2022-11-07T10:49:38-06:00 2021-12-31 ERNST & YOUNG LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2021-01-01 510609967 Healthfirst Health Plan of New Jersey Inc % CRAIG BARATTIN-VP CONTROLLER HEAL 2128016000 100 Church Street Floor 18 New York NY 100072601 JOHN BERMEL CFO 2128016000 2022-11-01 true JOHN BERMEL 999009999 NICOLE M SOKOLOWSKI P01683199 2127733000 2022-10-28 2 2021 2022-09-23 18:48:47Z PATRICIA J WANG 100 Church Street Floor 18 New York NY 100072601 41504 false X WWW.HEALTHFIRST.ORG X 2006 NJ 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. 9 7 0 0 0 0 0 0 0 0 193608 41504 0 0 193608 41504 0 0 0 0 0 0 0 0 0 -8113309 -172404 -8113309 -172404 8306917 213908 23358375 23685176 5210800 5323693 18147575 18361483 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. false false -218324 0 0 Medicare Healthfirst Health Plan of New Jersey, Inc. (HFNJ) provides affordable quality health plans to eligible medicare recipients. There was no membership reported in 2021. As of 12/31/2014, the company ceased its Medicare operations. Effective December 1, 2014, the company no longer actively markets itself as an insurer and began liquidation activities to wind-down its operation. 0 0 0 Medicaid/NJFamilycare Healthfirst Health Plan of New Jersey, Inc.(HFNJ) provides affordable quality health plans to eligible medicaid recipients. For 2021 there was no membership reported. As of June 2014 the company's Medicaid Membership was sold to a 3rd party and the company ceased its Medicaid operations. -218324 false false false false false false false false false false false false false true true true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false true 0 0 0 false false false false false false false false X 9 7 false true false false true true true true true false false true true true true true true false false false X CRAIG BARATTIN-VP CONTROLLER 2128016000 100 CHURCH ST FL 18 NEW YORK NY 100072601 PATRICIA J WANG PRESIDENT AND CEO 1.0 40.0 X 0 3804417 495032 STEVEN H BLACK CHIEF OPERATING OFFICER 1.0 40.0 X 0 2283347 198722 JOHN J BERMEL CHIEF FINANCIAL OFFICER 1.0 40.0 X 0 1829022 33803 GERALD T SWEENEY SVP CHIEF INFORMATION OFFICER 1.0 40.0 X 0 1485165 168495 PAUL E PORTSMORE JR SVP, GROWTH END 12/31/20 0.0 0.0 X 0 1480485 17400 SEAN KANE CHIEF HR OFFICER 1.0 40.0 X 0 1285421 151569 LINDA TIANO CHIEF LEGAL OFFICER/SECRETARY 1.0 40.0 X 0 1248501 134071 JAY A SCHECHTMAN CHIEF MEDICAL OFFICER 1.0 40.0 X 0 1131708 145864 BARBARA MONTRESOR SVP Comm & Marketing 1.0 40.0 X 0 1102509 114212 DEBORAH E HAMMOND VP, MEDICAL DIRECTOR 1.0 40.0 X X 0 645080 21331 CRAIG BARATTIN CONTROLLER BEGIN 1/1/2021 1.0 40.0 X X 0 550413 42369 ANTHONY T ORLANDO DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL MARON DIRECTOR 1.0 0.0 X 0 0 0 RICHARD SMITH DIRECTOR 1.0 0.0 X 0 0 0 EDWARD CONDIT DIRECTOR 1.0 0.0 X 0 0 0 TOM DALY DIRECTOR 1.0 0.0 X 0 0 0 CHAD FORBES DIRECTOR 1.0 0.0 X 0 0 0 ALAN BEATTY DIRECTOR 1.0 0.0 X 0 0 0 0 16846068 1522868 0 true true false 0 0 0 41504 0 41504 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41504 0 41504 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 20 11 0 0 17594 11436 6158 0 0 0 0 0 0 0 112894 73381 39513 0 0 0 0 HEALTHCARE SERVICE COSTS -303161 -303161 0 0 DUES & FILLING FEES 238 0 238 0 -172404 -218324 45920 0 0 0 23358171 23685039 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 204 137 23358375 23685176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5210800 5323693 5210800 5323693 X 18147575 18361483 0 0 18147575 18361483 23358375 23685176 213908 X false true X true false 0 NOTES PAYABLE TO AFFILIATE 5323693 5323693 X 41504 41504 41504 -172404 -172404 -172404 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 Company's policy to provide for uncertain tax positions and the related interest and penalties based upon management's assessment of whether a tax benefit is more likely than not to be sustained upon examination by tax authorities. At December 31, 2021, 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. true true false false false false false false false JAY A SCHECHTMAN CHIEF MEDICAL OFFICER 0 520713 0 506218 0 104777 0 121791 0 25284 0 1278783 0 101939 DEBORAH E HAMMOND VP, MEDICAL DIRECTOR 0 388479 0 247919 0 8682 0 4516 0 17865 0 667461 0 0 LINDA TIANO CHIEF LEGAL OFFICER/SECRETARY 0 551068 0 571614 0 125819 0 125620 0 9661 0 1383782 0 120935 PATRICIA J WANG PRESIDENT AND CEO 0 1345816 0 2369700 0 88901 0 486952 0 9291 0 4300660 0 0 PAUL E PORTSMORE JR SVP, GROWTH END 12/31/20 0 7846 0 564635 0 908004 0 17400 0 0 0 1497885 0 382234 JOHN J BERMEL CHIEF FINANCIAL OFFICER 0 794449 0 966874 0 67699 0 17400 0 17614 0 1864036 0 0 GERALD T SWEENEY SVP CHIEF INFORMATION OFFICER 0 579602 0 758636 0 146927 0 143526 0 26179 0 1654870 0 144090 SEAN KANE CHIEF HR OFFICER 0 505466 0 634818 0 145137 0 126600 0 26179 0 1438200 0 121412 STEVEN H BLACK CHIEF OPERATING OFFICER 0 909301 0 1207337 0 166709 0 190600 0 9333 0 2483280 0 163447 CRAIG BARATTIN CONTROLLER BEGIN 1/1/2021 0 329115 0 219436 0 1862 0 17400 0 25964 0 593777 0 0 BARBARA MONTRESOR SVP Comm & Marketing 0 480728 0 543029 0 78752 0 89243 0 26179 0 1217931 0 75914 SCHEDULE J, PART 1, LINE 3 THE COMPENSATION OF THE CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF HF MANAGEMENT SERVICES, LLC, THE MANAGEMENT COMPANY THAT PROVIDES ALL SERVICES TO HFNJ (A RELATED ORGANIZATION). THE COMMITTEE CONSISTS ONLY OF HFMS MEMBER HOSPITAL EXECUTIVES (WHO ARE NOT EMPLOYED NOR COMPENSATED BY HFMS OR ANY OF ITS AFFILIATES). THE PROCESS FOR DETERMINING COMPENSATION IS DESCRIBED IN THE COMMITTEE'S 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. SCHEDULE J, PART 1, LINE 4A THE FOLLOWING INDIVIDUALS ENTERED INTO SEVERANCE AGREEMENTS AND/OR RECEIVED SEVERANCE PAYMENTS FROM HF MANAGEMENT SERVICES, LLC - AN AFFILIATE ORGANIZATION OF HEALTHFIRST. PAUL E. PORTSMORE JR. - TOTAL SEVERANCE: $510,000, SEVERANCE PAID IN 2021: $502,154 SEVERANCE DEFERRED: $7,846. SCHEDULE J, PART 1, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED RETIREMENT PLAN PROVIDED BY HF MANAGEMENT SERVICES, LLC - A RELATED ORGANIZATION. THE AMOUNTS BELOW REPRESENT CONTRIBUTIONS TO THE PLAN SPONSOR FOR 2021: PATRICIA J. WANG $471,310, JAY A. SCHECHTMAN $104,391, GERALD T. SWEENEY $126,126, SEAN KANE $109,200, LINDA TIANO $108,220, STEVE H. BLACK $173,200, BARBARA MONTRESOR $71,843. 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. 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 B, LINE 11B 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 CHIEF LEGAL OFFICER AND CHIEF FINANCIAL OFFICER. THE DRAFT 990 IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE DRAFT 990 IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW. THE FINAL 990 IS SUBMITTED AFTER THE BOARD OF DIRECTORS REVIEWS IT. 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. A NOMINATED BOARD MEMBER WHO DOES NOT COMPLETE THE STATEMENT WITHIN THE CALENDAR YEAR WILL NOT BE PERMITTED TO CARRY OUT DUTIES. THE SAME APPLIES TO AN OFFICER OR KEY EMPLOYEE WHO DOES NOT COMPLETE THE APPROPRIATE DISCLOSURES. 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. GUIDANCE IS PROVIDED TO THE NECESSARY PARTIES AND 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 HFMS MEMBER HOSPITAL EXECUTIVES (WHO ARE NOT EMPLOYED NOR COMPENSATED BY HFMS OR ANY OF ITS AFFILIATES). THE PROCESS FOR DETERMINING COMPENSATION IS DESCRIBED IN THE COMMITTEE'S 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 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 RISK AND COMPLIANCE COMMITTEE OF THE BOARD OF MANAGERS OF HF MANAGEMENT SERVICES, LLC (A RELATED ORGANIZATION). FORM 990 PART IX LINE 11G DESCRIPTION:FEE-OTHER TOTAL FEES:31 HEALTHFIRST INC 100 CHURCH ST FL 18 NEW YORK NY 10007 133714932 MANAGED CARE NY 501(C)(3) 12 Type I NA false HEALTHFIRST HEALTH PLAN INC 100 CHURCH ST FL 18 NEW YORK NY 10007 113029569 MANAGED CARE NY 501(C)(4) HEALTHFIRST false HEALTHFIRST PHSP INC 100 CHURCH ST FL 18 NEW YORK NY 10007 133783732 MANAGED CARE NY 501(C)(3) 10 HEALTHFIRST false HEALTHFIRST FOUNDATION INC 100 CHURCH ST FL 18 NEW YORK NY 10007 843437139 CHARITABLE NY 501(C)(3) PF NA false HFMS LLC 100 CHURCH ST FL 18 NEW YORK NY 100072601 134069806 3RD PTY ADM S NY NA SMC PARTNERS LLC 10 COLUMBUS BLVD 9TH FLOOR HARTFORD CT 06106 208577150 CONSULTING SV CT HF ADMIN SVCS HF ADMINISTRATIVE SERVICES INC 100 CHURCH ST FL 18 NEW YORK NY 100072601 133873482 3RD PTY ADM S NY MF MGMT SVCS C CORP HEALTHFIRST INSURANCE COMPANY INC 100 Church Street FL 18 NEW YORK NY 100072601 464545744 INSUR. PROVID NY NA C CORP false false false false true false false false false false false false true false false false false false false HF MANAGEMENT SERVICES LLC E 5323693 SURPLUS NOTE FORM 990, SCHEDULE R, PART V, LINE 2 METHOD OF DETERMINING AMOUNT INVOLVED ITEM (1): The amount represents Surplus Note Payable which was monies borrowed from HF Management Services, LLC (HFMS) to fund Healthfirst Health Plan of New Jersey, Inc (HFNJ). It represents two 7 year note payables to HFMS. Interest is calculated and is adjusted at the prime rate.