Liabilities / Assets
38th percentile
Higher debt load relative to assets than 38% of similar nonprofits.
EIN 38-3198397 • 501(c)3 • Saginaw, MI
Profile
To provide communities with unrivaled access to medical care
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
38th percentile
Higher debt load relative to assets than 38% of similar nonprofits.
Liabilities / Revenue
23rd percentile
Higher debt load relative to revenue than 23% of similar nonprofits.
Net Margin
62nd percentile
Higher net margin than 62% of similar nonprofits.
Top Officer Pay
Score unavailable
No filing with officer rows is available for this organization yet.
Asset Growth
79th percentile
Faster asset growth than 79% of similar nonprofits.
Revenue Growth
54th percentile
Faster revenue growth than 54% of similar nonprofits.
Assets
Up$63,140,150
Up $7,602,210 (+14%) from 2024
Liabilities
Up$8,796,119
Up $762,475 (+9.5%) from 2024
Net Assets
Up$54,344,031
Up $6,839,735 (+14%) from 2024
Revenue
Up$74,392,656
Up $3,491,282 (+4.9%) from 2024
Expenses
Up$67,281,836
Up $5,095,967 (+8.2%) from 2024
Net Income
Down$7,110,820
Down $1,604,685 (-18%) from 2024
Most recent year
2025 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide communities with unrivaled access to medical care
To provide communities with unrivaled access to medical care.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $26,802,739 | $28,456,921 | ▲ $1,654,182 |
| Land, Buildings, and Equipment, Net | $11,503,512 | $13,680,924 | ▲ $2,177,412 |
| Accounts Receivable | $7,590,718 | $8,908,310 | ▲ $1,317,592 |
| Cash and Non-Interest-Bearing Accounts | $3,368,428 | $6,305,298 | ▲ $2,936,870 |
| Prepaid Expenses and Deferred Charges | $1,344,187 | $535,630 | ▼ $808,557 |
| Other Notes and Loans Receivable, Net | $331,250 | $237,627 | ▼ $93,623 |
| Investments Other Securities | $1,746,600 | $237,279 | ▼ $1,509,321 |
| Total Assets | $55,537,940 | $63,140,150 | ▲ $7,602,210 |
| Other Assets Total | $2,850,506 | $4,778,161 | ▲ $1,927,655 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $4,841,749 | $5,323,374 | ▲ $481,625 |
| Other Liabilities | $1,494,958 | $2,026,532 | ▲ $531,574 |
| Mortgage Notes Payable Secured by Investment Property | $1,220,209 | $903,860 | ▼ $316,349 |
| Deferred Revenue | $476,728 | $542,353 | ▲ $65,625 |
| Total Liabilities | $8,033,644 | $8,796,119 | ▲ $762,475 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $47,504,296 | $54,344,031 | ▲ $6,839,735 |
| Total Net Assets Fund Balance | $47,504,296 | $54,344,031 | ▲ $6,839,735 |
| Total Liabilities and Net Assets / Fund Balance | $55,537,940 | $63,140,150 | ▲ $7,602,210 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $6,193,719 | $14,385,776 | $20,579,495 |
| Equipment | $4,779,901 | $8,414,424 | $13,194,325 |
| Buildings | $2,362,832 | $3,822,762 | $6,185,594 |
| Land | $344,472 | - | $344,472 |
| Other Assets Org | $2,034,018 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Laurie Thiel | President | FT | $397,087 | $169,183 | $566,270 |
| Michelle McGill | VP of Finance | FT | $326,004 | $98,902 | $424,906 |
| Eric Snidersich | VP of Operations | FT | $209,677 | $66,789 | $276,466 |
| Cole Whitehouse | Paramedic | FT | $179,186 | $24,550 | $203,736 |
| Allan Wearn | Paramedic | FT | $126,328 | $19,874 | $146,202 |
| Alicia Garcia | Paramedic | FT | $133,372 | $9,692 | $143,064 |
| Angela Reynolds | Paramedic | FT | $137,765 | $4,922 | $142,687 |
| Bryant Hutchinson | Paramedic | FT | $119,558 | $17,222 | $136,780 |
| Name | Title |
|---|---|
| Jim Van Tiflin | Board Chair |
| Beth Charlton | Vice Chair |
| JoAnn Crary | Board Member |
| Shane Hunt | Board Member |
| Shari Wilson | Board Member |
| Kevin Albosta | Secretary/Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| CMR Construction Services | Construction | 306 Conrad Rd, Standish, MI 48658 | $980,448 |
| CBM Services | Credit Counsel | 300 Rodd St, Midland, MI 48640 | $584,752 |
| Netsource Once | IT Services | 5454 Hampton PI, Saginaw, MI 48604 | $254,344 |
| Tramasoft | IT Services | 1111 W Centre Ave, Portage, MI 49024 | $218,606 |
| Zoll Medical Corporation | Medical Software | 269 Mill Rd, Chelmsford, MA 01824 | $192,093 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $49,303,285 |
| Other Expenses | $17,978,551 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $34,450,929 | $3,924,218 | - | $38,375,147 |
| Other Employee Benefits | $5,276,405 | $445,356 | - | $5,721,761 |
| Depreciation Depletion | $3,024,073 | $71,468 | - | $3,095,541 |
| Payroll Taxes | $2,600,512 | $394,806 | - | $2,995,318 |
| Occupancy | $1,449,592 | $188,439 | - | $1,638,031 |
| Fees for Services Other | $85,503 | $1,522,144 | - | $1,607,647 |
| Office Expenses | $1,345,546 | $158,275 | - | $1,503,821 |
| Current Officers, Directors, Trustees, and Key Employees | - | $1,294,499 | - | $1,294,499 |
| Insurance | $838,988 | $182,161 | - | $1,021,149 |
| Pension Plan Contributions | $807,486 | $109,074 | - | $916,560 |
| Advertising | $742,530 | $107,949 | - | $850,479 |
| All Other Expenses | $212,031 | $512,342 | - | $724,373 |
| Other Expenses | $369,846 | $131,691 | - | $369,846 |
| Travel | $133,473 | $27,119 | - | $160,592 |
| Fees for Service Investment Mgmnt Fees | - | $91,652 | - | $91,652 |
| Fees for Services Accounting | $1,300 | $70,400 | - | $71,700 |
| Fees for Services Legal | - | $60,237 | - | $60,237 |
| Conferences and Meetings | $6,195 | $6,676 | - | $12,871 |
| Total Functional Expenses | $57,873,693 | $9,408,143 | $0 | $67,281,836 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Operating Leases | $2,026,532 |
“Michelle McGill - Chief Administrative Officer Jim Van Tiflin - Chairman Family”
“Board approves the 990 prior to filing.”
“Any conflicts are reviewed by the board to determine necessary actions.”
“For the top officials, there is a compensation committee, independent consultants, and review of compensation compared to other organizations similar in nature. A compensation study is done, and the board approves the compensation. For the officers, compensation reviews for officers are based on market analysis and financial performance and budget. Recommendations are then taken to the Finance Committee for approval and then to the Board of Directors for approval.”
“Governing documents are made available to the public upon request.”
“Eliminating entry for prior year consolidating statements -545,000.”
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 | 4841749 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 5323374 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 7590718 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 8908310 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | To provide communities with unrivaled access to medical care. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 107949 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 742530 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 850479 |
| IRS990/AllOtherContributionsAmt | 0 | 32445 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 512342 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 212031 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 724373 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Mobile Medical Response |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9897582900 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 4305 State St |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Saginaw |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 48603 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 3368428 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 6305298 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 9 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 1294499 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1294499 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 6676 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 6195 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 12871 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 980448 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 584752 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 254344 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 218606 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 192093 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 306 Conrad Rd |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 300 Rodd St |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 5454 Hampton PI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 1111 W Centre Ave |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 269 Mill Rd |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Standish |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Midland |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Saginaw |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Portage |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Chelmsford |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 48658 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 48640 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 48604 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 49024 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 01824 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | CMR Construction Services |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | CBM Services |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Netsource Once |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Tramasoft |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Zoll Medical Corporation |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Construction |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Credit Counsel |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | IT Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | IT Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Medical Software |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 563163 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1468505 |
| IRS990/CYOtherExpensesAmt | 0 | 17978551 |
| IRS990/CYOtherRevenueAmt | 0 | 1039194 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 71321794 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 7110820 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 49303285 |
| IRS990/CYTotalExpensesAmt | 0 | 67281836 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 74392656 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 476728 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 542353 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 71468 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 3024073 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3095541 |
| IRS990/Desc | 0 | To provide basic and advance life support ambulance and medical transportation services to members of the general public without regard to ability to pay. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 888 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 57873693 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 70400 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 1300 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 71700 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 60237 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 60237 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1522144 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 85503 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1607647 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 91652 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 91652 |
| 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 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| 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/IndividualTrusteeOrDirectorInd | 5 | 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/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 | 37583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 23737 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 37943 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 21550 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 4922 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 9692 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 17222 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 19874 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Jim Van Tiflin |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Beth Charlton |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Kevin Albosta |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Shane Hunt |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JoAnn Crary |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Shari Wilson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Laurie Thiel |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Eric Snidersich |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Michelle McGill |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Cole Whitehouse |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Angela Reynolds |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Alicia Garcia |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Bryant Hutchinson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Allan Wearn |
| 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 | 528687 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 252729 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 386963 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 182186 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 137765 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 133372 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 119558 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 126328 |
| 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 Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Vice Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Secretary/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | President |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VP of Operations |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VP of Finance |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Paramedic |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Paramedic |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Paramedic |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Paramedic |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Paramedic |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1994 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 54025 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 5226 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 6 |
| IRS990/GovernmentGrantsAmt | 0 | 530718 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 54025 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 10623241 |
| IRS990/GrossReceiptsAmt | 0 | 85010671 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 6 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 51 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 182161 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 838988 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1021149 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1409254 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1409254 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 1746600 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 237279 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 26802739 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 28456921 |
| IRS990/IRPDocumentCnt | 0 | 63 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 26622962 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 11503512 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 13680924 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 40303886 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 0 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 10618015 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 68503 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 34091 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 102594 |
| IRS990/MissionDesc | 0 | To provide communities with unrivaled access to medical care. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 1220209 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 903860 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 47504296 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 54344031 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 59251 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 59251 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 273915 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 47504296 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 54344031 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 188439 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1449592 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1638031 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 158275 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1345546 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1503821 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 2850506 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 4778161 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -545000 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 445356 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 5276405 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 5721761 |
| IRS990/OtherExpensesGrp/Desc | 0 | Vehicle Expense |
| IRS990/OtherExpensesGrp/Desc | 1 | Equipment Rental & Main |
| IRS990/OtherExpensesGrp/Desc | 2 | Training and education |
| IRS990/OtherExpensesGrp/Desc | 3 | Assessment |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 67839 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 41798 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 131691 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 5140139 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 779063 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 610082 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 369846 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 5207978 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 820861 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 741773 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 369846 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 1494958 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 2026532 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 2 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Work comp surplus refund |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | Undistributed income from subsidi |
| IRS990/OtherRevenueMiscGrp/Desc | 2 | MAAS dividend refund |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 435849 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 154952 |
| IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt | 0 | 345799 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 435849 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 345799 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 2 | 154952 |
| IRS990/OtherRevenueTotalAmt | 0 | 1039194 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3924218 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 34450929 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 38375147 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 331250 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 237627 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 394806 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 2600512 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 2995318 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 109074 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 807486 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 916560 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 1344187 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 535630 |
| IRS990/PrincipalOfficerNm | 0 | Laurie Thiel |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621910 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Ambulance Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Contract, Mgt, and Other Rev |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 67783838 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 3537956 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 67783838 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 3537956 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | N/A |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | N/A |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 467409 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 782776 |
| IRS990/PYOtherExpensesAmt | 0 | 17746147 |
| IRS990/PYOtherRevenueAmt | 0 | 821240 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 68829949 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 8715505 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 44439722 |
| IRS990/PYTotalExpensesAmt | 0 | 62185869 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 70901374 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 7110820 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 1 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 71760935 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 563163 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 467409 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 49050 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 981141 |
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