HAMASPIK CHOICE INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- HAMASPIK CHOICE INC (EIN 45-4781328)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-07
- IRS object ID
- 202513119349302036
- Schema version
- 2024v5.2
- 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 | 2025-11-07T11:41:30-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 113360065 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROTH & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1428 36TH STREET SUITE 200 | AddressLine1Txt |
| City | BROOKLYN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11218 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454781328 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMASPIK CHOICE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HAMA | BusinessNameControlTxt |
| Phone | 8555524642 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 775 NORTH MAIN STREET | AddressLine1Txt |
| City | SPRING VALLEY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10977 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | YOEL BERNATH | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8555524642 | PhoneNum |
| Signature | 2025-10-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ZACHARIA WAXLER | PreparerPersonNm |
| PTIN | P00502633 | PTIN |
| Phone | 7182361600 | PhoneNum |
| Preparation | 2025-10-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | YOEL BERNATH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 775 NORTH MAIN STREET | AddressLine1Txt |
| City | SPRING VALLEY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10977 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $406,161,724 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HAMASPIKCHOICE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | HAMASPIK CHOICE IS COMMITTED TO EXCELLENCE IN PROVIDING ACCESS TO QUALITY-DRIVEN HEALTH CARE COVERAGE IN A CULTURALLY-SENSITIVE, TIMELY AND RESPONSIVE MANNER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 489 | TotalEmployeeCnt |
| Total Volunteers | 4 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $200,459,953 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $395,940,973 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,580,183 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,840,569 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,275,184 | PYOtherRevenueAmt |
| CY Other Revenue | $8,380,182 | CYOtherRevenueAmt |
| PY Total Revenue | $212,315,320 | PYTotalRevenueAmt |
| CY Total Revenue | $406,161,724 | 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 | $30,239,705 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,018,335 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $208,106,082 | PYOtherExpensesAmt |
| CY Other Expenses | $363,189,453 | CYOtherExpensesAmt |
| PY Total Expenses | $238,345,787 | PYTotalExpensesAmt |
| CY Total Expenses | $399,207,788 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$26,030,467 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,953,936 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $98,799,870 | TotalAssetsBOYAmt |
| Total Assets EOY | $104,933,038 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $76,620,317 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $75,799,549 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,179,553 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,133,489 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HAMASPIK CHOICE IS COMMITTED TO EXCELLENCE IN PROVIDING ACCESS TO QUALITY-DRIVEN HEALTH CARE COVERAGE IN A CULTURALLY-SENSITIVE, TIMELY AND RESPONSIVE MANNER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $378,904,342 | ExpenseAmt |
| Revenue | $404,321,155 | RevenueAmt |
| Desc | HAMASPIK CHOICE IS A MANAGED LONG TERM CARE PLAN THAT PROVIDES ELIGIBLE MEMBERS WITH HEALTHCARE-RELATED PRODUCTS AND SERVICES, ON A PARTIALLY CAPITATED BASIS. | Desc |
| Total Program Service Expenses | $378,904,342 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 652 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 489 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHAYA BACK | PersonNm |
| Phone | 8455030807 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 775 NORTH MAIN STREET | AddressLine1Txt |
| City | SPRING VALLEY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10977 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| HERSCHEL WEISS | ||||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JACOB COHN | ||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ABRAHAM HERSHKOVITZ | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ISRAEL STEIN | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| YOEL BERNATH | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $1,026,691 | $0 | $8,592 | |||
| DAVID FRIEDMAN | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $365,927 | $0 | $37,997 | |||
| CHAYA BACK | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $191,319 | $0 | $0 | |||
| DAVID GORBACZ | ||||||||
| CHIEF OPERATING OFFICER | 36.00 | Yes (X) | $47,957 | $0 | $0 | |||
| TZIPORAH SCHWARTZ | ||||||||
| CHIEF BUSINESS DEVELOPMENT OFFICER | 40.00 | $724,931 | $0 | $38,065 | Yes (X) | |||
| KARL DEHM | ||||||||
| VP OF COMPLIANCE & REGULATORY AFFAIRS | 40.00 | $327,333 | $0 | $24,519 | Yes (X) | |||
| SHOSHANA BERNAL | ||||||||
| VP OF PROVIDER RELATIONS & NETWORK DEVELOPMENT | 40.00 | $153,846 | $0 | $161 | Yes (X) | |||
| CHAYA SCHLESINGER | ||||||||
| VP OF HUMAN RESOURCES | 40.00 | $205,631 | $0 | $13,704 | Yes (X) | |||
| MENDEL ORNSTEIN | ||||||||
| COMPTROLLER | 40.00 | $202,190 | $0 | $37,844 | Yes (X) | |||
| ERIC KABEL | ||||||||
| VP OF PROVIDER RELATIONS AND CONTRACTING | 40.00 | $171,885 | $0 | $12,276 | Yes (X) | |||
| EMILY MANNING | ||||||||
| CHIEF TECHNOLOGY OFFICER | 40.00 | $196,981 | $0 | $12,071 | Yes (X) | |||
| HAMMAD RIZVI | ||||||||
| MEDICAL DIRECTOR | 40.00 | $376,392 | $0 | $0 | Yes (X) | |||
| KA HO LEE | ||||||||
| ENROLLMENT SUPERVISOR | 40.00 | $258,769 | $0 | $12,514 | Yes (X) | |||
| SIMI FLIEGMAN | ||||||||
| CHIEF OF STRATEGIC INITIATIVES | 34.00 | $237,247 | $0 | $25,662 | Yes (X) | |||
| DAVID LANDAU | ||||||||
| MANAGER OF FACILITY ENROLLMENTS | 40.00 | $217,562 | $0 | $23,275 | Yes (X) | |||
| LINDSAY LAROCQUE | ||||||||
| VP OF CARE MANAGEMENT | 40.00 | $188,873 | $0 | $11,789 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,893,534 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $258,469 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 80 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMMUNITY HOME HEALTH CARE | |||||
| PO BOX 220 | BETTENDORF | IA | 52722 | MEDICAL AND HEALTH CARE | $25,430,240 |
| GOLDEN TOUCH HOME HEALTH LLC | |||||
| 15 BOWERY GROUND FLOOR | NEW YORK | NY | 10002 | MEDICAL AND HEALTH CARE | $15,363,461 |
| LONGEVITY HEALTH SERVICES | |||||
| 131-07 40TH ROAD SUITE E5 | FLUSHING | NY | 11354 | MEDICAL AND HEALTH CARE | $14,403,599 |
| JS HOMECARE AGENCY OF NY INC | |||||
| 4316 8TH AVE | BROOKLYN | NY | 11232 | MEDICAL AND HEALTH CARE | $12,484,602 |
| INFINICARE INC | |||||
| 90 BROWERY SUITE 305 | NEW YORK | NY | 10013 | MEDICAL AND HEALTH CARE | $10,757,983 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 217 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID REVENUE | 524114 | $394,561,130 | $394,561,130 |
| QUALITY INCENTIVE POOL AWARD | 524114 | $1,127,315 | $1,127,315 |
| PATIENT SURPLUS | 524114 | $252,528 | $252,528 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $395,940,973 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,840,569 | TotalRevenueColumnAmt |
| Exclusion | $1,840,569 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REIMBURSED EXPENSES | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $8,380,182 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,380,182 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,380,182 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $406,161,724 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $404,321,155 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,840,569 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,799,923 | TotalAmt |
| Program Services | $845,095 | ProgramServicesAmt |
| Management And General | $2,954,828 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,734 | TotalAmt |
| Management And General | $68,734 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,932,047 | TotalAmt |
| Program Services | $20,356,301 | ProgramServicesAmt |
| Management And General | $6,575,746 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,946,822 | TotalAmt |
| Program Services | $2,045,784 | ProgramServicesAmt |
| Management And General | $901,038 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,270,809 | TotalAmt |
| Program Services | $1,566,424 | ProgramServicesAmt |
| Management And General | $704,385 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,113 | TotalAmt |
| Management And General | $414,113 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,702 | TotalAmt |
| Management And General | $110,702 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $354,231,259 | TotalAmt |
| Program Services | $352,357,840 | ProgramServicesAmt |
| Management And General | $1,873,419 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,907 | TotalAmt |
| Management And General | $108,907 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,683,053 | TotalAmt |
| Program Services | $886,425 | ProgramServicesAmt |
| Management And General | $1,796,628 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,692,546 | TotalAmt |
| Management And General | $1,692,546 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $790,282 | TotalAmt |
| Management And General | $790,282 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,786 | TotalAmt |
| Program Services | $335,337 | ProgramServicesAmt |
| Management And General | $8,449 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,527,607 | TotalAmt |
| Management And General | $1,527,607 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,879 | TotalAmt |
| Program Services | $333,879 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,257 | TotalAmt |
| Program Services | $177,257 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| ASSOCIATION FEES | $574,615 | $574,615 |
| ASSOC. REIMBURSEMENTS | $201,447 | $201,447 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,207,788 | TotalAmt |
| Program Services | $378,904,342 | ProgramServicesAmt |
| Management And General | $20,303,446 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,624,128 | BOYAmt |
| EOY | $37,322,675 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,983 | BOYAmt |
| EOY | $3,006,493 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,831,785 | BOYAmt |
| EOY | $4,620,157 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,078 | BOYAmt |
| EOY | $113,356 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,232,657 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,914,956 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,429,162 | BOYAmt |
| EOY | $2,317,701 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,021,677 | BOYAmt |
| EOY | $40,021,677 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,656,057 | BOYAmt |
| EOY | $17,530,979 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,799,870 | BOYAmt |
| EOY | $104,933,038 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,214,284 | BOYAmt |
| EOY | $37,769,961 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,406,033 | BOYAmt |
| EOY | $38,029,588 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,620,317 | BOYAmt |
| EOY | $75,799,549 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,179,553 | BOYAmt |
| EOY | $29,133,489 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,179,553 | BOYAmt |
| EOY | $29,133,489 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,799,870 | BOYAmt |
| EOY | $104,933,038 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,953,936 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $3,910,392 | CurrentTaxYearMinus3YearsAmt |
| Total | $3,910,392 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $112,467,371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $107,292,920 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $91,318,659 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $210,735,137 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $404,321,155 | CurrentTaxYearAmt |
| Total | $926,135,242 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $112,467,371 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $111,203,312 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $91,318,659 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $210,735,137 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $404,321,155 | CurrentTaxYearAmt |
| Total | $930,045,634 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $930,045,634 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,547 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,633 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $290,929 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,551,758 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,840,569 | CurrentTaxYearAmt |
| Total | $3,755,436 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,547 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,633 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $290,929 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,551,758 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,840,569 | CurrentTaxYearAmt |
| Total | $3,755,436 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $112,476,918 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $111,265,945 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $91,609,588 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $212,286,895 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $406,161,724 | CurrentTaxYearAmt |
| Total | $933,801,070 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99600 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99700 | PublicSupportPY509Pct |
| Investment Income CY | 0.00400 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00300 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,538,824 | OtherCostOrOtherBasisAmt |
| Depreciation | $510,332 | DepreciationAmt |
| Book Value | $2,028,492 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,693,833 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,404,624 | DepreciationAmt |
| Book Value | $289,209 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,317,701 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN HAMASPIK INC | $19,074,177 | C |
| INVESTMENT IN MANAGED LONG-TERM CARE PLAN | $20,947,500 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $40,021,677 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| NYS MEDICAL ESCROW | $17,384,442 |
| OPERATING RIGHT-OF-USE ASSET | $146,537 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,530,979 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO MEDICAID | $3,496,437 |
| SURPLUS NOTE PAYABLE & ACCRUED INTEREST - RELATED PARTY | $34,379,036 |
| LEASE LIABILITY | $154,115 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,029,588 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| YOEL BERNATH | ||||||||||||||
| EXECUTIVE DIRECTOR | $911,065 | $0 | $115,626 | $0 | $0 | $0 | $0 | $0 | $8,592 | $0 | $1,035,283 | $0 | $0 | $0 |
| TZIPORAH SCHWARTZ | ||||||||||||||
| CHIEF BUSINESS DEVELOPMENT OFFICER | $410,280 | $0 | $314,651 | $0 | $0 | $0 | $0 | $0 | $38,065 | $0 | $762,996 | $0 | $0 | $0 |
| DAVID FRIEDMAN | ||||||||||||||
| CHIEF OPERATING OFFICER | $344,057 | $0 | $21,870 | $0 | $0 | $0 | $0 | $0 | $37,997 | $0 | $403,924 | $0 | $0 | $0 |
| HAMMAD RIZVI | ||||||||||||||
| MEDICAL DIRECTOR | $357,760 | $0 | $18,632 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $376,392 | $0 | $0 | $0 |
| KARL DEHM | ||||||||||||||
| VP OF COMPLIANCE & REGULATORY AFFAIR | $308,246 | $0 | $19,087 | $0 | $0 | $0 | $0 | $0 | $24,519 | $0 | $351,852 | $0 | $0 | $0 |
| KA HO LEE | ||||||||||||||
| ENROLLMENT SUPERVISOR | $256,799 | $0 | $1,970 | $0 | $0 | $0 | $0 | $0 | $12,514 | $0 | $271,283 | $0 | $0 | $0 |
| SIMI FLIEGMAN | ||||||||||||||
| CHIEF OF STRATEGIC INITIATIVES | $121,702 | $0 | $115,545 | $0 | $0 | $0 | $0 | $0 | $25,662 | $0 | $262,909 | $0 | $0 | $0 |
| DAVID LANDAU | ||||||||||||||
| MANAGER OF FACILITY ENROLLMENTS | $183,719 | $0 | $33,843 | $0 | $0 | $0 | $0 | $0 | $23,275 | $0 | $240,837 | $0 | $0 | $0 |
| MENDEL ORNSTEIN | ||||||||||||||
| COMPTROLLER | $169,404 | $0 | $32,786 | $0 | $0 | $0 | $0 | $0 | $37,844 | $0 | $240,034 | $0 | $0 | $0 |
| CHAYA SCHLESINGER | ||||||||||||||
| VP OF HUMAN RESOURCES | $189,280 | $0 | $16,351 | $0 | $0 | $0 | $0 | $0 | $13,704 | $0 | $219,335 | $0 | $0 | $0 |
| EMILY MANNING | ||||||||||||||
| CHIEF TECHNOLOGY OFFICER | $186,921 | $0 | $10,060 | $0 | $0 | $0 | $0 | $0 | $12,071 | $0 | $209,052 | $0 | $0 | $0 |
| LINDSAY LAROCQUE | ||||||||||||||
| VP OF CARE MANAGEMENT | $163,103 | $0 | $25,770 | $0 | $0 | $0 | $0 | $0 | $11,789 | $0 | $200,662 | $0 | $0 | $0 |
| CHAYA BACK | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $161,944 | $0 | $29,375 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $191,319 | $0 | $0 | $0 |
| ERIC KABEL | ||||||||||||||
| VP OF PROVIDER RELATIONS AND CONTRAC | $158,972 | $0 | $12,913 | $0 | $0 | $0 | $0 | $0 | $12,276 | $0 | $184,161 | $0 | $0 | $0 |
| SHOSHANA BERNAL | ||||||||||||||
| VP OF PROVIDER RELATIONS & NETWORK D | $153,846 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $161 | $0 | $154,007 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| HIGH STANDARD HOME CARE INC | |||
| 35% CONTROLLED ENTITY OF FAMILY MEMBER OF YOEL BERNATH | $2,528,635 | MEDICAL AND HEALTH CARE | 0 |
| TRI COUNTY CARE LLC | |||
| RELATED THROUGH COMMON OFFICER, YOEL BERNATH, EXECUTIVE DIRECTOR | $482,543 | FMV RENT | 0 |
| MIRIAM BERNATH | |||
| FAMILY MEMBER OF YOEL BERNATH, EXECUTIVE DIRECTOR | $68,734 | REASONABLE COMPENSATION | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE TAX RETURN PREPARER SENDS THE ORGANIZATION A DRAFT COPY OF THE COMPLETED TAX RETURN FOR THE BOARD OF DIRECTORS REVIEW AND COMMENT. AFTER THE BOARD OF DIRECTORS APPROVES THE RETURN THE ORGANIZATION NOTIFIES THE TAX RETURN PREPARER AND A FINAL VERSION OF THE RETURN IS SENT TO THE ORGANIZATION FOR THE EXECUTIVE DIRECTOR'S SIGNATURE. THE EXECUTIVE DIRECTOR THEN SIGNS THE E-FILE AUTHORIZATION FORM AND RETURNS IT TO THE TAX RETURN PREPARER. THE TAX RETURN PREPARER THEN E-FILES THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST NO LESS THAN ANNUALLY BY COMPLETING AND EXECUTING A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE AND STATEMENT. FAILURE TO DISCLOSE A POTENTIAL CONFLICT OF INTEREST OR ENGAGING IN A PRACTICE DETERMINED TO BE A CONFLICT OF INTEREST MAY RESULT IN DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS PERFORMED A COMPENSATION STUDY TO ENSURE THAT THE OFFICERS AND KEY EMPLOYEES' SALARIES ARE NOT EXCESSIVE AND ARE IN LINE WITH COMPARABLE ORGANIZATIONS. THE COMPENSATION STUDY IS CONDUCTED BY AN ACCOUNTING FIRM USING COMPARATIVE DATA FROM OTHER ORGANIZATIONS OF SIMILAR SIZE AND INDUSTRY. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST THE PUBLIC MAY VIEW THE ORGANIZATION'S GOVERNING DOCUMENTS AND RELATED DOCUMENTS AT THE ADDRESS LOCATED ON PAGE 1 OF FORM 990. |
| FORM 990, PART IX, LINE 11G | MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 352,357,840. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 352,357,840. CLAIMS PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,234,857. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,234,857. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 638,562. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 638,562. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMASPIK HOLDINGS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 775 NORTH MAIN STREET | AddressLine1Txt |
| City | SPRING VALLEY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10977 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HEALTH INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $104,156,790 | TotalIncomeAmt |
| End Of Year Assets | $35,321,854 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMASPIK CHOICE INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| HAMASPIK OF ROCKLAND COUNTY INC | |||||||||
| 58 ROUTE 59 1 | MONSEY | NY | 10952 | 133978518 | HEALTH & HUMAN SERVICES | NY | 501(C)(3) | LINE 10 | 0 |
| NYSHA INC | |||||||||
| 293 DIVISION AVENUE | BROOKLYN | NY | 11211 | 264085718 | HEALTH & HUMAN SERVICES | NY | 501(C)(3) | LINE 10 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMASPIK INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 775 NORTH MAIN STREET | AddressLine1Txt |
| City | SPRING VALLEY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10977 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 833467374 | EIN |
| Primary Activities | HEALTH INSURANCE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMASPIK HOLDINGS LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $104,156,790 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $35,321,854 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HAMASPIK INC | ||
| J | $1,794,997 | CASH |
| HAMASPIK INC | ||
| K | $182,500 | CASH |
| HAMASPIK INC | ||
| L | $8,380,182 | CASH |
| HAMASPIK INC | ||
| P | $198,289 | CASH |
Comments