Civic Intelligence

Sierra Medical Services Alliance

EIN 68-0459931 • 501(c)3 • Reno, NV

View Organization Page

Profile

Semsa is an independent, nonprofit organization created for purposes of exploring and expanding alternative healthcare services.

1325 Airmotive Way 290Reno, NV 89502

www.sierramed.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

74th percentile

0.51x

Higher debt load relative to assets than 74% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

51st percentile

0.28x

Higher debt load relative to revenue than 51% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

19th percentile

-7.2%

Higher net margin than 19% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

76th percentile

$415,537

Higher top officer pay than 76% of similar nonprofits.

Top officer pay equals 1.5% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

20th percentile

-3.1%

Faster asset growth than 20% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

15th percentile

-12%

Faster revenue growth than 15% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets74th percentile

Assets

Down

$14,981,716

Down $475,747 (-3.1%) from 2023

Liabilities

Up

$7,674,293

Up $1,474,019 (+24%) from 2023

Net Assets

Down

$7,307,423

Down $1,949,766 (-21%) from 2023

Operations
Liabilities / Revenue51st percentileNet Margin19th percentile

Revenue

Down

$26,962,701

Down $3,843,699 (-12%) from 2023

Expenses

Up

$28,912,467

Up $2,677,254 (+10%) from 2023

Net Income

Down

-$1,949,766

Down $6,520,953 (-143%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth20th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$20M$15M$10M$5.0M$0Assets 2011: $2,258,363Liabilities 2011: $323,963Net Assets 2011: $1,934,4002011Assets 2012: $3,071,473Liabilities 2012: $501,570Net Assets 2012: $2,569,9032012Assets 2013: $5,983,762Liabilities 2013: $1,856,376Net Assets 2013: $4,127,3862013Assets 2014: $6,923,499Liabilities 2014: $2,254,583Net Assets 2014: $4,668,9162014Assets 2015: $10,226,925Liabilities 2015: $5,292,542Net Assets 2015: $4,934,3832015Assets 2016: $10,358,497Liabilities 2016: $6,794,908Net Assets 2016: $3,563,5892016Assets 2017: $10,703,502Liabilities 2017: $8,036,361Net Assets 2017: $2,667,1412017Assets 2018: $12,225,450Liabilities 2018: $9,496,083Net Assets 2018: $2,729,3672018Assets 2019: $13,354,424Liabilities 2019: $8,798,884Net Assets 2019: $4,555,5402019Assets 2020: $16,024,297Liabilities 2020: $11,307,715Net Assets 2020: $4,716,5822020Assets 2021: $11,516,669Liabilities 2021: $6,151,099Net Assets 2021: $5,365,5702021Assets 2022: $11,559,971Liabilities 2022: $6,873,969Net Assets 2022: $4,686,0022022Assets 2023: $15,457,463Liabilities 2023: $6,200,274Net Assets 2023: $9,257,1892023Assets 2024: $14,981,716Liabilities 2024: $7,674,293Net Assets 2024: $7,307,4232024

Highlighted filing

2024

Assets$14,981,716
Liabilities$7,674,293
Net Assets$7,307,423
Open 2024 Filing

Operations Trend

Revenue Growth15th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2011: $2,979,4152011Expenses 2012: $2,998,7142012Expenses 2013: $13,352,8502013Revenue 2014: $15,438,043Expenses 2014: $14,727,338Net Income 2014: $710,7052014Revenue 2015: $18,172,113Expenses 2015: $17,906,646Net Income 2015: $265,4672015Revenue 2016: $20,515,699Expenses 2016: $21,410,328Net Income 2016: -$894,6292016Revenue 2017: $24,248,553Expenses 2017: $24,876,421Net Income 2017: -$627,8682017Revenue 2018: $29,475,297Expenses 2018: $29,357,887Net Income 2018: $117,4102018Revenue 2019: $30,203,602Expenses 2019: $28,318,960Net Income 2019: $1,884,6422019Revenue 2020: $27,396,584Expenses 2020: $27,235,542Net Income 2020: $161,0422020Revenue 2021: $26,283,395Expenses 2021: $25,634,407Net Income 2021: $648,9882021Revenue 2022: $25,644,056Expenses 2022: $26,083,624Net Income 2022: -$439,5682022Revenue 2023: $30,806,400Expenses 2023: $26,235,213Net Income 2023: $4,571,1872023Revenue 2024: $26,962,701Expenses 2024: $28,912,467Net Income 2024: -$1,949,7662024

Highlighted filing

2024

Revenue$26,962,701
Expenses$28,912,467
Net Income-$1,949,766
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$14,981,716
Liabilities
$7,674,293
Net assets
$7,307,423
Revenue
$26,962,701
Expenses
$28,912,467
Net income
-$1,949,766
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.0$7.67$7.31$27.0$28.9$1.95
2023Summary only. Only limited summary data is available for this year.$15.5$6.20$9.26$30.8$26.2$4.57
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.6$6.87$4.69$25.6$26.1$0.44
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$11.5$6.15$5.37$26.3$25.6$0.65
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.0$11.3$4.72$27.4$27.2$0.16
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$13.4$8.80$4.56$30.2$28.3$1.88
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$12.2$9.50$2.73$29.5$29.4$0.12
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.7$8.04$2.67$24.2$24.9$0.63
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$10.4$6.79$3.56$20.5$21.4$0.89
2015Detailed filing. Detailed filing data is available for this year.$10.2$5.29$4.93$18.2$17.9$0.27
2014Detailed filing. Detailed filing data is available for this year.$6.92$2.25$4.67$15.4$14.7$0.71
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.98$1.86$4.13$13.4
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.07$0.50$2.57$3.00
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.26$0.32$1.93$2.98
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 14, 2025
Return Version
2023v6.0
Gross Receipts
$26,975,368
Mission and Program Overview

Mission

Semsa is an independent, nonprofit organization created for purposes of exploring and expanding alternative healthcare services.

Semsa is a nonprofit organization providing non-emergency wheelchair services as well as emergency medical services transportation to northern nevada and northern california.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,210,609$3,150,226▲ $939,617
Savings and Temporary Cash Investments$797,113$3,133,806▲ $2,336,693
Prepaid Expenses and Deferred Charges$1,779,403$2,521,239▲ $741,836
Accounts Receivable$2,018,568$2,036,085▲ $17,517
Intangible Assets$1,250,578$1,250,578→ $0
Cash and Non-Interest-Bearing Accounts$1,973,656$919,195▼ $1,054,461
Total Assets$15,457,463$14,981,716▼ $475,747
Other Assets Total$5,427,536$1,970,587▼ $3,456,949
Liabilities
Accounts Payable and Accrued Expenses$2,641,564$4,708,972▲ $2,067,408
Mortgage Notes Payable Secured by Investment Property$1,989,977$1,659,635▼ $330,342
Other Liabilities$1,568,733$1,305,686▼ $263,047
Total Liabilities$6,200,274$7,674,293▲ $1,474,019
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$9,257,189$7,307,423▼ $1,949,766
Total Net Assets Fund Balance$9,257,189$7,307,423▼ $1,949,766
Total Liabilities and Net Assets / Fund Balance$15,457,463$14,981,716▼ $475,747

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$0--
Equipment$3,150,226$8,043,921-
Other Assets Org$16,157--
Compensation and Service Providers
Top Officer Pay76th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nancy ToyChief Executive OfficerFT$382,501$33,036$415,537
Krista HowardFlight NurseFT$265,183$9,785$274,968
Thomas RadyParamedicFT$205,492$39,162$244,654
Carly StrongChief Operations OfficerFT$203,146$30,771$233,917
Trenton MurrietaParamedicFT$223,767$7,196$230,963
Tamara UithovenFlight NurseFT$193,967$28,152$222,119
Rex NeilsonParamedicFT$196,709$24,703$221,412
Eric RudnickMedical DirectorFT$181,113$32,116$213,229

Board Members and Trustees

NameTitle
Ty WindfeldtChairman/director
J Richard BarnardDirector
Jon KlaichDirector
Mike PavlakisSecretary/director
Teela MccullarTreasurer/director

Highest Paid Contractors

ContractorServicesLocationCompensation
The Honeycutt GroupConsulting34 CHESTNUT VALLEY SPUR, Hiawassee, GA 30546$178,907
Simaxx GroupConsulting4669 GULF BLVD SUITE 124, St Pete Beach, FL 33706$155,160
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$26,468,399
Investment Income
$27,655
Other Revenue
$466,647
Change in Net Assets
$-1,949,766

Audited Revenue Reconciliation

Revenue per Audited Statements
$26,962,701
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$50,051
Total Revenue per Audited Statements
$27,012,752
Total Revenue per Form 990
$26,962,701
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$18,936,418
Other Expenses$9,976,049
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$12,609,022$2,225,122-$14,834,144
All Other Expenses$1,690,703$245,570-$1,936,273
Other Employee Benefits$1,454,939$256,754-$1,711,693
Insurance$1,148,421$202,664-$1,351,085
Payroll Taxes$1,012,453$178,669-$1,191,122
Occupancy$778,709$160,704-$939,413
Current Officers, Directors, Trustees, and Key Employees$733,280$129,403-$862,683
Other Expenses$843,609$15,427-$859,036
Fees for Services Other$456,488$272,075-$728,563
Depreciation Depletion$546,890$98,863-$645,753
Pension Plan Contributions$286,260$50,516-$336,776
Information Technology$75,071$151,819-$226,890
Interest-$134,103-$134,103
Travel$61,880$48,204-$110,084
Fees for Services Legal-$61,274-$61,274
Fees for Services Accounting-$40,650-$40,650
Total Functional Expenses$24,533,089$4,379,378$0$28,912,467

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$28,962,518
Expenses per Audited Statements$28,912,467
Total Expenses per Form 990$28,912,467
Expenses Not Reported on Form 990$50,051
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Payroll and Related Liabilities$953,550
Right of Use Lease Obligation$352,136
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The form 990 is reviewed and approved by the ceo or coo prior to being filed and is reviewed by the board after it's filed.”

Form 990, Part VI, Section B, Line 12C

“Management regularly reviews any issues that arise under the conflict of interest policy.”

Form 990, Part VI, Section B, Line 15

“The process for determining compensation of the organization's ceo, executive director or top management official requires board approval.”

Form 990, Part VI, Section C, Line 18

“Semsa's 990 is made available upon request.”

Form 990, Part VI, Section C, Line 19

“Semsa's governing documents, conflict of interest policy and financial statements are available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Sierra Medical Services Alliance
EIN
68-0459931
Phone
7757374200
Address
1325 AIRMOTIVE WAY 290, RENO, NV 89502

Signing Officer

Name
Carly Strong
Title
Chief Operations Officer
Phone
7757374200
Signed
2025-05-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Carly Strong
Formed
2000
Legal Domicile
Nv
Voting Board Members
6
Independent Board Members
5
Employees
292
Volunteers
0

Preparer

Firm
BARNARD VOGLER & CO CPA'S
Address
100 W LIBERTY STREET SUITE 1100, RENO, NV 89501-1959
Preparer
Teela Mccullar
Phone
7757866141
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

“This process has not changed from previous years.”

Financial Statement Notes

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Revenue netted with expenses on form 990 50,051.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Revenue netted with expenses on form 990 50,051.”

Raw XML AppendixShowing 400 of 683 raw XML fields

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/AccountantCompileOrReviewInd00
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IRS990/AccountsPayableAccrExpnssGrp/EOYAmt04708972
IRS990/AccountsReceivableGrp/BOYAmt02018568
IRS990/AccountsReceivableGrp/EOYAmt02036085
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0SEMSA IS A NONPROFIT ORGANIZATION PROVIDING NON-EMERGENCY WHEELCHAIR SERVICES AS WELL AS EMERGENCY MEDICAL SERVICES TRANSPORTATION TO NORTHERN NEVADA AND NORTHERN CALIFORNIA.
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt0245570
IRS990/AllOtherExpensesGrp/ProgramServicesAmt01690703
IRS990/AllOtherExpensesGrp/TotalAmt01936273
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/BackupWthldComplianceInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0THE ORGANIZATION
IRS990/BooksInCareOfDetail/PhoneNum07757374200
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt01325 AIRMOTIVE WAY STE 290
IRS990/BooksInCareOfDetail/USAddress/CityNm0RENO
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NV
IRS990/BooksInCareOfDetail/USAddress/ZIPCd089502
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CashNonInterestBearingGrp/BOYAmt01973656
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IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt02
IRS990/CollectionsOfArtInd00
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt0129403
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IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt0862683
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd01
IRS990/CompensationProcessOtherInd01
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractorCompensationGrp/CompensationAmt0178907
IRS990/ContractorCompensationGrp/CompensationAmt1155160
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm1ST PETE BEACH
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0GA
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd133706
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0THE HONEYCUTT GROUP
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1SIMAXX GROUP
IRS990/ContractorCompensationGrp/ServicesDesc0CONSULTING
IRS990/ContractorCompensationGrp/ServicesDesc1CONSULTING
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt027655
IRS990/CYOtherExpensesAmt09976049
IRS990/CYOtherRevenueAmt0466647
IRS990/CYProgramServiceRevenueAmt026468399
IRS990/CYRevenuesLessExpensesAmt0-1949766
IRS990/CYSalariesCompEmpBnftPaidAmt018936418
IRS990/CYTotalExpensesAmt028912467
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IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt026962701
IRS990/DecisionsSubjectToApprovaInd00
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IRS990/DelegationOfMgmtDutiesInd00
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IRS990/DepreciationDepletionGrp/TotalAmt0645753
IRS990/Desc0SEMSA PROVIDES NON-EMERGENCY WHEELCHAIR TRANSPORT SERVICES FOR PERSONS IN NEED OF ASSISTANCE TO AND FROM THEIR DOCTOR'S OFFICE, TESTING CENTERS, CLINICS, OR HOSPITALS IN WASHOE COUNTY, NEVADA AND MERCED, CALIFORNIA.
IRS990/DescribedInSection501c3Ind01
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IRS990/FeesForServicesOtherGrp/TotalAmt0728563
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IRS990/ForeignFinancialAccountInd00
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt3181113
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt8193967
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt9205492
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10196709
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1TREASURER/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2CHAIRMAN/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3MEDICAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5SECRETARY/DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt7CHIEF OPERATIONS OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt8FLIGHT NURSE
IRS990/Form990PartVIISectionAGrp/TitleTxt9PARAMEDIC
IRS990/Form990PartVIISectionAGrp/TitleTxt10PARAMEDIC
IRS990/Form990PartVIISectionAGrp/TitleTxt11FLIGHT NURSE
IRS990/Form990PartVIISectionAGrp/TitleTxt12PARAMEDIC
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IRS990/FormationYr02000
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IRS990/FSAuditedInd01
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IRS990/GainOrLossGrp/OtherAmt012333
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IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
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IRS990/GrossReceiptsAmt026975368
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IRS990/IncludeFIN48FootnoteInd00
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IRS990/InfoInScheduleOPartIIIInd0X
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IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt0151819
IRS990/InformationTechnologyGrp/ProgramServicesAmt075071
IRS990/InformationTechnologyGrp/TotalAmt0226890
IRS990/InsuranceGrp/ManagementAndGeneralAmt0202664
IRS990/InsuranceGrp/ProgramServicesAmt01148421
IRS990/InsuranceGrp/TotalAmt01351085
IRS990/IntangibleAssetsGrp/BOYAmt01250578
IRS990/IntangibleAssetsGrp/EOYAmt01250578
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IRS990/InterestGrp/TotalAmt0134103
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IRS990/LandBldgEquipBasisNetGrp/EOYAmt03150226
IRS990/LandBldgEquipCostOrOtherBssAmt011194147
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IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0SEMSA IS AN INDEPENDENT, NONPROFIT ORGANIZATION CREATED FOR PURPOSES OF EXPLORING AND EXPANDING ALTERNATIVE HEALTHCARE SERVICES.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt01659635
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IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt012333
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IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt0160704
IRS990/OccupancyGrp/ProgramServicesAmt0778709
IRS990/OccupancyGrp/TotalAmt0939413
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
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IRS990/OtherAssetsTotalGrp/EOYAmt01970587
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0256754
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt01454939
IRS990/OtherEmployeeBenefitsGrp/TotalAmt01711693
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IRS990/OtherExpensesGrp/Desc2WORKERS COMP AND EMPLOY
IRS990/OtherExpensesGrp/Desc3REPAIRS & MAINTENANCE
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt215427
IRS990/OtherExpensesGrp/ProgramServicesAmt01065771
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IRS990/OtherExpensesGrp/ProgramServicesAmt2820136
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IRS990/OtherExpensesGrp/TotalAmt1980982
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IRS990/OtherExpensesGrp/TotalAmt3859036
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IRS990/OtherRevenueMiscGrp/BusinessCd0621990
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IRS990/OtherRevenueMiscGrp/Desc1MEDICAL EMERGENCY SERVICES TRAINI
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IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt120960
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IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt0178669
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IRS990/ProgramServiceRevenueGrp/Desc0GROUND & AIR TRANSPORT REVENUE
IRS990/ProgramServiceRevenueGrp/Desc1TRANSPORT WHEELCHAIR PATIENTS
IRS990/ProgramServiceRevenueGrp/Desc2MANAGEMENT SERVICES
IRS990/ProgramServiceRevenueGrp/Desc3IC CENTER FOR PRE-HOSPITAL AND DI
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt025327391
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1905279
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt2191765
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt343964
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt025327391
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1905279
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt2191765
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt343964
IRS990/ProgSrvcAccomActy2Grp/Desc0SEMSA HAS A CONTRACT TO PROVIDE GROUND AMBULANCE AND EMERGENCY AIR TRANSPORT SERVICES TO RESIDENTS OF SEVERAL COUNTIES IN CALIFORNIA.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt023796768
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt025785411
IRS990/ProgSrvcAccomActy3Grp/Desc0SEMSA CONTRACTS WITH VARIOUS AMBULANCE COMPANIES TO PROVIDE MANAGEMENT/BILLING SERVICES.
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt0191765
IRS990/ProgSrvcAccomActyOtherGrp/Desc0SEMSA PROVIDES MEDICAL DIRECTION, COMPLIANCE SERVICES, CONTINUING EDUCATION SERVICES AND MEDICAL SUPPLY ORDERING FOR SIERRA ARMY DEPOT FIRE AND EMERGENCY SERVICES AS WELL AS THEY PROVIDE EXERCISES AND HANDS-ON TRAINING FOR HEALTH CARE PROFESSIONALS.
IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt040970
IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt064924
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
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IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0742901
IRS990/PYOtherExpensesAmt07710451
IRS990/PYOtherRevenueAmt05133292
IRS990/PYProgramServiceRevenueAmt024930207
IRS990/PYRevenuesLessExpensesAmt04571187
IRS990/PYSalariesCompEmpBnftPaidAmt018524762
IRS990/PYTotalExpensesAmt026235213
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt030806400
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-1949766
IRS990/RegularMonitoringEnfrcInd01
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IRS990/RevenueAmt0905279
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IRS990/SavingsAndTempCashInvstGrp/EOYAmt03133806
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt03483603
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt03483603
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IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0440319
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt014310
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt06128
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt03926
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0480005
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt026450882
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt025671934
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt024923918
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt028382334
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt0128508255
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IRS990ScheduleA/InvestmentIncomeCYPct00.00350
IRS990ScheduleA/InvestmentIncomePYPct00.00340
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IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus1YearAmt05133292
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt0530088
IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus3YearsAmt0179093
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IRS990ScheduleA/OtherIncome509Grp/TotalAmt06513085
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.94970
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IRS990ScheduleA/PublicSupportTotal509Amt0131991858
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IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt026450882

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