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Nonprofiteer
← TRI-STATE AMBULANCE INC

Form 990 for tax year 2023

Filed by TRI-STATE AMBULANCE INC.

This return was superseded by a later amendment. matched by us It is kept because history is preserved rather than replaced.

What the amendment changed

Compared with the latest return for 2023 , filed 14 August 2025. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total revenue
$6,812,428 changed to $9,720,021
Total expenses
$6,264,714 changed to $9,321,224
Contributions and grants received
$201,257 changed to $35,507
Grants paid
$19,517 changed to $32,728
Program service revenue
$6,591,763 changed to $9,575,800
Investment income
$19,408 changed to $108,714
Total assets, end of year
$7,811,573 changed to $8,126,565
Total liabilities, end of year
$671,380 changed to $587,575
Net assets or fund balances, end of year
$7,140,193 changed to $7,538,990
Program services expenses
$5,265,829 changed to $8,037,920
Management and general expenses
$998,885 changed to $1,283,304
Program service expenses (Part III)
$5,265,829 changed to $8,037,920

Listed only on the earlier return

  • Kyle Bakkum
  • Michael Kittelson

Listed only on the later return

  • Cindy McDonald
  • Gregg Bulman
  • John Ceelen
  • Randy Young
  • Thomas E Tornstrom

Listed under a different title

  • Christopher Eberlein MD: BOARD OF DIRECTORS - MEMBER (BEGIN 2/23) then BOARD OF DIRECTORS - MEMBER
  • Gerald Oetzel: CHIEF FINANCIAL OFFICER AND TREASURER THRU 8/23 then FORMER CHIEF FINANCIAL OFFICER
  • Kim Smith: BOARD OF DIRECTORS - MEMBER (BEGIN 3/23) then BOARD OF DIRECTORS - MEMBER
  • Scott Rathgaber MD: CEO, CHAIRMAN then CHIEF EXECUTIVE OFFICER
  • Steve Little: INTERIM CHIEF FINANCIAL OFFICER AND TREASURER BEGIN 8/23 then INTERIM CHIEF FINANCIAL OFFICER, TREASURER (THRU 2/24)

Totals

Total revenue
$6,812,428
Total expenses
$6,264,714
Contributions and grants received
$201,257
Grants paid
$19,517
Program service revenue
$6,591,763
Investment income
$19,408
Other revenue
$0
Total assets, end of year
$7,811,573
Total liabilities, end of year
$671,380
Net assets or fund balances, end of year
$7,140,193
Program services expenses (Part IX)
$5,265,829
Management and general expenses
$998,885
Fundraising expenses
$0
Program service expenses (Part III)
$5,265,829

Program services were 84.1% 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.

  • 1d · Related organizations

    $110,000

  • 1e · Government grants (contributions)

    $91,257

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

    total $6,468,545 · related or exempt $6,468,545

  • 2b · Program service revenue: MEDICAL SUPPLIES SERVICES

    total $56,643 · related or exempt $56,643

  • 2c · Program service revenue: MISCELLANEOUS RENTAL INCOME

    total $66,575 · related or exempt $66,575

  • 2f · All other program service revenue

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

  • 3 · Investment income

    total $19,408 · excluded $19,408

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $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 $2,000 · program services $2,000

  • 2 · Grants to domestic individuals

    total $17,517 · program services $17,517

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 7 · Other salaries and wages

    total $2,981,060 · program services $2,404,138 · management and general $576,922

  • 8 · Pension plan contributions

    total $50,874 · program services $41,038 · management and general $9,836

  • 9 · Other employee benefits

    total $460,280 · program services $371,290 · management and general $88,990

  • 10 · Payroll taxes

    total $203,780 · program services $164,381 · management and general $39,399

  • 11a · Fees: management

    total $123,219 · management and general $123,219

  • 11c · Fees: accounting

    total $1,125 · program services $1,125

  • 11g · Fees: other

    total $352,711 · program services $301,036 · management and general $51,675 · fundraising $0

  • 12 · Advertising and promotion

    total $10,840 · management and general $10,840

  • 13 · Office expenses

    total $70,404 · program services $35,859 · management and general $34,545

  • 14 · Information technology

    total $25,826 · program services $7,875 · management and general $17,951

  • 16 · Occupancy

    total $212,966 · program services $171,853 · management and general $41,113

  • 17 · Travel

    total $24,361 · program services $24,361

  • 19 · Conferences, conventions and meetings

    total $26,860 · program services $26,860

  • 22 · Depreciation, depletion and amortization

    total $434,070 · program services $434,070

  • 23 · Insurance

    total $22,733 · program services $18,338 · management and general $4,395

  • 24a · Other expenses: BAD DEBT EXPENSE

    total $661,011 · program services $661,011

  • 24b · Other expenses: RENT, REPAIRS AND MAINTENANCE

    total $317,974 · program services $317,974

  • 24c · Other expenses: SUPPLIES

    total $244,354 · program services $244,354

  • 24d · Other expenses: MISCELLANEOUS OTHER EXPENSES

    total $20,749 · program services $20,749

  • 24e · All other expenses

    total $0 · program services $0 · 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 $3,161,502 · end of year $2,766,332

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $1,621,761 · end of year $2,044,220

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $58,411 · end of year $79,928

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

    $7,414,383

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

    $4,493,590

  • 10c · Land, buildings and equipment, net

    beginning of year $2,456,988 · end of year $2,920,793

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $495,106 · end of year $512,094

  • 19 · Deferred revenue

    beginning of year $196,066 · end of year $24,085

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $15,311 · end of year $135,201

  • 27 · Net assets without donor restrictions

    beginning of year $6,592,479 · end of year $7,140,193

Mission and programs · 2023

Mission

SEE SCHEDULE O.

  • SEE SCHEDULE O.

    Expenses $5,265,829 · Grants $19,517 · Revenue $6,591,763

As filed on the 2023 return.

Listed in Part VII

  • Bryan Erdmann

    BOARD OF DIRECTORS - SECRETARY/TREASURER

    Total calculated
    $0
    Hours/week
    1 + 49 related

  • Michael McKee

    BOARD OF DIRECTORS - PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 41.3 related

  • Mikel Poellinger

    BOARD OF DIRECTORS - VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • Christopher Eberlein MD

    BOARD OF DIRECTORS - MEMBER (BEGIN 2/23)

    Total calculated
    $0
    Hours/week
    1 + 44.5 related

  • Kim Smith

    BOARD OF DIRECTORS - MEMBER (BEGIN 3/23)

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • Kyle Bakkum

    BOARD OF DIRECTORS - MEMBER (END 3/23)

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • Michael Kittelson

    BOARD OF DIRECTORS - MEMBER (END 1/23)

    Total calculated
    $0
    Hours/week
    1 + 0.5 related

  • Therese Binfet

    BOARD OF DIRECTORS - MEMBER

    Total calculated
    $0
    Hours/week
    1 + 40.5 related

  • Gerald Oetzel

    CHIEF FINANCIAL OFFICER AND TREASURER THRU 8/23

    Total calculated
    $0
    Hours/week
    0 + 42 related

  • Scott Rathgaber MD

    CEO, CHAIRMAN

    Total calculated
    $0
    Hours/week
    0 + 46 related

  • Steve Little

    INTERIM CHIEF FINANCIAL OFFICER AND TREASURER BEGIN 8/23

    Total calculated
    $0
    Hours/week
    0 + 42 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.

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 GLHS

  • 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 GLHS

Provenance

Return type
form_990
Tax year
2023
Filed
14 August 2024
IRS schema version
2023v5.1
Source object
202422279349302357

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