2024-06-28T11:17:24-05:00 2023-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 245 PARK AVENUE 12TH FLOOR NEW YORK NY 10167 990 2023-01-01 134167849 AFFILIATES RISK MANAGEMENT SERVICESINC AFFI 2122614440 800 THIRD AVENUE 18TH FL NEW YORK NY 10022 J COBRIN PRESIDENT AND CEO 2122614440 2024-06-28 1 J COBRIN 999009999 0 X GARRETT M HIGGINS P00543209 2122862600 2024-06-28 3 AAL1 IAL1 2023 2023-04-26 12:10:37Z X J COBRIN 800 THIRD AVENUE 18TH FL NEW YORK NY 10022 45194414 0 X N/A X 2001 NY AFFILIATES RISK MANAGEMENT SERVICES ADMINISTERS A COMPREHENSIVE, STABLE, AND AFFORDABLE INSURANCE PROGRAM, AND PROVIDES EDUCATIONAL AND RISK AND QUALITY MANAGEMENT SERVICES TO ASSIST ITS CLIENTS TO ENHANCE PATIENT SAFETY, IMPROVE HEALTH OUTCOMES, AND MINIMIZE THE RISK OF LOSS. 12 11 51 11 0 0 3143198 3139932 26511207 31519547 422306 1388565 52164 64935 30128875 36112979 25000 25000 0 0 6894786 7353007 0 0 0 23741744 26903793 30661530 34281800 -532655 1831179 23856228 25620865 2415797 2193355 21440431 23427510 AFFILIATES RISK MANAGEMENT SERVICES ADMINISTERS A COMPREHENSIVE, STABLE & AFFORDABLE INSURANCE PROGRAM, & PROVIDES EDUCATIONAL & RISK AND QUALITY MANAGEMENT SERVICES TO ASSIST ITS CLIENTS TO ENHANCE PATIENT SAFETY, IMPROVE HEALTH OUTCOMES, & MINIMIZE THE RISK OF LOSS. 0 0 24938277 0 25346812 PROGRAM ADMINISTRATOR TO THE NATIONAL INSURANCE PROGRAM (NIP): DESIGN, IMPLEMENTATION, ADMINISTRATION, AND PROCUREMENT OF A COMPREHENSIVE INSURANCE PROGRAM OFFERING A VARIETY OF INSURANCE COVERAGES DESIGNED SPECIFICALLY FOR TAX-EXEMPT ENTITIES. 4182856 0 4251379 THE CENTER FOR AFFILIATED LEARNING: OPERATE A LEARNING AND TRAINING CENTER THAT OFFERS MORE THAN 3,500 LEARNING OPPORTUNITIES, INCLUDING PROVIDING CONTINUING MEDICAL EDUCATION (CME) CREDITS AND CONTINUING EDUCATION. 1890388 25000 1921356 RISK, QUALITY, AND PATIENT SAFETY:DEVELOPMENT AND IMPLEMENTATION OF RISK, QUALITY, AND PATIENT SAFETY PROGRAMS TO MINIMIZE THE RISK EXPOSURE OF THE PROGRAM'S TAX-EXEMPT PARTICIPANTS; DEVELOPMENT OF PROGRAMS INTENDED TO IDENTIFY AND PREVENT CONDITIONS DEEMED LIKELY TO CONTRIBUTE TO THE RISK OF LOSS AND CLAIMS. 31011521 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 29 0 51 1 0 0 0 0 0 0 0 0 0 0 1 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X A IUCHYK CHIEF FINANCIAL OFFICER 2122614440 800 THIRD AVENUE 18TH FL NEW YORK NY 10022 JA COBRIN PRESIDENT AND CEO 50.00 X X 1070764 0 73345 H CARTER CHAIRPERSON 0.70 0.25 X X 0 0 0 S BONNER VICE CHAIRPERSON 0.70 0.25 X X 0 0 0 G CHATAS TREASURER 0.70 0.25 X X 0 0 0 L LINDENBAUM SECRETARY 0.70 0.25 X X 0 0 0 R ROGERS COLLINS DIRECTOR 0.70 0.25 X 0 0 0 D HARRIS DIRECTOR 0.70 0.25 X 0 0 0 M LINTON DIRECTOR 0.70 0.25 X 0 0 0 A MANDADO DIRECTOR 0.70 0.25 X 0 0 0 J PETUCHOWSKI DIRECTOR 0.70 0.25 X 0 0 0 M ROEMER DIRECTOR 0.70 0.25 X 0 0 0 D SILVER DIRECTOR 0.70 0.25 X 0 0 0 R FINS CHIEF OPERATING OFFICER 40.00 X 329883 0 89149 L WOLF GENERAL COUNSEL 40.00 X 299164 0 71682 A IUCHYK CHIEF FINANCIAL OFFICER 40.00 X 237337 0 79683 A DANIELS DIRECTOR OF LEARNING & COMM. 40.00 X 242254 0 62824 S SELLERS DIRECTOR OF INSURANCE 40.00 X 203534 0 19932 M PAUL MEDICAL DIRECTOR 40.00 X 201065 0 39220 A RAFFEL DIRECTOR OF TECHNOLOGY SVCS 40.00 X 181526 0 41256 E POITRAS DIRECTOR OF RISK, QUALITY, & PATIENT SAFETY 40.00 X 174311 0 57036 2939838 0 534127 22 0 1 0 VIRTAMED AG RUTISTRASSE 12 SCHLIEREN ZURICH SZ SIMULATORS 389552 MAGNA5 MS LLC PO BOX 200016 DALLAS TX 75320 IT CONSULTING 365610 SABA SOFTWARE INC PO BOX 39000 SAN FRANCISCO CA 94139 LEARNING MGMT SYSTEM 327896 RISKONNECT CLEARSIGHT LLC PO BOX 1500 CAROL STREAM IL 60132 WEB-BASED SERVICES 251764 EIGEN X 1000 CONTINENTAL DRIVE SUITE 600 KING OF PRUSSIA PA 19406 DATA ANALYTICS SERVICES 226190 8 3139932 3139932 PARTICIPANT/MANAGEMENT FEES 541990 31452395 31452395 COURSE DEVELOPMENT & TRAINING 541990 49629 49629 CONSULTING FEES - EPIC 541618 17523 17523 31519547 234998 234998 51331 51331 10235002 9081435 1153567 1153567 1153567 MISCELLANEOUS INCOME 900099 13604 13604 13604 36112979 31519547 0 1453500 25000 25000 2401290 1434430 966860 3581817 3033019 548798 318101 261416 56685 686249 570301 115948 365550 277227 88323 116434 116434 57175 57175 92700 92700 969475 645405 324070 493786 271359 222427 761180 435194 325986 380610 241798 138812 64114 55888 8226 53619 8199 45420 327031 266487 60544 23421121 23343295 77826 WARRANTIES 128736 128736 OTHER EXPENSES 16836 238 16598 REPAIRS & MAINTENANCE 11645 9003 2642 MEMBERSHIP DUES 9331 4526 4805 34281800 31011521 3270279 0 1956561 8931188 8549588 586689 750000 804834 488549 685359 891642 1557946 3589738 2168913 745234 1420825 10223501 11076096 208641 192570 42512 365358 23856228 25620865 2048608 2080824 0 112531 367189 0 2415797 2193355 X 21440431 23427510 21440431 23427510 23856228 25620865 1831179 155900 0 X X 0 1 X 1 0 X 3053159 3060366 4142053 3143198 3139932 16538708 19483341 23381629 24973431 26511207 31519547 125869155 22536500 26441995 29115484 29654405 34659479 142407863 3053159 3060366 3192376 3143198 3139932 15589031 8671314 11517151 12105122 13240305 16123241 61657133 11724473 14577517 15297498 16383503 19263173 77246164 65161699 300029 141564 203679 211878 286329 1143479 300029 141564 203679 211878 286329 1143479 12935 36744 20156 9433 13604 92872 22849464 26620303 29339319 29875716 34959412 143644214 0.45360 0.46230 0.00800 0.00990 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2019 AMOUNT: $ 12,935. 2020 AMOUNT: $ 27,371. 2021 AMOUNT: $ 20,156. 2022 AMOUNT: $ 9,433. 2023 AMOUNT: $ 13,604. IRS REFUND - 2020 AMOUNT: $ 9,373. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15359950 1386800 1451698 1451698 16746750 14156300 2844545 -1640895 15359950 12665500 1490800 1268322 1268322 14156300 11034000 1631500 864587 864587 12665500 10737000 297000 1753123 1753123 11034000 1.00000 0.00000 0.00000 0 0 2233482 1946317 287165 1356256 222596 1133660 1420825 X 36176179 155900 155900 36020279 92700 92700 36112979 34189100 0 34189100 92700 92700 34281800 PART V, LINE 4: BOARD-DESIGNATED NET ASSETS CONSIST OF EMERGENCY CASH RESERVES AVAILABLE TO PAY FOR OPERATIONS AS WELL AS OTHER BOARD-DESIGNATED PROGRAMS AND ARE INCLUDED WITH CASH AND CASH EQUIVALENTS AND INVESTMENTS ON THE CONSOLIDATED FINANCIAL STATEMENTS OF FINANCIAL POSITION AS OF DECEMBER 31, 2023. THE UNRESTRICTED BOARD DESIGNATED FUNDS ARE DIRECTED FOR SPECIFIC USES BY ACTION OF THE BOARD OF DIRECTORS. PART X, LINE 2: ARMS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT ARMS HAS NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. ARMS IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2020. CARIBBEAN INVESTMENTS 192570 0 0 0 0 0 0 192570 0 192570 0 0 0 0 1 0 PART I, LINE 3: THE ORGANIZATION USES THE ACCRUAL METHOD OF ACCOUNTING. SCHEDULE F, PART IV, LINE 5: THE ORGANIZATION IS NOT REQUIRED TO FILE FORM 8865 BECAUSE IT DOES NOT MEET THE FILING THRESHOLD. 1 PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND INC 345 WHITNEY AVENUE NEW HAVEN CT 06511 060263565 501(C)(3) 25000 0 ROBYN MENIN AWARD FOR DEVELOPMENT OF RISK MANAGEMENT PROGRAM 1 0 PART I, LINE 2: AFFILIATES RISK MANAGEMENT SERVICES, INC. ("ARMS") PROVIDES AN ANNUAL GRANT AWARD TO ONE OR MORE OF THE TAX-EXEMPT ORGANIZATIONS THAT RECEIVE THE BENEFIT OF ARMS'S CHARITABLE AND EDUCATIONAL SERVICES TO BE USED TO FURTHER THE AWARD RECIPIENT'S RISK MANAGEMENT PROGRAMS. APPLICANTS SUBMIT A GRANT APPLICATION TO ARMS, AND A WORK GROUP COMPRISED OF ARMS STAFF AND BOARD MEMBERS SELECT A GRANTEE. THE GRANT REQUIRES THAT THE AWARD RECIPIENT SUBMIT REPORTS REGARDING THE ACTUAL USE OF THE FUNDS. THESE REPORTS ARE MAINTAINED IN THE ORGANIZATION'S RECORDS. X X X X 0 1 0 0 0 0 0 0 0 JA COBRIN PRESIDENT AND CEO 778857 0 0 0 291907 0 29700 0 43645 0 1144109 0 108000 0 R FINS CHIEF OPERATING OFFICER 305799 0 0 0 24084 0 29700 0 59449 0 419032 0 0 0 L WOLF GENERAL COUNSEL 298924 0 0 0 240 0 27748 0 43934 0 370846 0 0 0 A IUCHYK CHIEF FINANCIAL OFFICER 236997 0 0 0 340 0 22375 0 57308 0 317020 0 0 0 A DANIELS DIRECTOR OF LEARNING & COMM. 241284 0 0 0 970 0 22269 0 40555 0 305078 0 0 0 M PAUL MEDICAL DIRECTOR 199891 0 0 0 1174 0 18220 0 21000 0 240285 0 0 0 E POITRAS DIRECTOR OF RISK, QUALITY, & PATIENT SAFETY 174088 0 0 0 223 0 16221 0 40815 0 231347 0 0 0 S SELLERS DIRECTOR OF INSURANCE 203376 0 0 0 158 0 18332 0 1600 0 223466 0 0 0 A RAFFEL DIRECTOR OF TECHNOLOGY SVCS 180866 0 0 0 660 0 16809 0 24447 0 222782 0 0 0 PART I, LINE 4B J. COBRIN PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN (457F). THE AMOUNT THE ORGANIZATION CONTRIBUTED IN 2023 WAS $150,283. THIS AMOUNT WAS PAID IN 2023 AND INCLUDED IN BOX 5 OF FORM W-2 AS TAXABLE COMPENSATION. J. COBRIN RECEIVED A PAYMENT FROM THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN (457F) IN 2023 IN THE AMOUNT OF $258,283, WHICH INCLUDES THE 2023 ORGANIZATION CONTRIBUTION OF $150,283. FORM 990, PART VI, SECTION A, LINE 6 POLICYHOLDERS' TRUST IS THE SOLE MEMBER OF AFFILIATES RISK MANAGEMENT SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A POLICYHOLDERS' TRUST, THE SOLE MEMBER OF AFFILIATES RISK MANAGEMENT SERVICES, INC., ELECTS THE BOARD OF DIRECTORS AT ITS ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION HAS CERTAIN RIGHTS AND POWERS AS ARE TYPICAL OF MEMBERS OF NOT-FOR-PROFIT CORPORATIONS UNDER THE LAWS OF THE STATE OF NEW YORK. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED ELECTRONICALLY TO EACH OF THE DIRECTORS FOR THEIR REVIEW. THE 990 IS FILED ONLY AFTER THE BOARD EITHER FORMALLY APPROVES THE 990 AT A MEETING OR NONE OF THE DIRECTORS PROTEST THE DRAFT 990 AS PROVIDED, OR OTHERWISE RAISES ANY QUESTIONS OR ISSUES REGARDING THE DRAFT FORM, WITHIN A PRESCRIBED TIME PERIOD. FORM 990, PART VI, SECTION B, LINE 12C ARMS MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY, WHICH IS ANNUALLY REVIEWED BY MANAGEMENT. ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES OF THE ORGANIZATION ARE EXPECTED TO COMPLY WITH THIS POLICY. EACH INDIVIDUAL HAS A DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AS WELL AS ALL MATERIAL FACTS THEREOF, TO THE DIRECTORS OR AUDIT COMMITTEE MEMBERS. THE INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OR AUDIT COMMITTEE. FOLLOWING THE PRESENTATION, THE AUDIT COMMITTEE WILL EXCUSE THE INTERESTED PARTY FROM THE ROOM TO ALLOW DISCUSSION AND VOTING AMONG THE DISINTERESTED DIRECTORS/COMMITTEE MEMBERS TO DETERMINE IF A CONFLICT EXISTS. AFTER DUE DILIGENCE, THE BOARD OR AUDIT COMMITTEE WILL DETERMINE BY MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT, OR A PROPOSED ALTERNATIVE, IS IN THE BEST INTERESTS OF THE ORGANIZATION. IN CASES WHERE AN INTERESTED PARTY HAS A SUBSTANTIAL FINANCIAL INTEREST IN A POTENTIAL TRANSACTION, THE BOARD OR AUDIT COMMITTEE SHALL APPOINT A DISINTERESTED PERSON TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, PRIOR TO ANY VOTE ON THE POTENTIAL TRANSACTION. THE MINUTES OF THE BOARD AND/OR AUDIT COMMITTEE MEETINGS SHALL CONTAIN THE NAMES OF THE PERSONS WHO DISCLOSED OR WERE FOUND TO HAVE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE INTEREST, ANY ACTION TAKEN TO DETERMINE IF A CONFLICT WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED. ADDITIONALLY, THE MINUTES SHALL INCLUDE THE NAMES OF PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTING, THE CONTENT OF THE DISCUSSION INCLUDING ALTERNATIVES CONSIDERED, AND A RECORD OF VOTES TAKEN IN CONNECTION WITH THE PROCEEDINGS. THE BOARD OF DIRECTORS AND OFFICERS OF THE ORGANIZATION ARE REQUIRED TO CERTIFY ANNUALLY THAT THEY HAVE READ AND UNDERSTAND THE CONFLICT OF INTEREST POLICY AND SUBMIT A WRITTEN QUESTIONNAIRE EACH YEAR DISCLOSING ANY KNOWN CONFLICTS TO THE SECRETARY OF THE ORGANIZATION. MANAGEMENT EXPLAINS THE QUESTIONNAIRE ANNUALLY AT A BOARD OF DIRECTOR'S MEETING. A COPY OF ALL COMPLETED STATEMENTS ARE PROVIDED TO THE CHAIR OF THE AUDIT COMMITTEE. THE RESPONSES TO THE QUESTIONNAIRES ARE ALSO REVIEWED BY MANAGEMENT. MANAGEMENT ALSO MONITORS ALL TRANSACTIONS DURING THE NORMAL COURSE OF BUSINESS TO IDENTIFY OTHER POTENTIAL CONFLICTS. FORM 990, PART VI, SECTION B, LINE 15 FOR THE CEO'S COMPENSATION, PERIODICALLY AND PRIOR TO ANY MATERIAL INCREASE IN COMPENSATION OR BENEFITS OR CHANGES TO THE TERMS OF THE CEO'S EMPLOYMENT CONTRACT, THE BOARD (I) EVALUATES THE CEO'S ACCOMPLISHMENTS AND WORK PERFORMANCE AND (II) COMMISSIONS AN INDEPENDENT SALARY REVIEW BY AN OUTSIDE CONSULTANT AND/OR REVIEWS COMPARABILITY DATA OF OTHER SIMILARLY-SITUATED NON-PROFIT AND FOR-PROFIT ORGANIZATIONS TO DETERMINE THE REASONABLENESS OF THE PROPOSED COMPENSATION AND/OR CONTRACT TERMS IN LIGHT OF THE COMPARABILITY DATA. THE CEO RECUSES HERSELF FROM THE MEETINGS DURING SUCH DELIBERATIONS. THE BOARD THEN VOTES REGARDING ANY CHANGES TO THE COMPENSATION FOLLOWING SUCH DELIBERATION, WITH THE CEO ABSTAINING FROM SUCH VOTE AND NOT IN ATTENDANCE. MINUTES OF THE MEETINGS AT WHICH SUCH VOTE IS TAKEN ARE DRAFTED AND SIGNED BY THE CHAIRMAN OR SECRETARY PRIOR TO THE NEXT BOARD MEETING. FOR 2023, THIS PROCESS WAS CONDUCTED AND FINALIZED IN MARCH OF THAT YEAR. WITH RESPECT TO THE COMPENSATION OF THE COO, CFO, AND GENERAL COUNSEL, THE EXECUTIVE COMMITTEE, AT THE REQUEST OF THE CEO PRIOR TO ANY MATERIAL INCREASE IN COMPENSATION OR BENEFITS, REVIEWS AN INDEPENDENT SALARY REVIEW BY AN OUTSIDE CONSULTANT AND/OR REVIEWS COMPARABILITY DATA OF OTHER SIMILARLY-SITUATED NON-PROFIT AND FOR-PROFIT ORGANIZATIONS TO DETERMINE THE REASONABLENESS OF THE PROPOSED COMPENSATION IN LIGHT OF THE COMPARABILITY DATA. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE SERVICE CODE AS IT IS POSTED ON GUIDESTAR.ORG, THE NEW YORK STATE CHARITIES BUREAU WEBSITE, AND OTHER SIMILAR WEBSITES. IN ADDITION, FORMS 990 AND 1023, AS WELL AS THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, CERTIFICATE OF INCORPORATION, AND BYLAWS ARE AVAILABLE UPON WRITTEN REQUEST OF THE ORGANIZATION AT 215 LEXINGTON AVENUE, NEW YORK, NY 10016, OR BY CALLING THE ORGANIZATION AT 212-261-4656. FORM 990, PART XII, LINE 2C: THE PROCESS AND RESPONSIBILITY FOR AUDIT OVERSIGHT, PREPARATION OF THE FINANCIAL STATEMENTS, AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. AFFILIATES PROGRAM PROTECTION LLC (APPL) 30 MAIN STREETSUITE 330 BURLINGTON VT 05401 203095531 ATTORNEY-IN-FACT ON BEHALF OF APR AND AIR VT 190000 49260 AFFILIATES RISK MANAGEMENT SERVICES INC AFFILIATES IP HOLDINGS LLC (AIPH) 30 MAIN STREETSUITE 330 BURLINGTON VT 05401 TRADEMARK LICENSING VT 0 2000 AFFILIATES RISK MANAGEMENT SERVICES INC POLICYHOLDERS' TRUST 800 THIRD AVENUE 18TH FL NEW YORK NY 10022 137305782 SERVES AS THE SOLE MEMBER OF ARMS, INC. 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