2015-11-02T14:21:49-06:00 2014-12-31 591850025 GREGORY SHARER & STUART PA 100 2ND AVE SOUTH STE 600 SAINT PETERSBURG FL 337014336 990 2014-01-01 800420631 INTEGRAL HEALTH PLAN INC INTE 8135178383 4631 WOODLAND CORPORATE BLVD 201 TAMPA FL 33614 JENNIFER SWEET CEO 8135178383 2015-11-02 true BYRON C SMITH CPA P00744293 7278216161 2015-11-02 2014 2016-04-25 22:37:26Z INTEGRAL QUALITY CARE JENNIFER SWEET 4631 WOODLAND CORPORATE BLVD TAMPA FL 33614 163391370 false X WWW.INTEGRALQUALITYCARE.COM X 2009 FL INTEGRAL QUALITY CARE IS A FLORIDA MEDICAID PROVIDER SERVICE NETWORK (PSN). WE MANAGE HIGH QUALITY ACCESSIBLE CARE FOR THE MEMBERS WE SERVE. WE ARE COMMITTED TO COLLABORATIVE RELATIONSHIPS WITH OUR PROVIDERS WHILE SERVING OUR MEMBERS WITH COMPASSION AND CARE. 4 1 128 4 0 0 94159801 163205806 104214 185564 0 94264015 163391370 0 79526338 140888264 5356878 0 0 12480919 19311382 92007257 165556524 2256758 -2165154 19109356 43042036 12700929 38939760 6408427 4102276 X INTEGRAL QUALITY CARE IS A FLORIDA MEDICAID PROVIDER SERVICE NETWORK (PSN). WE MANAGE HIGH QUALITY ACCESSIBLE CARE FOR THE MEMBERS WE SERVE. WE ARE COMMITTED TO COLLABORATIVE RELATIONSHIPS WITH OUR PROVIDERS WHILE SERVING OUR MEMBERS WITH COMPASSION AND CARE. false false 140888264 163205805 INTEGRAL HEALTH PLAN, INC BEGAN ENROLLING MEMBERS IN APRIL 2010 AND, AS OF DECEMBER 31, 2014 MANAGES HEALTHCARE SERVICES FOR APPROXIMATELY 86,000 BENEFICIARIES. 140888264 true false false false false false false false false false true false false true true true true true 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 true false false false true 1667 0 true 128 true false false false false false false false false false false false false false false false X 4 1 false true false false true true true true true false false true true true true true true true true false X X ANN PROKOP 8135178423 4631 WOODLAND CORPORATE BLVD TAMPA FL 33614 JERRY STARKEY CHAIRMAN 1.00 40.00 X 0 0 0 RICHARD AKIN CEO/CHAIRMAN 1.00 40.00 X 136410 2139153 43314 WILLIAM ELLIS DIRECTOR 1.00 40.00 X 0 260165 31250 GREGORY PRESTON CMO 40.00 0.00 X 224923 141228 45694 SANDRA STEELE-RIORDAN CFO 1.00 40.00 X 0 159874 33836 JENNIFER SWEET COO/CEO 40.00 X 147096 69146 24199 KIMBERLY JEFFERSON COMPLIANCE O 40.00 0.00 X 0 36004 0 508429 2805570 178293 3 false true false EXPRESS SCRIPTS INC 21653 NETWORK PLACE CHICAGO IL 60673 PHARMACYBENEFIT 30600115 INDEPENDENT LIVING SYSTEMS LLC 5201 BLUE LAGOON DR MIAMI FL 33126 MANAGEMENT 18984408 LEE MEMORIAL HEALTH SYSTEMS PO BOX 2147 FT MYERS FL 33907 MEDICAL SERVICE 8823683 NAPLES COMMUNITY HOSPITAL 11190 HEALTH PARK BLVD NAPLES FL 34110 MEDICAL SERVICE 5862830 SACRED HEART HOSPITAL OF PENSACOLA 5151 N 9TH AVE PENSACOLA FL 32504 MEDICAL SERVICE 4437792 6 MEDICAID PREMIUM REVENUES 163205806 163205806 163205806 185564 185564 163391370 163205806 185564 140888264 140888264 555628 555628 3988136 3988136 6001 6001 527769 527769 279344 279344 11568623 11568623 179935 179935 106275 106275 14449 14449 288801 288801 103397 103397 429982 429982 314220 314220 571980 571980 140008 140008 168970 168970 2315499 2315499 704353 704353 465206 465206 TEMPORARY SERVICES 847076 847076 CONSULTING FEES 835195 835195 MEDICAL EXPENSE REINSURAN 162583 162583 CREDENTIALING FEES 94830 94830 165556524 140888264 24668260 0 7749625 17226505 1626125 8934398 1642903 314203 428478 1328700 3032968 4988065 6272160 10564368 19109356 43042036 1469202 4302354 87232 8822440 4138045 4138045 7006450 21676921 12700929 38939760 X 6408427 4102276 6408427 4102276 19109356 43042036 -2165154 -140997 X false true X true false X 1642903 314203 1328700 1328700 DUE FROM MANAGEMENT SERVICE PROVIDER 5971689 PCP SUPPLEMENTAL RECEIVABLE 2539254 DEFERRED CONTRACT ACQUISITION 1138509 OTHER RECEIVABLES 771173 SECURITY DEPOSIT 62309 DUE FROM EMPLOYEE 46120 DUE FROM PARENT 35314 BID DEPOSIT 10564368 MEDICAL CLAIMS PAYABLE 15088656 DUE TO MANAGEMENT SERVICE PROVIDER 4089366 RISK ADJUSTMENT PAYABLE 2256561 DEFERRED RENT 242338 21676921 X 163235924 -140997 -140997 163376921 14449 14449 163391370 165542075 165542075 14449 14449 165556524 SCHEDULE D, PAGE 3, PART X THE COMPANY HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX- EXEMPT ORGANIZATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. INCOME EARNED IN FURTHERANCE OF THE ORGANIZATION'S TAX EXEMPT PURPOSES IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ASC TOPIC 740, INCOME TAXES, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, AND PROVIDES GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. MANAGEMENT BELIEVES THAT NO SUCH UNCERTAIN TAX POSITIONS EXIST FOR THE COMPANY AT DECEMBER 31, 2014 AND 2013. SCHEDULE D, PAGE 4, PART XI, LINE 4B INVESTMENT FEES 14,449 SCHEDULE D, PAGE 4, PART XII, LINE 4B INVESTMENT FEES 14,449 X false false false false false false false false false RICHARD AKIN CEO/CHAIRMAN 136410 381950 1757104 99 43314 136410 2182467 WILLIAM ELLIS DIRECTOR 260000 165 29834 1416 291415 GREGORY PRESTON CMO 224923 140415 813 23000 22694 247923 163922 SANDRA STEELE-RIORDAN CFO 159187 326 361 33836 193710 JENNIFER SWEET COO/CEO 147096 69146 24199 171295 69146 SCHEDULE J, PAGE 1, PART I, LINE 3 BONUS PAID TO MR. AKIN BY A RELATED ORGANIZATION IS CONNECTED TO AN EMPLOYMENT AGREEMENT FOR HIS LONG-TERM SERVICES OF 30 YEARS TO THAT ORGANIZATION DUE AT HIS RETIREMENT. FORM 990 - ORGANIZATION'S MISSION INTEGRAL QUALITY CARE IS A FLORIDA MEDICAID PROVIDER SERVICE NETWORK (PSN). WE MANAGE HIGH QUALITY ACCESSIBLE CARE FOR THE MEMBERS WE SERVE. WE ARE COMMITTED TO COLLABORATIVE RELATIONSHIPS WITH OUR PROVIDERS WHILE SERVING OUR MEMBERS WITH COMPASSION AND CARE. FORM 990, PAGE 6, PART VI, LINE 3 THE COMPANY WAS MANAGED BY INDEPENDENT LIVING SYSTEMS LLC, A MANAGEMENT SERVICE ORGANIZATION, AS PART OF A MANAGEMENT SERVICES AGREEMENT. FORM 990, PAGE 6, PART VI, LINE 6 INTEGRAL HEALTH PLAN HAS TWO MEMBERS, WITH COLLIER HEALTH SERVICES HAVING MAJORITY MEMBERSHIP AND ASSOCIATION OF AREA DELIVERY SYSTEM SPONSORS, INC (AADS), A 501C(3) NOT-FOR-PROFIT CORPORATION, HOLDING THE MINORITY MEMBERSHIP POSITION. FORM 990, PAGE 6, PART VI, LINE 7A INTEGRAL HEALTH PLAN HAS TWO MEMBERS, WITH COLLIER HEALTH SERVICES HAVING MAJORITY MEMBERSHIP AND ASSOCIATION OF AREA DELIVERY SYSTEM SPONSORS, INC (AADS), A 501C(3) NOT-FOR-PROFIT CORPORATION, HOLDING THE MINORITY MEMBERSHIP POSITION. FORM 990, PAGE 6, PART VI, LINE 7B INTEGRAL HEALTH PLAN HAS TWO MEMBERS, WITH COLLIER HEALTH SERVICES HAVING MAJORITY MEMBERSHIP AND ASSOCIATION OF AREA DELIVERY SYSTEM SPONSORS, INC (AADS), A 501C(3) NOT-FOR-PROFIT CORPORATION, HOLDING THE MINORITY MEMBERSHIP POSITION. FORM 990, PAGE 6, PART VI, LINE 11B MANAGEMENT REVIEWS THE FORM 990 AND PROVIDES A FINAL DRAFT VIA E-MAIL TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C INTEGRAL HEALTH PLAN, INC HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. INTEGRAL IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITTMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT BUSINESS AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT IMPACT ITS BUSINESS, THUS INTEGRAL'S EMPLOYEES MUST AVOID PARTICIPATING IN ACTIVITES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. INTEGRAL HAS SPECIFICALLY IDENTIFIED THE FOLLOWING AREAS IN ITS POLICY TO BE POTENTIAL CONFLICTS OF INTEREST; FINANCIAL INTEREST, OUTSIDE EMPLOYMENT, PAID FACULTY ARRANGEMENTS, CONSULTANT OR RESEARCH CONTRACTS, ACCEPTANCE OF GIFTS, GRATUITIES, BUSINESS COURTESIES, TRAVEL, LODGING AND ENTERTAINMENT, MISUSE OF RESOURCES OR ASSETS, PERSONAL GAIN USING UNDUE INFLUENCE, DIRECT DEALINGS WITH VENDORS, AND USE OF CONFIDENTIAL INFORMATION. THE POLICY REQUIRES ALL EMPLOYEES TO DISCLOSE PARTICIPATION IN ACTIVITIES OR CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST ON AN ANNUAL BASIS OR IF AT ANY TIME SUCH INDIVIDUAL BECOMES AWARE OF CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST. THESE DISCLOSURES ARE REVIEWED BY COMPLIANCE AND REGULATORY AFFAIRS, AS NECESSARY. FORM 990, PAGE 6, PART VI, LINE 15A INTEGRAL HEALTH PLAN WORKED WITH ITS MAJORITY MEMBER, COLLIER HEALTH SERVICES IN UTILIZING THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT CEO SALARY REVIEW. FORM 990, PAGE 6, PART VI, LINE 15B INTEGRAL HEALTH PLAN WORKED WITH ITS MAJORITY MEMBER, COLLIER HEALTH SERVICES IN UTILIZING THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT CEO SALARY REVIEW. FORM 990, PAGE 6, PART VI, LINE 19 INTEGRAL HEALTH PLAN, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. HOWEVER INTEGRAL HEALTH PLAN, INC'S ARTICLES OF INCORPORATION ARE PUBLICLY AVAILABLE THROUGH FLORIDA'S SECRETARY OF STATE WEBSITE INTEGRAL HEALTH PLAN INC'S CONFLICT OF INTEREST POLICY CAN BE FOUND ON INTERGRAL'S WEBSITE. INTEGRAL HEALTH PLAN'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON THE FLORIDA AGENCY FOR HEALTHCARE ADMINISTRATION WEBSITE. FORM 990, PART XI, LINE 9 INVESTMENT FEES -14,449 INVESTMENT FEES 14,449 COLLIER HEALTH SERVICES INC 1454 MADISON AVENUE IMMOKALEE FL 34142 591741277 MEDICAL FL 501C3 7 NA false AREA DELIVERY SYSTEM SPONSOR PROJECT HEALTH INC 1425 SOUTH US HIGHWAY 301 SUMTERVILLE FL 33585 591664577 MEDICAL FL 501C3 7 NA false false false false false false false false false false false false false true false true false false false false COLLIER HEALTH SERVICES M 2315499 CASH COLLIER HEALTH SERVICES O SHARING OF PAID EMPLOYEES SCHEDULE R ITEM O: COLLIER HEALTH SERVICES, INC. SHARES PAID EMPLOYEES WITH THE COMPANY.