NEW MEXICO HEALTH CONNECTIONS: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- NEW MEXICO HEALTH CONNECTIONS (EIN 45-1294709)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201723189349308707
- Schema version
- 2016v3.0
- 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 | 2017-11-14T13:50:26-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 870516083 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LARSON & COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9065 SOUTH 1300 EAST | AddressLine1Txt |
| City | SANDY | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84094 | 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 | 451294709 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW MEXICO HEALTH CONNECTIONS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWM | BusinessNameControlTxt |
| Phone | 5056338020 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2440 LOUISIANA BLVD NE SUITE 601 | AddressLine1Txt |
| City | ALBUQUERQUE | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87110 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR MARTIN HICKEY | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5056338020 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD SCORESBY CPA | PreparerPersonNm |
| PTIN | P00573067 | PTIN |
| Phone | 8013131900 | PhoneNum |
| Preparation | 2017-11-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | FA3AD499A82CD574225E4F8B95847FBA20476762 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D9F8ABBC4E7C92D3155C34040372F6D42BB4AEF3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR MARTIN HICKEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2440 LOUISIANA BLVD NE SUITE 601 | AddressLine1Txt |
| City | ALBUQUERQUE | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $197,170,029 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.MYNMHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | NM | LegalDomicileStateCd |
| Activity Or Mission | TO ESTABLISH A CONSUMER OPERATED AND ORIENTED PLAN (COOP) CONSISTENT WITH THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. NMHC WILL GENERATE FUNDING, ANALYSIS, AND SUSTAINABILITY CRITERIA FOR A NEW COOP HEALTH PLAN, INCLUDING AN ORGANIZATIONAL MODEL THAT ACCOMMODATES REGIONAL AND POPULATION-SPECIFIC PLANS FOR DELIVERING AFFORDABLE, COMMUNITY-SPECIFIC HEALTH CARE ACROSS THE STATE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 100 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $96,217,856 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $152,982,324 | CYProgramServiceRevenueAmt |
| PY Investment Income | $480,807 | PYInvestmentIncomeAmt |
| CY Investment Income | $841,491 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $96,698,663 | PYTotalRevenueAmt |
| CY Total Revenue | $153,823,815 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,457,257 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,839,569 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $112,241,942 | PYOtherExpensesAmt |
| CY Other Expenses | $163,865,949 | CYOtherExpensesAmt |
| PY Total Expenses | $119,699,199 | PYTotalExpensesAmt |
| CY Total Expenses | $171,705,518 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$23,000,536 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$17,881,703 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $61,014,683 | TotalAssetsBOYAmt |
| Total Assets EOY | $36,849,954 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $29,631,147 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,736,949 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $31,383,536 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,113,005 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ESTABLISH A CONSUMER OPERATED AND ORIENTED PLAN (COOP) CONSISTENT WITH THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. NMHC WILL GENERATE FUNDING, ANALYSIS, AND SUSTAINABILITY CRITERIA FOR A NEW COOP HEALTH PLAN, INCLUDING AN ORGANIZATIONAL MODEL THAT ACCOMMODATES REGIONAL AND POPULATION-SPECIFIC PLANS FOR DELIVERING AFFORDABLE, COMMUNITY-SPECIFIC HEALTH CARE ACROSS THE STATE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Desc | NEW MEXICO HEALTH CONNECTIONS (THE "COMPANY") IS A PRIVATE, NONPROFIT COMPANY ESTABLISHED UNDER INTERNAL REVENUE CODE 501(C)(29) THAT WAS INCORPORATED IN THE STATE OF NEW MEXICO IN FEBRUARY 2011. ON FEBRUARY 17, 2012, THE COMPANY BECAME A QUALIFIED NONPROFIT HEALTH INSURANCE ISSUER UNDER THE CONSUMER-OPERATED AND ORIENTED PLAN (CO-OP) PROGRAM ESTABLISHED BY SECTION 1322 OF THE AFFORDABLE CARE ACT AND APPLICABLE REGULATIONS. UNDER THIS PROGRAM, THE COMPANY RECEIVES STARTUP AND SOLVENCY LOANS FROM THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES, CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THE COMPANY IS GOVERNED BY ITS BOARD OF DIRECTORS, WHICH HAVE THE AUTHORITY AND RESPONSIBILITY FOR MANAGEMENT, CONTROL, AND ADMINISTRATION OF THE COMPANY. THE COMPANY RECEIVED ITS CERTIFICATE OF AUTHORITY FROM THE STATE OF NEW MEXICO PUBLIC REGULATION COMMISSION, INSURANCE DIVISION IN FEBRUARY 2013. THE PRIMARY MISSION OF THE COMPANY IS TO PROVIDE AFFORDABLE COMMUNITY HEALTH CARE INSURANCE ACROSS THE STATE OF NEW MEXICO TO THE INDIVIDUAL AND SMALL GROUP MARKETS. THE COMPANY BEGAN OPEN ENROLLMENT IN OCTOBER 2013, FOR AN EFFECTIVE INSURANCE COVERAGE DATE OF JANUARY 1, 2014. THE COMPANY IS FOCUSED ON THE WELL-BEING OF PARTIES BY MAKING SURE THEIR HEALTH CARE IS COORDINATED AT EVERY LEVEL AND THAT A STRONG NETWORK OF PRIMARY-CARE PROVIDERS IS AVAILABLE TO ENSURE GOOD HEALTH OF OUR MEMBERS. THE COMPANY'S PRIORITY IS TO KEEP MEMBERS HEALTHY, LOWERING PREMIUM COSTS AND DELIVERING APPROPRIATE LEVELS OF CARE AT THE RIGHT TIME TO KEEP MEMBERS HOME AND OUT OF UNNECESSARY HOSPITAL STAYS. THIS WILL BE ACCOMPLISHED BY PROVIDING COMMUNITY-BASED CASE MANAGEMENT TO ENSURE THE MEMBERS ARE WELL CARED FOR. | Desc |
| 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 | Yes (true) | 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 | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | 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 | false | 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 | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2335 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 100 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| 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 |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| State Required Reserves | $8,552,188 | StateRequiredReservesAmt |
| Reserves Maintained | $12,113,004 | ReservesMaintainedAmt |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | 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 | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NATHAN JOHNS | PersonNm |
| Phone | 5056338023 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2440 LOUISIANA BLVD NE STE 601 | AddressLine1Txt |
| City | ALBUQUERQUE | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 87110 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DIANE DENISH | ||||||||
| CHAIRWOMAN | 3.00 | Yes (X) | $5,000 | $0 | $0 | |||
| KEN CARSON | ||||||||
| DIRECTOR | 3.00 | Yes (X) | $2,250 | $0 | $0 | |||
| JOHN P ULRICH | ||||||||
| TREASURER | 3.00 | Yes (X) | $1,500 | $0 | $0 | |||
| JANE HAJOVSKY | ||||||||
| DIRECTOR | 3.00 | Yes (X) | $2,750 | $0 | $0 | |||
| DR BARBARA MCANENY | ||||||||
| DIRECTOR | 3.00 | Yes (X) | $1,250 | $0 | $0 | |||
| JAMES R DELGADO | ||||||||
| DIRECTOR | 3.00 | Yes (X) | $2,750 | $0 | $0 | |||
| JASON DESHAYES | ||||||||
| DIRECTOR | 3.00 | Yes (X) | $2,500 | $0 | $0 | |||
| ANTHONY ZANCANELLA | ||||||||
| SECRETARY | 3.00 | Yes (X) | $2,000 | $0 | $0 | |||
| SIMON ROSS GOLDFINE | ||||||||
| DIRECTOR | 3.00 | Yes (X) | $2,500 | $0 | $0 | |||
| CHRISTOPHER PAUL KRAHLING | ||||||||
| DIRECTOR | 3.00 | Yes (X) | $2,750 | $0 | $0 | |||
| DR MARTIN HICKEY | ||||||||
| CEO | 40.00 | $415,527 | $0 | $28,276 | Yes (X) | |||
| DR MARK EPSTEIN | ||||||||
| CMO | 40.00 | $392,331 | $0 | $27,348 | Yes (X) | |||
| NATHAN JOHNS | ||||||||
| CFO | 40.00 | $232,350 | $0 | $12,121 | Yes (X) | |||
| ANNE SAPON | ||||||||
| COO | 40.00 | $328,037 | $0 | $21,425 | Yes (X) | |||
| ANGELA VIGIL | ||||||||
| CCAO | 40.00 | $210,903 | $0 | $19,236 | Yes (X) | |||
| RICHARD HILLIARD | ||||||||
| CIO | 40.00 | $219,968 | $0 | $19,773 | Yes (X) | |||
| FRANCES TORRES | ||||||||
| SENIOR MEDIC | 40.00 | $295,427 | $0 | $22,092 | Yes (X) | |||
| LINDA REITER | ||||||||
| SR DIRECT OF | 40.00 | $207,159 | $0 | $18,006 | Yes (X) | |||
| JAN KOVACH | ||||||||
| MEDICAL DIRE | 40.00 | $230,700 | $0 | $16,182 | Yes (X) | |||
| MARLENE MCCURDY | ||||||||
| SR DIRECT OF | 40.00 | $167,002 | $0 | $11,113 | Yes (X) | |||
| PAULA HOSKINS | ||||||||
| SR DIRECT OF | 40.00 | $146,029 | $0 | $10,242 | Yes (X) | |||
| MYJA PETERSON | ||||||||
| SR DIRECTO O | 40.00 | $149,815 | $0 | $17,070 | Yes (X) | |||
| VIRGINIA WELTY | ||||||||
| CONTROLLER | 40.00 | $130,631 | $0 | $12,670 | Yes (X) | |||
| EUTIMIO RIVERA | ||||||||
| SALES EXECUT | 40.00 | $119,489 | $0 | $4,625 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,270,618 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $240,179 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 |
|---|---|---|---|---|---|
| HUB INTERNATIONAL INSURANCE SERVICES | |||||
| 2375 E CAMELBACK RD STE 250 | PHOENIX | AZ | 85016 | BROKER | $778,643 |
| MILLIMAN | |||||
| 1400 WEWATTA ST SUITE 300 | DENVER | CO | 80202 | ACTUARY | $765,315 |
| LINTON & ASSOCIATES | |||||
| 1204 CENTRAL AVE SW | ALBUQUERQUE | NM | 87102 | BROKER | $346,803 |
| PEPPER HAMILTON | |||||
| 3000 TWO LOGAN SQUARE | PHILADELPHIA | PA | 19103 | LEGAL | $302,895 |
| BIANCHI & ASSOCIATES | |||||
| 4123 EUBANK BLVD NE | ALBUQUERQUE | NM | 87111 | BROKER | $213,914 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PREMIUM INCOME | Desc |
| Total Revenue Column | $152,982,324 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $152,982,324 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $152,982,324 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $596,645 | TotalRevenueColumnAmt |
| Exclusion | $596,645 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $43,589,560 | SecuritiesAmt |
| Other | $1,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $43,341,233 | SecuritiesAmt |
| Other | $4,981 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $248,327 | SecuritiesAmt |
| Other | -$3,481 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $244,846 | TotalRevenueColumnAmt |
| Exclusion | $244,846 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $153,823,815 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $152,982,324 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $841,491 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,920,225 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,584,666 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,271 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $763,549 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,858 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $381,687 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,150,881 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,048,384 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,552,183 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540,837 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,124 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,173 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,967 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,402 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,698 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| HOSPITAL/MEDICAL BENEFITS | $136,390,692 |
| CHANGE IN LAE EXPENSE | $8,598,084 |
| BROKER COMMISSIONS | $6,823,950 |
| PREMIUM TAXES | $5,339,331 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$1,873,444 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,705,518 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,414,819 | BOYAmt |
| EOY | $354,147 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,560,819 | BOYAmt |
| EOY | $2,910,726 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $525,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $260,018 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $127,295 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,589 | BOYAmt |
| EOY | $132,723 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,120,669 | BOYAmt |
| EOY | $20,646,883 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,844,787 | BOYAmt |
| EOY | $12,280,475 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,014,683 | BOYAmt |
| EOY | $36,849,954 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,930,875 | BOYAmt |
| EOY | $5,126,569 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,150,941 | BOYAmt |
| EOY | $2,601,183 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,549,331 | BOYAmt |
| EOY | $17,009,197 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,631,147 | BOYAmt |
| EOY | $24,736,949 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,879,748 | BOYAmt |
| EOY | $77,317,782 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$46,496,212 | BOYAmt |
| EOY | -$65,204,777 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,383,536 | BOYAmt |
| EOY | $12,113,005 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,014,683 | BOYAmt |
| EOY | $36,849,954 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$17,881,703 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,388,828 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $260,018 | OtherCostOrOtherBasisAmt |
| Depreciation | $127,295 | DepreciationAmt |
| Book Value | $132,723 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $132,723 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ACCRUED RETROSPECTIVE PREMIUMS | $6,976,000 |
| AMOUNTS RECOVERABLE FROM REINSURERS | $2,577,258 |
| UNCOLLECTED PREMIUMS | $1,380,658 |
| ACCRUED REINSURANCE RECEIVABLE | $1,275,701 |
| INVESTMENT INCOME DUE AND ACCRUED | $70,858 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,280,475 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| CLAIMS UNPAID | $16,471,702 |
| UNPAID CLAIMS ADJUSTMENT EXPENSES | $537,495 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,009,197 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $153,823,815 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $153,823,815 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $153,823,815 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $171,705,518 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $171,705,518 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $171,705,518 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | STATUTORY GUIDANCE EXISTS FOR HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, DISCLOSED AND PRESENTED IN THE FINANCIAL STATEMENTS. THIS REQUIRES THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE ENTITYS TAX RETURNS TO DETERMINE WHETHER THE TAX POSITIONS ARE MORE-LIKELY-THAN-NOT OR BEING SUSTAINED WHEN CHALLENGED OR WHEN EXAMINED BY THE APPLICABLE TAXING AUTHORITY. FOR 2016 AND 2015, MANAGEMENT HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN INCOME TAX POSITIONS. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATIONS ARE YEARS 2013 AND FORWARD. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | 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 (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| DR MARTIN HICKEY | ||||
| CEO | $415,527 | $16,573 | $11,703 | $443,803 |
| DR MARK EPSTEIN | ||||
| CMO | $392,331 | $15,645 | $11,703 | $419,679 |
| NATHAN JOHNS | ||||
| CFO | $232,350 | $5,500 | $6,621 | $244,471 |
| ANNE SAPON | ||||
| COO | $328,037 | $13,074 | $8,351 | $349,462 |
| ANGELA VIGIL | ||||
| CCAO | $210,903 | $8,214 | $11,022 | $230,139 |
| RICHARD HILLIARD | ||||
| CIO | $219,968 | $8,751 | $11,022 | $239,741 |
| FRANCES TORRES | ||||
| SENIOR MEDICAL DIREC | $295,427 | $11,349 | $10,743 | $317,519 |
| LINDA REITER | ||||
| SR DIRECT OF CLINICA | $207,159 | $7,944 | $10,062 | $225,165 |
| JAN KOVACH | ||||
| MEDICAL DIRECTOR | $230,700 | $6,120 | $10,062 | $246,882 |
| MARLENE MCCURDY | ||||
| SR DIRECT OF STRATEG | $167,002 | $6,240 | $4,873 | $178,115 |
| PAULA HOSKINS | ||||
| SR DIRECT OF PROVIDE | $146,029 | $5,586 | $4,656 | $156,271 |
| MYJA PETERSON | ||||
| SR DIRECTO OF HEALTH | $149,815 | $5,732 | $11,338 | $166,885 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO ESTABLISH A CONSUMER OPERATED AND ORIENTED PLAN (COOP) CONSISTENT WITH THE PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. NMHC WILL GENERATE FUNDING, ANALYSIS, AND SUSTAINABILITY CRITERIA FOR A NEW COOP HEALTH PLAN, INCLUDING AN ORGANIZATIONAL MODEL THAT ACCOMMODATES REGIONAL AND POPULATION-SPECIFIC PLANS FOR DELIVERING AFFORDABLE, COMMUNITY-SPECIFIC HEALTH CARE ACROSS THE STATE. |
| FORM 990, PAGE 2, PART III, LINE 4A | CERTIFICATE OF AUTHORITY FROM THE STATE OF NEW MEXICO PUBLIC REGULATION COMMISSION, INSURANCE DIVISION IN FEBRUARY 2013. THE PRIMARY MISSION OF THE COMPANY IS TO PROVIDE AFFORDABLE COMMUNITY HEALTH CARE INSURANCE ACROSS THE STATE OF NEW MEXICO TO THE INDIVIDUAL AND SMALL GROUP MARKETS. THE COMPANY BEGAN OPEN ENROLLMENT IN OCTOBER 2013, FOR AN EFFECTIVE INSURANCE COVERAGE DATE OF JANUARY 1, 2014. THE COMPANY IS FOCUSED ON THE WELL-BEING OF PARTIES BY MAKING SURE THEIR HEALTH CARE IS COORDINATED AT EVERY LEVEL AND THAT A STRONG NETWORK OF PRIMARY-CARE PROVIDERS IS AVAILABLE TO ENSURE GOOD HEALTH OF OUR MEMBERS. THE COMPANY'S PRIORITY IS TO KEEP MEMBERS HEALTHY, LOWERING PREMIUM COSTS AND DELIVERING APPROPRIATE LEVELS OF CARE AT THE RIGHT TIME TO KEEP MEMBERS HOME AND OUT OF UNNECESSARY HOSPITAL STAYS. THIS WILL BE ACCOMPLISHED BY PROVIDING COMMUNITY-BASED CASE MANAGEMENT TO ENSURE THE MEMBERS ARE WELL CARED FOR. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CFO AND CCAO REVIEW THE FORM 990 UPON COMPLETION. AFTER APPLICABLE CHANGES ARE MADE, IF ANY, THE UPDATED FORM 990 IS GIVEN TO THE FINANCE COMMITTEE FOR REVIEW. IF THERE ARE NO CHANGES, THE FORM 990 IS APPROVED FOR FILING. IF THE FINANCE COMMITTEE DOES REQUEST CHANGES TO THE FORM 990, THE CHANGES WILL BE MADE AND A NEW COPY WILL BE PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL. THE FORM 990 IS ULTIMATELY APPROVED BY BOTH THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY UPON EMPLOYMENT OR POSITION ON THE BOARD. ON AN ANNUAL BASIS, ALL KEY EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO CERTIFY THAT NO CONFLICT OF INTEREST HAS ARISEN. IF A CONFLICT ARISES, THE PERSON WITH SUCH CONFLICT IS NOT ALLOWED TO VOTE ON THE TRANSACTION. THERE HAVE BEEN NO INCIDENCES OF CONFLICT DURING THE REPORTING YEAR. |
| FORM 990, PAGE 6, PART VI, LINE 15A | IN MAY 2014, MARTY KATZ OF FREDERICK W. COOK & COMPANY, INC. WAS RETAINED BY THE NEW MEXICO BOARD OF DIRECTORS TO PROVIDE ADVICE AND COUNSEL REGARDING ITS EXECUTIVE COMPENSATION POLICIES AND PRACTICES. THE PRIMARY ROLE OF MR. KATZ WAS TO PROVIDE OBJECTIVE, THIRD-PARTY ADVICE ON THE REASONABLENESS OF COMPENSATION FOR NEW MEXICO HEALTH CONNECTIONS' SENIOR EXECUTIVE TEAM AND BENEFIT LEVELS IN COMPARISON WITH THOSE OF OTHER SIMILARLY SITUATED ORGANIZATIONS, AND THE APPROPRIATENESS OF THE OVERALL COMPENSATION PROGRAM IN LIGHT OF THE ORGANIZATION'S PERFORMANCE AND OTHER RELEVANT FACTORS USED IN DETERMINING THE REASONABLENESS OF COMPENSATION. THE COMPENSATION REVIEW AND ULTIMATE RECOMMENDATIONS WERE SPECIFIC TO THE FOLLOWING SENIOR EXECUTIVE TEAM POSITIONS: 1.CHIEF EXECUTIVE OFFICER 2.CHIEF OPERATING OFFICER 3.CHIEF MEDICAL OFFICER 4.CHIEF FINANCIAL OFFICER 5.CHIEF COMPLIANCE AND ADMINISTRATIVE OFFICER 6.CHIEF INFORMATION OFFICER 7.CHIEF PROGRAM MANAGEMENT AND PLANNING OFFICER THE COMPENSATION FOR THE POSITIONS NOTED ABOVE WERE APPROVED BY THE COMPANY'S COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS, AS WELL AS THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SEE STATEMENT FOR FORM 990, PART VI, LINE 15A - COMPENSATION PROCESS FOR TOP OFFICAL ABOVE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THESE DOCUMENTS ARE ALSO FILED WITH THE OFFICE OF THE SECRETARY OF STATE AND ARE AVAILABLE FOR PUBLIC INSPECTION. |
| FORM 990, PART XI, LINE 9 | ROUNDING -1 CANGE IN UNASSIGNED SURPLUS -826,861 CHANGE IN SPECIAL SURPLUS -561,966 CHANGE IN NONADMITTED ASSETS 0 TOTAL -1,388,828 |