2024-11-05T01:39:37-06:00 2023-12-31 861065772 DELOITTE TAX LLP 111 SOUTH WACKER DRIVE CHICAGO IL 60606 990 2023-01-01 042864973 HEALTH NEW ENGLAND INC HEAL 4137874000 ONE MONARCH PLACE 1500 SPRINGFIELD MA 011441500 RICHARD SWIFT CHIEF EXECUTIVE OFFICER 4137874000 2024-11-04 1 0 MONIKA YADAV P01473820 3124861000 2023 2024-10-15 13:58:12Z RICHARD SWIFT ONE MONARCH PLACE 1500 SPRINGFIELD MA 011441500 1012803996 0 X WWW.HEALTHNEWENGLAND.ORG X 2013 MA THE MISSION OF HEALTH NEW ENGLAND, INC., IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE IN THE COMMUNITIES WE SERVE. AS PART OF BAYSTATE HEALTH, INC. (AN INTEGRATED HEALTH CARE SYSTEM), HEALTH NEW ENGLAND CONTRIBUTES TO THE ECONOMIC SUCCESS OF OUR REGION AND IS COMMITTED TO MEETING THE IDENTIFIED HEALTH AND WELLNESS NEEDS OF OUR COMMUNITIES SERVED THROUGH THE COMBINED EFFORTS OF BAYSTATE HEALTH, COMMUNITY ORGANIZATION PARTNERS, AND AFFILIATED PROVIDERS. 10 7 511 0 0 0 0 0 923861185 980354680 3426145 8194460 3258315 2231792 930545645 990780932 486500 421150 824760596 917102933 43840354 44209209 0 0 0 54470667 54997729 923558117 1016731021 6987528 -25950089 292952185 295692088 201033166 231030207 91919019 64661881 X THE MISSION OF HEALTH NEW ENGLAND, INC., IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE IN THE COMMUNITIES WE SERVE. AS PART OF BAYSTATE HEALTH, INC. (AN INTEGRATED HEALTH CARE SYSTEM), HEALTH NEW ENGLAND CONTRIBUTES TO THE ECONOMIC SUCCESS OF OUR REGION AND IS COMMITTED TO MEETING THE IDENTIFIED HEALTH AND WELLNESS NEEDS OF OUR COMMUNITIES SERVED THROUGH THE COMBINED EFFORTS OF BAYSTATE HEALTH, COMMUNITY ORGANIZATION PARTNERS, AND AFFILIATED PROVIDERS. 1 0 917524083 421150 982586472 COMMERCIAL SMALL AND LARGE GROUP AND INDIVIDUAL PRODUCTS:ENROLLEES AT 12/31/23: 59,979REVENUE: $417.1 MILLIONPROGRAM EXPENSES: $399.8 MILLIONHEALTH NEW ENGLAND, INC MAKES HIGH QUALITY, LOW COST HEALTH CARE SERVICES AVAILABLE THROUGH HEALTH PLANS WITHIN A SERVICE AREA THAT COMPRISES MORE POOR, MEDICALLY UNDERSERVED AND RURAL COMMUNITIES THAN ANY OTHER PART OF MASSACHUSETTS. A FEDERAL HEALTH RESOURCES & SERVICES ADMINISTRATION REPORT STATED THAT OF THE 102 MASSACHUSETTS TOWNS DESIGNATED AS MEDICALLY UNDERSERVED, 78 ARE IN THE FOUR COUNTIES THAT HEALTH NEW ENGLAND SERVES. BASED ON THAT STATISTIC, IN ALL OVER 45% OF HEALTH NEW ENGLAND'S ENROLLEES LIVE IN MEDICALLY UNDERSERVED AREAS.HEALTH NEW ENGLAND'S SERVICE AREA INCLUDES FOUR OF THE FIVE COUNTIES WITH THE HIGHEST PERCENTAGE OF POVERTY AND THE LOWEST PER CAPITA INCOME IN MASSACHUSETTS, BASED ON US CENSUS BUREAU DATA. MANY RESIDENTS IN WESTERN MASSACHUSETTS THUS STRUGGLE WITH POVERTY AND LOW LEVELS OF INCOME. ACROSS THE FOUR COUNTIES OF WESTERN MASSACHUSETTS, 16% OF RESIDENTS LIVE IN POVERTY, AND THE MEDIAN FAMILY INCOME IN THREE OF THE FOUR COUNTIES IS MORE THAN 20% LOWER THAN THAT OF THE STATE. CHILD POVERTY RATES ARE HIGH WITH 23% OF CHILDREN IN THE REGION LIVING IN POVERTY. HAMPDEN COUNTY HAS THE HIGHEST RATES OF POVERTY AND UNEMPLOYMENT IN HEALTH NEW ENGLAND'S SERVICE AREA AND THE LOWEST MEDIAN INCOME. ALSO, LOWER LEVELS OF EDUCATION CONTRIBUTE TO UNEMPLOYMENT AND THE ABILITY TO EARN A LIVABLE WAGE. APPROXIMATELY 12% OF RESIDENTS AGE 25 AND OLDER IN WESTERN MASSACHUSETTS DO NOT HAVE A HIGH SCHOOL DIPLOMA, WITH THE HIGHEST RATES OBSERVED IN HAMPDEN COUNTY (16%). IN THE COMMUNITIES OF SPRINGFIELD, HOLYOKE, CHICOPEE, LUDLOW, WEST SPRINGFIELD AND PITTSFIELD, THERE IS A HIGHER PERCENTAGE OF ELIGIBLE INDIVIDUALS DO NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO STATEWIDE RATE.HEALTH NEW ENGLAND MAKES HEALTH CARE AVAILABLE IN THIS SERVICE AREA AND TO THIS POPULATION BY OFFERING HEALTH PLANS WHICH SERVE INDIVIDUALS AND SMALL GROUPS.HEALTH NEW ENGLAND OFFERS HEALTH PLANS TO INDIVIDUALS AND FAMILIES (BOTH DIRECTLY AND THROUGH THE MASSACHUSETTS HEALTH CONNECTOR) AND SMALL EMPLOYER GROUPS (EMPLOYERS WITH 50 OR FEWER EMPLOYEES).HEALTH NEW ENGLAND ALSO PROVIDES COVERAGE TO INDIVIDUALS AND FAMILIES THROUGH PLANS OFFERED BY EMPLOYERS WHICH HAVE MORE THAN 50 EMPLOYEES. THIS CATEGORY INCLUDES MANY MUNICIPAL EMPLOYEES WHO DO NOT OBTAIN COVERAGE THROUGH THE GIC, AND ALSO INCLUDES MANY EMPLOYEES OF HEALTH CARE AND NONPROFIT ORGANIZATIONS.MEDICARE:ENROLLEES AT 12/31/23: 11,166REVENUE: $127.7 MILLIONPROGRAM EXPENSES: $118.3 MILLIONHEALTH NEW ENGLAND SERVES MEDICARE ENROLLEES THROUGH HEALTH NEW ENGLAND MEDICARE ADVANTAGE PLANS.MEDICAID: ENROLLEES: 50,829REVENUE: $434.9 MILLIONPROGRAM EXPENSES: $404.2 MILLIONHEALTH NEW ENGLAND PARTICIPATES IN MASSHEALTH, THE MASSACHUSETTS MEDICAID PROGRAM, THROUGH A MEDICAID MANAGED CARE PLAN. THE NUMBER OF HEALTH NEW ENGLAND'S MEDICAID PLAN ENROLLEES HAS GENERALLY INCREASED SINCE 2010 WHEN HEALTH NEW ENGLAND BEGAN OFFERING SUCH PLANS. 917524083 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 3681 0 1 511 1 0 0 0 0 0 0 1 0 X 10 7 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X HEALTH NEW ENGLAND INC 4137874000 ONE MONARCH PLACE SPRINGFIELD MA 011441500 MARK A KEROACK MD CHAIR/DIRECTOR, PRES. & CEO BH 1.00 39.00 X X 0 2718608 42615 RICHARD SWIFT PRESIDENT & CEO 39.00 1.00 X X 1203119 0 371042 RAYMOND MCCARTHY TREASURER & DIRECTOR, SVP CFO BH 1.00 39.00 X X 0 1181243 24432 HARRIET DEVERRY DIRECTOR 1.00 0.00 X 0 0 0 KATHLEEN OESTREICH DIRECTOR 1.00 0.00 X 0 0 0 PIA FLANAGAN DIRECTOR 1.00 0.00 X 0 0 0 RICHARD BEAUCHAMP STEELE DIRECTOR 1.00 0.00 X 0 0 0 TANIA BARBER DIRECTOR 1.00 0.00 X 0 0 0 WENDOLYN BELL DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM WEBBER DIRECTOR 1.00 0.00 X 0 0 0 JODY GROSS VP OPS & GOVT OPS (TERM 4/8/2023) 40.00 0.00 X 800739 0 22023 LISA M COHEN CHIEF FINANCIAL OFFICER 40.00 0.00 X 578571 0 202947 KATE MCINTOSH VP & CHIEF MEDICAL OFFICER 40.00 0.00 X 579230 0 166097 CASEY J HOSSA CHIEF INFORMATION OFFICER 40.00 0.00 X 479542 0 149483 SUSAN O'CONNOR GENERAL COUNSEL 40.00 0.00 X 433578 0 133378 JASON RIO SR. DIR. REVENUE ASSUR. & RISK MGMT 40.00 0.00 X 287280 0 79896 JUDITH DANEK DIR OFFICE OF PRES & GOVT RELATIONS 39.00 1.00 X 169728 0 47154 LAURIE DORAN VP NETWORK MGMT & CORP STRATEGY 40.00 0.00 X 441575 0 0 TIMOTHY CHRYSTAL DIR. OF SALES & ACCT MGMT. 40.00 0.00 X 284293 0 111344 MICHAEL GAUVIN DIR. PROGRAM DVP. & MARKET INTEL. 40.00 0.00 X 288548 0 93565 TYLER HUTCHISON CHIEF ACTUARY 40.00 0.00 X 311241 0 68384 SEAN NOONE SR. DIRECTOR CHIEF OF OPERATIONS 40.00 0.00 X 284772 0 83456 MICHAEL FASO FORMER INTERIM CFO 39.00 1.00 X 248050 0 0 KEITH LEDOUX VP COMM. LOB & SALES (TERM 12/31/22) 39.00 1.00 X 193347 0 21524 6583613 3899851 1617340 176 1 1 0 OPTUMRX INC 9900 BREN RD MINNETONKA MN 55343 PHARMACY MANAGEMENT 252732697 UMASS MEMORIAL MEDICAL CENTER INC PO BOX 415353 BOSTON MA 02241 MEDICAL SERVICES 68530128 CARELON BEHAVIORAL HEALTH INC 5800 NORTHAMPTON BLVD NORFOLK VA 23502 MEDICAL SERVICES 57973912 BERKSHIRE MEDICAL CENTER 725 NORTH STREET PITTSFIELD MA 01201 MEDICAL SERVICES 40026857 THE MERCY HOSPITAL INC PO BOX 531870 ATLANTA GA 30353 MEDICAL SERVICES 36533018 519 MEDICAID PREMIUM 524114 434933660 434933660 COMMERCIAL LARGE GROUP 524114 226904137 226904137 COMMERCIAL SMALL GROUP 524114 190204067 190204067 MEDICARE PREMIUM 524114 127669082 127669082 DSRIP 524114 643734 643734 980354680 8248581 8248581 21968943 22023064 -54121 -54121 -54121 OPTUM GROWTH CREDIT 524114 2315667 2315667 RETROSPECTIVE RATED CO 524114 -83875 -83875 2231792 990780932 982586472 0 8194460 421150 421150 917102933 917102933 3885343 3885343 32035818 32035818 1620313 1620313 4254840 4254840 2412895 2412895 191907 191907 4160523 4160523 139884 139884 307962 307962 11599705 11599705 1249181 1249181 2452852 2452852 23754706 23754706 1569484 1569484 66875 66875 111190 111190 1340387 1340387 164492 164492 PBM FEES 3711543 3711543 REGULATORY FEES AND OTH 1891200 1891200 EXCHANGE ADMIN FEES 1858803 1858803 ASSOC DUES 353997 353997 73038 73038 1016731021 917524083 99206938 0 18357359 8868581 62698139 63688750 4269221 5129526 6324629 2107039 30963041 30124482 1877743 838559 172917096 179017069 7523904 8130852 18984094 27911712 292952185 295692088 173718411 200098289 27314755 30931918 201033166 231030207 X 91919019 64661881 91919019 64661881 292952185 295692088 X -25950089 1859649 -3166698 X X 0 1 X 1 0 373380 373380 0 26423333 25584774 838559 4166328 4166328 0 838559 HEALTH CARE RECEIVABLES 16154524 RECEIVABLES FROM SUBS 8260390 ACCRUED INVESTMENT RECEIVABLE 797309 OTHER RECEIVABLES 2699489 27911712 MEDICAL SUBSIDY PAYABLE 14670590 PREMIUMS RECEIVED IN ADVANCE 16103628 PAYABLE TO AFFILIATES 157700 30931918 990472970 0 990472970 307962 307962 990780932 1016423059 0 1016423059 307962 307962 1016731021 1 PARTNERS FOR A HEALTHIER COMMUNITY INC 127 STATE STREET 4TH FLOOR SPRINGFIELD MA 01103 043342182 501(C)(3) 45000 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION BERKSHIRE NURSING FAMILIES (BNF) 1 FENN STREET SUITE 201 PITTSFIELD MA 01201 043529643 501(C)(3) 50000 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION THE CARE CENTER 247 CABOT STREET HOLYOKE MA 01040 001095978 501(C)(3) 50000 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION WELLSPRING COOPERATIVE CORPORATION 143 MAIN STREET S MA 01105 465509253 501(C)(3) 50000 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION UNITED WAY OF PIONEER VALLEY 1441 MAIN STREET SUITE 147 S MA 01103 042152680 501(C)(3) 20000 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION ALIANZA DV SERVICES INC 208 RACE STREET HOLYOKE MA 01040 042716766 501(C)(3) 5400 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION BERKSHIRES TOMMOROW INC 1 FENN STREET SUITE 201 PITTSFIELD MA 01201 030572303 501(C)(3) 5400 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION BIG BROTHERS BIG SISTERS OF FRANKLIN COUNTY 16 COURT SQUARE GREENFEILD MA 01302 042491950 501(C)(3) 8000 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION CENTER FOR HUMAN DEVELOPMENT 332 BERNIE AVENUE SPRINGFIELD MA 01107 042503926 501(C)(3) 7500 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION COOLEY DICKINSON HOSPITAL PO BOX 329 NORTHHAMPTON MA 01061 222617175 501(C)(3) 7000 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION COMMUNITY LEGAL AID INC 370 MAIN ST WORCESTER MA 01608 042446242 501(C)(3) 7000 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION IT TAKES A VILLAGE 2 EAST MAIN STREET HUNTINGTON MA 01050 471394720 501(C)(3) 6500 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION LIFEPATH 101 MUNSON STREET SUITE 201 GREENFIELD MA 01301 042542539 501(C)(3) 5250 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION TAPESTRY HEALTH SYSTEMS INC 1985 MAIN STREET SUITE 202 SPRINGFIELD MA 01103 237303142 501(C)(3) 8500 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION THIRD SECTOR NEW ENGLAND INC 89 SOUTH STREET SUITE 700 BOSTON MA 02111 042261109 501(C)(3) 50000 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION VOLUNTEERS IN MEDICINE BERKSHIRE 774 MAIN STREET SUITE 4 GREAT BARRINGTON MA 01230 900140004 501(C)(3) 50000 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION WESTFIELD FOOD PANTRY 101 MEADOW STREET WESTFIELD MA 01085 043049616 501(C)(3) 7500 0 AWARDS IN ALIGNMENT WITH HEALTH NEW ENGLAND MISSION 17 0 PART I, LINE 2: HEALTH NEW ENGLAND'S COMMUNITY BENEFIT STRATEGY IS PLANNED, MANAGED AND MEASURED ORGANIZATIONAL APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS BASED OFF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, ALIGNING WITH HEALTH NEW ENGLAND'S POPULATION HEALTH STRATEGY, DIVERSITY, EQUITY, INCLUSION, BELONGING (DEIB) AND HEALTH EQUITY COMMITTE STRATEGIES WHILE COMPLYING WITH REGULATORY REQUIREMENTS. HEALTH NEW ENGLAND REVIEWS ALL REQUESTS FOR GRANT FUNDS THROUGH THE COMMUNITY BENEFITS COMMITTEE, WHICH VETS AND APPROVES ALL GRANT AWARDS. AWARDS ARE SUBSTANTIATED ACCORDING TO ALIGNMENT WITH THE HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT. IN 2023, HEALTH NEW ENGLAND PRIORITIZED ORGANIZATIONS THAT SUPPORT CHRONIC CONDITIONS, MENTAL HEALTH AND SUBSTANCE USE DISORDER, INFANT AND PERINATAL/MATERNAL HEALTH, FOOD INSECURITIES AND EDUCATION. ALL AWARDED ORGANIZATIONS ARE CONTACTED THROUGHOUT THE YEAR. ORGANIZATIONS ARE REQUIRED TO CONFIRM USE OF HEALTH NEW ENGLAND'S GRANT FUNDS AND SUBMIT A YEAR END REPORT. COMMUNITY IMPACT DATA IS THE BASIS OF REPORTS FOR THE HEALTH NEW ENGLAND BOARD OF DIRECTORS AND ATTORNEY GENERAL COMMUNITY BENEFITS ANNUAL REPORT. X X X X X 1 1 0 0 0 1 1 1 0 MARK A KEROACK MD CHAIR/DIRECTOR, PRES. & CEO BH 0 1487186 0 683230 0 548192 0 23100 0 19515 0 2761223 0 4275 RICHARD SWIFT PRESIDENT & CEO 805783 0 387784 0 9552 0 352094 0 18948 0 1574161 0 387784 0 RAYMOND MCCARTHY TREASURER & DIRECTOR, SVP CFO BH 0 709330 0 234559 0 237354 0 22563 0 1869 0 1205675 0 4275 JODY GROSS VP OPS & GOVT OPS (TERM 4/8/2023) 159334 0 148708 0 492697 0 13753 0 8270 0 822762 0 0 0 LISA M COHEN CHIEF FINANCIAL OFFICER 403434 0 165585 0 9552 0 168596 0 34351 0 781518 0 165585 0 KATE MCINTOSH VP & CHIEF MEDICAL OFFICER 389711 0 179967 0 9552 0 149500 0 16597 0 745327 0 0 0 CASEY J HOSSA CHIEF INFORMATION OFFICER 337750 0 141792 0 0 0 132699 0 16784 0 629025 0 0 0 SUSAN O'CONNOR GENERAL COUNSEL 305296 0 117360 0 10922 0 108537 0 24841 0 566956 0 0 0 LAURIE DORAN VP NETWORK MGMT & CORP STRATEGY 441575 0 0 0 0 0 0 0 0 0 441575 0 0 0 TIMOTHY CHRYSTAL DIR. OF SALES & ACCT MGMT. 167849 0 115597 0 847 0 103236 0 8108 0 395637 0 0 0 MICHAEL GAUVIN DIR. PROGRAM DVP. & MARKET INTEL. 177035 0 111513 0 0 0 93304 0 261 0 382113 0 0 0 TYLER HUTCHISON CHIEF ACTUARY 270098 0 41143 0 0 0 59027 0 9357 0 379625 0 0 0 SEAN NOONE SR. DIRECTOR CHIEF OF OPERATIONS 247109 0 37663 0 0 0 58897 0 24559 0 368228 0 0 0 JASON RIO SR. DIR. REVENUE ASSUR. & RISK MGMT 243366 0 42753 0 1161 0 55306 0 24590 0 367176 0 0 0 MICHAEL FASO FORMER INTERIM CFO 248050 0 0 0 0 0 0 0 0 0 248050 0 0 0 JUDITH DANEK DIR OFFICE OF PRES & GOVT RELATIONS 149639 0 19443 0 646 0 24600 0 22554 0 216882 0 19443 0 KEITH LEDOUX VP COMM. LOB & SALES (TERM 12/31/22) 82107 0 109648 0 1592 0 16500 0 5024 0 214871 0 109648 0 PART I, LINES 4A-B MARK A. KEROACK, MD - SUPPLEMENTAL RETIREMENT OF $431,879 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $427,604 EARNED AND PAID IN 2023 AND $4,275 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. RAYMOND MCCARTHY - SUPPLEMENTAL RETIREMENT OF $189,906 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $185,631 EARNED AND PAID IN 2023 AND $4,275 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $4,950 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2023. DURING 2023 JODY GROSS RECEIVED SEVERANCE FROM HEALTH NEW ENGLAND, INC IN THE AMOUNT OF $488,136. PART I, LINE 6 CERTAIN EMPLOYEES OF HEALTH NEW ENGLAND, INC ARE ELIGIBLE FOR BONUSES IN PART BASED ON NET EARNINGS, EMPLOYEES RECEIVE A PERCENTAGE OF THE EXCESS REVENUES WHEN TARGET UNDERWRITING MARGINS ARE EXCEEDED. CERTAIN EMPLOYEES OF HEALTH NEW ENGLAND, INC ARE ALSO ELIGIBLE FOR A BONUS BASED ON THE PERFORMANCE OF BAYSTATE HEALTH, INC. PART I, LINE 7 CERTAIN EMPLOYEES OF HEALTH NEW ENGLAND, INC ARE ELIGIBLE FOR BONUSES IN PART BASED ON NUMBERS OF MEMBERS BY LINES OF BUSINESSES, QUALITY MEASURES, ACHIEVEMENT OF MEDICARE STAR RATINGS, NCQA EVALUATION, MEDICAID QUALITY AND PERFORMANCE AND QUALITY STANDARDS AROUND POPULATION HEALTH ALONG WITH OTHER OPERATIONAL METRICS OF PERFORMANCE. SCHEDULE J, PART I, LINE 3 HEALTH NEW ENGLAND, INC USES AN INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, AND APPROPRIATE COMPARABILITY DATA AND APPROVAL BY THE COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF ITS KEY OFFICERS, DIRECTORS, AND EMPLOYEES. GINLILL LLC OWNED BY MICHAEL FASO 248050 DURING THE 2023 TAX REPORTING PERIOD, GINLILL, LLC PROVIDED HEALTH NEW ENGLAND, INC. WITH DATA MODERNIZATION AND CORE SYSTEM UPGRADE SERVICES. 0 FORM 990, PART III, LINE 2 IN 2023, HEALTH NEW ENGLAND FUNDED PROGRAMS THAT SERVED THE NEEDS OF SPECIFIC VULNERABLE AND LOW-INCOME COMMUNITIES WITHIN OUR SERVICE AREA AND ALIGN WITH THE HEALTH PRIORITIES AND SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH AS IDENTIFIED BY THE 2022 CHNA. IN 2023, HEALTH NEW ENGLAND FURTHER ADVANCED EXISTING MULTIYEAR COMMITMENTS TO ORGANIZATIONS THROUGH THE WHERE HEALTH MATTERS GRANT PROGRAM, WITH $250,000 ADDITIONAL GRANT FUNDS. BERKSHIRES NURSING FAMILIES (BNF) RECEIVED $50,000 IN FUNDING TO SUPPORT THE "INVESTING IN LACTATION SUPPORT FOR FAMILIES OF COLOR AND BLACK BIRTHING SUPPORT IN THE BERKSHIRES." OVER THE NEXT YEAR, BNF WILL PROVIDE ACCESS TO CULTURALLY RELEVANT AND RESPONSIVE PERINATAL HEALTH SUPPORTS FOR BIRTHING PEOPLE OF COLOR AND INFANTS OF COLOR IN BERKSHIRE COUNTY. (YEAR 1 OUT OF 1) GARDENING THE COMMUNITY (GTC) RECEIVED $50,000 IN FUNDING TO SUPPORT THE "USE HIP, GET HEALTHY". OVER THE NEXT YEAR, GTC WILL FORMALIZE OUTREACH STRATEGIES AND STRENGTHEN ORGANIZATIONAL PARTNERSHIPS TO DEVELOP A CITYWIDE SYSTEMS APPROACH TO HEALTHY INCENTIVE PROGRAM (HIP) OUTREACH. ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO: 1) HIRING A HIP OUTREACH MANAGER AND SIX RESIDENT PEER HIP EDUCATORS (3 BILINGUAL); 2) EDUCATING PARENT LIAISONS AT SPRINGFIELD AND HOLYOKE ELEMENTARY SCHOOLS; 3) IDENTIFYING 35 AGENCIES TO RECEIVE HIP TRAININGS; AND 4) HOSTING BIWEEKLY POP-UP PRODUCE MARKETS AT BRIGHTWOOD AND CARING HEALTH CENTERS, SQUARE ONE, AND SUMMER MEAL DISTRIBUTION SITES. (YEAR 1 OUT OF 1) VOLUNTEERS IN MEDICINE BERKSHIRES (VIM) RECEIVED $50,000 IN FUNDING TO SUPPORT THE "TRAINING FOR TRAUMA-INFORMED CARE AND BUILDING A MEDICAL/LEGAL/BEHAVIORAL HEALTH CARE MODEL." OVER THE NEXT YEAR, VIM WILL IMPROVE HEALTH OUTCOMES AND REDUCE HEALTH CARE COSTS BY PROVIDING INTEGRATED MEDICAL, BEHAVIORAL, SOCIAL AND LEGAL SERVICES AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH FOR BERKSHIRE COUNTY IMMIGRANTS. (YEAR 1 OUT OF 1) THE CARE CENTER RECEIVED $150,000 IN FUNDING OVER 3 YEARS TO PROVIDE A STABLE, INSPIRING, AND SAFE HOME FOR YOUNG FAMILIES BY SUPPORTING YOUNG MOTHERS IN THE PROCESS OF ATTAINING THEIR COLLEGE DEGREE. IN MAY OF 2023, THE CARE CENTER DISCONTINUED THEIR PARTNERSHIP WITH WAY FINDERS, AND DEVELOPED A NEW PARTNERSHIP WITH HOLYOKE HOUSING AUTHORITY. THE CARE CENTER HAS RECEIVED TEN HOUSING VOUCHERS, WITH TWO CARE CENTER STUDENTS AND THEIR FAMILIES MOVED INTO THEIR NEW HOMES. (YEAR 3 OUT OF 3) WELLSPRING RECEIVED $150,000 IN FUNDING OVER 3 YEARS TO SUPPORT THE "GO FRESH MOBILE MARKET PROGRAM". GO FRESH MARKET WILL 1) DOUBLE THE NUMBER OF PEOPLE IT PROVIDES ACCESS TO FRESH, HEALTHY, LOCAL FOODS; 2) ENACT A PILOT PROGRAM TO EXPAND THE GO FRESH FARMERS MARKET THROUGHOUT WINTER PROVIDING YEAR-ROUND ACCESS TO HEALTH FOODS; 3) PARTNER WITH LOCAL HEALTH CLINICS TO ESTABLISH A FOOD REFERRAL PROGRAM THAT MEETS THE NEEDS OF PATIENTS WITH CHRONIC CONDITIONS THROUGH EDUCATION AND ACCESS TO HEALTHY FOODS; AND 4) CONTINUE TO SUPPORT MINORITY AND IMMIGRANT FARMERS VIA THE WELLSPRING HARVEST GREENHOUSE PROGRAM IN THE INDIAN ORCHARD NEIGHBORHOODS. (YEAR 3 OUT OF 3) IN 2023, HEALTH NEW ENGLAND AWARDED $97,500 IN DEIB MINI GRANTS TO 18 LOCAL NON-PROFIT ORGANIZATIONS (AVERAGE GRANT $5,400) TO SUPPORT PROGRAMS THAT ADDRESS MENTAL HEALTH AND COMBATTING THE OPIOID CRISIS. EACH PROGRAM FOCUSED ON BOTH HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. IN 2023, HEATLH NEW ENGLAND AWARDED CLINICAL & SUPPORT OPTIONS (CSO) $10,000 GRANT TO SUPPORT THEIR FRIENDS OF THE HOMELESS (FOH) PROGRAM. FUNDS FROM THE GRANT HELPED IMPROVE THE FOOD QUALITY AND NUTRITIONAL VALUE OF THE CRITICAL MEALS BEING SERVED AT THE FOH EMERGENCY SHELTER PROGRAM IN SPRINGFIELD, MA. FOH SERVES UNHOUSED OR HOUSING INSECURE, LOW INCOME ADULT INDIVIDUALS IN THE GREATER SPRINGFIELD AREA, AND IN 2023 SERVED OVER 160,000 HOT NUTRITIOUS MEALS. IN 2023, HEALTH NEW ENGLAND AWARDED INDIAN ORCHARD CITIZENS COUNCIL WITH A $20,000 PLANNNING GRANT TO SUPPORT THEIR HEALTH EQUITY AND ACCESS PROGRAM MOTHERS OF COLOR MATERNAL HEALTH PROGRAM (HEAP). THE GOAL OF THE HEAP PLANNING GRANT IS TO DEVELOP FOUNDATIONAL COMMUNITY INITIATIVE CAPABLE OF SUPPORTING FAMILY AND COMMUNITY ENGAGEMENT NEEDS OF NEW AND EXPECTANT MOTHERS OF COLOR AND FAMILIES OF INDIAN ORCHARD. THE PUBLIC HEALTH INSTITUTE OF WESTERN MA RECEIVED $45,000 TO HELP PROVIDE INFRASTUCTURE SUPPORT TO THE REGION IN A VARIETY OF AREAS, INCLUDING CONVENING MULTI-SECTOR PARTNERSHIPS; DESIGN AND IMPLEMENTATION OF HEALTH PROGRAMS TARGETED TO ENTIRE POPULATIONS; POLICY ADVOCACY AND RESEARCH AND EVALUATION. THE UNITED WAY OF PIONEER VALLEY RECEIVED A $20,000 GRANT TO SUPPORT THEIR CHICOPEE, HOLYOKE AND SPRINGFIELD SERVICE CENTERS THAT PROVIDE BASIC NEEDS AND FINANCIAL WELLNESS TO COMMUNITY MEMBERS. FORM 990, PART VI, SECTION A, LINE 2 TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990, PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN AN EMPLOYMENT RELATIONSHIPS WITH ONE OR MORE ENTITIES WITHIN THE NETWORK OF AFFILIATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 AS A MASSACHUSETTS NONPROFIT ORGANIZATION, HEALTH NEW ENGLAND, INC. HAS NO STOCKHOLDERS AND ONE LEGAL MEMBER - BAYSTATE HEALTH, INC. HEALTH NEW ENGLAND, INC. REFERS TO ITS ENROLLEES AS "MEMBERS", BUT HEALTH NEW ENGLAND, INC.'S ORGANIZATIONAL DOCUMENTS AND BY LAWS GIVE ENROLLEES NO ORGANIZATIONAL MEMBERSHIP STATUS FROM A LEGAL PERSPECTIVE. FORM 990, PART VI, SECTION A, LINE 7A BAYSTATE HEALTH, INC. IS THE SOLE MEMBER OF HEALTH NEW ENGLAND, INC. CONSEQUENTLY, BAYSTATE HEALTH HAS FINAL AUTHORITY ON ALL APPOINTMENTS AND ELECTIONS TO THE HEALTH NEW ENGLAND, INC BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE HEALTH NEW ENGLAND, INC. ("HNE") GOVERNANCE COMMITTEE (THE "COMMITTEE") IS MADE UP OF MEMBERS OF THE HNE BOARD OF DIRECTORS AND THE HNE GENERAL COUNSEL, WHO SERVES IN AN ADVISORY, NON-VOTING CAPACITY. THE COMMITTEE IS RESPONSIBLE FOR OVERSEEING AND MAKING RECOMMENDATIONS ON MATTERS AFFECTING THE GOVERNANCE OF HNE AND ITS AFFILIATES, CONSISTENT WITH THE HNE BYLAWS. THE PRINCIPAL ACTIVITIES OF THE COMMITTEE ARE TO DEVELOP AND RECOMMEND TO THE BOARD PROCEDURES AND POLICIES DESIGNED TO PROVIDE FOR EFFECTIVE AND EFFICIENT GOVERNANCE, INCLUDING BUT NOT LIMITED TO: EVALUATION OF THE BOARD AND THE BOARD CHAIR; RECRUITMENT AND RECOMMENDATION OF CANDIDATES FOR BOARD MEMBERSHIP; BOARD ORIENTATION AND EDUCATION; SUCCESSION PLANNING FOR THE BOARD CHAIR AND OTHER BOARD LEADERS AND PERIODIC REVIEW AND AMENDMENT OF COMMITTEE CHARTERS AND CORPORATE BY LAWS AS NEEDED. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO THE FILING OF THIS RETURN APPROPRIATE PARTS OF THIS FORM 990 WERE REVIEWED BY REPRESENTATIVES FROM THE FINANCE AND LEGAL DEPARTMENTS OF HEALTH NEW ENGLAND, INC., SOME OF WHOM ARE OFFICERS OF THE FILING ORGANIZATION. THE ENTIRE RETURN WAS REVIEWED BY A TAX EXPERT FROM AN OUTSIDE ACCOUNTING FIRM. THE ENTIRE RETURN WAS SENT OUT TO THE BOARD OF DIRECTORS AND OFFICERS OF HEALTH NEW ENGLAND, INC. FOR COMMENT AND REVIEW. FORM 990, PART VI, SECTION B, LINE 12C HEALTH NEW ENGLAND, INC. HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES OF HEALTH NEW ENGLAND AND ITS AFFILIATES ARE ASKED TO COMPLETE AN ANNUAL "CONFLICT OF INTEREST" DISCLOSURE SURVEY. WE USE AN ELECTRONIC DATABASE TO RECEIVE AND MANAGE ALL ANNUAL CONFLICT OF INTEREST SUBMISSIONS. THIS INFORMATION IS REVIEWED BY THE HEALTH NEW ENGLAND DIRECTOR OF COMPLIANCE AND SHARED WITH THE HNE COMPLIANCE COMMITTEE. POTENTIAL CONFLICT OF INTEREST ARE REVIEWED AS APPROPRIATE UNDER THE POLICY, WHICH PROVIDES FOR RECUSAL FROM DISCUSSION AND DELIBERATION BY ANY PARTY WITH A POTENTIAL CONFLICT OF INTEREST AND WELL AS OTHER PERTINENT MANAGEMENT ACTIONS. HEALTH NEW ENGLAND EMPLOYEES ALSO SIGN AN ANNUAL STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY; AND (C) HAS AGREED TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE PRESIDENT AND CEO AND OF OTHER KEY OFFICERS IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS (KORN FERRY/HAY GROUP) FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF HEALTH NEW ENGLAND, INC. AND ALL SUCH DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST AND AT MANAGEMENT'S DISCRETION FORM 990, PART XI, LINE 9: CHANGE IN NON ADMITTED ASSETS -3,166,698. FORM 990, PART XII, LINE 1: THE AUDITED FINANCIAL STATEMENTS ARE BASED ON INSURANCE STATUTORY ACCOUNTING PRINCIPLES (SAP) PROMULGATED BY THE ACCOUNTING PRACTICES AND PROCEDURES TASK FORCE UNDER THE AUSPICES OF THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC). THIS FORM OF ACCOUNTING IS TYPICALLY LOOKED UPON AS MORE CONSERVATIVE THAN ACCRUAL ACCOUNTING WITHOUT QUITE BEING CASH BASIS. THE ACCOMPANYING STATUTORY BASIS FINANCIAL STATEMENTS HAVE BEEN PREPARED IN ACCORDANCE WITH NAIC STATEMENTS OF STATUTORY ACCOUNTING PRINCIPLES (SSAP) AND IN ACCORDANCE WITH STATUTORY ACCOUNTING PRACTICES (SAP) PRESCRIBED BY THE STATE OF MASSACHUSETTS, WHICH IS A COMPREHENSIVE BASIS OF ACCOUNTING OTHER THAN U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). SUCH PRACTICES VARY FROM GAAP PRINCIPALLY AS FOLLOWS: INVESTMENTS - FOR STATUTORY, INVESTMENTS IN BONDS ARE REPORTED AT AMORTIZED COST OR FAIR VALUE BASED ON THEIR NAIC RATING. FOR GAAP PURPOSES, SUCH FIXED MATURITY INVESTMENTS WOULD BE DESIGNATED AT PURCHASE AS HELD-TO-MATURITY TRADING OR AVAILABLE FOR SALE. HELD-TO-MATURITY FIXED INVESTMENTS WOULD BE REPORTED AT AMORTIZED COST AND THE REMAINING FIXED MATURITY INVESTMENTS WOULD BE REPORTED AT FAIR VALUE. FOR STATUTORY PURPOSES, UNREALIZED GAINS AND LOSSES ON INVESTMENTS ARE EXCLUDED FROM NET INCOME AND REPORTED AS AN INCREASE OR DECREASE IN CAPITAL AND SURPLUS. DECREASES IN FAIR VALUE THAT ARE DETERMINED BY MANAGEMENT TO BE OTHER THAN TEMPORARY ARE REPORTED AS REALIZED LOSSES. THE ORGANIZATION HAS ELECTED THE FAIR VALUE OPTION FOR CERTAIN OF ITS INVESTMENTS. ALL SINGLE CLASS AND MULTI CLASS MORTGAGE BACKED/ASSET BACKED SECURITIES (E.G. CMOS) ARE ADJUSTED FOR THE EFFECTS OF CHANGES IN PREPAYMENT ASSUMPTIONS ON THE RELATED ACCRETION OF DISCOUNT OR AMORTIZATION OF PREMIUM OF SUCH SECURITIES USING PROSPECTIVE METHOD. IF IT IS DETERMINED THAT A DECLINE IN FAIR VALUE IS OTHER THAN TEMPORARY, THE COST BASIS OF THE SECURITY IS WRITTEN DOWN TO THE PRESENT VALUE OF ESTIMATED FUTURE CASH FLOWS USING THE ORIGINAL EFFECTIVE INTEREST RATE INHERENT IN THE SECURITY. NON ADMITTED ASSETS - CERTAIN ASSETS ARE DESIGNATED AS NON- ADMITTED. THESE ASSETS (WHICH ARE PRINCIPALLY ELECTRONIC DATA PROCESSING EQUIPMENT, PREPAID ITEMS, CERTAIN HEALTH RECEIVABLES, RECEIVABLES OVER 90 DAYS PAST DUE AND NON-AUDITED EQUITY VALUE OF SUBSIDIARIES) ARE EXCLUDED FROM THE ACCOMPANYING STATEMENTS OF ADMITTED ASSETS, LIABILITIES AND CAPITAL AND SURPLUS. THESE ITEMS ARE CHARGED DIRECTLY TO UNASSIGNED SURPLUS. UNDER GAAP, SUCH ASSETS ARE INCLUDED IN THE BALANCE SHEET, TO THE EXTENT THEY ARE NOT IMPAIRED. 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