Liabilities / Assets
79th percentile
Higher debt load relative to assets than 79% of similar nonprofits.
EIN 02-0753921 • 501(c)3 • Ann Arbor, MI
Profile
The mission of monroe community ambulance is to provide accessible high quality pre-hospital health care services to the people and organizations we serve in south central michigan.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
79th percentile
Higher debt load relative to assets than 79% of similar nonprofits.
Liabilities / Revenue
66th percentile
Higher debt load relative to revenue than 66% of similar nonprofits.
Net Margin
34th percentile
Higher net margin than 34% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
78th percentile
Faster asset growth than 78% of similar nonprofits.
Revenue Growth
66th percentile
Faster revenue growth than 66% of similar nonprofits.
Assets
Up$3,872,397
Up $165,874 (+4.5%) from 2024
Liabilities
Up$1,886,229
Up $312,748 (+20%) from 2024
Net Assets
Down$1,986,168
Down $146,874 (-6.9%) from 2024
Revenue
Up$7,702,621
Up $360,763 (+4.9%) from 2024
Expenses
Up$7,849,495
Up $70,273 (+0.9%) from 2024
Net Income
Up-$146,874
Up $290,490 (+66%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
The mission of monroe community ambulance is to provide accessible high quality pre-hospital health care services to the people and organizations we serve in south central michigan.
To provide high-quality emergency medical and transportation services to the communities in southern michigan.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $1,755,610 | $1,774,645 | ▲ $19,035 |
| Accounts Receivable | $1,572,616 | $1,764,304 | ▲ $191,688 |
| Cash and Non-Interest-Bearing Accounts | $270,457 | $214,239 | ▼ $56,218 |
| Inventories for Sale or Use | $53,825 | $52,327 | ▼ $1,498 |
| Prepaid Expenses and Deferred Charges | $28,782 | $38,429 | ▲ $9,647 |
| Total Assets | $3,706,523 | $3,872,397 | ▲ $165,874 |
| Other Assets Total | $25,233 | $28,453 | ▲ $3,220 |
| Liabilities | |||
| Other Liabilities | $1,566,583 | $1,874,257 | ▲ $307,674 |
| Accounts Payable and Accrued Expenses | $4,750 | $10,100 | ▲ $5,350 |
| Deferred Revenue | $2,148 | $1,872 | ▼ $276 |
| Total Liabilities | $1,573,481 | $1,886,229 | ▲ $312,748 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $2,133,042 | $1,986,168 | ▼ $146,874 |
| Total Net Assets Fund Balance | $2,133,042 | $1,986,168 | ▼ $146,874 |
| Total Liabilities and Net Assets / Fund Balance | $3,706,523 | $3,872,397 | ▲ $165,874 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $834,592 | $1,328,577 | $2,163,169 |
| Equipment | $328,947 | $709,955 | $1,038,902 |
| Buildings | $361,089 | $182,696 | $543,785 |
| Land | $222,400 | - | $222,400 |
| Leasehold Improvements | $27,617 | $46,039 | $73,656 |
| Name | Title |
|---|---|
| Ronald Slagell | President/CEO |
| Kelly Druckenmiller | Vice Chair |
| Douglas Wattoff | Trustee |
| Andrea Donahue | Secretary |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $4,390,478 |
| Other Expenses | $3,459,017 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $3,420,398 | - | - | $3,420,398 |
| Other Employee Benefits | $585,208 | - | - | $585,208 |
| Depreciation Depletion | $352,997 | - | - | $352,997 |
| Payroll Taxes | $257,189 | - | - | $257,189 |
| All Other Expenses | $171,231 | - | - | $171,231 |
| Fees for Services Management | - | $154,080 | - | $154,080 |
| Insurance | $141,249 | - | - | $141,249 |
| Pension Plan Contributions | $127,683 | - | - | $127,683 |
| Other Expenses | $75,418 | $960,778 | - | $75,418 |
| Occupancy | $63,608 | - | - | $63,608 |
| Office Expenses | $27,404 | - | - | $27,404 |
| Fees for Services Other | $24,414 | - | - | $24,414 |
| Fees for Services Accounting | - | $19,500 | - | $19,500 |
| Fees for Services Legal | - | $4,949 | - | $4,949 |
| Advertising | $2,517 | - | - | $2,517 |
| Total Functional Expenses | $6,710,188 | $1,139,307 | $0 | $7,849,495 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $7,862,695 |
| Expenses per Audited Statements | $7,849,495 |
| Total Expenses per Form 990 | $7,849,495 |
| Expenses Not Reported on Form 990 | $13,200 |
| Expenses Not Reported on Financial Statements | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Due to Ehp | $1,774,533 |
| Due to Hva | $56,096 |
| Due to Lifecare | $28,453 |
| Due to Jca | $15,175 |
“It is the responsibility of the finance committee to review the 990 in detail before it is filed. All board members are provided with a copy of the 990 to review.”
“Each year board members are asked to complete a conflict of interest questionnaire that is then reviewed by the president and ceo.”
“Compensation of the president and ceo is reviewed annually by the executive committee of the board of trustees of the affiliated organization who pays the compensation. The committee reviews the form 990 of other ambulance companies along with various public compensation survey information that is available. Periodically the executive committee has a formal survey done by an independent third party to ensure that the compensation of the president and ceo is reasonable. The conclusions are approved by the executive committee and documented via a written employment contract. Compensation of other officers and key employees of the organization are determined by the president and ceo of the affiliated organization that pays the compensation, based on comparable data.”
“Copies are made available upon request.”
“In preparation of tax returns, tax positions are taken based on interpretation of federal, state and local income tax laws. Management periodically reviews and evaluates the status of uncertain tax positions and makes estimates of amounts, including interest and penalties, ultimately due or owed. No amounts have been identified, or recorded, as uncertain tax positions. Federal, state and local tax returns generally remain open for examination by the various taxing authorities for a period of three to four years.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 4750 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 10100 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1572616 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1764304 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE HIGH-QUALITY EMERGENCY MEDICAL AND TRANSPORTATION SERVICES TO THE COMMUNITIES IN SOUTHERN MICHIGAN. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 2517 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 2517 |
| IRS990/AllOtherContributionsAmt | 0 | 326 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 171231 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 171231 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | ANN GAUDET-BEACH |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 7344776289 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1200 STATE CIRCLE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | ANN ARBOR |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48108 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 270457 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 214239 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 326 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | -1691 |
| IRS990/CYOtherExpensesAmt | 0 | 3459017 |
| IRS990/CYOtherRevenueAmt | 0 | 5786 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 7698200 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -146874 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 4390478 |
| IRS990/CYTotalExpensesAmt | 0 | 7849495 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 7702621 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2148 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 1872 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 352997 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 352997 |
| IRS990/Desc | 0 | THE COMPANY PROVIDES A SUBSTANTIAL PORTION OF ITS SERVICES TO THE ELDERLY AND POOR. DURING THE FISCAL YEAR MONROE COMMUNITY AMBULANCE PROVIDED TRANSPORTS TO ELDERLY PATIENTS UNDER THE MEDICARE PROGRAM, AS WELL AS TO PATIENTS WHO WERE DEEMED INDIGENT UNDER STATE, COUNTY, OR MEDICAID CENTER GUIDELINES.PATIENT TRANSPORT SERVICESTHE COMPANY SERVES THREE COUNTIES WITH A MEDICAL STAFF OF EMERGENCY MEDICAL TECHNICIANS AND PARAMEDICS.COMMUNITY BENEFIT ACTIVITIESAS A COMMUNITY-OWNED NONPROFIT, MONROE COMMUNITY AMBULANCE RECOGNIZES THAT PART OF THEIR MISSION IS TO GIVE BACK TO THE COMMUNITY. THE COMPANY COORDINATES VARIOUS PROGRAMS AND OFFERS THEM FREE OF CHARGE TO THE COMMUNITY. OUR GOALS FOR THESE PROGRAMS, WHICH ARE TARGETED TO VARIOUS AGE GROUPS, ARE THE FOLLOWING: TO PROVIDE INFORMATION ON EMS IN GENERAL AND MCA SPECIFICALLY AND TO PROVIDE PROGRAMS ON SAFETY, INJURY PREVENTION, AND HEALTH IMPROVEMENT. THE TYPES OF PROGRAMS, EVENTS AND APPEARANCES ARE ILLUSTRATED BELOW:COMMUNITY EDUCATION PROGRAMSBLOGS AND SOCIAL MEDIA CAMPAIGNS TO PROVIDE BASIC EDUCATION, NEWS AND INFORMATION TO THE COMMUNITY.PRESENTATIONS AND AMBULANCE TOURS AGES 5-18 TO COVER HOW TO CALL 911, WHAT PARAMEDICS DO, BASIC FIRST AID, AND OTHER SIMPLE SAFETY MESSAGES.PRESENTATIONS TO OLDER CHILDREN AND YOUNG ADULTS ABOUT CONSIDERING EMS AS A CAREER.HELP SCOUT TROOPS RECEIVE FIRST AID BADGES.PRESENTATIONS TO ADULT GROUPS WHO MCA IS, MCA SERVICES, HOW EMS WORKS, EMERGENCY PREPAREDNESS.PRESENTATIONS TO SENIORS ANY OR ALL OF THE FOLLOWING TOPICS: WHO MCA IS, MCA SERVICES, HOW EMS WORKS, EMERGENCY PREPAREDNESS, ADVANCE MEDICAL DIRECTIVES, PREVENTING FALLS.DEMONSTRATION AND EDUCATION HANDS-ONLY CPR FOR ALL AGES.STAFFING EXHIBITS AT BUSINESS EXPOS, HEALTH FAIRS AND CAREER FAIRS WHERE WE ANSWER QUESTIONS AND DISTRIBUTE LITERATURE, SOMETIMES DEMONSTRATE AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS).EMS STANDBY COVERAGE FOR LARGE COMMUNITY EVENTS, HIGH SCHOOL SPORTS, ETC.PARTICIPATING IN COMMUNITY PARADES WITH AN AMBULANCE OR AED PRESENTATIONS THROUGHOUT THE YEAR.PARTICIPATING IN COMMUNITY SAFETYTOWNS THROUGHOUT OUR SERVICE AREA, WHERE PRESCHOOL CHILDREN LEARN ABOUT FIRE, POLICE AND EMS.PROVIDING CREW AND AMBULANCE TO HIGH SCHOOL "MOCK CRASHES" FOR DRIVER EDUCATION THROUGHOUT OUR SERVICE AREA. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 6710188 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 19500 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 19500 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 4949 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 4949 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 154080 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 154080 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 24414 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 24414 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 57187 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | RONALD SLAGELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DOUGLAS WATTOFF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ANDREA DONAHUE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | KELLY DRUCKENMILLER |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 410250 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT/CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VICE CHAIR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2006 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -1691 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 7704312 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 3 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 141249 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 141249 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 53825 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 52327 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 5 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 2267267 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1755610 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1774645 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 4041912 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 1691 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | THE MISSION OF MONROE COMMUNITY AMBULANCE IS TO PROVIDE HIGH-QUALITY OUT-OF-HOSPITAL CARE AND TRANSPORTATION SERVICES TO THE COMMUNITIES WE SERVE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 2133042 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 1986168 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -1691 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -1691 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 2133042 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1986168 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 63608 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 63608 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 27404 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 27404 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 25233 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 28453 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 585208 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 585208 |
| IRS990/OtherExpensesGrp/Desc | 0 | ALLOCATED EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 1 | VEHICLE |
| IRS990/OtherExpensesGrp/Desc | 2 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 3 | REPAIRS & MAINTENANCE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 960778 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 1041267 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 294091 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 125514 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 75418 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2002045 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 294091 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 125514 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 75418 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1566583 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1874257 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER REVENUE |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 5786 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 5786 |
| IRS990/OtherRevenueTotalAmt | 0 | 5786 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 3420398 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 3420398 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 257189 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 257189 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 127683 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 127683 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 28782 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 38429 |
| IRS990/PrincipalOfficerNm | 0 | RONALD SLAGELL |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621910 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENU |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | SUBSCRIPTIONS |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 7694140 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 4060 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 7694140 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 4060 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 1674 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 41 |
| IRS990/PYOtherExpensesAmt | 0 | 3212089 |
| IRS990/PYOtherRevenueAmt | 0 | 473 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 7339670 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -437364 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 4567133 |
| IRS990/PYTotalExpensesAmt | 0 | 7779222 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 7341858 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -146874 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 7703986 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | OTHER INCOME - 2020 AMOUNT: $ 5,633. 2021 AMOUNT: $ 3,154. 2022 AMOUNT: $ 4,304. 2023 AMOUNT: $ 473. 2024 AMOUNT: $ 5,786. |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 326 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 1674 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1926 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 52144 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 412316 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 468386 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 41 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 886 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1164 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 558 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 2649 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 7698200 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 7339670 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 7744166 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 6620342 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 5843521 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 35245899 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 41 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 886 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 1164 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 558 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 2649 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00010 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00010 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 5786 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 473 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 4304 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3154 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 5633 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 19350 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99940 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99460 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 35714285 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 7698526 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 7341344 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 7746092 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 6672486 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 6255837 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 35714285 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 7704312 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 7341858 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 7751282 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 6676804 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 6262028 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 35736284 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 361089 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 182696 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 543785 |
| IRS990ScheduleD/DonatedServicesAndUseFcltsAmt | 0 | 13200 |
| IRS990ScheduleD/DonatedServicesUseFcltsAmt | 0 | 13200 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 328947 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 709955 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 1038902 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 13200 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 7849495 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 222400 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 222400 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 27617 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt | 0 | 46039 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt | 0 | 73656 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 834592 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 1328577 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 2163169 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 56096 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 15175 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 2 | 1774533 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 3 | 28453 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | DUE TO HVA |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | DUE TO JCA |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 2 | DUE TO EHP |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 3 | DUE TO LIFECARE |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 13200 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 7702621 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | IN PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED, OR RECORDED, AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO FOUR YEARS. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 1774645 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 7849495 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 1874257 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 7702621 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 7715821 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 7862695 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 1 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 47914 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 362336 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 30609 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 26578 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | RONALD SLAGELL |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | PRESIDENT/CEO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 0 | 467437 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | LEADERSHIP PERSONNEL ARE ELIGIBLE FOR PERFORMANCE-BASED INCENTIVE COMPENSATION TIED TO THE ACHIEVEMENT OF PRE-ESTABLISHED, OBJECTIVE MILESTONES. THESE INCLUDE CLINICAL QUALITY OUTCOMES, OPERATIONAL EFFICIENCY, AND THE AGENCY'SOVERALL FINANCIAL HEALTH. ALL BONUSES ARE CALCULATED USING DEFINED FORMULAS AND REQUIRE FORMAL REVIEW AND APPROVAL BYTHE BOARD OF DIRECTORS TO ENSURE ALIGNMENT WITH THE ORGANIZATION'S NON-PROFIT MISSION. |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 7 |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | IT IS THE RESPONSIBILITY OF THE FINANCE COMMITTEE TO REVIEW THE 990 IN DETAIL BEFORE IT IS FILED. ALL BOARD MEMBERS ARE PROVIDED WITH A COPY OF THE 990 TO REVIEW. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | EACH YEAR BOARD MEMBERS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE THAT IS THEN REVIEWED BY THE PRESIDENT AND CEO. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | COMPENSATION OF THE PRESIDENT AND CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF THE AFFILIATED ORGANIZATION WHO PAYS THE COMPENSATION. THE COMMITTEE REVIEWS THE FORM 990 OF OTHER AMBULANCE COMPANIES ALONG WITH VARIOUS PUBLIC COMPENSATION SURVEY INFORMATION THAT IS AVAILABLE. PERIODICALLY THE EXECUTIVE COMMITTEE HAS A FORMAL SURVEY DONE BY AN INDEPENDENT THIRD PARTY TO ENSURE THAT THE COMPENSATION OF THE PRESIDENT AND CEO IS REASONABLE. THE CONCLUSIONS ARE APPROVED BY THE EXECUTIVE COMMITTEE AND DOCUMENTED VIA A WRITTEN EMPLOYMENT CONTRACT. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION ARE DETERMINED BY THE PRESIDENT AND CEO OF THE AFFILIATED ORGANIZATION THAT PAYS THE COMPENSATION, BASED ON COMPARABLE DATA. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | COPIES ARE MADE AVAILABLE UPON REQUEST. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleR/AssetExchangeInd | 0 | 0 |
| IRS990ScheduleR/AssetPurchaseFromOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/AssetSaleToOtherOrgInd | 0 | 0 |
| IRS990ScheduleR/DivRelatedOrganizationInd | 0 | 0 |
| IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd | 0 | 0 |
| IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd | 0 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 0 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 1 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 2 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 3 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 4 | 0 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt | 0 | EMERGENT HEALTH PARTNERS |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt | 1 | HURON VALLEY AMBULANCE INC |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt | 2 | JACKSON COMMUNITY AMBULANCE INC |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt | 3 | LIFECARE AMBULANCE |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt | 4 | LIFECARE AMBULANCE REAL ESTATE HOLDING |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 0 | 452579119 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 1 | 382200909 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 2 | 383316836 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 3 | 382441192 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 4 | 383139768 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt | 0 | 501(C)(3) |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt | 1 | 501(C)(3) |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt | 2 | 501(C)(3) |
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