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HEALTH INSURANCE PLAN OF GREATER NEW YORK: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HEALTH INSURANCE PLAN OF GREATER NEW YORK (EIN 13-1828429)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201103199349307875
Schema version
2010v3.4
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)
Timestamp2011-11-15T15:15:55-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1666 THIRD AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100174011ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN131828429EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Health Insurance Plan of Greater New YorkBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHEALNameControl
Phone6464475000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameCRAIG WILLEYName
TitleVICE PRESIDENT - DIR OF TAXTitle
Phone6464475000Phone
Date Signed2011-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2125990100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line155 WATER STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10041ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4958207854GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.EMBLEMHEALTH.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1944YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionHEALTH INSURANCE PLAN OF GREATER NEW YORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTH COVERAGE IN WAYS THAT RESPECT AND RESPOND TO PEOPLE'S FUNDAMENTAL NEEDS AT PRICES THEY CAN AFFORD.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees1120TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI5811633TotalGrossUBI
Net Unrelated Business Txbl Income-9122069NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4766282090ProgramServiceRevenuePriorYear
Program Service Revenue CY4903335816ProgramServiceRevenueCY
Investment Income Prior Year48745293InvestmentIncomePriorYear
Investment Income Current Year43200127InvestmentIncomeCurrentYear
Other Revenue Prior Year57772670OtherRevenuePriorYear
Other Revenue Current Year8814884OtherRevenueCurrentYear
Total Revenue Prior Year4872800053TotalRevenuePriorYear
Total Revenue Current Year4955350827TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year243431084SalariesEtcPriorYear
Salaries Etc Current Year248850948SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4561577950OtherExpensePriorYear
Other Expenses Current Year4467262403OtherExpensesCurrentYear
Total Expenses Prior Year4805009034TotalExpensesPriorYear
Total Expenses Current Year4716113351TotalExpensesCurrentYear
Revenues Less Expenses Prior Year67791019RevenuesLessExpensesPriorYear
Revenues Less Expenses CY239237476RevenuesLessExpensesCY
Total Assets BOY1855781274TotalAssetsBOY
Total Assets EOY1807356420TotalAssetsEOY
Total Liabilities BOY822038082TotalLiabilitiesBOY
Total Liabilities EOY711491170TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1033743192NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1095865250NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHEALTH INSURANCE PLAN OF GREATER NEW YORK IS COMMITTED TO PROVIDING AFFORDABLE, QUALITY HEALTH COVERAGE IN WAYS THAT RESPECT AND RESPOND TO PEOPLE'S FUNDAMENTAL NEEDS. HIP PURSUES ITS MISSION BY PROVIDING A CHOICE OF PRODUCTS AND NETWORKS SO MEMBERS HAVE ACCESS TO THE MEDICAL CARE THEY NEED AT PRICES THEY CAN AFFORD. THE ORGANIZATION DOES THIS BY IMPROVING THE HEALTH OF MEMBERS THROUGH WELLNESS PROGRAMS THAT FOSTER PREVENTION AND HEALTHIER LIVING AND BY USING TECHNOLOGY TO EASE ACCESS TO INFORMATION AND SERVICES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1688966334Expense
Grants0Grants
Revenue1972759381Revenue
DescriptionMEDICARE - HIP SERVED APPROXIMATELY 133,000 MEDICARE MEMBERS THROUGH its MEDICARE RISK AND COST CONTRACT PROGRAMS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense620964390Expense
Grants0Grants
Revenue730932731Revenue
DescriptionMEDICAID - HIP SERVED APPROXIMATELY 225,000 MEDICAID MEMBERS. HIP HAS BEEN SERVICING THE MEDICAID POPULATION SINCE 1967 (WITH THE PASSAGE OF FEDERAL LEGISLATION AUTHORIZING THIS PROGRAM) AND HAS AN EXTENSIVE PROGRAM IN PLACE TO ENCOURAGE PREVENTIVE MEDICAL CARE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1739633257Expense
Grants0Grants
Revenue2050407675Revenue
DescriptionSUBSCRIBER BENEFITS - HIP OF GREATER NEW YORK IS A NOT-FOR-PROFIT CORPORATION THAT ARRANGES FOR THE PROVISION OF COMPREHENSIVE MEDICAL AND HEALTH CARE SERVICES FOR ITS SUBSCRIBERS/MEMBERS (INCLUDING HEALTH CARE SERVICES TO MEDICARE AND MEDICAID MEMBERS) WHICH IS AN EXEMPT FUNCTION.Description

Activity Other ActivityOther (5 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
28076799034105791CHIPS (See Schedule O)
79100329099091921FAMILY HEALTH PLUS (See Schedule O)
14188121014721365HEALTHY NEW YORK (See Schedule O)
1514777004869115Laboratory Services
38929360-3552163Other Program Service Activities
FieldValueIRS element (for citing)
Total Of Other Program Service Exp140405955TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev149236029TotalOfOtherProgramServiceRev
Total Program Service Expense4189969936TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiestruePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109653452NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1120NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHAEL FULLWOODNamePerson
Telephone Number6464475000TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (89 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Robert W Brokaw
Director2.0X1659900
David J Cooper
Director2.0X000
Karen J Davis
Director2.0X1054400
Gregory E Floyd
Director2.0X000
Elaine Friedman
Director2.0X542100
Paul E Gibson
Director2.0X25389540000
Oliver J Gray
Director2.0X000
Ronald C Jones
Director2.0X512300
Yungman F Lee
Director2.0X2649900
Carmelo Mallia
Director2.0X000
John J O'Connor
Director2.0X1659900
Margaret T Pan-Loo
Director2.0X000
Charles P Wang
Director2.0X14018885000
Anthony Watson
Chairman and CEO35.0X043353614211375X
David M Weiss
Director2.0X000
David Abernethy
SVP, Government Relations35.00678206782513X
Robert Allen
VP, IT Strategy and Planning35.0015407721144X
Rachel Amalfitano
VP, Controller35.00308962202947X
George Babitsch
SVP, Sales & Account Mgmt35.00499507533046X
Lynn Balducci
VP, Gov't Program Admin.35.00240009172865X
Fred Blickman
SVP, Strat. Proj. & Conversion35.002298924279294X
Frank Branchini
President and COO35.0030955442673705X
Robert Branchini
VP, Information Technology35.00329442245808X
Arthur Byrd
VP, Budgeting & Investor Rel35.00408011219763X
Jeffrey Chansler
SVP, Deputy General Counsel35.00602064595422X
Sunny Chiu
VP, Grp Pract & Fac Ovrsight35.00354369215321X
Michael Della Iacono
VP & Treasurer35.00293727161030X
Marilyn DeQuatro
SVP, Service Division Admin35.00517417469492X
Kerry DeWitt
VP, Government Relations35.00301656203924X
Mohamed Diab
VP, Admin Svcs & Clin Inform35.00272970117653X
Jose Diaz
VP, Membership35.00234922199609X
Mariann Drohan
VP, HR Operations35.00309229186672X
William Dunne
VP, Account Management35.0034418213096X
Thomas Dwyer
SVP, Operations35.00635992713212X
Daniel Finke
EVP, Healthcare Operations35.006921111649849X
Shawn Fitzgibbon
SVP, Provider Network Mmgt35.00364564188411X
Michael Fullwood
EVP, CFO, General Counsel35.0017219031975848X
Philip Gandolfo
SVP, Melville Operations35.002826290190303X
Raymond Gannon
VP, Mktg & Product Development35.00245343169419X
William Gillespie
SVP, Chief Medical Officer35.00509542225104X
Philip Gillich
VP, Network Management35.00254660147578X
Jefferson Grahling
VP, Commercial Business Devel35.0017332164984X
James Greenidge
VP,Florida Regional Operations35.00386502433362X
Richard Gross
VP, Account Management35.00239849142161X
Vincent Hartmann
VP, Underwriting35.00215897168959X
Nicholas Kambolis
VP, Deputy General Counsel35.00389148230375X
John Kennedy
VP, Government Program Sales35.00500863101200X
Steven Kessler
SVP, Underwriting35.003108880295718X
Erhard Krause
VP, Sales & Account Management35.00225382359564X
William Lamoreaux
SVP, Government Programs35.00534733253958X
Stuart Lefkowich
VP, Medicare Advantage35.00255502158735X
Williams Lewis
VP, Fac,RE,Crp Svc/Ass Gen Csl35.00377779221228X
Dennis Liotta
VP, Pharmacy Services35.00322233179336X
Carl Lund
VP, Facility Contracting35.00271478103497X
Katherine Magill
VP, eBusiness35.00256842116750X
Charlene Maher
SVP, Marketing & Sales35.00262299114737X
Ilene Margolin
SVP, Public Affairs & Comm35.001164141447035X
David Mascia
VP, Sales35.0051526671585X
William Mastrogiacomo
SVP, Dep Gen Counsel, Corp Sec35.00545208523006X
Roslyn Meren
SVP, Product, Customer Mgmt35.0019221613675X
Peter Moore
VP, Govenment Programs35.00215194187732X
David Morin
VP, Customer Service35.00218597197679X
Chester Moskal
VP, Claims Operations35.00220674193286X
Thomas Nemeth
SVP, Human Resources35.00482767520065X
Michael Palmateer
SVP, Finance35.00633289365566X
Michele Podolak
VP, Customer Service35.00180055119262X
Michele Powers
VP, Operations35.00313044103309X
Valerie Reardon
SVP, Compliance&Internal Audit35.00515113453852X
David Reimer
VP, Actuarial35.00240111170494X
Robert Ronda
SVP, Actuarial35.00267201302078X
Joan Ruby
VP, Total Rewards35.00295433223392X
Araksi Sarafian
VP, Pharmacy Services35.00677003174881X
Sharon Schmerzler
VP, Data Analytics35.00231471173152X
DeWitt Smith
SVP, Marketing35.001838068680593X
Karen Smith-Hagman
VP, Medical Management35.00284518157365X
John Steber
EVP, CIO35.0013181701444043X
Leslie Strassberg
SVP, Actuarial Svcs, Chief Act35.002920898302281X
Pedro Villalba
SVP, InfoTech & Chief Tech Off35.00649975654071X
Wanda Wareham
VP, Gov't Assisted Programs35.00311029245507X
John White
VP, Integrative Wellness35.00221283154798X
Craig Willey
VP, Tax35.00378714195997X
William Yurkowski
VP, Operations35.00283994184080X
Joseph Zeitlin
VP, Clinical Utilization35.00312984135481X
Glenn Sansone
Marketing Representative35.01623900482X
Keith Fischer
Marketing Representative35.017777106158X
June Giuffo
Marketing Representative35.016081801072X
Ruben Oritz
Marketing Representative35.016601201758X
Len Proctor
Marketing Representative35.01598140853X
Cynthia Aureli
VP, Claims35.001402480X
FieldValueIRS element (for citing)
Total Reportable Comp From Org946997TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs47788801TotalReportableCompFrmRltdOrgs
Total Other Compensation28103555TotalOtherCompensation
Number Individuals GT100 K43NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServices
Cauldwell Wingate Company LLC
380 Lexington AvenueNEW YORKNY10168Construction
Sharp Decisions
55 West 39th StreetNEW YORKNY10018Consulting
BR Fries Associates LP
34 west 32nd streetNEW YORKNY10001construction
Stroock Stroock Lavan LLP
180 Maiden LaneNEW YORKNY10038Legal
Deloitte Touche LLP
NW8781 PO Box 1450MINNEAPOLISMN46704Audit
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PREMIUM REVENUE90009949020188644902018864
GROUP SERVICES & ADMIN FEE INCOME90009913169521316952
FieldValueIRS element (for citing)
Total Program Service Revenue4903335816TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column23990897TotalRevenueColumn
Unrelated Business Revenue533602UnrelatedBusinessRevenue
Exclusion$23,457,295ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3264984Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2857027Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real407957Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column407957TotalRevenueColumn
Unrelated Business Revenue407957UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities19917855Securities
Other-708625Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities19917855Securities
Other-708625Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column19209230TotalRevenueColumn
Exclusion$19,209,230ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
LABORATORY REVENUE90000248691154869115
PHARMACY BENEFIT MANAGER INCOME90009913042941304294
MISCELLANEOUS REVENUE9000991916846959$1,915,887

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column316672TotalRevenueColumn
Exclusion$316,672ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue8406927TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4955350827TotalRevenueColumn
Related Or Exempt Function Income4904640110RelatedOrExemptFunctionIncome
Unrelated Business Revenue5811633UnrelatedBusinessRevenue
Exclusion$44,899,084ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total47788801Total
Management And General47788801ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total137821823Total
Management And General137821823ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total22590757Total
Management And General22590757ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total26115988Total
Management And General26115988ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14533579Total
Management And General14533579ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5644253Total
Management And General5644253ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4393524Total
Management And General4393524ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total3415739Total
Management And General3415739ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total69998061Total
Management And General69998061ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total11681323Total
Management And General11681323ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10114866Total
Management And General10114866ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total23523057Total
Management And General23523057ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4315778Total
Management And General4315778ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3127947Total
Management And General3127947ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18932312Total
Management And General18932312ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3147065Total
Management And General3147065ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUBSCRIBER BENEFITS41899699364189969936
CLAIMS ADJUSTMENT EXPENSE4042482240424822
BROKERS COMMISSIONS2313432323134323
POSTAGE/TELEPHONE/ETC1847124618471246
EQUIPMENT EXPENSE2878632728786327

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8181824Total
Management And General8181824ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4716113351Total
Program Services4189969936ProgramServices
Management And General526143415ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5138310BOY
EOY1476588EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY213890150BOY
EOY163425394EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY156648122BOY
EOY221006321EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2545933BOY
EOY115000000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1680481BOY
EOY1193082EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9385464BOY
EOY3304228EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis607206312LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec368443042LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY244575920BOY
EOY238763270EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY867957669BOY
EOY891228122EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY34975898BOY
EOY39950636EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY318983327BOY
EOY132008779EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1855781274BOY
EOY1807356420EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY569273329BOY
EOY516296880EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY18272749BOY
EOY13450801EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY234492004BOY
EOY181743489EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY822038082BOY
EOY711491170EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1033743192BOY
EOY1095865250EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1033743192BOY
EOY1095865250EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1855781274BOY
EOY1807356420EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses239237476ReconcilationRevenueExpenses
Reconcilation Other Changes-177115418ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures0PoliticalExpenditures
Volunteer Hours0VolunteerHours
Amt Of Internal Funds Contributed0AmtOfInternalFundsContributed
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
Form1120 Pol FiledfalseForm1120PolFiled

Sec527 Pol Orgs Sec527PolOrgs

Name Of527 Organization NameOf527Organization

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 Water StreetAddressLine1
CityNew YorkCity
StateNYState
ZIP Code10041ZIPCode
FieldValueIRS element (for citing)
EIN320150872EIN
Amt Of Contribs Recd Delivered8125AmtOfContribsRecdDelivered
FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7095354OtherCostOrOtherBasis
Book Value7095354BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis138344941OtherCostOrOtherBasis
Depreciation66147163Depreciation
Book Value72197778BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis216936277OtherCostOrOtherBasis
Depreciation106920400Depreciation
Book Value114580049BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis101375736OtherCostOrOtherBasis
Depreciation73807004Depreciation
Book Value27568732BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis143454003OtherCostOrOtherBasis
Depreciation121568475Depreciation
Book Value27009451BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings238763270TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES2455952
DEFERRED RENT2973513
INTEREST/DIVIDENDS RECEIVABLE5674565
OTHER CURRENT ASSETS1518346
HEALTHCARE RECEIVABLES82976609
INTERCOMPANY RECEIVABLES36409794
FieldValueIRS element (for citing)
Total Book Value Other Assets132008779TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
SUBLEASE LOSS (34TH STREET)$976,686
PENSION LIABILITY$104,350,706
WORLD TRADE CENTER DISASTER RE$1,714,773
INTERCOMPANY PAYABLE$0
DEFERRED RENT$74,044,418
OTHER LONG TERM LIABILITIES$656,906
FieldValueIRS element (for citing)
Total Of Amounts181743489TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 DISCLOSUREIdentifier
Return ReferenceSCHEDULE D, PART XReturnReference
ExplanationIn 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, 2010.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Middle East and North AfricaInvestments493515
North AmericaInvestments6422444
Europe (Including Iceland and Greenland)Investments8416912
Central America and the CaribbeanInvestments2296909
FieldValueIRS element (for citing)
Subtotal Amount Spent17629780SubtotalAmountSpent
Total Amount Spent17629780TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierSchedule F, Part 1Identifier
ExplanationHIP-NY does not conduct any activities outside the United States. In accordance with the instructions to the Form 990, the organization is reporting the market value of non-U.S. investments.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (76 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Anthony Watson
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David Abernethy
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Robert Allen
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Rachel Amalfitano
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Cynthia Aureli
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George Babitsch
02537420223200022565052828804758010325530223200
Lynn Balducci
01883790362880153420165246076190412874036288
Fred Blickman
0231822054350001523602027734601948025782180543500
Frank Branchini
09970990168452004139250267276909360576924901684520
Robert Branchini
02393420663000238000241650041580575250066300
Arthur Byrd
0247881014660301352702127770698606277740146603
Jeffrey Chansler
02839250286923031216059134604076011974860286923
Sunny Chiu
0200080012585302843602074010792005696900125853
Michael Della Iacono
0230000058650050770161030000454757058650
Marilyn DeQuatro
023706402516660286870468556093609869090251666
Kerry DeWitt
0166298011067502468302022220170205055800110675
Mohamed Diab
02153640402230173830111392062610390623040223
Jose Diaz
01583310464740301170197257023520434531046474
Mariann Drohan
021790206120003012701865740980495901061200
William Dunne
02104420128000057400853804558035727800
Thomas Dwyer
03108880288925036179070610007112013492040288925
Daniel Finke
045554202137500228190164689102958023419600213750
Shawn Fitzgibbon
02891740497020256880186185022260552975049702
Michael Fullwood
05343380114585404171101974546013020369775101145854
Philip Gandolfo
05226004671880230684201896130690030165930467188
Raymond Gannon
01728470485350239610166166032530414762048535
William Gillespie
0377648012160001029402227520235207346460121600
Philip Gillich
01934980510010101610145574020040402238051001
Jefferson Grahling
0170213000310805965805326023830500
James Greenidge
021595001386100319420432823053908198640138610
Richard Gross
0155320053900030629013628605875038201000
Vincent Hartmann
01623850254210280910165043039160384856025421
Nicholas Kambolis
0228514014287401776002253890498606195230142874
John Kennedy
01507740326778023311098974022260602063057378
Steven Kessler
0189904055086502368111029362302095034045980550865
Erhard Krause
0162135038060025187035721202352058494600
William Lamoreaux
0367574013500003215902505320342607886910135000
Stuart Lefkowich
01808070482120264830156383023520414237048212
Williams Lewis
0214130013980002384902173580387005990070139800
Dennis Liotta
02399230574650248450175874034620501569057465
Carl Lund
02000420430410283950100539029580374975043041
Katherine Magill
0241332000155100103267013483037359200
Charlene Maher
017549100086808011356101176037703600
Ilene Margolin
025114802736250639368043968307352016111760273625
David Mascia
0152782034080002168406586705718058685100
William Mastrogiacomo
02543780264748026082051938203624010682140264748
Roslyn Meren
000308000016141610367500019258360308000
Peter Moore
01477180441790232970184200035320402926044179
David Morin
01530420439880215670194721029580416276043988
Chester Moskal
0151140044345025189019235009360413960044345
Thomas Nemeth
02193040230803032660051136908696010028320230803
Michael Palmateer
032218903038750722503627550281109988550303875
Michele Podolak
01261480369750169320116910023520299317036975
Michele Powers
02326510637500166430101793015160416353063750
Valerie Reardon
0238730025350002288304490820477009689650253500
David Reimer
01843090290740267280161438090560410605029074
Robert Ronda
02113300305240253470298008040700569279030524
Joan Ruby
02100140612000242190215406079860518825061200
Araksi Sarafian
01265830210833033958701731310175008518840210833
Sharon Schmerzler
01703160480680130870165392077600404623048068
DeWitt Smith
0154045046247701221546067830502288025186610462477
Karen Smith-Hagman
02021020586500237660151467058980441883058650
John Steber
045123008293710375690144227301770027622130829371
Leslie Strassberg
0192650056170802166540030026502016032231790561708
Pedro Villalba
02957740316875037326064684507226013040460316875
Wanda Wareham
0169691011650002483802387370677005565360116500
John White
0146538072603021420146336084620376081072603
Craig Willey
022924101398000967301890360696105747110139800
William Yurkowski
02018360586500235080176122079580468074058650
Joseph Zeitlin
0255394054833027570133255022260448465054833
Stephen Zeng
0216653013325001730402057990684705798530133250
Glenn Sansone
1620820003080004820162872000
Keith Fischer
1572640526019981089305265018392905260
June Giuffo
1385950002222300010720161890000
Ruben Oritz
145125052502036208600898016777005250
Len Proctor
14254905090167560838015016066705090

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Schedule J, Line 1APer the company's Travel and Business Expense Policy, the Chairman and Chief Executive Officer, the President and Chief Operating Officer, the President of EmblemHealth Services, and the Executive Vice Presidents may travel first class and can request staff traveling on business with them to travel first class on accompanied segments of the trip. Any such expenses are reimbursed upon presentation of comprehensive and accurate receipts. Per the company's Travel and Business Expense Policy, approved Spousal/Guest travel and related lodging, meal expenditures and other appropriate related costs will be reimbursed when the travel is required by EmblemHealth for a legitimate business purpose. Spousal/Guest travel that is not approved in advance is referred to the Senior Vice President for Compliance for review. Mr. Branchini receives a tax gross up for amounts paid into the secular Trust. Officer parking allowances are paid on a grossed-up basis.
Severance PaymentThe following officers received severance in 2010: Cynthia Aureli, Vice President of Claims (terminated employment November 11, 2009) received $97,500. Fred Blickman, Senior Vice President of Human Resources (terminated employment November 5, 2010) received $656,250. Philip Gandolfo, Senior Vice President of Melville Operations (terminated employment on March 31, 2010) received $629,580. Steven Kessler, Senior Vice President, Sales & Marketing (terminated employment on August 31, 2010) received $674,100. Roslyn Meren, Senior Vice President of Products and Customer Management (terminated employment on January 1, 2010) received $562,500. Araksi Sarafian, Vice President of Pharmacy Services (terminated employment on July 30, 2010) received $330,000. DeWitt Smith, Senior Vice President of Marketing (terminated employment on August 31, 2010) received $561,750. Leslie Strassberg, Chief Actuary (terminated employment on August 31, 2010) received $682,500.Schedule J, Line 4a
Non-Qualified Retirement PlanEmblem Health Services, LLC sponsors nonqualified retirement plans that the officers of HIPNY participate in, Officers with the titles of executive vice president and above, with the exception of Frank Branchini, participate in the supplemental executive retirement plan for emblemhealth services company, llc ("SERP"). The SERP provides a retirement benefit calculated on the basis of 50% of final average pay, offset by benefits under any qualified benefit plan, such as The emblemhealth services company, llc employees' retirement plan. Participants require the approval of the board of directors to retire under the serp between the ages of 55 and 60. Participants who retire prior to age 65 have their serp benefits reduced by early retirement factors. Mr. branchini participates in the GHI supplemental retirement plan ("Secular trust") which provides a retirement benefit calculated to provide the retirement benefits that would otherwise be payable under the local 153-ghi pension plan and the ghi cash balance plan (qualified plans), but for funding and contributions limits imposed by the IRS regulations. Senior vice presidents and above, hired before june 1, 2009, participate in the supplemental retirement plan ii for emblemhealth services company, llc (SERP II"). The SERP II provides a retirement beneft calculated on the basis of 30% of final average pay after 5 years of service, and increasing to 50% of final average pay after 15 years of service, offset by benefits under any qualified benefit plan, such as the emblemhealth services company, llc employees' retirement plan. Participants require the approval of the board of directors to retire under the SERP II between the ages of 55 and 60. Participants who retire prior to age 65 have their SERP II benefits reduced by early retirement factors.Schedule J, Line 4b
Bonus PaymentsHIP and EmblemHealth Services provide annual incentive awards based upon the achievement of performance metrics and percentage target awards. The compensation committees approve the performance metrics and targets and the ultimate payout to participants based upon the performance achieved under the Annual Incentive Plan (AIP). All management, non-union employees may be eligible to participate in the AIP. For the most senior executives of the company, the annual incentive awards are entirely based upon the successful achievement of objective performance goals. In the 2010 AIP, the two equally weighted performance metrics were Operating Income and Administrative Per Member Per Month (PM PM) savings. Operating Income was defined as premiums earned and administrative service fee revenue, less subscriber benefits, depreciation and amortization, interest and general administrative expenses, as reported in the annual financial statements, and exluding certain specified and extraordinary items. Administrative PM PM was defined as the depreciation and amortization, interest and general administrative expenses as reported in the annual audited financials associated with the administration of the company's insured commercial managed care, Medicare and State sponsored programs expressed on a per member per month basis, and excluding certain specified and extraodinary items. HIP and EmblemHealth Services also have a long term incentive plan based upon longer term performance over three year performance cycles and a limited supplemental incentive plan with payment triggered by threshold performance under the AIP. The compensation committees approve the performance metrics, targets and payouts based upon achievement of performance under these plans as well. Officers and key employees are generally eligible to participate in the long term incentive plan. A very limited number of senior officers are eligible to participate in the supplemental incentive plan, which will expire in 2011.Schedule J, Line 6a
Schedule J, Part III, Column C Deferred CompensationHealth Insurance Plan of Greater New York reports the change in the actuarial value of the pension plan as deferred compensation (as required by the expanded disclosures in the form 990). A large percentage of the compensation reported in Schedule J, Part III, Column C represents this change in value. Present values are calculated based on the SEC Proxy Summary Compensation Table methodology and assumptions, as the discounted present value of normal retirement benefits earned to the measurement date payable at the later of current age or age 65, without regard to projected service, projected salary increases, pre-retirement mortality or other decrements. Displayed change in total pension value during 2010 above reflects all defined benefit plans the participants are entitled to.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part I, Line 5 & Part V, Line 2aOn March 6, 2007, Emblemhealth Services Company, LLC was formed as a joint venture by Health Insurance Plan of Greater New York (HIP) and Group Health Incorporated (GHI). On January 1, 2008, HIP and GHI transferred vendor agreements and management employees to EmblemHealth Service Company, LLC. To that end, all officers and directors (and most employees) of HIP receive their Forms W-2 from Emblemhealth Services Company, LLC. The number of employees (1,120) reported on Part 1, Line and Part V, Line 2a represents only those unionized employees who still receive their Forms W-2 from HIP. Part V, Line 1a and Part VII, Independent Contractors. HIP-NY transferred all 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. As noted in Part V, Line 1a of the Form 990, Health Insurance Plan of Greater New York issued over 50,000 Forms 1099. 98% of these 1099s are issued to physicians that provide medical services to members of HIP-NY and do not provide services directly to HIP-NY. These physicians are not reportable in Part VII as independent contractors that provide services to HIP-NY. Accordingly, even though HIP-NY issued over 50,000 1099s, the organization did not pay any independent contractors for services over $100,000.
Form 990, Part III, Line 4d - Other Program Service Accomplishments1. CHIPS (Children's Health Insurance Program) - HIP SERVED APPROXIMATELY 13,000 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 33,000 MEMBERS. HIP BEGAN TO SERVE FHPLUS MEMBERS AT THE START OF THE PROGRM IN THE NY DOWNSTATE AREA IN OCTOBER OF 2001. THE BENEFIT PACKAGE FOR THE PROGAM PROVIDES a comprehensive set of medically needed health care benefits and services to the ADULT UNINSURED and low-income wage earners. 3. Healthy New York Program - HIP SERVED APPROXIMATELY 4500 MEMBERS. HIP HAS BEEN SERVING HEALTHY NY MEMBERS SINCE THE PROGRAM'S INCEPTION JANUARY 2001. THE NYS HEALTH CARE REFORM ACT OF 2000 CREATED THIS PROGRAM OF COMPREHENSIVE HEALTH INSURANCE COVERAGE FOR NY's UNINSURED WORKERS AND THEIR FAMILIES. Healthy NY is a program designed to help promote comprehensive and quality health care for small business owners and their employee's. The Healthy NY program also helps sole proprietors and those whose employers do not provide health insurance for them. Healthy NY includes benefits that cover essential health needs including inpatient and outpatient hospital services, physician services, maternity care, preventative health services, diagnostic and x-ray services, and emergency services. 4. Laboratory Services - HIP operated Centralized Laboratory Services which provided laboratory research for services such as celiac disease, antinuclear antibodies and allergies. The laboratory ceased providing services in May of 2010. 5. Other Program Service Activities - the allocation of program service expenditures reported on Part III of the Form 990 is derived from HIP-NY's Statutory Financial Statements (STAT) The Form 990 is prepared in accordance with Generally Accepted Accounting Principles (GAAP). The $19,040,706 in expenditures and $1,316,952 in revenues represent a STAT to GAAP difference.
Form 990, Part VI, Line 1The organization has 15 board members, 14 of which are independent for purposes of the Form 990. Chairman and CEO, Anthony Watson, is the lone Board member that is not independent by virtue of his having received compensation from a related party, EmblemHealth, Services, LLC for services rendered to HIP-NY. Several of HIP-NY's Board Members do receive payment for services rendered in their capacity as Board Members. Such amounts represent reasonable compensation for services rendered (as a Board Member) and do not impair their independence.
Form 990, Part VI, Line 2Frank Branchini, President and Chief Operating Officer, is the father of Robert Branchini, VP Information Technology.
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, 2010 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 Vice President/Tax Director and by the Executive Vice President, Chief Financial Officer and General Counsel.
Form 990, Part VI, Line 12To determine if an employee's personal interests, activities or relationships constitute a conflict of interest or the appearance of a conflict of interest, certain employees, based upon functionality, as determined by the Senior Vice President for Compliance, Internal Audit and Internal controls are required to fully disclose, on an annual basis, any reportable situations on the company's conflict of interest disclosure. All employees, at the time of employment, are required to fully disclose any personal interest, activities or relationships that constitute a conflict of interest or the appearance of a conflict of interest. Disclosures are reviewed by the Senior Vice President for Compliance, Internal Audit and Internal Controls and by the Executive Vice President, Chief Financial Officer and General Counsel. Any Employee, who violates the conflict of interest policy, fails to make a required report or fails to comply with any remedial action required by the company, is subject to disciplinary action, up to and including termination of employment.
Form 990, Part VI, Line 15To determine the compensation of the CEO and all other officers of the company, HIP and EmblemHealth Services engage an outside compensation consultant to provide guidance and the comparable market data on the compensation of similarly situated executive positions in the organizations' competitive peer group comprised of profit and not for profit entities. The compensation consultant presents the comparable market data to the compensation committee of the board of directors of each of HIP and EmblemHealth Services. The compensation committees are composed entirely of outside, independent, disinterested directors. The compensation committees review and approve the proposed compensation arrangements and the deliberations and actions of the compensation committees are documented in the minutes of each meeting. Thereafter, the actions of the compensation committees are reported to the full boards in a timely manner. The CEO, or any other officer, is excused from the compensation committee meeting while the committee deliberates and approves any action related to the compensation arrangement of the CEO or other officer.
Form 990, Part VI, Line 16On March 6, 2007, EmblemHealth Services Company, LLC ("EHS") was formed as a joint venture between Health Insurance Plan of Greater New York and its sister company, Group Health Incorporated, a New York not-for-profit corporation, in order to integrate certain common administrative operations of these two entities, among other purposes. EmblemHealth, Inc., a New York not-for-profit corporation, is the sole member of both Health Insurance Plan of Greater New York and Group Health Incorporated. EmblemHealth, Inc. (EIN 13-3941542) is exempt from federal taxation pursuant to IRC 501(c)(3). In January 2008, EHS began performing those administrative operations for the organizations. The Limited Liability Agreement requires that EHS be managed at all times in a manner that furthers the tax-exempt purposes of Health Insurance Plan of Greater New York.
Form 990, Part VI, Line 19The taxpayer makes its Form 990 and Form 1023 available to the public by retaining a copy of each at its head offices at 55 Water Street, New York, New York. Any individual requesting a copy of these documents is provided that copy on the same business day. The organization's Form 990 is also available for public inspection on www.guidestar.com. The taxpayer's financial statements are available for public inspection on the organization's website, www.emblemhealth.com. The organization's governing documents and conflict of interest policy are not available to the public.
Form 990, Part VIII, Rental IncomeHealth Insurance Plan of Greater New York generates rental revenue from medical groups who lease a combination of personal and real property. HIP does not book this revenue in its general ledger as rental income, but rather offsets payments due to the health provider/facilities as monthly settlements are made. These transactions result in a net out-flow of cash as HIP finalizes its monthly settlements. For the most part, the rental income generated by HIP is for space rental and incidental personal property rental (i.e. 10% or less of the total rents received under the lease are from personal property). To the extent that the rental income is attributable to a mixed lease (i.e. where personal property is 11% to 50% of the total rents), HIP reports this revenue as unrelated business income and specifically reports this revenue on Part VIII, Lines 6a and 6b and on its Form 990-T. Quantifying total rental income received across all medical groups would be labor intensive and since this revenue is passive revenue that does not implicate unrelated business income, HIP has opted to continue reporting this revenue as an offset to its facilities expenditures (which are quantified on Part IX, Schedule of Functional Expenses).
Form 990, Part IX, Functional ExpensesAmounts reported on Part IX, Line 5, as compensation paid to officers, directors and key-employees of HIP-NY represent those salary costs reported on Form 990, Part VII, Line 1(d) that are allocated from the related party, EmblemHealth Services, LLC.
Part IV, Line 28HIP-NY does not believe it has any business transactions or relationships between itself and an officer, director, or key employee of the organization that rise to the monetary threshold required for disclosure on Schedule L of the Form 990. The organization takes its responsibilities of monitoring potential conflicts of interest very seriously (please see disclosure on Part VI, Line 12). HIP-NY compiles a lengthy Summary report of all potential business transactions between the individuals reported on Part VII of the Form 990 and HIP-NY or one of its affiliated organizations. This report discloses all potential business transactions regardless of monetary value. The organization's due diligence efforts reported no transactions that meet the 990's threshold for dislcosure. Additional information is available upon request.
Form 990, Part IX, Line 5A difference of -177,115,418 is reported on part XI of the Reconciliation of Net Assets. This difference is attributable to changes in unrealized gains and losses on investments as well as Statutory-to-GAAP financial statement adjustments.

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1EmblemHealth Services CompanyBusinessNameLine1

Address US AddressUS

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1naBusinessNameLine1
FieldValueIRS element (for citing)
Share Of Total Income-7511934ShareOfTotalIncome
Share Of EOY Assets152219300ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
Code V$0CodeVAmount
General Or Managing PartnerfalseGeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Group Health Incorporated
55 Water StreetNew YorkNY10041135511997InsuranceNYNAC Corp-1879149610732615801.00000
HIP Holdings Inc & Subsidiaries
55 Water StreetNew YorkNY10041133819759InsuranceNYNAC Corp.2756849610534161981.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgtrueSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
EmblemHealth Inc
C, L,2450199
EmblemHealth Inc
M51799
EmblemHealth Inc
N2053798
Group Health Incorporated
A533602
Group Health Incorporated
D115000000
Hip Holdings Inc & Subsidiaries (HIPA)
L30400000
Hip Holdings Inc & Subsidiaries (HIPA)
K2100000
Hip Holdings Inc & Subsidiaries (HIPIC)
L148700000
Hip Holdings Inc & Subsidiaries (HIPIC)
K144500000
Hip Holdings Inc & Subsidiaries (HIPIC)
K, P20600000
Hip Holdings Inc & Subsidiaries (HIP-IPA)
l28600000
Hip Holdings Inc & Subsidiaries (HIP-IPA)
k200000

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSchedule R, Part V, Line 2Identifier
ExplanationTRANSACTIONS with Emblem Health, Inc. EMBLEMHEALTH, INC. IS THE PARENT ORGANIZATION OF HEALTH INSURANCE PLAN OF NEW YORK (HIPNY), A 501(C)(4) TAXEXEMPT ORGANIZATION THAT DELIVERSQUALITY, 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 EVIDENCEBASED 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 ATCOST BY HIP-NY VIA A MANAGEMENT FEE. THESE AMOUNTS ARE REPRESENTED IN SCHEDULE R, PART V, TRANSACTION TYPE K. SINCE HIPNY'S PAYMENT REPRESENTS A REIMBURSEMENT OF ALL EXPENSES INCURRED, THIS TRANSACTION IS ALSO REPRESENTED IN SCHEDULE R, PART V, TRANSACTION TYPE P. EMBLEMHEALTH, INC. SHARES AN OFFICE SPACE WITH HIP-NY AT 55 WATER STREET. TO THAT END, ITS ALLOCATION OF RENTAL EXPENSE IS REPORTED IN SCHEDULE R, PART V, TRANSACTION TYPE M. Transactions with Group health Incorporated, HIP-NY advanced $115 million to GHI in accordance with Section 1307 of the Insurance Law of the State of New York with interest accruing at 2% per annum. As provided in Section 1307, the payment of principal and interest thereon amounting to approximately $500,000, shall only be made out of free and disposable surplus, subject to prior approval of the Superintendent. As of December 31, 2010, no payments were made to HIP. Transactions with HIP Holdings, Inc. & Subs (HIPIC) HIPIC (a member of HIP Holdings, Inc. & Subs) provides the indemnity health insurance portion of dual option products offered by HIP and HIP administers the collection of premiums and pays claims on behalf of HIPIC. Premiums collected on behalf of HIPIC were approximately $148.7 million for the year ended December 31, 2010. HIP paid out-of-network claims on behalf of HIPIC of $144.5 million in 2009. Under the terms of a service agreement, HIP allocated costs associated with administering the premiums and claims of approximately $20.6 million to HIPIC for the year ended December 31, 2010. 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, 2010, HIP incurred approximately $28.6 million for capitation and $.2 million 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, 2010, amounts charged by HIP to HIP IPA for these services was approximately $200,000. Transactions with HIP HOldings, Inc. & Subsidiaries (HIPA) HIPA (another subsidiary in the HIP Holdings, Inc. & Subsidiaries consolidated group) provides claims processing and certain member services for HIPs members. For the year ended December 31, 2010, HIPA charged HIP approximately $30.4 million for these services. HIP-NY provides administrative and management services to HIPA; amounts paid in 2010 were approximately 2.1 million. Transactions with EmblemHealth Services, LLC. EmblemHealth Services, LLC (EHS) was formed as a limited liability company under the laws of the state of Delaware as a joint venture of HIP and GHI, in which both HIP and GHI each contributed $100 for equal ownership rights and are the sole corporate partners of EHS. Effective January 1, 2008, HIP and GHI entered into a management services agreement with EHS, for the purpose of providing administrative services to the companies. HIP and GHI entered into a guaranty agreement as of January 1, 2008 with EHS. In conjunction with this guaranty agreement, HIP and GHI transferred all of their respective non-union employees to EHS. EHS assumed all of the associated benefit and compensation related liabilities of the transferred employees. EHS became the plan sponsor of the related pension and postretirement plans it assumed. The transfer was accounted for as a non-economic transaction between related parties, and as such, no consideration was exchanged and no gains or losses were recorded. Under this guaranty arrangement HIP and GHI are jointly and severally liable for: (i) guaranteed obligations earned by transferred employees who were employed by HIP and GHI prior to the effective date of the agreement; and (ii) a pro rata share of guaranteed obligations earned by transferred employees after the effective date of this agreement, based on the allocation of costs under the services agreement. For the year ending December 31, 2010, amounts of transactions between HIP-NY and EmblemHealth Services, LLC were not quantified. Further information is contained in the organization's audiited financial statements and annual statutory filing.Explanation