2025-11-13T14:32:07-06:00 2024-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET MINNEAPOLIS MN 55402 990 2024-01-01 042864973 HEALTH NEW ENGLAND INC HEAL 4137874000 ONE MONARCH PLACE 1500 SPRINGFIELD MA 011441500 PETER BANKO CHAIR 4137874000 2025-11-13 1 0 CHRIS MESKIMEN P01314196 6123974000 2025-11-06 2024 2025-03-06 01:10:19Z PETER BANKO ONE MONARCH PLACE 1500 SPRINGFIELD MA 011441500 1091339391 0 X WWW.HEALTHNEWENGLAND.ORG X 2013 MA SEE SCHEDULE O 7 5 463 0 0 0 0 0 980354680 981873894 8194460 11593630 2231792 2157222 990780932 995624746 421150 446683 917102933 881808768 44209209 44427111 0 0 0 54997729 48520930 1016731021 975203492 -25950089 20421254 295692088 294149482 231030207 212691430 64661881 81458052 X SEE SCHEDULE O 1 0 882255451 446683 984031116 COMMERCIAL SMALL AND LARGE GROUP AND INDIVIDUAL PRODUCTS:ENROLLEES AT 12/31/24: 48,022 REVENUE: $ 389.3 MILLIONPROGRAM EXPENSES: $ 329.3 MILLIONHEALTH NEW ENGLAND, INC. MAKES HIGH QUALITY, LOW COST HEALTH CARE SERVICES AVAILABLE THROUGH HEALTH PLANS WITHIN A SERVICE AREA THAT COMPRISES MORE POOR, MEDICALLY UNDERSERVED AND RURAL COMMUNITIES THAN ANY OTHER PART OF MASSACHUSETTS. A FEDERAL HEALTH RESOURCES & SERVICES ADMINISTRATION REPORT STATED THAT OF THE 102 MASSACHUSETTS TOWNS DESIGNATED AS MEDICALLY UNDERSERVED, 78 ARE IN THE FOUR COUNTIES THAT HEALTH NEW ENGLAND SERVES. (CONTINUED ON SCHEDULE O) BASED ON THAT STATISTIC, IN ALL OVER 45% OF HEALTH NEW ENGLAND'S ENROLLEES LIVE IN MEDICALLY UNDERSERVED AREAS.HEALTH NEW ENGLAND'S SERVICE AREA INCLUDES FOUR OF THE FIVE COUNTIES WITH THE HIGHEST PERCENTAGE OF POVERTY AND THE LOWEST PER CAPITA INCOME IN MASSACHUSETTS, BASED ON US CENSUS BUREAU DATA. MANY RESIDENTS IN WESTERN MASSACHUSETTS THUS STRUGGLE WITH POVERTY AND LOW LEVELS OF INCOME. ACROSS THE FOUR COUNTIES OF WESTERN MASSACHUSETTS, 16% OF RESIDENTS LIVE IN POVERTY, AND THE MEDIAN FAMILY INCOME IN THREE OF THE FOUR COUNTIES IS MORE THAN 20% LOWER THAN THAT OF THE STATE. CHILD POVERTY RATES ARE HIGH WITH 23% OF CHILDREN IN THE REGION LIVING IN POVERTY. HAMPDEN COUNTY HAS THE HIGHEST RATES OF POVERTY AND UNEMPLOYMENT IN HEALTH NEW ENGLAND'S SERVICE AREA AND THE LOWEST MEDIAN INCOME. ALSO, LOWER LEVELS OF EDUCATION CONTRIBUTE TO UNEMPLOYMENT AND THE ABILITY TO EARN A LIVABLE WAGE. APPROXIMATELY 12% OF RESIDENTS AGE 25 AND OLDER IN WESTERN MASSACHUSETTS DO NOT HAVE A HIGH SCHOOL DIPLOMA, WITH THE HIGHEST RATES OBSERVED IN HAMPDEN COUNTY (16%). IN THE COMMUNITIES OF SPRINGFIELD, HOLYOKE, CHICOPEE, LUDLOW, WEST SPRINGFIELD AND PITTSFIELD, THERE IS A HIGHER PERCENTAGE OF ELIGIBLE INDIVIDUALS DO NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO STATEWIDE RATE.HEALTH NEW ENGLAND MAKES HEALTH CARE AVAILABLE IN THIS SERVICE AREA AND TO THIS POPULATION BY OFFERING HEALTH PLANS WHICH SERVE INDIVIDUALS AND SMALL GROUPS.HEALTH NEW ENGLAND OFFERS HEALTH PLANS TO INDIVIDUALS AND FAMILIES (BOTH DIRECTLY AND THROUGH THE MASSACHUSETTS HEALTH CONNECTOR) AND SMALL EMPLOYER GROUPS (EMPLOYERS WITH 50 OR FEWER EMPLOYEES).HEALTH NEW ENGLAND ALSO PROVIDES COVERAGE TO INDIVIDUALS AND FAMILIES THROUGH PLANS OFFERED BY EMPLOYERS WHICH HAVE MORE THAN 50 EMPLOYEES. THIS CATEGORY INCLUDES MANY MUNICIPAL EMPLOYEES WHO DO NOT OBTAIN COVERAGE THROUGH THE GIC, AND ALSO INCLUDES MANY EMPLOYEES OF HEALTH CARE AND NONPROFIT ORGANIZATIONS.MEDICARE:ENROLLEES AT 12/31/24: 12,175REVENUE: $145.5 MILLIONPROGRAM EXPENSES: $130.7 MILLIONHEALTH NEW ENGLAND SERVES MEDICARE ENROLLEES THROUGH HEALTH NEW ENGLAND MEDICARE ADVANTAGE PLANS.MEDICAID: ENROLLEES: 48,315REVENUE: $446.7 MILLIONPROGRAM EXPENSES: $417.9 MILLIONHEALTH NEW ENGLAND PARTICIPATES IN MASSHEALTH, THE MASSACHUSETTS MEDICAID PROGRAM, THROUGH A MEDICAID MANAGED CARE PLAN. THE NUMBER OF HEALTH NEW ENGLAND'S MEDICAID PLAN ENROLLEES HAS GENERALLY INCREASED SINCE 2010 WHEN HEALTH NEW ENGLAND BEGAN OFFERING SUCH PLANS. 882255451 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 1 3384 0 1 463 1 0 0 0 0 0 0 1 0 X 7 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X HEALTH NEW ENGLAND INC 4137874000 ONE MONARCH PLACE SPRINGFIELD MA 011441500 MARK A KEROACK MD TERM 531 CHAIR/DIR, PRES & CEO BH 1.00 39.00 X X 0 1554650 33049 PETER BANKO START 6124 CHAIR/DIR, PRES & CEO BH 1.00 39.00 X X 0 1514715 233002 WILLIAM WEBBER DIRECTOR 1.00 0.00 X 0 0 0 KATHLEEN OESTREICH DIRECTOR 1.00 0.00 X 0 0 0 PIA FLANAGAN DIRECTOR 1.00 0.00 X 0 0 0 RICHARD BEAUCHAMP STEELE DIRECTOR 1.00 0.00 X 0 0 0 WYNDOLYN BELL MD DIRECTOR 1.00 0.00 X 0 0 0 HARRIET DEVERRY DIRECTOR (TERM 12/31/24) 1.00 0.00 X 0 0 0 TANIA BARBER DIRECTOR (TERM 2/1/24) 1.00 0.00 X 0 0 0 RAYMOND MCCARTHY DIRECTOR, SVP CFO TREAS BH 1.00 39.00 X X 0 1279577 56057 RICHARD SWIFT CHIEF EXECUTIVE OFFICER 39.00 1.00 X 1058502 0 452498 CASEY J HOSSA CHIEF INFORMATION OFFICER 40.00 0.00 X 490024 0 194797 KATE MCINTOSH CHIEF MEDICAL OFFICER 40.00 0.00 X 570936 0 218054 JUDITH DANEK DIR OFFICE OF PRES & GOV RELATIONS 40.00 0.00 X 210647 0 49724 JASON RIO SR. DIR. REVENUE ASSUR. & RISK MGMT 40.00 0.00 X 331478 0 87399 LISA M COHEN VP & CHIEF FINANCIAL OFFICER 40.00 0.00 X 600777 0 252001 SUSAN O CONNOR VP & GENERAL COUNSEL 40.00 0.00 X 415734 0 161467 SHAWN E THAMERT VP OF SALES & CHIEF GROWTH OFFICER 40.00 0.00 X 309505 0 141643 TYLER HUTCHISON CHIEF ACTUARY, SR. DIR, HEALTHCARE ECON 40.00 0.00 X 330434 0 90180 TIMOTHY CHRYSTAL DIR. OF SALES & ACCOUNT MGMT 40.00 0.00 X 303706 0 53797 MICHAEL GAUVIN DIR. PROGRAM DVP. & MARKET INTEL 40.00 0.00 X 296757 0 50709 GARY TERESO DIRECTOR OF PHARMACY SERVICES 40.00 0.00 X 290112 0 64551 SEAN NOONE SR. DIRECTOR, CHIEF OF OPERATIONS 40.00 0.00 X 303516 0 94834 MICHAEL FASO FORMER INTERIM CFO 0.00 0.00 X 202538 0 0 5714666 4348942 2233762 171 1 1 0 OPTUMRX INC 9900 BREN RD MINNETONKA MN 55343 PHARMACY MANAGEMENT 276513369 CARELON BEHAVIORAL HEALTH INC 5800 NORTHAMPTON BLVD NORFOLK VA 23502 MEDICAL SERVICES 82863172 BERKSHIRE MEDICAL CENTER 725 NORTH STREET PITTSFIELD MA 01201 MEDICAL SERVICES 46325782 THE MERCY HOSPITAL INC PO BOX 531870 ATLANTA GA 30353 MEDICAL SERVICES 33202529 THE COOLEY DICKINSON HOSPITAL 30 LOCUST STREET NORTH HAMPTON MA 01116 MEDICAL SERVICES 28701187 423 MEDICAID PREMIUM 524114 446700386 446700386 COMMERCIAL LARGE GROUP 524114 198986077 198986077 COMMERCIAL SMALL GROUP 524114 190371513 190371513 MEDICARE PREMIUM 524114 145469040 145469040 DSRIP 524114 346878 346878 981873894 8876242 8876242 98432033 95714645 2717388 2717388 2717388 OPTUM GROWTH CREDIT 524114 2162385 2162385 RETROSPECTIVE RATED CO 524114 -5163 -5163 2157222 995624746 984031116 0 11593630 446683 446683 881808768 881808768 3987602 3987602 31868957 31868957 1761180 1761180 4139937 4139937 2669435 2669435 487120 487120 3361889 3361889 51324 51324 304026 304026 7188606 7188606 1115110 1115110 2021865 2021865 23279514 23279514 1304778 1304778 62853 62853 140785 140785 1330165 1330165 170664 170664 PBM FEES 3756894 3756894 EXCHANGE ADMIN FEES 2023182 2023182 REGULATORY FEES AND OTH 1546065 1546065 ASSOC DUES 376090 376090 975203492 882255451 92948041 0 8868581 12480899 63688750 37274934 5129526 20680704 2107039 1222707 29082116 28546189 838559 535927 179017069 168731143 8130852 7666606 27911712 45556562 295692088 294149482 200098289 180415914 30931918 32275516 231030207 212691430 X 64661881 81458052 64661881 81458052 295692088 294149482 X 20421254 98741 -3723824 X X 0 1 X 1 0 373380 373380 0 28708736 28172809 535927 535927 HEALTH CARE RECEIVABLES 25770074 RECEIVABLES FROM SUBS 13237661 ACCRUED INVESTMENT RECEIVABLE 881972 RECEIVABLES RELATED TO UNINSURED PLANS 5666855 45556562 MEDICAL SUBSIDY PAYABLE 8725204 PREMIUMS RECEIVED IN ADVANCE 19200027 PAYABLE TO AFFILIATES 4350285 32275516 995320720 0 995320720 304026 304026 995624746 974899466 0 974899466 304026 304026 975203492 1 BERKSHIRE NURSING FAMILIES (BNF) PO BOX 341 ADAMS MA 01220 043529643 501(C)(3) 10000 0 AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION THE CARE CENTER 247 CABOT STREET HOLYOKE MA 01040 042962882 501(C)(3) 50000 0 AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION COMMUNITY LEGAL AID INC 370 MAIN STREET SUITE 200 WORCESTER MA 01608 042446242 501(C)(3) 50000 0 AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION PLANNED PARENTHOOD LEAGUE OF MASSACHUSETTS 1055 COMMONWEALTH AVE BOSTON MA 02215 042698497 501(C)(3) 50000 0 AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION STONE SOUP CAFE 399 MAIN ST GREENFIELD MA 01302 843664286 501(C)(3) 50000 0 AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION THIRD SECTOR NEW ENGLAND INC 89 SOUTH STREET SUITE 700 BOSTON MA 02111 042261109 501(C)(3) 50000 0 AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION VOLUNTEERS IN MEDICINE BERKSHIRES INC 777 MAIN STREET SUITE 4 GREAT BARRINGTON MA 01230 900140004 501(C)(3) 10000 0 AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION WELLSPRING COOPERATIVE CORPORATION 143 MAIN ST SPRINGFIELD MA 01105 465509253 501(C)(3) 50000 0 AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION UNITED WAY OF PIONEER VALLEY 1441 MAIN STREET SUITE 147 SPRINGFIELD MA 01103 042152680 501(C)(3) 20000 0 AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION PARTNERS FOR A HEALTHIER COMMUNITY INC 127 STATE STREET 4TH FL SPRINGFIELD MA 01103 043342182 501(C)(3) 20000 0 AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION 10 0 PART I, LINE 2: HEALTH NEW ENGLAND'S COMMUNITY BENEFIT STRATEGY IS A PLANNED, MANAGED AND MEASURED ORGANIZATIONAL APPROACH TO MEETING IDENTIFIED COMMUNITY HEALTH NEEDS BASED OFF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, ALIGNING WITH HEALTH NEW ENGLAND'S POPULATION HEALTH AND HEALTH EQUITY STRATEGIES WHILE COMPLYING WITH REGULATORY REQUIREMENTS. HEALTH NEW ENGLAND REVIEWS ALL REQUESTS FOR GRANT FUNDS THROUGH THE COMMUNITY BENEFITS COMMITTEE, WHICH VETS AND APPROVES ALL GRANT AWARDS. AWARDS ARE SUBSTANTIATED ACCORDING TO ALIGNMENT WITH THE HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT. IN 2024 AND 2023, HEALTH NEW ENGLAND PRIORITIZED ORGANIZATIONS THAT SUPPORT CHRONIC CONDITIONS, MENTAL HEALTH AND SUBSTANCE USE DISORDER, INFANT AND PERINATAL/MATERNAL HEALTH, FOOD INSECURITIES AND EDUCATION. ALL AWARDED ORGANIZATIONS ARE CONTACTED THROUGHOUT THE YEAR. ORGANIZATIONS ARE REQUIRED TO CONFIRM USE OF HEALTH NEW ENGLAND'S GRANT FUNDS AND SUBMIT A YEAR END REPORT. COMMUNITY IMPACT DATA IS THE BASIS OF REPORTS FOR THE HEALTH NEW ENGLAND BOARD OF DIRECTORS AND ATTORNEY GENERAL COMMUNITY BENEFITS ANNUAL REPORT. X X X X 0 1 0 0 0 1 0 1 0 PETER BANKO START 6124 CHAIR/DIR, PRES & CEO BH 0 988761 0 514000 0 11954 0 214052 0 18950 0 1747717 0 0 MARK A KEROACK MD TERM 531 CHAIR/DIR, PRES & CEO BH 0 782775 0 461744 0 310131 0 18975 0 14074 0 1587699 0 4350 RICHARD SWIFT CHIEF EXECUTIVE OFFICER 713356 0 335594 0 9552 0 446937 0 5561 0 1511000 0 335594 0 RAYMOND MCCARTHY DIRECTOR, SVP CFO TREAS BH 0 719349 0 309758 0 250470 0 29325 0 26732 0 1335634 0 4350 LISA M COHEN VP & CHIEF FINANCIAL OFFICER 437672 0 153553 0 9552 0 233298 0 18703 0 852778 0 153553 0 KATE MCINTOSH CHIEF MEDICAL OFFICER 427308 0 134076 0 9552 0 204815 0 13239 0 788990 0 134076 0 CASEY J HOSSA CHIEF INFORMATION OFFICER 373825 0 116199 0 0 0 179707 0 15090 0 684821 0 116199 0 SUSAN O CONNOR VP & GENERAL COUNSEL 308749 0 96177 0 10808 0 147485 0 13982 0 577201 0 96177 0 SHAWN E THAMERT VP OF SALES & CHIEF GROWTH OFFICER 300001 0 0 0 9504 0 141073 0 570 0 451148 0 0 0 TYLER HUTCHISON CHIEF ACTUARY, SR. DIR, HEALTHCARE E 286547 0 43887 0 0 0 83849 0 6331 0 420614 0 43887 0 JASON RIO SR. DIR. REVENUE ASSUR. & RISK MGMT 291608 0 38806 0 1064 0 75145 0 12254 0 418877 0 38806 0 SEAN NOONE SR. DIRECTOR, CHIEF OF OPERATIONS 261119 0 42397 0 0 0 81600 0 13234 0 398350 0 42397 0 TIMOTHY CHRYSTAL DIR. OF SALES & ACCOUNT MGMT 276577 0 26353 0 776 0 47062 0 6735 0 357503 0 26353 0 GARY TERESO DIRECTOR OF PHARMACY SERVICES 252304 0 36957 0 851 0 58368 0 6183 0 354663 0 36957 0 MICHAEL GAUVIN DIR. PROGRAM DVP. & MARKET INTEL 278470 0 18287 0 0 0 50709 0 0 0 347466 0 18287 0 JUDITH DANEK DIR OFFICE OF PRES & GOV RELATIONS 194573 0 15481 0 593 0 33218 0 16506 0 260371 0 15481 0 MICHAEL FASO FORMER INTERIM CFO 202538 0 0 0 0 0 0 0 0 0 202538 0 0 0 PART I, LINE 3 HEALTH NEW ENGLAND, INC. USES AN INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, AND APPROPRIATE COMPARABILITY DATA AND APPROVAL BY THE COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF ITS KEY OFFICERS, DIRECTORS, AND EMPLOYEES. PART I, LINE 4B MARK A. KEROACK, MD - SUPPLEMENTAL RETIREMENT OF $193,727 IS INCLUDED IN COLUMN B. THIS AMOUNT CONSISTS OF $189,377 EARNED AND PAID IN 2024 AND $4,350 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. RAYMOND MCCARTHY - SUPPLEMENTAL RETIREMENT OF $194,202 IS INCLUDED IN COLUMN B. HIS AMOUNT CONSISTS OF $190,052 EARNED AND PAID IN 2024 AND $4,350 THAT WAS PREVIOUSLY REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS FORMS 990 AND THAT IS CURRENTLY REPORTED AS TAXABLE INCOME. THE AMOUNT IS LISTED IN COLUMN F IN ACCORDANCE WITH REPORTING REQUIREMENTS. SUPPLEMENTAL RETIREMENT OF $5,175 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. PETER D. BANKO - SUPPLEMENTAL RETIREMENT OF $196,802 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED IN 2024. PART I, LINE 6 CERTAIN EMPLOYEES OF HEALTH NEW ENGLAND, INC. ARE ELIGIBLE FOR BONUSES IN PART BASED ON NET EARNINGS, EMPLOYEES RECEIVE A PERCENTAGE OF THE EXCESS REVENUES WHEN TARGET UNDERWRITING MARGINS ARE EXCEEDED. PART I, LINE 7 CERTAIN EMPLOYEES OF HEALTH NEW ENGLAND, INC. ARE ELIGIBLE FOR BONUSES IN PART BASED ON NUMBERS OF MEMBERS BY LINES OF BUSINESSES, QUALITY MEASURES, ACHIEVEMENT OF MEDICARE STAR RATINGS, NCQA EVALUATION, MEDICAID QUALITY AND PERFORMANCE AND QUALITY STANDARDS AROUND POPULATION HEALTH ALONG WITH OTHER OPERATIONAL METRICS OF PERFORMANCE. GINLILL LLC OWNED BY MICHAEL FASO, FORMER INTERIM CFO 202538 DURING THE 2024 TAX REPORTING PERIOD, GINLILL, LLC PROVIDED HEALTH NEW ENGLAND, INC. WITH DATA MODERNIZATION, CORE SYSTEM UPGRADE SERVICES AND TAX PREPARATION ASSISTANCE. 0 FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THE MISSION OF HEALTH NEW ENGLAND, INC., IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE IN THE COMMUNITIES WE SERVE. AS PART OF BAYSTATE HEALTH, INC. (AN INTEGRATED HEALTH CARE SYSTEM), HEALTH NEW ENGLAND CONTRIBUTES TO THE ECONOMIC SUCCESS OF OUR REGION AND IS COMMITTED TO MEETING THE IDENTIFIED HEALTH AND WELLNESS NEEDS OF OUR COMMUNITIES SERVED THROUGH THE COMBINED EFFORTS OF BAYSTATE HEALTH, COMMUNITY ORGANIZATION PARTNERS, AND AFFILIATED PROVIDERS. FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: THE MISSION OF HEALTH NEW ENGLAND, INC., IS TO IMPROVE THE HEALTH AND LIVES OF THE PEOPLE IN THE COMMUNITIES WE SERVE. AS PART OF BAYSTATE HEALTH, INC. (AN INTEGRATED HEALTH CARE SYSTEM), HEALTH NEW ENGLAND CONTRIBUTES TO THE ECONOMIC SUCCESS OF OUR REGION AND IS COMMITTED TO MEETING THE IDENTIFIED HEALTH AND WELLNESS NEEDS OF OUR COMMUNITIES SERVED THROUGH THE COMBINED EFFORTS OF BAYSTATE HEALTH, COMMUNITY ORGANIZATION PARTNERS, AND AFFILIATED PROVIDERS. FORM 990, PART III, LINE 2 IN 2024, HEALTH NEW ENGLAND FUNDED PROGRAMS THAT SERVED THE NEEDS OF SPECIFIC VULNERABLE AND LOW-INCOME COMMUNITIES WITHIN OUR SERVICE AREA AND ALIGN WITH THE HEALTH PRIORITIES AND SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH AS IDENTIFIED BY THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). IN 2024, HEALTH NEW ENGLAND CONTINUED TO SUPPORT EXISTING MULTIYEAR COMMITMENTS TO ORGANIZATIONS THROUGH THE WHERE HEALTH MATTERS GRANT PROGRAM, WITH $70,000 ADDITIONAL GRANT FUNDS. BERKSHIRES NURSING FAMILIES (BNF) RECEIVED $10,000 IN FUNDING TO CONTINUE EXPANDING DOULA ACCESS AND PROVIDE MENTORSHIP FOR NEWLY LICENSED DOULAS IN BERKSHIRE COUNTY. (YEAR 2 OUT OF 2) THIRD SECTOR NEW ENGLAND, INC. RECEIVED $50,000 IN FUNDING TO SUPPORT GARDENING THE COMMUNITY'S (GTC) "USE HIP, GET HEALTHY". GTC FORMALIZED OUTREACH STRATEGIES AND STRENGTHENED ORGANIZATIONAL PARTNERSHIPS AND DEVELOPING A CITYWIDE SYSTEMS APPROACH TO HEALTHY INCENTIVE PROGRAM (HIP) OUTREACH. ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO: 1) HIRED A HIP OUTREACH MANAGER AND SIX RESIDENT PEER HIP EDUCATORS (3 BILINGUAL); 2) EDUCATING PARENT LIAISONS AT SPRINGFIELD AND HOLYOKE ELEMENTARY SCHOOLS; 3) IDENTIFYING AGENCIES TO RECEIVE HIP TRAININGS; AND 4) HOSTING BIWEEKLY POP-UP PRODUCE MARKETS AT BRIGHTWOOD AND CARING HEALTH CENTERS, SQUARE ONE, AND SUMMER MEAL DISTRIBUTION SITES. (YEAR 2 OUT OF 2) VOLUNTEERS IN MEDICINE BERKSHIRES (VIM) RECEIVED $10,000 IN FUNDING TO CONTINUE ADVANCING THEIR WORK IN IMPLEMENTING AN INTEGRATED HEALTH CARE MODEL OF MEDICAL, BEHAVIORAL, SOCIAL AND LEGAL SERVICES TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH FOR THEIR PATIENTS. (YEAR 2 OUT OF 2) IN 2024, THE DR. MARK KEROACK HEALTH EQUITY GRANT PROGRAM AIMED TO ADVANCE HEALTH EQUITY TO IMPROVE HEALTH OR HEALTH CARE RELATED NEEDS IN THE PIONEER VALLEY (FRANKLIN, HAMPDEN, AND HAMPSHIRE COUNTIES). HEALTH NEW ENGLAND AWARDED A TOTAL OF $250,000 IN GRANT FUNDING, TO FIVE LOCAL NONPROFIT ORGANIZATIONS TO ADVANCE HEALTH EQUITY. THE CARE CENTER RECEIVED $50,000 IN FUNDING TO PROVIDE THE "HEALTHY HOMES, HEALTHY FAMILIES" PROGRAM. BY LEVERAGING THE CARE CENTER'S COUNSELING, EDUCATION AND WRAPAROUND SUPPORTS, HOLYOKE HOUSING AUTHORITY'S VOUCHERS, AND VALLEY OPPORTUNITY COUNCIL'S HOUSING SUPPLY, HEALTHY HOMES WILL PROVIDE TEN FAMILIES HEADED BY WOMEN WITH LOW INCOME WITH SAFE STABLE HOUSING, BEHAVIORAL HEALTH SERVICES, HEALTHCARE, AND A TUITION FREE EDUCATION. (YEAR 1 OUT OF 1) WELLSPRING RECEIVED $50,000 IN FUNDING TO SUPPORT THE "NUTRITION FOR HEALTH" PROGRAM. GO FRESH MARKET WILL PROVIDE FRESH PRODUCE TO THE THREE BAYSTATE HEALTH CENTERS TO EXPAND PATIENT ACCESS, TO INCREASE HEALTH INFORMATION AND HEALTHCARE SUPPORT TO ALL GO FRESH DELIVERY SITES, AND TO INCREASE KNOWLEDGE AND USE OF THE HIP PROGRAM. (YEAR 1 OUT OF 1) COMMUNITY LEGAL AID, INC. RECEIVED $50,000 IN FUNDING TO SUPPORT THE "PIONEER VALLEY FARMWORKER MEDICAL-LEGAL PARTNERSHIP (FMLP)" THE FMLP EMBEDS AN ATTORNEY INTO THE FARMWORKER HEALTHCARE TEAM AT BRIGHTWOOD, ALSO KNOWN AS "LA CLINIQUITA". THE FMLP STAFF ATTORNEY WILL WORK ON-SITE AT BRIGHWOOD ON A REGULAR BASIS AND SERVE AS A RESOURCE FOR PROVIDERS AND PATIENTS. PLANNED PARENTHOOD LEAGUE OF MASSACHUSETTS (PPLM) RECEIVED $50,000 IN FUNDING TO INCREASING LANGUAGE ACCESSIBILTY BY TRANSLATING MATERIALS AND WEBSITE INFORMATION IN PRIORITY LANGUAGES. STONE SOUP CAFE RECEIVED $50,000 IN FUNDING TO SUPPORT THE "WEEKLY PAY WHAT YOU CAN COMMUNITY MEAL AND FREE STORE" PROGRAM. TO ENHANCE ITS WEEKLY COMMUNITY MEAL AND FREE STORE PROGRAMS. EVERY SATURDAY, THE COMMUNITY MEAL PROVIDES 550-600 BALANCED, NUTRITIOUS, SCRATCH-COOKED MEALS MADE FROM FRESH INGREDIENTS TO OVER 180 HOUSEHOLDS ON A PAY-WHAT-YOU-CAN BASIS, TOTALING 31,812 MEALS IN 2023. THE FREE STORE, OPEN EVERY SATURDAY, EXTENDS THIS IMPACT BY PROVIDING 80-110+ HOUSEHOLDS WITH GROCERIES, PRODUCE, AND PERSONAL CARE ITEMS TO USE THROUGHOUT THE WEEK. IN 2024, HEALTH NEW ENGLAND AWARDED $80,000 IN COMMUNITY MINI GRANTS TO 38 LOCAL NON-PROFIT ORGANIZATIONS (AVERAGE GRANT $2,100) TO SUPPORT PROGRAMS THAT ADVANCE YOUTH HEALTH AND WELL-BEING. EACH PROGRAM FOCUSED ON BOTH HEALTH EQUITY AND SOCIAL DETERMINANTS OF HEALTH. PARTNERS FOR A HEALTHIER COMMUNITY RECEIVED $20,000 TO HELP PROVIDE INFRASTRUCTURE SUPPORT TO THE REGION IN A VARIETY OF AREAS, INCLUDING CONVENING OF MULTI-SECTOR PARTNERSHIPS; DESIGN AND IMPLEMENTATION OF HEALTH PROGRAMS TARGETED TO ENTIRE POPULATIONS; POLICY ADVOCACY AND RESEARCH AND EVALUATION. THE UNITED WAY OF PIONEER VALLEY RECEIVED A $20,000 GRANT TO SUPPORT THEIR CHICOPEE, HOLYOKE AND SPRINGFIELD SERVICE CENTERS THAT PROVIDE BASIC NEEDS AND FINANCIAL WELLNESS TO COMMUNITY MEMBER. FORM 990, PART VI, SECTION A, LINE 2 TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990, PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN AN EMPLOYMENT RELATIONSHIPS WITH ONE OR MORE ENTITIES WITHIN THE NETWORK OF AFFILIATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 AS A MASSACHUSETTS NONPROFIT ORGANIZATION, HEALTH NEW ENGLAND, INC. HAS NO STOCKHOLDERS AND ONE LEGAL MEMBER - BAYSTATE HEALTH, INC. HEALTH NEW ENGLAND, INC. REFERS TO ITS ENROLLEES AS "MEMBERS", BUT HEALTH NEW ENGLAND, INC.'S ORGANIZATIONAL DOCUMENTS AND BY LAWS GIVE ENROLLEES NO ORGANIZATIONAL MEMBERSHIP STATUS FROM A LEGAL PERSPECTIVE. FORM 990, PART VI, SECTION A, LINE 7A BAYSTATE HEALTH, INC. IS THE SOLE MEMBER OF HEALTH NEW ENGLAND, INC. CONSEQUENTLY, BAYSTATE HEALTH HAS FINAL AUTHORITY ON ALL APPOINTMENTS AND ELECTIONS TO THE HEALTH NEW ENGLAND, INC. BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE HEALTH NEW ENGLAND, INC. ("HNE") GOVERNANCE COMMITTEE (THE "COMMITTEE") IS MADE UP OF MEMBERS OF THE HNE BOARD OF DIRECTORS AND THE HNE GENERAL COUNSEL, WHO SERVES IN AN ADVISORY, NON-VOTING CAPACITY. THE COMMITTEE IS RESPONSIBLE FOR OVERSEEING AND MAKING RECOMMENDATIONS ON MATTERS AFFECTING THE GOVERNANCE OF HNE AND ITS AFFILIATES, CONSISTENT WITH THE HNE BYLAWS. THE PRINCIPAL ACTIVITIES OF THE COMMITTEE ARE TO DEVELOP AND RECOMMEND TO THE BOARD PROCEDURES AND POLICIES DESIGNED TO PROVIDE FOR EFFECTIVE AND EFFICIENT GOVERNANCE, INCLUDING BUT NOT LIMITED TO: EVALUATION OF THE BOARD AND THE BOARD CHAIR; RECRUITMENT AND RECOMMENDATION OF CANDIDATES FOR BOARD MEMBERSHIP; BOARD ORIENTATION AND EDUCATION; SUCCESSION PLANNING FOR THE BOARD CHAIR AND OTHER BOARD LEADERS AND PERIODIC REVIEW AND AMENDMENT OF COMMITTEE CHARTERS AND CORPORATE BY LAWS AS NEEDED. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO THE FILING OF THIS RETURN APPROPRIATE PARTS OF THIS FORM 990 WERE REVIEWED BY REPRESENTATIVES FROM THE FINANCE AND LEGAL DEPARTMENTS OF HEALTH NEW ENGLAND, INC., SOME OF WHOM ARE OFFICERS OF THE FILING ORGANIZATION. THE ENTIRE RETURN WAS REVIEWED BY A TAX EXPERT FROM AN OUTSIDE ACCOUNTING FIRM. THE ENTIRE RETURN WAS SENT OUT TO THE BOARD OF DIRECTORS AND OFFICERS OF HEALTH NEW ENGLAND, INC. FOR COMMENT AND REVIEW. FORM 990, PART VI, SECTION B, LINE 12C HEALTH NEW ENGLAND, INC. HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES OF HEALTH NEW ENGLAND AND ITS AFFILIATES ARE ASKED TO COMPLETE AN ANNUAL "CONFLICT OF INTEREST" DISCLOSURE SURVEY. WE USE AN ELECTRONIC DATABASE TO RECEIVE AND MANAGE ALL ANNUAL CONFLICT OF INTEREST SUBMISSIONS. THIS INFORMATION IS REVIEWED BY THE HEALTH NEW ENGLAND DIRECTOR OF COMPLIANCE AND SHARED WITH THE HNE COMPLIANCE COMMITTEE. POTENTIAL CONFLICT OF INTEREST ARE REVIEWED AS APPROPRIATE UNDER THE POLICY, WHICH PROVIDES FOR RECUSAL FROM DISCUSSION AND DELIBERATION BY ANY PARTY WITH A POTENTIAL CONFLICT OF INTEREST AND WELL AS OTHER PERTINENT MANAGEMENT ACTIONS. HEALTH NEW ENGLAND EMPLOYEES ALSO SIGN AN ANNUAL STATEMENT WHICH AFFIRMS THAT SUCH PERSON: (A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; (B) HAS READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY; AND (C) HAS AGREED TO COMPLY WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE PRESIDENT AND CEO AND OF OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS (KORN FERRY/HAY GROUP) FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE INDEPENDENT COMPENSATION COMMITTEE OF HEALTH NEW ENGLAND, INC. AND ALL SUCH DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST AND AT MANAGEMENT'S DISCRETION FORM 990, PART XI, LINE 9: CHANGE IN NON ADMITTED ASSETS -3,723,824. FORM 990, PART XII, LINE 1: THE AUDITED FINANCIAL STATEMENTS ARE BASED ON INSURANCE STATUTORY ACCOUNTING PRINCIPLES (SAP) PROMULGATED BY THE ACCOUNTING PRACTICES AND PROCEDURES TASK FORCE UNDER THE AUSPICES OF THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS (NAIC). THIS FORM OF ACCOUNTING IS TYPICALLY LOOKED UPON AS MORE CONSERVATIVE THAN ACCRUAL ACCOUNTING WITHOUT QUITE BEING CASH BASIS. THE ACCOMPANYING STATUTORY BASIS FINANCIAL STATEMENTS HAVE BEEN PREPARED IN ACCORDANCE WITH NAIC STATEMENTS OF STATUTORY ACCOUNTING PRINCIPLES (SSAP) AND IN ACCORDANCE WITH STATUTORY ACCOUNTING PRACTICES (SAP) PRESCRIBED BY THE STATE OF MASSACHUSETTS, WHICH IS A COMPREHENSIVE BASIS OF ACCOUNTING OTHER THAN U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). SUCH PRACTICES VARY FROM GAAP PRINCIPALLY AS FOLLOWS: INVESTMENTS - FOR STATUTORY, INVESTMENTS IN BONDS ARE REPORTED AT AMORTIZED COST OR FAIR VALUE BASED ON THEIR NAIC RATING. FOR GAAP PURPOSES, SUCH FIXED MATURITY INVESTMENTS WOULD BE DESIGNATED AT PURCHASE AS HELD-TO-MATURITY TRADING OR AVAILABLE FOR SALE. HELD-TO-MATURITY FIXED INVESTMENTS WOULD BE REPORTED AT AMORTIZED COST AND THE REMAINING FIXED MATURITY INVESTMENTS WOULD BE REPORTED AT FAIR VALUE. FOR STATUTORY PURPOSES, UNREALIZED GAINS AND LOSSES ON INVESTMENTS ARE EXCLUDED FROM NET INCOME AND REPORTED AS AN INCREASE OR DECREASE IN CAPITAL AND SURPLUS. DECREASES IN FAIR VALUE THAT ARE DETERMINED BY MANAGEMENT TO BE OTHER THAN TEMPORARY ARE REPORTED AS REALIZED LOSSES. THE ORGANIZATION HAS ELECTED THE FAIR VALUE OPTION FOR CERTAIN OF ITS INVESTMENTS. ALL SINGLE CLASS AND MULTI CLASS MORTGAGE BACKED/ASSET BACKED SECURITIES (E.G. CMOS) ARE ADJUSTED FOR THE EFFECTS OF CHANGES IN PREPAYMENT ASSUMPTIONS ON THE RELATED ACCRETION OF DISCOUNT OR AMORTIZATION OF PREMIUM OF SUCH SECURITIES USING PROSPECTIVE METHOD. IF IT IS DETERMINED THAT A DECLINE IN FAIR VALUE IS OTHER THAN TEMPORARY, THE COST BASIS OF THE SECURITY IS WRITTEN DOWN TO THE PRESENT VALUE OF ESTIMATED FUTURE CASH FLOWS USING THE ORIGINAL EFFECTIVE INTEREST RATE INHERENT IN THE SECURITY. NON ADMITTED ASSETS - CERTAIN ASSETS ARE DESIGNATED AS NON- ADMITTED. THESE ASSETS (WHICH ARE PRINCIPALLY ELECTRONIC DATA PROCESSING EQUIPMENT, PREPAID ITEMS, CERTAIN HEALTH RECEIVABLES, RECEIVABLES OVER 90 DAYS PAST DUE AND NON-AUDITED EQUITY VALUE OF SUBSIDIARIES) ARE EXCLUDED FROM THE ACCOMPANYING STATEMENTS OF ADMITTED ASSETS, LIABILITIES AND CAPITAL AND SURPLUS. THESE ITEMS ARE CHARGED DIRECTLY TO UNASSIGNED SURPLUS. UNDER GAAP, SUCH ASSETS ARE INCLUDED IN THE BALANCE SHEET, TO THE EXTENT THEY ARE NOT IMPAIRED. 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