CAPITAL HEALTH PLAN INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CAPITAL HEALTH PLAN INC (EIN 59-1830622)
Tax period
2010-01-01 to 2010-12-31
Filed
2012-03-06
IRS object ID
201220669349301357
Schema version
2010v3.2
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)
Timestamp2012-03-06T12:44:57-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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 Signed2012-03-06DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Gross Receipts681305026GrossReceipts
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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees485TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year540150538ProgramServiceRevenuePriorYear
Program Service Revenue CY581017988ProgramServiceRevenueCY
Investment Income Prior Year13622894InvestmentIncomePriorYear
Investment Income Current Year3945280InvestmentIncomeCurrentYear
Other Revenue Prior Year1617967OtherRevenuePriorYear
Other Revenue Current Year1399232OtherRevenueCurrentYear
Total Revenue Prior Year555391399TotalRevenuePriorYear
Total Revenue Current Year586362500TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2501403GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2596372GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year482879417BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY494646349BenefitsPaidToMembersCY
Salaries Etc Prior Year39025815SalariesEtcPriorYear
Salaries Etc Current Year39397836SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16389239OtherExpensePriorYear
Other Expenses Current Year16246071OtherExpensesCurrentYear
Total Expenses Prior Year540795874TotalExpensesPriorYear
Total Expenses Current Year552886628TotalExpensesCurrentYear
Revenues Less Expenses Prior Year14595525RevenuesLessExpensesPriorYear
Revenues Less Expenses CY33475872RevenuesLessExpensesCY
Total Assets BOY335226875TotalAssetsBOY
Total Assets EOY367538987TotalAssetsEOY
Total Liabilities BOY98435864TotalLiabilitiesBOY
Total Liabilities EOY85090401TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY236791011NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY282448586NetAssetsOrFundBalancesEOY
Mission DescriptionSEE STATEMENT 2MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense530348460Expense
Grants2596372Grants
Revenue586362500Revenue
DescriptionSEE STATEMENT 3Description
Total Program Service Expense530348460TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementstrueConservationEasements
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 With1096894NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees485NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
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 ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
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 RoadAddressLine1
CityTallahasseeCity
StateFLState
ZIP Code32308ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
WINIFRED H SCHMELING
Vice Chairman3.00XX2810000
W KEN BOUTWELL JR
Chairman4.00XX3960000
TOM HERNDON
Director2.00X2190000
TOM GLENON
SR. VP. OF COMMUNITY DEVELOPMENT50.00231583013193X
THOMAS BARRON
Secretary2.00XX2400000
STEPHEN C MCARTHUR
Director2.00X2520000
SABIN BASS
Sr. Vp. & CFO50.00X287148094839X
ROBERT CHAPMAN MD
MEDICAL DOCTOR50.00246447057244X
POLLY WHITE
SR. VP. OF MARKETING/ADMIN SERVICES50.00224086041475X
PHILLIP LUBBERS MD
MEDICAL DOCTOR50.00338329067981X
PAUL BAWEK
CONTROLLER50.00221974040862X
PATRICIA C HAYWARD
Director2.00X1820000
NANCY VAN VESSEM MD
CHIEF MEDICAL OFFICER50.004528650119041X
LISA RAWLINGS MD
MEDICAL DOCTOR50.00338033070243X
LILLIE BOGAN
Director2.00X1890000
KATHLEEN JUGENHEIMER
Compliance Officer50.00165813033833X
JOYCE KRAMZER
Director2.00X01175231416484
JOHN HOGAN
President & CEO50.00X6735570243833X
J BRIAN SHEEDY MD
Director2.00X1890000
ISAAC MOORE MD
Director2.00X2070000
ESTRELLITA REDMON MD
Medical Director50.00319280099061X
ERIC SMITH
SR. VP. & CHIEF INFORMATION OFFICER50.00282640093833X
DENNIS WILLIAMS MD
MEDICAL DOCTOR50.00319343063519X
DAVID SHAFER MD
MEDICAL DOCTOR50.00260877055591X
DAVID K COBURN
Treasurer3.00XX290000
C DUBOSE AUSLEY
Director2.00X2030000
BONNIE L BUTLER
SR. VP. QUALITY IMPRV/CLINICAL OPS.50.00248342038568X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4849017TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1175231TotalReportableCompFrmRltdOrgs
Total Other Compensation1549600TotalOtherCompensation
Number Individuals GT100 K62NumberIndividualsGT100K
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 CARE142748032
SHANDS TEACHING HOSPITAL
1600 SW ARCHER RDGAINESVILLEFL32611HEALTH CARE17700073
RADIOLOGY ASSOC OF TALLAHASSEE
1110 Capital Cir NETALLAHASSEEFL32301HEALTH CARE9699613
CAPITAL REGIONAL MEDICAL CENTER
2626 CAPITAL MEDICAL BLVDTALLAHASSEEFL32308HEALTH CARE34606262
ANESTHESIOLOGY ASSOCIATES OF TALLAHASSEE
2173 A CENTERVILLE PLACETALLAHASSEEFL32308HEALTH CARE14421365
FieldValueIRS element (for citing)
Number Of Contractors GT100 K178NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPremium and CopaymentsDescription
Business Code621491BusinessCode
Total Revenue Column581017988TotalRevenueColumn
Related Or Exempt Function Income581017988RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue581017988TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9789977TotalRevenueColumn
Related Or Exempt Function Income9789977RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real456178Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real361747Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real94431Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column94431TotalRevenueColumn
Exclusion$94,431ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities87523745Securities
Other600Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities93369042Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-5845297Securities
Other600Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5844697TotalRevenueColumn
Related Or Exempt Function Income-5844697RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory2516538GrossSalesOfInventory
Cost Of Goods Sold1211737CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1304801TotalRevenueColumn
Related Or Exempt Function Income1304801RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column586362500TotalRevenueColumn
Related Or Exempt Function Income586268069RelatedOrExemptFunctionIncome
Exclusion$94,431ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2596372Total
Program Services2596372ProgramServices

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)
Total494646349Total
Program Services494646349ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3654013Total
Program Services919476ProgramServices
Management And General2734537ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total26125424Total
Program Services18132758ProgramServices
Management And General7992666ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3010126Total
Program Services2108629ProgramServices
Management And General901497ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4695837Total
Program Services3110757ProgramServices
Management And General1585080ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1912436Total
Program Services1263742ProgramServices
Management And General648694ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total214671Total
Management And General214671ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total86930Total
Management And General86930ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total123000Total
Management And General123000ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total104164Total
Management And General104164ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1189383Total
Program Services68509ProgramServices
Management And General1120874ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total223781Total
Management And General223781ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2906085Total
Program Services1165697ProgramServices
Management And General1740388ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2650648Total
Program Services1017300ProgramServices
Management And General1633348ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1580392Total
Program Services1161546ProgramServices
Management And General418846ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total24519Total
Program Services6909ProgramServices
Management And General17610ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total167817Total
Program Services56953ProgramServices
Management And General110864ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2414586Total
Program Services1530115ProgramServices
Management And General884471ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total898858Total
Program Services652314ProgramServices
Management And General246544ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Miscellaneous21015823513791750203
Clinical Supplies15596551559655

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total552886628Total
Program Services530348460ProgramServices
Management And General22538168ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5950BOY
EOY5950EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY54051620BOY
EOY35752403EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7560714BOY
EOY5814868EOY

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)
BOY352763BOY
EOY436968EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1597762BOY
EOY3664276EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis55218341LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec31172336LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY24588795BOY
EOY24046005EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY243771151BOY
EOY294163431EOY

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)
BOY3298120BOY
EOY3655086EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY335226875BOY
EOY367538987EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY87465328BOY
EOY73005556EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY9893069BOY
EOY10827096EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1077467BOY
EOY1257749EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY98435864BOY
EOY85090401EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY236791011BOY
EOY282448586EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY236791011BOY
EOY282448586EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY335226875BOY
EOY367538987EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses33475872ReconcilationRevenueExpenses
Reconcilation Other Changes12181703ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Of Natural HabitatXProtectionOfNaturalHabitat
Total Number Of Easements1TotalNumberOfEasements
Total Acreage7TotalAcreage
Nmbr States In Which Easements Held1NmbrStatesInWhichEasementsHeld
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2282352OtherCostOrOtherBasis
Book Value2282352BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26188781OtherCostOrOtherBasis
Depreciation7083802Depreciation
Book Value19104979BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis24640987OtherCostOrOtherBasis
Depreciation22182234Depreciation
Book Value2458753BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2106221OtherCostOrOtherBasis
Depreciation1906300Depreciation
Book Value199921BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings24046005TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDeferred CompensationDescription
Amount$1,257,749Amount
FieldValueIRS element (for citing)
Total Of Amounts1257749TotalOfAmounts
Total Revenue586362500TotalRevenue
Total Expenses552886628TotalExpenses
Excess Or Deficit For Year33475872ExcessOrDeficitForYear
Net Unrealized GL On Investments12181703NetUnrealizedGLOnInvestments
Total Adjustments12181703TotalAdjustments
Excess Or Deficit Per FS45657575ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt587375642TotRevenueEtcAuditedFinclStmt
Revenue Subtotal587375642RevenueSubtotal
Investment Expenses Not Included104164InvestmentExpensesNotIncluded
Other Revenues Not Included-1117306OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-1013142RevenueNotRptdOnFinStmt
Total Revenue Per Form990586362500TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt553994201TotExpensesEtcAuditedFinclStmt
Expenses Subtotal553994201ExpensesSubtotal
Investment Expenses Not Included2104164InvestmentExpensesNotIncluded2
Other Expenses Not Included-1211737OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-1107573ExpensesNotRptdOnFinStmt
Total Expenses Per Form990552886628TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart II, Line 9Identifier
Return ReferencePart II, Line 9: Organization Reporting of conservation easements.ReturnReference
ExplanationTHE EASEMENT IS REPORTED AS A AN ELEMENT OF PROPERTY AND EQUIPMENT AND IS NOT DEPRECIATED IN THE FINANCIALS. THERE ARE NO ASSOCIATED REVENUES OR EXPENSES WITH THE EASEMENT.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (21 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 COUNTY Inc
PO Box 1639TallahasseeFL32302134202729501(c)314640000ENCOURAGE YOUTH TO EXERCISE
UNITED WAY OF THE BIG BEND
303 EAST 7TH AVETALLAHASSEEFL32303596011150501(c)31685750GENERAL SUPPORT
TOM JOYNER FOUNDATION INC
PO BOX 6562TALLAHASSEEFL32314752730557501(c)31000000EDUCATION OF NURSES AT FAMU
TMH FOUNDATION INC
1309 THOMASVILLE RDTALLAHASSEEFL32303591727645501(c)3162000EVENT SPONSORSHIP
THE DAVIS PRODUCTIVITY AWARDS FO
106 N BRONOUGH STTALLAHASSEEFL32301593709411501(c)3100000EVENT SPONSORSHIP
TALLAHASSEE SENIOR FOUNDATION INC
1400 NORTH MONROE STREETTALLAHASSEEFL32303592040638501(c)3100000EVENT SPONSORSHIP
TALLAHASSEE FRIENDS OF OUR PARKS FDN
912 MYERS PARK DRIVETALLAHASSEEFL32301592164894501(c)3125000WALK SPONSORSHIP
TALLAHASSEE COMMUNITY COLLEGE FOUNDATION
444 APPLEYARD DRIVETALLAHASSEEFL32304592091480501(c)31000000SUPPORT EDUCATION OF NURSES
SICKLE CELL FOUNDATION
1336 VICKERS RDTALLAHASSEEFL32303592518049501(c)357000WALK SPONSORSHIP
NEIGHBORHOOD HEALTH SERVICES
438 W BREVARD STREETTALLAHASSEEFL32301237422549501(c)32559980GENERAL PROGRAM SUPPORT
MARCH OF DIMES
1990 VILLAGE GREEN WAY SUITE 3TALLAHASSEEFL32308131846366501(c)374000WALK SPONSORSHIP
LUKEMIA & LYMPHOMA SOC
7077 BONNEVAL ROAD STE 103JACKSONVILLEFL32216135644916501(c)382000WALK SPONSORSHIP
GULF WINDS TRACK CLUB INC
313 NORTH MONROE STREE SUITE 200TALLAHASSEEFL32301591896178501(c)3210000WALK SPONSORSHIPS
FLORIDA STATE UNIVERSITY FOUNDATION INC
PO BOX 3062739TALLAHASSEEFL32306596152180501(c)31000000SUPPORT EDUCATION OF NURSES
CAPITAL MEDICAL SOCIETY FOUNDATION INC
1204 MICCOSUKEE ROADTALLAHASSEEFL32308592104510501(c)3270000GENERAL PROGRAM SUPPORT
CAPITAL AREA HEALTH AC
2140 CENTERVILLE PLTALLAHASSEEFL32308204240456501(c)40205450HEALTH INSURANCE ACCESSFMVDEBT CANCELATION
BIG BEND HOSPICE INC
1723 MAHAN CENTER BLVDTALLAHASSEEFL32308592328806501(c)3307500COMMUNITY PROGRAMS
BIG BEND CARES INC
2201 S MONROE STREETTALLAHASSEEFL32301592816580501(c)366000WALK SPONSORSHIP
AMERICAN LUNG ASSOCIATION
5389 SILVER SLIPPER LN STE ATALLAHASSEEFL32303590662271501(c)358000WALK SPONSORSHIP
AMERICAN HEART ASSOCIATION INC
2851 REMINGTON GREEN CIR STE CTALLAHASSEEFL32308135613797501(c)3160000WALK SPONSORSHIP
AMERICAN CANCER SOCIET
2619 CENTENNIAL BLVD SUITE 101TALLAHASSEEFL32308131788491501(c)3252000WALK SPONSORSHIP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants20TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

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)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
TOM GLENON
23158394503743244776
SABIN BASS
2326487940015439381987500004500
ROBERT CHAPMAN MD
201447294002784430369145000
POLLY WHITE
174086268901458526556150000
PHILLIP LUBBERS MD
3383292940038581406310
PAUL BAWEK
16895226648142142628364000013022
NANCY VAN VESSEM MD
291839944002464157190613551825508
LISA RAWLINGS MD
3380332940040843408276
KATHLEEN JUGENHEIMER
1307771989713936199646300005036
JOYCE KRAMZER
37723110000069800041188845961591715
JOHN HOGAN
4087562294001443391739023034834453
ESTRELLITA REDMON MD
25692379400196614183415000012357
ERIC SMITH
21600079400144333764735000016640
DENNIS WILLIAMS MD
3193432940034119382862
DAVID SHAFER MD
20910329400261913164683288018894
BONNIE L BUTLER
194539294009168286910500003803

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ALPHA AMBULATORY SURGERY
DIRECTOR RELATED34771MEDICAL FEESfalse
ALPHA EYE CLINIC
DIRECTOR RELATED25550PREMIUM REVENUEfalse
ISAAC MOORE MD
BOARD MEMBER202836MEDICAL FEESfalse
AUSLEY & MCMULLEN PA
DIRECTOR RELATED556981PREMIUM REVENUEfalse
MGT OF AMERICA INC
DIRECTOR RELATED153069PREMIUM REVENUEfalse
CAPITAL CITY BANK
DIRECTOR RELATED2962011PREMIUM REVENUEfalse
MAUREEN JUGENHEIMER
FAMILY MEMBER OF KEY EMPL81821EMPLOYMENTfalse
JESSICA HOGAN
FAMILY MEMBER OF OFFICER77973EMPLOYMENTfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990 Part VI Section A. Question 1A.Executive Committee of the Board of Directors:Committee is comprised of six (6) members of the Board of Directors, including the four (4) officers of the organization; Chairman, Vice Chairman, Secretary and Treasurer. The Committee, as provided in its corporate By-Laws, 'is authorized to act in the place of the Board of Directors and to have such authority and powers of the Board between meetings of the Board.except as such authority and powers may be reserved to the Board of Directors or be limited by the Articles of Incorporation, the By-Laws, or a specific resolution of the Board of Directors.'
THE TAX FILING SOFTWARE USED TO CREATE THE ELECTRONIC FILE HAD ERRORS IN TRANSMISSION OF THE SCHEDULE J DATA.Amended Explanation
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGOVERNING DOCUMENTS AND 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 19
Form 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; REVEIWING 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 ARRANGEMENTS AND SUCH INDEPENDENCE AND ABSENCE OF CONFLICTS WILL BE ASSESSED ON A REGULAR BASIS.Form 990, Part VI, Line 15b
Form 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 12c
Form 990, Part VI, Line 11: 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 11
Form 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 THE CAPITAL CITY BANK GROUP'S BOARD OF DIRECTORS.Form 990, Part VI, Line 2
Client Note 3 - BACKGROUND AND MISSION:Capital Health Plan is a local HMO focused on serving the Tallahassee, Florida metropolitan area and adjoining rural counties. 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 physicians 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 this 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 114,000 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 accommodate 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 satisfaction, and affordability. In that regard, CHP has been consistently recognized by NCQA. CHP was ranked in 2010 by the NCQA as the top Medicare health plan and the 4th best private health plan in the nation. As the 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 marketplace 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 strategies 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 dividend derived from the organization's ongoing focus on excellent clinical care and service to its members.2010 ACCOMPLISHMENTS AND BENEFIT TO THE COMMUNITYHighlights of Capital Health Plan's contributions to the health of the Tallahassee area in 2010 include the following:AffordabilityCapital Health Plan's commercial premium increases for 2010 averaged 7.9%, the seventh consecutive year of single digit price adjustment. These low price adjustments were achieved while maintaining a comprehensive level of health benefits.CHP's premiums for the State of Florida Group, the area's largest employer, were again the lowest of all HMO's offered the State's workforce in 2010. Compared to the prices paid HMO competitors for an identical standard HMO benefit package, CHP's price saved the State in excess of $ 30 million in 2010.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 twenty years, and in 2010 totaled 3.8% 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 Medicare plan by NCQA's Health Insurance Plan Raking and CHP's commercial plan was ranked 4th in the nation according to NCQA's ranking. CHP is the only Medicare Advantage plan in Florida, and one of only three in the nation in 2010, to receive 5 stars for the summary rating of health plan quality from CMS. CHP was the only Medicare Advantage plan in the nation in 2010 to achieve this for two straight years.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 performs at one of the highest rates in the nation for the past six years.Community Benefit InitiativesIn accordance with its community benefit policy, the following initiatives were supported in 2010:Addressing Market Failure/Uninsured and UnderinsuredCapital Health Partnership - This is a "three-share" program established to help the uninsured in our community by providing uninsured 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 counties within two (2) years. Currently, over 14,000 children are registered for the program in Leon County and the adjoining rural counties of Jefferson, Gadsden and Wakulla with planned expansion into two (2) more counties .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 over the next three years 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 University 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 2010.
Client Note 2 - Capital Health Plan's purpose as a non-profit HMO is to provide the people in Leon and surrounding counties with high quality, affordable health care that: Focuses on delivery of evidence- based medical care under the direction of primary care physicians in an effective, timely and cost efficient manner. Emphasizes low administrative costs and ethical business practices. Is proactive and innovative in its quest to continually improve the health of the community.
Client Note 1 - Capital Health Plan operates as a Health Maintenance Organization (HMO) that provides comprehensive, high quality, affordable health care to residents of the Tallahassee area through an organized delivery system focused on evidence-based care under the direction of primary care physicians (See Part III 4A for additional detail).

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 CAMPUS PKWYAddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32246ZIPCode
FieldValueIRS element (for citing)
EIN592015694EIN
Primary ActivitiesHEALTH INSURANCEPrimaryActivities
Legal Domicile StateFLLegalDomicileState
Exempt Code Section501(C)(4)ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CHEFCO PROPERTY OWNERS ASSOCIATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12140 CENTERVILLE PLACEAddressLine1
CityTALLAHASSEECity
StateFLState
ZIP Code32308ZIPCode
FieldValueIRS element (for citing)
EIN593378570EIN
Primary ActivityPROP MGMTPrimaryActivity
Legal Domicile StateFLLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC CorpTypeOfEntity
Percentage Ownership0.50000PercentageOwnership
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
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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