2024-09-11T14:28:53-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 4150 2ND STREET SOUTH SUITE 400 ST CLOUD MN 56301 990 2023-01-01 237146628 LAKES REGION EMS INC LAKE 6512774911 40245 FLETCHER AVE NORTH BRANCH MN 55056 DAN MEYER TREASURER 6512774911 2024-09-11 1 0 KRISTIN SCHMIDT CPA P01487323 3202035500 2024-08-27 2023 2024-08-08 14:25:15Z DAN MEYER 40245 FLETCHER AVE NORTH BRANCH MN 55056 9641765 0 X WWW.LREMS.COM X 1970 MN NOT-FOR-PROFIT AMBULANCE SERVICE, SERVICING CHISAGO AND PARTS OF ISANTI/PINE COUNTIES IN MN. 6 6 99 6 0 0 441154 361557 7717246 8230189 199642 86200 836923 959337 9194965 9637283 0 0 0 0 4360226 4974561 0 0 0 4325613 3584437 8685839 8558998 509126 1078285 9417121 10793046 1039005 1157451 8378116 9635595 X TO LEASE, MAINTAIN AND OPERATE AN EMERGENCY RESCUE AND AMBULANCE SERVICE WHICH WILL SERVE THE CHISAGO LAKES, MN AREA TO RENDER AID TO THE SICK, INJURED OR DISABLED WITHOUT REGARD TO RACE, CREED, OR TO STATION IN LIFE. TO SERVE THE SOCIAL WELFARE OF THE PEOPLE OF THE AREA. 0 0 6002037 9101632 THE AMBULANCE SERVICE, STAFFED BY TRAINED PERSONNEL, PROVIDES AMBULANCE SERVICE FOR THE COMMUNITIES OF CHISAGO LAKES, RUSH CITY, AND NORTH BRANCH, MINNESOTA, AS WELL AS A PART OF POLK COUNTY IN WISCONSIN. 21704 PROVIDING EMS EDUCATION AND TRAINING SERVICES FOR CRITICAL CARE PARAMEDIC, EMT, AND EMR GROUPS. 6023741 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 99 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X MICHELLE ANDERSON 6512774911 40245 FLETCHER AVENUE NORTH BRANCH MN 55056 X MEYER DAN TREASURER 1.00 X X 0 0 0 CARLSON KEITH CHAIRMAN 1.00 X X 0 0 0 CARROLL MIKE VICE-CHAIRMAN 1.00 X X 0 0 0 GAFFY BRYAN DIRECTOR 1.00 X 0 0 0 HOWELL JOSH DIRECTOR 1.00 X 0 0 0 THYEN BRANDON DIRECTOR 1.00 X 0 0 0 REINHART AARRON EXECUTIVE DIRECTOR 40.00 X 239175 0 0 ANDERSON MICHELLE DIRECTOR OF ADMIN 40.00 X 161729 0 33946 WASMUND BEN DIRECTOR OF OPERATIONS 40.00 X 184094 0 42839 584998 0 76785 3 0 1 0 MYTECH PARTNERS 300 2ND STREET NW NEW BRIGHTON MN 55112 MANAGED IT SERVICES 161199 ECP PO BOX 279 LAKE MILLS WI 53551 SOFTWARE 150426 ALLINA HEALTH SYSTEM PO BOX 9383 MINNEAPOLIS MN 55407 DISPATCH SERVICES 128806 3 361557 361557 AMBULANCE SERVICE 621910 8221637 8221637 OTHER PROGRAM ACTIVITY 621910 8552 8552 8230189 77030 77030 13652 4482 9170 9170 9170 MANAGEMENT INCOME 561000 871443 871443 OTHER INCOME 900099 87894 87894 959337 9637283 9101632 0 174094 661783 661783 3273242 2829315 443927 107090 97304 9786 611828 486199 125629 320618 235115 85503 8438 8438 86473 86473 30468 30468 68789 46361 22428 223636 201941 21695 294099 294099 149431 149431 1175 1000 175 803977 772662 31315 65493 49530 15963 COLLECTION EXPENSE 779162 779162 DISPATCH SERVICES 236788 236788 MEDICAL SUPPLIES 172617 172617 MN CARE TAX 92610 92610 571281 358769 212512 8558998 6023741 2535257 0 419575 7740 1741287 2498015 1293015 1240045 21699 43665 8753845 4131809 4772321 4622036 774657 1947428 344201 414073 50366 20044 9417121 10793046 978467 1130363 60538 27088 1039005 1157451 X 8378116 9635595 8378116 9635595 9417121 10793046 1078285 179289 -95 0 X X 0 1 X 1 0 X 238276 1516221 371826 441154 361557 2929034 5727977 5454346 7500223 7686008 8230189 34598743 5966253 6970567 7872049 8127162 8591746 37527777 0 0 0 37527777 45738 29925 128965 199642 77030 481300 45738 29925 128965 199642 77030 481300 625790 644406 775988 836923 959337 3842444 6637781 7644898 8777002 9163727 9628113 41851521 0.89670 0.89700 0.01150 0.01230 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2019 AMOUNT: $ 625,790. 2020 AMOUNT: $ 644,406. 2021 AMOUNT: $ 775,988. 2022 AMOUNT: $ 836,923. 2023 AMOUNT: $ 959,337. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 349370 349370 3972731 1011036 2961695 4421278 3120773 1300505 10466 10466 4622036 FINANCING LEASE PAYABLES 27088 27088 X 9816477 179289 179289 9637188 95 95 9637283 8558998 0 8558998 0 8558998 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX CODES. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS A CHARITABLE TAX DEDUCTION BY THE CONTRIBUTOR. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE IMPLEMENTATION OF THIS STANDARD HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO REVIEW BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. X 0 0 0 0 0 0 0 0 0 REINHART AARRON EXECUTIVE DIRECTOR 239175 0 0 0 0 0 0 0 0 0 239175 0 0 0 WASMUND BEN DIRECTOR OF OPERATIONS 184094 0 0 0 0 0 6412 0 36427 0 226933 0 0 0 ANDERSON MICHELLE DIRECTOR OF ADMIN 161729 0 0 0 0 0 6469 0 27477 0 195675 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A PER BY-LAWS (PAGE 5): THERE SHALL BE A STANDING COMMITTEE OF THE CORPORATION TO BE KNOWN AS THE EXECUTIVE COMMITTEE, CONSISTING OF THREE (3) MEMBERS, COMPRISED OF THE CHAIRPERSON, THE VICE CHAIRPERSON, AND ANOTHER BOARD MEMBER APPOINTED BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE SHALL ADVISE THE BOARD OF DIRECTORS ON PERSONNEL, EMPLOYEE, CORPORATE GOVERNANCE, COMPANY POLICIES, CORPORATE MISSION STATEMENT, MARKETING, AND PUBLIC RELATIONS MATTERS. THE EXECUTIVE COMMITTEE SHALL ALSO BE RESPONSIBLE FOR REVIEWING THE PERFORMANCE OF THE EXECUTIVE DIRECTOR, INCLUDING CONDUCTING AN ANNUAL JOB PERFORMANCE REVIEW. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 FIRST GOES TO THE FINANCE COMMITTEE FOR REVIEW/APPROVAL, AND THEN MOVES ON TO THE BOARD. THE BOARD WILL VOTE AND APPROVE, THEN THE FORM 990 IS SENT TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS THAT SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; B. HAS READ AND UNDERSTANDS THE CONFLICTS OF INTEREST POLICY; C. AGREES TO COMPLY WITH THE CONFLICTS OF INTEREST POLICY; AND D. UNDERSTANDS THAT LREMS IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES AND NO PART OF ITS NET EARNINGS, DIRECTLY OR INDIRECTLY, IMPROPERLY INURE TO THE BENEFIT OF ANY PRIVATE PERSON. TO ENSURE THAT LREMS OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, LREMS'S BOARD OF DIRECTORS SHALL CONDUCT PERIODIC REVIEWS. IF IT IS UNCLEAR WHETHER A CONFLICT EXISTS, THE REMAINING BOARD MEMBERS MAKE THE DETERMINATION. AN INTERESTED PERSON MUST DISCLOSE ACTUAL OR POTENTIAL CONFLICTS TO THE BOARD AS SOON AS THE INTERESTED PERSON BECOMES AWARE OF IT. THE INTERESTED PERSON MUST LEAVE THE ROOM FOR DISCUSSIONS OF THE TRANSACTION AND ANY VOTES CONCERNING THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR'S COMPENSATION PACKAGE IS REVIEWED EACH YEAR BY THE EXECUTIVE COMMITTEE. AT TIMES THE MEMBERS WILL REQUEST COMPARATIVE INFORMATION FROM AN OUTSIDE SOURCE. THE REVIEW WAS LAST COMPLETED IN 2022. THE COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES OF THE ORGANIZATION ARE REVIEWED AND DETERMINED BY THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR MAY CHOOSE TO SEND A 360 REVIEW TO SELECT STAFF TO HELP IN THE PROCESS. THE INFORMATION IS COMPILED FOR CONFIDENTIALITY AND SUMMARIZED. THE REVIEW IS THEN PRESENTED TO THE EMPLOYEE AND SAVED IN THEIR PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC ONLY BY APPOINTMENT. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC THROUGH THE MINNESOTA ATTORNEY GENERAL'S OFFICE. FORM 990, PART VIII, LINE 11A RELATED REVENUE: STARTING ON SEPTEMBER 6, 2011, LAKES REGION, EMS, INC. ENTERED INTO A CONTRACT TO PROVIDE MANAGEMENT SERVICES TO ST. CROIX VALLEY EMERGENCY MEDICAL SERVICES, INC. IN MARCH 2013, LAKES REGION, EMS, INC. ENTERED INTO A CONTRACT TO PROVIDE MANAGEMENT SERVICES TO CUMBERLAND MEMORIAL HOSPITAL. IN AUGUST 2021, LAKES REGION, EMS, INC. ENTERED INTO A CONTRACT TO PROVIDE MANAGEMENT SERVICES TO MARSHFIELD CLINIC HEALTH SYSTEM, INC. THIS REVENUE REPRESENTS THE MANAGEMENT FEES THAT WERE EARNED BY LAKES REGION EMS, INC. FOR SERVICES RENDERED FOR THE YEAR. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. ST CROIX VALLEY EMERGENCY MEDICAL SERVICES INC 235 EAST STATE STREET ST CROIX FALLS WI 54024 452872803 EMERGENCY AMBULANCE SERVICES WI 501(C)(3) N/A N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 1 1 ST CROIX VALLEY EMERGENCY MEDICAL SERVICES INC O 1557196 FAIR VALUE ST CROIX VALLEY EMERGENCY MEDICAL SERVICES INC R 1467953 FAIR VALUE ST CROIX VALLEY EMERGENCY MEDICAL SERVICES INC S 1405239 FAIR VALUE