2018-11-13T12:41:52-06:00 2017-12-31 BDO USA LLP 100 PARK AVENUE NEW YORK NY 100175001 990 2017-01-01 461496685 PARTNERS HEALTH PLAN INC % RON ARFIN PART 6468444020 655 THIRD AVENUE 2ND FLOOR NEW YORK NY 100179130 VALLENCIA LLOYD CEO/COO 6468834171 2018-11-13 true Paul Hammerschmidt P01384178 2128858000 38.140.180.210 26308920183175000041 2018-11-13 P 1210560841ADC29080D5D665393427DBF2BE5B27 B3CB366207B97FBF425C865AC63E7FDBA441B342 2017 2019-02-21 02:37:17Z VALLENCIA LLOYD 655 THIRD AVENUE 2ND FLOOR NEW YORK NY 100179130 107717371 false X WWW.PHPCARES.ORG X 2012 NY PARTNERS HEALTH PLAN, INC. IS A MISSION-DRIVEN, PERSON-CENTERED ORGANIZATION DEDICATED TO ASSISTING INDIVIDUALS IN PURSUING THE LIVES THEY CHOOSE. 13 13 91 13 0 0 3157265 0 28355187 87857620 194703 522436 0 0 31707155 88380056 0 0 0 0 6294245 6934882 0 0 0 30998713 93005077 37292958 99939959 -5585803 -11559903 28823424 31160435 43697671 57690363 -14874247 -26529928 X PARTNERS HEALTH PLAN ("PHP") IS A MANAGED CARE ORGANIZATION DEDICATED SOLELY TO PROVIDING SUPPORT AND SERVICES FOR ADULTS AGE 21 AND OLDER WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. PHP IS COMMITTED TO KEEPING MEMBERS AS HEALTHY AND AS INDEPENDENT AS POSSIBLE, SO THEY CAN LIVE THE LIFE THEY CHOOSE. PHP PROMOTES THE WELLNESS, SUPPORTS THE CHOICE, INTEGRATES THE SERVICES, RESPECTS THE DIVERSITY OF AND IMPROVES THE LIFE OF PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. false false 83374939 0 87857620 Effective April 1, 2016, The New York State Department of Health (NYDOH) Issued a Health Maintenance Organization Certificate of Authority, licensing Partners Health Plan (PHP) to operate a FIDA-IDD Plan in the five boroughs of New York City and Nassau, Suffolk, Westchester and Rockland Counties. In 2017 PHP provided a wide range of support services, including Medicaid, Medicare, Personal Care and those offered by the Office for People with Developmental Disabilities for approximately 716 dual Medicaid and Medicare eligible adults, age 21 and older, with intellectual and other developmental disabilities. 83374939 false false false false false false false false false true false false true true true true false 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 47 0 true 91 true false false false false false false false false false false X 13 13 false false false false true true true true true false false true true true true true true false false false NY X RON ARFIN 6468834171 655 THIRD AVENUE 2ND FLOOR NEW YORK NY 100179130 X Michael Mascari Chairman of the Board 2.0 0.0 X X 0 0 0 Martin Boorstein Treasurer 2.0 0.0 X X 0 0 0 Howard Jurist Secretary 2.0 0.0 X X 0 0 0 Alden Kaplan director 2.0 0.0 X 0 0 0 Judy Trent director 2.0 0.0 X 0 0 0 Kevin Conroy Director 2.0 0.0 X 0 0 0 Howard Gold Director 2.0 0.0 X 0 0 0 Josh Hirsch Director, as of 3/8/17 2.0 0.0 X 0 0 0 Steven Logan Director 2.0 0.0 X 0 0 0 Bernard Rosof MD MACP Director 2.0 0.0 X 0 0 0 John Sardelis Director 2.0 0.0 X 0 0 0 Timothy Sullivan Director 2.0 0.0 X 0 0 0 Robert Norris director, as of 12/13/17 2.0 0.0 X 0 0 0 Vallencia Lloyd CEO/COO 47.5 0.0 X 302828 0 8205 Ron Arfin CHIEF FINANCIAL OFFICER 45.0 0.0 X 264402 0 17590 Edward Cotes VP Provider Network Management 40.0 0.0 X 182708 0 18979 Lisa Mingione Chief Compliance Officer 40.0 0.0 X 166197 0 3373 Karleen Haines Chief of Care Coordination 47.5 0.0 X 165802 0 25949 Jeffery Birgenheier director of IT 42.5 0.0 X 145752 0 4435 Paul Fiore Controller 42.5 0.0 X 138479 0 3551 1366168 0 82082 13 false true false HEALTHSMART BENEFIT SOLUTIONS 222 WEST LAS COLINAS BOULEVARD STE IRVING TX 75039 HEALTH PLAN MGMT 3840686 MEDISKED LLC 850 UNIVERSITY AVE ROCHESTER NY 14607 CARE MGMT PLATFORM 949046 GREENBERG TRAURIG LLP 54 STATE STREET FL 6 ALBANY NY 12207 LEGAL 193251 Dr Jan Abelseth 214 Riverside Drive NEW YORK NY 10025 consulting 177125 PerformRx LLC 200 Stevens Drive PHILADELPHIA PA 19113 Phar. Benefit mgmt 163527 5 0 MEDICARE/MEDICAID 624200 87857620 87857620 87857620 637265 637265 0 0 0 0 0 19222486 19337315 -114829 -114829 -114829 0 0 0 0 0 0 0 0 0 0 88380056 87857620 522436 0 0 0 0 0 0 0 0 593025 370394 222631 0 0 0 0 0 5300386 3310537 1989849 0 93642 58487 35155 0 495182 309283 185899 0 452647 282716 169931 0 5689218 798504 4890714 0 252832 0 252832 0 186789 0 186789 0 0 0 0 0 0 0 53177 53177 0 356190 356190 19128 19128 0 0 185397 64184 121213 0 151807 0 151807 0 0 0 0 0 484727 167812 316915 0 75103 75103 0 0 0 0 0 0 4402 2748 1654 0 732629 732629 0 0 83279 83279 0 146321 14632 131689 0 MEDICAL CLAIMS 74657328 74657328 PREMIUM DEFICIENCY RESERVE 6900000 6900000 PHARMACY CLAIMS 2887893 2887893 HIRING & RECRUITMENT 90372 90372 48485 48485 99939959 83374939 16565020 0 844515 4781667 7012802 686627 0 0 417501 1120444 0 0 0 0 0 0 0 0 535227 383995 381799 190875 181364 190924 19691672 17367520 0 0 0 0 0 0 140343 6629258 28823424 31160435 1800641 2554517 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41897030 55135846 43697671 57690363 X -14874247 -26529928 0 0 0 0 -14874247 -26529928 28823424 31160435 -11559903 -95778 X false true X true false 0 0 0 0 0 57352 10997 46355 190661 145221 45140 133786 34357 99429 190924 SECURITY DEPOSITS 140374 RISK CORRIDOR RECEIVABLE 6488884 6629258 0 SUBORDINATED SURPLUS NOTES 36129627 MEDICAL CLAIMS PAYABLE 12106219 PREMIUM DEFICIENCY RESERVE 6900000 55135846 X 88231101 -95778 -95778 88326879 53177 53177 88380056 99886782 99886782 53177 53177 99939959 PART X, LINE 2: Under Accounting Standards Codification ("ASC") 740, "Income Taxes," an organization must recognize the tax benefit associated with the tax positions taken for tax return purposes when it is more likely than not that the position will be sustained upon examination by a taxing authority. Partners Health Plan, Inc. (The "Reporting Organization") does not believe it has taken any material uncertain tax positions and, accordingly, it has not recorded any liability for unrecognized tax benefits. The Reporting Organization has filed for and received income tax exemptions in the jurisdictions where it is required to do so. Additionally, the Reporting Organization filed Internal Revenue Service Form 990 information returns, as required, and all other applicable returns in jurisdictions where so required. As of December 31, 2017, the Reporting Organization has not been subject to any examination by a taxing authority. X false false false false false false false false false Vallencia Lloyd CEO/COO 302828 0 0 0 0 0 5169 0 3036 0 311033 0 0 0 Ron Arfin CHIEF FINANCIAL OFFICER 264402 0 0 0 0 0 1200 0 16390 0 281992 0 0 0 Edward Cotes VP Provider Network Management 182708 0 0 0 0 0 3125 0 15854 0 201687 0 0 0 Lisa Mingione Chief Compliance Officer 166197 0 0 0 0 0 2706 0 667 0 169570 0 0 0 Karleen Haines Chief of Care Coordination 165802 0 0 0 0 0 3635 0 22314 0 191751 0 0 0 Jeffery Birgenheier director of IT 145752 0 0 0 0 0 3042 0 1393 0 150187 0 0 0 FORM 990, PART VI, SECTION A, LINE 6: Partners Health Plan, Inc. has one sole corporate member which is Partnerships for Healthcare Solutions, Inc. Partnerships for Healthcare Solutions, Inc. is a New York not-for-profit corporation which has two corporate members, PHSI, Inc. and Adapt Community Network (formerly known as United Cerebral Palsy of New York City), both new york non-profit organizations. FORM 990, PART VI, SECTION A, LINE 7a: The Board MEMBERS of Partners Health Plan, Inc. ARE appointed by its parent, Partnerships for Healthcare Solutions, Inc. FORM 990, PART VI, SECTION A, LINE 7b: Amendments to organization by-laws and restructuring of debt are subject to approval by members. FORM 990, PART VI, SECTION B, LINE 11b: FORM 990 IS PREPARED BY A NATIONALLY RENOWNED ACCOUNTING FIRM IN CONJUNCTION WITH THE ORGANIZATION'S FINANCIAL DEPARTMENT. DRAFT FORM 990 IS REVIEWED BY THE ORGANIZATION'S CFO AND THEN PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS IN DRAFT VIA ELECTRONIC MAIL, WITH AN OPPORTUNITY FOR THEM TO COMMENT OR MAKE INQUIRY BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12c: Each director and officer of the organization shall annually sign a certificate setting forth any interests or relationships that exist with any party with which the organization is, or is contemplating, transacting business, and certifying that no others exist. such procedure is also performed when entering the initial employment with the organization. Furthermore, each such person will be under a continuing obligation to disclose to the Chair of the organization in writing any such interests or relationships that may arise and have not yet been disclosed in the annual certificate. The organization's chief compliance officer monitors and enforces compliance with the conflict of interest policy. FORM 990, PART VI, SECTION B, LINE 15a and 15b: CEO/COO compensation was determined by Board approval of an employment contract. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PARTNERSHIPS FOR HEALTHCARE SOLUTIONS 655 THIRD AVENUE FL 2 NEW YORK NY 10017 463808560 HEALTHCARE NY 501(C)(4) N/A NA false PHSI INC 655 THIRD AVENUE FL 2 NEW YORK NY 10017 463311164 HEALTHCARE NY 501(C)(4) N/A NA false ADAPT COMMUNITY NETWORK 80 MAIDEN LANE 8TH FLOOR NEW YORK NY 10038 135654532 HEALTHCARE NY 501(C)(3) lINE 7 na false false false false false false false false false false false false false true false false false false false