Mitchell County Emergency Services Agency

990EZ • Fiscal year 2021 • EIN 27-0072789

Jan 01, 2021 to Dec 31, 2021 • Filed on May 09, 2022

Organization Profile N/A

4221 Old Mill RoadSaint Ansgar, IA 50472

(641) 713-2314

Siviq Scores

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

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

0.0%

Higher net margin than 36% of similar nonprofits.

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

Higher top officer pay than 77% of similar nonprofits.

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

2021 filings • 501(c)3 • <$500k nonprofits • Source year 2021

0.0%

Faster asset growth than 41% of similar nonprofits.

2021 filings • 501(c)3 • <$500k nonprofits • Annualized from 2020 to 2021

363%

Faster revenue growth than 95% of similar nonprofits.

2021 filings • 501(c)3 • <$500k nonprofits • Annualized from 2019 to 2021

Balance Sheet

Liabilities / Assets56th percentile

Assets

Flat

$4,226

Flat from 2020

Net Assets

Flat

$4,226

Flat from 2020

Liabilities

Flat

Flat from 2020

Revenue And Expenses

Liabilities / Revenue56th percentile Net Margin36th percentile

Revenue

$150

No earlier filing loaded for comparison.

Expenses

Flat

$150

Flat from 2020

Net Income

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth41st percentile

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

Highlighted filing

2021

Assets$4,226

Liabilities$0

Net Assets$4,226

Open 2021 Filing

Operations Trend

Revenue Growth95th percentile

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

Highlighted filing

2021

Revenue$150

Expenses$150

Net Income$0

Open 2021 Filing

Jump To

Filing Snapshot

Filing Period: Jan 1, 2021 to Dec 31, 2021
Signed: May 9, 2022
Return Version: 2021v4.2
Gross Receipts: $150

Mission and Program Overview

Mission

To assure necessary ems within county

Program Services

Description	Grants	Expenses
TO ASSURE CONTINUED ECONOMIC PROVISION OF NECESSARY EMERGENCY MEDICAL SERVICE WITHIN MITCHELL COUNTY	-	-

Compensation and Service Providers

Top Officer Pay77th percentile

Employees

Name	Title	Full / Part Time	Base	Other	Total
EDWARD J KLEINWORT	President	-	$0	-	-
THERESA HERNAN	Secretary	-	$0	-	-
STEPHANIE WEIS	Treasurer	-	$0	-	-

Filing and Contact Details

Filer

Filer Name: Mitchell County Emergency Services Agency
EIN: 27-0072789
Address: 4221 Old Mill Road, Saint Ansgar, IA 50472

Signing Officer

Name: Stephanie Weis
Title: Treasurer
Phone: 6417132314
Signed: 2022-05-09
Discuss with paid preparer: No

Preparer

Firm: Patrick J Rourick Law Office
Address: 222 W 4th St PO Box 305, Saint Ansgar, IA 50472
Preparer: Patrick J Rourick
Phone: 6417132440

Supplemental Narrative

Additional Explanations

General explanation attachment

“Each of the three supported organizations appoint three of their members annually to be the board of directors with two votes allowed per supported organization. These three supported organizations make up the board of directors that work to assure continued economic provision of necessary emergency medical service within mitchell county.”

List of grants and similar amounts paid Part I line 10

“Activity RICEVILLE IOWA AREA AMBULANCE SERVICE Grantee RICEVILLE AMBULANCE SERVICE Street 206 W 2nd STREET City, State, Zip Riceville, IA 50466Relationship SUPPORTING AND SUPPORTED AGENCY Activity ST. ANSGAR IOWA AREA FIRST RESPONDERS Grantee ST. ANSGAR IOWA FIRST RESPONDERS Street 142 W 4TH STREET City, State, Zip Saint Ansgar, IA 50472Relationship SUPPORTING AND SUPPORTED AGENCY”

Raw XML Appendix151 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path	#	Value
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IRS990EZ/BooksInCareOfDetail/PersonNm	0	EDWARD KLEINWORT
IRS990EZ/BooksInCareOfDetail/PhoneNum	0	6417132314
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt	0	4221 OLD MILL ROAD
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm	0	Saint Ansgar
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd	0	IA
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd	0	50472
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt	0	4226
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt	0	4226
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd	0	false
IRS990EZ/ContributionsGiftsGrantsEtcAmt	0	150
IRS990EZ/DonorAdvisedFndsInd	0	false
IRS990EZ/EngagedInExcessBenefitTransInd	0	false
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt	0	150
IRS990EZ/FiledScheduleAInd	0	true
IRS990EZ/ForeignFinancialAccountInd	0	false
IRS990EZ/ForeignOfficeInd	0	false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt	0	4226
IRS990EZ/Form990TotalAssetsGrp/EOYAmt	0	4226
IRS990EZ/GrossReceiptsAmt	0	150
IRS990EZ/LandAndBuildingsGrp/BOYAmt	0	0
IRS990EZ/LandAndBuildingsGrp/EOYAmt	0	0
IRS990EZ/LobbyingActivitiesInd	0	false
IRS990EZ/MadeLoansToFromOfficersInd	0	false
IRS990EZ/MethodOfAccountingCashInd	0	X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt	0	4226
IRS990EZ/NetAssetsOrFundBalancesEOYAmt	0	4226
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt	0	4226
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt	0	4226
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt	0	0.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt	1	0.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt	2	0.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt	0	0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt	1	0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt	2	0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt	0	0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt	1	0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt	2	0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt	0	0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt	1	0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt	2	0
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm	0	EDWARD J KLEINWORT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm	1	THERESA HERNAN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm	2	STEPHANIE WEIS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt	0	PRESIDENT
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt	1	SECRETARY
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt	2	TREASURER
IRS990EZ/OperateHospitalInd	0	false
IRS990EZ/Organization501c3Ind	0	X
IRS990EZ/OrganizationDissolvedEtcInd	0	false
IRS990EZ/OrganizationHadUBIInd	0	false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt	0	0
IRS990EZ/OtherAssetsTotalDetail/EOYAmt	0	0
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt	0	NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt	0	NONE
IRS990EZ/PoliticalCampaignActyInd	0	false
IRS990EZ/PrimaryExemptPurposeTxt	0	TO ASSURE NECESSARY EMS WITHIN COUNTY
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt	0	TO ASSURE CONTINUED ECONOMIC PROVISION OF NECESSARY EMERGENCY MEDICAL SERVICE WITHIN MITCHELL COUNTY
IRS990EZ/ProhibitedTaxShelterTransInd	0	false
IRS990EZ/RelatedOrganizationCtrlEntInd	0	false
IRS990EZ/SchoolOperatingInd	0	false
IRS990EZ/SubjectToProxyTaxInd	0	false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt	0	0
IRS990EZ/SumOfTotalLiabilitiesGrp/EOYAmt	0	0
IRS990EZ/TanningServicesProvidedInd	0	false
IRS990EZ/TotalExpensesAmt	0	150
IRS990EZ/TotalProgramServiceExpensesAmt	0	0
IRS990EZ/TotalRevenueAmt	0	150
IRS990EZ/TransactionWithControlEntInd	0	false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd	0	false
IRS990EZ/TypeOfOrganizationOtherDesc	0	Iowa 28E Adm
IRS990EZ/TypeOfOrganizationOtherInd	0	X
IRS990EZ/WebsiteAddressTxt	0	N/A
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd	0	true
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd	0	false
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd	0	false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd	0	false
IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd	0	true
IRS990ScheduleA/IRSWrittenDeterminationInd	0	X
IRS990ScheduleA/OtherSupportSumAmt	0	0
IRS990ScheduleA/SupportedOrganizationsCnt	0	3
IRS990ScheduleA/SupportedOrganizationsTotalCnt	0	3
IRS990ScheduleA/SupportedOrgInformationGrp/EIN	0	426006380
IRS990ScheduleA/SupportedOrgInformationGrp/EIN	1	421207331
IRS990ScheduleA/SupportedOrgInformationGrp/EIN	2	421176499
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd	0	true
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd	1	true
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd	2	true
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd	0	3
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd	1	3
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd	2	3
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt	0	0
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt	1	0
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt	2	0
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt	0	0
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt	1	0
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt	2	0
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt	0	MITCHELL CO REGIONAL HEALTH
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt	1	ST ANSGAR FIRST RESPONDERS
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt	2	RICEVILLE AMBULANCE SERVICE IN
IRS990ScheduleA/SupportingOrganization509a3Ind	0	X
IRS990ScheduleA/SupportingOrgType1Ind	0	X
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	0	EACH OF THE THREE SUPPORTED ORGANIZATIONS APPOINT THREE OF THEIR MEMBERS ANNUALLY TO BE THE BOARD OF DIRECTORS WITH TWO VOTES ALLOWED PER SUPPORTED ORGANIZATION. THESE THREE SUPPORTED ORGANIZATIONS MAKE UP THE BOARD OF DIRECTORS THAT WORK TO ASSURE CONTINUED ECONOMIC PROVISION OF NECESSARY EMERGENCY MEDICAL SERVICE WITHIN MITCHELL COUNTY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	1	Activity RICEVILLE IOWA AREA AMBULANCE SERVICE Grantee RICEVILLE AMBULANCE SERVICE Street 206 W 2nd STREET City, State, Zip Riceville, IA 50466Relationship SUPPORTING AND SUPPORTED AGENCY Activity ST. ANSGAR IOWA AREA FIRST RESPONDERS Grantee ST. ANSGAR IOWA FIRST RESPONDERS Street 142 W 4TH STREET City, State, Zip Saint Ansgar, IA 50472Relationship SUPPORTING AND SUPPORTED AGENCY
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	0	General explanation attachment
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	1	List of grants and similar amounts paid Part I line 10
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd	0	AAL2
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd	0	IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/OOBSecurityVerificationCd	0	00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd	0	0
ReturnHeader/BuildTS	0	2022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd	0	false
ReturnHeader/BusinessOfficerGrp/PersonNm	0	STEPHANIE WEIS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt	0	TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum	0	6417132314
ReturnHeader/BusinessOfficerGrp/SignatureDt	0	2022-05-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt	0	MITCHELL COUNTY EMERGENCY SERVICES AGENCY
ReturnHeader/Filer/BusinessNameControlTxt	0	MITC
ReturnHeader/Filer/EIN	0	270072789
ReturnHeader/Filer/USAddress/AddressLine1Txt	0	4221 Old Mill Road
ReturnHeader/Filer/USAddress/CityNm	0	Saint Ansgar
ReturnHeader/Filer/USAddress/StateAbbreviationCd	0	IA
ReturnHeader/Filer/USAddress/ZIPCd	0	50472
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt	0	Patrick J Rourick Law Office
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt	0	222 W 4th St PO Box 305
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm	0	Saint Ansgar
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd	0	IA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd	0	50472
ReturnHeader/PreparerPersonGrp/PhoneNum	0	6417132440
ReturnHeader/PreparerPersonGrp/PreparationDt	0	2022-05-09
ReturnHeader/PreparerPersonGrp/PreparerPersonNm	0	Patrick J Rourick
ReturnHeader/PreparerPersonGrp/SelfEmployedInd	0	X
ReturnHeader/ReturnTs	0	2022-05-09T16:57:11-04:00
ReturnHeader/ReturnTypeCd	0	990EZ
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm	0	STEPHANIE
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm	0	WEIS
ReturnHeader/TaxPeriodBeginDt	0	2021-01-01
ReturnHeader/TaxPeriodEndDt	0	2021-12-31
ReturnHeader/TaxYr	0	2021

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2021 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing

Assets: $4,226
Liabilities: $0
Net assets: $4,226
Revenue: $150
Expenses: $150
Net income: $0

	Balance Sheet			Operations
Year	Assets	Liabilities	Net Assets	Revenue	Expenses	Net Income
2024Detailed filing. Detailed filing data is available for this year.	$6.09	$0.00	$6.09		$0.05
2023Detailed filing. Detailed filing data is available for this year.	$6.14	$0.00	$6.14	$1.00	$0.05	$0.95
2022Detailed filing. Detailed filing data is available for this year.	$5.19	$0.00	$5.19	$0.96
2021Detailed filing. Detailed filing data is available for this year.	$4.23	$0.00	$4.23	$0.15	$0.15	$0.00
2020Detailed filing. Detailed filing data is available for this year.	$4.23	$0.00	$4.23		$0.15
2019Detailed filing. Detailed filing data is available for this year.	$4.38	$0.00	$4.38	$0.01	$0.64	$0.63
2018Detailed filing. Detailed filing data is available for this year.	$5.01	$0.00	$5.01	$13.0	$11.6	$1.34
2017Detailed filing. Detailed filing data is available for this year.	$3.67	$0.00	$3.67		$0.15
2016Detailed filing. Detailed filing data is available for this year.	$3.82	$0.00	$3.82		$0.18
2015Detailed filing. Detailed filing data is available for this year.	$4.00	$0.00	$4.00		$0.31
2014Detailed filing. Detailed filing data is available for this year.	$4.31		$4.31	$0.00	$1.10	$1.10
2013Detailed filing. Detailed filing data is available for this year.	$5.41		$5.41	$0.03	$0.86	$0.84