INTEGRAL HEALTH PLAN INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- INTEGRAL HEALTH PLAN INC (EIN 80-0420631)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-08-01
- IRS object ID
- 201642149349300339
- 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 | 2016-08-01T10:43:48-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 591850025 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREGORY SHARER & STUART PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 2ND AVE SOUTH STE 600 | AddressLine1Txt |
| City | SAINT PETERSBURG | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 337014336 | 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 | 800420631 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTEGRAL HEALTH PLAN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INTE | BusinessNameControlTxt |
| Phone | 8135178383 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4631 WOODLAND CORPORATE BLVD 201 | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33614 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SANDRA STEELE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8137750050 | PhoneNum |
| Signature | 2016-07-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BYRON C SMITH CPA | PreparerPersonNm |
| PTIN | P00744293 | PTIN |
| Phone | 7278216161 | PhoneNum |
| Preparation | 2016-08-01 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTEGRAL QUALITY CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SANDRA STEELE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4631 WOODLAND CORPORATE BLVD | AddressLine1Txt |
| Address Line2 | SUITE 201 | AddressLine2Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33614 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $277,927,692 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.INTEGRALQUALITYCARE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | INTEGRAL QUALITY CARE IS A FLORIDA MEDICAID PROVIDER SERVICE NETWORK (PSN). WE MANAGE HIGH QUALITY ACCESSIBLE CARE FOR THE MEMBERS WE SERVE. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 1 | VotingMembersIndependentCnt |
| Total Employee | 149 | TotalEmployeeCnt |
| Total Volunteers | 2 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $163,205,806 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $207,339,261 | CYProgramServiceRevenueAmt |
| PY Investment Income | $185,564 | PYInvestmentIncomeAmt |
| CY Investment Income | $65,988,185 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $163,391,370 | PYTotalRevenueAmt |
| CY Total Revenue | $273,327,446 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $140,888,264 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $200,684,728 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,356,878 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,418,707 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,311,382 | PYOtherExpensesAmt |
| CY Other Expenses | $29,176,693 | CYOtherExpensesAmt |
| PY Total Expenses | $165,556,524 | PYTotalExpensesAmt |
| CY Total Expenses | $239,280,128 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,165,154 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $34,047,318 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,042,036 | TotalAssetsBOYAmt |
| Total Assets EOY | $52,976,492 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $38,939,760 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,726,377 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,102,276 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,250,115 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | INTEGRAL QUALITY CARE IS A FLORIDA MEDICAID PROVIDER SERVICE NETWORK (PSN). WE MANAGE HIGH QUALITY ACCESSIBLE CARE FOR THE MEMBERS WE SERVE. WE ARE COMMITTED TO COLLABORATIVE RELATIONSHIPS WITH OUR PROVIDERS WHILE SERVING OUR MEMBERS WITH COMPASSION AND CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $200,684,728 | ExpenseAmt |
| Revenue | $207,339,261 | RevenueAmt |
| Desc | INTEGRAL HEALTH PLAN, INC BEGAN ENROLLING MEMBERS IN APRIL 2010. PRIOR TO THE SALE ON NOVEMBER 1, 2015, THE ORGANIZATION MANAGED HEALTHCARE SERVICES FOR APPROXIMATELY 100,000 BENEFICIARIES. AFTER THE SALE, IT CEASED MANAGING HEALTHCARE SERVICES. | Desc |
| Total Program Service Expenses | $200,684,728 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | Yes (true) | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1988 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 149 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 1 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANN PROKOP | PersonNm |
| Phone | 8135178423 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4631 WOODLAND CORPORATE BLVD | AddressLine1Txt |
| City | TAMPA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33614 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JERRY STARKEY | ||||||||
| CHAIRRMAN | 1.00 | 40.00 | Yes (X) | $410,000 | $0 | $0 | ||
| WILLIAM ELLIS | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| GREGORY PRESTON | ||||||||
| CMO | 40.00 | 0.00 | $363,007 | $0 | $28,431 | Yes (X) | ||
| SANDRA STEELE | ||||||||
| CFO | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER SWEET | ||||||||
| COO/CEO | 40.00 | 0.00 | $262,788 | $0 | $28,348 | Yes (X) | ||
| ANN CLAUSSEN | ||||||||
| CHAIRMAN | 1.00 | 40.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA NABRIT | ||||||||
| MEDICAL DIRE | 40.00 | 0.00 | $223,614 | $0 | $23,725 | Yes (X) | ||
| LORI DILLARD | ||||||||
| COMPLIANCE D | 40.00 | 0.00 | $126,601 | $0 | $16,815 | Yes (X) | ||
| DEBORAH SMITH | ||||||||
| PHARMACY DIR | 40.00 | 0.00 | $129,262 | $0 | $13,788 | Yes (X) | ||
| GEORGIANNA MCDANIEL | ||||||||
| HR DIRECTOR | 40.00 | $135,302 | $0 | $0 | Yes (X) | |||
| CODY WRAY | ||||||||
| IT DIRECTOR | 40.00 | 0.00 | $135,000 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,785,574 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $111,107 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EXPRESS SCRIPTS INC | |||||
| 21653 NETWORK PLACE | CHICAGO | IL | 60673 | PHARMACYBENEFIT | $45,906,930 |
| INDEPENDENT LIVING SYSTEMS LLC | |||||
| 5201 BLUE LAGOON DR | MIAMI | FL | 33126 | MANAGEMENT | $9,761,691 |
| JAMES P DIETZ | |||||
| 17201 TALENCE CT | TAMPA | FL | 33647 | CFO CONSULTING | $321,424 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAID PREMIUM REVENUES | Desc |
| Total Revenue Column | $207,339,261 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $207,339,261 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $207,339,261 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,461 | TotalRevenueColumnAmt |
| Exclusion | $58,461 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,652,118 | SecuritiesAmt |
| Other | $65,877,852 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,600,246 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $51,872 | SecuritiesAmt |
| Other | $65,877,852 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,929,724 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,877,852 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $51,872 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $273,327,446 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $273,217,113 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $110,333 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,684,728 | TotalAmt |
| Program Services | $200,684,728 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,092,574 | TotalAmt |
| Management And General | $1,092,574 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,059,417 | TotalAmt |
| Management And General | $7,059,417 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,879 | TotalAmt |
| Management And General | $199,879 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $608,119 | TotalAmt |
| Management And General | $608,119 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,718 | TotalAmt |
| Management And General | $458,718 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,636,791 | TotalAmt |
| Management And General | $11,636,791 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,372,315 | TotalAmt |
| Management And General | $1,372,315 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,954 | TotalAmt |
| Management And General | $139,954 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,979 | TotalAmt |
| Management And General | $14,979 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $656,874 | TotalAmt |
| Management And General | $656,874 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,303 | TotalAmt |
| Management And General | $93,303 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $609,486 | TotalAmt |
| Management And General | $609,486 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $786,416 | TotalAmt |
| Management And General | $786,416 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,082,425 | TotalAmt |
| Management And General | $2,082,425 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,897 | TotalAmt |
| Management And General | $118,897 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,659 | TotalAmt |
| Management And General | $271,659 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,315 | TotalAmt |
| Management And General | $35,315 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $648,055 | TotalAmt |
| Management And General | $648,055 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $499,058 | TotalAmt |
| Management And General | $499,058 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| ADS PAYMENTS | $8,252,006 | $8,252,006 |
| DEFERRED ACQUISITION COST | $901,320 | $901,320 |
| CONSULTING FEES | $667,757 | $667,757 |
| CREDENTIALING FEES | $142,257 | $142,257 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,826 | TotalAmt |
| Management And General | $247,826 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,280,128 | TotalAmt |
| Program Services | $200,684,728 | ProgramServicesAmt |
| Management And General | $38,595,400 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,226,505 | BOYAmt |
| EOY | $31,137,163 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,934,398 | BOYAmt |
| EOY | $9,895,569 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $165,000 | LandBldgEquipCostOrOtherBssAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,328,700 | BOYAmt |
| EOY | $165,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,988,065 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,564,368 | BOYAmt |
| EOY | $11,778,760 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,042,036 | BOYAmt |
| EOY | $52,976,492 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,302,354 | BOYAmt |
| EOY | $7,069,696 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,822,440 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,138,045 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,676,921 | BOYAmt |
| EOY | $8,656,681 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,939,760 | BOYAmt |
| EOY | $15,726,377 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,102,276 | BOYAmt |
| EOY | $37,250,115 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,102,276 | BOYAmt |
| EOY | $37,250,115 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,042,036 | BOYAmt |
| EOY | $52,976,492 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $34,047,318 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$899,479 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $165,000 | OtherCostOrOtherBasisAmt |
| Book Value | $165,000 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $165,000 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (9 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| NOTE RECEIVABLE MOLINA HEALTHCARE | $6,663,228 |
| CASH IN ESCROW FOR WIND-DOWN SERVICE | $3,063,515 |
| CASH HELD IN ESCROW FOR LEASE | $1,600,000 |
| OTHER PREPAID EXPENSES | $389,708 |
| SECURITY DEPOSIT | $62,309 |
| OTHER RECEIVABLES | |
| DEFERRED CONTRACT ACQUISITION | |
| DUE FROM MANAGEMENT SERVICE PROVIDER | |
| DUE FROM PARENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,778,760 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| MEDICAL CLAIMS PAYABLE | $8,656,681 |
| DUE TO MANAGEMENT SERVICE PROVIDER | |
| RISK ADJUSTMENT PAYABLE | |
| DEFERRED RENT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,656,681 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $273,312,467 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $273,312,467 | RevenueSubtotalAmt |
| Other Revenues Not Included | $14,979 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $14,979 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $273,327,446 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $240,164,628 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $899,479 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $899,479 | ExpensesNotReportedAmt |
| Expenses Subtotal | $239,265,149 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $14,979 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $14,979 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $239,280,128 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 4B | INVESTMENT FEES 14,979 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | IMPAIRMENT LOSS 899,479 |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | INVESTMENT FEES 14,979 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount |
|---|---|---|---|---|---|---|
| JERRY STARKEY | ||||||
| CHAIRRMAN | $410,000 | $410,000 | ||||
| GREGORY PRESTON | ||||||
| CMO | $391,438 | $363,007 | $18,831 | $9,600 | ||
| JENNIFER SWEET | ||||||
| COO/CEO | $291,136 | $246,335 | $23,728 | $4,620 | $16,453 | |
| BARBARA NABRIT | ||||||
| MEDICAL DIRECTOR | $247,339 | $223,614 | $15,725 | $8,000 | ||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 4 | FormAndLineReferenceDesc |
| Explanation | JENNIFER SWEET 259,634 0 0 BARBARA NABRIT 38,462 0 0 LORI DILLARD 46,154 0 0 DEBORAH SMITH 21,538 0 0 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JERRY STARKEY | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | CHAIRMAN | RelationshipDescriptionTxt |
| Transaction | $410,000 | TransactionAmt |
| Transaction | CONSULTING | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | SALE OF MEDICAID BUS | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2015-11-01 | DistributionDt |
| Fair Market Value Of Asset | $65,865,957 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | COST | MethodOfFMVDeterminationTxt |
| EIN | 260155137 | EIN |
| Person | MOLINA HEALTHCARE OF FLORIDA INC | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8300 NW 33RD STREET STE 400 | AddressLine1Txt |
| City | DORAL | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33122 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | CORP | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N | FormAndLineReferenceDesc |
| Explanation | ON AUGUST 3, 2015, THE BOARD OF DIRECTORS (BOARD) APPROVED AN ASSET PURCHASE AGREEMENT (APA) WITH MOLINA HEALTHCARE OF FLORIDA, INC. (MHF) HAVING AN EFFECTIVE DATE OF NOVEMBER 1, 2015. AS PER THE APA, MHF ASSUMED THE COMPANYS MEDICAID BUSINESS IN EXCHANGE FOR CASH, LEAVING THE COMPANY RESPONSIBLE FOR ALL OPEN AND REMAINING CLAIMS AND OTHER LIABILITIES INCURRED BEFORE THE TRANSACTION DATE. THE APA ALSO INCLUDES A COVENANT NOT TO COMPETE FOR 5 YEARS. THE COMPANYS BOARD APPROVED A PLAN OF LIQUIDATION ON NOVEMBER 2, 2015, AND THE COMPANY DETERMINED LIQUIDATION IS IMMINENT. AS A RESULT, THE COMPANY HAS CHANGED ITS BASIS OF ACCOUNTING FOR PERIODS SUBSEQUENT TO NOVEMBER 1, 2015 FROM THE GOING-CONCERN BASIS TO A LIQUIDATION BASIS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | INTEGRAL QUALITY CARE IS A FLORIDA MEDICAID PROVIDER SERVICE NETWORK (PSN). WE MANAGE HIGH QUALITY ACCESSIBLE CARE FOR THE MEMBERS WE SERVE. WE ARE COMMITTED TO COLLABORATIVE RELATIONSHIPS WITH OUR PROVIDERS WHILE SERVING OUR MEMBERS WITH COMPASSION AND CARE. |
| FORM 990, PAGE 2, PART III, LINE 3 | THE ORGANIZATION SOLD THE MEDICAID BUSINESS ON NOVEMBER 1, 2015. IT WILL CONTINUE TO RECEIVE PAYMENTS ON CLAIMS UNTIL 2016. SEE SCHEDULE N FOR ADDITIONAL INFORMATION. |
| FORM 990, PAGE 6, PART VI, LINE 3 | THE COMPANY WAS MANAGED BY INDEPENDENT LIVING SYSTEMS LLC, A MANAGEMENT SERVICE ORGANIZATION, AS PART OF A MANAGEMENT SERVICES AGREEMENT. |
| FORM 990, PAGE 6, PART VI, LINE 6 | INTEGRAL HEALTH PLAN HAS TWO MEMBERS, WITH COLLIER HEALTH SERVICES HAVING MAJORITY MEMBERSHIP AND ASSOCIATION OF AREA DELIVERY SYSTEM SPONSORS, INC (AADS), A 501C(3) NOT-FOR-PROFIT CORPORATION, HOLDING THE MINORITY MEMBERSHIP POSITION. |
| FORM 990, PAGE 6, PART VI, LINE 7A | INTEGRAL HEALTH PLAN HAS TWO MEMBERS, WITH COLLIER HEALTH SERVICES HAVING MAJORITY MEMBERSHIP AND ASSOCIATION OF AREA DELIVERY SYSTEM SPONSORS, INC (AADS), A 501C(3) NOT-FOR-PROFIT CORPORATION, HOLDING THE MINORITY MEMBERSHIP POSITION. |
| FORM 990, PAGE 6, PART VI, LINE 7B | INTEGRAL HEALTH PLAN HAS TWO MEMBERS, WITH COLLIER HEALTH SERVICES HAVING MAJORITY MEMBERSHIP AND ASSOCIATION OF AREA DELIVERY SYSTEM SPONSORS, INC (AADS), A 501C(3) NOT-FOR-PROFIT CORPORATION, HOLDING THE MINORITY MEMBERSHIP POSITION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | MANAGEMENT REVIEWS THE FORM 990 AND PROVIDES A FINAL DRAFT VIA E-MAIL TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | INTEGRAL HEALTH PLAN, INC HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. INTEGRAL IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT BUSINESS AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT IMPACT ITS BUSINESS, THUS INTEGRAL'S EMPLOYEES MUST AVOID PARTICIPATING IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. INTEGRAL HAS SPECIFICALLY IDENTIFIED THE FOLLOWING AREAS IN ITS POLICY TO BE POTENTIAL CONFLICTS OF INTEREST; FINANCIAL INTEREST, OUTSIDE EMPLOYMENT, PAID FACULTY ARRANGEMENTS, CONSULTANT OR RESEARCH CONTRACTS, ACCEPTANCE OF GIFTS, GRATUITIES, BUSINESS COURTESIES, TRAVEL, LODGING AND ENTERTAINMENT, MISUSE OF RESOURCES OR ASSETS, PERSONAL GAIN USING UNDUE INFLUENCE, DIRECT DEALINGS WITH VENDORS, AND USE OF CONFIDENTIAL INFORMATION. THE POLICY REQUIRES ALL EMPLOYEES TO DISCLOSE PARTICIPATION IN ACTIVITIES OR CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST ON AN ANNUAL BASIS OR IF AT ANY TIME SUCH INDIVIDUAL BECOMES AWARE OF CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST. THESE DISCLOSURES ARE REVIEWED BY COMPLIANCE AND REGULATORY AFFAIRS, AS NECESSARY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | INTEGRAL HEALTH PLAN WORKED WITH ITS MAJORITY MEMBER, COLLIER HEALTH SERVICES IN UTILIZING THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT CEO SALARY REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 15B | INTEGRAL HEALTH PLAN WORKED WITH ITS MAJORITY MEMBER, COLLIER HEALTH SERVICES IN UTILIZING THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT CEO SALARY REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 19 | INTEGRAL HEALTH PLAN, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. HOWEVER INTEGRAL HEALTH PLAN, INC'S ARTICLES OF INCORPORATION ARE PUBLICLY AVAILABLE THROUGH FLORIDA'S SECRETARY OF STATE WEBSITE. INTEGRAL HEALTH PLAN INC'S CONFLICT OF INTEREST POLICY CAN BE FOUND ON INTEGRAL'S WEBSITE. INTEGRAL HEALTH PLAN'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON THE FLORIDA AGENCY FOR HEALTHCARE ADMINISTRATION WEBSITE. |
| FORM 990, PART XI, LINE 9 | IMPAIRMENT LOSS -899,479 TOTAL -899,479 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COLLIER HEALTH SERVICES INC | ||||||||||
| 1454 MADISON AVENUE | IMMOKALEE | FL | 34142 | 591741277 | MEDICAL | FL | 501C3 | 7 | NA | false |
| CENTRAL FLORIDA HEALTHCARE INC | ||||||||||
| 47 5TH STREET NW | WINTER HAVEN | FL | 33881 | 591404594 | MEDICAL | FL | 501C3 | 7 | NA | false |
| MANATEE COUNTY RURAL HCS | ||||||||||
| 700 8TH AVE WEST | PALMETTO | FL | 34221 | 591773262 | MEDICAL | FL | 501C3 | 7 | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COLLIER HEALTH SERVICES | ||
| R | $5,034,934 | CASH |
| MANATEE COUNTY RURAL HEALTHCARE SYS | ||
| R | $2,250,000 | CASH |
| CENTRAL FLORIDA HEALTHCARE INC | ||
| R | $967,072 | CASH |
| COLLIER HEALTH SERVICES | ||
| M | $35,315 | CASH |
| COLLIER HEALTH SERVICES | ||
| M | $2,767,730 | CASH |
| COLLIER HEALTH SERVICES | ||
| O | SHARING OF PAID EMPLOYEES | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R | FormAndLineReferenceDesc |
| Explanation | ITEM O: COLLIER HEALTH SERVICES, INC. SHARES PAID EMPLOYEES WITH THE COMPANY. | ExplanationTxt |