2022-01-10T13:09:41-06:00 2020-12-31 113360065 ROTH & COMPANY LLP 1428 36TH STREET SUITE 200 BROOKLYN NY 11218 990 2020-01-01 454781328 HAMASPIK CHOICE INC HAMA 8555524642 58 ROUTE 59 NO 1 MONSEY NY 10952 YOEL BERNATH EXECUTIVE DIRECTOR 8555524642 2021-12-20 1 YOEL BERNATH 999009999 ZACHARIA WAXLER P00502633 7182361600 2021-12-16 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z YOEL BERNATH 58 ROUTE 59 MONSEY NY 10952 112476918 0 X WWW.HAMASPIKCHOICE.ORG X 2012 NY WE ARE COMMITTED TO OPTIMIZING OUR MEMBERS' QUALITY OF LIFE BY COORDINATING AND PROVIDING LONG TERM SUPPORTS AND SERVICES, AND BY RESPONDING PROMPTLY TO OUR MEMBERS' NEEDS. 5 5 154 5 0 0 1562808 0 115479431 112467371 0 9547 0 0 117042239 112476918 0 0 0 0 9343041 10275146 0 0 0 114482336 92067608 123825377 102342754 -6783138 10134164 39017680 53540409 24408068 28796633 14609612 24743776 WE ARE COMMITTED TO OPTIMIZING OUR MEMBERS' QUALITY OF LIFE BY COORDINATING AND PROVIDING LONG TERM SUPPORTS AND SERVICES, AND BY RESPONDING PROMPTLY TO OUR MEMBERS' NEEDS. 0 0 94092550 112467371 HAMASPIK CHOICE IS A MANAGED LONG TERM CARE PLAN THAT PROVIDES ELIGIBLE MEMBERS WITH HEALTHCARE-RELATED PRODUCTS AND SERVICES, ON A PARTIALLY CAPITATED BASIS. 94092550 1 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 251 0 1 154 1 0 0 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 JOEL BRACH 8455030925 58 ROUTE 59 MONSEY NY 10952 HERSCHEL WEISS PRESIDENT 1.00 X 0 0 0 ABRAHAM HERSHKOVITZ TREASURER 1.00 X 0 0 0 ISRAEL STEIN CHAIRMAN 1.00 X 0 0 0 JACOB COHN SECRETARY 1.00 X 0 0 0 MEYER WERTHEIMER BOARD MEMBER 1.00 X 0 0 0 YOEL BERNATH EXECUTIVE DIRECTOR 40.00 X 395660 0 52884 HAMMAD RIZVI CHIEF MEDICAL OFFICER 40.00 X 340936 0 0 KARL DEHM VP OF COMPLIANCE & REGULATORY AFFAIRS 40.00 X 282829 0 18320 CHAYA BACK VP OF STRATEGY AND INNOVATION 40.00 X 203252 0 34155 JOSHUA WEISS VP OF NETWORK DEVELOPMENT AND FISCAL 40.00 X 172898 0 26596 CHRISTIE JACQUES DIRECTOR OF CARE MANAGEMENT 40.00 X 122281 0 8607 ALEX LOWY DIRECTOR OF OFFICE OPERATIONS AND SYSTEMS 40.00 X 136302 0 24657 DAVID M FRIEDMAN VP OF OPERATIONS 40.00 X 144625 0 15721 1798783 0 180940 17 0 1 0 COMMUNITY HOME HEALTH CARE PO BOX 220 BETTENDORF IA 52722 MEDICAL AND HEALTH CARE 13921841 UNLIMITED CARE INC 333 WESTCHESTER AVE STE WG02 WHITE PLAINS NY 10604 MEDICAL AND HEALTH CARE 6707622 PREFERRED HOME CARE 2537 60TH STREET BROOKLYN NY 11204 MEDICAL AND HEALTH CARE 6176184 HAMASPIK CARE INC 5 PERLMAN DRIVE SPRING VALEY NY 10977 MEDICAL AND HEALTH CARE 6162322 MARQUIS HOME CARE LLC 230 N MAIN ST SPRING VALEY NY 10977 MEDICAL AND HEALTH CARE 4258608 81 MEDICAID REVENUE 524114 110249822 110249822 PATIENT SURPLUS 524114 2217549 2217549 112467371 9547 9547 112476918 112467371 0 9547 X 1090629 783255 307374 7165432 4093578 3071854 1425816 1086974 338842 593269 350446 242823 201559 201559 49350 49350 88557098 86605578 1951520 31716 31716 700794 700794 426186 426186 306122 306122 65514 65514 221381 221381 1101196 1101196 71523 71523 ASSOCIATION FEES 335169 335169 102342754 94092550 8250204 0 25369016 30515885 2004469 3154414 459601 453302 204922 4408884 2034027 3167781 2374857 12074177 8023112 4756553 39017680 53540409 18471128 13595245 4305392 3700000 6719195 2236940 4176801 24408068 28796633 X 14609612 24743776 14609612 24743776 39017680 53540409 10134164 0 X 0 1 X 0 0 X 2330000 133321 1599647 1562808 5625776 69924941 97993570 113669966 115479431 112467371 509535279 72254941 98126891 115269613 117042239 112467371 515161055 0 0 0 515161055 9547 9547 9547 9547 72254941 98126891 115269613 117042239 112476918 515170602 1.00000 1.00000 0.00000 X 1069841 127266 942575 3339043 1906761 1432282 2374857 12074177 C 12074177 NYS STATUTORILY DESIGNATED CONTINGENT RESERVE 4756553 4756553 DUE TO DEPARTMENT OF HEALTH 4176801 4176801 X X X 0 0 0 0 0 0 0 0 0 YOEL BERNATH EXECUTIVE DIRECTOR 395660 0 0 0 0 0 0 0 52884 0 448544 0 0 0 HAMMAD RIZVI CHIEF MEDICAL OFFICER 340936 0 0 0 0 0 0 0 0 0 340936 0 0 0 KARL DEHM VP OF COMPLIANCE & REGULATORY AFFAIR 282829 0 0 0 0 0 0 0 18320 0 301149 0 0 0 CHAYA BACK VP OF STRATEGY AND INNOVATION 203252 0 0 0 0 0 0 0 34155 0 237407 0 0 0 JOSHUA WEISS VP OF NETWORK DEVELOPMENT AND FISCAL 172898 0 0 0 0 0 0 0 26596 0 199494 0 0 0 ALEX LOWY DIRECTOR OF OFFICE OPERATIONS AND SY 136302 0 0 0 0 0 0 0 24657 0 160959 0 0 0 DAVID M FRIEDMAN VP OF OPERATIONS 144625 0 0 0 0 0 0 0 15721 0 160346 0 0 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 THE FORM 990 PREPARER SENDS THE BOARD OF DIRECTORS A DRAFT COPY OF THE COMPLETE FORM 990 FOR REVIEW AND COMMENTS. A FINAL VERSION OF THE FORM 990 IS SENT TO THE EXECUTIVE DIRECTOR. THE COMPLETE FORM 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR THEN SIGNS THE E-FILE AUTHORIZATION FORM AND RETURNS IT TO THE FORM 990 PREPARER. THE FORM 990 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 86,605,578. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,605,578. CLAIMS PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,560,120. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,560,120. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 391,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 391,400. HAMASPIK INC 58 ROUTE 59 SUITE 1 MONSEY NY 10952 833467374 HEALTH INSURANCE NY HAMASPIK CHOICE INC C 40570 11106541 1.00000 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HAMASPIK INC D 459601 CASH