New York State Catholic Health Planinc

Nonprofit profile at a glance

EIN
113153422
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
New York, NY, USA
Phone
2123711011
Rating
49
Verdict
MIXED
Rating confidence
Moderate
Sector
Group Health Practice (Health Maintenance Organizations)
Affiliation
Christianity

Official website

Reported finances

Revenue
$1,086,429
Expenses
$2,447,653
Assets
$14,964,464
Liabilities
$425,139

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

6 people listed

Executive titles in this filing

  • WILLIAM WHISTON (DIRECTOR/CEO)

People named in this filing

  • DEACON FRANK J THOMAS MD (CHAIRMAN OF THE BOARD)
  • THOMAS DOODIAN (DIRECTOR/TREASURER)
  • MARY THOMPSON (DIRECTOR/SECRETARY)

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

New York state catholic health plan, inc. ("nyschp") was established to promote health through quality, accessible care and services for all; to join in partnership with health professionals to assist them in their healing work; to act as a facilitator to build linkages and systems for the coordination of care and services among healthcare, behavioral and social services, as well as educators and religious leaders, to address the spiritual, emotional and physical needs of those it serves; to advocate for a health policy that accords true dignity and respect for all human persons, especially the poor and underserved.

What it reported doing in 2024

On july 1, 2018, fidelis concluded the sale of its insurance operations, except for its exchange and medicare programs, to centene. The programs administered by fidelis under contracts with the nysdoh were assumed by centene upon the closing date. Concurrently, in accordance with the apa, the exchange and medicare programs were reinsured in full under hallmark, a centene affiliated entity. The ownership of the exchange programs transferred to centene on january 1, 2019, and the medicare programs transferred on january 1, 2021. During 2021, the legacy plan began discussions with the ny state department of health regarding the status of the legacy plan's wind-down activities. These discussions continued in 2022 and 2023, although the timing of wind-down activities has not yet been determined.

Operating model

Revenue model
Investment-supported. 67% of the money available for current operations came from recurring investment income.
Distribution model
No current program activity. The filing reports no program spending for the current year.

The verdict

MIXED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and a relatively small share of total spending goes to programs.

Rating breakdown

  • Financial Efficiency: 0
  • Transparency & Controls: 90
  • Accountability: 100
  • Sustainability: 43
  • Growth: 0

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 0%; rating input score 0
  • Program expense ratio: 0%; rating input score 0
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
  • Governance controls: 7 of 7 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -125.3%; rating input score 1; 1st percentile among comparable filings
  • Total-asset coverage ratio: 6.11; rating input score 87; 87th percentile among comparable filings
  • Liabilities to assets ratio: 0.03; rating input score 59; 59th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 81; 81st percentile among comparable filings

Growth

  • Program expense growth: -19.2% per year; rating input score 0; 2nd percentile among comparable filings
  • Revenue growth: -7.6% per year; rating input score 0; 4th percentile among comparable filings
  • Asset growth: -8.5% per year; rating input score 0; 4th percentile among comparable filings

Details

  • Where the money goes: 0% of revenue deployed · 0% of spending went to programs
  • Governance: 6 of 6 board members independent · 7 of 7 filing controls reported
  • Programs: 1 filed program accomplishment
  • Leadership: top reported pay $0 · 6 people listed
  • Highest-paid contractors: 3 contractors listed · $1.9M reported
  • Consistency: 17 of 17 current checks pass
  • Schedules: 3 filed schedules
  • Filing history: 14 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Financial Efficiency: Mission deployment rate scored 0/100.
  • High — Financial Efficiency: Program expense ratio scored 0/100.
  • High — Sustainability: Operating margin scored 1/100.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • High — Growth: Asset growth scored 0/100.
  • Review — Sustainability: Liabilities to assets ratio scored 59/100.