2017-10-26T09:23:41-05:00 2017-06-30 990 2016-07-01 274585032 ClinicalConnect HIE % PHYLLIS SZYMANSKI CLIN 4126472345 600 Grant St 58th Floor Pittsburgh PA 15219 CHRISTIAN CARMODY PRESIDENT 4126478260 2017-10-11 128.147.28.67 25115620172995000000 2017-10-26 P 43404A7E25A39257FC80EA2136AA4B80216511DD 43404A7E25A39257FC80EA2136AA4B80216511DD 2016 2021-01-29 14:40:06Z Christian Carmody President SAME AS C ABOVE Pittsburgh PA 15219 952080 false X N/A X 2010 PA See Schedule O 8 8 12 0 0 902764 30735 49316 0 0 0 0 30735 952080 0 0 0 0 856082 1537642 0 0 0 564093 929376 1420175 2467018 -1389440 -1514938 1094971 1228163 82000 202916 1012971 1025247 X SEE SCHEDULE O false false 2467018 952080 See Schedule O 2467018 true false false false false false false false false false false false false true false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 0 0 12 true false false false false false false X 8 8 false false false false false false false false false false false true true true true true false false false PA X PHYLLIS SZYMANSKI 4128644242 600 GRANT STREET pittsburgh PA 15219 NORMAN MITRY BOARD CHAIRMAN 1.0 0.0 X X 0 0 0 JOHN LEWIS BOARD TREASURER 1.0 0.0 X X 0 0 0 KENNETH DEFURIO BOARD SECRETARY 1.0 0.0 X X 0 0 0 ROBERT ROGALSKI BOARD MEMBER 1.0 0.0 X 0 0 0 JAMES COLLINS BOARD MEMBER 1.0 0.0 X 0 0 0 DIANE HOLDER BOARD MEMBER 1.0 0.0 X 0 0 0 GARY WEINSTEIN BOARD MEMBER 1.0 0.0 X 0 0 0 EDWARD MCCALLISTER BOARD VICE CHAIRMAN 1.0 0.0 X 0 0 0 CHRISTIAN CARMODY PRESIDENT 5.0 0.0 X 0 0 0 PHYLLIS SZYMANSKI DIRECTOR ISD 40.0 0.0 X 159737 0 29305 159737 0 29305 1 true true false ALLSCRIPTS LLC IT SERVICES 330973 1 902764 902764 OTHER PROGRAM SERVICE REVENUE 541900 49316 49316 49316 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 952080 49316 0 0 0 0 159737 159737 0 1149488 1149488 34421 34421 131400 131400 62596 62596 0 0 0 0 0 0 0 0 4729 4729 322730 322730 0 35703 35703 1643 1643 0 149 149 0 0 7143 7143 65655 65655 CONSULTING SERVICES 41178 41178 OTHER EXPENSES 439763 439763 PURCHASED SERVICES 5938 5938 ALLOCATION TO/FROM SUBSIDIARY 4549 4549 196 196 2467018 2307281 159737 0 0 0 0 0 0 0 41110 86418 0 0 0 0 0 0 0 0 0 0 1330530 1330530 7142 0 0 0 0 0 0 0 0 0 1046719 1141745 1094971 1228163 82000 102547 0 0 0 100369 0 0 0 0 0 0 0 0 0 0 0 0 82000 202916 X 1012971 1025247 0 0 0 0 1012971 1025247 1094971 1228163 X -1514938 1527214 X false false false X 0 0 0 0 902764 902764 27289 30735 49316 107340 0 0 0 0 0 27289 30735 952080 1010104 0 0 0 1010104 0 0 0 0 0 0 0 27289 30735 952080 1010104 X 0.00000 1330530 1330530 0 0 DUE FROM EXEMPT AFFILIATE 1141745 1141745 X false false false false false false false true false PHYLLIS SZYMANSKI DIRECTOR ISD 139456 20000 281 0 0 159737 0 SCHEDULE J, PART 1, LINE 7 CLINICAL CONNECT HIE PROVIDES INCENTIVE COMPENSATION AS PART OF ITS TOTAL COMPENSATION PROGRAM FOR OFFICERS AND KEY EMPLOYEES. THE COMPONENT IS BASED UPON THE ACHIEVEMENT OF PREDETERMINED PERFORMANCE GOALS AND OBJECTIVES WHICH FOCUS ON THE ACHIEVEMENT OF MULTIPLE ANNUAL AND THREE YEAR INDIVIDUAL AND GROUP PERFORMANCE CRITERIA IN THE CONTEXT OF APPROPROATE RISK TAKING. THESE CRITERIA DIRECTLY SUPPORT CLINICAL CONNECT'S MISSION, AND INCLUDE: EXCHANGE OF CLINICAL HEALTH CARE INFORMATION , TO IMPROVE THE QUALITY AND EFFICIENY OF HEALTH, TO IMPROVE THE ABILITY TO COORDINATE AND MAKE STRATEGIC DECISIONS, AND TO REDUCE THE COST OF CARE. Program Service Statement Part III, Statement of Program Service Accomplishments ClinicalConnect HIE (ClinicalConnect) is organized and operated exclusively for charitable, scientific, and educational purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code. It is a non-profit entity incorporated in the state of Pennsylvania. Its member organizations consist of fifteen hospital or hospital affiliate organizations that are recognized as exempt from federal income tax under Section 501(a) of the Internal Revenue Code as organizations described in Section 501(c)(3). ClinicalConnects charitable mission is to develop, implement, and operate a health information exchange (HIE) to achieve the following: (i) to enable the exchange of clinical health care information among members and other participants or authorized users in Western Pennsylvania and elsewhere; (ii) to improve the quality and efficiency of health care by improving the timeliness of decisions about patient care and integrating information from various sources; (iii) to improve the ability to coordinate and make strategic decisions by facilitating the integration of health care related information, and (iv) to reduce the cost of care by avoiding the unnecessary duplication of tests and procedures. The federal government and the Commonwealth of Pennsylvania have objectively manifested that the development, implementation, and operation of health information exchanges is a government burden. Most notably, the legislative history of American Recovery and Reinvestment Act of 2009 specifically recognizes that nonprofit organizations formed to facilitate the exchange of health-related information may qualify as organizations described in Section 501(c)(3) as organizations that relieve the burdens of government. In frequently asked questions, the IRS acknowledged that such legislative history serves as a basis for health information exchange organizations to obtain tax-exempt status under Section 501(c)(3). Because ClinicalConnects health information exchange activity is a burden of government, and because ClinicalConnects health information exchange activity does in fact relieve such burden, ClinicalConnect is an organization that relieves the burdens of government under Section 501(c)(3). In addition, by developing, implementing, operating a health information exchange, ClinicalConnect will promote health in the community, and advance education, all within the meaning of Section 501(c)(3). Governance, Management, and Disclosure 12c: All Board Members must disclose annually, at a minimum, any Interests that they currently hold, or expect in the near future to hold, through the Conflict of Interest Disclosure Statement. If, during the course of any given year, a Board Member becomes aware of a new actual or potential or otherwise undisclosed Interest, the Board Member must update the Conflict of Interest Disclosure Statement. All disclosed Interests shall be tracked and monitored by the ClinicalConnect HIE President or his/her delegate(s). Prior to any Board of Director decision, the ClinicalConnect HIE President or his/her delegate(s) shall review the disclosed Interests to determine whether any held by a Board Member have the potential or potential appearance of compromising the integrity or independence of that Board Member's judgment when fulfilling his/her governance responsibilities on behalf of ClinicalConnect HIE. In such case, the President or his/her delegate(s) shall refer the matter to the ClinicalConnect HIE Chairman of the Board or Vice-Chairman of the Board (in the case of a conflict involving the Chairman). Question 19: Upon request, management determines public disclosure applicability. Reconciliation of Net Assets Member Capital Contributions 1,527,214