Civic Intelligence

Lake Mills Emergency Medical Servic Es Inc

990 • Fiscal year 2018 • EIN 39-1248043

Jul 01, 2017 to Jun 30, 2018 • Filed on Dec 20, 2018

Organization Profile
603 E Lake StLake Mills, WI 53551

(920) 648-8339

Siviq Scores

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

Liabilities / Assets

57th percentile

0.00x

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

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Liabilities / Revenue

56th percentile

0.00x

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

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Net Margin

26th percentile

-7.9%

Higher net margin than 26% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

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

2018 filings • 501(c)3 • <$500k nonprofits • Source year 2018

Asset Growth

33rd percentile

-6.8%

Faster asset growth than 33% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Revenue Growth

56th percentile

5.0%

Faster revenue growth than 56% of similar nonprofits.

2018 filings • 501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets57th percentile

Assets

Down

$480,458

Down $34,781 (-6.8%) from 2017

Net Assets

Down

$480,458

Down $34,781 (-6.8%) from 2017

Liabilities

Flat

$0

Flat from 2017

Revenue And Expenses
Liabilities / Revenue56th percentileNet Margin26th percentile

Revenue

Up

$440,264

Up $20,816 (+5.0%) from 2017

Expenses

Up

$475,045

Up $77,962 (+20%) from 2017

Net Income

Down

-$34,781

Down $57,146 (-256%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth33rd percentile

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

$600K$400K$200K$0Assets 2011: $364,058Liabilities 2011: $0Net Assets 2011: $364,0582011Assets 2012: $361,112Liabilities 2012: $0Net Assets 2012: $361,1122012Assets 2013: $400,389Liabilities 2013: $0Net Assets 2013: $400,3892013Assets 2014: $447,402Liabilities 2014: $0Net Assets 2014: $447,4022014Assets 2015: $461,272Liabilities 2015: $0Net Assets 2015: $461,2722015Assets 2016: $492,874Liabilities 2016: $0Net Assets 2016: $492,8742016Assets 2017: $515,239Liabilities 2017: $0Net Assets 2017: $515,2392017Assets 2018: $480,458Liabilities 2018: $0Net Assets 2018: $480,4582018Assets 2019: $399,959Liabilities 2019: $0Net Assets 2019: $399,9592019Assets 2021: $390,658Liabilities 2021: $0Net Assets 2021: $390,6582021Assets 2022: $385,985Liabilities 2022: $0Net Assets 2022: $385,9852022Assets 2023: $505,057Liabilities 2023: $0Net Assets 2023: $505,0572023

Highlighted filing

2018

Assets$480,458
Liabilities$0
Net Assets$480,458
Open 2018 Filing

Operations Trend

Revenue Growth56th percentile

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

$800K$600K$400K$200K$0-$200KExpenses 2011: $164,1902011Expenses 2012: $167,1962012Revenue 2013: $215,960Expenses 2013: $183,491Net Income 2013: $32,4692013Revenue 2014: $252,527Expenses 2014: $205,514Net Income 2014: $47,0132014Revenue 2015: $317,579Expenses 2015: $303,709Net Income 2015: $13,8702015Revenue 2016: $357,348Expenses 2016: $325,746Net Income 2016: $31,6022016Revenue 2017: $419,448Expenses 2017: $397,083Net Income 2017: $22,3652017Revenue 2018: $440,264Expenses 2018: $475,045Net Income 2018: -$34,7812018Revenue 2019: $434,005Expenses 2019: $514,504Net Income 2019: -$80,4992019Revenue 2021: $514,485Expenses 2021: $460,143Net Income 2021: $54,3422021Revenue 2022: $474,137Expenses 2022: $478,810Net Income 2022: -$4,6732022Revenue 2023: $639,057Expenses 2023: $519,985Net Income 2023: $119,0722023

Highlighted filing

2018

Revenue$440,264
Expenses$475,045
Net Income-$34,781
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Dec 20, 2018
Return Version
2017v2.3
Gross Receipts
$440,338
Mission and Program Overview

Mission

To provide quality life sustaining emergency medical services to the residents of the city of lake mills and the surrounding areas.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$515,239$480,458▼ $34,781
Land, Buildings, and Equipment, Net$387,914$321,237▼ $66,677
Savings and Temporary Cash Investments$120,352$133,644▲ $13,292
Cash and Non-Interest-Bearing Accounts$6,973$25,577▲ $18,604
Total Assets$515,239$480,458▼ $34,781
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$515,239$480,458▼ $34,781
Total Liabilities and Net Assets / Fund Balance$515,239$480,458▼ $34,781

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$183,085$309,208$492,293
Equipment$35,828$193,702$229,530
Buildings$95,924$124,637$220,561
Land$6,400-$6,400
Compensation and Service Providers
Top Officer Pay76th percentile

Board Members and Trustees

NameTitle
Martha BolligPresident
Steven FieldsVice President
Brian ConradDirector
James BuelowDirector
Steven FahselDirector
Thomas MurphyDirector
Tim JohnstonDirector
Tirri GoodrichSecretary
Derek BlomgrenTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$38,062
Program Service Revenue
$389,265
Investment Income
$136
Other Revenue
$12,801
All Other Contributions
$27,023
Change in Net Assets
$-34,781
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$273,336
Salaries, Compensation, and Employee Benefits$201,709
Total Fundraising Expense$13,570
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$184,151--$184,151
Depreciation Depletion$84,916$6,713-$91,629
Fees for Services Accounting$38,069--$38,069
Other Expenses$26,439$33,021-$26,439
Payroll Taxes$16,938--$16,938
Occupancy-$15,590-$15,590
Advertising--$13,570$13,570
Office Expenses$1,446$4,338-$5,784
All Other Expenses$1,715--$1,715
Fees for Services Legal$923--$923
Other Employee Benefits$620--$620
Total Functional Expenses$401,813$59,662$13,570$475,045
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$12,875
Fundraising Direct Expenses$74
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Chilli Supper$12,875$12,875$74$12,801
Total Events$12,875$12,875$74$12,801
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Federal income taxes-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“The organization has both voting and non-voting members. Voting members are volunteers who have committed at least 40 hours per month to the organization. All members, both voting and non-voting, are subject to background checks.”

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

“The board of directors are elected by the voting members and serve a four year term. The officers are elected by the voting members and serve a two year term. All of these positions are voluntary positions and the officers do not receive any compensation for serving as such.”

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

“Actions of the board of directors are reviewed with the members. The voting members can vote on limited financial decisions of the board of directors.”

Form 990, Part VI, Section B, Line 11A

“The ems chief and the treasurer review the form 990 prior to filing with the internal revenue service. At the next scheduled meeting of the board of directors, the form 990 is presented for their review.”

Form 990, Part VI, Section C, Line 19

“The financial statements and form 990 are made available for public inspection upon a request made to the ems chief. A meeting is scheduled where the individual requesting the inspection may meet with the ems cheif and other individuals of the organization, if deemed necessary, to review the documents.”

Filing and Contact Details

Filer

Filer Name
Lake Mills Emergency Medical Services Inc
EIN
39-1248043
Address
603 E LAKE ST, LAKE MILLS, WI 53551

Signing Officer

Name
Derek Blomgren
Title
Treasurer
Signed
2018-12-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Derek Blomgren
Formed
1974
Legal Domicile
Wi
Voting Board Members
35
Independent Board Members
4
Employees
40

Preparer

Firm
Joseph E Peiffer CPA LLC
Address
126 E Lake St, Lake Mills, WI 53551
Preparer
Joseph E Peiffer
Phone
9206488545
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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt0136
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0627
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt0507
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt02057
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt01079
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt04406
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt0389265
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt0388183
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt0326939
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt0283664
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt0223219
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt01611270
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt0136
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt0627
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt0507
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt02057
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt01079
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt04406
IRS990ScheduleA/InvestmentIncomeCYPct00.00240
IRS990ScheduleA/InvestmentIncomePYPct00.00340
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.00000
IRS990ScheduleA/PublicSupportCY509Pct00.99760
IRS990ScheduleA/PublicSupportPY509Pct00.99660
IRS990ScheduleA/PublicSupportTotal170Amt00
IRS990ScheduleA/PublicSupportTotal509Amt01799713
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0440128
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0418821
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0358494
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0315522
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0266748
IRS990ScheduleA/Total509Grp/TotalAmt01799713
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0440264
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0419448
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0359001
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0317579
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0267827
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01804119
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/BuildingsGrp/BookValueAmt095924
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0124637
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0220561
IRS990ScheduleD/EquipmentGrp/BookValueAmt035828
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0193702
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0229530
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd0false
IRS990ScheduleD/LandGrp/BookValueAmt06400
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt06400
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt0183085
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt0309208
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt0492293
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Federal income taxes
IRS990ScheduleD/OtherSecuritiesGrp/Desc0Financial derivatives and other financial products
IRS990ScheduleD/OtherSecuritiesGrp/Desc1Closely-held equity interests
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0321237
IRS990ScheduleG/AgrmtProfFundraisingActyInd0false
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt074
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0CHILLI SUPPER
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt012875
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt012875
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt012875
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt012875
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt012801
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt074
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt074
IRS990ScheduleG/SpecialFundraisingEventsInd0X
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS BOTH VOTING AND NON-VOTING MEMBERS. VOTING MEMBERS ARE VOLUNTEERS WHO HAVE COMMITTED AT LEAST 40 HOURS PER MONTH TO THE ORGANIZATION. ALL MEMBERS, BOTH VOTING AND NON-VOTING, ARE SUBJECT TO BACKGROUND CHECKS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE BOARD OF DIRECTORS ARE ELECTED BY THE VOTING MEMBERS AND SERVE A FOUR YEAR TERM. THE OFFICERS ARE ELECTED BY THE VOTING MEMBERS AND SERVE A TWO YEAR TERM. ALL OF THESE POSITIONS ARE VOLUNTARY POSITIONS AND THE OFFICERS DO NOT RECEIVE ANY COMPENSATION FOR SERVING AS SUCH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ACTIONS OF THE BOARD OF DIRECTORS ARE REVIEWED WITH THE MEMBERS. THE VOTING MEMBERS CAN VOTE ON LIMITED FINANCIAL DECISIONS OF THE BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE EMS CHIEF AND THE TREASURER REVIEW THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. AT THE NEXT SCHEDULED MEETING OF THE BOARD OF DIRECTORS, THE FORM 990 IS PRESENTED FOR THEIR REVIEW.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FINANCIAL STATEMENTS AND FORM 990 ARE MADE AVAILABLE FOR PUBLIC INSPECTION UPON A REQUEST MADE TO THE EMS CHIEF. A MEETING IS SCHEDULED WHERE THE INDIVIDUAL REQUESTING THE INSPECTION MAY MEET WITH THE EMS CHEIF AND OTHER INDIVIDUALS OF THE ORGANIZATION, IF DEEMED NECESSARY, TO REVIEW THE DOCUMENTS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, Line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, Line 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, Line 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, Line 11A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section C, Line 19
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0WI
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0515239
IRS990/TotalAssetsEOYAmt0480458
IRS990/TotalAssetsGrp/BOYAmt0515239
IRS990/TotalAssetsGrp/EOYAmt0480458
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt038062
IRS990/TotalEmployeeCnt040
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt013570
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt059662
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0401813
IRS990/TotalFunctionalExpensesGrp/TotalAmt0475045
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0515239
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0480458
IRS990/TotalProgramServiceExpensesAmt0401813
IRS990/TotalProgramServiceRevenueAmt0389265
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0389401
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0440264
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0515239
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0480458
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0603 E LAKE ST
IRS990/USAddress/CityNm0LAKE MILLS
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd053551
IRS990/VotingMembersGoverningBodyCnt035
IRS990/VotingMembersIndependentCnt04
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02019-02-21 02:37:17Z

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$480,458
Liabilities
$0
Net assets
$480,458
Revenue
$440,264
Expenses
$475,045
Net income
-$34,781
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.05$0.00$5.05$6.39$5.20$1.19
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.86$0.00$3.86$4.74$4.79$0.05
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.91$0.00$3.91$5.14$4.60$0.54
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.00$0.00$4.00$4.34$5.15$0.80
2018Detailed filing. Detailed filing data is available for this year.$4.80$0.00$4.80$4.40$4.75$0.35
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.15$0.00$5.15$4.19$3.97$0.22
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.93$0.00$4.93$3.57$3.26$0.32
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.61$0.00$4.61$3.18$3.04$0.14
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.47$0.00$4.47$2.53$2.06$0.47
2013Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$4.00$0.00$4.00$2.16$1.83$0.32
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.61$0.00$3.61$1.67
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.64$0.00$3.64$1.64