FURP.ORG / PUBLIC DATA EXPLORER

CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (EIN 14-1641028)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-10
IRS object ID
202233149349301103
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-10T06:51:26-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16 WEMBLEY CTAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141641028EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAPITAL DISTRICT PHYSICIANS' HEALTHBusinessNameLine1Txt
Business Name Line2PLAN INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCAPIBusinessNameControlTxt
Phone5186414085PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 PATROON CREEK BLVDAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP122061057ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFRANK ULIBARRIPersonNm
Person TitleEVP FINANCE AND CFOPersonTitleTxt
Phone5186414085PhoneNum
Signature2022-08-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstFRANKPersonFirstNm
Person LastULIBARRIPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGLORIA M NOSTRAMOPreparerPersonNm
PTINP01385068PTIN
Phone5184644080PhoneNum
Preparation2022-08-29PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFRANK ULIBARRIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 PATROON CREEK BLVDAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP122061057ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,066,895,478GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.CDPHP.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionCDPHP 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.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1457TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,742,108,726PYProgramServiceRevenueAmt
CY Program Service Revenue$1,890,308,345CYProgramServiceRevenueAmt
PY Investment Income$6,806,780PYInvestmentIncomeAmt
CY Investment Income$19,134,033CYInvestmentIncomeAmt
PY Other Revenue$357,794PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,749,273,300PYTotalRevenueAmt
CY Total Revenue$1,909,442,378CYTotalRevenueAmt
PY Grants And Similar Paid$12,338,894PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$321,972CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,551,964,047PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$1,721,423,109CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$113,862,366PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$125,226,629CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$99,687,536PYOtherExpensesAmt
CY Other Expenses$101,080,757CYOtherExpensesAmt
PY Total Expenses$1,777,852,843PYTotalExpensesAmt
CY Total Expenses$1,948,052,467CYTotalExpensesAmt
PY Revenues Less Expenses-$28,579,543PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$38,610,089CYRevenuesLessExpensesAmt
Total Assets BOY$778,008,144TotalAssetsBOYAmt
Total Assets EOY$743,367,236TotalAssetsEOYAmt
Total Liabilities BOY$301,294,044TotalLiabilitiesBOYAmt
Total Liabilities EOY$371,636,714TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$476,714,100NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$371,730,522NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCDPHP 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$599,704,494ExpenseAmt
Grant$31,997GrantAmt
Revenue$574,375,349RevenueAmt
DescCDPHP PROVIDES HEALTH CARE BENEFITS TO EMPLOYER GROUP MEMBERS AND INDIVIDUALS IN OUR COMMUNITY. AS OF DECEMBER 31, 2021, 73,996 MEMBERS WERE ENROLLED IN COMMERCIAL PRODUCTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$675,416,552ExpenseAmt
Grant$61,773GrantAmt
Revenue$686,731,790RevenueAmt
DescCDPHP'S MEDICAID, HARP, AND ESSENTIAL PLANS PROVIDE HEALTH CARE BENEFITS TO 118,892 MEMBERS IN NEW YORK STATE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$543,677,669ExpenseAmt
Grant$20,657GrantAmt
Revenue$584,298,860RevenueAmt
DescCDPHP'S MEDICARE PROGRAM PROVIDES HEALTH CARE BENEFITS TO 42,212 MEMBERS IN NEW YORK STATE.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDescGrantGrantAmt
-$603$0FAMILY HEALTH PLUS - 0 MEMBERS
$9,967,039$9,233,787HEALTHY NEW YORK - 2,083 MEMBERS$324
$37,293,238$35,668,559CHILD HEALTH PLUS - 13,884 MEMBERS$1,440
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$47,259,674TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,764TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$44,902,346TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,866,058,389TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign ActyYes (1)PoliticalCampaignActyInd
Subject To Proxy TaxYes (1)SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4858IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1457EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonELLEN PIERCE FINANCE DIRECTORPersonNm
Phone5186413000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 PATROON CREEK BLVDAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP122061057ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
GENNARO A DANIELS MD
CHAIRMAN OF THE BOARD5.90Yes (X)Yes (X)$106,390$0$0
SUSAN SCRIMSHAW PHD
SECRETARY8.60Yes (X)Yes (X)$81,940$0$0
JOSEPH POLITO II MD
VICE CHAIRMAN OF THE BOARD7.30Yes (X)Yes (X)$41,090$0$0
HOLLY K CLENEY MD
DIRECTOR5.40Yes (X)$50,790$0$0
GERALD JENNINGS
DIRECTOR7.80Yes (X)$69,840$0$0
AMY JOHNSON
DIRECTOR8.90Yes (X)$87,990$0$0
MICHAEL DEVITO MD
DIRECTOR7.50Yes (X)$70,190$0$0
CARMEN MAZZOTTA
TREASURER OF THE BOARD8.60Yes (X)Yes (X)$77,640$0$0
RICHARD E GRANT
TREASURER OF THE BOARD8.30Yes (X)Yes (X)$76,450$0$0
MICHAEL CASTELLANA
DIRECTOR8.30Yes (X)$85,390$0$0
REBECCA KEIM MD
DIRECTOR3.50Yes (X)$38,540$0$0
GREGORY SERIO
DIRECTOR6.70Yes (X)$75,390$0$0
BRIAN SHERIDAN MD
DIRECTOR6.50Yes (X)$47,840$0$0
ADETUTU ADETONA MD
DIRECTOR3.80Yes (X)$39,540$0$0
TODD DOYLE MD
DIRECTOR4.80Yes (X)$45,440$0$0
LEE MCELROY
DIRECTOR3.00Yes (X)$35,092$0$0
JOHN D BENNETT MD
CEO/PRESIDENT40.00$1,423,575$0$33,562Yes (X)
ANTHONY MARINELLO
EVP CHIEF MEDICAL OFFICER40.00$598,700$0$33,561Yes (X)
BRIAN O'GRADY
PRESIDENT - HEALTH PLANS M40.00$778,139$0$33,561Yes (X)
BARBARA DOWNS
EVP CORP ADMIN/COO40.00$844,688$0$21,998Yes (X)
BETHANY SMITH
FORMER EVP FINANCE AND CFO40.00$716,635$0$20,089Yes (X)
FREDERICK GALT ESQ
EVP GENERAL COUNSEL40.00$598,873$0$37,889Yes (X)
ROBERT HINCKLEY
EVP STRATEGY COMM AND CSO40.00$655,678$0$39,577Yes (X)
BRIAN MORRISSEY
EVP/PRESIDENT PSS40.00$735,449$0$39,369Yes (X)
MICHAEL RENZI
PRESIDENT - HEALTHCARE DEL40.00$957,506$0$36,989Yes (X)
EILEEN WOOD
EVP PHARMACY SERVICES/CPO40.00$484,943$0$34,861Yes (X)
FRANK ULIBARRI
EVP FINANCE AND CFO40.00$204,883$0$13,792Yes (X)
MARY JANE BENDON COUCH
EVP GENERAL COUNSEL40.00$438,322$0$39,589Yes (X)
JOHN LUTZ
EVP/INTEGRATED DEL SYS40.00$942,398$0$20,037Yes (X)
BRUCE E COPLIN MD
SVP SPECIALTY TRANSFORMATIO40.00$502,156$0$33,561Yes (X)
UMESH REGE
SVP INFORMATION TECHNOLOGY40.00$517,465$0$35,383Yes (X)
ELIZABETH WARNER
SVP MEMBER HEALTH40.00$503,913$0$38,589Yes (X)
ANNE FERNANDEZ
VP BEHAVIORAL HEALTH AND M40.00$475,833$0$10,092Yes (X)
KATHRYN DECKER
SVP PEOPLE AND CULTURE CHRO40.00$544,202$0$40,358Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$12,952,910TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$562,857TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K424IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
LANDMARK HEALTH LLC
7755 CENTER AVE STE 630HUNTINGTONCA92647HEALTHCARE SERVICES$27,741,500
ATOS SYNTEL INC
525 E BIG BEAVER RD SUITE 300TROYMI48083IT PROCESSING AND CONSULTING$9,481,900
WELLTOK INC
6061 SOUTH WILLOW DRIVEGREENWOOD VILLAGECO80111WELLNESS PROMOTIONS$4,579,900
EPAM SYSTEMS INC
41 UNIVERSITY DR 202NEWTOWNPA18940IT PROCESSING AND CONSULTING$4,159,500
HURON CONSULTING GROUP INC
PO BOX 71223CHICAGOIL60694IT PROCESSING AND CONSULTING$4,106,100
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K125CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID PREMIUMS524114$686,731,790$686,731,790
MEDICARE PREMIUMS524114$584,298,860$584,298,860
COMMERCIAL PREMIUMS524114$574,375,349$574,375,349
CHILD HEALTH PLUS PREMIUMS524114$35,668,559$35,668,559
HEALTHY NEW YORK PREMIUMS524114$9,233,787$9,233,787
FieldValueIRS element (for citing)
Total Program Service Revenue$1,890,308,345TotalProgramServiceRevenueAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,495,242TotalRevenueColumnAmt
Exclusion$5,495,242ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$171,091,891SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$157,453,100SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13,638,791SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,638,791TotalRevenueColumnAmt
Exclusion$13,638,791ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,909,442,378TotalRevenueColumnAmt
Related Or Exempt Func Income$1,890,308,345RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$19,134,033ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$321,972TotalAmt
Program Services$321,972ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$1,721,423,109TotalAmt
Program Services$1,721,423,109ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,551,860TotalAmt
Program Services$3,387,543ProgramServicesAmt
Management And General$4,164,317ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$464,890TotalAmt
Management And General$464,890ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$92,482,462TotalAmt
Program Services$46,305,610ProgramServicesAmt
Management And General$46,176,852ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,078,672TotalAmt
Program Services$1,039,801ProgramServicesAmt
Management And General$1,038,871ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,869,027TotalAmt
Program Services$7,202,501ProgramServicesAmt
Management And General$8,666,526ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,779,718TotalAmt
Program Services$3,377,600ProgramServicesAmt
Management And General$3,402,118ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,243,620TotalAmt
Program Services$994,896ProgramServicesAmt
Management And General$248,724ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$715,200TotalAmt
Program Services$572,160ProgramServicesAmt
Management And General$143,040ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$241,521TotalAmt
Management And General$241,521ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$414,063TotalAmt
Management And General$414,063ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,015,605TotalAmt
Program Services$6,015,605ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,060,636TotalAmt
Program Services$3,239,233ProgramServicesAmt
Management And General$2,821,403ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$19,145,640TotalAmt
Program Services$18,571,271ProgramServicesAmt
Management And General$574,369ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,566,500TotalAmt
Program Services$1,783,250ProgramServicesAmt
Management And General$1,783,250ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$594,579TotalAmt
Program Services$416,205ProgramServicesAmt
Management And General$178,374ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$132,893TotalAmt
Management And General$132,893ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$270,054TotalAmt
Program Services$216,043ProgramServicesAmt
Management And General$54,011ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,434,430TotalAmt
Program Services$5,204,101ProgramServicesAmt
Management And General$2,230,329ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$906,404TotalAmt
Management And General$906,404ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONSULTING AND OUTSOURC$36,573,056$29,258,445$7,314,611
BROKER COMMISSIONS$11,794,080$11,794,080
FEDERAL AND STATE ASSES$3,856,497$3,856,497
MISCELLANEOUS$2,115,979$1,078,467$1,037,512

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,948,052,467TotalAmt
Program Services$1,866,058,389ProgramServicesAmt
Management And General$81,994,078ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$21,540,152BOYAmt
EOY$57,138,586EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$144,976,160BOYAmt
EOY$186,233,697EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,389,914BOYAmt
EOY$13,379,434EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$112,473,796LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$93,562,410LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$26,783,119BOYAmt
EOY$18,911,386EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$329,944,233BOYAmt
EOY$221,991,249EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$238,568,085BOYAmt
EOY$245,033,129EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,806,481BOYAmt
EOY$679,755EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$778,008,144BOYAmt
EOY$743,367,236EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$294,663,826BOYAmt
EOY$364,561,207EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,282,823BOYAmt
EOY$2,549,535EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,347,395BOYAmt
EOY$4,525,972EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$301,294,044BOYAmt
EOY$371,636,714EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$476,714,100BOYAmt
EOY$371,730,522EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$476,714,100BOYAmt
EOY$371,730,522EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$778,008,144BOYAmt
EOY$743,367,236EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$38,610,089ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$8,963,047NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$57,410,442OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Internal Funds Contributed$2,511InternalFundsContributedAmt
Total Exempt Function Expend$2,511TotalExemptFunctionExpendAmt
Form1120 POL FiledYes (1)Form1120POLFiledInd

Section527 Political Org Section527PoliticalOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPaid Internal FundsPaidInternalFundsAmt
CDPHP PAC
121 STATE STREETALBANYNY12207800957344$1,791
CAPITAL REGION BUSINESS PAC
5 COMPUTER DRIVE SOUTHALBANYNY12205474159612$720
FieldValueIRS element (for citing)
Substantially All Dues Nonded0SubstantiallyAllDuesNondedInd
Only In House Lobbying0OnlyInHouseLobbyingInd
Agree Carryover Prior Year0AgreeCarryoverPriorYearInd
Dues Assessments$241,521DuesAssessmentsAmt
Non Deductible Lbbyng Pltcl CY$241,521NonDeductibleLbbyngPltclCYAmt
Non Deductible Lbbyng Pltcl Tot$241,521NonDeductibleLbbyngPltclTotAmt
Taxable$241,521TaxableAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,305,159OtherCostOrOtherBasisAmt
Depreciation$5,987,235DepreciationAmt
Book Value$5,317,924BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$101,168,637OtherCostOrOtherBasisAmt
Depreciation$87,575,175DepreciationAmt
Book Value$13,593,462BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,911,386TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN CDPHP UBI$244,073,901F
INVESTMENT IN CDPHP FOUNDATION, INC.$835,395F
INVESTMENT IN HEALTH PLAN ALLIANCE$123,833F
FieldValueIRS element (for citing)
Total Book Value Securities$245,033,129TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCLAIM ADJUSTMENT EXPENSE LIABILITYDesc
Amt$4,525,972Amt
FieldValueIRS element (for citing)
Total Liability$4,525,972TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,851,200,155TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$57,410,441OtherRevenueAmt
Revenue Not Reported-$57,410,441RevenueNotReportedAmt
Revenue Subtotal$1,908,610,596RevenueSubtotalAmt
Investment Expenses Not Incld$414,063InvestmentExpensesNotIncldAmt
Other Revenues Not Included$417,719OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$831,782RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,909,442,378TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,947,220,685TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,947,220,685ExpensesSubtotalAmt
Investment Expenses Not Incld2$414,063InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$417,719OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$831,782ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,948,052,467TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 -3,873,937. STATUTORY AMORTIZATION ADJUSTMENT -1,548. GAIN/LOSS ON EQUITY OF CONSOLIDATED AND UNCOLSOLIDATED SUBSIDIARY -53,534,956.
PART XI, LINE 4B - OTHER ADJUSTMENTS:REINSURANCE EXPENSE 417,719.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REINSURANCE EXPENSE 417,719.
FORM 990, SCHEDULE D, PART VII, LINES 3A-3C:EXPLANATION: THE METHOD OF VALUATION IN COLUMN C IS THE EQUITY METHOD OF ACCOUNTING.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
CDPHP FOUNDATION INC
500 PATROON CREEK BLVDALBANYNY12206471619130501(C)(3)$152,365$53,416FMVDONATED GOODS/SERVICESOPERATING GRANT
COMFORT FOOD COMMUNITY
PO BOX 86GREENWICHNY12834411858498501(C)(3)$51,430$0FOOD ASSISTANCE
ALBANY MEDICAL CENTER FOUNDATION
43 NEW SCOTLAND AVENUEALBANYNY12208146023119501(C)(3)$64,761$0MEDICAL ASSISTANCE
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART 1, LINE 2FormAndLineReferenceDesc
ExplanationEXPLANATION: GRANTS ARE PROVIDED TO THE FOUNDATION FOR USE TO OTHER CHARITABLE ORGANIZATIONS AND ADMINISTRATION OF THE FOUNDATION. THE ALLOCATED PORTIONS OF THE GRANTS TO ALBANY MEDICAL CENTER FOUNDATION AND COMFORT FOODS PROVIDES FUNDING UNDER THE TERMS OF THE WRITTEN CONTRACTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN D BENNETT MD
CEO/PRESIDENT$839,553$0$549,412$0$34,610$0$9,500$0$24,062$0$1,457,137$0$0$0
MICHAEL RENZI
PRESIDENT - HEALTHCARE DEL$650,589$0$259,800$0$47,117$0$9,500$0$27,489$0$994,495$0$0$0
JOHN LUTZ
EVP/INTEGRATED DEL SYS$463,102$0$455,150$0$24,146$0$9,500$0$10,537$0$962,435$0$0$0
BARBARA DOWNS
EVP CORP ADMIN/COO$588,024$0$218,160$0$38,504$0$9,500$0$12,498$0$866,686$0$0$0
BRIAN O'GRADY
PRESIDENT - HEALTH PLANS M$536,259$0$206,863$0$35,017$0$9,500$0$24,061$0$811,700$0$0$0
BRIAN MORRISSEY
EVP/PRESIDENT PSS$459,642$0$228,945$0$46,862$0$9,500$0$29,869$0$774,818$0$0$0
BETHANY SMITH
FORMER EVP FINANCE AND CFO$489,631$0$187,157$0$39,847$0$9,500$0$10,589$0$736,724$0$0$0
ROBERT HINCKLEY
EVP STRATEGY COMM AND CSO$404,003$0$202,237$0$49,438$0$9,500$0$30,077$0$695,255$0$0$0
FREDERICK GALT ESQ
EVP GENERAL COUNSEL$396,519$0$153,194$0$49,160$0$9,500$0$28,389$0$636,762$0$0$0
ANTHONY MARINELLO
EVP CHIEF MEDICAL OFFICER$409,818$0$154,929$0$33,953$0$9,500$0$24,061$0$632,261$0$0$0
KATHRYN DECKER
SVP PEOPLE AND CULTURE CHRO$362,810$0$170,625$0$10,767$0$9,500$0$30,858$0$584,560$0$0$0
UMESH REGE
SVP INFORMATION TECHNOLOGY$217,366$0$132,863$0$167,236$0$9,076$0$26,307$0$552,848$0$0$0
ELIZABETH WARNER
SVP MEMBER HEALTH$332,946$0$130,887$0$40,080$0$9,500$0$29,089$0$542,502$0$0$0
BRUCE E COPLIN MD
SVP SPECIALTY TRANSFORMATIO$340,638$0$127,065$0$34,453$0$9,500$0$24,061$0$535,717$0$0$0
EILEEN WOOD
EVP PHARMACY SERVICES/CPO$325,539$0$129,570$0$29,834$0$9,500$0$25,361$0$519,804$0$0$0
ANNE FERNANDEZ
VP BEHAVIORAL HEALTH AND M$305,215$0$122,259$0$48,359$0$5,511$0$4,581$0$485,925$0$0$0
MARY JANE BENDON COUCH
EVP GENERAL COUNSEL$320,506$0$95,703$0$22,113$0$9,500$0$30,089$0$477,911$0$0$0
FRANK ULIBARRI
EVP FINANCE AND CFO$162,889$0$35,650$0$6,344$0$3,280$0$10,512$0$218,675$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2021.
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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (13 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
LANSINGBURGH FAMILY PRACTICE
ADETUTU ADETONA MD$322,148SEE EXPLANATION BELOW0
COMMUNITY CARE PHYSICIANS PC
HOLLY K CLENEY MD$57,597,791SEE EXPLANATION BELOW0
ST PETER'S HOSPITAL
GENNARO A DANIELS MD$129,884,085SEE EXPLANATION BELOW0
ALBANY MEDICAL CENTER HOSPITAL
MICHAEL DEVITO MD$144,704,226SEE EXPLANATION BELOW0
NY ONCOLOGY HEMATOLOGY
TODD DOYLE MD$31,892,175SEE EXPLANATION BELOW0
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATION
REBECCA KEIM MD$25,731,692SEE EXPLANATION BELOW0
ALBANY CAPITAL REGION GASTROENTEROLOGY
JOSEPH POLITO MD$6,177,116SEE EXPLANATION BELOW0
SCHOOLHOUSE PEDIATRICS
BRIAN SHERIDAN MD$2,297,452SEE EXPLANATION BELOW0
BRIAN RANA
SON OF EILEEN WOOD, KEY EMPLOYEE OF CDPHP$94,467BRIAN IS EMPLOYED AT CDPHP AS A SALESFORCE ADMINISTRATOR0
MICHAEL RANA
SON OF EILEEN WOOD, KEY EMPLOYEE OF CDPHP$171,187MICHAEL IS EMPLOYED AT CDPHP AS A PRODUCT LEADER OF BUSINESS TECHNOLOGY SERVICES0
LINDA DRAGONETTI
SISTER-IN-LAW OF JOHN BENNETT, MD, CEO/PRESIDENT OF CDPHP$64,295LINDA IS EMPLOYED AT CDPHP AS A PROVIDER RELATIONS SPECIALIST0
ALEXA DRAGONETTI
NIECE OF JOHN BENNETT, MD, CEO/PRESIDENT OF CDPHP$60,572ALEXA IS EMPLOYED AT CDPHP AS A GRAPHIC DESIGNER I0
SAMUEL LAFLIN
SON-IN-LAW OF JOHN BENNETT, MD, CEO/PRESIDENT OF CDPHP$74,369SAMUEL IS EMPLOYED AT CDPHP AS AN OPERATIONS SPECIALIST0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSFormAndLineReferenceDesc
ExplanationPURSUANT TO ITS CERTIFICATE OF INCORPORATION AND BY-LAWS, EIGHT OF THE MEMBERS OF THE CDPHP BOARD OF DIRECTORS MUST BE PRACTICING PHYSICIANS. THERE WAS A VACANCY IN THE BOARD AT YEAR END 2020 WHICH WAS FILLED IN 2021 BY A PRACTICING PHYSICIAN. 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 PHYSICIANS 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 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.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6EXPLANATION: THE CORPORATION CURRENTLY HAS 542 CORPORATE MEMBERS ALL OF WHOM ARE OR WERE PARTICIPATING PHYSICIANS WITH CDPHP.
FORM 990, PART VI, SECTION A, LINE 7AEXPLANATION: CDPHP'S CORPORATE MEMBERS ELECT THE BOARD OF DIRECTORS OF CDPHP.
FORM 990, PART VI, SECTION A, LINE 7BEXPLANATION: 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 11BEXPLANATION: 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 12CEXPLANATION: 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 15EXPLANATION: 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 19EXPLANATION: 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 -53,534,956. STATUTORY DIFFERENCE IN BOND AMORTIZATION -1,548. RECOGNIZED LOSS ON VANGUARD INVESTMENT -3,873,938.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CDPHP FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 PATROON CREEK BLVDAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12206ZIPCd
FieldValueIRS element (for citing)
EIN471619130EIN
Primary ActivitiesFOUNDATIONPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 10PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC
500 PATROON CRK BLVDALBANYNY12206141745298ADMIN SERVICESNYCDPHP UNIVERSAL BENEFITS INCC$32,748,987$198,364,4201.000000
CDPHP UNIVERSAL BENEFITS INC
500 PATROON CRK BLVDALBANYNY12206161520935ARTICLE 43 INSURANCENYCAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INCC$613,427,992$327,546,1221.000000
STRATEGIC SOLUTIONS MANAGEMENT
429 CLIFTON CORP PKWYCLIFTON PARKNY12065141814293BILLING AND CONSULTINGNYCAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INCC0
CCP TASS INC
711 TROY SCHENECTADY ROAD STE 201LATHAMNY12110872786025BILLING AND CONSULTINGNYCAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INCC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC
Q$4,328,226ALLOCATION
CDPHP UNIVERSAL BENEFITS INC
N$9,222,522ALLOCATION
CDPHP UNIVERSAL BENEFITS INC
O$34,309,937ALLOCATION
CDPHP UNIVERSAL BENEFITS INC
Q$16,962,419ALLOCATION
CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC
N$2,344,607ALLOCATION
CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC
O$8,719,319ALLOCATION
CDPHP UNIVERSAL BENEFITS INC
B-$60,000,000FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, RELATED ORGANIZATIONSFormAndLineReferenceDesc
ExplanationCDPHP 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.ExplanationTxt