Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
HEALTHCARE ASSOCIATION OF NEW YORK STATE
 
Employer identification number

14-1405826
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
If any of the boxes in 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 .........
1b
Yes
 
2
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 in line 1a? ..
2
Yes
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ....................
5a
 
 
b
Any related organization? .......................
5b
 
 
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization? ..................
6a
 
 
b
Any related organization? ......................
6b
 
 
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
 
 
8
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 ..........................
8
 
 
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2016
Page 2

Schedule J (Form 990) 2016
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
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1MARIE B GRAUSE
PRESIDENT (FROM JULY 2016)
(i)

(ii)
331,865
-------------
186,674
0
-------------
0
11,284
-------------
6,347
0
-------------
0
9,345
-------------
5,256
352,494
-------------
198,277
0
-------------
0
2DENNIS WHALEN
PRESIDENT (TO JULY 2016)
(i)

(ii)
236,389
-------------
122,242
275,520
-------------
154,980
163,760
-------------
91,123
48,471
-------------
27,265
5,653
-------------
3,180
729,793
-------------
398,790
119,312
-------------
67,113
3RICHARD COOK
CHIEF OPERATING OFFICER(TO NOV 2016)
(i)

(ii)
41,316
-------------
173,873
0
-------------
0
1,249
-------------
5,256
8,628
-------------
36,310
133
-------------
559
51,326
-------------
215,998
0
-------------
0
4DANIEL DEL POZZO
CHIEF FINANCIAL OFFICER
(i)

(ii)
42,951
-------------
183,735
0
-------------
0
337
-------------
1,645
3,647
-------------
19,022
1,299
-------------
6,775
48,234
-------------
211,177
0
-------------
0
5VALERIE GREY
EXECUTIVE VP (TO SEPT 2016)
(i)

(ii)
152,674
-------------
85,879
23,107
-------------
12,998
60,348
-------------
33,946
34,234
-------------
19,256
828
-------------
466
271,191
-------------
152,545
45,369
-------------
25,520
6KEVIN DAHILL
EXECUTIVE VICE PRESIDENT
(i)

(ii)
382,451
-------------
0
0
-------------
0
7,498
-------------
0
26,500
-------------
0
21,797
-------------
0
438,246
-------------
0
0
-------------
0
7SUSAN VAN METER
VP, GOVERNMENT AFFAIRS
(i)

(ii)
254,350
-------------
0
5,000
-------------
0
1,450
-------------
0
25,435
-------------
0
117
-------------
0
286,352
-------------
0
0
-------------
0
8JEFFREY GOLD
SENIOR VP, MANAGED CARE
(i)

(ii)
231,036
-------------
0
5,000
-------------
0
4,204
-------------
0
23,103
-------------
0
1,499
-------------
0
264,842
-------------
0
0
-------------
0
9WILLIAM STRECK
CHIEF MED & HEALTH INNOV. OFFICER
(i)

(ii)
276,966
-------------
123,911
415
-------------
185
4,978
-------------
2,227
2,186
-------------
978
537
-------------
240
285,082
-------------
127,541
0
-------------
0
10MARK THOMAS
GENERAL COUNSEL
(i)

(ii)
212,327
-------------
4,710
24,458
-------------
543
7,335
-------------
163
21,233
-------------
471
7,953
-------------
176
273,306
-------------
6,063
0
-------------
0
11DANIEL SISTO
FORMER PRESIDENT (SEE SCH. J NOTES)
(i)

(ii)
40,000
-------------
0
0
-------------
0
1,410,562
-------------
0
3,500
-------------
0
0
-------------
0
1,454,062
-------------
0
967,181
-------------
0
Schedule J (Form 990) 2016
Page 3

Schedule J (Form 990) 2016
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 I, LINE 1A MARIE B. GRAUSE RECEIVED REIMBURSEMENT OF THE TAX OBLIGATION ASSOCIATED WITH REIMBURSED TAXABLE RELOCATION EXPENSES.
PART I, LINE 4B THE FOLLOWING EXECUTIVES OF THE ORGANIZATION PARTICIPATE IN NONQUALIFIED RETIREMENT PLANS MAINTAINED BY THE ORGANIZATION: DENNIS WHALEN, SECTION 457(F) SUPPLEMENTAL RETIREMENT PLAN. MARIE B. GRAUSE, SECTION 457(F) SUPPLEMENTAL RETIREMENT PLAN. VALERIE GREY, SECTION 457(F) SUPPLEMENTAL RETIREMENT PLAN. RICHARD COOK, SECTION 457(F) SUPPLEMENTAL RETIREMENT PLAN. IN SEPTEMBER 2016, VALERIE GREY, THE EXECUTIVE VICE PRESIDENT OF THE ORGANIZATION, VOLUNTARILY TERMINATED HER EMPLOYMENT WITH THE ORGANIZATION AND ELECTED TO RECEIVE A FULL DISTRIBUTION OF HER VESTED BALANCE IN A SUPPLEMENTAL RETIREMENT ACCOUNT, WHICH TOTALED $77,311. THE VESTED BALANCE CONSISTS OF AMOUNTS PREVIOUSLY DEFERRED OVER HER 3.7 YEARS OF EMPLOYMENT PLUS ASSOCIATED INVESTMENT EARNINGS ON THE DEFERRALS. THE PREVIOUSLY DEFERRED AMOUNTS TOTALING $70,889 WERE REPORTED IN PRIOR FORMS 990 AND IS INCLUDED IN SCHEDULE J, COLUMN F. THE FULL DISTRIBUTION OF $77,311 IS INCLUDED IN THE COMPENSATION REPORTED FOR MS. GREY IN PART VII, SECTION A, AND IN SCHEDULE J, PART II, COLUMN B(III). IN JUNE 2016, DENNIS WHALEN, THE PRESIDENT OF THE ORGANIZATION, RETIRED FROM THE ORGANIZATION AND ELECTED TO RECEIVE A FULL DISTRIBUTION OF HIS VESTED BALANCE IN A SUPPLEMENTAL RETIREMENT ACCOUNT, WHICH TOTALED $198,296. THE VESTED BALANCE CONSISTS OF AMOUNTS PREVIOUSLY DEFERRED OVER HIS 6.75 YEARS OF EMPLOYMENT PLUS ASSOCIATED INVESTMENT EARNINGS ON THE DEFERRALS. THE PREVIOUSLY DEFERRED AMOUNTS TOTALING $186,425 WERE REPORTED IN PRIOR FORMS 990 AND IS INCLUDED IN SCHEDULE J, COLUMN F. THE FULL DISTRIBUTION OF $198,296 IS INCLUDED IN THE COMPENSATION REPORTED FOR MR. WHALEN IN PART VII, SECTION A, AND IN SCHEDULE J, PART II, COLUMN B(III). DURING 2016, DANIEL SISTO, THE RETIRED FORMER PRESIDENT OF THE ORGANIZATION, ELECTED TO RECEIVE A FULL DISTRIBUTION OF HIS VESTED BALANCE IN A SUPPLEMENTAL RETIREMENT ACCOUNT, WHICH TOTALED $1,402,356. THE VESTED BALANCE CONSISTS OF AMOUNTS PREVIOUSLY DEFERRED OVER HIS 29 YEARS OF EMPLOYMENT PLUS ASSOCIATED INVESTMENT EARNINGS ON THE DEFERRALS. THE PREVIOUSLY DEFERRED AMOUNTS TOTALING $967,181 WERE REPORTED IN PRIOR FORMS 990 AND IS INCLUDED IN SCHEDULE J, COLUMN F. THE FULL DISTRIBUTION OF $1,402,356 IS INCLUDED IN THE COMPENSATION REPORTED FOR MR. SISTO IN PART VII, SECTION A, AND IN SCHEDULE J, PART II, COLUMN B(III). EFFECTIVE JUNE 30, 2016, DENNIS WHALEN RETIRED FROM THE ROLE OF PRESIDENT OF THE ORGANIZATION. FOLLOWING MR. WHALEN'S RETIREMENT, HE WAS ENGAGED BY THE ORGANIZATION AS AN INDEPENDENT CONTRACTOR ON A PART TIME BASIS TO PROVIDE POLICY AND ADVISORY SERVICES. THE COMPENSATION REPORTED FOR MR. WHALEN IN PART VII, SECTION A, AND IN SCHEDULE J, PART II INCLUDES HIS COMPENSATION EARNED WHILE EMPLOYED AS PRESIDENT THROUGH JUNE, 2016, THE SUPPLEMENTAL RETIREMENT ACCOUNT DISTRIBUTION DESCRIBED ABOVE, AND COMPENSATION PAID AS AN INDEPENDENT CONSULTANT FOLLOWING HIS RETIREMENT. MARIE B. GRAUSE WAS APPOINTED PRESIDENT AND CHIEF EXECUTIVE OFFICER-IN-WAITING FOR THE TRANSITIONAL PERIOD BETWEEN HER MARCH 1, 2016 HIRE DATE AND MR. WHALEN'S JUNE 30, 2016 RETIREMENT DATE. MS. GRAUSE BECAME PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION EFFECTIVE JULY 1, 2016. THE COMPENSATION REPORTED FOR MS. GRAUSE IN PART VII, SECTION A, AND IN SCHEDULE J, PART II INCLUDES HER COMPENSATION EARNED WHILE SERVING AS PRESIDENT AND CHIEF EXECUTIVE OFFICER-IN-WAITING THROUGH JUNE, 2016 AND HER COMPENSATION WHILE SERVING AS PRESIDENT AND CHIEF EXECUTIVE OFFICER BEGINNING IN JULY, 2016.
Schedule J (Form 990) 2016
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