2019-11-13T17:11:46-06:00 2018-12-31 710355269 LANDMARK PLC CPAS P O BOX 10148 FORT SMITH AR 729170148 990 2018-01-01 460885751 VALIR PACE FOUNDATION VALI 4056093682 721 NW 6TH STREET OKLAHOMA CITY OK 73102 GERON DAUGHERTY VALIR CFO 4056093682 2019-11-12 1 DEANA A INFIELD P00440603 4794845740 2019-11-12 98.172.15.190 2019-11-12 14:54:59 CS P EC75534EFBDBC6AFBE5895F2EDFA189FDE58447E 1BD36E7E08A044663D18878163C6E53607386902 2018 2020-03-31 21:24:44Z GERON DAUGHERTY 721 NW 6TH STREET OKLAHOMA CITY OK 73102 13861189 0 X WWW.VALIR.COM/SERVICES/PACE-PROGRAM X 2012 OK TO OPERATE VALIR PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) FOR ITS PARTICIPANTS WHO ARE AGED 55 AND OLDER, QUALIFY FOR NURSING HOME CARE, ARE MEDICARE AND/OR MEDICAID ELIGIBLE AND ARE AND ABLE TO LIVE SAFELY IN THE COMMUNITY. 7 5 101 0 0 0 0 0 10829509 13861189 0 0 0 0 10829509 13861189 0 0 0 0 2535923 3200301 0 0 0 8497246 8468196 11033169 11668497 -203660 2192692 782413 1242397 4928173 3195465 -4145760 -1953068 TO OPERATE VALIR PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) FOR ITS PARTICIPANTS WHO ARE AGED 55 AND OLDER, QUALIFY FOR NURSING HOME CARE, ARE MEDICARE AND/OR MEDICAID ELIGIBLE AND ARE ABLE TO LIVE SAFELY IN THE COMMUNITY. 0 0 8629142 13861189 COMPREHENSIVE MEDICAL CARE AND OTHER SUPPORT SERVICES TO QUALIFYING PACE PROGRAM PARTICIPANTS. 8629142 1 0 0 0 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 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 81 0 1 101 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OK X GERON DAUGHERTY 4056093600 700 NW 7TH ST SUITE 100 OKLAHOMA CITY OK 73102 JEREMY TUBB BOARD MEMBER 2.00 X 0 0 0 KITT WAKELEY BOARD MEMBER 2.00 X 0 0 0 DIRK O'HARA BOARD MEMBER 2.00 X 0 0 0 TOM TUCKER BOARD MEMBER 2.00 X 0 0 0 KAREL BREWSTER BOARD MEMBER 2.00 X 0 0 0 LYNNE SCHONACHER BOARD MEMBER 2.00 X 0 0 0 KEVIN ELLEDGE BOARD MEMBER 2.00 X 0 0 0 BRANDY BAILEY EXECUTIVE DIRECTOR 40.00 X 0 126252 0 0 126252 0 0 0 0 0 ST ANTHONY HOSPITAL 1000 N LEE AVE OKLAHOMA CITY OK 73102 MEDICAL SERVICES 1276020 VALIR TRANSPORTATION SERVICES LLC 700 NW 7TH STREET OKLAHOMA CITY OK 73102 TRANSPORTATION SERVICES 1165401 VISION HEALTH LLC 925 NW 5TH STREET OKLAHOMA CITY OK 73106 MANAGEMENT FEES 1025778 OMNICARE INC 4141 HIGHLINE BLVD STE 100 OKLAHOMA CITY OK 73108 MEDICAL SERVICES 827852 VALIR HEALTH LLC 700 NW 7TH STREET OKLAHOMA CITY OK 73102 ADMINISTRATIVE SERVICES 671977 12 PARTICIPANT REVENUE 623000 13861189 13861189 13861189 13861189 13861189 0 0 2757571 1705940 1051631 38855 27669 11186 192785 143208 49577 211090 143659 67431 1464749 1464749 8240 8240 21500 21500 21436 21436 262000 29489 232511 358893 358893 43849 33118 10731 52719 52719 12197 12197 198949 165052 33897 CLINICAL CLAIMS & SERVI 4187944 4187944 PHARMACY 1284665 1284665 MEDICAL SUPPLIES 216873 216873 OTHER OPERATING EXPENSE 211324 144858 66466 122858 122858 11668497 8629142 3039355 0 X 51629 602507 658890 555826 14942 11396 111393 38725 56952 72668 782413 1242397 3431117 2139447 1338753 616371 158303 439647 4928173 3195465 X -4145760 -1953068 -4145760 -1953068 782413 1242397 2192692 0 X X 0 1 X 1 0 X 2992934 7743508 10829509 13861189 35427140 2992934 7743508 10829509 13861189 35427140 0 0 0 35427140 2992934 7743508 10829509 13861189 35427140 1.00000 0.00000 X 3200 816 2384 98240 32837 65403 9953 5072 4881 72668 DUE TO AFFILIATES - ACCOUNTS PAYABLE 439647 439647 X 13861189 0 13861189 0 13861189 11668497 0 11668497 0 11668497 PART X, LINE 2: VALIR PACE, A NOT-FOR-PROFIT CHARITABLE CORPORATION, AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, IS EXEMPT FROM FEDERAL INCOME TAXATION PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION HAS ADOPTED THE RECOGNITION REQUIREMENTS FOR UNCERTAIN INCOME TAX POSITIONS AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, WITH NO CUMULATIVE EFFECT ADJUSTMENT REQUIRED. INCOME TAX BENEFITS ARE RECOGNIZED FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, ONLY WHEN IT IS DETERMINED THAT THE INCOME TAX POSITION WILL MORE-LIKELY-THAN-NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE ORGANIZATION HAS ANALYZED TAX POSITIONS TAKEN FOR FILING WITH THE INTERNAL REVENUE SERVICE AND THE OKLAHOMA TAX COMMISSION. THE ORGANIZATION BELIEVES THAT INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE AFFECT ON THE ORGANIZATION'S FINANCIAL CONDITION, RESULTS OF OPERATIONS, OR CASH FLOWS. ACCORDINGLY, THE ORGANIZATION HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS AT DECEMBER 31, 2018. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2015. JON JILES COMMON OWNERSHIP OF AFFILIATED ENTITIES 81830 JON JILES OWNS 41.67% OF ABBE REHAB & 100% OF SENIOR COMFORT, WHICH OWN 74.98% OF VALIR HEALTH IN TOTAL. SENIOR COMFORT OWNS 50% OF VISION HEALTH. SENIOR COMFORT OWNS 60.67% OF N-VEST/VALIR TRANSPORT. VALIR REAL ESTATE IS OWNED 95% BY VALIR HEALTH. VALIR PACE HAD 2018 MANAGEMENT FEES OF $1,003,103 TO VISION HEALTH WITH $493,324 UNPAID AT DECEMBER 31, 2018. VALIR PACE ADMIN SERVICE FEES WERE $300,000 TO VALIR HEALTH (BASED ON FIXED COST CONTRACT). VALIR PACE MAY UTILIZE EMPLOYEES OF VALIR HEALTH & ITS RELATED ENTITIES & REIMBURSES THOSE ENTITIES FOR THE COST OF THOSE EMPLOYEES & INCURRED $59,666 IN PAYROLL REIMBURSEMENT EXPENSES IN 2018. VALIR PACE PAID $215,024 TO VALIR HEALTH IN 2018 TO REIMBURSE FOR INSURANCE COSTS FOR ITS PORTION OF PROFESSIONAL LIABILITY, PROPERTY & HEALTH INSURANCE OBTAINED THROUGH VALIR HEALTH. TRANSPORT & FACILITY COSTS INCURRED WERE $1,389,431. VALIR PACE OWED PAYABLES & DEBT TO VALIR HEALTH IN THE AMOUNT OF $932,971 AT 12-31-18. GUARANTY FEE OF $81,830. 1 KITT WAKELEY BOARD MEMBER 52180 KITT WAKELEY OWNS 16.67% OF ABBE REHAB & 100% OF KITTCO, LLC, WHICH OWN 45.17% OF VALIR HEALTH IN TOTAL. KITTCO, LLC OWNS 30% OF VISION HEALTH. KITTCO OWNS 14.61% OF N-VEST/VALIR TRANSPORT. VALIR REAL ESTATE IS OWNED 95% BY VALIR HEALTH. VALIR PACE HAD 2018 MANAGEMENT FEES OF $1,003,103 TO VISION HEALTH WITH $493,324 UNPAID AT DECEMBER 31, 2018. VALIR PACE ADMIN SERVICE FEES OF $300,000 TO VALIR HEALTH (BASED ON FIXED COST CONTRACT). VALIR PACE MAY UTILIZE EMPLOYEES OF VALIR HEALTH & ITS RELATED ENTITIES & REIMBURSES THOSE ENTITIES FOR THE COST OF THOSE EMPLOYEES & INCURRED $59,666 IN PAYROLL REIMBURSEMENT EXPENSES IN 2018. VALIR PACE PAID $215,024 TO VALIR HEALTH IN 2018 TO REIMBURSE FOR INSURANCE COSTS FOR ITS PORTION OF PROFESSIONAL LIABILITY, PROPERTY & HEALTH INSURANCE OBTAINED THROUGH VALIR HEALTH. TRANSPORT & FACILITY COSTS INCURRED WERE $1,389,431. VALIR PACE OWED PAYABLES & DEBT TO VALIR HEALTH IN THE AMOUNT OF $932,971 AT 12-31-18. GUARANTY FEE OF $52,180. 1 DIRK O'HARA BOARD MEMBER 38605 DIRK O'HARA OWNS 100% OF O'HARA INVESTMENTS THAT OWNS 7.69% OF VALIR HEALTH. DIRK OWNS 100% OF OKLAHOMA SENIOR CARE WHICH OWNS 20% OF VISION HEALTH. O'HARA INVESTMENTS OWNS 12.36% OF N-VEST/VALIR TRANSPORT. VALIR REAL ESTATE IS OWNED 95% BY VALIR HEALTH. VALIR PACE HAD 2018 MANAGEMENT FEES OF $1,003,103 TO VISION HEALTH WITH $493,324 UNPAID AT 12-31-18. VALIR PACE ADMIN SERVICE FEES OF $300,000 TO VALIR HEALTH (BASED ON FIXED COST CONTRACT). VALIR PACE MAY UTILIZE EMPLOYEES OF VALIR HEALTH & ITS RELATED ENTITIES & REIMBURSES THOSE ENTITIES FOR THE COST OF THOSE EMPLOYEES & INCURRED $59,666 IN PAYROLL REIMBURSEMENT EXPENSES IN 2018. VALIR PACE PAID $215,024 TO VALIR HEALTH IN 2018 TO REIMBURSE FOR INSURANCE COSTS FOR ITS PORTION OF PROFESSIONAL LIABILITY, PROPERTY & HEALTH INSURANCE OBTAINED THROUGH VALIR HEALTH. TRANSPORT & FACILITY COSTS INCURRED WERE $1,389,431. VALIR PACE OWED PAYABLES & DEBT TO VALIR HEALTH IN THE AMOUNT OF $932,971 AT 12-31-18. GUARANTY FEE OF $38,605. 1 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS DIRK O'HARA AND KITT WAKELY ARE RELATED THROUGH COMMON OWNERSHIP IN VARIOUS AFFILIATED ENTITIES. FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT OF 990 IS PROVIDED TO THE VALIR CFO AND BOARD OF DIRECTORS FOR APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL QUESTIONNAIRES FORM 990, PART VI, SECTION B, LINE 15 NPA SURVEY UTILIZED FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART X ON JANUARY 1, 2017, VALIR PACE CHANGED ITS METHOD OF RECORDING MEDICARE ADJUSTMENTS TO REFELCT THE AMOUNTS ESTIMATED TO BE COLLECTED IN THE FOLLOWING YEAR FOR THE CURRENT YEAR'S SERVICES. IN ALL PRIOR YEARS, THE ADJUSTMENTS WERE BASED ON CMS REVIEWS AND RECORDED TO PATIENT REVENUE WHEN FULL RESOLUTION WAS DETERMINED, AND THE AMOUNT HAD BEEN RECEIVED OR PAID. THE NEW METHOD OF ACCOUNTING FOR MEDICARE ADJUSTMENTS WAS ADOPTED TO BETTER REFLECT THE ACTUAL REVENUES OF THE COMPANY. FORM 990, PART XII, LINE 1: IN YEARS PRIOR TO 2017, THE ORGANIZATION'S 990 HAD BEEN MARKED AS PREPARED ON THE CASH BASIS. HOWEVER, THE ORGANIZATION IS AUDITED AND THE AUDITED FINANCIAL STATEMENTS ARE PREPARED ON THE ACCRUAL BASIS OF ACCOUNTING. BEGINNING WITH 2017, THE 990 WAS MARKED AS PREPARED ON THE ACCRUAL METHOD. FORM 990, PART XII, LINE 2C THE PROCESS OF REVIEWING 990 HAS NOT CHANGED FROM PRIOR YEAR. VISION HEALTH LLC 700 NW 7TH STREET OKLAHOMA CITY OK 73102 472194295 NURSING FACILITIES OK SEE SCHEDULE L-COST REIMBURSEMENTSTAFF SHARING W COMMON CONTROLLED ENTITY RELATED SERVICES 0 0 VALIR HEALTH LLC 700 NW 7TH STREET OKLAHOMA CITY OK 73102 731577996 STAFFING & SERVICES OK SEE SCHEDULE L-COST REIMBURSEMENTSTAFF SHARING W COMMON CONTROLLED ENTITY RELATED SERVICES 0 0 HCAP VENTURE GROUP LLC 700 NW 7TH STREET OKLAHOMA CITY OK 73102 202639546 FACILITY RENT OK SEE SCHEDULE L-COST REIMBURSEMENTSTAFF SHARING W COMMON CONTROLLED ENTITY RELATED SERVICES 0 0 VALIR TRANSPORTATION SERVICES LLC (SINGLE MEMBER LLC ON N-VEST LLC RETURN) 700 NW 7TH STREET OKLAHOMA CITY OK 73102 204218631 TRANSPORTATION SERVICES OK SEE SCHEDULE L-COST REIMBURSEMENTSTAFF SHARING W COMMON CONTROLLED ENTITY RELATED SERVICES 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 1 1 0 0 0 VISION HEALTH LLC M 1003103 FMV VALIR HEALTH LLC M 300000 FMV VALIR HEALTH LLC O 59666 FMV VALIR HEALTH LLC P 215024 FMV VALIR HEALTH LLC E 932971 FMV PAYABLES & DEBT VALIR TRANSPORTATION SERVICES LLC M 1264658 FMV HCAP VENTURE GROUP LLC K 263110 FMV VARIOUS M 124773 FMV VISION HEALTH LLC P 207138 FMV