2013-08-13T10:51:42-05:00 2012-12-31 MYERS BRETTHOLTZ & COMPANY PA 12671 WHITEHALL DR FORT MYERS FL 339073626 990 2012-01-01 593631620 COMMUNITY HEALTH CENTERS ALLIANCE INC COMM 7275732422 140 FOUNTAIN PARKWAY ROOM/SUITE 210 ST PETERSBURG FL 33716 JEANETTE LUGO CPA 7275732422 2013-08-13 true ANGELINE K CHOO CPA 2399395775 2013-08-13 2012 2016-02-24 21:20:13Z DIANE GADDIS CEO 140 FOUNTAIN PARKWAY ST PETERSBURG FL 33716 5856963 false X WWW.CHCALLIANCE.ORG X 1999 FL THE ORGANIZATION ("CHCA") FACILITATES THE SELECTION, IMPLEMENTATION, AND SUPPORT OF SERVICES AND TECHNOLOGIES THROUGH A CENTRALIZED ORGANIZATION, ALLOWING ITS MEMBERS TO EXPAND AND IMPROVE HEALTH-RELATED SERVICES FOR ALL. 4 0 0 0 2427835 3957075 2579908 1778863 11717 12638 45595 108387 5065055 5856963 399836 224700 0 2225051 2923232 0 0 1595633 2075840 4220520 5223772 844535 633191 4635365 5478508 572929 782881 4062436 4695627 THE ORGANIZATION ("CHCA") FACILITATES THE SELECTION, IMPLEMENTATION, AND SUPPORT OF SERVICES AND TECHNOLOGIES THROUGH A CENTRALIZED ORGANIZATION, ALLOWING ITS MEMBERS TO EXPAND AND IMPROVE HEALTH-RELATED SERVICES FOR ALL. false false 4752286 224700 COMMUNITY HEALTH CENTERS ALLIANCE, INC. ("CHCA") IS A 501(C)(3) FEDERALLY QUALIFIED HEALTH CENTER CONTROLLED NETWORK SERVICING SAFETY-NET, RURAL, AND PRIMARY CARE PROVIDERS THROUGH ITS ORIGINAL SERVICES AS A TECHNOLOGY PARTNER TO ITS FQHC MEMBERS AND THROUGH ITS DESIGNATION AS A FEDERALLY FUNDED AND RECOGNIZED REGIONAL EXTENSION CENTER (REC). WITH A PRIMARY FOCUS ON THE IMPROVEMENT OF HEALTH OUTCOMES AND PATIENT ENGAGEMENT VIA THE ADVANCEMENT OF HEALTH INFORMATION TECHNOLOGY, CHCA ENROLLED OVER 2,000 PROVIDERS IN ITS REC PROGRAM AND IS PROVIDING A VARIETY OF ASSISTANCE RELATED TO BEST PRACTICES IN ELECTRONIC HEALTH RECORDS ADOPTION, ATTAINMENT OF MEANINGFUL USE, AND PREPARATION FOR PATIENT CENTERED MEDICAL HOMES. 4752286 true true false false false false false false false false true false false false true false true false false false false false false false false false false true false true false false false false false false false true false false false false false false false false false true 10 0 0 false false false false false false X 4 0 false false false false true true false true true false false true true true true true true true true false X JEANETTE LUGO 7275732422 140 FOUNTAIN PARKWAY SUITE 201 ST PETERSBURG FL 33716 RICHARD AKIN 1.00 X X 0 0 0 J R RICHARDS 1.00 X X 0 0 0 MICKEY PRESHA 1.00 X X 0 0 0 EVERETT KELLY 1.00 X 0 0 0 DIANE GADDIS 55.00 X 239602 0 44864 239602 44864 1 false true false GE HEALTHCARE IITS USA CORP 15724 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 IT SERVICES 924850 QUEST SOFTWARE INC PO BOX 731381 DALLAS TX 75373 IT SERVICES 189959 CDW GOVERNMENT INC 75 REMITTANCE DRIVE SUITE 1515 CHICAGO IL 60675 IT SUPPLIES 167620 CENTURYLINK PO BOX 52187 PHOENIX AZ 85072 NETWORKING SERV 137179 AMERISURE MUTUAL INSURANCE 26777 HALSTED ROAD FAMINGTON HILLS MI 48331 RENT 113517 5 3957075 3957075 IT SERVICES 1449463 1449463 REIMBURSABLE SERVICES 140038 140038 SOFTWARE SUPPORT 129862 129862 MEMBERSHIP DUES 59500 59500 1778863 12638 12638 OTHER 108387 108387 108387 5856963 1778863 121025 X 224700 224700 239602 107821 131781 2111469 2004813 106656 572161 534755 37406 28578 11395 17183 776921 752478 24443 12325 11864 461 315498 315498 113240 90592 22648 185210 168695 16515 372740 372740 15759 5309 10450 EQUIP. MAINT. & REPAIRS 63484 63484 RECRUITMENT & RETENTION 60821 5893 54928 TELEPHONE 49626 49235 391 PROCESSING FEES 39355 39355 42283 33014 9269 5223772 4752286 471486 0 29417 97881 3349012 3337548 336992 408537 253383 277659 91206 498364 2893854 2048254 562436 845600 12919 12919 4635365 5478508 156469 205439 416460 577442 572929 782881 X 4062436 4695627 4062436 4695627 4635365 5478508 633191 X false true X true true true X 1292138 1025242 873823 2427835 3957075 9576113 1444129 2115940 2352150 2579908 1778863 10270990 11675 45595 108387 165657 2736267 3141182 3237648 5053338 5844325 20012760 20012760 26115 21610 8069 11717 12638 80149 26115 21610 8069 11717 12638 80149 2762382 3162792 3245717 5065055 5856963 20092909 0.99600 0.99160 0.00000 0.01000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2893854 2048254 845600 845600 DUE TO MEMBER (LEASED EMPL/BENEFITS) 570593 ACCRUED EXPENSES 6849 577442 5856963 5856963 5856963 5223772 5223772 5223772 true LMH 2776 CLEVELAND AVENUE FORT MYERS FL 33901 592559835 3 193500 REC PROGRAM PMG 911 SOUTH MAIN STREET TRENTON FL 32693 592871302 3 31200 REC PROGRAM PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATES SCHEDULE I, PAGE 1, PART I, LINE 2 FOR ALL SUB-RECIPIENTS, THERE ARE SIGNED AGREEMENTS. ALL EXPENDITURES ARE REVIEWED FOR COMPLIANCE WITH AGREEMENTS ON HAND. ALL EXPENDITURES MUST HAVE SUPPORTING/BACK UP DOCUMENTATION. MONTHLY, ALL SUB-RECIPIENTS SEND ACTIVITY REPORTS OF PRACTICE/SITE VISITS ALONG WITH MONTHLY EXPENDITURES WHICH ARE REVIEWED BY FINANCE DIRECTOR AFTER WHICH CHECK IS ISSUED BY CEO. X X X false false false false false false false false false DIANE GADDIS 212715 26887 30865 13999 284466 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III OTHER REPORTABLE COMPENSATION OF 26,887 CONSISTED OF RETRO PAYMENT. CEO HAD NOT RECEIVED A RETRO PAYMENT OR SALARY INCREASE SINCE 2008. RICHARD AKIN CEO OF MEMBER 604930 DUES/MEMBER SERVICES false MICKEY PRESHA CEO OF MEMBER 608340 DUES/MEMBER SERVICES false JR RICHARDS CEO OF MEMBER 118701 DUES/MEMBER SERVICES false EVERETT KELLY CEO OF MEMBER 215670 DUES/MEMBER SERVICES false CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION CURRENTLY WORKS WITH OVER 3,000 HEALTHCARE PROVIDERS THROUGH THE STATE OF FLORIDA WHO COLLECTIVELY USE OVER 50 DIFFERENT EHR SYSTEMS. THESE MEMBERS INCLUDE BOTH PRIMARY CARE AND SPECIALTY CLINICIANS FROM PRIVATE PRACTICES, FEDERALLY QUALIFIED HEALTH CENTERS, PRATICE CONSORTIA, RURAL HOSPITALS AND CRITICAL ACCESS HOSPITALS. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS OF THE ORGANIZATION SELECT THE GOVERNING BODY. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B THE CEO AND FINANCE DIRECTOR REVIEW FORM 990 FOR ACCURACY AND COMPLETENESS PRIOR TO FORWARDING TO THE BOARD FOR APPROVAL. THE BOARD ALSO RECEIVES A COPY OF THE FORM 990 FOR REVIEW BEFORE FILING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ARTICLE VI OF THE CONFLICT OF INTEREST POLICY REQUIRES THAT EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF THE BOARD OF DIRECTORS ANNUALLY SIGN A STATEMENT AFFIRMING THAT THEY HAVE RECEIVED, READ, UNDERSTAND AND AGREE TO COMPLY WITH THE POLICY. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR CEO IS ESTABLISHED BY AN APPROVAL PROCESS BY THE BOARD, WHICH INCLUDES AN INDEPENDENT COMPENSATION CONSULTANT AND A FINAL WRITTEN EMPLOYMENT CONTRACT. THE DECISION IS DOCUMENTED IN THE BOARD MEETING MINUTES. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION FOR KEY EMPLOYEES IS DETERMINED AFTER COMPARING AND EVALUATING MARKET VALUE FOR SIMILAR POSITIONS USING AN INDEPENDENT CONSULTANT EVERY TWO YEARS. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE ALL AVAILABLE TO PUBLIC UPON REQUEST. OTHER FEES FOR SERVICES FORM 990, PART IX, LINE 11G CONTRACTED PERSONNEL 418,000 0 0 CONSULTANTS 137,327 24,443 0 CONTRACTED HOSTING SERVICES 197,151 0 0