Civic Intelligence

Metroplus Health Plan Inc.

990 • Fiscal year 2019 • EIN 13-4115686

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 12, 2020

Organization Profilewww.metroplus.org
160 Water StreetNew York, NY 10038

(212) 908-8600

Siviq Scores

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

Liabilities / Assets

81st percentile

0.63x

Higher debt load relative to assets than 81% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Liabilities / Revenue

20th percentile

0.29x

Higher debt load relative to revenue than 20% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Net Margin

18th percentile

0.2%

Higher net margin than 18% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Top Officer Pay

6th percentile

$428,067

Higher top officer pay than 6% of similar nonprofits.

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

2019 filings • 501(c)3 • $1B+ nonprofits • Source year 2019

Asset Growth

7th percentile

-3.5%

Faster asset growth than 7% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2018 to 2019

Revenue Growth

32nd percentile

1.8%

Faster revenue growth than 32% of similar nonprofits.

2019 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / Assets81st percentile

Assets

Down

$1,467,232,259

Down $53,948,776 (-3.5%) from 2018

Net Assets

Up

$541,021,259

Up $4,847,860 (+0.9%) from 2018

Liabilities

Down

$926,211,000

Down $58,796,636 (-6.0%) from 2018

Revenue And Expenses
Liabilities / Revenue20th percentileNet Margin18th percentile

Revenue

Up

$3,224,065,000

Up $55,560,000 (+1.8%) from 2018

Expenses

Up

$3,219,217,140

Up $65,855,256 (+2.1%) from 2018

Net Income

Down

$4,847,860

Down $10,295,256 (-68%) from 2018

Historical Trend

Balance Sheet Trend

Asset Growth7th percentile

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

$3.0B$2.0B$1.0B$0Assets 2010: $513,121,988Liabilities 2010: $292,818,550Net Assets 2010: $220,303,4382010Assets 2011: $675,103,508Liabilities 2011: $384,752,243Net Assets 2011: $290,351,2652011Assets 2012: $889,192,994Liabilities 2012: $491,678,180Net Assets 2012: $397,514,8142012Assets 2013: $963,226,089Liabilities 2013: $477,008,434Net Assets 2013: $486,217,6552013Assets 2014: $1,076,529,988Liabilities 2014: $625,026,434Net Assets 2014: $451,503,5542014Assets 2015: $1,229,992,981Liabilities 2015: $720,931,353Net Assets 2015: $509,061,6282015Assets 2016: $1,413,898,678Liabilities 2016: $888,151,046Net Assets 2016: $525,747,6322016Assets 2017: $1,458,584,073Liabilities 2017: $937,553,790Net Assets 2017: $521,030,2832017Assets 2018: $1,521,181,035Liabilities 2018: $985,007,636Net Assets 2018: $536,173,3992018Assets 2019: $1,467,232,259Liabilities 2019: $926,211,000Net Assets 2019: $541,021,2592019Assets 2020: $1,519,713,309Liabilities 2020: $936,481,942Net Assets 2020: $583,231,3672020Assets 2021: $1,638,572,790Liabilities 2021: $1,029,089,926Net Assets 2021: $609,482,8642021Assets 2022: $1,748,364,475Liabilities 2022: $1,064,048,986Net Assets 2022: $684,315,4892022Assets 2023: $2,488,683,861Liabilities 2023: $1,576,982,712Net Assets 2023: $911,701,1492023Assets 2024: $2,579,865,475Liabilities 2024: $1,598,006,907Net Assets 2024: $981,858,5682024

Highlighted filing

2019

Assets$1,467,232,259
Liabilities$926,211,000
Net Assets$541,021,259
Open 2019 Filing

Operations Trend

Revenue Growth32nd percentile

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

$6.0B$4.0B$2.0B$0Expenses 2010: $1,134,701,3662010Expenses 2011: $1,596,754,4932011Expenses 2012: $1,956,635,5472012Revenue 2013: $2,136,380,072Expenses 2013: $2,037,857,409Net Income 2013: $98,522,6632013Revenue 2014: $2,266,570,924Expenses 2014: $2,232,159,075Net Income 2014: $34,411,8492014Revenue 2015: $2,594,041,401Expenses 2015: $2,536,483,327Net Income 2015: $57,558,0742015Revenue 2016: $2,785,766,626Expenses 2016: $2,769,080,622Net Income 2016: $16,686,0042016Revenue 2017: $2,984,862,356Expenses 2017: $2,983,756,445Net Income 2017: $1,105,9112017Revenue 2018: $3,168,505,000Expenses 2018: $3,153,361,884Net Income 2018: $15,143,1162018Revenue 2019: $3,224,065,000Expenses 2019: $3,219,217,140Net Income 2019: $4,847,8602019Revenue 2020: $3,290,458,334Expenses 2020: $3,248,249,285Net Income 2020: $42,209,0492020Revenue 2021: $3,889,686,746Expenses 2021: $3,863,435,251Net Income 2021: $26,251,4952021Revenue 2022: $4,296,189,597Expenses 2022: $4,221,356,972Net Income 2022: $74,832,6252022Revenue 2023: $5,218,349,628Expenses 2023: $4,990,963,968Net Income 2023: $227,385,6602023Revenue 2024: $4,865,128,566Expenses 2024: $4,794,971,147Net Income 2024: $70,157,4192024

Highlighted filing

2019

Revenue$3,224,065,000
Expenses$3,219,217,140
Net Income$4,847,860
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 12, 2020
Return Version
2019v5.0
Gross Receipts
$3,224,065,000
Mission and Program Overview

Mission

MetroPlus provides its members with access to high quality, cost effective healthcare, partnering with New York City Health and Hospitals and other providers.

MetroPlus provides its members with access to high quality, cost effective healthcare, partnering with NYC HHC and other providers.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$536,173,399$541,021,259▲ $4,847,860
Investments in Publicly Traded Securities$474,645,471$493,279,698▲ $18,634,227
Savings and Temporary Cash Investments$427,711,968$417,613,982▼ $10,097,986
Cash and Non-Interest-Bearing Accounts$498,883,498$367,183,572▼ $131,699,926
Accounts Receivable$114,875,833$183,779,537▲ $68,903,704
Land, Buildings, and Equipment, Net$5,064,265$5,375,470▲ $311,205
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$1,521,181,035$1,467,232,259▼ $53,948,776
Liabilities
Accounts Payable and Accrued Expenses$940,255,160$846,626,298▼ $93,628,862
Deferred Revenue$44,752,476$79,584,702▲ $34,832,226
Total Liabilities$985,007,636$926,211,000▼ $58,796,636
Net Assets / Fund Balance
Total Net Assets Fund Balance$536,173,399$541,021,259▲ $4,847,860
Total Liabilities and Net Assets / Fund Balance$1,521,181,035$1,467,232,259▼ $53,948,776

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$5,375,470$27,456,439$0
Other Land Buildings$0$0$0
Land$0-$0
Equipment$0$0$0
Leasehold Improvements$0$0$0
Compensation and Service Providers
Top Officer Pay6th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Taliya SchwartzChief Medical Officer-$423,516$82,637$506,153
Arnold SapersteinExec Director/CEO-$428,067-$428,067
Taliya SchwartzChief Executive OfficerFT$423,516-$423,516
John CudaChief Financial OfficerFT$334,434$69,464$403,898
Meryl WeinbergDirector of Medical Management OpsFT$296,615$83,882$380,497
Glendon HenryAssociate Medical DirectorFT$300,772$64,487$365,259
Roger MillinerChief Growth OfficerFT$296,752$63,892$360,644
Bruce SoslerSenior Medical DirectorFT$289,128$62,765$351,893
Eleanor SorrentinoDirector of Quality ManagementFT$242,617$55,887$298,504
Lauren CastaldoChief Administrative OfficerFT$239,072$55,363$294,435
Gail SmithChief Customer OfficerFT$236,774$55,023$291,797
Ryan HarrisChief Human Resource OfficerFT$238,011-$238,011
Sanjiv ShahChief Medical OfficerFT$132,615$39,620$172,235

Board Members and Trustees

NameTitle
Sally Hernandez-PineroChairman
Matthew SieglerPresident's Designee
Christopher RokerBoard Member
Eric WeiBoard Member
Lloyd WilliamsBoard Member
Nella LewisBoard Member
Tamira BoynesBoard Member

Highest Paid Contractors

ContractorServicesLocationCompensation
DST Health SolutionsClaims Processing Services13804 Collection Ctr Drive, Chicago, IL 60693$14,933,481
Inovalon INCRewards Program for Members1200 NW NAITO PKWY STE-220, Portland, OR 97209$9,070,996
Clarity Software SolutionsBuilding Lease160 Water Street, New York, NY 10016$8,217,953
Finity CommunicationsFulfillment92 Wall Street, Madison, CT 06443$3,915,120
-Data Analytics in the Healthcare Landscape4321 Collington Road, Bowie, MD 20716$3,805,781
Revenue and Support

Revenue Composition

Contributions and Grants
$655,000
Program Service Revenue
$3,204,047,000
Investment Income
$19,363,000
Other Revenue
$0
All Other Contributions
$0
Change in Net Assets
$4,847,860

Audited Revenue Reconciliation

Revenue per Audited Statements
$3,224,065,000
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$3,224,065,000
Total Revenue per Form 990
$3,224,065,000
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$146,374,590
Other Expenses$117,404,845
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$2,955,437,705--$2,955,437,705
Other Salaries and Wages$71,286,690$16,584,541$0$87,871,231
Other Employee Benefits$29,444,110$3,620,434$0$33,064,544
Occupancy$651,326$13,068,176$0$13,719,502
Pension Plan Contributions$10,541,538$2,961,117$0$13,502,655
Payroll Taxes$7,148,915$1,347,362$0$8,496,277
Other Expenses$6,852,727$482,885$0$7,335,612
Office Expenses$477,237$5,936,538$0$6,413,775
Current Officers, Directors, Trustees, and Key Employees$0$3,439,883$0$3,439,883
Fees for Services Other$1,584,019$781,904$0$2,365,923
Depreciation Depletion$95,337$2,269,872-$2,365,209
Conferences and Meetings$64,704$571,974-$636,678
Fees for Services Legal$249,927$211,006$0$460,933
Travel$69,452$41,854-$111,306
Total Functional Expenses$3,154,307,452$64,909,688$0$3,219,217,140

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$3,219,217,140
Total Expenses per Audited Statements$3,219,217,140
Total Expenses per Form 990$3,219,217,140
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Other Expense Adjustments$0
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

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
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 35% controlled entity
No
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
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

“The form was reviewed by the Controller and the CFO before it was submitted.”

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

“MetroPlus at a minimum follows the conflict of Interest standards, imposed by the City of New York, contained in 68 of the New York City Charter. Additionally we follow any conflict of Interest of Rules imposed by the corporation laws of NYS for boards of directors, in terms of the disclosures mentioned in the form. Our Conflict of interest standards are mentioned and enforced in accordance with our Corporate Compliance Program.”

Form 990, Part VI, Section C, Line 19

“MetroPlus Health Plan makes its documents available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Metroplus Health Plan Inc
EIN
13-4115686
Phone
2129088600
Address
160 Water Street, New York, NY 10038

Signing Officer

Name
Lauren Leverich
Title
CFO
Phone
2129088505
Signed
2020-11-12

Organization Details

Formed
2000
Legal Domicile
Ny
Voting Board Members
8
Independent Board Members
3
Employees
0
Volunteers
0
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IRS990/Form990PartVIISectionAGrp/PersonNm0Arnold Saperstein
IRS990/Form990PartVIISectionAGrp/PersonNm1Taliya Schwartz
IRS990/Form990PartVIISectionAGrp/PersonNm2John Cuda
IRS990/Form990PartVIISectionAGrp/PersonNm3Glendon Henry
IRS990/Form990PartVIISectionAGrp/PersonNm4Roger Milliner
IRS990/Form990PartVIISectionAGrp/PersonNm5Meryl Weinberg
IRS990/Form990PartVIISectionAGrp/PersonNm6Bruce Sosler
IRS990/Form990PartVIISectionAGrp/PersonNm7Eleanor Sorrentino
IRS990/Form990PartVIISectionAGrp/PersonNm8Lauren Castaldo
IRS990/Form990PartVIISectionAGrp/PersonNm9Ryan Harris
IRS990/Form990PartVIISectionAGrp/PersonNm10Gail Smith
IRS990/Form990PartVIISectionAGrp/PersonNm11Sanjiv Shah
IRS990/Form990PartVIISectionAGrp/PersonNm12Sally Hernandez-Pinero
IRS990/Form990PartVIISectionAGrp/PersonNm13Lloyd Williams
IRS990/Form990PartVIISectionAGrp/PersonNm14Christopher Roker
IRS990/Form990PartVIISectionAGrp/PersonNm15Tamira Boynes
IRS990/Form990PartVIISectionAGrp/PersonNm16Matthew Siegler
IRS990/Form990PartVIISectionAGrp/PersonNm17Eric Wei
IRS990/Form990PartVIISectionAGrp/PersonNm18Nella Lewis
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt170
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/TitleTxt0Exec Director/CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1Chief Executive Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt2Chief Financial Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt3Associate Medical Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Chief Growth Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director of Medical Management Ops
IRS990/Form990PartVIISectionAGrp/TitleTxt6Senior Medical Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Director of Quality Management
IRS990/Form990PartVIISectionAGrp/TitleTxt8Chief Administrative Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt9Chief Human Resource Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt10Chief Customer Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt11Chief Medical Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt12Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt13Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt14Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt15Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt16President's Designee
IRS990/Form990PartVIISectionAGrp/TitleTxt17Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt18Board Member
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Document Assets

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Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,467,232,259
Liabilities
$926,211,000
Net assets
$541,021,259
Revenue
$3,224,065,000
Expenses
$3,219,217,140
Net income
$4,847,860
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,580$1,598$982$4,865$4,795$70.2
2023Detailed filing. Detailed filing data is available for this year.$2,489$1,577$912$5,218$4,991$227
2022Detailed filing. Detailed filing data is available for this year.$1,748$1,064$684$4,296$4,221$74.8
2021Detailed filing. Detailed filing data is available for this year.$1,639$1,029$609$3,890$3,863$26.3
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,520$936$583$3,290$3,248$42.2
2019Detailed filing. Detailed filing data is available for this year.$1,467$926$541$3,224$3,219$4.85
2018Detailed filing. Detailed filing data is available for this year.$1,521$985$536$3,169$3,153$15.1
2017Detailed filing. Detailed filing data is available for this year.$1,459$938$521$2,985$2,984$1.11
2016Detailed filing. Detailed filing data is available for this year.$1,414$888$526$2,786$2,769$16.7
2015Detailed filing. Detailed filing data is available for this year.$1,230$721$509$2,594$2,536$57.6
2014Detailed filing. Detailed filing data is available for this year.$1,077$625$452$2,267$2,232$34.4
2013Detailed filing. Detailed filing data is available for this year.$963$477$486$2,136$2,038$98.5
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$889$492$398$1,957
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$675$385$290$1,597
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$513$293$220$1,135
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