SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
OHIO MEDICAL TRANSPORTATION INC
 
Employer identification number

31-1428613
Return Reference Explanation
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: MEDFLIGHT OPERATES 9 MEDICAL HELICOPTERS AND 4 MOBILE INTENSIVE CARE UNITS (MICU'S).
FORM 990, PART III, LINE 4A: THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER MEDFLIGHT'S CHARITY CARE POLICY AGGREGATED APPROXIMATELY $3.7M FOR A COST OF APPROXIMATELY $1.3M IN FISCAL 2020.
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 FINANCIAL REPORTING COORDINATOR AND PAYROLL SPECIALIST PREPARE INFORMATION AND THE CFO AND FINANCIAL REPORTING COORDINATOR REVIEW THE RESULTING DRAFT 990. COPIES ARE EMAILED TO THE BOARD BEFORE THE CFO AUTHORIZES THE AUDITOR 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 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 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: EQUITY SHARE IN MEDCARE RECORDED ON THE FS 91,915. CAPITAL CONTRIBUTION FROM AFFILIATE 3,700,000.
PART XI, LINE 2C THE ENTIRE BOARD OVERSEES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


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