2024-02-02T13:55:58-06:00 2023-09-30 271895149 Heveron & Company CPAs PLLC 260 Plymouth Avenue South Rochester NY 14608 990 2022-10-01 237100977 Pittsford Volunteer Ambulance Inc PITT 5853852401 40 Tobey Road Pittsford NY 14534 Shaun Fowler Treasurer 5853852401 2024-01-19 1 Shaun Fowler XXX-XX-XXXX 0 Brenda Smith P00617844 5852322956 2024-01-19 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Shaun Fowler 40 Tobey Road Pittsford NY 14534 2491369 0 X www.pittsfordambulance.org X 1971 NY Emergency Medical Services 11 10 40 20 0 0 177879 492345 1720484 1841648 19282 21682 69100 126797 1986745 2482472 0 0 0 0 1454910 1834736 0 0 15085 534744 578936 1989654 2413672 -2909 68800 1976805 2085268 107370 68156 1869435 2017112 X Pittsford Volunteer Ambulance exists to provide Pittsford and neighboring communities with patient-centered care and consultation, education, prevention programs, and partnerships to maintain quality of health and life. 0 0 1785443 1957033 Pittsford Volunteer Ambulance, Inc. was requested for 4,676 responses, provided emergency medical services (including basic and advanced life support services) to 3,105 patients during the fiscal year, and transported 2,378 patients for continued medical care. Not every response results in contact with a patient, and not all contacts result in transport, which is consistent with industry norms.(Continued on Schedule O)We recognize increasing local demand for service, compounded by a significantly increased demand for mutual-aid service while neighboring ambulance service providers struggle to address workforce shortages and fiscal challenges. Inadequate reimbursement for services, including non-payments for non-transport services and antiquated fee-schedules for Medicare and Medicaid, will also continue to negatively impact EMS service delivery, as fiscal constraints will reduce potential for EMS providers to stabilize their workforce and address expanding community expectation. We anticipate the cumulative effect of these issues will be associated with a sustained period of volatility in healthcare demand, including in EMS service delivery.EMS (PVA included) continues to pursue incorporation of telehealth and treat-at-home options, with payment for this service to follow a period of demonstrated value. PVA is actively implementing non-traditional care options while simultaneously seeking funding to support development. Overall PVA continues to provide emergency responses and care, and is working to stay on the leading edge of developing trends and opportunities. 12137 11412 Pittsford Volunteer Ambulance, Inc. offers Stop the Bleed, First Aid, EMS awareness, and American Heart Association CPR classes to individuals, groups, and organizations at the PVA base. 1797580 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 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 7 0 1 40 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 1 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X The Organization 5853852401 40 Tobey Road Pittsford NY 14534 Bob Swartout Chairman (Beginning 1/23/23) 3.80 X X 0 0 0 Mark Lockard Vice Chairman (Beginning 1/23/23) 5.80 X X 0 0 0 Shaun Fowler Treasurer 2.90 X X 0 0 0 Jonathan D Smith Chief/CEO 40.00 X X 98953 0 29011 Jody Baker Secretary through 5/23), Board Member 0.40 X X 0 0 0 Paul Petrino Secretary (Beginning 7/31/23) 2.30 X X 0 0 0 Robert Moline Board Member 0.40 X 0 0 0 Stacia Geib Board Member (Beginning 1/23/23) 1.90 X 0 0 0 Paul LeClair Board Member 0.40 X 0 0 0 Cathy Hahn Board Member 0.10 X 0 0 0 Jeffrey Baker Board Member 3.80 X 0 0 0 98953 0 29011 1 0 0 0 0 16950 40907 434488 492345 Ambulance Service Fees 621910 1541648 1541648 Town of Pittsford 621910 300000 300000 1841648 19545 19545 11034 8897 2137 2137 2137 Other Income 621910 126797 126797 126797 2482472 1968445 0 21682 139728 20959 118769 1334371 1021638 312733 52847 41745 11102 189860 149123 40737 117930 84729 33201 9005 9005 54920 18597 21238 15085 41270 24458 16812 23939 23203 736 28137 26730 1407 148658 141225 7433 74615 64547 10068 Medical Supplies 64134 64134 Ambulance Expenses 52855 52855 Training and Education 25480 25480 Member Benefits 19073 19073 36850 19084 17766 2413672 1797580 601007 15085 31170 39236 231658 376084 57543 64733 2649262 1947773 806267 701489 850167 903726 1976805 2085268 6815 17878 100555 50278 107370 68156 X 1869435 1842112 175000 1869435 2017112 1976805 2085268 68800 78877 0 X X 0 1 X 1 0 X 103862 351345 180412 177879 492345 1305843 1282493 1209603 1349143 1720484 1841648 7403371 1386355 1560948 1529555 1898363 2333993 8709214 325000 325000 0 325000 325000 8384214 26889 29201 20063 18674 19545 114372 26889 29201 20063 18674 19545 114372 24428 6996 11217 69100 126797 238538 1437672 1597145 1560835 1986137 2480335 9062124 0.92520 0.97590 0.01260 0.01160 X Schedule A, Part III, Line 12, Explanation of Other Income: Other Program Service Income RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 850167 100559 47000 903726 974780 -124613 850167 936968 123812 86000 974780 929641 44327 37000 936968 895242 34399 929641 1.00000 0 0 7800 7800 1280294 844860 435434 1356968 1098713 258255 4200 4200 0 701489 2561349 78877 78877 2482472 0 2482472 2413672 0 2413672 0 2413672 Part V, Line 4: The Board designated net assets without donor restrictions held for long term investment as a board-designated quasi-endowment fund established to fund future operations and special projects. Form 990, Part VI, Section A, line 2 Jeffrey and Jody Baker have a family relationship. Form 990, Part VI, Section A, line 4 Significant changes to the by-laws include the following: Minimum number of board members changed from 9 to 7 and the CEO shall have and exercise general charge, management, and supervision of the affairs of the Corporation with the powers and duties usually pertaining to such office. Form 990, Part VI, Section A, line 6 The organization has members. Form 990, Part VI, Section A, line 7a The members vote on election of members to the Board of Directors. Form 990, Part VI, Section B, line 11b A complete copy of form 990 is reviewed by the Board of Directors prior to being filed. Form 990, Part VI, Section B, line 12c The Board of Directors monitors that there are no conflicts of interest by following their procedure to ensure that none of the vendors used by the organization have a relationship with the organization. Form 990, Part VI, Section B, line 15 The Board of Directors reviews and approves compensation of the Chief/CEO by independent persons after deliberation and contemporaneous substantiation. There are no other compensated key employees. 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. Form 990, Part XII: The 990 is prepared using the modified cash method of accounting.