Liabilities / Assets
41st percentile
Higher debt load relative to assets than 41% of similar nonprofits.
990 • Fiscal year 2018 • EIN 38-3198397
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
41st percentile
Higher debt load relative to assets than 41% of similar nonprofits.
Liabilities / Revenue
27th percentile
Higher debt load relative to revenue than 27% of similar nonprofits.
Net Margin
57th percentile
Higher net margin than 57% of similar nonprofits.
Top Officer Pay
79th percentile
Higher top officer pay than 79% of similar nonprofits.
Top officer pay equals 0.9% of source-year revenue.
Asset Growth
69th percentile
Faster asset growth than 69% of similar nonprofits.
Revenue Growth
54th percentile
Faster revenue growth than 54% of similar nonprofits.
Assets
Up$31,961,884
Up $2,308,699 (+7.8%) from 2017
Net Assets
Up$26,468,211
Up $2,498,255 (+10%) from 2017
Liabilities
Down$5,493,673
Down $189,556 (-3.3%) from 2017
Revenue
Up$45,129,191
Up $2,664,149 (+6.3%) from 2017
Expenses
Up$42,630,936
Up $2,246,305 (+5.6%) from 2017
Net Income
Up$2,498,255
Up $417,844 (+20%) from 2017
To provide communities with unrivaled access to medical care
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $10,655,219 | $10,911,136 | ▲ $255,917 |
| Cash and Non-Interest-Bearing Accounts | $6,867,306 | $6,867,306 | → $0 |
| Accounts Receivable | $5,251,421 | $6,201,850 | ▲ $950,429 |
| Investments Other Securities | $2,295,294 | $2,401,745 | ▲ $106,451 |
| Investments in Publicly Traded Securities | $2,397,488 | $2,370,863 | ▼ $26,625 |
| Savings and Temporary Cash Investments | $1,386,294 | $2,267,154 | ▲ $880,860 |
| Prepaid Expenses and Deferred Charges | $612,963 | $792,764 | ▲ $179,801 |
| Other Notes and Loans Receivable, Net | $187,200 | $149,066 | ▼ $38,134 |
| Total Assets | $29,653,185 | $31,961,884 | ▲ $2,308,699 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $3,243,898 | $3,765,652 | ▲ $521,754 |
| Mortgage Notes Payable Secured by Investment Property | $2,132,902 | $1,421,935 | ▼ $710,967 |
| Deferred Revenue | $306,429 | $306,086 | ▼ $343 |
| Total Liabilities | $5,683,229 | $5,493,673 | ▼ $189,556 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $23,969,956 | $26,468,211 | ▲ $2,498,255 |
| Total Net Assets Fund Balance | $23,969,956 | $26,468,211 | ▲ $2,498,255 |
| Total Liabilities and Net Assets / Fund Balance | $29,653,185 | $31,961,884 | ▲ $2,308,699 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $5,370,970 | $7,679,834 | $13,050,804 |
| Equipment | $3,433,507 | $5,419,522 | $8,853,029 |
| Buildings | $1,762,187 | $2,880,605 | $4,642,792 |
| Land | $344,472 | - | $344,472 |
| Other Securities | $166,085 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mark Thompson | President | FT | $328,328 | $98,685 | $427,013 |
| Michelle Mcgill | VP of Financ | FT | $229,760 | $30,955 | $260,715 |
| Michelle Mcgill | VP of Finance | - | $202,510 | $58,205 | $260,715 |
| Michael Barrow | VP of Operat | FT | $205,708 | $23,064 | $228,772 |
| Michael Barrow | VP of Operations | - | $198,208 | $30,564 | $228,772 |
| Name | Title |
|---|---|
| Jim Van Tiflin | Board Chair |
| Ed Bruff | Vice Chairma |
| Kevin Albosta | Board Member |
| Mike Mccloskey | Board Member |
| Nancy Haywood | Board Member |
| Randy Bierlein | Board Member |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $29,582,496 |
| Other Expenses | $13,048,440 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $19,276,978 | $3,064,630 | - | $22,341,608 |
| Other Employee Benefits | $3,613,891 | $530,057 | - | $4,143,948 |
| Depreciation Depletion | $2,841,442 | $83,148 | - | $2,924,590 |
| Payroll Taxes | $1,432,750 | $294,855 | - | $1,727,605 |
| Office Expenses | $1,188,594 | $464,001 | - | $1,652,595 |
| Occupancy | $1,047,594 | $150,118 | - | $1,197,712 |
| Current Officers, Directors, Trustees, and Key Employees | $48,755 | $964,676 | - | $1,013,431 |
| Fees for Services Legal | $670,260 | $210,003 | - | $880,263 |
| Advertising | $215,811 | $335,685 | - | $551,496 |
| Insurance | $518,506 | $16,789 | - | $535,295 |
| Pension Plan Contributions | $322,962 | $32,942 | - | $355,904 |
| Other Expenses | $148,995 | $86,386 | - | $235,381 |
| Conferences and Meetings | $35,197 | $70,213 | - | $105,410 |
| All Other Expenses | $65,868 | $11,987 | - | $77,855 |
| Travel | $34,143 | $13,195 | - | $47,338 |
| Fees for Services Accounting | - | $24,950 | - | $24,950 |
| Interest | $30 | $6 | - | $36 |
| Total Functional Expenses | $36,124,631 | $6,506,305 | $0 | $42,630,936 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“Michelle mcgill jim van tiflin vice pres chairman family”
“Board approves the 990 prior to filing.”
“Any conflicts are reviewed by the board to determine necessary actions”
“There is a compensation committee, independent consultants and review of compensation compared to other organizations similiar in nature. A compensation study is done and the board approves the compensation”
“Compensation reviews 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.”
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 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 3243898 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3765652 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 5251421 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 6201850 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE COMMUNITIES WITH UNRIVALED ACCESS TO MEDICAL CARE |
| IRS990/AddressChangeInd | 0 | X |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 335685 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 215811 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 551496 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 11987 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 65868 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 77855 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 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/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 6867306 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 6867306 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 964676 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 48755 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1013431 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 70213 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 35197 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 105410 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 81097 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 343850 |
| IRS990/CYOtherExpensesAmt | 0 | 13048440 |
| IRS990/CYOtherRevenueAmt | 0 | 14207 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 44690037 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 2498255 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 29582496 |
| IRS990/CYTotalExpensesAmt | 0 | 42630936 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 45129191 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 306429 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 306086 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 83148 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 2841442 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 2924590 |
| 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 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 766 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 36124631 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 24950 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 24950 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 210003 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 670260 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 880263 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form1098CFiledInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form8899Filedind | 0 | false |
| 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/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/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 | 42685 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 30955 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 23064 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | KEVIN ALBOSTA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | RANDY BIERLEIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ED BRUFF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MIKE MCCLOSKEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JIM VAN TIFLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | NANCY HAYWOOD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | MARK THOMPSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MICHELLE MCGILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MICHAEL BARROW |
| 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 | 384328 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 229760 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 205708 |
| 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/TitleTxt | 0 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | VICE CHAIRMA |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VP OF FINANC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VP OF OPERAT |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1994 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 228658 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 6 |
| IRS990/GovernmentGrantsAmt | 0 | 81097 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 435871 |
| IRS990/GrossReceiptsAmt | 0 | 45336404 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 6 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 16789 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 518506 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 535295 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 6 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 30 |
| IRS990/InterestGrp/TotalAmt | 0 | 36 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 8803 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 106389 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 115192 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 2295294 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 2401745 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 2397488 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 2370863 |
| IRS990/IRPDocumentCnt | 0 | 6 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 15979961 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 10655219 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 10911136 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 26891097 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 207213 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO PROVIDE COMMUNITIES WITH UNRIVALED ACCESS TO MEDICAL CARE |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 2132902 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 1421935 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 23969956 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 26468211 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 228658 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 228658 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 150118 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1047594 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1197712 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 464001 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1188594 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1652595 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 530057 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3613891 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4143948 |
| IRS990/OtherExpensesGrp/Desc | 0 | VEHICLE EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 1 | EQUIPMENT RENTAL & MAINT |
| IRS990/OtherExpensesGrp/Desc | 2 | LAUNDRY AND UNIFORMS |
| IRS990/OtherExpensesGrp/Desc | 3 | TRAINING AND EDUCATION |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 12193 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 107274 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 33197 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 86386 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 3804199 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 620915 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 237741 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 148995 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 3816392 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 728189 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 270938 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 235381 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 14207 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 14207 |
| IRS990/OtherRevenueTotalAmt | 0 | 14207 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3064630 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 19276978 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 22341608 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 187200 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 149066 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 294855 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1432750 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1727605 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 32942 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 322962 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 355904 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 612963 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 792764 |
| IRS990/PrincipalOfficerNm | 0 | MARK THOMPSON |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | AMBULANCE REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | CONTRACT, MGT, AND OTHER REV |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | SUBSCRIPTION REVENUES |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 39951430 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 4706327 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 32280 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 39951430 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 4706327 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 32280 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 66410 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 213065 |
| IRS990/PYOtherExpensesAmt | 0 | 12223960 |
| IRS990/PYOtherRevenueAmt | 0 | 17860 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 42167707 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 2080411 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 28160671 |
| IRS990/PYTotalExpensesAmt | 0 | 40384631 |
| IRS990/PYTotalRevenueAmt | 0 | 42465042 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 2498255 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
| IRS990/ReportInvestmentsOtherSecInd | 0 | true |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 44796426 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 1386294 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 2267154 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | 992,489 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | PART III, LINE 12 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 81097 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 66410 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 2333 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 59332 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 209172 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 8803 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 6707 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 335914 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | -7693 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 14694 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 358425 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 44796426 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 42372113 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 40674142 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 38620472 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 34524495 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 200987648 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 8803 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 6707 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 335914 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | -7693 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 14694 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 358425 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00000 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 14207 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 17860 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 898587 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 13042 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 48793 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 992489 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99330 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99220 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 201196820 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 44877523 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 42438523 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 40676475 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 38679804 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 34524495 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 201196820 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 44900533 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 42463090 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 41910976 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 38685153 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 34587982 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 202547734 |
| IRS990/ScheduleBRequiredInd | 0 | true |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 1762187 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 2880605 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 4642792 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 3433507 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 5419522 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 8853029 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 344472 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 344472 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 5370970 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 7679834 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 13050804 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 0 | 1690660 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 1 | 545000 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 2 | 166085 |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 0 | ALLIANCE MOBILE HEALTH |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 1 | MERCY SALES |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 2 | MOBILE HEALTH RESOURCE |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 10911136 |
| IRS990ScheduleD/TotalBookValueSecuritiesAmt | 0 | 2401745 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | false |
| IRS990ScheduleJ/BoardOrCommitteeApprovalInd | 0 | X |
| IRS990ScheduleJ/ClubDuesOrFeesInd | 0 | X |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | false |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | false |
| IRS990ScheduleJ/CompensationCommitteeInd | 0 | X |
| IRS990ScheduleJ/CompensationSurveyInd | 0 | X |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | false |
| IRS990ScheduleJ/Form990OfOtherOrganizationsInd | 0 | X |
| IRS990ScheduleJ/IndependentConsultantInd | 0 | X |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | false |
| IRS990/ScheduleJRequiredInd | 0 | true |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 328328 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 1 | 202510 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 2 | 198208 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 56000 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 1 | 27250 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 2 | 7500 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 22985 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 1 | 15605 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 2 | 14234 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 19700 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 1 | 15350 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 2 | 8830 |
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Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.