Healthfirst Health Plan of New Jersey Inc: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Healthfirst Health Plan of New Jersey Inc (EIN 51-0609967)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-13
- IRS object ID
- 201413179349301146
- Schema version
- 2013v3.1
- 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 | 2014-11-13T11:09:35-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 TIMES SQUARE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100366530 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510609967 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Healthfirst Health Plan of New Jersey Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARYBETH TITA | InCareOfNm |
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 9734972367 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Washington Street STE 1405 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Newark | City |
| State | NJ | State |
| ZIP Code | 071023105 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARYBETH TITA | PersonNm |
| Person Title | SVP/TREASURER | PersonTitleTxt |
| Signature | 2014-11-12 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRISTOPHER BOGGS | PreparerPersonNm |
| PTIN | P00032493 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHFIRST NEW JERSEY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TERENCE BYRD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Washington Street STE 1405 | AddressLine1 |
| City | Newark | City |
| State | NJ | State |
| ZIP Code | 071023105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $266,773,061 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.HEALTHFIRSTNJ.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE THE HEALTH OF THE PEOPLE OF THE STATE OF NEW JERSEY BY ARRANGING FOR THE PROVISION OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID BENEFICIARIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $281,245,707 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $266,729,016 | CYProgramServiceRevenueAmt |
| PY Investment Income | $28,677 | PYInvestmentIncomeAmt |
| CY Investment Income | $44,045 | CYInvestmentIncomeAmt |
| PY Other Revenue | $21,360 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $281,295,744 | PYTotalRevenueAmt |
| CY Total Revenue | $266,773,061 | 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 | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $281,358,909 | PYOtherExpensesAmt |
| CY Other Expenses | $267,388,963 | CYOtherExpensesAmt |
| PY Total Expenses | $281,358,909 | PYTotalExpensesAmt |
| CY Total Expenses | $267,388,963 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$63,165 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$615,902 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $66,695,323 | TotalAssetsBOYAmt |
| Total Assets EOY | $57,604,636 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,708,091 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $55,996,429 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $21,987,232 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,608,207 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROMOTE THE HEALTH OF THE COMMUNITY BY ARRANGING FOR THE PROVISION OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID BENEFICIARIES AND TO RELIEVE THE POOR AND DISTRESSED BY MEETING THE SPECIAL HEALTH CARE NEEDS OF MEDICARE AND MEDICAID BENEFICIARIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $63,082,258 | ExpenseAmt |
| Revenue | $64,951,409 | RevenueAmt |
| Desc | MEDICARE HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. (HFNJ) PROVIDES AFFORDABLE QUALITY HEALTH PLANS TO ELIGIBLE MEDICARE RECIPIENTS. FOR 2013 THERE WERE 5,852 MEMBERS ENROLLED IN HFNJ'S MEDICARE PLANS. HFNJ'S NETWORK INCLUDES APPROXIMATELY 22 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $195,970,916 | ExpenseAmt |
| Revenue | $201,777,607 | RevenueAmt |
| Desc | MEDICAID/NJFAMILYCARE HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. (HFNJ) PROVIDES AFFORDABLE QUALITY HEALTH PLANS TO ELIGIBLE MEDICAID RECIPIENTS. FOR 2013 THERE WERE 41,828 MEMBERS ENROLLED IN HFNJ'S MEDICAID/NJFAMILYCARE PLANS. HFNJ'S NETWORK INCLUDES APPROXIMATELY 27 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $259,053,174 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| 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 | false | 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 | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | Yes (true) | 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 3664 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARYBETH TITA | PersonNm |
| Phone | 2128016000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CHURCH ST FL 18 | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100072601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| GARY HORAN | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | |||
| PETER A KELLY | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| DANIEL P MCCARTHY | ||||||||
| DIRECTOR | 1.0 | 40.0 | Yes (X) | $833,034 | $167,521 | |||
| DEBORAH E HAMMOND | ||||||||
| VP, MEDICAL DIRECTOR | 1.0 | 40.0 | Yes (X) | $367,802 | $26,819 | |||
| MARYBETH A TITA | ||||||||
| SVP/CHIEF FINANCIAL OFFICER | 1.0 | 40.0 | Yes (X) | $610,978 | $128,713 | Yes (X) | ||
| MICHAEL D D'AGNES | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| ANTHONY T ORLANDO | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| AXEL RAMOS | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| LESLIE D HIRSCH | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| MICHAEL MARON | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| JOHN CALLENDRILLO | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| TERENCE L BYRD | ||||||||
| PRESIDENT | 1.0 | 40.0 | Yes (X) | $337,688 | $10,069 | Yes (X) | ||
| AL ABOUD | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| RICHARD SMITH | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| RONALD NAPIORSKI | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| RONALD RAK | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| EDWARD CONDIT | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| TOM DALY | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| ROBERT PETERSON | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| ALAN BEATTY | ||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | |||||
| ELIZABETH R ST CLAIR | ||||||||
| SVP/GENERAL COUNSEL | 1.0 | 40.0 | $649,837 | $132,297 | Yes (X) | |||
| PATRICIA J WANG | ||||||||
| CEO | 1.0 | 40.0 | $1,286,944 | $317,776 | Yes (X) | |||
| JAY A SCHECHTMAN | ||||||||
| SVP/CHIEF MEDICAL OFFICER | 1.0 | 40.0 | $589,373 | $107,751 | Yes (X) | |||
| ARUN K BHATIA | ||||||||
| SVP CIO | 1.0 | 40.0 | $450,195 | $101,790 | Yes (X) | |||
| ANDREA C FORINO | ||||||||
| SVP, HUMAN RESOURCE TERM 9/14 | 1.0 | 40.0 | $574,273 | $68,186 | Yes (X) | |||
| YI QI WU | ||||||||
| VP, FACILITATED ENROLLMENT | 1.0 | 40.0 | $388,488 | $32,572 | Yes (X) | |||
| PAUL E PORTSMORE JR | ||||||||
| SVP, BUS DEV AND MBR ACQUIS | 1.0 | 40.0 | $368,107 | $15,300 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,456,719 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,108,794 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CAREMARK LLC | |||||
| ONE CVS DRIVE | WOONSOCKET | RI | 02895 | PHARMACY | $60,478,110 |
| ST JOSEPHS REGIONAL MED CTR | |||||
| PO BOX 36284 | NEWARK | NJ | 071886284 | MEDICAL/HOSPITAL | $16,547,332 |
| LOVING CARE AGENCY INC | |||||
| COMMERCIAL LOCKBOX PO BOX 12400 | NEWARK | NJ | 07101 | MEDICAL/HOSPITAL | $5,279,306 |
| TRINITAS REGIONAL MEDICAL CENTER | |||||
| 750 WALNUT AVENUE | CRANFORD | NJ | 07016 | MEDICAL/PROFESSIONAL | $5,861,643 |
| DENTAQUEST LLC | |||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | MEDICAL/HOSPITAL | $5,913,981 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE ADVANTAGE (PART C) | 524114 | $56,495,420 | $56,495,420 |
| MEDICARE PRESCRIPTION DRUG CVG (PART D) | 524114 | $8,455,989 | $8,455,989 |
| MEDICAID / NJFAMILYCARE | 524114 | $201,777,607 | $201,777,607 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $266,729,016 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,045 | TotalRevenueColumnAmt |
| Exclusion | $44,045 | 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 |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $266,773,061 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $266,729,016 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $44,045 | ExclusionAmt |
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 | $0 | TotalAmt |
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 | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,623,361 | TotalAmt |
| Program Services | $20,608,820 | ProgramServicesAmt |
| Management And General | $8,014,541 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,696 | TotalAmt |
| Management And General | $9,696 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,649 | TotalAmt |
| Program Services | $310,996 | ProgramServicesAmt |
| Management And General | $198,653 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
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 | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,899 | TotalAmt |
| Management And General | $112,899 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| HEALTHCARE SERVICE COSTS | $229,504,690 | $229,504,690 |
| CLAIMS ADJUSTMENT EXPENSE | $8,628,668 | $8,628,668 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,388,963 | TotalAmt |
| Program Services | $259,053,174 | ProgramServicesAmt |
| Management And General | $8,335,789 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,772,280 | BOYAmt |
| EOY | $43,551,411 | 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 | $6,689,830 | BOYAmt |
| EOY | $7,133,299 | 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 | $412,290 | BOYAmt |
| EOY | $479,784 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $1,820,923 | BOYAmt |
| EOY | $6,440,142 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,695,323 | BOYAmt |
| EOY | $57,604,636 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,659,537 | BOYAmt |
| EOY | $39,339,103 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $10,048,554 | BOYAmt |
| EOY | $16,657,326 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,708,091 | BOYAmt |
| EOY | $55,996,429 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,987,232 | BOYAmt |
| EOY | $1,608,207 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $21,987,232 | BOYAmt |
| EOY | $1,608,207 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,695,323 | BOYAmt |
| EOY | $57,604,636 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$615,902 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$4,299 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$19,758,824 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $5,182,622 |
| SECURITY DEPOSITS | $51,799 |
| MEDICARE PART D PLAN DEP.REC. | $1,205,721 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,440,142 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| NOTES PAYABLE TO AFFILIATE | $4,237,840 |
| DUE TO AFFILIATE | $130,198 |
| DUE TO CMS | $1,895 |
| DUE TO STATE OF NJ | $2,930,332 |
| UPCAE/UNPAID VENDOR PAYABLE | $723,236 |
| COVERAGE GAP DISCOUNT PROGRAM | $33,825 |
| PREMIUM DEFICIENCY RESERVE | $8,600,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,657,326 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $247,009,938 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$4,299 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$19,758,824 | OtherRevenueAmt |
| Revenue Not Reported | -$19,763,123 | RevenueNotReportedAmt |
| Revenue Subtotal | $266,773,061 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $266,773,061 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $267,388,963 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $267,388,963 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $267,388,963 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D-PART X, LINE 2 | THE FOLLOWING IS DISCLOSED IN THE AUDITED FINANCIAL STATEMENTS OF HF MANAGEMENT SERVICES, LLC, THE PARENT COMPANY OF HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.: It is the Companys policy to provide for uncertain tax positions and the related interest and penalties based upon managements assessment of whether a tax benefit is more likely than not to be sustained upon examination by tax authorities. At December 31, 2013, the Company believes it has appropriately accounted for any unrecognized tax benefits. To the extent the Company prevails in matters for which a liability for an unrecognized tax benefit is established or is required to pay amounts in excess of the liability, the Company's effective tax rate in a given financial statement period may be affected. |
| SCHEDULE D-PART XI, LINE 2D - OTHER ADJUSTMENTS | RETAINED HOSPITAL PAYMENTS: $-19.8 million. The health care service agreements with Sponsors, provide that a portion of the premium revenue allocated to each Sponsor, as health care provider to Healthfirst Health Plan of New Jersey, Inc (HFNJ) plan members, attributable to a specified initial period of enrollment of each enrollee, is retained by HFNJ as additional capital contributions for the purpose of providing applicable statutory financial reserves. The portion may be subject to periodic adjustment by HFNJ's Board of Directors, subject to any restrictions by the State of New Jersey, as detailed in the health care service agreement. Retained hospital payments withheld by HFNJ totaled approximately $4.3 million. Due to the termination of a Sponsor's risk-sharing contract during 2013, additional health care service costs and exposure to premium deficiency liabilities were incurred by HFNJ, and Sponsors' risk sharing pools were updated to address these costs. As of December 31, 2013, Sponsors' risk-sharing pools reflected an approximate $24.1 million, resulting in a net reduction of approximately $19.8 million in the retained payments balance for the year ended December 31, 2013. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | 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 (11 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|
| JAY A SCHECHTMAN | |||||||
| SVP/CHIEF MEDICAL OFFICER | $414,432 | $173,865 | $1,076 | $90,479 | $17,272 | $697,124 | |
| DANIEL P MCCARTHY | |||||||
| DIRECTOR | $548,258 | $267,631 | $17,145 | $150,193 | $17,328 | $1,000,555 | $13,703 |
| DEBORAH E HAMMOND | |||||||
| VP, MEDICAL DIRECTOR | $285,779 | $80,142 | $1,881 | $15,300 | $11,519 | $394,621 | |
| MARYBETH A TITA | |||||||
| SVP/CHIEF FINANCIAL OFFICER | $426,559 | $172,135 | $12,284 | $111,385 | $17,328 | $739,691 | $10,988 |
| ELIZABETH R ST CLAIR | |||||||
| SVP/GENERAL COUNSEL | $453,483 | $182,487 | $13,867 | $121,101 | $11,196 | $782,134 | $9,535 |
| TERENCE L BYRD | |||||||
| PRESIDENT | $260,321 | $71,747 | $5,620 | $10,069 | $347,757 | ||
| PATRICIA J WANG | |||||||
| CEO | $826,007 | $402,833 | $58,104 | $307,077 | $10,699 | $1,604,720 | $55,266 |
| ARUN K BHATIA | |||||||
| SVP CIO | $341,008 | $108,202 | $985 | $86,195 | $15,595 | $551,985 | |
| ANDREA C FORINO | |||||||
| SVP, HUMAN RESOURCE TERM 9/14 | $211,848 | $112,826 | $249,599 | $60,634 | $7,552 | $642,459 | |
| YI QI WU | |||||||
| VP, FACILITATED ENROLLMENT | $275,301 | $106,245 | $6,942 | $15,300 | $17,272 | $421,060 | |
| PAUL E PORTSMORE JR | |||||||
| SVP, BUS DEV AND MBR ACQUIS | $330,625 | $35,625 | $1,857 | $15,300 | $383,407 | ||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART 1, LINE 4A | THE FOLLOWING INDIVIDUAL ENTERED INTO SEVERANCE AGREEMENTS AND/OR RECEIVED SEVERANCE PAYMENTS FROM HF MANAGEMENT SERVICES, LLC - A RELATED ORGANIZATION: ANDREA FORINO TOTAL OF SEVERANCE AGREEMENT IN 2013: $442,771 SEVERANCE PAID IN 2013: $85,148. SEVERANCE DEFERRED: $357,623. |
| SCHEDULE J, PART 1, LINE 4B | THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE NON-QUALIFIED RETIREMENT PLAN PROVIDED BY HF MANAGEMENT SERVICES, LLC - A RELATED ORGANIZATION. THE AMOUNTS BELOW REPRESENT CONTRIBUTIONS FROM THE PLAN SPONSOR FOR 2013: PATRICIA J. WANG $81,900. [Col. C] DANIEL P. McCARTHY $36,604. [Col. C] ELIZABETH R. ST CLAIR $28,539. [Col. C] JAY A. SCHECHTMAN $20,401 [Col. C] MARYBETH A. TITA $25,943. [Col. C] ARUN K.BHATIA $19,238. [Col. C]. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (15 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| HF MANAGEMENT SERVICES LLC | |||
| SOLE CORPORATE MEMBER | $4,237,840 | SURPLUS NOTES OUTSTANDING | false |
| HF MANAGEMENT SERVICES LLC | |||
| SOLE CORPORATE MEMBER | $28,623,361 | MANAGEMENT AND ADMIN SERVICES | false |
| ST MICHAEL MEDICAL CENTER | |||
| BOARD OF DIRECTOR | $819,119 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| TRINITAS HEALTH CARE SYSTEM | |||
| BOARD OF DIRECTOR | $1,121,424 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| STJOSEPH REGIONAL MEDICAL CENTER | |||
| BOARD OF DIRECTOR | $265,257 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| HOLY NAME HOSPITAL | |||
| BOARD OF DIRECTOR | $107,539 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| PALISADES MEDICAL CENTER | |||
| BOARD OF DIRECTOR | $622,165 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| ENGLEWOOD HOSPITAL MEDICAL CENTER | |||
| BOARD OF DIRECTOR | $125,099 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| EAST ORANGE GENERAL HOSPITAL | |||
| BOARD OF DIRECTOR | $170,818 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| ST CLARE'S HOSPITAL | |||
| BOARD OF DIRECTOR | $314,841 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| CHRIST HOSPITAL | |||
| BOARD OF DIRECTOR | $434,544 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| BAYONNE HOSPITAL CENTER | |||
| BOARD OF DIRECTOR | $240,819 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| ROBERT WOOD JOHNSON HOSP-HAMLTON | |||
| BOARD OF DIRECTOR | $162,841 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| ST MARY'S HOSP | |||
| BOARD OF DIRECTOR | $284,090 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| ST MICHAEL'S MEDICAL CENTER | |||
| BOARD OF DIRECTOR | $819,119 | SHARE RISK SURPLUS DISTRIBUTIO | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE L, PART IV ITEM (3) TO (13) | FormAndLineReferenceDesc |
| Explanation | SHARE RISK SURPLUS DISTRIBUTION REPRESENTS QUARTERLY REONCILIATION OF THE HOSPITAL POOLS WHICH ARE DONE TO CALCULATE THE SURPLUS DISTRIBUTION AMOUNTS FOR A GIVEN PERIOD. HOSPITALS ARE PAID THE SURPLUS AMOUNT BASED ON THE CALCULATION, WHICH IS PER THE RISK SHARE MODEL APPROVED BY THE MANAGEMENT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.(HFNJ) CONTRACTS WITH HF MANAGEMENT SERVICES, LLC (HFMS) TO PROVIDE ALL OF ITS MANAGEMENT AND ADMINISTRATIVE SERVICES. THE NOT-FOR-PROFIT ENTITY DOES NOT MAINTAIN ITS OWN STAFF OR OFFICE SPACE, THESE ARE SUPPLIED BY HFMS. HFMS CHARGES A PERCENT OF PREMIUM ON A PER MEMBER PER MONTH BASIS OR A FLAT FEE PER MEMBER PER MONTH. THE ARRANGEMENT IS APPROVED BY RESOLUTION OF THE BOARD OF DIRECTORS. ALL OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES WERE PAID BY, AND WORKED FOR HFMS, A MANAGEMENT COMPANY WHICH PROVIDES MANAGEMENT SERVICES FOR MULTIPLE ENTITIES. NONE OF THE INDIVIDUALS LISTED EARNED ANY COMPENSATION FROM HFNJ. |
| FORM 990, PART VI, SECTION A, LINE 6 | HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. IS A NEW JERSEY NOT-FOR-PROFIT CORPORATION WITH ONE CORPORATE MEMBER, HF MANAGEMENT SERVICES, LLC. |
| FORM 990, PART VI, SECTION A, LINES 7A AND 7B | 7A: HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. IS A NEW JERSEY NOT FOR PROFIT CORPORATION WITH ONE CORPORATE MEMBER, HF MANAGEMENT SERVICES, LLC. THE CORPORATE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS OF HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. 7B: AMENDMENTS TO THE GOVERNING DOCUMENTS REQUIRE APPROVAL OF THE SOLE CORPORATE MEMBER, HF MANAGEMENT SERVICES, LLC. CERTAIN DECISIONS OF THE BOARD OF DIRECTORS RELATING TO PRODUCTS OFFERED, RELATED PARTY TRANSACTIONS AND REPAYMENT OF SURPLUS NOTES REQUIRE APPROVAL OF THE NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE. |
| FORM 990, PART VI, SECTION A, LINE 11A | THE 990 IS PREPARED BY THE HF MANAGEMENT SERVICES, LLC (HFMS) CORPORATE FINANCE DEPARTMENT STAFF AND THEN REVIEWED BY THE HFMS VICE PRESIDENT CONTROLLER. SECONDARY REVIEWS ARE ALSO PERFORMED BY THE HFMS GENERAL COUNSEL, SENIOR VICE PRESIDENT OF CORPORATE FINANCE AND CHIEF FINANCIAL OFFICER. THE DRAFT 990 IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE DRAFT 990 IS THEN TRANSMITTED TO THE BOARD OF DIRECTORS. THE FINAL 990 IS SUBMITTED AFTER THE RETURN IS REVIEWED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS COMPLETED ANNUALLY BY EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE. EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE IS GIVEN A COPY OF THE DISCLOSURE STATEMENT TO COMPLETE ON AN ANNUAL BASIS. A MEMBER WHO DOES NOT COMPLETE THE STATEMENT IS NOT ALLOWED TO ATTEND BOARD MEETINGS AND MAY BE REMOVED FROM THE BOARD. AN OFFICER OR KEY EMPLOYEE WHO DOES NOT COMPLETE THE STATEMENT WILL BE DISCIPLINED, UP TO TERMINATION FROM THE POSITION. ANY DISCLOSURE OF A CONFLICT OR POTENTIAL CONFLICT IS REVIEWED BY THE CHIEF COMPLIANCE OFFICER. CONFLICTS ARE ADDRESSED BY EXAMINING THE RELATIONSHIP OF THE INDIVIDUAL TO THE ORGANIZATION AND THE NATURE OF THE DISCLOSURE. A REPORT OF ANY CONFLICTS IS PREPARED FOR DISCUSSION WITH AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF MANAGERS OF HF MANAGEMENT SERVICES, LLC, THE NOT FOR PROFIT CORPORATE PARENT, AS WELL AS THE FULL BOARD OF DIRECTORS OF HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. AS APPROPRIATE, ACTION IS TAKEN, INCLUDING BUT NOT LIMITED TO DISCLOSURE AND RECUSAL FROM DECISION MAKING, MODIFICATIONS TO BUSINESS AGREEMENTS, CHANGES IN VENDORS OR REPLACEMENT OF THE DIRECTOR, OFFICER OR KEY EMPLOYEE WITH A NON-CONFLICTED INDIVIDUAL. |
| FORM 990, PART VI, SECTION B, LINE 15 | BECAUSE THE REPORTING ORGANIZATION DID NOT COMPENSATE ANY OFFICER OR EMPLOYEE, THE REPORTING ORGANIZATION HAS RESPONDED "NO." HOWEVER, THE COMPENSATION OF THE PRESIDENT, CEO,OTHER OFFICERS AND CERTAIN KEY EMPLOYEES IS DETERMINED BY THE COMPENSATION COMMITTEE OF HF MANAGEMENT SERVICES, LLC (A RELATED ORGANIZATION). THE COMMITTEE CONSISTS ONLY OF INDEPENDENT DIRECTORS. THE PROCESS FOR DETERMINING COMPENSATION IS DESCRIBED IN THE COMMITTEES CHARTER. THE PROCESS INCLUDES ENGAGEMENT OF AN OUTSIDE HUMAN RESOURCES CONSULTING FIRM TO CONDUCT A COMPARABILITY ANALYSIS. THE ANALYSIS INCLUDES COMPARABLE RANGES OF EXECUTIVE COMPENSATION USING THE COMPANY'S INDUSTRY CLASSIFICATION. THE COMMITTEE MEETS PRIOR TO IMPLEMENTATION OF ANY CHANGE IN COMPENSATION. CONTEMPORANEOUS MINUTES OF EACH MEETING ARE PREPARED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC BY PROVIDING COPIES ON REQUEST FOR INSPECTION AT ITS CORPORATE OFFICES. |
| FORM 990, PART XI, LINE 9 | RETAINED HOSPITAL PAYMENTS: $-19.8 million. The health care service agreements with Sponsors, provide that a portion of the premium revenue allocated to each Sponsor, as health care provider to Healthfirst Health Plan of New Jersey, Inc (HFNJ) plan members, attributable to a specified initial period of enrollment of each enrollee, is retained by HFNJ as additional capital contributions for the purpose of providing applicable statutory financial reserves. The portion may be subject to periodic adjustment by HFNJ's Board of Directors, subject to any restrictions by the State of New Jersey, as detailed in the health care service agreement. Retained hospital payments withheld by HFNJ totaled approximately $4.3 million. Due to the termination of a Sponsor's risk-sharing contract during 2013, additional health care service costs and exposure to premium deficiency liabilities were incurred by HFNJ, and Sponsors' risk sharing pools were updated to address these costs. As of December 31, 2013, Sponsors' risk-sharing pools reflected an approximate $24.1 million, resulting in a net reduction of approximately $19.8 million in the retained payments balance for the year ended December 31, 2013. |
| FORM 990, PART XII, LINE 2B | The filing organization does not publish stand-alone financial statements for general disclosure and use. Stand-alone financial statements are prepared solely for the New Jersey Department of Banking and Insurance and New Jersey Department of Human Services and are restricted as to their use. Such financial statements are prepared in conformity with accounting practices prescribed or permitted by the New Jersey Department of Banking and Insurance, which is a comprehensive basis of accounting other than accounting principles generally accepted in the United States. The statutory-basis financial statements are audited by an independent accountant. For purposes of general disclosure and use, including the Form 990, the filing organization is included in the consolidated financial statements of HF Management Services, LLC, a related organization, which are prepared in accordance with US GAAP and audited by an independent accountant. Other financial information included in the consolidated financial statements contains the GAAP-Basis balance sheet and income statement of the filing organization. |
| FORM 990, PART XII, LINE 2C | THE SELECTION OF THE INDEPENDENT AUDITOR IS ADMINISTERED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF MANAGERS OF HF MANAGEMENT SERVICES, LLC (A RELATED ORGANIZATION). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHFIRST INC | ||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 133714932 | MANAGED CARE | NY | 501(C)(3) | 11 Type I | NA | false |
| MANAGED HEALTH INC | ||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 113029569 | MANAGED CARE | NY | 501(C)(4) | HEALTHFIRST | Yes (true) | |
| HEALTHFIRST PHSP INC | ||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 133783732 | MANAGED CARE | NY | 501(C)(3) | 9 | HEALTHFIRST | Yes (true) |
| SENIOR HEALTH PARTNERS INC | ||||||||||
| 100 CHURCH STREET 18FL | NEW YORK | NY | 10007 | 134103882 | MGD LT CARE | NY | 501(C)(3) | 9 | HF MGMT SVCS | Yes (true) |
| NEIGHBORHOOD HEALTH PROVIDERS INC | ||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 943474115 | MANAGED CARE | NY | 501 (C) 3 | 9 | HEALTHFIRST | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt |
|---|---|---|---|---|---|---|---|---|---|
| HF MANAGEMENT SERVICES LLC | |||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 100072601 | 134069806 | 3RD PTY ADM S | NY | NA | false | $0 |
| ROYAL HEALTH CARE OF LI INC | |||||||||
| 100 CHURCH STREET | NEW YORK | NY | 100072601 | 510609967 | 3RD PTY ADM S | NY | HF MGMT SVCLLC | false | $0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HF ADMINISTRATIVE SERVICES INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CHURCH ST FL 18 | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100072601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133873482 | EIN |
| Primary Activities | 3RD PTY ADM S | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MF MGMT SVCS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HF MANAGEMENT SERVICES LLC | ||
| M | $28,623,361 | CONTRACTED RATE |
| HF MANAGEMENT SERVICES LLC | ||
| E | $4,237,840 | SURPLUS NOTE |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE R, PART V, LINE 2 | METHOD OF DETERMINING AMOUNT INVOLVED ITEM (1): THE AMOUNT REPRESENTS THE EXPENSES INCURRED AND PAID OR DUE TO THE RELATED ORGANIZATION FOR SERVICES RENDERED BASED ON CONTRACTED RATES APPROVED BY RESOLUTION OF THE ORGANIZATION'S BOARD OF DIRECTORS AND BY STATE REGULATORS. |
| FORM 990, SCHEDULE R, PART V, LINE 2 | METHOD OF DETERMINING AMOUNT INVOLVED ITEM (2): The amount represents Surplus Note Payable which was monies borrowed from HF Management Services,LLC to fund Healthfirst Health Plan of New Jersey, Inc. It represents two 7 year note payable to HF Management Services, LLC. Interest is calculated and is adjusted at prime rate. The repayment date is on or before December 31, 2014 |
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