Civic Intelligence

Shelby County Ambulance Commission

990EZ • Fiscal year 2021 • EIN 42-1259076

Jul 01, 2020 to Jun 30, 2021 • Filed on Nov 03, 2021

Organization ProfileN/A
1213 Garfield AvenueHarlan, IA 51537

(712) 755-3834

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2021

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2021

Net Margin

69th percentile

21%

Higher net margin than 69% of similar nonprofits.

2021 filings • 501(c)4 • <$500k nonprofits • Source year 2021

Top Officer Pay

86th percentile

$0

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2021 filings • 501(c)4 • <$500k nonprofits • Source year 2021

Asset Growth

66th percentile

13%

Faster asset growth than 66% of similar nonprofits.

2021 filings • 501(c)4 • <$500k nonprofits • Annualized from 2020 to 2021

Revenue Growth

48th percentile

-2.8%

Faster revenue growth than 48% of similar nonprofits.

2021 filings • 501(c)4 • <$500k nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Up

$297,700

Up $34,282 (+13%) from 2020

Net Assets

Up

$297,700

Up $34,282 (+13%) from 2020

Liabilities

-

No earlier filing loaded for comparison.

Revenue And Expenses
Liabilities / RevenueScore unavailableNet Margin69th percentile

Revenue

Down

$163,658

Down $4,721 (-2.8%) from 2020

Expenses

Down

$129,376

Down $33,008 (-20%) from 2020

Net Income

Up

$34,282

Up $28,287 (+472%) from 2020

Historical Trend

Balance Sheet Trend

Asset Growth66th percentile

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

$400K$300K$200K$100K$0Assets 2011: $82,230Net Assets 2011: $82,2302011Assets 2012: $89,217Net Assets 2012: $89,2172012Assets 2013: $131,939Net Assets 2013: $131,9392013Assets 2014: $147,613Net Assets 2014: $147,6132014Assets 2015: $138,081Net Assets 2015: $138,0812015Assets 2016: $166,771Net Assets 2016: $166,7712016Assets 2017: $200,142Net Assets 2017: $200,1422017Assets 2018: $248,375Net Assets 2018: $248,3752018Assets 2019: $257,423Net Assets 2019: $257,4232019Assets 2020: $263,418Net Assets 2020: $263,4182020Assets 2021: $297,700Net Assets 2021: $297,7002021Assets 2022: $392,957Liabilities 2022: $0Net Assets 2022: $392,9572022Assets 2023: $240,555Liabilities 2023: $0Net Assets 2023: $240,5552023Assets 2024: $142,984Liabilities 2024: $0Net Assets 2024: $142,9842024Assets 2025: $0Liabilities 2025: $0Net Assets 2025: $02025

Highlighted filing

2021

Assets$297,700
Liabilities-
Net Assets$297,700
Open 2021 Filing

Operations Trend

Revenue Growth48th percentile

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

$1.0M$500K$0-$500KRevenue 2011: $98,538Expenses 2011: $101,641Net Income 2011: -$3,1032011Revenue 2012: $99,553Expenses 2012: $92,566Net Income 2012: $6,9872012Revenue 2013: $133,655Expenses 2013: $90,933Net Income 2013: $42,7222013Revenue 2014: $123,006Expenses 2014: $107,332Net Income 2014: $15,6742014Revenue 2015: $109,318Expenses 2015: $118,850Net Income 2015: -$9,5322015Revenue 2016: $141,062Expenses 2016: $112,372Net Income 2016: $28,6902016Revenue 2017: $141,097Expenses 2017: $107,726Net Income 2017: $33,3712017Revenue 2018: $167,695Expenses 2018: $119,462Net Income 2018: $48,2332018Revenue 2019: $177,519Expenses 2019: $168,471Net Income 2019: $9,0482019Revenue 2020: $168,379Expenses 2020: $162,384Net Income 2020: $5,9952020Revenue 2021: $163,658Expenses 2021: $129,376Net Income 2021: $34,2822021Revenue 2022: $259,912Expenses 2022: $164,647Net Income 2022: $95,2652022Revenue 2023: $206,473Expenses 2023: $358,875Net Income 2023: -$152,4022023Revenue 2024: $592,996Expenses 2024: $690,567Net Income 2024: -$97,5712024Revenue 2025: $237,282Expenses 2025: $380,266Net Income 2025: -$142,9842025

Highlighted filing

2021

Revenue$163,658
Expenses$129,376
Net Income$34,282
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
Nov 3, 2021
Return Version
2020v4.1
Gross Receipts
$163,658
Mission and Program Overview

Mission

MEDICAL SERVICES

Program Services

DescriptionGrantsExpenses
MEDIVAC AMBULANCE SERVICE IS CONTRACTUALLY BOUND TO PROVIDE AMBULANCE SERVICE TO SHELBY COUNTY AND THE CITY OF HARLAN$91,150$127,426
Compensation and Service Providers
Top Officer Pay86th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
BARRY JACOBSENChairperson-$0--
DR SCOTT MARKHAMDirector-$0--
GENE GETTYSDirector-$0--
KELLI KLAASSENDirector-$0--
Filing and Contact Details

Filer

Filer Name
Shelby County Ambulance Commission
EIN
42-1259076
Phone
7127553834
Address
1213 GARFIELD AVENUE, HARLAN, IA 51537

Signing Officer

Name
Barry Jacobsen
Title
Officer
Phone
7127553834
Signed
2021-11-03
Discuss with paid preparer
Yes

Preparer

Firm
Broeckelman & Associates PC
Address
2309 B Chatburn Ave, Harlan, IA 51537
Preparer
Broeckelman Associates Pc
Phone
7127553366
Supplemental Narrative

Additional Explanations

Form 990EZ, Part I, Line 10

“Ambulance service; grant; medivac: local, harlan, ia, 51537; none, 78650.”

Form 990EZ, Part I, Line 10

“Ambulance service; grant; shelby county ems: local, harlan, ia, 51537; none, 12500.”

Form 990EZ, Part I, Line 16

“INSURANCE 1573.”

Form 990EZ, Part I, Line 16

“MISC 18.”

Form 990EZ, Part I, Line 16

“Depreciation 32891.”

Raw XML Appendix139 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990EZ/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/BooksInCareOfDetail/PersonNm0BARRY JACOBSEN
IRS990EZ/BooksInCareOfDetail/PhoneNum07127555161
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt01213 GARFIELD AVE
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0HARLAN
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0ID
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd051537
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt0158672
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt0225845
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/ContributionsGiftsGrantsEtcAmt0163625
IRS990EZ/CostOfGoodsSoldAmt00
IRS990EZ/CostOrOtherBasisExpenseSaleAmt00
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt034282
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt03744
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0263418
IRS990EZ/Form990TotalAssetsGrp/EOYAmt0297700
IRS990EZ/FundraisingGrossIncomeAmt00
IRS990EZ/GainOrLossFromSaleOfAssetsAmt00
IRS990EZ/GrantsAndSimilarAmountsPaidAmt091150
IRS990EZ/GrossProfitLossSlsOfInvntryAmt00
IRS990EZ/GrossReceiptsAmt0163658
IRS990EZ/GrossReceiptsForPublicUseAmt00
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InitiationFeesAndCapContriAmt00
IRS990EZ/InvestmentIncomeAmt033
IRS990EZ/LandAndBuildingsGrp/BOYAmt044057
IRS990EZ/LandAndBuildingsGrp/EOYAmt044057
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MembershipDuesAmt00
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0263418
IRS990EZ/NetAssetsOrFundBalancesEOYAmt0297700
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0263418
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt0297700
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt00.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt10.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt20.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt30.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0BARRY JACOBSEN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1DR SCOTT MARKHAM
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2GENE GETTYS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3KELLI KLAASSEN
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0CHAIRPERSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2DIRECTOR
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3DIRECTOR
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501cInd0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt060689
IRS990EZ/OtherAssetsTotalDetail/EOYAmt027798
IRS990EZ/OtherExpensesTotalAmt034482
IRS990EZ/PrimaryExemptPurposeTxt0MEDICAL SERVICES
IRS990EZ/ProgramServiceRevenueAmt00
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0MEDIVAC AMBULANCE SERVICE IS CONTRACTUALLY BOUND TO PROVIDE AMBULANCE SERVICE TO SHELBY COUNTY AND THE CITY OF HARLAN
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt091150
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt0127426
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SpecialEventsDirectExpensesAmt00
IRS990EZ/SpecialEventsNetIncomeLossAmt00
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt0129376
IRS990EZ/TotalProgramServiceExpensesAmt0127426
IRS990EZ/TotalRevenueAmt0163658
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0N/A
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
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0AMBULANCE SERVICE; GRANT; MEDIVAC: LOCAL, HARLAN, IA, 51537; NONE, 78650.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1AMBULANCE SERVICE; GRANT; SHELBY COUNTY EMS: LOCAL, HARLAN, IA, 51537; NONE, 12500.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2INSURANCE 1573.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3MISC 18.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Depreciation 32891.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990EZ, Part I, Line 10
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990EZ, Part I, Line 10
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990EZ, Part I, Line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990EZ, Part I, Line 16
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/FederatedAssuranceLevelCd0FAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd03
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0BARRY JACOBSEN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0OFFICER
ReturnHeader/BusinessOfficerGrp/PhoneNum07127553834
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-11-03
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SHELBY COUNTY AMBULANCE COMMISSION
ReturnHeader/Filer/BusinessNameControlTxt0SHEL
ReturnHeader/Filer/EIN0421259076
ReturnHeader/Filer/PhoneNum07127553834
ReturnHeader/Filer/USAddress/AddressLine1Txt01213 GARFIELD AVENUE
ReturnHeader/Filer/USAddress/CityNm0HARLAN
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IA
ReturnHeader/Filer/USAddress/ZIPCd051537
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Broeckelman & Associates PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt02309 B Chatburn Ave
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Harlan
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd051537
ReturnHeader/PreparerPersonGrp/PhoneNum07127553366
ReturnHeader/PreparerPersonGrp/PreparationDt02021-11-09
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BROECKELMAN ASSOCIATES PC
ReturnHeader/ReturnTs02021-11-09T09:25:17-08:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0BARRY
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0JACOBSEN
ReturnHeader/TaxPeriodBeginDt02020-07-01
ReturnHeader/TaxPeriodEndDt02021-06-30
ReturnHeader/TaxYr02020

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2021 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$297,700
Liabilities
-
Net assets
$297,700
Revenue
$163,658
Expenses
$129,376
Net income
$34,282
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$2.37$3.80$1.43
2024Detailed filing. Detailed filing data is available for this year.$1.43$0.00$1.43$5.93$6.91$0.98
2023Detailed filing. Detailed filing data is available for this year.$2.41$0.00$2.41$2.06$3.59$1.52
2022Detailed filing. Detailed filing data is available for this year.$3.93$0.00$3.93$2.60$1.65$0.95
2021Detailed filing. Detailed filing data is available for this year.$2.98$2.98$1.64$1.29$0.34
2020Detailed filing. Detailed filing data is available for this year.$2.63$2.63$1.68$1.62$0.06
2019Detailed filing. Detailed filing data is available for this year.$2.57$2.57$1.78$1.68$0.09
2018Detailed filing. Detailed filing data is available for this year.$2.48$2.48$1.68$1.19$0.48
2017Detailed filing. Detailed filing data is available for this year.$2.00$2.00$1.41$1.08$0.33
2016Detailed filing. Detailed filing data is available for this year.$1.67$1.67$1.41$1.12$0.29
2015Detailed filing. Detailed filing data is available for this year.$1.38$1.38$1.09$1.19$0.10
2014Detailed filing. Detailed filing data is available for this year.$1.48$1.48$1.23$1.07$0.16
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.32$1.32$1.34$0.91$0.43
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.89$0.89$1.00$0.93$0.07
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.82$0.82$0.99$1.02$0.03