2012-11-12T13:50:20-06:00 2011-12-31 542076905 BST ADVISORS LLC 26 COMPUTER DRIVE WEST ALBANY NY 12205 990 2011-01-01 141641028 CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC CAPI 5186414085 500 PATROON CREEK BLVD ALBANY NY 122061057 BETHANY SMITH SVP FINANCE CFO 5186414085 2012-11-12 1 KEVIN T MCGRATH P00134182 5184596700 2011 2016-02-24 21:20:13Z BETHANY SMITH 500 PATROON CREEK BLVD ALBANY NY 122061057 1153304192 0 X WWW.CDPHP.COM X 1984 NY 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. 15 6 1029 0 0 0 0 0 1023699446 1087355812 9667120 11266236 0 400 1033366566 1098622448 0 0 872495089 931967661 57311565 61932160 0 0 0 60576259 60407890 990382913 1054307711 42983653 44314737 500325970 571683092 184638449 213592484 315687521 358090608 X 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. 0 0 504254785 547757926 CDPHP PROVIDES HEALTH CARE BENEFITS TO GROUPS AND INDIVIDUALS IN OUR COMMUNITY. AS OF DECEMBER 31, 2011, 111,874 SUBSCRIBERS WERE ENROLLED. 230312550 246286473 CDPHP'S MEDICARE PROGRAM PROVIDES HEALTH CARE BENEFITS TO 22,146 MEMBERS IN NEW YORK STATE. 198445444 206855160 CDPHP'S MEDICAID PROGRAM PROVIDES HEALTH CARE BENEFITS TO 61,903 MEMBERS IN NEW YORK STATE. 87071139 86456253 87071139 86456253 1020083918 0 0 1 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 0 1 1 1 0 1 5498 0 1 1029 1 0 1 BD 0 0 0 0 X 15 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X BETHANY SMITH CORP CFO SVP FINAN 5186413000 500 PATROON CREEK BLVD ALBANY NY 12206 PETER T BURKART MD 13.00 X 77356 0 0 RICHARD E LAVIGNE MD 8.00 X 48356 0 0 KELLY A WATERS 7.00 X 36004 0 0 JAMES MICHAEL BRENNAN 11.00 X 66456 0 0 JAMES C LEYHANE MD 8.00 X 37756 0 0 STUART A ROSENBERG MD 9.00 X 46156 0 0 GENNARO A DANIELS MD 10.00 X 54356 0 0 ROBERT C GRIFFIN 11.00 X 122573 0 0 MARTHA H POFIT 8.00 X 39854 0 0 M BRUCE COHEN 13.00 X 47156 0 33000 DANIEL FRASCA 9.00 X 47250 0 0 DOUGLAS P LARSEN 8.00 X 34756 0 0 ANTHONY J MARINELLO MD 7.00 X 35063 0 0 BRUCE E COPLIN MD 7.00 X 33551 0 0 WILLIAM P PHELAN 8.00 X 47406 0 0 THOMAS MARUSAK 7.00 X 17354 0 0 JOHN D BENNETT MD 40.00 X 966884 0 16493 BARBARA DOWNS 40.00 X 537166 0 22373 BRUCE NASH MD 40.00 X 602380 0 22623 CAROLE MONTEPARE 40.00 X 333633 0 22741 FREDERICK GALT ESQ 40.00 X 387032 0 27832 ROBERT HINCKLEY 40.00 X 391745 0 19961 LINDA NAVARRA 40.00 X 390360 0 15559 ROLANDO J PORTOCARRERO 40.00 X 384628 0 16971 SCOTT KLENK 40.00 X 332213 0 31496 BRIAN MORRISSEY 40.00 X 343213 0 24652 BETHANY SMITH 40.00 X 279142 0 25022 CLIFFORD WALDMAN MD 40.00 X 356859 0 22028 MARTIN SYMANSKY MD 40.00 X 292085 0 26493 KIRK PANNETON MD 40.00 X 282890 0 23388 ROBERT LITTLE 40.00 X 300206 0 12091 KELLY CLARK MD 40.00 X 288528 0 15973 7260367 0 378696 124 0 1 0 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 16 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 18298861 18298861 1087355812 10177987 10177987 55745047 24946 54681744 0 1063303 24946 1088249 1088249 ADMINISTRATIVE CHARGES 524298 400 400 400 1098622448 1087356212 0 11266236 931967661 931967661 4135570 1801832 2333738 61496 61496 43727872 28022004 15705868 3016492 1956750 1059742 7749700 4919725 2829975 3241030 2091882 1149148 132775 132775 486786 389429 97357 164854 164854 564160 564160 5334617 5334617 4275523 2321100 1954423 7050156 6838651 211505 3753321 1876662 1876659 527685 369380 158305 537808 350144 187664 511942 409553 102389 7837211 5486048 2351163 489334 489334 CONSULTING & OUTSOURCED 12758370 10206696 2551674 BROKER COMMISSIONS 9823328 9823328 NYS INSURANCE ASSESSMEN 5266022 5266022 RECRUITMENT 492484 246242 246242 401514 241338 160176 1054307711 1020083918 34223793 0 800 800 86983500 136371100 81016779 65484159 5389632 5717507 74639762 40822316 39622148 33817446 236220135 277369991 51092976 52922089 500325970 571683092 163569918 177059231 13118042 16352748 7950489 20180505 184638449 213592484 X 315687521 358090608 315687521 358090608 500325970 571683092 X 44314737 -1911650 X X 0 1 1 X 1 1 2254 0 2254 2254 1 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 0 0 0 164854 164854 164854 0 164854 ORGANIZATIONS DIRECT AND INDIRECT POLITICAL CAMPAIGN ACTIVITIES: PART I-A, LINE 1: CDPHP PROVIDES FINANCIAL CONTRIBUTIONS WITHIN THE IRS REGULATIONS TO SUPPORT VARIOUS POLITICAL PERSONS DURING THE YEAR. 4549892 1791984 2757908 68868517 39030332 29838185 1221353 1221353 33817446 INVESTMENTS IN SUBSIDIARIES 4422089 RECEIVABLE - CDPHP UNIVERSAL BENEFITS, INC. 48500000 52922089 CLAIMS ADJUSTMENT EXPENSE 2396748 DUE TO INTERCOMPANIES 17783757 20180505 1098622448 1054307711 44314737 1059237 -1152137 -92900 44221837 1097965388 -1911650 1818750 -92900 1098058288 564160 564160 1098622448 1053743551 0 1053743551 564160 564160 1054307711 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. X 1 1 X X X X X 1 1 0 0 0 0 0 1 1 1 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 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. SUPPLEMENTAL INFORMATION 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. SEE PART V 0 SCHEDULE L: PART IV EXPLANATION BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS (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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. PART XII, LINE 2C EXPLANATION THE OVERSIGHT AND SELECTION PROCESSES HAVE NOT CHANGED FROM THE PRIOR YEAR. 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 40 CHURCH ST PO BOX HM2062 HAMILTO HMHX BD 141641028 CAPTIVE REIN BD N/A C 2219521 3436413 1.00000 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 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 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