PEORIA HOSPITALS MOBILE MEDICAL SERVICES: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PEORIA HOSPITALS MOBILE MEDICAL SERVICES (EIN 37-0999878)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-08-29
IRS object ID
202302419349301505
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-29T16:11:44-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 SW ADAMS STREET SUITE 1000AddressLine1Txt
CityPEORIACityNm
State AbbreviationILStateAbbreviationCd
ZIP61602ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN370999878EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PEORIA HOSPITALS MOBILE MEDICAL SERVICESBusinessNameLine1Txt
Business Name Line2D/B/A ADV MEDICAL TRANS OF CENTRAL ILBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPEORBusinessNameControlTxt
Phone3094946200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11718 NORTH STERLING AVEAddressLine1Txt
CityPEORIACityNm
State AbbreviationILStateAbbreviationCd
ZIP61604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN STENSONPersonNm
Person TitleBOARD CHAIRPERSONPersonTitleTxt
Phone3094946200PhoneNum
Signature2023-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOHNPersonFirstNm
Person LastSTENSONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANDREW SMITH CPAPreparerPersonNm
PTINP01518894PTIN
Phone3096714500PhoneNum
Preparation2023-08-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN STENSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11718 NORTH STERLING AVEAddressLine1Txt
CityPEORIACityNm
State AbbreviationILStateAbbreviationCd
ZIP61604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,411,566GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AMTCI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES EMERGENCY AMBULANCE CARE, TREATMENT AND TRANSPORTATION TO MULTIPLE JURISDICTIONS IN ILLINOIS. IN ADDITION TO EMERGENCY AMBULANCE SERVICES, THE ENTITY PROVIDES SCHEDULED AMBULANCE, BEHAVIORAL HEALTH (IPT) AND WHEELCHAIR TRANSPORTATION BETWEEN HOSPITALS AND OTHER HEALTHCARE FACILITIES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee419TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,366,703PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$32,028,441PYProgramServiceRevenueAmt
CY Program Service Revenue$30,918,273CYProgramServiceRevenueAmt
PY Investment Income-$942,879PYInvestmentIncomeAmt
CY Investment Income$254,326CYInvestmentIncomeAmt
PY Other Revenue$25,394PYOtherRevenueAmt
CY Other Revenue$187,742CYOtherRevenueAmt
PY Total Revenue$34,477,659PYTotalRevenueAmt
CY Total Revenue$31,360,341CYTotalRevenueAmt
PY Grants And Similar Paid$1,934,355PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$212,490CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,051,562PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,455,237CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,144,674PYOtherExpensesAmt
CY Other Expenses$6,791,904CYOtherExpensesAmt
PY Total Expenses$30,130,591PYTotalExpensesAmt
CY Total Expenses$27,459,631CYTotalExpensesAmt
PY Revenues Less Expenses$4,347,068PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,900,710CYRevenuesLessExpensesAmt
Total Assets BOY$37,264,106TotalAssetsBOYAmt
Total Assets EOY$39,867,133TotalAssetsEOYAmt
Total Liabilities BOY$2,977,549TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,262,675TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$34,286,557NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$37,604,458NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION PROVIDES EMERGENCY AMBULANCE CARE, TREATMENT AND TRANSPORTATION TO MULTIPLE JURISDICTIONS IN ILLINOIS. IN ADDITION TO EMERGENCY AMBULANCE SERVICES, THE ENTITY PROVIDES SCHEDULED AMBULANCE, BEHAVIORAL HEALTH (IPT) AND WHEELCHAIR TRANSPORTATION BETWEEN HOSPITALS AND OTHER HEALTHCARE FACILITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$21,036,821ExpenseAmt
Grant$212,490GrantAmt
Revenue$31,066,274RevenueAmt
DescTHE ORGANIZATION PROVIDES EMERGENCY AMBULANCE CARE, TREATMENT AND TRANSPORTATION TO MULTIPLE JURISDICTIONS IN ILLINOIS. IN ADDITION, THE ENTITY PROVIDES SCHEDULED AMBULANCE, BEHAVIORAL HEALTH (IPT) AND WHEELCHAIR TRANSPORTATION BETWEEN HOSPITALS AND OTHER HEALTHCARE FACILITIES. THE ORGANIZATION PROVIDED 44,161 AMBULANCE, 4,172 IPT AND 6,395 WHEELCHAIR TRANSPORTS IN 2022. THE ORGANIZATION PROVIDED $1,015,125 IN CHARITABLE SERVICES TO QUALIFIED INDIVIDUALS AT NO CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THE ORGANIZATION ALSO PROVIDED CARE TO MEDICARE AND MEDICAID PATIENTS AT RATES BELOW THE COST OF PROVIDING SERVICES. FOR 2022 PAYMENTS WERE LESS THAN ESTIMATED COSTS BY $4,211,803. THE ORGANIZATION ALSO PROVIDED $337,144 IN SUPPORT OF OTHER COMMUNITY BENEFITS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$534,436ExpenseAmt
Revenue$39,741RevenueAmt
DescTHE ORGANIZATION PROVIDES PARAMEDIC AND OTHER EMS TRAINING PROGRAMS EACH YEAR. THESE PROGRAMS ARE AVAILABLE TO EXTERNAL AGENCIES AND EMPLOYEES OF THE ORGANIZATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$21,571,257TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document24IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee419EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANDREW RANDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3094946200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11718 N STERLING AVEAddressLine1Txt
CityPEORIACityNm
State AbbreviationILStateAbbreviationCd
ZIP61604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANDREW RAND
CEO/BOARD MEMBER20.0020.00Yes (X)Yes (X)$667,198$0$18,990
BILL FLEMING
BOARD MEMBER1.000.00Yes (X)$0$0$0
DAVE STENERSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
JAMES ADAMS
BOARD MEMBER1.000.00Yes (X)$0$0$0
JEANINE SPAIN
BOARD CHAIRPERSON1.000.00Yes (X)Yes (X)$0$0$0
JOHN STENSON
BOARD VICE-CHAIRPERSON1.000.00Yes (X)Yes (X)$0$0$0
MELISSA WOODS
BOARD MEMBER1.000.00Yes (X)$0$0$0
SALLY SNYDER
BOARD TREASURER/SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
SHERRI GREENWOOD
BOARD MEMBER1.000.00Yes (X)$0$0$0
TIM BECCUE
VP OF FINANCE19.0021.00Yes (X)$251,478$0$25,240
CHELSEY TALLEY
DIRECTOR OF ACCOUNTING40.000.00$152,198$0$10,250Yes (X)
DEBORAH ROETHLER
VP OF ADMINISTRATION40.000.00$156,408$0$18,861Yes (X)
DERRICK HAHN
VP OF FLEET40.000.00$213,173$0$18,861Yes (X)
TODD BAKER
VP BUSINESS DEVELOPMENT39.001.00$230,486$0$24,118Yes (X)
BRUCE RETHERFORD
FIELD EMPLOYEE40.000.00$149,184$0$5,964Yes (X)
CHAD CRAIG
FIELD EMPLOYEE40.000.00$234,346$0$23,910Yes (X)
DENISE DURRELL
FIELD EMPLOYEE40.000.00$176,825$0$23,833Yes (X)
JAMES WALKER
FIELD EMPLOYEE40.000.00$148,698$0$1,300Yes (X)
PHILLIP SMITH
FIELD EMPLOYEE40.000.00$167,426$0$10,570Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,547,420TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$181,897TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TRANSPORT REVENUE621990$29,747,366$29,747,366
SUBSIDY REVENUE621990$777,591$777,591
CONTRACT REVENUE621990$353,575$353,575
TUITION REVENUE611600$39,741$39,741
FieldValueIRS element (for citing)
Total Program Service Revenue$30,918,273TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$241,551TotalRevenueColumnAmt
Exclusion$241,551ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$64,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$51,225OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$12,775OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,775TotalRevenueColumnAmt
Exclusion$12,775ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUBPART F INCOME900099$167,329$167,329
MISCELLANEOUS900099$20,413$20,413
FieldValueIRS element (for citing)
Other Revenue Total$187,742OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,360,341TotalRevenueColumnAmt
Related Or Exempt Func Income$31,106,015RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$254,326ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$212,490TotalAmt
Program Services$212,490ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,670,941TotalAmt
Program Services$1,350,890ProgramServicesAmt
Management And General$320,051ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,616,154TotalAmt
Program Services$12,625,046ProgramServicesAmt
Management And General$2,991,108ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$639,836TotalAmt
Program Services$415,731ProgramServicesAmt
Management And General$224,105ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,250,372TotalAmt
Program Services$991,469ProgramServicesAmt
Management And General$258,903ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,277,934TotalAmt
Program Services$1,071,291ProgramServicesAmt
Management And General$206,643ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$84,031TotalAmt
Management And General$84,031ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$74,837TotalAmt
Management And General$74,837ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$94,211TotalAmt
Program Services$65,000ProgramServicesAmt
Management And General$29,211ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,284TotalAmt
Management And General$6,284ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$202,986TotalAmt
Program Services$186,043ProgramServicesAmt
Management And General$16,943ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$541,304TotalAmt
Program Services$141,371ProgramServicesAmt
Management And General$399,933ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$319,822TotalAmt
Program Services$216,462ProgramServicesAmt
Management And General$103,360ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total-$1,562,021TotalAmt
Program Services-$1,562,021ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,451,847TotalAmt
Program Services$1,145,399ProgramServicesAmt
Management And General$306,448ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,713,090TotalAmt
Program Services$1,535,614ProgramServicesAmt
Management And General$177,476ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$1,164,481$981,402$183,079
FUEL$998,721$981,466$17,255
RECRUITING$491,848$491,848
REPAIRS & MAINTENANCE$401,950$261,449$140,501

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$808,513TotalAmt
Program Services$460,307ProgramServicesAmt
Management And General$348,206ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$27,459,631TotalAmt
Program Services$21,571,257ProgramServicesAmt
Management And General$5,888,374ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,417,447BOYAmt
EOY$5,589,874EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,581,466BOYAmt
EOY$5,065,273EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$79,796BOYAmt
EOY$76,154EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$811,167BOYAmt
EOY$929,234EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$28,505,763LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,527,792LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,281,412BOYAmt
EOY$10,977,971EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,092,484BOYAmt
EOY$5,528,696EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$36,000BOYAmt
EOY$36,000EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$97,534EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,964,334BOYAmt
EOY$11,566,397EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$37,264,106BOYAmt
EOY$39,867,133EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,529,885BOYAmt
EOY$1,780,971EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$23,730EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$447,664BOYAmt
EOY$457,974EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,977,549BOYAmt
EOY$2,262,675EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,286,557BOYAmt
EOY$37,604,458EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,286,557BOYAmt
EOY$37,604,458EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,264,106BOYAmt
EOY$39,867,133EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,900,710ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$584,812NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$2,003PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$3,366,703CurrentTaxYearMinus1YearAmt
Total$3,366,703TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,745,380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,909,156CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,373,092CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,037,864CurrentTaxYearMinus1YearAmt
Current Tax Year$30,918,273CurrentTaxYearAmt
Total$137,983,765TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,745,380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,909,156CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,373,092CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,404,567CurrentTaxYearMinus1YearAmt
Current Tax Year$30,918,273CurrentTaxYearAmt
Total$141,350,468TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$141,350,468PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$92,652CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$255,226CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$76,126CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$283,627CurrentTaxYearMinus1YearAmt
Current Tax Year$241,551CurrentTaxYearAmt
Total$949,182TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$92,652CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$255,226CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$76,126CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$283,627CurrentTaxYearMinus1YearAmt
Current Tax Year$241,551CurrentTaxYearAmt
Total$949,182TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$89,612CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44,160CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$965,556CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$1,210,535CurrentTaxYearMinus1YearAmt
Current Tax Year$187,742CurrentTaxYearAmt
Total$76,535TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,927,644CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,208,542CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,414,774CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,477,659CurrentTaxYearMinus1YearAmt
Current Tax Year$31,347,566CurrentTaxYearAmt
Total$142,376,185TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99280PublicSupportCY509Pct
Public Support PY5090.99340PublicSupportPY509Pct
Investment Income CY0.00670InvestmentIncomeCYPct
Investment Income PY0.00580InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS - 2018 AMOUNT: $ 75,125. 2019 AMOUNT: $ 24,710. 2020 AMOUNT: $ 849,362. 2021 AMOUNT: $ 15,971. 2022 AMOUNT: $ 187,742. GAIN LOSS ON SALE OF ASSETS - 2018 AMOUNT: $ 14,487. 2019 AMOUNT: $ 19,450. 2020 AMOUNT: $ 116,194. 2021 AMOUNT: $ -1,226,506.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$623,613OtherCostOrOtherBasisAmt
Book Value$623,613BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,885,988OtherCostOrOtherBasisAmt
Depreciation$3,406,912DepreciationAmt
Book Value$7,479,076BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,996,162OtherCostOrOtherBasisAmt
Depreciation$14,120,880DepreciationAmt
Book Value$2,875,282BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,977,971TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY RECEIVABLEDesc
Book Value$11,566,397BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$11,566,397TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LIABILITIESDesc
Amt$457,974Amt
FieldValueIRS element (for citing)
Total Liability$457,974TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$30,775,529TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$584,812NetUnrealizedGainsInvstAmt
Revenue Not Reported-$584,812RevenueNotReportedAmt
Revenue Subtotal$31,360,341RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$31,360,341TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$27,459,631TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$27,459,631ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$27,459,631TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationADVANCED MEDICAL TRANSPORT, INC., PEORIA HOSPITALS' MOBILE MEDICAL SERVICES, ADVANCED MEDICAL TRANSPORT OF IOWA, ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD, INC. AND ADVANCED MEDICAL TRANSPORT EAST, INC. ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER THE INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3). ADVANCED MEDICAL TRANSPORT, INC., PEORIA HOSPITALS' MOBILE MEDICAL SERVICES, ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD, INC. AND ADVANCED MEDICAL TRANSPORT EAST, INC. ARE EXEMPT FROM ILLINOIS INCOME TAXES. ADVANCED MEDICAL TRANSPORT OF IOWA IS EXEMPT FROM IOWA INCOME TAXES. FOR 2022 AND 2021, NO ASPECTS OF THE BUSINESS OF THESE ORGANIZATIONS ARE DEFINED BY THE IRC AS UNRELATED TO THE PURPOSE FOR WHICH THE TAX EXEMPTION IS GRANTED.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCATALYST INSURANCE, LTD - GRAND CAYMAN ISLANDRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedREINSURANCE INVESTMENTTypeOfActivitiesConductedTxt
Region Total Expenditures$167,329RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$167,329SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$167,329TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
HEART OF ILLINOIS UNITED WAY
509 W HIGH STPEORIAIL61606370661504501(C)(3)$91,000$0SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS
PEORIA RIVERFRONT MUSEUM
222 SW WASHINGTON STPEORIAIL61602272920016501(C)(3)$25,000$0SUPPORT LOCAL EDUCATION PROGRAMS.
WTVP
PO BOX 1347PEORIAIL61654237041401501(C)(3)$15,000$0SUPPORT LOCAL NON-FOR-PROFITS.
OSF HEALTHCARE FOUNDATION
530 NE GLEN OAK AVEPEORIAIL61603371259284501(C)(3)$6,600$0SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS.
HEARTLAND HEALTH SERVICES
2214 N UNIVERSITY STPEORIAIL61604371270794501(C)(3)$5,500$0SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS.
FAMILY HOUSE
1339 E NEBRASKA AVEPEORIAIL61603371159405501(C)(3)$5,500$0SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS.
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANDREW RAND
CEO/BOARD MEMBER$317,198$0$350,000$0$0$0$13,500$0$5,490$0$686,188$0$0$0
TIM BECCUE
VP OF FINANCE$217,073$0$34,405$0$0$0$10,250$0$14,990$0$276,718$0$0$0
CHAD CRAIG
FIELD EMPLOYEE$228,023$0$6,323$0$0$0$6,218$0$17,692$0$258,256$0$0$0
TODD BAKER
VP BUSINESS DEVELOPMENT$199,419$0$31,067$0$0$0$13,000$0$11,118$0$254,604$0$0$0
DERRICK HAHN
VP OF FLEET$184,590$0$28,583$0$0$0$13,500$0$5,361$0$232,034$0$0$0
DENISE DURRELL
FIELD EMPLOYEE$170,823$0$6,002$0$0$0$13,500$0$10,333$0$200,658$0$0$0
PHILLIP SMITH
FIELD EMPLOYEE$162,040$0$5,386$0$0$0$5,261$0$5,309$0$177,996$0$0$0
DEBORAH ROETHLER
VP OF ADMINISTRATION$142,117$0$14,291$0$0$0$13,500$0$5,361$0$175,269$0$0$0
CHELSEY TALLEY
DIRECTOR OF ACCOUNTING$135,545$0$16,653$0$0$0$10,250$0$0$0$162,448$0$0$0
BRUCE RETHERFORD
FIELD EMPLOYEE$143,167$0$6,017$0$0$0$543$0$5,421$0$155,148$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationBASED ON EMPLOYEE PERFORMANCEExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7AONE MEMBER IS ELECTED BY THE BOARD OF DIRECTORS OF UNITYPOINT HEALTH TRINITY, ONE MEMBER IS ELECTED BY THE BOARD OF DIRECTORS OF UNITYPOINT HEALTH METHODIST/PROCTOR, ONE MEMBER IS ELECTED BY THE BOARD OF DIRECTORS OF OSF HEALTHCARE SYSTEMS, AND ONE MEMBER IS ELECTED BY THE BOARD OF DIRECTORS OF OSF SAINT FRANCIS MEDICAL CENTER.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION PROVIDES A COPY OF FORM 990 TO THE BOARD FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE OF THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER ANNUALLY COMPLETES A CONFLICT OF INTEREST STATEMENT.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD REVIEWS COMPARABLE DATA AND THE SPECIFIC PERFORMANCE OF THE EXECUTIVE DIRECTOR IN DETERMINING COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 24EBANK SERVICE CHARGES: PROGRAM SERVICE EXPENSES 144,309. MANAGEMENT AND GENERAL EXPENSES 162,302. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 306,611. FRANCHISE FEES: PROGRAM SERVICE EXPENSES 172,230. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 172,230. EDUCATION & TRAINING: PROGRAM SERVICE EXPENSES 115,462. MANAGEMENT AND GENERAL EXPENSES 43,114. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 158,576. UNIFORMS: PROGRAM SERVICE EXPENSES 84,342. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,342. ADMINISTRATIVE EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 83,681. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,681. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 33,353. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,353. COMMUNITY PARTNERING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 18,981. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,981. CUSTOMER SURVEY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,775. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,775. COMMUNICATIONS: PROGRAM SERVICE EXPENSES -56,036. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -56,036.
FORM 990, PART XII, LINE 2CTHE PROCESS FOR OVERSEEING THE AUDIT AND SELECTING AN INDEPENDENT AUDITOR HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PART IV, LINE 12 AND PART XII, LINE 2CTHE ORGANIZATION HAS AUDITED FINANCIAL STATEMENTS THAT ARE PREPARED ON A CONSOLIDATED BASIS.
FORM 5471, SCHEDULE O, PART ITHE OFFICERS AND/OR DIRECTORS OF THE FOREIGN CORPORATION FILE FORM 5471 AS CATEGORY 2 FILERS IN ACCORDANCE WITH TREASURY REGULATION SECTION 1.6046-1(A)(2)(I)(C). THERE WERE NO 10% ACQUISITIONS BY UNITED STATES PERSONS DURING THE CURRENT YEAR. EACH SHAREHOLDER WITH RESPECT TO WHOM THE CATEGORY 2 FORMS ARE FILED IS A UNITED STATES SHAREHOLDER UNDER SECTION 953(C) AND HAS PROVIDED THE INFORMATION REQUIRED BY TREASURY REGULATION SECTION 1.6046-1(A)(2)(II)(A) TO THE IRS ON FORM 5471 ATTACHED TO THEIR RESPECTIVE INCOME TAX RETURN.
FORM 5471, SCHEDULE BNO U.S. PERSON OWNED (AT ANY TIME DURING THE ACCOUNTING PERIOD), DIRECTLY OR INDIRECTLY, 10% OR MORE IN VALUE OR VOTE OF ANY CLASS OF THE CORPORATION'S OUTSTANDING STOCK.
FORM 5471, SCHEDULE O, PART II, SECTION C & DTHE FILER IS A CATEGORY 3 FILER FOR FORM 5471 PURPOSES BECAUSE IT IS A UNITED STATES SHAREHOLDER OF THE FOREIGN CORPORATION UNDER IRC SECTION 953(C). THEREFORE, THE FILER IS REQUIRED TO COMPLETE SCHEDULE O EVEN IF IT NEITHER ACQUIRED NOR DISPOSED OF STOCK IN THE FOREIGN CORPORATION.
FORM 5471, SCHEDULE O, PART II, SECTION FTHE FOREIGN CORPORATION FILED FORM 1120-F, U.S. INCOME TAX RETURN OF A FOREIGN CORPORATION, FOR ITS TAX YEARS ENDED MAY 31, 2021, 2020, AND 2019. THE FOREIGN CORPORATION HAD NO TAXABLE INCOME AND NO TAX DUE ON THE RETURN. ADDITIONAL FILING REQUIREMENTS FOR CATEGORY 3 FILERS: 1. THE AMOUNT AND TYPE OF ANY INDEBTEDNESS THE FOREIGN CORPORATION HAS WITH THE RELATED PERSONS DESCRIBED IN REGULATION SEC. 1.6046-1(B)(11). N/A - THERE IS NO INDEBTEDNESS BETWEEN CATALYST INSURANCE, LTD. AND RELATED PARTIES. 2. THE NAME, ADDRESS, INDENTIFYING NUMBER AND NUMBER OF SHARES SUBSCRIBED TO BY EACH SUBSCRIBER TO THE FOREIGN CORPORATION'S STOCK. N/A - THERE ARE CURRENTLY NO SUBSCRIPTIONS FOR ANY OF CATALYST INSURANCE, LTD.'S STOCK.
FORM 5471, SCHEDULE E, PART I THROUGH III; AND SCHEDULE E-1THE CONTROLLED FOREIGN CORPORATION FOR WHICH THIS INFORMATIONAL RETURN IS BEING FILED IS A TAX RESIDENT IN THE CAYMAN ISLANDS AND AS A CORPORATION ORGANIZED UNDER THE LAWS OF THE CAYMAN ISLANDS, THE CONTROLLED FOREIGN CORPORATION IS NOT SUBJECT TO TAXATION AS THE CAYMAN ISLANDS DOES NOT IMPOSE ANY FORM OF TAXATION ON RECEIPTS, DIVIDENDS, CAPITAL GAINS, GIFTS OR NET INCOME. SCHEDULE E, WHICH REPORTS FOREIGN TAXES PAID OR ACCRUED AND IS REQUIRED TO BE ATTACHED TO THIS RETURN, IS BEING FILED BUT DOES NOT HAVE ANY AMOUNTS SHOWN BECAUSE NO FOREIGN TAXES WERE PAID OR ACCRUED.
FORM 5471, SCHEDULE B PART ITHE INSTRUCTIONS FOR FORM 5471 STATE THAT A PERSON THAT IS BOTH A CATEGORY 3 AND CATEGORY 5 FILER BECAUSE IT IS TREATED AS A U.S. SHAREHOLDER UNDER SECTION 953(C)(1)(A) WITH RESPECT TO THE FOREIGN CORPORATION MUST COMPLETE SCHEDULE B, PART I FOR U.S PERSONS THAT OWNED, DIRECTLY OR INDIRECTLY THROUGH FOREIGN ENTITIES, ANY OF THE FOREIGN CORPORATION'S OUTSTANDING STOCK. ACCORDINGLY, SCHEDULE B, PART I HAS BEEN COMPLETED FOR THE APPLICABLE U.S. SHAREHOLDER LISTED ON PAGE 1 OF THIS FORM 5471. THE CONTROLLED FOREIGN CORPORATION FOR WHICH THIS INFORMATIONAL RETURN IS BEING FILED IS ORGANIZED UNDER THE LAWS OF THE CAYMAN ISLANDS AND THUS SUBJECT TO CERTAIN DATA PRIVACY LAWS. ACCORDINGLY, DUE TO DATA PRIVACY AND SECURITY CONCERNS, THE COMPLETE SHAREHOLDER LISTING IS AVAILABLE UPON REQUEST FROM THE REGISTERED OFFICE OF THE CONTROLLED FOREIGN CORPORATION. ADDITIONALLY, TAXPAYER IS A MINORITY SHAREHOLDER IN THE CONTROLLED FOREIGN CORPORATION AND THEREFORE DOES NOT HAVE ACCESS TO ANY OF CONTROLLED FOREIGN CORPORATION'S BOOKS AND RECORDS. SEE REGULATIONS SECTION 1.964-3, WHERE RECORDS ARE TO BE MAINTAINED BY 10% OR MORE SHAREHOLDERS. TAXPAYER OWNS LESS THAN 10% OF THE CONTROLLED FOREIGN CORPORATION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADVANCED MEDICAL TRANSPORT INC
1718 N STERLING AVEPEORIAIL61604260312211CHARITABLE, SCIENTIFIC, & EDUCATION TO PHMMS, AMT IA, AMT EAST, & AMT SPRFLDIL501(C)(3)LINE 100
ADVANCED MEDICAL TRANSPORT OF IOWA
1718 N STERLING AVEPEORIAIL61604274133957PROVIDES AMBULANCE AND PARAMEDIC SERVICESIA501(C)(3)LINE 100ADVANCED MEDICAL TRANSPORT INC
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD
1718 N STERLING AVEPEORIAIL61604320596837PROVIDES AMBULANCE AND PARAMEDIC SERVICESIL501(C)(3)LINE 100ADVANCED MEDICAL TRANSPORT INC
ADVANCED MEDICAL TRANSPORT EAST INC
1718 N STERLING AVEPEORIAIL61604862146583PROVIDES AMBULANCE AND PARAMEDIC SERVICESIL501(C)(3)LINE 100ADVANCED MEDICAL TRANSPORT INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MIDWEST EMERGENCY MEDICAL SERVICESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11718 N STERLING AVEAddressLine1Txt
CityPEORIACityNm
State AbbreviationILStateAbbreviationCd
ZIP61604ZIPCd
FieldValueIRS element (for citing)
EIN263021862EIN
Primary ActivitiesBILLING AND MANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ADVANCED MEDICAL TRANSPORT INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVANCED MEDICAL TRANSPORT EAST INC
H$62,281SALE OF ASSETS TO AMTE
ADVANCED MEDICAL TRANSPORT EAST INC
G$82,143SALE OF ASSETS FROM AMTE TO PHMMS
ADVANCED MEDICAL TRANSPORT OF IOWA
L$52,809AMTI CONTRACTED SERVICES PAID TO
ADVANCED MEDICAL TRANSPORT OF IOWA
E$220,038NOTE PAYABLE FROM AMTI
ADVANCED MEDICAL TRANSPORT OF IOWA
O$130,121AMT IOWA PAYROLL PAID BY PHMMS
ADVANCED MEDICAL TRANSPORT OF IOWA
P$67,710AMT IOWA EXPENSES PAID BY PHMMS
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
A$166,959AMTSI INTEREST PAID TO PHMMS
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
E$8,260,573NOTE PAYABLE FROM AMTSI
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
L$696,800AMTSI CONTRACTED SERVICES PAID TO
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
M$361,300PHMMS SERVICES PAID TO AMTSI
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
P$350,526AMTSI EXPENSES PAID BY PHMMS
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
Q$1,357PHMMS EXPENSES PAID BY AMTSI
MIDWEST EMERGENCY MEDICAL SERVICES
P$18,246MEMSI EXPENSES PAID BY PHMMS

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