SERVICE AREAS SPANNING CENTRAL AND NORTHEAST PENNSYLVANIA. COLLABORATION IN THIS WAY CONSERVES VITAL COMMUNITY RESOURCES WHILE FOSTERING A PLATFORM FOR COLLECTIVE IMPACT THAT ALIGNS COMMUNITY EFFORTS TOWARD A COMMON GOAL OR ACTION. FROM THIS COLLABORATION, ONGOING RELATIONSHIPS WITH VARIOUS COMMUNITY STAKEHOLDERS HAVE BEEN DEVELOPED. THESE STAKEHOLDER RELATIONSHIPS ARE AN INVALUABLE RESOURCE TO THE HOSPITAL'S IN ITS ONGOING MONITORING OF COMMUNITY HEALTH NEEDS AND OPPORTUNITIES AS TIME PASSES AS WELL AS THOSE IDENTIFIED IN THE TRIENNIAL CHNA. REGIONALLY, GEISINGER CROSS-FUCTIONAL TEAMS ARE ACCOUNTABLE FOR REVIEW OF THE OPERATIONAL HEALTH INITIATIVES IN SUPPORT OF THE COMMUNITY HEALTH IMPROVEMENT PLANS. THESE TEAMS MONITOR AND TRACK PROGRESS IN MEETING THE INITIATIVES AND RESPOND TO ANY NEW OPPORTUNITIES FOR MEETING COMMUNITY HEALTH NEEDS IN FURTHERANCE OF GEISINGER'S CHARITABLE MISSION. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE GEISINGER IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE SERVICES TO OUR COMMUNITY. GEISINGER IS COMMITTED TO A SERVICE EXCELLENCE PHILOSOPHY THAT STRIVES TO MEET OR EXCEED PATIENT EXPECTATIONS. ALL PATIENTS WILL RECEIVE A UNIFORM STANDARD OF CARE THROUGHOUT ALL GEISINGER FACILITIES, REGARDLESS OF SOCIAL, CULTURAL, FINANCIAL, RELIGIOUS, RACIAL, GENDER OR SEXUAL ORIENTATION. GEISINGER STRIVES TO ENSURE THAT ALL PATIENTS RECEIVE ESSENTIAL EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTH SERVICES REGARDLESS OF THEIR ABILITY TO PAY. FOR URGENT AND EMERGENT SERVICES, PATIENTS ARE PROVIDED CARE REGARDLESS OF THEIR ABILITY TO PAY. IN THE EVENT A PATIENT HAS AN EMERGENCY MEDICAL CONDITION; TREATMENT IS NOT DELAYED TO PERMIT AN INQUIRY REGARDING A PATIENT'S METHOD OF PAYMENT OR INSURANCE STATUS. FOR OTHER THAN URGENT AND EMERGENT SERVICES, THE HOSPITAL PROVIDES UNCOMPENSATED CARE, FREE OF CHARGE, OR ON A 100% DISCOUNTED BASIS, TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. DEPENDING UPON FAMILY SIZE AND INCOME, FREE OR 100% DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS THE HOSPITAL'S POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS. A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING PROCESS. INFORMATION (SIGNS, BROCHURES, ETC.) REGARDING THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM, REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL. REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. NOTICE OF THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE GEISINGER WEB SITE AT WWW.GEISINGER.ORG. PATIENTS ARE ALSO PROVIDED INFORMATION ON THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL. THE FINANCIAL ASSISTANCE POLICY ("FAP"), THE FAP APPLICATION AND PLAIN LANGUAGE SUMMARY ("PLS") ARE AVAILABLE ON-LINE. PAPER COPIES ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL OR ARE AVAILABLE AT REGISTRATION AREAS WHICH INCLUDES EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL-BASED CLINICS AND PATIENT FINANCIAL SERVICES DEPARTMENTS. ALL FAP DOCUMENTS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED ENGLISH PROFICIENCY ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE HOSPITAL'S SERVICE AREA. SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC HOSPITAL LOCATIONS INCLUDING THE EMERGENCY DEPARTMENT, ADMISSIONS DEPARTMENT AND REGISTRATION DEPARTMENT THAT INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE AND DISCHARGE PROCESSES. ADDITIONALLY, FINANCIAL COUNSELORS AND CUSTOMER SERVICE REPRESENTATIVES ARE AVAILABLE TO ASSIST PATIENTS WITH CONCERNS. PART VI, LINE 4 - COMMUNITY INFORMATION THE HOSPITAL IS LOCATED WITHIN THE NORTHEAST REGION OF PENNSYLVANIA. THE NORTHEAST REGION IS COMPRISED OF FIVE PENNSYLVANIA COUNTIES: LACKAWANNA, LUZERNE, SUSQUEHANNA, WAYNE, AND WYOMING. LACKAWANNA AND LUZERNE COUNTIES ARE POPULATION CENTERS FOR THE REGION, AND HOME TO CITIES INCLUDING SCRANTON, WILKES-BARRE, AND HAZLETON. SUSQUEHANNA, WAYNE, AND WYOMING COUNTIES ARE LARGELY RURAL COMMUNITIES WITH TOTAL POPULATIONS OF APPROXIMATELY 25,000 TO 50,000 PEOPLE. POPULATION GROWTH OVER THE PAST DECADE WAS STAGNANT IN LACKAWANNA AND LUZERNE COUNTIES AND DECLINED IN RURAL COUNTIES. SUSQUEHANNA COUNTY SAW THE LARGEST POPULATION DECLINE OF -10.3% FROM 2010 TO 2021. IN CONTRAST, THE REGION SAW SIGNIFICANT GROWTH IN OLDER ADULTS, PARTICULARLY IN RURAL COUNTIES. FROM 2010 TO 2021, SUSQUEHANNA, WAYNE, AND WYOMING COUNTIES SAW 21%-29.5% GROWTH IN ADULTS AGED 65 OR OLDER. OUR COMMUNITY AND RESIDENTS CONSISTENT WITH PENNSYLVANIA OVERALL, THE NORTHEAST REGION IS AGING, WITH A SIGNIFICANT INCREASE IN THE NUMBER OF OLDER ADULTS FROM 2010 TO 2021 IN ALL COUNTIES. OUTSIDE OF LACKAWANNA AND LUZERNE COUNTIES, THE YOUTH POPULATION DECLINED BY APPROXIMATELY 20% FROM 2010 TO 2021. LACKAWANNA AND LUZERNE WERE THE ONLY COUNTIES TO SEE POPULATION GROWTH, ALTHOUGH GROWTH WAS MODEST AT AN ESTIMATED 1-2%. SUSQUEHANNA AND WAYNE ARE AMONG THE OLDEST COUNTIES IN THE REGION; APPROXIMATELY ONE-QUARTER OF RESIDENTS ARE AGED 65 OR OLDER AND MEDIAN AGES ARE NEARLY EIGHT YEARS OLDER THAN THE STATE MEDIAN. IN THE EASTERN PORTION OF WAYNE COUNTY, AS MANY AS 40.5% OF RESIDENTS IN ZIP CODE 18415, DAMASCUS AND 55.3% IN ZIP CODE 18469, TYLER HILL ARE AGED 65 OR OLDER. IT IS WORTH NOTING THAT OUTSIDE OF THE SCRANTON AND WILKES-BARRE METROS, 20% OR MORE OF RESIDENTS OF NEARLY ALL ZIP CODES ARE AGED 65 OR OLDER. NORTHEAST REGION COUNTIES ARE MAJORITY WHITE COMMUNITIES WITH LESS RACIAL DIVERSITY THAN STATE AND NATIONAL BENCHMARKS. LUZERNE COUNTY BENEFITS FROM THE MOST POPULATION DIVERSITY WITH 7% OF RESIDENTS IDENTIFYING WITH A RACE OTHER THAN WHITE AND 14% IDENTIFYING AS LATINX (ANY RACE). CONSISTENT WITH STATE AND NATIONAL TRENDS, POPULATION DIVERSITY IS INCREASING WITHIN THE REGION. IN LACKAWANNA AND LUZERNE COUNTIES, FROM 2010 TO 2021, THE WHITE POPULATION AS A PROPORTION OF THE TOTAL POPULATION DECLINED 6-10 PERCENTAGE POINTS. WHEN ANALYZED BY ZIP CODE, POCKETS OF HIGH POVERTY ARE LARGELY SEEN WITHIN THE HAZLETON, SCRANTON, AND WILKES-BARRE METROS. CHILDREN ARE HISTORICALLY DISPROPORTIONATELY AFFECTED BY POVERTY, AND WITHIN THESE SAME AREAS, APPROXIMATELY ONE-THIRD OF CHILDREN LIVE IN POVERTY. IT IS ALSO WORTH NOTING NEWFOUNDLAND, WHERE 30.3% OF ALL RESIDENTS AND 45.1% OF CHILDREN LIVE IN POVERTY, AND BEACH LAKE, WHERE 13.6% OF ALL RESIDENTS LIVE IN POVERTY BUT 30.8% CHILDREN LIVE IN POVERTY. POVERTY IS NOT EXPERIENCED BY EVERY COMMUNITY EQUALLY AND CONTRIBUTES TO FURTHER INEQUALITIES SUCH AS ACCESS TO SAFE LIVING AND WORKING CONDITIONS, HEALTH SERVICES, AND BASIC NEEDS, AMONG OTHER THINGS. IN LACKAWANNA AND LUZERNE COUNTIES, BLACK AND MULTIRACIAL RESIDENTS MAKE UP 5% OR LESS OF THE POPULATION, EACH, BUT ONE-QUARTER TO ONE-THIRD OF THESE POPULATION GROUPS EXPERIENCE POVERTY, COMPARED WITH ONLY 12% OF THE MAJORITY-WHITE POPULATION. SIMILAR DISPARITIES EXIST FOR INDIVIDUALS IDENTIFYING AS LATINX. WHILE THE REGION HAS FEW RESIDENTS WHO IDENTIFY AS NON-WHITE OR NON-HISPANIC, THEY DO EXIST, AND THEIR LACK OF VISIBILITY MAY CONTRIBUTE TO THESE DISPARATE EXPERIENCES. EDUCATION HIGH SCHOOL GRADUATION IS ONE OF THE STRONGEST PREDICTORS OF LONGEVITY AND ECONOMIC STABILITY. WITHIN NORTHEAST REGION COMMUNITIES, APPROXIMATELY 90% OF ADULTS GRADUATED HIGH SCHOOL, A SIMILAR PROPORTION AS THE STATE OVERALL. ADULTS ARE GENERALLY LESS LIKELY TO PURSUE OR ATTAIN HIGHER EDUCATION, SUCH AS A BACHELOR'S OR GRADUATE DEGREE. OUR HOMES AND WHERE WE LIVE WHERE YOU LIVE IMPACTS THE CHOICES AVAILABLE TO YOU. THESE CHOICES IMPACT YOUR INCOME, WELLNESS, AND ULTIMATELY HOW LONG YOU LIVE. WHEN CONSIDERED WITH LIVED EXPERIENCES SUCH AS ACCESS TO QUALITY SERVICES LIKE EDUCATION AND TRANSPORTATION, PLACE-BASED CHOICES MAY ALSO INFORM PERCEPTION OF OPPORTUNITIES. FOR NEIGHBORHOODS, A HIGHER PROPORTION OF HOMEOWNERSHIP MEANS GREATER NEIGHBORHOOD STABILITY. GREATER NEIGHBORHOOD STABILITY MEANS MORE OPPORTUNITIES FOR INVESTMENT IN INFRASTRUCTURE, SUCH AS SCHOOLS, ROADS, PUBLIC TRANSPORTATION, AND GREEN SPACES, KEY ELEMENTS FOR HEALTHY LIVING. FOR FAMILIES, HOMEOWNERSHIP IS TYPICALLY THEIR LARGEST ASSET. THE SECURITY OF KNOWING ONE HAS A HOME CAN ALSO REDUCE CHRONIC STRESS, A SIGNIFICANT FACTOR IN DEVELOPING CHRONIC DISEASE. IN GENERAL, NORTHEAST REGION RESIDENTS ARE JUST AS LIKELY OR MORE LIKELY TO OWN THEIR HOME WHEN COMPARED TO STATE AND NATIONAL BENCHMARKS. HOMEOWNERSHIP INCREASES IN MORE RURAL COMMUNITIES. HOUSING IS OFTEN THE LARGEST SINGLE MONTHLY EXPENSE FOR HOUSEHOLDS AND SHOULD REPRESENT NO MORE THAN 30% OF A HOUSEHOLD'S MONTHLY INCOME. WHEN HOUSEHOLDS SPEND MORE THAN 30% OF THEIR INCOME ON HOUSING, THEY ARE CONSIDERED HOUSING COST BURDENED AND GENERALLY HAVE FEWER RESOURCES FOR OTHER NECESSITIES LIKE FOOD, TRANSPORTATION, AND CHILDCARE. RENTAL COSTS HAVE BALLOONED ACROSS THE COUNTRY SINCE COVID-19, LEAVING MANY TO STRUGGLE TO CONTINUE TO AFFORD THEIR CURRENT RENT, WHILE ALSO HAVING LESS AND LESS OPPORTUNITY TO SAVE MONEY TO MAKE FUTURE HOMEOWNERSHIP POSSIBLE. THE NORTHEAST REGION IS NO EXCEPTION TO THESE TRENDS. WAYNE AND WYOMING COUNTIES HAVE THE HIGHEST PERCENTAGE OF HOMEOWNERS, BUT WAYNE COUNTY HAS THE MOST COST-BURDENED RESIDENTS, ESTIMATED AT 47%. NEIGHBORHOOD AND BUILT ENVIRONMENT IN ADDITION TO THE RESOURCES AVAILABLE IN COMMUNITIES, THE PHYSICAL ENVIRONMENT AND INFRASTRUCTURE OF NEIGHBORHOODS IMPACTS HEALTH. THE AVAILABILITY OF WELL-MAINTAINED ROADS AND SAFE SIDEWALKS, AND ACCESS TO RECREATION, STORES, BANKS, AND OTHER AMENITIES ARE IMPORTANT COMPONENTS FOR HEALTHY LIVING. FEEDBACK FROM KEY STAKEHOLDER SURVEY PARTICIPANTS CENTERED AROUND THE SCARCITY OF RELIABLE AND AFFORDABLE PUBLIC TRANSPORTATION OPTIONS AVAILABLE TO RESIDENTS. COMBINED WITH A REGION THAT IS, ON THE WHOLE, "BELOW AVERAGE" IN ITS WALKABILITY RATING, AS WELL AS A RAPIDLY AGING POPULATION, IT CAN BE DIFFICULT TO ACCESS OPPORTUNITIES FOR PHYSICAL ACTIVITY. THESE FACTORS MAKE AFTERNOON STROLLS OR REACHING PUBLIC PARKS - ACTIVITIES THAT MIGHT OTHERWISE BE FREE OF COST - CHALLENGING. OTHER OPPORTUNITIES TO BE ACTIVE MAY COST MONEY, CREATING AN ADDITIONAL BARRIER TO PARTICIPATION. DESPITE THESE CONCERNS, RESIDENTS OF THE NORTHEAST REGION HAVE DEMONSTRATED RESILIENCE IN PRIORITIZING PHYSICAL ACTIVITY. SUSQUEHANNA, WAYNE, AND WYOMING COUNTIES ARE FAR BELOW LACKAWANNA AND LUZERNE COUNTIES, AS WELL AS THE STATE AND NATION, IN THE PERCENTAGE OF THE POPULATION WITH ADEQUATE ACCESS TO LOCATIONS FOR PHYSICAL ACTIVITY. YET, IN ALL THREE OF THESE PLACES, THE PERCENTAGE OF ADULTS WHO PARTICIPATE IN LEISURE TIME PHYSICAL ACTIVITY IS ON PAR WITH THEIR COUNTERPARTS, AND FAR OUTPACES WHAT WOULD BE EXPECTED GIVEN THE REPORTED LACK OF ACCESS. FOOD INSECURITY IS DEFINED AS NOT HAVING RELIABLE ACCESS TO A SUFFICIENT AMOUNT OF NUTRITIOUS, AFFORDABLE FOOD. FOOD INSECURITY IS ASSOCIATED WITH BOTH DISPARITIES IN BUILT ENVIRONMENT, SUCH AS FOOD DESERTS, AND SOCIOECONOMIC BARRIERS, SUCH AS LOWER HOUSEHOLD INCOME AND POVERTY. FOOD INSECURITY CAN ULTIMATELY AFFECT OVERALL HEALTH STATUS, CONTRIBUTING TO A HIGHER PREVALENCE OF DISEASE AND POORER DISEASE OUTCOMES. IN 2020, FEEDING AMERICA CONSERVATIVELY PROJECTED A 36% GROWTH IN NATIONAL FOOD INSECURITY RATES AS A RESULT OF THE PANDEMIC. SIMILAR TO POVERTY AND UNEMPLOYMENT TRENDS, FOOD INSECURITY DECLINED POST-PANDEMIC, CONTINUING AN OVERALL DOWNWARD TREND, BUT THE IMPACT OF THIS EXPERIENCE ON LONG-TERM HEALTH OUTCOMES SHOULD CONTINUE TO BE MONITORED. ACROSS THE NORTHEAST REGION IN 2021, APPROXIMATELY 1 IN 10 RESIDENTS WERE ESTIMATED TO BE FOOD INSECURE. IN LACKAWANNA AND LUZERNE COUNTIES, WHERE CHILDREN EXPERIENCE DISPROPORTIONATE POVERTY, NEARLY 1 IN 5 CHILDREN WERE ESTIMATED TO BE FOOD INSECURE. IT IS ALSO WORTH NOTING DISPARITIES AMONG INDIVIDUALS WITH LOW INCOME LIVING IN SUSQUEHANNA COUNTY. SUSQUEHANNA COUNTY OVERALL HAS FEWER RESIDENTS LIVING IN POVERTY AND A SIMILAR PROPORTION OF FOOD INSECURE RESIDENTS AS NEIGHBORING COMMUNITIES, BUT APPROXIMATELY 6% OF RESIDENTS WITH LOW INCOME DO NOT LIVE CLOSE TO A GROCERY STORE, THE HIGHEST PROPORTION IN THE REGION. LOW-INCOME RESIDENTS MAY RELY MORE ON SMALLER NEIGHBORHOOD STORES THAT MAY NOT CARRY HEALTHY FOODS OR MAY OFFER THEM ONLY AT HIGHER PRICES, COMPOUNDING HEALTH AND FINANCIAL HARDSHIPS. PART VI, LINE 4 - COMMUNITY INFORMATION (CONT.) DURING THE COVID PANDEMIC, WE WERE ABLE TO USE TECHNOLOGY TO BRING SERVICES TO PEOPLE IN THEIR HOMES, BUT NOT UNIFORMLY. WE NEED TO BRIDGE THE WIDE DIGITAL DIVIDE WITHIN OUR COMMUNITIES TO EFFECTIVELY REACH ALL RESIDENTS. THE RESIDENTS OF EACH NORTHEAST REGION COUNTY GENERALLY HAVE DIGITAL ACCESS COMPARABLE TO THEIR NEIGHBORS AND STATE AND NATIONAL PERCENTAGES. HOWEVER, THERE ARE SOME SMALLER COMMUNITIES, HIGHLIGHTED ON THE MAP BELOW, WHERE FEWER THAN 65% OF RESIDENTS HAVE RELIABLE INTERNET ACCESS. THESE COMMUNITIES ARE BOTH URBAN, SUCH AS DOWNTOWN WILKES-BARRE, AS WELL AS MORE RURAL. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH IN ADDITION TO THE NET COMMUNITY BENEFIT COSTS INCURRED BY THE ORGANIZATION AS REPORTED IN SCHEDULE H, PART I, LINE 7; PLEASE REFER TO SCHEDULE O OF THIS FORM 990 FOR THE ORGANIZATION'S NARRATIVE COMMUNITY BENEFIT STATEMENT FOR ADDITIONAL INFORMATION ON HOW THE ORGANIZATION PROMOTES HEALTH AND PROVIDES HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY IN FURTHERANCE OF ITS CHARITABLE TAX EXEMPT PURPOSE. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM GEISINGER HEALTH AND ITS SUBSIDIARIES (COLLECTIVELY REFERRED TO AS "GEISINGER") COMPRISE A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: (I) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SEVEN WHOLLY-CONTROLLED ACUTE-CARE HOSPITALS WITH MULTIPLE CAMPUSES, JOINT VENTURE FACILITIES AND A DRUG AND ALCOHOL TREATMENT FACILITY; (II) MULTISPECIALTY PHYSICIAN GROUP PRACTICES; (III) INSURANCE OPERATIONS, INCLUDING A LICENSED HEALTH MAINTENANCE ORGANIZATION AND A NONLICENSED, RISK ASSUMING PREFERRED PROVIDER ORGANIZATION; AND (IV) A COMMUNITY-BASED MEDICAL COLLEGE AND DEGREE-GRANTING INSTITUTION. GEISINGER OPERATES ACROSS PENNSYLVANIA WITH THE MOST CONCENTRATED PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, OUTSIDE THE MAJOR METROPOLITAN AREAS. GEISINGER HEALTH SERVES AS THE CORPORATE PARENT AND EXERCISES CONTROL OVER GEISINGER'S AFFILIATED ENTITIES COMPRISING SUBSTANTIALLY ALL FINANCIAL AND OPERATIONAL ACTIVITY ARE TAX-EXEMPT PURSUANT TO SECTIONS 501(C)(2), 501(C)(3), OR 501(C) (4) OF THE INTERNAL REVENUE CODE. ON MARCH 31, 2024, RISANT HEALTH, INC. BECAME THE SOLE CORPORATE MEMBER OF GEISINGER HEALTH THROUGH A MEMBER SUBSTITUTION PURSUANT TO THE TERMS OF A HEALTH SYSTEM AGREEMENT DATED APRIL 26, 2023 BETWEEN KAISER FOUNDATION HOSPITALS ("KFH"), RISANT HEALTH, INC ("RISANT") AND GEISINGER HEALTH. RISANT IS A NONPROFIT ORGANIZATION, CREATED BY KFH, TO EXPAND AND ACCELERATE THE ADOPTION OF VALUE-BASED CARE IN DIVERSE, MULTI PAYER, MULTI-PROVIDER, AND COMMUNITY-BASED HEALTH SYSTEM ENVIRONMENTS. THE HOSPITAL IS AN AFFILIATE WITHIN GEISINGER. SEE ALSO SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT AT THIS TIME, THE HOSPITAL AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE. X true true X X X X X X false true false false false false false false false JAEWON RYU MD JD PRESIDENT, DIRECTOR 0 2822318 0 3931000 0 1675154 0 5848696 0 18727 0 14295895 0 1316166 TERRY GILLILAND MD PRESIDENT, DIRECTOR 0 2212113 0 0 0 137807 0 836806 0 30774 0 3217500 0 0 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 0 1749843 0 525000 0 410250 0 24306 0 41926 0 2751325 0 0 STEVEN B BENDER ESQUIRE EVP, CLO, SECRETARY 0 708600 0 0 0 197215 0 209306 0 35061 0 1150182 0 167904 RONALD BEER MHA FACHE DIRECTOR 464048 0 75000 0 336987 0 73699 0 42593 0 992327 0 48140 0 GERALD V MALONEY DO DIRECTOR 0 720238 0 0 0 115132 0 98569 0 35257 0 969196 0 62504 RENE L PRISTAS DO FORMER 5 HIGHEST 0 532189 0 0 0 35148 0 24306 0 38236 0 629879 0 0 KARLYN B PAGLIA MD CMO 0 566599 0 0 0 6467 0 24306 0 541 0 597913 0 0 LAKSHMI N SALADI MD FORMER 5 HIGHEST 0 462158 0 1813 0 6058 0 24306 0 441 0 494776 0 0 EILEEN G TENGCO DO FORMER 5 HIGHEST 0 348313 0 1000 0 43145 0 24306 0 42174 0 458938 0 0 DIMPLE TEJWANI MD FORMER 5 HIGHEST 0 399891 0 938 0 29676 0 24306 0 1935 0 456746 0 0 GURDEEP ATWAL MD FORMER 5 HIGHEST 0 354845 0 1000 0 13497 0 24306 0 29211 0 422859 0 0 LORI R GRAMLEY ESQ ACLO, ASSISTANT SECRETARY 0 338553 0 0 0 28526 0 24306 0 27947 0 419332 0 0 IAN J BUTTERWICK MS REGIONAL CLINICAL PHYSICS LEAD 237763 0 0 0 7530 0 15805 0 43652 0 304750 0 0 0 MARY P GILDEA MSN RN NEA-BC AVP, NURSING SERVICES 233183 0 0 0 22800 0 16262 0 26769 0 299014 0 0 0 DAN LANDESBERG PHD AVP, INSTITUTE OPERATIONS 184552 0 0 0 75700 0 16625 0 4527 0 281404 0 0 0 JACK ELLIS DO FELLOW 33097 150870 0 0 212 53217 0 11827 13430 14549 46739 230463 0 0 KELLY GILLESPIE PHARMD ACUTE CARE CLINICAL PHARMACIST 190131 0 13000 0 8692 0 12264 0 39180 0 263267 0 0 0 PART I, LINE 1A - FRINGE OR EXPENSE EXPLANATION TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - FROM TIME TO TIME, THE GEISINGER BOARD OF DIRECTORS OR GEISINGER SENIOR MANAGEMENT APPROVE THE GROSS-UP OF EXPENSES, WHICH FURTHER GEISINGER BUSINESS, FOR TAX OBLIGATIONS. PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONQUALIFIED EQUITY-BASED JAEWON RYU, MD, JD 0 1,479,829 0 STEVEN B. BENDER, ESQUIRE 0 167,904 0 RONALD BEER, MHA, FACHE 0 48,140 0 GERALD V. MALONEY, DO 0 62,504 0 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. KARA MALONEY FAMILY 101996 EMPLOYEE COMP/BEN false SCHEDULE L, PART V - ADDITIONAL INFORMATION KARA MALONEY IS A FAMILY MEMBER OF GERALD V. MALONEY, DO, A DIRECTOR OF GEISINGER WYOMING VALLEY MEDICAL CENTER. FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT I.GENERAL INFORMATION GEISINGER WYOMING VALLEY MEDICAL CENTER (GWV), A 501(C)(3) NOT-FOR-PROFIT CORPORATION AND MEMBER OF GEISINGER HEALTH, OWNS AND OPERATES A 356-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 MAGNET-DESIGNATED FACILITY, FULLY ACCREDITED BY THE JOINT COMMISSION, AND IS AN ACCREDITED LEVEL I TRAUMA CENTER, JOINT COMMISSION-CERTIFIED COMPREHENSIVE HEART ATTACK CENTER AND JOINT COMMISSION-CERTIFIED COMPREHENSIVE STROKE CENTER OFFERING EMERGENCY AND TRAUMA CARE 24 HOURS A DAY. THE FACILITY OPENED IN 1981 AS THE NPW MEDICAL CENTER OF N.E. PENNSYLVANIA, INC., AND THE NAME CHANGED TO GEISINGER WYOMING VALLEY MEDICAL CENTER IN 1985. GWV PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. II. MAJOR PROGRAM SERVICE ACTIVITIES AMONG THE OUTSTANDING SERVICES OFFERED BY GEISINGER WYOMING VALLEY MEDICAL CENTER ARE THE COMPREHENSIVE WOMEN'S AND CHILDREN'S SERVICES. THE MEDICAL CENTER'S OBSTETRICS UNIT FEATURES THE AREA'S ONLY SUB-SPECIALTY, FELLOWSHIP-TRAINED REPRODUCTIVE ENDOCRINOLOGIST/INFERTILITY SPECIALIST AS WELL AS A MATERNAL-FETAL MEDICINE SPECIALIST. GEISINGER WYOMING VALLEY'S MATERNAL FETAL MEDICINE SERVICE IS FOR MOTHERS AND FAMILIES FACING COMPLEX, HIGH RISK PREGNANCIES AND FEATURES ULTRASOUND, NON-STRESS TESTING, COMPLEX FETAL MONITORING, AND GENETIC COUNSELING. 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. GWV ALSO OFFERS A 13-BED LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU), THE ONLY LOCATION IN LUZERNE COUNTY PROVIDING THIS LEVEL OF INTENSIVE 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. GWV'S MEDICAL STAFF ALSO INCLUDES A FELLOWSHIP TRAINED PEDIATRIC CARDIOLOGIST. GWV IS A BLUE DISTINCTION CENTER+ (BDC+) IN MATERNITY CARE BY HIGHMARK BLUE CROSS AND BLUE SHIELD FOR MEETING QUALITY-FOCUSED CRITERIA THAT EMPHASIZE PATIENT SAFETY AND OUTCOMES REGARDING BOTH VAGINAL AND CESAREAN DELIVERIES. BLUE DISTINCTION CENTERS+ HAVE A PROVEN TRACK-RECORD FOR DELIVERING BETTER RESULTS, INCLUDING FEWER COMPLICATIONS AND READMISSIONS. THE GWV CAMPUS ALSO CONSISTS OF SEVERAL SPECIALTY CENTERS. OPENED IN MARCH 2024, GEISINGER MEDICAL OFFICE BUILDING WYOMING VALLEY HOUSES LAB, RADIOLOGY AND RETAIL PHARMACY SERVICES ALONG WITH OUTPATIENT PRACTICES FOR GENERAL SURGERY, VASCULAR SURGERY, PULMONARY MEDICINE, INFECTIOUS DISEASES, ADULT AND PEDIATRIC NEUROLOGY, NEUROSURGERY, NEUROPHYSIOLOGY, OTOLARYNGOLOGY (EAR, NOSE AND THROAT), AUDIOLOGY, GASTROENTEROLOGY, NEPHROLOGY AND TRANSPLANT SURGERY OUTREACH IN A STATE-OF-THE-ART 165,000 SQUARE-FOOT FACILITY. THE 42,000-SQUARE-FOOT GEISINGER EAST MOUNTAIN SPECIALTY CLINIC AT 1155 EAST MOUNTAIN BOULEVARD MAKES IT EASY FOR PATIENTS TO ACCESS OUTPATIENT SERVICES SUCH AS CONVENIENTCARE WALK-IN CLINIC, DERMATOLOGY/MOHS, GENERAL INTERNAL MEDICINE, OBSTETRICS & GYNECOLOGY (OB/GYN), PODIATRY, PRE-SURGICAL TESTING, REPRODUCTIVE ENDOCRINOLOGY, UROGYNECOLOGY AND WOMEN'S HEALTH. THERE IS ALSO THE PRECISION HEALTH CENTER OPENED AS A CAMPUS OF GWV TO HOUSE GEISINGER'S GENOMIC MEDICINE INSTITUTE, THE AUTISM AND DEVELOPMENTAL MEDICINE INSTITUTE (ADMI) AND RESEARCH IN NORTHEASTERN PENNSYLVANIA. THE 178,000 SQUARE FOOT CRITICAL CARE BUILDING FEATURES A 24/7 EMERGENCY DEPARTMENT WITH TRAUMA SERVICES, ROOFTOP HELIPAD, AND INTENSIVE CARE UNIT (ICU). THE EMERGENCY DEPARTMENT CONTAINS A RAPID EVALUATION AREA TO HELP THE TEAM EVALUATE UP TO SIX MORE PATIENTS AT A TIME AND DIRECT THEM TO THE APPROPRIATE LEVEL OF EMERGENCY CARE. THE CRITICAL CARE BUILDING ALSO HOUSES GEISINGER WYOMING VALLEY'S HIGH-TECH SURGICAL SUITES, INCLUDING LUZERNE COUNTY'S FIRST ENDOVASCULAR OPERATING SUITE AND THE DAVINCI ROBOT TO PERFORM ADVANCED MINIMALLY INVASIVE PROCEDURES. IN FEBRUARY 2013, A 24-BED, 24,000-SQUARE-FOOT PROGRESSIVE CARE UNIT (PCU) OPENED ON THE BUILDING'S FIFTH FLOOR TO CARE FOR PATIENTS WHO REQUIRE A HIGHER LEVEL OF CARE BUT DO NOT NEED INTENSIVE CARE. THE RICHARD AND MARION PEARSALL HEART HOSPITAL AT GWV OPENED IN OCTOBER 2001. IT IS DEDICATED TO BRINGING THE LATEST TECHNOLOGY USED IN THE TREATMENT OF HEART AND VASCULAR DISEASE TO THE PEOPLE OF NORTHEASTERN PENNSYLVANIA. THREE CARDIAC CATHETERIZATION LABORATORIES OFFER ADVANCED TREATMENTS TO PATIENTS WITH HEART DISEASE, INCLUDING A PRIMARY ANGIOPLASTY PROGRAM AND ADVANCED TECHNOLOGY TO OPEN AND REPAIR BLOCKED VESSELS. THERE IS ALSO AN ELECTROPHYSIOLOGY SUITE THAT INCLUDES TWO CATHETERIZATION LABORATORIES AND EIGHT REMODELED PATIENT ROOMS TO OFFER THE LATEST ADVANCES IN THE TREATMENT OF HEART RHYTHM DISORDERS. THE PEARSALL HEART HOSPITAL OFFERS ANCILLARY CARDIAC TESTING, PHYSICIAN CARE, AS WELL AS A 9-BED STEP-DOWN UNIT AND AN 8-BED OUTPATIENT UNIT USED FOR PRE AND POST CARDIAC CATHETERIZATION RECOVERY. THE PEARSALL HEART HOSPITAL IS HOME TO GWV'S CARDIOLOGY, CARDIOTHORACIC SURGERY AND VASCULAR SURGERY DEPARTMENTS AND INCLUDES AN INTERSOCIETAL ACCREDITATION COMMISSION (IAC) ACCREDITED NONINVASIVE DIAGNOSTIC LABORATORY. IN 2014, GWV BECAME THE FIRST REGIONAL HOSPITAL TO RECEIVE THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR LEFT VENTRICULAR ASSIST DEVICE (LVAD) TECHNOLOGY, WHICH PROVIDES LIFESAVING CARE FOR LATE-STAGE HEART FAILURE PATIENTS. GWV IS A BDC+ IN CARDIAC CARE. 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 4-YEAR APPROVAL BY THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS. GWV IS CERTIFIED BY THE QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION PROGRAM, AN AFFILIATE OF THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY (ASCO) FOR OUTPATIENT HEMATOLOGY-ONCOLOGY PRACTICES. IN 2018, GWV ADDED A $4.5 MILLION TRUEBEAM CANCER TREATMENT SYSTEM FOR FAST, PRECISE, NON-INVASIVE RADIATION TREATMENT OF COMPLEX CANCERS IN ONLY A FEW SESSIONS. IN 2020, GWV COMPLETED THE CONSTRUCTION AND INSTALLATION OF THE $6.5 MILLION CYBERKNIFE RADIATION THERAPY SYSTEM; THE ONLY ONE CURRENTLY IN THE REGION AND GEISINGER. IN MARCH 2022, A MAJOR EXPANSION WAS COMPLETED. THE 92,000 SQUARE-FOOT FACILITY HAS A REVAMPED LOBBY, BLOOD DRAW SERVICES, 44 INFUSION BAYS AND 6 APHERESIS TREATMENT SPACES, OF WHICH SEVERAL CAN FLEX AS INFUSION IF NEEDED. THE RADIATION ONCOLOGY SUITE HAS BEEN REINFORCED WITH 15 NEW EXAM ROOMS, TWO LINEAR ACCELERATORS AND THE CYBERKNIFE SYSTEM. THERE WAS ALSO AN 18-BED ONCOLOGY UNIT ADDED FOR ADVANCED INPATIENT CARE FOR COMPLEX BLOOD CANCERS LIKE LEUKEMIAS AND LYMPHOMAS. ALL RENOVATIONS CAME TOGETHER TO FORM A STATE-OF-THE-ART FACILITY EQUIPPED WITH THE LATEST TECHNOLOGY AND EXPANDED TREATMENT OPTIONS, WITH CONNECTIVITY TO THE HOSPITAL IN THE EVENT RAPID ACCESS IS NEEDED FOR A MEDICAL EMERGENCY. FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT (CONTINUED) ALSO LOCATED IN THE HENRY CANCER CENTER IS THE CENTER FOR WOMEN'S IMAGING. THE CENTER OFFERS A FULL RANGE OF DIAGNOSTIC SERVICES AT ONE CONVENIENT LOCATION DESIGNED EXCLUSIVELY FOR WOMEN. SERVICES INCLUDE DIGITAL MAMMOGRAPHY, ULTRASOUND, DXA SCAN BONE DENSITY TESTING, STEREOTACTIC BREAST BIOPSY AND A COMPREHENSIVE BREAST PROGRAM. THE BREAST PROGRAM OFFERS A MULTI-DISCIPLINARY APPROACH TO DIAGNOSING AND TREATING BREAST DISEASE. A DEDICATED NURSE NAVIGATOR AND A TEAM OF SURGEONS, RADIOLOGISTS, PATHOLOGISTS AND ONCOLOGISTS COLLABORATE IN ONE CONVENIENT LOCATION TO SPEED TREATMENT AND CARE. GWV IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS' NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) AND A DESIGNATED BREAST IMAGING CENTER OF EXCELLENCE (BICOE) BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). IN FEBRUARY 2023, GWV OPENED THE COMPREHENSIVE BREAST CENTER (CBC), WHICH OFFERS STATE-OF-THE-ART BREAST IMAGING FOR SCREENING AND DIAGNOSTIC STUDIES SUCH AS MAMMOGRAPHY, TOMOSYNTHESIS AND ULTRASOUND, AS WELL AS ADVANCED IMAGING, SUCH AS BREAST MRI. BREAST SURGICAL SERVICES WILL INCLUDE CLINICAL BREAST EXAMS, EVALUATION AND TREATMENT OF BENIGN AND MALIGNANT BREAST CONDITIONS AND BREAST CANCER RISK ASSESSMENT AND TREATMENT INCLUDING CHEMOPREVENTION. BIOPSY PROCEDURES, LIKE MINIMALLY INVASIVE DIAGNOSTIC CORE BIOPSIES, ARE ALSO PERFORMED. THE RADIOLOGY DEPARTMENT OFFERS A COMPREHENSIVE IMAGING PROGRAM THAT OFFERS 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. GWV EARNED ACCREDITATION BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR) FOR COMPUTERIZED TOMOGRAPHY (CT), MAGNETIC RESONANCE IMAGING (MRI), MAMMOGRAPHY, POSITRON EMISSION TOMOGRAPHY (PET), NUCLEAR MEDICINE, STEREOTACTIC BREAST BIOPSY, AND ULTRASOUND. THE GWV NEUROSURGERY DEPARTMENT HOUSES THE REGION'S LARGEST TEAM OF NEUROSURGEONS AS WELL AS ONE OF PENNSYLVANIA'S ONLY FELLOWSHIP-TRAINED NEUROSURGICAL ONCOLOGISTS. GWV'S MEDICAL STAFF ALSO INCLUDES NORTHEASTERN PENNSYLVANIA'S ONLY FELLOWSHIP-TRAINED INTERVENTIONAL NEURORADIOLOGIST AND CEREBROVASCULAR/ENDOVASCULAR NEUROSURGEON. GWV IS ALSO HOME TO A FULL TEAM OF NEUROLOGISTS WITH SPECIALIZED TRAINING TO CARE FOR EPILEPSY AS WELL AS MULTIPLE SCLEROSIS AND OTHER MOVEMENT DISORDERS. GEISINGER ALSO ESTABLISHED THE REGION'S FIRST AND ONLY MEMORY AND COGNITION PROGRAM TO TREAT PATIENTS WITH ALZHEIMER'S DISEASE AND OTHER AGE-RELATED MEMORY AND COGNITIVE CONDITIONS. A TEAM OF FELLOWSHIP TRAINED GASTROINTESTINAL SPECIALISTS PROVIDES THE COMMUNITY WITH ADVANCED SERVICES AT GWV, AND THE AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY (ASGE) HONORED THE ENDOSCOPY UNIT FOR DEMONSTRATING A COMMITMENT TO PATIENT SAFETY AND QUALITY IN ENDOSCOPY FOR FOLLOWING ASGE GUIDELINES ON PRIVILEGING, QUALITY ASSURANCE, ENDOSCOPE REPROCESSING, CDC INFECTION CONTROL AND STAFF COMPETENCY. THE ORTHOPAEDIC SURGERY DEPARTMENT IS RECOGNIZED FOR ITS SPECIAL CAPABILITIES IN JOINT REPLACEMENT SURGERY - INCLUDING SERVICES FOR PEOPLE WHO PREVIOUSLY HAD JOINT REPLACEMENTS. THE STAFF INCLUDES ORTHOPAEDIC SURGEONS, A HAND SURGEON AND A TEAM OF PODIATRISTS. OTHER SERVICES INCLUDE A GERIATRIC FRACTURE CARE PROGRAM, ARTHROSCOPIC SURGERY, AND TREATMENT FOR TRAUMA PATIENTS AND THOSE WITH SPORTS INJURIES. THE DEPARTMENT IS LOCATED AT 1175 EAST MOUNTAIN BLVD., A 25,200-SQUARE-FOOT FACILITY NEAR THE MAIN GWV CAMPUS WITH 33 EXAM ROOMS, 2,000-SQUARE-FOOT PHYSICAL THERAPY SUITE, 2,500-SQUARE-FOOT FITNESS CENTER, TWO TREATMENT ROOMS AND A HYDROTHERAPY ROOM. GWV WAS THE FIRST HOSPITAL TO SECURE PREMIER LEVEL RECERTIFICATION, THE HIGHEST LEVEL OF THE INTERNATIONAL GERIATRIC FRACTURE SOCIETY CORE CERTIFICATION PROGRAM RECOGNIZING EXCELLENCE FOR GERIATRIC FRACTURE CARE PROGRAMS. GWV HAS ALSO EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVALT DISEASE-SPECIFIC CARE FOR HIP FRACTURE, TOTAL HIP REPLACEMENT AND TOTAL KNEE REPLACEMENT. THE DEPARTMENT ALSO USES A MAKO ROBOTIC-ARM SURGERY SYSTEM TO PERFORM ADVANCED MINIMALLY INVASIVE ORTHOPAEDIC PROCEDURES. GEISINGER WYOMING VALLEY IS CURRENTLY UNDER CONSTRUCTION TO EXPAND AND MODERNIZE THE MEDICAL CENTER. THE PROJECT WILL CONVERT THE HOSPITAL TO 100% PRIVATE ROOMS, BUILD AN 11-STORY PATIENT TOWER, AND INCREASE THE HOSPITAL'S CAPACITY FOR EMERGENCY MEDICINE, TRAUMA CARE, CRITICAL CARE, SURGICAL SERVICES AND ADVANCED CARDIOVASCULAR PROGRAMS. THE FIRST PHASE OF THE PROJECT IS EXPECTED TO BE COMPLETE IN 2028 WITH ADDITIONAL RENOVATION CONTINUING THROUGH 2030. THE GEISINGER SOUTH WILKES-BARRE (GSWB) FACILITY, LOCATED AT 25 CHURCH STREET, WILKES-BARRE, BECAME A CAMPUS OF GWV IN 2009. GWV'S SOUTH WILKES-BARRE CAMPUS PROVIDES AMBULATORY SERVICES SUCH AS ADULT AND PEDIATRIC URGENT CARE, SAME DAY AND SHORT STAY SURGERY, AND PAIN MANAGEMENT. THE FACILITY ALSO HOUSES A SLEEP DISORDERS CENTER. THE FACILITY'S INPATIENT BEDS WERE TRANSITIONED TO MEDICAL/SURGICAL BEDS IN NOVEMBER 2018, AND GSWB RE-OPENED ITS EMERGENCY DEPARTMENT ON JULY 1, 2018 TO BEST SERVE PATIENTS IN ITS SURROUNDING COMMUNITY IN NEED OF EMERGENCY CARE. GSWB HAS A 635 SQUARE-FOOT OPERATING ROOM OUTFITTED WITH THE LATEST TECHNOLOGY, ALLOWING SURGEONS TO PERFORM MORE ADVANCED INPATIENT PROCEDURES. ADDITIONALLY, THE 14-BED SURGICAL 5 SOUTH UNIT FEATURES PRIVATE ROOMS, A PEACEFUL AMBIANCE, ADVANCED AMENITIES AND HIGHLY PERSONALIZED CARE. IN MARCH 2025, GSWB OPENED 20 ADDITIONAL MEDICAL-SURGICAL BEDS, BRINGING THE HOSPITAL'S INPATIENT BED TOTAL TO 68. RENOVATION IS CURRENTLY UNDERWAY TO EXPAND THE EMERGENCY DEPARTMENT FROM 10 TREATMENT AREAS TO 19 TREATMENT AREAS. GEISINGER WYOMING VALLEY OFFERS ADDITIONAL OUTPATIENT SERVICES AT 675 BALTIMORE DRIVE, INCLUDING AUDIOLOGY, CARDIAC REHABILITATION, ORAL SURGERY, NUTRITION, ENDOCRINOLOGY, RHEUMATOLOGY AND AN EYE WEAR CENTER. RENOVATION IS CURRENTLY UNDERWAY TO EXPAND CAPACITY FOR THESE OUTPATIENT SERVICES. GEISINGER HEALTHPLEX CENTERPOINT OPENED IN AUGUST 2022. THE 124,000 SQUARE-FOOT FACILITY LOCATED IN PITTSTON TOWNSHIP IS DESIGNED TO OFFER IMPROVED ACCESS OF IN-DEMAND SERVICES TO ITS PATIENTS IN LACKAWANNA AND LUZERNE COUNTIES. THE BUILDING HOUSES NINE CLINICAL SUITES PROVIDING SURGERY AND ENDOSCOPY, ORTHOPAEDICS, UROLOGY, OPHTHALMOLOGY AND RETAIL EYEWEAR, LABORATORY AND IMAGING, AND A HYBRID MEDICAL AND ORTHOPAEDIC CONVENIENT CARE. DESIGNED TO BRING TOGETHER SERVICES THAT COMPLEMENT EACH OTHER, SUCH AS DIAGNOSTIC IMAGING AND ORTHOPAEDICS, THE HEALTHPLEX REDUCES THE NEED FOR PATIENTS TO GO TO DIFFERENT FACILITIES FOR RELATED APPOINTMENTS. RESIDENCY AND FELLOWSHIP PROGRAMS GWV SERVES AS A TEACHING CAMPUS FOR FAMILY MEDICINE AND GENERAL SURGERY RESIDENTS AND OFFERS A SPORTS MEDICINE FELLOWSHIP PROGRAM. RESIDENTS ALSO ROTATE TO GWV FROM GEISINGER MEDICAL CENTER IN SPECIALTIES OF EMERGENCY MEDICINE, OBSTETRICS, ORTHOPAEDICS, DERMATOLOGY, RHEUMATOLOGY, FAMILY PRACTICE, GENERAL SURGERY, CARDIOLOGY, NEUROLOGY, RADIOLOGY, AND PSYCHOLOGY AND FROM GEISINGER COMMUNITY MEDICAL CENTER IN PODIATRY. GWV ALSO HAS AN AFFILIATION WITH THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION. THE WRIGHT CENTER IS AN ACCREDITED PROVIDER OF INTERNAL MEDICINE AND CARDIOVASCULAR DISEASE FELLOWSHIPS. IT IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. THE TOTAL COST OF PROVIDING THE RESIDENCY PROGRAM FOR THE YEAR ENDED DECEMBER 31, 2024 WAS $10,930,175. AWARDS AND RECOGNITIONS IN 2024: .FOUR GEISINGER HOSPITALS RECOGNIZED AS LEADERS FOR CARING FOR PEOPLE WITH DIABETES .GEISINGER FACILITIES ACHIEVE MAGNET RECOGNITION AGAIN .GEISINGER HOSPITALS RATED ABOVE THE NATIONAL AVERAGE IN LEAPFROG HOSPITAL SAFETY GRADE .GEISINGER HOSPITALS RECOGNIZED FOR MATERNAL HEALTHCARE .THREE GEISINGER HOSPITALS RECOGNIZED AS 'HIGH-PERFORMING' BY U.S. NEWS & WORLD REPORT .GEISINGER FACILITIES RECOGNIZED BY ASHE FOR ENERGY REDUCTION EFFORTS .GEISINGER HOSPITALS AWARDED GOLD, PLATINUM STATUSES FOR PROMOTING A CULTURE OF HEALTH THROUGH FOOD .GEISINGER HOSPITALS RECEIVE MULTIPLE NATIONAL RECOGNITIONS FOR HEART CARE .GEISINGER HOSPITALS RECOGNIZED FOR USE OF ADVANCED TECHNOLOGY FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT (CONTINUED) III. PROGRAM SERVICE ACCOMPLISHMENTS UNCOMPENSATED CARE: GWV RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GWV PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GWV PROVIDES FREE CARE OR SUBSIDIZED CARE, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT OR BELOW COST AND PROVIDES VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITIES WHERE GWV PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GWV IS THE DELIVERY OF HEALTHCARE 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. THE COST OF THE CHARITY CARE WAS $9,452,068. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL 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, GWV IS FURTHERING ITS CHARITABLE MISSION. THE UNREIMBURSED VALUE OF MEDICARE, MEDICAID, AND OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS $125,397,400 DURING THE YEAR ENDED DECEMBER 31, 2024. RESEARCH SUPPORT: GEISINGER WYOMING VALLEY MEDICAL CENTER CONTRIBUTED $5,973,813 TO GEISINGER CLINIC TO SUPPORT ITS CHARITABLE MISSION THROUGH MEDICAL RESEARCH ACTIVITIES AT TWO FACILITIES ON THE CAMPUS OF 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 ITS RESEARCH PROGRAMS. THE PRIMARY MISSION OF THE WEIS CENTER IS TO CONDUCT ORIGINAL AND INNOVATIVE RESEARCH THAT CONTRIBUTES NEW KNOWLEDGE TO BIOMEDICAL SCIENCE. THE CENTER'S SCIENTISTS APPLY MODERN MOLECULAR AND CELLULAR APPROACHES TO DIVERSE RESEARCH PROBLEMS IN THE AREAS OF CARDIOVASCULAR FUNCTION, CANCER AND DEVELOPMENTAL BIOLOGY. THE HENRY HOOD CENTER FOR HEALTH RESEARCH CONDUCTS HEALTH SERVICES, EPIDEMIOLOGIC AND POPULATION GENETICS RESEARCH ON THE BROAD RANGE OF CONDITIONS TYPICALLY SEEN IN PRIMARY AND SPECIALTY CARE SETTINGS. THE CENTER ALSO INVESTIGATES EXTRAMURAL SOURCES OF FUNDING FOR CLINICAL RESEARCH. TOGETHER, THE WEIS CENTER AND HENRY HOOD CENTER ARE BUILDING CAPABILITY FOR IMPROVED POPULATION-BASED GENETICS RESEARCH. IV. COMMUNITY HEALTH, EDUCATION, AND OUTREACH: GWV STRIVES TO BE A VALUABLE RESOURCE FOR THE COMMUNITY AND ITS RESIDENTS. GWV PROVIDES MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS THROUGHOUT THE YEAR THAT SERVE COMMUNITY HEALTH NEEDS AS IDENTIFIED IN COMMUNITY HEALTH NEEDS ASSESSMENTS. THESE SERVICES AND PROGRAMS INCLUDE COMMUNITY AND HEALTH PROFESSIONS EDUCATION, COMMUNITY BASED CLINICAL SERVICES, IN-KIND DONATIONS, AND OTHER UNIQUE SERVICES. A. COMMUNITY EDUCATION, CLINICAL SERVICES, HEALTH PROFESSIONS EDUCATION COMMUNITY EDUCATION IS A KEY ASPECT TO ANY INTEGRATED HEALTH CARE DELIVERY SYSTEM. GWV PROVIDES A SIGNIFICANT AMOUNT OF HEALTHCARE EDUCATION THROUGH VARIOUS COMMUNITY EDUCATION PROGRAMS SUCH AS: CPR/FIRST AID, HEALTH EXPOS, "A MATTER OF BALANCEINJURY PREVENTION PROGRAMS. GWV PARTICIPATES IN THE "STOP THE BLEED CAMPAIGN." THIS CAMPAIGN ENCOURAGES BYSTANDERS TO BECOME TRAINED, EQUIPPED, AND EMPOWERED TO HELP IN A BLEEDING EMERGENCY BEFORE PROFESSIONAL HELP ARRIVES. QUICK ACTION TO STOP OR LESSEN BLOOD LOSS CAN HELP REDUCE TRAUMA DEATHS. THE UNCOMPENSATED COST OF THESE PROGRAMS IN 2024 WAS $49,568. IN ADDITION, GWV IS CONNECTED WITH NUMEROUS AREA INSTITUTIONS, COLLEGES, AND UNIVERSITIES FOR EDUCATIONAL AND CLINICAL PROGRAMS INCLUDING, BUT NOT LIMITED TO, NURSING, MEDICAL TECHNOLOGY, PHYSICAL AND OCCUPATIONAL THERAPY, EMERGENCY MEDICAL TECHNICIANS, PHYSICIAN ASSISTANTS, SOCIAL WORK, AND HEALTHCARE ADMINISTRATION. THE UNCOMPENSATED COSTS FOR HEALTH PROFESSIONS EDUCATION WAS $4,720,141 IN THE YEAR ENDED DECEMBER 31, 2024. B. COMMUNITY BASED CLINICAL SERVICES GWV OFFERS SEVERAL COMMUNITY-BASED CLINICAL SERVICES. ITS MOST PROMINENT SERVICE IS THE MOBILE HEALTH PARAMEDIC PROGRAM WHICH DISPATCHES A PARAMEDIC TO A PATIENT'S HOME TO PROVIDE MEDICAL INTERVENTION OR FOLLOW-UP CARE, SUCH AS CHECKING VITALS, DRAWING BLOODWORK OR ADMINISTERING IV DIURETICS, WHEN THE SERVICES THE PATIENT NEEDS ARE NOT AVAILABLE THROUGH EXISTING RESOURCES. THE COST OF PROVIDING THESE AND OTHER COMMUNITY BASED CLINICAL SERVICES WAS $39,684. C. HEALTHCARE SUPPORT SERVICES GWV ASSISTS DISCHARGED PATIENTS THAT DON'T HAVE AND CAN'T AFFORD TRANSPORTATION BY HIRING AN AMBULANCE, A TAXI OR PROVIDING A BUS TICKET TO THOSE INDIVIDUALS IN NEED OF TRANSPORTATION TO OR FROM THE HOSPITAL. THE UNCOMPENSATED COST OF THESE SERVICES TOTALED $488,878 DURING THE YEAR ENDED DECEMBER 31, 2024. GWV ALSO PROVIDED SEXUAL ASSAULT VICTIMS $23,089 IN PREVENTIVE MEDICATIONS. D. CASH AND IN-KIND DONATIONS GWV SUPPORTS SEVERAL COMMUNITY HEALTH-RELATED PROGRAMS THROUGH IN-KIND USE OF FACILITIES, MEETING SPACE, AND IT SERVICES. THE RECIPIENTS OF THESE IN-KIND SERVICES INCLUDED THE LUZERNE COUNTY CHILDREN'S ADVOCACY CENTER, RONALD MCDONALD HOUSE, FAMILY ROOM AND THE NEPA PHILHARMONIC. THE IN-KIND COST OF THIS SUPPORT WAS $211,846. GWV ALSO PROVIDED FINANCIAL ASSISTANCE TO THE COMMUNITY THROUGH COMMUNITY ASSISTANCE PAYMENTS AT A COST OF $56,250, AS PAYMENTS IN LIEU OF REAL ESTATE TAXES BEING ASSESSED ON PROPERTY THAT SERVICES A CHARITABLE PURPOSE. THE PAYMENT SUPPORTS LOCAL GOVERNMENT IN PROVIDING SERVICES TO THE COMMUNITY. E. OTHER COMMUNITY BUILDING ACTIVITIES MANY OF GWV'S MANAGERS AND ADMINISTRATORS SERVE ON COMMUNITY NON-PROFIT BOARDS AND TASK FORCES AND PROVIDE INTERVIEWS TO LOCAL NEWSPAPERS AND TELEVISION NEWS TO INFORM THE PUBLIC ON IMPORTANT HEALTH ISSUES. THE COST OF OTHER COMMUNITY BUILDING ACTIVITIES WAS $2,452 DURING THE YEAR ENDED DECEMBER 31, 2024. V. VOLUNTEER SERVICES THE VOLUNTEERS OF THE GEISINGER WYOMING VALLEY MEDICAL CENTER ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF GWV. VOLUNTEERS FROM LOCAL COMMUNITIES HAVE CONTRIBUTED 16,880 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND WELLNESS PROGRAMS. THE VALUE OF THEIR TIME WAS $559,078. VI. PLANNED FUTURE ACTIVITIES WORK IS UNDERWAY ON A 600,000 SQUARE-FOOT EXPANSION AND RENOVATION AT GWV THAT WILL TRANSFORM THE DELIVERY OF HEALTHCARE IN NORTHEASTERN PENNSYLVANIA. THE EXPANSION AND RENOVATION WILL BUILD A NEW 11-STORY PATIENT TOWER AND INCREASE THE MEDICAL CENTER'S CAPACITY FOR EMERGENCY MEDICINE, CRITICAL CARE, TRAUMA CARE, SURGICAL SERVICES AND ADVANCED CARDIOVASCULAR PROGRAMS. GEISINGER WYOMING VALLEY UPGRADES WILL INCLUDE: . TRANSITIONING THE MEDICAL CENTER TO 100% PRIVATE ROOMS . 58 NEW MEDICAL/SURGICAL INPATIENT BEDS . 22 NEW EMERGENCY TREATMENT ROOMS . CREATING DEDICATED EMERGENCY ROOM (ER) SPACE FOR BEHAVIORAL HEALTH PATIENTS . EXPANDING TRAUMA CAPABILITIES . 24 NEW INTENSIVE CARE UNIT (ICU) BEDS . 6 NEW OPERATING ROOMS . REPLACING CARDIAC CATHETERIZATION LABS FOR HEART ATTACK CARE AND OTHER PROCEDURES . 2 NEW STRUCTURAL HEART ROOMS FOR VALVE PROCEDURES . EXPANDING CLINIC SPACE AND CARDIAC IMAGERY THE FIRST PHASE OF THE PROJECT, ENCOMPASSING THE BED TOWER AND ADJACENT BASE THAT EXPANDS AND RENOVATES THE ER, IS EXPECTED TO BE COMPLETED IN 2028. RENOVATIONS TO OTHER AREAS OF THE MEDICAL CENTER WILL CONTINUE THROUGH 2030. VII. DISCONTINUED ACTIVITIES THERE WERE NO DISCONTINUED ACTIVITIES IN THE YEAR ENDED DECEMBER 31, 2024. FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT (CONTINUED) VIII. COMMUNITY SERVICE SUMMARY MEDICARE/MEDICAID/OTHER GOVERNMENTAL $125,397,400 RESIDENCY AND FELLOWSHIP PROGRAMS 10,930,175 RESEARCH SUPPORT 5,973,813 CHARITY CARE 9,452,068 COMMUNITY HEALTH, EDUCATION, AND OUTREACH 5,535,658 COMMUNITY ASSISTANCE PAYMENT 56,250 VOLUNTEER SERVICES (VALUED AT 01/01/2024 559,078 PA STATEWIDE AVERAGE WEEKLY WAGE) TOTAL $157,904,442 IX. STATISTICAL SUMMARY DISCHARGES (EXCLUDING NURSERY) 21,456 AVERAGE LENGTH OF STAY (EXCLUDING NURSERY) 4.6 PERCENT OF OCCUPANCY (EXCLUDING NURSERY) 82.8% PATIENT DAYS (EXCLUDING NURSERY) 99,385 TOTAL OR SURGERIES 18,671 OUTPATIENT VISITS (INCLUDES OUTPATIENT ER VISITS) 1,052,087 OUTPATIENT EMERGENCY ROOM VISITS 57,929 LICENSED BEDS (EXCLUDING NURSERY) 328 FORM 990, PART V, LINE 1A - ADDITIONAL INFORMATION GEISINGER SYSTEM SERVICES (GSS), AN AFFILIATE OF THE ORGANIZATION, PROVIDES A CENTRALIZED ACCOUNTS PAYABLE FUNCTION FOR ALL GEISINGER ORGANIZATIONS. AS THE ACCOUNTS PAYABLE PROCESSOR, GSS PREPARES AND FILES FORM 1099 UNDER ITS EIN FOR CERTAIN REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2024 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,166. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN, IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF. FORM 990, PART VI, LINE 1A - AUTHORITY DELEGATED TO COMMITTEE EXPLANATION THERE WAS A DELEGATION OF AUTHORITY TO THE GEISINGER HEALTH EMERGENCY ACTION COMMITTEE, WHICH IS COMPRISED OF THE CHAIR OF THE BOARD, VICE CHAIR OF THE BOARD, THE PRESIDENT AND CEO (EX-OFFICIO DIRECTOR), CHAIR OF THE FINANCE COMMITTEE AND CHAIR OF THE PATIENT EXPERIENCE, ACADEMIC AFFAIRS AND QUALITY COMMITTEE. UNDER THE NONPROFIT CORPORATION LAW AND UNDER GEISINGER HEALTH'S CORPORATE BYLAWS, THE EMERGENCY ACTION COMMITTEE SHALL EXERCISE THE POWER AND AUTHORITY OF THE BOARD OF DIRECTORS TO ACT ON EMERGENCY MATTERS BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 2 - ADDITIONAL INFOMRATION BENJAMIN K. CHU, MD, MPH, MACP, GERALD V. MALONEY, DO , JAEWON RYU, MD, JD, JEFFREY A. JACOBSON, KEVIN V. ROBERTS, MBA, CPA, LORI R. GRAMLEY, ESQUIRE, RONALD BEER, MHA, FACHE, STEVEN B. BENDER, ESQUIRE, TERRY GILLILAND, MD, V. CHRIS HOLCOMBE, PE, AND VIRGINIA MCGREGOR ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. FORM 990, PART VI, LINE 6 - CLASSES OF MEMBERS OR STOCKHOLDERS THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PART VI, LINE 7A - ELECTION OF MEMBERS AND THEIR RIGHTS THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. FORM 990, PART VI, LINE 7B - DECISIONS SUBJECT TO APPROVAL OF MEMBERS 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 PENNSYLVANIA NONPROFIT CORPORATION LAW. FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE FORM 990 IS PREPARED BY KAISER FOUNDATION HEALTH PLAN, INC.'S TAX PREPARATION AND OVERSIGHT DEPARTMENT WITH INFORMATION PROVIDED FROM GEISINGER FINANCE, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. PRIOR TO FINALIZATION, THE RETURN IS REVIEWED BY PWC US TAX, LLP. THE CHIEF FINANCIAL OFFICER OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. 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 BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. FORM 990, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS POLICY THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS. AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS 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 GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF COMPLIANCE OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND/OR 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 COMMITTEE/BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE COMMITTEE/BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. FORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICIAL THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER 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 GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY 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 THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. FORM 990, PART VI, LINE 15B - COMPENSATION PROCESS FOR OFFICERS SEE SCHEDULE O RESPONSE TO FORM 990, PART VI, SECTION B, QUESTION 15A. FORM 990, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 - OTHER CHANGES IN NET ASSETS EXPLANATION TRANSFER TO PARENT, GEISINGER HEALTH $(120,000,000) TRANSFER FROM PARENT, GEISINGER HEALTH 4,643,700 GAIN ON EXTINGUISHMENT OF DEBT 20,983,389 ROUNDING (4) TOTAL $ (94,372,915) FORM 990, PART XII, LINE 3A FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH UNIFORM GUIDANCE, 2 C.F.R. PART 200, SUBPART F. FOOTNOTE: THROUGHOUT THIS DOCUMENT, THE TERMS "GEISINGER"GEISINGER HEALTH" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM COMPRISED OF GEISINGER HEALTH FOUNDATION (THE "FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATE ENTITIES COMPRISING THE HEALTH CARE SYSTEM. IN ADDITION, THROUGHOUT THIS DOCUMENT, THE TERM "SYSTEM" SHALL REFER TO THE ENTIRE HEALTH CARE SYSTEM AS PREVIOUSLY DEFINED PLUS ITS AFFILIATES. KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 941105628 HEALTH CARE CA 501(C)(3) 3 NA false KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 941340523 HEALTH CARE CA 501(C)(3) 10 NA false KAISER FDN HEALTH PLAN OF COLORADO ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 840591617 HEALTH CARE CO 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF GEORGIA INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 581592076 HEALTH CARE GA 501(C)(3) 10 KFHP INC false KAISER FOUNDATION HEALTH PLAN OF THE MAS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 520954463 HEALTH CARE MD 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF THE NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930798039 HEALTH CARE OR 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 910511770 HEALTH CARE WA 501(C)(3) 3 KFHPW HLDGS false KAISER HOSPITAL ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299125 ASSET MGMT CA 501(C)(3) 12-I KFH false KAISER HEALTH PLAN ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299124 ASSET MGMT CA 501(C)(3) 12-I KFHP INC false CAMP BOWIE SERVICE CENTER ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299123 ADMIN CA 501(C)(3) 12-I KFHP INC false LOKAHI ASSURANCE LTD ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 912171891 WC PLACEMENT HI 501(C)(3) 12-I KFHP INC false 1800 HARRISON FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943317484 FINANCING CA 501(C)(3) 12-I KFHP INC false KAISER HOSPITAL ASSISTANCE CORPORATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 311779500 FINANCING CA 501(C)(3) 12-I KFH false KAISER HEALTH ALTERNATIVES ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930954562 HEALTH CARE OR 501(C)(3) 10 KFHP INC false KP BERNARD J TYSON SCHOOL OF MEDICINE ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 814053028 MEDICAL EDUCA CA 501(C)(3) 2 KFH false KFHPW HOLDINGS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930480268 HEALTH CARE WA 501(C)(3) 12-I KFHP INC false GROUP HEALTH NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 911216856 INACTIVE WA 501(C)(3) 12-I KFHP OF WA false KAISER FDN FOR THE ADV OF INTEGRATED HC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 823819611 ADVOCACY CA 501(C)(4) N/A KFHP INC false KAISER FDN HEALTH PLAN OF NEVADA INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 372097870 HEALTH CARE DE 501(C)(4) N/A KFHP INC false KP MEDICAL FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 920685740 HEALTH CARE DE 501(C)(3) 12-I KFHP INC false KFH HOLDINGS INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 884172095 HOLDING CO DE 501(C)(3) 12-I KFH false RISANT HEALTH INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 923467590 HEALTH CARE DE 501(C)(3) 12-I RISANT HLTH false GEISINGER HEALTH 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHROPY PA 501(C)(3) 7 RISANT HLTH false COMMUNITY MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240862246 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER-BLOOMSBURG HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232193572 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER CLINIC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 236291113 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER COMMONWEALTH SCH OF MEDICINE 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 260812968 MEDICAL EDU PA 501(C)(3) 2 GH false GEISINGER COMMUNITY HEALTH SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232967235 HEALTH CARE PA 501(C)(3) 10 GSS false GEISINGER HEALTH PLAN 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232311553 HEALTH CARE PA 501(C)(4) N/A GH false GEISINGER INSURANCE CORPORATION RRG 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 141909894 INSURANCE VT 501(C)(3) 12-I GH false GEISINGER JERSEY SHORE HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240792115 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER-LEWISTOWN HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 231352187 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 240795959 HEALTH CARE PA 501(C)(3) 3 GH false GEISINGER MEDICAL CENTER MUNCY 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 851226106 HEALTH CARE PA 501(C)(3) 3 GHMJV false GEISINGER SYSTEM SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SVCS PA 501(C)(3) 12-I GH false GSL HOSPITAL 801 OSTRUM STREET BETHLEHEM PA 18015 824432109 HEALTH CARE PA 501(C)(3) 3 GH false GSLPG INC 801 OSTRUM STREET BETHLEHEM PA 18015 825423865 HEALTH CARE PA 501(C)(3) 3 GSL HOSPITAL false KEYSTONE HEALTH INFORMATION EXCHANGEINC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 464359893 HEALTH CARE PA 501(C)(3) 12-I GH false MARWORTH 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232171417 HEALTH CARE PA 501(C)(3) 3 GH false WEST SHORE ADVANCED LIFE SUPPORT SVCS 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232463002 HEALTH CARE PA 501(C)(3) 7 GC false GNJ PHYSICIANS GROUP PC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 820681884 HEALTH CARE NJ 501(C)(3) 10 GH false THE MOSES H CONE MEMORIAL HOSPITAL 1200 NORTH ELM ST GREENSBORO NC 27401 560532302 HEALTH CARE NC 501(C)(3) 12-II RISANT HLTH false THE MOSES H CONE MEMORIAL HOPS OPER CORP 1200 NORTH ELM ST GREENSBORO NC 27401 581588823 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false MOSES CONE AFFILIATED PHYSICIANS INC 1200 NORTH ELM ST GREENSBORO NC 27401 300554775 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false MOSES CONE PHYSICIAN SERVICES INC 1200 NORTH ELM ST GREENSBORO NC 27401 800249057 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false MOSES CONE MEDICAL SERVICES INC 1200 NORTH ELM ST GREENSBORO NC 27401 561714318 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false REIDSVILLE OB & GYN PHYSICIANS INC 1200 NORTH ELM ST GREENSBORO NC 27401 800217430 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false ARMC HEALTH CARE 1200 NORTH ELM ST GREENSBORO NC 27401 581681363 HEALTH CARE NC 501(C)(3) 3 MC HOSPITAL false ALAMANCE REGIONAL MEDICAL CENTER INC 1200 NORTH ELM ST GREENSBORO NC 27401 560529994 HEALTH CARE NC 501(C)(3) 3 ARMC HC false CONE HEALTH PHILANTHROPIC FOUNDATION 1200 NORTH ELM ST GREENSBORO NC 27401 581681560 FUNDRAISING NC 501(C)(3) 12-II ALAMANCE MC false ARMC PHYSICIANS CARE INC 1200 NORTH ELM ST GREENSBORO NC 27401 562095382 HEALTH CARE NC 501(C)(3) 3 ARMC HC false THE MOSES CONE - WESLEY LONG HEALTH FDN 1200 NORTH ELM ST GREENSBORO NC 27401 562001399 FUNDING NC 501(C)(3) 12-II MC HOSPITAL false ALAMANCE COMMUNITY & HEALTH FDN INC 1200 NORTH ELM ST GREENSBORO NC 27401 462505818 FUNDING NC 501(C)(3) 12-II ALAMANCE MC false REF CONE INC 20 NORTH BENBOW ROAD GREENSBORO NC 27411 991330813 REAL ESTATE NC 501(C)(3) 12-I MC HOSPITAL false NXT CAP SR LOAN FUND I LLC 191 N WACKER DR STE 1200 CHICAGO IL 60606 371651297 INVESTMENT DE NA N/A 0 0 0 0.00000 MAUI NUI ASC HOLDCO LLC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 HOLDING CO HI NA N/A 0 0 0 0.00000 KEYSTONE ACCOUNTABLE CARE ORGANIZATION 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 455484165 ACCOUNTABLE CARE PA NA N/A 0 0 0 0.00000 NSC GREENSBORO WEST 3000 RIVERCHASE GALLERIA BIRMINGHAM AL 35244 561963226 HEALTH CARE AL NA N/A 0 0 0 0.00000 GEISINGER HM JOINT VENTURE LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 831871064 HEALTH CARE PA NA N/A 0 0 0 0.00000 EVANGELICAL-GEISINGER HEALTH LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 460567687 HEALTH CARE PA NA N/A 0 0 0 0.00000 GEISINGER ENCOMPASS HEALTH LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 721398803 HEALTH CARE PA NA N/A 0 0 0 0.00000 KEYSTONE HEALTHCARE PARTNERSHIP LLC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 833134941 HEALTH CARE PA NA N/A 0 0 0 0.00000 HTA HOLDINGS LLC 1200 NORTH ELM ST GREENSBORO NC 27401 920615196 HOLDING COMPANY NC NA N/A 0 0 0 0.00000 CONE HEALTH VENTURES LLC 1200 NORTH ELM ST GREENSBORO NC 27401 920712783 INNOVATION NC NA N/A 0 0 0 0.00000 OAK TREE ASSURANCE LTD ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 030329760 INSURANCE VT NA C CORP 0 0 0.00000 false KAISER PERMANENTE INSURANCE COMPANY ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943203402 INSURANCE CA NA C CORP 0 0 0.00000 false KAISER PERMANENTE INTERNATIONAL ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943245176 CONSULTING CA NA C CORP 0 0 0.00000 false KFHP OF WASHINGTON OPTIONS INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 911467158 INSURANCE WA NA C CORP 0 0 0.00000 false GROUP HEALTH OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 911314907 INACTIVE WA NA C CORP 0 0 0.00000 false GARFIELD HEALTH SOLUTIONS EAST PVT LTD LEVEL 10 TOWER C PANCHSHIL BUSINESS BALEWADI PUNE IN 411045 ADMIN IN NA C CORP 0 0 0.00000 false GARFIELD HEALTH SOLUTIONS WEST SRL ULTRAPARK II FREE TRADE ZONE BLD 4 LAGUNILLA HEREDIA CS ADMIN CS NA C CORP 0 0 0.00000 false GEISINGER ASSURANCE COMPANY LTD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981016737 FINANCIAL CJ NA C CORP 0 0 0.00000 false GEISINGER INDEMNITY INSURANCE COMPANY 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232815174 INSURANCE PA NA C CORP 0 0 0.00000 false GEISINGER QUALITY OPTIONS INC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 204275139 INSURANCE PA NA C CORP 0 0 0.00000 false ISS SOLUTIONS INC 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 232077663 CLIN ENGINEERING PA NA C CORP 0 0 0.00000 false CARE N' CARE INSURANCE CO NORTH CAROLINA 1200 NORTH ELM ST GREENSBORO NC 27401 472847536 INSURANCE NC NA C CORP 0 0 0.00000 false WESLEY LONG COMMUNITY HEALTH SVCS INC 1200 NORTH ELM ST GREENSBORO NC 27401 561441377 HEALTH CARE NC NA C CORP 0 0 0.00000 false INSURANCE CASUALTY AND RISK ENTERPRISE PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981491204 INSURANCE CJ NA C CORP 0 0 0.00000 false PIEDMONT PRACTICE ASSOCIATES INC 1200 NORTH ELM ST GREENSBORO NC 27401 561954739 HEALTH CARE NC NA C CORP 0 0 0.00000 false true true true false false false false false false false true true true false false true false false true GEISINGER ASSURANCE COMPANY LTD P 4053108 GAAP GEISINGER CLINIC A 543956 FMV GEISINGER CLINIC C 252507 GAAP GEISINGER CLINIC K 1425921 FMV GEISINGER CLINIC L 4452524 GAAP GEISINGER CLINIC M 48267139 GAAP GEISINGER COMMONWEALTH SCHOOL OF MEDICINE A 972 FMV GEISINGER COMMUNITY HEALTH SERVICES L 1200688 GAAP GEISINGER COMMUNITY MEDICAL CENTER K 664327 FMV GEISINGER HEALTH B 120000000 GAAP GEISINGER HEALTH C 1139228 GAAP GEISINGER HEALTH L 87185 GAAP GEISINGER HEALTH M 1047220 GAAP GEISINGER HEALTH S 415674 GAAP GEISINGER HEALTH PLAN A 4169 FMV GEISINGER HEALTH PLAN L 189534087 GAAP GEISINGER INDEMNITY INSURANCE COMPANY L 33641331 GAAP GEISINGER INSURANCE CORPORATION RRG P 4200450 GAAP GEISINGER MEDICAL CENTER A 16415 FMV GEISINGER MEDICAL CENTER L 340983 GAAP GEISINGER MEDICAL CENTER M 22057371 GAAP GEISINGER PHARMACY LLC A 99061 FMV GEISINGER PHARMACY LLC M 37927972 GAAP GEISINGER QUALITY OPTIONS INC L 11945965 GAAP GEISINGER SYSTEM SERVICES A 410781 FMV GEISINGER SYSTEM SERVICES K 626518 FMV GEISINGER SYSTEM SERVICES M 119534807 GAAP ISS SOLUTIONS INC M 3036878 GAAP KAISER FOUNDATION HOSPITAL B 3251965 GAAP KAISER FOUNDATION HOSPITAL S 502341 GAAP MARWORTH L 54963 GAAP WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC M 1974558 GAAP SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS AS SHOWN IN 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 GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS.