Mass General Brigham Health Plan Inc
- Assets
- $323.8m
- Revenue
- $911.7m
- Investments
- $0.0
- Employees
- 0
- Location
- Somerville, MA
- Founding
- 10/1990
- Data as of
- 12/2022
- EIN
- 04-2932021
Organization Overview
Mass General Brigham Health Plan Inc is located in Somerville, MA. The organization was established in 1990. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Mass General Brigham Health Plan Inc is a 501(c)(4) and as such, is described as a "Civic League, Social Welfare Organization, and Local Association of Employees" by the IRS.
For the year ending 12/2022, Mass General Brigham Health Plan Inc generated $911.7m in total revenue. This represents a relatively dramatic decline in revenue. Over the past 7 years, the organization has seen revenues fall by an average of (13.7%) each year. All expenses for the organization totaled $947.2m during the year ending 12/2022. As we would expect to see with falling revenues, expenses have declined by (13.9%) per year over the past 7 years. You can explore the organizations financials more deeply in the financial statements section below.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2022
Describe the Organization's Mission:
Part 3 - Line 1
MASS GENERAL BRIGHAM HEALTH PLAN'S MISSION IS TO PROMOTE THE HEALTH AND WELLNESS OF OUR MEMBERS, AND TO HELP ENSURE EQUITABLE, AFFORDBALE HEALTH CARE FOR THE DIVERSE COMMUNITIES WE SERVE.
Describe the Organization's Program Activity:
Part 3 - Line 4a
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 CARY 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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Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Steven J Tringale President & Director | OfficerTrustee | 50 | $0 |
Alan Anthony James Director | Trustee | 1 | $0 |
Matthew Fishman Director | Trustee | 1 | $0 |
Claritza N Abreu Director | Trustee | 1 | $0 |
Richard E Holbrook Director | Trustee | 1 | $0 |
James W Hunt Jr Director | Trustee | 1 | $0 |
Outside Vendors & Contractors
| Vendor Name (Service) | Service Year | Compensation |
|---|---|---|
United Behavioral Health Claims Adminstration | 12/30/22 | $142,232,332 |
Harvard Vanguard Medical Associates Medical Services | 12/30/22 | $15,642,298 |
Cognizant Trizetto Software Group Inc Healthcare It Services | 12/30/22 | $5,796,884 |
Merrimack Valley Accountable Care Organi Medical Services | 12/30/22 | $4,754,836 |
Lawrence General Hospital Medical Services | 12/30/22 | $4,383,051 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Federated campaigns | $0 |
| Membership dues | $0 |
| Fundraising events | $0 |
| Related organizations | $0 |
| Government grants | $0 |
| All other contributions, gifts, grants, and similar amounts not included above | $0 |
| Noncash contributions included in lines 1a–1f | $0 |
| Total Revenue from Contributions, Gifts, Grants & Similar | $0 |
| Total Program Service Revenue | $910,582,899 |
| Investment income | $2,075,510 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $0 |
| Net Gain/Loss on Asset Sales | -$938,255 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | $911,720,154 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic organizations and domestic governments. | $0 |
| Grants and other assistance to domestic individuals. | $0 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $835,832,148 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $33,136,396 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $9,593,562 |
| Payroll taxes | $213,369 |
| Fees for services: Management | $0 |
| Fees for services: Legal | $751,828 |
| Fees for services: Accounting | $65,895 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $156,971 |
| Fees for services: Other | $0 |
| Advertising and promotion | $3,832,406 |
| Office expenses | $16,881,023 |
| Information technology | $10,879,862 |
| Royalties | $0 |
| Occupancy | $2,903,716 |
| Travel | $20,241 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $153,552 |
| Interest | $185,461 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $658,075 |
| Insurance | $0 |
| All other expenses | $363,272 |
| Total functional expenses | $947,198,246 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $6,087,110 |
| Savings and temporary cash investments | $73,572,784 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $64,302,863 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $660,880 |
| Net Land, buildings, and equipment | $0 |
| Investments—publicly traded securities | $139,454,751 |
| Investments—other securities | $0 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $39,769,397 |
| Total assets | $323,847,785 |
| Accounts payable and accrued expenses | $166,304,988 |
| Grants payable | $0 |
| Deferred revenue | $8,021,744 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $0 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $25,234,566 |
| Total liabilities | $199,561,298 |
| Net assets without donor restrictions | $124,286,487 |
| Net assets with donor restrictions | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Retained earnings, endowment, accumulated income, or other funds | $0 |
| Total liabilities and net assets/fund balances | $323,847,785 |
Grants Awarded
Over the last fiscal year, Mass General Brigham Health Plan Inc has awarded $3,158,238 in support to 13 organizations.
| Grant Recipient | Amount |
|---|---|
BROCKTON NEIGHBORHOOD HLTH CTR PURPOSE: Partnership for Community Health | $247,500 |
BROOKSIDE COMMUNITY HEALTH PURPOSE: Partnership for Community Health | $138,286 |
CHP HEALTH CENTER PURPOSE: Partnership for Community Health | $75,000 |
COMMUNITY HEALTH CENTER OF CAPE COD PURPOSE: Partnership for Community Health | $412,500 |
EAST BOSTON NEIGHBORHOOD HC PURPOSE: Partnership for Community Health | $75,000 |
EDWARD KENNEDY COMMUNITY HEALTH CTR PURPOSE: Partnership for Community Health | $192,394 |