Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 14,689,562 | 16,033,831 | 15,975,015 | 17,418,939 | 17,909,110 | 82,026,457 |
| 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 | 562,140 | 523,020 | 699,890 | 1,485,340 | 681,274 | 3,951,664 |
| 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 | 15,251,702 | 16,556,851 | 16,674,905 | 18,904,279 | 18,590,384 | 85,978,121 |
| 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. | 1,231 | 369,536 | 370,767 | |||
| c | Add lines 7a and 7b.. | 1,231 | 369,536 | 370,767 | |||
| 8 | Public support. (Subtract line 7c from line 6.) | 85,607,354 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 15,251,702 | 16,556,851 | 16,674,905 | 18,904,279 | 18,590,384 | 85,978,121 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 36,238 | 6,251 | 2,432 | 3,126 | 33,820 | 81,867 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 36,238 | 6,251 | 2,432 | 3,126 | 33,820 | 81,867 |
| 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 VI.) .. | 5,252 | 5,252 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 15,293,192 | 16,563,102 | 16,677,337 | 18,907,405 | 18,624,204 | 86,065,240 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | OTHER REVENUE - 2015 AMOUNT: $ 5,252. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| HGC #4 HIGH GAP CLOSURE AWARD | THE HIGH GAP CLOSURE (HGC) HUB GRANT INITIATIVE ALLOWED HEALTHIX TO BUILD UPON THE SUCCESS OF THE HEALTHIX HUB MODEL PROGRAM BY PARTNERING WITH NEW EHRS AND ESTABLISHING HUB MODEL CONNECTIONS AS ADDITIONAL AVENUES TO FACILITATE PARTICIPATION WITH PROVIDERS NOT CONNECTED TO A QE. ADDING A TOTAL OF 6 ADDITIONAL HUB EHRS ALLOWED HEALTHIX TO REDUCE THE BARRIERS TO ACCESS FOR PROVIDERS WHO OTHERWISE COULD NOT CONNECT TO THE QE IN AN EFFICIENT COST-EFFECTIVE MANNER. HEALTHIX HAS HAD GREAT SUCCESS OVER THE PAST 3 YEARS CONNECTING MORE THAN 500 SITES THROUGH A HUB MODEL EHR, BUT THERE REMAIN MANY AMBULATORY PROVIDERS IN THE HEALTHIX SERVICE AREA OF NEW YORK CITY AND LONG ISLAND, WHO ARE NOT YET PARTICIPATING IN ANY QE IN THE SHIN-NY. THE HGC HUB MODEL GRANT ENABLED HEALTHIX TO CONTINUE UPON THAT SUCCESS AND FURTHER CLOSE THE GAP IN QE PARTICIPATION. IN THE HUB MODEL, THE EHR VENDOR MAINTAINS ONE INTERFACE TO HEALTHIX FROM ITS DATA CENTER OR INTERFACE ENGINE, WHICH SUPPORT MULTIPLE CLIENTS; AND THE VENDOR CAN EASILY ADD THE PARTICIPANT TO THE VENDOR'S EXISTING INTERFACE WITH HEALTHIX. THE GRANT PROJECT HAD THREE PHASES: 1) IDENTIFY CANDIDATE EHRS IN THE MARKET PLACE, BASED ON LISTS PROVIDED BY ACOS AND IPAS WHO WERE IDENTIFIED AS CAPABLE OF BUILDING A HUB MODEL CONNECTION. COMPLETE ANALYSIS, SCOPING AND PLANNING WITH THE IDENTIFIED EHRS; 2) DEVELOP UP TO 6 NEW HUB MODEL INTERFACES WITH AMBULATORY EHRS; 3) GO-LIVE WITH AND PILOT AT LEAST ONE PRACTICE FOR EACH NEW HUB CREATED. AT GRANT COMPLETION, HEALTHIX WAS ABLE TO COMPLETE ALL 6 HUB EHR BUILDS AND GO LIVE WITH AT LEAST ONE PILOT SITE. DESCRIPTION OF OUTCOMES PHASE 1: HUB-MODEL VETTING PROCESS THE GOAL FOR THE FIRST PHASE OF THE GRANT WAS TO IDENTIFY TARGET EHR VENDORS AND DISTINGUISH THE VOLUME OF CLIENTS IN THE HEALTHIX MARKET PLACE. HEALTHIX THEN ASSESSED THEIR READINESS AND WILLINGNESS TO ESTABLISH A HUB CONNECTION WITH THE QE WHICH IS CONFIRMED THROUGH A TECHNICAL SCOPE SIGN-OFF. HEALTHIX COMPLETED THIS VETTING PROCESS WITH OVER 21 DIFFERENT EHRS AND IDENTIFIED 6 AMBULATORY EHRS THAT WERE TECHNICALLY CAPABLE OF PARTICIPATING IN THE HEALTHIX HUB-MODEL INITIATIVE AND GOING LIVE BY GRANT DEADLINE. THE EHRS WERE ANTWORKS, AZALEA, CRITERIONS, GREENWAY-INTERGY, MEDI-EHR, AND SUNCOAST FOR TOTALMD. ONCE THE PROJECTS KICKED OFF IN PHASE 2 IT WAS EVIDENT THAT SUNCOAST FOR TOTALMD DID NOT HAVE THE TECHNICAL CAPABILITIES ORIGINALLY AGREED UPON IN THE TECHNICAL SCOPE SIGN-OFF. HEALTHIX WITH THE APPROVAL OF THE NEW YORK EHEALTH COLLABORATIVE (NYEC) WAS ABLE TO IDENTIFY A 7TH EHR CELERITY - THAT WOULD BE ABLE TO MEET THE GRANT DELIVERABLES. CELERITY REPLACED SUNCOAST AS THE 6TH EHR PROJECTED TO GO LIVE. PHASE 2 AND 3: DEVELOP NEW HUB INTERFACES WITH UP TO 6 EHRS AND PILOT WITH AT LEAST ONE PRACTICE FOR EACH NEW HUB CREATED. WITH THE FINAL 6 EHRS IDENTIFIED (ANTWORKS, AZALEA, CRITERIONS, GREENWAY-INTERGY, MEDI-EHR, AND CELERITY) AND TECHNICAL SCOPES SIGNED OFF ON, KICK-OFF WAS SCHEDULED WITH ALL 6 EHRS WITHIN THE 2018 CALENDAR YEAR. EACH INTERFACE WAS COMPRISED OF A PATIENT REGISTRATION FEED (EITHER THROUGH ADT HL7 MESSAGE OR PIX IHE TRANSACTION) AND A CLINICAL DATA FEED (CCDA). CONSENT AS CAPABLE BY THE EHR WAS PROVIDED IN THE ADT FEED OR THROUGH A XACML DOCUMENT. ONE EHR, GREENWAY-INTERGY, DID NOT HAVE THE CAPABILITY OF CREATING A CONSENT USER INTERFACE AND WAS SCOPED TO UTILIZE HEALTHIX HOSTED REGISTRATION FOR THEIR CUSTOMERS CONNECTING TO HEALTHIX. ALL FINAL 6 EHRS IDENTIFIED COMPLETED SUCCESSFUL TESTING AND ONBOARDING FOR AT LEAST ONE PILOT SITE. THIS FINAL PHASE CONSISTED OF DATA VALIDATION FOR PATIENT REGISTRATION AND CLINICAL DATA FLOW OF COMMON CLINICAL DATA AND A DATA MONITORING PROCESS PRIOR TO CONDUCTING PARTICIPANT USER ACCEPTANCE TESTING, WHICH DEMONSTRATES THE EHR FUNCTIONALITY THROUGH THE HUB FOR THE PILOT SITE. CRITERIONS EXCEEDED THIS EXPECTATION AND POST GO LIVE COMPLETED AN ADDITIONAL 12 INTEGRATIONS. DESCRIPTION OF PROCESSES IN COLLABORATION AMONG HEALTHIX BUSINESS AND TECHNICAL PROJECT MANAGEMENT TEAMS, THERE WERE THREE MAIN PROCESSES WHICH DROVE THE WORK FOR THIS GRANT: THE HUB VENDOR VETTING, PARTICIPANT RECRUITMENT AND IMPLEMENTATION PROCESS. THE SUCCESS OF THIS INITIATIVE RELIED ON CROSS-FUNCTIONAL TEAMS IN TECHNOLOGY, PROJECT MANAGEMENT, COMPLIANCE, ACCOUNT MANAGEMENT AND BUSINESS DEVELOPMENT WORKING TOGETHER IN ORDER TO REACH KEY MILESTONES AND ACCOMPLISHMENT OF GOALS. HUB-MODEL EHR VENDOR VETTING PROCESS THE HUB-MODEL EHR VENDOR VETTING PROCESS WAS ESTABLISHED AND REFINED AS A KEY PART OF THE HUB MODEL PROGRAM AT HEALTHIX. IT PLAYS A CRITICAL ROLE IN IDENTIFYING EHR VENDOR READINESS AND WILLINGNESS TO ESTABLISH EFFICIENT INTEROPERABILITY FOR THE BENEFIT OF THEIR CUSTOMERS SEEKING TO CONNECT TO THE QE. ONCE EHR VENDORS ARE IDENTIFIED THROUGH VARIOUS MEANS INCLUDING LISTS PROVIDED BY ACOS AND IPAS, A VENDOR CONTACT IS IDENTIFIED AND A TECHNICAL SCOPING CALL WITH THE VENDOR AND HEALTHIX IS SCHEDULED. THE GOAL FOR THIS CALL IS TO DETERMINE IF THE EHR VENDOR HAS THE TECHNICAL AND BUSINESS ABILITY TO BE A HUB MODEL EHR. IF THEY ARE ABLE TO BE A HUB MODEL EHR A SCOPE DOCUMENT IS CREATED AND SHARED WITH THE VENDOR FOR SIGN-OFF. SIGN-OFF OF THE SCOPE DOCUMENT BY THE VENDOR TRIGGERS A HUB MODEL PROJECT TO KICK-OFF AND FOR RECRUITMENT TO COMPLETE PARTICIPANT AGREEMENTS, INCLUDING SCOPE, FOR THE HEALTHIX BUSINESS DEVELOPMENT TEAM. RECRUITMENT ON OCCASION, THE RECRUITMENT EFFORTS WERE DONE IN COLLABORATION WITH THE EHR VENDORS. OUTREACH: CONTACT A PROSPECT (HEALTHCARE PROVIDER), COLLECT ENROLLMENT INFORMATION. EDUCATION: DESCRIBE OUR CORE SERVICES, DATA (TYPES, SOURCES, USES), CONSENT, AND A DEMO OF THE PORTAL. CONTRACT: SEND HEALTHIX PARTICIPANT AGREEMENT, AND ANY ADDITIONAL PAPERWORK. VENDOR CONTRACT: RECEIVE CONFIRMATION THAT THE PROSPECT'S EHR VENDOR CONTACT HAS BEEN EXECUTED. TRANSITION: HANDOFF TRANSITION TO THE APPROPRIATE HEALTHIX TEAM MEMBER AND START ONBOARDING PROCESS. HUB BUILD & IMPLEMENTATION PROCESS HUB BUILD ONCE A NEW HUB BUILD IS KICKED-OFF THE HEALTHIX PROJECT MANAGER HAS APPROXIMATELY 2 WEEKS TO ESTABLISH CONNECTIVITY WITH THE NEW HUB EHR PRIOR TO STARTING MESSAGE TESTING FOR A PILOT SITE. THIS MEANS THAT HEALTHIX NEEDS TO HAVE A PILOT PARTICIPANT SITE CONTRACTED AND READY TO TEST WITHIN THE FIRST 2 WEEKS OF HUB BUILD KICK-OFF. THEREFORE, RECRUITMENT AND IMPLEMENTATION ARE DEPENDENT ON ONE ANOTHER FOR ULTIMATE SUCCESS AND COMPLETION. IMPLEMENTATION PROCESS IN ORDER FOR A PARTICIPANT TO GO LIVE IN THE IMPLEMENTATION PROCESS WITH HEALTHIX, THEY MUST PARTICIPATE IN A COMPLIANCE REVIEW. ONCE A PARTICIPANT AGREEMENT IS FULLY EXECUTED, THE PARTICIPANT IS TRANSITIONED AND CONNECTED TO THE COMPLIANCE DEPARTMENT TO DEVELOP AND COMPLETE THEIR COMPLIANCE WORK PLAN. THIS INCLUDES CONSENT TRAINING, PRIVACY POLICY ADHERENCE, PATIENT EDUCATION, AND AUDITS. THIS WORK IS DONE SIMULTANEOUSLY AS A HEALTHIX PROJECT MANAGER ON THE EHR INTEROPERABILITY TEAM WORKS WITH THE EHRS TO ESTABLISH THE HUB CONNECTION TO HEALTHIX. ONCE A PARTICIPANT COMPLETES THEIR PREREQUISITES AND THE HUB IS BUILT, THEN THE PILOT SITE FEED IS ACTIVATED (I.E. GO-LIVE OCCURS). AFTER LIVE FEED IS VALIDATED AND MONITORED, THE PROJECT MANAGER WORKS WITH THE SITE TO COMPLETE THE USER ACCEPTANCE TESTING. UPON COMPLETION OF A SUCCESSFUL TESTING SESSION, THE PROJECT IS CONSIDERED CLOSED AND THE NEWLY CONNECTED PARTICIPANT IS CONNECTED TO THEIR HEALTHIX ACCOUNT MANAGER FOR USER TRAINING OF STAFF. DESCRIPTION OF ACTIVITIES IN ORDER TO ENSURE ALL TEAMS AT HEALTHIX WERE ON TRACK TO ACHIEVE TIMELY COMPLETION OF THE GRANT, AN HGC WORKGROUP WAS ESTABLISHED FOR BOTH HUB AND GATEWAY VENDOR GRANTS. THE WORKGROUP MET ON A WEEKLY BASIS AND INCLUDED REPRESENTATION FROM EACH DIVISION WITHIN HEALTHIX INVOLVED IN THE GRANT AND DELIVERABLE ACTIVITIES. AT EACH WEEKLY MEETING, AN AGENDA WAS PROVIDED TO THE WORKGROUP PRIOR TO THE MEETING ALLOWING EACH DIVISION TO UPDATE THE TEAM ON THEIR PROGRESS TOWARDS THE UPCOMING MILESTONES, AND ANY CHALLENGES OR BARRIERS ENCOUNTERED IN THE PAST WEEK. SENIOR LEADERSHIP REPRESENTATION AT THESE MEETINGS WAS CRITICAL AS IT ENSURED COMMITMENT TO THE GRANT AT ALL HEALTHIX TEAM LEVELS AND SENIOR LEADERSHIP PLAYED A KEY ROLE IN ESCALATIONS WHEN ALL OTHER OPTIONS HAD BEEN EXHAUSTED. IN ADDITION TO THE MEETINGS, A TRACKER WAS MAINTAINED BY THE HEALTHIX PROJECT COORDINATOR FOR ALL SITES AND EHRS THROUGHOUT THE VETTING, RECRUITING AND IMPLEMENTATION PROCESS. THIS DOCUMENT BECAME THE "SOURCE OF TRUTH" FOR THE GRANT DELIVERABLES TRACKING AND MANAGEMENT OF PENDING ACTIVITIES AND MILESTONES. |
| TECHNICAL ARCHITECTURE | THE FOLLOWING TWO TECHNICAL COMMUNICATION METHODS WERE USED FOR CLINICAL DATA TRANSFER IN THE HIGH GAP CLOSURE PROJECT: WEBSERVICE OR SECURE FILE TRANSFER PROTOCOL (SFTP) 1) FOR NEW PARTICIPANTS CONNECTING TO HEALTHIX THROUGH THE NEW HUB WITH THEIR EHR VENDOR, THEIR CLINICAL DATA WAS SENT TO HEALTHIX AS A CCD/C-CDA VIA WEB SERVICES TO THE HEALTHIX BUS AND DATA THEN STORED ON THE HUB AND EDGE SERVERS. AN ALTERNATE OPTION USED BY SOME EHRS WAS TO USE SECURE FILE TRANSFER PROTOCOL (SFTP), CLINICAL DATA WAS SENT TO HEALTHIX AS A CCD/C-CDA VIA SFTP AND STORED ON THE HUB AND EDGE SERVERS. 2) UPON QUERY, CLINICAL DATA WAS FETCHED FROM HEALTHIX AND RETURNED TO THE PARTICIPANT ALSO THROUGH WEB SERVICES. CLINICAL DATA CAN BE QUERIED EITHER THROUGH THE PORTAL OR THE PARTICIPANT'S EHR. 3) WHEN A PATIENT RECORD IS QUERIED, HEALTHIX IDENTIFIES THE PATIENT BEING SEARCHED USING THE VERATO MPI, THE HUB THEN DETERMINES ALL THE RECORDS ASSOCIATED WITH THE PATIENT AND PULLS THE RELEVANT RECORDS FROM THE VARIOUS EDGE SERVERS. THE RESULTS ARE RETURNED TO THE ACCESS GATEWAY TO BE DELIVERED TO THE PARTICIPANT. 4) MOST PARTICIPANTS CHOOSE TO SUBSCRIBE TO CLINICAL EVENT NOTIFICATIONS. THE CEN GATEWAY MANAGES THE DETECTION OF EVENTS, COMPOSING THE MESSAGES AND SENDING THEM TO THE SUBSCRIBER THROUGH THE GATEWAY OVER A VPN TUNNEL TO THE SUBSCRIBER AS AN HL7 MDM MESSAGE. CENS DELIVERED TO SUBSCRIBERS VIA THE CLINICAL MESSAGE CENTER ARE SENT THROUGH THE ACCESS GATEWAY TO THE HEALTHIX PORTAL. FUNCTIONAL AND TECHNICAL SPECIFICATIONS THE EHR INTEROPERABILITY TEAM COMPLETED NEW HUB IMPLEMENTATION PROJECTS WITH SIX NEW EHR VENDORS: ANTWORKS, AZALEA, CRITERIONS, GREENWAY-INTERGY, MEDI-EHR, AND CELERITY. ATTACHED ARE THE SCOPE DOCUMENTS FOR EACH OF THESE NEW HUB BUILDS. THESE DOCUMENTS DESCRIBE THE FUNCTIONALITY AND PROJECT TASKS THAT EACH NEW PARTICIPANT CAN EXPECT WHEN INTEGRATING WITH HEALTHIX WITH ONE OF THESE VENDORS. IN ORDER TO INTEGRATE WITH HEALTHIX, WE ASK EACH OF THESE VENDORS TO COMPLY WITH THE FOLLOWING TECHNICAL SPECIFICATIONS: - HEALTHIX HL7 ADT V1.6 OR HEALTHIX_INBOUND_OUTBOUND_CCD_SPECS_V1.6 - HEALTHIX IHE TRANSPORT MECHANISM V1 OR HEALTHIX PROVIDER FLAT FILE_SPECIFICATION_V16 (1) FOR SENDING AND RECEIVING CLINICAL DATA IN THE FORM OF A CCD/C-CDA. |
| FORM 990, PART VI, SECTION A, LINE 3 | HEALTHIX, INC. USES ADP TOTALSOURCE, A PROFESSIONAL EMPLOYER ORGANIZATION ("PEO"). AS A PROFESSIONAL EMPLOYER ORGANIZATION, TOTALSOURCE PROVIDES PROFESSIONAL EMPLOYER SERVICES TO HEALTHIX, INC. IN THE PEO RELATIONSHIP TOTALSOURCE AND HEALTHIX, INC. SHARE CERTAIN RESPONSIBILITIES AND ALLOCATE OTHER EMPLOYER RESPONSIBILITIES BETWEEN EACH OTHER. HEALTHIX, INC. REMAINS AN EMPLOYER OF THE WORKSITE EMPLOYEES AND TOTALSOURCE IS A CO-EMPLOYER OF HEALTHIX, INC.'S EMPLOYEES. HEALTHIX, INC. HAS: DIRECTION AND CONTROL OVER EMPLOYEES AS IS NECESSARY TO CONDUCT ITS BUSINESS, DISCHARGE AND FIDUCIARY RESPONSIBILITY IT MAY HAVE, OR COMPLY WITH ANY APPLICABLE LICENSURE, REGULATORY OR STATUTORY REQUIREMENT OF HEALTHIX, INC. CONTROL OVER THE DAY TO DAY JOB DUTIES OF EMPLOYEES AND OVER THE JOB SITES AT WHICH, OR FROM WHICH EMPLOYEES PERFORM SERVICES RESPONSIBILITY OVER THE PROFESSIONAL AND LICENSED ACTIVITIES OF EMPLOYEES INCLUDING ENSURING THAT EMPLOYEES ARE SUPERVISED BY LICENSED INDIVIDUALS AS REQUIRED BY LAW AND FOR DETERMINING WHETHER AN APPLICANT OR EMPLOYEE MEETS HEALTHIX, INC.'S HIRING CRITERIA AND IS QUALIFIED TO SAFELY AND COMPLETELY PERFORM HIS OR HER JOB TOTALSOURCE RESERVES A RIGHT OF DIRECTION AND CONTROL OVER EMPLOYEES AS IS NECESSARY TO FULFILL ITS OBLIGATIONS AND PROVIDE ITS SERVICES UNDER AN AGREEMENT BETWEEN HEALTHIX, INC. AND TOTALSOURCE. TOTALSOURCE AND HEALTHIX, INC. HAVE A RIGHT TO HIRE, DISCIPLINE, AND TERMINATE EMPLOYEES AS TO EACH ONE'S EMPLOYMENT RELATIONSHIP WITH EMPLOYEES. THE PEO WAS PAID $115,512 DURING 2019 FOR SERVICES PROVIDED. |
| 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 B, LINE 11B | AFTER THE FORM IS PREPARED BY OUTSIDE ACCOUNTANTS, IT WILL FIRST BE REVIEWED BY THE SVP & CFO. IF THERE ARE ANY SUGGESTED CHANGES OR MODIFICATIONS, HE WILL COMMUNICATE DIRECTLY WITH THE OUTSIDE ACCOUNTANTS. ONCE THE SVP & CFO 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 CHAIRMAN OF THE FINANCE COMMITTEE, WHO IS A MEMBER OF THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS, FOR HIS REVIEW. ONCE THIS INDIVIDUAL 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 & CFO 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 & CFO, WHO WILL RESOLVE THEIR INQUIRIES PROMPTLY. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS, OFFICERS, AND KEY PERSONS WILL, AT LEAST ANNUALLY THEREAFTER, FILE A WRITTEN CONFLICT OF INTEREST DISCLOSURE STATEMENT WITH HEALTHIX SENIOR DIRECTOR OF COMPLIANCE. HEALTHIX SENIOR DIRECTOR OF COMPLIANCE WILL PROVIDE COPIES OF ALL COMPLETED STATEMENTS TO THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD FOR REVIEW. NEW DIRECTOR MUST FILE CONFLICT OF INTEREST PRIOR TO BEING ELECTED TO BECOME A HEALTHIX BOARD MEMBER. FOR DIRECTORS, THE CONFLICT OF INTEREST DISCLOSURE STATEMENT WILL SPECIFICALLY INCLUDE, AMONG OTHER DISCLOSABLE CONFLICTS OF INTEREST, A STATEMENT IDENTIFYING, TO THE BEST OF THE DIRECTOR'S KNOWLEDGE, ANY ENTITY OF WHICH HE OR SHE IS AN OFFICER, DIRECTOR, TRUSTEE, MEMBER, OWNER (EITHER AS A SOLE PROPRIETOR OR A PARTNER), OR EMPLOYEE AND WITH WHICH HEALTHIX HAS A RELATIONSHIP, AND ANY TRANSACTION IN WHICH HEALTHIX IS A PARTICIPANT AND IN WHICH THE DIRECTOR MIGHT HAVE A DISCLOSABLE CONFLICT OF INTEREST. ALL COMPLETED CONFLICT OF INTEREST DISCLOSURE STATEMENTS THAT RAISE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, OR THAT CREATE THE APPEARANCE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, WILL BE FORWARDED BY THE CHAIR OF THE AUDIT AND COMPLIANCE COMMITTEE TO THE AUDIT AND COMPLIANCE COMMITTEE FOR THEIR CONSIDERATION. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD WILL CONDUCT A FULL REVIEW OF ALL MATTERS (E.G., CONTRACTS, TRANSACTIONS OR ARRANGEMENTS) FOR WHICH AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST OR THE APPEARANCE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST HAS BEEN IDENTIFIED. IN SO DOING, THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD WILL: A. CONSIDER ALL RELEVANT FACTS AND CIRCUMSTANCES INVOLVED IN THE MATTER, AND IN PARTICULAR, WHAT IS FAIR, REASONABLE AND IN THE BEST INTERESTS OF HEALTHIX; B. EXCLUDE THE AFFECTED INDIVIDUAL(S) FROM BEING PRESENT AT OR PARTICIPATING IN, OR BEING COUNTED IN THE QUORUM FOR, THE DELIBERATIONS OR VOTING ON THE MATTER; C. PROHIBIT THE AFFECTED INDIVIDUAL(S) FROM ANY ATTEMPT TO INFLUENCE IMPROPERLY THE DELIBERATIONS OR VOTING ON THE MATTER; D. PERMIT THE AFFECTED INDIVIDUAL(S), UPON REQUEST OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD, TO PRESENT INFORMATION CONCERNING THE MATTER AT A MEETING PRIOR TO COMMENCEMENT OF DELIBERATIONS OR VOTING ON THE MATTER. E. NOT PERMIT ANY DIRECTOR TO VOTE OR BE COUNTED IN DETERMINING THE QUORUM FOR ANY VOTE, ON ANY TRANSACTION BETWEEN HEALTHIX AND ANOTHER CORPORATION, FIRM, ASSOCIATION OR OTHER ENTITY IN WHICH THE DIRECTOR IS AN OFFICER OR DIRECTOR OR HAS A DIRECT OR INDIRECT SUBSTANTIAL FINANCIAL INTEREST. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD WILL MAKE A FINAL AND BINDING DETERMINATION AS TO WHETHER A CONFLICT OF INTEREST EXISTS OR MAY EXIST ON ANY MATTER IN WHICH THERE IS A DISCLOSABLE CONFLICT OF INTEREST, AND WHAT COURSE HEALTHIX WILL TAKE IN CONNECTION WITH THE MATTER. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD WILL CONTEMPORANEOUSLY DOCUMENT IN WRITING IN APPROPRIATE MINUTES OF ANY MEETING AT WHICH THE MATTER IS DELIBERATED OR VOTED UPON ALL DELIBERATIONS AND DETERMINATIONS RELATING THERETO, INCLUDING, AT A MINIMUM: 1. THE NAMES AND POSITIONS OF PERSONS WHO DISCLOSED THAT THEY WERE RELATED PARTIES OR OTHERWISE WERE FOUND TO BE RELATED PARTIES OR TO HAVE A CONFLICT OF INTEREST, A DESCRIPTION OF THE NATURE OF THE RELATIONSHIP AND/OR SUBSTANTIAL FINANCIAL INTEREST WHICH GAVE RISE TO SUCH DISCLOSURE OR IDENTIFICATION, AND A DESCRIPTION OF THE CONTRACT, TRANSACTION OR ARRANGEMENT AT ISSUE; 2. THE NAMES OF THE AUDIT AND COMPLIANCE COMMITTEE WHO WERE PRESENT DURING THE TAKING OF THE ACTION TO DETERMINE WHETHER A CONFLICT OF INTERESTS WAS PRESENT, AND THE BASIS FOR THERE BEING A QUORUM FOR THE TAKING OF SUCH ACTION WITHOUT INCLUDING ANY RELATED PARTIES OR AFFECTED PARTIES; 3. THE STEPS TAKEN BY THE AUDIT AND COMPLIANCE COMMITTEE MEMBERS OF THE BOARD TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT; 4. THE AUDIT AND COMPLIANCE COMMITTEE BOARD MEMBER'S DECISION AS TO WHETHER A CONFLICT OF INTERESTS WAS PRESENT AND THE BASIS FOR SUCH DECISION; 5. THE AUDIT AND COMPLIANCE COMMITTEE BOARD MEMBER'S DECISION AS TO WHETHER TO PROCEED WITH THE MATTERS (INCLUDING, BUT NOT NECESSARILY LIMITED TO, WHETHER THE MATTER IS AS FAIR AND REASONABLE TO HEALTHIX AS WOULD OTHERWISE THEN BE OBTAINABLE BY HEALTHIX) AND THE NAMES OF THE PERSONS WHO VOTED TO APPROVE THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | FOR SALARY ADJUSTMENTS MADE IN 2019, THERE WAS NO CHANGE IN THE PROCESS FROM PREVIOUS YEARS. THE ORGANIZATION LAST USED A COMPENSATION CONSULTANT IN 2015, AND PLANS TO REFRESH THE COMPENSATION STUDY IN 2020. THE SAME PROCESS WAS USED IN 2019 AS IN 2018 FOR DETERMINING BONUSES--NO CHANGES. CEO COMP IS SET BY EMPLOYMENT AGREEMENT/OFFER LETTER TO CURRENT CEO, WHO TOOK OVER ON MAY 1, 2019 DUE TO RETIREMENT OF THE PREVIOUS CEO. GOALS WERE SET FOR ALL EMPLOYEES AT THE BEGINNING OF 2019, AND THEIR PERFORMANCE WAS MEASURED AGAINST GOALS AFTER 2019 CONCLUDED. BONUSES WHICH WERE ACCRUED AT 12/31/18 (BASED ON 2018 PERFORMANCE) WERE PAID IN 2019, AND THOSE WHICH WERE ACCRUED AT 12/31/19 (BASED ON 2019 PERFORMANCE) WERE PAID OUT IN 2020. THE INCENTIVE COMPENSATION (I.E. BONUS) PROGRAMS WERE APPROVED BY THE EXECUTIVE COMMITTEE FOR BOTH 2018 & 2019, 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 AND ALWAYS REVIEWS AND DETERMINES OFFICER AND KEY EMPLOYEE COMPENSATION. FOR PURPOSES OF THEIR REVIEW THE COMMITTEE CONSIDERS THE RECOMMENDATIONS OF THE CEO FOR ALL PERSONS OTHER THAN THE CEO. THIS PROCESS WAS LAST UNDERTAKEN IN 2019. THE BOARD'S APPROVAL FOR THE COMPENSATION OF OFFICERS AND OTHER KEY EMPLOYEES IS DOCUMENTED VIA EMAIL. |
| 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. IT IS POSTED 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 XII, LINE 2C: | THE ORGANIZATION'S AUDIT AND COMPLIANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF ITS INDEPENDENT AUDITORS. THE POLICY FOR SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITORS HAS NOT CHANGED SINCE LAST YEAR. |
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