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Nonprofiteer
← ST CROIX VALLEY EMERGENCY MEDICAL SERVICES INC

Form 990 for tax year 2023

Filed by ST CROIX VALLEY EMERGENCY MEDICAL SERVICES INC.

Totals

Total revenue
$4,283,873
Total expenses
$3,759,421
Contributions and grants received
$65,058
Grants paid
$0
Program service revenue
$4,178,979
Investment income
$27,363
Other revenue
$12,473
Total assets, end of year
$3,419,803
Total liabilities, end of year
$311,816
Net assets or fund balances, end of year
$3,107,987
Program services expenses (Part IX)
$2,881,865
Management and general expenses
$877,556
Fundraising expenses
$0
Program service expenses (Part III)
$2,881,865

Program services were 76.7% 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)

    $64,958

  • 1f · All other contributions, gifts and grants

    $100

  • 2a · Program service revenue: FEE INCOME

    total $4,178,979 · related or exempt $4,178,979

  • 3 · Investment income

    total $27,363 · excluded $27,363

  • 11a · Other revenue: MISCELLANEOUS

    total $12,473 · related or exempt $7,698 · excluded $4,775

  • 11e · Other revenue, total

    $12,473

Functional expenses

Part IX, the statement of functional expenses.

  • 11a · Fees: management

    total $2,859,494 · program services $2,054,963 · management and general $804,531

  • 11b · Fees: legal

    total $469 · management and general $469

  • 11c · Fees: accounting

    total $3,825 · management and general $3,825

  • 11g · Fees: other

    total $68,731 · management and general $68,731

  • 12 · Advertising and promotion

    total $8,464 · program services $8,464

  • 13 · Office expenses

    total $11,157 · program services $11,157

  • 16 · Occupancy

    total $32,455 · program services $32,455

  • 17 · Travel

    total $102,647 · program services $102,647

  • 22 · Depreciation, depletion and amortization

    total $195,485 · program services $195,485

  • 23 · Insurance

    total $28,605 · program services $28,605

  • 24a · Other expenses: BAD DEBT WRITEOFFS

    total $218,949 · program services $218,949

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $98,900 · program services $98,900

  • 24c · Other expenses: REPAIRS AND MAINTENANCE

    total $32,231 · program services $32,231

  • 24e · All other expenses

    total $98,009 · program services $98,009

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $873,841 · end of year $678,829

  • 2 · Savings and temporary cash investments

    beginning of year $983,310 · end of year $1,360,673

  • 4 · Accounts receivable

    beginning of year $460,838 · end of year $774,054

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

    $1,565,528

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

    $959,281

  • 10c · Land, buildings and equipment, net

    beginning of year $535,734 · end of year $606,247

  • 17 · Accounts payable and accrued expenses

    beginning of year $195,953 · end of year $311,816

  • 25 · Other liabilities

    beginning of year $74,235

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $776,822 · end of year $776,822

  • 31 · Retained earnings, endowment or other funds

    beginning of year $1,806,713 · end of year $2,331,165

Mission and programs · 2023

Mission

TO LEASE, MAINTAIN AND OPERATE AN EMERGENCY AMBULANCE SERVICE WHICH WILL SERVE THE POLK CO WI AREA TO RENDER AID TO THE SICK, INJURED, OR DISABLED WITHOUT THE REGARDS TO RACE, CREED, OR TO STATION IN LIFE. TO SERVE THE SOCIAL WELFARE OF THE PEOPLE.

Activities or mission (Part I)

TO LEASE, MAINTAIN AND OPERATE AN EMERGENCY AMBULANCE SERVICE WHICH SERVES POLK COUNTY, WI AREA.

  • ST. CROIX VALLEY EMS, INC. OPERATES AS AN "OUT-OF-HOSPITAL" CARE ORGANIZATION THAT PROVIDES MEDICAL CARE AND COMPREHENSIVE MEDICAL TRANSPORTATION IN THE COMMUNITIES WE SERVE. THE CORE PURPOSE OF ST. CROIX VALLEY EMS, INC. IS PROVIDING CARE TO PEOPLE DURING THEIR TIME OF NEED RESULTING FROM ACCIDENTS AND MEDICAL EMERGENCIES. ST. CROIX VALLEY EMS, INC. RESPONDS TO "911" CALLS IN EACH COMMUNITY SERVED WITHOUT ANY REGARD TO REIMBURSEMENT FOR SERVICES, INCLUDING THE ABILITY OF THE CALLING PARTY TO PAY FOR COSTS ASSOCIATED WITH THE SERVICE.ST. CROIX VALLEY EMS, INC. PROVIDES SERVICES TO THE COMMUNITIES OF: CITY OF ST. CROIX, TOWN OF ST. CROIX, TOWN OF GARFIELD, TOWN OF EUREKA, TOWN OF OSCEOLA, TOWN OF BALSAM LAKE, TOWN OF MILLTOWN, TOWN OF STERLING, CITY OF DRESSER, VILLAGE OF BALSAM LAKE, VILLAGE OF CENTURIA, VILLAGE OF MILLTOWN, IN POLK COUNTY WISCONSIN AND THE COMMUNITIES OF THE CITY OF TAYLORS FALLS, AMADOR TOWNSHIP AND SHAFER TOWNSHIP IN CHISAGO COUNTY, MN.ST. CROIX VALLEY EMS, INC. SERVES APPROXIMATELY 7,400 RESIDENTS IN THE ABOVE CITIES/VILLAGES/TOWNS.

    Expenses $2,881,865 · Revenue $4,186,677

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Dave Dobosenski

    PRESIDENT

    Total calculated
    $795,333
    From this org
    $0
    From related orgs
    $769,770
    Other
    $25,563
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $742,340 related
    Bonus
    $0
    Other
    $0 + $27,430 related
    Deferred
    $0 + $20,045 related
    Nontaxable benefits
    $0 + $5,518 related
    Filer's total
    $0 + $795,333 related

  • Michael Youso

    CFO - SCVEMS

    Total calculated
    $487,011
    From this org
    $0
    From related orgs
    $443,213
    Other
    $43,798
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $411,233 related
    Bonus
    $0
    Other
    $0 + $31,980 related
    Deferred
    $0 + $22,500 related
    Nontaxable benefits
    $0 + $21,298 related
    Filer's total
    $0 + $487,011 related

  • Aarron Reinert

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Pat McCaully

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Ralph J Frascone

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kimberly Ericson

    CFO - ST. CROIX HEALTH

    Total calculated
    $175,540
    From this org
    $0
    From related orgs
    $169,049
    Other
    $6,491
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $167,899 related
    Bonus
    $0
    Other
    $0 + $1,150 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $6,491 related
    Filer's total
    $0 + $175,540 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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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 II
THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION TO DETERMINE THE COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL WHICH IS PAID BY THE RELATED ORGANIZATION. THE RELATED ORGANIZATION USES THE FOLLOWING PRACTICES TO DETERMINE COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL: 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) WRITTEN EMPLOYMENT CONTRACT 4) COMPENSATION SURVEY OR STUDY 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

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.

Provenance

Return type
form_990
Tax year
2023
Filed
30 October 2024
IRS schema version
2023v5.1
Source object
202403069349302800

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