2013-11-13T11:43:19-06:00 2012-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2012-01-01 621280261 MEMPHIS MEDICAL CENTER AIR AMBULANCE SERVICES INC MEMP 9015225321 1080 EASTMORELAND AVENUE MEMPHIS TN 38104 WILLIAM CONWAY 9015225321 2013-11-06 1 AMY BIBBY P00445891 8282542254 2012 2016-02-24 21:20:13Z WILLIAM CONWAY 1080 EASTMORELAND AVENUE MEMPHIS TN 38104 19537340 0 X WWW.HOSPITALWING.COM X 1987 TN PROVISION OF AIR AMBULANCE SERVICES 8 4 81 0 0 0 0 0 15141519 19527808 19135 9532 0 0 15160654 19537340 0 830 0 0 5313525 5784157 0 0 0 8644794 10360458 13958319 16145445 1202335 3391895 16290600 19991704 890724 1199933 15399876 18791771 X TO ESTABLISH, MAINTAIN, CONDUCT, MANAGE, OWN AND OPERATE AN AIR AMBULANCE SERVICE FOR THE TRANSPORTATION AND CARE OF THE SICK, INJURED, DISABLED OR DISEASED OR OTHER PERSONS IN NEED OF SUCH SERVICES. 0 0 15523044 830 19527808 MEMPHIS MEDICAL CENTER AIR AMBULANCE SERVICES, INC., THE "WING", IS A NON-PROFIT AIR MEDICAL TRANSPORT WHICH PROVIDES INTER-HOSPITAL TRANSFERS AS WELL AS EMERGENCY SCENE CALLS WITHIN 150 MILE RADIUS OF MEMPHIS. THIS AREA INCLUDES WEST TENNESSEE, ARKANSAS, MISSISSIPPI, MISSOURI, ALABAMA, AND KENTUCKY.HOSPITAL WING OWNS 6 HELICOPTERS EQUIPPED TO TRANSPORT CRITICALLY ILL AND INJURED PATIENTS. THREE HELICOPTERS ARE STAFFED 24 HOURS A DAY, SEVEN DAYS A WEEK AND ONE HELICOPTER IS AVAILABLE FOR PEDIFLITE.IN 2012, THE WING TRANSPORTED AN AVERAGE OF 196 PATIENTS PER MONTH WITH 36% OF THESE BEING TRAUMA RELATED. SCENE FLIGHTS ACCOUNT FOR APPROXIMATELY 41% OF THESE TRANSPORTS. DURING 2012, 2,352 PATIENTS WERE TRANSPORTED.IN CONJUNCTION WITH THEIR MISSION AND CHARITABLE EFFORTS, THE WING ANNUALLY PROVIDES CHARITY CARE TO PATIENTS WHO HAVE DEMONSTRATED AN INABILITY TO PAY. IN 2012, THE HOSPITAL WING'S PROVISION FOR BAD DEBT WAS OVER $9 MILLION WITH A SIGNIFICANT PORTION ATTRIBUTABLE TO CHARITY CARE AT APPROXIMATELY $3.9 MILLION. 15523044 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 19 0 1 81 1 0 0 0 0 0 0 0 0 0 0 X 8 4 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 1 1 0 X X SUE WAUGH 9015160656 1211 UNION SUITE 600 MEMPHIS TN 38104 X ROBERT GORDON 2.00 40.00 X X 0 0 0 DR REGINALD COOPWOOD 2.00 40.00 X X 0 0 0 JAMIE CARTER 2.00 40.00 X X 0 0 0 JOE HOLLY MD 2.00 X 0 0 0 JASON LITTLE 2.00 X 0 0 0 MERI ARMOUR 2.00 50.00 X 0 633060 116589 TIM FABIAN MD 2.00 X 0 0 0 ROBERT SUMTER 2.00 X 0 0 0 ALLEN BURNETT 50.00 X 134412 0 33647 WILLIAM CONWAY 50.00 X 72595 0 943 RITA MCCOY 40.00 X 108440 0 18728 JOHN WREN 40.00 X 106673 0 12734 422120 633060 182641 3 0 1 0 LINKOUS CONSTRUCTION COMPANY INC 1661 AARON BRENNER DR STE 207 MEMPHIS TN 38120 CONSTRUCTION 1249302 AEROMEDICAL COLLECTION SERVICES 401 MARKET ST STE 200 SHREVEPORT LA 71101 COLLECTIONS & BILLING 366988 METHODIST HEALTHCARE-MEMPHIS HOSPITALS 1211 UNION AVE STE 600 MEMPHIS TN 38104 PEDIATRIC FLIGHTS 303691 METHODIST LE BONHEUR HEALTHCARE 1211 UNION AVE STE 600 MEMPHIS TN 38104 ACCOUNTING AND FINANCE 165971 4 PATIENT FLIGHT REVENUE 621990 19527808 19527808 19527808 9532 9532 19537340 19527808 0 9532 830 830 241597 241597 4685775 4488832 196943 172155 156833 15322 319785 291324 28461 364845 332374 32471 9208 9208 67884 67884 1320021 1320021 107191 107191 1069467 1038952 30515 691389 691389 64550 64550 42277 42277 551784 551784 973969 973969 BAD DEBT EXPENSE 5323278 5323278 MEDICAL SUPPLIES 139440 139440 16145445 15523044 622401 0 613341 824910 6204252 4524422 1681939 2112790 369110 459223 18083968 6013609 7324869 12070359 97089 0 16290600 19991704 890724 1199933 890724 1199933 X 15399876 18791771 15399876 18791771 16290600 19991704 3391895 0 X X 0 1 X 1 0 X X X 0 0 0 SHELBY COUNTY HEALTH CARE CORPORATION 621113169 3 0 0 BAPTIST MEMORIAL HOSPITAL 620123940 3 0 0 METHODIST HEALTHCARE-MEMPHIS HOSPITALS 620479367 3 0 0 3 0 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART I, LINE 11(H) REASON FOR PUBLIC CHARITY STATUS: THE ORGANIZATION WAS ESTABLISHED BY THE SUPPORTED ORGANIZATIONS TO PROVIDE AIR AMBULANCE SERVICES AS REQUIRED BY THE SUPPORTED ORGANIZATIONS TO FULFILL THEIR EXEMPT PURPOSES IN PROVIDING MEDICAL CARE. MEMPHIS MEDICAL CENTER AIR AMBULANCE SERVICE DOES NOT PROVIDE CASH OR NONCASH DIRECT SUPPORT TO THE SUPPORTED ORGANIZATIONS; HOWEVER, IT PERFORMS A VALUABLE RELATED SERVICE THAT WOULD OTHERWISE HAVE TO BE PERFORMED BY THE SUPPORTED ORGANIZATIONS. 1420113 17752 1402361 4900 82 4818 14142821 5995775 8147046 2516134 2516134 12070359 X 14214062 -5323278 -5323278 19537340 0 19537340 10822167 0 10822167 5323278 5323278 16145445 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS SIMILARLY EXEMPT FROM TENENESSEE STATE INCOME TAXES UNDER PROVISIONS OF THE TENNESSEE TAX REGULATIONS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE COMPANY HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2012 OR 2011, AND THERE ARE NO INTEREST AND PENALTIES RELATED TO INCOME TAX ASSESMENTS. TAX RETURNS FOR 2009 AND LATER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT -5,323,278. PART XII, LINE 4B - OTHER ADJUSTMENTS: PROVISION FOR BAD DEBT 5,323,278. 0 1 0 0 0 0 0 0 0 MERI ARMOUR 0 388128 0 105094 0 139838 0 97480 0 19109 0 749649 0 100539 ALLEN BURNETT 92125 0 6000 0 36287 0 22500 0 11147 0 168059 0 0 0 PART I, LINE 4B THE PURPOSE OF THE METHODIST LE BONHEUR HEALTHCARE CONSOLIDATED EXECUTIVE DEFERRED COMPENSATION PLAN IS TO PROVIDE RETIREMENT BENEFITS FOR CERTAIN EXECUTIVE LEVEL EMPLOYEES IN ADDITION TO THE BENEFITS PROVIDED THROUGH THE OTHER RETIREMENT PLANS THAT ARE SPONSORED BY THE COMPANY. IT IS INTENDED THAT THIS PLAN COMPLY WITH INTERNAL REVENUE CODE SECTION 457(F) AND QUALIFY FOR THE SHORT TERM DEFERRAL EXCEPTION TO CODE SECTION 409A. UNDER THE PLAN, CORPORATE EXECUTIVES AT OR ABOVE THE VICE PRESIDENT LEVEL ARE ELIGIBLE TO RECEIVE EXECUTIVE DEFERRED COMPENSATION CREDITS DEPENDING ON THEIR POSITION CLASSIFICATION [6%,8%,10%,12% OF BASE SALARY]. EACH PLAN YEAR, THE EXECUTIVE MUST ELECT A DEFERRED VESTING DATE TO BE APPLIED TO THE DEFERRED COMPENSATION CREDIT THAT WILL BE EARNED IN THAT PLAN YEAR. THE DEFERRED VESTING DATE IS SUBJECT TO A VESTING SCHEDULE THAT REQUIRES A MINIMUM DEFERRAL OF 5 YEARS TO BECOME VESTED. UPON REACHING AGE 55, THE MINIMUM DEFERRAL IS REDUCED TO 3 YRS. UPON REACHING AGE 60, THE MINIMUM DEFERRAL IS REDUCED TO 2 YRS. AT AGE 64, A CASH EQUIVALENT IS PROVIDED TO THE EXECUTIVE AND NO ADDITIONAL DEFERRALS ARE MADE UNDER THIS PLAN. THE PLAN IS UNFUNDED WITH ALL BENEFITS PAID FROM THE COMPANY'S GENERAL ASSETS. HOWEVER, THE EXECUTIVE IS ALLOWED TO DIRECT THE INVESTMENTS OF HIS DEFERRED COMPENSATION CREDIT IN A MENU OF INVESTMENT ALTERNATIVES MADE AVAILABLE BY THE COMPANY. UPON VESTING, A DISTRIBUTION IS PROVIDED LESS APPLICABLE TAX. IN THE CASE OF A VOLUNTARY TERMINATION OF EMPLOYMENT BY THE EXECUTIVE OR INVOLUNTARY TERMINATION OF EMPLOYMENT FOR CAUSE BY THE COMPANY, THE NON-VESTED FUNDS ARE FORFEITED. ACCELERATED VESTING (100%) IS ALLOWED UPON DEATH, DISABILITY OR AN INVOLUNTARY TERMINATION BY THE COMPANY WITHOUT CAUSE. ALLOCATIONS TO THE PLAN FROM RELATED ORGANIZATIONS FOR 2012 INCLUDE THE FOLLOWING: MERI ARMOUR - $ 47,900 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS DESIGNATES AND APPOINTS AN EXECUTIVE COMMITTEE, WHICH IS COMPROSED OF THREE MEMBERS, ONE FROM METHODIST, ONE FROM BAPTIST, AND ONE FROM THE MED. THIS COMMITTEE HAS THE POWER TO ACT WITHIN THE POLICY ESTABLISHED BY THE BOARD WHEN THE BOARD IS NOT IN SESSION AND IT SHALL PERFORM SUCH FUNCTIONS AND DUTIES THAT MAY BE DELEGATED TO IT BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 7A THE FOLLOWING INSTITUTIONS SHALL HAVE THE RIGHT TO ELECT, BY ACTION OF ITS GOVERNING BODY, THE FOLLOWING NUMBER OF MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION: - BAPTIST MEMORIAL HEALTHCARE: 3 - METHODIST HEALTHCARE-MEMPHIS HOSPITALS: 3 - SHELBY CO. HEALTHCARE CORPORATION: 3 - CRITTENDEN MEMORIAL HOSPITAL: 1 - ST. FRANCIS HOSPITAL: 1 ON OR BEFORE DECEMBER 1ST OF EACH CALENDAR YEAR, EACH INSTITUTION SHALL NOTIFY THE ORGANIZATION BY WRITING ADDRESSED TO THE BOARD OF DIRECTORS OF THE ORGANIZATION OF THE PERSONS ELECTED BY SUCH INSTITUTION FOR A TERM TO COMMENCE ON THE NEXT FOLLOWING JANUARY 1ST. EACH MEMBER OF THE BOARD OF DIRECTORS SHALL SERVE FOR A TERM ONE YEAR AND UNTIL HIS OR HER SUCCESSOR IS DULY ELECTED AND QUALIFIED. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. UPON COMPLETION, THE RETURN WAS PROVIDED TO EACH VOTING BOARD MEMBER PRIOR TO A SCHEDULED MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS USES COMPARABILITY DATA FROM ORGANIZATIONS SIMILAR TO THE FILING ORGANIZATION TO DETERMINE APPROPRIATE COMPENSATION FOR THE EXECUTIVE DIRECTOR/CEO. THE BOARD UTILIZES RESOURCES FROM ITS MEMBER ORGANIZATIONS TO GATHER AMPLE DATA FOR THE DECISION. FORM 990, PART VI, SECTION C, LINE 18 PHOTOCOPIES OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. PLEASE SEE FORM 990, LINE 20. IN ADDITION, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE ON THE ORGANIZATION'S HOMEPAGE. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE ORGANIZATION'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. PLEASE SEE FORM 990, LINE 20. GOVERNING DOCUMENTS AND A CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART VII, LINE 1, NON-VOTING MEMBERS: THE FOLLOWING PERSON HELD AN ADVISORY, NON-VOTING POSITION ON THE GOVERNING BODY DURING THE TAX YEAR: DAVE ARCHER FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SHELBY COUNTY HEALTH CARE CORPORATION 877 JEFFERSON AVE MEMPHIS TN 38103 621113169 HEALTHCARE TN 501(C)(3) LINE 7 N/A 0 BAPTIST MEMORIAL HOSPITAL 350 N HUMPHREYS BLVD MEMPHIS TN 38120 620123940 HEALTHCARE TN 501(C)(3) LINE 3 N/A 0 METHODIST HEALTHCARE-MEMPHIS HOSPITALS 1265 UNION AVE MEMPHIS TN 38104 620479367 HEALTHCARE TN 501(C)(3) LINE 3 METHODIST LE BONHEUR HEALTHCARE 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0