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TUFTS HEALTH PUBLIC PLANS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
TUFTS HEALTH PUBLIC PLANS INC (EIN 80-0721489)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202243199349314939
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)
Return2022-11-15T13:21:10-06:00ReturnTs
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)
EIN800721489EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Tufts Health Public Plans IncBusinessNameLine1Txt
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
ZIP02021ZIPCd

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
ZIP02021ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,728,584,745GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.POINT32HEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTUFTS HEALTH PUBLIC PLANS'S MISSION IS TO IMPROVE THE HEALTH AND WELLNESS OF THE DIVERSE COMMUNITIES IT SERVES BY ARRANGING FOR THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee666TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,484,497,443PYProgramServiceRevenueAmt
CY Program Service Revenue$2,713,185,449CYProgramServiceRevenueAmt
PY Investment Income$43,092,937PYInvestmentIncomeAmt
CY Investment Income$15,399,296CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,527,590,380PYTotalRevenueAmt
CY Total Revenue$2,728,584,745CYTotalRevenueAmt
PY Grants And Similar Paid$547,525PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$447,339CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$2,306,756,450PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$2,503,734,879CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$48,192,615PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$47,786,173CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$234,416,340PYOtherExpensesAmt
CY Other Expenses$223,271,097CYOtherExpensesAmt
PY Total Expenses$2,589,912,930PYTotalExpensesAmt
CY Total Expenses$2,775,239,488CYTotalExpensesAmt
PY Revenues Less Expenses-$62,322,550PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$46,654,743CYRevenuesLessExpensesAmt
Total Assets BOY$881,482,929TotalAssetsBOYAmt
Total Assets EOY$1,008,368,320TotalAssetsEOYAmt
Total Liabilities BOY$543,235,024TotalLiabilitiesBOYAmt
Total Liabilities EOY$607,603,045TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$338,247,905NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$400,765,275NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,712,361,300ExpenseAmt
Grant$284,124GrantAmt
Revenue$1,723,260,544RevenueAmt
DescTUFTS HEALTH TOGETHER IS THE NAME OF THPP'S MASSACHUSETTS MEDICAID MCO AND ACO PLANS THAT PROVIDE ACCESS TO AFFORDABLE HEALTH CARE FOR QUALIFIED RESIDENTS AND THEIR FAMILIES WHO MEET INCOME AND OTHER ELIGIBILITY REQUIREMENTS. MASSHEALTH IS THE NAME OF THE MASSACHUSETTS MEDICAID PROGRAM FUNDED BY THE FEDERAL GOVERNMENT AND THE STATE. MASSHEALTH HELPS PEOPLE WITH LIMITED INCOMES AND RESOURCES PAY FOR MEDICAL AND SUPPORT SERVICES. IT ALSO COVERS EXTRA SERVICES AND DRUGS NOT COVERED BY MEDICARE. TO BE ELIGIBLE FOR MASSHEALTH, YOU MUST BE A MASSACHUSETTS RESIDENT WITH LOW TO MODERATE INCOME. (See Schedule O)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$87,458,208ExpenseAmt
Grant$14,760GrantAmt
Revenue$89,522,007RevenueAmt
DescTUFTS HEALTH DIRECT IS AN INDIVDUAL AND SMALL GROUP QUALIFIED HEALTH PLAN (QHP) ESTABLISHED BY THE ORGANIZATION AFTER THE ENACTMENT OF THE AFFORDABLE CARE ACT TO PROVIDE ACCESS TO AFFORABLE HEALTH CARE FOR INDIVIDUALS AND FAMILIES WHO ARE NOT ELIGIBLE FOR AFFORDABLE EMPLOYER-SPONSORED INSURANCE, AND SMALL EMPLOYER GROUPS WITH 1-50 EMPLOYEES. (SEE SCHEDULE O)Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$96,570,751ExpenseAmt
Grant$16,298GrantAmt
Revenue$98,849,584RevenueAmt
DescTUFTS HEALTH UNIFY IS A MEDICARE-MEDICAID PLAN FOR INDIVIDUALS AGE 21-64 WHO ARE ELIGIBLE FOR BOTH MEDICARE AND MEDICAID. TUFTS HEALTH UNIFY IS ONE OF TWO MASSACHUSETTS ONECARE PLANS PARTICIPATING IN THE FINANCIAL ALIGNMENT INITIATIVE ('DUALS DEMONSTRATION') TO INTEGRATE BENEFITS AND CARE FOR MEDICARE-MEDICAID ENROLLEES. THE PLAN CONTRACTS WITH THE CENTER FOR MEDICARE AND MEDICAID SERVICES AND MASSHEALTH TO PROVIDE THE BENEFITS OF BOTH PROGRAMS TO LOW AND MODERATE INCOME INDIVIDUALS WITH DISABILITIES. (See Schedule O)Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$783,074,678ExpenseAmt
Grant$132,157GrantAmt
Revenue$801,553,314RevenueAmt
DescRI MedicaidDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$783,074,678TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$132,157TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$801,553,314TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,679,464,937TotalProgramServiceExpensesAmt
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 SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
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 EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document8795IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee666EmployeeCnt
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
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
ZIP02021ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 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)
Mary Mahoney
Clerk END 1/1;SVP&CLO END 1/415.035.0$0$2,277,009$466,582Yes (X)
Cynthia Ring
CPO (END 9/3)12.537.5$0$2,375,924$108,114Yes (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/Secr;Chief Legal Officer10.040.0Yes (X)$0$1,445,176$79,942
Tracey Carter
SVP, Chief Actuary12.537.5$0$1,074,937$272,259Yes (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
SVP, President Public Plans30.050.0$0$995,483$119,659Yes (X)
Susan Kee
VP, Deputy General Counsel10.040.0$0$574,282$91,297Yes (X)
Roland Price
Treasurer (START 7/5)10.040.0Yes (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, Chair2.04.0Yes (X)Yes (X)$0$90,000$0
Eileen Auen
Director1.03.0Yes (X)$0$83,000$0
Bertram L Scott
Director1.03.0Yes (X)$0$77,375$0
Hedwig Veith Whitney
Director1.03.0Yes (X)$0$71,625$0
Irina Simmons
Director1.03.0Yes (X)$0$67,375$0
Michael J McColgan
Director1.03.0Yes (X)$0$66,333$0
Greg Shell
Director1.03.0Yes (X)$0$62,000$0
Todd Whitbeck
Director1.03.0Yes (X)$0$60,000$0
Thomas O'Neill III
Director1.03.0Yes (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
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$28,634,760TotReportableCompRltdOrgAmt
Total Other Compensation$2,430,663TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K79IndivRcvdGreaterThan100KCnt
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
PO BOX 4201BOSTONMA02211OUTSOURCING$4,125,185
MAGELLAN BEHAVIORAL HEALTH
Magellan Lockbox PO Box 785341PHILADELPHIAPA191785341Outsourcing$1,621,335
COTIVITI LLC
PO BOX 5459NEW YORKNY10087Outsourcing$1,528,921
CONCENTRIX SOLUTIONS
44111 Nobel DrFREMONTCA84538Outside Labor$1,824,514
PRICEWATERHOUSECOOPERS LLP
101 SEAPORT BOULEVARDBOSTONMA02210CONSULTING$2,320,352
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAID (TOGETHER)524114$1,723,260,545$1,723,260,545$0
COMPREHENSIVE (DIRECT)524114$801,553,314$801,553,314$0
MEDICARE/MEDICAID (CARE O524114$98,849,583$98,849,583$0
MEDICAID RHODE ISLAND524114$89,522,007$89,522,007$0
FieldValueIRS element (for citing)
Total Program Service Revenue$2,713,185,449TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,124,017TotalRevenueColumnAmt
Exclusion$9,124,017ExclusionAmt

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

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,275,279TotalRevenueColumnAmt
Exclusion$6,275,279ExclusionAmt
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$2,728,584,745TotalRevenueColumnAmt
Related Or Exempt Func Income$2,713,185,449RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$15,399,296ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$447,339TotalAmt
Program Services$447,339ProgramServicesAmt

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$2,503,734,879TotalAmt
Program Services$2,503,734,879ProgramServicesAmt

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$37,682,970TotalAmt
Program Services$37,682,970ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,103,203TotalAmt
Program Services$10,103,203ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$131,274,260TotalAmt
Program Services$105,019,408ProgramServicesAmt
Management And General$26,254,852ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$60,294TotalAmt
Management And General$60,294ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$444,796TotalAmt
Management And General$444,796ManagementAndGeneralAmt

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$840,857TotalAmt
Management And General$840,857ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$53,927,651TotalAmt
Management And General$53,927,651ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,040,885TotalAmt
Program Services$3,232,708ProgramServicesAmt
Management And General$808,177ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,261,903TotalAmt
Management And General$1,261,903ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,459,909TotalAmt
Program Services$5,167,927ProgramServicesAmt
Management And General$1,291,982ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$441,488TotalAmt
Program Services$353,190ProgramServicesAmt
Management And General$88,298ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$243,800TotalAmt
Program Services$243,800ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$3,889TotalAmt
Program Services$3,111ProgramServicesAmt
Management And General$778ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,096,274TotalAmt
Program Services$10,477,019ProgramServicesAmt
Management And General$2,619,255ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$221,137TotalAmt
Program Services$0ProgramServicesAmt
Management And General$221,137ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
COB FEES$6,124,582$6,124,582
PREMIUM TAX$2,074,207$2,074,207
CLAIMS INTEREST$1,598,695$1,598,695
ALL OTHER EXPENSE$1,156,470$231,294$925,176

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,775,239,488TotalAmt
Program Services$2,679,464,937ProgramServicesAmt
Management And General$95,774,551ManagementAndGeneralAmt
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$61,799,599BOYAmt
EOY$86,291,026EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$207,281,000BOYAmt
EOY$188,274,269EOYAmt

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$26,003,468LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,327,127LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,942,301BOYAmt
EOY$11,676,341EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$599,460,029BOYAmt
EOY$720,126,684EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,000,000BOYAmt
EOY$2,000,000EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$881,482,929BOYAmt
EOY$1,008,368,320EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$460,719,037BOYAmt
EOY$498,371,129EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

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$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$82,515,987BOYAmt
EOY$109,231,916EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$543,235,024BOYAmt
EOY$607,603,045EOYAmt
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$338,247,905BOYAmt
EOY$400,765,275EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$338,247,905BOYAmt
EOY$400,765,275EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$881,482,929BOYAmt
EOY$1,008,368,320EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$46,654,743ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$26,192,252NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$82,979,861OtherChangesInNetAssetsAmt
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
LandLandGrp
BuildingsBuildingsGrp
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,003,468OtherCostOrOtherBasisAmt
Depreciation$14,327,127DepreciationAmt
Book Value$11,676,341BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$11,676,341TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PAYABLE TO AFFILIATES AND PARE$32,397,736
PREMIUM RECEIVED IN ADVANCE$9,834,257
PAYABLE FOR SECURITIES$47,293,773
LIABILITIES FOR AMOUNTS HELD U$19,706,150
FieldValueIRS element (for citing)
Total Liability$109,231,916TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,727,743,888TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$2,727,743,888RevenueSubtotalAmt
Investment Expenses Not Incld$840,857InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$840,857RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,728,584,745TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,745,570,631TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$28,828,000OtherExpensesIncludedAmt
Expenses Not Reported-$28,828,000ExpensesNotReportedAmt
Expenses Subtotal$2,774,398,631ExpensesSubtotalAmt
Investment Expenses Not Incld2$840,857InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$840,857ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,775,239,488TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 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 4BINVESTMENT EXPENSES $840,857
FORM 990, SCHEDULE D, PART XII, LINE 2DREDUCTION OF PREMIUM DEFICIENCY RESERVE INCLUDED AS A NEGATIVE AMOUNT IN EXPENSES IN FINANCIAL STATEMENT (28,828,000)

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 GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
Project GOAL Inc
79 Savoy StProvidenceRI02906134221810501(c)(3)$50,000N/AN/AProject GOAL/Central Falls Mini Pitch Build Initia
Alliance Foundation for Community Health
230 Highland Avenue First FloorSomervilleMA02143010676306501(c)(3)$45,000N/AN/ACommunity-Based COVID Vaccination Day Sponsorship
the Elisha Project
29 WEEDEN AVERUMFORDRI029161718454507647501(c)(3)$25,000N/AN/AElisha Project Share Market
RHODE ISLAND KIDS COUNT INC
1 UNION STATIONPROVIDENCERI029031758061485449501(c)(3)$22,500N/AN/AChildren's Health Initiative & Breakfast
American Heart Association Inc
7272 Greenville AveDallasTX75231135613797501(c)(3)$12,500N/AN/ATufts' Healthy Kid Pilot Program Year-Long High Value Partnership (HVP)
Family Nurturing Center of Massachusetts Inc
200 BOWDOIN STDORCHESTERMA021221819311626186501(c)(3)$10,000N/AN/ACommunity Diaper Pantry
Quincy Asian Resources Inc
1509 Hancock Street Ste 209QuincyMA021695242010556446501(c)(3)$10,000N/AN/AQARI FY21 Cultural Events
Ministerio Lazos de Amor
262 RESERVATION RDHYDE PARKMA021361734262881745501(c)(3)$9,000N/AN/ACommunity Event Series
Hispanic-American Institute
175 McLellan Highway Suite 3BostonMA02128043384470501(c)(3)$7,500N/AN/ASTRENGTHENING UNDERSERVED COMMUNITIES via COLLABOR
the Elisha Project
29 WEEDEN AVERumfordRI029161718454507647501(c)(3)$25,000N/AN/AElisha Project Share Market
THE WISH PROJECT INC
PO Box 8693LowellMA01853203249145501(c)(3)$5,500N/AN/Apartnership
United Way of Massachusetts Bay and Me
9 Channel Center Street SuiteBostonMA02210042382233501(c)(3)$7,500N/AN/A11th Annual Community Baby Shower
Cambridge Health Alliance Foundation
350 Main StreetMaldenMA02148010676306501(c)(3)$6,000Voices of Healing & Golf Tournament5th Floor
La Segunda Food Corp
13 Cabot StreetHolyokeMA01040200056509N/A$22,000Thanksgiving Dinner - Not a nonprofit organization with IRS. Proceeds went to a direct community benefit.
FieldValueIRS element (for citing)
Total501c3 Org13Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE I, Part I, LINE 2FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION NORMALLY CONTRIBUTES ONLY 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. THE ORGANIZATION MAY MAKE GRANTS TO OTHER ORGANIZATIONS THAT CONTRIBUTE SERVICES TO THE COMMUNITY CONSISTENT WITH THE ORGANIZATION'S MISSION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
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 (15 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)$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)$443,846$0$927,245$0$2,213,993$0$187,175$0$14,891$0$3,787,150$0$143,904
Cynthia Ring
CPO (END 9/3)$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 END 1/4$0$10,167$0$650,984$0$1,615,858$0$466,575$0$7$0$2,743,591$0$117,752
Umesh Kurpad
Treas(END 7/5), CFO(START 7/5)$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/Secr;Chief Legal Officer$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$469,996$0$500,310$0$161,395$0$124,347$0$24,252$0$1,280,300$0$0
Tracey Carter
SVP, Chief Actuary$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$424,800$0$583,233$0$26,802$0$61,618$0$25,402$0$1,121,855$0$0
Jean Yang
SVP, President Public Plans$400,912$0$528,112$0$66,459$0$112,376$0$7,283$0$1,115,142$0$68,510
Patricia Howard
COO (Start 11/15)$70,873$0$120,000$0$0$0$23,531$0$2,196$0$216,600$0$0
Susan Kee
VP, Deputy General Counsel$299,622$0$151,486$0$123,174$0$90,039$0$1,258$0$665,579$0$42,654
Roland Price
Treasurer (START 7/5)$319,415$0$155,080$0$50,221$0$93,227$0$22,221$0$640,164$0$42,251

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 3TUFTS HEALTH PUBLIC PLANS, 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 - MARY MAHONEY - $1,497,959 - CYNTHIA RING - $1,443,200 - 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 (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1Tufts Health Public Plans, Inc. (THPP) is a nonprofit corporation established for the purpose of arranging for the delivery of comprehensive health care services directed primarily at low-income individuals. It offers Medicaid Managed Care Organization (MCO) plans in Massachusetts and Rhode Island, Medicaid Accountable Care Organization (ACO) and under-65 dual eligible Medicare-Medicaid Plan (MMP) plans in Massachusetts, and qualified health plans to individual and small groups on and off the Massachusetts Health Connector in Massachusetts. THPP is part of the Point32Health (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 1ORGANIZATION'S MISSION STATEMENT THPP'S MISSION IS TO IMPROVE THE HEALTH AND WELLESS OF THE DIVERSE COMMUNITIES IT SERVES BY ARRANGING FOR THE PROVISION OF COMPREHENSIVE HEALTH CARE SERVICES, INCLUDING PROVIDING COMMUNITY OUTREACH AND EDUCATION TO THE COMMUNITY IT SERVES. THE ORGANIZATION AIMS TO IMPROVE THE LIVES OF MASSACHUSETTS AND RHODE ISLAND RESIDENTS BY PROVIDING ACCESS TO HIGH-QUALITY, AFFORDABLE HEALTH CARE, PRIMARILY THROUGH MANAGED CARE PROGRAMS DIRECTED AT LOW TO MODERATE INCOME RESIDENTS OF THE COMMONWEALTH OF MASSACHUSETTS AND STATE OF RHODE ISLAND. ACCESS IS PROVIDED THROUGH PROGRAMS SUCH AS, BUT NOT LIMITED TO, MASSHEALTH AND THE COMMONWEALTH OF MASSACHUSETTS MEDICAID MANAGED CARE ORGANIZATION (MCO), PROVIDING COVERAGE TO MASSACHUSETTS RESIDENTS ELIGIBLE FOR MEDICAID OR THE CHILDREN'S HEALTH INSURANCE PROGRAM. THE ORGANIZATION ALSO OFFERS SUBSIDIZED HEALTH PLANS TO LOW AND MIDDLE INCOME INDIVIDUALS THROUGH THE COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY (THE MASSACHUSETTS STATE RUN EXCHANGE), AS WELL AS THE ONECARE PROGRAM FOR MEMBERS WHO ARE UNDER 65 YEARS OLD AND ELIGIBLE FOR BOTH MEDICARE AND MEDICAID WITH INTEGRATED, COORDINATED MEDICAL AND BEHAVIORAL HEALTH CARE. THE ORGANIZATION ALSO OFFERS COVERAGE TO RHODE ISLAND RESIDENTS THROUGH A MEDICAID MANAGED CARE ORGANIZATION PLAN. THE ORGANIZATION OFFERS FULLY INTEGRATED, IN-HOUSE CARE MANAGEMENT, PROVIDING A TEAM OF MEDICAL,BEHAVIORAL HEALTH, SOCIAL CARE AND PHARMACY PROFESSIONALS WHO COORDINATE MEMBER CARE. THE ORGANIZATION CONTRACTS WITH THOUSANDS OF PRIMARY CARE PHYSICIANS, SPECIALISTS, HOSPITALS AND COMMUNITY ORGANIZATIONS IN MASSACHUSETTS AND RHODE ISLAND. THE ORGANIZATION ENROLLS A SUBSTANTIAL NUMBER OF PERSONS WHO MAY OTHERWISE BE UNABLE TO OBTAIN AFFORDABLE HEALTH CARE SERVICES AS WELL AS THOSE POPULATIONS WHO HAVE SPECIAL HEALTH CARE NEEDS, SUCH AS DISABLED INDIVIDUALS BETWEEN 21-64 YEARS OLD ELIGIBLE FOR THE ORGANIZATION'S ONECARE DEMONSTRATION PROGRAM IN MASSACHUSETTS, AND THOSE INDIVIDUALS ELIGIBLE FOR THE ORGANIZATION'S MEDICAID PROGRAMS. THE ORGANIZATION PROVIDES ACCESS TO HEALTH CARE STATEWIDE, IN OVER 400 CITIES AND TOWNS IN MASSACHUSETTS AND OVER 50 CITIES AND TOWNS IN RHODE ISLAND ITS EXTENSIVE PROVIDER NETWORK. THE ORGANIZATION'S ACTIVITIES FURTHER ITS EXEMPT PURPOSE OF PROVIDING COMPREHENSIVE HEALTH CARE SERVICES, OUTREACH, AND EDUCATION TO RESIDENTS OF MASSACHUSETTS AND RHODE ISLAND, MOST OF WHOM ARE LOW AND MODERATE INCOME. THE ORGANIZATION PROVIDES COMMUNITY AND PUBLIC BENEFITS BY ENSURING ACCESS TO NEEDED HEALTH CARE SERVICES BY LOW TO MODERATE INCOME, HIGH-RISK, AND MEDICALLY UNDERSERVED POPULATIONS THROUGH ITS PARTICIPATION IN MEDICARE-MEDICAID (DUAL ELIGIBLES) AND OTHER STATE PROGRAMS WHOSE PURPOSE IS TO SERVE SUCH POPULATIONS. THE ORGANIZATION OPERATES EXCLUSIVELY FOR THE PROMOTION OF SOCIAL WELFARE BY PRIMARILY ENGAGING IN ACTIVITIES THAT PROMOTE THE COMMON GOOD, GENERAL WELFARE, AND EDUCATION OF THE MASSACHUSETTS AND RHODE ISLAND COMMUNITIES. THE ORGANIZATION DOES THIS BY PROVIDING AND ENCOURAGING PREVENTIVE CARE TO THOSE WHO MIGHT OTHERWISE NOT RECEIVE SUCH CARE AND THE ABILITY TO SEEK HEALTH CARE SERVICES WHEN NEEDED TO THOSE WHO MIGHT NOT OTHERWISE BE ABLE TO AFFORD IT. AS PART OF THE ORGANIZATION'S EFFORTS TO EDUCATE AND ASSIST THE MULTICULTURAL POPULATION IT SERVES, THE ORGANIZATION ALSO MAINTAINS ONGOING EDUCATIONAL OUTREACH EFFORTS. THESE EFFORTS INCLUDE: 1) COMMUNITY OUTREACH REPRESENTATIVES WORKING WITH MEMBERS TO ENSURE ENGAGEMENT AND EDUCATION ON HEALTH CARE ACCESS AS WELL AS POTENTIAL ACCESS TO OTHER SOCIAL SERVICE PROGRAMS. 2) BUILDING RELATIONSHIPS WITH COMMUNITY-BASED ORGANIZATIONS THAT SERVE THE ORGANIZATION'S AUDIENCES, INCLUDING SMALL BUSINESSES THAT OFFER A WIDE RANGE OF SERVICES TO IMMIGRANT POPULATIONS. 3) PARTNERING WITH FINANCIAL COUNSELORS AT LOCAL HEALTH CENTERS TO OFFER ASSISTANCE WITH MEDICAID. 4) PARTNERING WITH LOCAL SOCIAL SERVICE, ADVOCACY ORGANIZATIONS TO GIVE PRESENTATIONS REGARDING HEALTH CARE ACCESS, AVAILABLE BENEFITS, AND PLAN OFFERINGS. 5) PARTNERING WITH LOCAL RELIGIOUS ORGANIZATIONS TO COORDINATE HEALTH AND WELLNESS EVENTS FOR THEIR DIVERSE CONGREGATIONS. 6) COMMUNITY OUTREACH REPRESENTATIVES SERVING AS CULTURAL EXPERTS FOR MEMBER OUTREACH EFFORTS, LOCAL MEDIA PRESENTATIONS, AND SPEAKING ENGAGEMENTS TO PROVIDE UP TO DATE INFORMATION ON HEALTH ACCESS AND THPP OFFERINGS IN A CULTURALLY COMPETENT MANNER. 7) PROVIDING IN-KIND, MONETARY, AND VOLUNTEER SUPPORT TO LOCAL COMMUNITY BASED ORGANIZATIONS, INCLUDING PRESENTING ON AND LEADING ACTIVITIES RELATED TO HEALTH AND WELLNESS. 8) PROVIDING IN-KIND AND VOLUNTEER SUPPORT TO OTHER LOCAL COMMUNITY INSTITUTIONS, SUCH AS FOOD PANTRIES AND HOMELESS SHELTERS.
FORM 990, PART III, LINE 4ATHE ORGANIZATION PROVIDES ACCESS TO AFFORDABLE HEALTH CARE THROUGH A MEDICAIDMANAGED CARE ORGANIZATION CONTRACT WITH THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES FOR QUALIFIED RESIDENTS AND THEIR FAMILIES WHO MEET INCOME AND OTHER ELIGIBILITY REQUIREMENTS. IN MARCH 2018, THPP WAS ALSO AWARDED FOUR (4) MEDICAID ACCOUNTABLE CARE ORGANIZATION CONTRACTS BY EOHHS IN ADDITION TO THE MANAGED CARE ORGANIZATION CONTRACT. THROUGH CONTRACTS WITH FOUR MASSACHUSETTS-BASED PROVIDER SYSTEMS, THE ORGANIZATION PROVIDES MEDICAID MANAGED CARE CLOSELY ALIGNED WITH PRIMARY CARE PHYSICIANS AND COMMUNITY PARTNERS. TUFTS HEALTH TOGETHER IS THE NAME OF THE ORGANIZATION'S MASSACHUSETTS MEDICAID MCO AND ACO PLANS THAT PROVIDE ACCESS TO AFFORDABLE HEALTH CARE FOR QUALIFIED RESIDENTS AND THEIR FAMILIES WHO MEET INCOME AND OTHER ELIGIBILITY REQUIREMENTS. MASSHEALTH IS THE NAME OF THE MASSACHUSETTS MEDICAID PROGRAM FUNDED BY THE FEDERAL GOVERNMENT AND THE STATE. MASSHEALTH HELPS PEOPLE WITH LIMITED INCOMES AND RESOURCES PAY FOR MEDICAL AND SUPPORT SERVICES. IT ALSO COVERS EXTRA SERVICES AND DRUGS NOT COVERED BY MEDICARE. TUFTS HEALTH TOGETHER PROVIDES LOW TO MODERATE INCOME INDIVIDUALS WITH ACCESS TO THOUSANDS OF HIGH QUALITY DOCTORS AND SPECIALISTS ACROSS THE STATE, SUPPORTIVE SERVICE REPRESENTATIVES, INFORMATION IN A NUMBER OF LANGUAGES, AS WELL AS PREVENTIVE MEASURES SUCH AS BIKE HELMETS AND HOME SAFETY KITS AT NO COST, INCENTIVES FOR HEALTHY BEHAVIORS, FITNESS REIMBURSEMENTS, AND OTHER IMPORTANT TOOLS TO PROMOTE HEALTH AND WELLNESS. TUFTS HEALTH TOGETHER HAS EARNED "EXCELLENT" HEALTH PLAN ACCREDITATION STATUS BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE, WHICH IS THE COMMITTEE'S HIGHEST ACCREDITATION RATING. IN 2014-2015, TUFTS HEALTH TOGETHER RECEIVED A RANKING OF NO. 1 IN THE COUNTRY BY NCQA'S HEALTH INSURANCE PLAN RANKINGS BASED ON THE ORGANIZATION'S EXCEPTIONAL CLINICAL PERFORMANCE, MEMBER SATISFACTION, AND QUALITY PROCESSES. IN 2015, NCQA INTRODUCED A NEW SCORING METHODOLOGY FOR ITS HEALTH INSURANCE PLAN RATINGS, ASSIGNING AN OVERALL RATING TO EACH HEALTH PLAN BASED ON A SCALE OF 1 TO 5, WHERE FIVE IS THE HIGHEST SCORE. IN 2020-2021, THPP RECEIVED A RATING OF 4.5 OUT OF 5 BASED ON THIS SCORING METHODOLOGY FOR THE FIFTH YEAR IN A ROW. THE ORGANIZATION IN ITS PREDECESSOR FORMS (NETWORK HEALTH,LLC. AND NETWORK HEALTH,INC.) ALSO WON THE DORLAND HEALTH CASE IN POINT PLATINUM AWARD FOR "BEST SOCIAL CARE MANAGEMENT PROGRAM" IN 2013, "BEST INTEGRATED CASE MANAGEMENT PROGRAM" IN 2012, AND "BEST OVERALL CASE/CARE MANAGEMENT PROGRAM" IN 2010. IN 2012, THE ORGANIZATION WAS AMONG TEN NATIONALLY AND THE FIRST IN NEW ENGLAND TO EARN THE NCQA MULTICULTURAL HEALTH CARE DISTINCTION AS OF THE END OF 2021, THE ORGANIZATION HAD OVER 317,045 ENROLLEES IN TUFTS HEALTH TOGETHER.
FORM 990, PART III, LINE 4BMASSACHUSETTS QUALIFIED HEALTH PLAN COVERAGE TUFTS HEALTH DIRECT IS AN INDIVIDUAL AND SMALL GROUP QUALIFIED HEALTH PLAN (QHP) ESTABLISHED BY THE ORGANIZATION AFTER THE ENACTMENT OF THE AFFORDABLE CARE ACT TO PROVIDE ACCESS TO AFFORDABLE HEALTH CARE FOR INDIVIDUALS AND FAMILIES WHO ARE NOT ELIGIBLE FOR AFFORDABLE EMPLOYER-SPONSORED INSURANCE, AND SMALL EMPLOYER GROUPS WITH 1-50 EMPLOYEES. THESE PLANS ARE SOLD PRIMARILY THROUGH THE MASSACHUSETTS HEALTH CONNECTOR, THE MASSACHUSETTS STATE RUN EXCHANGE. TUFTS HEALTH DIRECT IS ACCREDITED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE. AS OF DECEMBER 31, 2021, THE ORGANIZATION SERVED CLOSE TO 97,200 CONNECTORCARE MEMBERS (A SUBSET OF TUFTS HEALTH DIRECT MEMBERS WHO RECEIVE BOTH STATE AND FEDERAL SUBSIDIES). ALSO AS OF DECEMBER 31, 2021,THPP SERVED AN ADDITIONAL 77,422 TUFTS HEALTH DIRECT MEMBERS, 23% OF WHOM RECEIVED FEDERAL SUBSIDIES ONLY IN THE FORM OF ADVANCED PREMIUM TAX CREDITS TO PURCHASE INSURANCE.
FORM 990, PART III, LINE 4CTUFTS HEALTH UNIFY IS A MEDICARE-MEDICAID PLAN FOR INDIVIDUALS AGE 21-64 WHO ARE ELIGIBLE FOR BOTH MEDICARE AND MEDICAID. TUFTS HEALTH UNIFY IS ONE OF TWO MASSACHUSETTS ONECARE PLANS PARTICIPATING IN THE FINANCIAL ALIGNMENT INITIATIVE ("DUALS DEMONSTRATION") TO INTEGRATE BENEFITS AND CARE FOR MEDICARE-MEDICAID ENROLLEES. THE PLAN CONTRACTS WITH THE CENTER FOR MEDICARE AND MEDICAID SERVICES AND MASSHEALTH TO PROVIDE THE BENEFITS OF BOTH PROGRAMS TO LOW AND MODERATE INCOME INDIVIDUALS WITH DISABILITIES. THE PLAN INCLUDES AN EXPANDED BENEFITS PACKAGE AND COMMUNITY-BASED, LONG-TERM SERVICES AND SUPPORT, SUCH AS HOME CARE SERVICES, HOMEMAKER SERVICES, RESPITE CARE, ADULT FOSTER CARE, DAY HABILITATION AND OTHER TYPES OF SUPPORT, COUNSELING AND NAVIGATION. EACH TUFTS HEALTH UNIFY ENROLLEE IS ASSIGNED A CARE MANAGER, WHO DEVELOPS A PERSONALIZED CARE PLAN TO MEET ALL OF THE ENROLLEES' PHYSICAL, MENTAL, AND SOCIAL CARE NEEDS. THE GOAL OF THIS INNOVATIVE MODEL IS TO IMPROVE THE QUALITY OF CARE, WHILE IMPROVING HEALTH AND PROVIDING MORE COST EFFECTIVE CARE. AS OF THE END OF 2021, THE ORGANIZATION HAD OVER 3,182 ENROLLEES IN TUFTS HEALTH UNIFY.
FORM 990, PART III, LINE 4DRHODE ISLAND MEDICAID COVERAGE THE ORGANIZATION ALSO OFFERS MEDICAID COVERAGE TO RHODE ISLAND RESIDENTS THROUGH A MEDICAID MANAGED CARE ORGANIZATION PLAN. THE ORGANIZATION'S COVERAGE IS CALLED TUFTS HEALTH RI TOGETHER, AND IS SIMILAR TO THE MEDICAID COVERAGE OFFERED IN MASSACHUSETTS. AS OF THE END OF 2021, THE ORGANIZATION HAD APPROXIMATELY 17,267 ENROLLEES IN TUFTS HEALTH RI TOGETHER.
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 THPP 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 AND SCHEDULE J THE ORGANIZATION'S SOLE MEMBER IS POINT32HEALTH, INC. (P32H). ITS WHOLLY-OWNED SUBSIDIARY, POINT32HEALTH SERVICES, INC.(F/K/A TUFTS ASSOCIATED HEALTH PLANS, INC.), PERFORMS CERTAIN MANAGEMENT, ADMINISTRATIVE, AND MARKETING SERVICES FOR THPP AND OTHER 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 6MEMBERS OR STOCKHOLDERS POINT32HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, LINE 7APOWER TO ELECT OR APPOINT MEMBERS POINT32HEALTH, INC.(P32H), AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY.
FORM 990, PART VI, LINE 7BDECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS P32H, 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. 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 COI 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, LINE 15PROCESS FOR DETERMINING COMPENSATION 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 XII, LINE 1THPP FOLLOWS THE STATUTORY ACCOUNTING METHOD PRESCRIBED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS' ACCOUNTING PRACTICES AND PROCEDURES MANUAL FOR STATUTORY ACCOUNTING PRINCIPLES.
FORM 990, PART XI, LINE 9OTHER CHANGE IN NET ASSETS CAPITAL CONTRIBUTION FROM PARENT 50,000,000 CHANGE IN NON-ADMITTED ASSETS 4,151,861 CHANGE IN PREMIUM DEFICIENCY RESERVE 28,828,000 ------------ TOTAL 82,979,861

Schedule R IRS990ScheduleR

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CARE PARTNERS OF CONNECTICUT INC
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PLAN MARKETING INSURANCE AGENCY INC
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TOTAL HEALTH PLAN INC
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TAHP BROKERAGE CORPORATION
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INTEGRA PARTNERS HOLDINGS INC
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Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
POINT32HEALTH SERVICES INC
Q$165,800,000ACCRUAL
TUFTS ASSOC HEALTH MAINTEN PLAN INC
S$54,811,670ACCRUAL