AFFINITY HEALTH PLAN INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
AFFINITY HEALTH PLAN INC (EIN 13-3330672)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202033189349304688
Schema version
2019v5.1
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)
Return2020-11-13T10:44:56-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1345 Park AveAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP101540102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133330672EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Affinity Health Plan IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% CRAIG BELLISEInCareOfNm
Business Name ControlAFFIBusinessNameControlTxt
Phone7187947700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11776 EASTCHESTER ROADAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10461ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL G MURPHYPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone7187946855PhoneNum
Signature2020-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDevin L DuncanPreparerPersonNm
PTINP01249521PTIN
Phone2127589700PhoneNum
Preparation2020-11-04PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address127.0.0.1IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id13407320203185000042FederalOriginalSubmissionId
Federal Original Submission Id2020-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC9289AF16A46E231DE39A9E3DD952361A8360F39AtSubmissionCreationDeviceId
At Submission Filing Device Id9A787ECE391EA6D2706409A91BA1BFFEBAFC1C1EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael G MurphyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11776 EASTCHESTER ROADAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10461ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,399,580,239GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AFFINITYPLAN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE MISSION OF AFFINITY HEALTH PLAN IS TO IMPROVE THE HEALTH AND WELL-BEING OF ITS MEMBERS, THEIR FAMILIES, AND THEIR COMMUNITIES IN COLLABORATION WITH PRIMARY CARE PROVIDERS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee828TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,534,514,333PYProgramServiceRevenueAmt
CY Program Service Revenue$1,304,530,050CYProgramServiceRevenueAmt
PY Investment Income$1,803,574PYInvestmentIncomeAmt
CY Investment Income$3,613,142CYInvestmentIncomeAmt
PY Other Revenue$7,183,743PYOtherRevenueAmt
CY Other Revenue$12,221,197CYOtherRevenueAmt
PY Total Revenue$1,543,501,650PYTotalRevenueAmt
CY Total Revenue$1,320,364,389CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$60,273,637PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$57,237,296CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,474,711,921PYOtherExpensesAmt
CY Other Expenses$1,239,506,942CYOtherExpensesAmt
PY Total Expenses$1,534,985,558PYTotalExpensesAmt
CY Total Expenses$1,296,744,238CYTotalExpensesAmt
PY Revenues Less Expenses$8,516,092PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$23,620,151CYRevenuesLessExpensesAmt
Total Assets BOY$434,398,057TotalAssetsBOYAmt
Total Assets EOY$364,330,819TotalAssetsEOYAmt
Total Liabilities BOY$504,235,301TotalLiabilitiesBOYAmt
Total Liabilities EOY$406,136,794TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$69,837,244NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$41,805,975NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF AFFINITY HEALTH PLAN IS TO IMPROVE THE HEALTH AND WELL-BEING OF ITS MEMBERS, THEIR FAMILIES, AND THEIR COMMUNITIES IN COLLABORATION WITH PRIMARY CARE PROVIDERS. FOR MORE INFORMATION, SEE SCHEDULE O.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$885,585,438ExpenseAmt
Revenue$964,063,608RevenueAmt
DescMEDICAID PROGRAM - AFFINITY HEALTH PLAN'S MEDICAID PROGRAM IS FUNDED BY THE STATE OF NEW YORK TO MANAGE THE HEALTHCARE AND RELATED COSTS OF MEDICAID PATIENTS IN NEW YORK CITY AND THE SURROUNDING COUNTIES OF NASSAU, SUFFOLK, WESTCHESTER, ROCKLAND AND ORANGE COUNTY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$147,950,733ExpenseAmt
Revenue$177,935,230RevenueAmt
DescESSENTIAL PLAN - THE ESSENTIAL PLAN COVERS ESSENTIAL HEALTH BENEFITS, INCLUDING INPATIENT AND OUTPATIENT CARE, PHYSICIAN SERVICES, DIAGNOSTIC SERVICES AND PRESCRIPTION DRUGS AMONG OTHERS, WITH NO ANNUAL DEDUCTIBLE AND LOW OUT-OF-POCKET COSTS. PREVENTIVE CARE, SUCH AS ROUTINE OFFICE VISITS AND RECOMMENDED SCREENINGS ARE FREE. THE ESSENTIAL PLAN IS ADMINISTERED UNDER AN AGREEMENT BETWEEN AFFINITY HEALTH PLAN AND NYSDOH AND EXTENDS THROUGH DECEMBER 31, 2020.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$109,385,326ExpenseAmt
Revenue$126,082,027RevenueAmt
DescHARP PROGRAM - HARP is an addendum to the Medicaid contract stated above and is subject to the same contract terms. HARP plans provide enhanced care management for members to help them coordinate all their physical health, behavioral health, substance use disorder, and nonmedical support needs. HARP participants must be 21 or older, insured only by Medicaid, and be eligible for Medicaid managed care.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
-$388,203$1,120,141MEDICARE (SEE PT III, LINE 3)
$28,809,041$35,329,044CHILD HEALTH PLUS PRGM
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$28,420,838TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$36,449,185TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,171,342,335TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1442IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee828EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCRAIG BELLISEPersonNm
Phone7187946855PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11776 EASTCHESTER AVENUEAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10461ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MICHAEL G MURPHY
PRESIDENT & CEO37.50.0Yes (X)$1,489,588$0$33,838
SCOTT BREIDBART MD
CHIEF MEDICAL OFFICER37.50.0Yes (X)$443,928$0$33,926
PHILIP MYONES
SVP/Chief Information Officer37.50.0Yes (X)$416,654$0$35,378
RACHEL AMALFITANO
CONSULTANT/CFO37.50.0Yes (X)$420,183$0$0
ERIC WALSH
SVP/CONSUMER MKT (THRU 3/2019)37.50.0$360,135$0$9,668Yes (X)
LISA MINGIONE
VP/CHIEF COMPLIANCE OFFICER37.50.0Yes (X)$306,935$0$16,603
LISA E KEEHN
VP/EXC DIR MED OP(THRU 6/2019)37.50.0$273,871$0$22,313Yes (X)
Craig Bellise
VP/Controller37.50.0$263,176$0$32,602Yes (X)
Clara Mercedes Hansen
VP/CHIEF OF STAFF-CORP PLAN37.50.0$252,988$0$35,520Yes (X)
DENISE J PESICH
VP/CHIEF MARKETING OFFICER37.50.0$268,576$0$9,366Yes (X)
AMY KNAPP
TRUSTEE1.02.0$10,500$0$0Yes (X)
CALEB DESROSIERS
TRUSTEE & vice chair1.02.0Yes (X)$9,300$0$0Yes (X)
JOHN SARDELIS
TRUSTEE1.02.0$6,500$0$0Yes (X)
YVETTE WALKER MD
TRUSTEE1.02.0$6,400$0$0Yes (X)
NANETTE FALKENBERG
TRUSTEE1.02.0$3,800$0$0Yes (X)
ROBERT SCHILLER MD
TRUSTEE1.02.0$0$0$0Yes (X)
VERONA GREENLAND
TRUSTEE1.02.0$0$0$0Yes (X)
PALOMA IZQUIERDO-HERNA
TRUSTEE & CHAIR1.02.0Yes (X)$0$0$0Yes (X)
LYNN SHERMAN
TRUSTEE & Treasurer1.02.0Yes (X)$0$0$0Yes (X)
Brian McIndoe
TRUSTEE1.02.0$0$0$0Yes (X)
LINDA MULLER
TRUSTEE & SECRETARY1.02.0Yes (X)$0$0$0Yes (X)
Judith Fairweather
TRUSTEE1.02.0$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,532,534TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$229,214TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K65IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COGNIZANT TECHNOLOGY SOLUTIONS
500 GLENPOINTE CENTRE WESTTEANECKNJ07666IT CONSULTING$2,601,147
PPT Solutions LLC
9521 B Riverside Parkway 266TULSAOK74137MGMT CONSULTING$859,198
Red-Card Systems
7700 Bonhomme Avenue Suite 200ST LOUISMO63105PRINTING SERVICES$630,906
CASENET LLC
36 CROSBY DRBEDFORDMA01730IT SERVICE$610,000
Tierpoint New York LLC
12444 POWERSCOURT DRIVE STE 450ST LOUISMO63131disaster recovery$601,377
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID900099$964,063,608$964,063,608
ESSENTIAL PLAN900099$177,935,230$177,935,230
MEDICARE900099$1,120,141$1,120,141
HARP900099$126,082,027$126,082,027
CHILD HEALTH PLUS PGRM900099$35,329,044$35,329,044
FieldValueIRS element (for citing)
Total Program Service Revenue$1,304,530,050TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,647,573TotalRevenueColumnAmt
Exclusion$2,647,573ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$80,181,419SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$79,215,850SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$965,569SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$965,569TotalRevenueColumnAmt
Exclusion$965,569ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SALE OF MEDICARE ADVANTAGE PGM900099$9,653,165$9,653,165
DSRIP & VBP ADMIN. FEE900099$1,892,468$1,892,468
VIRTUAL CARD INTERCHANGE & OTHER900099$675,564$675,564
FieldValueIRS element (for citing)
Other Revenue Total$12,221,197OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,320,364,389TotalRevenueColumnAmt
Related Or Exempt Func Income$1,307,098,082RelatedOrExemptFuncIncomeAmt
Exclusion$13,266,307ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,233,535TotalAmt
Management And General$3,233,535ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,657,540TotalAmt
Management And General$43,657,540ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,539,977TotalAmt
Management And General$1,539,977ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,348,863TotalAmt
Management And General$5,348,863ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,457,381TotalAmt
Management And General$3,457,381ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$500,390TotalAmt
Management And General$500,390ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$575,036TotalAmt
Management And General$575,036ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$12,664TotalAmt
Management And General$12,664ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$211,676TotalAmt
Management And General$211,676ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,207,049TotalAmt
Management And General$5,207,049ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,657,664TotalAmt
Management And General$1,657,664ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,861,191TotalAmt
Management And General$23,861,191ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,647,132TotalAmt
Management And General$14,647,132ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,421,988TotalAmt
Management And General$10,421,988ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$267,358TotalAmt
Management And General$267,358ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$804,270TotalAmt
Management And General$804,270ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,821,820TotalAmt
Management And General$2,821,820ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,458,223TotalAmt
Management And General$6,458,223ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$718,146TotalAmt
Management And General$718,146ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
INPATIENT CLAIMS$301,756,049$301,756,049$0
PHARMACY$254,459,372$254,459,372
PHYSICIAN REFERRAL$144,276,228$144,276,228
PRIMARY CARE$78,176,656$78,176,656

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$392,674,030TotalAmt
Program Services$392,674,030ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,296,744,238TotalAmt
Program Services$1,171,342,335ProgramServicesAmt
Management And General$125,401,903ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$111,245,298BOYAmt
EOY$100,616,098EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,386,782BOYAmt
EOY$15,364,579EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$89,903,839BOYAmt
EOY$67,189,330EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,253,681BOYAmt
EOY$3,382,419EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$73,915,550LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$65,626,319LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,997,167BOYAmt
EOY$8,289,231EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$137,887,556BOYAmt
EOY$102,846,213EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$74,723,734BOYAmt
EOY$66,642,949EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$434,398,057BOYAmt
EOY$364,330,819EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$427,734,404BOYAmt
EOY$375,662,691EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$50,542,139BOYAmt
EOY$322,435EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,958,758BOYAmt
EOY$30,151,668EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$504,235,301BOYAmt
EOY$406,136,794EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$190,189,056BOYAmt
EOY-$139,932,533EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$120,351,812BOYAmt
EOY$98,126,558EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$69,837,244BOYAmt
EOY-$41,805,975EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$434,398,057BOYAmt
EOY$364,330,819EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$23,620,151ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,411,118NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$12,664OtherActivitiesAmt
Total Lobbying Expenditures$12,664TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLOBBYING ACTIVITIESFormAndLineReferenceDesc
ExplanationSCHEDULE C, PART II-B, LINE 1I AFFINITY HEALTH PLAN PAYS ANNUAL DUES TO NEW YORK HEALTH PLAN ASSOCIATION AND THE ASSOCIATION FOR COMMUNITY AFFILIATED PLANS, A PORTION OF WHICH ARE ALLOCABLE TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$6,481,268OtherCostOrOtherBasisAmt
Depreciation$3,320,905DepreciationAmt
Book Value$3,160,363BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,331,456OtherCostOrOtherBasisAmt
Depreciation$6,796,591DepreciationAmt
Book Value$534,865BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,102,826OtherCostOrOtherBasisAmt
Depreciation$55,508,823DepreciationAmt
Book Value$4,594,003BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,289,231TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ADVANCES TO PROVIDERS & OTHER$56,072,661
PHARMACY REBATE RECEIVABLE$10,570,288
FieldValueIRS element (for citing)
Total Book Value Other Assets$66,642,949TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
NYSDOH DSRIP EQUITY PROGRAM$22,717,288
DEFERRED RENT & OTHER$7,434,380
FieldValueIRS element (for citing)
Total Liability$30,151,668TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,324,775,507TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$4,411,118NetUnrealizedGainsInvstAmt
Revenue Not Reported$4,411,118RevenueNotReportedAmt
Revenue Subtotal$1,320,364,389RevenueSubtotalAmt
Total Revenue Per Form990$1,320,364,389TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,296,744,238TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,296,744,238ExpensesSubtotalAmt
Total Expenses Per Form990$1,296,744,238TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceASC 740 FOOTNOTEFormAndLineReferenceDesc
ExplanationSCHEDULE D, PART X, LINE 2 THE PLAN IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ITS INCOME IS NOT SUBJECT TO FEDERAL, NEW YORK STATE, OR LOCAL INCOME TAXES. THE PLAN RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL TAX LIABILITIES THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2019 AND 2018.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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
MICHAEL G MURPHY
PRESIDENT & CEO$592,573$0$895,035$0$1,980$0$16,015$0$17,823$0$1,523,426$0$0$0
RACHEL AMALFITANO
CONSULTANT/CFO$420,183$0$0$0$0$0$0$0$0$0$420,183$0$0$0
ERIC WALSH
SVP/CONSUMER MKT (THRU 3/2019)$57,437$0$0$0$302,698$0$4,604$0$5,064$0$369,803$0$0$0
Clara Mercedes Hansen
VP/CHIEF OF STAFF-CORP PLAN$220,098$0$32,200$0$690$0$13,800$0$21,720$0$288,508$0$0$0
PHILIP MYONES
SVP/Chief Information Officer$340,896$0$63,875$0$11,883$0$16,800$0$18,578$0$452,032$0$0$0
SCOTT BREIDBART MD
CHIEF MEDICAL OFFICER$366,801$0$75,000$0$2,127$0$14,005$0$19,921$0$477,854$0$0$0
LISA MINGIONE
VP/CHIEF COMPLIANCE OFFICER$264,235$0$42,400$0$300$0$13,637$0$2,966$0$323,538$0$0$0
LISA E KEEHN
VP/EXC DIR MED OP(THRU 6/2019)$121,150$0$86,950$0$65,771$0$8,587$0$13,726$0$296,184$0$0$0
DENISE J PESICH
VP/CHIEF MARKETING OFFICER$228,141$0$36,625$0$3,810$0$6,867$0$2,499$0$277,942$0$0$0
Craig Bellise
VP/Controller$221,986$0$40,500$0$690$0$13,765$0$18,837$0$295,778$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSEVERANCE PAYMENTSFormAndLineReferenceDesc
ExplanationFORM 990, SCHEDULE J, PART I, LINE 4A A SEVERANCE PAYMENT IN THE AMOUNT OF $285,000 PAID TO ERIC WALSH IS REPORTED AS TAXABLE COMPENSATION IN COLUMN (B)(III). A SEVERANCE PAYMENT IN THE AMOUNT OF $58,750 PAID TO LISA KEEHN IS REPORTED AS TAXABLE COMPENSATION IN COLUMN (B) (III). NON-FIXED PAYMENTS FORM 990, SCHEDULE J, PART I, LINE 7 INDIVIDUALS LISTED ON SCHEDULE J, PART II RECEIVED DISCRETIONARY BONUS COMPENSATION. WITH RESPECT TO THE PRESIDENT'S BONUS, The total of $895,035 constitutes two incentive bonus payments paid in 2019 to Mr. Murphy - one for $295,035 for the 2017 performance review year, and a second, in the amount of $600,000, for the 2018 performance review year. The bonus payments were based on the achievement of financial and operational metrics, which were established by the Board of Directors. The original 2019 Form W-2 reported $445,035 for the 2017 performance review year; however, upon review, it was determined $150,000 of this payment was not subject to a substantial risk of forfeiture as of December 31, 2017 and should have been reported on the 2017 Form W-2. Affinity Health Plan is working with tax advisors to amend prior year Forms W-2 and correct any and all withholding obligations.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (34 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORGANIZATION'S MISSIONFORM 990, PART I, LINE 1 AND PART III, LINE 1 THE MISSION OF AFFINITY HEALTH PLAN IS TO IMPROVE THE HEALTH AND WELL-BEING OF ITS MEMBERS, THEIR FAMILIES, AND THEIR COMMUNITIES IN COLLABORATION WITH PRIMARY CARE PROVIDERS. AFFINITY STRIVES TO BE THE HEALTH PLAN OF CHOICE FOR ITS MEMBERS AND ITS PROVIDERS -- KNOWN FOR ASSURING ACCESS TO HIGH QUALITY, COST-EFFECTIVE CARE; DELIVERING THE BEST CUSTOMER EXPERIENCE; AND CONTRIBUTING SIGNIFICANTLY TO ACHIEVING A PATIENT-CENTERED HEALTH CARE SYSTEM. CEASED ACTIVITIES FORM 990, PART III, LINE 3 AND LINE 4D MEDICARE PROGRAM - THE MEDICARE ADVANTAGE PROGRAM WAS FUNDED BY CMS TO MANAGE THE HEALTHCARE AND RELATED COSTS OF MEDICARE PATIENTS IN NEW YORK CITY AND THE SURROUNDING COUNTIES OF NASSAU, SUFFOLK, WESTCHESTER, ROCKLAND AND ORANGE COUNTY. MEDICARE ADVANTAGE INCLUDED AFFINITY MEDICARE ULTIMATE, SOLUTIONS, PASSPORT ESSENTIALS, PASSPORT ESSENTIALS SELECT AND PASSPORT ESSENTIALS NYC. AFFINITY EXITED THE MEDICARE PROGRAM AS OF 1/1/2019. PROGRAM SERVICES ACCOMPLISHMENTS FORM 990, PART III, LINE 4D CHILD HEALTH PLUS PROGRAM - CHP is available to children under the age of 19 who are not eligible for Medicaid and who do not already have comprehensive health coverage. The premium received by the Plan depends upon income (some participants are fully subsidized). The Plan's current agreement for CHP with NYSDOH extends through September 30, 2019. CHANGE IN BYLAWS FORM 990, PART VI, LINE 4 IN NOVEMBER 2019, THE AFFINITY BOARD OF DIRECTORS AMENDED THE AFFINITY BYLAWS TO ESTABLISH A CLASS OF ORGANIZATIONAL MEMBERS CONSISTING OF SIX FEDERALLY QUALIFIED HEALTH CENTERS. THE PURPOSE OF THIS ACTION WAS TO HARMONIZE AFFINITY'S CERTIFICATE OF INCORPORATION AND ITS BYLAWS. FORM 990 REVIEW FORM 990, PART VI, LINE 11B THE FINANCIAL STAFF COMPILES THE FINANCIAL AND OTHER INFORMATION REQUIRED IN THE 990 RETURN. KPMG, LLP PREPARES THE RETURN AND THE INFORMATION IS REVIEWED BY THE COMPANY'S CFO AND VP/CONTROLLER. A FINAL COPY OF THE FORM 990 IS MADE AVAILABLE TO THE ENTIRE GOVERNING BODY BEFORE FILING WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C 1. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO APPROPRIATE MANAGEMENT PERSONNEL, HUMAN RESOURCES OR THE CORPORATE COMPLIANCE OFFICER. 2. EMPLOYEES MUST SEEK GUIDANCE AND APPROVAL FROM APPROPRIATE MANAGEMENT PERSONNEL PRIOR TO PURSUING ANY BUSINESS OR PERSONAL ACTIVITY THAT MAY CONSTITUTE A CONFLICT OF INTEREST. 3. MANAGEMENT, WITH PURCHASING AUTHORITY, WILL COMPLETE A RELATED PARTY QUESTIONNAIRE ANNUALLY TO IDENTIFY ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. 4. EMPLOYEES, UPON HIRE AND ANNUALLY THEREAFTER, REVIEW THE CODE OF ETHICS WHICH INCLUDES INFORMATION ON CONFLICTS OF INTEREST. IN ADDITION, EMPLOYEES ARE REQUIRED TO SIGN AN ATTESTATION, UPON HIRE AND ANNUALLY THEREAFTER, THAT THEY ACKNOWLEDGE AND UNDERSTOOD THE CODE OF ETHICS. IF A CONFLICT OF INTEREST IS FOUND, PERSONS WITH A CONFLICT RECUSE THEMSELVES FROM DECISIONS RELATED TO THE CONFLICT.
COMPENSATION REVIEWFORM 990, PART VI, QUESTIONS 15A AND 15B THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND CFO INCLUDE THE REVIEW AND APPROVAL BY A COMPENSATION COMMITTEE (THE "COMMITTEE") COMPRISED OF INDEPENDENT DIRECTORS CHARGED WITH THIS RESPONSIBILITY, CONSIDERATION OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION AND DOCUMENTATION OF THE DELIBERATION AND DECISION. AFFINITY HEALTH PLAN'S COMPENSATION PROGRAM FOR THESE POSITIONS AND OTHER OFFICERS AND KEY EMPLOYEES INCLUDES: A) COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS ESTABLISHED BY THE COMPENSATION COMMITTEE AND RATIFIED BY THE BOARD OF DIRECTORS OF AFFINITY HEALTH PLAN. THE BOARD AND THE COMMITTEE HAVE ESTABLISHED COMPENSATION TERMS FOR THE CEO CONSIDERING COMPARABILITY DATA FOR CEO POSITIONS IN SIMILAR ORGANIZATIONS IN THEIR DELIBERATIONS AND DECISION MAKING. THESE DECISIONS ARE DOCUMENTED IN ACCORDANCE WITH LEGAL REQUIREMENTS AND BEST PRACTICES. B) COMPENSATION DECISIONS APPLICABLE FOR OTHER OFFICERS AND KEY EMPLOYEES, INCLUDING INCENTIVE BONUSES, MERIT INCREASES, PROMOTIONAL SALARY ADJUSTMENTS, AND STARTING SALARIES FOR NEWLY HIRED OFFICERS AND KEY EMPLOYEES ARE MADE AFTER REVIEW OF COMPARABILITY DATA FROM PUBLISHED SOURCES FOR SIMILAR POSITIONS IN THE RELEVANT LABOR MARKET. PUBLISHED COMPARABILITY DATA UTILIZED INCLUDES INDUSTRY SPECIFIC DATA. INTERNAL DATA IS REVIEWED AS WELL WITH THE OBJECTIVE OF ENSURING INTERNAL EQUITY WITH SIMILARLY SITUATED STAFF. COMPENSATION DECISIONS IMPACTING THOSE OF THE FOREGOING POSITIONS THAT ARE ALSO DEEMED TO BE "DISQUALIFIED PERSONS" UNDER THE INTERNAL REVENUE CODE (E.G., CHIEF FINANCIAL OFFICER) ARE MADE BY THE COMMITTEE (AND RATIFIED BY THE BOARD) IN ACCORDANCE WITH "INTERMEDIATE SANCTIONS SAFE HARBOR" STANDARDS UTILIZING THE SAME PROCESSES AS ARE APPLIED TO THE CEO (DISCUSSED ABOVE). DOCUMENT DISCLOSURE FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:BEACON IBNR EXPENSE TOTAL EXPENSES:95226548 PROGRAM SERVICES:95226548
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:EMERGENCY ROOM CLAIMS TOTAL EXPENSES:XXX-XX-XXXX PROGRAM SERVICES:XXX-XX-XXXX
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:EMERGENCY ROOM HCRA TOTAL EXPENSES:1806037 PROGRAM SERVICES:1806037
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PROFESSION SERVICE-IBNR TOTAL EXPENSES:-11954199 PROGRAM SERVICES:-11954199
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:SHARE SAVINGS EXPENSE TOTAL EXPENSES:3146594 PROGRAM SERVICES:3146594
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OUTPATIENT CLAIMS-IBNR TOTAL EXPENSES:-15704053 PROGRAM SERVICES:-15704053
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OUTPATIENT NON VALUATED EXPENS TOTAL EXPENSES:1794223 PROGRAM SERVICES:1794223
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OTHER PROFESSIONAL SERVICES - TOTAL EXPENSES:XXX-XX-XXXX PROGRAM SERVICES:XXX-XX-XXXX
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OTHER PROFESSIONAL SVC-HCRA TOTAL EXPENSES:3318777 PROGRAM SERVICES:3318777
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:THIRD PARTY RECOVERIES - REINS TOTAL EXPENSES:-19343252 PROGRAM SERVICES:-19343252
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:HEALTH HOME CLAIMS TOTAL EXPENSES:16275905 PROGRAM SERVICES:16275905
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DENTAL CAPITATION TOTAL EXPENSES:25941921 PROGRAM SERVICES:25941921
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:BEHAVIORAL HEALTH CAPITATION TOTAL EXPENSES:895850 PROGRAM SERVICES:895850
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DENTAL HCRA TOTAL EXPENSES:186834 PROGRAM SERVICES:186834
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:BEACON HCRA TOTAL EXPENSES:1418830 PROGRAM SERVICES:1418830
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DIAGNOSTIC TEST LAB & X-RAY CL TOTAL EXPENSES:31809327 PROGRAM SERVICES:31809327
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:LAB HCRA TOTAL EXPENSES:2427978 PROGRAM SERVICES:2427978
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DIAGNOSTIC TEST LAB-MONTE TOTAL EXPENSES:17945 PROGRAM SERVICES:17945
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:FAMILY PLANNING TOTAL EXPENSES:141 PROGRAM SERVICES:141
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:NURSING FACILITY TOTAL EXPENSES:2047864 PROGRAM SERVICES:2047864
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:TRANSPORTATION NON-EMERGENT TOTAL EXPENSES:-30635 PROGRAM SERVICES:-30635
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:VISION CAPITATION TOTAL EXPENSES:3210241 PROGRAM SERVICES:3210241
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OUTPATIENT PHYSICAL THERAPY TOTAL EXPENSES:1319 PROGRAM SERVICES:1319
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:CHIROPRACTIC TOTAL EXPENSES:264928 PROGRAM SERVICES:264928
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:ACUPUNCTURE TOTAL EXPENSES:359 PROGRAM SERVICES:359
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DME, MEDICAL SUPPLIES TOTAL EXPENSES:435 PROGRAM SERVICES:435
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:AMBULATORY SURGERY TOTAL EXPENSES:18880 PROGRAM SERVICES:18880
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:HOME HEALTH CARE TOTAL EXPENSES:55 PROGRAM SERVICES:55
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OTHER MEDICAL TOTAL EXPENSES:1008334 PROGRAM SERVICES:1008334
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PRENATAL/POSTPARTUM CARE TOTAL EXPENSES:1208 PROGRAM SERVICES:1208
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:MEDICAID STOP LOSS INSURANCE TOTAL EXPENSES:15116716 PROGRAM SERVICES:15116716
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:COVERED LIVES TOTAL EXPENSES:6027117 PROGRAM SERVICES:6027117

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationInd
AHP ENTERPRISES INC
1776 EASTCHESTER ROADBRONXNY10461473885217MGMT SVCSDEAHSHC CORP$0$0false
AFFINITY HEALTH SERVICES HOLDINGS INC
1776 EASTCHESTER ROADBRONXNY10461473909849HOLDING CODENAC CORP$0$0false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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