Affinity Health Plan Inc.

“Form 990 review the financial staff compiles the financial and other information required in the 990 return. Kpmg, llp prepares the return and the information is reviewed by the company's cfo and vp/controller. A final copy of the form 990 is made available to the entire governing body before filing with the irs.”

“Process to monitor transactions for conflicts of interest 1. Actual or potential conflicts of interest must be disclosed to appropriate management personnel, human resources or the corporate compliance officer. 2. Employees must seek guidance and approval from appropriate management personnel prior to pursuing any business or personal activity that may constitute a conflict of interest. 3. Management, with purchasing authority, will complete a related party questionnaire annually to identify any potential or actual conflicts of interest. 4. Employees, upon hire and annually thereafter, review the code of ethics which includes information on conflicts of interest. In addition, employees are required to sign an attestation, upon hire and annually thereafter, that they acknowledge and understood the code of ethics. If a conflict of interest is found, persons with a conflict recuse themselves from decisions related to the conflict.”

“Compensation review the process for determining compensation for the ceo and cfo included review and approval by a compensation committee (the "committee") comprised of independent directors charged with this responsibility, consideration of comparability data and contemporaneous substantiation and documentation of the deliberation and decision. Affinity health plan's annual compensation program for these positions and other officers and key employees includes: a) compensation for the chief executive officer is established by the compensation committee and ratified by the board of directors of affinity health plan. The board and the committee have established compensation terms for the ceo considering comparability data for ceo positions in similar organizations in their deliberations and decision making. These decisions are documented in accordance with legal requirements and best practices. B) compensation decisions applicable for other officers and key employees, including incentive bonuses, merit increases, promotional salary adjustments, and starting salaries for newly hired officers and key employees are made after review of comparability data from published sources for similar positions in the relevant labor market. Published comparability data utilized includes industry specific data. Internal data is reviewed as well with the objective of ensuring internal equity with similarly situated staff. Compensation decisions impacting those of the foregoing positions that are also deemed to be "disqualified persons" under the internal revenue code (e.g., chief financial officer) are made by the committee (and ratified by the board) in accordance with "intermediate sanctions safe harbor" standards utilizing the same processes as are applied to the ceo (discussed above).”

“Document disclosure the organization makes its governing documents, conflict of interest policy, and financial statements available upon request.”

“Form 990, part i, line 1 and part iii, line 1 the mission of affinity health plan is to improve the health and well-being of its members, their families, and their communities in collaboration with primary care providers. Affinity strives to be the health plan of choice for its members and its providers -- known for assuring access to high quality, cost-effective care; delivering the best customer experience; and contributing significantly to achieving a patient-centered health care system.”

“Form 990, part iii, line 4d child health plus program - chp is available to children under the age of 19 who are not eligible for medicaid and who do not already have comprehensive health coverage. The premium received by the plan depends upon income (some participants are fully subsidized). The plan's current agreement for chp with nysdoh extends through september 30, 2024. Expenses $26,524,288. Revenue $34,416,757. Program services accomplishments form 990, part iii, line 4d medicare - discontinued operations and other. Expenses $1,251,534. Revenue $-11,486.”

“Other professional services : program service expenses 97,751,825. Management and general expenses 0. Fundraising expenses 0. Total expenses 97,751,825. Primary care: program service expenses 74,574,389. Management and general expenses 0. Fundraising expenses 0. Total expenses 74,574,389. Beacon-outpatient substance ab: program service expenses 64,181,246. Management and general expenses 0. Fundraising expenses 0. Total expenses 64,181,246. Beacon ibnr expense: program service expenses 41,147,517. Management and general expenses 0. Fundraising expenses 0. Total expenses 41,147,517. Dental capitation: program service expenses 27,716,217. Management and general expenses 0. Fundraising expenses 0. Total expenses 27,716,217. Diagnostic tests lab & x-ray c: program service expenses 25,352,460. Management and general expenses 0. Fundraising expenses 0. Total expenses 25,352,460. Medicaid stop loss insurance: program service expenses 22,586,315. Management and general expenses 0. Fundraising expenses 0. Total expenses 22,586,315. Health home claims: program service expenses 14,927,938. Management and general expenses 0. Fundraising expenses 0. Total expenses 14,927,938. Other medical hcra: program service expenses 9,357,048. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,357,048. Covered lives: program service expenses 6,813,722. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,813,722. Share savings expense: program service expenses 5,983,150. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,983,150. Beacon hcra: program service expenses 5,569,938. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,569,938. Vision capitation: program service expenses 3,476,405. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,476,405. Outpatient non valuated expense: program service expenses 2,899,219. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,899,219. Other professional svc-hcra: program service expenses 2,748,606. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,748,606. Emergency room hcra: program service expenses 2,455,034. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,455,034. Lab hcra: program service expenses 2,180,850. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,180,850. Nursing facility: program service expenses 1,954,633. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,954,633. Beacon outpatient drug&alcohol: program service expenses 314,970. Management and general expenses 0. Fundraising expenses 0. Total expenses 314,970. Chiropractic: program service expenses 199,162. Management and general expenses 0. Fundraising expenses 0. Total expenses 199,162. Dental hcra: program service expenses 104,921. Management and general expenses 0. Fundraising expenses 0. Total expenses 104,921. Profession service-ibnr: program service expenses -2,617,580. Management and general expenses 0. Fundraising expenses 0. Total expenses -2,617,580. Outpatient claims-ibnr: program service expenses -4,388,540. Management and general expenses 0. Fundraising expenses 0. Total expenses -4,388,540. Third party recoveries - reins: program service expenses -32,336,260. Management and general expenses 0. Fundraising expenses 0. Total expenses -32,336,260.”