Cypress Creek Emergency Medical Services officials confirmed Nov. 19 that the emergency medical services provider has filed for bankruptcy in an effort to reorganize the nonprofit’s debt.

CCEMS, which was first formed more than 45 years ago, had previously provided emergency medical services for approximately 177 square miles in north Harris County in areas including Cypress, Tomball, Spring and Humble, though a fractured relationship with Emergency Services District No. 11 ultimately led the district to form its own EMS provider—ESD 11 Mobile Healthcare—forcing CCEMS to pursue other ventures.

CCEMS spokesperson Miranda Sevcik said officials believe the move is the best option for the EMS provider.

“CCEMS intends to get on the other side of this,” Sevcik said in a statement. “The best option we have is through the protection of the federal bankruptcy court reorganization filing. CCEMS has engaged seasoned insolvency professionals who are guiding CCEMS through this process and who will lead CCEMS to a secure future.”

Sevcik said it remained unclear how the bankruptcy filing would affect CCEMS employees, adding that the next step in the process will be securing a chief restructuring officer through the bankruptcy court. After the officer is approved, that individual will make recommendations concerning CCEMS’ next steps moving forward.

In June, CCEMS signed an agreement with American Jet International, an on-demand aircraft charter company that provides medical flights and organ transports across the U.S. and abroad. Per the agreement, CCEMS provides the medical flight crew and equipment necessary to assist AJI with all medical transport needs out of its Houston headquarters at Hobby Airport.

CCEMS also partnered with CHI St. Luke’s Health The Vintage Hospital, The Woodlands Hospital and associated free-standing emergency rooms in October to provide critical care medical transport services. Additionally, the EMS provider offers medical services at events and training services for prospective emergency medical technicians.