2012-03-29T09:13:03-05:00 2010-12-31 CLIFTONLARSONALLEN LLP 301 SW ADAMS STREET BOX 1835 PEORIA IL 616561835 990 2010-01-01 370999878 PEORIA HOSPITALS MOBILE MEDICAL SERVICES D/B/A ADV MEDICAL TRANS OF CENTRAL IL PEOR 3094946200 1718 NORTH STERLING AVE PEORIA IL 61604 DON WHITE 3094946200 2012-03-29 1 LINDA MARTIN 3096714500 2010 2016-02-24 21:20:13Z DON WHITE 1718 NORTH STERLING AVE PEORIA IL 61604 14423348 0 X WWW.ADVANCEDMEDICALTRANSPORT.ORG X 1975 IL THE ORGANIZATION PROVIDES AMBULANCE AND PARAMEDIC SERVICES AS WELL AS TRANSPORTATION FOR WHEELCHAIR BOUND INDIVIDUALS. 8 8 343 0 0 0 0 0 11643491 14367597 9719 21575 43585 34176 11696795 14423348 52635 194945 0 0 6913692 8629950 0 0 0 3809896 4547220 10776223 13372115 920572 1051233 9443435 11617252 1231589 2341753 8211846 9275499 THE ORGANIZATION PROVIDES AMBULANCE AND PARAMEDIC SERVICES AS WELL AS TRANSPORTATION FOR WHEELCHAIR BOUND INDIVIDUALS. 0 0 11198188 94945 14367597 THE ORGANIZATION PROVIDES AMBULANCE AND PARAMEDIC SERVICES AS WELL AS TRANSPORTATION FOR WHEELCHAIR BOUND INDIVIDUALS (32,867 AMBULANCE TRANSPORTS IN 2010 AND 1,417 WHEELCHAIR TRANSPORTS IN 2010). 11198188 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 7 0 343 1 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X ANDREW RAND 3094946200 1718 N STERLING PEORIA IL 61604 SUE WOZNIAK 1.00 X 0 0 0 ROBERT KLAUS 1.00 X 0 0 0 JEFF FICK 1.00 X X 0 0 0 LARRY CLORE 1.00 X X 0 0 0 DEBBIE SIMON 1.00 X 0 0 0 DON WHITE 1.00 X X 0 0 0 CAROL SHIELDS 1.00 X 0 0 0 CAROL LINETT 1.00 X 0 0 0 ANDREW RAND 40.00 X X 260913 0 11476 SHEROLYN TOLLIVER 40.00 X X 113177 0 10362 JERRY KOLB 40.00 X X 122360 0 780 496450 0 22618 3 0 1 0 0 AMBULANCE 621910 13967930 13967930 SERVICE CONTRACTS 621990 337691 337691 WHEELCHAIR 621990 61976 61976 14367597 18930 18930 2645 2645 2645 2645 MISCELLANEOUS 900099 34176 34176 34176 14423348 14367597 0 55751 194945 194945 496450 496450 6836852 6364382 472470 175097 175097 549485 480056 69429 572066 501596 70470 34825 34825 37875 37875 18933 18933 109407 109407 55553 51549 4004 9088 9088 953291 781123 172168 584943 478121 106822 SUPPLIES 614618 521227 93391 FUEL 515415 515415 REPAIR & MAINTENANCE 394098 343686 50412 RECRUITING 256905 251205 5700 COMMUNICATIONS 174806 144110 30696 787463 461366 326097 13372115 11198188 2173927 0 450 450 3013924 837049 2454704 2773384 144976 681539 178959 187605 14668591 7567366 3614422 7101225 36000 36000 0 0 9443435 11617252 190338 691035 177827 623471 863424 1027247 1231589 2341753 X 8211846 9275499 8211846 9275499 9443435 11617252 X 1051233 12420 X X 0 1 1 X 0 X 9441290 9492020 10534120 11643491 14367597 55478518 9441290 9492020 10534120 11643491 14367597 55478518 0 0 0 55478518 47438 68867 46980 7778 18930 189993 47438 68867 46980 7778 18930 189993 216196 497023 299532 1012751 135441 85872 76553 45526 36821 380213 9840365 10143782 10957185 11696795 14423348 57061475 0.97230 0.96980 0.00330 0.00330 X 150000 150000 3681641 643971 3037670 81389 78906 2483 10755561 6844489 3911072 7101225 ACCRUED WAGES, TAXES AND WITHHOLDINGS 554422 OTHER LIABILITIES 322825 RELATED PARTY PAYABLE 150000 1027247 1 ADVANCED MEDICAL TRANSPORT OF IOWA 1718 N STERLING AVE PEORIA IL 61604 274133957 100000 ADVANCED MEDICAL TRANSPORT OF IOWA IS A NEW ORGANIZATION THAT WAS FORMED IN DECEMBER OF 2010. THE CONTRIBUTION WILL BE USED TO ASSIST IN BEGINNING THEIR OPERATIONS. HEARTLAND COMMUNITY HEALTH CLINIC 1701 W GARDEN ST PEORIA IL 61605 371270794 25000 CHARITABLE CONTRIBUTION BRADLEY UNIVERSITY 1501 W BRADLEY AVE PEORIA IL 61625 370661494 25000 CHARITABLE CONTRIBUTION QUEST CHARTER ACADEMY PEORIA PUBLIC SCHOOL DISTRICT 150 2503 N UNIVERSITY PEORIA IL 61604 376001759 5000 CHARITABLE CONTRIBUTION COMMUNITY FOUNDATION OF GREATER DUBUQUE 700 LOCUST STREET SUITE 195 DUBUQUE IA 52001 421526614 5000 CHARITABLE CONTRIBUTION 5 5 X X X X 0 0 0 0 0 0 0 1 0 ANDREW RAND 206913 0 54000 0 0 0 8256 0 3220 0 272389 0 0 0 PART I, LINE 7 BASED ON EMPLOYEE PERFORMANCE 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 12,420. FORM 990, PART XI, LINE 2(C) 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 XI LINE 2C THE ORGANIZATION HAS AUDITED FINANCIAL STATEMENTS THAT ARE PREPARED ON A CONSOLIDATED BASIS. 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 MIDWEST EMERGENCY MEDICAL SERVICES 1718 N STERLING AVE PEORIA IL 61604 263021862 BILLING AND MANAGEMENT IL ADVANCED MEDICAL TRANSPORT C 0 1 0 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 MEMSI M 86720 SHARED EXPENSES REPORTED ON 1120 MEMSI N 353722 SHARED EXPENSES REPORTED ON 1120 ADVANCED MEDICAL TRANSPORT OF IOWA B 100000 CONTRIBUTION REPORTED ON 990 ADVANCED MEDICAL TRANSPORT OF IOWA D 440076 FMV OF ASSETS SOLD ADVANCED MEDICAL TRANSPORT OF IOWA F 468315 FMV OF ASSETS SOLD ADVANCED MEDICAL TRANSPORT OF IOWA M 34286 ACCOUNTS PAYABLE ADJUSTMENT ADVANCED MEDICAL TRANSPORT OF IOWA N 18183 ACCOUNTS PAYABLE ADJUSTMENT