2025-11-14T09:11:04-06:00 2024-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2024-01-01 921743599 LIFEPLAN NY INC LIFE 3155652612 258 GENESEE STREET UTICA NY 13502 DEAN JOHNSTON CFO 3155652612 2025-11-13 1 1 TYLER SASS P01829225 3154227109 2025-11-13 2024 2025-03-06 01:10:19Z DEAN JOHNSTON 258 GENESEE STREET UTICA NY 13502 86561602 0 X HTTPS://LIFEPLANCCONY.COM/ X 2022 NY EMPOWERING PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND THEIR GAMILIES TO LIVE HAPPY, HEALTHY, AND MEANINGFUL LIVES. 16 16 1049 16 0 0 4211476 0 82539696 84265766 1147480 2295836 724195 0 88622847 86561602 0 0 0 0 74331339 62480371 0 0 0 8203048 18389766 82534387 80870137 6088460 5691465 69483368 73972203 11591474 10511086 57891894 63461117 EMPOWERING PEOPLE WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND THEIR GAMILIES TO LIVE HAPPY, HEALTHY, AND MEANINGFUL LIVES. 0 0 75974626 84265766 LIFEPLAN WORKS WITH INDIVIDUALS AND THEIR FAMILIES TO DEVELOP AN INTEGRATED, COMPREHENSIVE CARE PLAN THAT ENCOMPASSES HEALTHCARE, BEHAVIORAL HEALTH SERVICES, COMMUNITY AND SOCIAL SUPPORT WHILE ENSURING ALIGNMENT OF OBJECTIVES ACROSS HEALTHCARE AND DEVELOPMENTAL DISABILITIES SERVICE PROVIDERS. LIFEPLAN ASSISTS INDIVIDUALS AND FAMILIAIES WITH ACESSING THE SUPPORTS AND SERVICES THAT PROMOTE WELL-ROUNDED AND FULFILLING LIVES. IN 2024, LIFEPLAN SERVED 19,672 INDIVIDUALS. 75974626 1 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 39 0 1049 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X THE ORGANIZATION 3155652612 258 GENESEE STREET UTICA NY 13502 LOU TEHAN CHAIR 1.00 X X 0 0 0 GREG SORRENTINO VICE CHAIR 1.00 X X 0 0 0 GENO DECONDO SECRETARY/TREASURER 1.00 X X 0 0 0 TANIA ANDERSON DIRECTOR 1.00 X 0 0 0 KEVIN CROSLEY DIRECTOR 1.00 X 0 0 0 PATTI HAYS DIRECTOR 1.00 X 0 0 0 KATHY KLOSNER DIRECTOR 1.00 X 0 0 0 JEFF FOX DIRECTOR 1.00 X 0 0 0 CRIS DONOVAN DIRECTOR 1.00 X 0 0 0 PAUL JOSLYN DIRECTOR 1.00 X 0 0 0 LINDA KUCK DIRECTOR 1.00 X 0 0 0 MICHELLE MUPRHY DIRECTOR 1.00 X 0 0 0 JAMES J MORRIS IV DIRECTOR 1.00 X 0 0 0 MARC ANTONUCCI DIRECTOR 1.00 X 0 0 0 ROSEMARY LORELLO DIRECTOR 1.00 X 0 0 0 MAUREEN O'BRIEN DIRECTOR 1.00 X 0 0 0 NICHOLAS CAPPOLETTI CEO 40.00 X 118687 580867 385598 DEAN JOHNSTON EVP CHIEF ADMINISTRATIVE OFFICER & CFO 40.00 X 13192 366307 14758 GERARD JOSEPH CFO (THRU 06/2024) 40.00 X 0 249655 209 JOHN VON AHN EVP GENERAL COUNSEL 40.00 X 12308 344193 14631 JAIME MADDEN EVP CHIEF OPERATIONS OFFICER 40.00 X 0 304580 11586 NATHAN ENDERS CHIEF INFORMATION OFFICER 40.00 X 8217 242402 25781 DENISE VAN DYNE SVP OF HUMAN RESOURCES 40.00 X 5679 170656 35593 MARY REDMOND SVP OF CARE MANAGEMENT 40.00 X 169998 0 25647 LAUREN JOHNSON ALBARONI SVP OF QUALITY & COMPLIANCE 40.00 X 7182 199940 18262 KRISTEN SCHOLL VP OF INTEGRATED CARE INITIATIVES 40.00 X 7281 192088 14528 PATRICIA CAFARCHIO CONTROLLER 40.00 X 5895 154527 13595 JEAN JACOBSON VP OF CLINICAL 40.00 X 5500 153745 30633 LORI KEARSING VP OF STRATEGIC INITIATIVES 40.00 X 5671 151696 15325 359610 3110656 606146 8 0 1 0 COORDINATED CARE ALLIANCE OF NY INC 258 GENESSEE STREET MEZZANINE UTICA NY 13502 MANAGEMENT SERVICES 10329728 KELBERMAN CENTER INC 2513 SUNSET AVE UTICA NY 13502 MEMBER EVALUTATION SERVICES 376550 CYRACOM LLC 2650 E ELVIRA ROAD SUITE 132 TUCSON AZ 85756 TRANSLATION SERVICES 233927 INDEED INC PO BOX 660367 DALLAS TX 752660367 EMPLOYEE RECRUITMENT SERVICES 138687 4 CARE COORDINATION SERVICES 623990 84265766 84265766 84265766 2295836 2295836 86561602 84265766 0 2295836 X 147188 147188 48079821 48079821 923319 923319 8244426 8244426 5085617 5085617 304609 304609 23265 21290 1975 47500 43468 4032 10333556 6205428 4128128 331445 302119 29326 482612 454339 28273 2654597 2531560 123037 2011505 1925660 85845 1548573 1516817 31756 152189 152189 174146 26478 147668 MISCELLANEOUS 239002 228140 10862 CREDIT LOSS EXPENSE 86767 86767 80870137 75974626 4895511 0 5065279 0 52244823 43822455 2457176 1882458 1320585 650100 1075920 720597 423614 355323 4037500 15540639 4995527 4873285 2976364 2810443 69483368 73972203 9211579 4645038 43060 1481297 2336835 4384751 11591474 10511086 X 57891894 63461117 57891894 63461117 69483368 73972203 5691465 -122242 0 X X 0 1 X 1 0 X 4211476 0 4211476 82539696 84265766 166805462 86751172 84265766 171016938 0 0 0 171016938 1147480 2295836 3443316 1147480 2295836 3443316 87898652 86561602 174460254 0.98030 0.98690 0.01970 0.01310 X 61248 41021 20227 1014672 679576 335096 355323 CERTIFICATE OF DEPOSIT 15540639 C 15540639 INVESTMENT IN TRIADD, LLC 4873285 C 4873285 OPERATING LEASE LIABILITY 2787026 FINANCE LEASE LIABILITY 95432 DUE TO RELATED PARTIES 89683 DUE TOFUNDING SOURCES 1412610 4384751 86439360 -122242 -122242 86561602 0 86561602 80870137 0 80870137 0 80870137 X 0 0 X X X X X 0 1 0 0 0 0 0 0 0 NICHOLAS CAPPOLETTI CEO 20954 525746 0 50000 97733 5121 846 30000 1099 353653 120632 964520 0 0 DEAN JOHNSTON EVP CHIEF ADMINISTRATIVE OFFICER & C 13192 329807 0 36500 0 0 528 13800 18 412 13738 380519 0 0 JOHN VON AHN EVP GENERAL COUNSEL 12308 319193 0 25000 0 0 492 13708 18 413 12818 358314 0 0 JAIME MADDEN EVP CHIEF OPERATIONS OFFICER 0 269580 0 35000 0 0 0 11377 0 209 0 316166 0 0 NATHAN ENDERS CHIEF INFORMATION OFFICER 8217 205402 0 37000 0 0 0 0 873 24908 9090 267310 0 0 GERARD JOSEPH CFO (THRU 06/2024) 0 176155 0 0 0 73500 0 0 0 209 0 249864 0 0 LAUREN JOHNSON ALBARONI SVP OF QUALITY & COMPLIANCE 7182 181040 0 18900 0 0 291 8025 359 9587 7832 217552 0 0 KRISTEN SCHOLL VP OF INTEGRATED CARE INITIATIVES 7281 182088 0 10000 0 0 0 3918 365 10245 7646 206251 0 0 DENISE VAN DYNE SVP OF HUMAN RESOURCES 5679 153656 0 17000 0 0 179 6988 873 27553 6731 205197 0 0 MARY REDMOND SVP OF CARE MANAGEMENT 153798 0 16200 0 0 0 6939 0 18708 0 195645 0 0 0 JEAN JACOBSON VP OF CLINICAL 5500 138810 0 14935 0 0 201 5549 873 24010 6574 183304 0 0 PATRICIA CAFARCHIO CONTROLLER 5895 148119 0 6408 0 0 0 3346 365 9884 6260 167757 0 0 LORI KEARSING VP OF STRATEGIC INITIATIVES 5671 141696 0 10000 0 0 204 5658 673 8790 6548 166144 0 0 PART I, LINE 1A PURSUANT TO THE CEO'S EMPLOYMENT AGREEMENT, THE ORGANIZATION WAS OBLIGATED TO CONTRIBUTE THE MAXIMUM ALLOWABLE AMOUNT TO A 457(B) PLAN. AS NO SUCH PLAN WAS IN PLACE DURING 2024, THE ORGANIZATION ISSUED A GROSS-UP PAYMENT OF $97,733 IN LIEU OF THE CONTRIBUTION. THIS PAYMENT WAS TREATED AS TAXABLE INCOME AND DISCLOSED ACCORDINGLY. PART I, LINE 1B THE ORGANIZATION DOES NOT HAVE A POLICY RELATED TO TAX INDEMNIFICATION AND GROSS-UP PAYMENTS, BUT REQUIRES SUBSTANTIATION OF ALL AMOUNTS TO BE PAID PRIOR TO PAYMENT. PART I, LINE 4B NICHOLAS CAPPOLETTI'S RETIREMENT AND DEFERRED COMPENSATION FROM A RELATED ORGANIZATION INCLUDES A ONE-TIME $312,743 EXPENSE FOR A SUPPLEMENTAL NONQUALIFIED POSTRETIREMENT MEDICAL BENEFITS PLAN. THIS AMOUNT REFLECTS A 2024 PLAN AMENDMENT THAT RESULTED IN THE FULL VESTING OF BENEFITS ACCRUED FROM 2019 THROUGH 2024. THERE WERE NO ASSOCIATED SERVICE COSTS, INTEREST COSTS, OR BENEFIT PAYMENTS. THIS NON-CASH ACCOUNTING EXPENSE WAS RECORDED BY THE RELATED ORGANIZATION AND WAS NOT INCLUDED IN THE 2024 MANAGEMENT AND GENERAL EXPENSES CHARGED TO THE REPORTING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 3 LIFEPLAN ENTERED INTO A MANAGEMENT SERVICES AGREEMENT WITH COORDINATED CARE ALLIANCE NY, INC. (CCANY). CCANY IS A MANAGEMENT SERVICES COMPANY THAT, FOR FORM 990 PURPOSES, IS CONSIDERED A RELATED ORGANIZATION TO LIFEPLAN. AS A RESULT, THE FULL COMPENSATION OF APPLICABLE CCANY STAFF IS REPORTED ON THE LIFEPLAN FORM 990 VS JUST THE PORTION ALLOCATED TO LIFEPLAN. CCANY WAS FORMED BY LIFEPLAN AND ADVANCE CARE ALLIANCE OF NY, INC. (ACANY) TO PROVIDE EXECUTIVE, MANAGEMENT, AND ALL SUPPORT FUNCTIONS FOR BOTH LIFEPLAN AND ACANY AS WELL AS FOR ITSELF. THESE SERVICES, WHICH WERE PERFORMED BY LIFEPLAN WERE TRANSFERRED TO CCANY ON JANUARY 1, 2024. THE SERVICES PERFORMED INCLUDE, BUT ARE NOT LIMITED TO, EXECUTIVE MANAGEMENT, FINANCE, INFORMATION TECHNOLOGY, HUMAN RESOURCES, COMPLIANCE, TRAINING, ETC. NICHOLAS CAPPOLETTI RECEIVED $530,867 IN REPORTABLE COMPENSATION, $50,000 IN PERFORMANCE INCENTIVE PAYMENTS AND $383,653 IN OTHER COMPENSATION DURING 2024 FOR SERVICES PROVIDED TO LIFEPLAN NY, INC. AS CHIEF EXECUTIVE OFFICER. NICHOLAS CAPPOLETTI'S RETIREMENT AND DEFERRED COMPENSATION FROM A RELATED ORGANIZATION INCLUDES A ONE-TIME $312,743 EXPENSE FOR A SUPPLEMENTAL NONQUALIFIED POSTRETIREMENT MEDICAL BENEFITS PLAN. THIS AMOUNT REFLECTS A 2024 PLAN AMENDMENT THAT RESULTED IN THE FULL VESTING OF BENEFITS ACCRUED FROM 2019 THROUGH 2024. THERE WERE NO ASSOCIATED SERVICE COSTS, INTEREST COSTS, OR BENEFIT PAYMENTS. THIS NON-CASH ACCOUNTING EXPENSE WAS RECORDED BY THE RELATED ORGANIZATION AND WAS NOT INCLUDED IN THE 2024 MANAGEMENT AND GENERAL EXPENSES CHARGED TO THE REPORTING ORGANIZATION. DEAN JOHNSTON RECEIVED $329,807 IN REPORTABLE COMPENSATION, $36,500 IN PERFORMANCE INCENTIVE PAYMENTS AND $14,212 IN OTHER COMPENSATION DURING 2024 FOR SERVICES PROVIDED TO LIFEPLAN NY, INC. AS EVP CHIEF ADMINISTRATIVE OFFICER/CHIEF FINANCIAL OFFICER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS DISTRIBUTED TO THE BOARD. LIFEPLAN THEN HOLDS FOR 5 BUSINESS DAYS FOR FEEDBACK OR QUESTIONS AND THEN FILES THE 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE OFFICERS AND BOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. ANY PERSONAL REMUNERATION OR GAIN FROM THE VENDORS OR RELATED PARTIES IS STRICTLY FORBIDDEN. THE COMPLIANCE DPERATMENT CONDUCTS AN ANNUAL MANDATORY TRAINING FOR ALL EMPLOYEES AS WELL. FORM 990, PART VI, SECTION B, LINE 15 THE CEO HAS AN EMPLOYMENT CONTRACT THAT IS REVIEWED EVERY 3 YEARS. A THIRD-PARTY CONSULTING FIRM IS UTILIZED TO PERFORM A COMPENSATION STUDY TO ASSIST THE BOARD WITH DETERMINING EXECUTIVE PAY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FORM 990 FILINGS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 897,106. MANAGEMENT AND GENERAL EXPENSES 83,204. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 980,310. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 5,308,322. MANAGEMENT AND GENERAL EXPENSES 4,044,924. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,353,246. FORM 990. PART XII, LINE 2C THE PROCESSES FOR THE ORGANIZATION THAT ASSUMES OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR. LIFEPLAN CCO NY LLC 258 GENESEE STREET UTICA NY 13502 823070045 CARE COORDINATION NY 86439360 73972203 LIFEPLAN NY INC COORDINATED CARE ALLIANCE NY INC 258 GENESEE STREET UTICA NY 13502 872923046 MANAGEMENT SERVICES ORGANIZATION NY 501(C)(3) LINE 12A, I 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 COORDINATED CARE ALLIANCE NY INC M 976076 COST COORDINATED CARE ALLIANCE NY INC O 9353247 COST COORDINATED CARE ALLIANCE NY INC P 192418 COST COORDINATED CARE ALLIANCE NY INC Q 207336 COST