2024-02-13T09:05:31-06:00 2023-12-31 203450056 BLYTHE CPAS PLLC 2660 W PARK DR STE 1 PADUCAH KY 42001 990 2023-01-01 611310466 MERCY REGIONAL EMERGENCY MEDICAL SYSTEM LLC MERC 2704508035 3551 COLEMAN ROAD PADUCAH KY 42001 JEREMY JEFFREY EXECUTIVE DIRECTOR 2704508035 2024-02-09 1 JEREMY JEFFREY 999009999 0 DANE M BLYTHE CPA P00957999 2704159945 2024-02-09 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z JEREMY JEFFREY 3551 COLEMAN ROAD PADUCAH KY 42001 5612976 0 X N/A X LLC 1996 KY PROVIDE PUBLIC AMBULANCE SERVICE 6 0 77 0 0 0 0 10000 4464026 4631848 1819 -74 826958 926289 5292803 5568063 0 0 0 0 3283662 3130766 0 0 0 1981725 1928657 5265387 5059423 27416 508640 3630435 4070020 392911 323858 3237524 3746162 PROVIDING AMBULANCE AND RELATED EMERGENCY AND NON-EMERGENCY MEDICAL SERVICES IS THE EXEMPT PURPOSE OF THE ORGANIZATION. 0 0 4926637 5524741 PROVIDING AMBULANCE AND RELATED EMERGENCY AND NON-EMERGENCY MEDICAL SERVICES IS THE EXEMPT PURPOSE OF THE ORGANIZATION. 4926637 1 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 11 0 77 1 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 KY X X JEREMY JEFFREY 2704436529 3551 COLEMAN ROAD PADUCAH KY 42001 CRAIG BEAVERS BOARD MEMBER 0.30 X 0 0 0 KENNETH BOYD BOARD MEMBER 0.30 X 0 0 0 MICHELLE HAYDEN BOARD MEMBER 0.30 X 0 0 0 MIKE YUNGMANN BOARD MEMBER 0.30 X 0 0 0 DANNY WARREN BOARD MEMBER 0.30 X 0 0 0 RICHARD GOINS BOARD MEMBER 0.30 X 0 0 0 JEREMY JEFFREY EXECUTIVE DIRECTOR 50.00 X 117091 0 11239 117091 0 11239 1 0 0 0 AMBULANCE MEDICAL BILLING 900 FULTON COURT PADUCAH KY 42001 MEDICAL BILLING SVCS. 237762 1 10000 10000 EMERGENCY SERVICE REVE 621910 9110428 9110428 MILEAGE SERVICE REVENU 621910 2839422 2839422 NON-EMERGENCY SERVICE 621910 2710766 2710766 PROVISION FOR UNCOLLEC 621910 -1553201 -1553201 PROV FOR CONTRACT ADJU 621910 -8475567 -8475567 4631848 1623 1623 30000 0 30000 30000 30000 43216 44913 -1697 -1697 -1697 OTHER INCOME 621910 896289 896289 896289 5568063 5528137 0 29926 128329 128329 2288012 2288012 51600 51600 480929 480929 181896 181896 10851 10851 49335 49335 353884 353884 7847 7847 65126 65126 176275 176275 3543 3543 3931 3931 306541 306541 210655 210655 VEHICLE EXPENSES 316524 316524 MEDICAL SUPPLIES 185636 185636 LAUNDRY 43466 43466 MEALS 19187 19187 175856 175856 5059423 4926637 132786 0 84268 414730 781808 712531 802432 918294 18065 17213 83751 96373 6806577 4895698 1860111 1910879 3630435 4070020 245197 216176 9000 9000 138714 98682 392911 323858 X 3237524 3746162 3237524 3746162 3630435 4070020 508640 0 X 1 X 0 0 0 X X 2 MERCY HEALTH 610600313 3 1 0 0 BAPTIST HEALTHCARE SYSTEM INC 610444707 3 1 0 0 2 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, SECTION A, LINE 6 FROM TIME TO TIME, MERCY MAY PROVIDE TRANSPORTS FOR OTHER AREA HOSPITALS. PART IV, SECTION B, LINE 1: EACH OF THE SUPPORTED ORGANIZATIONS APPOINT 3 BOARD MEMBERS. 153740 153740 1509289 656098 853191 5143548 4239600 903948 1910879 FORM 990, PART VI, SECTION A, LINE 6 LLC MEMBERS FORM 990, PART VI, SECTION A, LINE 7A PER OPERATING AGREEMENT, EACH LLC MEMBER APPOINTS THREE BOARD MEMBERS FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS PROVIDED TO THE BOARD TO REVIEW BEFORE BEING FILED FORM 990, PART VI, SECTION B, LINE 12C THE COMPANY HAS ANNUAL MANDATORY TRAINING AND DISCLOSURE BY ITS COMPLIANCE DEPARTMENT. THIS IS MONITORED WITH A SIGN IN SHEET FOR ALL EMPLOYEES. NEW HIRES ARE REQUIRED TO DISCLOSE UPON HIRE DATE ANY POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 ALL INFORMATION IS AVAILABLE UPON REQUEST MERCY HEALTH 1530 LONE OAK ROAD PADUCAH KY 42001 610600313 HOSPITAL KY 501(C)(3) LINE 3 - HOSPITAL N/A 0 BAPTIST HEALTHCARE SYSTEM INC 2501 KENTUCKY AVENUE PADUCAH KY 42001 610444707 HOSPITAL KY 501(C)(3) LINE 3 - HOSPITAL N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0