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Nonprofiteer
← COMMUNITY AMBULANCE SERVICE

Form 990 for tax year 2022

Filed by COMMUNITY AMBULANCE SERVICE.

Totals

Total revenue
$8,356,241
Total expenses
$10,382,086
Contributions and grants received
$145,775
Grants paid
$0
Program service revenue
$8,117,192
Investment income
$65,334
Other revenue
$27,940
Total assets, end of year
$5,483,906
Total liabilities, end of year
$1,124,545
Net assets or fund balances, end of year
$4,359,361
Program services expenses (Part IX)
$9,856,141
Management and general expenses
$525,945
Fundraising expenses
$0
Program service expenses (Part III)
$9,856,141

Program services were 94.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $21,495

  • 1e · Government grants (contributions)

    $124,280

  • 2a · Program service revenue: EMERGENCY SERVICES

    total $7,125,763 · related or exempt $7,125,763

  • 2b · Program service revenue: COURIER SERVICE

    total $712,113 · related or exempt $712,113

  • 2c · Program service revenue: AMBULETTE SERVICE

    total $279,316 · related or exempt $279,316

  • 3 · Investment income

    total $2 · excluded $2

  • 7a · Gross sales of assets other than inventory

    securities $1,518,121 · other assets $18,306

  • 7b · Less cost or other basis and sales expenses

    securities $1,471,095 · other assets $0

  • 7c · Gain or loss

    securities $47,026 · other assets $18,306

  • 7d · Net gain or loss

    total $65,332 · excluded $65,332

  • 11a · Other revenue: VEHICLE MAINTENANCE

    total $22,544 · related or exempt $22,544

  • 11b · Other revenue: INSURANCE CLAIM

    total $2,855 · related or exempt $2,855

  • 11c · Other revenue: EMT DRIVE TRAINING

    total $616 · related or exempt $616

  • 11d · All other revenue

    total $1,925 · related or exempt $1,925

  • 11e · Other revenue, total

    $27,940

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $5,224,859 · program services $4,859,119 · management and general $365,740

  • 8 · Pension plan contributions

    total $37,611 · program services $34,978 · management and general $2,633

  • 9 · Other employee benefits

    total $586,763 · program services $545,690 · management and general $41,073

  • 10 · Payroll taxes

    total $395,195 · program services $367,531 · management and general $27,664

  • 11a · Fees: management

    total $17,982 · program services $15,000 · management and general $2,982

  • 11b · Fees: legal

    total $400 · management and general $400

  • 11g · Fees: other

    total $278,076 · program services $258,611 · management and general $19,465

  • 12 · Advertising and promotion

    total $18,085 · program services $18,085

  • 13 · Office expenses

    total $124,423 · program services $115,712 · management and general $8,711

  • 14 · Information technology

    total $379,299 · program services $352,748 · management and general $26,551

  • 16 · Occupancy

    total $117,444 · program services $117,444

  • 17 · Travel

    total $29,903 · program services $2,093 · management and general $27,810

  • 20 · Interest

    total $6,590 · program services $6,590

  • 22 · Depreciation, depletion and amortization

    total $356,518 · program services $356,518

  • 23 · Insurance

    total $295,189 · program services $295,189

  • 24a · Other expenses: BAD DEBT EXPENSE

    total $1,778,872 · program services $1,778,872

  • 24b · Other expenses: AMBULANCE EXPENSES

    total $585,726 · program services $585,726

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $141,542 · program services $141,542

  • 24d · Other expenses: DUES & SUBSCRIPTIONS

    total $5,046 · program services $4,693 · management and general $353

  • 24e · All other expenses

    total $2,563 · management and general $2,563

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $55,761 · end of year $248,473

  • 2 · Savings and temporary cash investments

    beginning of year $715,456 · end of year $0

  • 4 · Accounts receivable

    beginning of year $2,611,647 · end of year $1,916,786

  • 9 · Prepaid expenses and deferred charges

    beginning of year $261,769 · end of year $221,097

  • 10a · Land, buildings and equipment: cost or other basis

    $5,372,841

  • 10b · Land, buildings and equipment: accumulated depreciation

    $3,804,566

  • 10c · Land, buildings and equipment, net

    beginning of year $1,222,349 · end of year $1,568,275

  • 11 · Investments: publicly traded securities

    beginning of year $1,437,623 · end of year $1,265,876

  • 12 · Investments: other securities

    beginning of year $86,118 · end of year $68,585

  • 15 · Other assets

    beginning of year $169,101 · end of year $194,814

  • 17 · Accounts payable and accrued expenses

    beginning of year $581,727 · end of year $669,688

  • 23 · Secured mortgages and notes payable

    beginning of year $324,269 · end of year $260,043

  • 25 · Other liabilities

    beginning of year $4,011,171 · end of year $194,814

  • 27 · Net assets without donor restrictions

    beginning of year $1,642,657 · end of year $4,359,361

Mission and programs · 2022

Mission

TO PROVIDE HIGH QUALITY, COURTEOUS, PROMPT, AND COST EFFECTIVE EMERGENCY AND NON-EMERGENCY TREATMENT AND TRANSPORTATION ALONG WITH EDUCATION SERVICES TO HEALTHCARE ORGANIZATIONS, MUNICIPALITIES, AND THE GENERAL PUBLIC.

Activities or mission (Part I)

COMMUNITY AMBULANCE SERVICE IS ORGANIZED AND OPERATED TO PROVIDE EMERGENCY TRANSPORTATION AND MEDICAL SERVICES TO THOSE SERVED BY GENESIS HEALTHCARE SYSTEM (GHCS), A 501(C)(3) ORGANIZATION. GHCS IS LOCATED IN THE CITY OF ZANESVILLE, OHIO AND PROVIDES MEDICAL AND HOSPITAL CARE TO MUSKINGUM COUNTY AND FIVE CONTIGUOUS COUNTIES LOCATED IN THE APPALACHIAN FOOTHILLS.

  • COMMUNITY AMBULANCE SERVICE CONTINUOUSLY SEEKS TO IMPROVE THE PRE-HOSPITAL HEALTHCARE PROVIDED IN ITS PRIMARY SERVICE AREAS WHILE ENSURING THAT EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICE WILL BE AVAILABLE TO ALL THOSE IN NEED. THE EQUIPMENT IS MODERN, STATE OF THE ART, SATISFACTORILY MAINTAINED, AND ADEQUATELY OPERATED. RESPONSE TIMES ARE MONITORED AND KEPT WITHIN INDUSTRY ACCEPTED PARAMETERS AS WELL AS UTILIZATION AND ADHERENCE TO CURRENT AND LOCAL MEDICAL PROTOCOLS. IN DEMONSTRATION OF THESE COMMITMENTS, COMMUNITY AMBULANCE SERVICE RESPONDED TO 38,659 REQUESTS FOR AMBULANCE SERVICE IN 2022 AND TRANSPORTED 35,365 PATIENTS. COMMUNITY AMBULANCE SERVICE (CAS) CURRENTLY PROVIDES EMERGENCY AMBULANCE SERVICE TO THE COMMUNITIES OF ZANESVILLE CITY AND WAYNE TOWNSHIP, ALONG WITH MUTUAL AID SERVICES TO OTHER MEMBER DEPARTMENTS THROUGHOUT THE REMAINDER OF COSHOCTON, GUERNSEY, LICKING, MORGAN, MUSKINGUM, AND PERRY COUNTIES. THE EMERGENCY REQUESTS WITHIN THE CITY OF ZANESVILLE WERE MET WITH A RESPONSE TIME AVERAGE OF 6 MINUTES 48 SECONDS.SUPPORTING THE COMMUNITY IS A KEY PART OF OUR MISSION STATEMENT. IN PURSUIT OF THAT MISSION, CAS PROVIDED SUPPORT TO FUNDRAISING EFFORTS FOR SEVERAL LOCAL CHARITIES. OTHER IN KIND SERVICES TO THE COMMUNITY INCLUDED STANDBYS AT LOCAL EVENTS SUCH AS: COUNTY FAIR COVERAGE, PARTNERED WITH MUSKINGUM COUNTY HEALTH DEPT - PROJECT DAWN, FOURTH OF JULY EVENTS, LOCAL SPORTING EVENTS, FIRE AND REHAB STANDBYS FOR MULTIPLE FIRE DEPARTMENTS, EMERGENCY MEDICAL DISPATCH (EMD) FOR CITY OF ZANESVILLE AND MUSKINGUM COUNTY, AND SEVERAL OTHER ACTIVITIES THROUGHOUT THE SERVICE AREA.

    Expenses $9,856,141 · Revenue $8,145,132

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Diana Leveck

    DIRECTOR/GENESIS COA

    Total calculated
    $629,670
    From this org
    $0
    From related orgs
    $602,740
    Other
    $26,930
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $462,394 related
    Bonus
    $0 + $111,421 related
    Other
    $0 + $28,925 related
    Deferred
    $0 + $6,162 related
    Nontaxable benefits
    $0 + $20,768 related
    Filer's total
    $0 + $629,670 related

  • Sharon Parker

    DIRECTOR/GENESIS COO

    Total calculated
    $647,563
    From this org
    $0
    From related orgs
    $609,587
    Other
    $37,976
    Hours/week
    0.04 + 49.96 related

    Schedule J breakdown matched by us

    Base
    $0 + $443,355 related
    Bonus
    $0 + $109,421 related
    Other
    $0 + $56,811 related
    Deferred
    $0 + $20,671 related
    Nontaxable benefits
    $0 + $17,305 related
    Filer's total
    $0 + $647,563 related

  • Heath Williams

    DIRECTOR/EMERG SVCS DIRECT

    Total calculated
    $211,039
    From this org
    $0
    From related orgs
    $179,327
    Other
    $31,712
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $165,998 related
    Bonus
    $0 + $13,329 related
    Other
    $0
    Deferred
    $0 + $5,152 related
    Nontaxable benefits
    $0 + $26,560 related
    Filer's total
    $0 + $211,039 related

  • Matthew Perry

    PRESIDENT/CEO

    Total calculated
    $1,030,041
    From this org
    $0
    From related orgs
    $996,462
    Other
    $33,579
    Hours/week
    0.04 + 49.96 related

    Schedule J breakdown matched by us

    Base
    $0 + $845,796 related
    Bonus
    $0 + $150,666 related
    Other
    $0
    Deferred
    $0 + $3,907 related
    Nontaxable benefits
    $0 + $29,672 related
    Filer's total
    $0 + $1,030,041 related

  • Michael Norman

    CHIEF FINANCIAL OFFICER

    Total calculated
    $785,329
    From this org
    $0
    From related orgs
    $750,109
    Other
    $35,220
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $493,519 related
    Bonus
    $0 + $115,681 related
    Other
    $0 + $140,909 related
    Deferred
    $0 + $6,963 related
    Nontaxable benefits
    $0 + $28,257 related
    Filer's total
    $0 + $785,329 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3:
A RELATED ORGANIZATION, GENESIS HEALTHCARE SYSTEM, ESTABLISHES COMPENSATION OF THE ORGANIZATION'S CEO THROUGH A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD AND COMPENSATION COMMITTEE.
PART I, LINE 4B:
A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS SET UP TO PROVIDE ADDITIONAL DEFERRED RETIREMENT INCOME TO THE GENESIS HEALTH CARE SYSTEM SENIOR LEADERSHIP TEAM MEMBERS. THIS PLAN IS FUNDED BY GENESIS AND VESTS WITH SERVICE. GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: DIANA LEVECK: $28,925 SHARON PARKER: $56,811 MICHAEL NORMAN: $140,909 WENDY CEDOZ: $24,310

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • GENESIS HEALTHCARE FOUNDATION

    501(C)(3) · FUNDRAISING FOR GHS · OH · controlled entity

    Directly controlled by GENESIS HEALTHCARE SYSTEM

  • GOOD SAMARITAN MEDICAL CENTER FOUNDATION

    501(C)(3) · FUNDRAISING FOR GHS · OH · controlled entity

    Directly controlled by GENESIS HEALTHCARE FOUNDATION

  • BETHESDA HEALTH FOUNDATION

    501(C)(3) · FUNDRAISING FOR GHS · OH · controlled entity

    Directly controlled by GENESIS HEALTHCARE FOUNDATION

  • GOOD SAMARITAN MEDICAL CENTER

    501(C)(3) · MAINTAINS REAL ESTATE TITLE FOR HOSPITAL · OH · controlled entity

    Directly controlled by GENESIS HEALTHCARE SYSTEM

  • CARESERVE

    501(C)(3) · FORMERLY OPERATED 2 NURSING HOMES THAT WERE SOLD PRIOR TO 2012 · OH · controlled entity

    Directly controlled by GENESIS HEALTHCARE SYSTEM

  • GENESIS HEALTHCARE SYSTEM

    501(C)(3) · HEALTHCARE · OH

  • GENESIS CAREGIVERS

    501(C)(3) · HOME CARE SERVICES · OH · controlled entity

    Directly controlled by CARESERVE

  • BETHESDA HOSPITALITY SHOP

    501(C)(3) · GIFT SHOP · OH · controlled entity

    Directly controlled by GENESIS HEALTHCARE SYSTEM

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CARELIFE LLC

    C · PHYSICIAN SERVICES, HOME INFUSION, CHILDCARE SVCS, PHARMACY, DME · OH · controlled entity

  • SOUTHEAST OHIO MEDICAL INSURANCE COMPANY

    C · CAPTIVE INSURANCE COMPANY · CJ · controlled entity

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202313199349318741

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