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Do Not Resuscitate Order For Graham Holdings Employees

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Healthcare Provider Update: Healthcare Provider for Graham Holdings Graham Holdings does not operate a direct healthcare provider but has significant involvement in the healthcare sector primarily through Graham Healthcare Group, which provides home health and hospice services. This segment has seen substantial growth, contributing to the company's overall revenue. Potential Healthcare Cost Increases in 2026 As 2026 approaches, notable increases in healthcare costs, particularly for those enrolled in Affordable Care Act (ACA) plans, are projected. Premiums could rise sharply, with some states experiencing hikes over 60%. The combination of increased medical costs, the expiration of enhanced premium subsidies, and substantial rate requests from major insurers may lead to out-of-pocket premiums surging by up to 75% for many Americans. These shifts underscore the importance of preparatory measures in 2025 to mitigate financial impacts, particularly for consumers facing high deductibles and limited coverage choices. Click here to learn more

What Is It?

As a Graham Holdings employee, you have the right to decline medical treatment, even if you die as a result of your decision. Depending on your medical condition, your prognosis, and your views on the quality of life, you may wish to refuse lifesaving measures, such as cardiopulmonary resuscitation (CPR). Executing a do not resuscitate (DNR) order is one way of doing this. A DNR is a doctor's order that tells all other medical personnel not to perform CPR if you go into cardiac arrest. Cardiac arrest occurs when your heart stops beating, blood flow to your brain stops, and you stop breathing. If the blood flow is not quickly restored, permanent damage to the brain and other organs can occur. CPR simulates heartbeat and breathing, while attempting to restart these functions.

The term  CPR  actually encompasses a variety of separate procedures, including cardiac compression, endotracheal intubation, assisted ventilation, defibrillation, and cardiac medications. Most states recognize two types of DNRs. One is effective only while you are hospitalized. The other is used by people outside the hospital--for example, nursing home residents, hospice patients, and even those who are not receiving medical treatment.

Typically, terminally ill patients and elderly individuals execute DNRs to avoid prolonging their final illnesses. However, some states allow healthy adults to execute the orders, as well. Depending on the laws of your state, a DNR used outside the hospital may be called a 'pre-hospital DNR,' 'out-of-hospital DNR,' 'outpatient DNR,' 'DNR for EMS,' or 'CPR directive.' As a result of your request, your doctor generally notes an in-hospital DNR order on your chart. Out-of-hospital DNRs take various forms, depending on the laws of your state. ID bracelets, MedicAlert necklaces, and wallet cards are some methods of noting DNR status.

When Can It Be Used?

Availability of DNRs Is Determined By State Law

Not all states have DNR laws. For Graham Holdings employees, you may want to consider how your state's laws govern whether DNRs are permissible, who can execute a DNR, and what form the order must take. These laws may permit in-hospital DNRs, out-of-hospital DNRs, both of these, or neither of these. Some state laws allow any person of legal age to execute a DNR, while others permit DNRs only for individuals with terminally ill conditions. Some states allow children to participate in decisions regarding DNR in certain cases. Check the laws of your state and any other states where you spend a significant amount of time.

Strengths

Allows You to Exercise Choice In Medical Treatment

Cardiopulmonary resuscitation (CPR) has produced some miraculous results when used on normally healthy individuals in trauma situations. However, it can be a painful and even violent procedure. Its effectiveness is limited when used on terminally ill or hopelessly deteriorated patients. In some cases, CPR only delays the moment of death.

For example, CPR could restore your heartbeat, but if permanent brain or organ damage occurs during cardiac arrest, you may be dependent on life support machines. Executing a do not resuscitate (DNR) order allows you to choose a natural death.

Example(s):  Hal is hospitalized with a terminally ill condition. He is on a respirator and knows he has only a short time to live. Hal consults his doctor and learns that the laws of his state permit in-hospital DNRs. This will allow him to forego CPR if his heart fails. Hal asks his doctor to execute a DNR as soon as possible. The following week, Hal's heart stops. Because of Hal's DNR, hospital personnel do not attempt CPR.

Specifically Intended for an Emergency Situation

If you go into cardiopulmonary arrest, your DNR lets medical personnel know that you don't want CPR. Because of the emergency nature of this situation, other types of advanced directives are usually not timely enough to accomplish this goal.

Tradeoffs

Extremely Limited Usefulness

Although a do not resuscitate (DNR) order is a very powerful instrument, it is only effective under specific conditions. Generally, a DNR comes into play only if you go into cardiac arrest, and it frequently only allows you to refuse cardiopulmonary resuscitation (CPR), although in some states it may allow you to decline other drastic medical treatment as well. A living will or durable power of attorney for health care may be needed to convey other medical treatment instructions, such as your wishes regarding life support and intravenous feeding.

Out-of-Hospital DNR May Not Be Effective In Other States

As a Graham Holdings employee, it is beneficial to understand how an out-of-hospital DNR that is valid in your state may not be valid in other states. Therefore, if you spend a significant amount of time in another state, you should find out whether that state's laws recognize DNRs, whether you are eligible to have a DNR in that state, and what restrictions are placed on the form of the DNR.

Doctors May Be Hesitant to Broach This Topic or Reluctant to Write a DNR

If you are hospitalized with a serious illness, your doctor may not bring up the option of executing a DNR. If you don't want to be resuscitated, you should initiate this discussion with your doctor. Also, studies indicate that many doctors are slow to write DNRs, even when they are aware of their patients' preferences, although the reasons for this vary. If you are a Graham Holdings employee and want to ensure your wishes are followed, you should touch base with your doctor to make sure the DNR is placed on your chart.

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How to Do It

Research Your State's Laws Regarding Dnrs

Not all states provide for these orders. Each state has its own eligibility requirements, particularly for out-of-hospital DNRs.

Discuss Your Wishes With Your Doctor

Your doctor should be able to provide information on your prognosis and counsel you on your options. If you are a Graham Holdings employee, your doctor's signature will most likely be required on any DNR you execute.

Execute Your Out-of-Hospital DNR Properly And Keep It With You

If you are a Graham Holdings employee interested in DNR, you must consider how if your state allows out-of-hospital DNRs, there is probably a required format for the order. Examples of state-required DNR formats include ID bracelets, necklaces, wallet cards, and letter-size forms. If your DNR is not in the required form, it may not be honored. If medical personnel can't find your DNR order, they are obligated to give full and immediate care. Thus, it is extremely important to execute your DNR order properly and keep it with you (or in an appropriate place) at all times.

Example(s):  Hal is a resident of an assisted-living facility. Hal is 89 years old and feels he has lived a good life. He does not want to die in a hospital or be dependent on machines for his survival. Hal discusses his feelings with his doctor. Hal's doctor suggests executing an out-of-hospital DNR, which will instruct medical personnel not to perform cardiopulmonary resuscitation (CPR) if Hal goes into cardiac or respiratory arrest. Hal agrees and receives an ID bracelet noting his DNR status. Hal wears his bracelet faithfully. Six years later, Hal's heart fails as he jogs in the park. Medical personnel arrive on the scene, but immediately notice  Hal's DNR ID bracelet. CPR is not attempted.

Tell People About Your Decision

In general, other people cannot reverse your decision once you execute a DNR. As a Graham Holdings employee however, if your DNR is misplaced or for some reason is not followed, it would be important for your family and friends to understand your wishes. Although this topic may be difficult to discuss, those close to you are more likely to support and uphold your decision if they understand how you feel and why you feel that way. If you have appointed a representative in a durable power of attorney for health care (DPAHC) , it is especially important that this person be aware of your decision.

Coordinate All Advanced Directives

Since a DNR is so limited in scope, you may wish to establish a living will and/or DPAHC as well. If you do so, make sure your wishes are stated consistently throughout these documents. In some states, the most recent document will govern if there is a conflict, so you must make sure your wishes are clear.

Tax Considerations for Graham Holdings Employees

Income Tax

None

Gift And Estate Tax

None

Questions & Answers for Graham Holdings Employees

What If You Go Into a Coma Before Executing Your DNR, And You Can't Express Your Wishes?

Your healthcare representative, if you have appointed one, may be able to have a DNR executed on your behalf. As a Graham Holdings employee, there must be evidence that this is what you would want. You might include these instructions in your durable power of attorney for health care , especially if the laws of your state do not allow out-of-hospital DNRs. Be aware, however, that this method of instruction is useless in an emergency if your representative is not present. In some states, with your family's consent, your doctor may be able to execute a DNR on your behalf. Again, it would be unwise to rely on this course of action in an emergency.

Can You Change Your Mind?

Yes, it is possible to revoke a DNR order. If you have an out-of-hospital DNR, you may be able to revoke it by simply removing the bracelet or the wallet card. However, some states also have a database of DNR patients. If this is true in your state, you may need to take additional steps to revoke your DNR. When your doctor writes the DNR, ask what steps are necessary to revoke the order.

Additionally, medical personnel must give emergency care to anyone who requests it. For example, Emergency Medical Service guidelines in Wisconsin instruct personnel to perform cardiopulmonary resuscitation (CPR) if a person rips off his or her DNR bracelet or asks for CPR during cardiac arrest.

What types of retirement plans does Graham Holdings offer to its employees?

Graham Holdings offers a 401(k) Savings Plan as part of its retirement benefits for employees.

How can I enroll in the 401(k) Savings Plan at Graham Holdings?

Employees can enroll in the Graham Holdings 401(k) Savings Plan by completing the enrollment process through the company’s HR portal or by contacting the HR department for assistance.

Does Graham Holdings match employee contributions to the 401(k) Savings Plan?

Yes, Graham Holdings provides a matching contribution to the 401(k) Savings Plan, which enhances the savings potential for employees.

What is the maximum contribution limit for the 401(k) Savings Plan at Graham Holdings?

The maximum contribution limit for the Graham Holdings 401(k) Savings Plan aligns with IRS regulations, which may change annually.

When can I start contributing to the Graham Holdings 401(k) Savings Plan?

Employees can typically start contributing to the Graham Holdings 401(k) Savings Plan after completing their initial onboarding period.

Can I change my contribution percentage to the 401(k) Savings Plan at Graham Holdings?

Yes, employees at Graham Holdings can change their contribution percentage at any time, subject to the plan’s guidelines.

What investment options are available in the Graham Holdings 401(k) Savings Plan?

The Graham Holdings 401(k) Savings Plan offers a variety of investment options, including mutual funds, target-date funds, and other investment vehicles.

Is there a vesting schedule for the matching contributions at Graham Holdings?

Yes, Graham Holdings has a vesting schedule for matching contributions, which means employees must work for the company for a certain period to fully own those contributions.

How can I access my account information for the Graham Holdings 401(k) Savings Plan?

Employees can access their account information for the Graham Holdings 401(k) Savings Plan through the plan’s online portal or by contacting the plan administrator.

What happens to my 401(k) Savings Plan if I leave Graham Holdings?

If you leave Graham Holdings, you will have several options regarding your 401(k) Savings Plan, including rolling it over to another retirement account or leaving it in the plan, depending on the balance.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.
Graham Holdings provides both pension plans and 401(k) plans for its employees. In terms of their pension plan, Graham Holdings offers a defined benefit pension plan, which provides monthly retirement income based on a formula that considers factors such as the employee's years of service and final average pay. Employees are typically eligible for this pension plan after completing a certain number of years of service, with full benefits generally available at retirement age. The pension plan also includes specific spousal and survivor benefits, ensuring that a portion of the pension may continue to be paid to the surviving spouse. The 401(k) plan at Graham Holdings allows employees to contribute a portion of their salary on a pre-tax basis, with the company often providing matching contributions up to a certain percentage. The plan has annual contribution limits set by the IRS, with additional catch-up contributions allowed for employees aged 50 and above. The company's 401(k) plan is designed to complement the pension plan, providing a defined contribution savings option that employees can invest in various funds offered by the plan.
News: In 2023, Graham Holdings continued to restructure its workforce, affecting various divisions. Alongside this, the company implemented changes in its employee benefit plans, including adjustments to pension offerings and 401(k) contributions. A notable development was the purchase of a group annuity to transfer some pension liabilities, reflecting the company’s effort to manage its long-term financial obligations. Importance: This news is crucial to monitor because of the current economic uncertainties, rising interest rates, and potential tax implications. Addressing these changes is essential for employees to make informed financial decisions amidst a volatile political environment.
Graham Holdings Company (GHC) offers a variety of stock options and Restricted Stock Units (RSUs) to its employees as part of its compensation and incentive programs. These equity compensation tools are designed to align employee interests with those of shareholders, providing long-term incentives tied to company performance. For stock options, Graham Holdings uses Incentive Stock Options (ISOs), which allow employees to purchase shares at a set price, often the market value at the time the option is granted, after a specific vesting period. These options are typically available to full-time employees and senior executives, and the vesting schedule often spans several years. The ISOs are subject to specific tax treatment under the Internal Revenue Code, which can provide tax benefits if the options are held for a certain period before being sold. Regarding RSUs, Graham Holdings grants these units as a form of deferred compensation. RSUs represent a promise to deliver shares of the company's stock at a future date, contingent on vesting criteria such as continued employment or the achievement of performance targets. RSUs at Graham Holdings are generally awarded to executives and key employees, with vesting schedules that typically range from three to five years. Once vested, the RSUs convert into actual shares, which can then be sold or held by the employee. In 2022, 2023, and 2024, Graham Holdings continued to offer these stock options and RSUs as part of its compensation package, with the specifics of each grant detailed in the company's annual reports and proxy statements. The availability of these equity incentives is typically tied to the employee's role within the company, with higher-ranking positions generally receiving more substantial grants.
Graham Holdings offers a range of health benefits designed to support its employees, including comprehensive medical, dental, and vision plans. The company uses specific healthcare-related terms and acronyms such as Health Savings Account (HSA), Flexible Spending Account (FSA), and Employee Assistance Program (EAP). Employees have access to various health plans, including those with high deductibles coupled with HSA options, which allow pre-tax contributions to cover medical expenses. The company's benefits site provides detailed annual reports on its health plans, highlighting key financial aspects and changes over the years. For example, the 2022 Summary Annual Report outlines the coverage for medical expenses and the associated financial performance of these plans. Graham Holdings also complies with the Transparency in Coverage rule, making it easier for employees to compare in-network and out-of-network costs for medical services.
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For more information you can reach the plan administrator for Graham Holdings at , ; or by calling them at .

https://contracts.justia.com/companies/graham-holdings-company-591/contract/394651/ https://benefits.ghco.com/ https://www.fidelity.com/learning-center/personal-finance/retirement/company-stock https://www.retirementwatch.com/the-net-unrealized-appreciation-nua-tax-strategy https://www.investopedia.com/terms/n/netunrealizedappreciation.asp https://pensionrights.org/resource/retirement-plan-contribution-and-benefit-limits/ https://www.shrm.org/topics-tools/news/benefits-compensation/2022-benefit-plan-limits-thresholds-chart https://www.tiaa.org/public https://pitchbook.com/profiles/company/10744-03 https://stockanalysis.com/stocks/ghc/company/ https://www.annualreports.com/Company/graham-holdings-company https://www.hicapitalize.com/find-my-401k/graham-holdings-co/ https://www.ghco.com/ https://www.foxrothschild.com/publications/interest-rate-hikes-present-challenge-for-fully-funded-pension-plans https://www.ghco.com/news-releases/news-release-details/graham-holdings-company-reports-first-quarter-earnings-9 https://www.irs.gov/ https://www.inquirer.com/ https://qdro.com/retirement-qdro/THE-RETIREMENT-PLAN-FOR-GRAHAM-HOLDINGS-COMPANY/ https://www.thelayoff.com/washington-post#google_vignette https://ycharts.com/companies/GHC/pension_and_employee_benefit_expense https://www.daypitney.com/insights/publications/2021/11/08-irs-publishes-2022-pension-plan-limitations/

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