2025-11-12T14:31:21-06:00 2024-12-31 161131146 BONADIO & CO LLP 6 WEMBLEY CT ALBANY NY 12205 990 2024-01-01 471619130 CDPHP FOUNDATION INC CDPH 5186414085 6 WELLNESS WAY LATHAM NY 12110 BRIAN O'GRADY CHAIRMAN 5186414085 2025-11-06 1 1 GLORIA M NOSTRAMO P01385068 5184644080 2025-11-06 2024 2025-03-06 01:10:19Z BRIAN O'GRADY 6 WELLNESS WAY LATHAM NY 12110 223259 0 X CDPHP.COM/CORPORATE-GIVING/THE-FOUNDATION X 2014 NY THE FOUNDATION WAS ORGANIZED FOR THE PURPOSE OF IMPROVING HEALTH AND WELL-BEING OF THE COMMUNITY THROUGH AWARENESS, PREVENTION, WELLNESS, EDUCATION AND OTHER PROGRAMS FOCUSED ON HEALTH PRIORITIES. 5 3 0 22 0 0 526511 162618 0 0 20442 41501 -230 -2906 546723 201213 313171 82447 0 0 33151 141935 0 0 1482 30366 22040 376688 246422 170035 -45209 1256552 1188186 246921 223764 1009631 964422 X THE FOUNDATION WAS ORGANIZED FOR THE PURPOSE OF IMPROVING HEALTH AND WELL-BEING OF THE COMMUNITY THROUGH AWARENESS, PREVENTION, WELLNESS, EDUCATION AND OTHER PROGRAMS FOCUSED ON HEALTH PRIORITIES. 0 0 62500 62500 THE CDPHP FOUNDATION CONTRIBUTED $62,500 IN 2023 TO THE CAPITAL REGION CHAMBER FOUNDATION. 10000 10000 THE CDPHP FOUNDATION CONTRIBUTED $10,000 TO THE ALBANY MEDICAL CENTER JOHN CARTER SCHOLARSHIP. 80915 9947 UNIVERSITY AT ALBANY IMPUTED INTEREST - $7,197MOHAWK HUDSON HUMANE SOCIETY - $2,500IN OUR OWN VOICES - $250ADDITIONALLY THERE WAS $70,968 IN SALARIES/FRINGE EXPENSES. 80915 9947 153415 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 3 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MARCIE SHERMAN FINANCE DIRECTOR 5186413000 6 WELLNESS WAY LATHAM NY 12110 JOHN D BENNETT MD FORMER CHAIRMAN OF THE BOARD 0.50 40.00 X X 0 1478272 28706 ROBERT HINCKLEY DIRECTOR 0.50 X 0 0 0 GERALD D JENNINGS VICE-CHAIR OF THE BOARD 0.50 12.20 X X 0 73800 0 LEE MCELROY PHD DIRECTOR 0.50 5.90 X 0 53400 0 KATHRYN LEYDEN SECRETARY 0.50 40.00 X X 0 280201 46960 BRIAN O'GRADY CHAIRMAN OF THE BOARD 0.50 40.00 X X 0 988118 42384 0 2873791 118050 0 0 1 0 0 36662 29715 96241 27344 162618 41501 41501 19140 36662 22046 -2906 -2906 201213 41501 0 -2906 82447 82447 112788 56394 56394 29147 14574 14573 15300 15300 1482 1482 313 313 4670 4670 STATE FILING FEES 275 275 246422 153415 91525 1482 997798 1186346 1840 258754 0 1256552 1188186 24100 28753 222821 194475 0 536 246921 223764 X 1009631 964422 1009631 964422 1256552 1188186 -45209 0 X 1 X 1 X 1 0 X 346961 465679 377028 568520 181758 1939946 346961 465679 377028 568520 181758 1939946 231296 205781 116000 301517 29715 884309 0 231296 205781 116000 301517 29715 884309 1055637 20442 41501 61943 20442 41501 61943 346961 465679 377028 588962 223259 2001889 0.52730 0.47750 0.03090 0.00940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO AFFILIATES 536 536 X PART X, LINE 2: EXPLANATION: UNDER ASC 740, CDPHP FOUNDATION INC. IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE FOUNDATION IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OF THE LITIGATION PROCESS, BASED ON THE TECHNICAL MERITS OF THE POSITIONS. FOR TAX POSITIONS MEETING THE MORE LIKELY THAN NOT THRESHOLD, THE TAX AMOUNT RECOGNIZED IN THE FINANCIAL STATEMENT IS REDUCED BY THE LARGEST BENEFIT THAT HAS A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING REALIZED UPON THE ULTIMATE SETTLEMENT WITH THE RELEVANT TAXING AUTHORITY. GOLF TOURNAMENT 55802 36662 19140 20255 840 951 NONE 55802 36662 19140 20255 840 951 22046 -2906 1 ALBANY MEDICAL CENTER FOUNDATION 3 NEW SCOTLAND AVE ALBANY NY 12208 146023119 501(C)(3) 10000 0 SPONSORSHIP DONATION CAPITAL REGION CHAMBER FOUNDATION 5 COMPUTER DRIVE S ALBANY NY 12205 141736856 501(C)(3) 62500 0 SPONSORSHIP DONATION UNIVERSITY AT ALBANY FOUNDATION 400 WASHINGTON AVE ALBANY NY 12222 141503972 501(C)(3) 35543 0 SPONSORSHIP DONATION PART I, LINE 2 UNLESS SPECIFICALLY DESIGNATED FOR A SCHOLARSHIP, THE DONATION IS INTENDED TO BE USED IN LINE WITH THE MISSION OF THE ORGANIZATION. 1 1 1 0 0 0 0 0 1 0 JOHN D BENNETT MD FORMER CHAIRMAN OF THE BOARD 0 505924 0 479606 0 492742 0 6345 0 22361 0 1506978 0 0 BRIAN O'GRADY CHAIRMAN OF THE BOARD 0 773749 0 180070 0 34299 0 13800 0 28584 0 1030502 0 0 KATHRYN LEYDEN SECRETARY 0 196549 0 72652 0 11000 0 23986 0 22974 0 327161 0 0 PART I, LINE 7 EXPLANATION: CDPHP FOUNDATION INC. DOES NOT HAVE DIRECT PAYROLL EXPENSES. EMPLOYEES OF CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. (CDPHP) WHO WORK ON FOUNDATION ACTIVITIES HAVE A PORTION OF THEIR TIME ALLOCATED TO THE FOUNDATION. CDPHP HAS A MANAGEMENT INCENTIVE PROGRAM THAT IS BASED UPON THREE CRITERIA: ATTAINMENT OF PERSONAL AND COMPANY GOALS, ACHEIVEMENT OF QUALITY AND SERVICE TARGETS, AND ACHEIVEMENT 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. THE BOARD HAS FINAL DISCRETION TO MAKE THE INCENTIVE PAYMENT. PART 1, LINE 4A JOHN D. BENNETT, MD, FORMER CHARIMAN, RECEIVED A SEVERANCE PAYMENT TOTALING $529,412 DURING 2024. PART 1, LINE 4B THE EXECUTIVE VICE PRESIDENTS OF CDPHP ARE ELIGIBLE FOR A NON-QUALIFIED DEFERRED COMPENSATION PLAN CONTRIBUTION. NO PAYMENT WAS MADE TO THIS PLAN IN 2024. X DONATED ITEMS 355 32344 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B EXPLANATION: THE FORM 990 IS REVIEWED BY THE DIRECTOR OF ACCOUNTING AND REGULATORY REPORTING. IT IS THEN PRESENTED TO THE BOARD FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C EXPLANATION: THE CDPHP FOUNDATION HAS A CONFLICT OF INTEREST POLICY. BOARD MEMBERS ARE REGULARLY POLLED REGARDING POTENTIAL CONFLICT OF INTEREST SITUATIONS. FORM 990, PART VI, SECTION B, LINE 15 EXPLANATION: CDPHP FOUNDATION INC. DOES NOT HAVE DIRECT PAYROLL EXPENSES. EMPLOYEES OF CDPHP WHO WORK ON THE FOUNDATION HAVE A PORTION OF THEIR TIME ALLOCATED TO THE FOUNDATION. CDPHP USES OUTSIDE COMPENSATION CONSULTING FIRMS. THESE FIRMS UTILIZE CUSTOM AND PUBLISHED SURVEYS. INFORMATION IS PROVIDED TO CDPHP'S BOARD COMPENSATION COMMITTEE FOR ANNUAL APPROVAL OF EXECUTIVE POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 EXPLANATION: ANNUAL FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC. CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC 6 WELLNESS WAY LATHAM NY 12110 141641028 HMO NY 501(C)(4) N/A N/A 0 CAYUGA HEALTH SYSTEM SERVICES 165 COURT STREET ROCHESTER NY 14647 061680689 IT SERVICES NY N/A N/A 0 0 WATERVLIET PHARMACY ACQUISITION LLC 6 WELLNESS WAY LATHAM NY 12110 852329712 PHARMACY NY N/A N/A 0 0 CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC 6 WELLNESS WAY LATHAM NY 12110 141745298 ADMIN SERVICES NY CDPHP UNIVERSAL BENEFITS INC C 0 CDPHP UNIVERSAL BENEFITS INC 6 WELLNESS WAY LATHAM NY 12110 161520935 ARTICLE 43 INSURANCE NY CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC C 0 STRATEGIC SOLUTIONS MANAGEMENT 429 CLIFTON CORP PKWY CLIFTON PARK NY 12065 141814293 BILLING AND CONSULTING NY CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC C 0 CCP TASS INC 6 WELLNESS WAY LATHAM NY 12110 872786025 BILLING AND CONSULTING NY CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC C 0 EXCELSIOR HEALTH INC 6 WELLNESS WAY LATHAM NY 12110 991606861 HOLDING COMPANY NY LIFETIME HEALTHCARE INC C 0 LIFETIME HEALTHCARE INC 165 COURT STREET ROCHESTER NY 14647 161514675 HOLDING COMPANY NY N/A C 0 EXCELLUS HEALTH PLAN INC 165 COURT STREET ROCHESTER NY 14647 150329043 ARTICLE 43 INSURANCE NY LIFETIME HEALTHCARE INC C 0 EXCELLUS VENTURES INC 165 COURT STREET ROCHESTER NY 14647 161550984 HOLDING COMPANY NY LIFETIME HEALTHCARE INC C 0 LIFETIME WORKFORCE SOLUTIONS 165 COURT STREET ROCHESTER NY 14647 992613307 SHARED SERVICES COMPANY NY LIFETIME HEALTHCARE INC C 0 EXCELLUS HEALTH PLAN COMMUNITY CARE LLC 165 COURT STREET ROCHESTER NY 14647 881097373 ARTICLE 44 INSURANCE NY LIFETIME HEALTHCARE INC C 0 MEDAMERICA REINSURANCE COMPANY 165 COURT STREET ROCHESTER NY 14647 980210843 LONG-TERM CARE INSURANCE VT LIFETIME HEALTHCARE INC C 0 LIFETIME BENEFIT SOLUTIONS 165 COURT STREET ROCHESTER NY 14647 161171765 BENEFIT PROGRAM ADMINISTRATION NY LIFETIME HEALTHCARE INC C 0 BEACON NETWORK SERVICES INC 165 COURT STREET ROCHESTER NY 14647 141830065 PHYSICIAN NETWORK ADMINISTRATION NY LIFETIME HEALTHCARE INC C 0 EXCELLUS ACQUISITION 165 COURT STREET ROCHESTER NY 14647 061680689 HOLDING COMPANY NY LIFETIME HEALTHCARE INC C 0 MEDAMERICA INC 165 COURT STREET ROCHESTER NY 14647 161581817 HOLDING COMPANY NY LIFETIME HEALTHCARE INC C 0 MEDAMERICA INSURANCE COMPANY OF NEW YORK 165 COURT STREET ROCHESTER NY 14647 161310986 LONG-TERM CARE INSURANCE NY LIFETIME HEALTHCARE INC C 0 MEDAMERICA INSURANCE COMPANY 165 COURT STREET ROCHESTER NY 14647 340977231 LONG-TERM CARE INSURANCE PA LIFETIME HEALTHCARE INC C 0 MEDAMERICA INSURANCE COMPANY OF FLORIDA 165 COURT STREET ROCHESTER NY 14647 141993330 LONG-TERM CARE INSURANCE FL LIFETIME HEALTHCARE INC C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC C 29715 FMV CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC P 134639 CASH