2018-08-27T12:32:48-05:00 2017-12-31 131639826 EISNERAMPER LLP 130 NORTH 18TH STREET SUITE 3000 PHILADELPHIA PA 191032757 990 2017-01-01 455454875 HEALTHSHARE EXCHANGE OF SOUTHEASTERN PENNSYLVANIA INC HEAL 2153914909 1801 MARKET STREET NO 750 PHILADELPHIA PA 19103 MARTIN LUPINETTI EXECUTIVE DIRECTOR 2155753758 2018-08-06 1 HELEN M MARTIN P01330899 2158818800 2017 2022-09-23 18:48:47Z MARTIN LUPINETTI 1801 MARKET STREET NO 750 PHILADELPHIA PA 19103 6648521 0 X WWW.HSXSEPA.ORG X 2012 PA HEALTHSHARE EXCHANGE WILL PROVIDE SECURE ACCESS TO HEALTH INFORMATION TO ENABLE PREVENTIVE AND COST-EFFECTIVE CARE; IMPROVE QUALITY OF PATIENT CARE; AND FACILITATE CARE TRANSITIONS. 11 11 26 0 0 0 965000 1800000 3690011 4687146 8530 6638 0 154737 4663541 6648521 0 72000 0 0 1698164 1973883 0 0 0 2530242 2915754 4228406 4961637 435135 1686884 2391495 4423649 1152241 1497511 1239254 2926138 HEALTHSHARE EXCHANGE WILL PROVIDE SECURE ACCESS TO HEALTH INFORMATION TO ENABLE PREVENTIVE AND COST-EFFECTIVE CARE; IMPROVE QUALITY OF PATIENT CARE; AND FACILITATE CARE TRANSITIONS. 0 0 4201624 72000 4841883 ENHANCE HEALTHCARE ORGANIZATIONS' ABILITY TO SHARE AND MANAGE CLINICAL DATA AT EVERY STAGE OF THE CARE DELIVERY PROCESS THROUGH A HEALTH INFORMATION EXCHANGE. 4201624 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 1 26 1 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 0 1 0 0 PA X MARTIN LUPINETTI EXECUTIVE DIRECTOR 2153194905 1801 MARKET STREET SUITE 1750 PHILADELPHIA PA 19103 ANDREA GELZER MD CHAIRMAN 5.00 X X 0 0 0 KAY CARR TRUSTEE 5.00 X 0 0 0 DENISE CROCE TRUSTEE 5.00 X 0 0 0 SUSAN CROUSHORE TRUSTEE 5.00 X 0 0 0 SUSAN FREEMAN MD MS TRUSTEE 5.00 X 0 0 0 JOANNE GROSSI TRUSTEE 5.00 X 0 0 0 C WILLIAM HANSON III MD TRUSTEE 5.00 X 0 0 0 KEN LEVITAN TRUSTEE 5.00 X 0 0 0 NEIL LUBARSKY TRUSTEE 5.00 X 0 0 0 KAREN SCOLES MD TRUSTEE 5.00 X 0 0 0 RICHARD SNYDER MD TRUSTEE 5.00 X 0 0 0 MARTIN CICCOCIOPPO TRUSTEE (RESIGNED NOV 2017) 5.00 X 0 0 0 SANDRA GOMBERG TRUSTEE (RESIGNED MAY 2017) 5.00 X 0 0 0 THOMAS FARLEY MD TRUSTEE (RESIGNED MAY 2017) 5.00 X 0 0 0 ELAINE MARKEZIN TRUSTEE (RESIGNED NOV 2017) 5.00 X 0 0 0 DON REED TRUSTEE (RESIGNED NOV 2017) 5.00 X 0 0 0 MICHAEL RESTUCCIA TRUSTEE (RESIGNED NOV 2017) 5.00 X 0 0 0 JONATHAN STERNLIEB MD TRUSTEE (RESIGNED NOV 2017) 5.00 X 0 0 0 MARTIN LUPINETTI EXECUTIVE DIRECTOR 40.00 X 237166 0 34955 DANIEL WILT SENIOR DIRECTOR OF INFORMATION TECHNOLOGY 40.00 X 187296 0 32705 PAM CLARKE SENIOR DIRECTOR OF MEMBER SERVICES 40.00 X 156044 0 36405 RAKESH MATHEW PROGRAM MANAGER 40.00 X 158410 0 24370 JENNIFER NATALE SENIOR MANAGER OF ENGAGEMENT AND ADOPTION 40.00 X 125292 0 23783 LAUREN CICCARONE SENIOR PROJECT MANAGER 40.00 X 118197 0 20884 982405 0 173102 7 0 1 0 QUALITY SYSTEMS INC PO BOX 809390 CHICAGO IL 60680 PROFESSIONAL TECH SVCS 737805 AUDACIOUS INQUIRY LLC 5523 RESEARCH PARK DRIVE SUITE 370 BALTIMORE MD 21228 PROFESSIONAL TECH SVCS 622919 DIAMETER HEALTH INC 400 FARMINGTON AVE FARMINGTON CT 06032 PROFESSIONAL TECH SVCS 138733 COOPER LEVENSON 1125 ATLANTIC AVE ATLANTIC CITY NJ 08401 PROFESSIONAL LEGAL SVCS 122876 4 1800000 1800000 MEMBERSHIP DUES 541900 4687146 4687146 4687146 6638 6638 OTHER INCOME 900099 154737 154737 154737 6648521 4841883 0 6638 72000 72000 272121 204090 68031 1374756 1034465 340291 47392 35544 11848 166767 125076 41691 112847 84868 27979 198853 152057 46796 104616 78462 26154 403137 399453 3684 28172 14086 14086 43710 21855 21855 1626089 1602477 23612 99117 74338 24779 56174 42220 13954 27899 20924 6975 174294 130720 43574 42405 31804 10601 MEALS & ENTERTAINMENT 36043 27073 8970 TRAINING AND EDUCATION 35188 26391 8797 DUES AND SUBSCRIPTIONS 29021 14511 14510 TAXES AND OTHER 11036 9210 1826 4961637 4201624 760013 0 1581984 3601958 311160 434590 129133 167036 696465 476400 369218 220065 2391495 4423649 678195 548137 313450 841471 160596 107903 1152241 1497511 X 1239254 2926138 1239254 2926138 2391495 4423649 1686884 0 X X 0 1 X 1 0 X 1202589 1713242 355000 965000 1871937 6107768 1379830 1419500 3075023 3690011 4687146 14251510 2582419 3132742 3430023 4655011 6559083 20359278 0 0 0 20359278 5667 4501 3379 8530 6638 28715 5667 4501 3379 8530 6638 28715 154737 154737 2588086 3137243 3433402 4663541 6720458 20542730 0.99110 0.99840 0.00140 0.00160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 86369 16620 69749 28991 22021 6970 581105 437759 143346 220065 DEFERRED RENT 107903 107903 X 6648521 0 6648521 0 6648521 4961637 0 4961637 0 4961637 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS CLASSIFIED HEALTHSHARE EXCHANGE OF SOUTHEASTERN PENNSYLVANIA, INC. AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ("CODE"); AS AN ORGANIZATION, CONTRIBUTIONS TO WHICH ARE DEDUCTIBLE UNDER SECTION 170(C) OF THE CODE; AND AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION AS DEFINED IN SECTION 509(A) OF THE CODE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY, IF HEALTHSHARE EXCHANGE OF SOUTHEASTERN PENNSYLVANIA, INC. HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A GOVERNMENT AUTHORITY. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY HEALTHSHARE EXCHANGE OF SOUTHEASTERN PENNSYLVANIA, INC. AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2017 AND 2016, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. HEALTHSHARE EXCHANGE OF SOUTHEASTERN PENNSYLVANIA, INC. RECOGNIZES INTEREST AND PENALTIES ASSOCIATED WITH INCOME TAXES, IF ANY, IN MISCELLANEOUS EXPENSE ON THE STATEMENTS OF ACTIVITIES AND CHANGES IN NET ASSETS. THERE WERE NO INCOME TAX RELATED INTEREST AND PENALTIES RECORDED FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016. 1 CROZER MEDICAL CENTER HEALTHPLEX PAVILION II 100 WEST SPROUL ROAD SPRINGFIELD PA 19064 501(C)(3) 30000 ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2017 COMMUNITY HEALTH AND DENTAL CARE 800 HERITAGE DRIVE SUITE 810 POTTSTOWN PA 19464 202764402 501(C)(3) 4000 ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2017 PUBLIC HEALTH MANAGEMENT CORPORATION 1500 MARKET STREET - CENTRE SQUARE EAST PHILADELPHIA PA 19102 237221025 501(C)(3) 4000 ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2017 DELAWARE VALLEY COMMUNITY HEALTH 1412-20 FAIRMOUNT AVENUE PHILADELPHIA PA 19130 232077750 501(C)(3) 4000 ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2017 ST MARY MEDICAL CENTER 1201 LANGHORNE-NEWTOWN ROAD LANGHORNE PA 19047 231913910 501(C)(3) 7500 ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2017 MERCY SUBURBAN HOSPITAL ONE WEST ELM STREET SUITE 100 CONSHOHOCKEN PA 19428 231396763 501(C)(3) 22500 ACCESS TO CDR/TESTING OF ONBOARDING TO CDR-AMBULATORY 2017 6 X 0 0 0 0 0 0 0 0 0 MARTIN LUPINETTI EXECUTIVE DIRECTOR 190916 0 46250 0 0 0 7329 0 27626 0 272121 0 0 0 DANIEL WILT SENIOR DIRECTOR OF INFORMATION TECHN 157943 0 29353 0 0 0 7297 0 25408 0 220001 0 0 0 PAM CLARKE SENIOR DIRECTOR OF MEMBER SERVICES 142373 0 13671 0 0 0 5695 0 30710 0 192449 0 0 0 RAKESH MATHEW PROGRAM MANAGER 139397 0 19013 0 0 0 5279 0 19091 0 182780 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B ONCE THE FORM 990 IS COMPLETED BY THE TAX PREPARERS, IT WILL BE SHARED, REVIEWED AND DISCUSSED BY THE FINANCE AND AUDIT COMMITTEE VIA CONFERENCE OR CONFERENCE CALL. ONCE THEY HAVE APPROVED IT AND WITH THEIR RECOMMENDATION, IT WILL BE SENT TO THE FULL BOARD OF TRUSTEES FOR COMMENT AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ALL INTERESTED PARTIES ARE REQUIRED TO DISCLOSE ANY CONFLICT OF INTEREST AS SOON AS IT IS KNOWN. EACH MEMBER OF THE BOARD OF TRUSTEES, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND HSX MANAGEMENT ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR TOP OFFICERS IS DETERMINED AFTER CAREFULLY CONSIDERING THE PERSON'S QUALIFICATIONS AND ACHIEVEMENTS. THE CHAIR OF THE BOARD, ALONG WITH THE VICE CHAIR, PROVIDES A PERFORMANCE EVALUATION AND RECOMMENDS ANY SALARY INCREASE. THE CHAIR OF THE BOARD HAS FINAL APPROVAL OF THE EXECUTIVE DIRECTOR'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC BY REQUEST TO THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION AT THE ADDRESS AND PHONE NUMBER LISTED ON THE FORM 990. PART XII, LINE 2C THE AUDIT COMMITTEE ASSUMES THE RESPONSIBILITY FOR SELECTING AN INDEPENDENT ACCOUNTANT AND FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS. THE PROCESS REMAINS UNCHANGED FROM THE PRIOR YEAR.