Tri-State Regional Ambulance Inc

EIN: 391962965 501(c)(3) Health Care

LA CROSSE, WI

Total Revenue
$4,957,038
Total Expenses
$6,292,613
Total Assets
$4,182,968
Net Assets
$-2,327,507
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Financial Trends

Organization Details

Formation Year
1999
Legal Domicile
WI
Phone
6086378884
Tax Period
2023-10-01 to 2024-09-30

Tri-State Regional Ambulance Inc, founded in 1999, is a community nonprofit in the Health Care sector that reported $5.0M in total revenue in fiscal year 2023. Revenue surged 64% from the prior year, signaling strong growth momentum. Expenses of $6.3M exceeded revenue, resulting in a 27% operating deficit.

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. IN 2021, ALL TSRA EMPLOYEES TRANSFERRED TO GUNDERSEN 12/31/2021. EXPANSION PROJECT STARTED AT TSRA IN WHICH TWO ADDITIONAL LOCATIONS WILL BE ADDED. AN ASSUMED NAME (DBA) WAS CREATED UNDER TSRA AS GUNDERSEN HEALTH SYSTEM AMBULANCE (IN DECEMBER). IN 2023, TRI-STATE REGIONAL AMBULANCE HAD 2,257 TRANSPORTS, 17 STANDBYS, 481 NON-TRANSPORTS, AND 2,755 TOTAL CALLS WITH 12 AMBULANCES. IN 2023, EXPANDED OUR NUMBER OF LOCATIONS IN ORDER TO BETTER PROVIDE AMBULANCE SERVICES TO RURAL AND UNDERSERVED HOSPITALS. THIS EXPANSION IS COSTLY BUT HAS DRAMATICALLY REDUCED PATIENT WAIT TIMES AND HELPED ENSURE PATIENTS WERE CARED FOR PROPERLY DURING TRANSPORT. SUCCESSFULLY CREATED A PARAMEDIC TRAINEE PROGRAM WITH NEAR 100% GRADUATION RATES. 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.

Program Service Accomplishments

Program 1
Expenses: $5,999,043 Revenue: $4,448,612

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. UTILIZED...

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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. UTILIZED 12 AMBULANCES, 18 PARAMEDICS, AND 21 EMT'S TO MAKE APPROXIMATELY 3,410 TRANSPORTS IN 2024 USING ADVANCED MEDICAL PROTOCOLS. WE SEND ECG'S OR ELECTROCARDIOGRAMS TO THE HOSPITALS VIA THE INTERNET TO SPEED UP THE TREATMENT OF HEART ATTACK VICTIMS. TELEHEALTH WAS INTEGRATED ALLOWING SPECIALISTS TO PARTICIPATE IN VIRTUAL CARE IN MOVING AMBULANCE. IN 2024, TRI-STATE REGIONAL HAD 22 STANDBYS, 479 NON-TRANSPORTS, AND 4,030 TOTAL CALLS.

Program 2
Expenses: $94,249 Revenue: $397,919

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...

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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 UTILIZING 7 VANS AND REDUCED STAFFING TO 7 DRIVERS.

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Trantor Score

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $108,483
Program Service Revenue $4,846,531
Investment Income $2,024
Other Revenue $0
TOTAL REVENUE $4,957,038

Expense Breakdown

Grants Paid $40,479
Salaries & Benefits $4,367,673
Fundraising Expenses $0
Program Expenses $6,093,292
Other Expenses $1,884,461
TOTAL EXPENSES $6,292,613

Year-over-Year Comparison

2023 2022 Change
Revenue $4,957,038 $3,028,116 +0.6%
Expenses $6,292,613 $3,782,551 +0.7%
Net Income $-1,335,575 $-754,435 +0.8%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Governance

Voting Members
6
Independent Members
2
Employees
N/A
Volunteers
2

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
6
$2,881,632
Total Directors
6
$1,528,957
Key Employees
1
$206,567
Highest Compensated
0
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
BRYAN ERDMANN BOARD OF DIRECTORS - SECRETARY/TREASURER 2.0
Officer Director
$0 $74,345 $484,221
MICHAEL MCKEE BOARD OF DIRECTORS - PRESIDENT 2.0
Officer Director
$0 $70,085 $351,145
MIKEL POELLINGER BOARD OF DIRECTORS - VICE PRESIDENT 2.0
Officer Director
$0 $0 $0
CHRISTOPHER EBERLEIN MD BOARD OF DIRECTORS - MEMBER 2.0
Director
$0 $70,228 $468,781
KIM SMITH BOARD OF DIRECTORS - MEMBER 2.0
Director
$0 $0 $0
THERESE BINFET BOARD OF DIRECTORS - MEMBER 2.0
Director
$0 $47,892 $224,810
JOHN CEELEN CHIEF FINANCIAL OFFICER, TREASURER (BEGIN 2/24) 2.0
Officer
$0 $0 $0
SCOTT RATHGABER MD CHIEF EXECUTIVE OFFICER 2.0
Officer
$0 $68,728 $1,712,949
STEVE LITTLE INTERIM CHIEF FINANCIAL OFFICER, TREASURER (THRU 2/24) 2.0
Officer
$0 $0 $333,317
THOMAS E TORNSTROM ADMINISTRATIVE DIRECTOR 0.0
Key Emp
$0 $42,697 $206,567
GERALD OETZEL FORMER CHIEF FINANCIAL OFFICER 0.0
$0 $18,108 $573,176
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2024 $4,957,038 $6,292,613 $4,182,968 $-1,335,575
2023 $3,028,116 $3,782,551 $3,227,714 $-754,435
2022 $2,695,967 $3,749,120 $2,235,756 $-1,053,153
2021 $2,192,778 $2,367,381 $1,164,152 $-174,603
2020 $1,952,228 $2,258,391 $1,162,572 $-306,163
2019 $2,234,427 $2,410,488 $1,165,296 $-176,061
2018 $2,165,881 $2,445,900 $1,205,215 $-280,019
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