Williamsport Area Ambulance Service Cooperative

“Key employee Charles Santangelo and key employee Steve Johnson both serve on the board of a related taxable corporation.”

“The Williamsport Hospital, Duboistown Fire Department, Old Lycoming Township Volunteer Fire Company, and South Williamsport Fire Department are members of the governing body.”

“Each member may elect or remove one or more board members to the governing body.”

“A high-level overview of Forms 990 is presented to the parent Board of Directors (Susquehanna Health System EIN #23-2751183) before filing and complete drafts of all returns are made available to all Board members through the CEO's and CFO's office.”

“All members of the Board of Directors are required to submit a statement annually disclosing any conflict of interest that may arise. Requests for the annual form are distributed individually to each Board Member by the Office of the President and CEO. The CEO's executive assistant ensures that she receives a completed form from every Board Member. All Board Members agree to abstain when any issue involving the parties with conflicting interest is called to motion.”

“All top management is employed by The Williamsport Hospital EIN #24-0795508. The following paragraph describes the process they use. The Board of Directors, through the Executive Compensation Committee, retains an independent outside consultant to provide guidance with respect to the annual establishment of the rebuttable presumption or reasonableness relative to executive compensation and benefits. The consultant annually provides detailed market information from its annual Executive Compensation Survey for Health Systems. In addition, other regional survey data is provided in order to supply the health system with a "national" picture of compensation. With this process established, the Executive Compensation Committee takes the proper steps to educate the Board of Directors to understand all of the above-mentioned oversight and to appropriately prepare them for community or media inquiry. In addition, the Board is made aware of the Form 990 and its role in the communication of information to the public.”

“The organization makes its governing documents, conflict of interest policy, and financial statements available to members of the public who request them. They would be produced by the Corporate office.”

“The organization did not change its oversight process or selection process.”

“Number reported in Box 3 of Form 1096 All 1099's are issued by Susquehanna Health System EIN #23-2751183. All expenses are then allocated back to all related entities.”

“Number of employees reported on Form W-3 Susquehanna Health System EIN #23-2751183 utilizes a common paymaster which includes the following entities: Divine Providence Hospital #24-0799343 Muncy Valley Hospital #24-0806023 The Williamsport Hospital #24-0795508 Susquehanna Health Foundation #23-2743470 Susquehanna Physician Services #23-2449454 Susquehanna Ventures Inc #23-2470263 Williamsport Area Ambulance Service Cooperative #23-2416166 The total number of employees reported on Form W-3 would be 3,500 for Susquehanna Health System #23-2751183. Of that total, 87 employees payroll expenses were recorded by Williamsport Area Ambulance Service Cooperative #23-2416166.”