STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

OHIO MEDICAL TRANSPORTATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
OHIO MEDICAL TRANSPORTATION INC (EIN 31-1428613)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201331359349301948
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T09:45:29-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311428613EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OHIO MEDICAL TRANSPORTATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOHIONameControl
Phone6147348001Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12827 WEST DUBLIN-GRANVILLE ROADAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43235ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAN SKIDMOREName
TitleCFOTitle
Phone6147348001Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
PTINP00366367PTIN
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1MEDFLIGHT MEDFLIGHT OF OHIOBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonROD CRANENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12827 WEST DUBLIN-GRANVILLE ROADAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43235ZIPCode
FieldValueIRS element (for citing)
Gross Receipts38922742GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MEDFLIGHT.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO CARE FOR AND TRANSPORT THE CRITICALLY ILL AND INJURED. MEDFLIGHT OPERATES 8 MEDICAL HELICOPTERS AND 3 MOBILE INTENSIVE CARE UNITS (MICU'S).ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees214TotalNbrEmployees
Total Nbr Volunteers5TotalNbrVolunteers
Total Gross UBI1455TotalGrossUBI
Net Unrelated Business Txbl Income-173NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year79351ContributionsGrantsPriorYear
Contributions Grants Current Year24582ContributionsGrantsCurrentYear
Program Service Revenue Prior Year33294254ProgramServiceRevenuePriorYear
Program Service Revenue CY38265807ProgramServiceRevenueCY
Investment Income Prior Year400029InvestmentIncomePriorYear
Investment Income Current Year272176InvestmentIncomeCurrentYear
Other Revenue Prior Year166070OtherRevenuePriorYear
Other Revenue Current Year130524OtherRevenueCurrentYear
Total Revenue Prior Year33939704TotalRevenuePriorYear
Total Revenue Current Year38693089TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year522726GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3700GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11825354SalariesEtcPriorYear
Salaries Etc Current Year12071347SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year19547938OtherExpensePriorYear
Other Expenses Current Year23635557OtherExpensesCurrentYear
Total Expenses Prior Year31896018TotalExpensesPriorYear
Total Expenses Current Year35710604TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2043686RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2982485RevenuesLessExpensesCY
Total Assets BOY18531906TotalAssetsBOY
Total Assets EOY21535245TotalAssetsEOY
Total Liabilities BOY3288795TotalLiabilitiesBOY
Total Liabilities EOY3102717TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15243111NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18432528NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO CARE FOR AND TRANSPORT THE CRITICALLY ILL AND INJURED.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense33931807Expense
Revenue38355615Revenue
DescriptionSEE SCHEDULE ODURING THE FISCAL YEAR ENDED 6/30/12, MEDFLIGHT TRANSPORTED 3,439 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 1,929 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 4,690,547 IN 2012.Description
Total Program Service Expense33931807TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees214NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAN SKIDMOREBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6147348001TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12827 WEST DUBLIN-GRANVILLE ROADAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43235ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LARRY ANSTINE
BOARD CHAIR1.00XX000
LARRY THORNHILL
BOARD VICE CHAIR1.00XX000
CHERIE GUSTER RN
BOARD MEMBER1.00X000
VINSON YATES
BOARD MEMBER1.00X000
GAIL MARSH
BD SECRETARY/TREASURER1.00XX000
ROD CRANE
PRESIDENT & CEO40.00X261254086572
CHARLES ANSLEY
CFO40.00X160271046764
TOM ALLENSTEIN
CHIEF CLINICAL OFFICER40.00X201456039156
LINDA HINES
RISK MANAGER40.00121963017917X
DALE MUETZEL
TRANSPORT RN36.0011361707097X
CHERYL SHOOP
BASE DIRECTOR40.0010359206732X
LINDA BALDWIN
TRANSPORT RN36.00124545012455X
KATHLEEN MONTGOMERY
TRANSPORT RN36.00118591021354X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1205289TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation238047TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OMNIFLIGHT HELICOPTERS INC
16415 ADDISON RDADDISONTX75001HELICOPTER LEASE6510327
METRO AVIATION INC
PO BOX 7008SHREVEPORTLA71137HELICOPTER LEASE4046563
AIR METHODS CORPS
PO BOX 172892DENVERCO80217HELICOPTER LEASE1238804
MIAMI VALLEY HOSPITAL
1 WYOMING STDAYTONOH45409BACKUP HELICOPTER SERVICE584340
CHASE EQUIPMENT FINANCE
CORPORATE PROCESSING DEPT 0993COLUMBUSOH43271HELICOPTER LEASE567241
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
All Other Contributions24582AllOtherContributions
Total Contributions24582TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICES6219903440903834409038
SERVICE FEE-GRMH62199017955001795500
SERVICE FEE-OSUH62199011388601138860
SERVICE FEE-AGMC621990795680795680
SERVICE FEE-MT. CARMEL6219906250062500

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column64229TotalRevenueColumn
Related Or Exempt Function Income64229RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue38265807TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column93435TotalRevenueColumn
Exclusion$93,435ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real110687Real
Personal20386Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real110646Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real41Real
Personal20386Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column20427TotalRevenueColumn
Related Or Exempt Function Income20390RelatedOrExemptFunctionIncome
Exclusion$37ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities241750Securities
Other55998Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other119007Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities241750Securities
Other-63009Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column178741TotalRevenueColumn
Exclusion$178,741ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
K-1 INCOME9000995092550925
SALE OF JET FUEL90009939224$39,224
MED GEAR SALES45322014551455

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column18493TotalRevenueColumn
Related Or Exempt Function Income18493RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue110097TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column38693089TotalRevenueColumn
Related Or Exempt Function Income38355615RelatedOrExemptFunctionIncome
Unrelated Business Revenue1455UnrelatedBusinessRevenue
Exclusion$311,437ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3700Total
Program Services3700ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total819623Total
Management And General819623ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8831560Total
Program Services8550099ProgramServices
Management And General281461ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total456386Total
Program Services450718ProgramServices
Management And General5668ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1251124Total
Program Services1222007ProgramServices
Management And General29117ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total712654Total
Program Services641389ProgramServices
Management And General71265ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total73028Total
Management And General73028ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total58950Total
Management And General58950ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total40369Total
Management And General40369ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total315702Total
Program Services284132ProgramServices
Management And General31570ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total309793Total
Program Services309793ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1324218Total
Program Services1191796ProgramServices
Management And General132422ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total167016Total
Program Services150314ProgramServices
Management And General16702ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total406034Total
Program Services365431ProgramServices
Management And General40603ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total123269Total
Program Services98615ProgramServices
Management And General24654ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total53814Total
Program Services53814ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total11Total
Program Services11ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total761436Total
Program Services685292ProgramServices
Management And General76144ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total327928Total
Program Services295135ProgramServices
Management And General32793ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
HELICOPTER1437629614376296
PROVISION FOR BAD DEBT46905474690547
AMBULANCE & MICU EXPS261805261805
STAFF EXPENSES197251197251

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total148090Total
Program Services103662ProgramServices
Management And General44428ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35710604Total
Program Services33931807ProgramServices
Management And General1778797ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3625309BOY
EOY3334326EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5352553BOY
EOY4814512EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2725751BOY
EOY5084940EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY371036BOY
EOY342058EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY318242BOY
EOY384806EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11048251LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6931890LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3673361BOY
EOY4116361EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY524360BOY
EOY450661EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY988945BOY
EOY1560492EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY952349BOY
EOY1447089EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18531906BOY
EOY21535245EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3068795BOY
EOY2733092EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY149625EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY220000BOY
EOY220000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3288795BOY
EOY3102717EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15243111BOY
EOY18432528EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15243111BOY
EOY18432528EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18531906BOY
EOY21535245EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2982485ReconcilationRevenueExpenses
Reconcilation Other Changes206932ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30819CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30231CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years85559CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year79351CurrentTaxYearMinus1Year
Current Tax Year21582CurrentTaxYear
Total247542Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35628871CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35062237CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32238523CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33294254CurrentTaxYearMinus1Year
Current Tax Year38201578CurrentTaxYear
Total174425463Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years150196CurrentTaxYearMinus4Years
Total150196Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35809886CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35092468CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32324082CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33373605CurrentTaxYearMinus1Year
Current Tax Year38223160CurrentTaxYear
Total174823201Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year2571290CurrentTaxYear
Total2571290Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year2571290CurrentTaxYear
Total2571290Total
FieldValueIRS element (for citing)
Public Support Total509172251911PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years374420CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years293986CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years259022CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year172874CurrentTaxYearMinus1Year
Current Tax Year224508CurrentTaxYear
Total1324810Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years374420CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years293986CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years259022CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year172874CurrentTaxYearMinus1Year
Current Tax Year224508CurrentTaxYear
Total1324810Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1850CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2377CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1202CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1630CurrentTaxYearMinus1Year
Current Tax Year1455CurrentTaxYear
Total8514Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years157714CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years97175CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years101373CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year312038CurrentTaxYearMinus1Year
Current Tax Year175871CurrentTaxYear
Total844171Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36343870CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35486006CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32685679CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33860147CurrentTaxYearMinus1Year
Current Tax Year38624994CurrentTaxYear
Total177000696Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97320PublicSupportPercentage509
Prior Year Support Percentage0.98840PriorYearSupportPercentage
Investment Income Percentage0.00750InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00760PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis112245OtherCostOrOtherBasis
Book Value112245BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1395683OtherCostOrOtherBasis
Depreciation601479Depreciation
Book Value794204BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1829017OtherCostOrOtherBasis
Depreciation904537Depreciation
Book Value924480BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis4743043OtherCostOrOtherBasis
Depreciation3014664Depreciation
Book Value1728379BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2968263OtherCostOrOtherBasis
Depreciation2411210Depreciation
Book Value557053BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4116361TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MEDCARE1507664F
COOP HEALTH PARTNER52828F
FieldValueIRS element (for citing)
Total Of Book Value Program Related1560492TotalOfBookValueProgramRelated

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionOTHER RECEIVABLESDescription
Book Value1447089BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1447089TotalBookValueOtherAssets

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationFEDERAL 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, 2012, 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, 2009.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROD CRANE
214686041763048050757770107950347826000
CHARLES ANSLEY
140782019489000321510146130207035000
TOM ALLENSTEIN
18196701948900029332098240240612000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE YEAR: CHARLES ANSLEY - $20,174 TOM ALLENSTEIN - $6,118Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ATHE 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 7BTHE CEOS OF THE TWO CLASS A MEMBERS APPROVE CERTAIN DECISIONS OF MEDFLIGHT.
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE DIRECTOR OF FINANCIAL SERVICES AND THE CFO REVIEW THE 990, AND COPIES ARE EMAILED TO THE BOARD, BEFORE THE CFO AUTHORIZES THE AUDITOR TO FILE ELECTRONICALLY.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE 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 DETERMING 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 2011.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -349,979. EQUITY SHARE IN MEDCARE RECORDED ON THE FINANCIAL STATEMENTS 556,911. TOTAL TO FORM 990, PART XI, LINE 5: 206,932.CHANGES IN NET ASSETS OR FUND BALANCES:
PART XII, LINE 2CTHE ENTIRE BOARD OVERSEES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1THE CENTER FOR MEDICAL TRANSPORT RESEARCH LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12865 W DUBLIN GRANVILLE RD SUITE 90AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43235ZIPCode
FieldValueIRS element (for citing)
EIN264265085EIN
Primary ActivitiesMEDICAL TRANSPORTATION RESEARCHPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Total Income-54609TotalIncome
EOY Assets9831EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OHIO MEDICAL TRANSPORTATION INCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CEMS OF OHIO INC (MEDCARE)BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13699 PARAGON DRAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43228ZIPCode
FieldValueIRS element (for citing)
EIN800249549EIN
Primary ActivitiesMEDICAL TRANSPORTATIONPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OHIO MEDICAL TRANSPORTATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1CEMS OF OHIO INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeATransactionType
Amount Involved74386AmountInvolved
Method Of Amt DeterminationRENTAL CONTRACTMethodOfAmtDetermination