STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HARVARD PILGRIM HEALTH CARE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HARVARD PILGRIM HEALTH CARE INC (EIN 04-2452600)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201603199349311750
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

FieldValueIRS element (for citing)
Return2016-11-14T17:55:50-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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
Signature2016-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGWEN SPENCERPreparerPersonNm
PTINP00641463PTIN
Phone6175305000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$1,979,581,176GrossReceiptsAmt
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 Employee1375TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$220,367,743TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$6,958,288NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$40,901,467PYContributionsGrantsAmt
CY Contributions Grants$41,478,344CYContributionsGrantsAmt
PY Program Service Revenue$1,713,071,603PYProgramServiceRevenueAmt
CY Program Service Revenue$1,758,496,615CYProgramServiceRevenueAmt
PY Investment Income$32,441,959PYInvestmentIncomeAmt
CY Investment Income$30,785,590CYInvestmentIncomeAmt
PY Other Revenue$2,966,150PYOtherRevenueAmt
CY Other Revenue$3,141,773CYOtherRevenueAmt
PY Total Revenue$1,789,381,179PYTotalRevenueAmt
CY Total Revenue$1,833,902,322CYTotalRevenueAmt
PY Grants And Similar Paid$4,242,389PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,220,994CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,455,756,684PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$1,550,231,914CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$60,668,297PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$66,096,315CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$253,161,686PYOtherExpensesAmt
CY Other Expenses$245,677,244CYOtherExpensesAmt
PY Total Expenses$1,773,829,056PYTotalExpensesAmt
CY Total Expenses$1,868,226,467CYTotalExpensesAmt
PY Revenues Less Expenses$15,552,123PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$34,324,145CYRevenuesLessExpensesAmt
Total Assets BOY$947,570,384TotalAssetsBOYAmt
Total Assets EOY$958,882,498TotalAssetsEOYAmt
Total Liabilities BOY$373,138,343TotalLiabilitiesBOYAmt
Total Liabilities EOY$473,885,211TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$574,432,041NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$484,997,287NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,784,912,599ExpenseAmt
Grant$6,220,994GrantAmt
Revenue$1,759,346,008RevenueAmt
DescTO IMPROVE THE QUALITY AND VALUE OF HEALTH CARE FOR THE PEOPLE AND COMMUNITIES WE SERVE. AT 12/31/15, HPHC, INC. HAD 304,395 FULLY INSURED MEMBERS, AMBULATORY ENCOUNTERS WERE 2,283,035 AND HOSPITAL DAYS INCURRED WERE 124,473.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$41,478,345ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
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$1,826,390,944TotalProgramServiceExpensesAmt
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 StmtfalseIndependentAuditFinclStmtInd
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 Document24963IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1375EmployeeCnt
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 (31 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)$22,450$0$0
Hedwig V Whitney
DIRECTOR5.00.0Yes (X)$21,050$0$0
EDWARD F MCCAULEY CPA
DIRECTOR (UNTIL 5/15)5.00.0Yes (X)$13,750$0$0
JOSEPH F O'DONNELL MD
DIRECTOR3.02.0Yes (X)$16,450$0$0
SUSAN V DUPREY
DIRECTOR3.00.0Yes (X)$15,250$0$0
JOYCE A MURPHY
VICE CHAIR/DIRECTOR5.00.0Yes (X)$20,450$0$0
SCOTT S HARTZ
DIRECTOR3.00.0Yes (X)$16,733$0$0
EARL W BAUCOM
DIRECTOR5.00.0Yes (X)$19,850$0$0
SHELBY M CHODOS
DIRECTOR3.00.0Yes (X)$18,050$0$0
TRAMMELL LOUIS GUTIERREZ
DIRECTOR (UNTIL 1/15)3.00.0Yes (X)$600$0$0
Myechia Minter-Jordan
Director3.00.0Yes (X)$17,150$0$0
MICHAEL J SHEA
DIRECTOR5.00.0Yes (X)$19,192$0$0
RAYMOND PAWLICKI
DIRECTOR (AS OF 9/15)3.00.0Yes (X)$1,000$0$0
ERIC H SCHULTZ
PRESIDENT/CEO/DIRECTOR35.015.0Yes (X)$1,366,581$0$306,781Yes (X)
CHARLES R GOHEEN
TREASURER40.010.0$633,786$0$145,531Yes (X)
DEBORAH A NORTON
CIO (Officer until 5/15)50.00.0$540,636$0$135,933Yes (X)
JOHN F LANE
CHIEF HR OFFICER (UNTIL 1/15)50.00.0$421,570$0$73,410Yes (X)
MICHAEL S SHERMAN MD
SR VP CMO (OFFICER UNTIL 5/15)40.010.0$470,298$0$52,894Yes (X)
TU NGUYEN
VP/CHIEF ACTUARY (UNTIL 10/15)40.010.0$236,560$0$42,291Yes (X)
TISA K HUGHES
SECRETARY AND CLERK40.010.0$508,172$0$129,810Yes (X)
VINCENT CAPOZZI
Sr VP Sales & MARKETING40.010.0$469,243$0$47,892Yes (X)
BETH ANN ROBERTS
SR VP REGIONAL MARKETS35.015.0$334,904$0$46,773Yes (X)
RICHARD WEISBLATT
CHIEF OF INNOVATION & STRATEGY40.010.0$421,541$0$93,655Yes (X)
PRANAV MEHTA
SVP PROD & BUS PLAN40.010.0$293,971$0$57,188Yes (X)
MARTHA MURPHY
VP SALES40.010.0$331,405$0$42,208Yes (X)
Richard Platt
EXEC DIR OF HPHC INSTITUTE50.00.0$395,312$0$23,414Yes (X)
Cynthia Napier Rosenberg
SR MEDICAL DIR (until 10/15)40.010.0$319,080$0$41,042Yes (X)
MICHELLE J CLAYMAN
Sr VP Fin/Treas.(as of 11/15)35.015.0$313,557$0$48,129Yes (X)
WILLIAM GRAHAM
SVP PUBLIC AFFAIRS & GVMT PROG40.010.0$299,482$0$48,607Yes (X)
THOMAS F MALONEY
VP - Deputy General Counsel40.010.0$263,418$0$49,240Yes (X)
SCOTT ALLEN
Senior Actuarial Consultant20.05.0$235,276$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,056,767TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,384,798TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K365IndivRcvdGreaterThan100KCnt
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 LP
2300 W PLANO PARKWAYPLANOTX75075SEE SCHEDULE O$121,320,220
HILL HOLIDAY CONNORS COSMOPULOS INC
PO BOX 3600-16BOSTONMA022410616ADVERTISING$4,831,491
ORACLE AMERICA INC
500 ORACLE PARKWAYREDWOOD SHORESCA94065IT CONSULTING$3,357,362
TERADATA OPERATIONS INC
125 HIGH STREETBOSTONMA02110CONSULTING$1,440,821
BOSTON CONSULTING GROUP INC
EXCHANGE PLACE 31ST FLOORBOSTONMA02109MGMT CONSULTING$565,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K401CntrctRcvdGreaterThan100KCnt
Government Grants$31,066,739GovernmentGrantsAmt
All Other Contributions$10,411,605AllOtherContributionsAmt
Total Contributions$41,478,344TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEMBER PREMIUMS & FEES524114$1,540,268,502$1,540,268,502
PPO PREMIUMS (FULLY INSURED)524298$218,228,113$218,228,113
FieldValueIRS element (for citing)
Total Program Service Revenue$1,758,496,615TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,386,512TotalRevenueColumnAmt
Exclusion$15,386,512ExclusionAmt

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$3,992,800RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,700,420RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,292,380RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,292,380TotalRevenueColumnAmt
Unrelated Business Revenue$2,139,630UnrelatedBusinessRevenueAmt
Exclusion$152,750ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$159,377,512SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$143,978,434SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$15,399,078SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,399,078TotalRevenueColumnAmt
Exclusion$15,399,078ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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$849,393TotalRevenueColumnAmt
Related Or Exempt Func Income$849,393RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$849,393OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,833,902,322TotalRevenueColumnAmt
Related Or Exempt Func Income$1,541,117,895RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$220,367,743UnrelatedBusinessRevenueAmt
Exclusion$30,938,340ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,220,994TotalAmt
Program Services$6,220,994ProgramServicesAmt

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$1,550,231,914TotalAmt
Program Services$1,550,231,914ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,320,015TotalAmt
Program Services$5,856,012ProgramServicesAmt
Management And General$1,464,003ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$909,620TotalAmt
Program Services$727,696ProgramServicesAmt
Management And General$181,924ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$42,596,627TotalAmt
Program Services$34,077,302ProgramServicesAmt
Management And General$8,519,325ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,428,220TotalAmt
Program Services$2,742,576ProgramServicesAmt
Management And General$685,644ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,411,435TotalAmt
Program Services$6,729,148ProgramServicesAmt
Management And General$1,682,287ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,430,398TotalAmt
Program Services$2,744,318ProgramServicesAmt
Management And General$686,080ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$406,615TotalAmt
Management And General$406,615ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,977,328TotalAmt
Management And General$2,977,328ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,805,312TotalAmt
Management And General$1,805,312ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$550,968TotalAmt
Management And General$550,968ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,485,037TotalAmt
Program Services$14,485,037ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,530,441TotalAmt
Program Services$5,530,441ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,879,913TotalAmt
Program Services$3,103,931ProgramServicesAmt
Management And General$775,982ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$62,249,726TotalAmt
Program Services$49,799,781ProgramServicesAmt
Management And General$12,449,945ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,388,486TotalAmt
Program Services$5,110,788ProgramServicesAmt
Management And General$1,277,698ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,295,970TotalAmt
Program Services$1,295,970ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$199,537TotalAmt
Program Services$199,537ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,691,560TotalAmt
Program Services$3,753,248ProgramServicesAmt
Management And General$938,312ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,413,501TotalAmt
Program Services$16,330,801ProgramServicesAmt
Management And General$4,082,700ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FEDERAL & STATE ASSESSMENTS$28,509,071$28,509,071
PREMIUM TAX EXPENSE$3,111,750$3,111,750
BROKER FEES$42,488,805$42,488,805
RESEARCH GRANT EXPENSE$44,363,873$41,478,344$2,885,529

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,329,351TotalAmt
Program Services$1,863,480ProgramServicesAmt
Management And General$465,871ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,868,226,467TotalAmt
Program Services$1,826,390,944ProgramServicesAmt
Management And General$41,835,523ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$58,639,548BOYAmt
EOY$66,903,364EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,761,706BOYAmt
EOY$10,457,206EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$74,837,005BOYAmt
EOY$125,612,812EOYAmt

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$3,142,797BOYAmt
EOY$3,364,254EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$411,987,061LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$382,220,472LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,144,406BOYAmt
EOY$29,766,589EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$135,537,157BOYAmt
EOY$137,291,911EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$476,826,980BOYAmt
EOY$400,082,368EOYAmt

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$161,680,785BOYAmt
EOY$185,403,994EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$947,570,384BOYAmt
EOY$958,882,498EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$236,962,177BOYAmt
EOY$257,322,414EOYAmt

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$107,176,166BOYAmt
EOY$187,562,797EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$373,138,343BOYAmt
EOY$473,885,211EOYAmt
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$574,432,041BOYAmt
EOY$484,997,287EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$574,432,041BOYAmt
EOY$484,997,287EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$947,570,384BOYAmt
EOY$958,882,498EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$34,324,145ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$39,125,520NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$15,985,089OtherChangesInNetAssetsAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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$35,248,737CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,383,858CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,820,660CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,901,467CurrentTaxYearMinus1YearAmt
Current Tax Year$41,478,344CurrentTaxYearAmt
Total$195,833,066TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,923,464,188CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,792,048,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,661,588,555CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,523,957,313CurrentTaxYearMinus1YearAmt
Current Tax Year$1,540,268,502CurrentTaxYearAmt
Total$8,441,327,437TotalAmt

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$1,958,712,925CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,831,432,737CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,700,409,215CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,564,858,780CurrentTaxYearMinus1YearAmt
Current Tax Year$1,581,746,846CurrentTaxYearAmt
Total$8,637,160,503TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,136,833CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,783,862CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$670,272CurrentTaxYearMinus2YearsAmt
Total$4,590,967TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$273,971,394CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$158,993,588CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,731,402CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,237,943CurrentTaxYearMinus1YearAmt
Current Tax Year$44,558,194CurrentTaxYearAmt
Total$559,492,521TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$276,108,227CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$160,777,450CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,401,674CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,237,943CurrentTaxYearMinus1YearAmt
Current Tax Year$44,558,194CurrentTaxYearAmt
Total$564,083,488TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$8,073,077,015PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,486,210CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,701,263CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,536,284CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,954,982CurrentTaxYearMinus1YearAmt
Current Tax Year$19,379,312CurrentTaxYearAmt
Total$125,058,051TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,486,210CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$26,701,263CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,536,284CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,954,982CurrentTaxYearMinus1YearAmt
Current Tax Year$19,379,312CurrentTaxYearAmt
Total$125,058,051TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,325,170CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$672,396CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$797,805CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$584,921CurrentTaxYearMinus1YearAmt
Current Tax Year$849,393CurrentTaxYearAmt
Total$7,229,685TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,991,524,305CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,858,806,396CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,726,743,304CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,590,398,683CurrentTaxYearMinus1YearAmt
Current Tax Year$1,601,975,551CurrentTaxYearAmt
Total$8,769,448,239TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92059PublicSupportCY509Pct
Public Support PY5090.89951PublicSupportPY509Pct
Investment Income CY0.01426InvestmentIncomeCYPct
Investment Income PY0.01461InvestmentIncomePYPct
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 2011, 2012, 2013, 2014, AND 2015.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$631,012DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,325,912OtherActivitiesAmt
Total Lobbying Expenditures$1,956,924TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationDuring the year, HPHC paid $1,325,912 in membership dues allocable to lobbying activities. Of the amount shown, $44,533 was paid to the Maine Association of Health Plans, $476,790 was paid to America's Health Insurance Plans, $769,204 was paid to the Massachusetts Association of Health Plans and $35,385 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, $413,400 was paid to consulting firms. HPHC also has internal staff who lobby. Of the amount shown, $151,612 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)
Investment Cost Or Other Basis$2,287,688InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$4,000,000OtherCostOrOtherBasisAmt
Book Value$6,287,688BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$13,944,230InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$38,223,830OtherCostOrOtherBasisAmt
Depreciation$30,717,042DepreciationAmt
Book Value$21,451,018BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$353,531,313OtherCostOrOtherBasisAmt
Depreciation$351,503,430DepreciationAmt
Book Value$2,027,883BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$29,766,589TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SECURITIES$163,052,384C
CORPORATE DEBT SECURITIES$237,029,984C
FieldValueIRS element (for citing)
Total Book Value Securities$400,082,368TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INVESTMENTS IN AFFILIATES$164,250,720
SPECIAL DEPOSITS$1,643,564
DUE FROM AFFILIATES$1,316,784
OTHER INVESTED ASSETS$18,192,926
FieldValueIRS element (for citing)
Total Book Value Other Assets$185,403,994TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
UNEARNED GROUP PREMIUM$51,909,760
DUE TO AFFILIATES$30,468,360
ACCIDENT AND HEALTH PLANS$75,173,310
BORROWED MONEY AND INTEREST THEREON$30,011,367
FieldValueIRS element (for citing)
Total Liability$187,562,797TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2FormAndLineReferenceDesc
ExplanationTHE 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, 2015 AND 2014.ExplanationTxt

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$6,220,994CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
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
Personal ServicesYes (X)PersonalServicesInd
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 (18 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$870,489$0$473,190$0$22,902$0$283,700$0$23,081$0$1,673,362$0$0$0
CHARLES R GOHEEN
TREASURER$458,362$0$152,522$0$22,902$0$115,200$0$30,331$0$779,317$0$0$0
DEBORAH A NORTON
CIO (Officer until 5/15)$387,290$0$127,822$0$25,524$0$101,200$0$34,733$0$676,569$0$0$0
JOHN F LANE
CHIEF HR OFFICER (UNTIL 1/15)$20,651$0$84,467$0$316,452$0$65,226$0$8,184$0$494,980$0$0$0
MICHAEL S SHERMAN MD
SR VP CMO (OFFICER UNTIL 5/15)$366,668$0$83,008$0$20,622$0$21,200$0$31,694$0$523,192$0$0$0
THOMAS F MALONEY
VP - Deputy General Counsel$227,767$0$33,840$0$1,811$0$20,945$0$28,295$0$312,658$0$0$0
TU NGUYEN
VP/CHIEF ACTUARY (UNTIL 10/15)$171,994$0$42,300$0$22,266$0$19,466$0$22,825$0$278,851$0$0$0
TISA K HUGHES
SECRETARY AND CLERK$406,402$0$99,148$0$2,622$0$100,408$0$29,402$0$637,982$0$0$0
VINCENT CAPOZZI
Sr VP Sales & MARKETING$343,608$0$100,111$0$25,524$0$21,200$0$26,692$0$517,135$0$0$0
BETH ANN ROBERTS
SR VP REGIONAL MARKETS$271,798$0$55,650$0$7,456$0$21,200$0$25,573$0$381,677$0$0$0
RICHARD WEISBLATT
CHIEF OF INNOVATION & STRATEGY$327,138$0$69,307$0$25,096$0$72,746$0$20,909$0$515,196$0$0$0
PRANAV MEHTA
SVP PROD & BUS PLAN$240,714$0$52,500$0$757$0$21,200$0$35,988$0$351,159$0$0$0
MARTHA MURPHY
VP SALES$137,028$0$175,232$0$19,145$0$17,033$0$25,175$0$373,613$0$0$0
Richard Platt
EXEC DIR OF HPHC INSTITUTE$371,243$0$0$0$24,069$0$21,200$0$2,214$0$418,726$0$0$0
Cynthia Napier Rosenberg
SR MEDICAL DIR (until 10/15)$221,507$0$51,300$0$46,273$0$21,200$0$19,842$0$360,122$0$0$0
MICHELLE J CLAYMAN
Sr VP Fin/Treas.(as of 11/15)$260,960$0$47,662$0$4,935$0$17,945$0$30,184$0$361,686$0$0$0
WILLIAM GRAHAM
SVP PUBLIC AFFAIRS & GVMT PROG$228,752$0$51,495$0$19,235$0$21,002$0$27,605$0$348,089$0$0$0
SCOTT ALLEN
Senior Actuarial Consultant$235,276$0$0$0$0$0$0$0$0$0$235,276$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 1aFormAndLineReferenceDesc
ExplanationTax gross-up payments 3 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. Personal services 1 NON MANAGEMENT Director was provided reimbursement for tax preparation services needed due to an inadvertent prior year over-reporting made by the organization. The payment was reported as taxable income. SCHEDULE J, PART I, LINE 4A JOHN LANE'S 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 FOR A PERIOD OF UP TO ONE YEAR AND ANY INCENTIVE COMPENSATION HE WAS ENTITLED TO FOR 2013 THROUGH 2015. IN 2015, HE RECEIVED SEVERANCE PAYMENTS OF $279,192 AND INCENTIVE COMPENSATION OF $84,467. In connection with his severance arrangement, the officer was provided outplacement services. The value of the services was treated as nontaxable. SCHEDULE J, PART I, LINE 4B LONG 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. THE PLAN IS 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 THE PLAN 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. ANNUAL ACCRUALS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN(C). NO PAYMENTS WERE MADE FROM THE PLAN DURING 2015. SCHEDULE J, PART I, LINE 7 EXECUTIVE 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 BENEFIT PLAN HPHC OFFERS A 457(B) PLAN AS A RETIREMENT BENEFIT TO A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES AND FACULTY MEMBERS OF HARVARD PILGRIM HEALTH CARE, INC. AND HARVARD PILGRIM HEALTH CARE INSTITUTE, LLC. THE PLAN PROVIDES ELIGIBLE PARTICIPANTS AN ADDITIONAL OPPORTUNITY TO DEFER PRE-TAX COMPENSATION FOR RETIREMENT. THE PLAN ALSO PROVIDES FOR EMPLOYER CONTRIBUTIONS (FOR NON-FACULTY PARTICIPANTS) AND RESTORATION CREDITS (FOR FACULTY MEMBERS) WHICH ARE INTENDED TO MAKE UP FOR THE SHORTFALL SOME PARTICIPANTS MAY EXPERIENCE UNDER THE HPHC-SPONSORED 401(K) PLAN DUE TO 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.ExplanationTxt

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 TU NGUYEN - VP/CHIEF ACTUARY (UNTIL 10/15) 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 12CALL HPHC, INC. DIRECTORS, OFFICERS AND EMPLOYEES ARE SUBJECT TO HPHC,INC.'S CODE OF CONDUCT, WHICH INCLUDES A CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY REQUIRES DIRECTORS, OFFICERS, AND 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, HINDER OR DISTRACT FROM THE PERFORMANCE OF THEIR JOB RESPONSIBILITIES, ARE PREJUDICIAL TO THE LEGITIMATE INTERESTS OF HPHC,INC. OR CAUSE THE USE OF HPHC,INC.'S RESOURCES FOR OTHER THAN HPHC,INC.'S PURPOSE. IN ADDITION TO BEING SUBJECT TO THE HPHC,INC. CONFLICT OF INTEREST POLICY, HPHC,INC. BOARD OF DIRECTORS AND BOARD COMMITTEE MEMBERS ARE ANNUALLY REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE FORM, WHICH IS REPORTED TO THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE DISCLOSURES AND REVIEW PROCESS SET FORTH IN HPHC,INC.'S BYLAWS. IN ADDITION, ROUGHLY HALF OF HPHC,INC. EMPLOYEES WHO MAKE DECISIONS ON BEHALF OF THE ORGANIZATION, OR ARE IN A POSITION TO INFLUENCE DECISIONS MADE ON BEHALF OF HPHC,INC. ARE SURVEYED ON AN ANNUAL BASIS. THESE EMPLOYEES MUST COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE FORM AND SUBMIT IT TO THE VICE PRESIDENT OF CORPORATE COMPLIANCE PROGRAMS (COMPLIANCE OFFICER). THESE FORMS ARE THEN REVIEWED BY THE COMPLIANCE OFFICER AND THE ASSOCIATE GENERAL COUNSEL RESPONSIBLE FOR CORPORATE COMPLIANCE & SPECIAL INVESTIGATIONS "COUNSEL". IF A DISCLOSURE OF A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST IS MADE, THE COMPLIANCE OFFICER AND COUNSEL MAKE A DETERMINATION IF SUCH DISCLOSURE IS MATERIAL AND NEEDS TO BE MANAGED, MITIGATED OR ELIMINATED. THE COMPLIANCE OFFICER INFORMS EACH DEPARTMENTAL VICE PRESIDENT RESPONSIBLE FOR THE DISCLOSING EMPLOYEE OF THE DISCLOSURE. HPHC,INC. ALSO HAS MORE STRINGENT CONFLICT OF INTEREST POLICIES AND PROCEDURES FOR CERTAIN DEPARTMENTS WHERE CONFLICTS, OR THE APPEARANCE OF CONFLICTS, ARE MORE LIKELY TO EXIST. FOR EXAMPLE, THE PHARMACY DEPARTMENT, PROVIDER CONTRACTING DEPARTMENT, AND MEDICAL MANAGEMENT DEPARTMENT ARE SUBJECT TO MORE STRINGENT POLICIES GOVERNING THE OFFER OR ACCEPTANCE OF ANY REMUNERATION, IN CASH OR IN KIND, FROM INDUSTRIES RELATED TO THEIR FUNCTION (E.G. PHARMACEUTICAL MANUFACTURERS AND HEALTHCARE DELIVERY ENTITIES). AS A GENERAL RULE, CONFLICTS OF INTEREST ARE NOT PERMITTED. HOWEVER, IN CERTAIN CASES, IF THE CONFLICT IS NOT MATERIAL AND IS PROMPTLY AND FULLY DISCLOSED TO THE EMPLOYEE'S MANAGER AND VICE PRESIDENT OF THE EMPLOYEE'S DEPARTMENT, AND IS APPROVED BY THE COMPLIANCE OFFICER, A WAIVER OF THE CONFLICT MAY BE GRANTED AND APPROPRIATE STEPS WILL BE TAKEN TO MITIGATE THE CONFLICT. 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 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 (8,684,177) CHANGE IN SURPLUS NOTES (9,305,594) CHANGE IN PRIOR SERVICE COSTS AND RECOGNIZED GAIN FOR POSTRETIREMENT MEDICAL PLAN 2,004,681 ___________ TOTAL ($15,985,090) ____________ 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$5,930,986TotalIncomeAmt
End Of Year Assets$28,326,038EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HPHC INCBusinessNameLine1Txt

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-IHPHC IncYes (true)
HPHC of New England Inc
93 WORCESTER STREETWELLESLEYMA02481042663394health insuraMA501(c)(4)HPHC IncYes (true)
HPHC OF CONNECTICUT
185 ASYLUM STREETHARTFORDCT06103461681667HEALTH INSURACT501(C)(4)HPHC IncYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
HPHC Insurance Company Inc
93 WORCESTER STREETWELLESLEYMA024819181043149694HEALTH INSURANCEMAHPHC INCC CORP$667,987,158$226,348,0211.00000Yes (true)
HPHC Holding Corporation
93 WORCESTER STREETWELLESLEYMA024819181043306439HOLDING COMPANYMAHPHC INCC CORP$8,361,543$15,429,0851.00000Yes (true)
Plan Marketing Insurance Agency Inc
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581042734281BROKERAGEMAHEALTH PLANSC CORP1.00000Yes (true)
HPHC Insurance Agency Inc
93 WORCESTER STREETWELLESLEYMA024819181043016201BROKERAGEMAHPHC INCC CORP$39,939$484,6251.00000Yes (true)
Health Plans Inc
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581042734278TPAMAHPHC INCC CORP$37,279,452$20,955,4811.00000Yes (true)
Care Management Services Inc
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581043438779ASO SERVICESMAHEALTH PLANSC CORP1.00000Yes (true)
HARVARD PILGRIM PHYSICIANS ASSOC INC
93 WORCESTER STWELLESLEYMA024819181PHYSICIAN ORGMAHPHC INCSEE PART VII1.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HPHC FOUNDATION INC
B$6,220,994CASH
HPHC OF NEW ENGLAND INC
L,N,O$41,177,853ALLOCATION
HPHC FOUNDATION INC
L,N,O$681,244ALLOCATION
HPHC INSURANCE COMPANY INC
L,N,O$92,697,803ALLOCATION
HEALTH PLANS INC
L,N,O$4,638,653ALLOCATION
HPHC OF CONNECTICUT
L,N,O$1,654,851ALLOCATION
HPHC FOUNDATION INC
A (IV$649,592CONTRACT
HEALTH PLANS INC
A (IV$293,451CONTRACT
HPHC OF CONNECTICUT
B$3,000,000CASH
HPHC Holding Corporation
B$1,843,135CASH
HPHC INSURANCE COMPANY INC
B$40,000,000CASH
HPHC FOUNDATION INC
D$344,259CONTRACT
HEALTH PLANS INC
D$756,147CONTRACT
HPHC OF NEW ENGLAND INC
E$11,513,605CONTRACT
HPHC INSURANCE COMPANY INC
E$18,951,813CONTRACT
HPHC INSURANCE AGENCY INC
E$2,941CONTRACT
HPHC OF CONNECTICUT
D$215,366CONTRACT
HPHC OF NEW ENGLAND INC
C$10,000,000RET. OF CAPITAL

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part IVFormAndLineReferenceDesc
ExplanationHARVARD PILGRIM PHYSICIANS ASSOCIATION, INC. IS A NONPROFIT ORGANIZED UNDER THE LAWS OF MASSACHUSETTS. THIS IS AN INACTIVE ORGANIZATION WHICH WAS DISSOLVED IN 2015.ExplanationTxt