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Missouri · Nonprofit

REGIONAL EMERGENCY MEDICAL SERVICES AUTH

REGIONAL EMERGENCY MEDICAL SERVICES AUTH (Missouri) receives grants from 1 organization whose IRS filings report $119 to it, the largest being AMAZONSMILE FOUNDATION ($119). 1 of them have funded it in more than one year, and 100% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.

Revenue FY2024
$11M
Funders on record
1
Grants received
$119
Net assets
$10M
1/1 repeat funderspeak grant-dependency 0%
01What it does

What Regional Emergency Medical Services Auth does

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.

As stated on its FY2024 Form 990.

Program

  1. 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.

    $9,012,110 spent$5,032,804 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $9,012,110.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($7.1M) Expenses 100 ($5.5M) Net assets 100 ($5.5M)2018 Revenue 103 ($7.3M) Expenses 109 ($5.9M) Net assets 125 ($6.9M)2019 Revenue 107 ($7.6M) Expenses 117 ($6.4M) Net assets 147 ($8.1M)2020 Revenue 115 ($8.1M) Expenses 134 ($7.3M) Net assets 162 ($8.9M)2021 Revenue 123 ($8.7M) Expenses 148 ($8.1M) Net assets 173 ($9.5M)2022 Revenue 143 ($10M) Expenses 177 ($9.6M) Net assets 186 ($10M)2023 Revenue 159 ($11M) Expenses 197 ($11M) Net assets 195 ($11M)2024 Revenue 154 ($11M) Expenses 206 ($11M) Net assets 189 ($10M)
'17'18'19'20'21'22'23'24
Revenue (154)Expenses (206)Net assets (189)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2018 to 2019, from $7.3M to $8.6M (+18%).

$7.7M
$7.3M
$8.6M
$9.6M
$11M
$11M
$12M
$12M
'17'18'19'20'21'22'23'24
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 51% · 2018 50% · 2019 48% · 2020 52% · 2021 51% · 2022 47% · 2023 51% · 2024 52%. Grants only. Government contracts and fees sit inside program revenue.

53% of REGIONAL EMERGENCY MEDICAL SERVICES AUTH’s revenue is contributions — more reliant on donations than three-quarters of its peers (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 8 reported years ran a deficit.

$1.6M
’17
$1.4M
’18
$1.2M
’19
$844k
’20
$603k
’21
$479k
’22
$461k
’23
−$322k
’24
4.8
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Wallace Patrick

Executive director

Board chair

Scott Meierhoffer

Board chair

As listed on its FY2024 Form 990.

'17'18'19'20'21'22'23'24
Listed888888813
Joined·+1+1+0+0+1+1+6
No longer listed·1100111
03Who funds it

Who funds it, year by year

2020 → 2023: the base held at 1 funder, grant income rose $5 → $48.

Funder
'20
'21
'22
'23
total
funders
1
1
1
1

1 of 1 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 100% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of REGIONAL EMERGENCY MEDICAL SERVICES AUTH’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

100% of REGIONAL EMERGENCY MEDICAL SERVICES AUTH's grant income arrives through donor-advised or pass-through sponsors, whose addresses record where the money is held rather than where the donor is. Too little is directly attributable to place on a map.

Funder states come from each funder’s own filing. $119 arriving through sponsors registered in 1 state is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

REGIONAL EMERGENCY MEDICAL SERVICES AUTH holds deeper cash reserves than three-quarters of the 4,580 health nonprofits its size.

Operating margin−3% · below the median
Months of reserve4.8mo · top quartile
Revenue growth (annualized)6% · below the median

this organization peer median middle 50% of peers· 4,580 health nonprofits $10M–$100M, FY2024

Organizations like REGIONAL EMERGENCY MEDICAL SERVICES AUTH

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Missouri

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

80% of spending goes to programs.

Program 80%Management 20%Fundraising 0%

Governance

7
board members
100%
independent
✓Conflict-of-interest policy–Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Public support

98%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

MO

Screen this organization

A dated, signed PDF of the compliance screen for REGIONAL EMERGENCY MEDICAL SERVICES AUTH: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds REGIONAL EMERGENCY MEDICAL SERVICES AUTH?
REGIONAL EMERGENCY MEDICAL SERVICES AUTH (Missouri) receives grants from 1 organization whose IRS filings report $119 to it, the largest being AMAZONSMILE FOUNDATION ($119). 1 of them have funded it in more than one year, and 100% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
How many funders does REGIONAL EMERGENCY MEDICAL SERVICES AUTH have?
IRS filings report 1 organization giving $119 in grants to REGIONAL EMERGENCY MEDICAL SERVICES AUTH, 1 of which have funded it in more than one year.
Who is the largest funder of REGIONAL EMERGENCY MEDICAL SERVICES AUTH?
AMAZONSMILE FOUNDATION is the largest funder on record, with $119 in grants. The full list of funders is on this page.
How can an organization like REGIONAL EMERGENCY MEDICAL SERVICES AUTH find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Missouri. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

Play a game about who funds Regional Emergency Medical Services Auth →

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 1 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing