HARVARD PILGRIM HEALTH CARE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HARVARD PILGRIM HEALTH CARE INC (EIN 04-2452600)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-15
- IRS object ID
- 201243209349303889
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-15T11:27:21-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 High Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02110 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042452600 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARVARD PILGRIM HEALTH CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % BETH CREAVIN | InCareOfName |
| Name Control | HARV | NameControl |
| Phone | 7812636000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 93 WORCESTER STREET | AddressLine1 |
| City | WELLESLEY | City |
| State | MA | State |
| ZIP Code | 024819181 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHELLE CLAYMAN VPCONTROLLER | Name |
| Title | VP/CONTROLLER | Title |
| Date Signed | 2012-11-13 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6175305000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ERIC H SCHULTZ | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 93 WORCESTER STREET | AddressLine1 |
| City | WELLESLEY | City |
| State | MA | State |
| ZIP Code | 024819181 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 2364926679 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.harvardpilgrim.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1969 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1320 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 183267369 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -8353771 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 25533070 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 35248737 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2378152322 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2105488138 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 18027953 | InvestmentIncomePriorYear |
| Investment Income Current Year | 25592465 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2105778 | OtherRevenuePriorYear |
| Other Revenue Current Year | 5991410 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2423819123 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2172320750 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2823308 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 14275269 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 2068612372 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 1781403706 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 87423109 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 79883707 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 217070898 | OtherExpensePriorYear |
| Other Expenses Current Year | 215459941 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2375929687 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2091022623 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 47889436 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 81298127 | RevenuesLessExpensesCY |
| Total Assets BOY | 804093723 | TotalAssetsBOY |
| Total Assets EOY | 843753573 | TotalAssetsEOY |
| Total Liabilities BOY | 379760330 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 345351142 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 424333393 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 498402431 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE O. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 2007961805 | Expense |
| Grants | 14275269 | Grants |
| Revenue | 2109813308 | Revenue |
| Description | TO IMPROVE THE QUALITY AND VALUE OF HEALTH CARE FOR THE PEOPLE AND COMMUNITIES WE SERVE. AT 12/31/11, HPHC, INC. FULLY INSURED 387,927 MEMBERS, AMBULATORY ENCOUNTERS WERE 2,772,134 AND HOSPITAL DAYS INCURRED WERE 124,923. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 34152427 | Expense |
| Description | THE HARVARD PILGRIM HEALTH CARE INSTITUTE, LLC PERFORMS RESEARCH AND RESEARCH ADMINISTRATION, FOR GRANTS AND CONTRACTS AWARDED TO HPHC, INC. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 2042114232 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | true | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 19314 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1320 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BETH CREAVIN | NamePerson |
| Telephone Number | 6175095692 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 93 WORCESTER STREET | AddressLine1 |
| City | WELLESLEY | City |
| State | MA | State |
| ZIP Code | 024819181 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BARRY L SHEMIN | ||||||||
| CHAIRMAN/DIRECTOR | 5.0 | X | 45300 | 0 | 0 | |||
| MARY ANN TOCIO | ||||||||
| VICE CHAIRMAN/DIRECTOR | 3.0 | X | 31900 | 0 | 0 | |||
| CONSTANCE SMITH BARR MD | ||||||||
| DIRECTOR | 3.0 | X | 35625 | 0 | 0 | |||
| JOHN H BUDD ESQ | ||||||||
| DIRECTOR | 5.0 | X | 40300 | 0 | 0 | |||
| DEBORAH C JACKSON | ||||||||
| DIRECTOR (UNTIL 3/2011) | 3.0 | X | 0 | 0 | 0 | |||
| KATHERINE A HESSE | ||||||||
| DIRECTOR | 5.0 | X | 40300 | 0 | 0 | |||
| HERMAN B LEONARD PHD | ||||||||
| DIRECTOR | 5.0 | X | 33700 | 0 | 0 | |||
| EDWARD F MCCAULEY CPA | ||||||||
| DIRECTOR | 5.0 | X | 33700 | 0 | 0 | |||
| JOSEPH F O'DONNELL | ||||||||
| DIRECTOR | 3.0 | X | 27300 | 0 | 0 | |||
| SUSAN V DUPREY | ||||||||
| DIRECTOR | 3.0 | X | 39950 | 0 | 0 | |||
| JOYCE A MURPHY | ||||||||
| DIRECTOR | 3.0 | X | 36100 | 0 | 0 | |||
| ERIC H SCHULTZ | ||||||||
| PRES/CEO/DIR | 50.0 | X | 1182944 | 0 | 278038 | X | ||
| EARL W BAUCOM | ||||||||
| DIRECTOR | 3.0 | X | 29100 | 0 | 0 | |||
| LAURA S PEABODY | ||||||||
| CHIEF LEGAL OFFICER | 50.0 | 546625 | 0 | 129238 | X | |||
| JAMES W DUCHARME | ||||||||
| CFO/Treasurer | 50.0 | 651389 | 0 | 116403 | X | |||
| ROBERTA H HERMAN MD | ||||||||
| COO | 50.0 | 701768 | 0 | 167988 | X | |||
| VINCENT CAPOZZI | ||||||||
| Sr VP Sales & Customer Service | 50.0 | 517365 | 0 | 58988 | X | |||
| GARY H LIN | ||||||||
| SVP ACTRL SVCS (UNTIL 8/2011) | 50.0 | 328121 | 0 | 43010 | X | |||
| DEBORAH A NORTON | ||||||||
| CHIEF INFORMATION OFFICER | 50.0 | 419952 | 0 | 86135 | X | |||
| BETH ANN ROBERTS | ||||||||
| VP NNE Operations | 50.0 | 295313 | 0 | 46167 | X | |||
| RICHARD WEISBLATT | ||||||||
| SVP PROV NTWRK & PROD DEV | 50.0 | 368744 | 0 | 47094 | X | |||
| JOHN F LANE | ||||||||
| CHIEF HUMAN RESOURCES OFFICER | 50.0 | 352783 | 0 | 73374 | X | |||
| LYNN BOWMAN | ||||||||
| VP CUSTOMER SVC (UNTIL 4/2011) | 50.0 | 139492 | 0 | 19166 | X | |||
| CAROLYN LANGER | ||||||||
| MED DIR, MED MGMT & QUALITY | 50.0 | 291503 | 0 | 24201 | X | |||
| DANA A RASHTI | ||||||||
| VP marketing | 50.0 | 332479 | 0 | 36683 | X | |||
| MARTHA MURPHY | ||||||||
| VP MRGD MKTS/MEDICARE/ANCIL | 50.0 | 298631 | 0 | 36647 | X | |||
| MICHAEL S SHERMAN MD | ||||||||
| CMO (AS OF 4/2011) | 50.0 | 408373 | 0 | 16336 | X | |||
| GREGORY TOPAKIAN | ||||||||
| DIRECTOR, ACTUARIAL & PRICING | 35.0 | 409672 | 0 | 18671 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7638429 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1198139 | TotalOtherCompensation |
| Number Individuals GT100 K | 311 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DELL MARKETING LP | |||||
| 2300 W PLANO PARKWAY | PLANO | TX | 75075 | IT CONSULTING | 113171989 |
| HILL HOLLIDAY CONNORS COSMOPULOS IN | |||||
| PO BOX 3600-16 | BOSTON | MA | 022410616 | ADVERTISING | 4841851 |
| CONNOLLY CONSULTING | |||||
| 50 DANBURY ROAD | WILTON | CT | 06897 | IT CONSULTING | 3630355 |
| EMC CORPORATION | |||||
| 176 SOUTH STREET | HOPKINTON | MA | 01748 | IT CONSULTING | 6742575 |
| ORACLE AMERICA INC | |||||
| 500 ORACLE PARKWAY | REDWOOD SHORES | CA | 94065 | IT CONSULTING | 5942860 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 378 | NumberOfContractorsGT100K |
| Government Grants | 28179463 | GovernmentGrants |
| All Other Contributions | 7069274 | AllOtherContributions |
| Total Contributions | 35248737 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MEMBER PREMIUMS & FEES | 524114 | 1923464188 | 1923464188 | |
| NHP ADMINISTRATION | 561000 | 200000 | 200000 | |
| PPO PREMIUMS | 524298 | 181823950 | 181823950 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2105488138 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21762572 | TotalRevenueColumn |
| Exclusion | $21,762,572 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6723638 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5057398 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1666240 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1666240 | TotalRevenueColumn |
| Unrelated Business Revenue | 1243419 | UnrelatedBusinessRevenue |
| Exclusion | $422,821 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 191378424 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 187548531 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3829893 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3829893 | TotalRevenueColumn |
| Exclusion | $3,829,893 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROVIDER SETTLEMENT & OTHER | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 4325170 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4325170 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4325170 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2172320750 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1927789358 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 183267369 | UnrelatedBusinessRevenue |
| Exclusion | $26,015,286 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14275269 | Total |
| Program Services | 14275269 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1781403706 | Total |
| Program Services | 1781403706 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6372907 | Total |
| Program Services | 5098326 | ProgramServices |
| Management And General | 1274581 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56157186 | Total |
| Program Services | 44925749 | ProgramServices |
| Management And General | 11231437 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4681026 | Total |
| Program Services | 3744821 | ProgramServices |
| Management And General | 936205 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8356612 | Total |
| Program Services | 6685290 | ProgramServices |
| Management And General | 1671322 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4315976 | Total |
| Program Services | 3452781 | ProgramServices |
| Management And General | 863195 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 529782 | Total |
| Management And General | 529782 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4832296 | Total |
| Management And General | 4832296 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1782296 | Total |
| Management And General | 1782296 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18432167 | Total |
| Program Services | 18432167 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7757146 | Total |
| Program Services | 7757146 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5507451 | Total |
| Program Services | 4405961 | ProgramServices |
| Management And General | 1101490 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66940195 | Total |
| Program Services | 53552156 | ProgramServices |
| Management And General | 13388039 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9370989 | Total |
| Program Services | 7496791 | ProgramServices |
| Management And General | 1874198 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1224049 | Total |
| Program Services | 1224049 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 271694 | Total |
| Program Services | 271694 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5336326 | Total |
| Program Services | 4269061 | ProgramServices |
| Management And General | 1067265 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25455538 | Total |
| Program Services | 20364430 | ProgramServices |
| Management And General | 5091108 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PREMIUM TAX EXPENSE | 1708713 | 1708713 | |
| BROKER FEES | 26807359 | 26807359 | |
| OTHER EXPENSE | 2607920 | 2086336 | 521584 |
| RESEARCH GRANT EXPENSE | 36896020 | 34152427 | 2743593 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2091022623 | Total |
| Program Services | 2042114232 | ProgramServices |
| Management And General | 48908391 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -33008515 | BOY |
| EOY | 49705496 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71558326 | BOY |
| EOY | 7097743 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58689824 | BOY |
| EOY | 61343159 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1137492 | BOY |
| EOY | 1476827 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 281597763 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 235858160 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41264538 | BOY |
| EOY | 45739603 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93440425 | BOY |
| EOY | 92708095 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 507180813 | BOY |
| EOY | 520340766 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63830820 | BOY |
| EOY | 65341884 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 804093723 | BOY |
| EOY | 843753573 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 279434323 | BOY |
| EOY | 234573251 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29000000 | BOY |
| EOY | 29000000 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71326007 | BOY |
| EOY | 81777891 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 379760330 | BOY |
| EOY | 345351142 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 424333393 | BOY |
| EOY | 498402431 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 424333393 | BOY |
| EOY | 498402431 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 804093723 | BOY |
| EOY | 843753573 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 81298127 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -7229089 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Other | X | MethodOfAccountingOther |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 17158895 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24400637 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 26678179 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 25533070 | CurrentTaxYearMinus1Year |
| Current Tax Year | 35248737 | CurrentTaxYear |
| Total | 129019518 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2022072644 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1994921809 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2019092004 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2192961680 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1923464188 | CurrentTaxYear |
| Total | 10152512325 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2039231539 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2019322446 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2045770183 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2218494750 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1958712925 | CurrentTaxYear |
| Total | 10281531843 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2792166 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3510604 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4600991 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2069803 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2136833 | CurrentTaxYear |
| Total | 15110397 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2792166 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3510604 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4600991 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2069803 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2136833 | CurrentTaxYear |
| Total | 15110397 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 10266421446 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30225169 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 37293819 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 31408392 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 31909635 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28486210 | CurrentTaxYear |
| Total | 159323225 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 30225169 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 37293819 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 31408392 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 31909635 | CurrentTaxYearMinus1Year |
| Current Tax Year | 28486210 | CurrentTaxYear |
| Total | 159323225 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 3901586 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2652972 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 287932 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4325170 | CurrentTaxYear |
| Total | 11167660 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2069456708 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2060517851 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2079831547 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2250692317 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1991524305 | CurrentTaxYear |
| Total | 10452022728 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98224 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98251 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01524 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01551 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | THIS LINE IS COMPOSED OF PROVIDER SETTLEMENT/OTHER INCOME FOR 2008 AND 2011 AND OTHER INCOME FOR 2009 AND 2010. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | true | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $412,623 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $1,369,673 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1782296 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE C, PART II-B, LINE 1 | Identifier |
| Explanation | DURING THE YEAR, HPHC PAID $1,369,673 IN MEMBERSHIP DUES. OF THE AMOUNT SHOWN, $35,635 WAS PAID TO THE MAINE ASSOCIATION OF HEALTH PLANS, $542,478 WAS PAID TO AMERICA'S HEALTH INSURANCE PLANS AND $791,560 WAS PAID TO THE MASSACHUSETTS 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, $162,000 WAS PAID TO CONSULTING FIRMS. HPHC ALSO HAS INTERNAL STAFF WHO LOBBY. OF THE AMOUNT SHOWN, $184,623 REPRESENTS THE PORTION ON 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 NUMBER OF FIRMS FOR LOBBYING COSTS. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 2290932 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 4157993 | OtherCostOrOtherBasis |
| Book Value | 6448925 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 13944516 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 34689111 | OtherCostOrOtherBasis |
| Depreciation | 24215333 | Depreciation |
| Book Value | 24418294 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 226515211 | OtherCostOrOtherBasis |
| Depreciation | 211642827 | Depreciation |
| Book Value | 14872384 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 0 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 45739603 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| SECURITIES | 194164293 | C |
| CORPORATE DEBT SECURITIES | 326176473 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 520340766 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 1156232 |
| SPECIAL DEPOSITS | 2565012 |
| INVESTMENT IN AFFILIATES | 61620640 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 65341884 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $1,860,227 |
| UNEARNED GROUP PREMIUM | $45,201,660 |
| ACCIDENT AND HEALTH PLANS | $32,425,998 |
| OTHER ACCRUED EXPENSES | $2,290,006 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 81777891 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART X, LINE 2: | Identifier |
| Explanation | THIS IS THE FIN48 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 INSURANCE AGENCY, THE INSURANCE COMPANY 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 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, 2011 AND 2010. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Harvard Pilgrim Health Care Foundation Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 93 Worcester St | AddressLine1 |
| City | Wellesley | City |
| State | MA | State |
| ZIP Code | 024819181 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 042708004 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 14275269 | AmountOfCashGrant |
| Purpose Of Grant | Fund Operations | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE I, PART I, LINE 2 | Identifier |
| Explanation | HARVARD 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 AND SIGNIFICANT COMMUNITY GRANTS. MINIGRANTS OF $500 EACH ARE APPROVED BY AN APPOINTED COMMITTEE BEFORE THEY ARE ISSUED, BUT NO FURTHER OVERSIGHT IS DONE SUBSEQUENT TO THEIR ISSUANCE DUE TO THE SMALL DOLLAR VALUE. OTHER MORE SIGNIFICANT COMMUNITY GRANTS 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 PERFORM REGULAR EVALUATIONS OF THE GRANTS. ADDITIONALLY, FORMAL FISCAL REPORTING OF ALL GRANTS IS PERFORMED AND REVIEWED BY EMPLOYEES OF THE FOUNDATION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | true | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | true | InitialContractException |
| Rebuttable Presumption Procedure | true | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAURA S PEABODY | |||||||||||||
| 364721 | 0 | 179282 | 0 | 2622 | 0 | 99600 | 0 | 29638 | 0 | 675863 | 0 | 0 | 0 |
| JAMES W DUCHARME | |||||||||||||
| 426812 | 0 | 221955 | 0 | 2622 | 0 | 105600 | 0 | 10803 | 0 | 767792 | 0 | 0 | 0 |
| ROBERTA H HERMAN MD | |||||||||||||
| 443871 | 0 | 238015 | 0 | 19882 | 0 | 138350 | 0 | 29638 | 0 | 869756 | 0 | 0 | 0 |
| VINCENT CAPOZZI | |||||||||||||
| 306562 | 0 | 203737 | 0 | 7066 | 0 | 33420 | 0 | 25568 | 0 | 576353 | 0 | 0 | 0 |
| GARY H LIN | |||||||||||||
| 178453 | 0 | 106808 | 0 | 42860 | 0 | 27625 | 0 | 15385 | 0 | 371131 | 0 | 0 | 0 |
| DEBORAH A NORTON | |||||||||||||
| 282200 | 0 | 123532 | 0 | 14220 | 0 | 55695 | 0 | 30440 | 0 | 506087 | 0 | 0 | 0 |
| BETH ANN ROBERTS | |||||||||||||
| 222512 | 0 | 71648 | 0 | 1153 | 0 | 19516 | 0 | 26651 | 0 | 341480 | 0 | 0 | 0 |
| RICHARD WEISBLATT | |||||||||||||
| 260729 | 0 | 91672 | 0 | 16343 | 0 | 22926 | 0 | 24168 | 0 | 415838 | 0 | 0 | 0 |
| CAROLYN LANGER | |||||||||||||
| 247313 | 0 | 43200 | 0 | 990 | 0 | 19428 | 0 | 4773 | 0 | 315704 | 0 | 0 | 0 |
| ERIC H SCHULTZ | |||||||||||||
| 753372 | 0 | 410450 | 0 | 19122 | 0 | 252100 | 0 | 25938 | 0 | 1460982 | 0 | 0 | 0 |
| JOHN F LANE | |||||||||||||
| 250893 | 0 | 98201 | 0 | 3689 | 0 | 46871 | 0 | 26503 | 0 | 426157 | 0 | 0 | 0 |
| DANA A RASHTI | |||||||||||||
| 240671 | 0 | 75557 | 0 | 16251 | 0 | 22823 | 0 | 13860 | 0 | 369162 | 0 | 0 | 0 |
| MARTHA MURPHY | |||||||||||||
| 148222 | 0 | 149676 | 0 | 733 | 0 | 13750 | 0 | 22897 | 0 | 335278 | 0 | 0 | 0 |
| LYNN BOWMAN | |||||||||||||
| 51843 | 0 | 65952 | 0 | 21697 | 0 | 10942 | 0 | 8224 | 0 | 158658 | 0 | 0 | 0 |
| MICHAEL S SHERMAN MD | |||||||||||||
| 220576 | 0 | 170000 | 0 | 17797 | 0 | 0 | 0 | 16336 | 0 | 424709 | 0 | 0 | 0 |
| GREGORY TOPAKIAN | |||||||||||||
| 317980 | 0 | 66900 | 0 | 24792 | 0 | 17920 | 0 | 751 | 0 | 428343 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE J, PART I, LINE 6 | Identifier |
| Explanation | 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 OPERATING EARNINGS OF HPHC, INC. AND AFFILIATES (ON A COMBINED STATUTORY ACCOUNTING BASIS). HPHC ADOPTED A LONG-TERM INCENTIVE PLAN FOR ITS CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER, CHIEF INFORMATION OFFICER, AND CHIEF HUMAN RESOURCES OFFICER FOR FISCAL YEARS 2010 - 2012. THE PLAN IS BASED ON A VARIETY OF PERFORMANCE MEASURES AND IS EARNED OVER A THREE YEAR PERIOD. SOME OR ALL OF THE DEFERRED COMPENSATION AMOUNTS REPORTED HEREIN FOR THE POTENTIAL EARNINGS UNDER THIS PLAN MAY OR MAY NOT BE PAID TO THE EXECUTIVES BASED ON THE ACTUAL RESULTS OF THE PERFORMANCE MEASURES AS DETERMINED AT THE END OF THE THREE YEAR PERIOD. SCHEDULE J, PART I, LINE 7 HARVARD PILGRIM HEALTH CARE (HPHC) ADOPTED A 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, 2011. 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 2011 PLAN YEAR IS BASED ON 8% OF THE PARTICIPANTS' 2010 ELIGIBLE EARNINGS IN EXCESS OF $245,000, UP TO $16,500. IN THE CASE OF EXECUTIVE OFFICERS, HPHC MAKES A CASH PAYMENT IN LIEU OF THE EMPLOYER CONTRIBUTION TO THE 457(B) PLAN. THE EMPLOYER PAYMENT AMOUNT FOR THE 2011 PLAN YEAR IS BASED ON 10% OF THE PARTICIPANTS' 2010 ELIGIBLE EARNINGS IN EXCESS OF $245,000. SCHEDULE J, PART I, LINE 8 ERIC SCHULTZ ENTERED INTO AN EMPLOYMENT CONTRACT WITH HPHC IN MARCH 2010. THE TERMS OF HIS CONTRACT INCLUDE A BASE SALARY, INCENTIVE PROGRAM, HEALTH BENEFITS, AND A SEVERANCE PROVISION. DEBORAH A. NORTON ENTERED INTO AN EMPLOYMENT CONTRACT WITH HPHC IN JULY 2011. THE TERMS OF HER CONTRACT INCLUDE A BASE SALARY, INCENTIVE PROGRAM, HEALTH BENEFITS, AND A SEVERANCE PROVISION. JOHN F. LANE ENTERED INTO AN EMPLOYMENT CONTRACT WITH HPHC IN JULY 2011. THE TERMS OF HIS CONTRACT INCLUDE A BASE SALARY, INCENTIVE PROGRAM, HEALTH BENEFITS, AND A SEVERANCE PROVISION. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MURPHY HESSE TOOMEY LEHANE LL | |||
| DIRECTOR IS PARTNER | 400190 | PAYMENTS FOR HEALTH INSURANCE | false |
| BRIGHT HORIZONS | |||
| VICE CHR/DIR IS PRES/COO | 2619071 | PAYMENTS FOR HEALTH INSURANCE | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (2 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART I, LINE 1 & PART III, LINE 1 | 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 15 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 2 | JAMES W. DUCHARME LAURA S. PEABODY GARY H. LIN BUSINESS RELATIONSHIP - THESE INDIVIDUALS SERVE ON THE BOARD OR ARE AN OFFICER OR KEY EMPLOYEE OF ONE OR MORE FOR PROFIT ORGANIZATIONS RELATED TO HPHC, INC. FORM 990, PART VI, LINE 11B ONCE HARVARD PILGRIM'S FORM 990 IS COMPLETE WITH THE ASSISTANCE OF ITS OUTSIDE TAX ACCOUNTANTS, IT IS FIRST REVIEWED BY HPHC'S INTERNAL MANAGEMENT AND THEN HPHC'S AUDIT COMMITTEE CHAIRPERSON (AN INDEPENDENT BOARD DIRECTOR OF THE ORGANIZATION). FOLLOWING THAT REVIEW, THE AUDIT COMMITTEE CHAIR AND OUTSIDE ADVISORS PRESENT THE FORM 990 TO THE AUDIT COMMITTEE. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, LINE 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 CAUSES 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 CASE 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. COMBINED FINANCIAL STATEMENTS OF HPHC AND AFFILIATES ARE POSTED TO THE ORGANIZATION'S WEBSITE. 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 5 NET UNREALIZED GAIN 9,739,746 CHANGE IN NONADMITTED ASSETS (7,253,938) CHANGE IN SURPLUS NOTES (9,714,897) ____________ TOTAL (7,229,089) 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. | ERIC H. SCHULTZ |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARVARD PILGRIM HEALTH CARE INST LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 133 BROOKLINE AVE | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 022153923 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 943477531 | EIN |
| Primary Activities | RESEARCH | PrimaryActivities |
| Legal Domicile State | MA | LegalDomicileState |
| Total Income | 7076632 | TotalIncome |
| EOY Assets | 19528226 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HPHC | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| HPHC Foundation Inc | ||||||||||
| 93 WORCESTER STREET | WELLESLEY | MA | 02481 | 042708004 | community svc | MA | 501(C)(3) | 11a-I | HPHC | true |
| HPHC of New England Inc | ||||||||||
| 93 WORCESTER STREET | WELLESLEY | MA | 02481 | 042663394 | health insur | MA | 501(C)(4) | HPHC | true | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HPHC Insurance Company Inc | |||||||||||
| 93 WORCESTER STREET | WELLESLEY | MA | 024819181 | 043149694 | HEALTH INSURANCE | MA | HPHC INC | C CORP | 5384999 | 132532196 | 1.00000 |
| HPHC Holding Company Inc | |||||||||||
| 93 WORCESTER STREET | WELLESLEY | MA | 024819181 | 043306439 | HOLDING | MA | HPHC INC | C CORP | 0 | 0 | 1.00000 |
| Plan Marketing Insurance Agency Inc | |||||||||||
| 1500 W PARK DRIVE STE 330 | WESTBOROUGH | MA | 01581 | 042734281 | BROKERAGE | MA | HEALTH PLANS | C CORP | 0 | 0 | 1.00000 |
| HPHC Insurance Agency Inc | |||||||||||
| 93 WORCESTER STREET | WELLESLEY | MA | 024819181 | 043016201 | BROKERAGE | MA | HPHC INC | C CORP | 152413 | 288240 | 1.00000 |
| Health Plans Inc | |||||||||||
| 1500 W PARK DRIVE STE 330 | WESTBOROUGH | MA | 01581 | 042734278 | ASO SERVICES | MA | HPHC INC | C CORP | 2392354 | 19790101 | 1.00000 |
| Care Management Services Inc | |||||||||||
| 1500 W PARK DRIVE STE 330 | WESTBOROUGH | MA | 01581 | 043438779 | ASO SERVICES | MA | HEALTH PLANS | C CORP | 0 | 0 | 1.00000 |
| HARVARD PILGRIM PHYSICIANS ASSOC INC | |||||||||||
| 93 WORCESTER ST | WELLESLEY | MA | 024819181 | PHYSICIAN ORG | MA | HPHC INC | SEE PART VII | 0 | 0 | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HPHC FOUNDATION INC | ||
| B | 14275269 | CASH |
| HPHC OF NEW ENGLAND INC | ||
| K,M,N | 24587192 | allocation |
| hphc foundation inc | ||
| K,M,N | 456366 | allocation |
| HPHC INSURANCE COMPANY INC | ||
| K,M,N | 75425891 | allocation |
| HEALTH PLANS INC | ||
| K,M,N | 1942833 | allocation |
| HPHC FOUNDATION INC | ||
| A (IV | 174201 | contract |
| HEALTH PLANS INC | ||
| A (IV | 314123 | contract |
| HPHC OF NEW ENGLAND INC | ||
| E | 1671486 | contract |
| HPHC FOUNDATION INC | ||
| D | 453990 | contract |
| HEALTH PLANS INC | ||
| D | 698631 | contract |
| HPHC INSURANCE COMPANY INC | ||
| E | 188741 | contract |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE R, PART IV | Identifier |
| Explanation | HARVARD PILGRIM PHYSICIANS ASSOCIATES, INC. IS A NONPROFIT ORGANIZED UNDER THE LAWS OF MASSACHUSETTS. IT HAS NOT APPLIED FOR AN EIN OR TAX-EXEMPT STATUS AT THE FEDERAL LEVEL. | Explanation |