2014-11-14T13:16:03-06:00 2013-12-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2013-01-01 042708004 HARVARD PILGRIM HEALTH CARE FOUNDATION INC % BETH CREAVIN HARV 7812636000 93 WORCESTER STREET Suite WELLESLEY MA 024819181 MICHELLE CLAYMAN TREASURER 7812636000 2014-11-12 true GWEN SPENCER P00641463 7812636000 2013 2015-11-30 17:44:51Z ERIC H SCHULTZ 93 WORCESTER ST WELLESLEY MA 024819181 1991251 false X WWW.HARVARDPILGRIM.ORG/FOUNDATION X 1980 MA SEE SCHEDULE O 11 10 0 10 0 573172 1788491 6540 0 236746 202760 0 0 816458 1991251 3888015 3794826 0 0 1202848 1265587 0 0 0 1133958 1001425 6224821 6061838 -5408363 -4070587 10124255 7010537 1532740 2883979 8591515 4126558 X SEE SCHEDULE O false false 5859622 3794826 0 THE HARVARD PILGRIM HEALTH CARE FOUNDATION, INC. OPERATES EXCLUSIVELY IN CONNECTION WITH HARVARD PILGRIM HEALTH CARE, INC. IN 2013, THE HARVARD PILGRIM HEALTH CARE FOUNDATION SUPPORTED HEALTH AND WELLNESS INITIATIVES IN CONNECTION WITH A NUMBER OF COMMUNITY ORGANIZATIONS, SUPPORTED A NUMBER OF NON-PROFIT ORGANIZATIONS THROUGH ITS EMPLOYEE MINI-GRANT AND COMMUNITY SERVICE PROGRAMS AND PROVIDED HEALTH CARE PROVIDERS WITH CULTURAL COMPETENCY TRAINING. 5859622 true true false false false false false false false false false false false false true true false true false false false false false false false false false true false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false X 11 10 true false false false true true true true true false false true true true true true true false false false MA X BETH CREAVIN 6175095692 93 WORCESTER STREET WELLESLEY MA 024819181 X ERIC H SCHULTZ PRESIDENT/CHAIR (AS OF 6/13) 5.0 45.0 X X 0 1879386 302393 LAURA S PEABODY PRESIDENT/CHAIR (UNTIL 6/13) 5.0 45.0 X X 0 609715 35682 RUTH ELLEN FITCH DIRECTOR 2.0 0.0 X 0 0 0 ELINOR GOLDBERG LSW DIRECTOR 2.0 0.0 X 0 0 0 JOSHUA KRAFT DIRECTOR 2.0 0.0 X 0 0 0 SHARON MCCARTHY DIRECTOR (UNTIL 6/13) 2.0 0.0 X 0 0 0 JOSEPH F O'DONNELL md DIRECTOR 2.0 3.0 X 0 35150 0 PATRICIA A WALRATH DIRECTOR 2.0 0.0 X 0 0 0 MARTIN COHEN DIRECTOR 2.0 0.0 X 0 0 0 MARIANNE E FELICE MD DIRECTOR 2.0 0.0 X 0 0 0 CARTER FRIEND DIRECTOR 2.0 0.0 X 0 0 0 HEIDI BROOKS DIRECTOR (AS OF 3/13) 2.0 0.0 X 0 0 CHARLES DEUTSCHE DIRECTOR (AS OF 11/13) 2.0 0.0 X 0 0 MICHELLE J CLAYMAN TREASURER 5.0 45.0 X 0 289073 45342 SUZANNE M FINN CLERK 5.0 45.0 X 0 133165 35248 KAREN VOCI EXECUTIVE DIRECTOR 40.0 0.0 X 0 201494 35633 THOMAS F MALONEY FORMER CLERK 5.0 45.0 X 0 245057 47440 0 3393040 501738 0 true true false SEE SCHEDULE O 0 1781384 7107 1788491 0 202760 202760 0 0 0 0 0 0 0 0 0 0 1991251 202760 3794826 3794826 0 0 0 237127 189702 47425 0 788915 760709 28206 0 239545 227637 11908 0 0 0 0 0 0 0 200283 200283 0 25815 25505 310 0 0 84151 80230 3921 48680 48680 0 19505 19505 0 0 0 0 MEMBERSHIP FEES & DUES 5029 4023 1006 Business expenses 2816 2253 563 Management services expense 533469 426775 106694 Volunteer event expense 70755 70755 10922 8739 2183 6061838 5859622 202216 0 0 0 307871 666861 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9750816 6292234 0 0 0 0 0 0 65568 51442 10124255 7010537 205057 43255 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1327683 2840724 1532740 2883979 X 8591515 4126558 0 0 0 0 8591515 4126558 10124255 7010537 -4070587 -394370 X false true X true X X X false false false HARVARD PILGRIM HEALTH CARE INC 042452600 0 true 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO HPHC, INC. 2840724 2840724 X SCHEDULE D, PART X, LINE 2: THIS IS THE FIN 48 FOOTNOTE FROM HARVARD PILGRIM HEALTH CARE, INC. AND AFFILIATES CONSOLIDATED FINANCIAL STATEMENTS PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. HPHC, INC., NEW ENGLAND, AND THE FOUNDATION ARE TAX-EXEMPT ORGANIZATIONS UNDER INTERNAL REVENUE SERVICE REGULATIONS. THE INSTITUTE HAS NO TAX STATUS AND THEREFORE FOLLOWS THE TAX EXEMPT STATUS OF HPHC, INC., AS ITS SOLE MEMBER. THE AGENCY, THE INSURANCE COMPANY, HOLDINGS, AND HPI ARE TAXABLE ENTITIES. AMOUNTS PROVIDED FOR FEDERAL, AND STATE INCOME TAXES RELATED TO THE TAXABLE ENTITIES HAVE BEEN CLASSIFIED AS OPERATING EXPENSES BECAUSE THEY ARE IMMATERIAL. IN ADDITION, THE AGENCY, INSURANCE COMPANY, HOLDINGS, AND HPI HAVE IMMATERIAL CURRENT AND DEFERRED TAX ASSETS AND LIABILITIES RELATED TO TEMPORARY DIFFERENCES BETWEEN THE TAX AND FINANCIAL STATEMENT BASIS OF ASSETS AND LIABILITIES. HARVARD PILGRIM DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2013 AND 2012. true ADVOCATES 1 CLARK HILLL STE 305 FRAMINGHAM MA 01702 237451423 501(C)(3) 10000 N/A N/A FUNDRAISING EVENT ALZHEIMER'S ASSOCIATION 480 PLEASANT ST WATERTOWN MA 02472 042731194 501(C)(3) 5250 N/A N/A MINI-GRANTS AMERICAN CANCER SOCIETY 44 BEARFOOT RD NORTHBOROUGH MA 01532 050271570 501(C)(3) 5500 N/A N/A MINI-GRANTS AMERICAN HEART ASSOCIATION 1 UNION STREET ROBBINSVILLE NJ 08691 135613797 501(C)(3) 183250 N/A N/A EVENT SPONSORSHIP AMERICAN RED CROSS OF EASTERN MASSACHUSETTS 139 MAIN ST CAMBRIDGE MA 021421530 530196605 501(C)(3) 10000 N/A N/A LEADERSHIP BREAKFAST ASIAN AMERICAN CIVIC ASSOCIATION 87 TYLER STREET 5TH FL BOSTON MA 02111 042476258 501(C)(3) 35000 N/A N/A COMMUNITY PARTNERSHIP BETH ISREAL DEACONESS HOSPITAL NEEDHAM 148 CHESTNUT ST NEEDHAM MA 02492 043229679 501(C)(3) 7500 N/A N/A EVENT SPONSORSHIP BIG SISTER ASSOCIATION OF GREATER BOSTON 161 MASSACHUSETTS AVE BOSTON MA 02115 042150651 501(C)(3) 11250 N/A N/A MENTORSHIP PROGRAM BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM INC 780 ALBANY STREET BOSTON MA 02118 043160480 501(C)(3) 7500 N/A N/A EVENT SPONSORSHIP BOSTON MEDICAL CENTER 801 MASSACHUSETTS AVE BOSTON MA 02118 043314093 501(C)(3) 25000 N/A N/A EVENT SPONSORSHIP BOSTON PUBLIC SCHOOLS 370 COLUMBIA RD DORCHESTER MA 021252433 046021380 501(C)(3) 94236 N/A N/A GROWING UP HEALTHY BOSTON SYMPHONY ORCHESTRA 301 MASSACHUSETTS AVE BOSTON MA 021154511 042103550 501(C)(3) 15000 N/A N/A CHRISTMAS AT THE POPS BOY SCOUTS OF AMERICA 2438 WASHINGTON ST CANTON MA 02021 046040237 501(C)(3) 5500 N/A N/A LEADERSHIP PROGRAMS BOY SCOUTS OF AMERICA 19 HARVARD ST WORCESTER MA 01609 042105867 501(C)(3) 11800 N/A N/A SPONSORSHIP BOYS AND GIRLS CLUB OF BOSTON 50 CONGRESS ST BOSTON MA 02109 042103922 501(C)(3) 93800 N/A N/A DINNER SPONSORSHIP BRANDEIS UNIVERSITY 415 SOUTH STREET MS035 WALTHAM MA 02454 042103552 501(C)(3) 25000 N/A N/A HEALTHCARE GRANT CENTRAL MAINE MEDICAL CENTER 300 MAIN STREET LEWISTON ME 04240 010211494 501(C)(3) 10000 N/A N/A EVENT SPONSORSHIP CHILDRENS MUSEUM OF NH 6 WASHINGTON ST DOVER NH 03820 020363746 501(C)(3) 5500 N/A N/A DONATION CITY YEAR INC 287 COLUMBUS AVE BOSTON MA 02116 222882549 501(C)(3) 7500 N/A N/A EVENT SPONSORSHIP COLLEGE BOUND DORCHESTER 18 SAMOSET STREET DORCHESTER MA 02124 042383512 501(C)(3) 6250 N/A N/A EVENT SPONSORSHIP CRADLES TO CRAYONS INC 155 NORTH BEACON STREET BRIGHTON MA 01239 043584367 501(C)(3) 12500 N/A N/A SERVICE GRANT DIMOCK CENTER 55 DIMOCK STREET ROXBURY MA 02119 043487835 501(C)(3) 26000 N/A N/A EVENT SPONSORSHIP FITCHBURG PUBLIC SCHOOLS 376 SOUTH ST FITCHBURG MA 01420 046001388 115 10000 N/A N/A GRANTS PROGRAM GIRL SCOUTS OF CENTRAL AND WESTERN MASS 40 HARKNESS AVE EAST LONGMEADOW MA 01028 042103856 501(C)(3) 6250 N/A N/A SPONSORSHIP GREATER BOSTON CHAMBER OF COMMERCE 265 FRANKLIN ST BOSTON MA 021103113 041103090 501(C)(6) 13000 N/A N/A EVENT SPONSORSHIP GREATER MANCHESTER CHAMBER OF COMMERCE 54 HANOVER ST MANCHESTER NH 03101 020161920 501(C)(6) 7500 N/A N/A SPONSORSHIP GREATER WORCESTER COMMUNITY FOUNDATION 370 MAIN ST STE 650 WORCESTER MA 01608 042572276 501(C)(3) 150000 N/A N/A COMMUNITY PROJECTS INSTITUTE OF CONTEMPORARY ART 100 NORTHERN AVE BOSTON MA 02210 042104327 501(C)(3) 7500 N/A N/A MEMBERSHIP INTERNATIONAL MENTAL HEALTH RESEARCH ORG PO BOX 680 RUTHERFORD CA 94573 680359707 501(C)(3) 10000 N/A N/A MENTAL HEALTH LAWRENCE FAMILY DVLPMT & EDUC FUND 34 WEST ST LAWRENCE MA 01840 043177142 501(C)(3) 10000 N/A N/A GRANTS PROGRAM LAWRENCE PUBLIC SCHOOLS 255 ESSEX ST LAWRENCE MA 01840 046011394 115 10000 N/A N/A GRANTS PROGRAM LIFE IS GOOD INC 15 HUDSON DR HUDSON NH 03051 043394786 35000 N/A N/A EVENT SPONSORSHIP MAINE HEALTH 110 FREE STREET PORTLAND ME 04101 010431680 501(C)(3) 500000 N/A N/A HEALTH CARE PROJECT MAINE MEDICAL CENTER 22 BRAMHALL ST PORTLAND ME 04102 010238552 501(C)(3) 20000 N/A N/A NUTRITION PROGRAM MAINE QUALITY COUNTS PO BOX 190 MANCHESTER ME 04351 204935972 501(C)(3) 20000 N/A N/A CONF. SPONSORSHIP MAINE STATE CHAMBER OF COMMERCE 125 COMMUNITY DR AUGUSTA ME 043308010 010021545 501(C)(6) 6100 N/A N/A EVENT SPONSORSHIP MARCH OF DIMES 112 TURNPIKE RD WESTBORO MA 01581 131846366 501(C)(3) 21000 N/A N/A EVENT SPONSORSHIP MASS INSIGHT CORPORATION 18 TREMONT ST BOSTON MA 02108 043369687 501(C)(3) 10000 N/A N/A CONSUMER ENGAGEMENT MASSACHUSETTS ASSOCIATION FOR MENTAL HEALTH INC 130 BOWDOIN ST BOSTON MA 02108 042104711 501(C)(3) 35000 N/A N/A EVENT SPONSORSHIP MASSACHUSETTS ASSOCIATION OF HEALTH PLANS 40 COURT STREET SUITE 550 BOSTON MA 02106 222518016 501(C)(3) 5550 N/A N/A CONF. SPONSORSHIP MASSACHUSETTS HEALTH COUNCIL INC 200 RESEVIOR ST NEEDHAM MA 02494 042296739 501(C)(3) 20000 N/A N/A DINNER SPONSORSHIP MASSACHUSETTS WOMEN'S POLITICAL CAUCUS 98 HAMILTON PLACE BOSTON MA 021084715 042738443 501(C)(3) 20000 N/A N/A AWARD SPONSORSHIP MEDICINE WHEEL PRODUCTIONS 110 K STREET SOUTH BOSTON MA 02127 043502628 501(C)(3) 15750 N/A N/A EVENT SPONSORSHIP NEW ENGLAND COUNCIL INC 98 N WASHINGTON ST BOSTON MA 021141913 041661090 501(C)(3) 39246 8612 Other SUPPLIES EVENT SPONSORSHIP MUSEUM OF SCIENCE SCIENCE PARK BOSTON MA 021141099 042103916 501(C)(3) 280000 N/A N/A PREMIER PARTNERSHIP NEW BEDFORD PUBLIC SCHOOLS 455 COUNTY STREET NEW BEDFORD MA 02740 046001402 115 10000 N/A N/A SCHOOL PROGRAM NEW ENGLAND BAPTIST HOSPITAL 125 PARKER HILL AVE BOSTON MA 02120 042103612 501(C)(3) 15000 N/A N/A SPONSORSHIP NEW ENGLAND HEALTHCARE INSTITUTE ONE BROADWAY I CAMBRIDGE MA 02142 010624865 501(C)(3) 25000 N/A N/A HEALTH AWARDS ONE FUND BOSTON INC 800 BOYLSTON ST 990009 BOSTON MA 02199 462547157 501(C)(3) 100000 N/A N/A BOSTON STRONG FUND PARTNERSHIP INC 155 SEAPORT BLVD BOTON MA 022102600 428799910 501(C)(3) 10000 N/A N/A INCLUSION EVENT PERKINS SCHOOL FOR THE BLIND 175 NORTH BEACON STREET WATERTOWN MA 02472 042103616 501(C)(3) 20000 N/A N/A EVENT SPONSORSHIP PORTLAND REGIONAL CHAMBER OF COMMERCE 443 CONGRESS ST PORTLAND ME 04101 010043280 501(C)(6) 10000 N/A N/A SPONSORSHIP REGIS COLLEGE 235 WELLESLEY ST WESTON MA 024931571 042104451 501(C)(3) 15000 N/A N/A LECTURE SERIES RELIANT MEDICAL GROUP FOUNDATION 100 FRONT ST 14 FLR WORCESTER MA 01608 222912515 501(C)(3) 10000 N/A N/A EVENT SPONSORSHIP RIVERSIDE COMMUNITY CARE 450 WASHINGTON ST STE 201 DEDHAM MA 02026 043097170 501(C)(3) 15500 N/A N/A EVENT SPONSORSHIP RON BURTON TRAINING VILLAGE 222 FORBES RD BRAINTREE MA 02184 222570218 501(C)(3) 6250 N/A N/A AWARD ROSIE'S PLACE 889 HARRISON AVE BOSTON MA 02118 042582187 501(C)(3) 10500 N/A N/A BENEFIT LUNCHEON SAHELI BOSTON PO BOX 1345 BURLINGTON MA 01803 030547972 501(C)(3) 35000 N/A N/A COMMUNITY PARTNERSHIP SAINT ANSELM COLLEGE 100 SAINT ANSELM DR MANCHESTER NH 03102 020222182 501(C)(3) 16000 N/A N/A SCHOLARSHIP PLEDGE SCHWARTZ CTR FOR COMPASSIONATE HEALTHCARE 205 PORTLAND ST BOSTON MA 02114 041564655 501(C)(3) 52000 N/A N/A EVENT SPONSORSHIP SOUTH SHORE HOSPITAL INC 55 FOGG ROAD WEYMOUTH MA 02190 042769210 501(C)(3) 5500 N/A N/A EVENT SPONSORSHIP SPRINGFIELD PUBLIC SCHOOLS 49 CADWELL DR SPRINGFIELD MA 01104 046001415 501(C)(3) 10000 N/A N/A GRANTS PROGRAM TEWKSBURY PUBLIC SCHOOLS 139 PLEASANT ST TEWKSBURY MA 01876 046001322 501(C)(3) 10000 N/A N/A GRANTS PROGRAM TUFTS MEDICAL CENTER INC 800 WASHINGTON ST BOSTON MA 02111 043400617 501(C)(3) 15000 N/A N/A EVENT SPONSORSHIP TUFTS UNIVERSITY 150 HARRISON AVE BOSTON MA 02111 042103634 501(C)(3) 500000 N/A N/A SCHOOL PROGRAMS UMASS MEDICAL SCHOOL 333 SOUTH ST SHREWSBURY MA 01545 043358564 501(C)(3) 7500 N/A N/A EVENT SPONSORSHIP UNICEF 420 BOYLSTON ST BOSTON MA 02116 131760110 501(C)(3) 25000 N/A N/A AWARD SPONSORSHIP UNITED WAY OF MASS BAY AND MERRIMACK VALLEY PO BOX 51381 BOSTON MA 022051381 042382233 501(C)(3) 10000 N/A N/A LEADERSHIP EVENT UNIVERSITY OF MASSACHUSETTS BOSTON 151 PRESIDENTS DRIVE AMHERST MA 01003 043167352 501(C)(3) 25000 N/A N/A EVENT SPONSORSHIP WALTHAM PUBLIC SCHOOLS 617 LEXINGTON ST WALTHAM MA 02452 046001416 115 10000 N/A N/A GRANTS PROGRAM WEST END HOUSE BOYS & GIRLS CLUB 105 ALLSTON STREET ALLSTON MA 02134 042105825 501(C)(3) 5500 N/A N/A EVENT SPONSORSHIP WITTIER STREET HEALTH CENTER 1290 TREMONT STREET BOSTON MA 021203432 042619517 501(C)(3) 6000 N/A N/A EVENT SPONSORSHIP WILLIAM SEACH ELEMENTARY SCHOOL 1 WILDCAT WAT SOUTH WEYMOUTH MA 02190 046001363 115 10000 N/A N/A GRANTS PROGRAM WORCESTER ART MUSEUM 55 SALISBURY ST WORCESTER MA 01609 041988530 501(C)(3) 10000 N/A N/A EXHIBIT SPONSORSHIP WORCESTER COUNTY FOOD BANK 474 BOSTON TPKE RD SHREWSBURY MA 01545 043071457 501(C)(3) 8247 N/A N/A FOOD DRIVE WORCESTER DIVISION OF PUBLIC SCHOOLS 25 MEADE ST WORCESTER MA 01610 046001418 115 10000 N/A N/A GRANTS PROGRAM WORCESTER PUBLIC LIBRARY FOUNDATION 455 MAIN ST WORCESTER MA 01608 200066770 501(C)(3) 36200 N/A N/A LIBRARY INITIATIVE WORCESTER REGIONAL CHAMBER OF COMMERCE 446 MAIN STREET WORCESTER MA 01608 041988780 501(C)(6) 8950 N/A N/A SPONSORSHIP WORKSITE WELLNESS COUNCIL OF MA PO BOX 270 DEDHAM MA 02027 452697521 501(C)(3) 20000 N/A N/A GOLD LEVEL SPONSOR YMCA OF GREATER BOSTON 140 CLARENDON ST STE 403 BOSTON MA 02116 042103548 501(C)(3) 5500 N/A N/A EVENT SPONSORSHIP YOUTH OPPORTUNITIES UPHELD INC 81 PLANTATION ST WORCESTER MA 01604 237112665 501(C)(3) 10000 N/A N/A EVENT SPONSORSHIP BOSTON POLICE PATROLMANS ASSOCIATION INC 9-11 SHETLAND STREET BOSTON MA 02119 046141788 501(c)(5) 10000 N/A N/A CENTURION MAGAZINE 75 7 SCHEDULE I, PART I, LINE 2 MINIGRANTS OF $500 EACH ARE APPROVED BY AN APPOINTED COMMITTEE BEFORE THEY ARE ISSUED. MINI GRANTS OF $500 EACH ARE RECOMMENDED BY EMPLOYEES WHO FILL OUT A DETAILED APPLICATION REGARDING PURPOSE OF FUNDS, AND MUST PROVE THAT FUNDS WILL GO TO A LEGAL, NOT-FOR-PROFIT ORGANIZATION, WHERE THE EMPLOYEE LIVES OR WHERE HPHC DOES BUSINESS. FOUNDATION STAFF REVIEWS THESE APPLICATIONS FOR ACCURACY OF PURPOSE AND LEGITIMACY OF THE ORGANIZATION. FOUNDATION STAFF RECOMMENDATIONS ARE REVIEWED BY A NON-STAFF APPOINTED COMMITTEE. REPORTS ON THESE GRANTS ARE COLLECTED FROM A SAMPLE OF THESE ORGANIZATIONS. FOUNDATION'S INTERNAL MANAGEMENT REPORTS A SUMMARY OF THIS INFORMATION TO THE FOUNDATION'S BOARD. OTHER MORE SIGNIFICANT COMMUNITY GRANTS REQUIRE A CONCEPT PROPOSAL TO BE SUBMITTED AND APPROVED BY AN APPOINTED COMMITTEE. ONCE THE GRANTS ARE APPROVED, THE FOUNDATION EMPLOYEES PERFORM SITE VISITS AND REGULAR EVALUATIONS OF THE GRANTS. IN ADDITION, THE FOUNDATION HIRES AN INDEPENDENT EVALUATION GROUP TO REVIEW GRANT RESULTS. ADDITIONALLY, FORMAL FISCAL REPORTING OF ALL GRANTS IS PERFORMED AND REVIEWED BY EMPLOYEES OF THE FOUNDATION. false true false false false false false false false ERIC H SCHULTZ PRESIDENT/CHAIR (AS OF 6/13) 0 844331 0 448408 0 586647 0 275400 0 26993 0 2181779 0 566525 LAURA S PEABODY PRESIDENT/CHAIR (UNTIL 6/13) 0 218160 0 157001 0 234554 0 20400 0 15282 0 645397 0 196493 MICHELLE J CLAYMAN TREASURER 0 233125 0 51413 0 4535 0 17203 0 28139 0 334415 0 0 SUZANNE M FINN CLERK 0 129665 3242 258 0 10860 0 24388 0 168413 0 0 KAREN VOCI EXECUTIVE DIRECTOR 0 171899 22523 7072 0 14537 0 21096 0 237127 0 0 THOMAS F MALONEY FORMER CLERK 0 200140 0 43378 0 1539 0 19672 0 27768 0 292497 0 0 SCHEDULE J, PART I, LINE 3 THE FOUNDATION RELIED ON HARVARD PILGRIM HEALTH CARE, INC. (HPHC, INC.), A RELATED ORGANIZATION OF THE FOUNDATION, TO ESTABLISH ITS PRESIDENT AND EXECUTIVE DIRECTOR'S COMPENSATION. THE METHODS USED BY HPHC, INC. ARE AS FOLLOWS: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 4B LONG TERM INCENTIVE PLAN HPHC, A RELATED ORGANIZATION TO HARVARD PILGRIM HEALTH CARE FOUNDATION, INC., ADOPTED LONG-TERM INCENTIVE PLANS FOR ITS CHIEF EXECUTIVE OFFICER, CHIEF OPERATING OFFICER, CHIEF FINANCIAL OFFICER, CHIEF LEGAL OFFICER, CHIEF INFORMATION OFFICER, AND CHIEF HUMAN RESOURCES OFFICER FOR FISCAL YEARS 2010-2012 AND FOR 2013-2015. THE PLANS ARE BASED ON A VARIETY OF PERFORMANCE MEASURES AND AMOUNTS ARE EARNED OVER A THREE YEAR PERIOD. SOME OR ALL OF THE DEFERRED COMPENSATION AMOUNTS REPORTED HEREIN FOR THE POTENTIAL EARNINGS UNDER THESE PLANS MAY OR MAY NOT BE PAID TO THE EXECUTIVES BASED ON THE ACTUAL RESULTS OF THE PERFORMANCE MEASURES AS DETERMINED AT THE END OF THE APPLICABLE THREE YEAR PERIOD. THE FOLLOWING INDIVIDUALS WERE PAID THE FOLLOWING AMOUNTS FROM THE 2010-2012 PLAN DURING FY 2013: ERIC H. SCHULTZ - $566,525 LAURA S. PEABODY - $196,493 SCHEDULE J, PART II, COLUMN (F) COMPENSATION REPORTED AS DEFERRED IN PRIOR FORM 990 FOR CERTAIN INDIVIDUALS LISTED ON SCHEDULE J, PART II, AMOUNTS CREDITED UNDER HPHC'S 2013-2015 LONG TERM INCENTIVE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). AMOUNTS CREDITED AND DISCLOSED ON THE FORM 990 IN PRIOR YEARS THAT VESTED AND WERE PAID OUT IN CALENDAR YEAR 2013 FOR HPHC'S 2010-2012 LONG TERM INCENTIVE PLAN ARE REPORTED IN COLUMN (B)(III) AND IN COLUMN (F). PART I, LINE 1 & PART III, LINE 1 ORGANIZATION'S MISSION HARVARD PILGRIM HEALTH CARE FOUNDATION, INC. (HPHC FOUNDATION) PROVIDES FINANCIAL ASSISTANCE TO SUPPORT SOCIALLY BENEFICIAL COMMUNITY ACTIVITIES THROUGH THE USE OF GRANTS TO NON-PROFIT ORGANIZATIONS FOR PREVENTION ORIENTED PROGRAMS THAT PROMOTE HEALTH AND WELLNESS WITHIN THE SPHERE OF ONE OR MORE PRIORITY FUNDING AREAS. THE HPHC FOUNDATION ALSO DEVELOPS AND ENGAGES EMPLOYEE SERVICE AND GIVING ACTIVITIES FOR HARVARD PILGRIM HEALTH CARE, INC., AND PROVIDES CULTURAL COMPETENCY FOR HEALTH CARE PROVIDERS IN THE HARVARD PILGRIM SERVICE AREA. PART I, LINE 6: THE FOUNDATION'S VOLUNTEERS INCLUDE UNCOMPENSATED DIRECTORS WHO SERVE ON A VOLUNTARY BASIS. PART VI, LINE 2: BUSINESS RELATIONSHIP - THE FOLLOWING INDIVIDUALS SERVE ON THE BOARDS OF ONE OR MORE FOR PROFIT ORGANIZATIONS RELATED TO THE FOUNDATION: ERIC H. SCHULTZ - PRESIDENT/BOARD CHAIR (AS OF 6/13) MICHELLE CLAYMAN - TREASURER LAURA S. PEABODY - PRESIDENT/BOARD CHAIR (UNTIL 6/13) PART VI, LINE 6: HARVARD PILGRIM HEALTH CARE, INC. IS THE PARENT AND SOLE MEMBER OF THE FOUNDATION. PART VI, LINE 7A: HARVARD PILGRIM HEALTH CARE, INC. (HPHC, INC.) IS THE SOLE MEMBER OF THE FOUNDATION. THE HPHC, INC. BOARD OF DIRECTORS AT ITS ANNUAL MEETING RATIFIES THE SLATE OF ELECTED FOUNDATION DIRECTORS WHEN IT ELECTS THE DIRECTORS OF ITS SUBSIDIARIES. ANY VACANCY IN THE FOUNDATION'S BOARD OF DIRECTORS MAY BE FILLED BY THE HPHC, INC. BOARD OF DIRECTORS OR BY THE MAJORITY OF THE FOUNDATION DIRECTORS THEN IN OFFICE. PART VI, LINE 7B: THE FOUNDATION'S BYLAWS SET FORTH RESERVED POWERS OF THE SOLE MEMBER, HPHC, INC., WHICH INCLUDE THE POWER TO APPROVE CERTAIN ACTIONS, SUCH AS ANY AMENDMENT TO THE FOUNDATION'S ARTICLES OF ORGANIZATION OR BYLAWS; THE MERGER, CONSOLIDATION OR DISSOLUTION OF THE FOUNDATION; AND THE SALE, LEASE, TRANSFER OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE FOUNDATION'S ASSETS. PART VI, LINE 11B: ONCE THE FOUNDATION'S FORM 990 IS COMPLETED WITH THE ASSISTANCE OF ITS OUTSIDE TAX ADVISORS, IT IS FIRST REVIEWED BY HARVARD PILGRIM'S INTERNAL MANAGEMENT AND THEN BY HARVARD PILGRIM'S AUDIT COMMITTEE CHAIRPERSON (AN INDEPENDENT MEMBER OF THE BOARD OF DIRECTORS OF HARVARD PILGRIM HEALTH CARE, INC.). THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE HPHC, INC. BOARD OF DIRECTORS AS WELL AS THE FOUNDATION BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. PART VI, LINE 12C: THE FOUNDATION'S DIRECTORS, OFFICERS, AND KEY EMPLOYEE ARE SUBJECT TO HARVARD PILGRIM HEALTH CARE'S CODE OF CONDUCT WHICH INCLUDES A CONFLICTS OF INTEREST POLICY. THE CONFLICTS OF INTEREST POLICY REQUIRES DIRECTORS, OFFICERS AND THE KEY EMPLOYEE TO DISCLOSE ON AN ONGOING BASIS THE OCCURRENCE OF ANY SITUATION WHEN THEIR OUTSIDE ACTIVITIES, PERSONAL INTERESTS OR RELATIONSHIPS MIGHT INFLUENCE, OR APPEAR TO INFLUENCE, THEIR ABILITY TO MAKE OBJECTIVE DECISIONS IN THE COURSE OF PERFORMING THEIR JOB RESPONSIBILITIES, ARE PREJUDICIAL TO THE LEGITIMATE INTERESTS OF THE FOUNDATION, OR CAUSE THE USE OF THE FOUNDATION RESOURCES FOR OTHER THAN FOUNDATION PURPOSES. IN ADDITION TO BEING SUBJECT TO THE FOUNDATION'S CONFLICTS OF INTEREST POLICY, THE FOUNDATION'S BOARD OF DIRECTORS ARE ANNUALLY REQUIRED TO COMPLETE AND SIGN A CONFLICTS OF INTEREST FORM, WHICH IS REPORTED TO THE BOARD OF DIRECTORS IN ACCORDANCE WITH THE DISCLOSURE AND REVIEW PROCESS SET FORTH IN THE FOUNDATION'S BYLAWS. IN ADDITION, THE FOUNDATION'S KEY EMPLOYEE MAKES DECISIONS ON BEHALF OF THE ORGANIZATION AND IS IN A POSITION TO INFLUENCE DECISIONS MADE ON BEHALF OF THE FOUNDATION. THE KEY EMPLOYEE IS SURVEYED ON AN ANNUAL BASIS. THE EMPLOYEE MUST COMPLETE AND SIGN A CONFLICTS OF INTEREST DISCLOSURE FORM AND SUBMIT IT TO THE VICE PRESIDENT OF CORPORATE COMPLIANCE PROGRAMS (COMPLIANCE OFFICER). THESE FORMS ARE THEN REVIEWED BY THE COMPLIANCE OFFICER AND THE ASSISTANT GENERAL COUNSEL RESPONSIBLE FOR CORPORATE GOVERNANCE/COMPLIANCE. IF A DISCLOSURE OF A CONFLICT OF INTEREST OR POTENTIAL CONFLICT OF INTEREST IS MADE, THE COMPLIANCE OFFICER AND COUNSEL MAKE A DETERMINATION IF SUCH DISCLOSURE IS MATERIAL AND NEEDS TO BE MANAGED, MITIGATED OR ELIMINATED. AS A GENERAL RULE, CONFLICTS OF INTEREST ARE NOT PERMITTED. HOWEVER, IN CERTAIN AREAS, IF THE CONFLICT IS NOT MATERIAL AND IS PROPERLY AND FULLY DISCLOSED AND IS APPROVED BY THE COMPLIANCE OFFICER, A WAIVER OF THE CONFLICT MAY BE GRANTED AND APPROPRIATE STEPS WILL BE TAKEN TO MITIGATE THE CONFLICT. PART VI, LINE 15: THE FOUNDATION DOES NOT COMPENSATE ITS PRESIDENT, OFFICERS, AND KEY EMPLOYEE. THE COMPENSATION REPORTED FOR THESE INDIVIDUALS ARE PAID BY HARVARD PILGRIM HEALTH CARE, INC. (HPHC, INC.), A RELATED ORGANIZATION OF THE FOUNDATION. THEREFORE, THEIR COMPENSATION AND BENEFITS ARE DETERMINED BY HPHC, INC. PART VI, LINE 19: THE FOUNDATION FURNISHES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY TO THE PUBLIC UPON REQUEST. PART VII, SECTION B, LINE 1: ANY INDEPENDENT CONTRACTORS ARE RETAINED BY THE PARENT COMPANY, HARVARD PILGRIM HEALTH CARE, INC. HPHC Inc 93 WORCESTER STREET WELLESLEY MA 02481 042452600 HEALTH INSUR MA 501(c)(3) 9 NA false HPHC OF NEW ENGLAND INC 93 WORCESTER STREET WELLESLEY MA 02481 042663394 HEALTH INSUR MA 501(c)(4) HPHC INC true HPHC OF CONNECTICUT 185 ASYLUM ST 2ND FL HARTFORD CT 06103 461681667 HEALTH INSURA CT 501(C)(4) HPHC Inc true HARVARD PILGRIM PHYSICIANS ASSOC INC 93 WORCESTER STREET WELLESLEY MA 024819181 PHYSICIAN ORG MA HPHC INC SEE PART VII true HPHC INSURANCE COMPANY INC 93 WORCESTER STREET WELLESLEY MA 024819181 043149694 HEALTH INSURA MA HPHC INC C Corp true HPHC HOLDING COMPANY INC 93 WORCESTER STREET WELLESLEY MA 024819181 043306439 HOLDING CO. MA HPHC INC C CORP true PLAN MARKETING INSURANCE AGENCY INC 1500 WEST PARK DRIVE SUITE 330 WESTBOROUGH MA 01581 042734281 BROKERAGE MA HEALTH PLANS C CORP true HPHC INSURANCE AGENCY INC 93 WORCESTER STREET WELLESLEY MA 024819181 043016201 BROKERAGE MA HPHC INC C CORP true HEALTH PLANS INC 1500 WEST PARK DRIVE SUITE 330 WESTBOROUGH MA 01581 042734278 TPA MA HPHC INC C CORP true CARE MANAGEMENT SERVICES INC 1500 WEST PARK DRIVE SUITE 330 WESTBOROUGH MA 01581 043438779 ASO SERVICES MA HEALTH PLANS C CORP true false false true false true false false false false false true false true true true true false false false Schedule R, Part II HARVARD PILGRIM HEALTH CARE OF CONNECTICUT WAS INACTIVE DURING 2013. SCHEDULE R, PART IV HARVARD PILGRIM PHYSICIANS ASSOCIATION, INC. IS A NONPROFIT ORGANIZED UNDER THE LAWS OF MASSACHUSETTS. THIS IS AN INACTIVE ORGANIZATION.