EVERGREEN HEALTH COOPERATIVE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- EVERGREEN HEALTH COOPERATIVE INC (EIN 45-3193240)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201633199349302893
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T11:55:42-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Tilly Virchow Krause LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 777 E Wisconsin Avenue 32nd Floor | AddressLine1Txt |
| City | Milwaukee | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453193240 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Evergreen Health Cooperative Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EVER | BusinessNameControlTxt |
| Phone | 4434750990 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 Falls Rd No 1 | AddressLine1Txt |
| City | Baltimore | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21211 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dr Peter Beilenson | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 4434750990 | PhoneNum |
| Signature | 2016-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Troy E Marine CPA | PreparerPersonNm |
| PTIN | P00187863 | PTIN |
| Phone | 4147775500 | PhoneNum |
| Preparation | 2016-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Evergreen Health | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dr Peter Beilenson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 Falls Rd No 1 | AddressLine1Txt |
| City | Baltimore | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21211 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $88,648,755 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | www.evergreenmd.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | TO OFFER CONSUMER OPERATED AND ORIENTED HEALTH INSURANCE PLANS THAT PROVIDE MARYLAND CONSUMERS WITH GREATER CHOICE IN HEALTH PLAN SELECTION WHILE LOWERING HEALTH CARE COSTS, IMPROVING QUALITY OF CARE AND INCREASING MEMBER SATISFACTION IN THE COURSE OF OBTAINING IMPROVED OUTCOMES FOR EVERY MEMBER. IN OTHER WORDS, EVERGREEN HEALTH COOPERATIVE IS WORKING TO DO HEALTH CARE REFORM RIGHT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 110 | TotalEmployeeCnt |
| Total Volunteers | 1 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $110,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,189,092 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $88,178,276 | CYProgramServiceRevenueAmt |
| PY Investment Income | $265,487 | PYInvestmentIncomeAmt |
| CY Investment Income | $470,479 | CYInvestmentIncomeAmt |
| PY Other Revenue | $252,037 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $13,816,616 | PYTotalRevenueAmt |
| CY Total Revenue | $88,648,755 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $72,888 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,875,778 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,389,407 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,220,351 | PYOtherExpensesAmt |
| CY Other Expenses | $83,768,022 | CYOtherExpensesAmt |
| PY Total Expenses | $30,096,129 | PYTotalExpensesAmt |
| CY Total Expenses | $92,230,317 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$16,279,513 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,581,562 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $32,400,615 | TotalAssetsBOYAmt |
| Total Assets EOY | $37,811,316 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $24,363,402 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $20,073,908 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,037,213 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,737,408 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To offer consumer operated and oriented health insurance plans that provide Maryland consumers with greater choice in health plan selection whle lowering health care costs, improving quality of care, and increasing member satisfaction in the course of obtaining improved outcomes for every member. In other words, Evergreen Health Cooperative is working to do health care reform right. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Desc | EVERGREEN HEALTH GREW SIGNIFICANTLY IN 2014 TO SERVE AN INCREASED NUMBER OF MEMBERS IN THE MARYLAND HEALTH INSURANCE MARKET. DUE TO THE FAILURE OF THE MARYLAND HEALTH BENEFIT EXCHANGE, ONLY 400 INDIVIDUAL MEMBERS WERE ENROLLED AT THE BEGINNING OF 2014, BUT BY YEAR END OVER 12,000 MEMBERS WERE ENROLLED, MAINLY IN SMALL EMPLOYER GROUP PLANS.EVERGREEN HEALTH WAS BUILT ON THAT GROWTH IN 2015 TO OVER 25,000 AS OF NOVEMBER 2015 AND HAS PLANS TO FURTHER ITS SUCCESS IN THE MARYLAND MARKET AS FOLLOWS:EVERGREEN HEALTH'S STRATEGY IS A SIMPLE BUT POWERFUL ONE: MAXIMIZE THE USE OF OUR COMPETITIVE ADVANTAGES TO ENROLL, RETAIN AND CLINICALLY MANAGE MEMBERSHIP AT SUFFICIENT SCALE AND PRICING THAT ENSURE EVERGREEN HEALTH'S LONG TERM VIABILITY.WHAT ARE OUR COMPETITIVE ADVANTAGES?-AN ATTRACTIVE COMPARATIVE PRICE POINT THAT WILL ENHANCE ENROLLMENT GROWTH.-A VALUE BASED INSURANCE DESIGNED PRODUCT THAT ATTRACTS MEMBERSHIP AND ASSISTS IN THEIR CLINICAL CARE MANAGEMENT THROUGH REDUCING BARRIERS TO CARE AND AIDING IN PROVIDING NEEDED MEDICAL INTERVENTIONS.-LOCAL MEDICAL CARE MANAGEMENT DELIVERY THAT ENHANCES MEMBER EXPERIENCE WHILE IMPROVING HEALTH OUTCOMES THROUGH THE HEALTH PLAN'S COMMITMENT AND ABILITY TO CREATE STRONG PROVIDER AND MEMBER PARTNERSHIPS.-THE CREATION OF HIGH PERFORMANCE PROVIDER PARTNERSHIPS BETWEEN EVERGREEN HEALTH AND PARTICIPATING PROVIDER GROUPS THAT WILL ALIGN THE PROVIDER'S FOCUS ON IMPROVED QUALITY OUTCOMES IN PATIENT CARE AND MONITORING QUALITY INDICATORS.-AFFILIATED PRIMARY CARE PHYSICIAN OFFICES THAT DELIVER ENHANCED PATIENT-CENTERED CARE INCLUDING HEALTH AND WELLNESS COACHING THAT PROMOTES IMPROVED HEALTH OUTCOMES FOR OUR MEMBERSHIP.-COMPETITIVELY PRICED DIRECTLY CONTRACTED PROVIDER NETWORK THAT ENHANCES UNIT COST MANAGEMENT AND ADHERENCE TO EFFECTIVE MEDICAL MANAGEMENT.-BALANCING A BROKER'S PAYER PORTFOLIO ADDS VALUE TO OUR BROKER PARTNERS AS WE OFFER BROKERS AN ATTRACTIVE ALTERNATIVE TO PROVIDE THEIR EMPLOYERS IN TERMS OF PRICE, BENEFIT DESIGNS, HEALTH OUTCOMES AND SERVICE FLEXIBILITY.-MEMBER GOVERNED AND MEMBER FOCUSED INNOVATION ALLOWS EVERGREEN HEALTH THE ABILITY TO BE MORE NIMBLE IN QUICKLY RESPONDING TO SHIFTS IN THE MARKETPLACE. | Desc |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 155 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 110 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Licensed More Than One State | 0 | LicensedMoreThanOneStateInd |
| State Required Reserves | $750,000 | StateRequiredReservesAmt |
| Reserves Maintained | $17,737,408 | ReservesMaintainedAmt |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Leonard G Sherman | PersonNm |
| Phone | 4434750990 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 Falls Rd Ste 1 | AddressLine1Txt |
| City | Baltimore | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21211 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| PETER L BEILENSON | |||||||
| PRESIDENT/Director | 40.00 | Yes (X) | Yes (X) | $234,729 | $0 | $16,496 | |
| Christopher D Brandt | |||||||
| Director | 0.80 | Yes (X) | $2,500 | $0 | $0 | ||
| Nancy G Djordjevic | |||||||
| Director | 0.80 | Yes (X) | $4,000 | $0 | $0 | ||
| John Pearson | |||||||
| Vice Chair | 0.80 | Yes (X) | $6,617 | $0 | $0 | ||
| Frances B Phillips | |||||||
| Chair | 0.80 | Yes (X) | Yes (X) | $3,646 | $0 | $0 | |
| Dr Sallie Rixey | |||||||
| Director | 0.80 | Yes (X) | $2,000 | $0 | $0 | ||
| Nelson Sabatini | |||||||
| Director | 0.80 | Yes (X) | $1,500 | $0 | $0 | ||
| Kathleen Westcoat | |||||||
| Director | 0.80 | Yes (X) | $1,000 | $0 | $0 | ||
| Michelle Geiss | |||||||
| director | 0.80 | Yes (X) | $2,500 | $0 | $0 | ||
| Suzann Medicus | |||||||
| Director | 0.80 | Yes (X) | $3,500 | $0 | $0 | ||
| Meredith Mitchell | |||||||
| Director | 0.80 | Yes (X) | $3,000 | $0 | $0 | ||
| Carolyn Walker | |||||||
| Director | 0.80 | Yes (X) | $3,500 | $0 | $0 | ||
| Nicholas Bender | |||||||
| Director | 0.80 | Yes (X) | $3,500 | $0 | $0 | ||
| Christopher Callaghan | |||||||
| Former Director | 0.80 | Yes (X) | $0 | $0 | $0 | ||
| Len Sherman | |||||||
| Treasurer | 40.00 | Yes (X) | $221,194 | $0 | $17,528 | ||
| Mary Porter | |||||||
| Secretary | 40.00 | Yes (X) | $219,800 | $0 | $5,656 | ||
| Kimberly Connelly | |||||||
| Director, Business Development | 40.00 | $242,409 | $0 | $10,655 | Yes (X) | ||
| Alex Blum | |||||||
| CMO | 40.00 | $235,146 | $0 | $11,699 | Yes (X) | ||
| Robert Lord | |||||||
| Chief, Sales | 40.00 | $228,791 | $0 | $3,439 | Yes (X) | ||
| Carol Mandel | |||||||
| Chief Compliance Officer | 40.00 | $206,165 | $0 | $6,660 | Yes (X) | ||
| Catherine Mock | |||||||
| VP, Sales | 40.00 | $187,733 | $0 | $867 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,813,230 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $73,000 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Milliman | |||||
| 1301 Fifth Avenue Suite 3800 | Seattle | WA | 981012646 | Actuarial Services | $627,691 |
| Goodell DeVries | |||||
| 1 South St 2000 | Baltimore | MD | 21202 | Legal | $170,282 |
| Scott Bolick | |||||
| 10205 Wincopin Circle | Columbia | MD | 21044 | Implementation | $117,887 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Insurance Premiums | 524298 | $86,163,871 | $86,163,871 |
| Reinsurance Recoveries | 524298 | $1,830,853 | $1,830,853 |
| Management Income | 561000 | $183,552 | $183,552 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $88,178,276 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $470,479 | TotalRevenueColumnAmt |
| Exclusion | $470,479 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $88,648,755 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $88,178,276 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $470,479 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,888 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,886,230 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,118,313 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,920 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $713,833 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $468,111 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,739 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $780,067 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,563 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,932,083 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $685,653 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $256,281 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,136 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527,615 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,060 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,890 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,368 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,766 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| Hospital/Medical Benefi | $30,636,858 |
| Professional Fees | $22,364,921 |
| Prescription Drugs | $16,726,476 |
| taxes and fees | $393,465 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,081 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,230,317 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $388,155 | BOYAmt |
| EOY | $136,321 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,575,502 | BOYAmt |
| EOY | $1,320,319 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,114,115 | BOYAmt |
| EOY | $6,228,551 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,000,000 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $529,411 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $210,043 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,092 | BOYAmt |
| EOY | $319,368 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,749,430 | BOYAmt |
| EOY | $29,494,080 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $428,321 | BOYAmt |
| EOY | $312,677 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,400,615 | BOYAmt |
| EOY | $37,811,316 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,955,814 | BOYAmt |
| EOY | $4,344,052 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $417,001 | BOYAmt |
| EOY | $714,902 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,990,587 | BOYAmt |
| EOY | $15,014,954 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,363,402 | BOYAmt |
| EOY | $20,073,908 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,037,213 | BOYAmt |
| EOY | $17,737,408 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,037,213 | BOYAmt |
| EOY | $17,737,408 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,400,615 | BOYAmt |
| EOY | $37,811,316 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,581,562 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $13,281,757 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $529,411 | OtherCostOrOtherBasisAmt |
| Depreciation | $210,043 | DepreciationAmt |
| Book Value | $319,368 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $319,368 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Medical Claims Payable | $9,465,209 |
| Deferred Rent | $229,583 |
| Ceding Reinsurance Payable | $820,162 |
| Risk Adjustment Payable | $4,500,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,014,954 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $79,193,024 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $79,193,024 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $38,563 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $9,417,168 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $9,455,731 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $88,648,755 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $90,026,640 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | -$2,014,405 | OtherExpensesIncludedAmt |
| Expenses Not Reported | -$2,014,405 | ExpensesNotReportedAmt |
| Expenses Subtotal | $92,041,045 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $38,563 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $150,709 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $189,272 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $92,230,317 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | SECTION 1322 OF THE PPACA ADDED SECTION 501(C)(29) OT THE INTERNAL REVENUE CODE TO ADDRESS THE NONPROFIT STATUS OF NEWLY CREATED HEALTH INSURANCE COOPERATIVES. IRS GUIDANCE STATES THAT AN ORGANIZATION WILL QUALIFY FOR EXEMPTION UNDER SECTION 501(C)(29) ONLY IF: -THE ORGANIZATION HAS RECEIVED A LOAN OR A REPAYABLE GRANT UNDER THE CO-OP PROGRAM AND IS IN COMPLIANCE WITH ALL REQUIREMENTS OF THE CO-OP PROGRAM AND ANY AGREEMENT WITH CMS; -NO PART OF THE ORGANIZATION'S NET EARNINGS INURES TO THE BENEFIT OF ANY PRIVATE SHAREHOLDER OR INDIVIDUAL, EXCEPT THAT THE ORGANIZATION IS REQUIRED BY SECTION 1322(C)(4) OF THE PPACA TO USE ITS PROFITS TO LOWER PREMIUMS, IMPROVE BENEFITS, OR IMPROVE THE QUALITY OF HEALTH CARE DELIVERED TO ITS MEMBERS; -NO SUBSTANTIAL PART OF THE ORGANIZATION'S ACTIVITIES INVOLVES ATTEMPTS TO INFLUENCE LEGISLATION; AND -THE ORGANIZATION DOES NOT PARTICIPATE OR INTERVENE IN POLITICAL CAMPAIGNS. THE COMPANY MET THE CRITERIA FOR EXEMPTION UNDER SECTION 501(C)(29) AND RECEIVED A FAVORABLE DETERMINATION LETTER ON SEPTEMBER 18, 2013, AS A NONPROFIT ENTITY. AS SUCH, THE COMPANY IS NOT SUBJECT TO ANY FEDERAL INCOME TAXES. |
| Part XI, Line 4b - Other Adjustments: | Management Income from Affiliate 183,552. Reinsurance Recoveries 1,830,853. Adjustment to reduce risk 7,252,054. Amortization included with Revenue 150,709. |
| Part XII, Line 2d - Other Adjustments: | Management Income from Affiliate -183,552. Reinsurance Recoveries -1,830,853. |
| Part XII, Line 4b - Other Adjustments: | Amortization included with Revenue 150,709. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| The Y of Central Maryland | |||||||
| 303 W Chesapeake Ave | Baltimore | MD | 21204 | 520591699 | 501(c)(3) | $65,000 | 2015 Title Sponsorship of the Y Turkey Trot Charity 5K. |
| Yeshiva of Greater Washington Inc | |||||||
| 2010 Linden Lane | Silver SPring | MD | 20910 | 521106842 | 501(c)(3) | $5,000 | Support of the annual banquet. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Contributions to nonprofit entities must be approved by the CFO and COO and supported by documentation. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER L BEILENSON | ||||||||||||||
| PRESIDENT/Director | $233,836 | $0 | $0 | $0 | $893 | $0 | $0 | $0 | $16,496 | $0 | $251,225 | $0 | $0 | $0 |
| Len Sherman | ||||||||||||||
| Treasurer | $219,869 | $0 | $0 | $0 | $1,325 | $0 | $0 | $0 | $17,528 | $0 | $238,722 | $0 | $0 | $0 |
| Mary Porter | ||||||||||||||
| Secretary | $218,429 | $0 | $0 | $0 | $1,371 | $0 | $0 | $0 | $5,656 | $0 | $225,456 | $0 | $0 | $0 |
| Kimberly Connelly | ||||||||||||||
| Director, Business Development | $242,361 | $0 | $0 | $0 | $48 | $0 | $0 | $0 | $10,655 | $0 | $253,064 | $0 | $0 | $0 |
| Alex Blum | ||||||||||||||
| CMO | $234,959 | $0 | $0 | $0 | $187 | $0 | $0 | $0 | $11,699 | $0 | $246,845 | $0 | $0 | $0 |
| Robert Lord | ||||||||||||||
| Chief, Sales | $227,898 | $0 | $0 | $0 | $893 | $0 | $0 | $0 | $3,439 | $0 | $232,230 | $0 | $0 | $0 |
| Carol Mandel | ||||||||||||||
| Chief Compliance Officer | $204,794 | $0 | $0 | $0 | $1,371 | $0 | $0 | $0 | $6,660 | $0 | $212,825 | $0 | $0 | $0 |
| Catherine Mock | ||||||||||||||
| VP, Sales | $186,993 | $0 | $0 | $0 | $740 | $0 | $0 | $0 | $867 | $0 | $188,600 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Line 13a | MD |
| Form 990, Part VI, Section A, line 6 | Pursuant to 45 C.F.R. 156.515 and Section 1.07 of Evergreen Health's bylaws, all members of evergreen health age 18 or older that have valid insurance coverage with evergreen health have the right to vote for directors and serve as a director. |
| Form 990, Part VI, Section A, line 7a | See response to form 990, part vi, section a, line 6. |
| Form 990, Part VI, Section A, line 7b | The members may remove any director, with or without cause, by the affirmative vote of a majority of all the votes entitled to be cast for the election of directors. Removal actions may be initiated either through petition by (a) at least 10 percent of the members or (b) a majority of the board of directors, both upon thirty days prior written notice. |
| Form 990, Part VI, Section B, line 11 | THE 990 IS REVIEWED BY THE CEO AND THE COO. THE FORM IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. |
| Form 990, Part VI, Section B, line 12c | EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST AND PROHIBITED TRANSACTION POLICY, HAS READ AND UNDERSTOOD THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS THAT THE CORPORATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES AND NOT ENTER INTO A TRANSACTION OR ARRANGEMENT THAT MIGHT INVOLVE THE INSURANCE INDUSTRY. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST AND/OR PROHIBITED TRANSACTION, EACH DIRECTOR, OFFICER, ADVISORY BOARD MEMBER AND COMMITTEE MEMBER HAS A DUTY TO DISCLOSE AND MUST HAVE THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND COMMITTEE MEMBERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER A DISCLOSURE OF ALL MATERIAL FACTS THE AUDIT & COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS SHALL DETERMINE IF A CONFLICT OF INTEREST AND/OR PROHIBITED TRANSACTION EXISTS. IF THE COMMITTEE DETERMINES THAT A CONFLICT EXISTS, THE MATTER WILL BE BROUGHT TO THE FULL BOARD AND THE CHAIRMAN OF THE BOARD SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST AND/OR PROHIBITED TRANSACTION, AND TO DETERMINE HOW THE CORPORATION CAN OBTAIN WITH REASONABLE EFFORTS A TRANSACTION FROM PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST AND/OR PROHIBITED TRANSACTION. THE MINUTES OF THE BOARD OF DIRECTORS AND ALL COMMITTEES SHALL CONTAIN THE NAMES OF THE PERSONS WHO DISCLOSED ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST OR PROHIBITED TRANSACTION, ACTIONS TAKEN TO DETERMINE WHETHER A CONFLICT OR PROHIBITED TRANSACTION WAS PRESENT AND THE AUDIT & COMPLIANCE COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. THE MINUTES OF THE BOARD OF DIRECTORS AND ALL COMMITTEES SHALL ALSO CONTAIN THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATED TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THE PROCEEDINGS. TO ENSURE THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH CHARITABLE AND CO-OP PURPOSES, AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR THE RECEIPT AND/OR USE OF A START-UP LOAN AND SOLVENCY LOAN FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES UNDER THE CO-OP PROGRAM, INCLUDING, WITHOUT LIMITATION, PROHIBITED TRANSACTIONS, PERIODIC REVIEWS SHALL BE CONDUCTED. SUCH PERIODIC REVIEWS SHALL INCLUDE (A) WHETHER COMPENSATORY ARRANGEMENTS AND BENEFITS ARE REASONABLE, BASED ON COMPETENT SURVEY INFORMATION AND ARM'S LENGTH BARGAINING, AND DO NOT CONSTITUTE A PROHIBITED TRANSACTION, AND (B) WHETHER PARTNERSHIPS, JOINT VENTURES AND OTHER ARRANGEMENTS WITH MANAGEMENT ORGANIZATIONS CONFORM TO THE CORPORATION'S WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER CHARITABLE PURPOSES AND DO NOT RESULT IN INURNMENT, IMPERMISSABLE PRIVATE BENEFIT OR IN AN EXCESS BENEFIT TRANSACTION. WHEN CONDUCTING THE PERIODIC REVIEWS AS PROVIDED HEREIN, THE CORPORATION MAY, BUT NEED NOT, USE OUTSIDE ADVISORS. IF OUTSIDE EXPERTS ARE USED, THEIR USE SHALL NOT RELIEVE THE BOARD OF DIRECTORS OF ITS RESPONSIBILITY FOR ENSURING THAT PERIODIC REVIEWS OCCUR. |
| Form 990, Part VI, Section B, line 15 | IN 2015, THE COMPENSATION OF THE CEO AND COO WAS DETERMINED BY THE INDEPENDENT BOARD OF DIRECTORS. MARKET SURVEYS WERE USED TO DETERMINE REASONABLE COMPENSATION. THE APPROVAL OF THE EMPLOYMENT CONTRACTS WAS DOCUMENTED IN BOARD MINUTES. |
| Form 990, Part VI, Section C, line 19 | EVERGREEN HEALTH'S QUARTERLY FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE NAIC AND THE MARYLAND INSURANCE ADMINITRATION. EVERGREEN HEALTH'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THESE DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). |
| Form 990, Part IX, line 11g | Implementation Costs 1,859,642. Outsourcing 2,927,973. Commissions 5,144,468. |
| Form 990, Part XI, line 9: | Change in surplus note 22,801,156. Change in nonadmitted assets -2,267,345. Adjustment to reduce risk -7,252,054. |