Sierra Medical Services Alliance
Sierra Medical Services Alliance reported $28.5 million in revenue and $30.3 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $80.63 went to program services, $19.37 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 98.5% of the total. The highest compensation it reported for one person was $284,357 (PARAMEDIC). 6 people received more than $100,000 in reportable compensation. Revenue rose 4% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $30MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $29MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 80.6% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 19.4% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | Not reported | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.0% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 98.5% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $284,357 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.94% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 6 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 2.2 | 6.6 |
| Independent voting board members Part VI 1a–1b | 3 of 4 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseSemsa 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
Semsa has a contract to provide ground ambulance and emergency air transport services to residents of several counties in california
Semsa contracts with various ambulance companies to provide management/billing services
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| PARAMEDIC Highest compensated employee, 40.00 hrs/week | $240,816 | $0 | $43,541 | $284,357 |
| CHIEF OPERATIONS OFFICER Officer, 40.00 hrs/week | $230,049 | $0 | $40,449 | $270,498 |
| FLIGHT NURSE Highest compensated employee, 40.00 hrs/week | $208,885 | $0 | $21,446 | $230,331 |
| FLIGHT NURSE Highest compensated employee, 40.00 hrs/week | $200,900 | $0 | $26,891 | $227,791 |
| PARAMEDIC Highest compensated employee, 40.00 hrs/week | $202,772 | $0 | $18,413 | $221,185 |
| OPERATIONS MANAGER Highest compensated employee, 40.00 hrs/week | $180,657 | $0 | $37,851 | $218,508 |
6 people received more than $100,000 in reportable compensation from Sierra Medical Services Alliance (Part VII, line 2). Compensation of current officers, directors and key employees totaled $270K (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b4 · 3 independent
- Audited financial statements Part XII 2bNo
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aNo
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5286
Correct a figure or respond
Every number above is copied from Sierra Medical Services Alliance's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Sierra Medical Services Alliance, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Sierra Medical Services Alliance spent in FY2025, $80.63 went to programs. The full breakdown, from its IRS Form 990:
Questions people ask
How much of Sierra Medical Services Alliance's spending goes to programs?
In the fiscal year ending June 30, 2025, Sierra Medical Services Alliance reported that 80.6% of its $30.3 million in expenses went to program services, 19.4% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Sierra Medical Services Alliance pay its top executive?
The largest total compensation Sierra Medical Services Alliance reported for one person in the fiscal year ending June 30, 2025 was $284,357, for the role of PARAMEDIC (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Sierra Medical Services Alliance get its money?
Of $28.5 million in revenue in the fiscal year ending June 30, 2025, 0.0% came from contributions and grants and 98.5% from program service revenue (Form 990, Part VIII).
Is Sierra Medical Services Alliance a registered charity?
The IRS lists EIN 68-0459931 as a 501(c)(3) organization (publicly supported organization (509(a)(2))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202601349349311145 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202541359349305749 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202421359349313057 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202301299349301540 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202201309349303845 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202131349349305433 · read the filing
All filings for EIN 68-0459931: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.