Liabilities / Assets
98th percentile
Higher debt load relative to assets than 98% of similar nonprofits.
EIN 34-1476934 • 501(c)3 • Norwalk, OH
Profile
To be the pre-hospital ambulance and transportation service that our communities trust with their lives and our staff trusts with their careers.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
98th percentile
Higher debt load relative to assets than 98% of similar nonprofits.
Liabilities / Revenue
88th percentile
Higher debt load relative to revenue than 88% of similar nonprofits.
Net Margin
16th percentile
Higher net margin than 16% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
43rd percentile
Faster asset growth than 43% of similar nonprofits.
Revenue Growth
36th percentile
Faster revenue growth than 36% of similar nonprofits.
Assets
Up$2,212,044
Up $62,140 (+2.9%) from 2022
Liabilities
Up$4,367,430
Up $1,645,278 (+60%) from 2022
Net Assets
Down-$2,155,386
Down $1,583,138 (-277%) from 2022
Revenue
Up$4,299,940
Up $45,759 (+1.1%) from 2022
Expenses
Up$5,027,206
Up $54,691 (+1.1%) from 2022
Net Income
Down-$727,266
Down $8,932 (-1.2%) 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 be the pre-hospital ambulance and transportation service that our communities trust with their lives and our staff trusts with their careers.
North central ems provides rapid and skilled emergency advanced life support and transportation services to the communities we serve to save lives and reduce the effect of trauma on the injured.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $819,799 | $909,702 | ▲ $89,903 |
| Accounts Receivable | $505,624 | $899,881 | ▲ $394,257 |
| Savings and Temporary Cash Investments | $231,185 | $246,900 | ▲ $15,715 |
| Prepaid Expenses and Deferred Charges | $60,898 | $60,754 | ▼ $144 |
| Cash and Non-Interest-Bearing Accounts | $400 | $500 | ▲ $100 |
| Total Assets | $1,676,290 | $2,149,904 | ▲ $473,614 |
| Other Assets Total | $58,384 | $32,167 | ▼ $26,217 |
| Liabilities | |||
| Other Liabilities | $1,174,159 | $2,415,203 | ▲ $1,241,044 |
| Accounts Payable and Accrued Expenses | $355,461 | $289,959 | ▼ $65,502 |
| Deferred Revenue | - | $16,990 | - |
| Total Liabilities | $1,529,620 | $2,722,152 | ▲ $1,192,532 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $146,670 | $-572,248 | ▼ $718,918 |
| Total Net Assets Fund Balance | $146,670 | $-572,248 | ▼ $718,918 |
| Total Liabilities and Net Assets / Fund Balance | $1,676,290 | $2,149,904 | ▲ $473,614 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $858,943 | $1,391,340 | $2,250,283 |
| Buildings | $50,759 | $93,567 | $144,326 |
| Name | Title |
|---|---|
| Perry Dryden | Chairman |
| Brent W Burkey Md | President & CEO |
| Jeffrey C Huber | Vice Chairman |
| Dennis Doughty | Director |
| John K Hughes Md | Director |
| John a Lendrum | Director |
| Jonathan D Zahler Do | Director |
| Marc D Dolce | Director |
| Mark E Coriell | Director |
| Susan S Hazel | Director |
| Scott E Endsley | Chief Financial Officer |
| Matthew E Mattner | Chief Operations Officer |
| Julie S Roberts Dds | Secretary |
| Dennis C Camp | Treasurer |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $3,361,904 |
| Other Expenses | $1,610,611 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $2,513,089 | $217,450 | - | $2,730,539 |
| Other Employee Benefits | $326,301 | $28,234 | - | $354,535 |
| Travel | $227,806 | - | - | $227,806 |
| Fees for Services Other | $121,475 | $103,172 | - | $224,647 |
| Payroll Taxes | $185,870 | $16,083 | - | $201,953 |
| Depreciation Depletion | $171,587 | $2,854 | - | $174,441 |
| Occupancy | $142,127 | - | - | $142,127 |
| Insurance | $124,576 | $14,991 | - | $139,567 |
| Office Expenses | $59,131 | $33,504 | - | $92,635 |
| Pension Plan Contributions | $68,914 | $5,963 | - | $74,877 |
| Fees for Services Legal | - | $21,157 | - | $21,157 |
| All Other Expenses | $12,918 | $4,079 | - | $16,997 |
| Information Technology | $3,558 | $4,843 | - | $8,401 |
| Conferences and Meetings | - | $1,016 | - | $1,016 |
| Other Expenses | $268 | $6,880 | - | $268 |
| Total Functional Expenses | $4,120,537 | $851,978 | $0 | $4,972,515 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | See Part V | Vendor | No | $176,696 |
| Liability | Amount |
|---|---|
| Due to Affiliates | $2,358,906 |
| Operating Lease Obligations | $32,167 |
| Other Liabilities | $24,130 |
“The sole member of fisher-titus affiliated services is the parent company fisher-titus health, an ohio non-profit corporation”
“The board of directos shall be composed of those individuals who are voting directors of the member at any time, as determined under the code of regulations of the member.”
“The following powers are reserved exclusively to the member (fisher-titus health): a) amend or repeal the articles of incorporation and the code of regulations; b) to approve any merger of the corporation or any sale of substantially all of its assets and c) to dissolve or terminate the existence of the corporation and to determine the distribution of asstes upon termination.”
“The board of directors of the fisher-titus affiliated services delegated the responsibility for the review of the affiliated services form 990, plus all required schedules and attachments, to the fisher-titus audit committee. The members of this committee have a strong background in accounting, legal, finance, and business and have the technical expertise to perform a substantive review. The audit committee reviewed the services form 990 prior to filing and reported to the services board of directors regarding the results of their review. In addition, each member of the services board of directors had access to a copy of the form 990 for viewing prior to filing via a secure internet website.”
“All of our affiliated corporate board members are required to complete a conflict of interest statement upon joining the board and annually throughout their tenure. These are retained by fisher-titus medical center administration. Areas of conflict are reviewed and addressed as necessary for the transactions of the board. When an area of conflict arises, board members are excused and prohibited from participating in the board's deliberations and discussions regarding the area of conflict.”
“The fisher-titus affiliated services (ems) officers receive all of their compensation from the fisher-titus medical center, (ftmc) a related organization. Such compensation is subject to the guidance of the personnel committee of the fisher-titus health board. The committee retains an independent executive compensation consultant to help establish cash compensation target ranges and identify reasonable and customary benefit programs for executives. The independent consultant reports to the personnel committee on relevant peer groups, cash compensation reported in available salary surveys for the peer group, and trends in benefits and perquisite programs customarily available among the peer group for executives. Recommendations by the consultant are presented to the personnel committee which prepares minutes of its deliberations regarding executive compensation including recommendations that are provided to each of the directors of fisher-titus health. The recommendations to be acted on must be approved first by the joint personnel committee and then by the fisher-titus health's board of directors. The minutes of each board meeting where action is taken reflect such action. The process is performed annually in the spring and was last done in march 2022.”
“As required, we offer a timely response to written requests for copies of the 990, as well as having them available on the premises for the public to review & on the guidestar internet website.”
“Our conflict of interest, code of regulations, governing documents & financial statements are available upon written request.”
“Dr. Brent burkey, scott endsley and matthew mattner all received their compensation from fisher-titus medical center, a related organization. This includes compensation for a significant amount of dr. Burkey's 65 hour average work week, mr. Endsley's 60 hour average work week, and mr. Mattner's 50 hour average work week devoted to the functioning of fisher-titus medical center as well as uncompensated time devoted to other commonly controlled organizations listed in schedule r.”
“No processes have changed from prior year.”
“Management has analyzed the tax positions taken by these entities, and has concluded that as of december 31, 2022 and 2021, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the accompanying consolidated financial statements. The entities are subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. Fisher-titus affiliated services individual tax position was $0.00.”
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 | 355461 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 289959 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 505624 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 899881 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | NORTH CENTRAL EMS PROVIDES RAPID AND SKILLED EMERGENCY ADVANCED LIFE SUPPORT AND TRANSPORTATION SERVICES TO THE COMMUNITIES WE SERVE TO SAVE LIVES AND REDUCE THE EFFECT OF TRAUMA ON THE INJURED. |
| IRS990/AllOtherContributionsAmt | 0 | 75000 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 4079 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 12918 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 16997 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | BRIAN KELLER MBA |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4196602660 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 272 BENEDICT AVENUE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | NORWALK |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | OH |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 44857 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 1 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 400 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 500 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 1016 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 1016 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1069546 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 1610611 |
| IRS990/CYOtherRevenueAmt | 0 | 94409 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 3090226 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -718334 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 3361904 |
| IRS990/CYTotalExpensesAmt | 0 | 4972515 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 4254181 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 16990 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 2854 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 171587 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 174441 |
| IRS990/Desc | 0 | FISHER-TITUS AFFILIATED SERVICES, D.B.A. NORTH CENTRAL EMS PROVIDED 8,105 BILLED SERVICE CALLS IN 2022 TO THE AREA OF HURON, ERIE, OTTAWA, LORAIN, SANDUSKY, SENECA & THE SURROUNDING COUNTIES. THESE RUNS WERE CLASSIFIED AS FOLLOWS: EMERGENCY - 5,216, TRANSPORTATION - 2,538 AND WHEELCHAIR - 351.NORTH CENTRAL EMS PROVIDES RAPID AND SKILLED EMERGENCY ADVANCED LIFE SUPPORT AND TRANSPORTATION SERVICES TO THE COMMUNITIES WE SERVE TO SAVE LIVES AND REDUCE THE EFFECT OF TRAUMA ON THE INJURED. THEIR ARRIVAL TO EMERGENCIES WITHIN THE CITY OF NORWALK AVERAGED 6:40 MINUTES FROM THE RECEIPT OF THE CALL, AND AVERAGED ONLY 10:42 MINUTES FOR ALL CALLS RECEIVED WITHIN THE 600 SQ. MILE SERVICE AREA IN 2022. THIS QUICK RESPONSE DECREASES THE MORTALITY RATE, SHOCK AND DISABLING CONDITIONS THAT WOULD OTHERWISE OCCUR WITHOUT SUCH A HIGH-LEVEL RAPID RESPONSE SERVICE. IN ADDITION, NORTH CENTRAL EMS PROVIDES NON-EMERGENCY TRANSPORTATION SERVICES THROUGHOUT NORTHERN OHIO COVERING OVER A 2,000 SQ. MILE SERVICE AREA.THE EMERGENCY SERVICES LOST $564,369 FROM OPERATIONS IN 2022 DUE TO THE NECESSITY FOR A 24 HOUR A DAY, 365 DAY A YEAR, SEVEN STATION OPERATION. THE TRANSPORTATION AND WHEELCHAIR UNIT SERVICES PROVIDED TO THE COMMUNITIES HELPED OFFSET SOME OF THIS LOSS.NORTH CENTRAL EMS SERVES AS ONE OF THE PUBLIC SERVICE ANSWERING POINTS FOR THE HURON AND ERIE COUNTY 911 EMERGENCY SYSTEMS. THEY ALSO PROVIDES DISPATCHING SERVICES FOR THE VILLAGE OF MILAN POLICE AND FIRE DEPARTMENTS AND BERLIN TOWNSHIP POLICE AND FIRE DEPARTMENTS.IN 2020 NORTH CENTRAL EMS RECEIVED A GRANT THROUGH THE OHIO DEPARTMENT OF HEALTH (ODH) FOR A COMMUNITY PARAMEDICINE RURAL PILOT PROGRAM. THEY ARE ONE OF THREE EMERGENCY MEDICAL SERVICE ORGANIZATIONS IN THE STATE OF OHIO TO RECEIVE THIS GRANT. THIS GRANT PROVIDES NORTH CENTRAL EMS WITH UP TO $225,000 OVER A THREE-YEAR PERIOD TO IMPLEMENT A COMMUNITY PARAMEDICINE PROGRAM FOCUSED ON HEALTH CARE IN A RURAL AREA.IN MAY-2022, FIREHOUSE SUBS PUBLIC SAFETY FOUNDATION RECOGNIZED THE NEED FOR NEW LIFESAVING EQUIPMENT AND AWARDED NORTH CENTRAL EMS A $28,000 GRANT TO PURCHASE A BATTERY-POWERED CHEST COMPRESSION SYSTEM FOR NORTH CENTRAL EMS CREWS, ULTIMATELY HELPING SAVE MORE LIVES.NORTH CENTRAL PROVIDES THE FOLLOWING PROGRAMS TO THE MEMBERS OF THE COMMUNITIES IN WHICH WE PROVIDE SERVICES:1. PROVIDE COMMUNITY FIRST AID/CPR/AED CLASSES TO ANY GROUP OR ORGANIZATION. IN 2022, NORTH CENTRAL EMS SPONSORED 46 CLASSES WITH 383 PEOPLE ATTENDING. AN AVERAGE OF 1 MEDIC TAUGHT THE COURSE, LASTING ON AVERAGE 5.01 HOURS WITH 1 HOUR PREP. THERE IS A $60.00 CLASS FEE PER PERSON WITH FOUR INDIVIDUALS ATTENDING FOR FREE. THIRTEEN CLASSES CHARGED $50.00 FOR THE 129 INDIVIDUALS ATTENDING. ONE CLASS CHARGED $25.00 PER PERSON FOR 35 INDIVIDUALS AND ONE CLASS CHARGED $40.00 PER PERSON FOR 8 INDIVIDUALS ATTENDING. (TOTAL HOURS SPENT 284; NET GAIN OF THE PROGRAM $4,344)2. PROVIDE COMMUNITY AUTOMATIC EXTERNAL DEFIBRILLATOR (AED) CLASSES TO ANY GROUP OR ORGANIZATION. IN 2022, NORTH CENTRAL EMS SPONSORED 30 AED/CPR TRAINING CLASSES LASTING ON AVERAGE 3.03 HOURS WITH 1-HOUR PREP. AN AVERAGE OF 1 TO 2 MEDICS TAUGHT THE COURSE, WITH 269 PEOPLE ATTENDING. THERE IS A $40.00 CLASS FEE PER PERSON. (TOTAL HOURS SPENT 121; NET GAIN OF THE PROGRAM $4,151)3. PROVIDE FREE EMERGENCY COVERAGE AT 1 LOCAL FAIRGROUNDS IN 2022. DURING THE FAIR, BETWEEN TWO AND THREE PARAMEDICS WERE UTILIZED WORKING BETWEEN FIVE AND EIGHT-HOUR SHIFTS EACH DAY DURING THE 6 DAY LONG FAIR WEEK. (TOTAL HOURS SPENT 105; COST OF THE PROGRAM $3,279)4. NORTH CENTRAL EMS PROVIDED CHARITY CARE BY TO PATIENTS BASED ON THEIR ABILITY TO PAY. INDIVIDUALS ARE INTERVIEWED TO ASSIST THEM IN DETERMINING EACH PERSON'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS AVAILABLE EXTERNALLY. CHARITY CARE PROVIDED TO PATIENTS IN OUR SERVICE AREA DURING 2022 WAS $1,443. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | NORTH CENTRAL EMS |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 64 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 4120537 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 21157 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 21157 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 103172 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 121475 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 224647 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 59.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 17.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 12.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 13.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 8.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 45.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 57.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 47.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 5.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.50 |
| 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 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 3.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 2.50 |
| 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/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/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 61966 |
| 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/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 69422 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 47138 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 70557 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | BRENT W BURKEY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | PERRY DRYDEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JEFFREY C HUBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DENNIS C CAMP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JULIE S ROBERTS DDS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MARK E CORIELL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MARC D DOLCE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | DENNIS DOUGHTY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SUSAN S HAZEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | JOHN K HUGHES MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | JONATHAN D ZAHLER DO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JOHN A LENDRUM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | SCOTT E ENDSLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MATTHEW E MATTNER |
| 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/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 998544 |
| 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 | 313701 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 294156 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 292183 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | CHIEF OPERATIONS OFFICER |
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| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1985 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
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| IRS990/FSAuditedInd | 0 | 1 |
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| IRS990/GovernmentGrantsAmt | 0 | 986363 |
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| IRS990/GrantsToOrganizationsInd | 0 | 0 |
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| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
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| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
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| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 3558 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 8401 |
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| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 124576 |
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| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 268 |
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| IRS990/RelatedOrganizationsAmt | 0 | 8183 |
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| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
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| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 940469 |
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| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 40 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 97 |
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| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 3713811 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 4511348 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 5337677 |
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| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 208 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 40 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 97 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | -115 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
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| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99620 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99980 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 24698430 |
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| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
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| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 5335504 |
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| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 6328332 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 24792724 |
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| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
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| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
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| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleC/DirectContactLegislatorsInd | 0 | 1 |
| IRS990ScheduleC/GrantsOtherOrganizationsInd | 0 | 0 |
| IRS990ScheduleC/MailingsMembersInd | 0 | 0 |
| IRS990ScheduleC/MediaAdvertisementsInd | 0 | 0 |
| IRS990ScheduleC/NotDescribedSection501c3Ind | 0 | 0 |
| IRS990ScheduleC/OtherActivitiesInd | 0 | 0 |
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