TY 2023 Form 990 Schedule O

efile Public Visual Render ObjectId: 202432609349301473 - Submission: 2024-09-16 TIN: 25-1695419

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

FAME EMERGENCY MEDICAL SERVICE INC

Employer identification number

25-1695419

Return Reference	Explanation
FORM 990 - ORGANIZATION'S MISSION	TO PROVIDE A QUALITY PRE-HOSPITAL EMERGENCY MEDICAL SERVICE AND MEDICAL TRANSPORT TO THE RESIDENTS AND GUESTS OF LEWISTOWN AND SURROUNDING AREAS, AS WELL AS OTHER CHARITABLE ACTIVITIES RELATED TO THIS MISSION. THE CORPORATION WILL RESPOND TO ALL EMERGENCY AND NON-EMERGENCY REQUESTS IN A TIMELY AND SAFE MANNER CONSISTENT WITH THE PENNSYLVANIA EMERGENCY MEDICAL SERVICE ACT.
FORM 990, PAGE 2, PART III, LINE 4A	THE ORGANIZATION PROVIDES EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICES TO BURNHAM BOROUGH, DECATUR TOWNSHIP, DERRY TOWNSHIP, GRANVILLE TOWNSHIP, JUNIATA TERRACE BOROUGH, AND LEWISTOWN BOROUGH AND SERVES AS A BACKUP EMERGENCY SERVICE FOR THE REST OF MIFFLIN COUNTY. THE ORGANIZATION IS GOVERNED BY A SEVEN-MEMBER BOARD OF DIRECTORS COMPRISED OF COMMUNITY LEADERS FROM THE SERVICE AREA. FAME EMS OPERATES SIX ADVANCED LIFE SUPPORT AMBULANCES, TWO BASIC LIFE SUPPORT AMBULANCE, FIVE NON-EMERGENCY TRANSPORT VANS, AND ONE SPECIAL OPERATIONS REHAB UNIT. STAFFING IS PROVIDED BY DEDICATED CAREER AND VOLUNTEER MEMBERS, WITH A MINIMUM OF THREE EMERGENCY MEDICAL TECHNICIANS (EMTS) AND THREE PARAMEDICS ON DUTY 24 HOURS A DAY, SEVEN DAYS A WEEK, ALONG WITH ADDITIONAL WEEKDAY STAFFING.
FORM 990, PAGE 6, PART VI, LINE 8B	THE ORGANIZATION DOES NOT DELEGATE AUTHORITY TO ANY COMMITTEE, THEREFORE THIS QUESTION IS NOT APPLICABLE.
FORM 990, PAGE 6, PART VI, LINE 11B	BEFORE FILING THE FORM 990, THE RETURN IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15A	COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS INCORPORATED AS PART OF THE ANNUAL BUDGET PROCESS, PRELIMINARILY WITH THE FINANCE AND PERSONNEL COMMITTEES, FOLLOWED BY FULL BOARD APPROVAL. REASONABLE COMPENSATION AND BENEFIT DATA IS BASED UPON TRADE JOURNALS, SALARY SURVEYS, PENNSYLVANIA AMBULANCE ASSOCIATION SALARY AND BENEFIT SURVEYS AND OTHER SIMILAR LOCAL ORGANIZATIONS.
FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION WILL MAKE THESE DOCUMENTS AVAILABLE UPON REQUEST AT THE OFFICE LOCATED AT HEADQUARTERS.

Return Reference

Explanation

FORM 990 - ORGANIZATION'S MISSION

TO PROVIDE A QUALITY PRE-HOSPITAL EMERGENCY MEDICAL SERVICE AND MEDICAL TRANSPORT TO THE RESIDENTS AND GUESTS OF LEWISTOWN AND SURROUNDING AREAS, AS WELL AS OTHER CHARITABLE ACTIVITIES RELATED TO THIS MISSION. THE CORPORATION WILL RESPOND TO ALL EMERGENCY AND NON-EMERGENCY REQUESTS IN A TIMELY AND SAFE MANNER CONSISTENT WITH THE PENNSYLVANIA EMERGENCY MEDICAL SERVICE ACT.

FORM 990, PAGE 2, PART III, LINE 4A

THE ORGANIZATION PROVIDES EMERGENCY AND NON-EMERGENCY AMBULANCE SERVICES TO BURNHAM BOROUGH, DECATUR TOWNSHIP, DERRY TOWNSHIP, GRANVILLE TOWNSHIP, JUNIATA TERRACE BOROUGH, AND LEWISTOWN BOROUGH AND SERVES AS A BACKUP EMERGENCY SERVICE FOR THE REST OF MIFFLIN COUNTY. THE ORGANIZATION IS GOVERNED BY A SEVEN-MEMBER BOARD OF DIRECTORS COMPRISED OF COMMUNITY LEADERS FROM THE SERVICE AREA. FAME EMS OPERATES SIX ADVANCED LIFE SUPPORT AMBULANCES, TWO BASIC LIFE SUPPORT AMBULANCE, FIVE NON-EMERGENCY TRANSPORT VANS, AND ONE SPECIAL OPERATIONS REHAB UNIT. STAFFING IS PROVIDED BY DEDICATED CAREER AND VOLUNTEER MEMBERS, WITH A MINIMUM OF THREE EMERGENCY MEDICAL TECHNICIANS (EMTS) AND THREE PARAMEDICS ON DUTY 24 HOURS A DAY, SEVEN DAYS A WEEK, ALONG WITH ADDITIONAL WEEKDAY STAFFING.

FORM 990, PAGE 6, PART VI, LINE 8B

THE ORGANIZATION DOES NOT DELEGATE AUTHORITY TO ANY COMMITTEE, THEREFORE THIS QUESTION IS NOT APPLICABLE.

FORM 990, PAGE 6, PART VI, LINE 11B

BEFORE FILING THE FORM 990, THE RETURN IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.

FORM 990, PAGE 6, PART VI, LINE 15A

COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS INCORPORATED AS PART OF THE ANNUAL BUDGET PROCESS, PRELIMINARILY WITH THE FINANCE AND PERSONNEL COMMITTEES, FOLLOWED BY FULL BOARD APPROVAL. REASONABLE COMPENSATION AND BENEFIT DATA IS BASED UPON TRADE JOURNALS, SALARY SURVEYS, PENNSYLVANIA AMBULANCE ASSOCIATION SALARY AND BENEFIT SURVEYS AND OTHER SIMILAR LOCAL ORGANIZATIONS.

FORM 990, PAGE 6, PART VI, LINE 19

THE ORGANIZATION WILL MAKE THESE DOCUMENTS AVAILABLE UPON REQUEST AT THE OFFICE LOCATED AT HEADQUARTERS.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

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