TELLIGEN: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- TELLIGEN (EIN 42-0992483)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-13
- IRS object ID
- 201323179349302172
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-13T10:25:35-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420794029 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENMAN & COMPANY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1601 22ND STREET SUITE 400 | AddressLine1 |
| City | WEST DES MOINES | City |
| State | IA | State |
| ZIP Code | 502661453 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420992483 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TELLIGEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TELL | NameControl |
| Phone | 5152232900 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 WEST LAKES PARKWAY | AddressLine1 |
| City | WEST DES MOINES | City |
| State | IA | State |
| ZIP Code | 502667711 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DENISE STURM | Name |
| Title | CFO | Title |
| Phone | 5152232900 | Phone |
| Date Signed | 2013-10-21 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID ELLIS | Name |
| PTIN | P01306431 | PTIN |
| Phone | 5152258400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DENISE STURM | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 WEST LAKES PARKWAY | AddressLine1 |
| City | WEST DES MOINES | City |
| State | IA | State |
| ZIP Code | 502667711 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 66931415 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.TELLIGEN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | IA | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE QUALITY AND COST EFFECTIVENESS OF HEALTHCARE FOR CONSUMERS AND PROVIDERS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 583 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 68401 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 64909529 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 66547273 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 227479 | InvestmentIncomePriorYear |
| Investment Income Current Year | 209253 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 102154 | OtherRevenuePriorYear |
| Other Revenue Current Year | 70772 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 65239162 | TotalRevenuePriorYear |
| Total Revenue Current Year | 66827298 | 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 | 44969001 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 43042951 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 21447057 | OtherExpensePriorYear |
| Other Expenses Current Year | 21653291 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 66416058 | TotalExpensesPriorYear |
| Total Expenses Current Year | 64696242 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1176896 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2131056 | RevenuesLessExpensesCY |
| Total Assets BOY | 53191560 | TotalAssetsBOY |
| Total Assets EOY | 55416278 | TotalAssetsEOY |
| Total Liabilities BOY | 13784478 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 13579241 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 39407082 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 41837037 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO IMPROVE THE QUALITY AND COST EFFECTIVENESS OF HEALTHCARE FOR CONSUMERS AND PROVIDERS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Description | CARE COORDINATIONCARE COORDINATION PROVIDES SOLUTIONS TO MEMBERS, HEALTH PLANS AND PROVIDERS USING INNOVATIVE PRODUCTS AND SERVICES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CARE CONSULTINGCARE CONSULTING OFFERS SUPPORT AND SOLUTIONS TO PHYSICIANS, HOSPITALS, HOME CARE AND NURSING HOME PROVIDERS WHO DESIRE TO IMPROVE QUALITY CARE AND PATIENT OUTCOMES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CARE OUTCOMES REPORTINGCARE OUTCOMES REPORTING PROVIDES PROVEN HEALTH INFORMATION MANAGEMENT SOLUTIONS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | 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 | 0 | 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 |
| 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 | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 232 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 583 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | 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 |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENISE STURM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5152232852 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 WEST LAKES PARKWAY | AddressLine1 |
| City | WEST DES MOINES | City |
| State | IA | State |
| ZIP Code | 50266 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 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 |
|---|---|---|---|---|---|---|---|---|
| R RIED BOOM MD | ||||||||
| BOARD PRESIDENT | 1.50 | X | X | 10950 | 0 | 0 | ||
| DAVID THOMAS MD | ||||||||
| BOARD VICE PRESIDENT | 1.00 | X | X | 8352 | 0 | 0 | ||
| DAVID SWIESKOWSKI MD | ||||||||
| BOARD TREASURER | 1.00 | X | X | 5550 | 0 | 0 | ||
| STEPHANIE ALTMAN BA JD | ||||||||
| BOARD SECRETARY | 1.00 | X | X | 6950 | 1750 | 0 | ||
| LARRY GOETZ MD | ||||||||
| BOARD PAST PRESIDENT | 1.00 | X | 7000 | 0 | 0 | |||
| VICTORIA SHARP MD | ||||||||
| BOARD DIRECTOR | 1.00 | X | 4550 | 0 | 0 | |||
| RUTH COX PHD | ||||||||
| BOARD DIRECTOR | 1.00 | X | 6460 | 0 | 0 | |||
| CARLOTTA RINKE MD | ||||||||
| BOARD DIRECTOR | 1.00 | X | 5250 | 0 | 0 | |||
| JEFFRAY CHUNGATH | ||||||||
| CEO | 40.00 | X | 321036 | 0 | 51714 | |||
| DENISE STURM | ||||||||
| CFO | 40.00 | X | 191586 | 0 | 38391 | |||
| BRIAN BARRY | ||||||||
| VP INFORMATION MANAGEMENT | 40.00 | 189894 | 0 | 38838 | X | |||
| PEGGY MASON | ||||||||
| VP HEALTH MANAGEMENT | 40.00 | 212024 | 0 | 40200 | X | |||
| DOUG VENTLING | ||||||||
| VP HUMAN RESOURCES | 40.00 | 166894 | 0 | 37871 | X | |||
| JASON KESSLER MD | ||||||||
| MEDICAL DIRECTOR | 40.00 | 165918 | 0 | 34092 | X | |||
| BRUCE A GROTENHUIS | ||||||||
| SR DIRECTOR INFORMATION MGMT | 40.00 | 165255 | 0 | 34570 | X | |||
| ROBERT M SPEIGHT | ||||||||
| SR DIRECTOR BUSINESS DEVELOPMENT | 40.00 | 156218 | 0 | 32030 | X | |||
| PATRICIA MERRYWEATHER-ARGES | ||||||||
| SR DIRECTOR CLIENT SERVICES | 40.00 | 156045 | 0 | 15290 | X | |||
| ERIK THOMPSON | ||||||||
| DIRECTOR INFORMATION MGMT | 40.00 | 140353 | 0 | 27817 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1920285 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1750 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 350813 | TotalOtherCompensation |
| Number Individuals GT100 K | 46 | 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 |
|---|---|---|---|---|---|
| ACTUARIAL RESEARCH CORP | |||||
| 6928 LITTLE RIVER TURNPIKE SUITE E | ANNANDALE | VA | 22003 | INFORMATION TECHNOLOGY SERVICES | 271976 |
| TEKSYSTEMS | |||||
| PO BOX 198568 | ATLANTA | GA | 30384 | TEMPORARY HELP | 210682 |
| DENMAN & COMPANY | |||||
| 1601 22ND STREET SUITE 400 | WEST DES MOINES | IA | 50266 | ACCOUNTING/AUDIT/TAX SERVICES | 124755 |
| NEAL J SHERMAN MD | |||||
| 380 WEST 22ND STREET 604 | KANSAS CITY | KS | 64108 | PHYSICIAN REVIEWER | 116614 |
| QUALITY CONSULTING INC | |||||
| 1500 NW 118 STREET | DES MOINES | IA | 50325 | TEMPORARY HELP | 113013 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 19 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAL SERVICE REVIEW | 541900 | 40250678 | 40250678 |
| HEALTH INFORMATION MANAGEMENT | 519100 | 19566180 | 19566180 |
| INTERCOMPANY CONSULTING | 519100 | 6730415 | 6730415 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 66547273 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 214467 | TotalRevenueColumn |
| Unrelated Business Revenue | 33534 | UnrelatedBusinessRevenue |
| Exclusion | $180,933 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 59903 | Securities |
| Other | 39000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 65117 | Securities |
| Other | 39000 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -5214 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5214 | TotalRevenueColumn |
| Exclusion | -$5,214 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PASSTHROUGH INCOME FROM HEALTH CA | 519100 | 35905 | 35905 | |
| LICENSE AND TRACKING | 541900 | 34867 | 34867 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 70772 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 66827298 | TotalRevenueColumn |
| Related Or Exempt Function Income | 66583178 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 68401 | UnrelatedBusinessRevenue |
| Exclusion | $175,719 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2275271 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30511603 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10256077 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55057 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2236952 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1130017 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1017914 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7105904 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 851010 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107264 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 564064 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198107 | Total |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal |
|---|---|
| INTERCOMPANY EXPENSES | 6779034 |
| PASSTHRU COSTS: SUBCONT | 980699 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 627269 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 64696242 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10615613 | BOY |
| EOY | 7313030 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 514578 | BOY |
| EOY | 700143 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15819311 | BOY |
| EOY | 16933599 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1532820 | BOY |
| EOY | 7962094 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14977295 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 10279863 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6278395 | BOY |
| EOY | 4697432 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8541280 | BOY |
| EOY | 8977845 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2739490 | BOY |
| EOY | 3585692 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7150073 | BOY |
| EOY | 5246443 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53191560 | BOY |
| EOY | 55416278 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4797548 | BOY |
| EOY | 5443676 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1445304 | BOY |
| EOY | 209972 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7541626 | BOY |
| EOY | 7925593 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13784478 | BOY |
| EOY | 13579241 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39407082 | BOY |
| EOY | 41837037 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39407082 | BOY |
| EOY | 41837037 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53191560 | BOY |
| EOY | 55416278 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 2131056 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 526732 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -227833 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 816912 | OtherCostOrOtherBasis |
| Depreciation | 397829 | Depreciation |
| Book Value | 419083 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14160383 | OtherCostOrOtherBasis |
| Depreciation | 9882034 | Depreciation |
| Book Value | 4278349 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4697432 | TotalOfBookValueLandBuildings |
Financial Derivatives FinancialDerivatives
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 548629 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
Closely Held Equity Interests CloselyHeldEquityInterests
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 1686582 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CERTIFICATES OF DEPOSIT | 72669 | C |
| MUTUAL FUNDS | 1277812 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3585692 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| EXCESS BILLING COSTS ON UNCOMPLETED FEDERAL CONTRACTS | 244204 |
| INTERCOMPANY RECEIVABLE | 4753286 |
| SOFTWARE DEVELOPMENT COSTS | 213048 |
| INVESTMENT IN HEALTH CARE INNOVATION SERVICES | 35905 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5246443 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE ON FEDERAL CONTRACTS | $3,802,316 |
| CAPITAL LEASE OBLIGATION | $2,856,134 |
| INTERCOMPANY PAYABLE | $1,267,143 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7925593 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 68233998 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 526732 | NetUnrealizedGainsInvestments |
| Other Revenues | 9943214 | OtherRevenues |
| Revenue Not Rptd F990 | 10469946 | RevenueNotRptdF990 |
| Revenue Subtotal | 57764052 | RevenueSubtotal |
| Other Revenues Not Included | 9063246 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 9063246 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 66827298 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 65804043 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 10171047 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 10171047 | ExpensesNotRptdF990 |
| Expenses Subtotal | 55632996 | ExpensesSubtotal |
| Other Expenses Not Included | 9063246 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 9063246 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 64696242 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | TELLIGEN, TELLIGEN-IL AND TELLIGEN-NY'S OPERATIONS ARE EXEMPT FROM INCOME TAXES UNDER APPLICABLE SECTIONS OF THE INTERNAL REVENUE CODE, HOWEVER, THEY MAY BE SUBJECT TO UNRELATED BUSINESS INCOME TAX. TELLIGEN FOLLOWS THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX REQUIRED BY THE INCOME TAX TOPIC OF THE FASB ACCOUNTING STANDARDS CODIFICATION. MANAGEMENT HAS EVALUATED THEIR MATERIAL TAX POSITIONS AND DETERMINED NO INCOME TAX EFFECTS WITH RESPECT TO THE FINANCIAL STATEMENTS. TELLIGEN'S FEDERAL AND STATE TAX RETURNS, OPEN BY STATUTE, ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. TELLIGEN HAS NOT BEEN NOTIFIED OF ANY IMPENDING EXAMINATIONS BY TAX AUTHORITIES, AND NO EXAMINATIONS ARE IN PROCESS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | TELLIGEN HEALTH MANAGEMENT SOLUTIONS, INC SUBSIDIARY REVENUE 9,938,714. TELLIGEN COMMUNITY INITIAVE SUBSIDIARY REVENUE 4,500. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | ELIMINATIONS FOR CONSOLIDATED RETURN 9,063,246. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | TELLIGEN HEALTH MANAGEMENT SOLUTIONS, INC SUBSIDIARY EXPENSE 10,241,722. TELLIGEN COMMUNITY INITIATIVE SUBSIDIARY EXPENSE -70,675. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | ELIMINATIONS FOR CONSOLIDATED RETURN 9,063,246. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFRAY CHUNGATH | ||||||||||||||
| CEO | 291241 | 0 | 0 | 0 | 29795 | 0 | 28263 | 0 | 23451 | 0 | 372750 | 0 | 0 | 0 |
| DENISE STURM | ||||||||||||||
| CFO | 171852 | 0 | 0 | 0 | 19734 | 0 | 18245 | 0 | 20146 | 0 | 229977 | 0 | 0 | 0 |
| BRIAN BARRY | ||||||||||||||
| VP INFORMATION MANAGEMENT | 172474 | 0 | 0 | 0 | 17420 | 0 | 17256 | 0 | 21582 | 0 | 228732 | 0 | 0 | 0 |
| PEGGY MASON | ||||||||||||||
| VP HEALTH MANAGEMENT | 201618 | 0 | 0 | 0 | 10406 | 0 | 20682 | 0 | 19518 | 0 | 252224 | 0 | 0 | 0 |
| DOUG VENTLING | ||||||||||||||
| VP HUMAN RESOURCES | 132764 | 0 | 0 | 0 | 34130 | 0 | 15773 | 0 | 22098 | 0 | 204765 | 0 | 0 | 0 |
| JASON KESSLER MD | ||||||||||||||
| MEDICAL DIRECTOR | 153453 | 0 | 0 | 0 | 12465 | 0 | 10100 | 0 | 23992 | 0 | 200010 | 0 | 0 | 0 |
| BRUCE A GROTENHUIS | ||||||||||||||
| SR DIRECTOR INFORMATION MGMT | 143916 | 0 | 14257 | 0 | 7082 | 0 | 13935 | 0 | 20635 | 0 | 199825 | 0 | 0 | 0 |
| ROBERT M SPEIGHT | ||||||||||||||
| SR DIRECTOR BUSINESS DEVELOPMENT | 112560 | 0 | 24411 | 0 | 19247 | 0 | 11205 | 0 | 20825 | 0 | 188248 | 0 | 0 | 0 |
| PATRICIA MERRYWEATHER-ARGES | ||||||||||||||
| SR DIRECTOR CLIENT SERVICES | 154278 | 0 | 0 | 0 | 1767 | 0 | 784 | 0 | 14506 | 0 | 171335 | 0 | 0 | 0 |
| ERIK THOMPSON | ||||||||||||||
| DIRECTOR INFORMATION MGMT | 133390 | 0 | 0 | 0 | 6963 | 0 | 11512 | 0 | 16305 | 0 | 168170 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | ON OCCASION, A TURBO PROP AIRPLANE WAS CHARTERED TO BRING BOARD MEMBERS WHO DO NOT HAVE DIRECT ACCESS TO DES MOINES, IA VIA COMMERCIAL FLIGHTS TO MEETINGS IN DES MOINES, IA, AS A MORE COST EFFECTIVE AND EFFICIENT MEANS OF TRAVEL. |
| PART I, LINE 4B | JEFFRAY CHUNGATH, DOUG VENTLING, AND DENISE STURM PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | A MEMBER IS A PHYSICIAN PERFORMING PROFESSIONAL ACTIVITIES IN AND LICENSED UNDER THE LAWS OF THE STATE OF IOWA. | |
| FORM 990, PART VI, SECTION A, LINE 7A | AN ANNUAL ELECTION IS HELD AND VOTED ON BY MEMBERS. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS VOTE ON THE ELECTIONS OF THE IOWA BOARD PHYSICIANS REPRESENTATIVES TO THE TELLIGEN BOARD OF DIRECTORS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD. TELLIGEN'S CFO REVIEWED THE 990 WITH THE BOARD, ALLOWING FOR QUESTIONS AND CLARIFICATIONS. THE SAME PROCESS OF REVIEW WAS CONDUCTED WITH THE CEO AND ALL VICE PRESIDENTS OF TELLIGEN. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE EMPLOYEES AND OFFICERS OF TELLIGEN ARE REQUIRED TO DISCLOSE, AT ALL TIMES, ANY POTENTIAL CONFLICT OF INTEREST OR APPEARANCE THEREOF BETWEEN AN EMPLOYEE OR OFFICER'S OWN PERSONAL, PROFESSIONAL OR FINANCIAL INTERESTS AND THE INTERESTS OF TELLIGEN, IN ANY AND ALL ACTIONS TAKEN BY THE EMPLOYEE OR OFFICER ON BEHALF OF TELLIGEN. IN THE EVENT THAT ANY TELLIGEN EMPLOYEE OR A MEMBER OF HIS/HER IMMEDIATE FAMILY HAS ANY DIRECT OR INDIRECT INTEREST IN, OR RELATIONSHIP WITH, ANY INDIVIDUAL OR ORGANIZATION WHICH IS IN OR PROPOSES TO ENTER INTO ANY BUSINESS TRANSACTION WITH TELLIGEN, INCLUDING BUT NOT LIMITED TO TRANSACTIONS INVOLVING: 1) THE SALE, PURCHASE, LEASE OR RENTAL OF ANY PROPERTY OR OTHER ASSET; 2) EMPLOYMENT, OR DELIVERY OF SERVICES, PERSONAL OR OTHERWISE; 3) THE AWARD OF ANY GRANT, CONTRACT, OR SUBCONTRACT; OR 4) THE INVESTMENT OR DEPOSIT OF ANY FUNDS OF TELLIGEN THEN SUCH EMPLOYEE SHALL COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM AND REFRAIN FROM ACTING UPON THE PARTICULAR BUSINESS TRANSACTION IN WHICH HE/SHE HAS AN INTEREST OR ATTEMPT TO INFLUENCE A DECISION IN THE BUSINESS TRANSACTION. THE VICE PRESIDENT AND COMPLIANCE OFFICER REVIEW THE DISCLOSURE FORM AND DETERMINE IF THE CONFLICT OF INTEREST IS MANAGEABLE. IF THE CONFLICT OF INTEREST IS MANAGEABLE, A CONFLICT OF INTEREST MITIGATION PLAN WILL BE CREATED AND MONITORED ANNUALLY. IF AN EMPLOYEE IS AWARE OF POTENTIAL CONFLICT OF INTEREST, THE EMPLOYEE IS ENCOURAGED TO SUBMIT A REPORT THROUGH THE TELLIGEN COMPLIANCE HOTLINE. TELLIGEN'S BOARD OF DIRECTORS FOLLOWS ITS OWN CONFLICT OF INTEREST POLICY. ANNUALLY, THE BOARD MEMBERS ATTEST TO UNDERSTANDING THE POLICY AND AFFIRM THAT THE MEMBER DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST TO THE BOARD. THE BOARD'S PROCEDURE FOR MANAGING THOSE CONFLICTS (1) REQUIRES THE BOARD MEMBERS WITH THE POTENTIAL CONFLICT TO PRESENT THE TRANSACTION OR ARRANGEMENT THAT MAY BE A CONFLICT OF INTEREST TO THE BOARD, (2) THE BOARD, AFTER EXERCISING DUE DILIGENCE, DETERMINES WHETHER THE CORPORATION CAN REASONABLY OBTAIN A MORE ADVANTAGEOUS ARRANGEMENT OR TRANSACTION IN A MANNER THAT WOULD NOT GIVE RISE TO A CONFLICT, AND (3) IF A MORE ADVANTAGEOUS ARRANGEMENT CANNOT BE OBTAINED, THE BOARD CAN DETERMINE THAT THE ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF TELLIGEN'S BOARD ENGAGED AN EXECUTIVE COMPENSATION CONSULTING FIRM TO PROVIDE A THIRD-PARTY REVIEW OF EXECUTIVE (TELLIGEN'S OFFICERS AND KEY EMPLOYEES) COMPENSATION COMPARED TO MARKET LEVELS. THE CONSULTING FIRM COMPARED EXECUTIVE COMPENSATION FOR TELLIGEN'S POSITIONS TO SIMILAR POSITIONS AT ORGANIZATIONS COMPARABLE TO TELLIGEN, INCLUDING THE EVALUATION OF LIKE ORGANIZATION'S FORM 990'S. THE CONSULTING FIRM PROVIDED COMPENSATION RECOMMENDATIONS BASED ON ITS ANALYSES, WHICH THE COMMITTEE RELIED UPON IN TURN TO ALIGN TELLIGEN'S EXECUTIVE COMPENSATION, CONSISTENT WITH THE ORGANIZATION'S PREFERRED COMPETITIVE POSITIONING. THE EXECUTIVE COMMITTEE USED THIS THIRD PARTY REVIEW TO RECOMMEND 2012 EXECUTIVE COMPENSATION TO TELLIGEN'S BOARD. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET ASSETS FOR SUBSIDIARY TELLIGEN HEALTH MANAGEMENT SOLUTIONS -303,008. CHANGE IN NET ASSETS FOR SUBSIDIARY TELLIGEN COMMUNITY INITIATIVE 75,175. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| TELLIGEN ILLINOIS LLC | |||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | 200812380 | REVIEW AND MONITOR QUALITY OF CARE TO MEDICAL PATIENTS | IL | 5281297 | 2643251 | TELLIGEN |
| TELLIGEN NEW YORK LLC | |||||||||
| 1776 WEST LAKES PARKWAY | WEST DES MOINES | IA | 50266 | 273050227 | PERFORM HEALTH INFORMATION MANAGEMENT | NY | 4549161 | 1941890 | TELLIGEN |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TELLIGEN COMMUNITY INITIATIVE | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 WEST LAKES PARKWAY | AddressLine1 |
| City | WEST DES MOINES | City |
| State | IA | State |
| ZIP Code | 50266 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202017785 | EIN |
| Primary Activities | GRANTMAKING TO OTHER NON PROFIT ORGANIZATIONS | PrimaryActivities |
| Legal Domicile State | IA | LegalDomicileState |
| Exempt Code Section | 501(C)3 | ExemptCodeSection |
| Public Charity Status | PRIVATE FOUNDATION | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TELLIGEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH CARE INNOVATIONS LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 WEST LAKES PARKWAY | AddressLine1 |
| City | WEST DES MOINES | City |
| State | IA | State |
| ZIP Code | 50266 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454725204 | EIN |
| Primary Activity | FEDERAL HEALTH CARE IT OPPORTUNITIES | PrimaryActivity |
| Legal Domicile State | IA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NGUYEN INFORMATION CONSULTING INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 29178 | ShareOfTotalIncome |
| Share Of EOY Assets | 239955 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.39820 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 WEST LAKES PARKWAY | AddressLine1 |
| City | WEST DES MOINES | City |
| State | IA | State |
| ZIP Code | 50266 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421267724 | EIN |
| Primary Activity | UTILIZATION MGMT, CASE MGMT, AND DISEASE MGMT | PrimaryActivity |
| Legal Domicile State | IA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TELLIGEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 9938714 | ShareOfTotalIncome |
| Share Of EOY Assets | 5696003 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | 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 |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC | ||
| A | 33534 | SEE PART VII |
| TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC | ||
| B | 1510795 | SEE PART VII |
| TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC | ||
| D | 1592122 | SEE PART VII |
| TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC | ||
| N | 1367327 | SEE PART VII |
| TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC | ||
| Q | 1751683 | SEE PART VII |
| TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC | ||
| P | 2030789 | SEE PART VII |
Form990 Schedule R Part VII Form990ScheduleRPartVII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| METHOD OF DETERMINING AMOUNT | SCHEDULE R PART V; ITEM 2, COLUMN D ITEM A | THE AMOUNT REPORTED FOR ITEM A REPRESENTS INTEREST INCOME RECEIVED BY TELLIGEN FROM TELLIGEN HEALTH MANAGEMENT SOLUTIONS, INC. ON THEIR OUTSTANDING LOAN. |
| METHOD OF DETERMINING AMOUNT | SCHEDULE R PART V; ITEM 2, COLUMN D ITEM B | THE AMOUNTS REPORTED FOR ITEMS B REPRESENT 2012 CAPITAL CONTRIBUTIONS TO TELLIGEN HEALTH MANAGEMENT SOLUTIONS, INC. AND TELLIGEN COMMUNITY INITIATIVE, RESPECTIVELY. |
| METHOD OF DETERMINING AMOUNT | SCHEDULE R PART V; ITEM 2, COLUMN D ITEMS D, N, M, P, O | THE AMOUNTS REPORTED WERE DETERMINED BY THE ACTUAL AMOUNTS PAID BY TELLIGEN FOR EXPENSES ALLOCABLE TO TELLIGEN HEALTH MANAGEMENT SOLUTIONS, INC. TELLIGEN WILL OFTEN RECEIVE A SINGLE INVOICE FOR SERVICES OR FACILITY EXPENSES SHARED WITH TELLIGEN HEALTH MANAGEMENT SOLUTIONS, INC. AND WILL PAY THOSE EXPENSES WITH TELLIGEN FUNDS. THE COMPANY RECONCILES THE AMOUNTS PAID BY TELLIGEN ON BEHALF OF TELLIGEN HEALTH MANAGEMENT SOLUTIONS, INC. ON A MONTHLY BASIS AND TELLIGEN HEALTH MANAGEMENT SOLUTIONS, INC. REIMBURSES TELLIGEN FOR ITS SHARE OF THESE SHARED EXPENSE ITEMS. |