2012-11-12T16:56:06-06:00 2011-12-31 KPMG LLP 300 North Greene Street Suite 400 Greensboro NC 27401 990 2011-01-01 800420631 INTEGRAL HEALTH PLAN INC % LAUREN EDGINGTON CFO INTE 8137750050 4630 WOODLAND CORPORATE BLVD TAMPA FL 33614 JAMES YOUNG 2012-11-08 true 3362753394 2011 2016-02-24 21:20:13Z INTEGRAL QUALITY CARE JAMES YOUNG CEO 4630 WOODLAND CORPORATE BLVD TAMPA FL 33614 36810877 false X INTEGRALQUALITYCARE.COM X 2009 FL Integral Quality Care is a Medicaid Provider Service Network (PSN). We deliver high quality, accessible care to the members we serve. 3 1 0 0 0 0 0 14158037 36749416 348 2873 0 58588 14158385 36810877 0 0 11978020 27364947 0 0 0 0 0 4279584 5984966 16257604 33349913 -2099219 3460964 7067722 10715558 9167132 9354004 -2099410 1361554 Integral Quality Care is a Medicaid Provider Service Network (PSN). We deliver high quality, accessible care to the members we serve. We are committed to collaborative relationships with our providers while serving our members with compassion and care. false false 27364947 36749416 INTEGRAL HEALTH PLAN, INC. BEGAN ENROLLING MEMBERS IN APRIL 2010 AND AS OF DECEMBER 31, 2011, PROVIDES HEALTHCARE SERVICES TO APPROXIMATELY 21,000 BENEFICIARIES. 27364947 true false false false false false false false false false false false false false true true true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false false true 0 0 true 0 false false false false false false false false false false X 3 1 false true false false false false false true true false false true true true true true true false false false X LAUREN EDGINGTON CFO 8137750050 4630 WOODLAND CORPORATE BLVD TAMPA FL 33614 X RICHARD AKIN 1.0 X X 0 336910 35802 STEVEN WEINMAN 1.0 X X 0 256170 39962 MIKE ELLIS 1.0 X 0 0 0 JAMES YOUNG 40.0 X 0 0 0 LAUREN EDGINGTON 40.0 X 0 0 0 FRED HILL 40.0 X 0 0 0 JENNIFER SWEET 40.0 X 0 0 0 PATRICIA SIMPSON 40.0 X 0 0 0 ELIZABETH DAY 40.0 X 0 0 0 0 593080 75764 0 false true false EXPRESS SCRIPTS 21653 NETWORK PLACE CHICAGO IL 60673 MEDICAL SERVICES 5240933 NCH HEALTHCARE SYSTEM PO BOX 404912 ATLANTA GA 30384 MEDICAL SERVICES 4060855 COLLIER HEALTH SERVICES PO BOX 12229 NAPLES FL 34101 MEDICAL SERVICES 2628769 PHYSICIANS REGIONAL MEDICAL CENTER 6101 PINE RIDGE ROAD NAPLES FL 34119 MEDICAL SERVICES 1725451 LEE MEMORIAL HOSPITAL PO BOX 150107 CAPE CORAL FL 33915 MEDICAL SERVICES 1418286 32 0 MEDICAID PREMIUM REVENUES 900099 36749416 36749416 0 0 36749416 2873 0 0 2873 0 0 0 0 0 0 OTHER INCOME 58588 58588 0 0 58588 36810877 36808004 0 2873 0 0 0 27364947 27364947 0 0 0 0 0 0 5520776 0 5520776 0 27142 0 27142 0 101500 0 101500 0 0 0 0 66267 0 66267 0 51902 0 51902 0 3179 0 3179 0 0 0 0 0 0 0 56000 0 56000 0 0 0 158200 0 158200 0 33349913 27364947 5984966 0 6326997 9333274 0 0 709814 1382284 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30911 0 7067722 10715558 391772 2108812 0 0 1940034 0 0 0 0 0 0 0 0 0 3310878 3310878 3524448 3934314 9167132 9354004 X -2099410 1361554 0 0 0 0 -2099410 1361554 7067722 10715558 3460964 X false true true X false X 0 MEDICAL CLAIMS PAYABLE 3768394 INTEREST PAYABLE 165920 3934314 36810877 33349913 3460964 3460964 36810877 36810877 36810877 33349913 33349913 33349913 ASC 740 SCHEDULE D, PART X, LINE 2 ASC TOPIC 740, INCOME TAXES, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, AND PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. MANAGEMENT BELIEVES THAT NO SUCH UNCERTAIN TAX POSITION EXISTS FOR THE COMPANY ON DECEMBER 31, 2011. false true false false false false false false false RICHARD AKIN 0 336910 0 0 0 0 0 28241 0 7561 0 372712 0 0 STEVEN WEINMAN 0 256170 0 0 0 0 0 28241 0 11721 0 296132 0 0 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN SCHEDULE J, PART I, QUESTION 4B The Organization (Collier Health Services, Inc.) offers its senior management employees an opportunity to defer compensation pursuant to section 457(b) of the Code to supplement such employees' retirement benefits under the employer's retirement plan. Employees are fully vested when plan contributions are made. The amounts are maintained on the Organization's books in a designated account and remain the sole property of the Organization and are available to satisfy the claims of all general creditors of the Organization. Richard Akin participates, but contributed zero in calendar year 2011. DELEGATE CONTROL OVER MANAGEMENT DUTIES FORM 990, PART VI, SECTION A, QUESTION 3: THE COMPANY IS MANAGED BY SCHALLER ANDERSON, LLC (SCHALLER), A MANAGEMENT SERVICE ORGANIZATION, AS PART OF A MANAGEMENT SERVICES AGREEMENT. SCHALLER IS A SUBSIDIARY OF AETNA INSURANCE COMPANY. BOARD REVIEW OF FORM 990 FORM 990, PART VI, SECTION B, QUESTION 11: DURING THE COURSE OF THE FINANCE COMMITTEE MEETING (OCTOBER 2012), MANAGEMENT PRESENTED AN OVERVIEW OF FORM 990 TO THE FINANCE COMMITTEE AND GAVE THE COMMITTEE MEMBERS AN OPPORTUNITY TO PROVIDE COMMENTS AND ASK QUESTIONS WITH RESPECT TO THE DRAFT. BASED ON FEEDBACK FROM THE COMMITTEE MEMBERS, MANAGEMENT UPDATED THE DRAFT FORM 990. PRIOR TO FINALIZATION OF THE RETURN, MANAGEMENT PROVIDED A FINAL DRAFT, VIA E-MAIL, TO ALL MEMBERS OF THE BOARD OF DIRECTORS SEEKING COMMENTS. MANAGEMENT UPDATED THE FINAL DRAFT FOR ALL COMMENTS RECEIVED AND FINALIZED THE RETURN. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, QUESTION 12: SCHALLER ANDERSON, AN AETNA COMPANY, INTEGRAL HEALTH PLAN, INC.'S MANAGEMENT COMPANY, HAS ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH HAS BEEN REVIEWED AND APPROVED BY THE AETNA'S BOARD OF DIRECTORS. SCHALLER ANDERSON/AETNA IS COMMITTED TO THE BELIEF THAT SOUND BUSINESS PRACTICES START WITH AN ABSOLUTE COMMITMENT FROM EACH EMPLOYEE TO ACT ETHICALLY IN CARRYING OUT SCHALLER ANDERSON/AETNA BUSINESS, AND TO COMPLY WITH THE LAWS AND REGULATIONS THAT IMPACT ITS BUSINESS, THUS SCHALLER ANDERSON/AETNA'S EMPLOYEES MUST AVOID PARTICIPATING IN ACTIVITIES THAT CREATE OR APPEAR TO CREATE A CONFLICT OF INTEREST. SCHALLER ANDERSON/AETNA HAS SPECIFICALLY IDENTIFIED THE FOLLOWING AREAS IN ITS POLICY TO BE POTENTIAL CONFLICTS OF INTEREST: FINANCIAL INTEREST, OUTSIDE EMPLOYMENT, PAID FACULTY ARRANGEMENTS, CONSULTANT OR RESEARCH CONTRACTS, ACCEPTANCE OF GIFTS, GRATUITIES, BUSINESS COURTESIES, TRAVEL, LODGING AND ENTERTAINMENT, MISUSE OF RESOURCES OR ASSETS, PERSONAL GAIN USING UNDUE INFLUENCE, DIRECT DEALINGS WITH VENDORS, AND USE OF CONFIDENTIAL INFORMATION. SCHALLER ANDERSON/AETNA'S POLICY REQUIRES ALL EMPLOYEES TO DISCLOSE PARTICIPATION IN ACTIVITIES OR CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST ON AN ANNUAL BASIS OR IF AT ANY TIME SUCH INDIVIDUAL BECOMES AWARE OF CIRCUMSTANCES THAT MAY PRESENT A CONFLICT OF INTEREST. THESE DISCLOSURES ARE REVIEWED BY COMPLIANCE AND REGULATORY AFFAIRS, AS NECESSARY. GOVERNING DOCUMENTS FORM 990, PART VI, SECTION C, QUESTION 19: GENERALLY, INTEGRAL HEALTH PLAN, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. HOWEVER, INTEGRAL HEALTH PLAN, INC.'S ARTICLES OF INCORPORATION ARE PUBLICLY AVAILABLE THROUGH FLORIDA'S SECRETARY OF STATE WEBSITE. SCHALLER ANDERSON/AETNA, INTEGRAL HEALTH PLAN, INC.'S MANAGEMENT COMPANY'S CONFLICT OF INTEREST POLICY CAN BE FOUND ON AETNA'S WEBSITE. INTEGRAL HEALTH PLAN'S FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON THE FLORIDA AGENCY FOR HEALTHCARE ADMINISTRATION WEBSITE. OFFICERS LISTED IN PART VII FORM 990, PART VII, SECTION A INTEGRAL HEALTH CARE INC.'S CEO, CFO, CMO, COO, COMPLIANCE MANAGER, AND DIRECTOR OF MEDICAL MANAGEMENT ARE EMPLOYEES OF AND COMPENSATED BY SCHALLER ANDERSON OF ARIZONA, LLC. SEE FORM 990, PART VI, SECTION A, QUESTION 3. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:RICHARD AKIN TITLE:PRESIDENT/CHAIRMAN HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:STEVEN WEINMAN TITLE:VP/TREASURER/SECRETARY HOURS:40 COLLIER HEALTH SERVICES INC 1454 MADISON AVENUE IIMMMOKALEE FL 34142 591741277 MEDICAL CARE FL 501(c)(3) 7 NA false false false false false false false false false false false false false false false false false false false