STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HARVARD PILGRIM HEALTH CARE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HARVARD PILGRIM HEALTH CARE INC (EIN 04-2452600)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201733199349305033
Schema version
2016v3.1
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)
Return2017-11-15T09:55:11-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 BOULEVARDAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

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% BETH CREAVINInCareOfNm
Business Name ControlHARVBusinessNameControlTxt
Phone7812636000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line193 WORCESTER STREETAddressLine1Txt
CityWELLESLEYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP024819181ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES R GOHEENPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7812636000PhoneNum
Signature2017-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGWEN SPENCERPreparerPersonNm
PTINP00641463PTIN
Phone6175305000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address155.201.188.2IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id04363820173195000004FederalOriginalSubmissionId
Federal Original Submission Id2017-11-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdBF1FE25100CDBE53BD0118B5B753D4D4D69E51B4AtSubmissionCreationDeviceId
At Submission Filing Device Id00C87E99527E2332A8997F658CF042F3B5F40496AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerERIC H SCHULTZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line193 WORCESTER STREETAddressLine1Txt
CityWELLESLEYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP024819181ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,090,967,937GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1270TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$239,574,026TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$4,217,512NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$41,478,344PYContributionsGrantsAmt
CY Contributions Grants$54,327,420CYContributionsGrantsAmt
PY Program Service Revenue$1,758,496,615PYProgramServiceRevenueAmt
CY Program Service Revenue$1,865,661,559CYProgramServiceRevenueAmt
PY Investment Income$30,785,590PYInvestmentIncomeAmt
CY Investment Income$51,484,383CYInvestmentIncomeAmt
PY Other Revenue$3,141,773PYOtherRevenueAmt
CY Other Revenue$3,675,824CYOtherRevenueAmt
PY Total Revenue$1,833,902,322PYTotalRevenueAmt
CY Total Revenue$1,975,149,186CYTotalRevenueAmt
PY Grants And Similar Paid$6,220,994PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,333,505CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,550,231,914PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$1,623,711,214CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$66,096,315PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$69,551,688CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$245,677,244PYOtherExpensesAmt
CY Other Expenses$254,533,279CYOtherExpensesAmt
PY Total Expenses$1,868,226,467PYTotalExpensesAmt
CY Total Expenses$1,954,129,686CYTotalExpensesAmt
PY Revenues Less Expenses-$34,324,145PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,019,500CYRevenuesLessExpensesAmt
Total Assets BOY$958,882,498TotalAssetsBOYAmt
Total Assets EOY$905,859,841TotalAssetsEOYAmt
Total Liabilities BOY$473,885,211TotalLiabilitiesBOYAmt
Total Liabilities EOY$449,057,784TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$484,997,287NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$456,802,057NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,856,869,500ExpenseAmt
Grant$6,333,505GrantAmt
Revenue$1,866,407,339RevenueAmt
DescTO IMPROVE THE QUALITY AND VALUE OF HEALTH CARE FOR THE PEOPLE AND COMMUNITIES WE SERVE. AT 12/31/16, HPHC, INC. HAD 287,462 FULLY INSURED MEMBERS, AMBULATORY ENCOUNTERS WERE 2,308,418 AND HOSPITAL DAYS INCURRED WERE 81,284.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$54,327,420ExpenseAmt
DescTHE HARVARD PILGRIM HEALTH CARE INSTITUTE, LLC PERFORMS RESEARCH AND RESEARCH ADMINISTRATION FOR GRANTS AND CONTRACTS AWARDED TO HPHC, INC.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,911,196,920TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document24123IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1270EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
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)
PersonBETH CREAVINPersonNm
Phone6175095692PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line193 WORCESTER STREETAddressLine1Txt
CityWellesleyCityNm
State AbbreviationMAStateAbbreviationCd
ZIP024819181ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARY ANN TOCIO
CHAIRMAN/DIRECTOR5.00.0Yes (X)$30,100$0$0
JOYCE A MURPHY
VICE CHAIR/ DIRECTOR5.00.0Yes (X)$29,776$0$0
SUSAN V DUPREY
DIRECTOR3.00.0Yes (X)$27,900$0$0
EARL W BAUCOM
DIRECTOR5.00.0Yes (X)$31,754$0$0
JOSEPH F O'DONNELL MD
DIRECTOR3.02.0Yes (X)$24,900$0$0
MICHAEL J SHEA
DIRECTOR5.00.0Yes (X)$31,576$0$0
SHELBY M CHODOS
DIRECTOR3.00.0Yes (X)$29,100$0$0
SCOTT S HARTZ
DIRECTOR3.00.0Yes (X)$26,700$0$0
HEDWIG V WHITNEY
DIRECTOR5.00.0Yes (X)$29,176$0$0
MYECHIA MINTER-JORDAN MD
DIRECTOR3.00.0Yes (X)$26,700$0$0
RAYMOND PAWLICKI
DIRECTOR3.00.0Yes (X)$23,417$0$0
ERIC H SCHULTZ
PRESIDENT/CEO/DIRECTOR35.015.0Yes (X)$2,077,902$0$310,060Yes (X)
CHARLES R GOHEEN
TREASURER40.010.0$872,345$0$146,810Yes (X)
TISA K HUGHES
SECRETARY AND CLERK40.010.0$675,163$0$136,733Yes (X)
MICHELLE J CLAYMAN
ASSISTANT TREAS. (AS OF 5/16)40.010.0$354,396$0$50,018Yes (X)
DEBORAH A NORTON
CHIEF INFORMATION OFFICER50.00.0$735,576$0$136,461Yes (X)
RICHARD WEISBLATT
CHIEF OF INNOVATION & STRATEGY40.010.0$527,466$0$112,475Yes (X)
BETH A ROBERTS
SR VP ENTERPRISE SALES & MKTG35.015.0$426,487$0$58,928Yes (X)
VINCENT CAPOZZI
Sr VP Sales & MKTG(UNTIL 3/16)40.010.0$704,598$0$46,648Yes (X)
PRANAV MEHTA
SVP PROD& BUS PLAN(UNTIL 3/16)40.010.0$320,930$0$42,780Yes (X)
MICHAEL S SHERMAN MD
SR VP CMO40.010.0$544,092$0$55,483Yes (X)
CYNTHIA RING
CHIEF HUMAN RESOURCES OFFICER40.010.0$399,311$0$111,850Yes (X)
Richard Platt
EXEC DIR OF HPHC INSTITUTE50.00.0$411,477$0$23,446Yes (X)
JONATHAN EDWARDS
SALES EXECUTIVE40.010.0$367,573$0$63,963Yes (X)
COLLEEN MCGRORY
VP SALES40.010.0$395,748$0$33,267Yes (X)
THOMAS F MALONEY
INTERIM LEGAL OFF (UNTIL 3/14)40.010.0$274,888$0$50,324Yes (X)
JOHN F LANE
CHIEF HR OFFICER (UNTIL 1/15)0.00.0$223,462$0$0Yes (X)
SCOTT ALLEN
SENIOR ACTUARIAL CONSULTANT7.07.0$235,765$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,858,278TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,379,246TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K351IndivRcvdGreaterThan100KCnt
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
DELL MARKETING LPNTT DATA SERVICES
2300 W PLANO PARKWAYPLANOTX75075SEE SCHEDULE O$117,832,827
ORACLE AMERICA INC
500 ORACLE PARKWAYREDWOOD SHORESCA94065IT CONSULTING$6,633,680
TERADATA OPERATIONS INC
125 HIGH STREETBOSTONMA02110CONSULTING$3,088,179
HILL HOLLIDAY LLC
53 STATE STREETBOSTONMA02109ADVERTISING$1,827,144
C2 CONSULTING INC
373 MAIN STREETHINGHAMMA02043IT CONSULTING$1,859,335
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K416CntrctRcvdGreaterThan100KCnt
Government Grants$42,260,717GovernmentGrantsAmt
All Other Contributions$12,066,703AllOtherContributionsAmt
Total Contributions$54,327,420TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEMBER PREMIUMS & FEES524114$1,626,244,712$1,626,244,712
PPO PREMIUMS (FULLY INSURED)524298$239,416,847$239,416,847
FieldValueIRS element (for citing)
Total Program Service Revenue$1,865,661,559TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,178,247TotalRevenueColumnAmt
Unrelated Business Revenue-$50,059UnrelatedBusinessRevenueAmt
Exclusion$13,228,306ExclusionAmt

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$3,288,497RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$358,453RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,930,044RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,930,044TotalRevenueColumnAmt
Unrelated Business Revenue$207,238UnrelatedBusinessRevenueAmt
Exclusion$2,722,806ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$118,606,963SecuritiesAmt
Other$35,159,470OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$112,035,873SecuritiesAmt
Other$3,424,425OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,571,090SecuritiesAmt
Other$31,735,045OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,306,136TotalRevenueColumnAmt
Exclusion$38,306,136ExclusionAmt
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$745,780TotalRevenueColumnAmt
Related Or Exempt Func Income$745,780RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$745,780OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,975,149,186TotalRevenueColumnAmt
Related Or Exempt Func Income$1,626,990,492RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$239,574,026UnrelatedBusinessRevenueAmt
Exclusion$54,257,248ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,333,505TotalAmt
Program Services$6,333,505ProgramServicesAmt

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$1,623,711,214TotalAmt
Program Services$1,623,711,214ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,046,876TotalAmt
Program Services$6,437,501ProgramServicesAmt
Management And General$1,609,375ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$784,439TotalAmt
Program Services$627,551ProgramServicesAmt
Management And General$156,888ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$44,501,727TotalAmt
Program Services$35,601,382ProgramServicesAmt
Management And General$8,900,345ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,309,750TotalAmt
Program Services$2,647,800ProgramServicesAmt
Management And General$661,950ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,035,601TotalAmt
Program Services$6,428,481ProgramServicesAmt
Management And General$1,607,120ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,873,295TotalAmt
Program Services$3,989,293ProgramServicesAmt
Management And General$884,002ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$429,166TotalAmt
Management And General$429,166ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,803,178TotalAmt
Management And General$3,803,178ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,855,351TotalAmt
Management And General$1,855,351ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$395,039TotalAmt
Management And General$395,039ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,261,472TotalAmt
Program Services$18,261,472ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,088,897TotalAmt
Program Services$4,088,897ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,971,640TotalAmt
Program Services$3,177,312ProgramServicesAmt
Management And General$794,328ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$59,978,443TotalAmt
Program Services$47,982,754ProgramServicesAmt
Management And General$11,995,689ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,657,075TotalAmt
Program Services$4,525,660ProgramServicesAmt
Management And General$1,131,415ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,186,777TotalAmt
Program Services$1,186,777ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$168,345TotalAmt
Program Services$168,345ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,607,456TotalAmt
Program Services$2,085,965ProgramServicesAmt
Management And General$521,491ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,583,257TotalAmt
Program Services$17,266,606ProgramServicesAmt
Management And General$4,316,651ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FEDERAL & STATE ASSESSMENTS$22,387,843$22,387,843
PREMIUM TAX EXPENSE$3,615,878$3,615,878
BROKER FEES$44,283,528$44,283,528
RESEARCH GRANT EXPENSE$57,682,763$54,327,420$3,355,343

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,577,171TotalAmt
Program Services$2,061,736ProgramServicesAmt
Management And General$515,435ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,954,129,686TotalAmt
Program Services$1,911,196,920ProgramServicesAmt
Management And General$42,932,766ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$66,903,364BOYAmt
EOY$60,336,886EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,457,206BOYAmt
EOY$6,987,069EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$125,612,812BOYAmt
EOY$99,799,921EOYAmt

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$3,364,254BOYAmt
EOY$3,837,196EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$441,074,783LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$413,372,202LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,766,589BOYAmt
EOY$27,702,581EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$137,291,911BOYAmt
EOY$143,346,136EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$400,082,368BOYAmt
EOY$310,647,774EOYAmt

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$185,403,994BOYAmt
EOY$253,202,278EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$958,882,498BOYAmt
EOY$905,859,841EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$257,322,414BOYAmt
EOY$247,855,773EOYAmt

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$29,000,000BOYAmt
EOY$29,000,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$187,562,797BOYAmt
EOY$172,202,011EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$473,885,211BOYAmt
EOY$449,057,784EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

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$484,997,287BOYAmt
EOY$456,802,057EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$484,997,287BOYAmt
EOY$456,802,057EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$958,882,498BOYAmt
EOY$905,859,841EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$21,019,500ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$62,208,428NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$12,993,698OtherChangesInNetAssetsAmt
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$39,383,858CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,820,660CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$40,901,467CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,478,344CurrentTaxYearMinus1YearAmt
Current Tax Year$54,327,420CurrentTaxYearAmt
Total$214,911,749TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,792,048,879CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,661,588,555CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,523,957,313CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,540,268,502CurrentTaxYearMinus1YearAmt
Current Tax Year$1,626,244,712CurrentTaxYearAmt
Total$8,144,107,961TotalAmt

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$1,831,432,737CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,700,409,215CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,564,858,780CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,581,746,846CurrentTaxYearMinus1YearAmt
Current Tax Year$1,680,572,132CurrentTaxYearAmt
Total$8,359,019,710TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,783,862CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$670,272CurrentTaxYearMinus3YearsAmt
Total$2,454,134TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$158,993,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,731,402CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,237,943CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,558,194CurrentTaxYearMinus1YearAmt
Current Tax Year$55,733,052CurrentTaxYearAmt
Total$341,254,179TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$160,777,450CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,401,674CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46,237,943CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,558,194CurrentTaxYearMinus1YearAmt
Current Tax Year$55,733,052CurrentTaxYearAmt
Total$343,708,313TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$8,015,311,397PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,701,263CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,536,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,954,982CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,379,312CurrentTaxYearMinus1YearAmt
Current Tax Year$16,466,744CurrentTaxYearAmt
Total$113,038,585TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,701,263CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,536,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,954,982CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,379,312CurrentTaxYearMinus1YearAmt
Current Tax Year$16,466,744CurrentTaxYearAmt
Total$113,038,585TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$672,396CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$797,805CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$584,921CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$849,393CurrentTaxYearMinus1YearAmt
Current Tax Year$745,780CurrentTaxYearAmt
Total$3,650,295TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,858,806,396CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,726,743,304CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,590,398,683CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,601,975,551CurrentTaxYearMinus1YearAmt
Current Tax Year$1,697,784,656CurrentTaxYearAmt
Total$8,475,708,590TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.94568PublicSupportCY509Pct
Public Support PY5090.92059PublicSupportPY509Pct
Investment Income CY0.01334InvestmentIncomeCYPct
Investment Income PY0.01426InvestmentIncomePYPct
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 2012, 2013, 2014, 2015, AND 2016.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$629,994DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,374,451OtherActivitiesAmt
Total Lobbying Expenditures$2,004,445TotalLobbyingExpendituresAmt
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 $1,374,451 in membership dues allocable to lobbying activities. Of the amount shown, $35,635 was paid to the Maine Association of Health Plans, $534,005 was paid to America's Health Insurance Plans, $773,704 was paid to the Massachusetts Association of Health Plans and $31,107 was paid to the firm of Robinson and Cole for 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 amount shown, $414,900 was paid to consulting firms. HPHC also has internal staff who lobby. Of the amount shown, $149,094 represents the portion of the employee's salary spent on lobbying activities. On behalf of Harvard Pilgrim Health Care of New England Harvard Pilgrim Health Care, Inc., paid $66,000 to a consulting firm for lobbying costs.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$38,161,672OtherCostOrOtherBasisAmt
Depreciation$19,073,096DepreciationAmt
Book Value$19,088,576BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$398,913,111OtherCostOrOtherBasisAmt
Depreciation$394,299,106DepreciationAmt
Book Value$4,614,005BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$27,702,581TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
US GOVT & AGENCY SECURITIES$129,377,872C
CORPORATE DEBT SECURITIES$181,269,902C
FieldValueIRS element (for citing)
Total Book Value Securities$310,647,774TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INVESTMENTS IN AFFILIATES$180,027,923
SPECIAL DEPOSITS$1,384,983
DUE FROM AFFILIATES$19,418,996
OTHER INVESTED ASSETS$52,370,376
FieldValueIRS element (for citing)
Total Book Value Other Assets$253,202,278TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
UNEARNED GROUP PREMIUM$54,385,605
DUE TO AFFILIATES$4,994,673
LIAB FOR AMTS UNDER UNINSURED PLANS$88,018,021
BORROWED MONEY & INTEREST THEREON$24,803,712
FieldValueIRS element (for citing)
Total Liability$172,202,011TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,833,220,897TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,833,220,897RevenueSubtotalAmt
Other Revenues Not Included$141,928,289OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$141,928,289RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,975,149,186TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,814,767,820TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,814,767,820ExpensesSubtotalAmt
Other Expenses Not Included$139,361,866OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$139,361,866ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,954,129,686TotalExpensesPerForm990Amt

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 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 OF CONNECTICUT, INC. ("HPHC OF CT"), 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"), HPHC HOLDING CORPORATION AND SUBSIDIARY ("HOLDINGS"), 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, HPHC OF CT, 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 MEMBER. HARVARD PILGRIM DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2016 AND 2015.
PART XI, LINE 4BASO FEES 83,379,622 GRANT & FACULTY TEACHING REVENUE 54,327,420 RENTAL & OTHER INCOME 3,675,824 HARVARD PILGRIM HEALTH CARE INSTITUTE LLC INVESTMENT INCOME 545,423 ____________ TOTAL 141,928,289
PART XII, LINE 4BASO FEES 83,379,622 RENTAL & OTHER INCOME 3,675,824 GRANT & FACULTY TEACHING EXPENSES 52,306,420 ___________ TOTAL 139,361,866

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$6,333,505CashGrantAmt
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
ExplanationHARVARD PILGRIM HEALTH CARE (HPHC) INC. MAKES GRANTS TO ITS SUPPORTING ORGANIZATION, HPHC 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)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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
ERIC H SCHULTZ
PRESIDENT/CEO/DIRECTOR$956,950$0$1,098,050$0$22,902$0$283,700$0$26,360$0$2,387,962$0$639,600$0
CHARLES R GOHEEN
TREASURER$472,465$0$374,356$0$25,524$0$115,200$0$31,610$0$1,019,155$0$226,320$0
TISA K HUGHES
SECRETARY AND CLERK$411,487$0$252,212$0$11,464$0$105,200$0$31,533$0$811,896$0$123,273$0
MICHELLE J CLAYMAN
ASSISTANT TREAS. (AS OF 5/16)$286,743$0$62,043$0$5,610$0$18,065$0$31,953$0$404,414$0$0$0
THOMAS F MALONEY
INTERIM LEGAL OFF (UNTIL 3/14)$227,218$0$45,531$0$2,139$0$21,200$0$29,124$0$325,212$0$0$0
JOHN F LANE
CHIEF HR OFFICER (UNTIL 1/15)$0$0$196,481$0$26,981$0$0$0$0$0$223,462$0$101,931$0
DEBORAH A NORTON
CHIEF INFORMATION OFFICER$391,921$0$318,131$0$25,524$0$101,200$0$35,261$0$872,037$0$188,600$0
RICHARD WEISBLATT
CHIEF OF INNOVATION & STRATEGY$339,791$0$162,151$0$25,524$0$90,224$0$22,251$0$639,941$0$43,050$0
BETH A ROBERTS
SR VP ENTERPRISE SALES & MKTG$314,706$0$104,260$0$7,521$0$21,200$0$37,728$0$485,415$0$0$0
VINCENT CAPOZZI
Sr VP Sales & MKTG(UNTIL 3/16)$108,960$0$305,325$0$290,313$0$21,200$0$25,448$0$751,246$0$0$0
PRANAV MEHTA
SVP PROD& BUS PLAN(UNTIL 3/16)$64,064$0$59,096$0$197,770$0$10,769$0$32,011$0$363,710$0$0$0
MICHAEL S SHERMAN MD
SR VP CMO$416,536$0$104,654$0$22,902$0$21,200$0$34,283$0$599,575$0$0$0
CYNTHIA RING
CHIEF HUMAN RESOURCES OFFICER$282,167$0$115,830$0$1,314$0$74,281$0$37,569$0$511,161$0$39,087$0
Richard Platt
EXEC DIR OF HPHC INSTITUTE$382,353$0$0$0$29,124$0$21,200$0$2,246$0$434,923$0$0$0
JONATHAN EDWARDS
SALES EXECUTIVE$89,340$0$277,682$0$551$0$20,326$0$43,637$0$431,536$0$0$0
COLLEEN MCGRORY
VP SALES$193,395$0$185,907$0$16,446$0$21,200$0$12,067$0$429,015$0$0$0
SCOTT ALLEN
SENIOR ACTUARIAL CONSULTANT$235,765$0$0$0$0$0$0$0$0$235,765$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1a3 OFFICERS WERE PROVIDED TAX GROSS-UP PAYMENTS ALONG WITH SUPPLEMENTAL RETIREMENT PAYMENTS TO COMPENSATE FOR RETIREMENT CONTRIBUTION LIMITATIONS. THESE PAYMENTS WERE REPORTED AS TAXABLE INCOME.
SCHEDULE J, PART I, LINE 4AVINCENT CAPOZZIS EMPLOYMENT WITH HPHC TERMINATED IN MARCH 2016. PURSUANT TO THE TERMS OF HIS SEVERANCE AGREEMENT WITH HPHC, MR. CAPOZZI WAS ELIGIBLE TO RECEIVE A CONTINUATION OF HIS BASE SALARY AND BENEFITS AND INCENTIVE COMPENSATION. IN 2016 HE RECEIVED SEVERANCE PAYMENTS OF $270,577. PRANAV MEHTAS EMPLOYMENT WITH HPHC WAS TERMINATED IN MARCH 2016. PURSUANT TO THE TERMS OF HIS SEVERANCE AGREEMENT WITH HPHC, MR. MEHTA WAS ELIGIBLE TO RECEIVE A CONTINUATION OF HIS BASE SALARY AND BENEFITS. IN 2016 HE RECEIVED SEVERANCE PAYMENTS OF $194,115. JOHN LANES EMPLOYMENT WITH HPHC TERMINATED IN JANUARY 2015. PURSUANT TO THE SEVERANCE PROVISION OF HIS CONTRACT, MR. LANE WAS ELIGIBLE TO RECEIVE A CONTINUATION OF HIS BASE SALARY AND BENEFITS AND INCENTIVE COMPENSATION. IN 2016 HE RECEIVED SEVERANCE PAYMENTS OF $26,981 AND INCENTIVE COMPENSATION OF $196,481.
SCHEDULE J, PART I, LINE 4BLONG TERM INCENTIVE PLAN HPHC ADOPTED A LONG-TERM INCENTIVE PLAN FOR ITS CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER, CHIEF INFORMATION OFFICER, CHIEF INNOVATION AND STRATEGY OFFICER, AND CHIEF HUMAN RESOURCES OFFICER FOR 2013-2015 AND FOR 2016-2018. THE PLANS ARE BASED ON A VARIETY OF PERFORMANCE MEASURES AND AMOUNTS ARE EARNED OVER A THREE YEAR PERIOD. SOME OR ALL OF THE DEFERRED COMPENSATION AMOUNTS REPORTED HEREIN FOR THE POTENTIAL EARNINGS UNDER THESE PLANS MAY OR MAY NOT BE PAID TO THE EXECUTIVES BASED ON THE ACTUAL RESULTS OF THE PERFORMANCE MEASURES AS DETERMINED AT THE END OF THE APPLICABLE THREE YEAR PERIOD. THE FOLLOWING INDIVIDUALS WERE PAID THE FOLLOWING AMOUNTS FROM THE 2013-2015 PLAN DURING CALENDAR YEAR 2016: ERIC H. SCHULTZ - $639,600 CHARLES R. GOHEEN - $226,320 TISA K. HUGHES - $123,273 DEBORAH A. NORTON - $188,600 JOHN F. LANE - $101,931 RICHARD WEISBLATT - $43,050 CYNTHIA RING - $39,087
SCHEDULE J, PART I, LINE 7EXECUTIVE INCENTIVE PLAN HPHC HAS AN EXECUTIVE INCENTIVE PLAN 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 40% OF THE GOAL) IS CONTINGENT ON ACHIEVING A 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 OF 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.
SCHEDULE J, PART II, COLUMN FCOMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER HPHCS 2016 2018 LONG TERM INCENTIVE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). AMOUNTS CREDITED AND DISCLOSED ON THE FORM 990 IN PRIOR YEARS THAT VESTED WERE PAID OUT IN CALENDAR YEAR 2016 FOR HPHCS 2013-2015 LONG-TERM INCENTIVE PLAN ARE REPORTED IN COLUMN (B) (III) AND IN COLUMN (F).

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 AND MAINE 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. 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.: ERIC H. SCHULTZ PRESIDENT/CEO CHARLES R. GOHEEN TREASURER TISA K. HUGHES - SECRETARY AND CLERK MICHELLE J. CLAYMAN - ASSISTANT TREASURER FORM 990, PART VI, LINE 11B ONCE HPHC, INC.'S FORM 990 IS COMPLETED WITH THE ASSISTANCE OF ITS OUTSIDE TAX ADVISORS, IT IS FIRST REVIEWED BY HPHC, INC.'S INTERNAL MANAGEMENT AND THEN HPHC, INC.'S AUDIT COMMITTEE CHAIRPERSON (AN INDEPENDENT MEMBER OF THE BOARD OF DIRECTORS OF THE ORGANIZATION). FOLLOWING THAT REVIEW, THE AUDIT COMMITTEE CHAIR AND OUTSIDE ADVISORS PRESENT THE FORM 990 TO THE AUDIT COMMITTEE. 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 CONFLICT OF INTEREST POLICY TO THE PUBLIC UPON REQUEST. THE STATUTORY FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS WEB SITE. FORM 990, PART VII, SECTION B ATTACHMENT 1 NAME: DELL MARKETING LP/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 HARVARD PILGRIM HEALTH CARE, 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 27,816,022 CHANGE IN SURPLUS NOTES (19,466,265) CHANGE IN PRIOR SERVICE COSTS AND RECOGNIZED GAIN FOR POSTRETIREMENT MEDICAL PLAN 4,643,941 ____________ TOTAL $12,993,698 ____________ FORM 990, PART XII, LINE 1 HARVARD PILGRIM HEALTH CARE, 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$6,277,323TotalIncomeAmt
End Of Year Assets$30,715,061EndOfYearAssetsAmt

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
93 WORCESTER STREETWELLESLEYMA02481042708004COMMUNITY SVCMA501(C) (3)11A-IHPHCINCYes (true)
HPHC OF NEW ENGLAND INC
93 WORCESTER STREETWELLESLEYMA02481042663394HEALTH INSURAMA501(C) (4)HPHCINCYes (true)
HPHC OF CONNECTICUT
185 ASYLUM STREETHARTFORDCT06103461681667HEALTH INSURACT501(C) (4)HPHCINCYes (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 COMPANYINC
93 WORCESTER STREETWELLESLEYMA024819181043149694HEALTH INSURANCEMAHPHCINCC CORP$778,856,197$268,878,3091.00000Yes (true)
HPHC HOLDING CORPORATION
93 WORCESTER STREETWELLESLEYMA024819181043306439HOLDING COMPANYMAHPHCINCC CORP$11,112,627$18,045,2041.00000Yes (true)
PLAN MARKETING INSURANCE AGENCYINC
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581042734281BROKERAGEMAHEALTH PLANSC CORP1.00000Yes (true)
HPHC INSURANCE AGENCYINC
93 WORCESTER STREETWELLESLEYMA024819181043016201BROKERAGEMAHPHCINCC CORP$31,660$490,3471.00000Yes (true)
HEALTH PLANSINC
1500 W PARK DRIVESTE 330WESTBOROUGHMA01581042734278TPAMAHPHCINCC CORP$39,798,350$23,115,1031.00000Yes (true)
CARE MANAGEMENT SERVICESINC
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581043438779CARE MANAGEMENTMAHEALTH PLANSC CORP1.00000Yes (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 OrgfalseGiftGrntCapContriFromOthOrgInd
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 (17 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HPHC FOUNDATIONINC
B$6,333,505CASH
HPHC OF NEW ENGLANDINC
LNOQ$49,836,215ALLOCATION
HPHC FOUNDATIONINC
LNOQ$793,755ALLOCATION
HPHC INSURANCE COMPANYINC
LNOQ$95,217,068ALLOCATION
HEALTH PLANSINC
LNOQ$3,960,399ALLOCATION
HPHC OF CONNECTICUT
LNOQ$874,337ALLOCATION
HPHC FOUNDATIONINC
A(IV)$51,233CONTRACT
HEALTH PLANSINC
A(IV)$274,441CONTRACT
HPHC INSURANCE COMPANYINC
B$75,000,000CASH
HPHC FOUNDATIONINC
D$165,914CONTRACT
HEALTH PLANSINC
D$541,903CONTRACT
HPHC INSURANCE COMPANYINC
E$4,994,674CONTRACT
HPHC OF CONNECTICUT
D$46,788CONTRACT
HPHC HOLDING CORPORATION
B$1,250,000CASH
HEALTH PLANS INC
B$5,000,000CASH
HPHC HOLDING CORPORATION
D$22,955CONTRACT
HPHC OF NEW ENGLAND INC
D$18,641,261CONTRACT