Civic Intelligence

Tri-State Ambulance Inc.

990 • Fiscal year 2020 • EIN 39-1965415

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 10, 2021

235 Causeway BoulevardLA Crosse, WI 54603-3119

(608) 784-8827

Siviq Scores

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

Liabilities / Assets

48th percentile

0.15x

Higher debt load relative to assets than 48% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Liabilities / Revenue

35th percentile

0.12x

Higher debt load relative to revenue than 35% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Net Margin

42nd percentile

1.4%

Higher net margin than 42% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Top Officer Pay

90th percentile

$328,050

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 4.3% of source-year revenue.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2020

Asset Growth

54th percentile

7.5%

Faster asset growth than 54% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2019 to 2020

Revenue Growth

31st percentile

-8.4%

Faster revenue growth than 31% of similar nonprofits.

2020 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2019 to 2020

Assets

Up

$6,376,849

Up $445,649 (+7.5%) from 2019

Net Assets

Up

$5,428,248

Up $110,206 (+2.1%) from 2019

Liabilities

Up

$948,601

Up $335,443 (+55%) from 2019

Revenue

Down

$7,661,673

Down $698,132 (-8.4%) from 2019

Expenses

Down

$7,551,467

Down $313,701 (-4.0%) from 2019

Net Income

Down

$110,206

Down $384,431 (-78%) from 2019

Historical Trend

Balance Sheet Trend

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

2020

Assets$6,376,849
Liabilities$948,601
Net Assets$5,428,248

Operations Trend

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

2020

Revenue$7,661,673
Expenses$7,551,467
Net Income$110,206
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 10, 2021
Return Version
2020v4.1
Gross Receipts
$7,661,673
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. 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.

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$3,677,130$3,470,137▼ $206,993
Accounts Receivable$1,590,414$1,469,533▼ $120,881
Savings and Temporary Cash Investments$495,620$1,272,980▲ $777,360
Prepaid Expenses and Deferred Charges$81,427$106,596▲ $25,169
Inventories for Sale or Use$5,798$0▼ $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$5,931,200$6,376,849▲ $445,649
Other Assets Total$80,511$57,303▼ $23,208
Liabilities
Accounts Payable and Accrued Expenses$495,888$742,651▲ $246,763
Deferred Revenue$27,839$147,975▲ $120,136
Mortgage Notes Payable Secured by Investment Property$80,511$53,559▼ $26,952
Other Liabilities$8,920$4,416▼ $4,504
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$613,158$948,601▲ $335,443
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$5,318,042$5,428,248▲ $110,206
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$5,318,042$5,428,248▲ $110,206
Total Liabilities and Net Assets / Fund Balance$5,931,200$6,376,849▲ $445,649

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$1,042,456$2,277,670$3,320,126
Equipment$868,325$1,384,332$2,252,657
Buildings$1,263,075$662,194$1,925,269
Land$296,281-$296,281
Compensation and Service Providers

Employees

NameTitleBaseOtherTotal
Thomas TornstromAdministrative Director$70,071$30,862$100,933
Stephanie SwartzBoard Member, Thru 1/20-$47,136$47,136

Board Members and Trustees

NameTitle
Michael MckeePresident
Mikel PoellingerVice President
Kyle BakkumBoard Member
Michael KittelsonBoard Member
Therese BINFETBoard Member, Began 2/20
Bryan ErdmannSecretary/Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Gundersen Lutheran Administrative SPurchased Services1900 SOUTH AVENUE, La Crosse, WI 54601$452,353
Ecp Services LLCPurchased Services117 N MAIN ST 6, Lake Mills, WI 53551$119,528
Revenue and Support

Revenue Composition

Contributions and Grants
$315,629
Program Service Revenue
$7,341,842
Investment Income
$4,202
Other Revenue
$0
Change in Net Assets
$110,206
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$4,605,403
Other Expenses$2,870,370
Grants and Similar Amounts Paid$75,694
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,930,952$574,262-$3,505,214
Depreciation Depletion$712,070--$712,070
Other Employee Benefits$537,898$101,882-$639,780
Fees for Services Other$391,694$21,236$0$412,930
Payroll Taxes$228,733$43,324-$272,057
Occupancy$165,671$31,379-$197,050
Fees for Services Management-$107,796-$107,796
Current Officers, Directors, Trustees, and Key Employees$100,933--$100,933
Other Expenses$89,753--$89,753
Pension Plan Contributions$73,498$13,921-$87,419
Grants to Domestic Individuals$74,200--$74,200
Office Expenses$16,214$36,610-$52,824
Conferences and Meetings$46,207--$46,207
Information Technology-$26,646-$26,646
Insurance$19,400$3,674-$23,074
Fees for Services Legal-$13,536-$13,536
Travel$9,762--$9,762
Grants to Domestic Orgs$1,494--$1,494
Advertising-$1,411-$1,411
Fees for Services Accounting$165--$165
Total Functional Expenses$6,575,790$975,677$0$7,551,467
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
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 ItemBeginningEndChange
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

LiabilityAmount
Unclaimed Property$4,416
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. 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
2021-11-10
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
100
Volunteers
3

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

ASC 740 Footnote 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, WHICH IS A FOR-PROFIT ENTITY. AT DECEMBER 31, 2020 AND 2019, NET DEFERRED TAX ASSETS OF $7,948 AND $6,900, RESPECTIVELY, WHICH PRIMARILY ARE RELATED TO NET OPERATING LOSS CARRYFORWARDS, HAVE VALUATION ALLOWANCES OF $7,948 AND $6,900, RESPECTIVELY, RECORDED AGAINST THEM DUE TO THE UNCERTAINTY OF REALIZING THOSE BENEFITS IN THE FUTURE. AT DECEMBER 31, 2020, THE SYSTEM'S FEDERAL NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $29,800, AND THE STATE NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $27,900, WHICH WILL EXPIRE BETWEEN 2029 AND 2038. 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 2015 AND PRIOR YEARS.

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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 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/FeesForServicesProfFundraising/TotalAmt00
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IRS990/Form990PartVIISectionAGrp/PersonNm0BRYAN ERDMANN
IRS990/Form990PartVIISectionAGrp/PersonNm1MICHAEL MCKEE
IRS990/Form990PartVIISectionAGrp/PersonNm2THOMAS TORNSTROM
IRS990/Form990PartVIISectionAGrp/PersonNm3Therese BINFET
IRS990/Form990PartVIISectionAGrp/PersonNm4STEPHANIE SWARTZ
IRS990/Form990PartVIISectionAGrp/PersonNm5MIKEL POELLINGER
IRS990/Form990PartVIISectionAGrp/PersonNm6KYLE BAKKUM
IRS990/Form990PartVIISectionAGrp/PersonNm7Michael Kittelson
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IRS990/Form990PartVIISectionAGrp/TitleTxt2Administrative Director
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IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER, THRU 1/20
IRS990/Form990PartVIISectionAGrp/TitleTxt5VICE PRESIDENT
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IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
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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. 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.
IRS990/MoreThan5000KToIndividualsInd0false
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IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
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IRS990/OccupancyGrp/TotalAmt0197050
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt036610
IRS990/OfficeExpensesGrp/ProgramServicesAmt016214
IRS990/OfficeExpensesGrp/TotalAmt052824
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt080511
IRS990/OtherAssetsTotalGrp/EOYAmt057303
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0101882
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0537898
IRS990/OtherEmployeeBenefitsGrp/TotalAmt0639780
IRS990/OtherExpensesGrp/Desc0BAD DEBT EXPENSE
IRS990/OtherExpensesGrp/Desc1RENT,REPAIRS AND MAINTENANCE
IRS990/OtherExpensesGrp/Desc2SUPPLIES
IRS990/OtherExpensesGrp/Desc3MISCELLANEOUS OTHER EXPENSES
IRS990/OtherExpensesGrp/ProgramServicesAmt0685270
IRS990/OtherExpensesGrp/ProgramServicesAmt1199473
IRS990/OtherExpensesGrp/ProgramServicesAmt2292403
IRS990/OtherExpensesGrp/ProgramServicesAmt389753
IRS990/OtherExpensesGrp/TotalAmt0685270
IRS990/OtherExpensesGrp/TotalAmt1199473
IRS990/OtherExpensesGrp/TotalAmt2292403
IRS990/OtherExpensesGrp/TotalAmt389753
IRS990/OtherLiabilitiesGrp/BOYAmt08920
IRS990/OtherLiabilitiesGrp/EOYAmt04416
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt0574262
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt02930952
IRS990/OtherSalariesAndWagesGrp/TotalAmt03505214
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt043324
IRS990/PayrollTaxesGrp/ProgramServicesAmt0228733
IRS990/PayrollTaxesGrp/TotalAmt0272057
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt013921
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt073498
IRS990/PensionPlanContributionsGrp/TotalAmt087419
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt081427
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0106596
IRS990/PrincipalOfficerNm0MICHAEL MCKEE
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0621910
IRS990/ProgramServiceRevenueGrp/BusinessCd1621990
IRS990/ProgramServiceRevenueGrp/BusinessCd2621990
IRS990/ProgramServiceRevenueGrp/Desc0PRE-HOSPITAL EMERGENCY
IRS990/ProgramServiceRevenueGrp/Desc1MEDICAL SUPPLIES SERVICES
IRS990/ProgramServiceRevenueGrp/Desc2MISCELLANEOUS RENTAL INCOME
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt07174208
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1105165
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt262469
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt07174208
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1105165
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt262469
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt00
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IRS990/PYExcessBenefitTransInd0false
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IRS990/PYTotalProfFndrsngExpnsAmt00
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IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt07341842
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0495620
IRS990/SavingsAndTempCashInvstGrp/EOYAmt01272980
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/ScheduleBRequiredInd0true
IRS990ScheduleD/BuildingsGrp/BookValueAmt01263075
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0662194
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt01925269
IRS990ScheduleD/EquipmentGrp/BookValueAmt0868325
IRS990ScheduleD/EquipmentGrp/DepreciationAmt01384332
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt02252657
IRS990ScheduleD/FederalIncomeTaxLiabilityAmt00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LandGrp/BookValueAmt0296281
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0296281
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt01042456
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt02277670
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt03320126
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt04416
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0UNCLAIMED PROPERTY
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0ASC 740 Footnote 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, WHICH IS A FOR-PROFIT ENTITY. AT DECEMBER 31, 2020 AND 2019, NET DEFERRED TAX ASSETS OF $7,948 AND $6,900, RESPECTIVELY, WHICH PRIMARILY ARE RELATED TO NET OPERATING LOSS CARRYFORWARDS, HAVE VALUATION ALLOWANCES OF $7,948 AND $6,900, RESPECTIVELY, RECORDED AGAINST THEM DUE TO THE UNCERTAINTY OF REALIZING THOSE BENEFITS IN THE FUTURE. AT DECEMBER 31, 2020, THE SYSTEM'S FEDERAL NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $29,800, AND THE STATE NET OPERATING LOSS CARRYFORWARDS WERE APPROXIMATELY $27,900, WHICH WILL EXPIRE BETWEEN 2029 AND 2038. 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 2015 AND PRIOR YEARS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2
IRS990ScheduleD/TotalBookValueLandBuildingsAmt03470137
IRS990ScheduleD/TotalLiabilityAmt04416
IRS990ScheduleI/GrantRecordsMaintainedInd0true

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

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
2020Detailed filing. Detailed filing data is available for this year.$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
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2020 filings • 501(c)3 • $5M-$10M nonprofits