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← ANAMOSA AREA AMBULANCE SERVICE

Form 990 for tax year 2023

Filed by ANAMOSA AREA AMBULANCE SERVICE.

Totals

Total revenue
$635,340
Total expenses
$1,161,422
Contributions and grants received
$18,345
Grants paid
$100
Program service revenue
$606,664
Investment income
$9,969
Other revenue
$362
Total assets, end of year
$1,229,651
Total liabilities, end of year
$230,860
Net assets or fund balances, end of year
$998,791
Program services expenses (Part IX)
$1,156,751
Management and general expenses
$4,671
Fundraising expenses
$0
Program service expenses (Part III)
$1,156,751

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.

  • 1f · All other contributions, gifts and grants

    $18,345

  • 2a · Program service revenue: AMBULANCE SERVICES

    total $603,481 · related or exempt $603,481

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

    total $3,183 · related or exempt $3,183

  • 3 · Investment income

    total $18,952 · excluded $18,952

  • 7a · Gross sales of assets other than inventory

    securities $180,987 · other assets $161,142

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

    securities $192,970 · other assets $158,142

  • 7c · Gain or loss

    securities -$11,983 · other assets $3,000

  • 7d · Net gain or loss

    total -$8,983 · excluded -$8,983

  • 11a · Other revenue: MISCELLANEOUS

    total $362 · related or exempt $362

  • 11e · Other revenue, total

    $362

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $100 · program services $100

  • 7 · Other salaries and wages

    total $638,334 · program services $636,334 · management and general $2,000

  • 8 · Pension plan contributions

    total $23,548 · management and general $23,548

  • 9 · Other employee benefits

    total $119,922 · program services $143,895 · management and general -$23,973

  • 10 · Payroll taxes

    total $47,800 · program services $47,374 · management and general $426

  • 11f · Fees: investment management

    total $68,585 · program services $65,915 · management and general $2,670

  • 11g · Fees: other

    total $28,917 · program services $28,917

  • 13 · Office expenses

    total $31,999 · program services $31,999

  • 16 · Occupancy

    total $85,967 · program services $85,967

  • 17 · Travel

    total $1,110 · program services $1,110

  • 19 · Conferences, conventions and meetings

    total $2,045 · program services $2,045

  • 22 · Depreciation, depletion and amortization

    total $74,986 · program services $74,986

  • 23 · Insurance

    total $98 · program services $98

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $36,473 · program services $36,473

  • 24b · Other expenses: MISCELLANEOUS EXPENSE

    total $1,538 · program services $1,538

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $136,142 · end of year $149,918

  • 4 · Accounts receivable

    beginning of year $307,869 · end of year $143,510

  • 7 · Other notes and loans receivable

    beginning of year $81,924

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

    $805,749

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

    $587,674

  • 10c · Land, buildings and equipment, net

    beginning of year $279,577 · end of year $218,075

  • 11 · Investments: publicly traded securities

    beginning of year $804,678 · end of year $718,148

  • 17 · Accounts payable and accrued expenses

    beginning of year $31,570 · end of year $58,558

  • 25 · Other liabilities

    beginning of year $113,096 · end of year $172,302

  • 27 · Net assets without donor restrictions

    beginning of year $1,465,524 · end of year $998,791

Mission and programs · 2023

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 $1,156,751 · Grants $100 · Revenue $607,026

As filed on the 2023 return.

Listed in Part VII

  • Carl Chalstrom

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Scott Kelly

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Barrett Kroeger

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Elizabeth McQuillen

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jill Parham

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • Heather Weers

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Angela Winekauf

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Tracy Worcester

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Eric Briesemeister

    CEO - JRMC

    Total calculated
    $291,242
    From this org
    $0
    From related orgs
    $245,270
    Other
    $45,972
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $215,536 related
    Bonus
    $0 + $29,476 related
    Other
    $0 + $258 related
    Deferred
    $0 + $12,728 related
    Nontaxable benefits
    $0 + $33,244 related
    Filer's total
    $0 + $291,242 related

  • Michael Heinrich To 0323

    EXEC VP FINANCE/CFO

    Total calculated
    $702,550
    From this org
    $0
    From related orgs
    $624,125
    Other
    $78,425
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $433,454 related
    Bonus
    $0 + $165,786 related
    Other
    $0 + $24,885 related
    Deferred
    $0 + $66,844 related
    Nontaxable benefits
    $0 + $11,581 related
    Filer's total
    $0 + $702,550 related

  • Michelle Niermann To 0823

    PRESIDENT/CEO

    Total calculated
    $1,107,448
    From this org
    $0
    From related orgs
    $988,120
    Other
    $119,328
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $558,886 related
    Bonus
    $0 + $392,397 related
    Other
    $0 + $36,837 related
    Deferred
    $0 + $88,558 related
    Nontaxable benefits
    $0 + $30,770 related
    Filer's total
    $0 + $1,107,448 related

  • Casey Greene

    VP/COO (TO 08/23) PRES/CEO (FR 09/23)

    Total calculated
    $416,844
    From this org
    $0
    From related orgs
    $350,449
    Other
    $66,395
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $279,546 related
    Bonus
    $0 + $67,634 related
    Other
    $0 + $3,269 related
    Deferred
    $0 + $41,421 related
    Nontaxable benefits
    $0 + $24,974 related
    Filer's total
    $0 + $416,844 related

  • Lucas Hicks Fr 0423

    VP FINANCE/CFO

    Total calculated
    $243,959
    From this org
    $0
    From related orgs
    $222,929
    Other
    $21,030
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $203,266 related
    Bonus
    $0 + $17,053 related
    Other
    $0 + $2,610 related
    Deferred
    $0 + $11,374 related
    Nontaxable benefits
    $0 + $9,656 related
    Filer's total
    $0 + $243,959 related

  • Theodore Townsend Jr To 1218

    FORMER PRESIDENT/CEO

    Total calculated
    $462,474
    From this org
    $0
    From related orgs
    $462,474
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $462,474 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $462,474 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: CASEY GREENE $26,911, MICHAEL HEINRICH $50,344 AND MICHELLE NIERMANN $72,058. NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: THEODORE TOWNSEND, JR. $462,474. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS.
SCHEDULE J, PART I, LINE 3 - ESTABLISHING COMPENSATION
THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958.

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.

  • ADVANCED IMAGING CENTER LLC

    DIAGNOSTIC RADIOLOGY CENTER · IA · general or managing partner

  • ANKENY MEDICAL PARK SURGERY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • CENTRAL IOWA PHYSIO LLC

    PHYSICAL THERAPY SERVICES · IA · general or managing partner

  • DUBUQUE ENDOSCOPY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • EASTERN IOWA SLEEP SUPPLY LLC

    MEDICAL EQUIPMENT RETAIL SALES · IA · general or managing partner

  • HEALTH CARE AFFILIATES OF THE TRI-STATES LLC

    PROVIDE ACCESS TO LICENSED SOFTWARE · IA · general or managing partner

  • IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC

    OUTPATIENT DIAGNOSTIC IMAGING · IA · general or managing partner

  • IOWA HEALTH SYSTEM CONTRACTING SERVICES LC

    GROUP PURCHASING · IA · general or managing partner

  • LAKEVIEW SURGERY CENTER LC

    SURGERY CENTER · IA · general or managing partner

  • MR ASSOCIATES LLP

    OWN AND OPERATE MR UNIT · IA · general or managing partner

  • ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC

    AMBULATORY SURGERY CENTER. · IA · general or managing partner

  • UNITED MEDICAL PARK ASC LLC DBA THE SURGERY CENTER AT UNITED MEDICAL PARK

    AMBULATORY SURGERY CENTER · IA · general or managing partner

  • UPHT-SCA HOLDINGS LLC

    AMBULATORY SURGERY CENTER INVESTMENT · DE

  • WEST LAKES SLEEP CENTER LLC

    SLEEP DISORDER DIAGNOSTIC TESTING FACILITY · IA · general or managing partner

Related corporations and trusts

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

  • ABBE MANAGEMENT CORPORATION

    C · MANAGEMENT SERVICES · IA

  • BROADBAND INC

    C · INFORMATION TECHNOLOGY MGMT. · IA

  • DELHI POINT CONDO ASSOCIATION

    C · REAL ESTATE MANAGEMENT · IA

  • HCP CORPORATION

    C · REAL ESTATE RENTAL · WI

  • HANSEN CHARITABLE REMAINDER ANNUITY TRUST

    T · INVESTMENT · IA

  • HANSEN CHARITABLE REMAINDER UNITRUST

    T · INVESTMENT · IA

  • HEALTH ADVANTAGE PLUS INC

    C · PHYSICAL THERAPY · IA

  • HNC SERVICES

    C · FIBER OPTIC NETWORK SERVICES · IA

  • MEDIMORE INC

    C · MANAGED CARE · IA

  • MERITER HEALTH ENTERPRISES INC

    C · MANAGEMENT SERVICES · WI

  • MERITER MANAGEMENT SERVICES INC

    C · ADMINISTRATIVE SERVICES · WI

  • PRECEDENCE INC

    C · MANAGED MENTAL CARE · IA

  • PRECEDENCE PLUS INC

    C · MANAGED MENTAL CARE · IA

  • STL HEALTH RESOURCES CO

    C · PHYSICIAN OFFICE RENTAL · IA

  • TRINITY HEALTH ENTERPRISES INC

    C · RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY · IL

Provenance

Return type
form_990
Tax year
2023
Filed
11 November 2024
IRS schema version
2023v5.1
Source object
202403199349309805

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