AFFINITY HEALTH PLAN INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
AFFINITY HEALTH PLAN INC (EIN 13-3330672)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-10-20
IRS object ID
202512939349300631
Schema version
2024v5.2
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)
Return2025-10-20T14:47:18-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN331374517PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF O'CONNOR DAVIES ADVISORY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUE SUITE 301AddressLine1Txt
CityHARRISONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105281633ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133330672EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AFFINITY LEGACY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAFFIBusinessNameControlTxt
Phone5169821146PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12885 DILL PLACEAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10465ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRACHEL AMALFITANOPersonNm
Person TitleCFOPersonTitleTxt
Phone5169821146PhoneNum
Signature2025-10-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVA MRUKPreparerPersonNm
PTINP00543254PTIN
Phone9143818900PhoneNum
Preparation2025-10-20PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCLARA HANSENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12885 DILL PLACEAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10465ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$68,527,792GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AFFINITYLEGACY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionIMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$6,510,173PYInvestmentIncomeAmt
CY Investment Income$17,359,593CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$1,582CYOtherRevenueAmt
PY Total Revenue$6,510,173PYTotalRevenueAmt
CY Total Revenue$17,361,175CYTotalRevenueAmt
PY Grants And Similar Paid$18,837,426PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$45,457,528CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$918,211PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$811,239CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$990,437PYOtherExpensesAmt
CY Other Expenses$648,369CYOtherExpensesAmt
PY Total Expenses$20,746,074PYTotalExpensesAmt
CY Total Expenses$46,917,136CYTotalExpensesAmt
PY Revenues Less Expenses-$14,235,901PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$29,555,961CYRevenuesLessExpensesAmt
Total Assets BOY$90,656,064TotalAssetsBOYAmt
Total Assets EOY$60,898,886TotalAssetsEOYAmt
Total Liabilities BOY$311,017TotalLiabilitiesBOYAmt
Total Liabilities EOY$289,971TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$90,345,047NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$60,608,915NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF AFFINITY LEGACY, INC., F/K/A AFFINITY HEALTH PLAN (AFFINITY), IS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$45,457,528ExpenseAmt
Grant$45,457,528GrantAmt
Revenue$0RevenueAmt
DescCOMMUNITY GRANT PROGRAM: DURING 2024, AFFINITY RELEASED ADDITIONAL FUNDING TO GRANT RECIPIENTS UNDER A COMMUNITY GRANT PROGRAM IT FIRST ESTABLISHED IN 2022. THE PROGRAM WAS FUNDED BY A PORTION OF THE PROCEEDS FROM THE SALE TO MOLINA HEALTHCARE IN LATE 2021 AND HAS SUPPORTED ELIGIBLE COMMUNITY BASED ORGANIZATIONS THROUGH AN APPLICATION PROCESS. GRANT FUNDING IS MADE AVAILABLE FOR PROJECTS THAT ARE PROVIDED FOR THE BENEFIT OF RESIDENTS WITHIN THE 10-COUNTY SERVICE AREA PREVIOUSLY SERVED BY AFFINITY HEALTH PLAN AND THAT ARE FOCUSED ON ONE OF FOUR FUNDING PRIORITIES: 1) MENTAL HEALTH; 2) FOOD INSECURITY; 3) FORMERLY INCARCERATED INDIVIDUALS; AND 4) WORKFORCE ADVANCEMENT AND CONSUMER EDUCATION.Desc
Total Program Service Expenses$45,457,528TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial LiquidationYes (1)PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document70IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRACHEL AMALFITANOPersonNm
Phone5169821146PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12885 DILL PLACEAddressLine1Txt
CityBRONXCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10465ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PALOMA IZQUIERDO-HERNANDEZ
CHAIR1.000.25Yes (X)Yes (X)$25,000$0$0
LYNN SHERMAN
TREASURER1.000.25Yes (X)Yes (X)$23,000$0$0
LINDA MULLER
SECRETARY1.000.25Yes (X)Yes (X)$16,000$0$0
YVETTE WALKER MD
TRUSTEE1.000.25Yes (X)$22,000$0$0
NANETTE FALKENBERG
TRUSTEE1.000.25Yes (X)$24,000$0$0
JUDITH FAIRWEATHER
TRUSTEE1.000.25Yes (X)$24,000$0$0
VERONA GREENLAND
TRUSTEE1.000.25Yes (X)$17,000$0$0
BRIAN MCINDOE
TRUSTEE1.000.25Yes (X)$15,000$0$0
CLARA MERCEDES HANSEN
EXECUTIVE DIRECTOR40.000.00Yes (X)$355,950$0$99,912
RACHEL AMALFITANO
CFO/CONSULTANT10.000.00Yes (X)$144,000$0$0
JOHN SARDELIS
FORMER TRUSTEE0.000.00$25,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$690,950TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$99,912TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GREENBERG TRAURIG LLPBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line154 STATE STREETAddressLine1Txt
CityALBANYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12207ZIPCd
FieldValueIRS element (for citing)
ServicesLEGAL SERVICESServicesDesc
Compensation$124,548CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,238,367TotalRevenueColumnAmt
Exclusion$1,238,367ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$51,971,478SecuritiesAmt
Other$15,316,365OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$51,166,617SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$804,861SecuritiesAmt
Other$15,316,365OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,121,226TotalRevenueColumnAmt
Exclusion$16,121,226ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$1,582TotalRevenueColumnAmt
Exclusion$1,582ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,582OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,361,175TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,361,175ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$45,457,528TotalAmt
Program Services$45,457,528ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$674,140TotalAmt
Management And General$674,140ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$25,000TotalAmt
Management And General$25,000ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$112,099TotalAmt
Management And General$112,099ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$122,528TotalAmt
Management And General$122,528ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,200TotalAmt
Management And General$32,200ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$79,230TotalAmt
Management And General$79,230ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$42,606TotalAmt
Management And General$42,606ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$871TotalAmt
Management And General$871ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,815TotalAmt
Management And General$3,815ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,800TotalAmt
Management And General$8,800ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,121TotalAmt
Management And General$1,121ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$356,698TotalAmt
Management And General$356,698ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMISC OPERATING EXPENSESDesc
Total$500TotalAmt
Management And General$500ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$46,917,136TotalAmt
Program Services$45,457,528ProgramServicesAmt
Management And General$1,459,608ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,837,918BOYAmt
EOY$2,744,306EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,492,693BOYAmt
EOY$4,183,646EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,368,811BOYAmt
EOY$1,012,114EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$30,588,458BOYAmt
EOY$27,408,670EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$50,368,184BOYAmt
EOY$25,550,150EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$90,656,064BOYAmt
EOY$60,898,886EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$311,017BOYAmt
EOY$289,971EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$311,017BOYAmt
EOY$289,971EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$90,345,047BOYAmt
EOY$60,608,915EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$90,345,047BOYAmt
EOY$60,608,915EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$90,656,064BOYAmt
EOY$60,898,886EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$29,555,961ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$180,171NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,354,403,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,311,867,660CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$2,666,270,807TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,354,403,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,311,867,660CurrentTaxYearMinus3YearsAmt
Total$2,666,270,807TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,666,270,807PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,372,084CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,957,343CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,142,534CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,141,636CurrentTaxYearMinus1YearAmt
Current Tax Year$1,238,367CurrentTaxYearAmt
Total$7,851,964TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,372,084CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,957,343CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,142,534CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,141,636CurrentTaxYearMinus1YearAmt
Current Tax Year$1,238,367CurrentTaxYearAmt
Total$7,851,964TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,667,749CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$626,941CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,244,626CurrentTaxYearMinus2YearsAmt
Current Tax Year$1,582CurrentTaxYearAmt
Total$24,540,898TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,379,442,980CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,314,451,944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,387,160CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,141,636CurrentTaxYearMinus1YearAmt
Current Tax Year$1,239,949CurrentTaxYearAmt
Total$2,698,663,669TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98800PublicSupportCY509Pct
Public Support PY5090.98850PublicSupportPY509Pct
Investment Income CY0.00290InvestmentIncomeCYPct
Investment Income PY0.00230InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2020 AMOUNT: $ 22,667,749. 2021 AMOUNT: $ 626,941. 2022 AMOUNT: $ 569,442. 2024 AMOUNT: $ 1,582. PHARMACY REBATES - 2022 AMOUNT: $ 675,184.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ESCROW SETTLEMENT RECEIVABLE$25,462,143
PHARMACY REBATE RECEIVABLE$88,007
FieldValueIRS element (for citing)
Total Book Value Other Assets$25,550,150TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$17,181,004TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$180,171NetUnrealizedGainsInvstAmt
Revenue Not Reported-$180,171RevenueNotReportedAmt
Revenue Subtotal$17,361,175RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$17,361,175TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$46,917,136TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$46,917,136ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$46,917,136TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2021.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (53 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
914 UNITED INC
54 MCGOERY LLBRONXVILLENY10708850919332501(C)(3)$130,000$0COMMUNITY GRANT PROGRAM
ACKERMAN INSTITUTE FOR THE FAMILY
936 BROADWAY 2ND FLNEW YORKNY10010131923959501(C)(3)$70,000$0COMMUNITY GRANT PROGRAM
ADVANCED CARE ALLIANCE OF NY
1410 BROADWAY 2ND FLOORNEW YORKNY10018465489816501(C)(3)$100,000$0COMMUNITY GRANT PROGRAM
ANDROMEDA COMMUNITY INITIATIVE INC
49-12 31ST PLACELONG ISLAND CITYNY11101824497530501(C)(3)$40,000$0COMMUNITY GRANT PROGRAM
ARTHUR ASHE INSTITUTE FOR URBAN HEALTH INC
40 CLARKSON AVENUE BOX 1232BROOKLYNNY11203113185372501(C)(3)$100,000$0COMMUNITY GRANT PROGRAM
CENTRAL NASSAU GUIDANCE AND COUNSELING SERVICES INC
950 S OYSTER BAY ROADHICKSVILLENY11801112438388501(C)(3)$250,000$0COMMUNITY GRANT PROGRAM
CHARLES B WANG COMMUNITY HEALTH CENTER INC
268 CANAL STREETNEW YORKNY10013132739694501(C)(3)$9,440,000$0COMMUNITY GRANT PROGRAM
CHURCH OF THE HOLY APOSTLES
296 9TH AVENUENEW YORKNY10001132892297501(C)(3)$200,000$0COMMUNITY GRANT PROGRAM
COMMUNILIFE INC
462 7TH AVENUE 3RD FLOORNEW YORKNY10018133530299501(C)(3)$100,000$0COMMUNITY GRANT PROGRAM
COMMUNITY HELP IN PARK SLOPE INC
200 4TH AVENUEBROOKLYNNY11217112449994501(C)(3)$100,000$0COMMUNITY GRANT PROGRAM
CORNERSTONE FAMILY HEALTHCARE
2570 ROUTE 9WCORNWALLNY12518061036715501(C)(3)$2,700,000$0COMMUNITY GRANT PROGRAM
DEAR BLACK GIRL INCORPORATED
2029 LAFONTAINE AVENUE 3BBRONXNY10457812909627501(C)(3)$45,000$0COMMUNITY GRANT PROGRAM
EVERYDAY IS A MIRACLE INC
2068 MATTHEWS AVENUE SUITE 3BRONXNY10462274262907501(C)(3)$190,000$0COMMUNITY GRANT PROGRAM
FEDERATION OF ORGANIZATION FOR THE NYS MENTALLY DISABLED
1 FARMINGDALE ROAD/ROUTE 109WEST BABYLONNY11704131837418501(C)(3)$30,000$0COMMUNITY GRANT PROGRAM
FOR THE BETTER INC
1866 E 51ST STREETBROOKLYNNY11234852956154501(C)(3)$10,000$0COMMUNITY GRANT PROGRAM
FOUNDATION FOR URBAN HEALTH AND WELL BEING INC
1065 SOUTHERN BLVDBRONXNY10459200565715501(C)(3)$9,440,000$0COMMUNITY GRANT PROGRAM
FOUNTAIN HOUSE INC
425 W 47TH STREETNEW YORKNY10036133055988501(C)(3)$250,000$0COMMUNITY GRANT PROGRAM
GOTHAM FOOD PANTRY
888C 8TH AVENUENEW YORKNY10019853425480501(C)(3)$50,000$0COMMUNITY GRANT PROGRAM
GREEN BRONX MACHINE INTERNATIONAL
3935 BLACKSTONE AVE 12GBRONXNY10471453303493501(C)(3)$120,000$0COMMUNITY GRANT PROGRAM
HARLEM PRIDE CORPORATION
42 MACOMBS PLACENEW YORKNY10039272191962501(C)(3)$35,000$0COMMUNITY GRANT PROGRAM
HOUR CHILDREN INC
36-11 12TH STREETLONG ISLAND CITYNY11106133647412501(C)(3)$175,000$0COMMUNITY GRANT PROGRAM
INSTITUTE FOR COMMUNITY EQUITY AND SHARING INC
13 GREENE AVENUEBROOKLYNNY11238830909234501(C)(3)$90,000$0COMMUNITY GRANT PROGRAM
JULIA DYCKMAN ANDRUS MEMORIAL INC
1156 N BROADWAYYONKERSNY10701132793295501(C)(3)$210,000$0COMMUNITY GRANT PROGRAM
MAKE THE ROAD NEW YORK
301 GROVE STREETBROOKLYNNY11237113344389501(C)(3)$115,000$0COMMUNITY GRANT PROGRAM
METROPOLITAN CENTER FOR MENTAL HEALTH INC
160 W 86TH STREETNEW YORKNY10024131978365501(C)(3)$100,000$0COMMUNITY GRANT PROGRAM
MORRIS HEIGHTS HEALTH CENTER INC
85 WEST BURNSIDE AVENUEBRONXNY10453061081232501(C)(3)$16,160,000$0COMMUNITY GRANT PROGRAM
NATIONAL BLACK LEADERSHIP COMMISSION ON AIDS NBLCA
215 WEST 125TH STREET SUITE 2NEW YORKNY10027134148824501(C)(3)$75,000$0COMMUNITY GRANT PROGRAM
NEW ALTERNATIVES FOR CHILDREN INC
37 WEST 26TH STREETNEW YORKNY10010133149298501(C)(3)$100,000$0COMMUNITY GRANT PROGRAM
NEW YORK COMMON PANTRY INC
8 EAST 109TH STREETNEW YORKNY10029133127972501(C)(3)$250,000$0COMMUNITY GRANT PROGRAM
NEW YORK PSYCHOTHERAPY AND COUNSELING CENTER
176-20 148TH AVENUEJAMAICANY11434112320614501(C)(3)$75,000$0COMMUNITY GRANT PROGRAM
NEW YORK SCHOOL-BASED HEALTH FOUNDATION
PO BOX 8324ALBANYNY12208271484759501(C)(3)$250,000$0COMMUNITY GRANT PROGRAM
OPEN DOOR FAMILY LIFE CENTER INC
999 GREENE AVENUEBROOKLYNNY11221201056519501(C)(3)$20,000$0COMMUNITY GRANT PROGRAM
OUTREACH DEVELOPMENT CORPORATION
11711 MYRTLE AVENUERICHMOND HILLNY11418112518262501(C)(3)$50,000$0COMMUNITY GRANT PROGRAM
PARENT-CHILD RELATIONSHIP ASSOCIATION
909 58TH STREETBROOKLYNNY11219831900689501(C)(3)$83,528$0COMMUNITY GRANT PROGRAM
QUEENS COMMUNITY HOUSE INC
92-17 165 STREETJAMAICANY11433112375583501(C)(3)$108,000$0COMMUNITY GRANT PROGRAM
RAUSCHENBUSCH METRO MINISTRIES INC
401 W 40TH STREETNEW YORKNY10018133859713501(C)(3)$75,000$0COMMUNITY GRANT PROGRAM
RONALD MCDONALD HOUSE NEW YORK
405 EAST 73RD STREETNEW YORKNY10021132933654501(C)(3)$150,000$0COMMUNITY GRANT PROGRAM
SAFE HORIZON INC
2 LAFAYETTE STREET 3RD FLOORNEW YORKNY10007132946970501(C)(3)$100,000$0COMMUNITY GRANT PROGRAM
SERVICES FOR THE UNDERSERVED INC
463 7TH AVENUE 17TH FLOORNEW YORKNY10018911918247501(C)(3)$90,000$0COMMUNITY GRANT PROGRAM
SHARE FOR LIFE FOUNDATION INC
301 SAINT NICHOLAS AVENUE SUITE 25NEW YORKNY10027571145113501(C)(3)$70,000$0COMMUNITY GRANT PROGRAM
SOUTH ASIAN COUNCIL FOR SOCIAL SERVICES
14306 45 AVENUEFLUSHINGNY11355113632920501(C)(3)$200,000$0COMMUNITY GRANT PROGRAM
ST BARNABAS HOSPITAL
4422 THIRD AVENUEBRONXNY10457131740122501(C)(3)$50,000$0COMMUNITY GRANT PROGRAM
ST JOHN BREAD AND LIFE PROGRAM INC
795 LEXINGTON AVENUEBROOKLYNNY11221113174514501(C)(3)$250,000$0COMMUNITY GRANT PROGRAM
THE CHILD CENTER OF NY INC
118-35 QUEENS BLVD 6TH FLOORFOREST HILLSNY11375111733454501(C)(3)$100,000$0COMMUNITY GRANT PROGRAM
THE EMPOWERMENT NETWORK OF ORANGE COUNTY NEW YORK INC
90 NORTH STREET SUITE 206MIDDLETOWNNY10940993601807501(C)(3)$95,000$0COMMUNITY GRANT PROGRAM
THE RED DOOR PLACE INC
201 WEST 13TH STREETNEW YORKNY10011841859955501(C)(3)$50,000$0COMMUNITY GRANT PROGRAM
THE SALVATION ARMY
440 WEST NYACK ROADWEST NYACKNY10994222406433501(C)(3)$125,000$0COMMUNITY GRANT PROGRAM
TRINITY HUMAN SERVICES CORPORATION
153A JOHNSON AVENUEBROOKLYNNY11206133171439501(C)(3)$56,000$0COMMUNITY GRANT PROGRAM
UTOPIA RESEARCH CENTER GREATER NY INC
576 E 165TH STREETBRONXNY10456833737500501(C)(3)$225,000$0COMMUNITY GRANT PROGRAM
VIOLENCE INTERVENTION PROGRAM INC
PO BOX 1161NEW YORKNY10035133540337501(C)(3)$100,000$0COMMUNITY GRANT PROGRAM
WEST SIDE CENTER FOR COMMUNITY LIFE INC
263 WEST 86TH STREETNEW YORKNY10024710908184501(C)(3)$100,000$0COMMUNITY GRANT PROGRAM
WILLIAM F RYAN COMMUNITY HEALTH CENTER
110 WEST 97TH STREETNEW YORKNY10025132884976501(C)(3)$2,260,000$0COMMUNITY GRANT PROGRAM
YOUTH JUSTICE NETWORK INC
63 W 125TH STREET 4TH FLOORNEW YORKNY10027133576756501(C)(3)$100,000$0COMMUNITY GRANT PROGRAM
FieldValueIRS element (for citing)
Total501c3 Org53Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAFFINITY LEGACY IS CARRYING ON THE LEGACY UPON WHICH AFFINITY HEALTH PLAN WAS FOUNDED TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE. THE ORGANIZATION CREATED THE COMMUNITY GRANT PROGRAM TO PROVIDE GRANTS TO ELIGIBLE ORGANIZATIONS THAT PROVIDE SERVICES TO PEOPLE WITHIN AFFINITY'S 10 COUNTY SERVICE AREA. THE GRANT MONITORING PROCESS BEGINS WITH ORGANIZATIONS EXPRESSING INTEREST VIA A LETTER OF INTENT (LOI). ORGANIZATIONS THAT PASSED THE LOI GATING STEP ARE REQUIRED TO SUBMIT A FULL APPLICATION, DETAILING THE PROJECT FOR WHICH THEY ARE REQUESTING FUNDING. APPLICATIONS ARE REVIEWED BY THE COMMUNITY WORKGROUP AND THE EXECUTIVE DIRECTOR AND ASSESSED AGAINST THE BOARD-ESTABLISHED FUNDING CRITERIA I.E., THE ORGANIZATIONS HAS TO: - BE REGISTERED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, OR PROVIDE DOCUMENTATION OF CURRENT FISCAL SPONSORSHIP. - HAVE PURPOSES CONSISTENT WITH AFFINITY'S MISSION "TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE." - OPERATE PROGRAMS WITHIN AFFINITY'S 10-COUNTY SERVICE AREA BRONX, KINGS, NASSAU, NEW YORK, ORANGE, QUEENS, RICHMOND, ROCKLAND, SUFFOLK, AND WESTCHESTER. - NOT HAVE RECEIVED FUNDING FROM ANY OTHER COMPONENT OF THE AFFINITY CHARITABLE ASSET DISTRIBUTION. ADDITIONALLY, GRANT PROJECTS HAVE TO BE FOCUSED ON ONE OF FOUR FUNDING PRIORITIES: MENTAL HEALTH, FOOD INSECURITY, FORMERLY INCARCERATED INDIVIDUALS AND CONSUMER HEALTH EDUCATION AND WORKFORCE ADVANCEMENT. LASTLY, PROJECTS ARE EVALUATED FOR THEIR POTENTIAL COMMUNITY IMPACT. DECISIONS ON WHICH GRANTEE / PROJECTS TO FUND ARE MADE AFTER A COMPREHENSIVE REVIEW AND DISCUSSION. THE PACKET OF THE RECOMMENDED PROJECTS ARE THEN PRESENTED TO THE BOARD FOR FINAL APPROVAL. GRANTEE / PROJECT MONITORING IS PERFORMED IN SEVERAL WAYS. GRANTEES ARE REQUIRED TO SUBMIT INTERIM REPORTS AND FINAL REPORTS (INCLUDING BUDGETS) ON THEIR FUNDED PROJECTS. ALSO, GRANTEES MEET REGULARLY WITH THE EXECUTIVE DIRECTOR VIA ZOOM TO DISCUSS PROGRESS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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
CLARA MERCEDES HANSEN
EXECUTIVE DIRECTOR$324,450$0$31,500$0$0$0$30,500$0$69,412$0$455,862$0$0$0
JOHN SARDELIS
FORMER TRUSTEE$25,000$0$0$0$0$0$0$0$0$0$25,000$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationAN INDIVIDUAL INCLUDED IN SCHEDULE J, PART II RECEIVED A DISCRETIONARY BONUS DURING CALENDAR YEAR 2024, WHICH WAS INCLUDED IN COLUMN B(II) HEREIN AND IN THEIR 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGESExplanationTxt

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidCASH, ESCROW FUNDS, RECEIVABLES, AND CLAIM SETTLEMENTSAssetsDistriOrExpnssPaidDesc
Distribution2024-11-22DistributionDt
Fair Market Value Of Asset$15,316,365FairMarketValueOfAssetAmt
Method Of FMV DeterminationBOOK VALUEMethodOfFMVDeterminationTxt
EIN134204626EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOLINA HEALTHCARE INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 OCENGATE SUITE 100AddressLine1Txt
CityLONG BEACHCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90802ZIPCd
FieldValueIRS element (for citing)
IRC SectionC CORPIRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2Ind
Employee Of Successor20EmployeeOfSuccessor2Ind
Owner Of Successor20OwnerOfSuccessor2Ind
Receive Compensation20ReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BAFFINITY HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD FOR APPROVAL. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CLOYALTY TO AFFINITY'S MISSION REQUIRES THAT BOARD MEMBERS, OFFICERS, AND KEY PERSONS AFFIRM THEIR DUTY TO ACT IN WAYS THAT PROMOTE THE MISSION OF AFFINITY AND TO ABIDE BY THE CONFLICT OF INTEREST AND STANDARDS OF CONDUCT POLICY. EACH BOARD AND COMMITTEE MEMBER, OFFICER, AND KEY PERSON WILL PRIOR TO HIS OR HER INITIAL ELECTION OR APPOINTMENT, AS APPLICABLE, AND ANNUALLY THEREAFTER SIGN A STATEMENT THAT AFFIRMS THAT SUCH PERSON: I) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST AND STANDARDS OF CONDUCT POLICY, II) HAS READ AND UNDERSTANDS THE POLICY; III) HAS AGREED TO COMPLY WITH IT; AND IV) UNDERSTANDS THAT AFFINITY IS A CHARITABLE CORPORATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. AFTER DISCLOSURE OF A SPECIFIC ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND ALL MATERIAL FACTS AND, AFTER ANY DISCUSSION BETWEEN THE BOARD AND THE INTERESTED PERSON, THE INTERESTED PERSON MUST LEAVE THE BOARD MEETING WHILE A DETERMINATION OF CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD MEMBERS WILL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY RETURN TO PARTICIPATE IN DISCUSSIONS AND VOTING ON THE MATTER. NO INTERESTED PERSON MAY ATTEMPT TO INFLUENCE THE DELIBERATION OR VOTING ON THE MATTER GIVING RISE TO A CONFLICT OF INTEREST. AN INTERESTED PERSON MAY MAKE A PRESENTATION OR OTHERWISE PARTICIPATE AT THE BOARD MEETING. AFTER SUCH PRESENTATION, HOWEVER, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF AND VOTE ON THE PROPOSED POLICY, TRANSACTION, OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING COMPENSATION FOR EXECUTIVE DIRECTOR 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. THIS PROCESS IS DONE ON AN ANNUAL BASIS AND WAS LAST UNDERTAKEN IN 2024.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS ALSO POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. THE ORGANIZATION'S FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BYLAWS ARE AVAILABLE UPON WRITTEN REQUEST.
FORM 990, PART VII, LINE 3 THROUGH 12:THE BOARD TRUSTEES WERE COMPENSATED DURING THE YEAR FOR SERVICES PROVIDED TO THE BOARD, NOT AS INDEPENDENT CONTRACTORS.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.

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 TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
AHP ENTERPRISES INC
2885 DILL PLACEBRONXNY10465473885217MGMT SERVICESDEAFFINITY HEALTH SERVICES HOLDINGS INCC0
AFFINITY HEALTH SERVICES HOLDINGS INC
2885 DILL PLACEBRONXNY10465473909849HOLDING CORPORATIONDEC0N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.