2024-11-13T16:52:22-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2023-01-01 452389060 EDWARD AMBULANCE SERVICES LLC EDWA 6305481572 2772 GOLFVIEW DR UNIT A NAPERVILLE IL 60563 DOUG WELDAY CORPORATE MEMBER CFO 6305481572 2024-11-13 1 1 SAMANTHA L BECKER P01344887 2483522500 2024-11-13 2023 2024-10-15 13:58:12Z ANDREW BROOKS 2772 GOLFVIEW DR UNIT A NAPERVILLE IL 60563 9457694 0 X WWW.EDWARD.ORG/AMBULANCE X LLC 2011 IL TO PROVIDE MEDICAL AND NON-MEDICAL TRANSPORTATION IN THE MOST SAFE, SEAMLESS AND PERSONAL MANNER. 7 3 0 0 0 0 0 459921 8427139 8952623 0 8000 0 0 8427139 9420544 2499140 4000 0 0 0 0 0 0 0 6612057 8357766 9111197 8361766 -684058 1058778 3926779 5085562 511893 611898 3414886 4473664 TO PROVIDE MEDICAL AND NON-MEDICAL TRANSPORTATION IN THE MOST SAFE, SEAMLESS AND PERSONAL MANNER. 0 0 7429993 4000 8952623 IN 2023, THE ORGANIZATION PROVIDED EMERGENCY AND NON-EMERGENCY AMBULANCE TRANSPORTATION SERVICES TO APPROXIMATELY 11,200 PERSONS IN THE SOUTHWEST SUBURBS OF CHICAGO.IN 2023, THE ORGANIZATION PROVIDED NON-EMERGENCY VAN SERVICE TRANSPORTATION TO APPROXIMATELY 1,900 PHYSICALLY AND MENTALLY CHALLENGED PATIENTS TO FACILITIES THAT PROVIDED REHABILITATION CARE TO PROMOTE THE HEALTH OF THE INDIVIDUAL. 7429993 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 3 1 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 X BARBARA HRIT 9475221515 26901 BEAUMONT BLVD SOUTHFIELD MI 48033 TOM SCALETTA CHAIRMAN 2.00 38.00 X X 0 505369 49548 JASON OGDEN TREASURER - PARTIAL YEAR 2.00 38.00 X X 0 475130 23499 DARYL WILSON MD DIRECTOR 2.00 38.00 X 0 373862 26142 ANDREW BROOKS TREASURER 2.00 38.00 X X 0 355082 39935 ELLEN TURNBULL DIRECTOR 2.00 38.00 X 0 193814 26082 DAVID CLAEYS DIRECTOR - PARTIAL YEAR 2.00 0.00 X 0 0 0 CHRIS FLORES DIRECTOR 2.00 0.00 X 0 0 0 MICHAEL KING DIRECTOR 2.00 0.00 X 0 0 0 LEEANN ODOM DIRECTOR - PARTIAL YEAR 2.00 0.00 X 0 0 0 NANCY SUSICK DIRECTOR 2.00 0.00 X 0 0 0 CHRIS MOLLET ASSISTANT SECRETARY 2.00 38.00 X 0 859893 24155 0 2763150 189361 0 0 1 0 SUPERIOR AIR-GROUND AMBULANCE SHIAWASSEE CIR SOUTHFIELD MI 48033 MANAGEMENT, DISPATCH & BILLING 1005827 1 459921 459921 AMBULANCE 621910 8852383 8852383 NON-EMERGENCY TRANSPOR 621910 100240 100240 8952623 45150 37150 8000 8000 8000 9420544 8952623 0 8000 X 4000 4000 220000 220000 532553 532553 4952302 4864739 87563 3270 3270 19089 19089 181418 178861 2557 4432 4432 147514 147514 174096 84996 89100 BAD DEBT EXPENSE 1680000 1680000 AUTOMOTIVE REPAIRS 217534 217534 GAS & OIL 182747 182747 MEDICAL SUPPLIES 32176 32176 10635 10635 8361766 7429993 931773 0 2378127 3184238 947188 1169633 15087 15087 2720204 2003600 586377 716604 3926779 5085562 511893 611898 511893 611898 X 3414886 4473664 3414886 4473664 3926779 5085562 1058778 0 X 0 0 0 X 118329 217458 459921 795708 5936668 6377807 4107227 8427139 8952623 33801464 6054997 6595265 4107227 8427139 9412544 34597172 0 0 0 34597172 2756 375 3131 2756 375 3131 6057753 6595265 4107602 8427139 9412544 34600303 0.99990 0.99980 0.00010 0.00020 X PART III, SHORT YEAR EXPLANATION: AS OF MARCH 2022, THE BOARD VOTED TO CHANGE THE ACCOUNTING PERIOD FROM 6/30/21 TO 12/31/21. AS A RESULT, THE COLUMNS IN SCHEDULE A, PART III CORRESPOND TO THE FOLLOWING TAX YEARS: 2019 = FYE 6/30/20 2020 = FYE 6/30/21 2021 = SHORT YEAR-END 12/31/21 2022 = FYE 12/31/22 2023 = FYE 12/31/23 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22215 22215 0 2697989 1981385 716604 716604 1 1 0 0 0 0 0 0 0 CHRIS MOLLET ASSISTANT SECRETARY 0 698503 0 10937 0 150453 0 14850 0 9305 0 884048 0 0 TOM SCALETTA CHAIRMAN 0 496787 0 1250 0 7332 0 14850 0 34698 0 554917 0 0 JASON OGDEN TREASURER - PARTIAL YEAR 0 448716 0 19221 0 7193 0 14850 0 8649 0 498629 0 0 DARYL WILSON MD DIRECTOR 0 352541 0 6577 0 14744 0 14850 0 11292 0 400004 0 0 ANDREW BROOKS TREASURER 0 268598 0 46800 0 39684 0 14850 0 25085 0 395017 0 0 ELLEN TURNBULL DIRECTOR 0 176263 0 5006 0 12545 0 8722 0 17360 0 219896 0 0 SCHEDULE J, PART I, LINE 4A THE FOLLOWING RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: CHRIS MOLLET - $444,092 SCHEDULE J, PART I, LINE 4B INDIVIDUALS WHO HAVE THE TITLE OF VICE PRESIDENT OR HIGHER ARE ELIGIBLE TO PARTICIPATE IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP); ANY ELIGIBLE PARTICIPANTS MUST BE APPROVED BY THE EDWARD-ELMHURST HEALTHCARE BOARD OF TRUSTEES. THE SERP WAS ESTABLISHED TO RECOGNIZE THE VALUABLE CONTRIBUTIONS THAT EACH OF THE PARTICIPANTS MAKES TO THE OPERATIONS OF EDWARD-ELMHURST HEALTHCARE AND TO REWARD CERTAIN EXECUTIVE EMPLOYEES FOR THEIR LONG-TERM SERVICE AND COMMITMENT TO EDWARD-ELMHURST HEALTHCARE. THE SERP IS DESIGNED TO PROVIDE A FULL RETIREMENT SUPPLEMENT TO PARTICIPANTS IF THEY REMAIN WITH EDWARD-ELMHURST HEALTHCARE UNTIL AGE 65. IN EXCHANGE FOR THIS LONG-TERM SERVICE, EDWARD-ELMHURST HEALTHCARE WANTS TO SUPPLEMENT THESE PARTICIPANTS' RETIREMENT INCOME WITH ADDITIONAL ANNUAL COMPENSATION THAT IS INVESTED IN AN ANNUITY CONTRACT; CONTRIBUTIONS VEST AFTER FIVE YEARS. THE FOLLOWING PAYOUTS FOR THE 2023 PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III): CHRIS MOLLET - $134,298 FORM 990, PART VI, SECTION A, LINE 2 TOM SCALETTA, JASON OGDEN, ANDREW BROOKS, ELLEN TURNBULL AND DARYL WILSON HAVE A BUSINESS RELATIONSHIP. DAVID CLAEYS, LEEANN ODOM, MICHAEL KING, CHRIS FLORES AND NANCY SUSICK HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 IN DECEMBER 2020, EDWARD ENTERED INTO AN ON-SITE MANAGEMENT AND EXECUTIVE OVERSIGHT AGREEMENT WITH SUPERIOR AIR-GROUND AMBULANCE. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS A JOINT VENTURE MADE UP OF TWO 501(C)(3) MEMBERS WITH THE FOLLOWING OWNERSHIP PERCENTAGE: COMMUNITY EMERGENCY MEDICAL SERVICE, INC. 45% EDWARD HOSPITAL 55% FORM 990, PART VI, SECTION A, LINE 7A BOARD IS COMPOSED OF 7 MANAGERS. CLASS A MEMBER (EDWARD HOSPITAL) IS ENTITLED TO NOMINATE 4 MANAGERS AND CLASS B MEMBER (COMMUNITY EMS) IS ENTITLED TO NOMINATE 3 MANAGERS. EACH MEMBER VOTES FOR THE ELECTION OF ALL MANAGERS. ONLY THE MEMBER THAT NOMINATED THE MANAGER MAY DIRECT THE REMOVAL OF THAT MANAGER, ACCORDING TO ARTICLE VII, SECTION 7.2 OF THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNING BODY OF THIS ENTITY HAVE FULL AUTHORITY TO GOVERN THE AFFAIRS EXCEPT FOR POWERS WHICH ARE RESERVED TO COMMUNITY EMERGENCY MEDICAL SERVICE, INC. AND EDWARD HOSPITAL, ITS MEMBERS, PER ARTICLE VII, SECTION 7.4 OF THE BYLAWS. THESE RESERVED POWERS INCLUDE AMENDMENT, MODIFICATION OR REPEAL OF THIS AGREEMENT OR THE ARTICLES OF ORGANIZATION; MERGER, CONSOLIDATION OR AFFILIATION OF THE COMPANY WITH ANOTHER ENTITY; VOLUNTARY DISSOLUTION OF THE COMPANY; ADDITION OF NEW OR ADDITIONAL MEMBERS TO THE COMPANY; SALE, EXCHANGE, LEASE OR OTHER TRANSFER OF, OR MORTGAGE OF OR GRANT OF ANY SECURITY INTEREST IN, ANY REAL PROPERTY OF THE COMPANY INVOLVING AN AMOUNT IN EXCESS OF TWO HUNDRED THOUSAND DOLLARS ($200,000) IN ANY ONE TRANSACTION (OR SERIES OF RELATED TRANSACTIONS); SALE OF GREATER THAN TEN PERCENT (10%) OF THE ASSETS OF THE COMPANY; REMOVAL OF A MANAGER OF THE COMPANY OTHER THAN AS DIRECTED BY THE MEMBER THAT NOMINATED SUCH MANAGER; ANY BORROWING OR LENDING OF MONEY BY THE COMPANY IN ANY ONE TRANSACTION OR SERIES OF RELATED TRANSACTIONS (FOR ANY PURPOSE OTHER THAN TRADE OBLIGATIONS INCURRED IN THE ORDINARY COURSE OF BUSINESS), OR INCURRING ANY NEW OR INCREASING THE AMOUNT OF ANY EXISTING COMPANY INDEBTEDNESS, OR TAKING ANY ACTION TO MORTGAGE, PLEDGE, HYPOTHECATE OR GRANT A SECURITY INTEREST IN ANY ASSETS OF THE COMPANY OR THE ASSUMPTION OF ANY LOAN OR OBLIGATION OR GUARANTEE OF ANY LOAN OR OBLIGATION OF ANY PARTY OTHER THAN THE COMPANY BECOMING A SURETY WITH RESPECT TO A THIRD PARTY LOAN OR OBLIGATION; THE MAKING OF UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF TEN THOUSAND DOLLARS ($10,000) IN ANY ONE TRANSACTION (OR SERIES OF RELATED TRANSACTIONS); ANY CALL FOR CAPITAL CONTRIBUTIONS TO THE COMPANY IN ADDITION TO THE INITIAL CAPITAL CONTRIBUTIONS SET FORTH IN SECTION 3.1 OF ARTICLE III OR THE ISSUANCE OF ADDITIONAL MEMBERSHIP INTERESTS; THE APPROVAL, TERMINATION, AMENDMENT, MODIFICATION OR EXTENSION OF THE MANAGEMENT AGREEMENT AUTHORIZED PURSUANT TO SECTIONS 7.6 OF THIS AGREEMENT; MAKING ANY MATERIAL OR SUBSTANTIAL CHANGE IN THE CAPITAL OR MANAGERIAL STRUCTURE OF THE COMPANY OR THE PURPOSES OF THE COMPANY OR THE CHARACTER OF ITS BUSINESS, FOR EXAMPLE, A CHANGE SUCH THAT THE COMPANY'S PRINCIPAL ACTIVITY CEASES TO BE OPERATING MEDICAL TRANSPORTATION SERVICES; MAKING, EXECUTING OR DELIVERING, ON BEHALF OF THE COMPANY, AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS; ADOPTION OR AMENDMENT OF THE COMPANY'S POLICY FOR THE DISTRIBUTIONS TO MEMBERS AND APPROVAL OF ANY DISTRIBUTION BY THE COMPANY TO A MEMBER OR THE MEMBERS REGARDLESS OF WHETHER THE DISTRIBUTION IS PURSUANT TO THE THEN CURRENT DISTRIBUTION POLICY; ANY OTHER MATTER REQUIRING ACTION OR APPROVAL BY BOTH OF THE MEMBERS UNDER THE LAWS OF THE STATE OF ILLINOIS; CREATION OF A NEW LEGAL ENTITY OWNED IN WHOLE OR IN PART BY THE COMPANY OR ANY MEMBER OR AN AFFILIATE OF ANY MEMBER THAT SHALL VIOLATE SECTION 10.1 OF THIS AGREEMENT; DOING ANY ACT WHICH WOULD MAKE IT IMPOSSIBLE OR IMPRACTICAL TO CARRY ON THE BUSINESS OF THE COMPANY; TAKING ANY ACTION ON BEHALF OF THE COMPANY WITH RESPECT TO MATTERS OUTSIDE THE ORDINARY COURSE OF BUSINESS OF THE COMPANY; SELECTING THE LEGAL COUNSEL AND THE ACCOUNTANTS OF THE COMPANY; APPROVAL OF THE LEASE, SALE, TRANSFER, EXCHANGE, ENCUMBRANCE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE COMPANY IN A SINGLE TRANSACTION OR A SERIES OF TRANSACTIONS; ADOPTION OF AMENDMENT TO ANY INVESTMENT POLICY FOR THE COMPANY'S CASH OR RESERVES AND ANY INVESTMENT OF THE COMPANY'S CASH OR RESERVES NOT IN ACCORDANCE WITH THE APPROVED INVESTMENT POLICY; THE INSTITUTION OF ANY LEGAL PROCEEDINGS, INCLUDING THE COMMENCEMENT OF ANY LITIGATION OR ARBITRATION AGAINST A THIRD PARTY, BY THE COMPANY (OTHER THAN ROUTINE PROCEEDINGS FOR THE COLLECTION OF TRADE DEBT), THE DEFENSE OF ANY CLAIMS AGAINST THE COMPANY, THE NEGOTIATION OR EXECUTION OF ANY SETTLEMENT AGREEMENT, INCLUDING WITHOUT LIMITATION ANY ACTIONS OR CONTROVERSIES ARISING UNDER THE CODE, THE FRAUD AND ABUSE STATUTE OR THE STARK ACT OR ANY SUCH AGREEMENTS WITH ANY TAXING, LICENSING OR ACCREDITING AUTHORITY OR AGENCY; AND ANY GUARANTEE OF DEBT OF THE COMPANY BY A MEMBER TO THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND ALL RELATED SCHEDULES WERE PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND REVIEWED BY AN OUTSIDE TAX FIRM. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS BEFORE THE RETURN WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE OF THE CONFLICT OF INTEREST POLICY BY REVIEW OF THE POLICY ANNUALLY AT THE BOARD MEETING AND REQUESTING SUBMISSION OF CONFLICTS TO THE SECRETARY OF THE ORGANIZATION PER THE POLICY. THE CONFLICT OF INTEREST POLICY COVERS ANY DIRECTOR, OFFICER, NON-DIRECTOR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWER OR OTHER PERSON IN A SIMILAR POSITION OF AUTHORITY OVER THE CORPORATION. THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS [OR APPROPRIATE COMMITTEE] MAY, IN THEIR DISCRETION, REQUIRE THE INTERESTED PERSON TO LEAVE THE ROOM WHILE THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS DISCUSSED. THE COVERED PERSON SHALL LEAVE THE ROOM WHILE THE MATTER IS VOTED ON AND ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER TO APPROVE THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE TOP MANAGEMENT OFFICIAL AND KEY EMPLOYEES ARE PAID BY SUPERIOR AMBULANCE, THE MANAGEMENT COMPANY. THEREFORE, A COMPENSATION PROCESS IS NOT APPLICABLE FOR THIS ORGANIZATION. THE DIRECTORS OF EDWARD AMBULANCE SERVICES LLC DO NOT RECEIVE ANY FORM OF REMUNERATION FROM THE ORGANIZATION. THE DIRECTORS ARE COMPENSATED FROM A RELATED ENTITY. THE COMPENSATION RECEIVED IS REASONABLE AND IS BASED ON A PERCENTILE OF NATIONAL DATA WITH CONSIDERATION FOR LOCAL AND REGIONAL PAY PRACTICES FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC WILL BE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G DISPATCH FEES: PROGRAM SERVICE EXPENSES 291,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 291,600. LEASED EMPLOYEES: PROGRAM SERVICE EXPENSES 4,351,212. MANAGEMENT AND GENERAL EXPENSES 87,563. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,438,775. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 221,927. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 221,927. 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