HEALTH INSURANCE PLAN OF GREATER NEW YORK: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HEALTH INSURANCE PLAN OF GREATER NEW YORK (EIN 13-1828429)
Tax period
2011-01-01 to 2011-12-31
Filed
2013-01-21
IRS object ID
201330219349300173
Schema version
2011v1.5
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)
Timestamp2013-01-21T14:52:13-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1666 THIRD AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100174057ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN131828429EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Health Insurance Plan of Greater New YorkBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% ARTHUR BYRDInCareOfName
Name ControlHEALNameControl
Phone6464475000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 WATER STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10041ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namecraig wileyName
Titledir of taxTitle
Date Signed2013-01-18DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2125990100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANTHONY L WATSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line155 WATER STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10041ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4796043325GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.EMBLEMHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1944YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionHEALTH 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 AT PRICES THEY CAN AFFORD.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees412TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI3013931TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4903335816ProgramServiceRevenuePriorYear
Program Service Revenue CY4729574904ProgramServiceRevenueCY
Investment Income Prior Year43200127InvestmentIncomePriorYear
Investment Income Current Year60567125InvestmentIncomeCurrentYear
Other Revenue Prior Year8814884OtherRevenuePriorYear
Other Revenue Current Year3143523OtherRevenueCurrentYear
Total Revenue Prior Year4955350827TotalRevenuePriorYear
Total Revenue Current Year4793285552TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year248850948SalariesEtcPriorYear
Salaries Etc Current Year243042998SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4467262403OtherExpensePriorYear
Other Expenses Current Year4343475853OtherExpensesCurrentYear
Total Expenses Prior Year4716113351TotalExpensesPriorYear
Total Expenses Current Year4586518851TotalExpensesCurrentYear
Revenues Less Expenses Prior Year239237476RevenuesLessExpensesPriorYear
Revenues Less Expenses CY206766701RevenuesLessExpensesCY
Total Assets BOY1807356420TotalAssetsBOY
Total Assets EOY1987023881TotalAssetsEOY
Total Liabilities BOY711491170TotalLiabilitiesBOY
Total Liabilities EOY715560436TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1095865250NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1271463445NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHEALTH 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1500215681Expense
Revenue1800150098Revenue
DescriptionMEDICARE - HIP SERVED APPROXIMATELY 113,000 MEDICARE MEMBERS THROUGH its MEDICARE RISK AND COST CONTRACT PROGRAMS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense700323582Expense
Revenue818315660Revenue
DescriptionMEDICAID - HIP SERVED APPROXIMATELY 200,000 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1719818704Expense
Revenue1962218382Revenue
DescriptionSUBSCRIBER 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.Description

Activity Other ActivityOther (4 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
3154094835042736CHIPS (See Schedule O)
88609833102004092FAMILY HEALTH PLUS (See Schedule O)
1282735412838855HEALTHY NEW YORK (See Schedule O)
5442752-644887Other Program Service Activities
FieldValueIRS element (for citing)
Total Of Other Program Service Exp138420887TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev149240796TotalOfOtherProgramServiceRev
Total Program Service Expense4058778854TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiestruePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096868NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees412NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonARTHUR BYRDNamePerson
Telephone Number6464475000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 WATER STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10041ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (89 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT W BROKAW
Director2.0X2666800
David J Cooper
Director2.0X000
KAREN J DAVIS
Director2.0X1194600
Gregory E Floyd
Director2.0X000
ELAINE FRIEDMAN
Director2.0X614400
PAUL E GIBSON
Director2.0X407901219630
Oliver J Gray
Director2.0X000
RONALD C JONES
Director (through May 2011)2.0X580200
YUNGMAN F LEE
Director (through May 2011)2.0X4211300
Carmelo Mallia
Director (through May 2011)2.0X000
JOHN J O'CONNOR
Director2.0X2666800
Margaret T Pan-Loo
Director2.0X000
CHARLES P WANG
Director2.0X191361132130
Anthony L Watson
Chairman and CEO35.0X047261114120384X
David M Weiss
Director2.0X
David S Abernethy
SVP, Government Relations35.00712160597948X
Rachel A Amalfitano
VP, Controller35.005256654335X
George Babitsch
SVP, Underwriting & Acct Mgmt35.00576266484975X
Lynn M Balducci
VP, Strat Part & Med Grp Prac35.00313708226869X
Frank J Branchini
President and COO35.0039031432310882X
Robert Branchini
VP, Information Technology35.00436566262262X
Arthur Byrd
Chief Financial Officer35.00459888230552X
Daniel Byrne
VP, Labor Relations35.00254899102598X
Jeffrey D Chansler
SVP, Deputy General Counsel35.00650447561962X
Sunny P Chiu
VP, Grp Pract & Fac Ovrsight35.00371599290635X
Michael Della Iacono
VP & Treasurer35.00391911146545X
Marilyn DeQuatro
SVP, Service Division Admin35.00560543664172X
Kerry S DeWitt
VP, Government Relations35.00301625121681X
Mohamed Diab
VP, Admin Svcs & Clin Inform35.00348679117788X
Jose R Diaz
VP, Membership35.00317779217644X
Mariann E Drohan
VP, HR Operations35.00401953180761X
William T Dunne
VP, Account Management35.001736491712X
Thomas K Dwyer
SVP, Operations35.00716215868432X
Daniel P Finke
EVP, Healthcare Operations35.001204602958464X
Shawn M Fitzgibbon
SVP, Provider Network Mmgt35.00488874280515X
Michael D Fullwood
EVP, CFO, General Counsel35.0018723372661006X
Raymond Gannon Jr
VP, Mktg & Product Development35.0047548088821X
Michael R Giaquinto
VP, Upstate Bus. Development35.0011492641344X
William A Gillespie
SVP, Chief Medical Officer35.00603748364214X
Philip J Gillich
VP, Network Management35.00333869139437X
Jefferson C Grahling
VP, Commercial Business Devel35.0040521279809X
James Greenidge
VP,Florida Regional Operations35.00408664257881X
Richard R Gross
VP, Account Management35.00324659154736X
Vincent A Hartmann
VP, Underwriting35.00313758162249X
Nicholas P Kambolis
General Counsel35.00417613255117X
John A Kennedy
VP, Government Program Sales35.00337802116655X
Erhard V Krause
VP, Business Development35.00261115533473X
William C Lamoreaux
SVP, Government Programs35.00676402387639X
Stuart Lefkowich
VP, Medicare Advantage35.00340432144256X
Williams Lewis
VP, Fac,RE,Crp Svc/Ass Gen Csl35.00394213231299X
Dennis B Liotta MD
VP, Pharmacy Services35.00388900206043X
Carl A Lund
VP, Facility Contracting35.00317496140155X
Katherine Magill
VP, eBusiness35.00326739112654X
John D Mahder
VP, Marketing35.0019234654561X
Charlene A Maher
SVP, Chief Marketing Officer35.00438814190827X
Edward Mailander
SVP, Chief Actuary35.00448786181444X
Ilene D Margolin
SVP, Public Affairs & Comm35.00640288553222X
Ernesto Marrero Jr
VP, Medicare Compliance35.0031972741X
David Mascia
VP, Sales35.0044888068989X
William Mastrogiacomo
SVP, Dep Gen Counsel, Corp Sec35.00585087500537X
Peter S Moore
VP, Government Programs35.00284511204800X
David J Morin
VP, Customer Service35.00292827229271X
Chester E Moskal
VP, Claims Operations35.00296333273237X
Thomas A Nemeth
SVP, Human Resources35.00544337493468X
Michael Palmateer
SVP, Finance35.006816791498150X
Michelle Podolak
VP, Customer Service35.00237712111818X
Michele A Powers
VP, Operations35.00347037168860X
Valerie A Reardon
SVP, Compliance&Internal Audit35.00567201476747X
David Reimer
VP, Actuarial35.0055359072121X
Robert Ronda
SVP, Actuarial35.00438043396235X
Joan Ruby
VP, Total Rewards35.00386187237611X
Sharon J Schmerzler
VP, Data Analytics35.00599608132824X
Jill A Serin
VP, Account Management35.0027165710768X
Karen Smith-Hagman
VP, Medical Management35.00363281147641X
Mary Ellen Soul
VP, Actuarial Valuation35.008827831424X
John H Steber
EVP, CIO35.0014278112217398X
Jennifer L Truscott
VP, Claims Operations35.0017546778018X
Pedro J Villalba
SVP, InfoTech & Chief Tech Off35.00676332648001X
Wanda Wareham
VP, Gov't Assisted Programs35.00333080289102X
John White
VP, Integrative Wellness35.00249627158966X
Craig M Willey
VP, Tax35.00404120202926X
William Yurkowski
VP, Operations35.00378043168857X
Joseph Zeitlin
VP, Clinical Utilization35.00385906149426X
Stephen A Zeng
VP, Enterprise PMO35.00387044233007X
Eliza Ng
Sr. Medical Director35.00330713130372X
Eleanor M Sorrentino
Sr. Director, Quality Manageme35.00314516115211X
Bruce Sosler
Medical Director35.00330284113586X
Raymond P Vacca
Sr. Director, Office of CEO35.00421230191076X
David Yokell
Medical Director35.00350205131539X
FieldValueIRS element (for citing)
Total Reportable Comp From Org179267TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs41287655TotalReportableCompFrmRltdOrgs
Total Other Compensation29690685TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OmniClaim
300 Unicorn ParkWOBURNMA01801Construction962987
Strategic Products Services
501 Fashion AvenueNEW YORKNY10018Consulting216678
The Premier Group
274 Madison AvenueNEW YORKNY10016Legal207007
Bio-Bright LLC
71 South Central AvenueVALLEY STREAMNY11580Audit170448
HUDSON GLOBAL RESOURCE MANAGEMENT
560 LEXINGTON AVENUE 4TH FLOORNEW YORKNY10022CONSULTING110892
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PREMIUM REVENUE900099472792404247279201463896
GROUP SERVICES & ADMIN FEE INCOME90009916508621650862
FieldValueIRS element (for citing)
Total Program Service Revenue4729574904TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column27612672TotalRevenueColumn
Unrelated Business Revenue2400000UnrelatedBusinessRevenue
Exclusion$25,212,672ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3367808Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2757773Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real610035Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column610035TotalRevenueColumn
Unrelated Business Revenue610035UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities32952188Securities
Other5207Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities32952188Securities
Other5207Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column32954453TotalRevenueColumn
Exclusion$32,954,453ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PHARMACY BENEFIT MANAGER INCOME90009916304351630435
MISCELLANEOUS REVENUE900099903053$903,053
FieldValueIRS element (for citing)
Total Other Revenue2533488TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4793285552TotalRevenueColumn
Related Or Exempt Function Income4731201443RelatedOrExemptFunctionIncome
Unrelated Business Revenue3013931UnrelatedBusinessRevenue
Exclusion$59,070,178ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total39540707Total
Management And General39540707ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total143745848Total
Management And General143745848ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total16147777Total
Management And General16147777ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total30294630Total
Management And General30294630ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13314036Total
Management And General13314036ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6795360Total
Management And General6795360ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3544074Total
Management And General3544074ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total508494Total
Management And General508494ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2781564Total
Management And General2781564ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total65806730Total
Management And General65806730ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total13341170Total
Management And General13341170ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9112493Total
Management And General9112493ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total24311693Total
Management And General24311693ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4447491Total
Management And General4447491ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3670920Total
Management And General3670920ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18749929Total
Management And General18749929ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2945609Total
Management And General2945609ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUBSCRIBER BENEFITS40433159484043315948
EQUIPMENT EXPENSE3221567132215671
OUTSOURCED SERVICES2433195824331958
BROKERS COMMISSIONS2319358223193582

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total64403167Total
Program Services15462906ProgramServices
Management And General48940261ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4586518851Total
Program Services0ProgramServices
Management And General527739997ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1476588BOY
EOY1100621EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY163425394BOY
EOY367335042EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY221006321BOY
EOY198994911EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY115000000BOY
EOY125000000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1193082BOY
EOY1123935EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3304228BOY
EOY4019382EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis584637504LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec369292035LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY238763270BOY
EOY215345469EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY891228122BOY
EOY879135495EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY39950636BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY132008779BOY
EOY194969026EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1807356420BOY
EOY1987023881EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY516296880BOY
EOY481310510EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY13450801BOY
EOY11476568EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY181743489BOY
EOY222773358EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY711491170BOY
EOY715560436EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1095865250BOY
EOY1271463445EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1095865250BOY
EOY1271463445EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1807356420BOY
EOY1987023881EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses206766701ReconcilationRevenueExpenses
Reconcilation Other Changes-31168506ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures0PoliticalExpenditures
Form1120 Pol FiledfalseForm1120PolFiled

Sec527 Pol Orgs Sec527PolOrgs

Name Of527 Organization NameOf527Organization

FieldValueIRS element (for citing)
Business Name Line1EmblemHealth NewBusinessNameLine1
Business Name Line2York PACBusinessNameLine2

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 Water StreetAddressLine1
CityNew YorkCity
StateNYState
ZIP Code10041ZIPCode
FieldValueIRS element (for citing)
EIN320150872EIN
Amt Pd From Internal Funds0AmtPdFromInternalFunds
Amt Of Contribs Recd Delivered8500AmtOfContribsRecdDelivered
FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchedule C - Political ActivitiesIdentifier
ExplanationHealth Insurance Plan of Greater New York does not undertake any political activities; in 2011, the organization was allocated $8,500 in PAC Fund contributions made by a related party, EmblemHealth Services, LLC.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7023614OtherCostOrOtherBasis
Book Value7023614BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis147013446OtherCostOrOtherBasis
Depreciation67108783Depreciation
Book Value79904663BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis201491078OtherCostOrOtherBasis
Depreciation99065281Depreciation
Book Value102425797BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis96881694OtherCostOrOtherBasis
Depreciation77314242Depreciation
Book Value19567452BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis132227672OtherCostOrOtherBasis
Depreciation125803729Depreciation
Book Value6423943BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings215345469TotalOfBookValueLandBuildings

Other Assets OtherAssets (7 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES1296381
DEFERRED RENT2549613
INTEREST/DIVIDENDS RECEIVABLE6044492
OTHER CURRENT ASSETS5894398
HEALTHCARE RECEIVABLES63472619
INTERCOMPANY RECEIVABLES106715988
POOLED RECEIVABLES8995535
FieldValueIRS element (for citing)
Total Book Value Other Assets194969026TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
SUBLEASE LOSS (34TH STREET)$1,290,247
PENSION LIABILITY$138,082,478
WORLD TRADE CENTER DISASTER RECOVERY$871,119
DEFERRED RENT$73,960,358
OTHER LONG TERM LIABILITIES$8,569,156
FieldValueIRS element (for citing)
Total Of Amounts222773358TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 DISCLOSUREIdentifier
Return ReferenceSCHEDULE D, PART XReturnReference
ExplanationThe 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, 2011.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Europe (Including Iceland and Greenland)Investments35707207
East Asia and the PacificInvestments3518968
North AmericaInvestments13481155
Central America and the CaribbeanInvestments1972974
FieldValueIRS element (for citing)
Subtotal Amount Spent54680304SubtotalAmountSpent
Total Amount Spent54680304TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierSchedule F, Part 1Identifier
ExplanationHIP-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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (74 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PAUL E GIBSON
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David S Abernethy
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Rachel A Amalfitano
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George Babitsch
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Lynn M Balducci
0209217088920015571022176605103054057700
Frank J Branchini
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Robert Branchini
02388690169195028502025763104631069882800
Arthur Byrd
02653680177036017484022242008132069044000
Daniel Byrne
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Jeffrey D Chansler
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Sunny P Chiu
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Michael Della Iacono
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Marilyn DeQuatro
023691402811900424390663086010860122471500
Kerry S DeWitt
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Mohamed Diab
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Jose R Diaz
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Mariann E Drohan
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William T Dunne
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Thomas K Dwyer
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Daniel P Finke
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Shawn M Fitzgibbon
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Michael D Fullwood
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Raymond Gannon Jr
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Michael R Giaquinto
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William A Gillespie
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Philip J Gillich
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Jefferson C Grahling
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James Greenidge
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Richard R Gross
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Vincent A Hartmann
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Nicholas P Kambolis
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John A Kennedy
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Erhard V Krause
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William C Lamoreaux
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Stuart Lefkowich
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Williams Lewis
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Dennis B Liotta MD
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Carl A Lund
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Katherine Magill
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John D Mahder
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Charlene A Maher
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Edward Mailander
0292222015000006564017603105413063023000
Ilene D Margolin
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David Mascia
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William Mastrogiacomo
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Peter S Moore
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David J Morin
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Chester E Moskal
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Thomas A Nemeth
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Michael Palmateer
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Michelle Podolak
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Michele A Powers
0231814097500017723016717401686051589700
Valerie A Reardon
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David Reimer
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Robert Ronda
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Joan Ruby
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Sharon J Schmerzler
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Jill A Serin
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Karen Smith-Hagman
02018170136948024516014145806183051092200
John H Steber
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Jennifer L Truscott
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Pedro J Villalba
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Wanda Wareham
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Anthony L Watson
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John White
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Craig M Willey
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William Yurkowski
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Joseph Zeitlin
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Stephen A Zeng
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Eliza Ng
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Eleanor M Sorrentino
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Bruce Sosler
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Raymond P Vacca
02210670171366028797018660204474061230600
David Yokell
02646130782160737601255601976036473700

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Schedule J, Line 1APer the company's Travel and Business Expense Policy, the Chairman and Chief Executive Officer, the President and Chief Operating Officer, the President of EmblemHealth Services, and the Executive Vice Presidents 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 comprehensive and accurate receipts. Per the company's Travel and Business Expense Policy, approved Spousal/Guest travel and related lodging, meal expenditures and other appropriate related costs will be reimbursed when the travel is required by EmblemHealth for a legitimate business purpose. Spousal/Guest travel that is not approved in advance is referred to the Senior Vice President for Compliance for review. Mr. Branchini receives a tax gross up for amounts paid into the secular Trust. Officer parking allowances are paid on a grossed-up basis.
Severance PaymentThe following officers received severance in 2011: Rachel Amalfitano, VP/Controller (terminated employment on April 20, 2011) received $248,000. Raymond Gannon Jr, Vice President of Marketing and Development, (terminated employment on 07/01/2011) received $170,586. Jefferson Grahling, Vice President of Commercial Business Development, (terminated employment on 10/02/2011) received $120,000. David Reimer, Vice President of Actuarial, (terminated employment on 10/02/2011) received $154,345. Sharon Joy Schmerzler, Vice President of Data Analytics, (terminated employment on 10/02/2011) received @254,475.Schedule J, Line 4a
Non-Qualified Retirement PlanEmblem Health Services, LLC sponsors nonqualified retirement plans that the officers of HIPNY participate in, Officers with the titles of executive vice president and above, 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.Schedule J, Line 4b
Bonus PaymentsHIP 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. For the most senior executives of the company, the annual incentive awards are entirely based upon the successful achievement of objective performance goals. In the 2011 AIP, the two equally weighted performance metrics were Operating Income and Administrative Per Member Per Month (PM PM) 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 PM PM 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 extraodinary 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. A very limited number of senior officers are eligible to participate in the supplemental incentive plan, which will expire in 2011.Schedule J, Line 6a
Schedule J, Part III, Column C Deferred CompensationHealth 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). A large percentage of the compensation reported in Schedule J, Part III, Column C represents this change in value. 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. Displayed change in total pension value during 2010 above reflects all defined benefit plans the participants are entitled to.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
William White
Director/HR Department178837See Schedule L Narrativefalse
Paul Gibson
Trustee600000See Schedule L Narrativefalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule LIdentifier
ExplanationVice 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 12/31/2011 are $178,837. Board of Trustees Member, Paul Gibson, is a limited partner in a medical practice that treats patients with insurance coverage from Connecticare, Inc. (a for-profit subsidiary of Health Insurance Plan of Greater New York). 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. The organization's due diligence efforts reported no transactions that meet the 990's threshold for dislcosure. Additional information is available upon request.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part I, Line 5 & Part V, Line 2aOn March 6, 2007, Emblemhealth Services Company, LLC was formed as a joint venture by Health Insurance Plan of Greater New York (HIP) and Group Health Incorporated (GHI). On January 1, 2008, HIP and GHI transferred vendor agreements and management employees to EmblemHealth Services Company, LLC. To that end, all officers and directors (and most employees) of HIP receive their Forms W-2 from Emblemhealth Services Company, LLC. The number of employees (412) reported on Part 1, Line 5 and Part V, Line 2a represents only those unionized employees who still receive their Forms W-2 from HIP. As of January 1, 2012, all employees have been transferred to EmblemHealth Services Company, LLC. Part V, Line 1a and Part VII, Independent Contractors. HIP-NY transferred most of its vendor agreements to Emblemhealth Services Company, LLC; accordingly, most independent contractors are paid by a related party rather than HIP-NY itself. To the extent HIP-NY is still under contract with certain vendors (e.g. rent etc), those 1099s are still issued by HIP-NY.
Form 990, Part III, Line 4d - Other Program Service Accomplishments1. CHIPS (Children's Health Insurance Program) - HIP SERVED APPROXIMATELY 15,000 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 28,000 MEMBERS. HIP BEGAN TO SERVE FHPLUS MEMBERS AT THE START OF THE PROGRM IN THE NY DOWNSTATE AREA IN OCTOBER OF 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. 3. Healthy New York Program - HIP SERVED APPROXIMATELY 4500 MEMBERS. HIP HAS BEEN SERVING HEALTHY NY MEMBERS SINCE THE PROGRAM'S INCEPTION JANUARY 2001. THE NYS HEALTH CARE REFORM ACT OF 2000 CREATED THIS PROGRAM OF COMPREHENSIVE HEALTH INSURANCE COVERAGE FOR NY's UNINSURED WORKERS AND THEIR FAMILIES. Healthy NY is a program designed to help promote comprehensive and quality health care for small business owners and their employee's. The Healthy NY program also helps sole proprietors and those whose employers do not provide health insurance for them. Healthy NY includes benefits that cover essential health needs including inpatient and outpatient hospital services, physician services, maternity care, preventative health services, diagnostic and x-ray services, and emergency services. 4. Other Program Service Activities - 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).
Form 990, Part VI, Line 1The organization has 12 board members at the end of the year, 10 of which are independent for purposes of the Form 990. Chairman and CEO, Anthony Watson, is not independent by virtue of his having received compensation from a related party, EmblemHealth Services, LLC for services rendered to HIP-NY. Board of Trustees Member, Paul Gibson, is not independent by virtue of the transaction that has been dislcosed on Schedule L of the Form 990. Several of HIP-NY's Board Members do receive payment for services rendered in their capacity as Board Members. Such amounts represent reasonable compensation for services rendered (as a Board Member) and do not impair their independence.
Form 990, Part VI, Line 2Frank 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 trustees, 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 service 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 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 11The taxpayer's Form 990 for the year ending December 31, 2011 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, by the Organization's Vice President, Total Rewards, by the Organization's Senior Vice President, Chief Financial Officer and by the organization's senior Vice President and 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 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 15To 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 each 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 16On March 6, 2007, EmblemHealth Services Company, LLC ("EHS") was formed as a joint venture between Health Insurance Plan of Greater New York and its sister company, Group Health Incorporated, a New York not-for-profit corporation, in order to integrate certain common administrative operations of these two entities, among other purposes. EmblemHealth, Inc., a New York not-for-profit corporation, is the sole member of both Health Insurance Plan of Greater New York and Group Health Incorporated. EmblemHealth, Inc. (EIN 13-3941542) is exempt from federal taxation pursuant to IRC 501(c)(3). In January 2008, EHS began performing those administrative operations for the organizations. The Limited Liability Agreement requires that EHS be managed at all times in a manner that furthers the tax-exempt purposes of Health Insurance Plan of Greater New York.
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 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, Rental IncomeHealth 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 would be labor intensive and since this revenue is passive revenue that does not implicate unrelated business income, HIP has opted to continue reporting this revenue as an offset to its facilities expenditures (which are quantified on Part IX, Schedule of Functional Expenses).
Form 990, Part IX, Functional ExpensesAmounts 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.
Form 990, Part XI, Line 5A difference of -31,168,506 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

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1EMBLEMHEALTH INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 WATER STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10041ZIPCode
FieldValueIRS element (for citing)
EIN133941542EIN
Primary Activitiessupport svcsPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status11ePublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1naBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1EmblemHealth Services CompanyBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 Water StreetAddressLine1
CityNew YorkCity
StateNYState
ZIP Code10041ZIPCode
FieldValueIRS element (for citing)
EIN261330097EIN
Primary ActivitySupport ServicesPrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1naBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeType
Share Of Total Income-13950553ShareOfTotalIncome
Share Of EOY Assets128783673ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Group Health Incorporated
55 Water StreetNew YorkNY10041135511997InsuranceNYNAC Corp35335279119273828401.00000
HIP Holdings Inc & Subsidiaries
55 Water StreetNew YorkNY10041133819759InsuranceNYNAC Corp.137496398911354059161.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgtrueSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
EmblemHealth Inc
C, L,2705724Cost
EmblemHealth Inc
M57873Cost
EmblemHealth Inc
N2099837Cost
Group Health Incorporated
A2400000Market Rate
Group Health Incorporated
D125000000Loan Value
Hip Holdings Inc & Subsidiaries (HIPA)
L27700000COST
Hip Holdings Inc & Subsidiaries (HIPA)
K2100000COST
Hip Holdings Inc & Subsidiaries (HIPIC)
L153500000COST
Hip Holdings Inc & Subsidiaries (HIPIC)
K145500000COST
Hip Holdings Inc & Subsidiaries (HIPIC)
K, P21100000cost
Hip Holdings Inc & Subsidiaries (HIP-IPA)
l23100000cost
Hip Holdings Inc & Subsidiaries (HIP-IPA)
k200000cost

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSchedule R, Part V, Line 2Identifier
ExplanationTRANSACTIONS with Emblem Health, Inc. EMBLEMHEALTH, INC. IS THE PARENT ORGANIZATION OF HEALTH INSURANCE PLAN OF NEW YORK (HIP-NY), A 501(C)(4) TAX-EXEMPT ORGANIZATION THAT DELIVERS QUALITY, AFFORDABLE HEALTH INSURANCE TO MILLIONS OF MEMBERS AND PROVIDES EMPLOYERS AND INDIVIDUALS WITH A RANGE OF PLAN CHOICES AND ATTRACTIVE BENEFIT OPTIONS DESIGNED TO MEET THE INDIVIDUAL NEED OF TODAY'S HEALTHCARE CONSUMERS. AS THE PARENT ORGANIZATION, EMBLEMHEALTH, INC. RUNS HIP-NY'S INTEGRATIVE WELLNESS PROGRAM, AN INNOVATIVE EVIDENCE-BASED PROGRAM THAT PROMOTES HEALTHY LIVING AND ENHANCES INDIVIDUALS' QUALITY OF LIFE. EMBLEMHEALTH,INC. DOES NOT GENERATE ANY REVENUE. THE EXPENSES IT INCURS IN RUNNING THE INTEGRATIVE WELLNESS PROGRAM FOR HIP-NY ARE PAID AT COST BY HIP-NY VIA A MANAGEMENT FEE. THESE AMOUNTS ARE REPRESENTED IN SCHEDULE R, PART V, TRANSACTION TYPE K. SINCE HIP-NY'S PAYMENT REPRESENTS A REIMBURSEMENT OF ALL EXPENSES INCURRED, THIS TRANSACTION IS ALSO REPRESENTED IN SCHEDULE R, PART V, TRANSACTION TYPE P. EMBLEMHEALTH, INC. SHARES AN OFFICE SPACE WITH HIP-NY AT 55 WATER STREET. TO THAT END, ITS ALLOCATION OF RENTAL EXPENSE IS REPORTED IN SCHEDULE R, PART V, TRANSACTION TYPE M. Transactions with Group health Incorporated, HIP-NY advanced $115 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. As provided in Section 1307, the payment of principal and interest thereon amounting to approximately $500,000, shall only be made out of free and disposable surplus, subject to prior approval of the Superintendent. As of December 31, 2011, no payments were made to HIP. 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 $153,500,000 million for the year ended December 31, 2011. HIP paid out-of-network claims on behalf of HIPIC of million in 2011. Under the terms of a service agreement, HIP allocated costs associated with administering the premiums and claims of approximately $21,100,000 million to HIPIC for the year ended December 31, 2011. 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, 2011, HIP incurred approximately $22,400,000 million for capitation and $700,000for 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, 2011, amounts charged by HIP to HIP IPA for these services was approximately $200,000. Transactions with HIP HOldings, Inc. & Subsidiaries (HIPA) HIPA (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, 2011, HIPA charged HIP approximately $27,700,000 million for these services. HIP-NY provides administrative and management services to HIPA; amounts paid in 2011 were approximately $2,100,000 million. Transactions with EmblemHealth Services, LLC EmblemHealth Services, LLC (EHS) was formed as a limited liability company under the laws of the state of Delaware as a joint venture of HIP and GHI, in which both HIP and GHI each contributed $100 for equal ownership rights and are the sole corporate partners of EHS. Effective January 1, 2008, HIP and GHI entered into a management services agreement with EHS, for the purpose of providing administrative services to the companies. HIP and GHI entered into a guaranty agreement as of January 1, 2008 with EHS. In conjunction with this guaranty agreement, HIP and GHI transferred all of their respective non-union employees to EHS. EHS assumed all of the associated benefit and compensation related liabilities of the transferred employees. EHS became the plan sponsor of the related pension and postretirement plans it assumed. The transfer was accounted for as a non-economic transaction between related parties, and as such, no consideration was exchanged and no gains or losses were recorded. Under this guaranty arrangement HIP and GHI are jointly and severally liable for: (i) guaranteed obligations earned by transferred employees who were employed by HIP and GHI prior to the effective date of the agreement; and (ii) a pro rata share of guaranteed obligations earned by transferred employees after the effective date of this agreement, based on the allocation of costs under the services agreement. For the year ending December 31, 2011, HIP is disclosing in Schedule R its share of EmblemHealth Services Company, LLC's income as disclosed on the Federal Form K-1 - ($13,950,553). This loss has, likewise, been reported on Form 990, Part VIII, Line 3.Explanation

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