2019-08-14T15:09:08-05:00 2018-09-30 KPMG LLP 60 South Street Boston MA 02111 990 2017-10-01 043373331 Boston Medical Center Health Plan Inc % JANICE GOGUEN BOST 6177486000 529 MAIN STREET SUITE 500 CHARLESTOWN MA 02129 MICHAEL GUERRIERE TREASURER/CFO 2019-08-14 true MARY C HANINK P01244578 6179881000 2019-08-13 167.68.102.5 04502320192265000075 2019-08-14 P F1C9D9DAFFCDBCE85941C114D723DA05619EC546 072F242B0F8FA55BC44C4BBFD6D81B3F0B7E1C92 2017 2019-02-21 02:37:17Z Lynn Bowman 529 MAIN STREET SUITE 500 CHARLESTOWN MA 02129 2133402756 false X WWW.BHCHP.ORG X 1997 MA SEE SCHEDULE O 12 10 744 10 0 428632 0 0 1637223141 2061595431 2353749 13343885 0 1651292 1639576890 2076590608 0 0 1519689588 1909838028 71447614 75347156 0 0 0 40966685 88257254 1632103887 2073442438 7473003 3148170 470392724 530028851 235427249 292044206 234965475 237984645 X SEE SCHEDULE O false false 2055296731 2063246723 THE CORPORATION IS ORGANIZED AND OPERATES AS A NONPROFIT CORPORATION EXCLUSIVELY FOR THE BENEFIT OF AND TO SUPPORT BOSTON MEDICAL CENTER CORPORATION AND TO PROVIDE ACCESS TO EFFECTIVE, EFFICIENT MEDICAL CARE AMONG LOW INCOME, UNDERSERVED, DISABLED, ELDERLY AND OTHER VULNERABLE RESIDENTS OF THE COMMUNITY. 2055296731 true false false true false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 3904 0 true 744 true false false false false false false false false false false X 12 10 true false false false true false true true true false false true true true true true true true true false MA X JANICE GOGUEN 6177486000 529 MAIN STREET SUITE 500 CHARLESTOWN MA 02129 David Ament Trustee 1.0 2.0 X 0 0 0 James Blue Trustee 1.0 2.0 X 0 0 0 Ryan Carroll Trustee 1.0 0.0 X 0 0 0 Sandra Cotterell Trustee (Until 1/25/18) 1.0 2.0 X 0 0 0 Stacy Cowan Trustee 1.0 0.0 X 0 0 0 Pierre Cremieux Trustee 1.0 1.0 X 0 0 0 Christopher Gordon Trustee 1.0 0.0 X 0 0 0 Frank Ingari Trustee 1.0 0.0 X 0 0 0 Keith P Lewis MD Trustee (Until 8/31/18) 1.0 0.0 X 0 0 0 Robert Sweet Trustee 1.0 0.0 X 0 0 0 Mark Taber Trustee 1.0 0.0 X 0 0 0 Kathleen Walsh Trustee 1.0 56.5 X 0 1737330 195056 Tarsha Weaver Trustee (as of 1/25/18) 1.0 0.0 X 0 0 0 Susan Coakley President 50.0 1.0 X X 670439 0 76385 David Beck Clerk (AS OF 8/30/2018) 6.35 57.15 X 0 472512 83326 Laurie Doran Treasurer/CFO (Until 3/9/18) 50.0 1.0 X 499014 0 68802 Michael Guerriere Treasurer/CFO (as of 3/8/18) 50.0 0.0 X 365378 0 56298 Matthew Herndon Chf Legal Off/Clrk (U 8/28/18) 50.0 0.0 X 393876 0 68452 Betsey Eltonhead Executive Dir, BACO (U 7/6/18) 50.0 0.0 X 312794 0 40584 Judith Levy SVP Clinical Svcs (U 12/31/17) 50.0 0.0 X 356740 0 34822 Kimberly Sinclair Chief Information Officer 50.0 0.0 X 373260 0 54999 Lisabritt Solsky Executive Director 50.0 0.0 X 232235 0 39402 Jonathan Welch Chief Medical Officer 50.0 0.0 X 364548 0 31608 Joseph Anoli VP of Fin & Corp Controller 50.0 0.0 X 291043 0 26104 Deborah Benjamin VP & Deputy General Counsel 50.0 0.0 X 254688 0 38412 Darren Bennett VP of Advanced Analytics 50.0 0.0 X 252361 0 19554 Kathleen Brodie VP Provider Audit & SP Inves 50.0 0.0 X 255821 0 18861 Suzanne Peterson VP of Network Management 50.0 0.0 X 261290 0 19709 4883487 2209842 872374 214 false true false ENVISION PHARMACEUTICAL SERVICE LLC 2181 E AURORA ROAD SUITE 201 TWINSBURG OH 44087 PHARMACY BENEFITS 376684906 BEACON HEALTH STRATEGIES LLC 200 STATE STREET BOSTON MA 02109 BEHAVIORAL HEALTH 219012860 HEALTHTRIO LLC 400 S COLORADO BLVD SUITE 540 DENVER CO 80246 SOFTWARE 1308611 CHANGE HEALTHCARE SOLUTIONS LLC 3055 LEBANON PIKE SUITE 1000 NASHVILLE TN 37214 COMPUTER SERVICES 554491 ERNST YOUNG US LLP 1201 MAIN STREET SUITE 2000 DALLAS TX 75202 AUDIT SERVICES 421542 607 0 CAPITATION REVENUE 524114 2061595431 2061595431 2061595431 6184584 0 6184584 0 0 0 0 0 63971449 56812148 7159301 7159301 7159301 0 0 0 0 0 0 0 0 0 Gain on Commutation - MH 524114 1651292 1651292 1651292 2076590608 2063246723 0 13343885 0 0 0 1909838028 1909838028 5550494 5550494 0 0 54719638 48958976 5760662 1736923 1554067 182856 9599919 8589279 1010640 3740182 3346431 393751 7123257 7123257 289737 289737 1441944 1441944 302922 302922 0 585477 585477 21715394 21362690 352704 4826952 4826952 1846098 1651748 194350 10431789 9333572 1098217 0 4915131 4397686 517445 403445 360972 42473 0 451031 403548 47483 0 599300 393300 206000 3694127 3305224 388903 75928 67935 7993 Admin Fees - QHP 9108322 9108322 Medical Claims Assessments 8809816 8809816 Premium Tax - NH 7063830 7063830 Loss Adjustment Expense 4291538 4291538 281216 206638 74578 2073442438 2055296731 18145707 0 24083026 21676972 39732016 120209945 0 0 143500760 146536960 0 0 0 0 0 0 0 0 8517075 6060312 43771807 34625693 12192962 9146114 238833786 210423610 0 0 0 0 0 0 3533099 15974938 470392724 530028851 82958568 132154974 0 0 5791740 0 0 0 0 0 0 0 0 0 0 0 146676941 159889232 235427249 292044206 X 234965475 237984645 0 0 0 0 234965475 237984645 470392724 530028851 X 3148170 -10129000 10000000 X false true X true false X 0 0 0 0 0 0 1706020420 1637629352 1565691586 1637223141 2061595431 8608159930 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1706020420 1637629352 1565691586 1637223141 2061595431 8608159930 0 0 0 8608159930 5737146 2769621 3635709 2353749 6184584 20680809 0 0 0 0 0 0 5737146 2769621 3635709 2353749 6184584 20680809 0 0 0 0 0 0 0 0 0 0 1651292 1651292 1711757566 1640398973 1569327295 1639576890 2069431307 8630492031 0.99741 0.00000 0.00240 0.00000 X false false false false false false true 233681 false true 69241 302922 false SCHEDULE C, PART II-B, LINE 1 BMCHP PAID MCLANE MIDDLETON PROFESSIONAL $233,681 AND RASKY PARTNERS INC. $69,241 FOR LOBBYING SERVICES. FOR THE YEAR ENDED SEPTEMBER 30, 2018, THE ORGANIZATION PAID $65,000 IN MEMBERSHIP DUES TO ASSOCIATION FOR COMMUNITY AFFLIATED PLANS. 10% OF IT, $6,500, IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE ORGANIZATION ALSO PAID $160,874 IN MEMBERSHIP DUES TO MASSACHUSETTS ASSOCIATION OF HEALTH PLANS. $62,741 IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 2801423 1309969 1491454 11880205 9908342 1971863 29090179 23407382 5682797 9146114 0 MEDICAL CLAIMS PAYABLE & RELATED 156155043 RESERVE FOR PAY FOR PERFORMANCE 3734189 159889232 X SCHEDULE D, PART X, LINE 2 For the fiscal year ended September 30, 2018, Boston Medical Center Health Plan was included in the Systems financial statements, prior to this fiscal year the Plan had a standalone opinion. As such, BMC Health System, Inc., Boston Medical Center, Boston Medical Center Health Plan, Univer Development Foundation, Inc., East Concord Medical Foundation, Inc., Boston University Affiliated Physicians, Inc., Faculty and the Plans, Boston Accountable Care Organization, BMC Integrated Care Services, Inc., and Boston Medical Center Insurance Co, LTD of Vermont are all nonprofit corporations that have been recognized as tax-exempt pursuant to Section 501(C)(3) of the Internal revenue Code. The shareholders of NAB are nonprofit, tax-exempt corporations. The Health System recognized tax positions when it is more-likely than-not that the positions will be sustainable based on the merits of the position. Management has concluded that there are not material uncertain tax positions that need to be recorded as of September 30, 2018 and 2017. The Health System annually assesses whether it must recognize an unrelated business income tax expense (UBIT). The amounts recognized as UBIT expense were not material to the Health Systems consolidated operations or changes in net assets for the years ended September 30, 2018 and 2017. X X X X X false true false false false true false true false Kathleen Walsh Trustee 1194790 339818 202722 189750 5306 1932386 148442 Susan Coakley President 479019 189000 2420 50827 25558 746824 David Beck Clerk (AS OF 8/30/2018) 375245 76864 20403 62700 20626 555838 14000 Laurie Doran Treasurer/CFO (Until 3/9/18) 370871 126563 1580 42462 26340 567816 Michael Guerriere Treasurer/CFO (as of 3/8/18) 248323 115625 1430 27808 28490 421676 Matthew Herndon Chf Legal Off/Clrk (U 8/28/18) 289806 102250 1820 36085 32367 462328 Betsey Eltonhead Executive Dir, BACO (U 7/6/18) 230758 80132 1904 10875 29709 353378 Judith Levy SVP Clinical Svcs (U 12/31/17) 260353 91927 4460 12011 22811 391562 Kimberly Sinclair Chief Information Officer 277180 94500 1580 34792 20207 428259 Lisabritt Solsky Executive Director 178835 52470 930 8912 30490 271637 Jonathan Welch Chief Medical Officer 273490 89750 1308 24538 7070 396156 Joseph Anoli VP of Fin & Corp Controller 234438 50625 5980 5448 20656 317147 Deborah Benjamin VP & Deputy General Counsel 205273 46229 3186 9105 29307 293100 Darren Bennett VP of Advanced Analytics 204956 46325 1080 10860 8694 271915 Kathleen Brodie VP Provider Audit & SP Inves 203596 47618 4607 7379 11482 274682 Suzanne Peterson VP of Network Management 206630 51550 3110 11117 8592 280999 Schedule J, Part I, Line 4B Two trustees disclosed on the BMCHP Form 990, Part VII and Schedule J, Part II are compensated by BMC, a related organization, for services provided to BMC. Boston Medical Center provides a supplemental executive retirement plan to certain executives. In addition, certain executives of BMCHP participate in the supplemental retirement plan. Amounts are credited to participants accounts each year. Plan amounts are subject to forfeiture and payment only if certain conditions are met, as outlined in the plan agreement. Boston Medical Center maintains an executive benefit plan which offers participating executives the option of annually allocating benefit dollars to a supplemental retirement/pre-tax savings account. Amounts vest on specified dates based on continued employment but no later than the executives 62nd birthday. Amounts accrued in the plan are reported in Schedule J, Part II, Column C. The following amounts became vested and were paid to the following executives in calendar year 2017: Kathleen Walsh $127,425 David Beck $18,075 BMC provided a supplemental executive retirement plan to Kathleen Walsh, President and CEO as of March 1, 2010. Pursuant to the terms of the agreement, certain amounts were credited to the President and CEOs account in prior years. These amounts are subject to forfeiture and payment will only be made if certain conditions are met, as outlined in the agreement. For calendar year 2017, $47,250 was vested and is reflected in Schedule J, Part II, Column B(iii). Schedule J, Part I, Line 6A Boston Medical Center Health Plan paid compensation contingent of the net earnings of the organization based on the achievement of various goals. These compensation amounts are reflected in Schedule J, Part II, Column B(II). Schedule J, Part I, Line 7 During Calendar Year 2017, BMCHP paid sign-on bonuses, retention bonuses, SHINE Awards and other bonuses to some employees listed where discretion was exercised by management. MISSION STATEMENT FORM 990, PART I, LINE 1 & PART III, LINE 1 THE CORPORATION IS ORGANIZED AND SHALL OPERATE AS A NONPROFIT CORPORATION EXCLUSIVELY FOR THE BENEFIT OF AND TO SUPPORT BOSTON MEDICAL CENTER CORPORATION AND TO PROVIDE ACCESS TO EFFECTIVE, EFFICIENT MEDICAL CARE AMONG LOW INCOME, UNDERSERVED, DISABLED, ELDERLY AND OTHER VULNERABLE RESIDENTS OF THE COMMUNITY. FORM 990, PART I, LINE 7B: THE ORGANIZATION'S UNRELATED BUSINESS TAXABLE INCOME FOR FISCAL YEAR ENDED SEPTEMBER 30, 2018 WAS SOLELY FROM INCOME CREATED UNDER IRC 512(A)(7) RELATED TO QUALIFIED TRANSPORTATION FRINGE BENEFITS. AS SUCH, NO UNRELATED BUSINESS TAXABLE INCOME IS REFLECTED ON FORM 990, PART VIII, STATEMENT OF REVENUE. FORM 990, PART VI, LINE 2 DAVID AMENT DAVID BECK JAMES BLUE KATHLEEN WALSH BUSINESS RELATIONSHIP - THE OFFICERS AND TRUSTEES ABOVE ARE ALSO OFFICERS AND/OR TRUSTEES OF BMC HEALTH SYSTEM, INC. DAVID AMENT DAVID BECK KATHLEEN WALSH BUSINESS RELATIONSHIP - THE OFFICERS AND TRUSTEES ABOVE ARE ALSO OFFICERS AND/OR TRUSTEES OF BOSTON MEDICAL CENTER. DAVID BECK IS AN OFFICER AND KATHLEEN WALSH IS A TRUSTEE AT BOSTON UNIVERSITY AFFILIATED PHYSICIANS, INC. AND FACULTY PRACTICE FOUNDATION, INC. DAVID BECK IS AN OFFICER AT EACH FACULTY PRACTICE PLAN CORPORATION THAT EMPLOYS KEITH LEWIS, M.D. FORM 990, PART VI, LINE 6 BMC HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF BMCHP. FORM 990, PART VI, LINE 7B CERTAIN ACTIONS INCLUDING, BUT NOT LIMITED TO, THE APPROVAL OF BUDGETS, MERGERS, ACQUISITIONS, AND INDEBTEDNESS ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER. FORM 990, PART VI, LINE 11B BOSTON MEDICAL CENTER HEALTH PLAN'S (BMCHP) TAX RETURN IS PREPARED BY KPMG LLP AND REVIEWED BY BMCHP'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMCHP'S INTERNAL MANAGEMENT AND KPMG PRESENT THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2018 WERE DISTRIBUTED BY THE ORGANIZATION'S LEGAL DEPARTMENT. THE CHIEF COMPLIANCE OFFICER QUERIES TRUSTEES AND OFFICERS ON AT LEAST AN ANNUAL BASIS REGARDING RELATIONSHIPS THAT MAY CREATE POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER INFORMS THE GENERAL COUNSEL OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL ADVISES THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY. FORM 990, PART VI, LINE 15A & 15B BOSTON MEDICAL CENTER HEALTH PLAN (BMCHP) RELIED ON BOSTON MEDICAL CENTER (BMC), A RELATED ORGANIZATION OF BMCHP, TO ESTABLISH ITS PRESIDENT/CEO'S COMPENSATION. BMCHP'S PROCESS FOR DETERMINING COMPENSATION OF ITS TOP MANAGEMENT AND KEY EMPLOYEES INCLUDES USING AN INDEPENDENT COMPENSATION CONSULTANT, PERFORMING STANDARD BENCHMARKING, USING PUBLIC DATA AND SALARY SURVEYS FROM SOURCES INCLUDING MERCER AND THE HAY GROUP, BOTH AT THE TIME OF HIRE AND AGAIN WHEN OTHER THAN STANDARD INCREASES ARE CONSIDERED. DATA COLLECTED ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE CONSISTING OF INDEPENDENT PERSONS AND DELIBERATIONS AND DECISIONS ARE CONTEMPORANEOUSLY SUBSTANTIATED. FORM 990, PART VI, LINE 19 OTHER THAN AS REQUIRED BY LAW, BOSTON MEDICAL CENTER HEALTH PLAN DOES NOT MAKE DOCUMENTS PUBLICALLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE. FORM 990, PART XI, LINE 9 Transafer from Boston Medical Center Insurance Co., LTD of Vermont $10,000,000 BMC HEALTH SYSTEM INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 463556853 SUPPORT SVCS MA 501(C)(3) 12 B-II NA false BOSTON MEDICAL CENTER ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043314093 HEALTHCARE MA 501(C)(3) 3 BMCHS true UNIVER DEVELOPMENT FOUNDATION INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043101957 REAL ESTATE MA 501(C)(3) 12 A-I BMC true BMC INSURANCE CO LTD OF VT PO Box 530 100 Bank Street BURLINGTON VT 05401 201810549 INSURANCE VT 501(C)(3) 12 A-I BMC true BOSTON UNIVERSITY AFFILIATED PHYSICIANS 660 HARRISON AVENUE BOSTON MA 02118 043218267 HEALTHCARE MA 501(C)(3) 3 BMC true BMC INTEGRATED CARE SERVICES INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043414914 HEALTHCARE MA 501(C)(3) 12 A-I BMC true BMC NAB BUS TRUST 85 CONCORD ST BOSTON MA 02118 266368869 PROPERTY MGMT MA BMC N/A false false BMC INSURANCE COMPANY LTD 10 MAIN STREET GRAND CAYMAN CJ 980375219 INSURANCE CJ NA C Corp true CHARITABLE REMAINDER TRUST - MA (3) SUPPORT MA NA Trust true false false false false true false false false false false true false true false false true true false false BMC HEALTH SYSTEM INC E 1400000 FMV BOSTON MEDICAL CENTER E 50000000 FMV BOSTON MEDICAL CENTER K 4089591 FMV BMC INSURANCE CO LTD OF VT M 2632864 FMV BOSTON MEDICAL CENTER P 69413 FMV BOSTON MEDICAL CENTER P 206000 FMV BOSTON MEDICAL CENTER P 23053000 FMV BOSTON MEDICAL CENTER P 104564366 FMV BOSTON MEDICAL CENTER P 298613000 FMV BMC HEALTH SYSTEM INC P 323888 FMV BOSTON MEDICAL CENTER Q 1277013 FMV