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← SIERRA MEDICAL SERVICES ALLIANCE

Form 990 for tax year 2023

Filed by SIERRA MEDICAL SERVICES ALLIANCE.

Totals

Total revenue
$26,962,701
Total expenses
$28,912,467
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$26,468,399
Investment income
$27,655
Other revenue
$466,647
Total assets, end of year
$14,981,716
Total liabilities, end of year
$7,674,293
Net assets or fund balances, end of year
$7,307,423
Program services expenses (Part IX)
$24,533,089
Management and general expenses
$4,379,378
Fundraising expenses
$0
Program service expenses (Part III)
$24,533,089

Program services were 84.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: GROUND & AIR TRANSPORT REVENUE

    total $25,327,391 · related or exempt $25,327,391

  • 2b · Program service revenue: TRANSPORT WHEELCHAIR PATIENTS

    total $905,279 · related or exempt $905,279

  • 2c · Program service revenue: MANAGEMENT SERVICES

    total $191,765 · related or exempt $191,765

  • 2d · Program service revenue: IC CENTER FOR PRE-HOSPITAL AND DI

    total $43,964 · related or exempt $43,964

  • 3 · Investment income

    total $15,322 · excluded $15,322

  • 7a · Gross sales of assets other than inventory

    other assets $25,000

  • 7b · Less cost or other basis and sales expenses

    other assets $12,667

  • 7c · Gain or loss

    other assets $12,333

  • 7d · Net gain or loss

    total $12,333 · related or exempt $12,333

  • 11a · Other revenue: MISCELLANEOUS INCOME

    total $445,687 · related or exempt $445,687

  • 11b · Other revenue: MEDICAL EMERGENCY SERVICES TRAINI

    total $20,960 · related or exempt $20,960

  • 11e · Other revenue, total

    $466,647

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $862,683 · program services $733,280 · management and general $129,403

  • 7 · Other salaries and wages

    total $14,834,144 · program services $12,609,022 · management and general $2,225,122

  • 8 · Pension plan contributions

    total $336,776 · program services $286,260 · management and general $50,516

  • 9 · Other employee benefits

    total $1,711,693 · program services $1,454,939 · management and general $256,754

  • 10 · Payroll taxes

    total $1,191,122 · program services $1,012,453 · management and general $178,669

  • 11b · Fees: legal

    total $61,274 · management and general $61,274

  • 11c · Fees: accounting

    total $40,650 · management and general $40,650

  • 11g · Fees: other

    total $728,563 · program services $456,488 · management and general $272,075

  • 14 · Information technology

    total $226,890 · program services $75,071 · management and general $151,819

  • 16 · Occupancy

    total $939,413 · program services $778,709 · management and general $160,704

  • 17 · Travel

    total $110,084 · program services $61,880 · management and general $48,204

  • 20 · Interest

    total $134,103 · management and general $134,103

  • 22 · Depreciation, depletion and amortization

    total $645,753 · program services $546,890 · management and general $98,863

  • 23 · Insurance

    total $1,351,085 · program services $1,148,421 · management and general $202,664

  • 24a · Other expenses: OUTSIDE STAFFING

    total $1,065,771 · program services $1,065,771

  • 24b · Other expenses: TAXES/LICENSES/FEES

    total $980,982 · program services $949,457 · management and general $31,525

  • 24c · Other expenses: WORKERS COMP AND EMPLOY

    total $896,172 · program services $820,136 · management and general $76,036

  • 24d · Other expenses: REPAIRS & MAINTENANCE

    total $859,036 · program services $843,609 · management and general $15,427

  • 24e · All other expenses

    total $1,936,273 · program services $1,690,703 · management and general $245,570

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,973,656 · end of year $919,195

  • 2 · Savings and temporary cash investments

    beginning of year $797,113 · end of year $3,133,806

  • 4 · Accounts receivable

    beginning of year $2,018,568 · end of year $2,036,085

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,779,403 · end of year $2,521,239

  • 10a · Land, buildings and equipment: cost or other basis

    $11,194,147

  • 10b · Land, buildings and equipment: accumulated depreciation

    $8,043,921

  • 10c · Land, buildings and equipment, net

    beginning of year $2,210,609 · end of year $3,150,226

  • 14 · Intangible assets

    beginning of year $1,250,578 · end of year $1,250,578

  • 15 · Other assets

    beginning of year $5,427,536 · end of year $1,970,587

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,641,564 · end of year $4,708,972

  • 23 · Secured mortgages and notes payable

    beginning of year $1,989,977 · end of year $1,659,635

  • 25 · Other liabilities

    beginning of year $1,568,733 · end of year $1,305,686

  • 27 · Net assets without donor restrictions

    beginning of year $9,257,189 · end of year $7,307,423

Mission and programs · 2023

Mission

SEMSA IS AN INDEPENDENT, NONPROFIT ORGANIZATION CREATED FOR PURPOSES OF EXPLORING AND EXPANDING ALTERNATIVE HEALTHCARE SERVICES.

Activities or mission (Part I)

SEMSA IS A NONPROFIT ORGANIZATION PROVIDING NON-EMERGENCY WHEELCHAIR SERVICES AS WELL AS EMERGENCY MEDICAL SERVICES TRANSPORTATION TO NORTHERN NEVADA AND NORTHERN CALIFORNIA.

  • SEMSA 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.

    Expenses $695,351 · Revenue $905,279

  • SEMSA HAS A CONTRACT TO PROVIDE GROUND AMBULANCE AND EMERGENCY AIR TRANSPORT SERVICES TO RESIDENTS OF SEVERAL COUNTIES IN CALIFORNIA.

    Expenses $23,796,768 · Revenue $25,785,411

  • SEMSA CONTRACTS WITH VARIOUS AMBULANCE COMPANIES TO PROVIDE MANAGEMENT/BILLING SERVICES.

    Revenue $191,765

  • SEMSA 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.

    Expenses $40,970 · Revenue $64,924

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • J Richard Barnard

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Teela McCullar

    TREASURER/DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Ty Windfeldt

    CHAIRMAN/DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Eric Rudnick

    MEDICAL DIRECTOR

    Total calculated
    $213,229
    From this org
    $181,113
    From related orgs
    $0
    Other
    $32,116
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $181,113
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $32,116
    Filer's total
    $213,229
  • Jon Klaich

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Mike Pavlakis

    SECRETARY/DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Nancy Toy

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $415,537
    From this org
    $382,501
    From related orgs
    $0
    Other
    $33,036
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $382,501
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $33,036
    Filer's total
    $415,537
  • Carly Strong

    CHIEF OPERATIONS OFFICER

    Total calculated
    $233,917
    From this org
    $203,146
    From related orgs
    $0
    Other
    $30,771
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $203,146
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $30,771
    Filer's total
    $233,917
  • Tamara Uithoven

    FLIGHT NURSE

    Total calculated
    $222,119
    From this org
    $193,967
    From related orgs
    $0
    Other
    $28,152
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $193,967
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $28,152
    Filer's total
    $222,119
  • Thomas Rady

    PARAMEDIC

    Total calculated
    $244,654
    From this org
    $205,492
    From related orgs
    $0
    Other
    $39,162
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $205,492
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $39,162
    Filer's total
    $244,654
  • Rex Neilson

    PARAMEDIC

    Total calculated
    $221,412
    From this org
    $196,709
    From related orgs
    $0
    Other
    $24,703
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $196,709
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $24,703
    Filer's total
    $221,412
  • Krista Howard

    FLIGHT NURSE

    Total calculated
    $274,968
    From this org
    $265,183
    From related orgs
    $0
    Other
    $9,785
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $265,183
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $9,785
    Filer's total
    $274,968
  • Trenton Murrieta

    PARAMEDIC

    Total calculated
    $230,963
    From this org
    $223,767
    From related orgs
    $0
    Other
    $7,196
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $223,767
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $7,196
    Filer's total
    $230,963

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2023
Filed
14 May 2025
IRS schema version
2023v6.0
Source object
202541359349305749

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