Form 990 for tax year 2023
Filed by HARVARD PILGRIM HEALTH CARE INC.
Totals
- Total revenue
- $2,234,674,724
- Total expenses
- $2,274,248,118
- Contributions and grants received
- $108,861,517
- Grants paid
- $6,000,000
- Program service revenue
- $2,094,574,737
- Investment income
- $26,146,615
- Other revenue
- $5,091,855
- Total assets, end of year
- $1,111,423,122
- Total liabilities, end of year
- $497,415,505
- Net assets or fund balances, end of year
- $614,007,617
- Program services expenses (Part IX)
- $2,205,605,384
- Management and general expenses
- $68,642,734
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,205,605,384
Program services were 97.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
CAIN HAYES
PRESIDENT & CEO
- Total calculated
- $4,246,459
- From this org
- $0
- From related orgs
- $3,859,017
- Other
- $387,442
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $1,219,827 related
- Bonus
- $0 + $2,572,806 related
- Other
- $0 + $66,384 related
- Deferred
- $0 + $359,082 related
- Nontaxable benefits
- $0 + $28,360 related
- Filer's total
- $0 + $4,246,459 related
-
PHILIP BARR
EVP, PRESIDENT, MARKETS
- Total calculated
- $1,952,558
- From this org
- $0
- From related orgs
- $1,750,853
- Other
- $201,705
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $689,979 related
- Bonus
- $0 + $1,038,329 related
- Other
- $0 + $22,545 related
- Deferred
- $0 + $191,017 related
- Nontaxable benefits
- $0 + $10,688 related
- Filer's total
- $0 + $1,952,558 related
-
PATRICIA HOWARD
COO (END 5/3)
- Total calculated
- $1,672,334
- From this org
- $0
- From related orgs
- $1,613,105
- Other
- $59,229
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $221,778 related
- Bonus
- $0 + $976,250 related
- Other
- $0 + $415,077 related
- Deferred
- $0 + $51,154 related
- Nontaxable benefits
- $0 + $8,075 related
- Filer's total
- $0 + $1,672,334 related
-
UMESH KURPAD
CFO (END 7/4)
- Total calculated
- $1,621,244
- From this org
- $0
- From related orgs
- $1,454,835
- Other
- $166,409
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $421,895 related
- Bonus
- $0 + $889,814 related
- Other
- $0 + $143,126 related
- Deferred
- $0 + $151,586 related
- Nontaxable benefits
- $0 + $14,823 related
- Filer's total
- $0 + $1,621,244 related
-
PETE CHURCH
CHIEF PEOPLE OFFICER
- Total calculated
- $1,548,068
- From this org
- $0
- From related orgs
- $1,348,346
- Other
- $199,722
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $599,057 related
- Bonus
- $0 + $729,488 related
- Other
- $0 + $19,801 related
- Deferred
- $0 + $171,542 related
- Nontaxable benefits
- $0 + $28,180 related
- Filer's total
- $0 + $1,548,068 related
-
R SCOTT WALKER
CFO (START 7/5)
- Total calculated
- $1,469,774
- From this org
- $0
- From related orgs
- $1,454,449
- Other
- $15,325
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $326,498 related
- Bonus
- $0 + $400,000 related
- Other
- $0 + $727,951 related
- Deferred
- $0 + $1,453 related
- Nontaxable benefits
- $0 + $13,872 related
- Filer's total
- $0 + $1,469,774 related
-
TISA HUGHES
CLERK/SECRETARY
- Total calculated
- $1,466,203
- From this org
- $0
- From related orgs
- $1,330,477
- Other
- $135,726
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $555,477 related
- Bonus
- $0 + $721,793 related
- Other
- $0 + $53,207 related
- Deferred
- $0 + $109,372 related
- Nontaxable benefits
- $0 + $26,354 related
- Filer's total
- $0 + $1,466,203 related
-
TRACEY CARTER
SVP, CHIEF ACTUARY
- Total calculated
- $1,343,146
- From this org
- $0
- From related orgs
- $1,175,535
- Other
- $167,611
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $485,791 related
- Bonus
- $0 + $593,808 related
- Other
- $0 + $95,936 related
- Deferred
- $0 + $145,413 related
- Nontaxable benefits
- $0 + $22,198 related
- Filer's total
- $0 + $1,343,146 related
-
SELMA FERHATBEGOVIC
SVP, CHIEF INFORMATION OFFICER
- Total calculated
- $1,260,256
- From this org
- $0
- From related orgs
- $1,107,453
- Other
- $152,803
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $413,120 related
- Bonus
- $0 + $610,978 related
- Other
- $0 + $83,355 related
- Deferred
- $0 + $124,712 related
- Nontaxable benefits
- $0 + $28,091 related
- Filer's total
- $0 + $1,260,256 related
-
MARK PORTER
TREASURER (START 10/12)
- Total calculated
- $1,222,453
- From this org
- $0
- From related orgs
- $1,055,628
- Other
- $166,825
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $421,133 related
- Bonus
- $0 + $589,288 related
- Other
- $0 + $45,207 related
- Deferred
- $0 + $139,911 related
- Nontaxable benefits
- $0 + $26,914 related
- Filer's total
- $0 + $1,222,453 related
-
PATRICIA BLAKE
SVP, PRESIDENT MEDICARE
- Total calculated
- $1,211,996
- From this org
- $0
- From related orgs
- $1,051,263
- Other
- $160,733
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $432,426 related
- Bonus
- $0 + $523,929 related
- Other
- $0 + $94,908 related
- Deferred
- $0 + $132,631 related
- Nontaxable benefits
- $0 + $28,102 related
- Filer's total
- $0 + $1,211,996 related
-
KRISTIN LEWIS
CHIEF PUB & COMM AFF OFFICER
- Total calculated
- $1,187,178
- From this org
- $0
- From related orgs
- $1,034,645
- Other
- $152,533
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $423,813 related
- Bonus
- $0 + $535,467 related
- Other
- $0 + $75,365 related
- Deferred
- $0 + $130,361 related
- Nontaxable benefits
- $0 + $22,172 related
- Filer's total
- $0 + $1,187,178 related
-
MICHAEL CARSON
FORMER PRESIDENT (END 10/1/21)
- Total calculated
- $866,154
- From this org
- $0
- From related orgs
- $866,154
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $866,154 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $866,154 related
-
SUSAN KEE
CLERK/SECRETARY (START 12/11)
- Total calculated
- $717,571
- From this org
- $0
- From related orgs
- $645,368
- Other
- $72,203
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $342,136 related
- Bonus
- $0 + $287,804 related
- Other
- $0 + $15,428 related
- Deferred
- $0 + $71,137 related
- Nontaxable benefits
- $0 + $1,066 related
- Filer's total
- $0 + $717,571 related
-
ROLAND PRICE
TREASURER (END 10/11)
- Total calculated
- $675,379
- From this org
- $0
- From related orgs
- $596,123
- Other
- $79,256
- Hours/week
- 10 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $275,979 related
- Bonus
- $0 + $287,902 related
- Other
- $0 + $32,242 related
- Deferred
- $0 + $64,858 related
- Nontaxable benefits
- $0 + $14,398 related
- Filer's total
- $0 + $675,379 related
-
THOMAS CROSWELL
FORMER CEO
- Total calculated
- $621,650
- From this org
- $0
- From related orgs
- $612,500
- Other
- $9,150
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0 + $612,500 related
- Other
- $0
- Deferred
- $0 + $9,150 related
- Nontaxable benefits
- $0
- Filer's total
- $0 + $621,650 related
-
DEBORAH NORTON
FORMER SVP, CIO
- Total calculated
- $178,912
- From this org
- $170,069
- From related orgs
- $0
- Other
- $8,843
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $170,069
- Deferred
- $8,843
- Nontaxable benefits
- $0
- Filer's total
- $178,912
-
EILEEN AUEN
DIRECTOR, CHAIR
- Total calculated
- $161,250
- From this org
- $161,250
- From related orgs
- $0
- Other
- $0
- Hours/week
- 2 + 6 related
Schedule J breakdown matched by us
- Base
- $161,250
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $161,250
-
MICHAEL J MCCOLGAN
DIRECTOR
- Total calculated
- $131,750
- From this org
- $131,750
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 3 related
-
GREGORY D TRANTER
DIRECTOR
- Total calculated
- $129,375
- From this org
- $129,375
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 3 related
-
MICHAEL SHEA
DIRECTOR
- Total calculated
- $123,375
- From this org
- $123,375
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 3 related
-
BERTRAM L SCOTT
DIRECTOR
- Total calculated
- $119,375
- From this org
- $119,375
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 3 related
-
HEDWIG VEITH WHITNEY
DIRECTOR
- Total calculated
- $117,375
- From this org
- $117,375
- From related orgs
- $0
- Other
- $0
- Hours/week
- 0 + 1 related
-
MYECHIA MINTER-JORDAN MD
DIRECTOR (END 12/8)
- Total calculated
- $116,375
- From this org
- $116,375
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 3 related
-
TODD WHITBECK
DIRECTOR
- Total calculated
- $113,000
- From this org
- $113,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 3 related
-
PETER SLAVIN MD
DIRECTOR
- Total calculated
- $112,000
- From this org
- $112,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 3 related
-
RAYMOND PAWLICKI
DIRECTOR
- Total calculated
- $111,000
- From this org
- $111,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 3 related
-
IRINA SIMMONS
DIRECTOR
- Total calculated
- $109,000
- From this org
- $109,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 3 related
-
JOYCE MURPHY
DIRECTOR
- Total calculated
- $107,000
- From this org
- $107,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 3 related
-
GREG SHELL
DIRECTOR, VICE CHAIR
- Total calculated
- $13,000
- From this org
- $13,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1 + 5 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- FORM 990, SCHEDULE J, PART I, LINE 3
- METHOD USED TO ESTABLISH CEO COMPENSATION HARVARD PILGRIM HEALTH CARE, INC. RELIED ON ITS PARENT AND SOLE CORPORATE MEMBER, POINT32HEALTH, INC., TO ESTABLISH COMPENSATION FOR ITS CEO. THE METHODS USED BY POINT32HEALTH, INC. ARE AS FOLLOWS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE -WRITTEN EMPLOYMENT AGREEMENT ----------
- FORM 990, SCHEDULE J, PART I, LINE 4A
- SEVERANCE PAYMENTS THE FOLLOWING SENIOR LEADERS, WHO DEPARTED THE COMPANY FOLLOWING THE CLOSE OF THE TRANSACTION, RECEIVED SEVERANCE OR CHANGE IN CONTROL PAYMENTS RELATING TO THE COMBINATION OF HARVARD PILGRIM HEALTH CARE AND TUFTS HEALTH PLAN. THESE PAYMENTS WERE DESIGNED TO RETAIN LEADERS WITH SIGNIFICANT EXPERTISE IN KEY AREAS AND TO ENSURE CONTINUITY OF OPERATIONS FOR BOTH ORGANIZATIONS THROUGH A LENGTHY AND UNCERTAIN REGULATORY REVIEW PROCESS THAT SPANNED OVER A FIFTEEN MONTH PERIOD, AS WELL AS A GLOBAL PANDEMIC: MICHAEL CARSON = $866,154 DEBORAH NORTON = $170,069 THE FOLLOWING SENIOR LEADER ALSO RECEIVED SEVERANCE PAYMENTS IN 2023: PATRICIA HOWARD = $413,486 ----------
- FORM 990, SCHEDULE J, PART I, LINE 4B
- DISCRETIONARY RETIREMENT PLAN THE ORGANIZATION'S LEADERS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SPONSORED BY THEIR EMPLOYER, POINT32HEALTH SERVICES, INC., A RELATED PARTY. THE EMPLOYEES AND AMOUNTS LISTED ON SCHEDULE J, PART II, COLUMN C REFLECT EMPLOYER CONTRIBUTIONS TO THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. ----------
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
-
$6,000,000
FUND OPERATIONS
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(4) · HEALTH INSURA · MA · controlled entity
Directly controlled by HPHCINC
-
501 (C)(3) · GRANT MAKING · MA · controlled entity
Directly controlled by TAHMO
-
501(C)(4) · HMO · MA · controlled entity
Directly controlled by P32H
-
501(C)(4) · HEALTHCARE · MA
Directly controlled by NA
-
TUFTS ASSOC HEALTH MAINTEN ORG INC
501(C)(4) · HMO · MA · controlled entity
Directly controlled by P32H
-
CARE PARTNERS OF CONNECTICUT INC
501(C)(4) · HMO · CT · controlled entity
Directly controlled by TAHMO
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
HARVARD PILGRIM HEALTH CARE INST LLC
RESEARCH · MA · income $36,516,918 · assets $72,446,377
Directly controlled by HPHCINC
Related partnerships
Part III: related organizations taxable as a partnership, with the filer's share.
-
CAREPARTNERS OF CT HOLDINGS LLC
N/A · HOLDING COMPA · CT
Directly controlled by TAHMO
-
CLARION MANAGEMENT SOLUTIONS LLC
N/A · CLINICAL CONS · DE
Directly controlled by EH NEXUS
-
N/A · HOLDING COMPA · MA
Directly controlled by HEALTH PLANS
-
N/A · SELF INSURANC · DE
Directly controlled by EH NEXUS
-
N/A · HEALTHCARE · CA
Directly controlled by TAHMO
-
N/A · HEALTHCARE · CA
Directly controlled by TAHMO
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C CORP · HEALTH INSURANCE · MA · controlled entity
Directly controlled by NEW HPHC HOLDCO
-
PLAN MARKETING INSURANCE AGENCY INC
C CORP · BROKERAGE · MA · controlled entity
Directly controlled by HEALTH PLANS
-
C CORP · BROKERAGE · MA · controlled entity
Directly controlled by NEW HPHC HOLDCO
-
C CORP · TPA · MA · controlled entity
Directly controlled by NEW HPHC HOLDCO
-
C CORP · CARE MANAGEMENT · MA · controlled entity
Directly controlled by HEALTH PLANS
-
C CORP · HOLDING COMPANY · DE · controlled entity
Directly controlled by HPHC INC
-
C CORP · MANAGEMENT SVCS · DE · controlled entity
Directly controlled by TAHMO
-
C CORP · INSURANCE · MA · controlled entity
Directly controlled by P32H SRVCS INC
-
TUFTS BENEFIT ADMINISTRATORS INC
C CORP · TPA · MA · controlled entity
Directly controlled by P32H SRVCS INC
-
C CORP · TPA · MA · controlled entity
Directly controlled by P32H SRVCS INC
-
C CORP · BROKERAGE · MA · controlled entity
Directly controlled by P32H SRVCS INC
-
C CORP · MED EQUIPT & SVCS · NY · controlled entity
Directly controlled by TAHMO
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 13 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202413209349304716
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