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 311428613 OHIO MEDICAL TRANSPORTATION INC OHIO 6147348001 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 THOMAS ALLENSTEIN CEO/PRESIDENT 6147348001 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 MEDFLIGHT MEDFLIGHT OF OHIO THOMAS ALLENSTEIN 2827 WEST DUBLIN-GRANVILLE ROAD COLUMBUS OH 43235 49093703 0 X WWW.MEDFLIGHT.COM X 1995 OH TO PROVIDE CUSTOMER FOCUSED MEDICAL TRANSPORTATION SOLUTIONS. MEDFLIGHT OPERATES 11 MEDICAL HELICOPTERS AND PROVIDES CLINICAL CRITICAL CARE CREW SERVICES TO THIRD PARTY PROVIDERS OF GROUND TRANSPORTATION SERVICES. 4 4 296 5 0 0 2625342 9881 48024564 47909038 2211442 8248 713497 1112994 53574845 49040161 0 0 0 0 18468503 19393527 0 0 0 30134291 28609084 48602794 48002611 4972051 1037550 50468936 63276931 18710723 17942982 31758213 45333949 X TO CARE FOR AND TRANSPORT THE CRITICALLY ILL AND INJURED. 0 1 47590390 0 49018630 DURING THE FISCAL YEAR ENDED 6/30/23, MEDFLIGHT TRANSPORTED 4,003 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 471 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 SERVICES 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 $2,080,000 FOR A COST OF APPROXIMATELY $640,000 IN FISCAL 2023. 47590390 1 0 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 33 0 1 296 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 43235 ELIZABETH SEELY BOARD VICE CHAIR 1.00 1.00 X X 0 0 0 HEATHER BRANDON BOARD CHAIR 1.00 1.00 X X 0 0 0 JOHN LINDAMAN BOARD SECRETARY 1.00 1.00 X X 0 0 0 MICHAEL LAWSON BOARD CHAIR (PART YEAR) 1.00 1.00 X X 0 0 0 ARMIN RAHMANIAN BOARD TREASURER 1.00 1.00 X X 0 0 0 DR ASHLEY LARRIMORE MEDICAL DIRECTOR 1.00 0.00 X 0 0 0 THOMAS ALLENSTEIN CEO 20.00 20.00 X 274033 0 31634 MIKE PERKINS COO 20.00 20.00 X 213152 0 53190 JENNIFER COSTELLO CFO (PART YEAR) 20.00 20.00 X 211958 0 43384 JOSEPH ABEL CFO (BEGAN JAN 2023) 20.00 20.00 X 0 0 0 GREGORY SCHANO ROTOR NURSE 40.00 0.00 X 167899 0 13877 JASON PIERCE ROTOR NURSE 40.00 0.00 X 190393 0 26569 TODD BAILEY VP OF DEVELOPMENT 40.00 0.00 X 147871 0 7260 DAVID EVANS ROTOR NURSE 40.00 0.00 X 148575 0 26749 DALE MUETZEL ROTOR NURSE 40.00 0.00 X 146115 0 12567 1499996 0 215230 27 0 1 0 METRO AVIATION PO BOX 7008 SHREVEPORT LA 71137 HELICOPTER SERVICES 16890698 AIR METHODS CORPORATION PO BOX 713362 CINCINNATI OH 45271 HELICOPTER SERVICES 382560 MEDBILL RESOURCES 1866 W MAIN STREET NEWARK OH 43055 MEDICAL BILLING 255255 OSU EMERGENCY MEDICINE LLC 700 ACKERMAN RD STE 630 COLUMBUS OH 43202 MEDICAL DIRECTOR 135105 THINKCSC 7420 WORTHINGTON GALENA RD WORTHINGTON OH 43085 IT CONSULTING 125367 6 131 9750 9881 PATIENT SERVICES 621990 40315151 40315151 SERVICE FEE-OH 621990 3335147 3335147 SERVICE FEE-OSUH 621990 2173725 2173725 DISPATCHING SERVICE 621990 1179255 1179255 SERVICE FEE- KH 621990 806226 806226 99534 99534 47909038 8248 8248 54504 53542 962 962 962 MEDICAL TRANSPORTS 480000 897917 897917 SALE OF JET FUEL 900099 200213 200213 AFFILIATE MEMBERSHIP REVENUE 900099 10500 10500 3402 3402 1112032 49040161 49018630 0 11650 860052 860052 14808295 13872301 935994 779825 581519 198306 1767222 1542005 225217 1178133 1004123 174010 22803 22803 72100 72100 20 20 1046371 845366 201005 88853 84479 4374 982162 697689 284473 333670 308088 25582 625829 506570 119259 88322 74320 14002 51500 879 50621 372347 372347 2164562 2020405 144157 307114 284726 22388 HELICOPTER 18328875 18328875 PROVISION FOR BAD DEBT 6815907 6815907 STAFF EXPENSES 164574 133299 31275 GROUND TRANSPORTATION 69788 117472 -47684 -2925713 20 -2925733 48002611 47590390 412221 0 4400614 4507847 6818453 6791088 485625 517477 296199 691639 29505620 16578232 14988992 12927388 2501 2831 9250000 9250000 14226552 28588661 50468936 63276931 4161946 4347852 3530286 10641651 8880883 376840 4714247 18710723 17942982 X 31758213 45333949 31758213 45333949 50468936 63276931 X 1037550 38186 12500000 X X 0 1 X 1 1 1 X 169 809402 2873 2625342 9881 3447667 40901505 43695218 46960280 48687041 49017668 229261712 40901674 44504620 46963153 51312383 49027549 232709379 0 2438924 2015810 1566166 4479558 4842287 15342745 2438924 2015810 1566166 4479558 4842287 15342745 217366634 261586 182696 172133 102944 62752 782111 261586 182696 172133 102944 62752 782111 796 1349944 50393 3402 1404535 41164056 46037260 47135286 51465720 49093703 234896025 0.92540 0.92990 0.00330 0.00420 X 861559 804962 56597 2433599 2059657 373942 24439980 12028834 12411146 1770482 1684779 85703 12927388 INVESTMENT IN MEDCARE 9250000 C 9250000 OTHER RECEIVABLES 1027762 SUPPLEMENTAL RETIREMENT PLAN 421433 INTERCOMPANY RECEIVABLES 22891443 RIGHT OF USE ASSET 4248023 28588661 ACCRUED SUPPLEMENTAL RETIREMENT PLAN- LT 421433 LEASE LIABILITY 4292814 4714247 X X X 1 1 0 0 0 0 0 0 0 THOMAS ALLENSTEIN CEO 274033 0 0 0 0 0 4916 0 26718 0 305667 0 0 0 MIKE PERKINS COO 213152 0 0 0 0 0 9430 0 43760 0 266342 0 0 0 JENNIFER COSTELLO CFO (PART YEAR) 207978 0 0 0 3980 0 9239 0 34145 0 255342 0 0 0 JASON PIERCE ROTOR NURSE 190393 0 0 0 0 0 5874 0 20695 0 216962 0 0 0 GREGORY SCHANO ROTOR NURSE 167899 0 0 0 0 0 6461 0 7416 0 181776 0 0 0 DAVID EVANS ROTOR NURSE 148575 0 0 0 0 0 6142 0 20607 0 175324 0 0 0 DALE MUETZEL ROTOR NURSE 146115 0 0 0 0 0 5543 0 7024 0 158682 0 0 0 TODD BAILEY VP OF DEVELOPMENT 147871 0 0 0 0 0 6076 0 1184 0 155131 0 0 0 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 III, LINE 3 AS OF NOVEMBER 2022, NEARLY ALL MEDFLIGHT (MF) GROUND SERVICES WERE TRANSITIONED TO MEDCARE (MC). MEDCARE OWNS THE TRUCKS, PROVIDES THE DRIVER, BILLS MEDICARE/CAID/INSURANCE. MEDFLIGHT PROVIDES CLINICAL CREW. MEDCARE PAYS MEDFLIGHT $475/TRIP. MF USED TO HAVE GROUND VOLUME OF ITS OWN AND PERFORM VETTED PROVIDER TRIPS FOR 3RD PARTIES. EVENTUALLY, MEDCARE REPLACED MF ON ALL OF ITS GROUND VOLUME. AS OF 9/23, MEDCARE HAS REPLACED ALL BUT 1 3RD PARTY GROUND PROVIDER FOR MEDFLIGHT. AS OF END OF FY23, MEDFLIGHT HAS NO GROUND VOLUME OF ITS OWN AND THE REMAINING MICU TRUCKS NOT TRANSFERRED DURING FY23 WERE TRANSFERRED TO MEDCARE DURING FY24. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES MANAGEMENT DUTIES TO OHIO STATE UNIVERSITY (OSU) AND DR. ASHLEY LARRIMORE, THE MEDICAL DIRECTOR OSU APPOINTED, WHO HAVE INPUT IN THE OPERATIONS, INCLUDING REVIEW OF MEDICAL OUTCOMES AND PLANNING/ SUPERVISING DUTIES. THE MANAGMENT FEE PAID TO OSU WAS $135,105. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO CLASS A MEMBERS THAT CAN APPOINT TWO VOTING MEMBERS AND AN AFFILIATE MEMBER THAT DOES NOT HAVE RIGHTS TO APPOINT A VOTING OR NON-VOTING MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS TWO CLASS A MEMBERS WHO EACH APPOINT TWO BOARD MEMBERS. 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 THE ORGANIZATION DOES NOT MAKE THESE ITEMS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CAPITAL CONTRIBUTION FROM AFFILIATE 12,500,000. PART XI, LINE 2C THE ENTIRE BOARD OVERSEES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CEMS OF OHIO INC (MEDCARE) 3699 PARAGON DR COLUMBUS OH 43228 800249549 MEDICAL TRANSPORTATION OH 501(C)(3) 10 OHIO MEDICAL TRANSPORTATION INC 1 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 1 1