Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | Point32Health, Inc. (P32H)'s purpose is to operate exclusively for the promotion of social welfare, for the benefit of, to perform the functions of, and to carry out the purposes of and oversee organizations that: (a) arrange for the delivery of comprehensive health care services, on a prepaid basis, managed care programs, and other alternative health care delivery programs, including programs directed primarily at low income residents; (b) promote health maintenance through providing and/or arranging for the provision of health education services; and/or (c) promote positive regional health planning between providers and consumers. P32H which was formerly known as Health Plan Holdings, Inc., is the sole corporate member of Tufts Associated Health Maintenance Organization, Inc. (TAHMO), Tufts Health Public Plans, Inc. (THPP). Effective January 1, 2021, P32H and Harvard Pilgrim Health Care, Inc. (HPHC), combined their respective nonprofit organizations. As a result of the combination, P32H became the direct corporate parent of HPHC, and ultimate corporate parent for HPHC's affiliates. |
| FORM 990, PART VI, LINE 2 | BUSINESS RELATIONSHIP - THE FOLLOWING INDIVIDUALS SERVED ON THE BOARDS OR WERE AN OFFICER OR KEY EMPLOYEE OF ONE OR MORE FOR PROFIT ORGANIZATIONS AFFILIATED WITH POINT32HEALTH, INC. FROM 1/1/2021 to 12/31/2021: CAIN HAYES, DIRECTOR; CEO (START 7/5/21); PRESIDENT (START 10/1/21) THOMAS CROSWELL, DIRECTOR & CEO (END 7/5/21) TISA HUGHES, DIRECTOR JOYCE MURPHY, DIRECTOR ROLAND PRICE, TREASURER UMESH KURPAD, DIRECTOR AND CFO MICHAEL CARSON, DIRECTOR AND PRESIDENT (END 10/1/21) |
| FORM 990, PART VI, LINE 4 | THE BYLAWS WERE AMENDED AND RESTATED IN CONNECTION WITH THE COMBINATION OF THE HEALTH PLAN HOLDINGS, INC. AND HARVARD PILGRIM HEALTH CARE, INC. ORGANIZATIONS. SOME EXAMPLES OF UPDATES TO THE BYLAWS INCLUDE BUT ARE NOT LIMITED TO BOARD COMPOSITION, STANDING COMMITTEES, NAME CHANGE OF THE COMPANY FROM HEALTH PLANS HOLDINGS, INC. TO POINT32HEALTH, INC., AND CHANGE OF THE CORPORATION'S PRINCIPAL ADDRESS TO 1 WELLNESS WAY, CANTON, MA 02021. ARTICLES OF ORGANIZATION WERE ALSO AMENDED TO CHANGE THE NAME OF THE COMPANY FROM HEALTH PLANS HOLDINGS, INC. TO POINT32HEALTH, INC. |
| FORM 990, PART VI, LINE 8B | FOR A MAJORITY OF THE TIME, THE ORGANIZATION CONTEMPORANEOUSLY DOCUMENTS MEETINGS HELD AND WRITTEN ACTIONS UNDERTAKEN BY ITS COMMITTEES. HOWEVER, ON LIMITED OCCASIONS, A COMMITTEE MAY HAVE A SERIES OF CONFERENCE CALLS AND MINUTES FOR THOSE CALLS ARE NOT APPROVED UNTIL THE NEXT IN-PERSON MEETING. |
| FORM 990, PART VI, LINE 11B | PROCESS USED TO REVIEW THE FORM 990 THE ORGANIZATION'S FORM 990 WAS PREPARED AND REVIEWED BY THE ORGANIZATION'S FINANCE DEPARTMENT WITH ASSISTANCE FROM OUR EXTERNAL ACCOUNTANTS, PWC. CERTAIN SECTIONS ARE REVIEWED FOR INPUT BY SUBJECT MATTER PERSONNEL IN OTHER DEPARTMENTS THROUGHOUT THE ORGANIZATION. THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING. |
| FORM 990, PART VI, LINE 12C | MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: The Point32Health, Inc.'s Conflict of Interest (COI) Policy and Procedures (P&P) is reviewed annually, revised as needed and approved upon material revisions. The Policy requires all employees, including the President and CEO and governing body members to comply with the COI policy and processes. All employees receive annual compliance training which include expectations related to following the COI P&P. The COI P&P requires the officers, key employees and board of directors of the tax-exempt entities to complete and submit an annual disclosure survey and statement to the Chief Legal Officer (CLO) or designee in the Legal Department, listing any outside relationships, including financial and/or board relationships that they or a family member have with Point32Health, Inc.'s (or its subsidiaries) suppliers, purchasers, providers and/or competitors. Additionally, Point32Health, Inc. requires executive management and senior management (as defined in the COI policy) to complete and submit an annual disclosure survey and statement to the Chief Compliance Officer or Director, Corporate Compliance. By completing the annual disclosure statement, these individuals acknowledge the Point32Health COI P&P. All employees are required to report the offer by an outside entity of gifts over $250, honoraria or coverage of business expenses, or other events or relationships that may be perceived as conflicts to the Chief Compliance Officer, Director, Corporate Compliance or designee and the employee's management. Both must approve before acceptance is allowed. There are protocols and processes to review any disclosure that might be a potential conflict of interest. Board members, officers, and key employees' responses to the disclosure survey and statement are reviewed by the CLO, who will review the self-disclosure with the Chair of the Governance Committee of the Board of Directors of Point32Health, Inc. and determine expectations and recommended actions if needed. A summary report of all disclosed actual or potential conflicts along with any recommended actions to address a disclosed actual or potential conflict is reviewed and approved by the Governance Committee and the Committee's review/findings are reported to the full Board. The CLO communicates the recommend actions to individual survey recipients. The Chief Compliance Officer is consulted and informed of the decisions made by the CLO or legal designee. Executive management and senior management's responses to the disclosure survey and statement are reviewed by the Director, Corporate Compliance and Chief Compliance Officer, who will report to the CLO any potential conflicts along with any recommended actions to address the potential conflict, if necessary. Recommended actions/expectations are communicated by the Director, Corporate Compliance/Chief Compliance Officer to impacted individuals. For conflict disclosures involving the Chief Compliance Officer, the CLO will make the final determination. Any actual or potential conflict of interest that arises after completion of the disclosure survey will follow the same review process. |
| FORM 990, PART VI, LINE 15 | PROCESS FOR DETERMINING COMPENSATION POINT32HEALTH, INC. HAS AN INDEPENDENT HUMAN RESOURCES COMMITTEE (THE "COMMITTEE") THAT ANNUALLY REVIEWS THE TOTAL REMUNERATION OPPORTUNITIES, POLICIES AND PROGRAMS OF THE CEO AND CERTAIN EXECUTIVES, INCLUDING OTHER OFFICERS AND KEY EMPLOYEES AS WELL AS INDIVIDUALS THE COMMITTEE DEEMS APPROPRIATE TO REVIEW. THE COMMITTEE IS COMPRISED OF INDEPENDENT DIRECTORS OF THE COMPANY. THE COMMITTEE CONSIDERS MARKET DATA AND ANALYSES ASSEMBLED BY INDEPENDENT AND INTERNAL COMPENSATION CONSULTANTS WITH THE GOAL TO DETERMINE EXECUTIVE TOTAL REMUNERATION THAT IS REASONABLE AND COMPETITIVE WITHIN THE INDUSTRY AND GEOGRAPHY IN WHICH POINT32HEALTH, INC. OPERATES. |
| FORM 990, PART VI, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND ANNUAL FINANCIAL REPORT AND QUARTERLY FINANCIAL UPDATES ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE ALSO FILED WITH THE MASSACHUSETTS SECRETARY OF STATE, WHERE THEY ARE AVAILABLE TO THE PUBLIC. |
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