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ObjectId: 202111399349301021 - Submission: 2021-05-19
TIN: 36-3906745
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
19
Open to Public Inspection
Name of the organization
HEALTHCARE INFORMATION AND MANAGEMENT
SYSTEMS SOCIETY
Employer identification number
36-3906745
Part I
Identification of Disregarded Entities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(1)
HIMSS ANALYTICS LLC
33 W MONROE STREET SUITE 1700
CHICAGO
,
IL
60603
36-3906745
HEALTHCARE IT DATA & ANALYTICS
DE
1,923,844
1,086,273
HIMSS
(2)
HIMSS EUROPE GMBH
LENNESTRASSE 9
BERLIN
D-10785
GM
98-0669428
HEALTHCARE IT AND DATA RESOURCES
GM
1,277,332
2,465,151
HIMSS
(3)
HIMSS MEDIA LLC
2 MONUMENT SQUARE SUITE 400
PORTLAND
,
ME
04101
57-1148916
B2B HEALTHCARE/IT MEDIA
ME
10,932,329
6,867,126
HIMSS
(4)
PERSONAL CONNECTED HEALTH ALLIANCE LLC
33 W MONROE STREET SUITE 1700
CHICAGO
,
IL
60603
36-4781100
CONSUMER HEALTH TECHNOLOGY
IL
1,247,725
35,378
HIMSS
Part II
Identification of Related Tax-Exempt Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
HIMSS FOUNDATION
33 WEST MONROE STREET SUITE 1700
CHICAGO
,
IL
60603
36-4008359
PROGRAM SUPPORT
IL
501(C)(3)
LINE 7
HIMSS
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Page 2
Schedule R (Form 990) 2019
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
SHBX INVESTMENT I LLC
33 WEST MONROE STREET SUITE 1700
CHICAGO
,
IL
60603
46-4923618
HEALTHCARE CONSULTING
IL
N/A
EXCLUDED
No
Yes
50.000 %
(2)
SHBX INVESTMENT II LLC
33 WEST MONROE STREET SUITE 1700
CHICAGO
,
IL
60603
45-5531589
HEALTHCARE CONSULTING
IL
N/A
EXCLUDED
80,580
61,445
No
Yes
50.000 %
(3)
SHBX INVESTMENT III LLC
33 WEST MONROE STREET SUITE 1700
CHICAGO
,
IL
60603
46-2564321
HEALTHCARE CONSULTING
IL
HEALTHBOX GLOBAL PARTNERS LLC
EXCLUDED
No
Yes
85.000 %
(4)
SHBX INVESTMENT V LLC
33 WEST MONROE STREET SUITE 1700
CHICAGO
,
IL
60603
46-5012864
HEALTHCARE CONSULTING
IL
HEALTHBOX GLOBAL PARTNERS LLC
EXCLUDED
No
Yes
85.000 %
(5)
SHBX INVESTMENT VI LLC
33 WEST MONROE STREET SUITE 1700
CHICAGO
,
IL
60603
46-4982644
HEALTHCARE CONSULTING
IL
HEALTHBOX GLOBAL PARTNERS LLC
EXCLUDED
No
Yes
90.000 %
(6)
HEALTHBOX EUROPE I LLC
1000 W FULTON MARKET SUITE 213
CHICAGO
,
IL
60607
46-0779133
HEALTHCARE CONSULTING
IL
HEALTHBOX GLOBAL PARTNERS LLC
EXCLUDED
-200
13,860
No
No
65.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
CAPSITE LLC
PO BOX 723
WILLISTON
,
VT
05495
80-0640423
TECHNOLOGY AND CONSULTING
VT
HIMSS
C
100.000 %
Yes
(2)
HIMSS UK
13-15 ALBERT STREET
HARROGATE
HG1 1JX
UK
HEALTHCARE IT EVENTS
UK
HIMSS
C
103,051
326,985
100.000 %
Yes
(3)
HEALTHBOX GLOBAL PARTNERS LLC
1000 WEST FULTON MARKET STE 213
CHICAGO
,
IL
60607
46-2555171
HEALTHCARE CONSULTING
DE
HIMSS
C
3,412,058
9,232,793
100.000 %
Yes
Schedule R (Form 990) 2019
Page 3
Schedule R (Form 990) 2019
Page
3
Part V
Transactions With Related Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
No
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
No
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
e
Loans or loan guarantees by related organization(s)
............................
1e
No
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
No
h
Purchase of assets from related organization(s)
............................
1h
No
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
No
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
No
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
Yes
o
Sharing of paid employees with related organization(s)
............................
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
No
q
Reimbursement paid by related organization(s) for expenses
............................
1q
No
r
Other transfer of cash or property to related organization(s)
............................
1r
Yes
s
Other transfer of cash or property from related organization(s)
............................
1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
HIMSS UK
R
2,874,896
FMV
(2)
HEALTHBOX GLOBAL PARTNERS LLC
R
2,867,775
FMV
Schedule R (Form 990) 2019
Page 4
Schedule R (Form 990) 2019
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2019
Page 5
Schedule R (Form 990) 2019
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2019
Additional Data
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