Harvard Pilgrim Health Care of Connecticut Inc

Nonprofit profile at a glance

EIN
461681667
IRS 990 coverage
2014–2020
Forms available
Form 990 2020, Form 990-N 2013
Location
Hartford, CT, USA
Phone
7812636000
Rating
72
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$21,117,996
Expenses
$26,414,734
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2020. Amounts in USD.

Leadership & pay

12 people listed

Executive titles in this filing

  • MICHAEL A CARSON (PRESIDENT/DIRECTOR)
  • BETH A ROBERTS (VICE PRESIDENT/DIRECTOR)

Highest reported compensation

  • MICHAEL A CARSON (PRESIDENT/DIRECTOR): $1,901,183 total reported compensation
  • CHARLES R GOHEEN (TREASURER): $796,034 total reported compensation
  • TISA K HUGHES (FORMER SECRETARY): $605,201 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2020. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

See schedule 0

What it reported doing in 2020

To improve the quality and value of health care for the people and communities we serve. During 01/01/2020 through 06/30/2020, harvard pilgrim health care of Connecticut, inc. Had 7,275 fully insured members, ambulatory encounters were 22,090 and hospital days incurred were 839.

Operating model

Revenue model
Earned-program. 98% of the money available for current operations came from fees and other program revenue.
Distribution model
Member-benefit provider. The nonprofit used 86% of its reported program spending for member benefits.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and most filed governance safeguards are in place. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 88
  • Transparency & Controls: 59
  • Accountability: 66
  • Sustainability: 9
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 98.1%; rating input score 98
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 8th 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: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 57.1%; rating input score 57; 10th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -25.1%; rating input score 3; 3rd percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 2.7%; rating input score 65; 65th percentile among comparable filings

Growth

  • Program expense growth: 42.5% per year; rating input score 100; 97th percentile among comparable filings
  • Revenue growth: 44.5% per year; rating input score 100; 98th percentile among comparable filings
  • Asset growth: 4.7% per year; rating input score 100; 39th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 98.1% of spending went to programs
  • Governance: 4 of 7 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $25.9M in reported program spending
  • Leadership: top reported pay $1.9M · 12 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed
  • Consistency: 11 of 12 current checks pass · 1 finding to review
  • Schedules: 5 filed schedules · includes executive pay
  • Filing history: 7 filing years from 2014 to 2020
  • Contacts: How to reach this organization
  • Related organizations: 9 filed related-organization links
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Independent voting board scored 57/100.
  • High — Sustainability: Operating margin scored 3/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.