Liabilities / Assets
50th percentile
Higher debt load relative to assets than 50% of similar nonprofits.
EIN 16-1470051 • 501(c)3 • Liverpool, NY
Profile
To provide emergency medical care in the town of clay, ny and its surrounding areas.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
50th percentile
Higher debt load relative to assets than 50% of similar nonprofits.
Liabilities / Revenue
66th percentile
Higher debt load relative to revenue than 66% of similar nonprofits.
Net Margin
54th percentile
Higher net margin than 54% of similar nonprofits.
Top Officer Pay
33rd percentile
Higher top officer pay than 33% of similar nonprofits.
Top officer pay equals 3.1% of source-year revenue.
Asset Growth
42nd percentile
Faster asset growth than 42% of similar nonprofits.
Revenue Growth
40th percentile
Faster revenue growth than 40% of similar nonprofits.
Assets
Up$7,379,123
Up $232,486 (+3.3%) from 2023
Liabilities
Down$1,671,119
Down $58,355 (-3.4%) from 2023
Net Assets
Up$5,708,004
Up $290,841 (+5.4%) from 2023
Revenue
Up$4,519,186
Up $63,532 (+1.4%) from 2023
Expenses
Up$4,344,191
Up $101,331 (+2.4%) from 2023
Net Income
Down$174,995
Down $37,799 (-18%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide emergency medical care in the town of clay, ny and its surrounding areas.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $3,828,666 | $3,737,209 | ▼ $91,457 |
| Investments in Publicly Traded Securities | $1,827,045 | $2,022,782 | ▲ $195,737 |
| Accounts Receivable | $953,484 | $1,168,173 | ▲ $214,689 |
| Inventories for Sale or Use | $177,001 | $211,248 | ▲ $34,247 |
| Cash and Non-Interest-Bearing Accounts | $334,090 | $208,588 | ▼ $125,502 |
| Prepaid Expenses and Deferred Charges | $5,717 | $20,235 | ▲ $14,518 |
| Total Assets | $7,146,637 | $7,379,123 | ▲ $232,486 |
| Other Assets Total | $20,634 | $10,888 | ▼ $9,746 |
| Liabilities | |||
| Mortgage Notes Payable Secured by Investment Property | $1,594,966 | $1,457,967 | ▼ $136,999 |
| Accounts Payable and Accrued Expenses | $113,874 | $202,264 | ▲ $88,390 |
| Other Liabilities | $20,634 | $10,888 | ▼ $9,746 |
| Total Liabilities | $1,729,474 | $1,671,119 | ▼ $58,355 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $5,417,163 | $5,708,004 | ▲ $290,841 |
| Total Net Assets Fund Balance | $5,417,163 | $5,708,004 | ▲ $290,841 |
| Total Liabilities and Net Assets / Fund Balance | $7,146,637 | $7,379,123 | ▲ $232,486 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $3,273,425 | $1,024,455 | $4,297,880 |
| Equipment | $436,190 | $1,921,031 | $2,357,221 |
| Leasehold Improvements | $24,494 | $86,374 | $110,868 |
| Land | $3,100 | - | $3,100 |
| Name | Title | Full / Part Time | Base | Total |
|---|---|---|---|---|
| John Marko | Executive Director | FT | $141,570 | $141,570 |
| Russell Ziskind | President | PT | $45,000 | $45,000 |
| Michelle Kosinski | Director of Finance- Actin | PT | $7,187 | $7,187 |
| Name | Title |
|---|---|
| Dale Cuny | Vice President/ Secretary |
| Bill Moore | Board Member at Large |
| Gail Frost | Board Member at Large |
| Kimber Gadaleta | Board Member at Large |
| Syed Ahmed Mustafa | Community Member |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $2,387,398 |
| Other Expenses | $1,956,793 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $1,686,829 | $105,358 | - | $1,792,187 |
| Fees for Services Other | $338,823 | $34,070 | - | $372,893 |
| Depreciation Depletion | $312,703 | - | - | $312,703 |
| Other Employee Benefits | $227,893 | - | - | $227,893 |
| Current Officers, Directors, Trustees, and Key Employees | $186,570 | $7,187 | - | $193,757 |
| Payroll Taxes | $144,081 | $18,283 | - | $162,364 |
| Travel | $145,202 | - | - | $145,202 |
| Insurance | $95,083 | - | - | $95,083 |
| Interest | $80,505 | - | - | $80,505 |
| All Other Expenses | $47,026 | $14,997 | - | $62,023 |
| Office Expenses | $15,344 | $35,355 | - | $50,699 |
| Other Expenses | $49,287 | $47,816 | - | $47,816 |
| Occupancy | $30,471 | $15,111 | - | $45,582 |
| Information Technology | - | $44,809 | - | $44,809 |
| Fees for Services Accounting | - | $28,302 | - | $28,302 |
| Conferences and Meetings | $15,735 | - | - | $15,735 |
| Fees for Service Investment Mgmnt Fees | - | $14,965 | - | $14,965 |
| Pension Plan Contributions | $11,197 | - | - | $11,197 |
| Fees for Services Legal | - | $1,000 | - | $1,000 |
| Total Functional Expenses | $3,976,938 | $367,253 | $0 | $4,344,191 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $4,344,191 |
| Expenses per Audited Statements | $3,796,615 |
| Total Expenses per Audited Statements | $3,796,615 |
| Expenses Not Reported on Financial Statements | $547,576 |
| Other Expense Adjustments | $532,611 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Operating Lease Right-of-use Obligation | $10,888 |
“The agency is a member organization.”
“Admission of new members to the organization must be approved by existing members.”
“All board members received a copy of the 990. A review of the draft filing was discussed with the independent auditors at the exit conference with the board.”
“At the first board meeting each year, which would be the first board meeting with the newly elected board - the conflict of interest policies are reviewed and renewed (via each members' signature on a copy of the policy) each year.”
“Compensation review and approval for the executive director is performed annually by the board of directors.”
“Governing documents are not available to the public. The financial statements are available upon request and at websites who publish copies of the agency's form 990 and nys char 500.”
“The process has not changed from the prior year.”
“The organization has been determined to be exempt from federal income taxes under section 501(c)(3) of the internal revenue code and has been classified as an organization that is not a private foundation under section 509(a). Management is unaware of any unrelated business activities that may be subject to unrelated business income tax or any activities that would jeopardize the organization's exempt status.”
“Bad debt expense 532,611.”
“Bad debt expense 532,611.”
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 | 113874 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 202264 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 953484 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1168173 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE EMERGENCY MEDICAL CARE IN THE TOWN OF CLAY, NY AND ITS SURROUNDING AREAS. |
| IRS990/AllOtherContributionsAmt | 0 | 2601 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 14997 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 47026 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 62023 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | MICHELLE KOSINSKI |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3156221442 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 4425 BUCKLEY ROAD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LIVERPOOL |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NY |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 13090 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 334090 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 208588 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 7187 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 186570 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 193757 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 15735 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 15735 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 2601 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 152855 |
| IRS990/CYOtherExpensesAmt | 0 | 1956793 |
| IRS990/CYOtherRevenueAmt | 0 | 7028 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 4356702 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 174995 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 2387398 |
| IRS990/CYTotalExpensesAmt | 0 | 4344191 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 4519186 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 312703 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 312703 |
| IRS990/Desc | 0 | IN THE TOWN OF CLAY, NY AND SURROUNDING AREAS, COMPENSATED AND NON-COMPENSATED STAFF, TRAINED IN BOTH BASIC AND ADVANCED EMERGENCY MEDICAL SKILLS, PROVIDE EMERGENCY TRANSPORT FOR THE ILL AND INJURED TO HOSPITALS AND OTHER APPROVED MEDICAL FACILITIES. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 0 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 55 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 3976938 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 28302 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 28302 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1000 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1000 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 34070 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 338823 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 372893 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 14965 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 14965 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 2.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | RUSSELL ZISKIND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | DALE CUNY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | GAIL FROST |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | BILL MOORE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | SYED AHMED MUSTAFA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | KIMBER GADALETA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JOHN MARKO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MICHELLE KOSINSKI |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 45000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 141570 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 7187 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE PRESIDENT/ SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER AT LARGE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER AT LARGE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | COMMUNITY MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER AT LARGE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | EXECUTIVE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR OF FINANCE- ACTIN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1994 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 58000 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 6 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 58000 |
| IRS990/GrossReceiptsAmt | 0 | 4519186 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 44809 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 44809 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 95083 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 95083 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 80505 |
| IRS990/InterestGrp/TotalAmt | 0 | 80505 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 177001 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 211248 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 94855 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 94855 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 1827045 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 2022782 |
| IRS990/IRPDocumentCnt | 0 | 8 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 3031860 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 3828666 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 3737209 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 6769069 |
| IRS990/LegalDomicileStateCd | 0 | NY |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE EMERGENCY MEDICAL CARE IN THE TOWN OF CLAY, NY AND ITS SURROUNDING AREAS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1594966 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1457967 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 5417163 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 5708004 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 58000 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 58000 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 115846 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 5417163 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 5708004 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 15111 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 30471 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 45582 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 35355 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 15344 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 50699 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 20634 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 10888 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 227893 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 227893 |
| IRS990/OtherExpensesGrp/Desc | 0 | BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | MINOR EQUIPMENT |
| IRS990/OtherExpensesGrp/Desc | 3 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 47816 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 532611 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 57578 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 49287 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 532611 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 57578 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 49287 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 47816 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 20634 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 10888 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS INCOME |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 7028 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 7028 |
| IRS990/OtherRevenueTotalAmt | 0 | 7028 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 105358 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 1686829 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 1792187 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 18283 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 144081 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 162364 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 11197 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 11197 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 5717 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 20235 |
| IRS990/PrincipalOfficerNm | 0 | RUSSELL ZISKIND |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621910 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PROGRAM SERVICE FEES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 4354202 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 4354202 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 396 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 118712 |
| IRS990/PYOtherExpensesAmt | 0 | 1851254 |
| IRS990/PYOtherRevenueAmt | 0 | 970 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 4335576 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 212794 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 2391606 |
| IRS990/PYTotalExpensesAmt | 0 | 4242860 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 4455654 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 174995 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| 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 | 4363730 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 2601 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 396 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1258 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 546310 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 85967 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 636532 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 94855 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 69212 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 84449 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 83880 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 94938 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 427334 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 4356702 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 4335576 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 3773318 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 3497482 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 3748224 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 19711302 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 94855 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 69212 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 84449 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 83880 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 94938 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 427334 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.02050 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.01970 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 7028 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 970 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 33500 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 47000 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 88498 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.97530 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.97630 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 20347834 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 4359303 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 4335972 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3774576 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 4043792 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 3834191 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 20347834 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 4461186 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 4406154 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 3859025 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 4161172 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 3976129 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 20863666 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 3273425 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 1024455 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 4297880 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 436190 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 1921031 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 2357221 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 547576 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 3796615 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/InvestmentExpensesNotIncld2Amt | 0 | 14965 |
| IRS990ScheduleD/InvestmentExpensesNotIncldAmt | 0 | 14965 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 3100 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 3100 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 24494 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt | 0 | 86374 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt | 0 | 110868 |
| IRS990ScheduleD/NetUnrealizedGainsInvstAmt | 0 | 115846 |
| IRS990ScheduleD/OtherExpensesNotIncludedAmt | 0 | 532611 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 10888 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | OPERATING LEASE RIGHT-OF-USE OBLIGATION |
| IRS990ScheduleD/OtherRevenuesNotIncludedAmt | 0 | 532611 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 115846 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 547576 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 3971610 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION HAS BEEN DETERMINED TO BE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A). MANAGEMENT IS UNAWARE OF ANY UNRELATED BUSINESS ACTIVITIES THAT MAY BE SUBJECT TO UNRELATED BUSINESS INCOME TAX OR ANY ACTIVITIES THAT WOULD JEOPARDIZE THE ORGANIZATION'S EXEMPT STATUS. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | BAD DEBT EXPENSE 532,611. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 2 | BAD DEBT EXPENSE 532,611. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART XI, LINE 4B - OTHER ADJUSTMENTS: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | PART XII, LINE 4B - OTHER ADJUSTMENTS: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 3737209 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 4344191 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 10888 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 4519186 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 4087456 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 3796615 |
| IRS990/ScheduleJRequiredInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | THE AGENCY IS A MEMBER ORGANIZATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | ADMISSION OF NEW MEMBERS TO THE ORGANIZATION MUST BE APPROVED BY EXISTING MEMBERS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | ALL BOARD MEMBERS RECEIVED A COPY OF THE 990. A REVIEW OF THE DRAFT FILING WAS DISCUSSED WITH THE INDEPENDENT AUDITORS AT THE EXIT CONFERENCE WITH THE BOARD. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | AT THE FIRST BOARD MEETING EACH YEAR, WHICH WOULD BE THE FIRST BOARD MEETING WITH THE NEWLY ELECTED BOARD - THE CONFLICT OF INTEREST POLICIES ARE REVIEWED AND RENEWED (VIA EACH MEMBERS' SIGNATURE ON A COPY OF THE POLICY) EACH YEAR. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | COMPENSATION REVIEW AND APPROVAL FOR THE EXECUTIVE DIRECTOR IS PERFORMED ANNUALLY BY THE BOARD OF DIRECTORS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND AT WEBSITES WHO PUBLISH COPIES OF THE AGENCY'S FORM 990 AND NYS CHAR 500. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI, SECTION A, LINE 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION A, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION B, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PART VI, SECTION B, LINE 15 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | FORM 990, PART XII, LINE 2C: |
| IRS990/SchoolOperatingInd | 0 | 0 |
| IRS990/SignificantChangeInd | 0 | 0 |
| IRS990/SignificantNewProgramSrvcInd | 0 | 0 |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 0 | NY |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | 0 |
| IRS990/SubjectToProxyTaxInd | 0 | 0 |
| IRS990/SubjToTaxRmnrtnExPrchtPymtInd | 0 | 0 |
| IRS990/TaxablePartyNotificationInd | 0 | 0 |
| IRS990/TaxExemptBondsInd | 0 | 0 |
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