TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JAEWON RYU MD JD...................................................................... PRESIDENT, DIRECTOR	0.0 ................. 40.0	X	X			0	8,428,472	5,867,423
(2) TERRY GILLILAND MD...................................................................... PRESIDENT, DIRECTOR	0.0 ................. 40.0	X	X			0	2,349,920	867,580
(3) KEVIN V ROBERTS MBA CPA...................................................................... EVP, CFO, TREASURER	0.0 ................. 40.0		X			0	2,685,093	66,232
(4) STEVEN B BENDER ESQUIRE...................................................................... EVP, CLO, SECRETARY	0.0 ................. 40.0		X			0	905,815	244,367
(5) RONALD BEER MHA FACHE...................................................................... DIRECTOR	0.0 ................. 40.0	X				0	876,035	116,292
(6) GERALD V MALONEY DO...................................................................... DIRECTOR	0.0 ................. 40.0	X				0	835,370	133,826
(7) MEGAN BROSIOUS...................................................................... CAO, CENTRAL REGION	40.0 ................. 0.0			X		688,185	0	110,253
(8) JENNIFER BROOKS MD...................................................................... FORMER 5 HIGHEST	0.0 ................. 40.0				X	0	733,669	34,798
(9) NATALIE SENTER MD...................................................................... FORMER 5 HIGHEST	0.0 ................. 40.0				X	0	706,615	44,554
(10) ROBERT J MOYER MD...................................................................... FORMER 5 HIGHEST	0.0 ................. 40.0				X	0	671,324	45,541
(11) HARSH PATEL MD...................................................................... FORMER 5 HIGHEST	0.0 ................. 40.0				X	0	681,494	24,711
(12) GRANT CIAVARELLA DO...................................................................... FORMER 5 HIGHEST	0.0 ................. 40.0				X	0	604,967	67,963
(13) MATTHEW VAN LEEUWE...................................................................... CAO, HOSPITAL SVCS, POP HLTH	40.0 ................. 0.0			X		184,879	383,103	76,341
(14) GINO SARTORI DO...................................................................... FORMER 5 HIGHEST	0.0 ................. 40.0				X	0	556,729	64,055
(15) MICHAEL FITZPATRICK MD...................................................................... CMO	0.0 ................. 40.0		X			0	557,956	59,259
(16) DAVID DECOSKEY DO...................................................................... FORMER 5 HIGHEST	0.0 ................. 40.0				X	0	532,419	63,527
(17) CRYSTAL K MUTHLER BSN RN...................................................................... VP, CHIEF NURSING OFFICER	40.0 ................. 0.0			X		491,920	0	38,795

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(18) KYLE YEBERNETSKY MD........................................................................ FORMER 5 HIGHEST	0.0 .......................40.0				X	0	462,210	44,399
(19) CAROL STOJINSKI MD........................................................................ FORMER 5 HIGHEST	0.0 .......................40.0				X	0	450,577	39,471
(20) JUSTIN HARK DO........................................................................ FORMER 5 HIGHEST	0.0 .......................40.0				X	0	431,523	40,181
(21) LORI R GRAMLEY ESQUIRE........................................................................ ACLO, ASSISTANT SECRETARY	0.0 .......................40.0		X			0	367,079	52,253
(22) TAMMY ANDERER CRNP PHD........................................................................ FORMER KEY EMPLOYEE	0.0 .......................40.0				X	0	330,692	74,346
(23) ANDREA WARY MED BSN RN........................................................................ VP, CANCER, WOMENS	40.0 .......................0.0			X		329,039	0	23,299
(24) ROSEMARY LEEMING MD........................................................................ FORMER OFFICER	0.0 .......................40.0				X	0	299,871	50,699
(25) CHELSEA KON DO........................................................................ PHYSICIAN, EMERGENCY MEDICINE	40.0 .......................0.0			X		60,020	225,740	36,884
(26) DARSHAN SUTHAR DO........................................................................ PHYSICIAN, GASTROENTEROLOGY	40.0 .......................0.0			X		36,957	229,933	42,129
(27) NICOLE WOLL........................................................................ VICE DEAN, FACULTY, PROF DEV	40.0 .......................0.0			X		279,115	0	28,378
(28) NICHOLAS SEBES MD........................................................................ FORMER 5 HIGHEST	0.0 .......................40.0				X	0	301,272	5,375
(29) VINCENT MARTELLO DO........................................................................ PHYSICIAN, ANESTHESIOLOGIST	40.0 .......................0.0			X		36,173	238,368	29,090
(30) THOMAS SOKOLA........................................................................ FORMER OFFICER	0.0 .......................0.0				X	0	113,029	0
(31) MATTHEW WALSH........................................................................ DIRECTOR	0.0 .......................40.0	X				0	8,926	2,890
(32) JEFFREY A JACOBSON........................................................................ CHAIR, DIRECTOR	0.25 .......................2.75	X				0	0	0
(33) V CHRIS HOLCOMBE PE........................................................................ VICE CHAIR, DIRECTOR	0.25 .......................2.75	X				0	0	0
(34) BENJAMIN K CHU MD MPH MACP........................................................................ DIRECTOR	0.25 .......................3.25	X				0	0	0
(35) VIRGINIA MCGREGOR........................................................................ DIRECTOR	0.25 .......................3.0	X				0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
EWING COLE, PO BOX 535 SOUTHEASTERN,PA193990535	ARCHITECTURE	16,397,783
THE WHITING TURNER CONTRACTING, PO BOX 17596 BALTIMORE,MD21297	CONSTRUCTION	16,255,753
MEDEFIS CONSOLIDATED, PO BOX 5068 NEW YORK,NY100875068	STAFFING	11,537,391
GEISINGER ENCOMPASS HEALTH LLC, 64 REHAB LANE DANVILLE,PA17821	MEDICAL TESTING	6,437,202
QUEST DIAGNOSTICS, PO BOX 912512 PASADENA,CA911102512	MEDICAL TESTING	5,338,986
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 80

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

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

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

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

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

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

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

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

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

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

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

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

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization GEISINGER MEDICAL CENTER

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization GEISINGER MEDICAL CENTER		Employer identification number 24-0795959

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization GEISINGER MEDICAL CENTER			Employer identification number 24-0795959
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

right arrow

Complete if the organization is described below. right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I-A

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

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

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

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

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

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

Yes No

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

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

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

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

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

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

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

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

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

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

Other activities? ...................................................................................................................

Yes

29,146

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

29,146

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1I:	OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES. LINE 1I ALSO INCLUDES $276 FLOW THROUGH LOBBYING EXPENSES FROM A PARTNERSHIP K-1.

Schedule C (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

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

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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

Yes No

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

Part III

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

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

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

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	373,673,000	361,844,000	385,529,000	372,716,000	369,232,000
b	Contributions ...	1,177,000	1,066,000	1,170,000	699,000	1,328,000
c	Net investment earnings, gains, and losses	13,235,000	15,229,000	-20,189,000	19,881,000	20,022,000
d	Grants or scholarships ...	0	0	0	0	0
e	Other expenditures for facilities and programs ...	4,642,000	4,466,000	4,666,000	7,767,000	17,866,000
f	Administrative expenses ....	0	0	0	0	0
g	End of year balance ......	383,443,000	373,673,000	361,844,000	385,529,000	372,716,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

74.340 %

Permanent endowment right arrow

18.050 %

Term endowment right arrow

7.610 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

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

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

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

Yes

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	31,583,390		31,583,390
b	Buildings ....	692,834,940	440,383,433	252,451,507
c	Leasehold improvements	4,535,570	3,651,604	883,966
d	Equipment ....	355,536,845	267,999,971	87,536,874
e	Other .....	103,368,827	15,607,201	87,761,626
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				460,217,363

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)DUE FROM AFFILIATES				4,589,136,279
(2)INVESTMENT IN JOINT VENTURE				4,348,708
(3)OTHER CURRENT ASSETS				201,714
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				4,593,686,701

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
Due to Affiliates	5,343,236,481
INVESTMENT IN JV	47,128,607
Accounts Receivable Credit Balances	4,965,896
Deposits	5,000





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	5,395,335,984
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

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

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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

Return Reference

Explanation

PART V, LINE 4 - INTENDED USES FOR ENDOWMENT FUNDS

ENDOWMENT FUNDS ARE USED BY THE GEISINGER TO SUPPORT PATIENT CARE, RESEARCH, EDUCATION, AND CAPITAL AND PROGRAM EXPENSES.

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 RETURNS. 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.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other 300 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

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

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

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

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

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

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	10,746,671		10,746,671	0.610 %
b	Medicaid (from Worksheet 3, column a) . . . . .	286,177,744	218,653,100	67,524,644	3.850 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	6,634,429	5,986,634	647,795	0.040 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	303,558,844	224,639,734	78,919,110	4.500 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	7,423,609	37,706	7,385,903	0.420 %
f	Health professions education (from Worksheet 5) . . .	52,193,431	17,817,893	34,375,538	1.960 %
g	Subsidized health services (from Worksheet 6) . . . .	857,350		857,350	0.050 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	10,037,342		10,037,342	0.570 %
j	Total. Other Benefits . .	70,511,732	17,855,599	52,656,133	3.000 %
k	Total. Add lines 7d and 7j .	374,070,576	242,495,333	131,575,243	7.500 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

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

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

201,558,645

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

257,112,296

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

-55,553,651

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1GEIS ENCOMPASS HLTH	REHABILITATION HOSPITAL SVCS.	50 %	0 %	0 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)							Other (describe)	Facility reporting group
1	GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE DANVILLE,PA17822 WWW.GEISINGER.ORG 07180100	X	X	X	X	X		A
2	GEISINGER ENCOMPASS HEALTH LLC 64 REHAB LANE DANVILLE,PA17821 WWW.ENCOMPASSHEALTH.COM 07180100	X					REHABILITATION HOSPITAL	A

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.GEISINGER.ORG

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): REFER TO RESPONSE TO 7D

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 300.%
and FPG family income limit for eligibility for discounted care of 0.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.GEISINGER.ORG

The FAP application form was widely available on a website (list url):

WWW.GEISINGER.ORG

A plain language summary of the FAP was widely available on a website (list url):
WWW.GEISINGER.ORG

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
FACILITY 1, GEISINGER MEDICAL CENTER - 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 180 INDIVIDUALS SERVING THE CENTRAL REGION, WHO REPRESENT HEALTHCARE PROVIDERS, SOCIAL SERVICES PROFESSIONALS, EDUCATORS, FAITH-BASED LEADERS, AND COMMUNITY LEADERS, AMONG OTHERS; -REGIONAL COMMUNITY FORUM BRINGING TOGETHER 39 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 MEDICAL CENTER - 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 MEDICAL CENTER - 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 MEDICAL CENTER - PART V, LINE 11	SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA CONTINUE TO BE: ACCESS TO CARE BEHAVIORAL 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 MEDICAL CENTER TACTICS: . CONTINUE DEI TRAINING FOR STAFF TO ASSURE SAFE, HIGH QUALITY AND SATISFYING EXPERIENCES FOR OUR PATIENTS AND THEIR FAMILIES. . CONTINUE TO PROMOTE AVAILABLE SERVICES IN THE RIGHT COMMUNITIES THROUGH HEALTH SCREENINGS AND OTHER COMMUNITY OUTREACH EVENTS. 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 MEDICAL CENTER TACTICS: . RELOCATION OF MULTIPLE HIGH-VOLUME SERVICES TO LOCATIONS MORE READILY ACCESSIBLE FOR PATIENTS AND THEIR FAMILIES IN THE DANVILLE COMMUNITY. . CONTINUE TO INVEST IN UPGRADING INFRASTRUCTURE AND TECHNOLOGICAL RESOURCES FOR PROVIDING CONVENIENT CLINICAL AND HOME-BASED TELEHEALTH SERVICES TO OUR PATIENTS. 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 MEDICAL CENTER TACTICS: . CONTINUE TO ENCOURAGE HIGH SCHOOL AND COLLEGE STUDENTS TO ENTER THE HEALTHCARE FIELD BY PROVIDING HIGH SCHOOL STEAM AND CAREER TOURS OF GBH, PARTICIPATE IN COLLEGE ORIENTATIONS AND HEALTH SYMPOSIUMS, AND PROVIDE VOLUNTEERISM OPPORTUNITIES. REPORT ON # OF TOURS/SCHOOLS, # OF EVENTS/COLLEGES, # OF VOLUNTEERS AND THE DEPARTMENTS SERVED. . OFFERING TRAINING AND EDUCATION PROGRAMS WHICH INCLUDE CO-OP PROGRAMS, NURSE RESIDENCY PROGRAM, MED SURG FELLOWSHIP AND ABIGAIL SCHOLARS PROGRAM, WHICH WILL HELP TO INCREASE RECRUITMENT AND RETENTION. 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 MEDICAL CENTER TACTICS: . LEVERAGE INFORMATION FROM THE DEP ON ENVIRONMENTAL JUSTICE AREAS COMBINED WITH CHRONIC HEALTH DISEASE AND OTHER KEY DEMOGRAPHICS TO BRING EDUCATION, SERVICES, AND COMMUNITY IMPROVEMENTS TO OUR AREA. 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 MEDICAL CENTER TACTICS: . ENDORSE THE USE OF 988 SUICIDE LINE. . DEVELOPMENT AND DEPLOYMENT OF COMMUNITY TRAINING PROGRAMS FOR MENTAL HEALTH. 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 MEDICAL CENTER TACTICS: . COMPLETION OF A BEHAVIORAL HEALTH EDUCATION NEEDS ASSESSMENT WITH THE INSTITUTE PA. . INCREASE COLLABORATION WITH CMSU TO SUPPORT PEDIATRIC PATIENTS. . EXECUTION OF THE PROJECTAWARE GRANT TO INCREASE MENTAL HEALTH SERVICES WITH 17 SCHOOL DISTRICTS IN CENTRAL PA. . REORGANIZE OUTPATIENT SERVICES TO CREATE ONSITE AND VIRTUAL RESOURCES DEDICATED TO COLUMBIA/MONTOUR. 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 MEDICAL CENTER TACTICS: . GEISINGER ENCOMPASS HEALTH TO OFFER (3) DISEASE-SPECIFIC SUPPORT GROUPS MONTHLY, PROMOTING EDUCATION, SUPPORT, AND COMMUNITY REINTEGRATION. . HIRING OF CERTIFIED RECOVERY SPECIALISTS AND/OR PEER SUPPORT TO AUGMENT THE PROVIDER TEAMS. 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.
FACILITY 1, GEISINGER MEDICAL CENTER - PART V, LINE 11 (CONT.)	GEISINGER MEDICAL CENTER TACTICS: . GEISINGER ENCOMPASS HEALTH TO OFFER MONTHLY STROKE EDUCATION AND BLOOD PRESSURE SCREENINGS AT SENIOR CENTERS, SERVICE ORGANIZATIONS, ETC. . SUPPORT THE ZING543210 PROGRAM. . CONTINUE TO SUPPORT HEALTH OF OUR STAFF AND THE COMMUNITY THROUGH WELLNESS EVENTS BOTH PHYSICAL AND MENTAL. OBJECTIVE: REDUCE DISPARITIES 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 MEDICAL CENTER TACTICS: . LEVERAGE INFORMATION FROM THE DEP ON ENVIRONMENTAL JUSTICE AREAS COMBINED WITH CHRONIC HEALTH DISEASE AND OTHER KEY DEMOGRAPHICS TO ESTABLISH A LIST OF RECOMMENDATIONS TO BRING EDUCATION, SERVICES, AND COMMUNITY IMPROVEMENTS TO OUR AREA.
FACILITY 1, GEISINGER MEDICAL CENTER - 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 MEDICAL CENTER - 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 MEDICAL CENTER - PART V, LINE 20E	REFER TO RESPONSE FOR PART III, SECTION C, LINE 9B

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

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

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
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 EXPENSE 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 $166,449,195 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 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. 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. 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 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 CENTRAL REGION OF PENNSYLVANIA. THE CENTRAL REGION IS COMPRISED OF SIX RURAL PENNSYLVANIA COUNTIES: COLUMBIA, MONTOUR, NORTHUMBERLAND, SCHUYLKILL, SNYDER, AND UNION. THE CENTER FOR RURAL PENNSYLVANIA DEFINES A COUNTY AS RURAL WHEN POPULATION DENSITY, OR THE NUMBER OF PEOPLE PER SQUARE MILE WITHIN THE COUNTY, IS FEWER THAN 291. NORTHUMBERLAND AND SCHUYLKILL COUNTIES ARE THE MOST POPULATION DENSE (206 AND 190, RESPECTIVELY) COUNTIES. OTHER CENTRAL REGION COUNTIES HAVE SIMILAR POPULATION DENSITY OF 121 TO 142. OUR COMMUNITY AND RESIDENTS CONSISTENT WITH PENNSYLVANIA OVERALL, THE CENTRAL REGION IS AGING, WITH A SIGNIFICANT INCREASE IN THE NUMBER OF OLDER ADULTS FROM 2010 TO 2021 IN ALL COUNTIES. IN CONTRAST, THE YOUTH POPULATION DECLINED ACROSS ALL COUNTIES BY AN AVERAGE OF APPROXIMATELY 7% FROM 2010 TO 2021. MONTOUR AND SNYDER COUNTIES WERE THE ONLY COUNTIES TO SEE POPULATION GROWTH, ALTHOUGH GROWTH WAS MODEST AT AN ESTIMATED <2%. MONTOUR, NORTHUMBERLAND, AND SCHUYLKILL ARE AMONG THE OLDEST COUNTIES IN THE REGION; APPROXIMATELY ONE IN FIVE RESIDENTS ARE AGED 65 OR OLDER AND MEDIAN AGES ARE NEARLY THREE YEARS OLDER THAN THE STATE MEDIAN. IT IS WORTH NOTING THAT THE POPULATION OF RESIDENTS AGED 65 OR OLDER OUTPACES THE NATIONAL ESTIMATE OF 16% IN NEARLY ALL ZIP CODES ACROSS THE REGION. CENTRAL REGION COUNTIES ARE MAJORITY WHITE COMMUNITIES WITH LESS RACIAL DIVERSITY THAN STATE AND NATIONAL BENCHMARKS. UNION COUNTY BENEFITS FROM THE MOST POPULATION DIVERSITY WITH 13% OF RESIDENTS IDENTIFYING WITH A RACE OTHER THAN WHITE AND 6% IDENTIFYING AS LATINX (ANY RACE). UNION COUNTY IS HOME TO THE LEWISBURG PENITENTIARY, A FEDERAL FACILITY WITH AN ESTIMATED INMATE POPULATION OF 1,284. POPULATION DIVERSITY AND SOCIOECONOMIC DISPARITIES BETWEEN RACIAL GROUPS IN UNION COUNTY REFLECT, IN PART, DEEPER INSTITUTIONAL INEQUITIES. AVAILABLE DATA PROVIDED BY THE SENTENCING PROJECT REVEAL THAT BLACK AMERICANS ARE IMPRISONED AT A RATE THAT IS ROUGHLY FIVE TIMES THE RATE OF WHITE AMERICANS. LATINX INDIVIDUALS ARE INCARCERATED IN STATE PRISONS AT A RATE THAT IS 1.3 TIMES THE INCARCERATION RATE OF WHITES. CONSISTENT WITH STATE AND NATIONAL TRENDS, POPULATION DIVERSITY IS INCREASING WITHIN THE REGION, THOUGH ONLY MARGINALLY. MONTOUR COUNTY EXPERIENCED A FOUR-PERCENTAGE POINT DECLINE IN THE WHITE POPULATION FROM 2010 TO 2021, THE LARGEST OF ANY COUNTY IN THE REGION. INCOME AND WORK ALL CENTRAL REGION COUNTIES HAVE LOWER MEDIAN HOUSEHOLD INCOMES THAN STATE AND NATIONAL MEDIANS, ALTHOUGH COUNTY-WIDE POVERTY LEVELS ARE ONLY ELEVATED IN COLUMBIA (15% COMPARED TO 12% AND 13% RESPECTIVELY). COLUMBIA AND SCHUYLKILL COUNTIES HAVE THE HIGHEST PERCENTAGES OF CHILDREN IN POVERTY, OUTPACING THE STATE AND THE NATION, AT 18% AND 19% RESPECTIVELY. OVERALL, DESPITE A DRAMATIC UPTICK IN UNEMPLOYMENT RATES AT THE HEIGHT OF THE COVID-19 PANDEMIC, UNEMPLOYMENT RATES ARE DOWN, LOWER EVEN THAN PRE-PANDEMIC LEVELS IN MOST PLACES. HOWEVER, REPORTS OF FINANCIAL HARDSHIP REMAIN. ALICE AND POVERTY DATA DEMONSTRATE THAT ALTHOUGH PEOPLE ARE WORKING, MANY STILL DO NOT HAVE ENOUGH MONEY TO MEET THEIR BASIC NEEDS, OR TO DO SO WITHOUT THE FEAR OF AN UNEXPECTED EXPENSE. THE PERCENTAGE OF PEOPLE IN THE REGION EXPERIENCING POVERTY CONTINUED A SLOW, DOWNWARD TREND, BUT ALICE HOUSEHOLDS HAVE INCREASED. WHEN ANALYZED BY ZIP CODE, POCKETS OF HIGH POVERTY ARE LARGELY SEEN WITHIN NORTHUMBERLAND AND SCHUYLKILL COUNTIES. CHILDREN ARE HISTORICALLY DISPROPORTIONATELY AFFECTED BY POVERTY, AND WITHIN COMMUNITIES INCLUDING SHAMOKIN, MOUNT CARMEL, MAHANOY CITY, SHENANDOAH, AND GIRARDVILLE, APPROXIMATELY ONE-THIRD TO NEARLY HALF OF 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. UNION COUNTY HAS THE MOST SIGNIFICANT SOCIOECONOMIC DISPARITIES BETWEEN RACIAL GROUPS; ONLY 10% OF WHITE RESIDENTS LIVE IN POVERTY COMPARED TO 42% OF BLACK RESIDENTS AND A STAGGERING 78% OF LATINX RESIDENTS. THIS DISPARITY REFLECTS, IN PART, THE INMATE POPULATION AT THE LEWISBURG PENITENTIARY. EDUCATION HIGH SCHOOL GRADUATION IS ONE OF THE STRONGEST PREDICTORS OF LONGEVITY AND ECONOMIC STABILITY. WITHIN CENTRAL REGION COMMUNITIES, APPROXIMATELY 89% OF ADULTS GRADUATED HIGH SCHOOL, A SLIGHTLY LOWER PROPORTION THAN THE STATE OVERALL. OUTSIDE OF MONTOUR COUNTY, 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, CENTRAL REGION RESIDENTS ARE 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 HOME OWNERSHIP POSSIBLE. THE CENTRAL REGION IS NO EXCEPTION TO THESE TRENDS. SCHUYLKILL AND SNYDER COUNTIES HAVE THE HIGHEST PERCENTAGE OF HOMEOWNERS AND BOAST THE LOWEST PERCENTAGES OF COST-BURDENED HOMEOWNERS, MEANING THAT HOUSING COSTS ARE RELATIVELY AFFORDABLE; HOWEVER, APPROXIMATELY 20% OF HOMEOWNERS AND ONE-THIRD OR MORE OF RENTERS IN THESE COUNTIES STILL MEET THE CRITERIA OF BEING COST-BURDENED. 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 CENTRAL REGION HAVE DEMONSTRATED RESILIENCE IN PRIORITIZING PHYSICAL ACTIVITY. MONTOUR, NORTHUMBERLAND, AND SNYDER COUNTIES ARE FAR BELOW COLUMBIA AND UNION 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 POSTPANDEMIC, CONTINUING AN OVERALL DOWNWARD TREND, BUT THE IMPACT OF THIS EXPERIENCE ON LONG-TERM HEALTH OUTCOMES SHOULD CONTINUE TO BE MONITORED. ACROSS THE CENTRAL REGION IN 2021, APPROXIMATELY 1 IN 10 RESIDENTS WERE ESTIMATED TO BE FOOD INSECURE.
PART VI, LINE 4 - COMMUNITY INFORMATION (CONT.)	THE PERCENTAGE OF CHILDREN WHO EXPERIENCE FOOD INSECURITY OUTPACES THAT FOR ADULTS, BUT THE PERCENTAGE OF CHILDREN EXPERIENCING FOOD INSECURITY DECLINED MORE RAPIDLY IN RECENT YEARS THAN THE PERCENTAGE OF ALL RESIDENTS. THIS FINDING OFFERS THE HOPEFUL IMPLICATION THAT CHILDREN ARE BEING REACHED EVEN MORE WITH THE SERVICES THEY NEED. EFFORTS TO REACH RESIDENTS MAY HAVE BEEN HELPED BY THE PANDEMIC EXPERIENCE, WHICH INCREASED RECOGNITION OF PEOPLE'S WIDESPREAD STRUGGLES TO MEET BASIC NEEDS AND INCREASED AVAILABILITY AND AWARENESS OF RESOURCES TO MEET THOSE NEEDS. IT IS WORTH NOTING DISPARITIES AMONG INDIVIDUALS WITH LOW INCOME LIVING IN UNION COUNTY. UNION COUNTY OVERALL HAS A SIMILAR PROPORTION OF RESIDENTS LIVING IN POVERTY AND/OR EXPERIENCING FOOD INSECURITY AS NEIGHBORING COMMUNITIES, BUT APPROXIMATELY 11% OF RESIDENTS WITH LOW INCOME DO NOT LIVE CLOSE TO A GROCERY STORE, THE HIGHEST PROPORTION IN THE REGION. UNION COUNTY'S RURAL STATUS LIKELY CONTRIBUTES TO RESIDENTS' - INCLUDING LOW-INCOME RESIDENTS' - DISTANCE FROM GROCERY STORES, COMPOUNDING HEALTH AND FINANCIAL HARDSHIPS. 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. RESIDENTS OF THE CENTRAL REGION GENERALLY HAVE SLIGHTLY LOWER DIGITAL ACCESS AS COMPARED TO STATE AND NATIONAL BENCHMARKS. HOWEVER, DEEPER ANALYSIS REVEALS THAT IN SOME SMALLER COMMUNITIES, FEWER THAN 65% OF RESIDENTS HAVE RELIABLE INTERNET ACCESS. IN DEWART IN DELAWARE TOWNSHIP, NORTHUMBERLAND COUNTY, ONLY 22% OF RESIDENTS HAVE RELIABLE INTERNET ACCESS.
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.

Schedule H (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

Yes

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

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

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

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

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

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

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

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

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

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

Yes

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

Yes

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

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JAEWON RYU MD JD PRESIDENT, DIRECTOR	(i) (ii)	0 ------------- 2,822,318	0 ------------- 3,931,000	0 ------------- 1,675,154	0 ------------- 5,848,696	0 ------------- 18,727	0 ------------- 14,295,895	0 ------------- 1,316,166
2TERRY GILLILAND MD PRESIDENT, DIRECTOR	(i) (ii)	0 ------------- 2,212,113	0 ------------- 0	0 ------------- 137,807	0 ------------- 836,806	0 ------------- 30,774	0 ------------- 3,217,500	0 ------------- 0
3KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER	(i) (ii)	0 ------------- 1,749,843	0 ------------- 525,000	0 ------------- 410,250	0 ------------- 24,306	0 ------------- 41,926	0 ------------- 2,751,325	0 ------------- 0
4STEVEN B BENDER ESQUIRE EVP, CLO, SECRETARY	(i) (ii)	0 ------------- 708,600	0 ------------- 0	0 ------------- 197,215	0 ------------- 209,306	0 ------------- 35,061	0 ------------- 1,150,182	0 ------------- 167,904
5RONALD BEER MHA FACHE DIRECTOR	(i) (ii)	0 ------------- 464,048	0 ------------- 75,000	0 ------------- 336,987	0 ------------- 73,699	0 ------------- 42,593	0 ------------- 992,327	0 ------------- 48,140
6GERALD V MALONEY DO DIRECTOR	(i) (ii)	0 ------------- 720,238	0 ------------- 0	0 ------------- 115,132	0 ------------- 98,569	0 ------------- 35,257	0 ------------- 969,196	0 ------------- 62,504
7MEGAN BROSIOUS CAO, CENTRAL REGION	(i) (ii)	451,691 ------------- 0	100,000 ------------- 0	136,494 ------------- 0	71,306 ------------- 0	38,947 ------------- 0	798,438 ------------- 0	47,229 ------------- 0
8JENNIFER BROOKS MD FORMER 5 HIGHEST	(i) (ii)	0 ------------- 658,498	0 ------------- 1,750	0 ------------- 73,421	0 ------------- 24,306	0 ------------- 10,492	0 ------------- 768,467	0 ------------- 0
9NATALIE SENTER MD FORMER 5 HIGHEST	(i) (ii)	0 ------------- 378,005	0 ------------- 0	0 ------------- 328,610	0 ------------- 24,306	0 ------------- 20,248	0 ------------- 751,169	0 ------------- 0
10ROBERT J MOYER MD FORMER 5 HIGHEST	(i) (ii)	0 ------------- 529,829	0 ------------- 0	0 ------------- 141,495	0 ------------- 24,306	0 ------------- 21,235	0 ------------- 716,865	0 ------------- 0
11HARSH PATEL MD FORMER 5 HIGHEST	(i) (ii)	0 ------------- 424,422	0 ------------- 5,000	0 ------------- 252,072	0 ------------- 24,306	0 ------------- 405	0 ------------- 706,205	0 ------------- 0
12GRANT CIAVARELLA DO FORMER 5 HIGHEST	(i) (ii)	0 ------------- 490,961	0 ------------- 0	0 ------------- 114,006	0 ------------- 24,306	0 ------------- 43,657	0 ------------- 672,930	0 ------------- 0
13MATTHEW VAN LEEUWE CAO, HOSPITAL SVCS, POP HLTH	(i) (ii)	165,529 ------------- 239,378	0 ------------- 75,000	19,350 ------------- 68,725	51,113 ------------- 15,111	4,213 ------------- 5,904	240,205 ------------- 404,118	6,538 ------------- 0
14GINO SARTORI DO FORMER 5 HIGHEST	(i) (ii)	0 ------------- 535,284	0 ------------- 0	0 ------------- 21,445	0 ------------- 24,306	0 ------------- 39,749	0 ------------- 620,784	0 ------------- 0
15MICHAEL FITZPATRICK MD CMO	(i) (ii)	0 ------------- 528,524	0 ------------- 0	0 ------------- 29,432	0 ------------- 24,306	0 ------------- 34,953	0 ------------- 617,215	0 ------------- 0
16DAVID DECOSKEY DO FORMER 5 HIGHEST	(i) (ii)	0 ------------- 505,583	0 ------------- 2,125	0 ------------- 24,711	0 ------------- 24,306	0 ------------- 39,221	0 ------------- 595,946	0 ------------- 0
17CRYSTAL K MUTHLER BSN RN VP, CHIEF NURSING OFFICER	(i) (ii)	405,763 ------------- 0	75,000 ------------- 0	11,157 ------------- 0	24,306 ------------- 0	14,489 ------------- 0	530,715 ------------- 0	0 ------------- 0
18KYLE YEBERNETSKY MD FORMER 5 HIGHEST	(i) (ii)	0 ------------- 226,776	0 ------------- 0	0 ------------- 235,434	0 ------------- 24,306	0 ------------- 20,093	0 ------------- 506,609	0 ------------- 0
19CAROL STOJINSKI MD FORMER 5 HIGHEST	(i) (ii)	0 ------------- 338,492	0 ------------- 1,000	0 ------------- 111,085	0 ------------- 24,306	0 ------------- 15,165	0 ------------- 490,048	0 ------------- 0
20JUSTIN HARK DO FORMER 5 HIGHEST	(i) (ii)	0 ------------- 339,889	0 ------------- 0	0 ------------- 91,634	0 ------------- 24,306	0 ------------- 15,875	0 ------------- 471,704	0 ------------- 0
21LORI R GRAMLEY ESQUIRE ACLO, ASSISTANT SECRETARY	(i) (ii)	0 ------------- 338,553	0 ------------- 0	0 ------------- 28,526	0 ------------- 24,306	0 ------------- 27,947	0 ------------- 419,332	0 ------------- 0
22TAMMY ANDERER CRNP PHD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 313,163	0 ------------- 0	0 ------------- 17,529	0 ------------- 54,780	0 ------------- 19,566	0 ------------- 405,038	0 ------------- 0
23ANDREA WARY MED BSN RN VP, CANCER, WOMENS	(i) (ii)	324,686 ------------- 0	0 ------------- 0	4,353 ------------- 0	22,520 ------------- 0	779 ------------- 0	352,338 ------------- 0	0 ------------- 0
24ROSEMARY LEEMING MD FORMER OFFICER	(i) (ii)	0 ------------- 273,264	0 ------------- 1,750	0 ------------- 24,857	0 ------------- 21,227	0 ------------- 29,472	0 ------------- 350,570	0 ------------- 0
25CHELSEA KON DO PHYSICIAN, EMERGENCY MEDICINE	(i) (ii)	33,970 ------------- 128,372	0 ------------- 0	26,050 ------------- 97,368	0 ------------- 14,716	12,995 ------------- 9,173	73,015 ------------- 249,629	0 ------------- 0
26DARSHAN SUTHAR DO PHYSICIAN, GASTROENTEROLOGY	(i) (ii)	36,325 ------------- 223,074	0 ------------- 0	632 ------------- 6,859	0 ------------- 15,215	17,335 ------------- 9,579	54,292 ------------- 254,727	0 ------------- 0
27NICOLE WOLL VICE DEAN, FACULTY, PROF DEV	(i) (ii)	276,327 ------------- 0	0 ------------- 0	2,788 ------------- 0	18,376 ------------- 0	10,002 ------------- 0	307,493 ------------- 0	0 ------------- 0
28NICHOLAS SEBES MD FORMER 5 HIGHEST	(i) (ii)	0 ------------- 41,051	0 ------------- 0	0 ------------- 260,221	0 ------------- 2,100	0 ------------- 3,275	0 ------------- 306,647	0 ------------- 62,500
29VINCENT MARTELLO DO PHYSICIAN, ANESTHESIOLOGIST	(i) (ii)	35,928 ------------- 185,458	0 ------------- 10,000	245 ------------- 42,910	0 ------------- 15,213	7,847 ------------- 6,030	44,020 ------------- 259,611	0 ------------- 0
30THOMAS SOKOLA FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 113,029	0 ------------- 0	0 ------------- 0	0 ------------- 113,029	0 ------------- 19,159

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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 MEGAN BROSIOUS 0 47,229 0 MATTHEW VAN LEEUWE 0 44,038 0 NICHOLAS SEBES, MD 0 228,941 0 THOMAS SOKOLA 0 113,029 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.
PART I, LINE 8 - PURSUANT TO CONTRACT PER REGS. SECTION 53.4958-4(A)(3)	THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

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

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

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

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No
(1) MATTHEW VAN LEEUWE	KEY EMPLOYEE	RECRUITMENT		X	50,000	7,016		No	Yes		Yes



Total ............... $						7,016

Part III

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) (Rev. 1-2025)

Page 2

Part IV

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

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

Supplemental Information
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Schedule L (Form 990) (Rev. 1-2025)

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SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

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FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT	I. GENERAL PROGRAM SERVICE INFORMATION SINCE 1915, GEISINGER MEDICAL CENTER (GMC), A 501(C)(3) NOT-FOR-PROFIT CORPORATION, HAS BEEN PROVIDING HIGH-QUALITY HEALTHCARE SERVICES TO MORE THAN TWO MILLION RESIDENTS IN CENTRAL AND NORTHEAST PENNSYLVANIA. GEISINGER IS HOME TO SOME OF THE MOST ADVANCED TECHNOLOGY IN THE COUNTRY, INCLUDING A LEVEL I TRAUMA CENTER, THE REGION'S LONE PEDIATRIC TRAUMA CENTER, THE RENOWNED JANET WEIS CHILDREN'S HOSPITAL, THE STATE-OF-THE-ART HOSPITAL FOR ADVANCED MEDICINE AND CLINICAL RESEARCH FACILITIES. LOCATED IN DANVILLE, PENNSYLVANIA, A PREDOMINANTLY RURAL AREA, GMC OPERATES A 541 BED FACILITY ALONG WITH A 48 BED HOSPITAL LOCATED IN COAL TOWNSHIP, PENNSYLVANIA. PHYSICIANS IN PENNSYLVANIA AND THE SURROUNDING STATES REFER THEIR MOST COMPLEX CASES TO GEISINGER MEDICAL CENTER WHERE THE EXISTENCE OF QUATERNARY HEALTHCARE IN A GENERALLY RURAL AND MEDICALLY UNDERSERVED POPULATION IS UNCOMMON. GMC'S LIFE FLIGHT IS THE LEADER IN MEDICAL AIR TRANSPORTATION IN THE REGION SPECIALIZING IN TRANSPORTING CRITICAL CARE PATIENTS, INCLUDING PREMATURE NEWBORNS, CARDIAC PATIENTS, ORGAN TRANSPLANT PATIENTS AND ACCIDENT VICTIMS. A. SPECIALTIES AND SUBSPECIALTIES GEISINGER CLINIC PHYSICIANS PRACTICING AT GMC PROVIDE SKILLED SERVICES IN NUMEROUS SPECIALTY AND SUBSPECIALTY AREAS. SPECIAL SERVICES AVAILABLE INCLUDE, BUT ARE NOT LIMITED TO: ADULT & PEDIATRIC TRAUMA CENTER MATERNAL FETAL MEDICINE ADULT MEDICAL ONCOLOGY MICROBIOLOGY AERO-MEDICAL SERVICES MINIMALLY INVASIVE SURGERY ACUTE INTERVENTION IN MOHS SURGERY MYOCARDIAL INFRACTION MOLECULAR DIAGNOSTICS ANTICOAGULATION CLINIC MOVEMENT DISORDERS BACLOFEN PUMPS NEUROENDOVASCULAR BONE ANCHORED HEARING AID, BAHA NEUROMUSCULAR BALANCE CENTER NEUROPSYCH BARIATRIC SURGERY NEUROPATHOLOGY BLOOD BANK NEUROPHYSIOLOGY BLOOD CONSERVATION NEUROSTIMULATORS BODY CONTOURING NEUROTRAUMA BRAIN TUMOR NUCLEAR STRESS TESTING BREAST SURGERY OPEN HEART SURGERY CANCER GENETICS CLINIC OPHTHALMOLOGY: GLAUCOMA, CAPSULE ENDOSCOPY RETINAL, PEDIATRIC, CARDIAC CAT SCAN ANGIOGRAPHY CORNEA, GENERAL CARDIAC MRI TESTING OPHTHALMOPLASTIC SURGERY CAROTID STENTING ORTHOPAEDICS: TRAUMA, SPINE, HAND CAT SCAN CARDIAC SCORING SPORTS MEDICINE: PEDIATRIC, CAT SCAN JOINT, FOOT/ANKLE, GENERAL CHEMISTRY ORTHOPAEDIC ONCOLOGY CHEMO-EMBOLIZATION OF LIVER PEDIATRIC CONGENITAL HEART SURGERY AND KIDNEY CANCER PEDIATRIC GENETICS CLEFT PALATE CLINIC PEDIATRIC MEDICAL ONCOLOGY COAGULATION PEDIATRIC NEURODEVELOPMENT COCHLEAR IMPLANT PEDIATRIC OBESITY COLORECTAL SURGERY PEDIATRIC REHABILITATION CORNEAL TRANSPLANTS PEDIATRIC SURGERY CYTOLOGY PEDIATRIC UROLOGY DEEP BRAIN STIMULATION PEDIATRIC COCHLEAR IMPLANT DERMATOPATHOLOGY PEDIATRIC NEUROLOGY/NEUROSURGERY ECHOCARDIOGRAPHY PET SCANS ELECTROPHYSIOLOGY PODIATRY EMERGENCY SERVICES PRE-SURGERY CENTER ENDOVASCULAR PROCEDURES PSYCHIATRY, ADOLESCENCE ENDOVASCULAR GRAFT IMPLANTS RADIATION ONCOLOGY EPILEPSY REGIONAL ANESTHESIA PROGRAM EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY RENAL DENERVATION GYNONCOLOGY ROBOTIC SURGERY GYNECOLOGIC & UROPATHOLOGY SKULL BASE SURGERY HEAD AND NECK ONCOLOGY SLEEP DISORDERS LABORATORY HEADACHE SPINAL BIFIDA CLINIC HEART FAILURE SPINAL CORD INJURY HEMATOLOGY SPINE SURGERY HEMATOPATHOLOGY SPINE ASSESSMENT PROGRAM HEPATIC INTRA-ARTERIAL CHEMOTHERAPY STEM CELL TRANSPLANT HIGH DOSE INTERLEUKIN-2 THERAPY STEREOTACTIC RADIOSURGERY HIGH DOSE RATE INTRACAVITARY STRETTA, LASER PROCEDURE BRACHYTHERAPY STROKE/TELE-STROKE IMMUNOLOGY SURGICAL ONCOLOGY: COLON, LIVER, INFERTILITY PANCREAS, ESOPHAGEAL, & RENAL INTENSIVE O/P PSYCHIATRIC PROGRAM SURGICAL PATHOLOGY INTERVENTIONAL PAIN MANAGEMENT TRANSCATHETER AORTIC VALVE INTERVENTIONAL RADIOLOGY IMPLEMENTATION INTRA-OPERATIVE HEPATIC ULTRASOUND TISSUE BANKING AND RADIOFREQUENCY ABLATION OF TRAUMATIC BRAIN INJURY LIVER TUMORS TOXICOLOGY KIDNEY, LIVER & PANCREAS TRANSPLANTS TRAUMA SURGERY LASER SURGERY, YAG LASER UROGYNECOLOGY LVAD, LEFT VENTRICULAR ASSIST DEVICE VAGAL NERVE STIMULATORS MAGNETIC RESONANCE IMAGING WOUND CARE MEDICATION THERAPY MANAGEMENT PROGRAM B. RESIDENCY, FELLOWSHIP AND ALLIED HEALTH PROGRAMS GMC CONDUCTS 32 GRADUATE MEDICAL EDUCATION RESIDENCY PROGRAMS AND 26 FELLOWSHIP PROGRAMS. THERE WERE 607 GRADUATE PHYSICIANS PARTICIPATING IN THESE PROGRAMS IN THE YEAR ENDED DECEMBER 31, 2024. PROGRAM SPECIALTIES ARE AS FOLLOWS BUT ARE NOT LIMITED TO: RESIDENCY PROGRAMS: ANESTHESIOLOGY OBSTETRICS & GYNECOLOGY CHILD NEUROLOGY OPHTHALMOLOGY CLINICAL PSYCHOLOGY ORAL & MAXILLOFACIAL SURGERY COLON & RECTAL SURGERY ORTHOPAEDIC SURGERY DERMATOLOGY OTOLARYNGOLOGY DIAGNOSTIC RADIOLOGY PATHOLOGY INTERVENTIONAL RADIOLOGY INTEGRATED PEDIATRIC DENTISTRY EMERGENCY MEDICINE PEDIATRICS FAMILY MEDICINE PHYSICAL MEDICINE & REHAB. GENERAL SURGERY PLASTIC SURGERY INTERNAL MEDICINE PODIATRY INTERNAL MEDICINE - PEDIATRICS UROLOGY NEUROLOGY TRANSITIONAL YEAR NEUROSURGERY VASCULAR SURGERY FELLOWSHIP PROGRAMS: DERMATOPATHOLOGY HEMATOLOGY AND ONCOLOGY MICROGRAPHIC SURGERY & HOSPICE & PALLIATIVE MEDICINE DERMATOLOGIC ONCOLOGY INFECTIOUS DISEASE INTERVENTIONAL RADIOLOGY INTERVENTIONAL CARDIOLOGY SPORTS MEDICINE NEPHROLOGY ADDICTION MEDICINE PULMONARY MEDICINE SURGICAL CRITICAL CARE RHEUMATOLOGY VASCULAR SURGERY SLEEP MEDICINE CARDIOVASCULAR MEDICINE MEDICAL PHYSICS CLINICAL CARDIAC ELECTROPHYSIOLOGY VASCULAR NEUROLOGY CLINICAL INFORMATICS MATERNAL FETAL MEDICINE CRITICAL CARE MEDICINE CYTOPATHOLOGY GASTROENTEROLOGY PEDIATRIC SPORTS MEDICINE GMC OPERATED TWO SCHOOLS OF ALLIED HEALTH EDUCATION. THESE SCHOOLS ARE OPERATED WITHIN GMC IN CONJUNCTION WITH VARIOUS COLLEGES AND UNIVERSITIES. IN ADDITION TO CLASSROOM TIME, STUDENTS CONTRIBUTE CLINICAL EDUCATION HOURS AS AN INTEGRAL PART OF THEIR CURRICULUM. DURING THE YEAR ENDED DECEMBER 31, 2024, THE CHAPLAIN SCHOOL HAD ONE STUDENT AND THE PHARMACY RESIDENCY PROGRAM HAD NINE STUDENTS. THE TOTAL COST TO GMC OF PROVIDING RESIDENCY, FELLOWSHIP, ALLIED HEALTH, AND RELATED EDUCATION PROGRAMS, NET OF THIRD-PARTY REIMBURSEMENTS WAS $34,375,538.
FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT (CONTINUED)	C. TRAUMA CARE IN OCTOBER 1986 GMC WAS DESIGNATED BY THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION AS A REGIONAL RESOURCE TRAUMA CENTER (LEVEL I) BASED ON THE PROVISION OF COMPREHENSIVE TRAUMA CARE 24 HOURS A DAY AND THE CONDUCT OF OUTREACH, EDUCATIONAL AND RESEARCH PROGRAMS IN TRAUMA CARE. IN 1996, THE PENNSYLVANIA TRAUMA SYSTEMS FOUNDATION ACCREDITED GMC AS ADDITIONAL QUALIFICATIONS IN PEDIATRICS. GMC HAS BEEN ACCREDITED AS A LEVEL II PEDIATRIC TRAUMA CENTER. THE TRAUMA CENTER INCLUDES LIFE FLIGHT, A MULTIPLE AIRCRAFT, REGIONAL HELICOPTER SERVICE. LIFE FLIGHT PROVIDES RAPID RESPONSE TO CRITICALLY ILL PATIENTS WHO NEED ADVANCE LIFE SUPPORT CARE AND TRANSPORTATION TO CRITICAL CARE FACILITIES. GEISINGER LIFE FLIGHT OPERATED NINE AIRCRAFTS AND FOUR GROUND CRITICAL CARE EQUIPPED AMBULANCES FROM SEVEN OPERATIONAL SITES FOR THE YEAR ENDED DECEMBER 31, 2024. NINE STATE-OF-THE-ART MEDICAL HELICOPTERS INCLUDE ONE BK117 AND EIGHT EC145S. THE GROUND UNITS CONTAIN THE SAME EQUIPMENT AS THE AIRCRAFT FOR CRITICAL CARE GROUND TRANSPORTS. THE BASE LOCATIONS FOR THE YEAR ENDING DECEMBER 31, 2024 WERE IN DANVILLE, SELINSGROVE, STATE COLLEGE, AVOCA, WILLIAMSPORT, MINERSVILLE AND LEHIGHTON PA. THE DISPATCHING OF LIFE FLIGHT FOR INTER-HOSPITAL TRANSFERS AND SCENE CALLS IS AUTHORIZED BY A PHYSICIAN OR OTHER QUALIFIED PERSONNEL AND IS DETERMINED ON AN INDIVIDUAL BASIS ACCORDING TO MEDICAL NEED. IN THE YEAR ENDED DECEMBER 31, 2024, LIFE FLIGHT PROVIDED EMERGENCY TRANSPORTATION TO 4,342 PATIENTS AND SERVED MULTIPLE HOSPITALS IN PENNSYLVANIA AND NEIGHBORING STATES. D. JANET WEIS CHILDREN'S HOSPITAL THE JANET WEIS CHILDREN'S HOSPITAL HOUSES ALL INPATIENT PEDIATRIC BEDS INCLUDING 36 MEDICAL AND SURGICAL, 41 NEWBORN INTENSIVE AND SPECIAL CARE AND 14 PEDIATRIC INTENSIVE CARE BEDS. THE FACILITY ALSO PROVIDES SPACE FOR PEDIATRIC REHABILITATION AND HAS ESTABLISHED AN AMBULANCE TRANSPORT SERVICE FOR NEONATAL RETRIEVALS. THE FACILITY IS CONNECTED WITH THE REST OF THE MEDICAL CENTER AT FOUR OF THE FIVE LEVELS TO ALLOW FOR SMOOTH INTEGRATION OF ANCILLARY AND SUPPORT SERVICES. THE FUNDING FOR THE CONSTRUCTION OF THE JANET WEIS CHILDREN'S HOSPITAL WAS PROVIDED BY THE DONATING PUBLIC, INCLUDING FUNDS RAISED BY THE CHILDREN'S MIRACLE NETWORK TELETHON. THIS FACILITY IS VISIBLE EVIDENCE OF GEISINGER'S COMMITMENT TO THE CHILDREN OF PENNSYLVANIA. FOR THE YEAR ENDED DECEMBER 31, 2024, THE JANET WEIS CHILDREN'S HOSPITAL DISCHARGED 3,998 PATIENTS AND PROVIDED 22,722 PATIENT DAYS OF SERVICE. THE FACILITY AFFORDS MORE EFFICIENT CARE WITH AN IMPROVED LENGTH OF STAY. E. WOMEN'S HEALTH PAVILION THE WOMEN'S HEALTH PAVILION, ON THE CAMPUS OF GMC, WAS DEDICATED AS PART OF THE JANET WEIS CHILDREN'S AND WOMEN'S HOSPITAL IN 2000. THE WOMEN'S PAVILION FEATURES FAMILY-ORIENTED BIRTHING SUITES THAT ALLOW EACH WOMAN TO LABOR, DELIVER AND RECOVER IN THE SAME SPACE. IN ADDITION, THERE ARE SEMI-PRIVATE ROOMS, A NURSERY AND TWO CAESAREAN SECTION OPERATING SUITES. THE GEISINGER WOMEN'S PAVILION IS THE ONLY HOSPITAL IN THE AREA THAT OFFERS COVERAGE BY OBSTETRICIANS, NEONATOLOGISTS, PEDIATRICIANS AND ANESTHESIOLOGISTS 24 HOURS A DAY, SEVEN DAYS A WEEK. OUTPATIENT SERVICES AT THE WOMEN'S PAVILION INCLUDE OBSTETRICS, PERINATOLOGY, MIDWIFERY OUTREACH, GYNECOLOGY, GYNECOLOGIC ONCOLOGY, UROGYNECOLOGY, GENETICS COUNSELING, PSYCHOLOGY, SOCIAL WORK, NUTRITION, MAMMOGRAPHY AND BREAST CARE, LABORATORY SERVICES, AND A FERTILITY CLINIC. FOR THE YEAR ENDED DECEMBER 31, 2024, THE WOMEN'S HEALTH PAVILION DISCHARGED 3,607 PATIENTS AND PROVIDED 8708 PATIENT DAYS OF SERVICE. F. OUTPATIENT SURGERY CENTER - WOODBINE IN JANUARY 2005, GEISINGER OPENED ITS OUTPATIENT SURGICAL CENTER ON WOODBINE LANE. THE SURGERY CENTER FEATURES SIX FULLY EQUIPPED OPERATING ROOMS, PERI-OPERATIVE FACILITIES, STERILE PROCESSING, SUPPLY STORAGE, ANCILLARY SUPPORT AND ADMINISTRATIVE OFFICE SPACE. THE FACILITY ALSO HOUSES THREE FULLY EQUIPPED ENDOSCOPIC PROCEDURE ROOMS. THE CENTER OPERATES UNDER THE DEPARTMENT OF HEALTH GUIDELINES WITH MORE THAN 100 SURGICAL PROCEDURES AVAILABLE. FOR THE YEAR ENDED DECEMBER 31, 2024, THE OUTPATIENT SURGERY CENTER HANDLED 6,523 SURGICAL CASES. G. GMC SPORTS MEDICINE OUTPATIENT CLINIC - WOODBINE LANE IN JULY 2006, GEISINGER RELOCATED ITS SPORTS MEDICINE - ORTHOPAEDIC CLINICAL PRACTICE TO THE WOODBINE COMPLEX IN CONCERT WITH A COMPREHENSIVE REHABILITATION CLINIC OPERATED THROUGH A JOINT VENTURE WITH ENCOMPASS HEALTH. II. UNCOMPENSATED CARE GMC RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND HEALTHCARE EDUCATION. GMC PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, RELIGION, ETHNICITY, SEXUAL ORIENTATION, GENDER IDENTITY, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD, GMC 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 GMC PRACTICES. A. CHARITY CARE THE PRIMARY CONCERN OF GMC IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST GMC INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO GMC OF PROVIDING THIS CHARITY CARE DURING THE YEAR ENDED DECEMBER 31, 2024 WAS $10,746,671. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE), THE POOR (MEDICAID) AS WELL AS OTHERS. GMC PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, GMC IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID AND/OR OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2024, THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS $234,621,634. III. RESEARCH SUPPORT GEISINGER MEDICAL CENTER CONTRIBUTED $8,104,176 TO GEISINGER CLINIC DURING THE YEAR ENDED DECEMBER 31, 2024 TO SUPPORT ITS CHARITABLE MISSION THROUGH MEDICAL RESEARCH ACTIVITIES CONDUCTED THROUGHOUT GEISINGER IN BOTH ITS DEDICATED RESEARCH CENTERS AND INSTITUTES, AS WELL AS IN ITS CLINICAL DEPARTMENTS AND SERVICE LINES. THE MAJOR LOCUS OF RESEARCH ACTIVITY AND LEADERSHIP ARE THE RESEARCH INSTITUTES AND CENTERS THAT SERVE AS HOME TO FULL TIME INVESTIGATORS IN BASIC, TRANSLATIONAL, AND HEALTH SERVICES RESEARCH AND WHICH PROVIDE FACILITIES, SOPHISTICATED RESEARCH EQUIPMENT, AND ADMINISTRATIVE SUPPORT TO FOSTER INNOVATIVE AND COLLABORATIVE RESEARCH: - THE SIGFRIED AND JANET WEIS CENTER FOR RESEARCH FOCUSES ON LABORATORY-BASED RESEARCH ON THE MOLECULAR AND CELLULAR BASIS OF DISEASES AND ON TRANSLATIONAL RESEARCH, AND IN PARTICULAR GENOMIC MEDICINE. - THE GEISINGER CENTER FOR HEALTH RESEARCH ADVANCES OUTCOMES AND POPULATION-BASED RESEARCH AND DEVISES NEW MODELS OF CARE TO IMPROVE THE EFFICIENCY AND QUALITY OF CARE TO PATIENTS. - THE CENTER FOR RE-ENGINEERING HEALTH CARE SEEKS TO IMPROVE HEALTHCARE DELIVERY BY APPLYING THE PRINCIPLES OF ENGINEERING TO HEALTH CARE. THE CRH IS ONE OF THREE CENTERS UNDER THE INSTITUTE FOR ADVANCED APPLICATIONS. THE OTHER TWO CENTERS ARE THE CENTER FOR EMERGING TECHNOLOGY AND INFORMATICS AND CENTER FOR CLINICAL INNOVATION. - THE GEISINGER OBESITY INSTITUTE FACILITATES RESEARCH THAT ADDRESSES THE CHALLENGES OF OBESITY AND OBESITY-RELATED DISEASE. - THE GENOMIC MEDICINE INSTITUTE USES GENOMIC MEDICINE TO DEVELOP INNOVATIVE TREATMENT STRATEGIES AND CURES. - THE AUTISM AND DEVELOPMENTAL MEDICINE INSTITUTE (ADMI) IS DEDICATED TO CLINICAL CARE, RESEARCH, AND EDUCATION THAT WILL IMPROVE AND EXPEDITE THE DIAGNOSIS, TREATMENT, AND CARE OF CHILDREN WITH AUTISM SPECTRUM DISORDERS AND OTHER DEVELOPMENTAL DISORDERS. - THE ENVIRONMENTAL HEALTH INSTITUTE WORKS TO UNDERSTAND LINKS BETWEEN LAND USE, ECOSYSTEM HEALTH, COMMUNITY HEALTH, AND HUMAN HEALTH, AND TO TRANSLATE KNOWLEDGE INTO CHANGES THAT PROMOTE SUSTAINABLE HEALTHY COMMUNITIES. CLINICAL DEPARTMENTS AND CLINICAL SERVICE LINES INCLUDE EXTENSIVE RESEARCH BEING CONDUCTED BY THE DEPARTMENTS OF CARDIOLOGY, RHEUMATOLOGY, ORTHOPAEDICS AND VASCULAR SURGERY, AMONG OTHERS. BOTH PEDIATRIC AND ADULT ONCOLOGY DEPARTMENTS ARE ACTIVELY INVOLVED IN TRIALS THROUGH THE NATIONAL CANCER INSTITUTE-DESIGNATED COOPERATIVE ONCOLOGY GROUPS, AN EFFORT WHICH IS DIRECTLY FACILITATED BY GEISINGER'S COMMUNITY CLINICAL ONCOLOGY PROGRAM (CCOP) AWARD FROM THE NATIONAL INSTITUTES OF HEALTH.
FORM 990, PART III, LINE 4A - FIRST ACCOMPLISHMENT (CONTINUED)	IV. COMMUNITY HEALTH, EDUCATION AND OUTREACH AS A HOSPITAL AND MAJOR EMPLOYER GEISINGER MEDICAL CENTER STRIVES TO SERVE AS A PARTNER TO OUR LOCAL COMMUNITY AND RESIDENTS. GMC PROVIDES CARE TO THE COMMUNITY THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH GMC BELIEVES WILL SERVE A GENUINE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS INCLUDE COMMUNITY EDUCATION, SELF-HELP, SUPPORT GROUPS, CLINICAL HEALTH SCREENINGS, FREE HEALTH CLINICS, HEALTH CARE SUPPORT SERVICES, CASH AND IN-KIND COMMUNITY CONTRIBUTIONS, HEALTH PROFESSIONS EDUCATION, AND SUBSIDIZED SERVICES. A. COMMUNITY HEALTH EDUCATION THE UNREIMBURSED COST TO GMC OF PROVIDING SERVICES FOR COMMUNITY HEALTH EDUCATION WAS $109,043. DURING 2024, SOME OF THE TOPICS INCLUDED: FALL PREVENTION, INJURY PREVENTION PROGRAMS, TEEN DRIVER, DISTRACTED DRIVER, STOP THE BLEED, AND VARIOUS NEWSLETTERS, ARTICLES AND EDUCATIONAL MEDIA. B. COMMUNITY SUPPORT GROUPS THE COST TO GMC OF PROVIDING SERVICES AND/OR FACILITIES FOR SUPPORT GROUP MEETINGS WAS $538,935. THE SUPPORT GROUPS INCLUDED: -LACTATION SERVICES/BREASTFEEDING CONSULTANTS -HOUSE OF CARE C. HEALTH CARE SUPPORT SERVICES GMC SPONSORED REGULAR COMMUNITY HEALTH CARE SUPPORT WITH A TOTAL BENEFIT OF $631,161 THAT INCLUDED THE FOLLOWING PROGRAMS: -INDIGENT PATIENT TRANSPORTATION -SEXUAL ASSAULT MEDICATIONS -LIFE FLIGHT, AIR AMBULANCE DISPATCH ON-CALL PROGRAM D. DONATIONS, CASH AND IN-KIND TO THE COMMUNITY GMC DONATED ROOM USAGE, PAID UTILITY BILLS AND PROVIDED SERVICES TO THE COMMUNITY AT A COST OF $229,667 FOR DIABETES AND WELLNESS CLASSES, PATIENT FAMILY RESOURCES, FRESH FOOD FARMACY, AND THE RONALD MCDONALD HOUSE. E. COMMUNITY BUILDING ACTIVITIES GMC TAKES PRIDE IN PARTICIPATING IN ACTIVITIES THAT IMPROVE THE HEALTH OF LOCAL AREAS. DURING THE YEAR ENDED DECEMBER 31, 2024, GMC INCURRED $28,689 TO PROVIDE A RURAL TRAUMA TEAM DEVELOPMENT COURSE. F. HEALTH PROFESSIONS EDUCATION IN ADDITION TO PARTICIPATION IN THE RESIDENCY, FELLOWSHIP AND ALLIED HEALTH PROGRAMS, GEISINGER MEDICAL CENTER PROVIDED $6,078,075 IN SUPERVISION OF NURSING, PHARMACY, ADVANCED PRACTITIONERS AND SPIRITUAL CARE PRACTITIONERS COMPLETING ROTATIONS AS PART OF THEIR STUDIES DURING THE YEAR ENDED DECEMBER 31, 2024. G. SUBSIDIZED SERVICES THE REIMBURSEMENT RECEIVED FOR CERTAIN SERVICES PROVIDED BY GMC DOES NOT COVER THE COST OF THOSE SERVICES. PROVIDING CHILDLIFE SERVICES COST GMC $857,350 (NET OF REIMBURSEMENT) DURING THE YEAR ENDED DECEMBER 31, 2024. H. COMMUNITY ASSISTANCE PAYMENT GEISINGER MEDICAL CENTER PROVIDED FINANCIAL ASSISTANCE TO THE COMMUNITY THROUGH A COMMUNITY ASSISTANCE PAYMENT. THE VALUE OF THE PAYMENT IS $1,703,499. THIS AMOUNT IS PAID TO MONTOUR COUNTY, DANVILLE AREA SCHOOL DISTRICT, AND MAHONING TOWNSHIP IN LIEU OF REAL ESTATE TAXES BEING ASSESSED ON THEIR PROPERTY. THE PAYMENTS SUPPORT LOCAL GOVERNMENT PROVIDED SERVICES SUCH AS POLICE AND FIRE PROTECTION AND CORONER SERVICES. V. VOLUNTEER SERVICES THE VOLUNTEERS OF GEISINGER 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 GMC. VOLUNTEERS FROM LOCAL COMMUNITIES HAVE CONTRIBUTED 11,341 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION OF $375,631 IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS. VI. COMMUNITY BENEFIT SUMMARY HEALTH PROFESSIONS EDUCATION, RESIDENCIES & FELLOWSHIPS $ 34,375,538 CHARITY CARE 10,746,671 MEDICARE, MEDICAID, OTHER GOVERNMENTAL 234,621,634 RESEARCH SUPPORT 8,104,176 COMMUNITY ASSISTANCE PAYMENT 1,703,499 COMMUNITY HEALTH, EDUCATION, OUTREACH AND OTHER 7,615,570 SUBSIDIZED SERVICES, CHILDLIFE 857,350 VOLUNTEER SERVICES, VALUED AT JAN 1, 2024 STATEWIDE AVERAGE WEEKLY WAGE 375,631 TOTAL COMMUNITY SERVICE $ 298,400,069 VII. STATISTICS, ALL CAMPUSES DISCHARGES, EXCLUDING NURSERY & PSYCH 30,177 AVERAGE LENGTH OF STAY, EXCLUDING NURSERY & PSYCH 5.3 PERCENT OF OCCUPANCY, EXCLUDING NURSERY & PSYCH 79.3% TOTAL OR CASES 30,390 OUTPATIENT VISITS, INCLUDES OUTPATIENT ER VISITS 1,425,319 OUTPATIENT EMERGENCY ROOM VISITS 51,973 BEDS, EXCLUDING SNF/NURSERY/EACU 574 BASSINETS IN NURSERY 15
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. 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 INFORMATION	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, MATTHEW VAN LEEUWE, MEGAN BROSIOUS, 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 900, 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	NET TRANSFERS <TO>/FROM PARENT, GEISINGER HEALTH -$217,075,715 TRANSFER FROM KAISER $ 4,475,027 LOSS FROM SUBSIDIARY GEISINGER-HM JV, LLC -$ 54,365,720 GAIN FROM SUBSIDIARY GEISINGER MEDICAL CENTER MUNCY $ 23,394,725 GEISINGER-HM JV, LLC NET ASSETS UPON CONVERSION TO SMLLC OF GEISINGER MEDICAL CENTER -$ 95,692,206 GAIN ON EXTINGUISHMENT OF DEBT $ 50,931,974 PRIOR YEAR ACCRUAL OF JV BUYOUT -$ 10,000,000 TOTAL -$298,331,915
FORM 990, PART XII, LINE 3A - ADDITIONAL INFORMATION	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.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

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SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

GEISINGER MEDICAL CENTER

Employer identification number

24-0795959

Part I

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

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-1105628	HEALTH CARE	CA	501(C)(3)	3	NA		No
(2)KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-1340523	HEALTH CARE	CA	501(C)(3)	10	NA		No
(3)KAISER FDN HEALTH PLAN OF COLORADO ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 84-0591617	HEALTH CARE	CO	501(C)(3)	10	KFHP INC		No
(4)KAISER FDN HEALTH PLAN OF GEORGIA INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 58-1592076	HEALTH CARE	GA	501(C)(3)	10	KFHP INC		No
(5)KAISER FOUNDATION HEALTH PLAN OF THE MAS ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 52-0954463	HEALTH CARE	MD	501(C)(3)	10	KFHP INC		No
(6)KAISER FDN HEALTH PLAN OF THE NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 93-0798039	HEALTH CARE	OR	501(C)(3)	10	KFHP INC		No
(7)KAISER FDN HEALTH PLAN OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 91-0511770	HEALTH CARE	WA	501(C)(3)	3	KFHPW HLDGS		No
(8)KAISER HOSPITAL ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3299125	ASSET MGMT	CA	501(C)(3)	12-I	KFH		No
(9)KAISER HEALTH PLAN ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3299124	ASSET MGMT	CA	501(C)(3)	12-I	KFHP INC		No
(10)CAMP BOWIE SERVICE CENTER ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3299123	ADMIN	CA	501(C)(3)	12-I	KFHP INC		No
(11)LOKAHI ASSURANCE LTD ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 91-2171891	WC PLACEMENT	HI	501(C)(3)	12-I	KFHP INC		No
(12)1800 HARRISON FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3317484	FINANCING	CA	501(C)(3)	12-I	KFHP INC		No
(13)KAISER HOSPITAL ASSISTANCE CORPORATION ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 31-1779500	FINANCING	CA	501(C)(3)	12-I	KFH		No
(14)KAISER HEALTH ALTERNATIVES ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 93-0954562	HEALTH CARE	OR	501(C)(3)	10	KFHP INC		No
(15)KP BERNARD J TYSON SCHOOL OF MEDICINE ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 81-4053028	MEDICAL EDUCA	CA	501(C)(3)	2	KFH		No
(16)KFHPW HOLDINGS ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 93-0480268	HEALTH CARE	WA	501(C)(3)	12-I	KFHP INC		No
(17)GROUP HEALTH NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 91-1216856	INACTIVE	WA	501(C)(3)	12-I	KFHP OF WA		No
(18)KAISER FDN FOR THE ADV OF INTEGRATED HC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 82-3819611	ADVOCACY	CA	501(C)(4)	N/A	KFHP INC		No
(19)KAISER FDN HEALTH PLAN OF NEVADA INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 37-2097870	HEALTH CARE	DE	501(C)(4)	N/A	KFHP INC		No
(20)KP MEDICAL FOUNDATION ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 92-0685740	HEALTH CARE	DE	501(C)(3)	12-I	KFHP INC		No
(21)KFH HOLDINGS INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 88-4172095	HOLDING CO	DE	501(C)(3)	12-I	KFH		No
(22)RISANT HEALTH INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 92-3467590	HEALTH CARE	DE	501(C)(3)	12-I	RISANT HLTH		No
(23)GEISINGER HEALTH 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-1995911	PHILANTHROPY	PA	501(C)(3)	7	RISANT HLTH		No
(24)COMMUNITY MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 24-0862246	HEALTH CARE	PA	501(C)(3)	3	GH	Yes
(25)GEISINGER-BLOOMSBURG HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2193572	HEALTH CARE	PA	501(C)(3)	3	GH	Yes
(26)GEISINGER CLINIC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-6291113	HEALTH CARE	PA	501(C)(3)	3	GH	Yes
(27)GEISINGER COMMONWEALTH SCH OF MEDICINE 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 26-0812968	MEDICAL EDU	PA	501(C)(3)	2	GH		No
(28)GEISINGER COMMUNITY HEALTH SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2967235	HEALTH CARE	PA	501(C)(3)	10	GSS		No
(29)GEISINGER HEALTH PLAN 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2311553	HEALTH CARE	PA	501(C)(4)	N/A	GH		No
(30)GEISINGER INSURANCE CORPORATION RRG 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 14-1909894	INSURANCE	VT	501(C)(3)	12-I	GH	Yes
(31)GEISINGER JERSEY SHORE HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 24-0792115	HEALTH CARE	PA	501(C)(3)	3	GH	Yes
(32)GEISINGER-LEWISTOWN HOSPITAL 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-1352187	HEALTH CARE	PA	501(C)(3)	3	GH	Yes
(33)GEISINGER MEDICAL CENTER MUNCY 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 85-1226106	HEALTH CARE	PA	501(C)(3)	3	GHMJV		No
(34)GEISINGER SYSTEM SERVICES 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2164794	SUPPORT SVCS	PA	501(C)(3)	12-I	GH	Yes
(35)GSL HOSPITAL 801 OSTRUM STREET BETHLEHEM,PA18015 82-4432109	HEALTH CARE	PA	501(C)(3)	3	GH		No
(36)GSLPG INC 801 OSTRUM STREET BETHLEHEM,PA18015 82-5423865	HEALTH CARE	PA	501(C)(3)	3	GSL HOSPITAL		No
(37)GEISINGER WYOMING VALLEY MEDICAL CENTER 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-1996150	HEALTH CARE	PA	501(C)(3)	3	GH	Yes
(38)KEYSTONE HEALTH INFORMATION EXCHANGEINC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 46-4359893	HEALTH CARE	PA	501(C)(3)	12-I	GH		No
(39)MARWORTH 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2171417	HEALTH CARE	PA	501(C)(3)	3	GH	Yes
(40)WEST SHORE ADVANCED LIFE SUPPORT SVCS 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2463002	HEALTH CARE	PA	501(C)(3)	7	GC	Yes
(41)GNJ PHYSICIANS GROUP PC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 82-0681884	HEALTH CARE	NJ	501(C)(3)	10	GH		No
(42)THE MOSES H CONE MEMORIAL HOSPITAL 1200 NORTH ELM ST GREENSBORO,NC27401 56-0532302	HEALTH CARE	NC	501(C)(3)	12-II	RISANT HLTH		No
(43)THE MOSES H CONE MEMORIAL HOPS OPER CORP 1200 NORTH ELM ST GREENSBORO,NC27401 58-1588823	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL		No
(44)MOSES CONE AFFILIATED PHYSICIANS INC 1200 NORTH ELM ST GREENSBORO,NC27401 30-0554775	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL		No
(45)MOSES CONE PHYSICIAN SERVICES INC 1200 NORTH ELM ST GREENSBORO,NC27401 80-0249057	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL		No
(46)MOSES CONE MEDICAL SERVICES INC 1200 NORTH ELM ST GREENSBORO,NC27401 56-1714318	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL		No
(47)REIDSVILLE OB & GYN PHYSICIANS INC 1200 NORTH ELM ST GREENSBORO,NC27401 80-0217430	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL		No
(48)ARMC HEALTH CARE 1200 NORTH ELM ST GREENSBORO,NC27401 58-1681363	HEALTH CARE	NC	501(C)(3)	3	MC HOSPITAL		No
(49)ALAMANCE REGIONAL MEDICAL CENTER INC 1200 NORTH ELM ST GREENSBORO,NC27401 56-0529994	HEALTH CARE	NC	501(C)(3)	3	ARMC HC		No
(50)CONE HEALTH PHILANTHROPIC FOUNDATION 1200 NORTH ELM ST GREENSBORO,NC27401 58-1681560	FUNDRAISING	NC	501(C)(3)	12-II	ALAMANCE MC		No
(51)ARMC PHYSICIANS CARE INC 1200 NORTH ELM ST GREENSBORO,NC27401 56-2095382	HEALTH CARE	NC	501(C)(3)	3	ARMC HC		No
(52)THE MOSES CONE - WESLEY LONG HEALTH FDN 1200 NORTH ELM ST GREENSBORO,NC27401 56-2001399	FUNDING	NC	501(C)(3)	12-II	MC HOSPITAL		No
(53)ALAMANCE COMMUNITY & HEALTH FDN INC 1200 NORTH ELM ST GREENSBORO,NC27401 46-2505818	FUNDING	NC	501(C)(3)	12-II	ALAMANCE MC		No
(54)REF CONE INC 20 NORTH BENBOW ROAD GREENSBORO,NC27411 99-1330813	REAL ESTATE	NC	501(C)(3)	12-I	MC HOSPITAL		No

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) NXT CAP SR LOAN FUND I LLC 191 N WACKER DR STE 1200 CHICAGO,IL60606 37-1651297	INVESTMENT	DE	NA	N/A	0	0			0			0 %
(2) MAUI NUI ASC HOLDCO LLC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612	HOLDING CO	HI	NA	N/A	0	0			0			0 %
(3) KEYSTONE ACCOUNTABLE CARE ORGANIZATION 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 45-5484165	ACCOUNTABLE CARE	PA	NA	N/A	0	0			0			0 %
(4) NSC GREENSBORO WEST 3000 RIVERCHASE GALLERIA BIRMINGHAM,AL35244 56-1963226	HEALTH CARE	AL	NA	N/A	0	0			0			0 %
(5) GEISINGER HM JOINT VENTURE LLC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 83-1871064	HEALTH CARE	PA	GMC	RELATED	31,098,731	-33,954,440		No	0	Yes		100.000 %
(6) EVANGELICAL-GEISINGER HEALTH LLC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 46-0567687	HEALTH CARE	PA	NA	N/A	0	0			0			0 %
(7) GEISINGER ENCOMPASS HEALTH LLC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 72-1398803	HEALTH CARE	PA	GMC	RELATED	1,393,906	3,879,100		No	0	Yes		50.000 %
(8) KEYSTONE HEALTHCARE PARTNERSHIP LLC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 83-3134941	HEALTH CARE	PA	NA	N/A	0	0			0			0 %
(9) HTA HOLDINGS LLC 1200 NORTH ELM ST GREENSBORO,NC27401 92-0615196	HOLDING COMPANY	NC	NA	N/A	0	0			0			0 %
(10) CONE HEALTH VENTURES LLC 1200 NORTH ELM ST GREENSBORO,NC27401 92-0712783	INNOVATION	NC	NA	N/A	0	0			0			0 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) OAK TREE ASSURANCE LTD ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 03-0329760	INSURANCE	VT	NA	C CORP	0	0	0 %		No
(2) KAISER PERMANENTE INSURANCE COMPANY ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3203402	INSURANCE	CA	NA	C CORP	0	0	0 %		No
(3) KAISER PERMANENTE INTERNATIONAL ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 94-3245176	CONSULTING	CA	NA	C CORP	0	0	0 %		No
(4) KFHP OF WASHINGTON OPTIONS INC ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 91-1467158	INSURANCE	WA	NA	C CORP	0	0	0 %		No
(5) GROUP HEALTH OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND,CA94612 91-1314907	INACTIVE	WA	NA	C CORP	0	0	0 %		No
(6) GARFIELD HEALTH SOLUTIONS EAST PVT LTD LEVEL 10 TOWER C PANCHSHIL BUSINESS BALEWADI,PUNE411045 IN	ADMIN	IN	NA	C CORP	0	0	0 %		No
(7) GARFIELD HEALTH SOLUTIONS WEST SRL ULTRAPARK II FREE TRADE ZONE BLD 4 LAGUNILLA,HEREDIA CS	ADMIN	CS	NA	C CORP	0	0	0 %		No
(8) GEISINGER ASSURANCE COMPANY LTD PO BOX 1159 GRAND CAYMAN KY1-1102 CJ 98-1016737	FINANCIAL	CJ	NA	C CORP	0	0	0 %		No
(9) GEISINGER INDEMNITY INSURANCE COMPANY 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2815174	INSURANCE	PA	NA	C CORP	0	0	0 %		No
(10) GEISINGER QUALITY OPTIONS INC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 20-4275139	INSURANCE	PA	NA	C CORP	0	0	0 %		No
(11) ISS SOLUTIONS INC 100 N ACADEMY AVE MC 49-70 DANVILLE,PA17822 23-2077663	CLIN ENGINEERING	PA	NA	C CORP	0	0	0 %	Yes
(12) CARE N' CARE INSURANCE CO NORTH CAROLINA 1200 NORTH ELM ST GREENSBORO,NC27401 47-2847536	INSURANCE	NC	NA	C CORP	0	0	0 %		No
(13) WESLEY LONG COMMUNITY HEALTH SVCS INC 1200 NORTH ELM ST GREENSBORO,NC27401 56-1441377	HEALTH CARE	NC	NA	C CORP	0	0	0 %		No
(14) INSURANCE CASUALTY AND RISK ENTERPRISE PO BOX 1159 GRAND CAYMAN KY1-1102 CJ 98-1491204	INSURANCE	CJ	NA	C CORP	0	0	0 %		No
(15) PIEDMONT PRACTICE ASSOCIATES INC 1200 NORTH ELM ST GREENSBORO,NC27401 56-1954739	HEALTH CARE	NC	NA	C CORP	0	0	0 %		No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

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

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

Yes

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

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

Yes

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

Yes

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

Yes

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

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

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

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

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

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) COMMUNITY MEDICAL CENTER	L	12,975,942	GAAP
(2) GEISINGER ASSURANCE COMPANY LTD	P	14,014,324	GAAP
(3) GEISINGER BLOOMSBURG HOSPITAL	A	1,657	FMV
(4) GEISINGER BLOOMSBURG HOSPITAL	K	96,122	FMV
(5) GEISINGER BLOOMSBURG HOSPITAL	L	2,258,907	GAAP
(6) GEISINGER CLINIC	A	408,689	FMV
(7) GEISINGER CLINIC	C	742,500	GAAP
(8) GEISINGER CLINIC	K	124,883	FMV
(9) GEISINGER CLINIC	L	16,906,747	GAAP
(10) GEISINGER CLINIC	M	203,074,988	GAAP
(11) GEISINGER COMMUNITY HEALTH SERVICES	L	2,012,752	GAAP
(12) GEISINGER HEALTH	B	220,000,000	GAAP
(13) GEISINGER HEALTH	C	2,181,785	GAAP
(14) GEISINGER HEALTH	M	2,239,763	GAAP
(15) GEISINGER HEALTH	S	1,145,881	GAAP
(16) GEISINGER HEALTH PLAN	A	5,674	FMV
(17) GEISINGER HEALTH PLAN	L	354,392,752	GAAP
(18) GEISINGER INDEMNITY INSURANCE COMPANY	L	60,262,909	GAAP
(19) GEISINGER INSURANCE CORPORATION RRG	P	14,085,272	GAAP
(20) GEISINGER JERSEY SHORE HOSPITAL	A	53,083	FMV
(21) GEISINGER JERSEY SHORE HOSPITAL	L	874,118	GAAP
(22) GEISINGER JERSEY SHORE HOSPITAL	M	200,451	GAAP
(23) GEISINGER LEWISTOWN HOSPITAL	L	6,210,269	GAAP
(24) GEISINGER MEDICAL CENTER MUNCY	K	1,251,060	FMV
(25) GEISINGER MEDICAL CENTER MUNCY	L	3,712,231	GAAP
(26) GEISINGER PHARMACY LLC	A	77,225	FMV
(27) GEISINGER PHARMACY LLC	M	75,149,710	GAAP
(28) GEISINGER QUALITY OPTIONS INC	L	32,058,383	GAAP
(29) GEISINGER SYSTEM SERVICES	A	1,621,392	FMV
(30) GEISINGER SYSTEM SERVICES	K	505,704	FMV
(31) GEISINGER SYSTEM SERVICES	L	214,181	GAAP
(32) GEISINGER SYSTEM SERVICES	M	262,147,386	GAAP
(33) GEISINGER WYOMING VALLEY MEDICAL CENTER	L	22,057,371	GAAP
(34) GEISINGER WYOMING VALLEY MEDICAL CENTER	M	340,983	GAAP
(35) ISS SOLUTIONS INC	M	7,317,749	GAAP
(36) KAISER	B	4,475,028	GAAP
(37) KAISER	S	1,431,162	GAAP
(38) WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC	M	1,340,499	GAAP

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

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

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

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

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference

Explanation

FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS

AS SHOWN IN FORM 990, SCHEDULE R, GEISINGER CLINIC 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.

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: STRIVE TO MAKE BETTER HEALTH EASIER BY PROVIDING ACCESS TO AFFORDABLE, HIGH QUALITY HEALTH SERVICES THROUGH EQUITABLE, INNOVATIVE, AND INCLUSIVE CARE MODELS THAT SUPPORT PATIENT CARE, EDUCATION, RESEARCH, & COMMUNITY SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	7
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	8,480
6	Total number of volunteers (estimate if necessary) .............	6	146
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	137,945
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	99,017

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	25,565,119	24,290,886
9	Program service revenue (Part VIII, line 2g) .........	1,833,406,254	1,975,446,934
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	9,283,532	13,223,759
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	10,685,212	6,489,706
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,878,940,117	2,019,451,285
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	3,500
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	563,796,107	605,114,332
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,047,884,245	1,148,642,762
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,611,680,352	1,753,760,594
19	Revenue less expenses. Subtract line 18 from line 12.......	267,259,765	265,690,691
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,007,730,644	5,649,870,803
21	Total liabilities (Part X, line 26).............	818,294,240	5,487,123,718
22	Net assets or fund balances. Subtract line 21 from line 20.....	189,436,404	162,747,085

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,696,754,476 including grants of $ 3,500 ) (Revenue $ 1,975,668,696 )
	SEE SCHEDULE O - HEALTHCARE

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,696,754,476

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,754,043	24,076,673	8,287,049

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	24,265,277

f	All other contributions, gifts, grants, and similar amounts not included above		1f	25,609

g	Noncash contributions included in lines 1a - 1f:$		1g	13,893

h Total. Add lines 1a-1f.......		24,290,886

		Business Code
2a	HEALTHCARE	621110	1,970,379,780	1,970,256,730	123,050
b	RENTAL REVENUE	531120	2,368,930		5,295	2,363,635
c	PARTNERHSIP INCOME	622310	1,517,034	1,517,034
d	EDUCATION	611310	1,179,014	1,179,014
e	INTERCOMPANY REVENUE	900099	2,176	2,176
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,975,446,934

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,510,318			5,510,318
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
			(i) Real	(ii) Personal
6a	Gross rents	6a	417,200	9,600
b	Less: rental expenses	6b	417,707
c	Rental income or (loss)	6c	-507	9,600
d	Net rental income or (loss).......			9,093			-507
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	7,713,441
b	Less: cost or other basis and sales expenses	7b
c	Gain or (loss)	7c	7,713,441
d	Net gain or (loss).........			7,713,441			7,713,441
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0

Business Code
11a	GUEST SERVICES		722514	4,948,718			4,948,718
b	GIFT SHOP		459420	774,838			774,838
c	REIMBURSEMENTS		900099	391,022			391,022
d	All other revenue ....			366,035	221,762		144,273
e	Total. Add lines 11a–11d ......			6,480,613
12	Total revenue. See instructions.....			2,019,451,285	1,973,176,716	137,945	21,845,738

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	2,500	2,500
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	1,000	1,000
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	1,348,894	1,348,894
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	132,571	132,571
7	Other salaries and wages........	452,228,035	444,042,809	8,185,226
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	18,789,578	18,463,391	326,187
9	Other employee benefits .......	100,230,995	98,441,274	1,789,721
10	Payroll taxes ...........	32,384,259	31,822,069	562,190
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	1,060,386	416,886	643,500
c	Accounting ...........	267,581		267,581
d	Lobbying ...........	29,146		29,146
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	611,981	521,870	90,111
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	80,423,659	72,126,960	8,296,699
12	Advertising and promotion ....	5,709	5,709
13	Office expenses .......	34,699,418	33,731,384	968,034
14	Information technology ......	3,593,436	2,906,634	686,802
15	Royalties ..	0
16	Occupancy ...........	25,860,174	25,152,874	707,300
17	Travel ............	4,126,912	4,083,761	43,151
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	958,857	957,807	1,050
20	Interest ...........	23,995,000	23,215,043	779,957
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	50,694,111	49,309,319	1,384,792
23	Insurance ...	69,921,579	59,910,341	10,011,238
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	439,713,552	439,511,813	201,739
b	INTERCOMPANY EXPENSE	373,342,532	351,651,669	21,690,863
c	MEDICAID MODERNIZATION FEE	37,122,674	37,122,674
d	UNRELATED BUSINESS INC. TAX	-6,463		-6,463
e	All other expenses	2,222,518	1,875,224	347,294
25	Total functional expenses. Add lines 1 through 24e	1,753,760,594	1,696,754,476	57,006,118	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			0	1	14,515
2	Savings and temporary cash investments .........			76,635,456	2	181,006,499
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			163,103,125	4	193,272,391
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				16,872	5	7,016
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			6,684,645	7	6,993,512
8	Inventories for sale or use ............			35,448,094	8	40,524,043
9	Prepaid expenses and deferred charges ......			11,203,411	9	9,210,102
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,187,859,572
b	Less: accumulated depreciation	10b	727,642,209	396,233,707	10c	460,217,363
11	Investments—publicly traded securities .			81,520,599	11	0
12	Investments—other securities. See Part IV, line 11 .....			67,400,348	12	164,938,661
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			169,484,387	15	4,593,686,701
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,007,730,644	16	5,649,870,803

17	Accounts payable and accrued expenses .....	12,528,673	17	77,445,338
18	Grants payable ...	0	18	0
19	Deferred revenue .........	253,128	19	71,654
20	Tax-exempt bond liabilities .........	641,996,397	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	18,280,649	23	14,270,742
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	145,235,393	25	5,395,335,984
26	Total liabilities. Add lines 17 through 25..	818,294,240	26	5,487,123,718

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	189,436,404	27	162,747,085
28	Net assets with donor restrictions ...........	0	28	0
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	189,436,404	32	162,747,085
33	Total liabilities and net assets/fund balances ........	1,007,730,644	33	5,649,870,803