2023-11-01T06:13:10-05:00 2022-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY CT ALBANY NY 12205 990 2022-01-01 141641028 CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC CAPI 5186414085 500 PATROON CREEK BLVD ALBANY NY 122061057 PAUL KAHLON EVP FINANCE AND CFO 5186413000 2023-08-18 1 PAUL KAHLON XXX-XX-XXXX 1 GLORIA M NOSTRAMO P01385068 5184644080 2023-08-18 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PAUL KAHLON 500 PATROON CREEK BLVD ALBANY NY 122061057 2104969003 0 X WWW.CDPHP.COM X 1984 NY CDPHP PROVIDES QUALITY HEALTH CARE AT A REASONABLE COST FOR CDPHP MEMBERS AND OPERATES AS A MODEL FOR THE DELIVERY, FINANCING, AND ADMINISTRATION OF HEALTH CARE SERVICES. 15 7 1484 0 0 0 0 0 1890308345 2035594624 19134033 8957661 0 0 1909442378 2044552285 321972 188025 1721423109 1843473026 125226629 123898838 0 0 0 101080757 102185197 1948052467 2069745086 -38610089 -25192801 743367236 629458696 371636714 386054137 371730522 243404559 X CDPHP PROVIDES QUALITY HEALTH CARE AT A REASONABLE COST FOR CDPHP MEMBERS AND OPERATES AS A MODEL FOR THE DELIVERY, FINANCING, AND ADMINISTRATION OF HEALTH CARE SERVICES. 0 0 586266333 574948258 CDPHP PROVIDES HEALTH CARE BENEFITS TO EMPLOYER GROUP MEMBERS AND INDIVIDUALS IN OUR COMMUNITY. AS OF DECEMBER 31, 2022, 74,159 MEMBERS WERE ENROLLED IN COMMERCIAL PRODUCTS. 781052039 72025 779086336 CDPHP'S MEDICAID, HARP, AND ESSENTIAL PLANS PROVIDE HEALTH CARE BENEFITS TO 129,514 MEMBERS IN NEW YORK STATE. 571882711 632098201 CDPHP'S MEDICARE PROGRAM PROVIDES HEALTH CARE BENEFITS TO 43,770 MEMBERS IN NEW YORK STATE. 44859585 38899549 CHILD HEALTH PLUS - 13,440 MEMBERS 12428813 10562280 HEALTHY NEW YORK - 2,136 MEMBERS 57288398 49461829 1996489481 0 0 1 1 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 1 0 1 5051 0 1 1484 1 0 0 0 0 0 0 0 0 1 0 X 15 7 0 0 0 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 NY X ELLEN PIERCE FINANCE DIRECTOR 5186413000 500 PATROON CREEK BLVD ALBANY NY 122061057 MICHAEL DEVITO MD CHAIRMAN OF THE BOARD 6.70 X X 83550 0 0 GREGORY SERIO DIRECTOR 9.40 X 84000 0 0 REBECCA KEIM MD DIRECTOR 3.50 X 42100 0 0 AMY JOHNSON DIRECTOR 10.80 X 89200 0 0 PATRICK TIMMINS III MD DIRECTOR 1.40 X 14800 0 0 HOLLY K CLENEY MD DIRECTOR 7.00 X 63700 0 0 GERALD JENNINGS DIRECTOR 11.00 X 89200 0 0 TODD DOYLE MD DIRECTOR 4.60 X 48850 0 0 MICHAEL CASTELLANA DIRECTOR 8.90 X 82000 0 0 LEE MCELROY DIRECTOR 5.40 X 52450 0 0 ADETUTU ADETONA MD DIRECTOR 4.00 X 44300 0 0 BRIAN SHERIDAN MD DIRECTOR 8.10 X 61050 0 0 GENNARO A DANIELS MD FORMER CHAIRMAN OF THE BOARD 0.50 X X 56450 0 0 SUSAN SCRIMSHAW PHD SECRETARY 13.50 X X 103250 0 0 CARMEN MAZZOTTA TREASURER OF THE BOARD 6.70 X X 68950 0 0 JOSEPH POLITO II MD VICE CHAIRMAN OF THE BOARD 8.60 X X 55950 0 0 JOHN D BENNETT MD CEO/PRESIDENT 40.00 X 3021196 0 29415 ANTHONY MARINELLO FORMER EVP CHIEF MEDICAL OFFICER 40.00 X 739353 0 33931 BETHANY SMITH FORMER EVP FINANCE AND CFO 0.00 X 763951 0 39288 FRANK ULIBARRI EVP FINANCE AND CFO 40.00 X 472646 0 36779 MARY JANE BENDON COUCH EVP GENERAL COUNSEL 40.00 X 560576 0 42128 EILEEN WOOD EVP PHARMACY SERVICES/CPO 40.00 X 490942 0 37535 ROBERT HINCKLEY FORMER EVP STRATEGY COMM AND CSO 40.00 X 788163 0 40864 JOHN LUTZ EVP/INTEGRATED DEL SYS 40.00 X 733163 0 21511 BRIAN MORRISSEY FORMER EVP/PRESIDENT PSS 40.00 X 895607 0 40864 BARBARA DOWNS FORMER EVP CORP ADMIN/COO 40.00 X 1087996 0 19818 FREDERICK GALT ESQ FORMER EVP GENERAL COUNSEL 40.00 X 765838 0 32729 BRIAN O'GRADY PRESIDENT - HEALTH PLANS M 40.00 X 994443 0 35715 MICHAEL RENZI FORMER PRESIDENT - HEALTHCARE DEL 40.00 X 949640 0 38647 ELIZABETH WARNER SVP MEMBER HEALTH 40.00 X 546334 0 40064 PATRICIA LUSHKEVICH SVP INTERNAL OPERATIONS 40.00 X 502995 0 42039 KATHRYN DECKER SVP PEOPLE AND CULTURE CHR 40.00 X 498865 0 39764 BRUCE E COPLIN MD SVP SPECIALTY TRANSFORMATI 40.00 X 520974 0 36215 ROBERT LITTLE SVP UNDERWRITING 40.00 X 576486 0 22013 ANNE CARROLL FORMER VP BEHAVIORAL HEALTH AND M 40.00 X 483391 0 19356 16432359 0 648675 488 1 1 0 LANDMARK HEALTH LLC 7755 CENTER AVE STE 630 HUNTINGTON CA 92647 HEALTHCARE SERVICES 23189600 ATOS SYNTEL INC 525 E BIG BEAVER RD SUITE 300 TROY MI 48083 IT PROCESSING AND CONSULTING 10679600 WELLTOK INC 6061 SOUTH WILLOW DRIVE GREENWOOD VILLAGE CO 80111 WELLNESS PROMOTIONS 5701000 SALESFORCECOM INC PO BOX 203141 DALLAS TX 753203141 IT PROCESSING AND CONSULTING 4043700 HURON CONSULTING GROUP INC PO BOX 71223 CHICAGO IL 60694 IT PROCESSING AND CONSULTING 3647200 101 MEDICAID PREMIUMS 524114 779086336 779086336 MEDICARE PREMIUMS 524114 632098201 632098201 COMMERCIAL PREMIUMS 524114 574948258 574948258 CHILD HEALTH PLUS PREMIUMS 524114 38899549 38899549 HEALTHY NEW YORK PREMIUMS 524114 10562280 10562280 2035594624 4386885 4386885 64987494 60416718 4570776 4570776 4570776 2044552285 2035594624 0 8957661 188025 188025 1843473026 1843473026 9968662 4645023 5323639 519958 519958 87547375 50098310 37449065 2681677 1525753 1155924 16335331 8508375 7826956 6845835 3894347 2951488 1321815 1057452 264363 414233 331386 82847 188935 188935 299672 299672 5978658 5978658 6501361 3409797 3091564 19077671 18505341 572330 2687312 1343656 1343656 432656 302859 129797 60628 60628 6697145 5357716 1339429 6330918 4431643 1899275 1177027 1177027 CONSULTING AND OUTSOURC 32650237 26120190 6530047 BROKER COMMISSIONS 12447684 12447684 FEDERAL AND STATE ASSES 4174015 4174015 MISCELLANEOUS 1745230 696225 1049005 2069745086 1996489481 73255605 0 57138586 45542367 186233697 206496560 13379434 10592295 121286543 95774099 18911386 25512444 221991249 171496093 245033129 169818937 679755 743367236 629458696 364561207 373104278 2549535 342359 4525972 12607500 371636714 386054137 X 371730522 243404559 371730522 243404559 743367236 629458696 X -25192801 -21856285 -81276877 X 0 1 X 1 1 1 1445 1445 1 CDPHP PAC 121 STATE STREET ALBANY NY 12207 800957344 1445 0 0 0 188935 188935 188935 188935 11380458 6877716 4502742 95773019 88874537 6898482 14133066 21846 14111220 25512444 INVESTMENT IN CDPHP UBI 168819758 F INVESTMENT IN CDPHP FOUNDATION, INC. 839596 F INVESTMENT IN HEALTH PLAN ALLIANCE 159583 F 169818937 CLAIM ADJUSTMENT EXPENSE LIABILITY 4695806 DUE TO CONSOLIDATED ENTITIES 7911694 12607500 X 1962219580 -81276875 -81276875 2043496455 299672 756158 1055830 2044552285 2068716179 26923 26923 2068689256 299672 756158 1055830 2069745086 PART X, LINE 2: EXPLANATION: UNDER ASC 740, CDPHP IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE PLAN IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OF THE LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. FOR TAX POSITIONS MEETING THE MORE LIKELY THAN NOT THRESHOLD, THE TAX AMOUNT RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENT IS REDUCED BY THE LARGEST BENEFIT THAT HAS A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING REALIZED UPON THE ULTIMATE SETTLEMENT WITH THE RELEVANT TAXING AUTHORITY. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECOGNIZED GAINS ON EQUITIES -6,028,911. STATUTORY AMORTIZATION ADJUSTMENT -1,578. GAIN/LOSS ON EQUITY OF CONSOLIDATED AND UNCONSOLIDATED SUBSIDIARY -75,204,384. SUBLEASE INCOME -42,002. PART XI, LINE 4B - OTHER ADJUSTMENTS: REINSURANCE EXPENSE 756,158. PART XII, LINE 2D - OTHER ADJUSTMENTS: SUBLEASE INCOME NETTED AGAINST RENT EXPENSE 26,923. PART XII, LINE 4B - OTHER ADJUSTMENTS: REINSURANCE EXPENSE 756,158. FORM 990, SCHEDULE D, PART VII, LINES 3A-3C: EXPLANATION: THE METHOD OF VALUATION IN COLUMN C IS THE EQUITY METHOD OF ACCOUNTING. 1 CDPHP FOUNDATION INC 500 PATROON CREEK BLVD ALBANY NY 12206 471619130 501(C)(3) 52335 63665 FMV DONATED GOODS/SERVICES OPERATING GRANT COMFORT FOOD COMMUNITY PO BOX 86 GREENWICH NY 12834 411858498 501(C)(3) 72025 0 FOOD ASSISTANCE 2 PART 1, LINE 2 EXPLANATION: GRANTS ARE PROVIDED TO THE FOUNDATION FOR USE TO OTHER CHARITABLE ORGANIZATIONS AND ADMINISTRATION OF THE FOUNDATION. THE ALLOCATED GRANT PORTION TO COMFORT FOOD COMMUNITY PROVIDES FUNDING UNDER THE TERMS OF THE WRITTEN AGREEMENTS. 1 X X X X X 1 1 0 0 0 0 0 1 0 JOHN D BENNETT MD CEO/PRESIDENT 2473146 0 512494 0 35556 0 10675 0 18740 0 3050611 0 0 0 BARBARA DOWNS FORMER EVP CORP ADMIN/COO 430871 0 171951 0 485174 0 9500 0 10318 0 1107814 0 0 0 BRIAN O'GRADY PRESIDENT - HEALTH PLANS M 775247 0 188715 0 30481 0 10675 0 25040 0 1030158 0 0 0 MICHAEL RENZI FORMER PRESIDENT - HEALTHCARE DEL 294923 0 229740 0 424977 0 10675 0 27972 0 988287 0 0 0 BRIAN MORRISSEY FORMER EVP/PRESIDENT PSS 303431 0 168592 0 423584 0 9500 0 31364 0 936471 0 0 0 ROBERT HINCKLEY FORMER EVP STRATEGY COMM AND CSO 328544 0 149928 0 309691 0 9500 0 31364 0 829027 0 0 0 BETHANY SMITH FORMER EVP FINANCE AND CFO 200804 0 0 0 563147 0 8924 0 30364 0 803239 0 0 0 FREDERICK GALT ESQ FORMER EVP GENERAL COUNSEL 345276 0 123090 0 297472 0 6915 0 25814 0 798567 0 0 0 ANTHONY MARINELLO FORMER EVP CHIEF MEDICAL OFFICER 343819 0 155254 0 240280 0 8891 0 25040 0 773284 0 0 0 JOHN LUTZ EVP/INTEGRATED DEL SYS 536861 0 165468 0 30834 0 10675 0 10836 0 754674 0 0 0 MARY JANE BENDON COUCH EVP GENERAL COUNSEL 398978 0 139485 0 22113 0 10675 0 31453 0 602704 0 0 0 ROBERT LITTLE SVP UNDERWRITING 423526 0 99373 0 53587 0 10675 0 11338 0 598499 0 0 0 ELIZABETH WARNER SVP MEMBER HEALTH 373108 0 132341 0 40885 0 9700 0 30364 0 586398 0 0 0 BRUCE E COPLIN MD SVP SPECIALTY TRANSFORMATI 341133 0 131288 0 48553 0 10675 0 25540 0 557189 0 0 0 PATRICIA LUSHKEVICH SVP INTERNAL OPERATIONS 350717 0 123462 0 28816 0 10675 0 31364 0 545034 0 0 0 KATHRYN DECKER SVP PEOPLE AND CULTURE CHR 370312 0 121762 0 6791 0 9700 0 30064 0 538629 0 0 0 EILEEN WOOD EVP PHARMACY SERVICES/CPO 337737 0 118152 0 35053 0 10675 0 26860 0 528477 0 0 0 FRANK ULIBARRI EVP FINANCE AND CFO 380038 0 67200 0 25408 0 10675 0 26104 0 509425 0 0 0 ANNE CARROLL FORMER VP BEHAVIORAL HEALTH AND M 73827 0 123609 0 285955 0 7249 0 12107 0 502747 0 0 0 PART 1 LINES 4A-B: THE EXECUTIVE VICE PRESIDENTS ARE ELIGIBLE FOR A NON-QUALIFIED DEFERRED COMPENSATION PLAN CONTRIBUTION. NO PAYMENT WAS MADE TO THIS PLAN IN 2022. PART 1 LINE 7: EXPLANATION: CDPHP HAS A MANAGEMENT INCENTIVE PROGRAM THAT IS BASED UPON THREE CRITERIA: ATTAINMENT OF PERSONAL AND COMPANY GOALS, ACHIEVEMENT OF QUALITY AND SERVICE TARGETS, AND ACHIEVEMENT OF ENROLLMENT TARGETS. THE BOARD ANNUALLY APPROVES THE METRICS TO BE USED TO ASSESS EACH CRITERION. THE MANAGEMENT INCENTIVE IS PAYABLE ONLY IF DETERMINED TO BE AFFORDABLE BY THE BOARD. IN ADDITION, THE BOARD HAS FINAL DISCRETION AT THE CLOSE OF THE YEAR TO MAKE THE INCENTIVE PAYMENT. LANSINGBURGH FAMILY PRACTICE ADETUTU ADETONA MD 340859 SEE EXPLANATION BELOW 0 COMMUNITY CARE PHYSICIANS PC HOLLY K CLENEY MD 56305860 SEE EXPLANATION BELOW 0 ST PETER'S HOSPITAL GENNARO A DANIELS MD 124754825 SEE EXPLANATION BELOW 0 ALBANY MEDICAL CENTER HOSPITAL MICHAEL DEVITO MD 42599220 SEE EXPLANATION BELOW 0 NY ONCOLOGY HEMATOLOGY TODD DOYLE MD 35539667 SEE EXPLANATION BELOW 0 ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATION REBECCA KEIM MD 26972388 SEE EXPLANATION BELOW 0 ALBANY CAPITAL REGION GASTROENTEROLOGY JOSEPH POLITO II MD 6875387 SEE EXPLANATION BELOW 0 SCHOOLHOUSE PEDIATRICS BRIAN SHERIDAN MD 2340376 SEE EXPLANATION BELOW 0 BRIAN RANA SON OF EILEEN WOOD, KEY EMPLOYEE OF CDPHP 101270 BRIAN IS EMPLOYED AT CDPHP AS A SALESFORCE ADMINISTRATOR 0 MICHAEL RANA SON OF EILEEN WOOD, KEY EMPLOYEE OF CDPHP 205462 MICHAEL IS EMPLOYED AT CDPHP AS A PRODUCT LEADER OF BUSINESS TECHNOLOGY SERVICES 0 LINDA DRAGONETTI SISTER-IN-LAW OF JOHN BENNETT, MD, CEO/PRESIDENT OF CDPHP 69048 LINDA IS EMPLOYED AT CDPHP AS A PROVIDER RELATIONS SPECIALIST 0 ALEXA DRAGONETTI NIECE OF JOHN BENNETT, MD, CEO/PRESIDENT OF CDPHP 64453 ALEXA IS EMPLOYED AT CDPHP AS A GRAPHIC DESIGNER 0 SAMUEL LAFLIN SON-IN-LAW OF JOHN BENNETT, MD, CEO/PRESIDENT OF CDPHP 79725 SAMUEL IS EMPLOYED AT CDPHP AS A GRAPHIC DESIGNER 0 WOMEN'S CANCER CARE ASSOCIATES PATRICK F TIMMINS MD 1682722 SEE EXPLANATION BELOW 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS PURSUANT TO ITS CERTIFICATE OF INCORPORATION AND BYLAWS, EIGHT OF THE MEMBERS OF THE CDPHP BOARD OF DIRECTORS MUST BE PRACTICING PHYSICIANS. AS PRACTICING PHYSICIANS, EACH OF THESE PHYSICIAN DIRECTORS HAS A STANDARD PARTICIPATING PROVIDER AGREEMENT WITH CDPHP PURSUANT TO WHICH THEY ARE PAID FEES FOR SERVICES RENDERED TO CDPHP MEMBERS. PURSUANT TO THE PARTICIPATING PROVIDER AGREEMENT, THE PHYSICIAN DIRECTORS ARE PAID IN ACCORDANCE WITH THE STANDARD FEE SCHEDULE APPLICABLE TO ALL PHYSICIANS GENERALLY. HOWEVER, ALTHOUGH EACH PHYSICIAN HAS AN INDIVIDUAL CONTRACT WITH CDPHP, PAYMENT FOR SERVICES RENDERED BY INDIVIDUAL PHYSICIAN ARE PAYABLE TO THAT PHYSICIAN'S PRACTICE, NOT TO THE PROVIDER INDIVIDUALLY. PAYMENTS MADE BY CDPHP TO THE PROVIDER PRACTICE ARE NOT ALLOCATED OR REPORTED BY CDPHP BY THE INDIVIDUAL PROVIDER. ACCORDINGLY, PAYMENTS REPORTED HEREIN REFLECT THE AMOUNTS PAID IN FULL TO THE PRACTICE. AS NOTED ABOVE AND AS SHOWN IN SCHEDULE L, THESE AMOUNTS WERE PAID TO THE ORGANIZATIONS WHERE THE PHYSICIAN DIRECTOR IS AN EMPLOYEE, PARTNER, SHAREHOLDER OR BOARD MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 EXPLANATION: THE CORPORATION CURRENTLY HAS 601 CORPORATE MEMBERS ALL OF WHOM ARE OR WERE PARTICIPATING PHYSICIANS WITH CDPHP. FORM 990, PART VI, SECTION A, LINE 7A EXPLANATION: CDPHP'S CORPORATE MEMBERS ELECT THE BOARD OF DIRECTORS OF CDPHP. FORM 990, PART VI, SECTION A, LINE 7B EXPLANATION: CORPORATE MEMBERS MUST APPROVE ANY CHANGES IN THE CORPORATION'S MISSION STATEMENT, BY-LAWS, CLASSES OF CORPORATE MEMBERSHIP, OR CHANGES TO THE BOARD OF DIRECTORS. IN ADDITION, THE CLASS "A" MEMBERS MUST APPROVE ANY CHANGES TO THE BY-LAWS AND CERTIFICATE OF INCORPORATION THAT ALTER THE RIGHTS OF CLASS "A" MEMBERS, MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION, OR ANY CONVERSION FROM NOT-FOR-PROFIT STATUS. FORM 990, PART VI, SECTION B, LINE 11B EXPLANATION: THE FORM 990 IS REVIEWED AND APPROVED BY THE DIRECTOR OF ACCOUNTING AND FINANCIAL REPORTING AND THE CFO. IT IS THEN PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. FINALLY, IT IS PRESENTED TO THE BOARD FOR REVIEW PRIOR TO THE IRS SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C EXPLANATION: CDPHP HAS A CONFLICT OF INTEREST POLICY. CDPHP REGULARLY POLLS EMPLOYEES AND BOARD MEMBERS REGARDING POTENTIAL CONFLICT OF INTEREST SITUATIONS. ANY ACTUAL OR POTENTIAL CONFLICTS DISCLOSED ARE PRESENTED TO THE BOARD, AT LEAST ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 EXPLANATION: CDPHP USES OUTSIDE COMPENSATION CONSULTING FIRMS. THESE FIRMS UTILIZE CUSTOM AND PUBLISHED SURVEYS. INFORMATION IS PROVIDED TO CDPHP'S BOARD COMPENSATION COMMITTEE FOR ANNUAL APPROVAL OF EXECUTIVE POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 EXPLANATION: FINANCIAL DOCUMENTS ARE FILED QUARTERLY WITH THE DEPARTMENT OF FINANCIAL SERVICES AND ARE AVAILABLE THROUGH THE FREEDOM OF INFORMATION ACT (FOIA). GOVERNING DOCUMENTS ARE ALSO AVAILABLE THROUGH THE DEPARTMENT OF FINANCIAL SERVICES, ALSO THROUGH FOIA. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: CURRENT YEAR EQUITY METHOD LOSS ON INVESTMENT IN SUBSIDIARIES -75,204,384. STATUTORY DIFFERENCE IN BOND AMORTIZATION -1,578. RECOGNIZED LOSS ON VANGUARD INVESTMENT -6,028,911. SUBLEASE INCOME -42,004. CDPHP FOUNDATION INC 500 PATROON CREEK BLVD ALBANY NY 12206 471619130 FOUNDATION NY 501(C)(3) LINE 10 N/A 0 CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC 500 PATROON CRK BLVD ALBANY NY 12206 141745298 ADMIN SERVICES NY CDPHP UNIVERSAL BENEFITS INC C 165327128 196558729 1.00000 0 CDPHP UNIVERSAL BENEFITS INC 500 PATROON CRK BLVD ALBANY NY 12206 161520935 ARTICLE 43 INSURANCE NY CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC C 653237637 252578418 1.00000 0 STRATEGIC SOLUTIONS MANAGEMENT 429 CLIFTON CORP PKWY CLIFTON PARK NY 12065 141814293 BILLING AND CONSULTING NY CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC C 0 CCP TASS INC 711 TROY SCHENECTADY ROAD STE 201 LATHAM NY 12110 872786025 BILLING AND CONSULTING NY CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC Q 3537078 ALLOCATION CDPHP UNIVERSAL BENEFITS INC N 8814223 ALLOCATION CDPHP UNIVERSAL BENEFITS INC O 34498711 ALLOCATION CDPHP UNIVERSAL BENEFITS INC Q 17219161 ALLOCATION CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC N 1808523 ALLOCATION CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC O 7070988 ALLOCATION FORM 990, SCHEDULE R, RELATED ORGANIZATIONS CDPHP UNIVERSAL BENEFITS, INC. IS 100% OWNED BY CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK, INC. IS CONSIDERED A RELATED ORGANIZATION TO THE FILING ENTITY THROUGH A BROTHER-SISTER RELATIONSHIP AND IS THEREFORE BEING REPORTED ON SCHEDULE R.