Mass General Brigham Health Plan
Legal name: Mass General Brigham Health Plan Inc
Nonprofit profile at a glance
- EIN
- 042932021
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024
- Location
- Somerville, MA, USA
- Phone
- 866-414-5533 (Customer Service)
- Rating
- 85
- Verdict
- STRONG
- Rating confidence
- Moderate
Reported finances
- Revenue
- $2,186,698,392
- Expenses
- $2,209,847,248
- Assets
- $740,951,164
- Liabilities
- $535,776,387
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
29 people listed
Executive titles in this filing
- STEVEN J TRINGALE (PRESIDENT & DIRECTOR)
Highest reported compensation
- NIYUM GANDHI (TREASURER): $1,739,177 total reported compensation
- STEVEN J TRINGALE (PRESIDENT & DIRECTOR): $1,148,042 total reported compensation
- ALAN ANTHONY JAMES (DIRECTOR): $993,340 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
A woman sitting at a table using her laptop to access the wellness hub. Your plan gives you access to our wellness hub, where you can build healthier habits at your own pace with tools, tips, and personalized guidance to support your well-being goals. Sign into the Member Portal and complete the health profile survey to begin. Get started today.
What it reported doing in 2024
Health care delivery: mass general brigham health plan (mgbhp) promotes the general welfare of the people in the community by facilitating the delivery of comprehensive health services on a prepaid basis to members at 2,059 primary care locations. Fully insured members include 233,978 individuals covered by medicaid, medicare advantage, small and large employer groups and low-income, high-risk individuals. During 2024, members incurred approximately 4.4 million ambulatory encounters and incurred 169,638 hospital patient days. Mgbhp offers members access to 8,385 primary cary physicians and 53,275 specialty care providers. Since 2008, mass general brigham health plan has been accredited by the national committee for quality assurance (ncqa). The ncqa accreditation survey process includes on- and off-site evaluations of over 60 standards and performance measures conducted by a team of physicians and managed care experts. Nearly every part of the mass general brigham health plan was evaluated including utilization management, care management, quality, member experience/customer service, network operations, population health, and credentialing. Mass general brigham health plan voluntarily pursued ncqa accreditation and will continue to strive for this recognition because we know our members deserve the highest quality care. In the latest health plan survey ratings (2024), we achieved a 4.0 out of 5.0-star rating for both our commercial and medicaid plans.
Operating model
- Revenue model
- Earned-program. 99% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Member-benefit provider. The nonprofit used 94% of its reported program spending for member benefits.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Program spending has declined or grown slowly and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 89
- Transparency & Controls: 94
- Accountability: 82
- Sustainability: 27
- Growth: 60
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 100%; rating input score 100
- Program expense ratio: 99.2%; rating input score 99
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 70%; rating input score 70; 21st 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: -1.1%; rating input score 22; 22nd percentile among comparable filings
- Total-asset coverage ratio: 0.34; rating input score 11; 11th percentile among comparable filings
- Liabilities to assets ratio: 0.72; rating input score 21; 21st percentile among comparable filings
- Officer compensation ratio: 0.1%; rating input score 94; 94th percentile among comparable filings
Growth
- Program expense growth: -1.8% per year; rating input score 0; 4th percentile among comparable filings
- Revenue growth: 1.2% per year; rating input score 100; 9th percentile among comparable filings
- Asset growth: 3.9% per year; rating input score 100; 27th percentile among comparable filings
Details
- What they do: Mission, programs, and operating context captured from the official website.
- Where the money goes: 100% of revenue deployed · 99.2% of spending went to programs
- Governance: 7 of 10 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $2.2B in reported program spending
- Leadership: top reported pay $1.7M · 29 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $378.4M reported
- Consistency: 31 of 31 current checks pass
- Schedules: 4 filed schedules · includes executive pay and related organizations
- Filing history: 12 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Related organizations: 72 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.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Growth: Program expense growth scored 0/100.
- High — Sustainability: Operating margin scored 22/100.
- High — Sustainability: Total-asset coverage ratio scored 11/100.
- High — Sustainability: Liabilities to assets ratio scored 21/100.