Civic Intelligence

Mass General Brigham Health Plan Inc

EIN 04-2932021 • 501(c)4 • Somerville, MA

Profile

Mass general brigham health plan's mission is to promote the health and wellness of our members, and to help ensure equitable, affordbale health care for the diverse communities we serve.

399 Revolution Drive 645Somerville, MA 02145-1446

www.allwayshealthpartners.org

Siviq Scores

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

Liabilities / Assets

72nd percentile

0.72x

Higher debt load relative to assets than 72% of similar nonprofits.

$1B+ nonprofits • Source year 2024

Liabilities / Revenue

25th percentile

0.25x

Higher debt load relative to revenue than 25% of similar nonprofits.

$1B+ nonprofits • Source year 2024

Net Margin

18th percentile

-1.1%

Higher net margin than 18% of similar nonprofits.

$1B+ nonprofits • Source year 2024

Top Officer Pay

66th percentile

$2,323,582

Higher top officer pay than 66% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

$1B+ nonprofits • Source year 2023

Asset Growth

91st percentile

24%

Faster asset growth than 91% of similar nonprofits.

$1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

78th percentile

24%

Faster revenue growth than 78% of similar nonprofits.

$1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$740,951,164

Up $145,429,054 (+24%) from 2023

Liabilities

Up

$535,776,387

Up $152,939,985 (+40%) from 2023

Net Assets

Down

$205,174,777

Down $7,510,931 (-3.5%) from 2023

Revenue

Up

$2,186,698,392

Up $422,798,901 (+24%) from 2023

Expenses

Up

$2,209,847,248

Up $461,544,924 (+26%) from 2023

Net Income

Down

-$23,148,856

Down $38,746,023 (-248%) from 2023

Trend Graphs

Balance Sheet Trend

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

$800M$600M$400M$200M$0Assets 2010: $308,846,718Liabilities 2010: $174,655,426Net Assets 2010: $134,191,2922010Assets 2011: $293,185,878Liabilities 2011: $156,257,518Net Assets 2011: $136,928,3602011Assets 2012: $330,801,339Liabilities 2012: $165,042,364Net Assets 2012: $165,758,9752012Assets 2013: $349,209,499Liabilities 2013: $245,759,668Net Assets 2013: $103,449,8312013Assets 2014: $434,392,261Liabilities 2014: $299,594,113Net Assets 2014: $134,798,1482014Assets 2015: $465,299,895Liabilities 2015: $268,787,245Net Assets 2015: $196,512,6502015Assets 2016: $537,101,307Liabilities 2016: $338,618,517Net Assets 2016: $198,482,7902016Assets 2017: $567,490,790Liabilities 2017: $225,696,034Net Assets 2017: $341,794,7562017Assets 2018: $419,356,789Liabilities 2018: $142,551,544Net Assets 2018: $276,805,2452018Assets 2019: $279,512,164Liabilities 2019: $116,732,394Net Assets 2019: $162,779,7702019Assets 2020: $294,485,442Liabilities 2020: $131,460,375Net Assets 2020: $163,025,0672020Assets 2021: $334,419,352Liabilities 2021: $175,566,059Net Assets 2021: $158,853,2932021Assets 2022: $323,847,785Liabilities 2022: $199,561,298Net Assets 2022: $124,286,4872022Assets 2023: $595,522,110Liabilities 2023: $382,836,402Net Assets 2023: $212,685,7082023Assets 2024: $740,951,164Liabilities 2024: $535,776,387Net Assets 2024: $205,174,7772024

Highlighted filing

2024

Assets$740,951,164
Liabilities$535,776,387
Net Assets$205,174,777

Operations Trend

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

$3.0B$2.0B$1.0B$0-$1.0BExpenses 2010: $1,050,368,5232010Expenses 2011: $1,229,228,4882011Expenses 2012: $1,273,415,6182012Revenue 2013: $1,380,147,534Expenses 2013: $1,448,201,013Net Income 2013: -$68,053,4792013Revenue 2014: $1,743,678,556Expenses 2014: $1,852,395,254Net Income 2014: -$108,716,6982014Revenue 2015: $2,178,151,856Expenses 2015: $2,200,973,426Net Income 2015: -$22,821,5702015Revenue 2016: $2,564,072,884Expenses 2016: $2,690,666,364Net Income 2016: -$126,593,4802016Revenue 2017: $2,430,742,576Expenses 2017: $2,326,908,504Net Income 2017: $103,834,0722017Revenue 2018: $1,061,180,162Expenses 2018: $1,059,311,169Net Income 2018: $1,868,9932018Revenue 2019: $804,952,986Expenses 2019: $829,283,070Net Income 2019: -$24,330,0842019Revenue 2020: $863,119,274Expenses 2020: $874,322,234Net Income 2020: -$11,202,9602020Revenue 2021: $873,476,723Expenses 2021: $884,691,280Net Income 2021: -$11,214,5572021Revenue 2022: $911,720,154Expenses 2022: $947,198,246Net Income 2022: -$35,478,0922022Revenue 2023: $1,763,899,491Expenses 2023: $1,748,302,324Net Income 2023: $15,597,1672023Revenue 2024: $2,186,698,392Expenses 2024: $2,209,847,248Net Income 2024: -$23,148,8562024

Highlighted filing

2024

Revenue$2,186,698,392
Expenses$2,209,847,248
Net Income-$23,148,856

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$741$536$205$2,187$2,210$23.1
2023Detailed filing. Detailed filing data is available for this year.$596$383$213$1,764$1,748$15.6
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$324$200$124$912$947$35.5
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$334$176$159$873$885$11.2
2020Detailed filing. Detailed filing data is available for this year.$294$131$163$863$874$11.2
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$280$117$163$805$829$24.3
2018Summary only. Only limited summary data is available for this year.$419$143$277$1,061$1,059$1.87
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$567$226$342$2,431$2,327$104
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$537$339$198$2,564$2,691$127
2015Summary only. Only limited summary data is available for this year.$465$269$197$2,178$2,201$22.8
2014Detailed filing. Detailed filing data is available for this year.$434$300$135$1,744$1,852$109
2013Detailed filing. Detailed filing data is available for this year.$349$246$103$1,380$1,448$68.1
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$331$165$166$1,273
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$293$156$137$1,229
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$309$175$134$1,050
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.2
Gross Receipts
$2,207,936,834
Mission and Program Overview

Mission

Mass general brigham health plan's mission is to promote the health and wellness of our members, and to help ensure equitable, affordbale health care for the diverse communities we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$234,486,230$252,807,484▲ $18,321,254
Accounts Receivable$112,173,110$242,942,882▲ $130,769,772
Savings and Temporary Cash Investments$193,146,855$121,933,473▼ $71,213,382
Cash and Non-Interest-Bearing Accounts$2,215,836$1,953,181▼ $262,655
Prepaid Expenses and Deferred Charges$772,021$795,000▲ $22,979
Total Assets$595,522,110$740,951,164▲ $145,429,054
Other Assets Total$52,728,058$120,519,144▲ $67,791,086
Liabilities
Accounts Payable and Accrued Expenses$347,029,637$476,814,189▲ $129,784,552
Other Liabilities$24,727,093$39,576,371▲ $14,849,278
Deferred Revenue$11,079,672$19,385,827▲ $8,306,155
Total Liabilities$382,836,402$535,776,387▲ $152,939,985
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$212,685,708$205,174,777▼ $7,510,931
Total Net Assets Fund Balance$212,685,708$205,174,777▼ $7,510,931
Total Liabilities and Net Assets / Fund Balance$595,522,110$740,951,164▲ $145,429,054

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$71,159--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Richard E HolbrookChairman & Director
Steven J TringalePresident & Director
Alan Anthony JamesDirector
Anne M WilkinsDirector
Antonia G McguireDirector
Claritza N AbreuDirector
Leslee L KileyDirector
Michael a Curry EsqDirector
Raul MedinaDirector
Stephanie F BrowneDirector, on 10/01/24
Andre GabryjelskiSenior Director Sales
Lisa ScarfoSr. Medical Director
Sujata SanghviChief Actuary
Lucia SilvaChief Financial Officer
Katharine K LeesonChief of Staff & VP of Corp. Sv
Mark MccormickChief Operating Officer
Elizabeth M HeleniusFormer Key Employee
Lindsay E Jubelt MdFormer Key Employee
Marybeth LiangFormer Key Employee
Yogendra BundelaFormer Key Employee
John R Higham EsqSecretary
Jennifer B St ThomasSVP Commercial and Medicare Market
Alice MooreSVP Legal, Regulatory Affairs &
Jeffrey D SyrekSVP Network Management
Niyum GandhiTreasurer
Donald Nichols DoughertyVP Digital
Donovan MalvoVP of Business Operations
Kevin C KeefeVP of Risk Score Management
Roni MansurVP Product Management

Highest Paid Contractors

ContractorServicesLocationCompensation
United Behavioral HealthClaims AdminstrationPO BOX 30755, Salt Lake City, UT 84130$350,969,449
Harvard Vanguard Medical AssociatesMedical Services275 GROVE ST STE 3-300, Auburndale, MA 02466$12,383,935
Cognizant Trizetto Software Group INCHealthcare It Services28125 NETWORK PLACE, Chicago, IL 60673$6,503,114
Boston Children's HospitalMedical Services300 LONGWOOD AVENUE, Boston, MA 02115$4,756,319
Milford Regional Medical CenterMedical Services14 PROSPECT STREET, Milford, MA 01757$3,751,499
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$2,174,438,738
Investment Income
$12,259,654
Other Revenue
$0
Change in Net Assets
$-23,148,856

Audited Revenue Reconciliation

Revenue per Audited Statements
$2,174,438,738
Revenue Not Reported on Financial Statements
$12,259,654
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$12,259,654
Total Revenue per Audited Statements
$2,174,438,738
Total Revenue per Form 990
$2,186,698,392
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$97,634,669
Salaries, Compensation, and Employee Benefits$56,493,554
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$2,055,719,025--$2,055,719,025
Other Salaries and Wages$48,426,259$5,855,307-$54,281,566
Office Expenses$30,140,491$3,644,342-$33,784,833
Information Technology$19,378,562$2,343,097-$21,721,659
Advertising$4,674,615$565,216-$5,239,831
Occupancy$2,470,226$298,680-$2,768,906
Other Employee Benefits$1,821,279$220,214-$2,041,493
Other Expenses$798,223$96,515-$894,738
Fees for Services Legal-$636,651-$636,651
Interest-$571,798-$571,798
Conferences and Meetings$273,190$33,032-$306,222
Fees for Services Accounting-$304,471-$304,471
Depreciation Depletion-$302,158-$302,158
Fees for Service Investment Mgmnt Fees-$295,221-$295,221
All Other Expenses$206,916$25,019-$231,935
Payroll Taxes$152,104$18,391-$170,495
Travel$129,307$15,635-$144,942
Total Functional Expenses$2,191,338,902$18,508,346$0$2,209,847,248

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$2,209,847,248
Expenses per Audited Statements$2,207,498,229
Total Expenses per Audited Statements$2,207,498,229
Expenses Not Reported on Financial Statements$2,349,019
Other Expense Adjustments$2,349,019
Expenses Not Reported on Form 990$0
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Premium Deficiency Reserves$35,172,734
Due to Affiliates$4,403,637
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
No
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 6

Member authority: pursuant to the corporate bylaws of the organization, the authority for the following actions is reserved to the sole member of the organization. The sole member of the organization is mass general brigham health plan holding company, inc.; and the sole member of mass general brigham health plan holding company, inc. Is mass general brigham incorporated (mgb), acting through its board of directors. (1) appoint a firm of public accountants annually to conduct an independent audit of the corporation's financial affairs during the fiscal year last ended; (2) review and approve all proposed capital and operating budgets of the corporation; (3) review and approve each unbudgeted operating or capital expenditure of the corporation that exceeds such amount as has been specified by the member from time to time; (4) review and approve each transaction pursuant to which the corporation would incur new debt through lender financing or would guaranty the lender-financed debt of others; (5) review and approve each agreement or other commitment binding on the corporation that is of such a type, or that requires an expenditure of funds in excess of such amount, as has been specified by the member from time to time; (6) review and approve any pledge, sale or other disposition of all or substantially all of the property or assets of the corporation; (7) review and approve a liquidation, dissolution or other restructuring of the corporation; and (8) review and approve the election by the directors of a person to fill a vacancy in the office of president and ceo of the corporation.

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

Line 7a explanation is included in line 6 explanation.

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

Explanation is included in line 6 explanation.

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

The form 990 was prepared by the mass general brigham incorporated tax department. The vice president and controller reviewed and signed the tax return. The process for preparing and reviewing form 990 was discussed with the audit and compliance committee of the board of directors. The final filing version of the form 990 was provided to voting board members prior to filing.

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

Related party transactions: mass general brigham incorporated (mgb) is a large organization with a number of affiliated corporations. Officers and trustees/directors of mass general brigham and its affiliated entities may have overlapping officer and trustee/director positions with other organizations, resulting in a number of related party relationships. Mass general brigham has a conflict of interest policy that applies to all entities in the system, and which is designed to: (1) identify relationships and conduct that create either conflicts of interest or conflicts of commitment; (2) establish a system for disclosing and resolving potential conflicts; and (3) ensure that transactions are negotiated at arms length and that payments are at fair market value. Under our policy, when a conflict arises, the individual associated with the outside entity in question must provide full disclosure and completely recuse him/herself from any institutional decision-making about the transaction. In appropriate circumstances, (i) the corporation must consider at least two alternative disinterested competitive proposals; or must determine that two such competitive proposals do not exist or that it would be impractical to elicit or consider such competitive proposals; and (ii) the corporation must determine that, notwithstanding the apparent conflict, the transaction is fair and reasonable to the corporation and is in the best interests of the corporation. A written record must be made of these determinations. Furthermore, transactions that present particularly significant conflicts are reviewed by an independent committee of mass general brigham, which review is also documented.

Form 990, Part VI, Section B, Line 15

Mass general brigham incorported has a board level compensation committee that reviews and approves the compensation of disqualified persons in the mass general brigham system and employees whose compensation exceeds certain internally set benchmarks. The committee is comprised of members of the board who are not employed by the organization, and no member may participate in the review and approval of compensation if the member has a conflict of interest with respect to that compensation arrangement. The committee relies on data, provided by an independent compensation consultant, which includes comparable compensation for similarly qualified persons, in functionally comparable positions, at similarly situated organizations. The deliberations and decisions of the committee are documented in minutes of the meeting.

Form 990, Part VI, Section C, Line 19

The form 990 is made available to the public by request and is also availble on the massachusetts attorney general, division of public charities, public website as required by massachusetts regulation. The form 990 is a required attachment to the state form pc that is filed annually by all non-profit charitable organizations conducting business in massachusetts. On a quarterly basis the company files financial statements with the massachusetts division of insurance and these statements are public documents available on request.

Filing and Contact Details

Filer

Filer Name
Mass General Brigham Health Plan Inc
EIN
04-2932021
Phone
8572820747
Address
399 REVOLUTION DRIVE 645, SOMERVILLE, MA 02145-1446

Signing Officer

Name
Richard Barlesi
Title
VP & Controller
Phone
8572820747
Signed
2025-11-12

Organization Details

Principal Officer
Steven J Tringale
Formed
1986
Legal Domicile
Ma
Voting Board Members
10
Independent Board Members
7
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

FORM 990, PART III, LINE 1:

Mass general brigham health plan, inc. A not-for-profit corporation, in partnership with community health centers and other community-responsive providers, develops and operates cooperative managed care systems which are member focused, quality driven, community based, culturally responsive, and financially viable in contemporary and future health care environments.

FORM 990, PART XI, LINE 5:

Other changes in net assets: unrealized gain on investments $15,637,925.

Financial Statement Notes

PART X, LINE 2:

Mass general brigham health plan, inc. Does not have a fin 48 (asc 740) footnote disclosure in it's audited financial statements.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Investment income 12,639,002. Net loss on sale of assets -379,348.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Investment mgmt. Fees 295,221. Interest expenses 571,798. Corporate overhead expenses 1,482,000.

Raw XML AppendixShowing 400 of 1,979 raw XML fields

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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IRS990/ActivityOrMissionDesc0MASS GENERAL BRIGHAM HEALTH PLAN'S MISSION IS TO PROMOTE THE HEALTH AND WELLNESS OF OUR MEMBERS, AND TO HELP ENSURE EQUITABLE, AFFORDBALE HEALTH CARE FOR THE DIVERSE COMMUNITIES WE SERVE.
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IRS990/Desc0HEALTH CARE DELIVERY: MASS GENERAL BRIGHAM HEALTH PLAN (MGBHP) PROMOTES THE GENERAL WELFARE OF THE PEOPLE IN THE COMMUNITY BY FACILITATING THE DELIVERY OF COMPREHENSIVE HEALTH SERVICES ON A PREPAID BASIS TO MEMBERS AT 2,059 PRIMARY CARE LOCATIONS. FULLY INSURED MEMBERS INCLUDE 233,978 INDIVIDUALS COVERED BY MEDICAID, MEDICARE ADVANTAGE, SMALL AND LARGE EMPLOYER GROUPS AND LOW-INCOME, HIGH-RISK INDIVIDUALS. DURING 2024, MEMBERS INCURRED APPROXIMATELY 4.4 MILLION AMBULATORY ENCOUNTERS AND INCURRED 169,638 HOSPITAL PATIENT DAYS. MGBHP OFFERS MEMBERS ACCESS TO 8,385 PRIMARY CARY PHYSICIANS AND 53,275 SPECIALTY CARE PROVIDERS. SINCE 2008, MASS GENERAL BRIGHAM HEALTH PLAN HAS BEEN ACCREDITED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). THE NCQA ACCREDITATION SURVEY PROCESS INCLUDES ON- AND OFF-SITE EVALUATIONS OF OVER 60 STANDARDS AND PERFORMANCE MEASURES CONDUCTED BY A TEAM OF PHYSICIANS AND MANAGED CARE EXPERTS. NEARLY EVERY PART OF THE MASS GENERAL BRIGHAM HEALTH PLAN WAS EVALUATED INCLUDING UTILIZATION MANAGEMENT, CARE MANAGEMENT, QUALITY, MEMBER EXPERIENCE/CUSTOMER SERVICE, NETWORK OPERATIONS, POPULATION HEALTH, AND CREDENTIALING. MASS GENERAL BRIGHAM HEALTH PLAN VOLUNTARILY PURSUED NCQA ACCREDITATION AND WILL CONTINUE TO STRIVE FOR THIS RECOGNITION BECAUSE WE KNOW OUR MEMBERS DESERVE THE HIGHEST QUALITY CARE. IN THE LATEST HEALTH PLAN SURVEY RATINGS (2024), WE ACHIEVED A 4.0 OUT OF 5.0-STAR RATING FOR BOTH OUR COMMERCIAL AND MEDICAID PLANS.
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IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR, ON 10/01/24
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IRS990/MissionDesc0SEE SCHEDULE O

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