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Nonprofiteer
← CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC

Form 990 for tax year 2023

Filed by CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC.

Totals

Total revenue
$2,035,980,146
Total expenses
$1,981,536,225
Contributions and grants received
$0
Grants paid
$346,517
Program service revenue
$2,029,134,818
Investment income
$6,845,328
Other revenue
$0
Total assets, end of year
$588,027,141
Total liabilities, end of year
$331,461,258
Net assets or fund balances, end of year
$256,565,883
Program services expenses (Part IX)
$1,901,493,902
Management and general expenses
$80,042,323
Fundraising expenses
$0
Program service expenses (Part III)
$1,901,493,902

Program services were 96.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: MEDICAID PREMIUMS

    total $729,093,116 · related or exempt $729,093,116

  • 2b · Program service revenue: MEDICARE PREMIUMS

    total $644,803,639 · related or exempt $644,803,639

  • 2c · Program service revenue: COMMERCIAL PREMIUMS

    total $605,478,949 · related or exempt $605,478,949

  • 2d · Program service revenue: CHILD HEALTH PLUS PREMIUMS

    total $38,055,046 · related or exempt $38,055,046

  • 2e · Program service revenue: HEALTHY NEW YORK PREMIUMS

    total $11,704,068 · related or exempt $11,704,068

  • 4 · Income from investment of tax-exempt bond proceeds

    total $6,941,551 · excluded $6,941,551

  • 7a · Gross sales of assets other than inventory

    securities $25,120,886

  • 7b · Less cost or other basis and sales expenses

    securities $25,217,109

  • 7c · Gain or loss

    securities -$96,223

  • 7d · Net gain or loss

    total -$96,223 · excluded -$96,223

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $346,517 · program services $346,517

  • 4 · Benefits paid to or for members

    total $1,760,197,094 · program services $1,760,197,094

  • 5 · Compensation of officers, directors and key employees

    total $7,112,404 · program services $3,227,932 · management and general $3,884,472

  • 6 · Compensation of disqualified persons

    total $545,818 · management and general $545,818

  • 7 · Other salaries and wages

    total $96,093,693 · program services $49,989,424 · management and general $46,104,269

  • 8 · Pension plan contributions

    total $2,842,436 · program services $1,469,126 · management and general $1,373,310

  • 9 · Other employee benefits

    total $16,664,132 · program services $7,911,879 · management and general $8,752,253

  • 10 · Payroll taxes

    total $7,504,901 · program services $3,882,115 · management and general $3,622,786

  • 11b · Fees: legal

    total $599,434 · program services $479,547 · management and general $119,887

  • 11c · Fees: accounting

    total $665,739 · program services $532,591 · management and general $133,148

  • 11d · Fees: lobbying

    total $253,628 · management and general $253,628

  • 11f · Fees: investment management

    total $287,122 · management and general $287,122

  • 12 · Advertising and promotion

    total $5,610,406 · program services $5,610,406

  • 13 · Office expenses

    total $6,033,427 · program services $3,200,893 · management and general $2,832,534

  • 14 · Information technology

    total $21,222,862 · program services $20,586,176 · management and general $636,686

  • 16 · Occupancy

    total $3,449,242 · program services $1,724,621 · management and general $1,724,621

  • 17 · Travel

    total $587,678 · program services $411,375 · management and general $176,303

  • 19 · Conferences, conventions and meetings

    total $40,919 · management and general $40,919

  • 20 · Interest

    total $1,531,282 · program services $1,225,026 · management and general $306,256

  • 22 · Depreciation, depletion and amortization

    total $5,437,509 · program services $3,806,256 · management and general $1,631,253

  • 23 · Insurance

    total $1,176,334 · management and general $1,176,334

  • 24a · Other expenses: CONSULTING AND OUTSOURC

    total $27,379,526 · program services $21,903,621 · management and general $5,475,905

  • 24b · Other expenses: BROKER COMMISSIONS

    total $13,505,914 · program services $13,505,914

  • 24c · Other expenses: MISCELLANEOUS

    total $2,122,106 · program services $1,157,287 · management and general $964,819

  • 24d · Other expenses: FEDERAL AND STATE ASSES

    total $326,102 · program services $326,102

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $45,542,367 · end of year $21,105,780

  • 4 · Accounts receivable

    beginning of year $206,496,560 · end of year $221,329,660

  • 9 · Prepaid expenses and deferred charges

    beginning of year $10,592,295 · end of year $13,070,312

  • 10a · Land, buildings and equipment: cost or other basis

    $126,844,972

  • 10b · Land, buildings and equipment: accumulated depreciation

    $102,892,088

  • 10c · Land, buildings and equipment, net

    beginning of year $25,512,444 · end of year $23,952,884

  • 11 · Investments: publicly traded securities

    beginning of year $171,496,093 · end of year $174,894,426

  • 12 · Investments: other securities

    beginning of year $169,818,937 · end of year $123,650,362

  • 15 · Other assets

    beginning of year $0 · end of year $10,023,717

  • 17 · Accounts payable and accrued expenses

    beginning of year $373,104,278 · end of year $325,090,256

  • 19 · Deferred revenue

    beginning of year $342,359 · end of year $1,390,320

  • 25 · Other liabilities

    beginning of year $12,607,500 · end of year $4,980,682

  • 27 · Net assets without donor restrictions

    beginning of year $243,404,559 · end of year $256,565,883

Mission and programs · 2023

Mission

CDPHP PROVIDES QUALITY HEALTH CARE AT A REASONABLE COST FOR CDPHP MEMBERS AND OPERATES AS A MODEL FOR THE DELIVERY, FINANCING, AND ADMINISTRATION OF HEALTH CARE SERVICES.

  • CDPHP PROVIDES HEALTH CARE BENEFITS TO EMPLOYER GROUP MEMBERS AND INDIVIDUALS IN OUR COMMUNITY. AS OF DECEMBER 31, 2023, 73,614 MEMBERS WERE ENROLLED IN COMMERCIAL PRODUCTS.

    Expenses $618,617,241 · Revenue $605,478,949

  • CDPHP'S MEDICAID, HARP, AND ESSENTIAL PLANS PROVIDE HEALTH CARE BENEFITS TO 114,474 MEMBERS IN NEW YORK STATE.

    Expenses $619,160,062 · Grants $45,000 · Revenue $729,093,116

  • CDPHP'S MEDICARE PROGRAM PROVIDES HEALTH CARE BENEFITS TO 44,339 MEMBERS IN NEW YORK STATE.

    Expenses $606,572,348 · Revenue $644,803,639

  • CHILD HEALTH PLUS - 13,941 MEMBERS

    Expenses $44,863,372 · Revenue $38,055,046

  • HEALTHY NEW YORK - 2,216 MEMBERS

    Expenses $12,280,879 · Revenue $11,704,068

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Adetutu Adetona MD

    DIRECTOR

    Total calculated
    $42,802
    From this org
    $42,802
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Brian Sheridan MD

    DIRECTOR

    Total calculated
    $62,252
    From this org
    $62,252
    From related orgs
    $0
    Other
    $0
    Hours/week
    8.3

  • Todd Doyle MD

    DIRECTOR

    Total calculated
    $45,352
    From this org
    $45,352
    From related orgs
    $0
    Other
    $0
    Hours/week
    4.3

  • Michael Castellana

    DIRECTOR

    Total calculated
    $67,452
    From this org
    $67,452
    From related orgs
    $0
    Other
    $0
    Hours/week
    7.8

  • Susan Scrimshaw PhD

    SECRETARY

    Total calculated
    $36,683
    From this org
    $36,683
    From related orgs
    $0
    Other
    $0
    Hours/week
    10.2

  • Carmen Mazzotta

    TREASURER OF THE BOARD

    Total calculated
    $62,002
    From this org
    $62,002
    From related orgs
    $0
    Other
    $0
    Hours/week
    6.7

  • Joseph Polito II MD

    VICE CHAIRMAN OF THE BOARD

    Total calculated
    $34,552
    From this org
    $34,552
    From related orgs
    $0
    Other
    $0
    Hours/week
    6.5

  • Lee McElroy

    DIRECTOR

    Total calculated
    $44,802
    From this org
    $44,802
    From related orgs
    $0
    Other
    $0
    Hours/week
    4.6

  • Michael Devito MD

    CHAIRMAN OF THE BOARD

    Total calculated
    $76,252
    From this org
    $76,252
    From related orgs
    $0
    Other
    $0
    Hours/week
    1.6

  • Gerald Jennings

    DIRECTOR

    Total calculated
    $69,652
    From this org
    $69,652
    From related orgs
    $0
    Other
    $0
    Hours/week
    8.3

  • Janine Jurkowski

    DIRECTOR

    Total calculated
    $17,719
    From this org
    $17,719
    From related orgs
    $0
    Other
    $0
    Hours/week
    2.7

  • Gregory Serio

    DIRECTOR

    Total calculated
    $68,502
    From this org
    $68,502
    From related orgs
    $0
    Other
    $0
    Hours/week
    8.1

  • Holly K Cleney MD

    DIRECTOR

    Total calculated
    $21,433
    From this org
    $21,433
    From related orgs
    $0
    Other
    $0
    Hours/week
    4.8

  • Patrick Timmins III MD

    DIRECTOR

    Total calculated
    $39,352
    From this org
    $39,352
    From related orgs
    $0
    Other
    $0
    Hours/week
    3.8

  • Rebecca Keim MD

    DIRECTOR

    Total calculated
    $10,250
    From this org
    $10,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    4.3

  • Amy Johnson

    DIRECTOR

    Total calculated
    $73,452
    From this org
    $73,452
    From related orgs
    $0
    Other
    $0
    Hours/week
    9.2

  • Cindy Chan Mdcm

    DIRECTOR

    Total calculated
    $25,069
    From this org
    $25,069
    From related orgs
    $0
    Other
    $0
    Hours/week
    5.4

  • Vincent Carsillo II Do

    DIRECTOR

    Total calculated
    $18,919
    From this org
    $18,919
    From related orgs
    $0
    Other
    $0
    Hours/week
    3.2

  • Kathryn Decker

    SVP PEOPLE AND CULTURE CHR

    Total calculated
    $582,264
    From this org
    $535,477
    From related orgs
    $0
    Other
    $46,787
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $421,831
    Bonus
    $101,884
    Other
    $11,762
    Deferred
    $10,500
    Nontaxable benefits
    $36,287
    Filer's total
    $582,264

  • Brian O'Grady

    PRESIDENT - HEALTH PLANS M

    Total calculated
    $829,604
    From this org
    $792,211
    From related orgs
    $0
    Other
    $37,393
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $604,022
    Bonus
    $155,600
    Other
    $32,589
    Deferred
    $11,550
    Nontaxable benefits
    $25,843
    Filer's total
    $829,604

  • John D Bennett MD

    CEO/PRESIDENT

    Total calculated
    $1,427,660
    From this org
    $1,395,017
    From related orgs
    $0
    Other
    $32,643
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $938,626
    Bonus
    $415,971
    Other
    $40,420
    Deferred
    $11,550
    Nontaxable benefits
    $21,093
    Filer's total
    $1,427,660

  • Elizabeth Warner

    EVP CHIEF MEDICAL O

    Total calculated
    $666,182
    From this org
    $624,395
    From related orgs
    $0
    Other
    $41,787
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $465,322
    Bonus
    $112,993
    Other
    $46,080
    Deferred
    $10,500
    Nontaxable benefits
    $31,287
    Filer's total
    $666,182

  • Paul Kahlon

    EVP FINANCE AND CFO

    Total calculated
    $598,645
    From this org
    $562,488
    From related orgs
    $0
    Other
    $36,157
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $414,302
    Bonus
    $125,075
    Other
    $23,111
    Deferred
    $8,798
    Nontaxable benefits
    $27,359
    Filer's total
    $598,645

  • John Lutz

    EVP/INTEGRATED DEL SYS

    Total calculated
    $977,427
    From this org
    $955,547
    From related orgs
    $0
    Other
    $21,880
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $772,875
    Bonus
    $148,838
    Other
    $33,834
    Deferred
    $11,550
    Nontaxable benefits
    $10,330
    Filer's total
    $977,427

  • Eileen Wood

    EVP PHARMACY SERVICES/CPO

    Total calculated
    $727,815
    From this org
    $689,422
    From related orgs
    $0
    Other
    $38,393
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $555,401
    Bonus
    $98,393
    Other
    $35,628
    Deferred
    $11,550
    Nontaxable benefits
    $26,843
    Filer's total
    $727,815

  • Mary Jane Bendon Couch

    EVP GENERAL COUNSEL

    Total calculated
    $668,287
    From this org
    $624,451
    From related orgs
    $0
    Other
    $43,836
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $490,658
    Bonus
    $111,680
    Other
    $22,113
    Deferred
    $11,550
    Nontaxable benefits
    $32,286
    Filer's total
    $668,287

  • Patricia Lushkevich

    SVP INTERNAL OPERATIONS

    Total calculated
    $589,212
    From this org
    $545,375
    From related orgs
    $0
    Other
    $43,837
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $378,129
    Bonus
    $135,000
    Other
    $32,246
    Deferred
    $11,550
    Nontaxable benefits
    $32,287
    Filer's total
    $589,212

  • Bruce E Coplin MD

    SVP SPECIALTY TRANSFORMATI

    Total calculated
    $585,079
    From this org
    $553,779
    From related orgs
    $0
    Other
    $31,300
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $356,901
    Bonus
    $146,250
    Other
    $50,628
    Deferred
    $11,219
    Nontaxable benefits
    $20,081
    Filer's total
    $585,079

  • Nicholas Kraft

    SVP CHIEF GROWTH OFFICER

    Total calculated
    $536,889
    From this org
    $487,987
    From related orgs
    $0
    Other
    $48,902
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $358,856
    Bonus
    $105,875
    Other
    $23,256
    Deferred
    $9,925
    Nontaxable benefits
    $38,977
    Filer's total
    $536,889

  • Tanvir Khan

    SVP/TECHNOLOGY DATA AND ANALYTICS

    Total calculated
    $544,417
    From this org
    $506,345
    From related orgs
    $0
    Other
    $38,072
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $221,978
    Bonus
    $136,500
    Other
    $147,867
    Deferred
    $9,458
    Nontaxable benefits
    $28,614
    Filer's total
    $544,417

  • Vanessa Bobb

    VP BEHAVIORAL HEALTH AND MEDICAL

    Total calculated
    $534,716
    From this org
    $493,304
    From related orgs
    $0
    Other
    $41,412
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $314,099
    Bonus
    $133,125
    Other
    $46,080
    Deferred
    $10,125
    Nontaxable benefits
    $31,287
    Filer's total
    $534,716

  • Bethany Smith

    FORMER EVP FINANCE AND CFO

    Total calculated
    $288,735
    From this org
    $287,862
    From related orgs
    $0
    Other
    $873
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    -$873
    Bonus
    $0
    Other
    $288,735
    Deferred
    $0
    Nontaxable benefits
    $873
    Filer's total
    $288,735

  • Barbara Downs

    FORMER EVP CORP ADMIN/COO

    Total calculated
    $625,049
    From this org
    $624,445
    From related orgs
    $0
    Other
    $604
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    -$604
    Bonus
    $0
    Other
    $625,049
    Deferred
    $0
    Nontaxable benefits
    $604
    Filer's total
    $625,049

  • Robert Hinckley

    FORMER EVP STRATEGY COMM A

    Total calculated
    $404,109
    From this org
    $403,084
    From related orgs
    $0
    Other
    $1,025
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    -$1,025
    Bonus
    $0
    Other
    $404,109
    Deferred
    $0
    Nontaxable benefits
    $1,025
    Filer's total
    $404,109

  • Frederick Galt Esq

    FORMER EVP GENERAL COUNSEL

    Total calculated
    $395,810
    From this org
    $394,376
    From related orgs
    $0
    Other
    $1,434
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    -$1,434
    Bonus
    $0
    Other
    $395,810
    Deferred
    $0
    Nontaxable benefits
    $1,434
    Filer's total
    $395,810

  • Anthony Marinello

    FORMER EVP CHIEF MEDICAL O

    Total calculated
    $456,760
    From this org
    $455,548
    From related orgs
    $0
    Other
    $1,212
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    -$1,212
    Bonus
    $0
    Other
    $456,760
    Deferred
    $0
    Nontaxable benefits
    $1,212
    Filer's total
    $456,760

  • Michael Renzi

    FORMER PRESIDENT - HEALTHC

    Total calculated
    $693,269
    From this org
    $691,710
    From related orgs
    $0
    Other
    $1,559
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    -$1,559
    Bonus
    $0
    Other
    $693,269
    Deferred
    $0
    Nontaxable benefits
    $1,559
    Filer's total
    $693,269

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART 1 LINES 4A-B:
THE EXECUTIVE VICE PRESIDENTS ARE ELIGIBLE FOR A NON-QUALIFIED DEFERRED COMPENSATION PLAN CONTRIBUTION. NO PAYMENT WAS MADE TO THIS PLAN IN 2023.
PART 1 LINE 7:
EXPLANATION: CDPHP HAS A MANAGEMENT INCENTIVE PROGRAM THAT IS BASED UPON THREE CRITERIA: ATTAINMENT OF PERSONAL AND COMPANY GOALS, ACHIEVEMENT OF QUALITY AND SERVICE TARGETS, AND ACHIEVEMENT OF ENROLLMENT TARGETS. THE BOARD ANNUALLY APPROVES THE METRICS TO BE USED TO ASSESS EACH CRITERION. THE MANAGEMENT INCENTIVE IS PAYABLE ONLY IF DETERMINED TO BE AFFORDABLE BY THE BOARD. IN ADDITION, THE BOARD HAS FINAL DISCRETION AT THE CLOSE OF THE YEAR TO MAKE THE INCENTIVE PAYMENT.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC

    C · ADMIN SERVICES · NY · 100% owned · share of income $176,017,071 · share of assets $180,800,157

    Directly controlled by CDPHP UNIVERSAL BENEFITS INC

  • CDPHP UNIVERSAL BENEFITS INC

    C · ARTICLE 43 INSURANCE · NY · 100% owned · share of income $693,641,586 · share of assets $221,781,862

    Directly controlled by CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC

  • STRATEGIC SOLUTIONS MANAGEMENT

    C · BILLING AND CONSULTING · NY

    Directly controlled by CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC

  • CCP TASS INC

    C · BILLING AND CONSULTING · NY

    Directly controlled by CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC

Provenance

Return type
form_990
Tax year
2023
Filed
15 September 2024
IRS schema version
2023v5.1
Source object
202413109349300831

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