2011-08-10T06:41:15-05:00 2010-09-30 AVERETT WARMUS DURKEE OSBURN HENNING PA 1417 E CONCORD STREET ORLANDO FL 32803 990 2009-10-01 650504316 HEALTH CHOICE NETWORK OF FLORIDA INC HEAL 3055991015 9064 NORTHWEST 13 TERRACE MIAMI FL 33172 KEVIN KEARNS 3055991015 2011-05-11 1 EDWARD A HOFMA 4078491569 2009 2016-02-24 21:20:13Z KEVIN KEARNS 9064 NORTHWEST 13 TERRACE MIAMI FL 33172 27524102 0 X WWW.HCNETWORK.ORG X 1994 FL TO PROVIDE HEALTH ADMINISTRATIVE SERVICES AND SUPPORT TO COMMUNITY HEALTH CENTER MEMBERS. 14 14 204 0 0 0 10418021 11523933 11585682 13978715 133786 245960 538064 1496856 22675553 27245464 0 0 8077236 9341325 0 158430 14556955 16264767 22634191 25606092 41362 1639372 8884698 11515054 5573687 6564671 3311011 4950383 TO 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. 1 0 7866590 HEALTH 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. 9686357 FISCAL/MIS INTEGRATION - PROVIDES FISCAL AND MANAGEMENT INFORMATION SYSTEM SERVICES FOR MEMBER CENTERS. 2745624 CENTRALIZED BILLING - PROVIDES BILLING AND PAYMENT POSTING SERVICES FOR THE MEMBER CENTERS THAT HAVE ELECTED TO PARTICIPATE. 2468059 3662761 MANAGED 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. 711781 ELECTRONIC 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. 742233 10315954 MEMBER SERVICES - A SINGLE RESOURCE ON BEHALF OF ALL CENTERS FOR SERVICES SUCH AS EDUCATION ON CURRENT GRANTS, LEGISLATIVE ISSUES, BOARD TRAINING, ETC. 226099 JESSIE TRICE CANCER PREVENTION PROJECT - ADDRESSES THE DISPROPORTIONATE BURDEN OF CANCER IN LOW-INCOME AFRICAN-AMERICAN AND HISPANIC COMMUNITIES SERVED BY THE CENTERS. 372740 SOUTH 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. 4520912 13978715 24819483 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 32 0 204 1 0 0 0 0 0 0 0 0 0 0 0 14 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 1 1 X BRIAN MORTON 3055991015 9064 NORTHWEST 13 TERRACE MIAMI FL 33172 COL BRODES HARTLEY JR 1.00 X 0 0 0 ROSALYN FRAZIER 1.00 X 0 0 0 CHARLES BOTTOMS 1.00 X 0 0 0 BAKARI BURNS 1.00 X 0 0 0 ANNIE NEASMAN 1.00 X 0 0 0 CALEB DAVIS 1.00 X 0 0 0 FRANK MAZZEO 1.00 X 0 0 0 HIRUT KASSAYE 1.00 X 0 0 0 KATHRYN ABBATE 1.00 X 0 0 0 MARIO JARDON 1.00 X 0 0 0 BOB LINDER 1.00 X 0 0 0 PAT MABE 1.00 X 0 0 0 CLAUDIO M PEREZ 1.00 X 0 0 0 MARK RABINOWITZ MD 1.00 X 0 0 0 KEVIN S KEARNS 50.00 X 286731 0 9504 ALEJANDRO ROMILLO 50.00 X 215800 0 10464 BRIAN MORTON 50.00 X 165828 0 624 PAUL ROTHMAN 40.00 X 214804 0 2853 DOUG COOK 40.00 X 168077 0 0 TERISA A JAMES 40.00 X 148788 0 0 MICHELE RUSSELL 40.00 X 131629 0 0 MARC RIVO 40.00 X 187499 0 0 1519156 0 23445 16 0 1 0 TERREMARK NORTH AMERICAN INC PO BOX 864416 ORLANDO FL 32886 IT INFRASTRUCTURE SERVICES 523508 ALLZONE MANAGEMENT SOLUTIONS 3200 WILSHIRE BLVD S TOWER STE 115 LOS ANGELES CA 90010 DATA PROCESSING & A/R SERVICES 196800 AUTOMATIC DATA PROCESSING PO BOX 9001006 LOUISVILLE KY 40290 PAYROLL PROCESSING 128938 3 536001 10987932 11523933 MEMBER SERVICES 561000 10315954 10315954 MANAGED CARE 524298 3662761 3662761 13978715 20254 20254 454600 228894 225706 225706 225706 269625 49744 219881 219881 ADMINISTRATIVE SERVICE 561000 786595 786595 EQUITY IN EARNINGS OF 900003 490380 490380 1276975 27245464 13978715 0 1742816 777690 622152 137269 18269 7207854 6986138 192561 29155 279990 262555 15488 1947 487394 464488 20013 2893 588397 562701 21985 3711 71182 56445 14737 44093 33930 10163 2734372 2701363 33009 118177 113701 4476 165057 121814 43243 268700 258057 10643 213507 150334 8671 54502 142593 115889 26704 821298 779520 41778 550182 531971 18211 CONTRACTED SERVICES 9600369 9542930 9486 47953 CAPITATION 1425723 1425723 OTHER EXPENSES 58816 52356 6460 PAYROLL SERVICES - ADP 50698 37416 13282 25606092 24819483 628179 158430 2037699 2295368 695189 2115103 842756 818320 836247 1090721 9564457 4963087 4144184 4601370 249937 488693 78686 105479 8884698 11515054 2093744 3134493 672294 903488 2807649 2526690 5573687 6564671 X 3311011 4950383 3311011 4950383 8884698 11515054 X 0 1 1 X 1 1 X 3327510 8264442 9536383 10418021 11523933 43070289 3327510 8264442 9536383 10418021 11523933 43070289 43070289 9361 20254 29615 27904 161025 38704 464209 1276975 1968817 45068721 54842189 0.95570 0.97380 X Schedule A, Part II, Line 10, Explanation of Other Income: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2986239 502140 2484099 6578218 4460947 2117271 4601370 27245464 25606092 1639372 0 1639372 27396108 100900 49744 150644 27245464 0 27245464 25756736 100900 49744 150644 25606092 0 25606092 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. JESSIE TRICE HEALTH BENEFIT DINNER 269625 269625 34714 15030 269625 269625 34714 15030 49744 219881 X X 0 0 0 0 0 0 0 0 0 KEVIN S KEARNS 241731 0 45000 0 0 0 0 0 9504 0 296235 0 0 0 ALEJANDRO ROMILLO 215800 0 0 0 0 0 0 0 10464 0 226264 0 0 0 BRIAN MORTON 165828 0 0 0 0 0 0 0 624 0 166452 0 0 0 PAUL ROTHMAN 214804 0 0 0 0 0 0 0 2853 0 217657 0 0 0 DOUG COOK 168077 0 0 0 0 0 0 0 0 0 168077 0 0 0 MARC RIVO 187499 0 0 0 0 0 0 0 0 0 187499 0 0 0 Form 990, Part III, line 2 New Program Services SOUTH 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 6 THE 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 7a THE 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 7b ALL 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 11 THE 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 12c THE 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 15 THE 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 18 THE NETWORK MAKES THESE FORMS AVAILABLE UPON REQUEST. Form 990, Part VI, Section C, line 19 THE 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 2C FINANICAL STATEMENTS AND REPORTING THE 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. PRESTIGE HEALTH CHOICE LLC 9064 NW 13TH TERRACE MIAMI FL 33172 450563075 MANAGED HEALTH CARE ACTIVITIES FL NO MEDICAID FUNDING 490380 488693 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0