Totals
- Total revenue
- $2,389,984
- Total expenses
- $2,485,704
- Contributions and grants received
- $939,000
- Grants paid
- $0
- Program service revenue
- $1,450,975
- Investment income
- $9
- Other revenue
- $0
- Total assets, end of year
- $961,743
- Total liabilities, end of year
- $737,729
- Net assets or fund balances, end of year
- $224,014
- Program services expenses (Part IX)
- $1,937,314
- Management and general expenses
- $548,390
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $1,937,314
Program services were 77.9% 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
$839,000
-
1e · Government grants (contributions)
$100,000
-
2a · Program service revenue: Fees & Contracts Gov Agencies
total $1,450,975 · related or exempt $1,450,975
-
3 · Investment income
total $9 · excluded $9
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6d · Net rental income or loss
total $0
-
7d · Net gain or loss
total $0
-
8c · Net income from fundraising events
total $0
-
9c · Net income from gaming
total $0
-
10c · Net income from sales of inventory
total $0
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $77,590 · program services $7,759 · management and general $69,831
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $1,190,463 · program services $1,144,718 · management and general $45,745
-
8 · Pension plan contributions
total $29,442 · program services $26,659 · management and general $2,783
-
9 · Other employee benefits
total $232,086 · program services $1,270 · management and general $230,816
-
10 · Payroll taxes
total $90,441 · program services $82,534 · management and general $7,907
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $0
-
11c · Fees: accounting
total $35,640 · management and general $35,640
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $0
-
12 · Advertising and promotion
total $0
-
13 · Office expenses
total $7,847 · management and general $7,847
-
14 · Information technology
total $0
-
15 · Royalties
total $0
-
16 · Occupancy
total $4,800 · management and general $4,800
-
17 · Travel
total $0
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $0
-
20 · Interest
total $30,906 · management and general $30,906
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $98,414 · program services $96,985 · management and general $1,429
-
23 · Insurance
total $94,926 · program services $94,926
-
24a · Other expenses: BAD DEBT
total $237,282 · program services $237,282
-
24b · Other expenses: PATIENT SUPPLIES
total $70,991 · program services $70,991
-
24c · Other expenses: BILLING SERVICE FEES - ACCUM
total $58,865 · program services $58,865
-
24d · Other expenses: GAS, OIL, TIRES
total $49,324 · program services $49,324
-
24e · All other expenses
total $176,687 · program services $66,001 · management and general $110,686
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $2,023 · end of year $25,933
-
2 · Savings and temporary cash investments
end of year $0
-
3 · Pledges and grants receivable
end of year $0
-
4 · Accounts receivable
beginning of year $228,823 · end of year $134,837
-
5 · Loans and receivables from officers and key people
end of year $0
-
6 · Loans and receivables from disqualified persons
end of year $0
-
7 · Other notes and loans receivable
end of year $0
-
8 · Inventories for sale or use
end of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $52,326 · end of year $512,613
-
10a · Land, buildings and equipment: cost or other basis
$1,189,907
-
10b · Land, buildings and equipment: accumulated depreciation
$901,547
-
10c · Land, buildings and equipment, net
beginning of year $219,997 · end of year $288,360
-
11 · Investments: publicly traded securities
end of year $0
-
12 · Investments: other securities
end of year $0
-
13 · Investments: program-related
end of year $0
-
14 · Intangible assets
end of year $0
-
15 · Other assets
end of year $0
-
17 · Accounts payable and accrued expenses
beginning of year $143,052 · end of year $244,513
-
24 · Unsecured notes and loans payable
beginning of year $40,383 · end of year $493,216
-
31 · Retained earnings, endowment or other funds
beginning of year $319,734 · end of year $224,014
Mission and programs · 2022
Mission
To provide EMS services to citizens of Wells County, Indiana.
-
TO PROVIDE AMBULANCE SERVICE THAT CAN BE CONTRACTED FOR SERVICES TO RESIDENTS OF WELLS COUNTY AND SURROUNDING AREAS. THE CORPORATION SERVED 3,100 INDIVIDUALS IN THE WELLS AND SURROUNDING COUNTIES DURING THE YEAR.
Expenses $1,937,314
As filed on the 2022 return.
Listed in Part VII
-
RICK PIEPENBRINK
CEO
- Total calculated
- $95,178
- From this org
- $77,590
- From related orgs
- $0
- Other
- $17,588
- Hours/week
- 50
-
TODD MAHNENSMITH
President
- Total calculated
- $0
- Hours/week
- 0
-
WILLIAM G SECK
Vice President
- Total calculated
- $0
- Hours/week
- 0
-
BLAKE GERBER
Treasurer
- Total calculated
- $0
- Hours/week
- 0
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.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 31 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343049349300809
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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