Civic Intelligence

Tri-State Regional Ambulance Inc.

990 • Fiscal year 2016 • EIN 39-1962965

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 07, 2017

Organization ProfileN/A
235 Causeway BoulevardLA Crosse, WI 54603

(608) 637-8884

Siviq Scores

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

Liabilities / Assets

71st percentile

0.32x

Higher debt load relative to assets than 71% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

59th percentile

0.17x

Higher debt load relative to revenue than 59% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

32nd percentile

-3.2%

Higher net margin than 32% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

94th percentile

$297,657

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 12.4% of source-year revenue.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

36th percentile

-1.8%

Faster asset growth than 36% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

34th percentile

-3.2%

Faster revenue growth than 34% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets71st percentile

Assets

Down

$1,247,923

Down $22,898 (-1.8%) from 2015

Net Assets

Down

$843,308

Down $77,619 (-8.4%) from 2015

Liabilities

Up

$404,615

Up $54,721 (+16%) from 2015

Revenue And Expenses
Liabilities / Revenue59th percentileNet Margin32nd percentile

Revenue

Down

$2,400,877

Down $79,365 (-3.2%) from 2015

Expenses

Down

$2,478,496

Down $147,698 (-5.6%) from 2015

Net Income

Up

-$77,619

Up $68,333 (+47%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth36th percentile

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

$10M$5.0M$0-$5.0MAssets 2010: $270,387Liabilities 2010: $78,188Net Assets 2010: $192,1992010Assets 2011: $277,413Liabilities 2011: $71,696Net Assets 2011: $205,7172011Assets 2012: $2,131,292Liabilities 2012: $1,114,475Net Assets 2012: $1,016,8172012Assets 2013: $1,651,257Liabilities 2013: $305,985Net Assets 2013: $1,345,2722013Assets 2014: $1,408,012Liabilities 2014: $341,133Net Assets 2014: $1,066,8792014Assets 2015: $1,270,821Liabilities 2015: $349,894Net Assets 2015: $920,9272015Assets 2016: $1,247,923Liabilities 2016: $404,615Net Assets 2016: $843,3082016Assets 2017: $1,307,197Liabilities 2017: $407,887Net Assets 2017: $899,3102017Assets 2018: $1,205,215Liabilities 2018: $585,924Net Assets 2018: $619,2912018Assets 2019: $1,165,296Liabilities 2019: $722,066Net Assets 2019: $443,2302019Assets 2020: $1,162,572Liabilities 2020: $1,025,505Net Assets 2020: $137,0672020Assets 2021: $1,164,152Liabilities 2021: $1,201,688Net Assets 2021: -$37,5362021Assets 2022: $2,235,756Liabilities 2022: $3,326,445Net Assets 2022: -$1,090,6892022Assets 2023: $3,227,714Liabilities 2023: $4,219,646Net Assets 2023: -$991,9322023Assets 2024: $4,182,968Liabilities 2024: $6,510,475Net Assets 2024: -$2,327,5072024

Highlighted filing

2016

Assets$1,247,923
Liabilities$404,615
Net Assets$843,308
Open 2016 Filing

Operations Trend

Revenue Growth34th percentile

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

$8.0M$6.0M$4.0M$2.0M$0-$2.0MRevenue 2010: $387,376Expenses 2010: $411,001Net Income 2010: -$23,6252010Revenue 2011: $428,140Expenses 2011: $414,622Net Income 2011: $13,5182011Revenue 2012: $1,403,044Expenses 2012: $1,651,173Net Income 2012: -$248,1292012Revenue 2013: $2,112,109Expenses 2013: $2,898,654Net Income 2013: -$786,5452013Revenue 2014: $2,228,373Expenses 2014: $2,734,766Net Income 2014: -$506,3932014Revenue 2015: $2,480,242Expenses 2015: $2,626,194Net Income 2015: -$145,9522015Revenue 2016: $2,400,877Expenses 2016: $2,478,496Net Income 2016: -$77,6192016Revenue 2017: $2,429,377Expenses 2017: $2,373,375Net Income 2017: $56,0022017Revenue 2018: $2,165,881Expenses 2018: $2,445,900Net Income 2018: -$280,0192018Revenue 2019: $2,234,427Expenses 2019: $2,410,488Net Income 2019: -$176,0612019Revenue 2020: $1,952,228Expenses 2020: $2,258,391Net Income 2020: -$306,1632020Revenue 2021: $2,192,778Expenses 2021: $2,367,381Net Income 2021: -$174,6032021Revenue 2022: $2,695,967Expenses 2022: $3,749,120Net Income 2022: -$1,053,1532022Revenue 2023: $3,028,116Expenses 2023: $3,782,551Net Income 2023: -$754,4352023Revenue 2024: $4,957,038Expenses 2024: $6,292,613Net Income 2024: -$1,335,5752024

Highlighted filing

2016

Revenue$2,400,877
Expenses$2,478,496
Net Income-$77,619
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 7, 2017
Return Version
2016v3.0
Gross Receipts
$2,406,677
Mission and Program Overview

Mission

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.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Intangible Assets$508,550$508,550→ $0
Accounts Receivable$381,102$348,608▼ $32,494
Cash and Non-Interest-Bearing Accounts$155,953$210,461▲ $54,508
Land, Buildings, and Equipment, Net$192,546$143,737▼ $48,809
Prepaid Expenses and Deferred Charges$32,670$36,567▲ $3,897
Total Assets$1,270,821$1,247,923▼ $22,898
Liabilities
Accounts Payable and Accrued Expenses$241,335$215,972▼ $25,363
Other Liabilities$100,000$178,497▲ $78,497
Deferred Revenue$8,559$10,146▲ $1,587
Total Liabilities$349,894$404,615▲ $54,721
Net Assets / Fund Balance
Unrestricted Net Assets$920,927$843,308▼ $77,619
Total Net Assets Fund Balance$920,927$843,308▼ $77,619
Total Liabilities and Net Assets / Fund Balance$1,270,821$1,247,923▼ $22,898

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$143,337$666,901$810,238
Leasehold Improvements$400$5,600$6,000
Compensation and Service Providers
Top Officer Pay94th percentile

Employees

NameTitleOtherTotal
Thomas TornstromExecutive director$132,476$132,476

Board Members and Trustees

NameTitle
James KlockPresident
Mike PoellingerVice President
Kyle BakkumBoard member
Michael KittelsonBoard member
Bryan ErdmannSecretary/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$54,411
Program Service Revenue
$2,350,841
Investment Income
$-4,375
Other Revenue
$0
Change in Net Assets
$-77,619

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Cars and Other Vehicles1$48,550Fair Market Value
Total Noncash Contributions1$48,550-

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,352,327
Revenue Not Reported on Financial Statements
$48,550
Revenue Not Reported on Form 990
$-270,218
Other Revenue Adjustments
$48,550
Total Revenue per Audited Statements
$2,082,109
Total Revenue per Form 990
$2,400,877
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,591,542
Other Expenses$886,954
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,294,157$54,943-$1,349,100
Payroll Taxes$107,922$5,213-$113,135
Other Employee Benefits$111,982$182-$112,164
Depreciation Depletion$106,421$1,200-$107,621
Fees for Services Management-$90,053-$90,053
Occupancy$74,585--$74,585
Insurance$27,844$7,310-$35,154
Office Expenses$13,538$19,587-$33,125
Pension Plan Contributions$16,368$775-$17,143
Conferences and Meetings$11,489$5,563-$17,052
Fees for Services Accounting-$11,890-$11,890
Fees for Services Other-$4,607-$4,607
All Other Expenses$344$3,286-$3,630
Other Expenses$58,195$3,135-$3,135
Information Technology-$2,012-$2,012
Travel$1,745--$1,745
Advertising-$578-$578
Fees for Services Legal-$200-$200
Total Functional Expenses$2,267,962$210,534$0$2,478,496

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$2,478,496
Expenses per Audited Statements$2,208,278
Total Expenses per Audited Statements$2,208,278
Expenses Not Reported on Financial Statements$270,218
Other Expense Adjustments$270,218
Expenses Not Reported on Form 990$0
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Line of Credit from GLAS$178,497
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

“Gundersen Lutheran Health System, Inc. is the sole corporate member of this organization.”

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

“The sole corporate member, Gundersen Lutheran Health System, Inc. may elect the governing body.”

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

“Upon dissolution, the distribution of assets shall be determined by the board of governors and board of trustees of Gundersen Lutheran Health System, Inc.”

Form 990, Part VI, Section B, line 11B

“The Form 990 is reviewed for completeness and accuracy by management. For this purpose, management includes the Accounting Manager, the Chief Financial Officer 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.”

Form 990, Part VI, Section B, line 12C

“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.”

Form 990, Part VI, Section B, line 15

“The compensation of the Operating Manager is determined annually by the President of the board of directors. The determination is made after a review of the market data from several organizations. The compensation amounts are not effective until the board approves them. Meeting minutes are taken and kept at the meeting where the board reviews and approves the compensation of the key employees.”

Form 990, Part VI, Section C, line 19

“Requests for tri-state regional ambulance's governing documents, conflict of interest policy, and financial statements are available for public inspection and copying through gundersen lutheran health system, inc.'s legal department.”

Filing and Contact Details

Filer

Filer Name
Tri-state Regional Ambulance Inc
EIN
39-1962965
Phone
6086378884
Address
235 CAUSEWAY BOULEVARD, LA CROSSE, WI 54603

Signing Officer

Name
Bryan Erdmann
Title
Secretary/Treasurer
Phone
6086378884
Signed
2017-11-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James Klock
Formed
1999
Legal Domicile
Wi
Voting Board Members
5
Independent Board Members
3
Employees
59
Volunteers
6

Preparer

Firm
Wipfli LLP
Address
3703 Oakwood Hills Pkwy, Eau Claire, WI 54701
Preparer
Paul M Traczek CPA
Phone
7158323407
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Section 2, Line C

“The auditor is selected by gundersen lutheran health system, inc.”

Financial Statement Notes

Part XI, Line 2D - Other Adjustments:

“Provision for bad debts -270,218.”

Part XI, Line 4B - Other Adjustments:

“Contribution revenue 48,550.”

Part XII, Line 4B - Other Adjustments:

“Provision for bad debts 270,218.”

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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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IRS990/Desc0Provide non-emergency medical transportation to individuals needing specialized vehicles and/or assistance. The Tri-State Regional Ambulance, Inc. expanded their service level to La Crosse area by hiring on-call drivers and doubling availability. The organization continued to provide services to La Crosse, Monroe, Vernon, Richland, Crawford, Iowa, and Grant counties utilizing 13 vans.
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IRS990/MissionDesc0TRI-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.
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IRS990/OtherEmployeeBenefitsGrp/TotalAmt0112164
IRS990/OtherExpensesGrp/Desc0bad debt expense
IRS990/OtherExpensesGrp/Desc1Ground transportation m
IRS990/OtherExpensesGrp/Desc2supplies - ambulance
IRS990/OtherExpensesGrp/Desc3dues and licenses
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt03135
IRS990/OtherExpensesGrp/ProgramServicesAmt0270218
IRS990/OtherExpensesGrp/ProgramServicesAmt1173154
IRS990/OtherExpensesGrp/ProgramServicesAmt258195
IRS990/OtherExpensesGrp/TotalAmt0270218
IRS990/OtherExpensesGrp/TotalAmt1173154
IRS990/OtherExpensesGrp/TotalAmt258195
IRS990/OtherExpensesGrp/TotalAmt33135
IRS990/OtherLiabilitiesGrp/BOYAmt0100000
IRS990/OtherLiabilitiesGrp/EOYAmt0178497
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt054943
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt01294157
IRS990/OtherSalariesAndWagesGrp/TotalAmt01349100
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt05213
IRS990/PayrollTaxesGrp/ProgramServicesAmt0107922
IRS990/PayrollTaxesGrp/TotalAmt0113135
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt0775
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt016368
IRS990/PensionPlanContributionsGrp/TotalAmt017143
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt032670
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt036567
IRS990/PrincipalOfficerNm0JAMES KLOCK
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621990
IRS990/ProgramServiceRevenueGrp/BusinessCd1621910
IRS990/ProgramServiceRevenueGrp/Desc0Non-Emergency Medical
IRS990/ProgramServiceRevenueGrp/Desc1Pre-Hospital Emergency
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt01791225
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1477959
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt01791225
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1477959
IRS990/ProgSrvcAccomActy2Grp/Desc0Tri-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. utilizes eight ambulances, 22 paramedics, and 28 EMT's to made approximately 2,100 transports in 2016 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. In 2016, Tri-state Regional had 28 standbys, 367 no-transports, and 2,552 total calls.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt01912848
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt01923754
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt03837
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0300
IRS990/PYInvestmentIncomeAmt0-14292
IRS990/PYOtherExpensesAmt01000669
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt02490697
IRS990/PYRevenuesLessExpensesAmt0-145952
IRS990/PYSalariesCompEmpBnftPaidAmt01625225
IRS990/PYTotalExpensesAmt02626194
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt02480242
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-77619
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/RelatedOrganizationsAmt048550
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt0427087
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt054411
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt03837
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt02867
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0585
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt061700
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt02350841
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt02490697
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt02225506
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt02123517
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt01402455
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt010593016
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt010654716
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt02405252
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt02494534
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt02228373
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt02123517
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt01403040
IRS990ScheduleA/Total509Grp/TotalAmt010654716
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt02405252
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt02494534
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt02228373
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt02123517
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt01403040
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt010654716
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/EquipmentGrp/BookValueAmt0143337
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0666901
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0810238
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt0270218
IRS990ScheduleD/ExpensesSubtotalAmt02208278
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0400
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt05600
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt06000
IRS990ScheduleD/OtherExpensesNotIncludedAmt0270218
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0178497
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Line of Credit from GLAS
IRS990ScheduleD/OtherRevenueAmt0-270218
IRS990ScheduleD/OtherRevenuesNotIncludedAmt048550
IRS990ScheduleD/RevenueNotReportedAmt0-270218
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt048550
IRS990ScheduleD/RevenueSubtotalAmt02352327
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Provision for bad debts -270,218.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Contribution revenue 48,550.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2Provision for bad debts 270,218.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part XI, Line 2d - Other Adjustments:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part XI, Line 4b - Other Adjustments:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2Part XII, Line 4b - Other Adjustments:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0143737
IRS990ScheduleD/TotalExpensesPerForm990Amt02478496
IRS990ScheduleD/TotalLiabilityAmt0178497
IRS990ScheduleD/TotalRevenuePerForm990Amt02400877
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt02082109
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt02208278
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/CompensationCommitteeInd0X
IRS990ScheduleJ/CompensationSurveyInd0X
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0231686
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1122419
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt035625
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt118889
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt028845
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt124465
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt01501
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt1360
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Bryan Erdmann
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1James Klock
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Secretary/Treasurer
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1President
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0297657
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1166133
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd00
IRS990ScheduleM/CarsAndOtherVehiclesGrp/ContributionCnt01
IRS990ScheduleM/CarsAndOtherVehiclesGrp/MethodOfDeterminingRevenuesTxt0Fair Market Value
IRS990ScheduleM/CarsAndOtherVehiclesGrp/NonCashCheckboxInd0X
IRS990ScheduleM/CarsAndOtherVehiclesGrp/NoncashContributionsRptF990Amt048550
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd00
IRS990ScheduleM/ThirdPartiesUsedInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Gundersen Lutheran Health System, Inc. is the sole corporate member of this organization.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The sole corporate member, Gundersen Lutheran Health System, Inc. may elect the governing body.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Upon dissolution, the distribution of assets shall be determined by the board of governors and board of trustees of Gundersen Lutheran Health System, Inc.

Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,247,923
Liabilities
$404,615
Net assets
$843,308
Revenue
$2,400,877
Expenses
$2,478,496
Net income
-$77,619
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4.18$6.51$2.33$4.96$6.29$1.34
2023Detailed filing. Detailed filing data is available for this year.$3.23$4.22$0.99$3.03$3.78$0.75
2022Detailed filing. Detailed filing data is available for this year.$2.24$3.33$1.09$2.70$3.75$1.05
2021Detailed filing. Detailed filing data is available for this year.$1.16$1.20$0.04$2.19$2.37$0.17
2020Detailed filing. Detailed filing data is available for this year.$1.16$1.03$0.14$1.95$2.26$0.31
2019Detailed filing. Detailed filing data is available for this year.$1.17$0.72$0.44$2.23$2.41$0.18
2018Detailed filing. Detailed filing data is available for this year.$1.21$0.59$0.62$2.17$2.45$0.28
2017Detailed filing. Detailed filing data is available for this year.$1.31$0.41$0.90$2.43$2.37$0.06
2016Detailed filing. Detailed filing data is available for this year.$1.25$0.40$0.84$2.40$2.48$0.08
2015Detailed filing. Detailed filing data is available for this year.$1.27$0.35$0.92$2.48$2.63$0.15
2014Summary only. Only limited summary data is available for this year.$1.41$0.34$1.07$2.23$2.73$0.51
2013Summary only. Only limited summary data is available for this year.$1.65$0.31$1.35$2.11$2.90$0.79
2012Summary only. Only limited summary data is available for this year.$2.13$1.11$1.02$1.40$1.65$0.25
2011Summary only. Only limited summary data is available for this year.$0.28$0.07$0.21$0.43$0.41$0.01
2010Summary only. Only limited summary data is available for this year.$0.27$0.08$0.19$0.39$0.41$0.02