Civic Intelligence

Partners Health Plan Inc

990 • Fiscal year 2018 • EIN 46-1496685

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 14, 2019

655 Third Avenue 2nd FloorNew York, NY 10017-9130

(646) 844-4020

Siviq Scores

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

Liabilities / Assets

96th percentile

1.68x

Higher debt load relative to assets than 96% of similar nonprofits.

2018 filings • NTEE E • $100M-$250M nonprofits • Source year 2018

Liabilities / Revenue

53rd percentile

0.46x

Higher debt load relative to revenue than 53% of similar nonprofits.

2018 filings • NTEE E • $100M-$250M nonprofits • Source year 2018

Net Margin

31st percentile

-0.9%

Higher net margin than 31% of similar nonprofits.

2018 filings • NTEE E • $100M-$250M nonprofits • Source year 2018

Top Officer Pay

10th percentile

$354,432

Higher top officer pay than 10% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2018 filings • NTEE E • $100M-$250M nonprofits • Source year 2018

Asset Growth

93rd percentile

31%

Faster asset growth than 93% of similar nonprofits.

2018 filings • NTEE E • $100M-$250M nonprofits • Annualized from 2017 to 2018

Revenue Growth

95th percentile

68%

Faster revenue growth than 95% of similar nonprofits.

2018 filings • NTEE E • $100M-$250M nonprofits • Annualized from 2017 to 2018

Assets

Flat

$40,743,616

Flat from 2018

Net Assets

Flat

-$27,857,965

Flat from 2018

Liabilities

Flat

$68,601,581

Flat from 2018

Revenue

Flat

$148,202,298

Flat from 2018

Expenses

Flat

$149,597,174

Flat from 2018

Net Income

Flat

-$1,394,876

Flat from 2018

Historical Trend

Balance Sheet Trend

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

$200M$100M$0-$100M-$200MAssets 2015: $2,117,334Liabilities 2015: $11,434,982Net Assets 2015: -$9,317,6482015Assets 2016: $28,823,424Liabilities 2016: $43,697,671Net Assets 2016: -$14,874,2472016Assets 2017: $31,160,435Liabilities 2017: $57,690,363Net Assets 2017: -$26,529,9282017Assets 2018: $40,743,616Liabilities 2018: $68,601,581Net Assets 2018: -$27,857,9652018Assets 2018: $40,743,616Liabilities 2018: $68,601,581Net Assets 2018: -$27,857,9652018Assets 2019: $58,658,370Liabilities 2019: $95,939,345Net Assets 2019: -$37,280,9752019Assets 2020: $48,917,554Liabilities 2020: $103,241,008Net Assets 2020: -$54,323,4542020Assets 2021: $49,889,991Liabilities 2021: $128,634,399Net Assets 2021: -$78,744,4082021Assets 2022: $76,215,193Liabilities 2022: $145,703,286Net Assets 2022: -$69,488,0932022Assets 2023: $116,304,805Liabilities 2023: $172,508,086Net Assets 2023: -$56,203,2812023Assets 2024: $77,304,871Liabilities 2024: $187,931,838Net Assets 2024: -$110,626,9672024

Highlighted filing

2018

Assets$40,743,616
Liabilities$68,601,581
Net Assets-$27,857,965

Operations Trend

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

$400M$200M$0-$200MRevenue 2015: $9,120,687Expenses 2015: $9,718,238Net Income 2015: -$597,5512015Revenue 2016: $31,707,155Expenses 2016: $37,292,958Net Income 2016: -$5,585,8032016Revenue 2017: $88,380,056Expenses 2017: $99,939,959Net Income 2017: -$11,559,9032017Revenue 2018: $148,202,298Expenses 2018: $149,597,174Net Income 2018: -$1,394,8762018Revenue 2018: $148,202,298Expenses 2018: $149,597,174Net Income 2018: -$1,394,8762018Revenue 2019: $221,034,942Expenses 2019: $230,469,415Net Income 2019: -$9,434,4732019Revenue 2020: $260,649,333Expenses 2020: $277,681,092Net Income 2020: -$17,031,7592020Revenue 2021: $287,431,178Expenses 2021: $311,851,883Net Income 2021: -$24,420,7052021Revenue 2022: $302,379,602Expenses 2022: $293,122,825Net Income 2022: $9,256,7772022Revenue 2023: $336,505,403Expenses 2023: $323,221,261Net Income 2023: $13,284,1422023Revenue 2024: $305,304,394Expenses 2024: $359,727,511Net Income 2024: -$54,423,1172024

Highlighted filing

2018

Revenue$148,202,298
Expenses$149,597,174
Net Income-$1,394,876
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 14, 2019
Return Version
2018v3.1
Gross Receipts
$168,002,502
Mission and Program Overview

Mission

Partners health plan ("php") is a managed care organization dedicated solely to providing support and services for adults age 21 and older with intellectual and developmental disabilities. Php is committed to keeping members as healthy and as independent as possible, so they can live the life they choose. Php promotes the wellness, supports the choices, integrates the services, respects the diversity of and improves the life of people with intellectual and developmental disabilities.

Partners health plan, inc. Is a mission-driven, person-centered organization dedicated to assisting individuals in pursuing the lives they choose.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$4,781,667$9,794,751▲ $5,013,084
Investments in Publicly Traded Securities$17,367,520$9,425,741▼ $7,941,779
Accounts Receivable$1,120,444$3,848,346▲ $2,727,902
Prepaid Expenses and Deferred Charges$383,995$678,916▲ $294,921
Land, Buildings, and Equipment, Net$190,924$268,031▲ $77,107
Savings and Temporary Cash Investments$686,627$152,161▼ $534,466
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
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$31,160,435$40,743,616▲ $9,583,181
Other Assets Total$6,629,258$16,575,670▲ $9,946,412
Liabilities
Other Liabilities$55,135,846$64,600,843▲ $9,464,997
Accounts Payable and Accrued Expenses$2,554,517$4,000,738▲ $1,446,221
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$57,690,363$68,601,581▲ $10,911,218
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-26,529,928$-27,857,965▼ $1,328,037
Total Net Assets Fund Balance$-26,529,928$-27,857,965▼ $1,328,037
Total Liabilities and Net Assets / Fund Balance$31,160,435$40,743,616▲ $9,583,181

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$74,404$183,941$258,345
Other Land Buildings$135,637$61,681$197,318
Leasehold Improvements$57,990$21,958$79,948
Other Assets Org$140,374--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Vallencia LloydCEO/COOFT$269,341$85,091$354,432
Christopher MasiCFO, as of 1/24/18FT$204,119$21,717$225,836
Edward CotesVP Provider Network ManagementFT$185,244$21,956$207,200
Karleen HainesChief of Care CoordinationFT$171,043$28,386$199,429
Lila BenayounVP of OperationsFT$167,893$23,823$191,716
Jeffery BirgenheierDirector of ITFT$150,965$6,032$156,997
Paul FioreControllerFT$146,086$5,631$151,717
Ron ArfinCFO Thru 1/19/18FT$57,000$1,278$58,278

Board Members and Trustees

NameTitle
Michael MascariChairman of the Board
Alden Kaplandirector
Bernard Rosof MD MACPDirector
Howard GoldDirector
John SardelisDirector
Josh HirschDirector
Judy Trentdirector
Kevin ConroyDirector
Robert NorrisDirector
Steven LoganDirector
Timothy SullivanDirector
Martin BoorsteinDirector and Treasurer
Howard JuristSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Healthsmart Benefit SolutionsHealth Plan Mgmt222 WEST LAS COLINAS BOULEVARD STE, Irving, TX 75039$3,896,949
Medisked LLCCare Mgmt Platform850 UNIVERSITY AVE, Rochester, NY 14607$542,925
Greenberg Traurig LLPLegal54 STATE STREET FL 6, Albany, NY 12207$245,142
Outsource My IT LLCIT ServicesPO BOX 774, West Caldwell, NJ 07007$186,838
PerformRx LLCPhar. benefit mgmt200 Stevens Drive, Philadelphia, PA 19113$170,590
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$147,691,750
Investment Income
$249,221
Other Revenue
$261,327
Change in Net Assets
$-1,394,876

Audited Revenue Reconciliation

Revenue per Audited Statements
$148,165,733
Revenue Not Reported on Financial Statements
$36,565
Revenue Not Reported on Form 990
$66,839
Total Revenue per Audited Statements
$148,232,572
Total Revenue per Form 990
$148,202,298
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$140,938,786
Salaries, Compensation, and Employee Benefits$8,658,388
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$4,646,454$1,952,072-$6,598,526
Fees for Services Management$736,767$4,604,756-$5,341,523
Other Employee Benefits$518,011$248,162-$766,173
Interest-$739,857-$739,857
Current Officers, Directors, Trustees, and Key Employees$72,197$566,349-$638,546
Payroll Taxes$362,711$191,542-$554,253
Occupancy$250,780$261,275-$512,055
Fees for Services Legal-$346,855-$346,855
Office Expenses$111,213$160,316-$271,529
Fees for Services Other$260,779--$260,779
Information Technology$24,152$186,838-$210,990
Fees for Services Accounting-$199,258-$199,258
Insurance$16,010$144,086-$160,096
Pension Plan Contributions$79,664$21,226-$100,890
Travel$90,192--$90,192
Other Expenses$5,024,410$82,201-$82,201
Depreciation Depletion-$76,705-$76,705
Advertising$56,084--$56,084
Fees for Service Investment Mgmnt Fees-$36,565-$36,565
Conferences and Meetings$4,706$2,485-$7,191
Total Functional Expenses$141,676,626$7,920,548$0$149,597,174

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$149,597,174
Expenses per Audited Statements$148,820,752
Total Expenses per Audited Statements$148,820,752
Expenses Not Reported on Financial Statements$776,422
Other Expense Adjustments$739,857
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

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

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
Subordinated Surplus Notes$40,233,033
Medical Claims Payable$19,367,810
Premium Deficiency Reserve$5,000,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

FORM 990, PART VI, SECTION A, LINE 7A:

The Board MEMBERS of Partners Health Plan, Inc. ARE appointed by its parent, Partnerships for Healthcare Solutions, Inc.

FORM 990, PART VI, SECTION A, LINE 7B:

Amendments to organization by-laws and restructuring of debt are subject to approval by members.

FORM 990, PART VI, SECTION B, LINE 11B:

Form 990 is prepared by a nationally renowned accounting firm in conjunction with the organization's financial department. Draft form 990 is reviewed by the organization's cfo and then provided to all members of the board of directors in draft via electronic mail, with an opportunity for them to comment or make inquiry before it is filed with the internal revenue service.

FORM 990, PART VI, SECTION B, LINE 12C:

Each director and officer of the organization shall annually sign a certificate setting forth any interests or relationships that exist with any party with which the organization is, or is contemplating, transacting business, and certifying that no others exist. such procedure is also performed when entering the initial employment with the organization. Furthermore, each such person will be under a continuing obligation to disclose to the Chair of the organization in writing any such interests or relationships that may arise and have not yet been disclosed in the annual certificate. The organization's chief compliance officer monitors and enforces compliance with the conflict of interest policy. FORM 990, PART VI, SECTION B, LINE 15: In conjunction with the full Board, a review and approval of executive compensation is performed by the Compensation Committee of the board. Input is acquired by independent Board members with specific industry experience and knowledge. In addition, market-based may be acquired and utilized by the Compensation Committee during the review process to validate compensation as needed.

FORM 990, PART VI, SECTION C, LINE 19:

The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Partners Health Plan Inc
EIN
46-1496685
In Care Of
% CHRISTOPHER MASI
Phone
6468444020
Address
655 THIRD AVENUE 2ND FLOOR, NEW YORK, NY 10017-9130

Signing Officer

Name
Kerry Delaney
Title
CEO
Phone
6468834171
Signed
2019-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kerry Delaney
Formed
2012
Legal Domicile
Ny
Voting Board Members
13
Independent Board Members
13
Employees
123
Volunteers
13

Preparer

Firm
Bdo USA Llp
Address
100 PARK AVENUE, NEW YORK, NY 10017-5001
Preparer
Paul Hammerschmidt
Phone
2128858000
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 7B AND PART V, LINE 3A:

FORM 990-T WAS FILED EXCLUSIVELY TO REPORT QUALIFIED TRANSPORTATION AND PARKING FRINGE BENEFITS UNDER SECTION 512(A)(7) FOR THE PERIOD BEGINNING JANUARY 1, 2018 THRU DECEMBER 31, 2018. FORM 990, PART VI, SECTION A, LINE 6: Partners Health Plan, Inc. has one sole corporate member which is Partnerships for Healthcare Solutions, Inc. Partnerships for Healthcare Solutions, Inc. is a New York not-for-profit corporation which has two corporate members, PHSI, Inc. and Adapt Community Network (formerly known as United Cerebral Palsy of New York City), both new york non-profit organizations.

Financial Statement Notes

PART X, LINE 2:

An organization must recognize the tax benefit associated with the tax positions taken for tax return purposes when it is more likely than not that the position will be sustained upon examination by a taxing authority. PHP does not believe it has taken any material uncertain tax positions and, accordingly, it has not recorded any liability for unrecognized tax benefits. PHP has filed for and received income tax exemptions in the jurisdictions where it is required to do so. Additionally, PHP filed Internal Revenue Service Form 990 information returns, as required, and all other applicable returns in jurisdictions where so required. As of December 31, 2018, PHP was not subject to any examination by a taxing authority.

PART XII, LINE 4B:

In 2018 Partners Health Plan, Inc. began financial statement reporting on the Statutory Basis, consistent with its operations as an insurance company and desired by insurance industry regulators. At this time Partners Health Plan, Inc. will continue to report Form 990 under Generally Accepted Accounting Principles ("GAAP") with no change in accounting method for tax reporting. GAAP basis audited financial statements are discontinued effective beginning in 2018. The 2018 audited financial statements (Statutory Basis) have not been issued at the time of the reporting organizations filing of Form 990 with the Internal Revenue Service. Form 990, Schedule D, Parts XI and XII, Reconciliation of income and expense per audited financial statements with Form 990 were prepared from draft (Statutory Basis) financial statements.

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IRS990/Form990PartVIISectionAGrp/PersonNm4Judy Trent
IRS990/Form990PartVIISectionAGrp/PersonNm5Kevin Conroy
IRS990/Form990PartVIISectionAGrp/PersonNm6Howard Gold
IRS990/Form990PartVIISectionAGrp/PersonNm7Josh Hirsch
IRS990/Form990PartVIISectionAGrp/PersonNm8Steven Logan
IRS990/Form990PartVIISectionAGrp/PersonNm9Bernard Rosof MD MACP
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IRS990/Form990PartVIISectionAGrp/PersonNm15Christopher Masi
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IRS990/Form990PartVIISectionAGrp/PersonNm17Karleen Haines
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chairman of the Board
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IRS990/MissionDesc0PARTNERS HEALTH PLAN ("PHP") IS A MANAGED CARE ORGANIZATION DEDICATED SOLELY TO PROVIDING SUPPORT AND SERVICES FOR ADULTS AGE 21 AND OLDER WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES. PHP IS COMMITTED TO KEEPING MEMBERS AS HEALTHY AND AS INDEPENDENT AS POSSIBLE, SO THEY CAN LIVE THE LIFE THEY CHOOSE. PHP PROMOTES THE WELLNESS, SUPPORTS THE CHOICES, INTEGRATES THE SERVICES, RESPECTS THE DIVERSITY OF AND IMPROVES THE LIFE OF PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES.
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