HEALTHNET AEROMEDICAL SERVICES INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHNET AEROMEDICAL SERVICES INC (EIN 55-0681969)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-23
- IRS object ID
- 202322969349300857
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-23T08:56:13-05:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550621482 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRAY GRIFFITH & MAYS AC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 707 VIRGINIA STREETEASTSUITE 400 | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 253012711 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550681969 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHNET AEROMEDICAL SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 3043408000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WYOMING ST | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25302 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CLINTON BURLEY | PersonNm |
| Person Title | PRESIDENT / CEO | PersonTitleTxt |
| Phone | 3043408000 | PhoneNum |
| Signature | 2023-10-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CLINTON | PersonFirstNm |
| Person Last | BURLEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | J RYAN LINDSAY | PreparerPersonNm |
| PTIN | P01835061 | PTIN |
| Phone | 3043459400 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CLINTON BURLEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WYOMING ST | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $43,655,968 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTHNETAEROMEDICAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THE STATE OF WEST VIRGINIA AND TO PROVIDE FACILITIES, EQUIPMENT AND SERVICES TO ITS MEMBERS IN ORDER TO CARRY OUT SUCH PURPOSES AND TO REDUCE AND CONTROL THE COST THEREOF. TO PROVIDE EMERGENCY AND NON-EMERGENCY AIR AND GROUND TRANSPORTATION, TREATMENT AND CARE TO PATIENTS WITHOUT DISTINCTION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 323 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $205,630 | PYContributionsGrantsAmt |
| CY Contributions Grants | $122,955 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,402,899 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $41,078,447 | CYProgramServiceRevenueAmt |
| PY Investment Income | $28,717 | PYInvestmentIncomeAmt |
| CY Investment Income | -$18,948 | CYInvestmentIncomeAmt |
| PY Other Revenue | $555,849 | PYOtherRevenueAmt |
| CY Other Revenue | $2,436,605 | CYOtherRevenueAmt |
| PY Total Revenue | $42,193,095 | PYTotalRevenueAmt |
| CY Total Revenue | $43,619,059 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,673,779 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,755,084 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,519,316 | PYOtherExpensesAmt |
| CY Other Expenses | $22,863,975 | CYOtherExpensesAmt |
| PY Total Expenses | $42,193,095 | PYTotalExpensesAmt |
| CY Total Expenses | $43,619,059 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $0 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $39,359,657 | TotalAssetsBOYAmt |
| Total Assets EOY | $43,065,312 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,329,657 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $43,035,312 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $30,000 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $30,000 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE QUALITY AND AVAILABILITY OF HEALTH CARE IN THE STATE OF WEST VIRGINIA AND TO PROVIDE FACILITIES, EQUIPMENT AND SERVICES TO ITS MEMBERS IN ORDER TO CARRY OUT SUCH PURPOSES AND TO REDUCE AND CONTROL THE COST THEREOF. TO PROVIDE EMERGENCY AND NON-EMERGENCY AIR AND GROUND TRANSPORTATION, TREATMENT AND CARE TO PATIENTS WITHOUT DISTINCTION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $37,918,521 | ExpenseAmt |
| Revenue | $41,603,062 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDED APPROXIMATELY 4,634 FLIGHTS AND 26,912 GROUND TRANSPORTS FOR PATIENTS REQUIRING EMERGENCY TRANSPORTATION TO RECEIVE APPROPRIATE TREATMENT AND CARE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,893,042 | ExpenseAmt |
| Revenue | $1,893,042 | RevenueAmt |
| Desc | TO PURCHASE AND DEPLOY MOBILE AMBULANCE SIMULATORS ACROSS WV TO ALLOW PARAMEDIC TRAINING PROGRAMS AND TO PURCHASE FULLY EQUIPPED LARGE MODULAR EMS TRAUMA BAGS TO BE DISTRIBURTED TO CURRENT EMT AND PARAMEDIC PERSONNEL AND CURRENT ENROLLEES IN THE TRAINING PROGRAM. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,893,042 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,893,042 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $39,811,563 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 323 | EmployeeCnt |
| Employment Tax Returns Filed | 0 | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHNET AEROMEDICAL SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3043408000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WYOMING ST | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25302 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CLINTON BURLEY | ||||||||
| PRESIDENT & CEO | 50.00 | Yes (X) | Yes (X) | $262,072 | $0 | $25,741 | ||
| DAVID RAMSEY | ||||||||
| CHAIRMAN/CAMC PRESIDENT & | 0.50 | Yes (X) | Yes (X) | $0 | $1,488,435 | $197,739 | 50.00 | |
| CHRIS GOODE | ||||||||
| WVUH VP EMERGENCY MEDICINE | 0.50 | Yes (X) | $0 | $475,024 | $33,530 | 40.00 | ||
| PAUL SMITH | ||||||||
| BOARD MEMBER/CHH PRESIDENT | 0.50 | Yes (X) | $0 | $445,127 | $144,055 | 40.00 | ||
| DAVID MONTE WARD | ||||||||
| SECRETARY/CHH SR. VICE PRE | 0.50 | Yes (X) | Yes (X) | $0 | $583,859 | $190,201 | 40.00 | |
| JUSTIN GIBSON | ||||||||
| TREASURER/WVUH VP FINANCE | 0.50 | Yes (X) | Yes (X) | $0 | $364,810 | $71,127 | 40.00 | |
| JEFF SANDENE | ||||||||
| VICE CHAIR/CAMC EXECUTIV | 0.50 | Yes (X) | Yes (X) | $0 | $787,964 | $243,075 | 50.00 | |
| BRIAN DOUGHTY | ||||||||
| VP BUSINESS OPERATIONS/CFO | 50.00 | Yes (X) | $172,575 | $0 | $12,427 | |||
| LESLIE PETERSON | ||||||||
| MEDICAL DIRECTOR | 45.00 | $182,467 | $0 | $15,995 | Yes (X) | |||
| MATTHEW HANDLEY | ||||||||
| VP OF CLINICAL OPERATIONS | 50.00 | $167,099 | $0 | $22,897 | Yes (X) | |||
| RONALD DUNCAN | ||||||||
| FLIGHT NURSE | 40.00 | $135,417 | $0 | $7,978 | Yes (X) | |||
| JOSHUA GILLESPIE | ||||||||
| FLIGHT NURSE | 40.00 | $115,127 | $0 | $27,207 | Yes (X) | |||
| RUSSELL HOLBERT | ||||||||
| FLIGHT NURSE | 40.00 | $135,624 | $0 | $9,833 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,170,381 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,145,219 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,001,805 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AIR METHODS CORP | |||||
| PO BOX 172892 | DENVER | CO | 802172892 | AVIATION SERVICES | $12,706,317 |
| QUICK MED CLAIMS LLC | |||||
| PO BOX 5023 | GREENSBURG | PA | 15601 | BILLING SERVICES | $1,242,802 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $75,325 | GovernmentGrantsAmt |
| All Other Contributions | $47,630 | AllOtherContributionsAmt |
| Total Contributions | $122,955 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT REVENUE | Desc |
| Business | 621910 | BusinessCd |
| Total Revenue Column | $41,078,447 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $41,078,447 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $41,078,447 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $17,961 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $36,909 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$18,948 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$18,948 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$18,948 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,436,605 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,436,605 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,436,605 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,619,059 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,496,104 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434,649 | TotalAmt |
| Management And General | $434,649 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,647,517 | TotalAmt |
| Program Services | $14,560,060 | ProgramServicesAmt |
| Management And General | $2,087,457 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,333,373 | TotalAmt |
| Program Services | $2,046,166 | ProgramServicesAmt |
| Management And General | $287,207 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,339,545 | TotalAmt |
| Program Services | $1,171,577 | ProgramServicesAmt |
| Management And General | $167,968 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,164 | TotalAmt |
| Program Services | $28,262 | ProgramServicesAmt |
| Management And General | $22,902 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,000 | TotalAmt |
| Management And General | $26,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,545,611 | TotalAmt |
| Program Services | $15,463,100 | ProgramServicesAmt |
| Management And General | $82,511 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,820 | TotalAmt |
| Program Services | $80,090 | ProgramServicesAmt |
| Management And General | $12,730 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,286 | TotalAmt |
| Program Services | $174,543 | ProgramServicesAmt |
| Management And General | $27,743 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,072 | TotalAmt |
| Program Services | $199,382 | ProgramServicesAmt |
| Management And General | $31,690 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666,828 | TotalAmt |
| Program Services | $575,376 | ProgramServicesAmt |
| Management And General | $91,452 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $371,251 | TotalAmt |
| Program Services | $320,336 | ProgramServicesAmt |
| Management And General | $50,915 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,639 | TotalAmt |
| Program Services | $52,323 | ProgramServicesAmt |
| Management And General | $8,316 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,744 | TotalAmt |
| Program Services | $310,725 | ProgramServicesAmt |
| Management And General | $49,019 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,012,204 | TotalAmt |
| Program Services | $3,924,040 | ProgramServicesAmt |
| Management And General | $88,164 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,700,457 | TotalAmt |
| Program Services | $1,467,248 | ProgramServicesAmt |
| Management And General | $233,209 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FUEL | $2,648,493 | $2,648,493 | |
| MEDICAL SUPPLIES | $2,482,892 | $2,482,892 | |
| OTHER | $769,725 | $664,161 | $105,564 |
| REIMBURSEMENT FROM MEMB | -$6,357,211 | -$6,357,211 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,619,059 | TotalAmt |
| Program Services | $39,811,563 | ProgramServicesAmt |
| Management And General | $3,807,496 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,786 | BOYAmt |
| EOY | $526,446 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,162 | BOYAmt |
| EOY | $337,019 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,918,252 | BOYAmt |
| EOY | $12,953,443 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,420 | BOYAmt |
| EOY | $403,862 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $551,441 | BOYAmt |
| EOY | $738,076 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $49,737,562 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,972,145 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,908,905 | BOYAmt |
| EOY | $26,765,417 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,691 | BOYAmt |
| EOY | $1,341,049 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,359,657 | BOYAmt |
| EOY | $43,065,312 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,864,294 | BOYAmt |
| EOY | $10,965,464 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,476,812 | BOYAmt |
| EOY | $12,845,758 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,771,918 | BOYAmt |
| EOY | $3,689,395 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,216,633 | BOYAmt |
| EOY | $15,534,695 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,329,657 | BOYAmt |
| EOY | $43,035,312 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,000 | BOYAmt |
| EOY | $30,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,000 | BOYAmt |
| EOY | $30,000 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,359,657 | BOYAmt |
| EOY | $43,065,312 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 3 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (3 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| CHARLESTON AREA MEDICAL CENTER INC | ||||
| 550526150 | 3 | Yes (1) | $0 | $0 |
| WEST VIRGINIA UNIVERSITY HOSPITAL | ||||
| 550643304 | 3 | Yes (1) | $0 | $0 |
| CABELL HUNTINGTON HOSPITAL | ||||
| 550675666 | 3 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 3 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (1) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | 0 | OperateBenefitNonSuprtOrgInd |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,092,069 | OtherCostOrOtherBasisAmt |
| Depreciation | $533,791 | DepreciationAmt |
| Book Value | $1,558,278 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,983 | OtherCostOrOtherBasisAmt |
| Depreciation | $86,461 | DepreciationAmt |
| Book Value | $13,522 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,404,817 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,351,893 | DepreciationAmt |
| Book Value | $25,052,924 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $140,693 | OtherCostOrOtherBasisAmt |
| Book Value | $140,693 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,765,417 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO MEMBERS | $14,326,041 |
| OPERATING LEASE LIABILITIES - CURRENT | $387,947 |
| OPERATING LEASE LIABILITIES - NONCURRENT | $820,707 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,534,695 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $49,976,270 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $49,976,270 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$6,357,211 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$6,357,211 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $43,619,059 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $49,976,270 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $49,976,270 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$6,357,211 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$6,357,211 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $43,619,059 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | REIMBURSEMENTS FROM MEMBERS -6,357,211. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | REIMBURSEMENTS FROM MEMBERS -6,357,211. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID RAMSEY | ||||||||||||||
| CHAIRMAN/CAMC PRESIDENT & | $0 | $962,282 | $0 | $312,916 | $0 | $213,237 | $0 | $155,200 | $0 | $42,539 | $0 | $1,686,174 | $0 | $0 |
| JEFF SANDENE | ||||||||||||||
| VICE CHAIR/CAMC EXECUTIV | $0 | $547,317 | $0 | $196,189 | $0 | $44,458 | $0 | $209,423 | $0 | $33,652 | $0 | $1,031,039 | $0 | $0 |
| DAVID MONTE WARD | ||||||||||||||
| SECRETARY/CHH SR. VICE PRE | $0 | $546,370 | $0 | $26,030 | $0 | $11,459 | $0 | $176,692 | $0 | $13,509 | $0 | $774,060 | $0 | $0 |
| PAUL SMITH | ||||||||||||||
| BOARD MEMBER/CHH PRESIDENT | $0 | $424,451 | $0 | $19,896 | $0 | $780 | $0 | $117,036 | $0 | $27,019 | $0 | $589,182 | $0 | $0 |
| CHRIS GOODE | ||||||||||||||
| WVUH VP EMERGENCY MEDICINE | $0 | $423,214 | $0 | $50,000 | $0 | $1,810 | $0 | $30,500 | $0 | $3,030 | $0 | $508,554 | $0 | $0 |
| JUSTIN GIBSON | ||||||||||||||
| TREASURER/WVUH VP FINANCE | $0 | $296,668 | $0 | $67,657 | $0 | $485 | $0 | $42,707 | $0 | $28,420 | $0 | $435,937 | $0 | $0 |
| CLINTON BURLEY | ||||||||||||||
| PRESIDENT & CEO | $228,008 | $0 | $34,064 | $0 | $0 | $0 | $10,483 | $0 | $15,258 | $0 | $287,813 | $0 | $0 | $0 |
| LESLIE PETERSON | ||||||||||||||
| MEDICAL DIRECTOR | $182,467 | $0 | $0 | $0 | $0 | $0 | $1,874 | $0 | $14,121 | $0 | $198,462 | $0 | $0 | $0 |
| MATTHEW HANDLEY | ||||||||||||||
| VP OF CLINICAL OPERATIONS | $156,060 | $0 | $11,039 | $0 | $0 | $0 | $5,013 | $0 | $17,884 | $0 | $189,996 | $0 | $0 | $0 |
| BRIAN DOUGHTY | ||||||||||||||
| VP BUSINESS OPERATIONS/CFO | $161,747 | $0 | $10,828 | $0 | $0 | $0 | $6,664 | $0 | $5,763 | $0 | $185,002 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| WEST VIRGINIA HOSPITAL FINANCE AUTHORITY | ||||||||
| A | 621256910 | NONEAVAIL | 2013-09-10 | $18,268,367 | TO LEASE TWO HELICOPTERS | 0 | 0 | 0 |
| WEST VIRGINIA HOSPITAL FINANCE AUTHORITY | ||||||||
| B | 621256910 | NONEAVAIL | 2020-03-05 | $7,344,437 | TO LEASE HELICOPTER | 0 | 0 | 0 |
| WEST VIRGINIA HOSPITAL FINANCE AUTHORITY | ||||||||
| C | 621256910 | NONEAVAIL | 2020-11-23 | $8,000,000 | TO LEASE HELICOPTER | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $17,457,846 | $18,268,367 | $93,617 | $9,676,946 | $8,497,804 | 2013 | 0 | 0 | Yes (1) | Yes (1) |
| B | $1,696,813 | $7,344,437 | $60,853 | $7,283,584 | 2020 | 0 | 0 | Yes (1) | Yes (1) | |
| C | $1,612,387 | $8,000,000 | $51,100 | $7,948,900 | 2021 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | EACH MEMBER IS REQUIRED TO SUPPORT HEALTHNET TO THE EXTENT EXPENSES EXCEED REVENUES, AND IF REVENUES EXCEED EXPENSES, SUCH EXCESS IS REIMBURSED TO THE MEMBERS. THE EXCESS REVENUES OR EXPENSES DUE TO (FROM) MEMBERS ARE REPORTED ON PART IX, LINE 21 AS PAYMENTS TO OR REIMBURSEMENTS (FROM) AFFILIATES. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS EACH HAVE TWO REPRESENTATIVES ON THE BOARD OF DIRECTORS, WHICH APPROVES ALL SIGNIFICANT DECISIONS OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE REVIEW OF THE FORM 990 STARTS WITH THE CFO REVIEWING THE ENTIRE RETURN WITH THE CEO. AFTER COMPLETION, BUT BEFORE FILING, THE CEO REQUESTS REVIEW FROM THE BOARD AND THE FINANCE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL LEADERS WITHIN THE ORGANIZATION ARE REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE STATEMENT THAT IS REVIEWED BY THE CEO AND CFO. |
| FORM 990, PART VI, SECTION B, LINE 15 | INITIALLY COMPARABILITY DATA IS USED. THEN A REVIEW BY THE CHAIRMAN OF THE BOARD AND THE TREASURER, WITH FINAL APPROVAL OF THE FINANCE COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | MEDICAL & SAFETY DIRECTOR SERVICES: PROGRAM SERVICE EXPENSES 53,264. MANAGEMENT AND GENERAL EXPENSES 2,896. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 56,160. BILLING SERVICES: PROGRAM SERVICE EXPENSES 1,167,076. MANAGEMENT AND GENERAL EXPENSES 63,449. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,230,525. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 94,928. MANAGEMENT AND GENERAL EXPENSES 5,161. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 100,089. AIR METHODS: PROGRAM SERVICE EXPENSES 13,945,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,945,400. GROUND SERVICES: PROGRAM SERVICE EXPENSES 78,052. MANAGEMENT AND GENERAL EXPENSES 4,243. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,295. OTHER: PROGRAM SERVICE EXPENSES 124,380. MANAGEMENT AND GENERAL EXPENSES 6,762. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 131,142. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHTEAM CRITICAL CARE TRANSPORT | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 WYOMING ST | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 25302 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 465195916 | EIN |
| Primary Activities | GROUND AMBULATORY SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | WV | LegalDomicileStateCd |
| Total Income | $1,810,533 | TotalIncomeAmt |
| End Of Year Assets | $5,297,472 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHNET AEROMEDICAL SERVICES INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| WEST VIRGINIA UNIVERSITY HOSPITALS | ||||||||||
| PO BOX 8034 | MORGANTOWN | WV | 265068034 | 550643304 | HEALTHCARE | WV | 501(C)(3) | 3 | N/A | 0 |
| CABELL HUNTINGTON HOSPITAL | ||||||||||
| 1340 HAL GREER BOULEVARD | HUNTINGTON | WV | 25701 | 550675666 | HEALTHCARE | WV | 501(C)(3) | 3 | N/A | 0 |
| CHARLESTON AREA MEDICAL CENTER INC | ||||||||||
| PO BOX 1547 | CHARLESTON | WV | 25326 | 550526150 | HEALTHCARE | WV | 501(C)(3) | 3 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments