2021-10-20T11:29:24-05:00 2020-12-31 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2020-01-01 134154068 AMIDA CARE INC AMID 6467577000 14 PENN PLAZA 2ND FL NEW YORK NY 10122 DOUGLAS WIRTH PRESIDENT/CEO 6467577000 2021-10-20 1 DOUGLAS WIRTH XXX-XX-XXXX LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2021-09-26 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DOUGLAS WIRTH 14 PENN PLAZA 2ND FL NEW YORK NY 10122 460931507 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 11 193 11 0 0 1488318 1572078 427683947 441080455 485383 806423 -13182 -3083 429644466 443455873 0 0 0 0 20197227 19838698 0 0 0 408748747 426307596 428945974 446146294 698492 -2690421 149275045 156870865 112603725 122647559 36671320 34223306 X 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. IN ADDITION TO MEDICAID, AMIDA CARE PARTICPATED IN THE MEDICARE ADVANTAGE PROGRAM FROM 2014 THROUGH 2016. 0 0 403215947 441080455 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 93,072 MEMBER MONTHS IN 2020. 7957 AMIDA CARE CONTRACTED WITH THE CENTERS FOR MEDICARE AND MEDICAID (CMS) AND PARTICPATED IN THE MEDICARE ADVANTAGE PROGRAM FROM 2014 THROUGH 2016. THE PLAN TERMINATED ITS MEDICARE ADVANTAGE CONTRACT EFFECTIVE DECEMBER 31, 2016. THERE ARE NO MEMBERS FOR 2020. THE PROGRAM SERVICE EXPENSES AND REVENUE REPORTED ON THIS 990 ARE FOR RUNOUT ACTIVITIES AND REPORTING DURING 2020 FOR SERVICES PROVIDED THROUGH DECEMBER 31, 2016. 403223904 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 1 804 0 1 193 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 JAMES SINKOFF MEMBER 0.50 X 0 0 0 HOLLY ARGENT-TARIQ MEMBER 0.50 X 0 0 0 DR DAVID COLLYMORE MEMBER 0.50 X 0 0 0 ROBERT HAYES MEMBER 0.50 X 0 0 0 WILLIAM SMITH-RIVERA INDEPENDENT DIRECTOR 0.50 X 0 0 0 ARTHUR WEBB INDEPENDENT DIRECTOR 0.50 X 0 0 0 C VIRGINA FIELDS INDEPENDENT DIRECTOR 0.50 X 0 0 0 ANTHONY RANDOLPH INDEPENDENT DIRECTOR 0.50 X 0 0 0 DOUGLAS WIRTH PRESIDENT/CEO 40.00 X 595900 0 80621 NICHOLAS LIGUORI EXECUTIVE VICE PRESIDENT 40.00 X 311846 0 9294 JEROME ERNST MD CHIEF MEDICAL OFFICER 40.00 X 260728 0 55611 FELICE D KUSSOY CHIEF FINANCIAL OFFICER 40.00 X 240909 0 30939 PATRICK MCGOVERN - FROM FEBRUARY 20 CHIEF OF BUS. DEV. & POLICY OFFICER 40.00 X 264008 0 2530 SALVATORE GIUNTA VP OF INFORMATION TECHNOLOGY 40.00 X 236812 0 14006 STEPHANE HOWZE VP OF MEMBER EXPERIENCE AND OMBUDSMAN 40.00 X 181157 0 44909 KEVIN STEFFENS VP OF HEALTH SERVICES OPERATIONS 40.00 X 183130 0 29576 SYLVIA COWAN VP OF GROWTH & COMMUNITY INITIATIVES 40.00 X 179659 0 29830 SHEILA MAGUIRE DIR. OF DATA GOVERNANCE SOFTWARE DEVELOPMENT 40.00 X 181414 0 10136 2635563 0 307452 41 0 1 0 BEACON HEALTH STRATEGIES LLC 200 STATE STREET SUITE 302 BOSTON MA 02109 MANAGEMENT SERVICES 2801053 EXPRESS SCRIPTS INC 21653 NETWORK PLACE CHICAGO IL 60673 PHARMACY ADM. 1481307 MP CARE SOLUTIONS 1120 PITTSFORD-VICTOR ROAD PITTSFORD NY 14534 MANAGEMENT SERVICES 1365992 SONNICK PARTNERS LLC 860 BROADWAY 5TH FLOOR NEW YORK NY 10003 CONSULTANT & SOFTWARE- CALL CENTER 688394 CONSENTIAHEALTH LLC 12100 SINGLETREE LANE SUITE 123 EDEN PRAIRIE MN 55344 CONSULT - CLAIMS, NETWORK & FINANCE 484275 12 149395 1422683 1572078 PREMIUM REVENUE 524114 441080455 441080455 441080455 600998 600998 17677776 17472351 205425 205425 205425 0 149395 3283 -3283 -3283 OTHER REVENUE 900099 200 200 200 443455873 441080455 0 803340 1852386 1852386 13605192 13605192 455050 455050 2716977 2716977 1209093 1209093 3696962 3696962 250610 250610 135000 135000 122177 122177 3464570 3464570 265801 265801 1502099 1502099 1767485 1767485 3547224 3547224 100452 100452 30224 30224 584492 584492 314363 314363 253976 253976 PHARMACY COST 255501511 253540020 1961491 MEDICAL SERVICES 143333996 143333996 HEALTH ASSESSMENTS & SU 6349888 6349888 UTILIZATION MANAGEMENT 2625069 2625069 2461697 2461697 446146294 403223904 42922390 0 54652331 32560277 580555 580305 631772 255741 69019036 96568820 863871 858492 5179518 4197327 1094508 982191 22352400 25001139 80572 63900 149275045 156870865 50543000 46816858 800000 608773 8114400 8723238 53146325 66498690 112603725 122647559 X 36671320 34223306 36671320 34223306 149275045 156870865 -2690421 242407 0 X X 0 1 X 1 0 X 1750106 1296667 1794936 1488318 1572078 7902105 397174076 386047352 412082885 427683947 441080455 2064068715 398924182 387344019 413877821 429172265 442652533 2071970820 0 0 0 2071970820 284800 256100 374335 467584 600998 1983817 284800 256100 374335 467584 600998 1983817 5870 114329 100000 600 200 220999 399214852 387714448 414352156 429640449 443253731 2074175636 0.99890 0.99920 0.00100 0.00070 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2016 AMOUNT: $ 5,870. 2017 AMOUNT: $ 114,329. 2018 AMOUNT: $ 100,000. 2019 AMOUNT: $ 600. 2020 AMOUNT: $ 200. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1107730 389474 718256 2535735 2271978 263757 1536053 1535875 178 982191 DEFERRED RENT 2225146 SUBVENTION PAYABLE TO 501(C) ORG. 3233652 DUE TO THIRD PARTY 58164813 PAYCHECK PROTECTION PROGRAM LOAN 2875079 66498690 X 443701563 242407 242407 443459156 -3283 -3283 443455873 446149577 3283 3283 446146294 0 446146294 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, 2020. THE PLAN'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2017 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 -3,283. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 3,283. LIVE YOUR LIFE FUNDRAISER 149395 149395 3283 149395 149395 3283 3283 -3283 X X 0 0 0 0 0 0 0 1 0 DOUGLAS WIRTH PRESIDENT/CEO 470327 0 125000 0 573 0 33466 0 47155 0 676521 0 0 0 NICHOLAS LIGUORI EXECUTIVE VICE PRESIDENT 311472 0 0 0 374 0 7787 0 1507 0 321140 0 0 0 JEROME ERNST MD CHIEF MEDICAL OFFICER 255696 0 0 0 5032 0 9919 0 45692 0 316339 0 0 0 FELICE D KUSSOY CHIEF FINANCIAL OFFICER 239921 0 0 0 988 0 11488 0 19451 0 271848 0 0 0 PATRICK MCGOVERN - FROM FEBRUARY 20 CHIEF OF BUS. DEV. & POLICY OFFICER 262607 0 0 0 1401 0 0 0 2530 0 266538 0 0 0 SALVATORE GIUNTA VP OF INFORMATION TECHNOLOGY 234004 0 0 0 2808 0 10459 0 3547 0 250818 0 0 0 STEPHANE HOWZE VP OF MEMBER EXPERIENCE AND OMBUDSMA 180743 0 0 0 414 0 9649 0 35260 0 226066 0 0 0 KEVIN STEFFENS VP OF HEALTH SERVICES OPERATIONS 182751 0 0 0 379 0 9467 0 20109 0 212706 0 0 0 SYLVIA COWAN VP OF GROWTH & COMMUNITY INITIATIVES 178602 0 0 0 1057 0 9273 0 20557 0 209489 0 0 0 SHEILA MAGUIRE DIR. OF DATA GOVERNANCE SOFTWARE DEV 181254 0 0 0 160 0 4914 0 5222 0 191550 0 0 0 PART I, LINE 7 THE FOLLOWING INDIVIDUALS RECEIVED A NON-FIXED PAYMENT IN THE FORM OF A BONUS DURING 2020: DOUGLAS WIRTH - $125,000 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 2020 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, CCPO, AND CBDPO. 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