REGIONAL EMERGENCY MEDICAL SERVICE… - Form 990 Financial Data

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2010

Legal Domicile

Principal Officer

WALLACE PATRICK

Phone

8163969580

Tax Period

2024-01-01 to 2024-12-31

REGIONAL EMERGENCY MEDICAL SERVICES AUTH, founded in 2010, is a mid-sized nonprofit in the Health Care sector that reported $10.9M in total revenue in fiscal year 2024.

Mission

TO PROVIDE AN EFFECTIVE GROUND AMBULANCE SERVICE WHICH FUNCTIONS AS A PART OF A COORDINATED EMERGENCY MEDICAL SERVICE SYSTEM FOR THE HEALTH & SAFETY OF THE COMMUNITY & ITS CITIZENS.

Program Service Accomplishments

Program 1

Expenses: $9,012,110 Revenue: $5,032,804

THE MISSION OF REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY (REMSA) IS TO PROVIDE AN EFFECTIVE GROUND AMBULANCE SERVICE WHICH FUNCTIONS AS A PART OF A COORDINATED EMERGENCY MEDICAL SERVICE SYSTEM...

THE MISSION OF REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY (REMSA) IS TO PROVIDE AN EFFECTIVE GROUND AMBULANCE SERVICE WHICH FUNCTIONS AS A PART OF A COORDINATED EMERGENCY MEDICAL SERVICE SYSTEM FOR THE HEALTH AND SAFETY OF THE COMMUNITY AND ITS CITIZENS. THE ORGANIZATION IS THE ONLY EMERGENCY MEDICAL TRANSPORT COMPANY IN THE CITY OF ST. JOSEPH AND ALSO SERVES THE SURROUNDING COMMUNITIES IN BUCHANAN COUNTY. THE COUNTY HAS A POPULATION OF APPROXIMATELY 90,000 PEOPLE.THE BOARD OF DIRECTORS OF THE ORGANIZATION ADOPTED AN AMENDMENT, EFFECTIVE JULY 1, 2014, THAT CHANGES THE ARTICLES OF INCORPORATION TO MAKE BUCHANAN COUNTY, MISSOURI THE SOLE MEMBER. BY ADOPTING THE AMENDMENT, THE BOARD TRANSFERRED OWNERSHIP AND OPERATION OF THE ENTITY TO BUCHANAN COUNTY. BY DOING SO, THE PROVISION OF AMBULANCE SERVICES CAN BE MORE EASILY ALIGNED WITH OTHER GOVERNMENTAL PROGRAMS PROVIDED BY THE COUNTY AND THE CITY OF ST. JOSEPH, IN ORDER TO BETTER SERVE THE COMMUNITY.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $5,744,263

Program Service Revenue $4,975,851

Investment Income $144,812

Other Revenue $32,953

TOTAL REVENUE $10,897,879

Expense Breakdown

Grants Paid $0

Salaries & Benefits $7,899,188

Fundraising Expenses $0

Program Expenses $9,012,110

Other Expenses $3,320,977

TOTAL EXPENSES $11,220,165

Year-over-Year Comparison

	2024	2023	Change
Revenue	$10,897,879	$11,236,208	0.0%
Expenses	$11,220,165	$10,775,351	+0.0%
Net Income	$-322,286	$460,857	-1.7%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

123

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✗ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$160,132

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
SCOTT MEIERHOFFER	BOARD CHAIR	1.00	Officer Director	$0	$0	$0
KRISTIE ARTHUR	SECRETARY	1.00	Officer Director	$0	$0	$0
JEFF MCMILLAN	DIRECTOR	1.00	Officer Director	$0	$0	$0
DAVE GACH	DIRECTOR	1.00	Director	$0	$0	$0
GARY HAZELRIGG	DIRECTOR	1.00	Director	$0	$0	$0
NEELAM RANA	DIRECTOR	1.00	Director	$0	$0	$0
SCOTT NELSON	VICE PRESIDENT	1.00	Officer Director	$0	$0	$0
WALLACE PATRICK	EXECUTIVE DIRECTOR	40.00	Officer	$155,916	$4,216	$160,132
MICHAEL RUDDER	PARAMEDIC	40.00	Highest	$166,112	$3,132	$169,244
JOHN JACOBS	PARAMEDIC	40.00	Highest	$126,941	$0	$126,941
JOHN HARRIS	PARAMEDIC	40.00	Highest	$119,504	$0	$119,504
JASON POWELL	PARAMEDIC	40.00	Highest	$112,359	$0	$112,359
DARREN OTTINGER	PARAMEDIC	40.00	Highest	$100,754	$0	$100,754

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$10,897,879	$11,220,165	$12,354,899	$-322,286
2023	$11,236,208	$10,775,351	$11,905,250	$460,857
2022	$10,122,794	$9,643,953	$11,204,391	$478,841
2021	$4,522,153	$4,285,451	$10,829,701	$236,702
2021	$8,703,380	$8,100,527	$10,589,120	$602,853
2020	$8,131,455	$7,287,159	$9,585,082	$844,296
2019	$7,579,386	$6,382,690	$8,637,998	$1,196,696
2018	$7,311,953	$5,934,960	$7,290,620	$1,376,993

REGIONAL EMERGENCY MEDICAL SERVICES AUTH