Nonprofit · EIN 80-0721489
TUFTS HEALTH PUBLIC PLANS INC
Tax-exempt · CANTON, MA 02021
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $2,573,867,909 | $2,702,151,634 | -$128,283,725 | $988,406,949 | $692,677,388 | $295,729,561 |
| December 31, 2023 | 990 | $2,470,895,824 | $2,479,848,703 | -$8,952,879 | $1,156,361,918 | $718,882,296 | $437,479,622 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $0
- Program service revenue
- $2,539,094,271
- Investment income
- $34,773,638
- Net gain from sales of assets
- $7,888,076
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $25,250
- Benefits paid to members
- $2,355,316,981
- Compensation of officers, directors and key employees
- $0
- Other salaries and wages
- $25,945,460
- Salaries, compensation and benefits (total)
- $28,336,860
- Professional fundraising fees
- $0
- Accounting fees
- $164,610
- Travel
- $1,299,854
- Depreciation
- $6,942,191
- Program services (functional)
- $2,615,857,238
- Management and general (functional)
- $86,294,396
Balance sheet and other
- Total assets, start of year
- $1,156,361,918
- Total assets, end of year
- $988,406,949
- Total liabilities, end of year
- $692,677,388
- Net assets, end of year
- $295,729,561
- Publicly traded securities
- $622,773,231
- Gross unrelated business income
- -$289,170
- Gross receipts
- $2,866,466,389
- Employees
- 447
- Volunteers
- 0
- Year formed
- 2014
- State of legal domicile
- MA
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| CAIN HAYES | DIR. PRES. & CEO (END 9/24) Trustee or director, Officer | 10 | $0 | $4,532,289 | $42,363 |
| PHILIP BARR | EVP, PRESIDENT, MARKETS Key employee | 10 | $0 | $1,580,792 | $159,172 |
| TRACEY CARTER | FORMER SVP, CHIEF ACTUARY Former | 0 | $0 | $1,598,732 | $18,185 |
| PETE CHURCH | CHIEF PEOPLE & CULTURE OFFICER Highest-paid employee | 10 | $0 | $1,284,213 | $156,654 |
| ROLAND PRICE | FORMER TREASURER Former | 0 | $0 | $1,299,914 | $15,069 |
| R SCOTT WALKER | CFO & PRESIDENT (START 9/24) Officer | 10 | $0 | $1,041,266 | $162,232 |
| MARK PORTER | TREASURER Officer | 10 | $0 | $1,024,863 | $112,221 |
| KRISTIN LEWIS | CHIEF PUB & COMN AFF OFFICER Highest-paid employee | 10 | $0 | $998,596 | $118,145 |
| UMESH KURPAD | FORMER CFO Former | 0 | $0 | $1,087,771 | $21,702 |
| KATIE CATLENDER | COO (START 1/24) Key employee | 12.5 | $0 | $880,347 | $67,611 |
| ROBERT WILLIAMS | SVP, BUSINESS PERFORMANCE Highest-paid employee | 10 | $0 | $836,744 | $105,431 |
| DEAN PEASLEY | SVP, OPERATIONS (END 4/24) Highest-paid employee | 12.5 | $0 | $840,092 | $31,405 |
| URCEL FIELDS | SVP, PRES. GOVT MKT(END 11/24) Highest-paid employee | 7.5 | $0 | $842,020 | $16,316 |
| TISA HUGHES | FORMER CLERK/SECRETARY Former | 0 | $0 | $824,422 | $31,490 |
| SUSAN KEE | CLERK/SECRETARY, CLO Officer | 10 | $0 | $696,820 | $93,265 |
18 more people on this return
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| MARY MAHONEY | FORMER SVP, CLO Former | 0 | $0 | $705,784 | $0 |
| EILEEN AUEN | EXECUTIVE CHAIR (START 9/24) Trustee or director, Officer | 10 | $0 | $533,336 | $0 |
| THOMAS CROSWELL | FORMER CEO Former | 0 | $0 | $404,893 | $9,900 |
| PATRICIA HOWARD | FORMER COO Former | 0 | $0 | $232,740 | $0 |
| MICHAEL J MCCOLGAN | DIRECTOR Trustee or director | 1 | $0 | $141,000 | $0 |
| BERTRAM L SCOTT | LEAD DIR/VICE CHR(START 10/24) Trustee or director, Officer | 1 | $0 | $138,000 | $0 |
| MICHAEL SHEA | DIRECTOR Trustee or director | 1 | $0 | $136,000 | $0 |
| TODD WHITBECK | DIRECTOR Trustee or director | 1 | $0 | $135,500 | $0 |
| HEDWIG VEITH WHITNEY | DIRECTOR Trustee or director | 1 | $0 | $135,000 | $0 |
| GREGORY D TRANTER | DIRECTOR Trustee or director | 1 | $0 | $133,000 | $0 |
| PETER SLAVIN MD | DIRECTOR (END 9/24) Trustee or director | 1 | $0 | $124,306 | $0 |
| RAYMOND PAWLICKI | DIRECTOR Trustee or director | 1 | $0 | $120,000 | $0 |
| IRINA SIMMONS | DIRECTOR (END 6/24) Trustee or director | 1 | $0 | $79,778 | $0 |
| JOYCE MURPHY | DIRECTOR (END 6/24) Trustee or director | 1 | $0 | $79,778 | $0 |
| GAUROV DAYAL MD | DIRECTOR (START 6/24) Trustee or director | 1 | $0 | $44,695 | $0 |
| ELIZABETH BIERBOWER | DIRECTOR (START 6/24) Trustee or director | 1 | $0 | $42,223 | $0 |
| MICHAEL TARNOFF MD | DIRECTOR (START 12/24) Trustee or director | 1 | $0 | $0 | $0 |
| GREG SHELL | DIRECTOR, VICE CHAIR Trustee or director, Officer | 1 | $0 | $0 | $0 |
990 for the year ended December 31, 2023: 29 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| CAIN HAYES | PRESIDENT & CEO Trustee or director, Officer | 10 | $0 | $3,859,017 | $387,442 |
| PHILIP BARR | EVP, PRESIDENT, MARKETS Key employee | 10 | $0 | $1,750,853 | $201,705 |
| PATRICIA HOWARD | COO (END 5/3) Key employee | 12.5 | $0 | $1,613,105 | $59,229 |
| UMESH KURPAD | CFO (END 7/4) Officer | 10 | $0 | $1,454,835 | $166,409 |
| PETE CHURCH | CHIEF PEOPLE OFFICER Highest-paid employee | 10 | $0 | $1,348,346 | $199,722 |
| TISA HUGHES | CLERK/SECRETARY Officer | 10 | $0 | $1,330,477 | $135,726 |
| TRACEY CARTER | SVP, CHIEF ACTUARY Highest-paid employee | 12.5 | $0 | $1,175,535 | $167,611 |
| SELMA FERHATBEGOVIC | SVP, CHIEF INFORMATION OFFICER Highest-paid employee | 10 | $0 | $1,107,453 | $152,803 |
| MARK PORTER | TREASURER (START 10/12) Officer | 10 | $0 | $1,055,628 | $166,825 |
| KRISTIN LEWIS | CHIEF PUB & COMN AFF OFFICER Highest-paid employee | 10 | $0 | $1,034,645 | $152,533 |
| DEAN PEASLEY | SVP, OPERATIONS Highest-paid employee | 12.5 | $0 | $834,830 | $138,389 |
| MICHAEL CARSON | FORMER PRESIDENT (END 10/1/21) Former | 0 | $0 | $866,154 | $0 |
| R SCOTT WALKER | CFO (START 7/5) Officer | 10 | $0 | $727,951 | $117,945 |
| SUSAN KEE | CLERK/SECRETARY (START 12/11) Officer | 10 | $0 | $645,368 | $72,203 |
| ROLAND PRICE | TREASURER (END 10/11) Officer | 10 | $0 | $596,123 | $79,256 |
| THOMAS CROSWELL | FORMER CEO Former | 0 | $0 | $612,500 | $9,150 |
| EILEEN AUEN | DIRRCTOR, CHAIR Trustee or director, Officer | 2 | $0 | $161,250 | $0 |
| MICHAEL J MCCOLGAN | DIRECTOR Trustee or director | 1 | $0 | $131,750 | $0 |
| GREGORY D TRANTER | DIRECTOR Trustee or director | 1 | $0 | $129,375 | $0 |
| MICHAEL SHEA | DIRECTOR Trustee or director | 1 | $0 | $123,375 | $0 |
| BERTRAM L SCOTT | DIRECTOR Trustee or director | 1 | $0 | $119,375 | $0 |
| HEDWIG VEITH WHITNEY | DIRECTOR Trustee or director | 1 | $0 | $117,375 | $0 |
| MYECHIA MINTER-JORDAN MD | DIRECTOR (END 12/8) Trustee or director | 1 | $0 | $116,375 | $0 |
| TODD WHITBECK | DIRECTOR Trustee or director | 1 | $0 | $113,000 | $0 |
| PETER SLAVIN MD | DIRECTOR Trustee or director | 1 | $0 | $112,000 | $0 |
| RAYMOND PAWLICKI | DIRECTOR Trustee or director | 1 | $0 | $111,000 | $0 |
| IRINA SIMMONS | DIRECTOR Trustee or director | 1 | $0 | $109,000 | $0 |
| JOYCE MURPHY | DIRECTOR Trustee or director | 1 | $0 | $107,000 | $0 |
| GREG SHELL | DIRECTOR, VICE CHAIR Trustee or director, Officer | 1 | $0 | $13,000 | $0 |
Address and contacts
- Address (IRS master file)
- 1 WELLNESS WAY, CANTON, MA 02021-1166
- In care of
- % MARK PORTER TREASURER
- Principal officer (990 for 2024)
- PATRICK GILLIGAN, 1 WELLNESS WAY, CANTON, MA 02021
- Signed the 990
- MARK PORTER, TREASURER
- Phone
- (617) 972-9400
- Website
- WWW.TUFTSHEALTHPLAN.COM
- Return prepared by
- PwC US Tax LLP
Mission
SEE SCHEDULE O
Program accomplishments
- DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS - MASSACHUSETTS MEDICAID MCO AND ACO PLANS TUFTS HEALTH TOGETHER IS THE NAME OF THE ORGANIZATION'S MASSACHUSETTS MEDICAID MCO AND ACO PLANS THAT PROVIDE ACCESS TO AFFORDABLE HEALTH CARE FOR QUALIFIED RESIDENTS AND THEIR FAMILIES WHO MEET INCOME AND OTHER ELIGIBILITY REQUIREMENTS. MASSHEALTH IS THE NAME OF THE MASSACHUSETTS MEDICAID PROGRAM FUNDED BY THE FEDERAL GOVERNMENT AND THE STATE. MASSHEALTH HELPS PEOPLE WITH LIMITED INCOMES AND RESOURCES PAY FOR MEDICAL AND SUPPORT SERVICES. IT ALSO COVERS EXTRA SERVICES AND DRUGS. THE ORGANIZATION PROVIDES ACCESS TO AFFORDABLE HEALTH CARE THROUGH A MEDICAID MANAGED CARE ORGANIZATION CONTRACT WITH THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES FOR QUALIFIED RESIDENTS AND THEIR FAMILIES WHO MEET INCOME AND OTHER ELIGIBILITY REQUIREMENTS. THPP WAS AWARDED TWO MEDICAID ACCOUNTABLE CARE ORGANIZATION CONTRACTS BY EOHHS IN ADDITION TO ITS EXISTING MANAGED CARE ORGANIZATION CONTRACT. THROUGH CONTRACTS WITH TWO MASSACHUSETTS-BASED PROVIDER SYSTEMS, THE ORGANIZATION PROVIDES MEDICAID MANAGED CARE CLOSELY ALIGNED WITH PRIMARY CARE PHYSICIANS AND COMMUNITY PARTNERS. TUFTS HEALTH TOGETHER PROVIDES LOW TO MODERATE INCOME INDIVIDUALS WITH ACCESS TO THOUSANDS OF HIGH QUALITY PRIMARY CARE DOCTORS AND SPECIALISTS ACROSS THE STATE, SUPPORTIVE SERVICE REPRESENTATIVES, INFORMATION IN A NUMBER OF LANGUAGES, AS WELL AS PREVENTIVE MEASURES SUCH AS CAR SEATS AND FITNESS BANDS, INCENTIVES FOR HEALTHY BEHAVIORS, GYM FEE REIMBURSEMENTS, AND OTHER IMPORTANT TOOLS TO PROMOTE HEALTH AND WELLNESS. NCQA HEALTH PLAN ACCREDITATION AND HEALTH PLAN RATING EVALUATE HEALTH PLANS' STRUCTURE AND PROCESS, CLINICAL QUALITY AND PATIENT SATISFACTION. TUFTS HEALTH PUBLIC PLAN'S TOGETHER MEDICAID PRODUCT MAINTAINS NCQA HEALTH PLAN ACCREDITATION AND HAS CONSISTENTLY RECEIVED HIGH SCORES BASED ON NCQA'S HEALTH PLAN RATING METHODOLOGY AND ACHIEVED A RATING OF 4.5 OUT OF 5 FOR THE NCQA HEALTH PLAN RATINGS WHICH WERE RELEASED IN 2023. TUFTS HEALTH PUBLIC PLANS CONTINUES TO IMPLEMENT OUTREACH PROGRAMS WITH BOTH PROVIDERS AND MEMBERS WITH THE GOAL OF IMPROVING THE QUALITY OF CARE PROVIDED AND RECEIVED. UPDATED RATINGS FOR 2024 WILL BE POSTED IN SEPTEMBER 2024. TUFTS HEALTH PUBLIC PLANS WAS THE FIRST PLAN IN MASSACHUSETTS AND AMONG THE FIRST IN NEW ENGLAND TO ACHIEVE NCQA HEALTH EQUITY ACCREDITATION. ----------Expenses $1,135,024,279 · grants $10,956 · revenue $1,101,716,715
- DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS - MASSACHUSETTS QUALIFIED HEALTH PLAN COVERAGE TUFTS HEALTH DIRECT IS AN INDIVIDUAL AND SMALL GROUP QUALIFIED HEALTH PLAN ("QHP") ESTABLISHED BY THE ORGANIZATION AFTER THE ENACTMENT OF THE AFFORDABLE CARE ACT TO PROVIDE ACCESS TO AFFORDABLE HEALTH CARE FOR INDIVIDUALS AND FAMILIES WHO ARE NOT ELIGIBLE FOR AFFORDABLE EMPLOYER-SPONSORED INSURANCE, AND SMALL EMPLOYER GROUPS WITH 1-50 EMPLOYEES. THESE PLANS ARE SOLD PRIMARILY THROUGH THE MASSACHUSETTS HEALTH CONNECTOR, THE MASSACHUSETTS STATE RUN EXCHANGE. TUFTS HEALTH DIRECT IS ACCREDITED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE. ----------Expenses $1,065,387,145 · grants $10,284 · revenue $1,034,123,100
- DETAIL OF PROGRAM SERVICE ACCOMPLISHMENTS - DUAL-ELIGIBLE PROGRAM TUFTS HEALTH ONE CARE IS A MEDICARE-MEDICAID PLAN ("MMP") FOR INDIVIDUALS AGE 21-64 WHO ARE ELIGIBLE FOR BOTH MEDICARE AND MEDICAID. TUFTS HEALTH ONE CARE IS ONE OF THREE MASSACHUSETTS ONE CARE PLANS PARTICIPATING IN THE FINANCIAL ALIGNMENT INITIATIVE ('DUALS DEMONSTRATION') TO INTEGRATE BENEFITS AND CARE FOR MEDICARE-MEDICAID ENROLLEES. THE PLAN CONTRACTS WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AND THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES TO PROVIDE THE BENEFITS OF BOTH PROGRAMS TO LOW AND MODERATE INCOME INDIVIDUALS WITH DISABILITIES. THE ORGANIZATION ALSO PROVIDES ACCESS TO AFFORDABLE CARE THROUGH A FULLY INTEGRATED DUAL-ELIGIBLE SPECIAL NEEDS PLAN THROUGH THE MASSACHUSETTS SENIOR CARE OPTIONS PROGRAM. THPP PROVIDES COVERAGE FOR PEOPLE AGE 65 OR OLDER WHO ARE ELIGIBLE FOR MASSHEALTH STANDARD, HAVE BOTH MEDICARE PART A AND B, AND HAVE NOT BEEN DIAGNOSED AS HAVING END STAGE RENAL DISEASE. THIS PROGRAM INTEGRATES MEDICAID AND MEDICARE BENEFITS AND SERVICES, PROVIDING THOSE ELIGIBLE WITH COORDINATED HIGH-QUALITY AND COST-EFFECTIVE HEALTH CARE. ----------Expenses $305,335,206 · grants $2,947 · revenue $296,375,070
- RI MEDICAIDExpenses $110,110,608 · grants $1,063 · revenue $106,879,386
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 80-0721489
- Tax-exempt status
- 501(c)(4): Social welfare organization
- Donations deductible
- No
- Exempt since
- 2017
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Mutual and membership benefit (Y20)
- Assets (IRS master file)
- $988,406,949
- Income (IRS master file)
- $2,866,466,389
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $2,573,867,909 | $2,702,151,634 | $988,406,949 | XML |
| 990 | December 2023 | $2,470,895,824 | $2,479,848,703 | $1,156,361,918 | XML |
| 990 | December 2022 | $2,887,097,853 | $2,846,959,022 | $1,077,858,471 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | December 2018 | – | – | – | IRS |
| 990 | December 2017 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 80-0721489).
Questions about TUFTS HEALTH PUBLIC PLANS INC
- What is the EIN of TUFTS HEALTH PUBLIC PLANS INC?
- The employer identification number (EIN) of TUFTS HEALTH PUBLIC PLANS INC is 80-0721489.
- Is TUFTS HEALTH PUBLIC PLANS INC tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(4) since 2017.
- Are donations to TUFTS HEALTH PUBLIC PLANS INC tax-deductible?
- No. The IRS master file says contributions to it are not deductible.
- Which annual return does TUFTS HEALTH PUBLIC PLANS INC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of TUFTS HEALTH PUBLIC PLANS INC due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did TUFTS HEALTH PUBLIC PLANS INC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of TUFTS HEALTH PUBLIC PLANS INC?
- The 990 for the year ended December 31, 2024 names PATRICK GILLIGAN.
- Who are the officers and directors of TUFTS HEALTH PUBLIC PLANS INC?
- The 990 for the year ended December 31, 2024 lists 33 people; 0 received compensation from the organization.
- How much revenue does TUFTS HEALTH PUBLIC PLANS INC have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $2,573,867,909, expenses of $2,702,151,634 and total assets of $988,406,949 at year end.
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