2024-02-15T14:45:30-06:00 2022-12-31 721396621 CARR RIGGS & INGRAM LLC 7411 FULLERTON STREET SUITE 300 JACKSONVILLE FL 32256 990 2022-01-01 833617668 MEDICAID MANAGEMENT SERVICES MEDI 9043916610 10688 OLD ST AUGUSTINE RD JACKSONVILLE FL 32257 STUART GAINES PRESIDENT 9043916600 2024-02-15 1 STUART GAINES 999009999 0 DANA ALEXANDER P01425283 9043566023 2024-02-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X LINDA LEVIN 10688 OLD ST AUGUSTINE RD JACKSONVILLE FL 32257 164255 0 X MYELDERSOURCE.ORG X 2019 FL MMS IS FORMED TO OPERATE AS A MANAGEMENT SERVICES ORGANIZATION AND BE ABLE TO OPERATE AS A NETWORK LEAD ENTITY IN A HUB AND SPOKE MODEL, WORKING WITH PLANS AND A PROVIDER NETWORK. 4 4 0 4 0 0 0 0 150540 164255 0 0 0 0 150540 164255 0 0 0 0 0 0 0 0 0 73406 158380 73406 158380 77134 5875 151596 156627 19457 18613 132139 138014 THE MISSION OF THE CORPORATION IS TO ASSIST OLDER ADULTS TO REMAIN INDEPENDENT IN THEIR HOME AND COMMUNITY. 0 0 76278 164255 ELDERSOURCE HAS A CONTRACT AGREEMENT WITH FLORIDA COMMUNITY CARE (FCC) TO DEVELOP AND MAINTAIN AN ENHANCED QUALITY ASSURANCE AND QUALITY IMPROVEMENT PROGRAM TO ENHANCE DELIVERY OF SERVICES BY CONDUCTING ONGOING ENROLLEE RECORD AUDITS AND REVIEWS OF THE CONSISTENCY OF ENROLLEE ASSESSMENTS/SERVICE AUTHORIZATIONS. THE MMS STAFF, AUDIT CLIENTS RECORDS TO INSURE THAT THEY MEET AHCA, MEDICAID COMPLIANCE, AND MEDICAID MANAGE CARE ORGANIZATIONAL (MCO) CLIENTS GUIDELINES. 76278 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X LINDA LEVIN 9043916600 10688 OLD ST AUGUSTINE RD JACKSONVILLE FL 32257 STUART GAINES PRESIDENT 2.00 X X 0 0 0 VERONICA CATOE VICE PRESIDENT 1.00 X 0 0 0 ROSS BERRY DIRECTOR 1.00 X 0 0 0 SAMANTHA PROKOP DIRECTOR 1.00 X 0 0 0 LINDA LEVINE EXECUTIVE DIRECTOR 1.00 40.00 X 0 160019 0 0 160019 0 0 0 1 0 0 MEDICAID CONTRACTS 524114 164255 164255 164255 164255 164255 0 0 X 2850 2850 1100 1100 73678 73678 158 158 3271 103 3168 604 604 LEASED EMPLOYEES 76535 76175 360 OTHER 184 184 158380 76278 82102 0 125336 128677 26260 27950 151596 156627 6575 6750 12882 11863 19457 18613 X 0 0 0 0 132139 138014 132139 138014 151596 156627 5875 0 X 0 1 X 1 0 X 107965 150540 164255 422760 107965 150540 164255 422760 0 0 0 422760 107965 150540 164255 422760 X 0 DUE TO NEFAAA 5308 DUE TO ES PAREN 6555 11863 X PART X, LINE 2: ALL SUBSIDIARIES THAT MAKE UP THE ORGANIZATION, EXCEPT WISE OWL PROPERTIES, INC., ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OR HAVE APPLIED FOR THIS EXEMPT CLASSIFICATION. WISE OWL PROPERTIES, INC. IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(2) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2022 AND 2021. THE ORGANIZATION UTILIZES THE ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY- THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF DECEMBER 31, 2022 AND 2021, THE ORGANIZATION HAS NO UNCERTAIN TAX PROVISIONS THAT QUALIFY FOR RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2019. X X 0 0 0 0 0 0 0 0 0 LINDA LEVINE EXECUTIVE DIRECTOR 0 160019 0 0 0 0 0 0 0 0 0 160019 0 0 PART I, LINE 3 THE BYLAWS ESTABLISH THAT THE EXECUTIVE COMMITTEE HAS GENERAL OVERSIGHT OF THE ORGANIZATION'S HUMAN RESOURCE PLAN. SPECIFIC DUTIES INCLUDE YEARLY EVALUATION OF THE EXECUTIVE DIRECTOR OF THE ORGANIZATION AND SETTING THE COMPENSATION FOR THE FOLLOWING YEAR. A COMPETENT SALARY SURVEY IS USED TO BENCHMARK COMPENSATION FOR THE POSITION UTILIZING FLORIDA AGENCIES ON AGING AND OTHER STUDIES OF COMPARABLE NOT FOR PROFIT AGENCIES. THE COMMITTEE MEETS INDEPENDENT OF THE EXECUTIVE DIRECTOR TO DISCUSS PERFORMANCE RELATIVE TO THE POSITION DESCRIPTION. DURING THESE DELIBERATIONS, THE COMMITTEE ALSO CONSIDERS INPUT OBTAINED FROM OTHER BOARD MEMBERS, STAFF, PROFESSIONAL ADVISORS, GRANT RECIPIENTS, AND OTHER INFORMED COMMUNITY LEADERS. ONCE A CONSENSUS IS REACHED REGARDING PERFORMANCE, A SIMILAR DISCUSSION IS HELD CONCERNING COMPENSATION RELATIVE TO ANNUAL BENCHMARK AND ESTABLISHED OBJECTIVES. THE COMMITTEE PRESENTS ITS FINDINGS AND RECOMMENDATIONS, IN AN EXECUTIVE SESSION WITHOUT THE CHIEF EXECUTIVE PRESENT, TO THE FULL BOARD FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION A, LINE 7A ELDERSOURCE, INC. IS THE SOLE MEMBER OF MEDICAID MANAGEMENT SERVICES AND HAS THE POWER TO APPOINT THE BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B ELDERSOURCE INC. HAS THE POWER TO APPOINT BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B BOARD MEMBERS WILL BE NOTIFIED OF AVAILABLITY OF FORM 990 BY EMAIL, U.S. MAIL AND/OR AT A BOARD OR COMMITTEE MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, EACH BOARD MEMBER RECEIVES THE CONFLICT OF INTEREST POLICY AND SIGNS INDICATING COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 PROPOSED COMPENSATION IS PRESENTED TO THE BOARD OF DIRECTORS, FINANCE AND AUDIT COMMITTEE AND THE BOARD OF DIRECTORS AT THE ANNUAL MEETING FOR REVIEW AND ACCEPTANCE AS SUBMITTED. FORM 990, PART VI, SECTION C, LINE 19 THE PROCESS IS DESCRIBED IN THE CONFLICT OF INTEREST POLICY. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 73,678. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,678. WISE OWL PROPERTIES 10688 OLD ST AUGUSTINE RD JACKSONVILLE FL 32257 455567819 HOLD TITLE TO PROPERTY WHICH IT RENTS TO ELDERSOURCE FL 501(C)(2) ELDERSOURCE INC 0 ELDERSOURCE INSTITUTE INC 10688 OLD ST AUGUSTINE RD JACKSONVILLE FL 32257 475221862 TO IMPROVE WELLBEING OF ELDERS AND CAREGIVERS IN NE FLORIDA FL 501(C)(3) LINE 10 ELDERSOURCE INC 0 NORTHEAST FLORIDA AREA AGENCY ON AGING INC 10688 OLD ST AUGUSTINE RD JACKSONVILLE FL 32257 591569867 TO IMPROVE WELLBEING OF ELDERS AND CAREGIVERS IN NE FLORIDA FL 501(C)(3) LINE 7 ELDERSOURCE INC 0 ELDERSOURCE INC 10688 OLD ST AUGUSTINE RD JACKSONVILLE FL 32257 833617668 TO IMPROVE WELLBEING OF ELDERS AND CAREGIVERS IN NE FLORIDA FL 501(C)(3) LINE 7 N/A 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NORTHEAST FL AREA AGENGY ON AGING O 76175 CASH ELDERSOURCE INC O 6555 CASH