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Nonprofiteer
← MOUNT CARMEL HEALTH PLAN OF NEW YORK INC

Form 990 for tax year 2024

Filed by MOUNT CARMEL HEALTH PLAN OF NEW YORK INC.

Totals

Total revenue
$4,147,541
Total expenses
$3,145,851
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$3,145,559
Investment income
$1,001,982
Other revenue
$0
Total assets, end of year
$27,530,233
Total liabilities, end of year
$1,271,693
Net assets or fund balances, end of year
$26,258,540
Program services expenses (Part IX)
$2,498,645
Management and general expenses
$647,206
Fundraising expenses
$0
Program service expenses (Part III)
$2,498,645

Program services were 79.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JACK RANDOLPH

    DIRECTOR; CHAIR; PRESIDENT & CEO

    Total calculated
    $1,121,281
    From this org
    $0
    From related orgs
    $922,877
    Other
    $198,404
    Hours/week
    2 + 53 related

    Schedule J breakdown matched by us

    Base
    $0 + $559,663 related
    Bonus
    $0 + $223,555 related
    Other
    $0 + $139,659 related
    Deferred
    $0 + $161,469 related
    Nontaxable benefits
    $0 + $36,935 related
    Filer's total
    $0 + $1,121,281 related

  • ANDY PRIDAY

    MOUNT CARMEL CFO

    Total calculated
    $584,670
    From this org
    $0
    From related orgs
    $549,581
    Other
    $35,089
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $440,144 related
    Bonus
    $0 + $102,135 related
    Other
    $0 + $7,302 related
    Deferred
    $0 + $16,675 related
    Nontaxable benefits
    $0 + $18,414 related
    Filer's total
    $0 + $584,670 related

  • MARK MURPHY

    DIR;VP & CHIEF STRAT OFFICER, NY REG

    Total calculated
    $577,276
    From this org
    $0
    From related orgs
    $513,860
    Other
    $63,416
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $385,815 related
    Bonus
    $0 + $117,180 related
    Other
    $0 + $10,865 related
    Deferred
    $0 + $20,425 related
    Nontaxable benefits
    $0 + $42,991 related
    Filer's total
    $0 + $577,276 related

  • GREG WISE MD

    MEDICAL DIRECTOR MCHP

    Total calculated
    $466,792
    From this org
    $0
    From related orgs
    $434,319
    Other
    $32,473
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $369,583 related
    Bonus
    $0 + $62,217 related
    Other
    $0 + $2,519 related
    Deferred
    $0 + $8,749 related
    Nontaxable benefits
    $0 + $23,724 related
    Filer's total
    $0 + $466,792 related

  • DAVID VIS

    DIR; SEC;TREAS;VP FINANCE OPERATIONS

    Total calculated
    $444,028
    From this org
    $0
    From related orgs
    $399,687
    Other
    $44,341
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $337,085 related
    Bonus
    $0 + $58,124 related
    Other
    $0 + $4,478 related
    Deferred
    $0 + $20,425 related
    Nontaxable benefits
    $0 + $23,916 related
    Filer's total
    $0 + $444,028 related

  • CARLOS ALVARADO

    CHIEF ADMINISTRATIVE OFFICER MCHP

    Total calculated
    $387,708
    From this org
    $0
    From related orgs
    $332,745
    Other
    $54,963
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $281,330 related
    Bonus
    $0 + $50,154 related
    Other
    $0 + $1,261 related
    Deferred
    $0 + $20,398 related
    Nontaxable benefits
    $0 + $34,565 related
    Filer's total
    $0 + $387,708 related

  • TRISHA WHETSTONE

    ASST SECRETARY; MCHS ASSOC COUNSEL

    Total calculated
    $264,412
    From this org
    $0
    From related orgs
    $219,465
    Other
    $44,947
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $193,664 related
    Bonus
    $0 + $25,633 related
    Other
    $0 + $168 related
    Deferred
    $0 + $14,918 related
    Nontaxable benefits
    $0 + $30,029 related
    Filer's total
    $0 + $264,412 related

  • FATOU NDOYE

    ASST TREASURER; MCHP CONTROLLER

    Total calculated
    $243,058
    From this org
    $0
    From related orgs
    $193,185
    Other
    $49,873
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $171,957 related
    Bonus
    $0 + $20,565 related
    Other
    $0 + $663 related
    Deferred
    $0 + $13,367 related
    Nontaxable benefits
    $0 + $36,506 related
    Filer's total
    $0 + $243,058 related

  • GINO LOGIUDICE

    SALES MANAGER

    Total calculated
    $188,365
    From this org
    $0
    From related orgs
    $147,689
    Other
    $40,676
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $141,119 related
    Bonus
    $0 + $6,392 related
    Other
    $0 + $178 related
    Deferred
    $0 + $7,005 related
    Nontaxable benefits
    $0 + $33,671 related
    Filer's total
    $0 + $188,365 related

  • CHRIS BRINO

    MARKET MANAGER

    Total calculated
    $136,870
    From this org
    $0
    From related orgs
    $133,289
    Other
    $3,581
    Hours/week
    40

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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
MOUNT CARMEL HEALTH PLAN OF NEW YORK IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MOUNT CARMEL HEALTH PLAN OF NEW YORK'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MOUNT CARMEL HEALTH PLAN OF NEW YORK'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2024, AND THEIR NON-VESTED BENEFITS FOR 2024 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2024 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ANDY PRIDAY - $0 JACK RANDOLPH - $113,587 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUAL FOR 2024 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: JACK RANDOLPH - $141,044 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($345,000 FOR 2024). THE FOLLOWING PAYOUTS FOR 2024 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: MARK MURPHY - $3,293 ANDY PRIDAY - $5,301

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

No itemized grants to organizations 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 partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2024
Filed
11 November 2025
IRS schema version
2024v5.2
Source object
202503159349303340

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