CRITICAL CARE SERVICES INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CRITICAL CARE SERVICES INC (EIN 41-1518013)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-09-11
- IRS object ID
- 201242559349300309
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule F
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-09-11T10:58:02-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390758449 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7601 FRANCE AVENUE SOUTH SUITE 400 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55435 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411518013 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRITICAL CARE SERVICES INC DBA LIFE LINK III | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CRIT | NameControl |
| Phone | 6126384900 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3010 BROADWAY STREET NE | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554131768 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROBERT SANNERUD | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 6126384900 | Phone |
| Date Signed | 2012-09-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD RUVELSON | Name |
| PTIN | P00234075 | PTIN |
| Phone | 9525483400 | Phone |
| Date Prepared | 2012-09-06 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | EDWARD R EROE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3010 BROADWAY STREET NE | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554131768 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 26104573 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.LIFELINKIII.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE EXCELLENT MEDICAL CARE AND TRANSPORTATION SERVICES FOR PATIENTS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 231 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | -451 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -451 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 31794384 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 25657655 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 244 | InvestmentIncomePriorYear |
| Investment Income Current Year | 272283 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -20816 | OtherRevenuePriorYear |
| Other Revenue Current Year | -1531 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 31773812 | TotalRevenuePriorYear |
| Total Revenue Current Year | 25928407 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 11245068 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8360892 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 18788860 | OtherExpensePriorYear |
| Other Expenses Current Year | 17640573 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 30033928 | TotalExpensesPriorYear |
| Total Expenses Current Year | 26001465 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1739884 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -73058 | RevenuesLessExpensesCY |
| Total Assets BOY | 13461490 | TotalAssetsBOY |
| Total Assets EOY | 12095755 | TotalAssetsEOY |
| Total Liabilities BOY | 4844684 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3552007 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 8616806 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8543748 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF LIFE LINK III IS TO PROVIDE COMFORT AND THE HIGHEST QUALITY OF LIFE-SAVING CARE TO THE ILL AND INJURED THROUGH SAFE, APPROPRIATE AND RAPID TRANSPORTATION. LIFE LINK III WILL BE THE AREA'S PREFERRED PROVIDER OF AIR AND GROUND MEDICAL TRANSPORTATION, AND WILL ACCOMPLISH THIS BY SETTING, HOLDING AND ENHANCING THE STANDARD FOR EXCELLENCE IN PATIENT CARE, TRANSPORTATION AND INDUSTRY LEADERSHIP. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 16415743 | Expense |
| Revenue | 19708454 | Revenue |
| Description | ROTOR WING SERVICES - PROVIDES AIR TRANSPORTATION OF PATIENTS REQUIRING MEDICAL CARE IN HELICOPTERS CONFIGURED FOR MOBILE INTENSIVE CARE - 2,082 TRANSPORTS. SEE SCHEDULE O. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1745826 | Expense |
| Revenue | 2230269 | Revenue |
| Description | FIXED WING SERVICES - PROVIDES AIR TRANSPORTATION OF PATIENTS REQUIRING MEDICAL CARE IN AIRPLANES CONFIGURED FOR MOBILE INTENSIVE CARE - 238 TRANSPORTS. SEE SCHEDULE O. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3275709 | Expense |
| Revenue | 3390520 | Revenue |
| Description | GROUND SERVICES - PROVIDES GROUND TRANSPORTATION OF PATIENTS REQUIRING MEDICAL CARE IN VEHICLES CONFIGURED AS AMBULANCE 5,290 TRANSPORTS AND PROVIDES GROUND TRANSPORTATION FOR WHEELCHAIR BOUND PATIENTS - 1,892 TRANSPORTS. SEE SCHEDULE O. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 31254 | Expense |
| Revenue | 328412 | Revenue |
| Description | IN ADDITION TO THE COMMUNITY AND HEALTHCARE-RELATED EVENTS, FOR 24 YEARS LIFE LINK III HAS PRESENTED THE TRAUMA TACTICS(SM) CONFERENCE. ANNUALLY, THIS CONFERENCE PROVIDES HIGH QUALITY CONTINUING EDUCATION WITH EXCEPTIONAL SPEAKERS AND SPECIAL GUESTS FOR 200+ EMERGENCY SERVICE AND FIRST RESPONDER PERSONNEL FROM MINNESOTA, WISCONSIN AND SURROUNDING STATES. TRAUMA TACTICS(SM) IS DESIGNED TO ENHANCE THE SKILLS OF PROVIDERS OF ALL LEVELS, FROM RESCUE AND PRE-HOSPITAL SITUATIONS TO TRANSPORT AND IN-HOSPITAL TREATMENT.MEMBERSHIP FEES ARE GENERALLY ASSESSED ONLY AS ORGANIZATIONS JOIN AS MEMBERS. 2011 MEMBERSHIP FEES REPRESENT THE THIRD OF THREE PAYMENTS FOR ST. LUKE'S HOSPITAL OF DULUTH. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 31254 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 328412 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 21468532 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 1 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 57 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 231 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT SANNERUD CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6126384900 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3010 BROADWAY STREET NE | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554131768 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DAVID DRIES MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DAVID MILLER | |||||||
| DIRECTOR | 1.00 | X | 0 | 322741 | 62864 | ||
| DR ANDREA LAMPLAND | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DR STEVEN EYER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| GRETCHEN LEITERMAN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JAMES WUELLNER | |||||||
| DIRECTOR | 1.00 | X | 0 | 315369 | 82655 | ||
| JEFFREY PETERSON | |||||||
| DIRECTOR | 1.00 | X | 0 | 981752 | 283012 | ||
| JIM DAVIS | |||||||
| DIRECTOR | 1.00 | X | 0 | 380588 | 31628 | ||
| JIM LESTE | |||||||
| DIRECTOR | 1.00 | X | 0 | 137525 | 29375 | ||
| JO ANN HOAG | |||||||
| SECRETARY/TREASURER | 2.00 | X | 0 | 271935 | 60031 | X | |
| JOHN DOHERTY | |||||||
| CHAIR | 2.00 | X | 0 | 394760 | 51957 | X | |
| JOHN FOLSTAD | |||||||
| VICE CHAIR | 2.00 | X | 0 | 160427 | 31878 | X | |
| MICHAEL HARRISTHAL | |||||||
| DIRECTOR | 2.00 | X | 0 | 194586 | 31027 | ||
| MICHAEL MCAVOY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| WILLIAM HEEGAARD MD | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SHAWN DRYDEN | |||||||
| DIRECTOR | 1.00 | X | 0 | 102536 | 17086 | ||
| EDWARD R EROE | |||||||
| PRESIDENT/CEO | 40.00 | 45422 | 0 | 1500 | X | ||
| R CARTER MCCOMB | |||||||
| CEO | 37.00 | 132677 | 0 | 0 | X | ||
| RICK L RAMBO | |||||||
| INTERIM CEO | 40.00 | 360312 | 0 | 11752 | X | ||
| ROBERT SANNERUD | |||||||
| CFO | 40.00 | 141390 | 0 | 23847 | X | ||
| STACEY BREWERS | |||||||
| REGISTERED NURSE | 36.00 | 132736 | 0 | 9220 | X | ||
| WILLIAM SCHNEIDER | |||||||
| REGISTERED NURSE | 36.00 | 114003 | 0 | 13445 | X | ||
| KRISTIN BRAND | |||||||
| MARKETING DIRECTOR | 40.00 | 104193 | 0 | 9163 | X | ||
| THOMAS MAYO | |||||||
| REGISTERED NURSE | 36.00 | 101147 | 0 | 6962 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1131880 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 3262219 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 757402 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AIR METHODS CORPORATION | |||||
| 7211 SOUTH PEORIA | ENGLEWOOD | CO | 80112 | AIRCRAFT, PILOTS AND MECHANICS | 8099385 |
| CLUB JET | |||||
| 17957 BEARPATH TRAIL | EDEN PRAIRIE | MN | 55347 | AIRCRAFT, PILOTS AND MECHANICS | 1505270 |
| EMERGENCY APPARATUS MAINTENANCE | |||||
| 7512 4TH AVENUE | LINO LAKES | MN | 55014 | AMBULANCE REPAIR | 187578 |
| K&E CONSULTING INC | |||||
| 1541 OAKVIEW COURT | LINO LAKES | MN | 55038 | TECHNOLOGY SUPPORT AND MAINT | 155230 |
| FAEGRE & BENSON LLP | |||||
| 90 SOUTH SEVENTH STREET STE 2200 | MINNEAPOLIS | MN | 55402 | LEGAL SERVICES | 146073 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ROTOR WING SERVICE | 621910 | 19708454 | 19708454 |
| GROUND SERVICE (DISCON | 621910 | 3390520 | 3390520 |
| FIXED WING SERVICE | 621910 | 2230269 | 2230269 |
| MEMBERSHIP FEE | 900099 | 293333 | 293333 |
| EDUCATION SERVICES | 541900 | 35079 | 35079 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 25657655 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33105 | TotalRevenueColumn |
| Exclusion | $33,105 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 67776 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 69307 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -1531 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1531 | TotalRevenueColumn |
| Unrelated Business Revenue | -451 | UnrelatedBusinessRevenue |
| Exclusion | -$1,080 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 346037 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 106859 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 239178 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 239178 | TotalRevenueColumn |
| Exclusion | $239,178 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25928407 | TotalRevenueColumn |
| Related Or Exempt Function Income | 25657655 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -451 | UnrelatedBusinessRevenue |
| Exclusion | $271,203 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 716900 | Total |
| Management And General | 716900 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6321064 | Total |
| Program Services | 5157606 | ProgramServices |
| Management And General | 1163458 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74554 | Total |
| Program Services | 65354 | ProgramServices |
| Management And General | 9200 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 693206 | Total |
| Program Services | 580896 | ProgramServices |
| Management And General | 112310 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 555168 | Total |
| Program Services | 406246 | ProgramServices |
| Management And General | 148922 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 201113 | Total |
| Management And General | 201113 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63312 | Total |
| Management And General | 63312 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1059058 | Total |
| Program Services | 9040 | ProgramServices |
| Management And General | 1050018 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123427 | Total |
| Management And General | 123427 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1193952 | Total |
| Program Services | 1018849 | ProgramServices |
| Management And General | 175103 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9483 | Total |
| Management And General | 9483 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10207061 | Total |
| Program Services | 10125420 | ProgramServices |
| Management And General | 81641 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1037264 | Total |
| Program Services | 943115 | ProgramServices |
| Management And General | 94149 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29531 | Total |
| Program Services | 2567 | ProgramServices |
| Management And General | 26964 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32188 | Total |
| Management And General | 32188 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 603192 | Total |
| Program Services | 259012 | ProgramServices |
| Management And General | 344180 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 240499 | Total |
| Program Services | 135842 | ProgramServices |
| Management And General | 104657 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 2428714 | 2428714 | |
| MEDICAL SUPPLIES | 317243 | 282545 | 34698 |
| MISCELLANEOUS | 54987 | 13777 | 41210 |
| MINNESOTA CARE TAX | 39549 | 39549 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26001465 | Total |
| Program Services | 21468532 | ProgramServices |
| Management And General | 4532933 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3149680 | BOY |
| EOY | -185571 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87777 | BOY |
| EOY | 4326556 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4709855 | BOY |
| EOY | 2723989 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45497 | BOY |
| EOY | 361268 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138601 | BOY |
| EOY | 101170 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 408641 | BOY |
| EOY | 248317 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 7628850 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4827749 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3197294 | BOY |
| EOY | 2801101 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1724145 | BOY |
| EOY | 1718925 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13461490 | BOY |
| EOY | 12095755 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2180873 | BOY |
| EOY | 2288893 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7487 | BOY |
| EOY | 2628 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 490358 | BOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2120966 | BOY |
| EOY | 1260486 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45000 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4844684 | BOY |
| EOY | 3552007 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8616806 | BOY |
| EOY | 8543748 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8616806 | BOY |
| EOY | 8543748 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13461490 | BOY |
| EOY | 12095755 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -73058 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (9 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| ALLINA HEALTH SYSTEM | |||||
| 363261413 | 3 | 1 | 0 | 1 | $0 |
| CHILDREN'S HEALTH CARE | |||||
| 411754276 | 3 | 1 | 0 | 1 | $0 |
| HENNEPIN HEALTHCARE SYSTEM INC | |||||
| 421707837 | 3 | 1 | 0 | 1 | $0 |
| REGIONS HOSPITAL | |||||
| 410956618 | 3 | 1 | 0 | 1 | $0 |
| FAIRVIEW HEALTH SERVICES | |||||
| 410991680 | 3 | 1 | 0 | 1 | $0 |
| CENTRA CARE HEALTH SYSTEM | |||||
| 411813221 | 3 | 1 | 0 | 1 | $0 |
| SACRED HEART HOSP OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST FRANCIS | |||||
| 390807060 | 3 | 1 | 0 | 1 | $0 |
| ST LUKE'S HOSPITAL OF DULUTH | |||||
| 410714079 | 3 | 1 | 0 | 1 | $0 |
| ST MARY'S MEDICAL CENTER | |||||
| 410695604 | 3 | 1 | 0 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 9 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $6,503 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 6503 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | LOBBYING EXPENSES IDENTIFIED AS A PERCENTAGE OF MEMBERSHIP DUES FOR AMERICAN AMBULANCE ASSOCIATION, MINNESOTA AMBULANCE ASSOCIATION, MINNESOTA SAFETY COUNCIL, WISCONSIN EMS ASSOCIATION, AAMS, AND ASSOCIATION FOR CRITICAL CARE TRANSPORT. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 300000 | OtherCostOrOtherBasis |
| Book Value | 300000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2657945 | OtherCostOrOtherBasis |
| Depreciation | 1036369 | Depreciation |
| Book Value | 1621576 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4666669 | OtherCostOrOtherBasis |
| Depreciation | 3787144 | Depreciation |
| Book Value | 879525 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4236 | OtherCostOrOtherBasis |
| Depreciation | 4236 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2801101 | TotalOfBookValueLandBuildings |
| Total Revenue | 25928407 | TotalRevenue |
| Total Expenses | 26001465 | TotalExpenses |
| Excess Or Deficit For Year | -73058 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -73058 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 21625961 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 69307 | OtherRevenues |
| Revenue Not Rptd F990 | 69307 | RevenueNotRptdF990 |
| Revenue Subtotal | 21556654 | RevenueSubtotal |
| Other Revenues Not Included | 4371753 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 4371753 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 25928407 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 21992352 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 69307 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 69307 | ExpensesNotRptdF990 |
| Expenses Subtotal | 21923045 | ExpensesSubtotal |
| Other Expenses Not Included | 4078420 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 4078420 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 26001465 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE ORGANIZATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION'S FEDERAL RETURNS FOR TAX YEARS 2008 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NET AGAINST RENTAL REVENUE 69,307. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROGRAM EXPENSES FROM DISCONTINUED OPERATIONS 4,078,420. MEMBERSHIP FEE 293,333. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES NET AGAINST RENTAL REVENUE 69,307. | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | PROGRAM EXPENSES FROM DISCONTINUED OPERATIONS 4,078,420. |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | NORTH AMERICA - CANADA AND MEXICO, BUT | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 1 | NumberOfEmployees |
| Type Of Activities Conducted | PROGRAM SERVICES | TypeOfActivitiesConducted |
| Specific Services Provided | MEDICAL AIR TRANSPORT. | SpecificServicesProvided |
| Total Expenditures | 53451 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 1 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 1 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 53451 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 53451 | TotalAmountSpent |
| Transfer To Foreign Corp | 0 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID MILLER | |||||||||||||
| 0 | 218219 | 0 | 67242 | 0 | 37280 | 0 | 56668 | 0 | 6196 | 0 | 385605 | 0 | 2166 |
| JAMES WUELLNER | |||||||||||||
| 0 | 291990 | 0 | 0 | 0 | 23379 | 0 | 0 | 0 | 82655 | 0 | 398024 | 0 | 364197 |
| JEFFREY PETERSON | |||||||||||||
| 0 | 563498 | 0 | 286599 | 0 | 131655 | 0 | 248995 | 0 | 34017 | 0 | 1264764 | 0 | 92326 |
| JIM DAVIS | |||||||||||||
| 0 | 278990 | 0 | 52884 | 0 | 48714 | 0 | 15380 | 0 | 16248 | 0 | 412216 | 0 | 0 |
| JIM LESTE | |||||||||||||
| 0 | 137525 | 0 | 0 | 0 | 0 | 0 | 4223 | 0 | 25152 | 0 | 166900 | 0 | 0 |
| JO ANN HOAG | |||||||||||||
| 0 | 217016 | 0 | 0 | 0 | 54919 | 0 | 0 | 0 | 60031 | 0 | 331966 | 0 | 276576 |
| JOHN DOHERTY | |||||||||||||
| 0 | 323460 | 0 | 71300 | 0 | 0 | 0 | 19116 | 0 | 32841 | 0 | 446717 | 0 | 0 |
| JOHN FOLSTAD | |||||||||||||
| 0 | 160427 | 0 | 0 | 0 | 0 | 0 | 11068 | 0 | 20810 | 0 | 192305 | 0 | 0 |
| MICHAEL HARRISTHAL | |||||||||||||
| 0 | 194586 | 0 | 0 | 0 | 0 | 0 | 14411 | 0 | 16616 | 0 | 225613 | 0 | 0 |
| RICK L RAMBO | |||||||||||||
| 143967 | 0 | 0 | 0 | 216345 | 0 | 0 | 0 | 11752 | 0 | 372064 | 0 | 0 | 0 |
| ROBERT SANNERUD | |||||||||||||
| 120971 | 0 | 20419 | 0 | 0 | 0 | 4186 | 0 | 19661 | 0 | 165237 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4A | ReturnReference |
| Explanation | RICK L. RAMBO, INTERIM CEO - $216,345 | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | R CARTER MCCOMB | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION | Relationship |
| Amount Of Transaction | 132677 | AmountOfTransaction |
| Description Of Transaction | THEN INTERIM CEO, R. CARTER MCCOMB HAD AN OWNERSHIP INTEREST IN ADVANCES IN MEDICINE WHICH PROVIDED CONTRACTED MANAGEMENT SERVICES. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | IN 2011 CRITICAL CARE SERVICES, INC. PUBLISHED AN RFP FOR THE SALE OF ITS GROUND OPERATIONS IN MINNEAPOLIS, MN AND ST. CROIX FALLS, WI. THE RFP RESULTED IN THE SUCCESSFUL SALE (SEPTEMBER 6, 2011) OF THE ST. CROIX FALLS, WI EMERGENCY 911 AMBULANCE SERVICES TO A CONSORTIUM FORMED BY THE LOCAL HOSPITAL AND AN AREA AMBULANCE PROVIDER. THE RFP RESULTED IN THE CLOSURE OF THE MINNEAPOLIS-BASED INTERFACILITY GROUND AMBULANCE (JUNE 30, 2011) AND STS OPERATIONS (JULY 28, 2011) AS NO VIABLE OFFERS WERE RECEIVED FOR THOSE OPERATIONS. |
| ADDITIONAL INFORMATION: | FORM 990, PART III | HELICOPTER TRANSPORTATION SERVICES LIFE LINK III PROVIDES HELICOPTER AIR MEDICAL TRANSPORTATION INCLUDING ON-SCENE EMERGENCY RESPONSE AND INTER-FACILITY TRANSPORT, 24 HOURS A DAY, 365 DAYS A YEAR. WITH HELICOPTER BASES THROUGHOUT MINNESOTA AND WESTERN WISCONSIN, LIFE LINK III TRANSPORTS ALL TYPES OF CRITICALLY ILL OR INJURED PATIENTS. AIRPLANE TRANSPORTATION SERVICES LIFE LINK III PROVIDES AIRPLANE AMBULANCE TRANSPORTATION THROUGHOUT THE UNITED STATES, AND INTERNATIONALLY, 24 HOURS A DAY, 365 DAYS A YEAR. LIFE LINK III HAS A DEDICATED, MEDICALLY-CONFIGURED AIRPLANE READY AT ALL TIMES AND HAS ACCESS TO A FLEET OF OTHER AIRCRAFT FOR ADDITIONAL SUPPORT TO TRANSPORT ALL TYPES OF ILL OR INJURED PATIENTS. GROUND AMBULANCE TRANSPORTATION SERVICES THRU JUNE OF 2011, LIFE LINK III PROVIDED BASIC LIFE SUPPORT (BLS), ADVANCED LIFE SUPPORT (ALS) AND CRITICAL CARE TRANSPORTATION SERVICES VIA GROUND AMBULANCE, 24 HOURS A DAY. LIFE LINK III WORKS WITH TWIN CITIES AND OUTSTATE HOSPITALS TO PROVIDE CARE AND TRANSPORT FOR ALL TYPES OF ILL AND INJURED PATIENTS. EDUCATION AND SAFETY LIFE LINK III'S GROUND AMBULANCE, AIRPLANE AND HELICOPTER TRANSPORTATION SERVICES ARE ACCREDITED BY THE COMMISSION ON ACCREDITATION OF MEDICAL TRANSPORT SYSTEMS (CAMTS), WHICH REFLECTS THE ORGANIZATION'S COMMITMENT TO MEETING OR EXCEEDING THE HIGHEST STANDARDS IN PATIENT CARE, QUALITY AND SAFETY. THERE ARE OVER 140 CAMTS ACCREDITED SERVICES NATIONALLY AT THE END OF 2011. LIFE LINK III IS ONE (1) OF 26 MEDICAL TRANSPORTATION SERVICES NATIONALLY THAT ARE CAMTS ACCREDITED FOR ALL THREE MODES OF TRANSPORTATION. LIFE LINK III PROVIDES OUTREACH EDUCATION AND TRAINING TO PRE-HOSPITAL AND HOSPITAL HEALTHCARE PROVIDERS COVERING SUCH TOPICS AS HELICOPTER LANDING ZONE SET UP, SCENE SAFETY, PATIENT TRANSPORT PREPARATION AND OTHER PATIENT CARE TOPICS. LIFE LINK III ACTIVELY PARTICIPATES WITH THE COMMUNITIES IT SERVES, INCLUDING PUBLIC, INFORMATIONAL, SCHOOL, INJURY PREVENTION AND COMMUNITY EVENTS. IN 2011 THE ORGANIZATION DONATED APPROXIMATELY 1300 HOURS OF CLINICIAN TIME, 490 HOURS OF PILOT TIME AND 154 HOURS OF AIRCRAFT TIME FOR 242 SEPARATE COMMUNITY AND HEALTHCARE-RELATED EVENTS AND TRAININGS. THE 25 OUTREACH EDUCATION PROGRAMS TRAINED APPROXIMATELY 550 EMS AND COMMUNITY-BASED MEDICAL AND FIRST RESPONDERS. FINANCIAL ASSISTANCE LIFE LINK III MAINTAINS A PROGRAM THAT WE CALL COMMUNITY CARE. THAT PROGRAM PROVIDES CARE FOR THOSE WHO ARE UNINSURED OR UNABLE TO AFFORD THE COST OF SERVICES. WE MAINTAIN RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE WE PROVIDE UNDER THIS PROGRAM. APPLICANTS FOR OUR CHARITY CARE PROGRAM ARE REQUESTED TO PROVIDE CURRENT AND PRIOR YEAR INCOME INFORMATION. WE USE INCOME-BASED CRITERIA IN OUR DETERMINATION OF CHARITY CARE AND USE THE FEDERAL POVERTY GUIDELINES ESTABLISHED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES IN DETERMINATION OF ELIGIBILITY. IN 2011 THE COST OF PROVIDING CARE TO PATIENTS UNDER THIS PROGRAM TOTALED APPROXIMATELY $243,000. PATIENT RECEIVABLES AND CREDIT POLICY PATIENT ACCOUNTS RECEIVABLE ARE UNCOLLATERALIZED PATIENT OBLIGATIONS THAT ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. THESE OBLIGATIONS ARE PRIMARILY FROM LOCAL RESIDENTS, MOST OF WHOM ARE INSURED UNDER THIRD-PARTY PAYER AGREEMENTS. THE ORGANIZATION BILLS THIRD-PARTY PAYERS ON THE PATIENTS' BEHALF, OR IF A PATIENT IS UNINSURED, THE PATIENT IS BILLED DIRECTLY. ONCE CLAIMS ARE SETTLED WITH THE PRIMARY PAYER, ANY SECONDARY INSURANCE IS BILLED, AND PATIENTS ARE BILLED FOR COPAY AND DEDUCTIBLE AMOUNTS THAT ARE THE PATIENTS' RESPONSIBILITY. PAYMENTS ON PATIENT ACCOUNTS RECEIVABLE ARE APPLIED TO THE SPECIFIC CLAIM IDENTIFIED ON THE REMITTANCE ADVICE OR STATEMENT. LIFE LINK III DOES NOT HAVE A POLICY TO CHARGE INTEREST ON PAST DUE ACCOUNTS. THE CARRYING AMOUNTS OF PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY ALLOWANCES THAT REFLECT MANAGEMENT'S BEST ESTIMATE OF THE AMOUNTS THAT WILL NOT BE COLLECTED. MANAGEMENT PROVIDES FOR CONTRACTUAL ADJUSTMENTS UNDER TERMS OF THIRD-PARTY REIMBURSEMENT AGREEMENTS THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO PATIENT ACCOUNT RECEIVABLES. IN ADDITION, MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS, PRIMARILY UNINSURED PATIENTS AND AMOUNTS PATIENTS ARE PERSONALLY RESPONSIBLE FOR, THROUGH A REDUCTION OF GROSS REVENUE AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF HISTORICAL COLLECTION LIKELIHOOD AND THE CURRENT STATUS OF INDIVIDUAL ACCOUNTS. BALANCES THAT ARE STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE VALUATION ALLOWANCE AND A CREDIT TO PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE RECORDED IN THE ACCOMPANYING BALANCE SHEETS NET OF CONTRACTUAL ADJUSTMENTS AND AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IT IS UNKNOWN HOW MUCH BAD DEBT EXPENSE, IF ANY, REASONABLY COULD BE ATTRIBUTABLE TO PERSONS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER OUR COMMUNITY CARE PROGRAM. |
| FORM 990, PART VI, SECTION A, LINE 3 | THROUGH JUNE 23, 2011, THE CEO POSITION WAS CONTRACTED OUT TO AN OUTSIDE INDIVIDUAL. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THERE IS ONE CLASS OF MEMBER. LIFE LINK III OPERATES AS A NON-PROFIT CONSORTIUM WITH NINE MEMBERS, INCLUDING: ALLINA HEALTH SYSTEM, CHILDREN'S HEALTH CARE, HENNEPIN HEALTHCARE SYSTEM INC, REGIONS HOSPITAL, FAIRVIEW HEALTH SERVICES, CENTRACARE HEALTH SYSTEM, SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS, ST. LUKE'S HOSPITAL OF DULUTH, INC., ESSENTIA - ST. MARY'S MEDICAL CENTER. | |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL MEMBERS ARE ENTITLED TO APPOINT TWO PERSONS TO THE BOARD OF DIRECTORS AND UPON DISSOLUTION OF THE ORGANIZATION, SHARE EQUALLY IN ANY SURPLUS PROPERTY. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN IS REVIEWED IN DETAIL BY THE CHIEF FINANCIAL OFFICER (CFO). THE CFO PROVIDES A DRAFT OF THE FORM TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW. THE BOARD OF DIRECTORS THEN RECEIVES A DRAFT AND APPROVES PRIOR TO FILING WITH THE IRS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY COMPLETE AND SIGN THE CONFLICT OF INTEREST STATEMENT. THE SIGNED STATEMENTS REMAIN ON FILE WITH THE ORGANIZATION'S CEO FOR THE FISCAL (CALENDAR) YEAR. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION FOR THE CEO WAS ESTABLISHED AS PART OF A NATIONAL SEARCH FOR A NEW CEO. THE SEARCH COMMITTEE OF THE BOARD RELIED ON AN OUTSIDE NATIONAL RECRUITMENT FIRM TO GATHER RELEVANT MARKET DATA TO ESTABLISH COMPENSATION COMPARISONS, DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, THE 2010 HHRAM EXECUTIVE COMPENSATION SURVEY (MOST RECENT AVAILABLE), AND IN CONSIDERATION OF THE NEEDS OF THE ORGANIZATION CONSISTENT WITH THE DIRECTION OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15B: FOR ALL OTHER OFFICERS AND KEY EMPLOYEES, THE DIRECTOR OF HUMAN RESOURCES IDENTIFIES AND OBTAINS COMPENSATION SURVEYS, INDUSTRY AND MARKET DATA, AND OTHER EXTERNAL COMPETITIVE INFORMATION SOURCES FOR EVALUATION. THIS INFORMATION IS EVALUATED AND CONSIDERED IN THE CONTEXT OF THE JOB DESCRIPTION AND POSITION SKILLS AND EXPERIENCE REQUIREMENTS BY THE DIRECTOR OF HUMAN RESOURCES AND THE CEO TO DEVELOP A COMPENSATION RANGE TO BE USED IN THE HIRING PROCESS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE IN THE CARE OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER AND ARE AVAILABLE FOR INSPECTION UPON REQUEST AT THE ORGANIZATION'S OFFICE. | |
| FORM 990, PART VII, SECTION A: | R. CARTER MCCOMB WAS HIRED AS A CONTRACTED INTERIM CEO. R. CARTER MCCOMB NO LONGER SERVES AS THE CEO. | |
| FORM 990, PART VII, SECTION A, COLUMN B: | BOARD MEMBERS RECEIVING COMPENSATION FROM RELATED SUPPORTED ORGANIZATIONS ARE EMPLOYEES OF THOSE ENTITIES AND/OR THEIR AFFILIATES. | |
| FORM 990, PART XII, LINE 2C: | THE FINANCE COMMITTEE AND BOARD OF DIRECTORS HAVE OVERSIGHT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| CENTRA CARE HEALTH SYSTEM | |||||||||
| 1406 SIXTH AVENUE NORTH | ST CLOUD | MN | 563031901 | 411813221 | HOSPITAL | MN | 501(C)(3) | LINE 3 | 0 |
| ALLINA HEALTH SYSTEM | |||||||||
| PO BOX 43 MR 10890 | MINNEAPOLIS | MN | 554400043 | 363261413 | HOSPITAL | MN | 501(C)(3) | LINE 3 | 0 |
| CHILDREN'S HEALTH CARE | |||||||||
| 2525 CHICAGO AVENUE SOUTH | MINNEAPOLIS | MN | 554041844 | 411754276 | HOSPITAL | MN | 501(C)(3) | LINE 3 | 0 |
| HENNEPIN HEALTHCARE SYSTEM INC | |||||||||
| 701 PARK AVENUE | MINNEAPOLIS | MN | 55415 | 421707837 | HOSPITAL | MN | 501(C)(3) | LINE 3 | 0 |
| REGIONS HOSPITAL | |||||||||
| 640 JACKSON STREET | ST PAUL | MN | 55101 | 410956618 | HOSPITAL | MN | 501(C)(3) | LINE 3 | 0 |
| FAIRVIEW HEALTH SERVICES | |||||||||
| 2450 RIVERSIDE AVENUE | MINNEAPOLIS | MN | 55454 | 410991680 | HOSPITAL | MN | 501(C)(3) | LINE 3 | 0 |
| SACRED HEART HOSP OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST FRANCIS | |||||||||
| 1110 OAK RIDGE DRIVE | EAU CLAIRE | WI | 547016133 | 390807060 | HOSPITAL | MN | 501(C)(3) | LINE 3 | 0 |
| ST LUKE'S HOSPITAL OF DULUTH | |||||||||
| 915 EAST FIRST STREET | DULUTH | MN | 55805 | 410714079 | HOSPITAL | MN | 501(C)(3) | LINE 3 | 0 |
| ST MARY'S MEDICAL CENTER | |||||||||
| 407 EAST THIRD STREET | DULUTH | MN | 55805 | 410695604 | HOSPITAL | MN | 501(C)(3) | LINE 3 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ALLINA HEALTH SYSTEM | ||
| K | 229629 | COST |
| FAIRVIEW HEALTH SERVICES | ||
| K | 215687 | COST |
| ALLINA HEALTH SYSTEM | ||
| L | 121539 | COST |
| CHILDRENS HEALTH CARE | ||
| L | 112881 | COST |
| FAIRVIEW HEALTH SERVICES | ||
| L | 155081 | COST |
| HENNEPIN HEALTHCARE SYSTEM INC | ||
| L | 124772 | COST |
| REGIONS HOSPITAL | ||
| L | 159004 | COST |
| CENTRACARE HEALTH SYSTEM | ||
| L | 110610 | COST |
| ST MARY'S MEDICAL CENTER | ||
| L | 200000 | COST |
| ST LUKE'S HOSPITAL OF DULUTH | ||
| C | 293333 | COST |
| CHILDRENS HEALTH CARE | ||
| K | 56676 | COST |
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