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NEW YORK STATE CATHOLIC HEALTH PLAN INC

Mission Statement
SEE SCHEDULE O

Formed 1993. The IRS granted this nonprofit coporation 501(c) status in March of 1998. Its accounting period ends in December.

This nonprofit coporation is categorized as Group Health Practice (Health Maintenance Organizations). (NTEE Code: E310)

Tax Code Designation: 501(c)(3)

Contributions are tax deductible.

Foundation Type: Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes

Principal Officer: MARK L LANE

Tax Returns for New York State Catholic Health Plan Inc

Form 990 2014 Full Details

Tax Year: 2014 (2014-01-01 - 2014-12-31)

Revenue Breakdown

Contributions: $196,215

Investment Income: $21,647,808

Other Revenue: $201,752


Total Revenue
$5,304,760,754

Expenses Breakdown

Grants and Similiar: $3,565,309

Member Benefits: $4,758,014,894

Salaries, other compensation, and employee benefits: $169,288,472

Other Expenses: $102,149,659


Total Expenses
$5,033,018,334

Assets

Initial Net Assets or Fund Balances: $954,929,941

Deficit (Revenue - Expenses): $271,742,420

Total Liabilities $979,578,494


Final Net Assets or Fund Balances:

$1,220,028,234

Top Program Service Accomplishments

This organization undertook significiant program services during the year which were not listed prior.

Expenses: $440,999,762 including grants of $26,664
Revenue: $417,093,255

FIDELIS CARE AT HOME IS A MEDICAID LONG-TERM CARE CAPITATED PROGRAM WITH THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH PROVIDES AN ARRAY OF HOME, COMMUNITY, AND INSTITUTIONALLY BASED, LONG-TERM CARE SERVICES TO PERSONS WHO ARE ELIGIBLE FOR MEDICAID AND WHO HAVE BEEN CERTIFIED AS APPROPRIATE CANDIDATES FOR NURSING HOME PLACEMENT.

Expenses: $273,442,093 including grants of $62,611
Revenue: $269,071,404

MEDICARE ADVANTAGE PROGRAM IS A PROGRAM AVAILABLE TO ADULTS AGED 65 AND OVER WHO ARE ELIGIBLE UNDER MEDICARE. BENEFICIARIES MAY CHOOSE TO USE PRIVATE PAY OPTIONS, ESTABLISH MEDICAL SAVINGS ACCOUNTS, USE MANAGED CARE PLANS SUCH AS FIDELIS, OR JOIN PROVIDER-SPONSORED PLAN.

Expenses: $440,942,116 including grants of $740,911
Revenue: $518,888,808

OTHER PROGRAMS ADMINISTERED BY THE PLAN INCLUDE THE CHILD HEALTH PLUS PROGRAM, FAMILY HEALTH PLUS PROGRAM, MEDICARE/MEDICAID DUAL ADVANTAGE PROGRAM, MEDICAID ADVANTAGE PLUS PROGRAM AND HEALTH BENEFIT EXCHANGE PROGRAM. CHILD HEALTH PLUS PROGRAM IS A PROGRAM THAT COVERS UNINSURED CHILDREN UNDER THE AGE OF 19, WHO ARE RESIDENTS OF NEW YORK STATE AND ARE NOT ELIGIBLE FOR MEDICAID. FAMILY HEALTH PLUS PROGRAM IS A PROGRAM FOR UNINSURED ADULTS, AGES 19-64, WHO ARE RESIDENTS OF NEW YORK STATE AND ARE NOT ELIGIBLE FOR MEDICAID. MEDICARE/MEDICAID DUAL ADVANTAGE IS A PROGRAM FOR THOSE WHO MEET ELIGIBILITY REQUIREMENTS FOR BOTH MEDICARE AND MEDICAID AND ARE ENROLLED IN BOTH PROGRAMS. MEDICAID ADVANTAGE PLUS IS A FULL-RISK MANAGED LONG-TERM CARE PROGRAM FOR INDIVIDUALS 18 YEARS OF AGE AND OLDER WITH MEDICARE AND MEDICAID COVERAGE WHO HAVE A CHRONIC ILLNESS OR DISABILITY. MEMBERS MUST BE IN NEED OF LONG-TERM CARE SERVICES AND MAY NEED CARE TYPICALLY GIVEN IN A NURSING HOME. HEALTH BENEFIT EXCHANGE IS A PROGRAM PROVIDING HEALTH COVERAGE TO INDIVIDUALS UNDER THE HEALTH CARE REFORM ACT.

Political Campaign and Lobbying Activities

Political Expenditures: $0

This organization filed Form 4720 for this year.

This organization attempted to influence foreign, national, state or local legislation through the use of:
  • $69,962 on other activities
  • Total: $69,962

Explanations and Supplemental Information

PART II-B, LINE 1: FIDELIS IS A MEMBER OF CERTAIN ASSOCIATIONS, TO WHICH IT PAYS ANNUAL DUES A PORTION OF THOSE DUES ARE DETERMINED TO BE EXPENDITURES FOR LOBBYING PURPOSES. IN 2014, THAT PORTION WAS $69,962.

Form 990 2013 Full Details

Tax Year: 2013 (2013-01-01 - 2013-12-31)

Revenue Breakdown

Contributions: $353,245

Investment Income: $15,018,260

Other Revenue: $153,519


Total Revenue
$4,101,540,222

Expenses Breakdown

Grants and Similiar: $2,776,398

Member Benefits: $3,533,028,969

Salaries, other compensation, and employee benefits: $131,937,126

Other Expenses: $77,335,242


Total Expenses
$3,745,077,735

Assets

Initial Net Assets or Fund Balances: $585,913,091

Deficit (Revenue - Expenses): $356,462,487

Total Liabilities $667,496,483


Final Net Assets or Fund Balances:

$954,929,941

Top Program Service Accomplishments

Expenses: $361,092,595 including grants of $321,666
Revenue: $400,000,747

FAMILY HEALTH PLUS IS PART OF NEW YORK STATE'S FAMILY HEALTH PLUS PROGRAM ADMINISTERED BY FIDELIS FOR UNINSURED ADULTS, AGES 19-64, WHO ARE RESIDENTS OF NEW YORK STATE AND ARE NOT ELIGIBLE FOR MEDICAID. FAMILY HEALTH PLUS PROVIDES COMPREHENSIVE COVERAGE, INCLUDING PREVENTION, PRIMARY CARE, HOSPITALIZATION, PRESCRIPTIONS, AND OTHER SERVICES. THE NEW YORK STATE DEPARTMENT OF HEALTH ESTABLISHES ELIGIBILITY CRITERIA WITH REGARD TO INCOME (IN RELATION TO A PERCENTAGE OF THE FEDERAL POVERTY LEVEL), RESIDENCY, RESOURCES, AGE, AND IMMIGRATION STATUS, AMONG OTHER FACTORS, AND ELIGIBILITY FOR THE PROGRAM IS DETERMINED BASED ON INCOME, RESOURCES, AND FAMILY SIZE.

Expenses: $252,738,689 including grants of $213,652
Revenue: $265,682,172

FIDELIS CARE AT HOME IS A MEDICAID LONG-TERM CARE CAPITATED PROGRAM WITH THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH PROVIDES AN ARRAY OF HOME, COMMUNITY, AND INSTITUTIONALLY BASED, LONG-TERM CARE SERVICES TO PERSONS WHO ARE ELIGIBLE FOR MEDICAID AND WHO HAVE BEEN CERTIFIED AS APPROPRIATE CANDIDATES FOR NURSING HOME PLACEMENT.

Expenses: $289,876,626 including grants of $446,487
Revenue: $313,370,779

OTHER PROGRAMS ADMINISTERED BY THE PLAN INCLUDE THE CHILD HEALTH PLUS PROGRAM, MEDICARE ADVANTAGE PROGRAM, MEDICARE/MEDICAID DUAL ADVANTAGE PROGRAM, AND MEDICAID ADVANTAGE PLUS PROGRAM. CHILD HEALTH PLUS PROGRAM IS A PROGRAM THAT COVERS UNINSURED CHILDREN UNDER THE AGE OF 19, WHO ARE RESIDENTS OF NEW YORK STATE AND ARE NOT ELIGIBLE FOR MEDICAID.MEDICARE ADVANTAGE PROGRAM IS A PROGRAM AVAILABLE TO ADULTS AGED 65 AND OVER WHO ARE ELIGIBLE UNDER MEDICARE. BENEFICIARIES MAY CHOOSE TO USE PRIVATE PAY OPTIONS, ESTABLISH MEDICAL SAVINGS ACCOUNTS, USE MANAGED CARE PLANS SUCH AS FIDELIS, OR JOIN PROVIDER-SPONSORED PLAN.MEDICARE/MEDICAID DUAL ADVANTAGE IS A PROGRAM FOR THOSE WHO MEET ELIGIBILITY REQUIREMENTS FOR BOTH MEDICARE AND MEDICAID AND ARE ENROLLED IN BOTH PROGRAMS.MEDICAID ADVANTAGE PLUS IS A FULL-RISK MANAGED LONG-TERM CARE PROGRAM FOR INDIVIDUALS 18 YEARS OF AGE AND OLDER WITH MEDICARE AND MEDICAID COVERAGE WHO HAVE A CHRONIC ILLNESS OR DISABILITY. MEMBERS MUST BE IN NEED OF LONG-TERM CARE SERVICES AND MAY NEED CARE TYPICALLY GIVEN IN A NURSING HOME.

Political Campaign and Lobbying Activities

Political Expenditures: $0

This organization filed Form 4720 for this year.

This organization attempted to influence foreign, national, state or local legislation through the use of:
  • $76,174 on other activities
  • Total: $76,174

Explanations and Supplemental Information

PART II-B, LINE 1: FIDELIS IS A MEMBER OF CERTAIN ASSOCIATIONS, TO WHICH IT PAYS ANNUAL DUES A PORTION OF THOSE DUES ARE DETERMINED TO BE EXPENDITURES FOR LOBBYING PURPOSES IN 2013, THAT PORTION WAS $76,174

Form 990 2013 Full Details

Tax Year: 2013 (2013-01-01 - 2013-12-31)

Revenue Breakdown

Contributions: $353,245

Investment Income: $15,018,260

Other Revenue: $153,519


Total Revenue
$4,101,540,222

Expenses Breakdown

Grants and Similiar: $3,492,936

Member Benefits: $3,533,028,969

Salaries, other compensation, and employee benefits: $131,937,126

Other Expenses: $77,335,242


Total Expenses
$3,745,794,273

Assets

Initial Net Assets or Fund Balances: $585,913,091

Deficit (Revenue - Expenses): $355,745,949

Total Liabilities $667,496,483


Final Net Assets or Fund Balances:

$954,929,941

Top Program Service Accomplishments

Expenses: $361,092,595 including grants of $321,666
Revenue: $400,000,747

FAMILY HEALTH PLUS IS PART OF NEW YORK STATE'S FAMILY HEALTH PLUS PROGRAM ADMINISTERED BY FIDELIS FOR UNINSURED ADULTS, AGES 19-64, WHO ARE RESIDENTS OF NEW YORK STATE AND ARE NOT ELIGIBLE FOR MEDICAID. FAMILY HEALTH PLUS PROVIDES COMPREHENSIVE COVERAGE, INCLUDING PREVENTION, PRIMARY CARE, HOSPITALIZATION, PRESCRIPTIONS, AND OTHER SERVICES. THE NEW YORK STATE DEPARTMENT OF HEALTH ESTABLISHES ELIGIBILITY CRITERIA WITH REGARD TO INCOME (IN RELATION TO A PERCENTAGE OF THE FEDERAL POVERTY LEVEL), RESIDENCY, RESOURCES, AGE, AND IMMIGRATION STATUS, AMONG OTHER FACTORS, AND ELIGIBILITY FOR THE PROGRAM IS DETERMINED BASED ON INCOME, RESOURCES, AND FAMILY SIZE.

Expenses: $252,738,689 including grants of $213,652
Revenue: $265,682,172

FIDELIS CARE AT HOME IS A MEDICAID LONG-TERM CARE CAPITATED PROGRAM WITH THE NEW YORK STATE DEPARTMENT OF HEALTH WHICH PROVIDES AN ARRAY OF HOME, COMMUNITY, AND INSTITUTIONALLY BASED, LONG-TERM CARE SERVICES TO PERSONS WHO ARE ELIGIBLE FOR MEDICAID AND WHO HAVE BEEN CERTIFIED AS APPROPRIATE CANDIDATES FOR NURSING HOME PLACEMENT.

Expenses: $289,876,626 including grants of $446,487
Revenue: $313,370,779

OTHER PROGRAMS ADMINISTERED BY THE PLAN INCLUDE THE CHILD HEALTH PLUS PROGRAM, MEDICARE ADVANTAGE PROGRAM, MEDICARE/MEDICAID DUAL ADVANTAGE PROGRAM, AND MEDICAID ADVANTAGE PLUS PROGRAM. CHILD HEALTH PLUS PROGRAM IS A PROGRAM THAT COVERS UNINSURED CHILDREN UNDER THE AGE OF 19, WHO ARE RESIDENTS OF NEW YORK STATE AND ARE NOT ELIGIBLE FOR MEDICAID.MEDICARE ADVANTAGE PROGRAM IS A PROGRAM AVAILABLE TO ADULTS AGED 65 AND OVER WHO ARE ELIGIBLE UNDER MEDICARE. BENEFICIARIES MAY CHOOSE TO USE PRIVATE PAY OPTIONS, ESTABLISH MEDICAL SAVINGS ACCOUNTS, USE MANAGED CARE PLANS SUCH AS FIDELIS, OR JOIN PROVIDER-SPONSORED PLAN.MEDICARE/MEDICAID DUAL ADVANTAGE IS A PROGRAM FOR THOSE WHO MEET ELIGIBILITY REQUIREMENTS FOR BOTH MEDICARE AND MEDICAID AND ARE ENROLLED IN BOTH PROGRAMS.MEDICAID ADVANTAGE PLUS IS A FULL-RISK MANAGED LONG-TERM CARE PROGRAM FOR INDIVIDUALS 18 YEARS OF AGE AND OLDER WITH MEDICARE AND MEDICAID COVERAGE WHO HAVE A CHRONIC ILLNESS OR DISABILITY. MEMBERS MUST BE IN NEED OF LONG-TERM CARE SERVICES AND MAY NEED CARE TYPICALLY GIVEN IN A NURSING HOME.

Political Campaign and Lobbying Activities

Political Expenditures: $0

This organization filed Form 4720 for this year.

This organization attempted to influence foreign, national, state or local legislation through the use of:
  • $76,174 on other activities
  • Total: $76,174

Explanations and Supplemental Information

PART II-B, LINE 1: FIDELIS IS A MEMBER OF CERTAIN ASSOCIATIONS, TO WHICH IT PAYS ANNUAL DUES A PORTION OF THOSE DUES ARE DETERMINED TO BE EXPENDITURES FOR LOBBYING PURPOSES IN 2013, THAT PORTION WAS $76,174

Form 990 2012 Full Details

Tax Year: 2012 (2012-01-01 - 2012-12-31)

Revenue Breakdown

Contributions: $270,351

Investment Income: $13,128,865

Other Revenue: $261,662


Total Revenue
$3,287,509,249

Expenses Breakdown

Grants and Similiar: $2,850,362

Member Benefits: $2,858,161,536

Salaries, other compensation, and employee benefits: $118,906,450

Other Expenses: $68,666,319


Total Expenses
$3,048,584,667

Assets

Initial Net Assets or Fund Balances: $333,250,448

Deficit (Revenue - Expenses): $238,924,582

Total Liabilities $542,649,538


Final Net Assets or Fund Balances:

$585,913,091

Top Program Service Accomplishments

Expenses: $332,901,927 including grants of $304,939
Revenue: $372,917,814

SEE SCHEDULE O.

Expenses: $102,025,763 including grants of $272,754
Revenue: $118,674,106

SEE SCHEDULE O.

Expenses: $146,810,958 including grants of $133,016
Revenue: $165,618,538

OTHER PROGRAMS ADMINISTERED BY THE PLAN INCLUDE THE MEDICARE ADVANTAGE PROGRAM, MEDICARE//MEDICAID DUAL ADVANTAGE PROGRAM, FIDELIS CARE AT HOME, AND MEDICAID ADVANTAGE PLUS PROGRAM.MEDICARE ADVANTAGE PROGRAM IS A PROGRAM AVAILABLE TO ADULTS AGED 65 AND OVER WHO ARE ELIGIBLE UNDER MEDICARE. BENEFICIARIES MAY CHOOSE TO USE PRIVATE PAY OPTIONS, ESTABLISH MEDICAL SAVINGS ACCOUNTS, USE MANAGED CARE PLANS SUCH AS FIDELIS, OR JOIN PROVIDER-SPONSORED PLANS. MEDICARE/MEDICAID DUAL ADVANTAGE IS A PROGRAM FOR THOSE WHO MEET ELIGIBILITY REQUIREMENTS FOR BOTH MEDICARE AND MEDICAID AND ARE ENROLLED IN BOTH PROGRAMS. FIDELIS CARE AT HOME IS A MANAGED LONG-TERM CARE PROGRAM FOR RESIDENTS 18 YEARS OF AGE AND OLDER, WHO NEED LONG-TERM CARE SERVICES AND ARE ELIGIBLE FOR MEDICAID. MEMBERS HAVE THEIR OWN CARE MANAGER, RECEIVE INDIVIDUAL ATTENTION, AND HAVE THE SUPPORT AND RESOURCES THEY NEED TO HELP THEM LIVE INDEPENDENTLY IN THEIR OWN HOMES AND COMMUNITIES. MEDICAID ADVANTAGE PLUS IS A FULL-RISK MANAGED LONG-TERM CARE PROGRAM FOR INDIVIDUALS 18 YEARS OF AGE AND OLDER WITH MEDICARE AND MEDICAID COVERAGE WHO HAVE A CHRONIC ILLNESS OR DISABILITY. MEMBERS MUST BE IN NEED OF LONG-TERM CARE SERVICES AND MAY NEED CARE TYPICALLY GIVEN IN A NURSING HOME.

Political Campaign and Lobbying Activities

Political Expenditures: $0

This organization filed Form 4720 for this year.

This organization attempted to influence foreign, national, state or local legislation through the use of:
  • $79,934 on other activities
  • Total: $79,934

Explanations and Supplemental Information

EXPLANATION OF LOBBYING ACTIVITIES: FIDELIS IS A MEMBER OF CERTAIN ASSOCIATIONS, TO WHICH IT PAYS ANNUAL DUES. A PORTION OF THOSE DUES ARE DETERMINED TO BE EXPENDITURES FOR LOBBYING PURPOSES. IN 2012, THAT PORTION WAS $79,934.

Form 990 2011 Full Details

Tax Year: 2011 (2011-01-01 - 2011-12-31)

Revenue Breakdown

Contributions: $537,543

Investment Income: $10,773,904

Other Revenue: $296,626


Total Revenue
$2,413,085,263

Expenses Breakdown

Grants and Similiar: $2,287,302

Member Benefits: $2,164,074,037

Salaries, other compensation, and employee benefits: $106,503,453

Other Expenses: $63,383,796


Total Expenses
$2,336,248,588

Assets

Initial Net Assets or Fund Balances: $265,042,605

Deficit (Revenue - Expenses): $76,836,675

Total Liabilities $411,835,560


Final Net Assets or Fund Balances:

$333,250,448

Top Program Service Accomplishments

Expenses: $274,354,094 including grants of $266,563
Revenue: $283,975,726

FAMILY HEALTH PLUS IS PART OF NEW YORK STATE'S FAMILY HEALTH PLUS PROGRAM ADMINISTERED BY FIDELIS FOR UNINSURED ADULTS, AGES 19-64, WHO ARE RESIDENTS OF NEW YORK STATE AND ARE NOT ELIGIBLE FOR MEDICAID. FAMILY HEALTH PLUS PROVIDES COMPREHENSIVE COVERAGE, INCLUDING PREVENTION, PRIMARY CARE, HOSPITALIZATION, AND OTHER SERVICES.THE NEW YORK STATE DEPARTMENT OF HEALTH ESTABLISHES ELIGIBILITY CRITERIA WITH REGARD TO INCOME (IN RELATION TO A PERCENTAGE OF THE FEDERAL POVERTY LEVEL), RESIDENCY, RESOURCES, AGE, AND IMMIGRATION STATUS, AMONG OTHER FACTORS, AND ELIGIBILITY FOR THE PROGRAM IS DETERMINED BASED ON INCOME, RESOURCES, AND FAMILY SIZE.

Expenses: $114,866,035
Revenue: $142,669,791

EMPLOYER PARTNERSHIP FOR FAMILY HEALTH PLUS ("FAMILY HEALTH PLUS BUY-IN") WAS A PROGRAM SPONSORED BY THE STATE OF NEW YORK, WHEREBY FIDELIS PROVIDED FAMILY HEALTH PLUS STATE-MANDATED BENEFITS, SUBJECT TO SPECIFIC EXCLUSIONS, TO CERTAIN ELIGIBLE MEMBERS OF THE 1199SEIU BENEFIT FUND FOR HOME CARE EMPLOYEES. THE 1199SEIU BENEFIT FUND DETERMINED THE ELIGIBILITY OF ITS MEMBERS TO PARTICIPATE IN THE PROGRAM. THE 1199SEIU BENEFIT FUND, WITH NEW YORK STATE'S APPROVAL, ELECTED TO TERMINATE ITS AGREEMENT WITH FIDELIS EFFECTIVE OCTOBER 31, 2011.

Expenses: $218,298,478 including grants of $408,921
Revenue: $257,729,285

OTHER PROGRAMS ADMINISTERED BY THE PLAN INCLUDE THE CHILD HEALTH PLUS PROGRAM, MEDICARE ADVANTAGE PROGRAM, MEDICARE/MEDICAID DUAL ADVANTAGE PROGRAM, FIDELIS CARE AT HOME, AND MEDICAID ADVANTAGE PLUS PROGRAM. THE CHILD HEALTH PLUS PROGRAM COVERS UNINSURED CHILDREN UNDER THE AGE OF 19, WHO ARE RESIDENTS OF NEW YORK STATE AND ARE NOT ELIGIBLE FOR MEDICAID. THE PROGRAM PROVIDES COMPREHENSIVE COVERAGE, INCLUDING PREVENTION, PRIMARY CARE, HOSPITALIZATION, PRESCRIPTIONS AND OTHER SERVICES.MEDICARE ADVANTAGE PROGRAM IS A PROGRAM AVAILABLE TO ADULTS AGED 65 AND OVER WHO ARE ELIGIBLE UNDER MEDICARE. BENEFICIARIES MAY CHOOSE TO USE PRIVATE PAY OPTIONS, ESTABLISH MEDICAL SAVINGS ACCOUNTS, USE MANAGED CARE PLANS SUCH AS FIDELIS, OR JOIN PROVIDER-SPONSORED PLANS. MEDICARE/MEDICAID DUAL ADVANTAGE IS A PROGRAM FOR THOSE WHO MEET ELIGIBILITY REQUIREMENTS FOR BOTH MEDICARE AND MEDICAID AND ARE ENROLLED IN BOTH PROGRAMS.FIDELIS CARE AT HOME IS A MANAGED LONG-TERM CARE PROGRAM FOR RESIDENTS OF ORANGE AND ROCKLAND COUNTIES, 18 YEARS OF AGE AND OLDER, WHO NEED LONG-TERM CARE SERVICES AND ARE ELIGIBLE FOR MEDICAID. MEMBERS HAVE THEIR OWN CARE MANAGER, RECEIVE INDIVIDUAL ATTENTION, AND HAVE THE SUPPORT AND RESOURCES THEY NEED TO HELP THEM LIVE INDEPENDENTLY IN THEIR OWN HOMES AND COMMUNITIES. MEDICAID ADVANTAGE PLUS IS A FULL-RISK MANAGED LONG-TERM CARE PROGRAM FOR INDIVIDUALS 18 YEARS OF AGE AND OLDER WITH MEDICARE AND MEDICAID COVERAGE WHO HAVE A CHRONIC ILLNESS OR DISABILITY. MEMBERS MUST BE IN NEED OF LONG-TERM CARE SERVICES AND MAY NEED CARE TYPICALLY GIVEN IN A NURSING HOME.

Political Campaign and Lobbying Activities

Political Expenditures: $0

This organization filed Form 4720 for this year.

This organization attempted to influence foreign, national, state or local legislation through the use of:
  • $62,675 on other activities
  • Total: $62,675

Explanations and Supplemental Information

EXPLANATION OF OTHER LOBBYING ACTIVITIES: FIDELIS IS A MEMBER OF CERTAIN ASSOCIATIONS, TO WHICH IT PAYS ANNUAL DUES. A PORTION OF THOSE DUES ARE DETERMINED TO BE EXPENDITURES FOR LOBBYING PURPOSES. IN 2011, THAT PORTION IS $62,675.

Form 990 2010 Full Details

Tax Year: 2010 (2010-01-01 - 2010-12-31)

Revenue Breakdown

Contributions: $211,811

Investment Income: $9,567,496

Other Revenue: $181,706


Total Revenue
$1,920,962,031

Expenses Breakdown

Grants and Similiar: $2,496,644

Member Benefits: $1,703,299,439

Salaries, other compensation, and employee benefits: $102,652,058

Other Expenses: $61,144,552


Total Expenses
$1,869,592,693

Assets

Initial Net Assets or Fund Balances: $203,132,591

Deficit (Revenue - Expenses): $51,369,338

Total Liabilities $320,658,782


Final Net Assets or Fund Balances:

$265,042,605

Top Program Service Accomplishments

Expenses: $198,706,125 including grants of $294,636
Revenue: $216,434,686

FAMILY HEALTH PLUS ("FHP") IS PART OF NEW YORK STATE'S FAMILY HEALTH PLUS PROGRAM ADMINISTERED BY FIDELIS FOR UNINSURED ADULTS, AGES 19-64, WHO ARE RESIDENTS OF NEW YORK STATE AND ARE NOT ELIGIBLE FOR MEDICAID. FAMILY HEALTH PLUS PROVIDES COMPREHENSIVE COVERAGE, INCLUDING PREVENTION, PRIMARY CARE, HOSPITALIZATION, AND OTHER SERVICES. THE NEW YORK STATE DEPARTMENT OF HEALTH ESTABLISHES ELIGIBILITY CRITERIA WITH REGARD TO INCOME (IN RELATION TO A PERCENTAGE OF THE FEDERAL POVERTY LEVEL), RESIDENCY, RESOURCES, AGE, AND IMMIGRATION STATUS, AMONG OTHER FACTORS, AND ELIGIBILITY FOR THE PROGRAM IS DETERMINED BASED ON INCOME, RESOURCES, AND FAMILY SIZE.

Expenses: $154,043,903
Revenue: $164,861,434

EMPLOYER PARTNERSHIP FOR FAMILY HEALTH PLUS ("FAMILY HEALTH PLUS BUY-IN") IS A PROGRAM SPONSORED BY THE STATE OF NEW YORK, WHEREBY FIDELIS PROVIDES FAMILY HEALTH PLUS STATE-MANDATED BENEFITS, SUBJECT TO SPECIFIC EXCLUSIONS, TO CERTAIN ELIGIBLE MEMBERS OF THE 1199SEIU NATIONAL BENEFIT FUND FOR HOME CARE EMPLOYEES. 1199SEIU NATIONAL BENEFIT FUND DETERMINES THE ELIGIBILITY OF ITS MEMBERS TO PARTICIPATE IN THE PROGRAM.

Expenses: $206,193,212 including grants of $434,020
Revenue: $227,311,277

No description of this activity was provided by the organization.

Expenses: $0
Revenue: None

OTHER PROGRAMS ADMINISTERED BY THE PLAN INCLUDE THE CHILD HEALTH PLUS PROGRAM, MEDICARE ADVANTAGE PROGRAM, MEDICARE/MEDICAID DUAL ADVANTAGE PROGRAM, FIDELIS CARE AT HOME, AND MEDICAID ADVANTAGE PLUS PROGRAM. THE CHILD HEALTH PLUS PROGRAM COVERS UNINSURED CHILDREN UNDER THE AGE OF 19, WHO ARE RESIDENTS OF NEW YORK STATE AND ARE NOT ELIGIBLE FOR MEDICAID. THE PROGRAM PROVIDES COMPREHENSIVE COVERAGE, INCLUDING PREVENTION, PRIMARY CARE, HOSPITALIZATION, PRESCRIPTIONS AND OTHER SERVICES. MEDICARE ADVANTAGE PROGRAM IS A PROGRAM AVAILABLE TO ADULTS AGED 65 AND OVER WHO ARE ELIGIBLE UNDER MEDICARE. BENEFICIARIES MAY CHOOSE TO USE PRIVATE PAY OPTIONS, ESTABLISH MEDICAL SAVINGS ACCOUNTS, USE MANAGED CARE PLANS SUCH AS FIDELIS, OR JOIN PROVIDER-SPONSORED PLANS. MEDICARE/MEDICAID DUAL ADVANTAGE IS A PROGRAM FOR THOSE WHO MEET ELIGIBILITY REQUIREMENTS FOR BOTH MEDICARE AND MEDICAID AND ARE ENROLLED IN BOTH PROGRAMS. FIDELIS CARE AT HOME IS A MANAGED LONG-TERM CARE PROGRAM FOR RESIDENTS OF ORANGE AND ROCKLAND COUNTIES, 18 YEARS OF AGE AND OLDER, WHO NEED LONG-TERM CARE SERVICES AND ARE ELIGIBLE FOR MEDICAID. MEMBERS HAVE THEIR OWN CARE MANAGER, RECEIVE INDIVIDUAL ATTENTION, AND HAVE THE SUPPORT AND RESOURCES THEY NEED TO HELP THEM LIVE INDEPENDENTLY IN THEIR OWN HOMES AND COMMUNITIES. MEDICAID ADVANTAGE PLUS IS A FULL-RISK MANAGED LONG-TERM CARE PROGRAM FOR INDIVIDUALS 18 YEARS OF AGE AND OLDER WITH MEDICARE AND MEDICAID COVERAGE WHO HAVE A CHRONIC ILLNESS OR DISABILITY. MEMBERS MUST BE IN NEED OF LONG-TERM CARE SERVICES AND MAY NEED CARE TYPICALLY GIVEN IN A NURSING HOME.

Political Campaign and Lobbying Activities

Political Expenditures: $0

This organization filed Form 4720 for this year.

This organization attempted to influence foreign, national, state or local legislation through the use of:
  • $58,525 on other activities
  • Total: $58,525

Explanations and Supplemental Information

PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE C, PART II-B, LINE 1(I), OTHER LOBBYING ACTIVITIES: FIDELIS IS A MEMBER OF CERTAIN ASSOCIATIONS, TO WHICH IT PAYS ANNUAL DUES. A PORTION OF THOSE DUES ARE DETERMINED TO BE EXPENDITURES FOR LOBBYING PURPOSES. IN 2010, THAT PORTION IS $58,525.

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Source: http://www.charityscout.org/nonprofit/11-3153422/new-york-state-catholic-health-plan-inc