PEORIA HOSPITALS MOBILE MEDICAL SERVICES: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PEORIA HOSPITALS MOBILE MEDICAL SERVICES (EIN 37-0999878)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-23
- IRS object ID
- 201202979349300330
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-23T13:32:23-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 SW ADAMS STREET BOX 1835 | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 616561835 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370999878 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEORIA HOSPITALS MOBILE MEDICAL SERVICES | BusinessNameLine1 |
| Business Name Line2 | D/B/A ADV MEDICAL TRANS OF CENTRAL IL | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PEOR | NameControl |
| Phone | 3094946200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1718 NORTH STERLING AVE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61604 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFF FICK | Name |
| Title | BOARD CHAIRMAN | Title |
| Phone | 3094946200 | Phone |
| Date Signed | 2012-10-19 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LINDA MARTIN | Name |
| PTIN | P00255069 | PTIN |
| Phone | 3096714500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JEFF FICK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1718 NORTH STERLING AVE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 15395176 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ADVANCEDMEDICALTRANSPORT.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION PROVIDES AMBULANCE AND PARAMEDIC SERVICES AS WELL AS TRANSPORTATION FOR WHEELCHAIR BOUND INDIVIDUALS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 352 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 14367597 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 15322500 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 21575 | InvestmentIncomePriorYear |
| Investment Income Current Year | 25651 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 34176 | OtherRevenuePriorYear |
| Other Revenue Current Year | 47025 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 14423348 | TotalRevenuePriorYear |
| Total Revenue Current Year | 15395176 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 194945 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 86247 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8629950 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9513458 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4547220 | OtherExpensePriorYear |
| Other Expenses Current Year | 4606322 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 13372115 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14206027 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1051233 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1189149 | RevenuesLessExpensesCY |
| Total Assets BOY | 11617252 | TotalAssetsBOY |
| Total Assets EOY | 13993276 | TotalAssetsEOY |
| Total Liabilities BOY | 2341753 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3775852 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9275499 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10217424 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION PROVIDES AMBULANCE AND PARAMEDIC SERVICES AS WELL AS TRANSPORTATION FOR WHEELCHAIR BOUND INDIVIDUALS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11542933 | Expense |
| Grants | 86247 | Grants |
| Revenue | 15322500 | Revenue |
| Description | THE ORGANIZATION PROVIDES AMBULANCE AND PARAMEDIC SERVICES AS WELL AS TRANSPORTATION FOR WHEELCHAIR BOUND INDIVIDUALS (34,232 AMBULANCE TRANSPORTS IN 2011 AND 1,714 WHEELCHAIR TRANSPORTS IN 2011). | Description |
| Total Program Service Expense | 11542933 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 8 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 352 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREW RAND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3094946200 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1718 N STERLING AVE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61604 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ANDREW RAND | |||||||
| EXECUTIVE DIRECTOR/BOARD MEMEBER | 40.00 | X | 260415 | 0 | 10818 | ||
| ROBERT KLAUS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DEBBIE SIMON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CAROL SHIELDS | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CAROL LINETT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| HOA COOPER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT ANDERSON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| SHERRY THOMPSON | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JEFF FICK | |||||||
| BOARD SECRETARY/TREASURER | 1.00 | 0 | 0 | 0 | X | ||
| LARRY CLORE | |||||||
| BOARD VICE CHAIRMAN | 1.00 | 0 | 0 | 0 | X | ||
| DON WHITE | |||||||
| BOARD CHAIRMAN | 1.00 | 0 | 0 | 0 | X | ||
| SHEROLYN TOLLIVER | |||||||
| ASST. EXECUTIVE DIRECTOR | 40.00 | 114747 | 0 | 9604 | X | ||
| JERRY KOLB | |||||||
| CONTROLLER | 40.00 | 119424 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 494586 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 20422 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| TRANSPORT REVENUE | 621990 | 14945695 | 14945695 |
| SUBSIDY REVENUE | 621990 | 376805 | 376805 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 15322500 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25086 | TotalRevenueColumn |
| Exclusion | $25,086 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 565 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 565 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 565 | TotalRevenueColumn |
| Exclusion | $565 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 47025 | TotalRevenueColumn |
| Exclusion | $47,025 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 47025 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15395176 | TotalRevenueColumn |
| Related Or Exempt Function Income | 15322500 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $72,676 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86247 | Total |
| Program Services | 86247 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 260415 | Total |
| Management And General | 260415 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7774832 | Total |
| Program Services | 6644824 | ProgramServices |
| Management And General | 1130008 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 186625 | Total |
| Management And General | 186625 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 662675 | Total |
| Program Services | 600606 | ProgramServices |
| Management And General | 62069 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 628911 | Total |
| Program Services | 535028 | ProgramServices |
| Management And General | 93883 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59681 | Total |
| Management And General | 59681 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53313 | Total |
| Management And General | 53313 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13316 | Total |
| Management And General | 13316 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133868 | Total |
| Program Services | 107792 | ProgramServices |
| Management And General | 26076 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156416 | Total |
| Program Services | 110537 | ProgramServices |
| Management And General | 45879 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142767 | Total |
| Program Services | 68457 | ProgramServices |
| Management And General | 74310 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37084 | Total |
| Management And General | 37084 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1268782 | Total |
| Program Services | 996357 | ProgramServices |
| Management And General | 272425 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 553259 | Total |
| Program Services | 444064 | ProgramServices |
| Management And General | 109195 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| FUEL | 696575 | 696575 | |
| SUPPLIES | 649274 | 547529 | 101745 |
| REPAIR & MAINTENANCE | 448644 | 392093 | 56551 |
| RECRUITING | 121154 | 95957 | 25197 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 272189 | Total |
| Program Services | 216867 | ProgramServices |
| Management And General | 55322 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14206027 | Total |
| Program Services | 11542933 | ProgramServices |
| Management And General | 2663094 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 450 | BOY |
| EOY | 450 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 837049 | BOY |
| EOY | 594530 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2773384 | BOY |
| EOY | 2926925 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 681539 | BOY |
| EOY | 1454850 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 187605 | BOY |
| EOY | 306345 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 17450174 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 8775998 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7101225 | BOY |
| EOY | 8674176 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36000 | BOY |
| EOY | 36000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11617252 | BOY |
| EOY | 13993276 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 691035 | BOY |
| EOY | 795679 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 623471 | BOY |
| EOY | 2104144 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1027247 | BOY |
| EOY | 876029 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2341753 | BOY |
| EOY | 3775852 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9275499 | BOY |
| EOY | 10217424 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9275499 | BOY |
| EOY | 10217424 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11617252 | BOY |
| EOY | 13993276 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1189149 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -247224 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9492020 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10534120 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11643491 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14367597 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15322500 | CurrentTaxYear |
| Total | 61359728 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9492020 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10534120 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11643491 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14367597 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15322500 | CurrentTaxYear |
| Total | 61359728 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 61359728 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 68867 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 46980 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7778 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18930 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25086 | CurrentTaxYear |
| Total | 167641 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 68867 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 46980 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7778 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18930 | CurrentTaxYearMinus1Year |
| Current Tax Year | 25086 | CurrentTaxYear |
| Total | 167641 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 497023 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 299532 | CurrentTaxYearMinus3Years |
| Total | 796555 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 85872 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 76553 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 45526 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 36821 | CurrentTaxYearMinus1Year |
| Current Tax Year | 47590 | CurrentTaxYear |
| Total | 292362 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10143782 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10957185 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11696795 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 14423348 | CurrentTaxYearMinus1Year |
| Current Tax Year | 15395176 | CurrentTaxYear |
| Total | 62616286 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97990 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97230 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00270 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00330 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 150000 | InvestmentCostOrOtherBasis |
| Book Value | 150000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 4911817 | InvestmentCostOrOtherBasis |
| Depreciation | 749199 | Depreciation |
| Book Value | 4162618 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 81389 | InvestmentCostOrOtherBasis |
| Depreciation | 80498 | Depreciation |
| Book Value | 891 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 12306968 | InvestmentCostOrOtherBasis |
| Depreciation | 7946301 | Depreciation |
| Book Value | 4360667 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8674176 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED WAGES, TAXES, AND WITHHOLDINGS | $552,957 |
| OTHER LIABILITIES | $323,072 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 876029 | TotalOfAmounts |
| Total Revenue | 15395176 | TotalRevenue |
| Total Expenses | 14206027 | TotalExpenses |
| Excess Or Deficit For Year | 1189149 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -18551 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | -228673 | PriorPeriodAdjustments |
| Total Adjustments | -247224 | TotalAdjustments |
| Excess Or Deficit Per FS | 941925 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 15376625 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 15376625 | RevenueSubtotal |
| Other Revenues Not Included | 18551 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 18551 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 15395176 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 14206027 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 14206027 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 14206027 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART XII, LINE 4B - OTHER ADJUSTMENTS: | Identifier |
| Explanation | NET UNREALIZED LOSS 18,551. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|
| HEARTLAND COMMUNITY HEALTH CLINIC | ||||||
| 1701 W GARDEN ST | PEORIA | IL | 61605 | 371270794 | 25000 | CHARITABLE CONTRIBUTION |
| QUEST CHARTER ACADEMY | ||||||
| 2503 N UNIVERSITY | PEORIA | IL | 61604 | 376001759 | 5000 | CHARITABLE CONTRIBUTION |
| HEART OF ILLINOIS UNITED WAY | ||||||
| 509 W HIGH ST | PEORIA | IL | 61606 | 370661504 | 31500 | CHARITABLE CONTRIBUTION |
| PEORIA PROMISE | ||||||
| 110 SW JEFFERSON AVE 600 | PEORIA | IL | 61602 | 134353454 | 10000 | CHARITABLE CONTRIBUTION |
| MERCY HEALTH FOUNDATION | ||||||
| 250 MERCY DR | DUBUQUE | IA | 52001 | 262227941 | 5000 | CHARITABLE CONTRIBUTION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ANDREW RAND | NamePerson |
| Base Compensation Filing Org | 260415 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 0 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 8250 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 0 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 2568 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 0 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 271233 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 0 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 7 | ReturnReference |
| Explanation | BASED ON EMPLOYEE PERFORMANCE | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | TWO MEMBERS ARE ELECTED BY THE COMMUNITY ADVISORY BOARD OF THE SAINT FRANCIS MEDICAL CENTER, TWO MEMBERS ARE ELECTED BY THE BOARD OF DIRECTORS OF THE METHODIST MEDICAL CENTER OF ILLINOIS, AND TWO MEMBERS ARE ELECTED BY THE BOARD OF TRUSTEES OF PROCTOR COMMUNITY HOSPITAL. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION PROVIDES A COPY OF FORM 990 TO THE BOARD FOR REVIEW PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE 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 15A | THE BOARD REVIEWS COMPARABLE DATA AND THE SPECIFIC PERFORMANCE OF THE EXECUTIVE DIRECTOR IN DETERMINING COMPENSATION. | |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -18,551. PRIOR PERIOD ADJUSTMENTS: -228,673. TOTAL TO FORM 990, PART XI, LINE 5: -247,224. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE 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 2C | THE ORGANIZATION HAS AUDITED FINANCIAL STATEMENTS THAT ARE PREPARED ON A CONSOLIDATED BASIS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| ADVANCED MEDICAL TRANSPORT INC | |||||||||
| 1718 N STERLING AVE | PEORIA | IL | 61604 | 260312211 | CHARITABLE, SCIENTIFIC, AND EDUCATIONAL TO FUTHER PHMMS | IL | 501(C)(3) | 9 | 0 |
| ADVANCED MEDICAL TRANSPORT OF IOWA | |||||||||
| 1718 N STERLING AVE | PEORIA | IL | 61604 | 274133957 | PROVIDES AMBULANCE AND PARAMEDIC SERVICES | IA | 501(C)(3) | 9 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDWEST EMERGENCY MEDICAL SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1718 N STERLING AVE | AddressLine1 |
| City | PEORIA | City |
| State | IL | State |
| ZIP Code | 61604 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263021862 | EIN |
| Primary Activity | BILLING AND MANAGEMENT | PrimaryActivity |
| Legal Domicile State | IL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVANCED MEDICAL TRANSPORT | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 1 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MEMSI | ||
| M | 51353 | SHARED EXPENSES REPORTED ON 1120 |
| MEMSI | ||
| N | 210882 | SHARED EXPENSES REPORTED ON 1120 |
| ADVANCED MEDICAL TRANSPORT OF IOWA | ||
| D | 440076 | NOTE DOCUMENT |
| ADVANCED MEDICAL TRANSPORT OF IOWA | ||
| F | 788979 | FMV OF ASSETS SOLD |
| ADVANCED MEDICAL TRANSPORT OF IOWA | ||
| M | 617541 | ACCOUNTS PAYABLE ADJUSTMENT |
| ADVANCED MEDICAL TRANSPORT OF IOWA | ||
| N | 497652 | ACCOUNTS PAYABLE ADJUSTMENT |
| ADVANCED MEDICAL TRANSPORT INC & ADVANCED MEDICAL TRANSPORT OF IOWA | ||
| E | 0 | GUARANTEE OF $5,000,000 LOAN |
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