2016-10-11T15:00:18-05:00 2015-12-31 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 100366530 990 2015-01-01 943474115 Neighborhood Health Providers Inc % CRAIG BARATTIN-VP CONTROLLER NEIG 2128016000 100 Church Street Fl 18 NEW YORK NY 100072601 JOHN BERMEL CFO 2128016000 2016-10-03 LAURA KIELCZEWSKI P00740769 2127733000 2015 2017-02-10 21:41:12Z PATRICIA J WANG 100 CHURCH ST FL 18 New York NY 100072601 0 false X www.HEALTHFIRSTNY.ORG X 2009 NY OPERATION OF A PREPAID HEALTH SERVICES PLAN THAT PROVIDES HEALTH CARE BENEFITS TO BENEFICIARIES. PLAN IS IN WIND DOWN OF OPERATIONS. X 5 3 0 0 0 0 0 3150138 -1007867 745906 269616 0 0 3896044 -738251 0 0 0 0 0 0 0 0 0 273557 -2507175 273557 -2507175 3622487 1768924 54719577 33019255 6598561 6129315 48121016 26889940 X OPERATION OF A PREPAID HEALTH SERVICES PLAN THAT PROVIDES HEALTH CARE BENEFITS TO BENEFICIARIES UNDER MEDICAID, FAMILY HEALTH PLUS, AND CHILD HEALTH PLUS. PLAN IS IN WIND DOWN OF OPERATIONS. false false -894935 -769549 Medicaid-Provide comprehensive prepaid health coverage to medicaid recipients. Negative Revenue and negative expenses reflect prior year adjustments as a result of Neighborhood Health Partners (NHP) winding down operations. -1709876 -238318 Family Health Plus-Provide comprehensive prepaid health coverage to FHP recipients. Negative Revenue and negative expenses reflect prior year adjustments as a result of Neighborhood Health Partners (NHP) winding down operations. -2604811 true false false false false false false false false false false false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false true false true true true false false true 0 0 0 false false false false false false false false false false X 5 3 false true false false true true true true true false false true true true true true true false false false NY X CRAIG BARATTIN-VP CONTROLLER 2128016000 100 CHURCH ST FL 18 NEW YORK NY 100072601 JAY A SCHECHTMAN CHIEF MEDICAL OFFICER 1.0 40.0 X 0 825941 123545 ELIZABETH R ST CLAIR Chief Legal Officer 1.0 40.0 X 0 844528 147946 EVELYN DEL ORBE COMMUNITY REPRESENTATIVE 1.0 0.0 X 0 0 0 STEPHEN ROSENTHAL DIRECTOR 1.0 0.0 X 0 0 0 ERIC SCALETTAR DIRECTOR 1.0 0.0 X 0 0 0 PATRICIA J WANG CHIEF EXECUTIVE OFFICER 1.0 40.0 X 0 1866666 380227 DANIEL P MCCARTHY PRESIDENT & COO 1.0 40.0 X 0 1180164 203594 SEAN M NATARO-BEG 72115 DEPUTY GENERAL COUNSEL 1.0 40.0 X 0 375595 33085 MICHAEL FEDYNA-END 72115 CHIEF FINANCIAL OFFICER 1.0 40.0 X 0 558793 20625 PAUL E PORTSMORE JR SVP, BUS DEV AND MBR ACQUISI 1.0 40.0 X 0 509969 94721 IAN SHAFFER EXEC MED DIR BEHAV HEALTH 1.0 40.0 X 0 451567 23673 REBECCA SCHWIETZ SVP CLINICAL SERVICES 1.0 40.0 X 0 449023 67824 GERALD T SWEENEY SVP CIO 1.0 40.0 X 0 652647 122076 SEAN KANE CHIEF HR OFFICER 1.0 40.0 X 0 604132 99081 MARYBETH A TITA SVP-CORP. FINANCE 0.0 40.0 X 0 1104691 30296 0 9423716 1346693 0 true true false 0 0 MEDICAID MANAGED CARE 624100 -769549 -769549 FAMILY HEALTH PLUS 624100 -238318 -238318 -1007867 269616 269616 0 0 0 0 0 0 0 0 0 0 -738251 -1007867 269616 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 194967 177133 17834 0 79802 79802 0 0 0 0 0 0 0 0 0 0 HEALTHCARE SERVICE COST -2781944 -2781944 -2507175 -2604811 97636 0 5476078 4172918 13466389 1594 0 0 1884879 927109 0 0 0 0 0 0 0 0 0 0 0 33892231 27917634 0 0 0 0 0 0 0 0 54719577 33019255 1758767 2029044 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4839794 4100271 6598561 6129315 X 48121016 26889940 0 0 0 0 48121016 26889940 54719577 33019255 X 1768924 -23000000 X X false true X true false X 0 0 0 0 0 0 687698801 921538354 384232851 3150138 -1007867 1995612277 0 0 0 687698801 921538354 384232851 3150138 -1007867 1995612277 0 0 0 1995612277 4014902 3456439 2621233 745906 269616 11108096 0 4014902 3456439 2621233 745906 269616 11108096 0 0 691713703 924994793 386854084 3896044 -738251 2006720373 0.99447 0.99424 0.00554 0.00576 X 0 MEDICAL SERVICES PAYABLE 4100271 4100271 true true false false false false false false false JAY A SCHECHTMAN CHIEF MEDICAL OFFICER 0 443673 282285 99983 0 107190 0 16515 0 949646 0 98301 ELIZABETH R ST CLAIR Chief Legal Officer 475584 252992 115952 0 136827 0 11288 0 992643 0 111594 MARYBETH A TITA SVP-CORP. FINANCE 123823 303775 677093 0 25902 0 4554 0 1135147 0 314420 PATRICIA J WANG CHIEF EXECUTIVE OFFICER 948768 617525 300373 0 374851 0 5762 0 2247279 0 295743 DANIEL P MCCARTHY PRESIDENT & COO 689231 353800 137133 0 188278 0 15550 0 1383992 0 132773 PAUL E PORTSMORE JR SVP, BUS DEV AND MBR ACQUISI 359404 148375 2190 0 94721 0 150 0 604840 0 0 IAN SHAFFER EXEC MED DIR BEHAV HEALTH 333306 111044 7217 0 15900 0 7903 0 475370 0 0 SEAN M NATARO-BEG 72115 DEPUTY GENERAL COUNSEL 290867 83434 1294 0 15900 0 17266 0 408761 0 0 REBECCA SCHWIETZ SVP CLINICAL SERVICES 324010 124400 613 0 50639 0 17321 0 516983 0 0 MICHAEL FEDYNA-END 72115 CHIEF FINANCIAL OFFICER 456921 97400 4472 0 9211 0 11550 0 579554 0 0 GERALD T SWEENEY SVP CIO 452608 198500 1539 0 104891 0 17350 0 774888 0 0 SEAN KANE CHIEF HR OFFICER 398862 203400 1870 0 99081 0 148 0 703361 0 0 SCHEDULE J, PART 1, LINE 4A THE FOLLOWING INDIVIDUAL ENTERED INTO SEVERANCE AGREEMENTS AND/OR RECEIVED SEVERANCE PAYMENTS FROM HF MANAGEMENT SERVICES, LLC - AN AFFILIATE ORGANIZATION OF HEALTHFIRST. MARYBETH TITA TOTAL SEVERANCE: $454,200, SEVERANCE PAID IN 2015: $338,274 SEVERANCE DEFERRED: $115,926. SCHEDULE J, PART 1, LINE 4B RETIREMENT PLAN PROVIDED BY HF MANAGEMENT SERVICES, LLC - A RELATED ORGANIZATION. THE AMOUNTS BELOW REPRESENT CONTRIBUTIONS FROM THE PLAN SPONSOR FOR 2015: PATRICIA J. WANG $333,059 [Col. C] DANIEL P. McCARTHY $168,861 [Col. C] ELIZABETH R. ST CLAIR $111,577 [Col. C] JAY A. SCHECHTMAN $80,619 [Col. C] GERALD T. SWEENEY $102,720 [Col. C] SEAN KANE $83,181 [Col. C] PAUL PORTSMORE $78,821 [Col. C] REBECCA SCHWIETZ $34,739 [Col. C] CAPITAL RESERVES 2015-12-30 23000000 N/A - CASH DISTRIBUTION 133783732 Healthfirst PHSP Inc 100 Church St Fl 18 New York NY 10007 501 (C)(3) false false false false FORM 990, SCHEDULE N, PART II HEALTHFIRST, A PARENT COMPANY OF NHP AND PHSP, RECEIVED APPROVAL FROM THE DEPARTMENT OF HEALTH TO TRANSFER APPROXIMATELY $23.0 MILLION OF CAPITAL RESERVES FROM NHP TO PHSP. THIS TRANSFER, WHICH IS ELIMINATED IN HEALTHFIRST CONSOLIDATION, IS IN CONJUNCTION WITH THE ONGOING WIND-DOWN OF THE NHP OPERATIONS. FORM 990, PART VI, SECTION A, LINE 3 ON JANUARY 31, 2013, HEALTHFIRST ACQUIRED AND BECAME THE SOLE MEMBER OF NEIGHBORHOOD HEALTH PROVIDERS, INC. (NHP). ALL OFFICERS, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES WERE PAID BY, AND WORKED FOR HF MANAGEMENT SERVICES, LLC (HFMS) A MANAGEMENT COMPANY WHICH PROVIDES MANAGEMENT SERVICES FOR MULTIPLE ENTITIES. HFMS IS ALSO AN AFFILIATE OF HEALTHFIRST. FORM 990, PART VI, SECTION A, LINE 6 NEIGHBORHOOD HEALTH PROVIDERS INC.(NHP) IS A NEW YORK STATE NOT-FOR-PROFIT MEMBERSHIP CORPORATION. STARTING JANUARY 31, 2013, HEALTHFIRST INC. ACQUIRED AND BECAME THE SOLE MEMBER OF NHP. FORM 990, PART VI, SECTION A, LINE 7A NHP'S SOLE CORPORATE MEMBER HEALTHFIRST INC. HAS THE RIGHT TO APPOINT MEMBERS TO THE BOARD OF DIRECTORS OF NHP. FORM 990, PART VI, SECTION A, LINE 7B THE AMENDMENT OF THE ORGANIZATION'S GOVERNING DOCUMENTS IS SUBJECT TO THE APPROVAL OF HEALTHFIRST, INC. SOME OF THE DECISIONS OF THE GOVERNING BODY, SHOULD THEY OCCUR, ARE SUBJECT TO APPROVAL BY STATE REGULATORS: * DISTRIBUTION OF THE ORGANIZATION'S NET ASSETS * CERTAIN CHANGES TO PREMIUM RATES * EXPANSION TO OTHER MANAGED CARE BUSINESSES * SPECIFIC TYPES OF CHANGES TO THE ORGANIZATION'S BENEFIT PLANS * MANAGEMENT FEE RATE CHANGES [APPROVAL IS ALSO REQUIRED FROM THE MANAGEMENT COMPANY] 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 REVIEWS 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. EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE IS GIVEN A COPY OF THE DISCLOSURE STATEMENT TO COMPLETE ON AN ANNUAL BASIS. A NOMINATED BOARD MEMBER WHO DOES NOT COMPLETE THE STATEMENT IS NOT ALLOWED TO ASSUME THE BOARD SEAT, ATTEND BOARD MEETINGS AND MAY BE REMOVED FROM THE BOARD. AN OFFICER OR KEY EMPLOYEE WHO DOES NOT COMPLETE THE STATEMENT WILL BE DISCIPLINED, UP TO TERMINATION FROM THE POSITION. 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 NEIGHBORHOOD HEALTH PROVIDERS INC. AS APPROPRIATE, 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 OFFICER OR EMPLOYEE THE REPORTING 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 NHP (A RELATED ORGANIZATION). THE COMMITTEE CONSISTS ONLY OF INDEPENDENT DIRECTORS. THE PROCESS FOR DETERMINING COMPENSATION IS DESCRIBED IN THE COMMITTEE'S 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 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). FORM 990, PART XI, LINE 9 Equity Transfer to Affiliate: During 2015, Healthfirst requested and received approval from the DOH to transfer $23.0 million of capital reserves from NHP to PHSP. This transfer, which is eliminated in consolidation, is in conjunction with the ongoing wind-down of the NHP operations. HEALTHFIRST HEALTH PLAN INC 100 CHURCH ST FL 18 NEW YORK NY 10007 113029569 MANAGED CARE NY 501 (C)4 HEALTHFIRST true HEALTHFIRST 100 CHURCH ST FL 18 NEW YORK NY 10007 133714932 MANAGED CARE NY 501 (C)3 11 Type I NA false HEALTHFIRST HEALTH PLAN OF NJ INC 1 WASHINGTON ST STE 1405 NEWARK NJ 07102 510609967 MANAGED CARE NJ 501 (C)4 HF MGMT SVCS true SENIOR HEALTH PARTNERS INC 100 CHURCH STREET 18FL NEW YORK NY 10007 134103882 MGD LT CARE NY 501 (C)3 9 HEALTHFIRST true HEALTHFIRST PHSP INC 100 CHURCH ST FL 18 NEW YORK NY 10007 133783732 MANAGED CARE NY 501 (C)3 9 HEALTHFIRST true HF MANAGEMENT SERVICES LLC 100 CHURCH ST FL 18 NEW YORK NY 100072601 134069806 3RD PTY ADM S NY N/A HF ADMINISTRATIVE SERVICES INC 100 CHURCH ST FL 18 NEW YORK NY 100072601 133873482 3RD PTY ADM S NY HF MGMT SVCS C CORP true HEALTHFIRST INSURANCE COMPANY INC 100 CHURCH STREET FL 18 NEW YORK NY 100072601 464545744 INSUR. PROVID NY N/A C CORP false false false false false false false false false false false false false false false false false false true false HEALTHFIRST PHSP INC R 23000000 CONTRACT FORM 990, SCHEDULE R, PART V HEALTHFIRST, A PARENT COMPANY OF NHP AND PHSP, RECEIVED APPROVAL FROM THE DEPARTMENT OF HEALTH TO TRANSFER APPROXIMATELY $23.0 MILLION OF CAPITAL RESERVES FROM NHP TO PHSP. THIS TRANSFER, WHICH IS ELIMINATED IN HEALTHFIRST CONSOLIDATION, IS IN CONJUNCTION WITH THE ONGOING WIND-DOWN OF THE NHP OPERATIONS.