MASS GENERAL BRIGHAM HEALTH PLAN I… - Form 990 Financial Data

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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

1986

Legal Domicile

Principal Officer

STEVEN J TRINGALE

Phone

8572820747

Tax Period

2023-01-01 to 2023-12-31

MASS GENERAL BRIGHAM HEALTH PLAN INC, founded in 1986, is a large national nonprofit in the Health Care sector that reported $1.8B in total revenue in fiscal year 2023. Revenue surged 93% from the prior year, signaling strong growth momentum.

Mission

MASS GENERAL BRIGHAM HEALTH PLAN, INC. A NOT-FOR-PROFIT CORPORATION, IN PARTNERSHIP WITH COMMUNITY HEALTH CENTERS AND OTHER COMMUNITY-RESPONSIVE PROVIDERS, DEVELOPS AND OPERATES COOPERATIVE MANAGED CARE SYSTEMS WHICH ARE MEMBER FOCUSED, QUALITY DRIVEN, COMMUNITY BASED, CULTURALLY RESPONSIVE, AND FINANCIALLY VIABLE IN CONTEMPORARY AND FUTURE HEALTH CARE ENVIRONMENTS.

Program Service Accomplishments

Program 1

Expenses: $1,731,136,092 Revenue: $1,753,881,118

HEALTH CARE DELIVERY: MASS GENERAL BRIGHAM HEALTH PLAN PROMOTES THE GENERAL WELFARE OF THE PEOPLE IN THE COMMUNITY BY FACILITATING THE DELIVERY OF COMPREHENSIVE HEALTH SERVICES ON A PREPAID BASIS TO MEMBERS AT 2,136 PRIMARY CARE LOCATIONS. FULLY INSURED MEMBERS INCLUDE APPROXIMATELY 124,000 INDIVIDUALS COVERED BY MEDICAID, SMALL AND LARGE EMPLOYER GROUPS AND LOW-INCOME, HIGH-RISK INDIVIDUALS. DURING 2022, MEMBERS INCURRED APPROXIMATELY 1.9 MILLION AMBULATORY ENCOUNTERS AND INCURRED APPROXIMATELY 45,000 HOSPITAL PATIENT DAYS. MASS GENERAL BRIGHAM HEALTH PLAN OFFERS MEMBERS ACCESS TO 8,292 PRIMARY CARE PHYSICIANS AND OVER 50,000 SPECIALTY CARE PROVIDERS. SINCE 2008 MASS GENERAL BRIGHAM HEALTH PLAN HAS BEEN ACCREDITED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA). NCQA ACCREDITATION SURVEY PROCESS INCLUDES ON AND OFF SITE EVALUATIONS OF OVER 60 STANDARDS AND PERFORMANCE MEASURES CONDUCTED BY A TEAM OF PHYSICIANS AND MANAGED CARE EXPERTS. EVERY PART OF MASS GENERAL BRIGHAM HEALTH PLAN HEALTHCARE DELIVERY SYSTEM WAS EVALUATED INCLUDING PHYSICIANS, HOSPITALS, AFFILIATED PROVIDERS, AND ADMINISTRATIVE SERVICES. MASS GENERAL BRIGHAM HEALTH PLAN VOLUNTARILY PURSUED NCQA ACCREDITATION AND WILL CONTINUE TO STRIVE FOR THIS RECOGNITION BECAUSE WE KNOW OUR MEMBERS DESERVE THE HIGHEST QUALITY CARE. IN THE LATEST HEALTH PLAN SURVEY RATINGS, WE ACHIEVED A 4.5 OUT OF 5.0-STAR RATING FOR BOTH OUR COMMERCIAL AND MEDICAID PLANS, WHICH IS CONSIDERED EXCELLENT.

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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 $1,753,881,118

Investment Income $10,018,373

Other Revenue $0

TOTAL REVENUE $1,763,899,491

Expense Breakdown

Grants Paid $0

Salaries & Benefits $46,307,631

Fundraising Expenses $0

Program Expenses $1,731,136,092

Other Expenses $84,256,794

TOTAL EXPENSES $1,748,302,324

Year-over-Year Comparison

	2023	2022	Change
Revenue	$1,763,899,491	$911,720,154	+0.9%
Expenses	$1,748,302,324	$947,198,246	+0.8%
Net Income	$15,597,167	$-35,478,092	-1.4%

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

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

$4,553,756

Total Directors

$2,568,878

Key Employees

$5,289,432

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
STEVEN J TRINGALE	PRESIDENT & DIRECTOR	50.00	Officer Director	$0	$53,572	$1,019,713
ALAN ANTHONY JAMES	DIRECTOR	1.00	Director	$0	$63,234	$1,001,542
MATTHEW FISHMAN	DIRECTOR	1.00	Director	$0	$66,085	$547,623
CLARITZA N ABREU	DIRECTOR	1.00	Director	$0	$0	$0
MICHAEL A CURRY ESQ	DIRECTOR, ON 11/09/23	1.00	Director	$0	$0	$0
RICHARD E HOLBROOK	DIRECTOR	1.00	Director	$0	$0	$0
JAMES W HUNT JR	DIRECTOR & CHAIRMAN, OFF 07/18/23	1.00	Director	$0	$0	$0
LESLEE L KILEY	DIRECTOR	1.00	Director	$0	$0	$0
ANTONIA G MCGUIRE	DIRECTOR	1.00	Director	$0	$0	$0
RAUL MEDINA	DIRECTOR	1.00	Director	$0	$0	$0
ANNE M WILKINS	DIRECTOR	1.00	Director	$0	$0	$0
NIYUM GANDHI	TREASURER	1.00	Officer	$0	$48,357	$2,323,582
JOHN R HIGHAM ESQ	SECRETARY	1.00	Officer	$0	$65,843	$637,365
LUCIA SILVA	CHIEF FINANCIAL OFFICER	50.00	Officer	$0	$51,417	$573,096
LINDSAY E JUBELT MD	CHIEF POPULATION HEALTH OFFICER	50.00	Key Emp	$0	$29,762	$1,034,168
SUJATA SANGHVI	CHIEF ACTUARY	50.00	Key Emp	$0	$67,478	$633,616
MARK MCCORMICK	CHIEF OPERATING OFFICER	50.00	Key Emp	$0	$44,601	$557,083
JENNIFER B ST THOMAS	VP OF SALES AND MEDICARE PRODUCT	50.00	Key Emp	$0	$66,817	$546,365
KATHARINE K LEESON	CHIEF OF STAFF & VP OF CORP. SV	50.00	Key Emp	$0	$57,034	$468,598
JEFFREY D SYREK	SVP NETWORK MANAGEMENT	50.00	Key Emp	$0	$19,107	$454,711
ALICE MOORE	SVP LEGAL, REGULATORY AFFAIRS &	50.00	Key Emp	$0	$70,237	$447,554
ELIZABETH M HELENIUS	VP OF SALES	50.00	Key Emp	$0	$36,760	$422,732
RONI MANSUR	VP PRODUCT MANAGEMENT	50.00	Key Emp	$0	$30,925	$404,546
YOGENDRA BUNDELA	DEPUTY CHIEF INFORMATION OFFICER	50.00	Key Emp	$0	$26,666	$320,059
ANDRE GABRYJELSKI	SENIOR DIRECTOR SALES	50.00	Highest	$0	$39,606	$478,113
LISA SCARFO	SR. MEDICAL DIRECTOR	50.00	Highest	$0	$40,909	$456,064
KEVIN C KEEFE	DIRECTOR RISK SCORE MANAGEMENT	50.00	Highest	$0	$64,292	$423,614
JOY AS SCOTT	VP CLINICAL OPERATIONS	50.00	Highest	$0	$59,803	$413,631
DONALD NICHOLS DOUGHERTY	VP DIGITAL	50.00	Highest	$0	$54,761	$408,382
PETER K MARKELL	FORMER TREASURER	0.00		$0	$397	$515,866
MARYBETH LIANG	FORMER KEY EMPLOYEE	50.00		$0	$60,231	$371,787
FARAH SHAFI	FORMER KEY EMPLOYEE	50.00		$0	$24,494	$296,415

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	$1,763,899,491	$1,748,302,324	$595,522,110	$15,597,167
2022	$911,720,154	$947,198,246	$323,847,785	$-35,478,092
2022	$911,720,154	$947,198,246	$323,847,785	$-35,478,092
2021	$873,476,723	$884,691,280	$334,419,352	$-11,214,557
2020	$863,119,274	$874,322,234	$294,485,442	$-11,202,960
2019	$804,952,986	$829,283,070	$279,512,164	$-24,330,084

MASS GENERAL BRIGHAM HEALTH PLAN INC