2024-05-10T08:20:05-05:00 2022-12-31 043230035 PARTNERS HEALTHCARE SYSTEM 399 REVOLUTION DRIVE SOMERVILLE MA 02145 990 2022-01-01 042932021 MASS GENERAL BRIGHAM HEALTH PLAN INC MASS 8572820747 399 REVOLUTION DRIVE 645 SOMERVILLE MA 021451446 LUCIA F SILVA CHIEF FINANCIAL OFFICER 8572820747 2024-05-10 0 LUCIA SILVA 999009999 0 8572820747 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X STEVEN J TRINGALE 399 REVOLUTION DRIVE SOMERVILLE MA 02145 933769004 0 X WWW.MASSGENERALBRIGHAMHEALTHPLAN.ORG X 1986 MA MASS GENERAL BRIGHAM HEALTH PLAN'S MISSION IS TO PROMOTE THE HEALTH AND WELLNESS OF OUR MEMBERS, AND TO HELP ENSURE EQUITABLE, AFFORDBALE HEALTH CARE FOR THE DIVERSE COMMUNITIES WE SERVE. 10 7 0 0 0 0 0 0 868839866 910582899 4636857 1137255 0 0 873476723 911720154 0 0 785172940 835832148 40910337 42943327 0 0 0 58608003 68422771 884691280 947198246 -11214557 -35478092 334419352 323847785 175566059 199561298 158853293 124286487 X SEE SCHEDULE O 0 0 934497284 0 910582899 HEALTH CARE DELIVERY: MASS GENERAL BRIGHAM HEALTH PLAN PROMOTES THE GENERAL WELFARE OF THE PEOPLE IN THE COMMUNITY BY FACILITATING THE DELIVERY OF COMPREHENSIVE HEALTH SERVICES ON A PREPAID BASIS TO MEMBERS AT 2,136 PRIMARY CARE LOCATIONS. FULLY INSURED MEMBERS INCLUDE APPROXIMATELY 124,000 INDIVIDUALS COVERED BY MEDICAID, SMALL AND LARGE EMPLOYER GROUPS AND LOW-INCOME, HIGH-RISK INDIVIDUALS. DURING 2022, MEMBERS INCURRED APPROXIMATELY 1.9 MILLION AMBULATORY ENCOUNTERS AND INCURRED APPROXIMATELY 45,000 HOSPITAL PATIENT DAYS. MASS GENERAL BRIGHAM HEALTH PLAN OFFERS MEMBERS ACCESS TO 8,292 PRIMARY CARY PHYSICIANS AND OVER 50,000 SPECIALTY CARE PROVIDERS. SINCE 2008 MASS GENERAL BRIGHAM HEALTH PLAN HAS BEEN ACCREDITED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). NCQA ACCREDITATION SURVEY PROCESS INCLUDES ON AND OFF SITE EVALUATIONS OF OVER 60 STANDARDS AND PERFORMANCE MEASURES CONDUCTED BY A TEAM OF PHYSICIANS AND MANAGED CARE EXPERTS. EVERY PART OF MASS GENERAL BRIGHAM HEALTH PLAN HEALTHCARE DELIVERY SYSTEM WAS EVALUATED INCLUDING PHYSICIANS, HOSPITALS, AFFILIATED PROVIDERS, AND ADMINISTRATIVE SERVICES. MASS GENERAL BRIGHAM HEALTH PLAN VOLUNTARILY PURSUED NCQA ACCREDITATION AND WILL CONTINUE TO STRIVE FOR THIS RECOGNITION BECAUSE WE KNOW OUR MEMBERS DESERVE THE HIGHEST QUALITY CARE. IN THE LATEST HEALTH PLAN SURVEY RATINGS, WE ACHIEVED A 4.5 OUT OF 5.0-STAR RATING FOR BOTH OUR COMMERCIAL AND MEDICAID PLANS, WHICH IS CONSIDERED EXCELLENT. 934497284 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1458 0 1 0 0 0 0 0 0 0 0 0 0 0 X 10 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X TAK TANG CONTROLLER 8572823317 399 REVOLUTION DRIVE SUITE 645 SOMERVILLE MA 02145 STEVEN J TRINGALE PRESIDENT & DIRECTOR 50.00 1.00 X X 0 868051 46309 ALAN ANTHONY JAMES DIRECTOR 1.00 50.00 X 0 803809 60308 MATTHEW FISHMAN DIRECTOR 1.00 50.00 X 0 483478 58002 CLARITZA N ABREU DIRECTOR 1.00 1.00 X 0 0 0 RICHARD E HOLBROOK DIRECTOR 1.00 1.00 X 0 0 0 JAMES W HUNT JR DIRECTOR 1.00 1.00 X 0 0 0 LESLEE L KILEY DIRECTOR 1.00 1.00 X 0 0 0 ANTONIA G MCGUIRE DIRECTOR 1.00 1.00 X 0 0 0 RAUL MEDINA GOMEZ DIRECTOR 1.00 1.00 X 0 0 0 ANNE M WILKINS DIRECTOR 1.00 1.00 X 0 0 0 NIYUM GANDHI TREASURER 1.00 50.00 X 0 1746250 40992 JOHN R HIGHAM ESQ SECRETARY 1.00 50.00 X 0 440853 56617 LUCIA SILVA CHIEF FINANCIAL OFFICER 50.00 1.00 X 0 455655 36707 LINDSAY E JUBELT MD CHIEF POPULATION HEALTH OFF., CMO 50.00 1.00 X 0 917215 28216 FARAH SHAFI DEPUTY CHIEF MEDICAL OFFICER 50.00 1.00 X 0 559776 34328 SUJATA SANGHVI CHIEF ACTUARY 50.00 1.00 X 0 524388 61849 MARK MCCORMICK CHIEF OPERATING OFFICER 50.00 1.00 X 0 479995 46374 JENNIFER B ST THOMAS SVP OF SALES 50.00 1.00 X 0 431567 64124 ALICE MOORE SVP LEGAL, REGULATORY AFFAIRS & 50.00 1.00 X 0 302042 63375 RONI MANSUR VP PRODUCT MANAGEMENT 50.00 1.00 X 0 321706 22301 KATHARINE K LEESON CHIEF OF STAFF & VP OF CORP. SV 50.00 1.00 X 0 296286 45685 YOGENDRA BUNDELA DEPUTY CHIEF INFORMATION OFFICER 50.00 1.00 X 0 265127 50980 JOSEPH CAPEZZA FINANCIAL STRATEGY CONSULTANT 50.00 1.00 X 0 439568 58090 LISA SCARFO MEDICAL DIRECTOR 50.00 1.00 X 0 352923 39062 JAMES HELLINGER MEDICAL DIRECTOR 50.00 1.00 X 0 307869 62944 MARYBETH LIANG VP ACTUARY 50.00 1.00 X 0 309606 45793 DONALD NICHOLS DOUGHERTY VP DIGITAL 50.00 1.00 X 0 305858 43844 PETER K MARKELL FORMER TREASURER 1.00 50.00 X 0 1950362 329 ELIZABETH M AZANO ESQ FORMER SECRETARY 1.00 50.00 X 0 261946 53588 CHRISTINE MURPHY FORMER KEY EMPLOYEE 50.00 1.00 X 0 275791 38231 VINCENT CAPOZZI FORMER KEY EMPLOYEE 50.00 1.00 X 0 234706 10544 MARISSA FOX-FOLEY FORMER KEY EMPLOYEE 50.00 1.00 X 0 111186 11566 0 13446013 1080158 0 1 1 0 UNITED BEHAVIORAL HEALTH PO BOX 30755 SALT LAKE CITY UT 84130 CLAIMS ADMINSTRATION 142232332 HARVARD VANGUARD MEDICAL ASSOCIATES 275 GROVE ST STE 3-300 AUBURNDALE MA 02466 MEDICAL SERVICES 15642298 COGNIZANT TRIZETTO SOFTWARE GROUP INC 28125 NETWORK PLACE CHICAGO IL 60673 HEALTHCARE IT SERVICES 5796884 MERRIMACK VALLEY ACCOUNTABLE CARE ORGANI 15 UNION ST STE 555 LAWRENCE MA 01840 MEDICAL SERVICES 4754836 LAWRENCE GENERAL HOSPITAL 1 GENERAL ST LAWRENCE MA 01841 MEDICAL SERVICES 4383051 61 COMMERCIAL PREMIUM REV 524114 664243413 664243413 MEDICAID PREMIUM REVEN 524114 246339486 246339486 910582899 2075510 2075510 21110595 22048850 -938255 -938255 -938255 911720154 910582899 0 1137255 835832148 835832148 33136396 29844552 3291844 9593562 8640516 953046 213369 192172 21197 751828 751828 65895 65895 156971 156971 3832406 3451686 380720 16881023 15204024 1676999 10879862 9799032 1080830 2903716 2615254 288462 20241 18230 2011 153552 138298 15254 185461 185461 658075 658075 GENERAL CONSULTING SERV 16106679 14506605 1600074 BROKER COMMISSIONS 13713241 12350937 1362304 MEMBERSHIPS, TAXES, REC 1145995 1032149 113846 TEMP AGENCIES 604554 544496 60058 363272 327185 36087 947198246 934497284 12700962 0 11600568 6087110 37994886 73572784 88428813 64302863 953022 660880 158165942 139454751 37276121 39769397 334419352 323847785 161913003 166304988 12464699 8021744 1188357 25234566 175566059 199561298 X 158853293 124286487 158853293 124286487 334419352 323847785 X -35478092 -19088714 20000000 X X 0 1 X 1 0 0 0 ACCRUED INTEREST RECEIVABLE 533808 REINSURANCE RECEIVABLE 4596671 PHARMACY REBATE RECEIVABLE 23821167 OTHER RECEIVABLE 6379441 RECEIVABLE FOR SECURITIES 208590 DUE FROM AFFILIATES 4229720 39769397 DUE TO AFFILIATES 4723601 PREMIUM DEFICIENCY RESERVES 20510965 25234566 X 910582899 0 910582899 1137255 1137255 911720154 945676814 0 945676814 156971 1364461 1521432 947198246 PART X, LINE 2: MASS GENERAL BRIGHAM HEALTH PLAN, INC. DOES NOT HAVE A FIN 48 (ASC 740) FOOTNOTE DISCLOSURE IN IT'S AUDITED FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT INCOME 2,075,510. NET LOSS ON SALE OF ASSETS -938,255. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST EXPENSES 185,461. CORPORATE OVERHEAD EXPENSES 1,179,000. X X X X X 1 0 0 0 0 0 0 1 0 PETER K MARKELL FORMER TREASURER 0 0 0 0 0 1950362 0 0 0 329 0 1950691 0 0 NIYUM GANDHI TREASURER 0 1459480 0 100000 0 186770 0 18300 0 22692 0 1787242 0 0 LINDSAY E JUBELT MD CHIEF POPULATION HEALTH OFF., CMO 0 750343 0 92840 0 74032 0 21350 0 6866 0 945431 0 0 STEVEN J TRINGALE PRESIDENT & DIRECTOR 0 673307 0 100000 0 94744 0 30500 0 15809 0 914360 0 0 ALAN ANTHONY JAMES DIRECTOR 0 659215 0 58991 0 85603 0 33550 0 26758 0 864117 0 0 FARAH SHAFI DEPUTY CHIEF MEDICAL OFFICER 0 452163 0 54909 0 52704 0 24400 0 9928 0 594104 0 0 SUJATA SANGHVI CHIEF ACTUARY 0 434786 0 51415 0 38187 0 27450 0 34399 0 586237 0 0 MATTHEW FISHMAN DIRECTOR 0 407953 0 0 0 75525 0 33640 0 24362 0 541480 0 0 MARK MCCORMICK CHIEF OPERATING OFFICER 0 391991 0 69033 0 18971 0 24400 0 21974 0 526369 0 0 JOSEPH CAPEZZA FINANCIAL STRATEGY CONSULTANT 0 385500 0 0 0 54068 0 33550 0 24540 0 497658 0 0 JOHN R HIGHAM ESQ SECRETARY 0 377556 0 21471 0 41826 0 33550 0 23067 0 497470 0 0 JENNIFER B ST THOMAS SVP OF SALES 0 383221 0 31500 0 16846 0 21350 0 42774 0 495691 0 0 LUCIA SILVA CHIEF FINANCIAL OFFICER 0 357796 0 44800 0 53059 0 11357 0 25350 0 492362 0 0 LISA SCARFO MEDICAL DIRECTOR 0 295615 0 0 0 57308 0 30500 0 8562 0 391985 0 0 JAMES HELLINGER MEDICAL DIRECTOR 0 241805 0 1530 0 64534 0 33640 0 29304 0 370813 0 0 ALICE MOORE SVP LEGAL, REGULATORY AFFAIRS & 0 234802 0 30738 0 36502 0 28676 0 34700 0 365418 0 0 MARYBETH LIANG VP ACTUARY 0 281483 0 27982 0 141 0 14538 0 31255 0 355399 0 0 DONALD NICHOLS DOUGHERTY VP DIGITAL 0 268200 0 16072 0 21586 0 16316 0 27528 0 349702 0 0 RONI MANSUR VP PRODUCT MANAGEMENT 0 281531 0 16800 0 23375 0 9937 0 12364 0 344007 0 0 KATHARINE K LEESON CHIEF OF STAFF & VP OF CORP. SV 0 268984 0 23940 0 3362 0 21156 0 24529 0 341971 0 0 YOGENDRA BUNDELA DEPUTY CHIEF INFORMATION OFFICER 0 205209 0 12306 0 47612 0 20543 0 30437 0 316107 0 0 ELIZABETH M AZANO ESQ FORMER SECRETARY 0 209237 0 11456 0 41253 0 23153 0 30434 0 315533 0 0 CHRISTINE MURPHY FORMER KEY EMPLOYEE 0 174672 0 0 0 101119 0 27159 0 11072 0 314022 0 0 VINCENT CAPOZZI FORMER KEY EMPLOYEE 0 32731 0 0 0 201975 0 4171 0 6373 0 245250 0 0 MARISSA FOX-FOLEY FORMER KEY EMPLOYEE 0 89807 0 0 0 21379 0 6544 0 5021 0 122751 0 0 PART I LINE 4A SCHEDULE J: SERVERANCE PAYMENTS INCLUDED IN AMOUNTS REPORTED IN SCHEDULE J: VINCENT CAPOZZI $185,000 PETER K. MARKELL $1,913,100 PART I, LINE 7: CERTAIN EMPLOYEES RECEIVED INCENTIVE COMPENSATION BASED ON ACHIEVEMENT OF ORGANIZATIONAL AND INDIVIDUAL GOALS. THE COMPENSATION COMMITTEE OF MASS GENERAL BRIGHAM INCORPORATED OR THE COMPENSATION COMMITTEES OF MASS GENERAL BRIGHAM SUBRODINATE ENTITIES HAVE THE FINAL AUTHORITY FOR SUCH PAYMENTS. DIRECTOR COMPENSATION DIRECTORS RECEIVE NO COMPENSATION OR CONTRIBUTIONS TO EMPLOYEE BENEFIT PLANS FOR SERVICE ON THE BOARD OR ITS COMMITTEES. BOARD MEMBERS WHO ARE ALSO EMPLOYED BY THE CORPORATION OR A MASS GENERAL BRIGHAM AFFILIATE RECEIVE COMPENSATION ONLY FOR THEIR SERVICES AS EMPLOYEES. FORM 990, PART III, LINE 1: MASS GENERAL BRIGHAM HEALTH PLAN, INC. A NOT-FOR-PROFIT CORPORATION, IN PARTNERSHIP WITH COMMUNITY HEALTH CENTERS AND OTHER COMMUNITY-RESPONSIVE PROVIDERS, DEVELOPS AND OPERATES COOPERATIVE MANAGED CARE SYSTEMS WHICH ARE MEMBER FOCUSED, QUALITY DRIVEN, COMMUNITY BASED, CULTURALLY RESPONSIVE, AND FINANCIALLY VIABLE IN CONTEMPORARY AND FUTURE HEALTH CARE ENVIRONMENTS. FORM 990, PART VI, SECTION A, LINE 6 MEMBER AUTHORITY: PURSUANT TO THE CORPORATE BYLAWS OF THE ORGANIZATION, THE AUTHORITY FOR THE FOLLOWING ACTIONS IS RESERVED TO THE SOLE MEMBER OF THE ORGANIZATION. THE SOLE MEMBER OF THE ORGANIZATION IS MASS GENERAL BRIGHAM HEALTH PLAN HOLDING COMPANY, INC.; AND THE SOLE MEMBER OF MASS GENERAL BRIGHAM HEALTH PLAN HOLDING COMPANY, INC. IS MASS GENERAL BRIGHAM INCORPORATED (MGB), ACTING THROUGH ITS BOARD OF DIRECTORS. (1) APPOINT A FIRM OF PUBLIC ACCOUNTANTS ANNUALLY TO CONDUCT AN INDEPENDENT AUDIT OF THE CORPORATION'S FINANCIAL AFFAIRS DURING THE FISCAL YEAR LAST ENDED; (2) REVIEW AND APPROVE ALL PROPOSED CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (3) REVIEW AND APPROVE EACH UNBUDGETED OPERATING OR CAPITAL EXPENDITURE OF THE CORPORATION THAT EXCEEDS SUCH AMOUNT AS HAS BEEN SPECIFIED BY THE MEMBER FROM TIME TO TIME; (4) REVIEW AND APPROVE EACH TRANSACTION PURSUANT TO WHICH THE CORPORATION WOULD INCUR NEW DEBT THROUGH LENDER FINANCING OR WOULD GUARANTY THE LENDER-FINANCED DEBT OF OTHERS; (5) REVIEW AND APPROVE EACH AGREEMENT OR OTHER COMMITMENT BINDING ON THE CORPORATION THAT IS OF SUCH A TYPE, OR THAT REQUIRES AN EXPENDITURE OF FUNDS IN EXCESS OF SUCH AMOUNT, AS HAS BEEN SPECIFIED BY THE MEMBER FROM TIME TO TIME; (6) REVIEW AND APPROVE ANY PLEDGE, SALE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THE CORPORATION; (7) REVIEW AND APPROVE A LIQUIDATION, DISSOLUTION OR OTHER RESTRUCTURING OF THE CORPORATION; AND (8) REVIEW AND APPROVE THE ELECTION BY THE DIRECTORS OF A PERSON TO FILL A VACANCY IN THE OFFICE OF PRESIDENT AND CEO OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A LINE 7A EXPLANATION IS INCLUDED IN LINE 6 EXPLANATION. FORM 990, PART VI, SECTION A, LINE 7B EXPLANATION IS INCLUDED IN LINE 6 EXPLANATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY THE MASS GENERAL BRIGHAM INCORPORATED TAX DEPARTMENT. THE CONTROLLER REVIEWED AND SIGNED THE TAX RETURN. THE PROCESS FOR PREPARING AND REVIEWING FORM 990 WAS DISCUSSED AT THE MEETING OF THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE FINAL FILING VERSION OF THE FORM 990 WAS PROVIDED TO VOTING BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C RELATED PARTY TRANSACTIONS: MASS GENERAL BRIGHAM INCORPORATED (MGB) IS A LARGE ORGANIZATION WITH A NUMBER OF AFFILIATED CORPORATIONS. OFFICERS AND TRUSTEES/DIRECTORS OF MASS GENERAL BRIGHAM AND ITS AFFILIATED ENTITIES MAY HAVE OVERLAPPING OFFICER AND TRUSTEE/DIRECTOR POSITIONS WITH OTHER ORGANIZATIONS, RESULTING IN A NUMBER OF RELATED PARTY RELATIONSHIPS. MASS GENERAL BRIGHAM HAS A CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL ENTITIES IN THE SYSTEM, AND WHICH IS DESIGNED TO: (1) IDENTIFY RELATIONSHIPS AND CONDUCT THAT CREATE EITHER CONFLICTS OF INTEREST OR CONFLICTS OF COMMITMENT; (2) ESTABLISH A SYSTEM FOR DISCLOSING AND RESOLVING POTENTIAL CONFLICTS; AND (3) ENSURE THAT TRANSACTIONS ARE NEGOTIATED AT ARMS LENGTH AND THAT PAYMENTS ARE AT FAIR MARKET VALUE. UNDER OUR POLICY, WHEN A CONFLICT ARISES, THE INDIVIDUAL ASSOCIATED WITH THE OUTSIDE ENTITY IN QUESTION MUST PROVIDE FULL DISCLOSURE AND COMPLETELY RECUSE HIM/HERSELF FROM ANY INSTITUTIONAL DECISION-MAKING ABOUT THE TRANSACTION. IN APPROPRIATE CIRCUMSTANCES, (I) THE CORPORATION MUST CONSIDER AT LEAST TWO ALTERNATIVE DISINTERESTED COMPETITIVE PROPOSALS; OR MUST DETERMINE THAT TWO SUCH COMPETITIVE PROPOSALS DO NOT EXIST OR THAT IT WOULD BE IMPRACTICAL TO ELICIT OR CONSIDER SUCH COMPETITIVE PROPOSALS; AND (II) THE CORPORATION MUST DETERMINE THAT, NOTWITHSTANDING THE APPARENT CONFLICT, THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AND IS IN THE BEST INTERESTS OF THE CORPORATION. A WRITTEN RECORD MUST BE MADE OF THESE DETERMINATIONS. FURTHERMORE, TRANSACTIONS THAT PRESENT PARTICULARLY SIGNIFICANT CONFLICTS ARE REVIEWED BY AN INDEPENDENT COMMITTEE OF MASS GENERAL BRIGHAM, WHICH REVIEW IS ALSO DOCUMENTED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A BOARD LEVEL COMPENSATION COMMITTEE THAT REVIEWS AND APPROVES THE COMPENSATION FOR ALL LISTED OFFICERS AND KEY EMPLOYEES EXCEPT THE SECRETARY. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD WHO ARE NOT EMPLOYED BY THE ORGANIZATION, AND NO MEMBER MAY PARTICIPATE IN THE REVIEW AND APPROVAL OF COMPENSATION IF THE MEMBER HAS A CONFLICT OF INTEREST WITH RESPECT TO THAT COMPENSATION ARRANGEMENT. THE COMMITTEE RELIES ON DATA, PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH INCLUDES COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS, IN FUNCTIONALLY COMPARABLE POSITIONS, AT SIMILARLY SITUATED ORGANIZATIONS. THE DELIBERATIONS AND DECISIONS OF THE COMMITTEE ARE DOCUMENTED IN MINUTES OF THE MEETING. THIS REVIEW PROCESS OCCURS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 IS MADE AVAILABLE TO THE PUBLIC BY REQUEST AND IS ALSO AVAILBLE ON THE MASSACHUSETTS ATTORNEY GENERAL, DIVISION OF PUBLIC CHARITIES, PUBLIC WEBSITE AS REQUIRED BY MASSACHUSETTS REGULATION. THE FORM 990 IS A REQUIRED ATTACHMENT TO THE STATE FORM PC THAT IS FILED ANNUALLY BY ALL NON-PROFIT CHARITABLE ORGANIZATIONS CONDUCTING BUSINESS IN MASSACHUSETTS. ON A QUARTERLY BASIS THE COMPANY FILES FINANCIAL STATEMENTS WITH THE MASSACHUSETTS DIVISION OF INSURANCE AND THESE STATEMENTS ARE PUBLIC DOCUMENTS AVAILABLE ON REQUEST. FORM 990, PART XI, LINE 9: RBC GUARANTY 20,000,000. FORM 990, PART XI, LINE 9: PURSUANT TO A GUARANTY ENTERED INTO BY MGB WHEN IT ACQUIRED AHP IN 2012 (THE RISK BASED CAPITAL GUARANTY), MASS GENERAL BRIGHAM INCORPORATED (MGB) HAS COMMITTED TO MAINTAIN MGBHP'S CAPITAL SURPLUS AT A SPECIFIED MINIMUM LEVEL, MEASURED QUARTERLY IN ACCORDANCE WITH AN RBC METHODOLOGY PERMITTED BY THE MASSACHUSETTS DEPARTMENT OF INSURANCE. THE RBC GUARANTY MAY BE ENFORCED BY THE DOI. FORM 990, PART XI, LINE 5: OTHER CHANGES IN NET ASSETS: UNREALIZED LOSS ON INVESTMENTS $19,088,714. FORM 990, ITEM B REASON FOR AMENDED RETURN: THE AMOUNT OF OTHER COMPENSATION FROM RELATED ORGANIZATIONS WAS OVERSTATED FOR THE FOLLOWING INDIVIDUALS: - NIYUM GANDHI BY $101,572 - ALAN ANTHONY JAMES BY $27,450 - MATTHEW FISHMAN BY $25,451 - JOHN R. HIGHAM, ESQ. BY $22,004 THE AMOUNTS ORIGINALLY LISTED INCLUDED AMOUNTS THAT WERE ALREADY REFLECTED IN THE W-2 WAGES AND WERE THEREFORE DUPLICATED. 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