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HEALTH INSURANCE PLAN OF GREATER NEW YORK

NEW YORK, NY · EIN 131828429 · Form 990 · FY2024 · NTEE E320 · Health Care · Very Large (>$50M) · emblemhealth.com
revenue
$4.7B
expenses
$4.7B
net assets
$391.5M
employees
2,095
program ratio
90%
mission · from form 990

HIPGNY'S MISSION IS TO CREATE HEALTHIER FUTURES FOR ITS CUSTOMERS (CONTINUED ON SCHEDULE O)

profile · synthesized from sources

EmblemHealth is a health insurance provider offering Medicare, Medicaid, and commercial health plans primarily in New York and surrounding areas. The organization provides wellness resources, preventive care guidance, and member support services. It emphasizes health education and community outreach to improve member health outcomes.

irs program accomplishments · form 990 part iii · fy2024

What they reported doing

  1. #1 primary $1.34B
    MEDICAID - HIPGNY SERVED APPROXIMATELY 254,000 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.
  2. #2 $782.26M
    MEDICARE - HIPGNY SERVED APPROXIMATELY 47,000 MEDICARE MEMBERS THROUGH ITS MEDICARE RISK AND COST CONTRACT PROGRAMS.
named programs · 4 · from sources

What they call their work

Medicaid Program
Provides comprehensive health care coverage to low-income individuals and families in New York through managed care.
Medicare Advantage Plans
Offers Medicare risk and cost contract programs providing health and wellness benefits to seniors and people with disabilities.
Member Wellness Blog
Provides educational content on topics including mental health, nutrition, chronic disease management, and seasonal health risks.
Preventive Care Initiatives
Encourages routine screenings, vaccinations, and wellness visits to improve long-term health outcomes for members.
activities · 7 groups

What they do

  • Comprehensive Primary and Specialty Care Networks 2 activities
    • Provides primary and specialty medical care services
      Delivers primary and specialty care to over 500,000 patients across New York City's five boroughs and Long Island through its affiliated medical practice, AdvantageCare Physicians. Services are provided in co-located Neighborhood Care sites and clinics.
    • Serves Medicaid and Medicare members through comprehensive health plans
      Provides comprehensive medical and health care services to approximately 597,000 members across all service lines, including about 250,000–259,000 Medicaid members and up to 80,000 Medicare members through risk and cost contract programs.
  • Public Benefits Navigation and Enrollment 1 activity
    • Connects individuals to social and community resources
      Helps community members access local support services including housing assistance, food programs, transportation, and care management through in-person referrals and navigation.
  • Community Wellness Movement Classes 1 activity
    • Hosts free community wellness and educational classes
      Offers free fitness, nutrition, and health education classes such as Zumba, Conversational English, Spanish language instruction, Chinese Folk Dancing, and preventive care workshops to the public, with online registration via the Neighborhood Care Events Portal.
  • Health Insurance Enrollment Assistance 1 activity
    • Offers in-person health insurance enrollment and plan support
      Provides walk-in, one-on-one assistance for health insurance enrollment, including eligibility determination for $0 premium Essential Plan or Medicaid, coverage selection, and ongoing plan support without requiring appointments at Neighborhood Care sites.
  • Telehealth and Urgent Care Access 1 activity
    • Operates 24/7 Nurse Line for medical guidance
      Provides round-the-clock access to medical advice and care navigation for all members through a dedicated Nurse Line.
  • Community-Based Pandemic Testing and Vaccination 1 activity
    • Promotes preventive care and vaccination education
      Provides educational resources and outreach to encourage flu and COVID-19 vaccinations and promote preventive care as a means to improve health outcomes and reduce medical costs.
  • Uncategorized 1 activity
    • Provides member support services for benefits and billing
      Assists members with understanding health plan benefits, locating in-network providers, managing prescriptions, and resolving billing concerns through dedicated member services.
financials · form 990 · fy2024
revenue
Total revenue$4.71B
Contributions & grants$913K0%
Program service revenue$4.70B100%
Investment income$7.77M0%
Other revenue$-491K
expenses
Total expenses$4.74B
Program expenses90%
Admin / overhead10%
Fundraising0%
Salaries & benefits$178.01M
Grants paid out$168K
Largest expense lineProfessional Fees
balance sheet
Total assets$2.29B
Cash$251.16M
Investments$690.94M
Liabilities$1.90B
Net assets$391.47M
Liquid reserves2.4 mo
3 years on record · 2020–2024 · YoY revenue -11.4%
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 25
NameTitleHours/wkCompensation
KAREN IGNAGNI CHIEF EXECUTIVE OFFICER 35 $5.32M
MICHAEL PALMATEER PRESIDENT 35 $3.28M
HEATHER TAMBORINO CHIEF FINANCIAL OFFICER 35 $2.60M
JEFFREY CHANSLER CHIEF LEGAL OFFICER 35 $1.70M
GEORGE BABITSCH SVP, LABOR & GOVERNMENTAL MARKETS 35 $1.50M
THOMAS MACMILLAN CHIEF OPERATING OFFICER 35 $1.43M
NAVARRA RODRIGUEZ CEO/PRESIDENT, ACPNY 35 $1.36M
WILLIAM VOIGT CHIEF HUMAN RESOURCES OFFICER 35 $1.27M
DEBRA LIGHTNER CHIEF COMPLIANCE OFFICER 35 $1.09M
RICHARD H DAL COL CHIEF MEDICAL OFFICER (THRU 04/2024) 35 $1.00M
MICHAEL COSTA SVP, PROVIDER NETWK & POP. HEALTH 35 $806K
ABDOU BAH SVP, MEDICAL MGMT & CHIEF HEALTH EQ. 35 $801K
CHARLOTTE THOMAS SVP, COMMERCIAL PRODUCT STRATEGY 35 $750K
PRIYANK PANDEY SVP, CHIEF CUSTOMER OFFICER 35 $740K
RUSSELL HEID VP, CONTROLLER (ENTERPRISE) 40 $633K
MICAH J HORTON VP, ENTERPRISE FINANCE 40 $624K
SETH CRAWFORD VP, ENTERPRISE UNDERWRITING 40 $604K
CARLOS MANALANSAN VP, DEPUTY GENERAL COUNSEL 40 $596K
HOWARD L WEISS VP, GOVERNMENT AFFAIRS 40 $568K
BRANDON RIFF VP, ACTUARY 35 $542K
CORY ORZAK CHIEF ACTUARY (AS OF 02/2024) 35 $410K
LAUREN CLANCY AS OF 032024 AVP, CORPORATE SECRETARY 35 $339K
JOHN FEERICK CHAIRMAN 2 $173K
RICHARD BERMAN DIRECTOR 2 $155K
BERNARD SCHAYES MD DIRECTOR 2 $154K
relationships · 15

Who they work with

  • AdvantageCare Physicians Partner — Medical practice affiliated with EmblemHealth that delivers primary and specialty care to patients in the New York area.
  • AdvantageCare Physicians Partner — Primary and specialty care practice integrated within EmblemHealth networks.
  • AdvantageCare Physicians Partner — Shares physical space and collaborates on-site to provide integrated medical care and health insurance support services.
  • AdvantageCare Physicians Partner — Shares physical space and collaborates with AdvantageCare Physicians to provide on-site medical care at the Cambria Heights location.
  • AdvantageCare Physicians Partner — Shares physical space and provides on-site primary and specialty medical care at the Neighborhood Care location.
  • AdvantageCare Physicians (ACPNY) Partner — Co-located with Neighborhood Care sites to integrate access to medical and support services.
  • Disability:IN Partner — Private certifying organization recognized by EmblemHealth for disability-owned businesses
  • Group Health Incorporated Partner — Merged with Health Insurance Plan of Greater New York to form EmblemHealth.
  • Health Insurance Plan of Greater New York Partner — One of two founding organizations that merged to form EmblemHealth.
  • NYC Small Business Services Government — Recognized certifying agency for diverse suppliers in the EmblemHealth supplier diversity program
  • National LGBT Chamber of Commerce Partner — Private certifying organization recognized by EmblemHealth for LGBTQ-owned businesses
  • National Minority Supplier Development Council Partner — Private certifying organization recognized by EmblemHealth for minority-owned businesses
  • National Veterans Business Development Council Partner — Private certifying organization recognized by EmblemHealth for veteran-owned businesses
  • New York Empire State Development Government — Recognized certifying agency for diverse suppliers in the EmblemHealth supplier diversity program
  • Women’s Business Enterprise National Council Partner — Private certifying organization recognized by EmblemHealth for women-owned businesses
strategies · 5

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Care Navigation to Address Social Barriers
    methodology: care_navigation
    By actively identifying and addressing social and logistical barriers to healthcare access, we improve health outcomes because removing structural obstacles enables consistent engagement with necessary services.
  • Community-Based Care Delivery
    methodology: community-based service delivery
    By locating health and wellness services within community neighborhoods, we increase accessibility and engagement because proximity reduces logistical barriers and fosters trust through familiar, non-clinical environments.
  • Culturally Tailored Engagement for Target Populations
    methodology: culturally_tailored_engagement
    By offering culturally tailored health programs, we increase engagement and effectiveness within specific communities because culturally resonant messaging and programming build trust and relevance.
  • Network-Based Resource Integration
    methodology: network-based care delivery
    By leveraging an expansive network and strategic partnerships, we connect members with comprehensive care and support resources because integrated ecosystems extend reach and address multifaceted health goals beyond clinical settings.
  • Preventive Care as a Pathway to Improved Outcomes
    methodology: preventive_care
    By promoting preventive care, we improve long-term health outcomes and reduce healthcare costs because early intervention mitigates disease progression and hospitalization risk.