FURP.ORG / PUBLIC DATA EXPLORER

HEALTH CHOICE NETWORK OF FLORIDA INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HEALTH CHOICE NETWORK OF FLORIDA INC (EIN 65-0504316)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-10
IRS object ID
201112229349300201
Schema version
2009v1.4
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)
Timestamp2011-08-10T06:41:15-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1AVERETT WARMUS DURKEE OSBURN HENNING PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11417 E CONCORD STREETAddressLine1
CityORLANDOCity
StateFLState
ZIP Code32803ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN650504316EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HEALTH CHOICE NETWORK OF FLORIDA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone3055991015Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line19064 NORTHWEST 13 TERRACEAddressLine1
CityMIAMICity
StateFLState
ZIP Code33172ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKEVIN KEARNSName
TitlePRESIDENT AND CEOTitle
Phone3055991015Phone
Date Signed2011-05-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameEDWARD A HOFMAName
Phone4078491569Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEVIN KEARNSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line19064 NORTHWEST 13 TERRACEAddressLine1
CityMIAMICity
StateFLState
ZIP Code33172ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27524102GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.HCNETWORK.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH ADMINISTRATIVE SERVICES AND SUPPORT TO COMMUNITY HEALTH CENTER MEMBERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees204TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10418021ContributionsGrantsPriorYear
Contributions Grants Current Year11523933ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11585682ProgramServiceRevenuePriorYear
Program Service Revenue CY13978715ProgramServiceRevenueCY
Investment Income Prior Year133786InvestmentIncomePriorYear
Investment Income Current Year245960InvestmentIncomeCurrentYear
Other Revenue Prior Year538064OtherRevenuePriorYear
Other Revenue Current Year1496856OtherRevenueCurrentYear
Total Revenue Prior Year22675553TotalRevenuePriorYear
Total Revenue Current Year27245464TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8077236SalariesEtcPriorYear
Salaries Etc Current Year9341325SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year158430TotalFundrsngExpCurrentYear
Other Expense Prior Year14556955OtherExpensePriorYear
Other Expenses Current Year16264767OtherExpensesCurrentYear
Total Expenses Prior Year22634191TotalExpensesPriorYear
Total Expenses Current Year25606092TotalExpensesCurrentYear
Revenues Less Expenses Prior Year41362RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1639372RevenuesLessExpensesCY
Total Assets BOY8884698TotalAssetsBOY
Total Assets EOY11515054TotalAssetsEOY
Total Liabilities BOY5573687TotalLiabilitiesBOY
Total Liabilities EOY6564671TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3311011NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4950383NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HIGH QUALITY, SERVICE, SUPPORT AND EXPERTISE TO MEMBER ORGANIZATIONS AND TO ACT AS A VEHICLE FOR STRATEGIC EFFORTS THAT STRENGTHEN OUR COMMUNITY HEALTH PARTNERS.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense7866590Expense
DescriptionHEALTH CONNECT IN OUR SCHOOLS - PROVIDES SERVICES TO MIAMI DADE COUNTY PUBLIC SCHOOL STUDENTS IN SCHOOLS DESIGNATED BY THE CHILDREN'S TRUST OF MIAMI. EACH SCHOOL IS EQUIPPED WITH A TEAM OF PROFESSIONALS THAT PROVIDES THE STUDENTS WITH CLINICAL AND BEHAVIORAL SERVICES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense9686357Expense
DescriptionFISCAL/MIS INTEGRATION - PROVIDES FISCAL AND MANAGEMENT INFORMATION SYSTEM SERVICES FOR MEMBER CENTERS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2745624Expense
DescriptionCENTRALIZED BILLING - PROVIDES BILLING AND PAYMENT POSTING SERVICES FOR THE MEMBER CENTERS THAT HAVE ELECTED TO PARTICIPATE.Description

Activity Other ActivityOther (5 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
24680593662761MANAGED CARE - PROVIDES HEALTH CARE MANAGEMENT TO THE HMO ASSIGNED MEMBERS AND MANAGED MEDICAID PREPAID OUTPATIENT MENTAL HEALTH SERVICES FOR PARTICIPATING MEMBER CENTERS TO ENSURE PROPER UTILIZATION OF HEALTH CARE IN THE MANAGED CARE ENVIRONMENT.
711781ELECTRONIC HEALTH RECORDS - IMPLEMENT AND MAINTAIN INTEGRATED ELECTRONIC MEDICAL AND DENTAL HEALTH RECORDS IN PARTICIPATING MEMBER CENTERS TO ENHANCE THE ABILITY TO PROVIDE HIGH QUALITY PREVENTIVE AND PRIMARY CARE, AND IMPROVE PATIENT OUTCOMES.
74223310315954MEMBER SERVICES - A SINGLE RESOURCE ON BEHALF OF ALL CENTERS FOR SERVICES SUCH AS EDUCATION ON CURRENT GRANTS, LEGISLATIVE ISSUES, BOARD TRAINING, ETC.
226099JESSIE TRICE CANCER PREVENTION PROJECT - ADDRESSES THE DISPROPORTIONATE BURDEN OF CANCER IN LOW-INCOME AFRICAN-AMERICAN AND HISPANIC COMMUNITIES SERVED BY THE CENTERS.
372740SOUTH FLORIDA REGIONAL EXTENSION CENTER PROJECT - TO FURNISH ASSISTANCE TO HELP PROVIDERS SELECT, SUCCESSFULLY IMPLEMENT, AND MEANINGFULLY USE CERTIFIED EHR TECHNOLOGY TO IMPROVE THE QUALITY AND VALUE OF HEALTH CARE.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp4520912TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev13978715TotalOfOtherProgramServiceRev
Total Program Service Expense24819483TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
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 Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees204NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
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
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BRIAN MORTONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3055991015TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19064 NORTHWEST 13 TERRACEAddressLine1
CityMIAMICity
StateFLState
ZIP Code33172ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
COL BRODES HARTLEY JR
CHAIRMAN1.00X000
ROSALYN FRAZIER
VICE-CHAIR1.00X000
CHARLES BOTTOMS
SECRETARY1.00X000
BAKARI BURNS
TREASURER1.00X000
ANNIE NEASMAN
DIRECTOR1.00X000
CALEB DAVIS
PAST CHAIR1.00X000
FRANK MAZZEO
DIRECTOR1.00X000
HIRUT KASSAYE
DIRECTOR1.00X000
KATHRYN ABBATE
DIRECTOR1.00X000
MARIO JARDON
DIRECTOR1.00X000
BOB LINDER
DIRECTOR1.00X000
PAT MABE
DIRECTOR1.00X000
CLAUDIO M PEREZ
DIRECTOR1.00X000
MARK RABINOWITZ MD
DIRECTOR1.00X000
KEVIN S KEARNS
CEO50.0028673109504X
ALEJANDRO ROMILLO
SR. VP & CIO50.00215800010464X
BRIAN MORTON
VP & CFO50.001658280624X
PAUL ROTHMAN
PRESIDENT OF PRESTIGE40.0021480402853X
DOUG COOK
EXECUTIVE VP OF PRESTIGE40.0016807700X
TERISA A JAMES
VP OF PROGRAMS40.0014878800X
MICHELE RUSSELL
VP OF IT40.0013162900X
MARC RIVO
VP OF MANAGED CARE40.0018749900X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1519156TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation23445TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TERREMARK NORTH AMERICAN INC
PO BOX 864416ORLANDOFL32886IT INFRASTRUCTURE SERVICES523508
ALLZONE MANAGEMENT SOLUTIONS
3200 WILSHIRE BLVD S TOWER STE 115LOS ANGELESCA90010DATA PROCESSING & A/R SERVICES196800
AUTOMATIC DATA PROCESSING
PO BOX 9001006LOUISVILLEKY40290PAYROLL PROCESSING128938
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Membership Dues536001MembershipDues
Government Grants10987932GovernmentGrants
Total Contributions11523933TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEMBER SERVICES5610001031595410315954
MANAGED CARE52429836627613662761
FieldValueIRS element (for citing)
Total Program Service Revenue13978715TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column20254TotalRevenueColumn
Exclusion$20,254ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other454600Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other228894Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other225706Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column225706TotalRevenueColumn
Exclusion$225,706ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events269625GrossIncomeFundraisingEvents
Fundraising Direct Expenses49744FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column219881TotalRevenueColumn
Exclusion$219,881ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
ADMINISTRATIVE SERVICE561000786595$786,595
EQUITY IN EARNINGS OF900003490380$490,380
FieldValueIRS element (for citing)
Total Other Revenue1276975TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27245464TotalRevenueColumn
Related Or Exempt Function Income13978715RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,742,816ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total777690Total
Program Services622152ProgramServices
Management And General137269ManagementAndGeneral
Fundraising18269Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7207854Total
Program Services6986138ProgramServices
Management And General192561ManagementAndGeneral
Fundraising29155Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total279990Total
Program Services262555ProgramServices
Management And General15488ManagementAndGeneral
Fundraising1947Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total487394Total
Program Services464488ProgramServices
Management And General20013ManagementAndGeneral
Fundraising2893Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total588397Total
Program Services562701ProgramServices
Management And General21985ManagementAndGeneral
Fundraising3711Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total71182Total
Program Services56445ProgramServices
Management And General14737ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44093Total
Program Services33930ProgramServices
Management And General10163ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2734372Total
Program Services2701363ProgramServices
Management And General33009ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total118177Total
Program Services113701ProgramServices
Management And General4476ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total165057Total
Program Services121814ProgramServices
Management And General43243ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total268700Total
Program Services258057ProgramServices
Management And General10643ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total213507Total
Program Services150334ProgramServices
Management And General8671ManagementAndGeneral
Fundraising54502Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total142593Total
Program Services115889ProgramServices
Management And General26704ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total821298Total
Program Services779520ProgramServices
Management And General41778ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total550182Total
Program Services531971ProgramServices
Management And General18211ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACTED SERVICES96003699542930948647953
CAPITATION14257231425723
OTHER EXPENSES58816523566460
PAYROLL SERVICES - ADP506983741613282

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25606092Total
Program Services24819483ProgramServices
Management And General628179ManagementAndGeneral
Fundraising158430Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2037699BOY
EOY2295368EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY695189BOY
EOY2115103EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY842756BOY
EOY818320EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY836247BOY
EOY1090721EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9564457LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4963087LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4144184BOY
EOY4601370EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY249937BOY
EOY488693EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY78686BOY
EOY105479EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8884698BOY
EOY11515054EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2093744BOY
EOY3134493EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY672294BOY
EOY903488EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2807649BOY
EOY2526690EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5573687BOY
EOY6564671EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3311011BOY
EOY4950383EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3311011BOY
EOY4950383EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8884698BOY
EOY11515054EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years3327510CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8264442CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9536383CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10418021CurrentTaxYearMinus1Year
Current Tax Year11523933CurrentTaxYear
Total43070289Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3327510CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8264442CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9536383CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10418021CurrentTaxYearMinus1Year
Current Tax Year11523933CurrentTaxYear
Total43070289Total
FieldValueIRS element (for citing)
Public Support Total17043070289PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year9361CurrentTaxYearMinus1Year
Current Tax Year20254CurrentTaxYear
Total29615Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years27904CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years161025CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38704CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year464209CurrentTaxYearMinus1Year
Current Tax Year1276975CurrentTaxYear
Total1968817Total
FieldValueIRS element (for citing)
Total Support45068721TotalSupport
Gross Receipts From Admissions Etc54842189GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95570PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97380PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationSchedule A, Part II, Line 10, Explanation of Other Income: OTHER INCOMEGeneralExplanation

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 D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2986239OtherCostOrOtherBasis
Depreciation502140Depreciation
Book Value2484099BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6578218OtherCostOrOtherBasis
Depreciation4460947Depreciation
Book Value2117271BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4601370TotalOfBookValueLandBuildings
Total Revenue27245464TotalRevenue
Total Expenses25606092TotalExpenses
Excess Or Deficit For Year1639372ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1639372ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27396108TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities100900DonatedSrvcAndUseOfFacilities
Other Revenues49744OtherRevenues
Revenue Not Rptd F990150644RevenueNotRptdF990
Revenue Subtotal27245464RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99027245464TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt25756736TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities100900DonatedServicesUseOfFacilities
Other Expenses Included49744OtherExpensesIncluded
Expenses Not Rptd F990150644ExpensesNotRptdF990
Expenses Subtotal25606092ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025606092TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

ExplanationExplanation
PART XII, LINE 2D: DIRECT FUNDRAISING EXPENSES REDUCED GROSS INCOME FROM FUNDRAISING EVENT ON FORM 990
PART X, LINE 2: INCOME TAXES - THE NETWORK IS A NONPROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES PRESCRIBE REQUIREMENTS FOR THE RECOGNITION OF INCOME TAXES IN FINANCIAL STATEMENTS, AND THE AMOUNTS RECOGNIZED ARE AFFECTED BY INCOME TAX POSITIONS TAKEN BY THE NETWORK IN ITS TAX RETURNS. THE NETWORK'S STATUS AS AN EXEMPT ORGANIZATION IS DEFINED AS AN INCOME TAX POSITION UNDER THESE REQUIREMENTS. WHILE MANAGEMENT BELIEVES IT HAS COMPLIED WITH THE INTERNAL REVENUE CODE, THE SUSTAINABILITY OF SOME INCOME TAX POSITIONS TAKEN BY THE NETWORK IN ITS TAX RETURNS MAY BE UNCERTAIN. THERE ARE MINIMUM THRESHOLDS OF LIKELIHOOD THAT UNCERTAIN TAX POSITIONS ARE REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THAT THE NETWORK HAS ANY MATERIAL UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2010. IN THE EVENT INTEREST AND PENALITES WERE DUE RELATING TO AN UNSUSTAINABLE TAX POSITION, THEY WOULD BE TREATED AS A COMPONENT OF INCOME TAX EXPENSE. THE NETWORK'S FEDERAL INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. AT SEPTEMBER 30, 2010, THE YEARS 2009, 2008, 2007 AND 2006 ARE SUBJECT TO EXAMINATION.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1JESSIE TRICE HEALTH BENEFIT DINNERNameOfEvent1
Gross Receipts Event1269625GrossReceiptsEvent1
Gross Revenue Event1269625GrossRevenueEvent1
Rent Facility Costs Event134714RentFacilityCostsEvent1
Other Direct Expenses Event115030OtherDirectExpensesEvent1
Gross Receipts Total269625GrossReceiptsTotal
Gross Revenue Total Events269625GrossRevenueTotalEvents
Rent Facility Costs Total Events34714RentFacilityCostsTotalEvents
Other Direct Expenses Total Events15030OtherDirectExpensesTotalEvents
Direct Expense Summary Events49744DirectExpenseSummaryEvents
Net Income Summary219881NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
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 (6 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
KEVIN S KEARNS
2417310450000000095040296235000
ALEJANDRO ROMILLO
2158000000000104640226264000
BRIAN MORTON
16582800000006240166452000
PAUL ROTHMAN
214804000000028530217657000
DOUG COOK
168077000000000168077000
MARC RIVO
187499000000000187499000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part III, line 2New Program ServicesSOUTH FLORIDA REGIONAL EXTENSION CENTER PROJECT - TO FURNISH ASSISTANCE TO HELP PROVIDERS SELECT, SUCCESSFULLY IMPLEMENT, AND MEANINGFULLY USE CERTIFIED EHR TECHNOLOGY TO IMPROVE THE QUALITY AND VALUE OF HEALTH CARE.
Form 990, Part VI, Section A, line 6THE NETWORK IS MANAGED BY THREE CATEGORIES OF MEMBERS: FOUNDING MEMBERS, PARTICIPATING MEMBERS AND PARTICIPATING NETWORK MEMBERS UNDER A NON-STOCK BASIS. THE MEMBERS OF THE BOARD OF DIRECTORS MUST BE EMPLOYED BY OR SERVE ON THE BOARD OF DIRECTORS OF CORPORTIONS WHICH ARE EITHER FOUNDING PARTICIPATING MEMBERS OR PARTICIPATING NETWORK MEMBERS OF THE CORPORATION.
Form 990, Part VI, Section A, line 7aTHE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE LIMITED TO FOUNDING, PARTICIPATING AND PARTICIPATING NETWORK MEMBERS. EACH FOUNDING MEMBER SHALL BE ENTITLED TO APPOINT TWO QUALIFIED PERSONS TO SERVE ON THE NETWORK BOARD OF DIRECTORS. EACH PARTICIPATING MEMBER SHALL BE ENTITLED TO APPOINT ONE QUALIFIED PERSON TO SERVE ON THE NETWORK BOARD OF DIRECTORS UPON SATISFACTION OF ELIGIBILITY CRITERIA FOR SUCH ENTITLEMENT AS ESTABLISHED BY THE BOARD OF DIRECTORS. EACH PARTICIPATING NETWORK MEMBER CEO (OR TOP EXECUTIVE) WILL BE APPOINTED TO SERVE ON THE NETWORK BOARD OF DIRECTORS.
Form 990, Part VI, Section A, line 7bALL THE POWERS OF THE NETWORK SHALL BE EXERCISED BY OR UNDER THE CONTROL OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Section B, line 11THE 990 WAS REVIEWED IN DRAFT FORM AND APPROVED BY THE FINANCE COMMITTEE. A COPY WAS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS PRIOR TO FILING.
Form 990, Part VI, Section B, line 12cTHE NETWORK HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT EVERY EMPLOYEE IS REQUIRED TO READ AND SIGN. THE NETWORK'S BYLAWS ALSO REQUIRE ALL BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST STATEMENT TO ADHERE TO THE STANDARDS OF CONDUCT PERTAINING TO THE CONFLICT OF INTEREST POLICY.
Form 990, Part VI, Section B, line 15THE NETWORK'S BOARD OF DIRECTORS DETERMINES THE CEO'S COMPENSATION AND ESTABLISHES THE COMPENSATION WITH A WRITTEN EMPLOYEMENT CONTRACT. THE CEO ESTABLISHES THE PROCESSES FOR DETERMINATION OF THE COMPENSATION OF OTHER OFFICERS.
Form 990, Part VI, Section C, line 18THE NETWORK MAKES THESE FORMS AVAILABLE UPON REQUEST.
Form 990, Part VI, Section C, line 19THE ORGANIZATION DOES NOT CURRENTLY MAKE IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 2CFINANICAL STATEMENTS AND REPORTINGTHE NETWORK HAS A FINANCE COMMITTEE ESTABLISHED BY THE BOARD OF DIRECTORS THAT IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT, REVIEWING OF ITS FINANCIAL STATEMENTS AND TO SELECT AN INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PRESTIGE HEALTH CHOICE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line19064 NW 13TH TERRACEAddressLine1
CityMIAMICity
StateFLState
ZIP Code33172ZIPCode
FieldValueIRS element (for citing)
EIN450563075EIN
Primary ActivityMANAGED HEALTH CARE ACTIVITIESPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NOBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeMEDICAID FUNDINGPredominantIncomeType
Share Of Total Income490380ShareOfTotalIncome
Share Of EOY Assets488693ShareOfEOYAssets
Disproportionate Allocations1DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
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 Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg