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Nonprofiteer
← CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC

Form 990 for tax year 2022

Filed by CAPITAL DISTRICT PHYSICIANS HEALTH PLAN INC.

Totals

Total revenue
$2,044,552,285
Total expenses
$2,069,745,086
Contributions and grants received
$0
Grants paid
$188,025
Program service revenue
$2,035,594,624
Investment income
$8,957,661
Other revenue
$0
Total assets, end of year
$629,458,696
Total liabilities, end of year
$386,054,137
Net assets or fund balances, end of year
$243,404,559
Program services expenses (Part IX)
$1,996,489,481
Management and general expenses
$73,255,605
Fundraising expenses
$0
Program service expenses (Part III)
$1,996,489,481

Program services were 96.5% 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 $779,086,336 · related or exempt $779,086,336

  • 2b · Program service revenue: MEDICARE PREMIUMS

    total $632,098,201 · related or exempt $632,098,201

  • 2c · Program service revenue: COMMERCIAL PREMIUMS

    total $574,948,258 · related or exempt $574,948,258

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

    total $38,899,549 · related or exempt $38,899,549

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

    total $10,562,280 · related or exempt $10,562,280

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

    total $4,386,885 · excluded $4,386,885

  • 7a · Gross sales of assets other than inventory

    securities $64,987,494

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

    securities $60,416,718

  • 7c · Gain or loss

    securities $4,570,776

  • 7d · Net gain or loss

    total $4,570,776 · excluded $4,570,776

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $188,025 · program services $188,025

  • 4 · Benefits paid to or for members

    total $1,843,473,026 · program services $1,843,473,026

  • 5 · Compensation of officers, directors and key employees

    total $9,968,662 · program services $4,645,023 · management and general $5,323,639

  • 6 · Compensation of disqualified persons

    total $519,958 · management and general $519,958

  • 7 · Other salaries and wages

    total $87,547,375 · program services $50,098,310 · management and general $37,449,065

  • 8 · Pension plan contributions

    total $2,681,677 · program services $1,525,753 · management and general $1,155,924

  • 9 · Other employee benefits

    total $16,335,331 · program services $8,508,375 · management and general $7,826,956

  • 10 · Payroll taxes

    total $6,845,835 · program services $3,894,347 · management and general $2,951,488

  • 11b · Fees: legal

    total $1,321,815 · program services $1,057,452 · management and general $264,363

  • 11c · Fees: accounting

    total $414,233 · program services $331,386 · management and general $82,847

  • 11d · Fees: lobbying

    total $188,935 · management and general $188,935

  • 11f · Fees: investment management

    total $299,672 · management and general $299,672

  • 12 · Advertising and promotion

    total $5,978,658 · program services $5,978,658

  • 13 · Office expenses

    total $6,501,361 · program services $3,409,797 · management and general $3,091,564

  • 14 · Information technology

    total $19,077,671 · program services $18,505,341 · management and general $572,330

  • 16 · Occupancy

    total $2,687,312 · program services $1,343,656 · management and general $1,343,656

  • 17 · Travel

    total $432,656 · program services $302,859 · management and general $129,797

  • 19 · Conferences, conventions and meetings

    total $60,628 · management and general $60,628

  • 20 · Interest

    total $6,697,145 · program services $5,357,716 · management and general $1,339,429

  • 22 · Depreciation, depletion and amortization

    total $6,330,918 · program services $4,431,643 · management and general $1,899,275

  • 23 · Insurance

    total $1,177,027 · management and general $1,177,027

  • 24a · Other expenses: CONSULTING AND OUTSOURC

    total $32,650,237 · program services $26,120,190 · management and general $6,530,047

  • 24b · Other expenses: BROKER COMMISSIONS

    total $12,447,684 · program services $12,447,684

  • 24c · Other expenses: FEDERAL AND STATE ASSES

    total $4,174,015 · program services $4,174,015

  • 24d · Other expenses: MISCELLANEOUS

    total $1,745,230 · program services $696,225 · management and general $1,049,005

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $57,138,586 · end of year $45,542,367

  • 4 · Accounts receivable

    beginning of year $186,233,697 · end of year $206,496,560

  • 9 · Prepaid expenses and deferred charges

    beginning of year $13,379,434 · end of year $10,592,295

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

    $121,286,543

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

    $95,774,099

  • 10c · Land, buildings and equipment, net

    beginning of year $18,911,386 · end of year $25,512,444

  • 11 · Investments: publicly traded securities

    beginning of year $221,991,249 · end of year $171,496,093

  • 12 · Investments: other securities

    beginning of year $245,033,129 · end of year $169,818,937

  • 15 · Other assets

    beginning of year $679,755

  • 17 · Accounts payable and accrued expenses

    beginning of year $364,561,207 · end of year $373,104,278

  • 19 · Deferred revenue

    beginning of year $2,549,535 · end of year $342,359

  • 25 · Other liabilities

    beginning of year $4,525,972 · end of year $12,607,500

  • 27 · Net assets without donor restrictions

    beginning of year $371,730,522 · end of year $243,404,559

Mission and programs · 2022

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, 2022, 74,159 MEMBERS WERE ENROLLED IN COMMERCIAL PRODUCTS.

    Expenses $586,266,333 · Revenue $574,948,258

  • CDPHP'S MEDICAID, HARP, AND ESSENTIAL PLANS PROVIDE HEALTH CARE BENEFITS TO 129,514 MEMBERS IN NEW YORK STATE.

    Expenses $781,052,039 · Grants $72,025 · Revenue $779,086,336

  • CDPHP'S MEDICARE PROGRAM PROVIDES HEALTH CARE BENEFITS TO 43,770 MEMBERS IN NEW YORK STATE.

    Expenses $571,882,711 · Revenue $632,098,201

  • CHILD HEALTH PLUS - 13,440 MEMBERS

    Expenses $44,859,585 · Revenue $38,899,549

  • HEALTHY NEW YORK - 2,136 MEMBERS

    Expenses $12,428,813 · Revenue $10,562,280

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • MICHAEL DEVITO MD

    CHAIRMAN OF THE BOARD

    Total calculated
    $83,550
    From this org
    $83,550
    From related orgs
    $0
    Other
    $0
    Hours/week
    6.7

  • GREGORY SERIO

    DIRECTOR

    Total calculated
    $84,000
    From this org
    $84,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    9.4

  • REBECCA KEIM MD

    DIRECTOR

    Total calculated
    $42,100
    From this org
    $42,100
    From related orgs
    $0
    Other
    $0
    Hours/week
    3.5

  • AMY JOHNSON

    DIRECTOR

    Total calculated
    $89,200
    From this org
    $89,200
    From related orgs
    $0
    Other
    $0
    Hours/week
    10.8

  • PATRICK TIMMINS III MD

    DIRECTOR

    Total calculated
    $14,800
    From this org
    $14,800
    From related orgs
    $0
    Other
    $0
    Hours/week
    1.4

  • HOLLY K CLENEY MD

    DIRECTOR

    Total calculated
    $63,700
    From this org
    $63,700
    From related orgs
    $0
    Other
    $0
    Hours/week
    7

  • GERALD JENNINGS

    DIRECTOR

    Total calculated
    $89,200
    From this org
    $89,200
    From related orgs
    $0
    Other
    $0
    Hours/week
    11

  • TODD DOYLE MD

    DIRECTOR

    Total calculated
    $48,850
    From this org
    $48,850
    From related orgs
    $0
    Other
    $0
    Hours/week
    4.6

  • MICHAEL CASTELLANA

    DIRECTOR

    Total calculated
    $82,000
    From this org
    $82,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    8.9

  • LEE MCELROY

    DIRECTOR

    Total calculated
    $52,450
    From this org
    $52,450
    From related orgs
    $0
    Other
    $0
    Hours/week
    5.4

  • ADETUTU ADETONA MD

    DIRECTOR

    Total calculated
    $44,300
    From this org
    $44,300
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • BRIAN SHERIDAN MD

    DIRECTOR

    Total calculated
    $61,050
    From this org
    $61,050
    From related orgs
    $0
    Other
    $0
    Hours/week
    8.1

  • GENNARO A DANIELS MD

    FORMER CHAIRMAN OF THE BOARD

    Total calculated
    $56,450
    From this org
    $56,450
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • SUSAN SCRIMSHAW PHD

    SECRETARY

    Total calculated
    $103,250
    From this org
    $103,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    13.5

  • CARMEN MAZZOTTA

    TREASURER OF THE BOARD

    Total calculated
    $68,950
    From this org
    $68,950
    From related orgs
    $0
    Other
    $0
    Hours/week
    6.7

  • JOSEPH POLITO II MD

    VICE CHAIRMAN OF THE BOARD

    Total calculated
    $55,950
    From this org
    $55,950
    From related orgs
    $0
    Other
    $0
    Hours/week
    8.6

  • JOHN D BENNETT MD

    CEO/PRESIDENT

    Total calculated
    $3,050,611
    From this org
    $3,021,196
    From related orgs
    $0
    Other
    $29,415
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $2,473,146
    Bonus
    $512,494
    Other
    $35,556
    Deferred
    $10,675
    Nontaxable benefits
    $18,740
    Filer's total
    $3,050,611

  • ANTHONY MARINELLO

    FORMER EVP CHIEF MEDICAL OFFICER

    Total calculated
    $773,284
    From this org
    $739,353
    From related orgs
    $0
    Other
    $33,931
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $343,819
    Bonus
    $155,254
    Other
    $240,280
    Deferred
    $8,891
    Nontaxable benefits
    $25,040
    Filer's total
    $773,284

  • BETHANY SMITH

    FORMER EVP FINANCE AND CFO

    Total calculated
    $803,239
    From this org
    $763,951
    From related orgs
    $0
    Other
    $39,288
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $200,804
    Bonus
    $0
    Other
    $563,147
    Deferred
    $8,924
    Nontaxable benefits
    $30,364
    Filer's total
    $803,239

  • FRANK ULIBARRI

    EVP FINANCE AND CFO

    Total calculated
    $509,425
    From this org
    $472,646
    From related orgs
    $0
    Other
    $36,779
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $380,038
    Bonus
    $67,200
    Other
    $25,408
    Deferred
    $10,675
    Nontaxable benefits
    $26,104
    Filer's total
    $509,425

  • MARY JANE BENDON COUCH

    EVP GENERAL COUNSEL

    Total calculated
    $602,704
    From this org
    $560,576
    From related orgs
    $0
    Other
    $42,128
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $398,978
    Bonus
    $139,485
    Other
    $22,113
    Deferred
    $10,675
    Nontaxable benefits
    $31,453
    Filer's total
    $602,704

  • EILEEN WOOD

    EVP PHARMACY SERVICES/CPO

    Total calculated
    $528,477
    From this org
    $490,942
    From related orgs
    $0
    Other
    $37,535
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $337,737
    Bonus
    $118,152
    Other
    $35,053
    Deferred
    $10,675
    Nontaxable benefits
    $26,860
    Filer's total
    $528,477

  • ROBERT HINCKLEY

    FORMER EVP STRATEGY COMM AND CSO

    Total calculated
    $829,027
    From this org
    $788,163
    From related orgs
    $0
    Other
    $40,864
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $328,544
    Bonus
    $149,928
    Other
    $309,691
    Deferred
    $9,500
    Nontaxable benefits
    $31,364
    Filer's total
    $829,027

  • JOHN LUTZ

    EVP/INTEGRATED DEL SYS

    Total calculated
    $754,674
    From this org
    $733,163
    From related orgs
    $0
    Other
    $21,511
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $536,861
    Bonus
    $165,468
    Other
    $30,834
    Deferred
    $10,675
    Nontaxable benefits
    $10,836
    Filer's total
    $754,674

  • BRIAN MORRISSEY

    FORMER EVP/PRESIDENT PSS

    Total calculated
    $936,471
    From this org
    $895,607
    From related orgs
    $0
    Other
    $40,864
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $303,431
    Bonus
    $168,592
    Other
    $423,584
    Deferred
    $9,500
    Nontaxable benefits
    $31,364
    Filer's total
    $936,471

  • BARBARA DOWNS

    FORMER EVP CORP ADMIN/COO

    Total calculated
    $1,107,814
    From this org
    $1,087,996
    From related orgs
    $0
    Other
    $19,818
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $430,871
    Bonus
    $171,951
    Other
    $485,174
    Deferred
    $9,500
    Nontaxable benefits
    $10,318
    Filer's total
    $1,107,814

  • FREDERICK GALT ESQ

    FORMER EVP GENERAL COUNSEL

    Total calculated
    $798,567
    From this org
    $765,838
    From related orgs
    $0
    Other
    $32,729
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $345,276
    Bonus
    $123,090
    Other
    $297,472
    Deferred
    $6,915
    Nontaxable benefits
    $25,814
    Filer's total
    $798,567

  • BRIAN O'GRADY

    PRESIDENT - HEALTH PLANS M

    Total calculated
    $1,030,158
    From this org
    $994,443
    From related orgs
    $0
    Other
    $35,715
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $775,247
    Bonus
    $188,715
    Other
    $30,481
    Deferred
    $10,675
    Nontaxable benefits
    $25,040
    Filer's total
    $1,030,158

  • MICHAEL RENZI

    FORMER PRESIDENT - HEALTHCARE DEL

    Total calculated
    $988,287
    From this org
    $949,640
    From related orgs
    $0
    Other
    $38,647
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $294,923
    Bonus
    $229,740
    Other
    $424,977
    Deferred
    $10,675
    Nontaxable benefits
    $27,972
    Filer's total
    $988,287

  • ELIZABETH WARNER

    SVP MEMBER HEALTH

    Total calculated
    $586,398
    From this org
    $546,334
    From related orgs
    $0
    Other
    $40,064
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $373,108
    Bonus
    $132,341
    Other
    $40,885
    Deferred
    $9,700
    Nontaxable benefits
    $30,364
    Filer's total
    $586,398

  • PATRICIA LUSHKEVICH

    SVP INTERNAL OPERATIONS

    Total calculated
    $545,034
    From this org
    $502,995
    From related orgs
    $0
    Other
    $42,039
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $350,717
    Bonus
    $123,462
    Other
    $28,816
    Deferred
    $10,675
    Nontaxable benefits
    $31,364
    Filer's total
    $545,034

  • KATHRYN DECKER

    SVP PEOPLE AND CULTURE CHR

    Total calculated
    $538,629
    From this org
    $498,865
    From related orgs
    $0
    Other
    $39,764
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $370,312
    Bonus
    $121,762
    Other
    $6,791
    Deferred
    $9,700
    Nontaxable benefits
    $30,064
    Filer's total
    $538,629

  • BRUCE E COPLIN MD

    SVP SPECIALTY TRANSFORMATI

    Total calculated
    $557,189
    From this org
    $520,974
    From related orgs
    $0
    Other
    $36,215
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $341,133
    Bonus
    $131,288
    Other
    $48,553
    Deferred
    $10,675
    Nontaxable benefits
    $25,540
    Filer's total
    $557,189

  • ROBERT LITTLE

    SVP UNDERWRITING

    Total calculated
    $598,499
    From this org
    $576,486
    From related orgs
    $0
    Other
    $22,013
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $423,526
    Bonus
    $99,373
    Other
    $53,587
    Deferred
    $10,675
    Nontaxable benefits
    $11,338
    Filer's total
    $598,499

  • ANNE CARROLL

    FORMER VP BEHAVIORAL HEALTH AND M

    Total calculated
    $502,747
    From this org
    $483,391
    From related orgs
    $0
    Other
    $19,356
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $73,827
    Bonus
    $123,609
    Other
    $285,955
    Deferred
    $7,249
    Nontaxable benefits
    $12,107
    Filer's total
    $502,747

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 2022.
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 $165,327,128 · share of assets $196,558,729

    Directly controlled by CDPHP UNIVERSAL BENEFITS INC

  • CDPHP UNIVERSAL BENEFITS INC

    C · ARTICLE 43 INSURANCE · NY · 100% owned · share of income $653,237,637 · share of assets $252,578,418

    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
2022
Filed
18 August 2023
IRS schema version
2022v5.0
Source object
202343059349300609

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