SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
WEST SHORE ADVANCED LIFE SUPPORT
SERVICES INC
Employer identification number

23-2463002
Return Reference Explanation
FORM 990, PAGE 1, ITEM C GEISINGER EMS
FORM 990, PAGE 2, PART III, LINE 4A PRIMARY EMERGENCY BASIC LIFE SUPPORT (BLS) AMBULANCE SERVICE, PRIMARY EMERGENCY ADVANCED LIFE SUPPORT PARAMEDIC SERVICE,AND ROUTINE BLS SERVICE. WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. (WSALS) STRIVES: - TO BE THE LEADER IN EXCELLENCE IN THE PROVISION OF PRE-HOSPITAL EMERGENCY SERVICES THROUGHOUT CENTRAL AND SOUTH 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-HOSPICAL 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. IN ORDER TO ACHIEVE THIS MISSION, WE COMMIT OURSELVES TO CONTINUOUSLY IMPROVE THE QUALITY OF OUR CARE AND SERVICES, CREATIVELY RESPONDING TO THE NEEDS OF THE PEOPLE WE SERVE. WSALS PROVIDES PRIMARY EMERGENCY BASIC LIFE SUPPORT (BLS) AMBULANCE SERVICE IN NUMEROUS MUNICIPALITIES AND PRIMARY EMERGENCY ADVANCED LIFE SUPPORT PARAMEDIC SERVICE IN NUMEROUS MUNICIPALITIES IN CUMBERLAND, FRANKLIN, MONTOUR, COLUMBIA, NORTHUMBERLAND, NORTHERN YORK, AND PERRY COUNTIES. ROUTINE BLS SERVICE IS ALSO PROVIDED IN A SIX (6) COUNTY AREA. ADDITIONALLY, WSALS PROVIDES LEADERSHIP FOR THE SOUTH-CENTRAL PA TASK FORCE IN CUMBERLAND, PERRY, FRANKLIN, AND ADAMS COUNTIES AS WELL AS MEDICAL SUPPORT FOR THE CUMBERLAND COUNTY SPECIAL RESPONSE TEAM. ADVANCED AND BASIC LIFE SUPPORT SYSTEMS PROVIDE ON-SITE TRAUMA, LIFESAVING, PARAMEDICAL, AND PATIENT TRANSPORTATION FOR VICTIMS OF ACCIDENT, ILLNESS, AND INJURY. 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 FISCAL YEAR ENDED JUNE 30, 2019 WAS 1,502. B.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 FISCAL YEAR 2019, THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 4,354,637. C.OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, WSALS PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2019 WAS 1,600,073. COMMUNITY HEALTH. EDUCATION, AND OUTREACH AS AN ESSENTIAL EMERGENCY MEDICAL SERVICE PROVIDER, WSALS STRIVES TO SERVE AS A PARTNER TO OUR LOCAL COMMUNITY AND LOCAL RESIDENTS. WSALS PROVIDES CARE TO THE COMMUNITY THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH WSALS BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS WERE PROVIDED AT A COST OF 38,595 DURING THE FISCAL YEAR ENDED JUNE 30, 2019, AND INCLUDE COMMUNITY STANDBYS, COMMUNITY EDUCATION AND SPEAKING ENGAGEMENTS, FREE FLU SHOT CLINICS, TACTICAL EMS AND EMS TASK FORCE, AND EMS COUNCIL, AMONG OTHER SUBSIDIZED AND UNIQUE SERVICES. COMMUNITY BENEFIT SUMMARY CHARITY CARE 1,502 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 4,354,637 OTHER UNCOMPENSATED PATIENT SERVICES 1,600,073 COMMUNITY HEALTH, EDUCATION, OUTREACH, AND OTHER 38,595 TOTAL COMMUNITY BENEFIT 5,994,807 STATISTICS TOTAL EMERGENCY AND NON-EMERGENCY SERVICE CALLS DURING THE FISCAL YEAR ENDED JUNE 30, 2019: 29,803
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 1099'S FILED BY GSS FOR THE 2018 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 1,602. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATIONS EIN. IT DOES NOT INCLUDE THOSE FILED BY GSS ON ITS BEHALF.
FORM 990, PART VI 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? GERALD V. MALONEY, DO, DANIEL E. LOHR, ESQUIRE, JEFFREY A. JACOBSON, LORI R. GRAMLEY, ESQUIRE, ROBERT J. DIETZ, VIRGINIA MCGREGOR, V. CHRIS HOLCOMBE, PE, DAVID J. FELICIO, ESQUIRE, JAEWON RYU, MD, JD, DAVID T. FEINBERG, MD, MBA, KEVIN V. ROBERTS, MBA, CPA, AND EDELYN L. MILLER 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.
FORM 990, PAGE 6, PART VI, LINE 4 EFFECTIVE, JULY 1, 2018, THE BYLAWS OF WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. WERE AMENDED TO REMOVE HOLY SPIRIT HEALTH SYSTEM AS SOLE CORPORATE MEMBER AND REPLACE AS ITS SOLE CORPORATE MEMBER, GEISINGER CLINIC.
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 11B 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 FINANCIAL REPORTING 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.
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 LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEES AND 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 BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE 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 THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: HTTPS://WWW.GEISINGER.ORG/ABOUT- GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL-REPORTS. 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 TRANSFER FROM PARENT, HOLY SPIRIT HEALTH SYSTEM 4,800,000 FRESH START FROM BERWICK ACQUISITION 49,528 REASSESS TO FMV -126,627 TOTAL 4,722,901 THE 4,800,000 TRANSFER FROM HOLY SPIRIT HEALTH SYSTEM REPRESENTS FUNDS USED TO SUPPORT THE CHARITABLE OPERATIONS OF WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. THE 49,528 INCREASE IN NET ASSETS REPRESENTS THE REVALUATION OF VARIOUS ASSETS, FROM THE BERWICK AMBULANCE ACQUISITION, TO FAIR MARKET VALUE. THE 126,627 DECREASE IN NET ASSETS REPRESENTS THE REVALUATION OF VARIOUS PROPERTY, PLANT, AND EQUIPMENT TO FAIR MARKET VALUE.
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 AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


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