2023-05-12T15:25:54-05:00 2022-06-30 593204548 JAMES MOORE & CO PL 2477 TIM GAMBLE PLACE SUITE 200 TALLAHASSEE FL 323084386 990 2021-07-01 593032613 FLORIDA HEALTHY KIDS CORPORATION FLOR 8507016114 1203 GOVERNORS SQUARE BLVD 400 TALLAHASSEE FL 323012961 JEFF DYKES CFO 8507016114 2023-05-08 1 JEFF DYKES 999009999 KEVIN WARREN P00642409 8503866184 2023-05-08 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z JEFF DYKES 1203 GOVERNORS SQUARE BLVD 400 TALLAHASSEE FL 323012961 285843939 0 X WWW.HEALTHYKIDS.ORG X 1990 FL TO ENSURE THE AVAILABILITY OF COMPREHENSIVE CHILD-CENTERED HEALTH INSURANCE COVERAGE THAT PROVIDES QUALITY HEALTHCARE SERVICES TO CHILDREN ELIGIBLE FOR MEDICAL ASSISTANCE UNDER TITLE XXI OF THE SOCIAL SECURITY ACT AND OTHERS. 11 11 29 17 0 0 266087491 206900218 75424348 77756097 281 607 960201 1187017 342472321 285843939 0 0 0 0 2891269 2641137 0 0 0 340124820 283632885 343016089 286274022 -543768 -430083 35987379 42681529 17983410 25131795 18003969 17549734 TO ENSURE THE AVAILABILITY OF COMPREHENSIVE CHILD-CENTERED HEALTH INSURANCE COVERAGE THAT PROVIDES QUALITY HEALTHCARE SERVICES TO CHILDREN ELIGIBLE FOR MEDICAL ASSISTANCE UNDER TITLE XXI OF THE SOCIAL SECURITY ACT AND OTHERS. 0 0 281998424 78943114 HEALTH AND DENTAL INSURANCE IS OFFERED TO SCHOOL-AGED CHILDREN WHO ARE NOT COVERED UNDER MEDICAID OR PRIVATE INSURANCE. APPROXIMATELY 137,028 CHILDREN WERE COVERED AS OF JUNE 30, 2022 IN ALL OF FLORIDA'S SIXTY-SEVEN COUNTIES. 3219396 FLORIDA HEALTHY KIDS PERFORMS STATUTORILY REQUIRED ADMINISTRATIVE FUNCTIONS RELATED TO THE STATE OF FLORIDA'S TITLE XXI AND OTHER PROGRAMS (CHILDREN'S MEDICAL SERVICES AND MEDIKIDS). THESE ADMINISTRATIVE DUTIES INCLUDE MEDICAID SCREENING, APPLICATION PROCESSING, AND ENROLLMENT AND RECORD KEEPING FUNCTIONS FOR THE STATE'S CMS AND MEDIKIDS PROGRAMS. THESE ADMINISTRATIVE DUTIES SERVICE APPROXIMATELY 19,628 CHILDREN. 285217820 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 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 0 0 0 0 1 18 0 1 29 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JEFF DYKES 8507016114 1203 GOVERNORS SQUARE BLVD 400 TALLAHASSEE FL 323012961 STEPHANIE HARIDOPOLOS MD CHAIR 3.00 X X 0 0 0 PETER CLAUSSEN DDS VICE CHAIR 1.00 X X 0 0 0 PHILIP BOYCE SECRETARY/TREASURER 2.00 X X 0 0 0 JOSE ARMAS MD DIRECTOR 1.00 X 0 0 0 PAUL BURNS EDD DIRECTOR 1.00 X 0 0 0 COMMISSIONER DAVE EGGERS DIRECTOR 1.00 X 0 0 0 ANDREA GARY DIRECTOR 1.00 X 0 0 0 SHEVAUN HARRIS DIRECTOR UNTIL AUGUST 2021 1.00 X 0 0 0 ROBERT KARCH MD MPH DIRECTOR 1.00 X 0 0 0 SIMONE MARSTILLER DIRECTOR 1.00 X 0 0 0 AMRA RESIC MD DIRECTOR 1.00 X 0 0 0 TOMMY SCHECHTMAN MD DIRECTOR UNTIL AUGUST 2021 1.00 X 0 0 0 LISA GWYNN DIRECTOR FROM AUGUST 2021-JUNE 2022 1.00 X 0 0 0 MAGGIE MICKLER DIRECTOR AS OF AUGUST 2021 1.00 X 0 0 0 JEFFREY DYKES CHIEF FINANCIAL OFFICER 40.00 X 151734 0 71173 AUSTIN NOLL CHIEF OPERATING OFFICER 40.00 X 124722 0 47560 GAVIN BURGESS CHIEF LEGAL OFFICER 40.00 X 110243 0 39346 ASHLEY CARR CHIEF MARKETING OFFICER 40.00 X 112148 0 27758 RYAN WEST CHIEF EXECUTIVE OFFICER 40.00 X 162662 0 45886 661509 0 231723 5 0 1 0 MERCER HEALTH & BENEFITS LLC PO BOX 100260 PASADENA CA 911890260 ACTUARIAL SERVICES 321497 DEAN MEAD EGERTON BLOODWORTH CAPOUAN 420 S ORANGE AVENUE SUITE 700 ORLANDO FL 32801 LEGAL SERVICES 167595 ERNST & YOUNG LLP PO BOX 933514 ATLANTA GA 31193 ACCOUNTING SERVICES 150000 3 206900218 206900218 PARTICIPANT INSURANCE 524292 77756097 77756097 77756097 607 607 MEDICAL LOSS REBATE INCOME 900099 850563 850563 MISCELLANEOUS INCOME 900099 336454 336454 1187017 285843939 78943114 0 607 904646 904646 1205295 1205295 166017 166017 242026 242026 123153 123153 194119 194119 98049 98049 432731 432731 1336355 1044100 292255 121993 119808 2185 86442 86442 3978 3978 23625 23450 175 29427 23840 5587 23357 23357 174815 174815 29976 29976 PREMIUM - DENTAL & MEDI 264251068 264251068 RECORDS ADMINISTRATION 16223895 15467895 756000 EVALUATION 603055 603055 286274022 285217820 1056202 0 33704158 39528990 2067296 2111722 3493 4024 68862 105883 454330 352865 143570 101465 829445 35987379 42681529 4396401 3731357 12893884 11600385 693125 9800053 17983410 25131795 X 0 0 0 0 18003969 17549734 18003969 17549734 35987379 42681529 -430083 -24152 0 X X 0 1 X 1 1 1 X 347036172 378835945 325270572 266087491 206900218 1524130398 347036172 378835945 325270572 266087491 206900218 1524130398 1524130398 37180 281 607 38068 800000 70954 156859 960201 1187017 3175031 1527343497 227014430 0.99790 0.99220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 154115 94184 59931 300215 258681 41534 101465 DUE TO THE STATE OF FLORIDA 8928454 LEASE LIABILITY 871599 9800053 X 285843939 0 285843939 0 285843939 286274022 0 286274022 0 286274022 PART X, LINE 2: THE CORPORATION HAS REVIEWED AND EVALUATED THE RELEVANT TECHNICAL MERITS OF EACH OF ITS TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT WOULD HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. X 1 1 X 0 0 0 0 0 0 0 0 0 JEFFREY DYKES CHIEF FINANCIAL OFFICER 145584 0 3750 0 2400 0 24276 0 46897 0 222907 0 0 0 RYAN WEST CHIEF EXECUTIVE OFFICER 150762 0 9500 0 2400 0 25908 0 19978 0 208548 0 0 0 AUSTIN NOLL CHIEF OPERATING OFFICER 118572 0 3750 0 2400 0 20808 0 26752 0 172282 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 AND ACCOMPANYING SCHEDULES ARE PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE CHIEF FINANCIAL OFFICER AND STAFF REVIEW FORM 990 AND ACCOMPANYING SCHEDULES. ALL QUESTIONS AND ISSUES ARE RESOLVED WITH THE INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE CENTER. IN ADDITION, THE BOARD RECEIVES A COMPLETE COPY OF THE FORM 990 BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE MEMBERS OF THE BOARD OF DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY. THE CORPORATION'S CHIEF LEGAL OFFICER WILL RESOLVE ANY CONFLICTS OR POTENTIAL CONFLICTS. THE CLO WILL DECIDE THE APPROPRIATE LEGAL STEPS TO TAKE. FORM 990, PART VI, SECTION B, LINE 15 THE CORPORATION PREPARES A COMPENSATION STUDY BASED ON GUIDESTAR, IRS FORM 990, AND FLORIDA STATE EMPLOYEE COMPENSATION DATA FOR COMPARABLE ENTITIES FOR ALL OFFICERS AND MANAGEMENT OF THE CORPORATION TO ENSURE COMPENSATION IS REASONABLE BASED ON INDUSTRY STANDARDS OF DUE DILLIGENCE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THREE MOST RECENT YEARS OF FINANCIAL STATEMENTS AND FORM 990S AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED.