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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC (EIN 04-3362283)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202423199349313037
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-14T15:19:54+00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12100 ONE PPG PLACEAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15222ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043362283EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBLUEBusinessNameControlTxt
Phone6172465313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1M Carder 101 HUNTINGTON AVE 1300AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02199ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRUBY KAMPersonNm
Person TitleCFOPersonTitleTxt
Signature2024-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEileen WebbPreparerPersonNm
PTINP01641852PTIN
Phone4126447800PhoneNum
Preparation2024-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1SARAH ISELINBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1M Carder 101 HUNTINGTON AVE 1300AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02199ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,316,667,886GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.BLUECROSSMA.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionIT IS A HEALTH MAINTENANCE ORGANIZATION THAT PROVIDES MEDICAL AND OTHER HEALTH BENEFITS TO MEMBERS THROUGH CONTRACTS WITH HOSPITALS, PHYSICIANS, NURSING HOMES, ETC.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee144TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$54,063TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$36,189NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$5,432,916,359PYProgramServiceRevenueAmt
CY Program Service Revenue$5,770,512,275CYProgramServiceRevenueAmt
PY Investment Income$94,694,339PYInvestmentIncomeAmt
CY Investment Income$80,916,368CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,527,610,698PYTotalRevenueAmt
CY Total Revenue$5,851,428,643CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$4,744,634,046PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$5,033,264,555CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$199,561,997PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$218,234,215CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$381,353,809PYOtherExpensesAmt
CY Other Expenses$412,201,443CYOtherExpensesAmt
PY Total Expenses$5,325,549,852PYTotalExpensesAmt
CY Total Expenses$5,663,700,213CYTotalExpensesAmt
PY Revenues Less Expenses$202,060,846PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$187,728,430CYRevenuesLessExpensesAmt
Total Assets BOY$3,083,661,495TotalAssetsBOYAmt
Total Assets EOY$3,446,766,844TotalAssetsEOYAmt
Total Liabilities BOY$943,145,098TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,065,071,321TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,140,516,397NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,381,695,523NetAssetsOrFundBalancesEOYAmt
MissionTHE COMPANY OFFERS HEALTH MAINTENANCE ORGANIZATION SERVICES AND SUPPLEMENTARY PROGRAMS FOR THE BENEFIT OF ITS MEMBERS, PROVIDING HOSPITALIZATION, MEDICAL, AND OTHER HEALTH BENEFITS TO MEMBERS. THROUGH CONTRACTS WITH HOSPITALS, PHYSICIANS, NURSING FACILITIES, AND OTHER HEALTH CARE PROVIDERS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,033,264,555ExpenseAmt
Revenue$5,770,512,275RevenueAmt
DescPROVISION OF HOSPITAL AND MEDICAL BENEFITS.Desc
Total Program Service Expenses$5,033,264,555TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee144EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL CARDERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6172465313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HUNTINGTON AVENUE SUITE 1300AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02199ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDREANA SANTANGELO
DIRECTOR, EVP & CFO0.037.5Yes (X)Yes (X)$0$3,520,748$229,865
DONALD SAVERY
DIRECTOR, GENERAL COUNSEL AND SECRETARY0.037.5Yes (X)Yes (X)$0$831,391$159,733
DOROTHY PUHY
CHAIR0.04.0Yes (X)Yes (X)$0$138,759$0
RICHARD LYNCH
DIRECTOR, SVP & COO0.037.5Yes (X)Yes (X)$0$2,341,678$953,842
RUBY KAM
DIRECTOR, EVP & CHIEF FINANCIAL OFFICER0.037.5Yes (X)Yes (X)$0$183,884$513,599
SARAH ISELIN
DIRECTOR, PRESIDENT & CEO0.037.5Yes (X)Yes (X)$0$6,021,080$188,658
ALONA ABALOS
VICE PRESIDENT & ASST. CLERK0.037.5Yes (X)$0$414,018$67,988
ANTHONY CRISCUOLO
VP OF TREASURY AND INVESTMENTS0.037.5Yes (X)$0$744,952$299,631
ENRICO GIAMMARCO
ASSISTANT TREASURER15.022.5Yes (X)$94,110$141,164$17,573
LINDA WILLIAMS
SVP & CHIEF AUDIT EXECUTIVE0.037.5Yes (X)$0$915,976$178,840
MARK COLLURA
ASSISTANT TREASURER15.022.5Yes (X)$94,269$141,403$17,898
MICHAEL GURRIERE
SVP & CHIEF ACTUARY0.037.5Yes (X)$0$832,855$194,653
JOSEPH SCHWARTZ
PHYSICIAN REVIEWER11.526.0$95,554$218,766$41,438Yes (X)
MICHAEL CONTI
ASSOCIATE DIRECTOR, NATL SALES3.534.0$265,697$26,599$16,954Yes (X)
MONICA RUEHLI
PHYSICIAN REVIEWER11.526.0$88,227$201,990$30,363Yes (X)
PETER CELLUCCI
PHYSICIAN REVIEWER11.526.0$79,115$181,132$18,467Yes (X)
RICHARD LEWIS
PHYSICIAN REVIEWER11.526.0$85,887$196,636$23,461Yes (X)
ANDREW DREYFUS
FORMER DIRECTOR, PRESIDENT & CEO0.00.0$0$13,838,852$654,130Yes (X)
STEPHANIE LOVELL
FORMER DIRECTOR AND FORMER CHIEF LEGAL OFFICER0.00.0$0$879,750-$232,666Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$802,859TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$31,771,633TotReportableCompRltdOrgAmt
Total Other Compensation$3,374,427TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K196IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PERFICIENT INC
455 GRAND UNION BLVDSOMERVILLEMA02145IT CONSULTING$11,694,952
COGNIZANT WORLDWIDE LIMTED
6 TRAFALGAR SQNASHUANH03063IT CONSULTING$5,888,292
OLIVER WYMAN INC
99 HIGH STREETBOSTONMA02110BUSINESS CONSULTING$2,496,091
BAIN & CO INC
131 DARTMOUTH STREETBOSTONMA02116BUSINESS MANAGEMENT CONSULTING$1,527,943
ERNST & YOUNG LLP
200 CLARENDON STBOSTONMA02116AUDIT & CONSULTING$1,312,178
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K48CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPREMIUMS EARNEDDesc
Business524114BusinessCd
Total Revenue Column$5,770,512,275TotalRevenueColumnAmt
Related Or Exempt Func Income$5,770,512,275RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,770,512,275TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$94,555,921TotalRevenueColumnAmt
Unrelated Business Revenue$54,063UnrelatedBusinessRevenueAmt
Exclusion$94,501,858ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$223,145,622SecuritiesAmt
Other$228,454,068OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$245,334,797SecuritiesAmt
Other$219,904,446OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$22,189,175SecuritiesAmt
Other$8,549,622OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$13,639,553TotalRevenueColumnAmt
Exclusion-$13,639,553ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,851,428,643TotalRevenueColumnAmt
Related Or Exempt Func Income$5,770,512,275RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$54,063UnrelatedBusinessRevenueAmt
Exclusion$80,862,305ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$5,033,264,555TotalAmt
Program Services$5,033,264,555ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$202,567TotalAmt
Program Services$0ProgramServicesAmt
Management And General$202,567ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$170,609,022TotalAmt
Management And General$170,609,022ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,189,635TotalAmt
Management And General$7,189,635ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$29,205,204TotalAmt
Management And General$29,205,204ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,027,787TotalAmt
Management And General$11,027,787ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$837,858TotalAmt
Management And General$837,858ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$55,306TotalAmt
Management And General$55,306ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,627,237TotalAmt
Management And General$32,627,237ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$121,224,598TotalAmt
Program Services$0ProgramServicesAmt
Management And General$121,224,598ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,496,650TotalAmt
Management And General$5,496,650ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,023,074TotalAmt
Management And General$6,023,074ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$45,289,084TotalAmt
Management And General$45,289,084ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,446,534TotalAmt
Management And General$11,446,534ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,969,790TotalAmt
Management And General$1,969,790ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$64,699,398TotalAmt
Management And General$64,699,398ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
OTHER - BROKER FEES$104,345,423$104,345,423
OTHER - DUES AND ASSESSMENTS$34,285,493$34,285,493
DONATIONS AND PUBLIC RELATIONS$2,736,900$2,736,900
OTHER - OUT OF AREA PROGRAM$1,919,893$1,919,893

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$20,755,795TotalAmt
Program Services$0ProgramServicesAmt
Management And General-$20,755,795ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,663,700,213TotalAmt
Program Services$5,033,264,555ProgramServicesAmt
Management And General$630,435,658ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,568,105BOYAmt
EOY$7,377,501EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$164,402,574BOYAmt
EOY$185,748,064EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$148,021,449BOYAmt
EOY$190,727,230EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$121,419,987LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$60,864,427LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$84,687,045BOYAmt
EOY$60,555,560EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,731,589,220BOYAmt
EOY$1,971,885,950EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$902,606,726BOYAmt
EOY$996,439,563EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$37,786,376BOYAmt
EOY$34,032,976EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,083,661,495BOYAmt
EOY$3,446,766,844EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$62,750,558BOYAmt
EOY$53,871,988EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$167,708,767BOYAmt
EOY$157,683,627EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$712,685,773BOYAmt
EOY$853,515,706EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$943,145,098BOYAmt
EOY$1,065,071,321EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$2,140,516,397BOYAmt
EOY$2,381,695,523EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,140,516,397BOYAmt
EOY$2,381,695,523EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,083,661,495BOYAmt
EOY$3,446,766,844EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$187,728,430ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$53,134,519NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$316,177OtherChangesInNetAssetsAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,546,776OtherCostOrOtherBasisAmt
Book Value$7,546,776BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,359,811OtherCostOrOtherBasisAmt
Depreciation$38,013,593DepreciationAmt
Book Value$48,346,218BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,513,400OtherCostOrOtherBasisAmt
Depreciation$22,850,834DepreciationAmt
Book Value$4,662,566BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$60,555,560TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmt
JOINT VENTURE - FIXED INCOME$138,694,888
JOINT VENTURE - COMMON STOCK$205,325,558
JOINT VENTURE - REAL ESTATE$166,980,059
JOINT VENTURE - OTHER UNAFFIL$203,287,455
JOINT VENTURE -OTHER AFFILIATE$6,161,291
SURPLUS DEBENTURES-UNAFFIL.$275,990,312
FieldValueIRS element (for citing)
Total Book Value Securities$996,439,563TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
CLAIMS UNPAID$534,808,637
AGGREGATE POLICY RESERVES$63,039,284
PREMIUMS RECEIVED IN ADVANCE$92,932,873
OTHER LIABILITIES$102,190,389
UNPAID CLAIMS ADJUSTMENT EXPEN$4,752,614
PAYABLE FOR SECURITIES$55,791,909
FieldValueIRS element (for citing)
Total Liability$853,515,706TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$5,851,428,643TotalRevEtcAuditedFinclStmtAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$5,851,428,643RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,851,428,643TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,663,700,213TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,663,700,213ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,663,700,213TotalExpensesPerForm990Amt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)Investments$46,862,122
Central America and the CaribbeanInvestments$61,912,672
North America (Canada & Mexico only)Investments$71,877,781
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$180,652,575SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$180,652,575TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3 Method used to account for expenditures on org's financial statementsFormAndLineReferenceDesc
ExplanationCENTRAL AMERICA AND THE CARIBBEA; EUROPE (INCLUDING ICELAND AND GREENLAND; NORTH AMERICA (CANADA & MEXICO ONLYExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ANDREW DREYFUS
FORMER DIRECTOR, PRESIDENT & CEO$0$55,384$0$4,772,480$0$9,010,988$0$651,407$0$2,723$0$14,492,982$0$10,141,418
RUBY KAM
DIRECTOR, EVP & CHIEF FINANCIAL OFFICER$0$172,885$0$0$0$10,999$0$505,484$0$8,115$0$697,483$0$0
SARAH ISELIN
DIRECTOR, PRESIDENT & CEO$0$1,200,000$0$4,800,000$0$21,080$0$156,738$0$31,920$0$6,209,738$0$0
ANDREANA SANTANGELO
DIRECTOR, EVP & CFO$0$474,148$0$1,848,347$0$1,198,253$0$208,542$0$21,323$0$3,750,613$0$1,398,438
RICHARD LYNCH
DIRECTOR, SVP & COO$0$685,577$0$1,465,438$0$190,663$0$927,644$0$26,198$0$3,295,520$0$520,833
DONALD SAVERY
DIRECTOR, GENERAL COUNSEL AND SECRETARY$0$400,000$0$411,736$0$19,655$0$133,333$0$26,400$0$991,124$0$133,333
STEPHANIE LOVELL
FORMER DIRECTOR AND FORMER CHIEF LEGAL OFFICER$0$0$0$598,749$0$281,001$0-$251,563$0$18,897$0$647,084$0$784,126
LINDA WILLIAMS
SVP & CHIEF AUDIT EXECUTIVE$0$355,000$0$451,276$0$109,700$0$149,134$0$29,706$0$1,094,816$0$146,733
MICHAEL GURRIERE
SVP & CHIEF ACTUARY$0$419,031$0$401,044$0$12,780$0$169,623$0$25,030$0$1,027,508$0$126,667
ANTHONY CRISCUOLO
VP OF TREASURY AND INVESTMENTS$0$390,425$0$339,444$0$15,083$0$262,271$0$37,360$0$1,044,583$0$75,533
ALONA ABALOS
VICE PRESIDENT & ASST. CLERK$0$258,173$0$139,015$0$16,830$0$43,901$0$24,087$0$482,006$0$42,011
ENRICO GIAMMARCO
ASSISTANT TREASURER$77,487$116,231$15,919$23,878$704$1,055$0$0$7,029$10,544$101,139$151,708$0$0
MARK COLLURA
ASSISTANT TREASURER$78,036$117,054$15,637$23,455$596$894$0$0$7,159$10,739$101,428$152,142$0$0
JOSEPH SCHWARTZ
PHYSICIAN REVIEWER$79,606$182,255$15,856$36,301$92$210$0$0$12,597$28,841$108,151$247,607$0$0
RICHARD LEWIS
PHYSICIAN REVIEWER$71,359$163,375$14,168$32,438$360$823$0$0$7,132$16,329$93,019$212,965$0$0
MONICA RUEHLI
PHYSICIAN REVIEWER$72,705$166,455$15,160$34,707$362$828$0$0$9,230$21,133$97,457$223,123$0$0
MICHAEL CONTI
ASSOCIATE DIRECTOR, NATL SALES$122,715$12,285$134,817$13,497$8,165$817$0$0$15,411$1,543$281,108$28,142$0$0
PETER CELLUCCI
PHYSICIAN REVIEWER$67,360$154,219$11,562$26,471$193$442$0$0$5,614$12,853$84,729$193,985$0$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travelTHE ORGANIZATION'S SENIOR LEVEL MANAGEMENT SERVICES ARE PROVIDED BY BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., A RELATED ORGANIZATION, UNDER AN ARM'S LENGTH SERVICES AGREEMENT. THE ORGANIZATION'S CEO IS COMPENSATED SOLELY BY BLUE CROSS BLUE SHIELD OF MASSACHUSETTS INC. THE ORGANIZATION'S CEO COMPENSATION IS DETERMINED UNDER THE DIRECTION OF THE HUMAN RESOURCES COMMITTEE OF THE BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. BOARD OF DIRECTORS USING MARKET ASSESSMENT INFORMATION PROVIDED BY INDEPENDENT COMPENSATION CONSULTANTS. FINAL APPROVAL OF THE ORGANIZATION'S CEO COMPENSATION IS PERFORMED BY THE FULL BOARD OF DIRECTORS OF BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE ORGANIZATION'S SENIOR LEVEL MANAGEMENT SERVICES ARE PROVIDED BY BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., A RELATED ORGANIZATION, UNDER AN ARM'S LENGTH SERVICES AGREEMENT. THE ORGANIZATION'S CEO IS COMPENSATED SOLELY BY BLUE CROSS BLUE SHIELD OF MASSACHUSETTS INC. THE ORGANIZATION'S CEO COMPENSATION IS DETERMINED UNDER THE DIRECTION OF THE HUMAN RESOURCES COMMITTEE OF THE BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. BOARD OF DIRECTORS USING MARKET ASSESSMENT INFORMATION PROVIDED BY INDEPENDENT COMPENSATION CONSULTANTS. FINAL APPROVAL OF THE ORGANIZATION'S CEO COMPENSATION IS PERFORMED BY THE FULL BOARD OF DIRECTORS OF BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC.
Schedule J, Part I, Line 4a Severance or change-of-control paymentIN 2023, ANDREW DREYFUS RECEIVED A SEVERANCE PAYMENT OF $588,271 AND ANDREANA SANTANGELO RECEIVED A SEVERANCE PAYMENT OF $300,300.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planTHE ORGANIZATION'S OFFICERS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SPONSORED BY THEIR EMPLOYER, BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. PAYMENTS WERE MADE TO ANDREW DREYFUS ($8,217,260), STEPHANIE LOVELL ($281,001), AND ANDREANA SANTANGELO ($683,438) AND ARE REPORTED ON FORM 990 PART VII. THE ACTUARIALLY DETERMINED PRESENT VALUE OF THE BENEFITS ACCRUED UNDER THIS PLAN IS INCLUDED IN EACH APPLICABLE INDIVIDUAL'S DEFERRED COMPENSATION AMOUNT ON THIS FORM.
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organizationTHE EMPLOYEES OF THE ORGANIZATION PARTICIPATED IN AN INCENTIVE PAY PLAN DESIGNED TO RECOGNIZE AND REWARD SIGNIFICANT ACCOMPLISHMENTS THAT HAVE CONTRIBUTED TO THE OVERALL SUCCESS OF THE ORGANIZATION IN THE FULFILLMENT OF ITS ORGANIZATIONAL MISSION. THE ORGANIZATION'S GOALS ARE ESTABLISHED AT THE BEGINNING OF THE CALENDAR YEAR BY THE INDEPENDENT BOARD OF DIRECTORS OF BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. ("BCBSMA"), A RELATED ORGANIZATION. THESE GOALS COVER IMPORTANT MEASURES OF THE ORGANIZATION'S SUCCESS SUCH AS NET FINANCIAL RESULTS, MEMBER SATISFACTION, AND NET MEMBERSHIP GROWTH. AT THE END OF THE YEAR, RESULTS AGAINST THOSE GOALS ARE REVIEWED BY THE BCBSMA BOARD OF DIRECTORS UNDER WHOSE SOLE DISCRETION THE DETERMINATION OF ANY PAYOUT LEVEL IS MADE. THERE IS NO GUARANTEE THAT AMOUNTS WILL BE PAID FOR ANY CALENDAR YEAR.
Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organizationTHE EMPLOYEES OF THE ORGANIZATION PARTICIPATED IN AN INCENTIVE PAY PLAN DESIGNED TO RECOGNIZE AND REWARD SIGNIFICANT ACCOMPLISHMENTS THAT HAVE CONTRIBUTED TO THE OVERALL SUCCESS OF THE ORGANIZATION IN THE FULFILLMENT OF ITS ORGANIZATIONAL MISSION. THE ORGANIZATION'S GOALS ARE ESTABLISHED AT THE BEGINNING OF THE CALENDAR YEAR BY THE INDEPENDENT BOARD OF DIRECTORS OF BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. ("BCBSMA"), A RELATED ORGANIZATION. THESE GOALS COVER IMPORTANT MEASURES OF THE ORGANIZATION'S SUCCESS SUCH AS NET FINANCIAL RESULTS, MEMBER SATISFACTION, AND NET MEMBERSHIP GROWTH. AT THE END OF THE YEAR, RESULTS AGAINST THOSE GOALS ARE REVIEWED BY THE BCBSMA BOARD OF DIRECTORS UNDER WHOSE SOLE DISCRETION THE DETERMINATION OF ANY PAYOUT LEVEL IS MADE. THERE IS NO GUARANTEE THAT AMOUNTS WILL BE PAID FOR ANY CALENDAR YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE ORGANIZATION'S BOARD OF DIRECTORS ARE APPOINTED BY, AND ACCOUNTABLE TO, THE BOARD OF DIRECTORS OF BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS, INC., THE ORGANIZATION'S PARENT COMPANY, WHICH IS COMPRISED OF A MAJORITY OF INDEPENDENT VOTING MEMBERS AND WHICH RESERVES THE RIGHT TO ACT AS THE BOARD COMMITTEES OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE ORGANIZATION'S BOARD OF DIRECTORS ARE APPOINTED BY, AND ACCOUNTABLE TO, THE BOARD OF DIRECTORS OF BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS, INC., THE ORGANIZATION'S PARENT COMPANY, WHICH IS COMPRISED OF A MAJORITY OF INDEPENDENT VOTING MEMBERS AND WHICH RESERVES THE RIGHT TO ACT AS THE BOARD COMMITTEES OF THE ORGANIZATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE ORGANIZATION'S BOARD OF DIRECTORS ARE APPOINTED BY, AND ACCOUNTABLE TO, THE BOARD OF DIRECTORS OF BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS, INC., THE ORGANIZATION'S PARENT COMPANY, WHICH IS COMPRISED OF A MAJORITY OF INDEPENDENT VOTING MEMBERS AND WHICH RESERVES THE RIGHT TO ACT AS THE BOARD COMMITTEES OF THE ORGANIZATION.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE ORGANIZATION'S FORM 990 WAS PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND REVIEWED BY A PAID PREPARER, WITH RELEVANT INPUT AND REVIEW BY SUBJECT MATTER PERSONNEL FROM THROUGHOUT THE ORGANIZATION. THE COMPLETED FORM 990 WAS PROVIDED TO BOTH THE VOTING MEMBERS OF THE GOVERNING BOARD OF THE ORGANIZATION AND DESIGNATED REPRESENTATIVES OF THE INDEPENDENT GOVERNING BOARD OF BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. AT THE DIRECTION OF THE FULL BOARD OF DIRECTORS.
Form 990, Part VI, Line 12c Conflict of interest policyTHE AVOIDANCE OF ACTUAL OR PERCEIVED CONFLICTS OF INTEREST IS IMPORTANT TO BLUE CROSS BLUE SHIELD OF MASSACHUSETTS AND ITS RELATED ORGANIZATIONS. AS A MATTER OF CORPORATE RESPONSIBILITY THE BOARD ENSURES THAT THE COMPANY MAINTAINS A THOROUGH AND ROBUST DISCLOSURE PROCESS. MEMBERS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION, ITS CORPORATE OFFICERS, SENIOR LEADERS, AND SELECT OTHER ASSOCIATES PARTICIPATE IN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS. THE CONFLICT PROCESS IS MANAGED BY THE BLUE CROSS BLUE SHIELD OF MASSACHUSETTS LEGAL DEPARTMENT AND IS DESIGNED TO IDENTIFY, AMONG OTHER MATTERS, SELF-REPORTED FINANCIAL RELATIONSHIPS BETWEEN THE ORGANIZATION, ITS DIRECTORS, AND SENIOR MANAGEMENT (INCLUDING FAMILY MEMBERS) AND OTHER ORGANIZATIONS. THE CONFLICT PROCESS PROVIDES AN OPPORTUNITY TO EVALUATE AND ADDRESS AS NECESSARY ACTUAL OR PERCEIVED CONFLICTS OF INTEREST. THE CONFLICT OF INTEREST POLICY, A CONFIDENTIALITY STATEMENT AND A DISCLOSURE QUESTIONNAIRE ARE DISTRIBUTED ANNUALLY TO DIRECTORS, OFFICERS, AND MEMBERS OF SENIOR MANAGEMENT. RESPONSES ARE SUBJECT TO EXTENSIVE EVALUATION BY THE LEGAL DEPARTMENT AND GOVERNANCE COMMITTEE. RECOMMENDATIONS AND SUMMARY REPORTS ARE PROVIDED TO AND EVALUATED ANNUALLY BY THE GOVERNANCE COMMITTEE.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialTHE ORGANIZATION'S SENIOR LEVEL MANAGEMENT SERVICES ARE PROVIDED BY BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., A RELATED ORGANIZATION, UNDER AN ARM'S LENGTH SERVICES AGREEMENT. THE ORGANIZATION'S CEO IS COMPENSATED SOLELY BY BLUE CROSS BLUE SHIELD OF MASSACHUSETTS INC. THE ORGANIZATION'S CEO COMPENSATION IS DETERMINED UNDER THE DIRECTION OF THE HUMAN RESOURCES COMMITTEE OF THE BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. BOARD OF DIRECTORS USING MARKET ASSESSMENT INFORMATION PROVIDED BY INDEPENDENT COMPENSATION CONSULTANTS. FINAL APPROVAL OF THE ORGANIZATION'S CEO COMPENSATION IS PERFORMED BY THE FULL BOARD OF DIRECTORS OF BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesTHE ORGANIZATION'S SENIOR LEVEL MANAGEMENT SERVICES ARE PROVIDED BY BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC., A RELATED ORGANIZATION, UNDER AN ARM'S LENGTH SERVICES AGREEMENT. THE ORGANIZATION'S CEO IS COMPENSATED SOLELY BY BLUE CROSS BLUE SHIELD OF MASSACHUSETTS INC. THE ORGANIZATION'S CEO COMPENSATION IS DETERMINED UNDER THE DIRECTION OF THE HUMAN RESOURCES COMMITTEE OF THE BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. BOARD OF DIRECTORS USING MARKET ASSESSMENT INFORMATION PROVIDED BY INDEPENDENT COMPENSATION CONSULTANTS. FINAL APPROVAL OF THE ORGANIZATION'S CEO COMPENSATION IS PERFORMED BY THE FULL BOARD OF DIRECTORS OF BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE COMPANY'S HEADQUARTERS AT 101 HUNTINGTON AVENUE, SUITE 1300, BOSTON, MA 02199-7611.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCHANGES IN NON-ADMITTED ASSETS - -391206; UNREALIZED FOREIGN EXCHANGE CAPITAL GAIN - 707383;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BCBSMA FOUNDATION FOR EXPANDING HEALTHCARE ACCESS
101 HUNTINGTON AVENUESUITE 1BOSTONMA02199043148824See Part VIIMA501(c)(3)PFNAfalse
HEALTHCARE ASSISTANCE FOUNDATION INC
101 HUNTINGTON AVENUESUITE 1BOSTONMA02199043453264HEALTH CARE ASSISTANCE FOUNDATION, INC. IS INACTIVE.MA501(c)(3)PFNAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BLUE CROSS AND BLUE SHIELD OF MA INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 HUNTINGTON AVENUEAddressLine1Txt
Address Line2SUITE 1300AddressLine2Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02199ZIPCd
FieldValueIRS element (for citing)
EIN041045815EIN
Primary ActivitiesSee Part VIIPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule R, Part IIBCBSMA FOUNDATION FOR EXPANDING HEALTHCARE ACCESS'S PRIMARY ACTIVITY IS TO PROVIDE AND SUPPORT EDUCATION, TO RESEARCH AND FOSTER HEALTH CARE INNOVATION, AND TO REFORM, DEVELOP, PROMOTE, AND SUPPORT PROGRAMS TO IMPROVE HEALTH CARE ACCESS.
Schedule R, Part IVBLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS, INC. (THE PARENT COMPANY) IS ORGANIZED FOR THE PURPOSE OF ESTABLISHING, MAINTAINING ,AND OPERATING A NON-PROFIT HOSPITAL AND MEDICAL SERVICE COMPANY TO PROVIDE HOSPITAL AND MEDICAL CARE REIMBURSEMENT FOR HEALTH SERVICES TO ITS MEMBERS. HOSPITALIZATION, MEDICAL, AND OTHER HEALTH BENEFITS ARE PROVIDED TO MEMBERS THROUGH CONTRACTS WITH HOSPITALS, PARTICIPATING PHYSICIANS, SKILLED NURSING FACILITIES, NURSING HOMES, AND OTHER HEALTH CARE ORGANIZATIONS. BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE, INC. ("HMO BLUE") IS A WHOLLY-CONTROLLED SUBSIDIARY ORGANIZATION OF BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS, INC. ("BCBSMA"). THE BOARD OF DIRECTORS OF HMO BLUE IS LARGELY MADE UP OF OFFICERS OF BCBSMA. HMO BLUE BOARD MEMBERS ARE APPROVED, APPOINTED AND OPERATE UNDER THE DIRECTION BY/OF THE BOARD OF DIRECTORS OF BCBSMA, AN INDEPENDENT GOVERNING BODY.