AFFINITY HEALTH PLAN INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
AFFINITY HEALTH PLAN INC (EIN 13-3330672)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-14
IRS object ID
201913189349311201
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-14T15:14:01-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

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
Signature2019-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDevin L DuncanPreparerPersonNm
PTINP01249521PTIN
Phone2127589700PhoneNum
Preparation2019-11-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id13407320193185000051FederalOriginalSubmissionId
Federal Original Submission Id2019-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1A40E716967CA28ADC8ECC70ABF589B5FFACE7D5AtSubmissionCreationDeviceId
At Submission Filing Device IdF7E791049FCEE4943A341CCA4F642AE72B60D2A0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

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$1,620,366,257GrossReceiptsAmt
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 Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee784TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$364,373NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,556,450,091PYProgramServiceRevenueAmt
CY Program Service Revenue$1,534,514,333CYProgramServiceRevenueAmt
PY Investment Income$6,787,583PYInvestmentIncomeAmt
CY Investment Income$1,803,574CYInvestmentIncomeAmt
PY Other Revenue$3,937,798PYOtherRevenueAmt
CY Other Revenue$7,183,743CYOtherRevenueAmt
PY Total Revenue$1,567,175,472PYTotalRevenueAmt
CY Total Revenue$1,543,501,650CYTotalRevenueAmt
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$73,267,078PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$60,273,637CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,619,325,651PYOtherExpensesAmt
CY Other Expenses$1,474,711,921CYOtherExpensesAmt
PY Total Expenses$1,692,592,729PYTotalExpensesAmt
CY Total Expenses$1,534,985,558CYTotalExpensesAmt
PY Revenues Less Expenses-$125,417,257PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,516,092CYRevenuesLessExpensesAmt
Total Assets BOY$368,632,981TotalAssetsBOYAmt
Total Assets EOY$434,398,057TotalAssetsEOYAmt
Total Liabilities BOY$444,678,267TotalLiabilitiesBOYAmt
Total Liabilities EOY$504,235,301TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$76,045,286NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$69,837,244NetAssetsOrFundBalancesEOYAmt
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$979,958,647ExpenseAmt
Revenue$1,023,935,887RevenueAmt
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$169,731,012ExpenseAmt
Revenue$209,631,080RevenueAmt
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$116,467,183ExpenseAmt
Revenue$136,272,968RevenueAmt
DescMEDICARE PROGRAM - THE MEDICARE ADVANTAGE PROGRAM IS 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 INCLUDES AFFINITY MEDICARE ULTIMATE, SOLUTIONS, PASSPORT ESSENTIALS, PASSPORT ESSENTIALS SELECT AND PASSPORT ESSENTIALS NYC. Affinity has exited the Medicare program as of 1/1/2019.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
$98,628,889$121,191,582HARP
$29,445,773$34,771,901CHILD HEALTH PLUS PRGM
$1,147,512$8,710,915QUALIFIED HEALTH PLAN
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$129,222,174TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$164,674,398TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,395,379,016TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document6498IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee784EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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 PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
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 OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CALEB DESROSIERS
TRUSTEE & vice chair1.02.0Yes (X)Yes (X)$3,300$0$0
ROBERT SCHILLER MD
TRUSTEE1.02.0Yes (X)$0$0$0
YVETTE WALKER MD
TRUSTEE1.02.0Yes (X)$6,600$0$0
NANETTE FALKENBERG
TRUSTEE1.02.0Yes (X)$4,400$0$0
VERONA GREENLAND
TRUSTEE1.02.0Yes (X)$0$0$0
PALOMA IZQUIERDO-HERNANDEZ
TRUSTEE & CHAIR1.02.0Yes (X)Yes (X)$0$0$0
AMY KNAPP
TRUSTEE1.02.0Yes (X)$8,200$0$0
LYNN SHERMAN
TRUSTEE & Treasurer1.02.0Yes (X)Yes (X)$0$0$0
JOHN SARDELIS
TRUSTEE1.02.0Yes (X)$3,900$0$0
Brian McIndoe
TRUSTEE1.02.0Yes (X)$0$0$0
LINDA MULLER
TRUSTEE & SECRETARY1.02.0Yes (X)Yes (X)$0$0$0
MICHAEL MURPHY
PRESIDENT & CEO37.50.0Yes (X)$594,852$0$30,097
RACHEL AMALFITANO
CONSULTANT/CFO (BEG 08/2018)37.50.0Yes (X)$105,000$0$0
STEPHEN GIASI
SVP/CFO (THRU 07/2018)37.50.0Yes (X)$510,841$0$30,220
PHILIP MYONES
SVP/Chief Information Officer37.50.0Yes (X)$356,375$0$41,633
SCOTT BREIDBART MD
CHIEF MEDICAL OFFICER37.50.0Yes (X)$339,150$0$23,022
LISA MINGIONE
VP - CHIEF COMPLIANCE OFFICER37.50.0Yes (X)$265,300$0$2,599
ERIC WALSH
SVP/CONSUMER MARKETS37.50.0$276,288$0$42,949Yes (X)
MARTIN HENSHAW
AVP/Medicare Sales37.50.0$287,958$0$9,727Yes (X)
LISA E KEEHN
VP - EX. DIR MEDICAL OPERATION37.50.0$235,000$0$35,962Yes (X)
DENISE J PESICH
VP - CHIEF MARKETING OFFICER37.50.0$230,420$0$9,794Yes (X)
Edina Vukic
SVP/Sales (THRU 05/5/2018)37.50.0$414,877$0$14,704Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,642,461TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$240,707TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K55IndivRcvdGreaterThan100KCnt
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
Independent Living Systems llc
5200 Blue Lagoon Drive Suite 500MIAMIFL33126CONSULTING$2,757,247
COGNIZANT TECHNOLOGY SOLUTIONS
500 GLENPOINTE CENTRE WESTTEANECKNJ07666IT CONSULTING$2,490,644
PPT Solutions LLC
9521 B Riverside Parkway 266TULSAOK74137CONSULTING$862,421
Red-Card Systems
7700 Bonhomme Avenue Suite 200ST LOUISMO63105PRINTING SERVICES$683,612
BRANDON ASSOCIATES
26 Sarah DriveFARMINGDALENY11735WEB DEVELOPMENT$557,594
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K29CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID900099$1,023,935,887$1,023,935,887
ESSENTIAL PLAN900099$209,631,080$209,631,080
MEDICARE900099$136,272,968$136,272,968
HARP900099$121,191,582$121,191,582
CHILD HEALTH PLUS PGRM900099$34,771,901$34,771,901

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,710,915TotalRevenueColumnAmt
Related Or Exempt Func Income$8,710,915RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,534,514,333TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,276,181TotalRevenueColumnAmt
Exclusion$2,276,181ExclusionAmt

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$76,392,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$76,864,607SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$472,607SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$472,607TotalRevenueColumnAmt
Exclusion-$472,607ExclusionAmt
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 ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DSRIP & VBP ADMIN. FEE900099$4,655,528$4,655,528
MEDICARE ADMIN FEE900099$2,000,000$2,000,000
VIRTUAL CARD INTERCHANGE REVENUE900099$528,215$528,215
FieldValueIRS element (for citing)
Other Revenue Total$7,183,743OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,543,501,650TotalRevenueColumnAmt
Related Or Exempt Func Income$1,541,698,076RelatedOrExemptFuncIncomeAmt
Exclusion$1,803,574ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

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$2,325,489TotalAmt
Management And General$2,325,489ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$46,428,660TotalAmt
Management And General$46,428,660ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,796,382TotalAmt
Management And General$1,796,382ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,757,967TotalAmt
Management And General$5,757,967ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,965,139TotalAmt
Management And General$3,965,139ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$487,798TotalAmt
Management And General$487,798ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$575,389TotalAmt
Management And General$575,389ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$13,827TotalAmt
Management And General$13,827ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$225,638TotalAmt
Management And General$225,638ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,047,445TotalAmt
Management And General$13,047,445ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,540,392TotalAmt
Management And General$1,540,392ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$27,459,663TotalAmt
Management And General$27,459,663ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,695,504TotalAmt
Management And General$15,695,504ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,464,004TotalAmt
Management And General$8,464,004ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$231,834TotalAmt
Management And General$231,834ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$304,867TotalAmt
Management And General$304,867ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,582,643TotalAmt
Management And General$3,582,643ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,048,295TotalAmt
Management And General$7,048,295ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$655,606TotalAmt
Management And General$655,606ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
INPATIENT CLAIMS$354,667,823$354,667,823
PHARMACY$289,302,529$289,302,529
PHYSICIAN REFERRAL$235,893,543$235,893,543
PRIMARY CARE$124,802,979$124,802,979

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$390,712,142TotalAmt
Program Services$390,712,142ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,534,985,558TotalAmt
Program Services$1,395,379,016ProgramServicesAmt
Management And General$139,606,542ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$51,154,531BOYAmt
EOY$111,245,298EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,400,859BOYAmt
EOY$6,386,782EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$93,323,719BOYAmt
EOY$89,903,839EOYAmt

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$2,372,428BOYAmt
EOY$2,253,681EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$71,053,725LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$59,056,558LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,590,366BOYAmt
EOY$11,997,167EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$141,555,529BOYAmt
EOY$137,887,556EOYAmt

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$42,235,549BOYAmt
EOY$74,723,734EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$368,632,981BOYAmt
EOY$434,398,057EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$409,858,015BOYAmt
EOY$427,734,404EOYAmt

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$20,678,887BOYAmt
EOY$50,542,139EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,141,365BOYAmt
EOY$25,958,758EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$444,678,267BOYAmt
EOY$504,235,301EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$197,114,025BOYAmt
EOY-$190,189,056EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$121,068,739BOYAmt
EOY$120,351,812EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$76,045,286BOYAmt
EOY-$69,837,244EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$368,632,981BOYAmt
EOY$434,398,057EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,516,092ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,308,050NetUnrlzdGainsLossesInvstAmt
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$13,827OtherActivitiesAmt
Total Lobbying Expenditures$13,827TotalLobbyingExpendituresAmt

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)
Other Cost Or Other Basis$5,915,425OtherCostOrOtherBasisAmt
Depreciation$2,455,624DepreciationAmt
Book Value$3,459,801BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,046,326OtherCostOrOtherBasisAmt
Depreciation$6,057,746DepreciationAmt
Book Value$988,580BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,091,974OtherCostOrOtherBasisAmt
Depreciation$50,543,188DepreciationAmt
Book Value$7,548,786BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,997,167TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ADVANCES TO PROVIDERS & OTHER$57,442,659
PHARMACY REBATE RECEIVABLE$17,281,075
FieldValueIRS element (for citing)
Total Book Value Other Assets$74,723,734TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
NYSDOH DSRIP EQUITY PROGRAM$19,205,725
DEFERRED RENT & OTHER$6,753,033
FieldValueIRS element (for citing)
Total Liability$25,958,758TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,541,193,600TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,308,050NetUnrealizedGainsInvstAmt
Revenue Not Reported-$2,308,050RevenueNotReportedAmt
Revenue Subtotal$1,543,501,650RevenueSubtotalAmt
Total Revenue Per Form990$1,543,501,650TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,534,985,558TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,534,985,558ExpensesSubtotalAmt
Total Expenses Per Form990$1,534,985,558TotalExpensesPerForm990Amt

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, 2018 and 2017.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 PaymentsfalseAnyNonFixedPaymentsInd
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 MURPHY
PRESIDENT & CEO$592,872$0$0$0$1,980$0$7,557$0$22,540$0$624,949$0$0$0
ERIC WALSH
SVP/CONSUMER MARKETS$275,838$0$0$0$450$0$16,752$0$26,197$0$319,237$0$0$0
STEPHEN GIASI
SVP/CFO (THRU 07/2018)$182,269$0$0$0$328,572$0$11,716$0$18,504$0$541,061$0$0$0
PHILIP MYONES
SVP/Chief Information Officer$354,395$0$0$0$1,980$0$13,972$0$27,661$0$398,008$0$0$0
MARTIN HENSHAW
AVP/Medicare Sales$287,508$0$0$0$450$0$8,435$0$1,292$0$297,685$0$0$0
SCOTT BREIDBART MD
CHIEF MEDICAL OFFICER$337,323$0$0$0$1,827$0$0$0$23,022$0$362,172$0$0$0
LISA MINGIONE
VP - CHIEF COMPLIANCE OFFICER$265,000$0$0$0$300$0$1,223$0$1,376$0$267,899$0$0$0
LISA E KEEHN
VP - EX. DIR MEDICAL OPERATION$234,550$0$0$0$450$0$14,208$0$21,754$0$270,962$0$0$0
DENISE J PESICH
VP - CHIEF MARKETING OFFICER$228,440$0$0$0$1,980$0$7,237$0$2,557$0$240,214$0$0$0
Edina Vukic
SVP/Sales (THRU 05/5/2018)$139,762$0$0$0$275,115$0$5,710$0$8,994$0$429,581$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 $300,000 PAID TO Stephen Giasi IS REPORTED AS TAXABLE COMPENSATION IN COLUMN (B)(III), and A SEVERANCE PAYMENT IN THE AMOUNT OF $275,000 PAID TO EDINA VUKIC IS REPORTED AS TAXABLE COMPENSATION IN COLUMN (B)(III).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (36 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 Affinity Health Plan (the Plan) established a Qualified Health Plan (QHP) in 2013 under Health Care Reform, which was certified by the New York State Health Insurance Marketplace (the Exchange). QHP provided essential health benefits, follows established limits on cost sharing (deductible, copayment, and out-of-pocket maximum amounts), and must maintain compliance with other provisions of the ACA. The QHP business became operational effective October 1, 2013, with the acceptance of members under the provisions of the Exchange. Coverage for QHP members began on January 1, 2014. QHP was administered under an agreement between the Plan and the NYSDOH and extended through December 31, 2017. Effective January 1, 2018, the Plan no longer offers a QHP through the Exchange. 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. 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 INCLUDED 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:EMERGENCY ROOM CLAIMS TOTAL EXPENSES:38558232 PROGRAM SERVICES:38558232
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:EMERGENCY ROOM HCRA TOTAL EXPENSES:1978909 PROGRAM SERVICES:1978909
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PROFESSION SERVICE-IBNR TOTAL EXPENSES:-17133778 PROGRAM SERVICES:-17133778
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:SHARE SAVINGS EXPENSE TOTAL EXPENSES:-1994630 PROGRAM SERVICES:-1994630
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OUTPATIENT CLAIMS-IBNR TOTAL EXPENSES:-4347083 PROGRAM SERVICES:-4347083
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OUTPATIENT NON VALUATED EXP TOTAL EXPENSES:55696 PROGRAM SERVICES:55696
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:ILS CAPITATION TOTAL EXPENSES:2757247 PROGRAM SERVICES:2757247
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:4762856 PROGRAM SERVICES:4762856
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:THIRD PARTY RECOVERIES - REINS TOTAL EXPENSES:-22380180 PROGRAM SERVICES:-22380180
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:HEALTH HOME CLAIMS TOTAL EXPENSES:5411529 PROGRAM SERVICES:5411529
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DENTAL CAPITATION TOTAL EXPENSES:28636673 PROGRAM SERVICES:28636673
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:BEHAVIORAL HEALTH CAPITATION TOTAL EXPENSES:97084397 PROGRAM SERVICES:97084397
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DENTAL HCRA TOTAL EXPENSES:210621 PROGRAM SERVICES:210621
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:BEACON HCRA TOTAL EXPENSES:1263799 PROGRAM SERVICES:1263799
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DIAGNOSTIC TEST LAB & X-RAY TOTAL EXPENSES:84330896 PROGRAM SERVICES:84330896
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:LAB CAPITATIONS TOTAL EXPENSES:-277299 PROGRAM SERVICES:-277299
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:LAB HCRA TOTAL EXPENSES:2634664 PROGRAM SERVICES:2634664
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DIAGNOSTIC TEST LAB TOTAL EXPENSES:325075 PROGRAM SERVICES:325075
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:FAMILY PLANNING TOTAL EXPENSES:2554 PROGRAM SERVICES:2554
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:NURSING FACILITY TOTAL EXPENSES:3185901 PROGRAM SERVICES:3185901
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:NURSING FACILITY HCRA TOTAL EXPENSES:13 PROGRAM SERVICES:13
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:TRANSPORTATION NON-EMERGENT TOTAL EXPENSES:-87700 PROGRAM SERVICES:-87700
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:VISION CAPITATION TOTAL EXPENSES:4056091 PROGRAM SERVICES:4056091
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OUTPATIENT PHYSICAL THERAPY TOTAL EXPENSES:23887 PROGRAM SERVICES:23887
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:CHIROPRACTIC TOTAL EXPENSES:270341 PROGRAM SERVICES:270341
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:ACUPUNCTURE TOTAL EXPENSES:6500 PROGRAM SERVICES:6500
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DME, MEDICAL SUPPLIES TOTAL EXPENSES:7882 PROGRAM SERVICES:7882
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:AMBULATORY SURGERY TOTAL EXPENSES:342014 PROGRAM SERVICES:342014
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:HOME HEALTH CARE TOTAL EXPENSES:996 PROGRAM SERVICES:996
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OTHER MEDICAL TOTAL EXPENSES:921362 PROGRAM SERVICES:921362
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PRENATAL/POSTPARTUM CARE TOTAL EXPENSES:21888 PROGRAM SERVICES:21888
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:MEDICAID STOP LOSS INSURANCE TOTAL EXPENSES:12878634 PROGRAM SERVICES:12878634
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:COVERED LIVES TOTAL EXPENSES:5985797 PROGRAM SERVICES:5985797

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

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