HEALTH INSURANCE PLAN OF GREATER NEW YORK: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH INSURANCE PLAN OF GREATER NEW YORK (EIN 13-1828429)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-12
- IRS object ID
- 202143169349302059
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-12T08:02:24-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 366055558 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 757 THIRD AVENUE 3RD FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100172013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131828429 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH INSURANCE PLAN OF GREATER | BusinessNameLine1Txt |
| Business Name Line2 | NEW YORK | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 6464475000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET TAX DEPT 9TH FL | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10041 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HEATHER TAMBORINO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6464475000 | PhoneNum |
| Signature | 2021-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | HEATHER | PersonFirstNm |
| Person Last | TAMBORINO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SCOTT THOMPSETT | PreparerPersonNm |
| PTIN | P00741490 | PTIN |
| Phone | 2125990100 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KAREN IGNAGNI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET TAX DEPT 9TH FL | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10041 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,401,172,187 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.EMBLEMHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | HIPGNY'S MISSION IS TO CREATE HEALTHIER FUTURES FOR ITS CUSTOMERS (CONTINUED ON SCHEDULE O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 2769 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $549,567 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $31,506,429 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,030,437,619 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,277,043,079 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,584,872 | PYInvestmentIncomeAmt |
| CY Investment Income | $68,409,942 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,213,920 | PYOtherRevenueAmt |
| CY Other Revenue | $4,670,986 | CYOtherRevenueAmt |
| PY Total Revenue | $5,066,236,411 | PYTotalRevenueAmt |
| CY Total Revenue | $5,381,630,436 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $640,907 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $261,404 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $216,186,648 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $211,805,024 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,893,289,777 | PYOtherExpensesAmt |
| CY Other Expenses | $5,225,513,351 | CYOtherExpensesAmt |
| PY Total Expenses | $5,110,117,332 | PYTotalExpensesAmt |
| CY Total Expenses | $5,437,579,779 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$43,880,921 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$55,949,343 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,785,212,281 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,883,926,436 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,171,661,230 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,294,370,259 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $613,551,051 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $589,556,177 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HIPGNY'S MISSION IS TO CREATE HEALTHIER FUTURES FOR ITS CUSTOMERS AND COMMUNITIES. HIPGNY WORKS ALONGSIDE ITS CUSTOMERS TO OFFER ACCESS TO HIGH-QUALITY, AFFORDABLE CARE, HELP NAVIGATE THE HEALTH CARE EXPERIENCE, AND MAKE GOOD HEALTH ACHIEVABLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,675,499,027 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,718,815,118 | RevenueAmt |
| Desc | MEDICARE - HIPGNY SERVED APPROXIMATELY 126,000 MEDICARE MEMBERS THROUGH ITS MEDICARE RISK AND COST CONTRACT PROGRAMS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,039,153,877 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,105,413,210 | RevenueAmt |
| Desc | MEDICAID - HIPGNY SERVED APPROXIMATELY 171,000 MEDICAID MEMBERS. HIP HAS BEEN SERVICING THE MEDICAID POPULATION SINCE 1967 (WITH THE PASSAGE OF FEDERAL LEGISLATION AUTHORIZING THIS PROGRAM) AND HAS AN EXTENSIVE PROGRAM IN PLACE TO ENCOURAGE PREVENTIVE MEDICAL CARE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,134,792,270 | ExpenseAmt |
| Grant | $261,404 | GrantAmt |
| Revenue | $2,452,187,852 | RevenueAmt |
| Desc | SUBSCRIBER BENEFITS- HIPGNY IS A NOT-FOR-PROFIT CORPORATION THAT ARRANGES FOR THE PROVISION OF COMPREHENSIVE MEDICAL AND HEALTH CARE SERVICES FOR ITS SUBSCRIBERS/MEMBERS (INCLUDING HEALTH CARE SERVICES TO MEDICARE AND MEDICAID MEMBERS) WHICH IS AN EXEMPT FUNCTION. IN 2020, HIPGNY PROVIDED SERVICES (ACROSS ALL SERVICE LINES) TO APPROXIMATELY 597,000 MEMBERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,849,445,174 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 2159 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2769 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEATHER TAMBORINO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6464475000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10041 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| KAREN IGNAGNI | |||||||||
| PRESIDENT & CEO | 35.00 | 2.00 | Yes (X) | Yes (X) | $5,337,981 | $0 | $55,578 | ||
| JOHN FEERICK | |||||||||
| CHAIRMAN | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $164,625 | $0 | ||
| RICHARD BERMAN | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $134,143 | $0 | |||
| DR STUART ALTMAN | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $123,625 | $0 | |||
| JOHN H BANKS III | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $119,598 | $0 | |||
| BERNARD SCHAYES MD | |||||||||
| DIRECTOR | 2.00 | 0.00 | Yes (X) | $138,788 | $0 | $0 | |||
| GREGORY FLOYD | |||||||||
| DIRECTOR (AS OF 01/2020) | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAY EDMOND RUSS ESQ | |||||||||
| DIRECTOR (AS OF 01/2020) | 2.00 | 1.00 | Yes (X) | $0 | $153,396 | $0 | |||
| MICHAEL PALMATEER | |||||||||
| CHIEF ADMINISTRATIVE OFFICER | 35.00 | 0.00 | Yes (X) | $2,109,830 | $0 | $1,197,902 | |||
| JEFFREY CHANSLER | |||||||||
| CHIEF LEGAL OFFICER | 35.00 | 0.00 | Yes (X) | $1,217,451 | $0 | $134,657 | |||
| GEORGE BABITSCH | |||||||||
| SVP, ACCOUNT MGMT. | 35.00 | 0.00 | Yes (X) | $812,642 | $0 | $553,192 | |||
| TIMOTHY NOLAN THRU 072020 | |||||||||
| EVP, CHIEF REV & HC DEL OFFICER | 35.00 | 0.00 | Yes (X) | $5,073,425 | $0 | $48,206 | |||
| JEFF DANILO | |||||||||
| SVP, PROVIDER NETWK & POP. HEALTH | 35.00 | 0.00 | Yes (X) | $883,438 | $0 | $53,062 | |||
| BRUCE JARVIE THRU 012020 | |||||||||
| CHIEF FINANCIAL OFFICER | 35.00 | 0.00 | Yes (X) | $1,770,168 | $0 | $8,698 | |||
| NAVARRA RODRIGUEZ | |||||||||
| SVP, PRESIDENT/CMO ACPNY | 35.00 | 0.00 | Yes (X) | $1,190,826 | $0 | $46,465 | |||
| BETH AMBER FABBRI | |||||||||
| CHIEF MARKETING & COMM OFFICER | 35.00 | 0.00 | Yes (X) | $1,762,015 | $0 | $46,551 | |||
| JERRY FRANK THRU 032020 | |||||||||
| SVP, MEDICAL DELIVERY | 35.00 | 0.00 | Yes (X) | $1,844,418 | $0 | $8,824 | |||
| CHRISTOPHER CHAPPELEAR | |||||||||
| CHIEF ACTUARY | 35.00 | 0.00 | Yes (X) | $863,646 | $0 | $186,536 | |||
| THOMAS MACMILLAN | |||||||||
| CHIEF INFORMATION OFFICER | 35.00 | 0.00 | Yes (X) | $1,446,496 | $0 | $38,424 | |||
| JENNIFER TRUSCOTT | |||||||||
| CHIEF OF OPERATIONS | 35.00 | 0.00 | Yes (X) | $1,001,931 | $0 | $45,840 | |||
| JOHN J SHEEHY III THRU 0820 | |||||||||
| SVP, PRODUCT INNOVATION | 35.00 | 0.00 | Yes (X) | $2,072,554 | $0 | $56,798 | |||
| DEBRA LIGHTNER | |||||||||
| CHIEF COMPLIANCE OFFICER | 35.00 | 0.00 | Yes (X) | $852,473 | $0 | $28,932 | |||
| ANTOINETTE CASSETTA | |||||||||
| SVP, GOV'T PROGRAMS | 35.00 | 0.00 | Yes (X) | $757,819 | $0 | $52,237 | |||
| RODGER WENZEL | |||||||||
| SVP, MEDICAL ECONOMICS | 35.00 | 0.00 | Yes (X) | $763,090 | $0 | $53,165 | |||
| DAVID NOTARI | |||||||||
| SVP, SALES | 35.00 | 0.00 | Yes (X) | $738,565 | $0 | $50,913 | |||
| DONNA HUGHES | |||||||||
| CHIEF HUMAN RESOURCES OFFICER | 35.00 | 0.00 | Yes (X) | $719,643 | $0 | $46,920 | |||
| RICHARD H DAL COL | |||||||||
| CHIEF MEDICAL OFFICER(AS OF 01/2020) | 35.00 | 0.00 | Yes (X) | $681,484 | $0 | $45,069 | |||
| KAREN MORAN | |||||||||
| SVP, COMMERCIAL PRODUCT & STRATEGY | 35.00 | 0.00 | Yes (X) | $491,253 | $0 | $45,848 | |||
| HEATHER TAMBORINO AS OF 0420 | |||||||||
| CHIEF FINANCIAL OFFICER | 35.00 | 0.00 | Yes (X) | $476,786 | $0 | $35,505 | |||
| ERIC J WALLACE AS OF 092020 | |||||||||
| SVP, PROVIDER NETWK & POP. HEALTH | 35.00 | 0.00 | Yes (X) | $237,372 | $0 | $7,613 | |||
| CAROLYN A OSER | |||||||||
| VP, BUS & TECH TRANSFORMATION | 40.00 | 0.00 | $748,959 | $0 | $48,533 | Yes (X) | |||
| EDMOND A CUNNINGHAM | |||||||||
| VP, PROCUREMENT (THRU 2/15/2020) | 40.00 | 0.00 | $639,609 | $0 | $44,306 | Yes (X) | |||
| SHEIT DHAON THRU 842020 | |||||||||
| VP, ENTERPRISE FINANCE | 40.00 | 0.00 | $577,852 | $0 | $37,890 | Yes (X) | |||
| WILLIAM VOIGT | |||||||||
| VP, HR BUSINESS OPERATIONS | 40.00 | 0.00 | $557,885 | $0 | $47,570 | Yes (X) | |||
| THOMAS A CONWAY | |||||||||
| VP, RISK MANAGEMENT | 40.00 | 0.00 | $523,407 | $0 | $47,007 | Yes (X) | |||
| PAUL E GIBSON | |||||||||
| FORMER DIRECTOR | 2.00 | 1.00 | $0 | $157,500 | $0 | Yes (X) | |||
| CHARLES WANG | |||||||||
| FORMER DIRECTOR | 2.00 | 1.00 | $0 | $130,925 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $36,291,806 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $983,812 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,072,241 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 772 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COGNIZANT HEALTHCARE SERVICES LLC | |||||
| 500 FRANK W BURR SUITE 3F | TEANECK | NJ | 07666 | CONSULTING | $231,033,461 |
| INCOMM INC | |||||
| 250 WILLIAMS STREET 5TH FLOOR | ATLANTA | GA | 30303 | SOFTWARE SOLUTIONS | $29,559,205 |
| THE SOURCING GROUP LLC | |||||
| 77 WATER STREET | NEW YORK | NY | 10005 | BUSINESS SOLUTIONS | $16,788,353 |
| GYRO LLC | |||||
| 115 BROADWAY 14TH FLOOR | NEW YORK | NY | 10006 | BUSINESS SOLUTIONS | $6,764,123 |
| MERKLE INC | |||||
| 32 6TH AVENUE 18TH FLOOR | NEW YORK | NY | 10013 | BUSINESS SOLUTIONS | $6,285,477 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 115 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $31,506,429 | GovernmentGrantsAmt |
| Total Contributions | $31,506,429 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PREMIUM REVENUE | 900099 | $5,276,416,146 | $5,276,416,146 | |
| THIRD PARTY ADMINISTRATIVE FEES | 540000 | $626,933 | $626,933 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,277,043,079 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,282,712 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$230,198 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,512,910 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $24,049,826 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,541,751 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,508,075 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,508,075 | TotalRevenueColumnAmt |
| Exclusion | $4,508,075 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $64,127,230 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $64,127,230 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,127,230 | TotalRevenueColumnAmt |
| Exclusion | $64,127,230 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PHARMACY REVENUE | 440000 | $152,866 | $34 | $152,832 | |
| MISCELLANEOUS INCOME | 900099 | $10,045 | $10,045 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $162,911 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,381,630,436 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,276,416,180 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $549,567 | UnrelatedBusinessRevenueAmt |
| Exclusion | $73,158,260 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,404 | TotalAmt |
| Program Services | $261,404 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,786,414 | TotalAmt |
| Management And General | $36,786,414 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,425 | TotalAmt |
| Management And General | $288,425 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,131,582 | TotalAmt |
| Management And General | $126,131,582 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,682,760 | TotalAmt |
| Management And General | $19,682,760 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,447,044 | TotalAmt |
| Management And General | $16,447,044 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,468,799 | TotalAmt |
| Management And General | $12,468,799 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,606,548 | TotalAmt |
| Management And General | $5,606,548 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,558,449 | TotalAmt |
| Management And General | $1,558,449 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,735 | TotalAmt |
| Management And General | $348,735 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $531,452 | TotalAmt |
| Management And General | $531,452 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,469,018 | TotalAmt |
| Management And General | $239,469,018 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,801,783 | TotalAmt |
| Management And General | $12,801,783 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,049,224 | TotalAmt |
| Management And General | $11,049,224 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,658,730 | TotalAmt |
| Management And General | $22,658,730 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,818,290 | TotalAmt |
| Management And General | $1,818,290 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,041 | TotalAmt |
| Management And General | $174,041 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,558,372 | TotalAmt |
| Management And General | $2,558,372 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,724,363 | TotalAmt |
| Management And General | $22,724,363 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,904,959 | TotalAmt |
| Management And General | $4,904,959 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUBSCRIBER BENEFITS | $4,743,721,973 | $4,743,721,973 | |
| ACA HEALTHCARE FEES | $49,064,454 | $49,064,454 | |
| CAPITATION PAYMENTS | $28,181,942 | $28,181,942 | |
| STATE INSUR. DEPT. FEE | $10,937,798 | $10,937,798 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,403,220 | TotalAmt |
| Program Services | $28,215,401 | ProgramServicesAmt |
| Management And General | $39,187,819 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,437,579,779 | TotalAmt |
| Program Services | $4,849,445,174 | ProgramServicesAmt |
| Management And General | $588,134,605 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,349,211 | BOYAmt |
| EOY | $209,228,465 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,885,536 | BOYAmt |
| EOY | $278,593,137 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,820,495 | BOYAmt |
| EOY | $349,756 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,857,546 | BOYAmt |
| EOY | $15,478,993 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $372,992,611 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $194,509,067 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,830,466 | BOYAmt |
| EOY | $178,483,544 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,500,688 | BOYAmt |
| EOY | $71,359,193 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $600,972,676 | BOYAmt |
| EOY | $753,445,176 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,488,654 | BOYAmt |
| EOY | $3,927,592 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,507,009 | BOYAmt |
| EOY | $373,060,580 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,785,212,281 | BOYAmt |
| EOY | $1,883,926,436 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $824,012,244 | BOYAmt |
| EOY | $946,057,109 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,445,677 | BOYAmt |
| EOY | $46,443,343 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,725,366 | BOYAmt |
| EOY | $47,099,505 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $241,477,943 | BOYAmt |
| EOY | $254,770,302 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,171,661,230 | BOYAmt |
| EOY | $1,294,370,259 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $613,551,051 | BOYAmt |
| EOY | $589,556,177 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $613,551,051 | BOYAmt |
| EOY | $589,556,177 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,785,212,281 | BOYAmt |
| EOY | $1,883,926,436 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$55,949,343 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $32,340,792 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$386,323 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,083,567 | OtherCostOrOtherBasisAmt |
| Book Value | $3,083,567 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,875,117 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,970,022 | DepreciationAmt |
| Book Value | $14,905,095 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $271,897,313 | OtherCostOrOtherBasisAmt |
| Depreciation | $125,798,502 | DepreciationAmt |
| Book Value | $146,098,811 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,136,614 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,740,543 | DepreciationAmt |
| Book Value | $14,396,071 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $178,483,544 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN ADVANTAGECARE | $378,739,687 | C |
| INVESTMENT IN HIP HOLDINGS INC | $209,640,551 | C |
| INVESTMENT IN BRONXDOCS | $64,938 | C |
| INVESTMENT IN EMBLEMHEALTH, INC. | $165,000,000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $753,445,176 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| HEALTHCARE RECEIVABLES | $283,668,034 |
| FEDERAL TAX RECEIVABLE | $1,548,965 |
| DEFERRED RENT | $697,739 |
| INTEREST/DIVIDENDS RECEIVABLE | $49,328 |
| OTHER CURRENT ASSETS | $87,096,514 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $373,060,580 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $162,182,519 |
| DEFERRED RENT | $56,477,592 |
| NOTES PAYABLE TO EMBLEMHEALTH PLAN, INC. | $19,846,543 |
| OTHER LONG TERM LIABILITIES | $16,263,648 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $254,770,302 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FIN 48 DISCLOSURE THE COMPANY HAS NOT TAKEN ANY UNSUBSTANTIATED TAX POSITION THAT WOULD REQUIRE PROVISIONS OF A LIABILITY UNDER ASC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE COMPANY DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, DID NOT RECOGNIZE ANY LIABILITY FOR UNRECOGNIZED TAX POSITIONS. FOR THE YEAR ENDED DECEMBER 31, 2020, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| ARCHCARE | ||||||||
| 205 LEXINGTON AVENUE 3RD FLOOR | NEW YORK | NY | 10016 | 134054158 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT |
| CHILDREN'S AID SOCIETY | ||||||||
| 711 THIRD AVE SUITE 700 | NEW YORK | NY | 10017 | 135562191 | 501(C)(3) | $6,000 | GENERAL SUPPORT | |
| CITIZEN'S BUDGET COMMISSION INC | ||||||||
| TWO PENN PLAZA 5TH FLOOR | NEW YORK | NY | 10121 | 130576141 | 501(C)(3) | $6,900 | GENERAL SUPPORT | |
| DEVELOPMENTAL DISABILITIES INSTITUTE INC | ||||||||
| 99 HOLLYWOOD DRIVE | SMITHTOWN | NY | 11787 | 116077347 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |
| DOMINICAN MEDICAL DENTAL COMMUNITY | ||||||||
| 435 FORT WASHINGTON AVE STE 1C | NEW YORK | NY | 10033 | 274628678 | 501(C)(3) | $50,000 | GENERAL SUPPORT | |
| MAYOR'S FUND TO ADVANCE NEW YORK CITY | ||||||||
| 243 BROADWAY 6TH FLOOR | NEW YORK | NY | 10017 | 133783906 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |
| NEW YORK BUILDING CONGRESS INC | ||||||||
| 1040 AVENUE OF THE AMERICAS | NEW YORK | NY | 10018 | 131097030 | 501(C)(6) | $7,000 | GENERAL SUPPORT | |
| ONE HUNDRED BLACK MEN INC | ||||||||
| 2601 FREDERICK DOUGLASS BLVD | NEW YORK | NY | 10030 | 237379940 | 501(C)(3) | $25,000 | GENERAL SUPPORT | |
| STRIVE INTERNATIONAL INC | ||||||||
| 205 EAST 122ND STREET 3RD FLOOR | NEW YORK | NY | 10035 | 133255679 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |
| THE CAMPAIGN AGAINST HUNGER INC | ||||||||
| PO BOX 330532 | BROOKLYN | NY | 11233 | 200934854 | 501(C)(3) | $81,000 | GENERAL SUPPORT | |
| UNITED HOSPITAL FUND | ||||||||
| 1411 BROADWAY 12TH FLOOR | NEW YORK | NY | 10018 | 131562656 | 501(C)(3) | $10,000 | GENERAL SUPPORT | |
| UNIVERSITY OF MICHIGAN HOSPITAL | ||||||||
| 2800 PLYMOUTH ROAD BDG 16 FLOOR 4 | ANN ARBOR | MI | 48109 | 386006309 | 501(C)(3) | $20,000 | GENERAL SUPPORT | |
| VISITING NURSE SERVICE OF NEW YORK | ||||||||
| 107 EAST 70TH STREET | NEW YORK | NY | 10021 | 133189926 | 501(C)(3) | $10,750 | GENERAL SUPPORT | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 12 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | HEALTH INSURANCE PLAN OF GREATER NEW YORK ("HIPGNY") HAS AN INTERNAL REVIEW PROCESS FOR ALL CHARITABLE GRANTS PAID OUT BY THE ORGANIZATION. EVERY REQUEST FOR A GRANT MUST BE SUBMITTED IN WRITING TO THE CEO AND CHIEF ADMINISTRATIVE OFFICER FOR REVIEW AND APPROVAL. GRANT APPLICATIONS ARE PRIMARILY ACCEPTED FROM 501(C)(3) TAX-EXEMPT ORGANIZATIONS; TO THE EXTENT ANY OF THE GRANTEES ARE NON 501(C)(3) ORGANIZATIONS, THOSE GRANTEES ARE EITHER VOLUNTEER FIRE DEPARTMENTS OR BENEVOLENT FUNDS THAT SUPPORT CHARITABLE ENDEAVORS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (32 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAREN IGNAGNI | ||||||||||||||
| PRESIDENT & CEO | $1,170,606 | $0 | $4,155,000 | $0 | $12,375 | $0 | $43,440 | $0 | $12,138 | $0 | $5,393,559 | $0 | $0 | $0 |
| TIMOTHY NOLAN THRU 072020 | ||||||||||||||
| EVP, CHIEF REV & HC DEL OFFICER | $424,230 | $0 | $3,421,376 | $0 | $1,227,819 | $0 | $43,100 | $0 | $5,106 | $0 | $5,121,631 | $0 | $0 | $0 |
| MICHAEL PALMATEER | ||||||||||||||
| CHIEF ADMINISTRATIVE OFFICER | $768,704 | $0 | $1,341,126 | $0 | $0 | $0 | $1,177,646 | $0 | $20,256 | $0 | $3,307,732 | $0 | $0 | $0 |
| JOHN J SHEEHY III THRU 0820 | ||||||||||||||
| SVP, PRODUCT INNOVATION | $233,609 | $0 | $928,974 | $0 | $909,971 | $0 | $43,100 | $0 | $13,698 | $0 | $2,129,352 | $0 | $0 | $0 |
| JERRY FRANK THRU 032020 | ||||||||||||||
| SVP, MEDICAL DELIVERY | $75,054 | $0 | $1,096,561 | $0 | $672,803 | $0 | $6,633 | $0 | $2,191 | $0 | $1,853,242 | $0 | $0 | $0 |
| BETH AMBER FABBRI | ||||||||||||||
| CHIEF MARKETING & COMM OFFICER | $494,815 | $0 | $1,267,200 | $0 | $0 | $0 | $36,600 | $0 | $9,951 | $0 | $1,808,566 | $0 | $0 | $0 |
| BRUCE JARVIE THRU 012020 | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $25,384 | $0 | $1,066,500 | $0 | $678,284 | $0 | $7,933 | $0 | $765 | $0 | $1,778,866 | $0 | $0 | $0 |
| THOMAS MACMILLAN | ||||||||||||||
| CHIEF INFORMATION OFFICER | $423,776 | $0 | $1,022,720 | $0 | $0 | $0 | $36,600 | $0 | $1,824 | $0 | $1,484,920 | $0 | $0 | $0 |
| GEORGE BABITSCH | ||||||||||||||
| SVP, ACCOUNT MGMT. | $332,075 | $0 | $480,567 | $0 | $0 | $0 | $540,987 | $0 | $12,205 | $0 | $1,365,834 | $0 | $0 | $0 |
| JEFFREY CHANSLER | ||||||||||||||
| CHIEF LEGAL OFFICER | $500,187 | $0 | $717,264 | $0 | $0 | $0 | $106,390 | $0 | $28,267 | $0 | $1,352,108 | $0 | $0 | $0 |
| NAVARRA RODRIGUEZ | ||||||||||||||
| SVP, PRESIDENT/CMO ACPNY | $485,826 | $0 | $705,000 | $0 | $0 | $0 | $36,600 | $0 | $9,865 | $0 | $1,237,291 | $0 | $0 | $0 |
| CHRISTOPHER CHAPPELEAR | ||||||||||||||
| CHIEF ACTUARY | $361,561 | $0 | $502,085 | $0 | $0 | $0 | $173,467 | $0 | $13,069 | $0 | $1,050,182 | $0 | $0 | $0 |
| JENNIFER TRUSCOTT | ||||||||||||||
| CHIEF OF OPERATIONS | $425,307 | $0 | $576,624 | $0 | $0 | $0 | $43,100 | $0 | $2,740 | $0 | $1,047,771 | $0 | $0 | $0 |
| JEFF DANILO | ||||||||||||||
| SVP, PROVIDER NETWK & POP. HEALTH | $285,147 | $0 | $598,291 | $0 | $0 | $0 | $43,100 | $0 | $9,962 | $0 | $936,500 | $0 | $0 | $0 |
| DEBRA LIGHTNER | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $350,388 | $0 | $502,085 | $0 | $0 | $0 | $21,420 | $0 | $7,512 | $0 | $881,405 | $0 | $0 | $0 |
| RODGER WENZEL | ||||||||||||||
| SVP, MEDICAL ECONOMICS | $366,315 | $0 | $396,775 | $0 | $0 | $0 | $43,100 | $0 | $10,065 | $0 | $816,255 | $0 | $0 | $0 |
| ANTOINETTE CASSETTA | ||||||||||||||
| SVP, GOV'T PROGRAMS | $384,823 | $0 | $372,996 | $0 | $0 | $0 | $43,100 | $0 | $9,137 | $0 | $810,056 | $0 | $0 | $0 |
| CAROLYN A OSER | ||||||||||||||
| VP, BUS & TECH TRANSFORMATION | $272,308 | $0 | $476,651 | $0 | $0 | $0 | $36,600 | $0 | $11,933 | $0 | $797,492 | $0 | $0 | $0 |
| DAVID NOTARI | ||||||||||||||
| SVP, SALES | $361,850 | $0 | $376,715 | $0 | $0 | $0 | $43,100 | $0 | $7,813 | $0 | $789,478 | $0 | $0 | $0 |
| DONNA HUGHES | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $449,643 | $0 | $270,000 | $0 | $0 | $0 | $43,100 | $0 | $3,820 | $0 | $766,563 | $0 | $0 | $0 |
| RICHARD H DAL COL | ||||||||||||||
| CHIEF MEDICAL OFFICER(AS OF 01/2020) | $471,484 | $0 | $210,000 | $0 | $0 | $0 | $43,100 | $0 | $1,969 | $0 | $726,553 | $0 | $0 | $0 |
| EDMOND A CUNNINGHAM | ||||||||||||||
| VP, PROCUREMENT (THRU 2/15/2020) | $34,090 | $0 | $320,852 | $0 | $284,667 | $0 | $43,100 | $0 | $1,206 | $0 | $683,915 | $0 | $0 | $0 |
| SHEIT DHAON THRU 842020 | ||||||||||||||
| VP, ENTERPRISE FINANCE | $176,819 | $0 | $70,350 | $0 | $330,683 | $0 | $36,312 | $0 | $1,578 | $0 | $615,742 | $0 | $0 | $0 |
| WILLIAM VOIGT | ||||||||||||||
| VP, HR BUSINESS OPERATIONS | $326,581 | $0 | $231,304 | $0 | $0 | $0 | $43,100 | $0 | $4,470 | $0 | $605,455 | $0 | $0 | $0 |
| THOMAS A CONWAY | ||||||||||||||
| VP, RISK MANAGEMENT | $314,637 | $0 | $208,770 | $0 | $0 | $0 | $43,100 | $0 | $3,907 | $0 | $570,414 | $0 | $0 | $0 |
| KAREN MORAN | ||||||||||||||
| SVP, COMMERCIAL PRODUCT & STRATEGY | $290,788 | $0 | $200,465 | $0 | $0 | $0 | $36,600 | $0 | $9,248 | $0 | $537,101 | $0 | $0 | $0 |
| HEATHER TAMBORINO AS OF 0420 | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $430,119 | $0 | $46,667 | $0 | $0 | $0 | $29,789 | $0 | $5,716 | $0 | $512,291 | $0 | $0 | $0 |
| ERIC J WALLACE AS OF 092020 | ||||||||||||||
| SVP, PROVIDER NETWK & POP. HEALTH | $112,372 | $0 | $125,000 | $0 | $0 | $0 | $7,500 | $0 | $113 | $0 | $244,985 | $0 | $0 | $0 |
| JOHN FEERICK | ||||||||||||||
| CHAIRMAN | $0 | $164,625 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $164,625 | $0 | $0 |
| PAUL E GIBSON | ||||||||||||||
| FORMER DIRECTOR | $0 | $157,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $157,500 | $0 | $0 |
| JAY EDMOND RUSS ESQ | ||||||||||||||
| DIRECTOR (AS OF 01/2020) | $0 | $153,396 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $153,396 | $0 | $0 |
| CHARLES WANG | ||||||||||||||
| FORMER DIRECTOR | $0 | $130,925 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $130,925 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | LINE 4(A) - SEVERANCE THE FOLLOWING INDIVIDUALS REPORTED ON THE FORM 990, SCHEDULE J, RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2020: -SVP, MEDICAL DELIVERY, JERRY FRANK $665,550 -CHIEF FINANCIAL OFFICER, BRUCE JARVIE $625,000 -EVP, CHIEF REV & HC DEL OFFICER, TIMOTHY NOLAN $1,177,500 -SVP, PRODUCT INNOVATION, JOHN J. SHEEHY III, $880,800 -VP, PROCUREMENT, EDMOND A. CUNNINGHAM, $280,000 -VP, ENTERPRISE FINANCE, SHEIT DHAON, $301,500 THE SEVERANCE PAYMENTS DOCUMENTED ABOVE ARE REPORTED IN THE FORM 990, SCHEDULE J, PART II, COLUMN (B)(III). LINE 4(B) - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN EMBLEMHEALTH SERVICES COMPANY, LLC ("EMBLEMHEALTH SERVICES") SPONSORS A NONQUALIFIED RETIREMENT PLAN THAT OFFICERS OF HIPGNY WITH THE TITLES OF SENIOR VICE PRESIDENT AND ABOVE HIRED BEFORE JUNE 1, 2009, PARTICIPATE IN. THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR EMBLEMHEALTH SERVICES PROVIDES A RETIREMENT BENEFIT CALCULATED ON THE BASIS OF 50% OF FINAL AVERAGE PAY, OFFSET BY BENEFITS UNDER ANY QUALIFIED BENEFIT PLAN, SUCH AS THE EMBLEMHEALTH SERVICES COMPANY, LLC EMPLOYEES' RETIREMENT PLAN. PARTICIPANTS WHO RETIRE PRIOR TO AGE 65 HAVE THEIR BENEFITS REDUCED BY EARLY RETIREMENT FACTORS. |
| PART I, LINE 6 | HIPGNY HAS A SALES PERFORMANCE AWARD PROGRAM IN PLACE THAT IS DESIGNED TO INCENTIVIZE ITS SALES EMPLOYEES TO DELIVER HIGH QUALITY SERVICE TO HIPGNY'S CUSTOMERS/SUBSCRIBERS. EMPLOYEES ELIGIBLE TO PARTICIPATE IN THE PROGRAM HAVE TWO OPPORTUNITIES TO EARN SALES INCENTIVES: 1. A QUARTERLY BONUS OPPORTUNITY BASED UPON MEETING CERTAIN MEMBERSHIP AND GOAL METRICS AND, 2. A BONUS BASED ON ACHIEVING NEW MEDICARE SUPPLEMENTAL SALES THESE COMMISSION PAYMENTS ARE REPORTED IN THE FORM 990, SCHEDULE J, PART II, COLUMN (B)(II). OF THE INDIVIDUALS REPORTED ON THE FORM 990, ONLY THE ORGANIZATION'S TOP FIVE HIGHLY COMPENSATED EMPLOYEES PARTICIPATE IN THIS PROGRAM. |
| PART I, LINE 7 | BONUS PAYMENTS HIPGNY (VIA EMBLEMHEALTH SERVICES, THE PAYROLL PAYOR) PROVIDES ANNUAL INCENTIVE AWARDS BASED UPON THE ACHIEVEMENT OF PERFORMANCE METRICS. THE COMPENSATION COMMITTEES APPROVE THE PERFORMANCE METRICS AND TARGETS AND THE ULTIMATE PAYOUT TO PARTICIPANTS BASED UPON THE PERFORMANCE ACHIEVED UNDER THE ANNUAL INCENTIVE PLAN (AIP). |
| FORM 990, SCHEDULE J, PART II, COLUMN (C) AND (F): | THE MANAGEMENT PENSION PLAN WAS FROZEN EFFECTIVE JANUARY 1, 2016 AND REPLACED WITH A MATCHING 401(K) PROGRAM. THE AMOUNTS IN COLUMN C PRIMARILY REPRESENT THE COMPANY MATCH TO THE 401(K) PROGRAM. FOR FIVE INDIVIDUALS, (MICHAEL PALMATEER, GEORGE BABITSCH, JEFFREY CHANSLER, KAREN IGNAGNI, AND CHRISTOPHER CHAPPELEAR), COLUMN C ALSO REPORTS THE CHANGE IN ACTUARIAL VALUE OF THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN II FOR EMBLEMHEALTH SERVICES COMPANY, LLC ("SERP II"). THE SERP II AMOUNTS INCLUDED IN COLUMN C ARE DEFERRED COMPENSATION THAT MAY OR MAY NOT BE PAID AS IT IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. THIS DOES NOT REPRESENT ACTUAL PAYMENT RECEIVED IN 2020. TO THE EXTENT ANY INDIVIDUAL REPORTED ON SCHEDULE J HAS COMPENSATION REPORTED IN COLUMN (F), THOSE AMOUNTS REFLECT PAYOUTS OF PREVIOUSLY REPORTED DEFERRED COMPENSATION ON A PRIOR YEAR FORM 990. THERE HAVE BEEN NO PAYOUTS FROM SERP II SINCE INCEPTION FOR THE INDIVIDUALS NOTED ABOVE. IN JUNE OF 2021, EMBLEMHEALTH, INC. AMENDED ITS SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") TO EXCLUDE CERTAIN DEFERRED COMPENSATION FROM THE DEFINITION OF COMPENSATION USED TO DETERMINE A PARTICIPANT'S BENEFIT UNDER THE PLAN. THIS AMENDMENT WAS MADE RETROACTIVE TO JANUARY 1ST, 2018 AND RESULTED IN A DECREASE IN THE COMPENSATION AVAILABLE TO IMPACTED EMPLOYEES UNDER THE PLAN. AS A CONSEQUENCE OF THIS AMENDMENT TO THE SERP PLAN, THE DEFERRED COMPENSATION REPORTED IN FORM 990, SCHEDULE J, PART II, COLUMN (C) IN 2019 WAS OVER-STATED; IN THE INTERESTS OF TRANSPARENT REPORTING, THE ORGANIZATION IS DISCLOSING THE IMPACT OF THE SERP AMENDMENT IN THIS SCHEDULE J FOOTNOTE. THE FOLLOWING TABLE SHOWS THE EMPLOYEES THAT REPORTED A CHANGE IN THE VALUE OF THEIR SERP PLAN ON THE 2019 FORM 990, AS WELL AS THE REVISED AMOUNT: PREVIOUSLY REPORTED: GEORGE BABITSCH - $974,285 JEFFREY CHANSLER- $1,518,851 MICHAEL PALMATEER -$4,157,864 AS REVISED: GEORGE BABITSCH - $442,977 JEFFREY CHANSLER- $320,172 MICHAEL PALMATEER -$1,566,272 THE REVISED SERP AMOUNTS WERE CERTIFIED BY THE ORGANIZATION'S ACTUARIES IN ACCORDANCE WITH THE REQUIREMENTS OF THE INTERNAL REVENUE CODE, ERISA, AND STATEMENTS OF FINANCIAL ACCOUNTING STANDARDS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| KEITH DAHL | |||
| FAMILY OF FORM. OFF. | $346,249 | EMP. WAGES | 0 |
| DR LESTER LEBLANC | |||
| FAMILY OF BD MEMB. | $93,079 | DENT. WAGES | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE L: | FormAndLineReferenceDesc |
| Explanation | HIPGNY DOES NOT BELIEVE IT HAS ANY OTHER BUSINESS TRANSACTIONS OR RELATIONSHIPS BETWEEN ITSELF AND AN OFFICER, DIRECTOR, OR KEY EMPLOYEE OF THE ORGANIZATION THAT RISE TO THE MONETARY THRESHOLD REQUIRED FOR DISCLOSURE ON SCHEDULE L OF THE FORM 990. THE ORGANIZATION TAKES ITS RESPONSIBILITIES OF MONITORING POTENTIAL CONFLICTS OF INTEREST VERY SERIOUSLY (PLEASE SEE DISCLOSURE ON PART VI, LINE 12). HIPGNY COMPILES A LENGTHY SUMMARY REPORT OF ALL POTENTIAL BUSINESS TRANSACTIONS BETWEEN THE INDIVIDUALS REPORTED ON PART VII OF THE FORM 990 AND HIPGNY OR ONE OF ITS AFFILIATED ORGANIZATIONS. THIS REPORT DISCLOSES ALL POTENTIAL BUSINESS TRANSACTIONS REGARDLESS OF MONETARY VALUE. AMOUNTS REPORTED ON SCHEDULE L REPRESENT THE W-2, BOX 5 WAGES PAID TO EACH OF THESE INDIVIDUALS. ADDITIONAL TAXABLE AND NON-TAXABLE FRINGE BENEFITS MAY HAVE BEEN PROVIDED (BUT ARE NOT INCLUDED ABOVE). ADDITIONAL INFORMATION IS AVAILABLE UPON REQUEST. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GENERAL STATEMENT ABOUT THE COVID-19 PANDEMIC'S IMPACT ON HIPNY | ON MARCH 11, 2020, THE WORLD HEALTH ORGANIZATION DECLARED COVID-19 A GLOBAL PANDEMIC. EMBLEMHEALTH COMPANY EXECUTED PREPAREDNESS PLANS TO CREATE SUSTAINABLE OPERATIONS THAT ENABLED BUSINESS AS USUAL AND CRISIS RESPONSE. THE COMPANY MAINTAINED CONTINUITY OF OPERATIONS ENABLING AND ENGAGING OUR WORKFORCE TO A REMOTE WORK ENVIRONMENT AND IMPLEMENTED ENHANCED SAFETY PROTOCOLS AND PROGRAMS THAT SUPPORT THE HEALTH AND MENTAL WELL-BEING OF OUR EMPLOYEES. STRONG LOCAL PRESENCE IN COMMUNITIES THROUGHOUT NEW YORK AND CONNECTICUT ENABLED THE COMPANY TO PLAY AN ESSENTIAL ROLE IN RESPONSE TO COVID-19, AS WELL AS PROVIDE CONTINUOUS SUPPORT FOR ITS MEMBERS. MEMBERS AND PATIENTS HAVE CONTINUED TO BE SERVED THROUGH EXPANDED PHARMACY BENEFITS, ACCESS TO TELEMEDICINE, AND 24/7 NURSE LINES. THE COMPANY ASSISTED WITH AFFORDABILITY TO MEMBERS THROUGH EXTENDED GRACE PERIODS FOR PAYMENTS OF PREMIUMS OR LIMITED COVERAGE TERMINATION BASED ON NON-PAYMENT OF PREMIUMS OR FEES AND ACCELERATED OR ADVANCED PAYMENTS TO HEALTH CARE PROVIDERS. THE COMPANY WILL CONTINUE TO WORK WITH ITS MEMBERS, PROVIDERS AND EMPLOYEES TO PROVIDE SUPPORT DURING THE PANDEMIC. THE NEW YORK METRO AREA WAS IMPACTED BY COVID-19 WAVES. THE COMPANY EXPERIENCED A HIGH INCIDENCE OF COVID-19 CASES, WHICH RESULTED IN A LARGE INCREASE IN INPATIENT EXPENSE. THE COMPANY ALSO EXPERIENCED SIGNIFICANT DECREASES IN OUT-PATIENT UTILIZATION DUE TO THE DEFERRAL OF CARE BY ITS MEMBERS. THE ADVERSE INPATIENT RESULTS WERE PARTIALLY OFFSET BY LOWER OUTPATIENT AND PROFESSIONAL EXPENSES, BUT NOT ENOUGH TO COMPLETELY OFFSET INPATIENT EXPENSE. IN THE FOURTH QUARTER, THE COMPANY EXPERIENCED INCREASED MEDICAL UTILIZATION AS MEMBERS UTILIZED CARE FOR COVID-19 TESTING AND TREATMENT. THE IMPACT OF THE COVID-19 PANDEMIC ON RESULTS BEYOND 2020 IS DIFFICULT TO PREDICT. THE COMPANY BELIEVES THAT SUCH RESULTS MAY BE IMPACTED BY, AMONG OTHER THINGS, HIGHER MEDICAL COSTS TO TREAT THOSE AFFECTED BY THE VIRUS, LOWER MEMBER VOLUMES DUE TO RISING UNEMPLOYMENT; THE RETURN OF COSTS FOR THOSE WHO HAD PREVIOUSLY DEFERRED CARE, VACCINE COSTS, CONTINUED COST SHARE WAIVERS, AND THE POTENTIAL FOR CONTINUED DEFERRAL OF CARE. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZAITON MISSION: AND COMMUNITIES BY OFFERING ACCESS TO HIGH-QUALITY, AFFORDABLE HEALTH CARE. FORM 990, PART III - REVENUE & EXPENSE ALLOCATIONS THE ORGANIZATION NOTES THAT THE ALLOCATION OF PROGRAM SERVICE EXPENDITURES REPORTED ON PART III OF THE FORM 990 IS DERIVED FROM HIPGNY'S STATUTORY FINANCIAL STATEMENTS (STAT) - ANALYSIS OF OPERATIONS BY LINES OF BUSINESS. THE FORM 990 IS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP); ACCORDINGLY, THERE MAY BE ADDITIONAL ALLOCATIONS OF EXPENDITURES TO ACHIEVE CONFORMITY BETWEEN THE GAAP AND STAT REPORTS. FORM 990, PART V, LINE 1A AND PART VII, INDEPENDENT CONTRACTORS THE TOTAL NUMBER OF INDEPENDENT CONTRACTORS REPORTED ON PART V, LINE 1A REPRESENTS THOSE VENDORS THAT RECEIVED A 1099 DIRECTLY FROM HIPGNY'S EIN#. HIPGNY, AS A PART OF ITS BUSINESS, UNDERTAKES A SIGNIFICANT AMOUNT OF CLAIMS PROCESSING; IN 2020, HIPGNY ISSUED 18,142 1099S AS A RESULT OF ITS CLAIMS PROCESSING ACTIVITIES. THE 1099S FOR THE CLAIMS PROCESSING ARE NOT REPORTED ON LINE 1(A) BUT ARE DISCLOSED HERE IN THE INTERESTS OF FULL DISCLOSURE. IN TOTAL, HIPGNY AND EMBLEMHEALTH SERVICES PAID COMPENSATION EXCEEDING $100,000 TO 115 VENDORS IN 2020. |
| FORM 990, PART V, LINE 2(A) | HIPGNY DOES NOT FILE A FORM W-3 AS ALL EMPLOYEE PAYROLL IS PAID OUT OF EMBLEMHEALTH SERVICES. IN THE INTERESTS OF CLARITY, HIPGNY IS DISCLOSING THAT 2,769 EMPLOYEES RECEIVED W-2S FROM EMBLEMHEALTH SERVICES (OSTENSIBLY FOR SERVICES RENDERED TO HIPGNY AND TO OTHER AFFILIATED ENTITIES). |
| FORM 990, PART VI, SECTION A, LINE 2 | IN THE INTERESTS OF FULL DISCLOSURE, THE ORGANIZATION NOTES THAT VARIOUS OFFICERS AND/OR DIRECTORS, MAY SERVE ON THE BOARD OF DIRECTORS OF RELATED FOR-PROFIT ORGANIZATIONS (E.G. - THOSE DISCLOSED IN SCHEDULE R OF THE FORM 990). NO INDIVIDUAL IS COMPENSATED FOR BOARD SERVICES RENDERED TO THE RELATED FOR-PROFIT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | EMBLEMHEALTH, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF HIPGNY. EMBLEMHEALTH, INC. (EIN 13-3941542) IS EXEMPT FROM FEDERAL TAXATION PURSUANT TO IRC 501(C)(3). |
| FORM 990, PART VI, SECTION B, LINE 11B | 990 REVIEW PROCESS THE TAXPAYER'S FORM 990 FOR THE YEAR ENDING DECEMBER 31, 2020 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED. A DETAILED REVIEW OF THE FORM 990 WAS UNDERTAKEN BY THE ORGANIZATION'S TAX DIRECTOR, CHIEF ADMINISTRATIVE OFFICER, CHIEF FINANCIAL OFFICER, AND VP, DEPUTY GENERAL COUNSEL. |
| FORM 990, PART VI, SECTION B, LINE 12C | INDEPENDENCE TO DETERMINE IF AN EMPLOYEE'S PERSONAL INTERESTS, ACTIVITIES OR RELATIONSHIPS CONSTITUTE A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST, CERTAIN EMPLOYEES, BASED UPON FUNCTIONALITY, AS DETERMINED BY THE CHIEF COMPLIANCE OFFICER AND BY THE VP, DEPUTY GENERAL COUNSEL, ON AN ANNUAL BASIS, ANY REPORTABLE SITUATIONS ON THE COMPANY'S CONFLICT OF INTEREST DISCLOSURE. ALL EMPLOYEES, AT THE TIME OF EMPLOYMENT, ARE REQUIRED TO FULLY DISCLOSE ANY PERSONAL INTEREST, ACTIVITIES OR RELATIONSHIPS THAT CONSTITUTE A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST. DISCLOSURES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER AND THE VP, DEPUTY GENERAL COUNSEL. ANY EMPLOYEE, WHO VIOLATES THE CONFLICT OF INTEREST POLICY, FAILS TO MAKE A REQUIRED REPORT OR FAILS TO COMPLY WITH ANY REMEDIAL ACTION REQUIRED BY THE COMPANY, IS SUBJECT TO DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION REVIEW PROCESS TO DETERMINE THE COMPENSATION OF THE CEO AND ALL OTHER OFFICERS OF THE COMPANY, HIPGNY AND EMBLEMHEALTH SERVICES ENGAGE AN OUTSIDE COMPENSATION CONSULTANT TO PROVIDE GUIDANCE AND THE COMPARABLE MARKET DATA ON THE COMPENSATION OF SIMILARLY SITUATED EXECUTIVE POSITIONS IN THE ORGANIZATIONS' COMPETITIVE PEER GROUP COMPRISED OF PROFIT AND NOT FOR PROFIT ENTITIES. THE COMPENSATION CONSULTANT PRESENTS THE COMPARABLE MARKET DATA TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF HIPGNY AND EMBLEMHEALTH SERVICES. THE COMPENSATION COMMITTEES ARE COMPOSED ENTIRELY OF OUTSIDE, INDEPENDENT, DISINTERESTED DIRECTORS. THE COMPENSATION COMMITTEES REVIEW AND APPROVE THE PROPOSED COMPENSATION ARRANGEMENTS AND THE DELIBERATIONS AND ACTIONS OF THE COMPENSATION COMMITTEES ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. THEREAFTER, THE ACTIONS OF THE COMPENSATION COMMITTEES ARE REPORTED TO THE FULL BOARDS IN A TIMELY MANNER. THE CEO, OR ANY OTHER OFFICER, IS EXCUSED FROM THE COMPENSATION COMMITTEE MEETING WHILE THE COMMITTEE DELIBERATES AND APPROVES ANY ACTION RELATED TO THE COMPENSATION ARRANGEMENT OF THE CEO OR OTHER OFFICER. THE ORGANIZATION COMMISSIONS AN INDEPENDENT REVIEW OF COMPENSATION BY AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION C, LINE 19 | PUBLIC DOCUMENTS THE TAXPAYER MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC BY RETAINING A COPY OF EACH AT ITS HOME OFFICE AT 55 WATER STREET, NEW YORK, NEW YORK. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE FOR PUBLIC INSPECTION ON WWW.GUIDESTAR.COM. THE TAXPAYER'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII - HOURS SERVED FOR RELATED PARTY: | THE COMPENSATED INDIVIDUALS REPORTED IN PART VII OF THE FORM 990 MAY PROVIDE SERVICES TO A VARIETY OF ENTITIES WITHIN THE HIPGNY NETWORK. ALLOCATING THOSE HOURS BETWEEN THE MANY ENTITIES PRESENTS A CHALLENGE; ACCORDINGLY, THE HOURS REPRESENTED ON PART VII REPRESENT THE HOURS WORKED BY THE INDIVIDUAL IN THEIR CAPACITY AS AN EMPLOYEE FOR THE ENTIRE HIPGNY NETWORK. |
| FORM 990, PART IX: | AMOUNTS REPORTED ON PART IX, LINE 5, AS COMPENSATION PAID TO OFFICERS, DIRECTORS AND KEY-EMPLOYEES OF HIPGNY REPRESENT THOSE SALARY COSTS REPORTED ON FORM 990, PART VII, LINE 1(D) THAT ARE ALLOCATED FROM THE RELATED PARTY, EMBLEMHEALTH SERVICES, LLC. HIPGNY HAS ADOPTED A SIMPLIFIED APPROACH OF ALLOCATING ITS EXPENDITURES BETWEEN PROGRAMMATIC AND MANAGEMENT AND GENERAL. THE ORGANIZATION DOES NOT CATEGORIZE ITS EXPENSES INTERNALLY OR IN ITS AUDITED FINANCIAL STATEMENTS BY THESE MEANS. FOR PURPOSES OF ITS 990 REPORTING, HIPGNY IS TREATING ALL SUBSCRIBER BENEFITS AS PROGRAMMATIC EXPENSES AND ALL OTHER EXPENSES AS MANAGEMENT AND GENERAL EVEN THOUGH A LARGE PERCENTAGE OF THOSE EXPENSES ARE LIKELY RELATED TO HIPGNY'S DAY-TO-DAY MISSION ACTIVITIES. NEVERTHELESS, EVEN TAKING THIS CONSERVATIVE APPROACH, HIPGNY'S PROGRAM SERVICE EXPENSES CONSTITUTE NEARLY 90% OF TOTAL EXPENDITURES. FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: -CHANGE IN MINIMUM PENSION LIABILITY ($1,705,343) -OTHER BOOK TO TAX ADJUSTMENTS $1,319,020 TOTAL TO FORM 990, PART XI, LINE 9 ($386,323) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMBLEMHEALTH SERVICES COMPANY LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10041 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SUPPORT SVCS | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $210,791,333 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIPGNY | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMBLEMHEALTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10041 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133941542 | EIN |
| Primary Activities | SUPPORT SVCS | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 12(C) | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIPGNY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | UBI Code VUBICodeVAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMBLEMHEALTH CITYBLOCK LLC | ||||||||||||||
| C/O EMBLEMHEALTH 55 WATER STREET | NEW YORK | NY | 10041 | 831246215 | HEALTHCARE | NY | EMBLEMHEALTH | UNRELATED | 0 | 0 | ||||
| BRONXDOCS MANAGEMENT CO LLC | ||||||||||||||
| 55 WATER STREET TAX DEPT 9TH FL | NEW YORK | NY | 10041 | 844004402 | HEALTHCARE | NY | HIPGNY | UNRELATED | 0 | Yes (1) | -$230,198 | $1,855,815 | -$230,198 | 0.51000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMBLEMHEALTH PLAN INC | ||||||||||||
| 55 WATER STREET | NEW YORK | NY | 10041 | 135511997 | INSURANCE | NY | HIPGNY | C | $742,147,485 | $633,364,183 | 1.00000 | Yes (1) |
| HIP HOLDINGS INC & SUBSIDIARIES | ||||||||||||
| 55 WATER STREET | NEW YORK | NY | 10041 | 133819759 | INSURANCE | NY | HIPGNY | C | $1,873,271,499 | $1,536,432,557 | 1.00000 | Yes (1) |
| ADVANTAGECARE PHYSICIANS PC | ||||||||||||
| 55 WATER STREET | NEW YORK | NY | 10041 | 460970995 | HEALTHCARE | NY | HIPGNY | C | $427,470,686 | $165,161,927 | 1.00000 | Yes (1) |
| SIUC MEDICAL PC | ||||||||||||
| 55 WATER STREET | NEW YORK | NY | 10041 | 810689784 | HEALTHCARE | NY | HIPGNY | C | $5,116,567 | $1,179,697 | 1.00000 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| EMBLEMHEALTH INC | ||
| M | $1,719,492 | COST |
| EMBLEMHEALTH INC | ||
| P | $1,719,492 | COST |
| EMBLEMHEALTH PLAN INC (EHPI) | ||
| A | $3,051,918 | MARKET RATE |
| EMBLEMHEALTH PLAN INC (EHPI) | ||
| E | $19,846,543 | COST |
| EMBLEMHEALTH PLAN INC (EHPI) | ||
| G | $64,000,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES (HIPIC) | ||
| L | $8,700,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES (HIPIC) | ||
| Q | $8,700,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES (HIPIC) | ||
| M | $145,400,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES(HIP-IPA) | ||
| L | $600,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES(HIP-IPA) | ||
| Q | $500,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES(HIP-IPA) | ||
| M | $900,000 | COST |
| ADVANTAGECARE PHYSICIANS PC | ||
| A | $11,100,000 | MARKET RATE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 2: | FormAndLineReferenceDesc |
| Explanation | EMBLEMHEALTH, INC. IS THE PARENT ORGANIZATION OF HIPGNY, A 501(C)(4) TAX-EXEMPT ORGANIZATION THAT DELIVERS QUALITY, AFFORDABLE HEALTH INSURANCE TO MEMBERS. EMBLEMHEALTH, INC., IN CONJUNCTION WITH ITS SUBSIDIARIES, FOSTERS AND FACILITATES HIPGNY'S EFFORTS TO GIVE BACK TO THE COMMUNITY. COSTS ASSOCIATED WITH RUNNING EMBLEMHEALTH, INC. ARE REIMBURSED BY HIPGNY (AT COST); THESE TRANSACTIONS ARE MEMORIALIZED WITH TRANSACTION CODE M & P. TRANSACTIONS WITH EMBLEMHEALTH PLAN, INC (EHPI) HIPGNY HAD ADVANCED $165 MILLION TO EHPI IN ACCORDANCE WITH SECTION 1307 OF THE INSURANCE LAW OF THE STATE OF NEW YORK WITH INTEREST ACCRUING AT 2% PER ANNUM. THE NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES APPROVED THE CONVERSION OF $165 MILLION SURPLUS NOTES ISSUED AND DUE FROM EHPI TO AN EQUITY INVESTMENT IN EHPI THROUGH A CAPITAL CONTRIBUTION FOR NO CONSIDERATION. THE CONVERSION WAS EFFECTIVE DECEMBER 31, 2020. DUE TO THE CONVERSION, THE CARRYING VALUE OF THE SURPLUS NOTE RECEIVABLE RECORDED IN OTHER INVESTED ASSETS IN THE STATUTORY-BASIS STATEMENTS OF ASSETS, LIABILITIES AND SURPLUS WAS $0 AS OF DECEMBER 31, 2020. ON APRIL 2, 2020, EHPI RECEIVED APPROVAL FROM THE DEPARTMENT TO PURCHASE NON-ADMITTED ASSETS (PRIMARILY LEASEHOLD IMPROVEMENTS) FROM EHS AT A NET BOOK VALUE OF APPROXIMATELY $64.0 MILLION. THE SUBJECT ASSETS RESULTED IN AN INCREASE IN HIP'S SURPLUS DUE TO THE NON-ADMITTED CLASSIFICATION OF THE LIMITED STATUTORY ADJUSTMENTS OF EHS WHEN COMPUTING HIP'S SURPLUS. A NEW INTERCOMPANY AGREEMENT BETWEEN EHPI AND HIP, AND EHIC WAS SUBMITTED TO AND APPROVED BY THE DEPARTMENT SO THAT HIP AND EHIC CAN BE CHARGED BACK FOR ITS CONTINUED USE OF ITS SHARE OF FIXED ASSETS. ON MAY 15, 2020, HIP ISSUED SURPLUS NOTES TO EHPI IN THE AMOUNT OF $19.8 MILLION IN ACCORDANCE WITH SECTION 1307 OF THE INSURANCE LAW OF THE STATE OF NEW YORK WITH INTEREST ACCRUING AT 2% PER ANNUM. AS PROVIDED IN SECTION 1307, THE PAYMENT OF PRINCIPAL AND INTEREST SHALL ONLY BE MADE OUT OF FREE AND DISPOSABLE SURPLUS, SUBJECT TO PRIOR APPROVAL OF THE SUPERINTENDENT. THE SURPLUS NOTES PAYABLE DUE TO EHPI ARE REPORTED IN HIP'S SURPLUS RATHER THAN REPORTED AS A LIABILITY AS REQUIRED BY GAAP. NEVERTHELESS, HIPGNY IS DISCLOSING THE AMOUNT OF INTEREST THAT ACCRUED DURING 2020 WITH TRANSACTION CODE A. TRANSACTIONS WITH HIP HOLDINGS, INC. & SUBS - HIP INSURANCE COMPANY OF NEW YORK ("HIPIC") HIPIC (A MEMBER OF HIP HOLDINGS, INC. & SUBS) PROVIDES THE INDEMNITY HEALTH INSURANCE PRODUCTS, INCLUDING THE PORTION OF DUAL OPTION PRODUCTS OFFERED BY HIPGNY, WHICH ADMINISTERS THE COLLECTION OF PREMIUMS AND PAYS CLAIMS ON BEHALF OF HIPIC. PREMIUMS COLLECTED ON BEHALF OF HIPIC WERE APPROXIMATELY $74,200,000 FOR THE YEAR ENDED DECEMBER 31, 2020. HIPGNY PAID OUT-OF-NETWORK CLAIMS ON BEHALF OF HIPIC OF $71,200,000 IN 2020. UNDER THE TERMS OF A SERVICE AGREEMENT, HIPGNY ALLOCATED COSTS ASSOCIATED WITH ADMINISTERING THE PREMIUMS AND CLAIMS OF APPROXIMATELY $8,700,000 TO HIPIC FOR THE YEAR ENDED DECEMBER 31, 2020. TRANSACTIONS WITH HIP HOLDINGS, INC. - HIP NETWORK SERVICES IPA, INC. ("HIP-IPA") HIPGNY PAYS HIP-IPA (ANOTHER SUBSIDIARY IN THE HIP HOLDINGS, INC. & SUBSIDIARIES CONSOLIDATED GROUP) A MONTHLY PER-MEMBER-PER-MONTH CAPITATION RATE FOR MEMBERS ENROLLED IN HIP-IPA AS WELL AS A MONTHLY FEE FOR DATA COLLECTION SERVICES. FOR THE YEAR ENDED DECEMBER 31, 2020, HIPGNY INCURRED APPROXIMATELY $900,000 FOR CAPITATION AND $100,000 FOR DATA COLLECTION SERVICES. HIPGNY PAID PROVIDERS $500,000 ON BEHALF OF HIP-IPA FOR CLAIMS INCURRED. | ExplanationTxt |
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