2016-10-11T15:00:18-05:00 2015-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 100366530 990 2015-01-01 133783732 Healthfirst PHSP Inc % CRAIG BARATTIN-VP/CONTROLLER HEAL 100 CHURCH ST FL 18 NEW YORK NY 100072601 JOHN BERMEL CFO 2128016000 2016-10-03 LAURA KIELCZEWSKI P00740769 2127733000 2015 2017-02-10 21:41:12Z PATRICIA J WANG 100 CHURCH ST FL 18 NEW YORK NY 100072601 5133153576 false X WWW.HEALTHFIRSTNY.ORG X 1994 NY IMPROVE THE HEALTH & WELL-BEING OF UNDER- SERVED POPULATIONS BY PROVIDING COMPREHENSIVE PREPAID HEALTHCARE CO- VERAGE TO MEDICAID AND SEVERAL OTHER HEALTH PLAN RECIPIENTS. 5 3 0 0 0 0 0 4145039756 5129661897 2819987 3491679 0 0 4147859743 5133153576 0 0 0 0 0 0 0 0 0 4148812838 5103578899 4148812838 5103578899 -953095 29574677 1005634686 1392900428 688540919 994939758 317093767 397960670 X TO IMPROVE THE HEALTH AND WELL-BEING OF UNDERSERVED POPULATIONS BY PROVIDING COMPREHENSIVE PREPAID HEALTHCARE COVERAGE TO MEDICAID, BASIC HEALTH PLAN, QUALIFIED HEALTH PLAN, CHILD HEALTH PLUS AND HARP RECIPIENTS. true true 4399766870 4492839996 MEDICAID MANAGED CARE: HEALTHFIRST PHSP, INC. (PHSP) IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES COMPREHENSIVE PREPAID HEALTH CARE COVERAGE TO MEDICAID RECIPIENTS PURSUANT TO ARTICLE 44 OF THE NEW YORK STATE PUBLIC HEALTH LAW. PHSP HAS PARTICIPATED IN NEW YORK'S MEDICAID PROGRAM SINCE OCTOBER 1994. FOR 2015 THERE WERE 889,574 MEMBERS ENROLLED IN PHSP'S MEDICAID PLAN. PHSP'S NETWORK INCLUDES 67 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. 372960257 388037167 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. FOR 2015 THERE WERE 64,607 MEMBERS ENROLLED IN PHSP'S BHP PLAN. PHSP'S NETWORK INCLUDES 63 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. 103835521 113351702 QUALIFIED HEALTH PLANS (QHP) HEALTHFIRST PHSP, INC. (PHSP) IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES COMPREHENSIVE COMMERCIAL HEALTH INSURANCE IN THE FORM OF QUALIFIED HEALTH PLANS (QHP), WHICH ARE OFFERED THROUGH THE NEW YORK STATE OF HEALTH (NYSOH) HEALTH BENEFIT EXCHANGE. FOR 2015 THERE WERE 36,409 MEMBERS ENROLLED IN PHSP'S QHP PLAN. PHSP'S NETWORK INCLUDES 51 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. 122112268 135433032 4998674916 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 true false false false false false true true true true false true 10143 0 true 0 false false false false false false false false false false X 5 3 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 825941 123545 ELIZABETH R ST CLAIR CHIEF LEGAL OFFICER/Secretary 1.0 40.0 X X 0 844528 147946 EVELYN DEL ORBE BOARD DIRECTOR-COMMUNITY REP. 1.0 0.0 X 0 0 0 STEPHEN ROSENTHAL BOARD DIRECTOR 1.0 0.0 X 0 0 0 ERIC SCALETTAR BOARD DIRECTOR 1.0 0.0 X 0 0 0 PATRICIA J WANG CHIEF EXECUTIVE OFFICER 1.0 40.0 X 0 1866666 380227 DANIEL P MCCARTHY PRESIDENT & COO 1.0 40.0 X 0 1180164 203594 MICHAEL FEDYNA-End 72115 CHIEF FINANCIAL OFFICER 1.0 40.0 X 0 558793 20625 CRAIG BARATTIN-Beg 72115 VP CONTROLLER 1.0 40.0 X 0 339385 26659 PAUL E PORTSMORE JR SVP, BUS DEV AND MBR ACQUISI 1.0 40.0 X 0 509969 94721 IAN SHAFFER EXE MED DIR BEHAV HEALTH 1.0 40.0 X 0 451567 23673 REBECCA SCHWIETZ SVP CLINICAL SERVICES 1.0 40.0 X 0 449023 67824 GERALD T SWEENEY SVP CHIEF INFORMATION OFFICER 1.0 40.0 X 0 652647 122076 SEAN KANE CHIEF HR OFFICER 1.0 40.0 X 0 604132 99081 MARYBETH A TITA SVP-CORP. FINANCE 0.0 40.0 X 0 1104691 30296 0 9387506 1340267 0 true true false CAREMARK LLC ONE CVS DRIVE WOONSOCKET RI 02895 PHARMACY 1161787578 MONTEFIORE MEDICAL CENTER PO BOX 4296 CHURCH STREET STATION NEW YORK NY 10261 MEDICAL/HOSPITAL 237442611 DENTAQUEST 465 MEDFORD STREET BOSTON MA 021291454 MEDICAL/HOSPITAL 131447448 NYC HEALTH AND HOSPITAL CORP 125 WORTH STREET NEW YORK NY 10013 MEDICAL/HOSPITAL 239567863 NY PRESBYTERIAN HOSP-COLUMBIA PO BOX 6154 NEW YORK NY 10249 MEDICAL/HOSPITAL 186538143 2298 0 MEDICAID MANAGED CARE 524114 4492839996 4492839996 BHP 524114 388037167 388037167 QUALIFIED HEALTH PLAN 524114 113351702 113351702 CHILD HEALTH PLUS(CHP) & CHP FIDELIS 524114 73869228 73869228 HARP 524114 71626395 71626395 -10062591 -10062591 5129661897 3491679 3491679 0 0 0 0 0 0 0 0 0 0 5133153576 5129661897 3491679 0 0 0 0 0 0 0 0 0 0 315831509 211607111 104224398 0 0 0 0 0 1871679 1439223 432456 7304853 7304853 638898 391769 247129 0 0 0 0 0 0 0 0 0 0 HEALTHCARE SERVICE COSTS 4776797417 4776797417 CLAIMS PROCESSING 1134543 1134543 5103578899 4998674916 104903983 0 0 0 131529059 403786596 0 0 386690883 434625593 0 0 0 0 0 0 0 0 0 0 0 436725461 482644318 0 0 0 0 0 0 50689283 71843921 1005634686 1392900428 641190353 853838972 0 0 2451866 1299558 0 0 0 0 0 0 0 0 0 0 44898700 139801228 688540919 994939758 X 317093767 397960670 0 0 0 0 317093767 397960670 1005634686 1392900428 X 29574677 -1914532 53206758 X X false true X true true true X 0 0 0 0 0 0 1709235704 2462763165 3305343319 4145039756 5129661897 16752043841 0 0 0 1709235704 2462763165 3305343319 4145039756 5129661897 16752043841 0 0 0 16752043841 2239456 3392262 1916101 2819987 3491679 13859485 0 2239456 3392262 1916101 2819987 3491679 13859485 0 0 1711475160 2466155427 3307259420 4147859743 5133153576 16765903326 0.99917 0.99896 0.00083 0.00104 X OTHER CURRENT ASSETS 65874895 DUE FROM AFFILIATE 5969026 71843921 0 DUE TO STATE OF NEW YORK 139801228 139801228 5184445802 -1914532 53206758 51292226 5133153576 5133153576 5103578899 5103578899 5103578899 SCHEDULE D PART XI, LINE 2D - OTHER ADJUSTMENTS ADMINISTRATIVE CHARGES: $30,020,667. The health care services agreements with certain hospitals provide that amounts attributable to a % of premium are retained by PHSP for required reserves and other administrative charges. NET WITHHOLDINGS FOR FINANCIAL SECURITY DEPOSITS: $186,091. EQUITY TRANSFER FROM AFFILIATE: $23,000,000. During 2015, Healthfirst requested and received approval from the Department of Health to transfer $23 million of capital reserves from Neighborhood Health Providers, Inc. (NHP) to PHSP. This transfer is in conjunction with the ongoing wind-down of the NHP operations. Other Adjustments totaling $53,206,758. true true false false false false false false false JAY A SCHECHTMAN CHIEF MEDICAL OFFICER 0 443673 282285 99983 0 107190 0 16515 0 949646 0 98301 ELIZABETH R ST CLAIR CHIEF LEGAL OFFICER/Secretary 475584 252992 115952 0 136827 0 11288 0 992643 0 111594 MARYBETH A TITA SVP-CORP. FINANCE 123823 303775 677093 0 25902 0 4554 0 1135147 0 314420 PATRICIA J WANG CHIEF EXECUTIVE OFFICER 948768 617525 300373 0 374851 0 5762 0 2247279 0 295743 DANIEL P MCCARTHY PRESIDENT & COO 689231 353800 137133 0 188278 0 15550 0 1383992 0 132773 PAUL E PORTSMORE JR SVP, BUS DEV AND MBR ACQUISI 359404 148375 2190 0 94721 0 150 0 604840 0 0 IAN SHAFFER EXE MED DIR BEHAV HEALTH 0 333306 0 111044 0 7217 0 15900 0 7903 0 475370 0 0 REBECCA SCHWIETZ SVP CLINICAL SERVICES 324010 124400 613 0 50639 0 17321 0 516983 0 0 MICHAEL FEDYNA-End 72115 CHIEF FINANCIAL OFFICER 456921 97400 4472 0 9211 0 11550 0 579554 0 0 GERALD T SWEENEY SVP CHIEF INFORMATION OFFICER 452608 198500 1539 0 104891 0 17350 0 774888 0 0 SEAN KANE CHIEF HR OFFICER 398862 203400 1870 0 99081 0 148 0 703361 0 0 CRAIG BARATTIN-Beg 72115 VP CONTROLLER 264705 74396 284 0 9474 0 17293 0 366152 0 0 SCHEDULE J, PART 1, LINE 4A THE FOLLOWING INDIVIDUAL ENTERED INTO SEVERANCE AGREEMENTS AND/OR RECEIVED SEVERANCE PAYMENTS FROM HF MANAGEMENT SERVICES, LLC - A RELATED ORGANIZATION. MARYBETH TITA TOTAL SEVERANCE: $454,200, SEVERANCE PAID IN 2015: $338,274 SEVERANCE DEFERRED: $115,926. SCHEDULE J, PART 1, 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 CONTRIBUTIONS FROM THE PLAN SPONSOR FOR 2015: PATRICIA J. WANG $333,059 [Col. C] DANIEL P. McCARTHY $168,861 [Col. C] ELIZABETH R. ST CLAIR $111,577 [Col. C] JAY A. SCHECHTMAN $80,619 [Col. C] GERALD T. SWEENEY $102,720 [Col. C] SEAN KANE $83,181 [Col. C] PAUL PORTSMORE $78,821 [Col. C] REBECCA SCHWIETZ $34,739 [Col. C] HF MANAGEMENT SERVICES LLC COMMON OFFICERS/DIRECTORS 315831509 MANAGEMENT AND ADMIN SERVICES false HEALTHFIRST HEALTH PLAN INC COMMON OFFICERS/DIRECTORS 22500000 RISK SHARING INTERCO TRANSFER false HEALTHFIRST HEALTH PLAN INC COMMON OFFICERS/DIRECTORS 300000 RISK SHARING INTERCO TRANSFER false FORM 990, PART III, LINE 2 STARTING APRIL 1, 2015, THE ORGANIZATION (PHSP) PARTICIPATED IN THE BASIC HEALTH PLAN (BHP) TO PROVIDE A HEALTH BENEFIT COVERAGE PROGRAM FOR LOW INCOME RESIDENTS WHO WOULD NOT BE ELIGIBLE TO PURCHASE COVERAGE THROUGH THE HEALTH INSURANCE MARKETPLACE. IN ADDITION STARTING OCT. 1, 2015, THE ORGANIZATION PARTICIPATED IN THE HEALTH AND RECOVERY PLANS (HARP) TO MANAGE CARE FOR ADULTS WITH SIGNIFICANT BEHAVIORAL HEALTH NEEDS. THE ORGANIZATION WILL FACILITATE THE INTEGRATION OF PHYSICAL HEALTH, MENTAL HEALTH AND SUBSTANCE USE SERVICES FOR INDIVIDUALS REQUIRING SPECIALIZED APPROACHES, EXPERTISE AND PROTOCOLS WHICH ARE NOT CONSISTENTLY FOUND WITHIN MOST MEDICAL PLANS. FORM 990, PART III, LINE 3 THE ORGANIZATION ENDED ITS PARTICIPATION IN THE FAMILY HEALTH PLUS (FHP) PROGRAM EFFECTIVE DECEMBER 31, 2014. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES 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. HEALTH AND RECOVERY PLANS (HARP): THE ORGANIZATION IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES HARP, A MANAGED CARE PRODUCT. THIS PROGRAM MUST BE QUALIFIED BY NYS AND MUST HAVE SPECIALIZED EXPERTISE, TOOLS AND PROTOCOLS THAT ARE NOT PART OF MOST MEDICAL PLANS. 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. 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 REVIEW 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. EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE IS GIVEN A COPY OF THE DISCLOSURE STATEMENT TO COMPLETE ON AN ANNUAL BASIS. A NOMINATED BOARD MEMBER WHO DOES NOT COMPLETE THE STATEMENT IS NOT ALLOWED TO ASSUME THE BOARD SEAT, ATTEND BOARD MEETINGS AND MAY BE REMOVED FROM THE BOARD. AN OFFICER OR KEY EMPLOYEE WHO DOES NOT COMPLETE THE STATEMENT WILL BE DISCIPLINED, UP TO TERMINATION FROM THE POSITION. 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, 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 INDEPENDENT DIRECTORS. 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 - ADMINISTRATIVE CHARGES: $30,020,667. NET WITHHOLDINGS FOR FINANCIAL SECURITY DEPOSITS: $186,091. EQUITY TRANSFER FROM AFFILIATE: $23,000,000. DURING 2015, HEALTHFIRST REQUESTED AND RECEIVED APPROVAL FROM THE DEPARTMENT OF HEALTH TO TRANSFER $23.0 MILLION OF CAPITAL RESERVES FROM NHP TO PHSP. THIS TRANSFER IS IN CONJUNCTION WITH THE ONGOING WIND-DOWN OF THE NHP OPERATIONS. TOTAL OTHER CHANGES IN NET ASSETS AMOUNT TO $53,206,758. 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 11 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 STREET 18FL NEW YORK NY 10007 134103882 MGD LT CARE NY 501 (C)3 9 HEALTHFIRST true NEIGHBORHOOD HEALTH PROVIDERS INC 100 CHURCH ST FL 18 NEW YORK NY 10007 943474115 MANAGED CARE NY 501 (C)3 9 HEALTHFIRST true HF MANAGEMENT SERVICES LLC 100 CHURCH ST FL 18 NEW YORK NY 100072601 134069806 3RD PTY ADM S NY N/A 0 HF ADMINISTRATIVE SERVICES INC 100 CHURCH ST FL 18 NEW YORK NY 100072601 133873482 3RD PTY ADM S NY HF MGMT SVCS C CORP true HEALTHFIRST INSURANCE COMPANY INC 100 CHURCH STREET 18F New York NY 100072601 464545744 INSUR. PROVID NY NA C CORP false false false false false false false false false false false false false true false false false false true true HF MANAGEMENT SERVICES LLC M 315831509 CONTRACTED RATE HEALTHFIRST HEALTH PLAN INC (HFHP) R 300000 CONTRACT HEALTHFIRST HEALTH PLAN INC (HFHP) S 22500000 CONTRACT NEIGHBORHOOD HEALTH PROVIDERS INC (NHP) S 23000000 CONTRACT 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. ITEMS (2)&(3): IN ACCORDANCE WITH THE ORGANIZATION'S CONTRACTUAL ARRANGEMENTS WITH HOSPITALS, RISK-SHARING POOL BALANCES IN PHSP MAY BE USED TO OFFSET OR MAY BE OFFSET BY A PERCENTAGE OF THE SAME HOSPITAL(S)RISK-SHARING POOL BALANCE IN HEALTHFIRST HEALTH PLAN, INC. (HFHP) FORMERLY KNOWN AS MANAGED HEALTH, INC. (MHI) THROUGH AN INTERCOMPANY TRANSFER. THE CURRENT POLICIES PERMIT THE OFFSETTING OF ANY DEFICITS THAT MAY ACCRUE FOR A HOSPITAL, OR ITS AFFILIATE INSTITUTIONS, WITH UP TO 25% OF SURPLUSES THAT MAY ACCRUE. ITEM (2) IS A TRANSFER TO HFHP AND ITEM (3) IS A TRANSFER FROM HFHP. ITEM (4): DURING 2015, HEALTHFIRST REQUESTED AND RECEIVED APPROVAL FROM THE DEPARTMENT OF HEALTH TO TRANSFER CAPITAL RESERVES FROM NHP TO PHSP. THIS TRANSFER IS IN CONJUNCTION WITH THE ONGOING WIND-DOWN OF THE NHP OPERATIONS.