2023-08-29T16:12:00-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 301 SW ADAMS STREET SUITE 1000 PEORIA IL 61602 990 2022-01-01 320596837 ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD ADVA 3094946200 1718 NORTH STERLING AVENUE PEORIA IL 61604 EVAN DAVIS PRESIDENT 3094946200 2023-08-14 1 EVAN DAVIS 999009999 1 ANDREW SMITH CPA P01518894 3096714500 2023-07-31 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z EVAN DAVIS 1718 NORTH STERLING AVENUE PEORIA IL 61604 5264288 0 X WWW.MEDICSFIRST.COM X 2019 IL THE ORGANIZATION PROVIDES AMBULANCE AND PARAMEDIC SERVICES. 10 8 67 8 0 0 378151 0 5262023 5249269 -239765 7812 1883 7207 5402292 5264288 16372 31078 0 0 2201408 2631131 0 0 0 2204391 2329683 4422171 4991892 980121 272396 6648727 9735828 6432677 9247382 216050 488446 THE ORGANIZATION PROVIDES EMERGENCY AMBULANCE CARE, TREATMENT AND TRANSPORTATION. IN ADDITION, THE ORGANIZATION PROVIDES SCHEDULED AMBULANCE TRANSPORTATION BETWEEN HOSPITALS AND OTHER HEALTHCARE FACILITIES. 0 0 4402432 31078 5256476 THE ORGANIZATION PROVIDES AMBULANCE TRANSPORTATION SERVICES INCLUDING 10,031 AMBULANCE TRANSPORTS IN 2022. THE ORGANIZATION PROVIDED $213,354 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 $730,070. THE ORGANIZATION ALSO PROVIDED $31,433 IN SUPPORT OF OTHER COMMUNITY BENEFITS. 4402432 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 1 10 0 1 67 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X GREG CHANCE 3094946200 1718 N STERLING AVE PEORIA IL 61604 ALISON PAUL BOARD MEMBER 1.00 0.00 X 0 0 0 ANDREW RAND BOARD MEMBER/CEO OF PHMMS 8.00 32.00 X X 0 667198 18990 DOUG STEWART BOARD TREASURER/SECRETARY 1.00 2.00 X X 0 0 0 EVAN DAVIS VICE CHAIRPERSON 1.00 0.00 X X 0 0 0 GREG CHANCE BOARD MEMBER/CEO AMTSI AND AMTE 16.00 24.00 X X 283993 0 33808 JENNIFER BOYER BOARD CHAIRPERSON 1.00 0.00 X X 0 0 0 LAKEISHA PURCHASE BOARD MEMBER 1.00 0.00 X 0 0 0 MIKE MURPHY BOARD MEMBER 1.00 0.00 X 0 0 0 PAMELA MOLITORIS BOARD MEMBER 1.00 0.00 X 0 0 0 STACEY GRUNDY BOARD MEMBER 1.00 0.00 X 0 0 0 TIM BECCUE VP OF FINANCE OF PHMMS 8.00 32.00 X 0 251478 25240 JACOB SZERLETICH FIELD EMPLOYEE 40.00 0.00 X 101462 0 10974 385455 918676 89012 2 0 1 0 0 TRANSPORT REVENUE 621910 5249269 5249269 5249269 7812 7812 MISCELLANEOUS 900099 7207 7207 7207 5264288 5256476 0 7812 X 31078 31078 283993 229597 54396 1937939 1639095 298844 88515 75502 13013 139642 108773 30869 181042 161998 19044 14943 14943 4112 4112 23459 21709 1750 5875 5875 43086 43086 166959 166959 288300 288300 681961 681961 239430 222147 17283 REPAIRS & MAINTENANCE 168606 168606 FUEL 161804 154023 7781 COMMUNICATIONS 141000 141000 RECRUITING 110134 110134 280014 158464 121550 4991892 4402432 589460 0 847849 680770 765043 1250225 30441 25777 6533217 1114830 2275100 5418387 2730294 2360669 6648727 9735828 130142 323348 16668 6302535 8907366 6432677 9247382 X 216050 488446 216050 488446 6648727 9735828 272396 0 X X 0 1 X 1 0 X 378151 378151 1330031 3791069 5262023 5249269 15632392 1330031 3791069 5640174 5249269 16010543 0 0 0 16010543 3907 6541 3821 7812 22081 3907 6541 3821 7812 22081 180 920 1883 7208 10191 1334118 3798530 5645878 5264289 16042815 X 24061 24061 4819498 77660 4741838 1689658 1037170 652488 5418387 NOTE PAYABLE TO PHMMS 8260573 OTHER LIABILITIES 95998 ACCOUNTS PAYABLE TO PHMMS 550795 8907366 X 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 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. 1 SPRINGFIELD FIRE DEPARTMENT 825 E CAPITOL AVE SPRINGFIELD IL 62701 501(C)(3) 25040 0 IMPROVE LOCAL COMMUNITY CARDIAC ARREST SURVIVABILITY INIATIVES 1 0 0 0 0 0 0 0 0 0 ANDREW RAND BOARD MEMBER/CEO OF PHMMS 0 317198 0 350000 0 0 0 13500 0 5490 0 686188 0 0 GREG CHANCE BOARD MEMBER/CEO AMTSI AND AMTE 252484 0 31509 0 0 0 9928 0 23880 0 317801 0 0 0 TIM BECCUE VP OF FINANCE OF PHMMS 0 217073 0 34405 0 0 0 10250 0 14990 0 276718 0 0 FORM 990, PART VI, SECTION A, LINE 7A ADVANCED MEDICAL TRANSPORT, INC. ELECTS ADVANCED MEDICAL TRANSPORT OF SPRINGFIELD'S BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B 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 C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 24E SUPPLIES: PROGRAM SERVICE EXPENSES 91,207. MANAGEMENT AND GENERAL EXPENSES 13,348. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 104,555. BANK SERVICE CHARGES: PROGRAM SERVICE EXPENSES 30,772. MANAGEMENT AND GENERAL EXPENSES 52,559. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,331. SUBCONTRACTOR SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 42,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,000. EDUCATION & TRAINING: PROGRAM SERVICE EXPENSES 26,973. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,973. UNIFORMS: PROGRAM SERVICE EXPENSES 9,512. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,512. DUES & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,874. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,874. ADMINISTRATIVE EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,769. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,769. FORM 990, PART XII, LINE 2C THE PROCESS FOR OVERSEEING THE AUDIT AND SELECTING AN INDEPENDENT AUDITOR IS THE SAME AS ADVANCED MEDICAL TRANSPORT, INC. AND OTHER RELATED ENTITIES. FORM 990, PART IV, LINE 12 AND PART XII, 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, & EDUCATION TO PHMMS, AMT IA, AMT EAST, & AMT SPRFLD IL 501(C)(3) 10 0 ADVANCED MEDICAL TRANSPORT OF IOWA 1718 N STERLING AVE PEORIA IL 61604 274133957 PROVIDES AMBULANCE AND PARAMEDIC SERVICES IA 501(C)(3) 10 ADVANCED MEDICAL TRANSPORT INC 0 PEORIA HOSPITALS MOBILE MEDICAL SERVICES 1718 N STERLING AVE PEORIA IL 61604 370999878 PROVIDES AMBULANCE AND PARAMEDIC SERVICES IL 501(C)(3) 10 ADVANCED MEDICAL TRANSPORT INC 0 ADVANCED MEDICAL TRANSPORT EAST INC 1718 N STERLING AVE PEORIA IL 61604 862146583 PROVIDES AMBULANCE AND PARAMEDIC SERVICES IL 501(C)(3) 10 ADVANCED MEDICAL TRANSPORT INC 0 MIDWEST EMERGENCY MEDICAL SERVICES 1718 N STERLING AVE PEORIA IL 61604 263021862 BILLING AND MANAGEMENT IL ADVANCED MEDICAL TRANSPORT INC C 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 PEORIA HOSPITALS MOBILE MEDICAL SERVICES D 8260573 NOTE PAYABLE TO PHMMS PEORIA HOSPITALS MOBILE MEDICAL SERVICES Q 350526 AMTSI EXPENSES PAID BY PHMMS PEORIA HOSPITALS MOBILE MEDICAL SERVICES P 1357 PHMMS EXPENSES PAID BY AMTSI PEORIA HOSPITALS MOBILE MEDICAL SERVICES M 696800 AMTSI SERVICES PAID TO PHMMS PEORIA HOSPITALS MOBILE MEDICAL SERVICES L 361300 PHMMS SERVICES PAID TO AMTSI ADVANCED MEDICAL TRANSPORT EAST Q 2861 AMTSI EXPENSES PAID BY AMTE ADVANCED MEDICAL TRANSPORT EAST P 3881 AMTE EXPENSES PAID BY AMTSI