HEALTH INSURANCE PLAN OF GREATER NEW YORK: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH INSURANCE PLAN OF GREATER NEW YORK (EIN 13-1828429)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201323189349303472
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T12:11:28-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 666 THIRD AVENUE | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100174057 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 131828429 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Health Insurance Plan | BusinessNameLine1 |
| Business Name Line2 | of Greater New York | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % ARTHUR BYRD | InCareOfName |
| Name Control | HEAL | NameControl |
| Phone | 6464475000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10041 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael D Fullwood | Name |
| Title | EVP, CFO, General Counsel | Title |
| Phone | 6464475000 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2125990100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Frank Branchini | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10041 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5080310995 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.EMBLEMHEALTH.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1944 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | HEALTH INSURANCE PLAN OF GREATER NEW YORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTH COVERAGE IN WAYS THAT RESPECT AND RESPOND TO PEOPLE'S FUNDAMENTAL NEEDS AT PRICES THEY CAN AFFORD. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 6051693 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4729574904 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5002635302 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 60567125 | InvestmentIncomePriorYear |
| Investment Income Current Year | 46335172 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3143523 | OtherRevenuePriorYear |
| Other Revenue Current Year | 31340521 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4793285552 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5080310995 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 243042998 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 286045012 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4343475853 | OtherExpensePriorYear |
| Other Expenses Current Year | 4619807872 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4586518851 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4905852884 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 206766701 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 174458111 | RevenuesLessExpensesCY |
| Total Assets BOY | 1987023881 | TotalAssetsBOY |
| Total Assets EOY | 2211939156 | TotalAssetsEOY |
| Total Liabilities BOY | 715560436 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 787069489 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1271463445 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1424869667 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HEALTH INSURANCE PLAN OF GREATER NEW YORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTH COVERAGE IN WAYS THAT RESPECT AND RESPOND TO PEOPLE'S FUNDAMENTAL NEEDS. HIP PURSUES ITS MISSION BY PROVIDING A CHOICE OF PRODUCTS AND NETWORKS SO MEMBERS HAVE ACCESS TO THE MEDICAL CARE THEY NEED AT PRICES THEY CAN AFFORD. THE ORGANIZATION DOES THIS BY IMPROVING THE HEALTH OF MEMBERS THROUGH WELLNESS PROGRAMS THAT FOSTER PREVENTION AND HEALTHIER LIVING AND BY USING TECHNOLOGY TO EASE ACCESS TO INFORMATION AND SERVICES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1517576812 | Expense |
| Grants | 0 | Grants |
| Revenue | 1771538269 | Revenue |
| Description | MEDICARE - HIP SERVED APPROXIMATELY 112,000 MEDICARE MEMBERS THROUGH its MEDICARE RISK AND COST CONTRACT PROGRAMS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 870885806 | Expense |
| Revenue | 1015375858 | Revenue |
| Description | MEDICAID - HIP SERVED APPROXIMATELY 200,000 MEDICAID MEMBERS. HIP HAS BEEN SERVICING THE MEDICAID POPULATION SINCE 1967 (WITH THE PASSAGE OF FEDERAL LEGISLATION AUTHORIZING THIS PROGRAM) AND HAS AN EXTENSIVE PROGRAM IN PLACE TO ENCOURAGE PREVENTIVE MEDICAL CARE. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1920587825 | Expense |
| Revenue | 2212051032 | Revenue |
| Description | SUBSCRIBER BENEFITS - HIP OF GREATER NEW YORK IS A NOT-FOR-PROFIT CORPORATION THAT ARRANGES FOR THE PROVISION OF COMPREHENSIVE MEDICAL AND HEALTH CARE SERVICES FOR ITS SUBSCRIBERS/MEMBERS (INCLUDING HEALTH CARE SERVICES TO MEDICARE AND MEDICAID MEMBERS) WHICH IS AN EXEMPT FUNCTION. Included within these subscriber benefits are various state and local benefit programs, including the following: 1. CHIPS (Children's Health Insurance Program) - HIP SERVED APPROXIMATELY 12,000 MEMBERS. HIP HAS BEEN SERVING THE CHIPS POPULATION SINCE THE INCEPTION OF THE STATE DEMONSTRATION PROGRAM FOR UNISURED CHILDREN UNDER 19, IN 1991 AND CONTINUED WITH THE PASSAGE OF The Childrens Health Insurance Program (CHIP) in 1997. CHIPS is a partnership between the federal government and the states to extend health coverage to uninsured children and pregnant women in families who cannot afford to purchase private health insurance but have incomes too high to qualify for Medicaid. 2. Family Health Plus Program - HIP SERVED APPROXIMATELY 26,000 MEMBERS. HIP BEGAN TO SERVE FHPLUS MEMBERS AT THE START OF THE PROGRM IN THE NY DOWNSTATE AREA IN OCTOBER OF 2001. THE BENEFIT PACKAGE FOR THE PROGAM PROVIDES a comprehensive set of medically needed health care benefits and services to the ADULT UNINSURED and low-income wage earners. 3. Healthy New York Program - HIP SERVED APPROXIMATELY 5000 MEMBERS. HIP HAS BEEN SERVING HEALTHY NY MEMBERS SINCE THE PROGRAM'S INCEPTION JANUARY 2001. THE NYS HEALTH CARE REFORM ACT OF 2000 CREATED THIS PROGRAM OF COMPREHENSIVE HEALTH INSURANCE COVERAGE FOR NY's UNINSURED WORKERS AND THEIR FAMILIES. Healthy NY is a program designed to help promote comprehensive and quality health care for small business owners and their employee's. The Healthy NY program also helps sole proprietors and those whose employers do not provide health insurance for them. Healthy NY includes benefits that cover essential health needs including inpatient and outpatient hospital services, physician services, maternity care, preventative health services, diagnostic and x-ray services, and emergency services. Beginning in 2013, Healthy New York is a discontinued program. The organization notes that the allocation of program service expenditures reported on Part III of the Form 990 is derived from HIP-NY's Statutory Financial Statements (STAT) The Form 990 is prepared in accordance with Generally Accepted Accounting Principles (GAAP). There is an additional $7,142,973 in program service expenditures reported on the Form 990, that are not reported in HIP's annual STAT filing. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 4309050443 | TotalProgramServiceExpense |
| Described In501 C3 | false | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | true | PoliticalActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | true | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 576 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ARTHUR BYRD | NamePerson |
| Telephone Number | 6464475000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10041 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (80 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Other CompensationOtherCompensation | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Average Hours Per Week RelatedAverageHoursPerWeekRelated | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| ROBERT W BROKAW | ||||||||
| Director | 2.0 | X | 26668 | 0 | ||||
| David J Cooper | ||||||||
| Director | 2.0 | X | ||||||
| KAREN J DAVIS | ||||||||
| Director | 2.0 | X | 13224 | 0 | ||||
| Gregory E Floyd | ||||||||
| Director | 2.0 | X | ||||||
| ELAINE FRIEDMAN | ||||||||
| Director | 2.0 | X | 6783 | 0 | ||||
| PAUL E GIBSON | ||||||||
| Director | 2.0 | X | 40791 | 0 | 111000 | |||
| Oliver J Gray | ||||||||
| Director | 2.0 | X | ||||||
| JOHN J O'CONNOR | ||||||||
| Director | 2.0 | X | 26668 | 0 | ||||
| Margaret T Pan-Loo | ||||||||
| Director | 2.0 | X | ||||||
| CHARLES P WANG | ||||||||
| Director | 2.0 | X | 19871 | 0 | 104000 | 2.0 | ||
| Anthony L Watson | ||||||||
| Chairman and CEO | X | 1062522 | 4134848 | 35.0 | X | |||
| David S Abernethy | ||||||||
| SVP, Government Relations | 332964 | 654801 | 35.0 | X | ||||
| George Babitsch | ||||||||
| SVP, Underwriting & Acct Mgmt | 456199 | 526007 | 35.0 | X | ||||
| Lynn M Balducci | ||||||||
| VP, Strat Part & Med Grp Prac | 144549 | 312483 | 35.0 | X | ||||
| Frank J Branchini | ||||||||
| President and COO | 342705 | 3274087 | 35.0 | X | ||||
| Robert Branchini | ||||||||
| VP, Information Technology | 115359 | 409835 | 35.0 | X | ||||
| Arthur Byrd | ||||||||
| Chief Financial Officer | 65880 | 498108 | 35.0 | X | ||||
| Daniel Byrne | ||||||||
| VP, Labor Relations | 32882 | 254945 | 35.0 | X | ||||
| Jeffrey D Chansler | ||||||||
| SVP, Deputy General Counsel | 404276 | 598451 | 35.0 | X | ||||
| Sunny P Chiu | ||||||||
| VP, Grp Pract & Fac Ovrsight | 92238 | 459945 | 35.0 | X | ||||
| Anne R Cooke | ||||||||
| SVP, Corporate Operations | 13442 | 315481 | 35.0 | X | ||||
| Marilyn DeQuatro | ||||||||
| SVP, Service Division Admin | 19249 | 1632795 | 35.0 | X | ||||
| Michael Della Iacono | ||||||||
| VP & Treasurer | 276664 | 381794 | 35.0 | X | ||||
| Mohamed Diab | ||||||||
| VP, Medical Mgmt Operations | 24087 | 344666 | 35.0 | X | ||||
| Jose R Diaz | ||||||||
| VP, Membership | 105754 | 305164 | 35.0 | X | ||||
| Mariann E Drohan | ||||||||
| VP, HR Operations | 43792 | 382056 | 35.0 | X | ||||
| Thomas K Dwyer | ||||||||
| SVP, Operations | 202486 | 3449580 | 35.0 | X | ||||
| Daniel P Finke | ||||||||
| EVP, Healthcare Operations | 70431 | 1214956 | 35.0 | X | ||||
| Holly Michaels Fisher | ||||||||
| VP, Government Programs | 9027 | 272626 | 35.0 | X | ||||
| Shawn M Fitzgibbon | ||||||||
| SVP, Provider Network Mmgt | 18452 | 578307 | 35.0 | X | ||||
| Michael D Fullwood | ||||||||
| EVP, CFO, General Counsel | 4780 | 8683167 | 35.0 | X | ||||
| Jerry A Gallo | ||||||||
| VP, Commercial Sales | 18332 | 248665 | 35.0 | X | ||||
| Michael R Giaquinto | ||||||||
| VP, Upstate Bus. Development | 17386 | 252051 | 35.0 | X | ||||
| William A Gillespie | ||||||||
| SVP, Chief Medical Officer | 18397 | 738565 | 35.0 | X | ||||
| Philip J Gillich | ||||||||
| VP, Network Management | 27430 | 316184 | 35.0 | X | ||||
| James Greenidge | ||||||||
| VP,Florida Regional Operations | 509300 | 382883 | 35.0 | X | ||||
| Richard R Gross | ||||||||
| VP, Account Management | 111091 | 314090 | 35.0 | X | ||||
| Vincent A Hartmann | ||||||||
| VP, Underwriting | 65570 | 286246 | 35.0 | X | ||||
| Nicholas P Kambolis | ||||||||
| General Counsel | 111210 | 455865 | 35.0 | X | ||||
| John A Kennedy | ||||||||
| VP, Government Program Sales | 82403 | 306925 | 35.0 | X | ||||
| Erhard V Krause | ||||||||
| VP, Business Development | 456028 | 289870 | 35.0 | X | ||||
| William C Lamoreaux | ||||||||
| SVP, Government Programs | 20169 | 807987 | 35.0 | X | ||||
| Stuart Lefkowich | ||||||||
| VP, Medicare Advantage | 28332 | 322339 | 35.0 | X | ||||
| Williams Lewis | ||||||||
| VP, Fac,RE,Crp Svc/Ass Gen Csl | 93911 | 375129 | 35.0 | X | ||||
| Dennis B Liotta MD | ||||||||
| VP,Florida Regional Operations | 95020 | 461384 | 35.0 | X | ||||
| Carl A Lund | ||||||||
| VP, Facility Contracting | 17845 | 353980 | 35.0 | X | ||||
| Katherine Magill | ||||||||
| VP, eBusiness | 23268 | 323688 | 35.0 | X | ||||
| John D Mahder | ||||||||
| VP, Marketing | 19892 | 310660 | 35.0 | X | ||||
| Charlene A Maher | ||||||||
| SVP, Chief Marketing Officer | 18817 | 541723 | 35.0 | X | ||||
| Edward Mailander | ||||||||
| SVP, Chief Actuary | 18037 | 634193 | 35.0 | X | ||||
| Ernesto Marrero Jr | ||||||||
| VP, Medicare Compliance | 14855 | 230110 | 35.0 | X | ||||
| David Mascia | ||||||||
| VP, Sales | 34698 | 212481 | 35.0 | X | ||||
| William Mastrogiacomo | ||||||||
| SVP, Dep Gen Counsel, Corp Sec | 309704 | 537600 | 35.0 | X | ||||
| Peter S Moore | ||||||||
| VP, Govenment Programs | 104805 | 269270 | 35.0 | X | ||||
| David J Morin | ||||||||
| VP, Customer Service | 134131 | 273277 | 35.0 | X | ||||
| Chester E Moskal | ||||||||
| VP, Claims Operations | 99549 | 254160 | 35.0 | X | ||||
| Thomas A Nemeth | ||||||||
| SVP, Human Resources | 343880 | 526404 | 35.0 | X | ||||
| Michael Palmateer | ||||||||
| SVP, Finance | 388375 | 627234 | 35.0 | X | ||||
| Michelle Podolak | ||||||||
| VP, Customer Service | 40263 | 216532 | 35.0 | X | ||||
| Michele A Powers | ||||||||
| VP, Operations | 18180 | 391279 | 35.0 | X | ||||
| Valerie A Reardon | ||||||||
| SVP, Compliance&Internal Audit | 490418 | 560129 | 35.0 | X | ||||
| Robert Ronda | ||||||||
| SVP, Actuarial | 86704 | 294631 | 35.0 | X | ||||
| Joan Ruby | ||||||||
| VP, Total Rewards | 101065 | 368461 | 35.0 | X | ||||
| Jill A Serin | ||||||||
| VP, Account Management | 6023 | 347014 | 35.0 | X | ||||
| Karen Smith-Hagman | ||||||||
| VP, Medical Management | 25941 | 351897 | 35.0 | X | ||||
| Mary Ellen Soul | ||||||||
| VP, Actuarial Valuation | 12979 | 249610 | 35.0 | X | ||||
| John H Steber | ||||||||
| EVP, CIO | 313827 | 6755935 | 35.0 | X | ||||
| Jennifer L Truscott | ||||||||
| VP, Claims Operations | 15269 | 247650 | 35.0 | X | ||||
| Pedro J Villalba | ||||||||
| SVP, InfoTech & Chief Tech Off | 328442 | 621665 | 35.0 | X | ||||
| Wanda Wareham | ||||||||
| VP, Gov't Assisted Programs | 164694 | 325431 | 35.0 | X | ||||
| John White | ||||||||
| VP, Integrative Wellness | 67877 | 238009 | 35.0 | X | ||||
| Craig M Willey | ||||||||
| VP, Tax | 65164 | 392942 | 35.0 | X | ||||
| joseph zeitlin | ||||||||
| VP, Medical Affairs | 39042 | 387729 | 35.0 | X | ||||
| William Yurkowski | ||||||||
| VP, Operations | 41124 | 358078 | 35.0 | X | ||||
| Stephen A Zeng | ||||||||
| VP, Enterprise PMO | 102542 | 371774 | 35.0 | X | ||||
| Eliza Ng | ||||||||
| Sr. Medical Director | 12683 | 352862 | 35.0 | X | ||||
| Bruce Sosler | ||||||||
| Medical Director, Clinical Adm | 2892 | 333029 | 35.0 | X | ||||
| Raymond P Vacca | ||||||||
| Sr. Dir. Office of CEO, Admin | 5134 | 351669 | 35.0 | X | ||||
| Matthew W Maines | ||||||||
| Labor/Large Grp Rep, Marketing | 2938 | 318714 | 35.0 | X | ||||
| John Pfenning | ||||||||
| Dir. Small Group, Marketing | 16063 | 317497 | 35.0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 134005 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 53704602 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 8979437 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| OmniClaim | |||||
| 300 Unicorn Park | WOBURN | MA | 01801 | Construction | 489548 |
| Federated Investment Counseling | |||||
| 195 Redneck Avenue | LITTLE FERRY | NJ | 07643 | Consulting | 278484 |
| Hinshaw Culbertson LLP | |||||
| 222 N Lasalle Street | CHICAGO | IL | 60601 | Legal | 300000 |
| Respiratory Science Industries | |||||
| 1325 M Street | ELMONT | NY | 11003 | Medical Svcs | 144029 |
| The Rawlings Company LLC | |||||
| PO Box 740027 | LOUISVILLE | KY | 40201 | Subrogation Svcs | 881278 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PREMIUM REVENUE | 900099 | 4998121074 | 4998121074 |
| THIRD PARTY ADMINISTRATIVE FEES | 900099 | 4514228 | 4514228 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5002635302 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40616610 | TotalRevenueColumn |
| Unrelated Business Revenue | 3104301 | UnrelatedBusinessRevenue |
| Exclusion | $37,512,309 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28821729 | Real |
| Personal | 1792011 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28821729 | Real |
| Personal | 1792011 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30613740 | TotalRevenueColumn |
| Unrelated Business Revenue | 2932224 | UnrelatedBusinessRevenue |
| Exclusion | $27,681,516 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5718562 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5718562 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5718562 | TotalRevenueColumn |
| Exclusion | $5,718,562 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PHARMACY BENEFIT MANAGER INCOME | 900099 | 711613 | 711613 | |
| ASO FEES | 900099 | 15168 | 15168 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 726781 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5080310995 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5003346915 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 6051693 | UnrelatedBusinessRevenue |
| Exclusion | $70,912,387 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85759650 | Total |
| Management And General | 85759650 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111911461 | Total |
| Management And General | 111911461 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24251396 | Total |
| Management And General | 24251396 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48893262 | Total |
| Management And General | 48893262 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15229243 | Total |
| Management And General | 15229243 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2826729 | Total |
| Management And General | 2826729 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3440725 | Total |
| Management And General | 3440725 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 387309 | Total |
| Management And General | 387309 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2899308 | Total |
| Management And General | 2899308 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61991407 | Total |
| Management And General | 61991407 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13974111 | Total |
| Management And General | 13974111 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28264311 | Total |
| Management And General | 28264311 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22577721 | Total |
| Management And General | 22577721 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4799294 | Total |
| Management And General | 4799294 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1563936 | Total |
| Management And General | 1563936 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30832459 | Total |
| Management And General | 30832459 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4660464 | Total |
| Management And General | 4660464 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUBSCRIBER BENEFITS | 4309050443 | 4309050443 | |
| MEDICAL GROUP EXPENDITURES | 13686349 | 13686349 | |
| OUTSOURCED SERVICES | 26340374 | 26340374 | |
| BROKERS COMMISSIONS | 21269480 | 21269480 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71243452 | Total |
| Management And General | 71243452 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4905852884 | Total |
| Program Services | 4309050443 | ProgramServices |
| Management And General | 596802441 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1100621 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 367335042 | BOY |
| EOY | 107582022 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198994911 | BOY |
| EOY | 270425630 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125000000 | BOY |
| EOY | 165000000 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1123935 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4019382 | BOY |
| EOY | 3546506 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 585251518 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 385795063 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 215345469 | BOY |
| EOY | 199456455 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 879135495 | BOY |
| EOY | 1075137964 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 194969026 | BOY |
| EOY | 390790579 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1987023881 | BOY |
| EOY | 2211939156 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 481310510 | BOY |
| EOY | 520415378 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11476568 | BOY |
| EOY | 4950128 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 222773358 | BOY |
| EOY | 261703983 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 715560436 | BOY |
| EOY | 787069489 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1271463445 | BOY |
| EOY | 1424869667 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1271463445 | BOY |
| EOY | 1424869667 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1987023881 | BOY |
| EOY | 2211939156 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 174458111 | ReconcilationRevenueExpenses |
| Reconcilation Prior Adjustment | -20896647 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | -155242 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | 0 | PoliticalExpenditures |
| Volunteer Hours | 0 | VolunteerHours |
| Amt Expended For527 Activities | 0 | AmtExpendedFor527Activities |
| Total Exmpt Function Expenditures | 0 | TotalExmptFunctionExpenditures |
| Form1120 Pol Filed | false | Form1120PolFiled |
Sec527 Pol Orgs Sec527PolOrgs
Name Of527 Organization NameOf527Organization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EmblemHealth New | BusinessNameLine1 |
| Business Name Line2 | York PAC | BusinessNameLine2 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Water Street | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 10041 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320150872 | EIN |
| Amt Pd From Internal Funds | 0 | AmtPdFromInternalFunds |
| Amt Of Contribs Recd Delivered | 9450 | AmtOfContribsRecdDelivered |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule C - Political Activities | Identifier |
| Explanation | Health Insurance Plan of Greater New York does not undertake any political activities; in 2012, the organization was allocated $9,450 in PAC Fund contributions made by a related party, EmblemHealth Services, LLC. Schedule C, Lobbying Activities Health Insurance Plan of Greater New York is a Section 501(c)(4) welfare organization that does not receive any membership dues, assessments or other payments (as defined in Revenue Procedure 98-19). Accordingly, the organization is not required to complete Schedule C, Part III. Nevertheless, in the interests of full disclosure, the organization is voluntarily disclosing that it paid $387,309 in lobbying expenditures in 2012. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7023614 | OtherCostOrOtherBasis |
| Book Value | 7023614 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 149027412 | OtherCostOrOtherBasis |
| Depreciation | 75938228 | Depreciation |
| Book Value | 73089184 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 258742294 | OtherCostOrOtherBasis |
| Depreciation | 146663105 | Depreciation |
| Book Value | 112079189 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 170458199 | OtherCostOrOtherBasis |
| Depreciation | 163193730 | Depreciation |
| Book Value | 7264469 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 199456456 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 11692720 |
| DEFERRED RENT | 2185240 |
| INTEREST/DIVIDENDS RECEIVABLE | 8153217 |
| OTHER CURRENT ASSETS | 24073263 |
| HEALTHCARE RECEIVABLES | 78133174 |
| INTERCOMPANY RECEIVABLES | 266552965 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 390790579 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SUBLEASE LOSS (34TH STREET) | $4,106,152 |
| PENSION LIABILITY | $125,373,516 |
| WORLD TRADE CENTER DISASTER RE | $27,464 |
| DEFERRED RENT | $77,522,109 |
| OTHER LONG TERM LIABILITIES | $54,674,742 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 261703983 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 DISCLOSURE | Identifier |
| Return Reference | SCHEDULE D, PART X | ReturnReference |
| Explanation | The organization's consolidated audited financial statements contain a modified version of the original Fin-48 footnote included when it initially adopted FIN-48: In July 2006, the Financial Accounting Standards Board (FASB) issued Interpretation No. 48, Accounting for Uncertainty in Income Taxes, an Interpretation of SFAS Statement No. 109 (FIN No. 48). Among other things, FIN No. 48 creates a model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing minimum recognition thresholds which all income tax positions must achieve before being recognized in the financial statements. In addition, FIN No. 48 requires expanded annual disclosures, including a reconciliation of the beginning and ending aggregate unrecognized tax benefits as well as specific detail related to tax uncertainties for which it is reasonably possible the amount of unrecognized tax benefit will significantly increase or decrease within 12 months. Any tax differences between the amounts recognized in the statements of financial position prior to the adoption of FIN No. 48 and the amounts reported after adoption are generally accounted for as a cumulative-effect adjustment recorded to the beginning balance of retained earnings. Effective January 1, 2007, the Company adopted FIN No. 48, which did not have any impact on the Company's consolidated financial statements. The Company does not have any unrecognized tax benefits as of or for the year ended December 31, 2012. | Explanation |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable (6 entries)
| RegionRegion | Type Of Activities ConductedTypeOfActivitiesConducted | Total ExpendituresTotalExpenditures |
|---|---|---|
| Europe (Including Iceland and Greenland) | Investments | 48833460 |
| Central America and the Caribbean | Investments | 2012345 |
| Middle East and North Africa | Investments | 2272500 |
| South America | Investments | 1321553 |
| North America | Investments | 22293320 |
| East Asia and the Pacific | Investments | 5084696 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Amount Spent | 81817874 | SubtotalAmountSpent |
| Total Amount Spent | 81817874 | TotalAmountSpent |
| Transfer To Foreign Corp | false | TransferToForeignCorp |
| Interest In Foreign Trust | false | InterestInForeignTrust |
| Own Foreign Corp | false | OwnForeignCorp |
| Passive Foreign Invest Co | false | PassiveForeignInvestCo |
| Foreign Partnership | false | ForeignPartnership |
| Boycott Countries | false | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule F, Part 1 | Identifier |
| Explanation | HIP-NY does not conduct any activities outside the United States. In accordance with the instructions to the Form 990, the organization is reporting the market value of non-U.S. investments. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | X | FirstClassOrCharterTravel |
| Travel For Companions | X | TravelForCompanions |
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (71 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAUL E GIBSON | |||||||||||||
| Director | 0 | 111000 | 0 | 40791 | 0 | 0 | 40791 | 111000 | |||||
| David S Abernethy | |||||||||||||
| SVP, Government Relations | 314374 | 987765 | 310245 | 30182 | 329838 | 3126 | 310245 | ||||||
| George Babitsch | |||||||||||||
| SVP, Underwriting & Acct Mgmt | 252364 | 982206 | 250933 | 22710 | 450563 | 5636 | 250933 | ||||||
| Lynn M Balducci | |||||||||||||
| VP, Strat Part & Med Grp Prac | 207070 | 457032 | 90592 | 14821 | 137299 | 7250 | 90592 | ||||||
| Frank J Branchini | |||||||||||||
| President and COO | 925768 | 3616792 | 2070658 | 277661 | 340973 | 1732 | 2070658 | ||||||
| Robert Branchini | |||||||||||||
| VP, Information Technology | 239364 | 525194 | 146857 | 23614 | 111723 | 3636 | 146857 | ||||||
| Arthur Byrd | |||||||||||||
| Chief Financial Officer | 321905 | 563988 | 163977 | 12226 | 60324 | 5556 | 163977 | ||||||
| Daniel Byrne | |||||||||||||
| VP, Labor Relations | 181484 | 287827 | 72826 | 635 | 21366 | 11516 | 72826 | ||||||
| Jeffrey D Chansler | |||||||||||||
| SVP, Deputy General Counsel | 283945 | 1002727 | 282871 | 31635 | 400720 | 3556 | 282871 | ||||||
| Sunny P Chiu | |||||||||||||
| VP, Grp Pract & Fac Ovrsight | -8006 | 552183 | 182762 | 285189 | 91960 | 278 | 182762 | ||||||
| Anne R Cooke | |||||||||||||
| SVP, Corporate Operations | 213750 | 328923 | 101731 | 8442 | 5000 | ||||||||
| Marilyn DeQuatro | |||||||||||||
| SVP, Service Division Admin | 106924 | 1652044 | 432246 | 1093625 | 18673 | 576 | 432246 | ||||||
| Michael Della Iacono | |||||||||||||
| VP & Treasurer | 242000 | 658458 | 134440 | 5354 | 276664 | 134440 | |||||||
| Mohamed Diab | |||||||||||||
| VP, Medical Mgmt Operations | 230083 | 368753 | 96220 | 18363 | 16170 | 7917 | 96220 | ||||||
| Jose R Diaz | |||||||||||||
| VP, Membership | 167608 | 410918 | 107026 | 30530 | 102862 | 2892 | 107026 | ||||||
| Mariann E Drohan | |||||||||||||
| VP, HR Operations | 215623 | 425848 | 135560 | 30873 | 41915 | 1877 | 135560 | ||||||
| Thomas K Dwyer | |||||||||||||
| SVP, Operations | 143969 | 3652066 | 565245 | 2740366 | 198955 | 3531 | 565245 | ||||||
| Daniel P Finke | |||||||||||||
| EVP, Healthcare Operations | 498114 | 1285387 | 692447 | 24395 | 66795 | 3636 | 692447 | ||||||
| Holly Michaels Fisher | |||||||||||||
| VP, Government Programs | 168269 | 281653 | 100000 | 4357 | 9027 | 100000 | |||||||
| Shawn M Fitzgibbon | |||||||||||||
| SVP, Provider Network Mmgt | 284824 | 596759 | 263520 | 29963 | 15776 | 2676 | 263520 | ||||||
| Michael D Fullwood | |||||||||||||
| EVP, CFO, General Counsel | 117197 | 8687947 | 1899994 | 6665976 | 3750 | 1030 | 1899994 | ||||||
| Jerry A Gallo | |||||||||||||
| VP, Commercial Sales | 244524 | 266997 | 4141 | 10736 | 7596 | ||||||||
| Michael R Giaquinto | |||||||||||||
| VP, Upstate Bus. Development | 199364 | 269437 | 34589 | 18098 | 13750 | 3636 | 34589 | ||||||
| William A Gillespie | |||||||||||||
| SVP, Chief Medical Officer | 354608 | 756962 | 346744 | 37213 | 15505 | 2892 | 346744 | ||||||
| Philip J Gillich | |||||||||||||
| VP, Network Management | 180602 | 343614 | 112968 | 22614 | 25030 | 2400 | 112968 | ||||||
| James Greenidge | |||||||||||||
| VP,Florida Regional Operations | 215400 | 892183 | 134393 | 33090 | 509300 | 134393 | |||||||
| Richard R Gross | |||||||||||||
| VP, Account Management | 248691 | 425181 | 34350 | 31049 | 108199 | 2892 | 34350 | ||||||
| Vincent A Hartmann | |||||||||||||
| VP, Underwriting | 161834 | 351816 | 95080 | 29332 | 61603 | 3967 | 95080 | ||||||
| Nicholas P Kambolis | |||||||||||||
| General Counsel | 289944 | 567075 | 146869 | 19052 | 105654 | 5556 | 146869 | ||||||
| John A Kennedy | |||||||||||||
| VP, Government Program Sales | 249124 | 389328 | 32850 | 24951 | 79727 | 2676 | 32850 | ||||||
| Erhard V Krause | |||||||||||||
| VP, Business Development | 164640 | 745898 | 102838 | 22392 | 453136 | 2892 | 102838 | ||||||
| William C Lamoreaux | |||||||||||||
| SVP, Government Programs | 398588 | 828156 | 369056 | 40343 | 16257 | 3912 | 369056 | ||||||
| Stuart Lefkowich | |||||||||||||
| VP, Medicare Advantage | 179467 | 350671 | 115889 | 26983 | 25140 | 3192 | 115889 | ||||||
| Williams Lewis | |||||||||||||
| VP, Fac,RE,Crp Svc/Ass Gen Csl | 213612 | 469040 | 135560 | 25957 | 90023 | 3888 | 135560 | ||||||
| Dennis B Liotta MD | |||||||||||||
| VP,Florida Regional Operations | 254154 | 556404 | 105654 | 101576 | 91674 | 3346 | 105654 | ||||||
| Carl A Lund | |||||||||||||
| VP, Facility Contracting | 200340 | 371825 | 123600 | 30040 | 15685 | 2160 | 123600 | ||||||
| Katherine Magill | |||||||||||||
| VP, eBusiness | 214922 | 346956 | 90560 | 18206 | 15189 | 8079 | 90560 | ||||||
| John D Mahder | |||||||||||||
| VP, Marketing | 241788 | 330552 | 42450 | 26422 | 14180 | 5712 | 42450 | ||||||
| Charlene A Maher | |||||||||||||
| SVP, Chief Marketing Officer | 334273 | 560540 | 174683 | 32767 | 14965 | 3852 | 174683 | ||||||
| Edward Mailander | |||||||||||||
| SVP, Chief Actuary | 377604 | 652230 | 241749 | 14840 | 10641 | 7396 | 241749 | ||||||
| Ernesto Marrero Jr | |||||||||||||
| VP, Medicare Compliance | 193904 | 244965 | 20000 | 16206 | 12559 | 2296 | 20000 | ||||||
| David Mascia | |||||||||||||
| VP, Sales | 152326 | 247179 | 32850 | 27305 | 31609 | 3089 | 32850 | ||||||
| William Mastrogiacomo | |||||||||||||
| SVP, Dep Gen Counsel, Corp Sec | 253338 | 847304 | 255497 | 28765 | 305540 | 4164 | 255497 | ||||||
| Peter S Moore | |||||||||||||
| VP, Govenment Programs | 146497 | 374075 | 97848 | 24925 | 100552 | 4253 | 97848 | ||||||
| David J Morin | |||||||||||||
| VP, Customer Service | 152719 | 407408 | 97415 | 23143 | 131350 | 2781 | 97415 | ||||||
| Chester E Moskal | |||||||||||||
| VP, Claims Operations | 56236 | 353709 | 164446 | 33478 | 99021 | 528 | 164446 | ||||||
| Thomas A Nemeth | |||||||||||||
| SVP, Human Resources | 248468 | 870284 | 244246 | 33690 | 334848 | 9032 | 244246 | ||||||
| Michael Palmateer | |||||||||||||
| SVP, Finance | 299224 | 1015609 | 296558 | 31452 | 385099 | 3276 | 296558 | ||||||
| Michelle Podolak | |||||||||||||
| VP, Customer Service | 119608 | 256795 | 73239 | 23685 | 37371 | 2892 | 73239 | ||||||
| Michele A Powers | |||||||||||||
| VP, Operations | 226402 | 409459 | 141209 | 23668 | 16318 | 1862 | 141209 | ||||||
| Valerie A Reardon | |||||||||||||
| SVP, Compliance&Internal Audit | 272364 | 1050547 | 258745 | 29020 | 485282 | 5136 | 258745 | ||||||
| Robert Ronda | |||||||||||||
| SVP, Actuarial | -8234 | 381335 | 268302 | 34563 | 86197 | 507 | 268302 | ||||||
| Joan Ruby | |||||||||||||
| VP, Total Rewards | 206944 | 469526 | 135560 | 25957 | 90509 | 10556 | 135560 | ||||||
| Jill A Serin | |||||||||||||
| VP, Account Management | 325920 | 353037 | 21094 | 3750 | 2273 | ||||||||
| Karen Smith-Hagman | |||||||||||||
| VP, Medical Management | 201808 | 377838 | 124287 | 25802 | 20249 | 5692 | 124287 | ||||||
| Mary Ellen Soul | |||||||||||||
| VP, Actuarial Valuation | 217108 | 262589 | 27671 | 4831 | 10087 | 2892 | 27671 | ||||||
| John H Steber | |||||||||||||
| EVP, CIO | 213932 | 7069762 | 1591197 | 4950806 | 312759 | 1068 | 1591197 | ||||||
| Jennifer L Truscott | |||||||||||||
| VP, Claims Operations | 161848 | 262919 | 67920 | 17882 | 14117 | 1152 | 67920 | ||||||
| Pedro J Villalba | |||||||||||||
| SVP, InfoTech & Chief Tech Off | 294824 | 950107 | 296558 | 30283 | 320766 | 7676 | 296558 | ||||||
| Wanda Wareham | |||||||||||||
| VP, Gov't Assisted Programs | 182412 | 490125 | 117495 | 25524 | 157606 | 7088 | 117495 | ||||||
| Anthony L Watson | |||||||||||||
| Chairman and CEO | 994824 | 5197370 | 3061919 | 78105 | 1054846 | 7676 | 3061919 | ||||||
| John White | |||||||||||||
| VP, Integrative Wellness | 125780 | 305886 | 87587 | 24642 | 61157 | 6720 | 87587 | ||||||
| Craig M Willey | |||||||||||||
| VP, Tax | 229346 | 458106 | 140843 | 22753 | 57510 | 7654 | 140843 | ||||||
| joseph zeitlin | |||||||||||||
| VP, Medical Affairs | 272324 | 426771 | 109267 | 6138 | 36366 | 2676 | 109267 | ||||||
| William Yurkowski | |||||||||||||
| VP, Operations | 202364 | 399202 | 129912 | 25802 | 35988 | 5136 | 129912 | ||||||
| Stephen A Zeng | |||||||||||||
| VP, Enterprise PMO | 218008 | 474316 | 135560 | 18206 | 97550 | 4992 | 135560 | ||||||
| Eliza Ng | |||||||||||||
| Sr. Medical Director | 227818 | 365545 | 107220 | 17824 | 3750 | 8933 | 107220 | ||||||
| Bruce Sosler | |||||||||||||
| Medical Director, Clinical Adm | 230923 | 335921 | 98797 | 3309 | 0 | 2892 | 98797 | ||||||
| Raymond P Vacca | |||||||||||||
| Sr. Dir. Office of CEO, Admin | 54879 | 356803 | 253301 | 43489 | 3750 | 1384 | 253301 | ||||||
| Matthew W Maines | |||||||||||||
| Labor/Large Grp Rep, Marketing | 297417 | 321652 | 21297 | 300 | 2638 | ||||||||
| John Pfenning | |||||||||||||
| Dir. Small Group, Marketing | 300161 | 333560 | 17336 | 3750 | 12313 | ||||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Schedule J, Line 1A | Per the company's Travel and Business Expense Policy, the Chairman and Chief Executive Officer, the President and Chief Operating Officer, the President of EmblemHealth Services, and the Executive Vice Presidents may travel first class and can request staff traveling on business with them to travel first class on accompanied segments of the trip. Any such expenses are reimbursed upon presentation of comprehensive and accurate receipts. Per the company's Travel and Business Expense Policy, approved Spousal/Guest travel and related lodging, meal expenditures and other appropriate related costs will be reimbursed when the travel is required by EmblemHealth for a legitimate business purpose. Spousal/Guest travel that is not approved in advance is referred to the Senior Vice President for Compliance for review. Mr. Branchini receives a tax gross up for amounts paid into the secular Trust. Officer parking allowances are paid on a grossed-up basis. | |
| Severance Payment | The following officers received severance in 2012: Sunny P. Chiu, VP, Group Practice & Facility Oversight, received $258,750. Marilyn Dequatro, SVP, Service Division Admin., received $546,000. Thomas K. Dwyer, SVP, Operations, received $714,000. Michael D. Fullwood, EVP, CFO, General Counsel, received $1,870,000. John H. Steber, EVP, CIO, received $1,520,000. All of the severance payments documented above are reported in the Form 990, Schedule J, part II, Column (b)(iii). | Schedule J, Line 4a |
| Non-Qualified Retirement Plan | Emblem Health Services, LLC sponsors nonqualified retirement plans that the officers of HIPNY participate in, Officers with the titles of executive vice president and above, with the exception of Frank Branchini, participate in the supplemental executive retirement plan for emblemhealth services company, llc ("SERP"). The SERP provides a retirement benefit calculated on the basis of 50% of final average pay, offset by benefits under any qualified benefit plan, such as The emblemhealth services company, llc employees' retirement plan. Participants require the approval of the board of directors to retire under the serp between the ages of 55 and 60. Participants who retire prior to age 65 have their serp benefits reduced by early retirement factors. Mr. branchini participates in the GHI supplemental retirement plan ("Secular trust") which provides a retirement benefit calculated to provide the retirement benefits that would otherwise be payable under the local 153-ghi pension plan and the ghi cash balance plan (qualified plans), but for funding and contributions limits imposed by the IRS regulations. Senior vice presidents and above, hired before june 1, 2009, participate in the supplemental retirement plan ii for emblemhealth services company, llc (SERP II"). The SERP II provides a retirement beneft calculated on the basis of 30% of final average pay after 5 years of service, and increasing to 50% of final average pay after 15 years of service, offset by benefits under any qualified benefit plan, such as the emblemhealth services company, llc employees' retirement plan. Participants require the approval of the board of directors to retire under the SERP II between the ages of 55 and 60. Participants who retire prior to age 65 have their SERP II benefits reduced by early retirement factors. | Schedule J, Line 4b |
| Bonus Payments | HIP and EmblemHealth Services provide annual incentive awards based upon the achievement of performance metrics and percentage target awards. The compensation committees approve the performance metrics and targets and the ultimate payout to participants based upon the performance achieved under the Annual Incentive Plan (AIP). All management, non-union employees may be eligible to participate in the AIP. For the most senior executives of the company, the annual incentive awards are entirely based upon the successful achievement of objective performance goals. In the 2012 AIP, two equally weighted performance metrics were Operating Income and Administrative Per Member Per Month (PM PM) savings. Operating Income was defined as premiums earned and administrative service fee revenue, less subscriber benefits, depreciation and amortization, interest and general administrative expenses, as reported in the annual financial statements, and exluding certain specified and extraordinary items. Administrative PM PM was defined as the depreciation and amortization, interest and general administrative expenses as reported in the annual audited financials associated with the administration of the company's insured commercial managed care, Medicare and State sponsored programs expressed on a per member per month basis, and excluding certain specified and extraodinary items. HIP and EmblemHealth Services also have a long term incentive plan based upon longer term performance over three year performance cycles and a limited supplemental incentive plan with payment triggered by threshold performance under the AIP. The compensation committees approve the performance metrics, targets and payouts based upon achievement of performance under these plans as well. Officers and key employees are generally eligible to participate in the long term incentive plan. A very limited number of senior officers are eligible to participate in the supplemental incentive plan, which expired in 2011. | Schedule J, Line 6a |
| Schedule J, Part II, Column C Deferred Compensation | 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). A large percentage of the compensation reported in Schedule J, Part II, Column C represents this change in value. Present values are calculated based on the SEC Proxy Summary Compensation Table methodology and assumptions, as the discounted present value of normal retirement benefits earned to the measurement date payable at the later of current age or age 65, without regard to projected service, projected salary increases, pre-retirement mortality or other decrements. Displayed change in total pension value during 2012 above reflects all defined benefit plans the participants are entitled to. Schedule J, Part II, Column F The bonuses paid out to the individuals reported on Form 990, Part VII and Schedule J, Part II, were reported on the prior year Form 990 as deferred compensation since those bonuses were approved in 2012, but not paid until 2013. This treatment is no longer required. Since the organization pays its bonuses within 2 1/2 months of the close of the tax year, it is no longer required to report these bonuses as deferred in the current year. Accordingly, bonuses approved in 2012, but paid in 2013 (prior to March 15th) are not reported on the Form 990 until next year. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| William White | |||
| Director/HR Department | 175615 | See Schedule L Narrative | false |
| Paul Gibson | |||
| Trustee | 600000 | See Schedule L Narrative | false |
| Christine O'Connor | |||
| Kin of Board Trustee | 193137 | See Schedule L Narrative | false |
| William O'Connor | |||
| Kin of Board Trustee | 172451 | See Schedule L Narrative | false |
| Diane Pirone | |||
| Kin of President & COO | 1727968 | See Schedule L Narrative | false |
| Keith Dahl | |||
| Son-in-law of President | 40000000 | See Schedule L Narrative | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule L | Identifier |
| Explanation | PRESIDENT & COO, 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 2012, HIP-NY PAID THE CONTRACTED ENTITY, RCG, $1,727,968. PRESIDENT & COO, FRANK BRANCHINI, HAS A FAMILY MEMBER, KEITH DAHL, SON-IN-LAW, WHO IS A PHYSICIAN EMPLOYED BY AN INDEPENDENT PROVIDER GROUP PRACTICE, STATEN ISLAND MEDICAL GROUP. HIP-NY PAID THE CONTRACTED ENTITY, STATEN ISLAND MEDICAL GROUP, APPROXIMATELY $40 MILLION FOR FEE-FOR-SERVICES IN 2012. Vice President of Integrative Wellness, John White, has a family member who is, likewise, employed by EmblemHealth Services Company, LLC. William White is employed by EmblemHealth Services Company, LLC. as a Director in the Human Resources Department; his W-2 wages for the year ending 12/31/2011 are $175,615. John receives fringe benefits from EmblemHealth Services Company, LLC as well. Board of Trustees Member John O'Connor has two family members that are employees of EmblemHealth Services Company, LLC. Christine O'Connor and William O'Connor received W-2 compensation of $193,136 and $172,451 respectively from EmblemHealth Services Company, LLC. Both individuals, likewise, receive fringe benefits from EmblemHealth Services Company, LLC as well. Board of Trustees Member, Paul Gibson, is a limited partner in a medical practice that treats patients with insurance coverage from Connecticare, Inc. (a for-profit subsidiary of Health Insurance Plan of Greater New York). HIP-NY paid appeoximately $600,000 in fees to this medical group in 2012. 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. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part I, Line 5 & Part V, Line 2a | On March 6, 2007, Emblemhealth Services Company, LLC was formed as a joint venture by Health Insurance Plan of Greater New York (HIP) and Group Health Incorporated (GHI). On January 1, 2008, HIP and GHI transferred vendor agreements and management employees to EmblemHealth Services Company, LLC. To that end, all officers and directors (and most employees) of HIP receive their Forms W-2 from Emblemhealth Services Company, LLC. On prior Forms 990, the number of employees reported on Part 1, Line 5 and Part V, Line 2a represented the unionized employees who still received their Forms W-2 from HIP. As of January 1, 2012, all employees have been transferred to EmblemHealth Services Company, LLC. In the interests of full transparency, HIP-NY is disclosing that 5,121 employees received W-2s from EmblemHealth Services (ostensibly for services rendered to HIP-NY and to other affiliated entities). Part V, Line 1a and Part VII, Independent Contractors. HIP-NY transferred most of its vendor agreements to Emblemhealth Services Company, LLC; accordingly, most independent contractors are paid by a related party rather than HIP-NY itself. To the extent HIP-NY is still under contract with certain vendors (e.g. rent etc), those 1099s are still issued by HIP-NY. |
| Form 990, Part VI, Line 1 | The organization has 12 board members at the end of the year, 9 of which are independent for purposes of the Form 990. Chairman and CEO, Anthony Watson, is not independent by virtue of his having received compensation from a related party, EmblemHealth Services, LLC for services rendered to HIP-NY. Board of Trustees Members, Paul Gibson and John O'Connor, are not independent by virtue of the transactions that have been disclosed on Schedule L of the Form 990. Several of HIP-NY's Board Members do receive payment for services rendered in their capacity as Board Members. Such amounts represent reasonable compensation for services rendered (as a Board Member) and do not impair their independence. not impair their independence. |
| Form 990, Part VI, Line 2 | Frank Branchini, President and Chief Operating Officer, has a family relationship with Robert Branchini, VP Information Technology. In the interests of full disclosure, the organization notes that various Officers and/or trustees, may serve on the Board of Directors of related for-profit organizations (e.g. - those disclosed in Schedule R of the Form 990). No individual is compensated for board service to the related for-profit organization. |
| Form 990, Part VI, Line 6 | EmblemHealth, Inc., a New York not-for-profit corporation, is the sole member of Health Insurance Plan of Greater New York. EmblemHealth (EIN 13-3941542) is exempt from federal taxation pursuant to IRC 501(c)(3). |
| Form 990, Part VI, Line 11 | The taxpayer's Form 990 for the year ending December 31, 2011 was provided to each member of the organization's governing body before it was filed. A detailed review of the Form 990 was undertaken by the Organization's Tax Director, by the Organization's Vice President, Total Rewards, by the Organization's Senior Vice President, Chief Financial Officer and by the organization's senior Vice President and General Counsel. |
| Form 990, Part VI, Line 12 | To determine if an employee's personal interests, activities or relationships constitute a conflict of interest or the appearance of a conflict of interest, certain employees, based upon functionality, as determined by the Senior Vice President for Compliance, Internal Audit and Internal controls are required to fully disclose, on an annual basis, any reportable situations on the company's conflict of interest disclosure. All employees, at the time of employment, are required to fully disclose any personal interest, activities or relationships that constitute a conflict of interest or the appearance of a conflict of interest. Disclosures are reviewed by the Senior Vice President for Compliance, Internal Audit and Internal Controls and by the Executive Vice President, Chief Financial Officer and General Counsel. Any Employee, who violates the conflict of interest policy, fails to make a required report or fails to comply with any remedial action required by the company, is subject to disciplinary action, up to and including termination of employment. |
| Form 990, Part VI, Line 15 | To determine the compensation of the CEO and all other officers of the company, HIP and EmblemHealth Services engage an outside compensation consultant to provide guidance and the comparable market data on the compensation of similarly situated executive positions in the organizations' competitive peer group comprised of profit and not for profit entities. The compensation consultant presents the comparable market data to the compensation committee of the board of directors of each of HIP and EmblemHealth Services. The compensation committees are composed entirely of outside, independent, disinterested directors. The compensation committees review and approve the proposed compensation arrangements and the deliberations and actions of the compensation committees are documented in the minutes of each meeting. Thereafter, the actions of the compensation committees are reported to the full boards in a timely manner. The CEO, or any other officer, is excused from the compensation committee meeting while the committee deliberates and approves any action related to the compensation arrangement of the CEO or other officer. |
| Form 990, Part VI, Line 16 | On March 6, 2007, EmblemHealth Services Company, LLC ("EHS") was formed as a joint venture between Health Insurance Plan of Greater New York and its sister company, Group Health Incorporated, a New York not-for-profit corporation, in order to integrate certain common administrative operations of these two entities, among other purposes. EmblemHealth, Inc., a New York not-for-profit corporation, is the sole member of both Health Insurance Plan of Greater New York and Group Health Incorporated. EmblemHealth, Inc. (EIN 13-3941542) is exempt from federal taxation pursuant to IRC 501(c)(3). In January 2008, EHS began performing those administrative operations for the organizations. The Limited Liability Agreement requires that EHS be managed at all times in a manner that furthers the tax-exempt purposes of Health Insurance Plan of Greater New York. |
| Form 990, Part VI, Line 19 | The taxpayer makes its Form 990 and Form 1023 available to the public by retaining a copy of each at its head offices at 55 Water Street, New York, New York. Any individual requesting a copy of these documents is provided that copy on the same business day. The organization's Form 990 is also available for public inspection on www.guidestar.com. The taxpayer's financial statements are available for public inspection on the organization's website, www.emblemhealth.com. The organization's governing documents and conflict of interest policy are not available to the public. Form 990, Part VII - Hours Served for Related Party The compensated individuals reported in Part VII of the Form 990 may provide services to a variety of entities within the Health Insurance Plan of Greater New York network. Allocating those hours between the many entities presents a challenge; accordingly, the hours represented on Part VII represent the hours worked by the individual in their capacity as an employee for the entire HIP network. |
| Form 990, Part VIII, Rental Income | Health Insurance Plan of Greater New York generates rental revenue from medical groups who lease a combination of personal and real property. HIP does not book this revenue in its general ledger as rental income, but rather offsets payments due to the health provider/facilities as monthly settlements are made. These transactions result in a net out-flow of cash as HIP finalizes its monthly settlements. For the most part, the rental income generated by HIP is for space rental and incidental personal property rental (i.e. 10% or less of the total rents received under the lease are from personal property). To the extent that the rental income is attributable to a mixed lease (i.e. where personal property is 11% to 50% of the total rents), HIP reports this revenue as unrelated business income and specifically reports this revenue on Part VIII, Lines 6a and 6b and on its Form 990-T. Quantifying total rental income received across all medical groups is very difficult, but the organization has approximated the revenue and disclosed it in Part VIII, Line 6. |
| Form 990, Part IX, Functional Expenses | Amounts reported on Part IX, Line 5, as compensation paid to officers, directors and key-employees of HIP-NY represent those salary costs reported on Form 990, Part VII, Line 1(d) that are allocated from the related party, EmblemHealth Services, LLC. Health Insurance Plan of Greater New York has adopted a simplified approach of allocating its expenditures between programmatic and management and general. The organization does not categorize its expenses internally or in its audited financial statements by these means. For purposes of its 990 reporting, HIP-NY is treating all subscriber benefits as programmatic expenses and all other expenses as management and general even though a large percentage of those expenses are likely related to HIP's day-to-day mission activities. Nevertheless, even taking this conservative approach, HIP's program service expenses constitute 88% of total expenditures. |
| Form 990, Part XI, Lines 8 & 9 | Part XI, Line 8 A difference of -$20,896,647 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. Part XI, Line 9 Deferred Tax Credit - $155,242. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EMBLEMHEALTH INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 WATER STREET | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10041 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133941542 | EIN |
| Primary Activities | support svcs | PrimaryActivities |
| Legal Domicile State | NY | LegalDomicileState |
| Public Charity Status | 11e | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | na | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EmblemHealth Services Company | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 Water Street | AddressLine1 |
| City | New York | City |
| State | NY | State |
| ZIP Code | 10041 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261330097 | EIN |
| Primary Activity | Support Services | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | na | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Related | PredominantIncomeType |
| Share Of Total Income | -27348770 | ShareOfTotalIncome |
| Share Of EOY Assets | 223442388 | ShareOfEOYAssets |
| Disproportionate Allocations | false | DisproportionateAllocations |
| Code V | $0 | CodeVAmount |
| General Or Managing Partner | false | GeneralOrManagingPartner |
| Percentage Ownership | 0.50000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Group Health Incorporated | ||||||||||||
| 55 Water Street | New York | NY | 10041 | 135511997 | Insurance | NY | NA | C Corp | 3596194783 | 1016996344 | 1.00000 | true |
| HIP Holdings Inc & Subsidiaries | ||||||||||||
| 55 Water Street | New York | NY | 10041 | 133819759 | Insurance | NY | NA | C Corp. | 1481107866 | 1193393124 | 1.00000 | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | true | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| EmblemHealth Inc | ||
| M,P | 2928582 | Cost |
| EmblemHealth Inc | ||
| N | 74752 | Cost |
| EmblemHealth Inc | ||
| O | 1437494 | Cost |
| Group Health Incorporated | ||
| A | 3104301 | Market Rate |
| Group Health Incorporated | ||
| D | 40000000 | Loan Value |
| Hip Holdings Inc & Subsidiaries (HIPA) | ||
| M | 30400000 | COST |
| Hip Holdings Inc & Subsidiaries (HIPA) | ||
| L | 2100000 | COST |
| Hip Holdings Inc & Subsidiaries (HIPIC) | ||
| L,Q | 23100000 | COST |
| Hip Holdings Inc & Subsidiaries (HIPIC) | ||
| M | 169400000 | COST |
| Hip Holdings Inc & Subsidiaries (HIP-IPA) | ||
| l | 200000 | cost |
| Hip Holdings Inc & Subsidiaries (HIP-IPA) | ||
| M | 20300000 | cost |
| HIP Holdings Inc & Subsidiaries | ||
| D | 40000000 | loan value |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule R, Part V, Line 2 | Identifier |
| Explanation | TRANSACTIONS with Emblem Health, Inc. EMBLEMHEALTH, INC. IS THE PARENT ORGANIZATION OF HEALTH INSURANCE PLAN OF NEW YORK (HIP-NY), A 501(C)(4) TAX-EXEMPT ORGANIZATION THAT DELIVERS QUALITY, AFFORDABLE HEALTH INSURANCE TO MILLIONS OF MEMBERS AND PROVIDES EMPLOYERS AND INDIVIDUALS WITH A RANGE OF PLAN CHOICES AND ATTRACTIVE BENEFIT OPTIONS DESIGNED TO MEET THE INDIVIDUAL NEED OF TODAY'S HEALTHCARE CONSUMERS. AS THE PARENT ORGANIZATION, EMBLEMHEALTH, INC. RUNS HIP-NY'S INTEGRATIVE WELLNESS PROGRAM, AN INNOVATIVE EVIDENCE-BASED PROGRAM THAT PROMOTES HEALTHY LIVING AND ENHANCES INDIVIDUALS' QUALITY OF LIFE. EMBLEMHEALTH,INC. DOES NOT GENERATE ANY REVENUE. THE EXPENSES IT INCURS IN RUNNING THE INTEGRATIVE WELLNESS PROGRAM FOR HIP-NY ARE PAID AT COST BY HIP-NY VIA A MANAGEMENT FEE. THESE AMOUNTS ARE REPRESENTED IN SCHEDULE R, PART V, TRANSACTION TYPE M. SINCE HIP-NY'S PAYMENT REPRESENTS A REIMBURSEMENT OF ALL EXPENSES INCURRED, THIS TRANSACTION IS ALSO REPRESENTED IN SCHEDULE R, PART V, TRANSACTION TYPE P. EMBLEMHEALTH, INC. SHARES AN OFFICE SPACE WITH HIP-NY AT 55 WATER STREET. TO THAT END, ITS ALLOCATION OF RENTAL EXPENSE IS REPORTED IN SCHEDULE R, PART V, TRANSACTION TYPE N. Payroll costs incurred by EmblemHealth (and reimbursed by HIP) are reflected with transaction type O. Transactions with Group health Incorporated HIP-NY advanced $40 million to GHI in accordance with Section 1307 of the Insurance Law of the State of New York with interest accruing at 2% per annum. As provided in Section 1307, the payment of principal and interest thereon shall only be made out of free and disposable surplus, subject to prior approval of the Superintendent. As of December 31, 2012, 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 $169,400,000 million for the year ended December 31, 2012. HIP paid out-of-network claims on behalf of HIPIC of million in 2012. Under the terms of a service agreement, HIP allocated costs associated with administering the premiums and claims of approximately $23,100,000 million to HIPIC for the year ended December 31, 2012. 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, 2012, HIP incurred approximately $19,800,000 million for capitation and $500,000 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, 2012, 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, 2012, EHA charged HIP approximately $20,300,000 million for these services. HIP-NY provides administrative and management services to EHA; amounts paid in 2012 were approximately $2,100,000. Transactions with EmblemHealth Services, LLC EmblemHealth Services, LLC (EHS) was formed as a limited liability company under the laws of the state of Delaware as a joint venture of HIP and GHI, in which both HIP and GHI each contributed $100 million for equal ownership rights and are the sole corporate partners of EHS. Effective January 1, 2008, HIP and GHI entered into a management services agreement with EHS, for the purpose of exchanging services and the use of certain personnel, facilities, equipment, personal property, licenses, and contracts owned or leased by each company. EHS is also the sponsor of pension plans for management employees HIP and GHI entered into a guaranty agreement as of January 1, 2008 with EHS. In conjunction with this guaranty agreement, HIP and GHI transferred all of their respective non-union employees to EHS. (All union employees were transferred subsequent to January 1, 2012). EHS assumed all of the associated benefit and compensation related liabilities of the transferred employees. EHS became the plan sponsor of the related pension and postretirement plans it assumed (except for the UNION plans). The transfer was accounted for as a non-economic transaction between related parties, and as such, no consideration was exchanged and no gains or losses were recorded. Under this guaranty arrangement HIP and GHI are jointly and severally liable for: (i) guaranteed obligations earned by transferred employees who were employed by HIP and GHI prior to the effective date of the agreement; and (ii) a pro rata share of guaranteed obligations earned by transferred employees after the effective date of this agreement, based on the allocation of costs under the services agreement. For the year ending December 31, 2012, HIP is disclosing in Schedule R its share of EmblemHealth Services Company, LLC's income as disclosed on the Federal Form K-1 - ($27,348,770). | Explanation |