Civic Intelligence

Owen-Withee Community Amb Svc Inc

990 • Fiscal year 2016 • EIN 39-1784344

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 15, 2017

PO Box 36 427 East 3rd StreetOwen, WI 54460

(715) 229-2652

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2016

Liabilities / Revenue

26th percentile

0.00x

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

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

18th percentile

-14%

Higher net margin than 18% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

54th percentile

$19,995

Higher top officer pay than 54% of similar nonprofits.

Top officer pay equals 3.9% of source-year revenue.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Revenue Growth

49th percentile

2.5%

Faster revenue growth than 49% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Assets

Down

$0

Down $537,046 (-100%) from 2015

Net Assets

Down

$0

Down $535,061 (-100%) from 2015

Liabilities

Down

$0

Down $1,985 (-100%) from 2015

Revenue

Up

$510,889

Up $12,371 (+2.5%) from 2015

Expenses

Up

$582,486

Up $89,109 (+18%) from 2015

Net Income

Down

-$71,597

Down $76,738 (-1493%) from 2015

Historical Trend

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2011: $537,558Liabilities 2011: $1,623Net Assets 2011: $535,9352011Assets 2012: $591,598Liabilities 2012: $1,765Net Assets 2012: $589,8332012Assets 2013: $558,142Liabilities 2013: $1,996Net Assets 2013: $556,1462013Assets 2014: $532,911Liabilities 2014: $2,991Net Assets 2014: $529,9202014Assets 2015: $537,046Liabilities 2015: $1,985Net Assets 2015: $535,0612015Assets 2016: $0Liabilities 2016: $0Net Assets 2016: $02016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2016

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$1.0M$500K$0-$500KRevenue 2011: $0Expenses 2011: $363,492Net Income 2011: -$363,4922011Expenses 2012: $405,1582012Revenue 2013: $419,615Expenses 2013: $453,302Net Income 2013: -$33,6872013Revenue 2014: $479,357Expenses 2014: $506,203Net Income 2014: -$26,8462014Revenue 2015: $498,518Expenses 2015: $493,377Net Income 2015: $5,1412015Revenue 2016: $510,889Expenses 2016: $582,486Net Income 2016: -$71,5972016Revenue 2017: $0Expenses 2017: $0Net Income 2017: $02017

Highlighted filing

2016

Revenue$510,889
Expenses$582,486
Net Income-$71,597
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 15, 2017
Return Version
2016v3.0
Gross Receipts
$520,658
Mission and Program Overview

Mission

To provide efficient and timely reponse for the medical needs of any persons requiring our assistance in our service district. This service is also extended to neighboring departments and medical facilities who need assistance.

Perform emergency care and transport of sick and/or injured patients to medical facilities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$462,733--
Land, Buildings, and Equipment, Net$332,801--
Savings and Temporary Cash Investments$86,608--
Cap Stk Tr Prin Current Funds$72,328--
Cash and Non-Interest-Bearing Accounts$59,693--
Accounts Receivable$47,818--
Investments in Publicly Traded Securities$10,126--
Total Assets$537,046$0▼ $537,046
Liabilities
Accounts Payable and Accrued Expenses$1,985--
Total Liabilities$1,985$0▼ $1,985
Net Assets / Fund Balance
Total Net Assets Fund Balance$535,061$0▼ $535,061
Total Liabilities and Net Assets / Fund Balance$537,046$0▼ $537,046

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$-764,270-
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Bill KroeplinDirector-$2,850$2,850
Robert WilczekSec/Treas., QA OfficerPT$2,105$2,105
Jason ThorntonVice / FIRE CHIEFPT$1,410$1,410
Bernie SheltonDirector-$1,290$1,290
Trisha MolitorDirectorPT$1,220$1,220

Board Members and Trustees

NameTitle
Mark RendermanService Director
Revenue and Support

Revenue Composition

Contributions and Grants
$29,420
Program Service Revenue
$483,706
Investment Income
$201
Other Revenue
$-2,438
All Other Contributions
$23,834
Change in Net Assets
$-71,597
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$499,843
Salaries, Compensation, and Employee Benefits$81,307
Grants and Similar Amounts Paid$107
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$63,569$12,377-$75,946
Other Salaries and Wages$72,741--$72,741
Fees for Services Management$44,008--$44,008
Other Expenses$31,536$305-$31,841
Conferences and Meetings$21,665$3,517-$25,182
Insurance$13,577--$13,577
Information Technology-$10,904-$10,904
All Other Expenses$9,723$643-$10,366
Payroll Taxes$5,702--$5,702
Occupancy-$3,197-$3,197
Fees for Services Other$3,095--$3,095
Current Officers, Directors, Trustees, and Key Employees$1,800--$1,800
Office Expenses$1,196$510-$1,706
Fees for Services Accounting$1,274--$1,274
Benefits to Members$1,229--$1,229
Other Employee Benefits$1,064--$1,064
Grants to Domestic Individuals$107--$107
Total Functional Expenses$551,033$31,453$0$582,486
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$9,769
Fundraising Gross Income$7,331
Professional Fundraising Fees$0
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
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
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
Filing and Contact Details

Filer

Filer Name
Owen-Withee Community Amb Svc Inc
EIN
39-1784344
Phone
7152292652
Address
PO Box 36 427 East 3rd Street, Owen, WI 54460

Signing Officer

Name
Jason Thornton
Title
Fire Chief
Signed
2017-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Renderman
Formed
1993
Legal Domicile
Wi
Voting Board Members
39
Independent Board Members
39
Employees
49

Preparer

Firm
Hansen & Associates Accounting LLC
Address
605 E BROADWAY AVE, MEDFORD, WI 54451
Preparer
Tammy L Hansen
Phone
7157485544
Supplemental Narrative

Additional Explanations

Form 990, Part III, Section 1, Line 3

The ambulance service dissolved and gifted all of its assets to the owen-withee curtiss fire district per the by-laws. All services will be conducted through the fire district going forward

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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt03163
IRS990ScheduleA/InvestmentIncomeCYPct00.00130
IRS990ScheduleA/InvestmentIncomePYPct00.00170
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearMinus1YearAmt0450
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearMinus3YearsAmt0468
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/CurrentTaxYearMinus4YearsAmt0820
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt01738
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt03498
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt0227
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt0238
IRS990ScheduleA/OtherIncome509Grp/TotalAmt03963
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
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IRS990ScheduleA/PublicSupportCY170Pct00.00000
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IRS990ScheduleA/PublicSupportPY509Pct00.99580
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IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearMinus2YearsAmt04551
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearMinus3YearsAmt04907
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearMinus4YearsAmt04686
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IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0484642
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0418858
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0451329
IRS990ScheduleA/Total509Grp/TotalAmt02370183
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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0506455
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0485832
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0419615
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0453818
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt02379047
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0-764270
IRS990ScheduleD/InclEscrowCustodialAcctLiabInd0false
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Federal income taxes
IRS990ScheduleD/OtherSecuritiesGrp/Desc0Financial derivatives and other financial products
IRS990ScheduleD/OtherSecuritiesGrp/Desc1Closely-held equity interests
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Mark Renderman
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Service Director
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE AMBULANCE SERVICE DISSOLVED AND GIFTED ALL OF ITS ASSETS TO THE OWEN-WITHEE CURTISS FIRE DISTRICT PER THE BY-LAWS. ALL SERVICES WILL BE CONDUCTED THROUGH THE FIRE DISTRICT GOING FORWARD
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part III, Section 1, Line 3
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0true
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0WI
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsEOYAmt00
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IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd0true
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IRS990/TotalEmployeeCnt049
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt031453
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0551033
IRS990/TotalFunctionalExpensesGrp/TotalAmt0582486
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01985
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt01985
IRS990/TotalLiabilitiesGrp/EOYAmt00
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IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
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IRS990/TotalProgramServiceRevenueAmt0483706
IRS990/TotalReportableCompFromOrgAmt028870
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0483706
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0510889
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0537046
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0325 East 2nd Street
IRS990/USAddress/CityNm0Owen
IRS990/USAddress/StateAbbreviationCd0WI
IRS990/USAddress/ZIPCd054460
IRS990/VotingMembersGoverningBodyCnt039
IRS990/VotingMembersIndependentCnt039
IRS990/WebsiteAddressTxt0None
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JASON THORNTON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0FIRE CHIEF
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Owen-Withee Community Amb Svc Inc
ReturnHeader/Filer/BusinessNameControlTxt0OWEN
ReturnHeader/Filer/EIN0391784344

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