Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
HEALTHIX INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
40 WORTH STREET 5TH FLOOR
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK, NY100132988
D Employer identification number

45-0553664
E Telephone number

G Gross receipts $ 11,131,265
F Name and address of principal officer:
THOMAS F CHECK
40 WORTH STREET 5TH FLOOR
NEW YORK,NY100132988
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HEALTHIX.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 2007
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION OF THE COMPANY IS TO CREATE AN ACHIEVABLE, SUSTAINABLE AND REPLICABLE MODEL FOR INTEGRATING CLINICAL INFORMATION ACROSS MULTIPLE HEALTH CARE ORGANIZATIONS WHICH SUPPORTS NEW YORK STATE AND FEDERAL STRATEGIC HEALTH INFORMATION TECHNOLOGY (HIT) PLANS TO (A) IMPROVE ACCESS TO PATIENT DATA AT THE POINT OF CARE; (B) IMPROVE HEALTH CARE QUALITY; AND (C) REDUCE INAPPROPRIATE UTILIZATION AND COST.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 13
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 17
6 Total number of volunteers (estimate if necessary) ............. 6 32
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 5,093,277 8,865,940
9 Program service revenue (Part VIII, line 2g) ......... 2,930,892 2,251,418
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... -341,608 11,708
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,101,985 2,199
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 9,784,546 11,131,265
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 25,000 126,400
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 3,279,391 2,626,495
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 3,792,202 6,459,055
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 7,096,593 9,211,950
19 Revenue less expenses. Subtract line 18 from line 12....... 2,687,953 1,919,315
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 8,281,793 13,326,560
21 Total liabilities (Part X, line 26)............. 6,228,207 8,711,059
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,053,586 4,615,501
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: THE MISSION OF HEALTHIX INC. IS TO CREATE AN ACHIEVABLE, SUSTAINABLE AND REPLICABLE MODEL FOR INTEGRATING CLINICAL INFORMATION ACROSS MULTIPLE HEALTH CARE ORGANIZATIONS WHICH SUPPORTS NEW YORK STATE AND FEDERAL STRATEGIC HEALTH INFORMATION TECHNOLOGY (HIT) PLANS TO (A) IMPROVE ACCESS TO PATIENT DATA AT THE POINT OF CARE; (B) IMPROVE HEALTH CARE QUALITY; AND (C) REDUCE INAPPROPRIATE UTILIZATION AND COST.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 7,686,346 including grants of $ 126,400 ) (Revenue $ 1,285,761 )
HEAL 17IN 2011, WHEN THE COMPANY WAS KNOWN AS "LIPIX, INC.", IT WAS AWARDED A HEALTHCARE EFFICIENCY AND AFFORDABILITY LAW ("HEAL") PHASE 17, HEALTH INFORMATION TECHNOLOGY GRANT (THE "HEAL 17 GRANT") FROM THE NEW YORK STATE DEPARTMENT OF HEALTH FOR THE PERIOD JANUARY 1, 2011 THROUGH DECEMBER 31, 2013 (AS EXTENDED IN 2012) IN THE AMOUNT OF $17,894,160 (AS ADJUSTED). DURING THE YEAR ENDED DECEMBER 31, 2013, THE COMPANY RECORDED $7,288,090 IN REVENUE IN CONNECTION WITH THIS HEAL 17 GRANT. ALSO IN 2011, A SIMILAR NON-PROFIT ENTITY WHICH MERGED INTO THE COMPANY IN APRIL 2012, "NYCLIX, INC.", BECAME THE PRIMARY SUBCONTRACTOR TO NY PRESBYTERIAN HOSPITAL ("NYP"), WHICH WAS ALSO AWARDED A HEAL 17 GRANT IN 2011. DURING THE YEAR ENDED DECEMBER 31, 2013, THE COMPANY RECORDED $640,000 IN REVENUE FROM NYP IN CONNECTION WITH THIS HEAL 17 GRANT. THE PURPOSE OF THE HEAL 17 GRANTS ARE TO IMPROVE MEDICAL AND BEHAVIORAL HEALTH FOR CONSUMERS THROUGH THE DEVELOPMENT OF AN INTEROPERABLE HEALTH INFORMATION TECHNOLOGY INFRASTRUCTURE. THE OBJECTIVE OF THE HEAL PROGRAM IS TO (A) IMPROVE ACCESS TO PATIENT DATA AT THE POINT OF CARE; (B) IMPROVE HEALTH CARE QUALITY; AND (C) REDUCE INAPPROPRIATE UTILIZATION AND COST. THROUGH BOTH THE HEAL 17 GRANTS, HEALTHIX SUPPORTS 65 HEALTHCARE ORGANIZATIONS WHICH HAVE A TOTAL OF 210 FACILITIES TO PARTICIPATE IN THE NEW YORK STATE HEALTH INFORMATION EXCHANGE ("HIE") INITIATIVE. THESE HEALTHCARE ORGANIZATIONS INCLUDE HOSPITALS, INTEGRATED HEALTH SYSTEMS, LONG-TERM CARE PROVIDERS, PHYSICIAN GROUP PRACTICES AND OTHER TYPES OF HEALTHCARE PROVIDERS. OVER 18,000 ACUTE CARE AND 7,500 EXTENDED CARE BEDS ARE MAINTAINED BY HEALTHIX'S MEMBER FACILITIES WHICH PARTICIPATE IN HEALTHIX'S HIE, AS A DIRECT RESULT OF THE AFOREMENTIONED GRANT PROGRAMS. BOTH OF THESE HEAL 17 PROGRAMS CONCLUDED ON DECEMBER 31, 2013.
4b (Code:   ) (Expenses $ 287,534 including grants of $   ) (Revenue $ 850,000 )
THE NEW YORK EHEALTH COLLABORATIVE ("NYEC") REGIONAL EXTENSION CENTER ("REC") HAS LAUNCHED IN 2013 A PROGRAM TARGETING BEHAVIORAL HEALTH PROVIDERS, SEEKING TO IMPROVE CLINICAL OUTCOMES FOR THE SERIOUSLY AND PERSISTENTLY MENTALLY ILL. THE HEAL 22 PROGRAM IS WORKING TO ESTABLISH SEAMLESS EXCHANGE OF HEALTH INFORMATION WITHIN AND ACROSS HEALTH HOME ("HH") PROVIDERS TO ACHIEVE INTEGRATED CARE AND IMPROVE HEALTH OUTCOMES FOR THIS VULNERABLE POPULATION. IN ADDITION, HEAL 22 SUPPORTS PEDIATRIC PROVIDERS OF BEHAVIORAL HEALTH SERVICES WHO ARE NOT YET PARTICIPATING IN THE HH PROGRAM. THESE PEDIATRIC PROVIDERS ARE UNDER-RESOURCED AND REQUIRE SIGNIFICANT HEALTH INFORMATION TECHNOLOGY ("HIT") ADOPTION SERVICES.HEALTHIX WILL PROVIDE TECHNICAL ASSISTANCE AND ELECTRONIC HEALTH RECORDS ("EHR") ADOPTION SUPPORT TO MENTAL HEALTH/BEHAVIORAL HEALTH PROVIDERS PARTICIPATING IN MEDICAID HEALTH HOMES AND PEDIATRIC PROVIDERS OF BEHAVIORAL HEALTH SERVICES.ELIGIBILITYFOR ORGANIZATIONS PROVIDING BEHAVIORAL HEALTH SERVICES TO ADULTS, PARTICIPATION IN A MEDICAID HEALTH HOME IS REQUIRED. FOR ORGANIZATIONS PROVIDING BEHAVIORAL HEALTH SERVICES TO CHILDREN, PARTICIPATION IN A HEALTH HOME IS NOT REQUIRED. FOR BOTH ADULT AND CHILDRENS' PROVIDERS THE FOLLOWING MENTAL HEALTH/BEHAVIORAL HEALTH PRACTITIONERS ARE ELIGIBLE FOR TECHNICAL ASSISTANCE THROUGH HEAL 22.- CASE MANAGERS, ICM, TCM, CASAC- SOCIAL WORKERS, PSYCHOLOGISTS, NURSES (RN AND LPN), REHABILITATION COUNSELORS, OTHER THERAPISTS- PSYCHIATRISTS, PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS TECHNICAL ASSISTANCE SERVICESPROVIDERS WITHIN MEDICAID HEALTH HOMES THAT MAY NOT HAVE QUALIFIED FOR PRIOR MEANINGFUL USE INCENTIVES WERE UNLIKELY TO HAVE RECEIVED FEDERALLY SUBSIDIZED TECHNICAL ASSISTANCE THROUGH A REC. UNDER HEAL 22, THESE PROVIDERS MAY NOW RECEIVE TECHNICAL ASSISTANCE FROM RECS. IN ADDITION, ALL PEDIATRIC PROVIDERS OF BEHAVIORAL HEALTH SERVICES CAN BE SUPPORTED.- SELECTION & IMPLEMENTATION: ASSISTANCE IN SELECTING AND IMPLEMENTING BH/MH EHR SOFTWARE WITH HIE CAPABILITIES.- SUPPORT SERVICES: WORKFLOW ANALYSIS AND REDESIGN, PROJECT MANAGEMENT, STAFF TRAINING, EPRESCRIBING.- CONNECTIVITY: EXCHANGE OF HEALTH INFORMATION FROM EHR, CARE COORDINATION DOCUMENTS, AND/OR PATIENT CARE PLANS- ACCESS, TRAINING, AND GUIDANCE: CLOSED LOOP LABORATORY ORDERING AND REPORTING, SUBSCRIBE/NOTIFY TRAINING BY THE RHIO, OMH PSYCKES SYSTEM ENROLLMENT, PNP DATA ACCESS (NYS BUREAU OF NARCOTIC CONTROLLED SUBSTANCE DATABASE)- CONSENT MANAGEMENT: TRAINING ON CONSENT PROCESS AND PRIVACY/SECURITY PHASES OF ACHIEVEMENTNYEC AND NYC REACH WILL CERTIFY MILESTONE ACHIEVEMENT PER ELIGIBLE PROVIDER. SUPPORTING DOCUMENTATION WILL BE REQUIRED OF THE PROVIDERS TO DEMONSTRATE ACHIEVEMENT OF EACH OF THE THREE PHASES:1. PROVIDER/PRACTICE SITE, SIGNS PARTICIPATION AGREEMENT WITH NYEC2. SUCCESSFUL "GO LIVE" OF BEHAVIORAL HEALTH EHR3. DEMONSTRATE USE OF HIT/HIE FUNCTIONS FOR HEALTH HOMEDURING THE YEAR ENDED DECEMBER 31, 2013, THE COMPANY RECORDED $283,000 IN REVENUE FROM NYEC IN CONNECTION WITH THIS HEAL 22 PROGRAM.HEALTHIX PROVIDES FEDERALLY-SUBSIDIZED SERVICES TO ELIGIBLE CLINICIANS - THIS INCLUDES TAILORED AND PERSONAL SERVICE, GUIDANCE, ON-SITE SUPPORT, AND INFORMATION ON BEST PRACTICES TO HELP YOU BECOME A MEANINGFUL USER OF A CERTIFIED ELECTRONIC MEDICAL RECORD (EMR). HEALTHIX EMR IMPLEMENTATION AND MEANINGFUL USE SERVICES ARE OVERSEEN BY NYEC (NEW YORK EHEALTH COLLABORATIVE), THE FEDERALLY-CERTIFIED REGIONAL EXTENSION CENTER ("REC") THAT COORDINATES SERVICES IN ALL COUNTIES IN NEW YORK STATE OUTSIDE OF NEW YORK CITY. THIS NATIONWIDE INITIATIVE WAS ENABLED THROUGH THE HITECH ACT OF 2009. SPECIFICALLY, HEALTHIX IS HELPING OVER 635 CLINICIANS WITH EHR IMPLEMENTATION AND MEANINGFUL USE OF ELECTRONIC CAPABILITIES INCLUDING:- EHR VENDOR SELECTION SUPPORT- ASSISTANCE WITH EHR IMPLEMENTATION AND PROJECT MANAGEMENT- FUNCTIONAL INTEROPERABILITY & HIE INTEGRATION WITH HEALTHIX - FACILITATE COMPREHENSIVE PRACTICE READINESS ASSESSMENT - PRACTICE AND WORKFLOW DESIGN AND TRAINING- EDUCATION AND OUTREACH TOOLKITS AND TEMPLATES- PROVIDE PRIVACY AND SECURITY BEST PRACTICES AND TOOLKITS FOR RISK ANALYSIS- ASSISTANCE IN MU REPORTING AND AUDIT PREPARATION- CMS (MEDICAID) REGISTRATION AND ATTESTATION FACILITATION AND GUIDANCE DURING THE YEAR ENDED DECEMBER 31, 2013, THE COMPANY RECORDED $567,000 OF REVENUE IN CONNECTION WITH THIS PROGRAM.
4c (Code:   ) (Expenses $ 94,744 including grants of $   ) (Revenue $ 115,657 )
ON DECEMBER 1, 2013, BROOKLYN HEALTH INFORMATION EXCHANGE ("BHIX") MERGED INTO HEALTHIX INC. BHIX HAS SERVED A MISSION OF SUPPORTING THE ADVANCEMENT OF HEALTHCARE INFORMATION TECHNOLOGY BY MAINTAINING A SECURE CLINICAL DATA INFORMATION EXCHANGE FOR THE BENEFIT OF THE PEOPLE OF THE STATE OF NEW YORK. THE BHIX VISION HAS BEEN TO CREATE A PATIENT CENTRIC, REGIONAL HEALTH AND WELLNESS DELIVERY SYSTEM THAT IMPROVES THE QUALITY, SAFETY AND EFFICIENCY OF HEALTHCARE IN THE COMMUNITY. NATIONALLY RECOGNIZED AS A LEADER IN ADVANCING HEALTH INFORMATION EXCHANGE, BHIX HAS CONTINUED TO FOSTER IMPROVEMENTS IN COMMUNITY HEALTH INFORMATION CONNECTIVITY, FACILITATING THE SHARING OF CLINICAL DATA AMONG DOCTORS AND OTHER PRACTITIONERS, HOSPITALS, LONG TERM AND HOME CARE SERVICES, COMMUNITY BASED AND BEHAVIORAL HEALTH ORGANIZATIONS, GOVERNMENT AGENCIES AND INSURERS. BHIX MANAGES DATA FROM OVER 2 MILLION PATIENTS, REPRESENTING ENCOUNTERS AT DOZENS OF HEALTH CARE FACILITIES AND INSURERS IN THE BROOKLYN AND QUEENS REGION, MOST OF WHOM FEED DATA TO BHIX ON A REAL-TIME BASIS.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet8,068,624
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II........
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II... Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II....................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................
34
 
No
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
11
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
17
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
13
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NY
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletJOHN GUASTELLA40 WORTH STREET 5TH FLOORNEW YORKNY100132988 (877) 695-4749
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) RICHARD DONOGHUE........................................................................
CHAIR
 4.00
.......................   		X   X       0 0 0
(2) PAMELA BRIER........................................................................
VICE CHAIR
 1.00
.......................   		X   X       0 0 0
(3) MICHAEL ROSENBLUT........................................................................
TREASURER
 1.00
.......................   		X   X       0 0 0
(4) DAVID LISS SECRETARY........................................................................
TERM ENDED MAY 2013
 1.00
.......................   		X   X       0 0 0
(5) KERRY DEWITT SECRETARY........................................................................
TERM ENDED OCT. 2013
 1.00
.......................   		X   X       0 0 0
(6) NEIL CALMAN MD........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(7) THOMAS EARLY........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(8) JEFFREY KRAUT........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(9) MITRA BEHROOZI........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(10) AURELIA BOYER........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(11) ROBERT HEATLEY........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(12) CHARLES KING........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(13) DONNA LICHTI........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(14) LARRY MCREYNOLDS........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(15) DAVID SCHIMEL........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(16) GAIL DONOVAN........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(17) ERNIE WEBER........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) DEBRA CAREY........................................................................
TERM ENDED MAY 2013
 1.00
.......................   		X           0 0 0
(19) GEORGE HRIPCSAK MD........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(20) TERRI MATTHEWS........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(21) MICHAEL RENDEL........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(22) KUMAR CHATANI........................................................................
TERM ENDED OCT.2013
 1.00
.......................   		X           0 0 0
(23) STU MYER........................................................................
TERM ENDED MAY 2013
 1.00
.......................   		X           0 0 0
(24) JASON MARTIN........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(25) JOSEPH TOMAINO........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(26) JOHN MERTZ........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(27) TOM HEIMAN........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(28) KEVIN CONROY........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(29) MARC GIBBS........................................................................
TERM ENDED MAY 2013
 1.00
.......................   		X           0 0 0
(30) SUSAN MENDELSOHN........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(31) CHERYL CHAPMAN........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(32) ILENE CORINA........................................................................
TERM ENDED NOV. 2013
 1.00
.......................   		X           0 0 0
(33) IRENE KOCH........................................................................
EXECUTIVE VP & SENIOR COUNSEL
 40.00
.......................   		    X       0 0 0
(34) THOMAS F CHECK........................................................................
PRESIDENT & CEO
 40.00
.......................   		    X       298,597 0 77,214
(35) JOHN GUASTELLA........................................................................
SVP FINANCE & ADMIN
 40.00
.......................   		    X       174,160 0 41,846
(36) ADAM BECKER........................................................................
VP MEMBER SERVICES
 40.00
.......................   		      X     299,560 0 48,851
(37) THOMAS MOORE........................................................................
VICE PRESIDENT-INNOVATION
 40.00
.......................   		      X     209,023 0 49,877
(38) COREY ELLIS........................................................................
PROGRAM DIRECTOR
 40.00
.......................   		        X   126,839 0 22,066
(39) PUNITA MISRA........................................................................
PROGRAM MANAGER
 40.00
.......................   		        X   136,425 0 22,873
(40) RAMAN VIG........................................................................
SENIOR PROJECT MANAGER
 40.00
.......................   		        X   115,642 0 29,870
(41) GERI ALMER........................................................................
CONTROLLER
 40.00
.......................   		        X   139,221 0 508
(42) JASON THAW........................................................................
SENIOR ACCOUNT MANAGER
 40.00
.......................   		        X   102,697 0 23,409
(43) BENJAMIN STEIN MD........................................................................
FORMER PRESIDENT & CEO
 0.00
.......................   		          X 155,994 0 8,474
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 1,758,158 0 324,988
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet10
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
NEW YORK EHEALTH COLLABORATIVE40 WORTH STREET5TH FLOORNEW YORKNY10013 CONSULTING 1,193,200
NETSMART3500 SUNRISE HIGHWAY SUITE D122GREAT RIVERNY11739 CONSULTING 549,666
GARFUNKEL WILD PC111 GREAT NECK ROADGREAT NECKNY11021 LEGAL SERVICES 183,279
ST LUKE'S ROOSEVELT1090 AMSTERDAM AVENUE 16TH FLOORNEW YORKNY10025 CONSULTING 151,119
LANTANA CONSULTING GROUP3611 RTE 5 PO BOX 177E THETFORDVT05043 CONSULTING 107,537
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet5
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e 7,288,090
f All other contributions, gifts, grants, and
similar amounts not included above1f 		1,577,850
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 8,865,940
Program Service RevenueAmt Business Code
2a MEMBERSHIP DUES 518210 1,642,567 1,642,567    
b CONTRACT REVENUE 518210 608,851 608,851    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 2,251,418
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 11,708     11,708
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory    
b Less: cost or other basis and sales expenses    
c Gain or (loss)    
d Net gain or (loss)..........MediumBullet        
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a REFUNDS 900099 2,199     2,199
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 2,199
12 Total revenue. See Instructions......MediumBullet 11,131,265 2,251,418 0 13,907
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 126,400 126,400
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 1,175,886 726,621 449,265  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 8,474 4,237 4,237  
7 Other salaries and wages 1,186,802 1,141,692 45,110  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 52,257 49,385 2,872  
9 Other employee benefits ....... 71,359 68,919 2,440  
10 Payroll taxes ........... 131,717 103,900 27,817  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 190,440 138,966 51,474  
c Accounting ........... 69,091 46,091 23,000  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 4,503,214 4,308,874 194,340  
12 Advertising and promotion ....        
13 Office expenses ....... 56,235 48,251 7,984  
14 Information technology ...... 1,059,955 1,057,185 2,770  
15 Royalties ..        
16 Occupancy ........... 205,673 186,496 19,177  
17 Travel ............ 32,297 25,573 6,724  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 15,135 6,650 8,485  
20 Interest ........... 46,967   46,967  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 68,029   68,029  
23 Insurance .............. 44,222 19,401 24,821  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a BAD DEBT 157,757   157,757  
b DIRECT OPERATING EXPENS 5,249 5,192 57  
c MOVING EXPENSE 4,791 4,791    
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 9,211,950 8,068,624 1,143,326 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 1,431,421 1 4,053,184
2 Savings and temporary cash investments ......... 1,402,346 2 4,411,459
3 Pledges and grants receivable, net ........... 1,061,969 3 2,175,305
4 Accounts receivable, net ............. 4,246,585 4 2,486,975
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 8,616 9 151,236
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 434,999
b Less: accumulated depreciation ..... 10b 414,119 68,178 10c 20,880
11 Investments—publicly traded securities ..........   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 62,678 15 27,521
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 8,281,793 16 13,326,560
Liabilities 17 Accounts payable and accrued expenses ......... 1,150,124 17 3,949,825
18 Grants payable .................   18  
19 Deferred revenue ................ 1,596,014 19 1,953,117
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 3,482,069 25 2,808,117
26 Total liabilities. Add lines 17 through 25......... 6,228,207 26 8,711,059
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 2,053,586 27 4,615,501
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 2,053,586 33 4,615,501
34 Total liabilities and net assets/fund balances ........ 8,281,793 34 13,326,560
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
11,131,265
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
9,211,950
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,919,315
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
2,053,586
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
642,600
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
4,615,501
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HEALTHIX INC
 
Employer identification number

45-0553664
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization? ................
11g(i)
 
 
(ii) A family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization in col. (i) listed in your governing document? (v) Did you notify the organization in col. (i) of your support? (vi) Is the organization in col. (i) organized in the U.S.? (vii) Amount of monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here.................................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 2,636,562 4,088,471 4,551,340 5,093,277 8,865,940 25,235,590
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... 409,304 221,512 1,781,116 2,930,892 2,251,418 7,594,242
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5. 3,045,866 4,309,983 6,332,456 8,024,169 11,117,358 32,829,832
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...           0
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.       1,122,754 224,645 1,347,399
c Add lines 7a and 7b..       1,122,754 224,645 1,347,399
8 Public support (Subtract line 7c from line 6.) 31,482,433
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
9 Amounts from line 6... 3,045,866 4,309,983 6,332,456 8,024,169 11,117,358 32,829,832
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 1,080 5,118 34,170 2,117,729 11,708 2,169,805
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 1,080 5,118 34,170 2,117,729 11,708 2,169,805
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..       1,985 2,199 4,184
13 Total support. (Add lines 9, 10c, 11, and 12.).. 3,046,946 4,315,101 6,366,626 10,143,883 11,131,265 35,003,821
14
Section C. Computation of Public Support Percentage
15
15
89.940 %
16
16
 
Section D. Computation of Investment Income Percentage
17
17
6.200 %
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2013

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Name of the organization
HEALTHIX INC
 
Employer identification number

45-0553664
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 2
Name of organization
HEALTHIX INC
  		Employer identification number

45-0553664
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

   
RESTRICTED
RESTRICTED
RESTRICTED, RESTRICTEDRESTRICTED

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 3
Name of organization
HEALTHIX INC
  		Employer identification number

45-0553664
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
Page 4
Name of organization
HEALTHIX INC
  		Employer identification number

45-0553664
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HEALTHIX INC
 
Employer identification number

45-0553664
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................   64,499 43,619 20,880
e Other .................   370,500 370,500 0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 20,880
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
NOTE PAYABLE-MEMBER 1,125,549
GRANT PAYMENTS DUE TO MEMBERS 1,682,568







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 2,808,117
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 11,131,265
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1..................... 3 11,131,265
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 11,131,265
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 9,211,950
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 9,211,950
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c 0
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 9,211,950
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART X, LINE 2: FASB GUIDANCE HAS ESTABLISHED A SINGLE MODEL TO ADDRESS ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. THE COMPANY EVALUATES UNCERTAIN TAX POSITIONS, IF ANY, BY DETERMINING IF IT IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. THE COMPANY RECORDS UNCERTAIN TAX POSITIONS WHEN THEY ARE ESTIMATABLE AND PROBABLE THAT SUCH LIABILITIES HAVE BEEN INCURRED. THE COMPANY WILL RECORD ANY INTEREST AND PENALTIES, IF THEY SHOULD ARISE, AS A COMPONENT OF TAX EXPENSE. MANAGEMENT HAS DETERMINED THAT THE COMPANY HAS NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE COMPANY IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2010.
Schedule D (Form 990) 2013

Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HEALTHIX INC
 
Employer identification number
45-0553664
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) PROHEALTH FOUNDATION
2800 MARCUS AVENUE
LAKE SUCCESS,NY11042 		11-3432580 501(C)3 126,400       TO FACILITATE THE ADOPTION AND MEANINGFUL USE OF A CERTIFIED ELECTRONIC HEALTH RECORD BY ITS ELIGIBLE RECIPIENTS BY PROVIDING INFORMATION TECHNOLOGY SERVICES






















2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2013

Schedule I (Form 990) 2013
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE PURPOSE OF THE GRANTS TO ALL GRANTEES ARE TO ASSIST THE ORGANIZATION IN CREATING AN ACHIEVABLE, SUSTAINABLE AND REPLICABLE MODEL FOR INTEGRATING CLINICAL INFORMATION ACROSS MULTIPLE HEATLH CARE ORGANIZATIONS AND TO SUPPORT THE GOALS AND OBJECTIVES OF NEW YORK STATE AND THE FEDERAL GOVERNMENT TO EXCHANGE PATIENT DATA USING STRATEGIC HEALTH INFORMATION TECHNOLOGY. GRANTEES SHALL PROVIDE A LIST OF QUALIFIED ELIGIBLE RECIPIENTS, ASSOCIATED CONTACT INFORMATION AND A LIST OF PRIMARY CARE PROVIDERS ("PCP'S") FOR EACH ELIGIBLE RECIPIENT IN WRITING TO HEALTHIX; A MINIMUM OF FIFTY PCP'S IS REQUIRED. FOR EACH SITE, THE GRANTEE SHALL IDENTIFY A SPECIFIC PROJECT MANAGER THAT WILL BE PRIMARY RESPONSIBLE FOR THE EHR IMPLEMENTATION. THE GRANTEE SHALL PARTICIPATE WITH HEALTHIX ON AT LEAST MONTHLY CONFERENCE CALLS FOR STATUS UPDATES.
Schedule I (Form 990) 2013


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
HEALTHIX INC
 
Employer identification number

45-0553664
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
Yes
 
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)THOMAS F CHECKPRESIDENT & CEO (i)
(ii)		 298,597
0 		0
0 		0
0 		63,269
0 		13,945
0 		375,811
0 		0
0
(2)JOHN GUASTELLASVP FINANCE & ADMIN (i)
(ii)		 174,160
0 		0
0 		0
0 		29,261
0 		12,585
0 		216,006
0 		0
0
(3)ADAM BECKERVP MEMBER SERVICES (i)
(ii)		 218,023
0 		81,537
0 		0
0 		29,422
0 		19,429
0 		348,411
0 		0
0
(4)THOMAS MOOREVICE PRESIDENT-INNOVATION (i)
(ii)		 193,663
0 		15,360
0 		0
0 		30,336
0 		19,541
0 		258,900
0 		0
0
(5)PUNITA MISRAPROGRAM MANAGER (i)
(ii)		 124,725
0 		11,700
0 		0
0 		22,526
0 		347
0 		159,298
0 		0
0
(6)BENJAMIN STEIN MDFORMER PRESIDENT & CEO (i)
(ii)		 0
0 		7,244
0 		148,750
0 		0
0 		8,474
0 		164,468
0 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 4A BENJAMIN STEIN RECEIVED A SEVERANCE PAYMENT FROM THE ORGANIZATION IN THE AMOUNT OF $148,750 WHICH WAS INCLUDED IN HIS 2013 W-2.
PART I, LINE 5 THE FOLLOWING INDIVIDUAL RECEIVED COMMISSION PAYMENTS THAT WERE INCLUDED IN THEIR 2013 W-2 BASED ON THE ORGANIZATION'S REVENUE. - ADAM BECKER, $81,537 - JASON THAW, $21,483
PART I, LINE 7 AN EMPLOYEE MAY RECEIVE AN ANNUAL BONUS EQUAL TO AS MUCH AS 12% OF HIS/HER BASE SALARY (EXCEPT FOR THE CEO, WHOSE ANNUAL BONUS IS SET BY HIS EMPLOYMENT AGREEMENT). THE BONUS WILL BE DETERMINED BASED UPON PERFORMANCE OBJECTIVES OUTLINED BY THE EMPLOYEE'S SUPERVISOR AND DISCUSSED WITH THE EMPLOYEE, IN MOST CIRCUMSTANCES, EARLY IN THE FIRST QUARTER OF THE COMPENSATION YEAR. FOR NEW EMPLOYEES, WHOSE FIRST ANNUAL BONUS IS PRORATED FROM APPROXIMATELY THEIR DATE OF HIRE TO THE END OF THE YEAR, THEIR PERFORMANCE OBJECTIVES ARE DISCUSSED WITH THEM SHORTLY AFTER THEY ARE HIRED. THE DOCUMENT OUTLINING THE PERFORMANCE OBJECTIVES IS CALLED THE "CRITERIA FOR INCENTIVE PAY", IN WHICH AN EMPLOYEE'S "CRITERIA FOR SUCCESS" (TO EARN A BONUS) IS OUTLINED AND MATCHED TO THE COMPANY'S STRATEGIC PRINCIPLES FOR EACH YEAR. ONCE THE YEAR HAS ENDED, THE SUPERVISOR PREPARES AN EVALUATION TO SEE IF THE EMPLOYEE HAS MET THE CRITERIA FOR SUCCESS FOR THE PERFORMANCE OBJECTIVES OUTLINED, AND DETERMINES HOW THE EMPLOYEE HAS PERFORMED. THE OVERALL PERFORMANCE IS THE DETERMINED AND AN OVERALL RATING IS ASSIGNED TO THE PERFORMANCE. THIS OVERALL RATING IS THE DETERMINING FACTOR FOR THE PERCENTAGE BONUS WHICH THE EMPLOYEE HAS EARNED FOR THE YEAR. A SCHEDULE IS DISTRIBUTED TO ALL EMPLOYEES WHICH SHOWS THE PERCENTAGE BONUS AN EMPLOYEE CAN EARN BASED UPON HOW THEIR PERFORMANCE IS RATED. THIS SCHEDULE ALSO BRIEFLY SUMMARIZES THE COMPANY'S INCENTIVE COMPENSATION PROGRAM. THIS IS DISTRIBUTED TO EMPLOYEES EARLY IN THE COMPENSATION YEAR SO THAT EACH EMPLOYEE AND THEIR SUPERVISOR ARE AWARE OF WHAT CAN BE EARNED. PAYMENT OF ANY BONUSES IS WHOLLY DEPENDENT UPON THE COMPANY MEETING ITS OPERATING INCOME TARGET, AS IS ESTABLISHED AT THE BEGINNING OF EACH FISCAL YEAR AND APPROVED BY THE BOARD OF DIRECTORS. ONCE THE COMPANY'S BOOKS ARE CLOSED IN THE SUBSEQUENT PERIOD, AND THE COMPANY HAS RECEIVED CONFIRMATION FROM ITS INDEPENDENT AUDITORS AS TO ITS RESULTS OF OPERATIONS FOR THE COMPENSATION YEAR, THE COMPANY THEN COMPARES ITS ACTUAL OPERATING INCOME TO ITS TARGETED OPERATING INCOME. ASSUMING THE OPERATING INCOME TARGET IS MET OR EXCEEDED, MANAGEMENT THEN INFORMS THE HEALTHIX FINANCE COMMITTEE OF THIS AND RECOMMENDS THAT BONUSES CAN BE PAID. PROPOSED BONUSES ARE THEN SUBMITTED TO THE CEO (OR PREPARED BY HIM FOR HIS DIRECT REPORTS). SUBSEQUENT TO THIS, THE HEALTHIX EXECUTIVE COMMITTEE (WHICH FUNCTIONS AS ITS COMPENSATION COMMITTEE AND HAS RECEIVED THE FINANCE COMMITTEE'S RECOMMENDATION TO PAY OUT BONUSES) MEETS TO DISCUSS AND APPROVE THE SPECIFIC BONUSES TO BE PAID, WHICH USUALLY OCCURS IN APRIL OR MAY OF THE YEAR FOLLOWING THE YEAR IN WHICH THEY WERE EARNED (THE COMPENSATION YEAR). BONUSES PAID IN 2013: - THOMAS MOORE $15,360 - PUNITA MISRA $11,700 - RAMAN VIG $14,800 - BENJAMIN STEIN $7,244
Schedule J (Form 990) 2013

Additional Data


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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
HEALTHIX INC
 
Employer identification number

45-0553664
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS TO MAKE THE FOLLOWING CHANGES: - THE TWO CLASSES OF MEMBERSHIP WERE REMOVED AND REPLACED WITH PARTICIPANTS. THE PARTICIPANTS HAVE NO POWER TO APPOINT OR REMOVE BOARD MEMBERS NOR DO THEY HAVE POWER TO APPROVE GOVERNING BODY DECISIONS. - THE FOLLOWING CORPORATE ACTIONS REQUIRE TWO-THIRDS VOTE CAST BY THE ENTIRE BOARD: - ANY AMENDMENT OF THESE BY-LAWS; - INCURRING DEBT OBLIGATIONS IN EXCESS OF $1,000,000; - AMENDMENTS TO THE CERTIFICATE OF INCORPORATION OF THE CORPORATION; - THE SALE OR OTHER TRANSFER OF ASSETS OF THE CORPORATION WITH A FAIR MARKET VALUE EXCEEDING $1,000,000; AND - THE LIQUIDATION, MERGER, CONSOLIDATION, DISSOLUTION - THE OFFICERS OF THE BOARD NOW INCLUDE A TREASURER AND SECRETARY. - AN ADDITIONAL CORPORATE OFFICER POSITION WAS CREATED, EXECUTIVE VICE PRESIDENT AND GENERAL COUNSEL.
FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP: IN ORDER FOR AN ORGANIZATION OR INDIVIDUAL TO QUALIFY TO BE A PARTICIPANT IN THE REGIONAL HEALTH INFORMATION ORGANIZATION ("RHIO") OPERATED BY THE CORPORATION ("PARTICIPANT"), HE/SHE OR IT MUST ENTER INTO A RHIO SERVICES, PARTICIPATION OR SIMILAR AGREEMENT WITH THE CORPORATION (EACH, A "RHIO SERVICES AGREEMENT"), THE FORM OF WHICH HAS BEEN APPROVED BY THE BOARD OF DIRECTORS OF THE CORPORATION ("BOARD"), TO PARTICIPATE IN A CLINICAL INFORMATION DATA EXCHANGE PROGRAM WITH THE CORPORATION AND TO ACT AS A DATA SOURCE AND/OR DATA USER WITH RESPECT TO THE CORPORATION'S DATA EXCHANGE. A PARTICIPANT'S PARTICIPATION IN THE CORPORATION WILL TERMINATE IF THE RHIO SERVICES AGREEMENT IS TERMINATED FOR ANY REASON.
FORM 990, PART VI, SECTION A, LINE 7A BEGINNING AS OF JANUARY 1, 2013, EACH INITIAL HOSPITAL MEMBER SHALL BE ENTITLED TO SUCH NUMBER OF VOTES WHICH IS DEEMED TO BE SUBSTANTIALLY PROPORTIONATE TO ITS MEMBERSHIP WHICH IS SET FORTH AS FOLLOWS, PROVIDED THE ORGANIZATION HAS ENTERED INTO A PARTICIPANT AGREEMENT WITH HEALTHIX,INC.: NORTH SHORE-LONG ISLAND JEWISH HEALTH SYSTEM SHALL HAVE EIGHT (8) VOTES, CATHOLIC HEALTH SERVICES OF LONG ISLAND SHALL HAVE EIGHT (8) VOTES, SOUTH NASSAU COMMUNITIES HOSPITAL SHALL HAVE TWO (2) VOTES AND NASSAU UNIVERSITY MEDICAL CENTER SHALL HAVE TWO (2) VOTES, BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER SHALL HAVE ONE (1) VOTE,HUNTINGTON HOSPITAL SHALL HAVE ONE (1) VOTE, LONG BEACH MEDICAL CENTER SHALL HAVE ONE (1) VOTE, JOHN T. MATHER HOSPITAL SHALL HAVE ONE (1) VOTE, NEW ISLAND HOSPITAL SHALL HAVE ONE (1) VOTE, PENINSULA HOSPITAL SHALL HAVE ONE (1) VOTE, ST. JOHN'S EPISCOPAL HOSPITAL SHALL HAVE ONE (1) VOTE. EACH HEALTH PROFESSIONAL ORGANIZATION MEMBER SHALL BE ENTITLED TO ONE (1) VOTE. THE FUTURE HOSPITAL MEMBERS AND LONG TERM CARE MEMBERS SHALL HAVE NO RIGHT TO VOTE. VOTING AT ANY MEETING OF THE MEMBERS OF THE CORPORATION MAY BE IN PERSON OR BY PROXY AUTHORIZED IN ACCORDANCE WITH LAW. AS OF DECEMBER 1, 2013, THE TWO CLASSES OF MEMBERSHIP WERE REMOVED AND REPLACED WITH PARTICIPANTS. THE PARTICIPANTS HAVE NO POWER TO APPOINT OR REMOVE BOARD MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7B BEGINNING AS OF JANUARY 1, 2013: SECTION 1. POWERS AND DUTIES. THE BOARD OF DIRECTORS (THE "BOARD") OF THE CORPORATION WILL HAVE THE POWER TO ACT ON, AND WILL BE RESPONSIBLE FOR THE MANAGEMENT, PROPERTY, ACTIVITIES AND AFFAIRS OF THE CORPORATION, INCLUDING THE DETERMINATION OF APPROPRIATE POLICY AND THE NECESSARY SUPPORTING PROGRAMS AND ACTIVITIES. IN PARTICULAR, THE BOARD SHALL BE RESPONSIBLE FOR, BUT NOT LIMITED TO THE FOLLOWING: (I) APPROVING THE STRATEGIC DIRECTION OF THE CORPORATION. (II) APPROVING THE ANNUAL BUDGET. (III) APPROVING CHANGES TO THE MEMBERSHIP FEE STRUCTURE. (IV) APPROVING APPOINTMENTS TO BOARD COMMITTEES. (V) APPROVING THE SCOPE OF RESPONSIBILITIES OF THE BOARD AND THE BOARD COMMITTEES. (VI) DECIDING ISSUES AND APPROVING POLICIES THAT WOULD SIGNIFICANTLY CHANGE OR AFFECT THE STRATEGIC DIRECTION OF THE CORPORATION. SECTION 2. COMPOSITION. 2.1 THERE SHALL BE A MAXIMUM OF TWENTY-SIX SEATS OR DIRECTORS ON THE BOARD OF DIRECTORS. SIXTEEN (16) SEATS SHALL BE APPOINTED POSITIONS, SEVEN (7) SEATS SHALL BE ELECTED POSITIONS OR "DIRECTOR AT LARGE" POSITIONS AND THREE SEATS SHALL BE EX-OFFICIO. THE CHAIR OF THE BOARD, PRESIDENT-CEO AND THE IMMEDIATE PAST CHAIRPERSON SHALL EACH HOLD ONE (1) SEAT. THE INITIAL HOSPITAL CLASS SHALL EACH HAVE 1 SEAT PER CLASS MEMBER FOR A MAXIMUM TOTAL OF ELEVEN (11) APPOINTED SEATS; THE HEALTH PROVIDER ORGANIZATION CLASS SHALL HAVE 1 SEAT PER CLASS MEMBER FOR A MAXIMUM TOTAL OF FIVE (5) (APPOINTED) SEATS; THE FUTURE HOSPITAL CLASS SHALL COLLECTIVELY HAVE A MAXIMUM OF THREE (3) ELECTED SEATS; THE LONG TERM CARE CLASS SHALL COLLECTIVELY HAVE A MAXIMUM OF ONE (1) ELECTED SEAT. ADDITIONALLY, THERE SHALL BE REPRESENTATION ON THE BOARD BY A BUSINESS/NOT-FOR-PROFIT EXPERT, PATIENT ADVOCATE AND PUBLIC HEALTH REPRESENTATIVE, COLLECTIVELY REFERRED TO AND REPRESENTING "NON HEALTH CARE PROVIDER ORGANIZATIONS OR NHPOS", WHICH SHALL HAVE A MAXIMUM TOTAL OF THREE (3) ELECTED SEATS. 2.2 THE DIRECTORS OF THE BOARD SHALL BE COMPRISED OF ELECTED POSITIONS AND APPOINTED POSITIONS, BASED UPON CLASS OR BY VIRTUE OF OFFICE HELD. THE FOLLOWING DIRECTOR POSITIONS SHALL BE APPOINTED TO THE BOARD BY VIRTUE OF HIS/HER OFFICE OR APPOINTMENT BY A MEMBER OF THE INITIAL HOSPITAL OR HPO CLASS: (I) PRESIDENT & CEO OF HEALTHIX, INC.(EX-OFFICIO AND VOTING); (II) CHAIR OF THE BOARD (EX-OFFICIO AND VOTING)(OR VICE CHAIR IN HIS/HER ABSENCE) (III) IMMEDIATE PAST CHAIRPERSON (EX-OFFICIO AND NON-VOTING); (III) NORTH SHORE-LIJ HEALTH SYSTEM MEMBER (APPOINTED AND VOTING); (IV) CATHOLIC HEALTH SYSTEM OF LONG ISLAND (APPOINTED AND VOTING); (V) NASSAU UNIVERSITY MEDICAL CENTER (APPOINTED AND VOTING); (VI) SOUTH NASSAU COMMUNITIES HOSPITAL (APPOINTED AND VOTING); (VII) BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER (APPOINTED AND VOTING); (VIII)JOHN T. MATHER HOSPITAL (APPOINTED AND VOTING); (IX) PENINSULA HOSPITAL (APPOINTED AND VOTING); (X) NEW ISLAND HOSPITAL (APPOINTED AND VOTING); (XI) HUNTINGTON HOSPITAL (APPOINTED AND VOTING); (XII) LONG BEACH MEDICAL CENTER (APPOINTED AND VOTING) (XIII)ST. JOHN'S EPISCOPAL HOSPITAL (APPOINTED AND VOTING) (XIV) NEW YORK MEDICAL STAFF LEADERSHIP COUNCIL (APPOINTED AND VOTING) (XV) MEDICAL SOCIETY OF THE STATE OF NEW YORK (APPOINTED AND VOTING) (XVI) AMERICAN COLLEGE OF PHYSICIANS (APPOINTED AND VOTING) (XVII)NASSAU COUNTY MEDICAL SOCIETY (APPOINTED AND VOTING) (XVIII)SUFFOLK COUNTY MEDICAL SOCIETY (APPOINTED AND VOTING) 2.3 THE FOLLOWING DIRECTOR POSITIONS SHALL BE ELECTED TO THE BOARD OF DIRECTORS AND SHALL BE NOMINATED BY THE BOARD NOMINATING COMMITTEE. ELECTED SEATS TO THE BOARD OF DIRECTORS SHALL BE REPRESENTATIVE OF THE FOLLOWING CLASSES OR GROUPS: (I) LONG TERM CARE CLASS (ELECTED AND VOTING) (II) FUTURE HOSPITAL CLASS (ELECTED AND VOTING) (III) NON-HEALTH CARE PROVIDER ORGANIZATIONS (ELECTED AND VOTING AS OF DECEMBER 1, 2013, THE TWO CLASSES OF MEMBERSHIP WERE REMOVED AND REPLACED WITH PARTICIPANTS. THE PARTICIPANTS HAVE NO POWER TO APPOINT OR REMOVE BOARD MEMBERS NOR DO THEY HAVE POWER TO APPROVE GOVERNING BODY DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11 AFTER THE FORM IS PREPARED BY OUTSIDE ACCOUNTANTS, IT WILL FIRST BE REVIEWED BY THE SVP OF FINANCE & ADMINISTRATION. IF THERE ARE ANY SUGGESTED CHANGES OR MODIFICATIONS, HE WILL COMMUNICATE DIRECTLY WITH THE OUTSIDE ACCOUNTANTS. ONCE THE SVP OF FINANCE IS SATISFIED WITH THE 990, HE WILL PASS IT ON TO THE CEO FOR HIS REVIEW. ONCE THE CEO IS SATISFIED WITH THE 990, THE NEXT STEP IS TO PASS IT ON TO THE TREASURER, WHO IS ALSO THE CHAIRMAN OF THE FINANCE COMMITTEE AND A MEMBER OF THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS, FOR HIS REVIEW. ONCE THE TREASURER IS SATISFIED WITH THE 990, IT WILL BE PASSED ON TO THE FULL EXECUTIVE COMMITTEE. THIS COMMITTEE IS A SUBSET OF THE FULL HEALTHIX, INC. BOARD AND IS CHARGED WITH MAKING MANY KEY DECISIONS AFFECTING THE COMPANY. IT IS THIS GROUP OF INDIVIDUALS THAT WILL AUTHORIZE THE FILING OF THE 990. ONCE THE EXECUTIVE COMMITTEE IS SATISFIED WITH THE 990 AND HAS AUTHORIZED ITS FILING, THE SVP OF FINANCE OR THE CEO WILL PROVIDE AN ELECTRONIC COPY TO THE FULL BOARD OF DIRECTORS PRIOR TO THE EXTENDED DUE DATE OF THE RETURN. THE BOARD WILL BE INFORMED THAT THE EXECUTIVE COMMITTEE HAS REVIEWED AND APPROVED THE 990. IF ANY BOARD MEMBER HAS ANY QUESTIONS OR CONCERNS THEY WILL BE INSTRUCTED TO CONTACT THE SVP OF FINANCE, WHO WILL RESOLVE THEIR INQUIRIES PROMPTLY.
FORM 990, PART VI, SECTION B, LINE 12C NO CONTRACT OR OTHER TRANSACTION BETWEEN HEALTHIX AND ONE OR MORE OF ITS DIRECTORS OR OFFICERS, OR BETWEEN HEALTHIX AND ANY OTHER CORPORATION, FIRM, ASSOCIATION OR OTHER ENTITY IN WHICH ONE OR MORE OF ITS DIRECTORS OR OFFICERS ARE DIRECTORS OR OFFICERS, OR HAVE A SUBSTANTIAL FINANCIAL INTEREST, SHALL BE EITHER VOID OR VOIDABLE FOR THIS REASON ALONE OR BY REASON ALONE THAT SUCH DIRECTOR OR DIRECTORS OR OFFICER OR OFFICERS ARE PRESENT AT THE MEETING OF THE BOARD, OR OF A COMMITTEE THEREOF, WHICH AUTHORIZES SUCH CONTRACT OR TRANSACTION, OR THAT HIS OR THEIR VOTES ARE COUNTED FOR SUCH PURPOSE, IF THE MATERIAL FACTS AS TO SUCH DIRECTOR'S OR OFFICER'S INTEREST IN SUCH CONTRACT OR TRANSACTION AND AS TO ANY SUCH COMMON DIRECTORSHIP, OFFICERSHIP OR FINANCIAL INTEREST ARE DISCLOSED IN GOOD FAITH OR KNOWN TO THE BOARD OR COMMITTEE, AND THE BOARD OR COMMITTEE AUTHORIZES SUCH CONTRACT OR TRANSACTION BY A VOTE SUFFICIENT FOR SUCH PURPOSE WITHOUT COUNTING THE VOTE OR VOTES OF SUCH INTERESTED DIRECTOR OR OFFICER, OR IF THE VOTES OF THE DISINTERESTED DIRECTORS ARE INSUFFICIENT TO CONSTITUTE AN ACT OF THE BOARD, BY UNANIMOUS VOTE OF THE DISINTERESTED DIRECTORS; OR THE MATERIAL FACTS AS TO SUCH DIRECTOR'S OR OFFICER'S INTEREST IN SUCH CONTRACTOR TRANSACTION AND AS TO ANY SUCH COMMON DIRECTORSHIP, OFFICERSHIP OR FINANCIAL INTEREST ARE DISCLOSED IN GOOD FAITH, OR KNOWN TO THE MEMBERSHIP OF THE CORPORATION ENTITLED TO VOTE THEREON, IF ANY, AND SUCH CONTRACT OR TRANSACTION IS AUTHORIZED BY VOTE OF THE MEMBERSHIP.
FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION AND THAT OF THE SVP OF MEMBER SERVICES (I.E., SALES) ARE SET BY EMPLOYMENT AGREEMENTS. IN THE PRIOR YEAR, 2012, THE COMPANY ENGAGED AN INDEPENDENT COMPENSATION CONSULTING COMPANY, THE "HAY GROUP", WHICH PERFORMED A FORMAL MARKET STUDY AND PROVIDED RANGES FOR SALARIES, BONUSES & COMMISSION PLANS FOR THE ENTIRE COMPANY. IT WAS NOT NECESSARY TO PERFORM THIS ANALYSIS AGAIN IN 2013. GOALS WERE SET FOR ALL EMPLOYEES AT THE BEGINNING OF 2013, AND THEIR PERFORMANCE WAS MEASURED AGAINST GOALS AFTER 2013 CONCLUDED. IN ADDITION, DUE TO THE MERGER WITH BHIX ON 12/01/2013, CERTAIN SALARIES WERE ADJUSTED DUE TO THE INCREASE IN RESPONSIBILITIES RESULTING FROM THE MERGER. BONUSES, WHICH WERE ACCRUED AT 12/31/12 (BASED ON 2012 PERFORMANCE), WERE PAID IN 2013, AND THOSE WHICH ACCRUED AT 12/31/13 (BASED ON 2013 PERFORMANCE) WERE PAID OUT IN 2014. THE INCENTIVE COMPENSATION (I.E, BONUS) PROGRAMS WERE APPROVED BY THE EXECUTIVE COMMITTEE FOR BOTH 2012 AND 2013, AND WERE ALSO DISTRIBUTED TO ALL EMPLOYEES. THE BY-LAWS CREATE A COMMITTEE OF THE BOARD WITH FULL POWERS OF THE BOARD TO REVIEW AND APPROVE THE COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES. THE COMMITTEE, WHICH IS HEALTHIX'S EXECUTIVE COMMITTEE, CONSISTS OF TRUSTEES WHO HAVE NO CONNECTION TO HEALTHIX EXCEPT AS TRUSTEES AND THEY HAVE NO CONFLICTS AS TO MATTERS THEY CONSIDER. THE COMMITTEE MEETS SEVERAL TIMES A YEAR AS NEEDED BUT ALWAYS MEETS IN NOVEMBER/DECEMBER TO REVIEW AND DETERMINE OFFICER AND KEY EMPLOYEE COMPENSATION FOR THE FOLLOWING YEAR. FOR PURPOSES OF THEIR REVIEW THE COMMITTEE CONSIDERS THE RECOMMENDATIONS OF THE CEO FOR ALL PERSONS OTHER THAN THE CEO. THERE IS NO DOCUMENTATION OF THE BOARD'S APPROVAL FOR THE COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES. ALL DISCUSSIONS ARE HELD VERBALLY.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE BY POSTING IT ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY.
FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 4,234,997. MANAGEMENT AND GENERAL EXPENSES 181,334. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,416,331. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 759. MANAGEMENT AND GENERAL EXPENSES 13,006. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,765. RECRUITING FEES: PROGRAM SERVICE EXPENSES 57,280. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,280. OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 7,324. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,324. BHIX PROFESSIONAL FEE: PROGRAM SERVICE EXPENSES 8,514. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,514.
FORM 990, PART XI, LINE 9: INCREASE IN NET ASSETS DUE TO MERGER OF BHIX 642,600.
FORM 990,PART XII, LINE 2C THE ORGANIZATION'S FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF ITS INDEPENDENT AUDITOR. THE POLICY FOR SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITORS HAS NOT CHANGED SINCE LAST YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

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