2017-11-15T15:52:12-06:00 2016-12-31 952662063 ROGERS ANDERSON MALODY & SCOTT LLP 735 E CARNEGIE DRIVE SUITE 100 SAN BERNARDINO CA 92408 990 2016-01-01 272367522 INLAND EMPIRE EHR RESOURCE CENTER INLA 5106831333 6001 Shellmound St No 500 Emeryville CA 94608 Greg LeClaire CFO OF MANIFEST MEDEX 5106831309 2017-11-14 1 LEENA SHANBHAG CPA MST P00807571 9098890871 173.227.38.201 2017-11-14 13:45:16 PS P 125CFCEEC3FA99BD2E18A128BA5EDA3D17C71DEF B403B3FBACB4E0E25F43C15E035622E48B5371FE 2016 2021-01-29 14:40:06Z X Greg LeClaire 6001 Shellmound St Suite 500 Emeryville CA 94608 1586652 0 X www.ieehrc.org X ELECT 2010 CA TO PROVIDE ASSISTANCE AND DIRECTION TO VARIOUS ORGANIZATIONS FOR THE SUCCESSFUL IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS PROCEDURES WITHIN THE MEDICAL COMMUNITY. 8 4 0 0 0 0 502560 1000000 3602592 586652 0 0 0 0 4105152 1586652 0 0 0 0 1865185 1240695 0 0 0 1680712 2926573 3545897 4167268 559255 -2580616 1917605 5028728 1258241 12505210 659364 -7476482 TO PROVIDE ASSISTANCE AND DIRECTION TO VARIOUS ORGANIZATIONS FOR THE SUCCESSFUL IMPLEMENTATION OF ELECTRONIC HEALTH RECORDS PROCEDURES WITHIN THE MEDICAL COMMUNITY. 0 0 3081513 586652 FACILITATES ACCESS TO AND RETRIEVAL OF CLINICAL INFORMATION AMONG DISPARATE HEALTH CARE INFORMATION SYSTEMS PROVIDING MORE TIMELY, EFFICIENT, EFFECTIVE, EQUITABLE, PATIENT-CENTERED CARE. 3081513 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 4 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X Greg LeClaire 5106831333 6001 Shellmound St Suite 500 Emeryville CA 94608 MICHAEL DEERING MEMBER 1.00 X 0 0 0 ALISON ELSNER MEMBER 1.00 X 0 0 0 CHRISTOPHER HANCOCK MD MEMBER 1.00 X 0 0 0 KURT HUBLER MEMBER 1.00 X 0 0 0 TAREK MAHDI MD MEMBER 1.00 X 0 0 0 DOLORES L GREEN CEO 5.00 35.00 X 0 315039 39537 BRADLEY GILBERT MD CHAIRMAN 2.50 X 0 0 0 LEROY OUNANIAN MD SECRETARY/TREASURER 2.50 X 0 0 0 KASHIF MIRZA EMPLOYEE 40.00 X 157000 0 6775 LEO PAK EMPLOYEE 40.00 X 260662 0 6626 JOMO K STARKE EMPLOYEE 40.00 X 152100 0 6489 KATHERINE G THUNHOLM EMPLOYEE 40.00 X 143881 0 16147 NICHOLAS YARKER EMPLOYEE 40.00 X 115751 0 4097 829394 315039 79671 5 0 1 0 ORION HEALTH INC 100 WILSHIRE BLVD 1900 SANTA MONICA CA 90401 HEALTH CARE SOFTWARE 1130799 VERINOVUM 16 EASE 16TH STREET 500 TULSA OK 74119 HEALTH INFORMATION DATA EXCHANGE 285000 THE KOBLE GROUP 3535 S 31ST ST 205 GRAND FORKS ND 58201 INTEGRATION ENGINEERING 102180 3 1000000 1000000 HEALTH INFORMATION EXC 519100 586652 586652 586652 1586652 586652 0 0 1240695 339044 901651 147334 88400 58934 49935 49935 8000 8000 50153 20940 29213 1747 1048 699 35204 24291 10913 21991 21991 61824 37094 24730 3464 2078 1386 22102 13261 8841 77572 69387 8185 28030 16818 11212 SAAS FEES 1243654 1243654 LOSS ON CONTRACTS 768900 768900 BAD DEBT EXPENSE 406663 406663 4167268 3081513 1085755 0 1174708 303813 731680 1088399 11217 3605739 97097 66320 0 30777 1917605 5028728 233438 882190 1014520 11517329 10283 105691 1258241 12505210 X 659364 -7476482 0 0 0 0 659364 -7476482 1917605 5028728 X -2580616 -5555230 0 X 0 0 0 X 708666 1720147 511907 502560 1000000 4443280 708666 1720147 511907 502560 1000000 4443280 4443280 4443280 7759605 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36019 22393 13626 61078 43927 17151 30777 DUE TO RELATED PARTIES 105691 105691 0 0 0 0 0 0 0 0 0 DOLORES L GREEN CEO 0 315039 0 0 0 0 0 0 0 39537 0 354576 0 0 KASHIF MIRZA EMPLOYEE 157000 0 0 0 0 0 0 0 6775 0 163775 0 0 0 LEO PAK EMPLOYEE 260662 0 0 0 0 0 0 0 6626 0 267288 0 0 0 JOMO K STARKE EMPLOYEE 152100 0 0 0 0 0 0 0 6489 0 158589 0 0 0 KATHERINE G THUNHOLM EMPLOYEE 143881 0 0 0 0 0 0 0 16147 0 160028 0 0 0 BRADLEY GILBERT MD DIRECTOR 1974843 (1) ONE-TIME CONTRIBUTION AND (2) ONGOING CONTRACT RELATED TO INLAND EMPIRE HEALTH PLAN'S PARTICIPATION IN THE ORGANIZATION'S HIE. 0 MICHAEL DEERING DIRECTOR 1974843 (1) ONE-TIME CONTRIBUTION AND (2) ONGOING CONTRACT RELATED TO INLAND EMPIRE HEALTH PLAN'S PARTICIPATION IN THE ORGANIZATION'S HIE. 0 Tarek Mahdi DIRECTOR 3300 ONGOING CONTRACT RELATED TO RIVERSIDE FAMILY PHYSICIANS' PARTICIPATION IN THE ORGANIZATION'S HIE 0 DOLORES GREEN EXECUTIVE DIRECTOR 2046699 CEO OF RIVERSIDE COUNTY MEDICAL ASSOCIATION AND FOUNDATION ADMINISTRATION SERVICES, INC. FOR ONGOING ADMINISTRATIVE AND PROFESSIONAL EMPLOYER ORGANIZATION SERVICES. 0 Form 990, Part VI, Section A, line 2 Brad Gilbert MD and Michael Deering are both board members for IEEHRRC, and they are both executive officers for Inland Empire Health Plan. Form 990, Part VI, Section B, line 11b Management received the tax return from its tax professionals, reviewed it, and then provided it to its board of directors for review before filing. Form 990, Part VI, Section B, line 12c OFFICERS AND DIRECTORS ARE REQUIRED TO COMPLETE NEW DISCLOSURE DOCUMENTS ANNUALLY. Form 990, Part VI, Section C, line 19 AVAILABLE UPON REQUEST Part XI: LINE 8 PRIOR PERIOD ADJUSTMENT Net assets at the beginning of 2016 have been adjusted to correct an error made in previous years. THE ADJUSTMENTS WERE NECESSARY FOR THE ORGANIZATION'S FINANCIAL STATEMENTS TO BE STATED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. The organization PREMATURELY recorded revenues and the costs association with these revenues before they were fully allowed to be recognized IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. The effect of this restatement was a net increase in deferred revenues of $7,713,885 and an increase in deferred costs of $2,138,835. The restatements of deferred revenues and costs resulted in an increase and decrease of related revenues and expenses, RESPECTIVELY. ThE RESTATEMENT also caused an increase of accounts receivable IN THE AMOUNT OF $92,426 DUE TO THE DISCOVERY OF PREVIOUSLY UNBILLED INVOICES. ALSO, IT WAS DETERMINED THAT AN INCREASE TO ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS REQUIRED IN THE AMOUNT OF $72,080. The organization ALSO expensed property, plant and equipment that should have been capitalized. The effect of this restatement resulted in an increase of property, plant and equipment and accumulated depreciation of $97,097 and $45,857, respectively. Other items PREMATURELY expensed in previous years resulted in an increase of prepaid expenses for $20,040. THE ORGANIZATION DETERMINED SEVERAL ITEMS IN ACCOUNTS PAYABLE THAT NEEDED TO BE RECLASSIFIED AS ACCRUED LIABILITIES. THIS RESULTED IN A DECREASE OF ACCOUNTS PAYABLE AND AN INCREASE OF ACCRUED EXPENSES BY $95,484. ALSO, 59 CONTRACTS THAT WERE ENTERED INTO DID NOT HAVE ANY FEES FOR SUBSCRIPTIONS OR IMPLEMENTATION SERVICES ASSOCIATED WITH THEM. HOWEVER, THE ORGANIZATION WAS REQUIRED TO RECORD AN ACCRUAL FOR THE ESTIMATED LOSSED IT INCURRED AND WERE ASSOCIATED WITH THE CONTRACTS. THEREFORE, AN ACCRUAL FOR ESTIMATED LOSS ON CONTRACTS WAS ESTABLISHED, WHICH CREATED AN ADDITIONAL INCREASE OF ACCRUED EXPENSES OF $71,806, FOR A TOTAL INCREASE OF ACCRUED EXPENSES OF $167,290. The cumulative effect on the net assets and net income for the prior period WAS a decrease of $5,555,230 and $1,244,965, respectively. Form 990 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE CURRENTLY BEING AUDITED BY INDEPENDENT ACCOUNTANTS. HOWEVER, DUE TO THE INCREASED WORK ASSOCIATED WITH A FINANCIAL RESTATEMENT, THESE ACCOUNTANTS WERE NOT ABLE TO COMPLETE THEIR AUDIT BEFORE THE DATE THE TAX RETURN WAS REQUIRED TO BE FILED. THEREFORE, THE TAX RETURN IS BASED ON THE PRELIMINARY FINANCIAL INFORMATION, AND WILL NEED TO BE AMENDED UPON THE COMPLETION AND ISSUANCE OF THE AUDITED FINANCIAL STATEMENTS TO INCORPORATE THE AUDITED FINANCIAL INFORMATION INTO THE RETURN, INCLUDING IN SCHEDULE D. FORM 990; SUBSEQUENT EVENTS CALIFORNIA INTERGATED DATA EXCHANGE, INC. MERGED INTO INLAND EMPIRE E.H.R. RESOURCE CENTER ON MARCH 1, 2017; THE NAME OF THE MERGED ENTITY IS MANIFEST MEDEX WHICH CONTINUES TO OPERATE USING THE FEDERAL IDENTIFICATION NUMBER THAT THE RETURN IS FILED UNDER. RIVERSIDE COUNTY MEDICAL ASSOCIATION 3993 JURUPA AVE RIVERSIDE CA 92506 951596515 ENHANCE MEDICAL PROFESSION CA 501(c)(6) N/A 0 RIVERSIDE COUNTY FOUNDATION FOR MEDICAL CARE 3993 JURUPA AVE RIVERSIDE CA 92506 952116615 ADMNISTRATION OF HEALTH CARE CA 501(c)(4) N/A 0 RIVERSIDE PHYSICIANS MEMORIAL FOUNDATION 3993 JURUPA AVE RIVERSIDE CA 92506 956080778 PROVIDING MEDICAL SERVICES CA 501(c)(3) Line 7 N/A 0 FOUNDATION ADMINISTRATIVE SERVICES INC 3993 JURUPA AVE RIVERSIDE CA 92506 330884425 ADMINISTRATIVE SERVICES CA N/A C 0 INLAND EMPIRE FOUNDATION FOR MEDICAL CARE 3993 JURUPA AVE RIVERSIDE CA 92506 201034709 SERVICE FOR MEDICAL CARE CA N/A C 0 UFMC HEALTH SERVICES INC 3993 JURUPA AVE RIVERSIDE CA 92506 943016912 ADMINISTRATIVE SERVICES CA N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 FOUNDATION ADMINISTRATIVE SERVICES INC O 1790996 FMV RIVERSIDE COUNTY FOUNDATION FOR MEDICAL CARE K 61825 FMV RIVERSIDE COUNTY FOUNDATION FOR MEDICAL CARE P 87898 FMV RIVERSIDE COUNTY MEDICAL ASSOCIATION P 149722 FMV FOUNDATION ADMINISTRATIVE SERVICES INC P 3062 FMV