Mount Carmel Health Plan Of Connecticut Inc, operating under the name See Schedule O For List, is located in Columbus, OH. See Schedule O For List is a 501(c)(4) and as such, is described as a "Civic League, Social Welfare Organization, and Local Association of Employees" by the IRS.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2023
Describe the Organization's Mission:
Part 3 - Line 1
TO OPERATE A MEDICARE HMO FOR SENIORS
Describe the Organization's Program Activity:
Part 3 - Line 4a
MOUNT CARMEL HEALTH PLAN OF CONNECTICUT WAS FORMED IN 2021 FOR THE PURPOSE OF PROVIDING COMPREHENSIVE HEALTH CARE COVERAGE TO SENIORS IN THE NEW ENGLAND AREA AS A WHOLLY OWNED SUBSIDIARY OF MOUNT CARMEL HEALTH PLAN. IT IS A MEMBER OF THE MOUNT CARMEL HEALTH SYSTEM, A TAX-EXEMPT HEALTH CARE SYSTEM UNDER IRC SECTION 501(C)(3). MOUNT CARMEL HEALTH PLAN OF CONNECTICUT IS A NONPROFIT ORGANIZATION THAT OFFERS BENEFITS THROUGH A MEDICARE ADVANTAGE PLAN (TRINITY HEALTH PLAN OF NEW ENGLAND) APPROVED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) THAT REPLACES TRADITIONAL MEDICARE COVERAGE. TRINITY HEALTH PLAN OF NEW ENGLAND SERVES SENIORS AND OTHER MEDICARE BENEFICIARIES IN FOUR CONNECTICUT COUNTIES.PLAN MEMBERS ELECT TO HAVE TRINITY HEALTH PLAN OF NEW ENGLAND (INSTEAD OF THE FEDERAL GOVERNMENT) ADMINISTER THE BENEFITS OF MEDICARE PART A AND PART B, AND THE PLAN ALSO OFFERS PHARMACEUTICAL COVERAGE UNDER MEDICARE PART D. TRINITY HEALTH PLAN OF NEW ENGLAND IS REQUIRED TO PROVIDE COVERAGE FOR EVERYTHING THAT THE FEDERAL MEDICARE PROGRAM COVERS, PLUS THE PLAN ALSO OFFERS ADDITIONAL ITEMS SUCH AS: UNLIMITED INPATIENT HOSPITAL DAYS COVERED AT 100% WITH NO DEDUCTIBLE (SMALL COPAY FOR FIRST 4 DAYS); OUTPATIENT SURGERY FOR A SMALL CO-PAYMENT; DIAGNOSTIC AND TESTING SERVICES FOR A SMALL CO-PAYMENT; HOME HEALTH CARE AND SKILLED NURSING CARE COVERAGE WHEN NECESSARY; PRESCRIPTION DRUG BENEFITS; PHYSICIAN OFFICE VISITS WITH FIXED COPAYMENTS; AND UNLIMITED GENERIC DRUG COVERAGE.AS AN INTEGRAL PART OF MOUNT CARMEL HEALTH SYSTEM, MOUNT CARMEL HEALTH PLAN OF CONNECTICUT IS A COMMUNITY-BASED MANAGED HEALTH CARE ORGANIZATION THAT WORKS IN COLLABORATION WITH EMPLOYERS, INDIVIDUAL MEMBERS, PHYSICIANS, HEALTH CARE PROVIDERS, AND COMMUNITY AND GOVERNMENTAL AGENCIES TO CONTINUALLY IMPROVE THE HEALTH OF ITS MEMBERS BY PROVIDING EXCEPTIONAL COVERAGE AND ACCESS TO HIGH QUALITY AND COST-EFFECTIVE CARE.PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION:WWW.TRINITYHEALTHOFNE.ORG/MEDICARE
Name (title) | Role | Hours | Compensation |
---|---|---|---|
Jack Randolph Director; Chair; President & CEO | OfficerTrustee | 2 | $0 |
Andy Priday Mount Carmel CFO | Officer | 2 | $0 |
Greg Wise MD Medical Director Mchp | Officer | 2 | $0 |
David Vis Director; Secretary; Treasurer | OfficerTrustee | 2 | $0 |
Claudio Capone Dir;reg VP Strat & Bus Plan Th Of Ne | Trustee | 2 | $0 |
Carlos Alvarado Chief Administrative Officer Mchp | Officer | 2 | $0 |
Statement of Revenue | |
---|---|
Federated campaigns | $0 |
Membership dues | $0 |
Fundraising events | $0 |
Related organizations | $0 |
Government grants | $0 |
All other contributions, gifts, grants, and similar amounts not included above | $0 |
Noncash contributions included in lines 1a–1f | $0 |
Total Revenue from Contributions, Gifts, Grants & Similar | $0 |
Total Program Service Revenue | $972,139 |
Investment income | $68,936 |
Tax Exempt Bond Proceeds | $0 |
Royalties | $0 |
Net Rental Income | $0 |
Net Gain/Loss on Asset Sales | $14,590 |
Net Income from Fundraising Events | $0 |
Net Income from Gaming Activities | $0 |
Net Income from Sales of Inventory | $0 |
Miscellaneous Revenue | $0 |
Total Revenue | $1,055,665 |
Statement of Expenses | |
---|---|
Grants and other assistance to domestic organizations and domestic governments. | $0 |
Grants and other assistance to domestic individuals. | $0 |
Grants and other assistance to Foreign Orgs/Individuals | $0 |
Benefits paid to or for members | $0 |
Compensation of current officers, directors, key employees. | $0 |
Compensation of current officers, directors, key employees. | $0 |
Compensation to disqualified persons | $0 |
Other salaries and wages | $220,757 |
Pension plan accruals and contributions | $0 |
Other employee benefits | $25,104 |
Payroll taxes | $18,185 |
Fees for services: Management | $50,142 |
Fees for services: Legal | $0 |
Fees for services: Accounting | $50,000 |
Fees for services: Lobbying | $0 |
Fees for services: Fundraising | $0 |
Fees for services: Investment Management | $1,351 |
Fees for services: Other | $331,112 |
Advertising and promotion | $238,529 |
Office expenses | $14,726 |
Information technology | $740 |
Royalties | $0 |
Occupancy | $0 |
Travel | $8,918 |
Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
Conferences, conventions, and meetings | $0 |
Interest | $0 |
Payments to affiliates | $0 |
Depreciation, depletion, and amortization | $0 |
Insurance | $0 |
All other expenses | $0 |
Total functional expenses | $973,489 |
Balance Sheet | |
---|---|
Cash—non-interest-bearing | $0 |
Savings and temporary cash investments | $1,903,426 |
Pledges and grants receivable | $0 |
Accounts receivable, net | $42,456 |
Loans from Officers, Directors, or Controlling Persons | $0 |
Loans from Disqualified Persons | $0 |
Notes and loans receivable | $0 |
Inventories for sale or use | $0 |
Prepaid expenses and deferred charges | $304 |
Net Land, buildings, and equipment | $0 |
Investments—publicly traded securities | $2,053,043 |
Investments—other securities | $0 |
Investments—program-related | $0 |
Intangible assets | $0 |
Other assets | $136,771 |
Total assets | $4,136,000 |
Accounts payable and accrued expenses | $33,149 |
Grants payable | $0 |
Deferred revenue | $0 |
Tax-exempt bond liabilities | $0 |
Escrow or custodial account liability | $0 |
Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
Secured mortgages and notes payable | $0 |
Unsecured mortgages and notes payable | $0 |
Other liabilities | $339,417 |
Total liabilities | $372,566 |
Net assets without donor restrictions | $3,763,434 |
Net assets with donor restrictions | $0 |
Capital stock or trust principal, or current funds | $0 |
Paid-in or capital surplus, or land, building, or equipment fund | $0 |
Retained earnings, endowment, accumulated income, or other funds | $0 |
Total liabilities and net assets/fund balances | $4,136,000 |