2020-05-15T13:21:32-05:00 2019-06-30 593204548 JAMES MOORE & CO PL 2477 TIM GAMBLE PLACE SUITE 200 TALLAHASSEE FL 323084386 990 2018-07-01 593032613 FLORIDA HEALTHY KIDS CORPORATION FLOR 8507016114 1203 GOVERNORS SQUARE BLVD NO 400 TALLAHASSEE FL 32301 JEFF DYKES CFO 8507016114 2020-05-14 1 KEVIN WARREN P00642409 8503866184 2020-05-12 70.120.142.2 2020-05-14 08:26:59 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 FA239320463B18A5C8F615A582AC9E99F26DB78F 2018 2020-09-23 17:36:50Z JEFF DYKES 1203 GOVERNORS SQUARE BLVD NO 400 TALLAHASSEE FL 32301 378906899 0 X WWW.HEALTHYKIDS.ORG X 1990 FL TO ENSURE THE AVAILABILITY OF COMPREHENSIVE CHILD-CENTERED HEALTH INSURANCE COVERAGE THAT PROVIDES QUALITY HEALTHCARE SERVICES TO CHILDREN ELIGIBLE FOR MEDICAL ASSISTANCE UNDER TITLE XXI OF THE SOCIAL SECURITY ACT AND OTHERS. 13 13 42 15 0 0 288290724 311739193 58745448 67096752 0 0 800000 70954 347836172 378906899 0 0 0 0 2577556 2797753 0 0 0 345842111 377143837 348419667 379941590 -583495 -1034691 36363855 39236427 16213663 20120926 20150192 19115501 TO ENSURE THE AVAILABILITY OF COMPREHENSIVE CHILD-CENTERED HEALTH INSURANCE COVERAGE THAT PROVIDES QUALITY HEALTHCARE SERVICES TO CHILDREN ELIGIBLE FOR MEDICAL ASSISTANCE UNDER TITLE XXI OF THE SOCIAL SECURITY ACT AND OTHERS. 0 0 373378320 67096752 HEALTH AND DENTAL INSURANCE IS OFFERED TO SCHOOL-AGED CHILDREN WHO ARE NOT COVERED UNDER MEDICAID OR PRIVATE INSURANCE. APPROXIMATELY 210,000 CHILDREN WERE COVERED AS OF JUNE 30, 2019 IN ALL OF FLORIDA'S SIXTY-SEVEN COUNTIES. 4754306 FLORIDA HEALTHY KIDS PERFORMS STATUTORILY REQUIRED ADMINISTRATIVE FUNCTIONS RELATED TO THE STATE OF FLORIDA'S TITLE XXI AND OTHER PROGRAMS (CHILDREN'S MEDICAL SERVICES AND MEDIKIDS). THESE ADMINISTRATIVE DUTIES INCLUDE MEDICAID SCREENING, APPLICATION PROCESSING, AND ENROLLMENT AND RECORD KEEPING FUNCTIONS FOR THE STATE'S CMS AND MEDIKIDS PROGRAMS. THESE ADMINISTRATIVE DUTIES SERVICE APPROXIMATELY 53,500 CHILDREN. 378132626 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 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 0 0 1 27 0 1 42 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JEFF DYKES 8507016114 1203 GOVERNORS SQUARE BLVD NO 400 TALLAHASSEE FL 32301 JOSE ARMAS MD DIRECTOR 1.00 X 0 0 0 PHILIP BOYCE SECRETARY/TREASURER 2.00 X X 0 0 0 PETER CLAUSSEN DDS VICE CHAIR 1.00 X X 0 0 0 BETH KIDDER DIRECTOR 1.00 X 0 0 0 AMRA A RESIC MD FAAFP DIRECTOR 1.00 X 0 0 0 DR MANSOOREH SALARI DIRECTOR 1.00 X 0 0 0 TOMMY SCHECHTMAN MD MS FAAP DIRECTOR 1.00 X 0 0 0 PENNY TAYLOR DIRECTOR 1.00 X 0 0 0 DR STEPHANIE HARIDOPOLOS CHAIR 3.00 X X 0 0 0 COMMISSIONER DAVE EGGERS DIRECTOR 1.00 X 0 0 0 TAYLOR HATCH DIRECTOR 1.00 X 0 0 0 MARY MAYHEW DIRECTOR 1.00 X 0 0 0 JEFFREY BROSCO MD PHD DIRECTOR 1.00 X 0 0 0 REBECCA MATTHEWS CEO 40.00 X 152336 0 40427 JEFFREY DYKES CFO/INTERIM CEO 40.00 X 127285 0 39455 AUSTIN NOLL COO 40.00 X 112959 0 32660 GAVIN BURGESS CLO (PARTIAL YEAR) 40.00 X 16745 0 1817 JOE DAVIS CMO 40.00 X 86824 0 24189 STEVE MALONO CLO (PARTIAL YEAR) 40.00 X 83791 0 19421 579940 0 157969 3 0 1 0 MERCER HEALTH & BENEFITS LLC PO BOX 100260 PASADENA CA 911890260 ACTUARIAL SERVICES 416917 HOLLAND & KNIGHT PO BOX 864084 ORLANDO FL 32886 LEGAL SERVICES 247093 SOUTHERN STANDARD CONSTRUCTION LLC 2833 REMINGTON GREEN CIRCLE TALLAHASSEE FL 32308 TENANT LEASEHOLD BUILDOUT 150921 ENGLERT CONSULTING LLC 2845 ASBURY HILL TALLAHASSEE FL 32312 MARKETING 104360 CAPITOL COUNSEL LLC 70013TH STREET 2ND FLOOR WASHINGTON DC 20005 ADVOCACY COUNSELING 103500 5 311714194 24999 311739193 PARTICIPANT INSURANCE 524292 67096752 67096752 67096752 MISCELLANEOUS INCOME 900099 70954 70954 70954 378906899 67167706 0 0 744476 744476 1526635 1526635 151241 151241 216632 216632 158769 158769 313194 313194 70718 70718 150000 150000 862735 862735 1088439 856628 231811 240721 188697 52024 144504 144504 194683 194683 63248 63248 29788 5358 24430 49484 49484 26987 26987 PREMIUMS - DENTAL & MED 354516862 354516862 RECORDS ADMINISTRATION 18176811 17416570 760241 EVALUATION 596400 596400 PREMIUMS - HURRICANE 419546 419546 199717 28805 170912 379941590 378132626 1808964 0 34837517 37317583 1407195 1632275 5048 5449 80168 101859 503618 324357 33927 179261 36363855 39236427 4385163 3696303 11646547 12335985 181953 4088638 16213663 20120926 X 0 0 0 0 20150192 19115501 20150192 19115501 36363855 39236427 -1034691 0 X X 0 1 X 1 1 1 X 269899971 241816655 258127342 347036172 378835945 1495716085 269899971 241816655 258127342 347036172 378835945 1495716085 1495716085 168668 168668 1500000 200000 10344914 800000 70954 12915868 1508800621 0.99130 0.98720 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 0 0 0 1 0 1 150000 0 0 150000 0 154114 17125 136989 349504 307232 42272 179261 DUE TO THE STATE OF FLORIDA 4088638 4088638 X 378906899 0 378906899 0 378906899 379941590 0 379941590 0 379941590 PART X, LINE 2: THE CORPORATION HAS REVIEWED AND EVALUATED THE RELEVANT TECHNICAL MERITS OF EACH OF ITS TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT WOULD HAVE A MATERIAL IMPACT ON THE FINANCIAL STATEMENTS. X 1 1 X 1 0 0 0 0 0 0 0 0 REBECCA MATTHEWS CEO 140400 0 8424 0 3512 0 25897 0 14530 0 192763 0 0 0 JEFFREY DYKES CFO/INTERIM CEO 124533 0 0 0 2752 0 21639 0 17816 0 166740 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 AND ACCOMPANYING SCHEDULES ARE PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE CHIEF FINANCIAL OFFICER AND ACCOUNTING DIRECTOR REVIEW FORM 990 AND ACCOMPANYING SCHEDULES. ALL QUESTIONS AND ISSUES ARE RESOLVED WITH THE INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE CENTER. IN ADDITION, THE BOARD RECEIVES A COMPLETE COPY OF THE FORM 990 BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE MEMBERS OF THE BOARD OF DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST ANNUALLY. THE CORPORATION'S CHIEF LEGAL OFFICER WILL RESOLVE ANY CONFLICTS OR POTENTIAL CONFLICTS. THE CLO WILL DECIDE THE APPROPRIATE LEGAL STEPS TO TAKE. FORM 990, PART VI, SECTION B, LINE 15 THE CORPORATION PREPARES A COMPENSATION STUDY BASED ON GUIDESTAR COMPENSATION DATA FOR COMPARABLE ENTITIES FOR ALL OFFICERS AND MANAGEMENT OF THE CORPORATION TO ENSURE COMPENSATION IS REASONABLE BASED ON INDUSTRY STANDARDS OF DUE DILLIGENCE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THREE MOST RECENT YEARS OF FINANCIAL STATEMENTS AND FORM 990S AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED.