2018-04-27T08:34:26-05:00 2017-06-30 381357951 PLANTE & MORAN PLLC 250 S High St Suite 100 Columbus OH 43215 990 2016-07-01 311428613 OHIO MEDICAL TRANSPORTATION INC OHIO 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 JOHN LINDAMAN CFO 6147348001 2018-04-09 1 Bernie Ostrowski P00366367 6148493000 2018-04-09 67.59.56.31 2018-04-09 09:07:19 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 812A45F3E1EA5162ED361101C71C70F5C0C4D82A 2016 2021-01-29 14:40:06Z MEDFLIGHT MEDFLIGHT OF OHIO THOMAS ALLENSTEIN 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 47853041 0 X WWW.MEDFLIGHT.COM X 1995 OH TO CARE FOR AND TRANSPORT THE CRITICALLY ILL AND INJURED. MEDFLIGHT OPERATES 8 MEDICAL HELICOPTERS AND 3 MOBILE INTENSIVE CARE UNITS (MICU'S). 4 4 197 4 0 0 23785 27508 44110929 44443851 90197 466455 255310 214586 44480221 45152400 3477 1092 0 0 12106164 12818880 0 0 0 30864202 31118914 42973843 43938886 1506378 1213514 25465500 27970340 4184095 4387301 21281405 23583039 X TO CARE FOR AND TRANSPORT THE CRITICALLY ILL AND INJURED. 0 0 42105682 1092 44626702 DURING THE FISCAL YEAR ENDED 6/30/17, MEDFLIGHT TRANSPORTED 3,305 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 2,172 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 2,340,000 IN 2017. 42105682 1 1 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 1 0 0 1 39 0 1 197 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 JOHN LINDAMAN 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 ELIZABETH SEELY BOARD CHAIR 1.00 1.00 X X 0 0 0 MICHAEL LAWSON 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 1.00 1.00 X X 0 0 0 TOM ALLENSTEIN CEO 40.00 0.00 X 262252 0 47233 JOHN LINDAMAN CFO 40.00 0.00 X 164304 0 29159 LINDA HINES VP LEGAL AFFAIRS 40.00 0.00 X 133273 0 19658 JASON PIERCE ROTOR NURSE 63.00 0.00 X 127693 0 24006 DALE MUETZEL ROTOR NURSE 58.00 0.00 X 141278 0 14102 LINDA BALDWIN TRANSPORT NURSE 44.00 0.00 X 142873 0 14278 BEVERLY MEADE ROTOR NURSE 60.00 0.00 X 142956 0 14181 1114629 0 162617 20 0 1 0 METRO AVIATION PO BOX 7008 SHREVEPORT LA 71137 HELICOPTER SERVICES 12836145 MEDBILL RESOURCES 1866 WEST MAIN STREET NEWARK OH 43055 MEDICAL BILLING 299924 BOUND TREE MEDICINE LLC 5000 TUTTLE CROSSING BLVD DUBLIN OH 43016 MEDICAL SUPPLIES 275257 OSU EMERGENCY MEDICINE LLC 700 ACKERMAN ROAD COLUMBUS OH 43202 MEDICAL DIRECTOR 229390 HORTON EMERGENCY VEHICLES 3800 MCDOWELL RD GROVE CITY OH 43123 TRUCK SERVICES 178493 7 27508 27508 PATIENT SERVICES 621990 39851559 39851559 SERVICE FEE-GRMH 621990 1615944 1615944 DISPATCHING SERVICE 621990 1262629 1262629 SERVICE FEE-OSUH 621990 1024974 1024974 Service Fee- KH 621990 607256 607256 81489 81489 44443851 124696 124696 143073 139240 3833 3833 3833 2903160 2561401 341759 341759 341759 SALE OF JET FUEL 900099 157239 157239 MEDICAL RECORDS FEE 621300 27902 27902 BIOMEDICAL EQUIPMENT REPAIR 811000 25322 25322 290 290 210753 45152400 44626702 0 498190 1092 1092 565127 565127 9912419 9416798 495621 432648 411827 20821 1904351 1767237 137114 4335 4023 312 17163 17163 60000 60000 55697 55697 213414 192073 21341 139997 139997 1646461 1481817 164644 172829 155546 17283 576872 519185 57687 85872 68698 17174 26538 26538 3704 3704 764513 688062 76451 319142 287228 31914 HELICOPTER 17018026 17018026 PROVISION FOR BAD DEBT 9359488 9359488 AMBULANCE & MICU'S 327995 327995 STAFF EXPENSES 175967 175967 155236 64085 91151 43938886 42105682 1833204 0 3472828 4587943 7340699 6699047 534703 590289 316179 436149 11658319 8805322 3006642 2852997 6209183 6819395 3596509 4484999 988757 1499521 25465500 27970340 3396812 4143860 500000 0 287283 243441 4184095 4387301 X 21281405 23583039 21281405 23583039 25465500 27970340 X 1213514 199630 888490 X X 0 1 X 1 0 X 42254 55155 35961 17785 19508 170663 38090502 39687569 39052527 44283595 44634702 205748895 38132756 39742724 39088488 44301380 44654210 205919558 0 3790040 3628535 1870954 1747086 1899677 12936292 3790040 3628535 1870954 1747086 1899677 12936292 192983266 190809 268748 311494 317647 267769 1356467 190809 268748 311494 317647 267769 1356467 732 732 321620 58163 33250 72537 27902 513472 38645185 40069635 39433964 44691564 44949881 207790229 0.92870 0.91660 0.00650 0.00650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 85530 85530 1068883 790233 278650 2102625 1207669 894956 4994487 3854173 1140314 3406794 2953247 453547 2852997 MEDCARE 4484999 F 4484999 OTHER RECEIVABLES 1234804 SUPPLEMENTAL RETIREMENT PLAN 264717 1499521 ACCRUED SUPPLEMENTAL RETIREMENT PLAN- LT 243441 243441 37020272 199630 1027730 1227360 35792912 9359488 9359488 45152400 34718638 139240 139240 34579398 9359488 9359488 43938886 Part XI, Line 2d - Other Adjustments: RENT EXPENSE 139,240. EQUITY SHARE IN MEDCARE 888,490. Part XI, Line 4b - Other Adjustments: BAD DEBT EXPENSE 9,359,488. Part XII, Line 2d - Other Adjustments: RENT EXPENSE 139,240. Part XII, Line 4b - Other Adjustments: BAD DEBT EXPENSE 9,359,488. X X X 0 1 0 0 0 0 0 0 0 TOM ALLENSTEIN CEO 259113 0 0 0 3139 0 30610 0 16623 0 309485 0 0 0 JOHN LINDAMAN CFO 163179 0 0 0 1125 0 12806 0 16353 0 193463 0 0 0 LINDA HINES VP LEGAL AFFAIRS 133273 0 0 0 0 0 8215 0 11443 0 152931 0 0 0 JASON PIERCE ROTOR NURSE 127693 0 0 0 0 0 8129 0 15877 0 151699 0 0 0 DALE MUETZEL ROTOR NURSE 141278 0 0 0 0 0 8583 0 5519 0 155380 0 0 0 LINDA BALDWIN TRANSPORT NURSE 142873 0 0 0 0 0 8759 0 5519 0 157151 0 0 0 BEVERLY MEADE ROTOR NURSE 142956 0 0 0 0 0 8662 0 5519 0 157137 0 0 0 Part I, Line 4b THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING CALENDAR YEAR 2016: TOM ALLENSTEIN $14,296 JOHN LINDAMAN $2,511 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 APPROVE CERTAIN DECISIONS OF MEDFLIGHT. 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 FINANCIAL COORDINATOR AND PAYROLL SPECIALIST PREPARE INFORMATION AND THE CFO REVIEWS 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 COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. AFTER THE CONFLICT OF INTEREST STATEMENTS ARE COMPLETED, THEY ARE REVIEWED BY IN-HOUSE LEGAL COUNSIL TO DETERMINE IF THERE ARE ANY CONFLICTS. DURING THE ACCOUNTS PAYABLE PROCESS THE CFO 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 888,490. 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CEMS OF OHIO INC A 42097 RENTAL CONTRACT