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Nonprofiteer
← TRI-STATE AMBULANCE INC

Form 990 for tax year 2024

Filed by TRI-STATE AMBULANCE INC.

Totals

Total revenue
$13,742,163
Total expenses
$11,152,752
Contributions and grants received
$509,176
Grants paid
$38,513
Program service revenue
$13,100,943
Investment income
$132,044
Other revenue
$0
Total assets, end of year
$10,957,362
Total liabilities, end of year
$828,961
Net assets or fund balances, end of year
$10,128,401
Program services expenses (Part IX)
$9,600,245
Management and general expenses
$1,552,507
Fundraising expenses
$0
Program service expenses (Part III)
$9,600,245

Program services were 86.1% 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.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $509,176

  • 1f · All other contributions, gifts and grants

    $0

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: PRE-HOSPITAL EMERGENCY

    total $11,414,547 · related or exempt $11,414,547 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: MEDICAL SUPPLIES SERVICES

    total $1,597,970 · related or exempt $1,597,970 · unrelated business $0 · excluded $0

  • 2c · Program service revenue: MISCELLANEOUS RENTAL INCOME

    total $88,426 · related or exempt $88,426 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $132,044 · related or exempt $0 · unrelated business $0 · excluded $132,044

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $0 · personal property $0

  • 6b · Less rental expenses

    real property $0 · personal property $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 7a · Gross sales of assets other than inventory

    securities $0 · other assets $0

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

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 7d · Net gain or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0 · unrelated business $0 · excluded $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $224 · program services $224

  • 2 · Grants to domestic individuals

    total $38,289 · program services $38,289

  • 7 · Other salaries and wages

    total $4,849,994 · program services $4,023,909 · management and general $826,085

  • 8 · Pension plan contributions

    total $471,897 · program services $391,627 · management and general $80,270

  • 9 · Other employee benefits

    total $540,731 · program services $448,752 · management and general $91,979

  • 10 · Payroll taxes

    total $341,125 · program services $283,099 · management and general $58,026

  • 11a · Fees: management

    total $209,030 · management and general $209,030

  • 11c · Fees: accounting

    total $1,500 · management and general $1,500

  • 11g · Fees: other

    total $844,008 · program services $760,966 · management and general $83,042 · fundraising $0

  • 12 · Advertising and promotion

    total $11,755 · management and general $11,755

  • 13 · Office expenses

    total $112,493 · program services $27,731 · management and general $84,762

  • 14 · Information technology

    total $99,578 · program services $48,961 · management and general $50,617

  • 16 · Occupancy

    total $291,154 · program services $241,946 · management and general $49,208

  • 17 · Travel

    total $30,867 · program services $30,867

  • 19 · Conferences, conventions and meetings

    total $69,114 · program services $69,114

  • 22 · Depreciation, depletion and amortization

    total $559,578 · program services $559,578

  • 23 · Insurance

    total $34,505 · program services $28,636 · management and general $5,869

  • 24a · Other expenses: BAD DEBT EXPENSE

    total $1,214,097 · program services $1,214,097

  • 24b · Other expenses: MISC OTHER EXPENSES

    total $735,624 · program services $735,260 · management and general $364

  • 24c · Other expenses: RENT, REPAIRS & MAINTENANCE

    total $353,128 · program services $353,128

  • 24d · Other expenses: SUPPLIES

    total $317,396 · program services $317,396

  • 24e · All other expenses

    total $26,665 · program services $26,665 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $300 · end of year $300

  • 2 · Savings and temporary cash investments

    beginning of year $2,969,676 · end of year $5,866,956

  • 4 · Accounts receivable

    beginning of year $2,187,668 · end of year $2,208,584

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $8,227 · end of year $25,665

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

    $7,756,048

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

    $4,900,191

  • 10c · Land, buildings and equipment, net

    beginning of year $2,941,860 · end of year $2,855,857

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $18,834 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $581,301 · end of year $646,657

  • 19 · Deferred revenue

    beginning of year $4,595 · end of year $34,769

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 25 · Other liabilities

    beginning of year $1,679 · end of year $147,535

  • 27 · Net assets without donor restrictions

    beginning of year $7,538,990 · end of year $10,128,401

Mission and programs · 2024

Mission

SEE SCHEDULE O

  • SEE SCHEDULE O

    Expenses $9,600,245 · Grants $38,513 · Revenue $13,100,943

As filed on the 2024 return.

Listed in Part VII

  • Bryan Erdmann

    BOD, TREASURER, SECRETARY, COO

    Total calculated
    $519,860
    From this org
    $0
    From related orgs
    $443,670
    Other
    $76,190
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $443,062 related
    Bonus
    $0
    Other
    $0 + $608 related
    Deferred
    $0 + $48,300 related
    Nontaxable benefits
    $0 + $27,890 related
    Filer's total
    $0 + $519,860 related

  • Michael McKee

    BOARD OF DIRECTORS, PRESIDENT

    Total calculated
    $361,652
    From this org
    $0
    From related orgs
    $290,401
    Other
    $71,251
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $289,289 related
    Bonus
    $0
    Other
    $0 + $1,112 related
    Deferred
    $0 + $41,410 related
    Nontaxable benefits
    $0 + $29,841 related
    Filer's total
    $0 + $361,652 related

  • Mikel Poellinger

    BOARD OF DIRECTORS, VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Christopher Eberlein MD

    BOARD OF DIRECTORS, MD

    Total calculated
    $497,005
    From this org
    $0
    From related orgs
    $422,038
    Other
    $74,967
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $417,239 related
    Bonus
    $0
    Other
    $0 + $4,799 related
    Deferred
    $0 + $48,300 related
    Nontaxable benefits
    $0 + $26,667 related
    Filer's total
    $0 + $497,005 related

  • Kim Smith

    BOARD OF DIRECTORS

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • Therese Binfet

    BOD, CLINICAL OPERATIONS DIRECTOR

    Total calculated
    $233,828
    From this org
    $0
    From related orgs
    $184,133
    Other
    $49,695
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $181,921 related
    Bonus
    $0
    Other
    $0 + $2,212 related
    Deferred
    $0 + $26,028 related
    Nontaxable benefits
    $0 + $23,667 related
    Filer's total
    $0 + $233,828 related

  • John Ceelen

    CHIEF FINANCIAL OFFICER

    Total calculated
    $782,368
    From this org
    $0
    From related orgs
    $728,316
    Other
    $54,052
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $598,104 related
    Bonus
    $0 + $129,468 related
    Other
    $0 + $744 related
    Deferred
    $0 + $29,147 related
    Nontaxable benefits
    $0 + $24,905 related
    Filer's total
    $0 + $782,368 related

  • Scott Rathgaber MD

    CEO

    Total calculated
    $1,397,550
    From this org
    $0
    From related orgs
    $1,324,275
    Other
    $73,275
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,278,368 related
    Bonus
    $0
    Other
    $0 + $45,907 related
    Deferred
    $0 + $48,300 related
    Nontaxable benefits
    $0 + $24,975 related
    Filer's total
    $0 + $1,397,550 related

  • Thomas Tornstrom

    CLINICAL OPERATIONS DIRECTOR

    Total calculated
    $226,541
    From this org
    $0
    From related orgs
    $181,916
    Other
    $44,625
    Hours/week
    24 + 26 related

    Schedule J breakdown matched by us

    Base
    $0 + $173,251 related
    Bonus
    $0
    Other
    $0 + $8,665 related
    Deferred
    $0 + $25,578 related
    Nontaxable benefits
    $0 + $19,047 related
    Filer's total
    $0 + $226,541 related

  • Gregg Bulman

    PARAMEDIC - TRI-STATE AMBULANCE

    Total calculated
    $149,914
    From this org
    $114,548
    From related orgs
    $0
    Other
    $35,366
    Hours/week
    40

  • James Barloon

    PARAMEDIC

    Total calculated
    $131,208
    From this org
    $101,101
    From related orgs
    $0
    Other
    $30,107
    Hours/week
    40

  • Steve Little

    FORMER CHIEF FINANCIAL OFFICER

    Total calculated
    $209,856
    From this org
    $0
    From related orgs
    $209,856
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $209,856 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $209,856 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)

SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
CERTAIN INDIVIDUALS LISTED IN SCHEDULE J, PART II, PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO WHICH THE ORGANIZATION MAKES ANNUAL CONTRIBUTIONS. THESE CONTRIBUTIONS ARE AT RISK AND DO NOT BECOME VESTED AND PAYABLE UNLESS AND UNTIL THE INDIVIDUAL SATISFIES A SUBSTANTIAL FUTUTE SERVICE REQUIREMENT. THE FOLLOWING INDIVIDUALS HAD CONTRIBUTIONS MADE TO THE PLAN FOR CALENDAR YEAR 2024: JOHN CEELEN
SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION
COMPENSATION FOR EXECUTIVES IS ESTABLISHED BY GUNDERSEN LUTHERAN HEALTH SYSTEM, INC., A RELATED PARTY. GUNDERSEN LUTHERAN HEALTH SYSTEM, INC. USED A COMPENSATION COMMITTEE TO ESTABLISH COMPENSATION FOR EXECUTIVES.

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 corporations and trusts

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

  • GUNDERSEN LUTHERAN ENVISION LLC

    C CORPORATION · RENEWABLE ENERGY · WI

    Directly controlled by NA

  • BEL-REGIONAL HOME MEDICAL INC

    C CORPORATION · DURABLE MEDICAL EQUIPMENT, RETAIL · WI

    Directly controlled by NA

  • GUNDERSEN EDGE LLC

    C CORPORATION · INNOVATION · WI

    Directly controlled by NA

  • BG ASSURANCE COMPANY

    C CORPORATION · SELF INSURANCE · CJ

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2024
Filed
13 August 2026
IRS schema version
2024v5.1
Source object
202622259349303007

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