2019-03-06T15:08:35-06:00 2018-08-31 271895149 Heveron & Company CPAs PLLC 260 Plymouth Avenue South Rochester NY 14608 990 2017-09-01 222482619 Brighton Volunteer Ambulance BRIG 5852712718 PO Box 18699 Rochester NY 146180699 Dennis J Mietz Vice President 5852712718 2019-03-01 1 Brenda Smith P00617844 5852322956 2019-03-01 24.213.221.209 2019-03-01 07:50:48 ES P 83216C01FE8A019299DED193AC915142B5E56A2E E666F4FEDFEE2AF8B34C23492DE16161FE0E51C6 2017 2019-02-21 02:37:17Z Dennis J Mietz PO Box 18699 Rochester NY 146180699 2910494 0 X www.brightonambulance.org X 1983 NY To provide emergency medical services to the Town of Brighton, New York. 6 6 48 29 0 0 66758 573489 2163556 2304418 12822 30348 17225 2100 2260361 2910355 0 0 0 0 1229630 1289767 0 0 24931 844324 903961 2073954 2193728 186407 716627 3500165 4829292 329781 952668 3170384 3876624 X Brighton Volunteer Ambulance, Inc. endeavors to be a leader in emergency medical services and provide premier pre-hospital care by: respecting the values of our staff, our patients, and the community; (Continued on Schedule O)collaborating with other healthcare and emergency service providers; promoting and maintaining professional standards in emergency medicine; and delivering training and prevention initiatives to the community. 0 0 1780231 2306518 Brighton Volunteer Ambulance, Inc. provides Emergency Medical Services to the Town of Brighton and surrounding areas as requested. Additionally they act as a resource for the community of Brighton providing many services and participating in community planning and special events. During the 2017-2018 fiscal year, Brighton Volunteer Ambulance Inc. received 6,054 calls for service, responded to 5,702 of these calls, and conducted 79 classes for 737 participants. 1780231 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 48 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 0 0 0 X X Barb Sforza 5852712718 PO Box 18699 Rochester NY 146180699 Daniel McCue President 15.00 X X 0 0 0 Dennis Mietz Vice President 15.00 X X 0 0 0 Ann Louise Rydzewski Secretary 5.00 X X 0 0 0 Michael Pollock Board Member (Through 12/31/17) 5.00 X 0 0 0 Michael Murphy Treasurer 5.00 X X 0 0 0 Paul Fredericks Board Member (Beginning 1/1/18) 5.00 X 0 0 0 Cara Breslin Board Member 5.00 X 0 0 0 Cody Dean Chief of Operations 40.00 X 65173 0 5975 Barbara Sforza Business Manager 40.00 X 65355 0 10776 130528 0 16751 0 0 0 0 Professional Ambulance Billing 5530 Sheridan Drive Suite 3B Williamsville NY 14221 Third Party Billing 145918 1 5358 500000 68131 573489 Third Party Billing 621910 2025921 2025921 Town of Brighton 621910 272000 272000 Training Classes 621910 6464 6464 Membership Dues 900099 33 33 2304418 30487 30487 139 -139 -139 -139 Other Income 900099 2100 2100 2100 2910355 2306518 0 30348 156919 71148 85771 881241 854013 27228 10494 10494 164588 156165 8423 76525 68866 7659 3956 3956 1850 1850 218922 2456 214963 1503 153089 114107 16415 22567 93316 89049 4267 80489 80489 79254 71329 7925 81681 73895 7786 Medical Supplies/Servic 96959 96959 Membership Benefits 51314 51314 Health/Safety Training 29264 29264 13867 10683 2323 861 2193728 1780231 388566 24931 141577 46776 38034 692895 154333 286939 329815 52975 32491 2486491 782966 576555 1703525 2404085 1869457 3500165 4829292 146676 763104 90673 90673 92432 98891 329781 952668 X 3170384 3722291 154333 3170384 3876624 3500165 4829292 716627 -10387 0 X 0 1 X 1 0 X 73996 100816 80222 66758 573489 895281 1891501 2015245 2157734 2163556 2304418 10532454 1965497 2116061 2237956 2230314 2877907 11427735 0 0 0 11427735 6263 4472 3494 12822 30487 57538 6263 4472 3494 12822 30487 57538 3000 800 9500 17225 2100 32625 1974760 2121333 2250950 2260361 2910494 11517898 0.99220 0.99410 0.00500 0.00280 X Schedule A, Part III, Line 12, Explanation of Other Income: State Recertification Reimbursement Other Program Service Income 62262 62262 1870999 421718 1449281 547029 361248 185781 6201 6201 1703525 Length of Service Award Program Liability 98891 98891 2900107 -10387 -10387 2910494 -139 -139 2910355 2193728 0 2193728 0 2193728 Part XI, Line 4b - Other Adjustments: Loss on Disposal of Assets -139. Form 990, Part VI, Section A, line 6 The Organization has members that elect Board Members. Form 990, Part VI, Section A, line 7a Members elect Board Members, and Board Members elect Officers. Form 990, Part VI, Section A, line 7b Members approve bylaw changes and approve removal of a volunteer from active duties. Form 990, Part VI, Section A, line 8b There are no other committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b Form 990 is reviewed by the Business Manager and President before filing. Form 990, Part VI, Section B, line 12c The Organization provides each officer and director with the conflict of interest policy when they are elected or appointed. The policy is also reviewed annually. If a potential conflict with any officer or director arises, the organization follows the conflict of interest policy and documents that in meeting minutes. Form 990, Part VI, Section B, line 15 The salaries of the Business Manager and Operations Manager are determined through annual performance reviews, and by budget constraints, which give a ceiling for salary percentage increase. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.