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Nonprofiteer
← F-M AMBULANCE SERVICE INC

Form 990 for tax year 2022

Filed by F-M AMBULANCE SERVICE INC.

Totals

Total revenue
$18,815,214
Total expenses
$17,309,624
Contributions and grants received
$355,853
Grants paid
$0
Program service revenue
$18,404,157
Investment income
$41,226
Other revenue
$13,978
Total assets, end of year
$8,237,188
Total liabilities, end of year
$65,783
Net assets or fund balances, end of year
$8,171,405
Program services expenses (Part IX)
$15,493,680
Management and general expenses
$1,815,944
Fundraising expenses
$0
Program service expenses (Part III)
$15,493,680

Program services were 89.5% 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

    $3,065

  • 1e · Government grants (contributions)

    $352,788

  • 2a · Program service revenue: EMERGENCY MEDICAL SERV

    total $16,960,451 · related or exempt $16,960,451

  • 2b · Program service revenue: EDUCATION

    total $1,244,154 · related or exempt $1,244,154

  • 2c · Program service revenue: CONTRACT/OUTREACH

    total $184,293 · related or exempt $184,293

  • 2d · Program service revenue: SPECIAL TRANSPORTATION

    total $15,259 · related or exempt $15,259

  • 7a · Gross sales of assets other than inventory

    other assets $45,600

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

    other assets $4,374

  • 7c · Gain or loss

    other assets $41,226

  • 7d · Net gain or loss

    total $41,226 · excluded $41,226

  • 10a · Gross sales of inventory

    $14,221

  • 10b · Cost of goods sold

    $243

  • 10c · Net income from sales of inventory

    total $13,978 · excluded $13,978

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $10,175,628 · program services $9,318,652 · management and general $856,976

  • 8 · Pension plan contributions

    total $483,939 · program services $458,921 · management and general $25,018

  • 9 · Other employee benefits

    total $978,753 · program services $873,219 · management and general $105,534

  • 10 · Payroll taxes

    total $774,625 · program services $738,401 · management and general $36,224

  • 11c · Fees: accounting

    total $3,702 · management and general $3,702

  • 11g · Fees: other

    total $783,918 · program services $732,337 · management and general $51,581

  • 12 · Advertising and promotion

    total $66,711 · program services $57,275 · management and general $9,436

  • 13 · Office expenses

    total $229,613 · program services $186,325 · management and general $43,288

  • 14 · Information technology

    total $402,877 · program services $240,000 · management and general $162,877

  • 16 · Occupancy

    total $330,908 · program services $220,598 · management and general $110,310

  • 17 · Travel

    total $427,444 · program services $414,770 · management and general $12,674

  • 19 · Conferences, conventions and meetings

    total $250,270 · program services $245,148 · management and general $5,122

  • 22 · Depreciation, depletion and amortization

    total $863,230 · program services $817,536 · management and general $45,694

  • 23 · Insurance

    total $288,690 · program services $1,660 · management and general $287,030

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,089,168 · program services $1,079,410 · management and general $9,758

  • 24b · Other expenses: CERTIFICATES, LIC, DUES

    total $56,970 · program services $22,349 · management and general $34,621

  • 24c · Other expenses: MINNESOTACARE TAX

    total $48,911 · program services $48,911

  • 24d · Other expenses: BOOKS & SUBSCRIPTIONS

    total $17,651 · program services $17,454 · management and general $197

  • 24e · All other expenses

    total $36,616 · program services $20,714 · management and general $15,902

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $250 · end of year $250

  • 4 · Accounts receivable

    beginning of year $1,481,111 · end of year $2,388,787

  • 8 · Inventories for sale or use

    beginning of year $6,218 · end of year $5,975

  • 9 · Prepaid expenses and deferred charges

    beginning of year $249 · end of year $16,997

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

    $11,395,752

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

    $7,680,864

  • 10c · Land, buildings and equipment, net

    beginning of year $3,430,906 · end of year $3,714,888

  • 14 · Intangible assets

    beginning of year $1,393,082 · end of year $1,393,082

  • 15 · Other assets

    beginning of year $397,308 · end of year $717,209

  • 17 · Accounts payable and accrued expenses

    beginning of year $176,397 · end of year $65,783

  • 27 · Net assets without donor restrictions

    beginning of year $6,532,727 · end of year $8,171,405

Mission and programs · 2022

Mission

THE MISSION OF F-M AMBULANCE, "DEDICATED TO SHARING GOD'S LOVE THROUGH THE WORK OF HEALTH, HEALING AND COMFORT AND THE VISION "IMPROVING THE HUMAN CONDITION THROUGH EXCEPTIONAL CARE, INNOVATION AND DISCOVERY", IS THE CONSTANT FORCE THAT DRIVES OUR PLANS, DECISIONS AND ACTIONS.

Activities or mission (Part I)

"DEDICATED TO THE WORK OF HEALTH AND HEALING"

  • AS PART OF THE SANFORD HEALTH INTEGRATED DELIVERY SYSTEM, FM AMBULANCE, DBA SANFORD AMBULANCE FARGO (SA-F), PROVIDES EMERGENCY MEDICAL CARE AND SPECIALTY CARE TRANSPORTATION SERVICES TO FARGO, NORTH DAKOTA/MOORHEAD, MINNESOTA METRO AREA AND SURROUNDING COMMUNITIES. SA-F IS ACCREDITED BY THE COMMISSION ON ACCREDITATION OF AMBULANCE SERVICES (CAAS) AND IS THE LARGEST ADVANCED LIFE SUPPORT GROUND AMBULANCE PROVIDER IN NORTH DAKOTA AND OUTSTATE MINNESOTA. SA-F RESPONDS TO MORE THAN 32,000 CALLS FOR SERVICE ANNUALLY WHICH RESULTED IN TRANSPORTING MORE THAN 23,000 PEOPLE AND OVER 9,000 CALLS THAT DID NOT RESULT IN A PATIENT TRANSPORT. SA-F SERVES AS A RESOURCE TO RESCUE SQUADS, FIRE DEPARTMENTS, LAW ENFORCEMENT AGENCIES AND BASIC LIFE SUPPORT AMBULANCE PROVIDERS THROUGHOUT THE STATE. SA-F PROVIDES TACTICAL PARAMEDICS FOR THE REGIONAL S.W.A.T. TEAM AND PROVIDES FIREFIGHTER REHAB SERVICES PRO-BONO. SA-F WORKS CLOSELY WITH LOCAL VOLUNTEER SERVICES TO COORDINATE THE DELIVERY OF EMERGENCY MEDICAL CARE TO COMMUNITIES IN ITS SERVICE AREA AND IS A LEADER IN HOMELAND DEFENSE PREPAREDNESS BY SERVING AS A REGIONAL TRAINING SITE, RESOURCES PARTNER AND FIRST RESPONDER.THROUGH ITS READY WHEELS OPERATIONS (A SPECIALTY CARE TRANSPORTATION SERVICE), SA-F PROVIDES LOCAL AND LONG DISTANCE TRANSPORTATION FOR INDIVIDUALS CONFINED TO WHEELCHAIRS. THIS SPECIALTY CARE TRANSPORTATION SERVICE IS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK TO PROVIDE DOOR-TO-DOOR SERVICE. THESE SERVICES ALLOW INDIVIDUALS IN THE COMMUNITY TO ACCESS TRANSPORTATION SERVICES THAT ACCOMMODATE UNIQUE INDIVIDUAL NEEDS DUE TO HEALTH CONDITIONS.EDUCATION AND OTHER SERVICES:SA-F PROMOTES COMMUNITY HEALTH AND INJURY PREVENTION WITH MORE THAN 3,700 MEMBERS OF THE PUBLIC EACH YEAR PARTICIPATING IN FIRST AID, AUTOMATED EXTERNAL DEFIBRILLATOR, CPR, BABYSITTER TRAINING AND OTHER COMMUNITY WELLNESS COURSES. SA-F IS ALSO THE HOME TO THE REGION'S LARGEST INITIAL EMS CERTIFICATION CENTER. EMERGENCY MEDICAL RESPONDER CLASSES ARE TAUGHT TO AREA FIRE DEPARTMENTS, LAW ENFORCEMENT AGENCIES AND LOCAL OR INDUSTRIAL RESCUE SQUADS. EMT CLASSES ARE HELD MULTIPLE TIMES A YEAR AND SUPPLY STAFFING FOR FULL-TIME AND VOLUNTEER AGENCIES ACROSS THE AREA.IN CONJUNCTION WITH THE NORTH DAKOTA STATE COLLEGE OF SCIENCE, SA-F'S PARAMEDIC PROGRAM OFFERS AN ASSOCIATE DEGREE LEVEL COURSE ACCREDITED BY THE COMMISSION ON ACCREDITATION OF ALLIED HEALTH EDUCATION PROGRAMS (ONE OF 3 IN ND). SA-F ALSO OFFERS RECERTIFICATION COURSES IN-PERSON AND VIRTUALLY THAT ARE ACCREDITED THROUGH THE COMMISSION ON ACCREDITATION FOR PRE-HOSPITAL CONTINUING EDUCATION (ONLY ONE IN ND). SEVERAL OF THE EDUCATORS ARE ACTIVE REGIONALLY AND NATIONALLY ON EMS EDUCATION TOPICS.

    Expenses $15,493,680 · Revenue $18,404,157

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • BRYAN NERMOE

    PRESIDENT & CEO, FARGO-END 3/22

    Total calculated
    $495,226
    From this org
    $0
    From related orgs
    $457,274
    Other
    $37,952
    Hours/week
    5 + 55 related

  • BRYAN NERMOE

    SEE SCH J, PART III, LINES 4A-4B

    Total calculated
    $2,719,941
    From this org
    $0
    From related orgs
    $2,719,941
    Other
    $0
    Hours/week
    5 + 55 related

  • BILL GASSEN III

    TRUSTEE, PRESIDENT & CEO

    Total calculated
    $3,063,165
    From this org
    $0
    From related orgs
    $2,683,582
    Other
    $379,583
    Hours/week
    0.5 + 59.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,818,239 related
    Bonus
    $0 + $582,757 related
    Other
    $0 + $282,586 related
    Deferred
    $0 + $378,828 related
    Nontaxable benefits
    $0 + $755 related
    Filer's total
    $0 + $3,063,165 related

  • MICHELLE BRUHN

    EVP, CFO & TREASURER

    Total calculated
    $1,717,536
    From this org
    $0
    From related orgs
    $1,530,538
    Other
    $186,998
    Hours/week
    0.5 + 59.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,012,253 related
    Bonus
    $0 + $350,000 related
    Other
    $0 + $168,285 related
    Deferred
    $0 + $160,681 related
    Nontaxable benefits
    $0 + $26,317 related
    Filer's total
    $0 + $1,717,536 related

  • MARIA BELL MD

    TRUSTEE, PHYSICIAN

    Total calculated
    $1,187,636
    From this org
    $0
    From related orgs
    $1,143,694
    Other
    $43,942
    Hours/week
    0.5 + 59.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,020,094 related
    Bonus
    $0 + $54,000 related
    Other
    $0 + $69,600 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $28,692 related
    Filer's total
    $0 + $1,187,636 related

  • TIFFANY LAWRENCE

    PRESIDENT & CEO, FARGO-BEG 3/22

    Total calculated
    $1,057,534
    From this org
    $0
    From related orgs
    $924,767
    Other
    $132,767
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $729,385 related
    Bonus
    $0 + $68,796 related
    Other
    $0 + $126,586 related
    Deferred
    $0 + $105,250 related
    Nontaxable benefits
    $0 + $27,517 related
    Filer's total
    $0 + $1,057,534 related

  • MARK LUNDEEN MD

    TRUSTEE, PHYSICIAN

    Total calculated
    $357,876
    From this org
    $0
    From related orgs
    $343,914
    Other
    $13,962
    Hours/week
    0.5 + 59.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $332,590 related
    Bonus
    $0
    Other
    $0 + $11,324 related
    Deferred
    $0 + $11,832 related
    Nontaxable benefits
    $0 + $2,130 related
    Filer's total
    $0 + $357,876 related

  • JOANN KUNKEL

    FORMER CFO-SCH J, PART III, LINE 4A

    Total calculated
    $339,000
    From this org
    $0
    From related orgs
    $339,000
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $339,000 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $339,000 related

  • ANDY NORTH

    TRUSTEE, SECRETARY

    Total calculated
    $316,771
    From this org
    $0
    From related orgs
    $316,771
    Other
    $0
    Hours/week
    0.5 + 6.61 related

    Schedule J breakdown matched by us

    Base
    $0 + $316,771 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $316,771 related

  • MARK PAULSON MD

    TRUSTEE, PHYSICIAN

    Total calculated
    $278,063
    From this org
    $0
    From related orgs
    $239,394
    Other
    $38,669
    Hours/week
    0.5 + 59.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $221,637 related
    Bonus
    $0 + $13,500 related
    Other
    $0 + $4,257 related
    Deferred
    $0 + $10,612 related
    Nontaxable benefits
    $0 + $28,057 related
    Filer's total
    $0 + $278,063 related

  • NEIL GULSVIG

    TRUSTEE, CHAIRPERSON

    Total calculated
    $75,772
    From this org
    $0
    From related orgs
    $75,772
    Other
    $0
    Hours/week
    0.5 + 6.61 related

  • LAURIS MOLBERT

    TRUSTEE, VICE CHAIR

    Total calculated
    $35,500
    From this org
    $0
    From related orgs
    $35,500
    Other
    $0
    Hours/week
    0.5 + 6.61 related

  • MARNIE HERMANN

    TRUSTEE

    Total calculated
    $35,500
    From this org
    $0
    From related orgs
    $35,500
    Other
    $0
    Hours/week
    0.5 + 6.61 related

  • DON JACOBS

    TRUSTEE

    Total calculated
    $34,500
    From this org
    $0
    From related orgs
    $34,500
    Other
    $0
    Hours/week
    0.5 + 6.61 related

  • JAMES CAIN

    TRUSTEE

    Total calculated
    $34,500
    From this org
    $0
    From related orgs
    $34,500
    Other
    $0
    Hours/week
    0.5 + 6.61 related

  • ROBIN SMITH

    TRUSTEE, TREASURER

    Total calculated
    $34,000
    From this org
    $0
    From related orgs
    $34,000
    Other
    $0
    Hours/week
    0.5 + 6.61 related

  • WESLEY ENGBRECHT

    TRUSTEE

    Total calculated
    $34,000
    From this org
    $0
    From related orgs
    $34,000
    Other
    $0
    Hours/week
    0.5 + 6.61 related

  • BRENT TEIKEN

    TRUSTEE, PAST CHAIR

    Total calculated
    $33,000
    From this org
    $0
    From related orgs
    $33,000
    Other
    $0
    Hours/week
    0.5 + 6.61 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

Itemized on Schedule J with no Part VII listing of the same name on this return:

  • BRYAN NERMOE

    PRESIDENT & CEO, FARGO-END 3/22

    Schedule J breakdown

    Base
    $0 + $175,719 related
    Bonus
    $0 + $252,724 related
    Other
    $0 + $28,831 related
    Deferred
    $0 + $30,585 related
    Nontaxable benefits
    $0 + $7,367 related
    Filer's total
    $0 + $495,226 related

  • BRYAN NERMOE

    SEE SCH J, PART III, LINES 4A-4B

    Schedule J breakdown

    Base
    $0
    Bonus
    $0
    Other
    $0 + $2,719,941 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $2,719,941 related

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 1A
CERTAIN ITEMS LISTED ON LINE 1A ARE PROVIDED BY RELATED ORGANIZATIONS. PART I, LINE 3: THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND EXECUTIVES OF THE ORGANIZATION, INCLUDING THE CEO, AND TO REPORT THE FINDINGS TO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN THE MINUTES OF THE SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2022.
PART I, LINES 4A-B
LINE 4A - SEVERANCE OR CHANGE OF CONTROL PAYMENT UPON HIRE OR PROMOTION, SELECT OFFICERS AND KEY EMPLOYEES SIGN AN EXECUTIVE SEVERANCE AGREEMENT (THE "AGREEMENT"). THE AGREEMENT PROVIDES THAT THE EXECUTIVE WILL RECEIVE A MULTIPLE OF HIS OR HER SALARY (BASED ON YEARS OF SERVICE OR POSITION) AS A PAYMENT IN THE EVENT OF A DEFINED SEPARATION EVENT, WHICH CAN INCLUDE AN INVOLUNTARY SEPARATION OR AN EMPLOYEE VOLUNTARILY LEAVING FOR A DEFINED CONTRACTUAL REASON. EXECUTIVE MAY ALSO QUALIFY FOR A PAYMENT FOR SATISFYING A NON-COMPETE. FINAL SEPARATION PAYMENTS MIGHT VARY FROM THE AMOUNT PROVIDED IN THE AGREEMENT AS A RESULT OF NEGOTIATIONS SURROUNDING POST-SEPARATION OBLIGATIONS AND INCENTIVES (THE "SEPARATION" PAYMENT). LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS SANFORD SPONSORS NONQUALIFIED RETIREMENT PLANS FOR SELECT OFFICERS OR KEY EMPLOYEES. CERTAIN OF THE BELOW OFFICERS OR KEY EMPLOYEES WERE PAID AS A RESULT OF A VESTING EVENT. LINES 4A AND 4B - PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS AND/OR SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: BRYAN NERMOE: SEPARATION.......................................$2,011,302 NONQUALIFIED RETIREMENT PLAN........................$708,639 TOTAL............................................$2,719,941 JOANN KUNKEL: NON-COMPETE PAYMENT.................................$339,000

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
31 October 2023
IRS schema version
2022v5.0
Source object
202313049349302166

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