Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
EIN 38-2485700 • 501(c)3 • Port Huron, MI
Profile
To provide emergency ambulance services to three hospitals.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
Liabilities / Revenue
29th percentile
Higher debt load relative to revenue than 29% of similar nonprofits.
Net Margin
64th percentile
Higher net margin than 64% of similar nonprofits.
Top Officer Pay
82nd percentile
Higher top officer pay than 82% of similar nonprofits.
Top officer pay equals 2.2% of source-year revenue.
Asset Growth
68th percentile
Faster asset growth than 68% of similar nonprofits.
Revenue Growth
59th percentile
Faster revenue growth than 59% of similar nonprofits.
Assets
Up$11,652,968
Up $1,107,888 (+11%) from 2023
Liabilities
Down$1,361,226
Down $795,523 (-37%) from 2023
Net Assets
Up$10,291,742
Up $1,903,411 (+23%) from 2023
Revenue
Up$15,842,261
Up $1,659,984 (+12%) from 2023
Expenses
Up$13,978,489
Up $1,417,280 (+11%) from 2023
Net Income
Up$1,863,772
Up $242,704 (+15%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
To provide emergency ambulance services to three hospitals.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $3,066,278 | $4,649,305 | ▲ $1,583,027 |
| Cash and Non-Interest-Bearing Accounts | $3,825,058 | $3,231,869 | ▼ $593,189 |
| Accounts Receivable | $1,738,722 | $2,498,701 | ▲ $759,979 |
| Prepaid Expenses and Deferred Charges | $278,383 | $301,701 | ▲ $23,318 |
| Investments Other Securities | $249,131 | $250,221 | ▲ $1,090 |
| Inventories for Sale or Use | $227,867 | $184,060 | ▼ $43,807 |
| Total Assets | $10,545,080 | $11,652,968 | ▲ $1,107,888 |
| Other Assets Total | $1,159,641 | $537,111 | ▼ $622,530 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $996,701 | $709,624 | ▼ $287,077 |
| Mortgage Notes Payable Secured by Investment Property | $1,158,048 | $651,602 | ▼ $506,446 |
| Deferred Revenue | $2,000 | - | - |
| Total Liabilities | $2,156,749 | $1,361,226 | ▼ $795,523 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $8,386,456 | $10,290,417 | ▲ $1,903,961 |
| Net Assets With Donor Restrictions | $1,875 | $1,325 | ▼ $550 |
| Total Net Assets Fund Balance | $8,388,331 | $10,291,742 | ▲ $1,903,411 |
| Total Liabilities and Net Assets / Fund Balance | $10,545,080 | $11,652,968 | ▲ $1,107,888 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $3,248,493 | $5,640,315 | $8,888,808 |
| Buildings | $981,338 | $1,566,443 | $2,547,781 |
| Land | $324,773 | - | $324,773 |
| Other Land Buildings | $65,412 | - | $65,412 |
| Leasehold Improvements | $29,289 | $5,930 | $35,219 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Kenneth Cummings | President & CEO | FT | $249,738 | $91,053 | $340,791 |
| Ann Ropposch | VP of Finance | FT | $128,766 | $58,274 | $187,040 |
| Karyn Belanger | VP of Clinical Care | FT | $117,229 | $36,801 | $154,030 |
| Michael H Alexander | Paramedic | FT | $120,321 | $32,196 | $152,517 |
| William Adams | Shift Supervisor | FT | $109,681 | $34,913 | $144,594 |
| Corey May | Paramedic | FT | $109,333 | $32,116 | $141,449 |
| Name | Title |
|---|---|
| Jose Kottoor | Chair |
| Kathleen Mckenna | Vice Chair |
| Christopher a Hunt Md | Board Member |
| James Kelly Md | Board Member |
| Kyle Schieweck | Board Member |
| Pauline Repp | Board Member |
| William Zweng | Board Member |
| Christine Tomaszewski | Sec/treas |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $9,795,510 |
| Other Expenses | $3,851,472 |
| Grants and Similar Amounts Paid | $331,507 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Comp Disqual Persons | $6,582,133 | $600,394 | - | $7,182,527 |
| Other Employee Benefits | $1,303,700 | $83,527 | - | $1,387,227 |
| Depreciation Depletion | $928,294 | - | - | $928,294 |
| Office Expenses | $568,993 | $53,527 | - | $622,520 |
| Payroll Taxes | $520,214 | $62,635 | - | $582,849 |
| Travel | $428,986 | - | - | $428,986 |
| Fees for Services Other | $197,523 | $176,607 | - | $374,130 |
| Current Officers, Directors, Trustees, and Key Employees | - | $340,562 | - | $340,562 |
| Insurance | $326,248 | $10,016 | - | $336,264 |
| Grants to Domestic Individuals | $331,507 | - | - | $331,507 |
| Pension Plan Contributions | $232,509 | $69,836 | - | $302,345 |
| Occupancy | $92,415 | $78,028 | - | $170,443 |
| All Other Expenses | $84,302 | $15,212 | - | $99,514 |
| Fees for Services Accounting | - | $62,875 | - | $62,875 |
| Other Expenses | $54,587 | $4,379 | - | $54,587 |
| Interest | $46,120 | - | - | $46,120 |
| Conferences and Meetings | $10,423 | $20,436 | - | $30,859 |
| Advertising | $4,157 | $26,126 | - | $30,283 |
| Fees for Services Legal | - | $25,552 | - | $25,552 |
| Fees for Services Management | - | $24,862 | - | $24,862 |
| Total Functional Expenses | $12,203,456 | $1,775,033 | $0 | $13,978,489 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $13,978,489 |
| Expenses per Audited Statements | $13,879,732 |
| Total Expenses per Audited Statements | $13,879,732 |
| Expenses Not Reported on Financial Statements | $98,757 |
| Other Expense Adjustments | $98,757 |
| Expenses Not Reported on Form 990 | $0 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Reference by-laws 1.1: the members of the corporation shall be trinity health, mclaren healthcare corporation, and ascension river district hospital.”
“Reference by-laws 1.3: the organization has members who elect representatives of the member hospitals to the governing body.”
“Reference by-laws 1.9: decisions of the governing body are subject to the approval by stockholders.”
“Board of directors will review for accuracy at board meeting prior to filing.”
“All new employees receive our conflict of interest policy and disclosure of interest form during their initial orientation. The supervisor/manager explains our compliance program which includes the conflict of interest policy and provides any answers the employee may have. The employee then fills out the disclosure of interest form and is then kept in the employee's file. The disclosure of interest form is renewed every year at the employee's annual evaluation and their employee file is updated.”
“Director/ceo receives a review of contract annually. The executive committee reviews annual achievements and approves pay increases.”
“Governing documents are available to the public upon written request.”
“Employee retention credit (erc) and interest: the organization received $543,577 in erc refunds during the tax year, reported on part viii, line 11a. Additionally, $85,791 in interest was received from the irs related to the delayed refund, and is reported separately on part viii, line 3 as interest income.”
“Right of use assets separately stated from fixed assets reported on line 10c to other assets reported on line 15”
“Part xi, line 4b - revenue amounts included on return - other charity care 98,757.”
“Part xi, line 4b - expense amounts included on return - other charity care 98,757.”
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 | 996701 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 709624 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 1738722 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2498701 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE EMERGENCY AMBULANCE SERVICES TO THREE HOSPITALS. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 26126 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 4157 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 30283 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 15212 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 84302 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 99514 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | ANN ROPPOSCH |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8109857115 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 309 GRAND RIVER |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PORT HURON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48060 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3825058 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 3231869 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 340562 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 340562 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 600394 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 6582133 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 7182527 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 20436 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 10423 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 30859 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 3526135 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 331507 |
| IRS990/CYInvestmentIncomeAmt | 0 | 163649 |
| IRS990/CYOtherExpensesAmt | 0 | 3851472 |
| IRS990/CYOtherRevenueAmt | 0 | 566774 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 11585703 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 1863772 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 9795510 |
| IRS990/CYTotalExpensesAmt | 0 | 13978489 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 15842261 |
| IRS990/DAFExcessBusinessHoldingsInd | 0 | 0 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 2000 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 928294 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 928294 |
| IRS990/Desc | 0 | PROVIDE EMERGENCY SERVICES TO THE COMMUNITY. DURING 2024, 18,802 EMERGENCY RUNS WERE MADE, WITH 12,961 AS TRANSPORTS. A TRANSPORT WOULD NOT OCCUR WHEN THE ORGANIZATION IS CALLED TO RESPOND TO AN EMERGENCY, HOWEVER THE PATIENT DID NOT WANT TO GO, THE CALL WAS CANCELLED ENROUTE, OR THE PATIENT REFUSED TREATMENT. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DistributionToDonorInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 1875 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1325 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 177 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 9862302 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 62875 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 62875 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 25552 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 25552 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 24862 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 24862 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 176607 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 197523 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 374130 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| 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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 58625 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 36801 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 58274 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 34913 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 32196 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 32116 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CHRISTOPHER A HUNT MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | JAMES KELLY MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | WILLIAM ZWENG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | KYLE SCHIEWECK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | PAULINE REPP |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | CHRISTINE TOMASZEWSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | KENNETH CUMMINGS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | KATHLEEN MCKENNA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JOSE KOTTOOR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | KARYN BELANGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ANN ROPPOSCH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | WILLIAM ADAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | MICHAEL H ALEXANDER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | COREY MAY |
| 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 | 282166 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 117229 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 128766 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 109681 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 120321 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 109333 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | SEC/TREAS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VP OF CLINICAL CARE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | VP OF FINANCE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | SHIFT SUPERVISOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PARAMEDIC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PARAMEDIC |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1983 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 5239 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 3526135 |
| IRS990/GrantAmt | 0 | 98757 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 331507 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 331507 |
| IRS990/GrantsToIndividualsInd | 0 | 1 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 10700 |
| IRS990/GrossReceiptsAmt | 0 | 15847722 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 6 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 10016 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 326248 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 336264 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 46120 |
| IRS990/InterestGrp/TotalAmt | 0 | 46120 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 227867 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 184060 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 158410 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 158410 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 249131 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 250221 |
| IRS990/IRPDocumentCnt | 0 | 41 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 7212688 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 3066278 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 4649305 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 11861993 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 5461 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE EMERGENCY AMBULANCE SERVICES TO THREE HOSPITALS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1158048 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 651602 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 8388331 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 10291742 |
| IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt | 0 | 5239 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 5239 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 39639 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 8386456 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 10290417 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 78028 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 92415 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 170443 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 53527 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 568993 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 622520 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1159641 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 537111 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 83527 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1303700 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 1387227 |
| IRS990/OtherExpensesGrp/Desc | 0 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 1 | MISCELLANEOUS |
| IRS990/OtherExpensesGrp/Desc | 2 | LICENSES |
| IRS990/OtherExpensesGrp/Desc | 3 | IV SUPPLIES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 64858 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 55601 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 4379 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 394831 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 39355 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 57159 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 54587 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 459689 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 94956 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 61538 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 54587 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | EMPLOYEE RETENTION CREDIT |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | OTHER |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | INSURANCE PROCEEDS |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 543577 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 14547 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 1 | 8650 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 543577 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 14547 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 8650 |
| IRS990/OtherRevenueTotalAmt | 0 | 566774 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 62635 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 520214 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 582849 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 69836 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 232509 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 302345 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 278383 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 301701 |
| IRS990/PrincipalOfficerNm | 0 | KENNETH CUMMINGS |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 561499 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621990 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 611600 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 4 | 621990 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET AMBULANCE OPERATIONS |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | NET CALL CENTER |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | WHEELCHAIR VAN SERVICES |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | EDUCATION REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 4 | MEDICAL CONTROL BOARD |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 10218799 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 352529 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 344436 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 174000 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 10218799 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 485211 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 352529 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 344436 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 4 | 174000 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 485211 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | COMPLIMENTARY SERVICES TO THE AMBULANCE OPERATIONS, INCLUDING ASSISTED TRANSPORTATION, EDUCATION PROVIDED TO STAFF AND PUBLIC, A CALL CENTER, AND MEDICAL CONTROL SERVICES TO ST. CLAIR COUNTY. |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 2341154 |
| IRS990/ProgSrvcAccomActy2Grp/GrantAmt | 0 | 232750 |
| IRS990/ProgSrvcAccomActy2Grp/RevenueAmt | 0 | 881693 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 3327577 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 90833 |
| IRS990/PYInvestmentIncomeAmt | 0 | 38529 |
| IRS990/PYOtherExpensesAmt | 0 | 3494391 |
| IRS990/PYOtherRevenueAmt | 0 | 24582 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 10791589 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 1621068 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 8975985 |
| IRS990/PYTotalExpensesAmt | 0 | 12561209 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 14182277 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 1863772 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 0 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 10247235 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd | 0 | 1 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd | 0 | 0 |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd | 0 | 0 |
| IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd | 0 | 1 |
| IRS990ScheduleA/OtherSupportSumAmt | 0 | 0 |
| IRS990ScheduleA/SupportedOrganizationsCnt | 0 | 3 |
| IRS990ScheduleA/SupportedOrganizationsTotalCnt | 0 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 0 | 381369611 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 1 | 351443425 |
| IRS990ScheduleA/SupportedOrgInformationGrp/EIN | 2 | 383160564 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 0 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 1 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd | 2 | 1 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 0 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 1 | 3 |
| IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd | 2 | 3 |
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