HARVARD PILGRIM HEALTH CARE FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HARVARD PILGRIM HEALTH CARE FOUNDATION INC (EIN 04-2708004)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201323199349303902
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T09:45:16-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042708004EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARVARD PILGRIM HEALTH CARE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BETH CREAVINInCareOfName
Name ControlHARVNameControl
Phone7812636000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line193 WORCESTER STREETAddressLine1
Address Line2SuiteAddressLine2
CityWELLESLEYCity
StateMAState
ZIP Code024819181ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHELLE CLAYMANName
TitleTREASURERTitle
Phone7812636000Phone
Date Signed2013-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonERIC H SCHULTZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line193 WORCESTER STAddressLine1
CityWELLESLEYCity
StateMAState
ZIP Code024819181ZIPCode
FieldValueIRS element (for citing)
Gross Receipts816458GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HARVARDPILGRIM.ORG/FOUNDATIONWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year14294396ContributionsGrantsPriorYear
Contributions Grants Current Year573172ContributionsGrantsCurrentYear
Program Service Revenue Prior Year33542ProgramServiceRevenuePriorYear
Program Service Revenue CY6540ProgramServiceRevenueCY
Investment Income Prior Year49011InvestmentIncomePriorYear
Investment Income Current Year236746InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year14376949TotalRevenuePriorYear
Total Revenue Current Year816458TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1126530GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3888015GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1202010SalariesEtcPriorYear
Salaries Etc Current Year1202848SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year979659OtherExpensePriorYear
Other Expenses Current Year1133958OtherExpensesCurrentYear
Total Expenses Prior Year3308199TotalExpensesPriorYear
Total Expenses Current Year6224821TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11068750RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5408363RevenuesLessExpensesCY
Total Assets BOY14298666TotalAssetsBOY
Total Assets EOY10124255TotalAssetsEOY
Total Liabilities BOY476567TotalLiabilitiesBOY
Total Liabilities EOY1532740TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13822099NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8591515NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5983357Expense
Grants3888015Grants
Revenue6540Revenue
DescriptionTHE HARVARD PILGRIM HEALTH CARE FOUNDATION, INC. OPERATES EXCLUSIVELY IN CONNECTION WITH HARVARD PILGRIM HEALTH CARE, INC. IN 2012, 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.Description
Total Program Service Expense5983357TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBETH CREAVINNamePerson
Telephone Number6175095692TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line193 WORCESTER STREETAddressLine1
CityWELLESLEYCity
StateMAState
ZIP Code024819181ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationReportable Comp From OrganizationReportableCompFromOrganizationKey EmployeeKeyEmployeeFormerFormer
LAURA S PEABODY
PRESIDENT/CHAIR5.045.0XX614422126535
RUTH ELLEN FITCH
DIRECTOR2.00.0X000
ELINOR GOLDBERG LSW
DIRECTOR2.00.0X
JOSHUA KRAFT
DIRECTOR2.00.0X
SHARON MCCARTHY
DIRECTOR2.00.0X
JOSEPH F O'DONNELL md
DIRECTOR2.03.0X15850
PATRICIA A WALRATH
DIRECTOR2.00.0X
MARTIN COHEN
DIRECTOR2.00.0X
MARIANNE E FELICE MD
DIRECTOR2.00.0X
CARTER FRIEND
DIRECTOR2.00.0X
MICHELLE J CLAYMAN
TREASURER5.045.0X29921640314
SUZANNE M FINN
CLERK5.045.0X12590833764
KAREN VOCI
EXECUTIVE DIRECTOR40.00.018913539608X
THOMAS F MALONEY
FORMER CLERK5.045.022073845619X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1465269TotalReportableCompFrmRltdOrgs
Total Other Compensation285840TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonSEE SCHEDULE ONamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations568167RelatedOrganizations
All Other Contributions5005AllOtherContributions
Total Contributions573172TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONSULTING FEES90009965006500
TUITION FEES9000994040
FieldValueIRS element (for citing)
Total Program Service Revenue6540TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column236746TotalRevenueColumn
Exclusion$236,746ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column816458TotalRevenueColumn
Related Or Exempt Function Income6540RelatedOrExemptFunctionIncome
Exclusion$236,746ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3888015Total
Program Services3888015ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total189135Total
Program Services151308ProgramServices
Management And General37827ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total744135Total
Program Services712660ProgramServices
Management And General31475ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total269578Total
Program Services249560ProgramServices
Management And General20018ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total163188Total
Program Services163188ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total49412Total
Program Services49012ProgramServices
Management And General400ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total68551Total
Program Services64479ProgramServices
Management And General4072ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total30928Total
Program Services29711ProgramServices
Management And General1217ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22508Total
Program Services22389ProgramServices
Management And General119ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TRAINING EXPENSES547343781095
BUSINESS EXPENSE31682534634
MANAGEMENT SERVICES EXPENSE701895561516140379
VOLUNTEER EVENT EXPENSE6769467694

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total21141Total
Program Services16913ProgramServices
Management And General4228ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6224821Total
Program Services5983357ProgramServices
Management And General241464ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY11429745BOY
EOY307871EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2848939BOY
EOY9750816EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19982BOY
EOY65568EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14298666BOY
EOY10124255EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22577BOY
EOY205057EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY453990BOY
EOY1327683EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY476567BOY
EOY1532740EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13822099BOY
EOY8591515EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13822099BOY
EOY8591515EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14298666BOY
EOY10124255EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-5408363ReconcilationRevenueExpenses
Reconciliation Unrealized Invest177779ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualtrueContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARVARD PILGRIM HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN042452600EIN
Type Of Organization0TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO HPHC, INC.Description
Amount$1,327,683Amount
FieldValueIRS element (for citing)
Total Of Amounts1327683TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPART X, LINE 2:Identifier
ExplanationTHIS IS THE FIN48 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, 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, 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, 2012 AND 2011.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (75 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
1 UNION ST STE 301ROBBINSVILLENJ08691135613797501(C)(3)145000N/AN/AFOSTER CARDIAC CARE
AMERICAN IRELAND FUND
211 CONGRESS STBOSTONMA021102411251306992501(C)(3)10000N/AN/ACIVIC ENGAGEMENT
AMERICAN RED CROSS
139 MAIN STREETCAMBRIDGEMA02142530196605501(C)(3)26850N/AN/ADISASTER RELIEF
ARC OF MASSACHUSETTS
217 SOUTH STWALTHAMMA024532710042223502501(C)(3)10500N/AN/ASPONSORSHIP
BACK ON MY FEET
100 S Broad StPHILADELPHIAPA191101005262109809501(C)(3)5400N/AN/AEVENT SPONSORSHIP
BIG SISTER ASSOC OF GREATER BOSTON
161 MASSACHUSETTS AVENUEBOSTONMA02115042150651501(C)(3)10900N/AN/APROGRAMS & EVENTS
BOSTON BUSINESS JOURNAL
160 FEDERAL ST FL 12BOSTONMA02110042472126501(C)(3)13750N/AN/ASPONSORSHIP
BOSTON DRAGON BOAT FESTIVAL
437 Cherry StWEST NEWTONMA02465300518020501(C)(3)6000N/AN/ACULTURAL EVENT
BOSTON ELITE SWIM TEAM INC
PO Box 300407JAMAICA PLAINMA02130263919137501(C)(3)5100N/AN/ASWIM PROGRAM
BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM INC
780 ALBANY STBOSTONMA02118043160480501(C)(3)17250N/AN/AHOMELESS PROGRAM
BOSTON MEDICAL CENTER
801 MASS AVE 1ST FLBOSTONMA021182908043314093501(C)(3)25000N/AN/AEVENT SPONSORSHIP
BOSTON POLICE PATROLMAN'S ASSOC INC
9 Shetland ST 11ROXBURYMA021193033046141788501(C)(5)10000N/AN/ASCHOLARSHIP FUND
BOSTON PUBLIC HEALTH COMMISSION
1010 Massachusetts AveBOSTONMA0211804331409511555000N/AN/AOBESITY PROGRAM
BOSTON SYMPHONY ORCHESTRA INC
301 MASS AVEBOSTONMA021154557042103550501(C)(3)12000N/AN/ACULTURAL EVENT
BOY SCOUTS OF AMERICA - BOSTON MINUTEMAN COUNCIL
411 Unquity RdMILTONMA021863634043184713501(C)(3)101000N/AN/APROGRAM SPONSORSHIP
BOYS & GIRLS CLUBS OF BOSTON
50 CONGRESS ST STE 730BOSTONMA02109042103922501(C)(3)7000N/AN/ASPONSORSHIP
BRANDEIS UNIVERSITY
415 South StWALTHAMMA024532728042103552501(C)(3)25000N/AN/AHEALTH POLICY REFORM
BRIDGE OVER TROUBLED WATER
222 FORBES RD STE 207BRAINTREEMA02184042472126501(C)(3)8000N/AN/ASPONSORSHIP
CAMP SUNSHINE
35 ACADIA ROADCASCOME04015222582877501(C)(3)8946N/AN/ASUPPORT CAMP
CENTRAL MAINE MEDICAL CENTER
300 MAIN STLEWISTONME04240010211494501(C)(3)10850N/AN/ASPONSORSHIP
CHILD CARE RESOURCE CENTER INC
130 Bish AllEN DrCAMBRIDGEMA021392497510138647501(C)(3)5500N/AN/ASPONSORSHIP
CHILDRENS HOSPITAL BOSTON
1 AUTUMN ST 731BOSTONMA022155724042774441501(C)(3)6000N/AN/ASPONSORSHIP
CITY YEAR INC
848 ELM STMANCHESTERNH03101222882549501(C)(3)176469N/AN/AFUND PRGMS & EVENTS
COLLEGE BOUND DORCHESTER
18 Samoset STDORCHESTERMA021242415042383512501(C)(3)5600N/AN/ASPONSORSHIP
CRADLES TO CRAYONS
155 NORTH BEACON STBRIGHTONMA01239043584367501(C)(3)10500N/AN/ABACK PACKS PROG
DIMOCK CENTER
55 Dimock StreetROXBURYMA02119043487835501(C)(3)50000N/AN/AEVENT SPONSORSHIP
EARTHSHARE OF NEW ENGLAND
675 VFW PKWY 167CHESTNUT HILLMA02467223151372501(C)(3)6250N/AN/AGENERAL SUPPORT
FAMILY AND CHILDRENS AID INC
75 West StDANBURYCT068106528060888719501(C)(3)10000N/AN/ANEWTOWN TRAGEDY
FOOD PROJECT
10 Lewis StreetLINCOLNMA01773043262532501(C)(3)6000N/AN/AGARDEN PROJECT
FOUNDATION FOR HEALTHY COMMUNITIES
125 AIRPORT ROADCONCORDNH03301020275078501(C)(3)145000N/AN/AKIDS CLUB PROGRAM
FOUNDATION OF MASS EYE & EAR INC
243 Charles StBostonMA021143002042785453501(C)(3)10000N/AN/ASPONSORSHIP
GIRL SCOUTS OF EASTERN MASSACHUSETTS INC
95 Berkeley StreetBOSTONMA021166230042703281501(C)(3)15000N/AN/ASPONSORSHIP
GREATER BOSTON CHAMBER OF COMMERCE
225 Franklin St FL2BOSTONMA021103121041103090501(C)(6)32000N/AN/AEVENT SPONSORSHIP
HEBREW SENIOR LIFE INC
1200 Centre STBOSTONMA021311011900183119501(C)(3)30500N/AN/ASPONSORSHIP
INSTITUTE OF CONTEMPORY ART
100 Northern AveBOSTONMA022101802042104327501(C)(3)11250N/AN/ASPONSORSHIP
LIFE IS GOOD
15 HUDSON PARK DRHUDSONNH03051043394786501(C)(3)30000N/AN/ASPONSORSHIP
MAINEHEALTH
100 Free StPORTLANDME041013908010431680501(C)(3)391374N/AN/AFITNESS PROJECT
MAINE MEDICAL CENTER
22 Bramhall StreetPORTLANDME04102010238552501(C)(3)100500N/AN/AFITNESS PROJECT
MANCHESTER MONARCHS - ANSCHUTZ MANCHESTER HOCKEY
555 ELM STMANCHESTERNH031012509020525904501(C)(3)12000N/AN/AFITNESS PROGRAM
MARCH OF DIMES
10 FERRY ST STE 419CONCORDNH03301131846366501(C)(3)21200N/AN/ASPONSORSHIP
MARCH OF DIMES MAINE CHAPTER
136 US Route 1SCARBOROUGHME04074016020916501(C)(3)150000N/AN/AHEALTHY BABIES
MASSACHUSETTS HEALTH COUNCIL INC
73 Oak StNEWTONMA024641438042296739501(C)(3)7000N/AN/ASPONSORSHIP
MASSACHUSETTS HOSPITAL SCHOOL
3 Randolph StreetCANTONMA020214604465691155200N/AN/ASPONSORSHIP
MASSACHUSETTS WOMENS POLITICAL CAUCUS
9B Hamilton PLBOSTONMA021084715042738443501(C)(3)10000N/AN/ASPONSORSHIP
MOHEGAN COUNCIL
19 Harvard StWORCESTERMA016092835042105867501(C)(3)5500N/AN/ASPONSORSHIP
MUSEUM OF SCIENCE
1 SCIENCE PARKBOSTONMA02114042103916501(C)(3)280000N/AN/ASPONSORSHIP
NATIONAL MULTIPLE SCLEROSIS SOCIETY
PO BOX 845945BOSTONMA022845945042178884501(C)(3)6000N/AN/ASPONSORSHIP
NEW ENGLAND BAPTIST HOSPITAL
125 PARKER HILL AVEBOSTONMA021202847042103612501(C)(3)15000N/AN/ASPONSORSHIP
NEW ENGLAND COUNCIL INC
98 N WASHINGTON STBOSTONMA021141913041661090501(C)(3)50062N/AN/ASPONSORSHIP
OPERATION ABLE OF GREATER BOSTON INC
131 Tremont StBOSTONMA021111317042761871501(C)(3)6000N/AN/ASPONSORSHIP
PERKINS SCHOOL FOR THE BLIND
175 N Beacon StWATERTOWNMA024722751042103616501(C)(3)21000N/AN/ASPONSORSHIP
PORTLAND REGIONAL CHAMBER OF COMMERCE
443 Congress StPORTLANDME041013531010043280501(C)(6)10000N/AN/ASPONSORSHIP
REGIS COLLEGE
235 Wellesley StWESTONMA02493042104451501(C)(3)25500N/AN/ASPONSORSHIP
RELIANT MEDICAL GROUP
100 FRONT ST 14TH FLWORCESTERMA01608222912515501(C)(3)10000N/AN/ASPONSORSHIP
RIVERSIDE COMMUNITY CARE
450 Washington StDEDHAMMA020264449043097170501(C)(3)16000N/AN/ASPONSORSHIP
ROSIE'S PLACE
889 HARRISON AVENUEBOSTONMA02118042582187501(C)(3)20000N/AN/AWOMENS EVENT
SAINT ANSELM COLLEGE
100 St Anselm DrMANCHESTERNH031021308020222182501(C)(3)10500N/AN/ASPONSORSHIP
SAMARITANS INC
141 TREMONT ST 7TH FLBOSTONMA02111042643466501(C)(3)7000N/AN/ASPONSORSHIP
SCHWARTZ CTR FOR COMPASSIONATE HEALTHCARE
55 Fruit StBOSTONMA021142621041564655501(C)(3)53200N/AN/ASPONSORSHIP
SOUTH SHORE HOSPITAL
55 Fogg RdS WEYMOUTHMA021902432042769210501(C)(3)11000N/AN/ASPONSORSHIP
TUFTS MEDICAL CENTER INC
800 Washington STBOSTONMA021111552043400617501(C)(3)25000N/AN/ASPONSORSHIP
TUFTS UNIVERSITY
150 HARRISON AVEBOSTONMA02111042103634501(C)(3)359147N/AN/ACHILD OBESITY PROG
UMASS MEMORIAL FOUNDATION
333 South StSHREWSBURYMA01545043108190501(C)(3)18000N/AN/ASPONSORSHIP
UMASS MEM MED CTR - JOHN J O'BRIEN SCHOLARSHIP
306 Belmont StWORCESTERMA016041004043358564501(C)(3)10000N/AN/ASPONSORSHIP
UNITED WAY OF MASSACHUSETTS BAY INC
51 SLEEPER STBOSTONMA022101276042382233501(C)(3)15000N/AN/ASPONSORSHIP
UNITED WAY OF NEW ENGLAND
51 SLEEPER STBOSTONMA022101276042687831501(C)(3)6250N/AN/AGENERAL SUPPORT
UNIVERSITY SYSTEM OF NEW HAMPSHIRE
1 LEAVITT LNDURHAMNH038243512026000937501(C)(3)28000N/AN/ASPONSORSHIP
URBAN LEAGUE OF EASTERN MA
88 WARREN STBOSTONMA021193208237349132501(c)(3)51200N/AN/AEVENT SPONSORSHIP
WHITTIER STREET HEALTH CENTER
1125 TREMONT STROXBURYMA021203432042619517501(C)(3)5500N/AN/ASPONSORSHIP
WORCESTER FIREFIGHTERS
PO BOX 1940EAST GREENWICHRI02818046113356501(C)(5)7500n/an/aSPONSORSHIP
WORCESTER REGIONAL CHAMBER OF COMMERCE
466 Main StWORCESTERMA016081812041988780501(C)(6)7282N/AN/ASPONSORSHIP
WORKSITE WELLNESS COUNCIL OF MA
170 Maplewood StWATERTOWNMA02472452697521501(C)(3)20000N/AN/ASPONSORSHIP
YOUTH OPPORTUNITIES UPHELD INC
81 PLANTATION STWORCESTERMA016043069237112665501(C)(3)10000N/AN/ASPONSORSHIP
PARTNERSHIP INC
155 SEAPORT BLVD 13TH FLBOSTONMA02210428799910501(C)(3)10000N/AN/AEVENT SPONSORSHIP
GREATER WORCESTER COMMUNITY FOUNDATION
370 MAIN ST STE 650WORCESTERMA01608042572276501(C)(3)150000N/AN/AWORCESTER GRANTS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants70TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations5TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPART I, LINE 2Identifier
ExplanationMINIGRANTS OF $500 EACH ARE APPROVED BY AN APPOINTED COMMITTEE BEFORE THEY ARE ISSUED, BUT NO FURTHER OVERSIGHT IS DONE SUBSEQUENT TO THEIR ISSUANCE DUE TO THE SMALL DOLLAR VALUE. 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 PERFORM REGULAR EVALUATIONS OF THE GRANTS. ADDITIONALLY, FORMAL FISCAL REPORTING OF ALL GRANTS IS PERFORMED AND REVIEWED BY EMPLOYEES OF THE FOUNDATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LAURA S PEABODY
PRESIDENT/CHAIR39553421626626220100000026535074095700
MICHELLE J CLAYMAN
TREASURER20952288986708017093023221033953000
KAREN VOCI
EXECUTIVE DIRECTOR156356292553524014440025168022874300
SUZANNE M FINN
CLERK1256580250010297023467015967200
THOMAS F MALONEY
FORMER CLERK188599307511388018073027546026635700

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPART I, LINE 3:Identifier
ExplanationTHE 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 COMMITTEEExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 6:THE FOUNDATION'S VOLUNTEERS INCLUDE UNCOMPENSATED DIRECTORS WHO SERVE ON A VOLUNTARY BASIS. PART I, LINE 1 & PART III, LINE 1 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 VI, LINE 2:BUSINESS RELATIONSHIP - THE FOLLOWING INDIVIDUALS SERVE ON THE BOARDS OF ONE OR MORE FOR PROFIT ORGANIZATIONS RELATED TO THE FOUNDATION: LAURA S. PEABODY - PRESIDENT AND DIRECTOR MICHELLE CLAYMAN - TREASURER
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 ACCOUNTANTS, 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 CAUSES 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
HPHC Inc
93 WORCESTER STREETWELLESLEYMA02481042452600HEALTH INSURMA501(C)(3)9NAfalse
HPHC OF NEW ENGLAND INC
93 WORCESTER STREETWELLESLEYMA02481042663394HEALTH INSURMA501(C)(4)HPHC INCfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityEINEIN
HARVARD PILGRIM PHYSICIANS ASSOC INC
93 WORCESTER STREETWELLESLEYMA024819181PHYSICIAN ORGMAHPHC INCSEE PART VII
HPHC INSURANCE COMPANY INC
93 WORCESTER STREETWELLESLEYMA024819181HEALTH INSURANCEMAHPHC INCC Corp043149694
HPHC HOLDING COMPANY INC
93 WORCESTER STREETWELLESLEYMA024819181HOLDING CO.MAHPHC INCC CORP043306439
PLAN MARKETING INSURANCE AGENCY INC
1500 WEST PARK DRIVE SUITE 330WESTBOROUGHMA01581BROKERAGEMAHEALTH PLANSC CORP042734281
HPHC INSURANCE AGENCY INC
93 WORCESTER STREETWELLESLEYMA024819181BROKERAGEMAHPHC INCC CORP043016201
HEALTH PLANS INC
1500 WEST PARK DRIVE SUITE 330WESTBOROUGHMA01581TPAMAHPHC INCC CORP042734278
CARE MANAGEMENT SERVICES INC
1500 WEST PARK DRIVE SUITE 330WESTBOROUGHMA01581ASO SERVICESMAHEALTH PLANSC CORP043438779
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierPART IV, LINE (1):Identifier
ExplanationHARVARD PILGRIM PHYSICIANS ASSOCIATION, INC. IS A NONPROFIT ORGANIZED UNDER THE LAWS OF MASSACHUSETTS. IT HAS NOT APPLIED FOR AN EIN OR TAX-EXEMPT STATUS AT THE FEDERAL LEVEL.Explanation

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