2013-07-15T14:52:11-05:00 2012-12-31 542076905 BST ADVISORS LLC 26 COMPUTER DRIVE WEST ALBANY NY 12205 990 2012-01-01 141825979 HEALTHCARE INFORMATION XCHANGE OF NEW YORK INC HEAL 5187830518 15 CORNELL RD NO 170 LATHAM NY 12110 JOHN COLLINS MD 5187830518 2013-06-26 1 KEVIN T MCGRATH P00134182 5184596700 2012 2016-02-24 21:20:13Z JOHN BENNETT MD 50O PATROON CREEK BLVD ALBANY NY 12206 3229178 0 1 X WWW.HIXNY.ORG X 1999 NY SEE SCHEDULE O 15 15 20 64 0 0 3436742 0 490015 3200070 6617 4108 83882 25000 4017256 3229178 0 0 0 0 1448051 1617928 0 0 0 1895405 2030827 3343456 3648755 673800 -419577 4025131 3777405 170484 342334 3854647 3435071 TO MOBILIZE MEDICAL INFORMATION FOR THE BENEFIT OF THE PATIENTS THAT OUR MEMBER ORGANIZATIONS SERVE. HIXNY WILL PROMOTE QUALITY CARE AND REDUCE HEALTH CARE COSTS. 0 0 108000 360 PRESCRIPTION TECHNOLOGY OFFERED TO MEMBERS AND PARTICIPANTS THAT ARE OTHERWISE UNABLE TO ELECTRONICALLY PRESCRIBE MEDICATIONS TO PATIENTS. 2824424 3200070 A COLLABORATION WITH HEALTHCARE PROVIDER MEMBERS TO BUILD, OPERATE AND EXPAND A HEALTH INFORMATION EXCHANGE (HIE) THAT PROTECTS PATIENT PRIVACY AND SECURELY AGGREGATES AND ACCURATELY DELIVERS CLINICAL INFORMATION IN A STANDARDIZED, PROTECTED, PAPERLESS FORMAT. 2932424 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 8 0 1 20 1 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X DEBRA HAMWAY 5187850518 15 CORNELL ROAD LATHAM NY 12110 JOHN BENNETT MD 10.00 X X 0 0 0 JOHN COLLINS MD 1.00 X 0 0 0 BRIDGET WALSH 5.00 X X 0 0 0 KALLANA MANJUNATH MD 5.00 X X 0 0 0 GEORGE HICKMAN 1.00 X X 0 0 0 BRIAN O'GRADY 1.00 X 0 0 0 PAUL MACIELAK 1.00 X 0 0 0 SUMEET MARARKA 1.00 X 0 0 0 LOUIS SNITKOFF MD 1.00 X 0 0 0 JOSEPH GAMBINO 1.00 X 0 0 0 F MICHAEL TUCKER 1.00 X 0 0 0 DAVID KILE 1.00 X 0 0 0 PHIL DELEEL 1.00 X 0 0 0 PAUL MILTON 1.00 X 0 0 0 JAMES HOPSICKER 1.00 X 0 0 0 JOAN MCFAUL 1.00 X 0 0 0 MARK MCKINNEY 50.00 X 199136 0 2916 D SCOTT MOMROW 50.00 X 161899 0 11763 JOEL RYBA 50.00 X 142806 0 7741 DEBRA HAMWAY 50.00 X 106202 0 9303 610043 0 31723 4 0 1 0 J2 INTERACTIVE LLC 36 RIDGE LANE HILLSDALE NY 12529 SOFTWARE DEVELOPMENT 238714 RITTENHOUSE MANAGEMENT CONSULTING LLC 4 AMERICAN WAY SARATOGA SPRINGS NY 12866 IMPLEMENTATION AND PROJECT MANAGEMENT 183000 2 MEMBER & PART. FEES 541610 2655099 2655099 CONSULTING 541610 544971 544971 3200070 4108 4108 SPONSORSHIP 541990 25000 25000 25000 3229178 3225070 0 4108 X 586498 318583 267915 818544 702504 116040 17338 12600 4738 104441 75901 28540 91107 66211 24896 3000 3000 23124 23124 12700 12700 557933 526053 31880 105786 105786 47644 34780 12864 508367 508367 77605 56652 20953 36730 22678 14052 1528 1528 639816 608095 31721 16594 16594 3648755 2932424 716331 0 119751 71569 852055 931632 4500 257056 328386 311029 4005533 1799414 2720439 2206119 4025131 3777405 166904 297909 3580 44425 170484 342334 X 3854647 3435071 3854647 3435071 4025131 3777405 -419577 0 X X 0 1 X 1 0 X 3289075 3436742 6725817 3289075 3436742 6725817 6725817 7758 6617 4108 18483 6744300 1134686 0.99730 X 8640 3163 5477 143179 89606 53573 3853714 1706645 2147069 2206119 X 3229178 0 3229178 0 3229178 3648754 0 3648754 0 3648754 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: HIXNY IS A NONPROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES. HIXNY IS A SINGLE MEMBER LIMITED LIABILITY COMPANY THAT IS NOT CONSIDERED A TAXABLE ENTITY UNDER THE INTERNAL REVENUE CODE. WHEN THE RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE TAX POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. THIS STANDARD PRESCRIBES A COMPREHENSIVE MODEL FOR RECOGNIZING, MEASURING, PRESENTING, AND DISCLOSING IN THE CONSOLIDATED FINANCIAL STATEMENTS TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN, INCLUDING POSITIONS THAT THE ORGANIZATIONS ARE EXEMPT FROM INCOME TAXES OR NOT SUBJECT TO INCOME TAXES ON UNRELATED BUSINESS INCOME. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF FINANCIAL POSITION ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORMS 990 FILED BY HIXNY ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 FILED BY HIXNY ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED DECEMBER 31, 2008, AND PRIOR. X X X 0 0 0 0 0 0 0 0 0 MARK MCKINNEY 199136 0 0 0 0 0 1975 0 941 0 202052 0 0 0 D SCOTT MOMROW 151621 0 10278 0 0 0 3450 0 8313 0 173662 0 0 0 JOEL RYBA 134298 0 8508 0 0 0 0 0 7741 0 150547 0 0 0 ORGANIZATION MISSION STATEMENT FORM 990, PART I, LINE 1 HIXNY'S PURPOSE IS A) TO DEVELOP, TO COORDINATE, AND TO OPERATE EFFECTIVE AND EFFICIENT SYSTEMS THAT WILL MEET THE HEALTH DATA NEEDS OF PUBLIC AND PRIVATE ORGANIZATIONS, AGENCIES AND INDIVIDUALS; B) TO DEVELOP SCALEABLE PROJECTS, OPEN TO EVALUATION, WHICH ARE BASED UPON OPEN STANDARDS WITH A COMMON FRAMEWORK AND WHICH ARE OPEN TO ANY TECHNOLOGY-READY ENTITY QUALIFIED FOR MEMBERSHIP; C) TO ACT AS A CENTRAL HEALTH DATA COLLECTION, DISSEMINATION, EDUCATION, RESEARCH, AND ANALYSIS AGENCY; D) TO PARTICIPATE IN STUDIES, SURVEYS, RESEARCH PROJECTS, AND EXPERIMENTAL PROGRAMS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 WILL BE REVIEWED BY THE FINANCE COMMITTEE AND THEIR SUMMARY WILL BE PRESENTED TO THE ENTIRE BOARD ALONG WITH A COPY OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE OFFICERS, DIRECTORS AND ALL EMPLOYEES ARE REQUIRED TO COMPLETE AND SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. ALL CONFLICTS ARE BROUGHT TO THE ATTENTION OF THE CEO AND AS NECESSARY THE BOARD CHAIR FOR DISCUSSION AND RESOLUTION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS DESIGNATED THE EXECUTIVE COMMITTEE TO ACT AS THE COMPENSATION COMMITTEE. THE CEO AND THE CHAIRMAN OF THE BOARD DEVELOP A SET OF METRICS EACH YEAR THAT IS APPROVED BY THE EXECUTIVE COMMITTEE. THE EC ALSO APPROVES THE BASE SALARY AND, TO THE EXTENT POSSIBLE, COMPENSATION AT LIKE ORGANIZATIONS IS REVIEWED ANNUALLY TO ASSIST IN DETERMINING WHETHER COMPENSATION IS IN LINE WITH INDUSTRY STANDARDS. THE CHAIRMAN COORDINATES THE ANNUAL EVALUATION, COMPILES AND REVIEWS THE RESPONSES, APPLIES THE METRICS AND MAKES A RECOMMENDATION TO THE EC REGARDING THE BONUS. THE EC THEN VOTES ON THE RECOMMENDATION. THE BOARD IS APPRISED IF THERE IS NOT A STRONG CONSENSUS AT THE EC. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC THROUGH THE MAIL UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 526,053. MANAGEMENT AND GENERAL EXPENSES 31,880. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 557,933. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S PROCESS FOR OVERSEEING THE AUDIT AND SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR. HIXNY SERVICES LLC 15 CORNELL ROAD LATHAM NY 12110 264803822 HEALTH CARE CONSULTING NY 0 265212 N/A