Healthfirst Health Plan of New Jersey Inc: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Healthfirst Health Plan of New Jersey Inc (EIN 51-0609967)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-13
- IRS object ID
- 201323179349304292
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-13T15:16:28-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 MONUMENT CIRCLE STE 2600 | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 462045120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510609967 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Healthfirst Health Plan of New Jersey Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MARYBETH TITA | InCareOfName |
| Name Control | HEAL | NameControl |
| Phone | 9734972367 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Washington Street STE 1405 | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Newark | City |
| State | NJ | State |
| ZIP Code | 071023105 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARYBETH TITA | Name |
| Title | SVP/CFO | Title |
| Date Signed | 2013-11-12 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTOPHER BOGGS | Name |
| Phone | 2127733000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Healthfirst New Jersey | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TERENCE BYRD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Washington Street STE 1405 | AddressLine1 |
| City | Newark | City |
| State | NJ | State |
| ZIP Code | 071023105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 281295744 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.HEALTHFIRSTNJ.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2006 | YearFormation |
| State Legal Domicile | NJ | StateLegalDomicile |
| Activity Or Mission Description | TO PROMOTE THE HEALTH OF THE PEOPLE OF THE STATE OF NEW JERSEY BY ARRANGING FOR THE PROVISION OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID BENEFICIARIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 21 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 182394393 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 281245707 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 84039 | InvestmentIncomePriorYear |
| Investment Income Current Year | 28677 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 21360 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 182478432 | TotalRevenuePriorYear |
| Total Revenue Current Year | 281295744 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 182600966 | OtherExpensePriorYear |
| Other Expenses Current Year | 281358909 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 182600966 | TotalExpensesPriorYear |
| Total Expenses Current Year | 281358909 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -122534 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -63165 | RevenuesLessExpensesCY |
| Total Assets BOY | 57704549 | TotalAssetsBOY |
| Total Assets EOY | 66695323 | TotalAssetsEOY |
| Total Liabilities BOY | 42288126 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 44708091 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15416423 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 21987232 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROMOTE THE HEALTH OF THE COMMUNITY BY ARRANGING FOR THE PROVISION OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID BENEFICIARIES AND TO RELIEVE THE POOR AND DISTRESSED BY MEETING THE SPECIAL HEALTH CARE NEEDS OF MEDICARE AND MEDICAID BENEFICIARIES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 79213875 | Expense |
| Revenue | 81627715 | Revenue |
| Description | MEDICARE HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. (HFNJ) PROVIDES AFFORDABLE QUALITY HEALTH PLANS TO ELIGIBLE MEDICARE RECIPIENTS. FOR 2012 THERE WERE 8,181 MEMBERS ENROLLED IN HFNJ'S MEDICARE PLANS. HFNJ'S NETWORK INCLUDES APPROXIMATELY 31 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 193715025 | Expense |
| Revenue | 199617992 | Revenue |
| Description | MEDICAID/NJFAMILYCARE HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. (HFNJ) PROVIDES AFFORDABLE QUALITY HEALTH PLANS TO ELIGIBLE MEDICAID RECIPIENTS. FOR 2012 THERE WERE 43,094 MEMBERS ENROLLED IN HFNJ'S MEDICAID/NJFAMILYCARE PLANS. HFNJ'S NETWORK INCLUDES APPROXIMATELY 31 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 272928900 | TotalProgramServiceExpense |
| Described In501 C3 | false | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 3577 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 21 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MARYBETH TITA | NamePerson |
| Telephone Number | 2128016000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CHURCH ST FL 18 | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100072601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Key EmployeeKeyEmployee | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | Reportable Comp From OrganizationReportableCompFromOrganization |
|---|---|---|---|---|---|---|---|---|---|
| GARY HORAN | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | X | |||||
| WILLIAM MCDONALD | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| GEORGE POPKO | |||||||||
| DIRECTOR-TERM 11/17/2012 | 1.0 | 0.0 | X | ||||||
| DANIEL P MCCARTHY | |||||||||
| DIRECTOR | 1.0 | 40.0 | X | 823089 | 131391 | ||||
| DEBORAH E HAMMOND | |||||||||
| VP, MEDICAL DIRECTOR | 1.0 | 40.0 | X | 349421 | 15000 | ||||
| MARYBETH A TITA | |||||||||
| SVP/CHIEFT FINANCIAL OFFICER | 1.0 | 40.0 | X | 568105 | 89163 | X | |||
| MICHAEL D D'AGNES | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| ANTHONY T ORLANDO | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| AXEL RAMOS | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| LESLIE D HIRSCH | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| MICHAEL MARON | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| JOHN CALANDRIELLO | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| JAMES M MAHER | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| TERENCE L BYRD | |||||||||
| PRESIDENT | 1.0 | 40.0 | X | 338677 | X | ||||
| JOHN BRAULT | |||||||||
| DIRECTOR-TERM 4/30/2012 | 1.0 | 0.0 | X | ||||||
| PATRICK RYAN | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| AL ABOUD | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| JIN OAK HA | |||||||||
| DIRECTOR-TERM 5/12/2012 | 1.0 | 0.0 | X | ||||||
| RICHARD SMITH | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| RONALD NAPIORSKI | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| RONALD RAK | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| EDWARD CONDIT | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| CARL O'BRIEN | |||||||||
| DIRECTOR | 1.0 | 0.0 | X | ||||||
| MICHAEL SNIFFEN | |||||||||
| DIRECTOR - TERM 8/28/12 | 1.0 | 0.0 | X | ||||||
| CASWELLS SAMMS | |||||||||
| DIRECTOR - TERM 4/5/12 | 1.0 | 0.0 | X | ||||||
| ELIZABETH R ST CLAIR | |||||||||
| SVP/GENERAL COUNSEL | 1.0 | 40.0 | 607516 | 98003 | X | ||||
| PATRICIA J WANG | |||||||||
| CEO | 1.0 | 40.0 | 1410306 | 259553 | X | ||||
| JAY A SCHECHTMAN | |||||||||
| SVP, CHIEF MEDICAL OFFICER | 1.0 | 40.0 | 643188 | 87990 | X | 0 | |||
| MARK E WEGRYN | |||||||||
| VP, STRAT MGMT AND IMP | 1.0 | 40.0 | 358731 | X | |||||
| ARUN K BHATIA | |||||||||
| SVP CIO | 1.0 | 40.0 | 376278 | 83830 | X | ||||
| MARIA OLIVERI | |||||||||
| VP, CHIEF NURSING OFFICER | 1.0 | 40.0 | 365581 | 42731 | X | ||||
| KEITH GORDON | |||||||||
| SVP/CHIEF SALES OF-TERM 7/9/12 | 1.0 | 40.0 | 540260 | 41826 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 6381152 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 849487 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EXPRESS SCRIPTS | |||||
| 21653 NETWORK PLACE | CHICAGO | IL | 606731216 | PHARMACY | 61636358 |
| ST JOSEPHS REGIONAL MED CTR | |||||
| PO BOX 36284 | NEWARK | NJ | 071886284 | MEDICAL/HOSPITAL | 14072595 |
| JERSEY CITY MEDICAL CENTER | |||||
| 355 GRAND STREET | JERSEY CITY | NJ | 07302 | MEDICAL/HOSPITAL | 5635984 |
| TRINITAS REGIONAL MEDICAL CENTER | |||||
| 750 WALNUT AVENUE | CRANFORD | NJ | 07016 | MEDICAL/PROFESSIONAL | 5727825 |
| DENTAQUEST LLC | |||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | MEDICAL/HOSPITAL | 5987951 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 260 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE ADVANTAGE (PART C) | 524114 | 70377523 | 70377523 |
| MEDICARE PRESCRIPTION DRUG CVG (PART D) | 524114 | 11250191 | 11250191 |
| MEDICAID / NJFAMILYCARE | 524114 | 199617993 | 199617993 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 281245707 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28677 | TotalRevenueColumn |
| Exclusion | $28,677 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CREDIT FOR UNPAID CLAIMS PROCESSING | Description |
| Business Code | 524114 | BusinessCode |
| Total Revenue Column | 21360 | TotalRevenueColumn |
| Exclusion | $21,360 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 21360 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 281295744 | TotalRevenueColumn |
| Related Or Exempt Function Income | 281245707 | RelatedOrExemptFunctionIncome |
| Exclusion | $50,037 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30573416 | Total |
| Program Services | 22256610 | ProgramServices |
| Management And General | 8316806 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113203 | Total |
| Management And General | 113203 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HEALTHCARE SERVICE COSTS | Description |
| Total | 250672290 | Total |
| Program Services | 250672290 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 281358909 | Total |
| Program Services | 272928900 | ProgramServices |
| Management And General | 8430009 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29934589 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15607384 | BOY |
| EOY | 57772280 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6661422 | BOY |
| EOY | 6689830 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 412290 | EOY |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5501154 | BOY |
| EOY | 1820923 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57704549 | BOY |
| EOY | 66695323 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33011481 | BOY |
| EOY | 34659537 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9276645 | BOY |
| EOY | 10048554 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42288126 | BOY |
| EOY | 44708091 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15416423 | BOY |
| EOY | 21987232 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15416423 | BOY |
| EOY | 21987232 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57704549 | BOY |
| EOY | 66695323 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -63165 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 4986 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 6628988 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings | |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| NOTES PAYABLE TO AFFILIATE | $4,124,946 |
| DUE TO AFFILIATE | $795,258 |
| DUE TO CMS | $1,039,180 |
| DUE TO STATE OF NJ | $3,641,585 |
| UPCAE/UNPAID VENDOR PAYABLE | $447,585 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10048554 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 287929718 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 4986 | NetUnrealizedGainsInvestments |
| Other Revenues | 6628988 | OtherRevenues |
| Revenue Not Rptd F990 | 6633974 | RevenueNotRptdF990 |
| Revenue Subtotal | 281295744 | RevenueSubtotal |
| Total Revenue Per Form990 | 281295744 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 281358909 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 281358909 | ExpensesSubtotal |
| Total Expenses Per Form990 | 281358909 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | SCHEDULE D-PART X, LINE 2 | THE FOLLOWING IS DISCLOSED IN THE AUDITED FINANCIAL STATEMENTS OF HF MANAGEMENT SERVICES, LLC, THE PARENT COMPANY OF HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.: It is the Companys policy to provide for uncertain tax positions and the related interest and penalties based upon managements assessment of whether a tax benefit is more likely than not to be sustained upon examination by tax authorities. At December 31, 2012, the Company believes it has appropriately accounted for any unrecognized tax benefits. To the extent the Company prevails in matters for which a liability for an unrecognized tax benefit is established or is required to pay amounts in excess of the liability, the Company's effective tax rate in a given financial statement period may be affected. |
| 2 | SCHEDULE D-PART XI, LINE 2D - OTHER ADJUSTMENTS | RETAINED HOSPITAL PAYMENTS: 6,628,988 The health care service agreements with Sponsors, provide that a portion of the premium revenue allocated to each Sponsor, as health care provider to Healthfirst Health Plan of New Jersey, Inc (HFNJ) plan members, attributable to a specified initial period of enrollment of each enrollee, is retained by HFNJ as additional capital contributions for the purpose of providing applicable statutory financial reserves. The portion may be subject to periodic adjustment by HFNJ's Board of Directors, subject to any restrictions by the State of New Jersey, as detailed in the health care service agreement. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|
| JAY A SCHECHTMAN | |||||||||
| SVP, CHIEF MEDICAL OFFICER | 0 | 402318 | 157865 | 83005 | 87990 | 15151 | 0 | 746329 | 81929 |
| DANIEL P MCCARTHY | |||||||||
| DIRECTOR | 518880 | 220860 | 83349 | 131391 | 15361 | 969841 | 79484 | ||
| DEBORAH E HAMMOND | |||||||||
| VP, MEDICAL DIRECTOR | 276701 | 70911 | 1809 | 15000 | 10190 | 374611 | |||
| MARYBETH A TITA | |||||||||
| SVP/CHIEFT FINANCIAL OFFICER | 358360 | 147029 | 62716 | 89163 | 14262 | 671530 | 61426 | ||
| ELIZABETH R ST CLAIR | |||||||||
| SVP/GENERAL COUNSEL | 400424 | 149088 | 58004 | 98003 | 9949 | 715468 | 53790 | ||
| TERENCE L BYRD | |||||||||
| PRESIDENT | 256374 | 77762 | 4541 | 8871 | 347548 | ||||
| MARK E WEGRYN | |||||||||
| VP, STRAT MGMT AND IMP | 228899 | 129832 | 14262 | 372993 | |||||
| PATRICIA J WANG | |||||||||
| CEO | 732748 | 402190 | 275368 | 259553 | 8871 | 1678730 | 272531 | ||
| ARUN K BHATIA | |||||||||
| SVP CIO | 331674 | 43619 | 985 | 83830 | 13551 | 473659 | |||
| MARIA OLIVERI | |||||||||
| VP, CHIEF NURSING OFFICER | 217578 | 59091 | 88912 | 42731 | 5062 | 413374 | 87551 | ||
| KEITH GORDON | |||||||||
| SVP/CHIEF SALES OF-TERM 7/9/12 | 174564 | 92138 | 273558 | 41826 | 5885 | 587971 | 122733 | ||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | SCHEDULE J, PART 1, LINE 4A | THE FOLLOWING INDIVIDUAL ENTERED INTO SEVERANCE AGREEMENTS AND/OR RECEIVED SEVERANCE PAYMENTS FROM HF MANAGEMENT SERVICES, LLC - A RELATED ORGANIZATION: KEITH GORDON TOTAL OF SEVERANCE AGREEMENT IN 2012: 306,425 SEVERANCE PAID IN 2012: 140,248 SEVERANCE DEFERRED TO 2013: 166,177 |
| 2 | 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 2011. Patrica J. Wang 244,553. [Col. C] Daniel P. McCarthy 116,391. [Col. C] Jay A. Schechtman 72,989.56. [Col. C] Elizabeth R. St Clair 83,003. [Col. C] Marybeth A. Tita 74,163. [Col. C] Arun Bhatia 68,830. [Col. C] Maria Oliveri 27,731. [Col. C] |
| 3 | SCHEDULE J, PART 1, LINE 6B | A PORTION OF THE BONUS COMPENSATION RECEIVED BY OFFICERS OF THE ORGANIZATION IS CONTINGENT UPON THE NET EARNINGS OF HF MANAGEMENT SERVICES, LLC - A RELATED ORGANIZATION. |
Schedule L IRS990ScheduleL
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 0 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (13 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| HF MANAGEMENT SERVICES LLC | |||
| SOLE CORPORATE MEMBER | 4124946 | SURPLUS NOTES OUTSTANDING | false |
| HF MANAGEMENT SERVICES LLC | |||
| SOLE CORPORATE MEMBER | 30573416 | MANAGEMENT AND ADMIN SERVICES | false |
| HOBOKEN UNIVERSITY MEDICAL CENTER | |||
| BOARD OF DIRECTOR | 356231 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| ST MICHAEL MEDICAL CENTER | |||
| BOARD OF DIRECTOR | 1155480 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| ST MARY'S HOSPITAL | |||
| BOARD OF DIRECTOR | 241962 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| TRINITAS HEALTH CARE SYSTEM | |||
| BOARD OF DIRECTOR | 876107 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| STJOSEPH REGIONAL MEDICAL CENTER | |||
| BOARD OF DIRECTOR | 1810940 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| HOLY NAME HOSPITAL | |||
| BOARD OF DIRECTOR | 260210 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| PALISADES MEDICAL CENTER | |||
| BOARD OF DIRECTOR | 304822 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| ENGLEWOOD HOSPITAL MEDICAL CENTER | |||
| BOARD OF DIRECTOR | 478768 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| EAST ORANGE GENERAL HOSPITAL | |||
| BOARD OF DIRECTOR | 148687 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| ST CLARE'S HOSPITAL | |||
| BOARD OF DIRECTOR | 142922 | SHARE RISK SURPLUS DISTRIBUTIO | false |
| CHRIST HOSPITAL | |||
| BOARD OF DIRECTOR | 415791 | SHARE RISK SURPLUS DISTRIBUTIO | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 1 | Identifier |
| Return Reference | FORM 990, SCHEDULE L, PART IV ITEM (3) TO (13) | ReturnReference |
| Explanation | SHARE RISK SURPLUS DISTRIBUTION REPRESENTS QUARTERLY REONCILIATION OF THE HOSPITAL POOLS WHICH ARE DONE TO CALCULATE THE SURPLUS DISTRIBUTION AMOUNTS FOR A GIVEN PERIOD. HOSPITALS ARE PAID THE SURPLUS AMOUNT BASED ON THE CALCULATION, WHICH IS PER THE RISK SHARE MODEL APPROVED BY THE MANAGEMENT. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | FORM 990, PART VI, SECTION A, LINE 3 | HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. CONTRACTS WITH HF MANAGEMENT SERVICES, LLC (HFMS) 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 SUPPLIED BY HFMS. HFMS CHARGES A PERCENT OF PREMIUM ON A PER MEMBER PER MONTH BASIS OR A FLAT FEE PER MEMBER PER MONTH. THE ARRANGEMENT IS APPROVED BY RESOLUTION OF THE BOARD OF DIRECTORS. |
| 2 | FORM 990, PART VI, SECTION A, LINE 6 | HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. IS A NEW JERSEY NOT-FOR-PROFIT CORPORATION WITH ONE CORPORATE MEMBER, HF MANAGEMENT SERVICES, LLC. |
| 3 | FORM 990, PART VI, SECTION A, LINES 7A AND 7B | 7A: HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. IS A NEW JERSEY NOT FOR PROFIT CORPORATION WITH ONE CORPORATE MEMBER, HF MANAGEMENT SERVICES, LLC. THE CORPORATE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS OF HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. 7B: AMENDMENTS TO THE GOVERNING DOCUMENTS REQUIRE APPROVAL OF THE SOLE CORPORATE MEMBER, HF MANAGEMENT SERVICES, LLC. CERTAIN DECISIONS OF THE BOARD OF DIRECTORS RELATING TO PRODUCTS OFFERED, RELATED PARTY TRANSACTIONS AND REPAYMENT OF SURPLUS NOTES REQUIRE APPROVAL OF THE NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE. |
| 4 | FORM 990, PART VI, SECTION A, LINE 11A | THE 990 IS PREPARED BY THE HF MANAGEMENT SERVICES, LLC (HFMS) CORPORATE FINANCE DEPARTMENT STAFF AND THEN REVIEWED BY THE HFMS VICE PRESIDENT CONTROLLER. SECONDARY REVIEWS ARE ALSO PERFORMED BY THE HFMS GENERAL COUNSEL AND CHIEF FINANCIAL OFFICER. THE DRAFT 990 IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE DRAFT 990 IS THEN TRANSMITTED TO THE BOARD OF DIRECTORS. THE FINAL 990 IS SUBMITTED AFTER THE RETURN IS REVIEWED BY THE BOARD OF DIRECTORS. |
| 5 | 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 MEMBER WHO DOES NOT COMPLETE THE STATEMENT IS NOT ALLOWED TO 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 MANAGERS OF HF MANAGEMENT SERVICES, LLC, THE NOT FOR PROFIT CORPORATE PARENT, AS WELL AS THE FULL BOARD OF DIRECTORS OF HEALTHFIRST HEALTH PLAN OF NEW JERSEY, 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. |
| 6 | 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 PRESIDENT, CEO,OTHER OFFICERS AND CERTAIN KEY EMPLOYEES IS DETERMINED BY THE COMPENSATION COMMITTEE OF HF MANAGEMENT SERVICES, LLC (A RELATED ORGANIZATION). THE COMMITTEE CONSISTS ONLY OF INDEPENDENT DIRECTORS. 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. |
| 7 | 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. |
| 8 | FORM 990, PART VII, SECTION A | ALL OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES WERE PAID BY, AND WORKED 40 HOURS A WEEK FOR HF MANAGEMENT SERVICES, LLC (A RELATED ORGANIZATION) WHICH PROVIDES MANAGEMENT SERVICES FOR MULTIPLE ENTITIES. NO ALLOCATION OF TIME SPENT ON INDIVIDUAL NOT FOR PROFIT ENTITIES EXISTED FOR THE PERIOD COVERED BY THIS RETURN. NONE OF THE INDIVIDUALS LISTED EARNED ANY COMPENSATION FROM THE NOT-FOR-PROFIT ENTITY. |
| 9 | FORM 990, PART XI, LINE 9 | RETAINED HOSPITAL PAYMENTS: 6,628,988 |
| 10 | FORM 990, PART XII, LINE 2B | The filing organization does not publish stand-alone financial statements for general disclosure and use. Stand-alone financial statements are prepared solely for the New Jersey Department of Banking and Insurance and New Jersey Department of Human Services and are restricted as to their use. Such financial statements are prepared in conformity with accounting practices prescribed or permitted by the New Jersey Department of Banking and Insurance, which is a comprehensive basis of accounting other than accounting principles generally accepted in the United States. The statutory-basis financial statements are audited by an independent accountant. For purposes of general disclosure and use, including the Form 990, the filing organization is included in the consolidated financial statements of HF Management Services, LLC, a related organization, which are prepared in accordance with US GAAP and audited by an independent accountant. Other financial information included in the consolidated financial statements contains the GAAP-Basis balance sheet and income statement of the filing organization. |
| 11 | FORM 990, PART XII, LINE 2C | THE SELECTION OF THE INDEPENDENT AUDITOR IS ADMINISTERED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF MANAGERS OF HF MANAGEMENT SERVICES, LLC (A RELATED ORGANIZATION). |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| HEALTHFIRST INC | ||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 133714932 | MANAGED CARE | NY | 501(C)(3) | 11 Type I | NA | false |
| MANAGED HEALTH INC | ||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 113029569 | MANAGED CARE | NY | 501(C)(4) | HEALTHFIRST | true | |
| HEALTHFIRST PHSP INC | ||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 133783732 | MANAGED CARE | NY | 501(C)(3) | 9 | HEALTHFIRST | true |
| SENIOR HEALTH PARTNERS INC | ||||||||||
| 100 CHURCH STREET 18FL | NEW YORK | NY | 10007 | 134103882 | MGD LT CARE | NY | 501(C)(3) | 9 | HF MGMT SVCS | true |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HF MANAGEMENT SERVICES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CHURCH ST FL 18 | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100072601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134069806 | EIN |
| Primary Activity | 3RD PTY ADM S | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | None | PredominantIncomeType |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | false | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HF ADMINISTRATIVE SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CHURCH ST FL 18 | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100072601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133873482 | EIN |
| Primary Activity | 3RD PTY ADM S | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MF MGMT SVCS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HF MANAGEMENT SERVICES LLC | ||
| M | 30573416 | CONTRACTED RATE |
| HF MANAGEMENT SERVICES LLC | ||
| E | 4124946 | SURPLUS NOTE |
Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | FORM 990, SCHEDULE R, PART V, LINE 2 | METHOD OF DETERMINING AMOUNT INVOLVED ITEM (1): 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 ORGANIZATION'S BOARD OF DIRECTORS AND BY STATE REGULATORS. |
| 2 | FORM 990, SCHEDULE R, PART V, LINE 2 | METHOD OF DETERMINING AMOUNT INVOLVED ITEM (2): The amount represents Surplus Note Payable which was monies borrowed from HF Management Services,LLC to fund Healthfirst Health Plan of New Jersey, Inc. It represents two 7 year note payable to HF Management Services, LLC. Interest is calculated and is adjusted at prime rate. The repayment date is on or before December 31, 2014 |