2014-11-13T14:19:54-06:00 2013-12-31 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2013-01-01 800420631 INTEGRAL HEALTH PLAN INC % RONALD ARFIN ROYAL HEALTH CA INTE 8137750050 4630 WOODLAND CORPORATE BLVD Suite 3RD FLR TAMPA FL 33614 SANDRA E STEELE CFO 8137750050 2014-11-12 true ALLISON H FRANKLIN P00448640 8137750050 2013 2015-11-30 17:44:51Z INTEGRAL QUALITY CARE JENNIFER SWEET INTERIM CEO 4630 WOODLAND CORPORATE BLVD TAMPA FL 33614 94264015 false X WWW.INTEGRALQUALITYCARE.COM X 2009 FL INTEGRAL QUALITY CARE IS A FLORIDA MEDICAID PROVIDER SERVICE NETWORK (PSN). WE DELIVER HIGH QUALITY, ACCESSIBLE CARE TO THE MEMBERS WE SERVE. 7 4 0 4 0 0 0 49958105 94159801 25002 104214 0 0 49983107 94264015 0 0 39852313 79526338 0 0 0 0 0 7247450 12480919 47099763 92007257 2883344 2256758 11105108 19109356 6899646 12700929 4205462 6408427 INTEGRAL QUALITY CARE IS A FLORIDA MEDICAID PROVIDER SERVICE NETWORK (PSN). WE DELIVER HIGH QUALITY, ACCESSIBLE CARE TO THE MEMBERS WE SERVE. WE ARE COMMITTED TO COLLABORATIVE RELATIONSHIPS WITH OUR PROVIDERS WHILE SERVING OUR MEMBERS WITH COMPASSION AND CARE. false false 79526338 94159801 INTEGRAL HEALTH PLAN, INC. BEGAN ENROLLING MEMBERS IN APRIL 2010 AND, AS OF DECEMBER 31, 2013, PROVIDES HEALTHCARE SERVICES TO APPROXIMATELY 37,000 BENEFICIARIES. 79526338 true false false false false false false false false false true true 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 0 0 true 0 false false false false false false false false false false X 7 4 false true false false true true true true true true false true true true true true true true true false X RONALD ARFIN ROYAL HEALTH CA 8137750050 521 FIFTH AVENUE 3RD FLOOR NEW YORK NY 101750300 X RICHARD AKIN SCH O PRESIDENT/CHAIRMAN 1.0 40.0 X X 0 391647 45334 MIKE ELLIS DIRECTOR 1.0 40.0 X 176507 13551 THOMAS MCATEER DIRECTOR 1.0 X HANK WAGNER DIRECTOR 1.0 X GAYE WILLIAMS DIRECTOR 1.0 X STEVEN WEINMAN TREASURER 28.0 12.0 X 0 1728333 14106 KENNETH MURRAY DIRECTOR 1.0 X JAMES YOUNG CEO 40.0 X 0 0 0 LAUREN EDGINGTON CFO 40.0 X GREGORY PRESTON CMO 40.0 X 0 154772 22549 JENNIFER SWEET COO 40.0 X 73675 8096 KIMBERLY JEFFERSON COMPLIANCE MANAGER 40.0 X 35951 5234 RONALD ARFIN CFO 20.0 X 0 2560885 108870 0 false true false EXPRESS SCRIPTS INC 21653 Network Place CHICAGO IL 60673 PHARMACY SERVICES 15178651 LEE MEMORIAL HEALTH SYSTEMS PO Box 2147 FORT MYERS FL 33907 MEDICAL SERVICES 6610972 SCHALLER ANDERSON LLC 4645 E Cotton Center Blvd Bldg 1 PHOENIX AZ 85040 MEDICAL SERVICES 6608231 INDEPENDENT LIVING SYSTEMS LLC 5201 Blue Lagoon Drive MIAMI FL 33126 MEDICAL SERVICES 5754183 NAPLES COMMUNITY HOSPITAL 11190 Health Park Blvd NAPLES FL 34110 MEDICAL SERVICES 4175821 68 0 MEDICAID PREMIUM REVENUES 900099 94159801 94159801 94159801 104214 104214 0 0 0 0 0 0 0 0 0 0 94264015 94159801 104214 0 0 0 79526338 79526338 0 0 0 0 0 0 0 0 0 10717405 10717405 95836 95836 84625 84625 0 0 0 77865 77865 123077 123077 20224 20224 0 0 0 32420 32420 0 0 0 1209494 1209494 0 37816 37816 CREDENTIALING SERVICES 35495 35495 LICENSES 16658 16658 CLAIMS RECOVERY FEES 13730 13730 HEALTH PLAN ASSOCIATION DUES 10000 10000 6274 6274 92007257 79526338 12480919 0 6469995 7749625 0 0 1626125 1626125 0 0 0 0 0 0 0 0 0 0 0 0 428478 0 428478 0 0 2982547 3032968 0 0 0 0 26441 6272160 11105108 19109356 1899366 1469202 0 0 0 87232 0 0 0 0 0 0 0 0 0 4138045 5000280 7006450 6899646 12700929 X 4205462 6408427 0 0 0 0 4205462 6408427 11105108 19109356 2256758 -53793 X false true X true false X 428478 428478 428478 CASH 97559 F AGENCY SECURITIES 249882 F CORPORATE BONDS 1048493 F MUNICIPAL BONDS 1346302 F MORTGAGE POOLS 290732 F 3032968 OTHER RECEIVABLES 976210 BID DEPOSIT 4138045 DEFERRED CONTRACT ACQUISITION 1157905 6272160 0 MEDICAL CLAIMS PAYABLE 7006450 7006450 X 94210222 -53793 -53793 94264015 94264015 92007257 92007257 92007257 SCHEDULE D, PART X, LINE 2 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 derecognition, classification, interest and penalties, disclosure, and transition. Management believes that no such uncertain tax position exists for the Company at December 31, 2013 and 2012. X false false false false false false false false false RICHARD AKIN SCH O PRESIDENT/CHAIRMAN 0 334657 0 28115 0 28875 0 28613 0 16721 0 436981 0 0 GREGORY PRESTON CMO 0 154772 0 0 0 0 0 16132 0 6417 0 177321 0 0 MIKE ELLIS DIRECTOR 137682 38825 13551 190058 STEVEN WEINMAN TREASURER 0 228333 0 0 0 1500000 0 0 0 14106 0 1742439 0 0 FORM 990, PART VI, SECTION A, QUESTION 3: DELEGATE CONTROL OVER MANAGEMENT DUTIES THE COMPANY WAS MANAGED BY AETNA MEDICAID ADMINISTRATORS LLC (FORMERLY SCHALLER ANDERSON, LLC) (SCHALLER), A MANAGEMENT SERVICE ORGANIZATION, AS PART OF A MANAGEMENT SERVICES AGREEMENT UNTIL JUNE 30, 2013 WHEN ITS CONTRACT WAS TERMINATED. SCHALLER IS A SUBSIDIARY OF AETNA INSURANCE COMPANY. EFFECTIVE JULY 1, 2013, THE COMPANY ENTERED INTO A NEW PLAN MANAGEMENT SERVICES AGREEMENT WITH INDEPENDENT LIVING SYSTEMS, LLC. FORM 990, PART VI, SECTION A, QUESTIONS 6, 7A & 7B MEMBERS OF THE ORGANIZATION 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, PART VI, SECTION A, QUESTION 9 OFFICERS AND DIRECTORS CAN BE REACHED AT THE FOLLOWING ADDRESSES: RICHARD AKIN 1220 WESTFIELD DRIVE FORT MYERS, FL 33919 STEVEN WEINMAN 5330 N.E. 141 TERRACE WILLISTON, FL 32696 GAYE WILLIAMS 4391 DINNER LAKE BLVD. LAKE WALES, FL 33859 THOMAS MCATEER 54 CEDAR POINT DR WEST ISLIP, NY 11795 HENRY WAGNER 265 INDIES WAY #1801 NAPLES, FL 34110 KENNETH MURRAY 8665 BAY COLONY DR #403 NAPLES, FL 34108 LAUREN EDGINGTON 4630 WOODLAND CORPORATE BLVD. TAMPA, FL 33614 JIM YOUNG 16325 BIRKDALE DR ODESSA, FL 33556 FORM 990, PART VI, SECTION B, QUESTION 11: BOARD REVIEW OF FORM 990 DURING THE COURSE OF THE FINANCE COMMITTEE MEETING, MANAGEMENT PRESENTED AN OVERVIEW OF FORM 990 TO THE FINANCE COMMITTEE AND GAVE THE COMMITTEE MEMBERS AN OPPORTUNITY TO PROVIDE COMMENTS AND ASK QUESTIONS WITH RESPECT TO THE DRAFT. BASED ON FEEDBACK FROM THE COMMITTEE MEMBERS, MANAGEMENT UPDATED THE DRAFT FORM 990. PRIOR TO FINALIZATION OF THE RETURN, MANAGEMENT PROVIDED A FINAL DRAFT, VIA E-MAIL, TO ALL MEMBERS OF THE BOARD OF DIRECTORS SEEKING COMMENTS. MANAGEMENT UPDATED THE FINAL DRAFT FOR ALL COMMENTS RECEIVED AND FINALIZED THE RETURN. FORM 990, PART VI, SECTION B, QUESTION 12: CONFLICT OF INTEREST POLICY 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 COMMITMENT 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 ACTIVITIES 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, PART VI, SECTION B, QUESTIONS 15A & 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, PART VI, SECTION C, QUESTION 19: GOVERNING DOCUMENTS GENERALLY, 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 INTEGRAL'S WEBSITE. INTEGRAL HEALTH PLAN'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON THE FLORIDA AGENCY FOR HEALTHCARE ADMINISTRATION WEBSITE. FORM 990, PART VII, SECTION A OFFICERS LISTED IN PART VII INTEGRAL HEALTH CARE INC.'S CEO, CFO, CMO, COO, COMPLIANCE MANAGER, AND DIRECTOR OF MEDICAL MANAGEMENT WERE EMPLOYEES OF AND COMPENSATED BY SCHALLER ANDERSON OF ARIZONA, LLC THROUGH JUNE 30, 2013. EFFECTIVE JULY 1, 2013, THESE INDIVIDUALS BECAME EMPLOYEES OF COLLIER HEALTH SERVICES, INC., A RELATED ORGANIZATION. SEE FORM 990, PART VI, SECTION A, QUESTION 3. FORM 990, PART VII AND SCHEDULE J, PART II RELATED ORGANIZATION COMPENSATION ALL THE COMPENSATION REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II IS FROM COLLIER HEALTH SERVICES, INC. AND NONE OF THE COMPENSATION IS FROM INTEGRAL HEALTH PLAN, INC. FORM 990, PART VII AND SCHEDULE J, PART II COMPENSATION PAID TO MR. WEINMAN INCLUDED $228,333 OF REGULAR WAGES REPORTED ON FORM W-2, BOX 1. ADDITIONALLY, $1,500,000 WAS REPORTED ON FORM 1099 MISC (BOX 7) PAID TO MR. WEINMAN RELATED TO AN EMPLOYMENT AGREEMENT FOR HIS LONG-TERM SERVICES TO THE ORGANIZATION OF 30 YEARS AT HIS RETIREMENT. COLLIER HEALTH SERVICES INC 1454 MADISON AVENUE IIMMMOKALEE FL 34142 591741277 MEDICAL CARE FL 501(C)(3) 7 NA false false false false false false false false false false false false true false true false false false false COLLIER HEALTH SERVICES M 1288147 CASH COLLIER HEALTH SERVICES O 264398 CASH