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Nonprofiteer
← CHAMPION EMS

Form 990 for tax year 2022

Filed by CHAMPION EMS.

Totals

Total revenue
$33,225,953
Total expenses
$41,540,965
Contributions and grants received
$58,533
Grants paid
$0
Program service revenue
$32,955,618
Investment income
$22,531
Other revenue
$189,271
Total assets, end of year
$7,837,429
Total liabilities, end of year
$1,194,392
Net assets or fund balances, end of year
$6,643,037
Program services expenses (Part IX)
$41,111,229
Management and general expenses
$429,736
Fundraising expenses
$0
Program service expenses (Part III)
$41,111,229

Program services were 99.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $58,533

  • 2a · Program service revenue: OUTPATIENT REVENUE

    total $32,142,924 · related or exempt $32,142,924

  • 2b · Program service revenue: FFL MANAGEMENT FEES

    total $340,282 · related or exempt $340,282

  • 2c · Program service revenue: FFL DISPATCH REVENUE

    total $350,694 · related or exempt $350,694

  • 2d · Program service revenue: MEMBERSHIP REVENUE

    total $121,718 · related or exempt $121,718

  • 3 · Investment income

    total $4,031 · excluded $4,031

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6a · Gross rents

    personal property $1,728

  • 6b · Less rental expenses

    personal property $1,866

  • 6c · Rental income or loss

    real property $0 · personal property -$138

  • 6d · Net rental income or loss

    total -$138 · unrelated business -$138

  • 7a · Gross sales of assets other than inventory

    other assets $18,500

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $18,500

  • 7d · Net gain or loss

    total $18,500 · excluded $18,500

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11a · Other revenue: COMMUNITY LIFE SAVING CLASSES

    total $175,648 · excluded $175,648

  • 11b · Other revenue: PR EVENT REVENUE

    total $13,761 · excluded $13,761

  • 11c · Other revenue: MISC CREDIT

    total $0 · excluded $0

  • 11e · Other revenue, total

    $189,409

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $14,869,408 · program services $14,869,408

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $2,880,061 · program services $2,790,220 · management and general $89,841

  • 10 · Payroll taxes

    total $1,053,557 · program services $1,053,557

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $6,153 · program services $6,153

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $1,703,406 · program services $1,703,406

  • 12 · Advertising and promotion

    total $21,975 · program services $21,975

  • 13 · Office expenses

    total $1,104,472 · program services $1,104,472

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $600,499 · program services $600,499

  • 17 · Travel

    total $35,061 · program services $35,061

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $117,779 · program services $117,779

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $1,692,311 · program services $1,692,311

  • 23 · Insurance

    total $854,813 · program services $514,918 · management and general $339,895

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $1,014,397 · program services $1,014,397

  • 24b · Other expenses: BAD DEBT

    total $13,544,235 · program services $13,544,235

  • 24c · Other expenses: DUES AND SUBSCRIPTIONS

    total $170,583 · program services $170,583

  • 24d · Other expenses: MILEAGE REIMBURSEMENT ASSOCIAT

    total $195,909 · program services $195,909

  • 24e · All other expenses

    total $1,676,346 · program services $1,676,346

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,587,903 · end of year $399,600

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $2,587,984 · end of year $2,095,234

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $104,237 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $221,899 · end of year $199,183

  • 9 · Prepaid expenses and deferred charges

    beginning of year $273,312 · end of year $205,151

  • 10a · Land, buildings and equipment: cost or other basis

    $20,468,550

  • 10b · Land, buildings and equipment: accumulated depreciation

    $15,530,289

  • 10c · Land, buildings and equipment, net

    beginning of year $5,252,743 · end of year $4,938,261

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,278,098 · end of year $1,180,648

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $16,244 · end of year $13,744

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $8,733,736 · end of year $6,643,037

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

TO PROVIDE HIGH QUALITY, MEDICALLY EFFECTIVE AND OPERATIONALLY EFFICIENT EMERGENCY MEDICAL SERVICES TO THE RURAL COMMUNITIES OF EAST TEXAS.

  • 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.

    Expenses $41,111,229 · Revenue $32,955,618

As filed on the 2022 return.

Listed in Part VII

  • Chris Glenney

    CHAIRMAN

    Total calculated
    $1,849,968
    From this org
    $0
    From related orgs
    $1,403,929
    Other
    $446,039
    Hours/week
    6 + 34 related

    Schedule J breakdown matched by us

    Base
    not reported + $956,519 related
    Bonus
    not reported + $446,760 related
    Other
    not reported + $650 related
    Deferred
    not reported + $431,192 related
    Nontaxable benefits
    not reported + $14,847 related
    Filer's total
    not reported + $1,849,968 related

  • Todd Hancock

    DIRECTOR

    Total calculated
    $1,135,912
    From this org
    $0
    From related orgs
    $865,919
    Other
    $269,993
    Hours/week
    6 + 34 related

    Schedule J breakdown matched by us

    Base
    not reported + $618,406 related
    Bonus
    not reported + $246,863 related
    Other
    not reported + $650 related
    Deferred
    not reported + $250,042 related
    Nontaxable benefits
    not reported + $19,951 related
    Filer's total
    not reported + $1,135,912 related

  • Jason Proctor

    DIRECTOR

    Total calculated
    $1,105,295
    From this org
    $0
    From related orgs
    $843,803
    Other
    $261,492
    Hours/week
    6 + 34 related

    Schedule J breakdown matched by us

    Base
    not reported + $595,280 related
    Bonus
    not reported + $247,873 related
    Other
    not reported + $650 related
    Deferred
    not reported + $239,075 related
    Nontaxable benefits
    not reported + $22,417 related
    Filer's total
    not reported + $1,105,295 related

  • Jason Adams

    DIRECTOR (THRU 05/2020)

    Total calculated
    $819,001
    From this org
    $0
    From related orgs
    $674,084
    Other
    $144,917
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $445,694 related
    Bonus
    not reported + $228,006 related
    Other
    not reported + $384 related
    Deferred
    not reported + $121,795 related
    Nontaxable benefits
    not reported + $23,122 related
    Filer's total
    not reported + $819,001 related

  • Elizabeth Pulliam

    DIRECTOR (THRU 05/2022)

    Total calculated
    $683,185
    From this org
    $0
    From related orgs
    $585,994
    Other
    $97,191
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $356,837 related
    Bonus
    not reported + $154,939 related
    Other
    not reported + $74,218 related
    Deferred
    not reported + $89,333 related
    Nontaxable benefits
    not reported + $7,858 related
    Filer's total
    not reported + $683,185 related

  • Christy Bush

    DIRECTOR(THRU 05/2020)

    Total calculated
    $289,359
    From this org
    $0
    From related orgs
    $260,824
    Other
    $28,535
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $198,670 related
    Bonus
    not reported + $61,587 related
    Other
    not reported + $567 related
    Deferred
    not reported
    Nontaxable benefits
    not reported + $28,535 related
    Filer's total
    not reported + $289,359 related

  • Shawn Salter

    CEO

    Total calculated
    $236,353
    From this org
    $0
    From related orgs
    $214,534
    Other
    $21,819
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    not reported + $189,906 related
    Bonus
    not reported + $23,867 related
    Other
    not reported + $761 related
    Deferred
    not reported + $9,018 related
    Nontaxable benefits
    not reported + $12,801 related
    Filer's total
    not reported + $236,353 related

  • Jacob Wamboldt

    CHIEF FINANCIAL OFFICER

    Total calculated
    $176,090
    From this org
    $0
    From related orgs
    $156,993
    Other
    $19,097
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    not reported + $138,236 related
    Bonus
    not reported + $18,445 related
    Other
    not reported + $312 related
    Deferred
    not reported + $3,515 related
    Nontaxable benefits
    not reported + $15,582 related
    Filer's total
    not reported + $176,090 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SUPPLEMENTAL COMPENSATION INFORMATION
SCHEDULE J, PART I, LINE 1 DIRECTORS AND EX-OFFICIO DIRECTORS PROVIDE THEIR SERVICES AS MEMBERS OF THE BOARD WITHOUT COMPENSATION OR BENEFITS. ANY COMPENSATION AND BENEFITS DISCLOSED FOR SUCH PERSONS IS EARNED IN THE RESPECTIVE INDIVIDUAL'S ROLE AS AN OFFICER OR EMPLOYEE OF THE FILING ORGANIZATION OR A RELATED ORGANIZATION, NOT FOR THE INDIVIDUAL'S ROLE AS A BOARD MEMBER OR DIRECTOR. BOARD MEMBERS SPEND TIME AS NEEDED FOR BOARD MEETINGS AND FUNCTIONS.
RELATED ORGANIZATION DETERMINING EXECUTIVE DIRECTOR COMPENSATION
FORM 990, SCHEDULE J, PART I, LINE 3 THE FILING ORGANIZATION'S PRESIDENT/CEO IS AN EMPLOYEE OF CHRISTUS HEALTH, A RELATED ORGANIZATION. AS A RESULT, COMPENSATION IS ESTABLISHED AT THE CHRISTUS HEALTH LEVEL AND THE FILING ORGANIZATION DOES NOT HAVE A ROLE IN IMPLEMENTING THE METHODS USED TO ESTABLISH COMPENSATION OR IN DETERMINING THE PRESIDENT/CEO COMPENSATION. CHRISTUS HEALTH USES AN EXECUTIVE COMPENSATION COMMITTEE TO ESTABLISH AND APPROVE THE COMPENSATION OF THE FILING ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THIS COMMITTEE USES AN INDEPENDENT COMPENSATION CONSULTANT WHO PERFORMS BI-ANNUAL COMPENSATION SURVEY. CHAMPION EMS RELIED ON A RELATED ORGANIZATION, CHRISTUS HEALTH, THAT USED THE FOLLOWING METHOD TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: INDEPENDENT AND EXTERNAL CONSULTANT. THE FILING ORGANIZATION DOES NOT HAVE THE AUTHORITY TO DETERMINE AND IMPLEMENT THE METHODS USED TO ESTABLISH SUCH COMPENSATION. ORGANIZATION DOES NOT HAVE THE AUTHORITY TO DERTERMINE AND IMPLEMENT THE METHODS USED TO ESTABLISH SUCH COMPENSATION.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
FORM 990, SCHEDULE J, PART I, LINE 4B COMPENSATION REPORTED AS DEFERRED IN A PRIOR FORM 990 DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AND PENSION RESTORATION PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT PENSION RESTORATION PLAN AT 6% OF PENSIONABLE EARNINGS WHICH ARE OVER THE IRS LEGISLATIVE COMPENSATION LIMIT. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER LEGACY PENSION PLAN. IF A PARTICIPANT HAS PROTECTED PENSION BENEFITS UNDER SUCH LEGACY PLANS, HIS/HER PERCENTAGE IS ZERO UNDER THE SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, AS THE PROTECTED BENEFIT IS ALREADY EQUAL TO OR BETTER THAN CURRENT MARKET.
DEFERRED COMPENSATION
FORM 990, SCHEDULE J, PART II, COLUMN C DEFERRED COMPENSATION INCLUDES EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN, EMPLOYER CONTRIBUTION TO 403(B) MATCHED SAVINGS PLAN, PENSION RESTORATION PLAN AND ESTIMATED PENSION BENEFITS UNDER CHRISTUS HEALTH CASH BALANCE PLAN. ESTIMATED PENSION BENEFITS WERE CALCULATED BASED ON THE PROVISIONS OF THE CURRENT CASH BALANCE PLAN AT 6% OF PENSIONABLE EARNINGS. SOME ASSOCIATES ARE GRANDFATHERED UNDER AN EARLIER PENSION PLAN. THESE GRANDFATHERED PARTICIPANTS, BASED ON COMPUTATION AT THE TIME OF THEIR RETIREMENT, WILL RECEIVE THE LARGER OF THE RETIREMENT BENEFIT COMPUTED UNDER THE CASH BALANCE PLAN COMPARED TO THE PREVIOUS PENSION PLAN. DUE TO THE COMPLEXITY OF CALCULATING AN ACCURATE BENEFIT COST FOR GRANDFATHERED PARTICIPANTS, THE FORM 990 REPORTS AS PENSION BENEFITS THEIR ANNUAL ESTIMATED CASH BALANCE PLAN ACCRUAL.
SUPPLEMENTAL COMPENSATION INFORMATION
FORM 990, SCHEDULE J, PART II W-2 COMPENSATION MAY INCLUDE PAYMENTS RELATED TO COMPENSATION DEFERRED IN PRIOR YEARS. DEFERRED COMPENSATION MAY INCLUDE DEFERRALS OF CURRENT YEAR COMPENSATION UNDER EXECUTIVE DEFERRED INCOME ACCOUNT, SUPPLEMENTAL EXECUTIVE RETIREMENT AND RETENTION PLAN AND PENSION RESTORATION PLAN.
BONUS AND INCENTIVE COMPENSATION
BONUS AND INCENTIVE COMPENSATION MAY INCLUDE AMOUNTS THAT WERE DEFERRED IN A PRIOR YEAR BUT PAID OUT IN CALENDAR YEAR 2022.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CHRISTUS MUGUERZA SAPI DE CV

    C-CORP · HEALTHCARE SV · MX · controlled entity

    Directly controlled by ch

  • EMERALD ASSURANCE CAYMAN LTD

    C-CORP · INSURANCE · CJ · controlled entity

    Directly controlled by ch

  • CHRISTUS LOUISISANA QUALITY ALLIANCE

    C-CORP · ACO · LA · controlled entity

    Directly controlled by CH

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202401289349302750

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