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Nonprofit · EIN 68-0459931

SIERRA MEDICAL SERVICES ALLIANCE

Tax-exempt · RENO, NV 89511

Financials

$30.8M$26.2M2022$27M$28.9M2023$28.5M$30.3M2024
Revenue Expenses · by fiscal year end
Financials of SIERRA MEDICAL SERVICES ALLIANCE by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
June 30, 2025990$28,505,240$30,288,266-$1,783,026$12,055,959$6,531,562$5,524,397
June 30, 2024990$26,962,701$28,912,467-$1,949,766$14,981,716$7,674,293$7,307,423
June 30, 2023990$30,806,400$26,235,213$4,571,187$15,457,463$6,200,274$9,257,189
Financial details: 990 for the year ended June 30, 2025

Revenue

Contributions, gifts and grants
$0
Program service revenue
$28,072,327
Investment income
$37,993
Other revenue
$394,920

Expenses

Grants and similar amounts paid
$0
Compensation of officers, directors and key employees
$270,498
Other salaries and wages
$16,109,223
Salaries, compensation and benefits (total)
$20,205,127
Professional fundraising fees
$0
Legal fees
$32,337
Accounting fees
$40,900
Occupancy
$917,092
Travel
$182,623
Depreciation
$662,619
Program services (functional)
$24,421,606
Management and general (functional)
$5,866,660

Balance sheet and other

Total assets, start of year
$14,981,716
Total assets, end of year
$12,055,959
Total liabilities, end of year
$6,531,562
Net assets, end of year
$5,524,397
Land, buildings and equipment
$2,578,190
Net assets without donor restrictions
$5,524,397
Gross receipts
$28,505,240
Employees
286
Volunteers
0
Year formed
2000
State of legal domicile
NV

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended June 30, 2025, highest compensation first.

NameTitleHours / weekCompensationOther / benefits
THOMAS RADYPARAMEDIC
Highest-paid employee
40$240,816$43,541
CARLY STRONGCHIEF OPERATIONS OFFICER
Officer
40$230,049$40,449
KRISTA HOWARDFLIGHT NURSE
Highest-paid employee
40$208,885$21,446
TAMARA UITHOVENFLIGHT NURSE
Highest-paid employee
40$200,900$26,891
STEPHEN WALDECKPARAMEDIC
Highest-paid employee
40$202,772$18,413
MATHEW HILLAROPERATIONS MANAGER
Highest-paid employee
40$180,657$37,851
TY WINDFELDTPRESIDENT
Trustee or director, Officer
1$0$0
TEELA MCCULLARTREASURER/DIRECTOR
Trustee or director, Officer
1$0$0
DR RUDNICKDIRECTOR
Trustee or director
1$0$0
MIKE PAVLAKISSECRETARY/DIRECTOR
Trustee or director, Officer
1$0$0
990 for the year ended June 30, 2024: 13 people
NameTitleHours / weekCompensationOther / benefits
NANCY TOYCHIEF EXECUTIVE OFFICER
Officer
40$382,501$33,036
KRISTA HOWARDFLIGHT NURSE
Highest-paid employee
40$265,183$9,785
THOMAS RADYPARAMEDIC
Highest-paid employee
40$205,492$39,162
CARLY STRONGCHIEF OPERATIONS OFFICER
Officer
40$203,146$30,771
TRENTON MURRIETAPARAMEDIC
Highest-paid employee
40$223,767$7,196
TAMARA UITHOVENFLIGHT NURSE
Highest-paid employee
40$193,967$28,152
REX NEILSONPARAMEDIC
Highest-paid employee
40$196,709$24,703
ERIC RUDNICKMEDICAL DIRECTOR
Trustee or director
40$181,113$32,116
J RICHARD BARNARDDIRECTOR
Trustee or director
1$0$0
TEELA MCCULLARTREASURER/DIRECTOR
Trustee or director, Officer
1$0$0
TY WINDFELDTCHAIRMAN/DIRECTOR
Trustee or director, Officer
1$0$0
JON KLAICHDIRECTOR
Trustee or director
1$0$0
MIKE PAVLAKISSECRETARY/DIRECTOR
Trustee or director, Officer
1$0$0
990 for the year ended June 30, 2023: 13 people
NameTitleHours / weekCompensationOther / benefits
NANCY TOYCHIEF EXECUTIVE OFFICER
Officer
40$262,000$32,392
TRENTON MURRIETAEXECUTIVE DIRECTOR
Highest-paid employee
40$232,846$6,669
KRISTA HOWARDFLIGHT NURSE
Highest-paid employee
40$224,480$9,362
TAMARA UITHOVENFLIGHT NURSE
Highest-paid employee
40$208,228$23,480
ERIC RUDNICKMEDICAL DIRECTOR
Trustee or director
40$162,207$38,491
REX NEILSONPARAMEDIC-FT
Highest-paid employee
40$173,544$22,589
THOMAS RADYPARAMEDIC-FT
Highest-paid employee
40$158,658$34,160
CARLY STRONGCHIEF OPERATIONS OFFICER
Officer
40$130,283$14,271
J RICHARD BARNARDDIRECTOR
Trustee or director
1$0$0
TEELA MCCULLARTREASURER/DIRECTOR
Trustee or director, Officer
1$0$0
TY WINDFELDTCHAIRMAN/DIRECTOR
Trustee or director, Officer
1$0$0
JON KLAICHDIRECTOR
Trustee or director
1$0$0
MIKE PAVLAKISSECRETARY/DIRECTOR
Trustee or director, Officer
1$0$0

Address and contacts

Address (IRS master file)
PO BOX 18920, RENO, NV 89511-0398
In care of
% PATRICK SMITH
Principal officer (990 for 2024)
TEELA MCCULLAR, PO BOX 18920, RENO, NV 89511
Signed the 990
TEELA MCCULLAR, TREASURER
Phone
(775) 737-4200
Return prepared by
BARNARD VOGLER & CO CPA'S

Mission

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

990 for the year ended June 30, 2025

Program accomplishments

  • 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 $857,654 · revenue $677,596
  • SEMSA HAS A CONTRACT TO PROVIDE GROUND AMBULANCE AND EMERGENCY AIR TRANSPORT SERVICES TO RESIDENTS OF SEVERAL COUNTIES IN CALIFORNIA.
    Expenses $23,523,139 · revenue $27,503,048
  • SEMSA CONTRACTS WITH VARIOUS AMBULANCE COMPANIES TO PROVIDE MANAGEMENT/BILLING SERVICES.
    revenue $169,779
  • 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 $40,813 · revenue $116,824

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025June 30, 2026November 16, 2026Not due yet
2024June 30, 2025November 17, 2025990 on file
2023June 30, 2024November 15, 2024990 on file

IRS record

EIN
68-0459931
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Publicly supported organization (509(a)(2))
Donations deductible (Pub 78)
Public charity, 50% deduction limit
Exempt since
2003
Accounting year ends
June
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E62)
Assets (IRS master file)
$12,055,959
Income (IRS master file)
$28,505,240

Filing history

FormYear endedRevenueExpensesAssetsReturn
990June 2025$28,505,240$30,288,266$12,055,959IRS
990June 2024$26,962,701$28,912,467$14,981,716IRS
990June 2023$30,806,400$26,235,213$15,457,463XML
990June 2022$25,644,056$26,083,624$11,559,971IRS
990June 2021–––IRS
990June 2020–––IRS
990June 2019–––IRS
990June 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 68-0459931).

Questions about SIERRA MEDICAL SERVICES ALLIANCE

What is the EIN of SIERRA MEDICAL SERVICES ALLIANCE?
The employer identification number (EIN) of SIERRA MEDICAL SERVICES ALLIANCE is 68-0459931.
Is SIERRA MEDICAL SERVICES ALLIANCE tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2003.
Are donations to SIERRA MEDICAL SERVICES ALLIANCE tax-deductible?
Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
Which annual return does SIERRA MEDICAL SERVICES ALLIANCE file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of SIERRA MEDICAL SERVICES ALLIANCE due?
The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did SIERRA MEDICAL SERVICES ALLIANCE last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended June 2025.
Who is the principal officer of SIERRA MEDICAL SERVICES ALLIANCE?
The 990 for the year ended June 30, 2025 names TEELA MCCULLAR.
Who are the officers and directors of SIERRA MEDICAL SERVICES ALLIANCE?
The 990 for the year ended June 30, 2025 lists 10 people; 6 received compensation from the organization, the highest $240,816 (THOMAS RADY, PARAMEDIC).
How much revenue does SIERRA MEDICAL SERVICES ALLIANCE have?
On its 990 for the year ended June 30, 2025 it reported revenue of $28,505,240, expenses of $30,288,266 and total assets of $12,055,959 at year end.

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