Civic Intelligence

Integral Health Plan Inc

990 • Fiscal year 2015 • EIN 80-0420631

Jan 01, 2015 to Dec 31, 2015 • Filed on Jul 29, 2016

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

44th percentile

0.30x

Higher debt load relative to assets than 44% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Liabilities / Revenue

5th percentile

0.06x

Higher debt load relative to revenue than 5% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Net Margin

70th percentile

12%

Higher net margin than 70% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Top Officer Pay

18th percentile

$410,000

Higher top officer pay than 18% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2015

Asset Growth

93rd percentile

23%

Faster asset growth than 93% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2014 to 2015

Revenue Growth

96th percentile

67%

Faster revenue growth than 96% of similar nonprofits.

2015 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2014 to 2015

Assets

Up

$52,976,492

Up $9,934,456 (+23%) from 2014

Net Assets

Up

$37,250,115

Up $33,147,839 (+808%) from 2014

Liabilities

Down

$15,726,377

Down $23,213,383 (-60%) from 2014

Revenue

Up

$273,327,446

Up $109,936,076 (+67%) from 2014

Expenses

Up

$239,280,128

Up $73,723,604 (+45%) from 2014

Net Income

Up

$34,047,318

Up $36,212,472 (+1673%) from 2014

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

2015

Assets$52,976,492
Liabilities$15,726,377
Net Assets$37,250,115

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

2015

Revenue$273,327,446
Expenses$239,280,128
Net Income$34,047,318
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Jul 29, 2016
Return Version
2015v2.1
Gross Receipts
$277,927,692
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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$17,226,505$31,137,163▲ $13,910,658
Accounts Receivable$8,934,398$9,895,569▲ $961,171
Investments in Publicly Traded Securities$4,988,065--
Land, Buildings, and Equipment, Net$1,328,700$165,000▼ $1,163,700
Total Assets$43,042,036$52,976,492▲ $9,934,456
Other Assets Total$10,564,368$11,778,760▲ $1,214,392
Liabilities
Deferred Revenue$8,822,440--
Other Liabilities$21,676,921$8,656,681▼ $13,020,240
Accounts Payable and Accrued Expenses$4,302,354$7,069,696▲ $2,767,342
Unsecured Notes Loans Payable$4,138,045--
Total Liabilities$38,939,760$15,726,377▼ $23,213,383
Net Assets / Fund Balance
Unrestricted Net Assets$4,102,276$37,250,115▲ $33,147,839
Total Net Assets Fund Balance$4,102,276$37,250,115▲ $33,147,839
Total Liabilities and Net Assets / Fund Balance$43,042,036$52,976,492▲ $9,934,456

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$165,000-$165,000
Other Assets Org$62,309--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jerry StarkeyChairrman-$363,007$454,884$410,000
Gregory PrestonCMOFT$246,335$28,348$391,438
Jennifer SweetCOO/CEOFT$223,614$23,725$291,136
Barbara NabritMedical DireFT$223,614$23,725$247,339
Barbara NabritMedical Director---$247,339
Lori DillardCompliance DFT$126,601$16,815$143,416
Deborah SmithPharmacy DirectorFT$129,262$13,788$143,050
Georgianna McdanielHr DirectorFT$135,302-$135,302
Cody WrayIt DirectorFT$135,000-$135,000

Board Members and Trustees

NameTitle
Ann ClaussenChairman
William EllisDirector
Sandra SteeleCFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Express Scripts INCPharmacybenefit21653 NETWORK PLACE, Chicago, IL 60673$45,906,930
Independent Living Systems LLCManagement5201 BLUE LAGOON DR, Miami, FL 33126$9,761,691
James P DietzCfo Consulting17201 TALENCE CT, Tampa, FL 33647$321,424
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$207,339,261
Investment Income
$65,988,185
Other Revenue
$0
Change in Net Assets
$34,047,318

Audited Revenue Reconciliation

Revenue per Audited Statements
$273,312,467
Revenue Not Reported on Financial Statements
$14,979
Other Revenue Adjustments
$14,979
Total Revenue per Audited Statements
$273,312,467
Total Revenue per Form 990
$273,327,446
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$29,176,693
Salaries, Compensation, and Employee Benefits$9,418,707
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$200,684,728--$200,684,728
Fees for Services Management-$11,636,791-$11,636,791
Other Salaries and Wages-$7,059,417-$7,059,417
Occupancy-$2,082,425-$2,082,425
Fees for Services Legal-$1,372,315-$1,372,315
Current Officers, Directors, Trustees, and Key Employees-$1,092,574-$1,092,574
Information Technology-$786,416-$786,416
Fees for Services Other-$656,874-$656,874
Depreciation Depletion-$648,055-$648,055
Office Expenses-$609,486-$609,486
Other Employee Benefits-$608,119-$608,119
Insurance-$499,058-$499,058
Payroll Taxes-$458,718-$458,718
Interest-$271,659-$271,659
All Other Expenses-$247,826-$247,826
Pension Plan Contributions-$199,879-$199,879
Other Expenses-$142,257-$142,257
Fees for Services Accounting-$139,954-$139,954
Travel-$118,897-$118,897
Advertising-$93,303-$93,303
Payments to Affiliates-$35,315-$35,315
Fees for Service Investment Mgmnt Fees-$14,979-$14,979
Total Functional Expenses$200,684,728$38,595,400$0$239,280,128

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$240,164,628
Total Expenses per Form 990$239,280,128
Expenses per Audited Statements$239,265,149
Expenses Not Reported on Form 990$899,479
Expenses Not Reported on Financial Statements$14,979
Other Expense Adjustments$14,979
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
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Jerry StarkeyChairmanConsultingNo$410,000
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Medical Claims Payable$8,656,681
Due to Management Service Provider-
Risk Adjustment Payable-
Deferred Rent-
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
Yes
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 commitment 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 activities 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 integral'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
Sandra Steele
Title
CFO
Phone
8137750050
Signed
2016-07-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sandra Steele
Formed
2009
Legal Domicile
Fl
Voting Board Members
4
Independent Board Members
1
Employees
149
Volunteers
2

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, Page 2, Part III, Line 3

The organization sold the medicaid business on november 1, 2015. It will continue to receive payments on claims until 2016. See schedule n for additional information.

Form 990, Part XI, Line 9

Impairment loss -899,479 total -899,479

Financial Statement Notes

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

INVESTMENT FEES 14,979

Schedule D, Page 4, Part XII, Line 2D

IMPAIRMENT LOSS 899,479

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

INVESTMENT FEES 14,979

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