2021-11-15T15:08:26-06:00 2020-12-31 721396621 CARR RIGGS & INGRAM LLC 215 BAYTREE DRIVE MELBOURNE FL 32940 990 2020-01-01 842329966 IMPACT HEALTH SHARING INC IMPA 8553786777 8210 W STATE ROAD 84 DAVIE FL 33324 PHILLIP CHRYSLER PRESIDENT AND CEO 8553786777 2021-11-15 1 PHILLIP CHRYSLER 999009999 ROMAN G CARRAWAY CPA P00448173 3212550088 2021-11-15 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z PHILLIP CHRYSLER 8210 W STATE ROAD 84 DAVIE FL 33324 2161138 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 0 0 0 0 0 0 0 2161138 0 0 0 0 0 2161138 0 0 0 0 0 171296 0 0 0 1310417 3487866 1310417 3659162 -1310417 -1498024 0 40241 1310417 2848682 -1310417 -2808441 WE BELIEVE IN PROVIDING A MEMBER-CENTRIC EXPERIENCE WHILE DELIVERING VALUE AND TRANSPARENCY IN THE SHARING OF MEDICAL EXPENSES. 0 0 2792337 2161138 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. 2792337 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 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 40.00 X X 0 170096 0 SCOTT EYNON DIRECTOR 0.30 X 0 0 0 FRANK GUTTA DIRECTOR 0.30 X 0 0 0 0 170096 0 0 0 1 0 0 HEALTH SHARING 524298 2075311 2075311 REBATES AND CASH REWAR 524298 85827 85827 2161138 2161138 2161138 0 0 X 170096 85048 85048 1200 1200 16734 5020 11714 2304346 2288434 15912 515256 515256 520610 387887 132723 2217 2217 1030 1030 17694 17694 COMPUTER REPAIRS AND MA 58283 5828 52455 SPONSORSHIPS 17962 17962 TELEPHONE 15713 10999 4714 EMPLOYEE BENEFITS LUNCH 7100 4970 2130 10921 2951 7970 3659162 2792337 866825 0 0 39241 0 1000 0 40241 0 109107 1310417 2739575 1310417 2848682 X 0 0 0 0 -1310417 -2808441 -1310417 -2808441 0 40241 -1498024 0 X X 0 1 X 0 0 X 0 2161138 2161138 2161138 2161138 0 0 0 2161138 2161138 2161138 X 0 X 2161138 0 2161138 0 2161138 3659162 0 3659162 0 3659162 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, 2020, 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 CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE AND LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2019. X 0 0 0 0 0 0 0 0 0 PHILLIP CHRYSLER PRESIDENT AND CEO 0 170096 0 0 0 0 0 0 0 0 0 170096 0 0 TEAM NATIONAL INC 35% CONTROLLED ENTITY OF PRESIDENT'S WIFE TO PAY FOR MARKETING, SERVICES, OVERHEAD, ETC. X 2739575 2739575 0 1 0 2739575 TEAM NATIONAL INC 35% CONTROLLED ENTITY OF PRESIDENT'S WIFE 1429158 TEAM NATIONAL PROVIDES MARKETING, SERVICES, AND OVERHEAD FOR IMPACT HEALTH SHARING, INC. 1 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 CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 2,263,532. MANAGEMENT AND GENERAL EXPENSES 5,240. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,268,772. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 24,902. MANAGEMENT AND GENERAL EXPENSES 10,672. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,574. FORM 990, PART XII, LINE 2B THE INFORMATION PRESENTED ON THE 2020 FORM 990 IS INCOMPLETE. THE TAX RETURN HAS BEEN PREPARED PRIOR TO THE COMPLETION OF THE 2020 FINANCIAL STATEMENT AUDIT AND NOT ALL INFORMATION WAS AVAILABLE AT THE TIME OF FILING. AN AMENDED RETURN WILL BE FILED AFTER THE FINANCIAL STATEMENT AUDIT IS FINALIZED.