2015-06-15T10:22:38-05:00 2014-09-30 593214308 AVERETT WARMUS DURKEE PA 1417 E CONCORD STREET ORLANDO FL 32803 990 2013-10-01 900525658 HEALTH CHOICE NETWORK INC HEAL 3055991015 9064 NORTHWEST 13TH TERRACE DORAL FL 33172 KEVIN KEARNS CEO 3055991015 2015-05-01 1 EDWARD A HOFMA CPA P00735723 4078491569 2015-05-01 2013 2016-04-25 22:37:26Z KEVIN KEARNS 9064 NORTHWEST 13TH TERRACE DORAL FL 33172 15763615 0 X WWW.HCNETWORK.ORG X 2010 FL HEALTH CHOICE NETWORKS MISSION IS TO PROVIDE HIGH QUALITY SERVICE, SUPPORT AND EXPERTISE TO MEMBER ORGANIZATIONS AND TO ACT AS A VEHICLE FOR STRATEGIC EFFORTS THAT STRENGHTHEN OUR COMMUNITY HEALTH PARTNERS 11 11 67 0 0 0 508351 802581 11836563 14386043 0 0 405073 574991 12749987 15763615 0 0 0 0 5344260 5543512 0 0 0 6537109 7787828 11881369 13331340 868618 2432275 3655262 5202724 2955005 2070192 700257 3132532 TO IMPROVE HEALTH OUTCOMES BY DELIVERING TECHNOLOGY SOLUTIONS AS AN INDUSTRY LEADER. 0 0 11179469 14961034 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. 11179469 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 14 0 1 67 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 SEFERINO MONTANO CHAIRMAN 1.00 X X 0 0 0 DENNIS KRUSE VICVICE-CHAIR 1.00 X X 0 0 0 ROSALYN FRAZIER TREASURER 1.00 X X 0 0 0 MERRILL THOMAS SECRETARY 1.00 X X 0 0 0 BRODES HARTLEY JR IMMEDIATE PAST CHAIRMAN 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 CHRISTOPHER VIAVANT DIRECTOR 1.00 X 0 0 0 RICHARD TAAFFE DIRECTOR 1.00 X 0 0 0 ANTHONY AMOFAH DIRECTOR 1.00 X 0 0 0 CHARLIE BOTTOMS DIRECTOR 1.00 X 0 0 0 KEVIN KEARNS CHIEF EXECUTIVE OFFICER 40.00 X X 0 469841 12851 ALEJANDRO ROMILLO SR. VP & COO 40.00 X 0 346306 11953 RICK FRIEDFELD CFO 40.00 X 0 272377 1559 TERISA A JAMES VP OF COMMUNITY INITIATIVES AND FUND DEVELOPMENT 40.00 X 0 168621 8974 BLANCA MARGARITA OLLET SVP ADMINISTRATION SERVICES 40.00 X 0 162932 4071 MICHAEL BIRDSONG CHIEF INFORMATION OFFICER 40.00 X 214681 0 1830 ROGELIO FERNANDEZ VICE PRESIDENT OF CARE MANAGEMENT 40.00 X 0 175269 2250 THEODORE MAREFKA DIRECTOR OF OPERATIONS & HUMAN RESOURCES 40.00 X 0 179935 5781 MICHELLE RUSSELL VP BUSINESS DEVELOPMENT 40.00 X 158518 0 7427 ANDREW BRICKMAN SR. DIRECTOR OF STRATEGIC CLINICAL INIATIVES 40.00 X 0 157396 10647 GEORGE KARNEGIS SR. DIRECTOR OF INFORMATION SYSTEMS 40.00 X 143590 0 6819 516789 1932677 74162 12 0 1 0 TERREMARK NORTH AMERICAN INC PO BOX 864416 ORLANDO FL 32886 IT INFRASTRUCTURE SERVICES 613034 1 802581 802581 MEMBER SERVICES 561000 14210876 14210876 MEMBERSHIP DUES 561000 175167 175167 14386043 ADMINISTRATIVE SERVICES FOR AFFIL 561000 574906 574906 OTHER REVENUE 561000 85 85 574991 15763615 14961034 0 0 4695356 4031012 664344 221122 177293 43829 281752 271939 9813 345282 297831 47451 293872 293872 8639 8639 25850 25850 1189592 468496 721096 92066 41945 50121 4012337 3992545 19792 211649 211649 157770 64746 93024 301946 95530 206416 31333 30665 668 876359 876359 576423 537236 39187 MISCELLANEOUS EXPENSES 9992 9992 13331340 11179469 2151871 0 474239 2766445 46379 18663 744518 447974 696979 542739 3013062 1586159 1691186 1426903 1961 0 3655262 5202724 1353650 915713 484934 490011 63232 0 1053189 664468 2955005 2070192 X 700257 3132532 700257 3132532 3655262 5202724 2432275 0 X X 0 1 X 1 1 1 X 508351 802581 1310932 4455522 10733546 11836563 14386043 41411674 4455522 10733546 12344914 15188624 42722606 0 0 0 42722606 1764 1017 2781 1764 1017 2781 405073 574991 980064 4457286 10734563 12749987 15763615 43705451 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2333880 1308818 1025062 679182 277341 401841 1426903 OBLIGATION UNDER CAPITAL LEASE 664468 664468 X 15807473 43858 43858 15763615 0 15763615 13375198 43858 43858 13331340 0 13331340 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, 2014. 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, 2014, THE FISCAL YEARS 2012 THROUGH 2014 FEDERAL TAX RETURNS ARE SUBJECT TO EXAMINATION. X X X 0 0 0 0 0 0 0 0 0 KEVIN KEARNS CHIEF EXECUTIVE OFFICER 0 400361 0 69480 0 0 0 0 0 12851 0 482692 0 0 ALEJANDRO ROMILLO SR. VP & COO 0 313846 0 32460 0 0 0 0 0 11953 0 358259 0 0 RICK FRIEDFELD CFO 0 232551 0 39826 0 0 0 0 0 1559 0 273936 0 0 TERISA A JAMES VP OF COMMUNITY INITIATIVES AND FUND 0 155484 0 13137 0 0 0 0 0 8974 0 177595 0 0 BLANCA MARGARITA OLLET SVP ADMINISTRATION SERVICES 0 143497 0 19435 0 0 0 0 0 4071 0 167003 0 0 MICHAEL BIRDSONG CHIEF INFORMATION OFFICER 205542 0 9139 0 0 0 0 0 1830 0 216511 0 0 0 ROGELIO FERNANDEZ VICE PRESIDENT OF CARE MANAGEMENT 0 159769 0 15500 0 0 0 0 0 2250 0 177519 0 0 THEODORE MAREFKA DIRECTOR OF OPERATIONS & HUMAN RESOU 0 166607 0 13328 0 0 0 0 0 5781 0 185716 0 0 MICHELLE RUSSELL VP BUSINESS DEVELOPMENT 147563 0 10955 0 0 0 0 0 7427 0 165945 0 0 0 ANDREW BRICKMAN SR. DIRECTOR OF STRATEGIC CLINICAL I 0 155696 0 1700 0 0 0 0 0 10647 0 168043 0 0 GEORGE KARNEGIS SR. DIRECTOR OF INFORMATION SYSTEMS 138020 0 5570 0 0 0 0 0 6819 0 150409 0 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 $220,361 $ 51,480 $271,841 PRESTIGE HEALTH 180,000 18,000 198,000 TOTAL $400,361 $ 69,480 $469,841 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 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 HEALTH CHOICE NETWORK OF FLORIDA INC E 63232 REDUCTION IN NOTE PAYABLE BALANCE HEALTH CHOICE NETWORK OF FLORIDA INC L 9596557 MEMBERSHIP FEES FROM HCNFL HEALTH CHOICE NETWORK OF FLORIDA INC K 123851 RENT EXPENSE PAID TO HCNFL HEALTH CHOICE NETWORK OF FLORIDA INC M 1229375 ADMIN EXPENSES PAID TO HCNFL HEALTH CHOICE NETWORK OF FLORIDA INC O 284692 DIRECTOR SALARY PRESTIGE HEALTH CHOICE LLC L 574906 MEMBERSHIP FEES FROM PRESTIGE