2020-11-16T18:16:25-06:00 2019-12-31 113360065 ROTH & COMPANY LLP 1428 36TH STREET SUITE 200 BROOKLYN NY 11218 990 2019-01-01 454781328 HAMASPIK CHOICE INC HAMA 8555524642 58 ROUTE 59 NO 1 MONSEY NY 10952 YOEL BERNATH EXECUTIVE DIRECTOR 8555524642 2020-11-16 1 ZACHARIA WAXLER P00737510 7182361600 2020-11-16 192.73.80.18 2020-11-16 17:04:27 ES P E65C877F07400488A2A4D3EDEF3229D65A03C854 58EA5B311EDEBD815EE7CEDDB79063878315910D 2019 2021-01-29 14:40:06Z YOEL BERNATH 58 ROUTE 59 MONSEY NY 10952 117042239 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 5 146 5 0 0 1599647 1562808 113669966 115479431 0 0 0 0 115269613 117042239 0 0 0 0 6785894 9343041 0 0 0 98056663 114482336 104842557 123825377 10427056 -6783138 38251719 39017680 16858969 24408068 21392750 14609612 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 114391461 115479431 HAMASPIK CHOICE IS A MANAGED LONG TERM CARE PLAN THAT PROVIDES ELIGIBLE MEMBERS WITH HEALTHCARE-RELATED PRODUCTS AND SERVICES, ON A PARTIALLY CAPITATED BASIS. 114391461 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 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 0 0 0 1 285 0 1 146 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 X 0 0 0 MEYER WERTHEIMER SECRETARY 1.00 X X 0 0 0 SHULEM LOWINGER BOARD MEMBER 1.00 X X 0 0 0 ISRAEL STEIN CHAIRMAN 1.00 X 0 0 0 ABRAHAM HERSHKOVITZ TREASURER 1.00 X 0 0 0 YOEL BERNATH EXECUTIVE DIRECTOR 40.00 X 499361 0 50653 JOSHUA WEISS VICE PRESIDENT OF NETWORK DEVELOPMENT AND FISCAL 38.00 X 166161 0 25020 CHAYA BACK VICE PRESIDENT OF STRATEGY NAD INNOVATION 40.00 X 215261 0 32485 LINETTE KROM ASSESSMENT SUPERVISOR 40.00 X 118149 0 25020 ALEX LOWY DIRECTOR OF OFFICE OPERATIONS AND SYSTEMS 38.00 X 164501 0 23564 DEVORAH PERLMUTER VICE PRESIDENT OF FINANCE 38.00 X 129789 0 25020 LIVIA GONZALEZ NURSE ASSESSOR 40.00 X 101716 0 15958 DEBBIE BRAUN NURSE ASSESSOR 40.00 X 100681 0 8095 CHRISTIE JACQUES DIRECTOR OF CARE MANAGEMENT 40.00 X 123736 0 8094 SHAINDY MAYER SENIOR DATA ANALYST 32.00 X 112083 0 17426 KARL DEHM VICE PRESIDENT OF COMPLIANCE & REGULATORY AFFAIRS 32.00 X 104409 0 8713 ABRAHAM D LEISER NURSE ASSESSOR 40.00 X 120495 0 7567 VAISHALI PATEL DIRECTOR OF UM 40.00 X 179120 0 15958 MECHELLE D PRICE CARE MANAGER 40.00 X 104222 0 8095 HAMMAD RIZVI CHIEF MEDICAL OFFICER 25.00 X 286055 0 432 BLIMA TEITELBAUM DIRECTOR OF COMPLIANCE 28.00 X 116557 0 17426 2642296 0 289526 16 0 1 0 COMMUNITY HOME HEALTH CARE 49 NORTH AIRMONT ROAD MONTEBELLO NY 10901 MEDICAL AND HEALTH CARE 14822075 UNLIMITED HEALTH CARE INC 333 WESTCHESTER AVE STE WG02 WHITE PLAINS NY 106042911 MEDICAL AND HEALTH CARE 9171195 HAMASPIK CARE INC 58 ROUTE 59 SUITE 1 MONSEY NY 10952 MEDICAL AND HEALTH CARE 6474704 MARQUIS HOME CARE LLC 167 ROUTE 304 BARDONIA NY 10954 MEDICAL AND HEALTH CARE 5222364 ANY-TIME HOME CARE PO BOX 995 NYACK NY 10960 MEDICAL AND HEALTH CARE 4780559 92 1562808 1562808 MEDICAID REVENUE 524114 112109504 112109504 PATIENT SURPLUS 524114 3369927 3369927 115479431 117042239 115479431 0 0 X 988941 988941 6736705 4454789 2281916 1617395 890500 726895 229608 229608 109046172 109046172 1084461 1084461 345946 345946 114808 114808 197687 197687 912771 912771 28192 28192 START-UP COSTS 1574601 1574601 BAD DEBT EXPENSE 326124 326124 ASSOCIATION FEES 319716 319716 SUPPLIES 196676 196676 105574 105574 123825377 114391461 9433916 0 32212053 25369016 1789760 2004469 453302 4100612 932831 22608 3167781 4227298 8023112 38251719 39017680 13158969 18471128 3700000 3700000 0 2236940 16858969 24408068 X 21392750 14609612 21392750 14609612 38251719 39017680 -6783138 0 X 0 1 X 0 0 X 2330000 133321 1599647 1562808 5625776 37531222 69924941 97993570 113669966 115479431 434599130 37531222 72254941 98126891 115269613 117042239 440224906 0 0 0 440224906 37531222 72254941 98126891 115269613 117042239 440224906 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 953685 190695 762990 2893746 712891 2180855 253181 29245 223936 3167781 NYS STATUTORILY DESIGNATED CONTINGENT RESERVE 8023112 8023112 DUE TO DEPARTMENT OF HEALTH 2236940 2236940 117042239 0 117042239 0 117042239 123825377 0 123825377 0 123825377 X 0 0 0 0 0 0 0 0 0 YOEL BERNATH EXECUTIVE DIRECTOR 499361 0 0 0 0 0 0 0 50653 0 550014 0 0 0 JOSHUA WEISS VICE PRESIDENT OF NETWORK DEVELOPMEN 166161 0 0 0 0 0 0 0 25020 0 191181 0 0 0 CHAYA BACK VICE PRESIDENT OF STRATEGY NAD INNOV 215261 0 0 0 0 0 0 0 32485 0 247746 0 0 0 ALEX LOWY DIRECTOR OF OFFICE OPERATIONS AND SY 164501 0 0 0 0 0 0 0 23564 0 188065 0 0 0 DEVORAH PERLMUTER VICE PRESIDENT OF FINANCE 129789 0 0 0 0 0 0 0 25020 0 154809 0 0 0 VAISHALI PATEL DIRECTOR OF UM 179120 0 0 0 0 0 0 0 15958 0 195078 0 0 0 HAMMAD RIZVI CHIEF MEDICAL OFFICER 286055 0 0 0 0 0 0 0 432 0 286487 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 AND OTHER OFFICERS ARE 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 109,046,172. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 109,046,172. HAMASPIK OF ROCKLAND COUNTY INC 58 ROUTE 59 SUITE 1 MONSEY NY 10952 133978518 PROVIDE HEALTH & HUMAN SERVICES FOR INDIVIDUALS IN NEED NY 501 (C)(3) LINE 11 N/A 0 HAMASPIK CARE INC 5 PERLMAN DRIVE SPRING VALLEY NY 10977 274628760 PROVIDE HOME HEALTH AND RELATED SERVICES NY 501 (C)(3) LINE 11 N/A 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 HAMASPIK CARE INC M 6474704 CASH HAMASPIK OF ROCKLAND COUNTY INC N 342873 COST OF SPACE HAMASPIK OF ROCKLAND COUNTY INC D 4786104 FAIR MARKET VALUE