Civic Intelligence

Health New England Inc

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.

One Monarch Place 1500Springfield, MA 01144-1500

www.healthnewengland.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

73rd percentile

0.72x

Higher debt load relative to assets than 73% of similar nonprofits.

$1B+ nonprofits • Source year 2024

Liabilities / Revenue

23rd percentile

0.21x

Higher debt load relative to revenue than 23% of similar nonprofits.

$1B+ nonprofits • Source year 2024

Net Margin

30th percentile

2.1%

Higher net margin than 30% of similar nonprofits.

$1B+ nonprofits • Source year 2024

Top Officer Pay

59th percentile

$1,747,717

Higher top officer pay than 59% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

$1B+ nonprofits • Source year 2024

Asset Growth

16th percentile

-0.5%

Faster asset growth than 16% of similar nonprofits.

$1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

16th percentile

0.5%

Faster revenue growth than 16% of similar nonprofits.

$1B+ nonprofits • Annualized from 2023 to 2024

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

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300M$200M$100M$0Assets 2014: $151,023,845Liabilities 2014: $103,041,378Net Assets 2014: $47,982,4672014Assets 2015: $165,499,490Liabilities 2015: $125,390,619Net Assets 2015: $40,108,8712015Assets 2016: $185,194,570Liabilities 2016: $127,734,616Net Assets 2016: $57,459,9542016Assets 2017: $224,898,351Liabilities 2017: $140,974,749Net Assets 2017: $83,923,6022017Assets 2018: $185,688,742Liabilities 2018: $104,824,912Net Assets 2018: $80,863,8302018Assets 2019: $219,242,984Liabilities 2019: $130,755,485Net Assets 2019: $88,487,4992019Assets 2020: $254,172,988Liabilities 2020: $143,653,780Net Assets 2020: $110,519,2082020Assets 2021: $263,944,212Liabilities 2021: $171,034,362Net Assets 2021: $92,909,8502021Assets 2022: $292,952,185Liabilities 2022: $201,033,166Net Assets 2022: $91,919,0192022Assets 2023: $295,692,088Liabilities 2023: $231,030,207Net Assets 2023: $64,661,8812023Assets 2024: $294,149,482Liabilities 2024: $212,691,430Net Assets 2024: $81,458,0522024

Highlighted filing

2024

Assets$294,149,482
Liabilities$212,691,430
Net Assets$81,458,052

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.5B$1.0B$500M$0-$500MRevenue 2014: $594,076,260Expenses 2014: $600,754,248Net Income 2014: -$6,677,9882014Revenue 2015: $900,956,334Expenses 2015: $922,549,521Net Income 2015: -$21,593,1872015Revenue 2016: $933,880,671Expenses 2016: $912,375,144Net Income 2016: $21,505,5272016Revenue 2017: $900,480,353Expenses 2017: $879,604,116Net Income 2017: $20,876,2372017Revenue 2018: $773,860,706Expenses 2018: $767,383,113Net Income 2018: $6,477,5932018Revenue 2019: $732,351,554Expenses 2019: $729,854,974Net Income 2019: $2,496,5802019Revenue 2020: $777,982,397Expenses 2020: $761,123,391Net Income 2020: $16,859,0062020Revenue 2021: $871,340,973Expenses 2021: $882,663,336Net Income 2021: -$11,322,3632021Revenue 2022: $930,545,645Expenses 2022: $923,558,117Net Income 2022: $6,987,5282022Revenue 2023: $990,780,932Expenses 2023: $1,016,731,021Net Income 2023: -$25,950,0892023Revenue 2024: $995,624,746Expenses 2024: $975,203,492Net Income 2024: $20,421,2542024

Highlighted filing

2024

Revenue$995,624,746
Expenses$975,203,492
Net Income$20,421,254

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.2
Gross Receipts
$1,091,339,391
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
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 Categories

AssetBook ValueDepreciationBasis
Equipment$535,927$28,172,809$28,708,736
Leasehold Improvements$0$373,380$373,380
Other Assets Org$5,666,855--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Richard SwiftChief Executive OfficerFT$713,356$797,644$1,511,000
Lisa M CohenVP & Chief Financial OfficerFT$437,672$415,106$852,778
Kate McintoshChief Medical OfficerFT$427,308$361,682$788,990
Casey J HossaChief Information OfficerFT$373,825$310,996$684,821
Susan O ConnorVP & General CounselFT$308,749$268,452$577,201
Shawn E ThamertVP of Sales & Chief Growth OfficerFT$300,001$151,147$451,148
Tyler HutchisonChief Actuary, Sr. Dir, Healthcare EconFT$330,434$90,180$420,614
Tyler HutchisonChief Actuary, Sr. Dir, Healthcare E-$286,547$134,067$420,614
Jason RioSr. Director Revenue Assur. & Risk MgmtFT$291,608$127,269$418,877
Sean NooneSr. Director, Chief of OperationsFT$261,119$137,231$398,350
Timothy ChrystalDirector of Sales & Account MgmtFT$276,577$80,926$357,503
Gary TeresoDirector of Pharmacy ServicesFT$252,304$102,359$354,663
Michael GauvinDirector Program Dvp. & Market IntelFT$278,470$68,996$347,466
Judith DanekDirector Office of Pres & Gov RelationsFT$194,573$65,798$260,371
Michael FasoFormer Interim CFO-$202,538-$202,538

Board Members and Trustees

NameTitle
Mark a Keroack Md Term 531Chair/dir, Pres & CEO Bh
Peter Banko Start 6124Chair/dir, Pres & CEO Bh
Kathleen OestreichDirector
Pia FlanaganDirector
Richard Beauchamp SteeleDirector
William WebberDirector
Wyndolyn Bell MdDirector
Harriet DeverryDirector (term 12/31/24)
Tania BarberDirector (term 2/1/24)
Raymond MccarthyDirector, SVP CFO Treas Bh

Highest Paid Contractors

ContractorServicesLocationCompensation
Optumrx INCPharmacy Management9900 BREN RD, Minnetonka, MN 55343$276,513,369
Carelon Behavioral Health INCMedical Services5800 NORTHAMPTON BLVD, Norfolk, VA 23502$82,863,172
Berkshire Medical CenterMedical Services725 NORTH STREET, Pittsfield, MA 01201$46,325,782
The Mercy Hospital INCMedical ServicesPO BOX 531870, Atlanta, GA 30353$33,202,529
The Cooley Dickinson HospitalMedical Services30 LOCUST STREET, North Hampton, MA 01116$28,701,187
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$981,873,894
Investment Income
$11,593,630
Other Revenue
$2,157,222
Change in Net Assets
$20,421,254

Audited Revenue Reconciliation

Revenue per Audited Statements
$995,320,720
Revenue Not Reported on Financial Statements
$304,026
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$995,320,720
Total Revenue per Form 990
$995,624,746
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
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

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
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

Audited Expense Reconciliation

Line ItemAmount
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
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Community Legal Aid IncWorcester, MA501(c)(3)AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION$50,000
Planned Parenthood League of MassachusettsBoston, MA501(c)(3)AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION$50,000
Stone Soup CafeGreenfield, MA501(c)(3)AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION$50,000
The Care CenterHolyoke, MA501(c)(3)AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION$50,000
Third Sector New England IncBoston, MA501(c)(3)AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION$50,000
Wellspring Cooperative CorporationSpringfield, MA501(c)(3)AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION$50,000
Partners for a Healthier Community IncSpringfield, MA501(c)(3)AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION$20,000
United Way of Pioneer ValleySpringfield, MA501(c)(3)AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION$20,000
Berkshire Nursing Families (bnf)Adams, MA501(c)(3)AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION$10,000
Volunteers in Medicine Berkshires IncGreat Barrington, MA501(c)(3)AWARDS IN ALIGNMENT OF HEALTH NEW ENGLAND'S MISSION$10,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Owned by Michael Faso, Former Interim CFODuring 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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Premiums Received in Advance$19,200,027
Medical Subsidy Payable$8,725,204
Payable to Affiliates$4,350,285
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

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.

Form 990, Part VI, Section A, Line 6

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.

Form 990, Part VI, Section A, Line 7A

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.

Form 990, Part VI, Section A, Line 7B

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.

Form 990, Part VI, Section B, Line 11B

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.

Form 990, Part VI, Section B, Line 12C

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.

Form 990, Part VI, Section B, Line 15

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.

Form 990, Part VI, Section C, Line 19

Available upon request and at management's discretion

Filing and Contact Details

Filer

Filer Name
Health New England Inc
EIN
04-2864973
Phone
4137874000
Address
ONE MONARCH PLACE 1500, SPRINGFIELD, MA 01144-1500

Signing Officer

Name
Peter Banko
Title
Chair
Phone
4137874000
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Peter Banko
Formed
2013
Legal Domicile
Ma
Voting Board Members
7
Independent Board Members
5
Employees
463
Volunteers
0

Preparer

Firm
Deloitte Tax Llp
Address
50 SOUTH SIXTH STREET, MINNEAPOLIS, MN 55402
Preparer
Chris Meskimen
Phone
6123974000
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:

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.

FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:

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.

Form 990, Part III, Line 2

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

FORM 990, PART XI, LINE 9:

Change in non admitted assets -3,723,824.

FORM 990, PART XII, LINE 1:

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.

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IRS990/ContractorCompensationGrp/ContractorName/PersonNm3THE MERCY HOSPITAL INC
IRS990/ContractorCompensationGrp/ContractorName/PersonNm4THE COOLEY DICKINSON HOSPITAL
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IRS990/Desc0COMMERCIAL 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/MissionDesc0SEE SCHEDULE O
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt064661881
IRS990/NetAssetsOrFundBalancesEOYAmt081458052
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt02717388
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt02717388
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt098741
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt064661881
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt081458052
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt01304778
IRS990/OccupancyGrp/TotalAmt01304778
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt02021865
IRS990/OfficeExpensesGrp/TotalAmt02021865
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt027911712
IRS990/OtherAssetsTotalGrp/EOYAmt045556562
IRS990/OtherChangesInNetAssetsAmt0-3723824
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt04139937
IRS990/OtherEmployeeBenefitsGrp/TotalAmt04139937
IRS990/OtherExpensesGrp/Desc0PBM FEES
IRS990/OtherExpensesGrp/Desc1EXCHANGE ADMIN FEES
IRS990/OtherExpensesGrp/Desc2REGULATORY FEES AND OTH
IRS990/OtherExpensesGrp/Desc3ASSOC DUES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt03756894
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt12023182
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt21546065
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt3376090

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