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      <Desc>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 &amp; 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 unemploymnt in Health New England, Inc.'s service area and the lowest medican 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 12/31/2017: 27,829 Revenue: $138,474,967Program Expenses: $37,073,658 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 12/31/2017: 9,532Revenue: $93,416,696Program Expense: $79,804,539 Health New England, Inc. serves Medicare enrollees through the Health New England, Inc. Medicare Advantage plan. MedicaidEnrollees at 12/31/2017: 58,232Revenue: $343,616,211 Program Expense: $323,761,596 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.State and MunicipalEnrollees at 12/31/2017: 25,707Revenue: $83,572,817Program Expense: $100,720,729 Health New England, Inc. offers health plans through the Massachusetts Group Insurance Commission (GIC), which provides coverage for Massachusetts state and municipal employees. Health New England, Inc. has one of the largest enrollments of GIC covered employees in Western Massachusetts. Other Individuals and FamiliesEnrollees at 12/31/2017: 61,248 Revenue: $238,965,284Program Expense: $303,665,038 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. Health New England, Inc. committed more than $714,000 in quantifiable community benefit services to the community. Health New England has financially supported or worked with a wide variety of community organizations to fund 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: - Autism Connections - Support for children and adults with autism, as well as their families, friends and professionals.- Riverside Indusries - Life skills development and employment programs for people with disabilities- Neutral Corner - Anti bullying education for Springfield public school students- National Alliance on Mental Illness - Programs offered through the resource center for those affected by mental health issues and their family- Develop Springfield - Support development and re development projects to stimulate and support economic growth in Springfield Ma- Cogic Family Sevices - After school enrichment program to support youth and provide a sage and supportive environment for homework- Mercy Medical Center - Support opioid project- Make a Wish Foundation - Support programs for children with critical illnesses- Berkshire South Regional Community Center - Programs to enhance recreational, educational, cultural, health and social well-being of the residents of the Southern Berkshires, MA.- Merge for Equality - Health, development and gender equality programs for marginalized adults and boys- Center for Human Development - Programs for Cancer House of Hope that serve undeserved people living with cancer- Tapestry Health - Provides adults and teenagers with comprehensive community-based health services- Dress for Success - Programs that empower women to achieve economic independence by providing a network of support, professional attire and training- Shriners Hospital - Educational forum on Maternal and Child health- Home Instead Senior Care - Music and movement programs that support aging adults with cognitive impairment- Big Brothers Big Sisters Hampden County - Programs to support children to realize their potential and build healthy relationships- Berkshire United Way - Programs to support children and youth to lead healthy lifestyle choices- United Way of Hampshire County - Child and adult programs to support education, economic security and wellness- Springfield Business Improvement District - Downtown farmer's market to provide fresh fruits and vegetables to undeserved populations- Easter Seals Massachusetts - Programs and services to children and adults with disabilities- Alchemy Initiative - Farmers market making fresh fruits and vegetables available to vulnerable populations- West Springfield Council on Aging - Educational program for Medicare populations- Whole Children - Youth health and development training programs- Mass in Motion - Safe parks initiative to create drug and violence free zones for youth and adults- New England Learning Center for Women in Transition - Programs to support women and children who have experienced domestic violence or sexual abuse- Children's Study Home - Residential, educational and family services for children of foster homes and their foster homes- Boy Scouts of America - Youth programs of character development and values-based leadership training- Center for New Americans - Education and resources to serve immigrants- United Way of Pioneer Valley - Education, financial wellness and basic needs services- Brethen Community Foundation - Financial assistance programs for families in poverty- Movement Project Dance Program - Dance programs for at risk overweight children- Human Service Forum Programs and issues impacting human services in the community- YMCA - Livestrong health and wellness programs that support individuals living with cancer and their families- Springfield Business Improvement District - Inner city's farmers market to provide fresh fruits and vegetables in areas of food deserts- American Foundation for Suicide Prevention - Support programs for families affected by suicide- JGS Lifecare - Supports health and eldercare programs, including Alzheimer's Care- Lubavitcher Yashiva Academy - Educational scholarship for inner city youth- Springfield Boys and Girls Club - Summer camp programs for inner city youth- Food Bank of Western Massachusetts - Food programs for member agencies in Western MA counties</Desc>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Mark A Keroack MD</PersonNm>
        <TitleTxt>Chair/Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1888792</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32862</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Tania Barber</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Maybury Beg 012017</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Amy Jamrog Beg 012017</PersonNm>
        <TitleTxt>Director</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maura C McCaffrey</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Judith M Danek</PersonNm>
        <TitleTxt>Clerk Of Corporation</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34212</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Amy Trombley Ending 123117</PersonNm>
        <TitleTxt>VP &amp; Chief Talent Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>128376</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jody Gross</PersonNm>
        <TitleTxt>VP Operations and Gov't</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>467379</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kenneth Bernard</PersonNm>
        <TitleTxt>VP of Information Technology</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>320220</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>128720</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jason Rio</PersonNm>
        <TitleTxt>Compliance Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>50464</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Laurie Gianturco</PersonNm>
        <TitleTxt>VP &amp; Chief Medical Officer</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <OtherCompensationAmt>211936</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Catherine Ashley Allen</PersonNm>
        <TitleTxt>VP of Sales &amp; Marketing</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>132913</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Steven Sigal Beg 05012017</PersonNm>
        <TitleTxt>Vice President/CFO</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
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        <OtherCompensationAmt>101118</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michelle Sears End 417</PersonNm>
        <TitleTxt>Former Interim CFO</TitleTxt>
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        <OtherCompensationAmt>68660</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeffrey Krawczyk</PersonNm>
        <TitleTxt>Director of Sales</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
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        <OtherCompensationAmt>60687</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jacqueline Spain</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
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        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
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        <OtherCompensationAmt>77677</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Andrew Colby</PersonNm>
        <TitleTxt>Director of Pharmacy Servi</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>216793</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>68529</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Susan Silver O'Connor</PersonNm>
        <TitleTxt>Director &amp; General Counsel</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>201932</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>64811</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Rebecca Starr</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>228361</ReportableCompFromOrgAmt>
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        <OtherCompensationAmt>78208</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas J Brown III End 0316</PersonNm>
        <TitleTxt>Former Interim CFO</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>40.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
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        <ReportableCompFromRltdOrgAmt>236955</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>39542</OtherCompensationAmt>
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      <TotalReportableCompFromOrgAmt>4790455</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>3265696</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>103</IndivRcvdGreaterThan100KCnt>
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      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>PIONEER VALLEY INFORMATION EXCHANGE LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>101 Wason Avenue Suite 200</AddressLine1Txt>
            <CityNm>Springfield</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01107</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Information Technology</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>OPTUMRX</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>11000 Optum Circle</AddressLine1Txt>
            <CityNm>Eden Prairie</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55344</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Pharmacy Benefits Manager</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MASSACHUSETTS BEHAVIORAL HEALTH PARTNERS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>1000 Washington St Ste 310</AddressLine1Txt>
            <CityNm>Boston</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02118</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Medical Services Mental Health</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>BERKSHIRE MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 4999</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>012024999</ZIPCd>
          </USAddress>
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        <ServicesDesc>Medical Services</ServicesDesc>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COOLEY DICKINSON HOSPITAL</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 5001</AddressLine1Txt>
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            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>01061</ZIPCd>
          </USAddress>
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        <ServicesDesc>Medical Services</ServicesDesc>
        <CompensationAmt>24487035</CompensationAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Medicaid Premium</Desc>
        <BusinessCd>524114</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>343616211</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Premium - Commercial Large Group</Desc>
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        <RelatedOrExemptFuncIncomeAmt>238965284</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
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      <ProgramServiceRevenueGrp>
        <Desc>Medicare Advantage Premium</Desc>
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        <RelatedOrExemptFuncIncomeAmt>93416696</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Massachusetts Group Insurance Com</Desc>
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        <ManagementAndGeneralAmt>190333</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>400306</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>397247</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>16628464</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1243626</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>1764783</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>7219930</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>763255</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>132009</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>9449</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>2721221</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>142076</ManagementAndGeneralAmt>
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        <Desc>ACA and Other Taxes</Desc>
        <TotalAmt>1106309</TotalAmt>
        <ManagementAndGeneralAmt>1106309</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>441689</ManagementAndGeneralAmt>
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        <Desc>Recruiting Fees</Desc>
        <TotalAmt>171067</TotalAmt>
        <ManagementAndGeneralAmt>171067</ManagementAndGeneralAmt>
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        <Desc>Dues</Desc>
        <TotalAmt>22352</TotalAmt>
        <ManagementAndGeneralAmt>22352</ManagementAndGeneralAmt>
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        <ManagementAndGeneralAmt>71087426</ManagementAndGeneralAmt>
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        <EOYAmt>62531973</EOYAmt>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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      <RecipientTable>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Revitalize Community Development Corporation</BusinessNameLine1Txt>
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          <CityNm>Springfield</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <CityNm>Springfield</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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      <RecipientTable>
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        <ExplanationTxt>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 2017, 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.</ExplanationTxt>
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        <PersonNm>Jody Gross</PersonNm>
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        <PersonNm>Kenneth Bernard</PersonNm>
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        <PersonNm>Jason Rio</PersonNm>
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        <PersonNm>Laurie Gianturco</PersonNm>
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        <PersonNm>Catherine Ashley Allen</PersonNm>
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        <PersonNm>Steven Sigal Beg 05012017</PersonNm>
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        <PersonNm>Michelle Sears End 417</PersonNm>
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        <PersonNm>Jeffrey Krawczyk</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jacqueline Spain</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Andrew Colby</PersonNm>
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        <PersonNm>Susan Silver O'Connor</PersonNm>
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        <PersonNm>Rebecca Starr</PersonNm>
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        <PersonNm>Thomas J Brown III End 0316</PersonNm>
        <TitleTxt>Former Interim CFO</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Maura McCaffrey - Supplemental Retirement of $145,027 is included in column B. This amount was earned and paid in 2017. Dennis Chalke - Supplemental Retirement of $186,459 is included in column B. This amount was earned and paid in 2017. Mark Keroack, MD - Supplemental Retirement of $334,356 is included in column B. This amount was earned and paid in 2017. Amy Trombley - Supplemental Retirement of $38,043 is included in column B. This amount was earned and paid in 2017. Laurie Gianturco - Supplemental Retirement of $20,254 is included in column B. This amount was earned and paid in 2017. Jody Gross - Supplemental Retirement of $17,042 is included in column B. This amount was earned and paid in 2017. Kenneth Bernard - Supplemental Retirement of $12,249 is included in column B. This amount was earned and paid in 2017.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a: Description of Program Service</FormAndLineReferenceDesc>
        <ExplanationTxt>- Council of Aging, Town of Granby - Educational and advocacy programs to enhance lives of senior citizens - Springfield, Holyoke, Chicopee Head Start - Early childhood programs for low income families - National Association of Insurance and Financial Advisors of Massachusetts - Scholarship program for at-risk students - Square One Preschool - Provides early childhood educational programs and dental care to at risk children in the Springfield area - New England Business Association - Educational and trainging programs for persons with disabilities - Cancer Connections, Inc - Programs for men, women and children living with a cancer diagnosis and their families - Berkshire Baby Boxes - Infant and maternal health outreach program for new mothers in Berkshire County - Hillcrest Educational Centers- Programs for students with complex pyschiatric, behaviorial and developmental disorders, autism and high risk behaviors - Hampden County Bar Association - Funds legal services for children in foster care - Treehouse Foundation - Intergenerational and policy advocacy programs to support children in foster care - The United Arc - Programs to support developmentally disabled youth and adults - Links to Libraries - Provides early childhood literacy programs to inner city children and youth - Berkshire Hills Music Academy - Programs for individuals with intellectual disabilities - Christina's House - Support for Homeless women and children - Greater Springfield Habitat for Humanity - Providing homes to low-income families - Valley Educational Associates - Programs to support adults with developmental disbilities Chicopee Boys and Girls Club - Summer Camp programs for inner city youth - City of Springfield Parks and Recreation Department - program to provide a safe environment and physical activity for youth and teens living in unsafe neighborhoods - Survivor Journeys - Programs that support people living with cancer, and their families - Elder Vision, Inc - Programs to support adults to maintain independence - Holyoke VNA and Hospice Life Care - Home care and hospice services for home bound adults - Just Roots - CSA farm share program for low-income population - Mercy Fund Development - Lung screening program - Women, Infants and Children - Nutrition and educational program for low income families - Homework House, Inc - Educational after school programs for at-risk students - Camphill Village - Programs serving the needs of adults with developemntal disabilities - Hampshire Regional YMCA - Livestrong health and wellness programs that support individuals living with cancer, and their families - Amherst Survival Center - Basic needs services for low-income community - Springfield Technical Community College - Financial counseling, coaching, budget management programs and food panty for at-risk students - United Way of Franklin county - Preschool program to support literacy skills - Open Pantry - Food pantry for low-income population - United Way of Pioneer Valley - Puerto Rico hurricane evacuee food and basic needs services - Springfield Jewish Community Center - Early learning center for inner city youth - Revitalize Community Development Center - Home repair program for at-risk inner city community - Community Foundation of Western Mass - Scholarships for at-risk high school seniors - Quabog Valley Community Development - Support Quabog Connector for transportation to healthcare appointments - Food Bank of Western Mass - Food and school backpack program support for Puerto Rican hurricane evacuees - Junior Achievement of Western Mass - Scholarship prgram for at-risk high school students - Ronald Mcdonald House of Springfield - Housing for low-income families requiring medical treatment - Hillcrest Educational Centers - Mental health programs for young girls with leraning, emotional or behavioral disabilities - The Care Center - Educational programs for pregnant and parenting teen - Friends of the Homeless - Emergency center for adults in Western Mass - Partnrs for a Healthier Community - Collaborative public health and educational programs to address community health issues</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a: Description of Program Service</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 - Educational programs that support inclusion and acceptance across the community - American Red Cross, Disaster Relief for residents of Western Mass - Greater Springfield Chapter, Urban League - Fosters racial inclusion and social justice for African American young people and families in the Springfield area - 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. - Greater Springfield National Association for the Advancement of Colored People - Support programs that address disparities of communities of color health-related, education and economic issues Health New England also participated in several regional community health and wellness fairs, offering Bone Density screening. Health New England has also worked with partner agencies and organizations in support of programs related to Chronic Disease Management, including: - Cancer Education and Support: Rays of Hope Outreach, Mercy Medical Sister Caritas Cancer Center, Cancer House of Hope, Baystate Cancer Center - Heart Disease: Go Red for Women - Nutrition and Anti-Obesity Outreach: Mason Square and Brightwood Farmers Market 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 on 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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 prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Available on request and at management's discretion</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Increase in non-admitted assets 5,375,970.</ExplanationTxt>
      </SupplementalInformationDetail>
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          <BusinessNameLine1Txt>Baystate Total Home Care Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>50 Maple Street</AddressLine1Txt>
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        <PrimaryActivitiesTxt>Provide Health Care for MA Medicare Supplement members</PrimaryActivitiesTxt>
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