Civic Intelligence

North Wayne County Ambulance Service

990 • Fiscal year 2021 • EIN 37-1088978

Jan 01, 2021 to Dec 31, 2021 • Filed on Aug 30, 2022

PO Box 133Cisne, IL 62823

(618) 673-3011

Siviq Scores

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

Liabilities / Assets

92nd percentile

0.69x

Higher debt load relative to assets than 92% of similar nonprofits.

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

Liabilities / Revenue

85th percentile

0.22x

Higher debt load relative to revenue than 85% of similar nonprofits.

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

Net Margin

54th percentile

11%

Higher net margin than 54% of similar nonprofits.

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

Top Officer Pay

91st percentile

$45,695

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 10.9% of source-year revenue.

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

Asset Growth

94th percentile

199%

Faster asset growth than 94% of similar nonprofits.

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

Revenue Growth

88th percentile

125%

Faster revenue growth than 88% of similar nonprofits.

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

Assets

Up

$132,800

Up $88,353 (+199%) from 2020

Net Assets

Up

$41,537

Up $46,570 (+925%) from 2020

Liabilities

Up

$91,263

Up $41,783 (+84%) from 2020

Revenue

Up

$417,860

Up $231,991 (+125%) from 2020

Expenses

Up

$371,290

Up $77,501 (+26%) from 2020

Net Income

Up

$46,570

Up $154,490 (+143%) from 2020

Historical Trend

Balance Sheet Trend

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

$150K$100K$50K$0-$50KAssets 2020: $44,447Liabilities 2020: $49,480Net Assets 2020: -$5,0332020Assets 2021: $132,800Liabilities 2021: $91,263Net Assets 2021: $41,5372021Assets 2022: $143,598Liabilities 2022: $33,876Net Assets 2022: $109,7222022Assets 2023: $144,479Liabilities 2023: $0Net Assets 2023: $144,4792023Assets 2024: $82,654Liabilities 2024: $0Net Assets 2024: $82,6542024

Highlighted filing

2021

Assets$132,800
Liabilities$91,263
Net Assets$41,537

Operations Trend

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

$600K$400K$200K$0-$200KRevenue 2020: $185,869Expenses 2020: $293,789Net Income 2020: -$107,9202020Revenue 2021: $417,860Expenses 2021: $371,290Net Income 2021: $46,5702021Revenue 2022: $450,286Expenses 2022: $382,101Net Income 2022: $68,1852022Revenue 2023: $192,487Expenses 2023: $157,730Net Income 2023: $34,7572023Revenue 2024: $35,058Expenses 2024: $96,883Net Income 2024: -$61,8252024

Highlighted filing

2021

Revenue$417,860
Expenses$371,290
Net Income$46,570
Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
Aug 30, 2022
Return Version
2021v4.2
Gross Receipts
$417,860
Mission and Program Overview

Mission

Operation of an ambulance service for the northern townships of wayne county, illinois

Operation of a non-profit ambulance service

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$18,640$71,978▲ $53,338
Savings and Temporary Cash Investments$25,807$60,822▲ $35,015
Rtn Earn Endowment Incm Other Fnds$-5,033$41,537▲ $46,570
Loans From Officers Directors$25,000--
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$44,447$132,800▲ $88,353
Liabilities
Mortgage Notes Payable Secured by Investment Property$20,000$87,393▲ $67,393
Accounts Payable and Accrued Expenses$4,480$3,870▼ $610
Total Liabilities$49,480$91,263▲ $41,783
Net Assets / Fund Balance
Total Net Assets Fund Balance$-5,033$41,537▲ $46,570
Total Liabilities and Net Assets / Fund Balance$44,447$132,800▲ $88,353

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$71,717$190,388$262,105
Buildings$261$604$865
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Jan BurroughsTreasurer/secretary/asst CFT$45,695$45,695
Vicky MugragePresident-$324$324

Board Members and Trustees

NameTitle
Claren HosseltonPresident
Russell SmithVice President
Connie ForthDirector
Darlene HosseltonDirector
Gary KarrDirector
Jim ChapmanDirector
Karen ReedDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$291,778
Program Service Revenue
$126,064
Investment Income
$18
Other Revenue
$0
All Other Contributions
$37,277
Change in Net Assets
$46,570
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$267,107
Other Expenses$104,183
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$168,904--$168,904
Current Officers, Directors, Trustees, and Key Employees$62,539$15,656-$78,195
Insurance$26,712--$26,712
Payroll Taxes$18,880$1,128-$20,008
Depreciation Depletion$15,676--$15,676
Other Expenses$8,753--$8,753
Office Expenses$6,438--$6,438
Fees for Services Accounting-$2,417-$2,417
Occupancy$2,292--$2,292
Interest$639--$639
Total Functional Expenses$352,089$19,201$0$371,290
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

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$25,000--
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
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
No
Other officer compensation reviewed
No
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, Part VI, Section B, Line 11B

The organization's treasurer presents the form 990 to all directors and reviews in board meeting before the return is filed.

Form 990, Part VI, Section C, Line 19

The governing instrument and form 990 is available for inspection in the business office of the ambulance service located at 501 park street in cisne, il.

Filing and Contact Details

Filer

Filer Name
North Wayne Ambulance Service
EIN
37-1088978
Phone
6186733011
Address
PO BOX 133, CISNE, IL 62823

Signing Officer

Name
Vickie Mugrage
Title
President
Phone
6186733011
Signed
2022-08-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Vickie Mugrage
Formed
1980
Legal Domicile
Il
Voting Board Members
8
Independent Board Members
8
Employees
18
Volunteers
0

Preparer

Firm
Fairfield National Bank
Address
117 N E THIRD, FAIRFIELD, IL 62837
Preparer
Bradley D Jesop
Phone
6188422183
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 1:

The service utilizes the modified cash basis of accounting for tax return purposes. This method recognizes revenues and expenses on a cash basis but records an allowance for depreciation on fixed assets and recognizes liabilities from cash transactions.

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

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IRS990ScheduleD/BuildingsGrp/DepreciationAmt0604
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0865
IRS990ScheduleD/EquipmentGrp/BookValueAmt071717
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0190388
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0262105
IRS990ScheduleD/TotalBookValueLandBuildingsAmt071978
IRS990/ScheduleJRequiredInd00
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/BalanceDueAmt00
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/BoardOrCommitteeApprovalInd00
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/DefaultInd00
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/LoanPurposeTxt0LOAN FROM KEY EMPLOYEE BARRETT WAS FOR SHORT-TERM FINANCING OF OPERATIONS
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/LoanToOrganizationInd0X
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/OriginalPrincipalAmt025000
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/PersonNm0DON BARRETT
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/RelationshipWithOrgTxt0KEY EMPLOYEE
IRS990ScheduleL/LoansBtwnOrgInterestedPrsnGrp/WrittenAgreementInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION'S TREASURER PRESENTS THE FORM 990 TO ALL DIRECTORS AND REVIEWS IN BOARD MEETING BEFORE THE RETURN IS FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE GOVERNING INSTRUMENT AND FORM 990 IS AVAILABLE FOR INSPECTION IN THE BUSINESS OFFICE OF THE AMBULANCE SERVICE LOCATED AT 501 PARK STREET IN CISNE, IL.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE SERVICE UTILIZES THE MODIFIED CASH BASIS OF ACCOUNTING FOR TAX RETURN PURPOSES. THIS METHOD RECOGNIZES REVENUES AND EXPENSES ON A CASH BASIS BUT RECORDS AN ALLOWANCE FOR DEPRECIATION ON FIXED ASSETS AND RECOGNIZES LIABILITIES FROM CASH TRANSACTIONS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XII, LINE 1:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0IL
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt044447
IRS990/TotalAssetsEOYAmt0132800
IRS990/TotalAssetsGrp/BOYAmt044447
IRS990/TotalAssetsGrp/EOYAmt0132800
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0291778
IRS990/TotalEmployeeCnt018
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt019201
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0352089
IRS990/TotalFunctionalExpensesGrp/TotalAmt0371290
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt049480
IRS990/TotalLiabilitiesEOYAmt091263
IRS990/TotalLiabilitiesGrp/BOYAmt049480
IRS990/TotalLiabilitiesGrp/EOYAmt091263
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-5033
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt041537
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0352089
IRS990/TotalProgramServiceRevenueAmt0126064
IRS990/TotalReportableCompFromOrgAmt046019
IRS990/TotalRevenueGrp/ExclusionAmt018
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0126064
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0417860
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt044447
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0132800
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0P O BOX 133
IRS990/USAddress/CityNm0CISNE
IRS990/USAddress/StateAbbreviationCd0IL
IRS990/USAddress/ZIPCd062823
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0VICKIE MUGRAGE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum06186733011
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-08-30
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0NORTH WAYNE AMBULANCE SERVICE
ReturnHeader/Filer/BusinessNameControlTxt0NORT
ReturnHeader/Filer/EIN0371088978
ReturnHeader/Filer/PhoneNum06186733011
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 133
ReturnHeader/Filer/USAddress/CityNm0CISNE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IL
ReturnHeader/Filer/USAddress/ZIPCd062823
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0370267575
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0FAIRFIELD NATIONAL BANK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0117 N E THIRD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0FAIRFIELD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd062837
ReturnHeader/PreparerPersonGrp/PhoneNum06188422183
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BRADLEY D JESOP
ReturnHeader/ReturnTs02022-09-16T13:08:08-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0VICKIE
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0MUGRAGE
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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