FURP.ORG / PUBLIC DATA EXPLORER

AFFINITY HEALTH PLAN INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
AFFINITY HEALTH PLAN INC (EIN 13-3330672)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-10-31
IRS object ID
201823049349300732
Schema version
2017v2.3
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)
Return2018-10-31T09:45:13-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-10-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFelicia TuckerPreparerPersonNm
PTINP00505155PTIN
Phone2127589700PhoneNum
Preparation2018-10-10PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id13407320183045000004FederalOriginalSubmissionId
Federal Original Submission Id2018-10-31FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCBD02D1F9C13241969058C74BA7BDAAF2BEC0EB3AtSubmissionCreationDeviceId
At Submission Filing Device IdD12863A56395358267BFB0890E12E4BF9BF38116AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$1,684,592,584GrossReceiptsAmt
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 Employee901TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,453,074,934PYProgramServiceRevenueAmt
CY Program Service Revenue$1,556,450,091CYProgramServiceRevenueAmt
PY Investment Income$1,992,524PYInvestmentIncomeAmt
CY Investment Income$6,787,583CYInvestmentIncomeAmt
PY Other Revenue$2,992,000PYOtherRevenueAmt
CY Other Revenue$3,937,798CYOtherRevenueAmt
PY Total Revenue$1,458,059,458PYTotalRevenueAmt
CY Total Revenue$1,567,175,472CYTotalRevenueAmt
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$76,692,013PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$73,267,078CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,454,988,411PYOtherExpensesAmt
CY Other Expenses$1,619,325,651CYOtherExpensesAmt
PY Total Expenses$1,531,680,424PYTotalExpensesAmt
CY Total Expenses$1,692,592,729CYTotalExpensesAmt
PY Revenues Less Expenses-$73,620,966PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$125,417,257CYRevenuesLessExpensesAmt
Total Assets BOY$419,280,220TotalAssetsBOYAmt
Total Assets EOY$368,632,981TotalAssetsEOYAmt
Total Liabilities BOY$368,840,831TotalLiabilitiesBOYAmt
Total Liabilities EOY$444,678,267TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$50,439,389NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$76,045,286NetAssetsOrFundBalancesEOYAmt
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 ChangefalseSignificantChangeInd
Expense$1,054,044,387ExpenseAmt
Revenue$1,069,616,764RevenueAmt
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$163,819,214ExpenseAmt
Revenue$204,881,831RevenueAmt
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$156,000,349ExpenseAmt
Revenue$130,045,376RevenueAmt
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 Health Plan terminated Passport Essentials Select as of 1/1/2018. Passport Essentials and Passport Essentials NYC were terminated in Suffolk County effective 1/1/2018.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmtRevenueRevenueAmtDescDesc
$88,922,819$102,408,875HARP
$35,769,230$19,122,795QUALIFIED HEALTH PLAN
$28,164,877$30,374,450CHILD HEALTH PLUS PRGM
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$152,856,926TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$151,906,120TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,526,720,876TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
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 Document6220IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee901EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
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 (21 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)$4,400$0$0
ROBERT SCHILLER MD
TRUSTEE1.02.0Yes (X)$0$0$0
YVETTE WALKER MD
TRUSTEE1.02.0Yes (X)$7,400$0$0
NANETTE FALKENBERG
TRUSTEE1.02.0Yes (X)$10,500$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)$7,250$0$0
LYNN SHERMAN
TRUSTEE & Treasurer1.02.0Yes (X)Yes (X)$0$0$0
JOHN SARDELIS
TRUSTEE1.02.0Yes (X)$8,250$0$0
Brian McIndoe
TRUSTEE1.02.0Yes (X)$0$0$0
LINDA MULLER
TRUSTEE & SECRETARY1.02.0Yes (X)Yes (X)$0$0$0
GABRIEL VONLEH
TRUSTEE(THRU 02/2017)1.02.0Yes (X)$0$0$0
JAMES HOOLEY
INTERIM CEO/PRES(THRU 03/2017)37.50.0Yes (X)$148,722$0$468
MICHAEL MURPHY
CEO/PRESIDENT(BEG 03/2017)37.50.0Yes (X)$556,294$0$19,537
STEPHEN GIASI
SVP/CHIEF FINANCIAL OFFICER37.50.0Yes (X)$327,592$0$51,838
PHILIP MYONES
SVP/Chief Information Officer37.50.0Yes (X)$287,626$0$26,256
ABENAA UDOCHI
SVP/EXEC DIR-STATE GOVT PRGM37.50.0$528,949$0$31,067Yes (X)
EDINA VUKIC
SVP/sale & comm. eng.37.50.0$275,289$0$48,586Yes (X)
ERIC WALSH
SVP/CONSUMER MARKETS37.50.0$277,653$0$51,846Yes (X)
ANITA WILENKIN
SVP/Operations37.50.0$267,953$0$19,771Yes (X)
MARTIN HENSHAW
AVP/Medicare Sales37.50.0$276,259$0$2,434Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,984,137TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$251,803TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K135IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
cognizant technology solutions
500 Glenpointe Centre WestTEANECKNJ07666IT CONSULT & DEV SVC$2,815,552
Altegra Health
3055 LEBANON PIKENASHVILLETN37214CLAIM CONSULTING SVC$2,500,164
HEALTH MANAGEMENT SYSTEMS INC
401 PARK AVE SOUTHNEW YORKNY10016CLAIM RECOVERY SVC$1,857,883
Change Healthcare Solutions LLC
3055 LEBANON PIKENASHVILLETN37214CLAIM CONSULTING SVC$1,771,937
Transaction Applications Group Inc
2300 WEST PLANO PARKWAYPLANOTX75075CLAIMS PROCESSING$1,759,303
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID900099$1,069,616,764$1,069,616,764
ESSENTIAL PLAN900099$204,881,831$204,881,831
MEDICARE900099$130,045,376$130,045,376
HARP900099$102,408,875$102,408,875
CHILD HEALTH PLUS PGRM900099$30,374,450$30,374,450

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,122,795TotalRevenueColumnAmt
Related Or Exempt Func Income$19,122,795RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,556,450,091TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,723,908TotalRevenueColumnAmt
Exclusion$2,723,908ExclusionAmt

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$121,480,787SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$117,417,112SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,063,675SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,063,675TotalRevenueColumnAmt
Exclusion$4,063,675ExclusionAmt
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 (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
DSRIP & VBP ADMIN. FEE900099$3,688,537$3,688,537
VIRTUAL CARD INTERCHANGE REVENUE900099$249,261$249,261
FieldValueIRS element (for citing)
Other Revenue Total$3,937,798OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,567,175,472TotalRevenueColumnAmt
Related Or Exempt Func Income$1,560,387,889RelatedOrExemptFuncIncomeAmt
Exclusion$6,787,583ExclusionAmt
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$1,456,133TotalAmt
Management And General$1,456,133ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$56,574,037TotalAmt
Management And General$56,574,037ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,160,519TotalAmt
Management And General$2,160,519ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,242,882TotalAmt
Management And General$8,242,882ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,833,507TotalAmt
Management And General$4,833,507ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$294,995TotalAmt
Management And General$294,995ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$587,017TotalAmt
Management And General$587,017ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$442,532TotalAmt
Management And General$442,532ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$20,968,328TotalAmt
Management And General$20,968,328ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,367,373TotalAmt
Management And General$2,367,373ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$29,522,617TotalAmt
Management And General$29,522,617ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,500,874TotalAmt
Management And General$15,500,874ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,011,042TotalAmt
Management And General$9,011,042ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$264,651TotalAmt
Management And General$264,651ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$623,579TotalAmt
Management And General$623,579ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,078,607TotalAmt
Management And General$4,078,607ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,346,683TotalAmt
Management And General$8,346,683ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$596,477TotalAmt
Management And General$596,477ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
INPATIENT CLAIMS$464,834,827$464,834,827
PHARMACY$292,493,217$292,493,217
PHYSICIAN REFERRAL$219,111,423$219,111,423
PRIMARY CARE$86,649,762$86,649,762

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$463,631,647TotalAmt
Program Services$463,631,647ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,692,592,729TotalAmt
Program Services$1,526,720,876ProgramServicesAmt
Management And General$165,871,853ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$125,919,169BOYAmt
EOY$51,154,531EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,179,287BOYAmt
EOY$19,400,859EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$80,790,542BOYAmt
EOY$93,323,719EOYAmt

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$2,035,374BOYAmt
EOY$2,372,428EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$70,758,585LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$52,168,219LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,722,795BOYAmt
EOY$18,590,366EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$142,393,248BOYAmt
EOY$141,555,529EOYAmt

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$35,239,805BOYAmt
EOY$42,235,549EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$419,280,220BOYAmt
EOY$368,632,981EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$326,971,528BOYAmt
EOY$409,858,015EOYAmt

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$35,048BOYAmt
EOY$20,678,887EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,834,255BOYAmt
EOY$14,141,365EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$368,840,831BOYAmt
EOY$444,678,267EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$61,365,613BOYAmt
EOY-$197,114,025EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$111,805,002BOYAmt
EOY$121,068,739EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,439,389BOYAmt
EOY-$76,045,286EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$419,280,220BOYAmt
EOY$368,632,981EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$125,417,257ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,067,418NetUnrlzdGainsLossesInvstAmt
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 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$6,068,787OtherCostOrOtherBasisAmt
Depreciation$1,872,181DepreciationAmt
Book Value$4,196,606BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,007,368OtherCostOrOtherBasisAmt
Depreciation$5,363,601DepreciationAmt
Book Value$1,643,767BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,682,430OtherCostOrOtherBasisAmt
Depreciation$44,932,437DepreciationAmt
Book Value$12,749,993BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,590,366TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ADVANCES TO PROVIDERS & OTHER$25,776,662
PHARMACY REBATE RECEIVABLE$16,458,887
FieldValueIRS element (for citing)
Total Book Value Other Assets$42,235,549TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
NYSDOH DSRIP EQUITY PROGRAM$7,741,137
DEFERRED RENT & OTHER$6,400,228
FieldValueIRS element (for citing)
Total Liability$14,141,365TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,566,108,054TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,067,418NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,067,418RevenueNotReportedAmt
Revenue Subtotal$1,567,175,472RevenueSubtotalAmt
Total Revenue Per Form990$1,567,175,472TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,692,592,729TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,692,592,729ExpensesSubtotalAmt
Total Expenses Per Form990$1,692,592,729TotalExpensesPerForm990Amt

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, 2017 and 2016.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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
CEO/PRESIDENT(BEG 03/2017)$554,695$0$0$0$1,599$0$0$0$19,537$0$575,831$0$0$0
ABENAA UDOCHI
SVP/EXEC DIR-STATE GOVT PRGM$205,326$0$0$0$323,623$0$18,140$0$12,927$0$560,016$0$0$0
EDINA VUKIC
SVP/sale & comm. eng.$268,169$0$0$0$7,120$0$22,410$0$26,176$0$323,875$0$0$0
ERIC WALSH
SVP/CONSUMER MARKETS$277,203$0$0$0$450$0$22,410$0$29,436$0$329,499$0$0$0
STEPHEN GIASI
SVP/CHIEF FINANCIAL OFFICER$292,203$0$0$0$35,389$0$22,402$0$29,436$0$379,430$0$0$0
PHILIP MYONES
SVP/Chief Information Officer$286,584$0$0$0$1,042$0$0$0$26,256$0$313,882$0$0$0
ANITA WILENKIN
SVP/Operations$254,306$0$0$0$13,647$0$4,770$0$15,001$0$287,724$0$0$0
MARTIN HENSHAW
AVP/Medicare Sales$170,000$0$105,809$0$450$0$1,177$0$1,257$0$278,693$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 ABENAA UDOCHI IS REPORTED AS TAXABLE COMPENSATION IN COLUMN (B)(III). NON-FIXED PAYMENTS FORM 990, SCHEDULE J, PART I, LINE 7 EMPLOYEES MAY RECEIVE INCENTIVE BONUS COMPENSATION, WHICH IS SUBJECT TO BOARD APPROVAL.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (37 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORGANIZATION'S MISSIONFORM 990, 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. FORM 990 REVIEW FORM 990, PART VI, LINE 11B THE FINANCIAL STAFF COMPILES THE FINANCIAL AND OTHER INFORMATION REQUIRED IN THE 990 RETURN. KPMG, LLP PREPARES THE RETURN AND THE INFORMATION IS REVIEWED BY THE COMPANY'S CFO AND VP/CONTROLLER. A FINAL COPY OF THE FORM 990 IS MADE AVAILABLE TO THE ENTIRE GOVERNING BODY BEFORE FILING WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, QUESTION 12C 1. ACTUAL OR POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO APPROPRIATE MANAGEMENT PERSONNEL, HUMAN RESOURCES OR THE CORPORATE COMPLIANCE OFFICER. 2. EMPLOYEES MUST SEEK GUIDANCE AND APPROVAL FROM APPROPRIATE MANAGEMENT PERSONNEL PRIOR TO PURSUING ANY BUSINESS OR PERSONAL ACTIVITY THAT MAY CONSTITUTE A CONFLICT OF INTEREST. 3. MANAGEMENT, WITH PURCHASING AUTHORITY, WILL COMPLETE A RELATED PARTY QUESTIONNAIRE ANNUALLY TO IDENTIFY ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. 4. EMPLOYEES, UPON HIRE AND ANNUALLY THEREAFTER, REVIEW THE CODE OF ETHICS WHICH INCLUDES INFORMATION ON CONFLICTS OF INTEREST. IN ADDITION, EMPLOYEES ARE REQUIRED TO SIGN AN ATTESTATION, UPON HIRE AND ANNUALLY THEREAFTER, THAT THEY ACKNOWLEDGE AND UNDERSTOOD THE CODE OF ETHICS. IF A CONFLICT OF INTEREST IS FOUND, PERSONS WITH A CONFLICT RECUSE THEMSELVES FROM DECISIONS RELATED TO THE CONFLICT.
COMPENSATION REVIEWFORM 990, PART VI, QUESTIONS 15A AND 15B: THE PROCESS FOR DETERMINING COMPENSATION FOR THE CEO AND CFO 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:BEACON IBNR EXPENSE TOTAL EXPENSES:-1297793 PROGRAM SERVICES:-1297793
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:EMERGENCY ROOM CLAIMS TOTAL EXPENSES:57090701 PROGRAM SERVICES:57090701
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:EMERGENCY ROOM HCRA TOTAL EXPENSES:2018253 PROGRAM SERVICES:2018253
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PROFESSION SERVICE-IBNR TOTAL EXPENSES:6603824 PROGRAM SERVICES:6603824
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:SHARE SAVINGS EXPENSE TOTAL EXPENSES:2532080 PROGRAM SERVICES:2532080
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OUTPATIENT CLAIMS-IBNR TOTAL EXPENSES:11558047 PROGRAM SERVICES:11558047
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OUTPATIENT NON VALUATED EXP TOTAL EXPENSES:173473 PROGRAM SERVICES:173473
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:ILS CAPITATION TOTAL EXPENSES:2475271 PROGRAM SERVICES:2475271
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:4829171 PROGRAM SERVICES:4829171
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:THIRD PARTY RECOVERIES - REINS TOTAL EXPENSES:-29265629 PROGRAM SERVICES:-29265629
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DENTAL CLAIMS TOTAL EXPENSES:556052 PROGRAM SERVICES:556052
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DENTAL CAPITATION TOTAL EXPENSES:30181651 PROGRAM SERVICES:30181651
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:BEHAVIORAL HEALTH CAPITATION TOTAL EXPENSES:XXX-XX-XXXX PROGRAM SERVICES:XXX-XX-XXXX
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DENTAL HCRA TOTAL EXPENSES:422300 PROGRAM SERVICES:422300
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:BEACON HCRA TOTAL EXPENSES:1537973 PROGRAM SERVICES:1537973
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DIAGNOSTIC TEST LAB & X-RAY TOTAL EXPENSES:86803395 PROGRAM SERVICES:86803395
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:RADIOLOGY - CAPITATION TOTAL EXPENSES:-157820 PROGRAM SERVICES:-157820
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:LAB CAPITATIONS TOTAL EXPENSES:18602 PROGRAM SERVICES:18602
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:LAB HCRA TOTAL EXPENSES:2201506 PROGRAM SERVICES:2201506
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DIAGNOSTIC TEST LAB TOTAL EXPENSES:1457292 PROGRAM SERVICES:1457292
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:FAMILY PLANNING TOTAL EXPENSES:12828 PROGRAM SERVICES:12828
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:NURSING FACILITY TOTAL EXPENSES:3370382 PROGRAM SERVICES:3370382
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:TRANSPORTATION NON-EMERGENT TOTAL EXPENSES:303854 PROGRAM SERVICES:303854
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:VISION CAPITATION TOTAL EXPENSES:4538239 PROGRAM SERVICES:4538239
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OUTPATIENT PHYSICAL THERAPY TOTAL EXPENSES:196375 PROGRAM SERVICES:196375
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:CHIROPRACTIC TOTAL EXPENSES:355041 PROGRAM SERVICES:355041
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:ACUPUNCTURE TOTAL EXPENSES:30988 PROGRAM SERVICES:30988
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DME, MEDICAL SUPPLIES TOTAL EXPENSES:39286 PROGRAM SERVICES:39286
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:AMBULATORY SURGERY TOTAL EXPENSES:1475316 PROGRAM SERVICES:1475316
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:HOME HEALTH CARE TOTAL EXPENSES:7074 PROGRAM SERVICES:7074
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OTHER MEDICAL TOTAL EXPENSES:760662 PROGRAM SERVICES:760662
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PRENATAL/POSTPARTUM CARE TOTAL EXPENSES:110742 PROGRAM SERVICES:110742
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:MEDICAID STOP LOSS INSURANCE TOTAL EXPENSES:10007110 PROGRAM SERVICES:10007110
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:COVERED LIVES TOTAL EXPENSES:6935038 PROGRAM SERVICES:6935038

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 OrganizationControlledOrganizationInd
AHP ENTERPRISES INC
1776 EASTCHESTER ROADBRONXNY10461473885217MGMT SVCSDEAHSHC CORPfalse
AFFINITY HEALTH SERVICES HOLDINGS INC
1776 EASTCHESTER ROADBRONXNY10461473909849HOLDING CODENAC CORPfalse