Liabilities / Assets
57th percentile
Higher debt load relative to assets than 57% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
57th percentile
Higher debt load relative to assets than 57% of similar nonprofits.
Liabilities / Revenue
20th percentile
Higher debt load relative to revenue than 20% of similar nonprofits.
Net Margin
11th percentile
Higher net margin than 11% of similar nonprofits.
Top Officer Pay
97th percentile
Higher top officer pay than 97% of similar nonprofits.
Top officer pay equals 5.0% of source-year revenue.
Asset Growth
28th percentile
Faster asset growth than 28% of similar nonprofits.
Revenue Growth
42nd percentile
Faster revenue growth than 42% of similar nonprofits.
Assets
Down$8,739,097
Down $190,370 (-2.1%) from 2017
Net Assets
Down$5,863,783
Down $325,463 (-5.3%) from 2017
Liabilities
Up$2,875,314
Up $135,093 (+4.9%) from 2017
Revenue
Up$33,665,801
Up $860,046 (+2.6%) from 2017
Expenses
Up$38,326,263
Up $1,222,034 (+3.3%) from 2017
Net Income
Down-$4,660,462
Down $361,988 (-8.4%) from 2017
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 | $4,513,445 | $3,326,497 | ▼ $1,186,948 |
| Accounts Receivable | $2,708,608 | $2,604,888 | ▼ $103,720 |
| Cash and Non-Interest-Bearing Accounts | $628,968 | $2,073,640 | ▲ $1,444,672 |
| Savings and Temporary Cash Investments | $670,441 | $398,807 | ▼ $271,634 |
| Inventories for Sale or Use | $214,993 | $203,352 | ▼ $11,641 |
| Prepaid Expenses and Deferred Charges | $74,765 | $70,187 | ▼ $4,578 |
| 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 | $8,929,467 | $8,739,097 | ▼ $190,370 |
| Other Assets Total | $118,247 | $61,726 | ▼ $56,521 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $2,125,635 | $2,417,723 | ▲ $292,088 |
| Mortgage Notes Payable Secured by Investment Property | $570,835 | $391,071 | ▼ $179,764 |
| Deferred Revenue | $43,751 | $66,520 | ▲ $22,769 |
| Grants Payable | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Other Liabilities | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $2,740,221 | $2,875,314 | ▲ $135,093 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $6,189,246 | $5,863,783 | ▼ $325,463 |
| Permanently Rstr Net Assets | $0 | $0 | → $0 |
| Temporarily Rstr Net Assets | $0 | $0 | → $0 |
| Total Net Assets Fund Balance | $6,189,246 | $5,863,783 | ▼ $325,463 |
| Total Liabilities and Net Assets / Fund Balance | $8,929,467 | $8,739,097 | ▼ $190,370 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $2,615,801 | $11,213,405 | $13,829,206 |
| Buildings | $17,438 | $581,892 | $599,330 |
| Leasehold Improvements | $571,984 | $325,900 | $597,884 |
| Land | $81,874 | - | $81,874 |
| Other Land Buildings | $39,400 | - | $39,400 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Louis Stan Holden | Chief Executive Officer | FT | $165,835 | $110,155 | $275,990 |
| Jacob Wamboldt | Chief Financial Officer | FT | $116,037 | $54,902 | $170,939 |
| Scott a Kunkel | Chief Flight Officer | FT | $99,509 | $69,626 | $169,135 |
| Arnold Spiers | Chief Operating Officer | FT | $109,844 | $58,213 | $168,057 |
| Jerri Pendarvis | Chief Clinical & Quality Assur | FT | $106,520 | $46,692 | $153,212 |
| Nicholas Ryan Orr | Field Captain | FT | $111,341 | $26,232 | $137,573 |
| Name | Title |
|---|---|
| Chris Glenney | Chairman |
| Jason Adams | Director |
| Jason Proctor | Director |
| Todd Hancock | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Qmc LLC - Partner | Billing | PO BOX 5023, Greenburg, PA 15601-5039 | $1,047,349 |
| Dacus Firm Pc-lawyer | Attorney | 821 ESE LOOP 323 SUITE 430, Tyler, TX 75701 | $139,801 |
| Fitch Associates | Consulting Firm | PO BOX 170, Platte City, MO 64079 | $139,126 |
| Line Item | Amount |
|---|---|
| Other Expenses | $22,007,814 |
| Salaries, Compensation, and Employee Benefits | $16,318,449 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $11,052,822 | $1,762,165 | - | $12,814,987 |
| Other Employee Benefits | $1,856,811 | $214,435 | - | $2,071,246 |
| Fees for Services Other | $1,402,476 | $51,796 | - | $1,454,272 |
| Depreciation Depletion | $1,338,635 | - | - | $1,338,635 |
| Payroll Taxes | $851,397 | $122,848 | - | $974,245 |
| Insurance | $819,907 | $27,403 | - | $847,310 |
| Other Expenses | $647,651 | $7,103 | - | $654,754 |
| Occupancy | $546,699 | $52,151 | - | $598,850 |
| Office Expenses | $373,757 | $159,613 | - | $533,370 |
| Information Technology | $255,663 | $81,803 | - | $337,466 |
| All Other Expenses | $182,959 | $124,980 | - | $307,939 |
| Current Officers, Directors, Trustees, and Key Employees | $237,683 | $38,307 | - | $275,990 |
| Fees for Services Legal | $83 | $189,918 | - | $190,001 |
| Pension Plan Contributions | $138,391 | $43,590 | - | $181,981 |
| Fees for Services Accounting | - | $79,407 | - | $79,407 |
| Conferences and Meetings | $9,268 | $20,101 | - | $29,369 |
| Interest | - | $19,645 | - | $19,645 |
| Travel | $9,765 | $4,265 | - | $14,030 |
| Advertising | $2,828 | $1,053 | - | $3,881 |
| Total Functional Expenses | $35,295,071 | $3,031,192 | $0 | $38,326,263 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $38,326,263 |
| Total Expenses per Audited Statements | $24,391,335 |
| Expenses per Audited Statements | $24,381,499 |
| Expenses Not Reported on Financial Statements | $13,944,764 |
| Other Expense Adjustments | $13,944,764 |
| Expenses Not Reported on Form 990 | $9,836 |
| 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 |
“Members or stockholders: currently, the organization has two members: christus good shepherd health system and christus trinity mother frances health system.”
“Members or stockholders who can elect members of the governing body: each member shall appoint two directors. If a member shall fail to appoint a director, the board may elect a person who is employed by the member or an affiliate of the member that operates a hospital. A director may be removed only by the member that appointed such director.”
“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; l) 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 organization engages an outside accounting firm to prepare form 990. Once prepared, the form is reviewed by the organization's internal accountants prior to filing. The board members receive a copy of the form 990 before it is filed.”
“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.”
“Availability of documents: the organization does not make its conflict of interest policy, governing documents and financial statements available to the public.”
“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.”
“Other changes in net assets: transfers from members $4,334,999”
“Reconciliation of revenue per financial statements to return: bad debt expense $ (13,944,764)”
“Reconciliation of expenses per financial statements to return: bad debt expense $ 13,944,764”
“Reconciliation of revenue per financial statements to return: direct rent expense $(9,836)”
“Reconciliation of expenses per financial statements to return: direct rent expense $9,836”
“Asc 740 footnote: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.”
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 | true |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 2125635 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 2417723 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 2708608 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 2604888 |
| IRS990/AcctCompileOrReviewBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| 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/ManagementAndGeneralAmt | 0 | 1053 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 2828 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 3881 |
| IRS990/AllOtherContributionsAmt | 0 | 38228 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 124980 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 182959 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 307939 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | LOUIS S HOLDEN |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 9032912600 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2201 S MOBBERLY AVE |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | LONGVIEW |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TX |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 75602 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 628968 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 2073640 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 38307 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 237683 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 275990 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | false |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 20101 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 9268 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 29369 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1047349 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 139801 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 139126 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 5023 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 821 ESE LOOP 323 SUITE 430 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 170 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | GREENBURG |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | TYLER |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | PLATTE CITY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | PA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 156015039 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 75701 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 64079 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | QMC LLC - PARTNER |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | DACUS FIRM PC-LAWYER |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | FITCH ASSOCIATES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | BILLING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | ATTORNEY |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONSULTING FIRM |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 784885 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 2078 |
| IRS990/CYOtherExpensesAmt | 0 | 22007814 |
| IRS990/CYOtherRevenueAmt | 0 | 2003 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 32876835 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -4660462 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 16318449 |
| IRS990/CYTotalExpensesAmt | 0 | 38326263 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 33665801 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 43751 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 66520 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 1338635 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1338635 |
| 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/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 329 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 35295071 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 79407 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 79407 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 189918 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 83 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 190001 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 51796 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1402476 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1454272 |
| 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 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 6.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 50.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 96.0 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | 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/OtherCompensationAmt | 0 | 26111 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 30220 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 107627 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 25314 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 24111 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 25355 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 27506 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 20509 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 29993 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 26232 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | CHRIS GLENNEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | TODD HANCOCK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JASON ADAMS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JASON PROCTOR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | LOUIS STAN HOLDEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SCOTT A KUNKEL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JACOB WAMBOLDT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JERRI PENDARVIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | ARNOLD SPIERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | NICHOLAS RYAN ORR |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 251879 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 143780 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 143433 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 132703 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 138064 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 111341 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1666029 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 1171176 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 624187 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 522987 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CHIEF FLIGHT OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CHIEF CLINICAL & QUALITY ASSUR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | FIELD CAPTAIN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 1998 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | false |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 1829 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GovernmentGrantsAmt | 0 | 746657 |
| 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 | 1829 |
| IRS990/GrossReceiptsAmt | 0 | 33675637 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 10111 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 1728 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | false |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 20 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 81803 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 255663 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 337466 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 27403 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 819907 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 847310 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 19645 |
| IRS990/InterestGrp/TotalAmt | 0 | 19645 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 214993 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 203352 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 249 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 249 |
| 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 | 78 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 12121197 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 4513445 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 3326497 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 15447694 |
| IRS990/LegalDomicileStateCd | 0 | TX |
| IRS990/LessRentalExpensesGrp/PersonalAmt | 0 | 9836 |
| 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 | 570835 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 391071 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 6189246 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 5863783 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 1829 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 1829 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 2003 |
| IRS990/NetRentalIncomeOrLossGrp/UnrelatedBusinessRevenueAmt | 0 | 2003 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 5093 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 52151 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 546699 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 598850 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 159613 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 373757 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 533370 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 118247 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 61726 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 4334999 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 214435 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 1856811 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 2071246 |
| IRS990/OtherExpensesGrp/Desc | 0 | Medical Supplies |
| IRS990/OtherExpensesGrp/Desc | 1 | Bad Debt |
| IRS990/OtherExpensesGrp/Desc | 2 | Uniforms |
| IRS990/OtherExpensesGrp/Desc | 3 | Vehicle Fuel and repairs |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1093 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 29516 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 7103 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 667470 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 13944764 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 956042 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 647651 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 668563 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 13944764 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 985558 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 654754 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 0 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 1762165 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 11052822 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 12814987 |
| 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/ManagementAndGeneralAmt | 0 | 122848 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 851397 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 974245 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 43590 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 138391 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 181981 |
| IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt | 0 | 0 |
| IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 74765 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 70187 |
| IRS990/PrincipalOfficerNm | 0 | LOUIS S HOLDEN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621910 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 900099 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 541610 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 3 | 621910 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | Emergency Medical Services |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | Subscription Revenue |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | Management Fees |
| IRS990/ProgramServiceRevenueGrp/Desc | 3 | Communications/Dispatch |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 31848587 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 406513 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 141735 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 3 | 480000 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 31848587 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 406513 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 141735 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 3 | 480000 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 841229 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | -1579 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 20881974 |
| IRS990/PYOtherRevenueAmt | 0 | 10077 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 31956028 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -4298474 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 16222255 |
| IRS990/PYTotalExpensesAmt | 0 | 37104229 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 32805755 |
| 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 | -4660462 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/RentalIncomeOrLossGrp/PersonalAmt | 0 | 275 |
| IRS990/RentalIncomeOrLossGrp/RealAmt | 0 | 1728 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | true |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RevenueAmt | 0 | 32876835 |
| IRS990/RoyaltiesGrp/TotalAmt | 0 | 0 |
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Displayed year
2018 • Form 990Detailed filing. Detailed filing data is available for this year.