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TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION INC (EIN 04-2674079)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201233209349302483
Schema version
2011v1.3
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)
Timestamp2012-11-15T11:21:05-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 2600AddressLine1
CityINDIANAPOLISCity
StateINState
ZIP Code46204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042674079EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TUFTS ASSOCIATED HEALTHBusinessNameLine1
Business Name Line2MAINTENANCE ORGANIZATION INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% UMESH KURPADInCareOfName
Name ControlTUFTNameControl
Phone6179729400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1705 MOUNT AUBURN STREETAddressLine1
CityWATERTOWNCity
StateMAState
ZIP Code024721508ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameUMESH KURPADName
TitleSVP & CFOTitle
Date Signed2012-11-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3176817000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJames Roosevelt JrNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1705 Mount Auburn StreetAddressLine1
CityWatertownCity
StateMAState
ZIP Code024721508ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3044932414GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.tuftshealthplan.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1979YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTufts Associated Health Maintenance Organization, Inc.'s (TAHMO) mission is to improve the health and wellness of the diverse communities we serve.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees328TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI-29715TotalGrossUBI
Net Unrelated Business Txbl Income-29715NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2339347036ProgramServiceRevenuePriorYear
Program Service Revenue CY2680176310ProgramServiceRevenueCY
Investment Income Prior Year17958316InvestmentIncomePriorYear
Investment Income Current Year31223916InvestmentIncomeCurrentYear
Other Revenue Prior Year-53118OtherRevenuePriorYear
Other Revenue Current Year-29715OtherRevenueCurrentYear
Total Revenue Prior Year2357252234TotalRevenuePriorYear
Total Revenue Current Year2711370511TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year731310GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1821861GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year2072669632BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY2316670815BenefitsPaidToMembersCY
Salaries Etc Prior Year17929813SalariesEtcPriorYear
Salaries Etc Current Year26790812SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year227615093OtherExpensePriorYear
Other Expenses Current Year259585741OtherExpensesCurrentYear
Total Expenses Prior Year2318945848TotalExpensesPriorYear
Total Expenses Current Year2604869229TotalExpensesCurrentYear
Revenues Less Expenses Prior Year38306386RevenuesLessExpensesPriorYear
Revenues Less Expenses CY106501282RevenuesLessExpensesCY
Total Assets BOY869343231TotalAssetsBOY
Total Assets EOY1027449231TotalAssetsEOY
Total Liabilities BOY317638988TotalLiabilitiesBOY
Total Liabilities EOY494688795TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY551704243NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY532760436NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1173623112Expense
Grants0Grants
Revenue1302149748Revenue
DescriptionSEE SCHEDULE ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1141628144Expense
Grants0Grants
Revenue1162936200Revenue
DescriptionSEE SCHEDULE ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense144548015Expense
Grants0Grants
Revenue143460999Revenue
DescriptionSEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp68916079TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt1821861TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev71659078TotalOfOtherProgramServiceRev
Total Program Service Expense2528715350TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109614538NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees328NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonUMESH KURPADNamePerson
Telephone Number6179729400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1705 MOUNT AUBURN STREETAddressLine1
CityWATERTOWNCity
StateMAState
ZIP Code024721508ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
HARRIS BERMAN
DIRECTOR0.0X000
PETER DROTCH
DIRECTOR4.0X3600000
DAVID GREEN
DIRECTOR (PART YEAR)1.0X550010000
JACKIE JENKINS-SCOTT
DIRECTOR3.0X3050020000
JAMES MCNULTY
DIRECTOR4.0X3550000
THOMAS P O'NEIL III
DIRECTOR3.0X3600030000
JAMES ROOSEVELT
PRESIDENT & CEO32.0X01878622238061X
DAVEY SCOON
CHAIRMAN OF THE BOARD11.0X5250000
ROBERT SPELLMAN
DIRECTOR4.0X4000000
GREGORY TRANTER
DIRECTOR3.0X3350000
ELAINE ULLIAN
DIRECTOR (PART YEAR)2.0X2450000
SUSAN WINDHAM-BANNISTER PHD
DIRECTOR4.0X320000
THOMAS CROSWELL
CHIEF OPERATING OFFICER34.00108590685299X
ROBERT EGAN
SVP MKTG & PRODUCT STRATEGY37.0058140027967X
PATRICIA TREBINO
SVP OF OPERATIONS & CIO32.0076285452643X
LOIS CORNELL
SVP OF HR AND GENERAL COUNSEL28.0075352245951X
BRIAN PAGLIARO
SVP OF SALES, MKTG AND CLIENT24.00636924102845X
UMESH KURPAD
SVP AND CFO39.00764468117356X
PATRICIA BLAKE
SVP SENIOR PRODUCTS50.0063358346906X
PAUL KASUBA
SVP & CMO43.0046852364470X
ROLAND PRICE
TREASURER34.0028360759119X
CHRISTINA SEVERIN
SVP OF THP & PRES-NET HLTH0.0060137227333X
DAVID ABELMAN
VP AND DEPUTY GENERAL COUNSEL17.0056224651179X
AIDA GUIDA
VP OF FINANCE AND CONTROLLER36.0050554940075X
MARC SPOONER
VP PROVIDER CONTRACTING36.0044244645990X
TRACEY CARTER
VP AND CHIEF ACTUARY36.0064558674454X
JOSEPH IMBIMBO
VP OF TECHNOLOGY OPERATIONS36.0044115651946X
FieldValueIRS element (for citing)
Total Reportable Comp From Org326000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs11053764TotalReportableCompFrmRltdOrgs
Total Other Compensation1131594TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NTT DATA FKA KEANE INC
100 CITY SQUAREBOSTONMA02129OUTSIDE LABOR9554863
CGI TECHNOLOGIES SOLUTIONS
600 FEDERAL STREETANDOVERMA01810OUTSIDE LABOR7476004
DELOITTE CONSULTING LLP
200 BERKELEY STREETBOSTONMA02116OUTSIDE LABOR5497518
INGENIX INC
2771 MOMENTUM PLACECHICAGOIL60689CONSULTING3719660
EASTERN INSURANCE GROUP
607 NORTH AVENUEWAKEFIELDMA01880BROKER2559338
FieldValueIRS element (for citing)
Number Of Contractors GT100 K132NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HMO52411413021497481302149748
MEDICARE52411411629362001162936200
POS/ PPO5242923427739934277399
MEDICARE COMPLIMENT5241143665656436656564
CAPITATION REVENUE524114143460999143460999

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column695400TotalRevenueColumn
Related Or Exempt Function Income695400RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2680176310TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column20431145TotalRevenueColumn
Exclusion$20,431,145ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real-29715Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-29715Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-29715TotalRevenueColumn
Unrelated Business Revenue-29715UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities344354674Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities333561903Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities10792771Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10792771TotalRevenueColumn
Exclusion$10,792,771ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2711370511TotalRevenueColumn
Related Or Exempt Function Income2680176310RelatedOrExemptFunctionIncome
Unrelated Business Revenue-29715UnrelatedBusinessRevenue
Exclusion$31,223,916ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1821861Total
Program Services1821861ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total2316670815Total
Program Services2316670815ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total326000Total
Management And General326000ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20340691Total
Program Services20340691ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1554305Total
Program Services1554305ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4569816Total
Program Services4569816ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total120849883Total
Program Services96679906ProgramServices
Management And General24169977ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total857898Total
Management And General857898ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total385644Total
Management And General385644ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2383432Total
Management And General2383432ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total52128159Total
Program Services41702527ProgramServices
Management And General10425632ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7116913Total
Management And General7116913ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2909243Total
Management And General2909243ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1171649Total
Program Services1171649ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2946282Total
Program Services2357026ProgramServices
Management And General589256ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total563394Total
Management And General563394ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total114415Total
Management And General114415ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total832688Total
Management And General832688ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total15601352Total
Program Services12481082ProgramServices
Management And General3120270ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total21448Total
Management And General21448ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
CAPITAL CONTRIBUTION TO THPF1500000015000000
CHARGES TO AFFILIATES-7772890-1554578-6218312
All other expenses44476231889224735583984

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2604869229Total
Program Services2528715350ProgramServices
Management And General76153879ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY31216720BOY
EOY260126027EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6191057BOY
EOY6398287EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis169160875LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec58677110LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY107480131BOY
EOY110483765EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY694850743BOY
EOY620680671EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY29604580BOY
EOY29760481EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY869343231BOY
EOY1027449231EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY50738503BOY
EOY101334172EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY38359788BOY
EOY33772849EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY228540697BOY
EOY359581774EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY317638988BOY
EOY494688795EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY170000000EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY551704243BOY
EOY362760436EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY551704243BOY
EOY532760436EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY869343231BOY
EOY1027449231EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses106501282ReconcilationRevenueExpenses
Reconcilation Other Changes-125445089ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis14052397OtherCostOrOtherBasis
Book Value14052397BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis85885275OtherCostOrOtherBasis
Depreciation9272230Depreciation
Book Value76613045BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis69223203OtherCostOrOtherBasis
Depreciation49404880Depreciation
Book Value19818323BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings110483765TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
CLAIMS PAYABLE$337,138,885
DUE TO AFFILIATES$22,442,889
FieldValueIRS element (for citing)
Total Of Amounts359581774TotalOfAmounts
Total Revenue2711370511TotalRevenue
Total Expenses2604869229TotalExpenses
Excess Or Deficit For Year106501282ExcessOrDeficitForYear
Net Unrealized GL On Investments-26111703NetUnrealizedGLOnInvestments
Other$12,281,614OtherAmount
Total Adjustments-13830089TotalAdjustments
Excess Or Deficit Per FS92671193ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2682905091TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-26111703NetUnrealizedGainsInvestments
Revenue Not Rptd F990-26111703RevenueNotRptdF990
Revenue Subtotal2709016794RevenueSubtotal
Investment Expenses Not Included2383432InvestmentExpensesNotIncluded
Other Revenues Not Included-29715OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2353717RevenueNotRptdOnFinStmt
Total Revenue Per Form9902711370511TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2602485797TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2602485797ExpensesSubtotal
Investment Expenses Not Included22383432InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt2383432ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902604869229TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierRECONCILIATION OF CHANGE IN NET ASSETS FROM 990 TO FINANCIAL STATEMENTSIdentifier
Return ReferenceSCHEDULE D, PART XI, LINE 8ReturnReference
ExplanationCHANGE IN NONADMITTED ASSETS - $(157,748,101) RENTAL INCOME NOT RECORDED ON FINANCIAL STATEMENTS - $ 29,715 CHANGE IN CAPITAL SURPLUS - $ 170,000,000 --------------- TOTAL CHANGE IN NET ASSETS - $ 12,281,614 RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 4B RENTAL INCOME NOT RECORDED ON FINANCIAL STATEMENTS - $(29,715)Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (33 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Alzheimer's Association
311 Arsenal StreetWatertownMA02472042731194501(C)(3)8600Annual Night at the Pops & Map Through the Maze
American Diabetes Association
330 Capital DrWest SpringfieldMA01089131623888501(C)(3)10000Tufts 10K contribution
American Red Cross
139 Main StreetCambridgeMA02142530196605501(C)(3)11868Japan Relief employee match
American Red Cross of Central MA
139 Main StreetCambridgeMA02142530196605501(C)(3)10000Tornado disaster relief
Arsenal Center for the Arts
321 Arsenal StreetWatertownMA02472043430963501(C)(3)100002011 American Songbook Series
Arthritis Foundation
29 Crafts StreetNewtonMA02458042113261501(C)(3)10000Annual Key to a Cure
Big Sister Association of Greater Boston
161 Massachusetts AvenueBostonMA02115042150651501(C)(3)10000Annual Big in Boston
Boston Ballet
19 Clarendon StreetBostonMA02116042312734501(C)(3)8000Annual Nutcracker
Boston Symphony Orchestra
301 Massachusetts AvenueBostonMA02115042103550501(C)(3)14000A Company Christmas at Pops ; Presidents at Pops
Catholic Charities
75 Kneeland StreetBostonMA02111042534041501(C)(3)11000Annual Spring Celebration & Annual Christmas Dinner
Dimock Center
55 Dimock StreetRoxburyMA02119043487835501(C)(3)10250Steppin' Out
Edward M Kennedy Institute
400 Atlantic AveBostonMA02110270963869501(C)(3)7500The Inaugural Gala
Greater Boston Chamber of Commerce
265 Franklin StreetBostonMA02110041103090501(C)(6)10000Annual Meeting & Dinner
Harvard University-Interfaculty Program
14 Story StreetCambridgeMA02138042103580501(C)(3)16000Eastern Massachusetts Healthcare Initiative (EMHI)
Hasbro Children's Hospital
PO Box HProvidenceRI02901050468736501(C)(3)10000Elmo's Red Tie Ball
Health Care for All
30 Winter St 10th FloorBostonMA02108043071598501(C)(3)60000For the People Celebration of Health Care Leaders
Hebrew Senior Life
1200 Centre StreetBostonMA02131900183119501(C)(3)10000Program support
March of Dimes Massachusetts
112 Turnpike RoadWestboroughMA01581131846366501(C)(3)10000FDR Humanitarian Award Gala
Massachusetts Women's Political Caucus
9B Hamilton Pl 1st FloorBostonMA02108042738443501(C)(3)35000Abigail Adams Awards ; Good Guys
MassINC
18 Tremont StreetBostonMA02108043271457501(C)(3)12500Annual Major Sponsorship & Serious Fun
Mount Auburn Hospital
330 Mount Auburn StreetCambridgeMA02138042103606501(C)(3)25000Bridge to Healthcare Program - FINAL ; Annual Part
National Braille Press
88 St Stephen StreetBostonMA02115042104740501(C)(3)13000Annual Hands On Gala
New England Healthcare Institute
One BroadwayCambridgeMA02142010624865501(C)(3)10000Annual Innovators in Health Awards
Perkins School for the Blind
175 North Beacon StreetWatertownMA02472042103616501(C)(3)10000The Perkins Possibility Gala
Rhode Island Quality Institute
235 Promenade St STE 600ProvidenceRI02908753059336501(C)(3)25000Health Information Exchange
The Schwartz Center
205 Portland StreetBostonMA02114041564655501(C)(3)70000Annual Dinner ; Strategic Campaign
Tufts Health Care Institute
136 Harrison AvenueBostonMA02111043289924501(C)(3)1020000Strategic planning 2012 ; Program Support
Tufts Medical Center
800 Washington StreetBostonMA02111043400617501(C)(3)15000Working Wonders
Tufts University
150 Harrison AvenueBostonMA02111043103634501(C)(3)50000ChildObesity 180 Gift of Support
Tufts University School of Medicine
136 Harrison AvenueBostonMA02111042103634501(C)(3)30000Annual Global & Community Health programs
UMass Memorial Foundation
333 South StreetShrewsburyMA01545042108190501(C)(3)10500Tee Up for Tots ; Winter Ball
Wheelock College
200 The RiverwayBostonMA02215042103639501(C)(3)10000Passion for Action
YMCA of Greater Boston
316 Huntington AvenueBostonMA02115042103551501(C)(3)10000Annual Achievers Recognition Gala
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants32TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDescription of Organization's Procedures for Monitoring the Use of GrantsIdentifier
Return ReferenceForm 990, Schedule I, Part I, Line 2ReturnReference
ExplanationTHE ORGANIZATION CONTRIBUTES TO WELL ESTABLISHED, NON-PROFIT ORGANIZATIONS THAT HAVE ESTABLISHED POLICIES AND PROCEDURES FOR MONITORING THE USE OF FUNDS. THE ORGANIZATION ONLY CONTRIBUTES TO TAX-EXEMPT ORGANIZATIONS UNDER 501(C) AND CERTAIN GOVERNMENTAL UNITS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES ROOSEVELT
07794390992722010646102254940125670211668300
THOMAS CROSWELL
05088200553675023411078352069470117120500
ROBERT EGAN
000269710031169002695001017060936700
PATRICIA TREBINO
03680810350464044309042146010497081549700
LOIS CORNELL
03735820342404037536028726017225079947300
BRIAN PAGLIARO
03190900284484033350085824017021073976900
UMESH KURPAD
03862500367763010455099369017987088182400
PATRICIA BLAKE
03192750284648029660031978014928068048900
PAUL KASUBA
031930001520090-2786046791017679053299300
ROLAND PRICE
020858806644208577048332010787034272600
CHRISTINA SEVERIN
044721201570250-286509331018002062870500
DAVID ABELMAN
03000040233280028962033589017590061342500
AIDA GUIDA
02737200204772027057028648011427054562400
MARC SPOONER
02448620177998019586031393014597048843600
TRACEY CARTER
029680002157540133032057514016940072004000
JOSEPH IMBIMBO
02397990179395021962041000010946049310200

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 4AROBERT EGAN RECEIVED A SEVERENCE PAYMENT OF $275,018. Robert Egan was terminated from the organization effective 12/31/2010. Robert Egan had a severance agreement with the organization to be paid for 52 weeks at his existing salary. The amounts shown in Sch J represent 52 weeks.
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 4BTHE RELATED ORGANIZATION MAINTAINS AN EXECUTIVE SAVINGS PLAN (ESP) FOR ITS SENIOR MANAGERS WITH THE TITLE DIRECTOR AND ABOVE. THE NUMBERS LISTED ON SCHEDULE J PART II COLUMN C REFLECT BOTH THE EMPLOYEE DEFERRALS AS WELL AS THE EMPLOYER CONTRIBUTIONS TO THE ESP.
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINES 6A & 6BTHE LISTED EMPLOYEES OF TUFTS HEALTH PLAN PARTICIPATE IN AN EXECUTIVE INCENTIVE PLAN THAT IS BASED ON THE OVERALL ANNUAL SUCCESS OF THE ORGANIZATION. THE ORGANIZATION'S GOALS ARE ESTABLISHED EARLY IN THE YEAR AND APPROVED BY ITS INDEPENDENT BOARD OF DIRECTORS. ONE OF THE COMPONENTS OF THE PLAN IS BASED ON MEETING TARGETED NET EARNINGS. IN 2011, THIS COMPONENT AMOUNTED TO 25% OF TARGETED BONUS COMPENSATION.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
ALERE INC
James Roosevelt, Director1957837SEE SCHEDULE L, PART Vfalse
CENTURY BANK TRUST
Jackie Jenkins-Scott, Dir184397SEE SCHEDULE L, PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationJAMES ROOSEVELT, PRESIDENT & CEO AND DIRECTOR, IS ALSO A DIRECTOR OF ALERE, INC. PAYMENTS WERE MADE TO ALERE, INC. FOR SERVICES PROVIDED TO TAHMO. MR. ROOSEVELT DID NOT RECEIVE ANY PORTION OF THESE PAYMENTS. JACKIE JENKINS-SCOTT, DIRECTOR, IS ALSO A DIRECTOR OF CENTURY BANK & TRUST. PAYMENTS WERE MADE TO CENTURY BANK & TRUST FOR SERVICES PROVIDED TO TAHMO. MS. JENKINS-SCOTT DID NOT RECEIVE ANY PORTION OF THESE PAYMENTS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSION STATEMENTFORM 990, PART III, LINE 1TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC.'S (TAHMO) mission is to improve the health and wellness of the diverse communities it serves. TAHMO IS RESPONSIBLE FOR ARRANGING THE DELIVERY OF COMPREHENSIVE, PREVENTIVE AND THERAPEUTIC HEALTH CARE SERVICES TO SUBSCRIBING INDIVIDUALS IN RETURN FOR A FIXED MONTHLY PAYMENT. SERVICES ARE PROVIDED THROUGH A CONTRACTED NETWORK OF INDEPENDENT PROVIDER GROUPS AND HOSPITALS WITHIN THE SERVICE AREA. TAHMO PRODUCTS ARE AVAILABLE TO ALL SIZE EMPLOYER GROUPS, INCLUDING A MERGED SMALL GROUP AND INDIVIDUAL MARKET, AND ARE BASED ON A GENERAL COMMUNITY RATING METHODOLOGY. TAHMO ALSO OFFERS PRODUCTS TO INDIVIDUALS WHO ARE MEDICARE ELIGIBLE. TAHMO PROVIDES A BROAD RANGE OF PROGRAMS DESIGNED TO EDUCATE ITS MEMBERS IN HEALTH MAINTENANCE AND DISEASE PREVENTION. TAHMO IS DEDICATED TO OFFERING A VARIETY OF QUALITY, INNOVATIVE HEALTH COVERAGE OPTIONS AT THE LOWEST COST, AND TO IMPROVING ACCESS TO AFFORDABLE HEALTH CARE BY DEVELOPING AND EMPLOYING STRATEGIES THAT IMPROVE THE ALLOCATION OF HEALTH CARE RESOURCES. IN ADDITION TO PROVIDING THESE SERVICES TO ITS MEMBERS, TAHMO IS DEDICATED TO PROVIDING AND FUNDING HEALTH PROGRAMS THAT BENEFIT THE COMMUNITY TAHMO SERVES.
SIGNIFICANT PROGRAM SERVICES UNDERTAKEN NOT LISTED ON THE PRIOR FORM 990FORM 990, PART III, LINE 2CREATED IN 2011, TAHMO'S WHOLLY OWNED SUBSIDIARY NETWORK HEALTH, LLC (NHLLC), A SINGLE MEMBER LLC, ACQUIRED THE ASSETS AND ASSUMED THE LIABILITIES OF NETWORK HEALTH, INC. (NHI). AS A COMPONENT OF THIS PURCHASE, NHLLC ASSUMED NHI'S MANAGED CARE BUSINESS, WHICH PROVIDED HEALTH INSURANCE COVERAGE FOR LOW-INCOME RESIDENTS OF MASSACHUSETTS THROUGH CONTRACTS WITH THE STATE OF MASSACHUSETTS COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY AND EXECUTIVE OFFICE OF HEALTH & HUMAN SERVICES.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AHMO TAHMO'S MAIN PRODUCT IS ITS COMMERCIAL HMO. IN 2011, THE HMO PROVIDED AFFORDABLE HEALTH COVERAGE TO APPROXIMATELY 256,000 MEMBERS. TAHMO STRIVES TO PROVIDE HMO COVERAGE THAT IS AFFORDABLE, AND PROVIDES ACCESS TO TOP QUALITY HEALTH CARE SERVICES. TAHMO ALSO PROVIDES PROGRAMS THAT TARGET THE IMPROVEMENT OF THE HEALTH OF ITS MEMBERS, AS WELL AS THE COMMUNITY AT LARGE. QUALITY: IN 2011, TAHMO WAS RECOGNIZED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) AS RANKING SECOND AMONG 390 PLANS REVIEWED NATIONALLY FOR ITS EXCELLENCE IN PROVIDING INNOVATIVE, HIGH-QUALITY HEALTH CARE COVERAGE TO ITS HMO AND POS MEMBERS. TAHMO HAS ATTAINED NCQA'S HIGHEST RATING SINCE 1996. TAHMO HAS ALSO IMPLEMENTED PROGRAMS WITH PROVIDERS THAT FOCUS ON THE QUALITY OF HEALTH CARE SERVICES PROVIDED AND, IN SOME INSTANCES, WHICH TAILOR REIMBURSEMENT FOR SERVICES BASED IN PART ON QUALITY STANDARDS. TAHMO PROVIDES SPECIALTY CASE MANAGEMENT SERVICES FOR ITS MEMBERS WITH COMPLEX MEDICAL, MENTAL HEALTH AND SUBSTANCE ABUSE CONDITIONS. TAHMO MEMBERS RECEIVE TARGETED HEALTH REMINDER MAILINGS TO ENCOURAGE PREVENTIVE HEALTH CARE, SUCH AS FOR FLU VACCINES, PNEUMOVAX VACCINES AND MAMMOGRAPHY. TAHMO'S CASE MANAGERS ASSIST MEMBERS WHO ARE ILL OR DISABLED IN NAVIGATING THE HEALTH CARE SYSTEM AND PROVIDE REFERRALS TO COMMUNITY RESOURCES. TAHMO ALSO PUBLISHES WELL! MAGAZINE THREE TIMES A YEAR. THE MAGAZINE IS AN EDUCATIONAL RESOURCE ON TOPICS PERTAINING TO ACCESS TO CARE, PREVENTIVE CARE, HEALTH INFORMATION AND HEALTH CARE REMINDERS. IT ALSO PROVIDES INFORMATION FOR MEMBERS ON HOW TO GET THE MOST OF TUFTS HEALTH PLAN'S BENEFITS. WELL IS MAILED TO MEMBERS' HOMES AND IS AVAILABLE TO THE PUBLIC ON THE TUFTS HEALTH PLAN WEBSITE. ACCESS: TAHMO'S MEMBERS HAVE ACCESS TO MORE THAN 90 HOSPITALS AND 24,000 PRIMARY CARE PHYSICIANS AND SPECIALISTS, AND OTHER HEALTH CARE PROFESSIONALS, AS WELL AS DISEASE MANAGEMENT PROGRAMS, PREVENTION AND WELLNESS PROGRAMS. AFFORDABILITY: TAHMO'S GOAL IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE SERVICES AT THE LOWEST COST TO AS MANY MASSACHUSETTS AND RHODE ISLAND RESIDENTS AS POSSIBLE. UNDER THE DIRECTION OF ITS CHIEF MEDICAL DIRECTOR, TAHMO HAS DESIGNED HEALTH MANAGEMENT PROGRAMS TO SIMULTANEOUSLY LOWER MEDICAL COSTS AND IMPROVE QUALITY AND OUTCOMES. BY LOWERING MEDICAL COSTS, TAHMO IS ABLE TO OFFER COMPETITIVE PREMIUM RATES AND PROVIDE COVERAGE TO MORE PEOPLE. TAHMO MEMBERS RECEIVE DISCOUNTS ON A VARIETY OF SERVICES TO MAINTAIN A HEALTHY LIFESTYLE, AND ONLINE TOOLS TO MAXIMIZE BENEFITS OFFERED AND TO MAKE INFORMED HEALTH CARE DECISIONS. EXAMPLES INCLUDE DISCOUNTS ON MEMBERSHIPS IN PARTICIPATING FITNESS CLUBS, NUTRITIONAL COUNSELING VISITS, WEIGHT WATCHERS PROGRAMS, AND DISCOUNTED MEMBERSHIP IN THE APPALACHIAN MOUNTAIN CLUB - A NONPROFIT ORGANIZATION THAT ENCOURAGES OUTDOOR PHYSICAL ACTIVITY. RECOGNIZING THAT STRESS IS A UNIQUE CONTRIBUTOR TO POOR HEALTH, TAHMO ALSO PROVIDES DISCOUNTS TO MEMBERS FOR MASSAGE THERAPY, ACUPUNCTURE, AND OTHER SERVICES AND PRODUCTS RELATED TO STRESS RELIEF. TAHMO IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITY AS WELL AS THAT OF ITS MEMBERS. THE ORGANIZATION TAKES THIS COMMITMENT SERIOUSLY AND HAS A DEDICATED COMMUNITY PARTNERSHIP PROGRAM THAT PROVIDES IN-KIND AND FINANCIAL SUPPORT TO NOT-FOR-PROFIT PROGRAMS THROUGHOUT MASSACHUSETTS. SUPPORT IS BROAD BASED AND REFLECTS DIVERSE SPONSORSHIP OF ORGANIZATIONS THAT PROMOTE IMPROVED COMMUNITY HEALTH. SOME EXAMPLES OF PHILANTHROPY INCLUDE FUNDING TO HEALTH CARE FOR ALL AND THE AMERICAN HEART ASSOCIATION. THE FOUNDATION WAS ESTABLISHED BY TAHMO IN 2007 TO SUPPORT TAHMO'S MISSION BY PROMOTING HEALTHY LIFESTYLES AND THE DELIVERY OF QUALITY CARE IN THE COMMUNITIES THAT TAHMO SERVES. IN 2011 THE TUFTS HEALTH PLAN FOUNDATION CONTINUED ITS COMMITMENT TO THE COMMUNITY THROUGH GRANTMAKING AND PROGRAM BUILDING. THE FOUNDATION COMPLETED THE SECOND YEAR OF ITS STRATEGY TO PROMOTE HEALTHY AGING -- IMPROVING THE LIVES OF OLDER ADULTS AGE 60 AND OVER. IN 2011 THE FOUNDATION AWARDED $2.9 MILLION IN GRANTS IN THE HEALTHY AGING FOCUS AREAS OF CAREGIVER SUPPORT, FALL PREVENTION, INTERGENERATIONAL COLLABORATION AND VIBRANT LIFESTYLES. SUMMARY: IN SUMMARY, TAHMO IS DEDICATED TO OFFERING A VARIETY OF QUALITY, INNOVATIVE HEALTH COVERAGE OPTIONS AT THE LOWEST COST, AND TO IMPROVING ACCESS TO AFFORDABLE HEALTH CARE BY DEVELOPING AND EMPLOYING STRATEGIES THAT IMPROVE THE ALLOCATION OF HEALTH CARE RESOURCES. IN ADDITION TO PROVIDING THESE SERVICES TO ITS MEMBERS, TAHMO IS DEDICATED TO PROVIDING AND FUNDING HEALTH PROGRAMS THAT BENEFIT THE COMMUNITY TAHMO SERVES. FORM 990, PART III, LINE 4B MEDICARE ADVANTAGE TAHMO ALSO OFFERS PRODUCTS TO MEDICARE ELIGIBLE ENROLLEES. IN 2011, TUFTS HEALTH PLAN MEDICARE PREFERRED (TUFTS MEDICARE PREFERRED) PROVIDED AFFORDABLE HEALTH COVERAGE TO APPROXIMATELY 102,000 MEMBERS IN MASSACHUSETTS. TUFTS MEDICARE PREFERRED STRIVES TO PROVIDE COVERAGE OPTIONS THAT ARE AFFORDABLE AND PROVIDE ACCESS TO TOP QUALITY HEALTH CARE SERVICES FOR SENIORS. TUFTS MEDICARE PREFERRED ALSO OFFERS PROGRAMS THAT TARGET THE IMPROVEMENT OF THE HEALTH OF ITS MEMBERS, AS WELL AS THE COMMUNITY AT LARGE. IN 2011, TAHMO WAS RECOGNIZED BY NCQA AS RANKING EIGHTH IN THE NATION FOR ITS MEDICARE ADVANTAGE PROGRAM. OUR HIGH RANKING RECOGNIZES TUFTS MEDICARE PREFERRED'S EXCEPTIONAL PERFORMANCE IN CLINICAL QUALITY, MEMBER SATISFACTION, AND OVERALL QUALITY MANAGEMENT. WITHIN THE MASSACHUSETTS MEDICARE ADVANTAGE MARKET, TUFTS MEDICARE PREFERRED IS THE MARKET LEADER WITH 44% MARKET SHARE - COVERING MORE INDIVIDUALS THROUGH MEDICARE ADVANTAGE PRODUCTS THAN ANY OTHER CARRIER. TUFTS MEDICARE PREFERRED ALSO PUBLISHES WELL! MAGAZINE FOR ITS MEDICARE POPULATION THREE TIMES A YEAR. THE MAGAZINE IS AN EDUCATIONAL RESOURCE ON TOPICS PERTAINING TO SAFETY, ACCESS TO CARE, PREVENTIVE CARE, HEALTH INFORMATION AND HEALTH CARE REMINDERS, TARGETED TO ITS SPECIFIC POPULATION. IT ALSO PROVIDES INFORMATION FOR MEMBERS ON HOW TO GET THE MOST OF TUFTS HEALTH PLAN'S BENEFITS. WELL IS MAILED TO MEMBERS' HOMES AND IS AVAILABLE TO THE PUBLIC ON THE TUFTS MEDICARE PREFERRED WEBSITE. FORM 990, PART III, LINE 4C MEDICAID NETWORK HEALTH, LLC PROVIDED HEALTH INSURANCE COVERAGE FOR LOW-INCOME RESIDENTS OF MASSACHUSETTS THROUGH CONTRACTS WITH THE STATE OF MASSACHUSETTS COMMONWEALTH HEALTH INSURANCE CONNECTOR AUTHORITY AND EXECUTIVE OFFICE OF HEALTH & HUMAN SERVICES.
DESCRIPTION OF RELATIONSHIPSFORM 990, PART VI, QUESTION 2THE FOLLOWING PEOPLE SERVED AS A BOARD MEMBER OR OFFICER FOR TUFTS ASSOCIATED HEALTH PLAN, INC: DAVEY SCOON JAMES ROOSEVELT PAUL KASUBA THOMAS CROSWELL PATRICIA TREBINO LOIS CORNELL BRIAN PAGLIARO UMESH KURPAD ROLAND PRICE PATRICIA BLAKE DESCRIPTION OF MANAGEMENT ARRANGEMENT FORM 990, PART VI, QUESTION 3 TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. IS MANAGED BY TUFTS ASSOCIATED HEALTH PLAN, INC., ITS WHOLLY OWNED SUBSIDIARY.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, QUESTION 11BTHE FORM 990 IS PREPARED IN OUR FINANCE DEPARTMENT, WITH ASSISTANCE FROM OUR EXTERNAL ACCOUNTANTS, ERNST & YOUNG. THIS PREPARATION BEGAN IN MAY 2012. INFORMATION IS PROVIDED BY OUR CORPORATE GOVERNANCE OFFICER, OUR CORPORATE COMPLIANCE OFFICER, AND INTERNAL LEGAL COUNSEL. CERTAIN SECTIONS OF THE FORM ARE REVIEWED BY A NUMBER OF SENIOR MANAGERS; OUR CHIEF FINANCIAL OFFICER REVIEWS THE FORM IN ITS ENTIRETY. ONCE THE FORM IS COMPLETE, IN NOVEMBER 2012, IT IS FORWARDED ON TO OUR BOARD OF DIRECTORS AND IT IS THEN SUBMITTED FOR FILING.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, QUESTION 12CTHE TUFTS HEALTH PLAN (THP) CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AND REVISED AS NEEDED. THE POLICY REQUIRES MANAGERS WHO OVERSEE OUTSIDE RELATIONSHIPS, AS WELL AS ALL DIRECTORS, AVPS, VPS, SVPS, AND THE PRESIDENT AND CEO, TO ATTEST ANNUALLY THAT THEY WILL ABIDE BY THE POLICY. IT ALSO REQUIRES THEM TO SUBMIT AN ANNUAL DISCLOSURE STATEMENT TO THE COMPLIANCE & PRIVACY OFFICER, LISTING ANY OUTSIDE RELATIONSHIPS, INCLUDING FINANCIAL AND/OR BOARD RELATIONSHIPS, THAT THEY OR A FAMILY MEMBER HAVE WITH THP'S SUPPLIERS, PURCHASERS, PROVIDERS AND/OR COMPETITORS. THERE IS A PROTOCOL TO REVIEW ANY DISCLOSURE THAT MIGHT BE A POTENTIAL CONFLICT OF INTEREST. ALSO, ALL EMPLOYEES ARE REQUIRED TO REPORT THE OFFER BY AN OUTSIDE ENTITY OF ANY GIFTS, HONORARIA OR COVERAGE OF BUSINESS EXPENSES TO THE COMPLIANCE & PRIVACY OFFICER AND A SENIOR LEADER. BOTH MUST APPROVE BEFORE ACCEPTANCE IS ALLOWED. THE LEVELS OF REVIEW ARE: FOR BOARD MEMBERS, THE BOARD CHAIR, PRESIDENT & CEO, AND BOARD AUDIT & COMPLIANCE COMMITTEE CHAIR - ONCE DISCLOSURES ARE REVIEWED AND APPROVED, THEY ARE COMMUNICATED TO THE GOVERNANCE MANAGER AND TO THE COMPLIANCE AND PRIVACY OFFICER. FOR TUFTS HEALTH PLAN MANAGEMENT, THE COMPLIANCE AND PRIVACY OFFICER, SENIOR COMPLIANCE OFFICER, AND GENERAL COUNSEL. DISCLOSURES THAT NEED FURTHER REVIEW ARE BROUGHT TO THE BOARD AUDIT & COMPLIANCE COMMITTEE CHAIR. IF A CONFLICT OF INTEREST DOES EXIST, A TRANSACTION WITH THE ENTITY WITH WHICH THERE IS A CONFLICT MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: 1. THE CONFLICTING INTEREST IS FULLY DISCLOSED; 2. THE PERSON WITH THE CONFLICT OF INTEREST MAY PRESENT INFORMATION, BUT THEN SHALL BE EXCUSED FROM FURTHER DISCUSSION AND FROM THE DECISION REGARDING APPROVING SUCH TRANSACTION; 3. IF PRACTICAL, A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS; AND 4. THE BOARD (OR A DULY CONSTITUTED COMMITTEE THEREOF OR BOARD APPOINTEE) OR THE COMPLIANCE OFFICER HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. ALL NEW HIRES, AND ALL EMPLOYEES ON AN ANNUAL BASIS, COMPLETE COMPLIANCE TRAINING THAT ADDRESSES CONFLICT OF INTEREST AND REQUIRES THE EMPLOYEE TO ATTEST THAT THEY DO NOT HAVE ANY POTENTIAL CONFLICTING RELATIONSHIPS THAT THEY HAVE NOT DISCLOSED TO THE PROPER LEVEL OF MANAGEMENT AND TO THE COMPLIANCE & PRIVACY OFFICER.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, QUESTIONS 15A & 15BTHE COMPENSATION COMMITTEE (THE "COMMITTEE") OF THE BOARD OF DIRECTORS (THE "BOARD") OF TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION (TUFTS OR THE "COMPANY") REVIEWS AND ADMINISTERS TOTAL REMUNERATION OPPORTUNITIES, POLICIES, PROGRAMS, AND MAJOR CHANGES IN TUFTS' BENEFIT PLANS THAT ARE APPLICABLE TO THE OFFICERS AND EXECUTIVES OF THE COMPANY (THE "EXECUTIVES" - THESE INCLUDE THE CEO, COO, AND ALL SENIOR VICE PRESIDENTS), AS WELL AS TO ANY OTHER INDIVIDUAL OR GROUPS THE COMMITTEE DEEMS APPROPRIATE BASED ON ITS INTERPRETATION OF THE DEFINITION OF "DISQUALIFIED PERSONS" IN SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986. THE COMMITTEE IS COMPRISED OF INDEPENDENT DIRECTORS OF THE COMPANY. THE COMMITTEE REPORTS TO THE FULL BOARD OF DIRECTORS. FOR CEO COMPENSATION, THE COMMITTEE REVIEWS THE INFORMATION DESCRIBED BELOW AND RECOMMENDS THE CEO'S COMPENSATION TO THE FULL BOARD FOR ITS APPROVAL. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION RECOMMENDATIONS FROM THE CEO FOR OTHER EXECUTIVES, AND PROVIDES A REPORT TO THE FULL BOARD ON THIS INFORMATION. IT IS THE BOARD'S INTENTION THAT THE COMMITTEE WILL PERFORM ITS DUTIES IN A MANNER THAT WILL ESTABLISH A PRESUMPTION THAT THE TOTAL REMUNERATION OFFERED TO EXECUTIVES AND OTHER "DISQUALIFIED PERSONS" ARE REASONABLE. COMPARABILITY DATA AND REASONABLENESS THE TOTAL COMPENSATION OPPORTUNITIES PROVIDED TO EXECUTIVES OF THE COMPANY ARE INTENDED TO BE COMPETITIVE WITH, AND IN REASONABLE COMPARISON TO, THOSE OPPORTUNITIES PROVIDED BY ORGANIZATIONS IN THOSE BUSINESS SECTORS WITH WHICH THE COMPANY COMPETES FOR EXECUTIVE TALENT. THE BOARD BELIEVES THAT SUCH COMPETITORS ARE NOT LIMITED TO OTHER HEALTHCARE INSTITUTIONS AND THAT COMPARISONS SHOULD BE MADE TO THE COMPENSATION PRACTICES OF A CROSS-SECTION OF BUSINESS SECTORS IN BOTH FOR-PROFIT AND NOT-FOR-PROFIT ORGANIZATIONS, WHEN APPROPRIATE. THE COMMITTEE RETAINS INDEPENDENT COMPENSATION CONSULTANTS TO PROVIDE DATA AS NECESSARY, AND ALSO USES AVAILABLE SOURCES OF INDEPENDENT DATA ON COMPENSATION. PEER ORGANIZATIONS AND PUBLISHED SURVEY SOURCES WILL BE APPROVED BY THE COMMITTEE BASED ON ITS REASONABLE DETERMINATION. THE COMMITTEE MAY ALSO RELY ON MEMBERS OF MANAGEMENT AND OUTSIDE ADVISORS, CONSULTANTS, AND COUNSEL TO PROVIDE MARKET DATA REPORTS, ANALYSIS, AND OPINIONS WITH RESPECT TO COMPENSATION-RELATED MATTERS. THE DATA REVIEWED CONSISTS OF COMPARABLE, RELEVANT MARKET DATA FOR THE COMPANY'S POSITIONS FROM PUBLISHED SURVEYS, AND OTHER AVAILABLE SOURCES, OF HEALTH AND MANAGED CARE INSTITUTIONS AND THE GENERAL INDUSTRY. OTHER SURVEYS OF SPECIALIZED SKILL SETS OR EMPLOYEE ATTRIBUTES CRITICAL TO THE SUCCESS OF THE COMPANY, E.G., ACTUARIAL, LEGAL, ETC., ARE ALSO INCORPORATED AS NEEDED, ALONG WITH GEOGRAPHIC REFERENCES TO THE BOSTON AND NEW ENGLAND LABOR MARKETS. THE COMMITTEE WILL RELY ON THIS MARKET DATA TO ASSESS, DETERMINE, AND VALIDATE COMPENSATION LEVELS FOR THE COMPANY'S EXECUTIVES. THE COMMITTEE USES THIS DATA IN ITS REVIEW OF: - SETTING BASE SALARIES - IN LIGHT OF MARKET DATA AND THE INDIVIDUAL'S PERFORMANCE, BACKGROUND, EXPERIENCES, AND PERSONAL SKILLS. BASE SALARY WILL BE SET SO THAT THE TARGETED POSITIONING OF AN EXECUTIVE IS AT THE 50TH PERCENTILE FOR EACH POSITION. ACTUAL BASE SALARY MAY VARY BASED ON SKILLS, BACKGROUND, AND EXPERIENCE. - ANNUAL INCENTIVE COMPENSATION - THE COMPANY'S GOAL IS TO PROVIDE COMPETITIVE AND REASONABLE OPPORTUNITIES UNDER THE TERMS OF AN EXECUTIVE ANNUAL INCENTIVE PLAN FOR THE SELECTED POSITIONS WHICH ARE RESPONSIBLE FOR ACHIEVING PERFORMANCE GOALS THAT REFLECT THE OVERALL MISSION OF THE COMPANY, THE STRATEGIC DIRECTION OF THE COMPANY FOR THE PERFORMANCE YEAR, AND THE INDIVIDUAL'S PERFORMANCE DURING THAT YEAR. THE COMMITTEE MAKES EVERY EFFORT TO ESTABLISH A PRESUMPTION THAT THE TOTAL REMUNERATION OPPORTUNITIES PROVIDED TO EXECUTIVES ARE REASONABLE; AS SUCH PRESUMPTION IS CONTEMPLATED IN SECTION 4958 OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED FROM TIME TO TIME. IN ESTABLISHING THE PRESUMPTION OF REASONABLENESS, THE COMMITTEE MAY ENGAGE THE PROFESSIONAL SERVICES OF INDEPENDENT LEGAL COUNSEL, COMPENSATION EXPERTS, ACCOUNTANTS, AND OTHER EXPERTS AND ADVISORS. TIMING EXECUTIVE BENCHMARKING IS COMPLETED ON AN ANNUAL BASIS. BENCHMARKING IS COMPLETED BY THE EXTERNAL CONSULTANT ENGAGED BY THE COMPENSATION COMMITTEE EVERY TWO YEARS, AND BY THE INTERNAL COMPENSATION TEAM ON ALTERNATING YEARS. THE ANALYSIS COMPLETED IN Q4, 2011 WAS COMPLETED BY THE EXTERNAL CONSULTANT ENGAGED BY THE COMMITTEE. TO COMPLETE THE ANALYSIS, THE CONSULTANT: - COLLECTED RELEVANT INFORMATION REGARDING THE COMPANY'S OPERATIONS, COMPLEXITY, STRUCTURE, SIZE, AND SCOPE, AS WELL AS RELEVANT BACKGROUND ON THE EXECUTIVES' DUTIES AND SCOPE OF RESPONSIBILITIES; - DETERMINED THE SURVEY SOURCES TO USE IN THE ANALYSIS, BASED ON THE COMPANY'S COMPETITIVE MARKET FOR EXECUTIVE POSITIONS (AS DESCRIBED ABOVE); - MATCHED THE COMPANY'S EXECUTIVE POSITIONS IN THE SURVEYS BASED ON THE COMPANY'S SIZE COMPLEXITY, AND SCOPE, AS WELL AS ACCORDING TO SPECIFIC POSITION RESPONSIBILITIES AND REPORTING RELATIONSHIPS; - VALIDATED THE SURVEY SOURCES AND MARKET MATCHES WITH THE INTERNAL COMPENSATION TEAM TO ENSURE CONSISTENCY; - REVIEWED, COMPILED, AND SUMMARIZED THE DATA IN REPORT FORM. THE REPORT SUMMARIZING THE RESULTS OF THE ANALYSIS WAS PRESENTED TO THE COMPENSATION COMMITTEE FOR DISCUSSION AND DELIBERATION. DOCUMENTATION A SUMMARY OF THE DISCUSSIONS AND DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN THE MEETING MINUTES, WHICH ARE REVIEWED AND APPROVED BY THE COMMITTEE. COPIES OF ALL MEETING MATERIALS DISTRIBUTED PRIOR TO AND DURING THE MEETING ARE MAINTAINED IN THE CORPORATE RECORDS ALONG WITH MEETING MINUTES.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, QUESTION 19OUR GOVERNING DOCUMENTS ARE PUBLICLY FILED AND AVAILABLE UPON REQUEST. OUR CONFLICTS OF INTEREST POLICY IS ALSO AVAILABLE UPON REQUEST. OUR ANNUAL FINANCIAL REPORT AND QUARTERLY FINANCIAL UPDATES ARE POSTED ON OUR PUBLIC WEBSITE AND ARE ALSO AVAILABLE TO THE PUBLIC UPON REQUEST.
HOURS WORKED FOR RELATED ORGANIZATIONSFORM 990, PART VII, SECTION A, COLUMN BHOURS LISTED BELOW ARE FOR TUFTS ASSOCIATED HEALTH PLANS, INC. (TAHP), TUFTS BENEFIT ADMINISTRATORS, INC. (TBA), TOTAL HEALTH PLAN, INC. (THP), AND TUFTS HEALTH PLAN FOUNDATION, INC. (THPF) - DAVID GREEN: 1 HOUR WITH THPF. - JACKIE JENKINS-SCOTT: 1 HOUR WITH THPF. - THOMAS P. O'NEIL, III: 1 HOUR WITH THPF. - JAMES ROOSEVELT: 5 HOURS WITH TAHP, 8 HOURS WITH TBA, 3 HOURS WITH THP, AND 2 HOURS WITH THPF. - THOMAS CROSWELL: 3 HOURS WITH TAHP, 5 HOURS WITH TBA, AND 8 HOURS WITH THP. - ROBERT EGAN: 5 HOURS WITH TAHP, 5 HOURS WITH TBA, AND 3 HOURS WITH THP. - PATRICIA TREBINO: 10 HOURS WITH TBA AND 8 HOURS WITH THP. - LOIS CORNELL: 10 HOURS WITH TAHP, 8 HOURS WITH TBA, 3 HOURS WITH THP, AND 1 HOUR WITH THPF. - BRIAN PAGLIARO: 13 HOURS WITH TBA AND 13 HOURS WITH THP. - UMESH KURPAD: 3 HOURS WITH TAHP, 5 HOURS WITH TBA, AND 3 HOURS WITH THP. - PAUL KASUBA: 3 HOURS WITH TAHP AND 4 HOURS WITH TBA - ROLAND PRICE: 5 HOURS WITH TAHP, 3 HOURS WITH TBA, 3 HOURS WITH THP, AND 5 HOURS WITH THPF. - DAVID ABELMAN: 14 HOURS WITH TAHP, 3 HOURS WITH TBA, 3 HOURS WITH THP, AND 13 HOURS WITH THPF. - AIDA GUIDA: 8 HOURS WITH TBA AND 6 HOURS WITH THP. - MARC SPOONER: 8 HOURS WITH TBA AND 6 HOURS WITH THP. - TRACEY CARTER: 8 HOURS WITH TBA AND 6 HOURS WITH THP. - JOSEPH IMBIMBO: 8 HOURS WITH TBA AND 6 HOURS WITH THP. CHRISTINA SEVERIN SERVED 50 HOURS PER WEEK WITH NETWORK HEALTH, LLC.
OTHER CHANGES IN NET ASSETS OR FUND BALANCESFORM 990, PART XI, LINE 5CHANGE IN NON-ADMITTED ASSETS: $(157,748,101) INVESTMENT ADJUSTMENT IN NHLLC: $(111,615,000) CHANGE IN NET UNREALIZED CAPITAL GAINS: $( 26,111,703) CHANGE IN CAPITAL SURPLUS: $ 170,000,000 RENTAL INCOME NOT RECORDED ON FINANCIAL STATEMENTS: $ 29,715 ---------------- TOTAL OTHER CHANGES IN NET ASSETS: $(125,445,089)

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KAISER PERMANENTE VENTURES LLC
1 KAISER PLAZA 15LOAKLANDCA94612273339892SUPPORTDE-7716856960067NA
NETWORK HEALTH LLC
101 STATION LANDING 4TH FLOORMEDFORDMA02155800721489INSURANCEMA-2934622312878985TAHMO

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TUFTS HEALTH PLAN FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1705 MOUNT AUBURN STREETAddressLine1
CityWATERTOWNCity
StateMAState
ZIP Code02472ZIPCode
FieldValueIRS element (for citing)
EIN261374263EIN
Primary ActivitiesGRANT MAKINGPrimaryActivities
Legal Domicile StateMALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status11 TYPE IPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TAHMOBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
TUFTS ASSOCIATED HEALTH PLANS INC
705 MOUNT AUBURN STREETWATERTOWNMA02472042985923MANAGEMENT SVCSDETAHMOC CORP2090139481724754061.00000
TUFTS INSURANCE COMPANY
705 MOUNT AUBURN STREETWATERTOWNMA02472043319729INSURANCEMATAHPC CORP164583768810773511.00000
TUFTS BENEFIT ADMINISTRATORS INC
705 MOUNT AUBURN STREETWATERTOWNMA02472043270923TPAMATAHPC CORP50659654492663781.00000
TOTAL HEALTH PLAN INC
705 MOUNT AUBURN STREETWATERTOWNMA02472042918943TPAMATAHPC CORP33252445231136891.00000
TAHP BROKERAGE CORPORATION
705 MOUNT AUBURN STREETWATERTOWNMA02472043072692BROKERAGE COMPANYMATAHPC CORP01991751.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
TUFTS INSURANCE COMPANY
B20000000ACCRUAL
TUFTS BENEFIT ADMINISTRATORS
B20000000ACCRUAL
TUFTS INSURANCE COMPANY
Q93000000ACCRUAL
TOTAL HEALTH PLAN
Q8000000ACCRUAL
TOTAL HEALTH PLAN
R8000000ACCRUAL
TUFTS BENEFIT ADMINISTRATORS
R37300000ACCRUAL
TUFTS ASOCIATED HEALTH PLANS INC
O136500000ACCRUAL
NETWORK HEALTH LLC
B170000000ACCRUAL