2023-05-15T13:19:18-05:00 2022-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2021-07-01 311428613 OHIO MEDICAL TRANSPORTATION INC OHIO 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 THOMAS ALLENSTEIN CEO/PRESIDENT 6147348001 2023-05-15 1 THOMAS ALLENSTEIN 999009999 AMY CIMINELLO P00796388 6148493000 2023-05-15 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MEDFLIGHT MEDFLIGHT OF OHIO THOMAS ALLENSTEIN 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 60284137 0 X WWW.MEDFLIGHT.COM X 1995 OH TO PROVIDE CUSTOMER FOCUSED MEDICAL TRANSPORTATION SOLUTIONS. (CONTINUED ON SCHEDULE O) 4 4 278 4 0 0 10623 2625342 46111657 48024564 1140870 2211442 841448 713497 48104598 53574845 100 0 0 0 17206722 18468503 0 0 0 27800459 30134291 45007281 48602794 3097317 4972051 48420792 50468936 19500120 18710723 28920672 31758213 X TO CARE FOR AND TRANSPORT THE CRITICALLY ILL AND INJURED. 0 0 47673811 0 48687668 DURING THE FISCAL YEAR ENDED 6/30/22, MEDFLIGHT TRANSPORTED 4,149 CRITICALLY ILL & INJURED PATIENTS BY HELICOPTER FROM ACCIDENT SCENES TO LEVEL 1 & 2 TRAUMA CENTERS OR FROM SMALLER COMMUNITY HOSPITALS TO LARGE TERTIARY CARE CENTERS TO RECEIVE SPECIALIZED CARE. AN ADDITIONAL 2,435 PATIENTS WERE TRANSPORTED BY MOBILE INTENSIVE CARE UNITS (MICU'S) FROM SMALLER COMMUNITY HOSPITALS TO LARGE TERTIARY CARE CENTERS TO RECEIVE SPECIALIZED CARE. INCLUDED IN THESE EXPENSES ARE COSTS ASSOCIATED WITH PROVIDING CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER MEDFLIGHT'S CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE MEDFLIGHT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER MEDFLIGHT'S CHARITY CARE POLICY AGGREGATED APPROXIMATELY $5,725,005 FOR A COST OF APPROXIMATELY $2,070,475 IN FISCAL 2022. 47673811 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 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 1 0 0 0 1 33 0 1 278 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 X JOSEPH ABEL 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 JOSEPH ABEL BOARD CHAIR 1.00 0.00 X X 0 0 0 JOHN LINDAMAN BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 ELIZABETH SEELY BOARD SECRETARY 1.00 1.00 X X 0 0 0 MICHAEL LAWSON BOARD TREASURER 1.00 1.00 X X 0 0 0 THOMAS ALLENSTEIN CEO 30.00 10.00 X 274032 0 131743 JENNIFER COSTELLO CFO 30.00 10.00 X 211958 0 29360 MIKE PERKINS COO 30.00 10.00 X 213152 0 15230 DR ASHLEY LARRIMORE MEDICAL DIRECTOR 8.00 0.00 X 0 0 0 GREGORY SCHANO ROTOR NURSE 40.00 0.00 X 167898 0 13597 JASON PIERCE ROTOR NURSE 40.00 0.00 X 190394 0 27033 TODD BAILEY VP OF BUSINESS DEVELOPMENT 40.00 0.00 X 147871 0 6776 TARA BEEBOUT VP OF CRITICAL CARE SERVIC 40.00 0.00 X 146115 0 26080 F DAVID EVANS ROTOR NURSE 4.00 0.00 X 148575 0 26815 1499995 0 276634 27 0 1 0 METRO AVIATION PO BOX 7008 SHREVEPORT LA 71137 HELICOPTER SERVICES 17111029 TRM AVIATION 1296 STONE RD CHILLICOTHE OH 45601 AVIATION SUPPORT 1059912 HAMILTON MEDICAL 4655 AIRCENTER CIR RENO NV 89502 MEDICAL CONSULTING 556601 LOGIS SOLUTIONS 22605 SE 56TH ST ISSAQUAH WA 98029 COMPUTER SERVICES 474239 MEDBILL RESOURCES 1866 W MAIN STREET NEWARK OH 43055 MEDICAL BILLING 308369 20 2613952 11390 2625342 PATIENT SERVICES 621990 40111670 40111670 SERVICE FEE-GRMH 621990 3335147 3335147 DISPATCHING SERVICE 621990 2225357 2225357 SERVICE FEE-OSUH 621990 2173725 2173725 SERVICE FEE- KH 621990 89034 89034 89631 89631 48024564 46468 46468 56476 55849 627 627 627 8813122 5295 6649198 4245 2163924 1050 2164974 2164974 MEDICAL TRANSPORTS 480000 455920 455920 SALE OF JET FUEL 900099 196057 196057 EXPIRED DRUG SALES 900099 38629 38629 22264 10500 11764 712870 53574845 48687668 0 2261835 971770 971770 14129495 13478539 650956 558129 511638 46491 1693783 1472519 221264 1115326 950675 164651 28605 358 28247 62583 62583 28217 28217 1433377 1194092 239285 122014 121663 351 1033992 684658 349334 333666 290541 43125 628834 459869 168965 66366 51077 15289 51033 3900 47133 434805 413557 21248 2117048 1976052 140996 305723 306948 -1225 HELICOPTER 17899036 17898654 382 PROVISION FOR BAD DEBT 7607172 7607172 STAFF EXPENSES 108077 87326 20751 GROUND TRANSPORTATION 84772 164271 -79499 -2211029 302 -2211331 48602794 47673811 928983 0 1150748 4400614 8451309 6818453 439115 485625 368472 296199 29402663 14413671 13221719 14988992 8531944 2501 9250000 9250000 7007485 14226552 48420792 50468936 3859661 4161946 2642297 3530286 12670325 10641651 327837 376840 19500120 18710723 X 28920672 31758213 28920672 31758213 48420792 50468936 4972051 -2134510 0 X X 0 1 X 1 0 X 11525 169 809402 2873 2625342 3449311 43658756 40901505 43695218 46960280 48687041 223902800 43670281 40901674 44504620 46963153 51312383 227352111 0 3220083 2438924 2015810 1566166 4479558 13720541 3220083 2438924 2015810 1566166 4479558 13720541 213631570 251826 261586 182696 172133 102944 971185 251826 261586 182696 172133 102944 971185 955 796 1349944 50393 1402088 43923062 41164056 46037260 47135286 51465720 229725384 0.92990 0.93880 0.00420 0.00510 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 861559 422350 439209 2434849 1193603 1241246 7408008 3631528 3776480 18698247 9166190 9532057 14988992 INVESTMENT IN MEDCARE 9250000 F 9250000 OTHER RECEIVABLES 652673 SUPPLEMENTAL RETIREMENT PLAN 376840 INTERCOMPANY RECEIVABLES 13197039 14226552 ACCRUED SUPPLEMENTAL RETIREMENT PLAN- LT 376840 376840 X X X 0 1 0 0 0 0 0 0 0 THOMAS ALLENSTEIN CEO 269818 0 0 0 4214 0 111622 0 20121 0 405775 0 0 0 JENNIFER COSTELLO CFO 211958 0 0 0 0 0 9239 0 20121 0 241318 0 0 0 MIKE PERKINS COO 213152 0 0 0 0 0 9430 0 5800 0 228382 0 0 0 JASON PIERCE ROTOR NURSE 190394 0 0 0 0 0 5874 0 21159 0 217427 0 0 0 GREGORY SCHANO ROTOR NURSE 167898 0 0 0 0 0 6461 0 7136 0 181495 0 0 0 F DAVID EVANS ROTOR NURSE 148575 0 0 0 0 0 6142 0 20673 0 175390 0 0 0 TARA BEEBOUT VP OF CRITICAL CARE SERVIC 146115 0 0 0 0 0 5978 0 20102 0 172195 0 0 0 TODD BAILEY VP OF BUSINESS DEVELOPMENT 147871 0 0 0 0 0 6076 0 700 0 154647 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING CALENDAR YEAR 2021: THOMAS ALLENSTEIN $106,706 THE DEFERRED COMPENSATION PLAN IS AVAILABLE ONLY TO EMPLOYEES WHO ARE MEMBERS OF A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES OF THE COMPANY. THE TOTAL GUARANTEED BENEFIT OF THE 457(F) PLAN IS EQUAL TO 60% OF EACH OFFICER'S SALARY EACH YEAR, REDUCED BY ANY SOCIAL SECURITY AND REGULAR PENSION PLAN PAYMENTS. THE DEFERRED COMPENSATION PLAN WILL VEST UPON THE EMPLOYEE'S TERMINATION OF THE EMPLOYEE'S EMPLOYMENT DUE TO DEATH, DISABILITY, TERMINATION WITHOUT JUST CAUSE OR RETIREMENT AT OR AFTER THE AGE OF 65. IF AN EMPLOYEE VOLUNTARILY TERMINATES EMPLOYMENT OR IS TERMINATED, A NONCOMPETE AGREEMENT IS IN PLACE FOR 2 YEARS. THE EMPLOYEE FORFEITS ANY DEFERRED COMPENSATION PAYMENTS IF HE/SHE DOES NOT CONFORM TO THE NONCOMPETE AGREEMENT. THE AMOUNTS LISTED ABOVE ARE INCLUDED IN COMPENSATION REPORTED IN SCHEDULE J, PART II, COLUMN C. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: MEDFLIGHT OPERATES 9 MEDICAL HELICOPTERS AND 4 MOBILE INTENSIVE CARE UNITS (MICU'S). FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES MANAGEMENT DUTIES TO THE MEDICAL DIRECTORS BELOW, WHO HAVE INPUT IN THE OPERATIONS, INCLUDING REVIEW OF MEDICAL OUTCOMES AND PLANNING/ SUPERVISING DUTIES. DR. ASHLEY LARRIMORE - COMPENSATION PAID $135,105 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO CLASS A MEMBERS THAT CAN APPOINT TWO VOTING MEMBERS AND AN AFFILIATE MEMBER THAT DOES NOT HAVE RIGHTS TO APPOINT A VOTING OR NON-VOTING MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS TWO CLASS A MEMBERS WHO EACH APPOINT TWO BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE CEOS OF THE TWO CLASS A MEMBERS CAN ONLY APPROVE DECISIONS TO APPOINT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE SENIOR ACCOUNTANT AND THE PAYROLL SPECIALIST PREPARE INFORMATION AND THE CONTROLLER AND THE CFO REVIEW THE RESULTING DRAFT 990. COPIES ARE EMAILED TO THE BOARD BEFORE THE CFO AUTHORIZES THE AUDITOR TO FILE ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL EMPLOYEES AND BOARD MEMBERS. BOARD MEMBERS, SENIOR EXECUTIVES, AND MEDICAL DIRECTORS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. AFTER THE CONFLICT OF INTEREST STATEMENTS ARE COMPLETED, THEY ARE REVIEWED BY IN-HOUSE LEGAL COUNSEL TO DETERMINE IF THERE ARE ANY CONFLICTS. DURING THE ACCOUNTS PAYABLE PROCESS THE CONTROLLER REVIEWS THE CHECK REGISTER FOR ANY DISTRIBUTIONS TO DISQUALIFIED PERSONS. ANY POTENTIAL CONFLICTS WITH STANDARD EMPLOYEES ARE DETERMINED AND REVIEWED BY MANAGEMENT. ANY POTENTIAL CONFLICTS WITH SENIOR EXECUTIVES ARE DETERMINED AND REVIEWED AT THE BOARD LEVEL. THERE HAVE BEEN NO TRANSACTIONS WITH DISQUALIFIED PERSONS DURING THE FISCAL YEAR. SHOULD THERE BE ANY CONFLICTS OF INTEREST, THE BOARD MEMBER WITH THE CONFLICT WILL ABSTAIN FROM VOTING ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS VOTE ON AND DETERMINE COMPENSATION FOR THE PRESIDENT AND OFFICERS. OUTSIDE CONSULTING FIRMS PERFORM SALARY SURVEYS ONCE EVERY THREE YEARS FOR THE PRESIDENT AND EXECUTIVES TO PROVIDE SALARY RANGES. THIS SALARY SURVEY IS USED IN DETERMINING PRESIDENT AND EXECUTIVE COMPENSATION ADJUSTMENTS. IN ADDITION, THE ORGANIZATION DETERMINES COMPENSATION FOR THE PRESIDENT AND EXECUTIVES BY REVIEWING COMPENSATION AMOUNTS PAID TO OTHER HELICOPTER AND HOSPITALS' EXECUTIVES. DECISIONS REGARDING CHANGES IN THE PRESIDENT'S AND EXECUTIVES' COMPENSATION ARE DOCUMENTED IN THE MINUTES TO THE BOARD MEETING. THIS PROCESS WAS LAST COMPLETED IN 2020. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE ITEMS AVAILABLE TO THE PUBLIC. PART XI, LINE 2C THE ENTIRE BOARD OVERSEES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CEMS OF OHIO INC (MEDCARE) 3699 PARAGON DR COLUMBUS OH 43228 800249549 MEDICAL TRANSPORTATION OH 501(C)(3) 10 OHIO MEDICAL TRANSPORTATION INC 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0