Civic Intelligence

Integral Health Plan Inc

990 • Fiscal year 2014 • EIN 80-0420631

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 02, 2015

4631 Woodland Corporate Blvd 201Tampa, FL 33614

(813) 517-8383

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

87th percentile

0.90x

Higher debt load relative to assets than 87% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Liabilities / Revenue

27th percentile

0.24x

Higher debt load relative to revenue than 27% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Net Margin

20th percentile

-1.3%

Higher net margin than 20% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Top Officer Pay

96th percentile

$2,318,877

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 1.4% of source-year revenue.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Asset Growth

99th percentile

125%

Faster asset growth than 99% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2013 to 2014

Revenue Growth

93rd percentile

73%

Faster revenue growth than 93% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2013 to 2014

Assets

Up

$43,042,036

Up $23,932,680 (+125%) from 2013

Net Assets

Down

$4,102,276

Down $2,306,151 (-36%) from 2013

Liabilities

Up

$38,939,760

Up $26,238,831 (+207%) from 2013

Revenue

Up

$163,391,370

Up $69,127,355 (+73%) from 2013

Expenses

Up

$165,556,524

Up $73,549,267 (+80%) from 2013

Net Income

Down

-$2,165,154

Down $4,421,912 (-196%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$60M$40M$20M$0-$20MAssets 2010: $7,067,722Liabilities 2010: $9,167,132Net Assets 2010: -$2,099,4102010Assets 2011: $10,715,558Liabilities 2011: $9,354,004Net Assets 2011: $1,361,5542011Assets 2012: $11,105,108Liabilities 2012: $6,899,646Net Assets 2012: $4,205,4622012Assets 2013: $19,109,356Liabilities 2013: $12,700,929Net Assets 2013: $6,408,4272013Assets 2014: $43,042,036Liabilities 2014: $38,939,760Net Assets 2014: $4,102,2762014Assets 2015: $52,976,492Liabilities 2015: $15,726,377Net Assets 2015: $37,250,1152015Assets 2016: $38,739,483Liabilities 2016: $1,000,005Net Assets 2016: $37,739,4782016Assets 2017: $269,871Liabilities 2017: $50,000Net Assets 2017: $219,8712017Assets 2018: $279,083Liabilities 2018: $40,386Net Assets 2018: $238,6972018

Highlighted filing

2014

Assets$43,042,036
Liabilities$38,939,760
Net Assets$4,102,276

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MExpenses 2010: $16,257,6042010Expenses 2011: $33,349,9132011Expenses 2012: $47,099,7632012Revenue 2013: $94,264,015Expenses 2013: $92,007,257Net Income 2013: $2,256,7582013Revenue 2014: $163,391,370Expenses 2014: $165,556,524Net Income 2014: -$2,165,1542014Revenue 2015: $273,327,446Expenses 2015: $239,280,128Net Income 2015: $34,047,3182015Revenue 2016: $6,603,410Expenses 2016: $3,044,069Net Income 2016: $3,559,3412016Revenue 2017: $6,769,958Expenses 2017: $45,379,615Net Income 2017: -$38,609,6572017Revenue 2018: $46,018Expenses 2018: $36,806Net Income 2018: $9,2122018

Highlighted filing

2014

Revenue$163,391,370
Expenses$165,556,524
Net Income-$2,165,154
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 2, 2015
Return Version
2014v5.0
Gross Receipts
$163,391,370
Mission and Program Overview

Mission

Integral quality care is a florida medicaid provider service network (psn). We deliver high quality, accessible care to the members we serve. We are committed to collaborative relationships with our providers while serving our members with compassion and care.

Integral quality care is a florida medicaid provider service network (psn). We manage high quality accessible care for the members we serve. We are committed to collaborative relationships with our providers while serving our members with compassion and care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$7,749,625$17,226,505▲ $9,476,880
Accounts Receivable$1,626,125$8,934,398▲ $7,308,273
Investments in Publicly Traded Securities$3,032,968$4,988,065▲ $1,955,097
Land, Buildings, and Equipment, Net$428,478$1,328,700▲ $900,222
Total Assets$19,109,356$43,042,036▲ $23,932,680
Other Assets Total$6,272,160$10,564,368▲ $4,292,208
Liabilities
Other Liabilities$7,006,450$21,676,921▲ $14,670,471
Deferred Revenue$87,232$8,822,440▲ $8,735,208
Accounts Payable and Accrued Expenses$1,469,202$4,302,354▲ $2,833,152
Unsecured Notes Loans Payable$4,138,045$4,138,045→ $0
Total Liabilities$12,700,929$38,939,760▲ $26,238,831
Net Assets / Fund Balance
Unrestricted Net Assets$6,408,427$4,102,276▼ $2,306,151
Total Net Assets Fund Balance$6,408,427$4,102,276▼ $2,306,151
Total Liabilities and Net Assets / Fund Balance$19,109,356$43,042,036▲ $23,932,680

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,328,700$314,203$1,642,903
Other Assets Org$35,314--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William EllisDirector-$224,923$24,199$247,923
Gregory PrestonCMOFT$147,096$186,922$171,295
Richard AkinCEO/chairman-$136,410$23,000$136,410
Kimberly JeffersonCompliance OFT-$36,004$36,004

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
Express Scripts INCPharmacybenefit21653 NETWORK PLACE, Chicago, IL 60673$30,600,115
Independent Living Systems LLCManagement5201 BLUE LAGOON DR, Miami, FL 33126$18,984,408
Lee Memorial Health SystemsMedical ServicePO BOX 2147, Ft Myers, FL 33907$8,823,683
Naples Community HospitalMedical Service11190 HEALTH PARK BLVD, Naples, FL 34110$5,862,830
Sacred Heart Hospital Of PensacolaMedical Service5151 N 9TH AVE, Pensacola, FL 32504$4,437,792
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$163,205,806
Investment Income
$185,564
Other Revenue
$0
Change in Net Assets
$-2,165,154

Audited Revenue Reconciliation

Revenue per Audited Statements
$163,376,921
Revenue Not Reported on Financial Statements
$14,449
Revenue Not Reported on Form 990
$-140,997
Other Revenue Adjustments
$14,449
Total Revenue per Audited Statements
$163,235,924
Total Revenue per Form 990
$163,391,370
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$19,311,382
Salaries, Compensation, and Employee Benefits$5,356,878
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$140,888,264--$140,888,264
Fees for Services Management-$11,568,623-$11,568,623
Other Salaries and Wages-$3,988,136-$3,988,136
Payments to Affiliates-$2,315,499-$2,315,499
Depreciation Depletion-$704,353-$704,353
Occupancy-$571,980-$571,980
Current Officers, Directors, Trustees, and Key Employees-$555,628-$555,628
Other Employee Benefits-$527,769-$527,769
Insurance-$465,206-$465,206
Office Expenses-$429,982-$429,982
Information Technology-$314,220-$314,220
Fees for Services Other-$288,801-$288,801
Payroll Taxes-$279,344-$279,344
Fees for Services Legal-$179,935-$179,935
Interest-$168,970-$168,970
Travel-$140,008-$140,008
Fees for Services Accounting-$106,275-$106,275
Advertising-$103,397-$103,397
Other Expenses-$94,830-$94,830
Fees for Service Investment Mgmnt Fees-$14,449-$14,449
Pension Plan Contributions-$6,001-$6,001
Total Functional Expenses$140,888,264$24,668,260$0$165,556,524

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$165,556,524
Expenses per Audited Statements$165,542,075
Total Expenses per Audited Statements$165,542,075
Expenses Not Reported on Financial Statements$14,449
Other Expense Adjustments$14,449
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
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Medical Claims Payable$15,088,656
Due to Management Service Provider$4,089,366
Risk Adjustment Payable$2,256,561
Deferred Rent$242,338
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 family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Page 6, Part VI, Line 3

The company was managed by independent living systems llc, a management service organization, as part of a management services agreement.

Form 990, Page 6, Part VI, Line 6

Integral health plan has two members, with collier health services having majority membership and association of area delivery system sponsors, inc (aads), a 501c(3) not-for-profit corporation, holding the minority membership position.

Form 990, Page 6, Part VI, Line 7A

Integral health plan has two members, with collier health services having majority membership and association of area delivery system sponsors, inc (aads), a 501c(3) not-for-profit corporation, holding the minority membership position.

Form 990, Page 6, Part VI, Line 7B

Integral health plan has two members, with collier health services having majority membership and association of area delivery system sponsors, inc (aads), a 501c(3) not-for-profit corporation, holding the minority membership position.

Form 990, Page 6, Part VI, Line 11B

Management reviews the form 990 and provides a final draft via e-mail to all members of the board of directors prior to filing.

Form 990, Page 6, Part VI, Line 12C

Integral health plan, inc has established a conflict of interest policy which has been reviewed and approved by the board of directors. Integral is committed to the belief that sound business practices start with an absolute committment from each employee to act ethically in carrying out business and to comply with the laws and regulations that impact its business, thus integral's employees must avoid participating in activites that create or appear to create a conflict of interest. Integral has specifically identified the following areas in its policy to be potential conflicts of interest; financial interest, outside employment, paid faculty arrangements, consultant or research contracts, acceptance of gifts, gratuities, business courtesies, travel, lodging and entertainment, misuse of resources or assets, personal gain using undue influence, direct dealings with vendors, and use of confidential information. The policy requires all employees to disclose participation in activities or circumstances that may present a conflict of interest on an annual basis or if at any time such individual becomes aware of circumstances that may present a conflict of interest. These disclosures are reviewed by compliance and regulatory affairs, as necessary.

Form 990, Page 6, Part VI, Line 15A

Integral health plan worked with its majority member, collier health services in utilizing the services of an independent compensation consultant to conduct ceo salary review.

Form 990, Page 6, Part VI, Line 15B

Integral health plan worked with its majority member, collier health services in utilizing the services of an independent compensation consultant to conduct ceo salary review.

Form 990, Page 6, Part VI, Line 19

Integral health plan, inc. Does not make its governing documents available to the public. However integral health plan, inc's articles of incorporation are publicly available through florida's secretary of state website integral health plan inc's conflict of interest policy can be found on intergral's website. Integral health plan's financial statements are available to the public on the florida agency for healthcare administration website.

Filing and Contact Details

Filer

Filer Name
Integral Health Plan Inc
EIN
80-0420631
Phone
8135178383
Address
4631 WOODLAND CORPORATE BLVD 201, TAMPA, FL 33614
Doing Business As
Integral Quality Care

Signing Officer

Name
Jennifer Sweet
Title
CEO
Phone
8135178383
Signed
2015-11-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jennifer Sweet
Formed
2009
Legal Domicile
Fl
Voting Board Members
4
Independent Board Members
1
Employees
128
Volunteers
4

Preparer

Firm
Gregory Sharer & Stuart Pa
Address
100 2ND AVE SOUTH STE 600, SAINT PETERSBURG, FL 33701-4336
Preparer
Byron C Smith CPA
Phone
7278216161
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

Integral quality care is a florida medicaid provider service network (psn). We manage high quality accessible care for the members we serve. We are committed to collaborative relationships with our providers while serving our members with compassion and care.

Form 990, Part XI, Line 9

Investment fees -14,449 investment fees 14,449

Financial Statement Notes

Schedule D, Page 3, Part X

The company has been recognized by the internal revenue service as a tax- exempt organization, as described in section 501(c)(3) of the internal revenue code of 1986. Income earned in furtherance of the organization's tax exempt purposes is exempt from federal and state income taxes. Asc topic 740, income taxes, prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return, and provides guidance on de-recognition, classification, interest and penalties, disclosure, and transition. Management believes that no such uncertain tax positions exist for the company at december 31, 2014 and 2013.

Schedule D, Page 4, Part XI, Line 4B

INVESTMENT FEES 14,449

Schedule D, Page 4, Part XII, Line 4B

INVESTMENT FEES 14,449

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE COMPANY HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A TAX- EXEMPT ORGANIZATION, AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986. INCOME EARNED IN FURTHERANCE OF THE ORGANIZATION'S TAX EXEMPT PURPOSES IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES. ASC TOPIC 740, INCOME TAXES, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, AND PROVIDES GUIDANCE ON DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. MANAGEMENT BELIEVES THAT NO SUCH UNCERTAIN TAX POSITIONS EXIST FOR THE COMPANY AT DECEMBER 31, 2014 AND 2013.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1INVESTMENT FEES 14,449
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2INVESTMENT FEES 14,449
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 3, PART X
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0RICHARD AKIN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1WILLIAM ELLIS
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2GREGORY PRESTON
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0BONUS PAID TO MR. AKIN BY A RELATED ORGANIZATION IS CONNECTED TO AN EMPLOYMENT AGREEMENT FOR HIS LONG-TERM SERVICES OF 30 YEARS TO THAT ORGANIZATION DUE AT HIS RETIREMENT.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PAGE 1, PART I, LINE 3
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0INTEGRAL QUALITY CARE IS A FLORIDA MEDICAID PROVIDER SERVICE NETWORK (PSN). WE MANAGE HIGH QUALITY ACCESSIBLE CARE FOR THE MEMBERS WE SERVE. WE ARE COMMITTED TO COLLABORATIVE RELATIONSHIPS WITH OUR PROVIDERS WHILE SERVING OUR MEMBERS WITH COMPASSION AND CARE.

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