CHIEF EXCECUTIVE OFFICER

2014-01-07T16:10:55-06:00 2013-06-30 880116396 KAFOURY ARMSTRONG & CO 301 WEST TOLAS PLACE FALLON NV 89406 990 2012-07-01 721619489 ACCESS TO HEALTHCARE NETWORK INC ACCE 7752848989 4001 S VIRGINIA STREET NO F RENO NV 89502 SHERRI RICE CHIEF EXCECUTIVE OFFICER 7752849079 2013-11-15 1 LAUREL JACKSON P00426131 7754236505 2012 2015-11-30 17:44:51Z SHERRI RICE 4001 S VIRGINIA STREET RENO NV 89502 6944139 0 X N/A X 2006 NV THE ORGANIZATION'S MISSION IS TO INCREASE ACCESS TO PRIMARY AND SPECIALTY HEALTHCARE SERVICES FOR THE UNINSURED AND UNDER-INSURED WORKING-POOR NEVADA RESIDENTS THROUGH SHARED RESPONSIBILITY AND COMMUNITY-WIDE PARTNERSHIPS. 32 32 56 0 0 0 6112713 5101464 1277405 1831051 -3365 256 7407 11368 7394160 6944139 0 0 0 0 3052593 2981315 0 0 0 4782433 3720761 7835026 6702076 -440866 242063 1601675 1539210 1543291 1238763 58384 300447 THE ORGANIZATION'S MISSION IS TO INCREASE ACCESS TO PRIMARY AND SPECIALTY HEALTHCARE SERVICES FOR UNINSURED AND UNDER-INSURED WORKING-POOR NEVADA RESIDENTS THROUGH SHARED RESPONSIBILITY AND COMMUNITY-WIDE PARTNERSHIPS. 0 0 2969401 1831051 MEMBER SERVICES: THE ORGANIZATION IS A COMPREHENSIVE NETWORK OF HOSPITALS AND CLINICS, AND PRIMARY, SPECIALTY, ANCILLARY, DENTAL, VISION, PHARMACY AND HEALTH CARE PROFESSIONALS, OFFERING MEDICAL SERVICES TO THE UNINSURED AND UNDER-INSURED MEMBERS OF THE COMMUNITY AT VASTLY REDUCED RATES. 2752284 PATIENT CARE FUND: THE ORGANIZATION HAS ESTABLISHED A PATIENT CARE FUND FOR THE PURPOSE OF PROVIDING ASSISTANCE TO THOSE MEMBERS WHO ARE UNABLE TO COMPLETELY PAY FOR THEIR MEDICAL NEEDS. PARTNERSHIPS HAVE BEEN FORMED WITH VARIOUS FUNDING SOURCES TO SUBSIDIZE 50% OF THE DISCOUNTED HEALTH CARE FEES FOR SPECIFIC POPULATIONS OR DESIGNATED ILLNESS. 5721685 1 1 0 0 0 0 0 0 0 0 1 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 1 0 0 56 1 0 0 0 0 0 0 0 0 X 32 32 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MIKE O'CARROLL 7752848989 4001 S VIRGINIA ST SUITE F RENO NV 89502 SHERRI RICE CHIEF EXECUTIVE OFFICER 40.00 X X 150000 0 0 CHRIS BOSSE DIRECTOR 1.00 X 0 0 0 VALERIE CLARK VICE CHAIR 5.00 X X 0 0 0 MIKE JOHNSON DIRECTOR 1.00 X 0 0 0 MICHELLE KLING SECRETARY 5.00 X X 0 0 0 KEN RETTERATH BOARD CHAIR 5.00 X X 0 0 0 BETTY BARKER DIRECTOR 1.00 X 0 0 0 MINDI BRENNER DIRECTOR 1.00 X 0 0 0 MARY-ANN BROWN DIRECTOR 1.00 X 0 0 0 NANCY BROWN TREASURER 1.00 X 0 0 0 SCOTT HEINZE DIRECTOR 1.00 X 0 0 0 STEPHANIE KRUSE DIRECTOR 1.00 X 0 0 0 LARRY MATHEIS DIRECTOR 1.00 X 0 0 0 JOHN PACKHAM DIRECTOR 1.00 X 0 0 0 ROTA ROSASCHI DIRECTOR 1.00 X 0 0 0 TY WINDFELDT DIRECTOR 1.00 X 0 0 0 ANDY PASTERNAK DIRECTOR 1.00 X 0 0 0 ANN BECK DIRECTOR 1.00 X 0 0 0 CAROLE FISHER DIRECTOR 1.00 X 0 0 0 CHUCK DORMAN DIRECTOR 1.00 X 0 0 0 DAWN MCCLELLAN DIRECTOR 1.00 X 0 0 0 EMELINA QUISUMBING DIRECTOR 1.00 X 0 0 0 ERIC GRANT DIRECTOR 1.00 X 0 0 0 FRANK NEMEC DIRECTOR 1.00 X 0 0 0 JOHN EDDY DIRECTOR 1.00 X 0 0 0 MARK JOLLEY DIRECTOR 1.00 X 0 0 0 MICHAEL PENDLETON DIRECTOR 1.00 X 0 0 0 NANCY HAMILTON DIRECTOR 1.00 X 0 0 0 NANCY MCLANE DIRECTOR 1.00 X 0 0 0 SARAH HEINER DIRECTOR 1.00 X 0 0 0 JOAN HALL DIRECTOR 1.00 X 0 0 0 OSCAR DELGADO DIRECTOR 1.00 X 0 0 0 150000 0 0 1 0 0 0 0 4906878 194586 5101464 MEMBERSHIP FEES 900099 1831051 1831051 1831051 256 256 MISCELLANEOUS 900000 11368 11368 11368 6944139 1831051 0 11624 150000 25625 124375 2399147 1888461 510686 191891 144211 47680 240277 162155 78122 31500 28500 3000 110260 105630 4630 83569 68269 15300 170505 110707 59798 98050 60631 37419 12735 6650 6085 43202 43202 16982 4694 12288 PATIENT MEDICAL CARE 2752284 2752284 CONTRACT SERVICES 252807 249054 3753 TELEPHONE AND INTERNET 51482 45568 5914 POSTAGE AND SHIPPING 35420 32710 2710 61965 36536 25429 6702076 5721685 980391 0 69402 499107 157967 188492 1259381 663658 17368 2166 529 30027 25091 255953 114795 79508 141158 3224 3807 1601675 1539210 720890 464869 822401 773894 1543291 1238763 X -232214 -78935 290598 379382 58384 300447 1601675 1539210 242063 0 X 0 0 0 X 989566 1471777 3602466 6112713 5101464 17277986 989566 1471777 3602466 6112713 5101464 17277986 17277986 2060 4766 10691 7774 11624 36915 17314901 0.99790 0.99800 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 255953 114795 141158 141158 6944139 0 6944139 0 6944139 6702076 0 6702076 0 6702076 1 X X X 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND REVIEWED AT THE BOARD OF DIRECTORS' ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE APPROVAL PROCESS INCLUDES COMPARABLE DATA DETERMINED BY A STATEWIDE STUDY PUBLISHED AND COMPILED BY THE NEVADA NONPROFIT NEWS. THE ORGANIZATION PERFORMS A NONPROFIT COMPENSATION REVIEW EVERY TWO YEARS THAT IS A COMPARISION STUDY FOR CEOS AND TOP MANAGEMENT STAFF. ALL COMPENSATION PACKAGES FOR KEY MANAGEMENT ARE APPROVED FIRST BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THEN BY THE ENTIRE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS POLICIES AND FINANCIAL DATA AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.