AFFINITY HEALTH PLAN INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
AFFINITY HEALTH PLAN INC (EIN 13-3330672)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201703189349303380
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-14T11:42:23-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

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% STEPHEN GIASIInCareOfNm
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)
PersonSTEVE GIASIPersonNm
Person TitleCFOPersonTitleTxt
Signature2017-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEVIN L DUNCANPreparerPersonNm
PTINP01249521PTIN
Phone2127589700PhoneNum
Preparation2017-11-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id13407320173185000027FederalOriginalSubmissionId
Federal Original Submission Id2017-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0D7119A55B03D1977737C3E9AB8A10DDBEE9119BAtSubmissionCreationDeviceId
At Submission Filing Device Id906143BF9E00D34D78FD7AF47A8DEC67B850B94DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$1,519,219,436GrossReceiptsAmt
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 Independent9VotingMembersIndependentCnt
Total Employee1169TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,348,230,305PYProgramServiceRevenueAmt
CY Program Service Revenue$1,453,074,934CYProgramServiceRevenueAmt
PY Investment Income$3,285,154PYInvestmentIncomeAmt
CY Investment Income$1,992,524CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$2,992,000CYOtherRevenueAmt
PY Total Revenue$1,351,515,459PYTotalRevenueAmt
CY Total Revenue$1,458,059,458CYTotalRevenueAmt
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$71,870,172PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$76,692,013CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,266,460,738PYOtherExpensesAmt
CY Other Expenses$1,454,988,411CYOtherExpensesAmt
PY Total Expenses$1,338,330,910PYTotalExpensesAmt
CY Total Expenses$1,531,680,424CYTotalExpensesAmt
PY Revenues Less Expenses$13,184,549PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$73,620,966CYRevenuesLessExpensesAmt
Total Assets BOY$376,092,562TotalAssetsBOYAmt
Total Assets EOY$419,280,220TotalAssetsEOYAmt
Total Liabilities BOY$237,685,572TotalLiabilitiesBOYAmt
Total Liabilities EOY$368,840,831TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$138,406,990NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$50,439,389NetAssetsOrFundBalancesEOYAmt
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 SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,053,267,005ExpenseAmt
Revenue$1,113,804,087RevenueAmt
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$106,255,248ExpenseAmt
Revenue$113,627,844RevenueAmt
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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$34,276,786ExpenseAmt
Revenue$21,944,489RevenueAmt
DescQUALIFIED HEALTH PLAN - THE PLAN ESTABLISHED A QUALIFIED HEALTH PLAN (QHP) UNDER HEALTH CARE REFORM, WHICH IS CERTIFIED BY THE NEW YORK STATE HEALTH INSURANCE 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.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$171,865,274TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$206,690,514TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,365,664,313TotalProgramServiceExpensesAmt
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 Document6647IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1169EmployeeCnt
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 Member9IndependentVotingMemberCnt
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)
PersonSTEPHEN GIASIPersonNm
Phone7187947700PhoneNum

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 (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CALEB DESROSIERS
TRUSTEE & vice chair1.02.0Yes (X)Yes (X)$5,300$0$0
ROBERT SCHILLER MD
TRUSTEE1.02.0Yes (X)$0$0$0
YVETTE WALKER MD
TRUSTEE1.02.0Yes (X)$7,900$0$0
NANETTE FALKENBERG
TRUSTEE1.02.0Yes (X)$9,500$0$0
VERONA GREENLAND
TRUSTEE1.02.0Yes (X)$0$0$0
PALOMA HERNANDEZ
TRUSTEE & CHAIR1.02.0Yes (X)Yes (X)$0$0$0
AMY KNAPP
TRUSTEE1.02.0Yes (X)$11,000$0$0
LYNN SHERMAN
TRUSTEE1.02.0Yes (X)$0$0$0
JOHN SARDELIS
TRUSTEE & TREASURER1.02.0Yes (X)Yes (X)$11,000$0$0
LINDA MULLER
TRUSTEE & SECRETARY1.02.0Yes (X)Yes (X)$0$0$0
GABRIEL VONLEH
TRUSTEE1.02.0Yes (X)$0$0$0
JAMES HOOLEY
INTERIM PRES/CEO (BEG 6/2016)37.50.0Yes (X)$177,609$0$1,167
GLENN MACFARLANE
PRESIDENT & CEO (THRU 6/2016)37.50.0Yes (X)$246,302$0$34,465
STEPHEN GIASI
SVP & CFO37.50.0Yes (X)$309,838$0$32,879
RAYMOND MOORE
SVP/COO/CIO (THRU 8/2016)37.50.0Yes (X)$310,898$0$2,889
SHARON DEANS MD
SVP & CMO (THRU 6/2016)37.50.0$240,271$0$19,412Yes (X)
LOREDANA LADOGANA MD
INTRM CHF MED OFCR/SR MED DIR37.50.0$259,480$0$8,428Yes (X)
CLAIRE DEMATTEIS
SVP/GEN CNSL/CCO (THRU 8/2016)37.50.0$275,156$0$33,833Yes (X)
ABENAA UDOCHI
SVP & EXEC DIR-STATE GOVT PRGM37.50.0$292,143$0$33,415Yes (X)
EDINA VUKIC
SVP/S&CE/ED-PC37.50.0$280,157$0$37,440Yes (X)
HIMANSHU SHAH
VICE PRESIDENT/CONTROLLER37.50.0$249,248$0$29,273Yes (X)
ERIC WALSH
SVP/CONSUMER MARKETS37.50.0$275,239$0$11,738Yes (X)
ROBERT ALLEN
FORMER EVP & COO37.50.0$226,975$0$30,366Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,188,016TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$275,305TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K126IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
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 consulting$2,011,032
WeiserMazars LLP
135 West 50th StreetNEW YORKNY10020consulting services$1,555,884
PopHealthMan LLC
51 West 3rd StreetTEMPEAZ85281health management$1,125,608
iHealth Technologies
115 Perimeter Center ParkwayNORTHEAST ATLANTAGA30346claims processing$664,492
Milliman Care Guidelines LLC
PO Box 742350ATLANTAGA98164Healthcare Solution$658,279
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID900099$1,113,804,087$1,113,804,087
ESSENTIAL PLAN900099$140,022,625$140,022,625
MEDICARE900099$113,627,844$113,627,844
HARP900099$37,408,645$37,408,645
CHILD HEALTH PLUS PGRM900099$26,267,244$26,267,244

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,944,489TotalRevenueColumnAmt
Related Or Exempt Func Income$21,944,489RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,453,074,934TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,674,072TotalRevenueColumnAmt
Exclusion$3,674,072ExclusionAmt

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$59,478,430SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$61,159,978SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,681,548SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,681,548TotalRevenueColumnAmt
Exclusion-$1,681,548ExclusionAmt
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

FieldValueIRS element (for citing)
DescDSRIP & VBP ADMIN. FEEDesc
Business900099BusinessCd
Total Revenue Column$2,992,000TotalRevenueColumnAmt
Related Or Exempt Func Income$2,992,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,992,000OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,458,059,458TotalRevenueColumnAmt
Related Or Exempt Func Income$1,456,066,934RelatedOrExemptFuncIncomeAmt
Exclusion$1,992,524ExclusionAmt
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$1,998,053TotalAmt
Management And General$1,998,053ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$61,617,042TotalAmt
Management And General$61,617,042ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,979,909TotalAmt
Management And General$1,979,909ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,309,714TotalAmt
Management And General$6,309,714ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,787,295TotalAmt
Management And General$4,787,295ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$121,151TotalAmt
Management And General$121,151ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$694,476TotalAmt
Management And General$694,476ManagementAndGeneralAmt

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$398,875TotalAmt
Management And General$398,875ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,509,056TotalAmt
Management And General$28,509,056ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,098,775TotalAmt
Management And General$4,098,775ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,915,303TotalAmt
Management And General$16,915,303ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$17,104,817TotalAmt
Management And General$17,104,817ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,938,324TotalAmt
Management And General$8,938,324ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$578,915TotalAmt
Management And General$578,915ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$926,518TotalAmt
Management And General$926,518ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,515,855TotalAmt
Management And General$1,515,855ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,961,312TotalAmt
Management And General$8,961,312ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$560,721TotalAmt
Management And General$560,721ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
INPATIENT CLAIMS$391,790,888$391,790,888
PHARMACY$302,618,543$302,618,543
PHYSICIAN REFERRAL$180,597,376$180,597,376
PRIMARY CARE$81,091,266$81,091,266

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$409,566,240TotalAmt
Program Services$409,566,240ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,531,680,424TotalAmt
Program Services$1,365,664,313ProgramServicesAmt
Management And General$166,016,111ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$51,869,150BOYAmt
EOY$125,919,169EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,826,997BOYAmt
EOY$9,179,287EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$92,855,000BOYAmt
EOY$80,790,542EOYAmt

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$1,955,892BOYAmt
EOY$2,035,374EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$68,379,779LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$44,656,984LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$25,968,710BOYAmt
EOY$23,722,795EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$136,936,791BOYAmt
EOY$142,393,248EOYAmt

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$61,680,022BOYAmt
EOY$35,239,805EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$376,092,562BOYAmt
EOY$419,280,220EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$234,058,370BOYAmt
EOY$326,971,528EOYAmt

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$174,701BOYAmt
EOY$35,048EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,452,501BOYAmt
EOY$41,834,255EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$237,685,572BOYAmt
EOY$368,840,831EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,244,990BOYAmt
EOY-$61,365,613EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$105,162,000BOYAmt
EOY$111,805,002EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$138,406,990BOYAmt
EOY$50,439,389EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$376,092,562BOYAmt
EOY$419,280,220EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$73,620,966ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,790,482NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$16,137,117OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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$5,856,571OtherCostOrOtherBasisAmt
Depreciation$987,623DepreciationAmt
Book Value$4,868,948BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,760,228OtherCostOrOtherBasisAmt
Depreciation$12,987,374DepreciationAmt
Book Value$4,772,854BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,762,980OtherCostOrOtherBasisAmt
Depreciation$30,681,987DepreciationAmt
Book Value$14,080,993BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,722,795TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
ADVANCES TO PROVIDERS & OTHER$21,125,757
PHARMACY REBATE RECEIVABLE$14,114,048
FieldValueIRS element (for citing)
Total Book Value Other Assets$35,239,805TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
NYSDOH DSRIP EQUITY PROGRAM$36,342,338
DEFERRED RENT & OTHER$5,491,917
FieldValueIRS element (for citing)
Total Liability$41,834,255TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,443,712,823TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,790,482NetUnrealizedGainsInvstAmt
Other Revenue-$16,137,117OtherRevenueAmt
Revenue Not Reported-$14,346,635RevenueNotReportedAmt
Revenue Subtotal$1,458,059,458RevenueSubtotalAmt
Total Revenue Per Form990$1,458,059,458TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,531,680,424TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,531,680,424ExpensesSubtotalAmt
Total Expenses Per Form990$1,531,680,424TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ASC 740 FOOTNOTESCHEDULE 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, 2016 and 2015.
REVENUE RECONCILATIONSCHEDULE D, PART XI, LINE 2D -16,137,117 WRITE OFF OF RISK CORRIDOR RECEIVABLE

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 (12 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
JAMES HOOLEY
INTERIM PRES/CEO (BEG 6/2016)$174,756$0$0$0$2,853$0$0$0$1,167$0$178,776$0$0$0
GLENN MACFARLANE
PRESIDENT & CEO (THRU 6/2016)$208,708$0$0$0$37,594$0$22,558$0$11,907$0$280,767$0$0$0
STEPHEN GIASI
SVP & CFO$282,416$0$20,000$0$7,422$0$11,192$0$21,687$0$342,717$0$0$0
SHARON DEANS MD
SVP & CMO (THRU 6/2016)$171,193$0$0$0$69,078$0$13,555$0$5,857$0$259,683$0$0$0
CLAIRE DEMATTEIS
SVP/GEN CNSL/CCO (THRU 8/2016)$242,877$0$5,000$0$27,279$0$19,536$0$14,297$0$308,989$0$0$0
ABENAA UDOCHI
SVP & EXEC DIR-STATE GOVT PRGM$286,693$0$5,000$0$450$0$25,181$0$8,234$0$325,558$0$0$0
RAYMOND MOORE
SVP/COO/CIO (THRU 8/2016)$224,451$0$5,000$0$81,447$0$1,217$0$1,672$0$313,787$0$0$0
LOREDANA LADOGANA MD
INTRM CHF MED OFCR/SR MED DIR$252,500$0$5,000$0$1,980$0$7,090$0$1,338$0$267,908$0$0$0
EDINA VUKIC
SVP/S&CE/ED-PC$240,469$0$35,000$0$4,688$0$17,981$0$19,459$0$317,597$0$0$0
HIMANSHU SHAH
VICE PRESIDENT/CONTROLLER$242,958$0$5,000$0$1,290$0$7,289$0$21,984$0$278,521$0$0$0
ERIC WALSH
SVP/CONSUMER MARKETS$269,789$0$5,000$0$450$0$5,459$0$6,279$0$286,977$0$0$0
ROBERT ALLEN
FORMER EVP & COO$131,792$0$0$0$95,183$0$11,107$0$19,259$0$257,341$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 $80,000 PAID TO RAYMOND MOORE IS REPORTED AS TAXABLE COMPENSATION IN COLUMN (B)(III). A SEVERANCE PAYMENT IN THE AMOUNT OF $50,000 PAID TO SHARON DEANS IS REPORTED AS TAXABLE COMPENSATION IN COLUMN (B)(III). ALSO, A SEVERANCE PAYMENT IN THE AMOUNT OF $75,000 PAID TO ROBERT ALLEN 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 (41 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. OTHER PROGRAM SERVICE (TWO NEW SIGNIFICANT PROGRAMS) FORM 990, PART III, LINE 2 & 4D: THE CHILD HEALTH PLUS (CHP) PROGRAM IS FUNDED BY THE STATE OF NEW YORK TO PROVIDE HEALTH INSURANCE COVERAGE FOR CHILDREN THAT ARE UNDER THE AGE OF 19. Established January 1, 2016, 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. Plan members with income at or below 150% of the federal poverty level do not pay any monthly premium. Plan members with income at 200% of the federal poverty level pay a monthly premium of $20. Established July 1, 2016, HARP plans provide enhanced care management for members to help them coordinate all their physical health, behavioral health, substance use disorder and nonmedical support needs. HARP participants must be 21 or older, insured only by Medicaid and be eligible for Medicaid managed care. Individuals identified as HARP eligible must be offered care management through a Health Home designated by New York State. 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 of FINANCE. 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, CFO AND COO 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)THE CEO - 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 HAS 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 INCEASES, 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 OPERATING OFFICER AND 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.
OTHER CHANGE IN NET ASSETSFORM 990, PART XI, LINE 9 -16,137,117 WRITE OFF OF RISK CORRIDOR RECEIVABLE.
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:INPATIENT MED. SURGICAL HCRA TOTAL EXPENSES:21610952 PROGRAM SERVICES:21610952
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:EMERGENCY ROOM CLAIMS TOTAL EXPENSES:73775435 PROGRAM SERVICES:73775435
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:EMERGENCY ROOM HCRA TOTAL EXPENSES:1736539 PROGRAM SERVICES:1736539
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PROFESSION SERVICE-IBNR TOTAL EXPENSES:15737630 PROGRAM SERVICES:15737630
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OUTPATIENT CLAIMS-IBNR TOTAL EXPENSES:7485132 PROGRAM SERVICES:7485132
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:4278366 PROGRAM SERVICES:4278366
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:THIRD PARTY RECOVERIES - REINS TOTAL EXPENSES:-20584020 PROGRAM SERVICES:-20584020
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PHARMACY LICS TOTAL EXPENSES:-10295359 PROGRAM SERVICES:-10295359
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PHARMACY REINSURANCE TOTAL EXPENSES:-17742508 PROGRAM SERVICES:-17742508
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PHARMACY GOV GAP DISC TOTAL EXPENSES:-407221 PROGRAM SERVICES:-407221
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DENTAL CLAIMS TOTAL EXPENSES:2937275 PROGRAM SERVICES:2937275
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DENTAL CAPITATION TOTAL EXPENSES:27976222 PROGRAM SERVICES:27976222
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:BEHAVIORAL HEALTH CAPITATION TOTAL EXPENSES:23251966 PROGRAM SERVICES:23251966
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DENTAL HCRA TOTAL EXPENSES:211333 PROGRAM SERVICES:211333
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:BEACON HCRA TOTAL EXPENSES:1849117 PROGRAM SERVICES:1849117
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:BEHAVIORAL HEALTH CAPITATION-M TOTAL EXPENSES:24822717 PROGRAM SERVICES:24822717
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DIAGNOTIC TEST LAB & X-RAY CLA TOTAL EXPENSES:68862642 PROGRAM SERVICES:68862642
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:RADIOLOGY - CAPITATION TOTAL EXPENSES:52387 PROGRAM SERVICES:52387
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:LAB CAPITATIONS TOTAL EXPENSES:7753284 PROGRAM SERVICES:7753284
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:LAB HCRA TOTAL EXPENSES:1797224 PROGRAM SERVICES:1797224
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DIAGNOSTIC TEST LAB-MONTE TOTAL EXPENSES:2501785 PROGRAM SERVICES:2501785
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:FAMILY PLANNING TOTAL EXPENSES:-178231 PROGRAM SERVICES:-178231
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:NURSING FACILITY TOTAL EXPENSES:2968901 PROGRAM SERVICES:2968901
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:TRANSPORTATION NON-EMERGENT TOTAL EXPENSES:105022 PROGRAM SERVICES:105022
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:METRO CARDS TOTAL EXPENSES:-10524 PROGRAM SERVICES:-10524
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:VISION CAPITATION TOTAL EXPENSES:3888913 PROGRAM SERVICES:3888913
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OUTPATIENT PHYSICAL THERAPY TOTAL EXPENSES:423982 PROGRAM SERVICES:423982
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:CHIROPRACTIC TOTAL EXPENSES:460051 PROGRAM SERVICES:460051
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:ACUPUNCTURE TOTAL EXPENSES:37986 PROGRAM SERVICES:37986
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:DME, MEDICAL SUPPLIES TOTAL EXPENSES:78759 PROGRAM SERVICES:78759
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:AMBULATORY SURGERY TOTAL EXPENSES:2297993 PROGRAM SERVICES:2297993
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:HOME HEALTH CARE TOTAL EXPENSES:23055 PROGRAM SERVICES:23055
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:OTHER MEDICAL TOTAL EXPENSES:906952 PROGRAM SERVICES:906952
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PRENATAL/POSTPARTUM CARE TOTAL EXPENSES:128820 PROGRAM SERVICES:128820
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:MEDICAID STOP LOSS INSURANCE TOTAL EXPENSES:11990538 PROGRAM SERVICES:11990538
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:COVERED LIVES TOTAL EXPENSES:7570605 PROGRAM SERVICES:7570605
FORM 990 PART IX LINE 24 - OTHER EXPENSESDESCRIPTION:PREMIUM TAX TOTAL EXPENSES:-1672182 PROGRAM SERVICES:-1672182

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

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