Liabilities / Assets
44th percentile
Higher debt load relative to assets than 44% of similar nonprofits.
Tri-State Ambulance Inc.
990 • Fiscal year 2019 • EIN 39-1965415
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.10x
Liabilities / Revenue
31st percentile
Higher debt load relative to revenue than 31% of similar nonprofits.
Net Margin
59th percentile
Higher net margin than 59% of similar nonprofits.
Top Officer Pay
90th percentile
Higher top officer pay than 90% of similar nonprofits.
Top officer pay equals 4.0% of source-year revenue.
Asset Growth
28th percentile
Faster asset growth than 28% of similar nonprofits.
Revenue Growth
56th percentile
Faster revenue growth than 56% of similar nonprofits.
Balance Sheet
Assets
Down$5,931,200
Down $119,101 (-2.0%) from 2018
Net Assets
Up$5,318,042
Up $494,637 (+10%) from 2018
Liabilities
Down$613,158
Down $613,738 (-50%) from 2018
Revenue And Expenses
Revenue
Up$8,359,805
Up $456,143 (+5.8%) from 2018
Expenses
Up$7,865,168
Up $435,391 (+5.9%) from 2018
Net Income
Up$494,637
Up $20,752 (+4.4%) from 2018
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2019 to Dec 31, 2019
- Signed
- Oct 19, 2020
- Return Version
- 2019v5.1
- Gross Receipts
- $8,359,805
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.
SEE SCHEDULE O
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $3,485,691 | $3,677,130 | ▲ $191,439 |
| Accounts Receivable | $1,593,051 | $1,590,414 | ▼ $2,637 |
| Savings and Temporary Cash Investments | $942,489 | $495,620 | ▼ $446,869 |
| Prepaid Expenses and Deferred Charges | $28,770 | $81,427 | ▲ $52,657 |
| Inventories for Sale or Use | $0 | $5,798 | ▲ $5,798 |
| Cash and Non-Interest-Bearing Accounts | $300 | $300 | → $0 |
| Other Notes and Loans Receivable, Net | $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 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $6,050,301 | $5,931,200 | ▼ $119,101 |
| Other Assets Total | $0 | $80,511 | ▲ $80,511 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $452,831 | $495,888 | ▲ $43,057 |
| Mortgage Notes Payable Secured by Investment Property | $653,137 | $80,511 | ▼ $572,626 |
| Deferred Revenue | $106,078 | $27,839 | ▼ $78,239 |
| Other Liabilities | $14,850 | $8,920 | ▼ $5,930 |
| Grants Payable | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $1,226,896 | $613,158 | ▼ $613,738 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $4,823,405 | $5,318,042 | ▲ $494,637 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $4,823,405 | $5,318,042 | ▲ $494,637 |
| Total Liabilities and Net Assets / Fund Balance | $6,050,301 | $5,931,200 | ▼ $119,101 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $1,056,030 | $1,919,301 | $2,975,331 |
| Equipment | $987,164 | $1,149,169 | $2,136,333 |
| Buildings | $1,337,655 | $587,614 | $1,925,269 |
| Land | $296,281 | - | $296,281 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Thomas Tornstrom | Executive Director | FT | $130,713 | $36,969 | $167,682 |
Board Members and Trustees
| Name | Title |
|---|---|
| Stephanie Swartz | President |
| Michael Mckee | Secretary |
| Bryan Erdmann | Treasurer |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Gundersen Health System | Purchased Services | 1900 SOUTH AVENUE, La Crosse, WI 54601, Ca | $471,789 |
| Zoll Medical Corporation | Equipment Purchase | PO BOX 27028, New York, NY 10087-7028 | $404,499 |
| Crestline Coach Ltd | Vehicle Purchase | PO BOX 70887, Charlotte, NC 28272-0887 | $382,805 |
| Fleetcor Technologies INC | Fuel | PO BOX 93308, Chicago, IL 60673-3308 | $139,939 |
| Stryker Sales Corp | Medical Devices | - | $108,282 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $83,583
- Program Service Revenue
- $8,269,341
- Investment Income
- $6,881
- Other Revenue
- $0
- Change in Net Assets
- $494,637
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $4,604,324 |
| Other Expenses | $3,257,057 |
| Grants and Similar Amounts Paid | $3,787 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $2,692,791 | $615,951 | - | $3,308,742 |
| Other Employee Benefits | $526,399 | $108,264 | - | $634,663 |
| Depreciation Depletion | $428,510 | $85,790 | - | $514,300 |
| Fees for Services Management | $404,298 | $107,796 | - | $512,094 |
| Current Officers, Directors, Trustees, and Key Employees | $302,077 | - | - | $302,077 |
| Payroll Taxes | $218,809 | $45,002 | - | $263,811 |
| Occupancy | $168,453 | $34,645 | - | $203,098 |
| Pension Plan Contributions | $78,820 | $16,211 | - | $95,031 |
| Conferences and Meetings | $83,796 | - | - | $83,796 |
| Travel | $42,219 | - | - | $42,219 |
| Information Technology | - | $28,415 | - | $28,415 |
| Fees for Services Other | - | $27,544 | - | $27,544 |
| Insurance | $20,956 | $4,310 | - | $25,266 |
| Interest | $18,032 | $3,709 | - | $21,741 |
| Other Expenses | $15,606 | $0 | $0 | $15,606 |
| Fees for Services Legal | - | $13,878 | - | $13,878 |
| Advertising | - | $5,895 | - | $5,895 |
| Grants to Domestic Orgs | $3,787 | - | - | $3,787 |
| Fees for Services Accounting | $236 | $2,599 | - | $2,835 |
| All Other Expenses | $2,738 | - | - | $2,738 |
| Office Expenses | $-21,043 | $22,480 | - | $1,437 |
| Total Functional Expenses | $6,742,679 | $1,122,489 | $0 | $7,865,168 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Insider Transactions and Loans
Loans and Receivables
| 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 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Due to Glas | $4,611 |
| Unclaimed Property | $4,309 |
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 35% controlled entity
- No
- 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 six 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 11B
“Prior to filing the form 990, it is reviewed for completeness and accuracy by management. For this purpose, management is the accounting manager, the executive director finance for the 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 tri-state ambulance, inc. 39-1965415 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 form 990 and certain other information is available for public inspection and copying through the gundersen lutheran health system, inc.'s legal department. A copy of the tri-state ambulance, inc. Form 990 can also be found electronically on www.guidestar.org.”
Filing and Contact Details
Filer
- Filer Name
- Tri-state Ambulance Inc
- EIN
- 39-1965415
- In Care Of
- % GERALD OETZEL
- Phone
- 6087848827
- Address
- 235 CAUSEWAY BOULEVARD, LA CROSSE, WI 54603-3119
Signing Officer
- Name
- Michael Mckee
- Title
- President
- Phone
- 6087848827
- Signed
- 2020-10-19
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Michael Mckee
- Formed
- 2002
- Legal Domicile
- Wi
- Voting Board Members
- 6
- Independent Board Members
- 3
- Employees
- 98
- Volunteers
- 6
Preparer
- Firm
- Ernst & Young US Llp
- Address
- 155 N Wacker Drive, Chicago, IL 60606
- Preparer
- Jess Wagener
- Phone
- 3128792000
Supplemental Narrative
Additional Explanations
Form 990, Part I, Line 1
“The mission of tri-state ambulance, inc. Is to be a primary provider of pre-hospital emergency care and transportation 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.”
Form 990, Part XII, Line 2C
“The auditor is selected by gundersen lutheran health system, inc.”
Financial Statement Notes
Part X, Line 2
“The system qualifies as a tax-exempt organization under section 501(c)(3) of the internal revenue code (the code), with the exception of gundersen health plan, inc. And gundersen health plan minnesota, inc., which are tax-exempt organizations under 501(c)(4) of the code, and degen berglund, inc. And gundersen lutheran envision, llc, which are for-profit entities. At december 31, 2019 and 2018, net deferred tax assets of $6,900 and $7,574, respectively, which primarily are related to net operating loss carry forwards, have valuation allowances of $6,900 and $6,300, respectively, recorded against them due to the uncertainty of realizing those benefits in the future. At december 31, 2019, the system's federal net operating loss carryforwards were approximately $28,700, and the state net operating loss carryforwards were approximately $25,400, which will expire between 2028 and 2037. 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 2014 and prior years. The tax cuts and jobs act (act) was enacted on december 22, 2017. The act reduces the u.s. Federal corporate tax rate from 35% to 21%. For tax-exempt entities, the act requires organizations to pay an excise tax on remuneration above certain thresholds that is paid to executives by the organization, and report income or loss from unrelated business activities on an activity-by-activity basis, among other provisions. Regulations necessary to implement certain aspects of the act are expected to be promulgated by the internal revenue service (irs) in 2020. At december 31, 2019, the system made a reasonable estimate of the tax effects of the enactment of the act. Certain regulatory guidance provides for a measurement period of up to one year during which the accounting for the tax effects of the act may be completed. The system may record further adjustments in future periods upon obtaining, preparing, or analyzing additional information about facts and circumstances that existed as of the date of enactment that would have affected the income tax effects initially reported. The system will continue to revise and refine the calculations as additional irs guidance is issued.”
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| IRS990/Desc | 0 | TRI-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 AMBULANCES' 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 DEFIBRILLATOR COULD BE USED). 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 CONSOLIDATE 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 VISIBILITY 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, TRISTATE 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 2016, TRI-STATE AMBULANCE BEGAN TO INSTALL POWER STRETCHER LIFTS IN THE AMBULANCES ALLOWING FOR INCREASED LEVEL OF SAFETY FOR PARAMEDICS, EMTS, AND PATIENTS. TRI-STATE AMBULANCE CONTINUES TO MEET AND EXCEED CONTRACTUAL RESPONSE TIME. IN 2016, TRI-STATE AMBULANCE SAW A RECORD YEAR IN THE SERVICE AREA OF CARDIAC ARREST SURVIVAL AND CONTINUES TO WORK WITH HOSPITALS THROUGHOUT THE SERVICE AREA TO INCREASE PATIENT SURVIVAL FROM MEDICAL EMERGENCIES. IN 2017, TRI-STATE AMBULANCE BEGAN A PARTNERSHIP WITH THE LA CROSSE FIRE DEPARTMENT IN WHICH FIREFIGHTER PARAMEDICS WILL BE ABLE TO WORK AS EMPLOYEES OF TRI-STATE AMBULANCE THIS ARRANGEMENT WILL ASSIST TRI-STATE AMBULANCE WITH MUCH NEEDED STAFF AND ALSO HELP THE FIRE DEPARTMENT LOWER THEIR TURNOVER. IN 2018, THE RELATIONSHIP WITH LA CROSSE FIRE DEPARTMENT CONTINUED TO GROW AND THE USE OF SHARED STAFFING HAS BEEN WORKING WELL. IN ADDITION, DURING THE LATTER PART OF 2018 TRI-STATE AMBULANCE DONATED BLEEDING CONTROL KITS TO NEARLY 50 BUSINESSES IN THE LA CROSSE AREA TO PLACE IN THE AED ENCLOSURES. TRI-STATE AMBULANCE ALSO PARTNERED WITH WESTERN TECHNICAL COLLEGE AS A GRANT RECIPIENT TO TRAIN ADDITIONAL PARAMEDICS. TRI-STATE AMBULANCE PROVIDES PRIMARY EMERGENCY 911 RESPONSE AS WELL AS EMERGENCY AND NON-EMERGENCY INTERFACILITY TRANSPORT AND INTERCEPT SERVICES. IN 2019, TRI-STATE AMBULANCE CONTINUED TO EXCEED RESPONSE TIMES AND IMPROVED CLINICAL QUALITY BY |
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| IRS990/MissionDesc | 0 | 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. |
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| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | TRI-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. |
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| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | true |
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| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 587614 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 1925269 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 987164 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 1149169 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 2136333 |
| IRS990ScheduleD/FederalIncomeTaxLiabilityAmt | 0 | 0 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 296281 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 296281 |
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Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $5,931,200
- Liabilities
- $613,158
- Net assets
- $5,318,042
- Revenue
- $8,359,805
- Expenses
- $7,865,168
- Net income
- $494,637