TY 2024 Form 990

- TIN:

Form990

Department of the TreasuryInternal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Do not enter social security numbers on this form as it may be made public.

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

A For the 2024 calendar year, or tax year beginning 07-01-2024 , and ending 06-30-2025

BCheck if applicable: Address change Name change Initial return Final return/terminated Amended return Application pending

CName of organization
PENINSULAS EMERGENCY MEDICAL
SERVICES COUNCIL INC

Doing business as

Number and street (or P.O. box if mail is not delivered to street address)
6876 MAIN STREET

Room/suite

City or town, state or province, country, and ZIP or foreign postal code
GLOUCESTER, VA23061

D Employer identification number

54-1064500

E Telephone number

G Gross receipts $ 799,345

F Name and address of principal officer:
JULIA GLOVER
6876 MAIN STREET
GLOUCESTER,VA23061

Tax-exempt status: 501(c)(3) 501(c) ( ) (insert no.) 4947(a)(1) or 527

Website:

HTTP://PENINSULAS.VAEMS.ORG

H(a)

Is this a group return for
subordinates? Yes No

H(b)

Are all subordinates
included?

Yes No

If "No," attach a list. See instructions.

H(c)

Group exemption number

K Form of organization: Corporation Trust Association Other

L Year of formation: 1976

M State of legal domicile: VA

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF THE PENINSULAS EMERGENCY MEDICAL SERVICES COUNCIL IS TO ASSIST THE VIRGINIA PENINSULA, MIDDLE PENINSULA, AND NORTHERN NECK LOCAL GOVERNMENTS, EMERGENCY MEDICAL SERVICES AGENCIES, AND HOSPITALS BY ASSESSING, IDENTIFYING, COORDINATING, PLANNING AND IMPLEMENTING AN EFFICIENT AND EFFECTIVE REGIONAL EMERGENCY MEDICAL SERVICES DELIVERY SYSTEM. COUNCIL'S WORK HELPS TO ENSURE CONSISTENT IMPROVED PREHOSPITAL CARE TO THE RESIDENTS AND VISITORS OF THE VIRGINIA PENINSULA, MIDDLE PENINSULA, AND NORTHERN NECK PENINSULA, WHO NEED EMERGENCY MEDICAL SERVICES. OUR OVERSIGHT OF VITAL AREAS IN THE PREHOSPITAL CARE SETTING INCLUDES REGIONAL TREATMENT PROTOCOL DEVELOPMENT, REGIONAL MEDICATION BOX SYSTEM MANAGEMENT, REGIONAL EQUIPMENT EXCHANGE AGREEMENT MANAGEMENT, TRAUMA TRIAGE, STROKE ASSESSMENT AND CARE, AND MASS CASUALTY RESPONSE. ADDITIONALLY, THE COUNCIL PREPARES HIGHLY INFECTIOUS DISEASE AND OTHER REGIONAL EMERGENCY MEDICAL PLANNING, EMERGENCY MEDICAL SERVICES PROVIDER TRAINING, CONTINU
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	25
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	25
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	7
6	Total number of volunteers (estimate if necessary) .............	6	332
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	135,507	333,152
9	Program service revenue (Part VIII, line 2g) .........	487,911	460,365
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,321	4,542
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	10,456	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	640,195	798,059
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	458,889	451,360
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	206,847	277,073
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	665,736	728,433
19	Revenue less expenses. Subtract line 18 from line 12.......	-25,541	69,626
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	499,993	538,681
21	Total liabilities (Part X, line 26).............	139,436	108,498
22	Net assets or fund balances. Subtract line 21 from line 20.....	360,557	430,183

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name

Firm's EIN

Firm's address

Phone no.

May the IRS discuss this return with the preparer shown above? See Instructions. ..........YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y Form 990 (2024)

Form 990 (2024)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response or note to any line in this Part III..............

Briefly describe the organization’s mission: THE MISSION OF THE PENINSULAS EMERGENCY MEDICAL SERVICES COUNCIL IS TO ASSIST THE VIRGINIA PENINSULA, MIDDLE PENINSULA, AND NORTHERN NECK LOCAL GOVERNMENTS, EMERGENCY MEDICAL SERVICES AGENCIES, AND HOSPITALS BY ASSESSING, IDENTIFYING, COORDINATING, PLANNING AND IMPLEMENTING AN EFFICIENT AND EFFECTIVE REGIONAL EMERGENCY MEDICAL SERVICES DELIVERY SYSTEM. COUNCIL'S WORK HELPS TO ENSURE CONSISTENT IMPROVED PREHOSPITAL CARE TO THE RESIDENTS AND VISITORS OF THE VIRGINIA PENINSULA, MIDDLE PENINSULA, AND NORTHERN NECK PENINSULA, WHO NEED EMERGENCY MEDICAL SERVICES. OUR OVERSIGHT OF VITAL AREAS IN THE PREHOSPITAL CARE SETTING INCLUDES REGIONAL TREATMENT PROTOCOL DEVELOPMENT, REGIONAL MEDICATION BOX SYSTEM MANAGEMENT, REGIONAL EQUIPMENT EXCHANGE AGREEMENT MANAGEMENT, TRAUMA TRIAGE, STROKE ASSESSMENT AND CARE, AND MASS CASUALTY RESPONSE. ADDITIONALLY, THE COUNCIL PREPARES HIGHLY INFECTIOUS DISEASE AND OTHER REGIONAL EMERGENCY MEDICAL PLANNING, EMERGENCY MEDICAL SERVICES PROVIDER TRAINING, CONTINU

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ..................... Yes No

If "Yes," describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ........................... Yes No

If "Yes," describe these changes on Schedule O.

Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ 124,858 including grants of $ ) (Revenue $ 337,040 )
	I. REGIONAL MEDICAL DIRECTION - THE PENINSULAS EMS COUNCIL MAINTAINS A MEDICAL ADVISORY COMMITTEE (MAC), WHICH DEVELOPS, APPROVES, IMPLEMENTS, EXPANDS, AND IMPROVES PROGRAMS OF MEDICAL CONTROL AND ACCOUNTABILITY. THE MAC ALSO COORDINATES THE DEVELOPMENT AND MAINTENANCE OF REGIONAL MEDICAL TREATMENT PROTOCOLS AND MEDICAL OVERSIGHT OF EDUCATION AND TESTING FOR ALL LEVELS OF EMERGENCY MEDICAL SERVICE CERTIFICATION WITHIN THE REGION. THE POLICIES AND PROTOCOLS ESTABLISHED BY THE MAC ARE THE BASIS FOR THE LEGAL "STANDARD OF CARE" FOR THE PROVISION OF PREHOSPITAL EMERGENCY MEDICAL CARE WITHIN THE GEOGRAPHIC BOUNDARIES OF THE PENINSULA, MIDDLE PENINSULA, AND NORTHERN NECK. "IN FY25, PEMS RENEWED THE PROFESSIONAL SERVICES CONTRACT WITH AMIR LOUKA, MD, AS THE REGIONAL MEDICAL DIRECTOR (RMD) FOR PEMS, CONSISTENT WITH RESPONSIBILITIES LISTED UNDER THE VIRGINIA EMS REGULATIONS 12 VAC 5-31- 1890. II. PROTOCOL, POLICIES, AND PROCEDURES IMPLEMENTATION - THE PENINSULAS EMS COUNCIL PROVIDES AND MANAGES THE REGION'S ADVANCED LIFE SUPPORT (ALS), BASIC LIFE SUPPORT BLS), PEDIATRIC, AND WEAPONS OF MASS DESTRUCTION (WMD) PATIENT CARE PROTOCOLS, POLICIES, AND PROCEDURES FOR ALL LOCAL GOVERNMENTS, EMS AGENCIES, EMS PROVIDERS, EMS PHYSICIANS AND HOSPITALS IN THE REGION. THE PEMS PATIENT CARE PROTOCOLS, POLICIES, AND PROCEDURES ARE ADOPTED BY THE MEDICAL ADVISORY COMMITTEE (MAC) AS A REGIONAL TEMPLATE AND GUIDE FOR THE PROVISION OF PREHOSPITAL EMERGENCY MEDICAL CARE. THE PEMS MAINTAINS A PROTOCOLS, POLICIES AND PROCEDURES COMMITTEE (PPP), SEVERAL CLINICAL PROGRAM COMMITTEES (STROKE COMMITTEE, TRAUMA TRIAGE COMMITTEE, AND ST- ELEVATION MYOCARDIAL INFARCTION COMMITTEE) AND SEVERAL CLINICAL SPECIALTY COMMITTEES (PEDIATRIC CARE COMMITTEE AND BEHAVIORAL HEALTH COMMITTEE) THAT DRAFT NEW AND REVISED PROTOCOLS, POLICIES AND PROCEDURES FOR CONSIDERATION BY THE MAC. THROUGH THEIR WORK, THESE COMMITTEES ENSURES THAT REGIONAL PROTOCOLS, POLICIES AND PROCEDURES CONTINUE TO MEET NATIONAL STANDARDS AND REFLECT CONTINUOUSLY CHANGING MEDICAL KNOWLEDGE, EVER MORE EFFECTIVE THERAPEUTIC MODALITIES, AND PROMOTES CONTINUALLY DEVELOPING AND IMPROVING PROVIDER KNOWLEDGE AND SKILL LEVELS. THEY ALSO CREATE A MANUAL THAT PRESENTS EFFECTIVE AND ACCURATE PATIENT TREATMENT IN AN ORGANIZED MANNER. "IN FY25 PEMS CONTINUED THE PROCESS WHEREBY ANY MEMBER OF AN AGENCY, THE HEALTHCARE SYSTEM OR THE PUBLIC CAN MAKE KNOWN THEIR CONCERNS REGARDING SPECIFIC PATIENT CARE PROTOCOLS, POLICIES, OR PROCEDURES. THROUGHOUT THE YEAR, MULTIPLE SUCH REQUESTS WERE SUBMITTED AND BROUGHT BEFORE THE PROTOCOL, POLICIES AND PROCEDURES COMMITTEE FOR REVIEW AND PROCESSING. III. EMS PERFORMANCE IMPROVEMENT - THE PENINSULAS EMS COUNCIL MAINTAINS AN ONGOING PERFORMANCE IMPROVEMENT PROGRAM THAT REGULARLY ASSESSES EMS SYSTEM PERFORMANCE TO PROVIDE THE INFORMATION NEEDED FOR CONTINUOUS QUALITY IMPROVEMENT IN PREHOSPITAL EMERGENCY MEDICAL CARE AND OUTCOMES. THE COUNCIL'S EMS PERFORMANCE IMPROVEMENT WORK IS LED BY ITS MULTI-DISCIPLINARY PERFORMANCE IMPROVEMENT COMMITTEE (PIC). IT IS RESPONSIBLE FOR ASSURING AND IMPROVING THE QUALITY OF PREHOSPITAL CARE PROVIDED WITHIN THE REGION. THE PIC IS ALSO RESPONSIBLE FOR ASSISTING THE MEDICAL ADVISORY COMMITTEE WITH MEDICAL CASE REVIEWS, EVALUATING PATIENT CARE AND SYSTEM PERFORMANCE DATA, AND CONDUCTING STUDIES AND INVESTIGATIONS TO SUPPORT THE TRAUMA, STEMI AND STROKE COMMITTEES AND OTHERS AS NEEDED. "THE PEMS EMS PERFORMANCE IMPROVEMENT (PI) PLAN WAS REVIEWED WITHOUT REVISION BY THE PERFORMANCE IMPROVEMENT COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. "THE PEMS REGIONAL PERFORMANCE IMPROVEMENT TEMPLATES REMAIN UNCHANGED FROM WHEN THEY WERE APPROVED BY THE MEDICAL ADVISORY COMMITTEE. IN FY22, OEMS TRANSITIONED THE ELECTRONIC PREHOSPITAL PATIENT CARE REPORTING SYSTEMS FROM "IMAGE TREND" TO "ESO." THE NEW SYSTEM ALLOWS THE COUNCIL TO PULL PERFORMANCE MEASURES ON PATIENT CARE PROVIDED IN THE REGION. THE DATA REPORTS ARE SUBMITTED TO THE APPROPRIATE MEDICAL DIRECTION, CLINICAL CARE OR PERFORMANCE IMPROVEMENT COMMITTEE FOR EMS QUALITY MANAGEMENT. "IN FY 25, THE PEMS FIELD COORDINATOR OF CLINICAL PROGRAMS PROVIDED DATA REPORTS FOR THE MAC, EMS OPERATIONS COMMITTEE, THE STROKE COMMITTEE, THE ST-ELEVATION MYOCARDIAL INFARCTION COMMITTEE AND TRAUMA COMMITTEE. THE REPORTS WERE UTILIZED TO PROVIDE FEEDBACK TO AGENCIES AND TO THE REGION. IV. MEDICAL INCIDENT REVIEWS - THE EMS FIELD COORDINATOR- CLINICAL CARE PERFORMS MEDICAL INCIDENT REVIEWS OF PATIENT CARE ACTIVITIES THAT ARE REPORTED BY PREHOSPITAL OR HOSPITAL CAREGIVERS OR MEMBERS OF THE PUBLIC AS POTENTIAL DEFICIENCIES IN PATIENT CARE PRACTICES, DEPARTURES FROM PROTOCOL COMPLIANCE, OR OTHER AREAS OF CONCERN. THE COORDINATOR MAKES A SANITIZED REPORT TO THE PERFORMANCE IMPROVEMENT COMMITTEE AND/OR THE PENINSULAS INTER-FACILITY COOPERATION ORGANIZATION TO ADDRESS SYSTEMIC ISSUES. REFERRALS TO OTHER AGENCIES (OEMS, LAW ENFORCEMENT, ETC.) ARE MADE WHEN DEFICIENCIES REQUIRING MANDATED REPORTING ARE IDENTIFIED. GENERAL DATA ON TRENDS FROM MIR REPORTS CAN ALSO DRIVE LOCAL OR REGIONAL PROCEDURE/POLICY/PROTOCOL CHANGES. V. REGIONAL MEDICATION AND EMS SUPPLIES RESTOCKING PROGRAMS - THE PENINSULAS EMS COUNCIL PROVIDES A REGIONAL MEDICATION AND EMS SUPPLIES RESTOCKING AGREEMENT WITH ALL EMS AGENCIES, THE ACUTE CARE HOSPITALS WITH FULL-SERVICE EMERGENCY DEPARTMENTS AND THE TWO FEDERAL HOSPITALS WITHIN THE REGION. THE PENINSULAS EMS COUNCIL HAS ALSO EXTENDED THE AGREEMENT TO MOST OF THE DEFINITIVE CARE AND ACUTE CARE HOSPITALS FREQUENTED BY THE REGION'S EMS AGENCIES IN OTHER COUNCIL REGIONS. THIS AGREEMENT MEETS ALL CURRENT FEDERAL REGULATIONS AND DESCRIBES THE REGION'S RESTOCKING PROCEDURES BETWEEN THE HOSPITALS AND EMS AGENCIES LOCATED IN THE PENINSULAS EMS COUNCIL REGION. THE AGREEMENT IS MAINTAINED BY THE COUNCIL'S STANDING HOSPITAL FACILITIES COMMITTEE, THE PENINSULAS INTERFACILITY COOPERATION ORGANIZATION (PICO). "IN FY25, THE PENINSULAS EMS COUNCIL UPDATED REGIONAL EMS SUPPLIES RESTOCKING PROGRAM AND AGENCY/HOSPITAL AGREEMENTS TO REMAIN CONSISTENT WITH REGIONAL PROTOCOLS AND PROCEDURES. THE NEW AGREEMENT WAS REVIEWED BY THE BOARD OF DIRECTORS. ALL AGENCIES AND HOSPITALS SUBMITTED SIGNED AGREEMENTS TO PEMS. IN ADDITION, AT THE TRANSITION OF THE ONE-FOR-ONE REGIONAL EMS MEDICATION KIT HOSPITAL EXCHANGE SYSTEM TO THE EMS AGENCY MANAGED EMS MEDICATION KIT SYSTEM IN APRIL 2025, PEMS MANAGED THE MODIFICATION OF THE AGENCY/HOSPITAL AGREEMENTS TO REMOVE EMS MEDICATIONS. "IN FY25, THE PENINSULAS EMS COUNCIL RENEWED BOTH ITS CLASS VI CONTROLLED SUBSTANCE REGISTRATION AND CLINICAL LABORATORY IMPROVEMENT AMENDMENT (CERTIFICATE OF WAIVER) FOR EMS AGENCIES THROUGHOUT THE PENINSULAS EMS COUNCIL REGION. VI.MEDICATION KIT STANDARDIZATION AND EXCHANGE - MEDICATION KITS, RSI MEDICATION KITS, AND TRAINING MEDICATION KITS ARE LOCATED THROUGHOUT THE PENINSULAS EMS COUNCIL REGION IN SUPPORT OF THE REGIONAL STANDARD OF CARE AS IDENTIFIED IN THE REGIONAL PATIENT CARE PROTOCOLS, POLICIES AND PROCEDURES. WHILE THE INDIVIDUAL EMS AGENCIES PURCHASE ADDITIONAL OR REPLACEMENT MEDICATION KITS, THE PENINSULAS EMS COUNCIL ASSUMES THE OWNERSHIP OF THE BOXES FOR REPAIR, REPLACEMENT, AND SYSTEM OVERSIGHT. THE MEDICATION KITS AND EPI DRUG BOXES WERE PROVIDED BY THE COUNCIL THROUGH GRANT FUNDS. THE CONTENTS OF THE MEDICATION KITS, RSI MEDICATION KITS, AND EPI DRUG BOXES ARE RESTOCKED AFTER USE AND ARE OWNED BY THE REGION'S HOSPITAL PHARMACIES. TRAINING MEDICATION KITS ARE STOCKED THROUGH A TRAINING MEDICATION SUPPLIER. THE MEDICAL ADVISORY COMMITTEE, IN COOPERATION WITH THE PHARMACY COMMITTEE, DEVELOPS THE CONTENT LISTS FOR BOTH MEDICATION KITS AND THE RELATED PROTOCOLS. ALL EMS AGENCIES WITHIN THE REGION COMPLY WITH THE STANDARDIZATION OF THE MEDICATION KITS AND PARTICIPATE IN THE REGIONAL MEDICATION KIT EXCHANGE PROGRAM MANAGED BY THE PENINSULAS EMS COUNCIL'S PHARMACY COMMITTEE. THE COUNCIL'S EMS FIELD COORDINATOR (OPERATIONS) IS RESPONSIBLE FOR THE INVENTORY CONTROL AND MAINTENANCE OF THE REGION'S DRUG BOXES. THE PHARMACY COMMITTEE WORKS TO ASSURE ADEQUATE SUPPLIES OF APPROVED MEDICATIONS, OR IN THE FACE OF CONTINUED NATIONAL MEDICATION SHORTAGES, WORKS WITH THE MEDICAL ADVISORY COMMITTEE TO DEVELOP ALTERNATIVE TREATMENT MODALITIES. SYSTEMS WERE ALSO ESTABLISHED TO IDENTIFY DRUG BOXES WITH INCOMPLETE CONTENTS. THE PHARMACY COMMITTEE MODIFIED THE CONTENT LIST FOR THE REGION'S DRUG BOXES TO SUPPORT CHANGES IN REGIONAL TREATMENT PROTOCOLS. THE MEDICAL ADVISORY COMMITTEE, IN COOPERATION WITH THE PHARMACY COMMITTEE, DEVELOPS THE CONTENT LISTS FOR BOTH MEDICATION KITS AND THE RELATED PROTOCOLS. ALL EMS AGENCIES WITHIN THE REGION COMPLY WITH THE STANDARDIZATION OF THE MEDICATION KITS AND PARTICIPATE IN THE REGIONAL MEDICATION KIT EXCHANGE PROGRAM MANAGED BY THE PENINSULAS EMS COUNCIL'S PHARMACY COMMITTEE. THE COUNCIL'S EMS FIELD COORDINATOR (OPERATIONS) IS RESPONSIBLE FOR THE INVENTORY CONTROL AND MAINTENANCE OF THE REGION'S DRUG BOXES. "THE PHARMACY COMMITTEE WORKED TO ASSURE ADE

4b	(Code: ) (Expenses $ 249,715 including grants of $ ) (Revenue $ 234,192 )
	I. REGIONAL STRATEGIC EMS PLAN - THE PENINSULAS EMS COUNCIL UTILIZES A REGIONAL STRATEGIC EMS PLAN WITH ESTABLISHED STRATEGIES AND INITIATIVES TO PROVIDE THE COUNCIL AND STAFF GUIDANCE IN THE CONTINUED DEVELOPMENT AND IMPROVEMENT OF THE REGIONAL EMERGENCY MEDICAL SERVICES SYSTEM OVER TIME. THIS DOCUMENT IS NOT A RECIPE FOR DAY-TO-DAY MANAGEMENT OR OVERSIGHT ACTIVITIES. RATHER, IT REPRESENTS A BROAD-BRUSH APPROACH ADDRESSING THE BIGGER PICTURE SURROUNDING THE PROVISION OF SERVICES AND COORDINATION INTERACTIONS BETWEEN STAKEHOLDERS. THE DOCUMENT FOCUSES ON FIVE CORE STRATEGIES: PROMOTING COLLABORATIVE APPROACHES, CREATING TOOLS AND RESOURCES, DEVELOPING INFRASTRUCTURES, ASSURING QUALITY AND EVALUATION, AND STRENGTHENING THE REGIONAL COUNCIL. "IN FY25, THE PENINSULAS EMS COUNCIL COMPLETED AN ANNUAL REVIEW OF THE REGIONAL STRATEGIC EMS PLAN AND ITS CORE STRATEGIES AND STRATEGIC INITIATIVES. THE PLAN WAS APPROVED WITHOUT CHANGE BY THE BOARD OF DIRECTORS. II. MASS CASUALTY INCIDENT/MASS GATHERING EVENT SUPPORT - THE PENINSULAS EMS COUNCIL PROVIDES COORDINATION AND ASSISTANCE WITH MASS CASUALTY INCIDENT/MASS GATHERING EVENT PLANNING AND TRAINING ON LOCAL, REGIONAL, AND STATE LEVELS. IN CONJUNCTION WITH THE TIDEWATER EMS COUNCIL, THE PENINSULAS EMS COUNCIL PROVIDES AND UPDATES A REGIONAL MASS CASUALTY INCIDENT (MCI) PLAN AND GUIDE FOR ALL EMS AGENCIES, EMS PROVIDERS, EMS PHYSICIANS AND HOSPITALS IN THE REGION. "IN FY 25, THE PENINSULAS EMS COUNCIL, THE TIDEWATER EMS COUNCIL AND THE HAMPTON ROADS METROPOLITAN MEDICAL RESPONSE SYSTEM COMPLETED AND RELEASED A RE-WRITE OF THE HAMPTON ROADS MASS CASUALTY INCIDENT RESPONSE GUIDE (HRMCIRG) WITH THE ASSISTANCE OF OLSON GROUP CONSULTANTS AND SUBJECT MATTER EXPERTS AND EMS STAKEHOLDERS. THE NEW HRMCIRG HAS A MASS CASUALTY INCIDENT MANAGEMENT FRAMEWORK WITH SEVERAL ANNEXES AND SIX INCIDENT SPECIFIC RESPONSE GUIDES: ACTIVE THREAT, COMPLEX COORDINATED ATTACK, HAZARDOUS MATERIALS, MASS FATALITY, MASS GATHERING SPECIAL EVENTS INCIDENT, AND TRANSPORTATION INCIDENT. "IN THE NEW HRMCIRG FRAMEWORK, THE PRIMARY PATIENT TRIAGE TOOL, SIMPLE TRIAGE AND RAPID TREATMENT (START) METHOD WAS REPLACED BY THE NATIONALLY RECOGNIZED SORT, ASSESS, LIFESAVING INTERVENTIONS, AND TREATMENT/TRANSPORT (SALT) METHOD. "THROUGHOUT FY25, THE PEMS COUNCIL CONTINUED TO COORDINATE OR PARTICIPATE IN REGIONAL PLANNING AND IMPROVEMENT OF HEALTH SYSTEM RESPONSE TO DISASTERS INCLUDING PANDEMICS. "THE PEMS COUNCIL PARTICIPATED WITH LOCAL, REGIONAL, STATE AND FEDERAL PANDEMIC PLANNING, RESPONSE AND EVALUATION EFFORTS "IN FY25, THE PENINSULAS EMS COUNCIL'S PLANNING AND EMERGENCY MANAGEMENT COORDINATOR ASSISTED CHRISTOPHER NEWPORT UNIVERSITY AND THE VIRGINIA DEPARTMENT OF EMERGENCY MANAGEMENT WITH A FULL-SCALE ACTIVE SHOOTER MCI EXERCISE INVOLVING 55 PATIENTS/VICTIMS. "IN FY25, THE PENINSULAS EMS COUNCIL ASSISTED IN PLANNING OF AND PARTICIPATION IN THE VIRGINIA DEPARTMENT OF HEALTH, THE EASTERN VIRGINIA HEALTHCARE COALITION AND THE FEDERAL EMERGENCY MANAGEMENT ADMINISTRATION'S "FULL MOON CRUISE SHIP" TABLETOP EXERCISE INVOLVING AN INFECTIOUS DISEASE OUTBREAK ON A CRUISE SHIP DOCKED IN NORFOLK. "IN FY25, THE PENINSULAS EMS COUNCIL CONDUCTED TWO BASIC MOULAGE CLASSES SPONSORED BY THE EASTERN VIRGINIA HEALTHCARE COALITION. THE COUNCIL ALSO WORKS WITH THE PENINSULAS INTERFACILITY COOPERATION ORGANIZATION (PICO) AND THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION TO MONITOR THE HOSPITAL DIVERSION NOTIFICATION AND CLOSURE PROCESS. III. HAMPTON ROADS METROPOLITAN MEDICAL RESPONSE SYSTEM (HRMMRS) - IN PARTNERSHIP WITH THE TIDEWATER EMS COUNCIL, THE PENINSULAS EMS COUNCIL ASSISTS WITH THE MANAGEMENT AND IMPLEMENTATION OF THE HRMMRS, A PROGRAM TO IMPROVE REGIONAL MEDICAL RESPONSE TO ANY LARGE DISASTERS OR ACTS OF TERRORISM WITHIN THE JURISDICTIONS SERVED BY THE HAMPTON ROADS PLANNING DISTRICT COMMISSION (HRPDC), AND TO INCLUDE SURGE CAPACITY PLANNING. SUSTAINMENT FUNDING FROM THE SIXTEEN HRPDC CITIES AND COUNTIES AND VARIOUS FEDERAL CONTRACTS AND GRANTS FUND THIS PROGRAM. MEMBERS OF THE PENINSULAS EMS COUNCIL AND EMS AGENCIES STAFF HRMMRS COMMITTEES, SERVE ON THE HRMMRS MEDICAL STRIKE TEAM, PROVIDE OPERATIONAL SUPPORT TO THE STRIKE TEAM, AND MAINTAIN AND AUGMENT A STRIKE TEAM EQUIPMENT AND COMMUNICATIONS CACHE. "IN FY25, THE HRMMRS CONTINUED REGIONAL PLANNING AND IMPROVEMENT OF THE HEALTH SYSTEM RESPONSE TO DISASTERS BY ACTIVELY PARTICIPATING WITH LOCAL AND REGIONAL GROUPS SUCH AS VIRGINIA DEPARTMENT OF HEALTH EMERGENCY PLANNING AND RESPONSE PLANNERS (VDH EP&R), THE VIRGINIA DEPARTMENT OF EMERGENCY MANAGEMENT (VDEM), THE HAMPTON ROADS ALL-HAZARDS ADVISORY COMMITTEE, REGIONAL CATASTROPHIC PLANNING GRANT WORKGROUP, REGIONAL CATASTROPHIC PLANNING GRANT PLANNING TEAM AND MASS CARE AND SHELTERING WORKGROUP, SECURE COMMONWEALTH HEALTH AND MEDICAL SUBPANEL, THE EASTERN VIRGINIA HOSPITAL PREPAREDNESS COORDINATING GROUP, THE CITIES READINESS INITIATIVE AND THE REGIONAL ALL HAZARDS ADVISORY COMMITTEE. IV. EASTERN VIRGINIA HEALTHCARE COALITION - THE PENINSULAS EMS COUNCIL PARTNERS WITH THE EASTERN VIRGINIA HEALTHCARE COALITION TO DEVELOP RESILIENCY WITHIN THE HAMPTON ROADS AND EASTERN VIRGINIA REGION'S HOSPITALS AND HEALTHCARE FACILITIES, EMS AGENCIES, NON-GOVERNMENT AND PRIVATE HEALTHCARE ORGANIZATIONS AND SERVICES AND PUBLIC HEALTH IN TIMES OF CRISIS. THE COUNCIL'S EXECUTIVE DIRECTOR SERVES ON THE COALITION'S EXECUTIVE COMMITTEE. AS A PART OF HOSPITAL READINESS AND PREPAREDNESS, THE COALITION REVAMPED HOW IT CONDUCTS COORDINATION EFFORTS AND EXERCISES WITH ITS PARTNERS. THERE WAS A RETURN TO FULL COALITION IN-PERSON MEETINGS. THE COALITION CONTINUES TO WORK ALONGSIDE HOSPITAL EMERGENCY MANAGEMENT PERSONNEL ALONG WITH THE EMS PLANNER FROM THE COUNCIL TO DEVELOP AND CONDUCT VARIOUS TRAINING SESSIONS, EXERCISES AND DRILLS TO ASSIST THE HOSPITAL SYSTEMS EVALUATE THEIR READINESS FOR VARIOUS EMERGENT SITUATIONS. "IN FY25, THE PENINSULAS EMS PLANNING AND EMERGENCY MANAGEMENT COORDINATOR CONTINUED TO REPRESENT EMS ON THE EASTERN VIRGINIA HEALTHCARE COALITION ADVISORY COMMITTEE.

4c	(Code: ) (Expenses $ 187,286 including grants of $ ) (Revenue $ 175,244 )
	I. REGIONAL INFORMATION AND REFERRAL - THE PENINSULAS EMS COUNCIL AIDED LOCAL JURISDICTIONS, EMS AGENCIES, EMS PROVIDERS, EMS PHYSICIANS, HOSPITALS, OTHER HEALTH CARE PROVIDERS, PUBLIC SAFETY OFFICIALS, AND THE PUBLIC WITH EMS INFORMATION AND REFERRALS; SERVED AS A CLEARINGHOUSE FOR REGIONAL AND STATE EMS PAMPHLETS, POSTERS, DISPLAYS AND OTHER EMS PUBLIC RELATION AND RECRUITMENT MATERIALS; MAINTAINED AND UPDATED AN INFORMATIONAL WEBSITE. ALL COURSE OFFERINGS WERE POSTED, TO INCLUDE COURSES OFFERED BY THE PENINSULAS EMS COUNCIL AS WELL AS OTHER EMS-RELATED COURSES. ON-LINE REGISTRATION FOR COURSES WAS ALSO INCLUDED ON THE WEBSITE. THROUGH THE COUNCIL WEBSITE, STAFF ALSO PROVIDED CONTACT INFORMATION, INCLUDING TELEPHONE NUMBERS AND E-MAIL ADDRESSES SO THAT AGENCIES, PROVIDERS, AND MEMBERS OF THE COMMUNITY COULD CONTACT ANY STAFF MEMBER WITH A MINIMUM OF DELAY. ALL COUNCIL BUSINESS INVOLVING HIPAA/PHI COMMUNICATIONS TAKES PLACE USING SECURE EMAIL AND FAX SYSTEMS. THE COUNCIL SPONSORS FACEBOOK AND TWITTER ACCOUNTS AND DISTRIBUTES INFORMATION THROUGHOUT THE REGION ON A REGULAR AND ONGOING BASIS. II.EMS EDUCATION AND TRAINING - THE PENINSULAS EMS COUNCIL PROVIDES, FACILITATES, AND SUPPORTS EDUCATION AND TRAINING PROGRAMS, INCLUDING CONTINUING EDUCATION REQUIRED TOPICS, THROUGHOUT THE REGION BY COORDINATING INSTRUCTOR NETWORKING WHICH FACILITATES AND AIDS IN THE PROVISION OF QUALITY EDUCATION TO SUPPORT EMS AGENCIES WITHIN THE REGION. THE COUNCIL PARTNERED WITH HOSPITALS IN THE REGION TO PROVIDE AN ANNUAL TRAUMA SYMPOSIUM AND A STROKE SYMPOSIUM FOR PRE-HOSPITAL AND HOSPITAL EMERGENCY MEDICAL CARE PROVIDERS, MAINTAINED CDC, VDH AND OTHER HEALTH-RELATED INFORMATION ON THE COUNCIL WEBSITE, PARTNERED WITH EDUCATION AND TRAINING CENTERS INCLUDING RAPPAHANNOCK COMMUNITY COLLEGE EMS PROGRAMS (EMT-BASIC, EMT-INTERMEDIATE AND EMT- PARAMEDIC) OVERSIGHT COMMITTEE, AND VIRGINIA PENINSULA COMMUNITY COLLEGE (EMT-BASIC, EMT-INTERMEDIATE AND EMT-PARAMEDIC) OVERSIGHT COMMITTEE. IN FY25, THE PENINSULAS EMS COUNCIL'S EXECUTIVE DIRECTOR SERVED AS THE CHAIR OF BOTH THE RAPPAHANNOCK COMMUNITY COLLEGE EMS PROGRAMS ADVISORY COMMITTEE AND THE VIRGINIA PENINSULA COMMUNITY COLLEGE EMS/FIRE PROGRAMS ADVISORY COMMITTEE. III. CRITICAL INCIDENT STRESS MANAGEMENT (CISM) TEAM - THE PENINSULAS EMS COUNCIL SUPPORTS AND MANAGES ONE OF THE SIXTEEN CRITICAL INCIDENT STRESS MANAGEMENT (CISM) TEAMS RECOGNIZED BY THE COMMONWEALTH OF VIRGINIA. THE PEMS CISM TEAM PROVIDES CRITICAL SUPPORT TO THE ENTIRE PENINSULAS EMS COUNCIL EMERGENCY SERVICES COMMUNITY INCLUDING POLICE, FIRE, EMERGENCY MEDICAL SERVICES, EMERGENCY COMMUNICATIONS, AND HOSPITAL EMERGENCY DEPARTMENTS WHO EXPERIENCE PSYCHOLOGICALLY TRAUMATIC EVENTS OR SUFFER FROM THE EFFECTS OF CUMULATIVE EVENTS. THE PEMS CISM TEAM ALSO PROVIDES SERVICES TO MEMBERS OF THE COMMUNITY INVOLVED IN SIMILAR EVENTS. TEAM MEMBERS PROVIDE PRE-INCIDENT EDUCATION, POST-INCIDENT DEFUSING, DEMOBILIZATION, AND DEBRIEFING. "IN FY25, THE PENINSULAS EMS COUNCIL'S CISM TEAM RESPONDED TO REQUESTS FOR CISM TEAM INTERVENTIONS AND EDUCATION REQUESTS FROM BOTH AGENCIES AND INDIVIDUALS IN THE REGION. HOSTED AND PROVIDED STAFF SUPPORT AT SEMI-ANNUAL MEETINGS OF THE CISM TEAM. "IN FY25, THE PENINSULAS EMS COUNCIL CONTINUED ITS LIAISONS WITH EMS, FIRE, AND LAW ENFORCEMENT AGENCY PEER SUPPORT TEAMS IN THE REGION, PROVIDING COORDINATING EDUCATION AND ASSISTING THEM WITH STATE ACCREDITATION. IV. EMS EDUCATION AND TRAINING - THE PENINSULAS EMS COUNCIL PROVIDES, FACILITATES, AND SUPPORTS EDUCATION AND TRAINING PROGRAMS, INCLUDING CONTINUING EDUCATION REQUIRED TOPICS, THROUGHOUT THE REGION. "IN FY25 THE PENINSULAS EMS COUNCIL'S EMS FIELD COORDINATOR - EDUCATION PROGRAMS WAS A RESOURCE TO THE REGION'S EMS AGENCIES TO HELP ENSURE EMS PROVIDERS DEVELOPED AND MAINTAINED THE KNOWLEDGE, SKILLS AND ABILITIES REQUIRED TO REMAIN RELEVANT IN THE RAPIDLY CHANGING PREHOSPITAL EMERGENCY MEDICAL CARE ENVIRONMENT. "IN FY25 THE PENINSULAS EMS COUNCIL COORDINATED INSTRUCTOR NETWORKING TO FACILITATE AND AID IN THE PROVISION OF QUALITY EDUCATION TO SUPPORT EMS AGENCIES WITHIN THE REGION. "IN FY25, THE PENINSULAS EMS COUNCIL'S EMS FIELD COORDINATOR - CLINICAL PROGRAMS, EMS FIELD COORDINATOR-EDUCATIONAL PROGRAMS AND THE REGION'S STROKE COORDINATORS DEVELOPED AND CONDUCTED RACE AND BEFAST INSTRUCTOR TRAINER COURSES FOR EMS AGENCIES IN THE REGION. "IN FY25, THE PENINSULAS EMS COUNCIL BEGAN PROVIDING VIRTUAL INSTRUCTOR LED TRAINING VILT) EDUCATIONAL PROGRAMS WHICH PROVIDED ATTENDEES OEMS APPROVED EMS CONTINUING EDUCATION CREDIT. INITIAL TOPICS INCLUDED SEPSIS AND 15 LEAD EKGS. V. CONSOLIDATED EMS TESTING - ON MAY 5, 2022, THE STATE EMS ADVISORY BOARD APPROVED A MOTION BY THE MEDICAL DIRECTION COMMITTEE TO ELIMINATE CONSOLIDATED TESTING AT THE BLS LEVEL AND REPLACE IT WITH THE NEW BLS PSYCHOMOTOR COMPETENCY VERIFICATION GUIDANCE DOCUMENT BASED ON TWO YEARS OF DATA AND EVIDENCE GAINED DURING THE COVID-19 PANDEMIC. "IN FY25, THE PENINSULAS EMS COUNCIL CONTINUED TO MAINTAIN ITS ABILITY TO CONDUCT BLS PSYCHOMOTOR COMPETENCY TO ALLOW QUALIFYING CANDIDATES TO RECEIVE RECOGNITION OF THEIR EMS CERTIFICATION UNDER THE APPROVED OUT OF STATE, RE-ENTRY, OR CHALLENGE STATE CERTIFICATION OPTIONS. VI. REGIONAL AWARDS PROGRAM - EACH YEAR, THE PENINSULAS EMS COUNCIL CONDUCTS A REGIONAL AWARDS PROGRAM. THESE AWARDS RECOGNIZE THE UNIQUE AND ESSENTIAL ROLE EMS PLAYS IN THE COMMUNITY AND HONOR THE INDIVIDUALS AND AGENCIES THAT HAVE MADE A SIGNIFICANT CONTRIBUTION TO EMS IN THE PENINSULAS EMS COUNCIL REGION. THE REGIONAL AWARD WINNERS ARE NOMINATED FOR THE GOVERNORS EMS AWARDS. THE COUNCIL ALSO WORKS WITH THE HOSPITAL EMERGENCY DEPARTMENTS AND EMERGENCY PHYSICIAN GROUPS TO PROVIDE A REGIONAL AWARD PROGRAM TO HONOR THE NOMINEES AND RECIPIENTS OF THE ANNUAL REGIONAL EMS AWARDS. "IN FY25, THE PENINSULAS EMS COUNCIL CELEBRATED ITS 11TH ANNIVERSARY EMS CELEBRATION AND RECOGNIZE EXCELLENCE AWARD PRESENTATION CEREMONY WITH A BUFFET LUNCHEON IN THE BLACK FOREST PICNIC AREA AT BUSCH GARDENS WILLIAMSBURG. VII. THE 2025 PENINSULAS EMS COUNCIL REGIONAL AWARD RECIPIENTS: EXCELLENCE IN EMS (MICHAEL B. PLAYER AWARD) - MITCHELL L. PAULETTE, RICHMOND COUNTY DEPARTMENT OF EMERGENCY SERVICES - OUTSTANDING EMS AGENCY - LIFECARE MEDICAL TRANSPORT - OUTSTANDING PREHOSPITAL PROVIDER (JOSEPH B. HOWARD AWARD) - JASEN M. PLOCHARCZYK, JAMES CITY COUNTY FIRE DEPARTMENT - INNOVATION EXCELLENCE IN EMS - YORK COUNTY DEPARTMENT OF FIRE AND LIFE SAFETY, RIVERSIDE REGIONAL MEDICAL CENTER AND DR. CARA MARIE JACKSON - STROKE PROGRAM - OUTSTANDING EMS LEADERSHIP (RUSSELL LOWRY, JR. AWARD) - MARY E. "BETSY" SINK, JAMES CITY COUNTY FIRE DEPARTMENT - OUTSTANDING CONTRIBUTION TO EMS BY A PHYSICIAN (GAYLORD W. RAY, M.D. AWARD) - AMIR K. LOUKA, M.D., PEMS REGIONAL MEDICAL DIRECTOR - OUTSTANDING CONTRIBUTION TO EMS BY A NURSE (MELISSA HOLLOWAY, R.N. AWARD) - NICOLE DUCK, RN, RIVERSIDE REGIONAL MEDICAL CENTER - OUTSTANDING PREHOSPITAL EDUCATOR - WILLARD B. HICKS, IV, VCU HEALTH CRITICAL CARE TRANSPORT NETWORK - OUTSTANDING CONTRIBUTION TO EMS FOR CHILDREN - JOSEPH KHOURY, MD, CHILDREN'S HOSPITAL OF RICHMOND - OUTSTANDING CONTRIBUTION TO EMS HEALTH AND SAFETY - JAMES E. "BUD" RICHARDSON, YORK COUNTY DEPARTMENT OF FIRE AND LIFE SAFETY - OUTSTANDING EMS TELECOMMUNICATIONS DISPATCHER - BRIEN LEE, PENINSULA REGIONAL EMERGENCY COMMUNICATION CENTER - OUTSTANDING CONTRIBUTION TO EMS PREPAREDNESS AND RESPONSE - STEPHEN C. PINCUS, PENINSULAS EMS COUNCIL - OUTSTANDING CONTRIBUTION TO EMS BY A STUDENT (1,000 SCHOLARSHIP) - ADDISON M. BOUGHAN, GLOUCESTER COUNTY VOLUNTEER FIRE AND RESCUE SQUAD, ABINGDON VOLUNTEER FIRE AND RESCUE, GLOUCESTER HIGH SCHOOL - OUTSTANDING EMS CALL - JAMES CITY COUNTY FIRE DEPARTMENT - CARDIAC ARREST WITH DUAL SEQUENTIAL DEFIBRILLATION SPECIAL RECOGNITION AWARDS: - VIRGINIA REGIONAL EMS MEDICATION KIT TRANSITION WORKGROUP - VIRGINIA REGIONAL EMS COUNCIL DIRECTORS GROUP, VIRGINIA DEPARTMENT OF HEALTH OFFICE OF EMS, STATE EMS ADVISORY BOARD - NEXT STEPS WORKGROUP, STATE EMS ADVISORY BOARD - MEDICAL DIRECTION COMMITTEE, VIRGINIA BOARD OF PHARMACY, US DRUG ENFORCEMENT. AGENCY - WASHINGTON DISTRICT, VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION, VIRGINIA SOCIETY OF HEALTH SYSTEM PHARMACISTS, VIRGINIA AMBULANCE ASSOCIATION, VIRGINIA ASSOCIATION OF VOLUNTEER RESCUE SQUADS, VIRGINIA FIRE CHIEFS ASSOCIATION, VIRGINIA ASSOCIATION OF GOVERNMENTAL EMS ADMINISTRATORS, VIRGINIA ASSOCIATION OF COUNTIES, VIRGINIA MUNICIPAL LEAGUE. - AHA TRAINING CENTER - BON SECOURS RAPPAHANNOCK GENERAL HOSPITAL AMERICAN HEART ASSOCIATION TRAINING CENTER - COORDINATION OF THE PEMS REGIONAL EMS MEDICATION KIT TRANSITION - TRAVIS VEACH - EMS COMMUNICATIONS SYSTEM - PENINSULA REGIONAL COMMUNICATIONS CENTER - FINANCIAL SUPPORT - PEMS REGIONAL EMS MEDICATION KIT TRANSITION - CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, DOMINION ENERGY CHARITABLE FOUNDATION, RIVERSIDE HEALTH, AND SENTARA HEALTHCARE - MOBILE INTEGRATED HEALTHCARE WORKGROUP - AMY ASHE - REGIONAL TRAUMA PROGRAM - CAS

	(Code: ) (Expenses $ 59,997 including grants of $ ) (Revenue $ 58,548 )
	I. THE PENINSULAS EMS COUNCIL INTERACTS WITH THE VIRGINIA OFFICE OF EMERGENCY MEDICAL SERVICES COMMITTEES TO PROVIDE AVENUES FOR TWO-WAY INFORMATION SHARING AND STATEWIDE SYSTEM IMPROVEMENTS AND ENHANCEMENTS. STATE COMMITTEES FOR WHICH THE PENINSULAS EMS COUNCIL HAS COMMITTED STAFF, VOLUNTEERS, AND RESOURCES INCLUDE: - GOVERNOR'S SECURE AND RESILIENT COMMONWEALTH PANEL-HEALTH AND HUMAN RESOURCES SUBPANEL - STATE EMERGENCY MEDICAL SERVICES ADVISORY BOARD - STATE EMERGENCY MEDICAL SERVICES ADVISORY BOARD NEXT STEPS WORKING GROUP - STATE EMERGENCY MANAGEMENT COMMITTEE - STATE EMERGENCY MEDICAL SERVICES AWARDS COMMITTEE - STATE FINANCIAL ASSISTANCE REVIEW COMMITTEE - STATE LEGISLATION AND PLANNING COMMITTEE - STATE MEDICAL DIRECTION COMMITTEE - STATE PROVIDER HEALTH AND SAFETY COMMITTEE - STATE TRAUMA PERFORMANCE IMPROVEMENT COMMITTEE - STATE WORKFORCE DEVELOPMENT COMMITTEE - OFFICE OF EMS/BOARD OF PHARMACY/DRUG ENFORCEMENT AGENCY TASK FORCE - VIRGINIA REGIONAL EMS MEDICATION KIT TRANSITION WORKGROUP - VIRGINIA REGIONAL DIRECTORS GROUP - VIRGINIA STROKE CARE QUALITY IMPROVEMENT ADVISORY GROUP

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 59,997 including grants of $ ) (Revenue $ 58,548 )
4e	Total program service expenses621,856

Form 990 (2024)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A Click to see attachment

List of Attached Documents:

// Content

.....................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. ...

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I Click to see attachment

List of Attached Documents:

// Content

.........................

Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II Click to see attachment

List of Attached Documents:

// Content

....

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III Click to see attachment

List of Attached Documents:

// Content

..............

Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV Click to see attachment

List of Attached Documents:

// Content

..............

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V Click to see attachment

List of Attached Documents:

// Content

......

If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment

List of Attached Documents:

// Content

...................

11a

Yes

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII Click to see attachment

List of Attached Documents:

// Content

.......

11b

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII Click to see attachment

List of Attached Documents:

// Content

.......

11c

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX Click to see attachment

List of Attached Documents:

// Content

............

11d

Yes

Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X Click to see attachment

List of Attached Documents:

// Content

11e

Yes

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X Click to see attachment

List of Attached Documents:

// Content

11f

12a

Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII Click to see attachment

List of Attached Documents:

// Content

......................

12a

Yes

Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment

List of Attached Documents:

// Content

12b

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E

14a

Did the organization maintain an office, employees, or agents outside of the United States? .....

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........

14b

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...

Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................

20a

Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....

20a

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

20b

Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....

Form 990 (2024)

Page 4

Part IV

Checklist of Required Schedules (continued)

Yes

Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........

Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J.......................

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............

24c

Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...

24d

25a

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................

25b

Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........

Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?

If "Yes," complete

Schedule L, Part III.........................

Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................

28a

A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....

28b

A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................

28c

Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................

Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............

Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...

35b

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI

Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Part V

Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........

Yes

Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..

Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Form 990 (2024)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance (continued)

Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?...

If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..

If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...

If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................

If "Yes," did the organization notify the donor of the value of the goods or services provided? .....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................

If "Yes," indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................

Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........

Sponsoring organizations maintaining donor advised funds.

Did the sponsoring organization make any taxable distributions under section 4966?........

Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

12a

If "Yes," enter the amount of tax-exempt interest received or accrued during the year.

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.

13a

Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....

13b

Enter the amount of reserves on hand ............

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..

14b

Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.

Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.

Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.

Form 990 (2024)

Page 6

Part VI

Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response or note to any line in this Part VI..............

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year

If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................

Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Did the organization have members or stockholders? ................

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .......................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Yes

10a

Did the organization have local chapters, branches, or affiliates? ............

10a

If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?

10b

11a

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................

11a

Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....

12a

Did the organization have a written conflict of interest policy? If "No," go to line 13.......

12a

Yes

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................

12b

Yes

Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................

12c

Yes

Did the organization have a written whistleblower policy? ...............

Yes

Did the organization have a written document retention and destruction policy? .........

Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

Other officers or key employees of the organization ................

15b

If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.

16a

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................

16a

If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Section C. Disclosure

List the states with which a copy of this Form 990 is required to be filed

Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.

State the name, address, and telephone number of the person who possesses the organization's books and records:
KEVIN BROPHY6876 MAIN STREET GLOUCESTER,VA22061 (804) 693-6234

Form 990 (2024)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response or note to any line in this Part VII..............

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet

List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."

List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) MICHAEL PLAYER...................................................................... EXEC. DIR. &	40.00 .................	X	X	98,000	0	5,127
(2) JULIA GLOVER...................................................................... PRESIDENT	2.00 .................	X	X	0	0	0
(3) WILLIAM P DENT...................................................................... VICE PRESIDE	1.00 .................	X	X	0	0	0
(4) DAVID BARRICK...................................................................... TREASURER	1.00 .................	X	X	0	0	0
(5) PAMELA ANDERSON...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(6) JEFF BEASLEY...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(7) MELISSA DOAK...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(8) LISA DODD...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(9) SUDERSHAN GUPTA...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(10) GREGORY HUNTER...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(11) SHANNON KENNEDY...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(12) STEPHEN KOPCZYNSKI...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(13) BETSY LANG...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(14) AMIR LOUKA...................................................................... DIRECTOR	1.00 .................	X		20,400	0	0
(15) JOHANNA NORTHSTEIN...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(16) MITCHELL PAULETTE...................................................................... DIRECTOR	1.00 .................	X		0	0	0
(17) CORNELIUS POWELL...................................................................... DIRECTOR	1.00 .................	X		0	0	0

Form 990 (2024)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) GARY SAMUELS........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(19) BETSY SINK........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(20) MATTHEW SMITH........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(21) DUSTIN ST GEORGE........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(22) SADIE THURMAN........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(23) GARY WARD........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(24) BRANDON NUNNALLY........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(25) ADRIA VANHOOZIER........................................................................ DIRECTOR	1.00 .......................	X	0	0	0
(26) JANE WENNER........................................................................ DIRECTOR	1.00 .......................	X	0	0	0

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	118,400	5,127

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization

Yes

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization

Form 990 (2024)

Page 9

Part VIII

Statement of Revenue

Check if Schedule O contains a response or note to any line in this Part VIII.............

(A)
Total revenue

(B)
Related or
exempt
function
revenue

(D)
Revenue
excluded from
tax under sections
512 - 514

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	333,152

g	Noncash contributions included in lines 1a - 1f:$		1g	2,739

h Total. Add lines 1a-1f.......		333,152

		Business Code
2a	STATE FUNDS	900099	457,951	457,951
b	TRAINING MATERIALS	621610	2,414	2,414
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		460,365

3 Investment income (including dividends, interest, and othersimilar amounts) ......			5,828			5,828
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b		1,286
c	Gain or (loss)	7c		-1,286
d	Net gain or (loss).........			-1,286	-1,286
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			798,059	459,079		5,828

Form 990 (2024)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	104,549	94,094	10,455
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	306,483	275,835	30,648
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......	9,361	8,425	936
10	Payroll taxes ...........	30,967	27,870	3,097
11	Fees for services (non-employees):
a	Management ......	1,250	500	750
b	Legal .........	30,900	12,360	18,540
c	Accounting ...........	10,500	4,200	6,300
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	4	2	2
12	Advertising and promotion ....
13	Office expenses .......	39,747	34,577	5,170
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	54,324	48,892	5,432
17	Travel ............	9,307	7,446	1,861
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	17,424		17,424
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	16,566	14,909	1,657
23	Insurance ...	5,180	2,590	2,590
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	EDUCATIONAL SUPPLIES	72,595	72,595
b	COMMUNICATIONS	14,383	12,945	1,438
c	MISCELLANEOUS	2,768	2,491	277
d	GRANT SUPPORT COSTS	2,125	2,125
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	728,433	621,856	106,577	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Form 990 (2024)

Page 11

Part X

Balance Sheet

Check if Schedule O contains a response or note to any line in this Part IX..............

				(A) Beginning of year		(B) End of year

1	Cash–non-interest-bearing ........			263,305	1	326,380
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			115,278	4	114,488
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			5,841	9	6,796
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	330,840
b	Less: accumulated depreciation	10b	283,838	37,820	10c	47,002
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			77,749	15	44,015
16	Total assets. Add lines 1 through 15 (must equal line 33)...			499,993	16	538,681

17	Accounts payable and accrued expenses .....	6,647	17	6,881
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	132,789	25	101,617
26	Total liabilities. Add lines 17 through 25..	139,436	26	108,498

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	324,640	27	248,431
28	Net assets with donor restrictions ...........	35,917	28	181,752
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	360,557	32	430,183
33	Total liabilities and net assets/fund balances ........	499,993	33	538,681

Form 990 (2024)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response or note to any line in this Part XI..............

Total revenue (must equal Part VIII, column (A), line 12) ............

798,059

Total expenses (must equal Part IX, column (A), line 25) ............

728,433

Revenue less expenses. Subtract line 2 from line 1 ..............

69,626

Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..

360,557

Net unrealized gains (losses) on investments ...............

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

Other changes in net assets or fund balances (explain in Schedule O) ........

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))

430,183

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response or note to any line in this Part XII.............

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization’s financial statements audited by an independent accountant?

Yes

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?

Yes

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

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?

If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.

Form 990 (2024)

Additional Data

Software ID:
Software Version:

Form 990, Special Condition Description:

Special Condition Description

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

PENINSULAS EMERGENCY MEDICAL
SERVICES COUNCIL INC

Employer identification number

54-1064500

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	586,290	630,177	611,449	614,541	333,152	2,775,609
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3	586,290	630,177	611,449	614,541	333,152	2,775,609
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.						2,775,609

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..	586,290	630,177	611,449	614,541	333,152	2,775,609
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	85	1,374	4,294	6,321	5,828	17,902
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10						2,793,511

Gross receipts from related activities, etc. (see instructions) ..................

683,125

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

99.360 %

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

99.570 %

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

PENINSULAS EMERGENCY MEDICAL
SERVICES COUNCIL INC

Employer identification number

54-1064500

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements	70,129	47,963	22,166
d	Equipment ....	260,711	235,875	24,836
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				47,002

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)RIGHT OF USE ASSET				41,696
(2)SECURITY DEPOSITS				2,319
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				44,015

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
LEASE LIABILITY	41,696
VACATION	34,237
SALARIES AND RELATED	25,684






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	101,617
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	804,139
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	6,080
e	Add lines 2a through 2d .....................			2e	6,080
3	Subtract line 2e from line 1..................			3	798,059
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	798,059

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	734,513
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	6,080
e	Add lines 2a through 2d....................			2e	6,080
3	Subtract line 2e from line 1...................			3	728,433
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................			4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	728,433

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PAGE 4, PART XI, LINE 2D	IN-KIND SERVICES 6,080
SCHEDULE D, PAGE 4, PART XII, LINE 2D	IN-KIND SERVICES 6,080

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

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- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

PENINSULAS EMERGENCY MEDICAL
SERVICES COUNCIL INC

Employer identification number

54-1064500

Return Reference	Explanation
FORM 990 - ORGANIZATION'S MISSION	THE MISSION OF THE PENINSULAS EMERGENCY MEDICAL SERVICES COUNCIL IS TO ASSIST THE VIRGINIA PENINSULA, MIDDLE PENINSULA, AND NORTHERN NECK LOCAL GOVERNMENTS, EMERGENCY MEDICAL SERVICES AGENCIES, AND HOSPITALS BY ASSESSING, IDENTIFYING, COORDINATING, PLANNING AND IMPLEMENTING AN EFFICIENT AND EFFECTIVE REGIONAL EMERGENCY MEDICAL SERVICES DELIVERY SYSTEM. COUNCIL'S WORK HELPS TO ENSURE CONSISTENT IMPROVED PREHOSPITAL CARE TO THE RESIDENTS AND VISITORS OF THE VIRGINIA PENINSULA, MIDDLE PENINSULA, AND NORTHERN NECK PENINSULA, WHO NEED EMERGENCY MEDICAL SERVICES. OUR OVERSIGHT OF VITAL AREAS IN THE PREHOSPITAL CARE SETTING INCLUDES REGIONAL TREATMENT PROTOCOL DEVELOPMENT, REGIONAL MEDICATION BOX SYSTEM MANAGEMENT, REGIONAL EQUIPMENT EXCHANGE AGREEMENT MANAGEMENT, TRAUMA TRIAGE, STROKE ASSESSMENT AND CARE, AND MASS CASUALTY RESPONSE. ADDITIONALLY, THE COUNCIL PREPARES HIGHLY INFECTIOUS DISEASE AND OTHER REGIONAL EMERGENCY MEDICAL PLANNING, EMERGENCY MEDICAL SERVICES PROVIDER TRAINING, CONTINUING EDUCATION AND TEST SITE COORDINATION TO ASSIST LOCAL GOVERNMENTS AND THEIR EMERGENCY MEDICAL SERVICES AGENCIES MAINTAIN CURRENT BEST PRACTICES AND EXCELLENCE.
FORM 990, PAGE 2, PART III, LINE 4A	I. REGIONAL MEDICAL DIRECTION - THE PENINSULAS EMS COUNCIL MAINTAINS A MEDICAL ADVISORY COMMITTEE (MAC), WHICH DEVELOPS, APPROVES, IMPLEMENTS, EXPANDS, AND IMPROVES PROGRAMS OF MEDICAL CONTROL AND ACCOUNTABILITY. THE MAC ALSO COORDINATES THE DEVELOPMENT AND MAINTENANCE OF REGIONAL MEDICAL TREATMENT PROTOCOLS AND MEDICAL OVERSIGHT OF EDUCATION AND TESTING FOR ALL LEVELS OF EMERGENCY MEDICAL SERVICE CERTIFICATION WITHIN THE REGION. THE POLICIES AND PROTOCOLS ESTABLISHED BY THE MAC ARE THE BASIS FOR THE LEGAL "STANDARD OF CARE" FOR THE PROVISION OF PREHOSPITAL EMERGENCY MEDICAL CARE WITHIN THE GEOGRAPHIC BOUNDARIES OF THE PENINSULA, MIDDLE PENINSULA, AND NORTHERN NECK. "IN FY25, PEMS RENEWED THE PROFESSIONAL SERVICES CONTRACT WITH AMIR LOUKA, MD, AS THE REGIONAL MEDICAL DIRECTOR (RMD) FOR PEMS, CONSISTENT WITH RESPONSIBILITIES LISTED UNDER THE VIRGINIA EMS REGULATIONS 12 VAC 5-31- 1890. II. PROTOCOL, POLICIES, AND PROCEDURES IMPLEMENTATION - THE PENINSULAS EMS COUNCIL PROVIDES AND MANAGES THE REGION'S ADVANCED LIFE SUPPORT (ALS), BASIC LIFE SUPPORT BLS), PEDIATRIC, AND WEAPONS OF MASS DESTRUCTION (WMD) PATIENT CARE PROTOCOLS, POLICIES, AND PROCEDURES FOR ALL LOCAL GOVERNMENTS, EMS AGENCIES, EMS PROVIDERS, EMS PHYSICIANS AND HOSPITALS IN THE REGION. THE PEMS PATIENT CARE PROTOCOLS, POLICIES, AND PROCEDURES ARE ADOPTED BY THE MEDICAL ADVISORY COMMITTEE (MAC) AS A REGIONAL TEMPLATE AND GUIDE FOR THE PROVISION OF PREHOSPITAL EMERGENCY MEDICAL CARE. THE PEMS MAINTAINS A PROTOCOLS, POLICIES AND PROCEDURES COMMITTEE (PPP), SEVERAL CLINICAL PROGRAM COMMITTEES (STROKE COMMITTEE, TRAUMA TRIAGE COMMITTEE, AND ST- ELEVATION MYOCARDIAL INFARCTION COMMITTEE) AND SEVERAL CLINICAL SPECIALTY COMMITTEES (PEDIATRIC CARE COMMITTEE AND BEHAVIORAL HEALTH COMMITTEE) THAT DRAFT NEW AND REVISED PROTOCOLS, POLICIES AND PROCEDURES FOR CONSIDERATION BY THE MAC. THROUGH THEIR WORK, THESE COMMITTEES ENSURES THAT REGIONAL PROTOCOLS, POLICIES AND PROCEDURES CONTINUE TO MEET NATIONAL STANDARDS AND REFLECT CONTINUOUSLY CHANGING MEDICAL KNOWLEDGE, EVER MORE EFFECTIVE THERAPEUTIC MODALITIES, AND PROMOTES CONTINUALLY DEVELOPING AND IMPROVING PROVIDER KNOWLEDGE AND SKILL LEVELS. THEY ALSO CREATE A MANUAL THAT PRESENTS EFFECTIVE AND ACCURATE PATIENT TREATMENT IN AN ORGANIZED MANNER. "IN FY25 PEMS CONTINUED THE PROCESS WHEREBY ANY MEMBER OF AN AGENCY, THE HEALTHCARE SYSTEM OR THE PUBLIC CAN MAKE KNOWN THEIR CONCERNS REGARDING SPECIFIC PATIENT CARE PROTOCOLS, POLICIES, OR PROCEDURES. THROUGHOUT THE YEAR, MULTIPLE SUCH REQUESTS WERE SUBMITTED AND BROUGHT BEFORE THE PROTOCOL, POLICIES AND PROCEDURES COMMITTEE FOR REVIEW AND PROCESSING. III. EMS PERFORMANCE IMPROVEMENT - THE PENINSULAS EMS COUNCIL MAINTAINS AN ONGOING PERFORMANCE IMPROVEMENT PROGRAM THAT REGULARLY ASSESSES EMS SYSTEM PERFORMANCE TO PROVIDE THE INFORMATION NEEDED FOR CONTINUOUS QUALITY IMPROVEMENT IN PREHOSPITAL EMERGENCY MEDICAL CARE AND OUTCOMES. THE COUNCIL'S EMS PERFORMANCE IMPROVEMENT WORK IS LED BY ITS MULTI-DISCIPLINARY PERFORMANCE IMPROVEMENT COMMITTEE (PIC). IT IS RESPONSIBLE FOR ASSURING AND IMPROVING THE QUALITY OF PREHOSPITAL CARE PROVIDED WITHIN THE REGION. THE PIC IS ALSO RESPONSIBLE FOR ASSISTING THE MEDICAL ADVISORY COMMITTEE WITH MEDICAL CASE REVIEWS, EVALUATING PATIENT CARE AND SYSTEM PERFORMANCE DATA, AND CONDUCTING STUDIES AND INVESTIGATIONS TO SUPPORT THE TRAUMA, STEMI AND STROKE COMMITTEES AND OTHERS AS NEEDED. "THE PEMS EMS PERFORMANCE IMPROVEMENT (PI) PLAN WAS REVIEWED WITHOUT REVISION BY THE PERFORMANCE IMPROVEMENT COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. "THE PEMS REGIONAL PERFORMANCE IMPROVEMENT TEMPLATES REMAIN UNCHANGED FROM WHEN THEY WERE APPROVED BY THE MEDICAL ADVISORY COMMITTEE. IN FY22, OEMS TRANSITIONED THE ELECTRONIC PREHOSPITAL PATIENT CARE REPORTING SYSTEMS FROM "IMAGE TREND" TO "ESO." THE NEW SYSTEM ALLOWS THE COUNCIL TO PULL PERFORMANCE MEASURES ON PATIENT CARE PROVIDED IN THE REGION. THE DATA REPORTS ARE SUBMITTED TO THE APPROPRIATE MEDICAL DIRECTION, CLINICAL CARE OR PERFORMANCE IMPROVEMENT COMMITTEE FOR EMS QUALITY MANAGEMENT. "IN FY 25, THE PEMS FIELD COORDINATOR OF CLINICAL PROGRAMS PROVIDED DATA REPORTS FOR THE MAC, EMS OPERATIONS COMMITTEE, THE STROKE COMMITTEE, THE ST-ELEVATION MYOCARDIAL INFARCTION COMMITTEE AND TRAUMA COMMITTEE. THE REPORTS WERE UTILIZED TO PROVIDE FEEDBACK TO AGENCIES AND TO THE REGION. IV. MEDICAL INCIDENT REVIEWS - THE EMS FIELD COORDINATOR- CLINICAL CARE PERFORMS MEDICAL INCIDENT REVIEWS OF PATIENT CARE ACTIVITIES THAT ARE REPORTED BY PREHOSPITAL OR HOSPITAL CAREGIVERS OR MEMBERS OF THE PUBLIC AS POTENTIAL DEFICIENCIES IN PATIENT CARE PRACTICES, DEPARTURES FROM PROTOCOL COMPLIANCE, OR OTHER AREAS OF CONCERN. THE COORDINATOR MAKES A SANITIZED REPORT TO THE PERFORMANCE IMPROVEMENT COMMITTEE AND/OR THE PENINSULAS INTER-FACILITY COOPERATION ORGANIZATION TO ADDRESS SYSTEMIC ISSUES. REFERRALS TO OTHER AGENCIES (OEMS, LAW ENFORCEMENT, ETC.) ARE MADE WHEN DEFICIENCIES REQUIRING MANDATED REPORTING ARE IDENTIFIED. GENERAL DATA ON TRENDS FROM MIR REPORTS CAN ALSO DRIVE LOCAL OR REGIONAL PROCEDURE/POLICY/PROTOCOL CHANGES. V. REGIONAL MEDICATION AND EMS SUPPLIES RESTOCKING PROGRAMS - THE PENINSULAS EMS COUNCIL PROVIDES A REGIONAL MEDICATION AND EMS SUPPLIES RESTOCKING AGREEMENT WITH ALL EMS AGENCIES, THE ACUTE CARE HOSPITALS WITH FULL-SERVICE EMERGENCY DEPARTMENTS AND THE TWO FEDERAL HOSPITALS WITHIN THE REGION. THE PENINSULAS EMS COUNCIL HAS ALSO EXTENDED THE AGREEMENT TO MOST OF THE DEFINITIVE CARE AND ACUTE CARE HOSPITALS FREQUENTED BY THE REGION'S EMS AGENCIES IN OTHER COUNCIL REGIONS. THIS AGREEMENT MEETS ALL CURRENT FEDERAL REGULATIONS AND DESCRIBES THE REGION'S RESTOCKING PROCEDURES BETWEEN THE HOSPITALS AND EMS AGENCIES LOCATED IN THE PENINSULAS EMS COUNCIL REGION. THE AGREEMENT IS MAINTAINED BY THE COUNCIL'S STANDING HOSPITAL FACILITIES COMMITTEE, THE PENINSULAS INTERFACILITY COOPERATION ORGANIZATION (PICO). "IN FY25, THE PENINSULAS EMS COUNCIL UPDATED REGIONAL EMS SUPPLIES RESTOCKING PROGRAM AND AGENCY/HOSPITAL AGREEMENTS TO REMAIN CONSISTENT WITH REGIONAL PROTOCOLS AND PROCEDURES. THE NEW AGREEMENT WAS REVIEWED BY THE BOARD OF DIRECTORS. ALL AGENCIES AND HOSPITALS SUBMITTED SIGNED AGREEMENTS TO PEMS. IN ADDITION, AT THE TRANSITION OF THE ONE-FOR-ONE REGIONAL EMS MEDICATION KIT HOSPITAL EXCHANGE SYSTEM TO THE EMS AGENCY MANAGED EMS MEDICATION KIT SYSTEM IN APRIL 2025, PEMS MANAGED THE MODIFICATION OF THE AGENCY/HOSPITAL AGREEMENTS TO REMOVE EMS MEDICATIONS. "IN FY25, THE PENINSULAS EMS COUNCIL RENEWED BOTH ITS CLASS VI CONTROLLED SUBSTANCE REGISTRATION AND CLINICAL LABORATORY IMPROVEMENT AMENDMENT (CERTIFICATE OF WAIVER) FOR EMS AGENCIES THROUGHOUT THE PENINSULAS EMS COUNCIL REGION. VI.MEDICATION KIT STANDARDIZATION AND EXCHANGE - MEDICATION KITS, RSI MEDICATION KITS, AND TRAINING MEDICATION KITS ARE LOCATED THROUGHOUT THE PENINSULAS EMS COUNCIL REGION IN SUPPORT OF THE REGIONAL STANDARD OF CARE AS IDENTIFIED IN THE REGIONAL PATIENT CARE PROTOCOLS, POLICIES AND PROCEDURES. WHILE THE INDIVIDUAL EMS AGENCIES PURCHASE ADDITIONAL OR REPLACEMENT MEDICATION KITS, THE PENINSULAS EMS COUNCIL ASSUMES THE OWNERSHIP OF THE BOXES FOR REPAIR, REPLACEMENT, AND SYSTEM OVERSIGHT. THE MEDICATION KITS AND EPI DRUG BOXES WERE PROVIDED BY THE COUNCIL THROUGH GRANT FUNDS. THE CONTENTS OF THE MEDICATION KITS, RSI MEDICATION KITS, AND EPI DRUG BOXES ARE RESTOCKED AFTER USE AND ARE OWNED BY THE REGION'S HOSPITAL PHARMACIES. TRAINING MEDICATION KITS ARE STOCKED THROUGH A TRAINING MEDICATION SUPPLIER. THE MEDICAL ADVISORY COMMITTEE, IN COOPERATION WITH THE PHARMACY COMMITTEE, DEVELOPS THE CONTENT LISTS FOR BOTH MEDICATION KITS AND THE RELATED PROTOCOLS. ALL EMS AGENCIES WITHIN THE REGION COMPLY WITH THE STANDARDIZATION OF THE MEDICATION KITS AND PARTICIPATE IN THE REGIONAL MEDICATION KIT EXCHANGE PROGRAM MANAGED BY THE PENINSULAS EMS COUNCIL'S PHARMACY COMMITTEE. THE COUNCIL'S EMS FIELD COORDINATOR (OPERATIONS) IS RESPONSIBLE FOR THE INVENTORY CONTROL AND MAINTENANCE OF THE REGION'S DRUG BOXES. THE PHARMACY COMMITTEE WORKS TO ASSURE ADEQUATE SUPPLIES OF APPROVED MEDICATIONS, OR IN THE FACE OF CONTINUED NATIONAL MEDICATION SHORTAGES, WORKS WITH THE MEDICAL ADVISORY COMMITTEE TO DEVELOP ALTERNATIVE TREATMENT MODALITIES. SYSTEMS WERE ALSO ESTABLISHED TO IDENTIFY DRUG BOXES WITH INCOMPLETE CONTENTS. THE PHARMACY COMMITTEE MODIFIED THE CONTENT LIST FOR THE REGION'S DRUG BOXES TO SUPPORT CHANGES IN REGIONAL TREATMENT PROTOCOLS. THE MEDICAL ADVISORY COMMITTEE, IN COOPERATION WITH THE PHARMACY COMMITTEE, DEVELOPS THE CONTENT LISTS FOR BOTH MEDICATION KITS AND THE RELATED PROTOCOLS. ALL EMS AGENCIES WITHIN THE REGION COMPLY WITH THE STANDARDIZATION OF THE MEDICATION KITS AND PARTICIPATE IN THE REGIONAL MEDICATION KIT EXCHANGE PROGRAM MANAGED BY THE PENINSULAS EMS COUNCIL'S PHARMACY COMMITTEE. THE COUNCIL'S EMS FIELD COORDINATOR (OPERATIONS) IS RESPONSIBLE FOR THE INVENTORY CONTROL AND MAINTENANCE OF THE REGION'S DRUG BOXES. "THE PHARMACY COMMITTEE WORKED TO ASSURE ADE
FORM 990, PAGE 2, PART III, LINE 4B	I. REGIONAL STRATEGIC EMS PLAN - THE PENINSULAS EMS COUNCIL UTILIZES A REGIONAL STRATEGIC EMS PLAN WITH ESTABLISHED STRATEGIES AND INITIATIVES TO PROVIDE THE COUNCIL AND STAFF GUIDANCE IN THE CONTINUED DEVELOPMENT AND IMPROVEMENT OF THE REGIONAL EMERGENCY MEDICAL SERVICES SYSTEM OVER TIME. THIS DOCUMENT IS NOT A RECIPE FOR DAY-TO-DAY MANAGEMENT OR OVERSIGHT ACTIVITIES. RATHER, IT REPRESENTS A BROAD-BRUSH APPROACH ADDRESSING THE BIGGER PICTURE SURROUNDING THE PROVISION OF SERVICES AND COORDINATION INTERACTIONS BETWEEN STAKEHOLDERS. THE DOCUMENT FOCUSES ON FIVE CORE STRATEGIES: PROMOTING COLLABORATIVE APPROACHES, CREATING TOOLS AND RESOURCES, DEVELOPING INFRASTRUCTURES, ASSURING QUALITY AND EVALUATION, AND STRENGTHENING THE REGIONAL COUNCIL. "IN FY25, THE PENINSULAS EMS COUNCIL COMPLETED AN ANNUAL REVIEW OF THE REGIONAL STRATEGIC EMS PLAN AND ITS CORE STRATEGIES AND STRATEGIC INITIATIVES. THE PLAN WAS APPROVED WITHOUT CHANGE BY THE BOARD OF DIRECTORS. II. MASS CASUALTY INCIDENT/MASS GATHERING EVENT SUPPORT - THE PENINSULAS EMS COUNCIL PROVIDES COORDINATION AND ASSISTANCE WITH MASS CASUALTY INCIDENT/MASS GATHERING EVENT PLANNING AND TRAINING ON LOCAL, REGIONAL, AND STATE LEVELS. IN CONJUNCTION WITH THE TIDEWATER EMS COUNCIL, THE PENINSULAS EMS COUNCIL PROVIDES AND UPDATES A REGIONAL MASS CASUALTY INCIDENT (MCI) PLAN AND GUIDE FOR ALL EMS AGENCIES, EMS PROVIDERS, EMS PHYSICIANS AND HOSPITALS IN THE REGION. "IN FY 25, THE PENINSULAS EMS COUNCIL, THE TIDEWATER EMS COUNCIL AND THE HAMPTON ROADS METROPOLITAN MEDICAL RESPONSE SYSTEM COMPLETED AND RELEASED A RE-WRITE OF THE HAMPTON ROADS MASS CASUALTY INCIDENT RESPONSE GUIDE (HRMCIRG) WITH THE ASSISTANCE OF OLSON GROUP CONSULTANTS AND SUBJECT MATTER EXPERTS AND EMS STAKEHOLDERS. THE NEW HRMCIRG HAS A MASS CASUALTY INCIDENT MANAGEMENT FRAMEWORK WITH SEVERAL ANNEXES AND SIX INCIDENT SPECIFIC RESPONSE GUIDES: ACTIVE THREAT, COMPLEX COORDINATED ATTACK, HAZARDOUS MATERIALS, MASS FATALITY, MASS GATHERING SPECIAL EVENTS INCIDENT, AND TRANSPORTATION INCIDENT. "IN THE NEW HRMCIRG FRAMEWORK, THE PRIMARY PATIENT TRIAGE TOOL, SIMPLE TRIAGE AND RAPID TREATMENT (START) METHOD WAS REPLACED BY THE NATIONALLY RECOGNIZED SORT, ASSESS, LIFESAVING INTERVENTIONS, AND TREATMENT/TRANSPORT (SALT) METHOD. "THROUGHOUT FY25, THE PEMS COUNCIL CONTINUED TO COORDINATE OR PARTICIPATE IN REGIONAL PLANNING AND IMPROVEMENT OF HEALTH SYSTEM RESPONSE TO DISASTERS INCLUDING PANDEMICS. "THE PEMS COUNCIL PARTICIPATED WITH LOCAL, REGIONAL, STATE AND FEDERAL PANDEMIC PLANNING, RESPONSE AND EVALUATION EFFORTS "IN FY25, THE PENINSULAS EMS COUNCIL'S PLANNING AND EMERGENCY MANAGEMENT COORDINATOR ASSISTED CHRISTOPHER NEWPORT UNIVERSITY AND THE VIRGINIA DEPARTMENT OF EMERGENCY MANAGEMENT WITH A FULL-SCALE ACTIVE SHOOTER MCI EXERCISE INVOLVING 55 PATIENTS/VICTIMS. "IN FY25, THE PENINSULAS EMS COUNCIL ASSISTED IN PLANNING OF AND PARTICIPATION IN THE VIRGINIA DEPARTMENT OF HEALTH, THE EASTERN VIRGINIA HEALTHCARE COALITION AND THE FEDERAL EMERGENCY MANAGEMENT ADMINISTRATION'S "FULL MOON CRUISE SHIP" TABLETOP EXERCISE INVOLVING AN INFECTIOUS DISEASE OUTBREAK ON A CRUISE SHIP DOCKED IN NORFOLK. "IN FY25, THE PENINSULAS EMS COUNCIL CONDUCTED TWO BASIC MOULAGE CLASSES SPONSORED BY THE EASTERN VIRGINIA HEALTHCARE COALITION. THE COUNCIL ALSO WORKS WITH THE PENINSULAS INTERFACILITY COOPERATION ORGANIZATION (PICO) AND THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION TO MONITOR THE HOSPITAL DIVERSION NOTIFICATION AND CLOSURE PROCESS. III. HAMPTON ROADS METROPOLITAN MEDICAL RESPONSE SYSTEM (HRMMRS) - IN PARTNERSHIP WITH THE TIDEWATER EMS COUNCIL, THE PENINSULAS EMS COUNCIL ASSISTS WITH THE MANAGEMENT AND IMPLEMENTATION OF THE HRMMRS, A PROGRAM TO IMPROVE REGIONAL MEDICAL RESPONSE TO ANY LARGE DISASTERS OR ACTS OF TERRORISM WITHIN THE JURISDICTIONS SERVED BY THE HAMPTON ROADS PLANNING DISTRICT COMMISSION (HRPDC), AND TO INCLUDE SURGE CAPACITY PLANNING. SUSTAINMENT FUNDING FROM THE SIXTEEN HRPDC CITIES AND COUNTIES AND VARIOUS FEDERAL CONTRACTS AND GRANTS FUND THIS PROGRAM. MEMBERS OF THE PENINSULAS EMS COUNCIL AND EMS AGENCIES STAFF HRMMRS COMMITTEES, SERVE ON THE HRMMRS MEDICAL STRIKE TEAM, PROVIDE OPERATIONAL SUPPORT TO THE STRIKE TEAM, AND MAINTAIN AND AUGMENT A STRIKE TEAM EQUIPMENT AND COMMUNICATIONS CACHE. "IN FY25, THE HRMMRS CONTINUED REGIONAL PLANNING AND IMPROVEMENT OF THE HEALTH SYSTEM RESPONSE TO DISASTERS BY ACTIVELY PARTICIPATING WITH LOCAL AND REGIONAL GROUPS SUCH AS VIRGINIA DEPARTMENT OF HEALTH EMERGENCY PLANNING AND RESPONSE PLANNERS (VDH EP&R), THE VIRGINIA DEPARTMENT OF EMERGENCY MANAGEMENT (VDEM), THE HAMPTON ROADS ALL-HAZARDS ADVISORY COMMITTEE, REGIONAL CATASTROPHIC PLANNING GRANT WORKGROUP, REGIONAL CATASTROPHIC PLANNING GRANT PLANNING TEAM AND MASS CARE AND SHELTERING WORKGROUP, SECURE COMMONWEALTH HEALTH AND MEDICAL SUBPANEL, THE EASTERN VIRGINIA HOSPITAL PREPAREDNESS COORDINATING GROUP, THE CITIES READINESS INITIATIVE AND THE REGIONAL ALL HAZARDS ADVISORY COMMITTEE. IV. EASTERN VIRGINIA HEALTHCARE COALITION - THE PENINSULAS EMS COUNCIL PARTNERS WITH THE EASTERN VIRGINIA HEALTHCARE COALITION TO DEVELOP RESILIENCY WITHIN THE HAMPTON ROADS AND EASTERN VIRGINIA REGION'S HOSPITALS AND HEALTHCARE FACILITIES, EMS AGENCIES, NON-GOVERNMENT AND PRIVATE HEALTHCARE ORGANIZATIONS AND SERVICES AND PUBLIC HEALTH IN TIMES OF CRISIS. THE COUNCIL'S EXECUTIVE DIRECTOR SERVES ON THE COALITION'S EXECUTIVE COMMITTEE. AS A PART OF HOSPITAL READINESS AND PREPAREDNESS, THE COALITION REVAMPED HOW IT CONDUCTS COORDINATION EFFORTS AND EXERCISES WITH ITS PARTNERS. THERE WAS A RETURN TO FULL COALITION IN-PERSON MEETINGS. THE COALITION CONTINUES TO WORK ALONGSIDE HOSPITAL EMERGENCY MANAGEMENT PERSONNEL ALONG WITH THE EMS PLANNER FROM THE COUNCIL TO DEVELOP AND CONDUCT VARIOUS TRAINING SESSIONS, EXERCISES AND DRILLS TO ASSIST THE HOSPITAL SYSTEMS EVALUATE THEIR READINESS FOR VARIOUS EMERGENT SITUATIONS. "IN FY25, THE PENINSULAS EMS PLANNING AND EMERGENCY MANAGEMENT COORDINATOR CONTINUED TO REPRESENT EMS ON THE EASTERN VIRGINIA HEALTHCARE COALITION ADVISORY COMMITTEE.
FORM 990, PAGE 2, PART III, LINE 4C	I. REGIONAL INFORMATION AND REFERRAL - THE PENINSULAS EMS COUNCIL AIDED LOCAL JURISDICTIONS, EMS AGENCIES, EMS PROVIDERS, EMS PHYSICIANS, HOSPITALS, OTHER HEALTH CARE PROVIDERS, PUBLIC SAFETY OFFICIALS, AND THE PUBLIC WITH EMS INFORMATION AND REFERRALS; SERVED AS A CLEARINGHOUSE FOR REGIONAL AND STATE EMS PAMPHLETS, POSTERS, DISPLAYS AND OTHER EMS PUBLIC RELATION AND RECRUITMENT MATERIALS; MAINTAINED AND UPDATED AN INFORMATIONAL WEBSITE. ALL COURSE OFFERINGS WERE POSTED, TO INCLUDE COURSES OFFERED BY THE PENINSULAS EMS COUNCIL AS WELL AS OTHER EMS-RELATED COURSES. ON-LINE REGISTRATION FOR COURSES WAS ALSO INCLUDED ON THE WEBSITE. THROUGH THE COUNCIL WEBSITE, STAFF ALSO PROVIDED CONTACT INFORMATION, INCLUDING TELEPHONE NUMBERS AND E-MAIL ADDRESSES SO THAT AGENCIES, PROVIDERS, AND MEMBERS OF THE COMMUNITY COULD CONTACT ANY STAFF MEMBER WITH A MINIMUM OF DELAY. ALL COUNCIL BUSINESS INVOLVING HIPAA/PHI COMMUNICATIONS TAKES PLACE USING SECURE EMAIL AND FAX SYSTEMS. THE COUNCIL SPONSORS FACEBOOK AND TWITTER ACCOUNTS AND DISTRIBUTES INFORMATION THROUGHOUT THE REGION ON A REGULAR AND ONGOING BASIS. II.EMS EDUCATION AND TRAINING - THE PENINSULAS EMS COUNCIL PROVIDES, FACILITATES, AND SUPPORTS EDUCATION AND TRAINING PROGRAMS, INCLUDING CONTINUING EDUCATION REQUIRED TOPICS, THROUGHOUT THE REGION BY COORDINATING INSTRUCTOR NETWORKING WHICH FACILITATES AND AIDS IN THE PROVISION OF QUALITY EDUCATION TO SUPPORT EMS AGENCIES WITHIN THE REGION. THE COUNCIL PARTNERED WITH HOSPITALS IN THE REGION TO PROVIDE AN ANNUAL TRAUMA SYMPOSIUM AND A STROKE SYMPOSIUM FOR PRE-HOSPITAL AND HOSPITAL EMERGENCY MEDICAL CARE PROVIDERS, MAINTAINED CDC, VDH AND OTHER HEALTH-RELATED INFORMATION ON THE COUNCIL WEBSITE, PARTNERED WITH EDUCATION AND TRAINING CENTERS INCLUDING RAPPAHANNOCK COMMUNITY COLLEGE EMS PROGRAMS (EMT-BASIC, EMT-INTERMEDIATE AND EMT- PARAMEDIC) OVERSIGHT COMMITTEE, AND VIRGINIA PENINSULA COMMUNITY COLLEGE (EMT-BASIC, EMT-INTERMEDIATE AND EMT-PARAMEDIC) OVERSIGHT COMMITTEE. IN FY25, THE PENINSULAS EMS COUNCIL'S EXECUTIVE DIRECTOR SERVED AS THE CHAIR OF BOTH THE RAPPAHANNOCK COMMUNITY COLLEGE EMS PROGRAMS ADVISORY COMMITTEE AND THE VIRGINIA PENINSULA COMMUNITY COLLEGE EMS/FIRE PROGRAMS ADVISORY COMMITTEE. III. CRITICAL INCIDENT STRESS MANAGEMENT (CISM) TEAM - THE PENINSULAS EMS COUNCIL SUPPORTS AND MANAGES ONE OF THE SIXTEEN CRITICAL INCIDENT STRESS MANAGEMENT (CISM) TEAMS RECOGNIZED BY THE COMMONWEALTH OF VIRGINIA. THE PEMS CISM TEAM PROVIDES CRITICAL SUPPORT TO THE ENTIRE PENINSULAS EMS COUNCIL EMERGENCY SERVICES COMMUNITY INCLUDING POLICE, FIRE, EMERGENCY MEDICAL SERVICES, EMERGENCY COMMUNICATIONS, AND HOSPITAL EMERGENCY DEPARTMENTS WHO EXPERIENCE PSYCHOLOGICALLY TRAUMATIC EVENTS OR SUFFER FROM THE EFFECTS OF CUMULATIVE EVENTS. THE PEMS CISM TEAM ALSO PROVIDES SERVICES TO MEMBERS OF THE COMMUNITY INVOLVED IN SIMILAR EVENTS. TEAM MEMBERS PROVIDE PRE-INCIDENT EDUCATION, POST-INCIDENT DEFUSING, DEMOBILIZATION, AND DEBRIEFING. "IN FY25, THE PENINSULAS EMS COUNCIL'S CISM TEAM RESPONDED TO REQUESTS FOR CISM TEAM INTERVENTIONS AND EDUCATION REQUESTS FROM BOTH AGENCIES AND INDIVIDUALS IN THE REGION. HOSTED AND PROVIDED STAFF SUPPORT AT SEMI-ANNUAL MEETINGS OF THE CISM TEAM. "IN FY25, THE PENINSULAS EMS COUNCIL CONTINUED ITS LIAISONS WITH EMS, FIRE, AND LAW ENFORCEMENT AGENCY PEER SUPPORT TEAMS IN THE REGION, PROVIDING COORDINATING EDUCATION AND ASSISTING THEM WITH STATE ACCREDITATION. IV. EMS EDUCATION AND TRAINING - THE PENINSULAS EMS COUNCIL PROVIDES, FACILITATES, AND SUPPORTS EDUCATION AND TRAINING PROGRAMS, INCLUDING CONTINUING EDUCATION REQUIRED TOPICS, THROUGHOUT THE REGION. "IN FY25 THE PENINSULAS EMS COUNCIL'S EMS FIELD COORDINATOR - EDUCATION PROGRAMS WAS A RESOURCE TO THE REGION'S EMS AGENCIES TO HELP ENSURE EMS PROVIDERS DEVELOPED AND MAINTAINED THE KNOWLEDGE, SKILLS AND ABILITIES REQUIRED TO REMAIN RELEVANT IN THE RAPIDLY CHANGING PREHOSPITAL EMERGENCY MEDICAL CARE ENVIRONMENT. "IN FY25 THE PENINSULAS EMS COUNCIL COORDINATED INSTRUCTOR NETWORKING TO FACILITATE AND AID IN THE PROVISION OF QUALITY EDUCATION TO SUPPORT EMS AGENCIES WITHIN THE REGION. "IN FY25, THE PENINSULAS EMS COUNCIL'S EMS FIELD COORDINATOR - CLINICAL PROGRAMS, EMS FIELD COORDINATOR-EDUCATIONAL PROGRAMS AND THE REGION'S STROKE COORDINATORS DEVELOPED AND CONDUCTED RACE AND BEFAST INSTRUCTOR TRAINER COURSES FOR EMS AGENCIES IN THE REGION. "IN FY25, THE PENINSULAS EMS COUNCIL BEGAN PROVIDING VIRTUAL INSTRUCTOR LED TRAINING VILT) EDUCATIONAL PROGRAMS WHICH PROVIDED ATTENDEES OEMS APPROVED EMS CONTINUING EDUCATION CREDIT. INITIAL TOPICS INCLUDED SEPSIS AND 15 LEAD EKGS. V. CONSOLIDATED EMS TESTING - ON MAY 5, 2022, THE STATE EMS ADVISORY BOARD APPROVED A MOTION BY THE MEDICAL DIRECTION COMMITTEE TO ELIMINATE CONSOLIDATED TESTING AT THE BLS LEVEL AND REPLACE IT WITH THE NEW BLS PSYCHOMOTOR COMPETENCY VERIFICATION GUIDANCE DOCUMENT BASED ON TWO YEARS OF DATA AND EVIDENCE GAINED DURING THE COVID-19 PANDEMIC. "IN FY25, THE PENINSULAS EMS COUNCIL CONTINUED TO MAINTAIN ITS ABILITY TO CONDUCT BLS PSYCHOMOTOR COMPETENCY TO ALLOW QUALIFYING CANDIDATES TO RECEIVE RECOGNITION OF THEIR EMS CERTIFICATION UNDER THE APPROVED OUT OF STATE, RE-ENTRY, OR CHALLENGE STATE CERTIFICATION OPTIONS. VI. REGIONAL AWARDS PROGRAM - EACH YEAR, THE PENINSULAS EMS COUNCIL CONDUCTS A REGIONAL AWARDS PROGRAM. THESE AWARDS RECOGNIZE THE UNIQUE AND ESSENTIAL ROLE EMS PLAYS IN THE COMMUNITY AND HONOR THE INDIVIDUALS AND AGENCIES THAT HAVE MADE A SIGNIFICANT CONTRIBUTION TO EMS IN THE PENINSULAS EMS COUNCIL REGION. THE REGIONAL AWARD WINNERS ARE NOMINATED FOR THE GOVERNORS EMS AWARDS. THE COUNCIL ALSO WORKS WITH THE HOSPITAL EMERGENCY DEPARTMENTS AND EMERGENCY PHYSICIAN GROUPS TO PROVIDE A REGIONAL AWARD PROGRAM TO HONOR THE NOMINEES AND RECIPIENTS OF THE ANNUAL REGIONAL EMS AWARDS. "IN FY25, THE PENINSULAS EMS COUNCIL CELEBRATED ITS 11TH ANNIVERSARY EMS CELEBRATION AND RECOGNIZE EXCELLENCE AWARD PRESENTATION CEREMONY WITH A BUFFET LUNCHEON IN THE BLACK FOREST PICNIC AREA AT BUSCH GARDENS WILLIAMSBURG. VII. THE 2025 PENINSULAS EMS COUNCIL REGIONAL AWARD RECIPIENTS: EXCELLENCE IN EMS (MICHAEL B. PLAYER AWARD) - MITCHELL L. PAULETTE, RICHMOND COUNTY DEPARTMENT OF EMERGENCY SERVICES - OUTSTANDING EMS AGENCY - LIFECARE MEDICAL TRANSPORT - OUTSTANDING PREHOSPITAL PROVIDER (JOSEPH B. HOWARD AWARD) - JASEN M. PLOCHARCZYK, JAMES CITY COUNTY FIRE DEPARTMENT - INNOVATION EXCELLENCE IN EMS - YORK COUNTY DEPARTMENT OF FIRE AND LIFE SAFETY, RIVERSIDE REGIONAL MEDICAL CENTER AND DR. CARA MARIE JACKSON - STROKE PROGRAM - OUTSTANDING EMS LEADERSHIP (RUSSELL LOWRY, JR. AWARD) - MARY E. "BETSY" SINK, JAMES CITY COUNTY FIRE DEPARTMENT - OUTSTANDING CONTRIBUTION TO EMS BY A PHYSICIAN (GAYLORD W. RAY, M.D. AWARD) - AMIR K. LOUKA, M.D., PEMS REGIONAL MEDICAL DIRECTOR - OUTSTANDING CONTRIBUTION TO EMS BY A NURSE (MELISSA HOLLOWAY, R.N. AWARD) - NICOLE DUCK, RN, RIVERSIDE REGIONAL MEDICAL CENTER - OUTSTANDING PREHOSPITAL EDUCATOR - WILLARD B. HICKS, IV, VCU HEALTH CRITICAL CARE TRANSPORT NETWORK - OUTSTANDING CONTRIBUTION TO EMS FOR CHILDREN - JOSEPH KHOURY, MD, CHILDREN'S HOSPITAL OF RICHMOND - OUTSTANDING CONTRIBUTION TO EMS HEALTH AND SAFETY - JAMES E. "BUD" RICHARDSON, YORK COUNTY DEPARTMENT OF FIRE AND LIFE SAFETY - OUTSTANDING EMS TELECOMMUNICATIONS DISPATCHER - BRIEN LEE, PENINSULA REGIONAL EMERGENCY COMMUNICATION CENTER - OUTSTANDING CONTRIBUTION TO EMS PREPAREDNESS AND RESPONSE - STEPHEN C. PINCUS, PENINSULAS EMS COUNCIL - OUTSTANDING CONTRIBUTION TO EMS BY A STUDENT (1,000 SCHOLARSHIP) - ADDISON M. BOUGHAN, GLOUCESTER COUNTY VOLUNTEER FIRE AND RESCUE SQUAD, ABINGDON VOLUNTEER FIRE AND RESCUE, GLOUCESTER HIGH SCHOOL - OUTSTANDING EMS CALL - JAMES CITY COUNTY FIRE DEPARTMENT - CARDIAC ARREST WITH DUAL SEQUENTIAL DEFIBRILLATION SPECIAL RECOGNITION AWARDS: - VIRGINIA REGIONAL EMS MEDICATION KIT TRANSITION WORKGROUP - VIRGINIA REGIONAL EMS COUNCIL DIRECTORS GROUP, VIRGINIA DEPARTMENT OF HEALTH OFFICE OF EMS, STATE EMS ADVISORY BOARD - NEXT STEPS WORKGROUP, STATE EMS ADVISORY BOARD - MEDICAL DIRECTION COMMITTEE, VIRGINIA BOARD OF PHARMACY, US DRUG ENFORCEMENT. AGENCY - WASHINGTON DISTRICT, VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION, VIRGINIA SOCIETY OF HEALTH SYSTEM PHARMACISTS, VIRGINIA AMBULANCE ASSOCIATION, VIRGINIA ASSOCIATION OF VOLUNTEER RESCUE SQUADS, VIRGINIA FIRE CHIEFS ASSOCIATION, VIRGINIA ASSOCIATION OF GOVERNMENTAL EMS ADMINISTRATORS, VIRGINIA ASSOCIATION OF COUNTIES, VIRGINIA MUNICIPAL LEAGUE. - AHA TRAINING CENTER - BON SECOURS RAPPAHANNOCK GENERAL HOSPITAL AMERICAN HEART ASSOCIATION TRAINING CENTER - COORDINATION OF THE PEMS REGIONAL EMS MEDICATION KIT TRANSITION - TRAVIS VEACH - EMS COMMUNICATIONS SYSTEM - PENINSULA REGIONAL COMMUNICATIONS CENTER - FINANCIAL SUPPORT - PEMS REGIONAL EMS MEDICATION KIT TRANSITION - CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, DOMINION ENERGY CHARITABLE FOUNDATION, RIVERSIDE HEALTH, AND SENTARA HEALTHCARE - MOBILE INTEGRATED HEALTHCARE WORKGROUP - AMY ASHE - REGIONAL TRAUMA PROGRAM - CAS
FORM 990, PAGE 2, PART III, LINE 4D	I. THE PENINSULAS EMS COUNCIL INTERACTS WITH THE VIRGINIA OFFICE OF EMERGENCY MEDICAL SERVICES COMMITTEES TO PROVIDE AVENUES FOR TWO-WAY INFORMATION SHARING AND STATEWIDE SYSTEM IMPROVEMENTS AND ENHANCEMENTS. STATE COMMITTEES FOR WHICH THE PENINSULAS EMS COUNCIL HAS COMMITTED STAFF, VOLUNTEERS, AND RESOURCES INCLUDE: - GOVERNOR'S SECURE AND RESILIENT COMMONWEALTH PANEL-HEALTH AND HUMAN RESOURCES SUBPANEL - STATE EMERGENCY MEDICAL SERVICES ADVISORY BOARD - STATE EMERGENCY MEDICAL SERVICES ADVISORY BOARD NEXT STEPS WORKING GROUP - STATE EMERGENCY MANAGEMENT COMMITTEE - STATE EMERGENCY MEDICAL SERVICES AWARDS COMMITTEE - STATE FINANCIAL ASSISTANCE REVIEW COMMITTEE - STATE LEGISLATION AND PLANNING COMMITTEE - STATE MEDICAL DIRECTION COMMITTEE - STATE PROVIDER HEALTH AND SAFETY COMMITTEE - STATE TRAUMA PERFORMANCE IMPROVEMENT COMMITTEE - STATE WORKFORCE DEVELOPMENT COMMITTEE - OFFICE OF EMS/BOARD OF PHARMACY/DRUG ENFORCEMENT AGENCY TASK FORCE - VIRGINIA REGIONAL EMS MEDICATION KIT TRANSITION WORKGROUP - VIRGINIA REGIONAL DIRECTORS GROUP - VIRGINIA STROKE CARE QUALITY IMPROVEMENT ADVISORY GROUP
FORM 990, PAGE 6, PART VI, LINE 11B	FORM 990 CLOSELY REVIEWED BY EXECUTIVE DIRECTOR, BOARD PRESIDENT, AND TREASURER. QUESTIONS ASKED OF OUTSIDE ACCOUNTANT AND INFORMATION IN FORM 990 AGREED TO PEMS BOOKS. FORM 990 WAS PRESENTED TO FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO ISSUING.
FORM 990, PAGE 6, PART VI, LINE 12C	ANNUAL SIGNATURES REQUIRED ON CONFLICT OF INTEREST FORM. REVIEWED BY EXECUTIVE DIRECTOR AND MAINTAINED IN A FILE.
FORM 990, PAGE 6, PART VI, LINE 15A	REVIEW AND APPROVAL BY BOARD.
FORM 990, PAGE 6, PART VI, LINE 19	FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990 IS POSTED ON WEBSITE.
FORM 990, PART XI, LINE 9	IN-KIND SERVICES 6,080 IN-KIND SERVICES -6,080

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

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