Civic Intelligence

The Forest City Ambulance Service

990 • Fiscal year 2016 • EIN 42-1050190

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

105 Hwy 69 SouthForest City, IA 50436

(641) 585-4634

Siviq Scores

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

Liabilities / Assets

24th percentile

0.01x

Higher debt load relative to assets than 24% of similar nonprofits.

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

Liabilities / Revenue

34th percentile

0.04x

Higher debt load relative to revenue than 34% of similar nonprofits.

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

Net Margin

6th percentile

-57%

Higher net margin than 6% of similar nonprofits.

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

Top Officer Pay

37th percentile

$11,169

Higher top officer pay than 37% of similar nonprofits.

Top officer pay equals 4.8% of source-year revenue.

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

Asset Growth

13th percentile

-9.4%

Faster asset growth than 13% of similar nonprofits.

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

Revenue Growth

10th percentile

-32%

Faster revenue growth than 10% of similar nonprofits.

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

Assets

Down

$1,296,533

Down $134,124 (-9.4%) from 2015

Net Assets

Down

$1,285,988

Down $133,651 (-9.4%) from 2015

Liabilities

Down

$10,545

Down $473 (-4.3%) from 2015

Revenue

Down

$234,434

Down $110,311 (-32%) from 2015

Expenses

Down

$368,085

Down $13,892 (-3.6%) from 2015

Net Income

Down

-$133,651

Down $96,419 (-259%) from 2015

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2011: $1,284,144Liabilities 2011: $8,315Net Assets 2011: $1,275,8292011Assets 2012: $1,418,665Liabilities 2012: $9,636Net Assets 2012: $1,409,0292012Assets 2013: $1,457,061Liabilities 2013: $11,031Net Assets 2013: $1,446,0302013Assets 2014: $1,460,774Liabilities 2014: $3,903Net Assets 2014: $1,456,8712014Assets 2015: $1,430,657Liabilities 2015: $11,018Net Assets 2015: $1,419,6392015Assets 2016: $1,296,533Liabilities 2016: $10,545Net Assets 2016: $1,285,9882016Assets 2017: $1,232,127Liabilities 2017: $5,002Net Assets 2017: $1,227,1252017Assets 2018: $1,153,556Liabilities 2018: $3,085Net Assets 2018: $1,150,4712018Assets 2019: $1,080,089Liabilities 2019: $4,164Net Assets 2019: $1,075,9252019Assets 2020: $1,070,666Liabilities 2020: $9,056Net Assets 2020: $1,061,6102020Assets 2021: $1,139,117Liabilities 2021: $17,654Net Assets 2021: $1,121,4632021Assets 2022: $1,155,201Liabilities 2022: $34,066Net Assets 2022: $1,121,1352022Assets 2023: $1,168,788Liabilities 2023: $12,888Net Assets 2023: $1,155,9002023

Highlighted filing

2016

Assets$1,296,533
Liabilities$10,545
Net Assets$1,285,988

Operations Trend

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

$800K$600K$400K$200K$0-$200KExpenses 2011: $311,4052011Expenses 2012: $318,2702012Revenue 2013: $361,748Expenses 2013: $324,747Net Income 2013: $37,0012013Revenue 2014: $396,273Expenses 2014: $385,432Net Income 2014: $10,8412014Revenue 2015: $344,745Expenses 2015: $381,977Net Income 2015: -$37,2322015Revenue 2016: $234,434Expenses 2016: $368,085Net Income 2016: -$133,6512016Revenue 2017: $307,443Expenses 2017: $366,306Net Income 2017: -$58,8632017Revenue 2018: $324,450Expenses 2018: $401,104Net Income 2018: -$76,6542018Revenue 2019: $311,569Expenses 2019: $386,115Net Income 2019: -$74,5462019Revenue 2020: $403,885Expenses 2020: $418,200Net Income 2020: -$14,3152020Revenue 2021: $455,916Expenses 2021: $385,626Net Income 2021: $70,2902021Revenue 2022: $419,128Expenses 2022: $419,456Net Income 2022: -$3282022Revenue 2023: $619,620Expenses 2023: $584,873Net Income 2023: $34,7472023

Highlighted filing

2016

Revenue$234,434
Expenses$368,085
Net Income-$133,651
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Jun 7, 2017
Return Version
2016v3.0
Gross Receipts
$234,434
Mission and Program Overview

Mission

To provide ambulance service to the area in and around forest city, iowa.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$520,627$735,543▲ $214,916
Savings and Temporary Cash Investments$559,365$420,213▼ $139,152
Accounts Receivable$176,590$110,675▼ $65,915
Cash and Non-Interest-Bearing Accounts$161,857$17,884▼ $143,973
Inventories for Sale or Use$2,500$2,500→ $0
Total Assets$1,430,657$1,296,533▼ $134,124
Other Assets Total$9,718$9,718→ $0
Liabilities
Accounts Payable and Accrued Expenses$8,869$8,409▼ $460
Other Liabilities$2,149$2,136▼ $13
Total Liabilities$11,018$10,545▼ $473
Net Assets / Fund Balance
Unrestricted Net Assets$1,419,639$1,285,988▼ $133,651
Total Net Assets Fund Balance$1,419,639$1,285,988▼ $133,651
Total Liabilities and Net Assets / Fund Balance$1,430,657$1,296,533▼ $134,124

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$395,892$799,661$1,195,553
Buildings$339,651$103,130$442,781
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Dale RayhonsVice PresidePT$11,169$11,169
Beth AschenbrennerDirectorPT$9,097$9,097
Nancy KephartSecretaryPT$8,631$8,631
Chris HannaDirectorPT$5,228$5,228
Deann HannaTreasurerPT$4,928$4,928
Mike WilliamsPresidentPT$4,134$4,134
Julie SherwoodDirectorPT$3,997$3,997
Jessica CahoonDirector-$1,665$1,665
Marla BetzDirector/hisPT$1,331$1,331
Revenue and Support

Revenue Composition

Contributions and Grants
$7,139
Program Service Revenue
$205,565
Investment Income
$16,899
Other Revenue
$4,831
All Other Contributions
$7,139
Change in Net Assets
$-133,651
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$260,755
Salaries, Compensation, and Employee Benefits$107,330
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Depreciation Depletion$120,442--$120,442
Current Officers, Directors, Trustees, and Key Employees$50,183--$50,183
Other Salaries and Wages$49,399--$49,399
Insurance$25,202--$25,202
Travel$17,179--$17,179
Occupancy$13,416--$13,416
Other Expenses$8,202--$8,202
Payroll Taxes$7,748--$7,748
All Other Expenses$6,724--$6,724
Fees for Services Accounting$6,060--$6,060
Office Expenses$4,455--$4,455
Conferences and Meetings$3,475--$3,475
Advertising$2,822--$2,822
Fees for Services Legal$1,448--$1,448
Total Functional Expenses$368,085$0$0$368,085
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
Social Security$1,090
Iowa Withholding$508
Federal Withholding$279
Medicare$259
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

Form 990 is prepared by the organization's outside accountants and is made available to the governing board for review.

Form 990, Page 6, Part VI, Line 19

All documents are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
The Forest City Ambulance Service
EIN
42-1050190
Phone
6415854634
Address
105 HWY 69 SOUTH, FOREST CITY, IA 50436

Signing Officer

Name
Mike Williams
Title
President
Phone
6415854634
Signed
2017-06-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mike Williams
Formed
1970
Legal Domicile
Ia
Voting Board Members
8
Independent Board Members
8
Employees
24

Preparer

Firm
Hogan - Hansen Pc
Address
605 EAST J STREET 300, FOREST CITY, IA 50436
Preparer
Samantha Dugan
Phone
6415851040
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ReturnHeader/BuildTS02017-02-10 21:41:12Z
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ReturnHeader/BusinessOfficerGrp/SignatureDt02017-06-07
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0THE FOREST CITY AMBULANCE SERVICE
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0605 EAST J STREET 300
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ReturnHeader/PreparerPersonGrp/PreparationDt02017-06-09
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0SAMANTHA DUGAN
ReturnHeader/ReturnTs02017-06-27T11:14:05-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

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