Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
EIN 20-3693455 • 501(c)3 • Cedar Rapids, IA
Profile
Provides regional hospital ambulance services based in cedar rapids ia the service operates under a 28e agreement with the local cities and hospitals that have representation on the service's board of directors
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
Liabilities / Revenue
26th percentile
Higher debt load relative to revenue than 26% of similar nonprofits.
Net Margin
56th percentile
Higher net margin than 56% of similar nonprofits.
Top Officer Pay
66th percentile
Higher top officer pay than 66% of similar nonprofits.
Top officer pay equals 2.3% of source-year revenue.
Asset Growth
65th percentile
Faster asset growth than 65% of similar nonprofits.
Revenue Growth
67th percentile
Faster revenue growth than 67% of similar nonprofits.
Assets
Up$13,789,383
Up $1,174,463 (+9.3%) from 2024
Liabilities
Up$784,683
Up $182,565 (+30%) from 2024
Net Assets
Up$13,004,700
Up $991,898 (+8.3%) from 2024
Revenue
Up$10,395,170
Up $1,494,283 (+17%) from 2024
Expenses
Up$9,668,508
Up $1,539,057 (+19%) from 2024
Net Income
Down$726,662
Down $44,774 (-5.8%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
Provides regional hospital ambulance services based in cedar rapids ia the service operates under a 28e agreement with the local cities and hospitals that have representation on the service's board of directors
Provides regional hospital ambulance services based in cedar rapids under a 28e agreement with the local cities and hospitals
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $6,143,390 | $7,248,970 | ▲ $1,105,580 |
| Investments in Publicly Traded Securities | $4,113,845 | $4,152,324 | ▲ $38,479 |
| Accounts Receivable | $1,558,816 | $1,915,890 | ▲ $357,074 |
| Cash and Non-Interest-Bearing Accounts | $661,552 | $359,515 | ▼ $302,037 |
| Prepaid Expenses and Deferred Charges | $137,317 | $112,684 | ▼ $24,633 |
| Total Assets | $12,614,920 | $13,789,383 | ▲ $1,174,463 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $602,118 | $784,683 | ▲ $182,565 |
| Total Liabilities | $602,118 | $784,683 | ▲ $182,565 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $12,012,802 | $13,004,700 | ▲ $991,898 |
| Total Net Assets Fund Balance | $12,012,802 | $13,004,700 | ▲ $991,898 |
| Total Liabilities and Net Assets / Fund Balance | $12,614,920 | $13,789,383 | ▲ $1,174,463 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $3,022,339 | $1,857,088 | - |
| Other Land Buildings | $231,405 | $142,730 | - |
| Land | $458,578 | - | - |
| Equipment | $3,519,426 | $2,036,876 | - |
| Leasehold Improvements | $17,222 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Keith M Rippy | Executive Director | FT | $230,692 | $8,768 | $238,742 |
| Jennifer L Zahrt | Vpcoo | FT | $172,357 | $1,701 | $174,776 |
| Lynne K Devore | Controller | FT | $131,746 | $1,015 | $132,761 |
| Name | Title |
|---|---|
| Tyler Olson | Vice Chair |
| Abhijit Deshpande | Director |
| Ashley Vanorny | Director |
| Dan Evans | Director |
| Eric Voss | Director |
| Justin Mcdonald | Director |
| Luke Hicks | Director |
| Ryan Waller | Director |
| Sami Sheetz | Director |
| Sandi Mcintosh | Director |
| Paul Rehn | Secretary |
| Nathan Vangenderen | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Quick Med Claims | Billing Services | 1400 Lebanon Church Rd, West Mifflin, PA 15236 | $481,201 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $5,741,777 |
| Other Expenses | $3,926,731 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $4,173,204 | $278,187 | - | $4,451,391 |
| Depreciation Depletion | $866,484 | $174,009 | - | $1,040,493 |
| Fees for Services Other | $549,934 | - | - | $549,934 |
| Current Officers, Directors, Trustees, and Key Employees | $89,855 | $339,885 | - | $429,740 |
| Other Employee Benefits | $377,853 | $48,106 | - | $425,959 |
| Payroll Taxes | $332,138 | $48,768 | - | $380,906 |
| Insurance | $307,310 | $16,945 | - | $324,255 |
| Advertising | - | $309,850 | - | $309,850 |
| Information Technology | $294,048 | - | - | $294,048 |
| Occupancy | $209,281 | $13,727 | - | $223,008 |
| All Other Expenses | $63,994 | $53,772 | - | $117,766 |
| Fees for Services Management | $75,798 | $12,710 | - | $88,508 |
| Office Expenses | $5,389 | $73,827 | - | $79,216 |
| Other Expenses | $76,889 | - | - | $76,889 |
| Pension Plan Contributions | $36,598 | $17,183 | - | $53,781 |
| Fees for Services Accounting | - | $50,701 | - | $50,701 |
| Fees for Service Investment Mgmnt Fees | - | $15,516 | - | $15,516 |
| Conferences and Meetings | - | $12,918 | - | $12,918 |
| Fees for Services Legal | - | $3,442 | - | $3,442 |
| Total Functional Expenses | $8,198,962 | $1,469,546 | $0 | $9,668,508 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Schedule O”
“Schedule O”
“Schedule O”
“Location: 2730 12th St SW Cedar Rapids, IA 52404”
“All documents listed are made available upon request.”
“The return will be reviewed by the executive director, finance”
“Committee & accountant prior to filing.”
“Written reports are provided by directors, which disclose any”
“CONFLICT OF INTEREST.”
“Key employees are approved by the board as part of the budget”
“PROCESS.”
“The board will make available its governing documents, conflict”
“Of interest policy & financial statements to the public on an”
“AS-REQUESTED BASIS.”
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 | true |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 602118 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 784683 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1558816 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1915890 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | PROVIDES REGIONAL HOSPITAL AMBULANCE SERVICES BASED IN CEDAR RAPIDS UNDER A 28E AGREEMENT WITH THE LOCAL CITIES AND HOSPITALS |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 309850 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 309850 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 53772 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 63994 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 117766 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | false |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | AREA AMBULANCE AUTHORITY |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3193662300 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2730 12TH ST SW |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | CEDAR RAPIDS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | IA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 52404 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 661552 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 359515 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 339885 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 89855 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 429740 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | false |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 12918 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 12918 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 481201 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1400 Lebanon Church Rd |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | West Mifflin |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 15236 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Quick Med Claims |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Billing Services |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 194890 |
| IRS990/CYOtherExpensesAmt | 0 | 3926731 |
| IRS990/CYOtherRevenueAmt | 0 | 203837 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 9996443 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 726662 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 5741777 |
| IRS990/CYTotalExpensesAmt | 0 | 9668508 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 10395170 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 174009 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 866484 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1040493 |
| IRS990/Desc | 0 | PROVIDE REGIONAL HOSPITAL AMBULANCE SERVICES BASED IN CEDAR RAPIDS IA. THE SERVICE OPERATES UNDER A 28E AGREEMENT WITH THE LOCAL CITIES AND HOSPITALS THAT HAVE REPRESENTATION ON THE SERVICES BOARD OF DIRECTORS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | false |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | AREA AMBULANCE SERVICE |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 110 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 8198962 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 50701 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 50701 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 3442 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 3442 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 12710 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 75798 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 88508 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 549934 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 549934 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 15516 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 15516 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 3.00 |
| 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/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | 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 | 8050 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 1701 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 1015 |
| 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/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KEITH M RIPPY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JENNIFER L ZAHRT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | LYNNE K DEVORE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | TYLER OLSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | PAUL REHN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SANDI MCINTOSH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JUSTIN MCDONALD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DAN EVANS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | NATHAN VANGENDEREN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ASHLEY VANORNY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | LUKE HICKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | ERIC VOSS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ABHIJIT DESHPANDE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | RYAN WALLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | SAMI SHEETZ |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 230692 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 173075 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 131746 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| 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/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | EXECUTIVE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VPCOO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CONTROLLER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 2005 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | false |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 15242 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 15242 |
| IRS990/GrossReceiptsAmt | 0 | 10395170 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 13 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 294048 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 294048 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 16945 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 307310 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 324255 |
| IRS990/InvestmentExpenseAmt | 0 | 15516 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 179648 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 179648 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 4113845 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 4152324 |
| IRS990/IRPDocumentCnt | 0 | 13 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 4036694 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 6143390 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 7248970 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 11285664 |
| IRS990/LegalDomicileStateCd | 0 | IA |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | PROVIDES REGIONAL HOSPITAL AMBULANCE SERVICES BASED IN CEDAR RAPIDS IA THE SERVICE OPERATES UNDER A 28E AGREEMENT WITH THE LOCAL CITIES AND HOSPITALS THAT HAVE REPRESENTATION ON THE SERVICE'S BOARD OF DIRECTORS |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 12012802 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 13004700 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 15242 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 265237 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 12012802 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 13004700 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 13727 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 209281 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 223008 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 73827 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 5389 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 79216 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 48106 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 377853 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 425959 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical supplies & equip |
| IRS990/OtherExpensesGrp/Desc | 1 | Fuel |
| IRS990/OtherExpensesGrp/Desc | 2 | Equipment Maintenance |
| IRS990/OtherExpensesGrp/Desc | 3 | Vehicle MaintRepair |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 380523 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 208925 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 150739 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 76889 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 380523 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 208925 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 150739 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 76889 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | STANDBY MED REC SUP |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 203837 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 203837 |
| IRS990/OtherRevenueTotalAmt | 0 | 203837 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 278187 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 4173204 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 4451391 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 48768 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 332138 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 380906 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 17183 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 36598 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 53781 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 137317 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 112684 |
| IRS990/PrincipalOfficerNm | 0 | KEITH M RIPPY |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621910 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | AMBULANCE SERVICE REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 9996443 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 9996443 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 156208 |
| IRS990/PYOtherExpensesAmt | 0 | 3168520 |
| IRS990/PYOtherRevenueAmt | 0 | 152804 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 8591875 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 771436 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 4960931 |
| IRS990/PYTotalExpensesAmt | 0 | 8129451 |
| IRS990/PYTotalRevenueAmt | 0 | 8900887 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 726662 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 9996443 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd | 0 | true |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd | 0 | false |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd | 0 | false |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd | 0 | false |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd | 0 | true |
| IRS990ScheduleA/IRSWrittenDeterminationInd | 0 | X |
| IRS990ScheduleA/OtherSupportSumAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrganizationsCnt | 0 | 2 |
| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 2 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 0 | 420698295 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 1 | 420504780 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 0 | true |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 1 | true |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 0 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 1 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt | 1 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt | 1 | 0 |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 0 | MERCY MEDICAL CENTER |
| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 1 | UNITY POINT HOSPITAL |
| IRS990ScheduleA/SupportingOrganization509a3Ind | 0 | X |
| IRS990ScheduleA/SupportingOrgType1Ind | 0 | X |
| IRS990/ScheduleBRequiredInd | 0 | false |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 3022339 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 1857088 |
| IRS990ScheduleD/BuildingsGrp/InvestmentCostOrOtherBasisAmt | 0 | 4879427 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 3519426 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 2036876 |
| IRS990ScheduleD/EquipmentGrp/InvestmentCostOrOtherBasisAmt | 0 | 5556302 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 458578 |
| IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt | 0 | 458578 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt | 0 | 17222 |
| IRS990ScheduleD/LeaseholdImprovementsGrp/InvestmentCostOrOtherBasisAmt | 0 | 17222 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 231405 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 142730 |
| IRS990ScheduleD/OtherLandBuildingsGrp/InvestmentCostOrOtherBasisAmt | 0 | 374135 |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 7248970 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | false |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | false |
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