2012-08-13T13:23:41-05:00 2011-09-30 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2010-10-01 351392974 HEALTH CARE EXCEL INCORPORATED HEAL 3173474500 2629 WATERFRONT PARKWAY EAST DRIVE NO 150 INDIANAPOLIS IN 46214 JOY CASTERTON 3173474500 2012-08-13 1 ANGELA L ZIRKELBACH CPA 3176334705 2010 2016-02-24 21:20:13Z JOY CASTERTON 2629 WATERFRONT PARKWAY EAST DRIVE NO 150 INDIANAPOLIS IN 46214 9579770 0 X WWW.HCE.ORG X 1974 IN TO IMPROVE THE VALUE OF HEALTH CARE BY OFFERING INNOVATIVE SOLUTIONS THAT RESULT IN HIGH QUALITY OUTCOMES. 11 11 111 0 3114320 318182 198784 541952 7197928 8215406 308257 650986 -409858 0 7295111 9408344 0 0 0 0 4979007 3723736 0 0 0 2910073 4483815 7889080 8207551 -593969 1200793 19988283 20412876 1089386 975638 18898897 19437238 X TO IMPROVE THE VALUE OF HEALTH CARE BY OFFERING INNOVATIVE SOLUTIONS THAT RESULT IN HIGH QUALITY OUTCOMES. 1 0 3005311 3462474 THE 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. 659558 1005285 HEALTH CARE EXCEL PROVIDES MEDICAID SERVICES TO OHIO WHERE THE FOCUS IS ON PRIOR AUTHORIZATION REVIEWS AND ON-SITE AUDITS OF MEDICAID MENTAL HEALTH PROVIDERS. 2923303 633327 HEALTH 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. 6588172 1 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 96 0 1 111 1 1 1 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X KIM COURTAD DIR - FINANCIAL SVCS 8122341499 2901 OHIO BOULEVARD STE 112 TERRE HAUTE IN 47803 CAROL IRESON RN PHD 2.00 X 5810 0 0 TOM KAERCHER 2.00 X 7440 0 0 FORREST CALICO MD 2.00 X 4180 0 0 MARK CARTER 2.00 X 1200 0 0 RAY GANS 2.00 X 8540 0 0 MICHAEL HOOVER 2.00 X 1250 0 0 ELIZABETH MCNAMEE MPH 2.00 X 5780 0 0 WADE MOUNTZ 2.00 X 4000 0 0 HARRY THOMPSON 2.00 X 3530 0 0 EMILY COOK 2.00 X 0 0 0 CAROL STELTENKAMP 2.00 X 0 0 0 JERRY CHAPMAN 2.00 X 6660 0 0 BILL KEENEY 2.00 X 5930 0 0 MARY KAPUR 40.00 X 177804 0 11533 JOY CASTERTON 40.00 X 0 0 0 JASON NESIUS 40.00 X 139274 0 13497 CINDY BARTON 40.00 X 91989 0 9491 KIM COURTAD 40.00 X 116660 0 9353 ROLAND GRIEB 40.00 X 211835 0 13581 KARIN KENNEDY 40.00 X 120073 0 13131 REBECCA ROYER 40.00 X 105153 0 7892 1017108 0 78478 6 0 1 0 RPM TECHNOLOGIES 4000 WEST 106TH STREET STE 160 CARMEL IN 46032 IT CONSULTING 264810 INDIANA MINORITY HEALTH 3737 N MERIDIAN STE 303 INDIANAPOLIS IN 46208 SERVICE CONSULTING 176292 TAGETIK NORTH AMERICA LLC 1055 SUMMER STREET STAMFORD CT 06901 SOFTWARE CONSULTING 161507 THOMSON REUTERS 777 E EISENHOWER PARKWAY STE 500 ANN ARBOR MI 48108 SERVICE CONSULTING 120213 4 129041 412911 541952 CONTRACT REVENUE 541610 8215406 5101086 3114320 8215406 462224 462224 290028 70160 171426 290028 -101266 188762 188762 9408344 5101086 3114320 650986 459545 146171 313374 2243584 1888704 354880 764760 562567 202193 255847 188204 67643 15066 7533 7533 43295 21648 21647 49248 49248 2629410 2506018 123392 401300 346851 54449 219690 154060 65630 437438 312552 124886 182059 156976 25083 34079 28573 5506 191790 116326 75464 28212 14106 14106 252228 137883 114345 8207551 6588172 1619379 0 700 700 1455147 753222 898945 2456363 189668 189396 2963527 2509113 794413 454414 13568297 13540373 3081113 3018408 19988283 20412876 880487 828879 41376 4055 167523 142704 1089386 975638 X 18898897 19437238 18898897 19437238 19988283 20412876 X 1200793 -662452 X X 0 1 1 X 1 1 X 20461545 18164604 12724200 7396712 5643038 64390099 77647 77647 105279 65143 2400 328116 20539192 18242251 12829479 7461855 5645438 64718215 64718215 592561 519411 149055 402248 462224 2125499 319182 319182 720 385 -630195 -409858 -1038948 66123948 0.97870 0.98760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4797 4797 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: A 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. 527166 417747 109419 1638955 1433240 205715 797406 658126 139280 454414 INTERCOMPANY RECEIVABLES 2800084 DEPOSITS 20949 OTHER RECEIVABLES 98232 INVESTMENT IN Q MARK 16866 FEES RECEIVABLE 82277 3018408 RENT LIABILITY 142704 142704 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. X X X X X 1 0 0 0 0 0 0 0 0 MARY KAPUR 129220 0 47000 0 1584 0 0 0 11533 0 189337 0 0 0 JASON NESIUS 126318 0 12800 0 156 0 0 0 13497 0 152771 0 0 0 ROLAND GRIEB 208971 0 2000 0 864 0 0 0 13581 0 225416 0 0 0 PART I, LINE 4A JASON 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. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 THE 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 11 MANAGEMENT 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 12C ALL 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 15 A 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 19 THE 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 OVERSIGHT FORM 990, PART XII, LINE 2C THE 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. HCE QUALITYQUEST 2901 OHIO BLVD STE 112 TERRE HAUTE IN 47803 900399441 PROMOTE HEALTH CARE SERVICES AZ 501(C)(3) LINE 7 N/A 0 HEALTH CARE EXCEL OF KENTUCKY INC 1941 BISHOP LANE STE 400 LOUISVILLE KY 40218 320026476 PROMOTE HEALTH CARE SERVICES KY 501(C)(3) LINE 7 N/A 0 Q MARK INCORPORATED 2629 WATERFRONT PARKWAY EAST DRIVE INDIANAPOLIS IN 46214 841425549 SOFTWARE DEVELOPMENT AND SERVICES FOR MANAGED CARE CO HEALTH CARE EXCEL C -239963 1899571 1.00000 Q MARK INCORPORATED ORGANIZATION AND OTHER CLIENTS TO COLLECT, ANALYZE, AND CO Q MARK INCORPORATED REPORT HEALTH CARE DATA CO 0 0 0 1 0 0 1 0 1 0 1 0 1 1 0 1 0 0 Q MARK D 1275000 Q MARK K 340571