AFFINITY HEALTH PLAN INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- AFFINITY HEALTH PLAN INC (EIN 13-3330672)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-08
- IRS object ID
- 201623139349301352
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-08T10:43:55-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 345 Park Ave | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 101540102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133330672 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Affinity Health Plan Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % STEPHEN GIASI | InCareOfNm |
| Business Name Control | AFFI | BusinessNameControlTxt |
| Phone | 7187947700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 EASTCHESTER ROAD | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10461 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVE GIASI | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2016-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEVIN L DUNCAN | PreparerPersonNm |
| PTIN | P01249521 | PTIN |
| Phone | 2127589700 | PhoneNum |
| Preparation | 2016-11-04 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES HOOLEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 EASTCHESTER ROAD | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10461 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,418,105,612 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.AFFINITYPLAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1023 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,301,755,722 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,348,230,305 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,207,917 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,285,154 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,312,963,639 | PYTotalRevenueAmt |
| CY Total Revenue | $1,351,515,459 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $68,397,253 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $71,870,172 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,228,562,971 | PYOtherExpensesAmt |
| CY Other Expenses | $1,266,460,738 | CYOtherExpensesAmt |
| PY Total Expenses | $1,296,960,224 | PYTotalExpensesAmt |
| CY Total Expenses | $1,338,330,910 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $16,003,415 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $13,184,549 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $348,873,880 | TotalAssetsBOYAmt |
| Total Assets EOY | $376,092,562 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $221,488,263 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $237,685,572 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $127,385,617 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $138,406,990 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. For more information, see Schedule O. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,048,946,440 | ExpenseAmt |
| Revenue | $1,192,702,675 | RevenueAmt |
| Desc | MEDICAID 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $78,649,334 | ExpenseAmt |
| Revenue | $80,052,558 | RevenueAmt |
| Desc | MEDICARE PROGRAM - THE MEDICARE ADVANTAGE PROGRAM IS FUNDED BY CMS TO MANAGE THE HEALTHCARE AND RELATED COSTS OF MEDICARE PATIENTS WHO LIVE IN ONE OF THE FIVE BOROUGHS OF NEW YORK CITY. AFFINITY'S MEDICARE ADVANTAGE PROGRAM INCLUDES AFFINITY MEDICARE ULTIMATE AND AFFINITY MEDICARE SOLUTIONS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $37,656,060 | ExpenseAmt |
| Revenue | $52,635,155 | RevenueAmt |
| Desc | QUALIFIED 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $21,404,695 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $22,839,917 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,186,656,529 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 7219 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1023 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHEN GIASI | PersonNm |
| Phone | 7187947700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1776 EACTCHESTER AVENUE | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10461 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CALEB DESROSIERS | |||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $4,000 | $0 | $0 | |||
| CRAIG KEYES MD | |||||||||
| TRUSTEE (through 4/2015) | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT SCHILLER MD | |||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES HOOLEY | |||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $9,000 | $0 | $0 | |||
| YVETTE WALKER MD | |||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $8,100 | $0 | $0 | |||
| NANETTE FALKENBERG | |||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $8,400 | $0 | $0 | |||
| VERONA GREENLAND | |||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| PALOMA HERNANDEZ | |||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| AMY KNAPP | |||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $8,300 | $0 | $0 | |||
| LYNN SHERMAN | |||||||||
| TRUSTEE | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN SARDELIS | |||||||||
| TRUSTEE | 1.0 | 1.0 | Yes (X) | $9,700 | $0 | $0 | |||
| Gabriel Vonleh | |||||||||
| Trustee | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| GLENN MACFARLANE | |||||||||
| PRESIDENT & CEO (BEG 1/1/15) | 37.5 | 1.0 | $483,561 | $0 | $42,469 | Yes (X) | |||
| ROBERT ALLEN | |||||||||
| EVP & CHIEF OPERATING OFFICER | 37.5 | 1.0 | $415,385 | $0 | $50,906 | Yes (X) | |||
| STEPHEN GIASI | |||||||||
| SVP & CFO (BEG 7/20/15) | 37.5 | 0.0 | $172,941 | $0 | $12,276 | Yes (X) | |||
| SHAUNTE TUCKER | |||||||||
| INTERIM CFO (1/15-7/15) | 37.5 | 0.0 | $212,858 | $0 | $26,244 | Yes (X) | |||
| SHARON DEANS MD | |||||||||
| SVP & CMO (BEG 3/20/15) | 37.5 | 0.0 | $350,108 | $0 | $14,375 | Yes (X) | |||
| DEWITT SMITH | |||||||||
| Sr. Vice President - Sales | 37.5 | 0.0 | $333,433 | $0 | $44,046 | Yes (X) | |||
| ANN VAN ETTEN | |||||||||
| Vice President - HR | 37.5 | 0.0 | $287,705 | $0 | $14,917 | Yes (X) | |||
| STEPHEN ZENG | |||||||||
| SVP - Operations | 37.5 | 0.0 | $278,814 | $0 | $28,103 | Yes (X) | |||
| CLAIRE DEMATTEIS | |||||||||
| SVP - GENERAL COUNSEL & CCO | 37.5 | 0.0 | $381,241 | $0 | $44,745 | Yes (X) | |||
| ABENAA UDOCHI | |||||||||
| SVP & EXEC DIR-STATE GOVT PRGM | 37.5 | 0.0 | $325,483 | $0 | $33,337 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,289,029 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $311,418 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 111 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PricewaterhouseCooper LLC | |||||
| 3109 West Martin Luther King Jr Blv | TAMPA | FL | 33607 | CONSULTING SERVICES | $3,378,797 |
| Transaction Applications Group Inc | |||||
| 2300 West Plano Parkway | PLANO | TX | 75075 | claims processing | $2,724,002 |
| TMG Health Inc | |||||
| 201 Lackawanna Avenue | SCRANTON | PA | 18503 | claims processing | $2,711,736 |
| iHealth Technologies | |||||
| 115 Perimeter Center Parkway | NORTHEAST ATLANTA | GA | 30346 | claims processing | $2,517,196 |
| cognizant technology solutions | |||||
| 500 frank w burr blvd | TEANECK | NJ | 07666 | it consulting | $1,584,184 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 135 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 900099 | $1,192,702,675 | $1,192,702,675 |
| MEDICARE | 900099 | $80,052,558 | $80,052,558 |
| FAMILY HEALTH PLUS PGRM | 900099 | -$2,094,392 | -$2,094,392 |
| CHILD HEALTH PLUS PGRM | 900099 | $24,934,309 | $24,934,309 |
| QUALIFIED HEALTH PLAN | 900099 | $52,635,155 | $52,635,155 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,348,230,305 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,540,307 | TotalRevenueColumnAmt |
| Exclusion | $3,540,307 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $66,335,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $66,590,153 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$255,153 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$255,153 | TotalRevenueColumnAmt |
| Exclusion | -$255,153 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,351,515,459 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,348,230,305 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,285,154 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,781,123 | TotalAmt |
| Management And General | $1,781,123 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,418,262 | TotalAmt |
| Management And General | $56,418,262 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,896,258 | TotalAmt |
| Management And General | $1,896,258 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,064,196 | TotalAmt |
| Management And General | $7,064,196 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,710,333 | TotalAmt |
| Management And General | $4,710,333 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $603,307 | TotalAmt |
| Management And General | $603,307 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,651 | TotalAmt |
| Management And General | $383,651 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,628 | TotalAmt |
| Management And General | $294,628 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,939,311 | TotalAmt |
| Management And General | $22,939,311 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,776,172 | TotalAmt |
| Management And General | $2,776,172 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,847,478 | TotalAmt |
| Management And General | $12,847,478 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,957,723 | TotalAmt |
| Management And General | $11,957,723 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,859,711 | TotalAmt |
| Management And General | $12,859,711 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $502,515 | TotalAmt |
| Management And General | $502,515 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $682,630 | TotalAmt |
| Management And General | $682,630 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,814,905 | TotalAmt |
| Management And General | $1,814,905 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,071,985 | TotalAmt |
| Management And General | $9,071,985 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $625,391 | TotalAmt |
| Management And General | $625,391 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| INPATIENT CLAIMS | $219,784,178 | $219,784,178 |
| PHARMACY | $277,805,854 | $277,805,854 |
| PHYSICIAN REFERRAL | $229,028,377 | $229,028,377 |
| PRIMARY CARE | $189,620,251 | $189,620,251 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,862,671 | TotalAmt |
| Program Services | $270,417,869 | ProgramServicesAmt |
| Management And General | $2,444,802 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,338,330,910 | TotalAmt |
| Program Services | $1,186,656,529 | ProgramServicesAmt |
| Management And General | $151,674,381 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $51,869,150 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,035,812 | BOYAmt |
| EOY | $4,826,997 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,990,118 | BOYAmt |
| EOY | $92,855,000 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,304,922 | BOYAmt |
| EOY | $1,955,892 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $62,238,028 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $36,269,318 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,804,775 | BOYAmt |
| EOY | $25,968,710 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,253,552 | BOYAmt |
| EOY | $136,936,791 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,484,701 | BOYAmt |
| EOY | $61,680,022 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,873,880 | BOYAmt |
| EOY | $376,092,562 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,164,483 | BOYAmt |
| EOY | $234,058,370 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $458,710 | BOYAmt |
| EOY | $174,701 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,865,070 | BOYAmt |
| EOY | $3,452,501 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $221,488,263 | BOYAmt |
| EOY | $237,685,572 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,990,233 | BOYAmt |
| EOY | $33,244,990 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,395,384 | BOYAmt |
| EOY | $105,162,000 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,385,617 | BOYAmt |
| EOY | $138,406,990 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,873,880 | BOYAmt |
| EOY | $376,092,562 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $13,184,549 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,163,176 | NetUnrlzdGainsLossesInvstAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,876,625 | OtherCostOrOtherBasisAmt |
| Depreciation | $510,460 | DepreciationAmt |
| Book Value | $2,366,165 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,408,006 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,322,014 | DepreciationAmt |
| Book Value | $5,085,992 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,953,397 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,436,844 | DepreciationAmt |
| Book Value | $18,516,553 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,968,710 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ADVANCES TO PROVIDERS & OTHER | $55,813,628 |
| RISK CORRIDOR RECEIVABLE | $5,866,394 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $61,680,022 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT | Desc |
| Amt | $3,452,501 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,452,501 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,349,352,283 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,163,176 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$2,163,176 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,351,515,459 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,351,515,459 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,338,330,910 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,338,330,910 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,338,330,910 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | ASC 740 FOOTNOTE | FormAndLineReferenceDesc |
| Explanation | SCHEDULE D, PART X, LINE 2 The Plan qualifies as a not-for-profit corporation 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, 2015. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GLENN MACFARLANE | ||||||||||||||
| PRESIDENT & CEO (BEG 1/1/15) | $389,604 | $0 | $85,000 | $0 | $8,957 | $0 | $17,645 | $0 | $24,824 | $0 | $526,030 | $0 | $0 | $0 |
| ROBERT ALLEN | ||||||||||||||
| EVP & CHIEF OPERATING OFFICER | $333,405 | $0 | $80,000 | $0 | $1,980 | $0 | $26,354 | $0 | $24,552 | $0 | $466,291 | $0 | $0 | $0 |
| STEPHEN GIASI | ||||||||||||||
| SVP & CFO (BEG 7/20/15) | $147,246 | $0 | $25,000 | $0 | $695 | $0 | $0 | $0 | $12,276 | $0 | $185,217 | $0 | $0 | $0 |
| SHAUNTE TUCKER | ||||||||||||||
| INTERIM CFO (1/15-7/15) | $196,443 | $0 | $16,000 | $0 | $415 | $0 | $1,638 | $0 | $24,606 | $0 | $239,102 | $0 | $0 | $0 |
| SHARON DEANS MD | ||||||||||||||
| SVP & CMO (BEG 3/20/15) | $312,818 | $0 | $36,000 | $0 | $1,290 | $0 | $1,325 | $0 | $13,050 | $0 | $364,483 | $0 | $0 | $0 |
| DEWITT SMITH | ||||||||||||||
| Sr. Vice President - Sales | $241,792 | $0 | $70,000 | $0 | $21,641 | $0 | $20,945 | $0 | $23,101 | $0 | $377,479 | $0 | $0 | $0 |
| ANN VAN ETTEN | ||||||||||||||
| Vice President - HR | $77,566 | $0 | $33,379 | $0 | $176,760 | $0 | $10,522 | $0 | $4,395 | $0 | $302,622 | $0 | $0 | $0 |
| STEPHEN ZENG | ||||||||||||||
| SVP - Operations | $216,812 | $0 | $45,000 | $0 | $17,002 | $0 | $8,363 | $0 | $19,740 | $0 | $306,917 | $0 | $0 | $0 |
| CLAIRE DEMATTEIS | ||||||||||||||
| SVP - GENERAL COUNSEL & CCO | $310,551 | $0 | $70,000 | $0 | $690 | $0 | $19,393 | $0 | $25,352 | $0 | $425,986 | $0 | $0 | $0 |
| ABENAA UDOCHI | ||||||||||||||
| SVP & EXEC DIR-STATE GOVT PRGM | $255,033 | $0 | $70,000 | $0 | $450 | $0 | $24,450 | $0 | $8,887 | $0 | $358,820 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SEVERANCE PAYMENT | FormAndLineReferenceDesc |
| Explanation | FORM 990, SCHEDULE J, PART I, LINE 4A A SEVERANCE PAYMENT IN THE AMOUNT OF $166,201 PAID TO ANN VAN ETTEN IS REPORTED AS TAXABLE COMPENSATION IN COLUMN (B)(III). | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (41 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORGANIZATION'S MISSION | FORM 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 FORM 990, PART III, LINE 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. 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 SENIOR VICE PRESIDENT AND CONTROLLER. A FINAL COPY OF THE FORM 990 IS MADE AVAILABLE TO THE ENTIRE GOVERNING BODY BEFORE FILING. 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 REVIEW | FORM 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 ESTABLISHED POLICIES FOR JOB EVALUATION USING A POINT FACTOR SYSTEM; MERIT INCREASES; AND SALARY ACTIONS ASSOCIATED WITH NEW HIRES, PROMOTIONS, TRANSFERS AND DEMOTIONS. SPECIFICALLY, FOR: 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) OTHER OFFICERS AND KEY EMPLOYEES - JOBS HELD BY OTHER OFFICERS AND JOBS HELD BY KEY EMPLOYEES ARE EVALUATED USING THE POINT FACTOR JOB EVALUATION PROCESS APPLICABLE TO ALL JOBS AT AFFINITY HEALTH PLAN. BASED ON THE POINT FACTOR EVALUATION, JOBS ARE PLACED IN A SALARY GRADE. MERIT INCREASES ARE CALCULATED THROUGH A FORMULAIC APPROACH BASED DIRECTLY ON THE RESULTS OF A FORMAL YEAR END PERFORMANCE EVALUATION. THIS PROGRAM APPLIES TO ALL EMPLOYEES INCLUDING OTHER OFFICERS AND KEY EMPLOYEES. DISCRETIONARY COMPENSATION DECISIONS APPLICABLE FOR OTHER OFFICERS AND KEY EMPLOYEES, INCLUDING PROMOTIONAL SALARY ADJUSTMENTS, MARKET/EQUITY 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. DISCRETIONARY 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. |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:COVERED LIVES TOTAL EXPENSES:3239700 PROGRAM SERVICES:3239700 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:MEDICAID STOP LOSS INSURANCE TOTAL EXPENSES:11447341 PROGRAM SERVICES:11447341 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:PRENATAL/POSTPARTUM CARE TOTAL EXPENSES:47431 PROGRAM SERVICES:47431 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:OTHER MEDICAL TOTAL EXPENSES:490382 PROGRAM SERVICES:490382 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:HOME HEALTH CARE TOTAL EXPENSES:16447 PROGRAM SERVICES:16447 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:AMBULATORY SURGERY TOTAL EXPENSES:1531648 PROGRAM SERVICES:1531648 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:DME, MEDICAL SUPPLIES TOTAL EXPENSES:107022 PROGRAM SERVICES:107022 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:ACUPUNCTURE TOTAL EXPENSES:43136 PROGRAM SERVICES:43136 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:CHIROPRACTIC TOTAL EXPENSES:188048 PROGRAM SERVICES:188048 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:OUTPATIENT PHYSICAL THERAPY TOTAL EXPENSES:204985 PROGRAM SERVICES:204985 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:AMBULATORY SURGERY HCRA TOTAL EXPENSES:304637 PROGRAM SERVICES:304637 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:VISION CAPITATION TOTAL EXPENSES:3900965 PROGRAM SERVICES:3900965 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:TRANSPORTATION NON-EMERGENT TOTAL EXPENSES:3733859 PROGRAM SERVICES:3733859 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:NURSING FACILITY TOTAL EXPENSES:2832380 PROGRAM SERVICES:2832380 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:FAMILY PLANNING TOTAL EXPENSES:20269 PROGRAM SERVICES:20269 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:DIAGNOSTIC TEST LAB-MONTE TOTAL EXPENSES:1627255 PROGRAM SERVICES:1627255 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:LAB HCRA TOTAL EXPENSES:1811958 PROGRAM SERVICES:1811958 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:LAB CAPITATIONS TOTAL EXPENSES:8523701 PROGRAM SERVICES:8523701 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:RADIOLOGY - CAPITATION TOTAL EXPENSES:134641 PROGRAM SERVICES:134641 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:DIAGNOSTIC TEST LAB & X-RAY CL TOTAL EXPENSES:74243659 PROGRAM SERVICES:74243659 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:BEACON HCRA TOTAL EXPENSES:1092097 PROGRAM SERVICES:1092097 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:DENTAL HCRA TOTAL EXPENSES:206643 PROGRAM SERVICES:206643 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:BEHAVIORAL HEALTH CAPITATION TOTAL EXPENSES:21909452 PROGRAM SERVICES:21909452 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:DENTAL CAPITATION TOTAL EXPENSES:28572026 PROGRAM SERVICES:28572026 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:DENTAL CLAIMS TOTAL EXPENSES:2416623 PROGRAM SERVICES:2416623 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:PHARMACY GOV GAP DISC TOTAL EXPENSES:-51898 PROGRAM SERVICES:-51898 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:PHARMACY REINSURANCE TOTAL EXPENSES:-7956225 PROGRAM SERVICES:-7956225 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:PHARMACY LICS TOTAL EXPENSES:-6315401 PROGRAM SERVICES:-6315401 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:RESERVE FOR RECOVERY TOTAL EXPENSES:1072977 PROGRAM SERVICES:1072977 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:THIRD PARTY RECOVERIES - REINS TOTAL EXPENSES:-21016182 PROGRAM SERVICES:-21016182 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:OTHER PROFESSIONAL SVC-HCRA TOTAL EXPENSES:3521891 PROGRAM SERVICES:3521891 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:OTHER PROFESSIONAL SERVICES - TOTAL EXPENSES:93594529 PROGRAM SERVICES:93594529 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:OUTPATIENT CLAIMS-IBNR TOTAL EXPENSES:-26754179 PROGRAM SERVICES:-26754179 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:PROFESSION SERVICE-IBNR TOTAL EXPENSES:-885257 PROGRAM SERVICES:-885257 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:EMERGENCY ROOM HCRA TOTAL EXPENSES:2065908 PROGRAM SERVICES:2065908 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:EMERGENCY ROOM CLAIMS TOTAL EXPENSES:41880167 PROGRAM SERVICES:41880167 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:INPATIENT MED. SURGICAL HCRA TOTAL EXPENSES:23184171 PROGRAM SERVICES:23184171 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:RESERVES - FAMILY PLANNING CAR TOTAL EXPENSES:-568937 PROGRAM SERVICES:-568937 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:PREMIUM TAX TOTAL EXPENSES:2444802 MANAGEMENT AND GENERAL:2444802 |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| AHP ENTERPRISES INC | |||||||||
| 1776 EASTCHESTER ROAD | BRONX | NY | 10461 | 473885217 | MGMT SVCS | DE | na | C CORP | false |
| AFFINITY HEALTH SERVICES HOLDINGS INC | |||||||||
| 1776 EASTCHESTER ROAD | BRONX | NY | 10461 | 473909849 | HOLDING CO | DE | NA | C CORP | false |
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