AREA AMBULANCE AUTHORITY

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2005

Legal Domicile

Principal Officer

KEITH M RIPPY

Phone

3193662300

Tax Period

2024-07-01 to 2025-06-30

AREA AMBULANCE AUTHORITY, founded in 2005, is a mid-sized nonprofit in the Medical Research sector that reported $10.4M in total revenue in fiscal year 2024. Revenue grew 17% year-over-year, indicating healthy expansion. Expenses of $9.7M left a modest 7% surplus.

Mission

PROVIDES REGIONAL HOSPITAL AMBULANCE SERVICES BASED IN CEDAR RAPIDS IA THE SERVICE OPERATES UNDER A 28E AGREEMENT WITH THE LOCAL CITIES AND HOSPITALS THAT HAVE REPRESENTATION ON THE SERVICE'S BOARD OF DIRECTORS

Program Service Accomplishments

Program 1

Expenses: $8,198,962 Revenue: $9,996,443

PROVIDE REGIONAL HOSPITAL AMBULANCE SERVICES BASED IN CEDAR RAPIDS IA. THE SERVICE OPERATES UNDER A 28E AGREEMENT WITH THE LOCAL CITIES AND HOSPITALS THAT HAVE REPRESENTATION ON THE SERVICES BOARD OF...

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $9,996,443

Investment Income $194,890

Other Revenue $203,837

TOTAL REVENUE $10,395,170

Expense Breakdown

Grants Paid $0

Salaries & Benefits $5,741,777

Fundraising Expenses $0

Program Expenses $8,198,962

Other Expenses $3,926,731

TOTAL EXPENSES $9,668,508

Year-over-Year Comparison

	2024	2023	Change
Revenue	$10,395,170	$8,900,887	+0.2%
Expenses	$9,668,508	$8,129,451	+0.2%
Net Income	$726,662	$771,436	-0.1%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

110

Volunteers

N/A

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$413,518

Total Directors

$238,742

Key Employees

$132,761

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
KEITH M RIPPY	EXECUTIVE DIRECTOR	50.00	Officer Director	$230,692	$8,050	$238,742
JENNIFER L ZAHRT	VPCOO	60.00	Officer	$173,075	$1,701	$174,776
LYNNE K DEVORE	CONTROLLER	60.00	Key Emp	$131,746	$1,015	$132,761
TYLER OLSON	VICE CHAIR	3.00	Director	$0	$0	$0
PAUL REHN	SECRETARY	3.00	Officer Director	$0	$0	$0
SANDI MCINTOSH	DIRECTOR	3.00	Director	$0	$0	$0
JUSTIN MCDONALD	DIRECTOR	3.00	Director	$0	$0	$0
DAN EVANS	DIRECTOR	3.00	Director	$0	$0	$0
NATHAN VANGENDEREN	TREASURER	3.00	Officer Director	$0	$0	$0
ASHLEY VANORNY	DIRECTOR	3.00	Director	$0	$0	$0
LUKE HICKS	DIRECTOR	3.00	Director	$0	$0	$0
ERIC VOSS	DIRECTOR	3.00	Director	$0	$0	$0
ABHIJIT DESHPANDE	DIRECTOR	3.00	Director	$0	$0	$0
RYAN WALLER	DIRECTOR	3.00	Director	$0	$0	$0
SAMI SHEETZ	DIRECTOR	3.00	Director	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	$10,395,170	$9,668,508	$13,789,383	$726,662
2024	$8,900,887	$8,129,451	$12,614,920	$771,436
2023	$8,280,537	$7,826,740	$11,352,744	$453,797
2022	$8,115,144	$7,664,999	$10,871,659	$450,145
2021	$7,665,281	$7,331,708	$11,158,594	$333,573
2020	$7,964,951	$7,019,607	$10,755,709	$945,344
2019	$6,604,359	$7,068,917	$9,974,341	$-464,558
2018	$6,467,569	$6,375,572	$11,752,007	$91,997