2023-05-12T11:12:34-05:00 2022-12-31 813053687 BERGANKDV LLC 10401 HOLMES ROAD STE 400 KANSAS CITY MO 64131 990 2022-01-01 431757848 LIFEFLIGHT EAGLE LIFE 8168582040 7830 NW 100TH STREET KANSAS CITY MO 641532323 ROXANNE PEEK CHIEF EXECUTIVE OFFICER 8162839710 2023-05-11 1 ROXANNE PEEK XXX-XX-XXXX 1 RACHEL MCKINNIS CPA P01676091 8165259699 2023-05-11 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROXANNE PEEK 7830 NW 100TH STREET KANSAS CITY MO 641532323 19214731 0 X WWW.LIFEFLIGHTEAGLE.ORG X 1996 MO LIFEFLIGHT EAGLE IS DEDICATED TO SERVING OUR COMMUNITY BY PROVIDING SAFE, QUALITY AIR TRANSPORT OF CRITICALLY ILL AND INJURED PERSONS IN A TIMELY AND COST-EFFECTIVE MANNER. 4 0 68 0 0 0 891046 112082 22090050 19072024 21315 29199 45651 1426 23048062 19214731 0 0 0 0 4342642 4648656 0 0 0 16229135 13487942 20571777 18136598 2476285 1078133 23821953 22810166 8827541 6816764 14994412 15993402 LIFEFLIGHT EAGLE IS DEDICATED TO SERVING OUR COMMUNITY BY PROVIDING SAFE, QUALITY TRANSPORT OF CRITICALLY ILL AND INJURED PERSONS IN A TIMELY AND COST EFFECTIVE MANNER. 0 0 15200254 0 19073450 LIFEFLIGHT EAGLE PROVIDED AIR AMBULANCE SERVICE IN MISSOURI AND EASTERN KANSAS FROM ITS FOUR BASES IN CHILLICOTHE, ODESSA, HARRISONVILLE, AND CLINTON, MO. THE ORGANIZATION ALSO PROVIDES AIRCRAFT AND AVIATION MANAGEMENT TO CHILDREN'S MERCY HOSPITAL IN KANSAS CITY, MO. 15200254 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 36 0 1 68 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X FAIRLIE LAW LLC - KEVIN FAIRLIE 3148000132 401 PINE STREET ST LOUIS MO 63102 X SCOTT GAGE BOARD CHAIR 1.00 X X 0 0 0 JANI JOHNSON VICE CHAIR 1.00 X X 0 0 0 AMY NACHTIGAL SECRETARY / TREASURER 1.00 X X 0 0 0 JENNIFER KINGRY DIRECTOR 1.00 X 0 0 0 ROXANNE PEEK CHIEF EXECUTIVE OFFICER 40.00 X 0 0 0 STACEY DOCK NURSE 40.00 X 139985 0 0 MICHAEL HAGEN PARAMEDIC 40.00 X 135140 0 0 GILLIAN EARNEST NURSE 40.00 X 130346 0 0 ANDREW UMLAND PARAMEDIC 40.00 X 120200 0 0 SHEILA HAGEN NURSE 40.00 X 119906 0 0 645577 0 0 5 0 0 0 MEDSERV MANAGEMENT SERVICES PO BOX 170 PLATTE CITY MO 64079 MGMT, OPERATIONS 1330169 CHANGE HEALTHCARE LLC 100 AIRPARK CENTER DRIVE EAST NASHVILLE TN 37217 BILLING SERVICES 256339 2 99310 12772 112082 REVENUE - PATIENTS 621990 19072024 19072024 19072024 29199 29199 MISCELLANEOUS INCOME 900099 1426 1426 1426 19214731 19073450 0 29199 3675951 3675951 690120 690120 282585 282585 30000 30000 13248 13248 45270 45270 5170 5170 121594 121594 84887 84887 2297 2297 341895 341895 83640 83640 151666 151666 773410 685524 87886 300380 112063 188317 AVIATION EXPENSE 6192767 6192767 BAD DEBT EXPENSE 3050743 3050743 CONTRACT ADMINISTRATION 1435717 1435717 MEDICAL AND OPERATIONS 358835 358835 496423 496423 18136598 15200254 2936344 0 628634 1431925 2215597 3565653 12580139 10268313 124111 140725 137615 201397 14362916 8647137 6324603 5715779 188844 154365 1622410 1332009 23821953 22810166 2764304 1321431 1036618 1053490 5026619 4441843 8827541 6816764 X 0 0 170429 170429 14823983 15822973 14994412 15993402 23821953 22810166 1078133 -79143 0 X 0 0 0 X 3637 4576 4637 8697 112082 133629 18330679 19841639 20898255 22090050 19072024 100232647 18334316 19846215 20902892 22098747 19184106 100366276 0 0 0 100366276 41114 42841 30676 20397 29199 164227 41114 42841 30676 20397 29199 164227 366614 813757 1426 1181797 18375430 19889056 21300182 22932901 19214731 101712300 0.98680 0.98670 0.00160 0.00160 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: HHS STIMULUS FUNDS - 2020 AMOUNT: $ 366,614. 2021 AMOUNT: $ 45,357. 2022 AMOUNT: $ 0. PPP LOAN FORGIVEN - 2021 AMOUNT: $ 768,400. 2022 AMOUNT: $ 0. MISCELLANEOUS INCOME - 2022 AMOUNT: $ 1,426. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14362916 8647137 5715779 5715779 MAINTENANCE RESERVE 1332009 1332009 NOTES PAYABLE - UMB BANK 4441843 4441843 FORM 990, PART VI, SECTION A, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERS: LIFEFLIGHT EAGLE HAS 2 MEMBERS THAT MAY EACH APPOINT 2 VOTING DIRECTORS TO THE BOARD OF DIRECTORS. THE 2 MEMBERS ARE: (1) CHILDREN'S MERCY HOSPITAL (2) ST. LUKE'S HOSPITAL FORM 990, PART VI, SECTION A, LINE 7A ELECTION OF MEMBERS AND THEIR RIGHTS: THE BOARD OF DIRECTORS IS COMPRISED OF 4 DIRECTORS, TWO DELEGATED BY EACH MEMBER. THE DIRECTORS ELECT THE MEMBERS OF THE GOVERNING BODY OR THEIR DELEGATES, APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY, AND MAY RECEIVE A SHARE OF LIFEFLIGHT EAGLE'S PROFITS OR NET ASSETS UPON DISSOLUTION. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS SUBJECT TO APPROVAL OF MEMBERS: ALL DECISIONS OF LIFEFLIGHT EAGLE'S GOVERNING BODY ARE MADE AND APPROVED BY ITS 2 MEMBERS' REPRESENTATIVES. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990: FORM 990 IS PROVIDED TO ALL BOARD MEMBERS AND IS REVIEWED BY THE PRESIDENT, CEO, BOARD CHAIRMAN, AND SECRETARY/TREASURER PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICT OF INTEREST POLICY: LIFEFLIGHT EAGLE'S POLICY AND PROCEDURE IS THAT ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE AND UPDATE ALL CONFLICTS OF INTEREST AT THE ANNUAL BOARD MEETING, WHICH IS DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL: TOP MANAGEMENT COMPENSATION, INCLUDING THE CEO, IS APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION PROCESS FOR OFFICERS: TOP MANAGEMENT COMPENSATION, INCLUDING KEY EMPLOYEE COMPENSATION, IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION: LIFEFLIGHT EAGLE'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHILDREN'S MERCY HOSPITAL (CMH) 2401 GILLHAM ROAD KANSAS CITY MO 64108 440605373 MEDICAL SERVICES MO 501(C)(3) LINE 3 0 ST LUKE'S HOSPITAL 4401 WORNALL ROAD KANSAS CITY MO 64111 440545297 MEDICAL SERVICES MO 501(C)(3) LINE 3 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 0 CHILDREN'S MERCY HOSPITAL (CMH) Q 707817 COST CHILDREN'S MERCY HOSPITAL (CMH) L 814283 FMV CHILDREN'S MERCY HOSPITAL (CMH) J 3481524 COST CHILDREN'S MERCY HOSPITAL (CMH) R 1893838 COST