Civic Intelligence

Blacklick Valley Foundation and Ambulance Service Inc.

990 • Fiscal year 2016 • EIN 25-1366982

Jan 01, 2016 to Dec 31, 2016 • Filed on Jun 09, 2017

1077 First StreetNantyglo, PA 15943

(814) 749-7332

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

89th percentile

0.73x

Higher debt load relative to assets than 89% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

82nd percentile

0.40x

Higher debt load relative to revenue than 82% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

58th percentile

6.1%

Higher net margin than 58% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

54th percentile

$21,686

Higher top officer pay than 54% of similar nonprofits.

Top officer pay equals 3.9% of source-year revenue.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

74th percentile

14%

Faster asset growth than 74% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Revenue Growth

90th percentile

64%

Faster revenue growth than 90% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Assets

Up

$304,546

Up $38,538 (+14%) from 2015

Net Assets

Up

$82,511

Up $34,247 (+71%) from 2015

Liabilities

Up

$222,035

Up $4,291 (+2.0%) from 2015

Revenue

Up

$551,697

Up $215,378 (+64%) from 2015

Expenses

Up

$518,206

Up $124,025 (+31%) from 2015

Net Income

Up

$33,491

Up $91,353 (+158%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0M$500K$0Assets 2012: $160,668Liabilities 2012: $107,361Net Assets 2012: $53,3072012Assets 2013: $349,746Liabilities 2013: $269,884Net Assets 2013: $79,8622013Assets 2014: $296,108Liabilities 2014: $211,417Net Assets 2014: $84,6912014Assets 2015: $266,008Liabilities 2015: $217,744Net Assets 2015: $48,2642015Assets 2016: $304,546Liabilities 2016: $222,035Net Assets 2016: $82,5112016Assets 2017: $440,251Liabilities 2017: $202,470Net Assets 2017: $237,7812017Assets 2018: $537,031Liabilities 2018: $31,791Net Assets 2018: $505,2402018Assets 2019: $700,645Liabilities 2019: $120,515Net Assets 2019: $580,1302019Assets 2020: $897,015Liabilities 2020: $286,177Net Assets 2020: $610,8382020Assets 2021: $786,835Liabilities 2021: $246,529Net Assets 2021: $540,3062021Assets 2022: $651,594Liabilities 2022: $189,742Net Assets 2022: $461,8522022Assets 2023: $551,421Liabilities 2023: $178,532Net Assets 2023: $372,8892023Assets 2024: $680,995Liabilities 2024: $296,739Net Assets 2024: $384,2562024

Highlighted filing

2016

Assets$304,546
Liabilities$222,035
Net Assets$82,511

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500KExpenses 2012: $328,2052012Revenue 2013: $377,826Expenses 2013: $351,271Net Income 2013: $26,5552013Revenue 2014: $388,396Expenses 2014: $383,567Net Income 2014: $4,8292014Revenue 2015: $336,319Expenses 2015: $394,181Net Income 2015: -$57,8622015Revenue 2016: $551,697Expenses 2016: $518,206Net Income 2016: $33,4912016Revenue 2017: $880,405Expenses 2017: $719,755Net Income 2017: $160,6502017Revenue 2018: $1,032,209Expenses 2018: $762,459Net Income 2018: $269,7502018Revenue 2019: $826,975Expenses 2019: $752,085Net Income 2019: $74,8902019Revenue 2020: $774,881Expenses 2020: $747,668Net Income 2020: $27,2132020Revenue 2021: $960,238Expenses 2021: $1,028,920Net Income 2021: -$68,6822021Revenue 2022: $1,007,183Expenses 2022: $1,076,127Net Income 2022: -$68,9442022Revenue 2023: $946,400Expenses 2023: $1,039,020Net Income 2023: -$92,6202023Revenue 2024: $1,203,153Expenses 2024: $1,192,739Net Income 2024: $10,4142024

Highlighted filing

2016

Revenue$551,697
Expenses$518,206
Net Income$33,491
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Jun 9, 2017
Return Version
2016v3.0
Gross Receipts
$563,161
Mission and Program Overview

Mission

Blacklick valley foundation ambulance service is a medical transport service company providing local medical emergency transportation to individuals in the nanty glo, pennsylvania area and out of the area non- emergency transportation.

Blacklick valley foundation ambulance service is a medical transport service company providing local medical transportation to individuals in the nanty glo, pennsylvania area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$252,953$220,164▼ $32,789
Cash and Non-Interest-Bearing Accounts$12,555$82,787▲ $70,232
Savings and Temporary Cash Investments-$1,095-
Total Assets$266,008$304,546▲ $38,538
Other Assets Total$500$500→ $0
Liabilities
Mortgage Notes Payable Secured by Investment Property$217,744$188,206▼ $29,538
Deferred Revenue-$31,429-
Other Liabilities-$2,400-
Total Liabilities$217,744$222,035▲ $4,291
Net Assets / Fund Balance
Unrestricted Net Assets$48,264$82,511▲ $34,247
Total Net Assets Fund Balance$48,264$82,511▲ $34,247
Total Liabilities and Net Assets / Fund Balance$266,008$304,546▲ $38,538

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$197,126$611,501$808,627
Buildings$12,101$169,319$181,420
Land$7,850-$7,850
Leasehold Improvements$3,087$1,171$4,258
Compensation and Service Providers

Employees

NameTitleBaseTotal
Brian HeitzenraterBoard Member$21,686$21,686
Beverly Sherwood-burnsSecretary/tr$11,905$11,905

Board Members and Trustees

NameTitle
Keith RadebachPresident
Ben RinglerBoard Member
Bill RobertsBoard Member
Bob SpongrossBoard Member
Dr Michaleen WilsonBoard Member
Revenue and Support

Revenue Composition

Contributions and Grants
$26,406
Program Service Revenue
$518,875
Investment Income
$1
Other Revenue
$6,415
All Other Contributions
$15,348
Change in Net Assets
$33,491
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$317,044
Other Expenses$201,162
Total Fundraising Expense$350
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$196,946$4,019-$200,965
Payroll Taxes$80,838$1,650-$82,488
Depreciation Depletion$36,389--$36,389
Current Officers, Directors, Trustees, and Key Employees$32,919$672-$33,591
All Other Expenses$19,053$5,606-$24,659
Occupancy$19,251$393-$19,644
Insurance$18,077$369-$18,446
Office Expenses-$15,072-$15,072
Fees for Services Other-$10,716-$10,716
Interest$9,695--$9,695
Other Expenses$4,972--$4,972
Fees for Services Accounting$2,859$608-$3,467
Advertising-$75$350$425
Total Functional Expenses$478,676$39,180$350$518,206
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$17,879
Fundraising Direct Expenses$11,464
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Outdoor Bash$12,536$12,536$1,337$11,199
Total Events$12,536$12,536$8,863$3,673
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Lease Obligation-monitor$2,400
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

The form 990 is reviewed prior to issuance by the board secretary only. Post-issuance, the form 990 is made available to the governing body for review upon request.

Form 990, Page 6, Part VI, Line 15A

Compensation of all employees is subject to review and approval by the board of directors.

Form 990, Page 6, Part VI, Line 15B

Compensation of all employees is subject to review and approval by the board of directors.

Form 990, Page 6, Part VI, Line 19

Governing documents are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Blacklick Valley Foundation &
EIN
25-1366982
Phone
8147497332
Address
1077 FIRST STREET, NANTYGLO, PA 15943

Signing Officer

Name
Beverly Sherwood-burns
Title
Secretary/treasurer
Phone
8147497332
Signed
2017-06-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Beverly Sherwood-burns
Formed
1977
Voting Board Members
7
Independent Board Members
7
Employees
31

Preparer

Firm
Kotzan CPA and Associates Pc
Address
334 BUDFIELD ST STE 180, JOHNSTOWN, PA 15904-3345
Preparer
Vanessa L Gary
Phone
8142694912
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

Blacklick valley foundation ambulance service is a medical transport service company providing local medical transportation to individuals in the nanty glo, pennsylvania area.

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IRS990ScheduleD/EquipmentGrp/BookValueAmt0197126
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0611501
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0808627
IRS990ScheduleD/LandGrp/BookValueAmt07850
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt07850
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt03087
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt01171
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0LEASE OBLIGATION-MONITOR
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0BLACKLICK VALLEY FOUNDATION AMBULANCE SERVICE IS A MEDICAL TRANSPORT SERVICE COMPANY PROVIDING LOCAL MEDICAL TRANSPORTATION TO INDIVIDUALS IN THE NANTY GLO, PENNSYLVANIA AREA.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 IS REVIEWED PRIOR TO ISSUANCE BY THE BOARD SECRETARY ONLY. POST-ISSUANCE, THE FORM 990 IS MADE AVAILABLE TO THE GOVERNING BODY FOR REVIEW UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2COMPENSATION OF ALL EMPLOYEES IS SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3COMPENSATION OF ALL EMPLOYEES IS SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0478676
IRS990/TotalFunctionalExpensesGrp/TotalAmt0518206
IRS990/TotalGrossUBIAmt00
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IRS990/UnrestrictedNetAssetsGrp/BOYAmt048264
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IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0271 CHURCH STREET
IRS990/USAddress/CityNm0TWIN ROCKS
IRS990/USAddress/StateAbbreviationCd0PA
IRS990/USAddress/ZIPCd015960
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WebsiteAddressTxt0WWW.BVFAS.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0BEVERLY SHERWOOD-BURNS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0SECRETARY/TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum08147497332
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-06-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0BLACKLICK VALLEY FOUNDATION &
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0AMBULANCE SERVICE
ReturnHeader/Filer/BusinessNameControlTxt0BLAC
ReturnHeader/Filer/EIN0251366982
ReturnHeader/Filer/PhoneNum08147497332
ReturnHeader/Filer/USAddress/AddressLine1Txt01077 FIRST STREET
ReturnHeader/Filer/USAddress/CityNm0NANTYGLO
ReturnHeader/Filer/USAddress/StateAbbreviationCd0PA
ReturnHeader/Filer/USAddress/ZIPCd015943

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