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      <ActivityOrMissionDesc>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."</ActivityOrMissionDesc>
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      <MissionDesc>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.</MissionDesc>
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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 12/31/2016: 27,813 Revenue: $135,810,550Program Expenses: $123,173,772 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 12/31/2016: 9,111Revenue: $90,778,301Program Expense: $88,409,407 Health New England, Inc. serves Medicare enrollees through the Health New England, Inc. Medicare Advantage plan. MedicaidEnrollees at 12/31/2016: 66,280Revenue: $401,286,577 Program Expense: $353,697,040 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 12/31/2016: 22,369Revenue: $112,504,732Program Expense: $96,967,281 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 12/31/2016 38,413 Revenue: $190,674,818Program Expense: $169,604,216 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 $750,000 in quantifiable community benefit services to the community, with $450,000 of direct financial support reportable under the Massachusetts Attorney General's specific criteria.Accordingly, Health New England, Inc. has aided or worked with a wide variety of community organizations to support programs for health improvement and community benefit. - Feed the Valley Health New England, Inc. dedicated $100,000 from the Community Benefit budget to 36 regional food resource centers. These agencies include food pantries, soup kitchens and faith-based meal services, and were selected as recipients of aid ranging from $1,000 to $10,000. The distribution of dollars was based on demographic and need data reported through a Community Health Needs Assessment, and utilization and financial data reported to Health New England, Inc. by the community partners. Four recipient organizations were identified by Health New England, Inc. Medicaid community outreach staff as the result of outreach and interaction with at-risk members. - Farmers Market at Mason Square Health Center and High Street Health in Springfield, MA, and Gardening the Community (GTC Eats!), bringing fresh produce and nutrition education to inner city families. - Food Bank of Western Massachusetts, distributing food to member agencies in Berkshire, Franklin, Hampden and Hampshire counties. -Open Gyms in support of the Springfield, MA Public Schools and Parks and Recreation Department - Targeted at children between the ages of 12 and 17 living in high risk neighborhoods in the City of Springfield -Neutral Corner Anti-Bullying Education Program for Springfield students - Anti-Bullying program offered in Springfield middle schools; promotes fitness, wellness, nutrition and activities to improve self-esteem, respect and cultural understanding for youth -Project Coach in support of the mission to bridge economic, educational and social divisions facing Springfield's youth by empowering and employing teenagers to become sports coaches and academic mentors to elementary school students. -The Care Center, serving more than 100 pregnant and parenting teens annually who attend The Care Center's education programs. Since 2004, an average of 75% of Care Center students who leave with their High School Equivalency go on to college. -Springfield YMCA Y-AIM Program in support of middle school children with the goal of reducing the high school dropout rate. -Greater Springfield YMCA with a focus on early childhood education programs. -Square One Preschool in support of dental care provided in the preschool environment at Square One and Early Childhood Centers of Springfield. -Link to Libraries underwriting the regional early childhood literacy initiative. -Friends of the Homeless Worthington Street Resource Center supporting the largest emergency center for adults in Western MA, which provides services aimed at ending homelessness and operates 110 low-income housing units -ServiceNet, serving homeless, addicted, mentally ill and developmentally disabled or brain injured persons -AIDS Foundation of Western MA in support of community education focusing on the prevention and management of AIDS. -YEAH Network (Youth Empowerment Adolescent Network) supporting research, community education and collaboration to improve the practice and policy related to adolescent sexual health outcomes. -MOCHA (Men of Color Health Awareness), enables men of color to engage in an educational and social experience with the support and motivation from the membership.</Desc>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Catherine Allen Beg 0616</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>David Methe End 0116</PersonNm>
        <TitleTxt>Security Officer</TitleTxt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jeffrey Krawczyk</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jacqueline Spain</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>182871</BaseCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Andrew Colby</PersonNm>
        <TitleTxt>Director of Pharmacy Services</TitleTxt>
        <BaseCompensationFilingOrgAmt>175898</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Susan Silver O'Connor</PersonNm>
        <TitleTxt>Director &amp; General Counsel</TitleTxt>
        <BaseCompensationFilingOrgAmt>150323</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rebecca Star</PersonNm>
        <TitleTxt>Medical Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>161105</BaseCompensationFilingOrgAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert A Kosior End 1215</PersonNm>
        <TitleTxt>Former VP of Finance &amp; 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, Lines 4a-b</FormAndLineReferenceDesc>
        <ExplanationTxt>Robert Kosior - Severance Payment of $597,235 is included in column B. The severance was paid in 2016. This amount consists of $491,126 that was previously reported as deferred compensation in the prior year 990 form and is currently being reported as taxable income. This amount is listed in Column F in accordance with Form 990 reporting requirements. Maura McCaffrey - Supplemental Retirement of $121,520 is included in column E. This amount was earned and paid in 2016. Dennis Chalke - Deferred non-qualified compensation of $257,706 is included in column E. This amount was earned and paid in 2016. Mark Keroack, MD - Supplemental Retirement of $881,458 is included in column E. This amount consists of $264,321 earned and paid in 2016 and $562,123 that was previously reported as deferred compensation in prior years Forms 990 and is currently being reported as taxable income. This amount is listed in Column F in accordance with Form 990 reporting requirements. Amy Trombley - Supplemental Retirement of $33,208 is included in column E. This amount was earned and paid in 2016. Laurie Gianturco - Supplemental Retirement of $15,969 is included in column E. This amount was earned and paid in 2016. Jody Gross - Supplemental Retirement of $13,451 is included in column E. This amount was earned and paid in 2016. Kenneth Bernard - Supplemental Retirement of $10,055 is included in column E. This amount was earned and paid in 2016.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <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 - 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, Inc.: - American Heart Association Walk: The annual walk is the major fund raiser for the local chapter of the Heart Association. Health education, blood pressure screenings, and body fat composition screenings are available at the walk to all who attend without charge. The money raised through this walk helps to support the Heart Association's programming throughout the year. - Better Life, Whole Foods - Integrative Health Festival: Community event with a mission of educating the community with natural ways to better health. Features organic food and household product demonstrations and samples, and free introductory sessions to Naturopathic Medicine, Acupuncture, Yoga, and Therapeutic Touch Therapy. - 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 of 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. - STCC Diversity Series: Springfield Technical Community College Office of Diversity and inclusion hosts a Speaker Series program in which internationally recognized authors and youth advocates from under represented backgrounds meet with high school students to learn about diversity, overcoming adversity and achieving personal and professional success. The events are free and open to the public. - 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. - Top Floor Learning: Top Floor Learning's mission is to provide a dynamic, comprehensive program of adult literacy services and lifelong learning opportunities for adult residents of the Quaboag Hills region. - 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. - Diabetes Education at Brightwood Health Center: Health New England, Inc. provides for culturally and linguistically appropriate diabetes education to the Latino population at Brightwood Health Center. Spanish is the primary language for the majority of the patients with diabetes at Brightwood. - Senior Population Education Events: Health New England, Inc. 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, Inc. 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: - Motherwoman Mothers' Support Groups: Led by trained facilitators, our groundbreaking support groups offer mothers a chance to talk openly about the challenges of parenting, to gain support and build community, providing a stronger family foundation and healthier home environment for infants and toddlers. - YMCA and YWCA: Education sessions covering early childhood parenting classes. - Women, Infants, Children (WIC) Centers: Community Health Fairs, Pregnancy Prevention, OB/GYN and Well visits, Nutrition and wellness clinics. The Women, Infants and Children (WIC) program is a free nutrition program that provides healthy foods, nutrition education, breastfeeding support, and referrals to healthcare and other services to Massachusetts families who qualify. WIC's goal is to keep pregnant and breastfeeding women and kids under 5 healthy. - 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.). - Safe Kids Fairs: Educates families on injury prevention, fire prevention, and family safety -Asthma Coalition Participation</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a: Description of Program Service</FormAndLineReferenceDesc>
        <ExplanationTxt>Health New England, Inc. has also worked with partner agencies and organizations in support of programs related to Chronic Disease Management and other programs 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 on Aging. - Sunshine Village, financial support for adaptive equipment for adults. - Make a Wish Foundation, Swish Night Fundraiser. - Dress for Success, Common Threads making an impact on the lives of women in our communities by helping them get back to work and rebuild their lives. The Common Threads event salutes "Successful Ambassadors selected to be recognized at the gala based on their achievements since joining Dress for Success and the commitment they've shown to progressing in their careers. - Women's Fund of Western Massachusetts, Leadership Institute for Political and Public Impact. - Franklin/Hampshire/ North Quabbin WIC, Health Fair Family Tent. - International Language Institute of Massachusetts, Giving Voice: A benefit for the institute's free English program for refugees and immigrants.</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.</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 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 -5,598,630.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 1: Accounting Method</FormAndLineReferenceDesc>
        <ExplanationTxt>The audited financial statements are based on Insurance Statutoruy Accounting Principles (SAP) promulgated by the Accounting practices and Procedures Task Force under the auspices of the National Association 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 of the Company have been prepared in accordance with the National Association of Insurance Commissioners (NAIC) Accounting Practices and Procedures Manual for Statutory Accounting Principles (NAIC SAP), which do not differ from the accounting practices prescribed by the Division of Insurance of the Commonwealth of Massachusetts. NAIC SAP does differ from the accounting principles generally accepted in the United States of America (GAAP). The significant variances from GAAP are as follows: Investments-Investments in bonds are reported at amortized cost or fair value based on their NAIC rating; for GAAP, 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 surplus, except that declines in fair value that are determined by management to be other than temporary are reported as realized losses. HNE has elected the fair value option for certain of its investments. For GAAP purposes HNE made this election to reflect changes in fair value of its investments, including both increases and decreases and whether realized or unrealized, in its excess of revenue over expenses. All single-class and multiclass mortgage-backed/asset-backed securities (e.g., Collateralized Mortgage Obligation (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 the 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. Investments in Affiliates-The results of HNE's investments in unconsolidated affiliates are accounted for on the equity method under GAAP, whereas under NAIC SAP the investment is valued at book value with unrealized gains or losses recorded directly to net worth. GAAP also requires the consolidation of all wholly owned subsidiaries. As HAS, HIS and HHE are not audited, the investments in these subsidiaries are not admitted in accordance with SSAP No. 97. Nonadmitted Assets-Certain assets designated as "nonadmitted," principally certain electronic data processing equipment, prepaid items, certain health care receivables, receivables over 90 days' past due, and the equity value of subsidiaries, are excluded from the accompanying statutory-basis statements of admitted assets, liabilities, and statutory net worth and are charged directly to unassigned surplus. Under GAAP, such assets are included in the balance sheets, to the extent they are not impaired. Surplus Notes-GAAP classifies surplus notes in liabilities, whereas NAIC SAP classifies them in statutory net worth.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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        <DisregardedEntityName>
          <BusinessNameLine1Txt>Baystate Health Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>759 Chestnut Street</AddressLine1Txt>
          <CityNm>Springfield</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01199</ZIPCd>
        </USAddress>
        <EIN>042105941</EIN>
        <PrimaryActivitiesTxt>Improve the health of people in our communities every day.</PrimaryActivitiesTxt>
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        <PublicCharityStatusTxt>Line 7</PublicCharityStatusTxt>
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          <CityNm>Springfield</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01199</ZIPCd>
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          <CityNm>Greenfield</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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          <StateAbbreviationCd>MA</StateAbbreviationCd>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>