Form990
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Department of the TreasuryInternal 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)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2021 , and ending 12-31-2021
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)
462 SEVENTH AVENUE 8TH FLOOR
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NEW YORK, NY10018
D Employer identification number

45-0553664
E Telephone number

G Gross receipts $ 27,546,551
F Name and address of principal officer:
TODD M ROGOW
462 SEVENTH AVENUE 8TH FLOOR
NEW YORK,NY10018
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 18
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 18
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 152
6 Total number of volunteers (estimate if necessary) ............. 6 21
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 27,777,561 22,194,016
9 Program service revenue (Part VIII, line 2g) ......... 1,167,985 1,353,589
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 16,792 -1,054
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 28,962,338 23,546,551
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
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) 11,906,718 11,986,934
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).... 8,197,605 7,497,352
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 20,104,323 19,484,286
19 Revenue less expenses. Subtract line 18 from line 12....... 8,858,015 4,062,265
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 21,834,343 24,127,296
21 Total liabilities (Part X, line 26)............. 5,640,236 3,870,924
22 Net assets or fund balances. Subtract line 21 from line 20..... 16,194,107 20,256,372
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
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Signature of officer Date
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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 (2021)
Form 990 (2021)
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 $ 16,787,215 including grants of $ 0 ) (Revenue $ 1,353,589 )
SHIN-NY GRANT/HCRA/MEDICAID PROGRAMPROGRAM DESCRIPTIONHEALTHIX WORKS WITH OUR PARTICIPANTS TO INTEGRATE THEM INTO THE HIE AND TO WORK WITH THEM TO DESIGN AND DEVELOP PRODUCTS AND SERVICES THAT HELP THEM TO IMPROVE CARE THROUGH BETTER CARE COORDINATION. IN 2021 WE USED THE FUNDING FROM SHIN-NY/HCRA/MEDICAID TO SUPPORT BUSINESS DEVELOPMENT, COMPLIANCE, RELATIONSHIP MANAGEMENT, PROJECT MANAGEMENT, DEVELOPMENT, ENGINEERING, QUALITY ASSURANCE AND SUPPORT. OUR BUSINESS DEVELOPMENT TEAM RECRUITS NEW PARTICIPANTS, ENSURES COMPLIANCE WITH STATE PRIVACY & SECURITY POLICIES AND PREPARES STATEMENTS OF WORK TO HAND OFF TO THE PROJECT MANAGEMENT, CUSTOMER EXPERIENCE AND DEVELOPMENT & ENGINEERING TEAMS.BUSINESS DEVELOPMENT TEAM IS COMPRISED OF A VICE PRESIDENT OF OPERATIONS & BUSINESS DEVELOPMENT AND TWO BUSINESS DEVELOPMENT PARTNERS. THE COMPLIANCE DEPARTMENT IS COMPRISED OF SR DIRECTOR OF COMPLIANCE AND FOUR COMPLIANCE PARTNERS. THE PROJECT MANAGEMENT OFFICE IS COMPRISED OF THE ASSISTANCE VICE PRESIDENT, TEAM LEAD, THREE SENIOR PROJECT MANAGERS AND THREE PROJECT MANAGERS. THE CUSTOMER EXPERIENCE TEAM IS COMPRISED OF A DIRECTOR AND SEVEN RELATIONSHIP MANAGERS. THE DEVELOPMENT TEAM IS COMPRISED OF SIX INTEGRATION ENGINEERS AND THE ENGINEERING TEAM IS COMPRISED OF FOUR NETWORK ENGINEERS AND AN ENGINEERING MANAGER. DEVELOPMENT AND ENGINEERING TEAMS ARE PART OF THE INFORMATION TECHNOLOGY DEPARTMENT LED BY OUR CHIEF INFORMATION OFFICER WHO ALSO MANAGES THE INFORMATION SECURITY GROUP COMPRISED OF A CHIEF INFORMATION SECURITY OFFICER AND TWO INFORMATION SECURITY ANALYSTS. THE IT DEPARTMENT IS AUGMENTED BY TWO TO THREE CONTRACT DEVELOPERS. IN ADDITION, THE FUNDING SUPPORTED OFFICE SPACE AND DATA CENTER OPERATIONS.ACCOMPLISHMENTSIN 2021 HEALTHIX COMPLETED 682 PROJECTS INCLUDING 536 CUSTOMER PROJECTS, 37 INTERNAL PROJECTS, 23 VENDOR DEVELOPMENT PROJECTS, 7 PRODUCT DEVELOPMENT PROJECTS, 16 GRANTS PROJECTS, 50 PUBLIC HEALTH PROJECTS AND 8 PROJECTS WITH BUSINESS PARTNERS. THE 536 CUSTOMER PROJECTS INCLUDED CONNECTING NEW PARTICIPANTS TO HEALTHIX AND PROVIDING THEM WITH STANDARD AND CUSTOM SERVICES.HEALTHIX CUSTOMER PROJECTS IN 2021 WERE WITH THE FOLLOWING TYPES OF FACILITIES:FACILITY TYPE (RECORD COUNT)AMBULATORY (406)HEALTH SYSTEMS AND HOSPITALS (66)UNCLASSIFIED (56)LABORATORY/RADIOLOGY (39)BEHAVIORAL HEALTH ORGANIZATIONS (23)LONG TERM CARE/SKILLED NURSING FACILITY (21)EMERGENCY MEDICAL SERVICES (18)FEDERALLY QUALIFIED HEALTH CENTERS (12)HEALTH PLANS (10)NYC AND NYS PUBLIC HEALTH ORGANIZATIONS (8)HOME CARE (7)DURING THE YEAR ENDED DECEMBER 31, 2021, THE COMPANY RECORDED $19,113,308 IN REVENUE IN CONNECTION WITH THIS PROGRAM.1. THE ILUM/NY-LEADS PROJECT YEAR 2OBJECTIVES OF THE NYSDOH LEADS SYSTEMTHE THREAT OF ANTIMICROBIAL RESISTANCE (AR) CONTINUES TO GROW. THE CDC ESTIMATES THAT AT LEAST TWO MILLION PEOPLE BECOME INFECTED WITH ANTIBIOTIC RESISTANT BACTERIA AND AT LEAST 23,000 PEOPLE DIE EACH YEAR AS A DIRECT RESULT OF THESE INFECTIONS WITHIN THE UNITED STATES. IN AN EFFORT TO ADDRESS THIS EMERGING PUBLIC HEALTH NEED, NEW YORK STATE DEPARTMENT OF HEALTH LABORATORY, EPIDEMIOLOGY, DIGITAL TEAM ("NYS-DOH") AND ILUM HEALTH SOLUTIONS, LLC ("ILUM") WORKED COLLABORATIVELY TO BUILD A SUSTAINABLE, FLEXIBLE INFECTIOUS DISEASES REPORTING, TRACKING AND SURVEILLANCE TOOL FOR AR THAT CAN BE APPLIED ACROSS NEW YORK STATE. THE GOAL OF THIS PROJECT WAS TO IMPROVE PATIENT OUTCOMES AND SAVE HEALTH CARE DOLLARS BY INTEGRATING REAL TIME EPIDEMIOLOGIC SURVEILLANCE WITH RAPID DELIVERY OF RESULTS TO CARE GIVERS VIA WEB-BASED AND MOBILE PLATFORMS.GOALTHE GOAL OF THIS PROJECT WAS TO ASSESS WHETHER TO DEPLOY A RAPID STATE-WIDE ALERT SYSTEM TO NOTIFY HEALTH CARE FACILITIES OF PATIENTS WITH ANTIMICROBIAL RESISTANT INFECTIONS AS THEY MOVE FROM FACILITY TO FACILITY AND TO ASSESS A RAPID DIAGNOSTIC PLATFORM TO DETERMINE A PATIENT'S GENOMIC PROFILE AND ANTIBIOGRAM TO ALLOW TARGETED INFECTION CONTROL AND TREATMENT.THE PROJECT COMMENCED IN 2019 AS A SMALL-SCALE DEMONSTRATION PROJECT THAT INCLUDED PILOTS WITH NYU LANGONE MEDICAL CENTER AND NORTHWELL HEALTH. YEAR 1 ENDED IN MARCH OF 2020 AND YEAR 2 COMMENCED IN APRIL OF 2020. IN YEAR 2 WE ADDED SOUTHAMPTON, STONY BROOK, MEDISYS AND CATHOLIC HEALTH SERVICES OF LONG ISLAND COMPRISING A TOTAL OF NINE ADDITIONAL HOSPITALS.DESCRIPTIONBELOW IS A DESCRIPTION OF THE MILESTONES OF THE PROGRAM MET IN 2021: I. DATA GAP ANALYSIS AND REVIEW GROUP 2 HOSPITALS 1. HEALTHIX AND NYSTEC WILL COLLABORATIVELY REVIEW THE LIST OF FIRST 3 FACILITIES IN SCOPE FROM THE CONTRACT AND ANALYZE THEIR MICROBIOLOGY DATA FOR COMPLIANCE WITH THE LIST OF LOINC AND SNOMED CODES PROVIDED BY DOH. THE TEAM WILL ALSO ANALYZE FOR COMPLIANCE WITH THE INTEROPERABILITY GUIDELINES (IG) PROVIDED BY NYSTEC. A. PROVIDE A REPORT THAT INCLUDES A SUMMARY OF ACTIVITIES CONDUCTED BY HEALTHIX FOR THIS PHASE OF ACTIVITIES INCLUDING BUT NOT LIMITED TO NUMBER OF DATA QUALITY REPORTS COMPLETED, DESCRIPTION OF COMMUNICATION WITH HOSPITALS, MEETING MINUTES, AND FEEDBACK FROM HOSPITALS RELATED TO DATA GAPS. B. SUBMIT DATA QUALITY REPORTS FOR EACH OF THE 3 HOSPITALS, WITH DETAILS ABOUT MISSING OR REQUIRED DATA ELEMENTS IDENTIFIED DURING THE ANALYSIS. 2. SHARE WILL DATA QUALITY REPORTS WITH THE PARTICIPATING HOSPITALS. 3. HEALTHIX AND NYSTEC WILL REVIEW AND DISCUSS THE FINDINGS OF DATA ANALYSIS WITH HOSPITALS' PROJECT TEAM TO EXPLAIN THE REQUIREMENTS, DETAILS OF THE FEEDS ANALYZED, ADDRESS CONCERNS, ANSWER QUESTIONS ETC.II. VALIDATION AND DEPLOYMENT GROUP 2 HOSPITALS 1. COMPLETE SYSTEMS INTEGRATION TESTING FOR HL7 V2 ADT INTERFACE WITH IDC ESTABLISHED IN STAGE. 2. COMPLETE SYSTEMS INTEGRATION TESTING FOR HL7 V2 ORU INTERFACE WITH IDC ESTABLISHED IN STAGE. 3. VALIDATE HL7 V2 ADT REGISTRATION FEED WITH IDC IN PRODUCTION. 4. VALIDATE HL7 V2 ORU LAB FEED WITH IDC IN PRODUCTION. A. DOCUMENTATION TO DEMONSTRATE VALIDATION OF LIVE FEED AND PROCESSING ACTIVITIES (E.G. SCREENSHOTS FROM PROD ENVIRONMENT) FOR GROUP 1 HOSPITALS. B. EVIDENCE OF SIGN OFF FROM IDC THAT THE FEEDS ARE BEING RECEIVED AND MEET ALL REQUIREMENTS.III. PROJECT FINAL REPORT 1. FINAL PROJECT REPORT A. HEALTHIX WILL PRODUCE A FINAL PROJECT REPORT WHICH INCLUDES, AT MINIMUM: I. DETAILS ON VOLUME OF ADT AND ORU MESSAGES DELIVERED TO IDC, STRATIFIED BY THE 6 HOSPITALS INCLUDED IN THE PROJECT. II. GENERAL LESSONS LEARNED, BEST PRACTICES, KEY TAKEAWAYS EXPERIENCED BY HEALTHIX WITH SPECIAL FOCUS ON THE FINDINGS FROM DATA QUALITY EVALUATIONDURING THE YEAR ENDED DECEMBER 31, 2021, THE COMPANY RECORDED $154,800 IN REVENUE IN CONNECTION WITH THIS PROGRAM.2. THE COVID-19 REGISTRY PROJECTGOALTHE NEW YORK STATE DEPARTMENT OF HEALTH (NYS DOH) IS SEEKING A SYSTEM OF CAPABILITIES THAT CAN HELP THE DOH SURVEILLANCE TEAMS AND PUBLIC HEALTH RESEARCHERS BUILD PROFILES AND UNDERSTAND CLINICAL DATA ON COVID-19 PATIENTS. PROJECT DESCRIPTIONHEALTHIX LEVERAGES ITS SERVICE CALLED CLINICAL INFORMATION UPDATES (CIU) TO PROVIDE FULL LONGITUDINAL AND FOLLOW-UP UPDATE CCDA FILES TO THE DATA LAKE.HEALTHIX USES THE DAILY INCREMENTAL FILE OF COVID19 POSITIVE PATIENTS TO IDENTIFY RECORDS TO BE INCLUDED IN THE PATIENT MEMBER TABLE. FROM THIS TABLE, COVID-19 POSITIVE PATIENTS ARE ENROLLED IN THE CIU PROGRAM: COVID-19 POSITIVE. LONGITUDINAL AND UPDATE MESSAGES ARE THEN SENT FOR ALL ENROLLED PATIENTS IN THE CIU FEED TO THE DATA LAKE.HEALTHIX ALSO USES THE FULL FILE CONTAINING COVID19 ORDERS AND RESULTS TO ENROLL PATIENTS IN THE HEALTHIX COVID-19 CEN PROGRAM, WHICH ALERTS ALL HEALTHIX PARTICIPANTS OF THE DIFFERENT COVID-19 EVENTS.THE PROJECT WAS STARTED IN 2020 AND CONTINUED THROUGHOUT 2021. WE ANTICIPATE THAT THE PROGRAM WILL BE EXPANDED TO ALL PATIENTS (NOT JUST PATIENTS WHO TEST POSITIVE FOR COVID19).DURING THE YEAR ENDED DECEMBER 31, 2021, THE COMPANY RECORDED $130,022 IN REVENUE IN CONNECTION WITH THIS PROGRAM.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet16,787,215
Form 990 (2021)
Form 990 (2021)
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 Rev. Proc. 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 IIIClick 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 V......
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
 
No
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 XIIClick 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
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
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), 501(c)(4), and 501(c)(29) 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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) 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 the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? 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 on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
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
10
b
Enter the number of Forms W-2G included on 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
 
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
152
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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring 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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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
18
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
18
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
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
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
 
No
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
 
No
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 on 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 on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
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
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on 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 (1024 or 1024-A, if applicable), 990, and 990-T (section 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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletJOHN GUASTELLA462 SEVENTH AVENUE 8TH FLOOR   NEW YORK,NY10018 (877) 695-4749
Form 990 (2021)
Form 990 (2021)
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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) DAVID COHEN MD......................................................................
CHAIR
 4.00
.................
  		X   X       0 0 0
(2) ROBERT CHALONER......................................................................
VICE CHAIR
 1.00
.................
  		X   X       0 0 0
(3) THOMAS EARLY......................................................................
TREASURER/SECRETARY
 1.00
.................
  		X   X       0 0 0
(4) MITRA BEHROOZI......................................................................
DIRECTOR THRU 6/8/21
 1.00
.................
  		X           0 0 0
(5) MICHAEL BOUTON MD......................................................................
DIRECTOR
 1.00
.................
  		X           0 0 0
(6) PAUL CASALE MD......................................................................
DIRECTOR
 1.00
.................
  		X           0 0 0
(7) LOUISE COHEN......................................................................
DIRECTOR
 1.00
.................
  		X           0 0 0
(8) ARTHUR GIANELLI......................................................................
DIRECTOR
 1.00
.................
  		X           0 0 0
(9) MICHAEL GUARINO......................................................................
DIRECTOR
 1.00
.................
  		X           0 0 0
(10) CHARLES KING......................................................................
DIRECTOR
 1.00
.................
  		X           0 0 0
(11) IRENE KOCH ESQ......................................................................
DIRECTOR
 1.00
.................
  		X           0 0 0
(12) JOSEPH LAMANTIA......................................................................
DIRECTOR THRU 3/23/21
 1.00
.................
  		X           0 0 0
(13) DAVID LEVENTHAL......................................................................
DIRECTOR
 1.00
.................
  		X           0 0 0
(14) ALEXANDER IZAGUIRRE PHD......................................................................
DIRECTOR
 1.00
.................
  		X           0 0 0
(15) LARRY MCREYNOLDS......................................................................
DIRECTOR
 1.00
.................
  		X           0 0 0
(16) PATRICK O'SHAUGHNESSY DO......................................................................
DIRECTOR THRU 3/23/21
 1.00
.................
  		X           0 0 0
(17) MARC D PARADIS......................................................................
DIRECTOR
 1.00
.................
  		X           0 0 0
Form 990 (2021)
Form 990 (2021)
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(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) DONNA REY........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(19) DAVID SCHIMEL........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(20) FRED SGANGA........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(21) ANUP VIDYARTHY........................................................................
DIRECTOR
 1.00
.......................   		X           0 0 0
(22) TODD M ROGOW........................................................................
PRESIDENT & CEO
 40.00
.......................   		    X       478,914 0 98,937
(23) JOHN GUASTELLA........................................................................
SVP & CFO
 40.00
.......................   		    X       301,389 0 79,184
(24) THOMAS MOORE........................................................................
SVP - INNOVATION
 40.00
.......................   		    X       306,315 0 72,975
(25) VIVIENNE DESTEFANO........................................................................
SVP CORPORATE AFFAIRS
 40.00
.......................   		    X       284,439 0 61,483
(26) JOHN CHOW........................................................................
CISO
 40.00
.......................   		    X       199,241 0 68,885
(27) NICHOLAS VANDUYNE........................................................................
SVP & CIO
 40.00
.......................   		    X       294,628 0 76,841
(28) MAUREEN O'CONNOR........................................................................
VP CUSTOMER EXPERIENCE & MARKETING
 40.00
.......................   		      X     187,867 0 58,401
(29) KATHLEEN KAHN........................................................................
VP OPERATIONS & BUSINESS DEVELOPMENT
 40.00
.......................   		      X     197,698 0 45,700
(30) KIMBERLY FRANCOIS........................................................................
SR. DIR., INNOVATION PROJECT
 40.00
.......................   		        X   200,004 0 30,744
(31) MAGDALENA MANDZIELEWSKA........................................................................
SENIOR DIRECTOR COMPLIANCE
 40.00
.......................   		        X   193,491 0 46,129
(32) GERI ALMER........................................................................
CONTROLLER & SR. DIRECTOR OF FINANCE
 40.00
.......................   		        X   191,626 0 31,063
(33) SUE-ANN VILLANO........................................................................
SR. DIRECTOR, CUSTOMER SUPPORT
 40.00
.......................   		        X   178,963 0 59,410
(34) VERLIN LAINE........................................................................
SR. MANAGER, ENGINEERING
 40.00
.......................   		        X   168,834 0 61,570
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 3,183,409 0 791,322
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet40
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
 
No
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
J2 INTERACTIVE LLC

2 THIRTEENTH STREET
CHARLESTOWN,MA02129 		IT CONSULTING/ STAFF AUGMENTATION 1,292,491
MEDITOLOGY SERVICES

5256 PEACHTREE ROAD SUITE 190
ATLANTA,GA30341 		CONSULTING SERVICES/STAFF AUGMENTATION 257,280
GARFUNKEL WILD PC

111 GREAT NECK RD
GREAT NECK,NY11021 		LEGAL SERVICE 131,246
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet3
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e 1,652,525
f All other contributions, gifts, grants, and similar amounts not included above1f 20,541,491
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 22,194,016
Program Service RevenueAmt Business Code
2a CONTRACT REVENUE 518210 1,353,589 1,353,589    
b
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 1,353,589
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 11,574     11,574
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   3,987,372 7a
b Less: cost or other basis and sales expenses   4,000,000 7b
c Gain or (loss)   -12,628 7c
d Net gain or (loss).........MediumBullet -12,628     -12,628
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See instructions.....MediumBullet 23,546,551 1,353,589 0 -1,054
Form 990 (2021)
Form 990 (2021)
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 domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 2,595,347 1,610,031 985,316  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 9,848   9,848  
7 Other salaries and wages........ 7,341,301 6,714,296 627,005  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 324,255 310,873 13,382  
9 Other employee benefits ....... 865,555 800,242 65,313  
10 Payroll taxes ........... 850,628 749,271 101,357  
11 Fees for services (non-employees):        
a Management ...... 77,832 68,558 9,274  
b Legal ......... 166,942 147,050 19,892  
c Accounting ........... 61,416 54,098 7,318  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 1,699   1,699  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 470,973 414,854 56,119  
12 Advertising and promotion .... 119,366 105,143 14,223  
13 Office expenses ....... 186,502 164,279 22,223  
14 Information technology ...... 5,229,899 4,606,725 623,174  
15 Royalties ..        
16 Occupancy ........... 121,305 106,851 14,454  
17 Travel ............ 93,251 82,140 11,111  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 14,959 13,177 1,782  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 706,789 622,571 84,218  
23 Insurance ... 208,096 183,300 24,796  
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 30,000 26,425 3,575  
b MOVING EXPENSES 3,700 3,259 441  
c STORAGE FEES 2,323 2,046 277  
d REPAIRS AND MAINTENANCE 2,300 2,026 274  
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 19,484,286 16,787,215 2,697,071 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 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 462,427 1 261,621
2 Savings and temporary cash investments ......... 8,111,887 2 15,028,265
3 Pledges and grants receivable, net ...... 9,906,543 3 5,853,697
4 Accounts receivable, net ............. 961,675 4 455,051
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ...... 702,021 9 893,635
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,613,792
b Less: accumulated depreciation 10b 1,999,823 1,689,790 10c 1,613,969
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 ........... 0 15 21,058
16 Total assets. Add lines 1 through 15 (must equal line 33)... 21,834,343 16 24,127,296
Liabilities 17 Accounts payable and accrued expenses ..... 3,469,880 17 3,463,779
18 Grants payable ...   18  
19 Deferred revenue ......... 517,831 19 407,145
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  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 1,652,525 25 0
26 Total liabilities. Add lines 17 through 25.. 5,640,236 26 3,870,924
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 16,194,107 27 20,256,372
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 16,194,107 32 20,256,372
33 Total liabilities and net assets/fund balances ........ 21,834,343 33 24,127,296
Form 990 (2021)
Form 990 (2021)
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
23,546,551
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
19,484,286
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
4,062,265
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
16,194,107
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
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
20,256,372
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 on
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
Yes
 
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
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(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
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
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 failed 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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (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  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 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) 2021

Schedule A (Form 990) 2021
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 15,975,015 17,418,939 17,909,110 27,777,561 22,194,016 101,274,641
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 699,890 1,485,340 681,274 1,167,985 1,353,589 5,388,078
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 16,674,905 18,904,279 18,590,384 28,945,546 23,547,605 106,662,719
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.) 106,291,952
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2017 (b) 2018 (c) 2019 (d) 2020 (e) 2021 (f) Total
9 Amounts from line 6... 16,674,905 18,904,279 18,590,384 28,945,546 23,547,605 106,662,719
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 2,432 3,126 33,820 16,792 11,574 67,744
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b. 2,432 3,126 33,820 16,792 11,574 67,744
11 Net income from unrelated business activities not included on 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.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.).. 16,677,337 18,907,405 18,624,204 28,962,338 23,559,179 106,730,463
14
Section C. Computation of Public Support Percentage
15
15
99.590 %
16
16
99.570 %
Section D. Computation of Investment Income Percentage
17
17
0.060 %
18
18
0.060 %
19a
b
20
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
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 0.015 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 0.035 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  
7
Schedule A (Form 990) 2021

Schedule A (Form 990) 2021
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2021 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2021 		(iii)
Distributable
Amount for 2021
1 Distributable amount for 2021 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2021:
a From 2016.......  
b From 2017.......  
c From 2018.......  
d From 2019.......  
e From 2020.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2021 distributable amount  
i Carryover from 2016 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2021 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2021 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2021, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2021. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2022. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2017.....  
b Excess from 2018.....  
c Excess from 2019.....  
d Excess from 2020.....  
e Excess from 2021.....  
Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2021)
Schedule B (Form 990) (2021) Page 2
Name of organization
HEALTHIX INC
  		Employer identification number
45-0553664
Part I
Contributors
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


(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) (2021)
Schedule B (Form 990) (2021)
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) (2021)
Schedule B (Form 990) (2021)
Page 4
Name of organization
HEALTHIX INC
  		Employer identification number

45-0553664
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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) (2021)
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," on 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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB 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 FASB 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)
Revenue included on 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 FASB ASC 958 relating to these items:
a
Revenue included on 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) 2021

Schedule D (Form 990) 2021
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" on 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, for escrow or custodial account liability? ...
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" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (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
Term endowment SchDMd Bullet  
The percentages on 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" on 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" on 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 ....   2,504,762 1,361,340 1,143,422
e Other .....   1,109,030 638,483 470,547
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,613,969
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on 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........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
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' on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet  
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) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 23,546,551
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) 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 23,546,551
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 23,546,551
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 19,484,286
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 19,484,286
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 19,484,286
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: THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS THAT ARE MORE LIKELY THAN NOT TO BE SUSTAINED. 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, 2018.
Schedule D (Form 990) 2021


Additional Data


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Software Version:  




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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
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 on 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 on 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 on 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 on 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
 
No
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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on 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" on 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) 2021

Schedule J (Form 990) 2021
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 on 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, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1TODD M ROGOW
PRESIDENT & CEO 		(i)

(ii)		 428,051
-------------
0 		50,000
-------------
0 		863
-------------
0 		64,500
-------------
0 		34,437
-------------
0 		577,851
-------------
0 		50,000
-------------
0
2JOHN GUASTELLA
SVP & CFO 		(i)

(ii)		 271,897
-------------
0 		27,038
-------------
0 		2,454
-------------
0 		44,355
-------------
0 		34,829
-------------
0 		380,573
-------------
0 		27,038
-------------
0
3THOMAS MOORE
SVP - INNOVATION 		(i)

(ii)		 272,672
-------------
0 		31,821
-------------
0 		1,822
-------------
0 		46,712
-------------
0 		26,263
-------------
0 		379,290
-------------
0 		31,821
-------------
0
4NICHOLAS VANDUYNE
SVP & CIO 		(i)

(ii)		 272,447
-------------
0 		20,372
-------------
0 		1,809
-------------
0 		43,022
-------------
0 		33,819
-------------
0 		371,469
-------------
0 		20,372
-------------
0
5VIVIENNE DESTEFANO
SVP CORPORATE AFFAIRS 		(i)

(ii)		 253,471
-------------
0 		28,592
-------------
0 		2,376
-------------
0 		44,892
-------------
0 		16,591
-------------
0 		345,922
-------------
0 		28,592
-------------
0
6JOHN CHOW
CISO 		(i)

(ii)		 177,641
-------------
0 		21,223
-------------
0 		377
-------------
0 		32,355
-------------
0 		36,530
-------------
0 		268,126
-------------
0 		21,223
-------------
0
7MAUREEN O'CONNOR
VP CUSTOMER EXPERIENCE & MARKETING 		(i)

(ii)		 168,750
-------------
0 		18,469
-------------
0 		648
-------------
0 		31,851
-------------
0 		26,550
-------------
0 		246,268
-------------
0 		0
-------------
0
8KATHLEEN KAHN
VP OPERATIONS & BUSINESS DEVELOPMENT 		(i)

(ii)		 176,623
-------------
0 		20,034
-------------
0 		1,041
-------------
0 		29,909
-------------
0 		15,791
-------------
0 		243,398
-------------
0 		20,034
-------------
0
9MAGDALENA MANDZIELEWSKA
SENIOR DIRECTOR COMPLIANCE 		(i)

(ii)		 174,198
-------------
0 		18,941
-------------
0 		352
-------------
0 		30,268
-------------
0 		15,861
-------------
0 		239,620
-------------
0 		18,941
-------------
0
10SUE-ANN VILLANO
SR. DIRECTOR, CUSTOMER SUPPORT 		(i)

(ii)		 164,276
-------------
0 		14,370
-------------
0 		317
-------------
0 		29,006
-------------
0 		30,404
-------------
0 		238,373
-------------
0 		0
-------------
0
11KIMBERLY FRANCOIS
SR. DIR., INNOVATION PROJECT 		(i)

(ii)		 178,966
-------------
0 		20,037
-------------
0 		1,001
-------------
0 		30,685
-------------
0 		59
-------------
0 		230,748
-------------
0 		20,037
-------------
0
12VERLIN LAINE
SR. MANAGER, ENGINEERING 		(i)

(ii)		 151,961
-------------
0 		16,740
-------------
0 		133
-------------
0 		24,928
-------------
0 		36,642
-------------
0 		230,404
-------------
0 		0
-------------
0
13GERI ALMER
CONTROLLER & SR. DIRECTOR OF FINANCE 		(i)

(ii)		 172,455
-------------
0 		18,540
-------------
0 		631
-------------
0 		30,581
-------------
0 		482
-------------
0 		222,689
-------------
0 		18,540
-------------
0
Schedule J (Form 990) 2021

Schedule J (Form 990) 2021
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 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 THEIR DATE OF HIRE TO THE END OF THE YEAR, THEIR PERFORMANCE OBJECTIVES ARE DISCUSSED WITH THEM SHORTLY AFTER THEY ARE HIRED. A DOCUMENT OUTLINES AN EMPLOYEE'S PERFORMANCE OBJECTIVES IS MATCHED TO THE COMPANY'S STRATEGIC GOALS FOR EACH YEAR. ONCE THE COMPANY'S FISCAL YEAR HAS ENDED, THE SUPERVISOR PREPARES AN EVALUATION TO SEE IF THE EMPLOYEE HAS MET THE CRITERIA FOR INCENTIVE PAY FOR THE PERFORMANCE OBJECTIVES OUTLINED, AND DETERMINES HOW THE EMPLOYEE HAS PERFORMED. THE OVERALL PERFORMANCE IS 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 PREVIOUS FISCAL 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 IN THE COMPENSATION YEAR SO THAT EACH EMPLOYEE AND THEIR SUPERVISOR ARE AWARE OF WHAT CAN BE EARNED. PAYMENT OF ANY INCENTIVE COMPENSATION 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 OVERALL BONUS PAYMENTS TO BE PAID, WHICH USUALLY OCCURS IN APRIL OF THE YEAR FOLLOWING THE YEAR IN WHICH THEY WERE EARNED (THE COMPENSATION YEAR). INCENTIVE COMPENSATION EARNED IN 2020 AND PAID/TAXABLE IN 2021 IS REPORTED ON SCHEDULE J, PART II, COLUMN B (II).
Schedule J (Form 990) 2021

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)

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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
HEALTHIX INC
 
Employer identification number

45-0553664
Return Reference Explanation
3. SHIN-NY ON FHIR DOH PUBLIC HEALTH USE CASE AS THE SHIN-NY CONTINUES TO BUILD A ROBUST FHIR FRAMEWORK FOR THE SHIN-NY IN SUPPORT OF A PUBLIC HEALTH FUTURE STATE, THE SFY 2020-21 INTEROPERABILITY AND INNOVATION PROJECT LEVERAGES THE EXISTING FHIR FOUNDATION INFRASTRUCTURE CREATED DURING THE SFY 2019-20 I&I PROGRAM. THE SHIN-NY ON FHIR DOH PUBLIC HEALTH USE CASE PROJECT WILL DEVELOP APPROPRIATE SECURITY AND TRANSPORT MODELS FOR A TRUSTED SYSTEM TO SYSTEM BATCH FHIR REQUEST AND RESPONSE. THIS PROJECT SUPPORTS THE DEVELOPMENT OF AN ENTERPRISE-WIDE FHIR-ENABLED NETWORK CAPABLE OF SUPPORTING PUBLIC HEALTH USE CASES THAT WILL BENEFIT NEW YORK STATE AND IMPACT BROAD POPULATIONS. THROUGH THE SHIN-NY ON FHIR DOH PUBLIC HEALTH USE CASE PROJECT, THE SHINNY ENTERPRISE WILL BE ABLE TO SUPPORT DOH USERS TO QUERY, VIEW, AND CAPTURE NEEDED DISCRETE OR BULK DATA FOR PUBLIC HEALTH PURPOSES, BEGINNING WITH COVID-19 AND MOVING ON TO OTHERS, TO THE EXTENT POSSIBLE DURING THE PROJECT PERIOD. ADDITIONALLY, THIS PROJECT WILL LAY THE FOUNDATION FOR THE SHIN-NY TO PROVIDE ADDITIONAL PUBLIC HEALTH BENEFIT, STATEWIDE AND LOCALLY. QES WILL WORK WITH NYEC TO DEFINE AND DEVELOP REQUIREMENTS TO SUPPORT THE PUBLIC HEALTH USE CASES AND IMPLEMENT SYSTEM TO SYSTEM FHIR BATCH REQUESTS FOR A DEFINED PATIENT COHORT. QES WILL DOCUMENT READINESS AND PLANNING TO UPGRADE TO FHIR R4, ACTIVELY PARTICIPATE IN ALL PROJECT DISCOVERY AND PLANNING SESSIONS, PARTICIPATE IN FHIR TRAINING, COMPLETE HL7 FHIR (R4) PROFICIENCY CERTIFICATION, AND DESIGN, DEVELOP, AND IMPLEMENT THE PUBLIC HEALTH USE CASES, BEGINNING WITH COVID-19 AND MOVING ON TO OTHERS, AS POSSIBLE DURING THE PROJECT PERIOD. DURING THE YEAR ENDED DECEMBER 31, 2021, THE COMPANY RECORDED $239,999 IN REVENUE IN CONNECTION WITH THIS PROGRAM. 4. HOSPITAL EVENT NOTIFICATIONS REQUIREMENT AND STANDARDIZATION IN THE CMS INTEROPERABILITY AND PATIENT ACCESS FINAL RULE A CONDITION OF PARTICIPATION EXISTS FOR MEDICARE AND MEDICAID APPLICABLE HOSPITALS TO SEND ELECTRONIC EVENT NOTIFICATIONS TO A PATIENT'S ESTABLISHED PRIMARY CARE PRACTITIONER, LONG-TERM CARE PROVIDER, OR ANY OTHER PRACTITIONER IDENTIFIED BY THE PATIENT. HOSPITALS IN HEALTHIX NETWORK ARE A SIGNIFICANTLY IMPORTANT SET OF STAKEHOLDERS; ACCORDINGLY, THROUGH THIS PROJECT HEALTHIX PARTICIPATED IN VARIOUS ACTIVITIES TO ENSURE IT CAN SUPPORT HOSPITALS IN MEETING THIS CMS REQUIREMENT, ACTING AS AN INTERMEDIARY TO THE HOSPITALS IN SENDING ALERTS. HEALTHIX PARTICIPATED IN ANALYSIS AND DATA COLLECTION IN THE AREAS OF DATA CONTRIBUTION FROM HOSPITALS, NEW TRIGGER EVENTS, TECHNICAL ISSUES, CROSS QE ALERTS, AND ALERTS BASED ON TREATING RELATIONSHIP. HEALTHIX IDENTIFIED GAPS IN THE CURRENT STATE OF EVENT NOTIFICATIONS IN MEETING THE HOSPITAL REQUIREMENTS AND PLAN FOR GAP CLOSURE. ADDITIONALLY, HEALTHIX HELPED WITH THE DEVELOPMENT AND DOCUMENTATION OF STATEWIDE PROCEDURES TO SUPPORT THE DEMONSTRATION OF HOSPITAL COMPLIANCE WITH THE FEDERAL RULE. ACTIVITY - MILESTONE #1: WORKGROUP PARTICIPATION QE WILL ESTABLISH WORKGROUP DESIGNATED REPRESENTATIVE AND DELEGATE(S) TO ATTEND AND ACTIVELY PARTICIPATE IN ALL WORKGROUP MEETINGS RELATED TO THE PROJECT. THE WORKGROUP WILL ACHIEVE THE FOLLOWING: - METHODS, NORMALIZATION, AND LEVEL-SETTING FOR ANALYSIS OF EVENT NOTIFICATIONS DATA COLLECTION - ANALYSIS OF GAPS IN MINIMUM DATA ELEMENTS RECEIVED FROM HOSPITALS ANALYSIS OF TRANSFER FROM ED TO INPATIENT ALERTS - REVIEWING AND PROVIDING FEEDBACK ON THE IMPLEMENTATION OF OBSERVATION STATUS ALERTS, CROSS QE ALERTS, AND ALERTS BASED ON TREATING RELATIONSHIP FOR THE MINIMUM DATA ELEMENTS - REVIEWING AND PROVIDING FEEDBACK ON STATEWIDE CONSISTENT PROCESSES FOR SENDING INFORMATION TO PROVIDERS THAT ARE NOT PARTICIPANTS OF THE SHIN-NY APPROPRIATE QE SUBJECT MATTER EXPERTS WILL PARTICIPATE IN ANY ON-DEMAND ACTIVITIES FOR THE PURPOSE OF THE PROJECT. DELIVERABLE 1.1 - QE WILL IDENTIFY DESIGNATED REPRESENTATIVE AND DELEGATES; QE'S REPRESENTATION WILL ATTEND AND PARTICIPATE IN ALL PROJECT DISCOVERY MEETINGS AND FOLLOW-UP ACTIVITIES CONVENED BY NYEC THROUGHOUT THE PROJECT PERIOD. DELIVERABLE 1.2 - QE WILL PROVIDE DOCUMENTATION AND WRITTEN RESPONSES/COMMENTS TO NYEC REQUESTS FOR FEEDBACK, AS NEEDED. ACTIVITY - MILESTONE #4: GAP CLOSURE QES WILL ANALYZE, PLAN FOR AND IMPLEMENT GAP CLOSURE OF ANY GAPS IDENTIFIED IN THE HOSPITAL EVENT NOTIFICATIONS CURRENTLY BEING SENT TO THE QE IN SUPPORT OF THE CMS MINIMUM DATA ELEMENTS AND ALL REQUIRED TRIGGER EVENTS. DELIVERABLE 4.1 - QE WILL CLOSE ALL GAPS IN THE HOSPITAL EVENT NOTIFICATIONS CURRENTLY BEING SENT TO THE QE IN SUPPORT OF THE CMS MINIMUM DATA ELEMENTS AND ALL REQUIRED TRIGGER EVENTS AS EVIDENCED BY SUBMISSION OF A GAP CLOSURE NARRATIVE WORKBOOK. NYEC WILL REQUEST SAMPLE ADT MESSAGES TO VALIDATE GAP CLOSURE. ACTIVITY - MILESTONE #5: DEVELOPMENT AND/OR DOCUMENTATION OF PROCESSES TO SUPPORT HOSPITALS IN MEETING REQUIREMENTS HOSPITALS ARE REQUIRED TO DEMONSTRATE THAT ITS SYSTEM SENDS NOTIFICATIONS TO THE APPROPRIATE RECIPIENTS. TO SUPPORT HOSPITALS IN THE CMS SURVEY AND CERTIFICATION PROCESS, QES WILL DEVELOP DOCUMENTATION OF PROCESSES AND PROCEDURES RELATED TO RECEIVING AND SENDING EVENT NOTIFICATIONS AS AN INTERMEDIARY TO THE HOSPITAL. DELIVERABLE 5.1 QE WILL PROVIDE DOCUMENTATION OF PROCESSES TO RECEIVE INFORMATION FROM HOSPITALS TO ADVISE THE QE OF ANY PROVIDERS PATIENTS WISH TO HAVE ALERTS SENT TO. DELIVERABLE 5.2 QE WILL IDENTIFY AND IMPLEMENT STATEWIDE PROCESSES FOR SENDING INFORMATION TO PROVIDERS THAT ARE NOT PARTICIPANTS OF THE SHIN-NY. ACTIVITY - MILESTONE #6: ALERT STANDARDIZATION VIA WORKGROUP, QES WILL WORK TOWARD STANDARDIZATION OF ALERTS FOR STAKEHOLDERS SPANNING MULTIPLE QES: 1. PROVIDE INSIGHT INTO ANALYSIS OF DATA COLLECTION AND STATEWIDE METHODS FOR STANDARDIZATION 2. SUPPORT CONSENSUS BUILDING ON STATEWIDE STANDARDIZATION APPROACH PROVIDE INPUT AND FEEDBACK ON BEHALF OF QE HEALTH PLAN PARTICIPANTS DELIVERABLE 6.1 QE WILL PROVIDE DOCUMENTATION AND WRITTEN RESPONSES/COMMENTS TO NYEC REQUESTS FOR FEEDBACK, AS NEEDED. DURING THE YEAR ENDED DECEMBER 31, 2021, THE COMPANY RECORDED $261,890 IN REVENUE IN CONNECTION WITH THIS PROGRAM. 5. DATA SEGMENTATION THE DATA SEGMENTATION PROJECT WAS INTENDED TO PROVIDE INFORMATION ABOUT HEALTHIX CAPABILITIES FOR IDENTIFYING SENSITIVE HEALTH INFORMATION IN THE CURRENT ENVIRONMENTS. THE INFORMATION GATHERED DURING THIS PROJECT SERVED AS A BASELINE IN ORDER TO INFORM A DATA SEGMENTATION ROADMAP FOR THE SHIN-NY ENTERPRISE REGARDLESS OF WHAT CONSENT MODEL MAY BE ADOPTED IN NY STATE IN THE FUTURE. CURRENTLY THE CATEGORIES OF SENSITIVE HEALTH INFORMATION GOVERNED BY SPECIAL PROTECTIONS AS PER FEDERAL AND STATE LAW AND THE SHIN-NY PRIVACY AND SECURITY POLICIES AND PROCEDURES FOR QES AND THEIR PARTICIPANTS INCLUDES MENTAL HEALTH, ALCOHOL AND SUBSTANCE ABUSE, REPRODUCTIVE HEALTH, SEXUALLY-TRANSMITTED DISEASE, HIV/AIDS, AND GENETIC TESTING INFORMATION. FOR OTHER SENSITIVE HEALTH INFORMATION THAT HAS BEEN ADDRESSED VIA USE OF, FOR EXAMPLE, RE-DISCLOSURE WARNINGS WAS NOTED IN THE ANALYSIS. DURING THE YEAR ENDED DECEMBER 31, 2021, THE COMPANY RECORDED $123,830 IN REVENUE IN CONNECTION WITH THIS PROGRAM. 6. HERDS AS PART OF THE PANDEMIC RESPONSE, HOSPITALS WERE ASKED TO PROVIDE INFORMATION ABOUT PATIENTS WITH COVID-19 HOSPITALIZATIONS AND FATALITIES WITHIN HEALTH EMERGENCY RESPONSE DATA SYSTEM (HERDS). THIS ANALYSIS WAS PERFORMED TO COMPARE SHIN-NY CLINICAL DATA SUBMISSIONS WITH HOSPITAL HERDS SURVEY DATA. DATA FROM FOUR DOMAINS WAS ANALYZED: CAPACITY, MORTALITY, COMORBIDITIES, AND DATA QUALITY OF SHIN-NY HEALTH RECORDS. HEALTHIX SHOWED THAT THEY HAD DATA AND COULD CALCULATE CAPACITY METRICS, BUT THE DATA SHOWED VARIANCE MOST COMMONLY AS OVER-REPORTING OF BED OCCUPANCY WHEN COMPARED TO SYSTEMS WITH SURVEY REPORTED DATA. THIS IS PRIMARILY DUE TO THE FACT THAT THE EXISTING INTERFACES WHICH TRANSMIT DATA FROM HOSPITALS TO THE SHIN-NY WERE NOT DESIGNED FOR THIS PARTICULAR USE CASE AND WHENEVER A NEW USE CASE IS PRESENTED, IT REQUIRES ADDITIONAL DEVELOPMENT TO MEET THE NEW SPECIFIC BUSINESS REQUIREMENTS. CONSEQUENTLY, IT WAS DETERMINED THAT WITHOUT SIGNIFICANT EFFORTS, THE SHINY-NY COULD NOT READILY AUGMENT THEIR EXISTING INTERFACES TO SUFFICIENTLY SUPPORT STATEWIDE CAPACITY REPORTING IN THE NEAR TERM. HOWEVER, THE SHIN-NY'S STRUCTURED DATA SHOWED CONFORMANCE TO STANDARDS AND WAS SEEN AS VIABLE FOR FURTHER FEASIBILITY TESTING. DURING THE YEAR ENDED DECEMBER 31, 2021, THE COMPANY RECORDED $186,514 IN REVENUE IN CONNECTION WITH THIS PROGRAM.
7. UNIFORM ASSESSMENT SERVICES THE SCOPE OF THIS PROJECT INCLUDED HEALTHIX SUBMITTING A ONE-TIME DATA EXTRACT FOR A PATIENT POPULATION THAT MEETS SPECIFICATION REQUIREMENTS AND HAS GONE THROUGH QUALITY ASSURANCE REVIEW BASED ON ACCURACY, CONFORMANCE, AND COMPLETION. NYEC THEN PROCESSED AND USED THE HEALTHIX SUBMISSION, WHICH WAS THEN PROVIDED BY NYEC TO NYS DOH (UAS), IN ACCORDANCE WITH SECURE FILE TRANSFER PROCESSES. HEALTHIX ACTIVELY PARTICIPATED IN PROJECT INITIATION MEETINGS, DATA EXTRACTION WITH SUPPORTING DOCUMENTATION FOR FEASIBILITY ANALYSIS AND EVALUATION. BELOW ARE THE MILESTONES AND DELIVERABLES: #1 - UNIFORM ASSESSMENT SYSTEM: QE STAFF WILL ACTIVELY PARTICIPATE AND ENGAGE IN KICK-OFF, QA AND EVALUATION MEETINGS (WILL BE SCHEDULED AFTER EXECUTION OF SOW). #2 - UNIFORM ASSESSMENT SYSTEM: DATA MAPPING/DEFINITIONS DOCUMENTS AND CODE SETS QE TO PROVIDE MAPPING/DEFINITIONS DOCUMENTS FOR FACILITIES AND ENCOUNTERS AND CODE SETS APPLICABLE TO THE DATA SET. #3 - UNIFORM ASSESSMENT SYSTEM: DATA SUBMISSION FOR FEASIBILITY STUDY TO SUPPORT UAS. ONE TIME FILE EXTRACT DELIVERED VIA SFTP. QE WILL SUBMIT DATA EXTRACT FOR PATIENT POPULATION THAT MEETS SPECIFICATION REQUIREMENTS AND HAS GONE THROUGH QUALITY ASSURANCE REVIEW BASED ON ACCURACY, CONFORMANCE, AND COMPLETION. #4 - UNIFORM ASSESSMENT SYSTEM: ANALYSIS QE TO PROVIDE A REPORT AS DEFINED IN PROJECT DOCUMENTATION DESCRIBING: NUMBER OF DATA SOURCES PER PATIENT AND FACILITY TYPE, DIAGNOSIS MEDICATION AND PROCEDURE PREVALENCE, NUMBER OF ENCOUNTERS PER PATIENT BY TYPE AND FACILITY. DURING THE YEAR ENDED DECEMBER 31, 2021, THE COMPANY RECORDED $50,000 IN REVENUE IN CONNECTION WITH THIS PROGRAM.
FORM 990, PART V, LINE 2A, NUMBER OF EMPLOYEES: THE ORGANIZATION CHANGED PROFESSIONAL EMPLOYER ORGANIZATION (PEO) FROM ADP TOTALSOURCE TO PRESTIGE EMPLOYEE ADMINISTRATORS, LLC IN 2021 AND RECEIVED TWO SETS OF 2021 FORM W-2S.
FORM 990, PART VI, SECTION A, LINE 3 HEALTHIX, INC. CHANGED PROFESSIONAL EMPLOYER ORGANIZATION (PEO) FROM ADP TOTALSOURCE TO PRESTIGE EMPLOYEE ADMINISTRATORS, LLC IN 2021 AND RECEIVED TWO SETS OF 2021 FORM W-2S. AS A PROFESSIONAL EMPLOYER ORGANIZATION, ADP TOTALSOURCE AND PRESTIGE EMPLOYEE ADMINISTRATORS, LLC PROVIDED PROFESSIONAL EMPLOYER SERVICES TO HEALTHIX, INC. IN THE PEO RELATIONSHIP THE PEO'S AND HEALTHIX, INC. SHARE CERTAIN RESPONSIBILITIES AND ALLOCATE OTHER EMPLOYER RESPONSIBILITIES BETWEEN EACH OTHER. THE PEO'S WERE PAID $77,832 DURING 2021 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 IN 2019, THE COMPANY ENGAGED THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTING COMPANY, THE "JER HR GROUP, LLC,", WHICH PERFORMED A FORMAL MARKET STUDY AND PROVIDED RANGES FOR SALARIES FOR EXECUTIVES, KEY EMPLOYEES AND FOR MOST POSITIONS IN THE COMPANY. THIS CONSULTANTS' REPORT WAS FINALIZED IN JANUARY 2020 & THE REPORT PROVIDED A VARIETY OF DATA, INCLUDING THE MEDIAN MARKET SALARY FOR MOST POSITIONS. THE CONSULTANTS' CONCLUSIONS WERE THAT SALARY ADJUSTMENT SHOULD BE MADE FOR EMPLOYEES WHOSE SALARY WAS 15% OR MORE BELOW THEIR MARKET MEDIAN. IN 2020, THE COMPANY MADE SALARY ADJUSTMENTS USING 12% AS AS OPPOSED TO 15%, (WITHIN A TOTAL % CAP FOR A SALARY INCREASE) AS MANAGEMENT FELT THAT THIS A BETTER CRITERIA. THIS COMPENSATION SURVEY WAS USED AGAIN IN 2021 TO SET COMPENSATION RANGES AS THE DATA WAS STILL CONSIDERED RELEVANT. GOALS WERE SET FOR ALL EMPLOYEES AT THE BEGINNING OF 2021, AND THEIR PERFORMANCE WAS MEASURED AGAINST GOALS AFTER 2021 CONCLUDED. BONUSES WHICH WERE ACCRUED AT 12/31/20 (BASED ON 2020 PERFORMANCE) WERE PAID IN 2021, AND THOSE WHICH WERE ACCRUED AT 12/31/21 (BASED ON 2021 PERFORMANCE) WERE PAID OUT IN 2022. THE INCENTIVE COMPENSATION (I.E. BONUS) AND MERIT INCREASE PROGRAMS WERE APPROVED BY THE EXECUTIVE COMMITTEE FOR BOTH 2021 & 2020, AND WERE ALSO DISTRIBUTED TO ALL EMPLOYEES. THE EXECUTIVE COMMITTEE HAS SERVED AS HEALTHIX COMPENSATION COMMITTEE. 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 REVIEWS AND DETERMINES CEO COMPENSATION AS WELL AS THE OVERALL MERIT AND BONUS COMPENSATION FOR THE REST OF THE COMPANY. FOR PURPOSES OF THEIR REVIEW THE COMMITTEE CONSIDERS THE RECOMMENDATIONS OF THE CEO FOR ALL PERSONNEL OTHER THAN THE CEO. AS A RESULT OF THE INDEPENDENT SURVEY INDICATED ABOVE, THE COMMITTEE HAS LET THE CEO DETERMINE COMPENSATION ADJUSTMENTS FOR OTHER OFFICERS AND KEY PERSONNEL, BASED ON THAT SURVEY'S RESULTS. THIS PROCESS WAS LAST UNDERTAKEN IN 2021. THE EXECUTIVE COMMITTEE'S APPROVAL FOR CEO COMPENSATION IS DOCUMENTED IN AN E-MAIL FROM THE BOARD CHAIR, WHO CHAIRS THE EXECUTIVE COMMITTEE.
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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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