STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HARVARD PILGRIM HEALTH CARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HARVARD PILGRIM HEALTH CARE INC (EIN 04-2452600)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202123199349322127
Schema version
2020v4.1
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)
Return2021-11-15T15:33:23-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042452600EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HARVARD PILGRIM HEALTH CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KEVIN O'CONNORInCareOfNm
Business Name ControlHARVBusinessNameControlTxt
Phone7812636000PhoneNum

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
Phone7812636000PhoneNum
Signature2021-11-15SignatureDt
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
Preparation2021-11-12PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerCAIN-ATEN HAYESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 WELLNESS WAYAddressLine1Txt
CityCANTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP020211166ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,999,206,582GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.harvardpilgrim.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1969FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1557TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$219,203,341TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$57,613,894PYContributionsGrantsAmt
CY Contributions Grants$65,457,721CYContributionsGrantsAmt
PY Program Service Revenue$1,728,288,060PYProgramServiceRevenueAmt
CY Program Service Revenue$1,790,543,216CYProgramServiceRevenueAmt
PY Investment Income$19,369,638PYInvestmentIncomeAmt
CY Investment Income$23,222,327CYInvestmentIncomeAmt
PY Other Revenue$3,357,719PYOtherRevenueAmt
CY Other Revenue$5,639,250CYOtherRevenueAmt
PY Total Revenue$1,808,629,311PYTotalRevenueAmt
CY Total Revenue$1,884,862,514CYTotalRevenueAmt
PY Grants And Similar Paid$6,338,844PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,727,066CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,462,196,955PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$1,488,844,852CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$80,129,643PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$92,836,070CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$236,961,032PYOtherExpensesAmt
CY Other Expenses$282,334,737CYOtherExpensesAmt
PY Total Expenses$1,785,626,474PYTotalExpensesAmt
CY Total Expenses$1,871,742,725CYTotalExpensesAmt
PY Revenues Less Expenses$23,002,837PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,119,789CYRevenuesLessExpensesAmt
Total Assets BOY$1,058,856,358TotalAssetsBOYAmt
Total Assets EOY$1,210,525,994TotalAssetsEOYAmt
Total Liabilities BOY$420,849,440TotalLiabilitiesBOYAmt
Total Liabilities EOY$483,649,960TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$638,006,918NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$726,876,034NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,755,727,997ExpenseAmt
Grant$7,727,066GrantAmt
Revenue$1,795,286,271RevenueAmt
DescTO IMPROVE THE QUALITY AND VALUE OF HEALTH CARE FOR THE PEOPLE AND COMMUNITIES WE SERVE. AT 12/31/20, HPHC, INC. HAD 241,953 FULLY INSURED MEMBERS, AMBULATORY ENCOUNTERS WERE 1,906,529 AND HOSPITAL DAYS INCURRED WERE 63,896.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$65,457,721ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescHARVARD PILGRIM HEALTH CARE INSTITUTE, LLC PERFORMS RESEARCH AND RESEARCH ADMINISTRATION FOR GRANTS AND CONTRACTS AWARDED TO HPHC, INC. THE INSTITUTE IS A COLLABORATION BETWEEN HPHC, INC. AND HARVARD MEDICAL SCHOOL. ITS MISSION IS TO IMPROVE HEALTHCARE DELIVERY AND POPULATION HEALTH THROUGH INNOVATIVE RESEARCH AND TEACHING.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,821,185,718TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
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 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 EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document27641IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1557EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
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)
PersonKEVIN O'CONNORPersonNm
Phone6175095697PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 WELLNESS WAYAddressLine1Txt
CityCANTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP020211166ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL A CARSON
PRESIDENT/CEO/DIRECTOR35.015.0Yes (X)Yes (X)$2,245,553$0$483,956
CHARLES R GOHEEN
TREASURER40.010.0Yes (X)$984,477$0$196,095
DEBORAH A NORTON
CHIEF INFORMATION OFFICER40.010.0$875,391$0$190,680Yes (X)
CYNTHIA RING
CHIEF PEOPLE OFFICER40.010.0$785,762$0$180,140Yes (X)
TISA K HUGHES
SECRETARY/CLERK/CLO40.010.0Yes (X)$766,298$0$198,439
MICHAEL S SHERMAN MD
SR VP CMO40.010.0$718,376$0$190,126Yes (X)
RICHARD WEISBLATT
CHIEF OF INNOVATION & STRATEGY40.010.0$739,554$0$161,195Yes (X)
BETH A ROBERTS
SR VP COMMERCIAL BUSINESS35.015.0$626,599$0$169,322Yes (X)
DANIEL RACHFALSKI
SR VP CHIEF ACTUARY UNTIL 9/2040.010.0$544,899$0$48,103Yes (X)
WILLIAM GRAHAM
SR VP MEDICARE BUSINESS40.010.0$411,924$0$163,224Yes (X)
MICHELLE J CLAYMAN
ASSISTANT TREASURER40.010.0Yes (X)$472,496$0$62,519
RICHARD O'CONNOR
VP MARKETING40.010.0$464,997$0$64,412Yes (X)
JOYCE A MURPHY
CHAIRMAN/DIRECTOR5.00.0Yes (X)$121,200$0$0
MICHAEL J SHEA
VICE CHAIR/DIRECTOR5.00.0Yes (X)$83,400$0$0
MYECHIA MINTER-JORDAN MD
DIRECTOR3.00.0Yes (X)$77,400$0$0
SCOTT S HARTZ
DIRECTOR3.00.0Yes (X)$71,600$0$0
HEDWIG V WHITNEY
DIRECTOR5.00.0Yes (X)$70,200$0$0
EARL W BAUCOM
DIRECTOR5.00.0Yes (X)$65,000$0$0
RAYMOND PAWLICKI
DIRECTOR3.00.0Yes (X)$61,200$0$0
GREGORY A SHELL SR
DIRECTOR3.00.0Yes (X)$60,400$0$0
SHELBY M CHODOS
DIRECTOR3.00.0Yes (X)$59,200$0$0
MARTIN J WILLIAMS MD
DIRECTOR3.00.0Yes (X)$48,400$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,354,326TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,108,211TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K481IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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 SERVICES
2300 W PLANO PARKWAYPLANOTX75075SEE SCHEDULE O$115,423,248
DELOITTE TOUCHE LLP
200 BERKELEY STREETBOSTONMA02116CONSULTING$10,707,081
ROPES GRAY
800 BOYLSTON STREETBOSTONMA02199LEGAL$7,048,312
HILL HOLIDAY LLC
53 STATE STREETBOSTONMA02109ADVERTISING$6,476,746
OPTUM INSIGHT INC
11000 OPTUM CIRCLEEDEN PRAIRIEMN55344CONSULTING$5,245,363
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K445CntrctRcvdGreaterThan100KCnt
Government Grants$55,670,320GovernmentGrantsAmt
All Other Contributions$9,787,401AllOtherContributionsAmt
Total Contributions$65,457,721TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEMBER PREMIUMS & FEES524114$1,571,425,742$1,571,425,742
PPO PREMIUMS (FULLY INSURED)524298$219,117,474$219,117,474
FieldValueIRS element (for citing)
Total Program Service Revenue$1,790,543,216TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,184,158TotalRevenueColumnAmt
Unrelated Business Revenue$37,741UnrelatedBusinessRevenueAmt
Exclusion$17,146,417ExclusionAmt

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$1,535,995RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$639,800RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$896,195RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$896,195TotalRevenueColumnAmt
Unrelated Business Revenue$48,126UnrelatedBusinessRevenueAmt
Exclusion$848,069ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$105,334,146SecuritiesAmt
Other$14,408,291OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$100,459,127SecuritiesAmt
Other$13,245,141OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,875,019SecuritiesAmt
Other$1,163,150OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,038,169TotalRevenueColumnAmt
Exclusion$6,038,169ExclusionAmt
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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPROVIDER SETTLEMENT & OTHERDesc
Business900099BusinessCd
Total Revenue Column$4,743,055TotalRevenueColumnAmt
Related Or Exempt Func Income$4,743,055RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,743,055OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,884,862,514TotalRevenueColumnAmt
Related Or Exempt Func Income$1,576,168,797RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$219,203,341UnrelatedBusinessRevenueAmt
Exclusion$24,032,655ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$7,727,066TotalAmt
Program Services$7,727,066ProgramServicesAmt

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$1,488,844,852TotalAmt
Program Services$1,488,844,852ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,616,101TotalAmt
Program Services$6,092,881ProgramServicesAmt
Management And General$1,523,220ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$64,311,920TotalAmt
Program Services$51,449,535ProgramServicesAmt
Management And General$12,862,385ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,032,353TotalAmt
Program Services$4,025,883ProgramServicesAmt
Management And General$1,006,470ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,644,721TotalAmt
Program Services$7,715,777ProgramServicesAmt
Management And General$1,928,944ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,230,975TotalAmt
Program Services$4,835,693ProgramServicesAmt
Management And General$1,395,282ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$170,363TotalAmt
Management And General$170,363ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,015,734TotalAmt
Management And General$5,015,734ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,769,826TotalAmt
Management And General$1,769,826ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$484,183TotalAmt
Management And General$484,183ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,067,794TotalAmt
Program Services$23,067,794ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,649,416TotalAmt
Program Services$8,649,416ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,927,734TotalAmt
Program Services$3,942,187ProgramServicesAmt
Management And General$985,547ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$67,987,308TotalAmt
Program Services$54,389,847ProgramServicesAmt
Management And General$13,597,461ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,808,918TotalAmt
Program Services$5,447,134ProgramServicesAmt
Management And General$1,361,784ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$322,944TotalAmt
Program Services$322,944ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$134,905TotalAmt
Program Services$134,905ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$78,113TotalAmt
Program Services$62,490ProgramServicesAmt
Management And General$15,623ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,589,462TotalAmt
Program Services$11,671,570ProgramServicesAmt
Management And General$2,917,892ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PREMIUM TAX EXPENSE$3,871,940$3,871,940
BROKER FEES$38,770,351$38,770,351
RESEARCH GRANT EXPENSE$66,366,792$65,457,721$909,071$0
FEDERAL ACA ASSESSMENTS$16,252,847$16,252,847

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$23,066,107TotalAmt
Program Services$18,452,885ProgramServicesAmt
Management And General$4,613,222ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,871,742,725TotalAmt
Program Services$1,821,185,718ProgramServicesAmt
Management And General$50,557,007ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$33,888,048BOYAmt
EOY$60,213,652EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,124,718BOYAmt
EOY$80,230,323EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$137,163,538BOYAmt
EOY$122,136,177EOYAmt

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$5,631,132BOYAmt
EOY$6,168,929EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$561,163,271LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$536,626,486LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,332,042BOYAmt
EOY$24,536,785EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$164,402,508BOYAmt
EOY$196,362,301EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$347,343,052BOYAmt
EOY$356,698,743EOYAmt

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$386,747,416BOYAmt
EOY$364,179,084EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,058,856,358BOYAmt
EOY$1,210,525,994EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$264,726,323BOYAmt
EOY$306,940,163EOYAmt

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$156,123,117BOYAmt
EOY$176,709,797EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$420,849,440BOYAmt
EOY$483,649,960EOYAmt
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$638,006,918BOYAmt
EOY$726,876,034EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$638,006,918BOYAmt
EOY$726,876,034EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,058,856,358BOYAmt
EOY$1,210,525,994EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$13,119,789ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$64,847,631NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$10,901,696OtherChangesInNetAssetsAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$54,327,420CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,657,581CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$59,119,049CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,613,894CurrentTaxYearMinus1YearAmt
Current Tax Year$65,457,721CurrentTaxYearAmt
Total$291,175,665TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,626,244,712CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,530,717,609CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,685,695,259CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,519,972,733CurrentTaxYearMinus1YearAmt
Current Tax Year$1,571,425,742CurrentTaxYearAmt
Total$7,934,056,055TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,680,572,132CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,585,375,190CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,744,814,308CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,577,586,627CurrentTaxYearMinus1YearAmt
Current Tax Year$1,636,883,463CurrentTaxYearAmt
Total$8,225,231,720TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$55,733,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,483,423CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,837,041CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,053,752CurrentTaxYearMinus1YearAmt
Current Tax Year$51,449,790CurrentTaxYearAmt
Total$289,557,058TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$55,733,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,483,423CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$58,837,041CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,053,752CurrentTaxYearMinus1YearAmt
Current Tax Year$51,449,790CurrentTaxYearAmt
Total$289,557,058TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$7,935,674,662PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,466,744CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,351,659CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,975,480CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,809,170CurrentTaxYearMinus1YearAmt
Current Tax Year$18,720,153CurrentTaxYearAmt
Total$86,323,206TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,466,744CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,351,659CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,975,480CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,809,170CurrentTaxYearMinus1YearAmt
Current Tax Year$18,720,153CurrentTaxYearAmt
Total$86,323,206TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$745,780CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,970,396CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,436,051CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,695,104CurrentTaxYearMinus1YearAmt
Current Tax Year$4,743,055CurrentTaxYearAmt
Total$14,590,386TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,697,784,656CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,602,697,245CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,765,225,839CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,600,090,901CurrentTaxYearMinus1YearAmt
Current Tax Year$1,660,346,671CurrentTaxYearAmt
Total$8,326,145,312TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95310PublicSupportCY509Pct
Public Support PY5090.95400PublicSupportPY509Pct
Investment Income CY0.01037InvestmentIncomeCYPct
Investment Income PY0.01052InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12FormAndLineReferenceDesc
ExplanationTHIS LINE IS COMPOSED OF PROVIDER SETTLEMENT/OTHER INCOME FOR 2016, 2017, 2018, 2019, AND 2020.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$587,641DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,325,326OtherActivitiesAmt
Total Lobbying Expenditures$1,912,967TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationDuring the year, HPHC paid $1,325,326 in membership dues allocable to lobbying activities. Of the total amount, the four highest were as follows and represented 93% of the total: $494,758 was paid to the Massachusetts Association of Health Plans; $259,058 was paid to America's Health Insurance Plans; $420,000 was paid to the Association of Community Health Plans; and $54,000 was paid to the Connecticut Association of Health Plans. HPHC hired a number of consulting firms to advise them on strategies for addressing pending legislation and to provide legislators with information regarding the impact of pending legislation on HPHC's activities. Of the total amount shown of $587,641, $444,500 was paid to consulting firms. Of the amount paid to consulting firms, HPHC paid $60,000 to consulting firms for lobbying costs on behalf of Harvard Pilgrim Health Care of New England. HPHC also has internal staff who lobby; $143,141 represents the portion of the employee's salary spent on lobbying activities.ExplanationTxt

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$4,000,000OtherCostOrOtherBasisAmt
Book Value$4,000,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,963,616OtherCostOrOtherBasisAmt
Depreciation$23,709,730DepreciationAmt
Book Value$17,253,886BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$516,199,655OtherCostOrOtherBasisAmt
Depreciation$512,916,756DepreciationAmt
Book Value$3,282,899BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$24,536,785TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
US GOVT & AGENCY SECURITIES$3,851,009C
CORPORATE DEBT SECURITIES$170,898,723C
MBS & ABS$181,949,011C
FieldValueIRS element (for citing)
Total Book Value Securities$356,698,743TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INVESTMENTS IN AFFILIATES$254,426,427
SPECIAL DEPOSITS$402,847
DUE FROM AFFILIATES$8,123,942
OTHER INVESTED ASSETS$101,225,868
FieldValueIRS element (for citing)
Total Book Value Other Assets$364,179,084TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
UNEARNED GROUP PREMIUM$52,159,170
LIAB FOR AMTS UNDER UNINSURED$124,550,627
FieldValueIRS element (for citing)
Total Liability$176,709,797TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,752,311,354TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,752,311,354RevenueSubtotalAmt
Other Revenues Not Included$132,551,160OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$132,551,160RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,884,862,514TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,747,873,246TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,747,873,246ExpensesSubtotalAmt
Other Expenses Not Included$123,869,479OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$123,869,479ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,871,742,725TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2THE CONSOLIDATED FINANCIAL STATEMENTS OF HARVARD PILGRIM HEALTH CARE, INC. AND AFFILIATES ("HARVARD PILGRIM") INCLUDE THE FOLLOWING ENTITIES: HARVARD PILGRIM HEALTH CARE, INC. ("HPHC, INC."); HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC. ("NEW ENGLAND"); HARVARD PILGRIM HEALTH CARE FOUNDATION, INC. (THE "FOUNDATION"); HARVARD PILGRIM HEALTH CARE INSTITUTE, LLC (THE "INSTITUTE"); HPHC INSURANCE AGENCY (THE "AGENCY"); HPHC INSURANCE COMPANY, INC. (THE "INSURANCE COMPANY"); NEW HPHC HOLDING CORPORATION "NEWCO"); AND HEALTH PLANS, INC. AND SUBSIDIARIES ("HPI"). FOLLOWING IS THE RELEVANT PORTION OF THE FIN 48 FOOTNOTE FROM HARVARD PILGRIM HEALTH CARE, INC. AND AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES THAT APPLIES TO THE FILING ORGANIZATION: HPHC, INC., NEW ENGLAND, AND THE FOUNDATION ARE TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE SERVICE REGULATIONS. THE INSTITUTE HAS NO TAX STATUS AND THEREFORE FOLLOWS THE TAX-EXEMPT STATUS OF HPHC, INC. AS ITS SOLE CORPORATE MEMBER. HARVARD PILGRIM DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2020 AND 2019.
PART XI, LINE 4BASO FEES 59,165,031 GRANT REVENUE 65,457,721 RENTAL & OTHER INCOME 6,123,433 INSTITUTE INVESTMENT INCOME 1,804,975 ____________ TOTAL 132,551,160
PART XII, LINE 4BASO FEES 59,165,031 GRANT EXPENSES 65,457,721 RENTAL & OTHER EXPENSES (753,273) ____________ TOTAL 123,869,479

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HARVARD PILGRIM HEALTH CARE FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line193 WORCESTER STAddressLine1Txt
CityWELLESLEYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP024819181ZIPCd
FieldValueIRS element (for citing)
Recipient EIN042708004RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$7,727,066CashGrantAmt
Purpose Of GrantFUND OPERATIONSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationHPHC, INC. MAKES GRANTS TO ITS SUPPORTING ORGANIZATION, HARVARD PILGRIM HEALTH CARE FOUNDATION ("THE FOUNDATION"), WHOSE PURPOSE IS TO MAKE COMMUNITY GRANTS AND MONITOR THEM IN ACCORDANCE WITH HPHC'S TAX-EXEMPT MISSION. THE FOUNDATION MAKES MINI GRANTS OF $500 EACH THAT ARE APPROVED BY APPOINTED COMMITTEE MEMBERS PRIOR TO BEING ISSUED. MINI GRANTS OF $500 EACH ARE RECOMMENDED BY EMPLOYEES WHO FILL OUT A DETAILED APPLICATION REGARDING PURPOSE OF FUNDS, AND MUST PROVE THAT FUNDS WILL GO TO A LEGAL, NOT-FOR-PROFIT ORGANIZATION, WHERE THE EMPLOYEE LIVES OR WHERE HPHC DOES BUSINESS. THE FOUNDATION STAFF REVIEWS THESE APPLICATIONS FOR ACCURACY OF PURPOSE AND LEGITIMACY OF THE ORGANIZATION. THE FOUNDATION STAFF RECOMMENDATIONS ARE REVIEWED BY A NON-STAFF APPOINTED COMMITTEE. REPORTS ON THESE GRANTS ARE COLLECTED FROM A SAMPLE OF THESE ORGANIZATIONS. THE FOUNDATION'S INTERNAL MANAGEMENT REPORTS A SUMMARY OF THIS INFORMATION TO THE FOUNDATION'S BOARD. OTHER MORE SIGNIFICANT COMMUNITY GRANTS MADE BY THE FOUNDATION REQUIRE A CONCEPT PROPOSAL TO BE SUBMITTED AND APPROVED BY AN APPOINTED COMMITTEE. ONCE THE GRANTS ARE APPROVED, THE FOUNDATION EMPLOYEES PERFORM SITE VISITS AND REGULAR EVALUATIONS OF THE GRANTS. IN ADDITION, THE FOUNDATION HIRES AN INDEPENDENT EVALUATION GROUP TO REVIEW GRANT RESULTS. ADDITIONALLY, FORMAL FISCAL REPORTING OF ALL GRANTS IS PERFORMED AND REVIEWED BY EMPLOYEES OF THE FOUNDATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
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 PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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
MICHAEL A CARSON
PRESIDENT/CEO/DIRECTOR$1,201,911$0$1,006,704$0$36,938$0$449,070$0$34,886$0$2,729,509$0$0$0
CHARLES R GOHEEN
TREASURER$566,108$0$390,786$0$27,583$0$167,721$0$28,374$0$1,180,572$0$0$0
TISA K HUGHES
SECRETARY/CLERK/CLO$515,175$0$226,262$0$24,861$0$157,468$0$40,971$0$964,737$0$0$0
MICHELLE J CLAYMAN
ASSISTANT TREASURER$322,200$0$137,162$0$13,134$0$22,800$0$39,719$0$535,015$0$0$0
DEBORAH A NORTON
CHIEF INFORMATION OFFICER$505,732$0$334,854$0$34,805$0$154,974$0$35,706$0$1,066,071$0$0$0
BETH A ROBERTS
SR VP COMMERCIAL BUSINESS$414,610$0$187,128$0$24,861$0$133,638$0$35,684$0$795,921$0$0$0
WILLIAM GRAHAM
SR VP MEDICARE BUSINESS$291,484$0$110,345$0$10,095$0$129,213$0$34,011$0$575,148$0$0$0
DANIEL RACHFALSKI
SR VP CHIEF ACTUARY UNTIL 9/20$338,012$0$185,170$0$21,717$0$17,100$0$31,003$0$593,002$0$0$0
MICHAEL S SHERMAN MD
SR VP CMO$478,334$0$215,181$0$24,861$0$149,155$0$40,971$0$908,502$0$0$0
RICHARD WEISBLATT
CHIEF OF INNOVATION & STRATEGY$422,989$0$281,760$0$34,805$0$133,638$0$27,557$0$900,749$0$0$0
CYNTHIA RING
CHIEF PEOPLE OFFICER$443,788$0$319,481$0$22,493$0$140,565$0$39,575$0$965,902$0$0$0
RICHARD O'CONNOR
VP MARKETING$334,999$0$110,453$0$19,545$0$22,800$0$41,612$0$529,409$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4BLONG TERM INCENTIVE PLAN HPHC, INC. ADOPTED A LONG-TERM INCENTIVE PLAN FOR CERTAIN SENIOR EXECUTIVES FOR THE MEASUREMENT PERIOD 2019-2021. THE PLAN IS BASED ON MULTIPLE PERFORMANCE MEASURES. IN ANTICIPATION OF AND CONTINGENT UPON CLOSING THE CHANGE IN CONTROL TRANSACTION BETWEEN HARVARD PILGRIM HEALTH CARE AND TUFTS HEALTH PLAN IN EARLY 2021, THE PLAN WAS TERMINATED AND THE MEASUREMENT PERIOD WAS SHORTENED TO TWO YEARS (2019-2020), EFFECTIVE 12/31/2020. SUBJECT TO A PLAN PARTICIPANT'S EMPLOYMENT STATUS, EARNINGS BASED ON PLAN RESULTS AS OF THE END OF 2020 WILL BE PAID TO SUCH PARTICIPANT BY 3/15/2021. THE ANNUAL DEFERRED COMPENSATION ACCRUALS FOR 2020 ARE INCLUDED IN THE SCHEDULE J, PART II, COLUMN (C).
SCHEDULE J, PART I, LINE 7SHORT TERM INCENTIVE PLAN HPHC HAS A SHORT TERM INCENTIVE PLAN FOR DIRECTORS AND ABOVE TO INCENT AND REWARD PARTICIPANTS AND PERMIT THEM TO SHARE IN SUCCESSFUL COMPANY FINANCIAL RESULTS, ENCOURAGE THEM TO WORK AS A TEAM AND PAY THEM COMPETITIVELY, CONSIDERING FINANCIAL CONSTRAINTS. ON AN ANNUAL BASIS, SUBJECT TO ORGANIZATION AND INDIVIDUAL PERFORMANCE, THE COMPANY PAYS ELIGIBLE PARTICIPANTS THEIR INCENTIVE COMPENSATION, PART OF WHICH (NO MORE THAN 70% OF THE GOAL) IS CONTINGENT ON ACHIEVING CERTAIN OPERATING EARNINGS TARGET OF HPHC, INC. AND AFFILIATES (ON A COMBINED STATUTORY ACCOUNTING BASIS). DISCRETIONARY RETIREMENT PLAN HPHC OFFERS A 457(B) PLAN AS A RETIREMENT BENEFIT TO A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES AND FACULTY MEMBERS OF HARVARD PILGRIM HEALTH CARE, INC. AND HARVARD PILGRIM HEALTH CARE INSTITUTE, LLC. THE PLAN PROVIDES ELIGIBLE PARTICIPANTS AN ADDITIONAL OPPORTUNITY TO DEFER PRE-TAX COMPENSATION FOR RETIREMENT. THE PLAN ALSO PROVIDES FOR EMPLOYER CONTRIBUTIONS (FOR NON-FACULTY PARTICIPANTS) AND RESTORATION CREDITS (FOR FACULTY MEMBERS) WHICH ARE INTENDED TO MAKE UP FOR THE SHORTFALL SOME PARTICIPANTS MAY EXPERIENCE UNDER THE HPHC-SPONSORED 401(K) PLAN DUE TO THE INTERNAL REVENUE CODE OR PLAN CONTRIBUTION LIMITS. HPHC MAKES UP FOR THIS SHORTFALL IN THE 401(K) PLAN BY FUNDING THE 457(B) ACCOUNT ON BEHALF OF THE ELIGIBLE EMPLOYEE UP TO THE 457(B) ANNUAL CONTRIBUTION LIMIT AND ANY AMOUNT ABOVE THIS LIMIT IS PAID TO THE PARTICIPANT IN CASH. IN ADDITION, PLEASE REFER TO SCHEDULE J, PART I, LINE 4(B) FOR A DESCRIPTION OF THE LONG-TERM INCENTIVE PLAN.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1, AND PART III, LINE 1ORGANIZATION MISSION HARVARD PILGRIM OPERATES AS A NOT-FOR-PROFIT HEALTH PLAN PROVIDING COMPREHENSIVE HEALTH BENEFIT PLANS, 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. HARVARD PILGRIM'S MISSION IS TO IMPROVE THE QUALITY AND VALUE OF HEALTH CARE FOR THE PEOPLE AND COMMUNITIES WE SERVE. FOR MORE THAN 45 YEARS, HARVARD PILGRIM HAS BUILT A REPUTATION FOR EXCEPTIONAL CLINICAL QUALITY, PREVENTIVE CARE, DISEASE MANAGEMENT AND MEMBER SATISFACTION AND HAS CONSISTENTLY RATED AMONG THE TOP PLANS IN THE COUNTRY. PHYSICIAN PRACTICES IN MASSACHUSETTS, NEW HAMPSHIRE, MAINE, AND CONNECTICUT WILL RECEIVE GRANTS FROM HARVARD PILGRIM TO IMPROVE CLINICAL CARE, QUALITY AND SERVICE. HARVARD PILGRIM'S ANNUAL QUALITY AWARDS PROGRAM WILL FUND VARIOUS PHYSICIAN-GROUP INITIATIVES THAT FOCUS ON MANAGING CHRONIC AND PREVENTABLE DISEASES, INCLUDING PATIENT SATISFACTION AND SAFETY AND INCREASING PREVENTATIVE CARE. THE RESULTS OF THESE PROGRAMS WILL BE SHARED WITH OTHER HARVARD PILGRIM PROVIDERS SO THAT THEIR "BEST PRACTICES" CAN BENEFIT THE BROADER POPULATION. THROUGH THE HARVARD PILGRIM HEALTH CARE INSTITUTE (THE "INSTITUTE"),OUR SPONSORED EDUCATIONAL PROGRAMS AND RESEARCH AGENDA SEEK TO DISCOVER THE MOST EFFECTIVE WAYS TO DELIVER AMBULATORY MEDICAL CARE, REDUCE UNWARRANTED VARIATION IN PRACTICE, IMPROVE PATIENT SAFETY AND, WHENEVER POSSIBLE, IMPROVE PUBLIC HEALTH. THE INSTITUTE CHAMPIONS INNOVATIVE RESEARCH THAT DIRECTLY IMPROVES THE HEALTH AND SAFETY OF SOCIETY. UPON RECEIPT OF ALL NECESSARY CORPORATE AND REGULATORY APPROVALS, HARVARD PILGRIM HEALTH CARE OF CONNECTICUT, INC. ("HPHC OF CT") MERGED WITH AND INTO HPHC, INC., EFFECTIVE JULY 1, 2020, AND HPHC OF CT WAS DISSOLVED AS OF SUCH EFFECTIVE DATE. THE INFORMATION PRESENTED AS OF AND FOR THE YEAR ENDED DECEMBER 31, 2020 REFLECTS THE MERGER OF HPHC, INC. AND HPHC OF CT. FORM 990,PART VI, LINE 2 BUSINESS RELATIONSHIP - THE FOLLOWING INDIVIDUALS SERVE ON THE BOARDS OR ARE AN OFFICER OR KEY EMPLOYEE OF ONE OR MORE FOR PROFIT ORGANIZATIONS AFFILIATED WITH HPHC, INC.: MICHAEL A. CARSON - PRESIDENT/CEO CHARLES R. GOHEEN - TREASURER/CFO TISA K. HUGHES - SECRETARY/CLERK/CLO MICHELLE J. CLAYMAN - ASSISTANT TREASURER BETH A. ROBERTS - SR VP COMMERCIAL BUSINESS FORM 990,PART VI, LINE 4 IN FEBRUARY 2020, HPHC, INC. RECEIVED ITS LICENSE TO BEGIN WRITING HEALTH INSURANCE POLICIES IN THE STATE OF CONNECTICUT. RESTATED ARTICLES OF ORGANIZATION AND RESTATED BYLAWS WERE APPROVED BY HPHC, INC.'S BOARD OF DIRECTORS ON APRIL 14, 2020, TO REFLECT HPHC INC.'S NEW HEALTH CARE CENTER LICENSES IN CONNECTICUT AND REVISED INDEMNIFICATION POLICIES AND PROCEDURES. RESTATED ARTICLES OF ORGANIZATION WERE FILED AND APPROVED BY THE MASSACHUSETTS SECRETARY OF STATE'S OFFICE ON MAY 4, 2020. FORM 990, PART VI, LINE 11B ONCE HPHC, INC.'S FORM 990 IS COMPLETED WITH THE ASSISTANCE OF ITS OUTSIDE TAX ADVISORS, IT IS REVIEWED BY HPHC, INC.'S INTERNAL MANAGEMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS.
FORM 990, PART VI, LINE 12CHPHC, INC.'S DIRECTORS AND OFFICERS ARE SUBJECT TO HPHC, INC.'S CONFLICTS OF INTEREST POLICY AS SET FORTH IN HPHC, INC.'S BYLAWS. THE CONFLICTS OF INTEREST POLICY REQUIRES DIRECTORS AND OFFICERS TO DISCLOSE ON AN ONGOING BASIS THE OCCURRENCE OF ANY SITUATION WHEN THEIR PERSONAL INTERESTS OR RELATIONSHIPS MIGHT INFLUENCE, OR APPEAR TO INFLUENCE, THEIR ABILITY TO MAKE OBJECTIVE DECISIONS IN THE COURSE OF PERFORMING THEIR FIDUCIARY RESPONSIBILITIES, ARE PREJUDICIAL TO THE LEGITIMATE INTERESTS OF HPHC, INC., OR CAUSE THE USE OF HPHC, INC.'S RESOURCES FOR OTHER THAN HPHC, INC. PURPOSES. IN ADDITION TO BEING SUBJECT TO HPHC, INC.'S CONFLICTS OF INTEREST POLICY, HPHC, INC.'S DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE ANNUALLY REQUIRED TO COMPLETE AND SIGN A CONFLICTS OF INTEREST DISCLOSURE SURVEY, AND ANY DISCLOSED POTENTIAL CONFLICTS ARE REPORTED TO THE BOARD OF DIRECTORS, IN ACCORDANCE WITH THE DISCLOSURE AND REVIEW PROCESS SET FORTH IN HPHC, INC.'S BYLAWS. IN ADDITION, HPHC, INC.'S EMPLOYEES ARE SUBJECT TO HPHC, INC.'S CODE OF CONDUCT WHICH INCLUDES A CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST POLICY REQUIRES EMPLOYEES TO DISCLOSE ON AN ONGOING BASIS THE OCCURRENCE OF ANY SITUATION WHEN THEIR OUTSIDE ACTIVITIES, PERSONAL INTERESTS OR RELATIONSHIPS MIGHT INFLUENCE, OR APPEAR TO INFLUENCE, THEIR ABILITY TO MAKE OBJECTIVE DECISIONS IN THE COURSE OF PERFORMING THEIR JOB RESPONSIBILITIES, ARE PREJUDICIAL TO THE LEGITIMATE INTERESTS OF HPHC, INC., AND ITS AFFILIATES, OR CAUSE THE USE OF HPHC, INC. RESOURCES FOR OTHER THAN HPHC, INC. PURPOSES. EMPLOYEES COMMUNICATE DISCLOSURES TO THEIR SUPERVISORS AND TO THE COMPLIANCE PROGRAM OFFICE. THE COMPLIANCE PROGRAM OFFICE, IN COLLABORATION WITH THE LEGAL DEPARTMENT, MAKE A DETERMINATION IF SUCH DISCLOSURE IS MATERIAL AND NEEDS TO BE MANAGED, MITIGATED, OR ELIMINATED. FORM 990, PART VI, LINES 15A AND 15B HPHC, INC. HAS AN INDEPENDENT COMPENSATION COMMITTEE THAT ANNUALLY REVIEWS THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE CONSIDERS MARKET DATA AND ANALYSES ASSEMBLED BY INDEPENDENT COMPENSATION CONSULTANTS. THE COMPENSATION COMMITTEE'S DELIBERATIONS ARE REFLECTED IN ITS MINUTES. FORM 990, PART VI, LINE 19 HPHC, INC. FURNISHES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICTS OF INTEREST POLICY TO THE PUBLIC UPON REQUEST. THE STATUTORY FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS WEBSITE. FORM 990, PART VII, SECTION B NAME: NTT DATA SERVICES LLC DESCRIPTION OF SERVICES: IT CONSULTING AND BUSINESS PROCESS OUTSOURCING FORM 990, PART IX, COLUMN D THERE ARE NO EXPENSES FOR FUNDRAISING INCLUDED IN THE INCOME STATEMENT FOR HPHC, INC. ANY COSTS INCURRED WITH THE ADMINISTRATION OF FEDERAL OR PRIVATE GRANTS ARE INCURRED BY THE INSTITUTE. THEY ARE TYPICALLY FUNDED BY THE INDIRECT COST RECOVERIES ON THOSE GRANTS. FORM 990, PART XI, LINE 9 CHANGE IN NON ADMITTED ASSETS 9,942,963 CHANGE IN PRIOR SERVICE COSTS AND RECOGNIZED LOSS FOR POSTRETIREMENT MEDICAL PLAN 958,733 _____________ TOTAL $10,901,696 _____________ FORM 990, PART XII, LINE 1 HPHC, INC. 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 Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HARVARD PILGRIM HEALTH CARE INST LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 BROOKLINE AVEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02215ZIPCd
FieldValueIRS element (for citing)
EIN943477531EIN
Primary ActivitiesRESEARCHPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Total Income$28,417,353TotalIncomeAmt
End Of Year Assets$53,477,553EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HPHCINCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HPHC FOUNDATION INC
1 WELLNESS WAYCANTONMA020211166042708004COMMUNITY SVCMA501(C)(3)12A-IHPHCINCYes (true)
HPHC OF NEW ENGLAND INC
1 WELLNESS WAYCANTONMA020211166042663394HEALTH INSURAMA501(C)(4)HPHCINCYes (true)
HPHC OF CONNECTICUT INC UNTIL 63020
185 ASYLUM STREETHARTFORDCT06103461681667HEALTH INSURACT501(C)(4)HPHC INCYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
HPHC INSURANCE COMPANY INC
1 WELLNESS WAYCANTONMA020211166043149694HEALTH INSURAMANEWCOC CORP$688,871,685$287,685,4131.00000Yes (true)
PLAN MARKETING INSURANCE AGENCY INC
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581042734281BROKERAGEMAHEALTH PLANSC CORP$0$01.00000Yes (true)
HPHC INSURANCE AGENCY INC
1 WELLNESS WAYCANTONMA020211166043016201BROKERAGEMANEWCOC CORP$976,269$2,084,5071.00000Yes (true)
HEALTH PLANS INC
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581042734278TPAMANEWCOC CORP$81,140,992$71,988,9411.00000Yes (true)
CARE MANAGEMENT SERVICES INC
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581043438779CARE MANAGEMEMAHEALTH PLANSC CORP$0$01.00000Yes (true)
NEW HPHC HOLDING CORPORATION
1 WELLNESS WAYCANTONMA020211166815340662HOLDING COMPADEHPHC INCC corp$0$01.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HPHC FOUNDATION INC
B$7,727,066CASH
HPHC INSURANCE COMPANY INC
C$30,000,000CASH
HPHC OF NEW ENGLAND INC
LNOQ$58,078,919ALLOCATION
HPHC FOUNDATION INC
LNOQ$781,446ALLOCATION
HPHC INSURANCE COMPANY INC
LNOQ$71,737,440ALLOCATION
HEALTH PLANS INC
LNOQ$5,111,943ALLOCATION
HPHC FOUNDATION INC
A(IV)$60,807CONTRACT
HEALTH PLANS INC
A(IV)$290,523CONTRACT
HPHC FOUNDATION INC
D$901,866CONTRACT
HEALTH PLANS INC
D$357,440CONTRACT
HPHC INSURANCE COMPANY INC
D$1,823,427CONTRACT
HPHC OF NEW ENGLAND INC
D$5,041,022CONTRACT