2025-12-23T15:23:57-06:00 2025-06-30 550621482 GRAY GRIFFITH & MAYS AC 707 VIRGINIA STREETEASTSUITE 400 CHARLESTON WV 253012711 990 2024-07-01 550725494 MONONGALIA EMERGENCY MEDICAL SERVICES INC MONO 3042852715 801 JD ANDERSON DRIVE MORGANTOWN WV 26505 FOREST WEYEN EXECUTIVE DIRECTOR 3042852715 2025-12-16 1 1 J RYAN LINDSAY P01835061 3043459400 2024 2025-03-06 01:10:19Z MONEMS FOREST WEYEN 801 JD ANDERSON DRIVE MORGANTOWN WV 26505 15074439 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, RESCUE AND TRANSPORTATION SYSTEM; AND TO COORDINATE ITS ACTIVITES WITH OTHER HEALTH CARE SYSTEM COMPONENTS INCLUDING REGIONAL, STATE, AND INTERSTATE EMERGENCY MEDICAL SERVICES SYSTEMS. 7 7 172 7 0 0 6870575 8300699 7154627 6520138 -42382 25470 171047 179371 14153867 15025678 0 0 0 0 8973512 8902947 0 0 0 3884081 4769427 12857593 13672374 1296274 1353304 7368778 11756827 2799596 5834341 4569182 5922486 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, RESCUE AND TRANSPORTATION SYSTEM; AND TO COORDINATE ITS ACTIVITES WITH OTHER HEALTH CARE SYSTEM COMPONENTS INCLUDING REGIONAL, STATE, AND INTERSTATE EMERGENCY MEDICAL SERVICES SYSTEMS. 0 0 10450883 6683818 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, RESCUE AND TRANSPORTATION SYSTEM; AND TO COORDINATE ITS ACTIVITES WITH OTHER HEALTH CARE SYSTEM COMPONENTS INCLUDING REGIONAL, STATE, AND INTERSTATE EMERGENCY MEDICAL SERVICES SYSTEMS. 10450883 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 34 0 1 172 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 CHAIR 2.00 45.00 X X 0 490127 47143 CHRIS EDWARDS DO DIRECTOR 2.00 45.00 X X 0 695585 14169 MICHAEL GRACE DIRECTOR 2.00 45.00 X 0 988349 188223 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 VICE CHAIR 2.00 45.00 X 0 996584 51139 FOREST WEYEN EXECUTIVE DIRECTOR 45.00 X 162192 0 32033 JOSH SILVER FTO PARAMEDIC 45.00 X 106756 0 32773 IVAN MADOLEV DIRECTOR OF IT 45.00 X 104046 0 24993 ROBERT LISTON EMT 45.00 X 101565 0 45767 PATRICK CLARK CAPTAIN 45.00 X 104644 0 37059 JAMIE CHAMBERS DIRECTOR OF CLINICAL SERVI 45.00 X 118935 0 22004 JOHN HITCHENS DIRECTOR OF ADMINISTRATION 45.00 X 139364 0 36860 837502 3170645 532163 7 1 1 0 ZOLL MEDICAL CORPORATION PO BOX 27028 NEW YORK NY 10087 EQUIPMENT VENDOR 424862 EMS MANANGEMENT 2540 EMPIRE DR SUITE 300 WINSTONSALEM NC 27103 BILLING SERVICE 332427 LIFE-ASSIST INC 11277 SUNRISE PARK DR RANCHO CORDOVA CA 95742 MEDICAL SUPPLIES 163371 STRYKER SALES LLC 21343 NETWORK PLACE CHICAGO IL 60673 EQUIPMENT VENDOR 144958 MON HEALTH SYSTEM INC 1200 JD ANDERSON DR MORGANTOWN WV 26505 MEDICAL SERVICES AND RENT 130377 8 2134197 36000 6130502 8300699 PATIENT SERVICE REVENUE 621910 6500816 6500816 OTHER REVENUE 900099 19322 19322 6520138 41161 41161 33070 48761 -15691 -15691 -15691 MISC REVENUE 900099 179371 179371 179371 15025678 6683818 0 41161 194225 194225 5926048 4949204 976844 173263 139814 33449 2132772 1721035 411737 476639 384623 92016 97480 97480 19544 19544 465811 465811 159250 159250 873126 749789 123337 165680 165680 1026833 998776 28057 516722 516722 OTHER 446693 194246 252447 REPAIRS AND MAINTENANCE 413671 395525 18146 MEDICAL SUPPLIES 242125 242125 FUEL 209935 209935 132557 132557 13672374 10450883 3221491 0 2299906 3622447 30380 34493 1136458 905335 112893 184555 227643 223929 7947139 3400814 3148999 4546325 412499 2239743 7368778 11756827 630172 662346 1870510 3041311 298914 2130684 2799596 5834341 X 4569182 5922486 4569182 5922486 7368778 11756827 1353304 0 X X 0 1 X 1 0 X 4037226 3527201 5266554 1805901 2170197 16807079 6469385 6177762 6860439 7130177 6500816 33138579 5064674 6128383 11193057 10506611 9704963 12126993 14000752 14799396 61138715 0 0 0 61138715 615 587 2884 23385 41161 68632 615 587 2884 23385 41161 68632 10507226 9705550 12129877 14024137 14840557 61207347 0.99890 0.99950 0.00110 0.00050 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 31970 22782 9188 138110 89282 48828 3033430 1748406 1285024 4743629 1540344 3203285 4546325 OPERATING RIGHT - OF - USE ASSET 2130684 LOAN PROCEEDS HELD IN ESCROW 109059 2239743 OPERATING LEASE LIABILITY 2130684 2130684 X 15025678 0 15025678 0 15025678 13672374 0 13672374 0 13672374 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 823168 0 164531 0 650 0 138068 0 50155 0 1176572 0 0 DAVID GOLDBERG VICE CHAIR 0 736828 0 241048 0 18708 0 13800 0 37339 0 1047723 0 0 CHRIS EDWARDS DO DIRECTOR 0 629578 0 65450 0 557 0 13799 0 370 0 709754 0 0 CHRIS GOODE MD CHAIR 0 465791 0 24336 0 0 0 34500 0 12643 0 537270 0 0 FOREST WEYEN EXECUTIVE DIRECTOR 161867 0 0 0 325 0 7014 0 25019 0 194225 0 0 0 JOHN HITCHENS DIRECTOR OF ADMINISTRATION 114464 0 24250 0 650 0 4960 0 31900 0 176224 0 0 0 PATRICK CLARK CAPTAIN 103148 0 1496 0 0 0 2601 0 34458 0 141703 0 0 0 JAMIE CHAMBERS DIRECTOR OF CLINICAL SERVI 94935 0 24000 0 0 0 3693 0 18311 0 140939 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 FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS, AND RELATED COMMITTEES ARE RESPONSIBLE FOR THE OVERSIGHT AND APPROVAL OF THE ANNUAL AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. 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 8956868 FAIR MARKET VALUE