TY 2020 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) GENNARO A DANIELS MD...................................................................... CHAIRMAN OF THE BOARD	4.10 .................	X	X	87,600
(2) SUSAN SCRIMSHAW PHD...................................................................... DIRECTOR	5.20 .................	X		48,250
(3) JOSEPH POLITO II MD...................................................................... VICE CHAIRMAN OF THE BOARD	4.90 .................	X	X	29,650
(4) JOSEPH J DUDEK MD...................................................................... DIRECTOR	3.30 .................	X		19,050
(5) HOLLY K CLENEY MD...................................................................... DIRECTOR	4.10 .................	X		44,250
(6) HENRY M NEILLEY MD...................................................................... DIRECTOR	7.30 .................	X		30,550
(7) GERALD JENNINGS...................................................................... DIRECTOR	4.90 .................	X		56,450
(8) AMY JOHNSON...................................................................... DIRECTOR	6.20 .................	X		61,450
(9) MICHAEL DEVITO MD...................................................................... DIRECTOR	4.60 .................	X		50,450
(10) CARMEN MAZZOTTA...................................................................... SECRETARY	8.10 .................	X	X	72,650
(11) RICHARD E GRANT...................................................................... TREASURER OF THE BOARD	9.00 .................	X	X	85,850
(12) MICHAEL CASTELLANA...................................................................... DIRECTOR	5.20 .................	X		49,300
(13) REBECCA KEIM MD...................................................................... DIRECTOR	2.20 .................	X		31,600
(14) GREGORY SERIO...................................................................... DIRECTOR	3.80 .................	X		43,250
(15) BRIAN SHERIDAN MD...................................................................... DIRECTOR	1.80 .................	X		18,890
(16) ADETUTU ADETONA MD...................................................................... DIRECTOR	1.80 .................	X		16,850
(17) TODD DOYLE MD...................................................................... DIRECTOR	1.40 .................	X		15,850

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JOHN D BENNETT MD........................................................................ CEO/PRESIDENT	40.00 .......................	X			1,396,948	38,968
(19) ANTHONY MARINELLO........................................................................ EVP CHIEF MEDICAL OFFICER	40.00 .......................	X			565,234	32,877
(20) BRIAN O'GRADY........................................................................ PRESIDENT - HEALTH PLANS MARKETS	40.00 .......................	X			605,582	38,861
(21) BARBARA DOWNS........................................................................ EVP CORP ADMIN/COO	40.00 .......................	X			818,804	23,719
(22) BETHANY SMITH........................................................................ EVP FINANCE AND CFO	40.00 .......................	X			695,057	37,887
(23) FREDERICK GALT ESQ........................................................................ EVP GENERAL COUNSEL	40.00 .......................	X			572,811	35,599
(24) ROBERT HINCKLEY........................................................................ EVP STRATEGY COMM AND CSO	40.00 .......................	X			579,896	38,766
(25) BRIAN MORRISSEY........................................................................ EVP MARKETING/CMO	40.00 .......................	X			668,260	38,648
(26) MICHAEL RENZI........................................................................ PRESIDENT - HEALTHCARE DELIVERY	40.00 .......................	X			538,303	30,968
(27) EILEEN WOOD........................................................................ EVP PHARMACY SERVICES/CPO	40.00 .......................	X			525,067	33,046
(28) BRUCE E COPLIN MD........................................................................ VP SPECIALTY TRANSFORMATION	40.00 .......................		X		430,156	32,319
(29) UMESH REGE........................................................................ SVP INFORMATION TECHNOLOGY CIO	40.00 .......................		X		503,602	30,470
(30) ELIZABETH WARNER........................................................................ SVP MEMBER HEALTH	40.00 .......................		X		458,296	37,825
(31) ANNE FERNANDEZ........................................................................ VP BEHAVIORAL HEALTH AND M	40.00 .......................		X		465,169	6,413
(32) PATRICIA LUSHKEVICH........................................................................ SVP INTERNAL OPERATIONS	40.00 .......................		X		458,024	36,534
(33) RICHARD DAL COL........................................................................ FORMER EVP CHIEF MEDICAL OFFICER	40.00 .......................			X	249,940	480

(A) Name and business address	(B) Description of services	(C) Compensation
LANDMARK HEALTH LLC 7755 CENTER AVE STE 630 HUNTINGTON,CA92647	HEALTHCARE SERVICES	28,625,640
ATOS SYNTEL INC 525 E BIG BEAVER RD SUITE 300 TROY,MI48083	IT PROCESSING AND CONSULTING	10,795,462
WELLTOK INC 6061 SOUTH WILLOW DRIVE GREENWOOD VILLAGE,CO80111	WELLNESS PROMOTIONS	5,229,001
EPAM SYSTEMS INC 41 UNIVERSITY DR 202 NEWTOWN,PA18940	IT PROCESSING AND CONSULTING	4,769,729
HURON CONSULTING GROUP INC PO BOX 71223 CHICAGO,IL60694	IT PROCESSING AND CONSULTING	3,665,783
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 115

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
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Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
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Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
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Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

CAPITAL DISTRICT PHYSICIANS' HEALTH
PLAN INC

Employer identification number

14-1641028

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

$ 0

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2020

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

250,260

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

250,260

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

250,260

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

250,260

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

CAPITAL DISTRICT PHYSICIANS' HEALTH
PLAN INC

Employer identification number

14-1641028

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2020

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .......................

3a(i)

(ii) Related organizations .......................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....
b	Buildings ....
c	Leasehold improvements	10,805,988	5,087,586	5,718,402
d	Equipment ....	98,522,070	86,240,161	12,281,909
e	Other .....	8,782,808		8,782,808
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				26,783,119

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) INVESTMENT IN CDPHP UBI	237,907,352	F
(B) INVESTMENT IN CDPHP FOUNDATION, INC.	598,269	F
(C) INVESTMENT IN HEALTH PLAN ALLIANCE	62,464	F
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	238,568,085

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	4,347,395
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	1,811,943,003
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	63,290,572
e	Add lines 2a through 2d .....................			2e	63,290,572
3	Subtract line 2e from line 1..................			3	1,748,652,431
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	383,208
b	Other (Describe in Part XIII.) ...........	4b	237,661
c	Add lines 4a and 4b....................			4c	620,869
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	1,749,273,300

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	1,777,933,467
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	763,994
e	Add lines 2a through 2d....................			2e	763,994
3	Subtract line 2e from line 1...................			3	1,777,169,473
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	445,708
b	Other (Describe in Part XIII.) ............	4b	237,661
c	Add lines 4a and 4b.....................			4c	683,369
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,777,852,842

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	EXPLANATION: UNDER ASC 740, CDPHP IS REQUIRED TO DETERMINE WHETHER A TAX POSITION OF THE PLAN 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.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	GROSS REVENUE ON SUPPORT SERVICES 763,994. RECOGNIZED GAINS ON EQUITIES 5,703,689. STATUTORY AMORTIZATION ADJUSTMENT -5,932. GAIN ON EQUITY OF CONSOLIDATED SUBSIDIARY 56,828,821.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	OTHER REINSURANCE EXPENSE NETTED IN AUDITED PREMIUMS 237,661.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	GROSS EXPENSES ON SUPPORT SERVICES 763,994.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	REINSURANCE EXPENSE 237,661.
FORM 990, SCHEDULE D, PART VII, LINES 3A-3D:	EXPLANATION: THE METHOD OF VALUATION IN COLUMN C IS THE EQUITY METHOD OF ACCOUNTING.

Schedule D (Form 990) 2020

Additional Data

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- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization
CAPITAL DISTRICT PHYSICIANS' HEALTH
PLAN INC

Employer identification number

14-1641028

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA, CARIBBEAN			INVESTMENT
















3a	Sub-total ....	0	0		0
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		0

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2020

Schedule F (Form 990) 2020

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2020

Schedule F (Form 990) 2020Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2020

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2020

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART III ACCOUNTING METHOD:
PART 1, LINE 6	CARTER INSURANCE COMPANY, LTD WAS DISSOLVED DURING 2020 AND HAD NO ASSETS OR LIABILITIES AT DECEMBER 31, 2020.

Schedule F (Form 990) 2020

Additional Data

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
CAPITAL DISTRICT PHYSICIANS' HEALTH
PLAN INC

Employer identification number
14-1641028

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) CDPHP FOUNDATION INC 500 PATROON CREEK BLVD ALBANY,NY12206	47-1619130	501(C)(3)	163,168	68,128	FMV	DONATED GOODS/SERVICES	OPERATING GRANT
(2) HILLTOWN HEALTHCARE NP FAMILY PLLC 1772 HELDEBERG TRAIL BERNE,NY12023	84-2538889	501(C)(3)	30,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(3) VISITING NURSE SERVICES ASSOCIATION 108 ERIE BLVD SCHENECTADY,NY12305	22-2218991	501(C)(3)	864,053				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(4) ADDICTIONS CARE CENTER OF ALBANY INC 1044 BROADWAY MENANDS,NY12204	14-1501404	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(5) ADIRONDACK COMMUNITY ACTION PROGRAM 7572 COURT ST 2 ELIZABETHTOWN,NY12932	14-6037204	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(6) ADIRONDACK MEDICAL CENTER 2233 STATE ROUTE 86 PO BOX 471 SARANAC LAKE,NY12983	14-1731786	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(7) ADIRONDACK REGIONAL CHAMBER OF COMMERCE 68 WARREN ST GLENS FALLS,NY12801	14-0696450		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(8) AFFORDABLE HOUSING PARTNERSHIP 255 ORANGE ST ALBANY,NY12210	14-1724900	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(9) AIDS COUNCIL OF NORTHEASTERN NEW YORK INC DBA ALLIANCE FOR POSITIVE HEALTH 927 BROADWAY ALBANY,NY12207	22-2684595	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(10) AIM SERVICES INC 4227 NY-50 SARATOGA SPRINGS,NY12866	14-1609398	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(11) ALBANY COMMUNITY ACTION PARTNERSHIP 333 SHERIDAN AVE ALBANY,NY12206	14-6037204	501(C)(3)	200,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(12) ALBANY COMMUNITY DEVELOPMENT AGENCY 200 HENRY JOHNSON BLVD ALBANY,NY12210	14-1824602	501(C)(3)	150,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(13) ALBANY MEDICAL CENTER 43 NEW SCOTLAND AVENUE ALBANY,NY12208	14-1338307	501(C)(3)	250,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(14) ALBANY POLICE ATHLETIC LEAGUE INC 844 MADISON AVE ALBANY,NY12208	14-1708276	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(15) AMERICAN RED CROSS 33 EVERETT RD ALBANY,NY12205	14-1338306		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(16) ARBOR HILL DEVELOPMENT CORPORATION 241 CLINTON AVE ALBANY,NY12210	14-1628657	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(17) ARBOR HILL ELEMENTARY PTA 1 ARBOR DRIVE ALBANY,NY12207	90-1499673		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(18) AVILLAGE INC 3 LINCOLN SQUARE ALBANY,NY12201	30-0631023		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(19) AWAKENING REMNANT CHURCH 83 BRIDGE ST PLATTSBURGH,NY12901	82-5176969		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(20) BALLSTON AREA COMMUNITY CENTER 20 MALTA AVE BALLSTON SPA,NY12020	14-1622578	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(21) BAPTIST HEALTH NURSING AND REHABILITATION 297 N BALLSTON AVE SCOTIA,NY12302	13-2929427	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(22) BASSETT HOSPITAL 1 ATWELL ROAD COOPERSTOWN,NY13940	14-1772971	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(23) BEHAVIORAL HEALTH SERVICES NORTH 22 OVAL STE 100 PLATTSBURGH,NY12903	14-1338346	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(24) BETHESDA HOUSE OF SCHENECTADY 834 STATE STREET SCHENECTADY,NY12307	31-1645415	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(25) BLACK NURSES COALITION 266 LIVINGSTON AVE ALBANY,NY12206	47-1821106		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(26) BLESSED SACRAMENT SCHOOL 605 CENTRAL AVE ALBANY,NY12206	82-6470242	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(27) BOYS & GIRLS CLUB OF ALBANY 21 DELAWARE AVE ALBANY,NY12210	14-1338574	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(28) BOYS & GIRLS CLUB OF SOUTHERN RENSSELAER 544 BRDWAY RENSSELAER,NY12144	14-1471475	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(29) BOYS & GIRLS CLUBS OF SCHENECTADY EXECUTIVE DIRECTOR SHANE BARGY 37 YATES STREET SCHENECTADY,NY12301	14-1364595	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(30) BRIGHTSIDE UP 91 BOARDWAY MENANDS,NY12204	14-1648493	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(31) CANTONPOTSDAM HOSPITAL 50 LEROY ST POTSDAM,NY13676	16-1012691	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(32) CAPE VINCENT COMMUNITY FOOD PANTRY PO BOX 474 CAPE VINCENT,NY13618	83-3408634		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(33) CAPITAL CITY RESCUE MISSION PO BOX 1999 ALBANY,NY12201	56-2663290		175,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(34) CAPITAL COUNSELING INC 650 WARREN STREET ALBANY,NY12208	14-1338477	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(35) CAPITAL REGION CHAMBER OF COMMERCE 5 COMPUTER DRIVE SOUTH ALBANY,NY12205	14-0461460	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(36) CAPITAL ROOTS 594 RIVER STREET TROY,NY12180	14-1596291	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(37) CARES CAPITAL REGION 200 HENRY JOHNSON BLVD 4 ALBANY,NY12210	14-1731746	501(C)(3)	500,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(38) CARTHAGE AREA HOSPITAL 40 FRANKLIN STREET SUITE 4 CARTHAGE,NY13619	16-1012691	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(39) CATHOLIC CHARITIES DIOCESE OF OGDENSBURG 716 CAROLINE ST OGDENSBURG,NY13669	15-0614025	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(40) CATHOLIC CHARITIES OF THE ALBANY DIOCESE 40 NORTH MAIN ALBANY,NY12203	14-1340033	501(C)(3)	500,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(41) CENTER FOR DISABILITY SERVICES 314 S MANNING BLVD ALBANY,NY12208	14-1425851	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(42) CENTRAL AVENUE BUSINESS IMPROVEMENT DIST 279 CENTRAL AVE ALBANY,NY12206	14-1803886		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(43) CENTRO CIVICO 143-145 EAST MAIN STREET AMSTERDAM,NY12010	22-2877236	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(44) CHAMPLAIN VALLEY PHYSICIANS HOSPITAL 75 BEEKMAN STREET PLATTSBURGH,NY12901	14-1338471	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(45) CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MED 75 BEEKMAN STREET PLATTSBURGH,NY12901	14-1338471	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(46) CHILDCARE COORD COUNCIL OF THE N CNTRY PO BOX 2640 PLATTSBURGH,NY12901	14-1731550		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(47) CITY MISSION OF SCHENECTADY 425 HAMILTON STREET SCHENECTADY,NY12305	14-1403652	501(C)(3)	175,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(48) CLAYTON COUNCIL OF CHURCHES 521 JAMES STREET CLAYTON,NY13624	15-0543525		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(49) COLONIE SENIOR SERVICES CENTER 6 WINNERS CIRCLE 1 ALBANY,NY12205	22-2366576	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(50) COLUMBIA MEMORIAL HOSPITAL 71 PROSPECT AVE HUDSON,NY12534	16-1012691	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(51) COLUMBIA OPPORTUNITIES 540 COLUMBIA STREET HUDSON,NY12534	14-1627038	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(52) COMFORT FOOD COMMUNITY PO BOX 86 GREENWICH,NY12834	41-1858498		133,545				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(53) COMMISSION ON ECONOMIC OPPORTUNITY 2331 FIFTH AVENUE TROY,NY12180	14-1490509	501(C)(3)	150,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(54) COMMUNITY ACTION OF GREENE COUNTY INC 7856 ROUTE 9W CATSKILL,NY12414	14-1498767	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(55) COMMUNITY ACTION PLANNING COUNCIL OF JEF 518 DAVIDSON ST WATERTOWN,NY13601	16-0912787	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(56) COMMUNITY BUILDERS 90 STATE STREET ALBANY,NY12207	22-2663779	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(57) COMMUNITY CONNECTIONS OF FRANKLIN COUNTY 7 PEARL STREET MALONE,NY12953	14-1779296		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(58) COMMUNITY HOSPICE 295 VALLEY VIEW BLVD RENSSELAER,NY12144	14-1608921	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(59) COMMUNITY WORK AND INDEPENDENCE PO BOX 303 GLENS FALLS,NY12801	14-1470091		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(60) CONIFER PARK 79 GLENRIDGE RD GLENVILLE,NY12302	14-1539594	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(61) CROSSROADS CENTER FOR CHILDREN 1136 N WESTCOTT RD ROTTERDAM,NY12306	14-1809027	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(62) DAUGHTERS OF SARAH NURSING CENTER 180 WASHINGTON AVE EXT ALBANY,NY12203	23-7120570	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(63) DELMAR FARMERS MARKET 332 KENWOOD AVE DELMAR,NY12054	94-3473799		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(64) DOWNTOWN ALBANY BUSINESS IMPROVEMENT DIS 21 LODGE ST FLOOR 1 ALBANY,NY12207	14-1790346		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(65) DOWNTOWN SCHENECTADY IMPROVEMENT CORPORATION 143 STATE STREET SCHENECTADY,NY12305	36-4465022	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(66) DOWNTOWN TROY BUSINESS IMPROVEMENT DISTR 251 RIVER ST TROY,NY12180	27-3638583	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(67) EDDY HERITAGE HOUSE NURSING AND REHABILITATION 2920 UPPER TIBBITS AVENUE TROY,NY12180	14-1725101		35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(68) EDDY MEMORIAL GERIATRIC CENTER 310 S MANNING BLVD ALBANY,NY12208	22-2570478	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(69) EDDY VILLAGE GREEN AT BEVERWYCK 31 BEVERWYCK LN SLINGERLANDS,NY12159	14-1717028		35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(70) EDDY VILLAGE GREEN AT COHOES 421 COLUMBIA ST COHOES,NY12047	14-1701597		35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(71) ELLIS RESIDENTIAL & REHABILITATION CENTER 600 MCCLELLAN STREET SCHENECTADY,NY12304	14-1338428		35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(72) ELLIS HOSPITAL 1101 NOTT ST SCHENECTADY,NY12308	14-1338428	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(73) EQUINOX 95 CENTRAL AVE ALBANY,NY12206	14-1554346		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(74) FAMILIES FIRST IN ESSEX COUNTY 196 WATER ST PO BOX 565 ELIZABETHTOWN,NY12933	14-1763863	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(75) FAMILY PROMISE OF THE CAPITAL REGION 738 NEW SCOTLAND AVE ALBANY,NY12208	46-2683239	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(76) FAMILY SERVICES ASSOC OF GLENS FALLS 150 WARREN ST GLENS FALLS,NY12801	14-1338395	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(77) FOCUS CHURCHES 275 STATE ST ALBANY,NY12210	30-0257933	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(78) FOOD PANTRIES OF THE CAPITAL REGION 32 ESSEX ST ALBANY,NY12206	22-2546680		200,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(79) FORT HUDSON NURSING CENTER INC 319 BROADWAY FORT EDWARD,NY12828	20-0481583	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(80) FULTON FRIENDSHIP HOUSE INC 18-20 CAYADUTTA ST GLOVERSVILLE,NY12078	22-2327741	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(81) GLENDALE HOME SCHDY CNTY DEPT SOCIAL SER 59 HETCHELTOWN RD SCHENECTADY,NY12302	14-1338428		35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(82) GLENS FALLS FARMERS MARKET ASSOCIATION 1 CIVIC PLAZA GLENS FALLS,NY12801	82-4732017	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(83) GLENS FALLS HOSPITAL 100 PARK ST GLENS FALLS,NY12801	14-1338413	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(84) GLENS FALLS SENIOR CENTER 380 GLEN ST GLENS FALLS,NY12801	14-1454572	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(85) GOUVERNEUR HOSPITAL 77 WEST BARNEY ST GOUVERNEUR,NY13642	46-4249555	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(86) GRASSROOTS GIVERS PO BOX 84 DELMAR,NY12054	80-0267317	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(87) HAMILTON FULTON AND MONTGOMERY PREVENTION 86 BRIGGS STREET 5 JOHNSTOWN,NY12095	14-1700630		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(88) HARMONY FELLOWSHIP CHURCH 888 ALBANY STREET SCHENECTADY,NY12307	51-0669752	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(89) HEALTH ALLIANCE OF THE HUDSON VALLEY 105 MARYS AVENUE KINGSTON,NY12401	26-1850453	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(90) HINDU TEMPLE SOCIETY OF THE CAPITAL DIST 450 ALBANY SHAKER RD ALBANY,NY12211	51-0202046		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(91) HOMELESS & TRAVELERS AID CO LIZ HITT 138 CENTRAL AVE ALBANY,NY12206	14-1482188	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(92) HOMETOWN HEALTH 1044 STATE ST SCHENECTADY,NY12307	14-1586310		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(93) HOPE 7 596 PAWLING AVENUE TROY,NY12180	14-1503403		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(94) HOPE FULL LIFE CENTER INC 1916 RTE 9W RAVENA,NY12143	45-5096650	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(95) HOPE HOUSE ALBANY 517 WESTERN AVENUE ALBANY,NY12203	14-1338477	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(96) HOSPITALITY HOUSE 271 CENTRAL AVENUE ALBANY,NY12206	14-1540533	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(97) HOUSING ASSISTANCE PRG FOR ESSEX CNTY 103 HAND AVENUE PO BOX 157 ELIZABETHTOWN,NY12932	14-1601549	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(98) HUDSON HEADWATERS 9 CAREY ROAD QUEENSBURY,NY12804	14-1628237	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(99) HUDSON RIVER HOUSING INC 313 MILL ST POUGHKEEPSIE,NY12601	22-2456648	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(100) HUDSON VALLEY COMMUNITY COLLEGE 80 VANDENBURGH AVE TROY,NY12180	22-2427015	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(101) HUDSONMOHAWK RECOVERY CENTER INC CO KEVIN CONNOLLY 559 6TH AVE TROY,NY12180	14-1512746	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(102) HUNGER SOLUTIONS NEW YORK INC 14 COMPUTER DR EAST ALBANY,NY12205	22-2954760	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(103) IN OUR OWN VOICES INC 245 LARK ST ALBANY,NY12210	14-1804364	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(104) IPH 176 SHERIDAN AVE ALBANY,NY12210	14-1666321	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(105) JEWISH FAMILY SERVICES OF NORTHEASTER NY 184 WASHINGTON AVE EX ALBANY,NY12203	14-1338308	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(106) JOINT COUNCIL OF ECONOMIC OPPORTUNITY 54 MARGARET ST PLATTSBURGH,NY12901	14-1494810	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(107) JOSEPH'S HOUSE & SHELTER 74 FERY STREET TROY,NY12180	46-2485173	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(108) LEAP 383 BROADWAY FORT EDWARD,NY12828	82-2456538	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(109) LAKESIDE HOUSE INC 33 RIVERSIDE DRIVE SARANAC LAKE,NY12983	14-1601762	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(110) LANSINGBURGH BOYS & GIRLS CLUB 501 4TH AVE TROY,NY12182	14-1338445		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(111) LARK STREET BUSINESS IMPROVEMENT DISTRICT 194 LARK STREET ALBANY,NY12210	14-1789430		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(112) LASALLE SCHOOL INC 391 WESTERN AVE ALBANY,NY12203	22-3125348	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(113) LEGAL AID SOCIETY OF NORTHEASTERN NEW YORK 95 CENTRAL AVE ALBANY,NY12206	14-1338448	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(114) LEWIS COUNTY GENERAL HOSPITAL 7785 N STATE STREET LOWVILLE,NY13367	15-6000458		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(115) LEXINGTON ARC 127 E STATE STREET GLOVERSVILLE,NY12078	14-6020996		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(116) LIFEPATH 28 COLVIN AVE ALBANY,NY12206	14-1392442	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(117) LITERACY VOLUNTEERS OF RENSSELAER COUNTY 71 FIRST ST TROY,NY12180	23-7330119	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(118) LIVING RESOURCES 300 WASHINGTON AVE EXT ALBANY,NY12203	14-1760827	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(119) LLS UPSTATE NEW YORKVERMONT PO BOX 22486 NEW YORK,NY10087	13-5644916	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(120) LOWVILLE FOOD PANTRY INC 7646 FORREST AVE LOWVILLE,NY13367	45-3122327	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(121) MALONE CHAMBER OF COMMERCE 497 EAST MAIN ST MALONE,NY12953	15-0584692	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(122) MARIA COLLEGE 700 NEW SCOTLAND AVENUE ALBANY,NY12208	14-1463151	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(123) MARY MCCLELLAN FOUNDATION 1 EAST MAIN ST CAMBRIDGE,NY12816	14-1729561	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(124) MASSENA MEMORIAL 1 HOSPITAL DR MASSENA,NY13662	15-6001040		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(125) MECHANICVILLE AREA COMMUNITY SVS CENTER PO BOX 30 MECHANICVILLE,NY12118	14-1536118	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(126) MENTAL HEALTH ASSOCIATION OF COLUMBIA 713 UNION ST HUDSON,NY12534	14-6030796	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(127) MENTAL HEALTH ASSOCIATION OF FULTON 307 MEADOW ST 1 JOHNSTOWN,NY12095	14-1680341		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(128) MENTAL HEALTH ASSOCIATION OF WARREN WASHINGTON 3043 US-4 HUDSON FALLS,NY12839	14-1495169		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(129) MERCY LIVING CENTER 114 WAWBEEK AVE TUPPER LAKE,NY12986	14-1731786		35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(130) METROPOLITAN BAPTIST CHURCH OF ALBANY 105 2ND ST ALBANY,NY12210	22-2514547		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(131) MOHAWK OPPORTUNITIES INC CO JOE GALLAGHER 201 NOTT TERRACE SCHENECTADY,NY12307	14-1672130	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(132) MOM STARTS HERE 154 N LAKE AVE TROY,NY12180	81-1682516		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(133) MOUNTAINSIDE RESIDENTIAL CARE CENTER 42158 STATE HWY 28 MARGARETVILLE,NY12455	22-3143565		35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(134) MT CALVARY BAPTIST CHURCH ATTN REVEREND DALE 58 ALEXANDER ST ALBANY,NY12206	14-1596389		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(135) NAMI OF CHAMPLAIN VALLEY 304 NEW YORK ROAD PLATTSBURGH,NY12903	76-0710744	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(136) NATHAN LITTAUER 99 EAST STATE ST GLOVERSVILLE,NY12078	14-1338465	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(137) NATHAN LITTAUER HOSPITAL NURSING HOME PO BOX 1250 99 E STATE ST GLOVERSVILLE,NY12078	14-1660137	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(138) NEW CHOICES RECOVERY CENTER 728 STATE ST SCHENECTADY,NY12307	14-1505720	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(139) NEW JERUSALEM HOME OF THE SAVED CHURCH PO BOX 6307 ALBANY,NY12206	14-1823138		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(140) NEW YORK STATE COALITION AGAINST SEXUAL 28 ESSEX ST ALBANY,NY12206	22-2337608	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(141) NORTH COUNTRY CHAMBER OF COMMERCE PO BOX 310 PLATTSBURGH,NY12901	14-1258003	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(142) NORTH COUNTRY MINISTRY 3933 MAIN ST WARRENSBURG,NY12885	22-3787718	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(143) NORTHERN RIVERS 19 JEFFERSON AVE RENSSELAER,NY12144	46-0759782	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(144) NYS COALITION AGAINST DOMESTIC VIOLENCE 119 WASHINGTON AVENUE ALBANY,NY12210	22-2337608	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(145) OAKWOOD COMMUNITY CENTER 313 TENTH ST TROY,NY12180	45-3980699	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(146) OPEN DOOR MISSION (GLENS FALLS) ATTN KIM COOK 226 WARREN ST GLENS FALLS,NY12801	22-2212538	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(147) OUR LADY OF MERCY LIFE CENTER 2 MERCYCARE LANE GUILDERLAND,NY12084	14-1743506	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(148) PEARL STREET COUNSELING CENTER 109 STATE STREET ALBANY,NY12207	14-1635358	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(149) PETER YOUNG HOUSING INDUSTRY TREATMENT 428 DUANE AVENUE SCHENECTADY,NY12304	22-3207792	501(C)(3)	75,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(150) PITNEY MEADOWS 112 SPRING STREET SUITE 206 SARATOGA SPRINGS,NY12866	81-2724904	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(151) POLICE AND FIRE FOUNDATION 165 HENRY JOHNSON BLVD ALBANY,NY12210	14-1824602	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(152) PRIDE CENTER OF THE CAPITAL REGION 332 HUDSON AVENUE ALBANY,NY12210	14-1605106	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(153) PROMESA INC 175 CENTRAL AVE ALBANY,NY12206	13-3411787	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(154) REFUGEE AND IMMIGRANT SUPPORT SERVICES E 715 MORRIS ST ALBANY,NY12208	27-4809744	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(155) REGIONAL FOOD BANK 965 ALBANY SHAKER RD LATHAM,NY12110	22-2470885	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(156) REIGNING LIFE CHURCH 33 RENSSELAER ST ALBANY,NY12202	22-2408524		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(157) RENSSELAER ARC 79 102ND ST TROY,NY12180	14-1485873	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(158) RENSSELAER COUNTY CHAMBER OF COMMERCE 90 4TH ST 200 TROY,NY12180	14-1127090	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(159) RENSSELAER POLYTECHNIC INSTITUTE 110 EIGHTH ST TROY,NY12180	14-1340095	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(160) ROBERT AND DOROTHY LUDWIG JEWISH COMMUNITY 2565 BALLTOWN RD SCHENECTADY,NY12309	14-1343041	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(161) RONALD MCDONALD HOUSE OF THE CAPITAL REGION INC 139 S LAKE AVE ALBANY,NY12208	22-2356004	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(162) RUSSELL SAGE COLLEGE 65 1ST ST TROY,NY12180	14-1338488	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(163) SAFE INC OF SCHENECTADY 1344 ALBANY ST SCHENECTADY,NY12304	14-1794075	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(164) SAMARITAN HEALTH WATERTOWN 830 WASHINGTON ST WATERTOWN,NY13601	14-1338544	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(165) SAMARITAN HOSPITAL 2215 BURDETT AVE TROY,NY12180	14-1338544	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(166) SARATOGA COUNTY CHAMBER OF COMMERCE 28 CLINTON ST SARATOGA SPRINGS,NY12866	14-0558213	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(167) SARATOGA COUNTY ECONOMIC OPPORTUNITY COU 39 BATH ST PO BOX 169 BALLSTON SPA,NY12020	23-7438457	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(168) SARATOGA DOWNTOWN BUSINESS ASSOCIATION PO BOX 974 SARATOGA SPRINGS,NY12866	14-1807657		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(169) SARATOGA FARMERS MARKET ASSOCIATION 3065 NY-50 SARATOGA,NY12866	20-0338161	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(170) SARATOGA HOSPITAL 211 CHURCH ST SARATOGA SPRINGS,NY12866	14-1338547	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(171) SCHENECTADY ARC PO BOX 2236 SCHENECTADY,NY12301	14-1459277	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(172) SCHENECTADY COMMUNITY ACTION PARTNERSHIP 913 ALBANY ST SCHENECTADY,NY12307	14-6034637	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(173) SCHENECTADY INNER CITY MISSION PO BOX 1049 SCHENECTADY,NY12301	14-1548263	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(174) SCHOHARIE COUNTY COMMUNITY ACTION PROGRA 795 EAST MAIN ST SUITE 5 COBLESKILL,NY12043	14-1490674		75,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(175) SEAT SOCIAL ENTERPRISE AND TRAINING 131 STATE ST PLATTSBURGH,NY12305	47-3946521	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(176) SEAT SOCIAL ENTERPRISE AND TRAINING 131 STATE ST SCHENECTADY,NY12305	47-3946521	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(177) SENIOR CITIZEN'S CENTER OF SARATOGA 5 WILLIAMS ST SARATOGA,NY12866	14-1458762	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(178) SENIOR HOPE COUNSELING INC 650 WARREN STREET ALBANY,NY12208	02-0570419	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(179) SETON HEALTH AT SCHUYLER RIDGE RESIDENTI 1 ABELE DRIVE CLIFTON PARK,NY12065	14-1756230		35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(180) SHAKER PLACE REHABILITATION & NURSING 100 HERITAGE LANE ALBANY,NY12211	14-6002563		35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(181) SIDNEY ALBERT JEWISH COMMUNITY CENTER 340 WHITEHALL ROAD ALBANY,NY12208	14-1364462	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(182) SIENA COLLEGE 515 LOUDON ROAD LOUDONVILLE,NY12211	14-1338498	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(183) SOUTH FIRE FARM 1972 NY HWY 2 PETERSBURG,NY12138	47-2549969	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(184) SOUTH END CHILDREN'S CAF 25 WARREN STREET ALBANY,NY12202	30-0704003		35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(185) SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON,VT05201	14-6030796	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(186) ST ANNE'S INSTITUTE 160 NORTH MAIN AVE ALBANY,NY12206	14-1340098		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(187) ST CATHERINE'S CENTER FOR CHILDREN 40 N MAIN STREET ALBANY,NY12203	14-1738782	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(188) ST LAWRENCE COMMUNITY DEVELOPMENT PROGR 1 COMMERCE LANE CANTON,NY13617	14-1492922	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(189) ST MARGARET'S CENTER 27 HACKETT BLVD ALBANY,NY12208	17-1338522	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(190) ST MARY'S HOSPITAL AMSTERDAM 427 GUY PARK AVE AMSTERDAM,NY12010	13-3254655	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(191) ST PAUL'S CENTER 947 3RD ST RENSSELAER,NY12144	56-2499960	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(192) ST PETER'S HOSPITAL 315 S MANNING BLVD ALBANY,NY12208	14-1348692	501(C)(3)	200,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(193) ST PETER'S NURSING AND REHABILITATION 301 HACKETT BLVD ALBANY,NY12208	14-1438749	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(194) ST SOPHIA GREEK ORTHODOX CHURCH 440 WHITEHALL RD ALBANY,NY12208	01-4142455		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(195) ST THOMAS THE APOSTLE SCHOOL 42 ADAMS PLACE DELMAR,NY12054	90-0635100		50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(196) TERESIAN HOUSE CENTER FOR THE ELDERLY 200 WASHINGTON AVE ALBANY,NY12203	14-1539594	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(197) THE ALBANY DAMIEN CENTER 728 MADISON AVE- SUITE 100 ALBANY,NY12208	22-3108995	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(198) THE ALTERNATIVE LIVING GROUP INC 500 NEW KARNER ROAD 3 ALBANY,NY12205	14-1713378		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(199) THE BUS STOP CLUB INC PO BOX 473 EAST GREENBUSH,NY12061	26-4755526	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(200) THE CENTER FOR LAW AND JUSTICE 220 GREEN ST ALBANY,NY12202	22-3078866		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(201) THE CHILDRENS HOME OF POUGHKEEPSIE 10 CHILDRENS WAY POUGHKEEPSIE,NY12601	14-1364662	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(202) THE CONKLING CENTER 79 WARREN STREET GLENS FALLS,NY12801	14-1340067	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(203) THE FAMILY COUNSELING CENTER OF FULTON 11 BRDWAY GLOVERSVILLE,NY12078	14-1599758	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(204) THE LEGAL PROJECT 24 AVIATION RD SUITE 101 ALBANY,NY12205	13-3841519	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(205) THE VOLUNTEER TRANSPORTATION CENTER PO BOX 515 4 COMMERCE LANE CANTON,NY13617	16-1469952	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(206) THINGS OF MY VERY OWN INC 249 GREEN STREET SCHENECTADY,NY12305	90-0370316	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(207) TRANSITIONAL LIVING SERVICES OF NORTHERN 482 BLACK RIVER PARKWAY WATERTOWN,NY13601	16-1104065	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(208) TRINITY ALLIANCE 15 TRINITY PLACE ALBANY,NY12202	14-1340122	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(209) TROY REHABILITATION IMPROVEMENT PROJEC 415 RIVER STREET TROY,NY12180	14-1503655	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(210) TROY SCHOOL 14 PTA ATTN EMILY HODGES 475 1ST ST TROY,NY12180	14-1762917		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(211) TROY SCHOOL 2 PTA ATTN LAKIME MEADOWS 475 1ST ST TROY,NY12180	14-6002473		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(212) TROY WATERFRONT FARMERS MARKET PO BOX 1534 TROY,NY12181	51-0611280		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(213) UNION COLLEGE 807 UNION STREET SCHENECTADY,NY12308	20-0258004	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(214) UNITED WAY OF NORTHERN NY 200 WASHINGTON ST SUITE 402A WATERTOWN,NY13601	14-1364505	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(215) UNITED WAY OF THE GREATER CAPITAL REGION PO BOX 13865 ALBANY,NY12202	14-1364505	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(216) UNITY HOUSE 2431 6TH AVE TROY,NY12180	23-2378930	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(217) UNIVERSITY AT ALBANY FOUNDATION PO BOX 761 ALBANY,NY12201	14-1503972	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(218) UPPER UNION STREET BUSINESS IMPROVEMENT 1598 UNION ST SCHENECTADY,NY12309	01-0676579	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(219) URBAN GRIEF 350 NORTHERN BLVD STE 324 41 ALBANY,NY12204	83-1265614		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(220) VAN RENSSELAER MANOR 85 BLOOMINGGROVE DR TROY,NY12180	14-6002569		35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(221) VANDERHEYDEN HALL 614 COOPER HILL RD WYANTSKILL,NY12198	14-1338575	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(222) WASHINGTON IRVING ADULT AND CONTINUING E 422 MUMFORD ST SCHENECTADY,NY12307	14-6004188		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(223) WATERTOWN URBAN MISSION 247 FACTORY ST WATERTOWN,NY13601	16-0957201	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(224) WATERVLIET CIVIC CHEST INC 14TH ST AND 1ST AVENUE WATERVLIET,NY12189	14-1387856	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(225) WATERVLIET ELEMENTARY SCHOOL PTA ATTN ROSIE SHARPE 2557 10TH AVE 1 WATERVLIET,NY12189	14-6009353		25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(226) WELLSPRING 480 BRDWAY LL20 SARATOGA SPRINGS,NY12866	14-1644567	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(227) WESLEY HEALTH CENTER 131 LAWRENCE ST SARATOGA SPRINGS,NY12866	22-3642737	501(C)(3)	35,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(228) WHITNEY YOUNG HEALTH 920 LARK DRIVE ALBANY,NY12207	14-1539594	501(C)(3)	100,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(229) WILDWOOD PROGRAMS INC 2995 B CURRY RD EXT SCHENECTADY,NY12303	14-1808612	501(C)(3)	50,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(230) WILLING HELPERS HOME FOR WOMEN INC 226 W MADISON AVENUE JOHNSTOWN,NY12095	14-1340001	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(231) YMCA CAPITAL REGION 465 NEW KARNER RD 2 ALBANY,NY12205	14-1726531	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(232) YMCA OF FULTON COUNTY 213 HARRISON STREET JOHNSTOWN,NY12095	14-1374493	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(233) YWCA OF SCHENECTADY 44 WASHINGTON AVE SCHENECTADY,NY12305	14-1340139	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE
(234) YWCA OF THE GREATER CAPITAL REGION 21 FIRST STREET TROY,NY12180	14-1338577	501(C)(3)	25,000				PPE, FOOD, HOUSING AND EMERGENCY AID ASSISTANCE

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

174

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2020

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART 1, LINE 2	EXPLANATION: GRANTS ARE PROVIDED TO THE FOUNDATION FOR USE TO OTHER CHARITABLE ORGANIZATIONS AND ADMINISTRATION OF THE FOUNDATION.

Schedule I (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

CAPITAL DISTRICT PHYSICIANS' HEALTH
PLAN INC

Employer identification number

14-1641028

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2020

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JOHN D BENNETT MD CEO/PRESIDENT	(i) (ii)	830,790 ------------- 0	531,273 ------------- 0	34,885 ------------- 0	16,001 ------------- 0	22,967 ------------- 0	1,435,916 ------------- 0	0 ------------- 0
2BARBARA DOWNS EVP CORP ADMIN/COO	(i) (ii)	576,186 ------------- 0	210,021 ------------- 0	32,597 ------------- 0	11,766 ------------- 0	11,953 ------------- 0	842,523 ------------- 0	0 ------------- 0
3BETHANY SMITH EVP FINANCE AND CFO	(i) (ii)	493,188 ------------- 0	180,189 ------------- 0	21,680 ------------- 0	9,189 ------------- 0	28,698 ------------- 0	732,944 ------------- 0	0 ------------- 0
4BRIAN MORRISSEY EVP MARKETING/CMO	(i) (ii)	402,722 ------------- 0	218,526 ------------- 0	47,012 ------------- 0	10,158 ------------- 0	28,490 ------------- 0	706,908 ------------- 0	0 ------------- 0
5BRIAN O'GRADY PRESIDENT - HEALTH PLANS MARKETS	(i) (ii)	408,597 ------------- 0	148,893 ------------- 0	48,092 ------------- 0	10,203 ------------- 0	28,658 ------------- 0	644,443 ------------- 0	0 ------------- 0
6ROBERT HINCKLEY EVP STRATEGY COMM AND CSO	(i) (ii)	382,576 ------------- 0	147,732 ------------- 0	49,588 ------------- 0	10,108 ------------- 0	28,658 ------------- 0	618,662 ------------- 0	0 ------------- 0
7FREDERICK GALT ESQ EVP GENERAL COUNSEL	(i) (ii)	377,074 ------------- 0	147,508 ------------- 0	48,229 ------------- 0	10,041 ------------- 0	25,558 ------------- 0	608,410 ------------- 0	0 ------------- 0
8ANTHONY MARINELLO EVP CHIEF MEDICAL OFFICER	(i) (ii)	393,156 ------------- 0	137,850 ------------- 0	34,228 ------------- 0	9,910 ------------- 0	22,967 ------------- 0	598,111 ------------- 0	0 ------------- 0
9MICHAEL RENZI PRESIDENT - HEALTHCARE DELIVERY	(i) (ii)	475,725 ------------- 0	28,660 ------------- 0	33,918 ------------- 0	12,410 ------------- 0	18,558 ------------- 0	569,271 ------------- 0	0 ------------- 0
10EILEEN WOOD EVP PHARMACY SERVICES/CPO	(i) (ii)	280,253 ------------- 0	213,880 ------------- 0	30,934 ------------- 0	8,779 ------------- 0	24,267 ------------- 0	558,113 ------------- 0	0 ------------- 0
11UMESH REGE SVP INFORMATION TECHNOLOGY CIO	(i) (ii)	326,721 ------------- 0	128,789 ------------- 0	48,092 ------------- 0	9,589 ------------- 0	20,881 ------------- 0	534,072 ------------- 0	0 ------------- 0
12ELIZABETH WARNER SVP MEMBER HEALTH	(i) (ii)	298,636 ------------- 0	119,580 ------------- 0	40,080 ------------- 0	10,167 ------------- 0	27,658 ------------- 0	496,121 ------------- 0	0 ------------- 0
13PATRICIA LUSHKEVICH SVP INTERNAL OPERATIONS	(i) (ii)	308,607 ------------- 0	119,725 ------------- 0	29,692 ------------- 0	7,876 ------------- 0	28,658 ------------- 0	494,558 ------------- 0	0 ------------- 0
14ANNE FERNANDEZ VP BEHAVIORAL HEALTH AND M	(i) (ii)	295,095 ------------- 0	120,740 ------------- 0	49,334 ------------- 0	1,832 ------------- 0	4,581 ------------- 0	471,582 ------------- 0	0 ------------- 0
15BRUCE E COPLIN MD VP SPECIALTY TRANSFORMATION	(i) (ii)	323,018 ------------- 0	74,010 ------------- 0	33,128 ------------- 0	9,352 ------------- 0	22,967 ------------- 0	462,475 ------------- 0	0 ------------- 0
16RICHARD DAL COL FORMER EVP CHIEF MEDICAL OFFICER	(i) (ii)	115,923 ------------- 0	125,853 ------------- 0	8,164 ------------- 0	480 ------------- 0	0 ------------- 0	250,420 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART 1 LINES 4A-B:

THE EXECUTIVE VICE PRESIDENTS ARE ELIGIBLE FOR A NON-QUALIFIED DEFERRED COMPENSATION PLAN CONTRIBUTION. NO PAYMENT WAS MADE TO THIS PLAN IN 2020.

PART 1 LINE 7:

EXPLANATION: CDPHP HAS A MANAGEMENT INCENTIVE PROGRAM THAT IS BASED UPON THREE CRITERIA: ATTAINMENT OF PERSONAL AND COMPANY GOALS, ACHIEVEMENT OF QUALITY AND SERVICE TARGETS, AND ACHIEVEMENT 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. IN ADDITION, THE BOARD HAS FINAL DISCRETION AT THE CLOSE OF THE YEAR TO MAKE THE INCENTIVE PAYMENT.

Schedule J (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

CAPITAL DISTRICT PHYSICIANS' HEALTH
PLAN INC

Employer identification number

14-1641028

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2020

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) LANSINGBURGH FAMILY PRACTICE	ADETUTU ADETONA MD	359,415	SEE EXPLANATION BELOW		No
(2) COMMUNITY CARE PHYSICIANS PC	HOLLY K CLENEY MD	54,462,840	SEE EXPLANATION BELOW		No
(3) ST PETER'S HOSPITAL	GENNARO A DANIELS MD	108,768,435	SEE EXPLANATION BELOW		No
(4) ALBANY MEDICAL CENTER HOSPITAL	MICHAEL DEVITO MD	141,948,218	SEE EXPLANATION BELOW		No
(5) NY ONCOLOGY HEMATOLOGY	TODD DOYLE MD	29,035,520	SEE EXPLANATION BELOW		No
(6) ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATION	REBECCA KEIM MD	22,885,251	SEE EXPLANATION BELOW		No
(7) ALBANY CAPITAL REGION GASTROENTEROLOGY	JOSEPH POLITO MD	5,537,046	SEE EXPLANATION BELOW		No
(8) SCHOOLHOUSE PEDIATRICS	BRIAN SHERIDAN MD	2,055,383	SEE EXPLANATION BELOW		No
(9) NEW YORK ONCOLOGY HEMATOLOGY PC	JOSEPH JAMES DUDEK MD	29,035,520	SEE EXPLANATION BELOW		No
(10) SHAKER PEDIATRICS PC	HENRY M. NEILLEY, MD	1,176,970	SEE EXPLANATION BELOW		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS

PURSUANT TO ITS CERTIFICATE OF INCORPORATION AND BY-LAWS, EIGHT OF THE MEMBERS OF THE CDPHP BOARD OF DIRECTORS MUST BE PRACTICING PHYSICIANS. THERE WAS A VACANCY IN THE BOARD AT YEAR END 2019 WHICH WAS FILLED IN 2020 BY A PRACTICING PHYSICIAN. AS PRACTICING PHYSICIANS, EACH OF THESE PHYSICIAN DIRECTORS HAS A STANDARD PARTICIPATING PROVIDER AGREEMENT WITH CDPHP PURSUANT TO WHICH THEY ARE PAID FEES FOR SERVICES RENDERED TO CDPHP MEMBERS. PURSUANT TO THE PARTICIPATING PROVIDER AGREEMENT, THE PHYSICIAN DIRECTORS ARE PAID IN ACCORDANCE WITH THE STANDARD FEE SCHEDULE APPLICABLE TO ALL PHYSICIANS GENERALLY.HOWEVER, ALTHOUGH EACH PHYSICIAN HAS AN INDIVIDUAL CONTRACT WITH CDPHP, PAYMENT FOR SERVICES RENDERED BY INDIVIDUAL PHYSICIANS ARE PAYABLE TO THAT PHYSICIAN'S PRACTICE, NOT TO THE PROVIDER INDIVIDUALLY. PAYMENTS MADE BY CDPHP TO THE PROVIDER PRACTICE ARE NOT ALLOCATED OR REPORTED BY CDPHP BY INDIVIDUAL PROVIDER. ACCORDINGLY, PAYMENTS REPORTED HEREIN REFLECT THE AMOUNTS PAID IN FULL TO THE PRACTICE. AS NOTED ABOVE AND AS SHOWN IN SCHEDULE L, THESE AMOUNTS WERE PAID TO THE ORGANIZATIONS WHERE THE PHYSICIAN DIRECTOR IS AN EMPLOYEE, PARTNER, SHAREHOLDER, OR BOARD MEMBER OF THE ORGANIZATION.

Schedule L (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

CAPITAL DISTRICT PHYSICIANS' HEALTH
PLAN INC

Employer identification number

14-1641028

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	EXPLANATION: THE CORPORATION CURRENTLY HAS 553 CORPORATE MEMBERS ALL OF WHOM ARE OR WERE PARTICIPATING PHYSICIANS WITH CDPHP.
FORM 990, PART VI, SECTION A, LINE 7A	EXPLANATION: CDPHP'S CORPORATE MEMBERS ELECT THE BOARD OF DIRECTORS OF CDPHP.
FORM 990, PART VI, SECTION A, LINE 7B	EXPLANATION: CORPORATE MEMBERS MUST APPROVE ANY CHANGES IN THE CORPORATION'S MISSION STATEMENT, BY-LAWS, CLASSES OF CORPORATE MEMBERSHIP, OR CHANGES TO THE BOARD OF DIRECTORS. IN ADDITION, THE CLASS "A" MEMBERS MUST APPROVE ANY CHANGES TO THE BY-LAWS AND CERTIFICATE OF INCORPORATION THAT ALTER THE RIGHTS OF CLASS "A" MEMBERS, MERGER, CONSOLIDATION, REORGANIZATION, DISSOLUTION, OR ANY CONVERSION FROM NOT-FOR-PROFIT STATUS.
FORM 990, PART VI, SECTION B, LINE 11B	EXPLANATION: THE FORM 990 IS REVIEWED AND APPROVED BY THE DIRECTOR OF ACCOUNTING AND FINANCIAL REPORTING AND THE CFO. IT IS THEN PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. FINALLY, IT IS PRESENTED TO THE BOARD FOR REVIEW PRIOR TO THE IRS SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12C	EXPLANATION: CDPHP HAS A CONFLICT OF INTEREST POLICY. CDPHP REGULARLY POLLS EMPLOYEES AND BOARD MEMBERS REGARDING POTENTIAL CONFLICT OF INTEREST SITUATIONS. ANY ACTUAL OR POTENTIAL CONFLICTS DISCLOSED ARE PRESENTED TO THE BOARD, AT LEAST ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15	EXPLANATION: 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: FINANCIAL DOCUMENTS ARE FILED QUARTERLY WITH THE DEPARTMENT OF FINANCIAL SERVICES AND ARE AVAILABLE THROUGH THE FREEDOM OF INFORMATION ACT (FOIA). GOVERNING DOCUMENTS ARE ALSO AVAILABLE THROUGH THE DEPARTMENT OF FINANCIAL SERVICES, ALSO THROUGH FOIA. THE CONFLICT OF INTEREST POLICY IS NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	CURRENT YEAR EQUITY METHOD LOSS ON INVESTMENT IN SUBSIDIARIES 56,828,820. STATUTORY DIFFERENCE IN BOND AMORTIZATION -5,932. RECOGNIZED LOSS ON VANGUARD INVESTMENT 5,703,690. STATUTORY ADJUSTMENT FOR HEALTH PLAN ALLIANCE CONSULTING EXPENSE 62,500.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

CAPITAL DISTRICT PHYSICIANS' HEALTH
PLAN INC

Employer identification number

14-1641028

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CDPHP FOUNDATION INC 500 PATROON CREEK BLVD ALBANY,NY12206 47-1619130	FOUNDATION	NY	501(C)(3)	LINE 10	N/A		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC 500 PATROON CRK BLVD ALBANY,NY12206 14-1745298	ADMIN SERVICES	NY	CDPHP UNIVERSAL BENEFITS INC	C	28,873,586	45,082,698	100.000 %		No
(2) CDPHP UNIVERSAL BENEFITS INC 500 PATROON CRK BLVD ALBANY,NY12206 16-1520935	ARTICLE 43 INSURANCE	NY	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC	C	654,433,868	319,169,478	100.000 %		No
(3) STRATEGIC SOLUTIONS MANAGEMENT 429 CLIFTON CORP PKWY CLIFTON PARK,NY12065 14-1814293	BILLING AND CONSULTING	NY	CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK INC	C					No
(4) CARTER INSURANCE COMPANY LTD 40 CHURCH ST PO BOX HM2062 HAMILTON BD 14-1641028	CAPTIVE REINSURANCE	BD	CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN INC		36,068		100.000 %		No

Schedule R (Form 990) 2020

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC	Q	4,810,351	ALLOCATION
(2) CDPHP UNIVERSAL BENEFITS INC	N	9,266,121	ALLOCATION
(3) CDPHP UNIVERSAL BENEFITS INC	O	31,261,626	ALLOCATION
(4) CDPHP UNIVERSAL BENEFITS INC	Q	17,882,741	ALLOCATION
(5) CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC	N	2,529,215	ALLOCATION
(6) CAPITAL DISTRICT PHYSICIAN'S HEALTHCARE NETWORK INC	O	8,515,756	ALLOCATION
(7) CDPHP UNIVERSAL BENEFITS INC	B	46,533,897	FMV

Schedule R (Form 990) 2020

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference

Explanation

FORM 990, SCHEDULE R, RELATED ORGANIZATIONS

ON JANUARY 1, 2020, CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. TRANSFERRED ITS OWNERSHIP OF CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK, INC. (EIN: 14-1745298) TO CDPHP UNIVERSAL BENEFITS, INC. (EIN: 16-1520935). CDPHP UNIVERSAL BENEFITS, INC. IS 100% OWNED BY CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC. CAPITAL DISTRICT PHYSICIANS' HEALTHCARE NETWORK, INC. IS STILL CONSIDERED A RELATED ORGANIZATION TO THE FILING ENTITY THROUGH A BROTHER-SISTER RELATIONSHIP AND IS THEREFORE BEING REPORTED ON SCHEDULE R.

FORM 990, SCHEDULE R, RELATED ORGANIZATIONS

ON DECEMBER 31, 2020, CARTER INSURANCE COMPANY LTD WAS DISSOLVED.

Schedule R (Form 990) 2020

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: CDPHP PROVIDES QUALITY HEALTH CARE AT A REASONABLE COST FOR CDPHP MEMBERS AND OPERATES AS A MODEL FOR THE DELIVERY, FINANCING, AND ADMINISTRATION OF HEALTH CARE SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	1,328
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	1,601,339,563	1,742,108,726
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	8,293,946	6,806,780
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	500,525	357,794
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,610,134,034	1,749,273,300
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	262,128	12,338,894
14	Benefits paid to or for members (Part IX, column (A), line 4).....	1,419,156,296	1,551,964,047
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	99,276,122	113,862,366
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	73,635,894	99,687,536
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,592,330,440	1,777,852,843
19	Revenue less expenses. Subtract line 18 from line 12.......	17,803,594	-28,579,543
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	671,719,138	778,008,144
21	Total liabilities (Part X, line 26).............	236,548,634	301,294,044
22	Net assets or fund balances. Subtract line 21 from line 20.....	435,170,504	476,714,100

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 540,077,064 including grants of $ 4,679,803 ) (Revenue $ 575,897,349 )
	CDPHP PROVIDES HEALTH CARE BENEFITS TO EMPLOYER GROUP MEMBERS AND INDIVIDUALS IN OUR COMMUNITY. AS OF DECEMBER 31, 2020, 77,595 MEMBERS WERE ENROLLED IN COMMERCIAL PRODUCTS.

4b	(Code: ) (Expenses $ 615,091,497 including grants of $ 664,542 ) (Revenue $ 553,275,771 )
	CDPHP'S MEDICAID, HARP, AND ESSENTIAL PLANS PROVIDE HEALTH CARE BENEFITS TO 106,616 MEMBERS IN NEW YORK STATE.

4c	(Code: ) (Expenses $ 513,063,399 including grants of $ 6,052,932 ) (Revenue $ 567,079,413 )
	CDPHP'S MEDICARE PROGRAM PROVIDES HEALTH CARE BENEFITS TO 42,173 MEMBERS IN NEW YORK STATE.

	(Code: ) (Expenses $ 0 including grants of $ 0 ) (Revenue $ -1,800 )
	FAMILY HEALTH PLUS - 0 MEMBERS

	(Code: ) (Expenses $ 7,939,274 including grants of $ 7,690 ) (Revenue $ 4,616,674 )
	HEALTHY NEW YORK - 1,942 MEMBERS

	(Code: ) (Expenses $ 36,227,299 including grants of $ 933,927 ) (Revenue $ 41,241,319 )
	CHILD HEALTH PLUS - 14,491 MEMBERS

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 44,166,573 including grants of $ 941,617 ) (Revenue $ 45,856,193 )
4e	Total program service expenses1,712,398,533

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	10,293,089	0	493,380

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a - 1f:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a	COMMERCIAL PREMIUMS	524114	575,897,349	575,897,349
b	MEDICARE PREMIUMS	524114	567,079,413	567,079,413
c	MEDICAID PREMIUMS	524114	553,275,771	553,275,771
d	CHILD HEALTH PLUS PREMIUMS	524114	41,241,319	41,241,319
e	HEALTHY NEW YORK PREMIUMS	524114	4,616,674	4,616,674
f	All other program service revenue.		-1,800	-1,800
g	Total. Add lines 2a–2f .....		1,742,108,726

3 Investment income (including dividends, interest, and othersimilar amounts) ......
4 Income from investment of tax-exempt bond proceeds			6,596,560			6,596,560
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		59,582,028	7a
b	Less: cost or other basis and sales expenses		59,371,808	7b
c	Gain or (loss)		210,220	7c
d	Net gain or (loss).........			210,220			210,220
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	AGGREGATE WRITE-INS FOR OTHER INC		524114	357,794			357,794
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			357,794
12	Total revenue. See instructions.....			1,749,273,300	1,742,108,726	0	7,164,574

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	12,338,894	12,338,894
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	1,551,964,047	1,551,964,047
5	Compensation of current officers, directors, trustees, and key employees ...........	5,956,446	2,647,183	3,309,263
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	80,547,584	46,302,661	34,244,923
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	7,365,643	4,205,255	3,160,388
9	Other employee benefits .......	14,008,433	7,312,164	6,696,269
10	Payroll taxes ...........	5,984,260	3,440,043	2,544,217
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	531,430	425,144	106,286
c	Accounting ...........	510,024	408,019	102,005
d	Lobbying ...........	250,260		250,260
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	383,208		383,208
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....	6,246,001	6,246,001
13	Office expenses .......	5,319,298	2,809,572	2,509,726
14	Information technology ......	18,149,894	17,605,397	544,497
15	Royalties ..
16	Occupancy ...........	3,368,146	1,684,073	1,684,073
17	Travel ............	537,490	376,243	161,247
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	64,175		64,175
20	Interest ...........	208,581	166,865	41,716
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	6,425,094	4,497,566	1,927,528
23	Insurance ...	744,023		744,023
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	CONSULTING AND OUTSOURC	30,547,077	24,437,662	6,109,415
b	FEDERAL AND STATE ASSES	13,178,521	13,178,521	0
c	BROKER COMMISSIONS	11,070,713	11,070,713
d	MISCELLANEOUS	2,153,601	1,282,510	871,091
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	1,777,852,843	1,712,398,533	65,454,310	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			57,420,524	2	21,540,152
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			115,817,676	4	144,976,160
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			18,345,306	9	13,389,914
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	118,110,866
b	Less: accumulated depreciation	10b	91,327,747	26,203,333	10c	26,783,119
11	Investments—publicly traded securities .			261,495,307	11	329,944,233
12	Investments—other securities. See Part IV, line 11 .....			189,478,010	12	238,568,085
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			2,958,982	15	2,806,481
16	Total assets. Add lines 1 through 15 (must equal line 33)...			671,719,138	16	778,008,144

17	Accounts payable and accrued expenses .....	229,181,626	17	294,663,826
18	Grants payable ...		18
19	Deferred revenue .........	3,528,831	19	2,282,823
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	3,838,177	25	4,347,395
26	Total liabilities. Add lines 17 through 25..	236,548,634	26	301,294,044

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	435,170,504	27	476,714,100
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	435,170,504	32	476,714,100
33	Total liabilities and net assets/fund balances ........	671,719,138	33	778,008,144

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No