2018-10-11T12:44:07-05:00 2017-12-31 208426521 KIMBLE 6806 PARAGON PLACE SUITE 250 RICHMOND VA 23230 990 2017-01-01 464611149 CONNECTVIRGINIA HIE INC CONN 8049551790 102 N 5TH STREET RICHMOND VA 23219 WILLIAM HAZEL JR MD CHAIRMAN 8049551790 2018-07-18 1 FABIOLA SANTANA P00238084 8046124380 2017 2022-09-23 18:48:47Z WILLIAM HAZEL JR MD 102 N 5TH STREET RICHMOND VA 23219 1091851 0 X WWW.CONNECTVIRGINIA.ORG X 2014 VA FOSTER AND SUSTAIN TRUST, COLLABORATION AND INFORMATION SHARING AMONG CONSUMERS, PROVIDERS, AND PURCHASERS OF HEALTHCARE SERVICES IN THE COMMONWEALTH OF VIRGINIA, LEADING TO MEASURABLE IMPROVEMENT IN OUTCOMES AND COST-EFFECTIVE DELIVERY OF SERVICES. 12 12 0 0 0 0 183267 269886 982067 741618 0 0 5672 80347 1171006 1091851 0 0 0 0 0 0 0 0 0 998777 927941 998777 927941 172229 163910 689042 1708166 0 614173 689042 1093993 X FOSTER AND SUSTAIN TRUST, COLLABORATION AND INFORMATION SHARING AMONG CONSUMERS, PROVIDERS, AND PURCHASERS OF HEALTHCARE SERVICES IN THE COMMONWEALTH OF VIRGINIA, LEADING TO MEASURABLE IMPROVEMENT IN OUTCOMES AND COST-EFFECTIVE DELIVERY OF SERVICES. 0 0 875476 821965 THE ORGANIZATION PROVIDES GOVERNANCE AND THE LEGAL FRAMEWORK FOR SECURE DATA SHARING THROUGHOUT VIRGINIA AND PROVIDES A PUBLIC HEALTH REPORTING PATHWAY FOR PATIENT RELATED DATA. CONTRACTUAL SUPPORT IS PROVIDED FOR PARTICIPATION IN EHEALTH EXCHANGE AS THE MECHANISM FOR QUERY AND RETRIEVAL OF PATIENT SUMMARY CARE DOCUMENTS FROM THE NATIONAL HEALTH INFORMATION EXCHANGE. FEES FOR THESE SERVICES ARE SET AT $59 PER STAFFED BED PER YEAR FOR 2016 - 2018.THE ORGANIZATION RECEIVES FUNDING FROM VDH TO SUPPORT THE DEVELOPMENT OF THE ORGANIZATION'S STATEWIDE HEALTH INFORMATION EXCHANGE. THE EXCHANGE PROVIDES A SINGLE, STATEWIDE TECHNOLOGY SOLUTION THAT CONNECTS ALL HOSPITAL EMERGENCY DEPARTMENTS TO FACILITATE REAL-TIME COMMUNICATION.THE ORGANIZATION PROVIDES ANNUAL SUPPORT AND MAINTENANCE FOR ALL HOSPITALS THAT REGISTER FOR THE CORE SERVICES. REVENUE FROM ENCOUNTER ALERT SERVICES WAS $93,344 IN 2017.THE ORGANIZATION BEGAN COLLECTING NEWBORN SCREENING DATA DURING 2017. THE ORGANIZATION AND THE DEPARTMENT OF GENERAL SERVICES, DIVISION OF CONSOLIDATED LABORATORY SERVICES (DCLS) ARE WORKING TO EXPAND THEIR CAPABILITIES TO INCLUDE THE SECURE EXCHANGE OF NEWBORN SCREENING DATA. THESE NEW CAPABILITIES SUPPORT THE ELECTRONIC, SECURE AND STANDARDS BASED EXCHANGE OF NBS LAB ORDERS AND RESULTS USING NATIONALLY ADOPTED HEALTH VOCABULARIES. REVENUE FROM NEWBORN SCREENING WAS $30,250 IN 2017 WHICH INCLUDES $24,000 FOR IMPLEMENTATION OF THE REQUIRED PLATFORM AND $1,250 PER MONTH OF RECURRING FEES BEGINNING AUGUST 2017. 875476 1 1 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X DEBORAH WAITE 8046435573 102 NORTH 5TH STREET RICHMOND VA 23219 X WILLIAM HAZEL JR MD CHAIRMAN OF THE BOARD 1.30 X X 0 0 0 CHRISTOPHER BAILEY VICE CHAIRMAN OF THE BOARD 1.30 X X 0 0 0 DEBBIE CONDREY SECRETARY 1.30 X X 0 0 0 TERRI RIPLEY TREASURER 1.30 X X 0 0 0 SANDY CHUNG MD DIRECTOR 1.00 X 0 0 0 MELINA DAVIS-MARTIN DIRECTOR 1.00 X 0 0 0 R NEAL GRAHAM DIRECTOR 1.00 X 0 0 0 MELINDA HANCOCK DIRECTOR 1.00 X 0 0 0 KATE NEUHAUSEN MD DIRECTOR 1.00 X 0 0 0 CYNTHIA ROMERO MD DIRECTOR 1.00 X 0 0 0 MARIANN YEAGER DIRECTOR 1.00 X 0 0 0 MICHAEL REAGIN DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 MEDFX 150 LAVAN STREET WARWICK RI 02888 TECHNOLOGY DEVELOPMENT 259500 VIRGINIA HEALTH INFORMATION 102 N 5TH STREET RICHMOND VA 23219 ADMINISTRATION, ACCOUNTING, HUMAN RESOUR 210827 ENVERA HEALTH 4900 COX RD SUITE 200 GLEN ALLEN VA 23060 ADMINISTRATION, ACCOUNTING, HUMAN RESOUR 201580 TROUTMAN SANDERS LLP PO BOX 933652 ATLANTA GA 31193 LEGAL ASSISTANCE 120984 4 269886 269886 HOSPITAL FEES 900099 618024 618024 OTHER PROGRAM REVENUE 900099 123594 123594 741618 SEC 481(A) ADJUSTMENT 900099 80347 80347 80347 1091851 821965 0 0 247451 247451 120984 120984 5500 5500 2058 2058 507041 507041 1396 1396 12366 12366 BUSINESS DEVELOPMENT 31145 31145 927941 875476 52465 0 689042 1042385 665781 689042 1708166 164999 449174 0 614173 X 689042 1093993 689042 1093993 689042 1708166 X 163910 241041 X X 1 X 0 0 0 X 212500 175000 243267 269886 900653 1062450 1108275 1137322 871595 4179642 1274950 1283275 1380589 1141481 5080295 0 821783 817080 810700 598453 3048016 821783 817080 810700 598453 3048016 2032279 7000 33016 5672 45688 1281950 1316291 1386261 1141481 5125983 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: THE ORGANIZATION WAS FORMED AS A NON-STOCK CORPORATION UNDER THE PROVISIONS OF CHAPTER 10 OF TITLE 13 OF THE CODE OF VIRGINIA AND IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, AS SUCH HAS NO OBLIGATIONS RELATING TO FEDERAL OR STATE INCOME TAXES. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS AND DETERMINED THAT ITS POSITONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED ON EXAMINATION. ALL YEARS SINCE INCEPTION ON 2014 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS A MANAGEMENT SERVICES AGREEMENT WITH VIRGINIA HEALTH INFORMATION (VHI) . VHI PROVIDED ADMINISTRATION, ACCOUNTING, PUBLIC RELATIONS, COMMUNICATIONS, AND COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED TO THE BOARD AND REVIEWED BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL DISCLOSURES ARE MADE TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION ALLOWS ANYONE TO VIEW ALL THE FINANCIAL STATEMENTS, FORM 990S, AND OTHER ORGANIZATIONAL DOCUMENTS AT THE MAIN OFFICE. DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: SEC. 481(A) ADJUSTMENT TO BE TAKEN RATABLY OVER THE NEXT THREE YEARS 241,041. THE ORGANIZATION CHANGED IT'S ACCOUNTING METHOD FROM CASH BASIS ACCOUNTING TO ACCRUAL BASIS ACCOUNTING. FORM 990, PART XII, LINE 2C: THE ORGANIZTION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING THE TAX YEAR.