PEORIA HOSPITALS MOBILE MEDICAL SERVICES: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PEORIA HOSPITALS MOBILE MEDICAL SERVICES (EIN 37-0999878)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-09-07
IRS object ID
202222509349301047
Schema version
2021v4.2
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)
Return2022-09-07T14:53:14-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Begin2021-01-01TaxPeriodBeginDt

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
Signature2022-08-17SignatureDt
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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER ADDISPreparerPersonNm
PTINP01890345PTIN
Phone3096714500PhoneNum
Preparation2022-08-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$35,732,641GrossReceiptsAmt
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 Employee438TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$3,366,703CYContributionsGrantsAmt
PY Program Service Revenue$27,373,092PYProgramServiceRevenueAmt
CY Program Service Revenue$32,028,441CYProgramServiceRevenueAmt
PY Investment Income$192,320PYInvestmentIncomeAmt
CY Investment Income-$942,879CYInvestmentIncomeAmt
PY Other Revenue$849,362PYOtherRevenueAmt
CY Other Revenue$25,394CYOtherRevenueAmt
PY Total Revenue$28,414,774PYTotalRevenueAmt
CY Total Revenue$34,477,659CYTotalRevenueAmt
PY Grants And Similar Paid$300,193PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,934,355CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,195,775PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$20,051,562CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,650,519PYOtherExpensesAmt
CY Other Expenses$8,144,674CYOtherExpensesAmt
PY Total Expenses$25,146,487PYTotalExpensesAmt
CY Total Expenses$30,130,591CYTotalExpensesAmt
PY Revenues Less Expenses$3,268,287PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,347,068CYRevenuesLessExpensesAmt
Total Assets BOY$36,748,087TotalAssetsBOYAmt
Total Assets EOY$37,264,106TotalAssetsEOYAmt
Total Liabilities BOY$7,220,343TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,977,549TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$29,527,744NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$34,286,557NetAssetsOrFundBalancesEOYAmt
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$24,142,839ExpenseAmt
Grant$1,934,355GrantAmt
Revenue$31,993,353RevenueAmt
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 45,717 AMBULANCE, 3,614 IPT AND 6,472 WHEELCHAIR TRANSPORTS IN 2021. THE ORGANIZATION PROVIDED $1,523,720 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 2021 PAYMENTS WERE LESS THAN ESTIMATED COSTS BY $6,223,503. THE ORGANIZATION ALSO PROVIDED $2,116,098 IN SUPPORT OF OTHER COMMUNITY BENEFITS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$503,415ExpenseAmt
Revenue$60,482RevenueAmt
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$24,646,254TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 Activities0ForeignActivitiesInd
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 Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee438EmployeeCnt
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 CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
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
SALLY SNYDER
BOARD TREASURER/SECRETARY1.000.00Yes (X)Yes (X)$0$0$0
ANDREW RAND
CEO/BOARD MEMBER20.0020.00Yes (X)Yes (X)$630,162$0$18,636
MELISSA WOODS
BOARD MEMBER1.000.00Yes (X)$0$0$0
JAMES ADAMS
BOARD MEMBER1.000.00Yes (X)$0$0$0
BILL FLEMING
BOARD MEMBER1.000.00Yes (X)$0$0$0
ROBERT ANDERSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
DAVE STENERSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
TIM BECCUE
VP OF FINANCE20.0020.00Yes (X)Yes (X)$293,076$0$25,440
THOMAS GERACI
VP OF OPERATIONS35.005.00Yes (X)Yes (X)$261,793$0$3,127
TODD BAKER
VP BUSINESS DEVELOPMENT20.0020.00Yes (X)Yes (X)$246,497$0$24,645
GREG CHANCE
VP OF STRATEGY/CEO OF AMTSI1.0039.00Yes (X)Yes (X)$13,000$233,853$17,103
DERRICK HAHN
VP OF FLEET25.0015.00Yes (X)Yes (X)$206,724$0$18,555
CHELSEY TALLEY
DIRECTOR OF ACCOUNTING20.0020.00Yes (X)Yes (X)$151,673$0$9,750
CHAD CRAIG
CRITICAL CARE PARAMEDIC40.000.00$158,068$0$19,792Yes (X)
DENISE DURRELL
PHRN40.000.00$146,959$0$18,636Yes (X)
BRUCE RETHERFORD
CRITICAL CARE PARAMEDIC40.000.00$144,865$0$5,555Yes (X)
MELISSA STOKES
PHRN40.000.00$130,585$0$16,725Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,383,402TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$233,853TotReportableCompRltdOrgAmt
Total Other Compensation$177,964TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PEARL TECHNOLOGYBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11003 E TOLEDO AVEAddressLine1Txt
CityPEORIA HEIGHTSCityNm
State AbbreviationILStateAbbreviationCd
ZIP61616ZIPCd
FieldValueIRS element (for citing)
ServicesSOFTWARE SUPPORTServicesDesc
Compensation$203,000CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$3,366,703GovernmentGrantsAmt
Total Contributions$3,366,703TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TRANSPORT REVENUE621990$30,078,711$30,078,711
SUBSIDY REVENUE621990$962,255$962,255
CONTRACT REVENUE621990$926,993$926,993
TUITION REVENUE611600$60,482$60,482
FieldValueIRS element (for citing)
Total Program Service Revenue$32,028,441TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$283,627TotalRevenueColumnAmt
Exclusion$283,627ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$28,476OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,254,982OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,226,506OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,226,506TotalRevenueColumnAmt
Exclusion-$1,226,506ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$25,394TotalRevenueColumnAmt
Related Or Exempt Func Income$25,394RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$25,394OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,477,659TotalRevenueColumnAmt
Related Or Exempt Func Income$32,053,835RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$942,879ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,934,355TotalAmt
Program Services$1,934,355ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,802,926TotalAmt
Program Services$1,467,232ProgramServicesAmt
Management And General$335,694ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,335,792TotalAmt
Program Services$12,480,366ProgramServicesAmt
Management And General$2,855,426ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$552,714TotalAmt
Program Services$450,046ProgramServicesAmt
Management And General$102,668ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,113,673TotalAmt
Program Services$899,227ProgramServicesAmt
Management And General$214,446ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,246,457TotalAmt
Program Services$1,057,064ProgramServicesAmt
Management And General$189,393ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$120,519TotalAmt
Management And General$120,519ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$64,274TotalAmt
Management And General$64,274ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$79,294TotalAmt
Program Services$65,000ProgramServicesAmt
Management And General$14,294ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,706TotalAmt
Management And General$22,706ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$166,165TotalAmt
Program Services$149,436ProgramServicesAmt
Management And General$16,729ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$526,173TotalAmt
Program Services$158,892ProgramServicesAmt
Management And General$367,281ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$308,554TotalAmt
Program Services$211,263ProgramServicesAmt
Management And General$97,291ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$49,783TotalAmt
Program Services$49,783ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total-$578,056TotalAmt
Program Services-$578,056ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,589,975TotalAmt
Program Services$1,258,969ProgramServicesAmt
Management And General$331,006ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,685,706TotalAmt
Program Services$1,511,949ProgramServicesAmt
Management And General$173,757ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SUPPLIES$1,503,061$1,339,307$163,754
FUEL$822,234$815,122$7,112
REPAIRS & MAINTENANCE$472,665$376,314$96,351
RECRUITING$415,929$415,929

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$895,692TotalAmt
Program Services$584,056ProgramServicesAmt
Management And General$311,636ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$30,130,591TotalAmt
Program Services$24,646,254ProgramServicesAmt
Management And General$5,484,337ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,428,011BOYAmt
EOY$8,417,447EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,024,918BOYAmt
EOY$5,581,466EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$180,364BOYAmt
EOY$79,796EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$930,582BOYAmt
EOY$811,167EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,643,365LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,361,953LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,011,623BOYAmt
EOY$9,281,412EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,595,373BOYAmt
EOY$6,092,484EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,541,216BOYAmt
EOY$6,964,334EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$36,748,087BOYAmt
EOY$37,264,106EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,139,559BOYAmt
EOY$2,529,885EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,254,000BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,826,784BOYAmt
EOY$447,664EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,220,343BOYAmt
EOY$2,977,549EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$29,527,744BOYAmt
EOY$34,286,557EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,527,744BOYAmt
EOY$34,286,557EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,748,087BOYAmt
EOY$37,264,106EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,347,068ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$411,745NetUnrlzdGainsLossesInvstAmt
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$3,366,703CurrentTaxYearAmt
Total$3,366,703TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,711,497CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,745,380CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,909,156CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,373,092CurrentTaxYearMinus1YearAmt
Current Tax Year$32,037,864CurrentTaxYearAmt
Total$129,776,989TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,711,497CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,745,380CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,909,156CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,373,092CurrentTaxYearMinus1YearAmt
Current Tax Year$35,404,567CurrentTaxYearAmt
Total$133,143,692TotalAmt

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$133,143,692PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$70,643CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$92,652CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$255,226CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,126CurrentTaxYearMinus1YearAmt
Current Tax Year$283,627CurrentTaxYearAmt
Total$778,274TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$70,643CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$92,652CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$255,226CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,126CurrentTaxYearMinus1YearAmt
Current Tax Year$283,627CurrentTaxYearAmt
Total$778,274TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$224,087CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$89,612CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,160CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$965,556CurrentTaxYearMinus1YearAmt
Current Tax Year-$1,210,535CurrentTaxYearAmt
Total$112,880TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,006,227CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,927,644CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,208,542CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,414,774CurrentTaxYearMinus1YearAmt
Current Tax Year$34,477,659CurrentTaxYearAmt
Total$134,034,846TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99340PublicSupportCY509Pct
Public Support PY5090.98420PublicSupportPY509Pct
Investment Income CY0.00580InvestmentIncomeCYPct
Investment Income PY0.00460InvestmentIncomePYPct
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 GAIN LOSS ON SALE OF ASSETSExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,306,232OtherCostOrOtherBasisAmt
Book Value$1,306,232BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,905,559OtherCostOrOtherBasisAmt
Depreciation$2,686,369DepreciationAmt
Book Value$5,219,190BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,431,574OtherCostOrOtherBasisAmt
Depreciation$13,675,584DepreciationAmt
Book Value$2,755,990BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,281,412TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY RECEIVABLEDesc
Book Value$6,964,334BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,964,334TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOTHER LIABILITIESDesc
Amt$447,664Amt
FieldValueIRS element (for citing)
Total Liability$447,664TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$34,889,404TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$411,745NetUnrealizedGainsInvstAmt
Revenue Not Reported$411,745RevenueNotReportedAmt
Revenue Subtotal$34,477,659RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$34,477,659TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$30,131,616TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,025OtherExpensesIncludedAmt
Expenses Not Reported$1,025ExpensesNotReportedAmt
Expenses Subtotal$30,130,591ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$30,130,591TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:ADVANCED 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 2021 AND 2020, 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.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ADVANCED MEDICAL TRANSPORT, INC. EXPENSES 1,025.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
ADVANCED MEDICAL TRANSPORT EAST INC
1718 N STERLING AVEPEORIAIL61615862146583501(C)(3)$642,660$0SUPPORT FOR EMS CARE.
CREIGHTON UNIVERSITY
PO BOX 30282OMAHANE68103470376583501(C)(3)$25,000$0SUPPORT FOR EMS EDUCATION.
EASTER SEALS
1014 W PIONEER PKWY STE 110PEORIAIL61615455123895501(C)(3)$25,000$0SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS.
EPC
1913 W TOWNLINE ROADPEORIAIL61615370794792501(C)(3)$15,000$0SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS.
HEART OF ILLINOIS UNITED WAY
509 W HIGH STPEORIAIL61606370661504501(C)(3)$100,000$0SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS
ICC
1 COLLEGE DREAST PEORIAIL61635371207827501(C)(3)$26,000$0SUPPORT FOR EMS EDUCATION.
OSF HEALTHCARE FOUNDATION
530 NE GLEN OAK AVEPEORIAIL61603371259284501(C)(3)$500,000$0SUPPORT FOR CANCER CENTER.
SOUTH SIDE MISSION
1127 S LARAMIE STPEORIAIL61605370663572501(C)(3)$7,500$0SUPPORT LOCAL HEALTH AND HUMAN CARE PROGRAMS.
STREATOR FIRE DEPARTMENT
108 N WASSON STSTREATORIL61364STREATOR FIRE DEPT$5,996$0IMPROVE LOCAL COMMUNITY CARDIAC ARREST SURVIVABILITY INIATIVES.
UNITY POINT HEALTH - CENTRAL IL FOUNDATION
5409 N KNOXVILLE AVEPEORIAIL61614370681540501(C)(3)$500,000$0SUPPORT FOR MENTAL HEALTH SERVICES AND PROGAMS.
WTVP
PO BOX 1347PEORIAIL61654237041401501(C)(3)$31,500$0SUPPORT LOCAL EDUCATION PROGRAMS
FieldValueIRS element (for citing)
Total501c3 Org14Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

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$563,162$0$67,000$0$0$0$13,000$0$5,636$0$648,798$0$0$0
TIM BECCUE
VP OF FINANCE$203,183$0$89,893$0$0$0$9,750$0$15,690$0$318,516$0$0$0
TODD BAKER
VP BUSINESS DEVELOPMENT$193,197$0$53,300$0$0$0$13,000$0$11,645$0$271,142$0$0$0
THOMAS GERACI
VP OF OPERATIONS$248,488$0$13,305$0$0$0$3,127$0$0$0$264,920$0$0$0
GREG CHANCE
VP OF STRATEGY/CEO OF AMTSI$13,000$174,153$0$59,700$0$0$0$9,219$0$7,884$13,000$250,956$0$0
DERRICK HAHN
VP OF FLEET$154,652$0$52,072$0$0$0$13,000$0$5,555$0$225,279$0$0$0
CHAD CRAIG
CRITICAL CARE PARAMEDIC$140,875$0$17,193$0$0$0$4,311$0$15,481$0$177,860$0$0$0
DENISE DURRELL
PHRN$134,474$0$12,485$0$0$0$13,000$0$5,636$0$165,595$0$0$0
CHELSEY TALLEY
DIRECTOR OF ACCOUNTING$130,686$0$20,987$0$0$0$9,750$0$0$0$161,423$0$0$0
BRUCE RETHERFORD
CRITICAL CARE PARAMEDIC$138,696$0$6,169$0$0$0$0$0$5,555$0$150,420$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 (13 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 132,285. MANAGEMENT AND GENERAL EXPENSES 141,099. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 273,384. FRANCHISE FEES: PROGRAM SERVICE EXPENSES 170,573. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 170,573. EDUCATION & TRAINING: PROGRAM SERVICE EXPENSES 116,711. MANAGEMENT AND GENERAL EXPENSES 28,813. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,524. UNIFORMS: PROGRAM SERVICE EXPENSES 82,822. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,822. COMMUNICATIONS: PROGRAM SERVICE EXPENSES 81,665. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 81,665. ADMINISTRATIVE EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 70,560. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,560. SURVEY & DUES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 40,114. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,114. COMMUNITY PARTNERING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 31,050. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,050.
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, 2020, 2019, AND 2018. 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.

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 OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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 Org0AssetPurchaseFromOtherOrgInd
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 OF SPRINGFIELD INC
A$888AMTSI INTEREST PAID TO PHMMS
ADVANCED MEDICAL TRANSPORT EAST INC
B$642,660DONATION OF ASSETS TO AMTE
ADVANCED MEDICAL TRANSPORT OF IOWA
E$220,038NOTE PAYABLE FROM AMTI
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
E$5,609,406NOTE PAYABLE FROM AMTSI
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
G$5,000SALE OF ASSETS TO AMTSI
ADVANCED MEDICAL TRANSPORT OF IOWA
L$54,473AMTI CONTRACTED SERVICES PAID TO
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
L$652,200AMTSI CONTRACTED SERVICES PAID TO
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
M$259,429PHMMS SERVICES PAID TO AMTSI
ADVANCED MEDICAL TRANSPORT OF IOWA
O$209,084AMT IOWA PAYROLL PAID BY PHMMS
ADVANCED MEDICAL TRANSPORT OF IOWA
P$77,117AMT IOWA EXPENSES PAID BY PHMMS
MIDWEST EMERGENCY MEDICAL SERVICES
P$56,989MEMSI EXPENSES PAID BY PHMMS
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
P$336,820AMTSI EXPENSES PAID BY PHMMS
ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD INC
Q$912PHMMS EXPENSES PAID BY AMTSI

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