2025-02-28T07:59:44-06:00 2024-06-30 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2023-07-01 550725494 MONONGALIA EMERGENCY MEDICAL SERVICES INC MONO 3042852715 801 JD ANDERSON DRIVE MORGANTOWN WV 26505 FOREST WEYEN EXECUTIVE DIRECTOR 3042852715 2025-02-18 1 1 J RYAN LINDSAY P01835061 3043459400 2023 2025-03-06 01:10:19Z MONEMS FOREST WEYEN 801 JD ANDERSON DRIVE MORGANTOWN WV 26505 14219634 0 X HTTPS://MONEMS.ORG/ X 1983 WV TO SET AND CARRY OUT EMERGENCY MEDICAL SERVICES PLANNING, DEVELOPMENT AND IMPLEMENTATION IN MONONGALIA COUNTY, WEST VIRGINIA, AND THE SURROUNDING SERVICE AREA; TO PROVIDE, MAINTAIN AND OPERATE EMERGENCY AMBULANCE, RESUCE AND TRANSPORTION SYSTEM; AND TO COORDINATE ITS ACTIVITES WITH OTHER HEALTH CARE SYSTEM COMPONENTS INCLUDING REGIONAL, STATE, AND INTERSTATE EMERGENCY MEDICAL SERVICES SYSTEMS. 7 7 180 7 0 0 5266554 6870575 6875048 7154627 -48585 -42382 131802 171047 12224819 14153867 0 0 0 0 8812548 8973512 0 0 0 3658258 3884081 12470806 12857593 -245987 1296274 5083720 7368778 1810812 2799596 3272908 4569182 X TO SET AND CARRY OUT EMERGENCY MEDICAL SERVICES PLANNING, DEVELOPMENT AND IMPLEMENTATION IN MONONGALIA COUNTY, WEST VIRGINIA, AND THE SURROUNDING SERVICE AREA; TO PROVIDE, MAINTAIN AND OPERATE EMERGENCY AMBULANCE, RESUCE AND TRANSPORTION SYSTEM; AND TO COORDINATE ITS ACTIVITES WITH OTHER HEALTH CARE SYSTEM COMPONENTS INCLUDING REGIONAL, STATE, AND INTERSTATE EMERGENCY MEDICAL SERVICES SYSTEMS. 0 0 10085559 7259907 TO SET AND CARRY OUT EMERGENCY MEDICAL SERVICES PLANNING, DEVELOPMENT AND IMPLEMENTATION IN MONONGALIA COUNTY, WEST VIRGINIA, AND THE SURROUNDING SERVICE AREA; TO PROVIDE, MAINTAIN AND OPERATE EMERGENCY AMBULANCE, RESUCE AND TRANSPORTION SYSTEM; AND TO COORDINATE ITS ACTIVITES WITH OTHER HEALTH CARE SYSTEM COMPONENTS INCLUDING REGIONAL, STATE, AND INTERSTATE EMERGENCY MEDICAL SERVICES SYSTEMS. 10085559 1 1 0 0 0 0 0 0 0 0 1 0 0 1 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 52 0 1 180 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 X THE ORGANIZATION 3042852715 801 JD ANDERSON DRIVE MORGANTOWN WV 26505 CHRIS GOODE MD VICE CHAIR 2.00 45.00 X X 0 498229 45315 CHRIS EDWARDS DO CHAIR 2.00 45.00 X X 0 121154 0 MICHAEL GRACE DIRECTOR 2.00 45.00 X 0 1001506 175549 KARA BROWN SECRETARY 2.00 X X 0 0 0 JIMMY SMITH DIRECTOR 2.00 X 0 0 0 RANDY WILLIAMS DIRECTOR 2.00 X 0 0 0 DAVID GOLDBERG DIRECTOR 2.00 45.00 X 0 853663 36373 FOREST WEYEN CEO 45.00 X 162192 0 30415 JOSH SILVER FTO PARAMEDIC 45.00 X 136531 0 31904 PATRICK CLARK CAPTAIN 45.00 X 115974 0 42851 ROY NAKKULA DIRECTOR OF OPERATIONS 45.00 X 109328 0 34796 JAMIE CHAMBERS DIRECTOR OF CLINICAL SERVICES 45.00 X 112055 0 24217 JOHN HITCHENS DIRECTOR OF ADMINISTRATION 45.00 X 108807 0 31703 744887 2474552 453123 7 0 1 0 EMS MANANGEMENT PO BOX 863 LEWISVILLE NC 27023 BILLING SERVICE 370488 SUMMERS TOWING & REPAIRS INC 3 ACKERMAN RD MORGANTOWN WV 26508 MAINTENANCE 161817 LIFE-ASSIST INC 11277 SUNRISE PARK DR RANCHO CORDOVA CA 95742 EQUIPMENT VENDOR 126757 STRYKER SALES LLC 21343 NETWORK PLACE CHICAGO IL 60673 EQUIPMENT VENDOR 121996 4 1805001 5065574 6870575 PATIENT SERVICE REVENUE 621910 7130177 7130177 OTHER REVENUE 900099 24450 24450 7154627 23385 23385 65767 -65767 -65767 -65767 MISC REVENUE 900099 171047 171047 171047 14153867 7259907 0 23385 192607 192607 6488393 5463717 1024676 185764 151630 34134 1590996 1298651 292345 515752 420983 94769 72791 72791 19155 19155 503708 502576 1132 166281 166281 548839 470472 78367 89967 89967 801077 772861 28216 420694 420694 OTHER 384334 217205 167129 REPAIRS AND MAINTENANCE 328108 320530 7578 FUEL 241096 241096 MEDICAL SUPPLIES 225838 225838 82193 82193 12857593 10085559 2772034 0 337946 2299906 30380 1329497 1136458 114091 112893 245020 227643 7034889 3885890 2563551 3148999 493615 412499 5083720 7368778 510161 630172 897565 1870510 403086 298914 1810812 2799596 X 3272908 4569182 3272908 4569182 5083720 7368778 1296274 0 X 0 1 X 0 0 X 3853629 4037226 3527201 5266554 1805901 18490511 5769646 6469385 6177762 6860439 7130177 32407409 5064674 5064674 9623275 10506611 9704963 12126993 14000752 55962594 0 0 0 55962594 2497 615 587 2884 23385 29968 2497 615 587 2884 23385 29968 9625772 10507226 9705550 12129877 14024137 55992562 0.99950 0.99980 0.00050 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 31970 21488 10482 127012 73616 53396 3341618 2163122 1178496 3534289 1627664 1906625 3148999 OPERATING RIGHT - OF - USE ASSET 298914 LOAN PROCEEDS HELD IN ESCROW 113585 412499 OPERATING LEASE LIABILITY 298914 298914 X 14153867 0 14153867 0 14153867 12857593 0 12857593 0 12857593 PART X, LINE 2: THE ORGANIZATION FOLLOWS THE FASB'S AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS EXIST. 0 0 0 0 0 0 0 0 0 MICHAEL GRACE DIRECTOR 0 769316 0 231540 0 650 0 128070 0 47479 0 1177055 0 0 DAVID GOLDBERG DIRECTOR 0 714488 0 139175 0 0 0 30000 0 6373 0 890036 0 0 CHRIS GOODE MD VICE CHAIR 0 439154 0 58599 0 476 0 0 0 0 0 498229 0 0 FOREST WEYEN CEO 161867 0 0 0 325 0 7014 0 23401 0 192607 0 0 0 JOSH SILVER FTO PARAMEDIC 134461 0 1745 0 325 0 3291 0 28613 0 168435 0 0 0 PATRICK CLARK CAPTAIN 114924 0 1050 0 0 0 3589 0 39262 0 158825 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE GOVERNING BODY IS PROVIDED A COPY, PRIOR TO SUBMISSION, FOR THEIR REVIEW AND TO ANSWER QUESTIONS OR REVISE IF CHANGES ARE MADE. BASED ON MEMBER'S REVISIONS, MANAGEMENT REDISTRIBUTES A FINAL VERSION FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, A CONFLICT OF INTEREST QUESTIONNAIRE IS SENT OUT TO ALL BOARD MEMBERS. THE BOARD MEMBERS REVIEW ALL RESPONSES FOR POSSIBLE CONFLICTS OF INTEREST. THE BOARD DETERMINES WHAT TYPES OF DECISIONS THAT MEMBER IS PROHIBITED FROM PARTICIPATING IN. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTORS SALARY IS APPROVED BY THE BOARD OF DIRECTORS FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE UPON REQUEST FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST MONONGALIA HEALTH SYSTEM INC 1200 JD ANDERSON DRIVE MORGANTOWN WV 26505 HOSPITAL WV 501(C)(3) LINE 3 MONONGALIA HEALTH SYSTEM INC 0 WEST VIRGINIA UNIVERSITY HOSPITALS INC PO BOX 8034 MORGANTOWN WV 26505 HOSPITAL WV 501(C)(3) LINE 3 WEST VIRGINIA UNIVERSITY HEALTH SYSTEM 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 MONONGALIA HEALTH SYSTEM INC K 130377 FAIR MARKET VALUE WEST VIRGINIA UNIVERSITY HOSPITALS INC M 8824942 FAIR MARKET VALUE