2012-10-23T09:12:29-05:00 2011-12-31 420794029 DENMAN & COMPANY LLP 1601 22ND STREET SUITE 400 WEST DES MOINES IA 502661453 990 2011-01-01 420992483 TELLIGEN TELL 5152232900 1776 WEST LAKES PARKWAY WEST DES MOINES IA 502667711 DENISE STURM 5152232900 2012-10-19 1 DAVID ELLIS P01306431 5152258400 2011 2016-02-24 21:20:13Z DENISE STURM 1776 WEST LAKES PARKWAY WEST DES MOINES IA 502667711 71362710 0 X WWW.TELLIGEN.ORG X 1971 IA TO IMPROVE THE QUALITY AND COST EFFECTIVENESS OF HEALTHCARE FOR CONSUMERS AND PROVIDERS. 8 8 727 0 188792 0 0 0 86685501 64909529 217012 227479 88088 102154 86990601 65239162 0 0 0 0 55706596 44969001 0 0 0 27802218 21447057 83508814 66416058 3481787 -1176896 57358580 53191560 14998910 13784478 42359670 39407082 TO IMPROVE THE QUALITY AND COST EFFECTIVENESS OF HEALTHCARE FOR CONSUMERS AND PROVIDERS. 0 0 CARE COORDINATIONCARE COORDINATION PROVIDES SOLUTIONS TO MEMBERS, HEALTH PLANS AND PROVIDERS USING INNOVATIVE PRODUCTS AND SERVICES. 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. CARE OUTCOMES REPORTINGCARE OUTCOMES REPORTING PROVIDES PROVEN HEALTH INFORMATION MANAGEMENT SOLUTIONS. 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 215 0 727 1 1 1 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X DENISE STURM 5152232852 1776 WEST LAKES PARKWAY WEST DES MOINES IA 50266 R RIED BOOM MD 1.50 X X 10750 0 0 DAVID THOMAS MD 1.00 X X 7851 832 0 DAVID SWIESKOWSKI MD 1.00 X X 8850 0 0 STEPHANIE ALTMAN BA JD 1.00 X X 8350 50 0 LARRY GOETZ MD 1.00 X 7200 0 0 VICTORIA SHARP MD 1.00 X 4850 0 0 RUTH COX 1.00 X 6550 0 0 CARLOTTA RINKE MD 1.00 X 5550 0 0 JEFFRAY CHUNGATH 40.00 X 342067 0 43970 DENISE STURM 40.00 X 213672 0 38033 BRIAN BARRY 40.00 X 191335 0 33076 PEGGY MASON 40.00 X 240405 0 41019 DOUG VENTLING 40.00 X 190932 0 18348 TIMOTHY GUTSHALL MD 40.00 X 257742 0 40038 MARGARET GADON MD 40.00 X 181787 0 19286 JASON KESSLER MD 40.00 X 165688 0 23326 BRUCE A GROTENHUIS 40.00 X 156626 0 33317 CHRISTA HYLAND 40.00 X 0 245277 22434 DONALD LOVASZ 0.00 X 115908 0 4280 2116113 246159 317127 58 1 1 0 AJASA TECHNOLOGIES INC 1720 DOUGLAS DRIVE NORTH GOLDEN VALLEY MN 55422 INFORMATION TECHNOLOGY SERVICES 330915 ORACLE AMERICA INC 500 ORACLE PARKWAY REDWOOD SHORES CA 94065 INFORMATION TECHNOLOGY SERVICES 310650 TEKSYSTEMS PO BOX 198568 ATLANTA GA 30384 INFORMATION TECHNOLOGY SERVICES 304186 TECHNISOURCE INC PO BOX 847872 DALLAS TX 75284 INFORMATION TECHNOLOGY SERVICES 278941 MAXIM HEALTHCARE SERVICE 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 INFORMATION TECHNOLOGY SERVICES 250474 12 MEDICAL SERVICE REVIEW 541900 38863151 38863151 HEALTH INFORMATION MAN 519100 26046378 26046378 64909529 261650 86638 175012 6089377 6123548 -34171 -34171 -34171 LICENSE AND TRACKING 541900 102154 102154 102154 65239162 64909529 188792 140841 1412858 33905062 9651081 100557 1166046 981274 8456579 1004643 74519 638619 180015 GOVERNMENT EQUIPMENT 2239134 TEMPORARY HELP 2019070 CONSULTANTS 1774850 SUBCONTRACTORS 649172 2162579 66416058 12074398 10615613 402199 514578 11814099 15819311 1408066 1532820 15925760 9647365 7485629 6278395 12636840 8541280 2663744 2739490 8873605 7150073 57358580 53191560 5896033 4797548 134287 1445304 8968590 7541626 14998910 13784478 X 42359670 39407082 42359670 39407082 57358580 53191560 X -1176896 -1775692 X 0 1 1 X 1 1 776326 311456 464870 15149434 9335909 5813525 6278395 655508 F 870818 C CERTIFICATES OF DEPOSIT 162513 C MUTUAL FUNDS 1050651 C 2739490 EXCESS BILLING COSTS ON UNCOMPLETED FEDERAL CONTRACTS 339031 INTERCOMPANY RECEIVABLE 6524328 SOFTWARE DEVELOPMENT COSTS 286714 7150073 DUE ON FEDERAL CONTRACTS 78828 CAPITAL LEASE OBLIGATION 3709619 INTERCOMPANY PAYABLE 2399296 DUE TO CMS 1353883 7541626 65239162 66416058 -1176896 -549999 -1225693 -1775692 -2952588 72498104 -549999 9274227 8724228 63773876 1465286 1465286 65239162 75450692 10499920 10499920 64950772 1465286 1465286 66416058 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 8 - OTHER ADJUSTMENTS: CHANGE IN NET ASSETS FOR SUBSIDIARY TELLIGEN HEALTH MANAGEMENT SOLUTIONS -1,224,366. CHANGE IN NET ASSETS FOR SUBSIDIARY TELLIGEN COMMUNITY INITIATIVE -1,327. TOTAL TO SCHEDULE D, PART XI, LINE 8: -1,225,693. PART XII, LINE 2D - OTHER ADJUSTMENTS: TELLIGEN HEALTH MANAGEMENT SOLUTIONS, INC SUBSIDIARY REVENUE 9,125,727. TELLIGEN COMMUNITY INITIAVE SUBSIDIARY REVENUE 148,500. PART XII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATIONS FOR CONSOLIDATED RETURN 1,465,286. PART XIII, LINE 2D - OTHER ADJUSTMENTS: TELLIGEN HEALTH MANAGEMENT SOLUTIONS, INC SUBSIDIARY EXPENSE 10,350,093. TELLIGEN COMMUNITY INITIATIVE SUBSIDIARY EXPENSE 149,827. PART XIII, LINE 4B - OTHER ADJUSTMENTS: ELIMINATIONS FOR CONSOLIDATED RETURN 1,465,286. X 1 1 X X X X X 1 1 0 JEFFRAY CHUNGATH 271244 0 41970 0 28853 0 22324 0 21646 0 386037 0 0 0 DENISE STURM 172349 0 24240 0 17083 0 19566 0 18467 0 251705 0 0 0 BRIAN BARRY 169936 0 4521 0 16878 0 13705 0 19371 0 224411 0 0 0 PEGGY MASON 203942 0 25960 0 10503 0 22537 0 18482 0 281424 0 0 0 DOUG VENTLING 137310 0 20020 0 33602 0 16493 0 1855 0 209280 0 0 0 TIMOTHY GUTSHALL MD 238189 0 3297 0 16256 0 16956 0 23082 0 297780 0 0 0 MARGARET GADON MD 153416 0 4565 0 23806 0 277 0 19009 0 201073 0 0 0 JASON KESSLER MD 152099 0 3075 0 10514 0 3375 0 19951 0 189014 0 0 0 BRUCE A GROTENHUIS 141530 0 8123 0 6973 0 14207 0 19110 0 189943 0 0 0 CHRISTA HYLAND 0 150032 0 75000 0 20245 0 1544 0 20890 0 267711 0 0 DONALD LOVASZ 0 0 0 0 115908 0 0 0 4280 0 120188 0 0 0 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, LINES 4A-B DONALD LOVASZ RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $115,908. JEFFRAY CHUNGATH AND DOUG VENTLING PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. 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 2011 EXECUTIVE COMPENSATION TO TELLIGEN'S BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 IS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -549,999. CHANGE IN NET ASSETS FOR SUBSIDIARY TELLIGEN HEALTH MANAGEMENT SOLUTIONS -1,224,366. CHANGE IN NET ASSETS FOR SUBSIDIARY TELLIGEN COMMUNITY INITIATIVE -1,327. TOTAL TO FORM 990, PART XI, LINE 5: -1,775,692. TELLIGEN ILLINOIS LLC 1776 WEST LAKES PARKWAY WEST DES MOINES IA 50266 200812380 REVIEW AND MONITOR QUALITY OF CARE TO MEDICAL PATIENTS IL 4482091 3125869 TELLIGEN TELLIGEN NEW YORK LLC 1776 WEST LAKES PARKWAY WEST DES MOINES IA 50266 273050227 PERFORM HEALTH INFORMATION MANAGEMENT NY 5431894 2329909 TELLIGEN TELLIGEN COMMUNITY INITIATIVE 1776 WEST LAKES PARKWAY WEST DES MOINES IA 50266 202017785 GRANTMAKING TO OTHER NON PROFIT ORGANIZATIONS IA 501(C)3 PRIVATE FOUNDATION TELLIGEN 1 HEALTH CARE INNOVATION SERVICES 1776 WEST LAKES PARKWAY WEST DES MOINES IA 50266 454725204 FEDERAL HEALTH CARE IT OPPORTUNITIES IA NGUYEN INFORMATION CONSULTING INC NO ACTIVITY 0 0 0.49000 TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC 1776 WEST LAKES PARKWAY WEST DES MOINES IA 50266 421267724 UTILIZATION MGMT, CASE MGMT, AND DISEASE MGMT IA TELLIGEN C 9125727 5546101 1.00000 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC A 86638 SEE PART VII TELLIGEN COMMUNITY INITIATIVE B 148500 SEE PART VII TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC B 878288 SEE PART VII TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC D 3059224 SEE PART VII TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC M 1068204 SEE PART VII TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC N 1481608 SEE PART VII TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC P 4748486 SEE PART VII TELLIGEN HEALTH MANAGEMENT SOLUTIONS INC O 978366 SEE PART VII 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 2011 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.