Liabilities / Assets
73rd percentile
Higher debt load relative to assets than 73% of similar nonprofits.
EIN 04-2864973 • 501(c)4 • Springfield, MA
Profile
The mission of health new england, inc., is to improve the health and lives of the people in the communities we serve. As part of baystate health, inc. (an integrated health care system), health new england contributes to the economic success of our region and is committed to meeting the identified health and wellness needs of our communities served through the combined efforts of baystate health, community organization partners, and affiliated providers.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
73rd percentile
Higher debt load relative to assets than 73% of similar nonprofits.
Liabilities / Revenue
23rd percentile
Higher debt load relative to revenue than 23% of similar nonprofits.
Net Margin
30th percentile
Higher net margin than 30% of similar nonprofits.
Top Officer Pay
59th percentile
Higher top officer pay than 59% of similar nonprofits.
Top officer pay equals 0.2% of source-year revenue.
Asset Growth
16th percentile
Faster asset growth than 16% of similar nonprofits.
Revenue Growth
16th percentile
Faster revenue growth than 16% of similar nonprofits.
Assets
Down$294,149,482
Down $1,542,606 (-0.5%) from 2023
Liabilities
Down$212,691,430
Down $18,338,777 (-7.9%) from 2023
Net Assets
Up$81,458,052
Up $16,796,171 (+26%) from 2023
Revenue
Up$995,624,746
Up $4,843,814 (+0.5%) from 2023
Expenses
Down$975,203,492
Down $41,527,529 (-4.1%) from 2023
Net Income
Up$20,421,254
Up $46,371,343 (+179%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
The mission of health new england, inc., as part of baystate health, inc. (an integrated health care system), is to improve the overall quality of life and health status of the communities we serve and to contribute to the economic success of our region. Health new england is committed to meeting the identified health and wellness needs of our communities served through the combined efforts of baystate health, community organization partners, and affiliated providers
SEE SCHEDULE O
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $179,017,069 | $168,731,143 | ▼ $10,285,926 |
| Savings and Temporary Cash Investments | $63,688,750 | $37,274,934 | ▼ $26,413,816 |
| Accounts Receivable | $5,129,526 | $20,680,704 | ▲ $15,551,178 |
| Cash and Non-Interest-Bearing Accounts | $8,868,581 | $12,480,899 | ▲ $3,612,318 |
| Investments Other Securities | $8,130,852 | $7,666,606 | ▼ $464,246 |
| Other Notes and Loans Receivable, Net | $2,107,039 | $1,222,707 | ▼ $884,332 |
| Land, Buildings, and Equipment, Net | $838,559 | $535,927 | ▼ $302,632 |
| Total Assets | $295,692,088 | $294,149,482 | ▼ $1,542,606 |
| Other Assets Total | $27,911,712 | $45,556,562 | ▲ $17,644,850 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $200,098,289 | $180,415,914 | ▼ $19,682,375 |
| Other Liabilities | $30,931,918 | $32,275,516 | ▲ $1,343,598 |
| Total Liabilities | $231,030,207 | $212,691,430 | ▼ $18,338,777 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $64,661,881 | $81,458,052 | ▲ $16,796,171 |
| Total Net Assets Fund Balance | $64,661,881 | $81,458,052 | ▲ $16,796,171 |
| Total Liabilities and Net Assets / Fund Balance | $295,692,088 | $294,149,482 | ▼ $1,542,606 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $535,927 | $28,172,809 | $28,708,736 |
| Leasehold Improvements | $0 | $373,380 | $373,380 |
| Other Assets Org | $5,666,855 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Richard Swift | Chief Executive Officer | FT | $713,356 | $797,644 | $1,511,000 |
| Lisa M Cohen | VP & Chief Financial Officer | FT | $437,672 | $415,106 | $852,778 |
| Kate Mcintosh | Chief Medical Officer | FT | $427,308 | $361,682 | $788,990 |
| Casey J Hossa | Chief Information Officer | FT | $373,825 | $310,996 | $684,821 |
| Susan O Connor | VP & General Counsel | FT | $308,749 | $268,452 | $577,201 |
| Shawn E Thamert | VP of Sales & Chief Growth Officer | FT | $300,001 | $151,147 | $451,148 |
| Tyler Hutchison | Chief Actuary, Sr. Dir, Healthcare Econ | FT | $330,434 | $90,180 | $420,614 |
| Tyler Hutchison | Chief Actuary, Sr. Dir, Healthcare E | - | $286,547 | $134,067 | $420,614 |
| Jason Rio | Sr. Director Revenue Assur. & Risk Mgmt | FT | $291,608 | $127,269 | $418,877 |
| Sean Noone | Sr. Director, Chief of Operations | FT | $261,119 | $137,231 | $398,350 |
| Timothy Chrystal | Director of Sales & Account Mgmt | FT | $276,577 | $80,926 | $357,503 |
| Gary Tereso | Director of Pharmacy Services | FT | $252,304 | $102,359 | $354,663 |
| Michael Gauvin | Director Program Dvp. & Market Intel | FT | $278,470 | $68,996 | $347,466 |
| Judith Danek | Director Office of Pres & Gov Relations | FT | $194,573 | $65,798 | $260,371 |
| Michael Faso | Former Interim CFO | - | $202,538 | - | $202,538 |
| Name | Title |
|---|---|
| Mark a Keroack Md Term 531 | Chair/dir, Pres & CEO Bh |
| Peter Banko Start 6124 | Chair/dir, Pres & CEO Bh |
| Kathleen Oestreich | Director |
| Pia Flanagan | Director |
| Richard Beauchamp Steele | Director |
| William Webber | Director |
| Wyndolyn Bell Md | Director |
| Harriet Deverry | Director (term 12/31/24) |
| Tania Barber | Director (term 2/1/24) |
| Raymond Mccarthy | Director, SVP CFO Treas Bh |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Optumrx INC | Pharmacy Management | 9900 BREN RD, Minnetonka, MN 55343 | $276,513,369 |
| Carelon Behavioral Health INC | Medical Services | 5800 NORTHAMPTON BLVD, Norfolk, VA 23502 | $82,863,172 |
| Berkshire Medical Center | Medical Services | 725 NORTH STREET, Pittsfield, MA 01201 | $46,325,782 |
| The Mercy Hospital INC | Medical Services | PO BOX 531870, Atlanta, GA 30353 | $33,202,529 |
| The Cooley Dickinson Hospital | Medical Services | 30 LOCUST STREET, North Hampton, MA 01116 | $28,701,187 |
| Line Item | Amount |
|---|---|
| Other Expenses | $48,520,930 |
| Salaries, Compensation, and Employee Benefits | $44,427,111 |
| Grants and Similar Amounts Paid | $446,683 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Benefits to Members | $881,808,768 | - | - | $881,808,768 |
| Other Salaries and Wages | - | $31,868,957 | - | $31,868,957 |
| Information Technology | - | $23,279,514 | - | $23,279,514 |
| Fees for Services Other | - | $7,188,606 | - | $7,188,606 |
| Other Employee Benefits | - | $4,139,937 | - | $4,139,937 |
| Current Officers, Directors, Trustees, and Key Employees | - | $3,987,602 | - | $3,987,602 |
| Fees for Services Accounting | - | $3,361,889 | - | $3,361,889 |
| Payroll Taxes | - | $2,669,435 | - | $2,669,435 |
| Office Expenses | - | $2,021,865 | - | $2,021,865 |
| Pension Plan Contributions | - | $1,761,180 | - | $1,761,180 |
| Depreciation Depletion | - | $1,330,165 | - | $1,330,165 |
| Occupancy | - | $1,304,778 | - | $1,304,778 |
| Advertising | - | $1,115,110 | - | $1,115,110 |
| Fees for Services Legal | - | $487,120 | - | $487,120 |
| Grants to Domestic Orgs | $446,683 | - | - | $446,683 |
| Other Expenses | - | $376,090 | - | $376,090 |
| Fees for Service Investment Mgmnt Fees | - | $304,026 | - | $304,026 |
| Insurance | - | $170,664 | - | $170,664 |
| Conferences and Meetings | - | $140,785 | - | $140,785 |
| Travel | - | $62,853 | - | $62,853 |
| Fees for Services Lobbying | - | $51,324 | - | $51,324 |
| Total Functional Expenses | $882,255,451 | $92,948,041 | $0 | $975,203,492 |
| Line Item | Amount |
|---|---|
| Total Expenses per Form 990 | $975,203,492 |
| Expenses per Audited Statements | $974,899,466 |
| Total Expenses per Audited Statements | $974,899,466 |
| Expenses Not Reported on Financial Statements | $304,026 |
| Expenses Not Reported on Form 990 | $0 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Community Legal Aid Inc | Worcester, MA | 501(c)(3) | AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION | $50,000 |
| Planned Parenthood League of Massachusetts | Boston, MA | 501(c)(3) | AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION | $50,000 |
| Stone Soup Cafe | Greenfield, MA | 501(c)(3) | AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION | $50,000 |
| The Care Center | Holyoke, MA | 501(c)(3) | AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION | $50,000 |
| Third Sector New England Inc | Boston, MA | 501(c)(3) | AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION | $50,000 |
| Wellspring Cooperative Corporation | Springfield, MA | 501(c)(3) | AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION | $50,000 |
| Partners for a Healthier Community Inc | Springfield, MA | 501(c)(3) | AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION | $20,000 |
| United Way of Pioneer Valley | Springfield, MA | 501(c)(3) | AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION | $20,000 |
| Berkshire Nursing Families (bnf) | Adams, MA | 501(c)(3) | AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION | $10,000 |
| Volunteers in Medicine Berkshires Inc | Great Barrington, MA | 501(c)(3) | AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION | $10,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Owned by Michael Faso, Former Interim CFO | During the 2024 Tax Reporting Period, Ginlill, LLC Provided Health New England, Inc. With Data Modernization, Core System Upgrade Services and Tax Preparation Assistance. | No | $202,538 |
| Liability | Amount |
|---|---|
| Premiums Received in Advance | $19,200,027 |
| Medical Subsidy Payable | $8,725,204 |
| Payable to Affiliates | $4,350,285 |
“Two or more of the persons listed in this form 990, part vii have a business relationship with each other by virtue of sitting on one or more boards of directors/trustees or by serving in an employment relationships with one or more entities within the network of affiliated organizations.”
“As a massachusetts nonprofit organization, health new england, inc. Has no stockholders and one legal member - baystate health, inc. Health new england, inc. Refers to its enrollees as "members", but health new england, inc.'s organizational documents and by laws give enrollees no organizational membership status from a legal perspective.”
“Baystate health, inc. Is the sole member of health new england, inc. Consequently, baystate health has final authority on all appointments and elections to the health new england, inc. Board.”
“The health new england, inc. ("hne") governance committee (the "committee") is made up of members of the hne board of directors and the hne general counsel, who serves in an advisory, non-voting capacity. The committee is responsible for overseeing and making recommendations on matters affecting the governance of hne and its affiliates, consistent with the hne bylaws. The principal activities of the committee are to develop and recommend to the board procedures and policies designed to provide for effective and efficient governance, including but not limited to: evaluation of the board and the board chair; recruitment and recommendation of candidates for board membership; board orientation and education; succession planning for the board chair and other board leaders and periodic review and amendment of committee charters and corporate by laws as needed.”
“Prior to the filing of this return appropriate parts of this form 990 were reviewed by representatives from the finance and legal departments of health new england, inc., some of whom are officers of the filing organization. The entire return was reviewed by a tax expert from an outside accounting firm. The entire return was sent out to the board of directors and officers of health new england, inc. For comment and review.”
“Health new england, inc. Has a comprehensive conflict of interest policy. All directors, officers, key employees, and highest compensated employees of health new england and its affiliates are asked to complete an annual "conflict of interest" disclosure survey. We use an electronic database to receive and manage all annual conflict of interest submissions. This information is reviewed by the health new england director of compliance and shared with the hne compliance committee. Potential conflict of interest are reviewed as appropriate under the policy, which provides for recusal from discussion and deliberation by any party with a potential conflict of interest and well as other pertinent management actions. Health new england employees also sign an annual statement which affirms that such person: (a) has received a copy of the conflict of interest policy; (b) has read and understands the conflict of interest policy; and (c) has agreed to comply with the conflict of interest policy.”
“The compensation of the president and ceo and of other officers and key employees is established based on information provided by independent third party consultants (korn ferry/hay group) for reasonableness and appropriate comparability data. The compensation is then established, reviewed and approved by the independent compensation committee of health new england, inc. And all such deliberations and decisions are documented contemporaneously.”
“Available upon request and at management's discretion”
“The mission of health new england, inc., is to improve the health and lives of the people in the communities we serve. As part of baystate health, inc. (an integrated health care system), health new england contributes to the economic success of our region and is committed to meeting the identified health and wellness needs of our communities served through the combined efforts of baystate health, community organization partners, and affiliated providers.”
“The mission of health new england, inc., is to improve the health and lives of the people in the communities we serve. As part of baystate health, inc. (an integrated health care system), health new england contributes to the economic success of our region and is committed to meeting the identified health and wellness needs of our communities served through the combined efforts of baystate health, community organization partners, and affiliated providers.”
“In 2024, health new england funded programs that served the needs of specific vulnerable and low-income communities within our service area and align with the health priorities and social and economic determinants of health as identified by the 2022 community health needs assessment (chna). In 2024, health new england continued to support existing multiyear commitments to organizations through the where health matters grant program, with $70,000 additional grant funds. Berkshires nursing families (bnf) received $10,000 in funding to continue expanding doula access and provide mentorship for newly licensed doulas in berkshire county. (year 2 out of 2) third sector new england, inc. Received $50,000 in funding to support gardening the community's (gtc) "use hip, get healthy". Gtc formalized outreach strategies and strengthened organizational partnerships and developing a citywide systems approach to healthy incentive program (hip) outreach. Activities include but are not limited to: 1) hired a hip outreach manager and six resident peer hip educators (3 bilingual); 2) educating parent liaisons at springfield and holyoke elementary schools; 3) identifying agencies to receive hip trainings; and 4) hosting biweekly pop-up produce markets at brightwood and caring health centers, square one, and summer meal distribution sites. (year 2 out of 2) volunteers in medicine berkshires (vim) received $10,000 in funding to continue advancing their work in implementing an integrated health care model of medical, behavioral, social and legal services to address the social determinants of health for their patients. (year 2 out of 2) in 2024, the dr. Mark keroack health equity grant program aimed to advance health equity to improve health or health care related needs in the pioneer valley (franklin, hampden, and hampshire counties). Health new england awarded a total of $250,000 in grant funding, to five local nonprofit organizations to advance health equity. The care center received $50,000 in funding to provide the "healthy homes, healthy families" program. By leveraging the care center's counseling, education and wraparound supports, holyoke housing authority's vouchers, and valley opportunity council's housing supply, healthy homes will provide ten families headed by women with low income with safe stable housing, behavioral health services, healthcare, and a tuition free education. (year 1 out of 1) wellspring received $50,000 in funding to support the "nutrition for health" program. Go fresh market will provide fresh produce to the three baystate health centers to expand patient access, to increase health information and healthcare support to all go fresh delivery sites, and to increase knowledge and use of the hip program. (year 1 out of 1) community legal aid, inc. Received $50,000 in funding to support the "pioneer valley farmworker medical-legal partnership (fmlp)" the fmlp embeds an attorney into the farmworker healthcare team at brightwood, also known as "la cliniquita". The fmlp staff attorney will work on-site at brighwood on a regular basis and serve as a resource for providers and patients. Planned parenthood league of massachusetts (pplm) received $50,000 in funding to increasing language accessibilty by translating materials and website information in priority languages. Stone soup cafe received $50,000 in funding to support the "weekly pay what you can community meal and free store" program. To enhance its weekly community meal and free store programs. Every saturday, the community meal provides 550-600 balanced, nutritious, scratch-cooked meals made from fresh ingredients to over 180 households on a pay-what-you-can basis, totaling 31,812 meals in 2023. The free store, open every saturday, extends this impact by providing 80-110+ households with groceries, produce, and personal care items to use throughout the week. In 2024, health new england awarded $80,000 in community mini grants to 38 local non-profit organizations (averag”
“Change in non admitted assets -3,723,824.”
“The audited financial statements are based on insurance statutory accounting principles (sap) promulgated by the accounting practices and procedures task force under the auspices of the national association of insurance commissioners (naic). This form of accounting is typically looked upon as more conservative than accrual accounting without quite being cash basis. The accompanying statutory basis financial statements have been prepared in accordance with naic statements of statutory accounting principles (ssap) and in accordance with statutory accounting practices (sap) prescribed by the state of massachusetts, which is a comprehensive basis of accounting other than u.s. Generally accepted accounting principles (gaap). Such practices vary from gaap principally as follows: investments - for statutory, investments in bonds are reported at amortized cost or fair value based on their naic rating. For gaap purposes, such fixed maturity investments would be designated at purchase as held-to-maturity trading or available for sale. Held-to-maturity fixed investments would be reported at amortized cost and the remaining fixed maturity investments would be reported at fair value. For statutory purposes, unrealized gains and losses on investments are excluded from net income and reported as an increase or decrease in capital and surplus. Decreases in fair value that are determined by management to be other than temporary are reported as realized losses. The organization has elected the fair value option for certain of its investments. All single class and multi class mortgage backed/asset backed securities (e.g. Cmos) are adjusted for the effects of changes in prepayment assumptions on the related accretion of discount or amortization of premium of such securities using prospective method. If it is determined that a decline in fair value is other than temporary, the cost basis of the security is written down to the present value of estimated future cash flows using the original effective interest rate inherent in the security. Non admitted assets - certain assets are designated as non- admitted. These assets (which are principally electronic data processing equipment, prepaid items, certain health receivables, receivables over 90 days past due and non-audited equity value of subsidiaries) are excluded from the accompanying statements of admitted assets, liabilities and capital and surplus. These items are charged directly to unassigned surplus. Under gaap, such assets are included in the balance sheet, to the extent they are not impaired.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 180415914 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 5129526 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 20680704 |
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| IRS990/ActivityOrMissionDesc | 0 | SEE SCHEDULE O |
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| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SPRINGFIELD |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 725 NORTH STREET |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | MINNETONKA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | NORFOLK |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | NORTH HAMPTON |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MA |
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| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 01116 |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 0 | OPTUMRX INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 1 | CARELON BEHAVIORAL HEALTH INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 2 | BERKSHIRE MEDICAL CENTER |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 3 | THE MERCY HOSPITAL INC |
| IRS990/ContractorCompensationGrp/ContractorName/PersonNm | 4 | THE COOLEY DICKINSON HOSPITAL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | PHARMACY MANAGEMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | MEDICAL SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | MEDICAL SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 881808768 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 446683 |
| IRS990/CYInvestmentIncomeAmt | 0 | 11593630 |
| IRS990/CYOtherExpensesAmt | 0 | 48520930 |
| IRS990/CYOtherRevenueAmt | 0 | 2157222 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 981873894 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 20421254 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 44427111 |
| IRS990/CYTotalExpensesAmt | 0 | 975203492 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 995624746 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 1330165 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 1330165 |
| IRS990/Desc | 0 | COMMERCIAL SMALL AND LARGE GROUP AND INDIVIDUAL PRODUCTS:ENROLLEES AT 12/31/24: 48,022 REVENUE: $ 389.3 MILLIONPROGRAM EXPENSES: $ 329.3 MILLIONHEALTH NEW ENGLAND, INC. MAKES HIGH QUALITY, LOW COST HEALTH CARE SERVICES AVAILABLE THROUGH HEALTH PLANS WITHIN A SERVICE AREA THAT COMPRISES MORE POOR, MEDICALLY UNDERSERVED AND RURAL COMMUNITIES THAN ANY OTHER PART OF MASSACHUSETTS. A FEDERAL HEALTH RESOURCES & SERVICES ADMINISTRATION REPORT STATED THAT OF THE 102 MASSACHUSETTS TOWNS DESIGNATED AS MEDICALLY UNDERSERVED, 78 ARE IN THE FOUR COUNTIES THAT HEALTH NEW ENGLAND SERVES. (CONTINUED ON SCHEDULE O) BASED ON THAT STATISTIC, IN ALL OVER 45% OF HEALTH NEW ENGLAND'S ENROLLEES LIVE IN MEDICALLY UNDERSERVED AREAS.HEALTH NEW ENGLAND'S SERVICE AREA INCLUDES FOUR OF THE FIVE COUNTIES WITH THE HIGHEST PERCENTAGE OF POVERTY AND THE LOWEST PER CAPITA INCOME IN MASSACHUSETTS, BASED ON US CENSUS BUREAU DATA. MANY RESIDENTS IN WESTERN MASSACHUSETTS THUS STRUGGLE WITH POVERTY AND LOW LEVELS OF INCOME. ACROSS THE FOUR COUNTIES OF WESTERN MASSACHUSETTS, 16% OF RESIDENTS LIVE IN POVERTY, AND THE MEDIAN FAMILY INCOME IN THREE OF THE FOUR COUNTIES IS MORE THAN 20% LOWER THAN THAT OF THE STATE. CHILD POVERTY RATES ARE HIGH WITH 23% OF CHILDREN IN THE REGION LIVING IN POVERTY. HAMPDEN COUNTY HAS THE HIGHEST RATES OF POVERTY AND UNEMPLOYMENT IN HEALTH NEW ENGLAND'S SERVICE AREA AND THE LOWEST MEDIAN INCOME. ALSO, LOWER LEVELS OF EDUCATION CONTRIBUTE TO UNEMPLOYMENT AND THE ABILITY TO EARN A LIVABLE WAGE. APPROXIMATELY 12% OF RESIDENTS AGE 25 AND OLDER IN WESTERN MASSACHUSETTS DO NOT HAVE A HIGH SCHOOL DIPLOMA, WITH THE HIGHEST RATES OBSERVED IN HAMPDEN COUNTY (16%). IN THE COMMUNITIES OF SPRINGFIELD, HOLYOKE, CHICOPEE, LUDLOW, WEST SPRINGFIELD AND PITTSFIELD, THERE IS A HIGHER PERCENTAGE OF ELIGIBLE INDIVIDUALS DO NOT HAVE A HIGH SCHOOL DIPLOMA, COMPARED TO STATEWIDE RATE.HEALTH NEW ENGLAND MAKES HEALTH CARE AVAILABLE IN THIS SERVICE AREA AND TO THIS POPULATION BY OFFERING HEALTH PLANS WHICH SERVE INDIVIDUALS AND SMALL GROUPS.HEALTH NEW ENGLAND OFFERS HEALTH PLANS TO INDIVIDUALS AND FAMILIES (BOTH DIRECTLY AND THROUGH THE MASSACHUSETTS HEALTH CONNECTOR) AND SMALL EMPLOYER GROUPS (EMPLOYERS WITH 50 OR FEWER EMPLOYEES).HEALTH NEW ENGLAND ALSO PROVIDES COVERAGE TO INDIVIDUALS AND FAMILIES THROUGH PLANS OFFERED BY EMPLOYERS WHICH HAVE MORE THAN 50 EMPLOYEES. THIS CATEGORY INCLUDES MANY MUNICIPAL EMPLOYEES WHO DO NOT OBTAIN COVERAGE THROUGH THE GIC, AND ALSO INCLUDES MANY EMPLOYEES OF HEALTH CARE AND NONPROFIT ORGANIZATIONS.MEDICARE:ENROLLEES AT 12/31/24: 12,175REVENUE: $145.5 MILLIONPROGRAM EXPENSES: $130.7 MILLIONHEALTH NEW ENGLAND SERVES MEDICARE ENROLLEES THROUGH HEALTH NEW ENGLAND MEDICARE ADVANTAGE PLANS.MEDICAID: ENROLLEES: 48,315REVENUE: $446.7 MILLIONPROGRAM EXPENSES: $417.9 MILLIONHEALTH NEW ENGLAND PARTICIPATES IN MASSHEALTH, THE MASSACHUSETTS MEDICAID PROGRAM, THROUGH A MEDICAID MANAGED CARE PLAN. THE NUMBER OF HEALTH NEW ENGLAND'S MEDICAID PLAN ENROLLEES HAS GENERALLY INCREASED SINCE 2010 WHEN HEALTH NEW ENGLAND BEGAN OFFERING SUCH PLANS. |
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| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 51324 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 7188606 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 7188606 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 304026 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 304026 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 39.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 233002 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 194797 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 218054 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 87399 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 161467 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 141643 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 90180 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 53797 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 50709 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 64551 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 94834 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MARK A KEROACK MD TERM 531 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | PETER BANKO START 6124 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | WILLIAM WEBBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | KATHLEEN OESTREICH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | PIA FLANAGAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | RICHARD BEAUCHAMP STEELE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | WYNDOLYN BELL MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | HARRIET DEVERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | TANIA BARBER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | RAYMOND MCCARTHY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | RICHARD SWIFT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | CASEY J HOSSA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | KATE MCINTOSH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JUDITH DANEK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | JASON RIO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | LISA M COHEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | SUSAN O CONNOR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | SHAWN E THAMERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | TYLER HUTCHISON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | TIMOTHY CHRYSTAL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | MICHAEL GAUVIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | GARY TERESO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | SEAN NOONE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | MICHAEL FASO |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 1058502 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 490024 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 570936 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 210647 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 331478 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 600777 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 415734 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 309505 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 330434 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 303706 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 296757 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 290112 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 303516 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 202538 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 1554650 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 1514715 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 1279577 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIR/DIR, PRES & CEO BH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIR/DIR, PRES & CEO BH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR (TERM 12/31/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR (TERM 2/1/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR, SVP CFO TREAS BH |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | CHIEF INFORMATION OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | CHIEF MEDICAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIR OFFICE OF PRES & GOV RELATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | SR. DIR. REVENUE ASSUR. & RISK MGMT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | VP & CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | VP & GENERAL COUNSEL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | VP OF SALES & CHIEF GROWTH OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | CHIEF ACTUARY, SR. DIR, HEALTHCARE ECON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | DIR. OF SALES & ACCOUNT MGMT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | DIR. PROGRAM DVP. & MARKET INTEL |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | DIRECTOR OF PHARMACY SERVICES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | SR. DIRECTOR, CHIEF OF OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | FORMER INTERIM CFO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2013 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolAndSepBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 2717388 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
| IRS990/GrantAmt | 0 | 446683 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 446683 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 446683 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 98432033 |
| IRS990/GrossReceiptsAmt | 0 | 1091339391 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 5 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 171 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 23279514 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 23279514 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 170664 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 170664 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 8876242 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 8876242 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 8130852 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 7666606 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 179017069 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 168731143 |
| IRS990/IRPDocumentCnt | 0 | 3384 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 28546189 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 838559 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 535927 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 29082116 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 95714645 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingOtherInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | SEE SCHEDULE O |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 64661881 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 81458052 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 2717388 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 2717388 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 98741 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 64661881 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 81458052 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 1304778 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 1304778 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 2021865 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 2021865 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501cInd | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 27911712 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 45556562 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -3723824 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 4139937 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 4139937 |
| IRS990/OtherExpensesGrp/Desc | 0 | PBM FEES |
| IRS990/OtherExpensesGrp/Desc | 1 | EXCHANGE ADMIN FEES |
| IRS990/OtherExpensesGrp/Desc | 2 | REGULATORY FEES AND OTH |
| IRS990/OtherExpensesGrp/Desc | 3 | ASSOC DUES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 3756894 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 2023182 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 1546065 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 376090 |
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