Civic Intelligence

Tri-State Ambulance Inc.

990 • Fiscal year 2015 • EIN 39-1965415

Jan 01, 2015 to Dec 31, 2015 • Filed on Nov 15, 2016

Organization Profilewww.tristateambulance.org

View Organization Page

235 CAUSEWAY BoulevardLA Crosse, WI 54603

(608) 784-8827

Siviq Scores

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

Liabilities / Assets

67th percentile

0.39x

Higher debt load relative to assets than 67% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Liabilities / Revenue

53rd percentile

0.21x

Higher debt load relative to revenue than 53% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Net Margin

66th percentile

8.7%

Higher net margin than 66% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Top Officer Pay

92nd percentile

$373,998

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 5.0% of source-year revenue.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Asset Growth

67th percentile

5.8%

Faster asset growth than 67% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2014 to 2015

Revenue Growth

54th percentile

4.8%

Faster revenue growth than 54% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets67th percentile

Assets

Up

$4,180,279

Up $229,341 (+5.8%) from 2014

Net Assets

Up

$2,561,736

Up $659,039 (+35%) from 2014

Liabilities

Down

$1,618,543

Down $429,698 (-21%) from 2014

Revenue And Expenses
Liabilities / Revenue53rd percentileNet Margin66th percentile

Revenue

Up

$7,555,079

Up $348,131 (+4.8%) from 2014

Expenses

Down

$6,896,040

Down $108,060 (-1.5%) from 2014

Net Income

Up

$659,039

Up $456,191 (+225%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth67th percentile

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

$10M$5.0M$0Assets 2010: $2,663,516Liabilities 2010: $916,655Net Assets 2010: $1,746,8612010Assets 2011: $3,544,619Liabilities 2011: $1,760,845Net Assets 2011: $1,783,7742011Assets 2012: $4,360,673Liabilities 2012: $2,420,222Net Assets 2012: $1,940,4512012Assets 2013: $3,747,895Liabilities 2013: $2,048,046Net Assets 2013: $1,699,8492013Assets 2014: $3,950,938Liabilities 2014: $2,048,241Net Assets 2014: $1,902,6972014Assets 2015: $4,180,279Liabilities 2015: $1,618,543Net Assets 2015: $2,561,7362015Assets 2016: $5,192,923Liabilities 2016: $1,584,776Net Assets 2016: $3,608,1472016Assets 2017: $5,764,969Liabilities 2017: $1,415,449Net Assets 2017: $4,349,5202017Assets 2018: $6,050,301Liabilities 2018: $1,226,896Net Assets 2018: $4,823,4052018Assets 2019: $5,931,200Liabilities 2019: $613,158Net Assets 2019: $5,318,0422019Assets 2020: $6,376,849Liabilities 2020: $948,601Net Assets 2020: $5,428,2482020Assets 2021: $6,779,441Liabilities 2021: $859,551Net Assets 2021: $5,919,8902021Assets 2022: $7,298,962Liabilities 2022: $706,483Net Assets 2022: $6,592,4792022Assets 2024: $8,126,565Liabilities 2024: $587,575Net Assets 2024: $7,538,9902024

Highlighted filing

2015

Assets$4,180,279
Liabilities$1,618,543
Net Assets$2,561,736
Open 2015 Filing

Operations Trend

Revenue Growth54th percentile

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

$10M$5.0M$0-$5.0MExpenses 2010: $5,281,4972010Expenses 2011: $5,696,7992011Revenue 2012: $6,297,502Expenses 2012: $6,152,246Net Income 2012: $145,2562012Revenue 2013: $6,595,098Expenses 2013: $6,835,700Net Income 2013: -$240,6022013Revenue 2014: $7,206,948Expenses 2014: $7,004,100Net Income 2014: $202,8482014Revenue 2015: $7,555,079Expenses 2015: $6,896,040Net Income 2015: $659,0392015Revenue 2016: $7,775,370Expenses 2016: $6,728,959Net Income 2016: $1,046,4112016Revenue 2017: $7,976,295Expenses 2017: $7,234,922Net Income 2017: $741,3732017Revenue 2018: $7,903,662Expenses 2018: $7,429,777Net Income 2018: $473,8852018Revenue 2019: $8,359,805Expenses 2019: $7,865,168Net Income 2019: $494,6372019Revenue 2020: $7,661,673Expenses 2020: $7,551,467Net Income 2020: $110,2062020Revenue 2021: $7,643,517Expenses 2021: $7,151,875Net Income 2021: $491,6422021Revenue 2022: $8,543,010Expenses 2022: $7,870,421Net Income 2022: $672,5892022Revenue 2024: $9,720,021Expenses 2024: $9,321,224Net Income 2024: $398,7972024

Highlighted filing

2015

Revenue$7,555,079
Expenses$6,896,040
Net Income$659,039
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Nov 15, 2016
Return Version
2015v2.1
Gross Receipts
$7,555,727
Mission and Program Overview

Mission

The mission of tri-state ambulance, inc. Is to be a primary provider of pre-hospital emergency care and transporation in the tri-state region. The company utilizes a team environment where all members work toward the shared goal of providing the highest level of patient care to the largest number of people in an efficient manner. With over 45 experienced paramedics, we continuously set the standard for emergency medical services. Since 1970, tri-state ambulance has served as the sole 911 advance life support provider for the region covering nearly 2,200 square miles and serving a population of approximately 150,000. Tri-state ambulance offers its residents and visitors unsurpassed pre-hospital care.

The mission of Tri-State Ambulance, Inc. is to be a primary provider of pre-hospital emergency care and transporation in the Tri-State region. The Company utilizes a team environment where all members work toward the shared goal of providing the highest level of patient care to the largest number of people in an efficient manner. With over 45 experienced paramedics, we continously set the standard for emergency medical services. Since 1970, Tri-State Ambulance has served as the sole 911 advance life support provider for the region. Covering nearly 2,200 square miles and serving a population of approximately 150,000. Tri-State Ambulance offers its residents and visitors unsurpassed pre-hospital care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,005,585$2,314,436▲ $308,851
Accounts Receivable$1,425,940$1,038,515▼ $387,425
Savings and Temporary Cash Investments$466,678$799,794▲ $333,116
Prepaid Expenses and Deferred Charges$52,462$27,261▼ $25,201
Cash and Non-Interest-Bearing Accounts$273$273→ $0
Total Assets$3,950,938$4,180,279▲ $229,341
Liabilities
Mortgage Notes Payable Secured by Investment Property$1,546,393$1,109,235▼ $437,158
Accounts Payable and Accrued Expenses$458,062$470,097▲ $12,035
Deferred Revenue$43,786$39,211▼ $4,575
Total Liabilities$2,048,241$1,618,543▼ $429,698
Net Assets / Fund Balance
Unrestricted Net Assets$1,902,697$2,561,736▲ $659,039
Total Net Assets Fund Balance$1,902,697$2,561,736▲ $659,039
Total Liabilities and Net Assets / Fund Balance$3,950,938$4,180,279▲ $229,341

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,037,523$2,407,784$3,445,307
Buildings$1,146,199$306,386$1,452,585
Land$130,543-$130,543
Leasehold Improvements$171$44,597$44,768
Compensation and Service Providers
Top Officer Pay92nd percentile

Employees

NameTitleBaseOtherTotal
Thomas TornstromExecutive Director$95,970$21,485$117,455

Board Members and Trustees

NameTitle
James KlockPresident
Mike PoellingerVice President
Elizabeth Smith-HouskampBoard Member
Kyle BakkumBoard Member
Michael KittelsonBoard Member
Bryan ErdmannSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Gundersen Health SystemPurchased Services1910 South Avenue, La Crosse, WI 54601$401,611
EMS Medical Billing AssociatesPurchased Services9401 West Brown Deer Road, Milwaukee, WI 53224$147,564
Revenue and Support

Revenue Composition

Contributions and Grants
$43,494
Program Service Revenue
$7,481,867
Investment Income
$29,718
Other Revenue
$0
All Other Contributions
$1,100
Change in Net Assets
$659,039

Audited Revenue Reconciliation

Revenue per Audited Statements
$7,555,079
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-987,635
Total Revenue per Audited Statements
$6,567,444
Total Revenue per Form 990
$7,555,079
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$4,017,341
Other Expenses$2,873,699
Grants and Similar Amounts Paid$5,000
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,557,539$466,607-$3,024,146
Other Employee Benefits$475,492$81,465-$556,957
Fees for Services Other-$415,493-$415,493
Depreciation Depletion$303,585$43,919-$347,504
Payroll Taxes$196,351$42,512-$238,863
Occupancy$180,759--$180,759
Current Officers, Directors, Trustees, and Key Employees-$117,455-$117,455
Fees for Services Management-$102,755-$102,755
Pension Plan Contributions$65,696$14,224-$79,920
Office Expenses$16,277$51,081-$67,358
Interest-$57,547-$57,547
Conferences and Meetings$53,014--$53,014
Travel$30,605--$30,605
Insurance$21,928--$21,928
Information Technology-$16,930-$16,930
Other Expenses$277,345$12,434-$12,434
Advertising-$8,354-$8,354
Grants to Domestic Orgs$5,000--$5,000
All Other Expenses$305--$305
Total Functional Expenses$5,465,264$1,430,776$0$6,896,040

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$6,896,040
Expenses per Audited Statements$5,908,405
Total Expenses per Audited Statements$5,908,405
Expenses Not Reported on Financial Statements$987,635
Other Expense Adjustments$987,635
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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
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 Luthern Health System, Inc. may elect the governing body.”

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

“Gundersen Lutheran Health System, Inc. has the ability to provide, by resolution, for more than the designated five directors. Upon dissolution, the distribution of assets shall be determined by the board of governors and the board of trustees of Gundersen Lutheran Health System, Inc.”

Form 990, Part VI, Section B, line 11

“Prior to filing the form 990, it is reviewed for completeness and accuracy by management. For this purpose, management is the accounting manager, the chief financial officer for gundersen lutheran health system, inc., and the principal officer of the organization. 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 Ambulance, Inc. governing board signs a conflict of interest statement each year. 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 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.”

Form 990, Part VI, Section C, line 19

“Requests for tri-state 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 Ambulance Inc
EIN
39-1965415
Phone
6087848827
Address
235 CAUSEWAY Boulevard, LA CROSSE, WI 54603
Doing Business As
Gundersen Tri-State Ambulance

Signing Officer

Name
James Klock
Title
President
Phone
6087848827
Signed
2016-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
James Klock
Formed
2002
Legal Domicile
Wi
Voting Board Members
6
Independent Board Members
3
Employees
85
Volunteers
3

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, Line 2C

“THE AUDITOR IS SELECTED BY Gundersen Lutheran Health System, Inc.”

Financial Statement Notes

Part XI, Line 2D - Other Adjustments:

“Provision for bad debts -987,635.”

Part XII, Line 4B - Other Adjustments:

“Provision for bad debts 987,635.”

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IRS990/Desc0TRI-STATE AMBULANCE HAS PROUDLY SERVED SOUTHWEST WISCONSIN, SOUTHEAST MINNESOTA, AND NORTHEAST IOWA SINCE 1970, WITH THE MOST ADVANCED PRE-HOSPITAL PATIENT CARE AVAILABLE TO THOUSANDS OF PATIENTS EVERY YEAR. PRIMARY EMERGENCY 911 RESPONSE AS WELL AS EMERGENCY AND NON-EMERGENCY INTERFACILITY TRANSPORT AND INTERCEPT SERVICES ARE PROVIDED 24 HOURS A DAY. ANOTHER MEASURE OF TRI-STATE AMUBLANCE'S SUCCESS IS DESCRIBED IN A RECENT COMPREHENSIVE STUDY ANALYZING THE PERCENTAGE OF PATIENTS WHO WERE DISCHARGED FROM A HOSPITAL AFTER SUFFERING A CARDIAC ARREST IN WHICH THE EVENT WAS WITNESSED AND THE VICTIM WAS IN A SHOCKABLE HEART RHYTHM (WHERE A DEFIBRILIATOR COULD BE USED). TRI-STATE AMBULANCE HAS ACHIEVED AN IMPRESSIVE SIX-YEAR AVERAGE OF 42 PERCENT OF CARDIAC ARREST VICTIMS WHO SURVIVED TO BE DISCHARGED FROM THE HOSPITAL. THIS IS NEAR THE TOP IN THE COUNTRY ACCORDING TO THE STUDY OF EMERGENCY MEDICAL SERVICES (EMS) SYSTEM PERFORMANCE, WHICH SHOWED SURVIVAL PERCENTAGES ACROSS THE COUNTRY RANGING FROM A BEST OF 46 PERCENT, TO A LOW OF 1 PERCENT IN CERTAIN AREAS. OUR IMPRESSIVE CARDIAC ARREST SURVIVAL RATE PLACES OUR SYSTEM AMONG THE BEST IN THE NATION. IN SEPTEMBER 2011, TRI-STATE AMBULANCE PURCHASED A NEWLY RENOVATED 23,400 SQUARE FOOT FACILITY IN LA CROSSE, WI. THE SIZE OF THE NEW BUILDING HAS ALLOWED TRI-STATE AMBULANCE TO INCREASE TRAINING OPPORTUNITIES FOR BOTH EMERGENCY MEDICAL SERVICE PROVIDERS AND COMMUNITY MEMBERS, PROVIDE PROPER SERVICE AND MAINTENANCE TO THEIR FLEET VEHICLES, AND CONSOLDIATE CENTRAL SUPPLY OF MEDICAL SUPPLIES AND EQUIPMENT FOR DISBURSEMENT TO OUTLYING TRI-STATE AMBULANCE LOCATIONS. OPERATIONS BEGAN IN THE NEW FACILITY IN THE EARLY PART OF 2012. IN THE SPRING OF 2012, TRI-STATE AMBULANCE TOOK DELIVERY OF TWO NEW AMBULANCES AS PART OF A FOUR YEAR COMPREHENSIVE AMBULANCE FLEET REPLACEMENT PLAN. NOT ONLY ARE THE NEW AMBULANCES MARKED WITH HIGHLY VISIBLE LIGHTING AND REFLECTIVE STRIPING, BUT THEY ARE DESIGNED TO OFFER BOTH PATIENTS AND STAFF A SAFER, SMOOTHER, AND MORE SECURE AMBULANCE RIDE. THE SLIGHTLY SMALLER SIZE AND SWITCH FROM DIESEL MOTORS TO GASOLINE HAS MADE OUR FLEET 20 TO 30 PERCENT LESS EXPENSIVE TO PURCHASE AND 30 TO 40 PERCENT LESS COSTLY TO MAINTAIN AND SERVICE. IN ADDITION TO THE HIGHER VISABILITY AMBULANCES, ALL PARAMEDICS AND EMT'S NOW HAVE HIGH-VISIBILITY OUTERWEAR THAT WILL HELP PROTECT THEM WHILE AT DANGEROUS SCENES. IN 2014, TRI-STATE AMBULANCE DEDICATED ONE OF THEIR AMBULANCES AS A CRITICAL CARE AMBULANCE. THIS ALLOWED FOR THE EXPANSION OF THEIR CRITICAL CARE AMBULANCE SERVICES TO BE ABLE TO RESPOND TO SMALL REGIONAL HOSPITALS. THIS PROGRAM ALLOWS TRI-STATE AMBULANCE TO PROVIDE LIFE SAVING ADVANCED CARE FOR THE SMALL REGIONAL HOSPITALS WHICH ARE UNDERSERVED BY ADVANCED PARAMEDICS. IN 2014, TRI-STATE AMBULANCE ALSO INVESTED IN THE PURCHASE OF PULSEPOINT CITIZEN RESPONDER TECHNOLOGY. THE INVESTMENT IN THE PULSEPOINT CITIZEN RESPONDER TECHNOLOGY ASSISTS IN ALERTING USERS OF A SUDDEN CARDIAC ARREST IN A PUBLIC PLACE AND THE LOCATION OF THE NEARBY AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS). IN 2015, TRI-STATE AMBULANCE DEVELOPED A COMPUTERIZED TOUCHSCREEN APPLICATION WHICH ALLOWS RURAL HOSPITALS TO REQUEST A HELICOPTER OR AMBULANCE SIMPLY BY THE PRESS OF A BUTTON. SMALLER EMERGENCY DEPARTMENTS ARE VERY BUSY PLACES AND THIS SYSTEM PREVENTS NURSES AND PHYSICIANS FROM BEING DISTRACTED WHILE ATTEMPTING TO REQUEST AN EMERGENCY AMBULANCE TRANSPORT. DURING 2015, TRI-STATE AMBULANCE HAD 10,754 TRANSPORT CALLS, 2,819 NON-TRANSPORT CALLS, 291 STANDBYS, and 14,573 total calls. IN ADDITION, TRI-STATE AMBULANCE CONTINUES TO EXPAND ON THEIR ABILITY TO RESPOND TO REGIONAL AND RURAL HOSPITALS AND TRANSPORT THEIR PATIENTS.
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt058375
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt139548
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt539804
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt621485
IRS990/Form990PartVIISectionAGrp/PersonNm0Bryan Erdmann
IRS990/Form990PartVIISectionAGrp/PersonNm1James Klock
IRS990/Form990PartVIISectionAGrp/PersonNm2Kyle Bakkum
IRS990/Form990PartVIISectionAGrp/PersonNm3Michael Kittelson
IRS990/Form990PartVIISectionAGrp/PersonNm4Mike Poellinger
IRS990/Form990PartVIISectionAGrp/PersonNm5Elizabeth Smith-Houskamp
IRS990/Form990PartVIISectionAGrp/PersonNm6Thomas Tornstrom
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt695970
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt0218446
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1119771
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt5334194
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/TitleTxt0Secretary/Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt1President
IRS990/Form990PartVIISectionAGrp/TitleTxt2Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt3Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt4Vice President
IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6Executive Director
IRS990/Form990ProvidedToGvrnBodyInd00
IRS990/FormationYr02002
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/OtherAmt027223
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt06
IRS990/GovernmentGrantsAmt039394
IRS990/GrantAmt05000
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt05000
IRS990/GrantsToDomesticOrgsGrp/TotalAmt05000
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/OtherAmt027871
IRS990/GrossReceiptsAmt07555727
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt03
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt016930
IRS990/InformationTechnologyGrp/TotalAmt016930
IRS990/InsuranceGrp/ProgramServicesAmt021928
IRS990/InsuranceGrp/TotalAmt021928
IRS990/InterestGrp/ManagementAndGeneralAmt057547
IRS990/InterestGrp/TotalAmt057547
IRS990/InvestmentIncomeGrp/ExclusionAmt02495
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt02495
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt041
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt02758767
IRS990/LandBldgEquipBasisNetGrp/BOYAmt02005585
IRS990/LandBldgEquipBasisNetGrp/EOYAmt02314436
IRS990/LandBldgEquipCostOrOtherBssAmt05073203
IRS990/LegalDomicileStateCd0WI
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt0648
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0The mission of Tri-State Ambulance, Inc. is to be a primary provider of pre-hospital emergency care and transporation in the Tri-State region. We are committed to attaining the highest standard of emergency care for the people in our service area. We are dedicated to treating patients with dignity, respect, and compassion. We value teamwork, creativity, personal growth, honest and open communication, and high professional and ethical standards. We are committed to efficient use of resources.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt01546393
IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt01109235
IRS990/NetAssetsOrFundBalancesBOYAmt01902697
IRS990/NetAssetsOrFundBalancesEOYAmt02561736
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt027223
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt027223
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ProgramServicesAmt0180759
IRS990/OccupancyGrp/TotalAmt0180759
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt051081
IRS990/OfficeExpensesGrp/ProgramServicesAmt016277
IRS990/OfficeExpensesGrp/TotalAmt067358
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt081465
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0475492
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0556957
IRS990/OtherExpensesGrp/Desc0Bad Debt Expense/uncoll
IRS990/OtherExpensesGrp/Desc1Ground Transportation M
IRS990/OtherExpensesGrp/Desc2Medical Supplies
IRS990/OtherExpensesGrp/Desc3Dues/subscriptions/lice
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt012434
IRS990/OtherExpensesGrp/ProgramServicesAmt01002113
IRS990/OtherExpensesGrp/ProgramServicesAmt1279255
IRS990/OtherExpensesGrp/ProgramServicesAmt2277345
IRS990/OtherExpensesGrp/TotalAmt01002113
IRS990/OtherExpensesGrp/TotalAmt1279255
IRS990/OtherExpensesGrp/TotalAmt2277345
IRS990/OtherExpensesGrp/TotalAmt312434
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0466607
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt02557539
IRS990/OtherSalariesAndWagesGrp/TotalAmt03024146
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt042512
IRS990/PayrollTaxesGrp/ProgramServicesAmt0196351
IRS990/PayrollTaxesGrp/TotalAmt0238863
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt014224
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt065696
IRS990/PensionPlanContributionsGrp/TotalAmt079920
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt052462
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt027261
IRS990/PrincipalOfficerNm0JAMES KLOCK
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0621910
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/Desc0Pre-Hospital Emergency
IRS990/ProgramServiceRevenueGrp/Desc1Community Education &
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt07281207
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt11539
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt07281207
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt11539
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt051039
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0750
IRS990/PYInvestmentIncomeAmt02080
IRS990/PYOtherExpensesAmt02979501
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt07153829
IRS990/PYRevenuesLessExpensesAmt0202848
IRS990/PYSalariesCompEmpBnftPaidAmt04023849
IRS990/PYTotalExpensesAmt07004100
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt07206948
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0659039
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/RelatedOrganizationsAmt03000
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt07481867
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0466678
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0799794
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0TRI-STATE AMBULANCE, INC. MEETS THIS CRITERIA FOR PUBLIC SUPPORT PURPOSES, BUT NOT FOR SCHEDULE H PURPOSES. FILING ORGANIZATION IS NOT LICENSED AND IS NOT REQUIRED TO BE LICENSED AS A HOSPITAL. ACCORDINGLY, SCHEDULE H DOES NOT APPLY AND IS NOT REQUIRED TO BE COMPLETED.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Part I Section A Line 3
IRS990ScheduleA/HospitalInd0X
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/BuildingsGrp/BookValueAmt01146199
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0306386
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt01452585
IRS990ScheduleD/EquipmentGrp/BookValueAmt01037523
IRS990ScheduleD/EquipmentGrp/DepreciationAmt02407784
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt03445307
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt0987635
IRS990ScheduleD/ExpensesSubtotalAmt05908405
IRS990ScheduleD/LandGrp/BookValueAmt0130543
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0130543
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0171
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt044597
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt044768
IRS990ScheduleD/OtherExpensesNotIncludedAmt0987635
IRS990ScheduleD/OtherRevenueAmt0-987635
IRS990ScheduleD/RevenueNotReportedAmt0-987635
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt07555079
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Provision for bad debts -987,635.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Provision for bad debts 987,635.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part XI, Line 2d - Other Adjustments:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part XII, Line 4b - Other Adjustments:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt02314436
IRS990ScheduleD/TotalExpensesPerForm990Amt06896040
IRS990ScheduleD/TotalRevenuePerForm990Amt07555079
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt06567444
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt05908405
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/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0214861
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1119411
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2274000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt032999
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt118338
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt239750
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt025376
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt121210
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt254
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt03585
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt1360
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt260194
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Bryan Erdmann
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1James Klock
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2Elizabeth Smith-Houskamp
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Secretary/Treasurer
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1President
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2Board Member
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0276821
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1159319
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2373998
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Gundersen Lutheran Health System, Inc. is the sole corporate member of this organization.

Document Assets

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Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$4,180,279
Liabilities
$1,618,543
Net assets
$2,561,736
Revenue
$7,555,079
Expenses
$6,896,040
Net income
$659,039
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$8.13$0.59$7.54$9.72$9.32$0.40
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$7.30$0.71$6.59$8.54$7.87$0.67
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.78$0.86$5.92$7.64$7.15$0.49
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.38$0.95$5.43$7.66$7.55$0.11
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.93$0.61$5.32$8.36$7.87$0.49
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$6.05$1.23$4.82$7.90$7.43$0.47
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.76$1.42$4.35$7.98$7.23$0.74
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.19$1.58$3.61$7.78$6.73$1.05
2015Detailed filing. Detailed filing data is available for this year.$4.18$1.62$2.56$7.56$6.90$0.66
2014Summary only. Only limited summary data is available for this year.$3.95$2.05$1.90$7.21$7.00$0.20
2013Summary only. Only limited summary data is available for this year.$3.75$2.05$1.70$6.60$6.84$0.24
2012Summary only. Only limited summary data is available for this year.$4.36$2.42$1.94$6.30$6.15$0.15
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.54$1.76$1.78$5.70
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.66$0.92$1.75$5.28