Liabilities / Assets
49th percentile
Higher debt load relative to assets than 49% of similar nonprofits.
EIN 27-3923442 • 501(c)3 • St Joseph, MO
Profile
To provide an effective ground ambulance service which functions as a part of a coordinated emergency medical service system for the health and safety of the community and its citizens.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
49th percentile
Higher debt load relative to assets than 49% of similar nonprofits.
Liabilities / Revenue
45th percentile
Higher debt load relative to revenue than 45% of similar nonprofits.
Net Margin
28th percentile
Higher net margin than 28% of similar nonprofits.
Top Officer Pay
44th percentile
Higher top officer pay than 44% of similar nonprofits.
Top officer pay equals 1.6% of source-year revenue.
Asset Growth
48th percentile
Faster asset growth than 48% of similar nonprofits.
Revenue Growth
28th percentile
Faster revenue growth than 28% of similar nonprofits.
Assets
Up$12,354,899
Up $1,150,508 (+10%) from 2022
Liabilities
Up$1,987,512
Up $1,011,937 (+104%) from 2022
Net Assets
Up$10,367,387
Up $138,571 (+1.4%) from 2022
Revenue
Up$10,897,879
Up $775,085 (+7.7%) from 2022
Expenses
Up$11,220,165
Up $1,576,212 (+16%) from 2022
Net Income
Down-$322,286
Down $801,127 (-167%) from 2022
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.
To provide an effective ground ambulance service which functions as a part of a coordinated emergency medical service system for the health & safety of the community & its citizens.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $5,529,069 | $4,796,278 | ▼ $732,791 |
| Cash and Non-Interest-Bearing Accounts | $3,659,060 | $4,645,086 | ▲ $986,026 |
| Accounts Receivable | $577,375 | $740,774 | ▲ $163,399 |
| Pledges and Grants Receivable | $678,792 | $689,104 | ▲ $10,312 |
| Prepaid Expenses and Deferred Charges | $385,405 | $285,707 | ▼ $99,698 |
| Total Assets | $10,829,701 | $11,204,391 | ▲ $374,690 |
| Other Assets Total | $0 | $47,442 | ▲ $47,442 |
| Liabilities | |||
| Other Liabilities | $670,597 | $833,889 | ▲ $163,292 |
| Mortgage Notes Payable Secured by Investment Property | $149,550 | - | - |
| Accounts Payable and Accrued Expenses | $259,579 | $141,686 | ▼ $117,893 |
| Total Liabilities | $1,079,726 | $975,575 | ▼ $104,151 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $9,749,975 | $10,228,816 | ▲ $478,841 |
| Total Net Assets Fund Balance | $9,749,975 | $10,228,816 | ▲ $478,841 |
| Total Liabilities and Net Assets / Fund Balance | $10,829,701 | $11,204,391 | ▲ $374,690 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $1,645,927 | $3,517,447 | $5,163,374 |
| Buildings | $2,664,035 | $969,812 | $3,633,847 |
| Land | $486,316 | - | $486,316 |
| Name | Title | Full / Part Time | Base | Total |
|---|---|---|---|---|
| Wallace Patrick | Executive Director | FT | $142,131 | $142,131 |
| Name | Title |
|---|---|
| Lee Sawyer | Board Chair |
| Scott Meierhoffer | Vice President |
| Dave Gach | Director |
| Gary Hazelrigg | Director |
| Neelam Rana | Director |
| Kristie Arthur | Secretary |
| MARGARET O'MALLEY | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Change Healthcare Tech | Technology Consulting | PO BOX 742526, Atlanta, GA 30374 | $142,386 |
| Medserv Management | Management | 2901 WILLIAMSBURG TERRACE SUITE G, Platte City, MO 64079 | $139,648 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $6,599,553 |
| Other Expenses | $3,044,400 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $3,692,489 | $564,921 | - | $4,257,410 |
| Other Employee Benefits | $1,836,599 | - | - | $1,836,599 |
| Depreciation Depletion | $937,915 | - | - | $937,915 |
| Fees for Services Management | - | $369,385 | - | $369,385 |
| Payroll Taxes | $352,564 | - | - | $352,564 |
| Insurance | $188,738 | $121,876 | - | $310,614 |
| All Other Expenses | $170,118 | $1,569 | - | $171,687 |
| Pension Plan Contributions | $152,980 | - | - | $152,980 |
| Other Expenses | $96,693 | - | - | $96,693 |
| Occupancy | $45,655 | $46,218 | - | $91,873 |
| Fees for Services Accounting | - | $67,446 | - | $67,446 |
| Interest | - | $32,077 | - | $32,077 |
| Fees for Services Legal | - | $30,728 | - | $30,728 |
| Office Expenses | - | $22,335 | - | $22,335 |
| Travel | $22,159 | - | - | $22,159 |
| Advertising | - | $9,921 | - | $9,921 |
| Total Functional Expenses | $8,377,477 | $1,266,476 | $0 | $9,643,953 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $9,643,953 |
| Total Expenses per Audited Statements | $9,643,953 |
| Total Expenses per Form 990 | $9,643,953 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Payroll Liabilities | $783,769 |
| Defer Inflow Resources - Lease | $50,120 |
“Effective july 1, 2014 the sole member was buchanan county, missouri.”
“The board of directors are apppointed by the county commissioners.”
“The complete 990 is e-mailed to all members of the board for review before filing.”
“Members are required to sign a conflict of interest document which discloses family and business relationships that could be considered in conflict with their position on the board. In this document, they agree that they will disclose any activities in which they may not be independent in regards to a transaction.”
“Governing documents, policies and financial statements are available to the public upon request.”
“Management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
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 | 259579 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 141686 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 577375 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 740774 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE AN EFFECTIVE GROUND AMBULANCE SERVICE WHICH FUNCTIONS AS A PART OF A COORDINATED EMERGENCY MEDICAL SERVICE SYSTEM FOR THE HEALTH & SAFETY OF THE COMMUNITY & ITS CITIZENS. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 9921 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 9921 |
| IRS990/AllOtherContributionsAmt | 0 | 63474 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1569 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 170118 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 171687 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 0 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | MEDSERV MANAGEMENT SERVICES LLC |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8164315791 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 170 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PLATTE CITY |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MO |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 64079 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3659060 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 4645086 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 2 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 142386 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 139648 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 742526 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 2901 WILLIAMSBURG TERRACE SUITE G |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | PLATTE CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 30374 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 64079 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | CHANGE HEALTHCARE TECH |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MEDSERV MANAGEMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | TECHNOLOGY CONSULTING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MANAGEMENT |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 4849878 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 18672 |
| IRS990/CYOtherExpensesAmt | 0 | 3044400 |
| IRS990/CYOtherRevenueAmt | 0 | 391693 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 4862551 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 478841 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 6599553 |
| IRS990/CYTotalExpensesAmt | 0 | 9643953 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 10122794 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 937915 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 937915 |
| IRS990/Desc | 0 | THE MISSION OF REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY (REMSA) IS TO PROVIDE AN EFFECTIVE GROUND AMBULANCE SERVICE WHICH FUNCTIONS AS A PART OF A COORDINATED EMERGENCY MEDICAL SERVICE SYSTEM FOR THE HEALTH AND SAFETY OF THE COMMUNITY AND ITS CITIZENS. THE ORGANIZATION IS THE ONLY EMERGENCY MEDICAL TRANSPORT COMPANY IN THE CITY OF ST. JOSEPH AND ALSO SERVES THE SURROUNDING COMMUNITIES IN BUCHANAN COUNTY. THE COUNTY HAS A POPULATION OF APPROXIMATELY 90,000 PEOPLE.THE BOARD OF DIRECTORS OF THE ORGANIZATION ADOPTED AN AMENDMENT, EFFECTIVE JULY 1, 2014, THAT CHANGES THE ARTICLES OF INCORPORATION TO MAKE BUCHANAN COUNTY, MISSOURI THE SOLE MEMBER. BY ADOPTING THE AMENDMENT, THE BOARD TRANSFERRED OWNERSHIP AND OPERATION OF THE ENTITY TO BUCHANAN COUNTY. BY DOING SO, THE PROVISION OF AMBULANCE SERVICES CAN BE MORE EASILY ALIGNED WITH OTHER GOVERNMENTAL PROGRAMS PROVIDED BY THE COUNTY AND THE CITY OF ST. JOSEPH, IN ORDER TO BETTER SERVE THE COMMUNITY. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 132 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 8377477 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 67446 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 67446 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 30728 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 30728 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 369385 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 369385 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | 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 | LEE SAWYER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | SCOTT MEIERHOFFER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | KRISTIE ARTHUR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MARGARET O'MALLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | DAVE GACH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | GARY HAZELRIGG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | NEELAM RANA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | WALLACE PATRICK |
| 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 | 142131 |
| 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 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | EXECUTIVE DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2010 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 4786404 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 10122794 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 121876 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 188738 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 310614 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 32077 |
| IRS990/InterestGrp/TotalAmt | 0 | 32077 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 18672 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 18672 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 29 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 4487259 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 5529069 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 4796278 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 9283537 |
| IRS990/LegalDomicileStateCd | 0 | MO |
| 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 AN EFFECTIVE GROUND AMBULANCE SERVICE WHICH FUNCTIONS AS A PART OF A COORDINATED EMERGENCY MEDICAL SERVICE SYSTEM FOR THE HEALTH & SAFETY OF THE COMMUNITY & ITS CITIZENS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 149550 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 9749975 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 10228816 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 9749975 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 10228816 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 46218 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 45655 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 91873 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 22335 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 22335 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 47442 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1836599 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1836599 |
| IRS990/OtherExpensesGrp/Desc | 0 | REPAIR AND MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | FUEL |
| IRS990/OtherExpensesGrp/Desc | 3 | GRANT FEES |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 402133 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 294250 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 185184 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 96693 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 402133 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 294250 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 185184 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 96693 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 670597 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 833889 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | OTHER REVENUE |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 391693 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 391693 |
| IRS990/OtherRevenueTotalAmt | 0 | 391693 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 564921 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 3692489 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 4257410 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 352564 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 352564 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 152980 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 152980 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 678792 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 689104 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 385405 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 285707 |
| IRS990/PrincipalOfficerNm | 0 | WALLACE PATRICK |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621910 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 4862551 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 4862551 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 2303148 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 173 |
| IRS990/PYOtherExpensesAmt | 0 | 1478217 |
| IRS990/PYOtherRevenueAmt | 0 | 19029 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 2199803 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 236702 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 2807234 |
| IRS990/PYTotalExpensesAmt | 0 | 4285451 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 4522153 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 478841 |
| 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 | 5361543 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 63474 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 29112 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 53725 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 35168 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 18778 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 200257 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 4968415 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 2199803 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 4167988 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 3840351 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 3598355 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 18774912 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 411800 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 19202 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 63690 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 34598 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 40644 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 569934 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.98500 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99450 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 37490978 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearAmt | 0 | 4509192 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearMinus1YearAmt | 0 | 2165516 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 4072508 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 3856984 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 3911609 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt | 0 | 18515809 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 9541081 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 4394431 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 8294221 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 7732503 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 7528742 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 37490978 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 9952881 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 4413633 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 8357911 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 7767101 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 7569386 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 38060912 |
| IRS990/ScheduleBRequiredInd | 0 | 0 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 2664035 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 969812 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 3633847 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 1645927 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 3517447 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 5163374 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 9643953 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 486316 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 486316 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 783769 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 50120 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | PAYROLL LIABILITIES |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | DEFER INFLOW RESOURCES - LEASE |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 10122794 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 4796278 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 9643953 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 833889 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 10122794 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 10122794 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 9643953 |
| IRS990/ScheduleJRequiredInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | EFFECTIVE JULY 1, 2014 THE SOLE MEMBER WAS BUCHANAN COUNTY, MISSOURI. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THE BOARD OF DIRECTORS ARE APPPOINTED BY THE COUNTY COMMISSIONERS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE COMPLETE 990 IS E-MAILED TO ALL MEMBERS OF THE BOARD FOR REVIEW BEFORE FILING. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST DOCUMENT WHICH DISCLOSES FAMILY AND BUSINESS RELATIONSHIPS THAT COULD BE CONSIDERED IN CONFLICT WITH THEIR POSITION ON THE BOARD. IN THIS DOCUMENT, THEY AGREE THAT THEY WILL DISCLOSE ANY ACTIVITIES IN WHICH THEY MAY NOT BE INDEPENDENT IN REGARDS TO A TRANSACTION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| 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 C, LINE 19 |
| IRS990/SchoolOperatingInd | 0 | 0 |
| IRS990/SignificantChangeInd | 0 | 0 |
| IRS990/SignificantNewProgramSrvcInd | 0 | 0 |
| IRS990/SubjectToExcsTaxNetInvstIncInd | 0 | 0 |
| IRS990/SubjectToProxyTaxInd | 0 | 0 |
| IRS990/SubjToTaxRmnrtnExPrchtPymtInd | 0 | 0 |
| IRS990/TaxablePartyNotificationInd | 0 | 0 |
| IRS990/TaxExemptBondsInd | 0 | 0 |
| IRS990/TerminateOperationsInd | 0 | 0 |
| IRS990/TotalAssetsBOYAmt | 0 | 10829701 |
| IRS990/TotalAssetsEOYAmt | 0 | 11204391 |
| IRS990/TotalAssetsGrp/BOYAmt | 0 | 10829701 |
| IRS990/TotalAssetsGrp/EOYAmt | 0 | 11204391 |
| IRS990/TotalCompGreaterThan150KInd | 0 | 0 |
| IRS990/TotalContributionsAmt | 0 | 4849878 |
| IRS990/TotalEmployeeCnt | 0 | 132 |
| IRS990/TotalFunctionalExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt | 0 | 1266476 |
| IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt | 0 | 8377477 |
| IRS990/TotalFunctionalExpensesGrp/TotalAmt | 0 | 9643953 |
| IRS990/TotalGrossUBIAmt | 0 | 0 |
| IRS990/TotalLiabilitiesBOYAmt | 0 | 1079726 |
| IRS990/TotalLiabilitiesEOYAmt | 0 | 975575 |
| IRS990/TotalLiabilitiesGrp/BOYAmt | 0 | 1079726 |
| IRS990/TotalLiabilitiesGrp/EOYAmt | 0 | 975575 |
| IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt | 0 | 9749975 |
| IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt | 0 | 10228816 |
| IRS990/TotalOtherCompensationAmt | 0 | 0 |
| IRS990/TotalProgramServiceExpensesAmt | 0 | 8377477 |
| IRS990/TotalProgramServiceRevenueAmt | 0 | 4862551 |
| IRS990/TotalReportableCompFromOrgAmt | 0 | 142131 |
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