Liabilities / Assets
97th percentile
Higher debt load relative to assets than 97% of similar nonprofits.
EIN 39-1962965 • 501(c)3 • LA Crosse, WI
Profile
Tri-state regional ambulance, inc. Provides high quality, low cost medical transportation services to and from medical appointments and home after a hospital discharge. In addition, tri-state regional ambulance provides pre-hospital emergency care and interfacility advance life support transportation.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
97th percentile
Higher debt load relative to assets than 97% of similar nonprofits.
Liabilities / Revenue
90th percentile
Higher debt load relative to revenue than 90% of similar nonprofits.
Net Margin
12th percentile
Higher net margin than 12% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
84th percentile
Faster asset growth than 84% of similar nonprofits.
Revenue Growth
88th percentile
Faster revenue growth than 88% of similar nonprofits.
Assets
Up$4,182,968
Up $955,254 (+30%) from 2023
Liabilities
Up$6,510,475
Up $2,290,829 (+54%) from 2023
Net Assets
Down-$2,327,507
Down $1,335,575 (-135%) from 2023
Revenue
Up$4,957,038
Up $1,928,922 (+64%) from 2023
Expenses
Up$6,292,613
Up $2,510,062 (+66%) from 2023
Net Income
Down-$1,335,575
Down $581,140 (-77%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Tri-state regional ambulance, inc. Provides high quality, low cost medical transportation services to and from medical appointments and home after discharge. In addition, tri-state regional ambulance provides pre-hospital emergency care and interfacility advance life support transportation.
SEE SCHEDULE O
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Accounts Receivable | $960,254 | $1,232,517 | ▲ $272,263 |
| Savings and Temporary Cash Investments | $607,441 | $1,209,058 | ▲ $601,617 |
| Land, Buildings, and Equipment, Net | $1,004,018 | $1,140,180 | ▲ $136,162 |
| Intangible Assets | $508,550 | $508,550 | → $0 |
| Prepaid Expenses and Deferred Charges | $8,429 | $9,313 | ▲ $884 |
| Cash and Non-Interest-Bearing Accounts | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $3,227,714 | $4,182,968 | ▲ $955,254 |
| Other Assets Total | $139,022 | $83,350 | ▼ $55,672 |
| Liabilities | |||
| Other Liabilities | $4,177,294 | $6,481,211 | ▲ $2,303,917 |
| Accounts Payable and Accrued Expenses | $9,024 | $18,069 | ▲ $9,045 |
| Deferred Revenue | $33,328 | $11,195 | ▼ $22,133 |
| Grants Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $4,219,646 | $6,510,475 | ▲ $2,290,829 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $-991,932 | $-2,327,507 | ▼ $1,335,575 |
| Total Net Assets Fund Balance | $-991,932 | $-2,327,507 | ▼ $1,335,575 |
| Total Liabilities and Net Assets / Fund Balance | $3,227,714 | $4,182,968 | ▲ $955,254 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $899,317 | $977,666 | $1,876,983 |
| Leasehold Improvements | $230,225 | $162,671 | $392,896 |
| Buildings | $10,638 | $8,257 | $18,895 |
| Name | Title |
|---|---|
| Michael Mckee | Board of Directors - President |
| Mikel Poellinger | Board of Directors - Vice President |
| Thomas E Tornstrom | Administrative Director |
| Christopher Eberlein Md | Board of Directors - Member |
| Kim Smith | Board of Directors - Member |
| Therese Binfet | Board of Directors - Member |
| Bryan Erdmann | Board of Directors - Secretary/treasurer |
| Scott Rathgaber Md | Chief Executive Officer |
| John Ceelen | Chief Financial Officer, Treasurer (begin 2/24) |
| Gerald Oetzel | Former Chief Financial Officer |
| Steve Little | Interim Chief Financial Officer, Treasurer (thru 2/24) |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $4,367,673 |
| Other Expenses | $1,884,461 |
| Grants and Similar Amounts Paid | $40,479 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,367,079 | - | - | $4,367,079 |
| Depreciation Depletion | $241,870 | - | - | $241,870 |
| Occupancy | $150,185 | $8,863 | - | $159,048 |
| Fees for Services Management | - | $119,868 | - | $119,868 |
| Grants to Domestic Individuals | $40,479 | - | - | $40,479 |
| Office Expenses | $3,121 | $24,955 | - | $28,076 |
| Insurance | - | $25,592 | - | $25,592 |
| Conferences and Meetings | $13,215 | - | - | $13,215 |
| Other Expenses | $43 | $10,199 | - | $10,242 |
| Travel | $8,360 | - | - | $8,360 |
| Information Technology | - | $7,287 | - | $7,287 |
| Fees for Services Other | $0 | $2,519 | $0 | $2,519 |
| Payroll Taxes | $556 | $38 | - | $594 |
| Total Functional Expenses | $6,093,292 | $199,321 | $0 | $6,292,613 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Due to Glas | $6,397,861 |
| Long Term Obligation - Operating Lease | $57,508 |
| Current Obligation - Operating Lease | $25,842 |
“Gundersen lutheran health system, inc. Is the sole corporate member of this organization.”
“The sole corporate member, gundersen lutheran health system, inc. May elect the governing body.”
“Gundersen lutheran health system, inc., the parent corporation and sole member of the corporation, shall have the power to recommend and review, as appropriate, and approve certain matters. Articles of incorporation may be amended by vote of the sole member of the corporation.”
“The form 990 is reviewed for completeness and accuracy by management. For this purpose, management includes the accounting manager, the executive director finance for gundersen lutheran health system, inc., and an officer of the tri-state regional ambulance, inc., board of directors. A copy of the form 990 is made available to all board members.”
“Each member of the tri-state regional ambulance, inc.'s governing board signs a conflict of interest statement annually. Members are asked to disclose conflicts as appropriate and abstain from voting when applicable.”
“Requests for all documents are made through the legal department and the appropriate documents are made available for inspection in the legal department.”
“The compensation of the operations manager is determined annually by the president of the board. The determination is made after a review of the market data is obtained from several organizations. The compensation amounts are not effective until the board approves them. Meeting minutes are taken and kept at the meetings where the board reviews and approves the compensation of the key employees.”
“Tri-state regional ambulance, inc. Provides high quality, low cost medical transportation services to and from medical appointments and home after a hospital discharge. In addition, tri-state regional ambulance provides pre-hospital emergency care and interfacility advance life support transportation.”
“Tri-state regional ambulance, inc. Provides high quality, low cost medical transportation services to and from medical appointments and home after a hospital discharge. In addition, tri-state regional ambulance provides pre-hospital emergency care and interfacility advance life support transportation. In 2021, all tsra employees transferred to gundersen 12/31/2021. Expansion project started at tsra in which two additional locations will be added. An assumed name (dba) was created under tsra as gundersen health system ambulance (in december). In 2023, tri-state regional ambulance had 2,257 transports, 17 standbys, 481 non-transports, and 2,755 total calls with 12 ambulances. In 2023, expanded our number of locations in order to better provide ambulance services to rural and underserved hospitals. This expansion is costly but has dramatically reduced patient wait times and helped ensure patients were cared for properly during transport. Successfully created a paramedic trainee program with near 100% graduation rates. In 2024, completed our second year of offering the paramedic trainee program, this program contracted with the local technical college to provide full-time paramedic education to 4 of four emts. These emts were hired into these roles with their main function to be full-time students and complete their education. The program was very successful, but costly. Tri-state regional ambulance has completed the caas reaccreditation, high staff 12-month retention rates in the low 90%s.”
“The auditor is selected by gundersen lutheran health system, inc.”
“THE SYSTEM QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, WITH THE EXCEPTION OF GUNDERSEN LUTHERAN ENVISION, LLC AND GUNDERSEN EDGE, LLC, WHICH ARE FOR-PROFIT ENTITIES. At September 30, 2024 and 2023, net deferred tax assets of $11,395 and $10,512, respectively, which primarily are related to net operating loss carryforwards, have valuation allowances of $11,395 and $10,512, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At September 30, 2024, the System's federal net operating loss carryforwards were approximately $43,489, and the state net operating loss carryforwards were approximately $41,989, which will expire between 2032 and 2041. The System has reviewed its tax positions for all open years and has concluded that no liabilities exist for uncertain tax positions. The System's income tax returns are no longer subject to examination for 2018 and prior years.”
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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|---|---|---|
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| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
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| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6087827300 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1900 SOUTH AVENUE NCA1-01 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LA CROSSE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 54601 |
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| IRS990/CYTotalExpensesAmt | 0 | 6292613 |
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| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 241870 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 241870 |
| IRS990/Desc | 0 | TRI-STATE REGIONAL AMBULANCE PROVIDES PRIMARY EMERGENCY 911 RESPONSE AS WELL AS EMERGENCY AND NON-EMERGENCY INTERFACILITY TRANSPORT AND INTERCEPT SERVICES. TRI-STATE REGIONAL AMBULANCE, INC. UTILIZED 12 AMBULANCES, 18 PARAMEDICS, AND 21 EMT'S TO MAKE APPROXIMATELY 3,410 TRANSPORTS IN 2024 USING ADVANCED MEDICAL PROTOCOLS. WE SEND ECG'S OR ELECTROCARDIOGRAMS TO THE HOSPITALS VIA THE INTERNET TO SPEED UP THE TREATMENT OF HEART ATTACK VICTIMS. TELEHEALTH WAS INTEGRATED ALLOWING SPECIALISTS TO PARTICIPATE IN VIRTUAL CARE IN MOVING AMBULANCE. IN 2024, TRI-STATE REGIONAL HAD 22 STANDBYS, 479 NON-TRANSPORTS, AND 4,030 TOTAL CALLS. |
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| IRS990/ElectionOfBoardMembersInd | 0 | true |
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| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
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| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 119868 |
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| IRS990/ForeignOfficeInd | 0 | false |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | BOARD OF DIRECTORS - SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD OF DIRECTORS - PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD OF DIRECTORS - VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD OF DIRECTORS - MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD OF DIRECTORS - MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD OF DIRECTORS - MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CHIEF FINANCIAL OFFICER, TREASURER (BEGIN 2/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | INTERIM CHIEF FINANCIAL OFFICER, TREASURER (THRU 2/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | ADMINISTRATIVE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | FORMER CHIEF FINANCIAL OFFICER |
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| IRS990/FormationYr | 0 | 1999 |
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| IRS990/GainOrLossGrp/OtherAmt | 0 | 2000 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 6 |
| IRS990/GovernmentGrantsAmt | 0 | 69001 |
| IRS990/GrantAmt | 0 | 40479 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 40479 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 40479 |
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| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 2000 |
| IRS990/GrossReceiptsAmt | 0 | 4957038 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 2 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 7287 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 7287 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 25592 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 25592 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 508550 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 508550 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 24 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 24 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 9 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 1148594 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1004018 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1140180 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 2288774 |
| IRS990/LegalDomicileStateCd | 0 | WI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | -991932 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | -2327507 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 2000 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 2000 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | -991932 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | -2327507 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 8863 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 150185 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 159048 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 24955 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 3121 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 28076 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 139022 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 83350 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/Desc | 0 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 1 | RENT, REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 2 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 3 | MEMBERSHIPS & LICENSES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 10199 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 893373 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 273964 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 101047 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 43 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 893373 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 273964 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 101047 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 10242 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 4177294 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 6481211 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 4367079 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 4367079 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 38 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 556 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 594 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 8429 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 9313 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | MICHAEL MCKEE |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621990 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621990 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PRE-HOSPITAL EMERGENCY |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | NON-EMERGENCY MEDICAL |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | PARAMEDIC AND EMT HOUR |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 4487814 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 134725 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 223992 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 4487814 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 134725 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 223992 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | PROVIDE NON-EMERGENCY MEDICAL TRANSPORTATION TO INDIVIDUALS NEEDING SPECIALIZED VEHICLES AND/OR ASSISTANCE. THE ORGANIZATION CONTINUED TO PROVIDE SERVICES TO LA CROSSE, MONROE, VERNON, RICHLAND, CRAWFORD, IOWA, AND GRANT COUNTIES UTILIZING 7 VANS AND REDUCED STAFFING TO 7 DRIVERS. |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 94249 |
| IRS990/ProgSrvcAccomActy2Grp/GrantAmt | 0 | 0 |
| IRS990/ProgSrvcAccomActy2Grp/RevenueAmt | 0 | 397919 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 113392 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 15545 |
| IRS990/PYInvestmentIncomeAmt | 0 | 209 |
| IRS990/PYOtherExpensesAmt | 0 | 1050510 |
| IRS990/PYOtherRevenueAmt | 0 | 0 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 2914515 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -754435 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 2716496 |
| IRS990/PYTotalExpensesAmt | 0 | 3782551 |
| IRS990/PYTotalRevenueAmt | 0 | 3028116 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -1335575 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
| IRS990/RelatedOrganizationsAmt | 0 | 38982 |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 4448612 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 607441 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 1209058 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | The 5-year computation period includes the current and 4 prior tax periods which includes a short year period from January 1, 2023, through September 30, 2023. The periods included in the computation are 2020, 2021, 2022, Short Year 2023, and Fiscal Year 2023. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | Schedule A, Part III Section A & B |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 108483 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 113392 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 88147 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 132786 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 125546 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 568354 |
| IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 24 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 209 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 233 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 4846531 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 2914515 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 2607820 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 2059305 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 1825149 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 14253320 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 24 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 209 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 233 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.0 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Post1975UBTIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 1.0000 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 1.0000 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 14821674 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
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