The foundation’s giving is almost exclusively directed to supporting New Hampshire’s health insurance market stabilization via large payments into the NH Reinsurance Program. Grants are made to major insurance entities and administrators (e.g., Matthew Thornton Health Plan, Centene, Harvard Pilgrim) rather than to direct-service nonprofits, indicating a programmatic, policy/market-focused philanthropic role. The activity is highly concentrated geographically in New Hampshire and functionally on reinsurance/health-plan financial mechanisms.
Very concentrated: a handful of very large grants to a small set of repeat grantees, all tied to a single programmatic purpose (NH Reinsurance Program) rather than broad, distributed philanthropic support.
The largest recent grants from New Hampshire Individual Health Plan Benefit Association are payments into the NH Reinsurance Program, including $22,314,728 to Matthew Thornton Health Plan Inc in 2025 and $16,737,277 to Centene Corporation in 2024. That pattern defines the funder: it is not a conventional grantmaker to charities, but a programmatic supporter of New Hampshire’s individual health insurance market. Recent awards go to health insurers and administrators such as Harvard Pilgrim Health Care of Ne and Matthew Thornton Health Plan Inc, reflecting a policy-level role tied to health-plan financial mechanisms rather than direct service delivery. The foundation’s recent activity shows a consistent focus on stabilizing coverage for individual enrollees in New Hampshire. Its payments are large, recurring, and closely linked to the state reinsurance structure. Grantees include both in-state and out-of-state health organizations, with recipients in Manchester, St Louis, and Canton appearing in the recent grants list. The combination of substantial annual grant volume and a narrow functional purpose suggests a specialized funding model centered on health insurance affordability and risk pooling for New Hampshire residents.
One clear theme is support for the state’s reinsurance infrastructure. In 2025, the foundation gave $22,314,728 to Matthew Thornton Health Plan Inc for the NH Reinsurance Program, and in 2024 it gave $16,703,605 to Centene Corporation for the same purpose. It also backs regional health plan administrators involved in the same system. Harvard Pilgrim Health Care of Ne received $9,920,074 in 2024 for the NH Reinsurance Program and $5,600,080 in 2025 for the same program. A third pattern is direct support for insurers participating in New Hampshire’s individual market stabilization work. Centene Corporation received $15,537,348 in 2023, and Matthew Thornton Health Plan Inc received $13,973,250 in 2023, both tied to the same health-plan financing context.
Grant sizes are very large and tightly clustered: the 25th percentile is $13,132,670, the median is $15,519,651, and the 75th percentile is $16,703,605. The recent record shows repeated awards to the same organizations across multiple years, especially Centene Corporation, Matthew Thornton Health Plan Inc, and Harvard Pilgrim Health Care of Ne. That repetition points to an ongoing program relationship rather than one-off project grants. The foundation does not fund individuals and does not make program-related investments, so its support operates through organizational payments tied to a state insurance program.
$44.6M
$24.3M
$68.2M
$68.2M
Most grants fall between $13.1M and $16.7M, with a median of $15.5M.
25th Percentile
$13.1M
Median
$15.5M
75th Percentile
$16.7M
About 33% of grants go to recipients in MO.
Christopher Kennedy
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Notable grantees: Matthew Thornton Health Plan Inc, Centene Corporation, Harvard Pilgrim Health Care of New England
Giving is concentrated in the United States, with all 9 recent grants going to US recipients. New Hampshire accounts for 33% of grants, led by Manchester through Matthew Thornton Health Plan Inc. Outside the state, St Louis appears with Centene Corporation, and Canton appears with Harvard Pilgrim Health Care of Ne. The pattern is regional, but the recipient map extends beyond New Hampshire to health-plan organizations that help administer the state’s reinsurance structure.
It funds the NH Reinsurance Program and related health-plan administrators. Recent grants include $22,314,728 to Matthew Thornton Health Plan Inc, $16,737,277 to Centene Corporation, and $15,519,651 to Harvard Pilgrim Health Care of Ne, all tied to New Hampshire’s individual-market stabilization work.
No. The foundation’s giving goes to organizations such as health insurers and administrators rather than to people directly, and the beneficiary side of the program is individual health insurance enrollees in New Hampshire.
Recent grants are consistently in the multi-million-dollar range. The 25th percentile is $13,132,670, the median is $15,519,651, and the 75th percentile is $16,703,605.
All 9 recent grants went to US recipients. New Hampshire receives 33% of grants, and recipient cities in the recent list include Manchester, St Louis, and Canton.
2025
Source: IRS Form 990-PF, fiscal year 2025.
Most recent grants reported to the IRS.
| Recipient | Location | Amount | Year | Purpose |
|---|---|---|---|---|
| Matthew Thornton Health Plan Inc | Manchester, NH | $22,314,728 | 2025 | NH Reinsurance Program |
| Centene Corporation | St Louis, MO | $16,703,605 | 2025 | NH Reinsurance Program |
| Harvard Pilgram Health Care of NE | Canton, MA | $5,600,080 | 2025 | NH Reinsurance Program |
| Centene Corporation | St Louis, MO | $16,737,277 | 2024 | NH Reinsurance Program |
| Matthew Thornton Health Plan Inc | Machester, NH | $13,132,670 | 2024 | NH Reinsurance Program |
| Harvard Pilgram Health Care of NE | Canton, MA | $9,920,074 | 2024 | NH Reinsurance Program |
| CENTENE CORPORATION | ST LOUIS, MO | $15,537,348 | 2023 | — |
| HARVARD PILGRIM HEALTH CARE OF NE | CANTON, MA | $15,519,651 | 2023 | — |
| MATTHEW THORNTON HEALTH PLAN INC | MANCHESTER, NH | $13,973,250 | 2023 | — |
Matthew Thornton Health Plan Inc
$22,314,728NH Reinsurance Program
Centene Corporation
$16,703,605NH Reinsurance Program
Harvard Pilgram Health Care of NE
$5,600,080NH Reinsurance Program
Centene Corporation
$16,737,277NH Reinsurance Program
Matthew Thornton Health Plan Inc
$13,132,670NH Reinsurance Program
Harvard Pilgram Health Care of NE
$9,920,074NH Reinsurance Program
CENTENE CORPORATION
$15,537,348HARVARD PILGRIM HEALTH CARE OF NE
$15,519,651MATTHEW THORNTON HEALTH PLAN INC
$13,973,250