Police and Fire Commission Meeting — Agenda Packet
City of Lake Geneva · Walworth County · Police and Fire Commission · meeting of Jul 9, 2026 · Agenda packets
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July 9, 2026 Police & Fire Commission Agenda 1
City of Lake Geneva, 626 Geneva St, Lake Geneva, WI 53147-262.248.3673-www.cityoflakegeneva.gov
Police & Fire Commission Agenda
Thursday, July 9, 2026 - 4:00 PM
Lake Geneva City Hall; Council Chambers
Members:
Commissioners: Spyro Condos, Len Jegerski, Tom Clausen, Emily Soley-Jonson and Eileen LeFevre
Town of Geneva Fire Liaison Steve Otten, Town of Linn Fire Liaison Jim Livingston
1. Call to Order
2. Pledge of Allegiance
3. Roll Call
4. Comments from the public as allowed by Wis. Stats. §19.84(2), limited to items on this agenda,
except for public hearing items. Comments will be limited to 5 minutes
5. Acknowledgement of Correspondence
6. Approval of the minutes from June 4, 2026
7. Discussion - Summary July 3, 2026, Severe Weather Event
8. Discussion/Action - 2027 Budget Workshop Dates
9. Police Department Business
a. Discussion/Action—Approval of the bills for the month of June 2026, Operating in the
amount of $518,858.31 Capital Purchases in the amount of $2,571.95, Equipment
Replacement Purchases in the amount of $6,216.97, for a total of $527,647.23
b. Review Reports
i. Chief's Report
ii. Top Five Monthly Incidents
iii. Monthly Activity Reports
c. Discussion/Action-Approval of Lexipol Policies
323 Subpoenas and Court Appearances
503 Impaired Driving
d. Discussion/Action - Accept letter of retirement of Administrative Specialist Papenfus
10. Fire Department Business
a. Discussion/Action—Approval of the bills for the month of June 2026, Operating in the
amount of $437,755.71, Capital Purchases in the amount of $25,322.83, Equipment
Replacement Purchases in the amount of $1,045.00, for a total of $464,123.54
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July 9, 2026 Police & Fire Commission Agenda 2
b. Review Reports
i. Chief's Update and Fire Department Report
ii. EMS Medical Billing/Stark Medical Billing
c. Discussion/Action-Approval of Lexipol Policies
318 Newborn Safe Haven Law (update)
505 Controlled Substance Accountability (update)
d. Discussion/Action - Accept letter of resignation Firefighter AEMT Bruce VanderVeen
e. Discussion/Action - Accept letter of retirement of Captain Mark Moller-Gunderson
f. Acknowledgement of Thank You notes
11. Adjournment
A quorum of the Council may be present; however, no official Council action will be taken.
Requests from persons with disabilities who need assistance to participate in this meeting should be made to the City Clerk’s office in advance
so that the appropriate accommodations can be made.
Page 2 of 88
June 4, 2026 Police & Fire Commission Minutes 1
City Of Lake Geneva Police & Fire Commission Minutes
Thursday, June 4, 2026 - 4:00 PM
Lake Geneva City Hall; Council Chambers
Call to Order
The meeting was called to order by Commissioner Condos at 4:00 p.m.
Pledge of Allegiance
Commissioner Clausen led the Pledge of Allegiance, followed by a moment of silence to Honor Fire Chief Derrick,
who recently passed away.
Roll Call
Commissioners Condos, Jegerski, Soley-Johnson, LeFevre and Clausen were present. Also present: Police Chief
Gritzner, Police Lieutenant Keller, Police Lieutenant Tietz, Division Fire Chief Detkowski, Town of Geneva
Liaison Otten, and Administrative Specialist Papenfus
Comments from the public as allowed by Wis. Stats. §19.84(2), limited to items on this agenda, except for
public hearing items. Comments will be limited to 5 minutes
Alderperson Ames, resident and Alderperson, spoke about agenda item 8 regarding the Facility Assessment.
Presentation - June Health and Safety Campaigns - Andrea Christian
Andrea Christian presented on June Health and Safety Campaigns.
Acknowledgement of Correspondence
NONE
Approval of the minutes from May 7, 2026
Soley-Johnson motioned to approve the meeting minutes from May 7, 2026. Clausen seconded. Motion carried 5-
0.
Discussion - Facility Assessment Review RFP
Chief Gritzner reported that a draft RFP has been completed and submitted to Attorney Draper. The RFP is the
responsibility of the city as they are responsible for the building portion of anything moving forward. No action is
needed.
Police Department Business
Discussion/Action-Approval of the bills for the month of May, 2026 Operating in the amount of $475,356.44,
Capital Purchases in the amount of $2,347.43, Equipment Replacement Purchases in the amount of $517.00,
for a total of $478,220.87
Clausen motioned to approve the bills for the month of May 2026. LeFevre seconded. Roll call vote: Condos-Y,
Jegerski-Y, Soley-Johnson-Y LeFevre-Y, and Clausen-Y, Motion carried 5-0.
Soley-Johnson had a few questions regarding budget purchases for Uniforms, Equipment Outlay and School
Reimbursement. Expenses for PD Uniform Account and Equipment Outlay were in regard to firearms purchases.
Review Reports
Chief's Report
Chief Gritzner noted that the Citizen Academy will start September 16 through October 21, 2026, and he briefly
explained the program. Applications will be submitted online through the website. He also noted that the Marine
Unit started Memorial Day and the crew has been writing tickets, warnings and helping citizens on the water. Chief
noted that the department has received lots of positive feedback about the boat. Chief reviewed the recent officer
training for the year. Officers Atkinson and Potter graduated from the police academy on June 3 and started field
training.
Top Five Monthly Incidents
Chief reviewed the monthly incidents.
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June 4, 2026 Police & Fire Commission Minutes 2
Monthly Activity Reports
Monthly activity reports are down slightly from last year. However, the staff is currently down four officers.
Discussion/Action-Approval of Lexipol Policies
306 Firearms
314 Child Abuse
315 Missing Persons
503 Impaired Driving
901 Temporary Custody of Adults
Soley-Johnson motioned to approve Lexipol policies as listed. Jegerski seconded. Motion carried 5-0.
Discussion/Action - Accept letter of resignation of Community Service Officer Isha Kinard
Soley-Johnson motioned to accept letter of resignation of Community Service Officer Isha Kinard. LeFevre
seconded. Motion carried 5-0.
Discussion/Action - Accept resignation of Part Time Officer Daniel Derrick
Soley-Johnson motioned to accept the resignation of Part-Time Officer Daniel Derrick. Jegerski seconded. Motion
carried 5-0.
Acknowledgement of Thank You notes
No discussion/action
Fire Department Business
Discussion/Action - Approval of the bills for the month of May 2026, Operating in the amount of
$435,120.79, Capital Purchases in the amount of $76,317.15, Equipment Replacement Purchases in the
amount of $52,463.25, for a total of $563,901.19
Clausen motioned to approve bills for the month of May 2026. Soley-Johnson seconded. Roll call vote: Condos-Y,
Jegerski-Y, Soley-Johnson-Y LeFevre-Y, and Clausen-Y, Motion carried 5-0.
Division Fire Chief Detkowski reported the budget was currently 2% under budget. Act 102 purchases are up, but
this will be offset at the end of the year. Soley-Johnson asked about the Township Services. Chief reported that the
townships are billed quarterly for services and Town of Linn paid their invoice this month.
Review Reports
Chief's Update and Fire Department Report
Division Fire Chief reported that call volume was up approximately 5-8%. He reviewed personnel
accomplishments and the call numbers. He noted that funeral services for Fire Chief Daniel Derrick will be
visitation June 19 and Fire Services Honor funeral will be June 20. He noted that safety helmets are being provided
at the Fire Department.
EMS Medical Billing/Stark Medical Billing
Discussion - Wisconsin League of Municipalities reimbursement grant
Division Chief Detkowski reported that there is reimbursement up to $23,000.00 available from the Wisconsin
League of Municipalities and the Fire Department has submitted reimbursement for safety items purchased last
year and up to 4% reimbursement for Worker's Compensation submissions.
Discussion - Fleet Update
Fire Division Chief gave an update on Fleet repairs.
Discussion/Action – Acceptance of Donations
Lake Geneva Jaycees in the amount of $4,500.00
Lake Geneva Business Improvement District in the amount of $5,000.00
Soley-Johnson motioned to approve donations from Lake Geneva Jaycees in the amount of $4,500.00 and Lake
Geneva Business Improvement District in the amount of $5,000.00. Clausen seconded. Roll call vote: Condos-Y,
Jegerski-Y, Soley-Johnson-Y LeFevre-Y, and Clausen-Y, Motion carried 5-0.
Acknowledgement of Thank You notes
No discussion/action
Page 4 of 88
June 4, 2026 Police & Fire Commission Minutes 3
Adjournment
Clausen motioned to adjourn the meeting. Soley-Johnson seconded. Motion carried 5-0 at 4:38 p.m.
Cindy Papenfus
Administrative Specialist
Minutes are unofficial until approved by the Commission.
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Top Five Monthly Incidents – June 2026
06/10/26: Officers received a Silver Alert from the City of Delavan Police Department regarding
a missing 76-year-old male who was last seen at approximately 2:30 p.m. on 06/09/26 and had a
history of short-term memory loss. Assistance from the department’s U AV a n d Mobile
Command Unit was requested. The individual was located by a City of Lake Geneva Police
Department UA V operator nearly 24 hours after he was last seen. His location was relayed to
responding units, and he was treated by EMS. The individual ultimately made a full recovery.
06/19/26: Officers received a complaint from City of Lake Geneva staff alleging that a seasonal
employee had shown pornographic images to a juvenile coworker and made comments that
caused discomfort among other juvenile employees. An investigation determined that a 70-year-
old male had displayed explicit material on a cellular phone to a juvenile; however, the reported
comments did not constitute a criminal offense. The suspect was taken into custody and confined
in the Walworth County Jail on a charge of exposing a person under the age of 18 to harmful
material. He was also terminated from his position as a boat launch attendant with the City.
06/21/26 – 1:43 a.m.: Officers were flagged down in the 100 block of Broad Street by a security
staff member who reported a patron refusing to leave the establishment after being removed and
subsequently forcing his way back inside. Officers also received information that the same
individual had caused a disturbance and made a female patron uncomfortable. When officers
advised the suspect he was under arrest, he refused to comply, became physically resistive, and
declined to provide identification or follow commands. Officers were able to take the individual
into custody without further incident. During the booking process, the 23-year-old male from
Chicago intentionally spat on a Walworth County deputy who was assisting. He was confined in
the Walworth County Jail on charges of disorderly conduct and resisting/obstructing an officer.
06/24/26 – 11:26 p.m.: Officers were dispatched to a residence in the 1000 block of Center
Street for a reported domestic disturbance. Upon arrival, officers determined that a physical
altercation had occurred between two individuals, one of whom had left prior to police arrival. A
family member later arrived at the residence to confront the remaining individual, at which time
the resident allegedly armed himself with a handgun. As a result of the incident, three individuals
were taken into custody without incident. Charges of battery and disorderly conduct were
referred for all three parties, with one individual also facing additional felony and misdemeanor
bail jumping charges.
06/26/26: In late May, officers received information that a resident may have been purchasing
large quantities of prescription medications through the mail without a valid prescription. An
investigation led to a U.S. Postal Inspector obtaining a search warrant for a package addressed to
the suspect’s business. A controlled delivery was conducted on June 26, 2026, at the post office,
resulting in the arrest of a 44-year-old Lake Geneva woman. She was taken into custody and
confined in the Walworth County Jail on charges of possession of narcotic drugs and possession
of a controlled substance.
Page 17 of 88
July
Telephone Calls - 2,326 911 calls - 296
Window Assists- 1148
Telephone Calls - 2,422 911 calls - 225
Window Assists- 903
Calls for Service - 2,559 Arrests 355
Calls for Service - 2,975 Arrests 393
2025 Patrol Activity for June
Lake Geneva Police Department
Monthly Activity Statistics
2026 Dispatch Activity for June
2025 Dispatch Activity for June
2026 Patrol Activity for June
Page 18 of 88
Lake Geneva Police Department
Incidents Summary List
626 Geneva St | Lake Geneva, WI 53147 | Phone: (262) 248-4455
** For official use only **
10:42:54 am
Tuesday, July 7, 2026
Total
911 Hang Up/Misdial 71
Abandoned Property/Vehicle 3
Accident - Hit and Run 6
Accident - Personal Injury 2
Accident - Property Damage 40
Alarm - Business 23
Alarm - Fire 32
Alarm - Other 2
Alarm - Residential 7
Alarm - Vehicle 2
Animal - Other 23
Animal Cruelty/Neglect/Trappin 1
Animal Loose 10
Animal Noise 5
Assault 1
Assist Building Department 1
Assist- Citizen 51
Assist City Hall 3
Assist EMS 84
Assist Fire 15
Assist Meter Deprt 1
Assist Motorist 34
Assist Police Department 29
Assist Walworth Co Dispatch 911 2
Attempt to Locate 26
Background Check 3
Reporting Period: 6/1/2026 - 6/30/2026
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Lake Geneva Police Department
Incidents Summary List
626 Geneva St | Lake Geneva, WI 53147 | Phone: (262) 248-4455
** For official use only **
10:42:54 am
Tuesday, July 7, 2026
Total
Bail Jumping 5
Building Check 236
Call Back 32
Chaplain Response 3
Child Abuse/Neglect 1
Child Custody Problems 1
Civil Matter 3
Community Service 16
Controlled Burn/Burning Violat 1
Curfew Violations 1
Damage to Property 3
DC - Public Urination 1
Death Investigation 1
Debris in Roadway 15
Department Property Maintenanc 2
Dept of Public Works/Utility C 4
Disorderly Conduct 21
Domestic Abuse 4
Drug Recognition Expert 1
Drug Take Back 1
Drugs 2
Escort 1
Escort - Funeral 3
Extra Patrol 302
Fight 1
Fingerprinting 2
Fireworks 3
Five Day 7
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Lake Geneva Police Department
Incidents Summary List
626 Geneva St | Lake Geneva, WI 53147 | Phone: (262) 248-4455
** For official use only **
10:42:54 am
Tuesday, July 7, 2026
Total
Found Property 50
Fraud 4
Harassment 2
House Check 26
Injury on City Property 2
Intoxicated Subject/Subjects 5
Juvenile Trouble 4
Keep the Peace 9
Liquor/Alcohol Violation 8
Littering 1
Lockout - Vehicle 21
Log Entry 177
Loitering 1
Lost Property 25
Mabas Radio Test 3
Mail Blood/Blood Run 10
Marine Patrol 17
Miscellaneous 23
Neighbor Trouble 1
Noise Complaint 13
Open Door/Window 14
OWI 7
Paperwork Delivery 2
Parking Complaint/Violation 137
Parking Permission 3
Power Outage 1
Pursuit 2
Receive Information 21
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Lake Geneva Police Department
Incidents Summary List
626 Geneva St | Lake Geneva, WI 53147 | Phone: (262) 248-4455
** For official use only **
10:42:54 am
Tuesday, July 7, 2026
Total
Reckless Driver 15
Records Check/Permit/License 198
Repo 1
Ride Along 3
Road Conditions 1
Road Hazard 3
Scam 3
Sexual Offenses 1
Shoplifting/Retail Theft 4
Sick Call In 52
Sign Down 11
SILVER ALERT 4
Solicitor/Direct Seller 3
Suspicious Activity 73
THEFT - ALL 9
Threats 1
Traffic Stop 330
Traffic/Driving Complaint 7
Tree Down 12
Trespassing Land or Dwelling 3
Unknown Problem 1
Unmanned Aerial Vehicle (Drone) 7
Unwanted Subject 10
Vin Check 1
Warrant/Paper Service 4
Warrant/Paper Service Attempt 5
Weapons 2
Weather 3
Page 4 of 5Phoenix RMS ** Confidential - Unauthorized Use Prohibited **
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Lake Geneva Police Department
Incidents Summary List
626 Geneva St | Lake Geneva, WI 53147 | Phone: (262) 248-4455
** For official use only **
10:42:54 am
Tuesday, July 7, 2026
Total
Welfare Check 53
Total 2,559
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Lake Geneva Police Department
626
Geneva St.
Lake Geneva WI
53147
Phone: (
262
)
248-4455
Charges by Statute Report
Printed On: 07/07/26 10:41
Reporting Period:
06/01/2026
-
06/30/2026
This report contains all arrest charges and citations, and all
citations types (traffic, arrest, and warnings).
Lake Geneva
Total
18-321 961.573(1) - Possession of Drug Paraphernalia
1
30.62(3)(a) - Fail/Carry Boat Floatation De
1
30.66(3)(b) - Jet Ski-Violate Slow-No-Wake
2
30.678(2m) - FAIL TO CARRY OR EXHIBIT VALID PROOF OF SAFETY CERTIFICATE WHEN OPERATING A
MOTORBOAT
1
30.68(6) - Riding on Boat Decks/Gunwales
1
30.68(7) - Boat Operation w/in Restricte
2
341.03(1) - Operate Vehicle- Registration Revoked,Suspended
3
341.04(1) - Non-Registration of Auto or Oth Veh < 10,000 lbs
15
341.04(2) - Improper Registration of Auto/Oth Veh < 10,000 lbs
2
341.15(1) - Fail/Display Vehicle License
1
341.15(2) - Improperly Attached License P
1
343.05(3)(a) - Operate w/o Valid License
2
343.05(3)(a) - Operating Without a License - 1st Offense
6
343.05(3)(a) - Operating Without a License-2nd Offense w/in 3 Yrs
3
343.05(3)(a) - Operating Without a License-3rd/+ w/in 3 Yrs
1
343.05(3)(b) - Operate Motorcycle w/o Valid
2
343.07(1g)(a)1 - Oper M/V by Permittee W/O Instructor-1st Offense
1
343.18(1) - Operate w/o Carrying License
1
343.43(1)(d) - Violate Driv Lic Restrictions-Class A, B or C Veh
1
343.44(1)(a) - Operate Motor Vehicle While Suspended-1st Offense
2
343.44(1)(a) - Operating While Suspended
1
343.44(1)(b) - OAR - Revoked due to Alcohol/Cont Substanc/Refusal
1
343.44(1)(b) - Operate Motor Vehicle While Revoked
2
344.62(1) - Operate Vehicle w/o Insurance
15
344.62(2) - Opr Veh W/O Proof of Insurance
3
346.04(2) - Failure to Obey Traffic Offic
3
346.04(3) - Flee/Elude Officer-Bodily Harm/Damage to Property
1
346.05(1) - Operating Left of Center Line
1
346.06 - Failure to Yield Right of Way
1
346.13(1) - Unsafe Lane Deviation
3
346.14(1) - Auto Following Too Closely
4
346.18(1) - Fail/Yield/Uncontrolled Intersection
1
346.18(2) - FYR - Making Left Turn
1
346.23(1) - FYR To Ped/Bicycle/EPAMD
2
346.33(1)(b) - Unlawful U/Y Turn - MidBlock
2
346.34(2) - Fail to Signal Stop/Slowing
1
346.37(1)(c)1 - Violate Red Traffic Signal
2
346.37(1)(c)3 - Illegal Right Turn on Red
1
346.46(1) - Fail Stop At Stop Sign
18
346.52(1)(a) - Stopping/Standing w/in Inters
1
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** Confidential - Unauthorized Use Prohibited **
ProPhoenix rev. 06/11/2018
Page 24 of 88
Lake Geneva Police Department
626
Geneva St.
Lake Geneva WI
53147
Phone: (
262
)
248-4455
Charges by Statute Report
Printed On: 07/07/26 10:41
Reporting Period:
06/01/2026
-
06/30/2026
This report contains all arrest charges and citations, and all
citations types (traffic, arrest, and warnings).
Total
346.57(2) - Unreason and Imprudent Speed
4
346.57(5) - Exceeding Speed Zones/Posted Limits (1-10 MPH)
14
346.57(5) - Exceeding Speed Zones/Posted Limits (11-15 MPH)
13
346.57(5) - Exceeding Speed Zones/Posted Limits (16-19 MPH)
12
346.57(5) - Exceeding Speed Zones/Posted Limits (20-24 MPH)
3
346.57(5) - Exceeding Speed Zones/Posted Limits (25-29 MPH)
2
346.62(2) - Reckless Driving - Endanger Safety - 1st
1
346.63(1)(a) - Operating While Intoxicated - 1st Offense
9
346.63(1)(b) - Operating W/PAC - 3rd Offense
1
346.69 - Hit and Run Prop
1
346.87 - Unsafe backing
1
346.89(1) - Inattentive Driving
1
346.92(2) - Riding Illegally on Vehicle
1
346.935(2) - Possess Open Intoxicants in M
4
346.935(3) - Keep Open Intoxicants in MV
3
347.07(2)(b) - Operate Vehicle w/ NonRed Tai
1
347.13(3) - Operate Vehicle w/o Registrat
1
347.413(1) - Failure Install Ignition Interlock Dev/Tampering
1
347.48(2m)(c) - Operator Fail/Have Passenger/
1
347.48(2m)(d) - Ride in Vehicle w/o Wearing S
4
50-1 - Disorderly conduct
1
50-1 943.50(1m)(a) - Retail Theft - Price Tag Altering - Adult
1
50-1 943.50(1m)(d) - Retail Theft - Concealment of Items - Adult
1
50-1 946.41(1) - Obstructing an Officer
1
50-1 947.01 - Disorderly Conduct
8
50-1 961.41(3g)(e) - Possession of a Controlled Substance
6
50-81(a) - Curfew - Under 17 YOA
4
58-10 - Littering
1
6-3 - Alcohol - Open Intoxicant in Public
6
74-1 346.52(1)(b) - Parking - Parked in a Crosswalk
1
74-1 346.52(1)(d) - Parking - Parked on a Sidewalk or Sidewalk Area
3
74-1 346.52(1)(f ) - Parking - Double Parked on Roadway
2
74-1 346.53(2) - Parking - In an Alley in Business District
1
74-1 346.53(3) - Parking - Within 10' of a Fire Hydrant
20
74-1 346.53(4) - Parking - Within 4' of Alley or Driveway
1
74-1 346.53(6) - Parking - Posted No Parking Zone
5
74-1 346.54(1)(a) - Parking - Parked on Wrong Side of Street
4
74-1 346.54(1)(c) - Parking - Outside White Parking Space Lines
35
74-1 346.55(3) - Parking - Posted Private Property
2
74-210(a)(1) - Parking - No Parking/Standing/Stopping Zones
1
74-210(f) - Parking - Backed into Parking Stall
25
74-217 - Traffic - Accelerating Vehicle in Display of Power
3
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ProPhoenix rev. 06/11/2018
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Lake Geneva Police Department
626
Geneva St.
Lake Geneva WI
53147
Phone: (
262
)
248-4455
Charges by Statute Report
Printed On: 07/07/26 10:41
Reporting Period:
06/01/2026
-
06/30/2026
This report contains all arrest charges and citations, and all
citations types (traffic, arrest, and warnings).
Total
74-227(a) - Traffic-Riding in Cargo Area of Truck Prohibited
4
74-6(d) - Parking - Parked at Yellow Curb/Grass - School
5
90-51 30.51(1) - Operate boat without valid certificate of number
1
90-51 30.523(2) - Fail to display registration decal or number on boat
3
90-51 30.66(3)(b) - Operate PWC greater than SNW w/in 100 of boat
5
90-51 30.678(1)(d) - Operate boat w/o valid safety certificate
1
90-51 30.678(2)(c) - Operate PWC w/o valid safety certificate
1
940.60(1) - Battery (Simple)
2
946.49(1)(a) - Bail Jumping-Misdemeanor
2
947.01(1) - Disorderly Conduct - Causing a Disturbance
2
961.41(3g)(c) - Possession of Cocaine/Coca
1
961.41(3g)(e) - Possession of THC
1
961.573(1) - Possess Drug Paraphernalia
1
TR305.17(1) - Fail/Properly Maintain Brakes
1
TR305.34(6) - Illegal Materials on Windshie
1
TR305.34(6)(c) - Windshields-Tinting-Critical Area
1
Total
355
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ProPhoenix rev. 06/11/2018
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Lake Geneva Police Department
626
Geneva St.
Lake Geneva WI
53147
Phone: (
262
)
248-4455
Printed On: 07/07/26 10:43
Monthly Activity Overview Report
For Reporting Period:
06/01/2026
-
06/30/2026
Patrol Area:
NULL,DT,GT,LN,LY,NO,OJ,SO
NOTE: This report cannot be run based on indivdual officer - it is based on unique Incident. This report is for specific overview purposes & counts. For individual Officer activities, please
refer to Officer Activity Count reports.
Reports are selected based upon Dttm report is written and selected if Dttm falls within
date range above-specified.
Total
0001
0800
Hours
0800
1600
Hours
1601
2400
Hours
Total
2,559
594
1,043
922
Calls
911 Interface
138
22
54
62
Email
191
22
51
118
Fax
11
2
2
7
Mail
1
0
1
0
Officer Initiated
1,423
451
528
444
Phone
678
83
339
256
Radio
27
2
13
12
Total
0001
0800
Hours
0800
1600
Hours
1601
2400
Hours
Total
195
69
58
68
Reports
Incident
53
26
9
18
Property
45
13
23
9
Supplemental
97
30
26
41
ProPhoenix rev. 02/19/2020
** Confidential - Unauthorized Use Prohibited **
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Page 27 of 88
Lake Geneva Police Department
626
Geneva St.
Lake Geneva WI
53147
Phone: (
262
)
248-4455
Printed On: 07/07/26 10:43
Monthly Activity Overview Report
For Reporting Period:
06/01/2026
-
06/30/2026
Patrol Area:
NULL,DT,GT,LN,LY,NO,OJ,SO
Total
0001
0800
Hours
0800
1600
Hours
1601
2400
Hours
Calls
Walk In
90
12
55
23
Arrests are selected based upon the charge type. Therefore if an arrest was made wherein
three charges with different types are noted, the arrest will count under Each charge type.
Citations are counted by Citation Type alone.
Total
0001
0800
Hours
0800
1600
Hours
1601
2400
Hours
Total
136
65
20
51
Arrests
Felony
10
4
3
3
Misdemeanor
46
17
8
21
Non-Criminal
25
17
2
6
Ordinance Violation
44
24
7
13
Unclassified
11
3
0
8
Total
0001
0800
Hours
0800
1600
Hours
1601
2400
Hours
Total
345
71
184
90
Citations
Non Traffic Violation
56
32
11
13
Parking Violation
105
1
80
24
Traffic Violation
154
33
78
43
Written Warning
30
5
15
10
ProPhoenix rev. 02/19/2020
** Confidential - Unauthorized Use Prohibited **
2 of 3
Page 28 of 88
Lake Geneva Police Department
626
Geneva St.
Lake Geneva WI
53147
Phone: (
262
)
248-4455
Printed On: 07/07/26 10:43
Monthly Activity Overview Report
For Reporting Period:
06/01/2026
-
06/30/2026
Patrol Area:
NULL,DT,GT,LN,LY,NO,OJ,SO
Field Interview Stops are counted by reason for stop.
Crashes are counted by Crash type alone.
Total
Total
0
Total
0001
0800
Hours
0800
1600
Hours
1601
2400
Hours
Total
40
6
24
10
crash
C
40
6
24
10
ProPhoenix rev. 02/19/2020
** Confidential - Unauthorized Use Prohibited **
3 of 3
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Collection Statement
CITY OF LAKE GENEVA EMS
626 GENEVA ST
ATTN: COMPTROLLER
LAKE GENEVA WI 53147
City of Lake Geneva EMS
Payments Through
6/26/2026
The Stark Collection Agency
PO Box 45710
Madison, WI 53744-5710
833-669-6600
Collaborate. Innovate. Elevate.
Invoice # Client # Invoice Amount
INVOICE DETAILS
Period End Date
33428 608EMS-CUR 0.006/26/2026
0.00
608EMS-CUR
Invoice #: 33428
Date
Account #/
Client Acct #
*** PAID TO AGENCY ***
Due Agency Due You
Date
Listed Total Paid
Unpaid
BalanceActive Pay
05/26
23-E846759
$26.60 $113.408/6/2025 $140.00 $0.001162576 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 140.00 113.40 26.60
TOTALS 140.00 113.40 26.60
6/28/2026 Page 1 of 7The Stark Collection Agency, Inc.City of Lake Geneva EMS6302
Page 51 of 88
05/28
2079290
$9.89 $42.1512/15/2020 $52.04 $196.94C799742 T
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 52.04 42.15 9.89
TOTALS 52.04 42.15 9.89
05/29
LGWI-23-1087:1
$9.24 $39.382/20/2024 $48.62 $0.001044346 R
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 48.62 39.38 9.24
TOTALS 48.62 39.38 9.24
06/10
24-E225313
$4.81 $20.494/4/2025 $25.30 $0.001138090 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 25.30 20.49 4.81
TOTALS 25.30 20.49 4.81
06/01
25-E1452337
$55.10 $234.905/6/2026 $290.00 $0.001230704 X
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 290.00 234.90 55.10
TOTALS 290.00 234.90 55.10
06/01
LGWI-22-1865:1
$0.95 $4.059/27/2023 $5.00 $389.551011511 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 5.00 4.05 0.95
TOTALS 5.00 4.05 0.95
06/01
LGWI-22-1865:2
$0.95 $4.0512/19/2023 $5.00 $947.901030960 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 5.00 4.05 0.95
TOTALS 5.00 4.05 0.95
6/28/2026 Page 2 of 7The Stark Collection Agency, Inc.City of Lake Geneva EMS6302
Page 52 of 88
06/08
24-E1010460
$4.75 $20.255/29/2025 $25.00 $538.001149445 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 25.00 20.25 4.75
TOTALS 25.00 20.25 4.75
06/01
24-E1010460
$4.75 $20.255/29/2025 $25.00 $563.001149445 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 25.00 20.25 4.75
TOTALS 25.00 20.25 4.75
06/15
24-E1010460
$4.75 $20.255/29/2025 $25.00 $513.001149445 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 25.00 20.25 4.75
TOTALS 25.00 20.25 4.75
06/25
24-E225249
$26.60 $113.402/14/2025 $140.00 $0.001129287 T
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 140.00 113.40 26.60
TOTALS 140.00 113.40 26.60
06/11
24-E615297
$14.29 $60.914/30/2025 $75.20 $601.601143470 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 75.20 60.91 14.29
TOTALS 75.20 60.91 14.29
05/26
24-E1010460
$4.75 $20.255/29/2025 $25.00 $588.001149445 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 25.00 20.25 4.75
TOTALS 25.00 20.25 4.75
6/28/2026 Page 3 of 7The Stark Collection Agency, Inc.City of Lake Geneva EMS6302
Page 53 of 88
06/23
25-E3722537
$55.10 $234.905/6/2026 $290.00 $0.001230720 R
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 290.00 234.90 55.10
TOTALS 290.00 234.90 55.10
06/05
25-E2732950
$245.10 $1,044.905/6/2026 $1,290.00 $0.001230713 G
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 1290.00 1044.90 245.10
TOTALS 1290.00 1044.90 245.10
06/22
24-E1010460
$4.75 $20.255/29/2025 $25.00 $488.001149445 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 25.00 20.25 4.75
TOTALS 25.00 20.25 4.75
06/05
LGWI-24-0021:1
$57.00 $243.001/30/2025 $300.00 $972.001125481 R
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 300.00 243.00 57.00
TOTALS 300.00 243.00 57.00
06/22
LGWI-22-0724:1
$5.70 $24.301/18/2023 $30.00 $140.00C957143 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 30.00 24.30 5.70
TOTALS 30.00 24.30 5.70
06/08
20125002
$4.75 $20.258/12/2021 $25.00 $208.40C843322 M
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 25.00 20.25 4.75
TOTALS 25.00 20.25 4.75
6/28/2026 Page 4 of 7The Stark Collection Agency, Inc.City of Lake Geneva EMS6302
Page 54 of 88
06/18
2094481
$52.25 $222.751/27/2021 $275.00 $0.00C806545 T
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 275.00 222.75 52.25
TOTALS 275.00 222.75 52.25
06/24
25-E105032
$4.75 $20.255/29/2025 $25.00 $175.001149431 R
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 25.00 20.25 4.75
TOTALS 25.00 20.25 4.75
05/29
25-E5215612
$38.00 $162.005/6/2026 $200.00 $0.001230727 X
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 200.00 162.00 38.00
TOTALS 200.00 162.00 38.00
06/22
25-E467202
$15.20 $64.808/29/2025 $80.00 $437.051166930 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 80.00 64.80 15.20
TOTALS 80.00 64.80 15.20
05/26
25-E1552121
$104.50 $445.505/6/2026 $550.00 $0.001230705 A
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 550.00 445.50 104.50
TOTALS 550.00 445.50 104.50
05/29
25-E5440572
$289.56 $1,234.445/6/2026 $1,524.00 $0.001230685 X
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 1524.00 1234.44 289.56
TOTALS 1524.00 1234.44 289.56
6/28/2026 Page 5 of 7The Stark Collection Agency, Inc.City of Lake Geneva EMS6302
Page 55 of 88
05/28
25-E675415
$38.00 $162.002/2/2026 $200.00 $0.001206800 R
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 200.00 162.00 38.00
TOTALS 200.00 162.00 38.00
$5,695.16 $1,082.09 $4,613.07Totals:
Date
Account #/
Client Acct #
*** PAID DIRECT ***
Due Agency Due You
Date
Listed Total Paid
Unpaid
BalanceActive Pay
06/12
25-E1017559
$27.34 $116.559/26/2025 $143.89 $0.001172414 D
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 143.89 116.55 27.34
TOTALS 143.89 116.55 27.34
06/12
25-E1857398
$9.50 $40.492/2/2026 $49.99 $0.001206872 D
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 49.99 40.49 9.50
TOTALS 49.99 40.49 9.50
06/12
25-E5440567
$228.00 $972.005/28/2026 $1,200.00 $0.001235402 D
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 1200.00 972.00 228.00
TOTALS 1200.00 972.00 228.00
06/12
25-E2750097
$94.81 $404.212/24/2026 $499.02 $0.001211789 D
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 499.02 404.21 94.81
TOTALS 499.02 404.21 94.81
6/28/2026 Page 6 of 7The Stark Collection Agency, Inc.City of Lake Geneva EMS6302
Page 56 of 88
06/22
26-E258616
$249.28 $1,062.725/6/2026 $1,312.00 $150.001230699 D
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 1312.00 1062.72 249.28
TOTALS 1312.00 1062.72 249.28
06/12
26-E137142
$80.00 $120.005/28/2026 $200.00 $0.001235366 D
Balance Type Amount Paid Due You Due Agency
Payment Applied to
Principal 200.00 120.00 80.00
TOTALS 200.00 120.00 80.00
$3,404.90 $688.93 $2,715.97Totals:
$9,100.06 $1,771.02 $7,329.04Grand Totals:
Thank you for your continued business. ACH Credits will be deposited within 3 business days of this statement.
Amounts due to Agency are due upon receipt. You may receive a "Return Report" indicating we have either taken payment in full or a
settlement in full but the money due you is not reported on this statement. If the payment from the debtor was made by personal check
we hold that payment for 2 weeks to be sure it clears.
ACH CREDIT: $3,924.14
Total
Amount
Paid
Total
Agency
Fees
Total
Due
Client
Payment Types A=ACH DEBIT D=Direct G=GUARANTEE $ M=Money Order R=CHARGE T=TAX INTERCP X=Check
6/28/2026 Page 7 of 7The Stark Collection Agency, Inc.City of Lake Geneva EMS6302
Page 57 of 88
Listings Through 6/26/2026
City of Lake Geneva EMS
New Business ReportThe Stark Collection Agency
PO Box 45710
Madison, WI 53744-5710
833-669-6600
Collaborate. Innovate. Elevate.
608EMS-CUR
Client # Date Listed Amount ListedAccount ##
608EMS-CUR 6/25/2026 $335.0026-E3311351
608EMS-CUR 6/25/2026 $200.0025-E15318882
608EMS-CUR 6/25/2026 $290.0026-E6182893
608EMS-CUR 6/25/2026 $275.0026-E6182714
608EMS-CUR 6/25/2026 $1,484.0026-E6178465
608EMS-CUR 6/25/2026 $1,500.0026-E4375536
608EMS-CUR 6/25/2026 $200.0025-E1418947
608EMS-CUR 6/25/2026 $1,536.0026-E2585758
608EMS-CUR 6/25/2026 $1,241.6026-E7068469
608EMS-CUR 6/25/2026 $290.0026-E25865910
608EMS-CUR 6/25/2026 $200.0026-E84333011
608EMS-CUR 6/25/2026 $826.4426-E6213012
608EMS-CUR 6/25/2026 $283.0026-E6219513
608EMS-CUR 6/25/2026 $2,472.7026-E124345414
608EMS-CUR 6/25/2026 $2,461.9026-E126056015
608EMS-CUR 6/25/2026 $300.0025-E521629016
608EMS-CUR 6/25/2026 $520.8224-E136512617
608EMS-CUR 6/25/2026 $1,438.1425-E164526518
608EMS-CUR 6/25/2026 $290.0026-E25873919
608EMS-CUR 6/25/2026 $1,604.0026-E52219320
608EMS-CUR 6/25/2026 $123.6525-E140683521
608EMS-CUR 6/25/2026 $290.0024-E45436522
608EMS-CUR 6/25/2026 $2,059.2026-E124376623
608EMS-CUR 6/25/2026 $482.0023-E84621824
6/28/2026 Page 1 of 2The Stark Collection Agency, Inc.New Business Report
Page 58 of 88
608EMS-CUR 6/25/2026 $2,494.3026-E124393325
608EMS-CUR 6/25/2026 $2,105.1026-E114975426
608EMS-CUR 6/25/2026 $350.0026-E114943927
608EMS-CUR 6/25/2026 $325.0026-E70472428
608EMS-CUR 6/25/2026 $1,440.0026-E52205629
608EMS-CUR 6/25/2026 $1,436.0025-E140690130
608EMS-CUR 6/25/2026 $1,964.7026-E98232231
608EMS-CUR 6/25/2026 $2,164.5026-E109275232
608EMS-CUR 6/25/2026 $2,696.8026-E98258633
608EMS-CUR 6/25/2026 $2,305.3026-E98234034
608EMS-CUR 6/25/2026 $1,228.0026-E89839135
608EMS-CUR 6/25/2026 $290.0026-E89826836
608EMS-CUR 6/25/2026 $200.0026-E84333137
608EMS-CUR 6/25/2026 $275.0026-E61805138
$39,978.15
Number Listed # $39,978.1538 $Amount Listed
6/28/2026 Page 2 of 2The Stark Collection Agency, Inc.New Business Report
Page 59 of 88
The Stark Collection Agency
402 Gammon Place, Suite 240
P.O. Box 45710
Madison, WI 53744-5710
833-669-6600
CREDITOR ACCOUNT SUMMARY REPORT
PAYMENTS THROUGH: 06/26/2026
CREDITOR: 608EMS-CUR
CITY OF LAKE GENEVA EMS
626 GENEVA ST
ATTN: COMPTROLLER
LAKE GENEVA WI 53147
NUMBER AMOUNT AVERAGE # PAID PERIOD TOTAL NUMBER TOTAL NUMBER AMOUNT TOTAL
DATE PLACED PLACED BALANCE IN FULL COLLECTIONS COLLECTIONS %COLL RETURN RETURNED ACTIVE ACTIVE COMMISSIONS
----- ------ ------------ ------------ ------- ------------ ------------ ----- ------ ------------ ------ ------------ -----------
2012 4 $987 $246.68 0 $0.00 $20 15.5 3 $858.00 1 $109 $3.80
2013 12 $5,248 $437.32 0 $0.00 $250 100.0 12 $4,997.87 0 $0 $47.50
2014 30 $14,961 $498.69 0 $0.00 $80 100.0 30 $14,880.64 0 $0 $15.20
2015 82 $37,565 $458.11 2 $0.00 $3,257 100.0 80 $34,308.51 0 $0 $618.74
2016 74 $40,142 $542.45 1 $0.00 $7,217 65.6 67 $29,135.54 6 $3,789 $1,371.14
2017 110 $68,792 $625.38 11 $0.00 $11,650 53.7 84 $47,103.65 15 $10,038 $2,264.89
2018 127 $87,694 $690.50 19 $0.00 $24,657 53.8 78 $41,900.17 30 $21,137 $4,684.76
2019 167 $155,424 $930.68 41 $0.00 $54,859 63.4 93 $68,837.87 33 $31,727 $10,672.75
2020 269 $210,024 $780.76 77 $52.04 $67,937 58.8 135 $94,536.68 57 $47,550 $12,924.01
2021 163 $138,001 $846.63 48 $300.00 $43,787 37.0 23 $19,558.87 92 $74,655 $8,319.66
2022 300 $230,067 $766.89 70 $0.00 $63,561 31.5 42 $28,218.25 188 $138,288 $12,133.66
2023 310 $236,510 $762.94 86 $40.00 $62,291 32.7 55 $46,228.27 169 $127,990 $11,835.31
01-24 30 $23,036.57 $767.89 10 $0.00 $6,343.02 32.9 4 $3,754.56 16 $12,938.99 $1,205.20
02-24 43 $32,005.14 $744.31 11 $48.62 $10,014.86 38.3 7 $5,828.00 25 $16,162.28 $1,902.83
03-24 31 $24,418.61 $787.70 8 $0.00 $3,875.72 18.0 3 $2,912.00 20 $17,630.89 $736.38
05-24 54 $39,780.18 $736.67 11 $0.00 $12,070.56 32.0 1 $2,103.35 42 $25,606.27 $2,293.47
06-24 21 $20,859.68 $993.32 4 $0.00 $5,878.29 39.2 6 $5,856.00 11 $9,125.39 $1,116.91
07-24 36 $29,924.82 $831.25 12 $0.00 $7,121.42 27.9 4 $4,358.00 20 $18,445.40 $1,630.27
08-24 39 $39,123.68 $1,003.17 7 $0.00 $8,151.94 22.0 4 $2,014.00 28 $28,957.74 $1,548.88
09-24 15 $17,484.00 $1,165.60 2 $0.00 $2,646.84 15.1 0 $0.00 13 $14,837.16 $502.90
10-24 15 $9,025.00 $601.67 5 $0.00 $2,969.15 32.9 0 $0.00 10 $6,055.85 $564.14
12-24 3 $2,745.41 $915.14 0 $0.00 $0.00 0.0 0 $0.00 3 $2,745.41 $0.00
------ ------------ ------------ ------- ------------ ------------ ----- ------ ------------ ------ ------------ -----------
2024 287 $238,403 $830.67 70 $48.62 $59,072 27.9 29 $26,825.91 188 $152,505 $11,500.98
Page 60 of 88
CREDITOR ACCOUNT SUMMARY REPORT -- PAYMENTS THROUGH 06/26/20 PAGE 2
608EMS-CUR - CITY OF LAKE GENEVA EMS
NUMBER AMOUNT AVERAGE # PAID PERIOD TOTAL NUMBER TOTAL NUMBER AMOUNT TOTAL
DATE PLACED PLACED BALANCE IN FULL COLLECTIONS COLLECTIONS %COLL RETURN RETURNED ACTIVE ACTIVE COMMISSIONS
----- ------ ------------ ------------ ------- ------------ ------------ ----- ------ ------------ ------ ------------ -----------
01-25 18 $9,985.75 $554.76 5 $300.00 $3,411.64 35.4 2 $358.48 11 $6,215.63 $648.21
02-25 41 $26,514.53 $646.70 9 $140.00 $4,107.88 17.1 3 $2,474.18 29 $19,932.47 $780.49
03-25 25 $18,680.90 $747.24 5 $0.00 $3,855.76 21.0 1 $280.00 19 $14,545.14 $732.59
04-25 95 $84,330.99 $887.69 28 $100.50 $19,133.16 25.2 10 $8,417.28 57 $56,780.55 $3,677.29
05-25 46 $37,316.22 $811.22 16 $150.00 $13,470.20 38.6 2 $2,406.00 28 $21,440.02 $2,580.34
06-25 46 $41,825.31 $909.25 13 $0.00 $7,579.00 18.9 2 $1,786.00 31 $32,460.31 $1,500.91
08-25 70 $49,086.86 $701.24 27 $220.00 $14,488.17 32.2 4 $4,133.11 39 $30,465.58 $2,752.74
09-25 49 $50,043.22 $1,021.29 8 $143.89 $10,356.97 20.7 0 $0.00 41 $39,686.25 $1,967.83
11-25 28 $30,918.68 $1,104.24 5 $0.00 $1,715.64 6.4 3 $3,932.00 20 $25,271.04 $325.97
12-25 40 $36,651.49 $916.29 11 $0.00 $7,074.24 20.1 1 $1,438.88 28 $28,138.37 $1,484.97
------ ------------ ------------ ------- ------------ ------------ ----- ------ ------------ ------ ------------ -----------
2025 458 $385,354 $841.38 127 $1,054.39 $85,193 23.7 28 $25,225.93 303 $274,935 $16,451.34
01-26 17 $11,759.32 $691.72 5 $0.00 $2,472.92 21.0 0 $0.00 12 $9,286.40 $469.86
02-26 180 $144,174.15 $800.97 24 $749.01 $10,158.73 7.1 4 $1,288.90 152 $132,726.52 $1,930.15
03-26 36 $34,393.68 $955.38 7 $0.00 $3,544.28 10.3 0 $0.00 29 $30,849.40 $673.41
05-26 92 $77,136.95 $838.45 10 $6,856.00 $7,834.68 10.2 0 $0.00 82 $69,302.27 $1,530.59
06-26 38 $39,978.15 $1,052.06 0 $0.00 $0.00 0.0 0 $0.00 38 $39,978.15 $0.00
------ ------------ ------------ ------- ------------ ------------ ----- ------ ------------ ------ ------------ -----------
2026 363 $307,442 $846.95 46 $7,605.01 $24,011 7.8 4 $1,288.90 313 $282,143 $4,604.01
***********************************************************************************************************************************
TOTAL 2756 $2,156,612 $782.52 598 $9,100.06 $507,840 30.4 763 $483,905.06 1395 $1,164,867 $97,447.75
Page 61 of 88
CITY OF LAKE GENEVA MAY 2026
MONTH END SUMMARY
PREPARED FOR CITY OF LAKE GENEVA
By:
© EMS Management & Consultants Inc. Page 1 of 7
Page 62 of 88
CITY OF LAKE GENEVA MAY 2026
12 MONTH DATE OF SERVICE ANALYSIS
Primary Payor Mix Net Collection Percentages Cash Per Trip
6-12 Month Mature Average 6-12 Month Mature Average 6-12 Month Mature Average
Primary Payor % of Trips Primary Payor Coll % Primary Payor CPT
Medicare 30% Medicare 85% Medicare 564.66$
Medicare Advantage 25% Medicare Advantage 82% Medicare Advantage 524.27$
Insurance 16% Insurance 67% Insurance 785.49$
Medicaid 3% Medicaid 60% Medicaid 334.89$
Medicaid MCO 6% Medicaid MCO 87% Medicaid MCO 434.65$
Patient 17% Patient 14% Patient 125.98$
Facility 0% Facility 0% Facility -$
Other Govt. Payers 1% Other Govt. Payers 78% Other Govt. Payers 1,123.56$
TPL 2% TPL 68% TPL 779.23$
Overall 6-12m 65% Overall 6-12m 507.57$
DOS Trip Count Gross Charges Contr Allow Net Charges Rev Adj Payments Write Offs Refunds Balance Due Gross Chg/Trip Net Chg/Trip Cash/Trip Net Coll %
2025-06 152 189,446.00 65,252.73 124,193.27 - 87,752.49 31,229.04 - 5,211.74 1,246.36 817.06 577.32 70.7%
2025-07 214 273,214.00 102,812.09 170,401.91 - 108,069.47 50,635.06 - 11,697.38 1,276.70 796.27 505.00 63.4%
2025-08 162 193,906.00 69,377.57 124,528.43 - 83,378.46 29,932.86 1,640.00 12,857.11 1,196.95 768.69 504.56 65.6%
2025-09 169 213,630.00 81,258.54 132,371.46 - 81,635.29 40,885.97 - 9,850.20 1,264.08 783.26 483.05 61.7%
2025-10 159 194,388.00 84,975.51 109,412.49 - 81,315.11 22,018.72 - 6,078.66 1,222.57 688.13 511.42 74.3%
2025-11 171 221,056.00 79,633.32 141,422.68 - 80,767.42 46,363.85 - 14,291.41 1,292.73 827.03 472.32 57.1%
2025-12 163 213,952.00 88,693.39 125,258.61 0.10 87,643.65 25,722.07 2,970.00 14,862.79 1,312.59 768.46 519.47 67.6%
2026-01 166 209,036.00 85,525.96 123,510.04 (0.15) 75,683.41 26,510.31 - 21,316.47 1,259.25 744.04 455.92 61.3%
2026-02 127 173,179.90 63,034.25 110,145.65 (0.36) 60,516.06 12,909.00 - 36,720.95 1,363.62 867.29 476.50 54.9%
2026-03 113 241,046.90 99,516.90 141,530.00 - 41,570.70 - - 99,959.30 2,133.16 1,252.48 367.88 29.4%
2026-04 141 293,848.20 86,063.22 207,784.98 - 34,253.45 - - 173,531.53 2,084.03 1,473.65 242.93 16.5%
2026-05 113 255,470.00 7,796.81 247,673.19 - 2,713.87 - - 244,959.32 2,260.80 2,191.80 24.02 1.1%
Totals 1,850 2,672,173.00 913,940.29 1,758,232.71 (0.41) 825,299.38 286,206.88 4,610.00 651,336.86 1,444.42 950.40 443.62 46.7%
0
50
100
150
200
250
2025-06 2025-07 2025-08 2025-09 2025-10 2025-11 2025-12 2026-01 2026-02 2026-03 2026-04
Trip Count Trend - Excluding Current Month
0
2
4
6
8
10
12
2025-06 2025-07 2025-08 2025-09 2025-10 2025-11 2025-12 2026-01 2026-02 2026-03 2026-04 2026-05
Average Loaded Miles
© EMS Management & Consultants Inc. Page 2 of 7
Page 63 of 88
CITY OF LAKE GENEVA MAY 2026
12 MONTH DATE OF SERVICE ANALYSIS BY PRIMARY PAYOR CATEGORY
DOS Trip Count Gross Charges Contr Allow Net Charges Rev Adj Payments Write Offs Refunds Balance Due Gross Chg/Trip Net Chg/Trip Cash/Trip Net Coll %
2025-06 46 67,122.00 31,957.52 35,164.48 - 31,157.93 4,516.01 - (509.46) 1,459.17 764.45 677.35 88.6%
2025-07 61 86,482.00 48,974.14 37,507.86 - 35,882.21 1,502.00 - 123.65 1,417.74 614.88 588.23 95.7%
2025-08 43 57,338.00 30,983.06 26,354.94 - 25,101.54 2,726.00 1,540.00 67.40 1,333.44 612.91 547.94 89.4%
2025-09 45 62,862.00 32,558.34 30,303.66 - 25,094.57 3,539.79 - 1,669.30 1,396.93 673.41 557.66 82.8%
2025-10 52 66,984.00 34,969.78 32,014.22 - 27,756.78 3,582.00 - 675.44 1,288.15 615.66 533.78 86.7%
2025-11 58 80,226.00 38,461.96 41,764.04 - 28,767.88 11,534.00 - 1,462.16 1,383.21 720.07 496.00 68.9%
2025-12 57 78,934.00 41,858.86 37,075.14 - 33,997.62 5,770.00 2,970.00 277.52 1,384.81 650.44 544.34 83.7%
2026-01 62 86,694.00 46,254.65 40,439.35 - 36,883.94 3,364.36 - 191.05 1,398.29 652.25 594.90 91.2%
2026-02 41 58,074.00 30,925.67 27,148.33 - 22,584.37 1,230.00 - 3,333.96 1,416.44 662.15 550.84 83.2%
2026-03 35 79,739.10 49,934.22 29,804.88 - 16,753.27 - - 13,051.61 2,278.26 851.57 478.66 56.2%
2026-04 41 94,127.10 53,322.09 40,805.01 - 16,025.00 - - 24,780.01 2,295.78 995.24 390.85 39.3%
2026-05 35 79,671.20 3,028.99 76,642.21 - 988.47 - - 75,653.74 2,276.32 2,189.78 28.24 1.3%
Totals 576 898,253.40 443,229.28 455,024.12 - 300,993.58 37,764.16 4,510.00 120,776.38 1,559.47 789.97 514.73 65.2%
DOS Trip Count Gross Charges Contr Allow Net Charges Rev Adj Payments Write Offs Refunds Balance Due Gross Chg/Trip Net Chg/Trip Cash/Trip Net Coll %
2025-06 40 55,826.00 30,247.62 25,578.38 - 21,985.38 3,593.00 - - 1,395.65 639.46 549.63 86.0%
2025-07 48 66,986.00 35,804.37 31,181.63 - 24,203.76 6,382.87 - 595.00 1,395.54 649.62 504.25 77.6%
2025-08 35 45,918.00 23,933.94 21,984.06 - 16,554.03 3,114.82 100.00 2,415.21 1,311.94 628.12 470.12 74.8%
2025-09 48 68,582.00 36,506.99 32,075.01 - 26,754.86 5,341.46 - (21.31) 1,428.79 668.23 557.39 83.4%
2025-10 45 63,262.00 35,532.33 27,729.67 - 24,026.95 3,440.00 - 262.72 1,405.82 616.21 533.93 86.6%
2025-11 40 52,296.00 28,114.08 24,181.92 - 20,788.47 4,645.45 - (1,252.00) 1,307.40 604.55 519.71 86.0%
2025-12 45 65,016.00 36,226.35 28,789.65 - 25,005.86 584.07 - 3,199.72 1,444.80 639.77 555.69 86.9%
2026-01 37 48,800.00 26,010.62 22,789.38 (0.15) 17,640.58 3,223.95 - 1,925.00 1,318.92 615.93 476.77 77.4%
2026-02 32 49,011.90 24,762.06 24,249.84 (0.36) 14,951.65 1,651.00 - 7,647.55 1,531.62 757.81 467.24 61.7%
2026-03 27 61,181.40 42,500.42 18,680.98 - 11,351.52 - - 7,329.46 2,265.98 691.89 420.43 60.8%
2026-04 34 75,997.00 30,998.45 44,998.55 - 8,155.93 - - 36,842.62 2,235.21 1,323.49 239.88 18.1%
2026-05 23 53,305.10 4,767.82 48,537.28 - 1,725.40 - - 46,811.88 2,317.61 2,110.32 75.02 3.6%
Totals 454 706,181.40 355,405.05 350,776.35 (0.51) 213,144.39 31,976.62 100.00 105,755.85 1,555.47 772.64 469.26 60.7%
DOS Trip Count Gross Charges Contr Allow Net Charges Rev Adj Payments Write Offs Refunds Balance Due Gross Chg/Trip Net Chg/Trip Cash/Trip Net Coll %
2025-06 21 25,984.00 - 25,984.00 - 18,245.97 6,238.03 - 1,500.00 1,237.33 1,237.33 868.86 70.2%
2025-07 41 47,720.00 - 47,720.00 - 29,410.98 15,972.19 - 2,336.83 1,163.90 1,163.90 717.34 61.6%
2025-08 39 44,574.00 1,994.25 42,579.75 - 32,669.71 6,712.04 - 3,198.00 1,142.92 1,091.79 837.68 76.7%
2025-09 19 25,954.00 691.80 25,262.20 - 14,187.93 10,120.20 - 954.07 1,366.00 1,329.59 746.73 56.2%
2025-10 23 26,098.00 1,169.60 24,928.40 - 18,300.68 3,430.72 - 3,197.00 1,134.70 1,083.84 795.68 73.4%
2025-11 21 27,272.00 505.71 26,766.29 - 16,005.23 5,376.40 - 5,384.66 1,298.67 1,274.59 762.15 59.8%
2025-12 16 21,652.00 - 21,652.00 0.10 15,341.35 1,200.00 - 5,110.55 1,353.25 1,353.25 958.83 70.9%
2026-01 16 23,084.00 - 23,084.00 - 9,585.42 - - 13,498.58 1,442.75 1,442.75 599.09 41.5%
2026-02 22 29,140.00 818.11 28,321.89 - 13,389.45 - - 14,932.44 1,324.55 1,287.36 608.61 47.3%
2026-03 12 29,460.60 - 29,460.60 - 8,846.97 - - 20,613.63 2,455.05 2,455.05 737.25 30.0%
2026-04 7 11,574.70 - 11,574.70 - 265.00 - - 11,309.70 1,653.53 1,653.53 37.86 2.3%
2026-05 5 10,227.70 - 10,227.70 - - - - 10,227.70 2,045.54 2,045.54 - 0.0%
Totals 242 322,741.00 5,179.47 317,561.53 0.10 176,248.69 49,049.58 - 92,263.16 1,333.64 1,312.24 728.30 55.5%
MEDICARE
MEDICARE ADVANTAGE
INSURANCE
© EMS Management & Consultants Inc. Page 3 of 7
Page 64 of 88
CITY OF LAKE GENEVA MAY 2026
12 MONTH DATE OF SERVICE ANALYSIS BY PRIMARY PAYOR CATEGORY
DOS Trip Count Gross Charges Contr Allow Net Charges Rev Adj Payments Write Offs Refunds Balance Due Gross Chg/Trip Net Chg/Trip Cash/Trip Net Coll %
2025-06 1 1,226.00 - 1,226.00 - - - - 1,226.00 1,226.00 1,226.00 - 0.0%
2025-07 5 5,984.00 2,996.87 2,987.13 - 1,543.13 - - 1,444.00 1,196.80 597.43 308.63 51.7%
2025-08 6 8,738.00 4,774.28 3,963.72 - 2,639.72 - - 1,324.00 1,456.33 660.62 439.95 66.6%
2025-09 8 8,886.00 3,955.01 4,930.99 - 2,064.99 1,440.00 - 1,426.00 1,110.75 616.37 258.12 41.9%
2025-10 6 6,104.00 3,952.78 2,151.22 - 2,151.22 - - - 1,017.33 358.54 358.54 100.0%
2025-11 5 5,592.00 3,609.32 1,982.68 - 1,982.68 - - - 1,118.40 396.54 396.54 100.0%
2025-12 9 6,314.00 3,231.08 3,082.92 - 1,782.92 1,100.00 - 200.00 701.56 342.55 198.10 57.8%
2026-01 9 10,310.00 5,777.96 4,532.04 - 3,072.04 - - 1,460.00 1,145.56 503.56 341.34 67.8%
2026-02 1 1,314.00 845.76 468.24 - 468.24 - - - 1,314.00 468.24 468.24 100.0%
2026-03 3 6,858.40 1,611.68 5,246.72 - 463.72 - - 4,783.00 2,286.13 1,748.91 154.57 8.8%
2026-04 13 23,705.80 131.00 23,574.80 - 69.00 - - 23,505.80 1,823.52 1,813.45 5.31 0.3%
2026-05 6 11,466.10 - 11,466.10 - - - - 11,466.10 1,911.02 1,911.02 - 0.0%
Totals 72 96,498.30 30,885.74 65,612.56 - 16,237.66 2,540.00 - 46,834.90 1,340.25 911.29 225.52 24.7%
DOS Trip Count Gross Charges Contr Allow Net Charges Rev Adj Payments Write Offs Refunds Balance Due Gross Chg/Trip Net Chg/Trip Cash/Trip Net Coll %
2025-06 5 4,814.00 2,217.12 2,596.88 - 2,596.88 - - - 962.80 519.38 519.38 100.0%
2025-07 16 22,298.00 13,499.84 8,798.16 - 8,798.16 - - - 1,393.63 549.89 549.89 100.0%
2025-08 11 12,952.00 7,692.04 5,259.96 - 4,159.96 - - 1,100.00 1,177.45 478.18 378.18 79.1%
2025-09 12 13,156.00 7,546.40 5,609.60 - 5,409.60 - - 200.00 1,096.33 467.47 450.80 96.4%
2025-10 9 11,028.00 8,101.01 2,926.99 - 2,926.99 - - - 1,225.33 325.22 325.22 100.0%
2025-11 9 12,638.00 6,707.57 5,930.43 - 3,056.43 - - 2,874.00 1,404.22 658.94 339.60 51.5%
2025-12 6 8,826.00 3,505.30 5,320.70 - 1,904.70 - - 3,416.00 1,471.00 886.78 317.45 35.8%
2026-01 7 10,590.00 5,965.53 4,624.47 - 3,404.47 - - 1,220.00 1,512.86 660.64 486.35 73.6%
2026-02 8 10,454.00 4,847.06 5,606.94 - 2,668.94 - - 2,938.00 1,306.75 700.87 333.62 47.6%
2026-03 7 15,349.40 5,470.58 9,878.82 - 1,517.82 - - 8,361.00 2,192.77 1,411.26 216.83 15.4%
2026-04 5 11,074.40 1,611.68 9,462.72 - 463.72 - - 8,999.00 2,214.88 1,892.54 92.74 4.9%
2026-05 4 9,977.20 - 9,977.20 - - - - 9,977.20 2,494.30 2,494.30 - 0.0%
Totals 99 143,157.00 67,164.13 75,992.87 - 36,907.67 - - 39,085.20 1,446.03 767.60 372.80 48.6%
DOS Trip Count Gross Charges Contr Allow Net Charges Rev Adj Payments Write Offs Refunds Balance Due Gross Chg/Trip Net Chg/Trip Cash/Trip Net Coll %
2025-06 31 23,884.00 830.47 23,053.53 - 3,771.53 16,882.00 - 2,400.00 770.45 743.66 121.66 16.4%
2025-07 38 36,524.00 808.23 35,715.77 - 4,669.77 26,778.00 - 4,268.00 961.16 939.89 122.89 13.1%
2025-08 26 20,670.00 - 20,670.00 - 997.50 17,380.00 - 2,292.50 795.00 795.00 38.37 4.8%
2025-09 31 25,884.00 - 25,884.00 - 3,891.34 19,054.52 - 2,938.14 834.97 834.97 125.53 15.0%
2025-10 21 17,806.00 - 17,806.00 - 4,296.50 11,566.00 - 1,943.50 847.90 847.90 204.60 24.1%
2025-11 32 35,914.00 714.65 35,199.35 - 4,922.89 24,808.00 - 5,468.46 1,122.31 1,099.98 153.84 14.0%
2025-12 27 30,272.00 3,170.82 27,101.18 - 6,651.18 17,068.00 - 3,382.00 1,121.19 1,003.75 246.34 24.5%
2026-01 33 26,294.00 1,517.20 24,776.80 - 1,832.96 19,922.00 - 3,021.84 796.79 750.81 55.54 7.4%
2026-02 19 19,198.00 - 19,198.00 - 1,636.00 10,028.00 - 7,534.00 1,010.42 1,010.42 86.11 8.5%
2026-03 29 48,458.00 - 48,458.00 - 2,637.40 - - 45,820.60 1,670.97 1,670.97 90.94 5.4%
2026-04 38 70,291.70 - 70,291.70 - 4,294.30 - - 65,997.40 1,849.78 1,849.78 113.01 6.1%
2026-05 40 90,822.70 - 90,822.70 - - - - 90,822.70 2,270.57 2,270.57 - 0.0%
Totals 365 446,018.40 7,041.37 438,977.03 - 39,601.37 163,486.52 - 235,889.14 1,221.97 1,202.68 108.50 9.0%
PATIENT
MEDICAID
MEDICAID MCO
© EMS Management & Consultants Inc. Page 4 of 7
Page 65 of 88
CITY OF LAKE GENEVA MAY 2026
12 MONTH DATE OF SERVICE ANALYSIS BY PRIMARY PAYOR CATEGORY
DOS Trip Count Gross Charges Contr Allow Net Charges Rev Adj Payments Write Offs Refunds Balance Due Gross Chg/Trip Net Chg/Trip Cash/Trip Net Coll %
2025-06 - - - - - - - - - - - - 0.0%
2025-07 - - - - - - - - - - - - 0.0%
2025-08 - - - - - - - - - - - - 0.0%
2025-09 - - - - - - - - - - - - 0.0%
2025-10 - - - - - - - - - - - - 0.0%
2025-11 - - - - - - - - - - - - 0.0%
2025-12 - - - - - - - - - - - - 0.0%
2026-01 - - - - - - - - - - - - 0.0%
2026-02 - - - - - - - - - - - - 0.0%
2026-03 - - - - - - - - - - - - 0.0%
2026-04 - - - - - - - - - - - - 0.0%
2026-05 - - - - - - - - - - - - 0.0%
Totals - - - - - - - - - - - - 0.0%
DOS Trip Count Gross Charges Contr Allow Net Charges Rev Adj Payments Write Offs Refunds Balance Due Gross Chg/Trip Net Chg/Trip Cash/Trip Net Coll %
2025-06 4 5,960.00 - 5,960.00 - 5,960.00 - - - 1,490.00 1,490.00 1,490.00 100.0%
2025-07 1 1,500.00 - 1,500.00 - - - - 1,500.00 1,500.00 1,500.00 - 0.0%
2025-08 1 1,256.00 - 1,256.00 - 1,256.00 - - - 1,256.00 1,256.00 1,256.00 100.0%
2025-09 3 4,286.00 - 4,286.00 - 2,896.00 1,390.00 - - 1,428.67 1,428.67 965.33 67.6%
2025-10 - - - - - - - - - - - - 0.0%
2025-11 1 1,280.00 718.47 561.53 - 447.40 - - 114.13 1,280.00 561.53 447.40 79.7%
2025-12 2 2,738.00 700.98 2,037.02 - 2,960.02 - - (923.00) 1,369.00 1,018.51 1,480.01 145.3%
2026-01 2 3,264.00 - 3,264.00 - 3,264.00 - - - 1,632.00 1,632.00 1,632.00 100.0%
2026-02 4 5,988.00 835.59 5,152.41 - 4,817.41 - - 335.00 1,497.00 1,288.10 1,204.35 93.5%
2026-03 - - - - - - - - - - - - 0.0%
2026-04 2 4,980.50 - 4,980.50 - 4,980.50 - - - 2,490.25 2,490.25 2,490.25 100.0%
2026-05 - - - - - - - - - - - - 0.0%
Totals 20 31,252.50 2,255.04 28,997.46 - 26,581.33 1,390.00 - 1,026.13 1,562.63 1,449.87 1,329.07 91.7%
DOS Trip Count Gross Charges Contr Allow Net Charges Rev Adj Payments Write Offs Refunds Balance Due Gross Chg/Trip Net Chg/Trip Cash/Trip Net Coll %
2025-06 4 4,630.00 - 4,630.00 - 4,034.80 - - 595.20 1,157.50 1,157.50 1,008.70 87.1%
2025-07 4 5,720.00 728.64 4,991.36 - 3,561.46 - - 1,429.90 1,430.00 1,247.84 890.37 71.4%
2025-08 1 2,460.00 - 2,460.00 - - - - 2,460.00 2,460.00 2,460.00 - 0.0%
2025-09 3 4,020.00 - 4,020.00 - 1,336.00 - - 2,684.00 1,340.00 1,340.00 445.33 33.2%
2025-10 3 3,106.00 1,250.01 1,855.99 - 1,855.99 - - - 1,035.33 618.66 618.66 100.0%
2025-11 5 5,838.00 801.56 5,036.44 - 4,796.44 - - 240.00 1,167.60 1,007.29 959.29 95.2%
2025-12 1 200.00 - 200.00 - - - - 200.00 200.00 200.00 - 0.0%
2026-01 - - - - - - - - - - - - 0.0%
2026-02 - - - - - - - - - - - - 0.0%
2026-03 - - - - - - - - - - - - 0.0%
2026-04 1 2,097.00 - 2,097.00 - - - - 2,097.00 2,097.00 2,097.00 - 0.0%
2026-05 - - - - - - - - - - - - 0.0%
Totals 22 28,071.00 2,780.21 25,290.79 - 15,584.69 - - 9,706.10 1,275.95 1,149.58 708.40 61.6%
FACILITY
OTHER GOVT. PAYERS
TPL
© EMS Management & Consultants Inc. Page 5 of 7
Page 66 of 88
CITY OF LAKE GENEVA MAY 2026
OUTSTANDING AR AGING BY PAYOR CATEGORY
AGING BY AGING DATE & CURRENT PAYOR
Current Payor Current 31-60 61-90 91-120 121-180 181-365 Over 365 Total
CITY OF LAKE GENEVA-MedicareMedicare 65,610.20 3.19 805.34 1,372.00 - 5,012.00 - 72,802.73 10%
CITY OF LAKE GENEVA-Medicare AdvantageMedicare Advantage 47,156.40 7,731.18 6,463.40 599.21 2,748.00 5,399.51 4,084.00 74,181.70 10%
CITY OF LAKE GENEVA-InsuranceInsurance 44,890.81 8,711.40 6,925.79 (599.29) 446.35 2,737.90 7,799.15 70,912.11 10%
CITY OF LAKE GENEVA-MedicaidMedicaid 55,008.45 7,636.76 1,434.12 1,410.00 (753.28) 3,311.56 4,815.24 72,862.85 10%
CITY OF LAKE GENEVA-Medicaid MCOMedicaid MCO 22,626.58 6,488.60 5,560.53 2,954.80 1,456.00 - 2,632.00 41,718.51 6%
CITY OF LAKE GENEVA-PatientPatient 244,929.79 60,613.09 39,370.61 568.00 3,234.76 13,411.32 31,316.88 393,444.45 53%
CITY OF LAKE GENEVA-FacilityFacility - 1,480.00 - - 1,436.00 - - 2,916.00 0%
CITY OF LAKE GENEVA-Other Govt. PayersOther Govt. Payers 449.13 (923.00) - - 315.00 119.11 1,404.00 1,364.24 0%
CITY OF LAKE GENEVA-TPLTPL 4,915.00 4,286.00 1,900.00 - - 2,460.00 - 13,561.00 2%
CITY OF LAKE GENEVA-OtherOther - - - - - - - - 0%
Total 485,586.36 96,027.22 62,459.79 6,304.72 8,882.83 32,451.40 52,051.27 743,763.59
65.3% 12.9% 8.4% 0.8% 1.2% 4.4% 7.0%
65.3%
12.9%
8.4%
0.8%
1.2% 4.4%
7.0%
AR Aging Percent
Current
31-60
61-90
91-120
121-180
181-365
Over 365
10%
10%
10%
10%
6%
53%
0% 0% 2%
0%
AR by Payor Category
Medicare
Medicare Advantage
Insurance
Medicaid
Medicaid MCO
Patient
Facility
Other Govt. Payers
TPL
Other
© EMS Management & Consultants Inc. Page 6 of 7
Page 67 of 88
CITY OF LAKE GENEVA MAY 2026
ACCOUNTS RECEIVABLE RECONCILIATION REPORT
Month Beginning A/R Gross Charges Contr Allow Net Charges Rev Adj Payments Write Offs Refunds Ending A/R
2026-01 634,992.20 296,818.00 84,521.38 212,296.62 (12.02) 95,890.49 62,711.44 (830.01) 689,528.92
2026-02 689,528.92 146,294.70 88,329.69 57,965.01 (10.00) 85,609.05 74,154.93 (1,340.00) 589,079.95
2026-03 589,079.95 255,174.00 81,054.99 174,119.01 (6.15) 83,343.56 29,677.66 (3,170.00) 653,353.89
2026-04 653,353.89 254,196.40 120,393.45 133,802.95 19.31 94,535.28 46,431.75 (100.00) 646,270.50
2026-05 646,270.50 325,681.90 126,112.23 199,569.67 - 75,731.26 26,345.32 - 743,763.59
FY Total 634,992.20 1,278,165.00 500,411.74 777,753.26 (8.86) 435,109.64 239,321.10 (5,440.01) 743,763.59
© EMS Management & Consultants Inc. Page 7 of 7
Page 68 of 88
Policy
318
Lake Geneva Fire Department
Policy Manual
Copyright Lexipol, LLC 2026/06/30, All Rights Reserved.
Published with permission by Lake Geneva Fire Department ***DRAFT*** Newborn Safe Haven Law - 1
Newborn Safe Haven Law
318.1 PURPOSE AND SCOPE
This policy establishes the guidelines to comply with the Wisconsin newborn safe haven law.
This policy addresses infants who are 72 hours 30 days old or younger and are relinquished
under the terms of the Wisconsin newborn safe haven law (Wis. Stat. § 48.195). Abandonment of
an infant not covered by this policy would be subject to the Child Abuse Policy.
318.1.1 DEFINITIONS
Definitions related to this policy include:
Newborn - An infant whom a law enforcement officer, Emergency Medical Technician (EMT), or
hospital staff member reasonably believes to be 72 hours 30 days old or younger (Wis. Admin
Stat. Code § DCF 39 48.03 195).
Newborn infant safety device – - A box device installed at a department site staffed by an
Emergency Medical Services practitioner in which a newborn may be relinquished (Wis. Stat. §
48.195).
318.2 POLICY
It is the policy of the Lake Geneva Fire Department to provide an option to protect newborns by
allowing parents to safely and confidentially relinquish newborns at any staffed fire station (Wis.
Stat. § 48.195).
318.3 PROCEDURE
The Fire Chief shall identify qualified personnel to take custody of relinquished newborns and
ensure that such qualified personnel are available to receive any relinquished newborns.
The following procedures will be used by personnel at all department stations:
(a) Site preparation:
1. All department stations should clearly display the appropriate safe haven
signage identifying the station as a drop-off location. In addition, fire station
lobbies should display public outreach brochures obtained from the Wisconsin
Department of Children and Families (DCF).
2. All department stations should have a person designated as responsible to
order, maintain, and inventory, on a monthly basis, information provided by DCF.
3. All department stations equipped with a newborn infant safety device should
have members designated to (Wis. Stat. § 48.195):
(a) Regularly monitor the inside of the device via the surveillance system.
(b) Physically check the device twice each day.
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(c) Test the device weekly to determine whether the alarm system is in
working order. A device with a non-working alarm system should be taken
out of service until it is operable.
(b) Accepting a relinquished newborn:
1. Qualified personnel shall accept a relinquished infant, even if the infant appears
older than 72 hours 30 days. If the infant appears to be older than 72 hours 30
days, the receiving personnel should immediately notify law enforcement and
DCF, as provided in the Child Abuse Policy.
2. If it appears that the newborn has been the victim of child abuse or neglect, or
that the person relinquishing the newborn is being induced or coerced to do so,
law enforcement personnel should be requested as provided in the Child Abuse
Policy (Wis. Stat. § 48.195; Wis. Admin. Code § DCF 39.08).
3. If an EMT is not present to receive the newborn, an EMT or a law enforcement
officer should be summoned to the scene to complete relinquishment of the
newborn (Wis. Admin. Code § DCF 39.05).
4. Once a parent presents at a fire station with a newborn, personnel should
notify a supervisor and the Communications Center that they and their assigned
unit should be considered out of service until the relinquishment of the
newborn has been completed and the newborn has been transported to the
hospital. Notification to the supervisor and the Communications Center should
be accomplished by telephone or other secure means in order to preserve
confidential information (Wis. Admin. Code § DCF 39.08).
(c) Following acceptance of a newborn:
1. Personnel who take a newborn into custody shall take any action necessary to
protect the health and safety of the newborn until such time as the newborn is
transferred to a hospital (Wis. Stat. § 48.195; Wis. Admin. Code § DCF 39.07).
2. Receiving personnel shall inform the parent of the right to remain anonymous.
If a parent chooses to provide identifying information, personnel should make a
reasonable effort to obtain information regarding the social and health history,
ethnicity, and race of the parent and the newborn in addition to the name,
address, and telephone number of the parent and anyone assisting a parent
with the relinquishment. Under no circumstances should the parent be forced
or coerced to identify themself unless there is reasonable cause to suspect that
the newborn has been a victim of abuse or neglect (Wis. Stat. § 48.195; Wis.
Admin. Code § DCF 39.09).
3. Receiving personnel shall make a good-faith effort to provide to the parent with
the relinquishment publication and the maternal and child health toll-free number
maintained by DCF required brochure (Wis. Stat. § 48.195; Wis. Admin. Code
§ DCF 39.09).
4. The parent should be encouraged to accompany the newborn to the hospital to
give the medical history directly to the hospital staff and should be reassured that
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the same protection from prosecution and the ability to relinquish the newborn
is available at the hospital.
5. If the parent does not wish to accompany the newborn to the hospital, the parent
should be encouraged to complete the medical questionnaire and should be
given assistance, if needed.
6. If the parent is unwilling to complete the questionnaire and unwilling to
accompany the newborn to the hospital, personnel should make a good-faith
effort to provide the parent with any forms or written materials to be filled out
later and returned by mail.
(a) The business reply envelope containing the medical questionnaire, which
can be filled out later and returned by mail.
(b) Any required or available information sheet.
(d) Transportation to the hospital (Wis. Admin. Code §DCF § DCF 39.07):
1. Paramedics or EMTs shall accompany the newborn and parent (if the person is
willing to accompany the newborn) to the nearest emergency room with labor
and delivery capabilities.
2. The receiving hospital will take custody of the newborn and make immediate
notification to the DCF.
3. Department personnel will coordinate with the hospital to confirm that the above
required notification has been made as soon as possible, but in no event later
than 24 hours after the Department has taken custody of the newborn (Wis.
Admin. Code § DCF 39.09).
(e) Additional notifications and media concerns:
1. The receiving personnel shall notify the Communications Center and their
appropriate supervisor as soon as practicable.
2. The supervisor will notify the Shift Supervisor, the duty officer , and the
Department Public Information Officer.
3. The Public Information Officer may, as circumstances dictate, provide the
following limited facts to the media:
(a) Date, time, and fire station where the newborn was relinquished
(b) Local child welfare agency representative's name and telephone number
(c) Under no circumstances shall the parent's name be released to the public
or media.
(f) Individuals who return to claim a newborn:
1. If a parent who voluntarily relinquished a newborn requests return of the
newborn, the parent should be referred to DCF.
2. The identity of the parent must still be kept anonymous and confidential.
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3. Department members should not make any judgments about time frames or the
individual's ability to care for the newborn. The DCF will determine whether the
newborn is released to the individual.
(g) Personnel receiving a relinquished newborn shall document (Wis. Admin. Code § DCF
39.10):
1. The name and title of the receiving member and those present during the act
of relinquishment.
2. The date, time, and location of the relinquishment.
3. The age of the newborn and a description of the general health of the
relinquished newborn upon receipt and transfer of the newborn to the hospital.
4. Any relevant information regarding the relinquishment given to personnel
and non-identifying observations concerning the relinquishment made by the
receiving member and other persons present during the relinquishment.
5. A description of all actions taken by department members after the relinquished
newborn was taken into custody, including locations where the newborn was
taken and the reason for such transport.
6. The name and address of the DCF, county, or court intake worker along with
the date, time, and location that the relinquished newborn was transferred to the
intake worker.
7. Whether the relinquished newborn appeared to have been abused or neglected.
8. Whether the parent or anyone assisting the parent voluntarily provided any
identifying information.
9. Whether the parent refused to accept any information offered relating to
relinquishment.
10. Whether the receiving member provided the parent with the information
regarding the right to anonymity and confidentiality.
(h) Community donations:
1. Community groups, volunteers, foundations, and individuals may express
interest in helping with this program. Some may want to donate baby supplies,
such as baby food, diapers, or blankets, directly to the fire station. The following
guidelines are established:
(a) Only new baby blankets in the original wrapper should be accepted.
(b) Donors who wish to donate any other baby-related items, such as clothes,
baby food, or diapers, should be directed to a local social service agency
and/or reputable charities.
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318.4 TRAINING
The Fire Chief or his/her designee shall ensure that members are trained in the policies and
procedures regarding the relinquishment of newborns under the Wisconsin newborn safe haven
law (Wis. Admin. Code § DCF 39.10).
318.5 RESOURCES/ATTACHMENTS
See attachment: Safe Baby Haven Form.pdf
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Attachments
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Attachment
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Safe Baby Haven Form.pdf
Safe Baby Haven Form.pdf
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DEPARTMENT OF CHILDREN AND FAMILIES dcf.wisconsin.gov
Division of Safety and Permanence
DCF-F-CFS2316 (R. 10/2023)
Questions About You and the Infant
You do not have to complete this form or share any information with the person who accepted the infant.
Use of Form: We ask that you fill out this form to help us give the infant the best possible care now and in the future.
However, if any of the situations listed below are true, you no longer have the right to keep your information private.
1. The infant has been harmed, or
2. You are being forced by someone to give up the infant, or
3. The infant is more than 72 hours old.
Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04(1)(m), Wisconsin Statutes].
Instructions: Please answer these questions as best you can and mail the form to the Division of Milwaukee Child
Protective Services, or to the County Department of Human or Social Services in the county in which the infant was
relinquished.
The infant was born on / /
(mm/dd/yyyy)
The infant was born at approximately in the morning in the afternoon at night.
(time)
The infant was born in
(city) (state)
The infant is entirely or partly: (Check all that apply)
White
Black or African American
American Indian or Alaska Native
What is the tribal affiliation?
Asian
Native Hawaiian or other Pacific Islander
Other race - Specify:
Yes No Were there any problems with the pregnancy or delivery? If "Yes" what were the problems?
Please provide any information about the infant's family's social and health histories that would be helpful to the future
care of the infant. (For example, is there a history of heart disease, diabetes, asthma, allergies or seizures; did the mothe r
use alcohol or other drugs during the pregnancy, etc.?) The information provided need not identify the parents of the child.
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Policy
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Controlled Substance Accountability
505.1 PURPOSE AND SCOPE
The purpose of this policy is to establish the procedures for the supply, use, and accountability of
controlled substances administered by the Lake Geneva Fire Department Department pursuant
to the Controlled Substances Act.
505.1.1 DEFINITIONS
Definitions related to this policy include:
Controlled substance - A drug, substance , or immediate precursor listed in any schedule of
the federal Controlled Substances Act, including any substance added or rescheduled by the
Wisconsin Controlled Substance Board.
Schedule II substances have a high potential for abuse which may lead to severe psychological
or physical dependence.
Schedule III substances have a potential for abuse less than substances in Schedules I or II and
abuse may lead to moderate or low physical dependence or high psychological dependence.
Schedule IV substances have a lower potential for abuse relative to substances in Schedule III.
Unit - Any ambulance, transport unit or first response engine or truck company.
Secured or secure area - An enclosed, access-controlled building, room, vehicle, or locked
storage component used to store controlled substances in a manner that prevents unauthorized
access, theft, or diversion, and that complies with applicable federal and state regulations.
Unit - Any department vehicle authorized for use in emergency response.
505.2 POLICY
It is the policy of the Lake Geneva Fire Department to ensure the availability of the proper
medications for emergencies and to comply with all applicable local, state, and federal regulations
governing the supply, use , and accountability of all controlled substances (21 CFR 1300 .01 et
seq.; 21 CFR 1301.01 et seq.; Title 21 USC Controlled Substances Act; Wis. Stat. § 961.11 §
801 et seq.).
505.3 STORAGE AND INVENTORY
To prevent the unauthorized access of controlled substances during an incident, the controlled
substances must either be in direct possession of a paramedic when responding to an emergency
or locked in a secured area (21 CFR 1301.80) .
The Emergency Medical Services (EMS) supervisor will determine the locking mechanism to be
utilized on vehicles that contain controlled substances. Controlled substances should be secured
in the locked mechanism any time the unit is parked and unattended.
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All personnel authorized to handle controlled substances shall follow this procedure unless prior
written permission to deviate is obtained from the EMS supervisor or the authorized designee:
(a) All controlled substances are to be secured by department members in the designated
locking mechanism provided by the Department.
(b) Paramedics may carry controlled substances on their person or in a jump bag
instead of storing the controlled substances in a secure area when responding to an
emergency. Paramedics shall return controlled substances to a secure area once they
are no longer engaged in responding to an emergency (21 CFR 1301.80).
(c) At each shift change, an incoming and outgoing paramedic shall, in each other’s
other's presence, inspect the quantities, the integrity of the containers , and the
expiration dates of the controlled substance inventories. Each paramedic shall attest to
the quantity available by printing and signing his/her full their full name on a controlled
substance daily report. At no time shall an individual enter a name or signature on
behalf of another person.
(d) If the inventory of any controlled substance results in a discrepancy, the paramedics
must immediately attempt to reconcile the amount missing. If the discrepancy cannot
be reconciled, immediate notification shall be made to the Company Officer, the Shift
Supervisor, and the EMS supervisor. The EMS supervisor shall be responsible for the
completion and submission of the online DEA Form 106, Report of Theft or Loss of
Controlled Substances (21 CFR 1301.76).
(e) If the unit is dispatched to an incident before the daily inventory occurs, the inventory
and reconciliation shall be done as soon as practicable upon returning to the station. If
the outgoing paramedics have already left the station, one on-duty paramedic and the
Company Officer from the on-duty shift may conduct the inventory and reconciliation
process.
(f) In the event that a paramedic works two consecutive shifts on the same unit, the
inventory shall be performed by the paramedic and witnessed and verified by another
paramedic assigned to the station, a Company Officer or Officer, or an on-duty shift
member.
(g) A controlled substance daily report and a controlled substance disposition and restock
record shall be maintained on board all units. These documents shall be available
for random inspection and review by the EMS supervisor and local, state , or federal
regulatory representatives to ensure compliance.
(h) When a controlled substance daily report is completed on the last day of the month,
the Company Officers from each shift shall review the report for completeness and
sign the bottom of the record. After review, the Company Officer shall forward a copy
of the report, along with a copy of the corresponding controlled substance disposition
and restock record, to the EMS supervisor as soon as practicable.
(i) A copy of the controlled substance daily report and controlled substance disposition
and restock record should be maintained in the station files for a period of one year.
After one year, the station copies shall be shredded.
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505.3.1 STANDARD CONTROLLED SUBSTANCE INVENTORY
(a) The standard complement of controlled substances shall be established by the EMS
supervisor or the authorized designee.
(b) Any modification to the standard complement of controlled substances shall be
justified and approved by the EMS supervisor or the authorized designee.
(c) The supply of controlled substances will be obtained from any of the Department’s
Department's automated storage and retrieval units, the Department’s Department's
controlled substances vault, or other authorized source.
(d) Only paramedics and EMS supervisors are authorized to remove controlled
substances from the automated storage and retrieval unit and the controlled
substances vault. A witness (paramedic, EMT, or other authorized member) is required
in order to access the automated inventory control unit or controlled substances vault.
When removing controlled substances from any automated storage and retrieval unit,
personnel shall record the following information in the designated fields:
1. The patient’s patient's first and last name, sex, and date of birth (when known)
2. Unit identification number and Patient Care Report (PCR) number
3. The incident number
4. Any additional pertinent information may be entered into comments field
(e) When a controlled substance is received, the paramedic receiving the drug must
immediately secure the drug into the locked mechanism on the unit.
505.4 CONTROLLED SUBSTANCE ADMINISTRATION AND DOCUMENTATION
(a) Only paramedics shall administer controlled substances. Each time a controlled
substance is administered to a patient, the drug, dose, and administration route shall
be documented on the PCR in compliance with rules of the Wisconsin Department
of Health Services (DHS) and the Department the Department and Medical Director
guidelines (21 CFR 1304.27). In addition, the following information shall be recorded
on the controlled substance disposition and restock record:
1. Date of administration
2. Incident number associated with the event
3. PCR number
4. Patient’s Patient's full first and last name (when known)
5. Drug and dose administered
6. Printed first and last name and signature of paramedic who administered the
controlled substance
7. Printed last name or initials of the medical director or authorizing medical
professional issuing the standing or verbal order
8. Whether a standing or verbal order was issued and adopted
9. The amount and method of disposal, if applicable
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10. Date and source of the medication resupply
(b) If the entire amount of a controlled substance is not administered by the transporting
paramedic, a licensed staff member for the hospital that received the patient shall
witness the proper disposal of the remaining amount. The hospital staff member’s
member's signature must be obtained on the controlled substance disposition and
restock record. If waste of a controlled substance occurs at the incident, another
paramedic or Company Officer must Company Officer must witness the waste and
sign the record.
(c) When a controlled substance is restocked, the following information shall be entered
on the controlled substance disposition and restock record on the line immediately
below the corresponding patient information:
1. The date
2. The restock source
3. The printed full name and signature of the paramedic who restocked the
controlled substance into the locked mechanism
505.4.1 ADDITIONAL DOCUMENTATION FOR TRANSFERS
If a controlled substance is administered and the care of the patient is transferred to a transporting
paramedic who resupplies the administering unit, the information listed above must appear on the
controlled substance disposition and restock record of the administering and transporting unit that
provided the drug for restock, in addition to the unit identification of both the units.
If a paramedic transfers the care of a patient to a transporting paramedic prior to the administration
of the entire dosage of a controlled substance, any remaining controlled substance shall not be
provided to the transporting paramedic. If additional medication is needed after the patient care
transfer, the controlled substance shall be used from the inventory of the transporting paramedic.
505.5 CONTROLLED SUBSTANCE SUPPLY AND RESUPPLY
(a) The
administering paramedic will acquire the appropriate medication for restock from
Mercyhealth Hospital and Medical Center – Walworth, N2950 WI-67, Lake Geneva, WI
(b)
(c) The
EMS supervisor shall submit a completed DEA Form 222 to the designated
department supplier to order controlled substances in order to maintain established
levels.
(d) Upon receipt of the controlled substance from the supplier, the EMS supervisor or
the designated paramedic shall inventory the controlled substance received to ensure
that the type and quantities ordered match the type and quantities received and are
reflected on the corresponding DEA Form 222 (21 CFR 1305.12; 21 CFR 1305.13).
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(e) The EMS supervisor or the designated paramedic will immediately place the controlled
substance in the controlled substance vault or automated storage and retrieval unit
and ensure that inventory is reconciled with any electronic data files.
(f) The EMS supervisor or the designated paramedic will inventory the controlled
substance vault and any automated storage and retrieval units weekly to ensure the
existing inventory is reconciled with any electronic data files. The record of these
inventories is to be printed and maintained as provided in the records retention
schedule and for a minimum of two years (21 CFR 1304.04).
(g) Any inventory or reconciliation discrepancies shall immediately be brought to the
attention of the Shift Supervisor and a DEA Form 106, Report of Theft or Loss
of Controlled Substances, shall be completed and submitted, if required (21 CFR
1301.76).
505.5.1 UNIT RESUPPLY
If a controlled substance is initially administered from the one unit, the transporting unit, or another
on-scene Department scene Department unit may resupply the administering unit on-scene.
The transporting unit or other department unit on-scene shall then be responsible for obtaining
the resupply from the Department Department's automated storage and retrieval unit or other
authorized supply source.
An administering paramedic may opt to obtain the resupply of a controlled substance from the
Department Department's automated storage and retrieval unit or other authorized source any
time it is operationally appropriate instead of resupplying from the transporting or other on-scene
department unit.
Resupply from a non-department unit is not authorized. If the care of a patient is transferred
to a non-department unit, the administering paramedic will obtain the resupply from the
Department Department's automated storage and retrieval unit or other authorized source.
505.6 ACCOUNTING FOR EXPIRED OR DAMAGED CONTROLLED SUBSTANCES
Controlled substances due to expire or that are damaged may be replaced as follows:
• Note the expiration date or damage, the date of replacement, and the source of restock
on the Department’s Department's controlled substance disposition and restock
record.
• Place the expired drug or damaged container in the supplied envelope and label with
the type of drug, dosage, unit identifier, and name of the paramedic who returned the
drug and the date.
• Put the envelope in the locked return drug box to be returned to the designated
supplier.
This process may also be used to replace controlled substances due to expire.
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505.7 ACCOUNTABILITY
The EMS supervisor is responsible for the record-keeping requirements identified in 21 CFR
1304.27 for EMS services provided by the Department. This includes oversight of the records
of each acquisition or distribution of controlled substances, as well as records pertaining to the
administration or disposal of controlled substances in the course of providing emergency medical
services (21 CFR 1304.27).
The EMS supervisor should (21 CFR 1304.04):
(a) Review the controlled substance daily reports and the controlled substance disposition
and restock records monthly for completeness, compliance with established
procedure, consistency with the data entered, comparison to the signatures on file ,
and any other issues that may require follow-up or investigation.
(b) Create, complete, maintain , and annually update the Department’s department's
signature log.
(c) Randomly inspect controlled substance daily reports and the controlled substance
disposition and restock records on units for completeness, compliance with
established procedure, consistency with the data entered, comparison to the
signatures on file, and any other issues that may require follow-up or investigation.
(d) Ensure copies of Establish procedures to ensure controlled substance daily
reports and the controlled , controlled substance disposition and restock records are
maintained , and records of deliveries of and exchanges of controlled substances
between all department locations are retained as provided in the records retention
schedule and for a minimum period of two years.
(e) Ensure that records are maintained, whether electronically or otherwise, at each
department location involved in the receipt, administration, or disposition of controlled
substances.
(f) Ensure that documents describing the conditions and extent of a paramedic's
authorization to dispense controlled substances are maintained in a readily retrievable
manner and made available for inspection and copying by authorized employees of
the DEA (21 CFR 1304.04 03).
(g) Notify the responsible Shift Supervisor of any item that deviates from this policy.
Page 82 of 88
June 23, 2026
Chief Peters
Please accept my resigna�on from the City of Lake Geneva Fire Department. I appreciate the
opportunity that you provided. My life has gone through a great deal of changes in the last two
years, and I do not have the �me to commit to LGFD to level the department needs or deserves.
Thank you,
Bruce VanderVeen
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Source: City of Lake Geneva website. First collected Oct 19, 2026.