Civic Intelligence

Healthfirst Phsp Inc.

990 • Fiscal year 2013 • EIN 13-3783732

Jan 01, 2013 to Dec 31, 2013 • Filed on Oct 24, 2014

100 Church St FL 18SuiteNew York, NY 10007-2601

(212) 801-6000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

84th percentile

0.68x

Higher debt load relative to assets than 84% of similar nonprofits.

2013 filings • 501(c)3 • $1B+ nonprofits • Source year 2013

Liabilities / Revenue

13th percentile

0.16x

Higher debt load relative to revenue than 13% of similar nonprofits.

2013 filings • 501(c)3 • $1B+ nonprofits • Source year 2013

Net Margin

18th percentile

0.6%

Higher net margin than 18% of similar nonprofits.

2013 filings • 501(c)3 • $1B+ nonprofits • Source year 2013

Top Officer Pay

33rd percentile

$1,594,021

Higher top officer pay than 33% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2013 filings • 501(c)3 • $1B+ nonprofits • Source year 2013

Asset Growth

93rd percentile

30%

Faster asset growth than 93% of similar nonprofits.

2013 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Up

$789,982,541

Up $184,487,138 (+30%) from 2012

Net Assets

Up

$253,039,747

Up $51,016,544 (+25%) from 2012

Liabilities

Up

$536,942,794

Up $133,470,594 (+33%) from 2012

Revenue

$3,307,259,420

No earlier filing loaded for comparison.

Expenses

Up

$3,287,232,831

Up $821,129,280 (+33%) from 2012

Net Income

$20,026,589

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0B$4.0B$2.0B$0Assets 2010: $406,633,994Liabilities 2010: $241,537,934Net Assets 2010: $165,096,0602010Assets 2011: $495,534,814Liabilities 2011: $327,250,004Net Assets 2011: $168,284,8102011Assets 2012: $605,495,403Liabilities 2012: $403,472,200Net Assets 2012: $202,023,2032012Assets 2013: $789,982,541Liabilities 2013: $536,942,794Net Assets 2013: $253,039,7472013Assets 2014: $1,005,634,686Liabilities 2014: $688,540,919Net Assets 2014: $317,093,7672014Assets 2015: $1,392,900,428Liabilities 2015: $994,939,758Net Assets 2015: $397,960,6702015Assets 2016: $1,591,670,184Liabilities 2016: $1,118,193,981Net Assets 2016: $473,476,2032016Assets 2017: $2,012,360,481Liabilities 2017: $1,254,044,343Net Assets 2017: $758,316,1382017Assets 2018: $2,243,449,792Liabilities 2018: $1,383,966,684Net Assets 2018: $859,483,1082018Assets 2019: $2,305,850,904Liabilities 2019: $1,387,932,581Net Assets 2019: $917,918,3232019Assets 2020: $2,870,766,607Liabilities 2020: $1,819,084,041Net Assets 2020: $1,051,682,5662020Assets 2021: $3,321,440,434Liabilities 2021: $2,188,665,220Net Assets 2021: $1,132,775,2142021Assets 2022: $3,335,789,304Liabilities 2022: $2,232,529,892Net Assets 2022: $1,103,259,4122022Assets 2023: $4,369,670,653Liabilities 2023: $3,040,215,990Net Assets 2023: $1,329,454,6632023Assets 2024: $4,230,712,832Liabilities 2024: $2,671,537,568Net Assets 2024: $1,559,175,2642024

Highlighted filing

2013

Assets$789,982,541
Liabilities$536,942,794
Net Assets$253,039,747

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15B$10B$5.0B$0-$5.0BExpenses 2010: $1,375,258,3052010Expenses 2011: $1,728,069,5092011Expenses 2012: $2,466,103,5512012Revenue 2013: $3,307,259,420Expenses 2013: $3,287,232,831Net Income 2013: $20,026,5892013Revenue 2014: $4,147,859,743Expenses 2014: $4,148,812,838Net Income 2014: -$953,0952014Revenue 2015: $5,133,153,576Expenses 2015: $5,103,578,899Net Income 2015: $29,574,6772015Revenue 2016: $6,011,909,761Expenses 2016: $6,044,053,170Net Income 2016: -$32,143,4092016Revenue 2017: $7,545,520,325Expenses 2017: $7,509,745,485Net Income 2017: $35,774,8402017Revenue 2018: $8,158,924,588Expenses 2018: $8,075,037,421Net Income 2018: $83,887,1672018Revenue 2019: $8,698,913,059Expenses 2019: $8,678,457,116Net Income 2019: $20,455,9432019Revenue 2020: $8,806,000,909Expenses 2020: $8,708,873,824Net Income 2020: $97,127,0852020Revenue 2021: $10,588,698,647Expenses 2021: $10,515,289,387Net Income 2021: $73,409,2602021Revenue 2022: $11,273,526,910Expenses 2022: $11,216,726,379Net Income 2022: $56,800,5312022Revenue 2023: $12,085,677,439Expenses 2023: $11,924,402,575Net Income 2023: $161,274,8642023Revenue 2024: $12,172,591,281Expenses 2024: $11,974,155,917Net Income 2024: $198,435,3642024

Highlighted filing

2013

Revenue$3,307,259,420
Expenses$3,287,232,831
Net Income$20,026,589
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 24, 2014
Return Version
2013v3.1
Gross Receipts
$3,307,259,420
Mission and Program Overview

Mission

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.

Improve the health & well-being of under- served populations by providing comprehensive prepaid healthcare co- verage to medicaid,child health plus and family health plus recipients

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$348,453,456$491,854,393▲ $143,400,937
Accounts Receivable$178,123,835$194,180,838▲ $16,057,003
Savings and Temporary Cash Investments$57,131,965$75,279,394▲ $18,147,429
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0--
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$605,495,403$789,982,541▲ $184,487,138
Other Assets Total$21,786,147$28,667,916▲ $6,881,769
Liabilities
Accounts Payable and Accrued Expenses$382,775,486$508,849,131▲ $126,073,645
Other Liabilities$20,246,842$27,664,864▲ $7,418,022
Deferred Revenue$449,872$428,799▼ $21,073
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$403,472,200$536,942,794▲ $133,470,594
Net Assets / Fund Balance
Unrestricted Net Assets$202,023,203$253,039,747▲ $51,016,544
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$202,023,203$253,039,747▲ $51,016,544
Total Liabilities and Net Assets / Fund Balance$605,495,403$789,982,541▲ $184,487,138
Compensation and Service Providers

Employees

NameTitleOtherTotal
Stephen RosenthalDirector$1,594,021$1,594,021
Eric ScalettarDirector$983,227$983,227
Evelyn Del OrbeCommunity Representative$722,363$722,363

Board Members and Trustees

NameTitle
Patricia J WangPresident/CEO
Deborah E HammondVP, Medical Director
Jay a SchechtmanChief Medical Officer
Daniel P MccarthyEvp/COO
Paul E Portsmore JrSVP, Bus Dev and Mbr Acquisi
Andrea C ForinoSVP, Human Resources
Marybeth a TitaSVP/chief Financial Officer
Arun K BhatiaSVP/CIO
Elizabeth R St ClairSVP/general Counsel
Yi Qi WuVP, Facilitated Enrollment

Highest Paid Contractors

ContractorServicesLocationCompensation
Caremark LLCPharmacy-$630,292,290
Nyc Health And Hospital CorpMedical/hospital-$190,720,178
Montefiore Medical CenterMedical/hospital-$178,958,303
DentaquestMedical/hospital-$98,885,589
Mount Sinai HospitalMedical/hospital-$58,554,263
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$3,305,343,319
Investment Income
$1,916,101
Other Revenue
$0
Change in Net Assets
$20,026,589

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,307,259,420
Revenue Not Reported on Form 990
$30,989,955
Total Revenue per Audited Statements
$3,338,249,375
Total Revenue per Form 990
$3,307,259,420
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$3,287,232,831
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$151,025,970$58,732,322-$209,758,292
Advertising$3,796,649$895,070-$4,691,719
Office Expenses$184,939$149,746-$334,685
Fees for Services Other$9,149$64,033-$73,182
Other Expenses$10,112--$10,112
Total Functional Expenses$3,227,391,660$59,841,171$0$3,287,232,831

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$3,287,232,831
Total Expenses per Audited Statements$3,287,232,831
Total Expenses per Form 990$3,287,232,831
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Hf Management Services LLCCommon Officers/directorsManagement and Admin ServicesNo$209,758,292

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to State of New York$27,664,864
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

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. All officers, key employees, and highest compensated employees were paid by, and worked for hfms, a management company which provides management services for multiple entities. None of the individuals listed earned any compensation from phsp.

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.

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.

Form 990, Part VI, Section A, Line 7B

The amendment of the organization's governing documents is subject to the approval of healthfirst, inc. Some of the decisions of the governing body, should they occur, are subject to approval by state regulators: * distribution of the organization's net assets * certain changes to premium rates * expansion to other managed care businesses * specific types of changes to the organization's benefit plans * management fee rate changes [approval is also required from the management company]

Form 990, Part VI, Section B, Line 11B

The 990 is prepared by the hf management services, llc (hfms) corporate finance department staff and then reviewed by the hfms vice president controller. Secondary reviews are also performed by the hfms general counsel, senior vice president of corporate finance and chief financial officer. The draft 990 is then reviewed by an independent accounting firm. The draft 990 is then presented to the board of directors for review. The final 990 is submitted after the board of directors reviews it.

Form 990, Part VI, Section B, Line 12C

A conflict of interest disclosure statement is completed annually by each board member, officer and key employee. Each board member, officer and key employee is given a copy of the disclosure statement to complete on an annual basis. A 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.

Form 990, Part VI, Section B, Line 15

Because the reporting organization did not compensate any officer or employee, the reporting organization has responded "no." however, the compensation of the ceo, other officers and key employees is determined by the compensation committee of hf management services, llc, the management company that provides all services to phsp.(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.

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.

Filing and Contact Details

Filer

EIN
13-3783732
In Care Of
% MARYBETH TITA
Phone
2128016000

Signing Officer

Name
Marybeth Tita
Title
SVP/treasurer
Signed
2014-10-24

Organization Details

Principal Officer
Patricia J Wang
Formed
1994
Legal Domicile
Ny
Voting Board Members
5
Independent Board Members
3
Employees
0
Volunteers
0

Preparer

Preparer
Christopher Boggs
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9 Other Changes in Net Assets

Retained hospital payments: 33,120,641.

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).

Financial Statement Notes

Schedule D PART XI, LINE 2D - OTHER ADJUSTMENTS

RETAINED HOSPITAL PAYMENTS: $33,120,641. The health care services agreements with certain hospitals provide that payments due to these hospitals, as a health care providers to PHSP Members, attributable to a % of premium are retained by PHSP. These hospitals may be entitled to have their retained payments refunded in the future, without interest, upon the dissolution of PHSP or similar circumstances, subject to any restrictions by the State of New York, as detailed in such agreement. Retained payments required to be withheld by PHSP totaled $33,120,641 for 2013.

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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4,231$2,672$1,559$12,173$11,974$198
2023Detailed filing. Detailed filing data is available for this year.$4,370$3,040$1,329$12,086$11,924$161
2022Detailed filing. Detailed filing data is available for this year.$3,336$2,233$1,103$11,274$11,217$56.8
2021Detailed filing. Detailed filing data is available for this year.$3,321$2,189$1,133$10,589$10,515$73.4
2020Detailed filing. Detailed filing data is available for this year.$2,871$1,819$1,052$8,806$8,709$97.1
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,306$1,388$918$8,699$8,678$20.5
2018Detailed filing. Detailed filing data is available for this year.$2,243$1,384$859$8,159$8,075$83.9
2017Detailed filing. Detailed filing data is available for this year.$2,012$1,254$758$7,546$7,510$35.8
2016Detailed filing. Detailed filing data is available for this year.$1,592$1,118$473$6,012$6,044$32.1
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1,393$995$398$5,133$5,104$29.6
2014Detailed filing. Detailed filing data is available for this year.$1,006$689$317$4,148$4,149$0.95
2013Detailed filing. Detailed filing data is available for this year.$790$537$253$3,307$3,287$20.0
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$605$403$202$2,466
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$496$327$168$1,728
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$407$242$165$1,375
Peer Organizations

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