2022-11-10T06:51:26-06:00 2021-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY CT ALBANY NY 12205 990 2021-01-01 141641028 CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC CAPI 5186414085 500 PATROON CREEK BLVD ALBANY NY 122061057 FRANK ULIBARRI EVP FINANCE AND CFO 5186414085 2022-08-29 1 FRANK ULIBARRI XXX-XX-XXXX GLORIA M NOSTRAMO P01385068 5184644080 2022-08-29 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z FRANK ULIBARRI 500 PATROON CREEK BLVD ALBANY NY 122061057 2066895478 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 1457 0 0 0 0 0 1742108726 1890308345 6806780 19134033 357794 0 1749273300 1909442378 12338894 321972 1551964047 1721423109 113862366 125226629 0 0 0 99687536 101080757 1777852843 1948052467 -28579543 -38610089 778008144 743367236 301294044 371636714 476714100 371730522 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 599704494 31997 574375349 CDPHP 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. 675416552 61773 686731790 CDPHP'S MEDICAID, HARP, AND ESSENTIAL PLANS PROVIDE HEALTH CARE BENEFITS TO 118,892 MEMBERS IN NEW YORK STATE. 543677669 20657 584298860 CDPHP'S MEDICARE PROGRAM PROVIDES HEALTH CARE BENEFITS TO 42,212 MEMBERS IN NEW YORK STATE. -603 0 FAMILY HEALTH PLUS - 0 MEMBERS 9967039 324 9233787 HEALTHY NEW YORK - 2,083 MEMBERS 37293238 1440 35668559 CHILD HEALTH PLUS - 13,884 MEMBERS 47259674 1764 44902346 1866058389 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 0 1 0 0 0 0 0 1 1 1 0 1 4858 0 1 1457 1 0 0 0 0 0 0 0 0 1 0 X 15 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NY X ELLEN PIERCE FINANCE DIRECTOR 5186413000 500 PATROON CREEK BLVD ALBANY NY 122061057 GENNARO A DANIELS MD CHAIRMAN OF THE BOARD 5.90 X X 106390 0 0 SUSAN SCRIMSHAW PHD SECRETARY 8.60 X X 81940 0 0 JOSEPH POLITO II MD VICE CHAIRMAN OF THE BOARD 7.30 X X 41090 0 0 HOLLY K CLENEY MD DIRECTOR 5.40 X 50790 0 0 GERALD JENNINGS DIRECTOR 7.80 X 69840 0 0 AMY JOHNSON DIRECTOR 8.90 X 87990 0 0 MICHAEL DEVITO MD DIRECTOR 7.50 X 70190 0 0 CARMEN MAZZOTTA TREASURER OF THE BOARD 8.60 X X 77640 0 0 RICHARD E GRANT TREASURER OF THE BOARD 8.30 X X 76450 0 0 MICHAEL CASTELLANA DIRECTOR 8.30 X 85390 0 0 REBECCA KEIM MD DIRECTOR 3.50 X 38540 0 0 GREGORY SERIO DIRECTOR 6.70 X 75390 0 0 BRIAN SHERIDAN MD DIRECTOR 6.50 X 47840 0 0 ADETUTU ADETONA MD DIRECTOR 3.80 X 39540 0 0 TODD DOYLE MD DIRECTOR 4.80 X 45440 0 0 LEE MCELROY DIRECTOR 3.00 X 35092 0 0 JOHN D BENNETT MD CEO/PRESIDENT 40.00 X 1423575 0 33562 ANTHONY MARINELLO EVP CHIEF MEDICAL OFFICER 40.00 X 598700 0 33561 BRIAN O'GRADY PRESIDENT - HEALTH PLANS M 40.00 X 778139 0 33561 BARBARA DOWNS EVP CORP ADMIN/COO 40.00 X 844688 0 21998 BETHANY SMITH FORMER EVP FINANCE AND CFO 40.00 X 716635 0 20089 FREDERICK GALT ESQ EVP GENERAL COUNSEL 40.00 X 598873 0 37889 ROBERT HINCKLEY EVP STRATEGY COMM AND CSO 40.00 X 655678 0 39577 BRIAN MORRISSEY EVP/PRESIDENT PSS 40.00 X 735449 0 39369 MICHAEL RENZI PRESIDENT - HEALTHCARE DEL 40.00 X 957506 0 36989 EILEEN WOOD EVP PHARMACY SERVICES/CPO 40.00 X 484943 0 34861 FRANK ULIBARRI EVP FINANCE AND CFO 40.00 X 204883 0 13792 MARY JANE BENDON COUCH EVP GENERAL COUNSEL 40.00 X 438322 0 39589 JOHN LUTZ EVP/INTEGRATED DEL SYS 40.00 X 942398 0 20037 BRUCE E COPLIN MD SVP SPECIALTY TRANSFORMATIO 40.00 X 502156 0 33561 UMESH REGE SVP INFORMATION TECHNOLOGY 40.00 X 517465 0 35383 ELIZABETH WARNER SVP MEMBER HEALTH 40.00 X 503913 0 38589 ANNE FERNANDEZ VP BEHAVIORAL HEALTH AND M 40.00 X 475833 0 10092 KATHRYN DECKER SVP PEOPLE AND CULTURE CHRO 40.00 X 544202 0 40358 12952910 0 562857 424 1 1 0 LANDMARK HEALTH LLC 7755 CENTER AVE STE 630 HUNTINGTON CA 92647 HEALTHCARE SERVICES 27741500 ATOS SYNTEL INC 525 E BIG BEAVER RD SUITE 300 TROY MI 48083 IT PROCESSING AND CONSULTING 9481900 WELLTOK INC 6061 SOUTH WILLOW DRIVE GREENWOOD VILLAGE CO 80111 WELLNESS PROMOTIONS 4579900 EPAM SYSTEMS INC 41 UNIVERSITY DR 202 NEWTOWN PA 18940 IT PROCESSING AND CONSULTING 4159500 HURON CONSULTING GROUP INC PO BOX 71223 CHICAGO IL 60694 IT PROCESSING AND CONSULTING 4106100 125 MEDICAID PREMIUMS 524114 686731790 686731790 MEDICARE PREMIUMS 524114 584298860 584298860 COMMERCIAL PREMIUMS 524114 574375349 574375349 CHILD HEALTH PLUS PREMIUMS 524114 35668559 35668559 HEALTHY NEW YORK PREMIUMS 524114 9233787 9233787 1890308345 5495242 5495242 171091891 157453100 13638791 13638791 13638791 1909442378 1890308345 0 19134033 321972 321972 1721423109 1721423109 7551860 3387543 4164317 464890 464890 92482462 46305610 46176852 2078672 1039801 1038871 15869027 7202501 8666526 6779718 3377600 3402118 1243620 994896 248724 715200 572160 143040 241521 241521 414063 414063 6015605 6015605 6060636 3239233 2821403 19145640 18571271 574369 3566500 1783250 1783250 594579 416205 178374 132893 132893 270054 216043 54011 7434430 5204101 2230329 906404 906404 CONSULTING AND OUTSOURC 36573056 29258445 7314611 BROKER COMMISSIONS 11794080 11794080 FEDERAL AND STATE ASSES 3856497 3856497 MISCELLANEOUS 2115979 1078467 1037512 1948052467 1866058389 81994078 0 21540152 57138586 144976160 186233697 13389914 13379434 112473796 93562410 26783119 18911386 329944233 221991249 238568085 245033129 2806481 679755 778008144 743367236 294663826 364561207 2282823 2549535 4347395 4525972 301294044 371636714 X 476714100 371730522 476714100 371730522 778008144 743367236 X -38610089 -8963047 -57410442 X 0 1 X 1 1 1 2511 2511 1 CDPHP PAC 121 STATE STREET ALBANY NY 12207 800957344 1791 CAPITAL REGION BUSINESS PAC 5 COMPUTER DRIVE SOUTH ALBANY NY 12205 474159612 720 0 0 0 241521 241521 241521 241521 11305159 5987235 5317924 101168637 87575175 13593462 18911386 INVESTMENT IN CDPHP UBI 244073901 F INVESTMENT IN CDPHP FOUNDATION, INC. 835395 F INVESTMENT IN HEALTH PLAN ALLIANCE 123833 F 245033129 CLAIM ADJUSTMENT EXPENSE LIABILITY 4525972 4525972 X 1851200155 -57410441 -57410441 1908610596 414063 417719 831782 1909442378 1947220685 0 1947220685 414063 417719 831782 1948052467 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. 1 CDPHP FOUNDATION INC 500 PATROON CREEK BLVD ALBANY NY 12206 471619130 501(C)(3) 152365 53416 FMV DONATED GOODS/SERVICES OPERATING GRANT COMFORT FOOD COMMUNITY PO BOX 86 GREENWICH NY 12834 411858498 501(C)(3) 51430 0 FOOD ASSISTANCE ALBANY MEDICAL CENTER FOUNDATION 43 NEW SCOTLAND AVENUE ALBANY NY 12208 146023119 501(C)(3) 64761 0 MEDICAL ASSISTANCE 3 PART 1, LINE 2 EXPLANATION: 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. 1 X X X X X 1 1 0 0 0 0 0 1 0 JOHN D BENNETT MD CEO/PRESIDENT 839553 0 549412 0 34610 0 9500 0 24062 0 1457137 0 0 0 MICHAEL RENZI PRESIDENT - HEALTHCARE DEL 650589 0 259800 0 47117 0 9500 0 27489 0 994495 0 0 0 JOHN LUTZ EVP/INTEGRATED DEL SYS 463102 0 455150 0 24146 0 9500 0 10537 0 962435 0 0 0 BARBARA DOWNS EVP CORP ADMIN/COO 588024 0 218160 0 38504 0 9500 0 12498 0 866686 0 0 0 BRIAN O'GRADY PRESIDENT - HEALTH PLANS M 536259 0 206863 0 35017 0 9500 0 24061 0 811700 0 0 0 BRIAN MORRISSEY EVP/PRESIDENT PSS 459642 0 228945 0 46862 0 9500 0 29869 0 774818 0 0 0 BETHANY SMITH FORMER EVP FINANCE AND CFO 489631 0 187157 0 39847 0 9500 0 10589 0 736724 0 0 0 ROBERT HINCKLEY EVP STRATEGY COMM AND CSO 404003 0 202237 0 49438 0 9500 0 30077 0 695255 0 0 0 FREDERICK GALT ESQ EVP GENERAL COUNSEL 396519 0 153194 0 49160 0 9500 0 28389 0 636762 0 0 0 ANTHONY MARINELLO EVP CHIEF MEDICAL OFFICER 409818 0 154929 0 33953 0 9500 0 24061 0 632261 0 0 0 KATHRYN DECKER SVP PEOPLE AND CULTURE CHRO 362810 0 170625 0 10767 0 9500 0 30858 0 584560 0 0 0 UMESH REGE SVP INFORMATION TECHNOLOGY 217366 0 132863 0 167236 0 9076 0 26307 0 552848 0 0 0 ELIZABETH WARNER SVP MEMBER HEALTH 332946 0 130887 0 40080 0 9500 0 29089 0 542502 0 0 0 BRUCE E COPLIN MD SVP SPECIALTY TRANSFORMATIO 340638 0 127065 0 34453 0 9500 0 24061 0 535717 0 0 0 EILEEN WOOD EVP PHARMACY SERVICES/CPO 325539 0 129570 0 29834 0 9500 0 25361 0 519804 0 0 0 ANNE FERNANDEZ VP BEHAVIORAL HEALTH AND M 305215 0 122259 0 48359 0 5511 0 4581 0 485925 0 0 0 MARY JANE BENDON COUCH EVP GENERAL COUNSEL 320506 0 95703 0 22113 0 9500 0 30089 0 477911 0 0 0 FRANK ULIBARRI EVP FINANCE AND CFO 162889 0 35650 0 6344 0 3280 0 10512 0 218675 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 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. LANSINGBURGH FAMILY PRACTICE ADETUTU ADETONA MD 322148 SEE EXPLANATION BELOW 0 COMMUNITY CARE PHYSICIANS PC HOLLY K CLENEY MD 57597791 SEE EXPLANATION BELOW 0 ST PETER'S HOSPITAL GENNARO A DANIELS MD 129884085 SEE EXPLANATION BELOW 0 ALBANY MEDICAL CENTER HOSPITAL MICHAEL DEVITO MD 144704226 SEE EXPLANATION BELOW 0 NY ONCOLOGY HEMATOLOGY TODD DOYLE MD 31892175 SEE EXPLANATION BELOW 0 ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATION REBECCA KEIM MD 25731692 SEE EXPLANATION BELOW 0 ALBANY CAPITAL REGION GASTROENTEROLOGY JOSEPH POLITO MD 6177116 SEE EXPLANATION BELOW 0 SCHOOLHOUSE PEDIATRICS BRIAN SHERIDAN MD 2297452 SEE EXPLANATION BELOW 0 BRIAN RANA SON OF EILEEN WOOD, KEY EMPLOYEE OF CDPHP 94467 BRIAN IS EMPLOYED AT CDPHP AS A SALESFORCE ADMINISTRATOR 0 MICHAEL RANA SON OF EILEEN WOOD, KEY EMPLOYEE OF CDPHP 171187 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 64295 LINDA IS EMPLOYED AT CDPHP AS A PROVIDER RELATIONS SPECIALIST 0 ALEXA DRAGONETTI NIECE OF JOHN BENNETT, MD, CEO/PRESIDENT OF CDPHP 60572 ALEXA IS EMPLOYED AT CDPHP AS A GRAPHIC DESIGNER I 0 SAMUEL LAFLIN SON-IN-LAW OF JOHN BENNETT, MD, CEO/PRESIDENT OF CDPHP 74369 SAMUEL IS EMPLOYED AT CDPHP AS AN OPERATIONS SPECIALIST 0 SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS PURSUANT 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. FORM 990, PART VI, SECTION A, LINE 6 EXPLANATION: THE CORPORATION CURRENTLY HAS 542 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 -53,534,956. STATUTORY DIFFERENCE IN BOND AMORTIZATION -1,548. RECOGNIZED LOSS ON VANGUARD INVESTMENT -3,873,938. 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 32748987 198364420 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 613427992 327546122 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 1 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 4328226 ALLOCATION CDPHP UNIVERSAL BENEFITS INC N 9222522 ALLOCATION CDPHP UNIVERSAL BENEFITS INC O 34309937 ALLOCATION CDPHP UNIVERSAL BENEFITS INC Q 16962419 ALLOCATION CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC N 2344607 ALLOCATION CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC O 8719319 ALLOCATION CDPHP UNIVERSAL BENEFITS INC B -60000000 FMV 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.