2025-11-17T17:06:16-06:00 2024-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-01-01 232463002 WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC % ERIN FITZGERALD CPA WEST 5702716624 100 N Academy Ave MC 49-70 DANVILLE PA 178229800 ERIN M FITZGERALD CPA INTERIM CO-CFO 5702716624 2025-11-11 true ROBERT W FRIZ P00438748 2673303000 2025-11-10 2024 2025-03-06 01:10:19Z GEISINGER EMS TERRY GILLILAND MD 100 N ACADEMY AVE MC 22-01 DANVILLE PA 178229800 14349240 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, AND COMMUNITY SERVICE. 7 4 182 85 0 0 31964 11891 8822011 14247458 59532 78941 6720 10950 8920227 14349240 0 0 0 0 8784505 10249114 0 0 0 5937507 6255769 14722012 16504883 -5801785 -2155643 4281157 8207790 3829940 3912216 451217 4295574 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, AND COMMUNITY SERVICE. false false 15778373 0 14250158 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, 2024 WAS $116,923. 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, 2024, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $2,006,081. C. VOLUNTEER SERVICES VOLUNTEERS ARE AN ACTIVE AND VITAL PART OF OF WSALS' ACTIVITIES. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF WSALS. VOLUNTEERS CONTRIBUTED 422.19 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY DURING THE YEAR ENDED DECEMBER 31, 2024. COMMUNITY BENEFIT SUMMARY CHARITY CARE $ 116,923 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 2,006,081 VOLUNTEER SERVICES (VALUED AT 01/01/2024 PA STATEWIDE AVERAGE WEEKLY WAGE) 13,983 TOTAL COMMUNITY BENEFIT $ 2,136,987 STATISTICS WSALS RESPONDED TO 24,078 EMERGENCY AND NON-EMERGENCY CALLS DURING THE YEAR ENDED DECEMBER 31, 2024. 15778373 true false false true false false false false false false true false false true 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 182 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 5702142299 100 N ACADEMY AVE MC 49-70 DANVILLE PA 178229800 X JAEWON RYU MD JD PRESIDENT, DIRECTOR 0.0 40.0 X X 0 8428472 5867423 TERRY GILLILAND MD PRESIDENT, DIRECTOR 0.0 40.0 X X 0 2349920 867580 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 0.0 40.0 X 0 2685093 66232 STEVEN B BENDER ESQ EVP, CLO, SECRETARY 0.0 40.0 X 0 905815 244367 RONALD BEER MHA FACHE INTERIM COO 0.0 40.0 X 0 876035 116292 GERALD V MALONEY DO DIRECTOR 0.0 40.0 X 0 835370 133826 LORI R GRAMLEY ESQ ACLO, ASSISTANT SECRETARY 0.0 40.0 X 0 367079 52253 PAUL N CHRISTOPHEL EXECUTIVE DIRECTOR, GROUND EMS 40.0 0.0 X 157920 0 49263 RONALD REDMOND PARAMEDIC 40.0 0.0 X 140567 0 34017 CHRISTOPHER GARDNER PARAMEDIC 40.0 0.0 X 123888 0 19731 GEORGE M KOST PARAMEDIC 40.0 0.0 X 114742 0 6231 MATTHEW WALSH DIRECTOR 0.0 40.0 X 0 8926 2890 BENJAMIN K CHU MDMPHMACP DIRECTOR 0.25 3.25 X 0 0 0 V CHRIS HOLCOMBE PE VICE CHAIR, DIRECTOR 0.25 2.75 X 0 0 0 VIRGINIA MCGREGOR DIRECTOR 0.25 3.0 X 0 0 0 JEFFREY A JACOBSON CHAIR, DIRECTOR 0.25 2.75 X 0 0 0 537117 16456710 7460105 4 false true false BEST PRACTICE MEDICINE 601 HAGGERTY LANE BOSEMAN MT 59715 STAFFING 295917 GOOD WILL FIRE COMPANY 1 25 NORTH STREET MINERSVILLE PA 17954 EMS SERVICES 245035 2 11891 11891 PARAMEDIC SERVICES 621910 10256795 10256795 INTERCOMPANY REVENUE 541990 3990663 3990663 14247458 78941 78941 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RECYCLING/SCRAP 900099 8250 8250 OTHER EDUCATION REVENUE 900099 2700 2700 10950 14349240 14250158 0 87191 0 0 0 0 0 0 7414987 7091487 323500 313699 300012 13687 1984595 1898011 86584 535833 512456 23377 0 0 0 633 633 0 14090 14090 737220 712557 24663 627 627 224216 216887 7329 72938 72938 0 582099 556476 25623 295257 271404 23853 0 11040 11040 0 0 655142 626304 28838 323217 313262 9955 INTER-ENTITY EXPENSE 3060927 2925264 135663 MEDICAL SUPPLIES 241695 241695 BOOKS, LICENSES, FEES & DUES 27578 25651 1927 UNCOLLECTIBLE EXPENSE 2302 2302 6788 6788 16504883 15778373 726510 0 0 0 0 2270491 0 0 1415211 1223780 0 0 0 0 0 0 0 0 100084 68756 6485806 2659019 2765862 3826787 0 0 0 0 0 0 0 0 0 817976 4281157 8207790 187688 431221 0 0 111155 113040 0 0 0 0 0 0 397713 337365 0 0 3133384 3030590 3829940 3912216 X 451217 4295574 0 0 451217 4295574 4281157 8207790 X -2155643 6000000 X X false true X true false X 226352 533204 6415 31964 11891 809826 0 0 226352 533204 6415 31964 11891 809826 0 809826 845 181 2636 59210 78941 141813 23138 23138 88323 50 559890 0 0 648263 1623040 0.49896 0.58780 X PART II, SECTION B, LINE 10 - OTHER INCOME DETAIL 2020 EMS STAFFING REVENUE $ 88,323 2021 EMS STAFFING REVENUE $ 50 2022 EMS STAFFING REVENUE $ 559,890 2023 EMS STAFFING REVENUE NONE 2024 EMS STAFFING REVENUE NONE false false false false false false false false true 633 633 false 0 SCHEDULE C, PART II-B, 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. 1177051 107098 1069953 5189452 2483921 2705531 119303 68000 51303 3826787 DUE FROM AFFILIATES 817976 817976 0 DUE TO AFFILIATES 2954073 PATIENT CREDIT BALANCES 76517 3030590 PART XIII - SUPPLEMENTAL FINANCIAL INFORMATION EFFECTIVE JULY 1, 2007, GEISINGER ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES"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 0 2822318 0 3931000 0 1675154 0 5848696 0 18727 0 14295895 0 1316166 TERRY GILLILAND MD PRESIDENT, DIRECTOR 0 2212113 0 0 0 137807 0 836806 0 30774 0 3217500 0 0 KEVIN V ROBERTS MBA CPA EVP, CFO, TREASURER 0 1749843 0 525000 0 410250 0 24306 0 41926 0 2751325 0 0 STEVEN B BENDER ESQ EVP, CLO, SECRETARY 0 708600 0 0 0 197215 0 209306 0 35061 0 1150182 0 167904 RONALD BEER MHA FACHE INTERIM COO 0 464048 0 75000 0 336987 0 73699 0 42593 0 992327 0 48140 GERALD V MALONEY DO DIRECTOR 0 720238 0 0 0 115132 0 98569 0 35257 0 969196 0 62504 LORI R GRAMLEY ESQ ACLO, ASSISTANT SECRETARY 0 338553 0 0 0 28526 0 24306 0 27947 0 419332 0 0 PAUL N CHRISTOPHEL EXECUTIVE DIRECTOR, GROUND EMS 146309 0 0 0 11611 0 7979 0 41284 0 207183 0 0 0 RONALD REDMOND PARAMEDIC 123923 0 11993 0 4651 0 7073 0 26944 0 174584 0 0 0 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. PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONQUALIFIED EQUITY-BASED JAEWON V. RYU, MBA, CPA 0 1,479,829 0 STEVEN B. BENDER, ESQUIRE 0 167,904 0 GERALD V. MALOINEY, DO 0 62,504 0 RONALD BEER, MHA, FACHE 0 48,140 0 PART III - OTHER ADDITIONAL INFORMATION 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, PART V, Line 1a - ADDITIONAL INFORMATION 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 REPORTABLE PAYMENTS OF THE FILING ORGANIZATION. THE NUMBER OF FORM 1099'S FILED BY GSS FOR THE 2024 REPORTING PERIOD ON BEHALF AND ITS AFFILIATES WAS 1,166. FORM 990, PART VI, LINE 1A - AUTHORITY DELEGATED TO COMMITTEE EXPLANATION 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, PART VI, LINE 2 - ADDITIONAL INFORMATION 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, RONALD BEER, MHA, FACHE, STEVEN B. BENDER, ESQUIRE, TERRY GILLILAND, MD, 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 OF THE AFFILIATES ARE PART OF GEISINGER. AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF THE ENTITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER. FORM 990, PART VI, LINE 6 - CLASSES OF MEMBERS OR STOCKHOLDERS 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, PART VI, LINE 7A - ELECTION OF MEMBERS AND THEIR RIGHTS 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, PART VI, LINE 7B - DECISIONS SUBJECT TO APPROVAL OF MEMBERS 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. LAW. FORM 990, PART VI, LINE 11B - ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE FORM 990 IS PREPARED BY KAISER FOUNDATION HEALTH PLAN, INC.'S TAX PREPARATION AND OVERSIGHT DEPARTMENT WITH INFORMATION PROVIDED FROM GEISINGER FINANCE, 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, PART VI, LINE 12C - ENFORCEMENT OF CONFLICTS OF INTEREST POLICY 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, PART VI, LINE 15A & 15B - COMPENSATION PROCESS 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, PART VI, LINE 19 - GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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 XI, LINE 9 - OTHER CHANGES IN NET ASSETS EXPLANATION TRANSFER FROM PARENT - GEISINGER HEALTH $6,000,000 FORM 990, PART XII - ADDITIONAL INFORMATION 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"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. KAISER FOUNDATION HOSPITALS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 941105628 HEALTH CARE CA 501(C)(3) 3 NA false KAISER FOUNDATION HEALTH PLAN INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 941340523 HEALTH CARE CA 501(C)(3) 10 NA false KAISER FDN HEALTH PLAN OF COLORADO ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 840591617 HEALTH CARE CO 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF GEORGIA INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 581592076 HEALTH CARE GA 501(C)(3) 10 KFHP INC false KAISER FOUNDATION HEALTH PLAN OF THE MAS ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 520954463 HEALTH CARE MD 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF THE NORTHWEST ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 930798039 HEALTH CARE OR 501(C)(3) 10 KFHP INC false KAISER FDN HEALTH PLAN OF WASHINGTON ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 910511770 HEALTH CARE WA 501(C)(3) 3 KFHPW HLDGS false KAISER HOSPITAL ASSET MANAGEMENT INC ONE KAISER PLAZA - 26TH FL OAKLAND CA 94612 943299125 ASSET MGMT CA 501(C)(3) 12-I KFH false KAISER HEALTH PLAN ASSET MANAGEMENT INC ONE KAISER PLAZA - 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TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN FORM 990, SCHEDULE R, WEST SHORE ADVANCE 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. OFFICE OF THE IRS IN A SERIES OF GEISINGER PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS.