2022-02-15T08:44:18-06:00 2021-03-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2020-04-01 208022336 NEW YORK EHEALTH COLLABORATIVE INC NEWY 6468174101 115 BROADWAY NO 1601 NEW YORK NY 10006 DONALD JURON INTERIM CEO 6468174101 2022-02-15 1 DONALD JURON XXX-XX-XXXX GARRETT M HIGGINS P00543209 9143818900 2022-02-15 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN D BENNETT MD 115 BROADWAY NO 1601 NEW YORK NY 10006 88915396 0 X WWW.NYEHEALTH.ORG X 2006 NY TO IMPROVE HEALTHCARE FOR ALL NEW YORKERS THROUGH HEALTH INFORMATION TECHNOLOGY ("HEALTH IT"). 18 18 79 20 0 0 36422871 88770462 51810 104720 51267 26535 1578 2325 36527526 88904042 20620388 64247560 0 0 2400550 9522714 0 0 138218 4006145 8977261 27027083 82747535 9500443 6156507 41860936 54713139 15123595 21551791 26737341 33161348 X NEW YORK EHEALTH COLLABORATIVE (NYEC) WORKS TO IMPROVE HEALTHCARE FOR ALL NEW YORKERS THROUGH HEALTH INFORMATION TECHNOLOGY (HEALTH IT). FOUNDED IN 2006 BY HEALTHCARE LEADERS, NYEC IS DESIGNATED BY THE STATE AND FEDERAL GOVERNMENT TO SERVE AS THE FOCAL POINT FOR HEALTH IT IN THE STATE OF NEW YORK NYEC WORKS TO DEVELOP POLICIES AND STANDARDS, TO ASSIST HEALTHCARE PROVIDERS IN MAKING THE SHIFT TO ELECTRONIC HEALTH RECORDS STATEWIDE THE GOAL OF NYEC IS THAT NO PATIENTS, WHEREVER THEY MAY NEED TREATMENT WITHIN THE STATE OF NEW YORK, ARE EVER WITHOUT ACCESS TO FAST, SECURE, AND ACCURATE PERSONAL MEDICAL INFORMATION. 0 0 77288053 63475210 STATEWIDE HEALTH INFORMATION OF NEW YORK (SHIN-NY):THE SHIN-NY IS A NETWORK OF INFORMATION TRANSMITTED BETWEEN USERS LIKE THE INTERNET, AS MORE USERS CONNECT, IT GROWS, EVOLVES, AND BECOMES MORE SECURE, EFFICIENT, AND EASY TO USE.AS AN INCREASING NUMBER OF PRIVATE PRACTICES, NURSING HOMES, CLINICS, AND HOSPITALS BEGIN TO DIGITIZE THEIR RECORDS, THEY HAVE THE OPTION TO CONNECT TO INFORMATION HUBS (OR RHIOS/QES) IN THEIR REGION OF THE STATE. THESE HUBS COLLECT HEALTH RECORD DATA FROM THE HEALTHCARE PROVIDERS IN THEIR AREA, AND, WITH PATIENT CONSENT, ALLOW THIS INFORMATION TO BE SHARED SECURELY WITH OTHER PROVIDERS IN THE REGION. NYEC IS RESPONSIBLE FOR THE STATEWIDE CONNECTIVITY BETWEEN THESE HUBS AND IS ALSO THE TECHNICAL HUB FOR MUCH OF THE DOWNSTATE AREA IN ADDITION, NYEC ESTABLISHED THE TECHNICAL CAPABILITY FOR ALL HEALTHCARE PROVIDERS TO SECURELY SEND AND RECEIVE ELECTRONIC HEALTH RECORDS BETWEEN EACH OTHER USING A CERTIFIED EHR PRODUCT (DIRECT). 1391738 772350 104720 TO ADVANCE HEALTH INFORMATION TECHNOLOGY IN NEW YORK STATE, AS NATIONAL HEALTH REFORM EFFORTS REQUIRE THAT PROVIDERS, PRACTICES, AND ORGANIZATIONS MAKE THE TRANSITION FROM PAPER-BASED TO ELECTRONIC HEALTH RECORDS WITH HEALTH INFORMATION EXCHANGE. THE NYEC REC PROGRAM ASSISTS PHYSICIANS, CLINICS, NURSING HOMES, AND OTHER HEALTHCARE PROVIDERS IN MAKING THIS TRANSITION. WE PROVIDE CONSULTING AND TRAINING SERVICES AND OFFER GUIDANCE ON THE ADOPTION OF THESE NEW TECHNOLOGIES FOR HEALTHCARE PROVIDERS TO ACHIEVE "MEANINGFUL USE AND HEALTH INFORMATION EXCHANGE. 78679791 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 123 0 79 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X BRUNO PETTONI CFO 6468174087 115 BROADWAY NO 1601 NEW YORK NY 10006 JOHN D BENNETT MD CHAIR 1.00 X X 0 0 0 HERBERT PARDES MD VICE CHAIR 1.00 X X 0 0 0 MICHAEL STOCKER MD VICE CHAIR 1.00 X X 0 0 0 MICHAEL GOLDEN TREASURER 1.00 X X 0 0 0 JEFFREY KRAUT SECRETARY 1.00 X X 0 0 0 DENNIS WHALEN MD SECRETARY THRU SEPT 2020 1.00 X X 0 0 0 JORDANNA DAVIS DIRECTOR 1.00 X 0 0 0 JOHN GLYNN DIRECTOR 1.00 X 0 0 0 INDU GUPTA MD DIRECTOR 1.00 X 0 0 0 KATHRYN HASLANGER DIRECTOR 1.00 X 0 0 0 DAVID H KLEIN DIRECTOR 1.00 X 0 0 0 ARTHUR A LEVIN DIRECTOR 1.00 X 0 0 0 JONATHAN DAVID LISS DIRECTOR 1.00 X 0 0 0 ANN F MONROE DIRECTOR 1.00 X 0 0 0 CAROL RAPHAEL DIRECTOR THRU SEPT 2020 1.00 X 0 0 0 LONNY REISMAN MD DIRECTOR 1.00 X 0 0 0 THOMAS SCHENK MD DIRECTOR 1.00 X 0 0 0 MATTHEW SHAFIROFF MD DIRECTOR 1.00 X 0 0 0 SALVATORE VOLPE MD DIRECTOR 1.00 X 0 0 0 SUSAN C WALTMAN ESQ DIRECTOR 1.00 X 0 0 0 VALERIE GREY CHIEF EXECUTIVE DIRECTOR 35.00 X 504803 0 19394 BRUNO PETTONI CHIEF FINANCIAL OFFICER 35.00 X 285748 0 45062 THOMAS LICCIARDELLO CHIEF INFORMATION OFFICER 35.00 X 281052 0 49816 NATHAN DONNELLY SENIOR VP, POLICY & ANALYSIS 35.00 X 271625 0 46845 CAROL GAMBLE HEFFERNAN VP OF INNOVATION THRU NOV 2020 35.00 X 251081 0 24756 ALISON BIANCHI GENERAL COUNSEL & SPECIAL ADVISOR 35.00 X 218299 0 31806 EDWARD J MCGILL VP, HAPS PROGRAM THRU NOV 2020 35.00 X 198594 0 23025 ELIZABETH FLECK VICE PRESIDENT, SHIN-NY PROGRAMS 35.00 X 191530 0 30906 2202732 0 271610 29 0 1 0 PROLIFICS INC 111 NORTH MAGNOLIA AVENUE SUITE 15 ORLANDO FL 32801 CONSULTING SERVICES 701943 MANATT PHELPS & PHELPS LLP 11355 WEST OLYMPIC BOULEVARD LOS ANGELES CA 90064 LEGAL SERVICES 454174 VICOM COMPUTER SERVICES INC 400 BROADHOLLOW ROAD FARMINGDALE NY 11735 SOFTWARE LICENSES 364039 NORC AT THE UNIVERSITY OF CHICAGO PO BOX 772327 DETROIT MI 48277 CONSULTING SERVICES 354701 WEBHOUSE INC PO BOX 843838 DALLAS TX 75284 SOFTWARE LICENSES 331045 23 283050 88487412 88770462 CONTRACT REVENUES 900099 104720 104720 104720 26535 26535 0 283050 11354 -11354 -11354 REBATES 900099 13679 13679 13679 88904042 104720 0 28860 61235560 61235560 3012000 3012000 1292319 736498 544202 11619 6635798 5150253 1462114 23431 329417 257617 70495 1305 884103 669461 210507 4135 381077 284040 95349 1688 107380 107380 51000 51000 91500 91500 4163753 3730077 433648 28 113109 110286 2823 227372 61026 165789 557 1868115 1836507 31608 1058661 731754 326907 2917 2620 297 4095 373 3722 827782 612611 215171 188034 53582 134452 MEMBERSHIP DUES 96204 58756 37448 EVENT EXPENSES 95455 95455 STAFF DEVELOPMENT 48558 44945 3613 OTHER EXPENSES 18589 325 18264 14737 14737 82747535 78679791 3929526 138218 0 520116 24747790 48562307 12936282 2438131 34531 0 1037667 854208 4429168 2557588 2637869 1871580 466797 466797 41860936 54713139 15123595 19877809 0 1673982 15123595 21551791 X 18384494 19914009 8352847 13247339 26737341 33161348 41860936 54713139 X 6156507 267500 X X 0 1 X 1 1 1 X 30780363 78262522 91139798 36422871 88770462 325376016 30780363 78262522 91139798 36422871 88770462 325376016 325376016 64576 192673 51267 26535 335051 11788 1578 13679 27045 325738112 2086070 0.99890 0.99870 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 11,788. REBATES - 2019 AMOUNT: $ 1,578. 2020 AMOUNT: $ 13,679. PART III, SHORT YEAR EXPLANATION: THE ORGANIZATION HAS A SHORT YEAR FROM 1/1/2020 - 3/31/2020. SCHEDULE A, PART II, COLUMN (D) REFLECTS THE SHORT YEAR AMOUNTS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 91500 91500 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 98743 199979 2691145 1565236 1125909 1439301 893609 545692 1871580 PAYCHECK PROTECTION PROGRAM LOAN 1673982 1673982 X 89197896 282500 11354 293854 88904042 0 88904042 82773889 26354 26354 82747535 0 82747535 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 2018. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES - PART VIII, LINE 8B 11,354. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES - PART VIII, LINE 8B 11,354. WRITE-OFF OF PLEDGE RECEIVABLES 15,000. GALA 283050 283050 4447 6907 283050 283050 4447 6907 11354 -11354 1 BRONX RHIO INC 1776 EASTCHESTER ROAD SUITE 200 BRONX NY 104612334 205721976 501(C)(3) 5892779 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 200 CANAL VIEW BLVD SUITE 200 ROCHESTER NY 14623 204669094 501(C)(3) 6209583 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 CENTER NETWORK OF NEW YORK DBA HEALTHEFFICIENT 911 CENTRAL AVENUE 330 ALBANY NY 12206 141980688 501(C)(3) 10200 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) 7078749 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). HEALTHECONNECTIONS HACCNY FRANKLIN CENTER SUITE 001 SYRACUSE NY 13204 202702655 501(C)(3) 10890915 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 40 WORTH STREET 5TH FLOOR NEW YORK NY 10013 450553664 501(C)(3) 23298334 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). STRATEGIC INTERESTS LLC 41 ESPLANADE DRIVE ROCHESTER NY 14610 271565324 40800 TO ASSIST ELIGIBLE PROVIDERS ACHIEVE MEANINGFUL USE (MU) UNDER THE MEDICAID ELIGIBLE PROFESSIONAL EXPANSION PROGRAM (EP2). TECHLEADERS CONSULTING LLC 260 MAIN STREET SUITE 102 NORTHPORT NY 11768 330995429 721350 TO ASSIST ELIGIBLE PROVIDERS ACHIEVE MEANINGFUL USE (MU) UNDER THE MEDICAID ELIGIBLE PROFESSIONAL EXPANSION PROGRAM (EP2). WNY CLINICAL INFORMATION EXCHANGE INC 2475 GEORGE URBAN BOULEVARD SUITE 202 DEPEW NY 14043 364594483 501(C)(3) 7092850 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). 7 2 DATA EXCHANGE INCENTIVE PROGRAM 375 3012000 PART I, LINE 2: GRANT TO SUBRECIPIENTS - THE PROCEDURES FOR MONITORING THE USE OF ASSISTANCE INCLUDE WEEKLY MEETINGS WITH EACH OF THE ASSISTANCES AND QUARTERLY SCORECARDS GENERATED FOR EACH OF THE ENTITIES BY NYEC. NYEC ALSO ATTEND PRESENTATIONS THAT THE ENTITIES HAVE WITH THEIR RESPECTIVE PROVIDERS TO MAKE SURE ALL DELIVERABLES ARE MEET. GRANT TO INDIVIDUALS- THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH), WITH SUPPORT FROM CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS), HAS ESTABLISHED THE DATA EXCHANGE INCENTIVE PROGRAM (DEIP) TO INCREASE HIE ADOPTION ACROSS THE STATE FOR MEDICAID PROVIDERS. PARTICIPATING PHYSICIANS ARE INCENTIVIZED TO CONTRIBUTE A PRE-DEFINED SET OF DATA ELEMENTS TO THE SHIN-NY THROUGH A QUALIFIED ENTITY ("QE"). THIS PROGRAM IS DESIGNED TO HELP DEFRAY THE COST FOR AN ORGANIZATION WHEN CONNECTING TO THEIR LOCAL QE. NEW YORK EHEALTH COLLABORATIVE IS COORDINATING THE ROLLOUT OF THE PROGRAM AND THE INCENTIVE PAYMENTS ON BEHALF OF THE STATE DEPARTMENT OF HEALTH. ELIGIBLE PHYSICIANS MAY RECEIVE UP TO $13,000 IN INCENTIVES TO OFFSET THE COST AND EFFORTS OF HEALTH INFORMATION EXCHANGE ADOPTION. INDIVIDUALS WISHING TO PARTICIPATE IN THE DEIP NEED TO APPLY FOR THE PROGRAM AND MEET VARIOUS MILESTONES THROUGHOUT THE PROGRAM TO OBTAIN FUNDING. PARTICIPANTS MUST MEET VARIOUS PATIENT VOLUME THRESHOLD, CONTRIBUTE SPECIFIC DATA ELEMENTS, AND CONTINUE TO EXCHANGE DATA FOR ONE YEAR. X X X 1 0 0 0 0 0 0 1 0 VALERIE GREY CHIEF EXECUTIVE DIRECTOR 451838 0 52965 0 0 0 16800 0 2594 0 524197 0 0 0 THOMAS LICCIARDELLO CHIEF INFORMATION OFFICER 250152 0 30900 0 0 0 7600 0 42216 0 330868 0 0 0 BRUNO PETTONI CHIEF FINANCIAL OFFICER 274559 0 11189 0 0 0 16800 0 28262 0 330810 0 0 0 NATHAN DONNELLY SENIOR VP, POLICY & ANALYSIS 242337 0 29288 0 0 0 16800 0 30045 0 318470 0 0 0 CAROL GAMBLE HEFFERNAN VP OF INNOVATION THRU NOV 2020 225593 0 7050 0 18438 0 13067 0 11689 0 275837 0 0 0 ALISON BIANCHI GENERAL COUNSEL & SPECIAL ADVISOR 212699 0 5600 0 0 0 13513 0 18293 0 250105 0 0 0 ELIZABETH FLECK VICE PRESIDENT, SHIN-NY PROGRAMS 183908 0 7622 0 0 0 11762 0 19144 0 222436 0 0 0 EDWARD J MCGILL VP, HAPS PROGRAM THRU NOV 2020 182229 0 1850 0 14515 0 10413 0 12612 0 221619 0 0 0 PART I, LINE 4A PURSUANT TO THE TERMS AND CONDITIONS STIPULATED IN MS. CAROL GAMBLE HEFFERNAN'S SEPARATION AGREEMENT, THE ORGANIZATION PAID A SEVERANCE PAYMENT TO MS. CAROL GAMBLE HEFFERNAN'S IN THE AMOUNT OF $18,438 IN 2020, WHICH IS REFLECTED ON SCHEDULE J, PART II, COLUMN B(III). PURSUANT TO THE TERMS AND CONDITIONS STIPULATED IN MR. EDWARD J. MCGILL'S SEPARATION AGREEMENT, THE ORGANIZATION PAID A SEVERANCE PAYMENT TO MR. EDWARD J. MCGILL'S IN THE AMOUNT OF $14,515 IN 2020, WHICH IS REFLECTED ON SCHEDULE J, PART II, COLUMN B(III). PART I, LINE 7 BONUSES ARE PAID BASED ON THE PERFORMANCE OF THE INDIVIDUALS AND WITHIN THE APPROVED BUDGET. BONUSES WERE TAXABLE AND REPORTED ON THE INDIVIDUALS' 2020 FORM W-2S, AND INCLUDED ON SCHEDULE J, PART II IN COLUMN B (II). 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 THE FULL BOARD, PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C NEW YORK EHEALTH COLLABORATIVE, INC. (NYEC) CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY THAT APPLIES TO ANY DIRECTOR, OFFICE OR KEY EMPLOYEES. THE BOARD OF DIRECTORS MANDATES THAT ALL MEMBERS OF THE GOVERNING BODY ANNUALLY SIGN A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. THE QUESTIONNAIRE MUST BE SUBMITTED TO THE SECRETARY/TREASURER OF NYEC WHICH IS THEN PROVIDED TO THE AUDIT COMMITTEE. AN INTEREST PERSON WHO HAS POTENTIAL CONFLICT OF INTEREST MUST NOT PARTICIPATE OR BE PRESENT DURING THE DELIBERATIONS AND VOTING OF NYEC REGARDING THE CONFLICT OF INTEREST. 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 15A COMPENSATION OF THE CHIEF EXECUTIVE OFFICER (CEO) IS DETERMINED AND APPROVED BY THE EXECUTIVE COMMITTEE USING DATA RESEARCHED BY EXPERT CONSULTING FIRMS. RECORDS OF COMMITTEE'S COMPENSATION DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN 2020. 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 XI, LINE 9: RECOUPMENT OF PRIOR YEAR GRANT 282,500. WRITE-OFF OF PLEDGE RECEIVABLES -15,000. 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.