HEALTH CHOICE NETWORK INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH CHOICE NETWORK INC (EIN 90-0525658)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-03-24
- IRS object ID
- 201600849349300300
- Schema version
- 2014v6.0
- 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 | 2016-03-24T06:50:46-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 222027092 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WITHUMSMITHBROWN PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1417 E CONCORD STREET | AddressLine1Txt |
| City | ORLANDO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900525658 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH CHOICE NETWORK INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 3055991015 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9064 NORTHWEST 13TH TERRACE | AddressLine1Txt |
| City | MIAMI | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33172 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALEJANDRO ROMILLO | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3055991015 | PhoneNum |
| Signature | 2016-03-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EDWARD A HOFMA CPA | PreparerPersonNm |
| PTIN | P00735723 | PTIN |
| Phone | 4078491569 | PhoneNum |
| Preparation | 2016-03-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALEJANDRO ROMILLO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9064 NORTHWEST 13TH TERRACE | AddressLine1Txt |
| City | MIAMI | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33172 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,152,965 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HCNETWORK.ORG | WebsiteAddressTxt |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | HEALTH CHOICE NETWORKS MISSION IS DELIVERING TECHNOLOGY SOLUTIONS TO IMPROVE HEALTH OUTCOMES. THE VISION IS TO BE AN INDUSTRY LEADER IN INNOVATIVE TECHNOLOGY SOLUTIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 85 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $802,581 | PYContributionsGrantsAmt |
| CY Contributions Grants | $498,181 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,386,043 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,708,108 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $574,991 | PYOtherRevenueAmt |
| CY Other Revenue | $946,676 | CYOtherRevenueAmt |
| PY Total Revenue | $15,763,615 | PYTotalRevenueAmt |
| CY Total Revenue | $17,152,965 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,543,512 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,565,549 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,787,828 | PYOtherExpensesAmt |
| CY Other Expenses | $9,009,295 | CYOtherExpensesAmt |
| PY Total Expenses | $13,331,340 | PYTotalExpensesAmt |
| CY Total Expenses | $15,574,844 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,432,275 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,578,121 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,202,724 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,234,682 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,070,192 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,524,029 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,132,532 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,710,653 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HIGH QUALITY SERVICE, SUPPORT AND EXPERTISE TO MEMBER ORGANIZATIONS AND TO ACT AS A VEHICLE FOR STRATEGIC EFFORTS THAT STRENGTHEN OUR COMMUNITY HEALTH PARTNERS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $13,392,291 | ExpenseAmt |
| Revenue | $16,654,784 | RevenueAmt |
| Desc | TO ASSIST MEMBER CENTERS IN PROVIDING QUALITY FISCAL AND MANAGEMENT INFORMATION SYSTEM SERVICES. THE NETWORK'S MAIN MISSION IS TO PROVIDE HIGH QUALITY SERVICE, SUPPORT, AND EXPERTISE TO MEMBER ORGANIZATIONS AND TO ACT AS A VEHICLE FOR STRATEGIC EFFORTS THAT STRENGTHEN OUR COMMUNITY HEALTH PARTNERS. BY SHARING COMMON TECHNOLOGY AND MANAGEMENT INFORMATION SERVICES, MEMBER CENTERS CAN PROVIDE BETTER AND MORE ACCESSIBLE CARE BY USING THE VERY LATEST IN ELECTRONIC HEALTH RECORDS, INFORMATICS RESEARCH, AND FINANCIAL AND CLINICAL SERVICES. THE NETWORK IS DEDICATED TO PROVIDING THE FINEST IN THESE SERVICES TO ITS MEMBER CENTERS SO THEY CAN IMPROVE THE QUALITY AND ACCESSIBILITY OF MEDICAL AND DENTAL HEALTH CARE THEY PROVIDE TO THEIR PATIENTS. | Desc |
| Total Program Service Expenses | $13,392,291 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| 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 | 0 | 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 | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 85 | 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 |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICK FRIEDFELD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3055991015 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9064 NORTHWEST 13 TERRACE | AddressLine1Txt |
| City | MIAMI | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33172 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BRODES HARTLEY JR | ||||||||
| IMMEDIATE PAST CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SEFERINO MONTANO | ||||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DENNIS KRUSE | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ROSALYN FRAZIER | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DAVID RODDY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOE SHEEHAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MERRILL THOMAS | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANTHONY AMOFAH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES BOTTOMS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRIS VIAVANT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD TAAFFE | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN KEARNS | ||||||||
| PRESIDENT & CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $0 | $813,156 | $14,110 | Yes (X) | ||
| ALEJANDRO ROMILLO | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | $0 | $473,448 | $13,211 | Yes (X) | |||
| RICK FRIEDFELD | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $0 | $327,720 | $1,860 | Yes (X) | |||
| MICHELLE RUSSELL | ||||||||
| SR. VICE PRESIDENT OF CIO SERVICES | 40.00 | $181,923 | $0 | $8,018 | Yes (X) | |||
| MARGARITA OLLET | ||||||||
| SR. VICE PRESIDENT OF ADMIN SERVICES | 40.00 | $0 | $268,726 | $4,146 | Yes (X) | |||
| MICHAEL BIRDSONG | ||||||||
| CHIEF INFORMATION OFFICER | 40.00 | $180,902 | $0 | $1,078 | Yes (X) | |||
| GEORGE KARNEGIS | ||||||||
| SR. DIRECTOR OF INFORMATION SYSTEMS | 40.00 | $150,881 | $0 | $6,971 | Yes (X) | |||
| THEODORE MAREFKA | ||||||||
| HR & OPERATIONS DIRECTOR | 40.00 | $0 | $196,145 | $6,524 | Yes (X) | |||
| ANDREW BRICKMAN | ||||||||
| SR. DIRECTOR OF STRATEGIC CLINICAL INITIATIVES | 40.00 | $0 | $184,552 | $10,797 | Yes (X) | |||
| TERISA JAMES | ||||||||
| EVP OF COMMUNITY INITIATIVES AND FUND DEVELOPMENT | 40.00 | $0 | $169,494 | $9,691 | Yes (X) | |||
| VICTOR RODRIGUEZ | ||||||||
| DIRECTOR OF NETWORK OPERATIONS | 40.00 | $136,234 | $0 | $556 | Yes (X) | |||
| RICARDO GOMEZ | ||||||||
| SR. DIRECTOR OF INFORMATION SYSTEMS | 40.00 | $140,470 | $0 | $1,217 | Yes (X) | |||
| PATRICE TULLOCH | ||||||||
| SR. DIRECTOR OF PMO | 40.00 | $130,512 | $0 | $1,404 | Yes (X) | |||
| COLLETTE REECE | ||||||||
| SR. DIRECTOR OF FINANCE/CFO SERVICES | 40.00 | $0 | $131,517 | $1,849 | Yes (X) | |||
| MEREDITH HUGHES MARSH | ||||||||
| INTERIM SFREC DIRECTOR | 40.00 | $0 | $135,678 | $5,581 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $920,922 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,700,436 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $87,013 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CHAMPIONS SOLUTIONS GROUP | |||||
| PO BOX 24620 | WEST PALM BEACH | FL | 33416 | HARDWARE & SOFTWARE SALES AND SUPPORT | $687,159 |
| TERREMARK NORTH AMERICAN INC | |||||
| PO BOX 864416 | ORLANDO | FL | 32886 | IT INFASTRUCTURE SERVICES | $613,034 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $498,181 | AllOtherContributionsAmt |
| Total Contributions | $498,181 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEMBER SERVICES | 561000 | $15,542,108 | $15,542,108 |
| MEMBERSHIP DUES | 561000 | $166,000 | $166,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,708,108 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ADMINISTRATIVE SERVICES FOR AFFIL | 561000 | $943,396 | $943,396 |
| OTHER REVENUE | 561000 | $3,280 | $3,280 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $946,676 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,152,965 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,654,784 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,508,904 | TotalAmt |
| Program Services | $4,428,373 | ProgramServicesAmt |
| Management And General | $1,080,531 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,293 | TotalAmt |
| Program Services | $185,208 | ProgramServicesAmt |
| Management And General | $50,085 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,020 | TotalAmt |
| Program Services | $370,743 | ProgramServicesAmt |
| Management And General | $44,277 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,332 | TotalAmt |
| Program Services | $336,776 | ProgramServicesAmt |
| Management And General | $69,556 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $498,695 | TotalAmt |
| Program Services | $498,695 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,726 | TotalAmt |
| Management And General | $9,726 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,550 | TotalAmt |
| Management And General | $20,550 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $941,578 | TotalAmt |
| Program Services | $859,852 | ProgramServicesAmt |
| Management And General | $81,726 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,567 | TotalAmt |
| Program Services | $46,971 | ProgramServicesAmt |
| Management And General | $56,596 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,910,206 | TotalAmt |
| Program Services | $4,856,968 | ProgramServicesAmt |
| Management And General | $53,238 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,692 | TotalAmt |
| Management And General | $276,692 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,527 | TotalAmt |
| Program Services | $74,451 | ProgramServicesAmt |
| Management And General | $68,076 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,396 | TotalAmt |
| Program Services | $98,081 | ProgramServicesAmt |
| Management And General | $274,315 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,840 | TotalAmt |
| Program Services | $16,840 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,092,623 | TotalAmt |
| Program Services | $1,092,623 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $597,717 | TotalAmt |
| Program Services | $526,626 | ProgramServicesAmt |
| Management And General | $71,091 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS EXPENSES | Desc |
| Total | $26,178 | TotalAmt |
| Program Services | $84 | ProgramServicesAmt |
| Management And General | $26,094 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,574,844 | TotalAmt |
| Program Services | $13,392,291 | ProgramServicesAmt |
| Management And General | $2,182,553 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,766,445 | BOYAmt |
| EOY | $2,361,508 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,663 | BOYAmt |
| EOY | $32,165 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,974 | BOYAmt |
| EOY | $1,037,387 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $542,739 | BOYAmt |
| EOY | $795,179 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,681,631 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,678,782 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,426,903 | BOYAmt |
| EOY | $2,002,849 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,594 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,202,724 | BOYAmt |
| EOY | $6,234,682 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $915,713 | BOYAmt |
| EOY | $888,273 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $490,011 | BOYAmt |
| EOY | $373,835 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $664,468 | BOYAmt |
| EOY | $261,921 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,070,192 | BOYAmt |
| EOY | $1,524,029 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,132,532 | BOYAmt |
| EOY | $4,710,653 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,132,532 | BOYAmt |
| EOY | $4,710,653 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,202,724 | BOYAmt |
| EOY | $6,234,682 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,578,121 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| 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 A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $508,351 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $802,581 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $498,181 | CurrentTaxYearAmt |
| Total | $1,809,113 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,455,522 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,733,546 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,836,563 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,386,043 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,708,108 | CurrentTaxYearAmt |
| Total | $57,119,782 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,455,522 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,733,546 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,344,914 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,188,624 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,206,289 | CurrentTaxYearAmt |
| Total | $58,928,895 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $58,928,895 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,764 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,017 | CurrentTaxYearMinus3YearsAmt |
| Total | $2,781 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,764 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,017 | CurrentTaxYearMinus3YearsAmt |
| Total | $2,781 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $405,073 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $574,991 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $946,676 | CurrentTaxYearAmt |
| Total | $1,926,740 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,457,286 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,734,563 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,749,987 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,763,615 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,152,965 | CurrentTaxYearAmt |
| Total | $60,858,416 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96830 | PublicSupportCY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,407,054 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,101,427 | DepreciationAmt |
| Book Value | $1,305,627 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,274,577 | OtherCostOrOtherBasisAmt |
| Depreciation | $577,355 | DepreciationAmt |
| Book Value | $697,222 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,002,849 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE OBLIGATIONS | Desc |
| Amt | $261,921 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $261,921 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $17,217,644 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $64,679 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $64,679 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,152,965 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $17,152,965 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,639,523 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $64,679 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $64,679 | ExpensesNotReportedAmt |
| Expenses Subtotal | $15,574,844 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $15,574,844 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE NETWORK IS A NONPROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 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 ORGANIZATION IS DEFINED AS AN INCOME TAX POSITION UNDER THESE REQUIREMENTS. WHILE MANAGEMENT BELIEVES IT HAS COMPLIED WITH THE INTERNAL REVENUE CODE, 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, 2015. 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. THE NETWORK'S FEDERAL INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. AT SEPTEMBER 30, 2015, THE FISCAL YEARS 2012 THROUGH 2015 FEDERAL TAX RETURNS ARE SUBJECT TO EXAMINATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| 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 |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN KEARNS | ||||||||||||||
| PRESIDENT & CHIEF EXECUTIVE OFFICER | $0 | $431,767 | $0 | $381,389 | $0 | $0 | $0 | $0 | $0 | $14,110 | $0 | $827,266 | $0 | $0 |
| ALEJANDRO ROMILLO | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $330,240 | $0 | $143,208 | $0 | $0 | $0 | $0 | $0 | $13,211 | $0 | $486,659 | $0 | $0 |
| RICK FRIEDFELD | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $258,723 | $0 | $68,997 | $0 | $0 | $0 | $0 | $0 | $1,860 | $0 | $329,580 | $0 | $0 |
| MICHELLE RUSSELL | ||||||||||||||
| SR. VICE PRESIDENT OF CIO SERVICES | $171,864 | $0 | $10,059 | $0 | $0 | $0 | $0 | $0 | $8,018 | $0 | $189,941 | $0 | $0 | $0 |
| MARGARITA OLLET | ||||||||||||||
| SR. VICE PRESIDENT OF ADMIN SERVICES | $0 | $171,346 | $0 | $97,380 | $0 | $0 | $0 | $0 | $0 | $4,146 | $0 | $272,872 | $0 | $0 |
| MICHAEL BIRDSONG | ||||||||||||||
| CHIEF INFORMATION OFFICER | $180,902 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,078 | $0 | $181,980 | $0 | $0 | $0 |
| GEORGE KARNEGIS | ||||||||||||||
| SR. DIRECTOR OF INFORMATION SYSTEMS | $148,012 | $0 | $2,869 | $0 | $0 | $0 | $0 | $0 | $6,971 | $0 | $157,852 | $0 | $0 | $0 |
| THEODORE MAREFKA | ||||||||||||||
| HR & OPERATIONS DIRECTOR | $0 | $185,695 | $0 | $10,450 | $0 | $0 | $0 | $0 | $0 | $6,524 | $0 | $202,669 | $0 | $0 |
| ANDREW BRICKMAN | ||||||||||||||
| SR. DIRECTOR OF STRATEGIC CLINICAL I | $0 | $179,141 | $0 | $5,411 | $0 | $0 | $0 | $0 | $0 | $10,797 | $0 | $195,349 | $0 | $0 |
| TERISA JAMES | ||||||||||||||
| EVP OF COMMUNITY INITIATIVES AND FUN | $0 | $160,494 | $0 | $9,000 | $0 | $0 | $0 | $0 | $0 | $9,691 | $0 | $179,185 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE NETWORK HAS TWO CLASSES OF MEMBERSHIP, CLASS A MEMBERS, AND CLASS B MEMBERS. CLASS A MEMBERS ARE 501(C)(3) ORGANIZATIONS THAT PROVIDE COMPREHENSIVE FAMILY AND PRIMARY HEALTH CARE SERVICES/BEHAVIORAL HEALTH CARE SERVICES WITH A FOCUS ON LOW-INCOME, MEDICALLY UNDERSERVED AND OTHER VULNERABLE POPULATIONS. CLASS B MEMBERS ARE NETWORKS OR AFFILIATIONS OF ORGANIZATIONS OF THE TYPE THAT WOULD QUALIFY AS CLASS A MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE BY-LAWS INDICATE THAT THE BOARD OF DIRECTORS SHALL CONSIST OF 9 TO 13 DIRECTORS CHOSEN AS FOLLOWS: TWO DIRECTORS APPOINTED BY HEALTH CHOICE NETWORK OF FLORIDA, INC.; ONE DIRECTOR APPOINTED BY UTAH HEALTH CHOICE NETWORK; ONE DIRECTOR APPOINTED BY NEW MEXICO HEALTH CHOICE NETWORK; AT LEAST FIVE AT LARGE MEMBERS ELECTED BY THE CLASS A MEMBERS; NO MORE THAN THREE AT LARGE MEMBERS ELECTED BY THE CLASS B MEMBERS; ONE DIRECTOR APPOINTED BY THE BOARD OF DIRECTORS WHO SHALL BE A CLINICIAN EMPLOYED BY, OR OTHERWISE CLOSELY AFFILIATED WITH A MEMBER; AND THE NETWORK'S CEO SHALL BE AN EX-OFFICIO, NON-VOTING MEMBER OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | ALL THE POWERS OF THE NETWORK SHALL BE EXERCISED BY OR UNDER THE CONTROL OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 WAS REVIEWED IN DRAFT FORM AND APPROVED BY THE FINANCE COMMITTEE. A COPY WAS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE NETWORK HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT EVERY EMPLOYEE IS REQUIRED TO READ AND SIGN. THE NETWORK'S BYLAWS ALSO REQUIRE ALL BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT TO ADHERE TO THE STANDARDS OF CONDUCT PERTAINING TO THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | HEALTH CHOICE NETWORK DOES NOT SET THE CEO'S COMPENSATION OR COMPENSATE HIM DIRECTLY. THE RELATED ORGANIZATION NOTED IN SECTION J (HEALTH CHOICE NETWORK OF FLORIDA)DETERMINES BASE AND ANY INCENTIVE COMPENSATION. HEALTH CHOICE NETWORK COMPENSATES THE RELATED ORGANIZATION ON A PERCENTAGE OF THE CEO'S COMPENSATION THROUGH A MANAGEMENT CONTRACT WHICH IS APPROVED BY THE BOARD OF DIRECTORS. THE CEO ESTABLISHES THE PROCESS FOR DETERMINATION OF THE COMPENSATION OF OTHER OFFICERS CONSISTENT WITH THE APPROVED BUDGET. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE NETWORK MAKES THESE FORMS AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT CURRENTLY MAKE IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XII, LINE 2C: | THE NETWORK HAS A FINANCE COMMITTEE ESTABLISHED BY THE BOARD OF DIRECTORS THAT IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT, REVIEWING OF ITS FINANCIAL STATEMENTS, AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| FORM 990, SCHEDULE J, PART II, LINE 1 | COMPENSATION FOR KEVIN KEARNS INCLUDES AMOUNTS FROM HEALTH CHOICE NETWORK OF FLORIDA AND PRESTIGE HEALTH CHOICE, A RELATED COMPANY. THESE AMOUNTS ARE BROKEN DOWN AS FOLLOWS: BASE COMPENSATION INCENTIVE COMPENSATION TOTAL HCN OF FLORIDA $ 231,541 $ 40,000 $ 271,541 PRESTIGE HEALTH 200,226 341,389 541,615 TOTAL $ 431,767 $ 381,389 $ 813,156 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH CHOICE NETWORK OF FLORIDA INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9064 NORTHWEST 13TH TERRACE | AddressLine1Txt |
| City | DORAL | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33172 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650504316 | EIN |
| Primary Activities | TO PROVIDE SERVICE, SUPPORT AND EXPERTISE TO MEMBER ORGANIZATIONS | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESTIGE HEALTH CHOICE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9064 NW 13TH TERRACE | AddressLine1Txt |
| City | MIAMI | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33172 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450563075 | EIN |
| Primary Activities | MANAGED HEALTH CARE ACTIVITIES | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HEALTH CHOICE NETWORK OF FLORIDA INC | ||
| L | $9,720,316 | MEMBERSHIP FEES FROM HCNFL |
| HEALTH CHOICE NETWORK OF FLORIDA INC | ||
| K | $170,449 | RENT EXPENSE PAID TO HCNFL |
| HEALTH CHOICE NETWORK OF FLORIDA INC | ||
| M | $1,196,904 | ADMINISTRATIVE EXPENSES TO HCNFL |
| HEALTH CHOICE NETWORK OF FLORIDA INC | ||
| O | $285,651 | DIRECTOR SALARY |
| PRESTIGE HEALTH CHOICE LLC | ||
| L | $911,417 | MEMBERSHIP FEES FROM PRESTIGE |