Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
EIN 39-1702433 • 501(c)3 • Menasha, WI
Profile
To respond to the healthcare and specialized transportation needs of the communities we serve in a high quality and efficient manner. We strive to meet the challenges of the people we serve with dedication, compassion and professionalism.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
29th percentile
Higher debt load relative to assets than 29% of similar nonprofits.
Liabilities / Revenue
19th percentile
Higher debt load relative to revenue than 19% of similar nonprofits.
Net Margin
66th percentile
Higher net margin than 66% of similar nonprofits.
Top Officer Pay
53rd percentile
Higher top officer pay than 53% of similar nonprofits.
Top officer pay equals 1.0% of source-year revenue.
Asset Growth
78th percentile
Faster asset growth than 78% of similar nonprofits.
Revenue Growth
70th percentile
Faster revenue growth than 70% of similar nonprofits.
Assets
Up$18,822,427
Up $2,608,070 (+16%) from 2023
Liabilities
Down$876,800
Down $275,079 (-24%) from 2023
Net Assets
Up$17,945,627
Up $2,883,149 (+19%) from 2023
Revenue
Up$19,936,135
Up $3,301,577 (+20%) from 2023
Expenses
Up$17,283,474
Up $1,800,666 (+12%) from 2023
Net Income
Up$2,652,661
Up $1,500,911 (+130%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
See attached statement as part of schedule o.
To respond to the healthcare and specialized transportation needs of the communities we serve in a high quality and efficient manner. We strive to meet the challenges of the people we serve with dedication, compassion and professionalism.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $9,754,449 | $10,171,121 | ▲ $416,672 |
| Accounts Receivable | $2,254,365 | $4,189,410 | ▲ $1,935,045 |
| Investments in Publicly Traded Securities | $2,159,317 | $2,432,854 | ▲ $273,537 |
| Savings and Temporary Cash Investments | $1,374,205 | $1,707,318 | ▲ $333,113 |
| Prepaid Expenses and Deferred Charges | $250,284 | $280,853 | ▲ $30,569 |
| Inventories for Sale or Use | $168,388 | $168,022 | ▼ $366 |
| Cash and Non-Interest-Bearing Accounts | $253,349 | $-127,151 | ▼ $380,500 |
| Total Assets | $16,214,357 | $18,822,427 | ▲ $2,608,070 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $1,136,915 | $876,800 | ▼ $260,115 |
| Grants Payable | $14,964 | - | - |
| Total Liabilities | $1,151,879 | $876,800 | ▼ $275,079 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $15,040,206 | $17,940,727 | ▲ $2,900,521 |
| Net Assets With Donor Restrictions | $22,272 | $4,900 | ▼ $17,372 |
| Total Net Assets Fund Balance | $15,062,478 | $17,945,627 | ▲ $2,883,149 |
| Total Liabilities and Net Assets / Fund Balance | $16,214,357 | $18,822,427 | ▲ $2,608,070 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $5,985,718 | $901,762 | $6,887,480 |
| Other Land Buildings | $2,019,019 | $3,007,340 | $5,026,359 |
| Equipment | $941,453 | $1,572,944 | $2,514,397 |
| Leasehold Improvements | $955,267 | $390,517 | $1,345,784 |
| Land | $269,664 | - | $269,664 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Nick Romenesko | Executive Director | FT | $148,196 | $45,092 | $193,288 |
| Heather Stenbroten | Administrative Director | FT | $121,267 | $38,122 | $159,389 |
| Mark Fredrickson | Retired Executive Director | FT | $125,067 | $3,432 | $128,499 |
| Name | Title |
|---|---|
| Lynn Detterman | President and Director |
| Heather Hoeffler | Vice President and Director |
| David Sickels | Director |
| Jason Staszko | Director |
| Ray Georgen | Director |
| Sanjay Chopra | Director |
| Dale Gisi | Secretary and Director |
| Michael Bergmann | Treasurer and Director |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $11,317,142 |
| Other Expenses | $5,966,332 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $8,457,564 | $509,602 | - | $8,967,166 |
| Depreciation Depletion | $1,076,991 | $27,641 | - | $1,104,632 |
| Other Employee Benefits | $896,992 | $65,274 | - | $962,266 |
| Payroll Taxes | $678,871 | $50,414 | - | $729,285 |
| Other Expenses | $681,790 | $27,819 | - | $681,790 |
| Current Officers, Directors, Trustees, and Key Employees | $328,769 | $152,407 | - | $481,176 |
| Fees for Services Accounting | - | $187,930 | - | $187,930 |
| Insurance | $170,713 | $11,645 | - | $182,358 |
| Occupancy | $166,944 | $13,378 | - | $180,322 |
| Office Expenses | $43,273 | $134,273 | - | $177,546 |
| Pension Plan Contributions | $164,830 | $12,419 | - | $177,249 |
| Fees for Services Other | $93,072 | $77,263 | - | $170,335 |
| Information Technology | - | $157,535 | - | $157,535 |
| All Other Expenses | $34,640 | $86,085 | - | $120,725 |
| Advertising | - | $56,657 | - | $56,657 |
| Travel | $8,142 | $35,590 | - | $43,732 |
| Conferences and Meetings | $24,191 | - | - | $24,191 |
| Fees for Services Legal | - | $24,101 | - | $24,101 |
| Total Functional Expenses | $15,653,441 | $1,630,033 | $0 | $17,283,474 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
“There is one class with the members having the right to elect the members of the governing body (the board of directors).”
“Members of the corporation may each nominate four candidates for election to the board of directors, but all members are required to vote for approval or disapproval of the candidates.”
“Form 990 is made available to any members of the board of directors who wish to review it prior to filing the form with the internal revenue service. Form 990 is reviewed by the executive director prior to filing the form with the internal revenue service.”
“The board of directors and principal officers have all signed a conflict of interest policy. They review and sign a similar document annually. Directors, officers, management personnel, or committee members disclose to the board of directors any financial interest or other material facts that such person may have with respect to a proposed transaction or arrangement. Any potential conflicts are reviewed by the board without the person in question. The person in question would be removed from any discussion on the topic or voting on the issue.”
“The board of directors annually determines and approves compensation for the executive director based on comparable data for similar positions and an annual performance review for the executive director.”
“The board of directors in consultation with the executive director annually determines and approves compensation for the operations director and the administrative director based on comparable data for similar positions, and performance reviews of the operations director and administrative director.”
“The organizations governing documents, conflict of interest policy, and tax return form 990 are made available to the public upon request.”
“Part i, line 1: the organization provides ambulance services to the greater fox valley and waupaca areas in northeastern wisconsin.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 876800 |
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| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 4189410 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO RESPOND TO THE HEALTHCARE AND SPECIALIZED TRANSPORTATION NEEDS OF THE COMMUNITIES WE SERVE IN A HIGH QUALITY AND EFFICIENT MANNER. WE STRIVE TO MEET THE CHALLENGES OF THE PEOPLE WE SERVE WITH DEDICATION, COMPASSION AND PROFESSIONALISM. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 56657 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 56657 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 86085 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 34640 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 120725 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | NICK ROMENESKO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9207273020 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1050 WITTMANN DRIVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | MENASHA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WI |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 54952 |
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| IRS990/BusinessRlnWithFamMemInd | 0 | false |
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| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 253349 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | -127151 |
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| IRS990/CollectionsOfArtInd | 0 | false |
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| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 328769 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 481176 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
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| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 24191 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 24191 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
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| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/CostOfGoodsSoldAmt | 0 | 108625 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
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| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
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| IRS990/CYOtherRevenueAmt | 0 | 1851 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 19856720 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 2652661 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 11317142 |
| IRS990/CYTotalExpensesAmt | 0 | 17283474 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 19936135 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
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| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 27641 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1076991 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1104632 |
| IRS990/Desc | 0 | GOLD CROSS AMBULANCE SERVICE INC. PROVIDES EMERGENCY 911 AND NON-EMERGENCY AMBULANCE SERVICES FROM MULTIPLE LOCATIONS THROUGHOUT THE GREATER FOX VALLEY AND WAUPACA AREAS IN NORTHEASTERN WISCONSIN, AND HAS CONTRACTED WITH THE CITY OF BRILLION AND N.E.W. PARA-MEDIC RESCUE, INC. (REPRESENTING THE VILLAGE OF PULASKI AND THE SURROUNDING TOWNS OF ANGELICA, CHASE, LESSOR, MAPLE GROVE, AND PITTSFIELD) TO PROVIDE AMBULANCE SERVICES TO THOSE AREAS. THE ORGANIZATION ALSO PROVIDES AMBULANCE SERVICES AT VARIOUS LOCAL EVENTS, IMPROVES EMERGENCY CARE WITHIN THE PUBLIC SECTOR THROUGH EDUCATION, TRAINING, AND THE SALE OF MEDICAL EQUIPMENT AND SUPPLIES, AND PERFORMS OTHER RELATED SERVICES IN THE LOCAL AREA. APPROXIMATELY 29,015 CALLS WERE MADE DURING THE CALENDAR YEAR. |
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| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | false |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 22272 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 4900 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 235 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 15653441 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
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| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 187930 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 24101 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 24101 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 77263 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 93072 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 170335 |
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| IRS990/ForeignOfficeInd | 0 | false |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
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| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 4921 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 3432 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | DAVID SICKELS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | SANJAY CHOPRA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | RAY GEORGEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JASON STASZKO |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MICHAEL BERGMANN |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 183319 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 154468 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 125067 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | EXECUTIVE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | ADMINISTRATIVE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | RETIRED EXECUTIVE DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | SECRETARY AND DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | VICE PRESIDENT AND DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TREASURER AND DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PRESIDENT AND DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | false |
| IRS990/FormationYr | 0 | 1991 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | false |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -9349 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -15571 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 8 |
| IRS990/GovernmentGrantsAmt | 0 | 17467 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 14964 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 42718 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 822985 |
| IRS990/GrossReceiptsAmt | 0 | 20935383 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 110476 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 157535 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 157535 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 11645 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 170713 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 182358 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 168388 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 168022 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 85017 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 85017 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 2159317 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 2432854 |
| IRS990/IRPDocumentCnt | 0 | 21 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 5872563 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 9754449 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 10171121 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 16043684 |
| IRS990/LegalDomicileStateCd | 0 | WI |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 52067 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 838556 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO RESPOND TO THE HEALTHCARE AND SPECIALIZED TRANSPORTATION NEEDS OF THE COMMUNITIES WE SERVE IN A HIGH QUALITY AND EFFICIENT MANNER. WE STRIVE TO MEET THE CHALLENGES OF THE PEOPLE WE SERVE WITH DEDICATION, COMPASSION AND PROFESSIONALISM. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 15062478 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 17945627 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -24920 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -24920 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1851 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 1851 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 230488 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 15040206 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 17940727 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 13378 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 166944 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 180322 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 134273 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 43273 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 177546 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 65274 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 896992 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 962266 |
| IRS990/OtherExpensesGrp/Desc | 0 | BAD DEBT EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | MAINTENANCE EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 3 | VEHICLES AND FLEET MAINT |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 27819 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 2117605 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 420090 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 288964 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 681790 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 2117605 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 420090 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 316783 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 681790 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 509602 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 8457564 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 8967166 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 50414 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 678871 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 729285 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 12419 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 164830 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 177249 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 250284 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 280853 |
| IRS990/PrincipalOfficerNm | 0 | NICK ROMENESKO |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 4 | 621910 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | NET PATIENT SERVICE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | OUTSOURCED STAFF |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | EXTERNAL EDUCATION |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | MANAGEMENT FEE INCOME |
| IRS990/ProgramServiceRevenueGrp/Desc | 4 | AMBULANCE SERV SUBSIDY |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 18326313 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 558425 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 115608 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 149270 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 4 | 563478 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 18326313 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 558425 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 115608 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 149270 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 4 | 563478 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 83278 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 14964 |
| IRS990/PYInvestmentIncomeAmt | 0 | 157496 |
| IRS990/PYOtherExpensesAmt | 0 | 4595974 |
| IRS990/PYOtherRevenueAmt | 0 | 28539 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 16365245 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 1151750 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 10871870 |
| IRS990/PYTotalExpensesAmt | 0 | 15482808 |
| IRS990/PYTotalRevenueAmt | 0 | 16634558 |
| IRS990/QuidProQuoContributionsInd | 0 | true |
| IRS990/QuidProQuoContriDisclInd | 0 | true |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 2652661 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 19856720 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 1374205 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 1707318 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 17467 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 83278 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 108572 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1489943 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 272023 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 1971283 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 85017 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 178639 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 79907 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 86193 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 74339 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 504095 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 19948874 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 16524896 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 14989871 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 13271315 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 11855696 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 76590652 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 85017 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 178639 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 79907 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 86193 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 74339 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 504095 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.01000 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.01000 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.96450 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.96020 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 76261363 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearAmt | 0 | 411820 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus1YearAmt | 0 | 434201 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus2YearsAmt | 0 | 445617 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt | 0 | 466230 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt | 0 | 542704 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 2300572 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearAmt | 0 | 411820 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus1YearAmt | 0 | 434201 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus2YearsAmt | 0 | 445617 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus3YearsAmt | 0 | 466230 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus4YearsAmt | 0 | 542704 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 2300572 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt | 0 | 19966341 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 16608174 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 15098443 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 14761258 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 12127719 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 78561935 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt | 0 | 20051358 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 16786813 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 15178350 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 14847451 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 12202058 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 79066030 |
| 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 |
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