Form 990 for tax year 2024
Filed by TRI-STATE REGIONAL AMBULANCE INC.
Totals
- Total revenue
- $5,810,952
- Total expenses
- $6,257,066
- Contributions and grants received
- $355,672
- Grants paid
- $24,009
- Program service revenue
- $5,438,945
- Investment income
- $16,335
- Other revenue
- $0
- Total assets, end of year
- $5,648,597
- Total liabilities, end of year
- $8,422,218
- Net assets or fund balances, end of year
- -$2,773,621
- Program services expenses (Part IX)
- $5,813,191
- Management and general expenses
- $443,875
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $5,813,191
Program services were 92.9% 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.
-
1d · Related organizations
$305,500
-
1e · Government grants (contributions)
$49,422
-
1f · All other contributions, gifts and grants
$750
-
2a · Program service revenue: PRE-HOSPITAL EMERGENCY
total $4,743,770 · related or exempt $4,743,770
-
2b · Program service revenue: PARAMEDIC AND EMT HOURS
total $569,090 · related or exempt $569,090
-
2c · Program service revenue: NON-EMERGENCY MEDICAL
total $126,085 · related or exempt $126,085
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total $18,221 · excluded $18,221
-
6c · Rental income or loss
real property $0 · personal property $0
-
7b · Less cost or other basis and sales expenses
other assets $1,886
-
7c · Gain or loss
securities $0 · other assets -$1,886
-
7d · Net gain or loss
total -$1,886 · unrelated business $0 · excluded -$1,886
-
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.
-
2 · Grants to domestic individuals
total $24,009 · program services $24,009
-
7 · Other salaries and wages
total $4,508,088 · program services $4,508,088
-
10 · Payroll taxes
total $8,043 · program services $7,532 · management and general $511
-
11a · Fees: management
total $133,465 · management and general $133,465
-
11g · Fees: other
total $58,441 · program services $0 · management and general $58,441 · fundraising $0
-
12 · Advertising and promotion
total $264 · management and general $264
-
13 · Office expenses
total $34,922 · program services $1,953 · management and general $32,969
-
14 · Information technology
total $7,717 · management and general $7,717
-
16 · Occupancy
total $147,332 · program services $146,823 · management and general $509
-
17 · Travel
total $15,744 · program services $15,132 · management and general $612
-
19 · Conferences, conventions and meetings
total $6,526 · program services $6,068 · management and general $458
-
22 · Depreciation, depletion and amortization
total $316,717 · program services $316,717
-
23 · Insurance
total $28,575 · management and general $28,575
-
24a · Other expenses: BAD DEBT EXPENSE
total $440,821 · program services $440,821
-
24b · Other expenses: RENT, REPAIRS & MAINTENANCE
total $229,142 · program services $229,142
-
24c · Other expenses: MEMBERSHIPS & LICENSES
total $182,278 · program services $1,924 · management and general $180,354
-
24d · Other expenses: SUPPLIES
total $114,982 · program services $114,982
-
24e · All other expenses
total $0 · program services $0 · management and general $0 · fundraising $0
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $1,209,058 · end of year $2,737,919
-
4 · Accounts receivable
beginning of year $1,232,517 · end of year $1,126,964
-
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 $9,313 · end of year $23,961
-
10a · Land, buildings and equipment: cost or other basis
$2,603,411
-
10b · Land, buildings and equipment: accumulated depreciation
$1,409,716
-
10c · Land, buildings and equipment, net
beginning of year $1,140,180 · end of year $1,193,695
-
12 · Investments: other securities
beginning of year $0
-
13 · Investments: program-related
beginning of year $0
-
14 · Intangible assets
beginning of year $508,550 · end of year $508,550
-
15 · Other assets
beginning of year $83,350 · end of year $57,508
-
17 · Accounts payable and accrued expenses
beginning of year $18,069 · end of year $17,143
-
19 · Deferred revenue
beginning of year $11,195 · end of year $0
-
22 · Loans and payables to officers and key people
end of year $0
-
25 · Other liabilities
beginning of year $6,481,211 · end of year $8,405,075
-
27 · Net assets without donor restrictions
beginning of year -$2,327,507 · end of year -$2,773,621
Mission and programs · 2024
Mission
TRI-STATE REGIONAL AMBULANCE, INC. PROVIDES HIGH QUALITY, LOW COST MEDICAL TRANSPORTATION SERVICES TO AND FROM MEDICAL APPOINTMENTS AND HOME AFTER A HOSPITAL DISCHARGE. IN ADDITION, TRI-STATE REGIONAL AMBULANCE PROVIDES PRE-HOSPITAL EMERGENCY CARE AND INTERFACILITY ADVANCE LIFE SUPPORT TRANSPORTATION.
-
TRI-STATE REGIONAL AMBULANCE PROVIDES PRIMARY EMERGENCY 911 RESPONSE AS WELL AS EMERGENCY AND NON-EMERGENCY INTERFACILITY TRANSPORT AND INTERCEPT SERVICES. TRI-STATE REGIONAL AMBULANCE, INC IN 2024, COMPLETED OUR SECOND YEAR OF OFFERING THE PARAMEDIC TRAINEE PROGRAM, THIS PROGRAM CONTRACTED WITH THE LOCAL TECHNICAL COLLEGE TO PROVIDE FULL-TIME PARAMEDIC EDUCATION TO 4 OF FOUR EMTS. THESE EMTS WERE HIRED INTO THESE ROLES WITH THEIR MAIN FUNCTION TO BE FULL-TIME STUDENTS AND COMPLETE THEIR EDUCATION. THE PROGRAM WAS VERY SUCCESSFUL, BUT COSTLY. TRI-STATE REGIONAL AMBULANCE HAS COMPLETED THE CAAS REACCREDITATION, HIGH STAFF 12-MONTH RETENTION RATES IN THE LOW 90%S. IN 2025, HAD 3,490 TRANSPORTS, 17 STANDBYS, 510 NON-TRANSPORTS, AND 4,000 TOTAL CALLS. TSRA REMAINED ACCREDITED BY CAAS, AND HAD AN ACQUISITION OF SPARTA AMBULANCE.
Expenses $5,712,418 · Grants $24,009 · Revenue $5,059,097
-
PROVIDE NON-EMERGENCY MEDICAL TRANSPORTATION TO INDIVIDUALS NEEDING SPECIALIZED VEHICLES AND/OR ASSISTANCE. THE ORGANIZATION CONTINUED TO PROVIDE SERVICES TO LA CROSSE. MONROE, VERNON, RICHLAND, CRAWFORD, IOWA, AND GRANT COUNTIES. WE HAD 3,490 TRANSPORTS, 17 STANDBYS, 510 NON-TRANSPORTS, AND 4,000 TOTAL CALLS. ACQUIRED SPARTA AMBULANCE
Expenses $100,773 · Revenue $379,848
As filed on the 2024 return.
Listed in Part VII
-
Bryan ErdmannBRYAN 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 McKeeMICHAEL 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 PoellingerMIKEL POELLINGER
BOARD OF DIRECTORS, VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
Christopher Eberlein MDCHRISTOPHER EBERLEIN MD
BOARD OF DIRECTORS
- 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 SmithKIM SMITH
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
Therese BinfetTHERESE 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 CeelenJOHN 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 MDSCOTT 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 TornstromTHOMAS 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
-
Steve LittleSTEVE 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 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION
- THE ADMINISTRATIVE DIRECTOR IS COMPENSATED BY TRI-STATE AMBULANCE, INC., A RELATED PARTY. THE RELATED PARTY DETERMINES COMPENSATION THROUGH THE USE OF A COMPENSATION COMMITTEE, A COMPENSATION STUDY, AND COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS.
- 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
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.
-
GUNDERSEN LUTHERAN HEALTH SYSTEM INC
501(C)(3) · SUPPORTING ORG · WI
Directly controlled by BGHS
-
GUNDERSEN LUTHERAN MEDICAL CENTER INC
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
GUNDERSEN LUTHERAN ADM SERVICES INC
501(C)(3) · SUPPORTING ORG · WI
Directly controlled by GLHS
-
GUNDERSEN LUTHERAN MEDICAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI
Directly controlled by GLHS
-
TRI-COUNTY MEMORIAL HOSPITAL INC
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
HARMONY COMMUNITY HEALTHCARE INC
501(C)(3) · HEALTHCARE · MN
Directly controlled by GLHS
-
TWEETEN LUTHERAN HEALTHCARE CENTER INC
501(C)(3) · HEALTHCARE · MN
Directly controlled by GLHS
-
501(C)(3) · MEDICAL TRANSPORT · WI
Directly controlled by GLHS
-
LUTHERAN REAL ESTATE HOLDING CORPORATION
501(C)(3) · HOUSING · WI
Directly controlled by GLHS
-
COMMUNITY HOUSING OF LA CROSSE INC
501(C)(3) · INDEPENDENT LIVING · WI
Directly controlled by LREH CORP
-
LUTHERAN HOUSING OF LA CROSSE INC
501(C)(3) · INDEPENDENT LIVING · WI
Directly controlled by LREH CORP
-
ST JOSEPH'S HEALTH SERVICES INC
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
ST JOSEPH'S MEMORIAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI
Directly controlled by ST JO HTH SV
-
TRI-COUNTY MEMORIAL FOUNDATION INC
501(C)(3) · FOUNDATION · WI
Directly controlled by TRI CTY HSPT
-
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
PALMER LUTHERAN HEALTH CENTER INC
501(C)(3) · HEALTHCARE · IA
Directly controlled by GLHS
-
MOUNDVIEW MEMORIAL HOSPITALS & CLINICS
501(C)(3) · HEALTHCARE · WI
Directly controlled by GLHS
-
MEMORIAL HEALTHCARE FOUNDATION INC
501(C)(3) · FOUNDATION · WI
Directly controlled by MDVW MEM HOS
-
SAINT ELIZABETH'S HOSP OF WABASHA INC
501(C)(3) · HEALTHCARE · MN
Directly controlled by GLHS
-
BELLIN GUNDERSEN HEALTH SYSTEM INC
501(C)(3) · SUPPORTING ORG · WI
Directly controlled by NA
-
501(C)(3) · SUPPORTING ORG · WI
Directly controlled by BGHS
-
LAKE MICHIGAN HEALTH SERVICES INC
501(C)(3) · SUPPORTING ORG · WI
Directly controlled by BHS
-
501(C)(3) · EDUCATION · WI
Directly controlled by BHS
-
501(C)(3) · HEALTHCARE · WI
Directly controlled by BHS
-
501(C)(3) · HEALTHCARE · WI
Directly controlled by BHS
-
THE BELLIN HEALTH FOUNDATION INC
501(C)(3) · FOUNDATION · WI
Directly controlled by BHS
-
OCONTO HOSPITAL & MEDICAL CENTER INC
501(C)(3) · HEALTHCARE · WI
Directly controlled by BMH
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
- 202622259349302442
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