2026-07-14T15:12:03+00:00 2025-08-31 135565207 KPMG LLP 500 West 5th Street Suite 800 WinstonSalem NC 27101 990 2025-01-01 263941348 Houston Healthcare EMS Inc HOUS 4047788603 1440 CLIFTON RD NE WHSCAB STE 313B ATLANTA GA 30322 ERNEST NGIRIMANA VP, CHIEF FINANCIAL OFFICER 4047788603 2026-07-14 true Isaac Irby P02444754 3362753394 2026-07-14 2025 2025-03-06 01:10:19Z X JOON LEE MD 1440 CLIFTON RD NE WHSCAB STE 313B ATLANTA GA 30322 4325006 false X X 2008 GA TO IMPROVE THE HEALTHCARE OF THE COMMUNITIES WE SERVE BY PROVIDING PATIENT-FOCUSED, HIGH-QUALITY, COST-EFFECTIVE SERVICES WHILE PROMOTING HEALTH AND WELLNESS. 10 10 0 9 0 0 6613795 4324794 122 0 4740 212 6618657 4325006 0 0 5088666 3725922 0 0 2458420 1828767 7547086 5554689 -928429 -1229683 1493377 10531640 8648588 10464351 -7155211 67289 TO IMPROVE THE HEALTHCARE OF THE COMMUNITIES WE SERVE BY PROVIDING PATIENT-FOCUSED, HIGH-QUALITY, COST-EFFECTIVE SERVICES WHILE PROMOTING HEALTH AND WELLNESS. false false 5554689 4325006 THE ORGANIZATION'S PROGRAM ACTIVITY IS THE PROVISION OF PATIENT CARE THROUGH THE AMBULANCE SERVICE. THE AMBULANCE SERVICE PROVIDED EMERGENCY AND NON-EMERGENCY TRANSPORTS AND PROVIDED CARE TO PATIENTS THAT ENDED UP NOT REQUIRING TRANSPORT. STAND-BY COVERAGE WAS PROVIDED AT COMMUNITY SPORTING EVENTS, RODEOS, THE GEORGIA NATIONAL FAIR, AND OTHER EVENTS HELD AT THE FAIRGROUNDS. 5554689 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false true 0 0 0 false false false false false false false false false false false X 10 10 false true true false true true true true true false false false true true true true true true true true false false GA X ERNEST NGIRIMANA 4047788603 1365 CLIFTON RD NE BLDG A 5016 ATLANTA GA 30322 KEVIN SPLAINE BOARD MEMBER, CEO 1.0 67.0 X X 0 0 0 APPAVUCHETTY SOUNDAPPAN MD BOARD MEMBER 1.0 2.0 X 0 0 0 HEATHER DEXTER BOARD MEMBER 1.0 69.0 X 0 0 0 JOHN DAVID HALL MD BOARD MEMBER 1.0 2.0 X 0 0 0 LEWANZA HARRIS MD BOARD MEMBER 1.0 62.0 X 0 0 0 MOHAMMAD AL-SHROOF MD BOARD MEMBER 1.0 2.0 X 0 0 0 RAHIL KAZI MD BOARD MEMBER 1.0 2.0 X 0 0 0 SCOTT WESTMORELAND DVM BOARD MEMBER 1.0 2.0 X 0 0 0 SHAWN CARPENTER BOARD MEMBER 1.0 2.0 X 0 0 0 TOMMY STALNAKER BOARD MEMBER, CHAIRMAN 1.0 2.0 X 0 0 0 MIKE LOFTUS SECRETARY 1.0 67.0 X 0 0 0 0 0 0 0 false false false ELEVOS 101 LUKKEN INDUSTRIAL DR E LAGRANGE GA 302412584 BILLING SERVICES 0 0 NET PATIENT SERVICE REVENUE 621910 4324794 4324794 0 0 0 0 4324794 0 0 0 0 0 OTHER INCOME 900099 212 212 0 0 0 0 212 4325006 4325006 0 0 3252788 3252788 473134 473134 0 0 0 0 507157 507157 260809 260809 158055 158055 MEDICAL SUPPLIES 300028 300028 REIMBURSEMENTS 260743 260743 PURCHASED SERVICES 247539 247539 OTHER EXPENSES 94436 94436 0 0 0 0 5554689 5554689 0 0 598385 2610344 18478 156462 0 0 0 0 4701666 2695702 868003 2005964 0 0 8511 5758870 1493377 10531640 15088 422614 0 0 8633500 10041737 8648588 10464351 -7155211 67289 -7155211 67289 1493377 10531640 -1229683 8452183 0 X false true true false X 432390 0 0 0 0 432390 5021509 5564572 6172674 6613795 4324794 27697344 0 0 0 0 0 0 5453899 5564572 6172674 6613795 4324794 28129734 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28129734 0 0 0 122 0 122 0 0 0 0 0 122 0 122 0 0 0 60870 0 4740 212 65822 5453899 5625442 6172674 6618657 4325006 28195678 0.99766 0.99772 0 0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 0.0, COLUMN B - 60870.0, COLUMN C - 0.0, COLUMN D - 4740.0, COLUMN E - 212.0, COLUMN F - 65822.0; 4571996 2695702 1876294 129670 0 129670 2005964 PREPAID EXPENSES 70997 DUE FROM INTERCOMPANY 5687873 5758870 Federal Income Taxes DUE TO INTERCOMPANY 10020608 THIRD PARTY SETTLEMENTS 21129 10041737 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote HOUSTON HEALTHCARE EMS, INC. IS INCLUDED IN THE AUGUST 31, 2025 CONSOLIDATED AUDITED FINANCIALS OF EMORY UNIVERSITY. HOUSTON HEALTHCARE EMS, INC. DID NOT HAVE A SEPARATE INDEPENDENT AUDIT. INCOME TAXES FOOTNOTE IN EMORY UNIVERSITY'S AUDITED FINANCIAL STATEMENTS IS AS FOLLOWS: "THE UNIVERSITY IS RECOGNIZED AS A TAX-EXEMPT ORGANIZATION AS DEFINED IN SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE CODE) AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE UNIVERSITY IS, HOWEVER, SUBJECT TO FEDERAL AND STATE INCOME TAX ON UNRELATED BUSINESS INCOME AND PROVISION FOR SUCH TAXES IS INCLUDED IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF ACTIVITIES. The Tax Cuts and Job Acts (the Act) imposes an excise tax on net investment income and excess compensation for certain organizations and establishes rules for calculating unrelated business income. Emory has reflected the tax assets and liabilities in the accompanying consolidated financial statements based on reasonable estimates. The University also has a net operating loss carryforward related to unrelated business income aggregating $140.0 million, for which a valuation allowance of $58.5 million is recorded as of August 31, 2025. The University regularly evaluates its tax positions and as of August 31, 2025 does not believe it has any material uncertain tax positions that require disclosure or adjustment to the consolidated financial statements." Form 990, Part VI, Line 6 Classes of members or stockholders HOUSTON HEALTHCARE EMS, INC. HAS ONE MEMBER - HOUSTON HEALTHCARE SYSTEM, INC. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED AND REVIEWED BY THE ORGANIZATION'S MANAGEMENT AND REVIEWED AND FILED BY AN INDEPENDENT THIRD PARTY ACCOUNTING FIRM. Form 990, Part VI, Line 12c Conflict of interest policy 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, Line 15a Process to establish compensation of top management official HOUSTON HEALTHCARE EMS, INC (HHEMS) STAFF MEMBERS ARE EMPLOYEES OF EITHER EMORY HEALTHCARE, INC (EHC) OR EMORY SPECIALTY ASSOCIATES, LLC (ESA). EHC AND ESA COMPENSATION POLICES AND PRACTICES APPLY TO HHEMS. Form 990, Part VI, Line 15b Process to establish compensation of other employees HOUSTON HEALTHCARE EMS, INC (HHEMS) STAFF MEMBERS ARE EMPLOYEES OF EITHER EMORY HEALTHCARE, INC (EHC) OR EMORY SPECIALTY ASSOCIATES, LLC (ESA). EHC AND ESA COMPENSATION POLICES AND PRACTICES APPLY TO HHEMS. Form 990, Part VI, Line 19 Required documents available to the public GENERALLY, THE ORGANIZATION DOES NOT MAKE THEIR GOVERNING DOCUMENTS OR THEIR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC ALTHOUGH THEY ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE ANNUAL FORM 990 TAX RETURN. 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