irs program accomplishments · form 990 part iii · fy2024
What they reported doing
- #1 primary $942.99MHEALTH AND RECOVERY PLAN (HARP): HEALTHFIRST PHSP, INC. (PHSP) IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES COMPREHENSIVE PREPAID HEALTH CARE COVERAGE TO MEDICAID ELIGIBLE INDIVIDUALS THAT HAVE SERIOUS BEHAVIORAL HEALTH DIAGNOSES. THE HARP PROGRAM WAS INTRODUCED IN 2015 AND IS A MANAGED CARE PROGRAM WITHIN MEDICAID. FOR 2024 THERE WERE 38,017 MEMBERS ENROLLED IN PHSP'S HARP PROGRAM.
- #2 $2.91BESSENTIAL PLAN (EP): HEALTHFIRST PHSP, INC. (PHSP) IS A LICENSED PREPAID HEALTH SERVICES PLAN THAT PROVIDES COMPREHENSIVE PREPAID HEALTH CARE COVERAGE TO BENEFICIARIES OF GOVERNMENT HEALTH CARE COVERAGE PROGRAMS. EP IS A PROGRAM WHICH COVERS INDIVIDUALS WHO WOULD OTHERWISE BE ELIGIBLE FOR EITHER CERTAIN CATEGORIES OF EXPANDED MEDICAID COVERAGE OR SIGNIFICANT SUBSIDIES FOR QUALIFIED HEALTH PLAN (QHP) FOR LITTLE OR NO MEMBER CONTRIBUTION. FOR 2024 THERE WERE 554,466 MEMBERS ENROLLED IN PHSP'S EP PLAN.
named programs · 3 · from sources
What they call their work
Essential Plan (EP)
Provides comprehensive prepaid health care coverage to individuals eligible for expanded Medicaid or significant subsidies for Qualified Health Plans, with little or no member contribution
Health and Recovery Plan (HARP)
Managed care program providing comprehensive prepaid health care coverage to Medicaid-eligible individuals with serious behavioral health diagnoses
Managed Long Term Care (MLTC)
Provides personal care, social, nutritional, and rehabilitation services to frail elderly individuals, enabling them to remain safely in their communities
activities · 3 groups
What they do
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Union and Association Benefit Funds 1 activity
- Essential Plan (EP) for expanded Medicaid and subsidized QHP enrolleesProvides comprehensive prepaid health care coverage to individuals eligible for expanded Medicaid or subsidized Qualified Health Plans through the Essential Plan (EP).
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Medicaid Health Home Care Coordination 1 activity
- Health and Recovery Plan (HARP) for Medicaid-eligible individualsProvides comprehensive prepaid health care coverage to Medicaid-eligible individuals with serious behavioral health diagnoses through the Health and Recovery Plan (HARP).
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Home Care Services for Elderly and Disabled 1 activity
- Managed long-term care services for frail elderly individualsProvided managed long-term care services, including personal care, social, nutritional, and rehabilitation services, to over 18,063 frail elderly individuals in New York City and surrounding counties in 2020.
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financials · form 990 · fy2024
revenue
Total revenue$12.17B
Contributions & grants$00%
Program service revenue$12.02B99%
Investment income$152.51M1%
Other revenue$0
expenses
Total expenses$11.97B
Program expenses98%
Admin / overhead2%
Fundraising0%
Salaries & benefits$0
Grants paid out$0
Largest expense lineProfessional Fees
balance sheet
Total assets$4.23B
Cash$949.61M
Investments$2.15B
Liabilities$2.67B
Net assets$1.56B
Liquid reserves3.1 mo
4 years on record · 2020–2024 · YoY revenue +0.7%
leadership · form 990 part vii · fy2024
Who runs it
paid leadership · 13
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| PATRICIA J WANG | PRESIDENT AND CEO | 1 | $5.24M |
| JOHN J BERMEL | CHIEF FINANCIAL OFFICER | 1 | $2.14M |
| GERALD T SWEENEY | SVP CHIEF INFORMATION OFFICER | 1 | $1.74M |
| SEAN KANE | CHIEF HR OFFICER | 1 | $1.56M |
| JAY A SCHECHTMAN | CHIEF MEDICAL OFFICER | 1 | $1.50M |
| KAREN WEINSEISS | SVP Operations | 1 | $1.40M |
| BARBARA MONTRESOR | SVP Comm & Marketing | 1 | $1.24M |
| ERROL PIERRE | SVP State Programs | 1 | $1.23M |
| JENNIFER COHEN | SVP MEDICARE | 1 | $1.23M |
| KATHRYN HOWELL | CLO and General Counsel | 1 | $1.07M |
| DEREK LAM | VP Delivery System Innovation | 1 | $463K |
| LINDA TIANO | CLO/SECRETARY ENDED 6/2023 | 0 | $454K |
| ROBERT P BLANCHARD | Treasurer | 1 | $453K |
board members · 2
- David Evangelista — DIRECTOR
- STEPHEN ROSENTHAL — DIRECTOR
relationships · 1
Who they work with
- Medicaid Government — Provides government-purchased prepaid healthcare coverage to individuals enrolled in Medicaid and related programs
strategies · 2
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- Managed Care for Behavioral Healthmethodology: managed_care_for_behavioral_healthBy delivering integrated health care coverage specifically tailored for Medicaid-eligible individuals with serious behavioral health conditions through a managed care model, we improve health outcomes because coordinated, specialized care ensures consistent treatment and reduces fragmentation of services.
- Subsidized Health Coverage Expansionmethodology: subsidized_health_coverage_expansionBy expanding access to health care for low-income individuals through government-subsidized comprehensive coverage with little or no cost to members, we increase utilization and continuity of care because financial barriers are removed and essential services become accessible.