HEALTH INSURANCE PLAN OF GREATER NEW YORK: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HEALTH INSURANCE PLAN OF GREATER NEW YORK (EIN 13-1828429)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201723199349318892
Schema version
2016v3.1
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

FieldValueIRS element (for citing)
Return2017-11-15T20:03:13-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1757 THIRD AVENUE 3RD FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100172013ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN131828429EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Health Insurance Plan of Greater New YorkBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MICHAEL PALMATEERInCareOfNm
Business Name ControlHEALBusinessNameControlTxt
Phone6464475000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 WATER STREETAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10041ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL PALMATEERPersonNm
Person TitleCFOPersonTitleTxt
Phone6464475000PhoneNum
Signature2017-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT THOMPSETTPreparerPersonNm
PTINP00741490PTIN
Phone2125990100PhoneNum
Preparation2017-11-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.84.128.189IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id26377520173195000019FederalOriginalSubmissionId
Federal Original Submission Id2017-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0AE51D185F2B8DBE64241C7507ECC047D5915589AtSubmissionCreationDeviceId
At Submission Filing Device IdBB689B47C4810116FFAF734305B3B6F212C66569AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKaren Ignagni President CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 WATER STREETAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10041ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,951,232,533GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.EMBLEMHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionHIPgny is committed to providing AFFORDABLE, QUALITY HEALTH COVERAGE IN WAYS THAT RESPECT AND RESPOND TO PEOPLE'S FUNDAMENTAL NEEDS AT PRICES THEY CAN AFFORD.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee3833TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$9,063,691TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$5,065,680,992PYProgramServiceRevenueAmt
CY Program Service Revenue$4,862,308,355CYProgramServiceRevenueAmt
PY Investment Income$41,506,659PYInvestmentIncomeAmt
CY Investment Income$31,672,787CYInvestmentIncomeAmt
PY Other Revenue$54,460,525PYOtherRevenueAmt
CY Other Revenue$37,421,432CYOtherRevenueAmt
PY Total Revenue$5,161,648,176PYTotalRevenueAmt
CY Total Revenue$4,931,402,574CYTotalRevenueAmt
PY Grants And Similar Paid$1,450,564PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$857,613CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$224,734,703PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$222,394,513CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,017,957,126PYOtherExpensesAmt
CY Other Expenses$4,957,217,619CYOtherExpensesAmt
PY Total Expenses$5,244,142,393PYTotalExpensesAmt
CY Total Expenses$5,180,469,745CYTotalExpensesAmt
PY Revenues Less Expenses-$82,494,217PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$249,067,171CYRevenuesLessExpensesAmt
Total Assets BOY$2,019,662,603TotalAssetsBOYAmt
Total Assets EOY$1,786,175,144TotalAssetsEOYAmt
Total Liabilities BOY$960,170,653TotalLiabilitiesBOYAmt
Total Liabilities EOY$978,532,248TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,059,491,950NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$807,642,896NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHEALTH INSURANCE PLAN OF GREATER NEW YORK ("HIPGNY") IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTH COVERAGE IN WAYS THAT RESPECT AND RESPOND TO PEOPLE'S FUNDAMENTAL NEEDS. HIPgny PURSUES ITS MISSION BY PROVIDING A CHOICE OF PRODUCTS AND NETWORKS SO MEMBERS HAVE ACCESS TO THE MEDICAL CARE THEY NEED AT PRICES THEY CAN AFFORD.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,563,409,488ExpenseAmt
Grant$0GrantAmt
Revenue$1,594,267,961RevenueAmt
DescMEDICARE - HIPGNY SERVED APPROXIMATELY 112,000 MEDICARE MEMBERS THROUGH its MEDICARE RISK AND COST CONTRACT PROGRAMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,135,491,884ExpenseAmt
Grant$0GrantAmt
Revenue$1,158,758,381RevenueAmt
DescMEDICAID - HIPGNY SERVED APPROXIMATELY 206,000 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

FieldValueIRS element (for citing)
Expense$1,995,602,267ExpenseAmt
Grant$603,112GrantAmt
Revenue$2,110,945,400RevenueAmt
DescSUBSCRIBER 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 2016, HIPgny provided services (across all services lines) to a total of 350,000 members. 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$4,694,503,639TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document946IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3833EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL PALMATEERPersonNm
Phone6464475000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 WATER STREETAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10041ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (77 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Karen Ignagni
President & CEO2.035.0Yes (X)Yes (X)$2,418,037$0$22,521
John D Feerick
Chairman of the Board2.03.0Yes (X)Yes (X)$0$147,125$0
Bernard Schayes MD
Director2.00.0Yes (X)$0$19,693$0
Robert W Brokaw
Director (thru 06/2016)2.00.0Yes (X)$7,005$0$0
Gregory E Floyd
Director2.00.0Yes (X)$0$0$0
Paul E Gibson
Director2.00.0Yes (X)$500$127,625$0
Margaret T Pan-Loo
Director (thru 06/2016)2.00.0Yes (X)$1,250$0$0
Arthur Pepper
Director (As of 6/2016)2.00.0Yes (X)$0$0$0
Charles Wang
Director (As of 6/2016)2.00.0Yes (X)$0$115,572$0
William C Lamoreaux
President MSO New Ventures35.00.0Yes (X)$553,786$0$188,497
Edward Mailander thru 12016
SVP, Chief Actuary35.00.0Yes (X)$1,072,312$0$16,650
Shawn M Fitzgibbon
Chief Product Officer35.00.0Yes (X)$424,736$0$25,520
Michael Palmateer
Chief Financial Officer35.00.0Yes (X)$522,771$0$134,548
Jeffrey D Chansler
Chief Legal Officer35.00.0Yes (X)$456,665$0$72,624
Valerie Reardon thru 62016
Chief Risk & Compliance35.00.0Yes (X)$2,485,417$0$20,260
George Babitsch
SVP, Underwriting & Acct Mgmt35.00.0Yes (X)$330,469$0$24,018
Robert Branchini thru 22016
VP, Information Technology35.00.0Yes (X)$632,957$0$60,633
Mariann E Drohan
Chief Human Resources Officer35.00.0Yes (X)$401,451$0$37,357
John D Mahder
VP, Marketing (thru 4/2016)35.00.0Yes (X)$320,999$0$12,795
William Yurkowski
VP, Operations (thru 1/2016)35.00.0Yes (X)$352,068$0$4,640
Carl A Lund
VP, Facility Contracting35.00.0Yes (X)$265,026$0$18,240
Jennifer L Truscott
VP, Medical Mgmt Operations35.00.0Yes (X)$284,399$0$28,283
Philip Gillich thru 72016
VP, Network Management35.00.0Yes (X)$645,249$0$22,494
Daniel Byrne
VP, Labor Relations35.00.0Yes (X)$206,384$0$24,619
Ernesto Marrero Jr
VP, Med Comp (thru 9/2016)35.00.0Yes (X)$332,442$0$17,087
Vincent Hartmann thru 72016
VP, Underwriting35.00.0Yes (X)$429,972$0$13,155
Peter S Moore
VP, Government Programs35.00.0Yes (X)$186,142$0$17,748
Christopher W Chappelear
Chief Actuary35.00.0Yes (X)$264,204$0$73,221
Douglas Cowieson
SVP, MSO New Ventures35.00.0Yes (X)$394,368$0$27,587
Suzanne G Ronner
VP, Customer Service35.00.0Yes (X)$236,839$0$14,153
Michele H Podolak
VP, Customer Service35.00.0Yes (X)$178,260$0$13,865
Richard M Densing
VP, Gov't Prog & Direct to Con35.00.0Yes (X)$219,650$0$22,849
Munish Khaneja thru 92016
VP, Medical Mgmt Operations35.00.0Yes (X)$384,545$0$22,629
Wei Jia Shen
VP, Multicultural Marketing35.00.0Yes (X)$293,704$0$23,910
Thomas MAcMillan
VP, Transform, IT & Analytics35.00.0Yes (X)$277,192$0$18,103
James Albano
SVP,Provider Ntwk & Pop Health35.00.0Yes (X)$362,176$0$22,568
Scott Breidbart thru 92016
Chief Clinical Officer35.00.0Yes (X)$1,418,823$0$21,386
Robin C Golston
VP, Community & Gov't Affairs35.00.0Yes (X)$220,620$0$20,081
Thomas Conway
VP, Controller35.00.0Yes (X)$261,998$0$18,962
Lorraine Cortes-Vazquez
SVP, Corp Rel & Gov't Affairs35.00.0Yes (X)$351,982$0$21,452
Edmond Cunningham
VP, Procurement35.00.0Yes (X)$255,186$0$15,669
Scott Dickler
SVP, Gov't & Indiv. Programs35.00.0Yes (X)$332,742$0$21,915
Craig Effrain thru 72016
VP, Corporate Secretary35.00.0Yes (X)$366,428$0$13,520
Thomas Mafale
VP, Commercial Sales35.00.0Yes (X)$260,487$0$16,284
Douglas Parks
VP, HR Transformation & Strat35.00.0Yes (X)$307,118$0$21,332
Russell Petrella
EVP35.00.0Yes (X)$681,061$0$23,130
Andrew Rein thru 72016
SVP, Strategy & Business Dev35.00.0Yes (X)$1,022,944$0$12,159
John Sheehy
SVP, Product Innovation35.00.0Yes (X)$400,899$0$17,293
William Voigt
VP, HR Business Operations35.00.0Yes (X)$230,416$0$25,653
Joseph Zeitlin thru 92016
SVP, President/CMO ACPNY35.00.0Yes (X)$298,762$0$29,072
Paul Zurlo thru 22016
VP, Small Group & Indiv. Bus35.00.0Yes (X)$220,224$0$6,599
Beth Fabbri
Chief Marketing & Comm Officer35.00.0Yes (X)$602,132$0$7,198
Robert Fox
EmblemHealth General Counsel35.00.0Yes (X)$379,471$0$12,250
Cynthia Goff
VP, Policy35.00.0Yes (X)$339,685$0$6,550
Jim Karagiorgis
VP, Customer Service35.00.0Yes (X)$242,627$0$22,800
Hemant Lanjewar
VP, Medicare Stars & Qual Mgmt35.00.0Yes (X)$246,533$0$18,666
Debra Lightner
Chief Compliance Officer35.00.0Yes (X)$151,802$0$2,498
Michelle Lyddon
VP, Products & ACPNY Comm.35.00.0Yes (X)$20,062$0$0
Andrew McBrien
VP, Medicare35.00.0Yes (X)$103,184$0$2,580
Lorraine McDonald
VP, Clinical Strategy & Ops35.00.0Yes (X)$185,947$0$13,623
Pansy McRae
VP, Claims35.00.0Yes (X)$232,273$0$22,855
Frank Melaccio
VP, Treasurer35.00.0Yes (X)$267,192$0$27,078
Karen Moran
VP, Ancillary Products35.00.0Yes (X)$145,000$0$1,950
Carolyn Oser
VP, Bus & Tech Transformation35.00.0Yes (X)$269,214$0$23,178
Navarra Rodriguez
SVP, President/CMO ACPNY35.00.0Yes (X)$137,419$0$7,882
Jill Stein
VP, Assistant General Counsel35.00.0Yes (X)$274,995$0$21,954
Paula Tavsanli
VP, Client Relations Mgmt35.00.0Yes (X)$366,878$0$20,868
Kevin F Tighe thru 122016
VP, Internal Audit35.00.0Yes (X)$288,533$0$17,855
Roberto Hormazabal
Sr. Dir. Account Management40.00.0$277,556$0$14,702Yes (X)
Bruce Sosler
Senior Medical Director40.00.0$302,362$0$5,580Yes (X)
Robin James
Labor/Large Group Rep.40.00.0$482,807$0$3,864Yes (X)
Robert W Stallings
Senior Director, IT Govern.40.00.0$287,318$0$7,320Yes (X)
John R English
Senior Dir, Network Services40.00.0$279,533$0$8,526Yes (X)
Jose R Diaz
VP, Membership35.00.0$515,088$0$0Yes (X)
Karen Smith-Hagman
VP, Medical Management35.00.0$233,930$0$0Yes (X)
William Mastrogiacomo
SVP, Dep Gen Counsel, Corp Sec35.00.0$559,859$0$0Yes (X)
Richard Gross
VP, Account Management35.00.0$216,432$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$28,978,497TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$410,015TotReportableCompRltdOrgAmt
Total Other Compensation$1,554,858TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K741IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
COGNIZANT HEALTHCARE SERVICES LLC
500 Frank W Burr Suite 3FTEANECKNJ07666Consulting$66,711,244
INOVALON INC
4321 Collington RoadBOWIEMD20716Data Analytics$12,003,975
TRIZETTO CORPORATION
9655 Maroon CirENGLEWOODCO80112IT solutions$4,212,349
MERKLE INC
1745 BroadwayNEW YORKNY10019Marketing$3,649,829
THE SOURCING GROUP LLC
77 Water StreetNEW YORKNY10005Business Solutions$3,394,113
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K145CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PREMIUM REVENUE900099$4,848,751,793$4,848,751,793
THIRD PARTY ADMINISTRATIVE FEES900099$13,556,562$13,556,562
FieldValueIRS element (for citing)
Total Program Service Revenue$4,862,308,355TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,479,906TotalRevenueColumnAmt
Unrelated Business Revenue$3,764,115UnrelatedBusinessRevenueAmt
Exclusion$14,715,791ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$31,796,718RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$19,829,959RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$11,966,759RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,966,759TotalRevenueColumnAmt
Exclusion$11,966,759ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,192,881SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13,192,881SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,192,881TotalRevenueColumnAmt
Exclusion$13,192,881ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PHARMACY REVENUE900099$20,519,525$15,219,949$5,299,576
CASH PROCEEDS FROM LEGAL SETTLEMENT900099$4,912,553$4,912,553
MISCELLANEOUS REVENUE900099$22,595$22,595
FieldValueIRS element (for citing)
Other Revenue Total$25,454,673OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,931,402,574TotalRevenueColumnAmt
Related Or Exempt Func Income$4,877,528,304RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$9,063,691UnrelatedBusinessRevenueAmt
Exclusion$44,810,579ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$857,613TotalAmt
Program Services$857,613ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$39,623,127TotalAmt
Management And General$39,623,127ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,265,180TotalAmt
Management And General$1,265,180ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$121,914,676TotalAmt
Management And General$121,914,676ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$20,394,528TotalAmt
Management And General$20,394,528ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$26,307,210TotalAmt
Management And General$26,307,210ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,889,792TotalAmt
Management And General$12,889,792ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,312,687TotalAmt
Management And General$2,312,687ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,085,798TotalAmt
Management And General$3,085,798ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$576,735TotalAmt
Management And General$576,735ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,966,408TotalAmt
Management And General$1,966,408ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$131,023,720TotalAmt
Program Services$0ProgramServicesAmt
Management And General$131,023,720ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,371,164TotalAmt
Management And General$9,371,164ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,685,326TotalAmt
Management And General$22,685,326ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$23,792,543TotalAmt
Management And General$23,792,543ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,056,374TotalAmt
Management And General$2,056,374ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$146,970TotalAmt
Management And General$146,970ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$16,460TotalAmt
Management And General$16,460ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$49,665,915TotalAmt
Management And General$49,665,915ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,471,075TotalAmt
Management And General$5,471,075ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUBSCRIBER BENEFITS$4,543,988,652$4,543,988,652$0$0
CAPITATION PAYMENTS$50,536,012$50,536,012$0$0
QUALITY OF CARE EXPENSES$40,258,214$40,258,214$0$0
ACA HEALTHCARE FEES$53,199,158$53,199,158$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,064,408TotalAmt
Program Services$5,663,990ProgramServicesAmt
Management And General$11,400,418ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,180,469,745TotalAmt
Program Services$4,694,503,639ProgramServicesAmt
Management And General$485,966,106ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$146,331,938BOYAmt
EOY$110,869,498EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$200,659,523BOYAmt
EOY$271,216,803EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$362,591,477BOYAmt
EOY$171,822,631EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,368,856BOYAmt
EOY$6,412,223EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$404,870,938LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$243,908,236LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$163,043,124BOYAmt
EOY$160,962,702EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$490,985,282BOYAmt
EOY$253,709,443EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$394,687,007BOYAmt
EOY$582,800,087EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$255,995,396BOYAmt
EOY$228,381,757EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,019,662,603BOYAmt
EOY$1,786,175,144EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$753,220,405BOYAmt
EOY$757,010,376EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$14,994,437BOYAmt
EOY$31,060,934EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$191,955,811BOYAmt
EOY$190,460,938EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$960,170,653BOYAmt
EOY$978,532,248EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,059,491,950BOYAmt
EOY$807,642,896EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,059,491,950BOYAmt
EOY$807,642,896EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,019,662,603BOYAmt
EOY$1,786,175,144EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$249,067,171ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$2,781,883OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,963,425OtherCostOrOtherBasisAmt
Book Value$6,963,425BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,697,571OtherCostOrOtherBasisAmt
Depreciation$91,398,961DepreciationAmt
Book Value$68,298,610BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$195,273,402OtherCostOrOtherBasisAmt
Depreciation$117,457,735DepreciationAmt
Book Value$77,815,667BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,706,538OtherCostOrOtherBasisAmt
Depreciation$34,042,604DepreciationAmt
Book Value$2,663,934BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,230,003OtherCostOrOtherBasisAmt
Depreciation$1,008,937DepreciationAmt
Book Value$5,221,066BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$160,962,702TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN ADVANTAGECARE$373,159,536C
INVESTMENT IN HIP HOLDINGS INC$209,640,551C
FieldValueIRS element (for citing)
Total Book Value Securities$582,800,087TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
ACCRUED INTEREST RECEIVABLE$19,237,903
DEFERRED RENT$515,801
INTEREST/DIVIDENDS RECEIVABLE$1,799,718
OTHER CURRENT ASSETS$3,574,773
HEALTHCARE RECEIVABLES$150,608,273
INTERCOMPANY RECEIVABLES$52,645,289
FieldValueIRS element (for citing)
Total Book Value Other Assets$228,381,757TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PENSION LIABILITY$122,544,079
DEFERRED RENT$61,176,517
OTHER LONG TERM LIABILITIES$6,740,342
FieldValueIRS element (for citing)
Total Liability$190,460,938TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFIN 48 DISCLOSUREFormAndLineReferenceDesc
ExplanationThe 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, 2016, there were no interest or penalties recorded or included in the consolidated statements of operations and changes in net assets.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (36 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
1199 SEIU HOME CARE INDUSTRY
PO BOX 842NEW YORKNY10108711028611501(c)(3)$14,400General Support
AGING IN NEW YORK FUND
2 Lafayette StreetNEW YORKNY10007133153550501(c)(3)$10,000General Support
AHRC NYC FOUNDATION
83 Maiden LaneNEW YORKNY10038133779611501(c)(3)$12,500General Support
ALZHEIMERS DISEASE & RELATED
225 N MICHIGAN AVECHICAGOIL60601363463656501(c)(3)$25,000General Support
BEDFORD STUYVESANT RESTORATION
1368 Fulton StreetBrooklynNY11216116083182501(c)(3)$54,000General Support
CALVARY FUND INC
1740 EASTCHESTER RDBRONXNY10461133259649501(c)(3)$6,300General Support
COMUNILIFE INC
214 W 29 StreetNEW YORKNY10001133530299501(c)(3)$9,400General Support
DDI FOUNDATION
99 HOLLYWOOD DRSMITHTOWNNY11787112911733501(c)(3)$6,720General Support
STRIVE International Inc
240 E 123rd StNEW YORKNY10035133255679501(c)(3)$9,050General Support
FRIENDS IN DEED INC
594 BroadwayNEW YORKNY10012133628657501(c)(3)$10,000General Support
GRACIE MANSION CONSERVANCY
88 St AT EAST END AVENEW YORKNY10128521241502501(c)(3)$8,750General Support
HABNET Services Corp
1401 Flatbush AvenueBrooklynNY11210300516278501(c)(3)$7,700General Support
HAITIAN CENTERS COUNCIL INC
123 Linden Blvd 3BrooklynNY11226112648501501(c)(3)$72,000General Support
HARVEST HOME FARMER'S MARKET
104-106 E 126th St SteNEW YORKNY10035061800512501(c)(3)$25,000General Support
HISPANIC DENTAL ASSOCIATION
4030 JUSTIN RDFLOWER MOUNDTX75077363719494501(c)(3)$10,000General Support
HISPANIC FEDERATION INC
55 Exchange PlNEW YORKNY10005133573852501(c)(3)$20,000General Support
Intersections International Initiative
145 West 28th StNEW YORKNY10001900458939501(c)(3)$10,000General Support
LITTLE FLOWER CHILDREN & FAM SERVICES
N Wading River RdWading RiverNY11792111633572501(c)(3)$7,220General Support
LIVEON NY
460 West 34th StNEW YORKNY10001132945229501(c)(3)$6,000General Support
MAYOR'S FUND TO ADVANCE NYC
253 BroadwayNEW YORKNY10007133783906501(c)(3)$30,000General Support
MEDICARE RIGHTS CENTER
266 West 37th StreetNEW YORKNY10018133505372501(c)(3)$7,710General Support
NATIONAL CR FOR CIVIC INNOVATION
21 SIXTH AVENUENEW YORKNY10013020590588501(c)(3)$10,000General Support
NATIONAL FOUNDATION FOR HUMAN POTENTIAL
191 Sweet Hollow RdOld BethpageNY11804113544632501(c)(3)$30,200General Support
NATIONAL HISPANIC HEALTH Fdn
1920 L Street NWWashingtonDC20036260051902501(c)(3)$10,000General Support
NEW YORK CENTER FOR INTERPERSONAL
130 Stuyvesant PlStaten IslandNY10301237085239501(c)(3)$13,500General Support
NORTHERN MANAHATTAN IMPROVEMENT
76 Wadsworth AvenueNEW YORKNY10033132972415501(c)(3)$45,000General Support
QUEENS COMMUNITY HOUSE INC
108-25 62nd DrQueensNY11375112375583501(c)(3)$54,000General Support
SERVICES & ADVOCACY FOR GLBT ELDERS
305 Seventh AveNEW YORKNY10001132947657501(c)(3)$10,000General Support
Somos Inc
90 S SWAN STALBANYNY12210223128393501(c)(3)$15,000General Support
THE CATHOLIC HEALTHCARE Fdn
155 East 56th StreetNEW YORKNY10022134054158501(c)(3)$22,700General Support
THE NY WOMEN'S Fdn
39 BroadwayNEW YORKNY10006133457287501(c)(3)$9,205General Support
THE WORKING THEATRE
730 KIRKWOOD AVEIOWA CITYIA52240272997323501(c)(3)$10,000General Support
UNIFORMED FIREFIGHTERS ASSOC
PO Box 2085Mount VernonNY10551133907650501(c)(5)$7,500General Support
UNITED HOSPITAL FUND
1411 BroadwayNEW YORKNY10018131562656501(c)(3)$13,000General Support
UNITED NEIGHBORHOOD HOUSES
70 West 36th StNEW YORKNY10018135563409501(c)(3)$55,000General Support
UNIVERSITY SETTLEMENT SOCIETY OF NY
184 Eldridge StreetNEW YORKNY10002135562374501(c)(3)$40,000General Support
FieldValueIRS element (for citing)
Total501c3 Org35Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationHealth 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 will only be accepted from 501(c)(3) tax exempt organizations.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (65 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Karen Ignagni
President & CEO$969,846$0$1,416,667$0$31,524$0$16,367$0$6,154$0$2,440,558$0$416,667$0
William C Lamoreaux
President MSO New Ventures$528,377$0$0$0$25,409$0$180,457$0$8,040$0$742,283$0$0$0
Edward Mailander thru 12016
SVP, Chief Actuary$0$0$209,833$0$862,479$0$16,413$0$237$0$1,088,962$0$0$0
Shawn M Fitzgibbon
Chief Product Officer$398,782$0$0$0$25,954$0$19,760$0$5,760$0$450,256$0$0$0
Michael Palmateer
Chief Financial Officer$496,320$0$0$0$26,451$0$129,868$0$4,680$0$657,319$0$0$0
Jeffrey D Chansler
Chief Legal Officer$429,440$0$0$0$27,225$0$67,189$0$5,435$0$529,289$0$0$0
Valerie Reardon thru 62016
Chief Risk & Compliance$129,846$0$1,325,024$0$1,030,547$0$15,900$0$4,360$0$2,505,677$0$1,200,807$0
George Babitsch
SVP, Underwriting & Acct Mgmt$305,674$0$0$0$24,795$0$15,900$0$8,118$0$354,487$0$0$0
Robert Branchini thru 22016
VP, Information Technology$16,830$0$105,750$0$510,377$0$59,705$0$928$0$693,590$0$0$0
Mariann E Drohan
Chief Human Resources Officer$374,653$0$0$0$26,798$0$32,677$0$4,680$0$438,808$0$0$0
John D Mahder
VP, Marketing (thru 4/2016)$56,026$0$51,356$0$213,617$0$10,800$0$1,995$0$333,794$0$0$0
William Yurkowski
VP, Operations (thru 1/2016)$0$0$50,700$0$301,368$0$4,437$0$203$0$356,708$0$0$0
Carl A Lund
VP, Facility Contracting$239,910$0$0$0$25,116$0$15,900$0$2,340$0$283,266$0$0$0
Jennifer L Truscott
VP, Medical Mgmt Operations$259,753$0$0$0$24,646$0$26,411$0$1,872$0$312,682$0$0$0
Philip Gillich thru 72016
VP, Network Management$89,193$0$84,958$0$471,098$0$20,723$0$1,771$0$667,743$0$0$0
Daniel Byrne
VP, Labor Relations$201,803$0$0$0$4,581$0$14,889$0$9,730$0$231,003$0$0$0
Ernesto Marrero Jr
VP, Med Comp (thru 9/2016)$137,532$0$47,566$0$147,344$0$13,088$0$3,999$0$349,529$0$0$0
Vincent Hartmann thru 72016
VP, Underwriting$68,426$0$40,083$0$321,463$0$8,726$0$4,429$0$443,127$0$0$0
Peter S Moore
VP, Government Programs$161,021$0$0$0$25,121$0$11,477$0$6,271$0$203,890$0$0$0
Christopher W Chappelear
Chief Actuary$245,795$0$0$0$18,409$0$58,038$0$15,183$0$337,425$0$0$0
Douglas Cowieson
SVP, MSO New Ventures$368,545$0$0$0$25,823$0$16,799$0$10,788$0$421,955$0$0$0
Suzanne G Ronner
VP, Customer Service$212,681$0$0$0$24,158$0$14,153$0$0$0$250,992$0$0$0
Michele H Podolak
VP, Customer Service$153,377$0$0$0$24,883$0$10,825$0$3,040$0$192,125$0$0$0
Richard M Densing
VP, Gov't Prog & Direct to Con$202,366$0$0$0$17,284$0$14,221$0$8,628$0$242,499$0$0$0
Munish Khaneja thru 92016
VP, Medical Mgmt Operations$179,610$0$33,122$0$171,813$0$15,568$0$7,061$0$407,174$0$0$0
Wei Jia Shen
VP, Multicultural Marketing$236,707$0$23,550$0$33,447$0$15,900$0$8,010$0$317,614$0$0$0
Roberto Hormazabal
Sr. Dir. Account Management$277,419$0$0$0$137$0$6,629$0$8,073$0$292,258$0$0$0
Thomas MAcMillan
VP, Transform, IT & Analytics$259,172$0$0$0$18,020$0$15,900$0$2,203$0$295,295$0$0$0
Bruce Sosler
Senior Medical Director$261,843$0$36,671$0$3,848$0$0$0$5,580$0$307,942$0$0$0
James Albano
SVP,Provider Ntwk & Pop Health$338,515$0$0$0$23,661$0$16,025$0$6,543$0$384,744$0$0$0
Scott Breidbart thru 92016
Chief Clinical Officer$273,169$0$0$0$1,145,654$0$16,039$0$5,347$0$1,440,209$0$0$0
Robin C Golston
VP, Community & Gov't Affairs$202,407$0$0$0$18,213$0$13,613$0$6,468$0$240,701$0$0$0
Thomas Conway
VP, Controller$236,895$0$0$0$25,103$0$15,841$0$3,121$0$280,960$0$0$0
Lorraine Cortes-Vazquez
SVP, Corp Rel & Gov't Affairs$323,365$0$0$0$28,617$0$15,900$0$5,552$0$373,434$0$0$0
Edmond Cunningham
VP, Procurement$246,734$0$0$0$8,452$0$8,101$0$7,568$0$270,855$0$0$0
Scott Dickler
SVP, Gov't & Indiv. Programs$314,224$0$0$0$18,518$0$16,347$0$5,568$0$354,657$0$0$0
Craig Effrain thru 72016
VP, Corporate Secretary$104,009$0$0$0$262,419$0$8,189$0$5,331$0$379,948$0$0$0
Thomas Mafale
VP, Commercial Sales$251,841$0$0$0$8,646$0$8,044$0$8,240$0$276,771$0$0$0
Douglas Parks
VP, HR Transformation & Strat$238,735$0$50,000$0$18,383$0$15,900$0$5,432$0$328,450$0$0$0
Russell Petrella
EVP$529,478$0$119,831$0$31,752$0$15,900$0$7,230$0$704,191$0$0$0
Andrew Rein thru 72016
SVP, Strategy & Business Dev$151,205$0$0$0$871,739$0$11,018$0$1,141$0$1,035,103$0$0$0
John Sheehy
SVP, Product Innovation$339,791$0$50,000$0$11,108$0$9,588$0$7,705$0$418,192$0$0$0
William Voigt
VP, HR Business Operations$212,351$0$0$0$18,065$0$14,475$0$11,178$0$256,069$0$0$0
Joseph Zeitlin thru 92016
SVP, President/CMO ACPNY$242,340$0$0$0$56,422$0$26,411$0$2,661$0$327,834$0$0$0
Paul Zurlo thru 22016
VP, Small Group & Indiv. Bus$17,073$0$0$0$203,151$0$5,241$0$1,358$0$226,823$0$0$0
Jose R Diaz
VP, Membership$0$0$87,228$0$427,860$0$0$0$0$0$515,088$0$0$0
Beth Fabbri
Chief Marketing & Comm Officer$249,059$0$250,000$0$103,073$0$2,850$0$4,348$0$609,330$0$0$0
Robert Fox
EmblemHealth General Counsel$216,917$0$75,000$0$87,554$0$12,250$0$0$0$391,721$0$0$0
Karen Smith-Hagman
VP, Medical Management$0$0$0$0$233,930$0$0$0$0$0$233,930$0$0$0
William Mastrogiacomo
SVP, Dep Gen Counsel, Corp Sec$260,129$0$0$0$299,730$0$0$0$0$0$559,859$0$0$0
Richard Gross
VP, Account Management$9,333$0$42,344$0$164,755$0$0$0$0$0$216,432$0$0$0
Cynthia Goff
VP, Policy$233,867$0$50,000$0$55,818$0$4,850$0$1,700$0$346,235$0$0$0
Jim Karagiorgis
VP, Customer Service$217,598$0$0$0$25,029$0$14,973$0$7,827$0$265,427$0$0$0
Hemant Lanjewar
VP, Medicare Stars & Qual Mgmt$228,293$0$0$0$18,240$0$14,998$0$3,668$0$265,199$0$0$0
Debra Lightner
Chief Compliance Officer$100,964$0$50,000$0$838$0$750$0$1,748$0$154,300$0$0$0
Lorraine McDonald
VP, Clinical Strategy & Ops$136,029$0$30,000$0$19,918$0$11,263$0$2,360$0$199,570$0$0$0
Pansy McRae
VP, Claims$206,821$0$0$0$25,452$0$14,363$0$8,492$0$255,128$0$0$0
Frank Melaccio
VP, Treasurer$248,947$0$0$0$18,245$0$15,900$0$11,178$0$294,270$0$0$0
Carolyn Oser
VP, Bus & Tech Transformation$220,862$0$15,000$0$33,352$0$15,840$0$7,338$0$292,392$0$0$0
Jill Stein
VP, Assistant General Counsel$229,279$0$17,350$0$28,366$0$15,900$0$6,054$0$296,949$0$0$0
Paula Tavsanli
VP, Client Relations Mgmt$320,553$0$25,000$0$21,325$0$15,900$0$4,968$0$387,746$0$0$0
Kevin F Tighe thru 122016
VP, Internal Audit$202,938$0$25,000$0$60,595$0$15,900$0$1,955$0$306,388$0$0$0
Robin James
Labor/Large Group Rep.$482,531$0$0$0$276$0$0$0$3,864$0$486,671$0$0$0
Robert W Stallings
Senior Director, IT Govern.$252,379$0$31,758$0$3,181$0$7,320$0$0$0$294,638$0$0$0
John R English
Senior Dir, Network Services$168,537$0$0$0$110,996$0$3,800$0$4,726$0$288,059$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule J, Part I, Line 1a - Housing PaymentsChief Risk and Compliance Officer, Valerie Reardon, received a housing subsidy in calendar year 2016; this amount was treated as taxable wages and is included in Schedule J, Part II, Column (b)(iii). Form 990, Schedule J, Part I, Line 4a - Severance The following individuals reported on Form 990, Part VII and Schedule J received severance payments in 2016: John R. English - $110,097 Robert Branchini - $463,492 Scott Breidbart - $1,101,600 Jose R. Diaz - $427,860 Craig Effrain - $235,000 Philip Gillich - $450,350 Richard Gross - $164,755 Vincent Hartmann - $288,347 Munish Khaneja - $150,000 John D. Mahder - $182,620 Edward Mailander - $826,266 Ernesto Marrero Jr. - $117,300 William Mastrogiacomo - $299,730 Valerie Reardon - $960,000 Andrew Rein - $840,000 Karen Smith-Hagman - $233,930 William Yurkowski - $274,533 Paul Zurlo - $180,000 All of the severance payments documented above are reported in the Form 990, Schedule J, part II, Column (b)(iii).
Form 990, Schedule J, Part I, 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.
Bonus PaymentsHIPGNY (via EmblemHealth Services, the payroll payor) provide annual incentive awards based upon the achievement of performance metrics and percentage target awards. 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). All management, non-union employees may be eligible to participate in the AIP. HIPGNY (Via EmblemHealth Services, The Payroll Payor) also has a long term incentive plan based upon longer term performance over three year performance cycles. The compensation committees approve the performance metrics, targets and payouts based upon achievement of performance under these plans. Officers and key employees are generally eligible to participate in the long term incentive plan. Bonus Compensation for President & CEO, Karen Ignagni The bonus reported in Schedule J, Part II, Column (b)(ii) for President & CEO, Karen Igagni, includes a retention bonus of $416,667 that was accrued for in a prior tax year and reported as deferred compensation in Schedule J, part II, Column (c) on the 2015 Form 990. This compensation was actually paid in calendar year 2016 and thus it is reported in Schedule J, Part II, column (f). Schedule J, Part II, Column C HIPGNY reports the change in the actuarial value of the pension plan as deferred compensation (as required by the expanded disclosures in the form 990). Present values are calculated based on the SEC Proxy Summary Compensation Table methodology and assumptions, as the discounted present value of normal retirement benefits earned to the measurement date payable at the later of current age or age 65, without regard to projected service, projected salary increases, pre-retirement mortality or other decrements. To the extent any individual reported on Schedule J has compensation reported in column (f), those amounts reflect payouts from the Supplemental Executive Retirement Plan.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
William White
family of former officer$197,591see sch L narrativefalse
christine o'connor burns
family of former officer$267,460see sch L narrativefalse
Diane Pirone
family of former officer$481,997see sch L narrativefalse
Keith Dahl
family of former officer$85,083see sch L narrativefalse
Alyssa Pepper
family of board member$117,383see sch L narrativefalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule LFormAndLineReferenceDesc
ExplanationFormer Chairman and Chief Executive Officer, FRANK BRANCHINI, HAS A FAMILY MEMBER, DIANE PIRONE (SISTER), WHO IS A MANAGER AT RCG, A CONSULTING FIRM WHICH HAS BEEN UTILIZED BY HIP SINCE 2004. MS. PIRONE DOES NOT DO BUSINESS ON THE HIPgny/eMBLEMHEALTH SERVICES ACCOUNT. IN CALENDAR YEAR 2016, RCG WAS PAID $481,997. Former Chairman and Chief Executive Officer, Frank Branchini, has a family member, Keith Dahl, son-in-law, WHO wAS a physician employed by AdvantageCare Physicians, P.C.("ACP"), a related entity to HIPGNY. HIPGNY engages in various transactions with ACP to provide medical services to its members. Dr. Dahl received $85,083 in compensation from ACP. Former Officer, John White, has a family member who is employed by EmblemHealth Services Company, LLC. William White is employed as a Director in the Human Resources Department; his W-2 wages for the year ending 12/31/2016 are $197,591. Former Board of Directors Member John O'Connor has a family member who is employed by EmblemHealth Services Company, LLC. Christine O'Connor Burns' W-2 compensation in the calendar year ending 12/31/2016 from EmblemHealth Services Company, LLC was $267,460. Board of Directors Member, Arthur Pepper's daughter, Alyssa Pepper, is an employee of Emblemhealth Services Company, LLC. For the year ending 12/31/2016, her wages are $117,383. 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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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#. In addition, HIPGNY's 100% owned disregarded entity, EmblemHealth Services, also issued 1099s in calendar year 2016. In the interests of full disclosure, HIPGNY is disclosing that EmblemHealth Services issued 1,009 1099s in calendar year 2016. In total, HIPgny and EHS paid compensation exceeding $100,000 to 145 vendors. HIPGNY, as a part of its business, undertakes a significant amount of claims processing; in 2016, HIPGNY issued 22,031 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. 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, LLC. In the interests of clarity, HIPGNY is disclosing that 3,833 employees received W-2s from EmblemHealth Services (ostensibly for services rendered to HIPGNY and to other affiliated entities). Form 990, Part VI, 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, Line 6EmblemHealth, Inc., a New York not-for-profit corporation, is the sole member of Hipgny. EmblemHealth (EIN 13-3941542) is exempt from federal taxation pursuant to IRC 501(c)(3).
Form 990, Part VI, Line 11The taxpayer's Form 990 for the year ending December 31, 2016 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 and VP, Deputy General Counsel.
Form 990, Part VI, Line 12To 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, Line 15To 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.
Form 990, Part VI, Line 19The 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 for public inspection on the organization's webiste, www.emblemhealth.com. 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 IXAmounts 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 90% of total expenditures.
Form 990, Part XI, Line 9A difference of ($2,781,883) is reported on part XI of the Reconciliation of Net Assets. This difference is attributable to changes in unrealized gains and losses on investments, book to tax adjustments on investments as well as Statutory-to-GAAP financial statement adjustments.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1EmblemHealth Services Company LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Water StreetAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10041ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesSupport SvcsPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income-$95,693,687TotalIncomeAmt
End Of Year Assets$170,890,000EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HIPGNYBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1EMBLEMHEALTH INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 WATER STREETAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10041ZIPCd
FieldValueIRS element (for citing)
EIN133941542EIN
Primary Activitiessupport svcsPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status12(c)PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HIPGNYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Group Health Incorporated
55 Water StreetNew YorkNY10041135511997InsuranceNYNAC Corp$1,188,318,556$672,150,7381.00000Yes (true)
HIP Holdings Inc & Subsidiaries
55 Water StreetNew YorkNY10041133819759InsuranceNYNAC Corp.$1,914,301,404$1,067,957,1941.00000Yes (true)
Central Brooklyn Medical Group PC
440 9th AvenueNew YorkNY10001112937992HealthcareNYHIPGNYC Corp$140,715,787$6,949,5501.00000Yes (true)
Queens Long Island Medical Group PC
440 9th AvenueNew YorkNY10001113039101HealthcareNYHIPGNYC Corp$353,782,332$101,232,3611.00000Yes (true)
Staten Island Physician Practice PC
440 9th avenuenew yorkNY10001204659577healthcareNYHIPGNYC corp$47,431,549$5,900,9731.00000Yes (true)
AdvantageCare Physicians PC
440 9th AvenueNew YorkNY10001460790995healthcareNYHIPGNYC Corp$409,627,448$213,335,2851.00000Yes (true)
LHHN Medical PC
440 9th AvenueNew YorkNY10001134121055healthcareNYHIPGNYC Corp$69,524,337$3,791,8731.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EmblemHealth Inc
M,P$1,206,003Cost
Group Health Incorporated
A$3,300,000Market Rate
Group Health Incorporated
D$165,000,000Market Rate
Hip Holdings Inc & Subsidiaries (EHA)
M$15,400,000COST
Hip Holdings Inc & Subsidiaries (EHA)
L$2,200,000COST
Hip Holdings Inc & Subsidiaries (HIPIC)
L,Q$3,500,000COST
Hip Holdings Inc & Subsidiaries (HIPIC)
M$14,700,000COST
Hip Holdings Inc & Subsidiaries (HIP-IPA)
l$500,000cost
Hip Holdings Inc & Subsidiaries (HIP-IPA)
M$10,300,000cost
central brooklyn medical group pc
a$54,204cost
Queens Long Island Medical Group PC
a$250,625cost
LHHN Medical PC
a$129,393cost
Staten Island Physician Practice PC
a$29,890cost
central brooklyn medical group pc
d$113,323cost
Queens Long Island Medical Group PC
d$1,992,850cost
LHHN Medical PC
d$935,987cost
Staten Island Physician Practice PC
d$1,081,153cost
AdvantageCare Physicians PC
b$188,200,000cost

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part V, Line 2FormAndLineReferenceDesc
ExplanationTRANSACTIONS with EmblemHealth, Inc. 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 Group health Incorporated To date, HIPGNY has advanced $165 million to GHI in accordance with Section 1307 of the Insurance Law of the State of New York with interest accruing at 2% per annum. No new loans were issued in 2016. As provided in Section 1307, the payment of principal and interest thereon shall only be made out of free and disposable surplus, subject to prior approval of the Superintendent of insurance. As of December 31, 2016, no payments were made to HIPgny. Nevertheless, HIPgny is disclosing the amount of accrued interest with Transaction Code A. Transactions with HIP Holdings, Inc. & Subs (HIPIC) HIPIC (a member of HIP Holdings, Inc. & Subs) provides the indemnity health insurance 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 $8,300,000 for the year ended December 31, 2016. HIPgny paid out-of-network claims on behalf of HIPIC of $6,400,000 in 2016. Under the terms of a service agreement, HIPgny allocated costs associated with administering the premiums and claims of approximately $3,500,000 to HIPIC for the year ended December 31, 2016. Transactions with HIP Holdings, Inc. (HIP-IPA) HIP 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, 2016, HIP incurred approximately $10,300,000 for capitation and $300,000 for data collection services. In addition, HIPgny provides certain administrative and support services to HIP IPA, which are reimbursed by HIP IPA. For the year ended December 31, 2016, amounts charged by HIPgny to HIP IPA for these services was approximately $200,000. Transactions with HIP HOldings, Inc. & Subsidiaries (EHA) EHA (another subsidiary in the HIP Holdings, Inc. & Subsidiaries consolidated group) provides claims processing and certain member services for HIPs members. For the year ended December 31, 2016, EHA charged HIPgny approximately $15,400,000 for these services. HIPGNY provides administrative and management services to EHA; amounts paid in 2016 were approximately $2,200,000.ExplanationTxt

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