CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC (EIN 14-1641028)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-12
- IRS object ID
- 201223179349302227
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2012-11-12T13:50:20-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 542076905 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BST ADVISORS LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 26 COMPUTER DRIVE WEST | AddressLine1 |
| City | ALBANY | City |
| State | NY | State |
| ZIP Code | 12205 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141641028 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CAPI | NameControl |
| Phone | 5186414085 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 PATROON CREEK BLVD | AddressLine1 |
| City | ALBANY | City |
| State | NY | State |
| ZIP Code | 122061057 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BETHANY SMITH SVP FINANCE CFO | Name |
| Title | SVP FINANCE, CFO | Title |
| Phone | 5186414085 | Phone |
| Date Signed | 2012-11-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN T MCGRATH | Name |
| PTIN | P00134182 | PTIN |
| Phone | 5184596700 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BETHANY SMITH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 PATROON CREEK BLVD | AddressLine1 |
| City | ALBANY | City |
| State | NY | State |
| ZIP Code | 122061057 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1153304192 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.CDPHP.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | CDPHP PROVIDES QUALITY HEALTH CARE AT A REASONABLE COST FOR CDPHP SUBSCRIBERS AND OPERATES AS A MODEL FOR THE DELIVERY, FINANCING, AND ADMINISTRATION OF HEALTH CARE SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1029 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 1023699446 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1087355812 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 9667120 | InvestmentIncomePriorYear |
| Investment Income Current Year | 11266236 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 400 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1033366566 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1098622448 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 872495089 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 931967661 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 57311565 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 61932160 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 60576259 | OtherExpensePriorYear |
| Other Expenses Current Year | 60407890 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 990382913 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1054307711 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 42983653 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 44314737 | RevenuesLessExpensesCY |
| Total Assets BOY | 500325970 | TotalAssetsBOY |
| Total Assets EOY | 571683092 | TotalAssetsEOY |
| Total Liabilities BOY | 184638449 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 213592484 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 315687521 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 358090608 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | CDPHP PROVIDES QUALITY HEALTH CARE AT A REASONABLE COST FOR CDPHP SUBSCRIBERS AND OPERATES AS A MODEL FOR THE DELIVERY, FINANCING, AND ADMINISTRATION OF HEALTH CARE SERVICES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 504254785 | Expense |
| Revenue | 547757926 | Revenue |
| Description | CDPHP PROVIDES HEALTH CARE BENEFITS TO GROUPS AND INDIVIDUALS IN OUR COMMUNITY. AS OF DECEMBER 31, 2011, 111,874 SUBSCRIBERS WERE ENROLLED. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 230312550 | Expense |
| Revenue | 246286473 | Revenue |
| Description | CDPHP'S MEDICARE PROGRAM PROVIDES HEALTH CARE BENEFITS TO 22,146 MEMBERS IN NEW YORK STATE. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 198445444 | Expense |
| Revenue | 206855160 | Revenue |
| Description | CDPHP'S MEDICAID PROGRAM PROVIDES HEALTH CARE BENEFITS TO 61,903 MEMBERS IN NEW YORK STATE. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 87071139 | Expense |
| Revenue | 86456253 | Revenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 87071139 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 86456253 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 1020083918 | TotalProgramServiceExpense |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 1 | PoliticalActivities |
| Subject To Proxy Tax | 1 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 5498 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1029 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | BD | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BETHANY SMITH CORP CFO SVP FINAN | NamePerson |
| Telephone Number | 5186413000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 PATROON CREEK BLVD | AddressLine1 |
| City | ALBANY | City |
| State | NY | State |
| ZIP Code | 12206 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| PETER T BURKART MD | ||||||||
| CHAIRMAN OF BOARD | 13.00 | X | 77356 | 0 | 0 | |||
| RICHARD E LAVIGNE MD | ||||||||
| DIRECTOR | 8.00 | X | 48356 | 0 | 0 | |||
| KELLY A WATERS | ||||||||
| DIRECTOR | 7.00 | X | 36004 | 0 | 0 | |||
| JAMES MICHAEL BRENNAN | ||||||||
| SECRETARY OF BOARD | 11.00 | X | 66456 | 0 | 0 | |||
| JAMES C LEYHANE MD | ||||||||
| DIRECTOR | 8.00 | X | 37756 | 0 | 0 | |||
| STUART A ROSENBERG MD | ||||||||
| DIRECTOR | 9.00 | X | 46156 | 0 | 0 | |||
| GENNARO A DANIELS MD | ||||||||
| VICE CHAIRMAN OF THE BOARD | 10.00 | X | 54356 | 0 | 0 | |||
| ROBERT C GRIFFIN | ||||||||
| DIRECTOR | 11.00 | X | 122573 | 0 | 0 | |||
| MARTHA H POFIT | ||||||||
| DIRECTOR | 8.00 | X | 39854 | 0 | 0 | |||
| M BRUCE COHEN | ||||||||
| TREASURER OF THE BOARD | 13.00 | X | 47156 | 0 | 33000 | |||
| DANIEL FRASCA | ||||||||
| DIRECTOR | 9.00 | X | 47250 | 0 | 0 | |||
| DOUGLAS P LARSEN | ||||||||
| DIRECTOR | 8.00 | X | 34756 | 0 | 0 | |||
| ANTHONY J MARINELLO MD | ||||||||
| DIRECTOR | 7.00 | X | 35063 | 0 | 0 | |||
| BRUCE E COPLIN MD | ||||||||
| DIRECTOR | 7.00 | X | 33551 | 0 | 0 | |||
| WILLIAM P PHELAN | ||||||||
| DIRECTOR | 8.00 | X | 47406 | 0 | 0 | |||
| THOMAS MARUSAK | ||||||||
| DIRECTOR | 7.00 | X | 17354 | 0 | 0 | |||
| JOHN D BENNETT MD | ||||||||
| CEO/PRESIDENT | 40.00 | 966884 | 0 | 16493 | X | |||
| BARBARA DOWNS | ||||||||
| SVP CORP. ADMIN, COO | 40.00 | 537166 | 0 | 22373 | X | |||
| BRUCE NASH MD | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 602380 | 0 | 22623 | X | |||
| CAROLE MONTEPARE | ||||||||
| SVP SALES | 40.00 | 333633 | 0 | 22741 | X | |||
| FREDERICK GALT ESQ | ||||||||
| SVP GENERAL COUNSEL | 40.00 | 387032 | 0 | 27832 | X | |||
| ROBERT HINCKLEY | ||||||||
| SVP GOV'T/EXTERNAL RELATIONS | 40.00 | 391745 | 0 | 19961 | X | |||
| LINDA NAVARRA | ||||||||
| SVP CHIEF INFORMATION OFFICER | 40.00 | 390360 | 0 | 15559 | X | |||
| ROLANDO J PORTOCARRERO | ||||||||
| SVP FINANCE, CFO | 40.00 | 384628 | 0 | 16971 | X | |||
| SCOTT KLENK | ||||||||
| SVP HUMAN CAPITAL MANAGEMENT | 40.00 | 332213 | 0 | 31496 | X | |||
| BRIAN MORRISSEY | ||||||||
| SVP MARKETING & CHIEF MKTG OFFICER | 40.00 | 343213 | 0 | 24652 | X | |||
| BETHANY SMITH | ||||||||
| SVP FINANCE, CFO | 40.00 | 279142 | 0 | 25022 | X | |||
| CLIFFORD WALDMAN MD | ||||||||
| VP SENIOR MEDICAL DIRECTOR | 40.00 | 356859 | 0 | 22028 | X | |||
| MARTIN SYMANSKY MD | ||||||||
| MEDICAL DIRECTOR | 40.00 | 292085 | 0 | 26493 | X | |||
| KIRK PANNETON MD | ||||||||
| MEDICAL DIRECTOR SENIOR SERVICES | 40.00 | 282890 | 0 | 23388 | X | |||
| ROBERT LITTLE | ||||||||
| VP UNDERWRITING | 40.00 | 300206 | 0 | 12091 | X | |||
| KELLY CLARK MD | ||||||||
| MEDICAL DIRECTOR | 40.00 | 288528 | 0 | 15973 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7260367 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 378696 | TotalOtherCompensation |
| Number Individuals GT100 K | 124 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TRIZETTO | |||||
| PO BOX 973341 | DALLAS | TX | 75397 | CONSULTING | 3011199 |
| HEALTH DIALOG SERVICES CORP | |||||
| PO BOX 845457 | BOSTON | MA | 02284 | CONSULTING | 2273967 |
| PREMIER MARKET CONNECTION | |||||
| 404 E 15TH ST | VANCOUVER | WA | 98663 | COMMISSIONS | 1388001 |
| INGENIX | |||||
| PO BOX 27116 | SALT LAKE CITY | UT | 84127 | CONSULTING | 951642 |
| MARKETING DIRECT INC | |||||
| 530 MARYVILLE CTR | ST LOUIS | MO | 63141 | CONSULTING | 851367 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| COMMERICAL PREMIUMS | 524114 | 547757926 | 547757926 |
| MEDICARE PREMIUMS | 524114 | 246286473 | 246286473 |
| MEDICAID PREMIUMS | 524114 | 206855160 | 206855160 |
| CHILD HEALTH PLUS PREM | 524114 | 42306489 | 42306489 |
| HEALTHY NY PREMIUMS | 524114 | 25850903 | 25850903 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18298861 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18298861 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1087355812 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10177987 | TotalRevenueColumn |
| Exclusion | $10,177,987 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 55745047 | Securities |
| Other | 24946 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 54681744 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1063303 | Securities |
| Other | 24946 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1088249 | TotalRevenueColumn |
| Exclusion | $1,088,249 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | ADMINISTRATIVE CHARGES | Description |
| Business Code | 524298 | BusinessCode |
| Total Revenue Column | 400 | TotalRevenueColumn |
| Related Or Exempt Function Income | 400 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 400 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1098622448 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1087356212 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $11,266,236 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 931967661 | Total |
| Program Services | 931967661 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4135570 | Total |
| Program Services | 1801832 | ProgramServices |
| Management And General | 2333738 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61496 | Total |
| Management And General | 61496 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43727872 | Total |
| Program Services | 28022004 | ProgramServices |
| Management And General | 15705868 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3016492 | Total |
| Program Services | 1956750 | ProgramServices |
| Management And General | 1059742 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7749700 | Total |
| Program Services | 4919725 | ProgramServices |
| Management And General | 2829975 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3241030 | Total |
| Program Services | 2091882 | ProgramServices |
| Management And General | 1149148 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132775 | Total |
| Management And General | 132775 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 486786 | Total |
| Program Services | 389429 | ProgramServices |
| Management And General | 97357 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164854 | Total |
| Program Services | 164854 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 564160 | Total |
| Management And General | 564160 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5334617 | Total |
| Program Services | 5334617 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4275523 | Total |
| Program Services | 2321100 | ProgramServices |
| Management And General | 1954423 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7050156 | Total |
| Program Services | 6838651 | ProgramServices |
| Management And General | 211505 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3753321 | Total |
| Program Services | 1876662 | ProgramServices |
| Management And General | 1876659 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 527685 | Total |
| Program Services | 369380 | ProgramServices |
| Management And General | 158305 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 537808 | Total |
| Program Services | 350144 | ProgramServices |
| Management And General | 187664 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 511942 | Total |
| Program Services | 409553 | ProgramServices |
| Management And General | 102389 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7837211 | Total |
| Program Services | 5486048 | ProgramServices |
| Management And General | 2351163 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 489334 | Total |
| Management And General | 489334 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONSULTING & OUTSOURCED | 12758370 | 10206696 | 2551674 |
| BROKER COMMISSIONS | 9823328 | 9823328 | |
| NYS INSURANCE ASSESSMEN | 5266022 | 5266022 | |
| RECRUITMENT | 492484 | 246242 | 246242 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 401514 | Total |
| Program Services | 241338 | ProgramServices |
| Management And General | 160176 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1054307711 | Total |
| Program Services | 1020083918 | ProgramServices |
| Management And General | 34223793 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 800 | BOY |
| EOY | 800 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86983500 | BOY |
| EOY | 136371100 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81016779 | BOY |
| EOY | 65484159 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5389632 | BOY |
| EOY | 5717507 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 74639762 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 40822316 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39622148 | BOY |
| EOY | 33817446 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 236220135 | BOY |
| EOY | 277369991 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51092976 | BOY |
| EOY | 52922089 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500325970 | BOY |
| EOY | 571683092 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 163569918 | BOY |
| EOY | 177059231 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13118042 | BOY |
| EOY | 16352748 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7950489 | BOY |
| EOY | 20180505 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184638449 | BOY |
| EOY | 213592484 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 315687521 | BOY |
| EOY | 358090608 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 315687521 | BOY |
| EOY | 358090608 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500325970 | BOY |
| EOY | 571683092 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 44314737 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1911650 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | 2254 | PoliticalExpenditures |
| Amt Expended For527 Activities | 0 | AmtExpendedFor527Activities |
| Amt Of Internal Funds Contributed | 2254 | AmtOfInternalFundsContributed |
| Total Exmpt Function Expenditures | 2254 | TotalExmptFunctionExpenditures |
| Form1120 Pol Filed | 1 | Form1120PolFiled |
Sec527 Pol Orgs Sec527PolOrgs (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Amt Pd From Internal FundsAmtPdFromInternalFunds | Amt Of Contribs Recd DeliveredAmtOfContribsRecdDelivered |
|---|---|---|---|---|---|---|
| CITIZENS FOR HANNON | ||||||
| PO BOX 398 | GARDEN CITY | NJ | 11530 | 112416066 | 500 | 0 |
| FRIENDS OF BETTY LITTLE | ||||||
| PO BOX 4730 | QUEENSBURY | NY | 12804 | 141785746 | 504 | 0 |
| FRIENDS OF SENATOR SEWARD | ||||||
| PO BOX 20 | ONEONTA | NY | 13820 | 161403268 | 500 | 0 |
| FRIENDS OF SENATOR LIBOUS | ||||||
| 59-61 COURT ST PO BOX 432 | BINGHAMTON | NY | 13902 | 161565227 | 750 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantially All Dues Nondeduct | 0 | SubstantiallyAllDuesNondeduct |
| Only In House Lobbying | 0 | OnlyInHouseLobbying |
| Agree To Carryover Prior Year | 0 | AgreeToCarryoverPriorYear |
| Dues Assessments | 164854 | DuesAssessments |
| Non Ded Lobby Political Current | 164854 | NonDedLobbyPoliticalCurrent |
| Non Ded Lobby Political Total | 164854 | NonDedLobbyPoliticalTotal |
| Amount To Be Carried Over | 0 | AmountToBeCarriedOver |
| Taxable | $164,854 | TaxableAmount |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: | Identifier |
| Return Reference | PART I-A, LINE 1: | ReturnReference |
| Explanation | CDPHP PROVIDES FINANCIAL CONTRIBUTIONS WITHIN THE IRS REGULATIONS TO SUPPORT VARIOUS POLITICAL PERSONS DURING THE YEAR. | Explanation |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 4549892 | InvestmentCostOrOtherBasis |
| Depreciation | 1791984 | Depreciation |
| Book Value | 2757908 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 68868517 | InvestmentCostOrOtherBasis |
| Depreciation | 39030332 | Depreciation |
| Book Value | 29838185 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1221353 | InvestmentCostOrOtherBasis |
| Book Value | 1221353 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 33817446 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INVESTMENTS IN SUBSIDIARIES | 4422089 |
| RECEIVABLE - CDPHP UNIVERSAL BENEFITS, INC. | 48500000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 52922089 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CLAIMS ADJUSTMENT EXPENSE | $2,396,748 |
| DUE TO INTERCOMPANIES | $17,783,757 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 20180505 | TotalOfAmounts |
| Total Revenue | 1098622448 | TotalRevenue |
| Total Expenses | 1054307711 | TotalExpenses |
| Excess Or Deficit For Year | 44314737 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1059237 | NetUnrealizedGLOnInvestments |
| Other | -$1,152,137 | OtherAmount |
| Total Adjustments | -92900 | TotalAdjustments |
| Excess Or Deficit Per FS | 44221837 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1097965388 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1911650 | NetUnrealizedGainsInvestments |
| Other Revenues | 1818750 | OtherRevenues |
| Revenue Not Rptd F990 | -92900 | RevenueNotRptdF990 |
| Revenue Subtotal | 1098058288 | RevenueSubtotal |
| Investment Expenses Not Included | 564160 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 564160 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1098622448 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1053743551 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1053743551 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 564160 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 564160 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1054307711 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | UNDER ASC 740 CDPHP IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE PLAN IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OF LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITIONS. FOR TAX POSITIONS MEETING THE MORE LIKELY THAN NOT THRESHOLD, THE TAX AMOUNT RECOGNIZED IN THE FINANCIAL STATEMENTS IS REDUCED BY THE LARGEST BENEFIT THAT HAS A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING REALIZED UPON THE ULTIMATE SETTLEMENT WITH THE RELEVANT TAXING AUTHORITY. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | LOSS IN EQUITY OF CONSOLIDATED SUBSIDIARIES -2,406,902. LOSS ON CARTER INSURANCE CO LTD. -563,985. INTEREST RECEIVABLE FROM CDPHP UBI, INC. 1,818,750. TOTAL TO SCHEDULE D, PART XI, LINE 8: -1,152,137. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | INTEREST RECEIVABLE DUE FROM AFFILIATE - CDPHP UNIVERSAL BENEFITS, INC. 1,818,750. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 1 | InitialContractException |
| Rebuttable Presumption Procedure | 1 | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN D BENNETT MD | |||||||||||||
| 634560 | 0 | 285057 | 0 | 47267 | 0 | 8575 | 0 | 7918 | 0 | 983377 | 0 | 0 | 0 |
| BARBARA DOWNS | |||||||||||||
| 365527 | 0 | 132742 | 0 | 38897 | 0 | 8575 | 0 | 13798 | 0 | 559539 | 0 | 0 | 0 |
| BRUCE NASH MD | |||||||||||||
| 405076 | 0 | 149466 | 0 | 47838 | 0 | 8575 | 0 | 14048 | 0 | 625003 | 0 | 0 | 0 |
| CAROLE MONTEPARE | |||||||||||||
| 212865 | 0 | 68822 | 0 | 51946 | 0 | 8643 | 0 | 14098 | 0 | 356374 | 0 | 0 | 0 |
| FREDERICK GALT ESQ | |||||||||||||
| 271803 | 0 | 88545 | 0 | 26684 | 0 | 8052 | 0 | 19780 | 0 | 414864 | 0 | 0 | 0 |
| ROBERT HINCKLEY | |||||||||||||
| 265077 | 0 | 88407 | 0 | 38261 | 0 | 8731 | 0 | 11230 | 0 | 411706 | 0 | 0 | 0 |
| LINDA NAVARRA | |||||||||||||
| 252014 | 0 | 98249 | 0 | 40097 | 0 | 8575 | 0 | 6984 | 0 | 405919 | 0 | 0 | 0 |
| ROLANDO J PORTOCARRERO | |||||||||||||
| 292966 | 0 | 63214 | 0 | 28448 | 0 | 5741 | 0 | 11230 | 0 | 401599 | 0 | 0 | 0 |
| SCOTT KLENK | |||||||||||||
| 221191 | 0 | 77107 | 0 | 33915 | 0 | 8716 | 0 | 22780 | 0 | 363709 | 0 | 0 | 0 |
| BRIAN MORRISSEY | |||||||||||||
| 221527 | 0 | 77920 | 0 | 43766 | 0 | 8422 | 0 | 16230 | 0 | 367865 | 0 | 0 | 0 |
| BETHANY SMITH | |||||||||||||
| 185216 | 0 | 69312 | 0 | 24614 | 0 | 7242 | 0 | 17780 | 0 | 304164 | 0 | 0 | 0 |
| CLIFFORD WALDMAN MD | |||||||||||||
| 236263 | 0 | 82380 | 0 | 38216 | 0 | 8730 | 0 | 13298 | 0 | 378887 | 0 | 0 | 0 |
| MARTIN SYMANSKY MD | |||||||||||||
| 212700 | 0 | 39716 | 0 | 39669 | 0 | 8713 | 0 | 17780 | 0 | 318578 | 0 | 0 | 0 |
| KIRK PANNETON MD | |||||||||||||
| 229081 | 0 | 39716 | 0 | 14093 | 0 | 5608 | 0 | 17780 | 0 | 306278 | 0 | 0 | 0 |
| ROBERT LITTLE | |||||||||||||
| 213186 | 0 | 71348 | 0 | 15672 | 0 | 4173 | 0 | 7918 | 0 | 312297 | 0 | 0 | 0 |
| KELLY CLARK MD | |||||||||||||
| 226422 | 0 | 43969 | 0 | 18137 | 0 | 8055 | 0 | 7918 | 0 | 304501 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINES 4A-B | ROLANDO PORTOCARRERO RECEIVED A SEVERANCE PAYMENT IN 2011 IN THE AMOUNT OF $181,835. | |
| PART I, LINE 8 | DURING 2011, BETHANY SMITH ENTERED INTO AN EMPLOYMENT CONTRACT WITH CDPHP. THE TERMS OF THE CONTRACT INCLUDE A BASE SALARY, INCENTIVE PROGRAM, HEALTH BENEFITS AND A SEVERENCE PROVISION. | |
| PART III | COMPENSATION INFORMATION SCHEDULE J QUESTION 4B - CURRENT YEAR EMPLOYER NON-QUALIFIED EMPLOYEES DEFERRED COMPENSATION PLAN CONTRIBUTION JOHN D. BENNETT, M.D. $44,198 BARBARA A. DOWNS $6,901 FREDERICK B. GALT $5,146 ROBERT R. HINCKLEY $5,171 SCOTT D. KLENK $4,563 CAROLE T. MONTEPARE $2,611 BRIAN JOSEPH MORRISSEY $4,106 BRUCE D. NASH, M.D. $7,844 LINDA M. NAVARRA $5,157 ROLANDO J. PORTOCARRERO $5,768 BETHANY SMITH $0 --------- TOTAL $91,465 QUESTION 7 - CDPHP HAS A MANAGEMENT INCENTIVE PROGRAM THAT IS BASED UPON THREE CRITERIA: ATTAINMENT OF PERSONAL AND COMPANY GOALS; ACHIEVEMENT OF QUALITY AND SERVICE TARGETS; AND ACHIEVEMENT OF ENROLLMENT TARGETS. THE BOARD ANNUALLY APPROVES THE METRICS TO BE USED TO ASSESS EACH CRITERION. THE MANAGEMENT INCENTIVE IS PAYABLE ONLY IF DETERMINED TO BE AFFORDABLE BY THE BOARD. IN ADDITION, THE BOARD HAS FINAL DISCRETION AT THE CLOSE OF THE YEAR TO MAKE THE INCENTIVE PAYMENT. | SUPPLEMENTAL INFORMATION |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE PART V | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L: PART IV EXPLANATION | Identifier |
| Return Reference | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | ReturnReference |
| Explanation | (A) NAME OF PERSON: CAROLYN NEARY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DAUGHTER OF JOHN BENNETT, PRESIDENT(C) AMOUNT OF TRANSACTION: $61,496(D) DESCRIPTION OF TRANSACTION: EMPLOYEE(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF PERSON: NEW YORK ONCOLOGY HEMATOLOGY(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DIRECTOR PETER T. BURKART, M.D.(C) AMOUNT OF TRANSACTION: $20,093,593(D) DESCRIPTION OF TRANSACTION: SEE EXPLANATION BELOW(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF PERSON: PRIME CARE PHYSICIANS LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DIRECTOR BRUCE E. COPLIN, M.D.(C) AMOUNT OF TRANSACTION: $9,668,935(D) DESCRIPTION OF TRANSACTION: SEE EXPLANATION BELOW(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF PERSON: PRIME CARE PHYSICIANS LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DIR. RICHARD E. LAVIGNE, M.D.(C) AMOUNT OF TRANSACTION: $9,668,935(D) DESCRIPTION OF TRANSACTION: SEE EXPLANATION BELOW(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF PERSON: DOUGLAS LARSEN, D.O.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DIR. DOUGLAS P. LARSEN, D.O.(C) AMOUNT OF TRANSACTION: $138,331(D) DESCRIPTION OF TRANSACTION: SEE EXPLANATION BELOW(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF PERSON: COMMUNITY CARE PHYSICIANS, PC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DIRECTOR JAMES C. LEYHANE, M.D.(C) AMOUNT OF TRANSACTION: $23,054,239(D) DESCRIPTION OF TRANSACTION: SEE EXPLANATION BELOW(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF PERSON: CAPITAL CARE MEDICAL GROUP(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DIRECTOR ANTHONY J. MARINELLO, M.D.(C) AMOUNT OF TRANSACTION: $9,428,241(D) DESCRIPTION OF TRANSACTION: SEE EXPLANATION BELOW(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF PERSON: CAP DISTRICT COLON/RECTAL SURG ASSOC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DIRECTOR GENNARO A. DANIELS, M.D.(C) AMOUNT OF TRANSACTION: $462,391(D) DESCRIPTION OF TRANSACTION: SEE EXPLANATION BELOW(E) SHARING OF ORGANIZATION REVENUES? = NO(A) NAME OF PERSON: CAPITAL REGION UROLOGICAL SURG(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: DIRECTOR STUART A. ROSENBERG, M.D.(C) AMOUNT OF TRANSACTION: $1,701,758(D) DESCRIPTION OF TRANSACTION: SEE EXPLANATION BELOW(E) SHARING OF ORGANIZATION REVENUES? = NOPURSUANT TO ITS CERTIFICATE OF INCORPORATION AND BYLAWS, EIGHT OF THE MEMBERS OF THE CDPHP BOARD OF DIRECTORS MUST BE PRACTICING PHYSICIANS. AS PRACTICING PHYSICIANS, EACH OF THESE PHYSICIAN DIRECTORS HAS A STANDARD PARTICIPATING PROVIDER AGREEMENT WITH CDPHP PURSUANT TO WHICH THEY ARE PAID FEES FOR SERVICES RENDERED TO CDPHP MEMBERS. PURSUANT TO THE PARTICIPATING PROVIDER AGREEMENT, GENERALLY, THE PHYSICIAN DIRECTORS ARE PAID IN ACCORDANCE WITH THE STANDARD FEE SCHEDULE APPLICABLE TO ALL PHYSICIANS.HOWEVER, ALTHOUGH EACH PHYSICIAN HAS AN INDIVIDUAL CONTRACT WITH CDPHP, PAYMENT FOR SERVICES RENDERED BY INDIVIDUAL PHYSICIANS ARE PAYABLE TO THAT PHYSICIAN'S PRACTICE, NOT TO THE PROVIDER INDIVIDUALLY. PAYMENTS MADE BY CDPHP TO THE PROVIDER PRACTICE ARE NOT ALLOCATED OR REPORTED BY CDPHP BY INDIVIDUAL PROVIDER. ACCORDINGLY, PAYMENTS REPORTED HEREIN REFLECT THE AMOUNTS PAID IN FULL TO THE PRACTICE. AMOUNTS REPORTED ABOVE WERE PAID TO THE ORGANIZATIONS WHERE THE PHYSICIAN DIRECTOR IS AN EMPLOYEE, PARTNER, SHAREHOLDER OR BOARD MEMBER OF THE ORGANIZATION. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES | DESCRIPTION GRANTS EXPENSES REVENUE ----------- -------- -------- ---------- CHILD HEALTH PLUS - 18,404 MBRS - 0 - 43,211,328 42,306,489 HEALTHY NEW YORK - 8,374 MBRS - 0 - 26,935,544 25,850,903 FAMILY HEALTH PLUS - 5,325 MBRS - 0 - 16,924,267 18,298,861 ---------- ---------- TOTALS 87,071,139 86,456,253 | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE CORPORATION CURRENTLY HAS 590 CORPORATE MEMBERS, ALL OF WHOM ARE OR WERE PARTICIPATING PHYSICIANS WITH CDPHP. | |
| FORM 990, PART VI, SECTION A, LINE 7A | CDPHP'S CORPORATE MEMBERS ELECT THE BOARD OF DIRECTORS OF CDPHP. | |
| FORM 990, PART VI, SECTION A, LINE 7B | CORPORATE MEMBERS MUST APPROVE ANY CHANGES IN THE CORPORATION'S MISSION STATEMENT, BY-LAWS; CLASSES OF CORPORATE MEMBERSHIP; OR CHANGES TO THE BOARD OF DIRECTORS. IN ADDITION, THE CLASS "A" MEMBERS MUST APPROVE ANY CHANGES TO THE BYLAWS AND CERTIFICATE OF INCORPORATION THAT ALTER THE RIGHTS OF CLASS "A" MEMBERS, MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION OR ANY CONVERSION FROM NOT-FOR-PROFIT STATUS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED BY THE CORPORATE CONTROLLER AND THE CFO. IT IS THEN PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD FOR REVIEW AND APPROVAL. FINALLY, IT IS PRESENTED TO THE BOARD FOR REVIEW AND APPROVAL. IN-DEPTH DISCUSSIONS ARE HELD AT EACH OF THE BOARD LEVEL REVIEWS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | CDPHP HAS A CONFLICT OF INTEREST POLICY. CDPHP REGULARLY POLLS EMPLOYEES AND BOARD MEMBERS REGARDING POTENTIAL CONFLICT OF INTEREST SITUATIONS. ANY ACTUAL OR POTENTIAL CONFLICTS DISCLOSED ARE PRESENTED TO THE BOARD, AT LEAST ANNUALLY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | CDPHP USES OUTSIDE COMPENSATION CONSULTING FIRMS. THESE FIRMS UTILIZE CUSTOM AND PUBLISHED SURVEYS. INFORMATION IS PROVIDED TO CDPHP'S BOARD COMPENSATION COMMITTEE FOR ANNUAL APPROVAL OF EXECUTIVE POSITIONS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL DOCUMENTS ARE FILED QUARTERLY WITH THE DEPARTMENT OF FINANCIAL SERVICES AND ARE AVAILABLE THROUGH THE FREEDOM OF INFORMATION ACT (FOIA). GOVERNING DOCUMENTS ARE ALSO AVAILABLE THROUGH THE DEPARTMENT OF FINANCIAL SERVICES, ALSO THROUGH FOIA. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 1,059,237. LOSS IN EQUITY OF CONSOLIDATED SUBSIDIARIES -2,406,902. LOSS ON CARTER INSURANCE CO LTD. -563,985. TOTAL TO FORM 990, PART XI, LINE 5: -1,911,650. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| PART XII, LINE 2C EXPLANATION | THE OVERSIGHT AND SELECTION PROCESSES HAVE NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC | |||||||||||||||
| 500 PATROON CREEK BLVD | ALBANY | NY | 12206 | 141745298 | PREF PROV ORG | NY | N/A | C | 2202567 | 4230258 | 1.00000 | ||||
| CARTER INSURANCE COMPANY LTD | |||||||||||||||
| 141641028 | CAPTIVE REIN | N/A | C | 2219521 | 3436413 | 1.00000 | 40 CHURCH ST PO BOX HM2062 HAMILTO | HMHX | BD | BD | |||||
| CDPHP UNIVERSAL BENEFITS INC | |||||||||||||||
| 500 PATROON CREEK BLVD | ALBANY | NY | 12206 | 161520935 | ARTICLE 43 INS | NY | N/A | C | -15467293 | 99491215 | 1.00000 | ||||
| CDPHP PRACTICE SUPPORT SERVICES INC | |||||||||||||||
| 500 PATROON CREEK BLVD | ALBANY | NY | 12206 | 141773395 | INACTIVE | NY | N/A | C | 1.00000 | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC | ||
| M | 786698 | ALLOCATION |
| CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC | ||
| N | 4208019 | ALLOCATION |
| CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC | ||
| P | 1496300 | ALLOCATION |
| CDPHP UNIVERSAL BENEFITS INC | ||
| M | 3063019 | ALLOCATION |
| CDPHP UNIVERSAL BENEFITS INC | ||
| N | 21164053 | ALLOCATION |
| CDPHP UNIVERSAL BENEFITS INC | ||
| P | 11079504 | ALLOCATION |
| CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC | ||
| B | 1800000 | CASH PAYMENT |
| CARTER INSURANCE CO LTD | ||
| B | 3000000 | CASH PAYMENT |
| CDPHP UNIVERSAL BENEFITS INC | ||
| O | 8382600 | ALLOCATION |
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