2019-11-13T14:19:34-06:00 2018-12-31 861065772 Deloitte Tax LLP Two Jericho Plaza Jericho NY 11753 990 2018-01-01 042864973 Health New England Inc HEAL 4137874000 One Monarch Place No 1500 Springfield MA 011441500 Steven J Sigal VP of Finance & CFO 4132333301 2019-11-13 1 Jeanne Fahrenbach P01365953 5169187000 208.99.255.205 2019-11-13 14:15:19 ES P 8121CA463AABFA4EFE5158FD2073B628CA1C8F6D FB03248700C55E7316312EA5AE12D7916242AABD 2018 2020-03-31 21:24:44Z Marion McGowan One Monarch Place No 1500 Springfield MA 011441500 824694442 0 X www.HealthNewEngland.Org X 2013 MA Health New England, Inc. is a part of the Baystate Health System formed by its parent and sole member, Baystate Health, Inc., whose mission is "To improve the health of the people in our communities every day with quality and compassion." The mission of Health New England, Inc. based on the mission of our parent, is as follows: "To improve the health and life of our communities by: providing outstanding service; delivering superior value; and acting as a leading corporate citizen." 14 11 359 0 0 202653 0 0 898045975 771147965 2434378 2712741 0 0 900480353 773860706 564790 402488 807951900 688933230 35373634 33009484 0 0 0 35713792 45037911 879604116 767383113 20876237 6477593 224898351 185688742 140974749 104824912 83923602 80863830 X See Schedule OThe 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, Inc. 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. 1 0 689335718 402488 771147965 Health 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 (HRSA) report stated that of the 102 Massachusetts towns designated as medically underserved, 78 are in the four counties that Health New England, Inc. serves. Based on that statistic, in all, over 45% of Health New England, Inc.'s enrollees live in medically underserved areas.See Schedule O for further information Health New England, Inc.'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, Inc.'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, over 20% of eligible individuals do not have a high school diploma, which is nearly double the statewide rate.Health New England, Inc. makes health care available in this service area and to this population by offering health plans which serve the following: Individuals and Small Groups Enrollees at 12/31/2018: 25,698 Revenue: $153,778,594Program Expenses: $129,081,792 Health New England, Inc. 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, Inc. is one of the leading sources of HMO coverage for individuals and small groups in Western Massachusetts.MedicareEnrollees at 12/31/2018: 8,974Revenue: $89,341,794Program Expense: $86,316,187 Health New England, Inc. serves Medicare enrollees through the Health New England, Inc. Medicare Advantage plan. MedicaidEnrollees at 12/31/2018: 38,037Revenue: $269,148,885 Program Expense: $244,892,016 Health New England, Inc. participates in MassHealth, the Massachusetts Medicaid program, through a Medicaid Managed Care plan. The number of Health New England, Inc.'s Medicaid plan enrollees has generally increased since 2010 when Health New England, Inc. began offering such plans, with more than 66,000 enrollees in 2016. Other Individuals and FamiliesEnrollees at 12/31/2018: 33,641 Revenue: $258,878,693Program Expense: $231,074,699 Health New England, Inc. 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. State and Municipal:Effective July 1, 2018, the Massachusetts Group Insurance Commission(GIC) moved to self-funded. Health New England, Inc. committed more than $500,000 in quantifiable community benefit services to the community, with direct financial support reportable under the Massachusetts Attorney General's specific criteria. Accordingly, Health New England has financially aided or worked with a wide variety of community organizations to support programs for health improvements, support factors that influence overall health and benefit the community. Community Benefits include, but are not limited to, the following organizations: - Springfield Business Improvement District Farmers Market - Market to bring fresh fruits/vegetables to people living in food deserts- Berkshire United Way - Youth literacy and development, emergency food and shelter programs- Valley Educational Associates - Adults with developmental disabilities programs- Friends of Homeless - Family support services, mental health and addiction services, and housing support services for adults, children and families - United Way of Pioneer Valley - Youth education, financial stability and basic need service programs- University of Massachusetts - Promote health equity education in Pioneer Valley- Big Brothers Big Sisters, Hampden County - Youth mentoring program to support educational and life success- Lubavitcher Yeshiva Academy - Educational scholarship for inner city youth- LifePath, Inc - Food security program for the elderly- International Language Institute of Ma - English classes for immigrants- Cutchins Programs for Children Families - Training program on trauma care- Iqualidad as Friends of Paulo Freire - Community garden and food pantry program- Northampton Survival Center - Fresh fruits and vegetables program for homeless and low income population- YMCA Springfield - AIM program for high school students- Alchemy Initiative - Farmers market making fresh fruits and vegetables available to vulnerable populations- Safe Passage - Support and advocacy services for women and children who have experienced domestic violence- Hampshire Regional YMCA - Livestrong cancer survivor support program- YMCA of Greater Westfield - Summer camp programs for at risk youth- Pathlight - Youth health and development training program- Springfield Boys and Girls Club - Summer camp programs for inner city youth- Treehouse Foundation - Youth leadership development programs for children in foster care- Cancer House of Hope - Services and therapies for patients with cancer and their families- International Language Institute of Massachusetts, Giving Voice - A benefit for the institute's free English program for refugees and immigrants 689335718 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 7963 0 1 359 1 1 1 0 0 0 0 0 1 0 X 14 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X Health New England Inc 4137874000 One Monarch Place Suite 1500 Springfield MA 011441500 Dennis Chalke Treasurer/Director 1.00 40.00 X X 0 947658 89819 Mark R Tolosky ESQ Director 1.00 0.00 X 0 0 0 Joel Feinman PhD Director 1.00 0.00 X 0 0 0 Frederic Fuller III Director 1.00 0.00 X 0 0 0 David Southworth Director 1.00 0.00 X 0 0 0 Richard Segool MD Vice Chair/Director 1.00 0.00 X X 0 0 0 Richard Shuman MD Director 1.00 0.00 X 0 0 0 Richard Steele Director 1.00 0.00 X 0 0 0 Howard G Trietsch MD Director 1.00 0.00 X 0 0 0 Carol Campbell Director 1.00 0.00 X 0 0 0 Mark A Keroack MD Chair/Director 1.00 40.00 X X 0 2027406 40042 Tania Barber Director 1.00 0.00 X 0 0 0 John Maybury Director 1.00 0.00 X 0 0 0 Amy Jamrog Director 1.00 0.00 X 0 0 0 Maura C McCaffrey End 71818 President & CEO 40.00 0.00 X 1804246 0 40182 Judith M Danek Clerk Of Corporation 40.00 0.00 X 108628 0 30063 Jody Gross Interim President & CEO 40.00 0.00 X 571111 0 229975 Kenneth Bernard VP of Information Technology 40.00 0.00 X 331166 0 126373 Jason Rio Compliance Officer 40.00 0.00 X 157946 0 53482 Laurie Gianturco VP & Chief Medical Officer 40.00 0.00 X 585655 0 204300 Susan Silver O'Connor Director & General Counsel 40.00 0.00 X 256547 0 113982 Catherine Ashley Allen VP of Sales & Marketing 40.00 0.00 X 378170 0 135771 Steven Sigal Vice President/CFO 40.00 0.00 X 361921 0 156107 Brenda Hukel Director of Human Resources 40.00 0.00 X 209562 0 72354 Jacqueline Spain Medical Director 32.00 0.00 X 287883 0 77086 Andrew Colby Director of Pharmacy Servi 40.00 0.00 X 230460 0 67037 Rebecca Starr Medical Director 40.00 0.00 X 267783 0 67053 Michelle Sears Director of Financial Services 40.00 0.00 X 188918 0 56766 Amy Trombley Ended 123117 Former VP & Chief Talent Officer 0.00 0.00 X 540010 0 13330 Thomas J Brown III End 0316 Former Interim CFO 0.00 40.00 X 0 239878 34468 6280006 3214942 1608190 80 1 1 0 PIONEER VALLEY INFORMATION EXCHANGE LLC 101 Wason Avenue Suite 200 Springfield MA 01107 Information Technology 165185440 OPTUMRX 11000 Optum Circle Eden Prairie MN 55344 Pharmacy Benefits Manager 156358685 MASSACHUSETTS BEHAVIORAL HEALTH PARTNERS 1000 Washington St Ste 310 Boston MA 02118 Medical Services Mental Health 49914062 BERKSHIRE MEDICAL CENTER PO Box 4999 Pittsfield MA 012024999 Medical Services 35966996 COOLEY DICKINSON HOSPITAL PO Box 5001 Northampton MA 01061 Medical Services 24487035 434 Medicaid Premium 524114 269148885 269148885 Premium - Commercial Large Group 524114 258878693 258878693 Premium - Commercial Small Group 524114 153778593 153778593 Medicare Advantage Premium 524114 89341794 89341794 771147965 2776718 2776718 50769759 50833736 -63977 -63977 -63977 773860706 771147965 0 2712741 X 402488 402488 688933230 688933230 5095400 5095400 18502299 18502299 1665293 1665293 5720493 5720493 2025999 2025999 363281 363281 151226 151226 2269736 2269736 58861 58861 234478 234478 7962653 7962653 889822 889822 1502362 1502362 19199526 19199526 788172 788172 157172 157172 22821 22821 564195 564195 ACA and Other Taxes 10135204 10135204 Bad Debt Expense 414228 414228 Recruiting Fees 298762 298762 Dues 25412 25412 767383113 689335718 78047395 0 62531973 14192960 999415 0 29183140 17250797 1251920 33146184 31285830 665053 1860354 103622426 119863128 8945819 9455231 18950525 21814352 224898351 185688742 122530600 81430791 18444149 23394121 140974749 104824912 X 83923602 80863830 83923602 80863830 224898351 185688742 X 6477593 -621828 -8915537 X X 0 1 X 1 0 1120462 1120462 0 11035026 9174672 1860354 20990696 20990696 0 1860354 9455231 C 9455231 Health Care Receivables 5518494 Receivable from Subsidiaries 15055718 Accrued Investment Receivable 752333 Other Receivables 487807 21814352 Premiums Received in advance 11746643 Reimbursements from Providers to be applied 455459 Amounts due to Subsidiaries 242276 Medical Subsidy Payable 3300000 Valuation Account 173648 Medicaid DSRIP 4664635 Federal Taxes Payable 162763 Cost Share Reduction Liability 2173698 Payable for Security 474999 23394121 773626228 0 773626228 234478 234478 773860706 767148635 0 767148635 234478 234478 767383113 1 Baystate Health Foundation 759 Chestnut Street Springfield MA 01199 043549011 501(c)(3) 102250 Cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. CHD 332 Birnie Avenue Springfield MA 01107 042503926 501(c)(3) 5208 Cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. Friends of the Homeless 755 Worthington Street Springfield MA 01107 043013066 501(c)(3) 10000 Cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. Partners for a Healthier Community 127 State Street 4th FL Springfield MA 01103 043342182 501(c)(3) 44250 Cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. Ronald McDonald House 34 Chapin Terrace Springfield MA 01107 042971480 501(c)(3) 10000 Cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. Safe Passage - Hot Chocolate Run 43 Center Street Northampton MA 01060 042690131 501(c)(3) 10000 Cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. The Care Center 247 Cabot Street Holyoke MA 01040 042962882 501(c)(3) 10000 Cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. United Way of Pioneer Valley 1441 Main Street Springfield MA 01103 042152680 501(c)(3) 22310 Cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. Just Roots Inc 34 Glenbrok Drive Apt 1B Greenfield MA 01301 371637062 501(c)(3) 25000 0 Cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. March of Dimes Inc 1550 Crystal Drive Suite 1300 Arlington VA 22202 131846366 501(c)(3) 25000 0 cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. Revitalize Community Development Corporation 1145 Main Street Suite 111 Springfield MA 01103 043172737 501(c)(3) 25000 0 Cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. Behavioral Health Network Inc 417 Liberty Street Springfield MA 01104 042103756 501(c)(3) 25000 0 cash Awards are made where they align with health priorities as identified by the Health New England Community Health Needs Assessment. 12 Part I, Line 2: Health New England reviews all requests for grant funds on a quarterly basis through the Community Benefits Committee, which vets and approves all grant awards. Awards are substantiated according to alignment with health priorities as identified by the Health New England Community Health Needs Assessment. In 2018, Health New England prioritizes organizations that support chronic conditions, mental health and substance use disorder, infant and perinatal/maternal health, food insecurities and early literacy/education. All awarded organizations are contacted throughout the year. Organizations are required to confirm use of Health New England's grant funds and submit a year-end report. Community impact data is the basis of reports for the Health New England board of directors and Attorney General Community Benefits annual report. X X X X 1 1 0 1 0 0 0 1 0 Dennis Chalke Treasurer/Director 0 546049 0 196086 0 205523 0 59273 0 30546 0 1037477 0 0 Mark A Keroack MD Chair/Director 0 1092818 0 555500 0 379088 0 17875 0 22167 0 2067448 0 0 Maura C McCaffrey End 71818 President & CEO 424313 0 369993 0 1009940 0 16500 0 23682 0 1844428 0 369993 0 Jody Gross Interim President & CEO 402370 0 133119 0 35622 0 221094 0 8881 0 801086 0 133119 0 Kenneth Bernard VP of Information Technology 213526 0 94340 0 23300 0 104413 0 21960 0 457539 0 94340 0 Jason Rio Compliance Officer 137107 0 20028 0 811 0 32028 0 21454 0 211428 0 20028 0 Laurie Gianturco VP & Chief Medical Officer 373163 0 181567 0 30925 0 188188 0 16112 0 789955 0 181567 0 Susan Silver O'Connor Director & General Counsel 205985 0 31790 0 18772 0 92188 0 21794 0 370529 0 31790 0 Catherine Ashley Allen VP of Sales & Marketing 260577 0 104378 0 13215 0 113768 0 22003 0 513941 0 104378 0 Steven Sigal Vice President/CFO 265583 0 84808 0 11530 0 134240 0 21867 0 518028 0 84808 0 Brenda Hukel Director of Human Resources 184719 0 22168 0 2675 0 71308 0 1046 0 281916 0 23765 0 Jacqueline Spain Medical Director 232623 0 43399 0 11861 0 55061 0 22025 0 364969 0 43399 0 Andrew Colby Director of Pharmacy Servi 193844 0 33673 0 2943 0 45187 0 21850 0 297497 0 33673 0 Rebecca Starr Medical Director 226377 0 38390 0 3016 0 50610 0 16443 0 334836 0 38390 0 Michelle Sears Director of Financial Services 151007 0 35556 0 2355 0 35236 0 21530 0 245684 0 35556 0 Amy Trombley Ended 123117 Former VP & Chief Talent Officer 59460 0 106727 0 373823 0 10039 0 3291 0 553340 0 106727 0 Thomas J Brown III End 0316 Former Interim CFO 0 191945 0 35302 0 12631 0 21314 0 13154 0 274346 0 0 Part I, Line 3 Health New England, Inc uses an independent compensation committee, an independent compensation consultant, and appropriate comparability data and approval by the compensation committee to establish the compensation of its key officers, directors, and employees. Part I, Lines 4a-b Maura McCaffrey - Each member of the Health New England Executive Leadership team's employment is governed by an Executive Leadership contract. Per these terms, Maura McCaffrey received a severance payout of $1,000,000 paid in 2018. Dennis Chalke - Supplemental Retirement of $151,801 is included in column B. This amount was earned and paid in 2018. Mark Keroack, MD - Supplemental Retirement of $351,037 is included in column B. This amount was earned and paid in 2018. Amy Trombley - Each member of the Health New England Executive Leadership team's employment is governed by an Executive Leadership contract. Per these terms, Amy Trobley received a severance payout of $373,142 paid in 2018. Laurie Gianturco - Supplemental Retirement of $20,364 is included in column B. This amount was earned and paid in 2018. Jody Gross - Supplemental Retirement of $21,139 is included in column B. This amount was earned and paid in 2018. Susan Silver O'Connor - Supplemental Retirement of $9,212 is included in column B. This amount was earened and paid in 2018. Kenneth Bernard - Supplemental Retirement of $12,164 is included in column B. This amount was earned and paid in 2018. Part I, Line 5 Certain employees of Health New England, Inc are eligible for bonuses in part based on net revenues, employees receive a percentage of the excess revenues, when target underwriting margins are exceeded. Part I, Line 7 Certain employees of Health New England, Inc are eligible for bonuses in part based on numbers of members by lines of businesses, and quality - Medicare 5 star, PBM, Medicaid and Population Health. Form 990, Part III, line 2 In 2018, Health New England, Inc. developed and implemented a new community benefits grant program known as the "Where Health Matters Grant" which awards four (4) $50,000 grants to community nonprofit organizations in each of the following priority areas: Chronic conditions (asthma, cardiovascular disease, chronic obstructive pulmonary disease, diabetes, obesity); infant and perinatal/maternal health; and, mental health and substance use disorder. The four awardees were: Revitalize Community Development Corporation - received funding to support "Doorway to Accessible Safe and Healthy Homes" to decrease in-home asthma exacerbation incidents among seniors on Medicare in Hamden County. Just Roots - received funding to support "Mainstreaming Food Access into Health and Housing Programs" to increase access to health services and healthy food for low-income individuals and families residing in two low-income complexes in Franklin County, working in coordination with the Community Health Center of Franklin County. March of Dimes - received funding to support "Supportive Pregnancy Care" to reduce preterm birth and low birthweight infants of Latina mothers and those diagnosed with gestational diabetes in Worcester County. Behavioral Health Network (BHN) - received funding to support the "Empowerment Project" to develop and implement support programs for LGBTQ youth and expand community training of BHN and Springfield Public School staff to address the unique health needs of LGBTQ youth living in greater Springfield. Form 990, Part III, Line 4a: Description of Program Service Health New England, Inc. also supports numerous programs sponsored by the Baystate Health Foundation, and has been instrumental in raising hundreds of thousands of dollars for Foundation programs. Examples of the Baystate Health Foundation Programs supported by Health New England, Inc. include, but are not limited to the following: - Rays of Hope, funds raised support breast cancer awareness, education, treatment and research - Children's Miracle Network, funds support the Baystate Health Children's Hospital - Walk of Champions, funds support cancer awareness, education and treatment - Walk for Miracles, funds support cancer awareness, education and treatment - Wheeling for Healing, funds support health awareness and education in the community - Home Health Hospice, funds support programs to comfort and support the dignity of patients at the end of life Form 990, Part III, Line 4a: Description of Program Service Health New England, Inc. has also traditionally supported other activities and initiatives of its parent, Baystate Health. Health New England, Inc. has participated in several jointly-sponsored multi-year commitments with the following organizations. - National Conference of Community and Justice - Greater Springfield Chapter, Urban League - Baystate Health Department of Psychiatry Educational Funding - Springfield Health and Human Services Annual Community Baby Shower - Greater Springfield Diaper Bank - Safe Passage Hot Chocolate Run - Provides a variety of support and advocacy services for women and children who have experienced domestic violence. The Hot Chocolate Run is the major fundraiser for this organization. Health New England, Inc has a long history of supporting community health education programs and initiatives within our service area either through the provision of funding and/or direct delivery. Following are highlights of such educational program offerings supported by Health New England: - Pioneer Valley Riverfront Club: Sponsorship of youth summer programs focused on health, wellness and self-care. Additional program support offers a wide variety of outreach programs aimed at bringing lifelong healthy activities to those who might not otherwise have the opportunity to participate. Health New England funded the Young Parent Program which aims to bring all the health, education and personal enhancement benefits of rowing specifically to a population of young men and women who are striving to set a course for life improvement for themselves and their young children. - Partners for a Healthier Community: Partners for a Healthier Community (PHC)is a nonprofit organization committed to improving the public's health by educating community partners, fostering innovation, leveraging resources, and building partnerships across sectors, including government agencies, communities, the health care delivery system, media and academia. PHC uses a collaborative programming approach to solve pressing community health issues. - New England Learning Center for Women in Transition: NELCWIT's mission is to work within the community to build safety, justice, and dignity for all through counseling, education, advocacy, and community organizing to women and children who have survived domestic violence or sexual abuse. NELCWIT also joins with and mobilizes, other groups and individuals who are working to end domestic violence and sexual abuse, ensure human rights, and create social change. Serving Franklin County and the North Quabbin region of western Massachusetts, NELCWIT offers safety planning, advocacy, education and support for anyone who has survived domestic or sexual abuse, and prevention education for our community, especially area youth. All of these services are free and confidential. NELCWIT's services are available for adults and children; for able-bodied and disabled individuals; for straight, lesbian, gay, bisexual, and transgendered people; and for speakers of languages other than English. It has special programs for members of our area's Latino and Indigenous communities. NELCWIT's newest program, the Franklin County Children's Visitation Program, offers supervised visits for children with non-custodial parents. - Pioneer Valley Asthma Coalition: A community partnership that works to improve the quality of life for individuals, families and communities affected by asthma. The PVAC was formed to address asthma from a community, holistic perspective bringing together a variety of groups to address the many factors that impact asthma, including: healthcare organizations (e.g. Baystate Health), health plans, local and state public health agencies (e.g. Springfield Health and Human Services), housing organizations, community agencies, academic institutions, community members, and a variety of other types of organizations within the community. - YMCA Summer Camp: YMCA summer camps provide kids with a variety of imaginative activities that make sure they have fun while making new friends, building self-confidence and discovering the world around them. Carefully selected counselors work with campers on creating masterpieces during arts and crafts, explore science and technology, go on field trips, appreciate nature and discover the world around them. Special programs related to fitness, wellness and nutrition are a focus of these camps. - Senior Population Education Events: Health New England addressed more than 2,000 Medicare eligible individuals lecture style events on topics including: Reducing Your Risk of Falling, Incontinence-When Laughing is No Longer Funny, Weight Loss, What's Your Type - Diabetes, What You Need to Know About Your Lungs, and the Health New England Annual Health and Wellness Fair. Health New England also participated in several regional community health and wellness fairs, offering Bone Density screening in the following towns: Greenfield, Williamstown, Pittsfield, Sheffield, Adams, and Hinsdale. Health New England has also worked with partner agencies and organizations on other programs, including: - YMCA and YWCA: Education sessions covering early childhood parenting classes - Greater Springfield Diaper Bank: Addresses the diaper need in Western Massachusetts by providing free diapers and related items to parents in need (reduces illness, allows access to daycare, etc) - Asthma Coalition Program Health New England has also worked with partner agencies and organizations in support of programs related to Chronic Disease Management including: - Diabetes Programming and Support: Diabetes Education at Brightwood Health Center. Diabetes Education Center, Mercy Medical Center, Riverbend Medical Group "Get Informed About Diabetes and Western Massachusetts Dietetic Association - Cancer Education and Support: Cancer Connection, Rays of Hope Outreach, Mercy Medical Sister Caritas Cancer Center, Cancer House of Hope, Baystate Cancer Center - Heart Disease: American Heart Association Get to Goal Campaign, American Heart Association Heart Walk, Go Red for Women, La Esperanza Latina Health Fair, Chicopee Chamber of Commerce Health Fair - Nutrition and Anti-Obesity Outreach: boys and Girls Clubs Nutrition Counseling and Healthy Weight clinics, Amherst Survival Center Empty Bowls Awareness and Fundraising event, Gardening the Community, Mason Square and Brightwood Farmers Markets and Food Bank of Western Massachusetts - Senior Wellness: Area Senior Centers, Baystate Health Senior Class Programming, Franklin County Home Care and Town of Adams Council of Aging. Health New England also conducts community benefit activities outside of the programs described above. Health New England has used its agreements with healthcare providers to promote quality improvement activities and to finance improved coordination of healthcare for individuals with severe or chronic diseases. 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 boards of directors/trustees or by serving in employment relationship one or more entities within the network of affiliated organizations. Carol Campbell and Amy Jamrog have a business relationship. Form 990, Part VI, Section A, line 6 As a Massachusettts 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 Bylaws 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 functions of a nominating committee are carried out by the Governance Committee of Baystate Health and the Baystate Health Audit and Compliance committee has full audit oversight duties and responsibilities for Health New England, Inc. 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" form. We use an electronic database to receive and manage all conflict of interest submissions. This information is reviewed by the Health New England Director of Compliance and the Health New England Legal Department. Potential conflict of interest transactions are reviewed as appropriate under the policy, which provides for recusal from discussion and deliberation by any party with a potential conflict of interest. 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 key 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 on request and at management's discretion Form 990 Part IX, Statement of Revenue, Line 11(g) 2018 Broker Commissions Medicare $88,231 2018 Broker Commissions Commercial 7,874,422 Form 990, Part XI, line 9: Decrease in non-admitted assets -8,915,537. 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. Surplus Notes-GAAP classifies surplus notes in liabilities, whereas NAIC SAP classifies them in statutory net worth. Baystate Health Inc 759 Chestnut Street Springfield MA 01199 042105941 Improve the health of people in our communities every day. MA 501(c)(3) Line 7 N/A 0 Baystate Medical Center Inc 759 Chestnut Street Springfield MA 01199 042790311 Acute Care Teaching Hospital MA 501(c)(3) Line 3 Baystate Health Inc 0 Baystate Franklin Medical Center 164 High Street Greenfield MA 01301 042103575 Hospital MA 501(c)(3) Line 3 Baystate Health Inc 0 Visiting Nurse Assn and Hospice of Western New England Inc 50 Maple Street Springfield MA 01199 042105803 Homehealth and Hospice care MA 501(c)(3) Line 10 Baystate Health Inc 0 Baystate Health Foundation Inc 759 Chestnut Street Springfield MA 01199 043549011 Fundraising MA 501(c)(3) Line 7 Baystate Health Inc 0 Baystate Administrative Services Inc 759 Chestnut Street Springfield MA 01199 222747685 Administrative services MA 501(c)(3) 11c, IIIc Baystate Health Inc 0 Baystate Total Home Care Inc 50 Maple Street Springfield MA 01199 203260764 Real Estate and Other MA 501(c)(3) 11b, II Baystate Health Inc 0 Baystate Wing Hospital Corporation 40 Wright Street Palmer MA 01069 222519813 Hospital MA 501(c)(3) Line 3 Baystate Health Inc 0 Health New England of Connecticut Inc One Monarch Place Suite 1500 Springfield MA 01104 465190134 HMO CT 501(c)(4) Health New England Inc 0 Baystate Noble Hospital Corporation 115 West Silver Street Westfield MA 01085 222537423 Hospital MA 501(c)(3) Line 3 Baystate Health Inc 0 Baystate Medical Practices Inc 759 Chestnut Street Springfield MA 01199 042888373 Physician Medical Services MA 501(c)(3) Line 3 Baystate Health Inc 0 Pioneer Valley Life Science Institute of Baystate Medical Center and UMASS 3601 Main Street Springfield MA 01199 571183126 Biomedical Research MA Line 4 Baystate Health Inc 0 Baycare Health Partners Inc 759 Chestnut Street Springfield MA 01199 043240830 Physician Hoapital Organization MA 501(c)(3) Line 3 Baystate Health Inc 0 Noble Visiting Nurse Services Inc 77 Mill Street No 207 Westfield MA 01085 222757446 Homehealth and Hospice care MA 501(c)(3) Line 10 Baystate Noble Hospital Corporation 0 Westfield Medical Corporation PO Box 1634 115 West Silver Street Westfield MA 01085 043127730 Physician Medical Services MA 501(c)(3) Line 11 Baystate Noble Hospital Corporation 0 Ingraham Corporation 759 Chestnut Street Springfield MA 01199 043016257 Health care and other business activities MA N/A C 0 HNE Insurance Services Inc One Monarch Place Suite 1500 Springfield MA 011441500 043183019 Collection of services for ancillary services MA HNE Holding Corporation C 119723 1.00000 1 HNE Advisory Services One Monarch Place Suite 1500 Springfield MA 011441500 043012347 Administrative Services MA HNE Holding Corporation C 22759112 1.00000 1 HNE Holding Corporation One Monarch Place Suite 1500 Springfield MA 011441500 464620480 Holding Company MA Health New England Inc C 6455062 1.00000 1 Baystate Health Insurance Company Ltd' N Church St George Town KY1-1104 Grand Cayman, Cay CJ 980421413 Offshore Captive Insurance CJ N/A 0 HNE Insurance Company Inc One Monarch Place Suite 1500 Springfield MA 011441500 454462433 Provide Health Care for MA Medicare Supplement members MA HNE Holding Corporation C 5404613 1.00000 0 Pioneer Valley Accountable Care LLC 759 Chestnut Street Springfield MA 01199 800812350 Accountable Care Organization MA Baycare Health Partners Inc C 0 Noble Health Alliance Inc 115 West Silver Street Westfield MA 01085 043164468 Healthcare Support MA Baystate Noble Hospital Corporation C 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 HNE Advisory Services Inc L 14998431 Ledger Activity HNE Advisory Services Inc P 9821557 Ledger Activity Health New England of Connecticut Inc Q 265771 Ledger Activity HNE Insurance Corporation Q 399559 Ledger Activity HNE Insurance Corporation S 126186 Ledger Activity