CHIEF EXCECUTIVE OFFICER

2012-05-15T12:21:45-05:00 2011-06-30 KAFOURY ARMSTRONG & CO 301 WEST TOLAS PLACE FALLON NV 89406 990 2010-07-01 721619489 ACCESS TO HEALTHCARE NETWORK INC ACCE 7752848989 4001 S VIRGINIA STREET NO F RENO NV 89502 SHERRI RICE CHIEF EXCECUTIVE OFFICER 7752849079 2012-05-09 LAUREL JACKSON 7754236505 2010 2016-02-24 21:20:13Z SHERRIE RICE 4001 S VIRGINIA STREET RENO NV 89502 4517327 0 X N/A X 2006 NV THE ORGANIZATION'S MISSION IS TO INCREASE ACCESS TO PRIMARY AND SPECIALTY HEALTHCARE SERVICES FOR THE UNINSURED AND UNDER-INSURED WORKING-POOR NEVADA RESIDENTS THROUGH SHARED RESPONSIBILITY AND COMMUNITY-WIDE PARTNERSHIPS. 27 27 45 0 0 0 1540057 3602466 709353 904170 -1691 -10423 2719 10055 2250438 4506268 0 0 0 0 1094814 2090962 0 0 0 1125076 2443605 2219890 4534567 30548 -28299 1890147 1402534 1260421 903284 629726 499250 THE ORGANIZATION'S MISSION IS TO INCREASE ACCESS TO PRIMARY AND SPECIALTY HEALTHCARE SERVICES FOR UNINSURED AND UNDER-INSURED WORKING-POOR NEVADA RESIDENTS THROUGH SHARED RESPONSIBILITY AND COMMUNITY-WIDE PARTNERSHIPS. 0 0 2577081 904170 MEMBER SERVICES: THE ORGANIZATION IS A COMPREHENSIVE NETWORK OF HOSPITALS AND CLINICS, AND PRIMARY, SPECIALTY, ANCILLARY, DENTAL, VISION, PHARMACY AND HEALTH CARE PROFESSIONALS, OFFERING MEDICAL SERVICES TO THE UNINSURED AND UNDER-INSURED MEMBERS OF THE COMMUNITY AT VASTLY REDUCED RATES. 1606066 PATIENT CARE FUND: THE ORGANIZATION HAS ESTABLISHED A PATIENT CARE FUND FOR THE PURPOSE OF PROVIDING ASSISTANCE TO THOSE MEMBERS WHO ARE UNABLE TO COMPLETELY PAY FOR THEIR MEDICAL NEEDS. PARTNERSHIPS HAVE BEEN FORMED WITH VARIOUS FUNDING SOURCES TO SUBSIDIZE 50% OF THE DISCOUNTED HEALTH CARE FEES FOR SPECIFIC POPULATIONS OR DESIGNATED ILLNESS. 4183147 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 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 0 0 0 0 0 1 0 0 45 1 0 0 0 0 0 0 0 0 X 27 27 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X MIKE O'CARROLL 7752848989 4001 S VIRGINIA ST SUITE F RENO NV 89502 SHERRI RICE CHIEF EXECUTIVE OFFICER 40.00 X X X X 174000 0 0 CHRISTINE BOSSE DIRECTOR 1.00 X 0 0 0 VALERIE CLARK VICE CHAIR 5.00 X X 0 0 0 MIKE JOHNSON DIRECTOR 1.00 X 0 0 0 MICHELLE KLING SECRETARY 5.00 X X 0 0 0 KEN RETTERATH PRESIDENT 5.00 X X 0 0 0 MATT ANDERSON DIRECTOR 5.00 X X 0 0 0 BETTY BARKER DIRECTOR 1.00 X 0 0 0 DOREEN BEGLEY DIRECTOR 1.00 X 0 0 0 DAVID BOBZIEN DIRECTOR 1.00 X 0 0 0 MINDI BRENNER DIRECTOR 1.00 X 0 0 0 MARY-ANN BROWN DIRECTOR 1.00 X 0 0 0 NANCY BROWN TREASURER 1.00 X 0 0 0 MYLAN HAWKINS DIRECTOR 1.00 X 0 0 0 SCOTT HEINZE DIRECTOR 1.00 X 0 0 0 RYAN HERRICK DIRECTOR 1.00 X 0 0 0 MARY BETH HUNT DIRECTOR 1.00 X 0 0 0 STEPHANIE KRUSE DIRECTOR 1.00 X 0 0 0 MARTY WAYNE MARTIN DIRECTOR 1.00 X 0 0 0 LARRY MATHEIS DIRECTOR 1.00 X 0 0 0 JOHN PACKHAM DIRECTOR 1.00 X 0 0 0 ROTA ROSASCHI DIRECTOR 1.00 X 0 0 0 BRIGETTE STOVALL DIRECTOR 1.00 X 0 0 0 DANIEL SPOGEN DIRECTOR 1.00 X 0 0 0 ANGIE TAYLOR DIRECTOR 1.00 X 0 0 0 DONALD VANDYKEN DIRECTOR 1.00 X 0 0 0 TY WINDFELDT DIRECTOR 1.00 X 0 0 0 STEVEN ZELL DIRECTOR 1.00 X 0 0 0 174000 0 0 1 0 1 0 0 3345719 256747 3602466 MEMBERSHIP FEES 900099 904170 904170 904170 636 636 11059 -11059 -11059 -11059 MISCELLANEOUS 900000 10055 10055 10055 4506268 904170 0 -368 174000 147900 26100 1596874 1410469 186405 167239 147170 20069 152849 134507 18342 26314 23156 3158 47511 41810 5701 121694 107091 14603 96448 84874 11574 162167 142707 19460 28021 24658 3363 23818 20960 2858 PATIENT MEDICAL CARE 1606066 1606066 RENT 109185 96083 13102 CONTRACT SERVICES 107175 94314 12861 TELEPHONE AND INTERNET 49289 43374 5915 DUES AND LICENSES 14861 13078 1783 51056 44930 6126 4534567 4183147 351420 0 478497 113254 1132892 451159 217953 719130 4803 16818 1857 326 800 20741 120845 39739 53345 81106 1890147 1402534 1094823 316786 165598 586498 1260421 903284 X 433565 131316 196161 367934 629726 499250 1890147 1402534 X -28299 -102177 X 0 1 1 X 1 1 X 39151 928042 989566 1471777 3602466 7031002 39151 928042 989566 1471777 3602466 7031002 7031002 1256 2060 4766 10691 18773 7049775 0.99730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 120845 39739 81106 81106 4506268 4534567 -28299 -102177 -102177 -130476 4506268 0 4506268 0 4506268 0 0 0 0 0 1 X X X 0 0 0 0 0 0 0 0 0 SHERRI RICE 174000 0 0 0 0 0 0 0 0 0 174000 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND REVIEWED AT THE BOARD OF DIRECTORS' ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE APPROVAL PROCESS INCLUDES COMPARABLE DATA DETERMINED BY A STATEWIDE STUDY PUBLISHED AND COMPILED BY THE NEVADA NONPROFIT NEWS. THE ORGANIZATION PERFORMS A NONPROFIT COMPENSATION REVIEW EVERY TWO YEARS THAT IS A COMPARISION STUDY FOR CEOS AND TOP MANAGEMENT STAFF. ALL COMPENSATION PACKAGES FOR KEY MANAGEMENT ARE APPROVED FIRST BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THEN BY THE ENTIRE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS POLICIES AND FINANCIAL DATA AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: PRIOR PERIOD ADJUSTMENTS: -102,177.