2015-05-13T12:59:10-05:00 2014-06-30 381357951 PLANTE & MORAN PLLC 65 EAST STATE ST STE 600 COLUMBUS OH 43215 990 2013-07-01 311428613 OHIO MEDICAL TRANSPORTATION INC OHIO 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 JOHN LINDAMAN CFO 6147348001 2015-05-12 1 BERNIE OSTROWSKI P00366367 6148493000 2013 2016-02-25 16:41:14Z MEDFLIGHT MEDFLIGHT OF OHIO THOMAS ALLENSTEIN 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 43579682 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). 5 5 240 5 1781 -19 42254 55155 38112517 39348250 188784 471781 376281 402541 38719836 40277727 0 57545 0 0 12649102 13447001 0 0 0 23951969 27949748 36601071 41454294 2118765 -1176567 25203624 26210151 3346658 4140085 21856966 22070066 X TO CARE FOR AND TRANSPORT THE CRITICALLY ILL AND INJURED. 0 0 39231445 57545 39687569 DURING THE FISCAL YEAR ENDED 6/30/14, MEDFLIGHT TRANSPORTED 3,132 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 2,316 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 5,212,000 IN 2014. 39231445 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 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 1 240 1 1 1 0 0 0 0 0 0 0 0 0 X 5 5 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 1.00 0.00 X X 0 0 0 LARRY THORNHILL TREASURER - END 9/30 1.00 1.00 X X 0 0 0 MICHAEL LAWSON TREASURER 1.00 0.00 X X 0 0 0 GAIL MARSH BOARD VICE CHAIR 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 1.00 0.00 X 0 0 0 ROD CRANE PRESIDENT & CEO 40.00 40.00 X 298164 0 24610 TOM ALLENSTEIN CHIEF OPERATING OFFICER 40.00 0.00 X 176687 0 32152 JOHN LINDAMAN CFO 40.00 1.00 X 69711 0 4770 DAN SKIDMORE INTERIM CFO 40.00 0.00 X 105648 0 10475 LINDA HINES VP LEGAL AFFAIRS 40.00 0.00 X 130121 0 18986 DALE MUETZEL TRANSPORT NURSE 59.00 0.00 X 132396 0 8216 COLIN HENRY SAFETY DIRECTOR 40.00 0.00 X 126707 0 11948 LINDA BALDWIN TRANSPORT NURSE 58.50 0.00 X 134176 0 11968 TODD BAILEY VP OF DEVELOPMENT 40.00 0.00 X 118224 0 22566 CHARLES ANSLEY FORMER CFO 0.00 40.00 X 111823 0 0 1403657 0 145691 9 1 1 0 METRO AVIATION PO BOX 7008 SHREVEPORT LA 71137 HELICOPTER SERVICES 10689826 MIAMI VALLEY HOSPITAL PO BOX 932699 CLEVELAND OH 44193 HELICOPTER SERVICES 686388 MEDBILL RESOURCES 1866 WEST MAIN STREET NEWARK OH 43055 MEDICAL BILLING 266932 OSU EMERGENCY MEDICINE LLC 700 ACKERMAN ROAD COLUMBUS OH 43202 MEDICAL DIRECTOR 214561 4 10000 45155 55155 PATIENT SERVICES 621990 35058297 35058297 SERVICE FEE-GRMH 621990 1705722 1705722 SERVICE FEE-OSUH 621990 1081917 1081917 SERVICE FEE-AGMC 621990 840896 840896 SERVICE FEE- KH 621990 60000 60000 601418 601418 39348250 100768 100768 167980 164702 3278 3278 3278 3508266 3137253 371013 371013 371013 SALE OF JET FUEL 900099 188863 188863 MEDICAL RECORDS FEE 621300 58163 58163 MED GEAR SALES 453220 1781 1781 150456 150456 399263 40277727 39687569 1781 533222 57545 57545 817177 817177 10027285 9525921 501364 437017 415986 21031 1370476 1271801 98675 795046 737803 57243 130337 130337 51996 51996 51243 51243 250879 225791 25088 401320 401320 1662382 1496146 166236 201200 181080 20120 536959 483263 53696 152215 121772 30443 69332 69332 850421 765379 85042 386604 347943 38661 HELICOPTER 16035729 16035729 PROVISION FOR BAD DEBT 6447030 6447030 AMBULANCE & MICU EXPS 336227 336227 STAFF EXPENSES 233640 233640 152234 77737 74497 41454294 39231445 2222849 0 3859828 2263187 6362388 7136893 343782 370063 434682 347837 13042225 8545960 4380242 4496265 5756318 5985117 2497183 3606330 1569201 2004459 25203624 26210151 3126658 3920085 220000 220000 3346658 4140085 X 21856966 22070066 21856966 22070066 25203624 26210151 X -1176567 331604 1058063 X X 0 1 X 1 0 X 85559 79351 21582 42254 55155 283901 32238523 33294254 38201578 38090502 39687569 181512426 32324082 33373605 38223160 38132756 39742724 181796327 0 3730040 2570684 2426447 8727171 3730040 2570684 2426447 8727171 173069156 259022 172874 224508 190809 268748 1115961 259022 172874 224508 190809 268748 1115961 1202 1630 1455 4287 101373 312038 175871 321620 58163 969065 32685679 33860147 38624994 38645185 40069635 183885640 0.94120 0.95280 0.00610 0.00640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 114895 114895 1534252 766957 767295 2201979 1172096 1029883 5467332 3740648 1726684 3723767 2866259 857508 4496265 MEDCARE 3566030 F COOP HEALTH PARTNER 40300 F 3606330 OTHER RECEIVABLES 2004459 2004459 X PART X, LINE 2: FEDERAL INCOME TAX - THE INTERNAL REVENUE SERVICE HAS RULED THAT THE CORPORATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT AS OF JUNE 30, 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2011. 1 MEDEVAC FOUNDATION INTERNATIONAL 909 N WASHINGTON STREET STE 410 ALEXANDRIA VA 22314 542007236 501(C)(3) 53527 PLEDGES/GREAT AMERICAN SAFETY DRIVE/THE GIVING BACK PROGRAM 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 1 1 0 0 0 0 0 0 0 ROD CRANE PRESIDENT & CEO 240518 0 46479 0 11167 0 14766 0 9844 0 322774 0 0 0 TOM ALLENSTEIN CHIEF OPERATING OFFICER 153531 0 19426 0 3730 0 10055 0 22097 0 208839 0 0 0 CHARLES ANSLEY FORMER CFO 30054 0 0 0 81769 0 0 0 0 0 111823 0 0 0 PART I, LINES 4A-B CHARLES ANSLEY, CFO, WAS ENTITLED TO A SEVERANCE AGREEMENT EQUAL TO $81,769, WHICH EQUATES TO 6 MONTHS OF SALARY. UNUSED PAID TIME OFF, 6 MONTHS OF COBRA PAYMENTS, AND THE CASH SURRENDER VALUE OF HIS SPLIT DOLLAR LIFE INSURANCE POLICY REPRESENTS $30,054. THE SEVERANCE PAYMENT IS INCLUDED IN COMPENSATION REPORTED ON SCHEDULE J, PART II, COLUMN B(III). THE ORGANIZATION DID NOT MAKE CONTRIBUTIONS TO A 457(F) NON-QUALIFIED RETIREMENT PLAN FOR THE FOLLOWING OFFICERS DURING CALENDAR YEAR 2013: ROD CRANE: $0 TOM ALLENSTEIN: $0 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 AS WELL AS ONE CLASS B MEMBER WHO APPOINTS ONE BOARD MEMBER FOR A TOTAL OF FIVE 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 DIRECTOR OF FINANCIAL SERVICES REVIEWS THE CHECK REGISTER FOR ANY DISTRIBUTIONS TO DISQUALIFIED PERSONS. THESE DISTRIBUTIONS ARE THEN REVIEWED AND DETERMINED BY THE CFO. 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 2013. 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 1,075,668. GENERAL LEDGER K-1 MODIFICATION -17,605. 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 39128 17448 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 137242 RENTAL CONTRACT