2013-11-13T15:02:37-06:00 2012-12-31 550486667 Arnett Foster Toothman PLLC P O Box 2629 Charleston WV 25329 990 2012-01-01 550681969 Healthnet Inc HEAL 3043408000 110 Wyoming St No 101 Charleston WV 25302 Clinton Burley 3043408000 2013-11-11 1 Harry C Harless P01042847 3043460441 2012 2016-03-07 17:11:31Z Healthnet Aeromedical Services Clinton Burley 110 Wyoming St No 101 Charleston WV 25302 28208128 0 X www.healthnetaeromedical.com X 1987 WV To improve the quality and availability of health care in the State of West Virginia; to provide facilities, equipment and services to members in order to carry out such purposes and to reduce and control the cost thereof; and to provide emergency air transportation, treatment and care to patients. 7 0 0 0 0 0 1083271 13309 24159132 28186442 3032 6103 93209 2274 25338644 28208128 0 0 0 0 0 540228 0 0 0 25338644 27667900 25338644 28208128 0 0 24548919 21414647 24518919 21384647 30000 30000 X To improve the quality and availability of health care in the State of West Virginia; to provide facilities, equipment and services to members in order to carry out such purposes and to reduce and control the cost thereof; and to provide emergency air transportation, treatment and care to patients. 0 0 26610345 28186442 The organization provided 4,037 flights for patients requiring emergency air transportation, treatment and care. 26610345 1 1 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 0 1 0 0 0 1 28 0 1 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 1 1 1 1 1 0 0 1 0 1 1 1 1 0 X Brian Doughty 3043408000 110 Wyoming St Suite 101 Charleston WV 25302 David L Ramsey 1.00 40.00 X X 0 1378967 504531 Bruce McClymonds 1.00 40.00 X X 0 836318 124621 Larry Hudson 1.00 40.00 X X 0 688244 89086 Brent A Marsteller 1.00 40.00 X X 0 885334 64894 Todd Crocco 1.00 40.00 X 0 361281 0 Monte Ward 1.00 40.00 X 0 373968 120358 Clinton Burley 30.00 10.00 X X 89011 67873 40528 89011 4591985 944018 0 0 1 0 Air Methods Corp PO Box 172892 Denver CO 802172892 Aviation Services 8115107 EIN Management 113 Golf Mountain Road Cross Lanes WV 45648 Payroll 661834 The Gallaher Group PO Box 910 Ashland KY 411050910 Advertising/Marketing 138564 3 13309 13309 Patient revenue 621910 28186442 28186442 28186442 6103 6103 Provider tax refunds 900099 1362 1362 Internet sales 454111 912 912 2274 28208128 28186442 0 8377 X 89011 82237 6774 409940 378744 31196 41277 38136 3141 64007 64007 26070 26070 10348174 9560678 787496 206419 190711 15708 480818 444228 36590 13529 12499 1030 190024 175563 14461 70900 65505 5395 94264 87091 7173 464036 428723 35313 1370650 1266344 104306 455072 420441 34631 Payroll reimbursements 7794740 7201560 593180 Bad debts 6977439 6977439 Fuel 1091501 1091501 Reimbursements (from) M -2433195 -2248029 -185166 453452 436974 16478 28208128 26610345 1597783 0 400 200 4100556 3683950 5368827 3567476 573759 399263 19727336 6023393 14367028 13703943 138349 59815 24548919 21414647 570548 1163244 10248830 9196387 13699541 11025016 24518919 21384647 X 30000 30000 30000 30000 24548919 21414647 0 0 X 0 1 X 1 0 X X 0 0 0 Charleston Area Medical Center Inc 550526150 3 1 1 1 0 West Virginia University Hospitals Inc 550643304 3 1 1 1 0 Cabell Huntington Hospital 550675666 3 1 1 1 0 3 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 722140 9138 713002 73892 20525 53367 18856965 5980572 12876393 74339 13158 61181 13703943 Due to members 11025016 11025016 21229327 -6977439 -6977439 28206766 1362 1362 28208128 21229327 -1362 -1362 21230689 6977439 6977439 28208128 Part XI, Line 2d - Other Adjustments: Bad debts netted against revenue in the financial statements -6,977,439. Part XI, Line 4b - Other Adjustments: Provider tax refund netted against expenses in the financial statements 1,362. Part XII, Line 2d - Other Adjustments: Provider tax refund netted against expenses in the financial statements -1,362. Part XII, Line 4b - Other Adjustments: Bad debts netted against revenue in the financial statements 6,977,439. X X 0 0 0 0 0 0 0 0 0 David L Ramsey 0 632672 0 279762 0 466533 0 460678 0 43853 0 1883498 0 65766 Bruce McClymonds 0 610918 0 117789 0 107611 0 102410 0 22211 0 960939 0 83910 Larry Hudson 0 353370 0 166660 0 168214 0 70227 0 18859 0 777330 0 53078 Brent A Marsteller 0 524786 0 187360 0 173188 0 44651 0 20243 0 950228 0 0 Todd Crocco 0 326993 0 33748 0 540 0 0 0 0 0 361281 0 0 Monte Ward 0 308018 0 64774 0 1176 0 109350 0 11008 0 494326 0 0 Clinton Burley 82203 59138 0 8735 6808 0 0 27600 0 12928 89011 108401 0 0 A West Virginia Hospital Finance Authority 621256910 2009-11-12 11911409 To lease two new helicopters and have them outfitted with medical equipment 0 0 0 A 2715022 11911409 1406615 85549 10419245 2009 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 Part V Written procedures As of the year end, the organization had not established written procedures to ensure that violations of federal tax requirements are timely identified and corrected. Prior to filing the Form 990, the organization adopted those procedures. Form 990, Part VI, Section A, line 6 The Members are responsible for the day-to-day aeromedical transport operations, as well as administrative functions. Costs which the Members incur while performing these responsibilities are accumulated and charged to Healthnet and reported in the appropriate categories in Part IX, Statement of Functional Expenses. Payroll related costs are reported in Part IX as payroll reimbursements. 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. Payments received from Members for expenses in excess of revenues are reported on Part VIII, line 1d as contributions from related organizations. Reimbursements to Members for revenues in excess of expenses are reported on Part IX, line 21 as payments to affiliates. Form 990, Part VI, Section A, line 7a The Members each have a representative on the board of directors, which approves all significant decisions of the organization. Form 990, Part VI, Section A, line 7b See Part VI, Section A, line 7a answer above. Form 990, Part VI, Section B, line 11 The review of the Form 990 starts with the Director of Accounting 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 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. Other Fees Form 990, Part IX, line 11g Air Method Services: Program service expenses 7,497,547. Management and general expenses 617,560. Fundraising expenses 0. Total expenses 8,115,107. Outside Contract Sales: Program service expenses 1,600,341. Management and general expenses 131,817. Fundraising expenses 0. Total expenses 1,732,158. CCEMS: Program service expenses 167,816. Management and general expenses 13,823. Fundraising expenses 0. Total expenses 181,639. Contract Labor: Program service expenses 6,836. Management and general expenses 563. Fundraising expenses 0. Total expenses 7,399. Medical Director Services: Program service expenses 25,577. Management and general expenses 2,107. Fundraising expenses 0. Total expenses 27,684. Billing Services: Program service expenses 146,580. Management and general expenses 12,073. Fundraising expenses 0. Total expenses 158,653. EIN Services: Program service expenses 19,370. Management and general expenses 1,596. Fundraising expenses 0. Total expenses 20,966. Consulting: Program service expenses 74,108. Management and general expenses 6,104. Fundraising expenses 0. Total expenses 80,212. Purchased Services: Program service expenses 13,917. Management and general expenses 1,146. Fundraising expenses 0. Total expenses 15,063. Instructor Costs: Program service expenses 8,586. Management and general expenses 707. Fundraising expenses 0. Total expenses 9,293. 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 1 0 0 0