HARVARD PILGRIM HEALTH CARE INC

EIN: 042452600 501(c)(3) Health Care

CANTON, MA

Total Revenue
$2,234,674,724
Total Expenses
$2,274,248,118
Total Assets
$1,111,423,122
Net Assets
$614,007,617
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Financial Vulnerability Assessment (Tuckman-Chang)

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Financial Trends

Organization Details

Formation Year
1969
Legal Domicile
MA
Principal Officer
MARK PORTER
Phone
7812636000
Tax Period
2023-01-01 to 2023-12-31

HARVARD PILGRIM HEALTH CARE INC, founded in 1969, is a large national nonprofit in the Health Care sector that reported $2.2B in total revenue in fiscal year 2023. Revenue surged 21% from the prior year, signaling strong growth momentum.

Mission

DETAIL REGARDING THE ORGANIZATION MISSION HARVARD PILGRIM HEALTH CARE INC.'S ("HARVARD PILGRIM"HPHC") PURPOSE IS TO GUIDE AND EMPOWER HEALTHIER LIVES FOR EVERYONE. FOR MORE THAN 50 YEARS, HARVARD PILGRIM HAS BUILT A REPUTATION FOR EXCEPTIONAL CLINICAL QUALITY, PREVENTIVE CARE, DISEASE MANAGEMENT AND MEMBER SATISFACTION AND HAS CONSISTENTLY RATED AMONG THE TOP PLANS IN THE COUNTRY. HPHC OPERATES AS A NOT-FOR-PROFIT HEALTH PLAN PROVIDING COMPREHENSIVE HEALTH BENEFIT PLANS, ACCESS TO HEALTH CARE AND OTHER RELATED SERVICES IN MASSACHUSETTS, MAINE AND CONNECTICUT TO GROUP, INDIVIDUAL AND MEDICARE MEMBERS THROUGH CONTRACTS WITH PHYSICIANS, ESTABLISHED PRIMARY CARE AND MULTISPECIALTY PHYSICIAN GROUPS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS. HPHC IS PART OF THE POINT32HEALTH ("P32H") FAMILY OF COMPANIES. ----------

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $108,861,517
Program Service Revenue $2,094,574,737
Investment Income $26,146,615
Other Revenue $5,091,855
TOTAL REVENUE $2,234,674,724

Expense Breakdown

Grants Paid $6,000,000
Salaries & Benefits $147,609,145
Fundraising Expenses $0
Program Expenses $2,205,605,384
Other Expenses $356,840,899
TOTAL EXPENSES $2,274,248,118

Year-over-Year Comparison

2023 2022 Change
Revenue $2,234,674,724 $1,851,091,814 +0.2%
Expenses $2,274,248,118 $1,880,514,960 +0.2%
Net Income $-39,573,394 $-29,423,146 +0.3%
Key Indicators
✓ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required
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Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

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Liquidity & Cash Position

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Governance

Voting Members
13
Independent Members
12
Employees
8
Volunteers
N/A

Governance Policies

✗ Conflict of Interest Policy
✗ Whistleblower Policy
✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School
✗ Operated a Hospital
✗ Provided First Class Travel
⚠ Reported Conflict of Interest
✗ Reported Asset Diversion
✗ Excess Benefit Transaction
✗ Made Political Expenditures
✓ Engaged in Lobbying
✗ Operated Donor Advised Fund
✗ Maintained Art Collections
✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
9
$11,593,333
Total Directors
14
$5,710,334
Key Employees
2
$3,624,892
Highest Compensated
5
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
CAIN HAYES PRESIDENT & CEO 10.0
Officer Director
$0 $387,442 $4,246,459
PHILIP BARR EVP, PRESIDENT, MARKETS 10.0
Key Emp
$0 $201,705 $1,952,558
PATRICIA HOWARD COO (END 5/3) 10.0
Key Emp
$0 $59,229 $1,672,334
UMESH KURPAD CFO (END 7/4) 10.0
Officer
$0 $166,409 $1,621,244
PETE CHURCH CHIEF PEOPLE OFFICER 10.0
Highest
$0 $199,722 $1,548,068
R SCOTT WALKER CFO (START 7/5) 10.0
Officer
$0 $15,325 $1,469,774
TISA HUGHES CLERK/SECRETARY 10.0
Officer
$0 $135,726 $1,466,203
TRACEY CARTER SVP, CHIEF ACTUARY 10.0
Highest
$0 $167,611 $1,343,146
SELMA FERHATBEGOVIC SVP, CHIEF INFORMATION OFFICER 10.0
Highest
$0 $152,803 $1,260,256
MARK PORTER TREASURER (START 10/12) 10.0
Officer
$0 $166,825 $1,222,453
PATRICIA BLAKE SVP, PRESIDENT MEDICARE 10.0
Highest
$0 $160,733 $1,211,996
KRISTIN LEWIS CHIEF PUB & COMM AFF OFFICER 10.0
Highest
$0 $152,533 $1,187,178
MICHAEL CARSON FORMER PRESIDENT (END 10/1/21) 0.0
$0 $0 $866,154
SUSAN KEE CLERK/SECRETARY (START 12/11) 10.0
Officer
$0 $72,203 $717,571
ROLAND PRICE TREASURER (END 10/11) 10.0
Officer
$0 $79,256 $675,379
THOMAS CROSWELL FORMER CEO 0.0
$0 $9,150 $621,650
DEBORAH NORTON FORMER SVP, CIO 0.0
$170,069 $8,843 $178,912
EILEEN AUEN DIRECTOR, CHAIR 2.0
Officer Director
$161,250 $0 $161,250
MICHAEL J MCCOLGAN DIRECTOR 1.0
Director
$131,750 $0 $131,750
GREGORY D TRANTER DIRECTOR 1.0
Director
$129,375 $0 $129,375
MICHAEL SHEA DIRECTOR 1.0
Director
$123,375 $0 $123,375
BERTRAM L SCOTT DIRECTOR 1.0
Director
$119,375 $0 $119,375
HEDWIG VEITH WHITNEY DIRECTOR 0.0
Director
$117,375 $0 $117,375
MYECHIA MINTER-JORDAN MD DIRECTOR (END 12/8) 1.0
Director
$116,375 $0 $116,375
TODD WHITBECK DIRECTOR 1.0
Director
$113,000 $0 $113,000
PETER SLAVIN MD DIRECTOR 1.0
Director
$112,000 $0 $112,000
RAYMOND PAWLICKI DIRECTOR 1.0
Director
$111,000 $0 $111,000
IRINA SIMMONS DIRECTOR 1.0
Director
$109,000 $0 $109,000
JOYCE MURPHY DIRECTOR 1.0
Director
$107,000 $0 $107,000
GREG SHELL DIRECTOR, VICE CHAIR 1.0
Officer Director
$13,000 $0 $13,000
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2024 No data No data No data No data
2023 $2,234,674,724 $2,274,248,118 $1,111,423,122 $-39,573,394
2022 $1,851,091,814 $1,880,514,960 $1,102,710,194 $-29,423,146
2021 $2,051,695,281 $2,090,547,563 $1,205,351,774 $-38,852,282
2020 $1,884,862,514 $1,871,742,725 $1,210,525,994 $13,119,789
2019 $1,808,629,311 $1,785,626,474 $1,058,856,358 $23,002,837
2018 $1,969,632,818 $1,922,502,298 $971,328,253 $47,130,520
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