2021-11-05T00:27:15-05:00 2020-12-31 861065772 DELOITTE TAX LLP TWO JERICHO PLAZA JERICHO NY 11753 990 2020-01-01 113153422 NEW YORK STATE CATHOLIC HEALTH PLAN INC NEWY 2123711011 1011 FIRST AVENUE NEW YORK NY 10022 WILLIAM WHISTON DIRECTOR/CEO 2123711011 2021-11-02 1 WILLIAM WHISTON XXX-XX-XXXX CHRISTINE KAWECKI P00743140 5169187000 2021-11-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z FIDELIS LEGACY PLAN WILLIAM WHISTON 1011 FIRST AVENUE NEW YORK NY 10022 0 0 X WWW.FIDELISCARE.ORG X 1993 NY NEW YORK STATE CATHOLIC HEALTH PLAN, INC. WAS ESTABLISHED TO PROMOTE HEALTH THROUGH QUALITY, ACCESSIBLE CARE AND SERVICES FOR ALL; TO JOIN IN PARTNERSHIP WITH HEALTH PROFESSIONALS TO ASSIST THEM IN THEIR HEALING WORK; TO ACT AS A FACILITATOR TO BUILD LINKAGES AND SYSTEMS FOR THE COORDINATION OF CARE AND SERVICES AMONG HEALTHCARE, BEHAVIORAL AND SOCIAL SERVICES, AS WELL AS EDUCATORS AND RELIGIOUS LEADERS, TO ADDRESS THE SPIRITUAL, EMOTIONAL AND PHYSICAL NEEDS OF THOSE IT SERVES; TO ADVOCATE FOR A HEALTH POLICY THAT ACCORDS TRUE DIGNITY AND RESPECT FOR ALL HUMAN PERSONS, ESPECIALLY THE POOR AND UNDERSERVED. 7 7 0 0 0 0 0 0 846046910 0 6987884 0 3319587 0 856354381 0 150000 0 748457656 0 0 0 0 0 0 110814437 1689786 859422093 1689786 -3067712 -1689786 506752403 104069976 503135855 102143214 3616548 1926762 X NEW YORK STATE CATHOLIC HEALTH PLAN, INC. WAS ESTABLISHED TO PROMOTE HEALTH THROUGH QUALITY, ACCESSIBLE CARE AND SERVICES FOR ALL; TO JOIN IN PARTNERSHIP WITH HEALTH PROFESSIONALS TO ASSIST THEM IN THEIR HEALING WORK; TO ACT AS A FACILITATOR TO BUILD LINKAGES AND SYSTEMS FOR THE COORDINATION OF CARE AND SERVICES AMONG HEALTHCARE, BEHAVIORAL AND SOCIAL SERVICES, AS WELL AS EDUCATORS AND RELIGIOUS LEADERS, TO ADDRESS THE SPIRITUAL, EMOTIONAL AND PHYSICAL NEEDS OF THOSE IT SERVES; TO ADVOCATE FOR A HEALTH POLICY THAT ACCORDS TRUE DIGNITY AND RESPECT FOR ALL HUMAN PERSONS, ESPECIALLY THE POOR AND UNDERSERVED. 0 1 ON JULY 2, 2018, FOLLOWING REGULATORY APPROVAL, NYSCHP SOLDSUBSTANTIALLY ALL OF ITS OPERATIONS, ASSETS AND LIABILITIES RELATING TOITS INSURANCE BUSINESS, INCLUDING ITS SUBSIDIARY SALUS ADMINISTRATIVESERVICES, INC. (SALUS), TO CENTENE CORPORATION (CENTENE) IN ACCORDANCEWITH THE TERMS OF THE ASSET PURCHASE AGREEMENT ("APA") ENTERED INTO INSEPTEMBER 2017 BY BOTH PARTIES. AS A RESULT OF THE SALE, NYSCHP CEASEDCONDUCTING PROGRAMS. SEE SCHEDULE O, EXPLANATION FOR PART III LINE 3, CHANGES IN PROGRAM SERVICES FOR ADDITIONAL INFORMATION. 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X WILLIAM WHISTON 6467942939 1011 FIRST AVENUE NEW YORK NY 10022 X X DEACON FRANK J THOMAS MD CHAIRMAN OF THE BOARD 1.00 0.00 X X 0 0 0 JACK BALINSKY DIRECTOR 1.00 0.00 X 0 0 0 JOHN J HURLEY DIRECTOR 1.00 0.00 X 0 0 0 MARY THOMPSON DIRECTOR/SECRETARY 1.00 0.00 X X 0 0 0 MICHAEL J TOOLEY DIRECTOR 1.00 0.00 X 0 0 0 THOMAS DOODIAN DIRECTOR/TREASURER 1.00 0.00 X X 0 0 0 WILLIAM WHISTON DIRECTOR/CEO 1.00 0.00 X X 0 0 0 PATRICK J FRAWLEY PLAN PRESIDENT THRU 4/2020 1.00 0.00 X 0 0 0 THOMAS HOLLORAN INTERIM PLAN PRESIDENT AS OF 4/2020 1.00 0.00 X 0 0 0 0 0 0 0 0 0 0 LOEB & LOEB LLP 345 PARK AVENUE NEW YORK NY 10154 LEGAL COUNSEL/SERVICES 556815 DELOITTE TAX LLP 2 JERICHO PLAZA JERICHO NY 11753 ACCOUNTING/ TAX 293772 EPSTEIN BECKER & GREEN 875 THIRD AVENUE NEW YORK NY 10022 LEGAL COUNSEL/SERVICES 129358 3 0 0 0 0 X 1207202 1207202 240272 240272 CYBER SECURITY PREMIUMS 137800 137800 LITIGATION SETTLEMENTS 104207 104207 BANK FEES 305 305 1689786 0 1689786 0 X 6752403 3493573 0 576403 500000000 100000000 506752403 104069976 3135855 2143214 500000000 100000000 503135855 102143214 X 3616548 1926762 3616548 1926762 506752403 104069976 -1689786 0 X X 0 1 X 1 0 X 896865 415749 28798 0 0 1341412 8422090289 9717643812 6144880542 846046910 0 25130661553 8422987154 9718059561 6144909340 846046910 0 25132002965 0 0 0 25132002965 21015784 34066417 31458692 6987884 0 93528777 21015784 34066417 31458692 6987884 0 93528777 50142 174164 581642421 9485439 0 591352166 8444053080 9752300142 6758010453 862520233 0 25816883908 0.97350 0.97830 0.00360 0.00340 X 0 OTHER RECEIVABLES 100000000 100000000 DUE TO THIRD PARTIES 100000000 100000000 0 0 0 0 0 1689786 0 1689786 0 1689786 FORM 990, PART III, LINE 3 ON JULY 2, 2018, FOLLOWING REGULATORY APPROVAL, NYSCHP SOLD SUBSTANTIALLY ALL OF ITS OPERATIONS, ASSETS AND LIABILITIES RELATING TO ITS INSURANCE BUSINESS, INCLUDING ITS SUBSIDIARY SALUS ADMINISTRATIVE SERVICES, INC. (SALUS), TO CENTENE CORPORATION (CENTENE) IN ACCORDANCE WITH THE TERMS OF THE ASSET PURCHASE AGREEMENT ("APA") ENTERED INTO IN SEPTEMBER 2017 BY BOTH PARTIES. AS A RESULT OF THE SALE, NYSCHP CEASED CONDUCTING THE FOLLOWING PROGRAMS: THE MEDICAID MANAGED CARE PROGRAM (MEDICAID), CHILD HEALTH PLUS, FIDELIS CARE AT HOME, HEALTH AND RECOVERY PLAN ("HARP") AND THE ESSENTIAL PLAN PROGRAM. ALTHOUGH ACQUIRED BY CENTENE, NYSCHP'S INDIVIDUAL COMMERCIAL MARKET PRODUCTS (INCLUDING QUALIFIED HEALTH PLANS) AND MEDICARE PRODUCTS (MEDICARE ADVANTAGE, MEDICARE ADVANTAGE D-SNP, MEDICARE ADVANTAGE PLUS, AND MEDICAID ADVANTAGE PLUS) WERE NOT IMMEDIATELY TRANSFERRED TO CENTENE DUE TO REGULATORY AND OTHER REQUIREMENTS. THE INDIVIDUAL COMMERCIAL MARKET PRODUCTS (INCLUDING QUALIFIED HEALTH PLANS) WERE TRANSFERRED TO CENTENE EFFECTIVE JANUARY 1, 2019 TO ACCOMMODATE THE ANNUAL OPEN ENROLLMENT PERIOD CYCLE FOR ENROLLEES. WITH REGARD TO THE MEDICARE AND MEDICARE-RELATED PRODUCTS, THE NOVATION OR ASSIGNMENT OF THE CONTRACTS RELATED TO THESE PRODUCTS WAS APPROVED BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES IN 2020, AND BECAME EFFECTIVE JANUARY 1, 2021. ALL MEDICARE AND MEDICARE-RELATED PRODUCTS WERE NOVATED TO CENTENE PRIOR TO SUCH DATE. BECAUSE THE INDIVIDUAL COMMERCIAL MARKET PRODUCTS AND MEDICARE PRODUCTS WERE NOT TRANSFERRED IMMEDIATELY FOLLOWING CLOSING OF THE SALE TO CENTENE, NYSCHP ENTERED INTO REINSURANCE AGREEMENTS WITH HALLMARK LIFE INSURANCE COMPANY, AN AFFILIATE OF CENTENE, TO PROVIDE FOR 100% REINSURANCE OF THE LIABILITIES FOR THESE PRODUCTS. THE REINSURANCE AGREEMENTS PROVIDE THAT DURING THE TIME FOLLOWING THE CLOSING OF THE SALE, AN EXISTING CENTENE SUBSIDIARY COMPANY, HALLMARK LIFE INSURANCE COMPANY, WILL REINSURE 100% OF THE FINANCIAL LIABILITIES RELATING TO NYSCHP'S MEDICARE BUSINESS (INCLUDING CERTAIN THE MEDICARE-RELATED PRODUCTS) AND NYSCHP'S INDIVIDUAL PRODUCTS (INCLUDING QUALIFIED HEALTH PLANS) PRODUCTS IN ACCORDANCE WITH THE REINSURANCE AGREEMENTS. IN CONNECTION WITH THE REINSURANCE AGREEMENTS AND IN LIGHT OF THE ASSUMPTION BY CENTENE OF ALL ECONOMIC RISK RELATING TO THE MEDICARE, MEDICARE-RELATED AND INDIVIDUAL COMMERCIAL PRODUCTS, NYSCHP ALSO ENTERED INTO A MANAGEMENT AGREEMENT WITH THE CENTENE AFFILIATES SALUS ADMINISTRATIVE SERVICES, INC., CENTENE MANAGEMENT COMPANY, LLC, AND CENTENE COMPANY OF NEW YORK WHEREBY THE CENTENE AFFILIATES WOULD ASSUME ALL ADMINISTRATIVE AND OPERATIONAL RESPONSIBILITY FOR THESE PRODUCTS. FORM 990, PART IV, LINE 28(A): NYSCHP AND ADNY ENTERED INTO AN ADMINISTRATIVE SERVICES AGREEMENT, PURSUANT TO WHICH ADNY AGREED TO PROVIDE ADDITIONAL MANAGERIAL, FINANCIAL AND ACCOUNTING SERVICES FOR NYSCHP THAT FELL OUTSIDE OF THE SCOPE OF THE TRANSITION SERVICES AGREEMENT AND THE MASTER SERVICES AGREEMENT DESCRIBED BELOW. UNDER THE TERMS OF THE ADMINISTRATIVE SERVICES AGREEMENT, NYSCHP PAID ADNY A MONTHLY FEE FOR SERVICES PROVIDED. WILLIAM E. WHISTON IS THE CHIEF FINANCIAL OFFICER OF ADNY BUT HE DID NOT RECEIVE ANY COMPENSATION FOR SERVICES PROVIDED UNDER THE ADMINISTRATIVE SERVICES AGREEMENT. FORM 990, PART VI, SECTION, A, LINE 2: WILLIAM E. WHISTON, A DIRECTOR OF NYSCHP, IS THE CHIEF FINANCIAL OFFICER OF THE ARCHDIOCESE OF NEW YORK ("ADNY"). THE ARCHBISHOP OF NEW YORK SERVES AS THE PRESIDENT OF THE MEMBERSHIP OF NYSCHP. FORM 990, PART VI, SECTION A, LINE 3 PURSUANT TO A TRANSITION SERVICES AGREEMENT ("TSA") EXECUTED BETWEEN CENTENE MANAGEMENT COMPANY, LLC ("CMC") AND NEW YORK STATE CATHOLIC HEALTH PLAN, INC. ("NYSCHP"), DATED JULY 2, 2018, CMC AGREED TO PROVIDE CERTAIN SERVICES TO NYSCHP THAT ARE SPECIFICALLY SET FORTH IN SCHEDULE A OF THE TSA. THE SERVICES INCLUDED INFORMATION TECHNOLOGY; HUMAN RESOURCES; ACCOUNTING; FINANCE; TREASURY; AUDITS; LEGAL; COMPLIANCE; TAX; INTERNAL REVENUE SERVICE FILINGS AND LOGISTICS; OPERATIONS, AND SOURCING. UNDER THE TERMS OF THE TSA, CMC ALONE WAS REIMBURSED FOR ANY SERVICES THAT CMC PERSONNEL PROVIDED TO NYSCHP PURSUANT TO THE COST SCHEDULE SET FORTH IN SCHEDULE A OF THE TSA. THUS NONE OF THE INDIVIDUALS LISTED IN PART VII, SECTION A OF FORM 990 RECEIVED ANY COMPENSATION FROM NYSCHP FOR THE SERVICES ANY OF THE EMPLOYEES PROVIDED TO NYSCHP PURSUANT TO THE TSA. MOREOVER, NONE OF THE INDIVIDUALS LISTED IN PART VII, SECTION A OF FORM 990 RECEIVED COMPENSATION FROM CMC FOR THE SERVICES PROVIDED TO NYSCHP PURSUANT TO THE TSA. IN ADDITION, PURSUANT TO A MANAGEMENT SERVICES AGREEMENT ("MSA") EXECUTED BETWEEN NYSCHP, CMC, SALUS ADMINISTRATIVE SERVICES ("SALUS") AND CENTENE COMPANY OF NEW YORK LLC ("CCNY"), DATED AS OF JULY 1, 2018, CMC, CCNY AND SALUS AGREED TO ASSUME RESPONSIBILITY FOR THE OPERATIONS OF NYSCHP'S INDIVIDUAL COMMERCIAL PRODUCTS AND MEDICARE PRODUCTS UNTIL THEY WERE TRANSITIONED TO CENTENE. THE SCOPE OF MANAGEMENT AND ADMINISTRATIVE SERVICES PROVIDED UNDER THE MSA INCLUDES, AMONG OTHER THINGS: UTILIZATION REVIEW SERVICES; PERSONNEL SERVICES; CLAIMS ADMINISTRATION; QUALITY ASSURANCE; BILLING AND COLLECTIONS; MARKETING; FINANCIAL SYSTEMS AND SERVICES; AND ACTUARIAL SERVICES. UNDER THE TERMS OF THE MSA, CMC ALONE WAS REIMBURSED FOR SERVICES PROVIDED BY CMC, SALUS AND CCNY TO NYSCHP PURSUANT TO THE "PER MEMBER PER MONTH" SCHEDULE SET FORTH IN THE MSA. FINALLY, NYSCHP AND ADNY ENTERED INTO AN ADMINISTRATIVE SERVICES AGREEMENT, PURSUANT TO WHICH ADNY AGREED TO PROVIDE ADDITIONAL MANAGERIAL, FINANCIAL AND ACCOUNTING SERVICES FOR NYSCHP THAT FELL OUTSIDE OF THE SCOPE OF THE TSA AND MSA. UNDER THE TERMS OF THE ADMINISTRATIVE SERVICES AGREEMENT, NYSCHP PAID ADNY A MONTHLY FEE FOR SERVICES PROVIDED. AS DISCUSSED ABOVE, WILLIAM E. WHISTON IS THE CHIEF FINANCIAL OFFICER OF ADNY BUT HE DID NOT RECEIVE ANY COMPENSATION FOR SERVICES PROVIDED UNDER THE ADMINISTRATIVE SERVICES AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. THE MEMBERSHIP OF THE ORGANIZATION IS LIMITED TO THE DIOCESAN BISHOPS OF THE STATE AND THE ECCLESIASTICAL PROVINCE OF NEW YORK. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION IS A MEMBERSHIP CORPORATION UNDER THE NEW YORK NOT-FOR-PROFIT CORPORATION LAW (THE "N-PCL"). THE ORGANIZATION'S MEMBERS ELECT ITS BOARD OF DIRECTORS AND, AS MEMBERS OF A NEW YORK NOT-FOR-PROFIT CORPORATION, POSSESS CERTAIN OTHER POWERS UNDER THE N-PCL. FURTHERMORE, THE ORGANIZATION'S BY-LAWS, WHICH ARE FILED WITH THE NEW YORK STATE DEPARTMENT OF HEALTH ("NYSDOH"), DEFINE THE FOLLOWING RESERVED POWERS OF THE MEMBERS: (I) THE INTERPRETATION OF THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES TO WHICH THE ORGANIZATION, AS A FAITH-BASED ORGANIZATION, IS SUBJECT; (II) APPROVAL OF THE MISSION STATEMENT; (III) STANDING TO ENSURE THE ORGANIZATION'S COMPLIANCE WITH ITS PHILOSOPHY AND MISSION STATEMENT; (IV) APPROVAL OF AMENDMENTS TO THE ORGANIZATION'S CERTIFICATE OF INCORPORATION AND BY-LAWS; (V) APPROVAL OF CERTAIN TRANSACTIONS INVOLVING REAL PROPERTY; (VI) APPROVAL OF CERTAIN ACTIONS BY THE ORGANIZATION WHEN ACTING AS A SHAREHOLDER OR MEMBER OF ANOTHER ENTITY; (VII) APPROVAL OF THE ACCEPTANCE AND ISSUANCE OF SUBVENTIONS; (VIII) APPROVAL OF ANY MERGER, DISSOLUTION OR CONSOLIDATION; (IX) REMOVAL OF DIRECTORS AND CERTAIN OFFICERS OF THE CORPORATION; (X) APPROVAL OF THE ELECTION OF THE CHIEF EXECUTIVE OFFICER; AND (XI) REVIEW OF THE AUDITED FINANCIAL STATEMENTS. CERTAIN OF THESE POWERS ALREADY EXIST BY VIRTUE OF THE N-PCL (I.E., THE POWER TO APPROVE ANY MERGER, DISSOLUTION OR CONSOLIDATION UNDER N-PCL 903(A)(2) & 1002(A)). FORM 990, PART VI, SECTION A, LINE 7B PLEASE SEE LINE 7A NARRATIVE. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS PREPARED BY THE ORGANIZATION'S OUTSIDE INDEPENDENT TAX ADVISORS IN COLLABORATION WITH THE ORGANIZATION'S OUTSOURCED EXECUTIVE AND FINANCE PERSONNEL. THE 990 IS REVIEWED BY ITS CEO AND OUTSIDE COUNSEL. THE ORGANIZATION'S BOARD OF DIRECTORS HAS REVIEWED AND ACCEPTED THE DRAFT FORM 990 BEFORE ITS FILING WITH THE IRS. ACCORDINGLY, AFTER THE ORGANIZATION'S MANAGEMENT HAS COMPLETED ITS REVIEW OF THE DRAFT FORM 990, IT IS CIRCULATED IN DRAFT FOR REVIEW, COMMENT AND APPROVAL TO THE MEMBERS OF THE BOARD OF DIRECTORS. ONCE ANY COMMENTS HAVE BEEN INCORPORATED AND THE FORM 990 HAS BEEN ACCEPTED BY THE BOARD OF DIRECTORS IT IS READY FOR FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE ORGANIZATION'S OFFICERS AND DIRECTORS ARE PROVIDED WITH A COPY OF THE CONFLICTS OF INTEREST POLICY AND AN ACKNOWLEDGEMENT FORM. THESE INDIVIDUALS ARE INSTRUCTED TO SIGN AND RETURN THE FORM, (A) TO ACKNOWLEDGE THAT THEY HAVE REVIEWED THE POLICY AND (B) TO DISCLOSE ANY CONFLICTS OR POTENTIAL CONFLICTS. THE CONFLICTS OF INTEREST POLICY DEFINES "DISCLOSABLE INTERESTS", I.E., THOSE INTERESTS THAT AN INDIVIDUAL COVERED BY THE POLICY MUST HAVE IN ANOTHER ENTITY IN ORDER FOR A TRANSACTION BETWEEN THE ORGANIZATION AND THAT ENTITY TO BE COVERED BY THE POLICY. THE POLICY ALSO DEFINES THE TYPES OF TRANSACTIONS BETWEEN THE ORGANIZATION AND ANOTHER ENTITY INVOLVING AN INDIVIDUAL COVERED BY THE POLICY THAT IS SUBJECT TO BY THE POLICY. THE POLICY REQUIRES DISCLOSURE TO THE BOARD OF DIRECTORS BY ANY PERSON WITH A DISCLOSABLE INTEREST IN A TRANSACTION AS DEFINED IN THE POLICY OF ALL CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. INITIALLY, AFTER THE INTERESTED INDIVIDUAL HAS RECUSED HIMSELF, THE ORGANIZATION'S BOARD OF DIRECTORS DETERMINES WHETHER A POTENTIAL CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS FOUND TO EXIST, THE BOARD OF DIRECTORS DECIDES WHETHER TO ENTER INTO THE TRANSACTION BASED ON ITS DETERMINATION OF WHETHER (A) A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, (B) THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST AND FOR ITS OWN BENEFIT AND (C) THE TRANSACTION IS FAIR AND REASONABLE TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 NO OFFICERS OR DIRECTORS RECEIVED COMPENSATION FROM THE ORGANIZATION DURING 2020. HISTORICALLY, WHEN THE ORGANIZATION HAD PAID EMPLOYEES, OUTSIDE COUNSEL FOR THE ORGANIZATION, A NATIONAL LAW FIRM WITH EXPERTISE IN ADVISING TAX-EXEMPT ORGANIZATIONS ON EXCESS BENEFIT TRANSACTIONS LAW, HAS ADVISED NYSCHP AS TO WHICH EMPLOYEES ARE DISQUALIFIED PERSONS WITHIN THE MEANING OF SECTION 4958 OF THE INTERNAL REVENUE CODE. ADDITIONALLY, WHEN THE ORGANIZATION HAD EMPLOYEES, IT ALSO ENGAGED A COMPENSATION CONSULTANT FIRM, A NATIONAL HUMAN RESOURCES CONSULTING FIRM WITH EXPERTISE IN ADVISING TAX-EXEMPT ORGANIZATIONS ON EXCESS BENEFIT TRANSACTIONS LAW, TO PREPARE ANNUALLY A DETAILED REPORT ON THE PROPOSED COMPENSATION FOR THE ORGANIZATION'S DISQUALIFIED PERSONS THAT INCLUDES DATA AS TO COMPARABLE COMPENSATION FOR SIMILAR QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY-SITUATED ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION IS A NEW YORK NOT-FOR-PROFIT CORPORATION. ITS CERTIFICATE OF INCORPORATION IS READILY AVAILABLE TO THE GENERAL PUBLIC FROM THE NEW YORK STATE DEPARTMENT OF STATE UNDER THE NEW YORK FREEDOM OF INFORMATION LAW ("FOIL"). ITS CERTIFICATE OF INCORPORATION AND BY-LAWS ARE ALSO ON FILE WITH THE NYSDOH AND LIKEWISE AVAILABLE TO THE GENERAL PUBLIC UNDER FOIL. FORM 990, PART VII, SECTION B: IN CONNECTION WITH THE REINSURANCE AGREEMENTS ENTERED INTO WITH HALLMARK LIFE INSURANCE COMPANY, NYSCHP ALSO ENTERED INTO A MANAGEMENT AGREEMENT WITH THE CENTENE AFFILIATES SALUS ADMINISTRATIVE SERVICES, INC., CENTENE MANAGEMENT COMPANY, LLC, AND CENTENE COMPANY OF NEW YORK WHEREBY THE CENTENE AFFILIATES AGREED TO ASSUME ALL ADMINISTRATIVE AND OPERATIONAL RESPONSIBILITY FOR THE MEDICARE, MEDICARE-RELATED AND INDIVIDUAL COMMERCIAL PRODUCTS CENTENE ACQUIRED UNDER THE ASSET PURCHASE AGREEMENT UNTIL THEY ARE FINALLY TRANSITIONED TO CENTENE. UNDER THIS ARRANGEMENT, CENTENE MANAGEMENT COMPANY RECEIVES A FEE, ON A CAPITATION BASIS, IN ACCORDANCE WITH THE TERMS OF THE AGREEMENT, WHICH AMOUNTED TO $169,187.50 IN 2020. GIVEN THAT CENTENE MANAGEMENT COMPANY, LLC IS PROVIDING THESE SERVICES ON A TRANSITIONAL BASIS TO ACCOMMODATE THE STAGGERED GOVERNMENTAL APPROVAL PROCESS WITH RESPECT TO ASSETS CENTENE ACQUIRED AND HAS ASSUMED ALL ECONOMIC RISK, AND GIVEN THAT THE COST OF SERVICES PROVIDED BY CENTENE MANAGEMENT COMPANY, LLC ARE FULLY ASSUMED BY CENTENE UNDER THE REINSURANCE AGREEMENTS WITH HALLMARK LIFE INSURANCE COMPANY, CENTENE MANAGEMENT COMPANY, LLC IS NOT CONSIDERED TO BE AN INDEPENDENT CONTRACTOR OF NYSCHP AND IS THEREFORE NOT LISTED IN PART VII, SECTION B. FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 240,272. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 240,272. FORM 990, PART X, LINE 25: ON JANUARY 23, 2020, NYSCHP MADE A $400,000,000 PAYMENT TO NEW YORK STATE DIVISION OF THE BUDGET PURSUANT TO AN AGREEMENT ENTERED INTO WITH THE DIVISION OF THE BUDGET ON MARCH 30, 2018 AS PART OF THE SALE TRANSACTION TO CENTENE. THE $100,000,000 REPRESENTS THE BALANCE OF THE PAYMENT TO BE MADE IN CONNECTION WITH THE MARCH 30, 2018 AGREEMENT ENTERED INTO WITH THE NEW YORK STATE DIVISION OF BUDGET. FORM 990, PART X, LINE 15: ON JANUARY 23, 2020, NYSCHP MADE A $400,000,000 PAYMENT TO NEW YORK STATE DIVISION OF THE BUDGET PURSUANT TO AN AGREEMENT ENTERED WITH THE DIVISION OF THE BUDGET ON MARCH 30, 2018 AS PART OF THE SALE TRANSACTION TO CENTENE. THE $100,000,000 REPRESENTS THE BALANCE OF THE PAYMENT TO BE MADE IN CONNECTION WITH THE MARCH 30, 2018 AGREEMENT ENTERED INTO WITH THE NEW YORK STATE DIVISION OF BUDGET. FORM 990, NOT APPLICABLE QUESTIONS: TO THE EXTENT THAT A QUESTION ON THE FORM 990 HAS BEEN LEFT BLANK, THE RESPONSE TO THIS QUESTION SHOULD BE NOT APPLICABLE. DUE TO SOFTWARE LIMITATIONS, NYSCHP COULD NOT PROPERLY RESPOND TO THE RESPECTIVE QUESTION AS N/A.