STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HARVARD PILGRIM HEALTH CARE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HARVARD PILGRIM HEALTH CARE INC (EIN 04-2452600)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201413189349305786
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-14T13:27:35-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN042452600EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HARVARD PILGRIM HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% BETH CREAVINInCareOfNm
Business Name ControlHARVBusinessNameControlTxt
Phone7812636000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line193 WORCESTER STREETAddressLine1
Address Line2SuiteAddressLine2
CityWELLESLEYCity
StateMAState
ZIP Code024819181ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES GOHEENPersonNm
Person TitleCFO/TREASURERPersonTitleTxt
Phone7812636000PhoneNum
Signature2014-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGWEN SPENCERPreparerPersonNm
PTINP00641463PTIN
Phone7812636000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerERIC H SCHULTZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line193 WORCESTER STREETAddressLine1
CityWELLESLEYCity
StateMAState
ZIP Code024819181ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,142,477,807GrossReceiptsAmt
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 O.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1323TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$191,346,363TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$21,279,078NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$39,383,858PYContributionsGrantsAmt
CY Contributions Grants$38,820,660CYContributionsGrantsAmt
PY Program Service Revenue$1,983,079,801PYProgramServiceRevenueAmt
CY Program Service Revenue$1,851,354,606CYProgramServiceRevenueAmt
PY Investment Income$20,277,787PYInvestmentIncomeAmt
CY Investment Income$18,796,382CYInvestmentIncomeAmt
PY Other Revenue$2,906,947PYOtherRevenueAmt
CY Other Revenue$3,157,900CYOtherRevenueAmt
PY Total Revenue$2,045,648,393PYTotalRevenueAmt
CY Total Revenue$1,912,129,548CYTotalRevenueAmt
PY Grants And Similar Paid$568,167PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,781,384CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$1,707,014,804PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$1,584,854,375CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$70,826,952PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$70,580,461CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$246,841,239PYOtherExpensesAmt
CY Other Expenses$241,768,556CYOtherExpensesAmt
PY Total Expenses$2,025,251,162PYTotalExpensesAmt
CY Total Expenses$1,898,984,776CYTotalExpensesAmt
PY Revenues Less Expenses$20,397,231PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,144,772CYRevenuesLessExpensesAmt
Total Assets BOY$903,918,416TotalAssetsBOYAmt
Total Assets EOY$878,795,837TotalAssetsEOYAmt
Total Liabilities BOY$399,673,770TotalLiabilitiesBOYAmt
Total Liabilities EOY$358,071,709TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$504,244,646NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$520,724,128NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,814,280,350ExpenseAmt
Grant$1,781,384GrantAmt
Revenue$1,852,152,411RevenueAmt
DescTo improve the quality and value of health care for the people and COMMUNITIES WE SERVE. AT 12/31/13, HPHC, INC. HAD 328,793 FULLY INSURED MEMBERS, AMBULATORY ENCOUNTERS WERE 2,378,202 AND HOSPITAL DAYS INCURRED WERE 93,207.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$38,820,660ExpenseAmt
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 Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,853,101,010TotalProgramServiceExpensesAmt
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 EntYes (true)BusinessRlnWithOfficerEntInd
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 Document26431IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1323EmployeeCnt
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 Member10IndependentVotingMemberCnt
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 STREETAddressLine1
CityWELLESLEYCity
StateMAState
ZIP Code024819181ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 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/DIRECTOR5.00.0Yes (X)$37,100$0$0
MARY ANN TOCIO
VICE CHAIRMAN/DIRECTOR5.00.0Yes (X)$34,500$0$0
CONSTANCE SMITH BARR MD
DIRECTOR5.00.0Yes (X)$37,613$0$0
JOHN H BUDD ESQ
DIRECTOR (UNTIL 5/13)5.00.0Yes (X)$20,377$0$0
Hedwig Whitney
DIRECTOR (as of 5/13)3.00.0Yes (X)$15,733$0$0
EDWARD F MCCAULEY CPA
DIRECTOR5.00.0Yes (X)$32,300$0$0
JOSEPH F O'DONNELL
DIRECTOR3.02.0Yes (X)$35,150$0$0
SUSAN V DUPREY
DIRECTOR3.00.0Yes (X)$27,300$0$0
JOYCE A MURPHY
DIRECTOR5.00.0Yes (X)$34,500$0$0
SCOTT S HARTZ
DIRECTOR3.00.0Yes (X)$25,500$0$0
EARL W BAUCOM
DIRECTOR5.00.0Yes (X)$28,500$0$0
SHELBY M CHODOS
DIRECTOR3.00.0Yes (X)$24,900$0$0
TRAMMELL LOUIS GUTIERREZ
DIRECTOR3.00.0Yes (X)$29,100$0$0
ERIC H SCHULTZ
PRES/CEO/DIR35.015.0Yes (X)$1,879,386$0$302,393Yes (X)
ROBERTA H HERMAN MD
COO (UNTIL 7/13)40.010.0$1,107,888$0$124,874Yes (X)
LAURA S PEABODY
CLERK/SECR/CLO (UNTIL 6/13)35.015.0$609,715$0$35,682Yes (X)
CHARLES R GOHEEN
CFO/TREASURER40.010.0$544,048$0$113,994Yes (X)
DEBORAH A NORTON
CHIEF INFORMATION OFFICER50.00.0$575,573$0$124,443Yes (X)
JOHN F LANE
CHIEF HUMAN RESOURCES OFFICER50.00.0$469,646$0$105,835Yes (X)
MICHAEL S SHERMAN MD
SR VP CMO40.010.0$429,461$0$51,443Yes (X)
SCOTT ALLEN
CHIEF ACTUARY (UNTIL 11/13)40.010.0$643,912$0$45,644Yes (X)
THOMAS F MALONEY
INTERIM LEGAL OFF (AS OF 6/13)40.010.0$245,057$0$47,440Yes (X)
TU NGUYEN
VP/CHIEF ACTUARY (AS OF 12/13)40.010.0$210,372$0$33,782Yes (X)
VINCENT CAPOZZI
Sr VP Sales & MARKETING40.010.0$484,762$0$47,798Yes (X)
BETH ANN ROBERTS
SR VP REGIONAL MARKETS35.015.0$311,511$0$50,897Yes (X)
RICHARD WEISBLATT
SVP PROV NTWRK & HEALTH SERVS40.010.0$398,970$0$43,316Yes (X)
PRANAV MEHTA
SVP PROD&BUS PLAN (AS OF 4/13)40.010.0$318,624$0$19,297Yes (X)
MARTHA MURPHY
VP SALES40.010.0$305,914$0$45,767Yes (X)
Jonathan Edwards
SALES EXECUTIVE40.010.0$445,390$0$47,263Yes (X)
Richard Platt
EXEC DIR OF HPHC INSTITUTE50.00.0$357,041$0$30,819Yes (X)
Debra Ann Rittenour
VICE PRESIDENT-SENIOR PROGRAMS40.010.0$338,623$0$22,735Yes (X)
Cynthia Napier Rosenberg
SENIOR MEDICAL DIRECTOR40.010.0$310,238$0$30,516Yes (X)
JAMES W DUCHARME
FORMER CFO0.00.0$152,919$0$0Yes (X)
MICHELLE J CLAYMAN
FORMER INTERIM CFO35.015.0$289,073$0$45,342Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$10,810,696TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,369,280TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K354IndivRcvdGreaterThan100KCnt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
DELL MARKETING LP
2300 W PLANO PARKWAYPLANOTX75075SEE SCHEDULE O$131,429,928
ORACLE AMERICA INC
500 ORACLE PARKWAYREDWOOD SHORESCA94065IT CONSULTING$7,781,413
HILL HOLLIDAY CONNORS COSMOPULOS IN
PO BOX 3600-16BOSTONMA022410616ADVERTISING$7,359,640
BOSTON CONSULTING GROUP INC
Exchange Place 31st FloorBOSTONMA02109MGMT. CONSULTING$4,480,000
TERADATA OPERATIONS INC
125 HIGH STREETBOSTONMA02110CONSULTING$4,061,191
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K392CntrctRcvdGreaterThan100KCnt
Government Grants$32,837,599GovernmentGrantsAmt
All Other Contributions$5,983,061AllOtherContributionsAmt
Total Contributions$38,820,660TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Member Premiums & Fees524114$1,661,588,555$1,661,588,555
PPO Premiums (fully insured)524298$189,766,051$189,766,051
FieldValueIRS element (for citing)
Total Program Service Revenue$1,851,354,606TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,456,286TotalRevenueColumnAmt
Exclusion$18,456,286ExclusionAmt

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$7,079,998RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$4,719,903RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$2,360,095RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,360,095TotalRevenueColumnAmt
Unrelated Business Revenue$1,580,312UnrelatedBusinessRevenueAmt
Exclusion$779,783ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$225,968,452SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$225,628,356SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$340,096SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$340,096TotalRevenueColumnAmt
Exclusion$340,096ExclusionAmt

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$797,805TotalRevenueColumnAmt
Related Or Exempt Func Income$797,805RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$797,805OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,912,129,548TotalRevenueColumnAmt
Related Or Exempt Func Income$1,662,386,360RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$191,346,363UnrelatedBusinessRevenueAmt
Exclusion$19,576,165ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,781,384TotalAmt
Program Services$1,781,384ProgramServicesAmt

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$1,584,854,375TotalAmt
Program Services$1,584,854,375ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$9,756,311TotalAmt
Program Services$7,805,049ProgramServicesAmt
Management And General$1,951,262ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$487,334TotalAmt
Program Services$389,867ProgramServicesAmt
Management And General$97,467ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,149,256TotalAmt
Program Services$34,519,405ProgramServicesAmt
Management And General$8,629,851ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,773,343TotalAmt
Program Services$3,018,674ProgramServicesAmt
Management And General$754,669ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,466,091TotalAmt
Program Services$7,572,873ProgramServicesAmt
Management And General$1,893,218ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,948,126TotalAmt
Program Services$3,158,501ProgramServicesAmt
Management And General$789,625ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$547,706TotalAmt
Management And General$547,706ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,119,757TotalAmt
Management And General$4,119,757ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,692,170TotalAmt
Management And General$1,692,170ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$23,121,173TotalAmt
Program Services$23,121,173ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,437,647TotalAmt
Program Services$8,437,647ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,605,955TotalAmt
Program Services$3,684,764ProgramServicesAmt
Management And General$921,191ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$71,578,346TotalAmt
Program Services$57,262,677ProgramServicesAmt
Management And General$14,315,669ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,767,582TotalAmt
Program Services$5,414,066ProgramServicesAmt
Management And General$1,353,516ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,010,888TotalAmt
Program Services$1,010,888ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$184,348TotalAmt
Program Services$184,348ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,022,532TotalAmt
Program Services$4,018,026ProgramServicesAmt
Management And General$1,004,506ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$23,084,523TotalAmt
Program Services$18,467,618ProgramServicesAmt
Management And General$4,616,905ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
STATE ASSESSMENT$2,019,334$2,019,334
PREMIUM TAX EXPENSE$2,798,594$2,798,594
BROKER FEES$42,337,389$42,337,389
RESEARCH GRANT EXPENSE$41,410,989$38,820,660$2,590,329

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,029,623TotalAmt
Program Services$2,423,698ProgramServicesAmt
Management And General$605,925ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,898,984,776TotalAmt
Program Services$1,853,101,010ProgramServicesAmt
Management And General$45,883,766ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$59,191,230BOYAmt
EOY-$40,592,673EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,598,905BOYAmt
EOY$37,038,054EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$68,187,886BOYAmt
EOY$73,018,854EOYAmt

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$1,973,959BOYAmt
EOY$2,710,167EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$338,756,462LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$299,173,124LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$40,039,440BOYAmt
EOY$39,583,338EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$108,075,389BOYAmt
EOY$150,783,820EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$550,521,053BOYAmt
EOY$551,823,957EOYAmt

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$69,330,554BOYAmt
EOY$64,430,320EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$903,918,416BOYAmt
EOY$878,795,837EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$286,967,373BOYAmt
EOY$238,001,151EOYAmt

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$83,706,397BOYAmt
EOY$91,070,558EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$399,673,770BOYAmt
EOY$358,071,709EOYAmt
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$504,244,646BOYAmt
EOY$520,724,128EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$504,244,646BOYAmt
EOY$520,724,128EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$903,918,416BOYAmt
EOY$878,795,837EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$13,144,772ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$24,907,132NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$21,572,422OtherChangesInNetAssetsAmt
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$26,678,179CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,533,070CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,248,737CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$39,383,858CurrentTaxYearMinus1YearAmt
Current Tax Year$38,820,660CurrentTaxYearAmt
Total$165,664,504TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,019,092,004CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,192,961,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,923,464,188CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,792,048,879CurrentTaxYearMinus1YearAmt
Current Tax Year$1,661,388,555CurrentTaxYearAmt
Total$9,588,955,306TotalAmt

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$2,045,770,183CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,218,494,750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,958,712,925CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,831,432,737CurrentTaxYearMinus1YearAmt
Current Tax Year$1,700,209,215CurrentTaxYearAmt
Total$9,754,619,810TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,600,991CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,069,803CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,136,833CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,783,862CurrentTaxYearMinus1YearAmt
Current Tax Year$670,272CurrentTaxYearAmt
Total$11,261,761TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$262,742,257CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$280,563,873CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$273,971,394CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$158,993,588CurrentTaxYearMinus1YearAmt
Current Tax Year$35,731,402CurrentTaxYearAmt
Total$1,012,002,514TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$267,343,248CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$282,633,676CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$276,108,227CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$160,777,450CurrentTaxYearMinus1YearAmt
Current Tax Year$36,401,674CurrentTaxYearAmt
Total$1,023,264,275TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$8,731,355,535PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,408,392CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,909,635CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,486,210CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,701,263CurrentTaxYearMinus1YearAmt
Current Tax Year$25,536,284CurrentTaxYearAmt
Total$144,041,784TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,408,392CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31,909,635CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,486,210CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,701,263CurrentTaxYearMinus1YearAmt
Current Tax Year$25,536,284CurrentTaxYearAmt
Total$144,041,784TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,652,972CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$287,932CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,325,170CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$672,396CurrentTaxYearMinus1YearAmt
Current Tax Year$797,805CurrentTaxYearAmt
Total$8,736,275TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,079,831,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,250,692,317CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,991,524,305CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,858,806,396CurrentTaxYearMinus1YearAmt
Current Tax Year$1,726,543,304CurrentTaxYearAmt
Total$9,907,397,869TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88130PublicSupportCY509Pct
Public Support PY5090.98225PublicSupportPY509Pct
Investment Income CY0.01454InvestmentIncomeCYPct
Investment Income PY0.01521InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

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, AND 2013 AND OTHER INCOME FOR 2009 AND 2010.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$603,070DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$1,224,770OtherActivitiesAmt
Total Lobbying Expenditures$1,827,840TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1FormAndLineReferenceDesc
ExplanationDURING THE YEAR, HPHC PAID $1,224,770 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, $698,545 WAS PAID TO THE MASSACHUSETTS ASSOCIATION OF HEALTH PLANS AND $13,800 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, $401,400 WAS PAID TO CONSULTING FIRMS. HPHC ALSO HAS INTERNAL STAFF WHO LOBBY. OF THE AMOUNT SHOWN, $135,670 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$36,222,063OtherCostOrOtherBasisAmt
Depreciation$28,220,050DepreciationAmt
Book Value$21,946,242BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$282,302,482OtherCostOrOtherBasisAmt
Depreciation$270,953,074DepreciationAmt
Book Value$11,349,408BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$39,583,338TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SECURITIES$218,222,485C
CORPORATE DEBT SECURITIES$333,601,472C
FieldValueIRS element (for citing)
Total Book Value Securities$551,823,957TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN AFFILIATES$59,762,842
SPECIAL DEPOSITS$1,910,688
DUE FROM AFFILIATES$2,756,790
FieldValueIRS element (for citing)
Total Book Value Other Assets$64,430,320TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
UNEARNED GROUP PREMIUM$25,777,133
DUE TO AFFILIATES$12,952,996
ACCIDENT AND HEALTH PLANS$51,185,964
OTHER ACCRUED EXPENSES$1,154,465
FieldValueIRS element (for citing)
Total Liability$91,070,558TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHIS IS THE FIN 48 FOOTNOTE FROM HARVARD PILGRIM HEALTH CARE, INC. AND AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. HPHC, INC., NEW ENGLAND, 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. THE AGENCY, THE INSURANCE COMPANY, HOLDINGS, AND HPI ARE TAXABLE ENTITIES. AMOUNTS PROVIDED FOR FEDERAL AND STATE INCOME TAXES RELATED TO THE TAXABLE ENTITIES HAVE BEEN CLASSIFIED AS OPERATING EXPENSES BECAUSE THEY ARE IMMATERIAL. IN ADDITION, THE AGENCY, INSURANCE COMPANY, HOLDINGS, AND HPI HAVE IMMATERIAL CURRENT AND DEFERRED TAX ASSETS AND LIABILITIES RELATED TO TEMPORARY DIFFERENCES BETWEEN THE TAX AND FINANCIAL STATEMENT BASIS OF ASSETS AND LIABILITIES. HARVARD PILGRIM DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2013 AND 2012.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 IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line193 Worcester StAddressLine1
CityWellesleyCity
StateMAState
ZIP Code024819181ZIPCode
FieldValueIRS element (for citing)
Recipient EIN042708004RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$1,781,384CashGrantAmt
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 MINIGRANTS OF $500 EACH THAT ARE APPROVED BY AN APPOINTED COMMITTEE BEFORE THEY ARE 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 (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
ERIC H SCHULTZ
PRES/CEO/DIR$844,331$0$448,408$0$586,647$0$275,400$0$26,993$0$2,181,779$0$566,525$0
ROBERTA H HERMAN MD
COO (UNTIL 7/13)$275,832$0$207,500$0$624,556$0$98,421$0$26,453$0$1,232,762$0$306,375$0
LAURA S PEABODY
CLERK/SECR/CLO (UNTIL 6/13)$218,160$0$157,001$0$234,554$0$20,400$0$15,282$0$645,397$0$196,493$0
CHARLES R GOHEEN
CFO/TREASURER$421,044$0$69,069$0$53,935$0$108,400$0$5,594$0$658,042$0$31,533$0
DEBORAH A NORTON
CHIEF INFORMATION OFFICER$337,613$0$129,731$0$108,229$0$90,400$0$34,043$0$700,016$0$83,205$0
JOHN F LANE
CHIEF HUMAN RESOURCES OFFICER$279,086$0$103,900$0$86,660$0$77,400$0$28,435$0$575,481$0$69,660$0
MICHAEL S SHERMAN MD
SR VP CMO$318,909$0$90,440$0$20,112$0$20,400$0$31,043$0$480,904$0$0$0
SCOTT ALLEN
CHIEF ACTUARY (UNTIL 11/13)$378,422$0$219,200$0$46,290$0$20,400$0$25,244$0$689,556$0$0$0
THOMAS F MALONEY
INTERIM LEGAL OFF (AS OF 6/13)$200,140$0$43,378$1,539$19,672$0$27,768$0$292,497$0$0$0
TU NGUYEN
VP/CHIEF ACTUARY (AS OF 12/13)$183,640$0$26,143$589$4,251$0$29,531$0$244,154$0$0$0
VINCENT CAPOZZI
Sr VP Sales & MARKETING$320,237$0$139,694$0$24,831$0$20,400$0$27,398$0$532,560$0$0$0
BETH ANN ROBERTS
SR VP REGIONAL MARKETS$241,794$0$63,700$0$6,017$0$20,400$0$30,497$0$362,408$0$0$0
RICHARD WEISBLATT
SVP PROV NTWRK & HEALTH SERVS$291,490$0$83,248$0$24,232$0$19,476$0$23,840$0$442,286$0$0$0
PRANAV MEHTA
SVP PROD&BUS PLAN (AS OF 4/13)$168,275$0$150,000$349$0$0$19,297$0$337,921$0$0$0
MARTHA MURPHY
VP SALES$139,608$0$148,059$0$18,247$0$20,400$0$25,367$0$351,681$0$0$0
Jonathan Edwards
SALES EXECUTIVE$55,195$0$383,691$0$6,504$0$19,608$0$27,655$0$492,653$0$0$0
Richard Platt
EXEC DIR OF HPHC INSTITUTE$332,683$0$0$0$24,358$0$28,326$0$2,493$0$387,860$0$0$0
Debra Ann Rittenour
VICE PRESIDENT-SENIOR PROGRAMS$264,439$0$70,337$0$3,847$0$12,451$0$10,284$0$361,358$0$0$0
Cynthia Napier Rosenberg
SENIOR MEDICAL DIRECTOR$282,244$0$21,613$0$6,381$0$5,262$0$25,254$0$340,754$0$0$0
JAMES W DUCHARME
FORMER CFO$0$0$0$152,919$0$0$0$0$0$152,919$0$152,919$0
MICHELLE J CLAYMAN
FORMER INTERIM CFO$233,125$0$51,413$0$4,535$0$17,203$0$28,139$0$334,415$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 4AFormAndLineReferenceDesc
ExplanationJAMES W. DUCHARME'S EMPLOYMENT WITH HPHC WAS TERMINATED IN JANUARY 2012. PURSUANT TO THE SEVERANCE PROVISION OF HIS HPHC EMPLOYMENT CONTRACT, MR. DUCHARME WAS ELIGIBLE TO RECEIVE A CONTINUATION OF HIS BASE SALARY AND BENEFITS FOR A PERIOD OF UP TO ONE YEAR AND ANY INCENTIVE COMPENSATION THAT HE WAS ENTITLED TO FOR FISCAL YEARS 2010 THROUGH 2012. IN 2013, HE RECEIVED INCENTIVE COMPENSATION OF $152,919. ROBERTA 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 FISCAL YEARS 2013 THROUGH 2015. IN 2013 SHE RECEIVED SEVERANCE PAYMENTS OF $244,865. SCHEDULE J, PART I, LINE 4B LONG TERM INCENTIVE PLAN HPHC ADOPTED LONG-TERM INCENTIVE PLANS FOR ITS CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER, CHIEF INFORMATION OFFICER, AND CHIEF HUMAN RESOURCES OFFICER FOR FISCAL YEARS 2010-2012 AND FOR 2013-2015. THE PLANS ARE 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 THESE PLANS 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. THE FOLLOWING INDIVIDUALS WERE PAID THE FOLLOWING AMOUNTS FROM THE 2010-2012 PLAN DURING FY 2013: ERIC H. SCHULTZ - $566,525 ROBERTA H. HERMAN, M.D. - $306,375 LAURA S. PEABODY - $196,493 CHARLES R. GOHEEN - $31,533 DEBORAH A. NORTON - $83,205 JOHN F. LANE - $69,660 JAMES W. DUCHARME - $152,919 SCHEDULE J, PART I, LINE 7 EXECUTIVE INCENTIVE PLAN HPHC HAS AN EXECUTIVE INCENTIVE PLAN TO INCENT AND REWARD PARTICIPANTS & 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 ADOPTED A PLAN (THE "457(B) PLAN") TO PROVIDE ADDITIONAL DISCRETIONARY RETIREMENT BENEFITS TO THOSE EXECUTIVES WHO MAY LOSE BENEFITS DUE TO THE IRS LIMITATIONS ON COMPENSATION IN THE 401(K) PRISM RETIREMENT PLAN FOR THE PERIOD BETWEEN JANUARY 1 AND DECEMBER 31, 2013. ELIGIBLE PARTICIPANTS WILL RECEIVE A DISCRETIONARY 8% EMPLOYER CONTRIBUTION TO THE 457(B) PLAN FROM HARVARD PILGRIM HEALTH CARE TO MAKE UP FOR THE SHORT FALL THEY EXPERIENCE IN THE COMPANY CONTRIBUTION TO THE PRISM 401(K) RETIREMENT PLAN BECAUSE THEY HAVE EARNINGS IN EXCESS OF THE ANNUAL IRS LIMIT FOR COVERED COMPENSATION. THE EMPLOYER CONTRIBUTION AMOUNT FOR THE 2013 PLAN YEAR IS BASED ON 8% OF THE PARTICIPANTS' 2012 ELIGIBLE EARNINGS IN EXCESS OF $255,000, UP TO $17,500. IF THE TOTAL CALCULATION OF THE 8% DIFFERENCE IS ABOVE THE IRS ANNUAL CONTRIBUTION LIMIT, THE COMPANY WILL PAY THE AMOUNT ABOVE THE IRS LIMIT TO THE EXECUTIVE IN CASH. SCHEDULE J, PART I, LINE 8 CHARLES GOHEEN ENTERED INTO AN EMPLOYMENT CONTRACT WITH HPHC IN AUGUST 2012. THE TERMS OF HIS CONTRACT INCLUDE A BASE SALARY, INCENTIVE PROGRAM, HEALTH BENEFITS, AND A SEVERANCE PROVISION. SCHEDULE J, PART II, COLUMN (F) COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER THE 2013-2015 LONG TERM INCENTIVE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). AMOUNTS CREDITED AND DISCLOSED ON THE FORM 990 IN PRIOR YEARS THAT VESTED AND WERE PAID OUT IN CALENDAR YEAR 2013 FOR THE 2010-2012 LONG TERM INCENTIVE PLAN ARE REPORTED IN COLUMN (B)(III) AND IN COLUMN (F).ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BRIGHT HORIZONS
VICE CHR/DIR IS PRES/COO$2,444,354PAYMENTS FOR HEALTH INSURANCEfalse
JOHN HANCOCK USA
DIRECTOR IS BOD MEM / EE$23,938,484PAYMENTS FOR HEALTH INSURANCEfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
Explanation1) MARY ANN TOCIO, VICE CHAIR/DIRECTOR OF HPHC, IS PRESIDENT/COO OF BRIGHT HORIZONS. 2) SCOTT HARTZ, DIRECTOR OF HPHC, IS A BOARD MEMBER AT JOHN HANCOCK, USA.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1 & PART III, LINE 1ORGANIZATION'S 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. PHYSICIAN PRACTICES IN MASSACHUSETTS, NEW HAMPSHIRE AND MAINE 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 SEEKS 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 2BUSINESS RELATIONSHIP - THE FOLLOWING INDIVIDUALS SERVE ON THE BOARDS OR ARE AN OFFICER OR KEY EMPLOYEE OF ONE OR MORE FOR PROFIT ORGANIZATIONS AFFILIATED WITH HPHC, INC.: ERIC H. SCHULTZ - PreSident/CEO/Director CHARLES R. GOHEEN - CFO/Treasurer THOMAS F. MALONEY - Interim Legal Officer (as of 6/13) LAURA S. PEABODY - Clerk/Secretary/CLO (until 6/13) SCOTT ALLEN - Chief Actuary (until 11/13) 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, HARVARD PILGRIM INTERNAL MANAGEMENT AND OUTSIDE TAX 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 12C ALL 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 & 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 NONADMITTED ASSETS ($5,951,755) CHANGE IN SURPLUS NOTES ($9,714,897) CHANGE IN NET POST-RETIREMENT SERVICE COSTS & RECOGNIZED LOSS FOR POST-RETIREMENT MEDICAL PLAN $2,376,579 CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE ($8,282,349) ____________ TOTAL ($21,572,422) 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 Institute LBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 BROOKLINE AVEAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02215ZIPCode
FieldValueIRS element (for citing)
EIN943477531EIN
Primary ActivitiesRESEARCHPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Total Income$1,640,578TotalIncomeAmt
End Of Year Assets$25,267,880EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HPHC INCBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled 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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
HPHC Insurance Company Inc
93 WORCESTER STREETWELLESLEYMA024819181043149694HEALTH INSURAMAHPHC INCC CORP$654,942,674$162,235,0241.00000Yes (true)
HPHC Holding Company Inc
93 WORCESTER STREETWELLESLEYMA024819181043306439HOLDING COMPAMAHPHC INCC CORP$0$01.00000Yes (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$99,654$508,4151.00000Yes (true)
Health Plans Inc
1500 W PARK DRIVE STE 330WESTBOROUGHMA01581042734278TPAMAHPHC INCC CORP$30,584,908$20,882,5231.00000Yes (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 OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (13 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HPHC Foundation Inc
b$1,781,384cash
HPHC of New England Inc
l,n,o$27,055,208allocation
HPHC Foundation Inc
l,n,o$395,447allocation
HPHC Insurance Company Inc
l,n,o$108,765,456allocation
Health Plans Inc
l,n,o$4,410,571allocation
HPHC Foundation Inc
a (iv$221,173contract
Health Plans Inc
a (iv$297,019contract
HPHC of New England Inc
e$5,679,981contract
HPHC Foundation Inc
d$2,840,724contract
Health Plans Inc
d$1,221,369contract
HPHC Insurance Agency Inc
e$17,558contract
HPHC Insurance Company Inc
e$6,818,107contract
HPHC Insurance Company Inc
b$8,000,000cash

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part IIFormAndLineReferenceDesc
ExplanationHARVARD PILGRIM HEALTH CARE OF CONNECTICUT WAS INACTIVE DURING 2013. Schedule R, Part IV HARVARD PILGRIM PHYSICIANS ASSOCIATION, INC. IS A NONPROFIT ORGANIZED UNDER THE LAWS OF MASSACHUSETTS. THIS IS AN INACTIVE ORGANIZATION.ExplanationTxt