HEALTH INSURANCE PLAN OF GREATER NEW YORK: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH INSURANCE PLAN OF GREATER NEW YORK (EIN 13-1828429)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-09
- IRS object ID
- 202343139349305354
- Schema version
- 2022v5.0
- 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 | 2023-11-09T15:50:01-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 366055558 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 757 THIRD AVENUE 3RD FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100172013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | 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 | BusinessNameLine1Txt |
| Business Name Line2 | YORK | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 6464475000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET TAX DEPT 9TH FL | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10041 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HEATHER TAMBORINO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 6464475000 | PhoneNum |
| Signature | 2023-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | HEATHER | PersonFirstNm |
| Person Last | TAMBORINO | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SCOTT THOMPSETT | PreparerPersonNm |
| PTIN | P00741490 | PTIN |
| Phone | 2125990100 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KAREN IGNAGNI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10041 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,776,230,088 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.EMBLEMHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1944 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | HIPGNY'S MISSION IS TO CREATE HEALTHIER FUTURES FOR ITS CUSTOMERS (CONTINUED ON SCHEDULE O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 2422 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $1,157,623 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,063,298 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,560,479,971 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,690,531,383 | CYProgramServiceRevenueAmt |
| PY Investment Income | $44,286,294 | PYInvestmentIncomeAmt |
| CY Investment Income | $46,663,211 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,868,177 | PYOtherRevenueAmt |
| CY Other Revenue | $2,208,908 | CYOtherRevenueAmt |
| PY Total Revenue | $5,607,634,442 | PYTotalRevenueAmt |
| CY Total Revenue | $5,756,466,800 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $268,889 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $227,043 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $191,364,895 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $197,366,968 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,510,940,138 | PYOtherExpensesAmt |
| CY Other Expenses | $5,557,533,236 | CYOtherExpensesAmt |
| PY Total Expenses | $5,702,573,922 | PYTotalExpensesAmt |
| CY Total Expenses | $5,755,127,247 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$94,939,480 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,339,553 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,946,544,199 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,512,009,673 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,379,991,784 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,978,194,897 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $566,552,415 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $533,814,776 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HIPGNY'S MISSION IS TO CREATE HEALTHIER FUTURES FOR ITS CUSTOMERS AND COMMUNITIES. HIPGNY WORKS ALONGSIDE ITS CUSTOMERS TO OFFER ACCESS TO HIGH-QUALITY, AFFORDABLE CARE, HELP NAVIGATE THE HEALTH CARE EXPERIENCE, AND MAKE GOOD HEALTH ACHIEVABLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,240,908,809 | ExpenseAmt |
| Grant | $227,043 | GrantAmt |
| Revenue | $2,494,042,736 | RevenueAmt |
| Desc | SUBSCRIBER BENEFITS - HIPGNY IS A NOT-FOR-PROFIT CORPORATION THAT ARRANGES FOR THE PROVISION OF COMPREHENSIVE MEDICAL AND HEALTH CARE SERVICES FOR ITS SUBSCRIBERS/MEMBERS (INCLUDING HEALTH CARE SERVICES TO MEDICARE AND MEDICAID MEMBERS) WHICH IS AN EXEMPT FUNCTION. IN 2022, HIPGNY PROVIDED SERVICES (ACROSS ALL SERVICE LINES) TO APPROXIMATELY 273,000 MEMBERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,505,256,517 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,544,247,612 | RevenueAmt |
| Desc | MEDICARE - HIPGNY SERVED APPROXIMATELY 108,000 MEDICARE MEMBERS THROUGH ITS MEDICARE RISK AND COST CONTRACT PROGRAMS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,463,328,138 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,652,054,459 | RevenueAmt |
| Desc | MEDICAID - HIPGNY SERVED APPROXIMATELY 236,000 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,209,493,464 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2422 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEATHER TAMBORINO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6464475000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10041 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| KAREN IGNAGNI | |||||||||
| CHIEF EXECUTIVE OFFICER | 35.00 | 2.00 | Yes (X) | Yes (X) | $5,045,764 | $0 | $68,492 | ||
| JOHN FEERICK | |||||||||
| CHAIRMAN | 2.00 | 1.00 | Yes (X) | Yes (X) | $161,125 | $0 | $0 | ||
| BERNARD SCHAYES MD | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $142,391 | $0 | $18,989 | |||
| GREGORY FLOYD | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN H BANKS III | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $118,375 | $0 | $178 | |||
| RICHARD BERMAN | |||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $128,000 | $0 | $4,877 | |||
| WAYNE CAFRAN | |||||||||
| DIRECTOR (AS OF 01/2022) | 2.00 | 1.00 | Yes (X) | $131,500 | $0 | $0 | |||
| GEORGE BABITSCH | |||||||||
| SVP, ACCOUNT MANGEMENT | 35.00 | 0.00 | Yes (X) | $1,062,392 | $0 | $57,309 | |||
| JEFFREY CHANSLER | |||||||||
| CHIEF LEGAL OFFICER | 35.00 | 0.00 | Yes (X) | $1,402,164 | $0 | $57,812 | |||
| ALEXANDER CLAGUE | |||||||||
| SVP, GOVERNMENT PROGRAMS | 35.00 | 0.00 | Yes (X) | $569,735 | $0 | $56,064 | |||
| RICHARD H DAL COL | |||||||||
| CHIEF MEDICAL OFFICER | 35.00 | 0.00 | Yes (X) | $1,290,608 | $0 | $52,273 | |||
| BETH LEONARD | |||||||||
| SVP, CHIEF CORP. AFFAIRS OFFICER | 35.00 | 0.00 | Yes (X) | $1,596,166 | $0 | $51,030 | |||
| DONNA HUGHES | |||||||||
| CHIEF PEOPLE OFFICER (THRU 04/2022) | 35.00 | 0.00 | Yes (X) | $2,293,106 | $0 | $46,460 | |||
| DEBRA LIGHTNER | |||||||||
| CHIEF COMPLIANCE OFFICER | 35.00 | 0.00 | Yes (X) | $1,018,576 | $0 | $43,408 | |||
| THOMAS MACMILLAN | |||||||||
| CHIEF INFORMATION OFFICER | 35.00 | 0.00 | Yes (X) | $1,068,456 | $0 | $42,052 | |||
| JENNIFER MARTINO | |||||||||
| SVP, CLAIMS, G&A AND OPS COMPLIANCE | 35.00 | 0.00 | Yes (X) | $576,529 | $0 | $4,252 | |||
| KAREN MORAN THRU 112022 | |||||||||
| SVP, COMM. BUS. & PRES., CONNECT. | 35.00 | 0.00 | Yes (X) | $1,037,254 | $0 | $49,882 | |||
| MICHAEL PALMATEER | |||||||||
| PRESIDENT | 35.00 | 1.00 | Yes (X) | $2,875,045 | $0 | $458,092 | |||
| NAVARRA RODRIGUEZ | |||||||||
| SVP, PRESIDENT/CMO ACPNY | 35.00 | 0.00 | Yes (X) | $1,323,917 | $0 | $53,867 | |||
| HEATHER TAMBORINO | |||||||||
| CHIEF FINANCIAL OFFICER | 35.00 | 1.00 | Yes (X) | $2,046,857 | $0 | $57,902 | |||
| JENNIFER TRUSCOTT | |||||||||
| CHIEF OF OPERATIONS (THRU 06/2022) | 35.00 | 0.00 | Yes (X) | $833,112 | $0 | $47,021 | |||
| WILLIAM VOIGT | |||||||||
| CHIEF HUMAN RESOURCES OFFICER | 35.00 | 0.00 | Yes (X) | $665,873 | $0 | $49,142 | |||
| ERIC J WALLACE THRU 072022 | |||||||||
| SVP, PROVIDER NETWK & POP. HEALTH | 35.00 | 0.00 | Yes (X) | $1,424,920 | $0 | $39,117 | |||
| MICHAEL COSTA AS OF 122022 | |||||||||
| SVP, PROVIDER NETWK & POP. HEALTH | 35.00 | 0.00 | Yes (X) | $43,349 | $0 | $479 | |||
| MATTHEW MIZE | |||||||||
| CHIEF ACTUARY (AS OF 04/2022) | 35.00 | 0.00 | Yes (X) | $284,419 | $0 | $6,597 | |||
| MARGARET FINN THRU 012022 | |||||||||
| VP, PHARMACY SOLUTIONS | 40.00 | 0.00 | $675,643 | $0 | $4,162 | Yes (X) | |||
| ROBERTO HORMAZABAL | |||||||||
| VP, SALES & ACCOUNT MANAGEMENT | 40.00 | 0.00 | $734,270 | $0 | $55,338 | Yes (X) | |||
| CARLOS MANALANSAN | |||||||||
| VP, DEPUTY GENERAL COUNSEL | 40.00 | 0.00 | $520,253 | $0 | $46,632 | Yes (X) | |||
| PRIYANK PANDEY | |||||||||
| VP, OPS STRATEGY & SERVICE DELIVERY | 40.00 | 0.00 | $548,356 | $0 | $39,045 | Yes (X) | |||
| JILL STEIN | |||||||||
| VP, DEPUTY GENERAL COUNSEL | 40.00 | 0.00 | $515,323 | $0 | $51,562 | Yes (X) | |||
| PAUL E GIBSON | |||||||||
| FORMER DIRECTOR | 2.00 | 1.00 | $149,625 | $0 | $0 | Yes (X) | |||
| CHARLES P WANG | |||||||||
| FORMER DIRECTOR | 2.00 | 1.00 | $60,000 | $0 | $5,447 | Yes (X) | |||
| DR STUART ALTMAN | |||||||||
| FORMER DIRECTOR | 2.00 | 1.00 | $120,000 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $30,463,103 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,467,481 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 677 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COGNIZANT HEALTHCARE SERVICES LLC | |||||
| 500 FRANK W BURR SUITE 3F | TEANECK | NJ | 07666 | CONSULTING | $166,781,397 |
| THE SOURCING GROUP LLC | |||||
| 77 WATER STREET | NEW YORK | NY | 10005 | BUSINESS SOLUTIONS | $9,294,487 |
| WPP GROUP USA INC | |||||
| 100 PARK AVENUE | NEW YORK | NY | 10017 | MEDIA SERVICES | $4,941,621 |
| THE RAWLINGS COMPANY LLC | |||||
| 1 EDEN PKWY | LA GRANGE | KY | 40031 | LEGAL SERVICES | $3,796,762 |
| DELOITTE & TOUCHE LLP | |||||
| 1633 BROADWAY | NEW YORK | NY | 10019 | ACCOUNTING SERVICES | $2,152,494 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 99 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $150,000 | RelatedOrganizationsAmt |
| Government Grants | $16,913,298 | GovernmentGrantsAmt |
| Total Contributions | $17,063,298 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| GOVERNMENT-SUBSIDIZED PREMIUMS | 900099 | $5,397,713,256 | $5,397,713,256 | |
| SUBSCRIBER PREMIUM REVENUE | 900099 | $290,627,129 | $290,627,129 | |
| THIRD PARTY ADMINISTRATIVE FEES | 540000 | $2,190,998 | $2,004,398 | $186,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,690,531,383 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,563,176 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $838,252 | UnrelatedBusinessRevenueAmt |
| Exclusion | $724,924 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,501,713 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,425,600 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,076,113 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,076,113 | TotalRevenueColumnAmt |
| Exclusion | $2,076,113 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $44,681,273 | SecuritiesAmt |
| Other | $3,756,450 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $3,337,688 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $44,681,273 | SecuritiesAmt |
| Other | $418,762 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,100,035 | TotalRevenueColumnAmt |
| Exclusion | $45,100,035 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PHARMACY REVENUE | Desc |
| Business | 440000 | BusinessCd |
| Total Revenue Column | $132,795 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $132,771 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $132,795 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,756,466,800 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,690,344,807 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,157,623 | UnrelatedBusinessRevenueAmt |
| Exclusion | $47,901,072 | 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 | $227,043 | TotalAmt |
| Program Services | $227,043 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,139,633 | TotalAmt |
| Management And General | $27,139,633 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,625 | TotalAmt |
| Management And General | $329,625 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,756,068 | TotalAmt |
| Management And General | $124,756,068 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,963,472 | TotalAmt |
| Management And General | $18,963,472 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,057,587 | TotalAmt |
| Management And General | $15,057,587 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,120,583 | TotalAmt |
| Management And General | $11,120,583 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,982,871 | TotalAmt |
| Management And General | $9,982,871 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,385,561 | TotalAmt |
| Management And General | $2,385,561 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,099 | TotalAmt |
| Management And General | $171,099 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,724,931 | TotalAmt |
| Management And General | $219,724,931 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,451,832 | TotalAmt |
| Management And General | $5,451,832 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,666,541 | TotalAmt |
| Management And General | $14,666,541 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,307,474 | TotalAmt |
| Management And General | $24,307,474 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,841,651 | TotalAmt |
| Management And General | $1,841,651 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,398 | TotalAmt |
| Management And General | $81,398 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,745,753 | TotalAmt |
| Management And General | $1,745,753 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,015,718 | TotalAmt |
| Management And General | $9,015,718 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,554,973 | TotalAmt |
| Management And General | $15,554,973 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUBSCRIBER BENEFITS | $5,110,015,024 | $5,110,015,024 | |
| OUTSOURCED SERVICES | $42,224,639 | $42,224,639 | |
| CAPITATION PAYMENTS | $34,918,328 | $34,918,328 | |
| BROKER COMMISSIONS | $16,115,187 | $16,115,187 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,330,256 | TotalAmt |
| Program Services | $22,108,430 | ProgramServicesAmt |
| Management And General | $27,221,826 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,755,127,247 | TotalAmt |
| Program Services | $5,209,493,464 | ProgramServicesAmt |
| Management And General | $545,633,783 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,820,528 | BOYAmt |
| EOY | $255,271,461 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $338,144,539 | BOYAmt |
| EOY | $395,619,160 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,452,400 | BOYAmt |
| EOY | $16,599,190 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $357,701,073 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $176,558,057 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,305,436 | BOYAmt |
| EOY | $181,143,016 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,128,780 | BOYAmt |
| EOY | $74,087,127 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $776,390,777 | BOYAmt |
| EOY | $724,896,507 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,785,269 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,516,470 | BOYAmt |
| EOY | $864,393,212 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,946,544,199 | BOYAmt |
| EOY | $2,512,009,673 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $993,521,539 | BOYAmt |
| EOY | $954,011,921 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,360,885 | BOYAmt |
| EOY | $34,832,710 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,870,890 | BOYAmt |
| EOY | $86,575,948 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,238,470 | BOYAmt |
| EOY | $902,774,318 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,379,991,784 | BOYAmt |
| EOY | $1,978,194,897 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,552,415 | BOYAmt |
| EOY | $533,814,776 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $566,552,415 | BOYAmt |
| EOY | $533,814,776 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,946,544,199 | BOYAmt |
| EOY | $2,512,009,673 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,339,553 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$48,140,567 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $14,063,375 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,494,934 | InvestmentCostOrOtherBasisAmt |
| Book Value | $2,494,934 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $23,993,166 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $346 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,107,856 | DepreciationAmt |
| Book Value | $4,885,656 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $287,047,314 | OtherCostOrOtherBasisAmt |
| Depreciation | $128,026,122 | DepreciationAmt |
| Book Value | $159,021,192 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $75,992 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $44,089,321 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,424,079 | DepreciationAmt |
| Book Value | $14,741,234 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $181,143,016 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN ADVANTAGECARE | $374,514,659 | C |
| INVESTMENT IN EMBLEMHEALTH PLAN, INC. | $197,341,297 | C |
| INVESTMENT IN HIP HOLDINGS INC | $150,640,551 | C |
| INVESTMENT IN CITYBLOCK (WARRANTS) | $2,400,000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $724,896,507 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OPERATING LEASE RIGHT OF USE ASSET | $628,536,668 |
| HEALTHCARE RECEIVABLES | $219,161,499 |
| OTHER CURRENT ASSETS | $14,459,371 |
| FEDERAL TAX RECEIVABLE | $973,512 |
| LEGAL SETTLEMENT RECEIVABLE | $560,439 |
| DEFERRED RENT | $402,140 |
| INTEREST/DIVIDENDS RECEIVABLE | $299,583 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $864,393,212 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE LIABILITY | $696,606,898 |
| PENSION LIABILITY | $127,064,747 |
| OTHER LONG TERM LIABILITIES | $54,670,999 |
| NOTES PAYABLE TO EMBLEMHEALTH PLAN, INC. | $19,846,543 |
| DEFERRED RENT | $4,585,131 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $902,774,318 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | FIN 48 DISCLOSURE THE COMPANY HAS NOT TAKEN ANY UNSUBSTANTIATED TAX POSITION THAT WOULD REQUIRE PROVISIONS OF A LIABILITY UNDER ASC 740, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE COMPANY DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS AND, ACCORDINGLY, DID NOT RECOGNIZE ANY LIABILITY FOR UNRECOGNIZED TAX POSITIONS. FOR THE YEAR ENDED DECEMBER 31, 2022, THERE WERE NO INTEREST OR PENALTIES RECORDED OR INCLUDED IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. |
| PART IX, RIGHT-OF-USE ASSETS, LINE 1: | THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") IMPLEMENTED A NEW LEASE ACCOUNTING STANDARD THAT BECAME EFFECTIVE FOR HIPGNY IN THE YEAR ENDING DECEMBER 31, 2022. THIS ACCOUNTING STANDARD WAS EFFECTUATED TO IMPROVE THE TRANSPARENCY SURROUNDING KEY INFORMATION PERTAINING TO AN EXEMPT ORGANIZATION'S LEASING ARRANGEMENTS (AND TO ENSURE THAT ALL ORGANIZATIONS WERE RECORDING THE TRANSACTIONS UNIFORMLY ON THEIR BALANCE SHEETS). |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| THE DOMINICAN MEDICAL DENTAL SOCIETY | ||||||||
| 472 UNION VALLEY RD | MAHOPAC | NY | 10541 | 274628678 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT |
| ARCHCARE GALA BENEFITS OFFICE | ||||||||
| 1325 SIXTH AVE 27TH FL | NEW YORK | NY | 10019 | 133896624 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT |
| FAMILY SERVICE LEAGUE | ||||||||
| 790 PARK AVENUE | HUNTINGTON | NY | 11743 | 111631827 | 501(C)(3) | $15,000 | $0 | GENERAL SUPPORT |
| 1199SEIU HOME CARE INDUSTRY EDUCATION FUND | ||||||||
| PO BOX 463 | NEW YORK | NY | 10108 | 711028611 | 501(C)(3) | $15,000 | $0 | GENERAL SUPPORT |
| CITIZENS BUDGET COMMISSION INC | ||||||||
| 240 WEST 35TH STREET SUITE 302 | NEW YORK | NY | 10001 | 130576141 | 501(C)(3) | $12,000 | $0 | GENERAL SUPPORT |
| UNIFORMED FIRE OFFICERS ASSOCIATION | ||||||||
| 125 MAIDEN LANE | NEW YORK | NY | 10038 | 131921165 | 501(C)(5) | $11,000 | $0 | GENERAL SUPPORT |
| CEREBRAL PALSY OF WESTCHESTER | ||||||||
| 1186 KING ST | RYE BROOK | NY | 10573 | 131690769 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT |
| MEDISYS GALA | ||||||||
| 25 WEST 45TH STREET SUITE 504 | NEW YORK | NY | 10036 | 113316802 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT |
| UFT DISASTER RELIEF FUND GOLF OUTING | ||||||||
| 52 BROADWAY 15TH FLOOR | NEW YORK | NY | 10004 | 900530829 | 501(C)(5) | $10,000 | $0 | GENERAL SUPPORT |
| UNITED HOSPITAL FUND | ||||||||
| PO BOX 22501 | NEW YORK | NY | 10087 | 131562656 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT |
| COMUNILIFE INC | ||||||||
| 462 7TH AVENUE | NEW YORK | NY | 10018 | 133530299 | 501(C)(3) | $9,448 | $0 | GENERAL SUPPORT |
| POLICE BENEVOLENT ASSOCIATION | ||||||||
| 125 BROAD STREET | NEW YORK | NY | 10024 | 135308915 | 501(C)(5) | $7,600 | $0 | GENERAL SUPPORT |
| NEW YORK BUILDING CONGRESS INC | ||||||||
| 1040 AVENUE OF THE AMERICAS | NEW YORK | NY | 10018 | 131097030 | 501(C)(6) | $7,500 | $0 | GENERAL SUPPORT |
| UNIFORMED FIREFIGHTERS ASSOCIATION | ||||||||
| 204 E 23RD STREET | NEW YORK | NY | 10010 | 134194707 | 501(C)(3) | $7,500 | $0 | GENERAL SUPPORT |
| CHILDRENS AID SOCIETY | ||||||||
| 117 WEST 124TH STREET | NEW YORK | NY | 10027 | 135562191 | 501(C)(3) | $6,000 | $0 | GENERAL SUPPORT |
| COBA INC | ||||||||
| 77-10 21ST AVENUE | EAST ELMHURST | NY | 11370 | 134183116 | 501(C)(3) | $6,000 | $0 | GENERAL SUPPORT |
| NEW YORK METRO ASSOCIATION OF HEALTH UNDERWRITERS | ||||||||
| 225 WIRELESS BLVD | HAUPPAUGE | NY | 11788 | 362144394 | 501(C)(6) | $5,250 | $0 | GENERAL SUPPORT |
| HOSPITAL FOR SPECIAL SURGERY | ||||||||
| PO BOX 21041 | NEW YORK | NY | 10087 | 131624135 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT |
| DEVELOPMENTAL DISABILITIES INSTITUTE INC | ||||||||
| 99 HOLLYWOOD DRIVE | SMITHTOWN | NY | 11787 | 116077347 | 501(C)(3) | $10,000 | $0 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 14 | Total501c3OrgCnt |
| Total Other Org | 5 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | HEALTH INSURANCE PLAN OF GREATER NEW YORK ("HIPGNY") HAS AN INTERNAL REVIEW PROCESS FOR ALL CHARITABLE GRANTS PAID OUT BY THE ORGANIZATION. EVERY REQUEST FOR A GRANT MUST BE SUBMITTED IN WRITING TO THE CEO AND CHIEF ADMINISTRATIVE OFFICER FOR REVIEW AND APPROVAL. GRANT APPLICATIONS ARE PRIMARILY ACCEPTED FROM 501(C)(3) TAX-EXEMPT ORGANIZATIONS; TO THE EXTENT ANY OF THE GRANTEES ARE NON 501(C)(3) ORGANIZATIONS, THOSE GRANTEES ARE EITHER VOLUNTEER FIRE DEPARTMENTS OR BENEVOLENT FUNDS THAT SUPPORT CHARITABLE ENDEAVORS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAREN IGNAGNI | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $1,205,764 | $0 | $3,840,000 | $0 | $0 | $0 | $45,300 | $0 | $23,192 | $0 | $5,114,256 | $0 | $0 | $0 |
| MICHAEL PALMATEER | ||||||||||||||
| PRESIDENT | $912,919 | $0 | $1,962,126 | $0 | $0 | $0 | $440,750 | $0 | $17,342 | $0 | $3,333,137 | $0 | $0 | $0 |
| DONNA HUGHES | ||||||||||||||
| CHIEF PEOPLE OFFICER (THRU 04/2022) | $127,118 | $0 | $1,623,680 | $0 | $542,308 | $0 | $45,300 | $0 | $1,160 | $0 | $2,339,566 | $0 | $0 | $0 |
| HEATHER TAMBORINO | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $795,636 | $0 | $1,251,221 | $0 | $0 | $0 | $45,300 | $0 | $12,602 | $0 | $2,104,759 | $0 | $0 | $0 |
| BETH LEONARD | ||||||||||||||
| SVP, CHIEF CORP. AFFAIRS OFFICER | $589,750 | $0 | $1,006,416 | $0 | $0 | $0 | $38,800 | $0 | $12,230 | $0 | $1,647,196 | $0 | $0 | $0 |
| ERIC J WALLACE THRU 072022 | ||||||||||||||
| SVP, PROVIDER NETWK & POP. HEALTH | $189,259 | $0 | $837,941 | $0 | $397,720 | $0 | $38,800 | $0 | $317 | $0 | $1,464,037 | $0 | $0 | $0 |
| JEFFREY CHANSLER | ||||||||||||||
| CHIEF LEGAL OFFICER | $524,905 | $0 | $877,259 | $0 | $0 | $0 | $45,300 | $0 | $12,512 | $0 | $1,459,976 | $0 | $0 | $0 |
| NAVARRA RODRIGUEZ | ||||||||||||||
| SVP, PRESIDENT/CMO ACPNY | $493,917 | $0 | $830,000 | $0 | $0 | $0 | $45,300 | $0 | $8,567 | $0 | $1,377,784 | $0 | $0 | $0 |
| RICHARD H DAL COL | ||||||||||||||
| CHIEF MEDICAL OFFICER | $493,862 | $0 | $796,746 | $0 | $0 | $0 | $45,300 | $0 | $6,973 | $0 | $1,342,881 | $0 | $0 | $0 |
| GEORGE BABITSCH | ||||||||||||||
| SVP, ACCOUNT MANGEMENT | $416,860 | $0 | $645,532 | $0 | $0 | $0 | $45,300 | $0 | $12,009 | $0 | $1,119,701 | $0 | $0 | $0 |
| THOMAS MACMILLAN | ||||||||||||||
| CHIEF INFORMATION OFFICER | $466,503 | $0 | $601,953 | $0 | $0 | $0 | $38,800 | $0 | $3,252 | $0 | $1,110,508 | $0 | $0 | $0 |
| KAREN MORAN THRU 112022 | ||||||||||||||
| SVP, COMM. BUS. & PRES., CONNECT. | $436,970 | $0 | $589,380 | $0 | $10,904 | $0 | $38,800 | $0 | $11,082 | $0 | $1,087,136 | $0 | $0 | $0 |
| DEBRA LIGHTNER | ||||||||||||||
| CHIEF COMPLIANCE OFFICER | $396,652 | $0 | $621,924 | $0 | $0 | $0 | $38,800 | $0 | $4,608 | $0 | $1,061,984 | $0 | $0 | $0 |
| JENNIFER TRUSCOTT | ||||||||||||||
| CHIEF OF OPERATIONS (THRU 06/2022) | $189,402 | $0 | $637,362 | $0 | $6,348 | $0 | $45,300 | $0 | $1,721 | $0 | $880,133 | $0 | $0 | $0 |
| ROBERTO HORMAZABAL | ||||||||||||||
| VP, SALES & ACCOUNT MANAGEMENT | $256,435 | $0 | $477,835 | $0 | $0 | $0 | $45,300 | $0 | $10,038 | $0 | $789,608 | $0 | $0 | $0 |
| WILLIAM VOIGT | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $407,517 | $0 | $258,356 | $0 | $0 | $0 | $45,300 | $0 | $3,842 | $0 | $715,015 | $0 | $0 | $0 |
| MARGARET FINN THRU 012022 | ||||||||||||||
| VP, PHARMACY SOLUTIONS | $13,117 | $0 | $334,926 | $0 | $327,600 | $0 | $3,768 | $0 | $394 | $0 | $679,805 | $0 | $0 | $0 |
| ALEXANDER CLAGUE | ||||||||||||||
| SVP, GOVERNMENT PROGRAMS | $390,616 | $0 | $179,119 | $0 | $0 | $0 | $45,300 | $0 | $10,764 | $0 | $625,799 | $0 | $0 | $0 |
| PRIYANK PANDEY | ||||||||||||||
| VP, OPS STRATEGY & SERVICE DELIVERY | $340,345 | $0 | $208,011 | $0 | $0 | $0 | $38,700 | $0 | $345 | $0 | $587,401 | $0 | $0 | $0 |
| JENNIFER MARTINO | ||||||||||||||
| SVP, CLAIMS, G&A AND OPS COMPLIANCE | $367,051 | $0 | $209,478 | $0 | $0 | $0 | $987 | $0 | $3,265 | $0 | $580,781 | $0 | $0 | $0 |
| CARLOS MANALANSAN | ||||||||||||||
| VP, DEPUTY GENERAL COUNSEL | $311,361 | $0 | $208,892 | $0 | $0 | $0 | $45,300 | $0 | $1,332 | $0 | $566,885 | $0 | $0 | $0 |
| JILL STEIN | ||||||||||||||
| VP, DEPUTY GENERAL COUNSEL | $306,431 | $0 | $208,892 | $0 | $0 | $0 | $45,300 | $0 | $6,262 | $0 | $566,885 | $0 | $0 | $0 |
| MATTHEW MIZE | ||||||||||||||
| CHIEF ACTUARY (AS OF 04/2022) | $284,419 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,597 | $0 | $291,016 | $0 | $0 | $0 |
| BERNARD SCHAYES MD | ||||||||||||||
| DIRECTOR | $142,391 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,989 | $0 | $161,380 | $0 | $0 | $0 |
| JOHN FEERICK | ||||||||||||||
| CHAIRMAN | $161,125 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $161,125 | $0 | $0 | $0 |
| PAUL E GIBSON | ||||||||||||||
| FORMER DIRECTOR | $149,625 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $149,625 | $0 | $0 | $0 |
| DR STUART ALTMAN | ||||||||||||||
| FORMER DIRECTOR | $120,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $120,000 | $0 | $0 | $0 |
| CHARLES P WANG | ||||||||||||||
| FORMER DIRECTOR | $60,000 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $5,447 | $0 | $65,447 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | LINE 4(A) - SEVERANCE THE FOLLOWING INDIVIDUALS REPORTED ON THE FORM 990, SCHEDULE J, RECEIVED SEVERANCE PAYMENTS IN CALENDAR YEAR 2022: -VP, PHARMACY SOLUTIONS, MARGARET FINN $320,000 -CHIEF PEOPLE OFFICER, DONNA HUGHES $500,000 -SVP, PROVIDER NETWORK & POPULATION HEALTH, ERIC J. WALLACE $375,000 THE SEVERANCE PAYMENTS DOCUMENTED ABOVE ARE REPORTED IN THE FORM 990, SCHEDULE J, PART II, COLUMN (B)(III). LINE 4(B) - SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN EMBLEMHEALTH SERVICES COMPANY, LLC ("EMBLEMHEALTH SERVICES") SPONSORS A NONQUALIFIED RETIREMENT PLAN THAT OFFICERS OF HIPGNY WITH THE TITLES OF SENIOR VICE PRESIDENT AND ABOVE HIRED BEFORE JUNE 1, 2009, PARTICIPATE IN. THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR EMBLEMHEALTH SERVICES PROVIDES A RETIREMENT BENEFIT CALCULATED ON THE BASIS OF 50% OF FINAL AVERAGE PAY, OFFSET BY BENEFITS UNDER ANY QUALIFIED BENEFIT PLAN, SUCH AS THE EMBLEMHEALTH SERVICES COMPANY, LLC EMPLOYEES' RETIREMENT PLAN. PARTICIPANTS WHO RETIRE PRIOR TO AGE 65 HAVE THEIR BENEFITS REDUCED BY EARLY RETIREMENT FACTORS. |
| PART I, LINE 6 | HIPGNY HAS A SALES PERFORMANCE AWARD PROGRAM IN PLACE THAT IS DESIGNED TO INCENTIVIZE ITS SALES EMPLOYEES TO DELIVER HIGH QUALITY SERVICE TO HIPGNY'S CUSTOMERS/SUBSCRIBERS. EMPLOYEES ELIGIBLE TO PARTICIPATE IN THE PROGRAM HAVE TWO OPPORTUNITIES TO EARN SALES INCENTIVES: 1. A QUARTERLY BONUS OPPORTUNITY BASED UPON MEETING CERTAIN MEMBERSHIP AND GOAL METRICS AND, 2. A BONUS BASED ON ACHIEVING NEW MEDICARE SUPPLEMENTAL SALES THESE COMMISSION PAYMENTS ARE REPORTED IN THE FORM 990, SCHEDULE J, PART II, COLUMN (B)(II). OF THE INDIVIDUALS REPORTED ON THE FORM 990, ONLY THE ORGANIZATION'S TOP FIVE HIGHLY COMPENSATED EMPLOYEES PARTICIPATE IN THIS PROGRAM. |
| PART I, LINE 7 | BONUS PAYMENTS HIPGNY (VIA EMBLEMHEALTH SERVICES, THE PAYROLL PAYOR) PROVIDES ANNUAL INCENTIVE AWARDS BASED UPON THE ACHIEVEMENT OF PERFORMANCE METRICS. THE COMPENSATION COMMITTEES APPROVE THE PERFORMANCE METRICS AND TARGETS AND THE ULTIMATE PAYOUT TO PARTICIPANTS BASED UPON THE PERFORMANCE ACHIEVED UNDER THE ANNUAL INCENTIVE PLAN (AIP). |
| FORM 990, SCHEDULE J, PART II, COLUMN (C) AND (F): | THE MANAGEMENT PENSION PLAN WAS FROZEN EFFECTIVE JANUARY 1, 2016 AND REPLACED WITH A MATCHING 401(K) PROGRAM. THE AMOUNTS IN COLUMN C PRIMARILY REPRESENT THE COMPANY MATCH TO THE 401(K) PROGRAM. FOR SEVEN INDIVIDUALS, (MICHAEL PALMATEER, GEORGE BABITSCH, JEFFREY CHANSLER, KAREN IGNAGNI, ROBERT HORMAZABA, JENNIFER MARTINO, AND JILL STEIN), COLUMN C ALSO REPORTS THE CHANGE IN ACTUARIAL VALUE OF THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN II FOR EMBLEMHEALTH SERVICES COMPANY, LLC ("SERP II"). THE SERP II AMOUNTS INCLUDED IN COLUMN C ARE DEFERRED COMPENSATION THAT MAY OR MAY NOT BE PAID AS IT IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. THIS DOES NOT REPRESENT ACTUAL PAYMENT RECEIVED IN 2022. TO THE EXTENT ANY INDIVIDUAL REPORTED ON SCHEDULE J HAS COMPENSATION REPORTED IN COLUMN (F), THOSE AMOUNTS REFLECT PAYOUTS OF PREVIOUSLY REPORTED DEFERRED COMPENSATION ON A PRIOR YEAR FORM 990. THERE HAVE BEEN NO PAYOUTS FROM SERP II SINCE INCEPTION FOR THE INDIVIDUALS NOTED ABOVE. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR LESTER LEBLANC | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FAMILY OF BD MEMBER | RelationshipDescriptionTxt |
| Transaction | $96,380 | TransactionAmt |
| Transaction | DENT. WAGES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE L: | FormAndLineReferenceDesc |
| Explanation | HIPGNY DOES NOT BELIEVE IT HAS ANY OTHER BUSINESS TRANSACTIONS OR RELATIONSHIPS BETWEEN ITSELF AND AN OFFICER, DIRECTOR, OR KEY EMPLOYEE OF THE ORGANIZATION THAT RISE TO THE MONETARY THRESHOLD REQUIRED FOR DISCLOSURE ON SCHEDULE L OF THE FORM 990. THE ORGANIZATION TAKES ITS RESPONSIBILITIES OF MONITORING POTENTIAL CONFLICTS OF INTEREST VERY SERIOUSLY (PLEASE SEE DISCLOSURE ON PART VI, LINE 12). HIPGNY COMPILES A LENGTHY SUMMARY REPORT OF ALL POTENTIAL BUSINESS TRANSACTIONS BETWEEN THE INDIVIDUALS REPORTED ON PART VII OF THE FORM 990 AND HIPGNY OR ONE OF ITS AFFILIATED ORGANIZATIONS. THIS REPORT DISCLOSES ALL POTENTIAL BUSINESS TRANSACTIONS REGARDLESS OF MONETARY VALUE. AMOUNTS REPORTED ON SCHEDULE L REPRESENT THE W-2, BOX 5 WAGES PAID TO EACH OF THESE INDIVIDUALS. ADDITIONAL TAXABLE AND NON-TAXABLE FRINGE BENEFITS MAY HAVE BEEN PROVIDED (BUT ARE NOT INCLUDED ABOVE). ADDITIONAL INFORMATION IS AVAILABLE UPON REQUEST. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GENERAL STATEMENT ABOUT THE COVID-19 PANDEMIC'S IMPACT ON HIPNY: | ON MARCH 11, 2020, THE WORLD HEALTH ORGANIZATION. EMBLEMHEALTH COMPANY EXECUTED PREPAREDNESS PLANS TO CREATE SUSTAINABLE OPERATIONS THAT ENABLED BUSINESS AS USUAL AND CRISIS RESPONSE. THE COMPANY MAINTAINED CONTINUITY OF OPERATIONS ENABLING AND ENGAGING OUR WORKFORCE TO A REMOTE WORK ENVIRONMENT AND IMPLEMENTED ENHANCED SAFETY PROTOCOLS AND PROGRAMS THAT SUPPORT THE HEALTH AND MENTAL WELL-BEING OF OUR EMPLOYEES. STRONG LOCAL PRESENCE IN COMMUNITIES THROUGHOUT NEW YORK AND CONNECTICUT ENABLED THE COMPANY TO PLAY AN ESSENTIAL ROLE IN RESPONSE TO COVID-19, AS WELL AS PROVIDE CONTINUOUS SUPPORT FOR ITS MEMBERS. MEMBERS AND PATIENTS HAVE CONTINUED TO BE SERVED THROUGH EXPANDED PHARMACY BENEFITS, ACCESS TO TELEMEDICINE, AND 24/7 NURSE LINES. THE COMPANY ASSISTED WITH AFFORDABILITY TO MEMBERS THROUGH EXTENDED GRACE PERIODS FOR PAYMENTS OFPREMIUMS OR LIMITED COVERAGE TERMINATION BASED ON NON-PAYMENT OFPREMIUMS OR FEES AND ACCELERATED OR ADVANCED PAYMENTS TO HEALTH CARE PROVIDERS. THE COMPANY WILL CONTINUE TO WORK WITH ITS MEMBERS, PROVIDERS AND EMPLOYEES TO PROVIDE SUPPORT DURING THE PANDEMIC. THE COVID-19 PANDEMIC WAS ONGOING THROUGH THE 2022 TAX YEAR AND THE IMPACT TO THE COMPANY AND RESULTS REMAINED DIFFICULT TO PREDICT. THERE HAS BEEN AN UPTICK IN CARE RELATED TO DEFERRED CARE FROM EARLIER IN THE PANDEMIC AS WELL AS CONTINUED COVID-19 RELATED CARE COSTS. UNCERTAINTY ALSO STEMS FROM CHANGES IN GOVERNMENT REGULATION (VACCINATION COSTS, POTENTIAL FURTHER BOOSTER COSTS, AT HOME TESTING COSTS, ETC.) AS WELL AS UNKNOWNS RELATED TO FUTURE STRAINS AND FUTURE TREATMENTS THAT COULD RESULT IN INCREASED OR DECREASED CARE COSTS. AT THIS POINT, WHILE THE IMPACTS OF THE COVID-19 PANDEMIC ARE EBBING, THE EXTENT AND DURATION OF THE PANDEMIC AS WELL AS ITS IMPACT ON THE ORGANIZATION'S BUSINESS ARE UNKNOWN. THE COMPANY IS UNABLE TO DETERMINE THE FUTURE IMPACTS ON ITS FINANCIAL POSITION, RESULTS OF OPERATIONS, AND CASH FLOWS. THE COMPANY WILL CONTINUE TO CLOSELY MONITOR THE PANDEMIC, AS WELL AS RESULTING LEGISLATIVE AND REGULATORY CHANGES. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: AND COMMUNITIES BY OFFERING ACCESS TO HIGH-QUALITY, AFFORDABLE HEALTH CARE. |
| FORM 990, PART III - REVENUE & EXPENSE ALLOCATIONS: | THE ORGANIZATION NOTES THAT THE ALLOCATION OF PROGRAM SERVICE EXPENDITURES REPORTED ON PART III OF THE FORM 990 IS DERIVED FROM HIPGNY'S STATUTORY FINANCIAL STATEMENTS (STAT) - ANALYSIS OF OPERATIONS BY LINES OF BUSINESS. THE FORM 990 IS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP); ACCORDINGLY, THERE MAY BE ADDITIONAL ALLOCATIONS OF EXPENDITURES TO ACHIEVE CONFORMITY BETWEEN THE GAAP AND STAT REPORTS. FORM 990, PART V, LINE 1A AND PART VII, INDEPENDENT CONTRACTORS: THE TOTAL NUMBER OF INDEPENDENT CONTRACTORS REPORTED ON PART V, LINE 1A REPRESENTS THOSE VENDORS THAT RECEIVED A 1099 DIRECTLY FROM HIPGNY'S EIN#. THE NUMBER OF 1099S REPORTED ON THE FORM 990 DECREASED FROM PRIOR YEAR REPORTING BECAUSE THE ORGANIZATION'S DISREGARDED ENTITY, EMBLEMHEALTH SERVICES COMPANY, LLC., FILED SOME FORMS 1099S ON BEHALF OF HIPGNY. HIPGNY, AS A PART OF ITS BUSINESS, UNDERTAKES A SIGNIFICANT AMOUNT OF CLAIMS PROCESSING; IN 2022, HIPGNY ISSUED 1,294 1099S AND EMBLEMHEALTH SERVICES COMPANY, LLC (HIPGNY'S DISREGARDED ENTITY), ISSUED 1,803 1099S AS A RESULT OF ITS CLAIMS PROCESSING ACTIVITIES AND BROKERS. THE 1099S FOR THE CLAIMS PROCESSING ARE NOT REPORTED ON LINE 1(A) BUT ARE DISCLOSED HERE IN THE INTERESTS OF FULL DISCLOSURE. IN TOTAL, HIPGNY AND EMBLEMHEALTH SERVICES PAID COMPENSATION EXCEEDING $100,000 TO 99 VENDORS IN 2022. FORM 990, PART V, LINE 2(A): HIPGNY DOES NOT FILE A FORM W-3 AS ALL EMPLOYEE PAYROLL IS PAID OUT OF EMBLEMHEALTH SERVICES. IN THE INTERESTS OF CLARITY, HIPGNY IS DISCLOSING THAT 2,422 EMPLOYEES RECEIVED W-2S FROM EMBLEMHEALTH SERVICES (OSTENSIBLY FOR SERVICES RENDERED TO HIPGNY AND TO OTHER AFFILIATED ENTITIES). |
| FORM 990, PART VI, SECTION A, LINE 2 | IN THE INTERESTS OF FULL DISCLOSURE, THE ORGANIZATION NOTES THAT VARIOUS OFFICERS AND/OR DIRECTORS, MAY SERVE ON THE BOARD OF DIRECTORS OF RELATED FOR-PROFIT ORGANIZATIONS (E.G. - THOSE DISCLOSED IN SCHEDULE R OF THE FORM 990). NO INDIVIDUAL IS COMPENSATED FOR BOARD SERVICES RENDERED TO THE RELATED FOR-PROFIT ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | EMBLEMHEALTH, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF HIPGNY. EMBLEMHEALTH, INC. (EIN 13-3941542) IS EXEMPT FROM FEDERAL TAXATION PURSUANT TO IRC 501(C)(3). |
| FORM 990, PART VI, SECTION B, LINE 11B | 990 REVIEW PROCESS THE TAXPAYER'S FORM 990 FOR THE YEAR ENDING DECEMBER 31, 2022 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S GOVERNING BODY BEFORE IT WAS FILED. A DETAILED REVIEW OF THE FORM 990 WAS UNDERTAKEN BY THE ORGANIZATION'S TAX DIRECTOR, CHIEF ADMINISTRATIVE OFFICER, CHIEF FINANCIAL OFFICER, AND VP, DEPUTY GENERAL COUNSEL. |
| FORM 990, PART VI, SECTION B, LINE 12C | INDEPENDENCE TO DETERMINE IF AN EMPLOYEE'S PERSONAL INTERESTS, ACTIVITIES OR RELATIONSHIPS CONSTITUTE A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST, CERTAIN EMPLOYEES, BASED UPON FUNCTIONALITY, AS DETERMINED BY THE CHIEF COMPLIANCE OFFICER AND BY THE VP, DEPUTY GENERAL COUNSEL, ON AN ANNUAL BASIS, ANY REPORTABLE SITUATIONS ON THE COMPANY'S CONFLICT OF INTEREST DISCLOSURE. ALL EMPLOYEES, AT THE TIME OF EMPLOYMENT, ARE REQUIRED TO FULLY DISCLOSE ANY PERSONAL INTEREST, ACTIVITIES OR RELATIONSHIPS THAT CONSTITUTE A CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST. DISCLOSURES ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER AND THE VP, DEPUTY GENERAL COUNSEL. ANY EMPLOYEE, WHO VIOLATES THE CONFLICT OF INTEREST POLICY, FAILS TO MAKE A REQUIRED REPORT OR FAILS TO COMPLY WITH ANY REMEDIAL ACTION REQUIRED BY THE COMPANY, IS SUBJECT TO DISCIPLINARY ACTION, UP TO AND INCLUDING TERMINATION OF EMPLOYMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION REVIEW PROCESS TO DETERMINE THE COMPENSATION OF THE CEO AND ALL OTHER OFFICERS OF THE COMPANY, HIPGNY AND EMBLEMHEALTH SERVICES ENGAGE AN OUTSIDE COMPENSATION CONSULTANT TO PROVIDE GUIDANCE AND THE COMPARABLE MARKET DATA ON THE COMPENSATION OF SIMILARLY SITUATED EXECUTIVE POSITIONS IN THE ORGANIZATIONS' COMPETITIVE PEER GROUP COMPRISED OF PROFIT AND NOT FOR PROFIT ENTITIES. THE COMPENSATION CONSULTANT PRESENTS THE COMPARABLE MARKET DATA TO THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF HIPGNY AND EMBLEMHEALTH SERVICES. THE COMPENSATION COMMITTEES ARE COMPOSED ENTIRELY OF OUTSIDE, INDEPENDENT, DISINTERESTED DIRECTORS. THE COMPENSATION COMMITTEES REVIEW AND APPROVE THE PROPOSED COMPENSATION ARRANGEMENTS AND THE DELIBERATIONS AND ACTIONS OF THE COMPENSATION COMMITTEES ARE DOCUMENTED IN THE MINUTES OF EACH MEETING. THEREAFTER, THE ACTIONS OF THE COMPENSATION COMMITTEES ARE REPORTED TO THE FULL BOARDS IN A TIMELY MANNER. THE CEO, OR ANY OTHER OFFICER, IS EXCUSED FROM THE COMPENSATION COMMITTEE MEETING WHILE THE COMMITTEE DELIBERATES AND APPROVES ANY ACTION RELATED TO THE COMPENSATION ARRANGEMENT OF THE CEO OR OTHER OFFICER. THE ORGANIZATION COMMISSIONS AN INDEPENDENT REVIEW OF COMPENSATION BY AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION C, LINE 19 | PUBLIC DOCUMENTS THE TAXPAYER MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC BY RETAINING A COPY OF EACH AT ITS HOME OFFICE AT 55 WATER STREET, NEW YORK, NEW YORK. THE ORGANIZATION'S FORM 990 IS ALSO AVAILABLE FOR PUBLIC INSPECTION ON WWW.GUIDESTAR.COM. THE TAXPAYER'S FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII - HOURS SERVED FOR RELATED PARTY: | THE COMPENSATED INDIVIDUALS REPORTED IN PART VII OF THE FORM 990 MAY PROVIDE SERVICES TO A VARIETY OF ENTITIES WITHIN THE HIPGNY NETWORK. ALLOCATING THOSE HOURS BETWEEN THE MANY ENTITIES PRESENTS A CHALLENGE; ACCORDINGLY, THE HOURS REPRESENTED ON PART VII REPRESENT THE HOURS WORKED BY THE INDIVIDUAL IN THEIR CAPACITY AS AN EMPLOYEE FOR THE ENTIRE HIPGNY NETWORK. |
| FORM 990, PART IX: | AMOUNTS REPORTED ON PART IX, LINE 5, AS COMPENSATION PAID TO OFFICERS, DIRECTORS AND KEY-EMPLOYEES OF HIPGNY REPRESENT THOSE SALARY COSTS REPORTED ON FORM 990, PART VII, LINE 1(D) THAT ARE ALLOCATED FROM THE RELATED PARTY, EMBLEMHEALTH SERVICES, LLC. HIPGNY HAS ADOPTED A SIMPLIFIED APPROACH OF ALLOCATING ITS EXPENDITURES BETWEEN PROGRAMMATIC AND MANAGEMENT AND GENERAL. THE ORGANIZATION DOES NOT CATEGORIZE ITS EXPENSES INTERNALLY OR IN ITS AUDITED FINANCIAL STATEMENTS BY THESE MEANS. FOR PURPOSES OF ITS 990 REPORTING, HIPGNY IS TREATING ALL SUBSCRIBER BENEFITS AS PROGRAMMATIC EXPENSES AND ALL OTHER EXPENSES AS MANAGEMENT AND GENERAL EVEN THOUGH A LARGE PERCENTAGE OF THOSE EXPENSES ARE LIKELY RELATED TO HIPGNY'S DAY-TO-DAY MISSION ACTIVITIES. NEVERTHELESS, EVEN TAKING THIS CONSERVATIVE APPROACH, HIPGNY'S PROGRAM SERVICE EXPENSES CONSTITUTE NEARLY 90% OF TOTAL EXPENDITURES. |
| FORM 990, PART XI, LINE 9: | CHANGE IN MINIMUM PENSION LIABILITY 14,717,765. OTHER BOOK TO TAX ADJUSTMENTS -654,390. |
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 | ADMIN SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Total Income | -$2,512,244 | TotalIncomeAmt |
| End Of Year Assets | $205,299,212 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HIPGNY | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| EMBLEMHEALTH INC | |||||||||||
| 55 WATER STREET | NEW YORK | NY | 10041 | 133941542 | SUPPORT SVCS | NY | 501(C)(3) | 12(C) | HIPGNY | Yes (1) | |
| EMBLEMHEALTH FOUNDATION INC | |||||||||||
| 55 WATER STREET TAX DEPT 9TH FL | NEW YORK | NY | 10041 | 854100976 | FUNDRAISING | NY | 501(C)(3) | LINE 7 | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | UBI Code VUBICodeVAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMBLEMHEALTH CITYBLOCK LLC | ||||||||||||||
| C/O EMBLEMHEALTH 55 WATER STREET | NEW YORK | NY | 10041 | 831246215 | HEALTHCARE | NY | EMBLEMHEALTH | UNRELATED | 0 | 0 | ||||
| BRONXDOCS MANAGEMENT CO LLC | ||||||||||||||
| 55 WATER STREET TAX DEPT 9TH FL | NEW YORK | NY | 10041 | 844004402 | HEALTHCARE | NY | HIPGNY | UNRELATED | 0 | Yes (1) | $852,596 | $2,615,391 | $838,252 | 0.51000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EMBLEMHEALTH PLAN INC | ||||||||||||
| 55 WATER STREET | NEW YORK | NY | 10041 | 135511997 | INSURANCE | NY | HIPGNY | C | $551,323,595 | $693,379,804 | 1.00000 | Yes (1) |
| HIP HOLDINGS INC & SUBSIDIARIES | ||||||||||||
| 55 WATER STREET | NEW YORK | NY | 10041 | 133819759 | INSURANCE | NY | HIPGNY | C | $1,955,522,100 | $943,870,136 | 1.00000 | Yes (1) |
| ADVANTAGECARE PHYSICIANS PC | ||||||||||||
| 55 WATER STREET | NEW YORK | NY | 10041 | 460970995 | HEALTHCARE | NY | HIPGNY | C | $428,884,400 | $154,771,372 | 1.00000 | Yes (1) |
| SIUC MEDICAL PC | ||||||||||||
| 55 WATER STREET | NEW YORK | NY | 10041 | 810689784 | HEALTHCARE | NY | HIPGNY | C | $9,232,574 | $3,233,456 | 1.00000 | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| EMBLEMHEALTH INC | ||
| M | $1,647,479 | COST |
| EMBLEMHEALTH INC | ||
| P | $1,647,479 | COST |
| EMBLEMHEALTH PLAN INC (EHPI) | ||
| R | $120,396,931 | COST |
| EMBLEMHEALTH PLAN INC (EHPI) | ||
| K | $2,800,000 | COST |
| EMBLEMHEALTH PLAN INC (EHPI) | ||
| E | $19,846,543 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES (EHIC) | ||
| L | $10,300,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES (EHIC) | ||
| Q | $10,300,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES (EHIC) | ||
| M | $331,100,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES (HIP-IPA) | ||
| M | $600,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES (HIP-IPA) | ||
| L | $500,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES (HIP-IPA) | ||
| Q | $500,000 | COST |
| HIP HOLDINGS INC & SUBSIDIARIES (HIP-IPA) | ||
| R | $4,000,000 | COST |
| ADVANTAGECARE PHYSICIANS PC | ||
| A | $90,500,000 | MARKET RATE |
| ADVANTAGECARE PHYSICIANS PC | ||
| D | $7,861,300 | COST |
| EMBLEMHEALTH FOUNDATION INC | ||
| C | $150,000 | MARKET RATE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART V, LINE 2: | FormAndLineReferenceDesc |
| Explanation | EMBLEMHEALTH, INC. IS THE PARENT ORGANIZATION OF HIPGNY, A 501(C)(4) TAX-EXEMPT ORGANIZATION THAT DELIVERS QUALITY, AFFORDABLE HEALTH INSURANCE TO MEMBERS. EMBLEMHEALTH, INC., IN CONJUNCTION WITH ITS SUBSIDIARIES, FOSTERS AND FACILITATES HIPGNY'S EFFORTS TO GIVE BACK TO THE COMMUNITY. COSTS ASSOCIATED WITH RUNNING EMBLEMHEALTH, INC. ARE REIMBURSED BY HIPGNY (AT COST); THESE TRANSACTIONS ARE MEMORIALIZED WITH TRANSACTION CODE M & P. EMBLEMHEALTH CITYBLOCK LLC WAS DISSOLVED AS OF JANUARY 2022. TRANSACTIONS WITH EMBLEMHEALTH PLAN, INC (EHPI) HIPGNY HAD ADVANCED $165 MILLION TO EHPI IN ACCORDANCE WITH SECTION 1307 OF THE INSURANCE LAW OF THE STATE OF NEW YORK WITH INTEREST ACCRUING AT 2% PER ANNUM. THE NEW YORK STATE DEPARTMENT OF FINANCIAL SERVICES APPROVED THE CONVERSION OF $165 MILLION SURPLUS NOTES ISSUED AND DUE FROM EHPI TO AN EQUITY INVESTMENT IN EHPI THROUGH A CAPITAL CONTRIBUTION FOR NO CONSIDERATION. THE CONVERSION WAS EFFECTIVE DECEMBER 31, 2020. DUE TO THE CONVERSION, THE CARRYING VALUE OF THE SURPLUS NOTE RECEIVABLE RECORDED IN OTHER INVESTED ASSETS IN THE STATUTORY-BASIS STATEMENTS OF ASSETS, LIABILITIES AND SURPLUS WAS $0 AS OF DECEMBER 31, 2022. ON DECEMBER 29, 2022, THE DEPARTMENT APPROVED A RETURN OF CAPITAL FROM EHPI TO HIP IN THE AMOUNT OF $120.0 MILLION, WHICH IS MEMORIALIZED WITH TRANSACTION CODE R. A PARTIAL PAYMENT IN THE AMOUNT OF $40.0 MILLION WAS MADE ON DECEMBER 30, 2022. THE REMAINING $80.0 MILLION WAS PAID ON JANUARY 18, 2023. ON APRIL 2, 2020, EHPI RECEIVED APPROVAL FROM THE DEPARTMENT TO PURCHASE NON-ADMITTED ASSETS (PRIMARILY LEASEHOLD IMPROVEMENTS) FROM EMBLEMHEALTH SERVICES COMPANY, LLC AT A NET BOOK VALUE OF APPROXIMATELY $64.0 MILLION. THE SUBJECT ASSETS RESULTED IN AN INCREASE IN HIPGNY'S SURPLUS DUE TO THE NON-ADMITTED CLASSIFICATION OF THE LIMITED STATUTORY ADJUSTMENTS OF EMBLEMHEALTH SERVICES COMPANY, LLC WHEN COMPUTING HIPGNY'S SURPLUS. A NEW INTERCOMPANY AGREEMENT BETWEEN EHPI AND HIPGNY, AND EHIC WAS SUBMITTED TO AND APPROVED BY THE DEPARTMENT SO THAT HIPGNY AND EHIC CAN BE CHARGED BACK FOR ITS CONTINUED USE OF ITS SHARE OF FIXED ASSETS. FOR THE YEAR ENDED DECEMBER 31, 2022 HIPGNY WAS CHARGED LEASE EXPENSE OF $2.8 MILLION, FROM EHPI FOR ITS SHARE OF ITS CONTINUED USE OF THE SOFTWARE, FURNITURE AND FIXTURES, AND EQUIPMENT, WHICH IS MEMORIALIZED WITH TRANSACTION CODE K. ON MAY 15, 2020, HIPGNY ISSUED SURPLUS NOTES PAYABLE DUE TO EHPI IN THE AMOUNT OF $19.8 MILLION IN ACCORDANCE WITH SECTION 1307 OF THE INSURANCE LAW OF THE STATE OF NEW YORK WITH INTEREST ACCRUING AT 2% PER ANNUM. AS PROVIDED IN SECTION 1307, THE PAYMENT OF PRINCIPAL AND INTEREST SHALL ONLY BE MADE OUT OF FREE AND DISPOSABLE SURPLUS, SUBJECT TO PRIOR APPROVAL OF THE SUPERINTENDENT. THE SURPLUS NOTES PAYABLE DUE TO EHPI ARE REPORTED IN HIP'S SURPLUS RATHER THAN REPORTED AS A LIABILITY AS REQUIRED BY GAAP. NEVERTHELESS, HIPGNY IS DISCLOSING THE AMOUNT OF INTEREST EXPENSE THAT ACCRUED DURING 2022 WITH TRANSACTION CODE R, AND THE LOAN UNDER TRANSACTION CODE E. TRANSACTIONS WITH HIP HOLDINGS, INC. & SUBS - HIP INSURANCE COMPANY OF NEW YORK ("EHIC") HIP HOLDINGS, INC. ("HIP HOLDINGS") IS A FOR-PROFIT, DELAWARE HOLDING CORPORATION, WHICH IN TURN IS WHOLLY OWNED BY HIPGNY. HIP HOLDINGS IS THE SOLE MEMBER AND PARENT CORPORATION OF EMBLEMHEALTH INSURANCE COMPANY ("EHIC"). EHIC PROVIDES THE INDEMNITY HEALTH INSURANCE PRODUCTS, INCLUDING THE PORTION OF DUAL OPTION PRODUCTS OFFERED BY HIPGNY, WHICH ADMINISTERS THE COLLECTION OF PREMIUMS AND PAYS CLAIMS ON BEHALF OF EHIC. PREMIUMS COLLECTED ON BEHALF OF EHIC WERE APPROXIMATELY $167,000,000 FOR THE YEAR ENDED DECEMBER 31, 2022. HIPGNY PAID OUT-OF-NETWORK CLAIMS ON BEHALF OF EHIC OF $164,100,000 IN 2022. UNDER THE TERMS OF A SERVICE AGREEMENT, HIPGNY ALLOCATED COSTS ASSOCIATED WITH ADMINISTERING THE PREMIUMS AND CLAIMS OF APPROXIMATELY $10,300,000 TO EHIC FOR THE YEAR ENDED DECEMBER 31, 2022. TRANSACTIONS WITH HIP HOLDINGS, INC. - HIP NETWORK SERVICES IPA, INC. ("HIP-IPA") HIPGNY PAYS HIP-IPA (ANOTHER SUBSIDIARY IN THE HIP HOLDINGS, INC. & SUBSIDIARIES CONSOLIDATED GROUP) A MONTHLY PER-MEMBER-PER-MONTH CAPITATION RATE FOR MEMBERS ENROLLED IN HIP-IPA AS WELL AS A MONTHLY FEE FOR DATA COLLECTION SERVICES. FOR THE YEAR ENDED DECEMBER 31, 2022, HIPGNY INCURRED APPROXIMATELY $600,000 FOR CAPITATION AND $0 FOR DATA COLLECTION SERVICES. HIPGNY PAID PROVIDERS $500,000 ON BEHALF OF HIP-IPA FOR CLAIMS INCURRED. AS PART OF THE DISSOLUTION OF HIP-IPA, IN SEPTEMBER 2022, HIPGNY RECEIVED A $4 MILLION RETURN OF CAPITAL FROM HIP HOLDINGS WHICH IN TURN RECEIVED IT FROM HIP-IPA, WHICH IS MEMORIALIZED WITH TRANSACTION CODE R. TRANSACTIONS WITH ADVANTAGECARE PHYSICIANS P.C. ("ACPNY") ACPNY PROVIDES HEALTH CARE SERVICES TO CERTAIN SUBSCRIBERS OF EMBLEMHEALTH'S HEALTH BENEFIT PLANS AND WHICH OPERATES OUT OF FACILITIES OWNED OR LEASED BY HIPGNY. HIPGNY LEASES CERTAIN MEDICAL AND ADMINISTRATIVE FACILITIES UNDER NONCANCELABLE OPERATING LEASES. FOR THE YEAR ENDED DECEMBER 31, 2022, HIPGNY CHARGED ACPNY $90,500,000 FOR RENT, DEPRECIATION AND OTHER FACILITY-RELATED EXPENSES ASSOCIATED WITH THESE PROPERTIES AT COST. THESE CHARGES ARE REPORTED AS REDUCTIONS IN GENERAL ADMINISTRATIVE EXPENSES. LEASE PAYMENTS DUE TO A REIT FOR MEDICAL FACILITIES FROM ACPNY ARE GUARANTEED BY HIPGNY. THIS TRANSACTION IS MEMORIALIZED WITH TRANSACTION CODE D. | ExplanationTxt |