Civic Intelligence

Houston Healthcare Ems Inc.

EIN 26-3941348 • 501(c)3 • Warner Robins, GA

Pub. 78 Eligible

Profile

To improve the healthcare of the communities we serve by providing patient-focused, high-quality, cost-effective services while promoting health and wellness.

1601 Watson BoulevardWarner Robins, GA 31093

www.hhc.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

5.79x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Liabilities / Revenue

87th percentile

1.31x

Higher debt load relative to revenue than 87% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Net Margin

16th percentile

-14%

Higher net margin than 16% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Top Officer Pay

94th percentile

$465,590

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 7.0% of source-year revenue.

501(c)3 • $5M-$10M nonprofits • Source year 2024

Asset Growth

41st percentile

1.4%

Faster asset growth than 41% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Revenue Growth

50th percentile

7.2%

Faster revenue growth than 50% of similar nonprofits.

501(c)3 • $5M-$10M nonprofits • Annualized from 2023 to 2024

Assets

Up

$1,493,377

Up $20,071 (+1.4%) from 2023

Liabilities

Up

$8,648,588

Up $948,500 (+12%) from 2023

Net Assets

Down

-$7,155,211

Down $928,429 (-15%) from 2023

Revenue

Up

$6,618,657

Up $445,983 (+7.2%) from 2023

Expenses

Down

$7,547,086

Down $663,834 (-8.1%) from 2023

Net Income

Up

-$928,429

Up $1,109,817 (+54%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$10M$5.0M$0-$5.0M-$10MAssets 2010: $1,299,380Liabilities 2010: $1,959,008Net Assets 2010: -$659,6282010Assets 2011: $1,350,217Liabilities 2011: $1,727,790Net Assets 2011: -$377,5732011Assets 2012: $1,349,711Liabilities 2012: $1,798,762Net Assets 2012: -$449,0512012Assets 2013: $2,582,982Liabilities 2013: $224,672Net Assets 2013: $2,358,3102013Assets 2014: $1,280,674Liabilities 2014: $173,338Net Assets 2014: $1,107,3362014Assets 2015: $1,262,197Liabilities 2015: $185,327Net Assets 2015: $1,076,8702015Assets 2016: $2,092,208Liabilities 2016: $206,688Net Assets 2016: $1,885,5202016Assets 2017: $1,411,934Liabilities 2017: $215,487Net Assets 2017: $1,196,4472017Assets 2018: $1,317,678Liabilities 2018: $239,877Net Assets 2018: $1,077,8012018Assets 2019: $997,917Liabilities 2019: $1,082,621Net Assets 2019: -$84,7042019Assets 2020: $1,163,045Liabilities 2020: $2,809,926Net Assets 2020: -$1,646,8812020Assets 2021: $925,901Liabilities 2021: $5,276,227Net Assets 2021: -$4,350,3262021Assets 2022: $1,036,513Liabilities 2022: $5,225,049Net Assets 2022: -$4,188,5362022Assets 2023: $1,473,306Liabilities 2023: $7,700,088Net Assets 2023: -$6,226,7822023Assets 2024: $1,493,377Liabilities 2024: $8,648,588Net Assets 2024: -$7,155,2112024

Highlighted filing

2024

Assets$1,493,377
Liabilities$8,648,588
Net Assets-$7,155,211

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$10M$5.0M$0-$5.0MExpenses 2010: $4,594,7122010Expenses 2011: $4,817,5552011Expenses 2012: $4,962,9822012Revenue 2013: $4,804,453Expenses 2013: $4,711,509Net Income 2013: $92,9442013Revenue 2014: $5,120,185Expenses 2014: $5,053,740Net Income 2014: $66,4452014Revenue 2015: $5,549,758Expenses 2015: $5,121,828Net Income 2015: $427,9302015Revenue 2016: $5,224,437Expenses 2016: $5,445,370Net Income 2016: -$220,9332016Revenue 2017: $5,662,349Expenses 2017: $6,466,588Net Income 2017: -$804,2392017Revenue 2018: $5,331,476Expenses 2018: $6,476,432Net Income 2018: -$1,144,9562018Revenue 2019: $5,261,505Expenses 2019: $6,424,010Net Income 2019: -$1,162,5052019Revenue 2020: $4,993,488Expenses 2020: $6,655,665Net Income 2020: -$1,662,1772020Revenue 2021: $5,453,899Expenses 2021: $8,157,344Net Income 2021: -$2,703,4452021Revenue 2022: $5,625,442Expenses 2022: $5,463,652Net Income 2022: $161,7902022Revenue 2023: $6,172,674Expenses 2023: $8,210,920Net Income 2023: -$2,038,2462023Revenue 2024: $6,618,657Expenses 2024: $7,547,086Net Income 2024: -$928,4292024

Highlighted filing

2024

Revenue$6,618,657
Expenses$7,547,086
Net Income-$928,429

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1.49$8.65$7.16$6.62$7.55$0.93
2023Detailed filing. Detailed filing data is available for this year.$1.47$7.70$6.23$6.17$8.21$2.04
2022Detailed filing. Detailed filing data is available for this year.$1.04$5.23$4.19$5.63$5.46$0.16
2021Detailed filing. Detailed filing data is available for this year.$0.93$5.28$4.35$5.45$8.16$2.70
2020Detailed filing. Detailed filing data is available for this year.$1.16$2.81$1.65$4.99$6.66$1.66
2019Detailed filing. Detailed filing data is available for this year.$1.00$1.08$0.08$5.26$6.42$1.16
2018Detailed filing. Detailed filing data is available for this year.$1.32$0.24$1.08$5.33$6.48$1.14
2017Detailed filing. Detailed filing data is available for this year.$1.41$0.22$1.20$5.66$6.47$0.80
2016Detailed filing. Detailed filing data is available for this year.$2.09$0.21$1.89$5.22$5.45$0.22
2015Detailed filing. Detailed filing data is available for this year.$1.26$0.19$1.08$5.55$5.12$0.43
2014Detailed filing. Detailed filing data is available for this year.$1.28$0.17$1.11$5.12$5.05$0.07
2013Detailed filing. Detailed filing data is available for this year.$2.58$0.22$2.36$4.80$4.71$0.09
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.35$1.80$0.45$4.96
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.35$1.73$0.38$4.82
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.30$1.96$0.66$4.59
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Oct 30, 2025
Return Version
2024v5.2
Gross Receipts
$6,618,657
Mission and Program Overview

Mission

To improve the healthcare of the communities we serve by providing patient-focused, high-quality, cost-effective services while promoting health and wellness.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,059,883$868,003▼ $191,880
Cash and Non-Interest-Bearing Accounts$295,725$598,385▲ $302,660
Accounts Receivable$117,698$18,478▼ $99,220
Total Assets$1,473,306$1,493,377▲ $20,071
Other Assets Total$0$8,511▲ $8,511
Liabilities
Other Liabilities$7,440,569$8,633,500▲ $1,192,931
Accounts Payable and Accrued Expenses$259,519$15,088▼ $244,431
Total Liabilities$7,700,088$8,648,588▲ $948,500
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-6,226,782$-7,155,211▼ $928,429
Total Net Assets Fund Balance$-6,226,782$-7,155,211▼ $928,429
Total Liabilities and Net Assets / Fund Balance$1,473,306$1,493,377▲ $20,071

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$865,101$2,475,006$3,340,107
Buildings$0$74,688$74,688
Other Land Buildings$2,902$11,958$14,860
Compensation and Service Providers

Board Members and Trustees

NameTitle
Tommy StalnakerChairman
Charles BriscoePresident & Chief Executive Officer
John HallVice-chairman
Heather DexterDirector
Scott WestmorelandDirector
Shawn CarpenterDirector
Appavuchetty SoundappanMd, Director
Lewanza HarrisMd, Director
Mohammad Al-shroofMd, Director
Rahil KaziMd, Director
Sean WhildenVP & Chief Financial Officer

Highest Paid Contractors

ContractorServicesLocationCompensation
ElevosBilling Services101 LUKKEN INDUSTRIAL DR E, Lagrange, GA 30241-2584$326,219
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$6,613,795
Investment Income
$122
Other Revenue
$4,740
Change in Net Assets
$-928,429
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$5,088,666
Other Expenses$2,458,420
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,230,527--$4,230,527
Other Employee Benefits$410,264--$410,264
Payroll Taxes$406,736--$406,736
Fees for Services Other$332,265--$332,265
Depreciation Depletion$318,850--$318,850
Insurance-$291,601-$291,601
Pension Plan Contributions$41,139--$41,139
Information Technology$23,960--$23,960
Office Expenses$13,620--$13,620
Other Expenses$10,137$499,303-$10,137
Occupancy$1,718--$1,718
Travel$1,534--$1,534
Total Functional Expenses$6,756,182$790,904$0$7,547,086
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$8,633,500
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Houston healthcare system, inc., a related 501(c)(3) organization, is the sole member of houston healthcare ems, inc.

Form 990, Part VI, Section A, Line 7A

The board of directors of houston healthcare system, inc., a related 501(c)(3) organization, appoints the board of directors of houston healthcare ems, inc.

Form 990, Part VI, Section A, Line 7B

Certain actions of the board of directors of houston healthcare ems, inc. Must be approved by the board of directors of houston healthcare system, inc., a related 501(c)(3) organization.

Form 990, Part VI, Section B, Line 11B

The form 990 is prepared and reviewed by an independent tax accountant. After review and comments from the officers, the return is finalized. Prior to filing, a copy of the finalized return is provided to the organization's board of directors.

Form 990, Part VI, Section B, Line 12C

On an annual basis, board members, officers, and key employees complete a conflict of interest statement disclosing any potential conflicts. The statements are reviewed by management for disclosures.

Form 990, Part VI, Section B, Line 15

A comprehensive review of the ceo's total compensation is conducted by the benefits and compensation committee of houston healthcare system, inc. Minutes reflecting the deliberations of the committee are recorded and filed. The committee is comprised of three members of the board of directors. In considering an adjustment to the compensation package for the ceo, various studies are considered and factored into the final decision, including the georgia vha executive compensation survey-ceo, the georgia hospital association survey of executive compensation, and an executive salary survey of georgia hospital executives conducted annually by hr advantage, a compensation consultant with nation-wide reach. All of the entities and individuals provide compensation data independent of the others. Subsequent to the review, a recommendation regarding the ceo's compensation is reviewed and modified/approved by the board of directors of houston hospitals, inc. A similar process is employed for the cfo. The reviews are performed on an annual basis.

Form 990, Part VI, Section C, Line 19

Governing documents, the conflict of interest policy, and financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Houston Healthcare Ems Inc
EIN
26-3941348
Phone
4785427959
Address
1601 WATSON BOULEVARD, WARNER ROBINS, GA 31093

Signing Officer

Name
Michael Loftus
Title
CFO
Phone
4785427959
Signed
2025-10-30
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Charles Briscoe
Formed
2009
Legal Domicile
Ga
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
9

Preparer

Firm
Warren Averett LLC
Address
2500 ACTON ROAD, BIRMINGHAM, AL 35243
Preparer
Megan Randolph
Phone
2059794100
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C

There has been no change to either the oversight or selection process.

Financial Statement Notes

PART X, LINE 2:

Note: houston healthcare ems, inc. Is part of the houston healthcare system, inc. The following is a footnote from the combined financial statements. The system applies accounting policies that prescribe when to recognize and how to measure the combined financial statements effects of income tax positions taken or expected to be taken on its income tax returns. These rules require management to evaluate the likelihood that, upon examination by the relevant taxing jurisdictions, those income tax positions would be sustained. Based on that evaluation, the system only recognizes the maximum benefit of each income tax position that is more than 50% likely of being sustained. To the extent that all or a portion of the benefits of an income tax position are not recognized, a liability would be recognized for the unrecognized benefits, along with any interest and penalties that would result from disallowance of the position. Should any such penalties and interest be incurred, they would be recognized as operating expenses. Based on the results of management's evaluation, no liability is recognized in the accompanying combined balance sheets for unrecognized income tax positions. Further, no interest or penalties have been accrued or charged to expense as of december 31, 2024 and 2023 or for the years then ended. The system's tax returns are subject to possible examination by taxing authorities. For federal income tax purposes, the tax returns essentially remain open for possible examination for a period of three years after the respective filing deadlines of those returns.

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IRS990/Form990PartVIISectionAGrp/TitleTxt5MD, DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6MD, DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7MD, DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8MD, DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9PRESIDENT & CHIEF EXECUTIVE OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt10VP & CHIEF FINANCIAL OFFICER
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02009
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IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
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IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
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IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InformationTechnologyGrp/ProgramServicesAmt023960
IRS990/InformationTechnologyGrp/TotalAmt023960
IRS990/InsuranceGrp/ManagementAndGeneralAmt0291601
IRS990/InsuranceGrp/TotalAmt0291601
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IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0122
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt00
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IRS990/LandBldgEquipBasisNetGrp/EOYAmt0868003
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IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
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IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0TO IMPROVE THE HEALTHCARE OF THE COMMUNITIES WE SERVE BY PROVIDING PATIENT-FOCUSED, HIGH-QUALITY, COST-EFFECTIVE SERVICES WHILE PROMOTING HEALTH AND WELLNESS.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
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IRS990/OccupancyGrp/ProgramServicesAmt01718
IRS990/OccupancyGrp/TotalAmt01718
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IRS990/OfficeExpensesGrp/TotalAmt013620
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IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
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IRS990/OtherAssetsTotalGrp/BOYAmt00
IRS990/OtherAssetsTotalGrp/EOYAmt08511
IRS990/OtherChangesInNetAssetsAmt00
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IRS990/OtherExpensesGrp/Desc0VEHICLE EXPENSE
IRS990/OtherExpensesGrp/Desc1OTHER EXPENSES
IRS990/OtherExpensesGrp/Desc2MEDICAL SUPPLIES & PHAR
IRS990/OtherExpensesGrp/Desc3LICENSING & ACCREDITATI
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IRS990/OtherExpensesGrp/ProgramServicesAmt0773636
IRS990/OtherExpensesGrp/ProgramServicesAmt14483
IRS990/OtherExpensesGrp/ProgramServicesAmt2187313
IRS990/OtherExpensesGrp/ProgramServicesAmt310137
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IRS990/OtherRevenueMiscGrp/Desc0OTHER INCOME
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IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt04740
IRS990/OtherRevenueTotalAmt04740
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IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ProgramServicesAmt0406736
IRS990/PayrollTaxesGrp/TotalAmt0406736
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IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0CHARLES BRISCOE
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IRS990/ProgramServiceRevenueGrp/Desc0NET PATIENT SERVICE RE
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IRS990/PYTotalProfFndrsngExpnsAmt00
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IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
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IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt06618535
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt00
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0556614
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0989004
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt0122
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0122
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt06613795
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt06172674
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt05564572
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt05021509
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt04436874
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt027809424
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt0122
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0122
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IRS990ScheduleA/OtherIncome509Grp/CurrentTaxYearMinus2YearsAmt060870
IRS990ScheduleA/OtherIncome509Grp/TotalAmt065610
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.99770
IRS990ScheduleA/PublicSupportPY509Pct00.99780
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IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt06613795
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt06172674
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt05564572
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt05453899
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt04993488
IRS990ScheduleA/Total509Grp/TotalAmt028798428
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt06618657
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt06172674
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt05625442
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt05453899
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt04993488
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt028864160
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt00
IRS990ScheduleD/BuildingsGrp/DepreciationAmt074688
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt074688
IRS990ScheduleD/EquipmentGrp/BookValueAmt0865101
IRS990ScheduleD/EquipmentGrp/DepreciationAmt02475006
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt03340107
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt02902
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt011958
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt014860
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt08633500
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATES
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0NOTE: HOUSTON HEALTHCARE EMS, INC. IS PART OF THE HOUSTON HEALTHCARE SYSTEM, INC. THE FOLLOWING IS A FOOTNOTE FROM THE COMBINED FINANCIAL STATEMENTS. THE SYSTEM APPLIES ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE COMBINED FINANCIAL STATEMENTS EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THE SYSTEM ONLY RECOGNIZES THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING COMBINED BALANCE SHEETS FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF DECEMBER 31, 2024 AND 2023 OR FOR THE YEARS THEN ENDED. THE SYSTEM'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0868003
IRS990ScheduleD/TotalLiabilityAmt08633500
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0401196
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1268383
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt15207
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt018214
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0CHARLES BRISCOE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1SEAN WHILDEN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT & CHIEF EXECUTIVE OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1VP & CHIEF FINANCIAL OFFICER
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
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IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0A COMPREHENSIVE REVIEW OF THE CEO'S TOTAL COMPENSATION IS CONDUCTED BY THE MINUTES REFLECTING THE DELIBERATIONS OF THE COMMITTEE ARE RECORDED AND DIRECTORS. IN CONSIDERING AN ADJUSTMENT TO THE COMPENSATION PACKAGE FOR THE INCLUDING THE GEORGIA VHA EXECUTIVE COMPENSATION SURVEY-CEO, THE GEORGIA BENEFITS AND COMPENSATION COMMITTEE OF HOUSTON HEALTHCARE SYSTEM, INC. FILED. THE COMMITTEE IS COMPRISED OF THREE MEMBERS OF THE BOARD OF DIRECTORS, VARIOUS STUDIES ARE CONSIDERED AND FACTORED INTO THE FINAL DECISION, HOSPITAL ASSOCIATION SURVEY OF EXECUTIVE COMPENSATION, AND AN EXECUTIVE SALARY SURVEY OF GEORGIA HOSPITAL EXECUTIVES CONDUCTED ANNUALLY BY HR ADVANTAGE, A COMPENSATION CONSULTANT WITH NATION-WIDE REACH. ALL OF THE ENTITIES AND INDIVIDUALS PROVIDE COMPENSATION DATA INDEPENDENT OF THE OTHERS. SUBSEQUENT TO THE REVIEW, A RECOMMENDATION REGARDING THE CEO'S COMPENSATION IS REVIEWED AND MODIFIED/APPROVED BY THE BOARD OF DIRECTORS OF HOUSTON HOSPITALS, INC. A SIMILAR PROCESS IS EMPLOYED FOR THE CFO. THE REVIEWS ARE PERFORMED ON AN ANNUAL BASIS.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF HOUSTON HEALTHCARE EMS, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION, APPOINTS THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE EMS, INC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2CERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE EMS, INC. MUST BE APPROVED BY THE BOARD OF DIRECTORS OF HOUSTON HEALTHCARE SYSTEM, INC., A RELATED 501(C)(3) ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT TAX ACCOUNTANT. AFTER REVIEW AND COMMENTS FROM THE OFFICERS, THE RETURN IS FINALIZED. PRIOR TO FILING, A COPY OF THE FINALIZED RETURN IS PROVIDED TO THE ORGANIZATION'S BOARD OF DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ON AN ANNUAL BASIS, BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES COMPLETE A CONFLICT OF INTEREST STATEMENT DISCLOSING ANY POTENTIAL CONFLICTS. THE STATEMENTS ARE REVIEWED BY MANAGEMENT FOR DISCLOSURES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5A COMPREHENSIVE REVIEW OF THE CEO'S TOTAL COMPENSATION IS CONDUCTED BY THE BENEFITS AND COMPENSATION COMMITTEE OF HOUSTON HEALTHCARE SYSTEM, INC. MINUTES REFLECTING THE DELIBERATIONS OF THE COMMITTEE ARE RECORDED AND FILED. THE COMMITTEE IS COMPRISED OF THREE MEMBERS OF THE BOARD OF DIRECTORS. IN CONSIDERING AN ADJUSTMENT TO THE COMPENSATION PACKAGE FOR THE CEO, VARIOUS STUDIES ARE CONSIDERED AND FACTORED INTO THE FINAL DECISION, INCLUDING THE GEORGIA VHA EXECUTIVE COMPENSATION SURVEY-CEO, THE GEORGIA HOSPITAL ASSOCIATION SURVEY OF EXECUTIVE COMPENSATION, AND AN EXECUTIVE SALARY SURVEY OF GEORGIA HOSPITAL EXECUTIVES CONDUCTED ANNUALLY BY HR ADVANTAGE, A COMPENSATION CONSULTANT WITH NATION-WIDE REACH. ALL OF THE ENTITIES AND INDIVIDUALS PROVIDE COMPENSATION DATA INDEPENDENT OF THE OTHERS. SUBSEQUENT TO THE REVIEW, A RECOMMENDATION REGARDING THE CEO'S COMPENSATION IS REVIEWED AND MODIFIED/APPROVED BY THE BOARD OF DIRECTORS OF HOUSTON HOSPITALS, INC. A SIMILAR PROCESS IS EMPLOYED FOR THE CFO. THE REVIEWS ARE PERFORMED ON AN ANNUAL BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THERE HAS BEEN NO CHANGE TO EITHER THE OVERSIGHT OR SELECTION PROCESS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B

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