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Nonprofiteer
← EMBLEMHEALTH INC

Form 990 for tax year 2024

Filed by EMBLEMHEALTH INC.

Totals

Total revenue
$2,212,007
Total expenses
$2,212,007
Contributions and grants received
$378,587
Grants paid
$497,132
Program service revenue
$1,833,420
Investment income
$0
Other revenue
$0
Total assets, end of year
$587,253
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$587,253
Program services expenses (Part IX)
$2,212,007
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$2,212,007

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $378,587

  • 2a · Program service revenue: ADMINISTRATIVE SERVICES

    total $1,833,420 · related or exempt $1,833,420

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $497,132 · program services $497,132

  • 6 · Compensation of disqualified persons

    total $1,652,545 · program services $1,652,545

  • 17 · Travel

    total $61,783 · program services $61,783

  • 24a · Other expenses: MISCELLANEOUS EXPENSE

    total $547 · program services $547

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $461,837 · end of year $187,694

  • 15 · Other assets

    beginning of year $365,689 · end of year $399,559

  • 18 · Grants payable

    beginning of year $237,290

  • 27 · Net assets without donor restrictions

    beginning of year $590,236 · end of year $587,253

Mission and programs · 2024

Mission

EMBLEMHEALTH, INC. IS A NOT-FOR-PROFIT CORPORATION INCORPORATED IN NEW YORK STATE THAT, TOGETHER WITH ITS SUBSIDIARIES, PROVIDES MANAGED HEALTH CARE SERVICES TO ITS MEMBERS.

Activities or mission (Part I)

EMBLEMHEALTH INC. SUPPORTS THE TAX-EXEMPT MISSION OF HIPNY (SEE SCHEDULE O).EMBLEMHEALTH INC. OPERATES AS A HOLDING COMPANY THAT SUPPORTS THE TAX-EXEMPT HEALTHCARE MISSION OF ITS SUPPORTED ORGANIZATION, HEALTH INSURANCE PLAN OF GREATER NEW YORK.FORM 990, PART V, LINE 1A:EMBLEMHEALTH, INC. DOES NOT ISSUE ANY FORM 1099S. THE INDIVIDUALS LISTED IN THE FORM 990 PART VII WERE PAID BY RELATED ORGANIZATION, HEALTH INSURANCE PLAN OF GREATER NEW YORK, THROUGH ITS DISREGARDED ENTITY, EMBLEMHEALTH SERVICES COMPANY, LLC. EMBLEMHEALTH SERVICES COMPANY, LLC ISSUED THE FORM 1099S TO THE INDIVIDUALS BEING LISTED IN FORM 990 PART VII.

  • EMBLEMHEALTH'S TAX-EXEMPT MISSION IS TO SUPPORT THE HEALTHCARE ACTIVITIES OF ITS SUPPORTED ORGANIZATION, HEALTH INSURANCE PLAN OF GREATER NEW YORK. MOST OF THE COSTS INCURRED BY EMBLEMHEALTH, INC. ARE ANNUAL BOARD OF DIRECTORS FEES (AND ANCILLARY EXPENSES ASSOCIATED WITH BOARD SERVICE). IN ADDITION, EMBLEMHEALTH, INC. DISTRIBUTED A GRANT TO ITS PARENT ORGANIZATION, AS WELL AS OTHER SMALL GRANTS TO SELECT SECTION 501(C)(3) PUBLIC CHARITIES.

    Expenses $2,212,007 · Grants $497,132 · Revenue $1,833,420

As filed on the 2024 return.

Listed in Part VII

  • Karen Ignagni

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $5,320,093
    From this org
    $0
    From related orgs
    $5,241,940
    Other
    $78,153
    Hours/week
    2 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,203,700 related
    Bonus
    $0 + $4,038,240 related
    Other
    $0
    Deferred
    $0 + $51,200 related
    Nontaxable benefits
    $0 + $26,953 related
    Filer's total
    $0 + $5,320,093 related
  • John Feerick

    CHAIRMAN

    Total calculated
    $172,500
    From this org
    $0
    From related orgs
    $172,500
    Other
    $0
    Hours/week
    1 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $172,500 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $172,500 related
  • Paul Gibson

    VICE CHAIRPERSON OF THE BOARD

    Total calculated
    $160,125
    From this org
    $0
    From related orgs
    $160,125
    Other
    $0
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $160,125 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $160,125 related
  • Bernard Schayes MD

    DIRECTOR

    Total calculated
    $154,266
    From this org
    $0
    From related orgs
    $132,852
    Other
    $21,414
    Hours/week
    1 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $132,852 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $21,414 related
    Filer's total
    $0 + $154,266 related
  • Richard Berman

    DIRECTOR

    Total calculated
    $155,173
    From this org
    $0
    From related orgs
    $149,875
    Other
    $5,298
    Hours/week
    1 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $149,875 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $5,298 related
    Filer's total
    $0 + $155,173 related
  • Barbara Shattuck Kohn

    DIRECTOR

    Total calculated
    $147,875
    From this org
    $0
    From related orgs
    $147,875
    Other
    $0
    Hours/week
    1
  • Karin Mayhew

    DIRECTOR

    Total calculated
    $143,750
    From this org
    $0
    From related orgs
    $143,750
    Other
    $0
    Hours/week
    1
  • Sam Havens

    DIRECTOR

    Total calculated
    $138,125
    From this org
    $0
    From related orgs
    $138,125
    Other
    $0
    Hours/week
    1
  • Rosa Gil Dsw

    DIRECTOR

    Total calculated
    $128,545
    From this org
    $0
    From related orgs
    $128,545
    Other
    $0
    Hours/week
    1
  • Jo Ivey Boufford

    DIRECTOR

    Total calculated
    $101,375
    From this org
    $0
    From related orgs
    $101,375
    Other
    $0
    Hours/week
    1
  • John Banks III

    DIRECTOR

    Total calculated
    $120,304
    From this org
    $0
    From related orgs
    $120,125
    Other
    $179
    Hours/week
    1 + 2 related
  • Gregory Floyd

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Wayne Cafran

    DIRECTOR

    Total calculated
    $145,500
    From this org
    $0
    From related orgs
    $145,500
    Other
    $0
    Hours/week
    1 + 2 related
  • Kathy Hirata Chin

    DIRECTOR

    Total calculated
    $125,875
    From this org
    $0
    From related orgs
    $125,875
    Other
    $0
    Hours/week
    1
  • Tom Canty

    DIRECTOR (AS OF 12/2024)

    Total calculated
    $1,750
    From this org
    $0
    From related orgs
    $1,750
    Other
    $0
    Hours/week
    1
  • Michael Palmateer

    PRESIDENT

    Total calculated
    $3,280,766
    From this org
    $0
    From related orgs
    $3,209,076
    Other
    $71,690
    Hours/week
    1 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $905,418 related
    Bonus
    $0 + $2,303,658 related
    Other
    $0
    Deferred
    $0 + $51,200 related
    Nontaxable benefits
    $0 + $20,490 related
    Filer's total
    $0 + $3,280,766 related
  • Heather Tamborino

    CHIEF FINANCIAL OFFICER

    Total calculated
    $2,603,164
    From this org
    $0
    From related orgs
    $2,548,094
    Other
    $55,070
    Hours/week
    1 + 35 related

    Schedule J breakdown matched by us

    Base
    $0 + $803,870 related
    Bonus
    $0 + $1,744,224 related
    Other
    $0
    Deferred
    $0 + $51,200 related
    Nontaxable benefits
    $0 + $3,870 related
    Filer's total
    $0 + $2,603,164 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN II COMPENSATION EMBLEMHEALTH, INC. DOES NOT SPONSOR ANY UNQUALIFIED RETIREMENT PLANS, HOWEVER, EMBLEMHEALTH SERVICES COMPANY LLC SPONSORS NONQUALIFIED RETIREMENT PLANS, BUT NO EQUITY BASED COMPENSATION PLANS. OFFICERS WITH THE TITLES OF SENIOR VICE PRESIDENT AND ABOVE HIRED PRIOR TO JUNE 1, 2009, PARTICIPATE IN THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN II FOR EMBLEMHEALTH SERVICES COMPANY, LLC ("SERP II"). THE SERP II 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 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • BRONXDOCS MANAGEMENT COMPANY LLC (THRU 624)

    UNRELATED · HEALTHCARE · NY · general or managing partner

    Directly controlled by HIPGNY

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • EMBLEMHEALTH PLAN INC

    C · INSURANCE · NY · 100% owned · controlled entity

    Directly controlled by HIPGNY

  • HIP HOLDINGS INC & SUBSIDIARIES

    C · INSURANCE · NY · 100% owned · controlled entity

    Directly controlled by HIPGNY

  • ADVANTAGECARE PHYSICIANS PC

    C · HEALTHCARE · NY · 100% owned · controlled entity

    Directly controlled by HIPGNY

  • SIUC MEDICAL PC

    C · HEALTHCARE · NY · 100% owned · controlled entity

    Directly controlled by HIPGNY

Provenance

Return type
form_990
Tax year
2024
Filed
13 November 2025
IRS schema version
2024v5.2
Source object
202503189349307635

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