West Shore Advanced Life Support Services Inc

“Form 990, part i, section a, line 4: form 990, part vi, section a, line 1b: enter the number of voting members that are independent. Based on the form 990 definition of "independence" as it relates to voting members of the governing body, three voting members are not independent because they are compensated as employees of related tax-exempt organizations. Form 990, part vi, section a, line 2: did any officer, director, trustee, or key employee have a family relation- ship or business relationship with any other officer, director, trustee, or key employee? 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 walsh, steven b. Bender, esquire, 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 affiliate of the entity. All of the affiliates are part of geisinger.”

“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.”

“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.”

“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.”

“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. The members also have the reserve powers for certain significant transactions and as set forth in the pennsylvania nonprofit corporation law.”

“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. The form 990 is prepared by geisinger tax and finance departments with information provided from finance, tax, human resources, legal services and other relevant departments within geisinger. The chief financial officer (cfo) of geisinger and the individual organizations senior financial managers review their respective form 990 prior to making the final return available to the board. In addition, the chief legal officer and chief human resource officer of geisinger review the information disclosed on the form 990 relevant to their respective areas of responsibility. For purposes of their annual audit of geisinger consolidated financial statements, independent auditors review all federal tax returns filed by geisinger organizations to identify material items, including if there are any uncertain tax positions that may be required to be recognized. The company had no uncertain tax positions required to be reported for reporting period.”

“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.”

“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.”

“See schedule o response to form 990, part vi section b, question 15a.”

“Financial statements, form 990, form 990-t, the conflicts of interest policy, and other governing documents are available to the public upon request.”

“GEISINGER EMS”

“West shore advanced life support services, inc. (wsals, d/b/a geisinger emergency medical services (gems)) strives: - to be the leader in excellence in the provision of pre-hospital emergency services throughout northeast and central pennsylvania. - to maintain the public trust through the delivery of compassionate, courteous, and professional treatment of those placed in our care. - to enhance and maintain the image of pre-hospital emergency services as an important link in the chain of health care utilizing the most up-to-date technology and therapies available. - to assist others in their technology and therapies available. - to assist others in their education in pre-hospital care through observation and participation in the performance of our duties. - to maintain a workplace where thoughts and ideas are nurtured, where performance and rewards are equitable, and where social and self- actualization needs are fulfilled. To achieve these goals, wsals commits to continuously improve the quality of care and services, creatively responding to the needs of the people served. Wsals provides primary emergency basic life support (bls) ambulance service, primary emergency advanced life support paramedic service, and routine bls service, whether routine (non-emergency) or life saving (emergency) care in the communities in which it serves. Wsals provides 24-hour ambulance and paramedic service to communities across northeast and central pennsylvania, including: emergency services and medical transport: -wsals responds to 911 emergency calls 24 hours a day, 7 days per week, including holidays and weekends. -critical care transportation: people who are injured or ill get safe medical transport in advanced life support ambulances outfitted with lifesaving equipment and medications. -basic life support: our emergency medical technicians (emts) are right there when you need medical transportation from home to doctors' appointments or between facilities. All our basic life support ambulances carry oxygen and medical devices essential to care. -advanced life support: skilled paramedics focus on those needing medical attention during transport to geisinger or other hospitals in the area. Non-emergency services and medical transport -ambulance transport services: wsals provides non-emergency medical transportation to or from doctors' appointments, hospitals, nursing homes, home health and hospice agencies and other care facilities. -wheelchair van service, paratransit services may be provided in central pennsylvania. Wsals is committed to the communities it services offering outreach and education services, including: -cpr/aed information and first aid courses -emergency planning assistance -medical education on alcohol/drugs, stroke, heart attack, sexual assault and other topics -boy scout and girl scout activities -presentations to groups and organizations event coverage and ems standby -wsals provides on-site ambulance, equipment and trained staff at picnics, concerts, sporting events and similar community events. Uncompensated care wsals recognizes that its mission is to serve all members of the community with respect to the provision of emergency basic life support ambulance services and advanced life support paramedic services. Wsals provides quality services regardless of race, creed, sex, national origin, handicap, age, or ability to pay. In this regard, wsals provides free or subsidized care below cost and supports various health activities and programs in support of the community. A.charity care the primary concern of wsals is the delivery of emergency services to all the citizens in their pennsylvania service area regardless of their ability to pay. The unreimbursed cost of charity care represents the cost wsals incurs by providing free or discounted services to those who cannot afford to pay. The cost to wsals of providing this charity care during the year ended december 31, 2022 was 58,682. B. Medicare/medicaid/other governmental”

“Form 990, part v, line 1a: enter the number reported in box 3 of form 1096, annual summary and transmittal of u.s. Information returns. Geisinger system services (gss), an affiliate of the organization, provides a centralized accounts payable function for all geisinger organizations. As the accounts payable processor, gss prepares and files form 1099 under its ein for certain reportable payments of the filing organization. The number of 1099's filed by gss for the 2022 reporting period on behalf of itself and its affiliates was 1,353.”

“Transfer from geisinger health 2,000,000”

“Form 990, part xii, line 3a: as a result of a federal award, was the organization required to undergo an audit or audits as set forth in the uniform guidance, 2 c.f.r. Part 200, subpart f? 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- or "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.”