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Sierra Medical Services Alliance

EIN 68-0459931 · Reno, NV

Public records raise at least one point you should look into before giving.

LegitimacyCautionRegistration and standingFinancial healthWeak49 out of 100GovernanceFair68 out of 100Impact evidenceDescribes programsHow well its results are evidenced

What it says it does

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

Income
$28.5 million
Spending
$30.3 million
Spent on programs
81%
Reserves
1.2 months of spending
Largest source of income
fees for its services, 99%
Employees
286
Volunteers
0
Highest pay
$284,357, paramedic

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Financial health

Weak: 49 out of 100. Higher than 31% of charities in its peer group (health care, $10m to $100m).

  • Reserves

    10 of 35

    Spendable reserves would cover 1.2 months of spending.

  • Debt

    5 of 20

    It owes 54% of what it owns.

  • Living within its means

    4 of 15

    Spending exceeded income by 6% of income.

  • Income trend

    15 of 15

    Income rose 6% on the year before.

  • Spending floor

    15 of 15

    81% of spending went to programs.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Governance

Fair: 68 out of 100. Higher than 5% of charities in its peer group (health care, $10m to $100m).

  • Independent board

    18 of 25

    3 of 4 voting board members are independent.

  • Conflict of interest policy

    15 of 15

    Has a written conflict of interest policy.

  • Whistleblower policy

    8 of 8

    Has a written whistleblower policy.

  • Record keeping policy

    7 of 7

    Has a written policy on keeping and destroying records.

  • Board minutes

    5 of 5

    Keeps minutes of board meetings.

  • Board sees the tax return

    0 of 10

    Did not give the board a copy of this return before filing it.

  • Pay set independently

    5 of 5

    Sets its chief executive's pay through independent review and comparison.

  • Independent check of accounts

    0 of 15

    Its accounts were not audited or reviewed by an independent accountant.

  • No reported misuse

    10 of 10

    Reports no diversion of assets, excess benefits or loans to insiders.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Impact evidence

Describes programs. Its tax return describes what it does but we have found no measurable results in it.

Programs described in its return (4)
  1. $857,654 spent. 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.
  2. $23.5 million spent. SEMSA HAS A CONTRACT TO PROVIDE GROUND AMBULANCE AND EMERGENCY AIR TRANSPORT SERVICES TO RESIDENTS OF SEVERAL COUNTIES IN CALIFORNIA.
  3. SEMSA CONTRACTS WITH VARIOUS AMBULANCE COMPANIES TO PROVIDE MANAGEMENT/BILLING SERVICES.
  4. $40,813 spent. 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.

Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate

Legitimacy checks

  1. Is it registered with the IRS? Passed.

    Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.

  2. Has the IRS revoked its tax-exempt status? Passed.

    Not on the IRS automatic revocation list.

    Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.

  3. Are donations tax-deductible? Passed.

    On the IRS list of organizations eligible to receive tax-deductible contributions.

    Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.

  4. Is it keeping up with its IRS filings? Passed.

    Most recent return on file covers the year ending June 2025.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.

  5. How long has it been tax-exempt? Passed.

    Recognized by the IRS since May 2003.

    Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.

  6. Is it in good standing with state regulators? Caution.

    California's Attorney General lists its registration as suspended as of June 30, 2002. Organizations on this list may not solicit donations in California.

    Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.

Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.