HEALTH INSURANCE PLAN OF GREATER NEW YORK: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH INSURANCE PLAN OF GREATER NEW YORK (EIN 13-1828429)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-13
- IRS object ID
- 201503179349309800
- Schema version
- 2014v5.0
- 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 | 2015-11-13T18:02:21-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 AVE 4TH 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 | 2014-01-01 | 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 New York | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MICHAEL PALMATEER | InCareOfNm |
| Business Name Control | HEAL | BusinessNameControlTxt |
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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Palmateer | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2125990100 | PhoneNum |
| Signature | 2015-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Scott Thompsett | PreparerPersonNm |
| PTIN | P00741490 | PTIN |
| Phone | 2125990100 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Karen Ignagni President CEO | PrincipalOfficerNm |
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) |
|---|---|---|
| Gross Receipts | $5,187,437,630 | GrossReceiptsAmt |
| Group Return For Affiliates | false | 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 | HIP-NY 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 Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 5003 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $14,119,839 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,964,254,970 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,068,169,667 | CYProgramServiceRevenueAmt |
| PY Investment Income | $46,266,085 | PYInvestmentIncomeAmt |
| CY Investment Income | $65,088,868 | CYInvestmentIncomeAmt |
| PY Other Revenue | $25,799,405 | PYOtherRevenueAmt |
| CY Other Revenue | $54,179,095 | CYOtherRevenueAmt |
| PY Total Revenue | $5,036,320,460 | PYTotalRevenueAmt |
| CY Total Revenue | $5,187,437,630 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $275,668,967 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $251,466,209 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,608,889,100 | PYOtherExpensesAmt |
| CY Other Expenses | $5,279,614,715 | CYOtherExpensesAmt |
| PY Total Expenses | $4,884,558,067 | PYTotalExpensesAmt |
| CY Total Expenses | $5,531,080,924 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $151,762,393 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$343,643,294 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,219,457,420 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,262,326,560 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $697,030,180 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,041,879,788 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,522,427,240 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,220,446,772 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HEALTH INSURANCE PLAN OF GREATER NEW YORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTH COVERAGE IN WAYS THAT RESPECT AND RESPOND TO PEOPLE'S FUNDAMENTAL NEEDS. HIP 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. THE ORGANIZATION DOES THIS BY IMPROVING THE HEALTH OF MEMBERS THROUGH WELLNESS PROGRAMS THAT FOSTER PREVENTION AND HEALTHIER LIVING AND BY USING TECHNOLOGY TO EASE ACCESS TO INFORMATION AND SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,519,896,287 | ExpenseAmt |
| Revenue | $1,582,681,112 | RevenueAmt |
| Desc | MEDICARE - HIP SERVED APPROXIMATELY 112,000 MEDICARE MEMBERS THROUGH its MEDICARE RISK AND COST CONTRACT PROGRAMS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,108,617,953 | ExpenseAmt |
| Revenue | $1,203,108,339 | RevenueAmt |
| Desc | MEDICAID - HIP SERVED APPROXIMATELY 240,000 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 | $2,195,779,310 | ExpenseAmt |
| Grant | $1,425,168 | GrantAmt |
| Revenue | $2,292,443,502 | RevenueAmt |
| Desc | SUBSCRIBER BENEFITS - HIP OF GREATER NEW YORK 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 2014, HIP-NY provided services (across all services lines) to a total of 730,000 members. Included within these subscriber benefits are various state and local benefit programs, including the following: 1. CHIPS (Children's Health Insurance Program) - HIP SERVED APPROXIMATELY 12,500 MEMBERS. HIP HAS BEEN SERVING THE CHIPS POPULATION SINCE THE INCEPTION OF THE STATE DEMONSTRATION PROGRAM FOR UNISURED CHILDREN UNDER 19, IN 1991 AND CONTINUED WITH THE PASSAGE OF The Childrens Health Insurance Program (CHIP) in 1997. CHIPS is a partnership between the federal government and the states to extend health coverage to uninsured children and pregnant women in families who cannot afford to purchase private health insurance but have incomes too high to qualify for Medicaid. 2. Family Health Plus Program - HIP SERVED APPROXIMATELY 2,800 MEMBERS. HIP BEGAN TO SERVE FHPLUS MEMBERS AT THE START OF THE PROGRAM IN THE NY DOWNSTATE AREA IN OCTOBER 2001. THE BENEFIT PACKAGE FOR THE PROGAM PROVIDES a comprehensive set of medically needed health care benefits and services to the ADULT UNINSURED and low-income wage earners. The organization notes that the allocation of program service expenditures reported on Part III of the Form 990 is derived from HIP-NY's Statutory Financial Statements (STAT) 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,824,293,550 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 636 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 5003 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL PALMATEER | PersonNm |
| 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 (59 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 |
|---|---|---|---|---|---|---|---|---|
| Frank J Branchini | ||||||||
| Chairman and CEO | 2.0 | 35.0 | Yes (X) | Yes (X) | $4,859,450 | $0 | $3,015,144 | |
| Robert W Brokaw | ||||||||
| Director | 2.0 | 0.0 | Yes (X) | $7,313 | $0 | $0 | ||
| Elaine Friedman | ||||||||
| Director | 2.0 | 0.0 | Yes (X) | $1,576 | $0 | $0 | ||
| David J Cooper | ||||||||
| Director (through 10/2014) | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Gregory E Floyd | ||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Paul E Gibson | ||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $131,530 | $0 | ||
| Margaret T Pan-Loo | ||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Oliver Gray | ||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Daniel P Finke | ||||||||
| President and COO | 35.0 | 0.0 | Yes (X) | $1,558,961 | $0 | $1,275,546 | ||
| William C Lamoreaux | ||||||||
| EVP & Chief Operating Officer | 35.0 | 0.0 | Yes (X) | $987,752 | $0 | $717,461 | ||
| William A Gillespie | ||||||||
| Chief Medical Officer | 35.0 | 0.0 | Yes (X) | $894,886 | $0 | $453,349 | ||
| Edward Mailander | ||||||||
| SVP, Chief Actuary | 35.0 | 0.0 | Yes (X) | $801,849 | $0 | $428,715 | ||
| Charlene A Maher | ||||||||
| SVP, Chief Marketing Officer | 35.0 | 0.0 | Yes (X) | $773,209 | $0 | $399,941 | ||
| Shawn M Fitzgibbon | ||||||||
| SVP, Government Programs | 35.0 | 0.0 | Yes (X) | $703,004 | $0 | $362,568 | ||
| Michael Palmateer | ||||||||
| SVP, Finance | 35.0 | 0.0 | Yes (X) | $694,434 | $0 | $503,448 | ||
| Jeffrey D Chansler | ||||||||
| General Counsel | 35.0 | 0.0 | Yes (X) | $666,322 | $0 | $479,745 | ||
| Arthur Byrd | ||||||||
| Chief Financial Officer | 35.0 | 0.0 | Yes (X) | $638,782 | $0 | $297,078 | ||
| Valerie A Reardon | ||||||||
| SVP, Compliance&Internal Audit | 35.0 | 0.0 | Yes (X) | $609,645 | $0 | $441,643 | ||
| William Mastrogiacomo | ||||||||
| SVP, Dep Gen Counsel, Corp Sec | 35.0 | 0.0 | Yes (X) | $600,242 | $0 | $427,678 | ||
| George Babitsch | ||||||||
| SVP, Underwriting & Acct Mgmt | 35.0 | 0.0 | Yes (X) | $582,601 | $0 | $410,244 | ||
| Nicholas P Kambolis | ||||||||
| SVP, Legal | 35.0 | 0.0 | Yes (X) | $577,415 | $0 | $294,010 | ||
| Michele A Powers | ||||||||
| VP, Operations | 35.0 | 0.0 | Yes (X) | $507,651 | $0 | $229,604 | ||
| Robert Branchini | ||||||||
| VP, Information Technology | 35.0 | 0.0 | Yes (X) | $482,611 | $0 | $265,993 | ||
| Mariann E Drohan | ||||||||
| VP, Human Resources | 35.0 | 0.0 | Yes (X) | $472,546 | $0 | $201,566 | ||
| David J Morin | ||||||||
| VP, Customer Service | 35.0 | 0.0 | Yes (X) | $460,294 | $0 | $166,687 | ||
| John D Mahder | ||||||||
| VP, Marketing | 35.0 | 0.0 | Yes (X) | $438,113 | $0 | $184,542 | ||
| Williams Lewis | ||||||||
| VP, Fac,RE,Crp Svc/Ass Gen Csl | 35.0 | 0.0 | Yes (X) | $404,501 | $0 | $218,994 | ||
| John A Kennedy | ||||||||
| VP, Gov't Prog & Direct to Con | 35.0 | 0.0 | Yes (X) | $387,332 | $0 | $131,875 | ||
| William Yurkowski | ||||||||
| VP, Operations | 35.0 | 0.0 | Yes (X) | $385,740 | $0 | $186,577 | ||
| Karen Smith-Hagman | ||||||||
| VP, Medical Management | 35.0 | 0.0 | Yes (X) | $385,474 | $0 | $179,075 | ||
| Mohamed Diab | ||||||||
| VP, Medical Mgmt Operations | 35.0 | 0.0 | Yes (X) | $384,125 | $0 | $183,805 | ||
| Carl A Lund | ||||||||
| VP, Facility Contracting | 35.0 | 0.0 | Yes (X) | $380,230 | $0 | $169,114 | ||
| Richard R Gross | ||||||||
| VP, Account Management | 35.0 | 0.0 | Yes (X) | $366,313 | $0 | $133,300 | ||
| Jennifer L Truscott | ||||||||
| VP, Claims Operations | 35.0 | 0.0 | Yes (X) | $362,462 | $0 | $148,958 | ||
| Mary E Soul | ||||||||
| VP, Actuarial Valuation | 35.0 | 0.0 | Yes (X) | $358,466 | $0 | $147,201 | ||
| Brendan R Shanahan | ||||||||
| VP, Budget & Analysis | 35.0 | 0.0 | Yes (X) | $352,539 | $0 | $110,985 | ||
| Wanda Wareham | ||||||||
| VP, Gov't Assisted Programs | 35.0 | 0.0 | Yes (X) | $351,335 | $0 | $147,794 | ||
| Stuart Lefkowich | ||||||||
| VP, Medicare Advantage | 35.0 | 0.0 | Yes (X) | $350,564 | $0 | $146,976 | ||
| Philip J Gillich | ||||||||
| VP, Network Management | 35.0 | 0.0 | Yes (X) | $348,845 | $0 | $154,900 | ||
| Jose R Diaz | ||||||||
| VP, Membership | 35.0 | 0.0 | Yes (X) | $348,410 | $0 | $210,878 | ||
| Eliza Ng | ||||||||
| VP, Clinical Affairs | 35.0 | 0.0 | Yes (X) | $347,106 | $0 | $106,555 | ||
| Daniel Byrne | ||||||||
| VP, Labor Relations | 35.0 | 0.0 | Yes (X) | $342,498 | $0 | $159,832 | ||
| Ernesto Marrero Jr | ||||||||
| VP, Medicare Compliance | 35.0 | 0.0 | Yes (X) | $333,244 | $0 | $138,723 | ||
| Vincent A Hartmann | ||||||||
| VP, Underwriting | 35.0 | 0.0 | Yes (X) | $316,034 | $0 | $171,425 | ||
| Erhard V Krause | ||||||||
| VP, Business Development | 35.0 | 0.0 | Yes (X) | $309,140 | $0 | $154,965 | ||
| Peter S Moore | ||||||||
| VP, Government Programs | 35.0 | 0.0 | Yes (X) | $307,760 | $0 | $185,459 | ||
| Christopher W Chappelear | ||||||||
| VP, Actuarial & Underwriting | 35.0 | 0.0 | Yes (X) | $301,816 | $0 | $109,417 | ||
| Douglas Cowieson | ||||||||
| SVP, Administrative Transform | 35.0 | 0.0 | Yes (X) | $301,393 | $0 | $12,443 | ||
| Jerry A Gallo | ||||||||
| VP, Commercial Sales | 35.0 | 0.0 | Yes (X) | $289,385 | $0 | $96,044 | ||
| Suzanne G Ronner | ||||||||
| VP, Service Administration | 35.0 | 0.0 | Yes (X) | $258,844 | $0 | $42,310 | ||
| Michele H Podolak | ||||||||
| VP, Customer Service | 35.0 | 0.0 | Yes (X) | $258,454 | $0 | $130,352 | ||
| Stephen A Zeng | ||||||||
| VP, Enterprise PMO | 35.0 | 0.0 | Yes (X) | $231,190 | $0 | $167,700 | ||
| Richard M Densing | ||||||||
| VP, Gov't Prog & Direct to Con | 35.0 | 0.0 | Yes (X) | $152,846 | $0 | $55,823 | ||
| Munish Khaneja | ||||||||
| VP, Medical Mgmt Operations | 35.0 | 0.0 | Yes (X) | $105,131 | $0 | $51,910 | ||
| Wei Jia Shen | ||||||||
| Sr. Director -Applications Dev | 40.0 | $335,527 | $9,348 | Yes (X) | ||||
| Terrylynn Smith | ||||||||
| Director, Labor Relations | 40.0 | 0.0 | $320,501 | $0 | $5,223 | Yes (X) | ||
| Thomas MAcMillan | ||||||||
| Sr. Director, EPMO | 40.0 | 0.0 | $309,522 | $0 | $10,388 | Yes (X) | ||
| Eleanor Sorrentino | ||||||||
| Sr. Director, Quality Mgmt | 40.0 | 0.0 | $314,046 | $0 | $6,869 | Yes (X) | ||
| Bruce Sosler | ||||||||
| Senior Medical Director | 40.0 | 0.0 | $315,080 | $0 | $3,816 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $27,934,509 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $131,530 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $14,443,996 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1138 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Price Waterhouse Coopers LLP | |||||
| PO Box 905615 | CHARLOTTE | NC | 28290 | Accounting/Consult | $8,351,517 |
| The Sourcing Group LLC | |||||
| 938 Lincoln Avenue | SPRINGFIELD | PA | 19064 | Business Solutions | $9,149,620 |
| Sharp Decisions | |||||
| 1040 Avenue of the Americas | NEW YORK | NY | 10018 | IT Solutions | $8,299,188 |
| Merkle Inc | |||||
| 7001 Columbia Gateway Drive | COLUMBIA | MD | 21046 | Marketing Solutions | $8,041,274 |
| Gannon Vitolo Contracting LLC | |||||
| 49 West 38th Street | NEW YORK | NY | 10018 | Construction | $8,029,293 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 186 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PREMIUM REVENUE | 900099 | $5,063,581,662 | $5,061,553,159 | $2,028,503 |
| THIRD PARTY ADMINISTRATIVE FEES | 900099 | $4,588,005 | $4,534,525 | $53,480 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,068,169,667 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,041,672 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $4,636,525 | UnrelatedBusinessRevenueAmt |
| Exclusion | $38,405,147 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,109,942 | RealAmt |
| Personal | $2,160,594 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,109,942 | RealAmt |
| Personal | $2,160,594 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $34,270,536 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $2,160,594 | UnrelatedBusinessRevenueAmt |
| Exclusion | $32,109,942 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,047,196 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,047,196 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,047,196 | TotalRevenueColumnAmt |
| Exclusion | $22,047,196 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PHARMACY REVENUE | 900099 | $17,386,006 | $12,145,269 | $5,240,737 | |
| HURRICANE SANDY RECOVERY | 900099 | $6,676,632 | $6,676,632 | ||
| LOSS ON IMPAIRMENT OF GOODWILL | 900099 | -$4,154,079 | -$4,154,079 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $19,908,559 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,187,437,630 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,078,232,953 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $14,119,839 | UnrelatedBusinessRevenueAmt |
| Exclusion | $95,084,838 | 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 | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,604,689 | TotalAmt |
| Management And General | $26,604,689 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,759,136 | TotalAmt |
| Management And General | $130,759,136 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,290,474 | TotalAmt |
| Management And General | $41,290,474 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,721,381 | TotalAmt |
| Management And General | $38,721,381 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,090,529 | TotalAmt |
| Management And General | $14,090,529 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,499,137 | TotalAmt |
| Management And General | $3,499,137 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,076,362 | TotalAmt |
| Management And General | $2,076,362 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $536,680 | TotalAmt |
| Management And General | $536,680 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,595,920 | TotalAmt |
| Management And General | $2,595,920 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,775,491 | TotalAmt |
| Management And General | $88,775,491 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,133,003 | TotalAmt |
| Management And General | $16,133,003 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,992,266 | TotalAmt |
| Management And General | $25,992,266 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,916,220 | TotalAmt |
| Management And General | $24,916,220 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,806,288 | TotalAmt |
| Management And General | $3,806,288 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,839 | TotalAmt |
| Management And General | $60,839 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,466,844 | TotalAmt |
| Management And General | $47,466,844 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,313,142 | TotalAmt |
| Management And General | $5,313,142 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUBSCRIBER BENEFITS | $4,616,131,685 | $4,616,131,685 | |
| OUTSOURCED SERVICES | $56,233,394 | $56,233,394 | |
| QUALITY OF CARE EXPENSES | $28,112,223 | $28,112,223 | |
| ACA HEALTHCARE FEES | $57,909,249 | $57,909,249 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $300,055,972 | TotalAmt |
| Program Services | $122,140,393 | ProgramServicesAmt |
| Management And General | $177,915,579 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,531,080,924 | TotalAmt |
| Program Services | $4,824,293,550 | ProgramServicesAmt |
| Management And General | $706,787,374 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,716,962 | BOYAmt |
| EOY | $236,125,131 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,840,612 | BOYAmt |
| EOY | $225,165,499 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,000,000 | BOYAmt |
| EOY | $240,987,161 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,805,929 | BOYAmt |
| EOY | $5,721,692 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $498,022,581 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $332,946,942 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $183,227,126 | BOYAmt |
| EOY | $165,075,639 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,132,648,702 | BOYAmt |
| EOY | $740,299,393 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,132,267 | BOYAmt |
| EOY | $394,687,007 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,154,079 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,931,743 | BOYAmt |
| EOY | $254,265,038 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,219,457,420 | BOYAmt |
| EOY | $2,262,326,560 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $495,532,973 | BOYAmt |
| EOY | $846,665,282 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,037,473 | BOYAmt |
| EOY | $10,631,753 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,459,734 | BOYAmt |
| EOY | $184,582,753 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $697,030,180 | BOYAmt |
| EOY | $1,041,879,788 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,522,427,240 | BOYAmt |
| EOY | $1,220,446,772 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,522,427,240 | BOYAmt |
| EOY | $1,220,446,772 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,219,457,420 | BOYAmt |
| EOY | $2,262,326,560 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$343,643,294 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $41,662,826 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,963,425 | OtherCostOrOtherBasisAmt |
| Book Value | $6,963,425 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $149,223,556 | OtherCostOrOtherBasisAmt |
| Depreciation | $83,228,257 | DepreciationAmt |
| Book Value | $66,003,300 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $192,025,930 | OtherCostOrOtherBasisAmt |
| Depreciation | $109,353,667 | DepreciationAmt |
| Book Value | $82,672,263 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,954,699 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,171,412 | DepreciationAmt |
| Book Value | $4,783,287 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,846,971 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,193,607 | DepreciationAmt |
| Book Value | $4,653,364 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $165,075,639 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN ADVANTAGECARE | $185,046,456 | C |
| INVESTMENT IN HIP HOLDINGS INC | $209,640,551 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $394,687,007 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $12,637,903 |
| DEFERRED RENT | $1,198,500 |
| INTEREST/DIVIDENDS RECEIVABLE | $4,142,070 |
| OTHER CURRENT ASSETS | $3,443,908 |
| HEALTHCARE RECEIVABLES | $126,726,671 |
| INTERCOMPANY RECEIVABLES | $105,960,747 |
| DEFERRED TAX ASSET | $155,239 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $254,265,038 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PENSION LIABILITY | $110,127,402 |
| DEFERRED RENT | $67,552,225 |
| OTHER LONG TERM LIABILITIES | $6,853,289 |
| ACCRUED INCOME TAXES | $49,837 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $184,582,753 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FIN 48 DISCLOSURE | FormAndLineReferenceDesc |
| Explanation | The organization's consolidated audited financial statements contain a modified version of the original Fin-48 footnote included when it initially adopted FIN-48: In July 2006, the Financial Accounting Standards Board (FASB) issued Interpretation No. 48, Accounting for Uncertainty in Income Taxes, an Interpretation of SFAS Statement No. 109 (FIN No. 48). Among other things, FIN No. 48 creates a model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing minimum recognition thresholds which all income tax positions must achieve before being recognized in the financial statements. In addition, FIN No. 48 requires expanded annual disclosures, including a reconciliation of the beginning and ending aggregate unrecognized tax benefits as well as specific detail related to tax uncertainties for which it is reasonably possible the amount of unrecognized tax benefit will significantly increase or decrease within 12 months. Any tax differences between the amounts recognized in the statements of financial position prior to the adoption of FIN No. 48 and the amounts reported after adoption are generally accounted for as a cumulative-effect adjustment recorded to the beginning balance of retained earnings. Effective January 1, 2007, the Company adopted FIN No. 48, which did not have any impact on the Company's consolidated financial statements. The Company does not have any unrecognized tax benefits as of or for the year ended December 31, 2014. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|
| East Asia and the Pacific | Investments | $3,799,342 |
| North America | Investments | $13,929,435 |
| Europe (Including Iceland and Greenland) | Investments | $11,381,162 |
| Central America and the Caribbean | Investments | $722,104 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $29,832,043 | SubtotalSpentAmt |
| Total Spent | $29,832,043 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule F, Part 1 | FormAndLineReferenceDesc |
| Explanation | HIP-NY does not conduct any activities outside the United States. In accordance with the instructions to the Form 990, the organization is reporting the market value of non-U.S. investments. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (52 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Frank J Branchini | ||||||||||||||
| Chairman and CEO | $919,404 | $0 | $2,981,100 | $0 | $958,946 | $0 | $3,007,548 | $0 | $7,596 | $0 | $7,874,594 | $0 | $0 | $0 |
| Daniel P Finke | ||||||||||||||
| President and COO | $250,526 | $0 | $1,268,838 | $0 | $39,597 | $0 | $1,272,738 | $0 | $2,808 | $0 | $2,834,507 | $0 | $0 | $0 |
| William C Lamoreaux | ||||||||||||||
| EVP & Chief Operating Officer | $484,491 | $0 | $471,495 | $0 | $31,766 | $0 | $710,369 | $0 | $7,092 | $0 | $1,705,213 | $0 | $0 | $0 |
| William A Gillespie | ||||||||||||||
| Chief Medical Officer | $415,415 | $0 | $445,792 | $0 | $33,679 | $0 | $449,692 | $0 | $3,657 | $0 | $1,348,235 | $0 | $0 | $0 |
| Edward Mailander | ||||||||||||||
| SVP, Chief Actuary | $362,772 | $0 | $407,119 | $0 | $31,958 | $0 | $421,027 | $0 | $7,688 | $0 | $1,230,564 | $0 | $0 | $0 |
| Charlene A Maher | ||||||||||||||
| SVP, Chief Marketing Officer | $361,799 | $0 | $382,353 | $0 | $29,057 | $0 | $393,875 | $0 | $6,066 | $0 | $1,173,150 | $0 | $0 | $0 |
| Shawn M Fitzgibbon | ||||||||||||||
| SVP, Government Programs | $330,512 | $0 | $343,914 | $0 | $28,578 | $0 | $356,080 | $0 | $6,488 | $0 | $1,065,572 | $0 | $0 | $0 |
| Michael Palmateer | ||||||||||||||
| SVP, Finance | $305,972 | $0 | $360,555 | $0 | $27,907 | $0 | $498,960 | $0 | $4,488 | $0 | $1,197,882 | $0 | $0 | $0 |
| Jeffrey D Chansler | ||||||||||||||
| General Counsel | $291,969 | $0 | $343,914 | $0 | $30,439 | $0 | $476,253 | $0 | $3,492 | $0 | $1,146,067 | $0 | $0 | $0 |
| Arthur Byrd | ||||||||||||||
| Chief Financial Officer | $362,119 | $0 | $260,165 | $0 | $16,498 | $0 | $288,590 | $0 | $8,488 | $0 | $935,860 | $0 | $0 | $0 |
| Valerie A Reardon | ||||||||||||||
| SVP, Compliance&Internal Audit | $276,144 | $0 | $307,820 | $0 | $25,681 | $0 | $432,327 | $0 | $9,316 | $0 | $1,051,288 | $0 | $0 | $0 |
| William Mastrogiacomo | ||||||||||||||
| SVP, Dep Gen Counsel, Corp Sec | $260,146 | $0 | $310,633 | $0 | $29,463 | $0 | $422,362 | $0 | $5,316 | $0 | $1,027,920 | $0 | $0 | $0 |
| George Babitsch | ||||||||||||||
| SVP, Underwriting & Acct Mgmt | $252,042 | $0 | $305,085 | $0 | $25,474 | $0 | $401,826 | $0 | $8,418 | $0 | $992,845 | $0 | $0 | $0 |
| Nicholas P Kambolis | ||||||||||||||
| SVP, Legal | $316,127 | $0 | $235,555 | $0 | $25,733 | $0 | $286,522 | $0 | $7,488 | $0 | $871,425 | $0 | $0 | $0 |
| Michele A Powers | ||||||||||||||
| VP, Operations | $268,394 | $0 | $213,961 | $0 | $25,296 | $0 | $227,068 | $0 | $2,536 | $0 | $737,255 | $0 | $0 | $0 |
| Robert Branchini | ||||||||||||||
| VP, Information Technology | $249,994 | $0 | $207,194 | $0 | $25,423 | $0 | $261,505 | $0 | $4,488 | $0 | $748,604 | $0 | $0 | $0 |
| Mariann E Drohan | ||||||||||||||
| VP, Human Resources | $269,577 | $0 | $173,091 | $0 | $29,878 | $0 | $199,910 | $0 | $1,656 | $0 | $674,112 | $0 | $0 | $0 |
| David J Morin | ||||||||||||||
| VP, Customer Service | $17,234 | $0 | $162,039 | $0 | $281,021 | $0 | $165,939 | $0 | $748 | $0 | $626,981 | $0 | $0 | $0 |
| John D Mahder | ||||||||||||||
| VP, Marketing | $245,038 | $0 | $166,091 | $0 | $26,984 | $0 | $178,650 | $0 | $5,892 | $0 | $622,655 | $0 | $0 | $0 |
| Williams Lewis | ||||||||||||||
| VP, Fac,RE,Crp Svc/Ass Gen Csl | $215,790 | $0 | $162,192 | $0 | $26,519 | $0 | $213,854 | $0 | $5,140 | $0 | $623,495 | $0 | $0 | $0 |
| John A Kennedy | ||||||||||||||
| VP, Gov't Prog & Direct to Con | $223,712 | $0 | $125,170 | $0 | $38,450 | $0 | $129,070 | $0 | $2,805 | $0 | $519,207 | $0 | $0 | $0 |
| William Yurkowski | ||||||||||||||
| VP, Operations | $203,942 | $0 | $155,434 | $0 | $26,364 | $0 | $179,589 | $0 | $6,988 | $0 | $572,317 | $0 | $0 | $0 |
| Karen Smith-Hagman | ||||||||||||||
| VP, Medical Management | $202,864 | $0 | $155,434 | $0 | $27,176 | $0 | $171,009 | $0 | $8,066 | $0 | $564,549 | $0 | $0 | $0 |
| Mohamed Diab | ||||||||||||||
| VP, Medical Mgmt Operations | $185,508 | $0 | $172,392 | $0 | $26,225 | $0 | $176,292 | $0 | $7,513 | $0 | $567,930 | $0 | $0 | $0 |
| Carl A Lund | ||||||||||||||
| VP, Facility Contracting | $201,562 | $0 | $152,118 | $0 | $26,550 | $0 | $164,746 | $0 | $4,368 | $0 | $549,344 | $0 | $0 | $0 |
| Richard R Gross | ||||||||||||||
| VP, Account Management | $281,675 | $0 | $57,250 | $0 | $27,388 | $0 | $124,694 | $0 | $8,606 | $0 | $499,613 | $0 | $0 | $0 |
| Jennifer L Truscott | ||||||||||||||
| VP, Claims Operations | $205,844 | $0 | $137,993 | $0 | $18,625 | $0 | $147,302 | $0 | $1,656 | $0 | $511,420 | $0 | $0 | $0 |
| Mary E Soul | ||||||||||||||
| VP, Actuarial Valuation | $220,114 | $0 | $133,426 | $0 | $4,926 | $0 | $143,385 | $0 | $3,816 | $0 | $505,667 | $0 | $0 | $0 |
| Brendan R Shanahan | ||||||||||||||
| VP, Budget & Analysis | $237,491 | $0 | $89,917 | $0 | $25,131 | $0 | $99,653 | $0 | $11,332 | $0 | $463,524 | $0 | $0 | $0 |
| Wanda Wareham | ||||||||||||||
| VP, Gov't Assisted Programs | $179,181 | $0 | $139,520 | $0 | $32,634 | $0 | $143,420 | $0 | $4,374 | $0 | $499,129 | $0 | $0 | $0 |
| Stuart Lefkowich | ||||||||||||||
| VP, Medicare Advantage | $172,352 | $0 | $138,660 | $0 | $39,552 | $0 | $142,560 | $0 | $4,416 | $0 | $497,540 | $0 | $0 | $0 |
| Philip J Gillich | ||||||||||||||
| VP, Network Management | $188,851 | $0 | $135,161 | $0 | $24,833 | $0 | $151,900 | $0 | $3,000 | $0 | $503,745 | $0 | $0 | $0 |
| Jose R Diaz | ||||||||||||||
| VP, Membership | $187,114 | $0 | $133,293 | $0 | $28,003 | $0 | $207,062 | $0 | $3,816 | $0 | $559,288 | $0 | $0 | $0 |
| Eliza Ng | ||||||||||||||
| VP, Clinical Affairs | $243,337 | $0 | $85,750 | $0 | $18,019 | $0 | $95,817 | $0 | $10,738 | $0 | $453,661 | $0 | $0 | $0 |
| Daniel Byrne | ||||||||||||||
| VP, Labor Relations | $187,226 | $0 | $136,704 | $0 | $18,568 | $0 | $150,528 | $0 | $9,304 | $0 | $502,330 | $0 | $0 | $0 |
| Ernesto Marrero Jr | ||||||||||||||
| VP, Medicare Compliance | $187,166 | $0 | $121,918 | $0 | $24,160 | $0 | $133,887 | $0 | $4,836 | $0 | $471,967 | $0 | $0 | $0 |
| Vincent A Hartmann | ||||||||||||||
| VP, Underwriting | $163,030 | $0 | $127,285 | $0 | $25,719 | $0 | $165,224 | $0 | $6,201 | $0 | $487,459 | $0 | $0 | $0 |
| Erhard V Krause | ||||||||||||||
| VP, Business Development | $155,284 | $0 | $123,032 | $0 | $30,824 | $0 | $151,149 | $0 | $3,816 | $0 | $464,105 | $0 | $0 | $0 |
| Peter S Moore | ||||||||||||||
| VP, Government Programs | $160,756 | $0 | $121,336 | $0 | $25,668 | $0 | $180,285 | $0 | $5,174 | $0 | $493,219 | $0 | $0 | $0 |
| Christopher W Chappelear | ||||||||||||||
| VP, Actuarial & Underwriting | $226,263 | $0 | $57,573 | $0 | $17,980 | $0 | $99,933 | $0 | $9,484 | $0 | $411,233 | $0 | $0 | $0 |
| Douglas Cowieson | ||||||||||||||
| SVP, Administrative Transform | $186,119 | $0 | $0 | $0 | $115,274 | $0 | $7,937 | $0 | $4,506 | $0 | $313,836 | $0 | $0 | $0 |
| Jerry A Gallo | ||||||||||||||
| VP, Commercial Sales | $192,682 | $0 | $78,110 | $0 | $18,593 | $0 | $87,296 | $0 | $8,748 | $0 | $385,429 | $0 | $0 | $0 |
| Suzanne G Ronner | ||||||||||||||
| VP, Service Administration | $208,249 | $0 | $27,853 | $0 | $22,742 | $0 | $37,572 | $0 | $4,738 | $0 | $301,154 | $0 | $0 | $0 |
| Michele H Podolak | ||||||||||||||
| VP, Customer Service | $132,684 | $0 | $101,583 | $0 | $24,187 | $0 | $126,036 | $0 | $4,316 | $0 | $388,806 | $0 | $0 | $0 |
| Stephen A Zeng | ||||||||||||||
| VP, Enterprise PMO | $35,996 | $0 | $162,192 | $0 | $33,002 | $0 | $165,686 | $0 | $2,014 | $0 | $398,890 | $0 | $0 | $0 |
| Richard M Densing | ||||||||||||||
| VP, Gov't Prog & Direct to Con | $100,861 | $0 | $50,000 | $0 | $1,985 | $0 | $52,953 | $0 | $2,870 | $0 | $208,669 | $0 | $0 | $0 |
| Munish Khaneja | ||||||||||||||
| VP, Medical Mgmt Operations | $55,021 | $0 | $50,000 | $0 | $110 | $0 | $51,162 | $0 | $748 | $0 | $157,041 | $0 | $0 | $0 |
| Wei Jia Shen | ||||||||||||||
| Sr. Director -Applications Dev | $242,887 | $0 | $92,640 | $0 | $0 | $0 | $3,900 | $0 | $5,448 | $0 | $344,875 | $0 | $0 | $0 |
| Terrylynn Smith | ||||||||||||||
| Director, Labor Relations | $151,540 | $0 | $21,597 | $0 | $147,364 | $0 | $2,365 | $0 | $2,858 | $0 | $325,724 | $0 | $0 | $0 |
| Thomas MAcMillan | ||||||||||||||
| Sr. Director, EPMO | $230,218 | $0 | $79,304 | $0 | $0 | $0 | $3,900 | $0 | $6,488 | $0 | $319,910 | $0 | $0 | $0 |
| Eleanor Sorrentino | ||||||||||||||
| Sr. Director, Quality Mgmt | $226,690 | $0 | $86,950 | $0 | $406 | $0 | $3,457 | $0 | $3,412 | $0 | $320,915 | $0 | $0 | $0 |
| Bruce Sosler | ||||||||||||||
| Senior Medical Director | $252,114 | $0 | $62,966 | $0 | $0 | $0 | $0 | $0 | $3,816 | $0 | $318,896 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Line 1A | Per EmblemHealth's Travel and Business expense Policy, the Chairman and Chief Executive officer, the President and Chief Operating Officer, the President of EmbleHealth Services, the Executive Vice Presidents, and, in the discretion of the Chairman and Chief Executive Officer, members of the Board of Directors of EmblemHealth may travel first class and can request staff traveling on business with them to travel first class on accompanied segments of the trip. Any such expenses are reimbursed upon presentation of accurate receipts. Per EmblemHealth's Travel and Business Expense Policy, approved Spousal or Guest travel and related lodging, meal expenditures and other appropriate related cost will be reimbursed when the travel is required by EmblemHealth for a legitimate business purpose. Spousal and Guest travel that is not approved in advance is referred to the Senior Vice President for compliance for review. It should be noted that the above policy applies to all entities within the Emblemhealth universe. In 2014, Health Insurance Plan of Greater New York did not provide any spousal travel or first class travel to any of the individuals reported in the Form 990. Mr. Branchini receives a tax gross up for amounts paid into the secular Trust. |
| Severance Payment | The following officers received severance in 2014: David Morin - $264,645 John White - $163,611 All of the severance payments documented above are reported in the Form 990, Schedule J, part II, Column (b)(iii). |
| Non-Qualified Retirement Plan | Emblem Health Services, LLC sponsors nonqualified retirement plans that the officers of HIPNY participate in, Officers with the titles of senior vice president and above hired before June 1, 2009, with the exception of Frank Branchini, participate in the supplemental executive retirement plan for emblemhealth services company, llc ("SERP"). The SERP 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 require the approval of the board of directors to retire under the serp between the ages of 55 and 60. Participants who retire prior to age 65 have their serp benefits reduced by early retirement factors. Mr. branchini participates in the GHI supplemental retirement plan ("Secular trust") which provides a retirement benefit calculated to provide the retirement benefits that would otherwise be payable under the local 153-ghi pension plan and the ghi cash balance plan (qualified plans), but for funding and contributions limits imposed by the IRS regulations. Senior vice presidents and above, hired before june 1, 2009, participate in the supplemental retirement plan ii for emblemhealth services company, llc (SERP II"). The SERP II provides a retirement beneft calculated on the basis of 30% of final average pay after 5 years of service, and increasing to 50% of final average pay after 15 years of service, offset by benefits under any qualified benefit plan, such as the emblemhealth services company, llc employees' retirement plan. Participants require the approval of the board of directors to retire under the SERP II between the ages of 55 and 60. Participants who retire prior to age 65 have their SERP II benefits reduced by early retirement factors. |
| Bonus Payments | HIP and EmblemHealth Services 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. In the 2014 AIP, two equally weighted performance metrics were Operating Income and Administrative Per Member Per Month (PMPM) savings. Operating Income was defined as premiums earned and administrative service fee revenue, less subscriber benefits, depreciation and amortization, interest and general administrative expenses, as reported in the annual financial statements, and exluding certain specified and extraordinary items. Administrative PMPM was defined as the depreciation and amortization, interest and general administrative expenses as reported in the annual audited financials associated with the administration of the company's insured commercial managed care, Medicare and State sponsored programs expressed on a per member per month basis, and excluding certain specified and extraordinary items. HIP and EmblemHealth Services also have a long term incentive plan based upon longer term performance over three year performance cycles and a limited supplemental incentive plan with payment triggered by threshold performance under the AIP. The compensation committees approve the performance metrics, targets and payouts based upon achievement of performance under these plans as well. Officers and key employees are generally eligible to participate in the long term incentive plan. Schedule J, Part II, Column C Related party, Health Insurance Plan of Greater New York, 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 (6 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| William White | |||
| Director/HR Department | $175,332 | See Schedule L Narrative | false |
| Christine O'Connor Burns | |||
| Kin of Board Member | $233,033 | See Schedule L Narrative | false |
| William O'Connor | |||
| Kin of Board Member | $232,827 | See Schedule L Narrative | false |
| Diane Pirone | |||
| Kin of President & COO | $3,130,362 | See Schedule L Narrative | false |
| Keith Dahl | |||
| Kin of President | $275,157 | See Schedule L Narrative | false |
| David Cooper | |||
| Board Member | $42,100,000 | See Schedule L Narrative | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule L | FormAndLineReferenceDesc |
| Explanation | 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 HIP/EMBLEM ACCOUNT. IN CALENDAR YEAR 2014, HIP-NY PAID THE CONTRACTED ENTITY, RCG, $3,130,362. Chairman and Chief Executive Officer, Frank Branchini, has a family member, Keith Dahl, son-in-law, who is a physician employed by AdvantageCare Physician, P.C.("ACP"), a related entity to HIP-NY. HIP-NY engages in various transactions with ACP to provide medical services to its members. Dr. Dahl received $275,157 in compensation from ACP. Former Vice President of Integrative Wellness, John White, has a family member who is, likewise, employed by EmblemHealth Services Company, LLC. William White is employed by EmblemHealth Services Company, LLC. as a Director in the Human Resources Department; his W-2 wages for the year ending 12/31/2014 are $175,332. John receives fringe benefits from EmblemHealth Services Company, LLC as well. Board of Directors Member John O'Connor has two family members that are employees of EmblemHealth Services Company, LLC. Christine O'Connor Burns and William O'Connor received W-2 compensation of $233,033 and $232,827 respectively from EmblemHealth Services Company, LLC. Both individuals, likewise, receive fringe benefits from EmblemHealth Services Company, LLC as well. Board of Directors Member, David Cooper, is the chief executive officer of ProHealth Care Associates, LLP, a physician group practice that provided services to HIP-NY and was paid $42.1 million dollars. HIP-NY 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). HIP-NY compiles a lengthy Summary report of all potential business transactions between the individuals reported on Part VII of the Form 990 and HIP-NY 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 |
|---|---|
| Form 990, Principal Officer | Effective September 1, 2015, the EmblemHealth Board of Directors selected Karen Ignani to be the next President & Ceo of Emblemhealth. Ms. Ignani is not reported on Part VII of the Form 990 as she was not employed by the organization in 2014. 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 HIP-NY's EIN#. In addition, HIP-NY's 100% owned disregarded entity, EmblemHealth Services, LLC, (EHS) also issued 1099s in calendar year 2014. In the interests of full disclosure, HIP-NY is disclosing that EmblemHealth Services, LLC issued 2,392 1099s in calendar year 2014. In total, HIP-NY and EHS paid compensation exceeding $100,000 to 186 vendors (18 paid by HIP-NY and 168 by EHS) HIP-NY, as a part of its business, undertakes a significant amount of claims processing; in 2014, HIP-NY issued 22,903 1099s through its claims processing department. 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) HIP-NY does not file a Form W-3 as all employee payroll is paid out of EmblemHealth Services, LLC. In the interests of clarity, HIP-NY is disclosing that 5,003 employees received W-2s from EmblemHealth Services (ostensibly for services rendered to HIP-NY and to other affiliated entities). |
| Form 990, Part VI, Line 2 | Frank Branchini, President and Chief Operating Officer, has a family relationship with Robert Branchini, VP Information Technology. 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 6 | EmblemHealth, Inc., a New York not-for-profit corporation, is the sole member of Health Insurance Plan of Greater New York. EmblemHealth (EIN 13-3941542) is exempt from federal taxation pursuant to IRC 501(c)(3). |
| Form 990, Part VI, Line 11 | The taxpayer's Form 990 for the year ending December 31, 2014 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 Financial Officer and VP, Corporate Secretary. |
| Form 990, Part VI, Line 12 | 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 Senior Vice President for Compliance, Internal Audit and Internal controls are required to fully disclose, 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 Senior Vice President for Compliance, Internal Audit and Internal Controls and by the Executive Vice President, Chief Financial Officer and 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 15 | To determine the compensation of the CEO and all other officers of the company, HIP 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 HIP 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 19 | The taxpayer makes its Form 990 and Form 1023 available to the public by retaining a copy of each at its head offices at 55 Water Street, New York, New York. Any individual requesting a copy of these documents is provided that copy on the same business day. 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 website, 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 Health Insurance Plan of Greater New York 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 HIP network. |
| Form 990, Part VIII | Health Insurance Plan of Greater New York generates rental revenue from medical groups who lease a combination of personal and real property. HIP does not book this revenue in its general ledger as rental income, but rather offsets payments due to the health provider/facilities as monthly settlements are made. These transactions result in a net out-flow of cash as HIP finalizes its monthly settlements. For the most part, the rental income generated by HIP is for space rental and incidental personal property rental (i.e. 10% or less of the total rents received under the lease are from personal property). To the extent that the rental income is attributable to a mixed lease (i.e. where personal property is 11% to 50% of the total rents), HIP reports this revenue as unrelated business income and specifically reports this revenue on Part VIII, Lines 6a and 6b and on its Form 990-T. Quantifying total rental income received across all medical groups is difficult, but the organization has approximated the revenue and disclosed it in Part VIII, Line 6. |
| Form 990, Part IX | Amounts reported on Part IX, Line 5, as compensation paid to officers, directors and key-employees of HIP-NY represent those salary costs reported on Form 990, Part VII, Line 1(d) that are allocated from the related party, EmblemHealth Services, LLC. Health Insurance Plan of Greater New York 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, HIP-NY 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 HIP's day-to-day mission activities. Nevertheless, even taking this conservative approach, HIP's program service expenses constitute 87% of total expenditures. |
| Form 990, Part XI, Line 9 | A difference of $41,662,826 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
| 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 | $408,172,000 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIP-NY | 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 | 11e | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIP-NY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Group Health Incorporated | ||||||||||||
| 55 Water Street | New York | NY | 10041 | 135511997 | Insurance | NY | NA | C Corp | $1,918,896,814 | $722,764,243 | 1.00000 | Yes (true) |
| HIP Holdings Inc & Subsidiaries | ||||||||||||
| 55 Water Street | New York | NY | 10041 | 133819759 | Insurance | NY | NA | C Corp. | $1,630,545,162 | $1,140,998,500 | 1.00000 | Yes (true) |
| Central Brooklyn Medical Group PC | ||||||||||||
| 440 9th Avenue | New York | NY | 10001 | 112937992 | Healthcare | NY | HIP-NY | C Corp | $80,334,785 | $7,908,310 | 1.00000 | Yes (true) |
| Queens Long Island Medical Group PC | ||||||||||||
| 440 9th Avenue | New York | NY | 10001 | 113039101 | Healthcare | NY | HIP-NY | C Corp | $69,434,592 | $106,990,415 | 1.00000 | Yes (true) |
| Staten Island Physician Practice PC | ||||||||||||
| 440 9th avenue | new york | NY | 10001 | 204659577 | healthcare | NY | HIP-NY | C corp | $10,470,073 | $3,340,886 | 1.00000 | Yes (true) |
| AdvantageCare Physicians PC | ||||||||||||
| 440 9th Avenue | New York | NY | 10001 | 460790995 | healthcare | NY | HIP-NY | C Corp | $248,368,754 | $110,583,514 | 1.00000 | Yes (true) |
| LHHN Medical PC | ||||||||||||
| 440 9th Avenue | New York | NY | 10001 | 134121055 | healthcare | NY | HIP-NY | C Corp | $22,499,400 | $3,617,840 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (18 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| EmblemHealth Inc | ||
| M,P | $1,916,171 | Cost |
| Group Health Incorporated | ||
| A | $3,300,000 | Market Rate |
| Group Health Incorporated | ||
| D | $165,000,000 | Market Rate |
| Hip Holdings Inc & Subsidiaries (EHA) | ||
| M | $19,400,000 | COST |
| Hip Holdings Inc & Subsidiaries (EHA) | ||
| L | $2,200,000 | COST |
| Hip Holdings Inc & Subsidiaries (HIPIC) | ||
| L,Q | $11,600,000 | COST |
| Hip Holdings Inc & Subsidiaries (HIPIC) | ||
| M | $110,200,000 | COST |
| Hip Holdings Inc & Subsidiaries (HIP-IPA) | ||
| l | $800,000 | cost |
| Hip Holdings Inc & Subsidiaries (HIP-IPA) | ||
| M | $15,400,000 | cost |
| Advantage Care Physician PC | ||
| B | $77,900,000 | cost |
| Central Brooklyn Medical Group PC | ||
| a | $236,835 | cost |
| Staten Island Physician Practice PC | ||
| a | $59,261 | cost |
| Queens Long Island Medical Group PC | ||
| a | $762,911 | cost |
| LHHN Medical PC | ||
| a | $277,518 | cost |
| Central Brooklyn Medical Group PC | ||
| d | $2,630,160 | cost |
| Staten Island Physician Practice PC | ||
| d | $2,932,066 | cost |
| Queens Long Island Medical Group PC | ||
| d | $10,903,184 | cost |
| LHHN Medical PC | ||
| d | $2,559,593 | cost |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part V, Line 2 | FormAndLineReferenceDesc |
| Explanation | TRANSACTIONS with Emblem Health, Inc. EmblemHealth, Inc. is the parent organization of Health Insurance Plan of Greater New York (HIP-NY), a 501(c)(4) tax-exempt organization that delivers quality, affordable health insurance to members and provides employers and individuals with a range of plan choices and attractive benefit options designed to meet the individual needs of today's healthcare consumers. EmblemHealth, Inc., through its subsidiaries helps facilitate HIP-NY's community programs. Costs associated with running EmblemHealth Inc. are reimbursed by HIP-Ny and are memorialized with Transaction Code M & P. Transactions with Group health Incorporated To date, HIP-NY 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 2014. 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. As of December 31, 2014, no payments were made to HIP. Nevertheless, HIP 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 HIP and HIP administers the collection of premiums and pays claims on behalf of HIPIC. Premiums collected on behalf of HIPIC were approximately $60,200,000 million for the year ended December 31, 2014. HIP paid out-of-network claims on behalf of HIPIC of $50,000,000 in 2014. Under the terms of a service agreement, HIP allocated costs associated with administering the premiums and claims of approximately $11,600,000 million to HIPIC for the year ended December 31, 2014. 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, 2014, HIP incurred approximately $15,400,000 million for capitation and $600,000 for data collection services. In addition, HIP provides certain administrative and support services to HIP IPA, which are reimbursed by HIP IPA. For the year ended December 31, 2014, amounts charged by HIP 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, 2014, EHA charged HIP approximately $19,400,000 million for these services. HIP -NY provides administrative and management services to EHA; amounts paid in 2014 were approximately $2,200,000 Transactions with Physician Medical Groups As of January 1, 2013 Emblem completed a series of transactions that resulted in a nominee shareholder arrangement with four independent medical groups that provide health care services to certain subscribers of Emblems health benefit plans and which operate out of facilities owned or leased by Emblem. Pursuant to the transactions, the Chief Medical Officer of Emblem became the sole shareholder of each of the Medical Groups and the physicians employed by and/or contracted with the Medical Groups became employees of, or contracted with, AdvantageCare Physician, P.C., During 2014, HIP invested $77,900,000 in ACP; this has been reflected in Schedule R with Transaction Code (b). In addition, HIP-NY has loan agreements with various medical groups. These loans are memorialized with transaction (d) and any interest paid on the loan is memorailized with transaction (a). | ExplanationTxt |
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