STRATEGY STUDIO / PUBLIC DATA EXPLORER

COMMUNITY CARE AMBULANCE NETWORK: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY CARE AMBULANCE NETWORK (EIN 34-1766905)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-13
IRS object ID
202423189349303567
Schema version
2023v5.1
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)
Return2024-11-13T09:55:49-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

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 Line14334 MUNSON STREET SUITE 200AddressLine1Txt
CityCANTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44718ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341766905EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CARE AMBULANCE NETWORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone4409921904PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 EAST 24TH STREETAddressLine1Txt
CityASHTABULACityNm
State AbbreviationOHStateAbbreviationCd
ZIP44004ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSHUA BURNETTPersonNm
Person TitleCEOPersonTitleTxt
Phone4409921904PhoneNum
Signature2024-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER COLEMANPreparerPersonNm
PTINP00743188PTIN
Phone3304972000PhoneNum
Preparation2024-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOSHUA BURNETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 EAST 24TH STREETAddressLine1Txt
CityASHTABULACityNm
State AbbreviationOHStateAbbreviationCd
ZIP44004ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,648,118GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CCAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionBE THE PROVIDER CHOICE OF THE COMMUNITIES WE SERVE BY PROVIDING RESPONSIVE, COMPASSIONATE & CLINICALLY SOPHISTICATED HEALTHCARE SERVICES REGARDLESS OF THE PATIENT'S ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee335TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$307,141PYContributionsGrantsAmt
CY Contributions Grants$2,827,146CYContributionsGrantsAmt
PY Program Service Revenue$16,587,718PYProgramServiceRevenueAmt
CY Program Service Revenue$15,702,985CYProgramServiceRevenueAmt
PY Investment Income$16,312PYInvestmentIncomeAmt
CY Investment Income-$834CYInvestmentIncomeAmt
PY Other Revenue$86,117PYOtherRevenueAmt
CY Other Revenue$117,987CYOtherRevenueAmt
PY Total Revenue$16,997,288PYTotalRevenueAmt
CY Total Revenue$18,647,284CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,010,370PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,099,327CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,807,936PYOtherExpensesAmt
CY Other Expenses$8,716,408CYOtherExpensesAmt
PY Total Expenses$16,818,306PYTotalExpensesAmt
CY Total Expenses$16,815,735CYTotalExpensesAmt
PY Revenues Less Expenses$178,982PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,831,549CYRevenuesLessExpensesAmt
Total Assets BOY$9,010,288TotalAssetsBOYAmt
Total Assets EOY$10,855,187TotalAssetsEOYAmt
Total Liabilities BOY$1,374,619TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,371,254TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,635,669NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,483,933NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF COMMUNITY CARE AMBULANCE IS TO BE THE PROVIDER OF CHOICE OF THE COMMUNITIES AND PATIENTS WE SERVE BY PROVIDING RESPONSIVE, COMPASSIONATE AND CLINICALLY SOPHISTICATED HEALTHCARE SERVICES REGARDLESS OF THE PATIENTS' ABILITY TO PAY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,444,647ExpenseAmt
Grant$0GrantAmt
Revenue$15,820,972RevenueAmt
DescTHE PROVISION OF EMERGENCY MEDICAL SERVICES, AMBULANCE TRANSPORT SERVICES FOR INDIVIDUALS IN WHEELCHAIRS AND FIRST RESPONSE SERVICES. THERE WERE 35,092 TRANSPORTATION RUNS (INCLUDING AMBULANCE, AMBULETTE AND SHUTTLE RUNS) DURING 2023.Desc
Total Program Service Expenses$15,444,647TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee335EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GERARD BRADLEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4409921904PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 EAST 24TH STREETAddressLine1Txt
CityASHTABULACityNm
State AbbreviationOHStateAbbreviationCd
ZIP44004ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL HABOWSKI
BOARD PRESIDENT (ENDED 2023)1.00Yes (X)Yes (X)$0$0$0
ASHLEY CARLUCCI
BOARD PRESIDENT (BEGAN 2023)1.00Yes (X)Yes (X)$0$0$0
ALANNA DAMES
TRUSTEE1.00Yes (X)$0$0$0
DANIEL ELLENBERGER
TRUSTEE1.00Yes (X)$0$0$0
NANCY KISTER
TRUSTEE1.00Yes (X)$0$0$0
YVONNE MOON
TRUSTEE (ENDED 2023)1.00Yes (X)$0$0$0
CRAIG SERNIK
TRUSTEE1.00Yes (X)$0$0$0
DONNA RIFFE
TRUSTEE1.00Yes (X)$0$0$0
LEONARD STEPP
TRUSTEE1.00Yes (X)$0$0$0
ANTHONY MINGE
CEO40.00Yes (X)$0$0$0
KIMBERLY EGELAND
FINANCE DIRECTOR (ENDED 2023)40.00$108,667$0$13,905Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$108,667TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$13,905TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MEDSERV MANAGEMENT SERVICES LLC
PO BOX 170PLATTE CITYMO64079MANAGEMENT CONSULTING$410,359
SYNERGI PARTNERS INC
151 W EVANS STFLORENCESC29501PROFESSIONAL SERVICES$369,175
THE MICHAEL FULLER GROUP
30195 CHAGRIN BOULEVARD SUITE 110PEPPER PIKEOH44124HR SERVICES$103,555
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$2,827,146GovernmentGrantsAmt
Total Contributions$2,827,146TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621910$15,702,630$15,702,630
INVESTMENT IN PARTNERSHIP621910$355$355
FieldValueIRS element (for citing)
Total Program Service Revenue$15,702,985TotalProgramServiceRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$834OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$834OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$834TotalRevenueColumnAmt
Exclusion-$834ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$117,987TotalRevenueColumnAmt
Related Or Exempt Func Income$117,987RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$117,987OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,647,284TotalRevenueColumnAmt
Related Or Exempt Func Income$15,820,972RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$834ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,648,066TotalAmt
Program Services$6,304,601ProgramServicesAmt
Management And General$343,465ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$54,020TotalAmt
Program Services$51,229ProgramServicesAmt
Management And General$2,791ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$833,507TotalAmt
Program Services$790,444ProgramServicesAmt
Management And General$43,063ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$563,734TotalAmt
Program Services$534,609ProgramServicesAmt
Management And General$29,125ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$55,049TotalAmt
Management And General$55,049ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$52,800TotalAmt
Management And General$52,800ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,636,427TotalAmt
Program Services$1,346,492ProgramServicesAmt
Management And General$289,935ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,417TotalAmt
Program Services$4,875ProgramServicesAmt
Management And General$542ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,468TotalAmt
Program Services$2,301ProgramServicesAmt
Management And General$9,167ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,270TotalAmt
Program Services$1,162ProgramServicesAmt
Management And General$108ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$587,913TotalAmt
Program Services$499,723ProgramServicesAmt
Management And General$88,190ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$31,979TotalAmt
Program Services$19,943ProgramServicesAmt
Management And General$12,036ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$62,907TotalAmt
Program Services$39,230ProgramServicesAmt
Management And General$23,677ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$560,890TotalAmt
Program Services$528,219ProgramServicesAmt
Management And General$32,671ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$289,700TotalAmt
Program Services$159,426ProgramServicesAmt
Management And General$130,274ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE$3,636,856$3,626,388$10,468
VEHICLE EXPENSE$1,259,412$1,071,708$187,704
SUBSCRIPTIONS & PUBLICA$264,506$262,958$1,548
SUPPLIES AND MINOR EQUI$146,839$114,467$32,372

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$112,975TotalAmt
Program Services$86,872ProgramServicesAmt
Management And General$26,103ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,815,735TotalAmt
Program Services$15,444,647ProgramServicesAmt
Management And General$1,371,088ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,333,947BOYAmt
EOY$5,025,081EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$121,818BOYAmt
EOY$121,818EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,718,830BOYAmt
EOY$3,995,426EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$405,969BOYAmt
EOY$412,523EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,009,655LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,730,017LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,409,023BOYAmt
EOY$1,279,638EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$20,701BOYAmt
EOY$20,701EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,010,288BOYAmt
EOY$10,855,187EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,374,619BOYAmt
EOY$1,371,254EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,374,619BOYAmt
EOY$1,371,254EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,635,669BOYAmt
EOY$9,483,933EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,635,669BOYAmt
EOY$9,483,933EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,010,288BOYAmt
EOY$10,855,187EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,831,549ReconcilationRevenueExpnssAmt
Prior Period Adjustments$16,715PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
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 Minus2 Years$1,757,441CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$307,141CurrentTaxYearMinus1YearAmt
Current Tax Year$2,827,146CurrentTaxYearAmt
Total$4,891,728TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,504,930CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,059,412CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,499,981CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,587,718CurrentTaxYearMinus1YearAmt
Current Tax Year$15,702,985CurrentTaxYearAmt
Total$74,355,026TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,504,930CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,059,412CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,257,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,894,859CurrentTaxYearMinus1YearAmt
Current Tax Year$18,530,131CurrentTaxYearAmt
Total$79,246,754TotalAmt

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$79,246,754PublicSupportTotal509Amt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$375,054CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,535,056CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,566CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,117CurrentTaxYearMinus1YearAmt
Current Tax Year$117,987CurrentTaxYearAmt
Total$2,160,780TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,879,984CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,594,468CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,303,988CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,980,976CurrentTaxYearMinus1YearAmt
Current Tax Year$18,648,118CurrentTaxYearAmt
Total$81,407,534TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97350PublicSupportCY509Pct
Public Support PY5090.97060PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$388,389OtherCostOrOtherBasisAmt
Depreciation$271,949DepreciationAmt
Book Value$116,440BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,621,266OtherCostOrOtherBasisAmt
Depreciation$6,458,068DepreciationAmt
Book Value$1,163,198BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,279,638TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
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 Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THE MEMBERS OF THE CORPORATION CONSIST OF ASHTABULA COUNTY MEDICAL CENTER AND MEMORIAL HOSPITAL OF GENEVA
FORM 990, PART VI, SECTION A, LINE 3FITCH & ASSOCIATES - HAS A LONG-TERM MANAGEMENT CONTRACT WITH COMMUNITY CARE AMBULANCE NETWORK.
FORM 990, PART VI, SECTION A, LINE 6MEMBER CLASSES: THE MEMBERS OF THE CORPORATION SHALL HAVE SUCH RIGHTS AND POWERS AS ARE PROVIDED FOR IN THE ARTICLES OF INCORPORATION OF THE CORPORATION, THE BYLAWS, AND THE LAWS OF THE STATE OF OHIO. SUCH RIGHTS AND POWERS INCLUDE, BUT ARE NOT LIMITED TO, THE EXCLUSIVE POWER: A. TO ELECT OR APPOINT TRUSTEES OF THE CORPORATION AND TO REMOVE SUCH TRUSTEES FROM OFFICE; B. TO APPROVE AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION; C. TO APPROVE THE ADMISSION OF NEW MEMBERS; AND D. TO APPROVE ANY MERGER, CONSOLIDATION, DISSOLUTION, OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION. A MEMBER MAY, WITH THE CONSENT OF THE OTHER MEMBERS, ASSIGN ITS MEMBERSHIP TO A SUBSIDIARY OF AFFILIATE OF THE MEMBER, AS LONG AS THE ASSIGNEE IS A NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501 (C) (3) OF THE INTERNAL REVENUE CODE. EXCEPT AS SPECIFIED IN THE PRECEDING SENTENCE, MEMBERSHIP IN THE CORPORATION IS NOT TRANSFERABLE OR ASSIGNABLE.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS WHO MAY ELECT MEMBERS: THE MEMBERS OF THE ORGANIZATION JOINTLY NOMINATED AND ELECT THE EIGHT MEMBER OF THE BOARD OF TRUSTEES TO A TWO YEAR TERM OF OFFICE.
FORM 990, PART VI, SECTION A, LINE 7BGOVERNING BODY DECISION APPROVAL: THE BUSINESS, AFFAIRS, AND PROPERTY OF THE CORPORATION SHALL BE MANAGED BY THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES MAY ENGAGE AN EXECUTIVE DIRECTOR AND OTHER STAFF TO MANAGE THE DAY-TO-DAY ACTIVITIES OF THE CORPORATION, EXCEPT THAT THE BOARD OF TRUSTEES SHALL BE REQUIRED TO APPROVE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ALL NONBUDGETED CAPITAL EXPENDITURES IN EXCESS OF $10,000. ANY TRUSTEE MAY RESIGN AT ANY TIME BY GIVING WRITTEN NOTICE TO THE BOARD OF TRUSTEE, THE PRESIDENT, OR THE SECRETARY-TREASURER OF THE CORPORATION. SUCH RESIGNATION SHALL TAKE EFFECT WHEN THE NOTICE IS RECEIVED UNLESS THE NOTICE SPECIFIES A LATER DATE. A TRUSTEE (OTHER THAN THE EXECUTIVE DIRECTOR) MAY BE REMOVED WITH OR WITHOUT CAUSE BY THE MEMBER WHICH APPOINTED THE TRUSTEE. ANY OF THE TRUSTEES OF THE CORPORATION MAY BE REMOVED WHENEVER IN ITS JUDGMENT THE BEST INTERESTS OF THE BOARD WILL BE SERVED THEREBY. ANY TRUSTEE INCURRING THREE (3) UNEXCUSED, CONSECUTIVE ABSENCES WITH RESPECT TO THE REGULAR MEETINGS OF THE BOARD OF TRUSTEES SHALL BE SUBJECT TO REMOVAL. EXCEPT FOR A VACANCY RESULTING FROM THE ABSENCE OF AN EXECUTIVE DIRECTOR, VACANCIES ON THE BOARD OF TRUSTEES SHALL BE FILLED BY THE MEMBER THAT APPOINTED THE TRUSTEE WHOSE POSITION HAS BECOME VACANT.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS: THE DRAFT 990 IS PROVIDED TO THE BOARD PRIOR TO SUBMISSION FOR REVIEW EITHER AT A BOARD MEETING OR THROUGH ELECTRONIC BOARD COMMUNICATIONS. ELECTRONIC OR IN PERSON COMMENTS ARE REVIEWED AND ANY ACTIONS TAKEN AS WELL AS THE REVIEW PROCESS IS NOTED IN BOARD MINUTES.
FORM 990, PART VI, SECTION B, LINE 12CMONITOR AND ENFORCE CONFLICT OF INTEREST POLICY: A SIGNED ANNUAL DISCLOSURE OF ANY CONFLICTS OF INTEREST IS REQUIRED OF ALL BOARD OF TRUSTEE MEMBERS
FORM 990, PART VI, SECTION B, LINE 15PROCESS FOR DETERMINING COMPENSATION: THE COMPENSATION FOR THE SENIOR MANAGEMENT TEAM IS ESTABLISHED THROUGH A COMPENSATION REVIEW OF COLLATED SURVEY DATA FROM THE SEVERAL SOURCES INCLUDING INDUSTRY AND GEOGRAPHIC SPECIFIC DATA. THE HR COMMITTEE COMPRISED OF THE EXECUTIVE COMMITTEE REVIEWED THE DATA AND ESTABLISHED COMPENSATION RANGES FOR EACH POSITION. THE EXECUTIVE DIRECTOR DETERMINED EACH SENIOR LEADERSHIP MEMBER'S COMPENSATION WITHIN THE RANGES ESTABLISHED FOR EACH POSITION.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS AVAILABLE TO PUBLIC: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, LINE 1AANTHONY MINGE, CEO IS EMPLOYED AND PAID THROUGH MEDSERV MANAGEMENT SERVICES.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
ASHTABULA COUNTY MEDICAL CENTER
2420 LAKE AVENUEASHTABULAOH44004340726081HEALTH CAREOH501(C)(3)LINE 3N/A0
UNIVERSITY HOSPITALS GENEVA MEDICAL CENTER
870 W MAIN STREETGENEVAOH44041340714461HEALTH CAREOH501(C)(3)LINE 3N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd