Civic Intelligence

Perry County Ambulance Authority Inc.

990 • Fiscal year 2017 • EIN 31-0953118

Jul 01, 2016 to Jun 30, 2017 • Filed on May 11, 2018

PO Box 1106Hazard, KY 41701

(606) 436-3241

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Flat

$2,855,849

Flat from 2017

Net Assets

Flat

$2,848,934

Flat from 2017

Liabilities

Flat

$6,915

Flat from 2017

Revenue And Expenses

Revenue

Flat

$2,428,561

Flat from 2017

Expenses

Flat

$2,556,669

Flat from 2017

Net Income

Flat

-$128,108

Flat from 2017

Historical Trend

Balance Sheet Trend

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

$4.0M$3.0M$2.0M$1.0M$0Assets 2014: $3,053,820Liabilities 2014: $12,210Net Assets 2014: $3,041,6102014Assets 2015: $3,243,180Liabilities 2015: $5,681Net Assets 2015: $3,237,4992015Assets 2016: $2,951,912Liabilities 2016: $6,178Net Assets 2016: $2,945,7342016Assets 2017: $2,855,849Liabilities 2017: $6,915Net Assets 2017: $2,848,9342017Assets 2017: $2,855,849Liabilities 2017: $6,915Net Assets 2017: $2,848,9342017Assets 2018: $2,566,455Liabilities 2018: $3,975Net Assets 2018: $2,562,4802018Assets 2020: $2,307,281Liabilities 2020: $3,493Net Assets 2020: $2,303,7882020Assets 2021: $2,964,253Liabilities 2021: $647,012Net Assets 2021: $2,317,2412021Assets 2022: $2,904,319Liabilities 2022: $889,687Net Assets 2022: $2,014,6322022Assets 2023: $2,977,518Liabilities 2023: $909,818Net Assets 2023: $2,067,7002023Assets 2024: $3,152,279Liabilities 2024: $1,051,724Net Assets 2024: $2,100,5552024

Highlighted filing

2017

Assets$2,855,849
Liabilities$6,915
Net Assets$2,848,934

Operations Trend

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

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2014: $2,255,436Expenses 2014: $2,276,393Net Income 2014: -$20,9572014Revenue 2015: $2,345,307Expenses 2015: $2,149,418Net Income 2015: $195,8892015Revenue 2016: $2,111,592Expenses 2016: $2,393,885Net Income 2016: -$282,2932016Revenue 2017: $2,428,561Expenses 2017: $2,556,669Net Income 2017: -$128,1082017Revenue 2017: $2,428,561Expenses 2017: $2,556,669Net Income 2017: -$128,1082017Revenue 2018: $2,411,844Expenses 2018: $2,730,193Net Income 2018: -$318,3492018Revenue 2020: $2,509,314Expenses 2020: $2,683,102Net Income 2020: -$173,7882020Revenue 2021: $2,421,099Expenses 2021: $2,570,498Net Income 2021: -$149,3992021Revenue 2022: $3,519,177Expenses 2022: $3,690,168Net Income 2022: -$170,9912022Revenue 2023: $4,092,776Expenses 2023: $4,155,834Net Income 2023: -$63,0582023Revenue 2024: $4,302,772Expenses 2024: $4,970,112Net Income 2024: -$667,3402024

Highlighted filing

2017

Revenue$2,428,561
Expenses$2,556,669
Net Income-$128,108
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 11, 2018
Return Version
2016v3.0
Gross Receipts
$2,428,561
Mission and Program Overview

Mission

Ambulatory care for perry co

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$2,945,734$2,848,934▼ $96,800
Land, Buildings, and Equipment, Net$1,757,162$1,875,733▲ $118,571
Savings and Temporary Cash Investments$964,919$896,984▼ $67,935
Cash and Non-Interest-Bearing Accounts$229,831$83,132▼ $146,699
Total Assets$2,951,912$2,855,849▼ $96,063
Liabilities
Accounts Payable and Accrued Expenses$6,178$6,915▲ $737
Total Liabilities$6,178$6,915▲ $737
Net Assets / Fund Balance
Total Net Assets Fund Balance$2,945,734$2,848,934▼ $96,800
Total Liabilities and Net Assets / Fund Balance$2,951,912$2,855,849▼ $96,063

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$899,279$607,736-
Land$594,000--
Equipment$257,611$411,453-
Leasehold Improvements$124,843$245,937-
Compensation and Service Providers

Board Members and Trustees

NameTitle
Scott AlexanderChairman
Jason TaylorAmbulance Director
Carlos CombsBoard Member
Larry B FrancisBoard Member
Joey PrattSecretary
John EppersonTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,415,753
Investment Income
$12,808
Other Revenue
$0
Change in Net Assets
$-128,108
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,613,445
Other Expenses$943,224
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$998,989--$998,989
Payroll Taxes$401,673--$401,673
Insurance$245,214--$245,214
Other Employee Benefits$212,783--$212,783
Depreciation Depletion$147,090--$147,090
Occupancy$74,370--$74,370
Fees for Services Accounting$25,498--$25,498
Advertising$11,689--$11,689
Fees for Services Legal$11,178--$11,178
Other Expenses$9,525--$9,525
Office Expenses$4,989--$4,989
Travel$847--$847
Total Functional Expenses$2,556,669$0$0$2,556,669
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Copier Lease-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 governing body review Part VI line 11

Board members review 990 prior to submission

Conflict of interest policy compliance Part VI line 12C

Board members sign no conflict of interest statements on a periodic basis.

CEO executive director top management comp Part VI line 15A

Key employee pay is reviewed, discussed and approved by board members

Other officer or key employee compensation Part VI line 15B

Employee pay raises and other compensation and incentive issues are reviewed discussed and approved by board of directors

Governing documents etc available to public Part VI line 19

Governing documents are available to the public at administrative office location upon request

Filing and Contact Details

Filer

Filer Name
Perry County Ambulance Authorityin
EIN
31-0953118
Address
PO BOX 1106, HAZARD, KY 41701

Signing Officer

Name
Scott Alexander
Title
Ambulance Direc
Phone
6064394776
Signed
2018-05-11
Discuss with paid preparer
Yes

Organization Details

Formed
1979
Legal Domicile
Ky
Voting Board Members
6
Independent Board Members
6
Employees
50

Preparer

Firm
Chris Gooch CPA
Address
PO BOX 1536, Hazard, KY 41702
Preparer
Chris Gooch
Phone
6064365700
Supplemental Narrative

Additional Explanations

Explanation of other changes in net assets or fund balances Part XI line 9

ROUNDING

Financial Statement Notes

Other revenues not included on Form 990 (Part XI, line 2D)

Audit is completed on an accrual basis while the 990 is on the cash basis of accounting. Form 990 was filed before audit was completed.

Other expenses not included on Form 990 (Part XII, line 2D)

Audit is completed on an accrual basis while the 990 is on the cash basis of accounting. Form 990 was filed before audit was completed.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0AUDIT IS COMPLETED ON AN ACCRUAL BASIS WHILE THE 990 IS ON THE CASH BASIS OF ACCOUNTING. FORM 990 WAS FILED BEFORE AUDIT WAS COMPLETED.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1AUDIT IS COMPLETED ON AN ACCRUAL BASIS WHILE THE 990 IS ON THE CASH BASIS OF ACCOUNTING. FORM 990 WAS FILED BEFORE AUDIT WAS COMPLETED.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Other revenues not included on Form 990 (Part XI, line 2d)
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Other expenses not included on Form 990 (Part XII, line 2d)
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01875733
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0BOARD MEMBERS REVIEW 990 PRIOR TO SUBMISSION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD MEMBERS SIGN NO CONFLICT OF INTEREST STATEMENTS ON A PERIODIC BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2KEY EMPLOYEE PAY IS REVIEWED, DISCUSSED AND APPROVED BY BOARD MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3EMPLOYEE PAY RAISES AND OTHER COMPENSATION AND INCENTIVE ISSUES ARE REVIEWED DISCUSSED AND APPROVED BY BOARD OF DIRECTORS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC AT ADMINISTRATIVE OFFICE LOCATION UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5ROUNDING
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Explanation of other changes in net assets or fund balances Part XI line 9
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0KY
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt02951912
IRS990/TotalAssetsEOYAmt02855849
IRS990/TotalAssetsGrp/BOYAmt02951912
IRS990/TotalAssetsGrp/EOYAmt02855849
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt050
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt02556669
IRS990/TotalFunctionalExpensesGrp/TotalAmt02556669
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt06178
IRS990/TotalLiabilitiesEOYAmt06915
IRS990/TotalLiabilitiesGrp/BOYAmt06178
IRS990/TotalLiabilitiesGrp/EOYAmt06915
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt02945734
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt02848934
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt02556669
IRS990/TotalProgramServiceRevenueAmt02415753
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt02428561
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt02428561
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt02951912
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt02855849
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/ProgramServicesAmt0847
IRS990/TravelGrp/TotalAmt0847
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0SCOTT ALEXANDER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0AMBULANCE DIREC
ReturnHeader/BusinessOfficerGrp/PhoneNum06064394776
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-05-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0PERRY COUNTY AMBULANCE AUTHORITYIN
ReturnHeader/Filer/BusinessNameControlTxt0PERR
ReturnHeader/Filer/EIN0310953118
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 1106
ReturnHeader/Filer/USAddress/CityNm0HAZARD
ReturnHeader/Filer/USAddress/StateAbbreviationCd0KY
ReturnHeader/Filer/USAddress/ZIPCd041701
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0E79E4D18E65E7ED59DCF3E4C15E2D0419CA8FC2D
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0E79E4D18E65E7ED59DCF3E4C15E2D0419CA8FC2D
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionId06120282018134h3sx2fe
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02018-05-14
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0139.55.44.91
ReturnHeader/FilingSecurityInformation/IPDt02018-05-14
ReturnHeader/FilingSecurityInformation/IPTm013:29:49
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0311534250
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Chris Gooch CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO BOX 1536
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Hazard
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0KY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd041702
ReturnHeader/PreparerPersonGrp/PhoneNum06064365700
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Chris Gooch
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02018-05-11T18:54:51-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-07-01
ReturnHeader/TaxPeriodEndDt02017-06-30
ReturnHeader/TaxYr02016

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