Civic Intelligence

Harvard Pilgrim Health Care Of

EIN 46-1681667 • 501(c)4 • Hartford, CT

Profile

SEE SCHEDULE 0

City Place Ii 185 Asylum StreetHartford, CT 06103

www.harvardpilgrim.org/CONNECTICUT

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2020

Liabilities / Revenue

17th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)4 • $10M-$25M nonprofits • Source year 2020

Net Margin

9th percentile

-25%

Higher net margin than 9% of similar nonprofits.

501(c)4 • $10M-$25M nonprofits • Source year 2020

Top Officer Pay

99th percentile

$1,901,183

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 9.0% of source-year revenue.

501(c)4 • $10M-$25M nonprofits • Source year 2020

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

501(c)4 • $10M-$25M nonprofits • Annualized from 2019 to 2020

Revenue Growth

7th percentile

-43%

Faster revenue growth than 7% of similar nonprofits.

501(c)4 • $10M-$25M nonprofits • Annualized from 2019 to 2020

Assets

Down

$0

Down $48,267,624 (-100%) from 2019

Liabilities

Down

$0

Down $11,768,316 (-100%) from 2019

Net Assets

Down

$0

Down $36,499,308 (-100%) from 2019

Revenue

Down

$21,117,996

Down $16,103,151 (-43%) from 2019

Expenses

Down

$26,414,734

Down $17,615,393 (-40%) from 2019

Net Income

Up

-$5,296,738

Up $1,512,242 (+22%) from 2019

Trend Graphs

Balance Sheet Trend

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

$60M$40M$20M$0Assets 2014: $14,132,325Liabilities 2014: $150,058Net Assets 2014: $13,982,2672014Assets 2015: $16,565,807Liabilities 2015: $1,191,593Net Assets 2015: $15,374,2142015Assets 2016: $15,429,752Liabilities 2016: $592,870Net Assets 2016: $14,836,8822016Assets 2017: $14,908,570Liabilities 2017: $262,637Net Assets 2017: $14,645,9332017Assets 2018: $18,199,021Liabilities 2018: $4,869,372Net Assets 2018: $13,329,6492018Assets 2019: $48,267,624Liabilities 2019: $11,768,316Net Assets 2019: $36,499,3082019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2020

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$60M$40M$20M$0-$20MRevenue 2014: $98,220Expenses 2014: $2,109,973Net Income 2014: -$2,011,7532014Revenue 2015: $1,676,680Expenses 2015: $3,285,321Net Income 2015: -$1,608,6412015Revenue 2016: $4,323,871Expenses 2016: $4,866,284Net Income 2016: -$542,4132016Revenue 2017: $3,023,113Expenses 2017: $3,211,857Net Income 2017: -$188,7442017Revenue 2018: $12,453,601Expenses 2018: $13,696,855Net Income 2018: -$1,243,2542018Revenue 2019: $37,221,147Expenses 2019: $44,030,127Net Income 2019: -$6,808,9802019Revenue 2020: $21,117,996Expenses 2020: $26,414,734Net Income 2020: -$5,296,7382020

Highlighted filing

2020

Revenue$21,117,996
Expenses$26,414,734
Net Income-$5,296,738

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Jun 30, 2020
Signed
May 17, 2021
Return Version
2020v4.1
Gross Receipts
$24,124,970
Mission and Program Overview

Mission

SEE SCHEDULE 0

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Pd in Cap Srpls Land Bldg Eqp Fund$49,000,000$0▼ $49,000,000
Investments in Publicly Traded Securities$28,121,353$0▼ $28,121,353
Savings and Temporary Cash Investments$13,573,679$0▼ $13,573,679
Accounts Receivable$1,446,487$0▼ $1,446,487
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-12,500,692$0▲ $12,500,692
Total Assets$48,267,624$0▼ $48,267,624
Other Assets Total$5,126,105$0▼ $5,126,105
Liabilities
Other Liabilities$7,577,201$0▼ $7,577,201
Accounts Payable and Accrued Expenses$4,191,115$0▼ $4,191,115
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$11,768,316$0▼ $11,768,316
Net Assets / Fund Balance
Total Net Assets Fund Balance$36,499,308$0▼ $36,499,308
Total Liabilities and Net Assets / Fund Balance$48,267,624$0▼ $48,267,624
Compensation and Service Providers

Employees

NameTitleOtherTotal
John E CalkinsDirector$500$500
Raymond Lawrence DmdDirector$500$500

Board Members and Trustees

NameTitle
Michael a CarsonPresident/director
Beth a RobertsVice President/director
Andrea Barton-reevesDirector
David W Mcfadden MdDirector
Michael S Sherman MdDirector
Jason MadrakVP/director (until 03/20)
Michelle J ClaymanAssistant Treasurer
Tisa K HughesFormer Secretary
Thomas F MaloneySecretary
Charles R GoheenTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
See Schedule O---
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$20,674,415
Investment Income
$443,581
Other Revenue
$0
Change in Net Assets
$-5,296,738
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,189,924
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$22,224,810--$22,224,810
Other Expenses$333,405$505,824-$333,405
Total Functional Expenses$25,908,910$505,824$0$26,414,734
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

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

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

PART VI, LINE 3:

Hphc of ct does not have its own employees. Hphc of ct pays hphc,inc. For services provided by its employees. Under a management and services agreement between hphc of ct and hphc,inc., hphc,inc. Provides administrative and operational management services to hphc of ct.

PART VI, LINE 6:

Hphc,inc. Is the parent and sole member of hphc of ct.

PART VI, LINE 7A:

Hphc,inc. Is the sole member of hphc of ct. The hphc,inc. Board of directors elects the appropriate number of hphc of ct directors during the hphc,inc. Board of directors annual meeting.

PART VI, LINE 7B:

Hphc of ct's bylaws set forth the power of the sole member, hphc,inc., to amend, repeal, or adopt new bylaws.

PART VI, LINE 11B:

Once hphc of ct's form 990 is completed with the assistance of its outside tax advisors, it is reviewed by hphc, inc.'s internal management. The completed form 990 is provided to all members of the board of directors prior to the form being filed with the irs.

PART VI, LINE 12C:

Hphc of ct's directors and officers are subject to hphc of ct's conflicts of interest policy as set forth in hphc of ct's bylaws. The conflicts of interest policy requires directors and officers to disclose on an ongoing basis the occurrence of any situation when their personal interests or relationships might influence, or appear to influence, their ability to make objective decisions in the course of performing their fiduciary responsibilities, are prejudicial to the legitimate interests of hphc of ct, or cause the use of hphc of ct's resources for other than hphc of ct purposes. In addition to being subject to hphc of ct's conflicts of interest policy, hphc of ct's directors and officers are annually required to complete and sign a conflicts of interest disclosure survey, and any disclosed potential conflicts are reported to the board of directors, in accordance with the disclosure and review process set forth in hphc of ct's bylaws. Hphc of ct does not have employees, but rather pays hphc,inc. For services provided by its employees. Hphc,inc.'s employees are subject to hphc,inc.'s code of conduct which includes a conflicts of interest policy. The conflicts of interest policy requires employees to disclose on an ongoing basis the occurrence of any situation when their outside activities, personal interests or relationships might influence, or appear to influence, their ability to make objective decisions in the course of performing their job responsibilities, are prejudicial to the legitimate interests of hphc,inc., and its affiliates, or cause the use of hphc,inc. Resources for other than hphc,inc. Purposes. Employees communicate disclosures to their supervisors and to the compliance program office. The compliance program office, in collaboration with the legal department, make a determination if such disclosure is material and needs to be managed, mitigated, or eliminated.

PART VI, LINE 19:

The organization furnishes its governing documents, financial statements, and conflicts of interest policy to the public upon request. The statutory financial statements are available to the public via the national association of insurance commissioners ("naic") website.

PART VII, SECTION B, LINE 1:

Any independent contractors are retained by the parent company, hphc,inc. Part xi, line 9: change in non - admitted assets ($133,082) net assets transfer to hphc,inc ($31,069,488) ------------- total ($31,202,570) -------------

Filing and Contact Details

Filer

Filer Name
Harvard Pilgrim Health Care of
EIN
46-1681667
In Care Of
% BETH CREAVIN
Phone
7812636000
Address
CITY PLACE II 185 ASYLUM STREET, HARTFORD, CT 06103

Signing Officer

Name
Umesh Kurpad
Title
Treasurer
Phone
7812636000
Signed
2021-05-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Michael a Carson
Formed
2012
Legal Domicile
Ct
Voting Board Members
7
Independent Board Members
4
Employees
0
Volunteers
2

Preparer

Firm
PricewaterhouseCoopers LLP
Address
101 SEAPORT BLVD SUITE 500, BOSTON, MA 02210
Preparer
Gwen Spencer
Phone
6175305000
Supplemental Narrative

Additional Explanations

FORM 990, PART I, LINE 1, PART III, LINE 1 AND PART III, LINE 3:

Organization's mission harvard pilgrim health care of connecticut, inc. ("hphc of ct") operates as a not-for-profit health plan, providing comprehensive health insurance, access to health care, and other related services in connecticut primarily to employer groups through contracts with physicians, established primary group and multi-specialty physician groups, hospitals, and other health care providers. Our mission is to improve the quality and value of health care for the people and the communities we serve. Hphc of ct has built a reputation for exceptional clinical quality, preventive care, disease management, and member satisfaction. We remain an industry leader by continuing to develop new ways to improve upon how we care for our members. Hphc of ct dissolved as of june 30, 2020 and its assets were transferred to harvard pilgrim health care, inc. ("hphc, inc."), a related, irc section 501(c)(3) organization. Part vi, line 2: business relationship - the following individuals serve as officers and/or are on the board of one or more for profit organizations related to hphc of ct, and/or are employed by an organization (other than the filing organization), for which another person listed serves as an officer or director. Michael a. Carson - president and director beth ann roberts - vice president and director charles r. Goheen - treasurer/cfo michelle clayman - assistant treasurer thomas f. Maloney - secretary michael s. Sherman, md - director jason madrak - vice president and director (until 3/20)

PART XII, LINE 1:

Hphc of ct follows the statutory accounting method prescribed by the naic accounting practices and procedures manual for statutory accounting principles.

Financial Statement Notes

PART X, LINE 2:

The consolidated financial statements of harvard pilgrim health care,inc. And affiliates ("harvard pilgrim") as of and for the year ended december 31, 2020 include the following entities: harvard pilgrim health care, inc. ("hphc, inc."), harvard pilgrim health care of new england, inc. ("new england"), harvard pilgrim health care foundation, inc. (the "foundation"), harvard pilgrim health care institute, llc (the "institute"), hphc insurance agency (the "agency"), hphc insurance company, inc. (the "insurance company"), new hphc holding corporation ("newco") and health plans, inc. And subsidiaries ("hpi"). Upon receipt of all necessary corporate and regulatory approvals, harvard pilgrim health care of connecticut, inc. ("hphc of ct") dissolved as of june 30, 2020 and merged into hphc, inc. Effective july 1, 2020. The audited financial statements presented as of and for the year ended decemebr 31, 2020 reflect the merger of hphc,inc. And hphc of ct. The 2020 return of organization exempt from income tax for hphc of ct reflects the final return for the period ended june 30, 2020. Following is the relevant portion of the fin 48 footnote from harvard pilgrim health care, inc. And affiliates consolidated financial statements prepared in accordance with u.s. Generally accepted accounting principles that applies to the filing organization. Hphc, inc., new england, hphc of ct, and the foundation are tax-exempt organizations under internal revenue service regulations. The institute has no tax status and therefore follows the tax-exempt status of hphc, inc. As its sole member. Hphc, inc. Did not have any unrecognized tax benefits as of june 30, 2020 and decemebr 31, 2019.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE CONSOLIDATED FINANCIAL STATEMENTS OF HARVARD PILGRIM HEALTH CARE,INC. AND AFFILIATES ("HARVARD PILGRIM") AS OF AND FOR THE YEAR ENDED DECEMBER 31, 2020 INCLUDE THE FOLLOWING ENTITIES: HARVARD PILGRIM HEALTH CARE, INC. ("HPHC, INC."), HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC. ("NEW ENGLAND"), HARVARD PILGRIM HEALTH CARE FOUNDATION, INC. (THE "FOUNDATION"), HARVARD PILGRIM HEALTH CARE INSTITUTE, LLC (THE "INSTITUTE"), HPHC INSURANCE AGENCY (THE "AGENCY"), HPHC INSURANCE COMPANY, INC. (THE "INSURANCE COMPANY"), NEW HPHC HOLDING CORPORATION ("NEWCO") AND HEALTH PLANS, INC. AND SUBSIDIARIES ("HPI"). UPON RECEIPT OF ALL NECESSARY CORPORATE AND REGULATORY APPROVALS, HARVARD PILGRIM HEALTH CARE OF CONNECTICUT, INC. ("HPHC OF CT") DISSOLVED AS OF JUNE 30, 2020 AND MERGED INTO HPHC, INC. EFFECTIVE JULY 1, 2020. THE AUDITED FINANCIAL STATEMENTS PRESENTED AS OF AND FOR THE YEAR ENDED DECEMEBR 31, 2020 REFLECT THE MERGER OF HPHC,INC. AND HPHC OF CT. THE 2020 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX FOR HPHC OF CT REFLECTS THE FINAL RETURN FOR THE PERIOD ENDED JUNE 30, 2020. FOLLOWING IS THE RELEVANT PORTION OF THE FIN 48 FOOTNOTE FROM HARVARD PILGRIM HEALTH CARE, INC. AND AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES THAT APPLIES TO THE FILING ORGANIZATION. HPHC, INC., NEW ENGLAND, HPHC OF CT, AND THE FOUNDATION ARE TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE SERVICE REGULATIONS. THE INSTITUTE HAS NO TAX STATUS AND THEREFORE FOLLOWS THE TAX-EXEMPT STATUS OF HPHC, INC. AS ITS SOLE MEMBER. HPHC, INC. DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF JUNE 30, 2020 AND DECEMEBR 31, 2019.
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