2016-03-24T06:50:46-05:00 2015-09-30 222027092 WITHUMSMITHBROWN PC 1417 E CONCORD STREET ORLANDO FL 32803 990 2014-10-01 900525658 HEALTH CHOICE NETWORK INC HEAL 3055991015 9064 NORTHWEST 13TH TERRACE MIAMI FL 33172 ALEJANDRO ROMILLO CEO 3055991015 2016-03-14 1 EDWARD A HOFMA CPA P00735723 4078491569 2016-03-14 2014 2016-08-17 19:52:53Z ALEJANDRO ROMILLO 9064 NORTHWEST 13TH TERRACE MIAMI FL 33172 17152965 0 X WWW.HCNETWORK.ORG X 2010 FL HEALTH CHOICE NETWORKS MISSION IS DELIVERING TECHNOLOGY SOLUTIONS TO IMPROVE HEALTH OUTCOMES. THE VISION IS TO BE AN INDUSTRY LEADER IN INNOVATIVE TECHNOLOGY SOLUTIONS. 11 11 85 0 0 0 802581 498181 14386043 15708108 0 0 574991 946676 15763615 17152965 0 0 0 0 5543512 6565549 0 0 0 7787828 9009295 13331340 15574844 2432275 1578121 5202724 6234682 2070192 1524029 3132532 4710653 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. 0 0 13392291 16654784 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. 13392291 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 16 0 1 85 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X RICK FRIEDFELD 3055991015 9064 NORTHWEST 13 TERRACE MIAMI FL 33172 BRODES HARTLEY JR IMMEDIATE PAST CHAIR 1.00 X 0 0 0 SEFERINO MONTANO CHAIR 1.00 X X 0 0 0 DENNIS KRUSE VICE CHAIR 1.00 X X 0 0 0 ROSALYN FRAZIER TREASURER 1.00 X X 0 0 0 DAVID RODDY DIRECTOR 1.00 X 0 0 0 JOE SHEEHAN DIRECTOR 1.00 X 0 0 0 MERRILL THOMAS SECRETARY 1.00 X 0 0 0 ANTHONY AMOFAH DIRECTOR 1.00 X 0 0 0 CHARLES BOTTOMS DIRECTOR 1.00 X 0 0 0 CHRIS VIAVANT DIRECTOR 1.00 X 0 0 0 RICHARD TAAFFE DIRECTOR 1.00 X 0 0 0 KEVIN KEARNS PRESIDENT & CHIEF EXECUTIVE OFFICER 40.00 X X 0 813156 14110 ALEJANDRO ROMILLO CHIEF OPERATING OFFICER 40.00 X 0 473448 13211 RICK FRIEDFELD CHIEF FINANCIAL OFFICER 40.00 X 0 327720 1860 MICHELLE RUSSELL SR. VICE PRESIDENT OF CIO SERVICES 40.00 X 181923 0 8018 MARGARITA OLLET SR. VICE PRESIDENT OF ADMIN SERVICES 40.00 X 0 268726 4146 MICHAEL BIRDSONG CHIEF INFORMATION OFFICER 40.00 X 180902 0 1078 GEORGE KARNEGIS SR. DIRECTOR OF INFORMATION SYSTEMS 40.00 X 150881 0 6971 THEODORE MAREFKA HR & OPERATIONS DIRECTOR 40.00 X 0 196145 6524 ANDREW BRICKMAN SR. DIRECTOR OF STRATEGIC CLINICAL INITIATIVES 40.00 X 0 184552 10797 TERISA JAMES EVP OF COMMUNITY INITIATIVES AND FUND DEVELOPMENT 40.00 X 0 169494 9691 VICTOR RODRIGUEZ DIRECTOR OF NETWORK OPERATIONS 40.00 X 136234 0 556 RICARDO GOMEZ SR. DIRECTOR OF INFORMATION SYSTEMS 40.00 X 140470 0 1217 PATRICE TULLOCH SR. DIRECTOR OF PMO 40.00 X 130512 0 1404 COLLETTE REECE SR. DIRECTOR OF FINANCE/CFO SERVICES 40.00 X 0 131517 1849 MEREDITH HUGHES MARSH INTERIM SFREC DIRECTOR 40.00 X 0 135678 5581 920922 2700436 87013 12 0 1 0 CHAMPIONS SOLUTIONS GROUP PO BOX 24620 WEST PALM BEACH FL 33416 HARDWARE & SOFTWARE SALES AND SUPPORT 687159 TERREMARK NORTH AMERICAN INC PO BOX 864416 ORLANDO FL 32886 IT INFASTRUCTURE SERVICES 613034 2 498181 498181 MEMBER SERVICES 561000 15542108 15542108 MEMBERSHIP DUES 561000 166000 166000 15708108 ADMINISTRATIVE SERVICES FOR AFFIL 561000 943396 943396 OTHER REVENUE 561000 3280 3280 946676 17152965 16654784 0 0 5508904 4428373 1080531 235293 185208 50085 415020 370743 44277 406332 336776 69556 498695 498695 9726 9726 20550 20550 941578 859852 81726 103567 46971 56596 4910206 4856968 53238 276692 276692 142527 74451 68076 372396 98081 274315 16840 16840 1092623 1092623 597717 526626 71091 MISCELLANEOUS EXPENSES 26178 84 26094 15574844 13392291 2182553 0 2766445 2361508 18663 32165 447974 1037387 542739 795179 4681631 2678782 1426903 2002849 0 5594 5202724 6234682 915713 888273 490011 373835 664468 261921 2070192 1524029 X 3132532 4710653 3132532 4710653 5202724 6234682 1578121 0 X X 0 1 X 1 1 1 X 508351 802581 498181 1809113 4455522 10733546 11836563 14386043 15708108 57119782 4455522 10733546 12344914 15188624 16206289 58928895 0 0 0 58928895 1764 1017 2781 1764 1017 2781 405073 574991 946676 1926740 4457286 10734563 12749987 15763615 17152965 60858416 0.96830 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3407054 2101427 1305627 1274577 577355 697222 2002849 CAPITAL LEASE OBLIGATIONS 261921 261921 X 17217644 64679 64679 17152965 0 17152965 15639523 64679 64679 15574844 0 15574844 PART X, LINE 2: 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. X X X 0 0 0 0 0 0 0 0 0 KEVIN KEARNS PRESIDENT & CHIEF EXECUTIVE OFFICER 0 431767 0 381389 0 0 0 0 0 14110 0 827266 0 0 ALEJANDRO ROMILLO CHIEF OPERATING OFFICER 0 330240 0 143208 0 0 0 0 0 13211 0 486659 0 0 RICK FRIEDFELD CHIEF FINANCIAL OFFICER 0 258723 0 68997 0 0 0 0 0 1860 0 329580 0 0 MICHELLE RUSSELL SR. VICE PRESIDENT OF CIO SERVICES 171864 0 10059 0 0 0 0 0 8018 0 189941 0 0 0 MARGARITA OLLET SR. VICE PRESIDENT OF ADMIN SERVICES 0 171346 0 97380 0 0 0 0 0 4146 0 272872 0 0 MICHAEL BIRDSONG CHIEF INFORMATION OFFICER 180902 0 0 0 0 0 0 0 1078 0 181980 0 0 0 GEORGE KARNEGIS SR. DIRECTOR OF INFORMATION SYSTEMS 148012 0 2869 0 0 0 0 0 6971 0 157852 0 0 0 THEODORE MAREFKA HR & OPERATIONS DIRECTOR 0 185695 0 10450 0 0 0 0 0 6524 0 202669 0 0 ANDREW BRICKMAN SR. DIRECTOR OF STRATEGIC CLINICAL I 0 179141 0 5411 0 0 0 0 0 10797 0 195349 0 0 TERISA JAMES EVP OF COMMUNITY INITIATIVES AND FUN 0 160494 0 9000 0 0 0 0 0 9691 0 179185 0 0 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 HEALTH CHOICE NETWORK OF FLORIDA INC 9064 NORTHWEST 13TH TERRACE DORAL FL 33172 650504316 TO PROVIDE SERVICE, SUPPORT AND EXPERTISE TO MEMBER ORGANIZATIONS FL 501(C)(3) LINE 7 N/A 0 PRESTIGE HEALTH CHOICE LLC 9064 NW 13TH TERRACE MIAMI FL 33172 450563075 MANAGED HEALTH CARE ACTIVITIES FL N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 HEALTH CHOICE NETWORK OF FLORIDA INC L 9720316 MEMBERSHIP FEES FROM HCNFL HEALTH CHOICE NETWORK OF FLORIDA INC K 170449 RENT EXPENSE PAID TO HCNFL HEALTH CHOICE NETWORK OF FLORIDA INC M 1196904 ADMINISTRATIVE EXPENSES TO HCNFL HEALTH CHOICE NETWORK OF FLORIDA INC O 285651 DIRECTOR SALARY PRESTIGE HEALTH CHOICE LLC L 911417 MEMBERSHIP FEES FROM PRESTIGE