2022-09-15T14:03:13-05:00 2021-12-31 475324570 INSERO & CO CPAS LLP 20 THORNWOOD DRIVE ITHACA NY 14850 990 2021-01-01 161427751 MERCY FLIGHT CENTRAL INC MERC 5853960584 2420 BRICKYARD ROAD CANANDAIGUA NY 14424 MARY COVLEY CFO 5853960584 2022-09-14 1 MARY COVLEY XXX-XX-XXXX DUANE SHOEN P00503316 6072724444 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MARY COVLEY 2420 BRICKYARD ROAD CANANDAIGUA NY 14424 19061936 0 X MERCYFLIGHTCENTRAL.ORG X 1992 NY AN INDEPENDENT, NON PROFIT ORGANIZATION OF AIR MEDICAL PROFESSIONALS, DEVOTED TO INTEGRITY, COMPASSION, AND EXCELLENCE, PROVIDING CRITICAL CARE TO THE SICK AND INJURED. 14 13 90 23 172944 0 4731756 6108007 9304067 10724843 58255 272297 119639 172944 14213717 17278091 0 0 0 0 5411892 5814492 0 0 456637 4224571 5945964 9636463 11760456 4577254 5517635 14339659 19946556 284584 454019 14055075 19492537 AN INDEPENDENT, NON PROFIT ORGANIZATION OF AIR MEDICAL PROFESSIONALS, DEVOTED TO INTEGRITY, COMPASSION, AND EXCELLENCE, PROVIDING CRITICAL CARE TO THE SICK AND INJURED. 0 0 10178891 10724843 TO PROVIDE EMERGENCY MEDICAL HELICOPTER SERVICES, INCLUDING ON THE SCENE RESPONSE AND HOSPITAL TRANSFERS 10178891 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 12 0 90 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X THE ORGANIZATION 5853960584 2420 BRICKYARD ROAD CANANDAIGUA NY 14424 X JEFFREY BARTKOSKI PRESIDENT & CEO 40.00 X X 155104 0 4962 DANIEL MULLER CHIEF PILOT 40.00 X 149776 0 849 JOSEPH PACIELLO CLINICAL SUPERVISOR/FLIGHT 40.00 X 128716 0 4584 JOE WLOSTOWSKI CLINICAL SUPERVISOR/FLIGHT 40.00 X 119109 0 4304 SHAWN DILLON BASE SUPERVISOR/FLIGHT NURSE 40.00 X 114838 0 4234 CONNOR MILLER FLIGHT NURSE/FLIGHT PARAMEDIC 40.00 X 111815 0 8652 MARY COVLEY CFO 40.00 X 91474 0 2585 RICHARD BURKE CHAIR 2.00 X X 0 0 0 MARISA GEITNER VICE CHAIR 2.00 X X 0 0 0 STEVEN KUBIAK TREASURER 2.00 X X 0 0 0 BRETT FARROW DIRECTOR/SECRETARY 2.00 X X 0 0 0 KYLE EDKIN SECRETARY (PART YEAR) 2.00 X X 0 0 0 CHRIS GALTON CHIEF MEDICAL OFFICER 2.00 X X 0 0 0 MARK GESTRING DIRECTOR 1.00 X 0 0 0 MICHAEL STAPLETON JR DIRECTOR 1.00 X 0 0 0 CHRIS KROLAK DIRECTOR 1.00 X 0 0 0 CRAIG WELKER DIRECTOR 1.00 X 0 0 0 DUSTIN RICCIO DIRECTOR 1.00 X 0 0 0 VIRGINIA CLARK DIRECTOR 1.00 X 0 0 0 KIM ALLEN DIRECTOR 1.00 X 0 0 0 KEVIN HILL DIRECTOR 1.00 X 0 0 0 870832 0 30170 12 0 1 0 0 56025 288148 3064946 2698888 512078 6108007 FLIGHT PATIENT REVENUE 621990 10584057 10584057 CONTRACT REVENUE 900099 75000 75000 OTHER PROGRAM REVENUE 900099 65786 65786 10724843 109041 109041 1598234 7400 1441688 690 156546 6710 163256 163256 78771 288148 78771 0 435640 262696 172944 172944 17278091 10724843 172944 272297 254125 190594 50825 12706 4826348 3965292 626302 234754 76431 61144 11465 3822 256189 208515 31846 15828 401399 330595 53818 16986 16938 16938 43920 43920 757518 713225 44293 63221 50858 12363 400000 166156 173182 60662 81635 81635 847788 822354 16956 8478 575002 511752 28750 34500 NYS CT-13 FILING FEE 250 250 BAD DEBT 1696440 1663293 33147 EQUIPMENT AND VEHICLE 958994 939748 19180 66 FUEL 244340 244340 259918 229390 7203 23325 11760456 10178891 1124928 456637 1427572 1077156 178509 530362 913864 1589205 2723265 2198082 491712 540254 503138 504793 14713937 5652564 5178143 9061373 2923456 4445331 14339659 19946556 284584 454019 284584 454019 X 12992093 17737320 1062982 1755217 14055075 19492537 14339659 19946556 5517635 -80173 0 X X 0 1 X 1 0 X 1789036 1700106 1770007 4731756 6108007 16098912 1789036 1700106 1770007 4731756 6108007 16098912 883849 15215063 22799 41803 47539 63186 109041 284368 25047 25047 16408327 49613007 0.92730 0.90600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1051238 127145 924093 80561 67191 13370 13415292 5301315 8113977 166846 156913 9933 9061373 17608685 -80173 69300 -10873 17619558 -341467 -341467 17278091 12171223 69300 69300 12101923 -341467 -341467 11760456 PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES -78,771. DIRECT COST OF GOODS SOLD -262,696. PART XII, LINE 4B - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES -78,771. DIRECT COST OF GOODS SOLD -262,696. GOLF TOURNAMENT 30520 19142 11378 4140 6260 196 782 TASTE FOR THE RACE 334689 267296 67393 25600 33263 2045 6485 365209 286438 78771 29740 39523 2241 7267 78771 0 X X 0 0 0 0 0 1 0 1 0 JEFFREY BARTKOSKI PRESIDENT & CEO 141879 0 13225 0 0 0 4554 0 408 0 160066 0 0 0 DANIEL MULLER CHIEF PILOT 148890 0 886 0 0 0 0 0 849 0 150625 0 0 0 PART I, LINE 3 COMPENSATION FOR THE PRESIDENT/CEO IS DETERMINED, BY TWO DIFFERENT INDIVIDUALS, USING COMPARABLE INFORMATION FROM THE INTERNET, AND IS APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. THE COMMITTEE RECOMMENDS THE COMPENSATION AMOUNT TO THE BOARD OF DIRECTORS, WHICH HAS FINAL APPROVAL. PART I, LINE 6 A PORTION OF THE PRESIDENT/CEO'S BONUS IS CONTINGENT UPON NET EARNINGS OF THE ORGANIZATION. PART I, LINE 7 A PORTION OF THE PRESIDENT/CEO'S BONUS IS CONTINGENT UPON THE ORGANIZATION ACHIEVING PERFORMANCE THRESHOLDS IN MEDICAL CARE AND COMPLETING PARTICIPATING PROVIDER NETWORK AGREEMENTS WITH HEALTH INSURANCE COMPANIES. X 5 509942 FAIR MARKET VALUE X FURNITURE 4 1200 FAIR MARKET VALUE X COMPUTER EQUIPMENT 1 936 FAIR MARKET VALUE 0 1 0 PART I, COLUMN (B): PART I COLUMN B: NUMBER OF CONTRIBUTIONS RECEIVED FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE PRESIDENT/CEO, CFO AND FINANCE OFFICE PERSONNEL, AND IS THEN SUBMITTED TO THE MEMBERS OF THE AUDIT COMMITTEE FOR REVIEW. ANY CORRECTIONS/QUESTIONS ARE FORWARDED TO THE PREPARER. THE REVISED FORM 990 IS THEN SUBMITTED TO THE AUDIT COMMITTEE FOR FINAL REVIEW. AFTER ALL ARE IN AGREEMENT, THE FORM 990 IS SUBMITTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ANNUALLY COLLECTS ALL SIGNED CONFLICT OF INTEREST STATEMENTS AND REVIEWS ALL BUSINESS TRANSACTIONS TO ENSURE THAT THE POLICY IS COMPLIED WITH. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE PRESIDENT/CEO IS DETERMINED, BY TWO DIFFERENT INDIVIDUALS, USING COMPARABLE INFORMATION FROM THE INTERNET, AND IS APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. THE COMMITTEE RECOMMENDS THE COMPENSATION AMOUNT TO THE BOARD OF DIRECTORS, WHICH HAS FINAL APPROVAL. WHEN DETERMINING COMPENSATION FOR OFFICERS AND KEY EMPLOYEES, THE ORGANIZATION USES INTERNET DATA BASED ON COMPARABLE JOB CATEGORY AND DESCRIPTION. EMPLOYEES RECEIVE ANNUAL REVIEWS WITH HUMAN RESOURCES, THE CEO/PRESIDENT, PROGRAM DIRECTOR AND IMMEDIATE SUPERVISOR, DEPENDING ON THE POSITION. REVIEWS MUST BE APPROVED BY THE CEO/PRESIDENT AND BOARD OF DIRECTORS. 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, PAGE 9, PART VIII, LINE 1E: IN RESPONSE TO THE FINANCIAL EFFECTS RESULTING FROM THE COVID-19 CORONAVIRUS OUTBREAK, THE ORGANIZATION APPLIED FOR A LOAN THROUGH THE PAYCHECK PROTECTION PROGRAM (PPP) UNDER THE CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY ACT (CARES ACT). THE ORGANIZATION RECEIVED THE LOAN FUNDING ON FEBRUARY 8, 2021 FOR $1,036,782. UNDER THE PROVISIONS OF THE PPP, THE LOAN MAY BE FORGIVEN AS LONG AS THE PROCEEDS ARE USED FOR CERTAIN ELIGIBLE COSTS DURING THE 24-WEEK PERIOD FOLLOWING RECEIPT OF FUNDING. ON NOVEMBER 8, 2021 THE ORGANIZATION RECEIVED CONFIRMATION FROM THE SMALL BUSINESS ADMINISTRATION THAT THE PPP LOAN WAS FORGIVEN IN FULL. AS SUCH, THE ORGANIZATION HAS REPORTED THE LOAN AS A GOVERNMENT GRANT ON THIS RETURN. FORM 990, PAGE 12, PART XII, LINE 2C: THE PROCESS FOR AUDIT OVERSIGHT AND AUDITOR SELECTION HAS NOT CHANGED FROM THE PRIOR YEAR. MERCY FLIGHT CENTRAL HOLDING LLC 2420 BRICKYARD ROAD CANANDAIGUA NY 14424 474228980 HOLDING NY 1544718 8720345 MERCY FLIGHT CENTRAL MFC FOUNDATION LLC 2420 BRICKYARD ROAD CANANDAIGUA NY 14424 383972658 FUNDRAISING NY 3305499 11131083 MERCY FLIGHT CENTRAL MFC AVIATION SERVICES LLC 2420 BRICKYARD ROAD CANANDAIGUA NY 14424 811853464 FIXED BASE OPERATOR NY 487212 386024 MERCY FLIGHT CENTRAL