2016-11-14T14:22:55-06:00 2015-12-31 BDO USA LLP 950 Third Avenue - 20th FL New York NY 10022 990 2015-01-01 112625096 Elderplan Inc % DAVID WAGNER ELDE 7184917261 6323 Seventh Avenue Brooklyn NY 11220 ALEXANDER BALKO President/CEO 7184917261 2016-11-09 true Angelo Pirozzi CPA P00446022 2123714446 2015 2017-02-10 21:41:12Z ALEXANDER BALKO 6323 Seventh Avenue Brooklyn NY 11220 904056324 false X WWW.MJHS.ORG X 1982 NY A MEDICARE MANAGED CARE AND MEDICAID MANAGED LONG TERM CARE PROGRAM. 11 10 903 10 0 0 0 805688713 814065687 2983032 2307109 16795 0 808688540 816372796 10000000 0 0 0 83573986 91450202 0 0 0 709791934 752609233 803365920 844059435 5322620 -27686639 215746472 199305781 98870881 110902936 116875591 88402845 X ELDERPLAN IS A HEALTH PLAN WITH MEDICARE AND MEDICAID CONTRACTS. ELDERPLAN STARTED AS ONE OF THE ORIGINAL SOCIAL HEALTH MAINTENANCE ORGANIZATIONS IN THE COUNTRY. MORE THAN 30 YEARS LATER, ELDERPLAN (WHICH INCLUDES HOMEFIRST - ONE OF THE OLDEST MANAGED LONG TERM CARE PLANS IN NY STATE) CARRIES ON A TRADITION OF COMPASSION, DIGNITY AND RESPECT FIRST ESTABLISHED BY THE FOUR BROOKLYN LADIES IN 1907. ELDERPLAN IS COMMITTED TO SERVING ADULTS 65 AND OVER AND INDIVIDUALS 18+ WITH SPECIAL NEEDS, EMPOWERING THEM TO ACHIEVE THEIR GREATEST LEVEL OF INDEPENDENCE AND QUALITY OF LIFE THROUGH PIONEERING HEALTH CARE AND SOCIAL SUPPORT PROGRAMS. false false 694817442 0 814065687 A LOCAL NOT-FOR-PROFIT HEALTH PLAN, ELDERPLAN (INCLUDING HOMEFIRST - ONE OF THE OLDEST MANAGED LONG TERM CARE PLANS IN NEW YORK STATE) IS COMMITTED TO SERVING THE NEEDS OF AT-RISK, LARGELY DUAL-ELIGIBLE, MEMBERS OF THE COMMUNITY OF ALL RELIGIOUS AND CULTURAL BACKGROUNDS. CARRYING ON A TRADITION OF COMPASSION, DIGNITY AND RESPECT FIRST ESTABLISHED BY THE FOUR BROOKLYN LADIES IN 1907, ELDERPLAN OFFERS SPECIAL NEEDS PLANS TO HELP BENEFICIARIES RECEIVE THE CARE COORDINATION AND HEALTH RELATED SERVICES NECESSARY FOR THEM TO REMAIN SAFELY AT HOME. AS A NOT-FOR-PROFIT, ELDERPLAN REINVESTS EARNINGS TO BRING OUR MEMBERS IMPROVED BENEFITS. WE BELIEVE THAT HEALTH CARE IS MORE THAN CARING FOR PEOPLE. IT'S CARING ABOUT THEM AS WELL. AS OF 12/31/2015, ELDERPLAN (INCLUSIVE OF HOMEFIRST) SERVED 27,055 MEMBERS ACROSS NYC, WESTCHESTER, LONG ISLAND AND MONROE COUNTY. 694817442 true false false false false false false false false false true false false true true true true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false true 7960 0 true 903 true false false false false false false false false false false X 11 10 true false false false false false false true true false false true true true true true true true true false NY X DAVID WAGNER 7184917209 6323 SEVENTH AVENUE BROOKLYN NY 11220 Arthur Goshin Immediate Past Chairperson 0.5 4.5 X X 0 0 0 Ronald B Milch Chairman 0.5 4.5 X X 0 0 0 Clara Williams Secretary thru 9/30/2015 0.5 0.0 X X 0 0 0 Bradley Fluegel Director 0.5 0.5 X 0 0 0 Benjamin Karsch Director 0.5 0.0 X 0 0 0 William J Gormley Sr Treasurer 1.5 2.0 X X 0 0 0 Stephen Jackson Vice Chairman 0.5 0.0 X X 0 0 0 Amir Kishon Director 0.5 0.0 X 0 0 0 Barbara LaTesta Director 0.5 0.0 X 0 0 0 Chekesha Kidd Director 0.5 0.5 X 0 0 0 Danielle Rollmann Director 0.5 0.5 X 0 0 0 Alexander Balko President/CEO 19.5 15.5 X X 0 5594621 111805 Robert Leamer Asst Sec/SVP-General Counsel 20.0 15.0 X 0 2108346 97840 David Wagner CFO 35.0 0.0 X 597641 0 77722 Ronald Chaffin President - Health Plans 33.0 2.0 X 0 1363022 47578 Jeffrey Davis CFO-MJHS 19.5 15.5 X 0 664486 84593 Vincent Marchello MD Medical Director 34.0 1.0 X 456452 0 52965 Elliot Brooks SVP - HR 11.0 24.0 X 0 519385 80137 Thomas Early Exec VP Health Plans 35.0 0.0 X 627807 0 30092 Saiful Khan SVP Health plan Sales/Bus Dev 35.0 0.0 X 563745 0 51436 WILLIAM GORMLEY JR CHIEF STRATEGIST 26.0 9.0 X 0 483367 48543 ELI FELDMAN FORMER OFFICER 0.5 34.5 X 0 1670592 180192 2245645 12403819 862903 141 true true false BestCare Inc 3000 Hempstead Turnpike LEVITTOWN NY 11756 Home Health Agency 36048684 Special Touch Home Care 2091 Coney Island Avenue BROOKLYN NY 11223 Home Health Agency 37506110 Envision Pharmaceutical Services In 2181 E Aurora Road Suite 201 TWINSBURG OH 44087 Pharmaceutical 50462026 Metropolitan Jewish Homecare 6323 7th Avenue BROOKLYN NY 11220 Home Health Agency 18911150 Caring Professionals 70-20 Austin Street FOREST HILLS NY 11375 Home Health Agency 24183932 77 0 CAPITATION PAYMENTS 524114 807330029 807330029 MEMBER SURPLUS INCOME 524114 3826374 3826374 RECRUITMENT AND RETENTION FUNDS 525990 2250000 2250000 REINSURANCE RECOVERY 524298 659284 659284 814065687 1119265 1119265 0 0 0 0 0 88871372 87683528 1187844 1187844 1187844 0 0 0 0 816372796 814065687 2307109 0 0 0 0 675363 675363 0 70005966 70005966 0 2416725 2416725 13506877 13506877 4845271 4845271 0 280658 280658 1500 1500 0 0 0 634541161 609039197 25501964 5124178 5124178 5025044 5025044 133490 133490 0 2636394 2636394 548691 548691 0 3951 3951 0 0 2083137 2083137 0 MEDICAL EXPENSES 84279559 84279559 BAD DEBT 6998870 6998870 STOP LOSS INSURANCE 1498686 1498686 MJHS ALLOCATED EXPENSES 8845012 8845012 608902 608902 844059435 694817442 149241993 0 3428014 0 67652047 12834814 0 0 20553654 13428186 0 0 0 0 0 0 0 0 2083 160275 36036524 13177031 12938532 22859493 95592631 119900176 0 0 0 0 0 0 15579511 30122837 215746472 199305781 94237735 104785330 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4633146 6117606 98870881 110902936 X 116875591 88402845 0 0 0 0 116875591 88402845 215746472 199305781 -27686639 -786107 X X false true X true false X 0 0 0 0 0 0 399877926 527051784 664369404 805688713 814062686 3211050513 0 0 0 399877926 527051784 664369404 805688713 814062686 3211050513 0 0 0 3211050513 1125780 932856 857376 1699900 1119265 5735177 0 1125780 932856 857376 1699900 1119265 5735177 0 2886 0 1625525 16795 0 1645206 401006592 527984640 666852305 807405408 815181951 3218430896 0.99771 0.99708 0.00178 0.00229 X 760858 416074 344784 35275666 12760957 22514709 22859493 DUE FROM RELATED ORGANIZATIONS 972231 DUE FROM THIRD PARTY PAYORS 22289157 REINSURANCE RECEIVABLE 401201 ACCRUED INTEREST RECEIVABLE 479710 PHARMACY REBATE RECEIVABLE 4487500 SECURITY DEPOSITS 1493038 30122837 0 UNCLAIMED DISBURSEMENTS 32967 DUE TO RELATED ORGANIZATIONS 621645 DUE TO THIRD PARTIES 5462994 6117606 X 815586689 -786107 -786107 816372796 816372796 844059435 844059435 844059435 Part X, Line 2: The Company has determined that there are no material uncertain tax positions that require recognition or disclosure in the financial statements. Periods ending december 31, 2012 and subsequent remain subject to examination by applicable taxing auhorities. false true false false false false false true false Robert Leamer Asst Sec/SVP-General Counsel 0 423915 0 79327 0 1605104 0 45713 0 52127 0 2206186 0 1128745 David Wagner CFO 553185 0 30000 0 14456 0 37100 0 40622 0 675363 0 0 0 Alexander Balko President/CEO 0 991503 0 238250 0 4364868 0 45713 0 66092 0 5706426 0 2867518 Ronald Chaffin President - Health Plans 0 607158 0 0 0 755864 0 0 0 47578 0 1410600 0 484142 Jeffrey Davis CFO-MJHS 0 526714 0 100000 0 37772 0 37100 0 47493 0 749079 0 0 Vincent Marchello MD Medical Director 412493 0 23974 0 19985 0 19213 0 33752 0 509417 0 0 0 Elliot Brooks SVP - HR 0 398445 0 74984 0 45956 0 45713 0 34424 0 599522 0 0 Thomas Early Exec VP Health Plans 485477 0 124500 0 17830 0 0 0 30092 0 657899 0 0 0 Saiful Khan SVP Health plan Sales/Bus Dev 259903 0 290433 0 13409 0 19213 0 32223 0 615181 0 0 0 WILLIAM GORMLEY JR CHIEF STRATEGIST 0 313482 0 32500 0 137385 0 19213 0 29330 0 531910 0 125029 ELI FELDMAN FORMER OFFICER 0 1406424 0 111408 0 152760 0 45713 0 134479 0 1850784 0 192857 Part I, Line 3: THE SALARIES FOR THE EXECUTIVES ARE DETERMINED BY METROPOLITAN JEWISH HEALTH SYSTEM, INC., A RELATED ORGANIZATION. THE METHODS UTILIZED INCLUDE A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANTS, REVIEW OF THE FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEYS OR STUDIES AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD. PART I, LINE 4B PLEASE NOTE THAT DURING 2015 THE RECIPIENTS BELOW RECEIVED A ONE-TIME PAYOUT OF THEIR SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN FUNDS WHICH WERE ACCUMULATED FOR SERVICES RENDERED OVER THE NUMBER OF YEARS INDICATED: ALEXANDER BALKO - $4,297,982 (EARNED OVER 16 YEARS) RON CHAFFIN - $723,395 (EARNED OVER 7 YEARS) ROBERT LEAMER - $1,558,478 (EARNED OVER 17 YEARS) PART I, LINE 7 BONUS ELIGIBILITY IS BASED ON THE EXTENT THAT EACH EXECUTIVE AND EMPLOYEE HAS ACHIEVED HIS/HER GOAL AND IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD FORM 990, PART VI. SECTION A, LINE 6: WILLIAM GORMLEY, SR. AND WILLIAM GORMLEY, JR. HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11: DRAFTS OF THE COMPLETED RETURNS ARE REVIEWED BY THE PRESIDENT, CFO AND SENIOR VP, GENERAL COUNSEL AND THEIR STAFF. ANY COMMENTS ARISING FROM THEIR REVIEW ARE DISCUSSED AND, IF REQUIRED, CHANGES ARE MADE TO THE DRAFT. THAT DRAFT WILL BE SUBMITTED TO THE MJHS EXECUTIVE COMMITTEE FOR ITS REVIEW AND APPROVAL. ONCE THE COMMITTEE HAS COMPLETED ITS REVIEW, COPIES OF THE RETURNS WILL BE PROVIDED TO ALL BOARD MEMBERS. TO ALL BOARD MEMBERS. FORM 990. PART VI. SECTION B. LINE 12C: EACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS MUST FILE AND MAINTAIN CURRENT THE ORGANIZATION'S DIRECTORS BIOGRAPHICAL INFORMATION FORM AND, ON AN ANNUAL BASIS, COMPLETE THE ORGANIZATION'S DIRECTORS CONFLICT OF INTEREST STATEMENT AND ACKNOWLEDGEMENT WHICH ACKNOWLEDGES THAT EACH INDIVIDUAL HAS DISCLOSED ANY POTENTIAL CONFLICT OF INTEREST; RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; READ AND UNDERSTANDS THE CONFLICTS OF INTEREST POLICY; AND AGREED TO COMPLY WITH THE CONFLICTS OF INTEREST POLICY. THE SENIOR VICE PRESIDENT/GENERAL COUNSEL SUPERVISES THE DISTRIBUTION, COLLECTION AND REVIEW OF THE ANNUAL DIRECTORS CONFLICT OF INTEREST STATEMENT AND ACKNOWLEDGEMENT. FROM TIME TO TIME, DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES AND/OR COMMITTEE MEMBERS ARE REMINDED OF THEIR OBLIGATION TO DISCLOSE POTENTIAL OR ACTUAL CONFLICTS OF INTEREST WHEN AND IF THEY ARISE. PROCEDURES FOR MANAGING IDENTIFIED CONFLICTS: EACH DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE AND MEMBER OF A BOARD COMMITTEE IS REQUIRED TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST TO THE INDIVIDUAL CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. IN THE EVENT OF SUCH A DISCLOSURE, THE INTERESTED PARTY IS EXCUSED FROM THE MEETING AND THE BOARD/COMMITTEE DETERMINES WHETHER A CONFLICT EXISTS. IF THE BOARD/COMMITTEE DETERMINES THAT A CONFLICT EXISTS, THE CHAIRPERSON OF THE BOARD OR DESIGNEE (IF APPROPRIATE) WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE AND REPORT TO THE BOARD OF DIRECTORS ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. BASED ON THE INFORMATION FURNISHED BY THE DISINTERESTED PERSON OR COMMITTEE, THE BOARD OF DIRECTORS WILL MAKE A DETERMINATION OF WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR MORE REASONABLE ARRANGEMENTS FROM AN ENTITY OR PERSON THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST IS NOT REASONABLY ATTAINABLE UNDER THE CIRCUMSTANCES, THE BOARD OF DIRECTORS WILL DETERMINE, BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS, WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION. ALL OF THE ACTIONS STATED ABOVE SHALL BE REFLECTED IN THE BOARD/COMMITTEE MINUTES. IN THE EVENT THAT A DIRECTOR, PRINCIPAL OFFICER, KEY EMPLOYEE OR MEMBER OF A BOARD COMMITTEE FAILS TO DISCLOSE A POTENTIAL OR ACTUAL CONFLICT OF INTEREST, THE BOARD/COMMITTEE, AFTER AFFORDING THE INDIVIDUAL DUE PROCESS, SHALL DETERMINE WHETHER THE INDIVIDUAL VIOLATED THE CONFLICT OF INTEREST POLICY BY FAILING TO DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST AND, IN THE EVENT OF A DETERMINATION THAT A VIOLATION OCCURRED. TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990. PART VI. SECTION B. LINE 15: METROPOLITAN JEWISH HEALTH SYSTEM, INC., A RELATED ORGANIZATION, RETAINS THE SERVICES OF A MAJOR EXECUTIVE COMPENSATION FIRM TO REVIEW MARKET PAY PRACTICES AND AVERAGE SALARY MOVEMENT AMONG SIMILARLY SITUATED EXECUTIVES. THE EXECUTIVE COMPENSATION FIRM IS ASKED TO DEVELOP A COMPARATIVE BASE THAT IS AS CLOSE AS POSSIBLE TO OUR ORGANIZATION. DIFFERENT COMPARATIVE GROUPS ARE CONSIDERED FOR EACH POSITION, CEO AND SENIOR VP'S AS APPROPRIATE. THE 2015 SALARIES WERE BASED ON INFORMATION OBTAINED IN 2014. A NEW STUDY WAS DONE IN MARCH 2015. THIS MARKET ANALYSIS IS THEN REVIEWED BY THE COMPENSATION COMMITTEE IN DETERMINING SALARY ADJUSTMENTS FROM THE PERSPECTIVE OF MARKET COMPETITIVENESS AND PRIOR YEAR PERFORMANCE. PERFORMANCE IS BASED ON THE EXTENT THAT EACH EXECUTIVE HAS ACHIEVED HIS/HER GOALS. BONUS ELIGIBILITY IS DONE IN A SIMILAR MANNER. OTHER KEY EMPLOYEES ARE MANAGED IN SIMILAR MANNER THROUGH THE HUMAN RESOURCES DEPARTMENT UNDER THE DIRECTION OF THE SENIOR VICE PRESIDENT FOR HUMAN RESOURCES IN CONJUNCTION WITH THE CEO, USING LOCAL SURVEYS TO ENSURE MARKET COMPETITIVENESS. FORM 990, PART VI, SECTION C, LINE 19: UPON REQUEST, THE ORGANIZATION WILL MAKE AVAILABLE ONLY THOSE DOCUMENTS REQUIRED TO BE DISCLOSED UNDER THE PUBLIC INSPECTION LAWS. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990 PART IX LINE 11G DESCRIPTION:HOSPITAL INPATIENT TOTAL FEES:65168970 FORM 990 PART IX LINE 11G DESCRIPTION:OUTPATIENT TOTAL FEES:25945829 FORM 990 PART IX LINE 11G DESCRIPTION:PCP TOTAL FEES:30023328 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:14136424 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY TOTAL FEES:12296969 FORM 990 PART IX LINE 11G DESCRIPTION:CHRONIC PCW TOTAL FEES:36873283 FORM 990 PART IX LINE 11G DESCRIPTION:PERSONAL CARE AIDE TOTAL FEES:XXX-XX-XXXX FORM 990 PART IX LINE 11G DESCRIPTION:CAPITATION TOTAL FEES:6100485 FORM 990 PART IX LINE 11G DESCRIPTION:CERTIFIED HOME CARE TOTAL FEES:6277904 FORM 990 PART IX LINE 11G DESCRIPTION:SNF TOTAL FEES:15401058 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:8274424 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY SERVICES TOTAL FEES:985910 FORM 990 PART IX LINE 11G DESCRIPTION:LANGUAGE TRANSLATION TOTAL FEES:738378 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:11621772 FORM 990 PART IX LINE 11G DESCRIPTION:MAINTENANCE SUPPORT TOTAL FEES:236165 FORM 990 PART IX LINE 11G DESCRIPTION:CARE MANAGEMENT CAPITATION TOTAL FEES:9522177 FORM 990 PART IX LINE 11G DESCRIPTION:ADMINISTRATIVE FEES TOTAL FEES:192384 METROPOLITAN JEWISH HEALTH SYSTEM INC 6323 7TH AVENUE BROOKLYN NY 11220 113538697 Admin. Svcs. NY 501 (c) (3) line 7 NA false MJG NURSING HOME CO Inc 6323 7TH AVENUE BROOKLYN NY 11220 237123076 NURSING HOME NY 501 (c) (3) LINE 3 NA false MENORAH HOME AND HOSPITAL FOR THE AGED 6323 7TH AVENUE BROOKLYN NY 11220 111672777 NURSING HOME NY 501(C) (3) LINE 3 MJHS false SHOREFRONT JEWISH GERIATRIC CENTER Inc 6323 7TH AVENUE BROOKLYN NY 11220 113072153 NURSING HOME NY 501 (C) (3) LINE 9 MJHS false METROPOLITAN JEWISH HOME CARE INC 6323 7TH AVENUE BROOKLYN NY 11220 320060822 HOME CARE NY 501 (C) (3) LINE 9 MJHS false MENORAH FOUNDATION INC 6323 7TH AVENUE BROOKLYN NY 11220 113471173 FUNDRAISING NY 501 (C) (3) LINE 11A, I MJHS FOUND false HOMEFIRST LHCSA INC 6323 7TH AVENUE BROOKLYN NY 11220 611501623 HOME CARE NY 501 (C) (3) LINE 11A, I MJHS false SHOREFRONT TOWERS HOUSING DEVELOP FUND 6323 7TH AVENUE BROOKLYN NY 11220 113200785 HOUSING NY 501 (C) (3) LINE 9 NA false METROPOLITAN JEWISH HEALTH SYSTEM FOUND 6323 7TH AVENUE BROOKLYN NY 11220 111630753 FUNDRAISING NY 501 (C) (3) LINE 7 N/A false MJHS HOSPICE AND PALLIATIVE CARE INC 6323 7TH AVENUE BROOKLYN NY 11220 133438643 HOSPICE NY 501 (C) (3) LINE 3 MJHS false MJHS MEDICAL ASSOCIATES PC 6323 7TH AVENUE BROOKLYN NY 11220 275273404 HEALTH CARE NY 501 (C) (3) LINE 9 MJHS false FIRST TO CARE HOME CARE INC 6323 7TH AVENUE BROOKLYN NY 11220 113300822 HOME CARE NY 501 (C) (3) LINE 9 MJHS false Institute for Applied Gerontology 6323 7th Avenue Brooklyn NY 11220 113135751 Research NY 501(C)(3) PF NA false Safepath Benefits Inc 6323 7th Avenue Brooklyn NY 11220 800540936 Insurance NY MJHS C Corporation 0 0 false MJGC Corp 6323 7th Avenue Brooklyn NY 11220 113356665 Holding Company NY MJHS C Corporation 0 0 false false false false false false false false false false true false true false true false false false false