CAPITAL HEALTH PLAN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CAPITAL HEALTH PLAN INC (EIN 59-1830622)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201343199349306639
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T12:38:58-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591830622EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CAPITAL HEALTH PLAN INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCAPINameControl
Phone8503833333Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12140 CENTERVILLE PLACEAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32308ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSABIN C BASS CPAName
TitleSR. VP. FIN & CFOTitle
Date Signed2013-07-12DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN HOGANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13718 BOBBIN BROOK CIRAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32312ZIPCode
FieldValueIRS element (for citing)
Gross Receipts729328329GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteWWW.CAPITALHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionSEE STATEMENT 1ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees487TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year626472109ProgramServiceRevenuePriorYear
Program Service Revenue CY615513066ProgramServiceRevenueCY
Investment Income Prior Year11558941InvestmentIncomePriorYear
Investment Income Current Year11280442InvestmentIncomeCurrentYear
Other Revenue Prior Year1153981OtherRevenuePriorYear
Other Revenue Current Year908649OtherRevenueCurrentYear
Total Revenue Prior Year639185031TotalRevenuePriorYear
Total Revenue Current Year627702157TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2476740GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3363917GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year526180336BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY541379960BenefitsPaidToMembersCY
Salaries Etc Prior Year41907723SalariesEtcPriorYear
Salaries Etc Current Year42935338SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16069532OtherExpensePriorYear
Other Expenses Current Year17066982OtherExpensesCurrentYear
Total Expenses Prior Year586634331TotalExpensesPriorYear
Total Expenses Current Year604746197TotalExpensesCurrentYear
Revenues Less Expenses Prior Year52550700RevenuesLessExpensesPriorYear
Revenues Less Expenses CY22955960RevenuesLessExpensesCY
Total Assets BOY419115285TotalAssetsBOY
Total Assets EOY453442024TotalAssetsEOY
Total Liabilities BOY82973178TotalLiabilitiesBOY
Total Liabilities EOY86132892TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY336142107NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY367309132NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE STATEMENT 2MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense581630140Expense
Grants3363917Grants
Revenue627702157Revenue
DescriptionBACKGROUND AND MISSION:CAPITAL HEALTH PLAN IS A LOCAL HMO FOCUSED ON SERVING THE SEVEN COUNTIES THAT CONSTITUTE THE TALLAHASSEE, FLORIDA METROPOLITAN AREA. THE HEALTH PLAN'S MISSION IS TO PROVIDE OUR RESIDENTS WITH HIGH QUALITY, AFFORDABLE HEALTH CARE THAT:FOCUSES ON DELIVERY OF EVIDENCE-BASED MEDICAL CARE UNDER THE DIRECTION OF PRIMARY CARE PHYSICANS IN AN EFFECTIVE, TIMELY AND COST EFFECTIVE MANNER. EMPHASIZES LOW ADMINISTRATIVE COSTS AND ETHICAL BUSINESS PRACTICES.IS PROACTIVE AND INNOVATIVE IN ITS QUEST TO CONTINUALLY IMPROVE THE HEALTH OF THE COMMUNITY.IN PURSUING THE MISSION, CAPITAL HEALTH PLAN IMPACTS THE HEALTH AND WELL BEING OF TALLAHASSEE AREA RESIDENTS - BOTH THOSE WHO ARE PLAN MEMBERS AND THOSE WHO ARE NOT.CHP SERVES A MEMBERSHIP OF 125,000 PEOPLE; OVER 30% OF THE AREA'S POPULATION. THE HEALTH PLAN HAS DEVELOPED A HIGH QUALITY DELIVERY SYSTEM THAT INCLUDES OVER 400 AREA PHYSICIANS, MORE THAN 90% OF THE MEDICAL COMMUNITY. THE CORE OF THIS DELIVERY SYSTEM IS CHP'S EMPLOYED CLINICAL STAFF, A GROUP OF 31 PHYSICIANS AND 8 OPTOMETRISTS WHO PRACTICE IN TWO STATE-OF-THE-ART HEALTH CENTERS THE PLAN HAS DEVELOPED. THESE HEALTH CENTERS ARE EQUIPPED WITH ELECTRONIC MEDICAL RECORDS AND CAN ACCOMODATE A BROAD RANGE OF PRIMARY AND SPECIALIST CARE SERVICES INCLUDING EVENING AND WEEKEND URGENT CARE, LAB, X-RAY AND DIGITAL MAMMOGRAPHY. CHP'S ABILITY TO OFFER A HIGHLY ORGANIZED COMPONENT OF ITS DELIVERY SYSTEM TO ITS MEMBERS HAS PROVIDED UNIQUE OPPORTUNITIES FOR IMPROVING HEALTH CARE OUTCOMES. THE STAFF COMPONENT OF CHP'S DELIVERY SYSTEM CONSISTENTLY PRODUCES BETTER RESULTS ON MEASURES OF CLINICAL CARE,MEMBER SATISFACTION AND EFFICIENCY.CAPITAL HEALTH PLAN SEEKS TO LEAD OUR AREA AND CONTINUALLY IMPROVE PERFORMANCE AGAINST BENCHMARKS FOR CLINICAL QUALITY, MEMBER SATISFICATION, AND AFFORDABILITY. IN THAT REGARD, CHP HAS BEEN CONSISTENTLY RECOGNIZED BY NCQA. CHP WAS RANKED BY THE NCQA AS THE TOP HMO IN THE NATION FOR COMMERCIAL INSURANCE AND THE 4TH BEST MEDICARE HEALTH PLAN IN THE NATION. BY BEING OUR AREA'S MARKET LEADER, CAPITAL HEALTH PLAN ATTEMPTS TO RAISE THE BAR FOR PROVIDING VALUE IN HEALTH CARE THROUGHOUT OUR COMMUNITY. IN ADDITION TO THESE MAKRETPLACE IMPACTS, CHP DIRECTLY INVESTS IN THE COMMUNITY IT SERVES THROUGH A FORMAL COMMUNITY BENEFIT POLICY ADOPTED BY ITS BOARD OF DIRECTORS. THE POLICY FOCUSES THE ORGANIZATION'S COMMUNITY BENEFIT INITIATIVES IN THREE PRIMARY AREAS:ADDRESSING MARKET FAILURES- CHP WILL BE A LEADING PARTNER IN THE TALLAHASSEE AREA IN ADDRESSING THE NEEDS OF THE UNINSURED AND UNDERINSURED.PROMOTING COMMUNITY HEALTH - CHP WILL TRANSFORM ITS HERITAGE IN POPULATION-BASED HEALTH TO PURSUE STATEGIES THAT GO BEYOND TRADITIONAL MEDICAL CARE TO IMPACT THE HEALTH OF THE ENTIRE TALLAHASSEE COMMUNITY.CLINICAL TRAINING/RESEARCH- CHP WILL PARTNER WITH THE EDUCATIONAL INSTITUTIONS IN OUR AREA TO HELP TRAIN THE CLINICAL WORKFORCE OUR COMMUNITY WILL NEED IN THE FUTURE AND TO MAXIMIZE AN EVIDENCE-BASED FOCUS ON POPULATION HEALTH IN TRAINING AND RESEARCH.CAPITAL HEALTH PLAN'S COMMITMENT TO COMMUNITY BENEFIT REPRESENTS A SOCIAL DIVIDENDDERIVED FROM THE ORGANIZATION'S ONGOING FOCUS ON EXCELLENT CLINICAL CARE AND SERVICE TO ITS MEMBERS.2012 ACCOMPLISHMENTS AND BENEFIT TO THE COMMUNITYHIGHLIGHTS OF CAPITAL HEALTH PLAN'S CONTRIBUTIONS TO THE HEALTH OF THE TALLAHASSEE AREA IN 2012 INCLUDE THE FOLLOWING:AFFORDABILITYCAPITAL HEALTH PLAN'S COMMERCIAL PREMIUM YIELD DECREASED 1.3% FOR 2012. CHP HAS MAINTAINED NINE CONSECUTIVE YEARS OF SINGLE DIGIT PRICE ADJUSTMENTS. THESE LOW PRICE ADJUSTMENTS WERE ACHIEVED WHILE MAINTAINING A COMPREHENSIVE LEVEL OF HEALTH BENEFITS.CHP'S ADMINISTRATIVE OVERHEAD IS CONSISTENTLY MAINTAINED AT ONE OF THE LOWEST LEVELS IN THE STATE OF FLORIDA, HAS BEEN BELOW 5% OF REVENUES FOR THE PAST 22 YEARS, AND IN 2012 TOTALED 3.6% OF REVENUES.REFLECTING CHP'S SUCCESS IN MAINTAINING OVER 30% OF AREA RESIDENTS IN ITS COMPREHENSIVE HMO PROGRAM, THE TALLAHASSEE AREA - SPECIFICALLY LEON COUNTY, FLORIDA - HAS MAINTAINED THE HIGHEST LEVEL OF HMO MEMBERSHIP AND THE LOWEST LEVEL, BY SURVEY, OF UNINSURED POPULATION IN THE STATE OF FLORIDA.CLINICAL QUALITY AND MEMBER SATISFACTIONCHP WAS NATIONALLY RECOGNIZED AS THE TOP-RANKED HMO IN THE NATION FOR COMMERCIAL INSURANCE BY NCQA'S HEALTH INSURANCE RANKING. CHP'S MEDICARE PLAN WAS RANKED 4TH IN THE NATION ACCORDING TO NCQA'S RANKING. THE FLORIDA HMO REPORT PUBLISHED BY THE AGENCY FOR HEALTH CARE ADMINISTRATION RATED CHP WITH THE HIGHEST CUSTOMER SATISFACTION SCORES AMONG ALL HMO'S IN FLORIDA.CHP HAS PERFORMED WELL ACROSS A BROAD RANGE OF CLINICAL BENCHMARKS HIGHLIGHTED BY COLON CANCER SCREENING, WHERE CHP CONSISTENTLY PERFORMED AT ONE OF THE HIGHEST RATES IN THE NATION FOR THE PAST EIGHT YEARS.COMMUNITY BENEFIT INITIATIVESIN ACCORDANCE WITH OUR COMMUNITY BENEFIT POLICY, THE FOLLOWING INITIATIVES WERE SUPPORTED IN 2012:ADDRESSING MARKET FAILURE/UNINSURED AND UNDERINSUREDCAPITAL HEALTH PARTNERSHIP - THIS IS A "THREE-SHARE" PROGRAM ESTABLISHED TO HELP THE UNINSURED IN OUR COMMUNITY BY PROVIDING SMALL BUSINESSES THE OPPORTUNITY TO OFFER SUBSIDIZED COVERAGE TO THEIR EMPLOYEES. AN UNINSURED SMALL BUSINESS WITH LOW INCOME WORKERS CAN RECEIVE A 40% SUBSIDY TOWARD PREMIUMS FOR EACH EMPLOYEE. THE EMPLOYER THEN PAYS AT LEAST 50% OF THE REMAINING PREMIUM AND THE EMPLOYEE IS RESPONSIBLE FOR THE REMAINING AMOUNT. THIS INITIATIVE IS ADMINISTERED THROUGH THE CAPITAL AREA HEALTH ACCESS FOUNDATION WHICH WAS CREATED BY CHP FOR THIS PURPOSE. SAFETY NET INSTITUTIONS - CHP PROVIDES FINANCIAL SUPPORT FOR THE "WE CARE" PROGRAM ADMINISTERED BY THE CAPITAL MEDICAL SOCIETY FOUNDATION. "WE CARE" PROVIDES DONATED PROFESSIONAL HEALTHCARE SERVICES TO MEDICALLY INDIGENT INDIVIDUALS WHO DO NOT QUALIFY FOR PUBLIC ASSISTANCE. CHP'S FINANCIAL SUPPORT HELPS FUND THE ADMINISTRATIVE COSTS OF THIS PROGRAM. CHP ALSO PROVIDES FINANCIAL SUPPORT THROUGH THE UNITED WAY AND WHOLE CHILD LEON TO FUND OUTREACH WORKERS TO ASSIST FAMILIES IN QUALIFYING THEIR UNINSURED CHILDREN FOR A VARIETY OF HEALTH PROGRAMS. CHP ALSO FUNDS A SIGNIFICANT PORTION OF THE BUDGET OF NEIGHBORHOOD HEALTH SERVICES IN TALLAHASSEE WHICH DIRECTLY PROVIDES A RANGE OF PRIMARY HEALTH CARE SERVICES TO LOW-INCOME PEOPLE IN OUR COMMUNITY.PROMOTING COMMUNITY HEALTHCHP CHAMPIONS PROGRAM - THIS IS A PUBLIC SCHOOL PARTNERSHIP CREATED TO HELP STEM THE TIDE OF CHILDHOOD OBESITY BY OFFERING FITNESS PROGRAMS BEFORE AND AFTER SCHOOL. IT WAS DEVELOPED AS A COLLABORATIVE PARTNERSHIP WITH LEON COUNTY SCHOOLS AND THE TALLAHASSEE AREA CHAMBER OF COMMERCE WITH SERVICES PROVIDED THROUGH TITUS SPORTS ACADEMY. CHP STARTED THE PROGRAM IN EIGHT (8) LEON COUNTY SCHOOLS IN THE FALL OF 2006, EXPANDING IT TO ALL PUBLIC ELEMENTARY, AND MIDDLE SCHOOLS IN FOUR (4) COUNTIES WITHIN TWO (2) YEARS. CURRENTLY, OVER 15,000 CHILDREN ARE REGISTERED FOR THE PROGRAM IN LEON COUNTY AND THE ADJOINING RURAL COUNTIES OF JEFFERSON, GADSDEN, CALHOUN AND WAKULLA WITH PLANNED EXPANSION INTO ONE MORE COUNTY.CASCADES PARK HEALTH AND FITNESS TRAILS- TO ENHANCE OPPORTUNITIES FOR OUTDOOR ACTIVITY AND EXERCISE, CHP COMMITTED TO A MULTI-YEAR FINANCING OF HEALTH AND FITNESS TRAILS TO BE DEVELOPED AS A PART OF A MAJOR PARK DEVELOPMENT IN DOWNTOWN TALLAHASSEE. FLORIDA STATE UNIVERSITY CENTER ON BETTER HEALTH AND LIFE - CHP PROVIDED MATCHING SUPPORT TO INITIATE AN INNOVATIVE, COMMUNITY OUTREACH PROGRAM TO IMPACT HEALTH DISPARITIES IN MINORITY COMMUNITIES THROUGH HEALTH EDUCATION AND PREVENTIVE SERVICES.CLINICAL TRAININGCHP CONTINUED A FIVE YEAR INVESTMENT IN EACH OF OUR AREA'S THREE PUBLIC NURSING SCHOOLS: FLORIDA A&M UNIVERSITY, FLORIDA STATE UNIVERSITY AND TALLAHASSEE COMMUNITY COLLEGE. THE INVESTMENTS ARE INTENDED TO SIGNIFICANTLY ENHANCE THE CAPACITY OF EACH TRAINING PROGRAM AND POSITIVELY IMPACT THE GROWING SHORTAGE OF NURSES OUR COMMUNITY IS FACING. CHP ALSO SERVES AS AN AFFILIATED EDUCATIONAL PARTNER FOR PRECEPTING BOTH NURSING STUDENTS FROM FLORIDA A&M AND MEDICAL STUDENTS FROM FLORIDA STATE UNIVERSITY. THESE SERVICES ARE PROVIDED DIRECTLY BY CHP'S EMPLOYED MEDICAL AND NURSING STAFF AT CHP FACILITIES.THROUGH A COMPREHENSIVE RANGE OF SERVICES AND INITIATIVES NOTED ABOVE, CAPITAL HEALTH PLAN FULFILLED ITS MISSION AND POSITIVELY IMPACTED THE HEALTH OF THE TALLAHASSEE AREA IT SERVES IN 2012.Description
Total Program Service Expense581630140TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961051NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees487NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSABIN C BASS CPANamePerson
Telephone Number8503833377TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11545 RAYMOND DIEHL RDAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32308ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
J BRIAN SHEEDY MD
DIRECTOR2.000.00X1920000
WINIFRED SCHMELING
VICE CHAIRMAN3.000.00X2540000X
ISAAC MOORE MD
DIRECTOR2.000.00X1910000
JOYCE KRAMZER
DIRECTOR2.0048.00X0226731023479
PATRICIA HAYWARD
DIRECTOR2.000.00X2320000
TOM HERNDON
DIRECTOR2.000.00X2220000
DAVID COBURN
TREASURER3.000.00X1830000X
W KEN BOUTWELL JR
CHAIRMAN4.000.00X4210000X
LILLIE BOGAN
DIRECTOR2.000.00X2320000
THOMAS A BARRON
SECRETARY3.000.00X1980000X
DUBOSE AUSLEY
DIRECTOR2.000.00X1790000
SABIN BASS CPA
SR. VP. FIN CFO50.000.003580520173004X
JOHN HOGAN
PRESIDENT & CEO50.000.008058870275507X
TOM GLENNON
SR. VP. OF COMMUNITY DEVELOPMENT50.000.00254680095506X
PAUL BAWEK CPA
CONTROLLER50.000.00232752088136X
KATHLEEN JUGENHEIMER
COMPLIANCE OFFICER50.000.00178595066511X
ESTRELLITA REDMON MD
MEDICAL DIRECTOR50.000.003800170171784X
ERIC SMITH
SR. VP. & CHIEF INFORMATION OFFICER50.000.003607150165507X
BONNIE BUTLER
SR. VP. OF QUALITY IMPRV/CLINIC OPE50.000.00256827087307X
POLLY WHITE
SR. VP. OF MARKETING/ADMIN SERVICES50.000.00234660093903X
NANCY VAN VESSEM MD
CHIEF MEDICAL OFFICER50.000.005478860228582X
LISA RAWLINGS MD
MEDICAL DOCTOR50.000.00350622065877X
PHILLIP LUBBERS MD
MEDICAL DOCTOR50.000.00354877068359X
DENNIS WILLIAMS MD
MEDICAL DOCTOR50.000.00341538071859X
ADEKUNLE OMOTAYO MD
MEDICAL DOCTOR50.000.00304026058755X
STEPHEN LAROSA MD
MEDICAL DOCTOR50.000.00263108079212X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5454642TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2267310TotalReportableCompFrmRltdOrgs
Total Other Compensation1813288TotalOtherCompensation
Number Individuals GT100 K68NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TALLAHASSEE MEMORIAL HEALTHCARE
1309 THOMASVILLE RDTALLAHASSEEFL32303HEALTH CARE180932395
SHANDS TEACHING HOSPITAL
1600 SW ARCHER RDGAINSVILLEFL32611HEALTH CARE20564315
RADIOLOGY ASSOC OF TALLAHASSEE
1110 CAPITAL CIRCLE NETALLAHASSEEFL32301HEALTH CARE12036729
CAPITAL REGIONAL MEDICAL CENTER
2626 CAPITAL MEDICAL BLVDTALLAHASSEEFL32308HEALTH CARE42275663
ANESTHESIOLOGY ASSOC OF TALLAHASSEE
2173 CENTERVILLE PLTALLAHASSEEFL32308HEATLH CARE19606867
FieldValueIRS element (for citing)
Number Of Contractors GT100 K191NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

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DescriptionPREMIUMS AND COPAYMENTSDescription
Business Code621491BusinessCode
Total Revenue Column615513066TotalRevenueColumn
Related Or Exempt Function Income615513066RelatedOrExemptFunctionIncome
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Total Program Service Revenue615513066TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column9940903TotalRevenueColumn
Related Or Exempt Function Income9940903RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real431741Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real377548Real

Rental Income Or Loss RentalIncomeOrLoss

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Real54193Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

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Total Revenue Column54193TotalRevenueColumn
Exclusion$54,193ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

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Securities101486925Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

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Securities100147386Securities

Gain Or Loss GainOrLoss

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Securities1339539Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column1339539TotalRevenueColumn
Related Or Exempt Function Income1339539RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
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Gross Sales Of Inventory1955694GrossSalesOfInventory
Cost Of Goods Sold1101238CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column854456TotalRevenueColumn
Related Or Exempt Function Income854456RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column627702157TotalRevenueColumn
Related Or Exempt Function Income627647964RelatedOrExemptFunctionIncome
Exclusion$54,193ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3363917Total
Program Services3363917ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total541379960Total
Program Services541379960ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4175354Total
Program Services1127301ProgramServices
Management And General3048053ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28121180Total
Program Services20639363ProgramServices
Management And General7481817ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3072958Total
Program Services2197683ProgramServices
Management And General875275ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5537402Total
Program Services3775872ProgramServices
Management And General1761530ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2028444Total
Program Services1333351ProgramServices
Management And General695093ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

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Total211421Total
Management And General211421ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total191206Total
Management And General191206ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total117385Total
Management And General117385ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1097201Total
Program Services80769ProgramServices
Management And General1016432ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total181486Total
Program Services4700ProgramServices
Management And General176786ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3640523Total
Program Services1379407ProgramServices
Management And General2261116ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2852866Total
Program Services1123868ProgramServices
Management And General1728998ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2557857Total
Program Services1785055ProgramServices
Management And General772802ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total22124Total
Program Services8631ProgramServices
Management And General13493ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total238369Total
Program Services93497ProgramServices
Management And General144872ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total25921Total
Management And General25921ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1349307Total
Program Services842182ProgramServices
Management And General507125ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total761016Total
Program Services465352ProgramServices
Management And General295664ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CLINIC SUPPLIES17731331773133
MISCELLANEOUS EXPENSE20471672560991791068

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total604746197Total
Program Services581630140ProgramServices
Management And General23116057ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6129BOY
EOY6799EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY30620339BOY
EOY12675221EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14611594BOY
EOY14457271EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY408228BOY
EOY384926EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2977881BOY
EOY2566843EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis48087869LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec23937063LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23696954BOY
EOY24150806EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY343020332BOY
EOY395184064EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3773828BOY
EOY4016094EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY419115285BOY
EOY453442024EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY71105000BOY
EOY73762440EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY10523151BOY
EOY10854425EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1345027BOY
EOY1516027EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY82973178BOY
EOY86132892EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY336142107BOY
EOY367309132EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY336142107BOY
EOY367309132EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY419115285BOY
EOY453442024EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses22955960ReconcilationRevenueExpenses
Reconciliation Unrealized Invest8211065ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4554405OtherCostOrOtherBasis
Book Value4554405BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis25460006OtherCostOrOtherBasis
Depreciation8674959Depreciation
Book Value16785047BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17430609OtherCostOrOtherBasis
Depreciation14897397Depreciation
Book Value2533212BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis642849OtherCostOrOtherBasis
Depreciation364707Depreciation
Book Value278142BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings24150806TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDeferred CompensationDescription
Amount$1,516,027Amount
FieldValueIRS element (for citing)
Total Of Amounts1516027TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt628631817TotRevenueEtcAuditedFinclStmt
Revenue Subtotal628631817RevenueSubtotal
Investment Expenses Not Included117385InvestmentExpensesNotIncluded
Other Revenues Not Included-1047045OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-929660RevenueNotRptdOnFinStmt
Total Revenue Per Form990627702157TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt605730050TotExpensesEtcAuditedFinclStmt
Expenses Subtotal605730050ExpensesSubtotal
Investment Expenses Not Included2117385InvestmentExpensesNotIncluded2
Other Expenses Not Included-1101238OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-983853ExpensesNotRptdOnFinStmt
Total Expenses Per Form990604746197TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (20 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistancePurpose Of GrantPurposeOfGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
WORLD CLASS SCHOOLS OF LEON
P O BOX 1639TALLAHASSEEFL32302134202729501 (C) (3)16022000ENCOURAGE YOUTH TO EXERCISE
UNITED WAY OF BIG BEND
303 EAST 7TH AVENUETALLAHASSEEFL32303596011150501 (C) (3)1210510GENERAL SUPPORT
TOC FOUNDATION INC
3334 CAPITAL MEDICAL BLVD STETALLAHASSEEFL32308205292321501 (C) (3)200000GENERAL PROGRAM SUPPORT
TMH FOUNDATION INC
1309 THOMASVILLE RDTALLAHASSEEFL32303591727645501 (C) (3)262000EVENT SPONSERSHIP
TALLAHASSEE SENIOR CITIZENS
1400 NORTH MONROE STTALLAHASSEEFL32303592040638501 (C) (3)150000EVENT SPONSORSHIP
TALLAHASSEE FRIENDS OF PARK
912 MYERS PARK DRIVETALLAHASSEEFL32301592164894501 (c) (3)132500WALK SPONSERSHIP
TALLAHASSEE COMMUNITY COLLEGE
444 APPLEYARD DRIVETALLAHASSEEFL32304592091480501 (c) (3)1000000SUPPORT EDUCATION OF NURSES
NEIGHBORHOOD HEALTH SERVICES
438 WEST BREVARD STREETTALLAHASSEEFL32301237422549501 (C) (3)3846660GENERAL PROGRAM SUPPORT
MARCH OF DIMES
1990 VILLAGE GREEN WAY 3TALLAHASSEEFL32308131846366501 (c) (3)55000WALK SPONSERSHIP
LEUKEMIA & LYMPHOMA SOCIETY
7077 BONNEVAL RD 103JACKSONVILLEFL32216135644916501 (c) (3)115000WALK SPONSERSHIP
GULF WINDS TRACK CLUB INC
PO BOX 3447TALLAHASSEEFL32315591896178501 (C) (3)245000WALK SPONSERSHIPS
FLORIDA STATE UNIVERSITY
PO BOX 3062739TALLAHASSEEFL32306596152180501 (c) (3)1020000SUPPORT EDUCATION OF NURSES
FL TAXWATCH RESEARCH INST INC
P O BOX 10209TALLAHASSEEFL32301591918055501 (c) (3)350000EVENT SPONSERSHIP
CAPITAL MEDICAL SOCIETY
1204 MICCOSKEE ROADTALLAHASSEEFL32308592104510501 (C) (3)400000GENERAL SUPPORT PROGRAM
CAPITAL CITY CLASSIC FND
400 NORTH ADAMS STREETTALLAHASSEEFL32301383666561501 (c) (3)100000EVENT SPONSERSHIP
CAPITAL AREA HEALTH ACCESS
2140 CENTERVILLE PLTALLAHASSEEFL32308204240456501 (C) (4)0225245HEALTH INSURANCE ACCESSFMVDEBT CANCELATION
BLUEPRINT 2000 INTERGOVERMENT
2727 APALACHEE PKWY SUITE 200TALLAHASSEEFL32301562329605GOVERNMENT5363550CAPITAL CASCADES PARK
BIG BEND HOSPICE
1723 MAHAN CENTER BLVDTALLAHASSEEFL32308592328806501 (C) (3)307500COMMUNITY PROGRAMS
AMERICAN HEART ASSOCIATION
2851 REMINGTON GREEN CIRCLETALLAHASSEEFL32308135613797501 (C) (3)184000WALK SPONSORSHIP
AMERICAN CANCER SOCIETY
2619 CENTENNIAL BLVD 101TALLAHASSEEFL32308131788491501 (C) (3)423000WALK SPONSERSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants20TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationCAPITAL HEALTH PLAN MAINTAINS OVERSIGHT WITH THE ORGANIZATIONS IT PROVIDES SUPPORT TO THROUGH MONITORING AND INVOLVEMENT ON BOARDS OF DIRECTORS AND ADVISORY COMMITTEES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
TOM GLENNON
SR. VP. OF COMMUNITY DEVELOPMENT204680500008000015506350186
STEPHEN LAROSA MD
MEDICAL DOCTOR231563315454700032212342320
SABIN BASS CPA
SR. VP. FIN CFO2534869974615000023004531056482049746
POLLY WHITE
SR. VP. OF MARKETING/ADMIN SERVICES1829005000078159157443285631760
PHILLIP LUBBERS MD
MEDICAL DOCTOR3548773000038359423236
PAUL BAWEK CPA
CONTROLLER17867540000684171971932088814077
NANCY VAN VESSEM MD
CHIEF MEDICAL OFFICER3236442242422070002158277646874619
LISA RAWLINGS MD
MEDICAL DOCTOR3506223000035877416499
KATHLEEN JUGENHEIMER
COMPLIANCE OFFICER13809230000514311508024510610503
JOYCE KRAMZER
DIRECTOR4500001730348869621700064792290789
JOHN HOGAN
PRESIDENT & CEO46746029898526000015507108139439442198986
ESTRELLITA REDMON MD
MEDICAL DIRECTOR26988699746150000217845518011038549746
ERIC SMITH
SR. VP. & CHIEF INFORMATION OFFICER24297199746150000155075262221799849746
DENNIS WILLIAMS MD
MEDICAL DOCTOR33509630000418594133976442
BONNIE BUTLER
SR. VP. OF QUALITY IMPRV/CLINIC OPE20682750000800007307344134
ADEKUNLE OMOTAYO MD
MEDICAL DOCTOR24101043705300002875536278119311

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ALPHA EYE CLINIC
DIRECTOR REL245965MEDICAL FEESfalse
ALPHA AMBULATORY SURGERY
DIRECTOR REL54841MEDICAL FEESfalse
ALPHA EYE CLINIC
DIRECTOR REL33467PREMIUM REVENUEfalse
AUSLEY LAW FIRM
DIRECTOR REL578390PREMIUM REVENUEfalse
MGT OF AMERICA INC
DIRECTOR REL10428PREMIUM REVENUEfalse
CAPITAL CITY BANK
DIRECTOR REL2958274PREMIUM REVENUEfalse
MAUREEN JUGENHEIMER
FAMILY MEMBE100745EMPLOYMENTfalse
JESSICA HOGAN
FAMILY MEMBE91274EMPLOYMENTfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. STATUTORY FILING FINANCIAL DOCUMENTS ARE AVAILABLE THROUGH THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONER'S WEBSITE.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE COMPENSATION COMMITTEE IS AUTHORIZED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS, AND IS RESPONSIBLE FOR COMPENSATION MATTERS INCLUDING:DETERMINING APPROPRIATE COMPENSATION FOR SENIOR MANAGEMENT AND OTHER DISQUALIFIED PERSONS; EVALUATING SENIOR MANAGERS AND OTHER DISQUALIFIED PERSONS' COMPENSATION PLANS, POLICIES AND PROGRAMS; REVIEWING BENEFIT PLANS FOR SENIOR MANAGERS AND OTHER DISQUALIFIED PERSONS AND VERIFYING THAT COMPENSATION INFORMATION IS APPROPRIATELY AND FULLY DISCLOSED.COMMITTEE MEMBERSHIP INCLUDES ONLY INDEPENDENT DIRECTORS, HAVING NO CONFLICT OF INTEREST WITH THE COMPENSATION ARRANAGEMENTS AND SUCH INDEPENDENCE AND ABSENCE OF CONFLICTS WILL BE ASSESSED ON A REGULAR BASIS.
Form 990, Part VI, Line 15aForm 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementTHE BOARD OF DIRECTORS' COMPENSATION COMMITTEE IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF THE PRESIDENT AND CEO AND FOR REVIEWING THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES. COMPENSATION IS BASED ON A NUMBER OF FACTORS INCLUDING PERFORMANCE REVIEWS AGAINST DEFINED GOALS AND OBJECTIVES, AND COMPARABILITY DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS, AND ULTIMATELY DECISIONS, REGARDING COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES OF COMMITTEE AND BOARD MEETINGS. THE COMPENSATION COMMITTEE IS COMPRISED EXCLUSIVELY OF INDEPENDENT DIRECTORS MAKING COMPENSATION DECISIONS FOR THE PRESIDENT AND CEO AND REVIEWING THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsALL OFFICERS AND ALL EMPLOYEES ARE REQUIRED, UPON HIRE AND ON AN ANNUAL BASIS, TO COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. MEMBERS OF CHP'S BOARD OF DIRECTORS ALSO ARE REQUIRED, UPON ELECTION TO THE BOARD AND ON AN ANNUAL BASIS, TO COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessTHE RETURN IS DRAFTED AND REVIEWED BY MANAGEMENT AND THE AUDIT COMMITTEE. IT IS THEN SENT TO THE BOARD OF DIRECTORS WITH SUFFICIENT TIME TO REVIEW PRIOR TO FILING.
Form 990, Part VI, Line 7bForm 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersTHE CORPORATE MEMBERSHIP, DEFINED IN THE RESPONSE TO PART VI QUESTION 7A, ELECTS THE BOARD OF DIRECTORS OF CAPITAL HEALTH PLAN.
Form 990, Part VI, Line 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyEXCERPT FROM CAPITAL HEALTH PLAN BY-LAWS-ARTICLE 3, SECTION 1, SUBSECTION B- CORPORATE MEMBERSHIP. THE ORGANIZATION'S CORPORATE MEMBERSHIP SHALL CONSIST OF TWENTY-SEVEN (27) MEMBERS. NOT LESS THAN FIFTY-ONE (51%) OF THE CORPORATE MEMBERSHIP SHALL BE COMPRISED OF REPRESENTATIVES OF BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC., AND SUCH REPRESENTATIVES OF BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC... MAY BE DIRECTORS, OFFICERS, CORPORATE MEMBERS AND/OR EMPLOYEES OF BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC. NOT MORE THAN FORTY-NINE PERCENT (49%) OF THE CORPORATE MEMBERSHIP SHALL BE OPEN TO ALL PERSONS WHO HAVE BEEN INVITED TO SUCH MEMBERSHIP BY A FIFTY-ONE PERCENT (51%) MAJORITY VOTE OF THE BOARD OF DIRECTORS. EXCERPT FROM CAPITAL HEALTH PLAN BY-LAWS-ARTICLE 3, SECTION 2, SUBSECTION B - CORPORATE MEMBERS. BY FIFTY-ONE (51%) MAJORITY VOTE, THE CORPORATE MEMBERSHIP SHALL HAVE THE RIGHT, DUTY AND PRIVILEGE TO ELECT THE BOARD OF DIRECTORS... CORPORATE MEMBERS SHALL HAVE THE RIGHT TO BE ELECTED OR APPOINTED TO COMMITTEES, AND, IF NOMINATED AND ELECTED IN ACCORDANCE WITH THESE BY-LAWS, TO HOLD OFFICE ON THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtC. DUBOSE AUSLEY AND THOMAS BARRON SERVE TOGETHER ON CAPITAL HEALTH PLAN'S BOARD OF DIRECTORS AND ON CAPITAL CITY BANK'S BOARD OF DIRECTORS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BLUE CROSS AND BLUE SHIELD OF FLORIDABusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14800 DEERWOOD CAMPUSAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32246ZIPCode
FieldValueIRS element (for citing)
EIN592015694EIN
Primary ActivitiesHEALTH INSURANCEPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501 (C) (4)ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CHEFCO PROPERTY OWNERS ASSOCIATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12140 CENTERVILLE PLACEAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32308ZIPCode
FieldValueIRS element (for citing)
EIN593378570EIN
Primary ActivityPROPERTY MGMTPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Percentage Ownership0.50000PercentageOwnership
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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