2024-02-21T11:42:41-06:00 2023-03-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 245 PARK AVENUE 12TH FLOOR NEW YORK NY 10167 990 2022-04-01 208022336 NEW YORK EHEALTH COLLABORATIVE INC NEWY 6468174101 990 WASHINGTON AVENUE 1750 ALBANY NY 12210 DAVID HORROCKS CEO 6468174101 2024-02-21 1 DAVID HORROCKS XXX-XX-XXXX 1 MELISSA MODELSON P01603524 2122862600 2024-02-21 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X JOHN D BENNETT MD 990 WASHINGTON AVENUE 1750 ALBANY NY 12210 207182328 0 X WWW.NYEHEALTH.ORG X 2006 NY TO IMPROVE HEALTHCARE FOR ALL NEW YORKERS THROUGH HEALTH INFORMATION TECHNOLOGY ("HEALTH IT"). 16 16 66 19 0 0 88508570 85255004 2000 1000 5840 684523 -86123 17149 88430287 85957676 57372487 55026103 0 0 8387349 8882245 0 0 0 8084764 8821782 73844600 72730130 14585687 13227546 53726005 69075560 5978970 7848169 47747035 61227391 X NYEC MISSION IS TO IMPROVE HEALTHCARE BY COLLABORATIVELY LEADING, CONNECTING, AND INTEGRATING HEALTH INFORMATION EXCHANGE ACROSS THE STATE OF NEW YORK. 0 1 67654595 55026103 1000 THE STATEWIDE HEALTH INFORMATION OF NEW YORK (SHIN-NY) PROGRAM IS THE HEALTH INFORMATION EXCHANGE (HIE) FOR THE STATE OF NEW YORK. IT'S A NETWORK OF INFORMATION WHICH ALLOWS HEALTH CARE PROFESSIONALS TO APPROPRIATELY ACCESS AND SECURELY SHARE A PATIENT'S MEDICAL INFORMATION ELECTRONICALLY. NYEC HAS SUCCESSFULLY MAINTAINED THE STATEWIDE CONNECTIVITY THROUGHOUT THE STATE OF NEW YORK UTILIZING SIX REGIONAL HIE'S, CALLED RHIOS/QES, AND IS THE STATE DESIGNATED ENTITY FOR THIS WORK. 67654595 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 29 0 66 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X BRUNO PETTONI CFO 6468174087 990 WASHINGTON AVENUE 1750 ALBANY NY 12210 JOHN D BENNETT MD CHAIR 5.00 X X 0 0 0 MICHAEL STOCKER MD VICE CHAIR 5.00 X X 0 0 0 JEFFREY KRAUT SECRETARY 5.00 X X 0 0 0 MICHAEL GOLDEN TREASURER 5.00 X X 0 0 0 DAVID COHEN MD DIRECTOR 5.00 X 0 0 0 JORDANNA DAVIS DIRECTOR 5.00 X 0 0 0 JOHN GLYNN DIRECTOR 5.00 X 0 0 0 INDU GUPTA MD DIRECTOR 5.00 X 0 0 0 KATHRYN HASLANGER DIRECTOR 5.00 X 0 0 0 ARTHUR A LEVIN DIRECTOR THRU SEPT 2022 1.00 X 0 0 0 J DAVID LISS DIRECTOR 5.00 X 0 0 0 ANN F MONROE DIRECTOR THRU SEPT 2022 1.00 X 0 0 0 WADE NORWOOD DIRECTOR 5.00 X 0 0 0 LONNY REISMAN MD DIRECTOR 1.00 X 0 0 0 THOMAS SCHENK MD DIRECTOR 5.00 X 0 0 0 MATTHEW SHAFIROFF MD DIRECTOR 5.00 X 0 0 0 SALVATORE VOLPE MD DIRECTOR 5.00 X 0 0 0 SUSAN C WALTMAN ESQ DIRECTOR 5.00 X 0 0 0 DAVID HORROCKS CEO AS OF APRIL 2022 35.00 X 328920 0 105997 BRUNO PETTONI CFO 35.00 X 210869 0 43718 DONALD JURON CEO THRU APRIL 2022/SPECIAL ADVISOR 35.00 X 280285 0 15800 ALISON BIANCHI COO AS OF APRIL 2022 35.00 X 345263 0 49932 MICHAEL J BERGER CIO AS OF JULY 2022 35.00 X 107045 0 27868 CYNTHIA SUTLIFF SENIOR DIRECTOR, STATE POLICY 35.00 X 208502 0 27942 BRITTANY WASER SENIOR DIRECTOR, OPERATIONS 35.00 X 186388 0 11699 REBECCA COYLE SENIOR DIRECTOR, CONTRACTING 35.00 X 156319 0 59722 DHEERAJKUMAR PAL SENIOR TECHNICAL LEAD 35.00 X 172386 0 53269 1995977 0 395947 23 0 1 0 SLALOM LLC PO BOX 101416 PASADENA CA 91189 CONSULTING SERVICES 705463 MANATT PHELPS & PHELPS LLP 20149 CENTURY PARK EAST LOS ANGELES CA 90067 LEGAL SERVICES 581574 COLLECTIVE MEDICAL TECHNOLOGIES INC PO BOX 23904 NEW YORK NY 10087 CONSULTING SERVICES 418269 MEDITOLOGY SERVICES LLC 5256 PEACHTREE ROAD ATLANTA GA 30341 CONSULTING SERVICES 356335 NORC AT THE UNIVERSITY OF CHICAGO PO BOX 772327 DETROIT MI 48277 CONSULTING SERVICES 350053 19 85041150 213854 85255004 CONTRACT REVENUES 900099 1000 1000 1000 295657 295657 121613518 121224652 388866 388866 388866 REBATES 900099 17149 17149 17149 85957676 1000 0 701672 55026103 55026103 1446472 384322 1062150 5987217 4193073 1794144 245643 215110 30533 731567 575635 155932 471346 360135 111211 180050 80000 100050 55500 55500 71300 71300 3611954 3261311 350643 30901 22774 8127 250424 97187 153237 2160352 2071409 88943 1107055 579984 527071 104591 40524 64067 23637 7474 16163 482408 262739 219669 492730 423635 69095 MEMBERSHIP DUES 103114 24062 79052 STAFF DEVELOPMENT 69747 22115 47632 OTHER EXPENSES 46447 7003 39444 RECRUITMENT COST 31572 31572 72730130 67654595 5075535 0 480970 278467 50417089 53935199 4491 8959199 1042229 988693 4583689 3749168 1316929 834521 0 40179 0 1881521 464297 2157781 53726005 69075560 5840116 6075788 138854 0 0 1772381 5978970 7848169 X 24251333 27759815 23495702 33467576 47747035 61227391 53726005 69075560 13227546 252810 0 X X 0 1 X 1 1 1 X 91139798 36422871 88770462 88508570 85255004 390096705 91139798 36422871 88770462 88508570 85255004 390096705 390096705 192673 51267 26535 5840 295657 571972 1578 13679 19542 17149 51948 390720625 461751 0.99840 0.99900 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: REBATES - 2019 AMOUNT: $ 1,578. 2020 AMOUNT: $ 13,679. 2021 AMOUNT: $ 19,542. 2022 AMOUNT: $ 17,149. PART III, SHORT YEAR EXPLANATION: THE ORGANIZATION HAS A SHORT YEAR FROM 1/1/2020 - 3/31/2020. SCHEDULE A, PART II, COLUMN (B) REFLECTS THE SHORT YEAR AMOUNTS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 0 1 71300 71300 0 PART II-B, LINE 1: SERVICES CONSISTING OF ESTABLISHING RELATIONSHIPS AND BUILDING SUPPORT FOR ADOPTION OF THE SHIN-NY WITH CURRENT ELECTED OFFICIALS AND CIVIC LEADERS. 298722 215198 83524 2845666 2267395 578271 1439301 1266575 172726 834521 LEASE LIABILITY 1712381 PENSION OBLIGATION 60000 1772381 X 86210486 252810 252810 85957676 0 85957676 72730130 0 72730130 0 72730130 PART X, LINE 2: NYEC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT NYEC HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. NYEC IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR THE PERIODS PRIOR TO 2020. 1 BRONX RHIO INC 1776 EASTCHESTER ROAD SUITE 200 BRONX NY 104612334 205721976 501(C)(3) 5131915 0 TO SUPPORT THE PROVISION OF BETTER, MORE COST EFFECTIVE HEALTH CARE, INCLUDING THROUGH DEVELOPMENT AND USE OF THE STATEWIDE HEALTH INFORMATION NETWORK OF NEW YORK (SHIN-NY). GREATER ROCHESTER REGIONAL HEALTH INFORMATION ORGANIZATION INC 200 CANAL VIEW BLVD SUITE 200 ROCHESTER NY 14623 204669094 501(C)(3) 6781826 0 TO SUPPORT THE PROVISION OF BETTER, MORE COST EFFECTIVE HEALTH CARE, INCLUDING THROUGH DEVELOPMENT AND USE OF THE STATEWIDE HEALTH INFORMATION NETWORK OF NEW YORK (SHIN-NY). HEALTHCARE INFORMATION XCHANGE OF NEW YORK INC 80 WOLF ROAD SUITE 500 ALBANY NY 12205 141825979 501(C)(3) 5890124 0 TO SUPPORT THE PROVISION OF BETTER, MORE COST EFFECTIVE HEALTH CARE, INCLUDING THROUGH DEVELOPMENT AND USE OF THE STATEWIDE HEALTH INFORMATION NETWORK OF NEW YORK (SHIN-NY). HEALTH ADVANCEMENT COLLABORATIVE OF CENTRAL NEW YORK INC FRANKLIN CENTER SUITE 001 SYRACUSE NY 13204 202702655 501(C)(3) 11064625 0 TO SUPPORT THE PROVISION OF BETTER, MORE COST EFFECTIVE HEALTH CARE, INCLUDING THROUGH DEVELOPMENT AND USE OF THE STATEWIDE HEALTH INFORMATION NETWORK OF NEW YORK (SHIN-NY). HEALTHIX INC 462 SEVENTH AVENUE 8TH FLOOR NEW YORK NY 10018 450553664 501(C)(3) 19490675 0 TO SUPPORT THE PROVISION OF BETTER, MORE COST EFFECTIVE HEALTH CARE, INCLUDING THROUGH DEVELOPMENT AND USE OF THE STATEWIDE HEALTH INFORMATION NETWORK OF NEW YORK (SHIN-NY). WESTERN NEW YORK CLINICAL INFORMATION EXCHANGE INC 2475 GEORGE URBAN BOULEVARD SUITE 202 DEPEW NY 14043 364594483 501(C)(3) 6666938 0 TO SUPPORT THE PROVISION OF BETTER, MORE COST EFFECTIVE HEALTH CARE, INCLUDING THROUGH DEVELOPMENT AND USE OF THE STATEWIDE HEALTH INFORMATION NETWORK OF NEW YORK (SHIN-NY). 6 0 PART I, LINE 2: GRANT TO SUBRECIPIENTS - THE PROCEDURES FOR MONITORING THE USE OF ASSISTANCE: THE CONTRACTOR (NYEC) COLLECTS DATA AND REPORTS FROM SUB-CONTRACTORS AS OUTLINED IN THEIR ANNUAL WORKPLANS. NON-COMPLIANCE WITH THE MONITORING AND REPORTING REQUIREMENTS MAY RESULT IN THE IMPOSING OF FINANCIAL SANCTIONS. X X X 0 1 0 0 0 0 0 1 0 DAVID HORROCKS CEO AS OF APRIL 2022 293920 0 35000 0 0 0 74538 0 31459 0 434917 0 0 0 ALISON BIANCHI COO AS OF APRIL 2022 321273 0 23990 0 0 0 16800 0 33132 0 395195 0 0 0 DONALD JURON CEO THRU APRIL 2022/SPECIAL ADVISOR 259467 0 20818 0 0 0 12513 0 3287 0 296085 0 0 0 BRUNO PETTONI CFO 206635 0 4234 0 0 0 10087 0 33631 0 254587 0 0 0 CYNTHIA SUTLIFF SENIOR DIRECTOR, STATE POLICY 192231 0 16271 0 0 0 8582 0 19360 0 236444 0 0 0 DHEERAJKUMAR PAL SENIOR TECHNICAL LEAD 160895 0 11491 0 0 0 11325 0 41944 0 225655 0 0 0 REBECCA COYLE SENIOR DIRECTOR, CONTRACTING 144928 0 11391 0 0 0 10223 0 49499 0 216041 0 0 0 BRITTANY WASER SENIOR DIRECTOR, OPERATIONS 173030 0 13358 0 0 0 10699 0 1000 0 198087 0 0 0 PART I, LINE 4B THE CHIEF EXECUTIVE OFFICER PARTICIPATES IN A 457(F) PLAN. $40,000 WAS CONTRIBUTED TO THE PLAN WITH NO DISTRIBUTIONS. PART I, LINE 7 BONUSES ARE PAID BASED ON THE PERFORMANCE AND GOAL ACHIEVEMENTS BY THE INDIVIDUALS AND WITHIN THE APPROVED BUDGET. BONUSES WERE TAXABLE AND REPORTED ON THE INDIVIDUALS' 2022 FORM W-2S, AND INCLUDED ON SCHEDULE J, PART II IN COLUMN B (II). FORM 990, PART III, LINE 3 NYEC CEASED THE NEW YORK STATE FUNDED PROGRAM, ELIGIBLE PROFESSIONAL PROGRAM (EP2), WHICH ADVANCED HEALTH INFORMATION TECHNOLOGY IN NEW YORK STATE BY ASSISTING HEALTH ORGANIZATIONS TO MAKE THE TRANSITION FROM PAPER-BASED HEALTH RECORDS TO ELECTRONIC HEALTH RECORDS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, IT IS ELECTRONICALLY SENT TO THE AUDIT COMMITTEE TO ASK QUESTIONS AND OFFER EDITS, AS TO THE FULL BOARD, PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C NYEC CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY THAT APPLIES TO ANY DIRECTOR, OFFICER OR KEY EMPLOYEES (COVERED PERSONS). ALL COVERED PERSONS MUST SUBMIT A DISCLOSURE QUESTIONNAIRE AND AN AFFIRMATION OF COMPLIANCE TO NYEC'S COMPLIANCE OFFICER DISCLOSING ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. NYEC'S COMPLIANCE OFFICER PROVIDES A COPY OF ALL DISCLOSURE QUESTIONNAIRES TO THE AUDIT AND COMPLIANCE COMMITTEE. THE BOARD WILL REVIEW ALL ACTUAL AND POTENTIAL CONFLICTS OF INTEREST AND RELATED PARTY TRANSACTIONS AND DETERMINE WHETHER TO APPROVE OR RATIFY ANY SUCH MATTERS. ALL DECISIONS OR VOTES RELATED TO ANY ACTUAL OR POTENTIAL CONFLICTS ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. EACH COVERED PERSON SHALL ANNUALLY SIGN AN AFFIRMATION OF COMPLIANCE WHICH AFFIRMS RECEIPT OF A COPY OF THE CONFLICTS OF INTEREST POLICY; HAS READ AND UNDERSTANDS THE POLICY; HAS AGREED TO COMPLY WITH THE POLICY; AND AGREED TO FILE A SUPPLEMENTAL DISCLOSURE QUESTIONNAIRE WHENEVER A POTENTIAL CONFLICT ARISES. THE DECISION OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST IS DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, OTHER OFFICERS AND KEY EMPLOYEES WERE DETERMINED AND APPROVED BY THE COMPENSATION COMMITTEE AS RECOMMENDED BY THE COMPENSATION COMMITTEE USING DATA RESEARCHED FROM AN OUTSIDE CONSULTING FIRM. RECORDS OF THE COMPENSATION DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN FY2023. 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 HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.