2018-11-16T15:11:51-06:00 2017-12-31 ERNST & YOUNG LLP 5 TIMES SQUARE NEW YORK NY 100366530 990 2017-01-01 133783732 Healthfirst PHSP Inc % CRAIG BARATTIN-VP/CONTROLLER HEAL 2128016000 100 CHURCH ST FL 18 NEW YORK NY 100072601 JOHN BERMEL CFO 2128016000 2018-11-12 Laura Kielczewski P00740769 2127733000 2018-11-07 12.41.123.251 13966620183165000000 2018-11-12 P 48376AC60715834143EC7E8D06BB46C111BC8BCB E33A1571D2C37AC133723712033DBAF1EA8D7CD9 2017 2019-02-21 02:37:17Z PATRICIA J WANG 100 CHURCH ST FL 18 NEW YORK NY 100072601 7545520325 false X WWW.HEALTHFIRSTNY.ORG X 1994 NY IMPROVE THE HEALTH & WELL-BEING OF UNDER- served populations by providing gov't purchased prepaid healthcare coverage to individuals covered under medicaid and other health progs. 4 2 0 0 0 0 0 0 6005346578 7535703261 6563183 9817064 0 0 6011909761 7545520325 0 0 0 0 0 0 0 0 0 6044053170 7509745485 6044053170 7509745485 -32143409 35774840 1591670184 2012360481 1118193981 1254044343 473476203 758316138 X TO IMPROVE THE HEALTH AND WELL-BEING OF UNDERSERVED POPULATIONS BY PROVIDING COMPREHENSIVE PREPAID HEALTHCARE COVERAGE TO MEDICAID, MANAGED LONG TERM CARE (MLTC), ESSENTIAL PLAN, HARP, QUALIFIED HEALTH PLAN AND CHILD HEALTH PLUS RECIPIENTS. true false 5109793919 0 5183813216 MEDICAID MANAGED CARE: HEALTHFIRST PHSP, INC. (PHSP) IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES COMPREHENSIVE PREPAID HEALTH CARE COVERAGE TO BENEFICIARIES OF GOVERNMENT HEALTH CARE COVERAGE PROGRAMS. PHSP HAS PARTICIPATED IN NEW YORK'S MEDICAID PROGRAM SINCE OCTOBER 1994. FOR 2017 THERE WERE 1,177,219 MEMBERS ENROLLED IN PHSP'S MEDICAID PLAN. PHSP'S NETWORK INCLUDES 79 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. 696476200 0 769864970 MANAGED LONG TERM CARE (MLTC) SERVICES SUCH AS PERSONAL CARE, SOCIAL, NUTRITIONAL AND REHABILITATION SERVICES WERE PROVIDED TO OVER 14,456 FRAIL ELDERLY INDIVIDUALS RESIDING IN MANHATTAN, THE BRONX, BROOKLYN, QUEENS, STATEN ISLAND, NASSAU AND WESTCHESTER DURING 2017, ALLOWING THEM TO CONTINUE TO RESIDE SAFELY WITHIN THEIR COMMUNITY. 697375352 0 719910155 ESSENTIAL PLAN (EP): HEALTHFIRST PHSP, INC. (PHSP) IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES COMPREHENSIVE PREPAID HEALTH CARE COVERAGE TO BENEFICIARIES OF GOVERNMENT HEALTH CARE COVERAGE PROGRAMS. EP IS A NEW PROGRAM IN 2016 WHICH COVERS INDIVIDUALS WHO WOULD OTHERWISE BE ELIGIBLE FOR EITHER CERTAIN CATEGORIES OF EXPANDED MEDICAID COVERAGE OR SIGNIFICANT SUBSIDIES FOR QUALIFIED HEALTH PLAN (QHP) FOR LITTLE OR NO MEMBER CONTRIBUTION. FOR 2017 THERE WERE 213,843 MEMBERS ENROLLED IN PHSP'S EP PLAN. PHSP'S NETWORK INCLUDES 77 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. 845519444 0 862114920 7349164915 true false false false false false false false false false false false false true true false true true false false false false false false false false false false false true false false false false false false false false false false false false false true true true true false true X 17559 0 false 0 false false false false false false false false false false X 4 2 false true false false true true true true true false false true true true true true true false false false NY X CRAIG BARATTIN-VPCONTROLLER 2128016000 100 CHURCH ST FL 18 NEW YORK NY 100072601 JAY A SCHECHTMAN CHIEF MEDICAL OFFICER 1.0 40.0 X 0 1642737 126038 LINDA TIANO CHIEF LGL OFFICER-BEG.2/24/17 1.0 40.0 X X 0 537294 90000 EVELYN DEL ORBE - End 71317 COMMUNITY REPRESENTATIVE 1.0 0.0 X 0 0 0 STEPHEN ROSENTHAL DIRECTOR 1.0 0.0 X 0 0 0 ERIC SCALETTAR DIRECTOR 1.0 0.0 X 0 0 0 PATRICIA J WANG CHIEF EXECUTIVE OFFICER 1.0 40.0 X 0 3105009 461430 DANIEL P MCCARTHY-END 63017 PRESIDENT & COO 1.0 40.0 X 0 2369180 200442 SEAN M NATARO SECRETARY 1.0 40.0 X 0 393329 33852 JOHN J BERMEL CHIEF FINANCIAL OFFICER 1.0 40.0 X 0 1157812 32944 PAUL E PORTSMORE JR SVP, GROWTH 1.0 40.0 X 0 739095 111900 REBECCA SCHWIETZ SVP CLINICAL SERVICES 1.0 40.0 X 0 596083 92197 GERALD T SWEENEY SVP CHIEF INFORMATION OFFICER 1.0 40.0 X 0 814400 140156 SEAN KANE CHIEF HR OFFICER 1.0 40.0 X 0 815602 106863 THOMAS E MEIXNER SVP Deliver System Engagement 1.0 40.0 X 0 542852 79190 ELIZABETH R ST CLAIR CHIEF LEGAL OFFICER 0.0 0.0 X 0 822455 278162 0 13535848 1753174 0 true true false CAREMARK LLC ONE CVS DRIVE WOONSOCKET RI 02895 PHARMACY 1492492089 NYC HEALTH AND HOSPITAL CORP 125 WORTH STREET NEW YORK NY 10013 MEDICAL/HOSPITAL 369667347 MONTEFIORE MEDICAL CENTER PO BOX 4296 CHURCH STREET STATION NEW YORK NY 10261 MEDICAL/HOSPITAL 276774050 NY PRESBYTERIAN HOSP-COLUMBIA PO BOX 6154 NEW YORK NY 10249 MEDICAL/HOSPITAL 264866246 NYS PUBLIC GOOD POOLS 344 S WARREN STREET SYRACUSE NY 13202 NYS HEALTH CARE FUND 186446493 2669 0 MEDICAID MANAGED CARE 524114 5183813216 5183813216 MLTC - DUAL ELIGIBLE 524114 769864970 769864970 EP ESSENTIAL PLAN 524114 719910155 719910155 HARP 524114 597791199 597791199 QUALIFIED HEALTH PLAN 524114 132266837 132266837 132056884 132056884 7535703261 9817064 9817064 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7545520325 7535703261 9817064 0 0 0 0 0 0 0 0 0 0 484733833 324771668 159962165 0 0 0 0 0 5518330 5040853 477477 5619682 5619682 1100244 959316 140928 0 0 0 0 0 0 0 0 1883340 1883340 0 HEALTHCARE SERVICE COSTS 6987934228 6987934228 CLAIMS PROCESSING 2002063 2002063 BAD DEBT EXPENSE 7669027 7669027 MEDICAL ADMIN 77078 77078 13207660 13207660 7509745485 7349164915 160580570 0 0 0 567864022 636723132 0 0 448550724 486329694 0 0 0 0 0 0 0 0 0 0 0 0 469264221 714254932 0 0 0 0 0 42923586 105991217 132129137 1591670184 2012360481 954301820 1090965912 0 0 4853905 29400557 0 0 0 0 0 0 0 0 0 0 159038256 133677874 1118193981 1254044343 X 473476203 758316138 0 0 0 0 473476203 758316138 1591670184 2012360481 X 35774840 -1658115 250723210 X X false true X true true true X 0 0 0 0 0 0 3305343319 4145039756 5129661897 6005346578 7535703261 26121094811 0 0 0 3305343319 4145039756 5129661897 6005346578 7535703261 26121094811 0 0 0 26121094811 1916101 2819987 3491679 6563183 9817064 24608014 0 1916101 2819987 3491679 6563183 9817064 24608014 0 0 3307259420 4147859743 5133153576 6011909761 7545520325 26145702825 0.99906 0.99914 0.00094 0.00086 X OTHER CURRENT ASSETS 104646942 DUE FROM AFFILIATE 4964790 INVESTMENT IN AFFILIATE 9800591 DUE FROM HFMS 4418137 OTHER ASSETS 30828 LICENSE FEE 8267849 132129137 0 DUE TO STATE OF NEW YORK 128159766 DUE TO STATE - LONG TERM 5518108 133677874 7611696081 -1658115 67833871 66175756 7545520325 7545520325 7509745485 7509745485 7509745485 SCHEDULE D PART XI, LINE 2D - OTHER ADJUSTMENTS ADMINISTRATIVE CHARGES: $70,533,280. The health care services agreements with certain hospitals require that a portion of the premiums are retained as an administrative cost by PHSP, which represents the capital required for its statutory financial reserves. EQUITY LOSS IN AFFILIATE: -$2,699,409 represents 50% share of loss in Investment in Healthfirst Insurance Company, Inc. true true false false false false false false false JAY A SCHECHTMAN CHIEF MEDICAL OFFICER 446321 329148 867268 0 109860 0 16288 0 1768885 0 202731 LINDA TIANO CHIEF LGL OFFICER-BEG.2/24/17 435865 95900 5529 0 90000 0 131 0 627425 0 0 PATRICIA J WANG CHIEF EXECUTIVE OFFICER 1243960 1005888 855161 0 456010 0 5532 0 3566551 0 389469 DANIEL P MCCARTHY-END 63017 PRESIDENT & COO 422404 965941 980835 0 195758 0 4836 0 2569774 0 461775 PAUL E PORTSMORE JR SVP, GROWTH 444537 239570 54988 0 111900 0 131 0 851126 0 54004 REBECCA SCHWIETZ SVP CLINICAL SERVICES 381493 198443 16147 0 73950 0 18378 0 688411 0 15207 GERALD T SWEENEY SVP CHIEF INFORMATION OFFICER 481668 304657 28075 0 122768 0 17528 0 954696 0 26564 SEAN KANE CHIEF HR OFFICER 427914 297433 90255 0 106863 0 138 0 922603 0 89271 SEAN M NATARO SECRETARY 304194 87446 1689 0 15605 0 18378 0 427312 0 0 JOHN J BERMEL CHIEF FINANCIAL OFFICER 611778 461625 84409 0 16200 0 16880 0 1190892 0 0 THOMAS E MEIXNER SVP Deliver System Engagement 361847 176118 4887 0 69821 0 9499 0 622172 0 0 ELIZABETH R ST CLAIR CHIEF LEGAL OFFICER 0 243212 579243 0 278162 0 151 0 1100768 0 0 SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS ENTERED INTO SEVERANCE AGREEMENTS AND/OR RECEIVED SEVERANCE PAYMENTS FROM HF MANAGEMENT SERVICES, LLC - AN AFFILIATE ORGANIZATION OF HEALTHFIRST. ELIZABETH ST. CLAIR - TOTAL SEVERANCE: $759,575, SEVERANCE PAID IN 2016: $107,120 SEVERANCE PAID IN 2017: $506,383 SEVERANCE DEFERRED: $146,072. DAN MCCARTHY - TOTAL SEVERANCE: $1,106,248, SEVERANCE PAID IN 2017: $340,384 SEVERANCE DEFERRED: $765,864 SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED RETIREMENT PLAN PROVIDED BY HF MANAGEMENT SERVICES, LLC - A RELATED ORGANIZATION. THE AMOUNTS BELOW REPRESENT DISTRIBUTIONS FROM THE PLAN SPONSOR FOR 2017: PATRICIA J. WANG $850,820 DANIEL P. MCCARTHY $739,116 JAY A. SCHECHTMAN $865,756 GERALD T. SWEENEY $26,564 SEAN KANE $90,138 PAUL PORTSMORE $54,004 REBECCA SCHWIETZ $15,207,ELIZABETH STCLAIR $325,086 FORM 990, PART III, LINE 2 On December 22, 2017 ("merger date"), with approval of DOH, Senior Health Partners (SHP) was merged into PHSP, with PHSP as the surviving entity. With this merger, SHP as a legal entity ceased to exist and PHSP was authorized to engage in the business previously operated by SHP. Additionally, SHP'S existing programming services for Managed Long Term Care (MLTC) was undertaken by PHSP and its programming revenue and expenses were disclosed on Line 4b. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES HEALTH AND RECOVERY PLAN (HARP): HEALTHFIRST PHSP, INC. (PHSP) IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES COMPREHENSIVE PREPAID HEALTH CARE COVERAGE TO MEDICAID ELIGIBLE INDIVIDUALS THAT HAVE SERIOUS BEHAVIORAL HEALTH DIAGNOSES. THE HARP PROGRAM WAS INTRODUCED IN 2015 AND IS A MANAGED CARE PROGRAM WITHIN MEDICAID. Qualified Health Plans (QHP): In 2014, PHSP established a Qualified Health Plan ("QHP") under the Health Care Reform, which is certified by the New York State Health Insurance Marketplace ("Marketplace"). QHP provides 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 Health Care Reform. QHP is administered under an agreement between PHSP and the DOH that extends through December 31, 2018. CHILD HEALTH PLUS (CHP): THE ORGANIZATION IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES COMPREHENSIVE PREPAID HEALTH CARE COVERAGE TO CHP RECIPIENTS PURSUANT TO ARTICLE 44 OF THE NEW YORK STATE PUBLIC HEALTH LAW. PHSP HAS PARTICIPATED IN NEW YORK'S CHP PROGRAM SINCE 1997. BASIC HEALTH PLANS (BHP): HEALTHFIRST PHSP, INC. (PHSP) IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES STANDARD HEALTH PLAN COVERAGE TO ELIGIBLE INDIVIDUALS WHO WOULD NOT HAVE ACCESS TO COVERAGE THROUGH THE HEALTH INSURANCE MARKETPLACE. PHSP UNDERTOOK NEW YORK'S BHP PROGRAM AS OF 2015. FORM 990, PART V, LINE 1c It has recently come to our attention that our processes for backup withholding were not fully effective. The Organization is currently making the necessary changes to those processes in order to ensure the proper backup withholding is taking place, when required. FORM 990, PART VI, SECTION A, LINE 3 HEALTHFIRST PHSP, INC. (PHSP) CONTRACTS WITH HF MANAGEMENT SERVICES, LLC (HFMS) TO PROVIDE ALL OF ITS MANAGEMENT AND ADMINISTRATIVE SERVICES. PHSP DOES NOT MAINTAIN ITS OWN STAFF OR OFFICE SPACE; THESE ARE PROVIDED BY HFMS. HFMS CHARGES A PERCENT OF PREMIUM ON A PER MEMBER PER MONTH BASIS OR A FLAT FEE PER MEMBER PER MONTH. THE ARRANGEMENT IS APPROVED BY RESOLUTION OF THE BOARD OF DIRECTORS AND THE NY STATE DEPARTMENT OF HEALTH. ALL OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES WERE PAID BY, AND WORKED FOR HFMS, A MANAGEMENT COMPANY WHICH PROVIDES MANAGEMENT SERVICES FOR MULTIPLE ENTITIES. NONE OF THE INDIVIDUALS LISTED EARNED ANY COMPENSATION FROM PHSP. RESOLUTION OF THE BOARD OF DIRECTORS AND THE NY STATE DEPARTMENT OF HEALTH. ALL OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES WERE PAID BY, AND WORKED FOR HFMS, A MANAGEMENT COMPANY WHICH PROVIDES MANAGEMENT SERVICES FOR MULTIPLE ENTITIES. NONE OF THE INDIVIDUALS LISTED EARNED ANY COMPENSATION FROM PHSP. FORM 990, PART VI, SECTION A, LINE 6 HEALTHFIRST PHSP, INC. IS A NEW YORK STATE NOT-FOR-PROFIT MEMBERSHIP CORPORATION. HEALTHFIRST PHSP'S SOLE CORPORATE MEMBER IS HEALTHFIRST, INC. FORM 990, PART VI, SECTION A, LINE 7A HEALTHFIRST PHSP, INC. (PHSP) IS A NEW YORK STATE NOT-FOR-PROFIT MEMBERSHIP CORPORATION. HEALTHFIRST PHSP'S SOLE CORPORATE MEMBER IS HEALTHFIRST, INC. HEALTHFIRST, INC. HAS THE RIGHT TO APPOINT MEMBERS TO THE BOARD OF DIRECTORS OF PHSP. FORM 990, PART VI, SECTION A, LINE 7B THE AMENDMENT OF THE ORGANIZATION'S GOVERNING DOCUMENTS IS SUBJECT TO THE APPROVAL OF HEALTHFIRST, INC. SOME OF THE DECISIONS OF THE GOVERNING BODY, SHOULD THEY OCCUR, ARE SUBJECT TO APPROVAL BY STATE REGULATORS: * DISTRIBUTION OF THE ORGANIZATION'S NET ASSETS * CERTAIN CHANGES TO PREMIUM RATES * EXPANSION TO OTHER MANAGED CARE BUSINESSES * SPECIFIC TYPES OF CHANGES TO THE ORGANIZATION'S BENEFIT PLANS * MANAGEMENT FEE RATE CHANGES [APPROVAL IS ALSO REQUIRED FROM THE MANAGEMENT COMPANY] FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY THE HF MANAGEMENT SERVICES, LLC (HFMS) CORPORATE FINANCE DEPARTMENT STAFF AND THEN REVIEWED BY THE HFMS VICE PRESIDENT, CONTROLLER AND TREASURER. SECONDARY REVIEWS ARE ALSO PERFORMED BY THE HFMS CHIEF LEGAL OFFICER AND CHIEF FINANCIAL OFFICER. THE DRAFT 990 IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE DRAFT 990 IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW. THE FINAL 990 IS SUBMITTED AFTER THE BOARD OF DIRECTORS REVIEWS IT. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS COMPLETED ANNUALLY BY EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE. A NOMINATED BOARD MEMBER WHO DOES NOT COMPLETE THE STATEMENT WITHIN THE CALENDAR YEAR WILL NOT BE PERMITTED TO CARRY OUT DUTIES. THE SAME APPLIES TO AN OFFICER OR KEY EMPLOYEE WHO DOES NOT COMPLETE THE APPROPRIATE DISCLOSURES. ANY DISCLOSURE OF A CONFLICT OR POTENTIAL CONFLICT IS REVIEWED BY THE CHIEF COMPLIANCE OFFICER. CONFLICTS ARE ADDRESSED BY EXAMINING THE RELATIONSHIP OF THE INDIVIDUAL TO THE ORGANIZATION AND THE NATURE OF THE DISCLOSURE. A REPORT OF ANY CONFLICTS IS PREPARED FOR DISCUSSION WITH AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS OF HEALTHFIRST, INC., THE NOT FOR PROFIT CORPORATE PARENT, AS WELL AS THE FULL BOARD OF DIRECTORS OF HEALTHFIRST PHSP, INC. AS APPROPRIATE. GUIDANCE IS PROVIDED TO THE NECESSARY PARTIES AND ACTION IS TAKEN, INCLUDING BUT NOT LIMITED TO DISCLOSURE AND RECUSAL FROM DECISION-MAKING, MODIFICATIONS TO BUSINESS AGREEMENTS, CHANGES IN VENDORS OR REPLACEMENT OF THE DIRECTOR, OFFICER OR KEY EMPLOYEE WITH A NON-CONFLICTED INDIVIDUAL. FORM 990, PART VI, SECTION B, LINE 15 BECAUSE THE REPORTING ORGANIZATION DID NOT COMPENSATE ANY OFFICER OR EMPLOYEE, THE REPORTING ORGANIZATION HAS RESPONDED "NO." HOWEVER, THE COMPENSATION OF THE CEO, OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE COMPENSATION COMMITTEE OF HF MANAGEMENT SERVICES, LLC, THE MANAGEMENT COMPANY THAT PROVIDES ALL SERVICES TO PHSP (A RELATED ORGANIZATION). THE COMMITTEE CONSISTS ONLY OF HFMS MEMBER HOSPITAL DIRECTORS (WHO ARE NOT EMPLOYED NOR COMPENSATED BY HFMS OR ANY OF ITS AFFILIATES). THE PROCESS FOR DETERMINING COMPENSATION IS DESCRIBED IN THE COMMITTEES CHARTER. THE PROCESS INCLUDES ENGAGEMENT OF AN OUTSIDE HUMAN RESOURCES CONSULTING FIRM TO CONDUCT A COMPARABILITY ANALYSIS. THE ANALYSIS INCLUDES COMPARABLE RANGES OF EXECUTIVE COMPENSATION USING THE COMPANY'S INDUSTRY CLASSIFICATION. THE COMMITTEE MEETS PRIOR TO IMPLEMENTATION OF ANY CHANGE IN COMPENSATION. CONTEMPORANEOUS MINUTES OF EACH MEETING ARE PREPARED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC BY PROVIDING COPIES ON REQUEST FOR INSPECTION AT ITS CORPORATE OFFICES. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS - INCLUDED $182,889,339 NET ASSETS TRANSFERRED FROM SHP AS A RESULT OF MERGER. EQUITY LOSS IN INVESTMENT IN HEALTHFIRST INSURANCE CO. INC., A 50% OWNED SUBSIDIARY ($2,699,409) ADMINISTRATIVE CHARGES:$70,533,280 TOTAL OTHER CHANGES IN NET ASSETS: $250,723,210. FORM 990, PART XII, LINE 2C THE SELECTION OF THE INDEPENDENT AUDITOR IS ADMINISTERED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS OF HEALTHFIRST, INC. (A RELATED ORGANIZATION). HEALTHFIRST HEALTH PLAN INC 100 CHURCH ST FL 18 NEW YORK NY 10007 113029569 MANAGED CARE NY 501 (C)4 HEALTHFIRST true HEALTHFIRST INC 100 CHURCH ST FL 18 NEW YORK NY 10007 133714932 MANAGED CARE NY 501 (C)3 12 Type I NA false HEALTHFIRST HEALTH PLAN OF NJ INC 1 WASHINGTON ST STE 1405 NEWARK NJ 07102 510609967 MANAGED CARE NJ 501 (C)4 HF MGMT SVCS true SENIOR HEALTH PARTNERS INC 100 CHURCH ST FL18 NEW YORK NY 10007 134103882 Manage care NY 501 (C)3 10 HEALTHFIRST true HF MANAGEMENT SERVICES LLC 100 CHURCH ST FL 18 NEW YORK NY 100072601 134069806 3RD PTY ADM SCVS NY 0 HF ADMINISTRATIVE SERVICES INC 100 CHURCH STREET NEW YORK NY 100072601 133873482 3RD PTY ADM SCVS NY HF MGMT SVCS C CORP true HEALTHFIRST INSURANCE COMPANY INC 100 CHURCH STREET New York NY 100072601 464545744 INSUR. PROVIDER NY NA C CORP false false false false false false false false false false false false false true false false false false true HF MANAGEMENT SERVICES LLC (HFMS) M 484733833 Cost HEALTHFIRST HEALTH PLAN INC (HFHP) S 50871137 Cost SENIOR HEALTH PARTNERS INC (SHP) S 235228957 Cost FORM 990, SCHEDULE R, PART V, LINE 2 METHOD OF DETERMINING AMOUNT INVOLVED ITEM (1): THE AMOUNT REPRESENTS THE EXPENSES INCURRED AND PAID OR DUE TO THE RELATED ORGANIZATION FOR SERVICES RENDERED BASED ON CONTRACTED RATES APPROVED BY RESOLUTION OF THE BOARD OF DIRECTORS AND BY STATE REGULATORS. ITEM (2): IN ACCORDANCE WITH THE ORGANIZATION'S CONTRACTUAL ARRANGEMENTS AND UPON APPROVAL BY THE BOARD OF DIRECTORS OF PHSP, HEALTHFIRST HEALTH PLAN, INC. ("HFHP"), AN AFFILIATED COMPANY AND HEALTHFIRST, CERTAIN MEMBER DEFICIT BALANCES IN PHSP MAY BE OFFSET BY A PERCENTAGE OF THAT MEMBER'S SURPLUS BALANCE IN HFHP THROUGH AN INTERCOMPANY TRANSFER; CONVERSELY, HFHP MEMBER DEFICIT BALANCES MAY BE OFFSET BY A PERCENTAGE OF PHSP'S SURPLUS BALANCES. IN 2017, THE ALLOWABLE AMOUNT OF SURPLUS OFFSET WAS INCREASED FROM 25% TO 50% OF SURPLUSES THAT MAY ACCRUE, AND WOULD OTHERWISE BE DISTRIBUTED TO A MEMBER HOSPITAL OR AFFILIATE INSTITUTION BY EITHER PHSP OR HFHP. ITEM (2) IS A TRANSFER FROM HFHP. ITEM (3) REPRESENTS NET ASSETS TRANSFER FROM SHP AS OF DECEMBER 31, 2017.