HEALTHFIRST HEALTH PLAN INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHFIRST HEALTH PLAN INC (EIN 11-3029569)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-10
- IRS object ID
- 201713149349300936
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-10T09:12:41-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 TIMES SQUARE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100366530 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 113029569 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Healthfirst Health Plan Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CRAIG BARATTIN-VP CONTROLLER | InCareOfNm |
| Business Name Control | HEAL | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CHURCH ST FL 18 | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100072601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN BERMEL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2128016000 | PhoneNum |
| Signature | 2017-11-08 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Laura Kielczewski | PreparerPersonNm |
| PTIN | P00740769 | PTIN |
| Phone | 2127733000 | PhoneNum |
| Preparation | 2017-11-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.41.123.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 13966820173145000000 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-10 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 48376AC60715834143EC7E8D06BB46C111BC8BCB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 48376AC60715834143EC7E8D06BB46C111BC8BCB | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PATRICIA J WANG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CHURCH ST FL 18 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100072601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,241,794,543 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | www.healthfirst.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE THE HEALTH AND WELL-BEING OF UN DERSERVED POPULATIONS BY PROVIDING AFFORDABLE QUALITY HEALTH PLANS TO ELIGIBLE MEDICARE,COMPLETE CARE,FIDA&COMMERCIAL INSURANCE RECIPIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,023,330,551 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,237,801,213 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,054,008 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,993,330 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,028,384,559 | PYTotalRevenueAmt |
| CY Total Revenue | $2,241,794,543 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,022,601,004 | PYOtherExpensesAmt |
| CY Other Expenses | $2,235,299,601 | CYOtherExpensesAmt |
| PY Total Expenses | $2,022,601,004 | PYTotalExpensesAmt |
| CY Total Expenses | $2,235,299,601 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,783,555 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,494,942 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $652,104,450 | TotalAssetsBOYAmt |
| Total Assets EOY | $831,021,649 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $380,834,271 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $529,293,275 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $271,270,179 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $301,728,374 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | IMPROVE THE HEALTH AND WELL-BEING OF UNDERSERVED POPULATIONS BY PROVIDING AFFORDABLE QUALITY HEALTH PLANS TO ELIGIBLE MEDICARE, COMPLETE CARE, FIDA & COMMERCIAL INSURANCE RECIPIENTS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,742,285,189 | ExpenseAmt |
| Revenue | $1,798,754,105 | RevenueAmt |
| Desc | MEDICARE: HEALTHFIRST HEALTH PLAN, INC. (HFHP), IS INCORPORATED UNDER THE NOT-FOR-PROFIT LAW OF THE STATE OF NEW YORK AND IS LICENSED UNDER ARTICLE 44 OF THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK AS A HEALTH MAINTENANCE ORGANIZATION THAT PROVIDES ACCESS TO AFFORDABLE, QUALITY CARE THROUGH ITS NETWORK OF PARTICIPATING PROVIDERS AND HOSPITALS. HFHP PROVIDES HEALTH CARE SERVICES TO MEDICARE ADVANTAGE MEMBERS WHO ARE INDIGENT, AGED, DISABLED AND/OR MEDICALLY UNDERSERVED. IN 2016, THERE ARE APPROXIMATELY 79 PROVIDER ORGANIZATIONS WITH HFHP THAT SERVED 165,370 MEDICARE MEMBERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $324,699,168 | ExpenseAmt |
| Revenue | $350,245,414 | RevenueAmt |
| Desc | COMPLETECARE: HEALTHFIRST HEALTH PLAN, INC. (HFHP), IS INCORPORATED UNDER THE NOT-FOR-PROFIT LAW OF THE STATE OF NEW YORK AND IS LICENSED UNDER ARTICLE 44 OF THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK AS A HEALTH MAINTENANCE ORGANIZATION THAT PROVIDES ACCESS TO AFFORDABLE, QUALITY CARE THROUGH ITS NETWORK OF PARTICIPATING PROVIDERS AND HOSPITALS. HFHP PROVIDES HEALTH CARE SERVICES TO COMPLETE CARE MEMBERS. COMPLETECARE IS A MEDICAID ADVANTAGE PLUS SPECIAL NEEDS PLAN THAT COMBINES MEDICARE AND MEDICAID BENEFITS, WITH ADDED LONG-TERM CARE SERVICES FOR QUALIFIED DUAL-ELIGIBLE MEMBERS. IN 2016, THERE ARE APPROXIMATELY 57 PROVIDER ORGANIZATIONS WITH HFHP THAT SERVED 5,152 COMPLETE CARE MEMBERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $83,430,734 | ExpenseAmt |
| Revenue | $88,666,423 | RevenueAmt |
| Desc | FIDA: HEALTHFIRST HEALTH PLAN, INC. (HFHP), IS INCORPORATED UNDER THE NOT-FOR-PROFIT LAW OF THE STATE OF NEW YORK AND IS LICENSED UNDER ARTICLE 44 OF THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK AS A HEALTH MAINTENANCE ORGANIZATION THAT PROVIDES ACCESS TO AFFORDABLE, QUALITY CARE THROUGH ITS NETWORK OF PARTICIPATING PROVIDERS AND HOSPITALS. HFHP PROVIDES HEALTH CARE SERVICES TO FIDA MEMBERS, WHOSE BENEFIT CAN BE INTEGRATED AND CARE ACROSS THE MEDICARE AND MEDICAID PROGRAMS. IN 2016, THERE ARE APPROXIMATELY 52 PROVIDER ORGANIZATIONS WITH HFHP THAT SERVED 1,463 FIDA MEMBERS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (6 entries)
| DescDesc |
|---|
| HEALTHY NEW YORK COMMERCIAL: |
| IN 2016 THERE ARE 31 HEALTHY NEW YORK MEMBERS |
| AND APPROXIMATELY 10 PROVIDER ORGANIZATIONS. |
| A PROGRAM OVERSEEN BY NY STATE DEPT. |
| OF FINANCIAL SERVICES TO PROVIDE |
| AFFORDABLE HEALTH CARE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $129,286 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $135,271 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $2,150,544,377 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 8487 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CRAIG BARATTIN-VP CONTROLLER | PersonNm |
| Phone | 2128016000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CHURCH ST FL 18 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100072601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| RICHARD MURCOTT | |||||||||
| BOARD DIRECOR-COMMUNITY REP. | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAY A SCHECHTMAN | |||||||||
| CHIEF MEDICAL OFFICER | 1.0 | 40.0 | Yes (X) | $0 | $857,313 | $125,306 | |||
| ELIZABETH RST CLAIR | |||||||||
| CHIEF LGL OFFICER-End 9/30/16 | 1.0 | 40.0 | Yes (X) | $0 | $879,977 | $110,029 | Yes (X) | ||
| STEPHEN ROSENTHAL | |||||||||
| BOARD DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ERIC SCALETTAR | |||||||||
| BOARD DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA J WANG | |||||||||
| CHIEF EXECUTIVE OFFICER | 1.0 | 40.0 | $0 | $3,263,189 | $360,296 | Yes (X) | |||
| DANIEL P MCCARTHY | |||||||||
| PRESIDENT & COO | 1.0 | 40.0 | $0 | $1,482,463 | $198,420 | Yes (X) | |||
| CRAIG BARATTIN | |||||||||
| VP CONTROLLER-END 5/11/16 | 1.0 | 40.0 | $0 | $379,502 | $35,322 | Yes (X) | |||
| SEAN M NATARO | |||||||||
| SECRETARY-BEG 5/11/16 | 1.0 | 40.0 | $0 | $386,755 | $35,322 | Yes (X) | |||
| JOHN J BERMEL | |||||||||
| CFO-BEG 2/1/16 | 1.0 | 40.0 | $0 | $621,734 | $15,873 | Yes (X) | |||
| PAUL E PORTSMORE JR | |||||||||
| SVP, BUS DEV AND MBR ACQUI | 1.0 | 40.0 | $0 | $646,818 | $95,926 | Yes (X) | |||
| REBECCA SCHWIETZ | |||||||||
| SVP CLINICAL SERVICES | 1.0 | 40.0 | $0 | $542,851 | $86,462 | Yes (X) | |||
| GERALD T SWEENEY | |||||||||
| SVP CIO | 1.0 | 40.0 | $0 | $870,836 | $137,731 | Yes (X) | |||
| SEAN KANE | |||||||||
| CHIEF HR OFFICER | 1.0 | 40.0 | $0 | $652,845 | $103,072 | Yes (X) | |||
| MELINDA A THIEL | |||||||||
| SVP STRAT INT & BUS TRAN | 1.0 | 40.0 | $0 | $492,183 | $70,125 | Yes (X) | |||
| MARYBETH A TITA | |||||||||
| SVP-CORP. FINANCE-END 3/31/15 | 0.0 | 0.0 | $0 | $212,981 | $0 | Yes (X) | |||
| MICHAEL FEDYNA | |||||||||
| CFO-END 7/21/15 | 1.0 | 40.0 | $0 | $503,800 | $23,002 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $11,793,247 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,396,886 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CAREMARK LLC | |||||
| ONE CVS DRIVE | WOONSOCKET | RI | 02895 | PHARMACY | $766,948,748 |
| NEW YORK CITY HEALTH AND HOSPITAL C | |||||
| 125 WORTH STREET ROOM 514 | NEW YORK | NY | 10013 | MEDICAL/HOSPITAL | $234,882,507 |
| MONTEFIORE MEDICAL CENTER | |||||
| PO BOX 4296 CHURCH STREET STATION | NEW YORK | NY | 10261 | MEDICAL/HOSPITAL | $130,157,819 |
| NY PRESBYTERIAN HOSP-COLUMBIA | |||||
| PO BOX 6154 | NEW YORK | NY | 10249 | MEDICAL/HOSPITAL | $71,686,356 |
| MOUNT SINAI HOSPITAL | |||||
| 1 GUSTAVE L LEVY PLACE | NEW YORK | NY | 10029 | MEDICAL/HOSPITAL | $55,583,527 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1151 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE (INCLUDES PART D) | 524114 | $1,798,754,105 | $1,798,754,105 |
| COMPLETE CARE (INCLUDES PART D) | 524114 | $350,245,414 | $350,245,414 |
| FIDA | 524114 | $88,666,423 | $88,666,423 |
| COMMERCIAL (INCLUDES HEALTHY NY) | 524114 | $135,271 | $135,271 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,237,801,213 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,993,330 | TotalRevenueColumnAmt |
| Exclusion | $3,993,330 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,241,794,543 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,237,801,213 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,993,330 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,812,254 | TotalAmt |
| Program Services | $170,724,210 | ProgramServicesAmt |
| Management And General | $84,088,044 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $921,453 | TotalAmt |
| Program Services | $365,240 | ProgramServicesAmt |
| Management And General | $556,213 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,501,935 | TotalAmt |
| Program Services | $5,501,935 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,937 | TotalAmt |
| Program Services | $341,616 | ProgramServicesAmt |
| Management And General | $132,321 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $697,565 | TotalAmt |
| Program Services | $697,565 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HEALTHCARE SERVICE COSTS | $1,944,960,121 | $1,944,960,121 | |
| MEDICAL ADMINISTRATIVE | $27,695,898 | $27,695,898 | |
| CLAIMS ADJUSTMENT EXPENSE | $236,438 | $257,792 | -$21,354 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,235,299,601 | TotalAmt |
| Program Services | $2,150,544,377 | ProgramServicesAmt |
| Management And General | $84,755,224 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,939,016 | BOYAmt |
| EOY | $221,316,525 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,654,202 | BOYAmt |
| EOY | $63,029,438 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,086,412 | BOYAmt |
| EOY | $346,292,166 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,424,820 | BOYAmt |
| EOY | $200,383,520 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $652,104,450 | BOYAmt |
| EOY | $831,021,649 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $342,643,503 | BOYAmt |
| EOY | $466,432,598 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,190,768 | BOYAmt |
| EOY | $62,860,677 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,834,271 | BOYAmt |
| EOY | $529,293,275 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,270,179 | BOYAmt |
| EOY | $301,728,374 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,270,179 | BOYAmt |
| EOY | $301,728,374 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $652,104,450 | BOYAmt |
| EOY | $831,021,649 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,494,942 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $618,398 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $23,344,855 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp |
Other Assets Org OtherAssetsOrgGrp (13 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST RECEIVABLE | $1,192,170 |
| PHARMACY REBATE RECEIVABLE | $145,689,936 |
| COVERAGE GAP DISCOUNT PROGRAM | $3,482,558 |
| MEDICARE NEGATIVE VENDOR BAL | $4,122,676 |
| MEDICARE D PLAN-TO-PLAN RECV | $4,323 |
| OTHER CURRENT ASSETS/PREPAID | $6,412,840 |
| OTHER MEDICAL RECEIVABLE | $3,763,736 |
| SECURITY DEPOSIT - OTHER | $147,200 |
| PART D DEPOSIT - LOW INCOME | $6,046 |
| PART D DEPOSIT - REINSURANCE | $0 |
| DUE FROM HEALTHFIRST OF NJ | $9,400 |
| DUE FROM HFMS | $23,052,635 |
| INVESTMENT IN AFFILIATE | $12,500,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $200,383,520 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO CMS | $5,717,646 |
| MEDICARE PART D DEPOSIT LIABIL | $20,331,570 |
| DUE TO 501(C)(3) AFFILIATE | $16,875,570 |
| NOTE PAYABLE TO RELATED PARTY | $15,798,466 |
| OTHER CURRENT LIABILITIES | $4,137,425 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $62,860,677 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $2,265,757,796 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $618,398 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $23,344,855 | OtherRevenueAmt |
| Revenue Not Reported | $23,963,253 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,241,794,543 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $2,241,794,543 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,235,299,601 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $2,235,299,601 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $2,235,299,601 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART XI, LINE 2D - OTHER ADJUSTMENTS | FormAndLineReferenceDesc |
| Explanation | NET RELEASES FROM FINANCIAL SECURITY DEPOSITS FOR MEMBER HOSPITALS: $(993,700). ADMINISTRATIVE CHARGES: $24,338,555. The health care services agreements with certain hospitals require that a portion of the premiums are retained as an administrative cost by Healthfirst Health Plan (HFHP), which represents the capital required for its statutory financial reserves. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JAY A SCHECHTMAN | |||||||||||
| CHIEF MEDICAL OFFICER | $434,310 | $309,736 | $113,267 | $0 | $106,830 | $0 | $18,622 | $0 | $982,765 | $0 | $93,963 |
| ELIZABETH RST CLAIR | |||||||||||
| CHIEF LGL OFFICER-End 9/30/16 | $407,339 | $336,888 | $135,750 | $0 | $100,613 | $0 | $9,567 | $0 | $990,157 | $0 | $0 |
| PATRICIA J WANG | |||||||||||
| CHIEF EXECUTIVE OFFICER | $1,147,767 | $979,693 | $1,135,729 | $0 | $354,219 | $0 | $6,228 | $0 | $3,623,636 | $0 | $1,088,131 |
| MARYBETH A TITA | |||||||||||
| SVP-CORP. FINANCE-END 3/31/15 | $0 | $0 | $212,981 | $0 | $0 | $0 | $0 | $0 | $212,981 | $0 | $0 |
| DANIEL P MCCARTHY | |||||||||||
| PRESIDENT & COO | $698,258 | $607,037 | $177,168 | $0 | $186,111 | $0 | $12,421 | $0 | $1,680,995 | $0 | $157,287 |
| PAUL E PORTSMORE JR | |||||||||||
| SVP, BUS DEV AND MBR ACQUI | $396,319 | $248,312 | $2,187 | $0 | $95,926 | $0 | $140 | $0 | $742,884 | $0 | $0 |
| REBECCA SCHWIETZ | |||||||||||
| SVP CLINICAL SERVICES | $340,655 | $201,601 | $595 | $0 | $67,040 | $0 | $19,553 | $0 | $629,444 | $0 | $0 |
| MICHAEL FEDYNA | |||||||||||
| CFO-END 7/21/15 | $221,431 | $277,971 | $4,398 | $0 | $15,900 | $0 | $7,102 | $0 | $526,802 | $0 | $0 |
| CRAIG BARATTIN | |||||||||||
| VP CONTROLLER-END 5/11/16 | $256,886 | $122,331 | $285 | $0 | $15,900 | $0 | $19,513 | $0 | $414,915 | $0 | $0 |
| GERALD T SWEENEY | |||||||||||
| SVP CIO | $442,296 | $427,020 | $1,520 | $0 | $119,335 | $0 | $18,506 | $0 | $1,008,677 | $0 | $0 |
| SEAN KANE | |||||||||||
| CHIEF HR OFFICER | $396,551 | $244,556 | $11,738 | $0 | $103,072 | $0 | $138 | $0 | $756,055 | $0 | $9,878 |
| SEAN M NATARO | |||||||||||
| SECRETARY-BEG 5/11/16 | $275,625 | $109,613 | $1,517 | $0 | $15,900 | $0 | $19,516 | $0 | $422,171 | $0 | $0 |
| JOHN J BERMEL | |||||||||||
| CFO-BEG 2/1/16 | $522,697 | $99,037 | $0 | $0 | $0 | $16,025 | $0 | $637,759 | $0 | $0 | |
| MELINDA A THIEL | |||||||||||
| SVP STRAT INT & BUS TRAN | $304,555 | $185,765 | $1,863 | $0 | $70,125 | $0 | $120 | $0 | $562,428 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. ELIZABETH ST. CLAIR - TOTAL SEVERANCE: $759,575, SEVERANCE PAID IN 2016: $107,120 SEVERANCE DEFERRED: $652,455. MARYBETH TITA, SEVERANCE PAID IN 2016: $135,635. |
| 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 FROM THE PLAN SPONSOR FOR 2016: PATRICIA J. WANG $338,319 [Col. C] DANIEL P. McCARTHY $176,344 [Col. C] ELIZABETH R. ST CLAIR $84,713 [Col. C] JAY A. SCHECHTMAN $90,930 [Col. C] GERALD T. SWEENEY $103,455 [Col. C] SEAN KANE $87,172 [Col. C] PAUL PORTSMORE $80,026 [Col. C] MELINDA THIEL $56,547 [Col. C] REBECCA SCHWIETZ $51,140 [Col. C] MARYBETH TITA $77,346 [Col. C] |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| HF MANAGEMENT SERVICES LLC | |||
| COMMON OFFICERS/DIRECTORS | $254,812,254 | MANAGEMENT AND ADMIN SERVICES | false |
| HF MANAGEMENT SERVICES LLC | |||
| COMMON OFFICERS/DIRECTORS | $15,798,466 | NOTES PAYABLE OUTSTANDING | false |
| HF MANAGEMENT SERVICES LLC | |||
| COMMON OFFICERS/DIRECTORS | $38,500,000 | PHARMACY RECEIVABLE ASSIGNMENT | false |
| HEALTHFIRST PHSP INC | |||
| COMMON OFFICERS/DIRECTORS | $54,572,000 | RISK SHARING INTERCO TRANSFER | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | HEALTHFIRST HEALTH PLAN INC. (HFHP), CONTRACTS WITH HF MANAGEMENT SERVICES, LLC (HFMS), A RELATED ORGANIZATION, 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 PROVIDED BY HFMS. HFMS CHARGES A PERCENT OF PREMIUMS ON A PER MEMBER PER MONTH BASIS OR A FLAT FEE PER MEMBER PER MONTH. THE ARRANGEMENT IS APPROVED BY STATE REGULATORS. 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 HFHP. |
| FORM 990, PART VI, SECTION A, LINE 6 | HEALTHFIRST HEALTH PLAN INC. HAS A SOLE CORPORATE MEMBER, WHICH IS HEALTHFIRST, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | HEALTHFIRST, INC., A RELATED NOT-FOR-PROFIT ORGANIZATION, HAS THE RIGHT TO APPOINT THE MEMBERS OF THE BOARD OF DIRECTORS OF HEALTHFIRST HEALTH PLAN, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | SOME DECISIONS OF THE GOVERNING BODY, SHOULD THEY OCCUR, ARE SUBJECT TO APPROVAL BY OTHER ENTITIES: * REPAYMENT OF THE ORGANIZATION'S DEBT OBLIGATIONS REQUIRES STATE REGULATORY APPROVAL * DISTRIBUTION OF THE ORGANIZATION'S NET ASSETS REQUIRES STATE REGULATORY APPROVAL * CERTAIN CHANGES TO PREMIUM RATES ARE SUBJECT TO FEDERAL OR STATE REGULATORY APPROVAL * EXPANSION TO OTHER MANAGED CARE BUSINESSES REQUIRES STATE LICENSURE * MANAGEMENT FEE RATE CHANGES REQUIRE APPROVAL FROM THE MANAGEMENT COMPANY AND STATE REGULATORS |
| 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 AND TREASURER. 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 REVIEW 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. A REPORT OF ANY CONFLICTS IS PREPARED FOR DISCUSSION WITH AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS OF HEALTHFIRST, INC., THE NOT FOR PROFIT CORPORATE PARENT, AS WELL AS THE FULL BOARD OF DIRECTORS OF HEALTHFIRST HEALTH PLAN, INC. AS APPROPRIATE. 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 OFFICERS OR EMPLOYEES, THE ORGANIZATION HAS RESPONDED "NO." HOWEVER, THE COMPENSATION OF THE CEO, OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE COMPENSATION COMMITTEE OF HF MANAGEMENT SERVICES, LLC, THE MANAGEMENT COMPANY THAT PROVIDES ALL SERVICES TO HFHP (A RELATED ORGANIZATION). THE COMMITTEE CONSISTS ONLY OF HFMS MEMBER HOSPITAL DIRECTORS (WHO ARE NOT EMPLOYED NOR COMPENSATED BY HFMS OR ANY OF ITS AFFILIATES). THE PROCESS FOR DETERMINING COMPENSATION IS DESCRIBED IN THE COMMITTEES 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 XI, LINE 9 | OTHER CHANGES IN NET ASSETS - NET RELEASES FROM FINANCIAL SECURITY DEPOSITS FOR MEMBER HOSPITALS: $(993,700). ADMINISTRATIVE CHARGES: $24,338,555. TOTAL OTHER CHANGES IN NET ASSETS: $23,344,855. |
| FORM 990, PART XII, LINE 2C | THE SELECTION OF THE INDEPENDENT AUDITOR IS ADMINISTERED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS OF HEALTHFIRST, INC. (A RELATED ORGANIZATION). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHFIRST PHSP INC | |||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 133783732 | MANAGED CARE | NY | 501 (C)3 | 10 | HEALTHFIRST | Yes (true) | |
| HEALTHFIRST INC | |||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 133714932 | MANAGED CARE | NY | 501 (C)3 | 12 Type I | false | N/A | |
| HEALTHFIRST HEALTH PLAN OF NJ INC | |||||||||||
| 1 WASHINGTON ST STE 1405 | NEWARK | NJ | 07102 | 510609967 | MANAGED CARE | NJ | 501 (C)4 | HF MGMT SVCS | Yes (true) | ||
| SENIOR HEALTH PARTNERS INC | |||||||||||
| 100 CHURCH STREET 18FL | NEW YORK | NY | 10007 | 134103882 | MGD LT CARE | NY | 501 (C)3 | 10 | HF MGMT SVCS | Yes (true) | |
| NEIGHBORHOOD HEALTH PROVIDERS INC | |||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 943474115 | MANAGED CARE | NY | 501 (C)3 | 10 | HEALTHFIRST | Yes (true) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HF MANAGEMENT SERVICES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CHURCH ST FL 18 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100072601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134069806 | EIN |
| Primary Activities | 3RD PTY ADM S | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| HF ADMINISTRATIVE SERVICES INC | |||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 100072601 | 133873482 | 3RD PTY ADM S | NY | HF MGMT SVCS | C CORP | Yes (true) |
| HEALTHFIRST INSURANCE COMPANY INC | |||||||||
| 100 CHURCH STREET FL 18 | New York | NY | 100072601 | 464545744 | Insur. Provid | NY | NA | C corp | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HF MANAGEMENT SERVICES LLC | ||
| E | $15,798,466 | NOTES PAYABLE |
| HF MANAGEMENT SERVICES LLC | ||
| G | $38,500,000 | AGREEMENT |
| HF MANAGEMENT SERVICES LLC | ||
| M | $254,812,254 | CONTRACTED RATE |
| HEALTHFIRST PHSP INC | ||
| R | $54,572,000 | CONTRACT |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R, PART V, LINE 2 | FormAndLineReferenceDesc |
| Explanation | METHOD OF DETERMINING AMOUNT INVOLVED ITEM (1): THE AMOUNT REPRESENTS THE BALANCE OUTSTANDING, INCLUDING INTEREST ACCRUED AND UNPAID, AT DECEMBER 31, 2016. ITEM (2): HFHP ENTERED INTO AN ASSIGNMENT OF PROCEEDS AGREEMENT WITH HFMS. UNDER THE TERMS OF THIS AGREEMENT, HFHP CAN ASSIGN, FROM TIME TO TIME, ALL OR PARTS OF ITS RIGHTS, TITLE AND INTEREST IN THE PROCEEDS OF CERTAIN PHARMACY REBATES RECEIVABLE TO HFMS IN EXCHANGES FOR CASH OR OTHER CONSIDERATION. IN DOING SO, HFHP RETAINS 98% OF THE VALUE OF THE ASSIGNED RECEIVABLE, WITH HFMS RECEIVING A 2% FEE FOR THE ASSIGNMENT. ITEM (3): THE AMOUNT REPRESENTS THE EXPENSES INCURRED AND PAID OR DUE TO THE RELATED ORGANIZATION FOR SERVICES RENDERED BASED ON CONTRACTED RATES APPROVED BY RESOLUTION OF THE BOARD OF DIRECTORS AND STATE REGULATORS. ITEM (4) : IN ACCORDANCE WITH HFHP'S CONTRACTUAL ARRANGEMENTS AND UPON APPROVAL BY THE BOARDS OF DIRECTORS OF HFHP, HEALTHFIRST PHSP, INC. ("PHSP"), AN AFFILIATED COMPANY, AND HEALTHFIRST, CERTAIN MEMBER DEFICIT BALANCES IN PHSP MAY BE OFFSET BY A PERCENTAGE OF THAT MEMBER'S SURPLUS BALANCE IN HFHP THROUGH AN INTERCOMPANY TRANSFER; CONVERSELY, HFHP MEMBER DEFICIT BALANCES MAY BE OFFSET BY A PERCENTAGE OF PHSP'S SURPLUS BALANCES. IN 2016, THE ALLOWABLE AMOUNT OF SURPLUS OFFSET WAS INCREASED FROM 25% TO 50% OF SURPLUSES THAT MAY ACCRUE, AND WOULD OTHERWISE BE DISTRIBUTED TO A MEMBER HOSPITAL OR AFFILIATE INSTITUTION BY EITHER PHSP OR HFHP. | ExplanationTxt |