2022-11-09T15:36:49-06:00 2021-12-31 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2021-01-01 550681969 HEALTHNET AEROMEDICAL SERVICES INC HEAL 3043408000 110 WYOMING ST CHARLESTON WV 25302 CLINTON BURLEY PRESIDENT / CEO 3043408000 2022-11-07 1 CLINTON BURLEY 999009999 J RYAN LINDSAY P01835061 3043459400 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z CLINTON BURLEY 110 WYOMING ST CHARLESTON WV 25302 42196186 0 X WWW.HEALTHNETAEROMEDICAL.COM X 1987 WV 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. 7 0 356 6 0 0 4524250 205630 32952729 41402899 27218 28717 72730 555849 37576927 42193095 0 0 0 0 19276099 18673779 0 0 0 18300828 23519316 37576927 42193095 0 0 38941869 39359657 38911869 39329657 30000 30000 X 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. 0 0 38662141 41987465 THE ORGANIZATION PROVIDED APPROXIMATELY 4,965 FLIGHTS AND 24,045 GROUND TRANSPORTS FOR PATIENTS REQUIRING EMERGENCY TRANSPORTATION TO RECEIVE APPROPRIATE TREATMENT AND CARE. 38662141 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 37 0 1 356 0 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X HEALTHNET AEROMEDICAL SERVICES INC 3043408000 110 WYOMING ST CHARLESTON WV 25302 CLINTON BURLEY PRESIDENT & CEO 50.00 X X 250394 0 29033 DAVID RAMSEY CHAIRMAN/CAMC PRESIDENT & 0.50 50.00 X X 0 1480251 200275 CHRIS GOODE WVUH VP EMERGENCY MEDICINE 0.50 40.00 X 0 460291 32040 PAUL SMITH BOARD MEMBER/CHH PRESIDENT 0.50 40.00 X X 0 496108 35424 DAVID MONTE WARD SECRETARY/CHH SR. VICE PRE 0.50 40.00 X X 0 528995 21436 JUSTIN GIBSON TREASURER/WVUH VP FINANCE 0.50 40.00 X X 0 335161 66396 JEFF SANDENE VICE CHAIR/CAMC EXECUTIV 0.50 50.00 X X 0 825339 250177 BRIAN DOUGHTY VP BUSINESS OPERATIONS/CFO 50.00 X 169423 0 10714 LESLIE PETERSON MEDICAL DIRECTOR 45.00 X 155022 0 8006 MATTHEW HANDLEY VP OF CLINICAL OPERATIONS 50.00 X 162839 0 28529 RONALD DOTSON FLIGHT NURSE 40.00 X 123993 0 13035 JOSHUA GILLESPIE FLIGHT NURSE 40.00 X 116269 0 27259 CLIFFORD FORDYCE III FLIGHT TEAM LEADER 40.00 X 124906 0 21479 GLEN CROTTY JR CAMC EXECUTIYE VICE PRESIDENT 0.50 50.00 X 0 1071946 55397 MICHAEL MULLINS CHH PRESIDENT 0.50 40.00 X 0 1291316 10000 1102846 6489407 809200 7 1 1 0 AIR METHODS CORP PO BOX 172892 DENVER CO 802172892 AVIATION SERVICES 13676380 QUICK MED CLAIMS LLC PO BOX 5023 GREENSBURG PA 15601 BILLING SERVICES 1232408 2 168130 37500 205630 PATIENT REVENUE 621910 41402899 41402899 41402899 31808 3091 28717 28717 28717 555849 555849 555849 42193095 41987465 0 0 X 419816 419816 15022666 13175173 1847493 1972435 1708979 263456 1258862 1104047 154815 59661 9926 49735 25400 25400 15475767 15359634 116133 60262 51490 8772 238560 203833 34727 221185 188987 32198 626367 535188 91179 322855 275857 46998 20236 17290 2946 387797 324924 62873 3575029 3493231 81798 1504758 1285712 219046 FUEL 1873845 1873845 MEDICAL SUPPLIES 559884 559884 OTHER 505392 431823 73569 REIMBURSEMENT FROM MEMB -1937682 -1937682 42193095 38662141 3530954 0 2064785 334786 199493 291162 8656431 11918252 172776 202420 596143 551441 45538705 19629800 27176027 25908905 76214 152691 38941869 39359657 5325181 5864294 10065041 15476812 12348671 3771918 11172976 14216633 38911869 39329657 X 30000 30000 30000 30000 38941869 39359657 0 0 X X 0 1 X 1 0 X X 3 CHARLESTON AREA MEDICAL CENTER INC 550526150 3 1 0 0 WEST VIRGINIA UNIVERSITY HOSPITAL 550643304 3 1 0 0 CABELL HUNTINGTON HOSPITAL 550675666 3 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2095567 465039 1630528 99983 83852 16131 42980300 19080909 23899391 362855 362855 25908905 DUE TO MEMBERS 14216633 14216633 44130777 0 44130777 -1937682 -1937682 42193095 44130777 0 44130777 -1937682 -1937682 42193095 PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENTS FROM MEMBERS -1,937,682. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENTS FROM MEMBERS -1,937,682. X 0 0 0 0 0 0 0 0 0 DAVID RAMSEY CHAIRMAN/CAMC PRESIDENT & 0 934684 0 361608 0 183959 0 154600 0 45675 0 1680526 0 0 MICHAEL MULLINS CHH PRESIDENT 0 1286701 0 0 0 4615 0 0 0 10000 0 1301316 0 0 GLEN CROTTY JR CAMC EXECUTIYE VICE PRESIDENT 0 664888 0 200903 0 206155 0 11600 0 43797 0 1127343 0 0 JEFF SANDENE VICE CHAIR/CAMC EXECUTIV 0 528768 0 182283 0 114288 0 203872 0 46305 0 1075516 0 49708 DAVID MONTE WARD SECRETARY/CHH SR. VICE PRE 0 493764 0 21296 0 13935 0 8928 0 12508 0 550431 0 0 PAUL SMITH BOARD MEMBER/CHH PRESIDENT 0 345952 0 146859 0 3297 0 0 0 35424 0 531532 0 0 CHRIS GOODE WVUH VP EMERGENCY MEDICINE 0 409481 0 50000 0 810 0 29000 0 3040 0 492331 0 0 JUSTIN GIBSON TREASURER/WVUH VP FINANCE 0 280427 0 48998 0 5736 0 38125 0 28271 0 401557 0 0 CLINTON BURLEY PRESIDENT & CEO 225545 0 24849 0 0 0 10016 0 19017 0 279427 0 0 0 MATTHEW HANDLEY VP OF CLINICAL OPERATIONS 148648 0 14191 0 0 0 4678 0 23851 0 191368 0 0 0 BRIAN DOUGHTY VP BUSINESS OPERATIONS/CFO 154107 0 15316 0 0 0 4852 0 5862 0 180137 0 0 0 LESLIE PETERSON MEDICAL DIRECTOR 146097 0 8925 0 0 0 0 0 8006 0 163028 0 0 0 A WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 NONEAVAIL 2013-09-10 18268367 TO LEASE TWO HELICOPTERS 0 0 0 B WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 NONEAVAIL 2020-03-05 7344437 TO LEASE HELICOPTER 0 0 0 C WEST VIRGINIA HOSPITAL FINANCE AUTHORITY 621256910 NONEAVAIL 2020-11-23 8000000 TO LEASE HELICOPTER 0 0 0 A 16398569 18268367 93617 9676946 8497804 2013 0 0 1 1 B 932628 7344437 60853 7283584 2020 0 0 1 1 C 804795 8000000 51100 7948900 2021 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 0 1 A 1 B 1 C 1 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 45,819. MANAGEMENT AND GENERAL EXPENSES 3,456. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,275. BILLING SERVICES: PROGRAM SERVICE EXPENSES 1,151,949. MANAGEMENT AND GENERAL EXPENSES 86,884. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,238,833. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 84,440. MANAGEMENT AND GENERAL EXPENSES 6,369. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,809. AIR METHODS: PROGRAM SERVICE EXPENSES 13,819,903. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,819,903. GROUND SERVICES: PROGRAM SERVICE EXPENSES 89,486. MANAGEMENT AND GENERAL EXPENSES 6,749. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 96,235. OTHER: PROGRAM SERVICE EXPENSES 168,037. MANAGEMENT AND GENERAL EXPENSES 12,675. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,712. FORM 990, PART XII, LINE 2C THE BOARD OF DIRECTORS OF THE ORGANIZATION ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW. THIS PROCESS DID NOT CHANGE DURING THE TAX YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. HEALTHTEAM CRITICAL CARE TRANSPORT 101 WYOMING ST CHARLESTON WV 25302 465195916 GROUND AMBULATORY SERVICES WV 1511291 4113874 HEALTHNET AEROMEDICAL SERVICES INC 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0