Civic Intelligence

Mercy Health Medical Transportation LLC

990 • Fiscal year 2013 • EIN 45-4605873

Jan 01, 2013 to Dec 31, 2013 • Filed on Nov 13, 2014

6510 Corporate Drive45242

(513) 407-8526

Siviq Scores

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

Liabilities / Assets

93rd percentile

1.06x

Higher debt load relative to assets than 93% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Liabilities / Revenue

74th percentile

0.64x

Higher debt load relative to revenue than 74% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Net Margin

17th percentile

-11%

Higher net margin than 17% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Top Officer Pay

22nd percentile

$0

Higher top officer pay than 22% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Asset Growth

4th percentile

-20%

Faster asset growth than 4% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2012 to 2013

Revenue Growth

92nd percentile

82%

Faster revenue growth than 92% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2012 to 2013

Assets

Down

$3,050,152

Down $760,442 (-20%) from 2012

Net Assets

Down

-$179,857

Down $559,987 (-147%) from 2012

Liabilities

Down

$3,230,009

Down $200,455 (-5.8%) from 2012

Revenue

Up

$5,043,644

Up $2,272,175 (+82%) from 2012

Expenses

Up

$5,603,631

Up $2,712,292 (+94%) from 2012

Net Income

Down

-$559,987

Down $440,117 (-367%) from 2012

Historical Trend

Balance Sheet Trend

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

$4.0M$2.0M$0-$2.0MAssets 2012: $3,810,594Liabilities 2012: $3,430,464Net Assets 2012: $380,1302012Assets 2013: $3,050,152Liabilities 2013: $3,230,009Net Assets 2013: -$179,8572013Assets 2014: $2,024,862Liabilities 2014: $2,935,097Net Assets 2014: -$910,2352014Assets 2015: $1,458,634Liabilities 2015: $2,593,143Net Assets 2015: -$1,134,5092015Assets 2016: $512,701Liabilities 2016: $2,471,391Net Assets 2016: -$1,958,6902016Assets 2017: $247,456Liabilities 2017: $1,377,674Net Assets 2017: -$1,130,2182017Assets 2018: $222,504Liabilities 2018: $1,526,457Net Assets 2018: -$1,303,9532018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2013

Assets$3,050,152
Liabilities$3,230,009
Net Assets-$179,857

Operations Trend

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

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2012: $2,771,469Expenses 2012: $2,891,339Net Income 2012: -$119,8702012Revenue 2013: $5,043,644Expenses 2013: $5,603,631Net Income 2013: -$559,9872013Revenue 2014: $4,923,142Expenses 2014: $5,292,519Net Income 2014: -$369,3772014Revenue 2015: $4,532,036Expenses 2015: $4,756,310Net Income 2015: -$224,2742015Revenue 2016: $2,722,043Expenses 2016: $3,546,224Net Income 2016: -$824,1812016Revenue 2017: $1,447,520Expenses 2017: $619,048Net Income 2017: $828,4722017Revenue 2018: $20,576Expenses 2018: $194,311Net Income 2018: -$173,7352018Revenue 2019: $1,369,839Expenses 2019: $65,886Net Income 2019: $1,303,9532019

Highlighted filing

2013

Revenue$5,043,644
Expenses$5,603,631
Net Income-$559,987
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Nov 13, 2014
Return Version
2013v3.0
Gross Receipts
$5,043,644
Mission and Program Overview

Mission

To provide medical and non-medical transportation and educational services in the most compassionate and excellent manner.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$1,792,819$1,262,694▼ $530,125
Land, Buildings, and Equipment, Net$1,483,038$1,100,201▼ $382,837
Cash and Non-Interest-Bearing Accounts$498,553$625,758▲ $127,205
Prepaid Expenses and Deferred Charges$36,184$61,499▲ $25,315
Total Assets$3,810,594$3,050,152▼ $760,442
Liabilities
Mortgage Notes Payable Secured by Investment Property$2,650,000$1,486,667▼ $1,163,333
Accounts Payable and Accrued Expenses$780,464$933,355▲ $152,891
Other Liabilities$0$809,987▲ $809,987
Total Liabilities$3,430,464$3,230,009▼ $200,455
Net Assets / Fund Balance
Unrestricted Net Assets$380,130$-179,857▼ $559,987
Total Net Assets Fund Balance$380,130$-179,857▼ $559,987
Total Liabilities and Net Assets / Fund Balance$3,810,594$3,050,152▼ $760,442

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,100,201$587,461$1,687,662
Compensation and Service Providers

Board Members and Trustees

NameTitle
Patrick KowalskiChairman
Greg BeaucheminPresident & CEO
Jim SmithDirector
Michael KramerDirector
Stephen Jamey BakerDirector
Laura MartinAsst Secretary
Jody HurtubiseAsst Treasurer
Lisa VandecaveyeSecretary
Matt NealonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Parastar INCManagement, Billing, Dispatch & Repairs-$937,485
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$5,043,644
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-559,987
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$2,843,039
Salaries, Compensation, and Employee Benefits$2,760,592
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,104,264--$2,104,264
Fees for Services Other$456,466$41,479-$497,945
Other Employee Benefits$497,130--$497,130
Depreciation Depletion$393,617--$393,617
Fees for Services Accounting-$282,132-$282,132
Fees for Services Management-$199,025-$199,025
Payroll Taxes$159,198--$159,198
Insurance$95,927--$95,927
Occupancy$83,130--$83,130
Office Expenses$63,367--$63,367
Interest$58,483--$58,483
Other Expenses$58,136--$58,136
All Other Expenses$36,373--$36,373
Travel$22,233--$22,233
Fees for Services Legal-$18,446-$18,446
Advertising$4,378--$4,378
Total Functional Expenses$5,062,549$541,082$0$5,603,631
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Common Board Member - G.beaucheminParastar Emergency Systems Corporation Provides Management, Dispatch, Vehicle Repair & Maintenance, and Billing & Collection Services to Mercy Health Medical Transportation, Llc.No$937,485
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Notes Payable to Related Parties$809,987
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
No
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

Greg beauchemin and stephen jamey baker have a business relationship. Patrick kowalski, michael kramer and matt nealon have a business relationship.

Form 990, Part VI, Section A, Line 3

The organization contracts with parastar, inc., a subsidiary of community emergency medical services, inc., to provide on-site management and executive oversight.

Form 990, Part VI, Section A, Line 6

The organization is a joint venture made up of two members who are section 501(c)(3) organizations with the following ownership percentage: community emergency medical service, inc.: 50% mercy health partners of southwest ohio, inc.: 50%

Form 990, Part VI, Section A, Line 7A

The chairperson of the board of managers is appointed by mercy health and must also be a manager. The president and ceo are appointed by cems and must also be a manager. The treasurer and assistant secretary are appointed by mercy health and there is no requirement for these officers to be managers. The secretary and assistant treasurer are appointed by cems and there is no requirement for these officers to be managers. These officers may only be removed by the member that appointed them or by approval of the board of managers (section 7.11 of the operating agreement).

Form 990, Part VI, Section A, Line 7B

Governing body (board of managers) of this entity have full authority to govern the affairs except for powers which are reserved to community emergency medical service, inc. And mercy health partners of southwest ohio, inc., its members, per article vii, section 7.4 of the operating agreement. These reserved powers include amendment, modification or repeal of the articles of organization or operating agreement; the company's merger, consolidation or affiliation with or into another entity, or the transfer, pledge, or mortgage of all or substantially all of the assets of the company; voluntary dissolution of the company; admission of new or additional members and/or the issuance of new membership interests to new or additional members; any transactions, agreements, or payments between the company and any member, manager, affiliate of a member or manager, agent or officer of the company, except as authorized pursuant to article vii, section 7.6 of the management agreement; company's participation in joint ventures or acquisitions; adoption of or change in the company's strategic and/or long range plans; the 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 one hundred thousand dollars ($100,000) in any one or series of related transactions; the sale or transfer of more than ten percent (10%) of the book value of the assets of the company; the borrowing or lending of money by the company, 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 to any party other than the company or becoming a surety with respect to a third party loan or obligation except for trade obligations conducted in the ordinary course of business approved by the board of managers pursuant to section 7.7 of the management agreement; adoption or material amendment of the company's annual operating and capital budgets; any unbudgeted capital expenditures by the corporation in excess of fifty thousand dollars ($50,000); any call for capital contributions or issuance of additional membership interests; approval, termination, amendment, modification, extension, or renewal of the management agreement; any material or substantial change in the capital, managerial structure, stated mission or purpose, character of its business, elimination or expansion of the scope of services or its service area of the company or a change in the principal activity of operating medical transportation services in the defined service area; making, execution or delivering an assignment for the benefit of creditors; adoption or amendment of the company's policy for distributions to members and approval of distributions to a member or members; 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 violates section 10.1 of the operating agreement; selection of the legal counsel and accountants to 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 series of transactions; investment of the company's cash or reserves not in accordance with the approved investment policy, or any adoption or amendment to any investment policy for the company; the commencement of any legal proceedings, litigation or arbitration (other than routine collection of trade debt), defense of any claims against the company, the negotiation or execution of any settlement agreement; any guarantee of debt of the company by a member or members; approval of the company's managed care strategy and any managed care agreements.

Form 990, Part VI, Section A, Line 8B

The board of managers may appoint individuals to committees adopted by resolution. These committees do not have any management authority. At present, there are no committees.

Form 990, Part VI, Section B, Line 11

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 managers.

Form 990, Part VI, Section B, Line 12C

The company 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 company per the policy. The conflict of interest policy covers any member, manager, officer, non-manager member of a committee of the board or person in a similar position of authority over the company. The disinterested members of the board of managers [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 managers 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 community ems and billed to parastar, inc., the management company. Therefore, a compensation process is not applicable for this organization.

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.

Filing and Contact Details

Filer

EIN
45-4605873
Phone
5134078526

Signing Officer

Name
Greg Beauchemin
Title
President
Phone
2483046023
Signed
2014-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Greg Beauchemin
Formed
2012
Legal Domicile
Oh
Voting Board Members
6
Independent Board Members
5
Employees
149
Volunteers
6

Preparer

Preparer
Carol Lalonde CPA
Phone
2695674500
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

Accounting principles generally accepted in the united states of america require management to evaluate tax positions taken by the organization and recognize a tax liability if the organization has taken a uncertain position that more likely than not would not be sustained upon examination by the irs or other applicable taxing authorities. Management has analyzed the tax positions taken by the company and has concluded that as of december 31, 2013, that there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. The organization is subject to the routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress.

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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CEO
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IRS990/NetAssetsOrFundBalancesEOYAmt0-179857
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt083130
IRS990/OccupancyGrp/TotalAmt083130
IRS990/OfficeExpensesGrp/ProgramServicesAmt063367
IRS990/OfficeExpensesGrp/TotalAmt063367
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0497130
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0497130
IRS990/OtherExpensesGrp/Desc0BAD DEBT EXPENSE
IRS990/OtherExpensesGrp/Desc1VEHICLE GASOLINE & DIES
IRS990/OtherExpensesGrp/Desc2VEHICLE REPAIRS & MAINT
IRS990/OtherExpensesGrp/Desc3MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/ProgramServicesAmt0670335
IRS990/OtherExpensesGrp/ProgramServicesAmt1268220
IRS990/OtherExpensesGrp/ProgramServicesAmt291292
IRS990/OtherExpensesGrp/ProgramServicesAmt358136
IRS990/OtherExpensesGrp/TotalAmt0670335
IRS990/OtherExpensesGrp/TotalAmt1268220
IRS990/OtherExpensesGrp/TotalAmt291292
IRS990/OtherExpensesGrp/TotalAmt358136
IRS990/OtherLiabilitiesGrp/BOYAmt00
IRS990/OtherLiabilitiesGrp/EOYAmt0809987
IRS990/OtherOrganizationDsc0LLC
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt02104264
IRS990/OtherSalariesAndWagesGrp/TotalAmt02104264
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ProgramServicesAmt0159198
IRS990/PayrollTaxesGrp/TotalAmt0159198
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt036184
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt061499
IRS990/PrincipalOfficerNm0GREG BEAUCHEMIN
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621910
IRS990/ProgramServiceRevenueGrp/BusinessCd1621990
IRS990/ProgramServiceRevenueGrp/Desc0AMBULANCE
IRS990/ProgramServiceRevenueGrp/Desc1NON-EMERGENCY
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IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1177869
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt04865775
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1177869
IRS990/ProgSrvcAccomActy2Grp/Desc0THE ORGANIZATION PROVIDED NON-EMERGENCY VAN SERVICE TRANSPORTATION TO APPROXIMATELY 4,342 PHYSICALLY AND MENTALLY CHALLENGED PATIENTS TO FACILITIES THAT PROVIDE REHABILITATION CARE TO PROMOTE THE HEALTH OF THE INDIVIDUAL.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0148236
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt0177869
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt01458967
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt02771469
IRS990/PYRevenuesLessExpensesAmt0-119870
IRS990/PYSalariesCompEmpBnftPaidAmt01432372
IRS990/PYTotalExpensesAmt02891339
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt02771469
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-559987
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd00
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt04865775
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/First5Years509Ind0X
IRS990ScheduleA/Form990ScheduleAPartIVGrp/ExplanationTxt0PART III, COLUMN (E) - PRIOR YEAR WAS SHORT YEAR DUE TO THE FACT THAT THE ORGANIZATION STARTED IN FEBRUARY 2012.
IRS990ScheduleA/Form990ScheduleAPartIVGrp/FormAndLineReferenceDesc0FORM 990 PART III, COLUMN D
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt05043644
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt02771469
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt07815113
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportTotal509Amt07815113
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt05043644
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt02771469
IRS990ScheduleA/Total509Grp/TotalAmt07815113
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt05043644
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt02771469
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt07815113
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt01100201
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0587461
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt01687662
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0809987
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0NOTES PAYABLE TO RELATED PARTIES
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN A UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE COMPANY AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THAT THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO THE ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01100201
IRS990ScheduleD/TotalLiabilityAmt0809987
IRS990/ScheduleJRequiredInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine10PARASTAR EMERGENCY SYSTEMS CORPORATION
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0COMMON BOARD MEMBER - G.BEAUCHEMIN
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionAmt0937485
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0PARASTAR EMERGENCY SYSTEMS CORPORATION PROVIDES MANAGEMENT, DISPATCH, VEHICLE REPAIR & MAINTENANCE, AND BILLING & COLLECTION SERVICES TO MERCY HEALTH MEDICAL TRANSPORTATION, LLC.
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0GREG BEAUCHEMIN AND STEPHEN JAMEY BAKER HAVE A BUSINESS RELATIONSHIP. PATRICK KOWALSKI, MICHAEL KRAMER AND MATT NEALON HAVE A BUSINESS RELATIONSHIP.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION CONTRACTS WITH PARASTAR, INC., A SUBSIDIARY OF COMMUNITY EMERGENCY MEDICAL SERVICES, INC., TO PROVIDE ON-SITE MANAGEMENT AND EXECUTIVE OVERSIGHT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION IS A JOINT VENTURE MADE UP OF TWO MEMBERS WHO ARE SECTION 501(C)(3) ORGANIZATIONS WITH THE FOLLOWING OWNERSHIP PERCENTAGE: COMMUNITY EMERGENCY MEDICAL SERVICE, INC.: 50% MERCY HEALTH PARTNERS OF SOUTHWEST OHIO, INC.: 50%
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE CHAIRPERSON OF THE BOARD OF MANAGERS IS APPOINTED BY MERCY HEALTH AND MUST ALSO BE A MANAGER. THE PRESIDENT AND CEO ARE APPOINTED BY CEMS AND MUST ALSO BE A MANAGER. THE TREASURER AND ASSISTANT SECRETARY ARE APPOINTED BY MERCY HEALTH AND THERE IS NO REQUIREMENT FOR THESE OFFICERS TO BE MANAGERS. THE SECRETARY AND ASSISTANT TREASURER ARE APPOINTED BY CEMS AND THERE IS NO REQUIREMENT FOR THESE OFFICERS TO BE MANAGERS. THESE OFFICERS MAY ONLY BE REMOVED BY THE MEMBER THAT APPOINTED THEM OR BY APPROVAL OF THE BOARD OF MANAGERS (SECTION 7.11 OF THE OPERATING AGREEMENT).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4GOVERNING BODY (BOARD OF MANAGERS) OF THIS ENTITY HAVE FULL AUTHORITY TO GOVERN THE AFFAIRS EXCEPT FOR POWERS WHICH ARE RESERVED TO COMMUNITY EMERGENCY MEDICAL SERVICE, INC. AND MERCY HEALTH PARTNERS OF SOUTHWEST OHIO, INC., ITS MEMBERS, PER ARTICLE VII, SECTION 7.4 OF THE OPERATING AGREEMENT. THESE RESERVED POWERS INCLUDE AMENDMENT, MODIFICATION OR REPEAL OF THE ARTICLES OF ORGANIZATION OR OPERATING AGREEMENT; THE COMPANY'S MERGER, CONSOLIDATION OR AFFILIATION WITH OR INTO ANOTHER ENTITY, OR THE TRANSFER, PLEDGE, OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE COMPANY; VOLUNTARY DISSOLUTION OF THE COMPANY; ADMISSION OF NEW OR ADDITIONAL MEMBERS AND/OR THE ISSUANCE OF NEW MEMBERSHIP INTERESTS TO NEW OR ADDITIONAL MEMBERS; ANY TRANSACTIONS, AGREEMENTS, OR PAYMENTS BETWEEN THE COMPANY AND ANY MEMBER, MANAGER, AFFILIATE OF A MEMBER OR MANAGER, AGENT OR OFFICER OF THE COMPANY, EXCEPT AS AUTHORIZED PURSUANT TO ARTICLE VII, SECTION 7.6 OF THE MANAGEMENT AGREEMENT; COMPANY'S PARTICIPATION IN JOINT VENTURES OR ACQUISITIONS; ADOPTION OF OR CHANGE IN THE COMPANY'S STRATEGIC AND/OR LONG RANGE PLANS; THE 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 ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ANY ONE OR SERIES OF RELATED TRANSACTIONS; THE SALE OR TRANSFER OF MORE THAN TEN PERCENT (10%) OF THE BOOK VALUE OF THE ASSETS OF THE COMPANY; THE BORROWING OR LENDING OF MONEY BY THE COMPANY, 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 TO ANY PARTY OTHER THAN THE COMPANY OR BECOMING A SURETY WITH RESPECT TO A THIRD PARTY LOAN OR OBLIGATION EXCEPT FOR TRADE OBLIGATIONS CONDUCTED IN THE ORDINARY COURSE OF BUSINESS APPROVED BY THE BOARD OF MANAGERS PURSUANT TO SECTION 7.7 OF THE MANAGEMENT AGREEMENT; ADOPTION OR MATERIAL AMENDMENT OF THE COMPANY'S ANNUAL OPERATING AND CAPITAL BUDGETS; ANY UNBUDGETED CAPITAL EXPENDITURES BY THE CORPORATION IN EXCESS OF FIFTY THOUSAND DOLLARS ($50,000); ANY CALL FOR CAPITAL CONTRIBUTIONS OR ISSUANCE OF ADDITIONAL MEMBERSHIP INTERESTS; APPROVAL, TERMINATION, AMENDMENT, MODIFICATION, EXTENSION, OR RENEWAL OF THE MANAGEMENT AGREEMENT; ANY MATERIAL OR SUBSTANTIAL CHANGE IN THE CAPITAL, MANAGERIAL STRUCTURE, STATED MISSION OR PURPOSE, CHARACTER OF ITS BUSINESS, ELIMINATION OR EXPANSION OF THE SCOPE OF SERVICES OR ITS SERVICE AREA OF THE COMPANY OR A CHANGE IN THE PRINCIPAL ACTIVITY OF OPERATING MEDICAL TRANSPORTATION SERVICES IN THE DEFINED SERVICE AREA; MAKING, EXECUTION OR DELIVERING AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS; ADOPTION OR AMENDMENT OF THE COMPANY'S POLICY FOR DISTRIBUTIONS TO MEMBERS AND APPROVAL OF DISTRIBUTIONS TO A MEMBER OR MEMBERS; 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 VIOLATES SECTION 10.1 OF THE OPERATING AGREEMENT; SELECTION OF THE LEGAL COUNSEL AND ACCOUNTANTS TO 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 SERIES OF TRANSACTIONS; INVESTMENT OF THE COMPANY'S CASH OR RESERVES NOT IN ACCORDANCE WITH THE APPROVED INVESTMENT POLICY, OR ANY ADOPTION OR AMENDMENT TO ANY INVESTMENT POLICY FOR THE COMPANY; THE COMMENCEMENT OF ANY LEGAL PROCEEDINGS, LITIGATION OR ARBITRATION (OTHER THAN ROUTINE COLLECTION OF TRADE DEBT), DEFENSE OF ANY CLAIMS AGAINST THE COMPANY, THE NEGOTIATION OR EXECUTION OF ANY SETTLEMENT AGREEMENT; ANY GUARANTEE OF DEBT OF THE COMPANY BY A MEMBER OR MEMBERS; APPROVAL OF THE COMPANY'S MANAGED CARE STRATEGY AND ANY MANAGED CARE AGREEMENTS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE BOARD OF MANAGERS MAY APPOINT INDIVIDUALS TO COMMITTEES ADOPTED BY RESOLUTION. THESE COMMITTEES DO NOT HAVE ANY MANAGEMENT AUTHORITY. AT PRESENT, THERE ARE NO COMMITTEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE 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 MANAGERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE COMPANY 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 COMPANY PER THE POLICY. THE CONFLICT OF INTEREST POLICY COVERS ANY MEMBER, MANAGER, OFFICER, NON-MANAGER MEMBER OF A COMMITTEE OF THE BOARD OR PERSON IN A SIMILAR POSITION OF AUTHORITY OVER THE COMPANY. THE DISINTERESTED MEMBERS OF THE BOARD OF MANAGERS [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 MANAGERS MAY VOTE TO DETERMINE WHETHER TO APPROVE THE TRANSACTION OR ARRANGEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE TOP MANAGEMENT OFFICIAL AND KEY EMPLOYEES ARE PAID BY COMMUNITY EMS AND BILLED TO PARASTAR, INC., THE MANAGEMENT COMPANY. THEREFORE, A COMPENSATION PROCESS IS NOT APPLICABLE FOR THIS ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9DOCUMENTS THAT ARE REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC WILL BE MADE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0OH
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt03810594
IRS990/TotalAssetsEOYAmt03050152
IRS990/TotalAssetsGrp/BOYAmt03810594
IRS990/TotalAssetsGrp/EOYAmt03050152
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt0149
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0541082
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt05062549
IRS990/TotalFunctionalExpensesGrp/TotalAmt05603631
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt03430464
IRS990/TotalLiabilitiesEOYAmt03230009
IRS990/TotalLiabilitiesGrp/BOYAmt03430464
IRS990/TotalLiabilitiesGrp/EOYAmt03230009
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0380130
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0-179857
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt05062549
IRS990/TotalProgramServiceRevenueAmt05043644
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt05043644
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt05043644
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt06
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt03810594
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt03050152
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt022233
IRS990/TravelGrp/TotalAmt022233
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationOtherInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0380130
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0-179857
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1025400 WEST EIGHT MILE ROAD
IRS990/USAddress/City0SOUTHFIELD
IRS990/USAddress/State0MI
IRS990/USAddress/ZIPCode048034
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0GREG BEAUCHEMIN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum02483046023
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-11-13
ReturnHeader/Filer/BusinessName/BusinessNameLine10MERCY HEALTH MEDICAL TRANSPORTATION LLC
ReturnHeader/Filer/BusinessNameControlTxt0MERC
ReturnHeader/Filer/EIN0454605873
ReturnHeader/Filer/PhoneNum05134078526
ReturnHeader/Filer/USAddress/AddressLine106510 CORPORATE DRIVE
ReturnHeader/Filer/USAddress/City0CINCINNATI
ReturnHeader/Filer/USAddress/State0OH
ReturnHeader/Filer/USAddress/ZIPCode045242
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0381357951
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10PLANTE & MORAN PLLC

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