CHS Mobile Integrated Health Care Inc

Nonprofit profile at a glance

EIN
166050390
IRS 990 coverage
2011–2025
Forms available
Form 990 2025
Location
Rochester, NY, USA
Phone
5853344190
Rating
79
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulance, Emergency Medical Transport Services

Reported finances

Revenue
$9,659,451
Expenses
$8,452,679
Assets
$10,495,893
Liabilities
$518,482

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

16 people listed

Executive titles in this filing

  • Francis Manzo (CEO/Chief)

Highest reported compensation

  • Francis Manzo (CEO/Chief): $219,341 total reported compensation
  • Heather Lenhardt (Chief Financial Officer): $199,049 total reported compensation
  • Gabrielle Hergert - Director of (Human Resources and Administration): $158,538 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Deliver high quality, compassionate health care while being responsible in the planning and management of resources to improve the health of our community.

What it reported doing in 2025

CHS Mobile Integrated Health Care is a private not-for-profit organization that operates as an independent 501(c)(3) agency. CHS was created as a part of a merger between Chili Volunteer Ambulance Service, Henrietta Volunteer Ambulance, and the Scottsville Rescue Squad. In time CHS later merged with Caledonia Ambulance and then Greece Volunteer Ambulance Service. Members of the merged agency include a mix of volunteers and employees from all areas. CHS provides emergency medical services (EMS) to the residents of Henrietta, Chili, Scottsville, Wheatland, and Caledonia and surrounding areas when needed. We respond 24 hours-per-day with our fleet of 20 vehicles and over 100 volunteers and employees. We cover 188 square miles and respond to over 14,000 requests for service.

Operating model

Revenue model
Earned-program. 84% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Some filing-based governance responses are negative or unanswered and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 75
  • Transparency & Controls: 76
  • Accountability: 95
  • Sustainability: 51
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 70.6%; rating input score 71
  • Program expense ratio: 82.8%; rating input score 83
  • Fundraising efficiency: $29.1 raised per $1 spent on fundraising; rating input score 68; 68th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 14th percentile among comparable filings
  • Pay-setting controls: 3 of 6 controls in place; rating input score 50
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 12.5%; rating input score 61; 61st percentile among comparable filings
  • Total-asset coverage ratio: 1.24; rating input score 41; 41st percentile among comparable filings
  • Liabilities to assets ratio: 0.05; rating input score 60; 60th percentile among comparable filings
  • Officer compensation ratio: 12.3%; rating input score 27; 27th percentile among comparable filings

Growth

  • Program expense growth: 7.6% per year; rating input score 100; 50th percentile among comparable filings
  • Revenue growth: 9.2% per year; rating input score 100; 63rd percentile among comparable filings
  • Asset growth: 9.1% per year; rating input score 100; 54th percentile among comparable filings

Details

  • Where the money goes: 70.6% of revenue deployed · 82.8% of spending went to programs
  • Governance: 9 of 9 board members independent · 8 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $7M in reported program spending
  • Leadership: top reported pay $219K · 16 people listed · 3 of 6 pay-setting controls reported
  • Consistency: 30 of 31 current checks pass · 1 finding to review
  • Schedules: 5 filed schedules · includes major donors and executive pay
  • Filing history: 15 filing years from 2011 to 2025
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Accountability: Governance controls: Other executive compensation review process not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 41/100.
  • Moderate — Transparency & Controls: Schedule A contributions reconciliation did not reconcile in the filed values.
  • High — Sustainability: Officer compensation ratio scored 27/100.