Civic Intelligence

North Flight Aero Med

990 • Fiscal year 2023 • EIN 47-5508608

Jan 01, 2023 to Dec 31, 2023 • Filed on Oct 17, 2024

100 Corewell Dr NW Attn Tax Mc6Grand Rapids, MI 49503

(866) 989-7999

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

58th percentile

0.26x

Higher debt load relative to assets than 58% of similar nonprofits.

2023 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2023

Liabilities / Revenue

70th percentile

0.56x

Higher debt load relative to revenue than 70% of similar nonprofits.

2023 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2023

Net Margin

14th percentile

-18%

Higher net margin than 14% of similar nonprofits.

2023 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2023

Top Officer Pay

14th percentile

$0

Higher top officer pay than 14% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2023 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2023

Asset Growth

7th percentile

-11%

Faster asset growth than 7% of similar nonprofits.

2023 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2022 to 2023

Revenue Growth

36th percentile

-1.3%

Faster revenue growth than 36% of similar nonprofits.

2023 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2022 to 2023

Assets

Down

$18,803,485

Down $2,359,856 (-11%) from 2022

Net Assets

Down

$13,920,917

Down $1,558,814 (-10%) from 2022

Liabilities

Down

$4,882,568

Down $801,042 (-14%) from 2022

Revenue

Down

$8,688,773

Down $111,128 (-1.3%) from 2022

Expenses

Up

$10,247,587

Up $865,205 (+9.2%) from 2022

Net Income

Down

-$1,558,814

Down $976,333 (-168%) from 2022

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0-$10MAssets 2016: $613,706Liabilities 2016: $1,010,446Net Assets 2016: -$396,7402016Assets 2017: $8,045,032Liabilities 2017: $1,222,331Net Assets 2017: $6,822,7012017Assets 2018: $10,629,046Liabilities 2018: $1,172,279Net Assets 2018: $9,456,7672018Assets 2019: $12,415,666Liabilities 2019: $1,845,879Net Assets 2019: $10,569,7872019Assets 2020: $13,301,109Liabilities 2020: $1,776,473Net Assets 2020: $11,524,6362020Assets 2021: $16,988,926Liabilities 2021: $926,714Net Assets 2021: $16,062,2122021Assets 2022: $21,163,341Liabilities 2022: $5,683,610Net Assets 2022: $15,479,7312022Assets 2023: $18,803,485Liabilities 2023: $4,882,568Net Assets 2023: $13,920,9172023Assets 2024: $18,967,993Liabilities 2024: $4,499,623Net Assets 2024: $14,468,3702024

Highlighted filing

2023

Assets$18,803,485
Liabilities$4,882,568
Net Assets$13,920,917

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2016: $0Expenses 2016: $397,240Net Income 2016: -$397,2402016Revenue 2017: $4,806,881Expenses 2017: $6,871,940Net Income 2017: -$2,065,0592017Revenue 2018: $7,535,429Expenses 2018: $7,821,720Net Income 2018: -$286,2912018Revenue 2019: $10,174,944Expenses 2019: $9,385,829Net Income 2019: $789,1152019Revenue 2020: $9,696,522Expenses 2020: $8,659,789Net Income 2020: $1,036,7332020Revenue 2021: $9,587,543Expenses 2021: $9,049,967Net Income 2021: $537,5762021Revenue 2022: $8,799,901Expenses 2022: $9,382,382Net Income 2022: -$582,4812022Revenue 2023: $8,688,773Expenses 2023: $10,247,587Net Income 2023: -$1,558,8142023Revenue 2024: $12,133,300Expenses 2024: $11,585,847Net Income 2024: $547,4532024

Highlighted filing

2023

Revenue$8,688,773
Expenses$10,247,587
Net Income-$1,558,814
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Oct 17, 2024
Return Version
2023v5.1
Gross Receipts
$9,417,017
Mission and Program Overview

Mission

North Flight Aero Med was established to fulfill a critical gap in access to health care in the northern lower peninsula and upper peninsula of Michigan through provision of critical care air transport services.

Improving access to care by providing critical care air transport services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$14,192,315$14,119,597▼ $72,718
Savings and Temporary Cash Investments$5,087,038$2,203,895▼ $2,883,143
Accounts Receivable$989,599$1,551,569▲ $561,970
Prepaid Expenses and Deferred Charges$460,408$536,916▲ $76,508
Inventories for Sale or Use$295,128$310,364▲ $15,236
Total Assets$21,163,341$18,803,485▼ $2,359,856
Other Assets Total$138,853$81,144▼ $57,709
Liabilities
Unsecured Notes Loans Payable$4,357,864$3,914,261▼ $443,603
Other Liabilities$798,781$838,626▲ $39,845
Accounts Payable and Accrued Expenses$526,965$129,681▼ $397,284
Total Liabilities$5,683,610$4,882,568▼ $801,042
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$15,479,731$13,920,917▼ $1,558,814
Total Net Assets Fund Balance$15,479,731$13,920,917▼ $1,558,814
Total Liabilities and Net Assets / Fund Balance$21,163,341$18,803,485▼ $2,359,856

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$12,071,228$1,940,190$14,011,418
Buildings$1,648,761$928,037$2,576,798
Land$250,000-$250,000
Other Land Buildings$149,608-$149,608
Compensation and Service Providers

Board Members and Trustees

NameTitle
Andrea LeslieDirector Part Year/president Py
Christine Nefcy MdDirector Part Year/president Py
Matt WilleDirector Part Year/president Py
David LeonardDirector
Aditya Neravetla MdDirector Part Year
Chad TuttleDirector Part Year
Heather LalloDirector Part Year
Paul KonopackiDirector Part Year
Shari WilsonDirector Part Year
Rick SchuitemaDirector Part Year/secy/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Corewell HealthContracted Staff/mgmt. Services100 COREWELL DR NW MC6481, Grand Rapids, MI 49503$4,617,093
Flight Safety InternationalFlight Saftey Training2805 AIRPORT DRIVE, Vero Beach, FL 32960$325,052
Jet Support Services INCAviation Services180 N STETSON AVE, Chicago, IL 60601$323,631
Mobile Medical Response INCBilling & Collection Services4305 STATE STREET, Saginaw, MI 48603$201,231
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$8,535,771
Investment Income
$151,676
Other Revenue
$1,326
Change in Net Assets
$-1,558,814
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$10,247,587
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$4,353,747$462,380-$4,816,127
Occupancy$1,297,816$13,547-$1,311,363
Depreciation Depletion$906,664$9,464-$916,128
Insurance$651,332--$651,332
Conferences and Meetings$264,257--$264,257
Interest$156,012--$156,012
Travel$109,952--$109,952
Office Expenses$50,868$12,717-$63,585
Other Expenses$52,307--$52,307
Information Technology$18,634$2,070-$20,704
All Other Expenses$18,825--$18,825
Fees for Services Legal-$2,396-$2,396
Advertising$2,132--$2,132
Total Functional Expenses$9,745,013$502,574$0$10,247,587
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Members$697,895
Long Term Lease Liabilities$140,731
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 3

The organization has a management services agreement with corewell health. Corewell health provides personnel and services to lead, manage, and operate north flight aero med's air ambulance program and related operations as directed by north flight aero med's board of directors. Services provided include direct management of north flight aero med's business, financial matters, personnel, and the provision of clinical services and communication center services.

Form 990, Part VI, Section A, line 6

The organization has two members as follows: - north flight, inc. (ein 38-2657917) (50%), a michigan nonprofit corporation; - corewell health grand rapids hospitals fka spectrum health hospitals (ein 38-1360529) (50%), a michigan nonprofit corporation. Both members are tax-exempt under internal revenue code 501(c)(3).

Form 990, Part VI, Section A, line 7A

The members (see form 990, part vi, line 6) of the organization appoint all members of the board of directors, with each member entitled to appoint three directors.

Form 990, Part VI, Section A, line 7B

Unless otherwise noted below, the members (see form 990, part vi, line 6) of the organization have the reserved powers set forth below, and shall not be deemed authorized unless and until approved by the members: - the dissolution of the corporation; - merger or consolidation of the corporation; - an amendment to the articles or these bylaws; - conversion of the corporation; - the sale, exchange, lease, or other transfer of all or substantially all of the assets of the corporation, other than in the ordinary course of business; - appointment and election of directors; - change in number of directors; - removal of any director; - establishing from time to time levels of approval authority for the directors of the corporation and approve any transactions and expenditures exceeding the established authority for the directors; - approval of the mission and vision statements for the corporation and ensuring compliance with the corporation's philosophy, mission, and vision; - approval of the strategic plan and capital and operating budgets of the corporation; - approval of annual operating and capital budgets recommended by the directors; and - approval of any mandatory contribution of capital recommended by the directors.

Form 990, Part VI, Section A, line 8B

The organization has no committees with authority to act on behalf of the governing body.

Form 990, Part VI, Section B, line 11B

A copy of the form 990 is provided to the board of directors prior to filing. The review process for this form 990 is as follows: 1. The tax return is prepared and reviewed by the corporate tax department of one of the members. 2. The return is reviewed by the organization's treasurer and shared with the members of the board of directors. 3. The organization's treasurer reviews comments or questions received by members of the board of directors, if any, to address or to incorporate, as appropriate, into the return prior to filing.

Form 990, Part VI, Section B, line 12C

As part of the compliance program at north flight aero med, education, monitoring and enforcement specific to the conflict of interest policy ("coi") and processes are provided. Education regarding coi is provided to all staff and the board on an annual basis. Annually each nfam board member and the program director are required to complete a conflict of interest disclosure/questionnaire. The responses to the disclosure/questionnaire are reviewed by the compliance department and if necessary the compliance committee. Any financial arrangements/potential conflicts identified through the disclosure/questionnaires are presented to legal counsel for review. When an action item is considered by a board member which involves a potential conflict by a board member, the conflict is disclosed and a board member may make a presentation, but shall leave the meeting during discussion and will abstain from a vote on the action item, and, in addition, the board chair has the discretion/authority to request that the conflicted board member be excused from the meeting for an opportunity for the board to discuss the matter without the presence of the conflicted board member. Excerpt from the conflict of interest policy duty to disclose conflict prior to board or committee consideration: in connection with any actual or possible conflict of interest and in addition to the annual statement disclosures set forth in article vi below, an interested person must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of committees with governing board delegated powers considering the proposed transaction or arrangement. Determining whether a conflict of interest exists: after disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the governing board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. Procedures for addressing the conflict of interest: - an interested person may make a presentation at the governing board or committee meeting, but after the presentation, he/she shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement involving the possible conflict of interest. - the chairperson of the governing board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. - after exercising due diligence, the governing board or committee shall determine whether the organization can obtain with reasonable efforts a more advantageous transaction or arrangement from a person or entity that would not give rise to a conflict of interest. - if a more advantageous transaction or arrangement is not reasonably possible under circumstances not producing a conflict of interest, the governing board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in the organization's best interest, for its own benefit, and whether it is fair and reasonable. In conformity with the above determination it shall make its decision as to whether to enter into the transaction or arrangement. Violations of the conflicts of interest policy: - if the governing board or committee has reasonable cause to believe a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. - if, after hearing the member's response and after making further investigation as warranted by the circumstances, the governing board or committee determines the member has failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and

Form 990, Part VI, Section C, line 19

The organization's articles of incorporation have been provided to the state of michigan and are available to the public on the state's website. The organization's bylaws and internal policies are generally not made available to the public.

Filing and Contact Details

Filer

Filer Name
North Flight Aero Med
EIN
47-5508608
Phone
8669897999
Address
100 COREWELL DR NW ATTN TAX MC6, GRAND RAPIDS, MI 49503

Signing Officer

Name
Rick Schuitema
Title
Secretary/treasurer
Phone
8669897999
Signed
2024-10-17

Organization Details

Principal Officer
Andrea Leslie
Formed
2015
Legal Domicile
Mi
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
10
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

OTHER PURCHASED SERVICES: Program service expenses 3,955,214. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,955,214. NONCLINICAL PURCHASED SERVICES: Program service expenses 2,303. Management and general expenses 462,380. Fundraising expenses 0. Total expenses 464,683. CLINICAL PURCHASED SERVICES: Program service expenses 389,198. Management and general expenses 0. Fundraising expenses 0. Total expenses 389,198. COLLECTION AGENCY FEES: Program service expenses 7,032. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,032.

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IRS990/Desc0NORTH FLIGHT AERO MED: SEE SCH OBASED IN TRAVERSE CITY, MICHIGAN, A NORTH FLIGHT AERO MED TEAM, OPERATED BY COREWELL HEALTH, CAN BE AIRBORNE WITHIN MINUTES TO TRANSPORT A PATIENT FROM AN EMERGENCY SCENE OR TO TRANSFER THEM BETWEEN MEDICAL FACILITIES. THE KING AIR B200 AIRPLANE, OPERATED BY NORTH FLIGHT EMS, CAN TRANSPORT PATIENTS ANYWHERE WITHIN THE CONTINENTAL UNITED STATES.THE PRIMARY RESPONSE TEAMS INCLUDE PILOTS, REGISTERED NURSES AND FLIGHT PARAMEDICS WHO SPECIALIZE IN TRANSPORTING AND TREATING CRITICALLY ILL AND INJURED PATIENTS. ALL TEAM MEMBERS ARE CERTIFIED IN ADVANCED CARDIAC LIFE SUPPORT (ACLS), PEDIATRIC (PALS), NEONATAL (NRP), AND TRAUMA CARE.THE JOINT VENTURE PARTNERS OF NORTH FLIGHT AERO MED HAVE BEEN ACCREDITED FOR CRITICAL CARE AIR TRANSPORTATION BY THE COMMISSION ON THE ACCREDITATION OF MEDICAL TRANSPORT SYSTEM (CAMTS). THIS MEANS THAT THE HIGHEST STANDARDS IN BOTH THE MEDICAL AND AVIATION INDUSTRIES HAVE BEEN MET.NORTH FLIGHT AERO MED ("NFAM") IS A JOINT VENTURE BETWEEN TWO CHARITABLE IRC 501(C)(3) HEALTH CARE ORGANIZATIONS (COREWELL HEALTH GRAND RAPIDS HOSPITALS FKA SPECTRUM HEALTH HOSPITALS AND NORTH FLIGHT, INC.) WHO HAVE COME TOGETHER TO PROVIDE CRITICAL CARE AIR TRANSPORT SERVICES TO PROVIDE INCREASED ACCESS TO CARE IN THE NORTHERN LOWER PENINSULA AND UPPER PENINSULA OF MICHIGAN.THE GEOGRAPHIC AREA IN WHICH NFAM PROVIDES SERVICES IS PREDOMINANTLY RURAL, WITH MANY RESIDENTS WHO ARE LOCATED MORE THAN 30 MINUTES AWAY FROM ANY HOSPITAL. NFAM PROVIDES A SERVICE WHEREBY PERSONS REQUIRING EMERGENCY MEDICAL TREATMENT IN THIS GEOGRAPHIC AREA CAN BE TRANSPORTED TO THE NEAREST APPROPRIATE MEDICAL FACILITY AS QUICKLY AS POSSIBLE AND IS THE ONLY PROVIDER OF CRITICAL CARE AIR TRANSPORT SERVICES IN NORTHERN MICHIGAN. THE SERVICES ARE AVAILABLE TO ALL PERSONS IN NEED OF SUCH SERVICES, REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR SUCH SERVICE.
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IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0OTHER OPERATING INCOME - 2023 Amount: $ 1,326.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part III, Line 12, Explanation of Other Income:
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0697895
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1140731
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO MEMBERS
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1LONG TERM LEASE LIABILITIES
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS A MANAGEMENT SERVICES AGREEMENT WITH COREWELL HEALTH. COREWELL HEALTH PROVIDES PERSONNEL AND SERVICES TO LEAD, MANAGE, AND OPERATE NORTH FLIGHT AERO MED'S AIR AMBULANCE PROGRAM AND RELATED OPERATIONS AS DIRECTED BY NORTH FLIGHT AERO MED'S BOARD OF DIRECTORS. SERVICES PROVIDED INCLUDE DIRECT MANAGEMENT OF NORTH FLIGHT AERO MED'S BUSINESS, FINANCIAL MATTERS, PERSONNEL, AND THE PROVISION OF CLINICAL SERVICES AND COMMUNICATION CENTER SERVICES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION HAS TWO MEMBERS AS FOLLOWS: - NORTH FLIGHT, INC. (EIN 38-2657917) (50%), A MICHIGAN NONPROFIT CORPORATION; - COREWELL HEALTH GRAND RAPIDS HOSPITALS FKA SPECTRUM HEALTH HOSPITALS (EIN 38-1360529) (50%), A MICHIGAN NONPROFIT CORPORATION. BOTH MEMBERS ARE TAX-EXEMPT UNDER INTERNAL REVENUE CODE 501(C)(3).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE MEMBERS (SEE FORM 990, PART VI, LINE 6) OF THE ORGANIZATION APPOINT ALL MEMBERS OF THE BOARD OF DIRECTORS, WITH EACH MEMBER ENTITLED TO APPOINT THREE DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3UNLESS OTHERWISE NOTED BELOW, THE MEMBERS (SEE FORM 990, PART VI, LINE 6) OF THE ORGANIZATION HAVE THE RESERVED POWERS SET FORTH BELOW, AND SHALL NOT BE DEEMED AUTHORIZED UNLESS AND UNTIL APPROVED BY THE MEMBERS: - THE DISSOLUTION OF THE CORPORATION; - MERGER OR CONSOLIDATION OF THE CORPORATION; - AN AMENDMENT TO THE ARTICLES OR THESE BYLAWS; - CONVERSION OF THE CORPORATION; - THE SALE, EXCHANGE, LEASE, OR OTHER TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS; - APPOINTMENT AND ELECTION OF DIRECTORS; - CHANGE IN NUMBER OF DIRECTORS; - REMOVAL OF ANY DIRECTOR; - ESTABLISHING FROM TIME TO TIME LEVELS OF APPROVAL AUTHORITY FOR THE DIRECTORS OF THE CORPORATION AND APPROVE ANY TRANSACTIONS AND EXPENDITURES EXCEEDING THE ESTABLISHED AUTHORITY FOR THE DIRECTORS; - APPROVAL OF THE MISSION AND VISION STATEMENTS FOR THE CORPORATION AND ENSURING COMPLIANCE WITH THE CORPORATION'S PHILOSOPHY, MISSION, AND VISION; - APPROVAL OF THE STRATEGIC PLAN AND CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; - APPROVAL OF ANNUAL OPERATING AND CAPITAL BUDGETS RECOMMENDED BY THE DIRECTORS; AND - APPROVAL OF ANY MANDATORY CONTRIBUTION OF CAPITAL RECOMMENDED BY THE DIRECTORS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING. THE REVIEW PROCESS FOR THIS FORM 990 IS AS FOLLOWS: 1. THE TAX RETURN IS PREPARED AND REVIEWED BY THE CORPORATE TAX DEPARTMENT OF ONE OF THE MEMBERS. 2. THE RETURN IS REVIEWED BY THE ORGANIZATION'S TREASURER AND SHARED WITH THE MEMBERS OF THE BOARD OF DIRECTORS. 3. THE ORGANIZATION'S TREASURER REVIEWS COMMENTS OR QUESTIONS RECEIVED BY MEMBERS OF THE BOARD OF DIRECTORS, IF ANY, TO ADDRESS OR TO INCORPORATE, AS APPROPRIATE, INTO THE RETURN PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6AS PART OF THE COMPLIANCE PROGRAM AT NORTH FLIGHT AERO MED, EDUCATION, MONITORING AND ENFORCEMENT SPECIFIC TO THE CONFLICT OF INTEREST POLICY ("COI") AND PROCESSES ARE PROVIDED. EDUCATION REGARDING COI IS PROVIDED TO ALL STAFF AND THE BOARD ON AN ANNUAL BASIS. ANNUALLY EACH NFAM BOARD MEMBER AND THE PROGRAM DIRECTOR ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE/QUESTIONNAIRE. THE RESPONSES TO THE DISCLOSURE/QUESTIONNAIRE ARE REVIEWED BY THE COMPLIANCE DEPARTMENT AND IF NECESSARY THE COMPLIANCE COMMITTEE. ANY FINANCIAL ARRANGEMENTS/POTENTIAL CONFLICTS IDENTIFIED THROUGH THE DISCLOSURE/QUESTIONNAIRES ARE PRESENTED TO LEGAL COUNSEL FOR REVIEW. WHEN AN ACTION ITEM IS CONSIDERED BY A BOARD MEMBER WHICH INVOLVES A POTENTIAL CONFLICT BY A BOARD MEMBER, THE CONFLICT IS DISCLOSED AND A BOARD MEMBER MAY MAKE A PRESENTATION, BUT SHALL LEAVE THE MEETING DURING DISCUSSION AND WILL ABSTAIN FROM A VOTE ON THE ACTION ITEM, AND, IN ADDITION, THE BOARD CHAIR HAS THE DISCRETION/AUTHORITY TO REQUEST THAT THE CONFLICTED BOARD MEMBER BE EXCUSED FROM THE MEETING FOR AN OPPORTUNITY FOR THE BOARD TO DISCUSS THE MATTER WITHOUT THE PRESENCE OF THE CONFLICTED BOARD MEMBER. EXCERPT FROM THE CONFLICT OF INTEREST POLICY DUTY TO DISCLOSE CONFLICT PRIOR TO BOARD OR COMMITTEE CONSIDERATION: IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND IN ADDITION TO THE ANNUAL STATEMENT DISCLOSURES SET FORTH IN ARTICLE VI BELOW, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS: AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST: - AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. - THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. - AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. - IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY: - IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. - IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE ORGANIZATION'S ARTICLES OF INCORPORATION HAVE BEEN PROVIDED TO THE STATE OF MICHIGAN AND ARE AVAILABLE TO THE PUBLIC ON THE STATE'S WEBSITE. THE ORGANIZATION'S BYLAWS AND INTERNAL POLICIES ARE GENERALLY NOT MADE AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8OTHER PURCHASED SERVICES: Program service expenses 3,955,214. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,955,214. NONCLINICAL PURCHASED SERVICES: Program service expenses 2,303. Management and general expenses 462,380. Fundraising expenses 0. Total expenses 464,683. CLINICAL PURCHASED SERVICES: Program service expenses 389,198. Management and general expenses 0. Fundraising expenses 0. Total expenses 389,198. COLLECTION AGENCY FEES: Program service expenses 7,032. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,032.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section A, line 7b

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