Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
A For the 2020 calendar year, or tax year beginning 01-01-2020 , and ending 12-31-2020
BCheck if applicable:
CName of organization
HEALTH NEW ENGLAND INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
ONE MONARCH PLACE NO 1500
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SPRINGFIELD, MA011441500
D Employer identification number

04-2864973
E Telephone number

G Gross receipts $ 810,770,205
F Name and address of principal officer:
RICHARD SWIFT
ONE MONARCH PLACE NO 1500
SPRINGFIELD,MA011441500
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.HEALTHNEWENGLAND.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2013
M State of legal domicile: MA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION OF HEALTH NEW ENGLAND, INC., AS PART OF BAYSTATE HEALTH, INC. (AN INTEGRATED HEALTH CARE SYSTEM), IS TO IMPROVE THE OVERALL QUALITY OF LIFE AND HEALTH STATUS OF THE COMMUNITIES WE SERVE AND TO CONTRIBUTE TO THE ECONOMIC SUCCESS OF OUR REGION. HEALTH NEW ENGLAND IS COMMITTED TO MEETING THE IDENTIFIED HEALTH AND WELLNESS NEEDS OF OUR COMMUNITIES SERVED THROUGH THE COMBINED EFFORTS OF BAYSTATE HEALTH, COMMUNITY ORGANIZATION PARTNERS, AND AFFILIATED PROVIDERS.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 11
5 Total number of individuals employed in calendar year 2020 (Part V, line 2a) ...... 5 372
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 728,266,282 773,438,302
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 3,219,967 3,804,860
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 865,305 739,235
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 732,351,554 777,982,397
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 354,372 627,500
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 658,216,905 669,167,164
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 31,688,009 40,690,405
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 39,595,688 50,638,322
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 729,854,974 761,123,391
19 Revenue less expenses. Subtract line 18 from line 12....... 2,496,580 16,859,006
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 219,242,984 254,172,988
21 Total liabilities (Part X, line 26)............. 130,755,485 143,653,780
22 Net assets or fund balances. Subtract line 21 from line 20..... 88,487,499 110,519,208
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
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Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2020)
Form 990 (2020)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: THE MISSION OF HEALTH NEW ENGLAND, INC., AS PART OF BAYSTATE HEALTH, INC. (AN INTEGRATED HEALTH CARE SYSTEM), IS TO IMPROVE THE OVERALL QUALITY OF LIFE AND HEALTH STATUS OF THE COMMUNITIES WE SERVE AND TO CONTRIBUTE TO THE ECONOMIC SUCCESS OF OUR REGION. HEALTH NEW ENGLAND IS COMMITTED TO MEETING THE IDENTIFIED HEALTH AND WELLNESS NEEDS OF OUR COMMUNITIES SERVED THROUGH THE COMBINED EFFORTS OF BAYSTATE HEALTH, COMMUNITY ORGANIZATION PARTNERS, AND AFFILIATED PROVIDERS
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 669,794,664 including grants of $ 627,500 ) (Revenue $ 774,177,537 )
SEE SCHEDULE O
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet669,794,664
Form 990 (2020)
Form 990 (2020)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment......................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
Form 990 (2020)
Form 990 (2020)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
6,969
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2020)
Form 990 (2020)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
372
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2020)
Form 990 (2020)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
MA
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletHEALTH NEW ENGLAND INCONE MONARCH PLACE SUITE 1500   SPRINGFIELD,MA011441500 (413) 787-4000
Form 990 (2020)
Form 990 (2020)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) RICHARD SWIFT......................................................................
PRESIDENT & CEO
39.00
.................
1.00
X   X       190,743 0 109,538
(2) MARK A KEROACK MD......................................................................
PRESIDENT & CEO BH
1.00
.................
39.00
X   X       0 2,511,656 39,342
(3) RAYMOND MCCARTHY......................................................................
SVP CFO TREAS BH
1.00
.................
39.00
X   X       0 668,402 25,713
(4) RICHARD A SEGOOL MD......................................................................
VICE CHAIR / DIRECTOR
1.00
.................
1.00
X   X       0 0 0
(5) AMY JAMROG......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(6) CAROL F CAMPBELL......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(7) HOWARD G TRIETSCH MD......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(8) JAMES F CONLON......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(9) JOEL A FEINMAN PHD......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(10) RICHARD A SHUMAN MD......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(11) RICHARD B STEELE......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(12) TANIA M BARBER......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(13) WILLIAM R WEBBER......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(14) ROBERT J BACON......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(15) JODY GROSS......................................................................
VP OPERATIONS & GOVT OPERATION
40.00
.................
0.00
    X       680,996 0 198,830
(16) STEVEN SIGAL......................................................................
VICE PRESIDENT/CFO (THROUGH 05/2020)
40.00
.................
0.00
    X       680,933 0 29,144
(17) KEITH M LEDOUX......................................................................
VP COMMERCIAL, LOB & SALES
39.00
.................
1.00
    X       512,723 0 133,042
Form 990 (2020)
Form 990 (2020)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) MARION A MCGOWAN PHD........................................................................
EVP/COO - BH
39.00
.......................1.00
    X       579,564 436,766 130,374
(19) SUSAN S O'CONNOR........................................................................
DIRECTOR & GENERAL COUNSEL
40.00
.......................0.00
    X       348,506 0 149,609
(20) KENNETH BERNARD........................................................................
VP INFORMATION TECHNOLOGY
40.00
.......................0.00
    X       337,683 0 143,173
(21) JASON RIO........................................................................
SR DIR REVENUE A&R
40.00
.......................0.00
    X       288,308 0 71,848
(22) LAURIE GIANTURCO........................................................................
VP & CHIEF MEDICAL OFFICER (THROUGH 01/2020)
40.00
.......................0.00
    X       312,071 0 17,424
(23) IRA KLEIN........................................................................
CHIEF MEDICAL OFFICER (THROUGH 9/2020)
40.00
.......................0.00
    X       150,130 0 66,182
(24) JUDITH MICHELE DANEK........................................................................
DIR OFFICE OF GOVT RELATION
39.00
.......................1.00
    X       165,819 0 31,984
(25) DENNIS CHALKE........................................................................
SVP CFO TREAS BH (LEFT 03/2020)
39.00
.......................1.00
    X       0 898,889 76,372
(26) MICHAEL J FASO........................................................................
INTERIM CFO
40.00
.......................0.00
    X       0 0 0
(27) VINIL DEVABHAKTUNI........................................................................
CHIEF TECHNOLOGY OFFICER
40.00
.......................0.00
        X   307,196 0 65,965
(28) JACQUELINE SPAIN........................................................................
MEDICAL DIRECTOR
40.00
.......................0.00
        X   295,230 0 77,331
(29) TIMOTHY CHRYSTAL........................................................................
DIR OF NEW & EXISTING SALE
40.00
.......................0.00
        X   274,004 0 46,717
(30) ANDREW COLBY........................................................................
SR. DIR. PHARMACY SERVICES
40.00
.......................0.00
        X   237,787 0 82,696
(31) ERIC HARLOW........................................................................
SR. SALES EXECUTIVE
40.00
.......................0.00
        X   179,537 0 27,080
(32) MICHELLE SEARS........................................................................
FORMER CFO & DIR FIN SERVICES
0.00
.......................0.00
          X 122,525 0 12,646
(33) THOMAS J BROWN III........................................................................
FORMER INTERIM CFO
0.00
.......................0.00
          X 0 246,899 35,906
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 5,663,755 4,762,612 1,570,916
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet143
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
THE MERCY HOSPITAL INC

PO BOX 531870
ATLANTA,GA30353
MEDICAL SERVICES 36,448,773
BERKSHIRE MEDICAL CENTER

725 NORTH STREET
PITTSFIELD,MA01201
MEDICAL SERVICES 26,741,328
UMASS MEMORIAL MEDICAL GROUP INC

PO BOX 415348
BOSTON,MA02241
MEDICAL SERVICES 12,718,551
HOLYOKE MEDICAL CENTER

575 BEECH STREET
HOLYOKE,MA01040
MEDICAL SERVICES 12,623,626
MASSACHUSETTS GENERAL HOSPITAL

PO BOX 3947
BOSTON,MA02241
MEDICAL SERVICES 10,351,666
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet328
Form 990 (2020)
Form 990 (2020)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet  
 Program Service RevenueAmt Business Code
2a MEDICAID PREMIUM 524114 279,843,172 279,843,172    
b COMMERCIAL LARGE GROUP 524114 233,907,400 233,907,400    
c COMMERCIAL SMALL GROUP 524114 155,824,170 155,824,170    
d MEDICARE PREMIUM 524114 103,285,557 103,285,557    
e DSRIP 524114 578,003 578,003    
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 773,438,302
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 3,222,581     3,222,581
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   33,370,087 7a
b Less: cost or other basis and sales expenses   32,787,808 7b
c Gain or (loss)   582,279 7c
d Net gain or (loss).........MediumBullet 582,279     582,279
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue .... 739,235 739,235    
e Total. Add lines 11a–11d ...... MediumBullet 739,235
12 Total revenue. See instructions.....MediumBullet 777,982,397 774,177,537 0 3,804,860
Form 990 (2020)
Form 990 (2020)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 627,500 627,500
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members ....... 669,167,164 669,167,164
5 Compensation of current officers, directors, trustees, and key employees ........... 5,228,870   5,228,870  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 192,477   192,477  
7 Other salaries and wages........ 30,117,036   30,117,036  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,122,375   1,122,375  
9 Other employee benefits ....... 1,543,613   1,543,613  
10 Payroll taxes ........... 2,486,034   2,486,034  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 354,686   354,686  
c Accounting ........... 4,608,855   4,608,855  
d Lobbying ........... 52,484   52,484  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 497,238   497,238  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 9,681,147   9,681,147  
12 Advertising and promotion .... 973,293   973,293  
13 Office expenses ....... 1,037,173   1,037,173  
14 Information technology ...... 18,161,319   18,161,319  
15 Royalties ..        
16 Occupancy ........... 869,631   869,631  
17 Travel ............ 27,757   27,757  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 33,943   33,943  
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 3,017,643   3,017,643  
23 Insurance ... 129,761   129,761  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a REGULATORY FEES AND OTH 7,494,517   7,494,517  
b MISCELLANEOUS 1,201,940   1,201,940  
c EXCHANGE ADMIN FEES 1,017,913   1,017,913  
d BAD DEBT EXPENSE 730,312   730,312  
e All other expenses 748,710   748,710  
25 Total functional expenses. Add lines 1 through 24e 761,123,391 669,794,664 91,328,727 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2020)
Form 990 (2020)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 32,312,720 1 68,407,909
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 30,122,460 4 16,111,049
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ........... 1,257,060 7 731,418
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ......   9  
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 42,602,847
b Less: accumulated depreciation 10b 39,249,909 2,928,740 10c 3,352,938
11 Investments—publicly traded securities . 125,639,652 11 130,766,648
12 Investments—other securities. See Part IV, line 11 ..... 9,385,151 12 9,236,320
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 17,597,201 15 25,566,706
16 Total assets. Add lines 1 through 15 (must equal line 33)... 219,242,984 16 254,172,988
Liabilities 17 Accounts payable and accrued expenses ..... 110,619,987 17 125,118,592
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 20,135,498 25 18,535,188
26 Total liabilities. Add lines 17 through 25.. 130,755,485 26 143,653,780
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 88,487,499 27 110,519,208
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 88,487,499 32 110,519,208
33 Total liabilities and net assets/fund balances ........ 219,242,984 33 254,172,988
Form 990 (2020)
Form 990 (2020)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
777,982,397
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
761,123,391
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
16,859,006
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
88,487,499
5
Net unrealized gains (losses) on investments ...............
5
949,863
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
3,792,229
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
430,611
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
110,519,208
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990: Statutory acctg
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2020)
Form 990 (2020)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HEALTH NEW ENGLAND INC
 
Employer identification number

04-2864973
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .......................
3a(i)
 
 
(ii) Related organizations .......................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....        
c Leasehold improvements   1,120,462 1,120,462 0
d Equipment ....   15,735,295 12,382,357 3,352,938
e Other .....   25,747,090 25,747,090 0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 3,352,938
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)HEALTH CARE RECEIVABLES 16,604,884
(2)RECEIVABLES FROM SUBS 6,942,684
(3)ACCRUED INVESTMENT RECEIVABLE 640,092
(4)OTHER RECEIVABLES 1,379,046
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 25,566,706
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 18,535,188
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 777,485,159
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1.................. 3 777,485,159
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 497,238
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 497,238
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 777,982,397
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 760,626,153
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e 0
3 Subtract line 2e from line 1................... 3 760,626,153
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 497,238
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c 497,238
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 761,123,391
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2020


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
HEALTH NEW ENGLAND INC
 
Employer identification number
04-2864973
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) BAYSTATE HEALTH FOUNDATION
759 CHESTNUT ST
SPRINGFIELD,MA01199
04-3549011 501(C)(3) 100,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(2) CHILDRENS ADVOCACY CENTER OF FRANKLIN AND NORTH QUABBIN INC
WISDOM WAY
GREENFIELD,MA01301
47-4386987 501(C)(3) 10,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(3) CLINICAL & SUPPORT OPTIONS
8 ATWOOD DR STE 301
NORTHAMPTON,MA01060
04-2206041 501(C)(3) 35,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(4) COMMUNITY LEGAL AID INC
405 MAIN STREET 4TH FL
WORCESTER,MA01608
04-2446242 501(C)(3) 10,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(5) FRANKLIN COUNTY DIALSELF INC
198 FEDERAL STREET
GREENFIELD,MA01301
04-2619617 501(C)(3) 5,285       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(6) LORRAINE'S SOUP KITCHEN & PANTRY INC
70 PENDEXTER AVENUE
CHICOPEE,MA01013
04-2616751 501(C)(3) 11,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(7) NEW NORTH CITIZENS' COUNCIL
2455 MAIN STREET
SPRINGFIELD,MA01107
23-7371934 501(C)(3) 28,750       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(8) NUESTRAS RAICES INC
4318 PARKSIDE DRIVE
BALTIMORE,MD21206
83-3734567 501(C)(3) 6,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(9) PARTNERS FOR A HEALTHIER COMMUNITY
PO BOX 4895
SPRINGFIELD,MA01101
04-3342182 501(C)(3) 55,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(10) SURVIVAL CENTERS INC
PO BOX 9629 138 SUNDERLAND RD
N AMHERST,MA01059
04-2698462 501(C)(3) 7,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(11) THE FOOD BANK OF WESTERN MASSACHUSETTS
PO BOX 160 97 N HATFIELD RD
HATFIELD,MA01038
04-2751023 501(C)(3) 30,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(12) THIRD SECTOR NEW ENGLAND INC
225 FRANKLIN STREET SUITE 30
BOSTON,MA02110
46-1301032 501(C)(3) 11,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(13) UNITED WAY OF PIONEER VALLEY
1411 MAIN ST
SPRINGFIELD,MA01103
04-2152680 501(C)(3) 20,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(14) VOLUNTEERS IN MEDICINE BERKSHIRES INC
777 MAIN STREET SUITE 4
GREAT BARRINGTON,MA01230
90-0140004 501(C)(3) 6,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
(15) WESTERN NEW ENGLAND UNIVERSITY
1215 WILBRAHAM ROAD
SPRINGFIELD,MA01119
04-2108376 501(C)(3) 6,000       AWARDS ARE MADE WHERE THEY ALIGN WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
15
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

Schedule I (Form 990) 2020
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: HEALTH NEW ENGLAND REVIEWS ALL REQUESTS FOR GRANT FUNDS ON A QUARTERLY BASIS THROUGH THE COMMUNITY BENEFITS COMMITTEE, WHICH VETS AND APPROVES ALL GRANT AWARDS. AWARDS ARE SUBSTANTIATED ACCORDING TO ALIGNMENT WITH HEALTH PRIORITIES AS IDENTIFIED BY THE HEALTH NEW ENGLAND COMMUNITY HEALTH NEEDS ASSESSMENT. IN 2020, HEALTH NEW ENGLAND PRIORITIZES ORGANIZATIONS THAT SUPPORT CHRONIC CONDITIONS, MENTAL HEALTH AND SUBSTANCE USE DISORDER, INFANT AND PERINATAL/MATERNAL HEALTH, FOOD INSECURITIES AND EARLY LITERACY/EDUCATION. ALL AWARDED ORGANIZATIONS ARE CONTACTED THROUGHOUT THE YEAR. ORGANIZATIONS ARE REQUIRED TO CONFIRM USE OF HEALTH NEW ENGLAND'S GRANT FUNDS AND SUBMIT A YEAR END REPORT. COMMUNITY IMPACT DATA IS THE BASIS OF REPORTS FOR THE HEALTH NEW ENGLAND BOARD OF DIRECTORS AND ATTORNEY GENERAL COMMUNITY BENEFITS ANNUAL REPORT.
Schedule I (Form 990) 2020



Additional Data


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Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HEALTH NEW ENGLAND INC
 
Employer identification number

04-2864973
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
Yes
 
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1MARK A KEROACK MD
PRESIDENT & CEO BH
(i)

(ii)
0
-------------
1,425,333
0
-------------
677,350
0
-------------
408,973
0
-------------
12,825
0
-------------
26,517
0
-------------
2,550,998
0
-------------
0
2MARION A MCGOWAN PHD
EVP/COO - BH
(i)

(ii)
357,687
-------------
306,038
186,063
-------------
92,087
35,814
-------------
38,641
17,100
-------------
84,555
13,520
-------------
15,199
610,184
-------------
536,520
186,063
-------------
0
3DENNIS CHALKE
SVP CFO TREAS BH (LEFT 03/2020)
(i)

(ii)
0
-------------
406,832
0
-------------
175,603
0
-------------
316,454
0
-------------
58,690
0
-------------
17,682
0
-------------
975,261
0
-------------
0
4JODY GROSS
VP OPERATIONS & GOVT OPERATION
(i)

(ii)
335,291
-------------
0
302,286
-------------
0
43,419
-------------
0
190,883
-------------
0
7,947
-------------
0
879,826
-------------
0
144,490
-------------
0
5STEVEN SIGAL
VICE PRESIDENT/CFO (THROUGH 05/2020)
(i)

(ii)
111,715
-------------
0
151,663
-------------
0
417,555
-------------
0
17,100
-------------
0
12,044
-------------
0
710,077
-------------
0
88,188
-------------
0
6RAYMOND MCCARTHY
SVP CFO TREAS BH
(i)

(ii)
0
-------------
487,508
0
-------------
154,214
0
-------------
26,680
0
-------------
21,375
0
-------------
4,338
0
-------------
694,115
0
-------------
0
7KEITH M LEDOUX
VP COMMERCIAL, LOB & SALES
(i)

(ii)
249,828
-------------
0
262,895
-------------
0
0
-------------
0
131,865
-------------
0
1,177
-------------
0
645,765
-------------
0
92,000
-------------
0
8SUSAN S O'CONNOR
DIRECTOR & GENERAL COUNSEL
(i)

(ii)
244,290
-------------
0
92,067
-------------
0
12,149
-------------
0
131,532
-------------
0
18,077
-------------
0
498,115
-------------
0
66,442
-------------
0
9KENNETH BERNARD
VP INFORMATION TECHNOLOGY
(i)

(ii)
230,580
-------------
0
94,165
-------------
0
12,938
-------------
0
125,018
-------------
0
18,155
-------------
0
480,856
-------------
0
67,926
-------------
0
10VINIL DEVABHAKTUNI
CHIEF TECHNOLOGY OFFICER
(i)

(ii)
224,183
-------------
0
74,711
-------------
0
8,302
-------------
0
57,455
-------------
0
8,510
-------------
0
373,161
-------------
0
0
-------------
0
11JACQUELINE SPAIN
MEDICAL DIRECTOR
(i)

(ii)
267,845
-------------
0
27,385
-------------
0
0
-------------
0
59,118
-------------
0
18,213
-------------
0
372,561
-------------
0
27,385
-------------
0
12JASON RIO
SR DIR REVENUE A&R
(i)

(ii)
220,102
-------------
0
68,206
-------------
0
0
-------------
0
53,975
-------------
0
17,873
-------------
0
360,156
-------------
0
18,176
-------------
0
13LAURIE GIANTURCO
VP & CHIEF MEDICAL OFFICER (THROUGH
(i)

(ii)
34,456
-------------
0
247,441
-------------
0
30,174
-------------
0
17,100
-------------
0
324
-------------
0
329,495
-------------
0
132,654
-------------
0
14TIMOTHY CHRYSTAL
DIR OF NEW & EXISTING SALE
(i)

(ii)
156,794
-------------
0
111,428
-------------
0
5,782
-------------
0
39,862
-------------
0
6,855
-------------
0
320,721
-------------
0
13,154
-------------
0
15ANDREW COLBY
SR. DIR. PHARMACY SERVICES
(i)

(ii)
150,559
-------------
0
87,228
-------------
0
0
-------------
0
64,531
-------------
0
18,165
-------------
0
320,483
-------------
0
23,478
-------------
0
16RICHARD SWIFT
PRESIDENT & CEO
(i)

(ii)
133,243
-------------
0
50,000
-------------
0
7,500
-------------
0
105,664
-------------
0
3,874
-------------
0
300,281
-------------
0
0
-------------
0
17THOMAS J BROWN III
FORMER INTERIM CFO
(i)

(ii)
0
-------------
182,495
0
-------------
42,944
0
-------------
21,460
0
-------------
23,751
0
-------------
12,155
0
-------------
282,805
0
-------------
0
18IRA KLEIN
CHIEF MEDICAL OFFICER (THROUGH 9/202
(i)

(ii)
110,130
-------------
0
40,000
-------------
0
0
-------------
0
64,195
-------------
0
1,987
-------------
0
216,312
-------------
0
0
-------------
0
19ERIC HARLOW
SR. SALES EXECUTIVE
(i)

(ii)
110,570
-------------
0
68,967
-------------
0
0
-------------
0
8,977
-------------
0
18,103
-------------
0
206,617
-------------
0
0
-------------
0
20JUDITH MICHELE DANEK
DIR OFFICE OF GOVT RELATION
(i)

(ii)
119,757
-------------
0
32,816
-------------
0
13,246
-------------
0
20,680
-------------
0
11,304
-------------
0
197,803
-------------
0
4,952
-------------
0
21MICHELLE SEARS
FORMER CFO & DIR FIN SERVICES
(i)

(ii)
79,715
-------------
0
18,258
-------------
0
24,552
-------------
0
7,352
-------------
0
5,294
-------------
0
135,171
-------------
0
18,258
-------------
0
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 3 HEALTH NEW ENGLAND, INC USES AN INDEPENDENT COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, AND APPROPRIATE COMPARABILITY DATA AND APPROVAL BY THE COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF ITS KEY OFFICERS, DIRECTORS, AND EMPLOYEES. EACH MEMBER OF THE HEALTH NEW ENGLAND EXECUTIVE LEADERSHIP TEAM'S EMPLOYMENT IS GOVERNED BY AN EXECUTIVE LEADERSHIP CONTRACT.
PART I, LINES 4A-B SEVERANCE WAS PAID TO STEVEN SIGAL IN 2020 ($394,783) AND IS REPORTED AS TAXABLE COMPENSATION IN COL B(III). DENNIS W. CHALKE - SUPPLEMENTAL RETIREMENT OF $146,109 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2020. MARK A. KEROACK, MD - SUPPLEMENTAL RETIREMENT OF $363,205 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2020. RAYMOND MCCARTHY - SUPPLEMENTAL RETIREMENT OF $187 IS INCLUDED IN COLUMN B. THIS AMOUNT WAS EARNED AND PAID IN 2020. MARION A. MCGOWAN, PHD - SERP PAYMENT OF $70,834 IS INCLUDED IN COLUMN C. THIS AMOUNT WAS EARNED, BUT NOT PAID IN 2020.
PART I, LINE 5 CERTAIN EMPLOYEES OF HEALTH NEW ENGLAND, INC ARE ELIGIBLE FOR BONUSES IN PART BASED ON NET REVENUES, EMPLOYEES RECEIVE A PERCENTAGE OF THE EXCESS REVENUES, WHEN TARGET UNDERWRITING MARGINS ARE EXCEEDED.
PART I, LINE 7 CERTAIN EMPLOYEES OF HEALTH NEW ENGLAND, INC ARE ELIGIBLE FOR BONUSES IN PART BASED ON NUMBERS OF MEMBERS BY LINES OF BUSINESSES, AND QUALITY - MEDICARE 5 STAR, PBM, MEDICAID AND POPULATION HEALTH.
Schedule J (Form 990) 2020

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HEALTH NEW ENGLAND INC
 
Employer identification number

04-2864973
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2020
Schedule L (Form 990 or 990-EZ) 2020
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) MEDWISE CONSULTING PARTNERS
 
OWNED BY RICHARD SWIFT, CEO 1,038,639 HEALTH NEW ENGLAND, INC. ENGAGED MEDWISE CONSULTING PARTNERS ("MEDWISE"), FOR PROFESSIONAL CONSULTING SERVICES FROM JANUARY THROUGH SEPTEMBER 2020. DURING THIS PERIOD, MEDWISE PROVIDED HEALTH NEW ENGLAND INC. WITH INTERIM CFO SERVICES, PERFORMED BY RICHARD SWIFT, ALONG WITH OTHER CONSULTANT SERVICES, PERFORMED BY OTHER MEDWISE ASSOCIATES. ON OCTOBER 1, 2020 RICHARD SWIFT BECAME CEO OF HEALTH NEW ENGLAND INC. AND ALL BUSINESS WITH MEDWISE CEASED.   No
(2) GINLILL LLC
 
OWNED BY MICHAEL FASO, INTERIM CFO 120,000 HEALTH NEW ENGLAND, INC. UTILIZED GINLILL LLC, FOR INTERIM CFO SERVICES FROM OCTOBER THROUGH DECEMBER 2020. DURING THIS PERIOD, GINLILL LLC PROVIDED HEALTH NEW ENGLAND INC. WITH INTERIM CFO SERVICES, PERFORMED BY MICHAEL FASO.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2020


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
HEALTH NEW ENGLAND INC
 
Employer identification number

04-2864973
Return Reference Explanation
FORM 990, PART III, LINE 2 IN 2020, HEALTH NEW ENGLAND DEDICATED $300,000 TOWARDS TWO NEW COMMUNITY BENEFITS FUNDING PROGRAMS: (1) COVID-19 RESPONSE MINI GRANT AND (2) DIVERSITY, EQUITY, INCLUSION, BELONGING (DEIB) MINI GRANT. HEALTH NEW ENGLAND COMMITTED $250,000 IN COVID-19 MINI GRANTS TO PROVIDE FLEXIBLE RESOURCES TO LOCAL NON-PROFIT ORGANIZATIONS THAT SERVE THE MOST VULNERABLE COMMUNITIES IMPACTED BY THE CORONAVIRUS PANDEMIC. IN ADDITION TO THE IMPACT OF COVID-19, HEALTH NEW ENGLAND DEDICATED $50,000 IN DEIB MINI GRANTS TO SUPPORT PROGRAMS THAT ADDRESS RACIAL HEALTH EQUITY AND DISPARITIES AND FOCUS ON AT LEAST ONE SOCIAL DETERMINANT OF HEALTH. HEALTH NEW ENGLAND AWARDED $250,000 IN COVID-19 MINI GRANTS TO OVER 76 NON-PROFIT ORGANIZATIONS. ORGANIZATIONS COULD RECEIVE UP TO $5,000 FOR PROGRAMS AND HEALTH NEW ENGLAND AWARDED AN AVERAGE GRANT AMOUNT OF $3,000. ALL FUNDED PROGRAMS SUPPORTED THE MOST VULNERABLE COMMUNITIES IMPACTED BY THE CORONAVIRUS, AND FOCUSED ON ADDRESSING ADDRESS-HOUSING NEEDS, ACCESS TO HEALTHY FOOD, EDUCATION, CHILDCARE, BEHAVIORAL HEALTH, SUBSTANCE ABUSE, CHRONIC CONDITIONS, PREVENTIVE HEALTH, AND RACIAL HEALTH EQUITIES AND DISPARITIES. DIVERSITY, EQUITY, INCLUSION, BELONGING (DEIB) MINI GRANTS HEALTH NEW ENGLAND AWARDED $50,000 IN DEIB MINI GRANTS TO 18 LOCAL NONPROFIT ORGANIZATIONS THAT SUPPORT PROGRAMS THAT ADDRESS HEALTH DISPARITIES THAT AFFECT RACIAL AND ETHNIC MINORITY GROUPS AND FOCUS ON AT LEAST ONE SOCIAL DETERMINANT OF HEALTH.
FORM 990, PART III, LINE 4A: HEALTH NEW ENGLAND, INC. MAKES HIGH QUALITY, LOW COST HEALTH CARE SERVICES AVAILABLE THROUGH HEALTH PLANS WITHIN A SERVICE AREA THAT COMPRISES MORE POOR, MEDICALLY UNDERSERVED AND RURAL COMMUNITIES THAN ANY OTHER PART OF MASSACHUSETTS. A FEDERAL HEALTH RESOURCES & SERVICES ADMINISTRATION REPORT STATED THAT OF THE 102 MASSACHUSETTS TOWNS DESIGNATED AS MEDICALLY UNDERSERVED, 78 ARE IN THE FOUR COUNTIES THAT HEALTH NEW ENGLAND SERVES. BASED ON THAT STATISTIC, IN ALL, OVER 45% OF HEALTH NEW ENGLAND'S ENROLLEES LIVE IN MEDICALLY UNDERSERVED AREAS. HEALTH NEW ENGLAND'S SERVICE AREA INCLUDES FOUR OF THE FIVE COUNTIES WITH THE HIGHEST PERCENTAGE OF POVERTY AND THE LOWEST PER CAPITA INCOME IN MASSACHUSETTS, BASED ON US CENSUS BUREAU DATA. MANY RESIDENTS IN WESTERN MASSACHUSETTS THUS STRUGGLE WITH POVERTY AND LOW LEVELS OF INCOME. ACROSS THE FOUR COUNTIES OF WESTERN MASSACHUSETTS, 16% OF RESIDENTS LIVE IN POVERTY, AND THE MEDIAN FAMILY INCOME IN THREE OF THE FOUR COUNTIES IS MORE THAN 20% LOWER THAN THAT OF THE STATE. CHILD POVERTY RATES ARE HIGH WITH 23% OF CHILDREN IN THE REGION LIVING IN POVERTY. HAMPDEN COUNTY HAS THE HIGHEST RATES OF POVERTY AND UNEMPLOYMENT IN HEALTH NEW ENGLAND'S SERVICE AREA AND THE LOWEST MEDIAN INCOME. ALSO, LOWER LEVELS OF EDUCATION CONTRIBUTE TO UNEMPLOYMENT AND THE ABILITY TO EARN A LIVABLE WAGE. APPROXIMATELY 12% OF RESIDENTS AGE 25 AND OLDER IN WESTERN MASSACHUSETTS DO NOT HAVE A HIGH SCHOOL DIPLOMA, WITH THE HIGHEST RATES OBSERVED IN HAMPDEN COUNTY (16%). IN THE COMMUNITIES OF SPRINGFIELD, HOLYOKE, CHICOPEE, LUDLOW, WEST SPRINGFIELD, AND PITTSFIELD, OVER 20% OF ELIGIBLE INDIVIDUALS DO NOT HAVE A HIGH SCHOOL DIPLOMA, WHICH IS NEARLY DOUBLE THE STATEWIDE RATE. HEALTH NEW ENGLAND MAKES HEALTH CARE AVAILABLE IN THIS SERVICE AREA AND TO THIS POPULATION BY OFFERING HEALTH PLANS WHICH SERVE THE FOLLOWING: INDIVIDUALS AND SMALL GROUPS: ENROLLEES AT 12/31/2020: 27,352 REVENUE: $156,767,446 PROGRAM EXPENSES: $137,652,031 HEALTH NEW ENGLAND OFFERS HEALTH PLANS TO INDIVIDUALS AND FAMILIES (BOTH DIRECTLY AND THROUGH THE MASSACHUSETTS HEALTH CONNECTOR) AND SMALL EMPLOYER GROUPS (EMPLOYERS WITH 50 OR FEWER EMPLOYEES). HEALTH NEW ENGLAND IS ONE OF THE LEADING SOURCES OF HMO COVERAGE FOR INDIVIDUALS AND SMALL GROUPS IN WESTERN MASSACHUSETTS. MEDICARE: ENROLLEES AT 12/31/2020: 9,277 REVENUE: $103,778,874 PROGRAM EXPENSE: $82,901,775 HEALTH NEW ENGLAND SERVES MEDICARE ENROLLEES THROUGH HEALTH NEW ENGLAND MEDICARE ADVANTAGE PLANS. MEDICAID: ENROLLEES AT 12/31/2020: 43,434 REVENUE: $279,870,737 PROGRAM EXPENSE: $256,946,718 HEALTH NEW ENGLAND PARTICIPATES IN MASSHEALTH, THE MASSACHUSETTS MEDICAID PROGRAM, THROUGH A MEDICAID MANAGED CARE PLAN. THE NUMBER OF HEALTH NEW ENGLAND'S MEDICAID PLAN ENROLLEES HAS GENERALLY INCREASED SINCE 2010 WHEN HEALTH NEW ENGLAND BEGAN OFFERING SUCH PLANS, WITH MORE THAN 66,000 ENROLLEES IN 2016. OTHER INDIVIDUALS AND FAMILIES: ENROLLEES AT 12/31/2020: 36,347 REVENUE: $235,220,824 PROGRAM EXPENSE: $192,294,735 HEALTH NEW ENGLAND ALSO PROVIDES COVERAGE TO INDIVIDUALS AND FAMILIES THROUGH PLANS OFFERED BY EMPLOYERS WHICH HAVE MORE THAN 50 EMPLOYEES. THIS CATEGORY INCLUDES MANY MUNICIPAL EMPLOYEES WHO DO NOT OBTAIN COVERAGE THROUGH THE GIC, AND ALSO INCLUDES MANY EMPLOYEES OF HEALTH CARE AND NONPROFIT ORGANIZATIONS. HEALTH NEW ENGLAND'S COMMUNITY BENEFITS PROGRAM IS INTENDED TO HELP PEOPLE ATTAIN THEIR FULL HEALTH POTENTIAL AND REDUCE BARRIERS THAT CAUSE DISADVANTAGES DUE TO SOCIAL DETERMINANTS OF HEALTH FACTORS THAT ADVERSELY AFFECT THE HEALTH OF THE COMMUNITY. THE PROGRAM SEEKS TO POSITIVELY IMPACT SEVERAL HEALTH PRIORITY AREAS: BUILT ENVIRONMENT (FOOD INSECURITY, HOUSING, TRANSPORTATION); CARE COORDINATION; CHRONIC CONDITIONS; MENTAL HEALTH AND SUBSTANCE USE DISORDER; AND THE NEED FOR INCREASED PHYSICAL ACTIVITY AND A HEALTHY DIET. ADDITIONALLY, THE OVERALL PROGRAM ADDRESSES SEVERAL SOCIAL DETERMINANTS OF HEALTH: LACK OF RESOURCES TO MEET BASIC NEEDS (SAFE NEIGHBORHOODS, POVERTY, AND EMPLOYMENT), EDUCATIONAL ATTAINMENT AND LITERACY, AND INSTITUTIONAL RACISM. IN 2020, HEALTH NEW ENGLAND COMMITTED APPROXIMATELY $640,000 IN INVESTMENTS BACK TO THE COMMUNITY, A $140,000 INCREASE FROM 2019. IN 2020, MAJOR PROGRAM COMPONENTS INCLUDE: -COVID-19 MINI GRANTS, ACCOUNTING FOR 40% OF ALL FUNDING -WHERE HEALTH MATTERS GRANTS, ACCOUNTING FOR 23% OF ALL FUNDING -BAYSTATE HEALTH FOUNDATION ACCOUNTING FOR 16% OF ALL FUNDS -DEIB MINI GRANTS, ACCOUNTING FOR 8% OF ALL FUNDING -PUBLIC HEALTH INSTITUTE OF WESTERN MASSACHUSETTS, ACCOUNTING FOR 8% OF ALL FUNDS -MINI GRANTS OF AWARDS UP TO $5,000, ACCOUNTING FOR 3% OF ALL FUNDS -COMMUNITY SPONSORSHIPS OF AWARDS UP TO $2,500, ACCOUNTING FOR 2% OF ALL FUNDS ALL COMMUNITY BENEFIT AWARD DECISIONS WERE DETERMINED BY THEIR ALIGNMENT WITH THE FOLLOWING HEALTH PRIORITIES, DETERMINANTS OF HEALTH, AND SPECIFIC TARGET POPULATIONS: -THE COMMUNITY BENEFITS PROGRAM SOUGHT TO POSITIVELY IMPACT SPECIFIC HEALTH PRIORITY AREAS: COVID-19, CHRONIC CONDITIONS (ASTHMA, CARDIOVASCULAR DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, DIABETES, OBESITY); INFANT AND PERINATAL/MATERNAL HEALTH; AND, MENTAL HEALTH AND SUBSTANCE USE DISORDER. -THE PROGRAM ADDRESSED SEVERAL SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH: FOOD INSECURITIES AND LACK OF BASIC NEEDS (SAFE NEIGHBORHOODS, INSTITUTIONAL RACISM, POOR HOUSING CONDITIONS, EDUCATION). -THE PROGRAM PRIORITIZED THE UNMET NEEDS OF SPECIFIC TARGET POPULATIONS: AT-RISK CHILDREN, YOUTH AND ADOLESCENTS; COMMUNITIES OF COLOR, PARTICULARLY LATINX AND BLACKS; INDIVIDUALS LIVING IN POVERTY OR WITH LOW-INCOME LEVELS; LGBTQ+ INDIVIDUALS; OLDER ADULTS; REFUGEES; AND, VETERANS. ACCORDINGLY, HEALTH NEW ENGLAND HAS AIDED OR WORKED WITH A WIDE VARIETY OF COMMUNITY ORGANIZATIONS TO SUPPORT PROGRAMS FOR HEALTH IMPROVEMENT, SUPPORT FACTORS THAT INFLUENCE OVERALL HEALTH AND BENEFIT THE OVERALL COMMUNITY. COMMUNITY BENEFITS INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING ORGANIZATIONS "WHERE HEALTH MATTERS" GRANT PROGRAM - AWARDED A TOTAL OF $350,000 IN GRANTS TO SUPPORT PROGRAMS IN THREE ORGANIZATIONS: 1) NEW NORTH CITIZEN COUNCIL RECEIVED $50,000 FOR "PROJECT COACH" TO IMPROVE HEALTH AND EDUCATIONAL OUTCOMES FOR YOUTH IN SPRINGFIELD BY EMPOWERING TEENS TO SERVE AS MENTORS AND COACHES TO YOUNGER CHILDREN, THEREBY INCREASING OPPORTUNITIES FOR YOUTH TO BE PHYSICALLY ACTIVE AND ENGAGE IN ACTIVITIES PROMOTING HEALTH AND WELLNESS AND IMPROVING SOCIAL COHESION. 2) THE FOOD BANK OF WESTERN MA RECEIVED $150,000 IN FUNDING OVER 3 YEARS TO SUPPORT THE "FOOD INSECURITY SCREENING AND REFERRAL INITIATIVE" THAT SERVES FOOD INSECURE PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY, BUT DO NOT QUALIFY FOR MASSHEALTH FLEXIBLE SERVICES (FS) BECAUSE THEY DO NOT FALL MEET SPECIFIC QUALIFICATIONS. 3) CLINICAL & SUPPORT OPTIONS RECEIVED $150,000 IN FUNDING OVER 3 YEARS TO SUPPORT THE "FRIENDS OF THE HOMELESS CARE COORDINATION SUPPORT" PROGRAM AND ESTABLISH A TRIAGE NURSING SERVICE LOCATED AT THE FRIENDS OF THE HOMELESS (FOH) SHELTER. THE NURSE WILL PROVIDE HEALTH ASSESSMENT, CARE COORDINATION AND TRIAGE OF ACUTE PROBLEMS AS A "SECOND SHIFT" PROGRAM DURING EVENING SHELTER HOURS, WHEN MEDICAL INCIDENTS MOST COMMONLY PRESENT AND THE CO-LOCATED MEDICAL CLINIC IS CLOSED.
FORM 990, PART III, LINE 4A CONT.: -"COVID-19 MINI GRANT" PROGRAM AWARDED A TOTAL OF $250,000 IN GRANTS TO OVER 76 NON-PROFIT ORGANIZATIONS. AMHERST SURVIVAL CENTER - FOOD PANTRY DELIVERY PROGRAM PROVIDES MONTHLY FOOD PANTRY DELIVERY TO ENSURE ACCESS TO HEALTHY FOODS. -BARRINGTON STAGE COMPANY - PLAYWRIGHT MENTORING PROJECT TEACHES UNDERSERVED YOUTH CONFLICT/RESOLUTION SKILLS. -BEHAVIORAL HEALTH NETWORK - BASIC NEED SUPPORT PROVIDES BHN CLIENTS WITH GIFT CARDS FOR GROCERIES AND CLEANING SUPPLIES. -BERKSHIRE COUNTY ARC - PROVIDES COVID-19 PERSONAL PROTECTIVE EQUIPMENT (PPE) SUPPORT. -BERKSHIRE FAMILY YMCA - PROVIDES EMERGENCY CHILDCARE FOR ESSENTIAL WORKERS. -BERKSHIRE HEALTH SYSTEMS - PROVIDES COVID-19 CARE PACKAGES TO HIGH RISK AND VULNERABLE PATIENTS WHO TEST POSITIVE FOR COVID-19 AFTER THEIR DISCHARGE FROM THE EMERGENCY DEPARTMENT. -BFAIR - PROVIDES COVID-19 PPE SUPPORT. -BIG BROTHERS BIG SISTERS OF FRANKLIN COUNTY - YOUTH MENTORING PROGRAM HELPS AT-RISK YOUTH REACH THEIR POTENTIAL THROUGH 1:1 MENTORING -BOYS & GIRLS CLUB FAMILY CENTER - VIRTUAL CLUB PROGRAMMING SUPPORTS VIRTUAL LEARNING 5 DAYS A WEEK. -BOYS & GIRLS CLUB OF CHICOPEE GRAB & GO DINNERS FEEDS MEMBERS DINNER TWICE A WEEK. -BOYS & GIRLS CLUB OF CHICOPEE - WEEKEND WARRIOR FOOD PROGRAM PROVIDES ACCESS TO FOOD DURING THE WEEKEND. -BOYS & GIRLS CLUB OF GREATER HOLYOKE - EXEMPT EMERGENCY CHILDCARE AND FOOD PROGRAM. -CANCER CONNECTION - REMOTE PROGRAMS CONTINUE SUPPORT SERVICES TO THOSE WITH A CANCER DIAGNOSIS. -CENTER FOR NEW AMERICANS - CRITICAL CONNECTIONS FOR IMMIGRANTS HELPS CONNECT IMMIGRANTS TO COMMUNITY SUPPORT SERVICES (FOOD PANTRIES, HEALTH CENTERS, CHILDCARE, AND HOUSING SUPPORT). -CHILDREN'S ADVOCACY CENTER FRANKLIN COUNTY AND NORTH QUABBIN - PROVIDES COVID-19 ESSENTIAL PACKAGES TO ENSURE FAMILIES' BASIC NEEDS ARE MET, SUCH AS FOOD AND GAS CARDS. -CHILDREN'S ADVOCACY CENTER OF HAMPSHIRE COUNTY - PROVIDES COVID-19 ESSENTIAL PACKAGES TO ENSURE FAMILIES' BASIC NEEDS ARE MET, SUCH AS FOOD AND GAS CARDS. -CHRISTINA'S HOUSE - FOOD FOR THOUGHT PROGRAM FAMILIES RECEIVE NUTRITION COUNSELING BASED ON THEIR DIETARY GUIDELINES FOR CHRONIC CONDITIONS. -CLINICAL AND SUPPORT OPTIONS - FRIENDS OF THE HOMELESS PROVIDES COVID-19 ISOLATION TENT SUPPORT. -COLLABORATIVE FOR EDUCATION SERVICES - HEALTHY FOOD PANDEMIC RESPONSE FOCUSES INCREASED ACCESS TO HEALTHY FOOD. -COMMUNITY ACTION PIONEER VALLEY - FOOD PANTRY INCREASES ACCESS TO HEALTHY FOOD. -COMMUNITY LEGAL AID - EVICTION CASE MANAGER HELPS TENANTS NAVIGATE AND CONNECTS THEM WITH SOCIAL SERVICES TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE. -CRIMINAL JUSTICE ORG. OF HAMPDEN COUNTY - YOUTH LEADERSHIP ACADEMY SUMMER CAMP. -EDUCARE SPRINGFIELD - ENRICHMENT BOXES THAT CONTAIN AGE APPROPRIATE MANIPULATIVE MATERIALS (I.E. BOOKS, ART SUPPLIES, SENSORY PROJECTS) ARE DISTRIBUTED. -ELDER SERVICES OF BERKSHIRE COUNTY - MEALS ON WHEELS INCREASES ACCESS TO HEALTHY FOOD. -ELIZABETH FREEMAN CENTER - EMERGENCY RESPONSE PROGRAM PROVIDES SAFETY, HOUSING, FOOD, BASIC NEEDS TO DOMESTIC & SEXUAL VIOLENCE SURVIVORS. -FRIENDS OF AMHERST SENIOR CENTER - OLDER ADULT DIGITAL DIVIDE PROGRAM PROVIDES A TECHNOLOGY LENDING LIBRARY FOR OLDER ADULTS. -GARDENING THE COMMUNITY - ELDER FARM SHARE PROGRAM INCREASES ACCESS TO HEALTHY FOOD. -GIRLS INC. OF THE VALLEY - PROJECT PERIOD PROVIDES MENSTRUAL PRODUCTS AND BASIC HYGIENE PRODUCTS. -GIRLS ON THE RUN WESTERN MA - PROVIDES FINANCIAL SUPPORT FOR AT-RISK GIRLS WHOSE FAMILIES ARE LIVING ON LOW, OR POVERTY LEVEL INCOMES. -GREATER SPRINGFIELD HABITAT FOR HUMANITY - MORTGAGE DELINQUENCY PROGRAM PROVIDES FINANCIAL ASSISTANCE TO FAMILIES IMPACTED BY COVID-19. -GROW FOOD NORTHAMPTON - COMMUNITY FOOD DISTRIBUTION PROJECT INCREASES ACCESS TO HEALTHY FOOD. -HAMPDEN COUNTY BAR FOUNDATION - LEGAL CLINIC PROVIDES FREE ESSENTIAL LEGAL AND LAW-RELATED SERVICES TO RESIDENTS IN NEED. -HAMPSHIRE REGIONAL YMCA - SAVE SUMMER WITH A SAFE SUMMER CHILDREN'S CAMP. -HOLYOKE YMCA - PROVIDES EMERGENCY CHILDCARE FOR ESSENTIAL WORKERS. -INTERNATIONAL LANGUAGE INSTITUTE OF MA - PROVIDES FREE ENGLISH CLASSES FOR IMMIGRANTS AND REFUGEES. -JUNIOR ACHIEVEMENT OF WESTERN MA - JA TOMORROW PROGRAM PROVIDES ONLINE PROGRAMMING FOCUSING ON FINANCIAL LITERACY. -JUST ROOTS - FOOD SECURITY PROGRAM INCREASES ACCESS TO HEALTHY FOOD. -LINK TO LIBRARIES - CHILDREN DIVERSITY BOOKS PURCHASES K-12 BOOKS WRITTEN BY MULTICULTURAL AUTHORS ADDRESSING RACE AND SOCIAL INJUSTICE. -LORRAINE'S SOUP KITCHEN - FOOD PANTRY & BAG GROCERIES PROGRAM INCREASES ACCESS TO HEALTHY FOOD. -MENTAL HEALTH ASSOCIATION - ELDERLY IN RECOVERY PROGRAM SUPPORTS PEOPLE RECOVERING FROM SUBSTANCE USE THAT NEED TO SHELTER AT HOME. -MONTAGUE CATHOLIC SOCIAL MINISTRIES - VIRTUAL SUENOS PROGRAM PROVIDES TABLETS TO WOMEN ENROLLED IN THE CLASS. -NORTHAMPTON SURVIVAL CENTER - EMERGENCY FOOD PANTRY INCREASES ACCESS TO HEALTHY FOOD. -PATHLIGHT - CONNECTIONS PROGRAM HELPS ADDRESS THE DIGITAL DIVIDE AND INCREASES ACCESS IN TECHNOLOGY AND WI-FI. -PROJECT 13/OASIS FOOD PANTRY - OASIS FOOD PANTRY INCREASES ACCESS TO HEALTHY FOOD. -PROVIDENCE MINISTRIES - KATE'S KITCHEN INCREASES ACCESS TO HEALTHY FOOD. -PUBLIC HEALTH INSTITUTE OF WESTERN MA - GO FRESH EMERGENCY FOOD DISTRIBUTION INCREASES ACCESS TO HEALTHY FOOD. -RACHEL'S TABLE - EMERGENCY FOOD INCREASES ACCESS TO HEALTHY FOOD. -REVITALIZE CDC - DOORWAY TO AN ACCESSIBLE, SAFE, AND HEALTHY HOME PROGRAM SUPPORTS EMERGENCY REPAIRS IN HOMES. -RIVER VALLEY COUNSELING CENTER - TELEHEALTH PROGRAM HELPS ADDRESS THE DIGITAL DIVIDE AND INCREASE ACCESS IN TECHNOLOGY AND WI-FI. -RIVERMILLS SENIOR CENTER - DINNERS TO GO INCREASES ACCESS TO HEALTHY FOOD. -RONALD MCDONALD HOUSE OF SPRINGFIELD MA - COVID-19 ESSENTIAL ITEMS PROVIDES HOUSING, BASIC NEEDS AND FOOD TO FAMILIES STAYING AT THE RONALD MCDONALD HOUSE. -ROOTS RISING - VIRTUAL FAMERS MARKET INCREASES ACCESS TO HEALTHY FOOD. -SPRINGFIELD FOOD POLICY COUNCIL - URBAN GROWING/HEALTHY PRODUCE ACCESS PROVIDING SUPPORT AND ACCESS TO INSTALL BACKYARD GARDENS. -SPRINGFIELD JEWISH COMMUNITY CENTER - KEHILLAH SPECIAL NEEDS PROGRAM SUPPORTS CHILDREN AND ADULTS WITH DISABILITIES. -SQUARE ONE - FAMILY SUPPORT SERVICE PROGRAM SUPPORTS THE IMMEDIATE NEEDS OF FAMILIES FOR SUPPLIES OF DIAPERS, WIPES, FORMULA, FOOD AND CLOTHING. -SQUARE ONE - DIAPER BANK PROVIDES FREE DIAPERS AND WIPES TO FAMILIES WITH YOUNG CHILDREN. -SUNSHINE VILLAGE - DAY HAB SAFEGUARDS PURCHASES "SNEEZE GUARDS" TO HELP KEEP STUDENTS SAFE WHEN IN-PERSON CLASSES START. -THE BRIEN CENTER - SDOH PROGRAM PROVIDES PATIENTS WITH GIFT CARDS FOR GAS, FOOD, AND HELPS PATIENTS ATTAIN MASSACHUSETTS STATE ISSUED ID CARDS. -THE CARE CENTER - COVID RELIEF PROVIDES BASIC ESSENTIALS FOR YOUNG ISOLATED MOTHERS. -THE FOOD BANK OF WESTERN MA - EMERGENCY FOOD ACCESS INCREASES ACCESS TO HEALTHY FOOD. -THE GRAY HOUSE - THE MARKET PROGRAM INCREASES ACCESS TO HEALTHY FOOD. -THE HARTSBROOK SCHOOL - AGENCY, COMMUNITY, TERRA AND SOCIAL JUSTICE PROGRAM BRINGS PRODUCE TO AREA FOOD BANKS IN NORTHAMPTON, AMHERST, AND GARDENING THE COMMUNITY. -UCP OF WESTERN MA - ASSISTIVE TECHNOLOGY FOR STUDENTS WITH DISABILITIES PROGRAM ADDRESSES THE DIGITAL DIVIDE. -UMASS MEDICAL SCHOOL - RESOURCE PARENT CURRICULUM PROGRAM PROVIDES VIRTUAL TRAINING FOR FOSTER PARENTS. -UNITED WAY OF FRANKLIN COUNTY - DIAPER BANK PROVIDES FREE DIAPERS AND WIPES TO FAMILIES WITH YOUNG CHILDREN. -UNITED WAY OF PIONEER VALLEY - FINANCIAL COACHING PROGRAM WORKS WITH PEOPLE RECENTLY UNEMPLOYED WHO ARE LOW TO MODERATE INCOME. -URBAN LEAGUE OF SPRINGFIELD - GRANDPARENTS TAKING CARE GRANDS PROGRAM PROVIDES SDOH SERVICES TO SENIORS WHO SUPPORT THEIR GRANDCHILDREN AND ARE THEIR SOLE SUPPORTERS. -VALLEY EYE RADIO - ACCESSIBLE COVID-19 10 BROADCASTING EXPANSION PROGRAM PROVIDES REGULAR BROADCASTING TO PEOPLE WHO CANNOT READ INDEPENDENTLY. -VALLEY HEALTH SYSTEMS / HOLYOKE MEDICAL CENTER - COMMUNITY BASED TELEHEALTH CARE SPONSORED A TELEHEALTH BOOTH IN THE COMMUNITY. -VILLAGE NEIGHBORS - PANDEMIC MEMBER OUTREACH PROJECT PROVIDED CARE PACKAGES INCLUDING PPE. -VOLUNTEERS IN MEDICINE BERKSHIRES - SDOH PROGRAM PROVIDES VULNERABLE PATIENTS WITH ESSENTIAL SUPPLIES (FOOD AND GAS CARDS, PPE, CLOTHES, PAYING BILLS). -WELLSPRING COOPERATIVE CORPORATION - FOOD ACCESS WINTER MOBILE MARKET INCREASES ACCESS TO HEALTHY FOOD. -WHEELHOUSE FARM LLC - ESSENTIAL MEAL PROJECT INCREASES ACCESS TO HEALTHY FOOD. -WOMANSHELTER COMPANERAS - EMERGENCY CRISIS HOTLINE SPONSORS ADDITIONAL DOMESTIC VIOLENCE ADVOCATES TO SUPPORT THE CRISIS SUPPORT CALLS. -YMCA OF GREATER SPRINGFIELD - EMERGENCY CHILDCARE SERVICES PROVIDES CHILDCARE TO ESSENTIAL WORKERS. -SAFE PASSAGE, SUPPORT AND ADVOCACY SERVICES FOR WOMEN AND CHILDREN.
FORM 990, PART III, LINE 4A CONT.: HEALTH NEW ENGLAND ALSO SUPPORTS THE BAYSTATE RAPID ACCESS PEDIATRIC MENTAL HEALTH EVALUATION AND MANAGEMENT SERVICE PROGRAM (RAPMH) THROUGH THE BAYSTATE HEALTH FOUNDATION. THE PROGRAM SEEKS TO DEVELOP AN ENHANCED MULTI-DISCIPLINARY SERVICE TO HELP INCREASE THE TIMELY AVAILABILITY AND IMPROVE THE QUALITY OF CARE OF BEHAVIORAL HEALTH SERVICES PROVIDED TO YOUTH AND THEIR FAMILIES RECEIVING CARE IN THE PEDIATRIC EMERGENCY DEPARTMENT (PEDI ED) OR ON THE MEDICAL SERVICES OF THE BAYSTATE CHILDREN'S' HOSPITAL (BCH). . 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 NONPROFIT 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 (E.G. BAYSTATE HEALTH), HEALTH PLANS, LOCAL AND STATE PUBLIC HEALTH AGENCIES (E.G. SPRINGFIELD HEALTH AND HUMAN SERVICES), HOUSING ORGANIZATIONS, COMMUNITY AGENCIES, ACADEMIC INSTITUTIONS, COMMUNITY MEMBERS, AND A VARIETY OF OTHER TYPES OF ORGANIZATIONS WITHIN THE COMMUNITY. - SENIOR POPULATION EDUCATION EVENTS: HEALTH NEW ENGLAND ADDRESSED MORE THAN 2,000 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 DIETETIC 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 LATINA 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 MARKETS, 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 MORE BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES WITHIN THE NETWORK OF AFFILIATED ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 3 DURING THE PERIOD COVERED BY THIS FILING, HEALTH NEW ENGLAND INC. ENGAGED MEDWISE CONSULTING PARTNERS ("MEDWISE") AS A MANAGEMENT COMPANY, FOR INTERIM CFO SERVICES ALONG WITH VARIOUS OTHER CONSULTING SERVICES. RICHARD SWIFT WAS EMPLOYED BY, AND, LIKEWISE, MICHAEL FASO AND OTHERS WERE ENGAGED BY, MEDWISE TO SERVE HEALTH NEW ENGLAND, INC. FOR THE PERIOD JANUARY 1, 2020 THROUGH SEPTEMBER 30, 2020 AND HEALTH NEW ENGLAND TERMINATED ITS RELATIONSHIP WITH MEDWISE ONCE RICHARD SWIFT WAS APPOINTED CHIEF EXECUTIVE OFFICER AS OF OCTOBER 1, 2020. DURING THIS PERIOD, MEDWISE WAS PAID A TOTAL OF $1,038,639 FOR ITS MANAGEMENT AND CONSULTING SERVICES PROVIDED TO HEALTH NEW ENGLAND INC. IN ADDITION, HEALTH NEW ENGLAND ENGAGED GINLILL, LLC FOR MICHAEL FASO TO PROVIDE INTERIM CFO SERVICES BEGINNING OCTOBER 1, 2020 AND HNE PAID $120,000 DURING THIS PERIOD.
FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION CHANGED THE BYLAWS TO INCREASE THE NUMBER OF EX-OFFICIO MEMBERS FROM 4 TO 5."
FORM 990, PART VI, SECTION A, LINE 6 AS A MASSACHUSETTS 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 BY LAWS 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 PREPARED 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 HEALTH NEW ENGLAND, INC. (HNE) HAS ADOPTED THE COMPENSATION REVIEW AND APPROVAL POLICY AND PROCEDURES OF ITS PARENT AND SOLE MEMBER, BAYSTATE HEALTH INC. ACCORDINGLY, THE COMPENSATION OF THE PRESIDENT AND CEO OF HNE IS REVIEWED AND DETERMINED ANNUALLY BY THE COMPENSATION COMMITTEE OF HEALTH NEW ENGLAND, INC. THIS COMMITTEE IS COMPOSED OF A MAJORITY OF INDEPENDENT INDIVIDUALS NOT COMPENSATED BY BAYSTATE HEALTH, AND A NUMBER OF BAYSTATE HEALTH EXECUTIVES. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE PRESIDENT AND CEO WOULD BE THOSE INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AND WOULD BE CONSIDERED INDEPENDENT FOR COMPENSATION DELIBERATION PURPOSES. THE COMPENSATION OF THE PRESIDENT AND CEO IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD-PARTY CONSULTANTS FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE DULY AUTHORIZED COMPENSATION COMMITTEE OF HEALTH NEW ENGLAND, INC. SIMILARLY, THE COMPENSATION OF THE EXECUTIVE LEADERSHIP TEAM, AS DETERMINED BY HNE, IS REVIEWED, AND DETERMINED ANNUALLY BY THE COMPENSATION COMMITTEE OF HEALTH NEW ENGLAND, INC. THIS COMMITTEE CONSISTS OF A MAJORITY OF INDEPENDENT MEMBERS AND A MINORITY OF BAYSTATE HEALTH EXECUTIVES SERVING ON THE BOARD OF HEALTH NEW ENGLAND, INC. THE INDIVIDUALS RESPONSIBLE FOR DELIBERATING THE COMPENSATION ARRANGEMENT FOR THE EXECUTIVE LEADERSHIP TEAM WOULD BE THOSE INDIVIDUALS WHO DO NOT HAVE A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AND WOULD BE CONSIDERED INDEPENDENT FOR COMPENSATION DELIBERATION PURPOSES. THE COMPENSATION OF THE EXECUTIVE LEADERSHIP TEAM IS ESTABLISHED BASED ON INFORMATION PROVIDED BY INDEPENDENT THIRD PARTY CONSULTANTS FOR REASONABLENESS AND APPROPRIATE COMPARABILITY DATA. THE COMPENSATION IS THEN ESTABLISHED, REVIEWED AND APPROVED BY THE DULY AUTHORIZED COMPENSATION COMMITTEE OF BAYSTATE HEALTH, INC.
FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST AND AT MANAGEMENT'S DISCRETION
FORM 990, PART XI, LINE 9: CHANGE IN NON ADMITTED ASSETS 430,611.
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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
HEALTH NEW ENGLAND INC
 
Employer identification number

04-2864973
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)BAYSTATE ADMINISTRATIVE SERVICES INC
759 CHESTNUT STREET

SPRINGFIELD,MA01199
22-2747685
ADMINISTRATIVE SERVICES MA 501(C)(3) LINE 12C, III-FI BAYSTATE HEALTH INC
 
 
No
(2)BAYSTATE FRANKLIN MEDICAL CENTER
164 HIGH STREET

GREENFIELD,MA01301
04-2103575
HOSPITAL MA 501(C)(3) LINE 3 BAYSTATE HEALTH INC
 
 
No
(3)BAYSTATE HEALTH FOUNDATION INC
759 CHESTNUT STREET

SPRINGFIELD,MA01199
04-3549011
FUNDRAISING MA 501(C)(3) LINE 7 BAYSTATE HEALTH INC
 
 
No
(4)BAYSTATE HEALTH INC
759 CHESTNUT STREET

SPRINGFIELD,MA01199
04-2105941
IMPROVE THE HEALTH OF PEOPLE IN OUR COMMUNITIES EVERY DAY. MA 501(C)(3) LINE 7 N/A
 
No
(5)BAYSTATE MEDICAL CENTER INC
759 CHESTNUT STREET

SPRINGFIELD,MA01199
04-2790311
ACUTE CARE TEACHING HOSPITAL MA 501(C)(3) LINE 3 BAYSTATE HEALTH INC
 
 
No
(6)BAYSTATE MEDICAL PRACTICES INC
759 CHESTNUT STREET

SPRINGFIELD,MA01199
04-2888373
PHYSICIAN MEDICAL SERVICES MA 501(C)(3) LINE 3 BAYSTATE HEALTH INC
 
 
No
(7)BAYSTATE NOBLE HOSPITAL CORPORATION
115 WEST SILVER STREET

WESTFIELD,MA01085
22-2537423
HOSPITAL MA 501(C)(3) LINE 3 BAYSTATE HEALTH INC
 
 
No
(8)BAYSTATE TOTAL HOME CARE INC
50 MAPLE STREET

SPRINGFIELD,MA01199
20-3260764
REAL ESTATE AND OTHER MA 501(C)(3) LINE 12B, II BAYSTATE HEALTH INC
 
 
No
(9)BAYSTATE WING HOSPITAL CORPORATION
40 WRIGHT STREET

PALMER,MA01069
22-2519813
HOSPITAL MA 501(C)(3) LINE 3 BAYSTATE HEALTH INC
 
 
No
(10)HEALTH NEW ENGLAND OF CONNECTICUT INC
ONE MONARCH PLACE SUITE 1500

SPRINGFIELD,MA01104
46-5190134
HMO CT 501(C)(4)   HEALTH NEW ENGLAND INC
 
Yes
 
(11)PIONEER VALLEY LIFE SCIENCE INSTITUTE OF BAYSTATE MEDICAL CENTER AND UMASS
3601 MAIN STREET

SPRINGFIELD,MA01199
BIOMEDICAL RESEARCH MA 501(C)(3) LINE 4 BAYSTATE HEALTH INC
 
 
No
(12)VISITING NURSE ASSN AND HOSPICE OF WESTERN NEW ENGLAND INC
50 MAPLE STREET

SPRINGFIELD,MA01199
04-2105803
HOMEHEALTH AND HOSPICE CARE MA 501(C)(3) LINE 10 BAYSTATE HEALTH INC
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) INGRAHAM CORPORATION

759 CHESTNUT STREET
SPRINGFIELD,MA01199
04-3016257
HEALTH CARE AND OTHER BUSINESS ACTIVITIES MA N/A
C         No
(2) HNE INSURANCE SERVICES INC

ONE MONARCH PLACE SUITE 1500
SPRINGFIELD,MA011441500
04-3183019
COLLECTION OF SERVICES FOR ANCILLARY SERVICES MA HNE HOLDING CORPORATION
 
C 2,555 125,330 100.000 % Yes  
(3) HNE ADVISORY SERVICES

ONE MONARCH PLACE SUITE 1500
SPRINGFIELD,MA011441500
04-3012347
ADMINISTRATIVE SERVICES MA HNE HOLDING CORPORATION
 
C -1,693,201 15,879,824 100.000 % Yes  
(4) HNE HOLDING CORPORATION

ONE MONARCH PLACE SUITE 1500
SPRINGFIELD,MA011441500
46-4620480
HOLDING COMPANY MA HEALTH NEW ENGLAND INC
 
C -1,832,205 5,069,084 100.000 % Yes  
(5) BAYSTATE HEALTH INSURANCE COMPANY LTD

N CHURCH STREET GEORGE TOWN
  GRAND CAYMANKYI-1104
CJ
98-0421413
OFFSHORE CAPTIVE INSURANCE CJ N/A
C         No
(6) HNE INSURANCE COMPANY INC

ONE MONARCH PLACE SUITE 1500
SPRINGFIELD,MA011441500
45-4462433
PROVIDE HEALTH CARE FOR MA MEDICARE SUPPLEMENT MEMBERS MA HNE HOLDING CORPORATION
 
C -157,689 5,527,119 100.000 % Yes  
(7) PIONEER VALLEY ACCOUNTABLE CARE LLC

759 CHESTNUT STREET
SPRINGFIELD,MA01199
80-0812350
ACCOUNTABLE CARE ORGANIZATION MA BAYCARE HEALTH PARTNERS INC
 
C         No
(8) NOBLE HEALTH ALLIANCE INC

115 WEST SILVER STREET
WESTFIELD,MA01085
04-3164468
HEALTHCARE SUPPORT MA BAYSTATE NOBLE HOSPITAL CORPORATION
 
C         No
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) HNE ADVISORY SERVICES

L 7,335,824 LEDGER ACTIVITY
(2) HNE ADVISORY SERVICES

P 12,680,203 LEDGER ACTIVITY
(3) HNE INSURANCE COMPANY INC

Q 1,163,276 LEDGER ACTIVITY
(4) HNE INSURANCE COMPANY INC

S 272,345 LEDGER ACTIVITY


Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2020

Additional Data


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