HEALTHFIRST PHSP INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHFIRST PHSP INC (EIN 13-3783732)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2013-01-30
- IRS object ID
- 201340309349300294
- Schema version
- 2011v1.5
- 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 | 2013-01-30T16:06:34-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
| Disaster Relief | SANDY STORM | DisasterRelief |
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 | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133783732 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Healthfirst PHSP Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % MARYBETH TITA | InCareOfName |
| Name Control | HEAL | NameControl |
| Phone | 2128016000 | Phone |
US Address USAddress
| 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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARYBETH TITA | Name |
| Title | CFO | Title |
| Date Signed | 2013-01-24 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Christopher Boggs | Name |
| Phone | 3176817000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PATRICIA J WANG | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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) |
|---|---|---|
| Gross Receipts | 1711477346 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HEALTHFIRSTNY.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | TO IMPROVE THE HEALTH AND WELL-BEING OF UNDERSERVED POPULATIONS BY PROVIDING COMPREHENSIVE PREPAID HEALTHCARE COVERAGE TO MEDICAID, CHILD HEALTH PLUS AND FAMILY HEALTH PLUS RECIPIENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | 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 | 1373305871 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 1709235704 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3115511 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2239456 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2186 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1376421382 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1711477346 | 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 | 1375258305 | OtherExpensePriorYear |
| Other Expenses Current Year | 1728069509 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1375258305 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1728069509 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1163077 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -16592163 | RevenuesLessExpensesCY |
| Total Assets BOY | 406633994 | TotalAssetsBOY |
| Total Assets EOY | 495534814 | TotalAssetsEOY |
| Total Liabilities BOY | 241537934 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 327250004 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 165096060 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 168284810 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO IMPROVE THE HEALTH AND WELL-BEING OF UNDERSERVED POPULATIONS BY PROVIDING COMPREHENSIVE PREPAID HEALTHCARE COVERAGE TO MEDICAID, CHILD HEALTH PLUS AND FAMILY HEALTH PLUS RECIPIENTS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1494315662 | Expense |
| Revenue | 1514017408 | Revenue |
| Description | MEDICAID MANAGED CARE HEALTHFIRST PHSP, INC. (PHSP) IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES COMPREHENSIVE PREPAID HEALTH CARE COVERAGE TO MEDICAID RECIPIENTS PURSUANT TO ARTICLE 44 OF THE NEW YORK STATE PUBLIC HEALTH LAW. PHSP HAS PARTICIPATED IN NEW YORK'S MEDICAID PROGRAM SINCE OCTOBER 1994. FOR 2011 THERE WERE 424,058 MEMBERS ENROLLED IN PHSP'S MEDICAID PLAN. PHSP'S NETWORK INCLUDES 65 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 139126049 | Expense |
| Revenue | 140960351 | Revenue |
| Description | FAMILY HEALTH PLUS (FHP) HEALTHFIRST PHSP, INC. (PHSP) IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES COMPREHENSIVE PREPAID HEALTH CARE COVERAGE TO FHP RECIPIENTS PURSUANT TO ARTICLE 44 OF THE NEW YORK STATE PUBLIC HEALTH LAW. PHSP HAS PARTICIPATED IN NEW YORK'S FHP PROGRAM SINCE 1997. FOR 2011 THERE WERE 47,818 MEMBERS ENROLLED IN PHSP'S FHP PLAN. PHSP'S NETWORK INCLUDES 65 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 53551892 | Expense |
| Revenue | 54257945 | Revenue |
| Description | CHILD HEALTH PLUS (CHP) HEALTHFIRST PHSP, INC. (PHSP) IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES COMPREHENSIVE PREPAID HEALTH CARE COVERAGE TO CHP RECIPIENTS PURSUANT TO ARTICLE 44 OF THE NEW YORK STATE PUBLIC HEALTH LAW. PHSP HAS PARTICIPATED IN NEW YORK'S CHP PROGRAM SINCE 1997. FOR 2011 THERE WERE 43,539 MEMBERS ENROLLED IN PHSP'S CHP PLAN. PHSP'S NETWORK INCLUDES 65 REGIONAL HOSPITALS THAT PROVIDE SERVICES TO MEMBERS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 1686993603 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| 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 | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | 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 | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 9092 | 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 |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | 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 |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| 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 |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| JAY A SCHECHTMAN | |||||||||
| Director/Chief Medical Officer | 1.0 | X | X | 0 | 506932 | 85509 | |||
| ELIZABETH R ST CLAIR | |||||||||
| DIRECTOR/SECRETARY | 1.0 | X | X | 484057 | 63664 | ||||
| EVELYN DEL ORBE | |||||||||
| COMMUNITY REPRESENTATIVE | 1.0 | X | |||||||
| STEPHEN ROSENTHAL | |||||||||
| DIRECTOR | 1.0 | X | |||||||
| DON SCANLON | |||||||||
| DIRECTOR | 1.0 | X | |||||||
| JENNIFER CADET | |||||||||
| COMMUNITY REP-11/30/2011 | 1.0 | X | |||||||
| MARYBETH A TITA | |||||||||
| TREASURER | 1.0 | X | 465214 | 64541 | |||||
| PATRICIA J WANG | |||||||||
| PRESIDENT/CEO | 1.0 | X | 1108563 | 219531 | |||||
| DANIEL P MCCARTHY | |||||||||
| EVP/COO | 1.0 | 673189 | 93316 | X | |||||
| KEITH GORDON | |||||||||
| SVP, CHIEF SALES OFFICER | 1.0 | 387353 | 63166 | X | |||||
| SEAN NATARO | |||||||||
| ASSOCIATE GENERAL COUNSEL | 1.0 | 330389 | 14700 | X | |||||
| ANDREA C FORINO | |||||||||
| SVP, HUMAN RESOURCE | 1.0 | 312563 | 56873 | X | |||||
| REBECCA SCHWIETZ | |||||||||
| VP CLINICAL PERFORMANCE MGMT | 1.0 | 323369 | 14700 | X | |||||
| JOHN CHENG | |||||||||
| VP, CHIEF MARKETING OFFICER | 1.0 | 324973 | 14700 | X | |||||
| MICHAEL HONIG | |||||||||
| DIRECTOR-TERM 12/15/2011 | 1.0 | 485996 | 114385 | X | |||||
| STEVEN SAKOVITS | |||||||||
| SVP/CIO | 1.0 | 424227 | 0 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5826825 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 805085 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | true | 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 | 109865742 |
| MONTEFIORE MEDICAL CENTER | |||||
| PO BOX 4296 CHURCH STREET STATION | NEW YORK | NY | 10261 | MEDICAL/HOSPITAL | 71625857 |
| BETH ISRAEL MEDICAL CENTER | |||||
| 207 EAST 94TH STREET | NEW YORK | NY | 10128 | MEDICAL/HOSPITAL | 23673776 |
| BRONX LEBANON HOSPITAL | |||||
| 1276 FULTON AVENUE | BRONX | NY | 10456 | MEDICAL/HOSPITAL | 25067044 |
| MAIMONIDES MEDICAL CENTER | |||||
| 948 48TH STREET | BROOKLYN | NY | 11219 | MEDICAL/HOSPITAL | 33361685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 587 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAID MANAGED CARE | 524114 | 1514017408 | 1514017408 |
| FAMILY HEALTH PLUS | 524114 | 140960351 | 140960351 |
| CHILD HEALTH PLUS | 524114 | 54257945 | 54257945 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 1709235704 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2239456 | TotalRevenueColumn |
| Exclusion | $2,239,456 | 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 |
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 | OTHER | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 2186 | TotalRevenueColumn |
| Exclusion | $2,186 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2186 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1711477346 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1709235704 | RelatedOrExemptFunctionIncome |
| Exclusion | $2,241,642 | 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 | 145528064 | Total |
| Program Services | 104466319 | ProgramServices |
| Management And General | 41061745 | 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 | 97015 | Total |
| Program Services | 82854 | ProgramServices |
| Management And General | 14161 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1804551 | Total |
| Program Services | 1804551 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 476530 | Total |
| Program Services | 476530 | ProgramServices |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9113474 | Total |
| Program Services | 9113474 | ProgramServices |
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 | 0 | Total |
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 (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| HEALTHCARE SERVICE COSTS | 1570965897 | 1570965897 |
| CLAIMS PROCESSING | 83978 | 83978 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1728069509 | Total |
| Program Services | 1686993603 | ProgramServices |
| Management And General | 41075906 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31217620 | BOY |
| EOY | 63227977 | 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 | 93801211 | BOY |
| EOY | 104279299 | 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 | 0 | 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 | 261437799 | BOY |
| EOY | 310759896 | 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 | 20177364 | BOY |
| EOY | 17267642 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 406633994 | BOY |
| EOY | 495534814 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 234250769 | BOY |
| EOY | 311144949 | 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 | 67174 | BOY |
| EOY | 430897 | 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 | 7219991 | BOY |
| EOY | 15674158 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 241537934 | BOY |
| EOY | 327250004 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165096060 | BOY |
| EOY | 168284810 | 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 | 165096060 | BOY |
| EOY | 168284810 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 406633994 | BOY |
| EOY | 495534814 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -16592163 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 19780913 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1038582860 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1021061311 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1176018993 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1373305871 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1709235704 | CurrentTaxYear |
| Total | 6318204739 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1038582860 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1021061311 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1176018993 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1373305871 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1709235704 | CurrentTaxYear |
| Total | 6318204739 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 6318204739 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8238553 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4685766 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4314310 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3115511 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2239456 | CurrentTaxYear |
| Total | 22593596 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8238553 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4685766 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4314310 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3115511 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2239456 | CurrentTaxYear |
| Total | 22593596 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1046821413 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1025747077 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1180333303 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1376421382 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1711475160 | CurrentTaxYear |
| Total | 6340798335 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99644 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99508 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00356 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00492 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements | |
| Equipment | Equipment | |
| Other Land Buildings | OtherLandBuildings | |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO STATE OF NEW YORK | Description |
| Amount | $15,674,158 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 15674158 | TotalOfAmounts |
| Total Revenue | 1711477346 | TotalRevenue |
| Total Expenses | 1728069509 | TotalExpenses |
| Excess Or Deficit For Year | -16592163 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -397084 | NetUnrealizedGLOnInvestments |
| Other | $20,177,997 | OtherAmount |
| Total Adjustments | 19780913 | TotalAdjustments |
| Excess Or Deficit Per FS | 3188750 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 1731258259 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -397084 | NetUnrealizedGainsInvestments |
| Other Revenues | 20177997 | OtherRevenues |
| Revenue Not Rptd F990 | 19780913 | RevenueNotRptdF990 |
| Revenue Subtotal | 1711477346 | RevenueSubtotal |
| Total Revenue Per Form990 | 1711477346 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1728069509 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 1728069509 | ExpensesSubtotal |
| Total Expenses Per Form990 | 1728069509 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | PART XI, LINE 8 - OTHER ADJUSTMENTS | RETAINED HOSPITAL PAYMENTS: 20,177,997. The health care services agreements with the Members provide that payments due to each Member, as a health care provider to PHSP Members, attributable to a specified initial period of enrollment of each enrollee, are retained by PHSP as additional capital contributions. Members may be entitled to have their retained payments repaid in the future, without interest, upon the dissolution of PHSP or similar circumstances, or with the approval of PHSP's Board of Directors, subject to any restrictions by the State of New York, as detailed in such agreement. Retained payments required to be withheld by PHSP totaled $20,177,997 |
| 2 | PART XII, LINE 2D - OTHER ADJUSTMENTS | RETAINED HOSPITAL PAYMENTS: 20,177,997. The health care services agreements with the Members provide that payments due to each Member, as a health care provider to PHSP Members, attributable to a specified initial period of enrollment of each enrollee, are retained by PHSP as additional capital contributions. Members may be entitled to have their retained payments repaid in the future, without interest, upon the dissolution of PHSP or similar circumstances, or with the approval of PHSP's Board of Directors, subject to any restrictions by the State of New York, as detailed in such agreement. Retained payments required to be withheld by PHSP totaled $20,177,997 |
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 (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAY A SCHECHTMAN | |||||||||||||
| 0 | 383174 | 0 | 122421 | 0 | 1337 | 0 | 85509 | 0 | 9168 | 0 | 601609 | 0 | |
| ELIZABETH R ST CLAIR | |||||||||||||
| 353522 | 115258 | 15277 | 63664 | 9058 | 556779 | 12455 | |||||||
| MARYBETH A TITA | |||||||||||||
| 340269 | 112244 | 12701 | 64541 | 13358 | 543113 | 11716 | |||||||
| PATRICIA J WANG | |||||||||||||
| 717447 | 326138 | 64978 | 219531 | 7998 | 1336092 | 62140 | |||||||
| DANIEL P MCCARTHY | |||||||||||||
| 465257 | 186854 | 21078 | 93316 | 13962 | 780467 | 18324 | |||||||
| KEITH GORDON | |||||||||||||
| 292301 | 80256 | 14796 | 63166 | 9460 | 459979 | 9030 | |||||||
| SEAN NATARO | |||||||||||||
| 260032 | 69425 | 932 | 14700 | 13962 | 359051 | ||||||||
| ANDREA C FORINO | |||||||||||||
| 242648 | 69082 | 833 | 56873 | 7998 | 377434 | ||||||||
| REBECCA SCHWIETZ | |||||||||||||
| 257883 | 65276 | 210 | 14700 | 13358 | 351427 | ||||||||
| JOHN CHENG | |||||||||||||
| 248913 | 75000 | 1060 | 14700 | 13648 | 353321 | ||||||||
| STEVEN SAKOVITS | |||||||||||||
| 8080 | 96887 | 319260 | 0 | 8266 | 432493 | ||||||||
| MICHAEL HONIG | |||||||||||||
| 280254 | 101709 | 104033 | 114385 | 8982 | 609363 | ||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | SCHEDULE J, PART 1, LINE 4A | THE FOLLOWING INDIVIDUALS ENTERED INTO SEVERANCE AGREEMENTS AND/OR RECEIVED SEVERANCE PAYMENTS FROM HF MANAGEMENT SERVICES, LLC - A RELATED ORGANIZATION: STEVEN SAKOVITS TOTAL OF SEVERANCE AGREEMENT IN 2010: 488,265 SEVERANCE PAID IN 2011: 319,250 SEVERANCE DEFERRED TO 2012: 169,015 |
| 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 204,831. [Col. C] Daniel P. McCarthy 78,616. [Col. C] Jay A. Schechtman 70,809. [Col. C] Elizabeth R. St Clair 48,964. [Col. C] Marybeth A. Tita 49,841. [Col. C] Keith Y. Gordon 48,466. [Col. C] Andrea Forino 42,173 [Col. C] |
| 3 | SCHEDULE J, PART 1, LINE 6B | A PORTION OF THE BONUS COMPENSATION RECEIVED BY OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION IS CONTINGENT UPON THE NET EARNINGS OF HF MANAGEMENT SERVICES, LLC - A RELATED ORGANIZATION. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | HF MANAGEMENT SERVICES LLC | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | COMMON OFFICERS/DIRECTORS | Relationship |
| Amount Of Transaction | 145528064 | AmountOfTransaction |
| Description Of Transaction | MANAGEMENT AND ADMIN SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 1 | FORM 990, PART VI, SECTION A, LINE 3 | HEALTHFIRST PHSP, INC. (PHSP) CONTRACTS WITH HF MANAGEMENT SERVICES, LLC (HFMS) TO PROVIDE ALL OF ITS MANAGEMENT AND ADMINISTRATIVE SERVICES. PHSP DOES NOT MAINTAIN ITS OWN STAFF OR OFFICE SPACE; THESE ARE PROVIDED 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 AND THE NY STATE DEPARTMENT OF HEALTH. |
| 2 | FORM 990, PART VI, SECTION A, LINE 6 | HEALTHFIRST PHSP, INC. IS A NEW YORK STATE NOT-FOR-PROFIT MEMBERSHIP CORPORATION. HEALTHFIRST PHSP'S SOLE CORPORATE MEMBER IS HEALTHFIRST, INC. |
| 3 | FORM 990, PART VI, SECTION A, LINE 7A | HEALTHFIRST PHSP, INC. (PHSP) IS A NEW YORK STATE NOT-FOR-PROFIT MEMBERSHIP CORPORATION. HEALTHFIRST PHSP'S SOLE CORPORATE MEMBER IS HEALTHFIRST, INC. HEALTHFIRST, INC. HAS THE RIGHT TO APPOINT MEMBERS TO THE BOARD OF DIRECTORS OF PHSP. |
| 4 | 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] |
| 5 | 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 DIRECTOR OF TREASURY. SECONDARY REVIEWS ARE ALSO PERFORMED BY THE HFMS ASSISTANT VICE PRESIDENT OF FINANCE, GENERAL COUNSEL 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 AND THE DIRECTORS ARE GIVEN AN OPPORTUNITY TO DISCUSS THE 990 AT A MEETING. THE FINAL 990 IS SUBMITTED AFTER THE BOARD OF DIRECTORS REVIEWS IT. |
| 6 | 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 DIRECTORS OF HEALTHFIRST, INC., THE NOT FOR PROFIT CORPORATE PARENT, AS WELL AS THE FULL BOARD OF DIRECTORS OF HEALTHFIRST PHSP, 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. |
| 7 | 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 (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. |
| 8 | 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. |
| 9 | 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. |
| 10 | FORM 990, PART XI, LINE 5 | RETAINED HOSPITAL PAYMENTS: 20,177,997. CHANGE IN UNREALIZED GAINS AND LOSSES ON INVESTMENTS: (397,084) |
| 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 DIRECTORS OF HEALTHFIRST, INC. (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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Public Charity StatusPublicCharityStatus |
|---|---|---|---|---|---|---|---|---|---|---|
| MANAGED HEALTH INC | ||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 113029569 | MANAGED CARE | NY | 501(c)(4) | HEALTHFIRST | true | |
| HEALTHFIRST INC | ||||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 10007 | 133714932 | MANAGED CARE | NY | 501(c)(3) | NA | false | 11 Type I |
| 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) | HF MGMT SVCS | true | 9 |
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 | RELATED | PredominantIncomeType |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | false | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|
| HF ADMINISTRATIVE SERVICES INC | |||||||||
| 100 CHURCH ST FL 18 | NEW YORK | NY | 100072601 | 133873482 | 3RD PTY ADM S | NY | HF MGMT SVCS | C CORP | |
| HF PURCHASING SERVICES INC | |||||||||
| 100 CHURCH STREET 18FL | NEW YORK | NY | 10007 | 020537865 | EQUIP. LEASING | C CORP | N/A | ||
| 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 | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HEALTHFIRST INC | ||
| E | 40000000 | AMT AVAILABLE |
| HF MANAGEMENT SERVICES LLC | ||
| L | 145528064 | CONTRACTED RATE |
| MANAGED HEALTH INC | ||
| R | 5900000 | CONTRACT |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | 1 | Identifier |
| Return Reference | FORM 990, SCHEDULE R, PART V, LINE 2 | ReturnReference |
| Explanation | METHOD OF DETERMINING AMOUNT INVOLVED ITEM (1): THE AMOUNT REPRESENTS THE AVAILABLE BALANCE OF THE LINE OF CREDIT. ANY AMOUNTS DRAWN ARE GUARANTEED BY HEALTHFIRST, INC. THERE WERE NO AMOUNTS OUTSTANDING AT DECEMBER 31, 2011. ITEM (2): THE AMOUNT REPRESENTS THE EXPENSES INCURRED AND PAID OR DUE TO THE RELATED ORGANIZATION FOR SERVICES RENDERED BASED ON CONTRACTED RATES APPROVED BY RESOLUTION OF THE BOARD OF DIRECTORS AND BY STATE REGULATORS. ITEMS (3) AND (4): IN ACCORDANCE WITH THE ORGANIZATION'S CONTRACTUAL ARRANGEMENTS WITH HOSPITALS , RISK-SHARING POOL BALANCES IN PHSP MAY BE OFFSET BY OR MAY BE USED TO OFFSET A PERCENTAGE OF THE SAME HOSPITAL(S)RISK-SHARING POOL BALANCE IN MHI THROUGH AN INTERCOMPANY TRANSFER. THE CURRENT POLICIES PERMIT THE OFFSETTING OF ANY DEFICITS THAT MAY ACCRUE FOR A HOSPITAL, OR ITS AFFILIATE INSTITUTIONS, WITH UP TO 100% OF SURPLUSES THAT MAY ACCRUE. | Explanation |