2013-11-15T12:38:58-08:00 2012-12-31 990 2012-01-01 591830622 CAPITAL HEALTH PLAN INC CAPI 8503833333 2140 CENTERVILLE PLACE TALLAHASSEE FL 32308 SABIN C BASS CPA 2013-07-12 2012 2016-02-25 16:41:14Z JOHN HOGAN 3718 BOBBIN BROOK CIR TALLAHASSEE FL 32312 729328329 false false X WWW.CAPITALHEALTH.COM X 1978 FL SEE STATEMENT 1 11 6 487 0 0 626472109 615513066 11558941 11280442 1153981 908649 639185031 627702157 2476740 3363917 526180336 541379960 41907723 42935338 0 0 16069532 17066982 586634331 604746197 52550700 22955960 419115285 453442024 82973178 86132892 336142107 367309132 X SEE STATEMENT 2 false false 581630140 3363917 627702157 BACKGROUND 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. 581630140 false false false false false false false false false false true false false false true false true true false false false false false false false false false true false true false false false false false false false false true true true false false false false false true false false false false true 1051 0 true 487 true false false false false false false false false false false false false X 11 6 true false false false false true true true true false false true true true true true true true true false X SABIN C BASS CPA 8503833377 1545 RAYMOND DIEHL RD TALLAHASSEE FL 32308 J BRIAN SHEEDY MD 2.00 0.00 X 19200 0 0 WINIFRED SCHMELING 3.00 0.00 X X 25400 0 0 ISAAC MOORE MD 2.00 0.00 X 19100 0 0 JOYCE KRAMZER 2.00 48.00 X 0 2267310 23479 PATRICIA HAYWARD 2.00 0.00 X 23200 0 0 TOM HERNDON 2.00 0.00 X 22200 0 0 DAVID COBURN 3.00 0.00 X X 18300 0 0 W KEN BOUTWELL JR 4.00 0.00 X X 42100 0 0 LILLIE BOGAN 2.00 0.00 X 23200 0 0 THOMAS A BARRON 3.00 0.00 X X 19800 0 0 DUBOSE AUSLEY 2.00 0.00 X 17900 0 0 SABIN BASS CPA 50.00 0.00 X 358052 0 173004 JOHN HOGAN 50.00 0.00 X 805887 0 275507 TOM GLENNON 50.00 0.00 X 254680 0 95506 PAUL BAWEK CPA 50.00 0.00 X 232752 0 88136 KATHLEEN JUGENHEIMER 50.00 0.00 X 178595 0 66511 ESTRELLITA REDMON MD 50.00 0.00 X 380017 0 171784 ERIC SMITH 50.00 0.00 X 360715 0 165507 BONNIE BUTLER 50.00 0.00 X 256827 0 87307 POLLY WHITE 50.00 0.00 X 234660 0 93903 NANCY VAN VESSEM MD 50.00 0.00 X 547886 0 228582 LISA RAWLINGS MD 50.00 0.00 X 350622 0 65877 PHILLIP LUBBERS MD 50.00 0.00 X 354877 0 68359 DENNIS WILLIAMS MD 50.00 0.00 X 341538 0 71859 ADEKUNLE OMOTAYO MD 50.00 0.00 X 304026 0 58755 STEPHEN LAROSA MD 50.00 0.00 X 263108 0 79212 5454642 2267310 1813288 68 false true false TALLAHASSEE MEMORIAL HEALTHCARE 1309 THOMASVILLE RD TALLAHASSEE FL 32303 HEALTH CARE 180932395 SHANDS TEACHING HOSPITAL 1600 SW ARCHER RD GAINSVILLE FL 32611 HEALTH CARE 20564315 RADIOLOGY ASSOC OF TALLAHASSEE 1110 CAPITAL CIRCLE NE TALLAHASSEE FL 32301 HEALTH CARE 12036729 CAPITAL REGIONAL MEDICAL CENTER 2626 CAPITAL MEDICAL BLVD TALLAHASSEE FL 32308 HEALTH CARE 42275663 ANESTHESIOLOGY ASSOC OF TALLAHASSEE 2173 CENTERVILLE PL TALLAHASSEE FL 32308 HEATLH CARE 19606867 191 0 PREMIUMS AND COPAYMENTS 621491 615513066 615513066 615513066 9940903 9940903 0 0 431741 377548 54193 54193 54193 101486925 100147386 1339539 1339539 1339539 0 0 1955694 1101238 854456 854456 0 627702157 627647964 54193 3363917 3363917 0 0 541379960 541379960 4175354 1127301 3048053 0 28121180 20639363 7481817 3072958 2197683 875275 5537402 3775872 1761530 2028444 1333351 695093 0 211421 211421 191206 191206 0 0 117385 117385 1097201 80769 1016432 181486 4700 176786 3640523 1379407 2261116 2852866 1123868 1728998 0 2557857 1785055 772802 22124 8631 13493 0 238369 93497 144872 25921 25921 0 1349307 842182 507125 761016 465352 295664 CLINIC SUPPLIES 1773133 1773133 MISCELLANEOUS EXPENSE 2047167 256099 1791068 0 604746197 581630140 23116057 0 6129 6799 30620339 12675221 0 14611594 14457271 0 0 0 408228 384926 2977881 2566843 48087869 23937063 23696954 24150806 343020332 395184064 0 0 0 3773828 4016094 419115285 453442024 71105000 73762440 10523151 10854425 1345027 1516027 82973178 86132892 X 336142107 367309132 336142107 367309132 419115285 453442024 22955960 8211065 X false true X true false 4554405 4554405 25460006 8674959 16785047 17430609 14897397 2533212 642849 364707 278142 24150806 Deferred Compensation 1516027 1516027 628631817 628631817 117385 -1047045 -929660 627702157 605730050 605730050 117385 -1101238 -983853 604746197 true WORLD CLASS SCHOOLS OF LEON P O BOX 1639 TALLAHASSEE FL 32302 134202729 501 (C) (3) 1602200 0 ENCOURAGE YOUTH TO EXERCISE UNITED WAY OF BIG BEND 303 EAST 7TH AVENUE TALLAHASSEE FL 32303 596011150 501 (C) (3) 121051 0 GENERAL SUPPORT TOC FOUNDATION INC 3334 CAPITAL MEDICAL BLVD STE TALLAHASSEE FL 32308 205292321 501 (C) (3) 20000 0 GENERAL PROGRAM SUPPORT TMH FOUNDATION INC 1309 THOMASVILLE RD TALLAHASSEE FL 32303 591727645 501 (C) (3) 26200 0 EVENT SPONSERSHIP TALLAHASSEE SENIOR CITIZENS 1400 NORTH MONROE ST TALLAHASSEE FL 32303 592040638 501 (C) (3) 15000 0 EVENT SPONSORSHIP TALLAHASSEE FRIENDS OF PARK 912 MYERS PARK DRIVE TALLAHASSEE FL 32301 592164894 501 (c) (3) 13250 0 WALK SPONSERSHIP TALLAHASSEE COMMUNITY COLLEGE 444 APPLEYARD DRIVE TALLAHASSEE FL 32304 592091480 501 (c) (3) 100000 0 SUPPORT EDUCATION OF NURSES NEIGHBORHOOD HEALTH SERVICES 438 WEST BREVARD STREET TALLAHASSEE FL 32301 237422549 501 (C) (3) 384666 0 GENERAL PROGRAM SUPPORT MARCH OF DIMES 1990 VILLAGE GREEN WAY 3 TALLAHASSEE FL 32308 131846366 501 (c) (3) 5500 0 WALK SPONSERSHIP LEUKEMIA & LYMPHOMA SOCIETY 7077 BONNEVAL RD 103 JACKSONVILLE FL 32216 135644916 501 (c) (3) 11500 0 WALK SPONSERSHIP GULF WINDS TRACK CLUB INC PO BOX 3447 TALLAHASSEE FL 32315 591896178 501 (C) (3) 24500 0 WALK SPONSERSHIPS FLORIDA STATE UNIVERSITY PO BOX 3062739 TALLAHASSEE FL 32306 596152180 501 (c) (3) 102000 0 SUPPORT EDUCATION OF NURSES FL TAXWATCH RESEARCH INST INC P O BOX 10209 TALLAHASSEE FL 32301 591918055 501 (c) (3) 35000 0 EVENT SPONSERSHIP CAPITAL MEDICAL SOCIETY 1204 MICCOSKEE ROAD TALLAHASSEE FL 32308 592104510 501 (C) (3) 40000 0 GENERAL SUPPORT PROGRAM CAPITAL CITY CLASSIC FND 400 NORTH ADAMS STREET TALLAHASSEE FL 32301 383666561 501 (c) (3) 10000 0 EVENT SPONSERSHIP CAPITAL AREA HEALTH ACCESS 2140 CENTERVILLE PL TALLAHASSEE FL 32308 204240456 501 (C) (4) 0 225245 FMV DEBT CANCELATION HEALTH INSURANCE ACCESS BLUEPRINT 2000 INTERGOVERMENT 2727 APALACHEE PKWY SUITE 200 TALLAHASSEE FL 32301 562329605 GOVERNMENT 536355 0 CAPITAL CASCADES PARK BIG BEND HOSPICE 1723 MAHAN CENTER BLVD TALLAHASSEE FL 32308 592328806 501 (C) (3) 30750 0 COMMUNITY PROGRAMS AMERICAN HEART ASSOCIATION 2851 REMINGTON GREEN CIRCLE TALLAHASSEE FL 32308 135613797 501 (C) (3) 18400 0 WALK SPONSORSHIP AMERICAN CANCER SOCIETY 2619 CENTENNIAL BLVD 101 TALLAHASSEE FL 32308 131788491 501 (C) (3) 42300 0 WALK SPONSERSHIP 20 0 Grantmaker's Description of How Grants are Used CAPITAL HEALTH PLAN MAINTAINS OVERSIGHT WITH THE ORGANIZATIONS IT PROVIDES SUPPORT TO THROUGH MONITORING AND INVOLVEMENT ON BOARDS OF DIRECTORS AND ADVISORY COMMITTEES. X X X X X false false false false false false false false false false TOM GLENNON 204680 50000 80000 15506 350186 STEPHEN LAROSA MD 231563 31545 47000 32212 342320 SABIN BASS CPA 253486 99746 4820 150000 23004 531056 49746 POLLY WHITE 182900 50000 1760 78159 15744 328563 PHILLIP LUBBERS MD 354877 30000 38359 423236 PAUL BAWEK CPA 178675 40000 14077 68417 19719 320888 NANCY VAN VESSEM MD 323644 224242 207000 21582 776468 74619 LISA RAWLINGS MD 350622 30000 35877 416499 KATHLEEN JUGENHEIMER 138092 30000 10503 51431 15080 245106 JOYCE KRAMZER 450000 1730348 86962 17000 6479 2290789 JOHN HOGAN 467460 298985 39442 260000 15507 1081394 198986 ESTRELLITA REDMON MD 269886 99746 10385 150000 21784 551801 49746 ERIC SMITH 242971 99746 17998 150000 15507 526222 49746 DENNIS WILLIAMS MD 335096 6442 30000 41859 413397 BONNIE BUTLER 206827 50000 80000 7307 344134 ADEKUNLE OMOTAYO MD 241010 43705 19311 30000 28755 362781 ALPHA EYE CLINIC DIRECTOR REL 245965 MEDICAL FEES false ALPHA AMBULATORY SURGERY DIRECTOR REL 54841 MEDICAL FEES false ALPHA EYE CLINIC DIRECTOR REL 33467 PREMIUM REVENUE false AUSLEY LAW FIRM DIRECTOR REL 578390 PREMIUM REVENUE false MGT OF AMERICA INC DIRECTOR REL 10428 PREMIUM REVENUE false CAPITAL CITY BANK DIRECTOR REL 2958274 PREMIUM REVENUE false MAUREEN JUGENHEIMER FAMILY MEMBE 100745 EMPLOYMENT false JESSICA HOGAN FAMILY MEMBE 91274 EMPLOYMENT false Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available GOVERNING 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 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees THE 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 15a Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management THE 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 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts ALL 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 11b Form 990, Part VI, Line 11b: Form 990 Review Process THE 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 7b Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders THE 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 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body EXCERPT 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 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et C. DUBOSE AUSLEY AND THOMAS BARRON SERVE TOGETHER ON CAPITAL HEALTH PLAN'S BOARD OF DIRECTORS AND ON CAPITAL CITY BANK'S BOARD OF DIRECTORS. BLUE CROSS AND BLUE SHIELD OF FLORIDA 4800 DEERWOOD CAMPUS JACKSONVILLE FL 32246 592015694 HEALTH INSURANCE FL 501 (C) (4) NA false CHEFCO PROPERTY OWNERS ASSOCIATION 2140 CENTERVILLE PLACE TALLAHASSEE FL 32308 593378570 PROPERTY MGMT FL NA C CORP 0.50000 false false false false false false false false false false false false false false false false true true false false