STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HARVARD PILGRIM HEALTH CARE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HARVARD PILGRIM HEALTH CARE INC (EIN 04-2452600)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-13
IRS object ID
201533179349301443
Schema version
2014v5.0
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)
Return2015-11-13T14:34:31-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

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 TitleCFO/TREASURERPersonTitleTxt
Phone7812636000PhoneNum
Signature2015-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGWEN SPENCERPreparerPersonNm
PTINP00641463PTIN
Phone6175305000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

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$1,984,351,453GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1321TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$190,389,302TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$5,967,654NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$38,820,660PYContributionsGrantsAmt
CY Contributions Grants$40,901,467CYContributionsGrantsAmt
PY Program Service Revenue$1,851,354,606PYProgramServiceRevenueAmt
CY Program Service Revenue$1,713,071,603CYProgramServiceRevenueAmt
PY Investment Income$18,796,382PYInvestmentIncomeAmt
CY Investment Income$32,441,959CYInvestmentIncomeAmt
PY Other Revenue$3,157,900PYOtherRevenueAmt
CY Other Revenue$2,966,150CYOtherRevenueAmt
PY Total Revenue$1,912,129,548PYTotalRevenueAmt
CY Total Revenue$1,789,381,179CYTotalRevenueAmt
PY Grants And Similar Paid$1,781,384PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,242,389CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,584,854,375PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$1,455,756,684CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$70,580,461PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$60,668,297CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$241,768,556PYOtherExpensesAmt
CY Other Expenses$253,161,686CYOtherExpensesAmt
PY Total Expenses$1,898,984,776PYTotalExpensesAmt
CY Total Expenses$1,773,829,056CYTotalExpensesAmt
PY Revenues Less Expenses$13,144,772PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,552,123CYRevenuesLessExpensesAmt
Total Assets BOY$878,795,837TotalAssetsBOYAmt
Total Assets EOY$947,570,384TotalAssetsEOYAmt
Total Liabilities BOY$358,071,709TotalLiabilitiesBOYAmt
Total Liabilities EOY$373,138,343TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$520,724,128NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$574,432,041NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,689,988,639ExpenseAmt
Grant$4,242,389GrantAmt
Revenue$1,713,071,603RevenueAmt
DescTo improve the quality and value of health care for the people and COMMUNITIES WE SERVE. AT 12/31/14, HPHC, INC. HAD 298,029 FULLY INSURED MEMBERS, AMBULATORY ENCOUNTERS WERE 2,308,791 AND HOSPITAL DAYS INCURRED WERE 82,335.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$40,901,467ExpenseAmt
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$1,730,890,106TotalProgramServiceExpensesAmt
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 Document34005IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1321EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 (32 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
BARRY L SHEMIN
CHAIRMAN/DIRECTOR (Until 5/14)5.00.0Yes (X)$14,933$0$0
MARY ANN TOCIO
CHAIRMAN/DIRECTOR (AS OF 5/14)5.00.0Yes (X)$32,217$0$0
CONSTANCE SMITH BARR MD
DIRECTOR (UNTIL 5/14)5.00.0Yes (X)$19,125$0$0
Hedwig Whitney
DIRECTOR5.00.0Yes (X)$24,900$0$0
EDWARD F MCCAULEY CPA
DIRECTOR5.00.0Yes (X)$29,100$0$0
JOSEPH F O'DONNELL MD
DIRECTOR3.02.0Yes (X)$25,500$0$0
SUSAN V DUPREY
DIRECTOR3.00.0Yes (X)$27,300$0$0
JOYCE A MURPHY
VICE CHAIR/DIR (AS OF 5/14)5.00.0Yes (X)$29,100$0$0
SCOTT S HARTZ
DIRECTOR3.00.0Yes (X)$23,900$0$0
EARL W BAUCOM
DIRECTOR5.00.0Yes (X)$29,330$0$0
SHELBY M CHODOS
DIRECTOR3.00.0Yes (X)$23,700$0$0
TRAMMELL LOUIS GUTIERREZ
DIRECTOR3.00.0Yes (X)$27,300$0$0
Myechia Minter-Jordan
Director (As of 5/14)3.00.0Yes (X)$18,217$0$0
MICHAEL J SHEA
DIRECTOR (AS OF 11/14)3.00.0Yes (X)$0$0$0
ERIC H SCHULTZ
PRES/CEO/DIR35.015.0Yes (X)$1,413,401$0$310,805Yes (X)
CHARLES R GOHEEN
CFO/TREASURER40.010.0$642,858$0$120,394Yes (X)
DEBORAH A NORTON
CHIEF INFORMATION OFFICER50.00.0$536,602$0$135,075Yes (X)
JOHN F LANE
CHIEF HUMAN RESOURCES OFFICER50.00.0$407,121$0$111,154Yes (X)
MICHAEL S SHERMAN MD
SR VP CMO40.010.0$456,722$0$53,075Yes (X)
THOMAS F MALONEY
INTERIM LEGAL OFF (UNTIL 3/14)40.010.0$275,740$0$48,177Yes (X)
TU NGUYEN
VP/CHIEF ACTUARY40.010.0$262,001$0$51,726Yes (X)
TISA K HUGHES
Chief Legal Off (As of 3/14)40.010.0$325,938$0$91,506Yes (X)
VINCENT CAPOZZI
Sr VP Sales & MARKETING40.010.0$494,856$0$49,205Yes (X)
BETH ANN ROBERTS
SR VP REGIONAL MARKETS35.015.0$323,815$0$52,301Yes (X)
RICHARD WEISBLATT
SVP PROV NTWRK & HEALTH SERVS40.010.0$404,955$0$42,014Yes (X)
PRANAV MEHTA
SVP PROD & BUS PLAN40.010.0$305,311$0$49,485Yes (X)
MARTHA MURPHY
VP SALES40.010.0$330,766$0$46,709Yes (X)
Richard Platt
EXEC DIR OF HPHC INSTITUTE50.00.0$370,412$0$31,375Yes (X)
Cynthia Napier Rosenberg
SENIOR MEDICAL DIRECTOR40.010.0$357,587$0$41,694Yes (X)
MICHELLE J CLAYMAN
FORMER INTERIM CFO35.015.0$299,878$0$48,477Yes (X)
SCOTT ALLEN
FORMER CHIEF ACTUARY20.05.0$354,731$0$35Yes (X)
ROBERTA H HERMAN MD
FORMER COO0.00.0$414,515$0$13,017Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,301,831TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,296,224TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K335IndivRcvdGreaterThan100KCnt
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$145,766,527
BOSTON CONSULTING GROUP INC
EXCHANGE PLACE 31st FLOORBOSTONMA02109MGMT CONSULTING$7,115,000
ORACLE AMERICA INC
500 ORACLE PARKWAYREDWOOD SHORESCA94065IT CONSULTING$6,959,174
HILL HOLLIDAY CONNORS COSMOPULOS IN
PO BOX 3600-16BOSTONMA022410616ADVERTISING$5,539,031
TERADATA OPERATIONS INC
125 HIGH STREETBOSTONMA02110CONSULTING$1,119,712
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K396CntrctRcvdGreaterThan100KCnt
Government Grants$32,892,303GovernmentGrantsAmt
All Other Contributions$8,009,164AllOtherContributionsAmt
Total Contributions$40,901,467TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Member Premiums & Fees524114$1,523,957,313$1,523,957,313
PPO Premiums (fully insured)524298$189,114,290$189,114,290
FieldValueIRS element (for citing)
Total Program Service Revenue$1,713,071,603TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,821,063TotalRevenueColumnAmt
Unrelated Business Revenue-$4,309UnrelatedBusinessRevenueAmt
Exclusion$17,825,372ExclusionAmt

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$7,133,919RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,752,690RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,381,229RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,381,229TotalRevenueColumnAmt
Unrelated Business Revenue$1,279,321UnrelatedBusinessRevenueAmt
Exclusion$1,101,908ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$204,838,480SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$190,217,584SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$14,620,896SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,620,896TotalRevenueColumnAmt
Exclusion$14,620,896ExclusionAmt

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$584,921TotalRevenueColumnAmt
Related Or Exempt Func Income$584,921RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$584,921OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,789,381,179TotalRevenueColumnAmt
Related Or Exempt Func Income$1,524,542,234RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$190,389,302UnrelatedBusinessRevenueAmt
Exclusion$33,548,176ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,242,389TotalAmt
Program Services$4,242,389ProgramServicesAmt

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$1,455,756,684TotalAmt
Program Services$1,455,756,684ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,299,511TotalAmt
Program Services$5,839,609ProgramServicesAmt
Management And General$1,459,902ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,130,653TotalAmt
Program Services$904,522ProgramServicesAmt
Management And General$226,131ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$38,238,547TotalAmt
Program Services$30,590,838ProgramServicesAmt
Management And General$7,647,709ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,446,206TotalAmt
Program Services$2,756,965ProgramServicesAmt
Management And General$689,241ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,021,147TotalAmt
Program Services$5,616,918ProgramServicesAmt
Management And General$1,404,229ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,532,233TotalAmt
Program Services$2,825,787ProgramServicesAmt
Management And General$706,446ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$416,888TotalAmt
Management And General$416,888ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,716,214TotalAmt
Management And General$3,716,214ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,754,614TotalAmt
Management And General$1,754,614ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$542,557TotalAmt
Management And General$542,557ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,155,188TotalAmt
Program Services$18,155,188ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,959,361TotalAmt
Program Services$5,959,361ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,600,296TotalAmt
Program Services$2,880,237ProgramServicesAmt
Management And General$720,059ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$62,984,108TotalAmt
Program Services$50,387,287ProgramServicesAmt
Management And General$12,596,821ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,774,770TotalAmt
Program Services$4,619,816ProgramServicesAmt
Management And General$1,154,954ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$798,831TotalAmt
Program Services$798,831ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$294,670TotalAmt
Program Services$294,670ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,100,152TotalAmt
Program Services$4,080,121ProgramServicesAmt
Management And General$1,020,031ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,184,429TotalAmt
Program Services$16,147,543ProgramServicesAmt
Management And General$4,036,886ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FEDERAL & STATE ASSESSMENTS$31,005,635$31,005,635
Premium tax expense$3,234,825$3,234,825
Broker Fees$42,215,329$42,215,329
RESEARCH GRANT EXPENSE$45,328,712$40,901,467$4,427,245

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,095,107TotalAmt
Program Services$1,676,084ProgramServicesAmt
Management And General$419,023ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,773,829,056TotalAmt
Program Services$1,730,890,106ProgramServicesAmt
Management And General$42,938,950ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$40,592,673BOYAmt
EOY$58,639,548EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$37,038,054BOYAmt
EOY$2,761,706EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$73,018,854BOYAmt
EOY$74,837,005EOYAmt

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$2,710,167BOYAmt
EOY$3,142,797EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$375,119,939LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$340,975,533LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$39,583,338BOYAmt
EOY$34,144,406EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$150,783,820BOYAmt
EOY$135,537,157EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$551,823,957BOYAmt
EOY$476,826,980EOYAmt

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$64,430,320BOYAmt
EOY$161,680,785EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$878,795,837BOYAmt
EOY$947,570,384EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$238,001,151BOYAmt
EOY$236,962,177EOYAmt

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$91,070,558BOYAmt
EOY$107,176,166EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$358,071,709BOYAmt
EOY$373,138,343EOYAmt
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$520,724,128BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$574,432,041EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$520,724,128BOYAmt
EOY$574,432,041EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$878,795,837BOYAmt
EOY$947,570,384EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,552,123ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$19,442,025NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$57,597,815OtherChangesInNetAssetsAmt
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$25,533,070CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,248,737CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$39,383,858CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$38,820,660CurrentTaxYearMinus1YearAmt
Current Tax Year$40,901,467CurrentTaxYearAmt
Total$179,887,792TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,192,961,680CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,923,464,188CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,792,048,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,661,588,555CurrentTaxYearMinus1YearAmt
Current Tax Year$1,523,957,313CurrentTaxYearAmt
Total$9,094,020,615TotalAmt

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$2,218,494,750CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,958,712,925CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,831,432,737CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,700,409,215CurrentTaxYearMinus1YearAmt
Current Tax Year$1,564,858,780CurrentTaxYearAmt
Total$9,273,908,407TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,069,803CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,136,833CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,783,862CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$670,272CurrentTaxYearMinus1YearAmt
Total$6,660,770TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$280,563,873CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$273,971,394CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$158,993,588CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,731,402CurrentTaxYearMinus1YearAmt
Current Tax Year$46,237,943CurrentTaxYearAmt
Total$795,498,200TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$282,633,676CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$276,108,227CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$160,777,450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,401,674CurrentTaxYearMinus1YearAmt
Current Tax Year$46,237,943CurrentTaxYearAmt
Total$802,158,970TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$8,471,749,437PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,909,635CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,486,210CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,701,263CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,536,284CurrentTaxYearMinus1YearAmt
Current Tax Year$24,954,982CurrentTaxYearAmt
Total$137,588,374TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,909,635CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,486,210CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,701,263CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,536,284CurrentTaxYearMinus1YearAmt
Current Tax Year$24,954,982CurrentTaxYearAmt
Total$137,588,374TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$287,932CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,325,170CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$672,396CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$797,805CurrentTaxYearMinus1YearAmt
Current Tax Year$584,921CurrentTaxYearAmt
Total$6,668,224TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,250,692,317CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,991,524,305CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,858,806,396CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,726,743,304CurrentTaxYearMinus1YearAmt
Current Tax Year$1,590,398,683CurrentTaxYearAmt
Total$9,418,165,005TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.89951PublicSupportCY509Pct
Public Support PY5090.88130PublicSupportPY509Pct
Investment Income CY0.01461InvestmentIncomeCYPct
Investment Income PY0.01520InvestmentIncomePYPct
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,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$618,809DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,275,214OtherActivitiesAmt
Total Lobbying Expenditures$1,894,023TotalLobbyingExpendituresAmt
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 $1,275,214 in membership dues. Of the amount shown, $35,635 was paid to the Maine Association of Health Plans, $476,790 was paid to America's Health Insurance Plans, $735,189 was paid to the Massachusetts Association of Health Plans and $27,600 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, $139,409 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$13,944,229InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$37,466,437OtherCostOrOtherBasisAmt
Depreciation$29,445,733DepreciationAmt
Book Value$21,964,933BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$317,421,585OtherCostOrOtherBasisAmt
Depreciation$311,529,800DepreciationAmt
Book Value$5,891,785BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,144,406TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SECURITIES$188,592,952C
CORPORATE DEBT SECURITIES$288,234,028C
FieldValueIRS element (for citing)
Total Book Value Securities$476,826,980TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INVESTMENTS IN AFFILIATES$151,204,338
SPECIAL DEPOSITS$1,670,707
DUE FROM AFFILIATES$3,085,836
OTHER INVESTED ASSETS$5,719,904
FieldValueIRS element (for citing)
Total Book Value Other Assets$161,680,785TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
UNEARNED GROUP PREMIUM$40,709,981
DUE TO AFFILIATES$2,955,233
ACCIDENT AND HEALTH PLANS$61,740,104
OTHER ACCRUED EXPENSES$1,770,848
FieldValueIRS element (for citing)
Total Liability$107,176,166TotalLiabilityAmt
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 ("HOLDINGS") AND HEALTH PLANS, INC. ("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, 2014 AND 2013.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$4,242,389CashGrantAmt
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) 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. FOUNDATION STAFF REVIEWS THESE APPLICATIONS FOR ACCURACY OF PURPOSE AND LEGITIMACY OF THE ORGANIZATION. 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)
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 ExceptionYes (true)InitialContractExceptionInd
Rebuttable Presumption ProcYes (true)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred 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 OrgsCompReportPrior990RltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmt
ERIC H SCHULTZ
PRES/CEO/DIR$869,299$0$521,700$22,402$283,300$0$27,505$0$1,724,206$0$0$0
CHARLES R GOHEEN
CFO/TREASURER$460,651$0$159,805$22,402$114,800$0$5,594$0$763,252$0$0$0
DEBORAH A NORTON
CHIEF INFORMATION OFFICER$387,328$0$124,250$25,024$100,800$0$34,275$0$671,677$0$0$0
JOHN F LANE
CHIEF HUMAN RESOURCES OFFICER$285,483$0$97,755$23,883$81,800$0$29,354$0$518,275$0$0$0
MICHAEL S SHERMAN MD
SR VP CMO$343,412$0$93,188$20,122$20,800$0$32,275$0$509,797$0$0$0
THOMAS F MALONEY
INTERIM LEGAL OFF (UNTIL 3/14)$214,683$0$59,456$1,601$20,385$0$27,792$0$323,917$0$0$0
TU NGUYEN
VP/CHIEF ACTUARY$222,700$0$38,543$758$20,098$0$31,628$0$313,727$0$0$0
TISA K HUGHES
Chief Legal Off (As of 3/14)$284,627$0$40,000$1,311$66,667$0$24,839$0$417,444$0$0$0$0$0
VINCENT CAPOZZI
Sr VP Sales & MARKETING$336,416$0$133,606$24,834$20,800$0$28,405$0$544,061$0$0$0
BETH ANN ROBERTS
SR VP REGIONAL MARKETS$251,694$0$66,563$5,558$20,800$0$31,501$0$376,116$0$0$0
RICHARD WEISBLATT
SVP PROV NTWRK & HEALTH SERVS$300,848$0$79,875$24,232$19,731$0$22,283$0$446,969$0$0$0
PRANAV MEHTA
SVP PROD & BUS PLAN$235,882$0$68,672$757$13,077$0$36,408$0$354,796$0$0$0
MARTHA MURPHY
VP SALES$135,489$0$177,030$18,247$20,800$0$25,909$0$377,475$0$0$0
Richard Platt
EXEC DIR OF HPHC INSTITUTE$345,054$0$1,000$24,358$28,860$0$2,515$0$401,787$0$0$0
Cynthia Napier Rosenberg
SENIOR MEDICAL DIRECTOR$282,070$0$63,234$12,283$20,800$0$20,894$0$399,281$0$0$0
MICHELLE J CLAYMAN
FORMER INTERIM CFO$231,332$0$55,469$13,077$17,619$0$30,858$0$348,355$0$0$0
SCOTT ALLEN
FORMER CHIEF ACTUARY$354,599$0$0$132$0$0$35$0$354,766$0$0$0$0$0
ROBERTA H HERMAN MD
FORMER COO$0$0$189,926$224,589$7,597$0$5,420$0$427,532$0$0$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 4AFormAndLineReferenceDesc
ExplanationROBERTA HERMAN'S EMPLOYMENT WITH HPHC TERMINATED IN JULY 2013. PURSUANT TO THE SEVERANCE PROVISION OF HER CONTRACT, DR. HERMAN WAS ELIGIBLE TO RECEIVE A CONTINUATION OF HER BASE SALARY AND BENEFITS FOR A PERIOD OF UP TO ONE YEAR AND ANY INCENTIVE COMPENSATION SHE WAS ENTITLED TO FOR 2013 THROUGH 2015. IN 2014 SHE RECEIVED SEVERANCE PAYMENTS OF $224,589 AND INCENTIVE COMPENSATION OF $189,926. SCHEDULE J, PART I, LINE 4B LONG TERM INCENTIVE PLAN HPHC ADOPTED A LONG-TERM INCENTIVE PLAN FOR ITS CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER, CHIEF INFORMATION 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 2014. 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 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. SCHEDULE J, PART I, LINE 8 TISA K. HUGHES ENTERED INTO AN EMPLOYMENT CONTRACT WITH HPHC IN MARCH 2014. THE TERMS OF HER CONTRACT INCLUDE A BASE SALARY, INCENTIVE PROGRAM, HEALTH BENEFITS AND A SEVERANCE PROVISION.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 MAINTENANCE ORGANIZATION SERVICES, ACCESS TO HEALTH CARE AND OTHER RELATED SERVICES IN MASSACHUSETTS, NEW HAMPSHIRE AND MAINE TO GROUP AND INDIVIDUAL MEMBERS THROUGH CONTRACTS WITH PHYSICIANS, ESTABLISHED PRIMARY CARE AND MULTI-SPECIALTY PHYSICIAN GROUPS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS. OUR MISSION IS TO IMPROVE THE QUALITY AND VALUE OF HEALTH CARE FOR THE PEOPLE AND COMMUNITIES WE SERVE. FOR MORE THAN 30 YEARS, HARVARD PILGRIM HAS BUILT A REPUTATION FOR EXCEPTIONAL CLINICAL QUALITY, PREVENTIVE CARE, DISEASE MANAGEMENT AND MEMBER SATISFACTION. WE REMAIN AN INDUSTRY LEADER BY CONTINUING TO DEVELOP NEW WAYS TO IMPROVE UPON HOW WE CARE FOR OUR MEMBERS. THROUGH HPHC'S FOUNDATION, 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, INCREASING 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 A BROADER PATIENT POPULATION. THROUGH THE HARVARD PILGRIM HEALTH CARE 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 HPHC 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 CHIEF EXECUTIVE OFFICER CHARLES R. GOHEEN CHIEF FINANCIAL OFFICER TISA K. HUGHES - CLERK AND SECRETARY (AS OF 3/14) TU NGUYEN CHIEF ACTUARY THOMAS F. MALONEY - INTERIM LEGAL OFFICER (UNTIL 3/14) FORM 990, PART VI, LINE 11B ONCE HARVARD PILGRIM'S FORM 990 IS COMPLETED WITH THE ASSISTANCE OF ITS OUTSIDE TAX ADVISORS, IT IS FIRST REVIEWED BY HPHC'S INTERNAL MANAGEMENT AND THEN HPHC'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 DIRECTORS, OFFICERS AND EMPLOYEES ARE SUBJECT TO HPHC'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 AND ITS SUBSIDIARIES, OR CAUSE THE USE OF HPHC RESOURCES FOR OTHER THAN HPHC PURPOSE. IN ADDITION TO BEING SUBJECT TO HPHC'S CONFLICT OF INTEREST POLICY, HPHC'S BOARD OF DIRECTORS AND BOARD COMMITTEE MEMBERS ARE ANNUALLY REQUIRED TO COMPLETE AND SIGN A CONFLICTS OF INTEREST DISCLOSURE FORM, WHICH IS REPORTED TO THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE DISCLOSURES AND REVIEW PROCESS SET FORTH IN HPHC'S BYLAWS. IN ADDITION, ROUGHLY HALF OF HPHC'S EMPLOYEES WHO MAKE DECISIONS ON BEHALF OF THE ORGANIZATION, OR ARE IN A POSITION TO INFLUENCE DECISIONS MADE ON BEHALF OF HPHC, 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 ALSO HAS MORE STRINGENT CONFLICTS 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 HAS AN INDEPENDENT COMPENSATION COMMITTEE THAT ANNUALLY REVIEWS THE COMPENSATION OF THE COMPANY'S OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE CONSIDERS MARKET DATA AND ANALYSES ASSEMBLED BY INDEPENDENT COMPENSATION CONSULTANTS. THE COMMITTEE'S DELIBERATIONS ARE REFLECTED IN ITS MINUTES. FORM 990, PART VI, LINE 19 HPHC 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 (NAIC) 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 (6,665,507) Change in surplus notes (9,714,896) Increase in surplus for HPHC New England net worth 74,777,082 Change in prior service costs and recognized loss for postretirement medical plan (798,864) ____________ TOTAL ($57,597,815) FORM 990, PART XII, LINE 1 HARVARD PILGRIM HEALTH CARE FOLLOWS THE STATUTORY ACCOUNTING METHOD PRESCRIBED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS' ACCOUNTING PRACTICES AND PROCEDURES MANUAL FOR STATUTORY ACCOUNTING PRINCIPLES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Harvard Pilgrim Health Care Inst LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 BROOKLINE AVEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02215ZIPCd
FieldValueIRS element (for citing)
EIN943477531EIN
Primary ActivitiesRESEARCHPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Total Income$6,590,640TotalIncomeAmt
End Of Year Assets$25,996,618EndOfYearAssetsAmt

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 ST 2ND FLHARTFORDCT06103461681667HEALTH 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 INSURAMAHPHC INCC CORP$614,019,879$194,654,9771.00000Yes (true)
HPHC Holding Corporation
93 WORCESTER STREETWELLESLEYMA024819181043306439HOLDING COMPAMAHPHC INCC CORP$6,361,070$13,278,2991.00000Yes (true)
Plan Marketing Insurance Agency Inc
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581042734281BROKERAGEMAHEALTH PLANSC CORP$0$01.00000Yes (true)
HPHC Insurance Agency Inc
93 WORCESTER STREETWELLESLEYMA024819181043016201BROKERAGEMAHPHC INCC CORP$33,804$460,8641.00000Yes (true)
Health Plans Inc
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581042734278TPAMAHPHC INCC CORP$31,979,822$21,448,6221.00000Yes (true)
Care Management Services Inc
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581043438779ASO SERVICESMAHEALTH PLANSC CORP$0$01.00000Yes (true)
HARVARD PILGRIM PHYSICIANS ASSOC INC
93 WORCESTER STWELLESLEYMA024819181PHYSICIAN ORGMAHPHC INCSEE PART VII$0$01.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
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 (19 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HPHC FOUNDATION INC
B$4,242,389CASH
HPHC OF NEW ENGLAND INC
L,N,O$36,316,106ALLOCATION
HPHC FOUNDATION INC
L,N,O$702,369ALLOCATION
HPHC INSURANCE COMPANY INC
L,N,O$106,521,140ALLOCATION
HEALTH PLANS INC
L,N,O$3,297,714ALLOCATION
HPHC OF CONNECTICUT
L,N,O$2,012,842ALLOCATION
HPHC FOUNDATION INC
A (IV$220,957CONTRACT
HEALTH PLANS INC
A (IV$290,888CONTRACT
HPHC OF CONNECTICUT
B$16,000,000CASH
HPHC Holding Corporation
B$9,000,000CASH
HPHC INSURANCE COMPANY INC
B$22,000,000CASH
HPHC FOUNDATION INC
D$1,645,072CONTRACT
HEALTH PLANS INC
D$810,716CONTRACT
HPHC OF NEW ENGLAND INC
E$605,605CONTRACT
HPHC INSURANCE COMPANY INC
E$2,277,683CONTRACT
HPHC INSURANCE AGENCY INC
E$71,945CONTRACT
HPHC OF NEW ENGLAND INC
F$12,000,000CASH
HPHC HOLDING CORPORATION
D$532,562CONTRACT
HPHC OF CONNECTICUT
D$97,486CONTRACT

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