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HEALTH INSURANCE PLAN OF GREATER NEW YORK: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HEALTH INSURANCE PLAN OF GREATER NEW YORK (EIN 13-1828429)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201603209349303205
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-15T08:59:13-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1757 THIRD AVE 3RD FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100172013ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN131828429EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL PALMATEERPersonNm
Person TitleCFOPersonTitleTxt
Phone6464475000PhoneNum
Signature2016-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott ThompsettPreparerPersonNm
PTINP00741490PTIN
Phone2125990100PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKaren Ignagni President CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 WATER STREETAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10041ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,161,648,176GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.EMBLEMHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1944FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionHIP-NY is committed to providing AFFORDABLE, QUALITY HEALTH COVERAGE IN WAYS THAT RESPECT AND RESPOND TO PEOPLE'S FUNDAMENTAL NEEDS AT PRICES THEY CAN AFFORD.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee4452TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$11,819,060TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$5,068,169,667PYProgramServiceRevenueAmt
CY Program Service Revenue$5,065,680,992CYProgramServiceRevenueAmt
PY Investment Income$65,088,868PYInvestmentIncomeAmt
CY Investment Income$41,506,659CYInvestmentIncomeAmt
PY Other Revenue$54,179,095PYOtherRevenueAmt
CY Other Revenue$54,460,525CYOtherRevenueAmt
PY Total Revenue$5,187,437,630PYTotalRevenueAmt
CY Total Revenue$5,161,648,176CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,450,564CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$251,466,209PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$224,734,703CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,279,614,715PYOtherExpensesAmt
CY Other Expenses$5,017,957,126CYOtherExpensesAmt
PY Total Expenses$5,531,080,924PYTotalExpensesAmt
CY Total Expenses$5,244,142,393CYTotalExpensesAmt
PY Revenues Less Expenses-$343,643,294PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$82,494,217CYRevenuesLessExpensesAmt
Total Assets BOY$2,262,326,560TotalAssetsBOYAmt
Total Assets EOY$2,019,662,603TotalAssetsEOYAmt
Total Liabilities BOY$1,041,879,788TotalLiabilitiesBOYAmt
Total Liabilities EOY$960,170,653TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,220,446,772NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,059,491,950NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHEALTH INSURANCE PLAN OF GREATER NEW YORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTH COVERAGE IN WAYS THAT RESPECT AND RESPOND TO PEOPLE'S FUNDAMENTAL NEEDS. HIP PURSUES ITS MISSION BY PROVIDING A CHOICE OF PRODUCTS AND NETWORKS SO MEMBERS HAVE ACCESS TO THE MEDICAL CARE THEY NEED AT PRICES THEY CAN AFFORD. THE ORGANIZATION DOES THIS BY IMPROVING THE HEALTH OF MEMBERS THROUGH WELLNESS PROGRAMS THAT FOSTER PREVENTION AND HEALTHIER LIVING AND BY USING TECHNOLOGY TO EASE ACCESS TO INFORMATION AND SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,613,830,388ExpenseAmt
Revenue$1,675,158,309RevenueAmt
DescMEDICARE - HIP SERVED APPROXIMATELY 115,000 MEDICARE MEMBERS THROUGH its MEDICARE RISK AND COST CONTRACT PROGRAMS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,206,506,322ExpenseAmt
Revenue$1,265,562,574RevenueAmt
DescMEDICAID - HIP SERVED APPROXIMATELY 233,000 MEDICAID MEMBERS. HIP HAS BEEN SERVICING THE MEDICAID POPULATION SINCE 1967 (WITH THE PASSAGE OF FEDERAL LEGISLATION AUTHORIZING THIS PROGRAM) AND HAS AN EXTENSIVE PROGRAM IN PLACE TO ENCOURAGE PREVENTIVE MEDICAL CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,891,106,218ExpenseAmt
Grant$1,450,564GrantAmt
Revenue$2,116,863,061RevenueAmt
DescSUBSCRIBER BENEFITS - HIP OF GREATER NEW YORK IS A NOT-FOR-PROFIT CORPORATION THAT ARRANGES FOR THE PROVISION OF COMPREHENSIVE MEDICAL AND HEALTH CARE SERVICES FOR ITS SUBSCRIBERS/MEMBERS (INCLUDING HEALTH CARE SERVICES TO MEDICARE AND MEDICAID MEMBERS) WHICH IS AN EXEMPT FUNCTION. In 2015, HIP-NY provided services (across all services lines) to a total of 712,000 members. Included within these subscriber benefits are various state and local benefit programs, including the following: 1. CHIPS (Children's Health Insurance Program) - HIP 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 BEGAN TO SERVE FHPLUS MEMBERS AT THE START OF THE PROGRAM IN THE NY DOWNSTATE AREA IN OCTOBER 2001. THE BENEFIT PACKAGE FOR THE PROGAM PROVIDES a comprehensive set of medically needed health care benefits and services to the ADULT UNINSURED and low-income wage earners. 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 HIP-NY's Statutory Financial Statements (STAT) - Analysis of Operations by Lines of Business. The Form 990 is prepared in accordance with Generally Accepted Accounting Principles (GAAP); accordingly, there may be additional allocations of expenditures to achieve conformity between the GAAP and STAT reports.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$4,711,442,928TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document1117IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4452EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL PALMATEERPersonNm
Phone6464475000PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (72 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Frank J Branchini
Chairman & CEO (thru 10/2015)2.035.0Yes (X)Yes (X)$6,536,690$0$9,070
Karen Ignagni
President & CEO (as of 9/2015)2.035.0Yes (X)Yes (X)$1,294,088$0$431,037
John D Feerick As of 92015
Chairman of the Board2.03.0Yes (X)Yes (X)$0$115,750$0
Elaine Friedman
Director (Thru 9/2015)2.00.0Yes (X)$4,517$0$0
Bernard Schayes MD
Director (as of 5/2015)2.00.0Yes (X)$0$24,476$0
Robert W Brokaw
Director2.00.0Yes (X)$12,186$0$0
Gregory E Floyd
Director2.00.0Yes (X)$0$0$0
Paul E Gibson
Director2.00.0Yes (X)$0$121,500$0
Margaret T Pan-Loo
Director2.00.0Yes (X)$4,500$0$0
William C Lamoreaux
EVP & Chief Operating Officer35.00.0Yes (X)$674,824$0$134,378
Edward Mailander
SVP, Chief Actuary35.00.0Yes (X)$510,018$0$233,840
Charlene Maher thru 62015
SVP, Chief Marketing Officer35.00.0Yes (X)$838,632$0$7,373
Shawn M Fitzgibbon
Chief Product Officer35.00.0Yes (X)$464,456$0$20,264
Michael Palmateer
Chief Financial Officer35.00.0Yes (X)$477,745$0$148,229
Jeffrey D Chansler
Chief Legal Officer35.00.0Yes (X)$458,569$0$177,091
Arthur Byrd thru 112015
Chief Financial Officer35.00.0Yes (X)$452,399$0$11,358
Valerie A Reardon
Chief Risk & Compliance35.00.0Yes (X)$396,738$0$18,158
William Mastrogiacomo
SVP, Dep Gen Cl (thru 10/2015)35.00.0Yes (X)$1,440,503$0$8,441
George Babitsch
SVP, Underwriting & Acct Mgmt35.00.0Yes (X)$369,342$0$16,955
Nicholas P Kambolis
SVP, Legal (thru 4/2015)35.00.0Yes (X)$1,161,079$0$6,845
Michele A Powers
VP, Operations (thru 5/2015)35.00.0Yes (X)$188,555$0$3,848
Robert Branchini
VP, Information Technology35.00.0Yes (X)$357,337$0$112,215
Mariann E Drohan
Chief Human Resources Officer35.00.0Yes (X)$358,848$0$23,025
John D Mahder
VP, Marketing35.00.0Yes (X)$314,652$0$71,453
Williams Lewis thru 62015
VP, Facilities, RE, Corp Svc.35.00.0Yes (X)$555,226$0$13,087
William Yurkowski
VP, Operations35.00.0Yes (X)$266,234$0$76,761
Karen Smith-Hagman
VP, Med. Mgmt. (thru 9/2015)35.00.0Yes (X)$278,198$0$17,527
Carl A Lund
VP, Facility Contracting35.00.0Yes (X)$266,995$0$19,691
Richard Gross thru 112015
VP, Account Management35.00.0Yes (X)$283,835$0$102,004
Jennifer L Truscott
VP, Medical Mgmt Operations35.00.0Yes (X)$259,703$0$12,082
Mary E Soul thru 102015
VP, Actuarial Valuation35.00.0Yes (X)$417,575$0$15,172
Brendan Shanahan thru 72015
VP, Budget & Analysis35.00.0Yes (X)$366,061$0$8,817
Philip J Gillich
VP, Network Management35.00.0Yes (X)$239,947$0$12,970
Jose R Diaz
VP, Membership (thru 11/2015)35.00.0Yes (X)$236,123$0$134,882
Eliza Ng thru 12015
VP, Clinical Affairs35.00.0Yes (X)$18,077$0$477
Daniel Byrne
VP, Labor Relations35.00.0Yes (X)$234,202$0$19,785
Ernesto Marrero Jr
VP, Medicare Compliance35.00.0Yes (X)$248,519$0$15,288
Vincent A Hartmann
VP, Underwriting35.00.0Yes (X)$216,850$0$21,987
Erhard V Krause thru 42015
VP, Business Development35.00.0Yes (X)$426,266$0$3,189
Peter S Moore
VP, Government Programs35.00.0Yes (X)$212,019$0$39,738
Christopher W Chappelear
VP, Actuarial & Underwriting35.00.0Yes (X)$244,562$0$13,762
Douglas Cowieson
SVP, Operations35.00.0Yes (X)$375,502$0$24,193
Jerry A Gallo thru 92015
VP, Commercial Sales35.00.0Yes (X)$182,394$0$12,317
Suzanne G Ronner
VP, Customer Service35.00.0Yes (X)$230,227$0$17,235
Michele H Podolak
VP, Customer Service35.00.0Yes (X)$182,503$0$11,624
Richard M Densing
VP, Gov't Prog & Direct to Con35.00.0Yes (X)$219,962$0$19,538
Munish Khaneja
VP, Medical Mgmt Operations35.00.0Yes (X)$293,065$0$20,032
Thomas MAcMillan
Sr. Director, EPMO35.00.0Yes (X)$253,371$0$15,050
James Albano as of 102015
SVP,Provider Ntwk & Pop Health35.00.0Yes (X)$71,083$0$3,051
Scott Breidbart as of 102015
Chief Clinical Officer35.00.0Yes (X)$251,580$0$3,947
Robin C Golston As of 92015
VP, Community & Gov't Affairs35.00.0Yes (X)$57,801$0$3,453
Thomas Conway as of 122015
VP, Controller35.00.0Yes (X)$21,824$0$789
Lorraine Cortes-Vazquez
SVP, Gov't Aff. (as of 9/2015)35.00.0Yes (X)$100,827$0$4,981
Edmond Cunningham
VP, Procurement (as of 7/2015)35.00.0Yes (X)$119,482$0$7,697
Scott Dickler as of 82015
SVP, Gov't & Indiv. Programs35.00.0Yes (X)$186,678$0$8,971
Craig Effrain
VP, Corporate Secretary35.00.0Yes (X)$209,639$0$11,659
Thomas Mafale as of 92015
VP, Commercial Sales35.00.0Yes (X)$135,697$0$4,927
Douglas Parks as of 62015
VP, HR Transformation & Strat35.00.0Yes (X)$195,712$0$57,769
Russell Petrella
EVP (as of 2/2015)35.00.0Yes (X)$496,387$0$139,475
Andrew Rein as of 112015
SVP, Strategy & Business Dev35.00.0Yes (X)$30,513$0$1,066
John Sheehy as of 122015
SVP, Product Innovation35.00.0Yes (X)$67,276$0$0
William Voigt
VP, HR Business Operations35.00.0Yes (X)$186,845$0$15,134
Joseph Zeitlin as of 22015
VP, ACP Relations35.00.0Yes (X)$402,305$0$21,251
Paul Zurlo
VP, Small Group & Indiv. Bus35.00.0Yes (X)$230,019$0$19,088
Wei Jia Shen
Sr. Director -Applications Dev40.00.0$251,894$0$39,180Yes (X)
Roberto Hormazabal
Sr. Dir. Account Management40.00.0$267,137$0$10,997Yes (X)
James P Meidlinger
Sr. Actuary40.00.0$242,642$0$16,868Yes (X)
Bruce Sosler
Senior Medical Director40.00.0$295,569$0$28,219Yes (X)
Dr Donald Wernsing
Medical Director40.00.0$256,779$0$39,106Yes (X)
William A Gillespie
CMO35.00.0$2,329,325$0$0Yes (X)
Wanda Wareham
VP, Gov't Assisted Programs35.00.0$220,649$0$0Yes (X)
Stuart Lefkowich
VP, Medicare Advantage35.00.0$149,815$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$29,600,572TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$261,726TotReportableCompRltdOrgAmt
Total Other Compensation$2,518,416TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K812IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line1ContractorAddress/ForeignAddress/AddressLine1TxtCountryContractorAddress/ForeignAddress/CountryCdForeign PostalContractorAddress/ForeignAddress/ForeignPostalCd
INOVALON INC
4321 Collington RoadBOWIEMD20716Data Analytics$14,943,921
MCKINSEY COMPANY INC
300 E Randolph St 3100CHICAGOIL60601Consulting$5,715,787
PA CONSULTING GROUP INC
tech consulting$4,732,702123 BUCKINGHAM PALACE ROADUKSW1W 9SR
THE SOURCING GROUP LLC
77 Water StreetNEW YORKNY10005business solutions$3,868,965
SHARP DECISIONS
1040 Avenue of the AmericasNEW YORKNY10018IT Solutions$3,810,272
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K154CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PREMIUM REVENUE900099$5,057,583,944$5,057,583,944$0$0
THIRD PARTY ADMINISTRATIVE FEES900099$8,097,048$7,777,342$319,706$0
FieldValueIRS element (for citing)
Total Program Service Revenue$5,065,680,992TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,332,519TotalRevenueColumnAmt
Unrelated Business Revenue$4,218,555UnrelatedBusinessRevenueAmt
Exclusion$23,113,964ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$32,669,260RealAmt
Personal$870,300PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$32,669,260RealAmt
Personal$870,300PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,539,560TotalRevenueColumnAmt
Unrelated Business Revenue$870,300UnrelatedBusinessRevenueAmt
Exclusion$32,669,260ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$14,174,140SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$14,174,140SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,174,140TotalRevenueColumnAmt
Exclusion$14,174,140ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PHARMACY REVENUE900099$20,918,641$14,508,142$6,410,499
MISCELLANEOUS REVENUE900099$2,324$2,324
FieldValueIRS element (for citing)
Other Revenue Total$20,920,965OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,161,648,176TotalRevenueColumnAmt
Related Or Exempt Func Income$5,079,869,428RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$11,819,060UnrelatedBusinessRevenueAmt
Exclusion$69,959,688ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,450,564TotalAmt
Program Services$1,450,564ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$41,739,323TotalAmt
Management And General$41,739,323ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$2,699,789TotalAmt
Management And General$2,699,789ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$129,038,129TotalAmt
Management And General$129,038,129ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,261,317TotalAmt
Management And General$3,261,317ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$34,022,978TotalAmt
Management And General$34,022,978ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,973,167TotalAmt
Management And General$13,973,167ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,194,301TotalAmt
Management And General$2,194,301ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,865,014TotalAmt
Management And General$2,865,014ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$513,254TotalAmt
Management And General$513,254ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,583,510TotalAmt
Management And General$1,583,510ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$85,080,976TotalAmt
Program Services$0ProgramServicesAmt
Management And General$85,080,976ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,218,878TotalAmt
Management And General$12,218,878ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$25,460,704TotalAmt
Management And General$25,460,704ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$24,473,347TotalAmt
Management And General$24,473,347ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,663,821TotalAmt
Management And General$2,663,821ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$31,095TotalAmt
Management And General$31,095ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$56,237,221TotalAmt
Management And General$56,237,221ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,248,780TotalAmt
Management And General$5,248,780ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUBSCRIBER BENEFITS$4,604,717,248$4,604,717,248$0$0
OUTSOURCED SERVICES$23,256,810$0$23,256,810$0
QUALITY OF CARE EXPENSES$36,459,626$36,459,626$0$0
ACA HEALTHCARE FEES$62,269,237$62,269,237$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$72,683,304TotalAmt
Program Services$6,546,253ProgramServicesAmt
Management And General$66,137,051ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,244,142,393TotalAmt
Program Services$4,711,442,928ProgramServicesAmt
Management And General$532,699,465ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$236,125,131BOYAmt
EOY$146,331,938EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$225,165,499BOYAmt
EOY$200,659,523EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$240,987,161BOYAmt
EOY$362,591,477EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,721,692BOYAmt
EOY$5,368,856EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$511,792,871LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$348,749,747LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$165,075,639BOYAmt
EOY$163,043,124EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$740,299,393BOYAmt
EOY$490,985,282EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$254,265,038BOYAmt
EOY$255,995,396EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,262,326,560BOYAmt
EOY$2,019,662,603EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$846,665,282BOYAmt
EOY$753,220,405EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,631,753BOYAmt
EOY$14,994,437EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$184,582,753BOYAmt
EOY$191,955,811EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,041,879,788BOYAmt
EOY$960,170,653EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,220,446,772BOYAmt
EOY$1,059,491,950EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,220,446,772BOYAmt
EOY$1,059,491,950EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,262,326,560BOYAmt
EOY$2,019,662,603EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$82,494,217ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$78,460,605OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule D IRS990ScheduleD

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

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$152,106,143OtherCostOrOtherBasisAmt
Depreciation$87,189,413DepreciationAmt
Book Value$64,916,730BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$199,601,851OtherCostOrOtherBasisAmt
Depreciation$118,141,587DepreciationAmt
Book Value$81,460,264BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,300,790OtherCostOrOtherBasisAmt
Depreciation$68,650,685DepreciationAmt
Book Value$2,650,105BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$81,820,662OtherCostOrOtherBasisAmt
Depreciation$74,768,062DepreciationAmt
Book Value$7,052,600BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$163,043,124TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN ADVANTAGECARE$185,046,456C
INVESTMENT IN HIP HOLDINGS INC$209,640,551C
FieldValueIRS element (for citing)
Total Book Value Securities$394,687,007TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
ACCRUED INTEREST RECEIVABLE$15,937,903
DEFERRED RENT$866,884
INTEREST/DIVIDENDS RECEIVABLE$2,870,334
OTHER CURRENT ASSETS$3,733,751
HEALTHCARE RECEIVABLES$137,432,704
INTERCOMPANY RECEIVABLES$75,281,206
OTHER RECEIVABLES$19,872,614
FieldValueIRS element (for citing)
Total Book Value Other Assets$255,995,396TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PENSION LIABILITY$120,162,595
DEFERRED RENT$64,238,246
OTHER LONG TERM LIABILITIES$7,554,970
FieldValueIRS element (for citing)
Total Liability$191,955,811TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFIN 48 DISCLOSUREFormAndLineReferenceDesc
ExplanationThe Company has not taken any unsubstantiated tax position that would require provisions of a liability under ASC 740, Accounting for Uncertainty in Income Taxes. The Company does not believe there are any material uncertain tax positions and, accordingly, did not recognize any liability for unrecognized tax positions. For the year ended December 31, 2015, there were no interest or penalties recorded or included in the consolidated statements of comprehensive loss.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
East Asia and the PacificInvestments$2,472,867
Europe (Including Iceland and Greenland)Investments$11,378,029
Central America and the CaribbeanInvestments$683,675
North AmericaInvestments$6,000,397
FieldValueIRS element (for citing)
Subtotal Spent$20,534,968SubtotalSpentAmt
Total Spent$20,534,968TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part 1FormAndLineReferenceDesc
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.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (47 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
1199 SEIU EMPLOYER CHILD CARE CORP
PO BOX 842NEW YORKNY10108134063281501(c)(3)$14,687General Support
1199 SEIU BILL MICHELSON HOME CARE
330 WEST 42ND STNEW YORKNY10036711028611501(c)(3)$9,077General Support
AHRC NYC FOUNDATION
83 Maiden LaneNEW YORKNY10038133779611501(c)(3)$7,879General Support
ALZHEIMERS DISEASE AND RELATED
225 N MICHIGAN AVECHICAGOIL60601363463656501(c)(3)$9,455General Support
AMERICAN CANCER SOCIETY
250 WILLIAM ST NWATLANTAGA30303465439010501(c)(3)$32,147General Support
BEDFORD STUYVESANT RESTORATION
1368 Fulton StreetBrooklynNY11216116083182501(c)(3)$47,275General Support
BROOKLYN CHAMBER OF COMMERCE
335 ADAMS STBrooklynNY11201110577070501(c)(3)$6,303General Support
CHINESE AMERICAN PLANNING COUNCIL INC
150 ELIZABETH STNEW YORKNY10012136202692501(c)(3)$28,535General Support
CITY MEALS ON WHEELS
355 Lexington AveNEW YORKNY10017133634381501(c)(3)$29,941General Support
CITY PARKS FOUNDATION
830 Fifth AveNEW YORKNY10065133561657501(c)(3)$31,516General Support
COMUNILIFE INC
214 W 29 StreetNEW YORKNY10001133530299501(c)(3)$5,950General Support
CONGRESSIONAL HISPANIC CAUCUS INSTITUTE
1128 16th Street NWWashingtonDC20036521114225501(c)(3)$5,421General Support
COUNCIL OF SENIOR CTRS & SVCS NYC INC
49 WEST 45 STREETNEW YORKNY10036132967277501(c)(3)$22,061General Support
COUNCIL ON THE ENVIRONMENT INC
100 Gold StreetNEW YORKNY10038132765465501(c)(3)$32,147General Support
FAMILY COOK PRODUCTIONS
330 East 43rd StreetNEW YORKNY10017273710500501(c)(3)$16,704General Support
FORDHAM UNIVERSITY
45 Columbus Ave Fl 8BronxNY10458131740451501(c)(3)$5,988General Support
HABNET-HAITIAN AMERICAN BUSINESS NETWORK
1452 Flatbush AvenueBrooklynNY11210480939800501(c)(3)$5,043General Support
HAITIAN CENTERS COUNCIL INC
123 Linden Blvd 3BrooklynNY11226112648501501(c)(3)$56,729General Support
HARLEM WEEK INC
200A W 136TH STNEW YORKNY10030133058019501(c)(3)$15,758General Support
HARVEST HOME FARMER'S MARKET
104-106 East 126th StNEW YORKNY10035061800512501(c)(3)$15,758General Support
HEALTHCARE CHAPLAINCY NETWORK
315 E 62nd St 4th FlNEW YORKNY10021132634080501(c)(3)$5,017General Support
HEALTHCORPS INC
75 Broad StreetNEW YORKNY10004261269358501(c)(3)$17,649General Support
HISPANIC FEDERATION INC
55 Exchange PlaceNEW YORKNY10005133573852501(c)(3)$18,989General Support
HONG KONG DRAGON BOAT FESTIVAL IN NEW
14107 20TH AVEWhitestoneNY11357133716785501(c)(3)$10,716General Support
HOSTOS COMMUNITY COLLEGE
120 E 149th StBronxNY10451133138072501(c)(3)$6,555General Support
LIVEON NY
460 West 34th StNEW YORKNY10001132945229501(c)(3)$5,169General Support
MONTEFIORE MEDICAL CENTER
111 East 210th StreetBronxNY10467131740114501(c)(3)$7,249General Support
NATIONAL Fdn FOR HUMAN POTENTIAL
191 Sweet Hollow RdOld BethpageNY11804113544632501(c)(3)$15,632General Support
NEW HOPE CHRISTIAN FELLOWSHIP
PO Box 2958SilverdaleWA98383911262549501(c)(3)$9,455General Support
NEW YORK CENt FOR INTERPERSONAL
130 Stuyvesant PlStaten IslandNY10301237085239501(c)(3)$18,910General Support
NEW YORK JUNIOR TENNIS & LEARNING
58-12 Queens BoulevardWoodsideNY11377237442256501(c)(3)$24,463General Support
NORTHEAST BUSINESS GROUP ON HEALTH
61 BROADWAY RM 2705NEW YORKNY10006133156952501(c)(3)$8,667General Support
NORTHERN MANAHATTAN IMPROVEMENT
76 Wadsworth AvenueNEW YORKNY10033132972415501(c)(3)$63,033General Support
QUEENS COMMUNITY HOUSE INC
108-25 62nd DrQueensNY11375112375583501(c)(3)$63,033General Support
SDTC - THE CENTER FOR DISCOVERY INC
PO Box 840HarrisNY12742141782615501(c)(3)$5,496General Support
STARLIGHT CHILDREN'S Fdn
Gl Off 2049 Ct PkLos AngelesCA90067953802159501(c)(3)$7,516General Support
THE APOLLO THEATER FOUNDATION
253 W 125th StNEW YORKNY10027133630066501(c)(3)$18,910General Support
THE ARMORY FOUNDATION
216 Fort Washington AveNEW YORKNY10032133680286501(c)(3)$22,061General Support
THE CATHOLIC HEALTHCARE FOUNDATION
155 East 56th StNEW YORKNY10022134054158501(c)(3)$14,340General Support
THE METROPOLITAN GOLF ASSOCiation
49 Knollwood RdElmsfordNY10523133637689501(c)(3)$6,303General Support
UNIFORMED FIREFIGHTERS ASSOC
PO Box 2085Mount VernonNY10551133907650501(c)(3)$5,043General Support
UNITED CEREBRAL PALSY OF NYC
80 MAIDEN LNNEW YORKNY10038135654532501(c)(3)$5,169General Support
UNITED HOSPITAL FUND
1411 BroadwayNEW YORKNY10018131562656501(c)(3)$187,838General Support
UNITED NEIGHBORHOOD HOUSES
70 West 36th StNEW YORKNY10018135563409501(c)(3)$33,670General Support
UNIVERSITY SETTLEMENT SOCIETY OF NY
184 Eldridge StreetNEW YORKNY10002135562374501(c)(3)$42,862General Support
WEST INDIANAMERICAN DAY CARNIVAL ASSOC
325 Rogers AveBrooklynNY11225237176396501(c)(3)$25,591General Support
YMCA OF GREATER NEW YORK
5 West 63rd StNew YorkNY10023131624228501(c)(3)$50,535General Support
FieldValueIRS element (for citing)
Total501c3 Org47Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationHealth Insurance Plan of Greater New York has an internal committee called the Contributions Review Committee that supervises and recommends all charitable grants paid out by the organization. Every request for a grant must be submitted in writing to the Committee with a detailed description of the intended use of the proposed funds. Each submission is reviewed during scheduled meetings and either approved or rejected. Grant applications will only be accepted from 501(c)(3) tax exempt organizations. Once grant monies have been sent to a grant recipient, HIP requests either quarterly or biannual reports on how the grantee expended the money. If the grant funds are not used for the purposes originally intended, HIP will cease funding that project.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (56 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Frank J Branchini
Chairman & CEO (thru 10/2015)$690,713$0$3,177,750$0$2,668,227$0$3,975$0$5,095$0$6,545,760$0$2,529,457$0
Karen Ignagni
President & CEO (as of 9/2015)$412,620$0$875,000$0$6,468$0$426,990$0$4,047$0$1,725,125$0$0$0
William C Lamoreaux
EVP & Chief Operating Officer$518,908$0$127,500$0$28,416$0$127,286$0$7,092$0$809,202$0$0$0
William A Gillespie
CMO$0$0$2,088,325$0$241,000$0$0$0$0$0$2,329,325$0$0$0
Edward Mailander
SVP, Chief Actuary$361,560$0$115,500$0$32,958$0$225,940$0$7,900$0$743,858$0$0$0
Charlene Maher thru 62015
SVP, Chief Marketing Officer$146,302$0$269,000$0$423,330$0$3,975$0$3,398$0$846,005$0$0$0
Shawn M Fitzgibbon
Chief Product Officer$341,973$0$93,000$0$29,483$0$15,404$0$4,860$0$484,720$0$0$0
Michael Palmateer
Chief Financial Officer$350,627$0$97,500$0$29,618$0$143,369$0$4,860$0$625,974$0$0$0
Jeffrey D Chansler
Chief Legal Officer$333,323$0$93,000$0$32,246$0$170,761$0$6,330$0$635,660$0$0$0
Arthur Byrd thru 112015
Chief Financial Officer$302,950$0$105,000$0$44,449$0$3,975$0$7,383$0$463,757$0$0$0
Valerie A Reardon
Chief Risk & Compliance$280,277$0$90,000$0$26,461$0$8,718$0$9,440$0$414,896$0$0$0
William Mastrogiacomo
SVP, Dep Gen Cl (thru 10/2015)$190,100$0$1,191,607$0$58,796$0$3,975$0$4,466$0$1,448,944$0$0$0
George Babitsch
SVP, Underwriting & Acct Mgmt$260,560$0$82,500$0$26,282$0$9,465$0$7,490$0$386,297$0$0$0
Nicholas P Kambolis
SVP, Legal (thru 4/2015)$78,205$0$292,500$0$790,374$0$3,975$0$2,870$0$1,167,924$0$0$0
Michele A Powers
VP, Operations (thru 5/2015)$88,272$0$75,000$0$25,283$0$2,831$0$1,017$0$192,403$0$0$0
Robert Branchini
VP, Information Technology$270,720$0$78,000$0$8,617$0$107,355$0$4,860$0$469,552$0$0$0
Mariann E Drohan
Chief Human Resources Officer$291,700$0$36,000$0$31,148$0$21,225$0$1,800$0$381,873$0$0$0
John D Mahder
VP, Marketing$244,038$0$40,500$0$30,114$0$65,561$0$5,892$0$386,105$0$0$0
Williams Lewis thru 62015
VP, Facilities, RE, Corp Svc.$81,397$0$113,139$0$360,690$0$10,642$0$2,445$0$568,313$0$0$0
William Yurkowski
VP, Operations$207,780$0$34,500$0$23,954$0$69,401$0$7,360$0$342,995$0$0$0
Karen Smith-Hagman
VP, Med. Mgmt. (thru 9/2015)$130,015$0$118,111$0$30,072$0$11,664$0$5,863$0$295,725$0$0$0
Carl A Lund
VP, Facility Contracting$205,740$0$33,780$0$27,475$0$15,323$0$4,368$0$286,686$0$0$0
Richard Gross thru 112015
VP, Account Management$213,525$0$27,480$0$42,830$0$94,695$0$7,309$0$385,839$0$0$0
Jennifer L Truscott
VP, Medical Mgmt Operations$213,533$0$27,000$0$19,170$0$10,282$0$1,800$0$271,785$0$0$0
Mary E Soul thru 102015
VP, Actuarial Valuation$174,000$0$116,084$0$127,491$0$11,894$0$3,278$0$432,747$0$0$0
Brendan Shanahan thru 72015
VP, Budget & Analysis$108,701$0$90,500$0$166,860$0$3,499$0$5,318$0$374,878$0$0$0
Wanda Wareham
VP, Gov't Assisted Programs$0$0$81,261$0$139,388$0$0$0$0$0$220,649$0$0$0
Stuart Lefkowich
VP, Medicare Advantage$0$0$78,390$0$71,425$0$0$0$0$0$149,815$0$0$0
Philip J Gillich
VP, Network Management$193,924$0$30,000$0$16,023$0$10,169$0$2,801$0$252,917$0$0$0
Jose R Diaz
VP, Membership (thru 11/2015)$151,475$0$28,980$0$55,668$0$131,259$0$3,623$0$371,005$0$0$0
Daniel Byrne
VP, Labor Relations$189,465$0$28,980$0$15,757$0$9,801$0$9,984$0$253,987$0$0$0
Ernesto Marrero Jr
VP, Medicare Compliance$210,542$0$31,500$0$6,477$0$10,123$0$5,165$0$263,807$0$0$0
Vincent A Hartmann
VP, Underwriting$161,871$0$28,260$0$26,719$0$15,627$0$6,360$0$238,837$0$0$0
Erhard V Krause thru 42015
VP, Business Development$52,084$0$82,911$0$291,271$0$1,809$0$1,380$0$429,455$0$0$0
Peter S Moore
VP, Government Programs$159,371$0$25,980$0$26,668$0$34,180$0$5,558$0$251,757$0$0$0
Christopher W Chappelear
VP, Actuarial & Underwriting$225,557$0$0$0$19,005$0$3,799$0$9,963$0$258,324$0$0$0
Douglas Cowieson
SVP, Operations$345,890$0$0$0$29,612$0$14,916$0$9,277$0$399,695$0$0$0
Jerry A Gallo thru 92015
VP, Commercial Sales$126,183$0$32,280$0$23,931$0$5,458$0$6,859$0$194,711$0$0$0
Suzanne G Ronner
VP, Customer Service$209,605$0$0$0$20,622$0$11,625$0$5,610$0$247,462$0$0$0
Michele H Podolak
VP, Customer Service$135,515$0$21,780$0$25,208$0$8,639$0$2,985$0$194,127$0$0$0
Richard M Densing
VP, Gov't Prog & Direct to Con$204,390$0$0$0$15,572$0$11,678$0$7,860$0$239,500$0$0$0
Munish Khaneja
VP, Medical Mgmt Operations$276,297$0$0$0$16,768$0$12,204$0$7,828$0$313,097$0$0$0
Wei Jia Shen
Sr. Director -Applications Dev$233,276$0$0$0$18,618$0$33,360$0$5,820$0$291,074$0$0$0
Roberto Hormazabal
Sr. Dir. Account Management$266,810$0$0$0$327$0$4,717$0$6,280$0$278,134$0$0$0
Thomas MAcMillan
Sr. Director, EPMO$234,865$0$0$0$18,506$0$8,990$0$6,060$0$268,421$0$0$0
James P Meidlinger
Sr. Actuary$226,338$0$0$0$16,304$0$7,352$0$9,516$0$259,510$0$0$0
Bruce Sosler
Senior Medical Director$287,435$0$0$0$8,134$0$24,079$0$4,140$0$323,788$0$0$0
Scott Breidbart as of 102015
Chief Clinical Officer$98,176$0$150,000$0$3,404$0$3,137$0$810$0$255,527$0$0$0
Scott Dickler as of 82015
SVP, Gov't & Indiv. Programs$97,470$0$75,000$0$14,208$0$7,351$0$1,620$0$195,649$0$0$0
Craig Effrain
VP, Corporate Secretary$196,815$0$0$0$12,824$0$2,959$0$8,700$0$221,298$0$0$0
Douglas Parks as of 62015
VP, HR Transformation & Strat$134,222$0$50,000$0$11,490$0$55,991$0$1,778$0$253,481$0$0$0
Russell Petrella
EVP (as of 2/2015)$461,827$0$0$0$34,560$0$133,475$0$6,000$0$635,862$0$0$0
William Voigt
VP, HR Business Operations$177,529$0$0$0$9,316$0$4,724$0$10,410$0$201,979$0$0$0
Joseph Zeitlin as of 22015
VP, ACP Relations$344,976$0$41,280$0$16,049$0$17,014$0$4,237$0$423,556$0$0$0
Paul Zurlo
VP, Small Group & Indiv. Bus$214,326$0$0$0$15,693$0$8,930$0$10,158$0$249,107$0$0$0
Dr Donald Wernsing
Medical Director$234,154$0$0$0$22,625$0$32,416$0$6,690$0$295,885$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Schedule J, Part I - Tax Gross Up PaymentsMr. Branchini receives a tax gross up for amounts paid into the secular Trust.
Form 990, Schedule J, Part I, Line 4a - SeveranceThe following officers received severance in 2015: Nicholas Kambolis - $737,100 Erhard Krause - $278,975 Williams Lewis - $321,852 Charlene Maher - $395,000 Brendan Shanahan - $136,965 Mary Soul - $111,965 William Gillespie - $241,000 Wanda Wareham - $139,388 Stuart Lefkowich - $71,425 All of the severance payments documented above are reported in the Form 990, Schedule J, part II, Column (b)(iii).
Non-Qualified Retirement PlanEmblem Health Services, LLC sponsors nonqualified retirement plans that the officers of HIPNY participate in, Officers with the titles of senior vice president and above hired before June 1, 2009, with the exception of Frank Branchini, participate in the supplemental executive retirement plan for emblemhealth services company, llc ("SERP"). The SERP provides a retirement benefit calculated on the basis of 50% of final average pay, offset by benefits under any qualified benefit plan, such as The emblemhealth services company, llc employees' retirement plan. Participants require the approval of the board of directors to retire under the serp between the ages of 55 and 60. Participants who retire prior to age 65 have their serp benefits reduced by early retirement factors. Mr. branchini participates in the GHI supplemental retirement plan ("Secular trust") which provides a retirement benefit calculated to provide the retirement benefits that would otherwise be payable under the local 153-ghi pension plan and the ghi cash balance plan (qualified plans), but for funding and contributions limits imposed by the IRS regulations. Senior vice presidents and above, hired before june 1, 2009, participate in the supplemental retirement plan ii for emblemhealth services company, llc (SERP II"). The SERP II provides a retirement beneft calculated on the basis of 30% of final average pay after 5 years of service, and increasing to 50% of final average pay after 15 years of service, offset by benefits under any qualified benefit plan, such as the emblemhealth services company, llc employees' retirement plan. Participants require the approval of the board of directors to retire under the SERP II between the ages of 55 and 60. Participants who retire prior to age 65 have their SERP II benefits reduced by early retirement factors.
Bonus PaymentsHIP (via EmblemHealth Services, the payroll payor) provide annual incentive awards based upon the achievement of performance metrics and percentage target awards. The compensation committees approve the performance metrics and targets and the ultimate payout to participants based upon the performance achieved under the Annual Incentive Plan (AIP). All management, non-union employees may be eligible to participate in the AIP. In the 2015 AIP, two equally weighted performance metrics were Operating Income and Administrative Per Member Per Month (PMPM) savings. Operating Income was defined as premiums earned and administrative service fee revenue, less subscriber benefits, depreciation and amortization, interest and general administrative expenses, as reported in the annual financial statements, and exluding certain specified and extraordinary items. Administrative PMPM was defined as the depreciation and amortization, interest and general administrative expenses as reported in the annual audited financials associated with the administration of the company's insured commercial managed care, Medicare and State sponsored programs expressed on a per member per month basis, and excluding certain specified and extraordinary items. HIP also has a long term incentive plan based upon longer term performance over three year performance cycles and a limited supplemental incentive plan with payment triggered by threshold performance under the AIP. The compensation committees approve the performance metrics, targets and payouts based upon achievement of performance under these plans as well. Officers and key employees are generally eligible to participate in the long term incentive plan. Schedule J, Part II, Column C Health Insurance Plan of Greater New York, reports the change in the actuarial value of the pension plan as deferred compensation (as required by the expanded disclosures in the form 990). Present values are calculated based on the SEC Proxy Summary Compensation Table methodology and assumptions, as the discounted present value of normal retirement benefits earned to the measurement date payable at the later of current age or age 65, without regard to projected service, projected salary increases, pre-retirement mortality or other decrements. To the extent any individual reported on Schedule J has compensation reported in column (f), those amounts reflect payouts from the Supplemental Executive Retirement Plan.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
William White
Director/HR Department$151,125See Schedule L Narrativefalse
Christine O'Connor Burns
Kin of Board Member$202,213See Schedule L Narrativefalse
Diane Pirone
Kin of President & COO$2,015,751See Schedule L Narrativefalse
Keith Dahl
Kin of President$285,156See Schedule L Narrativefalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule LFormAndLineReferenceDesc
ExplanationFormer Chairman and Chief Executive Officer (As of 10/2015), FRANK BRANCHINI, HAS A FAMILY MEMBER, DIANE PIRONE (SISTER), WHO IS A MANAGER AT RCG, A CONSULTING FIRM WHICH HAS BEEN UTILIZED BY HIP SINCE 2004. MS. PIRONE DOES NOT DO BUSINESS ON THE HIP/EMBLEM ACCOUNT. IN CALENDAR YEAR 2015, HIP-NY PAID THE CONTRACTED ENTITY, RCG, $2,015,751. Former Chairman and Chief Executive Officer, Frank Branchini, has a family member, Keith Dahl, son-in-law, who is a physician employed by AdvantageCare Physician, P.C.("ACP"), a related entity to HIP-NY. HIP-NY engages in various transactions with ACP to provide medical services to its members. Dr. Dahl received $285,156 in compensation from ACP. Former Officer, 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 12/31/2015 are $151,125. William receives fringe benefits from EmblemHealth Services Company, LLC as well. Former Board of Directors Member John O'Connor has a family member who is, likewise, employed by EmblemHealth Services Company, LLC. Christine O'Connor Burns' W-2 compensation in the calendar year ending 12/31/2015 from EmblemHealth Services Company, LLC was $202,213. Christine receives fringe benefits from EmblemHealth Services Company, LLC as well. HIP-NY does not believe it has any other business transactions or relationships between itself and an officer, director, or key employee of the organization that rise to the monetary threshold required for disclosure on Schedule L of the Form 990. The organization takes its responsibilities of monitoring potential conflicts of interest very seriously (please see disclosure on Part VI, Line 12). HIP-NY compiles a lengthy Summary report of all potential business transactions between the individuals reported on Part VII of the Form 990 and HIP-NY or one of its affiliated organizations. This report discloses all potential business transactions regardless of monetary value. Amounts reported on Schedule L represent the W-2, Box 5 wages paid to each of these individuals. Additional taxable and non-taxable fringe benefits may have been provided (but are not included above). Additional information is available upon request.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 1a and Part VII, Independent Contractors.The total number of independent contractors reported on Part V, Line 1a represents those vendors that received a 1099 directly from HIP-NY's EIN#. In addition, HIP-NY's 100% owned disregarded entity, EmblemHealth Services, LLC, (EHS) also issued 1099s in calendar year 2015. In the interests of full disclosure, HIP-NY is disclosing that EmblemHealth Services, LLC issued 1,216 1099s in calendar year 2015. In total, HIP-NY and EHS paid compensation exceeding $100,000 to 154 vendors. HIP-NY, as a part of its business, undertakes a significant amount of claims processing; in 2015, HIP-NY issued 22,460 1099s through its claims processing department. The 1099s for the claims processing are not reported on Line 1(a) but are disclosed here in the interests of full disclosure. Form 990, Part V, Line 2(a) HIP-NY does not file a Form W-3 as all employee payroll is paid out of EmblemHealth Services, LLC. In the interests of clarity, HIP-NY is disclosing that 4,452 employees received W-2s from EmblemHealth Services (ostensibly for services rendered to HIP-NY and to other affiliated entities). Form 990, Part VI, Line 2 Frank Branchini, Former Chairman and Chief Executive Officer, has a family relationship with Robert Branchini, VP Information Technology. In the interests of full disclosure, the organization notes that various Officers and/or directors, may serve on the Board of Directors of related for-profit organizations (e.g. - those disclosed in Schedule R of the Form 990). No individual is compensated for board services rendered to the related for-profit organization.
Form 990, Part VI, Line 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, 2015 was provided to each member of the organization's governing body before it was filed. A detailed review of the Form 990 was undertaken by the Organization's Tax Director, Chief Financial Officer and VP, Deputy General Counsel.
Form 990, Part VI, Line 12To determine if an employee's personal interests, activities or relationships constitute a conflict of interest or the appearance of a conflict of interest, certain employees, based upon functionality, as determined by the chief compliance officer and by the VP, Deputy General Counsel, on an annual basis, any reportable situations on the company's conflict of interest disclosure. All employees, at the time of employment, are required to fully disclose any personal interest, activities or relationships that constitute a conflict of interest or the appearance of a conflict of interest. Disclosures are reviewed by the chief compliance officer and by VP, The Deputy General Counsel. Any Employee, who violates the conflict of interest policy, fails to make a required report or fails to comply with any remedial action required by the company, is subject to disciplinary action, up to and including termination of employment.
Form 990, Part VI, Line 15To determine the compensation of the CEO and all other officers of the company, HIP and EmblemHealth Services engage an outside compensation consultant to provide guidance and the comparable market data on the compensation of similarly situated executive positions in the organizations' competitive peer group comprised of profit and not for profit entities. The compensation consultant presents the comparable market data to the compensation committee of the board of directors of HIP and EmblemHealth Services. The compensation committees are composed entirely of outside, independent, disinterested directors. The compensation committees review and approve the proposed compensation arrangements and the deliberations and actions of the compensation committees are documented in the minutes of each meeting. Thereafter, the actions of the compensation committees are reported to the full boards in a timely manner. The CEO, or any other officer, is excused from the compensation committee meeting while the committee deliberates and approves any action related to the compensation arrangement of the CEO or other officer.
Form 990, Part VI, Line 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 VIIIHealth Insurance Plan of Greater New York generates rental revenue from medical groups who lease a combination of personal and real property. HIP does not book this revenue in its general ledger as rental income, but rather offsets payments due to the health provider/facilities as monthly settlements are made. These transactions result in a net out-flow of cash as HIP finalizes its monthly settlements. For the most part, the rental income generated by HIP is for space rental and incidental personal property rental (i.e. 10% or less of the total rents received under the lease are from personal property). To the extent that the rental income is attributable to a mixed lease (i.e. where personal property is 11% to 50% of the total rents), HIP reports this revenue as unrelated business income and specifically reports this revenue on Part VIII, Lines 6a and 6b and on its Form 990-T. Quantifying total rental income received across all medical groups is difficult, but the organization has approximated the revenue and disclosed it in Part VIII, Line 6.
Form 990, Part IXAmounts reported on Part IX, Line 5, as compensation paid to officers, directors and key-employees of HIP-NY represent those salary costs reported on Form 990, Part VII, Line 1(d) that are allocated from the related party, EmblemHealth Services, LLC. Health Insurance Plan of Greater New York has adopted a simplified approach of allocating its expenditures between programmatic and management and general. The organization does not categorize its expenses internally or in its audited financial statements by these means. For purposes of its 990 reporting, HIP-NY is treating all subscriber benefits as programmatic expenses and all other expenses as management and general even though a large percentage of those expenses are likely related to HIP's day-to-day mission activities. Nevertheless, even taking this conservative approach, HIP's program service expenses constitute 90% of total expenditures.
Form 990, Part XI, Line 9A difference of ($78,460,605) is reported on part XI of the Reconciliation of Net Assets. This difference is attributable to changes in unrealized gains and losses on investments, book to tax adjustments on investments as well as Statutory-to-GAAP financial statement adjustments.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Water StreetAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10041ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesSupport SvcsPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$91,544,679EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HIP-NYBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1EMBLEMHEALTH INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 WATER STREETAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10041ZIPCd
FieldValueIRS element (for citing)
EIN133941542EIN
Primary Activitiessupport svcsPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status11(C)PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HIP-NYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Group Health Incorporated
55 Water StreetNew YorkNY10041135511997InsuranceNYNAC Corp$932,581,257$602,425,6211.00000Yes (true)
HIP Holdings Inc & Subsidiaries
55 Water StreetNew YorkNY10041133819759InsuranceNYNAC Corp.$1,842,167,755$1,202,584,8381.00000Yes (true)
Central Brooklyn Medical Group PC
440 9th AvenueNew YorkNY10001112937992HealthcareNYHIP-NYC Corp$123,621,211$9,405,7341.00000Yes (true)
Queens Long Island Medical Group PC
440 9th AvenueNew YorkNY10001113039101HealthcareNYHIP-NYC Corp$342,830,180$107,907,7741.00000Yes (true)
Staten Island Physician Practice PC
440 9th avenuenew yorkNY10001204659577healthcareNYHIP-NYC corp$40,584,272$3,155,2071.00000Yes (true)
AdvantageCare Physicians PC
440 9th AvenueNew YorkNY10001460790995healthcareNYHIP-NYC Corp$298,387,631$155,519,0331.00000Yes (true)
LHHN Medical PC
440 9th AvenueNew YorkNY10001134121055healthcareNYHIP-NYC Corp$51,904,562$4,754,6711.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
EmblemHealth Inc
M,P$1,283,292Cost
Group Health Incorporated
A$3,300,000Market Rate
Group Health Incorporated
D$165,000,000Market Rate
Hip Holdings Inc & Subsidiaries (EHA)
M$17,700,000COST
Hip Holdings Inc & Subsidiaries (HIPIC)
L,Q$5,600,000COST
Hip Holdings Inc & Subsidiaries (HIPIC)
M$33,300,000COST
Hip Holdings Inc & Subsidiaries (HIP-IPA)
l$600,000cost
Hip Holdings Inc & Subsidiaries (HIP-IPA)
M$12,700,000cost
central brooklyn medical group pc
a$146,783cost
Queens Long Island Medical Group PC
a$516,313cost
LHHN Medical PC
a$207,000cost
central brooklyn medical group pc
d$1,419,118cost
Queens Long Island Medical Group PC
d$6,579,885cost
LHHN Medical PC
d$1,786,593cost
Staten Island Physician Practice PC
d$2,142,437cost

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part V, Line 2FormAndLineReferenceDesc
ExplanationTRANSACTIONS with Emblem Health, Inc. EmblemHealth, Inc. is the parent organization of Health Insurance Plan of Greater New York (HIP-NY), a 501(c)(4) tax-exempt organization that delivers quality, affordable health insurance to members and provides employers and individuals with a range of plan choices and attractive benefit options designed to meet the individual needs of today's healthcare consumers. EmblemHealth, Inc., in conjunction with its subsidiaries, fosters and facilitates HIP-NY's efforts to give back to the community. Costs associated with running EmblemHealth Inc. are reimbursed by HIP-NY (at cost); these transactions are memorialized with Transaction Code M & P. Transactions with Group health Incorporated To date, HIP-NY has advanced $165 million to GHI in accordance with Section 1307 of the Insurance Law of the State of New York with interest accruing at 2% per annum. No new loans were issued in 2015. As provided in Section 1307, the payment of principal and interest thereon shall only be made out of free and disposable surplus, subject to prior approval of the Superintendent. As of December 31, 2015, no payments were made to HIP. Nevertheless, HIP is disclosing the amount of accrued interest with Transaction Code A. Transactions with HIP Holdings, Inc. & Subs (HIPIC) HIPIC (a member of HIP Holdings, Inc. & Subs) provides the indemnity health insurance portion of dual option products offered by HIP and HIP administers the collection of premiums and pays claims on behalf of HIPIC. Premiums collected on behalf of HIPIC were approximately $19,400,000 for the year ended December 31, 2015. HIP paid out-of-network claims on behalf of HIPIC of $13,900,000 in 2015. Under the terms of a service agreement, HIP allocated costs associated with administering the premiums and claims of approximately $5,600,000 to HIPIC for the year ended December 31, 2015. 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, 2015, HIP incurred approximately $12,700,000 for capitation and $400,000 for data collection services. In addition, HIP provides certain administrative and support services to HIP IPA, which are reimbursed by HIP IPA. For the year ended December 31, 2015, amounts charged by HIP to HIP IPA for these services was approximately $200,000. Transactions with HIP HOldings, Inc. & Subsidiaries (EHA) EHA (another subsidiary in the HIP Holdings, Inc. & Subsidiaries consolidated group) provides claims processing and certain member services for HIPs members. For the year ended December 31, 2015, EHA charged HIP approximately $17,700,000 for these services. Transactions with Physician Medical Groups As of January 1, 2013 Emblem completed a series of transactions that resulted in a nominee shareholder arrangement with four independent medical groups that provide health care services to certain subscribers of Emblems health benefit plans and which operate out of facilities owned or leased by Emblem. Pursuant to the transactions, the Chief Medical Officer of Emblem became the sole shareholder of each of the Medical Groups and the physicians employed by and/or contracted with the Medical Groups became employees of, or contracted with, AdvantageCare Physician, P.C. During 2015, HIP invested $0 in ACP. In addition, HIP-NY has loan agreements with various medical groups. These loans are memorialized with transaction (d) and any interest paid on the loan is memorialized with transaction (a).ExplanationTxt