2024-05-15T09:27:58-05:00 2023-06-30 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2022-07-01 800249549 CEMS OF OHIO INC CEMS 6147156651 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 THOMAS ALLENSTEIN CEO/PRESIDENT 6147156651 2024-05-14 1 THOMAS ALLENSTEIN 999009999 1 AMY CIMINELLO P00796388 6148493000 2024-05-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MEDCARE AMBULANCE THOMAS ALLENSTEIN 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 23296749 0 X WWW.MEDCAREOHIO.ORG X 2008 OH TO PROVIDE MEDICAL AND NON-MEDICAL TRANSPORTATION AND... (CONTINUED ON SCHEDULE O) 4 4 633 5 0 0 3440031 0 15543963 23017879 11910 37107 132409 199263 19128313 23254249 0 0 0 0 16873283 20583206 0 0 0 15557357 15668505 32430640 36251711 -13302327 -12997462 10659981 9164767 18500694 30002942 -7840713 -20838175 TO PROVIDE MEDICAL AND NON-MEDICAL TRANSPORTATION AND EDUCATIONAL SERVICES IN THE MOST CARING AND PROFESSIONAL MANNER. 0 0 30390937 0 23217018 THE ORGANIZATION PROVIDED EMERGENCY AND NON-EMERGENCY AMBULANCE AND VAN TRANSPORTATION TO 57,925 PERSONS. INCLUDED IN THESE SERVICES ARE COSTS ASSOCIATED WITH PROVIDING CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER MEDCARE'S CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE MEDCARE 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 MEDCARE'S CHARITY CARE POLICY AGGREGATED APPROXIMATELY $130,000 FOR A COST OF APPROXIMATELY $50,000 IN FISCAL 2023. 30390937 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 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 0 1 0 0 0 1 17 0 1 633 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 X JOSEPH ABEL 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43225 ELIZABETH SEELY BOARD TREASURER 1.00 1.00 X X 0 0 0 THOMAS BLINCOE BOARD CHAIR 1.00 1.00 X X 0 0 0 MICHAEL LAWSON BOARD VICE CHAIR (PART YEAR) 1.00 1.00 X X 0 0 0 ARMIN RAHMANIAN BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 BRUCE HAGEN BOARD SECRETARY 1.00 1.00 X X 0 0 0 DR BRAD RAETZKE MEDICAL DIRECTOR 1.00 0.00 X 0 0 0 THOMAS ALLENSTEIN CEO 20.00 20.00 X 0 274033 31634 MIKE PERKINS COO 20.00 20.00 X 0 213152 53190 JENNIFER COSTELLO CFO (PART YEAR) 20.00 20.00 X 0 211958 43384 JOSEPH ABEL CFO (BEGAN JAN 2023) 20.00 20.00 X 0 0 0 CALVIN D AVERY ROAD SUPERVISOR 40.00 0.00 X 140392 0 7348 TY R CARNES ROAD SUPERVISOR 40.00 0.00 X 126204 0 18221 AARON J PARKS ROAD SUPERVISOR 40.00 0.00 X 130286 0 5205 BENJAMIN W HARR ROAD SUPERVISOR 40.00 0.00 X 124626 0 18896 JOHN S WILLIAMS ROAD SUPERVISOR 40.00 0.00 X 116974 0 16857 638482 699143 194735 9 0 1 0 QUICK MED CLAIMS PO BOX 5023 GREENSBURG PA 15601 BILLING SERVICES 866261 WF AUTOMOTIVE OF COLUMBUS 3900 W BROAD ST COLUMBUS OH 43228 VEHICLE REPAIR 151878 ZOLL MEDICAL CORPORATION 269 MILL RD CHELMSFORD MA 01824 EQUIPMENT MAINTENANCE 144362 ADVANCE AUTO PARTS 4200 SIX FORD RD RALEIGH NC 27609 VEHICLE REPAIR 135436 4 AMBULANCE TRANSPORT 621910 22996419 22996419 RENT INCOME-MEDFLIGHT 621990 13282 13282 SERVICE FEE-OH 621990 8178 8178 23017879 79607 42500 37107 37107 37107 STANDBY EVENTS 900099 199136 199136 EXPIRED DRUG SALES 900099 114 114 TAX REFUNDS 900099 10 10 3 3 199263 23254249 23217018 0 37231 16089639 15667462 422177 435281 407205 28076 3096802 2909187 187615 961484 899468 62016 27686 27686 72950 72950 1206797 972444 234353 26038 10042 15996 1562492 180639 1381853 149708 142368 7340 220776 206669 14107 19414 15156 4258 8265 8265 106414 5253 101161 1342596 1283790 58806 959346 911202 48144 PROVISION FOR BAD DEBT 4039728 4039728 GROUND TRANSPORTATION 2122613 2117262 5351 COMM CENTER EXPENSES 1153340 1153340 MEDICAL SUPPLIES 485537 483767 1770 2164805 139295 2025510 36251711 30390937 5860774 0 205091 100940 3993842 2581672 381470 431289 8630800 3878300 6076976 4752500 2602 1298366 10659981 9164767 15026900 26420535 556000 3473794 2617604 0 408803 18500694 30002942 X -7840713 -20838175 -7840713 -20838175 10659981 9164767 -12997462 0 X X 0 1 X 1 1 1 X 3440031 3440031 21326879 9752165 21416791 15654265 23217018 91367118 21326879 9752165 21416791 19094296 23217018 94807149 0 0 0 94807149 58203 58203 58203 58203 4154 548543 428 22107 124 575356 21389236 10300708 21417219 19116403 23217142 95440708 0.99340 0.99260 0.00060 0.00120 X PART III, SHORT YEAR EXPLANATION: THE 2019 AMOUNTS ARE BASED ON THE SHORT YEAR OF 1/1/2020 TO 6/30/2020. 300000 300000 1158805 244409 914396 7171995 3633891 3538104 4752500 RIGHT OF USE ASSET 400738 INTERCOMPANY RECEIVABLES 897628 1298366 LEASE LIABILITY 408803 408803 1 1 0 0 0 0 0 0 0 THOMAS ALLENSTEIN CEO 0 274033 0 0 0 0 0 4916 0 26718 0 305667 0 0 MIKE PERKINS COO 0 213152 0 0 0 0 0 9430 0 43760 0 266342 0 0 JENNIFER COSTELLO CFO (PART YEAR) 0 207978 0 0 0 3980 0 9239 0 34145 0 255342 0 0 PART I, LINE 3 CEMS OF OHIO INC RELIED ON A RELATED ORGANIZATION THAT USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT: -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B LINE 4A: JENNIFER COSTELLO RECEIVED SEVERANCE OF $3,980. LINE 4B: THE DEFERRED COMPENSATION PLAN IS AVAILABLE TO THE CEO, CFO, AND COO. ALL CONTRIBUTIONS TO THE PLAN ARE AT THE DISCRETION OF THE BOARD OF DIRECTORS. 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. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: EDUCATIONAL SERVICES IN THE MOST CARING AND PROFESSIONAL MANNER. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES MANAGEMENT DUTIES FIRST RESPONDERS, LLC AND DR. BRAD RAETZKE, THE MEDICAL DIRECTOR APPOINTED BY FIRST RESPONDERS, WHO HAVE INPUT IN THE OPERATIONS, INCLUDING REVIEW OF MEDICAL OUTCOMES AND PLANNING/ SUPERVISING DUTIES. THE MANAGEMENT FEE PAID TO FIRST RESPONDERS WAS $85,000. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER IS OHIO MEDICAL TRANSPORTATION, INC., DBA MEDFLIGHT. FORM 990, PART VI, SECTION A, LINE 7A MEDFLIGHT, THE SOLE MEMBER, HAS TWO CLASS A MEMBERS WHO EACH APPOINT TWO BOARD MEMBERS FOR MEDCARE. FORM 990, PART VI, SECTION A, LINE 7B THE CEOS OF THE TWO CLASS A MEMBERS CAN ONLY APPROVE DECISIONS TO APPOINT BOARD MEMBERS. 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 SENIOR ACCOUNTANT PREPARES INFORMATION FOR THE OUTSOURCED TAX FIRM WHO PREPARES THE TAX RETURNS FOR REVIEW. THE CONTROLLER AND THE CFO REVIEW THE RESULTING DRAFT 990. COPIES ARE EMAILED TO THE BOARD BEFORE THE CFO AUTHORIZES THE TAX FIRM 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, SENIOR EXECUTIVES, AND MEDICAL DIRECTORS COMPLETE A CONFLICT OF INTEREST STATEMENT ANNUALLY. AFTER THE CONFLICT OF INTEREST STATEMENTS ARE COMPLETED, THEY ARE REVIEWED BY IN-HOUSE LEGAL COUNSEL TO DETERMINE IF THERE ARE ANY CONFLICTS. DURING THE ACCOUNTS PAYABLE PROCESS THE CONTROLLER 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 CEO AND OFFICERS. OUTSIDE CONSULTING FIRMS PERFORM SALARY SURVEYS ONCE EVERY THREE YEARS FOR THE CEO AND EXECUTIVES TO PROVIDE SALARY RANGES. THIS SALARY SURVEY IS USED IN DETERMINING CEO AND EXECUTIVE COMPENSATION ADJUSTMENTS. IN ADDITION, THE ORGANIZATION DETERMINES COMPENSATION FOR THE CEO AND EXECUTIVES BY REVIEWING COMPENSATION AMOUNTS PAID TO OTHER HELICOPTER AND HOSPITALS' EXECUTIVES. DECISIONS REGARDING CHANGES IN THE CEO'S AND EXECUTIVES' COMPENSATION ARE DOCUMENTED IN THE MINUTES TO THE BOARD MEETING. THIS PROCESS WAS LAST COMPLETED IN 2020. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC WILL BE MADE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ENTIRE BOARD OVERSEES THE AUDIT. THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. OHIO MEDICAL TRANSPORTATION INC 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 311428613 MEDICAL TRANSPORTATION OH 501(C)(3) 10 N/A 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 1 1 1 1