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AMIDA CARE INC
NEW YORK, NY · EIN 134154068 · Form 990 · FY2024 · NTEE E31 · Health Care · Very Large (>$50M) · amidacareny.org
revenue
$311.4M
expenses
$292.3M
net assets
$74.2M
employees
209
volunteers
13
program ratio
81%
mission · from form 990

AMIDA CARE INC. IS A HEALTH MAINTENANCE ORGANIZATION FORMED TO OBTAIN A COMPREHENSIVE HIV SPECIAL NEEDS CERTIFICATE OF AUTHORITY IN ORDER TO PROVIDE OR ARRANGE FOR ALL MEDICAL ASSISTANCE SERVICES TO PERSONS ENROLLED IN THE PLAN AND FOR ASSISTING ENROLLEES IN THE PRUDENT SELECTION OF SERVICES.

profile · synthesized from sources

Amida Care is a nonprofit Medicaid special needs health plan serving New York City residents with chronic conditions, particularly HIV/AIDS, behavioral health disorders, and those who are homeless or transgender. The organization provides coordinated care through a network of specialized providers and offers culturally affirming services. It combines health coverage with community wellness programs and advocacy to improve health outcomes for vulnerable populations.

irs program accomplishments · form 990 part iii · fy2020

What they reported doing

  1. #1 primary $8K
    AMIDA CARE CONTRACTED WITH THE CENTERS FOR MEDICARE AND MEDICAID (CMS) AND PARTICPATED IN THE MEDICARE ADVANTAGE PROGRAM FROM 2014 THROUGH 2016. THE PLAN TERMINATED ITS MEDICARE ADVANTAGE CONTRACT EFFECTIVE DECEMBER 31, 2016. THERE ARE NO MEMBERS FOR 2020. THE PROGRAM SERVICE EXPENSES AND REVENUE REPORTED ON THIS 990 ARE FOR RUNOUT ACTIVITIES AND REPORTING DURING 2020 FOR SERVICES PROVIDED THROUGH DECEMBER 31, 2016.
named programs · 4 · from sources

What they call their work

Live Your Life
Free monthly member events across NYC's five boroughs offering wellness activities including nutrition education, art therapy, yoga, meditation, and cultural dance to promote holistic health.
Member Advisory Council
Engages members in providing feedback and shaping health plan policies and services to ensure responsiveness to community needs.
PrEP/PEP Access Program
Provides education and access to pre-exposure and post-exposure prophylaxis to prevent HIV transmission among at-risk populations, particularly communities of color and transgender New Yorkers.
U=U (Undetectable = Untransmittable) Initiative
Educational and clinical program supporting members with HIV to achieve viral suppression, preventing transmission and reducing stigma.
activities · 11 groups

What they do

  • HIV/AIDS Prevention and Support Services 4 activities
    • HIV Care and Viral Suppression Services
      Provides high-quality primary care and comprehensive support services to people living with HIV, achieving viral suppression for 80% of members, making the virus undetectable and untransmittable. Includes multidisciplinary care teams and case management to improve health outcomes.
    • Hepatitis C Treatment and Cure
      Has cured over 1,200 members of Hepatitis C through targeted treatment and care coordination efforts.
    • PrEP and PEP Access for HIV Prevention
      Offers access to PrEP and PEP medications as part of HIV prevention efforts, with PrEP shown to be over 90% effective when taken daily and PEP effective when administered correctly within 28 days.
    • Research on Case Management and Health Outcomes
      Conducted a joint research study with ACRIA demonstrating that comprehensive case management for people with HIV and co-morbid conditions leads to measurable health improvements and cost savings.
  • Healthcare Compliance and Ethics Programs 3 activities
    • Compliance and Risk Management Operations
      Ensures organizational compliance with federal and state regulations including HIPAA, investigates healthcare fraud, manages risks, oversees delegated vendors, and maintains a Corporate Compliance Program and Code of Conduct.
    • Organization-Wide Compliance Training
      Develops and delivers training programs on compliance topics to staff across the organization to promote ethical practices and regulatory adherence.
    • Regulatory Reporting and Oversight
      Reviews corrective action plans and disseminates guidance from the New York State Department of Health to ensure regulatory compliance and timely reporting.
  • Medicaid Health Home Care Coordination 2 activities
    • Care Coordination and Benefits Access
      Assists members in accessing entitled benefits such as transportation, home health care, and gender-affirming services through dedicated care coordinators and multidisciplinary teams.
    • Comprehensive Health Coverage for Chronically Ill Medicaid Members
      Delivers coordinated care and comprehensive health coverage to nearly 10,000 Medicaid members in New York City who have chronic conditions, including specialized plans such as the Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP).
  • 24/7 Crisis and Warmline Support Services 1 activity
    • 24/7 Member Support and Crisis Assistance
      Offers round-the-clock member support and crisis intervention services via a toll-free hotline, ensuring continuous access to help for members in need.
  • HIV Research and Advocacy Funding 1 activity
    • Funding for HIV Education and Prevention Programs
      Funds innovative HIV education, prevention, intervention, and treatment programs for New Yorkers disproportionately impacted by HIV through the Amida Care Fund at the Stonewall Community Foundation.
  • Comprehensive Care Management Services 1 activity
    • Innovative Care Management Programs
      Develops and operates care management programs that improve healthcare quality and reduce costs for Medicaid recipients across New York State, including community-based case management for housing, legal aid, and benefits access.
  • Community Wellness Movement Classes 1 activity
    • Live Your Life Wellness Events
      Hosts monthly "Live Your Life" wellness events across all five boroughs of New York City, offering free activities such as nutrition education, yoga, meditation, cultural dance, and art therapy for members and their guests.
  • Healthcare Policy Advocacy 1 activity
    • Medicaid Advocacy and Coalition Building
      Co-founded Medicaid for US New York, a statewide coalition advocating to protect and expand access to Medicaid for vulnerable populations.
  • Health Insurance Enrollment Assistance 1 activity
    • Medicaid Recertification Support Services
      Provides Medicaid recertification assistance through multiple channels including phone access to Recertification Specialists, in-person walk-in services on specified days, and digital access via the My Amida Care mobile application.
  • Organizational Governance & Leadership Development 1 activity
    • Member Engagement and Feedback Mechanisms
      Conducts structured member engagement activities including town hall meetings, peer stipend positions, and the Member Advisory Council to gather input and ensure services meet member needs. Three council representatives are elected to serve on the Board of Directors.
  • Healthcare Delivery Networks and Coalitions 1 activity
    • Provider Network and Appointment Facilitation
      Arranges timely medical appointments for members through a large network of providers, many of whom see members in private office settings.
financials · form 990 · fy2024
revenue
Total revenue$311.38M
Contributions & grants$2.25M1%
Program service revenue$306.37M98%
Investment income$540K0%
Other revenue$2.22M
expenses
Total expenses$292.29M
Program expenses81%
Admin / overhead19%
Fundraising0%
Salaries & benefits$23.57M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$234.15M
Cash$82.16M
Investments$25.74M
Liabilities$159.97M
Net assets$74.18M
Liquid reserves4.4 mo
4 years on record · 2020–2024 · YoY revenue -8.3%
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 9
NameTitleHours/wkCompensation
DOUGLAS WIRTH PRESIDENT & CEO 40 $733K
VERA ANTONIOS MD MEDICAL DIRECTOR 40 $390K
FELICE KUSSOY CHIEF FINANCIAL OFFICER 40 $380K
CHANTAL INNOCENT VP OF HUMAN RESOURCES 40 $323K
TAMARA MAY CHIEF OPERATING OFFICER 40 $312K
SYLVIA COWAN VP CUST SVC, GROWTH & RETENTION 40 $298K
JOSE SANTIAGO VP OF FINANCE 40 $290K
CARLOS MOLINA VP OF MARKETING & COMMUNICATIONS 40 $268K
KEVIN STEFFENS VP OF CLINICAL SERVICES 40 $267K
board members · 13
  • ANTHONY RANDOLPH — INDEPENDENT DIRECTOR - THRU 10/2024
  • ARTHUR WEBB — INDEPENDENT DIRECTOR
  • CHARLES KING — SECRETARY
  • DANIEL LOWY — MEMBER
  • DR DAVID COLLYMORE — MEMBER
  • EMMA DEVITO — VICE CHAIR
  • GUILLERMO CHACON — INDEPENDENT DIRECTOR
  • JACQUELYN KILMER — CHAIRPERSON
  • JAMES SINKOFF — MEMBER
  • JAYA YEEDA — INDEPENDENT DIRECTOR
  • ROBERT HAYES — MEMBER
  • ROMANO JOHNSON — INDEPENDENT DIRECTOR
  • THERESE RODRIGUEZ — MEMBER
relationships · 19

Who they work with

  • ACRIA Partner — Research partner on a study about case management for people living with HIV.
  • AIDS Institute Government — Collaborated with the New York State Department of Health to provide grant funding for the development of Amida Care.
  • Centers for Medicare and Medicaid Services Government — Contracted with CMS to participate in the Medicare Advantage program from 2014 through 2016.
  • Colectivo Intercultural TRANSgrediendo Partner — Partners with Amida Care to uplift TGNCNB leaders and promote trans visibility via the #365TransVisibility campaign.
  • Community Healthcare Network Partner — Collaborates with Amida Care to celebrate TGNCNB leaders and advance trans visibility through the #365TransVisibility initiative.
  • Destination Tomorrow Partner — Collaborates with Amida Care on the #365TransVisibility initiative to support and highlight TGNCNB community leaders.
  • Governance Board Partner — Board on which members serve, indicating shared governance structure
  • Make the Road New York Partner — Collaborates with Amida Care to support trans justice and leadership development for trans, queer, and migrant communities.
  • Medicaid Government — Partnered with Medicaid in developing and implementing the Special Needs Plan model for HIV-affected populations.
  • Medicaid for US New York Coalition — Founding member of a statewide coalition advocating to protect and expand Medicaid in New York.
  • Member Advisory Council (MAC) Partner — Advisory body composed of members providing input on organizational governance and services
  • New York State AIDS Institute Government — Collaborative relationship with state leaders who supported the creation of the SNP HIV-experienced model of care.
  • New York State Department of Health Government — Provided grant funding for the development of Amida Care in collaboration with the AIDS Institute.
  • New York State Department of Health Government — Receives reports and disseminated information from Amida Care's Compliance department.
  • New York Transgender Advocacy Group Partner — Works with Amida Care to celebrate and amplify the leadership of transgender, nonbinary, and Two-Spirit individuals through joint advocacy initiatives.
  • Office of Health Insurance Programs Government — Worked with state office leaders whose vision and commitment helped create the SNP HIV-experienced model of care.
  • Stonewall Community Foundation Partner — Hosts the Amida Care Fund to support HIV education, prevention, intervention, and treatment programs for vulnerable populations in New York.
  • Stonewall Community Foundation Partner — Recognized by the Stonewall Community Foundation with a 2026 Vision Award.
  • The NEW Pride Agenda Partner — Partners with Amida Care to advance trans visibility and advocate for BIPOC, transgender, nonbinary, and Two-Spirit communities through shared programming and campaigns.
strategies · 4

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.

  • HIV Prevention and Treatment through Integrated Biomedical and Behavioral Strategies
    methodology: hiv_prevention_treatment_continuum
    By integrating PrEP/PEP access, viral suppression via high-quality primary care (I=I), and targeted HIV interventions for disproportionately impacted communities, we reduce transmission and improve individual and public health outcomes because biomedical efficacy is maximized when paired with culturally relevant outreach and engagement.
  • Holistic, Member-Centered Care Coordination
    methodology: holistic_case_management
    By providing holistic case management and integrated care coordination across medical, behavioral, and social domains, we improve health outcomes and reduce long-term costs because individuals with complex conditions like HIV and co-morbidities engage more effectively when support is comprehensive and culturally attuned.
  • Member Empowerment through Shared Decision-Making and Care Autonomy
    methodology: shared_decision_making
    By promoting shared decision-making between members and providers and designing care in collaboration with HIV-experienced clinicians, we optimize care planning and engagement because empowering members as active agents in their health decisions leads to more personalized, effective, and sustained outcomes.
  • Special Needs Plan Model with Targeted Clinical Expertise
    methodology: special_needs_plan_model
    By operating as a Special Needs Plan focused on specific populations—particularly those with HIV, behavioral health conditions, homelessness, or transgender identity—we improve health outcomes because complex, intersecting health needs require coordinated, specialized care delivered by a clinically aligned provider network.