HEALTH CHOICE NETWORK OF FLORIDA INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH CHOICE NETWORK OF FLORIDA INC (EIN 65-0504316)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-14
- IRS object ID
- 201312269349302221
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2013-08-14T12:48:29-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593214308 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AVERETT WARMUS DURKEE PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1417 E CONCORD STREET | AddressLine1 |
| City | ORLANDO | City |
| State | FL | State |
| ZIP Code | 32803 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650504316 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH CHOICE NETWORK OF FLORIDA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HEAL | NameControl |
| Phone | 3055991015 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9064 NORTHWEST 13TH TERRACE | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 33172 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN KEARNS | Name |
| Title | PRESIDENT AND CEO | Title |
| Phone | 3055991015 | Phone |
| Date Signed | 2013-08-02 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EDWARD A HOFMA CPA | Name |
| PTIN | P00735723 | PTIN |
| Phone | 4078491569 | Phone |
| Date Prepared | 2013-07-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KEVIN KEARNS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9064 NORTHWEST 13TH TERRACE | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 33172 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 32087048 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HCNETWORK.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 190 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 13163533 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 14772109 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 13100968 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 14820367 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 49403 | InvestmentIncomePriorYear |
| Investment Income Current Year | 53324 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 5092861 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2404620 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 31406765 | TotalRevenuePriorYear |
| Total Revenue Current Year | 32050420 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12398141 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 10149066 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 106605 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 18984308 | OtherExpensePriorYear |
| Other Expenses Current Year | 22489732 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 31382449 | TotalExpensesPriorYear |
| Total Expenses Current Year | 32638798 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 24316 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -588378 | RevenuesLessExpensesCY |
| Total Assets BOY | 12931294 | TotalAssetsBOY |
| Total Assets EOY | 12086156 | TotalAssetsEOY |
| Total Liabilities BOY | 7956595 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7699835 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4974699 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4386321 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8816790 | Expense |
| Description | HEALTH CONNECT IN OUR SCHOOLS - THE CHILDREN'S TRUST SUBCONTRACTS WITH HCN AND FOUR (4) OF MIAMI-DADE FEDERALLY QUALIFIED HEALTH CENTERS TO IMPLEMENT THE HEALTH CONNECT IN OUR SCHOOLS PROGRAM TO PROVIDE MIAMI DADE COUNTY PUBLIC SCHOOL STUDENTS WITH BOTH BASIC AND PRIMARY CARE ALONG WITH SCREENINGS AND BEHAVIORAL HEALTH SERVICES IN 93 SCHOOLS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10094111 | Expense |
| Description | FISCAL/MIS INTEGRATION - PROVIDES FISCAL AND MANAGEMENT INFORMATION SYSTEM SERVICES FOR MEMBER CENTERS. PRIMARY SERVICES INCLUDE OPERATING A CENTRALIZED MIS DEPARTMENT (HARDWARE AND SOFTWARE), AND SHARING OF CHIEF FINANCIAL OFFICER AND CHIEF INFORMATION OFFICER SERVICES THROUGH INTEGRATED ACTIVITIES OF THE CENTERS FINANCE AND IT DEPARTMENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4087755 | Expense |
| Description | CENTRALIZED BILLING - PROVIDES BILLING AND PAYMENT POSTING SERVICES FOR THE MEMBER CENTERS THAT HAVE ELECTED TO PARTICIPATE. THE CENTRAL BILLING OFFICE IS RESPONSIBLE FOR LIMITED CREDENTIALING SERVICES AND MOST ASPECTS OF THE BILLING AND COLLECTION OF PATIENT CHARGES ON BEHALF OF THE CENTERS, WHICH INCLUDES FOLLOW-UP ON ACCOUNTS RECEIVABLE. | Description |
Activity Other ActivityOther (3 entries)
| ExpenseExpense | RevenueRevenue | DescriptionDescription |
|---|---|---|
| 7282151 | 14820367 | MANAGED CARE - PROVIDES HEALTH CARE MANAGEMENT TO THE HMO ASSIGNED MEMBERS AND MANAGED MEDICAID PREPAID OUTPATIENT MENTAL HEALTH SERVICES FOR PARTICIPATING MEMBER CENTERS TO ENSURE PROPER UTILIZATION OF HEALTH CARE IN THE MANAGED CARE ENVIRONMENT. THIS PROGRAM INCLUDES CREDENTIALING, CENTRALIZED REFERRALS FOR CENTER HMO CONTRACTS, PROVIDER RELATIONS, AND MANAGEMENT OF AT-RISK CONTRACTS. THE MANAGED CARE UNIT ALSO PROVIDES SUPPORT TO SHARED CLINICAL COMMITTEE COLLABORATIVE SERVICES. |
| 1456228 | HEALTH CARE INITIATIVES - THIS INCLUDES THE JESSIE TRICE CANCER PREVENTION PROJECT AND THE CARE MANAGEMENT MEDICAL HOME CENTER WHICH FOCUSES ON IMPROVING CARE FOR PATIENTS WITH DIABETES. | |
| MEMBER SERVICES - A SINGLE RESOURCE ON BEHALF OF ALL CENTERS FOR SERVICES SUCH AS EDUCATION ON CURRENT GRANTS, LEGISLATIVE ISSUES, BOARD TRAINING, ETC.ELECTRONIC HEALTH RECORDS - IMPLEMENT AND MAINTAIN INTEGRATED ELECTRONIC MEDICAL AND DENTAL HEALTH RECORDS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 8738379 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 14820367 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 31737035 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 31 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 190 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | FL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICK FRIEDFELD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3055991015 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9064 NORTHWEST 13 TERRACE | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 33172 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BRODES HARTLEY JR | ||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | ||
| ROSALYN FRAZIER | ||||||||
| VICE-CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| BAKARI BURNS | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| CHARLES BOTTOMS | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| CALEB A DAVIS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| CLAUDIO M PEREZ | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| RAYMOND KAYAL | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| KATHRYN ABBATE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| FRANK MAZZEO | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MARIO JARDON | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| PAT MABE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MARK RABINOWITZ | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| BOB LINDER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ANNIE NEASMAN | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| KEVIN S KEARNS | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | X | X | 232569 | 518310 | 13281 | ||
| ALEJANDRO ROMILLO | ||||||||
| SR. VP & CIO | 40.00 | 377690 | 0 | 8119 | X | |||
| RICK FRIEDFELD | ||||||||
| SR. DIRECTOR OF FINANCIAL SERVICES | 40.00 | 178077 | 0 | 956 | X | |||
| ROGELIO FERNANDEZ | ||||||||
| VICE PRESIDENT OF CARE MANAGEMENT | 40.00 | 140854 | 0 | 2095 | X | |||
| THEODORE MAREFKA | ||||||||
| DIRECTOR OF OPERATIONS & HUMAN RESOURCES | 40.00 | 149801 | 0 | 5348 | X | |||
| TERISA A JAMES | ||||||||
| VP OF PROGRAMS | 40.00 | 158385 | 0 | 8543 | X | |||
| AMY ROSA | ||||||||
| INTERIM SFREC DIRECTOR | 40.00 | 156923 | 0 | 1309 | X | |||
| LISA RAWLINS | ||||||||
| EXECUTIVE DIRECTOR - SOUTH FL. EXTENSION CENTER | 40.00 | 267887 | 0 | 8377 | X | |||
| BRIAN MORTON | ||||||||
| CFO | 40.00 | 163971 | 0 | 3024 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1826157 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 518310 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 51052 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CLAIMS REVIEW CORPORATION | |||||
| 9420 BUNSEN PARKWAY SUITE 204 | LOUISVILLE | KY | 40220 | MEDICAL CLAIMS BILLING | 416292 |
| TERREMARK NORTH AMERICAN INC | |||||
| PO BOX 864416 | ORLANDO | FL | 32886 | IT INFRASTRUCTURE SERVICES | 242696 |
| ALLZONE MANAGEMENT SOLUTIONS | |||||
| 3700 WILSHIRE BLVD SUITE 979 | LOS ANGELES | CA | 90010 | DATA PROCESSING & A/R SERVICES | 232800 |
| STRUCTURED CABLE SOLUTIONS | |||||
| 5632 NW 161 STREET | MIAMI GARDENS | FL | 33014 | NETWORK CABLING INSTALLATIONS | 194622 |
| ROBERTA PARILLO | |||||
| 13990 EAGLE RIDGE LAKES DR 102 | FORT MYERS | FL | 33912 | MEDICAL CLAIMS BILLING | 136000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
| Government Grants | 4944648 | GovernmentGrants |
| All Other Contributions | 9827461 | AllOtherContributions |
| Total Contributions | 14772109 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEMBER SERVICES | 561000 | 10606827 | 10606827 |
| MANAGED CARE | 524298 | 3727946 | 3727946 |
| MEMBERSHIP DUES | 561000 | 485594 | 485594 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 14820367 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53324 | TotalRevenueColumn |
| Exclusion | $53,324 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 124350 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 36628 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 87722 | TotalRevenueColumn |
| Exclusion | $87,722 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CONTRACT SERVICES | 561000 | 1505679 | $1,505,679 |
| ADMINISTRATIVE SERVICE | 561000 | 1194163 | $1,194,163 |
| EQUITY IN EARNINGS OF | 900003 | -382944 | -$382,944 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2316898 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 32050420 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14820367 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,457,944 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 621590 | Total |
| Program Services | 497272 | ProgramServices |
| Management And General | 114453 | ManagementAndGeneral |
| Fundraising | 9865 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8021585 | Total |
| Program Services | 7720087 | ProgramServices |
| Management And General | 296717 | ManagementAndGeneral |
| Fundraising | 4781 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 309245 | Total |
| Program Services | 290112 | ProgramServices |
| Management And General | 18282 | ManagementAndGeneral |
| Fundraising | 851 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 505531 | Total |
| Program Services | 487210 | ProgramServices |
| Management And General | 17410 | ManagementAndGeneral |
| Fundraising | 911 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 691115 | Total |
| Program Services | 658692 | ProgramServices |
| Management And General | 31004 | ManagementAndGeneral |
| Fundraising | 1419 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86849 | Total |
| Program Services | 79938 | ProgramServices |
| Management And General | 6911 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45938 | Total |
| Program Services | 34018 | ProgramServices |
| Management And General | 11920 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 826343 | Total |
| Program Services | 771250 | ProgramServices |
| Management And General | 55093 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 150305 | Total |
| Program Services | 142262 | ProgramServices |
| Management And General | 7002 | ManagementAndGeneral |
| Fundraising | 1041 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111717 | Total |
| Program Services | 82729 | ProgramServices |
| Management And General | 28988 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262427 | Total |
| Program Services | 254068 | ProgramServices |
| Management And General | 8359 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192240 | Total |
| Program Services | 156201 | ProgramServices |
| Management And General | 14911 | ManagementAndGeneral |
| Fundraising | 21128 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162142 | Total |
| Program Services | 123827 | ProgramServices |
| Management And General | 38315 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1361748 | Total |
| Program Services | 1287434 | ProgramServices |
| Management And General | 74314 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74978 | Total |
| Program Services | 55523 | ProgramServices |
| Management And General | 19455 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| CONTRACTED EXPENSES | 17417300 | 17323338 | 27805 | 66157 |
| CAPITATION | 1067362 | 1067362 | ||
| AMALGA HOSTING & SUPPOR | 340000 | 340000 | ||
| SHARED RISK - CENTERS | 291070 | 291070 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99313 | Total |
| Program Services | 74642 | ProgramServices |
| Management And General | 24219 | ManagementAndGeneral |
| Fundraising | 452 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32638798 | Total |
| Program Services | 31737035 | ProgramServices |
| Management And General | 795158 | ManagementAndGeneral |
| Fundraising | 106605 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2830352 | BOY |
| EOY | 2375907 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1400110 | BOY |
| EOY | 1440714 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2009385 | BOY |
| EOY | 2031816 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 934931 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 783338 | BOY |
| EOY | 119937 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11223185 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6189870 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5016179 | BOY |
| EOY | 5033315 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 278944 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112986 | BOY |
| EOY | 149536 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12931294 | BOY |
| EOY | 12086156 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4706154 | BOY |
| EOY | 4602667 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 366774 | BOY |
| EOY | 587804 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2232719 | BOY |
| EOY | 1957559 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 650948 | BOY |
| EOY | 551805 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7956595 | BOY |
| EOY | 7699835 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4974699 | BOY |
| EOY | 4386321 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4974699 | BOY |
| EOY | 4386321 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12931294 | BOY |
| EOY | 12086156 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -588378 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9536383 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10418021 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11523933 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13649734 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14772109 | CurrentTaxYear |
| Total | 59900180 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9536383 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 10418021 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 11523933 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13649734 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14772109 | CurrentTaxYear |
| Total | 59900180 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 59900180 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 9361 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20254 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 49403 | CurrentTaxYearMinus1Year |
| Current Tax Year | 53324 | CurrentTaxYear |
| Total | 132342 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 38704 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 464209 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1276975 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4913999 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2316898 | CurrentTaxYear |
| Total | 9010785 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 69043307 | TotalSupport |
| Gross Receipts From Admissions Etc | 65090278 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.86760 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.88510 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| General Explanation | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: CONTRACT SERVICES ADMISTRATIVE SERVICE EQUITY IN EARNINGS OF AFFILIATE | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2991435 | OtherCostOrOtherBasis |
| Depreciation | 724480 | Depreciation |
| Book Value | 2266955 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 780658 | OtherCostOrOtherBasis |
| Depreciation | 192777 | Depreciation |
| Book Value | 587881 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3075970 | OtherCostOrOtherBasis |
| Depreciation | 2103259 | Depreciation |
| Book Value | 972711 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4375122 | OtherCostOrOtherBasis |
| Depreciation | 3169354 | Depreciation |
| Book Value | 1205768 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5033315 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CURRENT OBLIGATIONS UNDER CAPITAL LEASE | Description |
| Amount | $551,805 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 551805 | TotalOfAmounts |
| Total Revenue | 32050420 | TotalRevenue |
| Total Expenses | 32638798 | TotalExpenses |
| Excess Or Deficit For Year | -588378 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -588378 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 32153455 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 66407 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 66407 | RevenueNotRptdF990 |
| Revenue Subtotal | 32087048 | RevenueSubtotal |
| Other Revenues Not Included | -36628 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -36628 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 32050420 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 32741833 | TotExpensesEtcAuditedFinclStmt |
| Prior Year Adjustments | 66407 | PriorYearAdjustments |
| Other Expenses Included | 36628 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 103035 | ExpensesNotRptdF990 |
| Expenses Subtotal | 32638798 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 32638798 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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, 2012. 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, 2012, THE FISCAL YEARS 2009 THROUGH 2012 FEDERAL TAX RETURNS ARE SUBJECT TO EXAMINATION. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES -36,628. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | DIRECT FUNDRAISING EXPENSES 36,628. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | JESSIE TRICE HEALTH BENEFIT DINNER | NameOfEvent1 |
| Gross Receipts Event1 | 124350 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 124350 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 2586 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 29164 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 631 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 4247 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 124350 | GrossReceiptsTotal |
| Gross Revenue Total Events | 124350 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 2586 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 29164 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 631 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 4247 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 36628 | DirectExpenseSummaryEvents |
| Net Income Summary | 87722 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEVIN S KEARNS | |||||||||||||
| 202569 | 180000 | 30000 | 338310 | 0 | 0 | 0 | 0 | 13281 | 0 | 245850 | 518310 | 0 | 0 |
| ALEJANDRO ROMILLO | |||||||||||||
| 299990 | 0 | 77700 | 0 | 0 | 0 | 0 | 0 | 8119 | 0 | 385809 | 0 | 0 | 0 |
| RICK FRIEDFELD | |||||||||||||
| 168077 | 0 | 10000 | 0 | 0 | 0 | 0 | 0 | 956 | 0 | 179033 | 0 | 0 | 0 |
| THEODORE MAREFKA | |||||||||||||
| 136551 | 0 | 13250 | 0 | 0 | 0 | 0 | 0 | 5348 | 0 | 155149 | 0 | 0 | 0 |
| TERISA A JAMES | |||||||||||||
| 150843 | 0 | 7542 | 0 | 0 | 0 | 0 | 0 | 8543 | 0 | 166928 | 0 | 0 | 0 |
| AMY ROSA | |||||||||||||
| 136923 | 0 | 20000 | 0 | 0 | 0 | 0 | 0 | 1309 | 0 | 158232 | 0 | 0 | 0 |
| LISA RAWLINS | |||||||||||||
| 247887 | 0 | 20000 | 0 | 0 | 0 | 0 | 0 | 8377 | 0 | 276264 | 0 | 0 | 0 |
| BRIAN MORTON | |||||||||||||
| 163971 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3024 | 0 | 166995 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE NETWORK IS MANAGED BY THREE CATEGORIES OF MEMBERS: FOUNDING MEMBERS, AFFILATED MEMBERS AND PARTICIPATING MEMBERS. THE MEMBERS OF THE BOARD OF DIRECTORS MUST BE EMPLOYED BY OR SERVE ON THE BOARD OF DIRECTORS OF CORPORATIONS WHICH ARE EITHER FOUNDING PARTICIPATING MEMBERS OR PARTICIPATING NETWORK MEMBERS OF THE CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE LIMITED TO FOUNDING, AFFILIATED MEMBERS AND PARTICIPATING MEMBERS. THE DIRECTORS OF THE NETWORK (REFERRED TO IN THESE BYLAWS AS THE "BOARD") SHALL CONSIST OF AS MANY INDIVIDUALS AS THE BOARD MAY, FROM TIME TO TIME, DETERMINE, PROVIDED THAT AT A MINIMUM THE BOARD SHALL CONSIST OF: THE CEO (OR TOP EXECUTIVE POSITION) OF EACH FOUNDING AND AFFILIATED MEMBER; THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE NETWORK (EX-OFFICIO AND NON-VOTING MEMBER); A CLINICAL REPRESENTATIVE OF THE NETWORK WHO SHALL BE SELECTED ANNUALLY BY THE NETWORK BOARD OF DIRECTORS. AT SUCH TIME AS AN ORGANIZATION BECOMES AN AFFILIATED MEMBER, THE MEMBER SHALL HAVE THE RIGHT TO NOMINATE AN INDIVIDUAL MEETING QUALIFICATION CRITERIA SET FORTH HEREIN TO THE BOARD OF DIRECTORS. PRIOR TO EACH ANNUAL MEETING OF THE BOARD OF DIRECTORS, EACH MEMBER ENTITLED TO APPOINT A DIRECTOR SHALL INFORM THE BOARD, IN WRITING, OF ANY CHANGES IN THE PERSON OR PERSONS THAT IT HAS APPOINTED TO SERVE ON THE BOARD OF DIRECTORS FOR THE TERM THAT BEGINS UPON ADJOURNMENT OF THAT ANNUAL MEETING. DIRECTORS SO APPOINTED AND POSSESSING THE QUALIFICATION SET FORTH IN THESE BYLAWS SHALL BE CONFIRMED BY THE BOARD AT THE ANNUAL BOARD MEETING, OR IN THE CASE OF AN APPOINTMENT TO FILL A VACANCY ON THE BOARD AT ANY DULY CALLED MEETING OF THE BOARD. IF A PERSON DULY APPOINTED BY A MEMBER IS FOUND NOT TO MEET THE CRITERIA FOR MEMBERSHIP ESTABLISHED BY THE BYLAWS, THE MEMBER THAT APPOINTED SUCH A PERSON SHALL HAVE THE RIGHT TO APPOINT A QUALIFIED PERSON FOR CONFIRMATION BY 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 | THE NETWORK'S BOARD OF DIRECTORS DETERMINES THE CEO'S COMPENSATION AND ESTABLISHES THE COMPENSATION WITH A WRITTEN EMPLOYEMENT CONTRACT. THE CEO ESTABLISHES THE PROCESSES FOR DETERMINATION OF THE COMPENSATION OF OTHER OFFICERS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT CURRENTLY MAKE ITS 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. | FINANCIAL STATEMENTS AND REPORTING: |
| 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 $202,569 $ 30,000 $232,569 PRESTIGE HEALTH 180,000 338,310 518,310 TOTAL $382,569 $368,310 $750,879 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH CHOICE NETWORK INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9064 NORTHWEST 13TH TERRACE | AddressLine1 |
| City | DORAL | City |
| State | FL | State |
| ZIP Code | 33172 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 900525658 | EIN |
| Primary Activities | TO PROVIDE SERVICE, SUPPORT AND EXPERTISE TO MEMBER ORGANIZATIONS | PrimaryActivities |
| Legal Domicile State | FL | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 9 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRESTIGE HEALTH CHOICE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9064 NW 13TH TERRACE | AddressLine1 |
| City | MIAMI | City |
| State | FL | State |
| ZIP Code | 33172 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450563075 | EIN |
| Primary Activity | MANAGED HEALTH CARE ACTIVITIES | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | MEDICAID FUNDING | PredominantIncomeType |
| Share Of Total Income | -625436 | ShareOfTotalIncome |
| Share Of EOY Assets | 3397764 | ShareOfEOYAssets |
| Disproportionate Allocations | 1 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.22000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HEALTH CHOICE NETWORK INC | ||
| K | 2440950 | ADMIN REVENUE RECEIVED FROM HCN |
| HEALTH CHOICE NETWORK INC | ||
| D | 265069 | REDUCTION OF NOTE REC. BALANCE |
| HEALTH CHOICE NETWORK INC | ||
| L | 6778508 | MEMBERSHIP FEES PAID TO HCN |
| HEALTH CHOICE NETWORK INC | ||
| N | 245850 | DIRECTOR SALARY |
| HEALTH CHOICE NETWORK INC | ||
| I | 116755 | RENT INCOME RECEIVED FROM HCN |
| PRESTIGE HEALTH CHOICE LLC | ||
| K | 1194163 | ADMIN REVENUE REC'D FROM PRESTIGE |
| PRESTIGE HEALTH CHOICE LLC | ||
| D | 700000 | LOAN ISSUED TO PRESTIGE |
| PRESTIGE HEALTH CHOICE LLC | ||
| I | 115467 | RENT INCOME REC'D FROM PRESTIGE |
| PRESTIGE HEALTH CHOICE LLC | ||
| N | 518310 | OFFICER SALARY |