HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND INC (EIN 042663394) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1978

Legal Domicile

Principal Officer

SCOTT WALKER

Phone

7812636000

Tax Period

2023-01-01 to 2023-12-31

HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND INC, founded in 1978, is a major nonprofit in the Health Care sector that reported $502.0M in total revenue in fiscal year 2023.

Mission

DETAIL REGARDING THE ORGANIZATION'S MISSION HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND, INC.'S ("HPHC-NE") PURPOSE IS TO GUIDE AND EMPOWER HEALTHIER LIVES FOR EVERYONE. HPHC-NE HAS BUILT A REPUTATION FOR EXCEPTIONAL CLINICAL QUALITY, PREVENTIVE CARE, DISEASE MANAGEMENT, AND MEMBER SATISFACTION. WE REMAIN AN INDUSTRY LEADER BY CONTINUING TO DEVELOP NEW WAYS TO IMPROVE UPON HOW WE CARE FOR OUR MEMBERS. HPHC-NE OPERATES AS A NOT-FOR-PROFIT HEALTH PLAN PROVIDING COMPREHENSIVE HEALTH INSURANCE, ACCESS TO HEALTH CARE AND OTHER RELATED SERVICES IN NEW HAMPSHIRE TO INDIVIDUAL AND GROUP MEMBERS THROUGH CONTRACTS WITH PHYSICIANS, ESTABLISHED PRIMARY GROUP AND MULTI SPECIALTY PHYSICIAN GROUPS, HOSPITALS AND OTHER HEALTH CARE PROVIDERS. HPHC-NE 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%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $498,099,519

Investment Income $3,894,616

Other Revenue $0

TOTAL REVENUE $501,994,135

Expense Breakdown

Grants Paid $0

Salaries & Benefits $0

Fundraising Expenses $0

Program Expenses $509,369,599

Other Expenses $78,776,388

TOTAL EXPENSES $520,135,133

Year-over-Year Comparison

	2023	2022	Change
Revenue	$501,994,135	$521,545,311	0.0%
Expenses	$520,135,133	$543,582,863	0.0%
Net Income	$-18,140,998	$-22,037,552	-0.2%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

N/A

Employees

N/A

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

$10,077,634

Total Directors

$8,179,802

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
CAIN HAYES	DIR(END 7/31)/PRESIDENT & CEO	2.5	Officer Director	$0	$387,442	$4,246,459
UMESH KURPAD	CFO (END 7/4)	2.5	Officer Director	$0	$166,409	$1,621,244
TISA HUGHES	Clerk/Secretary	2.5	Officer Director	$0	$135,726	$1,466,203
MARK PORTER	TREASURER (START 10/12)	2.5	Officer	$0	$166,825	$1,222,453
MICHAEL CARSON	FORMER PRESIDENT (END 10/1/21)	0.0		$0	$0	$866,154
R SCOTT WALKER	CFO (START 7/5)	2.5	Officer Director	$0	$117,945	$845,896
ROLAND PRICE	TREASURER (END 10/11)	2.5	Officer	$0	$79,256	$675,379

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	$501,994,135	$520,135,133	$154,239,239	$-18,140,998
2022	$521,545,311	$543,582,863	$156,187,608	$-22,037,552
2021	$551,758,850	$584,000,368	$168,348,324	$-32,241,518
2020	$548,842,588	$560,814,554	$163,175,488	$-11,971,966
2019	$514,139,816	$503,070,429	$147,882,247	$11,069,387
2018	$557,603,687	$555,146,392	$154,494,698	$2,457,295

HARVARD PILGRIM HEALTH CARE OF NEW ENGLAND INC