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BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC (EIN 04-3362283)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-10
IRS object ID
202103149349305220
Schema version
2020v4.1
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)
Return2021-11-10T14:51:37-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043362283EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Blue Cross Blue Shield of Massachusetts HMOBusinessNameLine1Txt
Business Name Line2Blue IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% MICHAEL CARDERInCareOfNm
Business Name ControlBLUEBusinessNameControlTxt
Phone6172465313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Huntington Ave Suite 1300AddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02199ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAndreana SantangeloPersonNm
Person TitleCFOPersonTitleTxt
Phone6172465313PhoneNum
Signature2021-11-10SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAndreanaPersonFirstNm
Person LastSantangeloPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAndrew DreyfusPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 Huntington Ave Suite 1300AddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021997611ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,254,246,974GrossReceiptsAmt
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 Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$5,195,260,278PYProgramServiceRevenueAmt
CY Program Service Revenue$5,176,150,285CYProgramServiceRevenueAmt
PY Investment Income$56,416,688PYInvestmentIncomeAmt
CY Investment Income$78,096,689CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$5,251,676,966PYTotalRevenueAmt
CY Total Revenue$5,254,246,974CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$4,576,009,100PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$4,240,317,162CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$184,343,631PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$180,046,652CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$379,754,735PYOtherExpensesAmt
CY Other Expenses$494,298,148CYOtherExpensesAmt
PY Total Expenses$5,140,107,466PYTotalExpensesAmt
CY Total Expenses$4,914,661,962CYTotalExpensesAmt
PY Revenues Less Expenses$111,569,500PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$339,585,012CYRevenuesLessExpensesAmt
Total Assets BOY$2,551,490,500TotalAssetsBOYAmt
Total Assets EOY$2,876,856,771TotalAssetsEOYAmt
Total Liabilities BOY$920,552,083TotalLiabilitiesBOYAmt
Total Liabilities EOY$980,123,110TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,630,938,417NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,896,733,661NetAssetsOrFundBalancesEOYAmt
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
Activity524114ActivityCd
Expense$4,240,317,162ExpenseAmt
Revenue$5,254,246,973RevenueAmt
DescProvision of hospital and medical benefits.Desc
Total Program Service Expenses$4,240,317,162TotalProgramServiceExpensesAmt
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 ActivitiesfalseForeignActivitiesInd
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 RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
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

FieldValueIRS element (for citing)
PersonMICHAEL CARDERPersonNm
Phone6172465313PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Andrew Dreyfus
Director, President & CEO0.00.0Yes (X)Yes (X)$0$5,536,702$2,054,437
Stephanie Lovell
Director, EVP, Chief Legal Off0.00.0Yes (X)Yes (X)$0$2,372,764$807,742
Andreana Santangelo
Director, EVP & CFO0.00.0Yes (X)Yes (X)$0$2,187,743$965,954
Richard Lynch
SVP0.00.0Yes (X)Yes (X)$0$1,420,078$789,685
Linda Williams
SVP & Chief Audit Executive0.00.0Yes (X)$0$765,571$285,748
Laure Goldberg
VP & Chief Actuary0.00.0Yes (X)$0$565,468$159,423
Anthony Criscuolo
VP of Treasury and Investments0.00.0Yes (X)$0$458,647$130,797
Deborah Devaux
Director, EVP, & COO0.00.0$0$576,520$512Yes (X)
Alona Abalos
Vice President & Asst. Clerk0.00.0Yes (X)$0$412,324$97,266
Michael Sheehan
Sales Director0.00.0$400,978$58,332$48,156Yes (X)
Richard Lewis
Physician Reviewer0.00.0$111,468$195,606$55,455Yes (X)
Joseph Schwartz
Physician Reviewer0.00.0$106,089$186,168$51,501Yes (X)
Kacee Sweet
Sales Executive0.00.0$40,427$259,035$41,961Yes (X)
Kerim Munir
Psychiatrist0.00.0$96,135$180,114$35,638Yes (X)
Mark Collura
Assistant Treasurer0.00.0Yes (X)$88,787$133,182$49,519
Enrico Giammarco
Assistant Treasurer0.00.0Yes (X)$85,804$128,706$48,521
Dorothy Puhy
Chair0.00.0Yes (X)$0$128,525$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$929,688TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$15,565,485TotReportableCompRltdOrgAmt
Total Other Compensation$5,622,315TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K109IndivRcvdGreaterThan100KCnt
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/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line1ContractorAddress/ForeignAddress/AddressLine1TxtCityContractorAddress/ForeignAddress/CityNmProvince Or StateContractorAddress/ForeignAddress/ProvinceOrStateNmCountryContractorAddress/ForeignAddress/CountryCdForeign PostalContractorAddress/ForeignAddress/ForeignPostalCd
Perficient Inc
One Washington Mall 15th FlBOSTONMA02108IT Consulting$7,068,597
Cognizant Worldwide Limted
IT Consulting$5,928,0351 KINGDOM STREETPADDINGTON CENTRALLONDONUKW2 6BD
Sirius Computer Solutions Inc
10100 Reunion Place Suite 500SAN ANTONIOTX78216IT Consulting$1,357,321
Ernst Young LLP
200 Clarendon StBOSTONMA02116Financial Services$1,219,300
McKinsey Co Inc
55 East 52nd Street 21st FloorNEW YORKNY10022$1,045,222
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K42CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPREMIUMS EARNEDDesc
Business524114BusinessCd
Total Revenue Column$5,176,150,285TotalRevenueColumnAmt
Related Or Exempt Func Income$5,176,150,285RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,176,150,285TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,901,587TotalRevenueColumnAmt
Related Or Exempt Func Income$46,901,587RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,195,102TotalRevenueColumnAmt
Related Or Exempt Func Income$31,195,102RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,254,246,974TotalRevenueColumnAmt
Related Or Exempt Func Income$5,254,246,974RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$4,240,317,162TotalAmt
Program Services$4,240,317,162ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$213,807TotalAmt
Management And General$213,807ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$144,425,481TotalAmt
Management And General$144,425,481ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,663,242TotalAmt
Management And General$5,663,242ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,901,091TotalAmt
Management And General$20,901,091ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,843,031TotalAmt
Management And General$8,843,031ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,203,936TotalAmt
Management And General$1,203,936ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,441,786TotalAmt
Management And General$1,441,786ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,060,374TotalAmt
Management And General$23,060,374ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$104,803,105TotalAmt
Management And General$104,803,105ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,346,815TotalAmt
Management And General$5,346,815ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,075,924TotalAmt
Management And General$5,075,924ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,035,463TotalAmt
Management And General$40,035,463ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,444,192TotalAmt
Management And General$10,444,192ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$772,168TotalAmt
Management And General$772,168ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$32,909,457TotalAmt
Management And General$32,909,457ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
OTHER - BROKER FEES$99,905,399$99,905,399
OTHER - DUES AND ASSESSMENTS$74,955,440$74,955,440
OTHER - MISC$94,344,089$94,344,089$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,914,661,962TotalAmt
Program Services$4,240,317,162ProgramServicesAmt
Management And General$674,344,800ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$28,773,976BOYAmt
EOY$42,356,524EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$101,036,729BOYAmt
EOY$239,899,699EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$86,841,914BOYAmt
EOY$71,103,231EOYAmt

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$146,633,023LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$57,804,884LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$90,961,673BOYAmt
EOY$88,828,139EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,167,885,290BOYAmt
EOY$1,377,077,058EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,040,685,441BOYAmt
EOY$1,006,901,094EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$35,305,477BOYAmt
EOY$50,691,026EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,551,490,500BOYAmt
EOY$2,876,856,771EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$30,112,571BOYAmt
EOY$29,295,703EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$188,298,486BOYAmt
EOY$150,120,617EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$702,141,026BOYAmt
EOY$800,706,790EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$920,552,083BOYAmt
EOY$980,123,110EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$1,630,938,417BOYAmt
EOY$1,896,733,661EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,630,938,417BOYAmt
EOY$1,896,733,661EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,551,490,500BOYAmt
EOY$2,876,856,771EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$339,585,012ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,820,387NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$86,610,155OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

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$109,045,125OtherCostOrOtherBasisAmt
Depreciation$31,495,307DepreciationAmt
Book Value$77,549,818BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,041,122OtherCostOrOtherBasisAmt
Depreciation$26,309,577DepreciationAmt
Book Value$3,731,545BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$88,828,139TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmt
JOINT VENTURE- FIXED INCOME$139,336,468
JOINT VENTURE - COMMON STOCK$171,813,586
JOINT VENTURE - REAL ESTATE$79,665,449
JOINT VENTURE - OTHER UNAFFIL$317,924,396
JOINT VENTURE OTHER AFFILIATE$13,161,195
SURPLUS DEBENTURES-UNAFFIL.$285,000,000
FieldValueIRS element (for citing)
Total Book Value Securities$1,006,901,094TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
CLAIMS UNPAID$443,203,991
AGGREGATE POLICY RESERVES$111,566,400
PREMIUMS RECEIVED IN ADVANCE$135,985,134
OTHER LIABILITIES$86,950,535
UNPAID CLAIMS ADJUSTMENT EXPEN$4,772,135
PAYABLE FOR SECURITIES$18,228,595
FieldValueIRS element (for citing)
Total Liability$800,706,790TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$5,254,246,974TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$5,254,246,974RevenueSubtotalAmt
Total Revenue Per Form990$5,254,246,974TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,914,661,962TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$4,914,661,962ExpensesSubtotalAmt
Total Expenses Per Form990$4,914,661,962TotalExpensesPerForm990Amt

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
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
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 (16 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Andrew Dreyfus
Director, President & CEO$1,170,193$3,003,240$1,363,269$1,997,767$56,670$7,591,139$958,334
Stephanie Lovell
Director, EVP, Chief Legal Off$603,750$1,202,261$566,753$767,459$40,283$3,180,506$402,500
Alona Abalos
Vice President & Asst. Clerk$250,883$142,933$18,508$64,867$32,399$509,590$40,986
Enrico Giammarco
Assistant Treasurer$105,000$22,633$1,073$8,367$20,746$157,819$70,000$15,089$715$5,578$13,830$105,212
Andreana Santangelo
Director, EVP & CFO$689,254$1,258,217$240,272$920,196$45,758$3,153,697$429,333
Mark Collura
Assistant Treasurer$108,256$23,339$1,587$8,488$21,223$162,893$72,170$15,559$1,058$5,659$14,149$108,595
Deborah Devaux
Director, EVP, & COO$504,783$71,737$512$577,032$144,300
Richard Lewis
Physician Reviewer$157,721$36,325$1,560$11,631$23,694$230,931$89,879$20,700$889$6,628$13,502$131,598
Joseph Schwartz
Physician Reviewer$150,329$34,645$1,194$10,110$22,696$218,974$85,666$19,743$680$5,761$12,934$124,784
Laure Goldberg
VP & Chief Actuary$309,626$241,423$14,419$118,932$40,491$724,891$69,985
Linda Williams
SVP & Chief Audit Executive$335,708$314,798$115,065$237,344$48,404$1,051,319
Richard Lynch
SVP$600,000$788,228$31,850$737,365$52,320$2,209,763
Anthony Criscuolo
VP of Treasury and Investments$281,665$169,804$7,178$94,059$36,738$589,444$32,083
Michael Sheehan
Sales Director$16,255$40,000$2,077$2,847$3,269$64,448$111,738$274,962$14,278$19,568$22,472$443,018
Kacee Sweet
Sales Executive$55,565$184,626$18,844$6,991$29,305$295,331$8,672$28,814$2,941$1,091$4,574$46,092
Kerim Munir
Psychiatrist$147,397$32,542$175$9,293$13,943$203,350$78,672$17,369$94$4,960$7,442$108,537

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, line 1a: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.
Part I, line 4a:
Part I, line 4b:The 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 Deborah Devaux for $71,737 who 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.
Part I, lines 6a and 6b:The employees of the organization listed participated in an incentive pay plan for leaders 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 party. 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

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990 Part VIFormAndLineReferenceDesc
ExplanationPart VI, Line 1b, 3, 6, 7a, 7b: 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. Part VI, Line 11a: The organization's Form 990 was prepared and reviewed by the organization's Finance Department 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. Part VI, Line 12a,b,&c: 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. Part VI, Line 15a-15b: 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. Part VI, Line 19: 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. Part XI, Line 9: Other changes in net assets consists of the change in non-admitted assets ($86,610,155).ExplanationTxt

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BCBSMA Foundation for Expanding Healthca
101 Huntington Avenue Suite 1300BostonMA02199043148824See Supp InfoMA501(c)(3)PFNA
Healthcare Assistance Foundation Inc
101 Huntington Avenue Suite 1300BostonMA02199043453264See Supp InfoMA501(c)(3)PFNA

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 Avenue Suite 1300AddressLine1Txt
CityBostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02199ZIPCd
FieldValueIRS element (for citing)
EIN041045815EIN
Primary ActivitiesSee Suppl InfPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II (1):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.
Part II (2):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.
Part IV (1):Blue Cross and Blue Shield of Massachusetts, Inc. (the Parent Company) is organized for the purpose of establishing, maintaining and operating a nonprofit 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.