2022-10-20T09:56:46-05:00 2021-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2021-01-01 134154068 AMIDA CARE INC AMID 6467577000 14 PENN PLAZA 2ND FL NEW YORK NY 10122 DOUGLAS WIRTH PRESIDENT/CEO 6467577000 2022-10-19 1 DOUGLAS WIRTH XXX-XX-XXXX LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2022-10-19 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DOUGLAS WIRTH 14 PENN PLAZA 2ND FL NEW YORK NY 10122 478383675 0 X WWW.AMIDACARENY.ORG X 2000 NY AMIDA CARE INC. IS A HEALTH MAINTENANCE ORGANIZATION FORMED TO OBTAIN A COMPREHENSIVE HIV SPECIAL NEEDS CERTIFICATE OF AUTHORITY IN ORDER TO PROVIDE OR ARRANGE FOR ALL MEDICAL ASSISTANCE SERVICES TO PERSONS ENROLLED IN THE PLAN AND FOR ASSISTING ENROLLEES IN THE PRUDENT SELECTION OF SERVICES. 11 11 178 12 0 0 1572078 4827469 441080455 438570746 806423 512768 -3083 20788 443455873 443931771 0 0 0 0 19838698 17761579 0 0 0 426307596 434892370 446146294 452653949 -2690421 -8722178 156870865 166110282 122647559 141357284 34223306 24752998 AMIDA CARE IS A PRIVATE, NONPROFIT COMMUNITY HEALTH PLAN THAT SPECIALIZES IN PROVIDING COMPREHENSIVE HEALTH COVERAGE AND COORDINATED CARE TO NEW YORK CITY MEDICAID MEMBERS WITH CHRONIC CONDITIONS, INCLUDING HIV/AIDS AND BEHAVIORAL HEALTH DISORDERS. 0 0 410015249 438570746 AMIDA CARE IS A MEDICAID MANAGED CARE PLAN THAT PROVIDES ASSISTANCE AND/OR ARRANGES FOR MEDICAL CARE AND NON-MEDICAL SUPPORT FOR PERSONS ENROLLED IN THE PLAN. STAFF ALSO ASSISTS ENROLLEES IN THE PRUDENT SELECTION OF SERVICES. THE PLAN COVERED 99,431 MEMBER MONTHS IN 2021. 410015249 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 812 0 1 178 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X DOUGLAS WIRTH CEO 6467577000 14 PENN PLAZA 2ND FLOOR NEW YORK NY 10122 JACQUELYN KILMER CHAIRPERSON 0.50 X X 0 0 0 EMMA DEVITO VICE- CHAIR 0.50 X X 0 0 0 CHARLES KING SECRETARY 0.50 X X 0 0 0 DR DAVID COLLYMORE MEMBER 0.50 X 0 0 0 HOLLY ARGENT-TARIQ MEMBER 0.50 X 0 0 0 JIM SINKOFF MEMBER 0.50 X 0 0 0 ROBERT HAYES MEMBER 0.50 X 0 0 0 ANTHONY RANDOLPH INDEPENDENT DIRECTOR 0.50 X 0 0 0 ARTHUR WEBB INDEPENDENT DIRECTOR 0.50 X 0 0 0 C VIRGINIA FIELDS INDEPENDENT DIR. - THRU MAY 2021 0.50 X 0 0 0 GUILLERMO CHACON INDEPENDENT DIR. - FROM SEPT. 2021 0.50 X 0 0 0 WILLIAM SMITH-RIVERA INDEPENDENT DIRECTOR 0.50 X 0 0 0 DOUGLAS WIRTH PRESIDENT & CEO 40.00 X 398282 0 78297 FELICE KUSSOY CHIEF FINANCIAL OFFICER 40.00 X 235502 0 29083 JEROME ERNSTMD CHIEF MEDICAL OFFICER 40.00 X 227430 0 57194 NICHOLAS LIGUORI EXEC. VP - THRU SEPT. 2021 40.00 X 215651 0 6311 PATRICK MCGOVERN CHIEF OPERATIONS & STRATEGY OFFICER 40.00 X 291627 0 10027 JOSE SANTIAGO VP OF FINANCE 40.00 X 187844 0 30447 KEVIN STEFFENS VP OF HEALTH SERVICES OPERATIONS 40.00 X 169719 0 28984 SALVATORE GIUNTA VP OF INFORMATION TECHNOLOGY 40.00 X 220738 0 11595 SHEILA MAGUIRE DIR. OF DATA GOVERNANCE SOFTWARE DEV 40.00 X 175416 0 9887 SYLVIA COWAN - THRU NOV 2021 VP OF GROWTH& COMMUNITY INITIATIVES 40.00 X 189148 0 26895 2311357 0 288720 38 0 1 0 BEACON HEALTH STRATEGIES LLC 200 STATE STREET SUITE 302 BOSTON MA 02109 MANAGEMENT SERVICES 2983076 MP CARE SOLUTIONS 1120 PITTSFORD-VICTOR RD PITTSFORD NY 14534 MANAGEMENT SERVICES 1584018 EXPRESS SCRIPTS INC 21653 NETWORK PLACE CHICAGO IL 60673 PHARMACY ADM. 1414071 SONNICK PARTNERS LLC 860 BROADWAY 5TH FL NEW YORK NY 10003 CONSULTANT & SOFTWARE- CALL CENTER 760530 ROPES & GRAY LLP 800 BOYLSTON STREET SUITE 3600 BOSTON MA 55344 LEGAL SERVICES 414731 13 194155 2896473 1736841 4827469 PREMIUM REVENUE 524114 438570746 438570746 438570746 236367 236367 22500 0 22500 22500 22500 34726593 34450192 276401 276401 276401 0 194155 1712 -1712 -1712 443931771 438570746 0 533556 1549404 1549404 12008845 12008845 391648 391648 2706495 2706495 1105187 1105187 5052019 5052019 637638 637638 135000 135000 73737 73737 2768057 2768057 286726 286726 1099142 1099142 2625138 2625138 3374239 3374239 83312 83312 6698 6698 704240 704240 253350 253350 293743 293743 PHARMACY COST 254295846 252387128 1908718 MEDICAL SERVICES 151225018 151225018 HEALTH ASSESSMENTS & SU 6403103 6403103 UTILIZATION MANAGEMENT 3221346 3221346 2354018 2354018 452653949 410015249 42638700 0 32560277 23963298 580305 580305 255741 237048 96568820 114635236 858492 1119254 5256091 4449478 982191 806613 25001139 24721300 63900 47228 156870865 166110282 46816858 48723718 608773 995141 8723238 9377204 66498690 82261221 122647559 141357284 X 34223306 24752998 34223306 24752998 156870865 166110282 -8722178 -748130 0 X X 0 1 X 1 0 X 1296667 1794936 1488318 1572078 4827469 10979468 386047352 412082885 427683947 441080455 438570746 2105465385 387344019 413877821 429172265 442652533 443398215 2116444853 0 0 0 2116444853 256100 374335 467584 600998 258867 1957884 256100 374335 467584 600998 258867 1957884 114329 100000 600 200 215129 387714448 414352156 429640449 443253731 443657082 2118617866 0.99900 0.99890 0.00090 0.00100 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2017 AMOUNT: $ 114,329. 2018 AMOUNT: $ 100,000. 2019 AMOUNT: $ 600. 2020 AMOUNT: $ 200. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1122670 462425 660245 2597368 2451000 146368 1536053 1536053 0 806613 DEFERRED RENT 2173002 SUBVENTION PAYABLE TO 501(C) ORG. 3233652 DUE TO THIRD PARTY 76854567 82261221 X 443185353 -748130 -748130 443933483 -1712 -1712 443931771 452655661 1712 1712 452653949 0 452653949 PART X, LINE 2: THE PLAN WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE PLAN HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2021. THE PLAN'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2018 ARE CLOSED. MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -1,712. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 1,712. LIVE YOUR LIFE FUNDRAISER 194155 194155 1712 194155 194155 1712 1712 -1712 X X 0 0 0 0 0 0 0 0 0 DOUGLAS WIRTH PRESIDENT & CEO 397250 0 0 0 1032 0 28000 0 50297 0 476579 0 0 0 PATRICK MCGOVERN CHIEF OPERATIONS & STRATEGY OFFICER 290043 0 0 0 1584 0 6758 0 3269 0 301654 0 0 0 JEROME ERNSTMD CHIEF MEDICAL OFFICER 222708 0 0 0 4722 0 9756 0 47438 0 284624 0 0 0 FELICE KUSSOY CHIEF FINANCIAL OFFICER 234526 0 0 0 976 0 9207 0 19876 0 264585 0 0 0 SALVATORE GIUNTA VP OF INFORMATION TECHNOLOGY 218178 0 0 0 2560 0 9850 0 1745 0 232333 0 0 0 NICHOLAS LIGUORI EXEC. VP - THRU SEPT. 2021 215374 0 0 0 277 0 5384 0 927 0 221962 0 0 0 JOSE SANTIAGO VP OF FINANCE 186677 0 0 0 1167 0 0 0 30447 0 218291 0 0 0 SYLVIA COWAN - THRU NOV 2021 VP OF GROWTH& COMMUNITY INITIATIVES 188033 0 0 0 1115 0 9594 0 17301 0 216043 0 0 0 KEVIN STEFFENS VP OF HEALTH SERVICES OPERATIONS 169374 0 0 0 345 0 8741 0 20243 0 198703 0 0 0 SHEILA MAGUIRE DIR. OF DATA GOVERNANCE SOFTWARE DEV 175189 0 0 0 227 0 8046 0 1841 0 185303 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 AMIDA CARE HAS TWO CLASSES OF MEMBERS OF THE ORGANIZATION: CLASS A AND CLASS B MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS OF AMIDA CARE HAVE THE AUTHORITY TO APPOINT AND REMOVE BOARD MEMBERS OF THE ORGANIZATION, AND OTHER AUTHORITIES AS DELINEATED IN THE BYLAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 FOR 2021 IS REVIEWED IN DETAIL BY THE ORGANIZATION'S CFO. ANY QUESTIONS ARISING FROM THAT REVIEW WILL BE DISCUSSED WITH THE PREPARER OF THE RETURN. SUBSEQUENT TO THE DETAILED CFO REVIEW, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S CEO. ANY QUESTIONS ARISING FROM THAT REVIEW WILL BE DISCUSSED WITH THE CFO AND THE PREPARER OF THE RETURN, AS NEEDED. FOLLOWING CFO AND CEO REVIEW, THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED BOARD MEETING. THE CEO AND CFO WILL RESPOND TO ANY QUESTIONS RAISED BY THE BOARD MEMBERS. ONCE ALL QUESTIONS HAVE BEEN ANSWERED, THE BOARD, CEO AND CFO WILL APPROVE THE FINALIZATION AND FILING OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED ANNUALLY TO COMPLETE AND SIGN A DETAILED CONFLICT OF INTEREST DISCLOSURE STATEMENT. EMPLOYEES ARE REQUIRED TO PROMPTLY DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST TO HIS OR HER SUPERVISOR (OR IN THE CASE OF THE CEO TO THE CHAIR OF THE BOARD OF DIRECTORS). MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO PROMPTLY DISCLOSE ANY REAL OR POTENTIAL CONFLICTS OF INTEREST TO THE CHAIR OF THE BOARD OF DIRECTORS (OR IN THE CASE THE CONFLICT IS REPORTABLE BY THE CHAIR THEN TO THE VICE CHAIR). THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE CHIEF COMPLIANCE & PRIVACY OFFICER, WHO RECORDS ANY POTENTIAL CONFLICTS AND MONITORS BUSINESS RELATIONSHIPS BETWEEN AMIDA CARE AND THE INDIVIDUAL REPORTING A POTENTIAL CONFLICT OR ANY ORGANIZATION THAT INDIVIDUAL MAY BE AFFILIATED WITH THAT DOES BUSINESS WITH AMIDA CARE. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S BOARD OF DIRECTORS COMMISSIONED A CEO COMPENSATION STUDY TO ESTABLISH COMPENSATION PACKAGES FOR THE CEO. THE BOARD OF DIRECTORS CHAIR COMPLETES AN ANNUAL PERFORMANCE EVALUATION ON THE CEO AND RECOMMENDS ANY COMPENSATION ADJUSTMENTS TO THE BOARD FOR APPROVAL. THE ORGANIZATION'S CEO UTILIZES THE ASSOCIATION FOR COMMUNITY AFFILIATED PLAN ( "ACAP" ) COMPENSATION STUDY, AS WELL AS AN INDEPENDENTLY COMMISSIONED STUDY, TO ESTABLISH THE COMPENSATION OF ALL OFFICERS AND EXECUTIVES. THE ORGANIZATION'S CEO COMPLETES AN ANNUAL PERFORMANCE EVALUATION OF THE CMO, CFO, EVP AND COSO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, FORM 990, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON WRITTEN REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT. AIDS DAY SERVICES PLANNING INC 14 PENN PLAZA 2ND FLOOR NEW YORK NY 10122 134122125 HEALTHCARE NY 501(C)(3) LINE 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0