2016-02-15T00:00:00-06:00 2015-06-30 381357951 PLANTE & MORAN PLLC 65 EAST STATE ST STE 600 COLUMBUS OH 43215 990 2014-07-01 311428613 OHIO MEDICAL TRANSPORTATION INC OHIO 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 JOHN LINDAMAN CFO 6147348001 2016-02-15 1 BERNIE OSTROWSKI P00366367 6148493000 2014 2016-08-17 19:52:53Z MEDFLIGHT MEDFLIGHT OF OHIO THOMAS ALLENSTEIN 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 41275398 0 X WWW.MEDFLIGHT.COM X 1995 OH TO CARE FOR AND TRANSPORT THE CRITICALLY ILL AND INJURED. MEDFLIGHT OPERATES 7 MEDICAL HELICOPTERS AND 3 MOBILE INTENSIVE CARE UNITS (MICU'S). 4 4 223 5 1319 0 55155 35961 39348250 38828673 471781 419816 402541 271236 40277727 39555686 57545 17753 0 0 13447001 13348998 0 0 0 27949748 28790408 41454294 42157159 -1176567 -2601473 26210151 24251418 4140085 4714882 22070066 19536536 X TO CARE FOR AND TRANSPORT THE CRITICALLY ILL AND INJURED. 0 0 40188893 17753 39052527 DURING THE FISCAL YEAR ENDED 6/30/15, MEDFLIGHT TRANSPORTED 3,155 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 2,179 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 5,178,000 IN 2015. 40188893 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 67 0 1 223 1 1 1 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 OH X JOHN LINDAMAN 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 LARRY ANSTINE SECRETARY- END 02/2015 1.00 0.00 X X 0 0 0 ELIZABETH SEELY SECRETARY- BEGIN 02/2015 1.00 0.00 X X 0 0 0 MICHAEL LAWSON TREASURER 1.00 1.00 X X 0 0 0 GAIL MARSH BOARD VICE CHAIR- END 06/30/2015 1.00 1.00 X X 0 0 0 VINSON YATES BOARD CHAIR 1.00 0.00 X X 0 0 0 CHERIE GUSTER RN BOARD MEMBER- END 12/2014 1.00 0.00 X 0 0 0 ROD CRANE PRESIDENT AND CEO- END 12/2014 40.00 1.00 X 256140 0 22907 TOM ALLENSTEIN CEO 40.00 0.00 X 155787 0 24762 JOHN LINDAMAN CFO 40.00 1.00 X 140422 0 44378 LINDA HINES VP LEGAL AFFAIRS 40.00 0.00 X 117611 0 18345 GREGORY SCHANO ROTOR NURSE 54.00 0.00 X 125660 0 13179 STREETER CLOW ROTOR NURSE 71.00 0.00 X 119486 0 23409 LINDA BALDWIN TRANSPORT NURSE 54.00 0.00 X 120380 0 13116 BEVERLY MEADE ROTOR NURSE 45.00 0.00 X 100980 0 11756 1136466 0 171852 18 0 1 0 METRO AVIATION PO BOX 7008 SHREVEPORT LA 71137 HELICOPTER SERVICES 12345418 MIAMI VALLEY HOSPITAL PO BOX 932699 CLEVELAND OH 44193 HELICOPTER SERVICES 510570 MEDBILL RESOURCES 1866 WEST MAIN ST NEWARK OH 43055 MEDICAL BILLING 240819 OSU EMERGENCY MEDICINE LLC 700 ACKERMAN RD ST 630 COLUMBUS OH 43202 MEDICAL DIRECTOR 198576 MARQUEE CONSTRUCTION INC 211 SOUTH FAYETTE ST WASHINGTON CT HOUSE OH 43160 BUILDING & REMODELING 153720 5 35961 35961 PATIENT SERVICES 621990 35203535 35203535 SERVICE FEE-GRMH 621990 1615944 1615944 SERVICE FEE-OSUH 621990 1024974 1024974 SERVICE FEE-AGMC 621990 413056 413056 SERVICE FEE-MFAM 621990 13772 13772 557392 557392 38828673 124310 124310 187184 174371 12813 12813 12813 1840847 1545341 295506 295506 295506 SALE OF JET FUEL 900099 139727 139727 MEDICAL RECORDS FEE 621300 30915 30915 MED GEAR SALES 453220 1319 1319 86462 84127 2335 258423 39555686 39052527 1319 465879 17753 17753 550141 550141 10120932 9614885 506047 450515 428834 21681 1413067 1311326 101741 814343 755710 58633 122824 122824 51996 51996 54747 54747 187237 168513 18724 131278 131278 1510423 1359382 151041 180944 162850 18094 613970 552573 61397 107598 86078 21520 37315 37315 13656 13656 971151 874036 97115 344460 310014 34446 HELICOPTER 16555366 16555366 PROVISION FOR BAD DEBT 7305332 7305332 AMBULANCE & MICU EXPS 291929 291929 STAFF EXPENSES 144813 144813 165369 80906 84463 42157159 40188893 1968266 0 2263187 2225091 0 0 7136893 6717307 370063 520442 347837 282310 12501194 8880234 4496265 3620960 5985117 6193427 3606330 3331394 2004459 1360487 26210151 24251418 3920085 2247713 220000 1820000 0 647169 4140085 4714882 X 22070066 19536536 22070066 19536536 26210151 24251418 X -2601473 -156706 224649 X X 0 1 X 1 0 X 79351 21582 42254 55155 35961 234303 33294254 38201578 38090502 39687569 39052527 188326430 33373605 38223160 38132756 39742724 39088488 188560733 0 3790040 3790040 3628535 1870954 13079569 3790040 3790040 3628535 1870954 13079569 175481164 172874 224508 190809 268748 311494 1168433 172874 224508 190809 268748 311494 1168433 1630 1455 732 3817 312038 175871 321620 58163 33250 900942 33860147 38624994 38645185 40069635 39433964 190633925 0.92050 0.94120 0.00610 0.00610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 114895 114895 1179503 796957 382546 2223200 1217943 1005257 5505583 3886963 1618620 3478013 2978371 499642 3620960 MEDCARE 3331394 F 3331394 OTHER RECEIVABLES 649059 SUPPLEMENTAL RETIREMENT PLAN 711428 1360487 ACCRUED SUPPLEMENTAL RETIREMENT PLAN- LT 647169 647169 1 MEDEVAC FOUNDATION INTERNATIONAL 909 N WASHINGTON STREET STE 410 ALEXANDRIA VA 22314 542007236 501(C)(3) 8649 TO SUPPORT RESEARCH, EDUCATION, AND OUTREACH PROGRAMS FOR THE AIR MEDICAL INDUSTRY. 1 0 PART I, LINE 2: MEDFLIGHT ENSURES/MONITORS THAT THE GRANTS ARE USED BY MEDEVAC THROUGH ITS INVOLVEMENT WITH THE ASSOCIATION OF AIR MEDICAL SERVICES (AAMS) AND THE REPORTING THAT THE MEDEVAC FOUNDATION MAKES THROUGH AAMS THAT IS PRESENTED ANNUALLY AT THE AIR MEDICAL TRANSPORT CONFERENCE. X X X 0 1 0 0 0 0 0 0 0 ROD CRANE PRESIDENT AND CEO- END 12/2014 244393 0 0 0 11747 0 10621 0 12286 0 279047 0 0 0 TOM ALLENSTEIN CEO 151329 0 0 0 4458 0 13574 0 11188 0 180549 0 0 0 JOHN LINDAMAN CFO 140112 0 0 0 310 0 27442 0 16936 0 184800 0 0 0 PART I, LINE 4B THE ORGANIZATION MADE CONTRIBUTIONS TO A 457(F) NON-QUALIFIED RETIREMENT PLAN FOR THE FOLLOWING OFFICERS DURING CALENDAR YEAR 2014: TOM ALLENSTEIN - $3,877 JOHN LINDAMAN - $2,334 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 MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS TWO CLASS A MEMBERS WHO EACH APPOINT TWO BOARD MEMBERS FOR A TOTAL OF FOUR 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 11 THE CFO REVIEWS THE FORM 990, AND COPIES ARE E-MAILED TO THE BOARD, BEFORE THE CFO AUTHORIZES THE CPAS 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 LINDA HINES 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 2014. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY SHARE IN MEDCARE RECORDED ON THE FINANCIAL STATEMENTS 245,363. GENERAL LEDGER K-1 MODIFICATION -20,714. PART XI, LINE 2C THE ENTIRE BOARD OVERSEES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE CENTER FOR MEDICAL TRANSPORT RESEARCH LLC 2865 W DUBLIN GRANVILLE RD SUITE 90 COLUMBUS OH 43235 264265085 MEDICAL TRANSPORTATION RESEARCH OH 0 0 OHIO MEDICAL TRANSPORTATION INC CEMS OF OHIO INC (MEDCARE) 3699 PARAGON DR COLUMBUS OH 43228 800249549 MEDICAL TRANSPORTATION OH 501(C)(3) LINE 9 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 136736 RENTAL CONTRACT