2023-11-15T17:38:18-06:00 2022-12-31 113360065 ROTH & COMPANY LLP 1428 36TH STREET SUITE 200 BROOKLYN NY 11218 990 2022-01-01 454781328 HAMASPIK CHOICE INC HAMA 8555524642 58 ROUTE 59 1 MONSEY NY 10952 YOEL BERNATH EXECUTIVE DIRECTOR 8555524642 2023-11-16 1 YOEL BERNATH 999009999 0 ZACHARIA WAXLER P00502633 7182361600 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z YOEL BERNATH 58 ROUTE 59 MONSEY NY 10952 93609588 0 X WWW.HAMASPIKCHOICE.ORG X 2012 NY HAMASPIK CHOICE IS COMMITTED TO EXCELLENCE IN PROVIDING ACCESS TO QUALITY-DRIVEN HEALTH CARE COVERAGE IN A CULTURALLY-SENSITIVE, TIMELY AND RESPONSIVE MANNER. 5 5 293 5 0 0 3910392 0 107292920 91318659 62633 1308161 0 0 111265945 92626820 360000 419100 0 0 11428813 14983716 0 0 0 76459470 76775420 88248283 92178236 23017662 448584 66826438 66121497 19065000 17911477 47761438 48210020 HAMASPIK CHOICE IS COMMITTED TO EXCELLENCE IN PROVIDING ACCESS TO QUALITY-DRIVEN HEALTH CARE COVERAGE IN A CULTURALLY-SENSITIVE, TIMELY AND RESPONSIVE MANNER. 0 0 79256860 419100 91318659 HAMASPIK CHOICE IS A MANAGED LONG TERM CARE PLAN THAT PROVIDES ELIGIBLE MEMBERS WITH HEALTHCARE-RELATED PRODUCTS AND SERVICES, ON A PARTIALLY CAPITATED BASIS. 79256860 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 1293 0 293 1 0 0 0 0 0 0 0 0 0 0 X 5 5 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X CHAYA BACK 8455030925 58 ROUTE 59 MONSEY NY 10952 HERSCHEL WEISS PRESIDENT 1.00 X X 0 0 0 ABRAHAM HERSHKOVITZ TREASURER 1.00 X X 0 0 0 ISRAEL STEIN CHAIRMAN 1.00 X 0 0 0 JACOB COHN SECRETARY 1.00 X X 0 0 0 MEYER WERTHEIMER BOARD MEMBER 1.00 X 0 0 0 YOEL BERNATH EXECUTIVE DIRECTOR 40.00 X 718639 0 8221 JOEL BRACH CHIEF FINANCIAL OFFICER 40.00 X 156268 0 13845 HAMMAD RIZVI CHIEF MEDICAL OFFICER 40.00 X 397040 0 0 KARL DEHM VP OF COMPLIANCE & REGULAT 40.00 X 295204 0 19475 CHAYA BACK VP OF STRATEGY AND INNOVAT/INTERIM CFO 40.00 X 223633 0 43682 DAVID M FRIEDMAN VP OF OPERATIONS 40.00 X 279530 0 30260 EMILY MANNING VP OF OPERATION - MEDICARE 40.00 X 192027 0 9633 TZIPORAH SCHWARTZ CHIEF BUSINESS DEVELOPMENT OFFICER 40.00 X 354025 0 15857 DAVID LANDAU MANAGER OF FACILITY ENROLLMENTS 40.00 X 189043 0 18568 SHAINDY MAYER DIRECTOR OF CLAIMS PROCESSING 40.00 X 207728 0 20405 CHAYA SCHLESINGER DIRECTOR OF HR 40.00 X 217145 0 11101 3230282 0 191047 29 0 1 0 COMMUNITY HOME HEALTH CARE PO BOX 220 BETTENDORF IA 52722 MEDICAL AND HEALTH CARE 18158966 HAMASPIK CARE INC 5 PERLMAN DRIVE SPRING VALEY NY 10977 MEDICAL AND HEALTH CARE 6298382 UNLIMITED CARE INC 333 WESTCHESTER AVE STE WG02 WHITE PLAINS NY 10604 MEDICAL AND HEALTH CARE 4296460 PREFERRED HOME CARE 2537 60TH STREET BROOKLYN NY 11204 MEDICAL AND HEALTH CARE 4246760 PRIORITY HOME CARE PO BOX 220 BETTENDORF IA 52722 MEDICAL AND HEALTH CARE 3460195 122 MEDICAID REVENUE 524114 89758038 89758038 QUALITY INCENTIVE POOL AWARD 524114 1016986 1016986 PATIENT SURPLUS 524114 543635 543635 91318659 290929 290929 2000000 982768 1017232 1017232 1017232 92626820 91318659 0 1308161 X 419100 419100 2185797 955098 1230699 10044841 4270203 5774638 1838252 1516548 321704 914826 390248 524578 289121 289121 67000 67000 72415365 70404815 2010550 64053 64053 944851 494574 450277 1175120 1175120 388625 388625 213478 205930 7548 217075 217075 450404 450404 149940 149940 ASSOCIATION FEES 400388 400388 92178236 79256860 12921376 0 7456101 2473831 32622337 36332463 3298133 588079 3605562 346803 157108 5373594 3352242 2666772 2021352 12074177 19074177 4756553 5474487 66826438 66121497 11797604 11712824 2000000 5267396 42493 0 6156160 19065000 17911477 X 47761438 48210020 47761438 48210020 66826438 66121497 448584 0 X 0 1 X 0 0 X 1599647 1562808 3910392 7072847 113669966 115479431 112467371 107292920 91318659 540228347 115269613 117042239 112467371 111203312 91318659 547301194 0 0 0 547301194 9547 62633 290929 363109 9547 62633 290929 363109 115269613 117042239 112476918 111265945 91609588 547664303 0.99930 0.99990 0.00070 0.00010 X 1962428 358213 1604215 3397000 2985765 411235 14166 8264 5902 2021352 INVESTMENT IN HAMASPIK INC 19074177 C 19074177 NYS MEDICAL ESCROW 4756553 OPERATING RIGHT-OF-USE ASSET 717934 5474487 LEASE LIABILTY 729043 SURPLUS NOTE PAYABLE & ACCRUED INTEREST - RELATED PARTY 5427117 6156160 1 OJC FUND INC 1303 53RD STREET BROOKLYN NY 11219 113618879 501(C)3 380000 0 GENERAL SUPPORT 1 0 PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE ORGANIZATION PERFORMS ONGOING REVIEWS OF GRANTEES TO ENSURE THAT THE GRANTS ARE GRANTED ONLY TO THOSE ORGANIZATIONS WHO MEET THE CRITERIA TO BE ELIGIBLE TO RECEIVE GRANTS. IN ADDITION, THE ORGANIZATION RESERVES THE RIGHT TO REVIEW THE BOOKS AND RECORDS OF THE GRANTEES. X X X 0 0 0 0 0 0 0 0 0 YOEL BERNATH EXECUTIVE DIRECTOR 718639 0 0 0 0 0 0 0 8221 0 726860 0 0 0 HAMMAD RIZVI CHIEF MEDICAL OFFICER 397040 0 0 0 0 0 0 0 0 0 397040 0 0 0 TZIPORAH SCHWARTZ CHIEF BUSINESS DEVELOPMENT OFFICER 354025 0 0 0 0 0 0 0 15857 0 369882 0 0 0 KARL DEHM VP OF COMPLIANCE & REGULAT 295204 0 0 0 0 0 0 0 19475 0 314679 0 0 0 DAVID M FRIEDMAN VP OF OPERATIONS 279530 0 0 0 0 0 0 0 30260 0 309790 0 0 0 CHAYA BACK VP OF STRATEGY AND INNOVAT/INTERIM C 223633 0 0 0 0 0 0 0 43682 0 267315 0 0 0 CHAYA SCHLESINGER DIRECTOR OF HR 217145 0 0 0 0 0 0 0 11101 0 228246 0 0 0 SHAINDY MAYER DIRECTOR OF CLAIMS PROCESSING 207728 0 0 0 0 0 0 0 20405 0 228133 0 0 0 DAVID LANDAU MANAGER OF FACILITY ENROLLMENTS 189043 0 0 0 0 0 0 0 18568 0 207611 0 0 0 EMILY MANNING VP OF OPERATION - MEDICARE 192027 0 0 0 0 0 0 0 9633 0 201660 0 0 0 JOEL BRACH CHIEF FINANCIAL OFFICER 156268 0 0 0 0 0 0 0 13845 0 170113 0 0 0 HIGH STANDARD HOME CARE INC 35% CONTROLLED ENTITY OF YOEL BERNATH AND MEYER WERTHEIMER 61318 MEDICAL AND HEALTH CARE 0 MIRIAM BERNATH FAMILY MEMBER OF MEYER WERTHEIMER, BOARD MEMBER & YOEL BERNATH, EXEC. DIREC 3500 REASONABLE COMPENSATION 0 YOEL BERNATH FAMILY MEMBER OF MEYER WERTHEIMER, BOARD MEMBER 726860 REASONABLE COMPENSATION 0 TRI COUNTY CARE LLC RELATED THROUGH COMMON OFFICER, YOEL BERNATH, EXECUTIVE DIRECTOR 283250 FMV RENT 0 FORM 990, PART VI, SECTION A, LINE 2 YOEL BERNATH, OFFICER, AND MEYER WERTHEIMER, BOARD MEMBER, ARE FAMILY MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS OF REVIEW FOR FORM 990 THE TAX RETURN PREPARER SENDS THE BOARD OF DIRECTORS A DRAFT COPY OF THE COMPLETED TAX RETURN FOR REVIEW AND COMMENTS. AFTER THE BOARD OF DIRECTORS APPROVES THE RETURN THEY NOTIFY THE TAX RETURN PREPARER AND A FINAL VERSION OF THE RETURN IS SENT TO THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR THEN SIGNS THE E-FILE AUTHORIZATION FORM AND RETURNS IT TO THE TAX RETURN PREPARER. THE TAX RETURN PREPARER THEN E-FILES THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLIT OF INTEREST. FAILURE TO DISCLOSE A POTENTIAL CONFLICT OF INTEREST OR ENGAGING IN A PRACTICE DETERMINED TO BE A CONFLICT OF INTEREST MAY RESULT IN DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS BASED ON WHAT OTHER INDUSTRIES PAY FOR JOBS WITH THE SAME OR SIMILAR TYPES OF RESPONSIBILITIES. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST THE PUBLIC MAY VIEW THE ORGANIZATION'S GOVERNING DOCUMENTS AND RELATED DOCUMENTS AT THE ADDRESS LOCATED ON PAGE 1 OF FORM 990. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 70,404,815. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,404,815. CLAIMS PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,019,508. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,019,508. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 991,042. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 991,042. HAMASPIK OF ROCKLAND COUNTY INC 58 ROUTE 59 1 MONSEY NY 10952 133978518 HEALTH & HUMAN SERVICES NY 501(C)(3) LINE 10 0 NYSHA INC 293 DIVISION AVENUE BROOKLYN NY 11211 264085718 HEALTH CLINIC NY 501(C)(3) LINE 10 0 HAMASPIK INC 58 ROUTE 59 SUITE 1 MONSEY NY 10952 833467374 HEALTH INSURANCE NY HAMASPIK CHOICE INC C 45172707 21605009 1.00000 1 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 0 0 0 0 HAMASPIK INC J 316096 CASH HAMASPIK INC L 5591676 CASH