Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
EIN 75-2747708 • 501(c)3 • Longview, TX
Profile
To provide high quality, medically effective and operationally efficient emergency medical services to the rural communities of east texas.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
43rd percentile
Higher debt load relative to assets than 43% of similar nonprofits.
Liabilities / Revenue
13th percentile
Higher debt load relative to revenue than 13% of similar nonprofits.
Net Margin
10th percentile
Higher net margin than 10% of similar nonprofits.
Top Officer Pay
98th percentile
Higher top officer pay than 98% of similar nonprofits.
Top officer pay equals 6.5% of source-year revenue.
Asset Growth
3rd percentile
Faster asset growth than 3% of similar nonprofits.
Revenue Growth
45th percentile
Faster revenue growth than 45% of similar nonprofits.
Assets
Up$8,842,540
Up $1,005,111 (+13%) from 2023
Liabilities
Up$2,261,155
Up $1,066,763 (+89%) from 2023
Net Assets
Down$6,581,385
Down $61,652 (-0.9%) from 2023
Revenue
Up$41,738,874
Up $8,512,921 (+26%) from 2023
Expenses
Up$47,896,800
Up $6,355,835 (+15%) from 2023
Net Income
Up-$6,157,926
Up $2,157,086 (+26%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To provide high quality, medically effective and operationally efficient emergency medical services to the communities of east texas.
To provide high quality, medically effective and operationally efficient emergency medical services to the rural communities of east texas.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $4,938,261 | $5,401,475 | ▲ $463,214 |
| Accounts Receivable | $2,095,234 | $1,394,374 | ▼ $700,860 |
| Prepaid Expenses and Deferred Charges | $205,151 | $346,601 | ▲ $141,450 |
| Cash and Non-Interest-Bearing Accounts | $399,600 | $263,830 | ▼ $135,770 |
| Inventories for Sale or Use | $199,183 | $210,994 | ▲ $11,811 |
| Savings and Temporary Cash Investments | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Pledges and Grants Receivable | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Investments in Publicly Traded Securities | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $7,837,429 | $8,842,540 | ▲ $1,005,111 |
| Other Assets Total | $0 | $1,225,266 | ▲ $1,225,266 |
| Liabilities | |||
| Other Liabilities | $0 | $1,248,269 | ▲ $1,248,269 |
| Accounts Payable and Accrued Expenses | $1,180,648 | $998,981 | ▼ $181,667 |
| Deferred Revenue | $13,744 | $13,905 | ▲ $161 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $1,194,392 | $2,261,155 | ▲ $1,066,763 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $6,643,037 | $6,581,385 | ▼ $61,652 |
| Net Assets With Donor Restrictions | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $6,643,037 | $6,581,385 | ▼ $61,652 |
| Total Liabilities and Net Assets / Fund Balance | $7,837,429 | $8,842,540 | ▲ $1,005,111 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $2,714,305 | $9,631,584 | $12,345,889 |
| Other Land Buildings | $2,426,241 | $0 | $2,426,241 |
| Leasehold Improvements | $146,487 | $622,892 | $769,379 |
| Buildings | $32,568 | $594,676 | $627,244 |
| Land | $81,874 | - | $81,874 |
| Other Assets Org | $1,225,266 | - | - |
| Name | Title | Full / Part Time | Other | Total |
|---|---|---|---|---|
| Jacob Wamboldt | CFO (thru 07/2023) | FT | $88,118 | $88,118 |
| Name | Title |
|---|---|
| Chris Glenney | Chairman |
| Jason Proctor | Director |
| Todd Hancock | Director |
| Jason Adams | Director (thru 05/2020) |
| Elizabeth Pulliam | Director (thru 05/2022) |
| Shawn Salter | CEO |
| Levy Reynolds | CFO (as of 01/2024) |
| Jaclynn Harrison | Secretary/Treasurer |
| Line Item | Amount |
|---|---|
| Other Expenses | $28,738,177 |
| Salaries, Compensation, and Employee Benefits | $19,158,623 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $15,242,460 | - | - | $15,242,460 |
| Other Employee Benefits | $2,808,052 | $45,454 | - | $2,853,506 |
| Fees for Services Other | $2,263,565 | $17,160 | - | $2,280,725 |
| All Other Expenses | $1,668,958 | - | - | $1,668,958 |
| Depreciation Depletion | $1,453,459 | - | - | $1,453,459 |
| Payroll Taxes | $1,062,657 | - | - | $1,062,657 |
| Office Expenses | $1,050,935 | $5,250 | - | $1,056,185 |
| Insurance | $488,656 | $325,770 | - | $814,426 |
| Occupancy | $635,711 | - | - | $635,711 |
| Other Expenses | $227,294 | - | - | $227,294 |
| Conferences and Meetings | $121,969 | - | - | $121,969 |
| Travel | $19,443 | - | - | $19,443 |
| Fees for Services Legal | $1,022 | - | - | $1,022 |
| Advertising | $92 | - | - | $92 |
| Total Functional Expenses | $47,503,166 | $393,634 | $0 | $47,896,800 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Lt Portion Operating Lease | $1,076,958 |
| Cp Lease Liability | $171,311 |
“Members or stockholders: christus health is the sole member of champion ems.”
“Power to elect or appoint members the sole member, christus health, has the power to appoint all directors and their successors to the governing board.”
“Decisions of governing body subject to approval by members: unanimous vote of the members shall be required to do the following: a) adopt and approve any amendments or changes to the amended and restated certificate; b) approve the admission of new members; c) create additional classes of members; d) require an additional capital contribution by the members; e) approve the merger, combination, or consolidation of the corporation with another entity; f) approve the sale of the corporation's business or assets to another entity; g) create or invest in any subsidiary or enter into any partnership or joint venture; h) borrow money on behalf of the corporation; i) approve demands for additional capital contributions; j) approve the transfer of any membership interest to a non-affiliate; k) dissolve or liquidate the corporation; terminate the membership interest of any member pursuant to a discretionary terminating event; and m) take any fundamental action as defined in section 22.164 of the tboc.”
“Process to review the form 990: the form 990 is prepared and reviewed by the christus health tax department. The christus health accounting department works with the tax department in preparation and review of the form 990. The filing organization's cfo, or other designee, reviews the form 990. The final form 990 that will be filed with the irs was reviewed prior to filing with the irs in the spring 2025 by the organization's president and secretary, based on a set of suggested review processes developed by christus health. At a board meeting subsequent to filing with the irs, the president and secretary will report to the full board on the form 990.”
“Process to monitor compliance with conflict of interest policy: the organization follows the conflict of interest policy of christus health. Board members and officers are required to complete annual questionnaires to report potential conflicts of interest which are kept in the hr department. If a conflict is found to exist, the conflicted individual is required to abstain from discussion and voting on that matter.”
“Review of ceo or top mgmt official compensation: the organization engages an independent consultant to review and approve the compensation of the organization's ceo/executive director. The organization also performs a survey and/or study to establish the compensation which must be approved by the board and/or compensation committee. Annual compensation adjustments are reviewed and approved by the board chair. The reviews are documented in the meeting minutes and the conclusions are kept in the employee file in the hr department.”
“Form 990, part vi, line 18 christus health and most of its affiliated entities do not have forms 1023 because of their inclusion in the irs group ruling with the united states conference of catholic bishops, which covers the organizations listed in the annual official catholic directory. Christus health's website displays the irs group ruling and relevant annual official catholic directory pages for the organizations related to christus health. Forms 990 and 990-t are made available upon request.”
“Availability of documents: the organization does not make its conflict of interest policy, governing documents and financial statements available to the public.”
“Other changes in net assets: intercompany $6,095,162 other miscellaneous $1,112 ------------------------------------------- total $6,096,274”
“Per footnote 3 in the consolidated financial statements, there are no material unrecorded tax liabilities as of june 30, 2023 and 2024.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 1180648 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 998981 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2095234 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 1394374 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE HIGH QUALITY, MEDICALLY EFFECTIVE AND OPERATIONALLY EFFICIENT EMERGENCY MEDICAL SERVICES TO THE RURAL COMMUNITIES OF EAST TEXAS. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 92 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 92 |
| IRS990/AllOtherContributionsAmt | 0 | 164847 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 1668958 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 1668958 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | LEE SONNE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 4692822000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 5101 N OCONNOR BLVD |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | IRVING |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 75039 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 399600 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 263830 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 121969 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 121969 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | true |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 164847 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 1330 |
| IRS990/CYOtherExpensesAmt | 0 | 28738177 |
| IRS990/CYOtherRevenueAmt | 0 | 72954 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 41499743 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -6157926 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 19158623 |
| IRS990/CYTotalExpensesAmt | 0 | 47896800 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 41738874 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 13744 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 13905 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1453459 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1453459 |
| IRS990/Desc | 0 | CHAMPION SATISFIES THE REQUIREMENTS FOR PUBLIC CHARITY STATUS UNDER CODE 509(A)(2) BECAUSE (I) NOT MORE THAN ONE-THIRD OF ITS FINANCIAL SUPPORT CAME FROM GROSS INVESTMENT INCOME, AND (II) MORE THAN ONE THIRD OF ITS FINANCIAL SUPPORT CAME FROM CONTRIBUTIONS, MEMBERSHIP FEES, AND GROSS RECEIPTS FROM ACTIVITIES RELATED TO ITS EXEMPT FUNCTIONS, INCLUDING CONTRIBUTIONS AND GROSS RECEIPTS FROM ENTITIES OTHER THAN THE MEMBERS. CHAMPION PROVIDES HIGH QUALITY MEDICALLY EFFECTIVE AND OPERATIONALLY EFFICIENT EMERGENCY MEDICAL SERVICES TO THE RURAL COMMUNITIES OF EAST TEXAS. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DoingBusinessAsName/BusinessNameLine1Txt | 0 | CHRISTUS EMS |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 47503166 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 1022 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1022 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 17160 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 2263565 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2280725 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 34.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 34.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 34.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 32.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 8.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.0 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 290217 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 182549 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 174138 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 162992 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 88267 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 197334 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 42616 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 9956 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CHRIS GLENNEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | TODD HANCOCK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JASON PROCTOR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JASON ADAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JACLYNN HARRISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ELIZABETH PULLIAM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | SHAWN SALTER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JACOB WAMBOLDT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | LEVY REYNOLDS |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1499959 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 859879 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 860935 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 688857 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 563183 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 257850 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 213590 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 78162 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR (THRU 05/2020) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Secretary/Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR (THRU 05/2022) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CFO (THRU 07/2023) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CFO (AS OF 01/2024) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1998 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -68 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GovernmentGrantsAmt | 0 | 0 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 117774 |
| IRS990/GrossReceiptsAmt | 0 | 41859412 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 1584 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 0 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 325770 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 488656 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 814426 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/TotalAmt | 0 | 0 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 199183 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 210994 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1398 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1398 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 0 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 10849152 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 4938261 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 5401475 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 16250627 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 117842 |
| IRS990/LessRentalExpensesGrp/PersonalAmt | 0 | 2696 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO PROVIDE HIGH QUALITY, MEDICALLY EFFECTIVE AND OPERATIONALLY EFFICIENT EMERGENCY MEDICAL SERVICES TO THE RURAL COMMUNITIES OF EAST TEXAS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 6643037 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 6581385 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -68 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -68 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -1112 |
| IRS990/NetRentalIncomeOrLossGrp/UnrelatedBusinessRevenueAmt | 0 | -1112 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 6643037 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 6581385 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 635711 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 635711 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 5250 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 1050935 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 1056185 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1225266 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 6096274 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 45454 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 2808052 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2853506 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | BAD DEBT |
| IRS990/OtherExpensesGrp/Desc | 2 | DUES AND SUBSCRIPTIONS |
| IRS990/OtherExpensesGrp/Desc | 3 | MILEAGE REIMBURSEMENT ASSOCIAT |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 997302 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 19309060 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 152531 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 227294 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 997302 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 19309060 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 152531 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 227294 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 1248269 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | COMMUNITY LIFE SAVING CLASSES |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | PR EVENT REVENUE |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 54741 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 19325 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 54741 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 19325 |
| IRS990/OtherRevenueTotalAmt | 0 | 74066 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 15242460 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 15242460 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 0 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1062657 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 1062657 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 205151 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 346601 |
| IRS990/PrincipalOfficerNm | 0 | SHAWN SALTER |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | OUTPATIENT REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | FFL MANAGEMENT FEES |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | FFL DISPATCH REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | MEMBERSHIP REVENUE |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 40690520 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 121440 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 360144 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 327639 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 40690520 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 121440 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 360144 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 327639 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 58533 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 22531 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 22737939 |
| IRS990/PYOtherRevenueAmt | 0 | 189271 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 32955618 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -8315012 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 18803026 |
| IRS990/PYTotalExpensesAmt | 0 | 41540965 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 33225953 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt | 0 | 0 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -6157926 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | true |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | -1112 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | true |
| IRS990/ReportOtherLiabilitiesInd | 0 | true |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 41499743 |
| IRS990/RoyaltiesGrp/TotalAmt | 0 | 0 |
| IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 0 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 0 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearAmt | 0 | 481584 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus1YearAmt | 0 | 690976 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus2YearsAmt | 0 | 482278 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus3YearsAmt | 0 | 499220 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/CurrentTaxYearMinus4YearsAmt | 0 | 245762 |
| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 2399820 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt | 0 | 164846 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 58533 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 57962 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 115523 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 0 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 396864 |
| IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt | 0 | 1398 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 4031 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 2826 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1080 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 376 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt | 0 | 9711 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearAmt | 0 | 41499743 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 32955618 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 31425774 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 29936852 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 14588893 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 150406880 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 1398 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 4031 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 2826 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 1080 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 376 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 9711 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00006 |
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