Liabilities / Assets
40th percentile
Higher debt load relative to assets than 40% of similar nonprofits.
990 • Fiscal year 2019 • EIN 38-3198397
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
40th percentile
Higher debt load relative to assets than 40% of similar nonprofits.
Liabilities / Revenue
24th percentile
Higher debt load relative to revenue than 24% of similar nonprofits.
Net Margin
47th percentile
Higher net margin than 47% of similar nonprofits.
Top Officer Pay
79th percentile
Higher top officer pay than 79% of similar nonprofits.
Top officer pay equals 1.0% of source-year revenue.
Asset Growth
35th percentile
Faster asset growth than 35% of similar nonprofits.
Revenue Growth
38th percentile
Faster revenue growth than 38% of similar nonprofits.
Assets
Up$32,198,326
Up $236,442 (+0.7%) from 2018
Net Assets
Up$27,468,855
Up $1,000,644 (+3.8%) from 2018
Liabilities
Down$4,729,471
Down $764,202 (-14%) from 2018
Revenue
Up$45,289,686
Up $160,495 (+0.4%) from 2018
Expenses
Up$44,289,042
Up $1,658,106 (+3.9%) from 2018
Net Income
Down$1,000,644
Down $1,497,611 (-60%) from 2018
To provide communities with unrivaled access to medical care
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $10,911,136 | $10,634,734 | ▼ $276,402 |
| Cash and Non-Interest-Bearing Accounts | $6,867,306 | $7,758,345 | ▲ $891,039 |
| Accounts Receivable | $6,201,850 | $6,494,403 | ▲ $292,553 |
| Investments in Publicly Traded Securities | $2,370,863 | $2,567,683 | ▲ $196,820 |
| Investments Other Securities | $2,401,745 | $2,521,747 | ▲ $120,002 |
| Savings and Temporary Cash Investments | $2,267,154 | $1,390,444 | ▼ $876,710 |
| Prepaid Expenses and Deferred Charges | $792,764 | $723,504 | ▼ $69,260 |
| Other Notes and Loans Receivable, Net | $149,066 | $107,466 | ▼ $41,600 |
| Total Assets | $31,961,884 | $32,198,326 | ▲ $236,442 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $3,765,652 | $3,666,043 | ▼ $99,609 |
| Mortgage Notes Payable Secured by Investment Property | $1,421,935 | $710,967 | ▼ $710,968 |
| Deferred Revenue | $306,086 | $352,461 | ▲ $46,375 |
| Total Liabilities | $5,493,673 | $4,729,471 | ▼ $764,202 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $26,468,211 | $27,468,855 | ▲ $1,000,644 |
| Total Net Assets Fund Balance | $26,468,211 | $27,468,855 | ▲ $1,000,644 |
| Total Liabilities and Net Assets / Fund Balance | $31,961,884 | $32,198,326 | ▲ $236,442 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $5,490,547 | $8,405,016 | $13,895,563 |
| Equipment | $2,892,743 | $6,361,801 | $9,254,544 |
| Buildings | $1,906,972 | $3,042,371 | $4,949,343 |
| Land | $344,472 | - | $344,472 |
| Other Securities | $173,956 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mark Thompson | President | FT | $336,146 | $197,437 | $434,936 |
| Michelle Mcgill | VP of Financ | FT | $237,457 | $31,433 | $268,890 |
| Michelle Mcgill | VP of Finance | - | $207,657 | $61,233 | $268,890 |
| Michael Barrow | VP of Operat | FT | $202,853 | $380 | $203,233 |
| Michael Barrow | VP of Operations | - | $104,206 | $380 | $203,233 |
| Robert Macdonald | VP of Operat | FT | $169,709 | $23,631 | $193,340 |
| Robert Macdonald | VP of Operations | - | $152,959 | $40,381 | $193,340 |
| Name | Title |
|---|---|
| Jim Van Tiflin | Board Chair |
| Joann Crary | President |
| Ed Bruff | Vice Chairma |
| Kevin Albosta | Board Member |
| Mike Mccloskey | Board Member |
| Randy Bierlein | Board Member |
| Stephanie Duggan | Board Member |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $29,943,529 |
| Other Expenses | $14,345,513 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $20,362,681 | $3,052,440 | - | $23,415,121 |
| Other Employee Benefits | $3,421,046 | - | - | $3,421,046 |
| Depreciation Depletion | $3,114,851 | $84,700 | - | $3,199,551 |
| Payroll Taxes | $1,493,007 | $294,621 | - | $1,787,628 |
| Office Expenses | $1,197,293 | $280,850 | - | $1,478,143 |
| Occupancy | $1,061,307 | $146,449 | - | $1,207,756 |
| Fees for Services Other | $230,374 | $791,879 | - | $1,022,253 |
| Current Officers, Directors, Trustees, and Key Employees | $31,794 | $912,488 | - | $944,282 |
| Insurance | $860,033 | $25,133 | - | $885,166 |
| All Other Expenses | $258,697 | $237,932 | - | $496,629 |
| Advertising | $183,831 | $255,997 | - | $439,828 |
| Pension Plan Contributions | $352,121 | $23,331 | - | $375,452 |
| Other Expenses | $165,335 | $117,807 | - | $283,142 |
| Travel | $52,392 | $28,504 | - | $80,896 |
| Fees for Services Legal | - | $56,383 | - | $56,383 |
| Conferences and Meetings | $4,877 | $24,700 | - | $29,577 |
| Fees for Services Accounting | - | $23,800 | - | $23,800 |
| Total Functional Expenses | $37,802,341 | $6,486,701 | $0 | $44,289,042 |
| 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 | 3765652 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3666043 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 6201850 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 6494403 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE COMMUNITIES WITH UNRIVALED ACCESS TO MEDICAL CARE |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 255997 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 183831 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 439828 |
| IRS990/AllOtherContributionsAmt | 0 | 18912 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 237932 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 258697 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 496629 |
| 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 | 7758345 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 912488 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 31794 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 944282 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 24700 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 4877 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 29577 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 86825 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 278997 |
| IRS990/CYOtherExpensesAmt | 0 | 14345513 |
| IRS990/CYOtherRevenueAmt | 0 | 15240 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 44908624 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 1000644 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 29943529 |
| IRS990/CYTotalExpensesAmt | 0 | 44289042 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 45289686 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 306086 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 352461 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 84700 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 3114851 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 3199551 |
| 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 | 745 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 37802341 |
| IRS990/FamilyOrBusinessRlnInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 23800 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 23800 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 56383 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 56383 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 791879 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 230374 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1022253 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 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 | 1.00 |
| 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/FormerOfcrDirectorTrusteeInd | 0 | 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/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/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 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 43290 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 31433 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 23631 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 380 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | STEPHANIE DUGGAN |
| 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 | KEVIN ALBOSTA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JOANN CRARY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MARK THOMPSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | MICHELLE MCGILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ROBERT MACDONALD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | 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 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 391646 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 237457 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 169709 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 202853 |
| 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/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 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VP OF FINANC |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | VP OF OPERAT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | VP OF OPERAT |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1994 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 56322 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GovernmentGrantsAmt | 0 | 67913 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 160793 |
| IRS990/GrossReceiptsAmt | 0 | 45394157 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 7 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 4 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 25133 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 860033 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 885166 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 11423 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 211252 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 222675 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 2401745 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 2521747 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 2370863 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 2567683 |
| IRS990/IRPDocumentCnt | 0 | 13 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 17809188 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 10911136 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 10634734 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 28443922 |
| IRS990/LegalDomicileStateCd | 0 | MI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 104471 |
| 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 | 1421935 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 710967 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 26468211 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 27468855 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 56322 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 56322 |
| IRS990/NoncashContributionsAmt | 0 | 18570 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 146449 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 1061307 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1207756 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 280850 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1197293 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1478143 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 3421046 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 3421046 |
| IRS990/OtherExpensesGrp/Desc | 0 | VEHICLE EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 1 | EQUIPMENT RENTAL & MAINT |
| IRS990/OtherExpensesGrp/Desc | 2 | ASSESSMENT |
| IRS990/OtherExpensesGrp/Desc | 3 | TRAINING AND EDUCATION |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 48417 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 81270 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 117807 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 4154939 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 507642 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 350121 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 165335 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 4203356 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 588912 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 350121 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 283142 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MISCELLANEOUS |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 15240 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 15240 |
| IRS990/OtherRevenueTotalAmt | 0 | 15240 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 3052440 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 20362681 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 23415121 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 149066 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 107466 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 294621 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1493007 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1787628 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 23331 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 352121 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 375452 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 792764 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 723504 |
| 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 | 39766861 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 5110179 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 31584 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 39766861 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 5110179 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 31584 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 81097 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 343850 |
| IRS990/PYOtherExpensesAmt | 0 | 13048440 |
| IRS990/PYOtherRevenueAmt | 0 | 14207 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 44690037 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 2498255 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 29582496 |
| IRS990/PYTotalExpensesAmt | 0 | 42630936 |
| IRS990/PYTotalRevenueAmt | 0 | 45129191 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 1000644 |
| 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 | 45119876 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 2267154 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 1390444 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | 958,936 |
| IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc | 0 | PART III, LINE 12 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 86825 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 81097 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 66410 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2333 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 59332 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 295997 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 11423 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 8803 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 6707 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 335914 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | -7693 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 355154 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 45119876 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 44796426 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 42372113 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 40674142 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 38620472 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 211583029 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 11423 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 8803 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 6707 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 335914 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | -7693 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 355154 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.00000 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearAmt | 0 | 15240 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 14207 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 17860 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 898587 |
| IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 13042 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 958936 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.99380 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.99330 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 211879026 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 45206701 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 44877523 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 42438523 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 40676475 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 38679804 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 211879026 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 45233364 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 44900533 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 42463090 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 41910976 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 38685153 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 213193116 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | true |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 1906972 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 3042371 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 4949343 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 2892743 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 6361801 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 9254544 |
| IRS990ScheduleD/LandGrp/BookValueAmt | 0 | 344472 |
| IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt | 0 | 344472 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 5490547 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 8405016 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 13895563 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 0 | 1802791 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 1 | 545000 |
| IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt | 2 | 173956 |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 0 | ALLIANCE MOBILE HEALTH |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 1 | MERCY SALES |
| IRS990ScheduleD/OtherSecuritiesGrp/Desc | 2 | MOBILE HEALTH RESOURCE |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 10634734 |
| IRS990ScheduleD/TotalBookValueSecuritiesAmt | 0 | 2521747 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | false |
| IRS990ScheduleJ/BoardOrCommitteeApprovalInd | 0 | X |
| IRS990ScheduleJ/ClubDuesOrFeesInd | 0 | X |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | false |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | false |
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Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.