Sierra Medical Services Alliance
Organization summary
Type of Nonprofit
Designated as a Organizations for any of the following purposes: religious, educational, charitable, scientific, literary, testing for public safety, fostering national or international amateur sports competition (as long as it doesn't provide athletic facilities or equipment), or the prevention of cruelty to children or animals.
Category: Health — General and Rehabilitative / Ambulance, Emergency Medical Transport Services (NTEE)
Donations to this organization are tax deductible.
Summary charts: organization finances over time
Revenue $30.8M (2023)
 Expenses $26.2M (2023)
 Total Assets $15.5M (2023)
 Total Liabilities $6.2M (2023)
 Tax Filings by Year
Form 990 is an information return that most organizations claiming federal tax-exempt status must file yearly with the IRS. Nonprofit Explorer has IRS digitized Form 990 data for filings processed in 2012 and later. If this organization filed an amended return, it may not be reflected below. Duplicate download links may indicate a resubmission or amendment to this organization's original return. Form 990 data is from the IRS.
    Fiscal Year Ending June
    2023
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $24,930,207 | 
          
    80.9%
 
     | 
| Investment Income | $440,319 | 
          
    1.4%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $302,582 | 
          
    1.0%
 
     | 
| Net Inventory Sales | $0 | |
| Other Revenue | $5,133,292 | 
          
    16.7%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $639,644 | 
          
    2.4%
 
     | 
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $14,347,016 | 
          
    54.7%
 
     | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $15,457,463 | |
| Total Liabilities | $6,200,274 | 
Compensation
| Key Employees and Officers | Compensation | Related | Other | 
|---|---|---|---|
| Nancy Toy (Chief Executive Officer) | $262,000 | $0 | $32,392 | 
| Trenton Murrieta (Executive Director) | $232,846 | $0 | $6,669 | 
| Krista Howard (Flight Nurse) | $224,480 | $0 | $9,362 | 
Document Links
990
Filed on May 14, 2024Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2022
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $25,102,314 | 
          
    97.9%
 
     | 
| Investment Income | $14,310 | 
          
    0.1%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | -$2,656 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $530,088 | 
          
    2.1%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $667,817 | 
          
    2.6%
 
     | 
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $14,487,453 | 
          
    55.5%
 
     | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $11,559,971 | |
| Total Liabilities | $6,873,969 | 
Compensation
| Key Employees and Officers | Compensation | Related | Other | 
|---|---|---|---|
| Nancy Toy (Chief Executive Officer) | $272,077 | $0 | $30,929 | 
| Deeann Dion (Corporate Project Officer) | $206,808 | $0 | $24,881 | 
| Trenton Murrieta (Executive Director) | $196,783 | $0 | $6,446 | 
Document Links
990
Filed on May 9, 2023Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2021
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $3,483,603 | 
          
    13.3%
 
     | 
| Program Services | $22,621,157 | 
          
    86.1%
 
     | 
| Investment Income | $6,128 | 
          
    0.0%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | -$6,586 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $179,093 | 
          
    0.7%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $589,311 | 
          
    2.3%
 
     | 
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $14,519,886 | 
          
    56.6%
 
     | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $11,516,669 | |
| Total Liabilities | $6,151,099 | 
Compensation
| Key Employees and Officers | Compensation | Related | Other | 
|---|---|---|---|
| Nancy Toy (Chief Executive Officer) | $256,024 | $0 | $28,150 | 
| Christopher Dearing (Flight Nurse) | $191,376 | $0 | $14,358 | 
| Trenton Murrieta (Executive Director) | $176,130 | $0 | $5,891 | 
Document Links
990
Filed on May 10, 2022Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2020
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $27,075,981 | 
          
    98.8%
 
     | 
| Investment Income | $3,926 | 
          
    0.0%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $112,712 | 
          
    0.4%
 
     | 
| Net Inventory Sales | $0 | |
| Other Revenue | $203,965 | 
          
    0.7%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $698,165 | 
          
    2.6%
 
     | 
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $14,963,930 | 
          
    54.9%
 
     | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $16,024,297 | |
| Total Liabilities | $11,307,715 | 
Compensation
| Key Employees and Officers | Compensation | Related | Other | 
|---|---|---|---|
| Stephen Crabtree (Flight Rn) | $296,578 | $0 | $24,221 | 
| J Richard Barnard (Chief Executive Officer) | $265,706 | $0 | $0 | 
| Thomas Rady (Paramedic) | $215,314 | $0 | $28,087 | 
Document Links
990
Filed on May 14, 2021Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2019
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $30,001,362 | 
          
    99.3%
 
     | 
| Investment Income | $5,011 | 
          
    0.0%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | -$24,119 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $221,348 | 
          
    0.7%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $742,367 | 
          
    2.6%
 
     | 
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $16,080,272 | 
          
    56.8%
 
     | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $13,354,424 | |
| Total Liabilities | $8,798,884 | 
Compensation
| Key Employees and Officers | Compensation | Related | Other | 
|---|---|---|---|
| J Richard Barnard (Chief Executive Officer) | $260,000 | $0 | $0 | 
| Stephen Crabtree (Director) | $252,467 | $0 | $9,258 | 
| Thomas Rady (Paramedic) | $222,745 | $0 | $23,892 | 
Document Links
990
Filed on May 15, 2020Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2018
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $462,920 | 
          
    1.6%
 
     | 
| Program Services | $28,499,675 | 
          
    96.7%
 
     | 
| Investment Income | $6,923 | 
          
    0.0%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $122,076 | 
          
    0.4%
 
     | 
| Net Inventory Sales | $0 | |
| Other Revenue | $383,703 | 
          
    1.3%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $771,836 | 
          
    2.6%
 
     | 
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $15,661,760 | 
          
    53.3%
 
     | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $12,225,450 | |
| Total Liabilities | $9,496,083 | 
Compensation
| Key Employees and Officers | Compensation | Related | Other | 
|---|---|---|---|
| Patrick Smith (Chief Executive Officer) | $375,222 | $0 | $31,864 | 
| Thomas Rady (Paramedic) | $240,937 | $0 | $24,989 | 
| Stephen Crabtree (Director) | $216,174 | $0 | $4,936 | 
Document Links
990
Filed on May 9, 2019Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2017
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $24,059,141 | 
          
    99.2%
 
     | 
| Investment Income | $6,991 | 
          
    0.0%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $2,287 | 
          
    0.0%
 
     | 
| Net Inventory Sales | $0 | |
| Other Revenue | $180,134 | 
          
    0.7%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $655,491 | 
          
    2.6%
 
     | 
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $13,504,556 | 
          
    54.3%
 
     | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $10,703,502 | |
| Total Liabilities | $8,036,361 | 
Compensation
| Key Employees and Officers | Compensation | Related | Other | 
|---|---|---|---|
| Patrick Smith (President/Secretary/Director) | $345,555 | $0 | $33,103 | 
| Michael Williams (Chief Operating Officer) | $221,504 | $0 | $15,212 | 
| Thomas Rady (Paramedic) | $207,604 | $0 | $20,144 | 
Document Links
990
Filed on May 15, 2018Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2016
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $20,463,938 | 
          
    99.7%
 
     | 
| Investment Income | $431 | 
          
    0.0%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $51,330 | 
          
    0.3%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $557,610 | 
          
    2.6%
 
     | 
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $3,048,958 | 
          
    14.2%
 
     | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $10,358,497 | |
| Total Liabilities | $6,794,908 | 
Compensation
| Key Employees and Officers | Compensation | Related | Other | 
|---|---|---|---|
| Patrick Smith (President/Secretary/Director) | $219,025 | $0 | $27,248 | 
| Michael Williams (Chief Operating Officer) | $194,813 | $0 | $21,832 | 
| William Bonifay (Director) | $164,801 | $0 | $12,219 | 
Document Links
990
Filed on May 15, 2017Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2015
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $18,120,698 | 
          
    99.7%
 
     | 
| Investment Income | $1,535 | 
          
    0.0%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $49,880 | 
          
    0.3%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $457,106 | 
          
    2.6%
 
     | 
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $613,436 | 
          
    3.4%
 
     | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $10,226,925 | |
| Total Liabilities | $5,292,542 | 
Other
Compensation
| Key Employees and Officers | Compensation | Related | Other | 
|---|---|---|---|
| Patrick Smith (President/Secretary) | $223,803 | $0 | $17,261 | 
| Michael Williams (Vice President) | $203,591 | $0 | $20,523 | 
| Gabrielle Boucher (Cfo) | $29,712 | $0 | $1,662 | 
Document Links
990
Filed on May 16, 2016Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2014
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $15,362,950 | 
          
    99.5%
 
     | 
| Investment Income | $3,428 | 
          
    0.0%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $38,682 | 
          
    0.3%
 
     | 
| Net Inventory Sales | $0 | |
| Other Revenue | $32,983 | 
          
    0.2%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $309,434 | 
          
    2.1%
 
     | 
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $187,992 | 
          
    1.3%
 
     | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $6,923,499 | |
| Total Liabilities | $2,254,583 | 
Other
Compensation
| Key Employees and Officers | Compensation | Related | Other | 
|---|---|---|---|
| Patrick Smith (President/Secretary) | $240,000 | $0 | $19,605 | 
| Nancy Toy (Cfo) | $69,434 | $0 | $7,354 | 
| J Richard Barnard (Chairman/Treasurer/Director) | $0 | $0 | $0 | 
Document Links
990
Filed on May 15, 2015Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2013
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $14,443,529 | 
          
    99.4%
 
     | 
| Investment Income | $4,425 | 
          
    0.0%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $7,167 | 
          
    0.0%
 
     | 
| Net Inventory Sales | $0 | |
| Other Revenue | $72,500 | 
          
    0.5%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $70,137 | 
          
    0.5%
 
     | 
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $0 | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $5,983,762 | |
| Total Liabilities | $1,856,376 | 
Document Links
990
Filed on June 30, 2014Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2012
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $3,551,691 | 
          
    97.7%
 
     | 
| Investment Income | $6,546 | 
          
    0.2%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $75,980 | 
          
    2.1%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $0 | |
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $0 | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $3,071,473 | |
| Total Liabilities | $501,570 | 
Document Links
990
Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2011
  
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $3,380,897 | 
          
    97.2%
 
     | 
| Investment Income | $8,654 | 
          
    0.2%
 
     | 
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $89,010 | 
          
    2.6%
 
     | 
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $0 | |
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $0 | 
| Assets/Debt | ||
|---|---|---|
| Total Assets | $2,258,363 | |
| Total Liabilities | $323,963 | 
Document Links
990
Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2010
  
No Extracted Financial Data
Extracted financial data is not available for the forms filed in this tax period, but Form 990 documents are available for download.
Document Links
990
Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2009
  
No Extracted Financial Data
Extracted financial data is not available for the forms filed in this tax period, but Form 990 documents are available for download.
Document Links
990
Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2008
  
No Extracted Financial Data
Extracted financial data is not available for the forms filed in this tax period, but Form 990 documents are available for download.
Document Links
990
Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2007
  
No Extracted Financial Data
Extracted financial data is not available for the forms filed in this tax period, but Form 990 documents are available for download.
Document Links
990
Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2006
  
No Extracted Financial Data
Extracted financial data is not available for the forms filed in this tax period, but Form 990 documents are available for download.
Document Links
990
Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2005
  
No Extracted Financial Data
Extracted financial data is not available for the forms filed in this tax period, but Form 990 documents are available for download.
Document Links
990
Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2003
  
No Extracted Financial Data
Extracted financial data is not available for the forms filed in this tax period, but Form 990 documents are available for download.
Document Links
990
Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2002
  
No Extracted Financial Data
Extracted financial data is not available for the forms filed in this tax period, but Form 990 documents are available for download.
Document Links
990
Primary tax return for a nonprofit’s activities, finances, and governance
    Fiscal Year Ending June
    2001
  
No Extracted Financial Data
Extracted financial data is not available for the forms filed in this tax period, but Form 990 documents are available for download.
Document Links
990
Primary tax return for a nonprofit’s activities, finances, and governance
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