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TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION INC (EIN 04-2674079)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202213199349316546
Schema version
2021v4.2
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)
Return2022-11-15T13:20:30-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SEAPORT BLVD SUITE 500AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042674079EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TUFTS ASSOCIATED HEALTH MAINTENANCEBusinessNameLine1Txt
Business Name Line2ORGANIZATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% UMESH KURPADInCareOfNm
Business Name ControlTUFTBusinessNameControlTxt
Phone6179729400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Wellness WayAddressLine1Txt
CityCANTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP020211166ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRoland PricePersonNm
Person TitleTreasurerPersonTitleTxt
Phone6179729400PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRolandPersonFirstNm
Person LastPricePersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGwen SpencerPreparerPersonNm
PTINP00641463PTIN
Phone6175305000PhoneNum
Preparation2022-11-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCAIN HAYESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Wellness WayAddressLine1Txt
CityCANTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP020211166ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,340,219,901GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresswww.tuftshealthplan.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee582TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$15,882TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,798,892,444PYProgramServiceRevenueAmt
CY Program Service Revenue$2,773,179,809CYProgramServiceRevenueAmt
PY Investment Income$6,874,502PYInvestmentIncomeAmt
CY Investment Income$251,224,432CYInvestmentIncomeAmt
PY Other Revenue$173,929PYOtherRevenueAmt
CY Other Revenue-$15,882CYOtherRevenueAmt
PY Total Revenue$2,805,940,875PYTotalRevenueAmt
CY Total Revenue$3,024,388,359CYTotalRevenueAmt
PY Grants And Similar Paid$1,368,300PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$370,729CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$2,342,741,469PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$2,435,767,392CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$35,313,882PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$37,824,322CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$347,922,679PYOtherExpensesAmt
CY Other Expenses$330,636,708CYOtherExpensesAmt
PY Total Expenses$2,727,346,330PYTotalExpensesAmt
CY Total Expenses$2,804,599,151CYTotalExpensesAmt
PY Revenues Less Expenses$78,594,545PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$219,789,208CYRevenuesLessExpensesAmt
Total Assets BOY$1,595,190,090TotalAssetsBOYAmt
Total Assets EOY$1,424,293,869TotalAssetsEOYAmt
Total Liabilities BOY$856,319,769TotalLiabilitiesBOYAmt
Total Liabilities EOY$571,612,199TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$738,870,321NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$852,681,670NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$984,256,877ExpenseAmt
Grant$147,301GrantAmt
Revenue$1,101,864,571RevenueAmt
DescCOMMERCIAL HMO PRODUCT. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,309,236,798ExpenseAmt
Grant$193,224GrantAmt
Revenue$1,445,380,082RevenueAmt
DescMASSACHUSETTS MEDICARE PRODUCT. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$198,157,708ExpenseAmt
Grant$29,308GrantAmt
Revenue$219,234,006RevenueAmt
DescMEDICAID AFFORDABLE CARE DUAL-ELIGIBLE PROGRAM. SEE SCHEDULE O.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$5,052,135ExpenseAmt
Grant$896GrantAmt
Revenue$6,701,150RevenueAmt
DescMEDICARE COMPLEMENTDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$5,052,135TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$896TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$6,701,150TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,496,703,518TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document12980IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee582EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonUMESH KURPADPersonNm
Phone6179729400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 WELLNESS WAYAddressLine1Txt
CityCANTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP020211166ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Thomas Croswell
CEO (END 7/5)10.040.0Yes (X)Yes (X)$0$4,802,173$382,060
Michael Carson
President (END 10/1)10.040.0Yes (X)$0$4,662,676$73,735
Marc Spooner
COO (END 10/3)12.537.5$0$3,585,084$202,066Yes (X)
Patricia Trebino
SVP,COO END1/4, END officer1/125.015.0$0$2,714,882$132,256Yes (X)
Mary Mahoney
Clerk(end 1/1);SVP&CLO(END1/4)22.527.5$0$2,277,009$466,582Yes (X)
Cynthia Ring
CPO (END 9/3)12.537.5$0$2,375,924$108,114Yes (X)
Marc Backon
Pres, Com Products (END 1/4)15.035.0$0$2,074,641$130,127Yes (X)
Paul Kasuba
SVP, CMO (END 1/4)25.025.0$0$2,068,497$124,507Yes (X)
Lydia Greene
SVP,Chf HR Officer (END 1/4)22.527.5$0$1,815,530$344,633Yes (X)
Umesh Kurpad
Treas. end 7/5 CFO (start 7/5)10.040.0Yes (X)$0$1,763,169$178,125
Cain Hayes
CEO start 7/5 Pres&CEO st 10/110.040.0Yes (X)Yes (X)$0$1,468,014$80,030
Tisa Hughes
Clerk;Sec START 7/5; CLO10.040.0Yes (X)$0$1,445,176$79,942
Tracey Carter
SVP, Chief Actuary12.537.5$0$1,074,937$272,259Yes (X)
Patricia Blake
Senior Vice President, Preside17.532.5$0$1,075,435$243,190Yes (X)
Michael Sherman
Chief Medical Officer12.537.5$0$1,131,701$148,599Yes (X)
Richard Weisblatt
SVP, Integration Mgmt Officer12.537.5$0$1,034,835$87,020Yes (X)
JEAN YANG
FORMER OFFICER (ENDED 6/2018)10.040.0$0$777,090$126,106Yes (X)
DEREK ABRUZZESE
FORMER OFFICER (ENDED 6/2018)12.537.5$0$592,590$208,008Yes (X)
KRISTIN LEWIS
FORMER OFFICER (ENDED 6/2018)10.040.0$0$581,178$166,809Yes (X)
Susan Kee
VP, Deputy General Counsel10.040.0$0$574,283$91,297Yes (X)
Roland Price
Treasurer (start 7/5)0.040.0Yes (X)$0$524,716$115,448
Patricia Howard
COO (start 11/15)12.537.5$0$190,873$25,727Yes (X)
Gregory D Tranter
Director & Vice Chair1.03.0Yes (X)Yes (X)$0$92,625$0
Joyce Murphy
Director, Chair1.05.0Yes (X)Yes (X)$0$90,000$0
Eileen Auen
Director1.03.0Yes (X)$0$83,000$0
Bertram L Scott
Director1.05.0Yes (X)$0$77,375$0
Hedwig Veith Whitney
Director1.03.0Yes (X)$0$71,625$0
Michael J McColgan
Director1.03.0Yes (X)$0$66,333$0
Irina Simmons
Director1.03.0Yes (X)$0$64,375$0
Todd Whitbeck
Director1.03.0Yes (X)$0$60,000$0
Greg Shell
Director1.05.0Yes (X)$0$59,000$0
Thomas O'Neill III
Director1.05.0Yes (X)$0$58,375$0
Michael Shea
Director1.03.0Yes (X)$0$55,625$0
Myechia Minter-Jordan MD
Director1.03.0Yes (X)$0$52,625$0
Raymond Pawlicki
Director1.03.0Yes (X)$0$51,000$0
Scott Hartz
Director0.51.5Yes (X)$0$50,000$0
Charlotte Golar Richie
Director (END 1/1)0.02.0Yes (X)$5,000$5,000$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$38,876,038TotReportableCompRltdOrgAmt
Total Other Compensation$3,786,640TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K87IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NTT DATA INC
100 City SquareBOSTONMA02129Outside Labor$7,845,997
CGI TECHNOLOGIES SOLUTIONS
11325 Random Hills RoadFAIRFAXVA22030Outside Labor$5,345,269
DELOITTE CONSULTING LLP
200 BERKLEY STREETBOSTONMA02116Consulting$3,341,796
CONCENTRIX SOLUTIONS
44111 NOBEL DRIVEFREEMONTCA94538OUTSOURCING$2,640,546
MAGELLAN BEHAVIORAL HEALTH
P O BOX 785341PHILADELPHIAPA19178OUTSOURCING$1,548,703
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K40CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
COMMERCIAL524114$1,101,864,571$1,101,864,571
MEDICARE524114$1,445,380,082$1,445,380,082
MEDICAID524114$219,234,006$219,234,006
MEDICARE COMPLEMENT524114$6,701,150$6,701,150
FieldValueIRS element (for citing)
Total Program Service Revenue$2,773,179,809TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,456,257TotalRevenueColumnAmt
Exclusion$16,456,257ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$22RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$15,904RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$15,882RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$15,882TotalRevenueColumnAmt
Unrelated Business Revenue-$15,882UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,550,583,813SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,315,815,638SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$234,768,175SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$234,768,175TotalRevenueColumnAmt
Exclusion$234,768,175ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,024,388,359TotalRevenueColumnAmt
Related Or Exempt Func Income$2,773,179,809RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$15,882UnrelatedBusinessRevenueAmt
Exclusion$251,224,432ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$370,729TotalAmt
Program Services$370,729ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$2,435,767,392TotalAmt
Program Services$2,435,767,392ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,215,027TotalAmt
Program Services$29,215,027ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,609,295TotalAmt
Program Services$8,609,295ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$177,219,598TotalAmt
Management And General$177,219,598ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,106,210TotalAmt
Management And General$1,106,210ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$230,989TotalAmt
Program Services$184,791ProgramServicesAmt
Management And General$46,198ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$8,357,484TotalAmt
Management And General$8,357,484ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$66,609,916TotalAmt
Program Services$0ProgramServicesAmt
Management And General$66,609,916ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,321,897TotalAmt
Program Services$8,257,518ProgramServicesAmt
Management And General$2,064,379ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,381,067TotalAmt
Management And General$8,381,067ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,744,798TotalAmt
Program Services$2,995,838ProgramServicesAmt
Management And General$748,960ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,548,889TotalAmt
Management And General$4,548,889ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$304,567TotalAmt
Management And General$304,567ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$140,264TotalAmt
Program Services$140,264ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$8,025TotalAmt
Program Services$6,420ProgramServicesAmt
Management And General$1,605ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,868,729TotalAmt
Management And General$33,868,729ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
IMO ALLOCATION$26,098,124$20,847,245$5,250,879
COB FEES$4,399,386$3,519,509$879,877
OOA DISCOUNTS$2,842,358$2,273,886$568,472
ASSESSMENT$1,400,128$1,400,128

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$18,945,721TotalAmt
Program Services-$15,484,396ProgramServicesAmt
Management And General-$3,461,325ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,804,599,151TotalAmt
Program Services$2,496,703,518ProgramServicesAmt
Management And General$307,895,633ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$30,297,361BOYAmt
EOY-$8,488,193EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,595,502BOYAmt
EOY$27,669,382EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$281,895,095LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$83,597,213LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$272,074,795BOYAmt
EOY$198,297,882EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,023,629,946BOYAmt
EOY$863,071,881EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$127,670,832BOYAmt
EOY$175,095,115EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$133,921,654BOYAmt
EOY$168,647,802EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,595,190,090BOYAmt
EOY$1,424,293,869EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$165,376,908BOYAmt
EOY$203,087,951EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$28,511,671BOYAmt
EOY$61,565,766EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$375,291,683BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$287,139,507BOYAmt
EOY$306,958,482EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$856,319,769BOYAmt
EOY$571,612,199EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$738,870,321BOYAmt
EOY$852,681,670EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$738,870,321BOYAmt
EOY$852,681,670EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,595,190,090BOYAmt
EOY$1,424,293,869EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$219,789,208ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$105,977,859OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,973,700OtherCostOrOtherBasisAmt
Book Value$32,973,700BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$148,987,292OtherCostOrOtherBasisAmt
Depreciation$3,876,377DepreciationAmt
Book Value$145,110,915BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,934,103OtherCostOrOtherBasisAmt
Depreciation$79,720,836DepreciationAmt
Book Value$20,213,267BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$198,297,882TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (5 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN P32HS$66,167,851C
INVESTMENT IN INTEGRA$58,859,110C
INVESTMENT IN CP HOLDINGS$5,738,032C
COMMON STOCKS - INTEGRA$19,771,017F
COMMON STOCK - CP HOLDINGS$24,559,105F
FieldValueIRS element (for citing)
Total Book Value Securities$175,095,115TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDescBook ValueBookValueAmt
INTEREST RECEIVABLE$928,970
HEALTHCARE AR$76,689,325
OTHER RECEIVABLES$3,005,702
DUE FROM THPI$4,273,983
DUE FROM CAREPARTNERS$1,318,970
DUE FROM TBA$14,018,564
ACCRUED RETROSPECTIVE PREMIUMS$67,037,920
DUE FROM HPHC$12,567
DUE FROM THPP$1,361,801
FieldValueIRS element (for citing)
Total Book Value Other Assets$168,647,802TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
CLAIMS UNPAID$248,904,871
DUE TO HC$39,945,113
DUE TO TICO$18,108,122
DUE TO THP FOUNDATION$176
DUE TO P32H$200
FieldValueIRS element (for citing)
Total Liability$306,958,482TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,016,046,757TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$3,016,046,757RevenueSubtotalAmt
Investment Expenses Not Incld$8,357,484InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$15,882OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$8,341,602RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,024,388,359TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,796,241,667TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$2,796,241,667ExpensesSubtotalAmt
Investment Expenses Not Incld2$8,357,484InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$8,357,484ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,804,599,151TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE D, PART X, LINE 2ASC 740 (FKA FIN 48) FOOTNOTE Point32Health, Inc.(P32H), Tufts Associated Health Maintenance Organization, Inc., Tufts Public Health Plans, Inc., and Harvard Pilgrim Health Care of New England, Inc., are exempt from federal income taxes under Section 501(c)(4) of the Internal Revenue Code ("IRC"). Harvard Pilgrim Health Care, Inc., Harvard Pilgrim Health Care Foundation, Inc., and Tufts Health Plan Foundation, Inc. are recognized as tax-exempt organizations under IRC Section 501(c)(3). The Harvard Pilgrim Health Care Institute, LLC is a disregarded entity for federal income tax purposes, and therefore, follows the tax-exempt status of Harvard Pilgrim Health Care, Inc. as its sole corporate member. Accordingly, no provision for federal income taxes has been made in the accompanying combined financial statements. The Company believes that the positions taken on its income tax returns for open tax years will be sustained upon examination by the Internal Revenue Service ("IRS"). Therefore, P32H has not recorded any liability for uncertain tax positions under ASC 740, Income Taxes. As of December 31, 2021, there are no unrecognized tax benefits, and the Company does not anticipate any significant changes in the amount of unrecognized tax benefits during the next twelve months.
FORM 990, SCHEDULE D, PART XI, LINE 4BRECONCILIATION OF REVENUE PER AUDITED FINANCIAL STMTS WITH REVENUE PER 990 SCHEDULE D, PART XI, LINE 4B RENTAL LOSS NOT INCLUDED IN FINANCIAL STATEMENTS ($15,882)

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Advocates Inc
1881 Worcester RoadFraminghamMA01701237451423501(c)(3)$10,000N/AN/AThe Game of Life Gala
BAY COVE HUMAN SERVICES INC
66 CANAL STBOSTONMA021142002042518575501(c)(3)$10,000N/AN/AChanging Lives fundraiser
ENHANCE ASIAN COMMUNITY ON HEALTH INC
1 Franklin Street Unit 1207BostonMA02110472130807501(c)(3)$7,500N/AN/APost COVID Relief & Chinese New Year
Greater Providence Chamber of Commerce
30 EXCHANGE TERRACEPROVIDENCERI029031748050203250501(c)(6)$10,568N/AN/A2022 Signature Events Gold - Golf Sponsorship
Joslin Diabetes Center Inc
One Joslin PlaceBostonMA022155306042203836501(c)(3)$7,500N/AN/AHigh Hopes Gala & A Taste of Ginger
MASSACHUSETTS ASSOCIATION OF HEALTH UNDERWRITERS I
91 CEDAR STMILFORDMA017571178043220961501(c)(6)$12,000N/AN/AMass AHU Annual Sponsorship
New England Employee Benefits Council
561 Virginia Road Suite 217ConcordMA01742042725284501(c)(3)$10,000N/AN/A2021 Annual Corporate Partnership
Perkins School for the Blind
175 N Beacon StreetWatertownMA02472042103616501(c)(3)$10,000N/AN/A2021 Perkins Possibilities Gala
Rhode Island Business Group on Health
Sandy Ross RIBGH Treasurer C/O KLRProvidenceRI029401108204545288501(c)(6)$7,000N/AN/ARIBGH Golf Tournament & Gold Sponsorship
Rhode Island Hospital Foundation- Rhode Island Hos
167 POINT STREETPROVIDENCERI029034771050468736501(c)(3)$7,000N/AN/A2021 Hasbro Children's Hospital Heroes Ball
Salve Regina University
100 OCHRE POINT AVENEWPORTRI028404192050259080501(c)(3)$9,000N/AN/AGolf Tournament & Govenor's Ball
The Learning Community Charter School
21 LINCOLN AVECENTRAL FALLSRI028632012470942849501(c)(3)$7,500N/AN/AGet Smart!
Tufts Medical Center
800 Washington Street Box 231BostonMA021111526043400617501(c)(3)$25,000N/AN/AWorking Wonders
Young Mens Christian Association
316 Huntington AveBostonMA02115042103551501(c)(3)$7,500N/AN/AEND OF YEAR DONATION
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE I, Part I, LINE 2FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION ONLY CONTRIBUTES TO TAX-EXEMPT ORGANIZATIONS UNDER 501(C)(3) AND CERTAIN GOVERNMENTAL UNITS AS WELL AS SPONSORS EVENTS THAT BENEFIT THESE TYPES OF ORGANIZATIONS. THE ORGANIZATION CONTRIBUTES TO WELL ESTABLISHED, NON-PROFIT ORGANIZATIONS THAT HAVE ESTABLISHED POLICIES AND PROCEDURES FOR MONITORING THE USE OF FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Thomas Croswell
CEO (END 7/5)$0$894,231$0$3,200,183$0$707,759$0$378,113$0$3,947$0$5,184,233$0$327,449
Michael Carson
President (END 10/1)$0$865,698$0$2,226,185$0$1,570,793$0$53,309$0$20,426$0$4,736,411$0$0
Marc Spooner
COO (END 10/3)$0$443,846$0$927,245$0$2,213,993$0$187,175$0$14,891$0$3,787,150$0$143,904
Patricia Trebino
SVP,COO END1/4, END officer1/1$0$10,812$0$927,010$0$1,777,060$0$131,783$0$473$0$2,847,138$0$90,414
Cynthia Ring
CPO (END 9/3)$0$312,048$0$491,356$0$1,572,520$0$90,964$0$17,150$0$2,484,038$0$0
Mary Mahoney
Clerk(end 1/1);SVP&CLO(END1/4)$0$10,167$0$650,984$0$1,615,858$0$466,575$0$7$0$2,743,591$0$117,752
Marc Backon
Pres, Com Products (END 1/4)$0$9,408$0$605,709$0$1,459,524$0$130,120$0$7$0$2,204,768$0$73,203
Paul Kasuba
SVP, CMO (END 1/4)$0$9,379$0$603,845$0$1,455,273$0$123,972$0$535$0$2,193,004$0$73,357
Lydia Greene
SVP,Chf HR Officer (END 1/4)$0$8,243$0$530,699$0$1,276,588$0$344,471$0$162$0$2,160,163$0$62,054
Umesh Kurpad
Treas. end 7/5 CFO (start 7/5)$0$621,802$0$1,029,787$0$111,580$0$165,203$0$12,922$0$1,941,294$0$114,425
Cain Hayes
CEO start 7/5 Pres&CEO st 10/1$0$559,852$0$908,162$0$0$0$69,000$0$11,030$0$1,548,044$0$0
Tisa Hughes
Clerk;Sec START 7/5; CLO$0$540,443$0$635,888$0$268,845$0$55,650$0$24,292$0$1,525,118$0$0
Michael Sherman
Chief Medical Officer$0$469,996$0$500,310$0$161,395$0$124,347$0$24,252$0$1,280,300$0$0
Patricia Blake
Senior Vice President, Preside$0$424,388$0$581,452$0$69,595$0$223,990$0$19,200$0$1,318,625$0$77,477
Tracey Carter
SVP, Chief Actuary$0$465,000$0$545,720$0$64,217$0$253,035$0$19,224$0$1,347,196$0$71,378
Richard Weisblatt
SVP, Integration Mgmt Officer$0$424,800$0$583,233$0$26,802$0$61,618$0$25,402$0$1,121,855$0$0
Patricia Howard
COO (start 11/15)$0$70,873$0$120,000$0$0$0$23,531$0$2,196$0$216,600$0$0
Susan Kee
VP, Deputy General Counsel$0$299,622$0$151,486$0$123,175$0$90,039$0$1,258$0$665,580$0$42,654
Roland Price
Treasurer (start 7/5)$0$319,415$0$155,080$0$50,221$0$93,227$0$22,221$0$640,164$0$42,251
JEAN YANG
FORMER OFFICER (ENDED 6/2018)$0$400,966$0$228,536$0$147,588$0$119,387$0$6,719$0$903,196$0$51,988
DEREK ABRUZZESE
FORMER OFFICER (ENDED 6/2018)$0$321,237$0$186,006$0$85,347$0$190,403$0$17,605$0$800,598$0$40,926
KRISTIN LEWIS
FORMER OFFICER (ENDED 6/2018)$0$318,107$0$184,194$0$78,877$0$149,206$0$17,603$0$747,987$0$40,418

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHDULE J, PART I, LINE 3TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. RELIED ON ITS PARENT AND SOLE CORPORATE MEMBER, POINT32HEALTH, INC., TO ESTABLISH COMPENSATION FOR ITS CEO. THE METHODS USED BY POINT32HEALTH, INC. ARE AS FOLLOWS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE -WRITTEN EMPLOYMENT AGREEMENT
FORM 990, SCHEDULE J, PART I, LINE 4ATHE FOLLOWING SENIOR LEADERS, WHO DEPARTED THE COMPANY FOLLOWING THE CLOSE OF THE TRANSACTION, RECEIVED SEVERANCE OR CHANGE IN CONTROL PAYMENTS RELATING TO THE COMBINATION OF HARVARD PILGRIM HEALTH CARE AND TUFTS HEALTH PLAN. THESE PAYMENTS WERE DESIGNED TO RETAIN LEADERS WITH SIGNIFICANT EXPERTISE IN KEY AREAS AND TO ENSURE CONTINUITY OF OPERATIONS FOR BOTH ORGANIZATIONS THROUGH A LENGTHY AND UNCERTAIN REGULATORY REVIEW PROCESS THAT SPANNED OVER A FIFTEEN MONTH PERIOD, AS WELL AS A GLOBAL PANDEMIC: - MARC SPOONER = $2,077,200 - PATRICIA TREBINO = $1,686,737 - MARY MAHONEY = $1,497,959 - CYNTHIA RING = $1,443,200 - MARC BACKON = $1,386,173 - PAUL KASUBA = $1,381,909 - LYDIA GREENE = $1,214,513 - MICHAEL CARSON = $259,846
FORM 990, SCHEDULE J, PART I, LINE 4BDISCRETIONARY RETIREMENT PLAN THE ORGANIZATION'S LEADERS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SPONSORED BY THEIR EMPLOYER, POINT32HEALTH SERVICES, INC., A RELATED PARTY. THE EMPLOYEES AND AMOUNTS LISTED ON SCHEDULE J, PART II, COLUMN C REFLECT BOTH THE EMPLOYEE DEFERRALS OF EARNINGS AS WELL AS EMPLOYER CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 & PART III, LINE 1ORGANIZATION'S MISSION STATEMENT TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION INC.'S (TAHMO) MISSION IS TO IMPROVE THE HEALTH AND WELLNESS OF THE DIVERSE COMMUNITIES WE SERVE. TAHMO IS RESPONSIBLE FOR ARRANGING FOR THE DELIVERY OF COMPREHENSIVE, PREVENTIVE AND THERAPEUTIC HEALTH CARE SERVICES TO SUBSCRIBING INDIVIDUALS IN RETURN FOR A FIXED MONTHLY PAYMENT. SERVICES ARE PROVIDED THROUGH A CONTRACTED NETWORK OF INDEPENDENT PROVIDER GROUPS AND HOSPITALS WITHIN THE SERVICE AREA. TAHMO PRODUCTS ARE AVAILABLE TO ALL SIZE EMPLOYER GROUPS, INCLUDING A MERGED SMALL GROUP AND INDIVIDUAL MARKET.TAHMO ALSO OFFERS PRODUCTS TO INDIVIDUALS WHO ARE MEDICARE AND/ OR MEDICAID ELIGIBLE. TAHMO PROVIDES A BROAD RANGE OF PROGRAMS DESIGNED TO EDUCATE ITS MEMBERS IN HEALTH MAINTENANCE AND DISEASE PREVENTION. TAHMO IS DEDICATED TO OFFERING A VARIETY OF QUALITY, INNOVATIVE HEALTH COVERAGE OPTIONS, AND TO IMPROVING ACCESS TO AFFORDABLE HEALTH CARE BY DEVELOPING AND EMPLOYING STRATEGIES THAT IMPROVE THE ALLOCATION OF HEALTH CARE RESOURCES. IN ADDITION TO PROVIDING THESE SERVICES TO ITS MEMBERS, TAHMO IS DEDICATED TO PROVIDING AND FUNDING HEALTH PROGRAMS THAT BENEFIT THE COMMUNITY TAHMO SERVES. TAHMO IS PART OF THE POINT32HEALTH, INC (P32H) FAMILY OF COMPANIES. Point32Health was formerly known as Health Plan Holdings, Inc., which was the parent entity of the Tufts Health Plan family of companies. Effective January 1, 2021, P32H and Harvard Pilgrim Health Care, Inc. (HPHC), combined their respective nonprofit organizations and the net assets of HPHC were contributed to P32H. HPHC is a not-for-profit Massachusetts corporation providing comprehensive health benefits insurance, access to health care, and other related services in Massachusetts, Maine, and Connecticut to group, individual, and Medicare members through contracts with physicians, established primary care and multispecialty physician groups, hospitals, and other health care providers. As a result of the combination, P32H became the direct corporate parent of HPHC, and ultimate corporate parent for Harvard Pilgrim's affiliates.
FORM 990, PART III, LINE 4APROGRAM SERVICE ACCOMPLISHMENTS - HMO ONE OF TAHMO'S LARGEST PRODUCTS IS ITS COMMERCIAL HMO WHICH PROVIDES AFFORDABLE HEALTH COVERAGE TO ITS MEMBERS. TAHMO STRIVES TO PROVIDE HMO COVERAGE THAT IS AFFORDABLE, AND PROVIDES ACCESS TO TOP QUALITY HEALTH CARE SERVICES. TAHMO ALSO PROVIDES PROGRAMS THAT TARGET THE IMPROVEMENT OF THE HEALTH OF ITS MEMBERS, AS WELL AS THE COMMUNITY AT LARGE. QUALITY: IN THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) 2021-2022 RATINGS, TAHMO WAS RATED 5 OUT OF 5 FOR ITS EXCELLENCE IN PROVIDING INNOVATIVE, HIGH-QUALITY HEALTH CARE COVERAGE TO ITS HMO AND POS MEMBERS. TAHMO HAS ATTAINED TOP NCQA RATINGS SINCE 1996. TAHMO HAS ALSO IMPLEMENTED PROGRAMS WITH PROVIDERS THAT FOCUS ON THE QUALITY OF HEALTH CARE SERVICES PROVIDED AND, IN SOME INSTANCES, WHICH TAILOR REIMBURSEMENT FOR SERVICES BASED IN PART ON QUALITY STANDARDS. TAHMO PROVIDES SPECIALTY CARE MANAGEMENT SERVICES FOR ITS MEMBERS WITH COMPLEX MEDICAL AND BEHAVIORAL HEALTH CONDITIONS. TAHMO MEMBERS RECEIVE TARGETED HEALTH REMINDERS TO ENCOURAGE PREVENTIVE HEALTH CARE.TAHMO'S CARE MANAGERS ASSIST MEMBERS WHO ARE ILL OR DISABLED IN NAVIGATING THE HEALTH CARE SYSTEM AND PROVIDE REFERRALS TO COMMUNITY RESOURCES. OUR ONLINE HEALTH AND WELLNESS RESOURCE CENTER, AVAILABLE TO THE COMMUNITY AT LARGE, INCLUDES A LIBRARY OF TOOLS AND READY-MADE PRINT AND ELECTRONIC MATERIALS. THESE RESOURCES HELP TO ENCOURAGE HEALTHY BEHAVIORS, INCREASE DEMAND FOR PREVENTIVE HEALTH, AND DRIVE ENGAGEMENT IN PROGRAMS THAT EDUCATE AND EMPOWER HEALTHIER LIFESTYLES AND REDUCE HEALTH RISKS. TOPICS INCLUDE PREVENTIVE CARE BENEFITS, HEALTHY EATING AND WEIGHT CONTROL, EXERCISE AND FITNESS, MANAGING STRESS AND HEART HEALTH, CANCER PREVENTION, AND TOBACCO CESSATION. WE ALSO OFFER A VARIETY OF WELLNESS PROGRAMS AT THE WORKSITE SUCH AS FLU SHOTS, CHOLESTEROL SCREENINGS,STRESS MANAGEMENT, AND MORE. TAHMO'S ONLINE MEMBER PORTAL SERVES AS A CENTRAL HUB FOR LIFESTYLE MANAGEMENT PROGRAM COMPONENTS, HEALTH AND WELLNESS CONTENT, AND TOOLS. THE PORTAL OFFERS A PERSONAL HEALTH ASSESSMENT AND RESOURCES DESIGNED TO ENCOURAGE INDIVIDUALS TO LEAD HEALTHIER LIVES BASED ON THEIR INTERESTS, OVERALL HEALTH CONDITION, AND MANY OTHER PERSONAL ATTRIBUTES. TAHMO ALSO PUBLISHES WELL! MAGAZINE ONCE A YEAR, AND UPDATES ARTICLES ONLINE THROUGHOUT THE YEAR. THE MAGAZINE IS AN EDUCATIONAL RESOURCE ON TOPICS PERTAINING TO ACCESS TO CARE, PREVENTIVE CARE, HEALTH INFORMATION AND HEALTH CARE REMINDERS. IT ALSO PROVIDES INFORMATION FOR MEMBERS ON HOW TO GET THE MOST OF TUFTS HEALTH PLAN'S BENEFITS. ACCESS: TAHMO'S MEMBERS HAVE ACCESS TO HOSPITALS, PRIMARY CARE PROVIDERS AND SPECIALISTS AND ALLIED HEALTH PROFESSIONALS, AS WELL AS CONDITION MANAGEMENT PROGRAMS, PREVENTION AND WELLNESS PROGRAMS. AFFORDABILITY: TAHMO'S GOAL IS TO PROVIDE ACCESS TO THE HIGHEST QUALITY HEALTH CARE SERVICES THROUGH AFFORDABLE HEALTH COVERAGE TO AS MANY MASSACHUSETTS AND RHODE ISLAND RESIDENTS AS POSSIBLE. UNDER THE DIRECTION OF ITS CHIEF MEDICAL DIRECTOR, TAHMO HAS DESIGNED HEALTH MANAGEMENT PROGRAMS TO SIMULTANEOUSLY LOWER MEDICAL COSTS AND IMPROVE QUALITY AND OUTCOMES. BY LOWERING MEDICAL COSTS, TAHMO IS ABLE TO OFFER COMPETITIVE PREMIUM RATES AND PROVIDE COVERAGE TO MORE PEOPLE. TAHMO IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY AS WELL AS THAT OF ITS MEMBERS. THE ORGANIZATION TAKES THIS COMMITMENT SERIOUSLY AND HAS A DEDICATED COMMUNITY PARTNERSHIP PROGRAM THAT PROVIDES IN-KIND AND FINANCIAL SUPPORT TO NOT-FOR-PROFIT PROGRAMS THROUGHOUT MASSACHUSETTS. SUPPORT IS BROAD BASED AND REFLECTS DIVERSE SPONSORSHIP OF ORGANIZATIONS THAT PROMOTE IMPROVED COMMUNITY HEALTH.
FORM 990, PART III, LINE 4BTAHMO ALSO OFFERS PRODUCTS TO MEDICARE ELIGIBLE ENROLLEES. TUFTS HEALTH PLAN MEDICARE PREFERRED (TUFTS MEDICARE PREFERRED) PROVIDES AFFORDABLE HEALTH COVERAGE TO ITS MEMBERS IN MASSACHUSETTS. TUFTS MEDICARE PREFERRED STRIVES TO PROVIDE COVERAGE OPTIONS THAT ARE AFFORDABLE AND PROVIDE ACCESS TO TOP QUALITY HEALTH CARE SERVICES FOR SENIORS. TUFTS MEDICARE PREFERRED ALSO OFFERS PROGRAMS THAT TARGET THE IMPROVEMENT OF THE HEALTH OF ITS MEMBERS, AS WELL AS THE COMMUNITY AT LARGE. WITHIN THE MASSACHUSETTS MEDICARE ADVANTAGE MARKET, TUFTS MEDICARE PREFERRED IS THE MARKET LEADER - COVERING MORE INDIVIDUALS THROUGH MEDICARE ADVANTAGE PRODUCTS THAN ANY OTHER CARRIER. TUFTS MEDICARE PREFERRED ALSO OFFERS CARE MANAGEMENT AND CONDITION MANAGEMENT SERVICES TO MEMBERS AND PUBLISHES WELL! MAGAZINE FOR ITS MEDICARE POPULATION ONCE A YEAR. THE MAGAZINE IS AN EDUCATIONAL RESOURCE ON TOPICS PERTAINING TO SAFETY, ACCESS TO CARE, PREVENTIVE CARE, HEALTH INFORMATION AND HEALTH CARE REMINDERS, TARGETED TO ITS SPECIFIC POPULATION. IT ALSO PROVIDES INFORMATION FOR MEMBERS ON HOW TO GET THE MOST OF TUFTS HEALTH PLAN'S BENEFITS.
FORM 990, PART III, LINE 4CDUAL-ELIGIBLE PROGRAM THE ORGANIZATION ALSO PROVIDES ACCESS TO AFFORDABLE CARE THROUGH A DUAL-ELIGIBLE PROGRAM. TAHMO PROVIDES COVERAGE FOR PEOPLE AGE 65 OR OLDER WHO ARE ELIGIBLE FOR MASSHEALTH STANDARD, HAVE BOTH MEDICARE PART A AND B, AND HAVE NOT BEEN DIAGNOSED AS HAVING END STAGE RENAL DISEASE. THIS PROGRAM, CALLED SENIOR CARE OPTIONS, INTEGRATES MEDICAID AND MEDICARE BENEFITS AND SERVICES, PROVIDING THOSE ELIGIBLE WITH COORDINATED HIGH-QUALITY AND COST-EFFECTIVE HEALTH CARE.
FORM 990, PART III, LINE 4DMEDICARE COMPLEMENT TAHMO PROVIDES COVERAGE FOR MEMBERS OF ELIGIBLE EMPLOYER GROUPS WHO ARE ENROLLED IN MEDICARE PARTS A AND B. THIS PROGRAM IS CALLED TUFTS MEDICARE COMPLEMENT (TMC) PLAN AND IS A MANAGED CARE PLAN THAT COMPLEMENTS A MEMBER'S EXISTING MEDICARE COVERAGE. IT IS OFFERED TO TUFTS HEALTH PLAN MEMBERS IN ELIGIBLE EMPLOYER GROUPS WHO ARE ENROLLED IN MEDICARE PARTS A AND B. THE TMC PLAN REQUIRES MEMBERS TO CHOOSE A PRIMARY CARE PHYSICIAN(PCP) WHO IS RESPONSIBLE FOR MANAGING OR PROVIDING THE MEMBER'S CARE.
FORM 990, PART VI, LINE 2BUSINESS RELATIONSHIP - THE FOLLOWING INDIVIDUALS SERVED ON THE BOARDS OR WERE AN OFFICER OR KEY EMPLOYEE OF ONE OR MORE FOR PROFIT ORGANIZATIONS AFFILIATED WITH TAHMO FROM 1/1/2021 to 12/31/2021: CAIN HAYES, DIRECTOR; CEO (START 7/5/21); PRESIDENT (START 10/1/21) THOMAS CROSWELL, DIRECTOR & CEO (END 7/5/21) TISA HUGHES, DIRECTOR JOYCE MURPHY, DIRECTOR ROLAND PRICE, TREASURER UMESH KURPAD, DIRECTOR AND CFO MICHAEL CARSON, DIRECTOR AND PRESIDENT (END 10/1/21)
FORM 990, PART VI, LINE 3DELEGATION OF CONTROL OF MANAGEMENT DUTIES POINT32HEALTH SERVICES, INC. (F/K/A TUFTS ASSOCIATED HEALTH PLANS, INC.), A WHOLLY OWNED SUBSIDIARY OF TAHMOPERFORMS MANAGEMENT, ADMINISTRATIVE, AND MARKETING SERVICES FOR TAHMO AND ITS AFFILIATES,THE OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES LISTED IN PART VII, SECTION A ARE EMPLOYEES OF POINT32HEALTH SERVICES, INC. THEIR COMPENSATION IS LISTED IN PART VII, SECTION A AND SCHEDULE J.
FORM 990, PART VI, LINE 4The bylaws were amended and restated in connection with the combination of the Health Plan Holdings, Inc. and Harvard Pilgrim Health Care, Inc. organizations. Some examples of updates to the bylaws include but are not limited to board composition, standing committees, and change of the corporation's principal address to 1 Wellness Way, Canton, MA 02021.
FORM 990, PART VI, LINE 6POINT32HEALTH, INC. (P32H)) IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION..
FORM 990, PART VI, LINE 7AP32H, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, LINE 7BP32H, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS THE RIGHT TO MAKE CERTAIN DECISIONS REGARDING THE ORGANIZATION, AND IS REQUIRED TO APPROVE ANY CHANGES TO THE ORGANIZATION'S BYLAWS.
FORM 990, PART VI, LINE 8BFOR A MAJORITY OF THE TIME, THE ORGANIZATION CONTEMPORANEOUSLY DOCUMENTS MEETINGS HELD AND WRITTEN ACTIONS UNDERTAKEN BY ITS COMMITTEES. HOWEVER, ON LIMITED OCCASIONS, A COMMITTEE MAY HAVE A SERIES OF CONFERENCE CALLS AND MINUTES FOR THOSE CALLS ARE NOT APPROVED UNTIL THE NEXT IN-PERSON MEETING.
FORM 990, PART VI, LINE 11BPROCESS USED TO REVIEW THE FORM 990 THE ORGANIZATION'S FORM 990 WAS PREPARED AND REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT WITH ASSISTANCE FROM OUR EXTERNAL ACCOUNTANTS, PWC. CERTAIN SECTIONS ARE REVIEWED FOR INPUT BY SUBJECT MATTER PERSONNEL IN OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING.
FORM 990, PART VI, LINE 12CMONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE POINT32HEALTH INC'S CONFLICT OF INTEREST (COI) POLICY AND PROCEDURES (P&P) APPLIES TO THE FILING COMPANY AS A SUBSIDIARY ORGANIZATION. THE POINT32HEALTH, INC.'S COI P&P IS REVIEWED ANNUALLY, REVISED AS NEEDED AND APPROVED UPON MATERIAL REVISIONS. THE POLICY REQUIRES ALL EMPLOYEES, INCLUDING THE PRESIDENT AND CEO AND GOVERNING BODY MEMBERS TO COMPLY WITH THE COI POLICY AND PROCESSES. ALL EMPLOYEES RECEIVE ANNUAL COMPLIANCE TRAINING WHICH INCLUDE EXPECTATIONS RELATED TO FOLLOWING THE COI P&P. THE COI P&P REQUIRES THE OFFICERS, KEY EMPLOYEES AND BOARD OF DIRECTORS OF THE TAX-EXEMPT ENTITIES TO COMPLETE AND SUBMIT AN ANNUAL DISCLOSURE SURVEY AND STATEMENT TO THE CHIEF LEGAL OFFICER (CLO) OR DESIGNEE IN THE LEGAL DEPARTMENT, LISTING ANY OUTSIDE RELATIONSHIPS, INCLUDING FINANCIAL AND/OR BOARD RELATIONSHIPS THAT THEY OR A FAMILY MEMBER HAVE WITH POINT32HEALTH, INC.'S (OR ITS SUBSIDIARIES) SUPPLIERS, PURCHASERS, PROVIDERS AND/OR COMPETITORS. ADDITIONALLY, POINT32HEALTH, INC. REQUIRES EXECUTIVE MANAGEMENT AND SENIOR MANAGEMENT (AS DEFINED IN THE COI POLICY) TO COMPLETE AND SUBMIT AN ANNUAL DISCLOSURE SURVEY AND STATEMENT TO THE CHIEF COMPLIANCE OFFICER OR DIRECTOR, CORPORATE COMPLIANCE. BY COMPLETING THE ANNUAL DISCLOSURE STATEMENT, THESE INDIVIDUALS ACKNOWLEDGE THE POINT32HEALTH COI P&P. ALL EMPLOYEES ARE REQUIRED TO REPORT THE OFFER BY AN OUTSIDE ENTITY OF GIFTS OVER $250, HONORARIA OR COVERAGE OF BUSINESS EXPENSES, OR OTHER EVENTS OR RELATIONSHIPS THAT MAY BE PERCEIVED AS CONFLICTS TO THE CHIEF COMPLIANCE OFFICER, DIRECTOR, CORPORATE COMPLIANCE OR DESIGNEE AND THE EMPLOYEE'S MANAGEMENT. BOTH MUST APPROVE BEFORE ACCEPTANCE IS ALLOWED. THERE ARE PROTOCOLS AND PROCESSES TO REVIEW ANY DISCLOSURE THAT MIGHT BE A POTENTIAL CONFLICT OF INTEREST. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES' RESPONSES TO THE DISCLOSURE SURVEY AND STATEMENT ARE REVIEWED BY THE CLO, WHO WILL REVIEW THE SELF-DISCLOSURE WITH THE CHAIR OF THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF POINT32HEALTH, INC. AND DETERMINE EXPECTATIONS AND RECOMMENDED ACTIONS IF NEEDED. A SUMMARY REPORT OF ALL DISCLOSED ACTUAL OR POTENTIAL CONFLICTS ALONG WITH ANY RECOMMENDED ACTIONS TO ADDRESS A DISCLOSED ACTUAL OR POTENTIAL CONFLICT IS REVIEWED AND APPROVED BY THE GOVERNANCE COMMITTEE AND THE COMMITTEE'S REVIEW/FINDINGS ARE REPORTED TO THE FULL BOARD. THE CLO COMMUNICATES THE RECOMMEND ACTIONS TO INDIVIDUAL SURVEY RECIPIENTS. THE CHIEF COMPLIANCE OFFICER IS CONSULTED AND INFORMED OF THE DECISIONS MADE BY THE CLO OR LEGAL DESIGNEE. EXECUTIVE MANAGEMENT AND SENIOR MANAGEMENT'S RESPONSES TO THE DISCLOSURE SURVEY AND STATEMENT ARE REVIEWED BY THE DIRECTOR, CORPORATE COMPLIANCE AND CHIEF COMPLIANCE OFFICER, WHO WILL REPORT TO THE CLO ANY POTENTIAL CONFLICTS ALONG WITH ANY RECOMMENDED ACTIONS TO ADDRESS THE POTENTIAL CONFLICT, IF NECESSARY. RECOMMENDED ACTIONS/EXPECTATIONS ARE COMMUNICATED BY THE DIRECTOR, CORPORATE COMPLIANCE/CHIEF COMPLIANCE OFFICER TO IMPACTED INDIVIDUALS. FOR CONFLICT DISCLOSURES INVOLVING THE CHIEF COMPLIANCE OFFICER, THE CLO WILL MAKE THE FINAL DETERMINATION. ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST THAT ARISES AFTER COMPLETION OF THE DISCLOSURE SURVEY WILL FOLLOW THE SAME REVIEW PROCESS.
FORM 990, PART VI, LINES 15A & 15BPROCESS FOR DETERMINING COMPENSATION THE FILING ORGANIZATION'S PARENT COMPANY, POINT32HEALTH, INC. HAS AN INDEPENDENT HUMAN RESOURCES COMMITTEE (THE "COMMITTEE") THAT ANNUALLY REVIEWS THE TOTAL REMUNERATION OPPORTUNITIES, POLICIES AND PROGRAMS OF THE CEO AND CERTAIN EXECUTIVES, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES AS WELL AS INDIVIDUALS THE COMMITTEE DEEMS APPROPRIATE TO REVIEW. THE COMMITTEE IS COMPRISED OF INDEPENDENT DIRECTORS OF THE COMPANY. THE COMMITTEE CONSIDERS MARKET DATA AND ANALYSES ASSEMBLED BY INDEPENDENT AND INTERNAL COMPENSATION CONSULTANTS WITH THE GOAL TO DETERMINE EXECUTIVE TOTAL REMUNERATION THAT IS REASONABLE AND COMPETITIVE WITHIN THE INDUSTRY AND GEOGRAPHY IN WHICH POINT32HEALTH, INC. OPERATES.
FORM 990, PART VI, LINE 19PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND ANNUAL FINANCIAL REPORT AND QUARTERLY FINANCIAL UPDATES ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE ALSO FILED WITH THE MASSACHUSETTS SECRETARY OF STATE, WHERE THEY ARE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9CONTRIBUTION TO PARENT -120,000,000 CHANGE IN NONADMITTED ASSETS -19,990,074 NET UNREALIZED GAIN ON INVESTMENTS 33,996,333 UBI RENTAL INCOME/LOSS 15,882 _____________ TOTAL -105,977,859
FORM 990, PART XII, LINE 1TAHMO FOLLOWS THE STATUTORY ACCOUNTING METHOD PRESCRIBED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS' ACCOUNTING PRACTICES AND PROCEDURES MANUAL FOR STATUTORY ACCOUNTING PRINCIPLES.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

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HPHC FOUNDATION INC
1 WELLNESS WAYCANTONMA02021042708004COMMUNITY SVCMA501(C)(3)12A-IHPHCINCYes (true)
HPHC OF NEW ENGLAND INC
1 WELLNESS WAYCANTONMA02021042663394HEALTH INSURAMA501(C)(4)N/AHPHCINCYes (true)
TUFTS HEALTH PLAN FOUNDATION INC
1 WELLNESS WAYCANTONMA02021261374263GRANT MAKINGMA501 (C)(3)12ATAHMOYes (true)
TUFTS HEALTH PUBLIC PLANS INC
1 WELLNESS WAYCANTONMA02021800721489HMOMA501(C)(4)N/AP32HYes (true)
POINT32HEALTH INC
1 WELLNESS WAYCANTONMA02021814089215HEALTHCAREMA501(C)(4)N/ANAfalse
CARE PARTNERS OF CONNECTICUT INC
1 WELLNESS WAYCANTONMA02021822604728HMOCT501(C)(4)N/ATAHMOYes (true)
HPHC INC
1 WELLNESS WAYCANTONMA02021042452600HEALTH INSURAMA501(C)(3)10P32Hfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

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CAREPARTNERS OF CT HOLDINGS LLC
1 WELLNESS WAYCANTONMA02021823129930HOLDING COMPANYCTTAHMON/A
KAISER PERMANENTE VENTURES LLC
1 KAISER PLOAKLANDCA94612HEALTHCARECANAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
HPHC INSURANCE COMPANY INC
1 WELLNESS WAYCANTONMA020211166043149694HEALTH INSURANCEMANEWCOC CORP1.00000Yes (true)
PLAN MARKETING INSURANCE AGENCY INC
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581042734281BROKERAGEMAHEALTH PLANSC CORP1.00000Yes (true)
HPHC INSURANCE AGENCY INC
1 WELLNESS WAYCANTONMA020211166043016201BROKERAGEMANEWCOC CORP1.00000Yes (true)
HEALTH PLANS INC
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CARE MANAGEMENT SERVICES INC
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581043438779CARE MANAGEMENTMAHEALTH PLANSC CORP1.00000Yes (true)
NEW HPHC HOLDING CORPORATION
1 WELLNESS WAYCANTONMA020211166815340662HOLDING COMPANYDEHPHC INCC corp1.00000Yes (true)
POINT32HEALTH SERVICES INC
1 WELLNESS WAYCANTONMA02021042985923MANAGEMENT SVCSDETAHMOC CORP1.00000Yes (true)$0$0
TUFTS INSURANCE COMPANY
1 WELLNESS WAYCANTONMA02021043319729INSURANCEMATAHPC CORP1.00000Yes (true)
TUFTS BENEFIT ADMINISTRATORS INC
1 WELLNESS WAYCANTONMA02021043270923TPAMATAHPC CORP1.00000Yes (true)
TOTAL HEALTH PLAN INC
1 WELLNESS WAYCANTONMA02021042918943TPAMATAHPC CORP1.00000Yes (true)
TAHP BROKERAGE CORPORATION
1 WELLNESS WAYCANTONMA02021043072692BROKERAGEMATAHPC CORP1.00000Yes (true)
INTEGRA PARTNERS HOLDINGS INC
100 WALL ST STE 2502NEW YORKNY10005453032233MED EQUPT & SVCSNYTAHMOC CORP1.00000Yes (true)$225,977,172$134,870,933
FieldValueIRS element (for citing)
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Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
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Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
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Paid Employees SharingfalsePaidEmployeesSharingInd
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Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Point32Health Services Inc
p$163,000,000ACCRUAL
CAREPARTNERS OF CONNECTICUT Inc
S$11,122,365ACCRUAL
TUFTS INSURANCE COMPANY
P$202,000,000ACCRUAL
TOTAL HEALTH PLAN INC
S$12,200,000ACCRUAL
TUFTS BENEFIT ADMINISTRATORS INC
S$146,000,000ACCRUAL
TUFTS HEALTH PLAN FOUNDATION INC
Q$1,504,024ACCRUAL
TUFTS HEALTH PUBLIC PLANS INC
R$54,811,670ACCRUAL
POINT32HEALTH INC
B$120,000,000ACCRUAL