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TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION INC (EIN 04-2674079)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-17
IRS object ID
202523219349318132
Schema version
2024v5.2
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)
Return2025-11-17T15:16:39-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PwC US Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042674079EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TUFTS ASSOCIATED HEALTH MAINTENANCEBusinessNameLine1Txt
Business Name Line2ORGANIZATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% MARK PORTER TREASURERInCareOfNm
Business Name ControlTUFTBusinessNameControlTxt
Phone6179729400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 WELLNESS WAYAddressLine1Txt
CityCANTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP020211166ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK PORTERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6179729400PhoneNum
Signature2025-11-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTONIO C RUSSOPreparerPersonNm
PTINP00858539PTIN
Phone2673303000PhoneNum
Preparation2025-11-13PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSCOTT WALKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 WELLNESS WAYAddressLine1Txt
CityCANTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP020211166ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,953,330,321GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.TUFTSHEALTHPLAN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1979FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee662TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI-$27,040TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$2,737,821,760PYProgramServiceRevenueAmt
CY Program Service Revenue$2,547,132,725CYProgramServiceRevenueAmt
PY Investment Income$285,900PYInvestmentIncomeAmt
CY Investment Income$13,748,886CYInvestmentIncomeAmt
PY Other Revenue-$60,698PYOtherRevenueAmt
CY Other Revenue$82,750CYOtherRevenueAmt
PY Total Revenue$2,738,046,962PYTotalRevenueAmt
CY Total Revenue$2,560,964,361CYTotalRevenueAmt
PY Grants And Similar Paid$48,468PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$193,003CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$2,415,630,986PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$2,298,356,932CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$39,198,457PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$41,119,444CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$290,363,378PYOtherExpensesAmt
CY Other Expenses$417,084,731CYOtherExpensesAmt
PY Total Expenses$2,745,241,289PYTotalExpensesAmt
CY Total Expenses$2,756,754,110CYTotalExpensesAmt
PY Revenues Less Expenses-$7,194,327PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$195,789,749CYRevenuesLessExpensesAmt
Total Assets BOY$1,164,875,660TotalAssetsBOYAmt
Total Assets EOY$945,362,421TotalAssetsEOYAmt
Total Liabilities BOY$467,949,630TotalLiabilitiesBOYAmt
Total Liabilities EOY$562,061,393TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$696,926,030NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$383,301,028NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$305,546,500ExpenseAmt
Grant$24,388GrantAmt
Revenue$321,855,248RevenueAmt
DescPROGRAM SERVICE ACCOMPLISHMENTS - COMMERCIAL HMO PRODUCT ONE OF TAHMO'S LARGEST PRODUCTS IS ITS COMMERCIAL HMO WHICH PROVIDES AFFORDABLE HEALTH COVERAGE TO ITS MEMBERS. TAHMO STRIVES TO PROVIDE HMO COVERAGE THAT IS AFFORDABLE, AND PROVIDES ACCESS TO TOP QUALITY HEALTH CARE SERVICES. TAHMO ALSO PROVIDES PROGRAMS THAT TARGET THE IMPROVEMENT OF THE HEALTH OF ITS MEMBERS, AS WELL AS THE COMMUNITY AT LARGE. QUALITY: NCQA EVALUATES HEALTH PLANS ON THE QUALITY OF CARE PATIENTS RECEIVE, HOW SATISFIED PATIENTS ARE WITH THEIR CARE, AND HEALTH PLANS' EFFORTS TO KEEP IMPROVING. TUFTS HEALTH PLAN HMO/POS/EPO's NCQA QUALITY RATING IS CONSISTENTLY WITHIN THE TOP 10% OF PLANS THROUGHOUT THE COUNTRY. TAHMO CONTINUES TO IMPLEMENT OUTREACH PROGRAMS WITH BOTH PROVIDERS AND MEMBERS WITH THE GOAL OF IMPROVING THE QUALITY OF CARE PROVIDED AND RECEIVED. UPDATED RATINGS WILL BE RELEASED IN SEPTEMBER 2025. TAHMO PROVIDES SPECIALTY CARE MANAGEMENT SERVICES FOR ITS MEMBERS WITH COMPLEX MEDICAL AND BEHAVIORAL HEALTH CONDITIONS. TAHMO MEMBERS RECEIVE TARGETED HEALTH REMINDERS TO ENCOURAGE PREVENTIVE HEALTH CARE.TAHMO'S CARE MANAGERS ASSIST MEMBERS WHO ARE ILL OR DISABLED IN NAVIGATING THE HEALTH CARE SYSTEM AND PROVIDE REFERRALS TO COMMUNITY RESOURCES. OUR WEBSITE, WWW.TUFTSHEALTHPLAN.COM , IS AVAILABLE TO THE COMMUNITY AT LARGE, AND INCLUDES A LIBRARY OF TOOLS AND READY-MADE PRINT AND ELECTRONIC MATERIALS. THESE RESOURCES HELP TO ENCOURAGE HEALTHY BEHAVIORS, INCREASE DEMAND FOR PREVENTIVE HEALTH, AND DRIVE ENGAGEMENT IN PROGRAMS THAT EDUCATE AND EMPOWER HEALTHIER LIFESTYLES AND REDUCE HEALTH RISKS. TOPICS INCLUDE PREVENTIVE CARE BENEFITS, HEALTHY EATING AND WEIGHT CONTROL, EXERCISE AND FITNESS, MANAGING STRESS AND HEART HEALTH, CANCER PREVENTION, AND TOBACCO CESSATION. WE ALSO OFFER A VARIETY OF WELLNESS PROGRAMS AT THE WORKSITE SUCH AS FLU SHOTS, CHOLESTEROL SCREENINGS, STRESS MANAGEMENT, AND MORE. TAHMO'S SECURE ONLINE ACCOUNT SERVES AS A CENTRAL HUB FOR LIFESTYLE MANAGEMENT PROGRAM COMPONENTS, HEALTH AND WELLNESS CONTENT, AND TOOLS. THE ONLINE ACCOUNT OFFERS A PERSONAL HEALTH ASSESSMENT AND RESOURCES DESIGNED TO ENCOURAGE INDIVIDUALS TO LEAD HEALTHIER LIVES BASED ON THEIR INTERESTS, OVERALL HEALTH CONDITION, AND OTHER PERSONAL ATTRIBUTES. COMMERCIAL MEMBERS OF TUFTS HEALTH PLAN CONTINUE TO RECEIVE THE MEMBER NEWSLETTER. THE NEWSLETTER IS AN EDUCATIONAL RESOURCE ON TOPICS PERTAINING TO ACCESS TO SERVICES, PREVENTIVE CARE, HEALTH EDUCATION AND LIFESTYLE REMINDERS. IT ALSO HELPS MEMBERS UTILIZE THEIR COVERED HEALTH PLAN BENEFITS, SERVICES AND FEATURES TO THE FULLEST AND IS AIMED AT SUPPORTING THEIR IMPROVED HEALTH. ACCESS: TAHMO'S MEMBERS HAVE ACCESS TO HOSPITALS, PRIMARY CARE PROVIDERS AND SPECIALISTS AND ALLIED HEALTH PROFESSIONALS, AS WELL AS CONDITION MANAGEMENT PROGRAMS, PREVENTION AND WELLNESS PROGRAMS. AFFORDABILITY: TAHMO'S GOAL IS TO PROVIDE ACCESS TO THE HIGHEST QUALITY HEALTH CARE SERVICES THROUGH AFFORDABLE HEALTH COVERAGE TO AS MANY MASSACHUSETTS AND RHODE ISLAND RESIDENTS AS POSSIBLE. TAHMO HAS DESIGNED HEALTH MANAGEMENT PROGRAMS TO SIMULTANEOUSLY LOWER MEDICAL COSTS AND IMPROVE QUALITY AND OUTCOMES. BY LOWERING MEDICAL COSTS, TAHMO IS ABLE TO OFFER COMPETITIVE PREMIUM RATES AND PROVIDE COVERAGE TO MORE PEOPLE. TAHMO IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY AS WELL AS THAT OF ITS MEMBERS. THE ORGANIZATION TAKES THIS COMMITMENT SERIOUSLY AND HAS A DEDICATED COMMUNITY PARTNERSHIP PROGRAM THAT PROVIDES IN-KIND AND FINANCIAL SUPPORT TO NOT-FOR-PROFIT PROGRAMS THROUGHOUT MASSACHUSETTS. SUPPORT IS BROAD BASED AND REFLECTS DIVERSE SPONSORSHIP OF ORGANIZATIONS THAT PROMOTE IMPROVED COMMUNITY HEALTH. ----------Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,842,968,015ExpenseAmt
Grant$138,387GrantAmt
Revenue$1,826,346,090RevenueAmt
DescPROGRAM SERVICE ACCOMPLISHMENTS - MASSACHUSETTS MEDICARE PRODUCT TAHMO ALSO OFFERS PRODUCTS TO MEDICARE ELIGIBLE ENROLLEES. TUFTS HEALTH PLAN MEDICARE PREFERRED (TUFTS MEDICARE PREFERRED) PROVIDES AFFORDABLE HEALTH COVERAGE TO ITS MEMBERS IN MASSACHUSETTS. TUFTS MEDICARE PREFERRED STRIVES TO PROVIDE COVERAGE OPTIONS THAT ARE AFFORDABLE AND PROVIDE ACCESS TO TOP QUALITY HEALTH CARE SERVICES FOR SENIORS. TUFTS MEDICARE PREFERRED ALSO OFFERS PROGRAMS THAT TARGET THE IMPROVEMENT OF THE HEALTH OF ITS MEMBERS, AS WELL AS THE COMMUNITY AT LARGE. WITHIN THE MASSACHUSETTS MEDICARE ADVANTAGE MARKET, TUFTS MEDICARE PREFERRED IS THE MARKET LEADER - COVERING MORE INDIVIDUALS THROUGH MEDICARE ADVANTAGE PRODUCTS THAN ANY OTHER CARRIER. TUFTS MEDICARE PREFERRED ALSO OFFERS CARE MANAGEMENT AND CONDITION MANAGEMENT SERVICES TO MEMBERS AND PUBLISHES WELL! MAGAZINE FOR ITS MEDICARE POPULATION ONCE A YEAR. THE MAGAZINE IS AN EDUCATIONAL RESOURCE ON TOPICS PERTAINING TO GENERAL HEALTH, ACCESS TO CARE, PREVENTIVE CARE, HEALTH INFORMATION AND HEALTH CARE REMINDERS, TARGETED TO ITS SPECIFIC POPULATION. IT ALSO PROVIDES INFORMATION FOR MEMBERS ON HOW TO GET THE MOST OF TUFTS HEALTH PLAN'S BENEFITS. ----------Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$405,656,209ExpenseAmt
Grant$30,222GrantAmt
Revenue$398,857,927RevenueAmt
DescPROGRAM SERVICE ACCOMPLISHMENTS - DUAL-ELIGIBLE PROGRAM THE ORGANIZATION ALSO PROVIDES ACCESS TO AFFORDABLE CARE THROUGH A DUAL-ELIGIBLE PROGRAM. TAHMO PROVIDES COVERAGE FOR PEOPLE AGE 65 OR OLDER WHO ARE ELIGIBLE FOR MASSHEALTH STANDARD, HAVE BOTH MEDICARE PART A AND B, AND HAVE NOT BEEN DIAGNOSED AS HAVING END STAGE RENAL DISEASE. THIS PROGRAM, CALLED SENIOR CARE OPTIONS, INTEGRATES MEDICAID AND MEDICARE BENEFITS AND SERVICES, PROVIDING THOSE ELIGIBLE WITH COORDINATED HIGH-QUALITY AND COST-EFFECTIVE HEALTH CARE. ----------Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$111,919ExpenseAmt
Grant$6GrantAmt
Revenue$73,460RevenueAmt
DescMEDICARE COMPLEMENTDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$111,919TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$6TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$73,460TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,554,282,643TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document11346IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee662EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
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)
PersonMARK PORTER TREASURERPersonNm
Phone6179729400PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CAIN HAYES
DIR. PRES. & CEO (END 9/24)10.040.0Yes (X)Yes (X)$0$4,532,289$42,363
PHILIP BARR
EVP, PRESIDENT, MARKETS10.040.0$0$1,580,792$159,172Yes (X)
TRACEY CARTER
FORMER SVP, CHIEF ACTUARY0.00.0$0$1,598,732$18,185Yes (X)
PETE CHURCH
CHIEF PEOPLE & CULTURE OFFICER10.040.0$0$1,284,213$156,654Yes (X)
PATRICIA BLAKE
FORMER SVP, PRES MEDICARE0.00.0$0$1,330,488$19,544Yes (X)
ROLAND PRICE
FORMER TREASURER0.00.0$0$1,299,914$15,069Yes (X)
R SCOTT WALKER
CFO & PRESIDENT (START 9/24)10.040.0Yes (X)$0$1,041,266$162,232
MARK PORTER
TREASURER10.040.0Yes (X)$0$1,024,863$112,221
KRISTIN LEWIS
CHIEF PUB & COMM AFF OFFICER10.040.0$0$998,596$118,145Yes (X)
UMESH KURPAD
FORMER CFO0.00.0$0$1,087,771$21,702Yes (X)
KATIE CATLENDER
COO (START 1/24)12.537.5$0$880,347$67,611Yes (X)
ROBERT WILLIAMS
SVP, BUSINESS PERFORMANCE10.040.0$0$836,744$105,431Yes (X)
DEAN PEASLEY
SVP, OPERATIONS (END 4/24)12.537.5$0$840,092$31,405Yes (X)
URCEL FIELDS
SVP, PRES. GOVT MKT(END 11/24)12.537.5$0$842,020$16,316Yes (X)
TISA HUGHES
FORMER CLERK/SECRETARY0.00.0$0$824,422$31,490Yes (X)
SUSAN KEE
CLERK/SECRETARY, CLO10.040.0Yes (X)$0$696,820$93,265
MARY MAHONEY
FORMER SVP, CLO0.00.0$0$705,784$0Yes (X)
PATRICIA TREBINO
FORMER SVP, COO0.00.0$0$553,026$0Yes (X)
EILEEN AUEN
EXECUTIVE CHAIR (START 9/24)10.050.0Yes (X)Yes (X)$0$533,336$0
THOMAS CROSWELL
FORMER CEO0.00.0$0$404,893$9,900Yes (X)
PATRICIA HOWARD
FORMER COO0.00.0$0$232,740$0Yes (X)
MICHAEL J MCCOLGAN
DIRECTOR1.03.0Yes (X)$0$141,000$0
BERTRAM L SCOTT
LEAD DIR/VICE CHR(START 10/24)1.03.0Yes (X)Yes (X)$0$138,000$0
MICHAEL SHEA
DIRECTOR1.03.0Yes (X)$0$136,000$0
TODD WHITBECK
DIRECTOR1.03.0Yes (X)$0$135,500$0
HEDWIG VEITH WHITNEY
DIRECTOR1.03.0Yes (X)$0$135,000$0
GREGORY D TRANTER
DIRECTOR1.03.0Yes (X)$0$133,000$0
PETER SLAVIN MD
DIRECTOR (END 9/24)1.03.0Yes (X)$0$124,306$0
RAYMOND PAWLICKI
DIRECTOR1.03.0Yes (X)$0$120,000$0
IRINA SIMMONS
DIRECTOR (END 6/24)1.03.0Yes (X)$0$79,778$0
JOYCE MURPHY
DIRECTOR (END 6/24)1.03.0Yes (X)$0$79,778$0
GAUROV DAYAL MD
DIRECTOR (START 6/24)1.07.0Yes (X)$0$44,695$0
ELIZABETH BIERBOWER
DIRECTOR (START 6/24)1.07.0Yes (X)$0$42,223$0
MICHAEL TARNOFF MD
DIRECTOR (START 12/24)1.03.0Yes (X)$0$0$0
GREG SHELL
DIRECTOR, VICE CHAIR1.05.0Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$23,679,648TotReportableCompRltdOrgAmt
Total Other Compensation$1,180,705TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
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
MERKLE INC
29432 NETWORK PLACECHICAGOIL606731294DIGITAL MARKETING$1,943,654
COTIVITI LLC
PO BOX 5459NEW YORKNY100875459AUDIT SERVICES$970,737
DELOITTE CONSULTING LLP
PO BOX 844717DALLASTX752844717CONSULTING SERVICES$724,356
SEI-BOSTON LLC
11500 NORTHLAKE DRIVE SUITE 450CINCINNATIOH45249CONSULTING SERVICES$460,245
LAUNCHPOINT VENTURES LLC
535 E DIEHL RDNAPERVILLEIL60563AUDIT SERVICES$393,098
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K39CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
COMMERCIAL524114$321,855,248$321,855,248
MEDICARE524114$1,826,346,090$1,826,346,090
MEDICAID524114$398,857,927$398,857,927
MEDICARE COMPLEMENT524114$73,460$73,460
FieldValueIRS element (for citing)
Total Program Service Revenue$2,547,132,725TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,040,473TotalRevenueColumnAmt
Exclusion$22,040,473ExclusionAmt

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$82,750RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$82,750RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,750TotalRevenueColumnAmt
Unrelated Business Revenue-$27,040UnrelatedBusinessRevenueAmt
Exclusion$109,790ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$384,074,373SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$392,365,960SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$8,291,587SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,291,587TotalRevenueColumnAmt
Exclusion-$8,291,587ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,560,964,361TotalRevenueColumnAmt
Related Or Exempt Func Income$2,547,132,725RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$27,040UnrelatedBusinessRevenueAmt
Exclusion$13,858,676ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$193,003TotalAmt
Program Services$193,003ProgramServicesAmt

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$2,298,356,932TotalAmt
Program Services$2,298,356,932ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$36,604,553TotalAmt
Program Services$36,604,553ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,663,635TotalAmt
Program Services$2,663,635ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,851,256TotalAmt
Program Services$1,851,256ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$38,576,526TotalAmt
Program Services$0ProgramServicesAmt
Management And General$38,576,526ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,543,779TotalAmt
Program Services$0ProgramServicesAmt
Management And General$8,543,779ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,514,902TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,514,902ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$85,798,145TotalAmt
Program Services$0ProgramServicesAmt
Management And General$85,798,145ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,454,731TotalAmt
Program Services$5,963,785ProgramServicesAmt
Management And General$1,490,946ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,886,439TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,886,439ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total-$1,743TotalAmt
Program Services$0ProgramServicesAmt
Management And General-$1,743ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$679,875TotalAmt
Program Services$0ProgramServicesAmt
Management And General$679,875ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$64,344TotalAmt
Program Services$64,344ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,921,091TotalAmt
Program Services$0ProgramServicesAmt
Management And General$33,921,091ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROVIDER NETWORK ACCCESS FEES$950,479$0$950,479$0
ASSESSMENT$507,968$0$507,968$0
BANK FEE$242,555$0$242,555$0
PREMIUM TAX EXPENSE$202,973$0$202,973$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$235,742,667TotalAmt
Program Services$208,585,135ProgramServicesAmt
Management And General$27,157,532ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,756,754,110TotalAmt
Program Services$2,554,282,643ProgramServicesAmt
Management And General$202,471,467ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,175,565BOYAmt
EOY-$26,455,906EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$58,205,555BOYAmt
EOY$46,049,819EOYAmt

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$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$247,315,251LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$55,947,063LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$200,390,992BOYAmt
EOY$191,368,188EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$725,581,230BOYAmt
EOY$554,434,845EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$59,110,464BOYAmt
EOY$49,375,264EOYAmt

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$116,411,854BOYAmt
EOY$130,590,211EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,164,875,660BOYAmt
EOY$945,362,421EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$136,402,224BOYAmt
EOY$101,437,444EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$49,098,658BOYAmt
EOY$131,286,579EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$282,448,748BOYAmt
EOY$329,337,370EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$467,949,630BOYAmt
EOY$562,061,393EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$696,926,030BOYAmt
EOY$383,301,028EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$696,926,030BOYAmt
EOY$383,301,028EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,164,875,660BOYAmt
EOY$945,362,421EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$195,789,749ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$37,010,689NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$80,824,564OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$32,973,700OtherCostOrOtherBasisAmt
Book Value$32,973,700BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$161,664,123OtherCostOrOtherBasisAmt
Depreciation$15,941,878DepreciationAmt
Book Value$145,722,245BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$52,677,428OtherCostOrOtherBasisAmt
Depreciation$40,005,185DepreciationAmt
Book Value$12,672,243BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$191,368,188TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN P32HS-$30,038,260C
INVESTMENT IN INTEGRA$72,779,414C
INVESTMENT IN CP HOLDINGS$6,634,110C
FieldValueIRS element (for citing)
Total Book Value Securities$49,375,264TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDescBook ValueBookValueAmt
HEALTHCARE AR$87,576,804
ACCRUED RETROSPECTIVE PREMIUMS$33,534,566
OTHER RECEIVABLES$5,181,078
DUE FROM HPHC INSURANCE CO$2,243,311
INTEREST RECEIVABLE$1,963,638
DUE FROM P32H FOUNDATION$81,509
DUE FROM HPHC INSTITUTE$6,434
INVESTMENT SETTLEMENT RECEIVAB$2,871
FieldValueIRS element (for citing)
Total Book Value Other Assets$130,590,211TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDescAmtAmt
CLAIMS UNPAID$224,624,336
DUE TO TICO$11,430,963
DUE TO P32HS$61,558,035
DUE TO THPP$12,131,352
DUE TO CAREPARTNERS LLC$17,619
DUE TO HPHC$3,298,246
DUE TO THP$7,096,185
DUE TO HPHC NE$4,798,860
DUE TO P32H$370,279
DUE TO CAREPARTNERS HMO$1,338,173
DUE TO TBA$2,673,322
FieldValueIRS element (for citing)
Total Liability$329,337,370TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,521,383,060TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$37,010,689NetUnrealizedGainsInvstAmt
Revenue Not Reported-$37,010,689RevenueNotReportedAmt
Revenue Subtotal$2,558,393,749RevenueSubtotalAmt
Investment Expenses Not Incld$2,514,902InvestmentExpensesNotIncldAmt
Other Revenues Not Included$55,710OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,570,612RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,560,964,361TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,969,166,483TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$2,969,166,483ExpensesSubtotalAmt
Investment Expenses Not Incld2$2,514,902InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$214,927,275OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$212,412,373ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,756,754,110TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationASC 740 (FKA FIN 48) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF POINT32HEALTH, INC. ("P32H"). THE BELOW FOOTNOTE DERIVES FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF POINT32HEALTH, INC. AND AFFILIATES. THE COMPANY BELIEVES THAT THE POSITIONS TAKEN ON ITS INCOME TAX RETURNS FOR OPEN TAX YEARS WILL BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE ("IRS"). THEREFORE, P32H HAS NOT RECORDED ANY LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, INCOME TAXES. AS OF DECEMBER 31, 2024, THERE ARE NO UNRECOGNIZED TAX BENEFITS, AND THE COMPANY DOES NOT ANTICIPATE ANY SIGNIFICANT CHANGES IN THE AMOUNT OF UNRECOGNIZED TAX BENEFITS DURING THE NEXT TWELVE MONTHS.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
CARIBE COMMUNICATIONS & PUBLICATIONS INC
175 MCCLELLAN HWYEAST BOSTONMA02128042530767501(c)(3)$10,000N/AN/ASPONSORSHIP TU SALUD EVENT
ENHANCE ASIAN COMMUNITY ON HEALTH INC
1 FRANKLIN STBOSTONMA02110472130807501(c)(3)$10,000N/AN/ASPONSORSHIP CHINESE NEW YEAR
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS THE ORGANIZATION ONLY CONTRIBUTES TO TAX-EXEMPT ORGANIZATIONS UNDER IRC SECTION 501(C)(3) AND CERTAIN GOVERNMENTAL UNITS, AS WELL AS SPONSORS EVENTS THAT BENEFIT THESE TYPES OF ORGANIZATIONS. THE ORGANIZATION CONTRIBUTES TO WELL ESTABLISHED, NON-PROFIT ORGANIZATIONS THAT HAVE ESTABLISHED POLICIES AND PROCEDURES FOR MONITORING THE USE OF FUNDS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 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
CAIN HAYES
DIR. PRES. & CEO (END 9/24)$0$979,462$0$3,054,752$0$498,075$0$22,382$0$19,981$0$4,574,652$0$183,763
PHILIP BARR
EVP, PRESIDENT, MARKETS$0$710,093$0$784,920$0$85,779$0$149,235$0$9,937$0$1,739,964$0$72,281
PATRICIA HOWARD
FORMER COO$0$0$0$0$0$232,740$0$0$0$0$0$232,740$0$0
UMESH KURPAD
FORMER CFO$0$3,526$0$498,533$0$585,712$0$21,379$0$323$0$1,109,473$0$97,380
PETE CHURCH
CHIEF PEOPLE & CULTURE OFFICER$0$635,016$0$586,187$0$63,010$0$129,669$0$26,985$0$1,440,867$0$55,508
TISA HUGHES
FORMER CLERK/SECRETARY$0$36,117$0$609,522$0$178,783$0$23,751$0$7,739$0$855,912$0$57,138
TRACEY CARTER
FORMER SVP, CHIEF ACTUARY$0$0$0$350,690$0$1,248,042$0$17,697$0$488$0$1,616,917$0$91,806
MARK PORTER
TREASURER$0$433,000$0$324,735$0$267,128$0$86,199$0$26,022$0$1,137,084$0$225,509
PATRICIA BLAKE
FORMER SVP, PRES MEDICARE$0$97,425$0$186,170$0$1,046,893$0$14,993$0$4,551$0$1,350,032$0$79,062
KRISTIN LEWIS
CHIEF PUB & COMM AFF OFFICER$0$442,629$0$474,467$0$81,500$0$87,269$0$30,876$0$1,116,741$0$78,011
R SCOTT WALKER
CFO & PRESIDENT (START 9/24)$0$693,032$0$345,302$0$2,932$0$135,198$0$27,034$0$1,203,498$0$0
SUSAN KEE
CLERK/SECRETARY, CLO$0$499,421$0$174,827$0$22,572$0$92,127$0$1,138$0$790,085$0$18,517
ROLAND PRICE
FORMER TREASURER$0$815$0$126,875$0$1,172,224$0$14,765$0$304$0$1,314,983$0$0
THOMAS CROSWELL
FORMER CEO$0$0$0$375,000$0$29,893$0$9,900$0$0$0$414,793$0$0
EILEEN AUEN
EXECUTIVE CHAIR (START 9/24)$0$0$0$0$0$533,336$0$0$0$0$0$533,336$0$0
KATIE CATLENDER
COO (START 1/24)$0$552,885$0$325,000$0$2,462$0$67,319$0$292$0$947,958$0$0
URCEL FIELDS
SVP, PRES. GOVT MKT(END 11/24)$0$406,154$0$400,000$0$35,866$0$16,094$0$222$0$858,336$0$0
DEAN PEASLEY
SVP, OPERATIONS (END 4/24)$0$105,334$0$299,692$0$435,066$0$21,657$0$9,748$0$871,497$0$102,219
ROBERT WILLIAMS
SVP, BUSINESS PERFORMANCE$0$454,256$0$371,994$0$10,494$0$96,649$0$8,782$0$942,175$0$6,965
MARY MAHONEY
FORMER SVP, CLO$0$0$0$705,784$0$0$0$0$0$0$0$705,784$0$0
PATRICIA TREBINO
FORMER SVP, COO$0$0$0$0$0$553,026$0$0$0$0$0$553,026$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 3METHOD USED TO ESTABLISH CEO COMPENSATION TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. RELIED ON ITS PARENT AND SOLE CORPORATE MEMBER, POINT32HEALTH, INC., TO ESTABLISH COMPENSATION FOR ITS CEO. THE METHODS USED BY POINT32HEALTH, INC. ARE AS FOLLOWS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE -WRITTEN EMPLOYMENT AGREEMENT ----------
FORM 990, SCHEDULE J, PART I, LINE 4ASEVERANCE PAYMENT THE FOLLOWING SENIOR LEADERS ALSO RECEIVED SEVERANCE PAYMENTS IN 2024: CAIN HAYES = $292,731 TRACEY CARTER = $483,832 PATRICIA BLAKE = $337,674 URCEL FIELDS = $33,846 DEAN PEASLEY = $267,989 PATRICIA HOWARD = $232,740 ----------
FORM 990, SCHEDULE J, PART I, LINE 4BDISCRETIONARY RETIREMENT PLAN THE ORGANIZATION'S LEADERS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SPONSORED BY THEIR EMPLOYER, POINT32HEALTH SERVICES, INC., A RELATED PARTY. THE EMPLOYEES AND AMOUNTS LISTED ON SCHEDULE J, PART II, COLUMN C REFLECT EMPLOYER CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. ----------

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 & PART III, LINE 1DETAIL REGARDING THE ORGANIZATION'S MISSION TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION INC.'S ("TAHMO") PURPOSE IS TO GUIDE AND EMPOWER HEALTHIER LIVES FOR EVERYONE. TAHMO SEEKS TO IMPROVE THE HEALTH AND WELLNESS OF THE DIVERSE COMMUNITIES WE SERVE. TAHMO IS RESPONSIBLE FOR ARRANGING FOR THE DELIVERY OF COMPREHENSIVE, PREVENTIVE AND THERAPEUTIC HEALTH CARE SERVICES TO SUBSCRIBING INDIVIDUALS IN RETURN FOR A FIXED MONTHLY PAYMENT. SERVICES ARE PROVIDED THROUGH A CONTRACTED NETWORK OF INDEPENDENT PROVIDER GROUPS AND HOSPITALS WITHIN THE SERVICE AREA. TAHMO PRODUCTS ARE AVAILABLE TO ALL SIZE EMPLOYER GROUPS, INCLUDING A MERGED SMALL GROUP AND INDIVIDUAL MARKET. TAHMO ALSO OFFERS PRODUCTS TO INDIVIDUALS WHO ARE MEDICARE AND/OR MEDICAID ELIGIBLE. TAHMO PROVIDES A BROAD RANGE OF PROGRAMS DESIGNED TO EDUCATE ITS MEMBERS IN HEALTH MAINTENANCE AND DISEASE PREVENTION. TAHMO IS DEDICATED TO OFFERING A VARIETY OF QUALITY, INNOVATIVE HEALTH COVERAGE OPTIONS, AND TO IMPROVING ACCESS TO AFFORDABLE HEALTH CARE BY DEVELOPING AND EMPLOYING STRATEGIES THAT IMPROVE THE ALLOCATION OF HEALTH CARE RESOURCES. IN ADDITION TO PROVIDING THESE SERVICES TO ITS MEMBERS, TAHMO IS DEDICATED TO PROVIDING AND FUNDING HEALTH PROGRAMS THAT BENEFIT THE COMMUNITIES TAHMO SERVES. TAHMO IS PART OF THE POINT32HEALTH, INC ("P32H") FAMILY OF COMPANIES. ----------
FORM 990, PART III, LINE 4DDETAIL OF OTHER PROGRAM SERVICE ACCOMPLISHMENTS - MEDICARE COMPLEMENT TUFTS MEDICARE COMPLEMENT ("TMC") PLAN WAS DISCONTINUED AS AN OPTION FOR EMPLOYER GROUPS. THIS WAS DUE TO THE MIGRATION OF COMMERCIAL EMPLOYER GROUPS TO HPHC MEDICARE ENHANCE. THERE ARE <10 MEMBERS THAT ARE ENROLLED AS INDIVIDUALS REMAINING ON THE PLAN IN 2024. THEY ARE LEGACY MEMBERS AND WE ARE REQUIRED BY THE DOI TO MAINTAIN THEIR COVERAGE. ----------
FORM 990, PART VI, LINE 2DETAIL OF FAMILY OR BUSINESS RELATIONSHIPS BUSINESS RELATIONSHIP - THE FOLLOWING INDIVIDUALS SERVED ON THE BOARDS OR WERE AN OFFICER OR KEY EMPLOYEE OF ONE OR MORE FOR-PROFIT ORGANIZATIONS AFFILIATED WITH THE FILING ORGANIZATION FROM 1/1/2024 TO 12/31/2024: CAIN HAYES, DIRECTOR; PRESIDENT & CEO (END 9/12/2024) SUSAN KEE, CLERK/SECR; CHIEF LEGAL OFFICER EILEEN AUEN, DIRECTOR, CHAIR; EXECUTIVE CHAIR (ADD'L EXECUTIVE CHAIR TITLE START 9/12/2024) R. SCOTT WALKER, CFO; PRESIDENT (ADD'L PRESIDENT TITLE START 9/12/2024) ----------
FORM 990, PART VI, LINE 3DELEGATION OF CONTROL OF MANAGEMENT DUTIES THE FILING ORGANIZATION'S SOLE MEMBER IS P32H, ITS AFFILIATE, POINT32HEALTH SERVICES, INC., PERFORMS CERTAIN MANAGEMENT, ADMINISTRATIVE, AND MARKETING SERVICES FOR THE FILING ORGANIZATION AND OTHER AFFILIATES. THE OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES LISTED IN PART VII, SECTION A ARE EMPLOYEES OF POINT32HEALTH SERVICES, INC. THEIR COMPENSATION IS LISTED IN PART VII, SECTION A AND SCHEDULE J. ----------
FORM 990, PART VI, LINE 6MEMBERS OR STOCKHOLDERS P32H IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. ----------
FORM 990, PART VI, LINE 7APOWER TO ELECT OR APPOINT MEMBERS P32H, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. ----------
FORM 990, PART VI, LINE 7BDECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS P32H, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS THE RIGHT TO MAKE CERTAIN DECISIONS REGARDING THE ORGANIZATION, AND IS REQUIRED TO APPROVE ANY CHANGES TO THE ORGANIZATION'S BYLAWS. ----------
FORM 990, PART VI, LINE 8BCONTEMPORANEOUS BOARD MEETING DOCUMENTATION FOR A MAJORITY OF THE TIME, THE ORGANIZATION CONTEMPORANEOUSLY DOCUMENTS MEETINGS HELD AND WRITTEN ACTIONS UNDERTAKEN BY ITS GOVERNING BODY AND COMMITTEES. HOWEVER, ON LIMITED OCCASIONS, THE GOVERNING BODY OR A COMMITTEE MAY HAVE A SERIES OF CONFERENCE CALLS AND MINUTES FOR THOSE CALLS ARE NOT APPROVED UNTIL THE NEXT MEETING. ----------
FORM 990, PART VI, LINE 11BPROCESS USED TO REVIEW THE FORM 990 THIS FORM 990 WAS PREPARED BY THE ORGANIZATION'S EXTERNAL ACCOUNTANT, REVIEWED BY P32H FINANCE DEPARTMENT AND CERTAIN SECTIONS ARE REVIEWED FOR INPUT BY SUBJECT MATTER PERSONNEL IN OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING. ----------
FORM 990, PART VI, LINE 12A & 12CMONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE P32H'S CONFLICT OF INTEREST ("COI") POLICY AND PROCEDURES ("P&P") APPLIES TO THE FILING COMPANY AS A SUBSIDIARY ORGANIZATION. P32H'S COI P&P IS REVIEWED ANNUALLY, REVISED AS NEEDED AND APPROVED UPON MATERIAL REVISIONS. THE POLICY REQUIRES ALL EMPLOYEES, INCLUDING THE PRESIDENT AND CEO AND GOVERNING BODY MEMBERS TO COMPLY WITH THE COI POLICY AND PROCESSES. ALL EMPLOYEES RECEIVE ANNUAL COMPLIANCE TRAINING WHICH INCLUDE EXPECTATIONS RELATED TO FOLLOWING THE COI P&P. THE COI P&P REQUIRES THE OFFICERS, KEY EMPLOYEES AND BOARD OF DIRECTORS OF THE TAX-EXEMPT ENTITIES TO COMPLETE AND SUBMIT AN ANNUAL DISCLOSURE SURVEY AND STATEMENT TO THE CHIEF LEGAL OFFICER ("CLO") OR DESIGNEE IN THE LEGAL DEPARTMENT, LISTING ANY OUTSIDE RELATIONSHIPS, INCLUDING FINANCIAL AND/OR BOARD RELATIONSHIPS THAT THEY OR A FAMILY MEMBER HAVE WITH P32H'S (OR ITS SUBSIDIARIES) SUPPLIERS, PURCHASERS, PROVIDERS AND/OR COMPETITORS. ADDITIONALLY, P32H. REQUIRES EXECUTIVE MANAGEMENT AND SENIOR MANAGEMENT (AS DEFINED IN THE COI POLICY) TO COMPLETE AND SUBMIT AN ANNUAL DISCLOSURE SURVEY AND STATEMENT TO THE CHIEF COMPLIANCE OFFICER OR DIRECTOR, CORPORATE COMPLIANCE. BY COMPLETING THE ANNUAL DISCLOSURE STATEMENT, THESE INDIVIDUALS ACKNOWLEDGE THE POINT32HEALTH COI P&P. ALL EMPLOYEES ARE REQUIRED TO REPORT THE OFFER BY AN OUTSIDE ENTITY OF GIFTS OVER $250, HONORARIA OR COVERAGE OF BUSINESS EXPENSES, OR OTHER EVENTS OR RELATIONSHIPS THAT MAY BE PERCEIVED AS CONFLICTS TO THE CHIEF COMPLIANCE OFFICER, DIRECTOR, CORPORATE COMPLIANCE OR DESIGNEE AND THE EMPLOYEE'S MANAGEMENT. BOTH MUST APPROVE BEFORE ACCEPTANCE IS ALLOWED. THERE ARE PROTOCOLS AND PROCESSES TO REVIEW ANY DISCLOSURE THAT MIGHT BE A POTENTIAL CONFLICT OF INTEREST. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES' RESPONSES TO THE DISCLOSURE SURVEY AND STATEMENT ARE REVIEWED BY THE CLO, WHO WILL REVIEW THE SELF-DISCLOSURE WITH THE CHAIR OF THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS Of P32H AND DETERMINE EXPECTATIONS AND RECOMMENDED ACTIONS IF NEEDED. A SUMMARY REPORT OF ALL DISCLOSED ACTUAL OR POTENTIAL CONFLICTS ALONG WITH ANY RECOMMENDED ACTIONS TO ADDRESS A DISCLOSED ACTUAL OR POTENTIAL CONFLICT IS REVIEWED AND APPROVED BY THE GOVERNANCE COMMITTEE AND THE COMMITTEE'S REVIEW/FINDINGS ARE REPORTED TO THE FULL BOARD. THE CLO COMMUNICATES THE RECOMMENDED ACTIONS TO INDIVIDUAL SURVEY RECIPIENTS. THE CHIEF COMPLIANCE OFFICER IS CONSULTED AND INFORMED OF THE DECISIONS MADE BY THE CLO OR LEGAL DESIGNEE. EXECUTIVE MANAGEMENT AND SENIOR MANAGEMENT'S RESPONSES TO THE DISCLOSURE SURVEY AND STATEMENT ARE REVIEWED BY THE DIRECTOR, CORPORATE COMPLIANCE, LEGAL, AND CHIEF COMPLIANCE OFFICER, WHO WILL REPORT TO THE CLO ANY POTENTIAL CONFLICTS ALONG WITH ANY RECOMMENDED ACTIONS TO ADDRESS THE POTENTIAL CONFLICT, IF NECESSARY. RECOMMENDED ACTIONS/EXPECTATIONS ARE COMMUNICATED BY THE DIRECTOR, CORPORATE COMPLIANCE, LEGAL, AND CHIEF COMPLIANCE OFFICER TO IMPACTED INDIVIDUALS. FOR CONFLICT DISCLOSURES INVOLVING THE CHIEF COMPLIANCE OFFICER, THE CLO WILL MAKE THE FINAL DETERMINATION. ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST THAT ARISES AFTER COMPLETION OF THE DISCLOSURE SURVEY WILL FOLLOW THE SAME REVIEW PROCESS. ----------
FORM 990, PART VI, LINE 13WRITTEN WHISTLEBLOWER/NON-RETALIATION POLICY THE FILING ORGANIZATION IS SUBJECT TO THE WRITTEN WHISTLEBLOWER/NON-RETALIATION POLICY WITHIN THE CODE OF CONDUCT THAT WAS APPROVED BY THE BOARD OF DIRECTORS OF P32H. ----------
FORM 990, PART VI, LINE 14WRITTEN DOCUMENT RETENTION POLICY THE FILING ORGANIZATION IS SUBJECT TO THE WRITTEN DOCUMENT RETENTION POLICY AND RECORD RETENTION SCHEDULE OF P32H. ----------
FORM 990, PART VI, LINES 15A & 15BCOMPENSATION REVIEW AND APPROVAL THE FILING ORGANIZATION'S PARENT COMPANY, P32H HAS AN INDEPENDENT HUMAN RESOURCES COMMITTEE (THE "COMMITTEE") THAT ANNUALLY REVIEWS THE TOTAL REMUNERATION OPPORTUNITIES, POLICIES AND PROGRAMS OF THE CEO AND CERTAIN EXECUTIVES, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES AS WELL AS INDIVIDUALS THE COMMITTEE DEEMS APPROPRIATE TO REVIEW. THE COMMITTEE IS COMPRISED OF INDEPENDENT DIRECTORS OF THE COMPANY. THE COMMITTEE CONSIDERS MARKET DATA AND ANALYSES ASSEMBLED BY INDEPENDENT AND INTERNAL COMPENSATION CONSULTANTS WITH THE GOAL TO DETERMINE EXECUTIVE TOTAL REMUNERATION THAT IS REASONABLE AND COMPETITIVE WITHIN THE INDUSTRY AND GEOGRAPHY IN WHICH P32H OPERATES. ----------
FORM 990, PART VI, LINE 19PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, COI POLICY, AND ANNUAL FINANCIAL REPORT AND QUARTERLY FINANCIAL UPDATES ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. ----------
FORM 990, PART XI, LINE 9DETAIL OF OTHER CHANGES IN NET ASSETS CONTRIBUTION TO PARENT $ (65,000,000) CHANGE IN NONADMITTED ASSETS (15,824,564) --------------- TOTAL $(80,824,564) ----------
FORM 990, PART XII, LINE 1ACCOUNTING METHOD USED TO PREPARE THE FORM 990 TAHMO 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 Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HPHC OF NEW ENGLAND INC
1 WELLNESS WAYCANTONMA02021042663394HEALTH INS.MA501(C)(4)N/AHPHCINCYes (true)
POINT32HEALTH FOUNDATION INC
1 WELLNESS WAYCANTONMA02021261374263GRANT MAKINGMA501 (C)(3)12ATAHMOYes (true)
TUFTS HEALTH PUBLIC PLANS INC
1 WELLNESS WAYCANTONMA02021800721489HMOMA501(C)(4)N/AP32HYes (true)
POINT32HEALTH INC
1 WELLNESS WAYCANTONMA02021814089215HEALTHCAREMA501(C)(4)N/ANAfalse
CARE PARTNERS OF CONNECTICUT INC
1 WELLNESS WAYCANTONMA02021822604728HMOCT501(C)(4)N/ATAHMOYes (true)
HPHC INC
1 WELLNESS WAYCANTONMA02021042452600HEALTH INSURAMA501(C)(3)10P32HYes (true)
HPHC FOUNDATION INC
1 WELLNESS WAYCANTONMA02021042708004COMMUNITY SVCMA501(C)(3)12A-IHPHCINCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtOwnershipOwnershipPct
CAREPARTNERS OF CT HOLDINGS LLC
1 WELLNESS WAYCANTONMA02021823129930HOLDING COMPANYCTTAHMORELATED$0$51,152,946false$0
CLARION MANAGEMENT SOLUTIONS LLC
1212 CORPORATE DRIVE SUITE 225IRVINGTX75038822713764CLINICAL CONSULTIDEEH NEXUSN/A
EMPLOYERS HEALTH NEXUS LLC
1500 W PARK DRIVE SUITE 330WESTBOROUGHMA01581882938454HOLDING COMPANYMAHEALTH PLANSN/A
EMPLOYERS HEALTH NETWORK LLC
1212 CORPORATE DRIVE SUITE 225IRVINGTX75038471678150SELF INSURANCEDEEH NEXUSN/A
KP VENTURES LLC SERIES B
1 KAISER PLAZAOAKLANDCA94612273339892HEALTHCARECATAHMORELATED$188,302$6,243,721false$00.50000
KP VENTURES LLC SERIES D
1 KAISER PLAZAOAKLANDCA94612471874366HEALTHCARECATAHMORELATED$3,914,423$17,066,660false$00.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
HPHC INSURANCE COMPANY INC
1 WELLNESS WAYCANTONMA020211166043149694HEALTH INSURANCEMANEW HPHC HOLDCOC CORPYes (true)
PLAN MARKETING INSURANCE AGENCY INC
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581042734281BROKERAGEMAHEALTH PLANSC CORPYes (true)
HPHC INSURANCE AGENCY INC
1 WELLNESS WAYCANTONMA020211166043016201BROKERAGEMANEW HPHC HOLDCOC CORPYes (true)
HEALTH PLANS INC
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581042734278TPAMANEW HPHC HOLDCOC CORPYes (true)
CARE MANAGEMENT SERVICES INC
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581043438779CARE MANAGEMENTMAHEALTH PLANSC CORPYes (true)
NEW HPHC HOLDING CORPORATION
1 WELLNESS WAYCANTONMA020211166815340662HOLDING COMPANYDEHPHC INCC CORPYes (true)
POINT32HEALTH SERVICES INC
1 WELLNESS WAYCANTONMA02021042985923MANAGEMENT SVCSDETAHMOC CORPYes (true)$907,301,758$270,428,707
TUFTS INSURANCE COMPANY
1 WELLNESS WAYCANTONMA02021043319729INSURANCEMAP32H SRVCS INCC CORPYes (true)
TUFTS BENEFIT ADMINISTRATORS INC
1 WELLNESS WAYCANTONMA02021043270923TPAMAP32H SRVCS INCC CORPYes (true)
TOTAL HEALTH PLAN INC
1 WELLNESS WAYCANTONMA02021042918943TPAMAP32H SRVCS INCC CORPYes (true)
TAHP BROKERAGE CORPORATION
1 WELLNESS WAYCANTONMA02021043072692BROKERAGEMAP32H SRVCS INCC CORPYes (true)
INTEGRA PARTNERS HOLDINGS INC
100 WALL ST STE 2502NEW YORKNY10005453032233MED EQUIPT & SVCSNYTAHMOC CORPYes (true)$5,844,031$72,779,413
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CPCT HOLDINGS INC
B-$12,120,000CASH
POINT32HEALTH SERVICES INC
B-$60,000,000CASH
POINT32HEALTH INC
B-$65,000,000CASH
TUFTS HEALTH PUBILC PLANS INC
P,Q-$12,131,352FMV
CAREPARTNERS OF CONNECTICUT INC
P,Q-$1,338,173FMV
POINT32HEALTH SERVICES INC
P,Q-$61,558,035FMV
POINT32HEALTH INC
P,Q-$370,279FMV
TUFTS INSURANCE COMPANY INC
P,Q-$11,430,963FMV
TUFTS BENEFIT ADMINISTRATORS INC
P,Q-$2,673,322FMV
TUFTS TOTAL HEALTH PLAN
P,Q-$7,096,185FMV
HPHC OF NEW ENGLAND INC
P,Q-$4,798,860FMV
HPHC INSURANCE COMPANY INC
P,Q$2,243,000FMV
HARVARD PILGRIM HEALTH CARE INC
P,Q$2,190,798FMV
POINT32HEALTH FOUNDATION
P,Q$81,509FMV