HEALTHCARE INITIATIVES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HEALTHCARE INITIATIVES INC (EIN 35-1392974)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201222269349301782
Schema version
2010v3.4
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)
Timestamp2012-08-13T13:23:41-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE AMERICAN SQUARE 2200AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46282ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351392974EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEALTH CARE EXCEL INCORPORATEDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone3173474500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12629 WATERFRONT PARKWAY EAST DRIVEAddressLine1
Address Line2NO 150AddressLine2
CityINDIANAPOLISCity
StateINState
ZIP Code46214ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOY CASTERTONName
TitleCEO AND TREASURERTitle
Phone3173474500Phone
Date Signed2012-08-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANGELA L ZIRKELBACH CPAName
Phone3176334705Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOY CASTERTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12629 WATERFRONT PARKWAY EAST DRIVEAddressLine1
Address Line2NO 150AddressLine2
CityINDIANAPOLISCity
StateINState
ZIP Code46214ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9579770GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HCE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE VALUE OF HEALTH CARE BY OFFERING INNOVATIVE SOLUTIONS THAT RESULT IN HIGH QUALITY OUTCOMES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees111TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI3114320TotalGrossUBI
Net Unrelated Business Txbl Income318182NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year198784ContributionsGrantsPriorYear
Contributions Grants Current Year541952ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7197928ProgramServiceRevenuePriorYear
Program Service Revenue CY8215406ProgramServiceRevenueCY
Investment Income Prior Year308257InvestmentIncomePriorYear
Investment Income Current Year650986InvestmentIncomeCurrentYear
Other Revenue Prior Year-409858OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year7295111TotalRevenuePriorYear
Total Revenue Current Year9408344TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4979007SalariesEtcPriorYear
Salaries Etc Current Year3723736SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2910073OtherExpensePriorYear
Other Expenses Current Year4483815OtherExpensesCurrentYear
Total Expenses Prior Year7889080TotalExpensesPriorYear
Total Expenses Current Year8207551TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-593969RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1200793RevenuesLessExpensesCY
Total Assets BOY19988283TotalAssetsBOY
Total Assets EOY20412876TotalAssetsEOY
Total Liabilities BOY1089386TotalLiabilitiesBOY
Total Liabilities EOY975638TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18898897NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19437238NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE VALUE OF HEALTH CARE BY OFFERING INNOVATIVE SOLUTIONS THAT RESULT IN HIGH QUALITY OUTCOMES.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense3005311Expense
Revenue3462474Revenue
DescriptionTHE INDIANA MEDICARE QUALITY IMPROVEMENT ORGANIZATION PROVIDES CONSULTATIVE SERVICES TO HEALTH CARE PROVIDERS ON HEALTH CARE QUALITY IMPROVEMENT, HEALTH CARE TECHNOLOGY, AND VARIOUS ASPECTS OF COMPLIANCE, INCLUDING UTILIZATION, CODING, AND QUALITY REVIEW.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense659558Expense
Revenue1005285Revenue
DescriptionHEALTH CARE EXCEL PROVIDES MEDICAID SERVICES TO OHIO WHERE THE FOCUS IS ON PRIOR AUTHORIZATION REVIEWS AND ON-SITE AUDITS OF MEDICAID MENTAL HEALTH PROVIDERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2923303Expense
Revenue633327Revenue
DescriptionHEALTH CARE EXCEL PROVIDES SERVICES TO VARIOUS STATE AND PRIVATE ORGANIZATIONS IN THE AREAS OF INDEPENDENT REVIEWS, QUALITY IMPROVEMENT REVIEWS AND INITIATIVES, AND OTHER BENEFICIARY FOCUSED ENDEAVORS.Description
FieldValueIRS element (for citing)
Total Program Service Expense6588172TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109696NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees111NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KIM COURTAD DIR - FINANCIAL SVCSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8122341499TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12901 OHIO BOULEVARD STE 112AddressLine1
CityTERRE HAUTECity
StateINState
ZIP Code47803ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CAROL IRESON RN PHD
CHAIR2.00X581000
TOM KAERCHER
VICE CHAIR2.00X744000
FORREST CALICO MD
MEMBER2.00X418000
MARK CARTER
MEMBER2.00X120000
RAY GANS
MEMBER2.00X854000
MICHAEL HOOVER
MEMBER2.00X125000
ELIZABETH MCNAMEE MPH
MEMBER2.00X578000
WADE MOUNTZ
MEMBER2.00X400000
HARRY THOMPSON
MEMBER2.00X353000
EMILY COOK
MEMBER - STARTED 3.5.112.00X000
CAROL STELTENKAMP
MEMBER - STARTED 3.5.112.00X000
JERRY CHAPMAN
MEMBER - TERMINATED 3.5.112.00X666000
BILL KEENEY
MEMBER - TERMINATED 8.26.102.00X593000
MARY KAPUR
PRESIDENT & CEO40.00177804011533X
JOY CASTERTON
CFO - STARTED 6.13.1140.00000X
JASON NESIUS
CFO - TERMINATED 1.1.1140.00139274013497X
CINDY BARTON
SECRETARY40.009198909491X
KIM COURTAD
TREASURER40.0011666009353X
ROLAND GRIEB
MEDICAL DIRECTOR40.00211835013581X
KARIN KENNEDY
VP, CLIENT SERVICES40.00120073013131X
REBECCA ROYER
DIRECTOR, MEDICARE CLIENT SVCS40.0010515307892X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1017108TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation78478TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
RPM TECHNOLOGIES
4000 WEST 106TH STREET STE 160CARMELIN46032IT CONSULTING264810
INDIANA MINORITY HEALTH
3737 N MERIDIAN STE 303INDIANAPOLISIN46208SERVICE CONSULTING176292
TAGETIK NORTH AMERICA LLC
1055 SUMMER STREETSTAMFORDCT06901SOFTWARE CONSULTING161507
THOMSON REUTERS
777 E EISENHOWER PARKWAY STE 500ANN ARBORMI48108SERVICE CONSULTING120213
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants129041GovernmentGrants
All Other Contributions412911AllOtherContributions
Total Contributions541952TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCONTRACT REVENUEDescription
Business Code541610BusinessCode
Total Revenue Column8215406TotalRevenueColumn
Related Or Exempt Function Income5101086RelatedOrExemptFunctionIncome
Unrelated Business Revenue3114320UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue8215406TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column462224TotalRevenueColumn
Exclusion$462,224ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities290028Securities
Other70160Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other171426Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities290028Securities
Other-101266Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column188762TotalRevenueColumn
Exclusion$188,762ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9408344TotalRevenueColumn
Related Or Exempt Function Income5101086RelatedOrExemptFunctionIncome
Unrelated Business Revenue3114320UnrelatedBusinessRevenue
Exclusion$650,986ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total459545Total
Program Services146171ProgramServices
Management And General313374ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2243584Total
Program Services1888704ProgramServices
Management And General354880ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total764760Total
Program Services562567ProgramServices
Management And General202193ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total255847Total
Program Services188204ProgramServices
Management And General67643ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15066Total
Program Services7533ProgramServices
Management And General7533ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43295Total
Program Services21648ProgramServices
Management And General21647ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total49248Total
Management And General49248ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2629410Total
Program Services2506018ProgramServices
Management And General123392ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total401300Total
Program Services346851ProgramServices
Management And General54449ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total219690Total
Program Services154060ProgramServices
Management And General65630ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total437438Total
Program Services312552ProgramServices
Management And General124886ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total182059Total
Program Services156976ProgramServices
Management And General25083ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total34079Total
Program Services28573ProgramServices
Management And General5506ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total191790Total
Program Services116326ProgramServices
Management And General75464ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total28212Total
Program Services14106ProgramServices
Management And General14106ManagementAndGeneral

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total252228Total
Program Services137883ProgramServices
Management And General114345ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8207551Total
Program Services6588172ProgramServices
Management And General1619379ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY700BOY
EOY700EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1455147BOY
EOY753222EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY898945BOY
EOY2456363EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY189668BOY
EOY189396EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2963527LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2509113LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY794413BOY
EOY454414EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY13568297BOY
EOY13540373EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3081113BOY
EOY3018408EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19988283BOY
EOY20412876EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY880487BOY
EOY828879EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY41376BOY
EOY4055EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY167523BOY
EOY142704EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1089386BOY
EOY975638EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18898897BOY
EOY19437238EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18898897BOY
EOY19437238EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19988283BOY
EOY20412876EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1200793ReconcilationRevenueExpenses
Reconcilation Other Changes-662452ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20461545CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18164604CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12724200CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7396712CurrentTaxYearMinus1Year
Current Tax Year5643038CurrentTaxYear
Total64390099Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years77647CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years105279CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year65143CurrentTaxYearMinus1Year
Current Tax Year2400CurrentTaxYear
Total328116Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20539192CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years18242251CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12829479CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7461855CurrentTaxYearMinus1Year
Current Tax Year5645438CurrentTaxYear
Total64718215Total
FieldValueIRS element (for citing)
Public Support Total17064718215PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years592561CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years519411CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years149055CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year402248CurrentTaxYearMinus1Year
Current Tax Year462224CurrentTaxYear
Total2125499Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year319182CurrentTaxYear
Total319182Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years720CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years385CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-630195CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-409858CurrentTaxYearMinus1Year
Total-1038948Total
FieldValueIRS element (for citing)
Total Support66123948TotalSupport
Public Support Pertcentage1700.97870PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98760PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$4,797OtherActivitiesAmount
Total Lobbying Expenditures IIB4797TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationA PORTION OF AMERICAN HEALTH QUALITY ASSOCIATION DUES ARE ATTIBUTABLE TO LOBBYING EXPENSES AS DEFINED BY FEDERAL LAW. THE AMOUNT OF THE 2011 DUES CLASSIFIED AS LOBBYING EXPENSES ARE ESTIMATED AT $4,797. WE ARE AWAITING NOTICE OF THE ACTUAL 2011 AMOUNT. FOR 2010 THE LOBBYING PORTION WAS $5,711. THIS MEMBERSHIP HAS BEEN TERMINATED AS OF OUR FISCAL YEAR 2012.Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis527166OtherCostOrOtherBasis
Depreciation417747Depreciation
Book Value109419BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1638955OtherCostOrOtherBasis
Depreciation1433240Depreciation
Book Value205715BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis797406OtherCostOrOtherBasis
Depreciation658126Depreciation
Book Value139280BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings454414TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
INTERCOMPANY RECEIVABLES2800084
DEPOSITS20949
OTHER RECEIVABLES98232
INVESTMENT IN Q MARK16866
FEES RECEIVABLE82277
FieldValueIRS element (for citing)
Total Book Value Other Assets3018408TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRENT LIABILITYDescription
Amount$142,704Amount
FieldValueIRS element (for citing)
Total Of Amounts142704TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY HCE AND IT AFFILIATES AND RECOGNIZE A TAX LIABILITY IF HCE HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY HCE AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2011 AND 2010, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. HCE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XI, XII, AND XIII ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARY KAPUR
12922004700001584000115330189337000
JASON NESIUS
1263180128000156000134970152771000
ROLAND GRIEB
208971020000864000135810225416000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4AReturnReference
ExplanationJASON NESIUS, FORMER CFO OF HEALTH CARE EXCEL AND CEO OF A HEALTH CARE EXCEL SUBSIDARY, WHO TERMINATED WITH THE ORGANIZATION IN JANUARY 2011, RECEIVED $50,000 FOR A SEPARATION OF EMPLOYMENT AGREEEMENT, INCLUDING SEVERANCE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NEW PROGRAM SERVICESFORM 990, PART III, LINE 2THE ORGANIZATION HAS ACQUIRED A NEW CLIENT TO PERFORM MEDICAL RECORD REVIEW TO AUDIT FOR APPROPRIATE UTILIZATION OF MEDICAL SERVICES.
FORM 990, PART VI, SECTION B, LINE 11MANAGEMENT AND/OR THE EXTERNAL TAX PREPARATION FIRM WILL REVIEW AND DISCUSS THE DRAFT FORM 990 RETURN WITH THE BOARD'S FINANCE & AUDIT COMMITTEE, AND REVISE AS NECESSARY. THE FINANCE & AUDIT COMMITTEE WILL APPROVE THE FORM 990 FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL EMPLOYEES, OFFICERS, AND DIRECTORS MUST REVIEW AND SIGN A CONFLICT OF INTEREST STATEMENT. EDUCATION OR REVIEW OF THE POLICY INCLUDES INSTRUCTIONS THAT SHOULD AN INDIVIDUAL'S SITUATION CHANGE THROUGHOUT THE YEAR, HE OR SHE IS REQUIRED TO PROVIDE NOTIFICATION OF THE CHANGE SO AN EVALUATION CAN BE CONDUCTED TO DETERMINE IF A CONFLICT EXISTS. THE DETECTION AND PREVENTION OF A POTENTIAL OR ACTUAL COI IS ULTIMATELY THE RESPONSIBILITY OF EACH INDIVIDUAL. SUPERVISORY STAFF MUST ENSURE THERE ARE ADEQUATE SAFEGUARDS IN PLACE AND APPROPRIATE MONITORING CONDUCTED TO REDUCE OR ELIMINATE THE RISK OF AN ADVERSE EVENT RELATED TO A COI. DISCLOSURE SHALL INCLUDE EACH TYPE OF POTENTIAL CONFLICT, AS WELL AS THE NATURE OF THE ACTIVITY OR RELATIONSHIP. A FULL DISCLOSURE SHOULD BE PROVIDED OF ALL PARTIES INVOLVED, ANY POTENTIAL FOR FINANCIAL GAIN OR REWARDS, AND ANY OTHER PERTINENT INFORMATION. INDIVIDUALS WHO DO NOT DISCLOSE COI COULD BE SUBJECT TO CIVIL PENALTIES AND/OR IMMEDIATE TERMINATION OF SERVICES OR EMPLOYMENT, AMONG OTHER CONSEQUENCES.
FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION PACKET IS PREPARED FOR EACH OFFICER AND HIGHLY COMPENSATED INDIVIDUAL (SALARY > $150,000) FOR EACH PERIOD UNDER REVIEW. THE CEO DELIVERS THE COMPENSATION PACKET TO THE BOARD'S EXECUTIVE COMMITTEE (COMMITTEE), WHICH ALSO ACTS AS THE COMPENSATION COMMITTEE; MAKES A PRESENTATION; AND RESPONDS TO COMMITTEE QUESTIONS. WHEN IT IS THE CEO'S COMPENSATION UNDER REVIEW, THE COMPENSATION PACKAGE IS DELIVERED TO THE COMMITTEE WITH NO RECOMMENDATION. THE COMMITTEE THEN VOTES AND RENDERS A DECISION ON THE COMPENSATION PACKAGE UNDER REVIEW AND NOTIFIES HUMAN RESOURCES IN WRITING TO TAKE THE COMMITTEE-APPROVED ACTION. DOCUMENTS INCLUDED IN THE COMPENSATION PACKET: - THE MANAGER OF THE PERSON UNDER REVIEW PREPARES A PERFORMANCE REVIEW FOR THE PERIOD BEING CONSIDERED. - THE INDIVIDUAL PREPARED PERFORMANCE GOALS FOR THE UPCOMING PERIOD AND REPORTS ON THE PROGRESS MADE TOWARDS THE GOALS FOR THE PERIOD UNDER CONSIDERATION, VALIDATED BY THE INDIVIDUAL'S MANAGER.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -662,452.
AUDIT OVERSIGHTFORM 990, PART XII, LINE 2CTHE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
HCE QUALITYQUEST
2901 OHIO BLVD STE 112TERRE HAUTEIN47803900399441PROMOTE HEALTH CARE SERVICESAZ501(C)(3)LINE 7N/A0
HEALTH CARE EXCEL OF KENTUCKY INC
1941 BISHOP LANE STE 400LOUISVILLEKY40218320026476PROMOTE HEALTH CARE SERVICESKY501(C)(3)LINE 7N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Q MARK INCORPORATED
2629 WATERFRONT PARKWAY EAST DRIVEINDIANAPOLISIN46214841425549SOFTWARE DEVELOPMENT AND SERVICES FOR MANAGED CARECOHEALTH CARE EXCELC-23996318995711.00000
Q MARK INCORPORATED
ORGANIZATION AND OTHER CLIENTS TO COLLECT, ANALYZE, ANDCO
Q MARK INCORPORATED
REPORT HEALTH CARE DATACO
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Q MARK
D1275000
Q MARK
K340571

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