2013-10-23T12:48:21-05:00 2012-12-31 946214841 ARMANINO LLP 12667 ALCOSTA BOULEVARD SUITE 500 SAN RAMON CA 945834427 990 2012-01-01 272254848 CAL ECONNECT CALE 9257902600 12667 ALCOSTA BLVD NO 500 SAN RAMON CA 94583 BILL BRAUSE 9257902600 2013-10-23 1 LYNN HENLEY P00356034 9257902600 2012 2016-03-07 17:11:31Z BILL BRAUSE 12667 ALCOSTA BLVD NO 500 SAN RAMON CA 94583 4516197 0 X CALECONNECT.ORG X 2010 CA TO ESTABLISH POLICIES, SERVICES, & INNOVATIONS TO IMPROVE HEALTH & HEALTHCARE. 20 20 16 20 0 0 6442275 4506388 0 0 130 8334 0 0 6442405 4514722 1467228 974658 0 0 2701027 1187835 0 0 0 2271731 2196178 6439986 4358671 2419 156051 1047870 1386286 1045201 1227566 2669 158720 CAL ECONNECT'S MISSION IS TO FACILITATE THE APPROPRIATE, SECURE, AND EFFICIENT EXCHANGE OF HEALTH INFORMATION TO IMPROVE HEALTH AND HEALTHCARE SAFETY, QUALITY, ACCESS, AND EFFICIENCY FOR ALL CALIFORNIANS BY ESTABLISHING POLICIES, SERVICES, AND INNOVATIONS. 0 0 3423092 974658 HEALTH INFORMATION EXCHANGE (HIE) EXPANSION GRANTS, POLICY DEVELOPMENT, AND CAPACITY ASSESSMENT ACTIVITIES EXPANDED HIE THROUGH SUPPORT FOR COMMUNITY-BASED INITIATIVES THAT ARE INTEROPERABLE WITH DEVELOPING STATEWIDE POLICIES AND SERVICES. 3423092 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 36 0 1 16 1 0 0 0 0 0 0 0 0 0 0 X 20 20 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X BILL BRAUSE 9257902600 12667 ALCOSTA BLVD SUITE 500 SAN RAMON CA 94583 DONALD H CRANE JD 2.00 X X 0 0 0 DAVID LANSKY PHD 2.00 X X 0 0 0 DAVID JOYNER MBA 2.00 X X 0 0 0 IGNATIUS BAU 2.00 X 0 0 0 BILL BEIGHE 2.00 X 0 0 0 RONALD KAUFMAN MD MBA FACP FACHE 2.00 X 0 0 0 FRED HORNBECK 2.00 X 0 0 0 TERI BOUGHTON MHA 2.00 X 0 0 0 ANN BOYNTON 2.00 X 0 0 0 J BRENNAN CASSIDY MD 2.00 X 0 0 0 TOBY DOUGLAS 2.00 X 0 0 0 RON JIMENEZ MD 2.00 X 0 0 0 HOWARD A KAHN 2.00 X 0 0 0 PAMELA LANE 2.00 X 0 0 0 DAVID REGAN 2.00 X 0 0 0 MARK SAVAGE 2.00 X 0 0 0 LINETTE T SCOTTMDMPH 2.00 X 0 0 0 TIM VALDERRAMA 2.00 X 0 0 0 KEITH WILSON MD 2.00 X 0 0 0 PETER YELLOWLEES MD 2.00 X 0 0 0 LAURA LANDRY THRU 0512 40.00 X 171953 0 15984 ROBERT COTHREN 40.00 X 193986 0 10251 365939 0 26235 2 0 1 0 ARMANINO LLP 12667 ALCOSTA BLVD STE 500 SAN RAMON CA 94538 ACCOUNTING SERVICES 310356 PEPPER HAMILTON LLP 4 PARK PLACE IRVINE CA 92614 LEGAL SERVICES 257209 TOP TIER CONSULTING PO BOX 2126 THOUSAND OAKS CA 91360 CAPACITY ASSESSMENT 225145 BOOZ ALLEN HAMILTON PO BOX 8500 S-2725 PHILADELPHIA PA 19178 TRANSITION PLANNING 204221 2311 LLC 21213 SENECA CROSSING DRIVE GERMANTOWN MD 20876 HIE SUBJECT MATTER 135775 6 4385603 120785 4506388 88 88 9721 1475 8246 8246 8246 4514722 0 0 8334 974658 974658 187937 46984 140953 860332 875571 -15239 63608 56133 7475 75958 67031 8927 223475 213618 9857 275731 275731 272364 272364 176436 168653 7783 7706 7706 60923 33526 27397 133021 133021 64486 64486 54190 54190 1966 1966 39301 39301 CONTRACT PAYMENTS 868242 868242 MISCELLANEOUS 18337 18337 4358671 3423092 935579 0 98323 289061 527050 1081305 395976 0 17082 15870 0 0 3441 0 5998 50 1047870 1386286 360575 155321 684626 1072245 1045201 1227566 X 2669 133720 25000 2669 158720 1047870 1386286 156051 0 X X 0 1 X 1 1 1 X 1933442 6442275 4506388 12882105 1933442 6442275 4506388 12882105 12882105 130 88 218 12882323 250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 ACCRUED EXPENSES 14716 NOTES PAYABLE 1057529 1072245 X 4506476 0 4506476 8246 8246 4514722 4350425 0 4350425 8246 8246 4358671 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: MANAGEMENT BELIEVES THAT CAL ECONNECT HAS ADEQUATELY EVALUATED ITS CURRENT TAX POSITIONS AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012, CAL ECONNECT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE OR AN ACCRUAL FOR A TAX LIABILITY WOULD BE NECESSARY. PART XI, LINE 4B - OTHER ADJUSTMENTS: INSURANCE PROCEEDS FROM STOLEN LAPTOPS 9,721. COST BASIS OF STOLEN LAPTOPS -1,475. PART XII, LINE 4B - OTHER ADJUSTMENTS: INSURANCE PROCEEDS FROM STOLEN LAPTOPS 9,721. COST BASIS OF STOLEN LAPTOPS -1,475. 1 EAST KERN CO INTEGRATED TECHNOLOGY ASSOCIATION 785 TUCKER RD STE G PMB 417 TEHACHAPI CA 93561 208202097 501(C)(3) 239160 FMV HEALTH INFORMATION EXCHANGE EXPANSION LANES 500 W TEMPLE ST ROOM 713 LOS ANGELES CA 70012 956000927 501(C)(3) 165630 FMV HEALTH INFORMATION EXCHANGE EXPANSION NORTH COAST HEALTH INFORMATION NETWORK 3100 EDGEWOOD RD EUREKA CA 95502 274520226 501(C)(3) 35408 FMV HEALTH INFORMATION EXCHANGE EXPANSION OCPRHIO 500 N STATE COLLEGE BLVD SUITE 1100 1100 ORANGE CA 92868 461145952 501(C)(3) 271331 FMV HEALTH INFORMATION EXCHANGE EXPANSION REDWOOD MEDNET 216 WEST PERKINS ST STE 206 UKIAH CA 95482 203306750 501(C)(3) 263129 FMV HEALTH INFORMATION EXCHANGE EXPANSION AND DIRECT MESSAGING PROJECT 5 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE GRANTS PROGRAM TEAM, WITH HELP FROM AN OUTSIDE ACCOUNTING FIRM, MAINTAINED FREQUENT COMMUNICATION WITH THE GRANTEES AND RECEIVED MONTHLY FINANCIAL REPORTS ON FUND EXPENDITURES. REVIEW OF FINANCIAL COMPLIANCE WERE CONDUCTED, AS NEEDED. X 0 1 X X X X 1 0 0 0 0 0 0 0 0 LAURA LANDRY THRU 0512 167953 0 0 0 4000 0 5726 0 10258 0 187937 0 0 0 ROBERT COTHREN 193986 0 0 0 0 0 10251 0 0 0 204237 0 0 0 PART I, LINE 1A RENT EXPENSE TOTALING $10,258 WAS PAID FOR A PERSONAL RESIDENCE FOR LAURA LANDRY, INTERIM CEO, DURING THE TIME SHE WORKED FOR CAL ECONNECT. LAURA'S PRIMARY RESIDENT WAS IN LONG BEACH, CA, AND THE BOARD DETERMINED THAT IT WOULD COST LESS TO PAY FOR AN APARTMENT FOR HER THAN TO COVER ACTUAL HOTEL NIGHTS. THE BENEFIT WAS NOT PROMISED IN HER EMPLOYMENT CONTRACT AND IS CONSIDERED TO BE A BENEFIT TO CAL ECONNECT AND NOT THE EMPLOYEE. THERE IS DOCUMENTATION IN LAURA'S EMPLOYMENT FILE OF THE BOARD'S DECISION TO PAY HER LIVING EXPENSES DURING HER CONTRACT. PART I, LINE 1B THE BENEFIT WAS NOT PROMISED IN HER EMPLOYMENT CONTRACT AND IS CONSIDERED TO BE A BENEFIT TO CAL ECONNECT AND NOT THE EMPLOYEE. THERE IS DOCUMENTATION IN LAURA'S EMPLOYMENT FILE OF THE BOARD'S DECISION TO PAY HER LIVING EXPENSES DURING HER CONTRACT. PART I, LINE 4A LAURA LANDRY, INTERIM CEO, WAS TERMINATED IN MAY 2012. PER HER AGREEMENT, CAL ECONNECT PAID HER SEVERANCE AMOUNTING TO $25,000, PLUS AN ADDITIONAL $4,000 OVER TWO MONTHS AS CONSULTING EXPENSES. FORM 990, PART VI, SECTION A, LINE 3 THE ROLE OF INTERIM CFO AND CONTROLLER WAS FULFILLED BY BILL BRAUSE, CPA, AUDIT PARTNER OF ARMANINO, LLP. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S INTERIM CFO COORDINATED THE PREPARATION AND FILING OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS WHEN JOINING THE BOARD AND ANNUALLY THEREAFTER. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS OF DETERMINING COMPENSATION INCLUDES BOARD DISCUSSION IN EXECUTIVE SESSION, SURVEY OF OTHER SIMILAR ORGANIZATIONS FOR COMPARISON, AND VOTE AND APPROVAL BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, REVIEW, OR COMPILATION OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. ADDITIONAL INFORMATION: 7 LAPTOPS WERE STOLEN AS A RESULT OF AN OFFICE BREAK-IN. INSURANCE COVERED THE LOSS.