Liabilities / Assets
84th percentile
Higher debt load relative to assets than 84% of similar nonprofits.
EIN 23-7329437 • 501(c)3 • Albuquerque, NM
Profile
Our mission is to provide high quality, cost effective emergency care and transportation to our community.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
84th percentile
Higher debt load relative to assets than 84% of similar nonprofits.
Liabilities / Revenue
54th percentile
Higher debt load relative to revenue than 54% of similar nonprofits.
Net Margin
54th percentile
Higher net margin than 54% of similar nonprofits.
Top Officer Pay
96th percentile
Higher top officer pay than 96% of similar nonprofits.
Top officer pay equals 3.3% of source-year revenue.
Asset Growth
77th percentile
Faster asset growth than 77% of similar nonprofits.
Revenue Growth
74th percentile
Faster revenue growth than 74% of similar nonprofits.
Assets
Up$20,005,418
Up $2,530,611 (+14%) from 2023
Liabilities
Down$14,510,986
Down $146,418 (-1.0%) from 2023
Net Assets
Up$5,494,432
Up $2,677,029 (+95%) from 2023
Revenue
Up$45,187,470
Up $8,419,899 (+23%) from 2023
Expenses
Up$42,510,441
Up $3,224,460 (+8.2%) from 2023
Net Income
Up$2,677,029
Up $5,195,439 (+206%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Our mission is to provide high quality, cost effective emergency care and transportation to our community.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $9,037,887 | $8,878,652 | ▼ $159,235 |
| Accounts Receivable | $6,365,162 | $8,874,794 | ▲ $2,509,632 |
| Prepaid Expenses and Deferred Charges | $1,177,446 | $1,067,013 | ▼ $110,433 |
| Savings and Temporary Cash Investments | $492,033 | $964,781 | ▲ $472,748 |
| Inventories for Sale or Use | $217,178 | $217,178 | → $0 |
| Pledges and Grants Receivable | $182,101 | $0 | ▼ $182,101 |
| Cash and Non-Interest-Bearing Accounts | $3,000 | $3,000 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | - | - |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $17,474,807 | $20,005,418 | ▲ $2,530,611 |
| Other Assets Total | $0 | $0 | → $0 |
| Liabilities | |||
| Other Liabilities | $12,582,734 | $12,245,772 | ▼ $336,962 |
| Accounts Payable and Accrued Expenses | $2,074,670 | $2,265,214 | ▲ $190,544 |
| Total Liabilities | $14,657,404 | $14,510,986 | ▼ $146,418 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $2,817,403 | $5,494,432 | ▲ $2,677,029 |
| Total Net Assets Fund Balance | $2,817,403 | $5,494,432 | ▲ $2,677,029 |
| Total Liabilities and Net Assets / Fund Balance | $17,474,807 | $20,005,418 | ▲ $2,530,611 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $3,021,782 | $9,781,543 | $12,803,325 |
| Buildings | $2,238,150 | $5,514,735 | $7,752,885 |
| Other Land Buildings | $1,850,430 | $4,685,937 | $6,536,367 |
| Land | $1,768,290 | - | $1,768,290 |
| Name | Title |
|---|---|
| Chris Spencer | President / Director |
| Natasha Kolb MD | Vice President / Director |
| Doyle Boykin | Director |
| Jeff Kinney | Director |
| Brandon Fryar | Director (Term: 9/30/24) |
| Ian Medoro MD | Medical Director - AAS |
| Timothy Johnsen | Secretary / Treasurer & Director |
| Julie Carpenter | Paramedic Iv-aas-abq |
| Francisco Salazar | Specialized Services Captain |
| Perry Rush | Specialized Services Captain |
| Julie Heinz | VP-Chief-AAS |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Image Trend | Ems Software Service | 1305 CORPORATE CENTER DRIVE, SUITE 500, Eagan, MN 55121 | $751,590 |
| Logic Solutions INC | Data Management Srvc | 10375 RICHMOND AVE, 850, Houston, TX 77042 | $609,278 |
| Medic Built LLC | Ambulance Repairs | PO BOX 888, Kennedale, TX 76060 | $600,568 |
| Power Ford | Ambulance Maintenance | 1101 MONTANO RD NE, Albuquerque, NM 87107 | $403,127 |
| Siddons Martin Emergency | Ambulance Repairs | 4214 2ND ST NW, Albuquerque, NM 87107 | $231,851 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $27,893,859 |
| Other Expenses | $14,616,582 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $19,162,876 | $1,309,032 | - | $20,471,908 |
| Other Employee Benefits | $4,560,478 | $312,340 | - | $4,872,818 |
| Insurance | $1,792,917 | $373,409 | - | $2,166,326 |
| Payroll Taxes | $1,566,695 | $91,936 | - | $1,658,631 |
| Depreciation Depletion | $1,105,972 | $230,340 | - | $1,336,312 |
| Fees for Services Other | $974,680 | $73,334 | $0 | $1,048,014 |
| Pension Plan Contributions | $826,418 | $64,084 | - | $890,502 |
| Other Expenses | $783,665 | $514 | - | $783,665 |
| Office Expenses | $284,543 | $43,644 | - | $328,187 |
| All Other Expenses | $248,692 | $31,425 | $0 | $280,117 |
| Occupancy | - | $219,441 | - | $219,441 |
| Fees for Services Legal | $0 | $22,663 | - | $22,663 |
| Travel | $3,754 | $7,114 | - | $10,868 |
| Advertising | - | $7,281 | - | $7,281 |
| Conferences and Meetings | $2,588 | $3,510 | - | $6,098 |
| Interest | $1,004 | - | - | $1,004 |
| Total Functional Expenses | $35,194,265 | $7,316,176 | $0 | $42,510,441 |
| Line Item | Amount |
|---|---|
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Expenses per Audited Statements | $0 |
| Other Expense Adjustments | $0 |
| Total Expenses per Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Federal Income Taxes | $12,244,516 |
| Due to Presbyterian Healthcare Services, Parent Corp. | $1,256 |
| Other Liabilities | - |
“The sponsoring organization appoints the members of the filing organization.”
“The sponsoring organization appoints the members of the filing organization and the members of the filing organization elect its governing board.”
“Bernalillo county health care corporation does not maintain any board committees. Therefore, this question is not applicable.”
“Form 990 is prepared by the tax director and submitted to the controller and to the general counsel of the parent corporation, presbyterian healthcare services (phs) for detailed review. After this detailed review is completed any necessary corrections are made by the tax director before filing with the internal revenue service.”
“Conflict of interest statements are submitted annually. Board members are required to remove themselves from conflicts or excuse themselves from votes that may leave any appearance of non-independence. The conflict of interest policy is reviewed annually by the governance committee of the sponsoring organization and revised if appropriate. Conflict of interest requirements are reviewed with members of the board annually.”
“Every three years, all executives' compensation is reviewed by an independent external consulting firm retained by the executive compensation committee of the phs board. The executive compensation committee consists of independent board members of the phs governing board. Phs management uses the data from the external compensation committee to establish appropriate compensation for all executives. Additionally, all executive compensation is reviewed internally, by the phs compensation department, annually.”
“Copies of the most current three years' forms 990 are maintained at the phs administrative center and at the filing organization's headquarters. These returns are available for review or photocopy by any individual who requests such. In addition, form 990 are also published on www.guidestar.org and are filed with the new mexico attorney general. These returns are available freely to the public in this manner. At this time, copies of governing documents, policies, and financial statements are not available on the companies' web site.”
“PATIENT TRANSFER CENTER - Total Revenue: 40000, Related or Exempt Function Revenue: 40000, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; PATIENT INTEREST INCOME - Total Revenue: 7691, Related or Exempt Function Revenue: 7691, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”
“Albuquerque ambulance service (aas) was purchased in 1972 by a joint venture between presbyterian healthcare services and st. Joseph's healthcare system. The purchase was made in response to inadequate and inconsistent ambulance service in the city at that time, and immediate efforts were begun to improve services, personnel training, and equipment. In september of 1994, aas became the thirty-fifth paramedic ambulance service in the united states to be nationally accredited by the commission on the accreditation of ambulance services, (caas). Aas is still caas accredited; receiving a perfect score during the most recent renewal in 2023. In 1996, presbyterian healthcare services purchased st. Joseph's interest in aas and gained the right to appoint all corporate members. Today, aas continues to grow and serve residents of the greater albuquerque area and all of bernalillo county. Aas also responds to the village of corrales and kirtland air force base, and conducts interfacility transports in santa fe and rio arriba county. In addition, aas is one of the only ems agencies to offer ground-based critical care services in new mexico. Aas provides more than just transportation for those who are sick; it also views education about emergency medical services and prevention as part of its mission. As part of a not-for-profit organization, aas provides emergency medical services regardless of a person's ability to pay. 2024 services provided: 71,687 = emergency transports 18,048 = inter-facility / non-emergency transports 3,893 = patient evaluations (no transport) 93,628 = total utilization billed 56,644 = non-billable services provied ("cancelled en route", "determined to be non-emergency", "patient not there", "stand-by", other) 150,272 = total requests for service community benefit: 1) uncompensated care: charity / indigent care / bad debt: company policies define charity care as the provision of services when no payment or nominal payment is anticipated in return. Bad debt occurs when payment is anticipated, but not collected. Because patients' financial circumstances or insurance eligibility can change, and information provided is not always complete, bad debts are often indistinguishable from charity services and can also be considered a component of uncompensated care. Cost of charity = $4,369,126 bad debt = $3,321,176 total = $7,690,302 2) education: albuquerque ambulance service offers educational programs on an ongoing basis that are open to the general public and to healthcare providers from any organization. There are currently 6 schools in new mexico that are recognized by the nm ems bureau as ems training institutions (unm ems academy and cnm in albuquerque, santa fe community college in santa fe, eastern nm university in roswell, san juan college in farmington and dona ana branch community college in las cruces). Through agreements with these institutions, many ambulance services have personnel certified to provide training; when necessary. Credit and completion certification are issued by the institutions. Aas provides core continuing education courses including bls for healthcare providers (cpr), advanced cardiac life support (acls), and pediatric advanced life support (pals). Additionally. Aas provides targeted continuing education symposiums including cardiac, trauma, and pediatric topics. And other specialty, qi driven courses designed to allow providers to meet their refresher requirements for all levels of ems (basic, intermediate, paramedic, and critical care paramedic). In 2023, an estimated 10% of enrollees attending carded course were non-albuquerque ambulance staff. However, for the ce blitz days, an estimated 80% of enrollees were non-albuquerque ambulance staff and represented ems providers serving communities from around the state of new mexico. Non-staff enrollees included external emts (basics, intermediates, paramedics, and critical care paramedics), nurses, physicians, other healthcare personnel, milit”
“Albuquerque ambulance service exists to provide clinically diverse and patient-centric services to our community. Our highly talented workforce will be guided by principles including clinical excellence, operations and fiscal efficiency, continuous learning, and data-driven practices.”
“Bernalillo county health care corporation (bchcc) follows asc 740, income taxes, which prescribes criteria for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. Asc 740 also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition. Bchcc recognizes interest accrued related to tax contingencies in interest expense and penalties in operating expenses. As of december 31, 2024 and 2023, there was no significant impact on the accompanying financial statements related to the tax positions taken.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2265214 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 6365162 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 8874794 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | OUR MISSION IS TO PROVIDE HIGH QUALITY, COST EFFECTIVE EMERGENCY CARE AND TRANSPORTATION TO OUR COMMUNITY. |
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| IRS990/AdvertisingGrp/TotalAmt | 0 | 7281 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 31425 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 248692 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 280117 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Kevin P Nowell CPA |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 5059236101 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 9521 San Mateo Blvd NE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Albuqueque |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NM |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 871132237 |
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| IRS990/BusinessRlnWithFamMemInd | 0 | false |
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| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 600568 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 403127 |
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| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | AMBULANCE MAINTENANCE |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.0 |
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| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 47618 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 115960 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 101022 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 8553 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 51220 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 27210 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 27554 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 23503 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Chris Spencer |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Natasha Kolb MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Timothy Johnsen |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Brandon Fryar |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Doyle Boykin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Jeff Kinney |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Francisco Salazar |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Ian Medoro MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Julie Carpenter |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Julie Heinz |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Perry Rush |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 425154 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 508161 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 1385599 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 1316499 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 299075 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 155735 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 192171 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 341248 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 142904 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 208971 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 155181 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | President / Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice President / Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary / Treasurer & Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Director (Term: 9/30/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Director |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Specialized Services Captain |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Medical Director - AAS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PARAMEDIC IV-AAS-ABQ |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VP-Chief-AAS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Specialized Services Captain |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 1972 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 197480 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 197480 |
| IRS990/GrossReceiptsAmt | 0 | 45187470 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 373409 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 1792917 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2166326 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 1004 |
| IRS990/InterestGrp/TotalAmt | 0 | 1004 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 217178 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 217178 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 19982215 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 9037887 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 8878652 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 28860867 |
| IRS990/LegalDomicileStateCd | 0 | NM |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | false |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 2817403 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 5494432 |
| IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt | 0 | 197480 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 197480 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 2817403 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 5494432 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 219441 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 219441 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 43644 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 284543 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 328187 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OnBehalfOfIssuerInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 0 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 312340 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 4560478 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4872818 |
| IRS990/OtherExpensesGrp/Desc | 0 | CORPORATE ALLOCATION |
| IRS990/OtherExpensesGrp/Desc | 1 | EQUIPMENT RENTALS |
| IRS990/OtherExpensesGrp/Desc | 2 | SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 3 | GAS & OIL |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 4482421 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 43688 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 514 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 2125695 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 1754288 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 783665 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4482421 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 2169383 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1754802 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 783665 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 12582734 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 12245772 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | ERC |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | MEDICAL RECORD FEES |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | CASH DISCOUNTS |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 41609 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 24794 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 2 | 4301 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 41609 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 24794 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 4301 |
| IRS990/OtherRevenueTotalAmt | 0 | 70704 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1309032 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 19162876 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 20471908 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 91936 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1566695 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1658631 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 64084 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 826418 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 890502 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 182101 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliciesReferenceChaptersInd | 0 | false |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 1177446 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 1067013 |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | Chris Spencer |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 4 | 621910 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | MEDICARE/MEDICAID PMT |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | EMERGENCY MEDICAL TRAN |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | KAFB SUBSIDY |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | IN-HOME ASSESSMENT |
| IRS990/ProgramServiceRevenueGrp/Desc | 4 | MOBILE INTEGRATED HEALTH |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 28717513 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 14898239 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 882985 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 358090 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 4 | 4500 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 28717513 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 14898239 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 882985 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 358090 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 4 | 4500 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 182101 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 131609 |
| IRS990/PYOtherExpensesAmt | 0 | 13221380 |
| IRS990/PYOtherRevenueAmt | 0 | 292907 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 36160954 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -2518410 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 26064601 |
| IRS990/PYTotalExpensesAmt | 0 | 39285981 |
| IRS990/PYTotalRevenueAmt | 0 | 36767571 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 2677029 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
| IRS990/RelatedOrganizationsAmt | 0 | 10268 |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 0 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 45177202 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 492033 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 964781 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus1YearAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 10268 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 182101 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 360201 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3692 |
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