Civic Intelligence

Pediatric Specialty Group Inc

EIN 46-3756071 • 501(c)3 • Miami, FL

Profile

Pediatric Specialty Group, Inc. (d/b/a Nicklaus Children's Pediatric Specialists ("NCPS")) IS A PHYSICIAN-DIRECTED, MULTI-SPECIALTY PEDIATRIC GROUP WITH A REGIONAL, NATIONAL, AND INTERNATIONAL PRESENCE IN PROVIDING PEDIATRIC-CENTRIC CARE THROUGH A COLLABORATIVE TEAM APPROACH, EXCELLENCE IN CLINICAL CARE, EDUCATION, AND RESEARCH. (Continued on Schedule O)

3100 SW 62nd AvenueMiami, FL 33155

www.nicklauschildrens.org/about-us/pediatric-specialists

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2020

Liabilities / Revenue

4th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $50M-$100M nonprofits • Source year 2020

Net Margin

4th percentile

-56%

Higher net margin than 4% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Source year 2020

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2019 to 2020

Revenue Growth

11th percentile

-20%

Faster revenue growth than 11% of similar nonprofits.

501(c)3 • $50M-$100M nonprofits • Annualized from 2019 to 2020

Assets

Down

$0

Down $10,821,169 (-100%) from 2019

Liabilities

Down

$0

Down $10,821,169 (-100%) from 2019

Net Assets

Flat

$0

Flat from 2019

Revenue

Down

$58,299,031

Down $14,234,126 (-20%) from 2019

Expenses

Down

$90,896,292

Down $15,369,948 (-14%) from 2019

Net Income

Up

-$32,597,261

Up $1,135,822 (+3.4%) from 2019

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$15M$10M$5.0M$0Assets 2012: $1Liabilities 2012: $02012Assets 2014: $1Liabilities 2014: $02014Assets 2015: $5,658,831Liabilities 2015: $2,584,806Net Assets 2015: $3,074,0252015Assets 2016: $12,747,300Liabilities 2016: $284,712Net Assets 2016: $12,462,5882016Assets 2017: $10,099,049Liabilities 2017: $4,652,220Net Assets 2017: $5,446,8292017Assets 2018: $9,831,649Liabilities 2018: $9,831,649Net Assets 2018: $02018Assets 2019: $10,821,169Liabilities 2019: $10,821,169Net Assets 2019: $02019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2020

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MRevenue 2012: $0Expenses 2012: $0Net Income 2012: $02012Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $56,980,417Expenses 2015: $81,034,955Net Income 2015: -$24,054,5382015Revenue 2016: $65,695,938Expenses 2016: $93,815,691Net Income 2016: -$28,119,7532016Revenue 2017: $66,356,818Expenses 2017: $104,985,879Net Income 2017: -$38,629,0612017Revenue 2018: $72,391,394Expenses 2018: $103,732,411Net Income 2018: -$31,341,0172018Revenue 2019: $72,533,157Expenses 2019: $106,266,240Net Income 2019: -$33,733,0832019Revenue 2020: $58,299,031Expenses 2020: $90,896,292Net Income 2020: -$32,597,2612020

Highlighted filing

2020

Revenue$58,299,031
Expenses$90,896,292
Net Income-$32,597,261

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 15, 2021
Return Version
2020v4.0
Gross Receipts
$58,299,031
Mission and Program Overview

Mission

Pediatric Specialties of America ("PSA") is a physician-directed, multi-specialty pediatric group with a regional, national, and international presence in providing pediatric-centric care through a collaborative team approach, excellence in clinical care, education, and research. (Continued on Schedule O)

Pediatric Specialty Group, Inc. (d/b/a Nicklaus Children's Pediatric Specialists ("NCPS")) IS A PHYSICIAN-DIRECTED, MULTI-SPECIALTY PEDIATRIC GROUP WITH A REGIONAL, NATIONAL, AND INTERNATIONAL PRESENCE IN PROVIDING PEDIATRIC-CENTRIC CARE THROUGH A COLLABORATIVE TEAM APPROACH, EXCELLENCE IN CLINICAL CARE, EDUCATION, AND RESEARCH.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$8,437,763$0▼ $8,437,763
Land, Buildings, and Equipment, Net$3,769$0▼ $3,769
Cash and Non-Interest-Bearing Accounts$1,130$0▼ $1,130
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$10,821,169$0▼ $10,821,169
Other Assets Total$2,378,507$0▼ $2,378,507
Liabilities
Accounts Payable and Accrued Expenses$6,907,194$0▼ $6,907,194
Other Liabilities$3,913,975$0▼ $3,913,975
Total Liabilities$10,821,169$0▼ $10,821,169
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$0→ $0
Total Liabilities and Net Assets / Fund Balance$10,821,169$0▼ $10,821,169
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-Chief Cardiovascular SurgFT$1,953,083$21,674$1,974,756
-Director & Interim President & Sec (as of Aug 2020)FT$1,022,161$54,709$1,076,871
-Chief NeurosurgeryFT$1,013,568$50,763$1,064,330
-Director & Vice ChairFT$1,001,280$29,003$1,030,283
-Orthopedic Attending PhysicianFT$856,316$16,134$872,451
-DirectorFT$776,815$31,044$807,859
-PhysicianFT$714,496$6,245$720,740
-Attending PhysicianFT$636,268$18,366$654,635
-Director - Partial Yr.FT$469,080$23,264$492,344
-Director/Chief Urgent CareFT$276,416$22,123$298,539
-Director/Attending PhysicianFT$237,254$25,847$263,101
-Director/Mgr Clinical PsychFT$154,317$14,525$168,842
-Ncps CFOFT$136,898$19,172$156,069
-Attending Physician & Partial Year DirectorFT$113,104$17,122$130,226

Board Members and Trustees

NameTitle
-Chairman & Director
-Director, President & Sec untilAug 2020
-CEO/Director (Former)
-Director- NCHS Pres/CEO
-Senior Medical Director
-SVP and General Counsel
-SVP/CFO Health System

Highest Paid Contractors

ContractorServicesLocationCompensation
Allscripts Healthcare LLCMaintenance Service /IT24630 NETWORK PLACE, Chicago, IL 60673-1246$1,081,685
Sullivan Cotter And AssociatesConsulting - Compensation programs62272 COLLECTIONS CENTER DRIVE, Chicago, IL 60693-0622$243,752
Pricewaterhouse Coopers LLPProfessional Services3109 W DR MARTIN L K JR BLV, Tampa, FL 33607$108,000
Revenue and Support

Revenue Composition

Contributions and Grants
$1,658,824
Program Service Revenue
$56,633,609
Investment Income
$0
Other Revenue
$6,598
Change in Net Assets
$-32,597,261
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$63,702,540
Other Expenses$27,193,752
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$40,571,312$10,142,828-$50,714,140
Fees for Services Other$14,837,283$3,709,321$0$18,546,604
Current Officers, Directors, Trustees, and Key Employees$4,438,573$1,109,643$0$5,548,216
Other Employee Benefits$3,242,719$811,415-$4,054,134
Insurance$2,894,262$723,566-$3,617,828
Occupancy$2,551,558$637,889-$3,189,447
Payroll Taxes$2,383,866$583,484-$2,967,350
Office Expenses$352,802$88,200-$441,002
Pension Plan Contributions$325,562$93,138-$418,700
Travel$141,601$35,400-$177,001
Advertising$18,890$4,723-$23,613
Other Expenses$9,911$2,478-$12,389
Information Technology$6,859$1,715-$8,574
All Other Expenses$6,241$-7,260$0$-1,019
Total Functional Expenses$72,724,089$18,172,203$0$90,896,292
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany payables-
Current portion of liability for self-insurance-
Operating Lease Liabilities-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A DETERMINING COMPENSATION FOR CEO AND EXECUTIVE DIRECTOR

The ceo is paid by nicklaus children's health system, inc. A related organization, therefore this has been answered no in accordance with the instructions. The organization and compensation committee of nicklaus children's health system's board of directors contracts with an external consultant to obtain market surveys for the ceo and other executives. The consultant assists the organization and compensation committee in establishing a compensation program for the ceo and other executives. Survey results and compensation best practices are shared with the organization and compensation committee of the board. Persons with a conflict of interest with respect to the compensation arrangement at issue are not involved in establishing executive salary and benefits programs. Deliberations and decisions regarding the compensation agreement are contemporaneous documented. This process is completed in the first quarter each year.

Form 990, Part VI, Line 15B Determining compensation for other officers or key employees

Nicklaus Children's Pediatric Specialists RELIED ON THE METHODS OF ESTABLISHING COMPENSATION USED BY NICKLAUS CHILDREN'S HEALTH SYSTEM. THE ORGANIZATION AND COMPENSATION COMMITTEE OF NICKALUS CHILDREN'S HEALTH SYSTEM, INC.'S BOARD OF DIRECTORS CONTRACTS WITH AN EXTERNAL CONSULTANT TO OBTAIN MARKET SURVEYS FOR THE CEO AND OTHER EXECUTIVES. THE CONSULTANT ASSISTS THE ORGANIZATION AND COMPENSATION COMMITTEE IN ESTABLISHING A COMPENSATION PROGRAM FOR THE CEO AND OTHER EXECUTIVES. SURVEY RESULTS AND COMPENSATION BEST PRACTICES ARE SHARED WITH THE ORGANIZATION AND COMPENSATION COMMITTEE OF THE BOARD. PERSONS WITH A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE INVOLVED IN ESTABLISHING EXECUTIVE SALARY AND BENEFITS PROGRAMS. DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION AGREEMENT ARE CONTEMPORANEOUS DOCUMENTED. THIS PROCESS IS COMPLETED IN THE FIRST QUARTER EACH YEAR.

Form 990, Part VI, Line 2 FAMILY/BUSINESS RELATIONSHIPS AMONGST INTERESTED PERSONS.

Mario Murgado, MATTHEW A. LOVE, Jodi Laurence, and Dawn Javersack have a business relationship due to serving on the board of directors of Children's Health Ventures.

Form 990, Part VI, Line 1A Delegate broad authority to A committee

There shall be an Executive Committee of the Board of Directors composed of three (3) Directors elected by the Board of Directors, one of whom must be the Chair of the Board and one of whom must be a physician employed by the Corporation. No non-Director members shall serve on the Executive Committee. A majority of the members of the Executive Committee shall constitute a quorum for the transaction of business and for taking any action. The Executive Committee shall have and exercise the authority designated to it by the Board of Directors in the management of the Corporation. The Executive Committee shall report to the Board of Directors any action taken by the Executive Committee at the next meeting of the Board of Directors. Members of the Executive Committee may be removed by the Board at any regular or special meeting of the Board of Directors.

Form 990, Part VI, Line 4 Significant changes to organizational documents

Nicklaus children's pediatric specialists was converted to a disregarded entity of miami children's health system as of 12/31/2020. See attached articles of conversion and articles of organization.

Form 990, Part VI, Line 6 Classes of members or stockholders

The organization's sole member is nicklaus children's health system, inc. The sole member has the authority to elect members to the board of directors and approve decisions of the board.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The elected members of the board shall be elected by nicklaus children's health system (the sole member), after taking into consideration any recommendations of the board. The number of directors of the corporation shall be established by resolution of the board of directors of the sole member; provided that there shall be no fewer than 6 and no more than 15 directors. Any director may be removed from office by action of the sole member or the elected members of the board so permitted to vote, for any cause or reason deemed sufficient by the member or the elected members of the board so permitted to vote.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

The Board shall not take any action with respect to the following without the approval of Nicklaus Children's Health System (the sole Member): a) Modify the mission, purpose or scope of the CORPORATION, or materially change the location, size or scope of services, programs, operations or educational or medical school affiliations of the CORPORATION or related agreements; b) Create any entity in which the CORPORATION is the sole member or sole shareholder, or any entity in which the CORPORATION has a direct or indirect oversight role, which may include not-for-profit, for profit, limited liability companies, or any other legal entity; c) Sell, lease, purchase, create, dissolve, convey, mortgage, grant a security interest or otherwise dispose of any affiliated, controlled, or joint venture entity, any real or personal property or other assets (or any interest in any of the foregoing), or incur debt for money borrowed or guarantee the debt of another, not in the ordinary course of business; d) Approve annual operating or capital budgets, strategic and long-range plans, major fund-raising programs, physician compensation or other agreements, managed care contracts or other financial commitments or material deviations from such budgets, plans, agreements or commitments; and e) Approve financial, accounting, human resource, employee benefit, compliance policies or procedures, medical staff bylaws (including amendments) or other policies and procedures, or the appointment or engagement of auditors, legal counsel and consultants, which are in any way contrary to the policies and procedures adopted from time to time by the Member.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The following describes the process for providing the board of directors with a copy of the form 990 and reviewing it: 1. The draft tax form 990 will be emailed to the audit and compliance committee chair for review and comments prior to filing. 2. The paid tax preparer will present a summary of the information to the finance committee of the board. 3. Questions will be answered and if necessary, tax forms will be adjusted. The chair will approve the form 990. 4. The final form 990 will be posted on the board web portal prior to filing.

Form 990, Part VI, Line 12C Conflict of interest policy

ALL Nicklaus Children's Pediatric Specialists ("NCPS") EMPLOYEES ARE INFORMED UPON HIRE, AND ON AN ANNUAL BASIS THEREAFTER, THAT THEY HAVE AN AFFIRMATIVE DUTY TO DISCLOSE ANY ACTUAL, POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. THEY ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON HIRE, ANNUALLY AND WHENEVER A CHANGE IN CIRCUMSTANCES WARRANTS. CONFLICT OF INTEREST DISCLOSURE FORMS ARE FORWARDED TO THE COMPLIANCE DEPARTMENT BY THE TALENT MANAGEMENT AND EFFECTIVENESS DEPARTMENT. THESE FORMS ARE INITIALLY REVIEWED BY COMPLIANCE DEPARTMENT STAFF. WHEN DEEMED NECESSARY, THE COMPLIANCE DEPARTMENT COLLABORATES WITH THE LEGAL DEPARTMENT. CONFLICTS OF INTEREST THAT NECESSITATE BOARD AWARENESS AND ACTION ARE PRESENTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD FOR RESOLUTION AND IMPOSITION OF SANCTIONS, IF WARRANTED. ANY POTENTIALLY CONFLICTED BOARD MEMBERS ARE RECUSED FROM BOARD DELIBERATIONS AND VOTING ON ITEMS IN WHICH THEY HAVE A POTENTIAL CONFLICT. IN ADDITION, ON AN ANNUAL BASIS, BOARD MEMBERS, PRINCIPAL OFFICERS, AND BOARD-DELEGATED COMMITTEE MEMBERS SIGN A STATEMENT WHICH AFFIRMS THAT EACH INDIVIDUAL: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE POLICY; (C) HAS AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTANDS THAT NCPS IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF IT'S TAX-EXEMPT PURPOSES. A PROCESS IS IN PLACE FOR MANAGING SITUATIONS IN WHICH IT IS DISCOVERED THAT AN INDIVIDUAL WHO IS COVERED BY NCPS'S CONFLICT OF INTEREST POLICY FAILED TO PROPERLY DISCLOSE A POTENTIAL CONFLICT OF INTEREST.

Form 990, Part VI, Line 19 Required documents available to the public

Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to internal, revenue code (irc) section 6104. These documents are not available to the public at this time.

Filing and Contact Details

Filer

Filer Name
Pediatric Specialty Group Inc
EIN
46-3756071
Phone
3056666511
Address
3100 SW 62ND AVENUE, MIAMI, FL 33155
Doing Business As
Nicklaus Childrens Pediatric Specialists

Signing Officer

Name
Dawn Javersack
Title
SVP and CFO
Signed
2021-11-15
Discuss with paid preparer
Yes

Organization Details

Formed
2012
Legal Domicile
Fl
Voting Board Members
20
Independent Board Members
5
Employees
533
Volunteers
5

Preparer

Firm
Crowe Llp
Address
401 East Las Olas Blvd Suite 1100, Fort Lauderdale, FL 33301-4230
Preparer
Brittney Kocaj
Phone
9542028600
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1 ORGANIZATION'S MISSION

The corporation is organized exclusively for charitable, educational, and scientific purposes with the mission of enhancing wellness in pediatric patients through the optimal delivery of pediatric multi-specialty care regardless of the ability to pay, covering the underserved and uninsured.

Form 990, Part III, Line 4A PROGRAM SERVICE DESCRIPTION

Overall, the 2020 program accomplishments of ncps physicians include being internationally recognized for care excellence by being ranked athe nation's best in 5 of the above listed specialties surveyed by u.s. News and world report in its 2020-20201 listing of " best children's hospitals." (results were released in 2020.) nicklaus children's hospital had more ranked pediatric programs than any other hospital in south florida. Categories in which the ncps specialties were ranked in 2020 include cardiology and heart surgery, diabetes and endocrinology, neonatology. Neurology & neurosurgery, orthopedics,and pulmonology. Collectively the ncps specialists generated more than 443,914 encounters in 2020 serving predominately poor and underserved communities in order to improve population health and well-being for the children that we serve. Expansion of service areas included miami dade county, broward county, palm beach county and collier county.

Form 990, Part IX, Line 11G Other Fees

LABORATORY SERVICES - Total Expense: -4980, Program Service Expense: -3984, Management and General Expenses: -996, Fundraising Expenses: ; FREIGHT - Total Expense: 250, Program Service Expense: 200, Management and General Expenses: 50, Fundraising Expenses: ; INSPECTIONS - Total Expense: 256, Program Service Expense: 205, Management and General Expenses: 51, Fundraising Expenses: ; FREIGHT - DOMESTIC - Total Expense: 503, Program Service Expense: 402, Management and General Expenses: 101, Fundraising Expenses: ; MISCELLANEOUS EXPENSES - Total Expense: 502, Program Service Expense: 402, Management and General Expenses: 100, Fundraising Expenses: ; STORAGE FEES - Total Expense: 2306, Program Service Expense: 1845, Management and General Expenses: 461, Fundraising Expenses: ; LICENSES AND OTHER TAXES - Total Expense: 5748, Program Service Expense: 4598, Management and General Expenses: 1150, Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 41395, Program Service Expense: 33116, Management and General Expenses: 8279, Fundraising Expenses: ; CONSULTANTS - Total Expense: 242547, Program Service Expense: 194038, Management and General Expenses: 48509, Fundraising Expenses: ; MEDICAL FEES - Total Expense: 502920, Program Service Expense: 402336, Management and General Expenses: 100584, Fundraising Expenses: ; MANAGEMENT FEE EXPENSE - Total Expense: 1005903, Program Service Expense: 804722, Management and General Expenses: 201181, Fundraising Expenses: ; CODING SERVICES - Total Expense: 2910619, Program Service Expense: 2328495, Management and General Expenses: 582124, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 3324891, Program Service Expense: 2659913, Management and General Expenses: 664978, Fundraising Expenses: ; SUPPORT FEE EXPENSE - Total Expense: 10513744, Program Service Expense: 8410995, Management and General Expenses: 2102749, Fundraising Expenses: ;

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Equity Transfer with affiliated entity - conversion to disregarded LLC - 32597261;

Form 990, Part V, Lines 1A and 2A Forms W-2 and 1099 Filed

Miami children's health system, inc. (ein 45-3481327) files in its name all forms w-2 and 1099 for the filing organization, pediatric specialty group, inc.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Pediatric specialists of america's (psa) financial information is included in the consolidated audited financial statements of nicklaus children's health system (nchs), a related organization. Nchs' asc 740 footnote for the year ended december 31, 2020, reads as follows: "the system and certain of its affiliated organizations qualify as tax-exempt, nonprofit organizations under section 501(c)(3) of the internal revenue code (the code). The hospital, ncps, the foundation, and the research institute are exempt from federal income tax on related income pursuant to section 501(a) of the code as described in section 501(c)(3). These tax-exempt entities had no tax provision for the years ended december 31, 2020 and 2019. The captive insurance company is not subject to income taxes, as no income taxes are levied in the cayman islands. The system believes there is no uncertain tax liability which should be recorded as of december 31, 2020 and 2019. The health plan is a limited liability company which is taxed as a partnership and therefore is generally not a taxpaying entity for federal or state income tax purposes. In lieu of corporate income taxes, the members are taxed on the health plan's taxable income. Therefore, no provision or liability for income taxes has been included in these financial statements."

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