2019-04-08T13:40:52-05:00 2018-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2017-07-01 311428613 OHIO MEDICAL TRANSPORTATION INC OHIO 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 THOMAS ALLENSTEIN CEO/PRESIDENT 6147348001 2019-03-22 1 BERNIE OSTROWSKI P00366367 6148493000 2019-03-22 67.59.56.32 2019-03-22 08:06:16 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0E91126D0FB3B5231D35CFCADBE487908A76FDB7 2017 2019-02-21 02:37:17Z MEDFLIGHT MEDFLIGHT OF OHIO THOMAS ALLENSTEIN 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 46367896 0 X WWW.MEDFLIGHT.COM X 1995 OH TO PROVIDE CUSTOMER FOCUSED MEDICAL TRANSPORTATION SOLUTIONS. MEDFLIGHT OPERATES 8 MEDICAL HELICOPTERS AND 3 MOBILE INTENSIVE CARE UNITS (MICU'S). 4 4 209 5 0 0 27508 11525 44443851 43342789 466455 439697 214586 313978 45152400 44107989 1092 1100 0 0 12818880 13479122 0 0 0 31118914 31887295 43938886 45367517 1213514 -1259528 27970340 25994067 4387301 3064653 23583039 22929414 X TO PROVIDE CUSTOMER FOCUSED MEDICAL TRANSPORTATION SOLUTIONS. 0 0 43456748 1100 43658756 DURING THE FISCAL YEAR ENDED 6/30/18, MEDFLIGHT TRANSPORTED 3,412 CRITICALLY ILL & INJURED PATIENTS BY HELICOPTER FROM ACCIDENT SCENES TOLEVEL 1 & 2 TRAUMA CENTERS OR FROM SMALLER COMMUNITY HOSPITALS TO LARGE TERTIARY CARE CENTERS TO RECEIVE SPECIALIZED CARE. AN ADDITIONAL 2,014 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 WITHPROVIDING CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER MEDFLIGHT'S CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITSESTABLISHED RATES. BECAUSE MEDFLIGHT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED ASREVENUE. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER MEDFLIGHT'S CHARITY CARE POLICY AGGREGATED APPROXIMATELY $2,757,000 IN 2018. 43456748 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 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 1 0 0 1 39 0 1 209 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 X JENNIFER COSTELLO 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 MICHAEL LAWSON BOARD CHAIR 1.00 1.00 X X 0 0 0 ELIZABETH SEELY BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 MARTI TAYLOR TREASURER 1.00 1.00 X X 0 0 0 NATHAN VANLANINGHAM SECRETARY (END 4/2018) 1.00 1.00 X X 0 0 0 JOSEPH ABEL SECRETARY (BEGIN 4/2018) 1.00 1.00 X X 0 0 0 THOMAS ALLENSTEIN CEO 40.00 0.00 X 274699 0 53255 JOHN LINDAMAN CFO (THRU JULY 2018) 40.00 0.00 X 165623 0 48324 LINDA HINES VP LEGAL AFFAIRS 40.00 0.00 X 138903 0 18337 JASON PIERCE ROTOR NURSE 68.00 0.00 X 143194 0 21149 GREGORY SCHANO ROTOR NURSE 54.00 0.00 X 130145 0 10194 MIKE PERKINS VP OPERATIONS 44.00 0.00 X 127846 0 21340 BEVERLY MEADE ROTOR NURSE 60.00 0.00 X 148236 0 11257 1128646 0 183856 26 0 1 0 METRO AVIATION PO BOX 7008 SHREVEPORT LA 71137 HELICOPTER SERVICES 13873215 BOUND TREE MEDICINE LLC 5000 TUTTLE CROSSING BLVD DUBLIN OH 43016 MEDICAL SUPPLIES 269582 PFUND SUPERIOR SALES CO INC 221 CHESTER DRIVE LOWER BURRELL PA 15068 TRUCK SALES 225729 MEDBILL RESOURCES 1866 WEST MAIN ST NEWARK OH 43055 MEDICAL BILLING 127460 OSU EMERGENCY MEDICINE LLC 700 ACKERMAN ROAD COLUMBUS OH 43202 MEDICAL DIRECTOR 123361 6 11525 11525 PATIENT SERVICES 621990 37074579 37074579 SERVICE FEE- KH 621990 2027238 2027238 SERVICE FEE-GRMH 621990 1536813 1536813 SERVICE FEE-OSUH 621990 973725 973725 SERVICE FEE- MFAM 621990 13271 13271 1717163 1717163 43342789 127347 127347 124479 127423 -2944 -2944 -2944 2444834 2126333 6151 318501 -6151 312350 312350 MEDICAL TRANSPORTS 480000 158194 158194 SALE OF JET FUEL 900099 147902 147902 BIOMEDICAL EQUIPMENT REPAIR 811000 9871 9871 955 955 316922 44107989 43658756 0 437708 1100 1100 575959 575959 10686761 10152423 534338 524981 499717 25264 1690941 1569193 121748 480 445 35 27914 27914 60000 60000 60961 60961 245344 220810 24534 125303 125303 1621691 1459526 162165 205639 185075 20564 568912 512021 56891 103795 83036 20759 47126 47126 810099 729089 81010 318747 286872 31875 HELICOPTER 18077747 18077747 PROVISION FOR BAD DEBT 9049305 9049305 AMBULANCE & MICU EXPENS 292198 292198 STAFF EXPENSES 159024 159024 113490 6738 106752 45367517 43456748 1910769 0 4587943 2455809 6699047 6400004 590289 569911 436149 450823 11450767 9063644 2852997 2387123 6819395 7370881 4484999 4923518 1499521 1435998 27970340 25994067 4143860 2893425 467 243441 170761 4387301 3064653 X 23583039 22929414 23583039 22929414 27970340 25994067 X -1259528 167384 438519 X X 0 1 X 1 0 X 55155 35961 17785 19508 11525 139934 39687569 39052527 44283595 44634702 43658756 211317149 39742724 39088488 44301380 44654210 43670281 211457083 0 3628535 1870954 1747086 1899677 3220083 12366335 3628535 1870954 1747086 1899677 3220083 12366335 199090748 268748 311494 317647 267769 251826 1417484 268748 311494 317647 267769 251826 1417484 732 732 58163 33250 72537 27902 955 192807 40069635 39433964 44691564 44949881 43923062 213068106 0.93440 0.92870 0.00670 0.00650 X 850110 672889 177221 2135076 1689980 445096 4986592 3947045 1039547 3478989 2753730 725259 2387123 MEDCARE 4923518 F 4923518 OTHER RECEIVABLES 1193237 SUPPLEMENTAL RETIREMENT PLAN 242761 1435998 ACCRUED SUPPLEMENTAL RETIREMENT PLAN- LT 170761 170761 35792010 167384 565942 733326 35058684 9049305 9049305 44107989 36445635 127423 127423 36318212 9049305 9049305 45367517 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE 127,423. EQUITY SHARE IN MEDCARE 438,519. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 9,049,305. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENT EXPENSE 127,423. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 9,049,305. X X X 0 1 0 0 0 0 0 0 0 THOMAS ALLENSTEIN CEO 270915 0 0 0 3784 0 37384 0 15871 0 327954 0 0 0 JOHN LINDAMAN CFO (THRU JULY 2018) 163721 0 0 0 1902 0 32709 0 15615 0 213947 0 0 0 LINDA HINES VP LEGAL AFFAIRS 138903 0 0 0 0 0 6945 0 11392 0 157240 0 0 0 JASON PIERCE ROTOR NURSE 143194 0 0 0 0 0 6041 0 15108 0 164343 0 0 0 BEVERLY MEADE ROTOR NURSE 148236 0 0 0 0 0 5767 0 5490 0 159493 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING CALENDAR YEAR 2017: TOM ALLENSTEIN $29,461 JOHN LINDAMAN $3,552 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 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 CONTROLLER AND PAYROLL SPECIALIST PREPARE INFORMATION AND THE CONTROLLER REVIEWS THE RESULTING DRAFT 990. COPIES ARE EMAILED TO THE BOARD BEFORE THE CONTROLLER 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 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 2017. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THESE ITEMS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: EQUITY SHARE IN MEDCARE RECORDED ON THE FINANCIAL STATEMENTS 438,519. 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 0 0 0 0 0 0 0 0 0 0