Geisinger Health System (GHS)

I. General information Geisinger Clinic (gc), a 501(c)(3) not for profit corporation, employs 1,725 physicians practicing at 145 sites in 56 communities of northeastern and central Pennsylvania. Gc provides the multi-specialty physician group practice for Geisinger. The salaried physician staff is dedicated to improving the health of the people of Pennsylvania through an integrated system of health services based upon a balanced program of patient care, education and research. Some of the locations in which Geisinger Clinic practices include: bellefonte milton belleville minersville benton montoursville berwick mountain top bloomsburg mt carmel burnham mt pocono carbondale muncy clarks summit nanticoke coal township nicholson dallas orwigsburg danville philipsburg dickson city pittston dunmore port matilda elysburg pottsville forty fort reedsville frackville scranton harrisburg selinsgrove hazle township shamokin dam hazleton south abington twp huntingdon south williamsport jersey shore state college kingston sunbury kulpmont taylor lewisburg tunkhannock lewistown waverly lock haven west hazleton mahanoy city wilkes-barre mifflintown williamsport ii. Uncompensated care Geisinger Clinic recognizes that its mission is to serve all the members of the community with respect to the provision of healthcare services and healthcare education. Gc provides quality medical healthcare regardless of race, religion, ethnicity, sexual orientation, gender identity, handicap, age or ability to pay. In this regard, gc 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 gc practices. A. charity care the primary concern of gc is the delivery of health care to all the citizens in northeastern and central Pennsylvania, regardless of their ability to pay. The unreimbursed cost of charity care represents the cost gc incurs by providing free or discounted services to those who cannot afford to pay. For the year ended december 31, 2023, the cost of charity care was 13,074,207. B. medicare/medicaid/other governmental recognizing its mission to the community, services are provided to the elderly (medicare) and the poor (medicaid). Gc provides care, below cost, to persons covered by these governmental programs. To the extent reimbursement is below the cost of providing healthcare, gc is furthering its mission to the entire community. The unreimbursed value of medicare, medicaid and other governmental payers is equal to the cost of providing services less the amount of reimbursement received under the program. For the year ended december 31, 2023, the unreimbursed value of providing care to these patients was 536,519,308. Iii. Research support Geisinger Clinic supports its charitable mission through medical research activities at two facilities on the campus of the Geisinger medical center: the siegfried and janet weis center for research (wcr) and the henry hood center for health research. The wcr provides a focus for laboratory research and research training and supports the clinical staff in their research programs. The primary mission of the wcr is to conduct original and innovative research that contributes new knowledge to biomedical science. Scientists apply modern molecular and cellular approaches to diverse research problems in the areas of cardiovascular function, cancer and developmental biology. The henry hood center for research houses two research programs: the Geisinger center for health research (gchr) and the center for clinical studies (ccs). Gchr conducts health services, epidemiologic and population genetics research on the broad range of conditions typically seen in primary and specialty care settings. The mission of the ccs is to plan, conduct, foster and support innovative clinical research trials to help advance diagnosis and treatment of disease and improve patient care. All three research programs investigate extramural resources for funding and work collaboratively on building the capability for population-based genetics research. To the extent revenues and grants received are below the cost of research operations, Geisinger Clinic is furthering its mission to the entire community. The research unreimbursed cost during the year ended december 31, 2023, was 389,826. Iv. Community health, education and outreach Geisinger Clinic strives to serve as partners to the communities in which they are located. Gc provides care to the community through many reduced- price services and free programs throughout the year based upon activities and services that gc believes will serve a bonafide community health need. These services and programs include support groups, health education series, wellness fairs, health screenings, and other health related programs. The cost of these services totaled 1,038,212 in the year ended december 31, 2023. Some of the services and programs provided include: a. Health education -education materials/publications -health professions education b. Other services and programs -assistance to enroll in public medical programs -community support activities -free clinics -health screenings -medication take-back containers v. charitable allocations gc contributed 1,381,977 to its affiliated charitable organizations during the year ended 12/31/2023 for certain purchased assets: Geisinger medical center 1,000,000 Geisinger community health services 111,582 geisinger-lewistown hospital 234,628 Geisinger jersey shore hospital 35,767 total charitable allocations to affiliates 1,381,977 vi. Community service summary charity care 13,074,207 medicare/medicaid/other governmental 536,519,308 community health, education, and outreach 1,038,212 charitable allocations to affiliates 1,381,977 research unreimbursed cost 389,829 total 552,403,533 vii. Statistics total number of Clinic visits (clinic-wide) 3,486,922 Clinic service days 254 Geisinger Clinic physicians admit to the six Geisinger wholly owned facilities, Geisinger medical center, Geisinger Wyoming valley, Geisinger community medical center, Geisinger bloomsburg hospital, Geisinger lewistown hospital, and Geisinger jersey shore hospital as well as Geisinger medical center muncy and Geisinger behavioral health center northeast. In addition, Geisinger Clinic physicians admit to several non- Geisinger owned facilities. Geisinger has a policy to see patients of all payors.