2023-08-14T14:19:51-05:00 2022-12-31 ERNST & YOUNG LLP ONE MANHATTAN WEST NEW YORK NY 100018604 990 2022-01-01 510609967 Healthfirst Health Plan of New Jersey Inc % CRAIG BARATTIN-VP CONTROLLER HEAL 2128016000 100 Church Street Floor 18 New York NY 100072601 JOHN BERMEL CFO 2128016000 2023-08-14 true JOHN BERMEL 999009999 NICOLE M SOKOLOWSKI P01683199 2127733000 2023-08-14 3 2022 2023-04-26 12:10:37Z X PATRICIA J WANG 100 Church Street Floor 18 New York NY 100072601 20755 false X WWW.HEALTHFIRST.ORG X 2006 NJ TO PROMOTE THE HEALTH OF THE PEOPLE OF THE STATE OF NEW JERSEY BY ARRANGING FOR THE PROVISION OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID BENEFICIARIES. X 9 7 0 0 0 0 0 0 0 0 41504 20755 0 0 41504 20755 0 0 0 0 0 0 0 0 0 -172404 -192335 -172404 -192335 213908 213090 23685176 0 5323693 0 18361483 0 TO PROMOTE THE HEALTH OF THE COMMUNITY BY ARRANGING FOR THE PROVISION OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID BENEFICIARIES AND TO RELIEVE THE POOR AND DISTRESSED BY MEETING THE SPECIAL HEALTH CARE NEEDS OF MEDICARE AND MEDICAID BENEFICIARIES. false false -206627 0 0 Medicare Healthfirst Health Plan of New Jersey, Inc. (HFNJ) provides affordable quality health plans to eligible medicare recipients. There was no membership reported in 2022. As of 12/31/2014, the company ceased its Medicare operations. Effective December 1, 2014, the company no longer actively markets itself as an insurer and began liquidation activities to wind-down its operation. 0 0 0 Medicaid/NJFamilycare Healthfirst Health Plan of New Jersey, Inc.(HFNJ) provides affordable quality health plans to eligible medicaid recipients. For 2022 there was no membership reported. As of June 2014 the company's Medicaid Membership was sold to a 3rd party and the company ceased its Medicaid operations. -206627 false false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false true false false true false false false 0 0 0 false false false false false false false false X 9 7 false true false false true true true true true false false true true true true true true false false false X CRAIG BARATTIN-VP CONTROLLER 2128016000 100 CHURCH ST FL 18 NEW YORK NY 100072601 PATRICIA J WANG PRESIDENT AND CEO 1.0 40.0 X 0 4075010 509860 STEVEN H BLACK CHIEF OPERATING OFFICER 1.0 40.0 X 0 2212246 20412 JOHN J BERMEL CHIEF FINANCIAL OFFICER 1.0 40.0 X 0 1888149 35336 GERALD T SWEENEY SVP CHIEF INFORMATION OFFICER 1.0 40.0 X 0 1601680 176764 SEAN KANE CHIEF HR OFFICER 1.0 40.0 X 0 1323066 157892 JAY A SCHECHTMAN CHIEF MEDICAL OFFICER 1.0 40.0 X 0 1301217 149783 LINDA TIANO CHIEF LEGAL OFFICER/SECRETARY 1.0 40.0 X 0 1299672 138813 BARBARA MONTRESOR SVP Comm & Marketing 1.0 40.0 X 0 1006154 119759 SHERYL MARKOWITZ Executive Medical Director 1.0 40.0 X 0 1031129 93889 DEBORAH E HAMMOND VP, MEDICAL DIRECTOR 1.0 40.0 X 0 648576 22275 CRAIG BARATTIN CONTROLLER 1.0 40.0 X X 0 553100 44324 ANTHONY T ORLANDO DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL MARON DIRECTOR 1.0 0.0 X 0 0 0 RICHARD SMITH DIRECTOR 1.0 0.0 X 0 0 0 EDWARD CONDIT DIRECTOR 1.0 0.0 X 0 0 0 TOM DALY DIRECTOR 1.0 0.0 X 0 0 0 CHAD FORBES DIRECTOR 1.0 0.0 X 0 0 0 ALAN BEATTY DIRECTOR 1.0 0.0 X 0 0 0 0 16939999 1469107 0 false true false 0 0 0 20755 0 20755 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20755 0 20755 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1303 847 456 0 0 3962 2575 1387 0 0 0 0 0 0 0 35121 22672 12449 0 0 0 0 HEALTHCARE SERVICE COSTS -232721 -232721 0 0 -192335 -206627 14292 0 0 0 23685039 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 0 23685176 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5323693 0 5323693 0 X 18361483 0 0 0 18361483 0 23685176 0 X 213090 0 0 0 0 -18574573 X false true X true false true true false false false false false false false JAY A SCHECHTMAN CHIEF MEDICAL OFFICER 534195 662230 104792 0 124779 0 26067 0 1452063 0 100260 DEBORAH E HAMMOND VP, MEDICAL DIRECTOR 398801 245891 3884 0 4755 0 18246 0 671577 0 0 LINDA TIANO CHIEF LEGAL OFFICER/SECRETARY 567343 590036 142293 0 129767 0 10108 0 1439547 0 133389 PATRICIA J WANG PRESIDENT AND CEO 1414965 2066277 593768 0 501453 0 9237 0 4585700 0 585386 JOHN J BERMEL CHIEF FINANCIAL OFFICER 818031 1000223 69895 0 18300 0 18099 0 1924548 0 0 GERALD T SWEENEY SVP CHIEF INFORMATION OFFICER 610892 836898 153890 0 150740 0 27086 0 1779506 0 151052 SEAN KANE CHIEF HR OFFICER 544519 650966 127581 0 131868 0 27086 0 1482020 0 124581 STEVEN H BLACK CHIEF OPERATING OFFICER 216382 901875 1093989 0 18300 0 2361 0 2232907 0 163607 CRAIG BARATTIN CONTROLLER 341268 209804 2028 0 18300 0 26883 0 598283 0 0 SHERYL MARKOWITZ Executive Medical Director 423299 372289 235541 0 93889 0 1049 0 1126067 0 232672 BARBARA MONTRESOR SVP Comm & Marketing 497374 431396 77384 0 93735 0 27086 0 1126975 0 73009 SCHEDULE J, PART 1, LINE 3 THE COMPENSATION OF THE CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF HF MANAGEMENT SERVICES, LLC, THE MANAGEMENT COMPANY THAT PROVIDES ALL SERVICES TO HFNJ (A RELATED ORGANIZATION). THE COMMITTEE CONSISTS ONLY OF HFMS MEMBER HOSPITAL EXECUTIVES (WHO ARE NOT EMPLOYED NOR COMPENSATED BY HFMS OR ANY OF ITS AFFILIATES). THE PROCESS FOR DETERMINING COMPENSATION IS DESCRIBED IN THE COMMITTEE'S CHARTER. THE PROCESS INCLUDES ENGAGEMENT OF AN OUTSIDE HUMAN RESOURCES CONSULTING FIRM TO CONDUCT A COMPARABILITY ANALYSIS. THE ANALYSIS INCLUDES COMPARABLE RANGES OF EXECUTIVE COMPENSATION USING THE COMPANY'S INDUSTRY CLASSIFICATION. THE COMMITTEE MEETS PRIOR TO IMPLEMENTATION OF ANY CHANGE IN COMPENSATION. CONTEMPORANEOUS MINUTES OF EACH MEETING ARE PREPARED. SCHEDULE J, PART 1, LINE 4A THE FOLLOWING INDIVIDUALS ENTERED INTO SEVERANCE AGREEMENTS AND/OR RECEIVED SEVERANCE PAYMENTS FROM HF MANAGEMENT SERVICES, LLC - AN AFFILIATE ORGANIZATION OF HEALTHFIRST. STEVEN H. BLACK. - TOTAL SEVERANCE: $1,684,615, SEVERANCE PAID IN 2022: $871,789 SEVERANCE DEFERRED: $812,826. SCHEDULE J, PART 1, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE NON-QUALIFIED RETIREMENT PLAN PROVIDED BY HF MANAGEMENT SERVICES, LLC - A RELATED ORGANIZATION. THE AMOUNTS BELOW REPRESENT CONTRIBUTIONS TO THE PLAN SPONSOR FOR 2022: PATRICIA J. WANG $485,449, JAY A. SCHECHTMAN $106,479, GERALD T. SWEENEY $132,440, SEAN KANE $113,568, LINDA TIANO $111,467, SHERYL MARKOWITZ $82,750. Cash 2022-05-18 1196770 Actual cost 221487173 Englewood Hospital Medical Center 350 Engle Street Englewood NJ 07631 501(c)(3) Cash 2022-05-18 27046 Actual cost 226106281 Hackettstown Regional Medical Ctr 651 Willow Grove St Hackettstown NJ 07840 501(c)(3) Cash 2022-05-18 3561334 Actual cost 221487322 Holy Name Hospital 718 Teaneck Road Teaneck NJ 07666 501(c)(3) Cash 2022-05-18 2508485 Actual cost 222783298 Jersey City Medical Center 355 Grand Street Jersey City NJ 07302 501(c)(3) Cash 2022-05-18 731199 Actual cost 226019101 JFK Medical Center 98 James Street 4Th Floor Edison NJ 08820 501(c)(3) Cash 2022-05-18 2031322 Actual cost 221487278 Palisades Medical Center 7600 River Road North Bergen NJ 07047 501(c)(3) Cash 2022-05-18 1449841 Actual cost 221494442 Raritan Bay Medical Center 530 New Brunswick Ave Perth Amboy NJ 08861 501(c)(3) Cash 2022-05-18 883814 Actual cost 210634572 Robert Wood Johnson University Hosp PO BOX 21395 NEW YORK NY 100871395 501(c)(3) Cash 2022-05-18 377673 Actual cost 221487330 Saint Peter's University Hospital 254 Easton Avenue New Brunswick NJ 08901 501(c)(3) Cash 2022-05-18 324548 Actual cost 210660835 Shore Memorial Hospital 100 Medical Center Way Somers Somers Point NJ 082442387 501(c)(3) Cash 2022-05-18 2069959 Actual cost 221487350 Somerset Medical Center 110 Rehill Avenue Somerville NJ 08876 501(c)(3) Cash 2022-05-18 3294741 Actual cost 223601678 Trinitas Regional Medical Center 750 Walnut Avenue Cranford NJ 07016 501(c)(3) Cash 2022-05-18 117842 Actual cost 221775306 University Hospital 150 Bergen Street Newark NJ 07103 501(c)(3) false false false false true true true true false false FORM 990, PART VI, SECTION A, LINE 3 HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC.(HFNJ) CONTRACTS WITH HF MANAGEMENT SERVICES, LLC (HFMS) TO PROVIDE ALL OF ITS MANAGEMENT AND ADMINISTRATIVE SERVICES. THE NOT-FOR-PROFIT ENTITY DOES NOT MAINTAIN ITS OWN STAFF OR OFFICE SPACE, THESE ARE SUPPLIED BY HFMS. HFMS CHARGES A PERCENT OF PREMIUM ON A PER MEMBER PER MONTH BASIS OR A FLAT FEE PER MEMBER PER MONTH. ALL OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES WERE PAID BY, AND WORKED FOR HFMS, A MANAGEMENT COMPANY WHICH PROVIDES MANAGEMENT SERVICES FOR MULTIPLE ENTITIES. NONE OF THE INDIVIDUALS LISTED EARNED ANY COMPENSATION FROM HFNJ. FORM 990, PART VI, SECTION A, LINE 6 HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. IS A NEW JERSEY NOT-FOR-PROFIT CORPORATION WITH ONE CORPORATE MEMBER, HF MANAGEMENT SERVICES, LLC. FORM 990, PART VI, SECTION A, LINES 7A AND 7B 7A: HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. IS A NEW JERSEY NOT FOR PROFIT CORPORATION WITH ONE CORPORATE MEMBER, HF MANAGEMENT SERVICES, LLC. THE CORPORATE MEMBER HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS OF HEALTHFIRST HEALTH PLAN OF NEW JERSEY, INC. 7B: AMENDMENTS TO THE GOVERNING DOCUMENTS REQUIRE APPROVAL OF THE SOLE CORPORATE MEMBER, HF MANAGEMENT SERVICES, LLC. CERTAIN DECISIONS OF THE BOARD OF DIRECTORS RELATING TO PRODUCTS OFFERED, RELATED PARTY TRANSACTIONS AND REPAYMENT OF SURPLUS NOTES REQUIRE APPROVAL OF THE NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY THE HF MANAGEMENT SERVICES, LLC (HFMS)CORPORATE FINANCE DEPARTMENT STAFF AND THEN REVIEWED BY THE HFMS VICE PRESIDENT, CONTROLLER. SECONDARY REVIEWS ARE ALSO PERFORMED BY THE HFMS CHIEF LEGAL OFFICER AND CHIEF FINANCIAL OFFICER. THE DRAFT 990 IS THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE DRAFT 990 IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW. THE FINAL 990 IS SUBMITTED AFTER THE BOARD OF DIRECTORS REVIEWS IT. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST DISCLOSURE STATEMENT IS COMPLETED ANNUALLY BY EACH BOARD MEMBER, OFFICER AND KEY EMPLOYEE. A NOMINATED BOARD MEMBER WHO DOES NOT COMPLETE THE STATEMENT WITHIN THE CALENDAR YEAR WILL NOT BE PERMITTED TO CARRY OUT DUTIES. THE SAME APPLIES TO AN OFFICER OR KEY EMPLOYEE WHO DOES NOT COMPLETE THE APPROPRIATE DISCLOSURES. ANY DISCLOSURE OF A CONFLICT OR POTENTIAL CONFLICT IS REVIEWED BY THE CHIEF COMPLIANCE OFFICER. CONFLICTS ARE ADDRESSED BY EXAMINING THE RELATIONSHIP OF THEINDIVIDUAL TO THE ORGANIZATION AND THE NATURE OF THE DISCLOSURE. GUIDANCE IS PROVIDED TO THE NECESSARY PARTIES AND ACTION IS TAKEN, INCLUDING BUT NOT LIMITED TO DISCLOSURE AND RECUSAL FROM DECISION-MAKING, MODIFICATIONS TO BUSINESS AGREEMENTS, CHANGES IN VENDORS OR REPLACEMENT OF THE DIRECTOR, OFFICER OR KEY EMPLOYEE WITH A NON-CONFLICTED INDIVIDUAL. FORM 990, PART VI, SECTION B, LINE 15 BECAUSE THE REPORTING ORGANIZATION DID NOT COMPENSATE ANY OFFICER OR EMPLOYEE, THE REPORTING ORGANIZATION HAS RESPONDED "NO." HOWEVER, THE COMPENSATION OF THE PRESIDENT, CEO, OTHER OFFICERS AND CERTAIN KEY EMPLOYEES IS DETERMINED BY THE COMPENSATION COMMITTEE OF HF MANAGEMENT SERVICES, LLC (A RELATED ORGANIZATION). THE COMMITTEE CONSISTS ONLY OF HFMS MEMBER HOSPITAL EXECUTIVES (WHO ARE NOT EMPLOYED NOR COMPENSATED BY HFMS OR ANY OF ITS AFFILIATES). THE PROCESS FOR DETERMINING COMPENSATION IS DESCRIBED IN THE COMMITTEE'S CHARTER. THE PROCESS INCLUDES ENGAGEMENT OF AN OUTSIDE HUMAN RESOURCES CONSULTING FIRM TO CONDUCT A COMPARABILITY ANALYSIS. THE ANALYSIS INCLUDES COMPARABLE RANGES OF EXECUTIVE COMPENSATION USING THE COMPANY'S INDUSTRY CLASSIFICATION. THE COMMITTEE MEETS PRIOR TO IMPLEMENTATION OF ANY CHANGE IN COMPENSATION. CONTEMPORANEOUS MINUTES OF EACH MEETING ARE PREPARED. FORM 990, PART VI, SECTION B, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC BY PROVIDING COPIES ON REQUEST FOR INSPECTION AT ITS CORPORATE OFFICES. FORM 990, PART XI, LINE 9 In 2021 HFNJ submitted its proposal for dissolution to DOBI and in April 2022, HFNJ received approval of its plan of dissolution from DOBI. As a result, HFNJ was dissolved, and its remaining net assets of $23.9 million were distributed in May 2022, in accordance with the approved plan of dissolution. Under the approved plan of dissolution HFNJ repaid its outstanding surplus note and interest balances of approximately $5.3 million to HFMS and the remaining net assets of approximately $18.6 million were distributed to thirteen of HFNJ's hospital providers based on the distribution formulas in the approved plan of dissolution, as disclosed on Schedule N. FORM 990, PART XII, LINE 2B THE FILING ORGANIZATION DOES NOT PUBLISH STAND-ALONE FINANCIAL STATEMENTS FOR GENERAL DISCLOSURE AND USE. STAND-ALONE FINANCIAL STATEMENTS ARE PREPARED SOLELY FOR THE NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE AND NEW JERSEY DEPARTMENT OF HUMAN SERVICES AND ARE RESTRICTED AS TO THEIR USE. SUCH FINANCIAL STATEMENTS ARE PREPARED IN CONFORMITY WITH ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE, WHICH IS A COMPREHENSIVE BASIS OF ACCOUNTING OTHER THAN ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES. THE STATUTORY-BASIS FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTANT. FOR PURPOSES OF GENERAL DISCLOSURE AND USE, INCLUDING THE FORM 990, THE FILING ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF HF MANAGEMENT SERVICES, LLC, A RELATED ORGANIZATION, WHICH ARE PREPARED IN ACCORDANCE WITH US GAAP AND AUDITED BY AN INDEPENDENT ACCOUNTANT. OTHER FINANCIAL INFORMATION INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS CONTAINS THE GAAP-BASIS BALANCE SHEET AND INCOME STATEMENT OF THE FILING ORGANIZATION. FORM 990, PART XII, LINE 2C THE SELECTION OF THE INDEPENDENT AUDITOR IS ADMINISTERED BY THE AUDIT RISK AND COMPLIANCE COMMITTEE OF THE BOARD OF MANAGERS OF HF MANAGEMENT SERVICES, LLC (A RELATED ORGANIZATION). FORM 990 PART IX LINE 11G DESCRIPTION:FEE-OTHER TOTAL FEES:1303 HEALTHFIRST INC 100 CHURCH ST FL 18 NEW YORK NY 10007 133714932 MANAGED CARE NY 501(C)(3) 12 Type I NA false HEALTHFIRST HEALTH PLAN INC 100 CHURCH ST FL 18 NEW YORK NY 10007 113029569 MANAGED CARE NY 501(C)(4) HEALTHFIRST false HEALTHFIRST PHSP INC 100 CHURCH ST FL 18 NEW YORK NY 10007 133783732 MANAGED CARE NY 501(C)(3) 10 HEALTHFIRST false HEALTHFIRST FOUNDATION INC 100 CHURCH ST FL 18 NEW YORK NY 10007 843437139 CHARITABLE NY 501(C)(3) PF NA false HFMS LLC 100 CHURCH ST FL 18 NEW YORK NY 100072601 134069806 3RD PTY ADM S NY NA SMC PARTNERS LLC 10 COLUMBUS BLVD 9TH FLOOR HARTFORD CT 06106 208577150 CONSULTING SV CT HF ADMIN SVCS HF ADMINISTRATIVE SERVICES INC 100 CHURCH ST FL 18 NEW YORK NY 100072601 133873482 3RD PTY ADM S NY MF MGMT SVCS C CORP HEALTHFIRST INSURANCE COMPANY INC 100 Church Street FL 18 NEW YORK NY 100072601 464545744 INSUR. PROVID NY NA C CORP false false false false false false false false false false false false false false false false false true false HF MANAGEMENT SERVICES LLC R 5358573 SURPLUS NOTE FORM 990, SCHEDULE R, PART V, LINE 2 METHOD OF DETERMINING AMOUNT INVOLVED ITEM (1): The amount represents Payment of Surplus Note Payable. Surplus Note Payable was monies borrowed from HF Management Services, LLC (HFMS) to fund Healthfirst Health Plan of New Jersey, Inc (HFNJ). It represents two 7 year note payables to HFMS.