2023-11-15T12:29:00-06:00 2022-12-31 721396621 CARR RIGGS & INGRAM LLC 215 BAYTREE DRIVE MELBOURNE FL 32940 990 2022-01-01 842329966 IMPACT HEALTH SHARING INC IMPA 8553786777 8210 W STATE ROAD 84 DAVIE FL 33324 PHILLIP CHRYSLER PRESIDENT AND CEO 8553786777 2023-11-15 1 PHILLIP CHRYSLER 999009999 0 ROMAN G CARRAWAY CPA P00448173 3212550088 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PHILLIP CHRYSLER 8210 W STATE ROAD 84 DAVIE FL 33324 5972391 0 X WWW.IMPACTHEALTHSHARING.COM X 2019 FL WE BELIEVE IN PROVIDING A MEMBER-CENTRIC EXPERIENCE WHILE DELIVERING VALUE AND TRANSPARENCY IN THE SHARING OF MEDICAL EXPENSES. 3 2 18 0 0 0 13458 1183 3426395 5971208 0 0 0 0 3439853 5972391 0 23148 0 0 708663 1284783 0 0 3990 4710283 4993835 5418946 6301766 -1979093 -329375 573808 1190937 5670060 6512846 -5096252 -5321909 WE BELIEVE IN PROVIDING A MEMBER-CENTRIC EXPERIENCE WHILE DELIVERING VALUE AND TRANSPARENCY IN THE SHARING OF MEDICAL EXPENSES. 0 0 4136649 23148 5971208 IMPACT PUTS THE POWER, THE FREEDOM, AND THE CONTROL IN PAYING FOR HEALTHCARE BACK INTO YOUR HANDS. IMPACT IS OPEN TO ANYONE WHO IS INTERESTED IN SHARING AND SAVING ON THEIR HEALTHCARE. 4136649 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 18 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 0 0 0 0 X X DAVE RAMCHARITAR 9545542968 8210 W STATE ROAD 84 DAVIE FL 33324 PHILLIP CHRYSLER PRESIDENT AND CEO 45.00 X X 251500 0 0 SCOTT EYNON DIRECTOR 0.30 X 0 0 0 FRANK GUTTA DIRECTOR 0.30 X 0 0 0 SHEETAL MAHARAJ VP BILLING/MEDICAL DIRECTOR 45.00 X 154866 0 0 406366 0 0 2 0 1 0 ADVANCED MEDICAL PRICING SOLUTIONS PO BOX 96561 CHARLOTTE NC 28296 REFERENCE BASED PRICING 1416000 HEALTHSHARES GROUP LLC PO BOX 510363 MELBOURNE BEACH FL 32951 HEALTHSHARE MGMT, CONSULTING, AND ROYALT 639000 CAUSEWAY MARKETING LLC 1671TOLLEY TER SE PALM BAY FL 32909 MARKETING AND CONSULTING 385000 SHARABLE LLC PO BOX 510363 MELBOURNE BEACH FL 32951 MEM & ADMIN SOFTWARE 349000 CREATION LABS & LOGIC LLC 8617 MIZELL DRIVE MELBOURNE FL 32940 EXECUTIVE & IT SUPPORT/CONSULTING 127000 5 1183 1183 HEALTH SHARING DUES 524298 5647596 5647596 REBATES & CASH REWARDS 524298 323612 323612 5971208 5972391 5971208 0 0 X 23148 23148 251500 150900 100600 939102 557562 381540 5604 5050 554 88577 53107 35470 71285 71285 12951 12951 36101 36101 3258704 3113197 145507 913585 913585 13421 8080 5341 107680 41123 66557 174529 104717 69812 36404 36404 210667 210667 40182 40182 TELEPHONE 35710 21426 14284 CONVENTION EXPENSES 34207 34207 EMPLOYEE RELATIONS 23167 16217 6950 GIFTS 10327 10327 14915 6021 4904 3990 6301766 4136649 2161127 3990 167170 763031 44353 106631 362285 321275 573808 1190937 1657017 1013342 249954 346407 3763089 5153097 5670060 6512846 X -5096252 -5321909 -5096252 -5321909 573808 1190937 -329375 103718 0 X 0 1 X 0 0 X 13458 1183 14641 2200827 3426395 5971208 11598430 2200827 3439853 5972391 11613071 0 0 0 11613071 2200827 3439853 5972391 11613071 X 0 0 0 0 0 0 1 36101 0 0 36101 0 0 EMPLOYEE ADVANCES 11593 VENDOR ADVANCES 309682 321275 X 5972391 0 5972391 0 5972391 6301766 0 6301766 0 6301766 PART X, LINE 2: IMPACT HEALTH SHARING, INC. IS EXEMPT FROM FEDERAL AND STATE INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). THEREFORE, ONLY INCOME FROM BUSINESS UNRELATED TO THE ORGANIZATION'S CHARITABLE PURPOSE IS SUBJECT TO FEDERAL OR STATE INCOME TAX. THE ORGANIZATION FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. AS OF DECEMBER 31, 2022, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. ADDITIONALLY, THE ORGANIZATION HAD NO INTEREST AND PENALTIES RELATED TO INCOME TAXES. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2020. 0 BOYS & GIRLS CLUB OF BROWARD COUNTY 877 NW 61ST STREET FORT LAUDERDALE FL 33309 591108790 501(C)(3) 10000 0 EVENT SPONSORSHIP X 0 0 0 0 0 0 0 0 0 PHILLIP CHRYSLER PRESIDENT AND CEO 251500 0 0 0 0 0 0 0 0 0 251500 0 0 0 SHEETAL MAHARAJ VP BILLING/MEDICAL DIRECTOR 154866 0 0 0 0 0 0 0 0 0 154866 0 0 0 TEAM NATIONAL INC 35% CONTROLLED ENTITY OF PRESIDENT'S WIFE TO PAY FOR MARKETING, SERVICES, OVERHEAD, ETC. X 2739575 4845770 0 1 1 SOAR TO SUCCESS PROPERTIES LLC THE CEO AND HIS WIFE OWN SOAR TO SUCCESS PROPERTIES, LLC TO PROVIDE WORKING CAPITAL AND RENT FOR IMPACT HEALTH SHARING X 84000 307327 0 1 1 5153097 TEAM NATIONAL INC 35% CONTROLLED ENTITY OF PRESIDENT'S WIFE 855408 TEAM NATIONAL, INC. PROVIDES MARKETING AND SHARED OFFICE SPACE / EMPLOYEES 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NOT ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE PRESIDENT REVIEWS THE 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL STATEMENTS BY BOARD OF DIRECTORS OFFICERS FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART IX, LINE 11G OPERATIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,581,717. MANAGEMENT AND GENERAL EXPENSES 2,222. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,583,939. MARKETING/IT CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 531,480. MANAGEMENT AND GENERAL EXPENSES 143,285. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 674,765.