Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
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| Form 990, Part III, line 2 | In 2019, Health New England, Inc. in collaboration with the Coalition of Western Massachusetts Hospitals and Health Plan, completed the 2019 Community Health Needs Assessment (CHNA). The 2019 CHNA was conducted to update the findings of the 2016 CHNA so that Health New England can better understand the health needs of the communities it serves and to meet its fiduciary requirement as a tax exempt HMO. The 2019 CHNA focused on Health New England's primary area of Hampden, Hampshire, Franklin, Berkshire and Worcester counties. The prioritized health needs identified in the 2019 CHNA include community level social and economic issues that impact health, access and barriers to quality healthcare, health conditions and behaviors. The assessment included analysis and synthesis of 1) a variety of social, economic and health data; 2) findings from recent Western Massachusetts assessment reports; 3) information from 14 focus groups and 60 key informant interviews; and 4) community input from five Community Conversations and 46 Community chats. Overall the Coalition engaged a total of 1,224 individuals throughout the CHNA process. Priority populations were identified using a health equity framework with available data. Below is a summary of the regional prioritized community health needs identified in the 2019 CHNA which will guide Health New England's Community Benefits program 2020-2022. - Community Level Social and Economic Determinants that Impact Health: Social, economic and community level factors identified as prioritized community health needs include: Housing needs, built environment (access to healthy food & transportation), lack of resources to meet basic needs, educational attainment, violence & trauma,social environment (interpersonal & institutional racism) and environmental exposures. - Barriers to Accessing Quality Health Care: The lack of affordable and accessible medical care was identified as a need in the region. The following barriers were identified: Insurance and health care system challenges, limited availability of providers, lack of transportation and lack of financial assistance, need for culturally care, lack of care coordination and health literacy, language barriers and cultural humility. - Health Conditions and Behaviors include: Chronic health conditions: High rates of obesity, diabetes, cardiovascular disease, asthma, chronic obstructive pulmonary disease (COPD),cancer, need for increased physical activity and healthy diet, mental health and substance use disorders, infant and perinatal health risk factors and sexual health. - Vulnerable Populations include children and youth; older adults; communities of color, particularly Latinos and Blacks; LGBTQ+individuals, especially LGBTQ youth; people living with disabilities; people living on low or poverty level incomes; homeless; people reentering society after jail or prison; and people with mental health and substance use disorders, particularly those with dual diagnoses. |
| Form 990, Part III, Line 4a: Description of Program Service | - Hampden County Bar Association: free legal clinics for individuals & families dealing with housing, family law, and other civil matters. - Jewish Family Services of Western Mass.: provide culturally and linguistically appropriate care navigation, education, and assistance for at-risk refugee seniors 60 years of age and older. - Junior Achievement of Western Massachusetts: teaches life skills: team building, decision making, problem-solving and communication skills and financial literacy. - Mental Health Association: wellness program for people with mental illness and intellectual disabilities. - Pathlight: providing enrichment for individuals with disabilities. - Springfield Business Improvement District: addresses food insecurities and increase access to healthy foods. - Springfield Museums: early education, literacy and education for at-risk youth. - Stuffing the Pantry: assist people who are hungry, homeless, or disadvantaged to improve the quality of their lives. - Unify Against Bullying: programs to combat bullying & its stigma. - United Way of Pioneer Valley: providing health, education, and financial stability of every person in our community. - Work Opportunity Center: provide adults with disabilities activities that promote health & wellness including nutritional activities. - Center for New Americans: immigrants who are trained and certified as healthcare providers helping place them in healthcare jobs. - Cutchins Programs for Children & Families: enhance knowledge and practices to support mental health care and a healthy community. - Empty Arms Bereavement Support: assist families who have limited access to postpartum and mental health care after a pregnancy loss. - Girls on the Run Western Ma: supports young girls to be joyful, healthy and confident using a fun, experienced-based curriculum which creatively integrates running. - Hampshire Regional YMCA: empowers 7-13 year olds with obesity, with the support of their families, to reach a healthy weight and live a healthier lifestyle. - International Language Inst.: free English classes help immigrants, refugees, and their families shed their vulnerable status and lead more stable, productive, healthy lives. - Tapestry Health Systems: increasing access to health foods, and providing resources for people struggling with addiction. - The Food Bank of Western Massachusetts: educate food-insecure households to improve their diet and health by making informed decisions about the nutritional value of the food they purchase, and how to prepare it. - Treehouse Foundation: improve the health and lives of children and youth who experience foster care, their foster/adoptive families & the caring older adults who volunteer to support them. - United Way of Hampshire County: providing diapers to file local food pantries. - AIDS Project Worcester: public health AIDS prevention testing. - UMASS Medical School: supports innovative research, and treatment programs at the UMASS Cancer Center. - American Heart Association: cardiovascular disease prevention. - Gardening the Community: to increase the food security of Springfield low income seniors while developing the leadership of Springfield youth. - MAB Community Services: promotes access to healthy foods, physical wellness and mental health for seniors with vision loss. Health New England also supports Baystate Health's Children's Hematology/Oncology Management Program (CHOMP) through the Baystate Health Foundation. The CHOMP supports a multi-disciplinary approach to improve education, access to care, compliance with treatment, and psychological support of the small but vulnerable and resource-intense community of children with blood disorders or cancer, primarily through unreimbursed work by nurse practitioners (NP's). In 2019, CHOMP supported approximately 101 children with blood disorders or cancer and their families. Health New England has also traditionally supported other activities and initiatives of its parent, Baystate Health. Health New England has participated in several jointly-sponsored multi-year commitments with the following organizations: - National Conference of Community and Justice - Greater Springfield Chapter, Urban League - Baystate Health Department of Psychiatry Educational Funding - Springfield Health and Human Services Annual Community Baby Shower - Greater Springfield Diaper Bank - Safe Passage Hot Chocolate Run: provides a variety of support and advocacy services for women and children who have experienced domestic violence. The Hot Chocolate Run is the major fundraiser for this organization. Health New England has a long history of supporting community health education programs and initiatives within our service area either through the provision of funding and/or direct delivery. Following are highlights of such educational program offerings supported by Health New England: - The Public Health Institute of Western Massachusetts: the Public Health Institute of Western Massachusetts (PHIWM) is a non profit organization committed to improving the public's health by educating community partners, fostering innovation, leveraging resources, and building partnerships across sectors, including government agencies, communities, the health care delivery system, media and academia. PHI uses a collaborative programming approach to solve pressing community health issues. - Pioneer Valley Asthma Coalition: A community partnership that works to improve the quality of life for individuals, families and communities affected by asthma. The PVAC was formed to address asthma from a community, holistic perspective, bringing together a variety of groups to address the many factors that impact asthma including: healthcare organizations (eg. Baystate Health), health plans, local and state public health agencies (eg. Springfield Health and Human Services), housing organizations, community agencies, academic institutions, community members, and a variety of other types of organizations within the community. - YMCA Summer Camp: YMCA summer camps provide kids with a variety of imaginative activities that make sure they have fun while making new friends, building self-confidence and discovering the world around them. Carefully selected counselors work with campers on creating masterpieces during arts and crafts, explore science and technology, go on field trips, appreciate nature and discover the world around them. Special programs related to fitness, wellness and nutrition are a focus of these camps. - Senior Population Education Events: Health New England addressed more than 827 Medicare eligible individuals lecture style events on topics including: Reducing Your Risk of Falling, Incontinence-When Laughing is No Longer Funny, Weight Loss, What's Your Type-Diabetes, What You Need to Know About Your Lungs and the Health New England annual Health and Wellness fair. Health New England also participated in several regional community health and wellness fairs, offering Bone Density screening in the following towns: Greenfield, Williamstown, Pittsfield, Sheffield, Adams, and Hinsdale. Health New England has also worked with partner agencies and organizations in support of programs related to Chronic Disease Management, including: - Diabetes Programming and Support: Diabetes Education at Brightwood Health Center Diabetes Education Center, Mercy Medical Center, Riverbend Medical Group "Get Informed About Diabetes and Western Massachusetts Diabetic Association. - Cancer Education and Support: Cancer Connection, Rays of Hope Outreach, Mercy Medical Sister Caritas Cancer Center, Cancer House of Hope, Baystate Cancer Center - Heart Disease: American Heart Association Get to Goal Campaign, American Heart Association Heart Walk, Go Red for Women, La Esperanza Latin Health fair, Chicopee Chamber of Commerce Health fair. - Nutrition and Anti-Obesity Outreach: Boys and Girls Clubs Nutrition Counseling and Healthy Weight clinics, Amherst Survival Center Empty Bowls Awareness and Fundraising event, Gardening the Community, Mason Square and Brightwood Farmers Market and Food Bank of Western Massachusetts. - Senior Wellness: Area Senior Centers, Baystate Health Senior Class Programming Franklin County Home Care and Town of Adams Council on Aging. Health New England also conducts community benefit activities outside of the programs described above. Health New England has used its agreements with health care providers to promote quality improvement activities and to finance improved coordination of health care for individuals with severe or chronic diseases. |
| Form 990, Part VI, Section A, line 2 | Two or more of the persons listed in this Form 990, Part VII have a business relationship with each other by virtue of sitting on one or boards of directors/trustees or by serving in employment relationship one or more entities within the network of affiliated organizations. Carol Campbell and Amy Jamrog have a business relationship. |
| Form 990, Part VI, Section A, line 6 | As a Massachusettts nonprofit organization, Health New England, Inc. has no stockholders and one legal Member - Baystate Health, Inc. Health New England, Inc. refers to its enrollees as "members," but Health New England, Inc.'s organizational documents and Bylaws give enrollees no organizational membership status from a legal perspective. |
| Form 990, Part VI, Section A, line 7a | Baystate Health, Inc. is the sole member of Health New England, Inc. Consequently, Baystate Health has final authority on all appointments and elections to the Health New England, Inc. Board. |
| Form 990, Part VI, Section A, line 7b | The functions of a nominating committee are carried out by the Governance Committee of Baystate Health and the Baystate Health Audit and Compliance committee has full audit oversight duties and responsibilities for Health New England, Inc. |
| Form 990, Part VI, Section B, line 11b | Prior to the filing of this return appropriate parts of this Form 990 were reviewed by representatives from the Finance and Legal Departments of Health New England, Inc. some of whom are officers of the filing organization. The entire return was reviewed by a tax expert from an outside accounting firm. The entire return was sent out to the Board of Directors and Officers of Health New England, Inc. for comment and review. |
| Form 990, Part VI, Section B, line 12c | Health New England, Inc. has a comprehensive conflict of interest policy. All directors, officers, key employees, and highest compensated employees of Health New England and its affiliates are asked to complete an annual "conflict of interest" form. We use an electronic database to receive and manage all conflict of interest submissions. This information is reviewed by the Health New England Director of Compliance and the Health New England Legal Department. Potential conflict of interest transactions are reviewed as appropriate under the policy, which provides for recusal from discussion and deliberation by any party with a potential conflict of interest. Health New England employees also sign an annual statement which affirms that such person: (a) has received a copy of the Conflict of Interest Policy; (b) has read and understands the Conflict of Interest Policy; and (c) has agreed to comply with the Conflict of Interest Policy. |
| Form 990, Part VI, Section B, line 15 | The compensation of the President and CEO and of other key officers and key employees is established based on information provided by independent third party consultants (Korn Ferry/Hay Group) for reasonableness and appropriate comparability data. The compensation is then established, reviewed and approved by the independent compensation committee of Health New England, Inc. and all such deliberations and decisions are documented contemporaneously. |
| Form 990, Part VI, Section C, line 19 | Available on request and at management's discretion |
| Part IX Statement of Functional Expenses, Line 11g | Broker Commissions $9,530,827 |
| Form 990, Part XI, line 9: | Increase in non-admitted assets 10,430,617. |
| Form 990, Part XII, Line 1: | The audited financial statements are based on Insurance Statutory Accounting Principles (SAP) promulgated by the Accounting Practices and Procedures Task Force under the auspices of the National Association of Insurance Commissioners (NAIC). This form of accounting is typically looked upon as more conservative than accrual accounting without quite being cash basis. The accompanying statutory basis financial statements have been prepared in accordance with NAIC Statements of Statutory Accounting Principles (SSAP) and in accordance with Statutory Accounting Practices (SAP) prescribed by the State of Massachusetts, which is a comprehensive basis of accounting other than U.S. Generally Accepted Accounting Principles (GAAP). Such practices vary from GAAP principally as follows: Investments - For statutory, investments in bonds are reported at amortized cost or fair value based on their NAIC rating. For GAAP purposes, such fixed maturity investments would be designated at purchase as held-to-maturity trading or available for sale. Held-to-maturity fixed investments would be reported at amortized cost and the remaining fixed maturity investments would be reported at fair value. For statutory purposes, unrealized gains and losses on investments are excluded from net income and reported as an increase or decrease in capital and surplus. Decreases in fair value that are determined by management to be other than temporary are reported as realized losses. The organization has elected the fair value option for certain of its investments. All single class and multi class mortgage backed/asset backed securities (e.g. CMOs) are adjusted for the effects of changes in prepayment assumptions on the related accretion of discount or amortization of premium of such securities using prospective method. If it is determined that a decline in fair value is other than temporary, the cost basis of the security is written down to the present value of estimated future cash flows using the original effective interest rate inherent in the security. Non admitted Assets - Certain assets are designated as non admitted. these assets (which are principally electronic data processing equipment, prepaid items, certain health receivables, receivables over 90 days past due and non-audited equity value of subsidiaries) are excluded from the accompanying statements of admitted assets, liabilities and capital and surplus. These items are charged directly to unassigned surplus. Under GAAP, such assets are included in the balance sheet, to the extent they are not impaired. Surplus Notes-GAAP classifies surplus notes in liabilities, whereas NAIC SAP classifies them in statutory net worth. |
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