BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC (EIN 04-3362283)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202333199349322813
- Schema version
- 2022v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T15:59:07+00:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2100 ONE PPG PLACE | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043362283 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLUE | BusinessNameControlTxt |
| Phone | 6172465313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HUNTINGTON AVE 1300 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02199 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RUBY KAM | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2023-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Eileen Webb | PreparerPersonNm |
| PTIN | P01641852 | PTIN |
| Phone | 4126447800 | PhoneNum |
| Preparation | 2023-11-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARAH ISELIN | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HUNTINGTON AVE 1300 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02199 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,932,174,231 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.BLUECROSSMA.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | IT 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 Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 141 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $47,597 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $41,837 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,257,247,493 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,432,916,359 | CYProgramServiceRevenueAmt |
| PY Investment Income | $122,333,288 | PYInvestmentIncomeAmt |
| CY Investment Income | $94,694,339 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $5,379,580,781 | PYTotalRevenueAmt |
| CY Total Revenue | $5,527,610,698 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $4,700,206,938 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $4,744,634,046 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $169,437,181 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $199,561,997 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $325,615,804 | PYOtherExpensesAmt |
| CY Other Expenses | $381,353,809 | CYOtherExpensesAmt |
| PY Total Expenses | $5,195,259,923 | PYTotalExpensesAmt |
| CY Total Expenses | $5,325,549,852 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $184,320,858 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $202,060,846 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,100,726,716 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,083,661,495 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $997,615,235 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $943,145,098 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,103,111,481 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,140,516,397 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,744,634,046 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,432,963,956 | RevenueAmt |
| Desc | PROVISION OF HOSPITAL AND MEDICAL BENEFITS. | Desc |
| Total Program Service Expenses | $4,744,634,046 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 141 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL CARDER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6172465313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HUNTINGTON AVENUE SUITE 1300 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02199 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANDREANA SANTANGELO | |||||||||
| DIRECTOR, EVP & CFO | 0.0 | 37.5 | Yes (X) | Yes (X) | $0 | $2,928,587 | $1,066,698 | ||
| ANDREW DREYFUS | |||||||||
| DIRECTOR, PRESIDENT & CEO | 0.0 | 37.5 | Yes (X) | Yes (X) | $0 | $5,643,230 | $1,717,914 | ||
| DONALD SAVERY | |||||||||
| GENERAL COUNSEL AND SECRETARY | 0.0 | 37.5 | Yes (X) | Yes (X) | $0 | $899,249 | $179,894 | ||
| DOROTHY PUHY | |||||||||
| CHAIR | 0.0 | 5.0 | Yes (X) | Yes (X) | $0 | $138,140 | $0 | ||
| RICHARD LYNCH | |||||||||
| DIRECTOR, SVP & COO | 0.0 | 37.5 | Yes (X) | Yes (X) | $0 | $2,410,079 | $769,510 | ||
| ALONA ABALOS | |||||||||
| VICE PRESIDENT & ASST. CLERK | 0.0 | 37.5 | Yes (X) | $0 | $426,444 | $65,348 | |||
| ANTHONY CRISCUOLO | |||||||||
| VP OF TREASURY AND INVESTMENTS | 0.0 | 37.5 | Yes (X) | $0 | $608,762 | $102,342 | |||
| ENRICO GIAMMARCO | |||||||||
| ASSISTANT TREASURER | 15.0 | 22.5 | Yes (X) | $90,855 | $136,284 | $17,217 | |||
| LINDA WILLIAMS | |||||||||
| SVP & CHIEF AUDIT EXECUTIVE | 0.0 | 37.5 | Yes (X) | $0 | $926,345 | $282,101 | |||
| MARK COLLURA | |||||||||
| ASSISTANT TREASURER | 15.0 | 22.5 | Yes (X) | $93,488 | $140,232 | $18,035 | |||
| MICHAEL GURRIERE | |||||||||
| SVP & CHIEF ACTUARY | 0.0 | 37.5 | Yes (X) | $0 | $793,254 | $92,922 | |||
| SARAH ISELIN | |||||||||
| PRESIDENT & CEO-ELECT | 0.0 | 37.5 | Yes (X) | $0 | $2,343,462 | $13,254 | |||
| JOSEPH SCHWARTZ | |||||||||
| PHYSICIAN REVIEWER | 11.5 | 26.0 | $88,174 | $196,219 | $26,520 | Yes (X) | |||
| KATIUSCIA POTIER | |||||||||
| ASSISTANT GENERAL COUNSEL | 11.7 | 25.8 | $83,928 | $185,937 | $17,097 | Yes (X) | |||
| KERIM MUNIR | |||||||||
| PSYCHIATRIST | 12.3 | 25.2 | $88,685 | $180,875 | $13,565 | Yes (X) | |||
| LOUIS CAIEIRO | |||||||||
| CLIENT RELATIONSHIP MANAGER | 0.8 | 36.7 | $5,741 | $267,635 | $16,882 | Yes (X) | |||
| RICHARD LEWIS | |||||||||
| PHYSICIAN REVIEWER | 11.5 | 26.0 | $87,465 | $194,680 | $17,765 | Yes (X) | |||
| STEPHANIE LOVELL | |||||||||
| FORMER CHIEF LEGAL OFFICER | 0.0 | 0.0 | $0 | $2,114,580 | $635,257 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $538,336 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $20,533,994 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $5,052,321 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 145 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PERFICIENT INC | |||||
| 455 GRAND UNION BLVD | SOMERVILLE | MA | 02145 | IT CONSULTING | $16,649,961 |
| COGNIZANT WORLDWIDE LIMTED | |||||
| 6 TRAFALGAR SQ | NASHUA | NH | 03063 | IT CONSULTING | $10,725,830 |
| ALARIS TECHNOLOGY INC | |||||
| 67 SOUTH BEDFORD STREET STE 400 WE | BURLINGTON | MA | 01803 | IT CONSULTING | $1,274,087 |
| ACCENTURE LLP | |||||
| 888 BOYLSTON ST | BOSTON | MA | 02199 | BUSINESS CONSULTING | $1,144,496 |
| ERNST & YOUNG LLP | |||||
| 200 CLARENDON ST | BOSTON | MA | 02116 | AUDIT & CONSULTING | $1,126,165 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 41 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PREMIUMS EARNED | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $5,432,916,359 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,432,916,359 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,432,916,359 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,738,640 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $47,597 | UnrelatedBusinessRevenueAmt |
| Exclusion | $77,691,043 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $325,330,813 | SecuritiesAmt |
| Other | $96,188,418 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $320,484,779 | SecuritiesAmt |
| Other | $84,078,754 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,846,034 | SecuritiesAmt |
| Other | $12,109,664 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,955,699 | TotalRevenueColumnAmt |
| Exclusion | $16,955,699 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,527,610,698 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,432,916,359 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $47,597 | UnrelatedBusinessRevenueAmt |
| Exclusion | $94,646,742 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,744,634,046 | TotalAmt |
| Program Services | $4,744,634,046 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,445 | TotalAmt |
| Management And General | $198,445 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,210,955 | TotalAmt |
| Management And General | $143,210,955 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,002,134 | TotalAmt |
| Management And General | $23,002,134 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,829,608 | TotalAmt |
| Management And General | $23,829,608 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,320,855 | TotalAmt |
| Management And General | $9,320,855 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $851,099 | TotalAmt |
| Management And General | $851,099 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,334,356 | TotalAmt |
| Management And General | $1,334,356 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,617,199 | TotalAmt |
| Management And General | $23,617,199 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,237,322 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $120,237,322 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,320,475 | TotalAmt |
| Management And General | $4,320,475 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,544,741 | TotalAmt |
| Management And General | $5,544,741 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,304,618 | TotalAmt |
| Management And General | $41,304,618 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,509,375 | TotalAmt |
| Management And General | $10,509,375 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $822,600 | TotalAmt |
| Management And General | $822,600 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,538,421 | TotalAmt |
| Management And General | $49,538,421 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| OTHER - BROKER FEES | $103,782,838 | $103,782,838 |
| OTHER - DUES AND ASSESSMENTS | $29,041,815 | $29,041,815 |
| OTHER - OUT OF AREA PROGRAM | -$9,551,050 | -$9,551,050 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,325,549,852 | TotalAmt |
| Program Services | $4,744,634,046 | ProgramServicesAmt |
| Management And General | $580,915,806 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,129,640 | BOYAmt |
| EOY | $14,568,105 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,372,548 | BOYAmt |
| EOY | $164,402,574 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $167,636,083 | BOYAmt |
| EOY | $148,021,449 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $139,387,638 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $54,700,593 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,042,944 | BOYAmt |
| EOY | $84,687,045 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,628,507,225 | BOYAmt |
| EOY | $1,731,589,220 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $962,957,591 | BOYAmt |
| EOY | $902,606,726 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,080,685 | BOYAmt |
| EOY | $37,786,376 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,100,726,716 | BOYAmt |
| EOY | $3,083,661,495 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,282,693 | BOYAmt |
| EOY | $62,750,558 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,158,814 | BOYAmt |
| EOY | $167,708,767 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $778,173,728 | BOYAmt |
| EOY | $712,685,773 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $997,615,235 | BOYAmt |
| EOY | $943,145,098 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,103,111,481 | BOYAmt |
| EOY | $2,140,516,397 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,103,111,481 | BOYAmt |
| EOY | $2,140,516,397 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,100,726,716 | BOYAmt |
| EOY | $3,083,661,495 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $202,060,846 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$144,216,923 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$20,439,007 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,546,776 | OtherCostOrOtherBasisAmt |
| Book Value | $7,546,776 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $108,813,073 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,769,104 | DepreciationAmt |
| Book Value | $73,043,969 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,027,789 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,931,489 | DepreciationAmt |
| Book Value | $4,096,300 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $84,687,045 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| JOINT VENTURE - FIXED INCOME | $91,136,864 |
| JOINT VENTURE - COMMON STOCK | $185,523,184 |
| JOINT VENTURE - REAL ESTATE | $151,986,067 |
| JOINT VENTURE - OTHER UNAFFIL | $178,038,184 |
| JOINT VENTURE -OTHER AFFILIATE | $10,922,427 |
| SURPLUS DEBENTURES-UNAFFIL. | $285,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $902,606,726 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| CLAIMS UNPAID | $490,566,691 |
| AGGREGATE POLICY RESERVES | $37,897,792 |
| PREMIUMS RECEIVED IN ADVANCE | $98,737,754 |
| OTHER LIABILITIES | $23,319,723 |
| UNPAID CLAIMS ADJUSTMENT EXPEN | $4,544,096 |
| PAYABLE FOR SECURITIES | $57,619,717 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $712,685,773 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $5,527,610,698 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,527,610,698 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,527,610,698 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,325,549,852 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,325,549,852 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,325,549,852 | TotalExpensesPerForm990Amt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|
| Europe (Including Iceland and Greenland) | Investments | $46,092,681 |
| East Asia and the Pacific | Investments | $21,240,450 |
| Central America and the Caribbean | Investments | $44,804,345 |
| North America (Canada & Mexico only) | Investments | $55,064,799 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $167,202,275 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $167,202,275 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (true) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (true) | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements | FormAndLineReferenceDesc |
| Explanation | CENTRAL AMERICA AND THE CARIBBEA; EAST ASIA AND THE PACIFI; EUROPE (INCLUDING ICELAND AND GREENLAND; NORTH AMERICA (CANADA & MEXICO ONLY | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDREW DREYFUS | ||||||||||||||
| DIRECTOR, PRESIDENT & CEO | $0 | $1,200,000 | $0 | $4,065,209 | $0 | $378,021 | $0 | $1,677,180 | $0 | $40,734 | $0 | $7,361,144 | $0 | $1,292,501 |
| ANDREANA SANTANGELO | ||||||||||||||
| DIRECTOR, EVP & CFO | $0 | $715,000 | $0 | $2,011,741 | $0 | $201,846 | $0 | $1,036,284 | $0 | $30,414 | $0 | $3,995,285 | $0 | $583,357 |
| RICHARD LYNCH | ||||||||||||||
| DIRECTOR, SVP & COO | $0 | $625,000 | $0 | $1,606,719 | $0 | $178,360 | $0 | $734,941 | $0 | $34,569 | $0 | $3,179,589 | $0 | $500,000 |
| DONALD SAVERY | ||||||||||||||
| GENERAL COUNSEL AND SECRETARY | $0 | $400,000 | $0 | $477,680 | $0 | $21,569 | $0 | $148,808 | $0 | $31,086 | $0 | $1,079,143 | $0 | $0 |
| SARAH ISELIN | ||||||||||||||
| PRESIDENT & CEO-ELECT | $0 | $92,308 | $0 | $2,250,000 | $0 | $1,154 | $0 | $12,335 | $0 | $919 | $0 | $2,356,716 | $0 | $0 |
| LINDA WILLIAMS | ||||||||||||||
| SVP & CHIEF AUDIT EXECUTIVE | $0 | $355,000 | $0 | $478,114 | $0 | $93,231 | $0 | $248,772 | $0 | $33,329 | $0 | $1,208,446 | $0 | $125,197 |
| MICHAEL GURRIERE | ||||||||||||||
| SVP & CHIEF ACTUARY | $0 | $390,742 | $0 | $388,155 | $0 | $14,357 | $0 | $63,333 | $0 | $29,589 | $0 | $886,176 | $0 | $0 |
| ANTHONY CRISCUOLO | ||||||||||||||
| VP OF TREASURY AND INVESTMENTS | $0 | $304,802 | $0 | $289,402 | $0 | $14,558 | $0 | $75,533 | $0 | $26,809 | $0 | $711,104 | $0 | $75,533 |
| ALONA ABALOS | ||||||||||||||
| VICE PRESIDENT & ASST. CLERK | $0 | $252,066 | $0 | $157,478 | $0 | $16,900 | $0 | $42,011 | $0 | $23,337 | $0 | $491,792 | $0 | $42,011 |
| ENRICO GIAMMARCO | ||||||||||||||
| ASSISTANT TREASURER | $73,491 | $110,237 | $16,665 | $24,998 | $699 | $1,049 | $0 | $0 | $6,887 | $10,330 | $97,742 | $146,614 | $0 | $0 |
| MARK COLLURA | ||||||||||||||
| ASSISTANT TREASURER | $75,763 | $113,645 | $17,017 | $25,525 | $708 | $1,062 | $0 | $0 | $7,214 | $10,821 | $100,702 | $151,053 | $0 | $0 |
| JOSEPH SCHWARTZ | ||||||||||||||
| PHYSICIAN REVIEWER | $70,404 | $156,706 | $14,546 | $32,337 | $3,224 | $7,176 | $0 | $0 | $8,221 | $18,299 | $96,395 | $214,518 | $0 | $0 |
| RICHARD LEWIS | ||||||||||||||
| PHYSICIAN REVIEWER | $71,912 | $160,063 | $15,263 | $33,972 | $290 | $645 | $0 | $0 | $7,367 | $10,398 | $94,832 | $205,078 | $0 | $0 |
| LOUIS CAIEIRO | ||||||||||||||
| CLIENT RELATIONSHIP MANAGER | $2,581 | $120,316 | $2,992 | $139,502 | $168 | $7,817 | $0 | $0 | $355 | $16,527 | $6,096 | $284,162 | $0 | $0 |
| KATIUSCIA POTIER | ||||||||||||||
| ASSISTANT GENERAL COUNSEL | $59,066 | $130,857 | $24,545 | $54,377 | $317 | $703 | $0 | $0 | $5,317 | $11,780 | $89,245 | $197,717 | $0 | $0 |
| KERIM MUNIR | ||||||||||||||
| PSYCHIATRIST | $72,723 | $148,320 | $15,630 | $31,877 | $332 | $678 | $0 | $0 | $4,463 | $9,102 | $93,148 | $189,977 | $0 | $0 |
| STEPHANIE LOVELL | ||||||||||||||
| FORMER CHIEF LEGAL OFFICER | $0 | $81,293 | $0 | $1,485,316 | $0 | $547,971 | $0 | $631,042 | $0 | $4,215 | $0 | $2,749,837 | $0 | $1,178,583 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 1a First-class or charter travel | THE ORGANIZATION'S SENIOR MANAGEMENT IS EXPECTED TO MAINTAIN A DEMANDING TRAVEL SCHEDULE. THE ORGANIZATION'S BOARD OF DIRECTORS HAS APPROVED AN ACCOUNTABLE PLAN FOR PAYMENT AND REIMBURSEMENT FOR TRAVEL POLICIES DESIGNED TO ASSURE THAT THE ORGANIZATION IS ABLE TO MEET SENIOR MANAGEMENT'S TRAVEL COMMITMENTS. THE ORGANIZATION PERMITS APPROPRIATE TRAVEL AND AMENITIES FOR SENIOR LEVEL MANAGEMENT. BUSINESS TRAVEL IS NOT TAXABLE TO THOSE EMPLOYEES OF THE ORGANIZATION AS COMPENSATION. |
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | THE 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 4b Supplemental nonqualified retirement plan | THE ORGANIZATION'S OFFICERS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SPONSORED BY THEIR EMPLOYER, BLUE CROSS BLUE SHIELD OF MASSACHUSETTS, INC. A PAYMENTS WAS MADE TO STEPHANIE LOVELL FOR $547,541, WHICH IS LISTED 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 organization | THE 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE 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 body | THE 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 stockholders | THE 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 body | THE 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 policy | THE 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 official | THE 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 employees | THE 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 public | THE 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 balances | CHANGES IN NON-ADMITTED ASSETS - -20916292; UNREALIZED FOREIGN EXCHANGE CAPITAL GAIN - 477285; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| BCBSMA FOUNDATION FOR EXPANDING HEALTHCARE ACCESS | |||||||||||
| 101 HUNTINGTON AVENUE | SUITE 1 | BOSTON | MA | 02199 | 043148824 | SEE PART VII | MA | 501(c)(3) | PF | NA | false |
| HEALTHCARE ASSISTANCE FOUNDATION INC | |||||||||||
| 101 HUNTINGTON AVENUE | SUITE 1 | BOSTON | MA | 02199 | 043453264 | SEE PART VII | MA | 501(c)(3) | PF | NA | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE CROSS AND BLUE SHIELD OF MA INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HUNTINGTON AVENUE | AddressLine1Txt |
| Address Line2 | SUITE 1300 | AddressLine2Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02199 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 041045815 | EIN |
| Primary Activities | SEE PART VII | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule R, Part II | BCBSMA FOUNDATION FOR EXPANDING HEALTHCARE ACCESS'S PRIMARY ACTIVITY IS TO PROVIDE AND SUPPORT EDUCATION AND RESEARCH, FOSTER HEALTH CARE INNOVATION AND REFORM, AND DEVELOP, PROMOTE, AND SUPPORT PROGRAMS TO IMPROVE HEALTH CARE ACCESS. |
| Schedule R, Part II | HEALTH CARE ASSISTANCE FOUNDATION, INC.'S PRIMARY ACTIVITY IS TO PROVIDE AND SUPPORT EDUCATION AND RESEARCH, FOSTER HEALTH CARE INNOVATION AND REFORM, AND DEVELOP, PROMOTE, AND SUPPORT PROGRAMS TO IMPROVE HEALTH CARE ACCESS. |
| Schedule R, Part IV | BLUE 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. |