2021-08-17T10:56:44-05:00 2020-12-31 813053687 BERGANKDV LLC 3550 NE RALPH POWELL RD LEES SUMMIT MO 64064 990 2020-01-01 431757848 LIFEFLIGHT EAGLE LIFE 8168582040 7830 NW 100TH STREET KANSAS CITY MO 641532323 ROXANNE PEEK CHIEF EXECUTIVE OFFICER 8162839710 2021-08-03 1 ROXANNE PEEK XXX-XX-XXXX GARY A HAWKINS CPA P00660522 8165259699 2021-08-03 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ROXANNE PEEK 7830 NW 100TH STREET KANSAS CITY MO 641532323 24700182 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 75 0 0 0 4576 4637 19841639 20898255 42136 -885928 705 366614 19889056 20383578 0 0 0 0 3840613 4163122 0 0 0 15523686 15521847 19364299 19684969 524757 698609 23422309 21700882 11599255 9163132 11823054 12537750 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 17026393 20348265 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. 17026393 1 0 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 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 1 75 1 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 FAIRLIE LAW LLC - KEVIN FAIRLIE 3148000132 401 PINE STREET ST LOUIS MO 63102 X SCOTT GAGE BOARD CHAIR 1.00 X 0 0 0 JANI JOHNSON VICE CHAIR 1.00 X 0 0 0 CHERI HUNT SECRETARY / TREASURER 1.00 X 0 0 0 AMY NACHTIGAL DIRECTOR 1.00 X 0 0 0 CHRISTINE ZALAR PRESIDENT 3.00 X 0 0 0 ROXANNE PEEK CHIEF EXECUTIVE OFFICER 40.00 X 0 0 0 STACEY DOCK MANAGER, CLINICAL SERVICES 40.00 X 136340 0 0 ANDREW UMLAND PARAMEDIC 40.00 X 114130 0 0 GEORGE COULTER PARAMEDIC 40.00 X 107305 0 0 SHIRLEY ARNOLD NURSE 40.00 X 102893 0 0 ELIZABETH PARKER EDUCATION MANAGER 40.00 X 105386 0 0 566054 0 0 5 0 0 0 PHI AIR MEDICAL LLC 2800 N 44TH STREET SUITE 800 PHOENIX AR 85008 AIRCRAFT, PILOT, MAINT 8877173 MEDSERV MANAGEMENT SERVICES PO BOX 170 PLATTE CITY MO 64079 MGMT, OPERATIONS 1239764 JET SUPPORT SERVICES INC 180 N STETSON AVE 29TH FLOOR CHICAGO IL 60601 AIRFRAME AND ENGINE MAINTENANCE PROGRAM 725950 CHANGE HEALTHCARE LLC 100 AIRPARK CENTER DRIVE EAST NASHVILLE TN 37217 SOFTWARE SERVICES 168580 ASCENT AVIATION SERVICES 24641 PINAL AIR PARK ROAD MARANA AZ 85653 AIRCRAFT MAINTENANCE 143982 5 4637 4637 REVENUE - PATIENTS 621990 20898255 20898255 20898255 30676 30676 3400000 4316604 -916604 -916604 -916604 HHS STIMULUS FUNDS 900099 366614 366614 366614 20383578 20348265 0 30676 3357495 3357495 579985 579985 225642 225642 24000 24000 14339 14339 32925 32925 3721 3721 177118 177118 68517 68517 2294 2294 285264 285264 63367 63367 213005 213005 1049353 971074 78279 275877 74953 200924 BAD DEBT EXPENSE 5866007 5866007 AVIATION EXPENSE 5449553 5449553 CONTRACT ADMINISTRATION 1370130 1370130 MEDICAL AND OPERATIONS 288679 288679 337698 337698 19684969 17026393 2658576 0 1099087 420439 1002213 2289822 7371016 9904833 316714 75561 95065 140720 132874 14223566 6936499 12418747 7287067 47516 30180 1267449 1223888 23422309 21700882 2219455 2020397 1127300 931750 146995 0 8105505 6210985 11599255 9163132 X 0 0 170429 170429 11652625 12367321 11823054 12537750 23422309 21700882 698609 16087 0 X 0 0 0 X 3805 9047 3637 4576 4637 25702 17678756 18580516 18330679 19841639 20898255 95329845 17682561 18589563 18334316 19846215 20902892 95355547 0 0 0 95355547 31462 27014 41114 42841 30676 173107 31462 27014 41114 42841 30676 173107 366614 366614 17714023 18616577 18375430 19889056 21300182 95895268 0.99440 0.99790 0.00180 0.00210 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: HHS STIMULUS FUNDS - 2020 AMOUNT: $ 366,614. 14223566 6936499 7287067 7287067 MAINTENANCE RESERVE 1223888 1223888 NOTES PAYABLE - UMB BANK 5002710 NOTES PAYABLE - COMMERCE 505LE 439875 PPP LOAN 768400 6210985 A HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI 431178966 NONEAVAIL 2013-12-01 6900000 ACQUISITION OF HELICOPTERS 0 0 0 A 1897290 6900000 85000 65556 6749444 2013 0 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 0 A 0 CHILDREN'S MERCY HOSPITAL (CMH) MEMBER AMOUNT OWED TO LFE FOR EXPENSE REIMB, MONTHLY FLIGHTS LOST, EXCLUSIVE USE X 180345 0 1 1 CHILDREN'S MERCY HOSPITAL (CMH) MEMBER ACQUISITION OF HELICOPTER X 6466355 0 1 1 CHILDREN'S MERCY HOSPITAL (CMH) MEMBER AMOUNT OWED TO LFE FOR EXPENSE REIMB, MONTHLY FLIGHTS LOST, EXCLUSIVE USE X 316714 316714 0 1 1 316714 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 WILL BE REVIEWED BY THE BOARD CHAIR OF THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS POLICY LIFEFLIGHT EAGLE 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 WILL MAKE ANY OF IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.