NEW YORK STATE CATHOLIC HEALTH PLAN INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- NEW YORK STATE CATHOLIC HEALTH PLAN INC (EIN 11-3153422)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-14
- IRS object ID
- 201903189349312025
- Schema version
- 2018v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-14T16:14:23-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO JERICHO PLAZA | AddressLine1Txt |
| City | JERICHO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 113153422 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW YORK STATE CATHOLIC HEALTH PLANINC | BusinessNameLine1Txt |
| Business Name Line2 | C/O WILLIAM WHISTON | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWY | BusinessNameControlTxt |
| Phone | 2123711011 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1011 FIRST AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10022 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM WHISTON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2123711011 | PhoneNum |
| Signature | 2019-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTINE KAWECKI | PreparerPersonNm |
| PTIN | P00743140 | PTIN |
| Phone | 5169187000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.219.172.209 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-14 | IPDt |
| IP Tm | 16:05:26 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E9C924457B5D275461852EC86B70A375E5271692 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 934115C41A372782CAA2C37E99928821B09BF6A8 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIDELIS LEGACY PLAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WILLIAM WHISTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1011 FIRST AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10022 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $9,999,680,489 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 4773 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $548,910 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $415,749 | PYContributionsGrantsAmt |
| CY Contributions Grants | $28,798 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,692,298,442 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,106,592,962 | CYProgramServiceRevenueAmt |
| PY Investment Income | $55,522,502 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,531,156,365 | CYInvestmentIncomeAmt |
| PY Other Revenue | $25,519,534 | PYOtherRevenueAmt |
| CY Other Revenue | $40,199,332 | CYOtherRevenueAmt |
| PY Total Revenue | $9,773,756,227 | PYTotalRevenueAmt |
| CY Total Revenue | $8,677,977,457 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,184,210 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $550,843 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $8,893,847,473 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $5,492,652,894 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $342,970,670 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $192,500,524 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $219,978,558 | PYOtherExpensesAmt |
| CY Other Expenses | $1,715,788,696 | CYOtherExpensesAmt |
| PY Total Expenses | $9,461,980,911 | PYTotalExpensesAmt |
| CY Total Expenses | $7,401,492,957 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $311,775,316 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,276,484,500 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,275,726,392 | TotalAssetsBOYAmt |
| Total Assets EOY | $659,716,609 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,154,215,164 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $502,548,349 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,121,511,228 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $157,168,260 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $2,723,402,778 | ExpenseAmt |
| Grant | $377,857 | GrantAmt |
| Revenue | $3,116,488,480 | RevenueAmt |
| Desc | MEDICAID MANAGED CARE PROGRAM ("MEDICAID") IS A NEW YORK STATE PROGRAM ADMINISTERED BY NEW YORK STATE CATHOLIC HEALTH PLAN, INC. ("NYSCHP") THROUGH JUNE 30, 2018 THAT PROVIDED FREE COMPREHENSIVE HEALTH COVERAGE FOR ELIGIBLE INDIVIDUALS AND FAMILIES WHO ARE RESIDENTS OF NEW YORK STATE AND HAVE LOW INCOME AND LIMITED RESOURCES. THE NEW YORK STATE DEPARTMENT OF HEALTH ESTABLISHED ELIGIBILITY CRITERIA WITH REGARD TO INCOME (IN RELATION TO A PERCENTAGE OF THE FEDERAL POVERTY LEVEL), RESIDENCY, RESOURCES, AGE, AND IMMIGRATION STATUS, AMONG OTHER FACTORS, AND ELIGIBILITY FOR THE PROGRAM IS DETERMINED BASED ON INCOME, RESOURCES, AND FAMILY SIZE. AS OF JUNE 30, 2018, NYSCHP SERVED APPROXIMATELY 1,230,400 MEDICAID BENEFICIARIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $963,819,670 | ExpenseAmt |
| Grant | $25,535 | GrantAmt |
| Revenue | $1,027,201,548 | RevenueAmt |
| Desc | MEDICARE ADVANTAGE PROGRAM IS A PROGRAM AVAILABLE TO ADULTS AGED 65 AND OVER WHO ARE ELIGIBLE UNDER MEDICARE. BENEFICIARIES MAY CHOOSE TO USE PRIVATE PAY OPTIONS, ESTABLISH MEDICAL SAVINGS ACCOUNT, USE MANAGED CARE PLANS SUCH AS NYSCHP, OR JOIN PROVIDER-SPONSORED PLAN. AS OF DECEMBER 31, 2018, NYSCHP SERVED APPROXIMATELY 72,000 MEDICARE ADVANTAGE PROGRAM BENEFICIARIES UNDER REINSURANCE ARRANGEMENTS WITH HALLMARK LIFE INSURANCE COMPANY.SEE SCHEDULE O, PART III, LINE 3 NARRATIVE FOR MORE DETAILS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $563,081,563 | ExpenseAmt |
| Grant | $5,421 | GrantAmt |
| Revenue | $632,971,312 | RevenueAmt |
| Desc | FIDELIS CARE AT HOME IS A MEDICAID LONG-TERM CARE CAPITATED PROGRAM WITH THE NEW YORK STATE DEPARTMENT OF HEALTH ADMINISTERED BY NYSCHP THROUGH JUNE 30, 2018, WHICH PROVIDED AN ARRAY OF HOME, COMMUNITY, AND INSTITUTIONALLY BASED, LONG-TERM CARE SERVICES TO PERSONS WHO ARE ELIGIBLE FOR MEDICAID AND WHO HAVE BEEN CERTIFIED AS APPROPRIATE CANDIDATES FOR NURSING HOME PLACEMENT. AS OF JUNE 30, 2018, NYSCHP SERVED APPROXIMATELY 21,100 FIDELIS CARE AT HOME PROGRAM BENEFICIARIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,242,899,726 | ExpenseAmt |
| Grant | $142,030 | GrantAmt |
| Revenue | $1,368,219,202 | RevenueAmt |
| Desc | OTHER PROGRAMS ADMINISTERED BY NYSCHP THROUGH JUNE 30, 2018, INCLUDED THE CHILD HEALTH PLUS PROGRAM, HEALTH AND RECOVERY PLAN ("HARP") PROGRAM, AND THE ESSENTIAL PLAN PROGRAM. OTHER PROGRAMS WHICH CONTINUED THROUGH DECEMBER 31, 2018, UNDER REINSURANCE ARRANGEMENTS WITH HALLMARK LIFE INSURANCE COMPANY INCLUDED THE MEDICARE/MEDICAID DUAL ADVANTAGE PROGRAM, MEDICAID ADVANTAGE PLUS PROGRAM AND THE INDIVIDUAL COMMERCIAL MARKET PRODUCTS.CHILD HEALTH PLUS PROGRAM IS A PROGRAM THAT COVERED UNINSURED CHILDREN UNDER THE AGE OF 19, WHO ARE RESIDENTS OF NEW YORK STATE AND ARE NOT ELIGIBLE FOR MEDICAID. AS JUNE 30, 2018, NYSCHP SERVED APPROXIMATELY 119,600 CHILD HEALTH PLUS PROGRAM BENEFICIARIES. HARP PROGRAM IS A MEDICAID PROGRAM THAT PROVIDED CARE MANAGEMENT SERVICES TO INDIVIDUALS ELIGIBLE FOR MEDICAID REQUIRING BEHAVIORAL HEALTH SERVICES. AS OF JUNE 30, 2018, NYSCHP SERVED APPROXIMATELY 29,300 HARP BENEFICIARIES. ESSENTIAL PLAN IS A PROGRAM THAT PROVIDED MINIMUM ESSENTIAL COVERAGE TO QUALIFIED INDIVIDUALS WHO ARE NOT ELIGIBLE FOR MEDICAID OR THE CHILD HEALTH PLUS PROGRAMS. AS OF JUNE 30, 2018, NYSCHP SERVED APPROXIMATELY 164,800 ESSENTIAL PLAN BENEFICIARIES.MEDICARE/MEDICAID DUAL ADVANTAGE IS A PROGRAM FOR THOSE WHO MEET ELIGIBILITY REQUIREMENTS FOR BOTH MEDICARE AND MEDICAID AND ARE ENROLLED IN BOTH PROGRAMS. AS OF DECEMBER 31, 2018, NYSCHP SERVED APPROXIMATELY 1,300 MEDICARE/MEDICAID DUAL ADVANTAGE PROGRAM BENEFICIARIES. MEDICAID ADVANTAGE PLUS IS A FULL-RISK MANAGED LONG-TERM CARE PROGRAM FOR INDIVIDUALS 18 YEARS OF AGE AND OLDER WITH MEDICARE AND MEDICAID COVERAGE WHO HAVE A CHRONIC ILLNESS OR DISABILITY. MEMBERS MUST BE IN NEED OF LONG-TERM CARE SERVICES AND MAY NEED CARE TYPICALLY GIVEN IN A NURSING HOME. AS OF DECEMBER 31, 2018, NYSCHP SERVED APPROXIMATELY 90 MEDICAID ADVANTAGE PLUS PROGRAM BENEFICIARIES. HEALTH BENEFIT EXCHANGE IS A PROGRAM PROVIDING HEALTH COVERAGE TO INDIVIDUALS UNDER THE HEALTH CARE REFORM ACT. AS OF DECEMBER 31, 2018, NYSCHP SERVED APPROXIMATELY 98,200 HEALTH BENEFIT EXCHANGE BENEFICIARIES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,242,899,726 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $142,030 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $1,368,219,202 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $5,493,203,737 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 4773 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM WHISTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6467942939 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1011 FIRST AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10022 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DEACON FRANK J THOMAS MD | ||||||||
| CHAIRMAN OF THE BOARD (AS OF 7/1/18) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DONNA O'BRIEN | ||||||||
| DIRECTOR (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GINO J PAZZAGLINI | ||||||||
| DIRECTOR/VICE CHAIR (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JACK BALINSKY | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES M CORRIGAN | ||||||||
| DIRECTOR (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN A WERWAISS | ||||||||
| DIRECTOR/TREASURER (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN J HURLEY | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN RYDZEWSKI | ||||||||
| DIRECTOR (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KARL P ADLER MD | ||||||||
| DIRECTOR (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| M WILLIAM BENEDETTO | ||||||||
| DIRECTOR (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY THOMPSON | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL J TOOLEY | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK J FRAWLEY PLAN PRES | ||||||||
| (AS OF 7/1/2018); CEO (THRU 7/1/18) | 37.50 | 0.00 | Yes (X) | Yes (X) | $5,367,708 | $0 | $93,163 | |
| REV DONALD J HARRINGTON | ||||||||
| CHAIR OF THE BOARD (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| REV JOHN COUGHLIN | ||||||||
| DIRECTOR (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| REV LEO J O'DONOVAN | ||||||||
| DIRECTOR (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SR PATRICIA BURKARD | ||||||||
| DIRECTOR/SECRETARY (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| THOMAS DOODIAN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS L KELLY | ||||||||
| DIRECTOR (THRU 7/1/2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM WHISTON | ||||||||
| CEO (AS OF 7/1/2018) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID THOMAS | ||||||||
| PRESIDENT (THRU 6/30/18) | 34.70 | 2.80 | Yes (X) | $1,650,028 | $45,356 | $53,930 | ||
| THOMAS HALLORAN | ||||||||
| EVP & CFO (THRU 6/30/2018) | 33.75 | 3.75 | Yes (X) | $463,489 | $52,127 | $45,983 | ||
| ALICIA L DELMONT-VORBURGER | ||||||||
| CPOO (THRU 6/30/2018) | 37.50 | 0.00 | $420,725 | $0 | $17,213 | Yes (X) | ||
| PAMELA HASSEN | ||||||||
| CHIP ENROLL. OFF (THRU 6/30/2018) | 37.50 | 0.00 | $1,435,400 | $0 | $40,996 | Yes (X) | ||
| ROBERT FAZZOLARI | ||||||||
| COMPLIANCE OFFICER (THRU 6/30/2018) | 37.50 | 0.00 | $543,206 | $0 | $23,865 | Yes (X) | ||
| SANTO F RUSSO | ||||||||
| CHIEF LEGAL OFFICER (THRU 6/30/2018) | 33.75 | 3.75 | $355,098 | $40,088 | $46,214 | Yes (X) | ||
| VINCENT MARCHELLO MD | ||||||||
| CMO (THRU 6/30/2018) | 32.80 | 4.70 | $349,357 | $50,622 | $28,610 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,585,011 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $188,193 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $349,974 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 123 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EVICORE HEALTHCARE | |||||
| 400 BUCKWALTER PLACE BLVD | BLUFTON | SC | 29910 | UTILIZATION MANAGEMENT REVIEW | $7,020,312 |
| COTIVITI DOMESTIC HOLDINGS INC | |||||
| 50 DANBURY ROAD | WILTON | CT | 06897 | MEDICAL CLAIM REVIEW | $6,396,623 |
| OPTUMINSIGHT INC | |||||
| 2771MOMENTUM PLACE | CHICAGO | IL | 60689 | CONSULTING/COST SAVINGS | $5,565,266 |
| HEALTH MANAGEMENT SYSTEMS INC | |||||
| PO BOX 27151 | NEW YORK | NY | 10087 | COORDINATION OF BENEFITS REVIEW | $3,486,069 |
| AARETE LLC | |||||
| 8574 SOLUTION CENTER | CHICAGO | IL | 60677 | CONSULTING/COST SAVINGS | $1,991,082 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 43 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $28,798 | AllOtherContributionsAmt |
| Total Contributions | $28,798 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 524114 | $3,116,488,480 | $3,116,488,480 |
| MEDICARE ADVANTAGE | 524114 | $1,027,201,548 | $1,027,201,548 |
| FEDELIS CARE AT HOME | 524114 | $632,971,312 | $632,971,312 |
| ESSENTIAL PLAN | 524114 | $368,352,271 | $368,352,271 |
| HARP | 524114 | $344,832,500 | $344,832,500 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $616,746,851 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $616,746,851 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,106,592,962 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,677,665 | TotalRevenueColumnAmt |
| Exclusion | $24,677,665 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,781,027 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,869,275 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,911,752 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,911,752 | TotalRevenueColumnAmt |
| Exclusion | $1,911,752 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $423,696,614 | SecuritiesAmt |
| Other | $3,399,615,843 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $420,780,032 | SecuritiesAmt |
| Other | $896,053,725 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,916,582 | SecuritiesAmt |
| Other | $2,503,562,118 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,506,478,700 | TotalRevenueColumnAmt |
| Exclusion | $2,506,478,700 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| REINSURANCE | 524298 | $18,563,384 | $18,563,384 |
| STATE SUPPL INCTV PROG | 524298 | $18,076,980 | $18,076,980 |
| TAX RECOVERY | 900099 | $295,638 | $295,638 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,351,578 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,351,578 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $38,287,580 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,677,977,457 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,144,880,542 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,533,068,117 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,000 | TotalAmt |
| Program Services | $335,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,843 | TotalAmt |
| Program Services | $215,843 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,492,652,894 | TotalAmt |
| Program Services | $5,492,652,894 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,666,707 | TotalAmt |
| Management And General | $7,666,707 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,928,745 | TotalAmt |
| Management And General | $150,928,745 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,622,976 | TotalAmt |
| Management And General | $4,622,976 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,862,791 | TotalAmt |
| Management And General | $17,862,791 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,419,305 | TotalAmt |
| Management And General | $11,419,305 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,903,271 | TotalAmt |
| Management And General | $1,903,271 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $884,881 | TotalAmt |
| Management And General | $884,881 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,488 | TotalAmt |
| Management And General | $47,488 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,641,105 | TotalAmt |
| Management And General | $2,641,105 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,260,670 | TotalAmt |
| Management And General | $88,260,670 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,114,284 | TotalAmt |
| Management And General | $11,114,284 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,001,415 | TotalAmt |
| Management And General | $7,001,415 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,245,751 | TotalAmt |
| Management And General | $22,245,751 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,845,313 | TotalAmt |
| Management And General | $4,845,313 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,559,732 | TotalAmt |
| Management And General | $2,559,732 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $768,539 | TotalAmt |
| Management And General | $768,539 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,573,221 | TotalAmt |
| Management And General | $2,573,221 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,853,733 | TotalAmt |
| Management And General | $19,853,733 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,256,938 | TotalAmt |
| Management And General | $3,256,938 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| AGREEMENT WITH NYS | $1,500,000,000 | $1,500,000,000 |
| BAD DEBT PROVISION | $14,285,531 | $14,285,531 |
| CLAIMS PROCESSING | $11,933,037 | $11,933,037 |
| HBX ASSESSMENT | $4,448,127 | $4,448,127 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,165,660 | TotalAmt |
| Management And General | $17,165,660 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,401,492,957 | TotalAmt |
| Program Services | $5,493,203,737 | ProgramServicesAmt |
| Management And General | $1,908,289,220 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,994,994 | BOYAmt |
| EOY | $19,132,619 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,309,422,521 | BOYAmt |
| EOY | $1,206,291 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,850,337 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,271,384 | BOYAmt |
| EOY | $641,516 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $143,170,337 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,197,845 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,105,617 | BOYAmt |
| EOY | $137,972,492 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,498,315 | BOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,615,519 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $420,366 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,849,778 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $560,697,561 | BOYAmt |
| EOY | $500,763,691 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,275,726,392 | BOYAmt |
| EOY | $659,716,609 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,349,322 | BOYAmt |
| EOY | $2,548,349 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,784,525 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,714,286 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,791,367,031 | BOYAmt |
| EOY | $500,000,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,154,215,164 | BOYAmt |
| EOY | $502,548,349 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,119,731,353 | BOYAmt |
| EOY | $157,168,260 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,779,875 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,121,511,228 | BOYAmt |
| EOY | $157,168,260 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,275,726,392 | BOYAmt |
| EOY | $659,716,609 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,276,484,500 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$12,264,615 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,228,562,853 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $196,215 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $470,690 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $896,865 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $415,749 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,798 | CurrentTaxYearAmt |
| Total | $2,008,317 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,282,714,979 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,469,839,473 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,422,090,289 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,717,643,812 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,144,880,542 | CurrentTaxYearAmt |
| Total | $36,037,169,095 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,282,911,194 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,470,310,163 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,422,987,154 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,718,059,561 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,144,909,340 | CurrentTaxYearAmt |
| Total | $36,039,177,412 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $36,039,177,412 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,001,330 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,525,457 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,015,784 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,066,417 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,458,692 | CurrentTaxYearAmt |
| Total | $121,067,680 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,001,330 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,525,457 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,015,784 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,066,417 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,458,692 | CurrentTaxYearAmt |
| Total | $121,067,680 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $209,418 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$10,983 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $50,142 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $174,164 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $581,642,421 | CurrentTaxYearAmt |
| Total | $582,065,162 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,301,121,942 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,486,824,637 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,444,053,080 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,752,300,142 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,758,010,453 | CurrentTaxYearAmt |
| Total | $36,742,310,254 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98090 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99700 | PublicSupportPY509Pct |
| Investment Income CY | 0.00330 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00300 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $47,488 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $47,488 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | NYSCHP WAS A MEMBER OF CERTAIN ASSOCIATIONS THROUGH JUNE 30, 2018, TO WHICH IT PAID ANNUAL DUES. A PORTION OF THOSE DUES ARE DETERMINED TO BE EXPENDITURES FOR LOBBYING PURPOSES. IN 2018, THAT PORTION WAS $47,488 REPRESENTING AN INSIGNIFICANT AMOUNT OF OVERALL EXPENDITURES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,562,244 | OtherCostOrOtherBasisAmt |
| Book Value | $26,562,244 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $113,312,656 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,084,542 | DepreciationAmt |
| Book Value | $108,228,114 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,295,437 | OtherCostOrOtherBasisAmt |
| Depreciation | $113,303 | DepreciationAmt |
| Book Value | $3,182,134 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $137,972,492 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER RECEIVABLES | Desc |
| Book Value | $500,763,691 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $500,763,691 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO THIRD PARTIES | Desc |
| Amt | $500,000,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $500,000,000 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $6,167,034,107 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$12,264,618 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $14,111 | OtherRevenueAmt |
| Revenue Not Reported | -$12,250,507 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,179,284,614 | RevenueSubtotalAmt |
| Other Revenues Not Included | $2,498,692,843 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,498,692,843 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $8,677,977,457 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,406,376,340 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $9,226,283 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $9,226,283 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,397,150,057 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $4,342,900 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $4,342,900 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,401,492,957 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | SALUS INTEREST INCOME ELIMINATED IN CONSOLIDATION 14,111. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | GAIN ON SALE OF FIDELIS 2,503,562,118. RENT EXPENSE -4,869,275. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SALUS EXPENSES ELIMINATED IN CONSOLIDATION 9,226,283. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | EXPENSES FROM SUBSIDIARY 8,050,314. LOSS FROM SUBSIDIARY 1,161,861. RENT EXPENSE OFFSET -4,869,275. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (20 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| 1199SEIU HOME CARE INDUSTRY EDUCATION | ||||||||
| 330 WEST 42ND STREET | NEW YORK | NY | 10036 | 711028611 | 501(C)(3) | $5,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| ANTHONY L JORDAN HEALTH CORPORATION | ||||||||
| 214 C LAKE AVENUE | ROCHESTER | NY | 14608 | 160977295 | 501(C)(3) | $7,500 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| CATHOLIC CHARITIES OF BROOME COUNTY | ||||||||
| 232 MAIN STREET | BINGHAMTON | NY | 13905 | 161170407 | 501(C)(3) | $100,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| CATHOLIC CHARITIES OF FULTON & MONTGOMERY COUNTIES | ||||||||
| 55 EAST MAIN STREET STE 100 | JOHNSTOWN | NY | 12095 | 141340033 | 501(C)(3) | $6,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| CATHOLIC MEDICAL MISSION BOARD INC | ||||||||
| 100 WALL STREET FLOOR 9 | NEW YORK | NY | 10005 | 135602319 | 501(C)(3) | $60,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| CHARLES B WANG COMMUNITY HEALTH CENTER | ||||||||
| 268 CANAL STREET | NEW YORK | NY | 10013 | 132739694 | 501(C)(3) | $7,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| COMMUNITY HEALTH CENTER OF BUFFALO INC | ||||||||
| 34 BENWOOD AVENUE | BUFFALO | NY | 14214 | 161566929 | 501(C)(3) | $10,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| EZRAS CHOILIM HEALTH CENTER INC | ||||||||
| 49 FOREST AVENUE | MONROE | NY | 10950 | 133595755 | 501(C)(3) | $5,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| FOODLINK INC | ||||||||
| 1999 MT READ BLVD | ROCHESTER | NY | 14615 | 222428304 | 501(C)(3) | $5,500 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| HEALTH ALLIANCE FOUNDATION | ||||||||
| 396 BROADWAY | KINGSTON | NY | 12401 | 222511450 | 501(C)(3) | $7,500 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| HEALTH PLAN ALLIANCE LLC | ||||||||
| 290 E JOHN CARPENTER FWY | IRVING | TX | 750622710 | 752674044 | 501(C)(3) | $5,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| IBERO-AMERICAN ACTION LEAGUE INC | ||||||||
| 817 EAST MAIN STREET | ROCHESTER | NY | 14605 | 160954745 | 501(C)(3) | $5,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| MATERNITY & EARLY CHILDHOOD FOUNDATION INC | ||||||||
| 40 NORTH MAIN AVENUE | ALBANY | NY | 12203 | 141650131 | 501(C)(3) | $50,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| MERCY HOSPITAL FOUNDATION INC | ||||||||
| 565 ABBOTT ROAD | BUFFALO | NY | 14220 | 222209721 | 501(C)(3) | $7,500 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| MORRIS HEIGHTS HEALTH CENTER | ||||||||
| 85 WEST BURNSIDE AVENUE | BRONX | NY | 10453 | 061081232 | 501(C)(3) | $5,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| PS 130 M PARENTS ASSOCIATION | ||||||||
| 143 BAXTER STREET | NEW YORK | NY | 10013 | 200766928 | 501(C)(3) | $6,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| THE FOUNDATION FOR ELLIS MEDICINE | ||||||||
| 1101 NOTT STREET | SCHENECTADY | NY | 12308 | 141638957 | 501(C)(3) | $10,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| THE MARY IMOGENE BASSETT HOSPITAL | ||||||||
| 1 ATWELL ROAD | COOPERSTOWN | NY | 13326 | 135596796 | 501(C)(3) | $10,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| UB FOUNDATION INC | ||||||||
| PO BOX 900 | BUFFALO | NY | 142260900 | 160865182 | 501(C)(3) | $20,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| MISCELLANEOUS CONTRIBUTIONS 5000 | ||||||||
| 95-25 QUEENS BLVD | REGO PARK | NY | 11374 | 113153422 | 501(C)(3) | $3,000 | CASH | PART IV, SUPPLEMENTAL INFORMATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 20 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | HEALTHY KIDS FUND | GrantTypeTxt |
| Recipient | 23962 | RecipientCnt |
| Cash Grant | $215,843 | CashGrantAmt |
| Valuation Method Used | CASH PAID | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | RECIPIENTS OF GRANT AWARDS UNDER THE COMMUNITY GRANT FUND ARE REQUIRED TO PROVIDE PERIODIC UPDATES ON THE ACCOMPLISHMENTS OF THE GRANT AND DISBURSEMENTS. IT IS THE RESPONSIBILITY OF THE GRANT RECIPIENT TO ENSURE THAT THE GRANT IS USED FOR THE PURPOSE(S) STATED IN THE ORIGINAL APPLICATION. NYSCHP HAS MONITORED GRANT USAGE BY CORRESPONDENCE, TELEPHONE OR SITE VISITS. AN EVALUATION OF THE PROJECT IS REQUIRED UPON THE GRANTEE'S COMPLETION. NON-COMPLIANCE WITH THESE GUIDELINES MAY RESULT IN A REQUEST FOR RETURN OF THE FUNDS IN QUESTION OR INELLIGIBILITY OF THE ORGANIZATION FOR FUTURE GRANTS FROM NYSCHP. |
| PART II, COLUMN H: | SINCE 2004, THE PURPOSE OF NYSCHP COMMUNITY GRANT FUND HAS BEEN TO OFFER SUPPORT ANNUALLY THROUGH CHARITABLE CONTRIBUTIONS TO SELECTED TAX-EXEMPT NONPROFIT ORGANIZATIONS THAT SHARE SIMILAR MISSIONS AND VALUES OF SERVICE TO LOW-INCOME VULNERABLE INDIVIDUALS. PROPOSALS ARE EVALUATED ON THEIR RELEVANCE TO NYSCHP'S MISSION OF CARING FOR THE NEEDS AND CONCERNS OF THE POOR AND MEDICALLY UNDERSERVED IN CONSULTATION WITH NYSCHP'S MEMBERS. THE TOTAL AMOUNT DISTRIBUTED EACH YEAR HAS BEEN APPROVED BY THE BOARD OF DIRECTORS AND DISTRIBUTED IN ACCORDANCE WITH THE APPROVED BOARD POLICY. IN ADDITION TO THE GRANTS MADE THROUGH ITS COMMUNITY GRANT FUND, NYSCHP HAS PROVIDED SUPPORT THROUGH CHARITABLE CONTRIBUTIONS THROUGH ITS CATHOLIC SCHOOLS GRANT INITIATIVE TO SELECTED CATHOLIC SCHOOLS OR DIOCESAN SCHOOL SYSTEMS IN THEIR EFFORT TO IMPROVE THE HEALTH STATUS OF CHILDREN AND THEIR FAMILIES. LASTLY, NYSCHP HAS MADE CHARITABLE DONATIONS TO ORGANIZATIONS CLASSIFIED AS TAX-EXEMPT NONPROFIT ORGANIZATIONS UNDER STATE AND FEDERAL LAW THAT WORK WITH NYSCHP TO SUPPORT ITS MISSION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICK J FRAWLEY PLAN PRES | ||||||||||||||
| (AS OF 7/1/2018); CEO (THRU 7/1/18) | $690,025 | $0 | $0 | $0 | $4,677,683 | $0 | $18,972 | $0 | $74,191 | $0 | $5,460,871 | $0 | $0 | $0 |
| DAVID THOMAS | ||||||||||||||
| PRESIDENT (THRU 6/30/18) | $300,849 | $25,853 | $188,700 | $15,300 | $1,160,479 | $4,203 | $17,549 | $1,423 | $32,786 | $2,172 | $1,700,363 | $48,951 | $0 | $0 |
| THOMAS HALLORAN | ||||||||||||||
| EVP & CFO (THRU 6/30/2018) | $245,859 | $29,402 | $156,600 | $17,400 | $61,030 | $5,325 | $17,075 | $1,897 | $24,909 | $2,102 | $505,473 | $56,126 | $0 | $0 |
| ALICIA L DELMONT-VORBURGER | ||||||||||||||
| CPOO (THRU 6/30/2018) | $152,985 | $0 | $258,360 | $0 | $9,380 | $0 | $16,511 | $0 | $702 | $0 | $437,938 | $0 | $0 | $0 |
| PAMELA HASSEN | ||||||||||||||
| CHIP ENROLL. OFF (THRU 6/30/2018) | $237,947 | $0 | $150,000 | $0 | $1,047,453 | $0 | $18,972 | $0 | $22,024 | $0 | $1,476,396 | $0 | $0 | $0 |
| ROBERT FAZZOLARI | ||||||||||||||
| COMPLIANCE OFFICER (THRU 6/30/2018) | $140,245 | $0 | $264,090 | $0 | $138,871 | $0 | $17,208 | $0 | $6,657 | $0 | $567,071 | $0 | $0 | $0 |
| SANTO F RUSSO | ||||||||||||||
| CHIEF LEGAL OFFICER (THRU 6/30/2018) | $192,328 | $22,812 | $121,500 | $13,500 | $41,270 | $3,776 | $17,075 | $1,897 | $25,110 | $2,132 | $397,283 | $44,117 | $0 | $0 |
| VINCENT MARCHELLO MD | ||||||||||||||
| CMO (THRU 6/30/2018) | $150,478 | $23,445 | $185,509 | $26,501 | $13,370 | $676 | $16,601 | $2,372 | $8,432 | $1,205 | $374,390 | $54,199 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | SERP COMPENSATION OF OFFICERS AND HIGHEST COMPENSATED EMPLOYEES INCLUDED IN COLUMN: PATRICK J. FRAWLEY - $3,897,162*; DAVID THOMAS - $1,096,284*; PAMELA HASSEN - $1,001,470*; * THESE PAYMENTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(II) AND INCLUDE GROSS-UP TAXES PAID ON BEHALF OF THE PARTICIPANTS (LINE 1A). |
| PART I, LINE 7 | PERFORMANCE-BASED INCENTIVES ARE PAID AS PART OF NYSCHP'S ANNUAL INCENTIVE PROGRAM. THE CHIEF EXECUTIVE OFFICER DOES NOT PARTICIPATE IN ANY INCENTIVE PROGRAM. |
| PART II, COLUMN (B)(III): | IN 2018, NYSCHP'S PAID GRANDFATHERED PAID TIME OFF BALANCES TO ELIGIBLE EMPLOYEES INCLUDING EXECUTIVES. |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail (12 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| CENTENE CORPORATION | |||||||||
| CASH AND CASH EQUIVALENTS | 2018-07-02 | $2,004,589,962 | BOOK VALUE | 421406317 | 7700 FORSYTH BOULEVARD | ST LOUIS | MO | 63105 | |
| CENTENE CORPORATION | |||||||||
| PREMIUM RECEIVABLES-NET | 2018-07-02 | $345,391,031 | BOOK VALUE | 421406317 | 7700 FORSYTH BOULEVARD | ST LOUIS | MO | 63105 | |
| CENTENE CORPORATION | |||||||||
| REINSURANCE RECEIVABLES | 2018-07-02 | $98,734,374 | BOOK VALUE | 421406317 | 7700 FORSYTH BOULEVARD | ST LOUIS | MO | 63105 | |
| CENTENE CORPORATION | |||||||||
| PHARMACY REBATES RECEIVABLE | 2018-07-02 | $90,175,946 | BOOK VALUE | 421406317 | 7700 FORSYTH BOULEVARD | ST LOUIS | MO | 63105 | |
| CENTENE CORPORATION | |||||||||
| OTHER RECEIVABLES | 2018-07-02 | $14,065,362 | BOOK VALUE | 421406317 | 7700 FORSYTH BOULEVARD | ST LOUIS | MO | 63105 | |
| CENTENE CORPORATION | |||||||||
| PREPAID EXPENSES AND OTHER CURRENT ASSETS | 2018-07-02 | $21,620,977 | BOOK VALUE | 421406317 | 7700 FORSYTH BOULEVARD | ST LOUIS | MO | 63105 | |
| CENTENE CORPORATION | |||||||||
| ASSETS WHOSE USE IS LIMITED | 2018-07-02 | $492,347,130 | BOOK VALUE | 421406317 | 7700 FORSYTH BOULEVARD | ST LOUIS | MO | 63105 | |
| CENTENE CORPORATION | |||||||||
| PROPERTY AND EQUIPMENT | 2018-07-02 | $79,831,816 | BOOK VALUE | 421406317 | 7700 FORSYTH BOULEVARD | ST LOUIS | MO | 63105 | |
| CENTENE CORPORATION | |||||||||
| GOODWILL AND INTANGIBLES | 2018-07-02 | $15,849,778 | BOOK VALUE | 421406317 | 7700 FORSYTH BOULEVARD | ST LOUIS | MO | 63105 | |
| MOTHER CABRINI HEALTH FOUNDATION | |||||||||
| CASH AND CASH EQUIVALENTS | 2018-07-02 | $3,551,129,964 | BOOK VALUE | 830590263 | 777 THIRD AVENUE | NEW YORK | NY | 10017 | 501(C)(3) |
| MOTHER CABRINI HEALTH FOUNDATION | |||||||||
| OTHER RECEIVABLES | 2018-07-02 | $9,322 | BOOK VALUE | 830590263 | 777 THIRD AVENUE | NEW YORK | NY | 10017 | 501(C)(3) |
| MOTHER CABRINI HEALTH FOUNDATION | |||||||||
| INVESTMENTS | 2018-07-02 | $766,924,262 | BOOK VALUE | 830590263 | 777 THIRD AVENUE | NEW YORK | NY | 10017 | 501(C)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | Yes (1) | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 2E: | FormAndLineReferenceDesc |
| Explanation | EXPLANATION OF INVOLVEMENT: PATRICK J. FRAWLEY, DAVID THOMAS AND THOMAS HALLORAN BECAME EMPLOYEES OF CENTENE EFFECTIVE JULY 2, 2018. THESE INDIVIDUALS RECEIVE COMPENSATION FOR THEIR SERVICES TO CENTENE, BUT THEY DID NOT RECEIVE ANY COMPENSATION FROM NYSCHP RELATED TO THE DISPOSITION OF ITS ASSETS TO CENTENE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1: | TO PROMOTE HEALTH THROUGH QUALITY, ACCESSIBLE CARE AND SERVICES TO THE COMMUNITY, ESPECIALLY TO THE POOR AND UNDERSERVED; TO PROMOTE HEALTH EDUCATION AND PREVENTATIVE MEDICINE. |
| FORM 990, PART I, LINE 1: | FROM 1/1/18 TO 6/30/18, NYSCHP WAS KNOWN AS "FIDELIS CARE". FROM 7/1/18 TO 12/31/18, NYSCHP WAS KNOWN AS "FIDELIS LEGACY." FOR EASE OF REFERENCE, NYSCHP WILL BE USED TO REFER TO THE FILING ORGANIZATION. |
| FORM 990, PART III, LINE 1: | NEW YORK STATE CATHOLIC HEALTH PLAN, INC. STRIVES TO PROMOTE HEALTH THROUGH QUALITY, ACCESSIBLE CARE AND SERVICES FOR ALL; TO JOIN IN PARTNERSHIP WITH HEALTH PROFESSIONALS TO ASSIST THEM IN THEIR HEALING WORK; TO ACT AS A FACILITATOR TO BUILD LINKAGES AND SYSTEMS FOR THE COORDINATION OF CARE AND SERVICES AMONG HEALTHCARE, BEHAVIORAL AND SOCIAL SERVICES, AS WELL AS EDUCATORS AND RELIGIOUS LEADERS, TO ADDRESS THE SPIRITUAL, EMOTIONAL AND PHYSICAL NEEDS OF THOSE IT SERVES; TO ADVOCATE FOR A HEALTH POLICY THAT ACCORDS TRUE DIGNITY AND RESPECT FOR ALL HUMAN PERSONS, ESPECIALLY THE POOR AND UNDERSERVED. |
| FORM 990, PART III, LINE 3 | ON JULY 2, 2018, UPON REGULATORY APPROVAL, NYSCHP SOLD SUBSTANTIALLY ALL OF ITS OPERATIONS, ASSETS AND LIABILITIES RELATING TO ITS INSURANCE BUSINESS, INCLUDING ITS SUBSIDIARY SALUS ADMINISTRATIVE SERVICES, INC. (SALUS), TO CENTENE CORPORATION (CENTENE) IN ACCORDANCE WITH THE TERMS OF THE ASSET PURCHASE AGREEMENT ("APA") ENTERED INTO IN SEPTEMBER 2017 BY BOTH PARTIES. AS A RESULT OF THE SALE, NYSCHP CEASED CONDUCTING THE FOLLOWING PROGRAMS: THE MEDICAID MANAGED CARE PROGRAM (MEDICAID), CHILD HEALTH PLUS, FIDELIS CARE AT HOME, HEALTH AND RECOVERY PLAN ("HARP") AND THE ESSENTIAL PLAN PROGRAM. NYSCHP'S INDIVIDUAL COMMERCIAL MARKET PRODUCTS (INCLUDING QUALIFIED HEALTH PLANS) AND MEDICARE PRODUCTS (MEDICARE ADVANTAGE, MEDICARE ADVANTAGE D-SNP, MEDICARE ADVANTAGE PLUS, AND MEDICAID ADVANTAGE PLUS) WERE NOT IMMEDIATELY TRANSFERRED TO CENTENE. THE INDIVIDUAL COMMERCIAL MARKET PRODUCTS (INCLUDING QUALIFIED HEALTH PLANS) WERE TRANSFERRED TO CENTENE EFFECTIVE JANUARY 1, 2019 TO ACCOMMODATE THE ANNUAL OPEN ENROLLMENT PERIOD CYCLE FOR ENROLLEES. WITH REGARD TO THE MEDICARE AND MEDICARE-RELATED PRODUCTS, THE NOVATION OR ASSIGNMENT OF THE CONTRACTS RELATED TO THESE PRODUCTS IS SUBJECT TO APPROVAL BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES, WHICH IS EXPECTED TO OCCUR PRIOR TO JANUARY 1, 2021. ACCORDINGLY, CONCURRENTLY WITH THE SALE TO CENTENE, NYSCHP ENTERED INTO REINSURANCE AGREEMENTS WITH HALLMARK LIFE INSURANCE COMPANY, AN AFFILIATE OF CENTENE, TO PROVIDE FOR 100% REINSURANCE OF THE LIABILITIES UNDER THESE PROGRAMS. THE REINSURANCE AGREEMENTS PROVIDE THAT DURING THE TIME BETWEEN CLOSING OF THE SALE AND THE DATE OF TRANSFER OF THE REMAINING BUSINESS, AN EXISTING CENTENE SUBSIDIARY COMPANY, HALLMARK LIFE INSURANCE COMPANY, WILL REINSURE 100% OF THE FINANCIAL LIABILITIES RELATING TO NYSCHP'S MEDICARE BUSINESS (INCLUDING CERTAIN MEDICARE-RELATED PRODUCTS) AND NYSCHP'S INDIVIDUAL PRODUCTS (INCLUDING QUALIFIED HEALTH PLANS) PRODUCTS IN ACCORDANCE WITH THE REINSURANCE AGREEMENTS. IN CONNECTION WITH THE REINSURANCE AGREEMENTS AND IN LIGHT OF THE ASSUMPTION BY CENTENE OF ALL ECONOMIC RISK RELATING TO THE MEDICARE, MEDICARE-RELATED AND INDIVIDUAL COMMERCIAL PRODUCTS, NYSCHP ALSO ENTERED INTO A MANAGEMENT AGREEMENT WITH THE CENTENE AFFILIATES SALUS ADMINISTRATIVE SERVICES, INC., CENTENE MANAGEMENT COMPANY, LLC, AND CENTENE COMPANY OF NEW YORK WHEREBY THE CENTENE AFFILIATES WOULD ASSUME ALL ADMINISTRATIVE AND OPERATIONAL RESPONSIBILITY FOR THESE PRODUCTS UNTIL THEY ARE FINALLY TRANSITIONED TO CENTENE. |
| FORM 990, PART VI, SECTION A, LINE 3 | PURSUANT TO A TRANSITION SERVICES AGREEMENT ("TSA") EXECUTED BETWEEN CENTENE MANAGEMENT COMPANY, LLC ("CMC") AND NEW YORK STATE CATHOLIC HEALTH PLAN, INC. ("NYSCHP"), DATED JULY 2, 2018, CMC AGREED TO PROVIDE CERTAIN SERVICES TO NYSCHP THAT ARE SPECIFICALLY SET FORTH IN SCHEDULE A OF THE TSA. THE SERVICES INCLUDED INFORMATION TECHNOLOGY, HUMAN RESOURCES, ACCOUNTING / FINANCE / TREASURY / AUDITS, LEGAL / COMPLIANCE, TAX / IRS FILINGS AND LOGISTICS / OPERATIONS / SOURCING. UNDER THE TERMS OF THE TSA, CMC ALONE WAS REIMBURSED FOR ANY SERVICES THAT CMC PERSONNEL PROVIDED TO NYSCHP PURSUANT TO THE COST SCHEDULE SET FORTH IN SCHEDULE A OF THE TSA. THUS, NO CURRENT OR FORMER OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES (HEREINAFTER, COLLECTIVELY, THE "EMPLOYEES") LISTED IN PART VII, SECTION A OF FORM 990 RECEIVED ANY COMPENSATION FROM NYSCHP FOR THE SERVICES ANY OF THE EMPLOYEES PROVIDED TO NYSCHP. MOREOVER, NONE OF THE EMPLOYEES LISTED IN PART VII, SECTION A OF FORM 990 RECEIVED COMPENSATION FROM CMC FOR THE SERVICES PROVIDED TO NYSCHP. |
| FORM 990, PART VI, SECTION A, LINE 4 | CERTIFICATE OF INCORPORATION: IN ACCORDANCE WITH CHANGES IN NEW YORK LAW, THE CERTIFICATE OF INCORPORATION NOW PROVIDES THAT UPON DISSOLUTION, THE DISTRIBUTION OF ASSETS ARE SUBJECT TO EITHER COURT APPROVAL OR THE APPROVAL OF THE NEW YORK STATE ATTORNEY GENERAL. BYLAWS: CHANGES INCLUDE A REDUCTION IN THE NUMBER OF BOARD MEMBERS FROM 20 TO 8, THE REMOVAL OF THE POSITION OF VICE-CHAIRPERSON AND THE CREATION OF A NEW OFFICER POSITION, PLAN PRESIDENT. IN ADDITION, THE OFFICERS ARE NOW ELECTED BY THE MEMBERS, CLASSES OF DIRECTORS HAVE BEEN REMOVED AND THE QUORUM REQUIRED TO CONDUCT BUSINESS AT BOARD MEETINGS IS NOW A MAJORITY OF THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS MEMBERS. THE MEMBERSHIP OF THE ORGANIZATION SHALL BE LIMITED TO THE DIOCESAN BISHOPS OF THE STATE AND THE ECCLESIASTICAL PROVINCE OF NEW YORK. |
| FORM 990, PART VI, SECTION A, LINE 7A | 1.THE ORGANIZATION IS A MEMBERSHIP CORPORATION UNDER THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW (THE "N-PCL"). THE ORGANIZATION'S MEMBERS ELECT ITS BOARD OF DIRECTORS AND, AS MEMBERS OF A NEW YORK NOT-FOR-PROFIT CORPORATION, POSSESS CERTAIN OTHER POWERS UNDER THE N-PCL. FURTHERMORE, THE ORGANIZATION'S BY-LAWS, WHICH ARE FILED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH ("NYSDOH"), DEFINE THE FOLLOWING RESERVED POWERS OF THE MEMBERS: (I) THE INTERPRETATION OF THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES TO WHICH THE ORGANIZATION, AS A FAITH-BASED ORGANIZATION, IS SUBJECT; (II) APPROVAL OF THE MISSION STATEMENT; (III) STANDING TO ENSURE THE ORGANIZATION'S COMPLIANCE WITH ITS PHILOSOPHY AND MISSION STATEMENT; (IV) APPROVAL OF AMENDMENTS TO THE ORGANIZATION'S CERTIFICATE OF INCORPORATION AND BY-LAWS; (V) APPROVAL OF CERTAIN TRANSACTIONS INVOLVING REAL PROPERTY; (VI) APPROVAL OF CERTAIN ACTIONS BY THE ORGANIZATION WHEN ACTING AS A SHAREHOLDER OR MEMBER OF ANOTHER ENTITY; (VII) APPROVAL OF THE ACCEPTANCE AND ISSUANCE OF SUBVENTIONS; (VIII) APPROVAL OF ANY MERGER, DISSOLUTION OR CONSOLIDATION; (IX) REMOVAL OF DIRECTORS AND CERTAIN OFFICERS OF THE CORPORATION; (X) APPROVAL OF THE ELECTION OF THE CHIEF EXECUTIVE OFFICER; AND (XI) REVIEW OF THE AUDITED FINANCIAL STATEMENTS. CERTAIN OF THESE POWERS ALREADY EXIST BY VIRTUE OF THE N-PCL (I.E., THE POWER TO APPROVE ANY MERGER, DISSOLUTION OR CONSOLIDATION UNDER N-PCL 903(A)(2) & 1002(A)). |
| FORM 990, PART VI, SECTION A, LINE 7B | PLEASE SEE LINE 11 NARRATIVE. |
| FORM 990, PART VI, SECTION B, LINE 11B | A DRAFT OF THE FORM 990 IS PREPARED BY THE ORGANIZATION'S OUTSIDE INDEPENDENT TAX ADVISORS IN COLLABORATION WITH THE ORGANIZATION'S FORMER EXECUTIVE AND FINANCE PERSONNEL. THE 990 WILL BE REVIEWED BY ITS CEO AND OUTSIDE COUNSEL. THE ORGANIZATION'S BOARD OF DIRECTORS HAS REVIEWED AND ACCEPTED THE DRAFT FORM 990 BEFORE ITS FILING WITH THE IRS. ACCORDINGLY, AFTER THE ORGANIZATION'S MANAGEMENT HAS COMPLETED ITS REVIEW OF THE DRAFT FORM 990, IT IS CIRCULATED IN DRAFT FOR REVIEW, COMMENT AND APPROVAL TO THE MEMBERS OF THE BOARD OF DIRECTORS. ONCE ANY COMMENTS HAVE BEEN INCORPORATED AND THE FORM 990 HAS BEEN ACCEPTED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | 1. ANNUALLY, THE ORGANIZATION'S OFFICERS, DIRECTORS AND SENIOR EXECUTIVES ARE PROVIDED WITH A COPY OF THE CONFLICTS OF INTEREST POLICY AND AN ACKNOWLEDGEMENT FORM. THESE INDIVIDUALS ARE INSTRUCTED TO SIGN AND RETURN THE FORM, (A) TO ACKNOWLEDGE THAT THEY HAVE REVIEWED THE POLICY AND (B) TO DISCLOSE ANY CONFLICTS OR POTENTIAL CONFLICTS. THE CONFLICTS OF INTEREST POLICY DEFINES "DISCLOSABLE INTERESTS", I.E., THOSE INTERESTS THAT AN INDIVIDUAL COVERED BY THE POLICY MUST HAVE IN ANOTHER ENTITY IN ORDER FOR A TRANSACTION BETWEEN THE ORGANIZATION AND THAT ENTITY TO BE COVERED BY THE POLICY. THE POLICY ALSO DEFINES THE TYPES OF TRANSACTIONS BETWEEN THE ORGANIZATION AND ANOTHER ENTITY INVOLVING AN INDIVIDUAL COVERED BY THE POLICY THAT IS SUBJECT TO BY THE POLICY. THE POLICY REQUIRES DISCLOSURE TO THE BOARD OF DIRECTORS AND/OR THE EXECUTIVE COMMITTEE BY ANY PERSON WITH A DISCLOSABLE INTEREST IN A TRANSACTION AS DEFINED IN THE POLICY OF ALL CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. INITIALLY, AFTER THE INTERESTED INDIVIDUAL HAS RECUSED HIMSELF, THE ORGANIZATION'S BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE DETERMINES WHETHER A POTENTIAL CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS FOUND TO EXIST, THE BOARD OF DIRECTORS OR THE EXECUTIVE COMMITTEE DECIDES WHETHER TO ENTER INTO THE TRANSACTION BASED ON ITS DETERMINATION OF WHETHER (A) A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, (B) THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND (C) THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | OUTSIDE COUNSEL FOR THE ORGANIZATION, A NATIONAL LAW FIRM WITH EXPERTISE IN ADVISING TAX-EXEMPT ORGANIZATIONS ON EXCESS BENEFIT TRANSACTIONS LAW, HAS ADVISED NYSCHP AS TO WHICH EMPLOYEES ARE DISQUALIFIED PERSONS WITHIN THE MEANING OF SECTION 4958 OF THE INTERNAL REVENUE CODE. THE ORGANIZATION EMPLOYS A COMPENSATION CONSULTANT FIRM, A NATIONAL HUMAN RESOURCES CONSULTING FIRM WITH EXPERTISE IN ADVISING TAX-EXEMPT ORGANIZATIONS ON EXCESS BENEFIT TRANSACTIONS LAW, TO PREPARE ANNUALLY A DETAILED REPORT ON THE PROPOSED COMPENSATION FOR THE ORGANIZATION'S DISQUALIFIED PERSONS THAT INCLUDES DATA AS TO COMPARABLE COMPENSATION FOR SIMILAR QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY-SITUATED ORGANIZATIONS. THE EXECUTIVE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS, WHICH HAS BEEN AUTHORIZED BY THE BOARD TO REVIEW AND APPROVE ALL MATTERS CONCERNING EXECUTIVE COMPENSATION, IS PROVIDED WITH THE COMPENSATION CONSULTANT'S DETAILED EXECUTIVE COMPENSATION REPORT. THE ORGANIZATION MAINTAINS CONTEMPORANEOUS DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS FOR ALL DISQUALIFIED PERSONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION IS A NEW YORK NOT-FOR-PROFIT CORPORATION. ITS CERTIFICATE OF INCORPORATION IS READILY AVAILABLE TO THE GENERAL PUBLIC FROM THE NEW YORK STATE DEPARTMENT OF STATE UNDER THE NEW YORK FREEDOM OF INFORMATION LAW ("FOIL"). ITS CERTIFICATE OF INCORPORATION AND BY-LAWS ARE ALSO ON FILE WITH THE NYSDOH AND LIKEWISE AVAILABLE TO THE GENERAL PUBLIC UNDER FOIL. |
| FORM 990, PART VII, SECTION A, COLUMN B: | AVG. HOURS DEVOTED TO RELATED ORG(S) WHEN RELATED COMP IS REPORTED: THE FOLLOWING INDIVIDUALS DEVOTED A PERCENTAGE OF THEIR TIME TO SALUS ADMINISTRATIVE SERVICES, INC. ("SALUS"), A RELATED ORGANIZATION THROUGH JUNE 30, 2018, AS DETAILED BELOW: DAVID THOMAS, PRESIDENT (THRU 06/30/18) - 7.5% THOMAS HALLORAN, EXECUTIVE VICE PRESIDENT & CHIEF FINANCIAL OFFICER (THRU JUNE 30, 2018) - 10% VINCENT MARCHELLO, MD, CHIEF MEDICAL OFFICER (THRU JUNE 30, 2018) - 12.5% SANTO RUSSO, CHIEF LEGAL OFFICER (THRU JUNE 30, 2018) - 10% THIS ARRANGEMENT IS COVERED BY AN EMPLOYEE SERVICE AGREEMENT BETWEEN NYSCHP AND SALUS THRU JUNE 30, 2018. |
| PART VII, SECTION B: | IN CONNECTION WITH THE REINSURANCE AGREEMENTS ENTERED INTO WITH HALLMARK LIFE INSURANCE COMPANY, NYSCHP ALSO ENTERED INTO A MANAGEMENT AGREEMENT WITH THE CENTENE AFFILIATES SALUS ADMINISTRATIVE SERVICES, INC., CENTENE MANAGEMENT COMPANY, LLC, AND CENTENE COMPANY OF NEW YORK WHEREBY THE CENTENE AFFILIATES AGREED TO ASSUME ALL ADMINISTRATIVE AND OPERATIONAL RESPONSIBILITY FOR THE MEDICARE, MEDICARE-RELATED AND INDIVIDUAL COMMERCIAL PRODUCTS CENTENE ACQUIRED UNDER THE ASSET PURCHASE AGREEMENT UNTIL THEY ARE FINALLY TRANSITIONED TO CENTENE. UNDER THIS ARRANGEMENT, CENTENE MANAGEMENT COMPANY RECEIVES A FEE, ON A CAPITATION BASIS, IN ACCORDANCE WITH THE TERMS OF THE AGREEMENT, WHICH AMOUNTED TO APPROXIMATELY $65.7 MILLION BETWEEN THE CLOSING AND DECEMBER 31, 2018. GIVEN THAT CENTENE MANAGEMENT COMPANY, LLC IS PROVIDING THESE SERVICES ON A TRANSITIONAL BASIS TO ACCOMMODATE THE STAGGERED GOVERNMENTAL APPROVAL PROCESS WITH RESPECT TO ASSETS CENTENE ACQUIRED AND HAS ASSUMED ALL ECONOMIC RISK, AND GIVEN THAT THE COST OF SERVICES PROVIDED BY CENTENE MANAGEMENT COMPANY, LLC ARE FULLY ASSUMED BY CENTENE UNDER THE REINSURANCE AGREEMENTS WITH HALLMARK LIFE INSURANCE COMPANY, CENTENE MANAGEMENT COMPANY, LLC IS NOT CONSIDERED TO BE AN INDEPENDENT CONTRACTOR OF NYSCHP AND IS THEREFORE NOT LISTED IN PART VII, SECTION B. |
| FORM 990, PART XI, LINE 9: | SALE AND DISTRIBUTION OF ASSETS -3,228,562,853. |
| SCHEDULE O, NOT APPLICABLE QUESTIONS: | TO THE EXTENT THAT A QUESTION ON THE FORM 990 HAS BEEN LEFT BLANK, THE RESPONSE TO THIS QUESTION SHOULD BE NOT APPLICABLE. DUE TO SOFTWARE LIMITATIONS, NYSCHP COULD NOT PROPERLY RESPOND TO THE RESPECTIVE QUESTION AS N/A. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REGO PARK OFFICE TOWER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95-25 QUEENS BLVD 8TH FLOOR | AddressLine1Txt |
| City | REGO PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11374 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 815473320 | EIN |
| Primary Activities | REAL PROPERTY OWNER | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $12,198,604 | TotalIncomeAmt |
| End Of Year Assets | $148,700,930 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW YORK STATE CATHOLIC HEALTH PLAN INC | BusinessNameLine1Txt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SALUS ADMINISTRATIVE SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 95-25 QUEENS BOULEVARD | AddressLine1Txt |
| City | REGO PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11374 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 550878053 | EIN |
| Primary Activities | THIRD PARTY ADMINISTRATOR | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW YORK STATE CATHOLIC HEALTH PLAN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $8,064,422 | ShareOfTotalIncomeAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| SALUS ADMINISTRATIVE SERVICES INC | |
| M | $8,050,311 |
| SALUS ADMINISTRATIVE SERVICES INC | |
| N | $642,918 |
| SALUS ADMINISTRATIVE SERVICES INC | |
| O | $8,502,301 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V: | FormAndLineReferenceDesc |
| Explanation | SCHEDULE R, PART V RELATED PARTY TRANSACTIONS: THROUGH JUNE 30, 2018, NYSCHP REPORTS CERTAIN RELATED PARTY TRANSACTIONS BETWEEN ITSELF AND SALUS ADMINISTRATIVE SERVICES, INC. ("SALUS"), A RELATED PARTY, ON SCHEDULE R, PART V. THE METHODS USED FOR DETERMINING THE AMOUNTS REPORTED DIFFER BASED ON THE TYPE OF TRANSACTION BUT ARE ALL CONTAINED IN WRITTEN CONTRACTS BETWEEN THE TWO PARTIES. THROUGH JUNE 30, 2018, SALUS REPORTS A PERFORMANCE OF SERVICES TO NYSCHP. THE WRITTEN AGREEMENT SPECIFIES A FIXED DISPENSING FEE PER PHARMACY CLAIM PROCESSED. THE FEE IS AN ESTIMATE DESIGNED TO COVER DIRECT AND INDIRECT COSTS AS WELL AS A MODEST AMOUNT OF PROFIT. THE AMOUNT IS DEEMED CONSISTENT WITH AN INDEPENDENT THIRD PARTY TRANSACTION. THROUGH JUNE 30, 2018, NYSCHP REPORTS A SHARING OF FACILITIES, EQUIPMENT, AND OTHER ASSETS. THE OVERHEAD AND ADMINISTRATIVE COSTS ARE ALLOCATED BASED ON THE SHARE OF FACILITIES AND ASSETS SALUS IS DEEMED TO USE. THROUGH JUNE 30, 2018, NYSCHP SHARED PAID EMPLOYEES WITH SALUS. NYSCHP ALLOCATED SALARIES FOR EACH EMPLOYEE BASED ON THE PERCENTAGE OF TOTAL HOURS SPENT PROVIDING SERVICES TO SALUS. | ExplanationTxt |
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