CHIEF EXCECUTIVE OFFICER

2013-01-15T16:07:36-06:00 2012-06-30 880116396 KAFOURY ARMSTRONG & CO 301 WEST TOLAS PLACE FALLON NV 89406 990 2011-07-01 721619489 ACCESS TO HEALTHCARE NETWORK INC ACCE 7752848989 4001 S VIRGINIA STREET NO F RENO NV 89502 SHERRI RICE CHIEF EXCECUTIVE OFFICER 7752849079 2013-01-14 LAUREL JACKSON P00426131 7754236505 2011 2016-02-25 16:41:14Z SHERRI RICE 4001 S VIRGINIA STREET RENO NV 89502 7397892 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. 30 30 56 0 0 0 3602466 6112713 904170 1277405 -10423 -3365 10055 7407 4506268 7394160 0 0 0 0 2090962 3052593 0 0 0 2443605 4782433 4534567 7835026 -28299 -440866 1402534 1601675 903284 1543291 499250 58384 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 3571014 1277405 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. 3588216 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. 7159230 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 1 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 30 30 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 156000 0 0 CHRISTINE 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 MARTY WAYNE MARTIN 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 156000 0 0 1 0 1 0 0 6011767 100946 6112713 MEMBERSHIP FEES 900099 1277405 1277405 1277405 367 367 3732 -3732 -3732 -3732 MISCELLANEOUS 900000 7407 7407 7407 7394160 1277405 0 4042 156000 132600 23400 2360812 2028134 332678 311072 266752 44320 224709 188923 35786 43500 29728 13772 97383 94737 2646 209799 192898 16901 175847 168714 7133 156038 138757 17281 152583 143742 8841 20873 17091 3782 33033 33033 8410 7404 1006 PATIENT MEDICAL CARE 3588216 3588216 CO-OP 114847 114847 TELEPHONE AND INTERNET 72881 66049 6832 CONTRACT SERVICES 35448 34470 978 73575 61015 12560 7835026 7159230 675796 0 113254 69402 451159 157967 719130 1259381 16818 326 2166 20741 30027 151101 71593 81106 79508 3224 1402534 1601675 316786 720890 586498 822401 903284 1543291 X 131316 -232214 367934 290598 499250 58384 1402534 1601675 -440866 0 X 0 0 0 X 928042 989566 1471777 3602466 6112713 13104564 928042 989566 1471777 3602466 6112713 13104564 13104564 1256 2060 4766 10691 7774 26547 13131111 0.99800 0.99730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 151101 71593 79508 79508 7394160 7835026 -440866 -440866 7394160 0 7394160 0 7394160 7835026 0 7835026 0 7835026 1 X X X 0 0 0 0 0 0 0 0 0 SHERRI RICE 156000 0 0 0 0 0 0 0 0 0 156000 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.