STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HEALTH CHOICE NETWORK OF FLORIDA INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HEALTH CHOICE NETWORK OF FLORIDA INC (EIN 65-0504316)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-07-08
IRS object ID
202231899349300203
Schema version
2020v4.1
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)
Return2022-07-08T05:34:41-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WITHUMSMITHBROWNPCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 S ORANGE AVESTE 1200AddressLine1Txt
CityORLANDOCityNm
State AbbreviationFLStateAbbreviationCd
ZIP328013400ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN650504316EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH CHOICE NETWORK OF FLORIDA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% RICK FRIEDFELDInCareOfNm
Business Name ControlHEALBusinessNameControlTxt
Phone3055991015PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19064 NORTHWEST 13 TERRACEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33172ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALEJANDRO ROMILLOPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone3055591015PhoneNum
Signature2022-03-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstALEJANDROPersonFirstNm
Person LastROMILLOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIK A HALLUSKA CPAPreparerPersonNm
PTINP01954172PTIN
Phone4078491569PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALEJANDRO ROMILLOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19064 NORTHWEST 13 TERRACEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33172ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$36,515,514GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HCNETWORK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH STATUS OF OUR COMMUNITIES THROUGH THE PROVISION OF HIGH-QUALITY, AFFORDABLE, CARE TO UNDERSERVED INDIVIDUALS & FAMILIES THROUGH OUR NETWORK OF PROVIDERS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee55TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,827,100PYContributionsGrantsAmt
CY Contributions Grants$3,414,185CYContributionsGrantsAmt
PY Program Service Revenue$27,825,855PYProgramServiceRevenueAmt
CY Program Service Revenue$29,607,303CYProgramServiceRevenueAmt
PY Investment Income$1,106,898PYInvestmentIncomeAmt
CY Investment Income$1,143,295CYInvestmentIncomeAmt
PY Other Revenue$2,063,005PYOtherRevenueAmt
CY Other Revenue$2,350,731CYOtherRevenueAmt
PY Total Revenue$32,822,858PYTotalRevenueAmt
CY Total Revenue$36,515,514CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,088,871PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,321,691CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$25,713,587PYOtherExpensesAmt
CY Other Expenses$26,586,096CYOtherExpensesAmt
PY Total Expenses$31,802,458PYTotalExpensesAmt
CY Total Expenses$33,907,787CYTotalExpensesAmt
PY Revenues Less Expenses$1,020,400PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,607,727CYRevenuesLessExpensesAmt
Total Assets BOY$38,124,240TotalAssetsBOYAmt
Total Assets EOY$43,571,889TotalAssetsEOYAmt
Total Liabilities BOY$9,686,438TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,521,054TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$28,437,802NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$34,050,835NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE HEALTH STATUS OF OUR COMMUNITIES THROUGH THE PROVISION OF HIGH-QUALITY, AFFORDABLE, COMMUNITY BASED HEALTH CARE TO UNDERSERVED INDIVIDUALS AND FAMILIES WHILE PROVIDING SUPPORT AND PARTNERSHIPS WITH OUR NETWORK OF PROVIDERS. OUR INTENTION IS TO SUPPORT A MEDICAL HOME FOR OUR MEMBERS THAT ENSURES ACCESS TO CARE, QUALITY SERVICES AND A COMPASSIONATE UNDERSTANDING OF THEIR NEEDS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$11,435,753ExpenseAmt
Revenue$11,318,821RevenueAmt
DescMANAGED CARE - PROVIDES HEALTHCARE MANAGEMENT TO THE HMO ASSIGNED MEMBERS AND MANAGED MEDICAID PREPAID OUTPATIENT MENTAL HEALTH SERVICES FOR PARTICIPATING MEMBER CENTERS TO ENSURE PROPER UTILIZATION OF HEALTHCARE IN THE MANAGED CARE ENVIRONMENT. THIS PROGRAM INCLUDES CREDENTIALING, CENTRALIZED REFERRALS FOR CENTER HMO CONTRACTS. THE MANAGED CARE UNIT ALSO PROVIDES SUPPORT TO SHARED CLINICAL COMMITTEE COLLABORATIVE SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$11,811,895ExpenseAmt
Revenue$11,823,096RevenueAmt
DescFISCAL/MIS INTEGRATION - PROVIDE FISCAL MANAGEMENT INFORMATION SYSTEM SERVICES FOR MEMBER CENTERS. PRIMARY SERVICES INCLUDE OPERATING A CENTRALIZED MIS DEPARTMENT (HARDWARE AND SOFTWARE), AND SHARING OF CHIEF FINANCIAL OFFICER AND CHIEF INFORMATION OFFICER SERVICES THROUGH INTEGRATED ACTIVITIES OF THE CENTERS FINANCE AND IT DEPARTMENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,226,212ExpenseAmt
Revenue$6,055,385RevenueAmt
DescREVENUE CYCLE MANAGEMENT - PROVIDES BILLING AND PAYMENT POSTING SERVICES FOR MEMBER CENTERS THAT HAVE ELECTED TO PARTICIPATE. THE REVENUE CYCLE MANAGEMENT OFFICE IS RESPONSIBLE FOR LIMITED CREDENTIALING SERVICES AND MOST ASPECTS OF THE BILLING AND COLLECTION OF PATIENT CHARGES ON BEHALF OF THE CENTERS, WHICH INCLUDES THE FOLLOW-UP ACCOUNTS RECEIVABLE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,073,926TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$410,001TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$29,547,786TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document22IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee55EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRICK FRIEDFELDPersonNm
Phone3055991015PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19064 NORTHWEST 13 TERRACEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33172ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ALEJANDRO M ROMILLO
PRESIDENT AND CEO40.00.0Yes (X)$688,688$0$80,582
RICK FRIEDFIELD
CHIEF FINANCIAL OFFICER40.00.0Yes (X)$394,589$0$73,472
BLANCA MARGARITA OLLET
CHIEF OPERATING OFFICER40.00.0Yes (X)$356,294$0$63,848
MEREDITH HUGHES MARSH
QUALITY IMPROVEMENT OFFICER40.00.0Yes (X)$260,023$0$48,410
MAYLEE SANCHEZ
CHIEF INFORMATION OFFICER0.040.0Yes (X)$0$256,214$11,418
TERISA A JAMES
DIR OF COMM INIT & FUND DEVLP40.00.0$206,649$0$40,814Yes (X)
RICARDO GOMEZ
DIRECTOR OF MEMBER POPULATION40.00.0$184,390$0$30,419Yes (X)
COLLETTE A REECE
DIR. OF MEMBER FINANCIAL SVCS.40.00.0$169,290$0$42,539Yes (X)
RENE OLAVARRIETA
DIRECTOR OF PERFORMANCE MGMT40.00.0$165,862$0$36,484Yes (X)
HIRUT KASSAYE
MEMBER QUALITY OUTCOMES DIRECT40.00.0$121,100$0$50,520Yes (X)
ROSALYN FRAZIER
DIRECTOR1.01.0$0$0$0Yes (X)
BAKARI F BURNS
IMMEDIATE PAST CHAIR1.01.0$0$0$0Yes (X)
MARIO JARDON
DIRECTOR1.00.0$0$0$0Yes (X)
FRANK MAZZEO MD
CHAIR1.01.0Yes (X)$0$0$0Yes (X)
ANNIE NEASMAN
SECRETARY1.01.0Yes (X)$0$0$0Yes (X)
CLAUDIO M PEREZ
VICE CHAIR1.00.0Yes (X)$0$0$0Yes (X)
MARK RABINOWITZ MD
DIRECTOR1.00.0$0$0$0Yes (X)
DEANNA WARREN
DIRECTOR1.00.0$0$0$0Yes (X)
ELODIE DORSO
TREASURER1.01.0Yes (X)$0$0$0Yes (X)
BRODES HARTLEY JR
DIRECTOR1.01.0$0$0$0Yes (X)
SHERRY HOBACK RN
DIRECTOR1.00.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,546,885TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$256,214TotReportableCompRltdOrgAmt
Total Other Compensation$478,506TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ALTRUIS
9420 BUNSEN PARKWAY STE 204LOUISVILLEKY40220MEDICAL BILLING$248,906
CANTON COMPANY
2700 LIGHTHOUSE POINT EAST STE 220BALTIMOREMD21224CONSULTING$282,041
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$2,608,222GovernmentGrantsAmt
All Other Contributions$805,963AllOtherContributionsAmt
Total Contributions$3,414,185TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MANAGED CARE524298$11,318,821$11,318,821
MEMBER SERVICES561000$17,878,481$17,878,481
MEMBERSHIP DUES561000$410,001$410,001
FieldValueIRS element (for citing)
Total Program Service Revenue$29,607,303TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,143,295TotalRevenueColumnAmt
Exclusion$1,143,295ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCONTRACT SERVICESDesc
Total Revenue Column$2,350,731TotalRevenueColumnAmt
Related Or Exempt Func Income$2,350,731RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,350,731OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,515,514TotalRevenueColumnAmt
Related Or Exempt Func Income$31,958,034RelatedOrExemptFuncIncomeAmt
Exclusion$1,143,295ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,705,685TotalAmt
Program Services$879,762ProgramServicesAmt
Management And General$825,923ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,521,621TotalAmt
Program Services$2,368,031ProgramServicesAmt
Management And General$2,153,590ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$195,947TotalAmt
Program Services$74,904ProgramServicesAmt
Management And General$121,043ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$528,407TotalAmt
Program Services$292,011ProgramServicesAmt
Management And General$236,396ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$370,031TotalAmt
Program Services$228,921ProgramServicesAmt
Management And General$141,110ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,095TotalAmt
Program Services$198ProgramServicesAmt
Management And General$3,897ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$44,458TotalAmt
Management And General$44,458ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$90,361TotalAmt
Management And General$90,361ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,855,835TotalAmt
Program Services$16,727,526ProgramServicesAmt
Management And General$128,309ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$35,637TotalAmt
Program Services$23,071ProgramServicesAmt
Management And General$12,566ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$160,292TotalAmt
Program Services$136,087ProgramServicesAmt
Management And General$24,205ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$101,530TotalAmt
Management And General$101,530ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,628TotalAmt
Program Services$5,836ProgramServicesAmt
Management And General$15,792ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$79,035TotalAmt
Program Services$20,354ProgramServicesAmt
Management And General$58,681ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$71,875TotalAmt
Management And General$71,875ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$319,673TotalAmt
Program Services$75,485ProgramServicesAmt
Management And General$244,188ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$84,231TotalAmt
Management And General$84,231ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CAPITATION AND SHARED RISK$8,715,600$8,715,600
OTHER EXPENSES$1,846$1,846

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,907,787TotalAmt
Program Services$29,547,786ProgramServicesAmt
Management And General$4,360,001ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,521,846BOYAmt
EOY$12,325,141EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$235,245BOYAmt
EOY$326,360EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,989,166BOYAmt
EOY$1,410,161EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$204,449BOYAmt
EOY$325,330EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,912,416LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$663,608LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,568,481BOYAmt
EOY$6,248,808EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$18,858,677BOYAmt
EOY$22,330,723EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$746,376BOYAmt
EOY$605,366EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$38,124,240BOYAmt
EOY$43,571,889EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,793,835BOYAmt
EOY$2,820,377EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,817,634BOYAmt
EOY$3,956,814EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$4,074,969BOYAmt
EOY$2,743,863EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,686,438BOYAmt
EOY$9,521,054EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,437,802BOYAmt
EOY$34,050,835EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,437,802BOYAmt
EOY$34,050,835EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,124,240BOYAmt
EOY$43,571,889EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,607,727ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,005,306NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,218,125CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,942,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,101,477CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,827,100CurrentTaxYearMinus1YearAmt
Current Tax Year$3,414,185CurrentTaxYearAmt
Total$11,503,831TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,218,125CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,942,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,101,477CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,827,100CurrentTaxYearMinus1YearAmt
Current Tax Year$3,414,185CurrentTaxYearAmt
Total$11,503,831TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$883,094SubstantialContributorsTotAmt
Public Support Total170$10,620,737PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$403,996CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$373,366CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$601,413CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$741,535CurrentTaxYearMinus1YearAmt
Current Tax Year$570,752CurrentTaxYearAmt
Total$2,691,062TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,459,754CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,643,916CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,757,683CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,635,548CurrentTaxYearMinus1YearAmt
Current Tax Year$2,923,274CurrentTaxYearAmt
Total$12,420,175TotalAmt
FieldValueIRS element (for citing)
Total Support$26,615,068TotalSupportAmt
Public Support CY1700.39905PublicSupportCY170Pct
Public Support PY1700.14347PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,587,295OtherCostOrOtherBasisAmt
Depreciation$222,428DepreciationAmt
Book Value$5,364,867BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$377,424OtherCostOrOtherBasisAmt
Depreciation$157,260DepreciationAmt
Book Value$220,164BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$947,697OtherCostOrOtherBasisAmt
Depreciation$283,920DepreciationAmt
Book Value$663,777BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,248,808TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CERTIFICATES OF DEPOSIT$4,962,577F
MUTUAL FUNDS$157,136F
CORPORATE BONDS$341,810F
EQUITY SECURITIES$14,165,521F
INVESTMENT IN LLCS$2,206,449F
US TREASURY BONDS$497,230
FieldValueIRS element (for citing)
Total Book Value Securities$22,330,723TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$39,520,820TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,005,306NetUnrealizedGainsInvstAmt
Revenue Not Reported$3,005,306RevenueNotReportedAmt
Revenue Subtotal$36,515,514RevenueSubtotalAmt
Total Revenue Per Form990$36,515,514TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$33,907,787TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$33,907,787ExpensesSubtotalAmt
Total Expenses Per Form990$33,907,787TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XIIIFormAndLineReferenceDesc
ExplanationAN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF HEALTH CHOICE NETWORK OF FLORIDA, INC. FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2020 AND SEPTEMBER 30, 2021; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2021 FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC740). The Network is a nonprofit Network exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code ("IRC"). Accordingly, no provision for income taxes is reflected in the accompanying financial statements. Accounting principles generally accepted in the United States of America prescribe requirements for the recognition of income taxes in financial statements, and the amounts recognized are affected by income tax positions taken by the Network in its tax returns. The Network's status as an exempt Network is defined as an income tax position under these requirements. While management believes it has complied with the IRC, the sustainability of some income tax positions taken by the Network in its tax returns may be uncertain. There are minimum thresholds of likelihood that uncertain tax positions are required to meet before being recognized in the financial statements. Management does not believe that the Network has any material uncertain tax positions at September 30, 2021 and 2020. In the event interest and penalties were due relating to an unsustainable tax position, they would be treated as a component of income tax expense. There is no interest or penalties included in the accompanying financial statements.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmt
ALEJANDRO M ROMILLO
PRESIDENT AND CEO$556,001$132,500$187$53,250$0$27,332$0$769,270$0$0$0
BLANCA MARGARITA OLLET
CHIEF OPERATING OFFICER$311,507$44,500$287$55,250$0$8,598$0$420,142$0$0$0
TERISA A JAMES
DIR OF COMM INIT & FUND DEVLP$201,371$4,456$822$29,993$0$10,821$0$247,463$0$0$0
MEREDITH HUGHES MARSH
QUALITY IMPROVEMENT OFFICER$226,411$33,500$112$24,560$0$23,850$0$308,433$0$0$0
COLLETTE A REECE
DIR. OF MEMBER FINANCIAL SVCS.$165,754$3,249$287$34,532$0$8,007$0$211,829$0$0$0
HIRUT KASSAYE
MEMBER QUALITY OUTCOMES DIRECT$120,725$375$32,343$0$18,177$0$171,620$0$0$0
RICARDO GOMEZ
DIRECTOR OF MEMBER POPULATION$184,203$187$15,013$0$15,406$0$214,809$0$0$0
RICK FRIEDFIELD
CHIEF FINANCIAL OFFICER$363,802$30,500$287$49,250$0$24,222$0$468,061$0$0$0
RENE OLAVARRIETA
DIRECTOR OF PERFORMANCE MGMT$151,240$14,500$122$12,024$0$24,460$0$202,346$0$0$0
MAYLEE SANCHEZ
CHIEF INFORMATION OFFICER$0$8,429$0$2,989$0$267,632$0$0$246,148$9,750$316

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VII AND SCHEDULE J:TAXABLE COMPENSATION REPORTED HEREIN IS DERIVED FROM 2020 FORMS W-2.
SCHEDULE J, PART I, QUESTION 7:ALL INDIVIDUALS INCLUDED IN SCHEDULE J, PART II, RECEIVED A BONUS DURING CALENDAR YEAR 2020 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, QUESTIONS 6 & 7:THE NETWORK IS MANAGED BY THREE CATEGORIES OF MEMBERS: FOUNDING MEMBERS, AFFILIATED MEMBERS AND PARTICIPATING MEMBERS. THE MEMBERS OF THE BOARD OF DIRECTORS MUST BE EMPLOYED BY OR SERVE ON THE BOARD OF DIRECTORS OF CORPORATIONS WHICH ARE EITHER FOUNDING PARTICIPATING MEMBERS OR PARTICIPATING NETWORK MEMBERS OF THE CORPORATION. THE DIRECTORS OF THE NETWORK (REFERRED TO IN THESE BYLAWS AS THE "BOARD") SHALL CONSIST OF AS MANY INDIVIDUALS AS THE BOARD MAY, FROM TIME TO TIME, DETERMINE, PROVIDED THAT AT A MINIMUM THE BOARD SHALL CONSIST OF: THE CEO (OR TOP EXECUTIVE POSITION) OF EACH FOUNDING AND AFFILIATED MEMBER; THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE NETWORK (EX-OFFICIAL AND NON-VOTING MEMBER); A CLINICAL REPRESENTATIVE OF THE NETWORK SHALL BE SELECTED ANNUALLY BY THE NETWORK BOARD OF DIRECTORS. AT SUCH TIME AS AN ORGANIZATION BECOMES AN AFFILIATED MEMBER, THE MEMBER SHALL HAVE THE RIGHT TO NOMINATE AN INDIVIDUAL MEETING QUALIFICATION CRITERIA SET FORTH HEREIN TO THE BOARD OF DIRECTORS. PRIOR TO EACH ANNUAL MEETING OF THE BOARD OF DIRECTORS, EACH MEMBER ENTITLED TO APPOINT A DIRECTOR SHALL INFORM THE BOARD, IN WRITING, OF ANY CHANGES IN THE PERSON OR PERSONS THAT IT HAS APPOINTED TO SERVE ON THE BOARD OF DIRECTORS FOR THE TERM THAT BEGINS UPON ADJOURNMENT OF THAT ANNUAL MEETING. DIRECTORS SO APPOINTED AND POSSESSING THE QUALIFICATION SET FORTH IN THESE BYLAWS SHALL BE CONFIRMED BY THE BOARD AT THE ANNUAL BOARD MEETING, OR IN THE CASE OF AN APPOINTMENT TO FILL A VACANCY ON THE BOARD AT ANY DULY CALLED MEETING OF THE BOARD. IF A PERSON DULY APPOINTED BY A MEMBER IS FOUND NOT TO MEET THE CRITERIA FOR MEMBERSHIP ESTABLISHED IN THE BYLAWS, THE MEMBER THAT APPOINTED SUCH A PERSON SHALL HAVE THE RIGHT TO APPOINT A QUALIFIED PERSON FOR CONFIRMATION BY THE BOARD.
FORM 990, PART VI, SECTION B, QUESTION 11B:THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO AND MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING OF THE FORM 990 WITH THE INTERNAL SERVICE REVENUE ("IRS"). IN ADDITION, THE FINANCE COMMITTEE REVIEWED THE FORM 990 IN DETAIL PRIOR TO THE FORM 990 BEING MADE AVAILABLE TO THE GOVERNING BODY. THE BOARD OF DIRECTORS HAS DELEGATED TO ITS FINANCE COMMITTEE THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANIZATION TO OBTAIN INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO THE MEMBERS OF THE FINANCE COMMITTEE AND THEREAFTER TO THIS ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, QUESTION 12:THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE.
FORM 990, PART VI, SECTION B, QUESTION 15:THE ORGANIZATION'S FINANCE COMMITTEE REVIEWS AND APPROVES ALL COMPENSATION ARRANGEMENTS ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMMITTEE IS PROVIDED AND UTILIZES A COMPENSATION STUDY FROM A NATIONALLY RECOGNIZED ORGANIZATION. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE IN CONJUNCTION WITH THE BOARD OF GOVERNORS ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED ENTIRELY OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHOM ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST.
FOR 990, PART IV, QUESTION 12A AND PART XII, QUESTION 2CAN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF HEALTH CHOICE NETWORK OF FLORIDA, INC. FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2021 AND SEPTEMBER 30, 2020; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED FINANCIAL STATEMENTS. THE HEALTH CHOICE NETWORK OF FLORIDA, INC. FINANCE COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR.
FORM 990, PART VII, SECTION A, COLUMN BCERTAIN BOARD OF DIRECTORS, OFFICERS AND KEY EMPLOYEES LISTED ON FORM 990, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND ANOTHER RELATED ENTITY. THE HOURS SHOWN ON THIS FORM 990 FOR BOARD MEMBERS WHO RECIEVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF ANOTHER RELATED ORGANIZATION, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THIS ORGANIZATION AND ANOTHER RELATED ENTITY AND NOT TOTAL HOURS WORKED PER WEEK ON BEHALF OF ONLY HEALTH CHOICE NETWORK, INC.
FORM 990, PART III, 4D:HEALTH CARE PREVENTION INITIATIVES THE PROGRAM CONSISTS OF VARIOUS PROJECTS INCLUDING THE JESSIE TRICE CANCER PREVENTION PROJECT, THE NURSE FAMILY PARTNERSHIP PROGRAM AND CARE MANAGEMENT MEDICAL HOME CENTER. THE GOAL OF EACH RESPECTIVE PROJECT IN THIS PROGRAM IS TO ENHANCE THE ABILITY TO PROVIDE HIGH QUALITY MEDICAL CARE AND IMPROVE PATIENT OUTCOMES.
FORM 990 PART IX LINE 11GDESCRIPTION:PAYROLL PROCESSING FEE TOTAL FEES:31062
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED SERVICES TOTAL FEES:16824773

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HEALTH CHOICE NETWORK INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19064 NORTHWEST 13TH TERRACEAddressLine1Txt
CityDORALCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33172ZIPCd
FieldValueIRS element (for citing)
EIN900525658EIN
Primary ActivitiesHEALTHCARE SVPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status509(A)(1)PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HEALTH CHOICE CAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19064 NW 13 TERRACEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33172ZIPCd
FieldValueIRS element (for citing)
EIN462807961EIN
Legal Domicile StateFLLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypenonePredominantIncomeTypeTxt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.33480OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HEALTH CHOICE NETWORK INC
J$147,751COST
HEALTH CHOICE NETWORK INC
n$29,319COST
HEALTH CHOICE NETWORK INC
o$1,853,050COST
HEALTH CHOICE CARE
L$100,000COST
HEALTH CHOICE CARE
O$526,852COST