2014-05-14T14:36:27-05:00 2013-06-30 381357951 PLANTE & MORAN PLLC 65 EAST STATE ST STE 600 COLUMBUS OH 43215 990 2012-07-01 311428613 OHIO MEDICAL TRANSPORTATION INC OHIO 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 JOHN LINDAMAN 6147348001 2014-05-14 1 BERNIE OSTROWSKI P00366367 6148493000 2012 2015-11-30 17:44:51Z MEDFLIGHT MEDFLIGHT OF OHIO ROD CRANE 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 39888089 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 5 228 5 322 -28 24582 42254 38265807 38112517 272176 188784 130527 376281 38693092 38719836 3700 0 0 0 12071347 12649102 0 0 0 23635557 23951969 35710604 36601071 2982488 2118765 21535245 25203624 3102717 3346658 18432528 21856966 X TO CARE FOR AND TRANSPORT THE CRITICALLY ILL AND INJURED. 0 0 34781206 0 38273092 DURING THE FISCAL YEAR ENDED 6/30/13, MEDFLIGHT TRANSPORTED 3,375 CRITICALLY ILL & INJURED PATIENTS BY HELICOPTER FROM ACCIDENT SCENES TO LEVEL 1 & 2 TRAUMA CENTERS OR FROM SMALLER COMMUNITY HOSPITALS TO LARGE TERTIARY CARE CENTERS TO RECEIVE SPECIALIZED CARE. AN ADDITIONAL 1,997 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 WITH PROVIDING CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER MEDFLIGHT'S CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE MEDFLIGHT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER MEDFLIGHT'S CHARITY CARE POLICY AGGREGATED APPROXIMATELY 5,521,000 IN 2013. 34781206 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 50 0 1 228 1 0 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 1.00 0.00 X X 0 0 0 LARRY THORNHILL 1.00 1.00 X X 0 0 0 CHERIE GUSTER RN 1.00 0.00 X 0 0 0 VINSON YATES 1.00 0.00 X 0 0 0 GAIL MARSH 1.00 1.00 X X 0 0 0 ROD CRANE 40.00 40.00 X 279705 0 28037 CHARLES ANSLEY 40.00 40.00 X 163896 0 35748 TOM ALLENSTEIN 40.00 0.00 X 167582 0 41019 LINDA HINES 40.00 0.00 X 123382 0 18639 DALE MUETZEL 40.00 0.00 X 138764 0 8588 CHERYL SHOOP 40.00 0.00 X 104894 0 6534 LINDA BALDWIN 40.00 0.00 X 106195 0 11665 TODD BAILEY 40.00 0.00 X 106034 0 21663 1190452 0 171893 8 0 1 0 METRO AVIATION PO BOX 7008 SHREVEPORT LA 71137 HELICOPTER SERVICES 10419468 MIAMI VALLEY HOSPITAL PO BOX 7130722 COLUMBUS OH 43271 HELICOPTER SERVICES 579140 MEDBILL RESOURCES 1866 W MAIN ST NEWARK OH 43055 MEDICAL BILLING 269615 OSU EMERGENCY MEDICINE LLC 700 ACKERMAN RD COLUMBUS OH 43202 MEDICAL DIRECTOR 207073 NATIONAL INTEROP 1301 5TH AVE SEATTLE WA 98101 RADIO AND RADAR MAINTENANCE 141483 10 11400 30854 42254 PATIENT SERVICES 621990 33761639 33761639 SERVICE FEE-GRMH 621990 1795500 1795500 SERVICE FEE-OSUH 621990 1138860 1138860 SERVICE FEE-AGMC 621990 855680 855680 SERVICE FEE-MT. CARMEL MED CTR 621990 57500 57500 503338 503338 38112517 93211 93211 75583 82826 -7243 -7243 -7243 1175090 5910 1085427 0 89663 5910 95573 95573 MEDICAL RECORD FEES 621300 210641 210641 SALE OF JET FUEL 900099 76844 76844 MED GEAR SALES 453220 322 322 95717 83731 11986 383524 38719836 38273092 322 404168 722026 722026 9247040 8784688 462352 562400 535335 27065 1270941 1179433 91508 846695 785733 60962 21574 21574 51996 51996 39500 39500 279461 251515 27946 330295 330295 1115583 1004026 111557 147131 132418 14713 477420 429678 47742 115255 92204 23051 55187 55187 6 6 783491 705142 78349 366898 330208 36690 HELICOPTER 14650051 14650051 PROVISION FOR BAD DEBT 4369060 4369060 MEDICAL SUPP & MINOR EQ 547001 547001 AMBULANCE & MICU EXPS 326780 326780 275280 272452 2828 36601071 34781206 1819865 0 3334326 3859828 4814512 4821144 5084940 6362388 342058 343782 384806 434682 12075780 7695538 4116361 4380242 450661 935174 1560492 2497183 1447089 1569201 21535245 25203624 2733092 3126658 149625 0 220000 220000 3102717 3346658 X 18432528 21856966 18432528 21856966 21535245 25203624 X 2118765 347773 957900 X X 0 1 X 1 0 X 30231 85559 79351 21582 42254 258977 35062237 32238523 33294254 38201578 38090502 176887094 35092468 32324082 33373605 38223160 38132756 177146071 0 3730040 2570684 6300724 3730040 2570684 6300724 170845347 293986 259022 172874 224508 190809 1141199 293986 259022 172874 224508 190809 1141199 2377 1202 1630 1455 6664 97175 101373 312038 175871 321620 1008077 35486006 32685679 33860147 38624994 38645185 179302011 0.95280 0.97320 0.00640 0.00750 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 114895 114895 1526992 690636 836356 1925000 1055459 869541 5250366 3368410 1881956 3258527 2581033 677494 4380242 MEDCARE 2490362 F COOP HEALTH PARTNER 6821 F 2497183 OTHER RECEIVABLES 1569201 1569201 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2013, 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, 2010. X X X 0 1 0 0 0 0 0 0 0 ROD CRANE 234817 0 34927 0 9961 0 14766 0 13271 0 307742 0 0 0 CHARLES ANSLEY 146194 0 14199 0 3503 0 20174 0 15574 0 199644 0 0 0 TOM ALLENSTEIN 150105 0 14599 0 2878 0 16174 0 24845 0 208601 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 2012: CHARLES ANSLEY: $4,133 TOM ALLENSTEIN: $15,732 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 DIRECTOR OF FINANCIAL SERVICES AND THE CFO REVIEW 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 2012. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: EQUITY SHARE IN MEDCARE RECORDED ON THE FINANCIAL STATEMENTS 982,698. INCOME FROM K-1 -24,798. PART XII, 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 12900 4764 N/A 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 1 0 0 0 0 0 0 0 CEMS OF OHIO INC A 127608 RENTAL CONTRACT