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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)

Source: Form 990 tax filings from 2011 to 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
Revenue
$30,806,400
Expenses
$26,235,213
Net Income
$4,571,187
Net Assets
$9,257,189
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
Net Assets $9,257,189
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
Tamara Uithoven (Flight Nurse) $208,228 $0 $23,480
Rex Neilson (Paramedic Ft) $173,544 $0 $22,589
Eric Rudnick (Medical Director) $162,207 $0 $38,491
Thomas Rady (Paramedic Ft) $158,658 $0 $34,160
Carly Strong (Chief Operations Officer) $130,283 $0 $14,271
J Richard Barnard (Director) $0 $0 $0
Teela Mccullar (Treasurer/Director) $0 $0 $0
Ty Windfeldt (Chairman/Director) $0 $0 $0
Jon Klaich (Director) $0 $0 $0
Mike Pavlakis (Secretary/Director) $0 $0 $0

Document Links

Fiscal Year Ending June
2022

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$25,644,056
Expenses
$26,083,624
Net Income
-$439,568
Net Assets
$4,686,002
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
Net Assets $4,686,002
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
Tamara Uithoven (Flight Nurse) $192,709 $0 $18,302
Eric Rudnick (Medical Director) $170,858 $0 $32,942
Alyssa Cassol (Flight Nurse) $167,866 $0 $29,008
Christopher Dearing (Flight Nurse) $156,625 $0 $26,620
Carly Alley (Chief Operations Officer) $145,005 $0 $16,007
J Richard Barnard (Director) $0 $0 $0
Teela Mccullar (Treasurer/Director) $0 $0 $0
Ty Windfeldt (Chairman/Director) $0 $0 $0
Jon Klaich (Director) $0 $0 $0
Mike Pavlakis (Secretary/Director) $0 $0 $0

Document Links

Fiscal Year Ending June
2021

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$26,283,395
Expenses
$25,634,407
Net Income
$648,988
Net Assets
$5,365,570
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
Net Assets $5,365,570
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
Eric Rudnick (Medical Director) $169,751 $0 $29,856
Deeann Dion (Chief Operating Officer) $168,124 $0 $21,447
Alyssa Cassol (Flight Nurse) $157,496 $0 $26,545
Tamara Uithoven (Flight Nurse) $151,247 $0 $16,414
Carly Alley (Executive Director) $140,627 $0 $14,695
J Richard Barnard (Former Chief Executive Officer/ Director) $115,566 $0 $0
Teela Mccullar (Treasurer/Director) $0 $0 $0
Ty Windfeldt (Chairman/Director) $0 $0 $0
Jon Klaich (Director) $0 $0 $0
Mike Pavlakis (Secretary/Director) $0 $0 $0
Michael Helsley (Director) $0 $0 $0

Document Links

Fiscal Year Ending June
2020

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$27,396,584
Expenses
$27,235,542
Net Income
$161,042
Net Assets
$4,716,582
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
Net Assets $4,716,582
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
Nancy Toy (Chief Administrative Offic) $171,489 $0 $23,541
Deeann Dion (Chief Operating Officer) $164,493 $0 $19,564
Eric Rudnick (Medical Director) $154,450 $0 $28,653
Christopher Dearing (Flight Nurse) $154,347 $0 $14,337
Alyssa Cassol (Flight Nurse) $154,230 $0 $26,072
Gabrielle Boucher (Controller) $46,853 $0 $6,519
Robert Fermoile (Secretary/Treasurer/Direct) $0 $0 $0
Ty Windfeldt (Chairman/Director) $0 $0 $0

Document Links

Fiscal Year Ending June
2019

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$30,203,602
Expenses
$28,318,960
Net Income
$1,884,642
Net Assets
$4,555,540
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
Net Assets $4,555,540
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
Trenton Murrieta (Operations Manager) $199,173 $0 $5,002
Nancy Toy (Chief Administrative Offic) $172,278 $0 $21,981
Hailie Schuster (Flight Paramedic) $169,223 $0 $27,099
Alyssa Cassol (Flight Nurse) $164,063 $0 $26,869
Deeann Dion (Chief Operating Officer) $160,209 $0 $18,801
Gabrielle Boucher (Controller) $95,342 $0 $13,757
Robert Fermoile (Secretary/Treasurer/Direct) $0 $0 $0
Ty Windfeldt (Chairman/Director) $0 $0 $0

Document Links

Fiscal Year Ending June
2018

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$29,475,297
Expenses
$29,357,887
Net Income
$117,410
Net Assets
$2,729,367
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
Net Assets $2,729,367
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
Michael Williams (Corporate Strategic Officer) $209,475 $0 $24,361
Trenton Murrieta (Operations Manager) $200,256 $0 $6,676
Nancy Toy (Chief Administrative Officer) $161,266 $0 $23,690
Jennifer Acker (Flight Rn) $149,364 $0 $25,377
Deeann Dion (Chief Operating Officer) $122,441 $0 $19,458
Gabrielle Boucher (Controller) $91,908 $0 $3,363
J Richard Barnard (President/Director/Interim Chief Executive Officer) $21,000 $0 $0
Robert Fermoile (Secretary/Treasurer/Director) $0 $0 $0
Ty Windfeldt (Chairman/Director) $0 $0 $0

Document Links

Fiscal Year Ending June
2017

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$24,248,553
Expenses
$24,876,421
Net Income
-$627,868
Net Assets
$2,667,141
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
Net Assets $2,667,141
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
Stephen Crabtree (Director) $199,826 $0 $5,242
Nancy Toy (Chief Administrative Officer) $193,139 $0 $23,727
Gabrielle Boucher (Chief Financial Officer) $88,432 $0 $4,160
J Richard Barnard (Treasurer/Chairman/Director) $0 $0 $0
Robert Fermoile (Director) $0 $0 $0
Ty Windfeldt (Director) $0 $0 $0

Document Links

Fiscal Year Ending June
2016

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$20,515,699
Expenses
$21,410,328
Net Income
-$894,629
Net Assets
$3,563,589
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
Net Assets $3,563,589
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
Stephen Crabtree (Director) $155,409 $0 $5,078
Thomas Rady (Paramedic) $148,937 $0 $16,251
Steve Melander (Vice President) $143,771 $0 $21,540
Nancy Toy (Corporate Controller) $138,316 $0 $21,357
Glenn Rung (Director) $135,191 $0 $16,807
J Richard Barnard (Treasurer/Chairman/Director) $0 $0 $0
Robert Fermoile (Director) $0 $0 $0
Ty Windfeldt (Director) $0 $0 $0

Document Links

Fiscal Year Ending June
2015

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$18,172,113
Expenses
$17,906,646
Net Income
$265,467
Net Assets
$4,934,383
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
Net Assets $4,934,383
Other
Reported conflict of interest transactions
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
J Richard Barnard (Chairman/Treasurer/Directo) $0 $0 $0
Robert Fermoile (Director) $0 $0 $0
Ty Winfeldt (Director) $0 $0 $0

Document Links

Fiscal Year Ending June
2014

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$15,438,043
Expenses
$14,727,338
Net Income
$710,705
Net Assets
$4,668,916
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
Net Assets $4,668,916
Other
Reported conflict of interest transactions
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
Robert Fermoile (Director) $0 $0 $0
Ty Winfeldt (Director) $0 $0 $0
Robert Moore (Director) $0 $0 $0

Document Links

Fiscal Year Ending June
2013

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$14,527,621
Expenses
$13,352,850
Net Income
$1,174,771
Net Assets
$4,127,386
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
Net Assets $4,127,386

Document Links

Fiscal Year Ending June
2012

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$3,634,217
Expenses
$2,998,714
Net Income
$635,503
Net Assets
$2,569,903
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
Net Assets $2,569,903

Document Links

Fiscal Year Ending June
2011

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$3,478,561
Expenses
$2,979,415
Net Income
$499,146
Net Assets
$1,934,400
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
Net Assets $1,934,400

Document Links

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

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

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

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

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

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

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

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

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

About This Data

Nonprofit Explorer includes summary data for nonprofit tax returns and full Form 990 documents, in both PDF and digital formats.

The summary data contains information processed by the IRS during the 2012-2019 calendar years; this generally consists of filings for the 2011-2018 fiscal years, but may include older records. This data release includes only a subset of what can be found in the full Form 990s.

In addition to the raw summary data, we link to PDFs and digital copies of full Form 990 documents wherever possible. This consists of separate releases by the IRS of Form 990 documents processed by the agency, which we update regularly.

We also link to copies of audits nonprofit organizations that spent $750,000 or more in Federal grant money in a single fiscal year since 2016. These audits are copied from the Federal Audit Clearinghouse.

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Every organization that has been recognized as tax exempt by the IRS has to file Form 990 every year, unless they make less than $200,000 in revenue and have less than $500,000 in assets, in which case they have to file form 990-EZ. Organizations making less than $50,000 don’t have to file either form but do have to let the IRS they’re still in business via a Form 990N "e-Postcard."

Nonprofit Explorer has organizations claiming tax exemption in each of the 27 subsections of the 501(c) section of the tax code, and which have filed a Form 990, Form 990EZ or Form 990PF. Taxable trusts and private foundations that are required to file a form 990PF are also included. Small organizations filing a Form 990N "e-Postcard" are not included in this data.

Types of Nonprofits

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