MINUTEMAN HEALTH INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MINUTEMAN HEALTH INC (EIN 45-3596033)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-14
- IRS object ID
- 201603199349306840
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-14T13:54:53-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 South Street | AddressLine1Txt |
| City | Boston | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453596033 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MINUTEMAN HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JANICE M GOGUEN | InCareOfNm |
| Business Name Control | MINU | BusinessNameControlTxt |
| Phone | 8556441776 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38 CHAUNCY STREET SIXTH FLOOR | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02111 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY PENCE | PersonNm |
| Person Title | cfo | PersonTitleTxt |
| Phone | 8556441776 | PhoneNum |
| Signature | 2016-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | thomas cyr | PreparerPersonNm |
| PTIN | P00651101 | PTIN |
| Phone | 6179881000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | THOMAS POLICELLI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38 CHAUNCY STREET 6TH FLOOR | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,632,385 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | MINUTEMANHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | minuteman health strives to deliver more choice, more value,and more affordability to individuals and employees in Massachusetts and New Hampshire. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 67 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,870,576 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,186,944 | CYProgramServiceRevenueAmt |
| PY Investment Income | $64,307 | PYInvestmentIncomeAmt |
| CY Investment Income | $445,441 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,934,883 | PYTotalRevenueAmt |
| CY Total Revenue | $23,632,385 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $1,743,054 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $26,444,373 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,412,211 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,494,007 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,017,947 | PYOtherExpensesAmt |
| CY Other Expenses | $42,284,160 | CYOtherExpensesAmt |
| PY Total Expenses | $23,173,212 | PYTotalExpensesAmt |
| CY Total Expenses | $75,222,540 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$20,238,329 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$51,590,155 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,297,040 | TotalAssetsBOYAmt |
| Total Assets EOY | $94,615,690 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,040,130 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $83,203,460 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,256,910 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,412,230 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Minuteman Health strives to deliver more choice, more value and more affordability to individuals and employees in Massachusetts and New Hampshire. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $75,222,540 | ExpenseAmt |
| Revenue | $23,632,385 | RevenueAmt |
| Desc | MINUTEMAN HEALTH, INC. (MHI) BEGAN PROVIDING MEDICAL BENEFITS THROUGH HOSPITALS, DOCTORS, AND OTHER HEALTH CARE PROVIDERS WHO AGREED TO BE PART OF THE MHI NETWORK THROUGH THE COMPANY'S PROVIDER NETWORK LESSOR IN THE SPECIFIC SERVICE AREAS OF BRISTOL, ESSEX, MIDDLESEX, NORFOLK, PLYMOUTH, SUFFOLK, AND WORCESTER COUNTIES IN MASSACHUSETTS EFFECTIVE JANUARY 1, 2014. MHI BEGAN ISSUING HEALTH INSURANCE POLICIES EFFECTIVE JANUARY 1, 2015 IN THE SPECIFIC SERVICE AREAS OF BELKNAP, CARROLL, COOS, GRAFTON, HILLSBOROUGH, MERRIMACK, ROCKINGHAM, STRAFFORD AND SULLIVAN COUNTIES IN NEW HAMPSHIRE AS WELL. | Desc |
| Total Program Service Expenses | $75,222,540 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 1021 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 67 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Licensed More Than One State | Yes (true) | LicensedMoreThanOneStateInd |
| State Required Reserves | $1,554,520 | StateRequiredReservesAmt |
| Reserves Maintained | $11,412,230 | ReservesMaintainedAmt |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANICE M GOGUEN | PersonNm |
| Phone | 8556441776 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 38 CHAUNCY STREET 6TH FLOOR | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02111 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ELLEN ZANE | ||||||||||
| CHAIRMAN OF BOARD | 4.0 | 0.0 | Yes (X) | $12,117 | $0 | $0 | ||||
| ROBERT BROOKS | ||||||||||
| VICE CHAIRMAN/CLERK | 4.0 | 0.0 | Yes (X) | $6,250 | $0 | $0 | ||||
| BRADFORD KIMLER | ||||||||||
| DIRECTOR | 2.0 | Yes (X) | $10,580 | $0 | $0 | |||||
| J CHRIS RYDER MD | ||||||||||
| DIRECTOR | 2.0 | Yes (X) | $12,321 | $0 | $0 | |||||
| CHRISTOPHER PERNA | ||||||||||
| DIRECTOR | 2.0 | Yes (X) | $6,250 | $0 | $0 | |||||
| KELLY DEKEYSER | ||||||||||
| DIRECTOR | 2.0 | Yes (X) | $6,250 | $0 | $0 | |||||
| DEBRA SUE CASEY | ||||||||||
| DIRECTOR | 2.0 | Yes (X) | $9,407 | $0 | $0 | |||||
| MICHAEL TAYLOR | ||||||||||
| DIRECTOR | 2.0 | Yes (X) | $11,532 | $0 | $0 | |||||
| MARVIN KONSTAM MD | ||||||||||
| DIRECTOR | 2.0 | Yes (X) | $12,321 | $0 | $0 | |||||
| THOMAS POLICELLI | ||||||||||
| CEO/PRESIDENT | 40.0 | $546,490 | $0 | $25,057 | Yes (X) | |||||
| GREGORY PENCE | ||||||||||
| INTERIM CFO AND CHIEF ACTUARY | 40.0 | $213,639 | $0 | $8,694 | Yes (X) | |||||
| SUSAN E BROWN | ||||||||||
| GENERAL COUNSEL AND CLERK | 40.0 | $395,388 | $0 | $9,954 | Yes (X) | |||||
| JAN COOK | ||||||||||
| CHIEF MEDICAL OFFICER | 40.0 | $349,399 | $0 | $10,130 | Yes (X) | |||||
| ROBERT CHIN | ||||||||||
| CHIEF INFORMATION OFFICER | 40.0 | $394,815 | $0 | $10,541 | Yes (X) | |||||
| MICHAEL BOUDREAU | ||||||||||
| SENIOR VP OF OPERATIONS | 40.0 | $304,649 | $0 | $3,667 | Yes (X) | |||||
| SCOTT COLBY | ||||||||||
| EXEC DIR., NH & SVP OF SALES | 40.0 | $247,366 | $0 | $8,111 | Yes (X) | |||||
| JANICE GOGUEN | ||||||||||
| CONTROLLER | 40.0 | $201,221 | $0 | $7,613 | Yes (X) | |||||
| LYNN LATHAM | ||||||||||
| VP OF VENDOR MANAGEMANT | 40.0 | $183,591 | $0 | $5,952 | Yes (X) | |||||
| HEIDI HENSON | ||||||||||
| DIRECTOR OF HUMAN RESOURCES | 40.0 | $176,965 | $0 | $6,624 | Yes (X) | |||||
| DIERDRE O'RIORDAN | ||||||||||
| DIR OF QUALITY & MEDICAL MNGMT | 40.0 | $176,575 | $0 | $6,058 | Yes (X) | |||||
| ROBERT FALLON | ||||||||||
| CFO & TREAS (FROM JAN - SEPT) | 40.0 | $301,770 | $0 | $7,660 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,578,896 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $110,061 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CATAMARAN | |||||
| PO BOX 27275 | NEW YORK | NY | 10087 | PHARM. BENEFITS MGT | $3,652,144 |
| WALLWORK CURRY MCKENNA | |||||
| 10 CITY SQUARE 5TH FLOOR | BOSTON | MA | 02129 | OUTREACH | $3,513,354 |
| HEALTH NEW ENGLAND | |||||
| ONE MONARCH PLACE SUITE 1500 | SPRINGFIELD | MA | 01144 | TPA SERVICES | $3,302,901 |
| PROVIDER NETWORK ALLIANCE | |||||
| 800 WASHINGTON STREET | BOSTON | MA | 02111 | NETWORK PROVIDER | $3,221,282 |
| MILLIMAN | |||||
| 80 lAMBERTON ROAD | WINDSOR | CT | 06095 | ACTUARIAL SERVICES | $1,105,334 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PREMIUM REVENUE | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $23,186,944 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,186,944 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,186,944 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $445,441 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $445,441 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $445,441 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,632,385 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,632,385 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $445,441 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,444,373 | TotalAmt |
| Program Services | $26,444,373 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,578,896 | TotalAmt |
| Program Services | $3,578,896 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,477,290 | TotalAmt |
| Program Services | $2,477,290 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,776 | TotalAmt |
| Program Services | $118,776 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,045 | TotalAmt |
| Program Services | $319,045 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,307,619 | TotalAmt |
| Program Services | $8,307,619 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,138 | TotalAmt |
| Program Services | $188,138 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,505,762 | TotalAmt |
| Program Services | $1,505,762 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,800 | TotalAmt |
| Program Services | $69,800 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,556,946 | TotalAmt |
| Program Services | $1,556,946 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,310,745 | TotalAmt |
| Program Services | $6,310,745 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,387 | TotalAmt |
| Program Services | $302,387 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,076 | TotalAmt |
| Program Services | $89,076 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $345,692 | TotalAmt |
| Program Services | $345,692 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,170 | TotalAmt |
| Program Services | $133,170 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,610 | TotalAmt |
| Program Services | $75,610 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,269 | TotalAmt |
| Program Services | $54,269 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,431 | TotalAmt |
| Program Services | $73,431 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| ASSOCIATION FEES | $59,123 | $59,123 |
| CERTIFICATIONS/ACCRED./REGUL | $33,491 | $33,491 |
| ASSESSMENT FEES | $588,422 | $588,422 |
| PREMIUM DEFICIENCY RESERVE | $22,590,479 | $22,590,479 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,222,540 | TotalAmt |
| Program Services | $75,222,540 | ProgramServicesAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,487,397 | BOYAmt |
| EOY | $9,664,782 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,733 | BOYAmt |
| EOY | $1,475,518 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,000 | BOYAmt |
| EOY | $53,324 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $245,435 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $167,497 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,575 | BOYAmt |
| EOY | $77,938 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,500,453 | BOYAmt |
| EOY | $83,189,733 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,882 | BOYAmt |
| EOY | $154,395 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,297,040 | BOYAmt |
| EOY | $94,615,690 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,734,528 | BOYAmt |
| EOY | $5,716,241 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,289,495 | BOYAmt |
| EOY | $24,904,495 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,016,107 | BOYAmt |
| EOY | $52,582,724 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,040,130 | BOYAmt |
| EOY | $83,203,460 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,256,910 | BOYAmt |
| EOY | $11,412,230 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,256,910 | BOYAmt |
| EOY | $11,412,230 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,297,040 | BOYAmt |
| EOY | $94,615,690 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$51,590,155 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $53,745,475 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $245,435 | OtherCostOrOtherBasisAmt |
| Depreciation | $167,497 | DepreciationAmt |
| Book Value | $77,938 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $77,938 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BONDS | $65,565,931 |
| SHORT TERM INVESTMENTS | $17,623,802 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $83,189,733 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| CLAIMS UNPAID | $6,694,157 |
| PREMIUM PAID IN ADVANCE | $2,333,417 |
| RISK ADJUSTMENT LIABILITY | $17,648,672 |
| AGG. HEALTH POLICY RESERVES | $24,456,384 |
| COST SHARING REDUCTION LIABILITY | $1,450,094 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $52,582,724 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $23,632,385 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $23,632,385 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $23,632,385 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $75,222,540 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $75,222,540 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $75,222,540 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FIN 48 (ASC 740) | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REQUIRED TO ASSESS UNCERTAIN TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO SUCH POSITIONS THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR HAVE A MATERIAL EFFECT ON THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS POLICELLI | ||||||||||||||
| CEO/PRESIDENT | $439,966 | $0 | $91,875 | $0 | $14,649 | $0 | $21,950 | $0 | $3,107 | $0 | $571,547 | $0 | $0 | $0 |
| GREGORY PENCE | ||||||||||||||
| INTERIM CFO AND CHIEF ACTUARY | $201,473 | $0 | $2,400 | $0 | $9,766 | $0 | $6,116 | $0 | $2,578 | $0 | $222,333 | $0 | $0 | $0 |
| SUSAN E BROWN | ||||||||||||||
| GENERAL COUNSEL AND CLERK | $310,709 | $0 | $70,000 | $0 | $14,679 | $0 | $7,950 | $0 | $2,004 | $0 | $405,342 | $0 | $0 | $0 |
| ROBERT FALLON | ||||||||||||||
| CFO & TREAS (FROM JAN - SEPT) | $254,079 | $0 | $40,000 | $0 | $7,691 | $0 | $6,987 | $0 | $673 | $0 | $309,430 | $0 | $0 | $0 |
| JAN COOK | ||||||||||||||
| CHIEF MEDICAL OFFICER | $334,750 | $0 | $0 | $0 | $14,649 | $0 | $7,950 | $0 | $2,180 | $0 | $359,529 | $0 | $0 | $0 |
| ROBERT CHIN | ||||||||||||||
| CHIEF INFORMATION OFFICER | $320,539 | $0 | $62,500 | $0 | $11,776 | $0 | $7,950 | $0 | $2,591 | $0 | $405,356 | $0 | $0 | $0 |
| MICHAEL BOUDREAU | ||||||||||||||
| SENIOR VP OF OPERATIONS | $265,000 | $0 | $25,000 | $0 | $14,649 | $0 | $727 | $0 | $2,940 | $0 | $308,316 | $0 | $0 | $0 |
| SCOTT COLBY | ||||||||||||||
| EXEC DIR., NH & SVP OF SALES | $218,731 | $0 | $15,000 | $0 | $13,635 | $0 | $5,152 | $0 | $2,959 | $0 | $255,477 | $0 | $0 | $0 |
| JANICE GOGUEN | ||||||||||||||
| CONTROLLER | $170,272 | $0 | $16,300 | $0 | $14,649 | $0 | $4,821 | $0 | $2,792 | $0 | $208,834 | $0 | $0 | $0 |
| LYNN LATHAM | ||||||||||||||
| VP OF VENDOR MANAGEMANT | $153,942 | $0 | $15,000 | $0 | $14,649 | $0 | $4,891 | $0 | $1,061 | $0 | $189,543 | $0 | $0 | $0 |
| HEIDI HENSON | ||||||||||||||
| DIRECTOR OF HUMAN RESOURCES | $154,699 | $0 | $12,500 | $0 | $9,766 | $0 | $5,016 | $0 | $1,608 | $0 | $183,589 | $0 | $0 | $0 |
| DIERDRE O'RIORDAN | ||||||||||||||
| DIR OF QUALITY & MEDICAL MNGMT | $163,692 | $0 | $8,000 | $0 | $4,883 | $0 | $4,583 | $0 | $1,475 | $0 | $182,633 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form Sch J Part II | FormAndLineReferenceDesc |
| Explanation | OTHER COMPENSATION REPRESENTS A BENEFIT STIPEND BASED ON EACH EMPLOYEE'S FAMILY size. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd | TransactionTransactionAmt |
|---|---|---|---|
| NEW ENGLAND QUALITY CARE ALLIANCE | |||
| SIMILAR BOARD | PROVIDER | false | |
| PROVIDER NETWORK ALLIANCE | |||
| SIMILAR BOARD | NETWORK STRATEGY CONSULTA | false | $3,488,002 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form Sch L Part IV | FormAndLineReferenceDesc |
| Explanation | INTERESTED PERSONS TRANSACTIONS A) TUFTS PARENT, INC. IS THE PARENT ORGANIZATION OF TUFTS MEDICAL CENTER, INC. (TUFTS MC), NEW ENGLAND QUALITY CARE ALLIANCE (NEQCA) AND A GREATER THAN 35% OWNER IN PROVIDER NETWORK ALLIANCE LLC (PNA). ELLEN ZANE, CHRIS KRYDER, AND MARVIN KONSTAM ARE ALL TRUSTEES OF BOTH TUFTS PARENT AND TUFTS MC. AS OF JANUARY 1, 2014, TUFTS MEDICAL CENTER AND NEQCA OWNED A COMBINED 55% OF PNA. EFFECTIVE JULY 21, 2014 TUFTS MEDICAL CENER AND NEQCA'S OWNERSHIP WAS REDUCED TO 40% DUE TO THE ENTRANCE OF AN ADDITIONAL UNRELATED PARTNER. ROBERT BROOKS is A BOARD MEMBER OF THE COMPANY and WAS ALSO A BOARD MEMBER OF PNA through january 19, 2015. THE COMPANY ENTERED INTO AN AGREEMENT WITH PNA TO LEASE ITS PROVIDER NETWORK. THE COMPANY INCURRED $3,488,002 IN PROVIDER NETWORK COST IN 2015. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 Part V Line 13a | The Company was incorporated on September 23, 2011 and is a member governed health insurance organization funded through the Affordable Care Act (the Act). The Company received its Massachusetts health maintenance organization license in August 2013 retroactive to March 1, 2013. Membership enrollment began on October 1, 2013 for coverage effective January 1, 2014. Additionally, the Company established operations in New Hampshire and received a health maintenance organization license on March 24, 2014 to issue policies in New Hampshire effective January 1, 2015. The Company has no subsidiaries. MHI is an approved consumer owned and operated organization and is designed to fulfill the spirit and intent of the Consumer Owned and Operated CO OP model (CO OP), and the standards set forth in Sections 1322(b)(3), 1322(b)(4) and 1322(c)(3) of the Act. The Company is incorporated under Massachusetts General Law (M.G.L.) c. 180. The Company is licensed by the Massachusetts Division of Insurance as a M.G.L. c. 176G HMO insurer and by New Hampshire Division of Insurance as a foreign HMO issuer. ALL LICENSES HAVE BEEN SUBSEQUENTLY RENEWED. |
| Form 990 Part V Line 13b | Pursuant to IRS Notice 2011-23 Qualified Non-Profit Health Insurance Companies exempt under IRC Section 501 (C) (29) are required to disclose the amount of their insurance reserves required by the State in which they operate and the total amount of their reserves. The Company is licensed in the Commonwealth of Massachusetts and the State of New Hampshire. The Commonwealth of Massachusetts, per Chapter 176G Section 25, requires a carrier to have net worth equal to the greater of $1,000,000, 2% of annual premiums up to a certain threshold, three months of uncovered health care expenditures, or 8% of annual health care expenditures. As of December 31, 2015, the greater amount for the Company is $1,554,520. The Company complies with the requirement. The State of New Hampshire requires the Company to establish a separate account for the benefit of New Hampshire policyholders in the amount of $1,000,000. The Company complied with this requirement as well. |
| Form 990 Part VI Line 2 | MR. POLICELLI AND MR. CHIN ARE OFFICERS, DIRECTORS, AND PART OWNERS OF AVERDE HEALTH, INC. The company did not contract with Averde Health Inc. during 2015. FORM 990, PART IV, LINE 3 DURING 2015, THE ORGANIZATION MADE CHANGES TO ITS BY-LAWS IN ORDER TO FACILITATE MEMBER VOTING, REMOVE UNNECESSARY ADMINISTRATIVE HURDELS, AND ADDRESS BOARD SIZE REQUIREMENTS. |
| Form 990 Part VI Line 6 | The Company was governed by a formation Board of Directors in 2014. In December of 2014, the Company held its first member election of the Board of Directors and transitioned to the Operational Board. The 2015 Operational Board was comprised of 4 elected directors and 5 appointed directors, and commenced operations during the first Board meeting of 2015. |
| Form 990 Part VI Line 7b | The members of the Company will have the power to: (i) elect and recommend removal of persons serving on the board of directors, (ii) approve any action by the board to amend or restate the Articles; (iii) approve any action by the board to amend, restate or repeal any provision of the Bylaws that would alter the powers of the members, and (iv) any other powers expressly reserved to them by law. All other powers of the Company reside exclusively with the directors. |
| Form 990 Part VI Line 11a | The Company provided a copy of the Form 990 to the Board of Directors prior to filing with the Internal Revenue Service. |
| Form 990 Part VI Line 12a | The Board of Directors OF MINUTEMAN HEALTH HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH APPLIES TO ALL DIRECTORS AND SENIOR STAFF. EACH INDIVIDUAL IS ASKED TO REVIEW THE POLICY UPON HIRING OR APPOINTMENT TO THE BOARD AND PROVIDE AN ANNUAL DISCLOSURE AS TO THE POTENTIAL CONFLICTS OF INTEREST. THE DISCLOSURES ARE REVIEWED BY THE GENERAL COUNSEL AND COMPLIANCE OFFICER AND SHARED WITH THE BOARD CHAIR. INDIVIDUALS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST AS THEY ARISE. |
| Form 990 Part VI Line 15b | Minuteman Health obtains approval of its C level employment contracts and compensation from the Centers of Medicare and Medicaid Services annually. It also contracts with an independent consultant to review the monetary value of the C level employment contracts. Conclusions are shared with the Compensation Committee of the Board of Directors who propose the C level employment contracts that are shared with the Centers of Medicare and Medicaid Services. the COMPANY ALSO REVIEWs COMPARATIVE INFORMATION OBTAINED FROM COMPETITOR FORM 990S. |
| Form 990 Part VI Line 19 | The federal Form 990 is available upon request by any member of the general public. The Company files quarterly and annual filings with the NAIC and the Massachusetts and New Hampshire Divisions of Insurance. PART XI, LINE 9 OTHER CHANGE OF NET ASSETS $53,745,475 THE COMPANY RECEIVED TOTAL DRAWDOWNS OF $53,796,801 FROM ITS CO-OP SOLVENCY LOAN DURING 2015. THESE DRAWDOWNS ARE CLASSIFIED AS SURPLUS NOTES AND USED TO ESTABLISH RESERVES TO MEET RISK-BASED CAPITAL REQUIREMENTS AND OTHER STATE RESERVE REQUIREMENTS AND STATE INSURANCE LAWS. THE COMPANY ALSO RECOGNIZED A CHANGE IN NON-ADMITTED ASSETS OF ($51,326). |
| Form 990 Part XII Line 2a | The Company has undergone financial statement and A-133 audits for the year ended December 31, 2015. The Company has an established Finance and Audit Committee that reviews the results of the audits. The reports are also shared with the Board of Directors. |