2024-11-15T12:54:56-05:00 2023-12-31 920460586 PWC US TAX LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2023-01-01 232463002 WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC WEST 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 5702716624 2024-11-14 false ROBERT W FRIZ P00438748 2673303000 2024-11-15 2023 2024-10-15 13:58:12Z GEISINGER EMS TERRY GILLILAND MD JD 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 8920227 false X WWW.GEISINGER.ORG X 1982 PA 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 SERVICE. 7 4 171 4 0 6415 31964 6928377 8822011 2636 59532 564227 6720 7501655 8920227 0 0 7516159 8784505 0 0 5095927 5937507 12612086 14722012 -5110431 -5801785 2332898 4281157 1079896 3829940 1253002 451217 X 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 SERVICE. false false 13924310 8828731 WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. (WSALS, D/B/A GEISINGER EMS (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, 2023 WAS 78,050. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL IN RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE), THE POOR (MEDICAID), AS WELL AS OTHERS. WSALS PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, WSALS IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2023, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 5,405,853. COMMUNITY BENEFIT SUMMARY CHARITY CARE 78,050 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 5,405,853 TOTAL COMMUNITY BENEFIT 5,483,903 STATISTICS WSALS RESPONDED TO 17,650 EMERGENCY AND NON-EMERGENCY SERVICE CALLS DURING THE YEAR ENDED DECEMBER 31, 2023. 13924310 true false false true false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true true false true X 0 0 true 171 true false false false false false false false false false false false false X 7 4 true false false false true true true true true false false true true true true true true true true false PA X ERIN FITZGERALD CPA VP AND CAO 5702142299 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 JAEWON RYU MD JD PRESIDENT, D 40.00 X X 0 5492112 1571914 KEVIN V ROBERTS MBA CPA EVP, CFO, TR 40.00 X 0 3588266 60007 MATTHEW WALSH DIRECTOR 40.00 X 0 1500068 314234 STEVEN B BENDER ESQUIRE EVP, CLO, SE 40.00 X 0 1008985 246564 GERALD V MALONEY DO DIRECTOR 40.00 X 0 815329 127061 LORI R GRAMLEY ESQUIRE ACLO, ASST. 40.00 X 0 354475 47949 PAUL N CHRISTOPHEL EXECUTIVE DI 40.00 X 160431 0 47953 RONALD REDMOND PARAMEDIC 40.00 X 166755 0 8975 NATHAN CARL PI OORDINATO 40.00 X 128826 0 42654 CHRISTOPHER GARDNER PARAMEDIC 40.00 X 129528 0 27103 GEORGE M KOST PARAMEDIC 40.00 X 130846 0 7006 JEFFREY A JACOBSON CHAIR, DIREC 0.25 2.75 X 0 0 0 BENJAMIN K CHU MD MPH MACP DIRECTOR 0.25 3.25 X 0 0 0 VIRGINIA MCGREGOR DIRECTOR 0.25 3.00 X 0 0 0 V CHRIS HOLCOMBE PE VICE CHAIR, 0.25 2.75 X 0 0 0 716386 12759235 2501420 8 false true false BEST PRACTICE MEDICINE 601 HAGGERTY LANE BOSEMAN MT 59715 STAFFING 941892 GOOD WILL FIRE CO NO 1 25 NORTH STREET MINERSVILLE PA 17954 EMS 213005 2 23827 8137 31964 PARAMEDIC SERVICE 621910 8053945 8053945 INTERCOMPANY REVENUE 621910 768066 768066 8822011 59210 59210 322 322 322 322 REBATE REVENUE 900099 6017 6017 RECOVERIES 900099 703 703 6720 8920227 8828731 59532 X 6367801 6088035 279766 253432 242298 11134 1684792 1610772 74020 478480 457458 21022 1094 1094 15135 15135 1578915 1508118 70797 1948 1948 242976 242336 640 70658 69111 1547 655080 598761 56319 258180 244809 13371 11245 10705 540 20 18 2 511371 467407 43964 201181 183885 17296 INTER-ENTITY EXPENSE 2170767 1984140 186627 MEDICAL SUPPLIES 204956 204956 BOOK, LICENSES, FEES, DUE 9240 7832 1408 MISCELLANEOUS 4741 1721 3020 14722012 13924310 797702 0 X 781183 1415211 2294 66082 100084 4769739 2003877 1483339 2765862 2332898 4281157 136900 187688 110885 111155 153255 397713 678856 3133384 1079896 3829940 X 1253002 451217 1253002 451217 2332898 4281157 X -5801785 5000000 X X false true X true false X 350859 226352 533204 6415 31964 1148794 350859 226352 533204 6415 31964 1148794 1148794 1805 845 181 2636 59210 64677 26018 23138 49156 43536 88323 50 559890 691799 1954426 50681405 0.58780 0.64850 X PART II, LINE 10 2019 EMS STAFFING REVENUE 43,536 2020 EMS STAFFING REVENUE 88,323 2021 EMS STAFFING REVENUE 50 2022 EMS STAFFING REVENUE 559,890 false false false false false false false false true 1094 1094 false SCHEDULE C, PART II-B, LINE 1 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. 1266874 61195 1205679 3384825 1889463 1495362 118040 53219 64821 2765862 OTHER LIABILITIES 3133384 3133384 SCHEDULE D, PAGE 4, PART XIII EFFECTIVE JULY 1, 2007, GEISINGER ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "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 DISCLOUSURE WAS MADE IN THE GEISINGER CONSOLIDATD FINANCIAL STATEMENTS. X true true X X X X X X false true false false false false false false false JAEWON RYU MD JD PRESIDENT, DIRECTOR 4389743 1102369 1528292 43622 7064026 1064507 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 1697460 1890806 23292 36715 3648273 1488942 MATTHEW WALSH DIRECTOR 1248929 251139 273292 40942 1814302 219524 STEVEN B BENDER ESQUIRE EVP, CLO, SECRETARY 879843 129142 203292 43272 1255549 88396 GERALD V MALONEY DO DIRECTOR 699927 115402 95392 31669 942390 64210 LORI R GRAMLEY ESQUIRE ACLO, ASST. SECY. 326632 27843 23292 24657 402424 PAUL N CHRISTOPHEL EXECUTIVE DIRECTOR 148205 12226 8017 39936 208384 RONALD REDMOND PARAMEDIC 145331 19580 1844 8434 541 175730 NATHAN CARL PI OORDINATOR EMS 112352 14945 1529 6781 35873 171480 CHRISTOPHER GARDNER PARAMEDIC 113082 13520 2926 6534 20569 156631 SCHEDULE J, PAGE 1, PART I, LINE 1A 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. SCHEDULE J, PAGE 1, PART I, LINE 4 JAEWON RYU, MD, JD 0 1,064,507 0 KEVIN V. ROBERTS, MBA, CPA 0 1,488,942 0 MATTHEW WALSH 0 219,524 0 STEVEN B. BENDER, ESQUIRE 0 88,396 0 GERALD V. MALONEY, DO 0 64,210 0 SCHEDULE J, PART III 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. FORM 990, PAGE 1, ITEM C GEISINGER EMS FORM 990, PAGE 2, PART III, LINE 4A WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. (WSALS, D/B/A GEISINGER EMS (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, 2023 WAS 78,050. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL IN RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE), THE POOR (MEDICAID), AS WELL AS OTHERS. WSALS PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, WSALS IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR THE YEAR ENDED DECEMBER 31, 2023, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 5,405,853. COMMUNITY BENEFIT SUMMARY CHARITY CARE 78,050 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 5,405,853 TOTAL COMMUNITY BENEFIT 5,483,903 STATISTICS WSALS RESPONDED TO 17,650 EMERGENCY AND NON-EMERGENCY SERVICE CALLS DURING THE YEAR ENDED DECEMBER 31, 2023. FORM 990, PART V 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 FORM 1099'S FILED BY GSS FOR THE 2023 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,321. FORM 990, PART VI 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 AFFILIATES OF THE ENTITY. ALL AFFILIATES ARE PART OF GEISINGER. FORM 990, PAGE 6, PART VI, LINE 1A 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, PAGE 6, PART VI, LINE 6 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, PAGE 6, PART VI, LINE 7A 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, PAGE 6, PART VI, LINE 7B 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. FORM 990, PAGE 6, PART VI, LINE 11B 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. 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, PAGE 6, PART VI, LINE 12C 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, PAGE 6, PART VI, LINE 15A 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, PAGE 6, PART VI, LINE 15B SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A. FORM 990, PAGE 6, PART VI, LINE 19 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 IX, LINE 11G PATIENT TRANSPORTATION 311,058 54 0 OUTSIDE AGENCY CLINICAL STAFF 1,103,284 0 0 OUTSIDE PURCHASED SERVICES 22,339 58,512 0 COLLECTION AGENCY FEES 17,092 6,335 0 MAINTENANCE CONTRACTS 54,345 5,896 0 TOTAL 1,508,118 70,797 0 FORM 990, PART XI, LINE 9 TRANSFER FROM GEISINGER HEALTH 5,000,000 FORM 990, PART XII 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. GEISINGER HEALTH 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHRO PA 501C3 7 N/A false GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501C3 3 GH true GEISINGER CLINIC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 236291113 PHYSN SVCS PA 501C3 3 GH true GEISINGER WYOMING VALLEY MED CTR 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501C3 3 GH true MARWORTH 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501C3 3 GH true GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232311553 HMO PA 501C4 GH false GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SV PA 501C3 12A GH true GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232967235 HEALTHCARE PA 501C3 10 GSS true GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501C3 12A GH false COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501C3 3 GH true GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501C3 3 GH true GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501C3 3 GH true KEYSTONE HEALTH INFORMATION EXCH 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501C3 12A GH false GEISINGER COMMONWEALTH SCH OF MED 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 260812968 EDUCATION PA 501C3 2 GH false GEISINGER JERSEY SHORE HOSPITAL 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 240792115 HOSPITAL PA 501C3 3 GH true GEISINGER MEDICAL CENTER MUNCY 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 851226106 HOSPITAL PA 501C3 3 GHM false GNJ PHYSICIANS GROUP PC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 820681884 PHYSN SVCS NJ 501C3 10 GH false GSL HOSPITAL 801 OSTRUM STREET BETHLEHEM PA 18015 824432109 HOSPITAL PA 501C3 3 N/A false GSLPG INC 801 OSTRUM STREET BETHLEHEM PA 18015 825423865 HEALTHCARE PA 501C3 3 GSL HOSP false KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 455484165 ACO PA N/A false false GEISINGER ENCOMPASS HEALTH LLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 721398803 PHY THERAP PA N/A false false EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 460567687 HEALTHCARE PA N/A false false LACKAWANNA PHYS AMB SURG CTRLLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 233024998 HEALTHCARE PA N/A false false GEISINGER-HM JOINT VENTURE LLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 831871064 HEALTHCARE PA N/A false false KEYSTONE HEALTHCARE PARTNERSHIPLLC 901 HUGH WALLIS ROAD LAFAYETTE LA 70508 833134941 HOME HLTH PA N/A false false PHARMACY INNOVATION ALLIANCE LLC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 831871064 PURCHASING DE N/A false false KKA VALUE FUND II GMBH & CO GIPSSTRABE 8 BERLIN GERMANY GM 10119 981686914 INVESTMENT GM N/A false false KKA CO-INVEST I GMBH & CO KG GIPSSTRABE 8 BERLIN GERMANY GM 10119 981685919 INVESTMENT GM N/A false false FORMENTERA PARTNERS FUND II-A LP 300 COLORADO ST STE 1900 AUSTIN TX 78701 882933731 INVESTMENT TX N/A false false VOLPI CAPITAL CARBON CO-INVEST SCSP 8 RUE LOU HEMMER SENNINGERBERG LUXENBOURG LU L-1748 981723571 INVESTMENT LU N/A false false ISS SOLUTIONS INC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232077663 CLINIC ENG PA N/A false GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSUR PA N/A false GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSUR PA N/A false GEISINGER ASSURANCE COMPANY LTD 23 LINE TREE BAY AVE PO BOX 1159 GRAND CAYMAN GRAND CAYMAN CJ KY1-1102 981016737 FINANCIAL CJ N/A false CT WAREHOUSE GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA PROJECT 3 HOLDING GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA PROJECT 4 HOLDING GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false RTNX TOP GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA WAREHOUSE GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false KKA PROJECT 2 HOLDING GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false PROJECT 4 WAREHOUSE GMBH GIPSSTRABE 8 BERLIN BERLIN GM 10119 HOLDING CO GM N/A false SCHRODERS CAPITAL CODA FUND LTD PO BOX 309 UGLAND HOUSE GRAND CAYMAN CAYMAN ISLANDS CJ KY1-1104 INVESTMENT CJ N/A false SCHRODERS CAPITAL CODA MASTER FUND PO BOX 309 UGLAND HOUSE GRAND CAYMAN GRAND CAYMAN CJ KY1-1104 INVESTMENT CJ N/A false false false true false false false false false false false true true true false false false false false false GEISINGER HEALTH C 5000000 GAAP GEISINGER SYSTEM SERVICES K 353348 GAAP GEISINGER WYOMING VALLEY MEDICAL CT L 578382 GAAP GEISINGER HEALTH PLAN L 1683160 GAAP GEISINGER INDEMNITY INSURANCE CO L 185340 GAAP GEISINGER MEDICAL CENTER L 152358 GAAP GEISINGER SYSTEM SERVICES M 2362056 GAAP SCHEDULE R FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, THE WEST SHORE ADVANCES LIFE SUPPORT SERVICES, INC. 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. ___________________________________________________________________________