2021-11-15T12:00:48-06:00 2020-12-31 222428965 CITRIN COOPERMAN & COMPANY LLP 500 EXCHANGE STREET SUITE 9-100 PROVIDENCE RI 02903 990 2020-01-01 133934289 EVERCARE CHOICE INC EVER 8455690500 31 CERONE PLACE NEWBURGH NY 12550 SYLVIA MCTIGUE CEO 8455690500 2021-11-15 1 SYLVIA MCTIGUE XXX-XX-XXXX MICHAEL E CRISCIONE P01456801 4014214800 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z EVERCARE SYLVIA MCTIGUE 31 CERONE PLACE NEWBURGH NY 12550 61818289 0 X WWW.EVERCARE.ORG X 1997 NY GUIDED BY THE PRINCIPLES OF QUALITY, RESPECT, EXCELLENCE, ETHICS & INTEGRITY, EVERCARE CARES FOR THE COMMUNITY THROUGH UNCOMPROMISED COMMITMENT TO COMPASSIONATE PEOPLECARE. 8 7 151 0 0 0 7501 173345 45890863 57799722 186865 126054 0 0 46085229 58099121 0 0 0 0 8604167 9115992 0 0 0 49795656 50142358 58399823 59258350 -12314594 -1159229 11908842 11668362 28310905 31710346 -16402063 -20041984 GUIDED BY THE PRINCIPLES OF QUALITY, RESPECT, EXCELLENCE, ETHICS & INTEGRITY, EVERCARE CARES FOR THE COMMUNITY THROUGH UNCOMPROMISED COMMITMENT TO COMPASSIONATE PEOPLECARE. 0 0 52686532 53990923 EVERCARE CHOICE IS AN INSURANCE PLAN THAT STREAMLINES THE DELIVERY OF LONGTERM SERVICES TO PEOPLE WHO ARE CHRONICALLY ILL OR DISABLED AND WHO WISH TO STAY IN THEIR HOMES AND COMMUNITIES. THESE SERVICES, SUCH AS HOME CARE OR ADULT DAY CARE, ARE PROVIDED THROUGH MANAGED LONGTERM CARE ("MLTC") PLANS THAT ARE APPROVED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. THE ENTIRE ARRAY OF SERVICES TO WHICH AN ENROLLED MEMBER IS ENTITLED, CAN BE RECEIVED THROUGH THE MLTC PLAN. 1874894 3701091 EVERCARE AT HOME PROVIDES PART-TIME, INTERMITTENT HEALTH CARE AND SUPPORT SERVICES TO INDIVIDUALS WHO NEED INTERMEDIATE AND SKILLED HEALTH CARE. CERTIFIED HOME HEALTH AGENCIES CAN ALSO PROVIDE LONG-TERM NURSING AND HOME HEALTH AIDE SERVICES, HELP PATIENTS DETERMINE THE LEVEL OF SERVICES THEY NEED, AND PROVIDE OR ARRANGE FOR OTHER SERVICES INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, MEDICAL SUPPLIES AND EQUIPMENT, AND SOCIAL WORKER AND NUTRITION SERVICES. 317467 107708 EVERCARE LIFE IS A STRUCTURED, COMPREHENSIVE PROGRAM THAT PROVIDES FUNCTIONALLY IMPAIRED ADULTS (THOSE WHO NEED HELP WITH EVERYDAY TASKS) WITH AN ARRAY OF SERVICES IN A PROTECTIVE SETTING FOR ANY PART OF THE DAY, BUT FOR LESS THAN A 24-HOUR PERIOD. EACH PARTICIPANT RECEIVES SERVICES IN ACCORDANCE WITH AN INDIVIDUALIZED SERVICE PLAN THAT IS BASED ON AN ASSESSMENT OF THE INDIVIDUAL. 54878893 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 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 0 0 1 196 0 1 151 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X JENNIFER RICCARDI 8455690500 31 CERONE PLACE NEWBURGH NY 12550 STEPHEN ALBANESE SECRETARY 1.00 X X 0 0 0 STEPHEN M BROWN CHAIRMAN 1.00 X X 0 0 0 JOSEPH GIBBS TRUSTEE 1.00 X 0 0 0 JOHN MACENROE VICE CHAIRMAN 1.00 X X 0 0 0 SYLVIA MCTIGUE CHIEF EXECUTIVE OFFICER 40.00 X X 300000 0 21243 JOHN SALANDRA TREASURER 1.00 X X 0 0 0 CHRISTINE WOOD TRUSTEE 1.00 X 0 0 0 IRVING ZUCKERMAN TRUSTEE 1.00 X 0 0 0 ALLISON ROSSI DIRECTOR - FINANCE 40.00 X 69231 0 8769 MAUREEN T WHITE VP - OUTREACH & PROVIDER RELATIONS 40.00 X 170000 0 0 SCHENITA WHITE ASSISTANT DIRECTOR OF FINANCE 40.00 X 130109 0 15226 KIM THOMPSON VP - HUMAN RESOURCES 40.00 X 125008 0 8401 SIOBAN WYNNE DIRECTOR - PATIENT SERVICES 40.00 X 125000 0 23711 MARCY K REPOSA VP OPERATIONS 40.00 X 118650 0 7833 JANET O'CONNOR CARE MANAGER 40.00 X 114524 0 20458 1152522 0 105641 7 0 1 0 MORITT HOCK & HAMROFF LLP 400 GARDEN CITY PLAZA GARDEN CITY NY 11530 LEGAL SEVICES 450881 ROBERT HALF INTERNATIONAL INC 12400 COLLECTION CENTER DRIVE CHICAGO IL 60693 CONTRACTED STAFF 369196 PRODUCTIVE PROGRAMMING 4901 PAGE LANE BLACK EARTH WI 11580 COMPUTER SOFTWARE CONSULTING 273119 RSM US LLP 5155 PAYSHPERE CIRCLE CHICAGO IL 60674 IT CONTRACTOR 227090 OPTUMINSIGHT PO BOX 84019 CHICAGO IL 60689 ACTUARIAL SERVICES 196750 7 167336 6009 173345 NET MEMBER SERVICE REVENUE 623000 48880392 48880392 DOH STATE MINIMUM WAGE REIMBURSEM 623000 5110531 5110531 HOME HEALTHCARE REVENUE 623000 3701091 3701091 SOCIAL DAYCARE REVENUE 623000 107708 107708 57799722 42450 42450 3802772 3719168 83604 83604 83604 58099121 57799722 0 126054 569243 132537 436706 6706758 5375425 1331333 1306316 1083074 223242 533675 432965 100710 686204 686204 7110 7110 438490 71341 367149 293265 60969 232296 575788 220412 355376 311983 221441 90542 1705097 1697855 7242 93518 8006 85512 77821 45233 32588 MEDICAL 43347371 43343660 3711 PROVISION FOR LOSES ON 1507181 1507181 PURCHASED SERVICES 1098530 678794 419736 59258350 54878893 4379457 0 3812657 4143223 3964509 960589 96603 235924 3766470 2513724 1307400 1252746 2727673 2908511 0 2167369 11908842 11668362 27424282 29421216 886623 821028 1468102 28310905 31710346 X -16402063 -20041984 -16402063 -20041984 11908842 11668362 -1159229 61894 -2542586 0 X X 0 1 X 1 0 X 64928 86743 1573 7501 1009 161754 42784902 51291404 50674237 45890863 57799722 248441128 42849830 51378147 50675810 45898364 57800731 248602882 0 0 0 248602882 16415 69571 13830 186865 42450 329131 16415 69571 13830 186865 42450 329131 42866245 51447718 50689640 46085229 57843181 248932013 0.99870 1.00000 0.00130 0.00150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 250157 250157 2015271 1084605 930666 1501042 1429119 71923 1252746 ASSETS LIMITED TO USE, ESCROW DEPOSIT 2167369 2167369 X 58153905 61894 61894 58092011 7110 7110 58099121 59251240 0 59251240 7110 7110 59258350 PART X, LINE 2: THE ORGANIZATION QUALIFIES AS NONPROFIT-ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A NOT-FOR-PROFIT ENTITY, THE ORGANIZATION IS SUBJECT TO UNRELATED BUSINESS INCOME TAX ("UBIT"), IF APPLICABLE. IN ACCORDANCE WITH FASB ASC 740, INCOME TAXES, THE ORGANIZATION APPLIES THE "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION AND DERECOGNITION OF TAX POSITIONS FOR ITS FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND HAS CONCLUDED THAT THERE WERE NO UNCERTAIN TAX POSITIONS THAT QUALIFIED FOR EITHER RECOGNITION OR DISCLOSURE. X X 0 0 0 0 0 0 0 0 0 SYLVIA MCTIGUE CHIEF EXECUTIVE OFFICER 300000 0 0 0 0 0 0 0 21243 0 321243 0 0 0 MAUREEN T WHITE VP - OUTREACH & PROVIDER RELATIONS 170000 0 0 0 0 0 0 0 0 0 170000 0 0 0 PART I, LINE 3 THE BOARD OF TRUSTEES REVIEWS AND APPROVES THE CEO'S COMPENSATION. COMPENSATION RECOMMENDATIONS ARE DERIVED FROM REPUTABLE TOP TIER SURVEY HOUSES AS WELL AS LOCAL INDUSTRIES AND ASSOCIATION SPECIFIC SOURCES. WORLD AT WORK STANDARDS ARE FOLLOWED IN THE SELECTION AND USE OF SAID COMPENSATION SURVEYS TO ASSURE RELIABILITY AND VALIDITY OF DATA SOURCES. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WILL BE PRESENT IN THE BOARD'S PACKET. THE FORM 990 WILL BE REVIEWED, DISCUSSED AND APPROVED DURING A MEETING OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CORPORATE COMPLIANCE COMMITTEE THAT REGULARLY MEETS AND MONITORS MATTERS OF COMPLIANCE AND AREAS OF RISK. THE ORGANIZATION TRAINS, REVIEWS AND AUDITS ON AN ONGOING BASIS. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS INCLUDED A CONSULTANT, 3RD PARTY COMPENSATION DATA, BOARD DISCUSSION VIA EXECUTIVE SESSION, COMPENSATION PHILOSOPHY POLICY AND BOARD APPROVAL. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE DISCLOSURES ARE COVERED UNDER THE ORGANIZATION'S ANNUAL PUBLIC DISCLOSURE POLICY WHICH LISTS GOVERNMENT DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS. ALL OTHER RELEVANT DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 DISCLOSURE IS COVERED BY THE ORGANIZATION'S ANNUAL PUBLIC DISCLOSURE POLICY WHICH LISTS GOVERNMENT DOCUMENTS, CONFLICTS OF INTEREST, AND FINANCIAL STATEMENTS. OTHER RELEVANT DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE FINANCE AND AUDIT COMMITTEE OF THE BOARD, IN ACCORDANCE WITH IT'S CHARTER, ASSUMES THE RESPONSIBILITY AS AUTHORIZED ABOVE, INCLUDING THE ENGAGEMENT OF INDEPENDENT AUDITORS. THE COMMITTEE RECOMMENDS FOR APPROVAL BY THE TRUSTEE OF THE BOARD.