2019-08-23T15:57:47-05:00 2018-09-30 911194016 CLARK NUBER PS 10900 NE 4TH STREET SUITE 1400 BELLEVUE WA 98004 990 2017-10-01 911072875 COMAGINE HEALTH COMA 8018920155 756 WINCHESTER STREET NO 200 SALT LAKE CITY UT 841077567 DAN MEMMOTT CHIEF FINANCIAL OFFICER 8018920155 2019-08-23 1 JANE M SEARING P00000565 4254544919 65.158.230.194 2019-08-23 13:38:33 PD P DE1D2BBAE0F1147E7A7EA18DABEA7E867F199504 FEE5B30F7169D6EE9EA0F64CA9DD9003D0FD5F35 2017 2020-03-31 21:24:44Z X MARC H BENNETT 756 WINCHESTER STREET NO 200 SALT LAKE CITY UT 841077567 59399448 0 X WWW.COMAGINE.ORG X 1974 WA COMAGINE HEALTH IS A COMMUNITY BASED ORGANIZATION DEDICATED TO IMPROVING THE HEALTHCARE SYSTEM IN THE STATES AND COMMUNITIES IN WHICH WE SERVE. COMAGINE HEALTH WORKS WITH THE CENTERS FOR MEDICARE AND MEDICAID, OTHER GOVERNMENT AGENCIES AND PRIVATE ENTITIES TO IMPROVE THE QUALITY OF HEALTHCARE THROUGH QUALITY ASSURANCE PROGRAMS, QUALITY IMPROVEMENT PROGRAMS AND COMMUNITY OUTREACH AND EDUCATION. 13 13 337 13 473410 0 7013107 18571200 30579801 37395183 188 199978 0 3233087 37593096 59399448 0 0 0 0 25856112 41251232 0 0 0 10500394 16586538 36356506 57837770 1236590 1561678 18272748 36176031 8691336 12409428 9581412 23766603 X COMAGINE HEALTH IS A COMMUNITY BASED ORGANIZATION DEDICATED TO IMPROVING THE HEALTHCARE SYSTEM IN THE STATES AND COMMUNITIES IN WHICH WE SERVE. COMAGINE HEALTH WORKS WITH THE CENTERS FOR MEDICARE AND MEDICAID, OTHER GOVERNMENT AGENCIES AND PRIVATE ENTITIES TO IMPROVE THE QUALITY OF HEALTHCARE THROUGH QUALITY ASSURANCE PROGRAMS, QUALITY IMPROVEMENT PROGRAMS AND COMMUNITY OUTREACH AND EDUCATION. 0 0 22501496 25375150 CARE MANAGEMENT: COMAGINE HEALTH PROVIDES A SUITE OF CARE MANAGEMENT SERVICES (ALSO KNOWN AS "MEDICAL MANAGEMENT") TO SUPPORT COST-EFFECTIVE, PATIENT-CENTERED, HIGH QUALITY CARE THROUGH UTILIZATION MANAGEMENT AND CASE MANAGEMENT. 16291031 7660004 HEALTHCARE QUALITY, SAFETY AND EFFICIENCY CONSULTING: COMAGINE HEALTH TEAMS WITH HEALTH CARE PROVIDERS, INSTITUTIONS AND POLICY MAKERS TO MAKE TRANSFORMATIONAL CHANGES TO MORE EFFICIENT, EFFECTIVE HEALTHCARE DELIVERY SYSTEMS AND MODELS, EMPHASIZING LEAN WORKFLOWS AND PATIENT-CENTERED PROCESSES. TO PROMOTE QUALITY AND SAFETY DIRECTLY, COMAGINE HEALTH PROVIDES PHYSICIAN PEER REVIEW OF HEALTHCARE SERVICES FOR BENEFICIARIES AND OTHERS WHEN THEY HAVE QUALITY OF CARE CONCERNS. 4499744 4360029 HEALTH INFORMATION TECHNOLOGY CONSULTING: COMAGINE HEALTH PROVIDES CONSULTING SERVICES TO ASSIST PROVIDERS, HEALTHCARE FACILITIES, AND GOVERNMENT AGENCIES AND OTHERS TO LEVERAGE HEALTH INFORMATION TECHNOLOGY IN ORDER TO IMPROVE CARE DELIVERY, TO SUPPORT EFFECTIVE BUSINESS OPERATIONS, AND TO COMPLY WITH REGULATORY REQUIREMENTS. 43292271 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 79 0 337 1 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA OR WA NM AL DC AK X ROY HARRIS 8018926644 756 WINCHESTER STREET SUITE 200 SALT LAKE CITY UT 841077567 HUGH STRALEY CHAIRMAN 2.00 0.00 X X 1195 0 0 STEVEN BURGON VICE-CHAIRMAN 2.00 0.00 X X 0 0 0 KARL KURTZ SECRETARY/TREASURER THRU 4/18 1.50 0.00 X X 865 0 0 JAMES TRUESS BOARD OF DIRECTORS THRU 4/18 1.50 0.00 X 1695 0 0 LORI WHITTAKER BOARD OF DIRECTORS THRU 4/18 1.50 0.00 X 0 0 0 MABEL EZEONWU BOARD OF DIRECTORS THRU 4/18 1.50 0.00 X 0 0 0 MARGARET TAYLOR STANLEY BOARD OF DIRECTORS THRU 4/18 1.50 0.00 X 2260 0 0 RICHARD ONIZUKA BOARD OF DIRECTORS 2.00 0.00 X 2867 0 0 THOMAS WADSWORTH BOARD OF DIRECTORS THRU 4/18 1.50 0.00 X 1345 0 0 THOMAS VARGHESE JR BOARD OF DIRECTORS THRU 4/18 1.50 0.00 X 0 0 0 WILLIAM HOGAN BOARD OF DIRECTORS 2.00 0.00 X 2540 0 0 KAREN MERRIKIN BOARD OF DIRECTORS 2.00 0.00 X 0 0 0 KIM BATEMAN VICE CHAIR EFF 4/18 2.00 0.00 X X 0 0 0 CHRIS BOSSE SECRETARY/TREASURER EFF 4/18 3.00 0.00 X X 0 0 0 RICHARD KOZOLL BOARD OF DIRECTORS 2.00 0.00 X 0 0 0 KATRINA RUSSELL BOARD OF DIRECTORS 2.00 0.00 X 0 0 0 PAM MARIA-NAISON BOARD OF DIRECTORS 2.00 0.00 X 0 0 0 KATRYNA MCCOY BOARD OF DIRECTORS 2.00 0.00 X 0 0 0 NWANDO OLAYIWOLA BOARD OF DIRECTORS 2.00 0.00 X 0 0 0 ANDREW CROSHAW BOARD OF DIRECTORS 2.00 0.00 X 0 0 0 JONATHAN SUGARMAN CEO THRU 4/18 40.00 0.00 X 583888 0 32441 MARCI SCOTT-WEIS COO 40.00 0.00 X 235193 0 33907 MARGARET GRIFFITHS CFO THRU 3/18 40.00 0.00 X 111078 0 13745 DAVID CHAMBERLAIN CIO 40.00 0.00 X 202235 0 32163 MARC BENNETT PRESIDENT & CEO EFF. 4/18 55.00 0.00 X 0 0 0 DANIEL MEMMOTT CFO EFF. 4/18 55.00 0.00 X 0 0 0 FOSTER BEALL VP 40.00 0.00 X 197647 0 31829 P JEFF HUMMELL MEDICAL DIRECTOR 40.00 0.00 X 297669 0 22369 JOHN SPARKS SENIOR MEDICAL DIRECTOR 40.00 0.00 X 300600 0 13803 MARGARET BAKER ASSISTANT MEDICAL DIRECTOR 40.00 0.00 X 255801 0 29190 CARA ROBINSON V.P. CARE MANAGEMENT 40.00 0.00 X 189194 0 27844 EVAN STULTS VP COMMMUNICATIONS 40.00 0.00 X 170608 0 26984 2556680 0 264275 46 0 1 0 NRI HEALTHCARE INC PO BOX 759445 BALTIMORE MD 212759445 CONTRACT LABOR 768159 GOODWILL INDUSTRIES OF NM 5000 SAN MATEO BLVD NE ALBUQUERQUE NM 87109 CONSULTING 310800 ZEOMEGA LLC 6200 TENNYSON PKWY SUITE 200 PLANO TX 75024 SOFTWARE IMPLEMENTATION 174634 LION BARNETT SYSTEMS 415 FAIRMONT DRIVE CHESTER SPRINGS PA 19425 CONSULTING 124150 UNIVERSITY OF WASHINGTON 12455 COLLECTIONS DRIVE CHICAGO IL 60693 CONSULTING 113125 6 17926934 644266 18571200 CARE MANAGEMENT 541900 25375150 25375150 HEALTHCARE CONSULTING 541900 7660004 7660004 HEALTH IT CONSULTING 541900 4360029 3886619 473410 37395183 199771 199771 87181 0 87181 87181 87181 207 0 207 207 207 REIMB. FROM AFFILIATES 900099 2988142 2988142 AFFILIATE REVENUE 900099 157764 157764 3145906 59399448 36921773 473410 3433065 X 1463439 1012700 450739 28940582 21507381 7433201 1554404 463673 1090731 6714506 4822004 1892502 2578301 1243942 1334359 71003 51475 19528 194365 143086 51279 2908911 2140826 768085 1013289 627534 385755 1829709 1389275 440434 1050092 856861 193231 184400 230518 -46118 104732 70318 34414 1634401 1081097 553304 231539 175196 56343 DATA PROCESSING 2717889 1924055 793834 SUBCONTRACTS 2698656 2698656 OTHER EXPENSES 766946 438574 328372 TEMPORARY HELP 419649 318641 101008 760957 2096459 -1335502 57837770 43292271 14545499 0 1982250 3986950 418380 5014764 11349172 597916 1495798 22183426 13221269 9379895 8962157 149894 8832369 706292 706292 441737 424913 18272748 36176031 2997844 6712452 1411732 2967733 3724170 2433066 557590 296177 8691336 12409428 X 9581412 23766603 9581412 23766603 18272748 36176031 X 1561678 -1575 12625088 X 0 1 X 1 1 1 X 12783224 5958727 7357168 7013107 18571200 51683426 20332294 28315132 31333586 30579801 36921773 147482586 33115518 34273859 38690754 37592908 55492973 199166012 0 0 0 199166012 240 188 286952 287380 240 188 286952 287380 3145906 3145906 33115518 34273859 38690994 37593096 58925831 202599298 0.98310 1.00000 0.00140 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: AFFILIATE REVENUE - 2017 AMOUNT: $ 157,764. REIMB FROM AFFILIATES - 2017 AMOUNT: $ 2,988,142. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 54849628 54849628 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 2104 2045 2114 6263 250000 250000 250000 250000 1000000 1500000 2869164 2406531 462633 18888117 10814738 8073379 426145 426145 8962157 DEFERRED COMPENSATION LIABILITY 31894 LEASE INCENTIVE LIABILITY 255437 LINE OF CREDIT -968 EMPLOYEE FUND 3465 NEVADA CPS ACCOUNT 948 INTEREST ACCRUAL 5401 296177 X X X 0 1 0 0 0 0 0 0 0 JONATHAN SUGARMAN CEO THRU 4/18 381463 0 0 0 202425 0 14210 0 18231 0 616329 0 202425 0 MARCI SCOTT-WEIS COO 235193 0 0 0 0 0 12216 0 21691 0 269100 0 0 0 DAVID CHAMBERLAIN CIO 202235 0 0 0 0 0 10472 0 21691 0 234398 0 0 0 FOSTER BEALL VP 197410 0 237 0 0 0 10138 0 21691 0 229476 0 0 0 P JEFF HUMMELL MEDICAL DIRECTOR 297669 0 0 0 0 0 13293 0 9076 0 320038 0 0 0 JOHN SPARKS SENIOR MEDICAL DIRECTOR 300600 0 0 0 0 0 13803 0 0 0 314403 0 0 0 MARGARET BAKER ASSISTANT MEDICAL DIRECTOR 255801 0 0 0 0 0 12339 0 16851 0 284991 0 0 0 CARA ROBINSON V.P. CARE MANAGEMENT 189194 0 0 0 0 0 9613 0 18231 0 217038 0 0 0 EVAN STULTS VP COMMMUNICATIONS 170608 0 0 0 0 0 8753 0 18231 0 197592 0 0 0 PART I, LINE 4B COMAGINE HEALTH HOLDS A SECTION 457(F) PLAN. PARTICIPANTS INCLUDE JONATHAN SUGARMAN, MARCI SCOTT-WEIS, AND MARC BENNETT. JONATHAN SUGARMAN RECEIVED A PAYMENT OF $202,425 UNDER THE PLAN DURING THE YEAR ENDED SEPTEMBER 30, 2018. MARCI SCOTT-WEIS AND MARC BENNETT DID NOT RECEIVE PAYMENTS DURING THE FISCAL YEAR, HOWEVER AMOUNTS WERE ACCRUED UNDER THE PLAN FOR BOTH INDIVIDUALS DURING THE YEAR ENDED SEPTEMBER 30, 2018. A WASHINGTON STATE ECONOMIC DEVELOPMENT FINANCE AUTHORITY 911493002 2013-04-29 6500000 PURCHASE OF SOFTWARE PROGRAM 0 0 0 A 4044991 6500000 84 91413 6408587 2014 0 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 0 A 1 FORM 990, PART V, LINE 3B FORM 990-T WILL BE FILED AFTER FORM 990 IS SUBMITTED TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED TO REFLECT THE MERGER OF HEALTHINSIGHT MANAGEMENT CORPORATION INTO COMAGINE HEALTH. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FORM 990 IS REVIEWED BY THE VP, ACCOUNTING AND CHIEF FINANCIAL OFFICER. IT IS THEN SUBMITTED TO THE FINANCE COMMITTEE WHO REVIEWS IT AND RECOMMENDS FOR BOARD APPROVAL. ONCE APPROVED, THE FORM 990 MAY BE FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS, THE CEO, AND CFO ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY. ALL BOARD MEMBERS MUST COMPLETE ANNUALLY A CONFLICT OF INTEREST DISCLOSURE STATEMENT AS ONE OF THE REQUIREMENTS OF THE QIO CONTRACTS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS DETERMINES THE SALARY OF THE CEO BASED ON A VARIETY OF EMPIRICAL DATA. HUMAN RESOURCES ANNUALLY EVALUATES INDEPENDENTLY PUBLISHED AGGREGATE MARKET DATA ON WAGE AND SALARY TRENDS IN THE INDUSTRY, AS WELL AS REVIEWING PUBLISHED WAGE AND SALARY SURVEY BENCHMARK DATA FOR ITS POSITIONS. ALL WAGE AND SALARY COMPENSATION RANGES ARE EVALUATED ANNUALLY AND ADJUSTED ACCORDINGLY. THE CEO IS CHARGED WITH THE RESPONSIBILITY TO ANNUALLY REVIEW THE PERFORMANCE OF OTHER OFFICERS OF THE ORGANIZATION AND SET COMPENSATION LEVELS USING THE DATA GATHERED BY HUMAN RESOURCES DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 24E START UP AMORTIZATION: PROGRAM SERVICE EXPENSES 177,243. MANAGEMENT AND GENERAL EXPENSES 71,030. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 248,273. INTERCOMPANY EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 244,901. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,901. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 207,524. MANAGEMENT AND GENERAL EXPENSES 31,858. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 239,382. EQUIPMENT RENTAL AND MAINTENANCE: PROGRAM SERVICE EXPENSES 51,607. MANAGEMENT AND GENERAL EXPENSES 21,741. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,348. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 54,454. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,454. TAXES AND LICENSES: PROGRAM SERVICE EXPENSES 43,678. MANAGEMENT AND GENERAL EXPENSES 10,049. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,727. BAD DEBT EXPENSE: PROGRAM SERVICE EXPENSES 27,664. MANAGEMENT AND GENERAL EXPENSES 13,251. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,915. EXHIBITS: PROGRAM SERVICE EXPENSES 23,992. MANAGEMENT AND GENERAL EXPENSES 8,606. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,598. REGISTRATION FEES: PROGRAM SERVICE EXPENSES 22,711. MANAGEMENT AND GENERAL EXPENSES 8,147. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,858. BOARD OF DIRECTORS: PROGRAM SERVICE EXPENSES 21,629. MANAGEMENT AND GENERAL EXPENSES -5,983. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,646. CONFIDENTIAL DISPOSAL: PROGRAM SERVICE EXPENSES 2,711. MANAGEMENT AND GENERAL EXPENSES 1,114. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,825. MULTIMEDIA: PROGRAM SERVICE EXPENSES 1,297. MANAGEMENT AND GENERAL EXPENSES 512. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,809. COMMON SUPPORT ALLOCATION: PROGRAM SERVICE EXPENSES 230,641. MANAGEMENT AND GENERAL EXPENSES -274,662. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -44,021. IS ALLOCATION: PROGRAM SERVICE EXPENSES 1,231,308. MANAGEMENT AND GENERAL EXPENSES -1,466,066. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -234,758. FORM 990, PART IX, COLUMN (D) ALTHOUGH THE ORGANIZATION HAS SUBSTANTIAL CONTRIBUTION REVENUE, IT DOES NOT INCUR FUNDRAISING EXPENSES. COSTS RELATED TO OBTAINING GOVERNMENT CONTRACTS REPORTED AS CONTRIBUTION REVENUE ON FORM 990, PART VIII, LINE 1(E) ARE REPORTED AS PROGRAM EXPENSES ON FORM 990, PART IX. FORM 990, PART XI, LINE 9: EQUITY CONTRIBUTION FROM HEALTHINSIGHT MERGER 12,625,088. OUTLOOK ASSOCIATES LLC 18022 COWAN STREET SUITE 255 IRVINE CA 92614 204962978 HEALTH INFORMATION TECHNOLOGY CONSULTING WA 2385328 2065286 QUALIS HEALTH HEALTHINSIGHT MANAGEMENT CORPORATION 756 WINCHESTER STREET SUITE 200 SALT LAKE CITY UT 841077567 870303872 HEALTHCARE SYSTEM IMPROVEMENT UT 501(C)(3) LINE 12A, I COMAGINE HEALTH 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 HEALTHINSIGHT MANAGEMENT CORPORATION C 12625088 HEALTHINSIGHT MANAGEMENT CORPORATION L 157764 SCHEDULE R, PART II COMAGINE HEALTH IS RELATED TO HEALTHINSIGHT MANAGEMENT CORPORATION, WHICH IS THE CENTRAL ORGANIZATION IN A GROUP EXEMPTION. COMAGINE HEALTH IS ALSO RELATED TO THE MEMBERS OF THE GROUP EXEMPTION, BUT IS NOT REQUIRED TO LIST THE GROUP EXEMPTION MEMBERS ON SCHEDULE R, PART II.