Harvard Pilgrim Health Care

Legal name: Harvard Pilgrim Health Care Inc

Overview

Mission

Guide and empower healthier lives for everyone. Call Member Services at the number on your member ID card if you need help with your plan in a language other than English. We're available Mondays, Tuesdays and Thursdays from 8 a.m. to 6 p.m.; Wednesdays from 10 a.m. to 6 p.m.; and Fridays from 8 a.m. to 5:30 p.m. Language assistance services for Medicare Advantage Stride members (Arabic) العربية. Harvard Pilgrim plans provide coverage for whole-person health, including physical, mental, emotional and family well-being. Explore plans to find the one that fits your lifestyle. Individual & family plans.

What it reported doing in 2024

Harvard pilgrim health care institute, llc ("institute") performs research and research administration for grants and contracts awarded to hphc, inc. The institute is a collaboration between hphc, inc. And harvard medical school. Its mission is to improve health care delivery and population health through research and education, in partnership with health plans, delivery systems, and public health agencies.

Operating model

Revenue model
Earned-program. 94% of the money available for current operations came from fees and other program revenue.
Distribution model
Member-benefit provider. The nonprofit used 82% of its reported program spending for member benefits.

Nonprofit profile at a glance

EIN
042452600
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Headquarters
Canton, MA, USA
Phone
888-888-4742
Rating
84
Verdict
STRONG
Rating confidence
Moderate
Sector
Group Health Practice (Health Maintenance Organizations)

Official website

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 88
  • Transparency & Controls: 76
  • Accountability: 100
  • Sustainability: 22
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 97.2%; rating input score 97
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 76th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -7.5%; rating input score 10; 10th percentile among comparable filings
  • Total-asset coverage ratio: 0.42; rating input score 14; 14th percentile among comparable filings
  • Liabilities to assets ratio: 0.65; rating input score 24; 24th percentile among comparable filings
  • Officer compensation ratio: 0.1%; rating input score 92; 92nd percentile among comparable filings

Growth

  • Program expense growth: 2.3% per year; rating input score 100; 18th percentile among comparable filings
  • Revenue growth: 0% per year; rating input score 100; 5th percentile among comparable filings
  • Asset growth: 2.4% per year; rating input score 100; 17th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site
  • Where the money goes: 100% of revenue deployed · 97.2% of spending went to programs
  • Governance: 12 of 12 board members independent · 9 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $2.6B in reported program spending
  • Leadership: top reported pay $4.6M · 32 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $4M reported
  • Consistency: 36 of 36 current checks pass
  • Schedules: 8 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 14 annual filings from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 15 filed money-flow records
  • Related organizations: 26 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Leadership & pay

32 people listed

Highest reported compensation

  • CAIN HAYES (DIR. PRES. & CEO (END 9/24)): $4,574,652 total reported compensation
  • PHILIP BARR (EVP, PRESIDENT, MARKETS): $1,739,964 total reported compensation
  • TRACEY CARTER (FORMER SVP, CHIEF ACTUARY): $1,616,917 total reported compensation

Source: IRS Form 990. Selected filing: FY2024.