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Nonprofiteer
← ANAMOSA AREA AMBULANCE SERVICE

Form 990 for tax year 2022

Filed by ANAMOSA AREA AMBULANCE SERVICE.

Totals

Total revenue
$812,484
Total expenses
$752,240
Contributions and grants received
$101,384
Grants paid
$0
Program service revenue
$658,590
Investment income
$52,450
Other revenue
$60
Total assets, end of year
$1,610,190
Total liabilities, end of year
$144,666
Net assets or fund balances, end of year
$1,465,524
Program services expenses (Part IX)
$749,596
Management and general expenses
$2,644
Fundraising expenses
$0
Program service expenses (Part III)
$749,596

Program services were 99.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $95,796

  • 1f · All other contributions, gifts and grants

    $5,588

  • 2a · Program service revenue: AMBULANCE SERVICES

    total $655,740 · related or exempt $655,740

  • 2b · Program service revenue: MGMT & SUPPORT SVCS

    total $2,850 · related or exempt $2,850

  • 3 · Investment income

    total $16,198 · excluded $16,198

  • 7a · Gross sales of assets other than inventory

    securities $126,681

  • 7b · Less cost or other basis and sales expenses

    securities $90,429

  • 7c · Gain or loss

    securities $36,252

  • 7d · Net gain or loss

    total $36,252 · excluded $36,252

  • 11a · Other revenue: MISCELLANEOUS

    total $60 · related or exempt $60

  • 11e · Other revenue, total

    $60

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $379,553 · program services $379,553

  • 8 · Pension plan contributions

    total $15,400 · management and general $15,400

  • 9 · Other employee benefits

    total $89,416 · program services $105,072 · management and general -$15,656

  • 10 · Payroll taxes

    total $27,575 · program services $27,320 · management and general $255

  • 11f · Fees: investment management

    total $46,854 · program services $44,209 · management and general $2,645

  • 11g · Fees: other

    total $24,122 · program services $24,122

  • 13 · Office expenses

    total $17,500 · program services $17,500

  • 16 · Occupancy

    total $82,145 · program services $82,145

  • 17 · Travel

    total $1,234 · program services $1,234

  • 19 · Conferences, conventions and meetings

    total $1,204 · program services $1,204

  • 22 · Depreciation, depletion and amortization

    total $33,203 · program services $33,203

  • 23 · Insurance

    total $3,788 · program services $3,788

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $18,678 · program services $18,678

  • 24b · Other expenses: INCOME TAXES

    total $10,103 · program services $10,103

  • 24c · Other expenses: MISCELLANEOUS EXPENSE

    total $1,465 · program services $1,465

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $388,290 · end of year $136,142

  • 4 · Accounts receivable

    beginning of year $194,809 · end of year $307,869

  • 7 · Other notes and loans receivable

    end of year $81,924

  • 10a · Land, buildings and equipment: cost or other basis

    $950,406

  • 10b · Land, buildings and equipment: accumulated depreciation

    $670,829

  • 10c · Land, buildings and equipment, net

    beginning of year $117,564 · end of year $279,577

  • 11 · Investments: publicly traded securities

    beginning of year $871,687 · end of year $804,678

  • 17 · Accounts payable and accrued expenses

    beginning of year -$13,891 · end of year $31,570

  • 25 · Other liabilities

    beginning of year $64,448 · end of year $113,096

  • 27 · Net assets without donor restrictions

    beginning of year $1,521,793 · end of year $1,465,524

Mission and programs · 2022

Mission

TO PROVIDE QUALITY EMERGENCY AND NON-EMERGENCY SERVICES IN A SAFE AND TIMELY MANNER TO OUR CUSTOMERS.

  • ANAMOSA AREA AMBULANCE SERVICE IS A PREMIER EMERGENCY MEDICAL/AMBULANCE SERVICE THAT PROVIDES PROFESSIONAL PARAMEDIC CARE TO THE COMMUNITIES OF ANAMOSA, MARTELLE, MORLEY, VIOLA, AND RURAL AREAS IN JONES AND LINN COUNTIES. THE ANAMOSA AREA AMBULANCE SERVICE ROUTINELY HANDLES 9-1-1 DISPATCHED EMERGENCY CALLS AND NON-EMERGENT TRANSFERS, PROVIDES IN-FIELD CARE, WORKS IN THE JONES REGIONAL EMERGENCY DEPARTMENT AND TRIAGE AND ASSISTS ON THE INPATIENT MEDICAL FLOOR. PROVIDING EMERGENCY MEDICAL SERVICES FOR LOCAL SPORTS AND EVENTS, OFFERING EDUCATIONAL PROGRAMS FOR SCHOOLS AND ASSISTING IN ORGANIZING AND PARTICIPATING IN COMMUNITY-WIDE DISASTER DRILLS ARE ALL WAYS THE AMBULANCE SERVICE PROVIDED AMBULANCE SERVICES TO PATIENTS.

    Expenses $749,596 · Revenue $658,650

As filed on the 2022 return.

Listed in Part VII

  • CARL CHALSTROM

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SCOTT KELLY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • BARRETT KROEGER FR 0422

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JILL PARHAM

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • BOB WALDERBACH TO 0722

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • HEATHER WEERS FR 0422

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • TAMMY WIESE TO 1022

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • TRACY WORCESTER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ERIC BRIESEMEISTER

    CEO - JRMC

    Total calculated
    $275,429
    From this org
    $0
    From related orgs
    $233,134
    Other
    $42,295
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $210,140 related
    Bonus
    $0 + $22,856 related
    Other
    $0 + $138 related
    Deferred
    $0 + $11,968 related
    Nontaxable benefits
    $0 + $30,327 related
    Filer's total
    $0 + $275,429 related

  • MICHAEL HEINRICH

    EXEC VP FINANCE/CFO

    Total calculated
    $478,820
    From this org
    $0
    From related orgs
    $411,994
    Other
    $66,826
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $330,671 related
    Bonus
    $0 + $70,397 related
    Other
    $0 + $10,926 related
    Deferred
    $0 + $55,630 related
    Nontaxable benefits
    $0 + $11,196 related
    Filer's total
    $0 + $478,820 related

  • MICHELLE NIERMANN

    PRESIDENT/CEO

    Total calculated
    $823,311
    From this org
    $0
    From related orgs
    $700,612
    Other
    $122,699
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $514,622 related
    Bonus
    $0 + $171,213 related
    Other
    $0 + $14,777 related
    Deferred
    $0 + $93,482 related
    Nontaxable benefits
    $0 + $29,217 related
    Filer's total
    $0 + $823,311 related

  • THEODORE TOWNSEND JR TO 1218

    FORMER PRESIDENT/CEO

    Total calculated
    $462,778
    From this org
    $0
    From related orgs
    $462,778
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $462,778 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $462,778 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: MICHAEL HEINRICH $40,380 AND MICHELLE NIERMANN $78,232. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: THEODORE TOWNSEND, JR. $462,778. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
3 November 2023
IRS schema version
2022v5.0
Source object
202333189349301993

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