2013-11-15T09:45:16-06:00 2012-12-31 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2012-01-01 042708004 HARVARD PILGRIM HEALTH CARE FOUNDATION INC % BETH CREAVIN HARV 7812636000 93 WORCESTER STREET Suite WELLESLEY MA 024819181 MICHELLE CLAYMAN 7812636000 2013-11-13 true 6175305000 2012 2016-03-07 17:11:31Z ERIC H SCHULTZ 93 WORCESTER ST WELLESLEY MA 024819181 816458 false X WWW.HARVARDPILGRIM.ORG/FOUNDATION X 1980 MA SEE SCHEDULE O 10 9 0 8 0 14294396 573172 33542 6540 49011 236746 0 0 14376949 816458 1126530 3888015 0 0 1202010 1202848 0 0 0 979659 1133958 3308199 6224821 11068750 -5408363 14298666 10124255 476567 1532740 13822099 8591515 X SEE SCHEDULE O false false 5983357 3888015 6540 THE 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. 5983357 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 false X 10 9 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 LAURA S PEABODY 5.0 45.0 X X 614422 126535 RUTH ELLEN FITCH 2.0 0.0 X 0 0 0 ELINOR GOLDBERG LSW 2.0 0.0 X JOSHUA KRAFT 2.0 0.0 X SHARON MCCARTHY 2.0 0.0 X JOSEPH F O'DONNELL md 2.0 3.0 X 15850 PATRICIA A WALRATH 2.0 0.0 X MARTIN COHEN 2.0 0.0 X MARIANNE E FELICE MD 2.0 0.0 X CARTER FRIEND 2.0 0.0 X MICHELLE J CLAYMAN 5.0 45.0 X 299216 40314 SUZANNE M FINN 5.0 45.0 X 125908 33764 KAREN VOCI 40.0 0.0 X 189135 39608 THOMAS F MALONEY 5.0 45.0 X 220738 45619 0 1465269 285840 0 true true false SEE SCHEDULE O 0 568167 5005 573172 CONSULTING FEES 900099 6500 6500 TUITION FEES 900099 40 40 6540 236746 236746 0 0 0 0 0 0 0 0 0 0 816458 6540 236746 3888015 3888015 0 0 0 189135 151308 37827 0 744135 712660 31475 0 269578 249560 20018 0 0 0 0 0 0 0 163188 163188 0 49412 49012 400 0 0 68551 64479 4072 30928 29711 1217 0 22508 22389 119 0 0 0 0 TRAINING EXPENSES 5473 4378 1095 BUSINESS EXPENSE 3168 2534 634 MANAGEMENT SERVICES EXPENSE 701895 561516 140379 VOLUNTEER EVENT EXPENSE 67694 67694 21141 16913 4228 6224821 5983357 241464 0 0 0 11429745 307871 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2848939 9750816 0 0 0 0 0 0 19982 65568 14298666 10124255 22577 205057 0 0 0 0 0 0 0 0 0 0 0 0 0 0 453990 1327683 476567 1532740 X 13822099 8591515 0 0 0 0 13822099 8591515 14298666 10124255 -5408363 177779 X false true X true X X X true 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. 1327683 1327683 X PART X, LINE 2: THIS 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. true AMERICAN HEART ASSOCIATION 1 UNION ST STE 301 ROBBINSVILLE NJ 08691 135613797 501(C)(3) 145000 N/A N/A FOSTER CARDIAC CARE AMERICAN IRELAND FUND 211 CONGRESS ST BOSTON MA 021102411 251306992 501(C)(3) 10000 N/A N/A CIVIC ENGAGEMENT AMERICAN RED CROSS 139 MAIN STREET CAMBRIDGE MA 02142 530196605 501(C)(3) 26850 N/A N/A DISASTER RELIEF ARC OF MASSACHUSETTS 217 SOUTH ST WALTHAM MA 024532710 042223502 501(C)(3) 10500 N/A N/A SPONSORSHIP BACK ON MY FEET 100 S Broad St PHILADELPHIA PA 191101005 262109809 501(C)(3) 5400 N/A N/A EVENT SPONSORSHIP BIG SISTER ASSOC OF GREATER BOSTON 161 MASSACHUSETTS AVENUE BOSTON MA 02115 042150651 501(C)(3) 10900 N/A N/A PROGRAMS & EVENTS BOSTON BUSINESS JOURNAL 160 FEDERAL ST FL 12 BOSTON MA 02110 042472126 501(C)(3) 13750 N/A N/A SPONSORSHIP BOSTON DRAGON BOAT FESTIVAL 437 Cherry St WEST NEWTON MA 02465 300518020 501(C)(3) 6000 N/A N/A CULTURAL EVENT BOSTON ELITE SWIM TEAM INC PO Box 300407 JAMAICA PLAIN MA 02130 263919137 501(C)(3) 5100 N/A N/A SWIM PROGRAM BOSTON HEALTH CARE FOR THE HOMELESS PROGRAM INC 780 ALBANY ST BOSTON MA 02118 043160480 501(C)(3) 17250 N/A N/A HOMELESS PROGRAM BOSTON MEDICAL CENTER 801 MASS AVE 1ST FL BOSTON MA 021182908 043314093 501(C)(3) 25000 N/A N/A EVENT SPONSORSHIP BOSTON POLICE PATROLMAN'S ASSOC INC 9 Shetland ST 11 ROXBURY MA 021193033 046141788 501(C)(5) 10000 N/A N/A SCHOLARSHIP FUND BOSTON PUBLIC HEALTH COMMISSION 1010 Massachusetts Ave BOSTON MA 02118 043314095 115 55000 N/A N/A OBESITY PROGRAM BOSTON SYMPHONY ORCHESTRA INC 301 MASS AVE BOSTON MA 021154557 042103550 501(C)(3) 12000 N/A N/A CULTURAL EVENT BOY SCOUTS OF AMERICA - BOSTON MINUTEMAN COUNCIL 411 Unquity Rd MILTON MA 021863634 043184713 501(C)(3) 101000 N/A N/A PROGRAM SPONSORSHIP BOYS & GIRLS CLUBS OF BOSTON 50 CONGRESS ST STE 730 BOSTON MA 02109 042103922 501(C)(3) 7000 N/A N/A SPONSORSHIP BRANDEIS UNIVERSITY 415 South St WALTHAM MA 024532728 042103552 501(C)(3) 25000 N/A N/A HEALTH POLICY REFORM BRIDGE OVER TROUBLED WATER 222 FORBES RD STE 207 BRAINTREE MA 02184 042472126 501(C)(3) 8000 N/A N/A SPONSORSHIP CAMP SUNSHINE 35 ACADIA ROAD CASCO ME 04015 222582877 501(C)(3) 8946 N/A N/A SUPPORT CAMP CENTRAL MAINE MEDICAL CENTER 300 MAIN ST LEWISTON ME 04240 010211494 501(C)(3) 10850 N/A N/A SPONSORSHIP CHILD CARE RESOURCE CENTER INC 130 Bish AllEN Dr CAMBRIDGE MA 021392497 510138647 501(C)(3) 5500 N/A N/A SPONSORSHIP CHILDRENS HOSPITAL BOSTON 1 AUTUMN ST 731 BOSTON MA 022155724 042774441 501(C)(3) 6000 N/A N/A SPONSORSHIP CITY YEAR INC 848 ELM ST MANCHESTER NH 03101 222882549 501(C)(3) 176469 N/A N/A FUND PRGMS & EVENTS COLLEGE BOUND DORCHESTER 18 Samoset ST DORCHESTER MA 021242415 042383512 501(C)(3) 5600 N/A N/A SPONSORSHIP CRADLES TO CRAYONS 155 NORTH BEACON ST BRIGHTON MA 01239 043584367 501(C)(3) 10500 N/A N/A BACK PACKS PROG DIMOCK CENTER 55 Dimock Street ROXBURY MA 02119 043487835 501(C)(3) 50000 N/A N/A EVENT SPONSORSHIP EARTHSHARE OF NEW ENGLAND 675 VFW PKWY 167 CHESTNUT HILL MA 02467 223151372 501(C)(3) 6250 N/A N/A GENERAL SUPPORT FAMILY AND CHILDRENS AID INC 75 West St DANBURY CT 068106528 060888719 501(C)(3) 10000 N/A N/A NEWTOWN TRAGEDY FOOD PROJECT 10 Lewis Street LINCOLN MA 01773 043262532 501(C)(3) 6000 N/A N/A GARDEN PROJECT FOUNDATION FOR HEALTHY COMMUNITIES 125 AIRPORT ROAD CONCORD NH 03301 020275078 501(C)(3) 145000 N/A N/A KIDS CLUB PROGRAM FOUNDATION OF MASS EYE & EAR INC 243 Charles St Boston MA 021143002 042785453 501(C)(3) 10000 N/A N/A SPONSORSHIP GIRL SCOUTS OF EASTERN MASSACHUSETTS INC 95 Berkeley Street BOSTON MA 021166230 042703281 501(C)(3) 15000 N/A N/A SPONSORSHIP GREATER BOSTON CHAMBER OF COMMERCE 225 Franklin St FL2 BOSTON MA 021103121 041103090 501(C)(6) 32000 N/A N/A EVENT SPONSORSHIP HEBREW SENIOR LIFE INC 1200 Centre ST BOSTON MA 021311011 900183119 501(C)(3) 30500 N/A N/A SPONSORSHIP INSTITUTE OF CONTEMPORY ART 100 Northern Ave BOSTON MA 022101802 042104327 501(C)(3) 11250 N/A N/A SPONSORSHIP LIFE IS GOOD 15 HUDSON PARK DR HUDSON NH 03051 043394786 501(C)(3) 30000 N/A N/A SPONSORSHIP MAINEHEALTH 100 Free St PORTLAND ME 041013908 010431680 501(C)(3) 391374 N/A N/A FITNESS PROJECT MAINE MEDICAL CENTER 22 Bramhall Street PORTLAND ME 04102 010238552 501(C)(3) 100500 N/A N/A FITNESS PROJECT MANCHESTER MONARCHS - ANSCHUTZ MANCHESTER HOCKEY 555 ELM ST MANCHESTER NH 031012509 020525904 501(C)(3) 12000 N/A N/A FITNESS PROGRAM MARCH OF DIMES 10 FERRY ST STE 419 CONCORD NH 03301 131846366 501(C)(3) 21200 N/A N/A SPONSORSHIP MARCH OF DIMES MAINE CHAPTER 136 US Route 1 SCARBOROUGH ME 04074 016020916 501(C)(3) 150000 N/A N/A HEALTHY BABIES MASSACHUSETTS HEALTH COUNCIL INC 73 Oak St NEWTON MA 024641438 042296739 501(C)(3) 7000 N/A N/A SPONSORSHIP MASSACHUSETTS HOSPITAL SCHOOL 3 Randolph Street CANTON MA 02021 460446569 115 5200 N/A N/A SPONSORSHIP MASSACHUSETTS WOMENS POLITICAL CAUCUS 9B Hamilton PL BOSTON MA 021084715 042738443 501(C)(3) 10000 N/A N/A SPONSORSHIP MOHEGAN COUNCIL 19 Harvard St WORCESTER MA 016092835 042105867 501(C)(3) 5500 N/A N/A SPONSORSHIP MUSEUM OF SCIENCE 1 SCIENCE PARK BOSTON MA 02114 042103916 501(C)(3) 280000 N/A N/A SPONSORSHIP NATIONAL MULTIPLE SCLEROSIS SOCIETY PO BOX 845945 BOSTON MA 022845945 042178884 501(C)(3) 6000 N/A N/A SPONSORSHIP NEW ENGLAND BAPTIST HOSPITAL 125 PARKER HILL AVE BOSTON MA 021202847 042103612 501(C)(3) 15000 N/A N/A SPONSORSHIP NEW ENGLAND COUNCIL INC 98 N WASHINGTON ST BOSTON MA 021141913 041661090 501(C)(3) 50062 N/A N/A SPONSORSHIP OPERATION ABLE OF GREATER BOSTON INC 131 Tremont St BOSTON MA 021111317 042761871 501(C)(3) 6000 N/A N/A SPONSORSHIP PERKINS SCHOOL FOR THE BLIND 175 N Beacon St WATERTOWN MA 024722751 042103616 501(C)(3) 21000 N/A N/A SPONSORSHIP PORTLAND REGIONAL CHAMBER OF COMMERCE 443 Congress St PORTLAND ME 041013531 010043280 501(C)(6) 10000 N/A N/A SPONSORSHIP REGIS COLLEGE 235 Wellesley St WESTON MA 02493 042104451 501(C)(3) 25500 N/A N/A SPONSORSHIP RELIANT MEDICAL GROUP 100 FRONT ST 14TH FL WORCESTER MA 01608 222912515 501(C)(3) 10000 N/A N/A SPONSORSHIP RIVERSIDE COMMUNITY CARE 450 Washington St DEDHAM MA 020264449 043097170 501(C)(3) 16000 N/A N/A SPONSORSHIP ROSIE'S PLACE 889 HARRISON AVENUE BOSTON MA 02118 042582187 501(C)(3) 20000 N/A N/A WOMENS EVENT SAINT ANSELM COLLEGE 100 St Anselm Dr MANCHESTER NH 031021308 020222182 501(C)(3) 10500 N/A N/A SPONSORSHIP SAMARITANS INC 141 TREMONT ST 7TH FL BOSTON MA 02111 042643466 501(C)(3) 7000 N/A N/A SPONSORSHIP SCHWARTZ CTR FOR COMPASSIONATE HEALTHCARE 55 Fruit St BOSTON MA 021142621 041564655 501(C)(3) 53200 N/A N/A SPONSORSHIP SOUTH SHORE HOSPITAL 55 Fogg Rd S WEYMOUTH MA 021902432 042769210 501(C)(3) 11000 N/A N/A SPONSORSHIP TUFTS MEDICAL CENTER INC 800 Washington ST BOSTON MA 021111552 043400617 501(C)(3) 25000 N/A N/A SPONSORSHIP TUFTS UNIVERSITY 150 HARRISON AVE BOSTON MA 02111 042103634 501(C)(3) 359147 N/A N/A CHILD OBESITY PROG UMASS MEMORIAL FOUNDATION 333 South St SHREWSBURY MA 01545 043108190 501(C)(3) 18000 N/A N/A SPONSORSHIP UMASS MEM MED CTR - JOHN J O'BRIEN SCHOLARSHIP 306 Belmont St WORCESTER MA 016041004 043358564 501(C)(3) 10000 N/A N/A SPONSORSHIP UNITED WAY OF MASSACHUSETTS BAY INC 51 SLEEPER ST BOSTON MA 022101276 042382233 501(C)(3) 15000 N/A N/A SPONSORSHIP UNITED WAY OF NEW ENGLAND 51 SLEEPER ST BOSTON MA 022101276 042687831 501(C)(3) 6250 N/A N/A GENERAL SUPPORT UNIVERSITY SYSTEM OF NEW HAMPSHIRE 1 LEAVITT LN DURHAM NH 038243512 026000937 501(C)(3) 28000 N/A N/A SPONSORSHIP URBAN LEAGUE OF EASTERN MA 88 WARREN ST BOSTON MA 021193208 237349132 501(c)(3) 51200 N/A N/A EVENT SPONSORSHIP WHITTIER STREET HEALTH CENTER 1125 TREMONT ST ROXBURY MA 021203432 042619517 501(C)(3) 5500 N/A N/A SPONSORSHIP WORCESTER FIREFIGHTERS PO BOX 1940 EAST GREENWICH RI 02818 046113356 501(C)(5) 7500 n/a n/a SPONSORSHIP WORCESTER REGIONAL CHAMBER OF COMMERCE 466 Main St WORCESTER MA 016081812 041988780 501(C)(6) 7282 N/A N/A SPONSORSHIP WORKSITE WELLNESS COUNCIL OF MA 170 Maplewood St WATERTOWN MA 02472 452697521 501(C)(3) 20000 N/A N/A SPONSORSHIP YOUTH OPPORTUNITIES UPHELD INC 81 PLANTATION ST WORCESTER MA 016043069 237112665 501(C)(3) 10000 N/A N/A SPONSORSHIP PARTNERSHIP INC 155 SEAPORT BLVD 13TH FL BOSTON MA 02210 428799910 501(C)(3) 10000 N/A N/A EVENT SPONSORSHIP GREATER WORCESTER COMMUNITY FOUNDATION 370 MAIN ST STE 650 WORCESTER MA 01608 042572276 501(C)(3) 150000 N/A N/A WORCESTER GRANTS 70 5 PART I, LINE 2 MINIGRANTS 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. false false false false false false false false false LAURA S PEABODY 395534 216266 2622 0 100000 0 26535 0 740957 0 0 MICHELLE J CLAYMAN 209522 88986 708 0 17093 0 23221 0 339530 0 0 KAREN VOCI 156356 29255 3524 0 14440 0 25168 0 228743 0 0 SUZANNE M FINN 125658 0 250 0 10297 0 23467 0 159672 0 0 THOMAS F MALONEY 188599 30751 1388 0 18073 0 27546 0 266357 0 0 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 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. 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 false HARVARD PILGRIM PHYSICIANS ASSOC INC 93 WORCESTER STREET WELLESLEY MA 024819181 PHYSICIAN ORG MA HPHC INC SEE PART VII HPHC INSURANCE COMPANY INC 93 WORCESTER STREET WELLESLEY MA 024819181 043149694 HEALTH INSURANCE MA HPHC INC C Corp HPHC HOLDING COMPANY INC 93 WORCESTER STREET WELLESLEY MA 024819181 043306439 HOLDING CO. MA HPHC INC C CORP PLAN MARKETING INSURANCE AGENCY INC 1500 WEST PARK DRIVE SUITE 330 WESTBOROUGH MA 01581 042734281 BROKERAGE MA HEALTH PLANS C CORP HPHC INSURANCE AGENCY INC 93 WORCESTER STREET WELLESLEY MA 024819181 043016201 BROKERAGE MA HPHC INC C CORP HEALTH PLANS INC 1500 WEST PARK DRIVE SUITE 330 WESTBOROUGH MA 01581 042734278 TPA MA HPHC INC C CORP CARE MANAGEMENT SERVICES INC 1500 WEST PARK DRIVE SUITE 330 WESTBOROUGH MA 01581 043438779 ASO SERVICES MA HEALTH PLANS C CORP false false true false true false false false false false true false true true true true false false false PART IV, LINE (1): HARVARD 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.