2025-11-17T15:16:38-06:00 2024-12-31 PwC US Tax LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2024-01-01 042452600 HARVARD PILGRIM HEALTH CARE INC % MARK PORTER TREASURER HARV 7812636000 1 WELLNESS WAY CANTON MA 020211166 MARK PORTER TREASURER 7812636000 2025-11-17 true true ANTONIO C RUSSO P00858539 2673303000 2025-11-13 2024 2025-03-06 01:10:19Z CAIN HAYES 1 WELLNESS WAY CANTON MA 020211166 2550964479 false X www.harvardpilgrim.org X 1969 MA SEE SCHEDULE O 12 12 5 0 314662925 0 108861517 106488450 2094574737 2314046773 26146615 25680899 5091855 7068050 2234674724 2453284172 6000000 6000000 1763798074 2098097822 147609145 170393141 0 0 0 356840899 363506964 2274248118 2637997927 -39573394 -184713755 1111423122 1098094041 497415505 718164785 614007617 379929256 X SEE SCHEDULE O false false 2457474632 6000000 2320811279 TO IMPROVE THE QUALITY AND VALUE OF HEALTH CARE FOR THE PEOPLE AND COMMUNITIES WE SERVE. 106488449 0 0 HARVARD PILGRIM HEALTH CARE INSTITUTE, LLC ("INSTITUTE") PERFORMS RESEARCH AND RESEARCH ADMINISTRATION FOR GRANTS AND CONTRACTS AWARDED TO HPHC, INC. THE INSTITUTE IS A COLLABORATION BETWEEN HPHC, INC. AND HARVARD MEDICAL SCHOOL. ITS MISSION IS TO IMPROVE HEALTH CARE DELIVERY AND POPULATION HEALTH THROUGH RESEARCH AND EDUCATION, IN PARTNERSHIP WITH HEALTH PLANS, DELIVERY SYSTEMS, AND PUBLIC HEALTH AGENCIES. 2563963081 true true false true false false false false false false true true false true true true true true false false false false false false false false false true false true false false false false false false false false false false false false true true true true true false true 16573 0 true 5 true true true false false false false false false false false false false false X 12 12 true true false false true true true true true false false true true true true true true true true false MA X MARK PORTER TREASURER 6179729400 1 WELLNESS WAY CANTON MA 020211166 X CAIN HAYES DIR. PRES. & CEO (END 9/24) 10.0 40.0 X X 0 4532289 42363 PHILIP BARR EVP, PRESIDENT, MARKETS 10.0 40.0 X 0 1580792 159172 TRACEY CARTER FORMER SVP, CHIEF ACTUARY 0.0 0.0 X 0 1598732 18185 PETE CHURCH CHIEF PEOPLE & CULTURE OFFICER 10.0 40.0 X 0 1284213 156654 ROLAND PRICE FORMER TREASURER 0.0 0.0 X 0 1299914 15069 R SCOTT WALKER CFO & PRESIDENT (START 9/24) 10.0 40.0 X 0 1041266 162232 MARK PORTER TREASURER 10.0 40.0 X 0 1024863 112221 KRISTIN LEWIS CHIEF PUB & COMM AFF OFFICER 10.0 40.0 X 0 998596 118145 UMESH KURPAD FORMER CFO 0.0 0.0 X 0 1087771 21702 KATIE CATLENDER COO (START 1/24) 10.0 40.0 X 0 880347 67611 ROBERT WILLIAMS SVP, BUSINESS PERFORMANCE 10.0 40.0 X 0 836744 105431 DEAN PEASLEY SVP, OPERATIONS (END 4/24) 10.0 40.0 X 0 840092 31405 URCEL FIELDS SVP, PRES. GOVT MKT(END 11/24) 10.0 40.0 X 0 842020 16316 TISA HUGHES FORMER CLERK/SECRETARY 0.0 0.0 X 0 824422 31490 SUSAN KEE CLERK/SECRETARY, CLO 10.0 40.0 X 0 696820 93265 EILEEN AUEN DIR, EXEC. CHAIR (START 9/24) 10.0 50.0 X X 533336 0 0 THOMAS CROSWELL FORMER CEO 0.0 0.0 X 0 404893 9900 PATRICIA HOWARD FORMER COO 0.0 0.0 X 0 232740 0 MICHAEL J MCCOLGAN DIRECTOR 1.0 3.0 X 141000 0 0 BERTRAM L SCOTT LEAD DIR/VICE CHR(START 10/24) 1.0 3.0 X X 138000 0 0 MICHAEL SHEA DIRECTOR 1.0 3.0 X 136000 0 0 TODD WHITBECK DIRECTOR 1.0 3.0 X 135500 0 0 HEDWIG VEITH WHITNEY DIRECTOR 1.0 3.0 X 135000 0 0 GREGORY D TRANTER DIRECTOR 1.0 3.0 X 133000 0 0 PETER SLAVIN MD DIRECTOR (END 9/24) 1.0 3.0 X 124306 0 0 RAYMOND PAWLICKI DIRECTOR 1.0 3.0 X 120000 0 0 IRINA SIMMONS DIRECTOR (END 6/24) 1.0 3.0 X 79778 0 0 JOYCE MURPHY DIRECTOR (END 6/24) 1.0 3.0 X 79778 0 0 GAUROV DAYAL MD DIRECTOR (START 6/24) 1.0 7.0 X 44695 0 0 ELIZABETH BIERBOWER DIRECTOR (START 6/24) 1.0 7.0 X 42223 0 0 MICHAEL TARNOFF MD DIRECTOR (START 12/24) 0.0 0.0 X 0 0 0 GREG SHELL DIRECTOR, VICE CHAIR 1.0 5.0 X X 0 0 0 1476142 20006514 1161161 9 true true false KLOGIX LLC 1319 BEACON STREET BROOKLINE MA 02446 CYBER SECURITY 1462311 SEI-BOSTON LLC 11500 NORTHLAKE DRIVE STE 450 CINCINNATI OH 45249 CONSULTING SERVICES 845880 ROPES GRAY LLP 800 BOYLSTON STREET BOSTON MA 02199 LEGAL SERVICES 716434 DELOITTE CONSULTING LLP PO BOX 844717 DALLAS TX 752844717 CONSULTING SERVICES 577385 DELOITTE TOUCHE LLP PO BOX 844717 DALLAS TX 752844717 CONSULTING SERVICES 365000 125 73082495 33405955 106488450 MEMBER PREMIUMS & FEES 524114 1999351432 1999351432 PPO PREMIUMS (FULLY INSURED) 524298 314695341 314695341 2314046773 23072563 -10139 23082702 0 0 1992986 1689441 303545 0 303544 -22277 325821 82264455 16334747 66330648 29660218 15933807 -13325471 2608336 2608336 0 0 0 0 0 0 0 0 0 PROVIDER SETTLEMENT & OTHER 900099 6764506 6764506 6764506 2453284172 2006115938 314662925 26016859 6000000 6000000 0 0 2098097822 2098097822 95649 76519 19130 0 0 129047151 103237720 25809431 0 5588376 4470701 1117675 0 26450215 21160172 5290043 0 9211750 7369400 1842350 0 0 1065779 0 1065779 0 4488952 0 4488952 0 0 0 0 22557593 22557593 0 0 8198186 8198186 0 0 71925320 57540256 14385064 0 99667753 79734203 19933550 0 0 10611920 8489535 2122385 0 225786 225786 0 0 0 73115 73115 0 0 260668 208535 52133 0 0 1120464 896371 224093 0 0 GRANT EXPENDITURES 102642347 106488449 -3846102 0 BROKER FEES 33017276 33017276 0 0 OTHER EXPENSES 7651805 6121442 1530363 0 2637997927 2563963081 74034846 0 X -25276 -85137423 32938519 40971779 0 14811257 236398202 286253657 0 0 0 0 0 0 0 5400000 7034710 5618026 568530510 567518916 21117021 1011594 147012737 150406593 246683008 250584431 0 0 0 0 420264201 428174127 1111423122 1098094041 312252682 363485853 0 0 0 0 0 0 0 0 0 0 6806620 6205448 0 0 178356203 348473484 497415505 718164785 X 0 0 0 0 614007617 379929256 614007617 379929256 1111423122 1098094041 X -184713755 -109513862 60149256 X X false true X true true true X 65457721 79331804 62940443 108861517 106488450 423079935 1571425742 1632644608 1501890865 1789102974 1999351432 8494415621 0 0 0 1636883463 1711976412 1564831308 1897964491 2105839882 8917495556 0 51449790 54943955 53364320 43526106 78461846 281746017 51449790 54943955 53364320 43526106 78461846 281746017 8635749539 18634286 23511750 24008498 22801808 25065549 114021891 0 18634286 23511750 24008498 22801808 25065549 114021891 0 0 0 0 0 0 4743055 3156296 2583622 4942244 6764506 22189723 1660260804 1738644458 1591423428 1925708543 2137669937 9053707170 0.95384 0.95467 0.01259 0.01275 X FORM 990, SCHEDULE A, PART III, LINE 12 DETAIL OF OTHER INCOME OTHER INCOME IS COMPOSED OF PROVIDER SETTLEMENT/OTHER MISC. REVENUES FOR THE TAX YEARS REPORTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 0 false true 0 0 false 0 FORM 990, SCHEDULE C, PART II-B, LINE 1 DETAIL OF LOBBYING ACTIVITIES POINT32HEALTH, INC., A RELATED IRC SECTION 501(C)(4) ORGANIZATION AND SOLE CORPORATE MEMBER OF HARVARD PILGRIM HEALTH CARE, INC. (HPHC), ENGAGES IN LOBBYING ACTIVITIES ON BEHALF OF ITSELF AND RELATED ORGANIZATIONS. POINT32HEALTH SERVICES, INC., A RELATED FOR-PROFIT ORGANIZATION, PAYS FOR ALL LOBBYING EXPENSES INCURRED, INCLUDING THE SALARIES ASSOCIATED WITH ANY DIRECT LOBBYING ACTIVITIES. EXAMPLES OF LOBBYING ACTIVITIES INCLUDE STRATEGIES FOR ADDRESSING PENDING LEGISLATION AND PROVIDING LEGISLATORS WITH INFORMATION REGARDING THE IMPACT OF ANY PENDING LEGISLATION ON THE ORGANIZATION'S ACTIVITIES. TOTAL LOBBYING EXPENSES INCURRED BY POINT32HEALTH SERVICES, INC. FOR THE YEAR ENDED DECEMBER 31, 2024 WERE APPROX. $1,097,278. HPHC IS ALSO A MEMBER OF VARIOUS TRADE ASSOCIATIONS, INCLUDING THE MASSACHUSETTS ASSOCIATION OF HEALTH PLANS. A PORTION OF THE MEMBERSHIP DUES PAID MAY BE USED BY THESE TRADE ASSOCIATIONS FOR LOBBYING PURPOSES. 196369 196368 1 568334141 567322548 1011593 1011594 DEBT & OTHER INVESTMENTS 250584431 C 250584431 INVESTMENTS IN AFFILIATES 262780903 SPECIAL DEPOSITS 402847 DUE FROM AFFILIATES 44617064 OTHER INVESTED ASSETS 120373313 428174127 0 UNEARNED GROUP PREMIUM 55537658 BORROWED MONEY & INTEREST THER 90144833 DUE TO AFFILIATES 91937589 LIAB FOR AMTS UNDER UNINSURED PLANS 110853404 348473484 X 2149576106 -109513862 -109513862 2259089968 194194204 194194204 2453284172 2446939939 -8780402 -8780402 2455720341 182277586 182277586 2637997927 FORM 990, SCHEDULE D, PART X, LINE 2 ASC 740 (FKA FIN 48) FOOTNOTE THIS ORGANIZATION IS AN AFFILIATE OF POINT32HEALTH, INC. ("P32H"). THE BELOW FOOTNOTE DERIVES FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF POINT32HEALTH, INC. AND AFFILIATES. THE COMPANY BELIEVES THAT THE POSITIONS TAKEN ON ITS INCOME TAX RETURNS FOR OPEN TAX YEARS WILL BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE ("IRS"). THEREFORE, P32H HAS NOT RECORDED ANY LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER ASC 740, INCOME TAXES. AS OF DECEMBER 31, 2024, THERE ARE NO UNRECOGNIZED TAX BENEFITS, AND THE COMPANY DOES NOT ANTICIPATE ANY SIGNIFICANT CHANGES IN THE AMOUNT OF UNRECOGNIZED TAX BENEFITS DURING THE NEXT TWELVE MONTHS. ---------- FORM 990, SCHEDULE D, PART XI, LINE 4B DETAIL OF OTHER AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 ASO FEES 76,736,196 GRANT EXPENSES 106,488,449 RENTAL & OTHER INCOME 6,453,996 INSTITUTE INVESTMENT INCOME 4,515,563 ---------- --------------- TOTAL $ 194,194,204 FORM 990, SCHEDULE D, PART XII, LINE 4B DETAIL OF OTHER AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25 ASO FEES 77,350,251 GRANT REVENUE 106,488,449 RENTAL & OTHER EXPENSES (1,561,114) ------------ ------------ TOTAL $ 182,277,586 true POINT32HEALTH FOUNDATION INC 1 WELLNESS WAY CANTON MA 02021 261374263 501(C)(3) 6000000 FUND OPERATIONS 1 0 FORM 990, SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS HARVARD PILGRIM HEALTH CARE INC. MAKES GRANTS TO ITS SUPPORTED ORGANIZATION, POINT32HEALTH FOUNDATION, INC. ("P32H FND"). P32H FND MAKES COMMUNITY GRANTS AND MONITORS THEM IN ACCORDANCE WITH HPHC'S TAX EXEMPT MISSION. P32H FND INVESTS IN COMMUNITIES THROUGH GRANTMAKING TO NONPROFIT ORGANIZATIONS TO SUPPORT, ADVOCATE AND ADVANCE HEALTHIER LIVES FOR EVERYONE. P32H FND'S PROCESS IS COMPREHENSIVE AND THOROUGH. AFTER A PROPOSAL IS SUBMITTED AND APPROVED, PARAMETERS OF THE GRANT SERVE AS THE BASIS OF A MUTUAL PERFORMANCE AGREEMENT AND FOR MONITORING GRANT ACTIVITY AND HOW FUNDS ARE USED. AN INDEPENDENT THIRD PARTY VERIFIES 501(C)(3) STATUS. P32H FND STAFF ASSESS EACH ORGANIZATION'S ABILITY TO EXECUTE ON A GRANT AWARDED BY P32H FND. GRANTS LESS THAN $100,000 ARE APPROVED BY STAFF BUT THE TOTAL OF THESE GRANTS CANNOT EXCEED 25% OF THE TOTAL GRANTS BUDGET. GRANTS MORE THAN $100,000 ARE VOTED ON BY THE BOARD OF DIRECTORS. ONCE AWARDED, GRANTEES ARE REQUIRED TO SHARE PERIODIC UPDATES OR REPORTS. true true false false false false false false false CAIN HAYES DIR. PRES. & CEO (END 9/24) 0 979462 0 3054752 0 498075 0 22382 0 19981 0 4574652 0 183763 PHILIP BARR EVP, PRESIDENT, MARKETS 0 710093 0 784920 0 85779 0 149235 0 9937 0 1739964 0 72281 PETE CHURCH CHIEF PEOPLE & CULTURE OFFICER 0 635016 0 586187 0 63010 0 129669 0 26985 0 1440867 0 55508 TISA HUGHES FORMER CLERK/SECRETARY 0 36117 0 609522 0 178783 0 23751 0 7739 0 855912 0 57138 TRACEY CARTER FORMER SVP, CHIEF ACTUARY 0 0 0 350690 0 1248042 0 17697 0 488 0 1616917 0 91806 MARK PORTER TREASURER 0 433000 0 324735 0 267128 0 86199 0 26022 0 1137084 0 225509 KRISTIN LEWIS CHIEF PUB & COMM AFF OFFICER 0 442629 0 474467 0 81500 0 87269 0 30876 0 1116741 0 78011 R SCOTT WALKER CFO & PRESIDENT (START 9/24) 0 693032 0 345302 0 2932 0 135198 0 27034 0 1203498 0 0 SUSAN KEE CLERK/SECRETARY, CLO 0 499421 0 174827 0 22572 0 92127 0 1138 0 790085 0 18517 ROLAND PRICE FORMER TREASURER 0 815 0 126875 0 1172224 0 14765 0 304 0 1314983 0 0 THOMAS CROSWELL FORMER CEO 0 0 0 375000 0 29893 0 9900 0 0 0 414793 0 0 KATIE CATLENDER COO (START 1/24) 0 552885 0 325000 0 2462 0 67319 0 292 0 947958 0 0 URCEL FIELDS SVP, PRES. GOVT MKT(END 11/24) 0 406154 0 400000 0 35866 0 16094 0 222 0 858336 0 0 DEAN PEASLEY SVP, OPERATIONS (END 4/24) 0 105334 0 299692 0 435066 0 21657 0 9748 0 871497 0 102219 ROBERT WILLIAMS SVP, BUSINESS PERFORMANCE 0 454256 0 371994 0 10494 0 96649 0 8782 0 942175 0 6965 UMESH KURPAD FORMER CFO 0 3526 0 498533 0 585712 0 21379 0 323 0 1109473 0 97380 PATRICIA HOWARD FORMER COO 0 0 0 0 0 232740 0 0 0 0 0 232740 0 0 EILEEN AUEN DIR, EXEC. CHAIR (START 9/24) 0 0 0 0 533336 0 0 0 0 0 533336 0 0 0 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 ALSO RECEIVED SEVERANCE PAYMENTS IN 2024: CAIN HAYES = $292,731 TRACEY CARTER = $483,832 URCEL FIELDS = $33,846 DEAN PEASLEY = $267,989 PATRICIA HOWARD = $232,740 ---------- 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. ---------- FORM 990, PART I, LINE 1 & PART III, LINE 1 DETAIL REGARDING THE ORGANIZATION MISSION HARVARD PILGRIM HEALTH CARE INC.'S ("HARVARD PILGRIM"HPHC") PURPOSE IS TO GUIDE AND EMPOWER HEALTHIER LIVES FOR EVERYONE. FOR MORE THAN 50 YEARS, HARVARD PILGRIM HAS BUILT A REPUTATION FOR EXCEPTIONAL CLINICAL QUALITY, PREVENTIVE CARE, DISEASE MANAGEMENT AND MEMBER SATISFACTION. HPHC OPERATES AS A NOT-FOR-PROFIT HEALTH PLAN PROVIDING COMPREHENSIVE HEALTH BENEFIT PLANS, ACCESS TO HEALTH CARE AND OTHER RELATED SERVICES IN MASSACHUSETTS AND MAINE TO GROUP, INDIVIDUAL AND MEDICARE MEMBERS THROUGH CONTRACTS WITH PHYSICIANS, ESTABLISHED PRIMARY CARE AND MULTISPECIALTY PHYSICIAN GROUPS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS. HPHC IS PART OF THE POINT32HEALTH ("P32H") FAMILY OF COMPANIES. ---------- FORM 990, PART VI, LINE 2 DETAIL OF FAMILY OR BUSINESS RELATIONSHIPS BUSINESS RELATIONSHIP - THE FOLLOWING INDIVIDUALS SERVED ON THE BOARDS OR WERE AN OFFICER OR KEY EMPLOYEE OF ONE OR MORE FOR-PROFIT ORGANIZATIONS AFFILIATED WITH THE FILING ORGANIZATION FROM 1/1/2024 TO 12/31/2024: CAIN HAYES, DIRECTOR; PRESIDENT & CEO (END 9/12/2024) SUSAN KEE, CLERK/SECR; CHIEF LEGAL OFFICER EILEEN AUEN, DIRECTOR, CHAIR; EXECUTIVE CHAIR (ADD'L EXECUTIVE CHAIR TITLE START 9/12/2024) R. SCOTT WALKER, CFO; PRESIDENT (ADD'L PRESIDENT TITLE START 9/12/2024) ------------ FORM 990, PART VI, LINE 3 DELEGATION OF CONTROL OF MANAGEMENT DUTIES THE FILING ORGANIZATION'S SOLE MEMBER IS POINT32HEALTH, INC. ITS AFFILIATE, POINT32HEALTH SERVICES, INC., PERFORMS CERTAIN MANAGEMENT, ADMINISTRATIVE, AND MARKETING SERVICES FOR THE FILING ORGANIZATION AND OTHER AFFILIATES. THE OFFICERS, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEES LISTED IN PART VII, SECTION A ARE EMPLOYEES OF POINT32HEALTH SERVICES, INC. THEIR COMPENSATION IS LISTED IN PART VII, SECTION A AND SCHEDULE J. ---------- FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS P32H IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. ---------- FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS P32H AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, ELECTS THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. ---------- FORM 990, PART VI, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS P32H, AS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, HAS THE RIGHT TO MAKE CERTAIN DECISIONS REGARDING THE ORGANIZATION, AND IS REQUIRED TO APPROVE ANY CHANGES TO THE ORGANIZATION'S BYLAWS. ---------- FORM 990, PART VI, LINE 8B CONTEMPORANEOUS BOARD MEETING DOCUMENTATION FOR A MAJORITY OF THE TIME, THE ORGANIZATION CONTEMPORANEOUSLY DOCUMENTS MEETINGS HELD AND WRITTEN ACTIONS UNDERTAKEN BY ITS GOVERNING BODY AND COMMITTEES. HOWEVER, ON LIMITED OCCASIONS, THE GOVERNING BODY OR A COMMITTEE MAY HAVE A SERIES OF CONFERENCE CALLS AND MINUTES FOR THOSE CALLS ARE NOT APPROVED UNTIL THE NEXT MEETING. ---------- FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THIS FORM 990 WAS PREPARED BY THE ORGANIZATION'S EXTERNAL ACCOUNTANT, REVIEWED BY P32H'S FINANCE DEPARTMENT AND CERTAIN SECTIONS ARE REVIEWED FOR INPUT BY SUBJECT MATTER PERSONNEL IN OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING. ---------- FORM 990, PART VI, LINE 12C MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT-OF-INTEREST POLICY: THE P32H'S CONFLICT OF INTEREST ("COI") POLICY AND PROCEDURES ("P&P") APPLIES TO THE FILING COMPANY AS A SUBSIDIARY ORGANIZATION. THE P32H'S COI P&P IS REVIEWED ANNUALLY, REVISED AS NEEDED AND APPROVED UPON MATERIAL REVISIONS. THE POLICY REQUIRES ALL EMPLOYEES, INCLUDING THE PRESIDENT AND CEO AND GOVERNING BODY MEMBERS TO COMPLY WITH THE COI POLICY AND PROCESSES. ALL EMPLOYEES RECEIVE ANNUAL COMPLIANCE TRAINING WHICH INCLUDE EXPECTATIONS RELATED TO FOLLOWING THE COI P&P. THE COI P&P REQUIRES THE OFFICERS, KEY EMPLOYEES AND BOARD OF DIRECTORS OF THE TAX-EXEMPT ENTITIES TO COMPLETE AND SUBMIT AN ANNUAL DISCLOSURE SURVEY AND STATEMENT TO THE CHIEF LEGAL OFFICER ("CLO") OR DESIGNEE IN THE LEGAL DEPARTMENT, LISTING ANY OUTSIDE RELATIONSHIPS, INCLUDING FINANCIAL AND/OR BOARD RELATIONSHIPS THAT THEY OR A FAMILY MEMBER HAVE WITH P32H'S (OR ITS SUBSIDIARIES) SUPPLIERS, PURCHASERS, PROVIDERS AND/OR COMPETITORS. ADDITIONALLY, P32H REQUIRES EXECUTIVE MANAGEMENT AND SENIOR MANAGEMENT (AS DEFINED IN THE COI POLICY) TO COMPLETE AND SUBMIT AN ANNUAL DISCLOSURE SURVEY AND STATEMENT TO THE CHIEF COMPLIANCE OFFICER OR DIRECTOR, CORPORATE COMPLIANCE. BY COMPLETING THE ANNUAL DISCLOSURE STATEMENT, THESE INDIVIDUALS ACKNOWLEDGE THE POINT32HEALTH COI P&P. ALL EMPLOYEES ARE REQUIRED TO REPORT THE OFFER BY AN OUTSIDE ENTITY OF GIFTS OVER $250, HONORARIA OR COVERAGE OF BUSINESS EXPENSES, OR OTHER EVENTS OR RELATIONSHIPS THAT MAY BE PERCEIVED AS CONFLICTS TO THE CHIEF COMPLIANCE OFFICER, DIRECTOR, CORPORATE COMPLIANCE OR DESIGNEE AND THE EMPLOYEE'S MANAGEMENT. BOTH MUST APPROVE BEFORE ACCEPTANCE IS ALLOWED. THERE ARE PROTOCOLS AND PROCESSES TO REVIEW ANY DISCLOSURE THAT MIGHT BE A POTENTIAL CONFLICT OF INTEREST. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES' RESPONSES TO THE DISCLOSURE SURVEY AND STATEMENT ARE REVIEWED BY THE CLO, WHO WILL REVIEW THE SELF-DISCLOSURE WITH THE CHAIR OF THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS OF P32H AND DETERMINE EXPECTATIONS AND RECOMMENDED ACTIONS IF NEEDED. A SUMMARY REPORT OF ALL DISCLOSED ACTUAL OR POTENTIAL CONFLICTS ALONG WITH ANY RECOMMENDED ACTIONS TO ADDRESS A DISCLOSED ACTUAL OR POTENTIAL CONFLICT IS REVIEWED AND APPROVED BY THE GOVERNANCE COMMITTEE AND THE COMMITTEE'S REVIEW/FINDINGS ARE REPORTED TO THE FULL BOARD. THE CLO COMMUNICATES THE RECOMMEND ACTIONS TO INDIVIDUAL SURVEY RECIPIENTS. THE CHIEF COMPLIANCE OFFICER IS CONSULTED AND INFORMED OF THE DECISIONS MADE BY THE CLO OR LEGAL DESIGNEE. EXECUTIVE MANAGEMENT AND SENIOR MANAGEMENT'S RESPONSES TO THE DISCLOSURE SURVEY AND STATEMENT ARE REVIEWED BY THE DIRECTOR, CORPORATE COMPLIANCE, LEGAL, AND CHIEF COMPLIANCE OFFICER, WHO WILL REPORT TO THE CLO ANY POTENTIAL CONFLICTS ALONG WITH ANY RECOMMENDED ACTIONS TO ADDRESS THE POTENTIAL CONFLICT, IF NECESSARY. RECOMMENDED ACTIONS/EXPECTATIONS ARE COMMUNICATED BY THE DIRECTOR, CORPORATE COMPLIANCE/CHIEF COMPLIANCE OFFICER TO IMPACTED INDIVIDUALS. FOR CONFLICT DISCLOSURES INVOLVING THE CHIEF COMPLIANCE OFFICER, THE CLO WILL MAKE THE FINAL DETERMINATION. ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST THAT ARISES AFTER COMPLETION OF THE DISCLOSURE SURVEY WILL FOLLOW THE SAME REVIEW PROCESS. ---------- FORM 990, PART VI, LINE 13 WRITTEN WHISTLEBLOWER/NON-RETALIATION POLICY THE FILING ORGANIZATION IS SUBJECT TO THE WRITTEN WHISTLEBLOWER/NON-RETALIATION POLICY WITHIN THE CODE OF CONDUCT THAT WAS APPROVED BY THE BOARD OF DIRECTORS OF P32H. ---------- FORM 990, PART VI, LINES 14 WRITTEN DOCUMENT RETENTION POLICY THE FILING ORGANIZATION IS SUBJECT TO THE WRITTEN DOCUMENT RETENTION POLICY AND RECORD RETENTION SCHEDULE OF P32H. ---------- FORM 990, PART VI, LINE 15A & 15B COMPENSATION REVIEW AND APPROVAL THE FILING ORGANIZATION'S PARENT COMPANY, P32H HAS AN INDEPENDENT HUMAN RESOURCES COMMITTEE (THE "COMMITTEE") THAT ANNUALLY REVIEWS THE TOTAL REMUNERATION OPPORTUNITIES, POLICIES AND PROGRAMS OF THE CEO AND CERTAIN EXECUTIVES, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES AS WELL AS INDIVIDUALS THE COMMITTEE DEEMS APPROPRIATE TO REVIEW. THE COMMITTEE IS COMPRISED OF INDEPENDENT DIRECTORS OF THE COMPANY. THE COMMITTEE CONSIDERS MARKET DATA AND ANALYSES ASSEMBLED BY INDEPENDENT AND INTERNAL COMPENSATION CONSULTANTS WITH THE GOAL TO DETERMINE EXECUTIVE TOTAL REMUNERATION THAT IS REASONABLE AND COMPETITIVE WITHIN THE INDUSTRY AND GEOGRAPHY IN WHICH P32H OPERATES. ---------- FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S GOVERNING DOCUMENTS, COI POLICY, AND ANNUAL FINANCIAL REPORT AND QUARTERLY FINANCIAL UPDATES ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. ---------- FORM 990, PART VII SUPPLEMENTAL COMPENSATION INFORMATION GREG SHELL DID NOT EARN COMPENSATION IN 2024. ---------- FORM 990, PART IX, COLUMN D DETAIL OF FUNDRAISING EXPENSES THERE ARE NO EXPENSES FOR FUNDRAISING INCLUDED IN THE INCOME STATEMENT FOR HPHC. ANY COSTS INCURRED WITH THE ADMINISTRATION OF FEDERAL OR PRIVATE GRANTS ARE INCURRED BY THE PARENT ENTITY. ---------- FORM 990, PART XI, LINE 9 DETAIL OF OTHER CHANGES IN NET ASSETS CAPITAL CONTRIBUTION FROM P32H 115,000,000 DIVIDENDS TO P32H INC. (50,000,000) CHANGE IN NON ADMITTED ASSETS (4,868,745) CHANGE IN PRIOR SERVICE COSTS AND RECOGNIZED GAIN FOR POSTRETIREMENT MEDICAL PLAN 18,001 OTHER CHANGES IN NET ASSETS ----------- TOTAL $ 60,149,256 ---------- FORM 990, PART XII, LINE 1 ACCOUNTING METHOD USED TO PREPARE FORM 990 HPHC FOLLOWS THE STATUTORY ACCOUNTING METHOD PRESCRIBED BY THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS' ACCOUNTING PRACTICES AND PROCEDURES MANUAL FOR STATUTORY ACCOUNTING PRINCIPLES. ---------- HARVARD PILGRIM HEALTH CARE INST LLC 133 BROOKLINE AVE BOSTON MA 02215 943477531 RESEARCH MA 40919783 85701429 HPHCINC HPHC OF NEW ENGLAND INC 1 WELLNESS WAY CANTON MA 02021 042663394 HEALTH INSURA MA 501(C)(4) N/A HPHCINC true POINT32HEALTH FOUNDATION INC 1 WELLNESS WAY CANTON MA 02021 261374263 GRANT MAKING MA 501 (C)(3) 12A TAHMO true TUFTS HEALTH PUBLIC PLANS INC 1 WELLNESS WAY CANTON MA 02021 800721489 HMO MA 501(C)(4) N/A P32H true POINT32HEALTH INC 1 WELLNESS WAY CANTON MA 02021 814089215 HEALTHCARE MA 501(C)(4) N/A NA false TUFTS ASSOC HEALTH MAINTEN ORG INC 1 WELLNESS WAY CANTON MA 02021 042674079 HMO MA 501(C)(4) N/A P32H true CARE PARTNERS OF CONNECTICUT INC 1 WELLNESS WAY CANTON MA 02021 822604728 HMO CT 501(C)(4) N/A TAHMO true CAREPARTNERS OF CT HOLDINGS LLC 1 WELLNESS WAY CANTON MA 02021 823129930 HOLDING COMPA CT TAHMO n/a CLARION MANAGEMENT SOLUTIONS LLC 1212 CORPORATE DRIVE SUITE 225 IRVING TX 75038 822713764 CLINICAL CONS DE EH NEXUS N/A EMPLOYERS HEALTH NEXUS LLC 1500 W PARK DRIVE SUITE 330 WESTBOROUGH MA 01581 882938454 HOLDING COMPA MA HEALTH PLANS N/A EMPLOYERS HEALTH NETWORK LLC 1212 CORPORATE DRIVE SUITE 225 IRVING TX 75038 471678150 SELF INSURANC DE EH NEXUS N/A KP VENTURES LLC SERIES B 1 KAISER PLAZA OAKLAND CA 94612 273339892 HEALTHCARE CA TAHMO N/A KP VENTURES LLC SERIES D 1 KAISER PLAZA OAKLAND CA 94612 471874366 HEALTHCARE CA TAHMO N/A HPHC INSURANCE COMPANY INC 1 WELLNESS WAY CANTON MA 02021 043149694 HEALTH INSURANCE MA NEW HPHC HOLDCO C CORP true PLAN MARKETING INSURANCE AGENCY INC 1500 W PARK DRIVE STE 330 WESTBOROUGH MA 01581 042734281 BROKERAGE MA HEALTH PLANS C CORP true HPHC INSURANCE AGENCY INC 1 WELLNESS WAY CANTON MA 02021 043016201 BROKERAGE MA NEW HPHC HOLDCO C CORP true HEALTH PLANS INC 1500 W PARK DRIVE STE 330 WESTBOROUGH MA 01581 042734278 TPA MA NEW HPHC HOLDCO C CORP true CARE MANAGEMENT SERVICES INC 1500 W PARK DRIVE STE 330 WESTBOROUGH MA 01581 043438779 CARE MANAGEMENT MA HEALTH PLANS C CORP true NEW HPHC HOLDING CORPORATION 1 WELLNESS WAY CANTON MA 02021 815340662 HOLDING COMPANY DE HPHC INC C CORP true POINT32HEALTH SERVICES INC 1 WELLNESS WAY CANTON MA 02021 042985923 MANAGEMENT SVCS DE TAHMO C CORP true TUFTS INSURANCE COMPANY 1 WELLNESS WAY CANTON MA 02021 043319729 INSURANCE MA P32H SRVCS INC C CORP true TUFTS BENEFIT ADMINISTRATORS INC 1 WELLNESS WAY CANTON MA 02021 043270923 TPA MA P32H SRVCS INC C CORP true TOTAL HEALTH PLAN INC 1 WELLNESS WAY CANTON MA 02021 042918943 TPA MA P32H SRVCS INC C CORP true TAHP BROKERAGE CORPORATION 1 WELLNESS WAY CANTON MA 02021 043072692 BROKERAGE MA P32H SRVCS INC C CORP true INTEGRA PARTNERS HOLDINGS INC 100 WALL ST STE 2502 NEW YORK NY 10005 453032233 MED EQUIPT & SVCS NY TAHMO C CORP true true true true true true false false false false true false true false true true true true true true TUFTS ASSOC HEALTH MAINTEN ORG INC P,Q 2190798 FMV CAREPARTNERS OF CONNECTICUT INC P,Q 90184 FMV POINT32HEALTH SERVICES INC P,Q -20799312 FMV TUFTS INSURANCE COMPANY INC P,Q -164476 FMV TUFTS BENEFIT ADMINISTRATORS INC P,Q -1097517 FMV TUFTS TOTAL HEALTH PLAN P,Q -1775657 FMV HPHC INSTITUTE LLC P,Q 2314530 FMV HPHC OF NEW ENGLAND INC P,Q -6855150 FMV HPHC INSURANCE COMPANY INC P,Q -65569101 FMV POINT32HEALTH INC P,Q 40000000 FMV POINT32HEALTH INC C 75000000 CASH HEALTH PLANS INC B -5000000 CASH POINT32HEALTH INC B -50000000 CASH POINT32HEALTH FOUNDATION B -6000000 CASH HPHC OF NEW ENGLAND INC B -30000000 CASH