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← BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC

Form 990 for tax year 2023

Filed by BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC.

Totals

Total revenue
$5,851,428,643
Total expenses
$5,663,700,213
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$5,033,264,555
Management and general expenses
$630,435,658
Fundraising expenses
$0
Program service expenses (Part III)
$5,033,264,555

Program services were 88.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ANDREANA SANTANGELO

    DIRECTOR, EVP & CFO

    Total calculated
    $3,750,613
    From this org
    $0
    From related orgs
    $3,520,748
    Other
    $229,865
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $474,148 related
    Bonus
    $0 + $1,848,347 related
    Other
    $0 + $1,198,253 related
    Deferred
    $0 + $208,542 related
    Nontaxable benefits
    $0 + $21,323 related
    Filer's total
    $0 + $3,750,613 related

  • DONALD SAVERY

    DIRECTOR, GENERAL COUNSEL AND SECRETARY

    Total calculated
    $991,124
    From this org
    $0
    From related orgs
    $831,391
    Other
    $159,733
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $400,000 related
    Bonus
    $0 + $411,736 related
    Other
    $0 + $19,655 related
    Deferred
    $0 + $133,333 related
    Nontaxable benefits
    $0 + $26,400 related
    Filer's total
    $0 + $991,124 related

  • DOROTHY PUHY

    CHAIR

    Total calculated
    $138,759
    From this org
    $0
    From related orgs
    $138,759
    Other
    $0
    Hours/week
    0 + 4 related

  • RICHARD LYNCH

    DIRECTOR, SVP & COO

    Total calculated
    $3,295,520
    From this org
    $0
    From related orgs
    $2,341,678
    Other
    $953,842
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $685,577 related
    Bonus
    $0 + $1,465,438 related
    Other
    $0 + $190,663 related
    Deferred
    $0 + $927,644 related
    Nontaxable benefits
    $0 + $26,198 related
    Filer's total
    $0 + $3,295,520 related

  • RUBY KAM

    DIRECTOR, EVP & CHIEF FINANCIAL OFFICER

    Total calculated
    $697,483
    From this org
    $0
    From related orgs
    $183,884
    Other
    $513,599
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $172,885 related
    Bonus
    $0
    Other
    $0 + $10,999 related
    Deferred
    $0 + $505,484 related
    Nontaxable benefits
    $0 + $8,115 related
    Filer's total
    $0 + $697,483 related

  • SARAH ISELIN

    DIRECTOR, PRESIDENT & CEO

    Total calculated
    $6,209,738
    From this org
    $0
    From related orgs
    $6,021,080
    Other
    $188,658
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,200,000 related
    Bonus
    $0 + $4,800,000 related
    Other
    $0 + $21,080 related
    Deferred
    $0 + $156,738 related
    Nontaxable benefits
    $0 + $31,920 related
    Filer's total
    $0 + $6,209,738 related

  • ALONA ABALOS

    VICE PRESIDENT & ASST. CLERK

    Total calculated
    $482,006
    From this org
    $0
    From related orgs
    $414,018
    Other
    $67,988
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $258,173 related
    Bonus
    $0 + $139,015 related
    Other
    $0 + $16,830 related
    Deferred
    $0 + $43,901 related
    Nontaxable benefits
    $0 + $24,087 related
    Filer's total
    $0 + $482,006 related

  • ANTHONY CRISCUOLO

    VP OF TREASURY AND INVESTMENTS

    Total calculated
    $1,044,583
    From this org
    $0
    From related orgs
    $744,952
    Other
    $299,631
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $390,425 related
    Bonus
    $0 + $339,444 related
    Other
    $0 + $15,083 related
    Deferred
    $0 + $262,271 related
    Nontaxable benefits
    $0 + $37,360 related
    Filer's total
    $0 + $1,044,583 related

  • ENRICO GIAMMARCO

    ASSISTANT TREASURER

    Total calculated
    $252,847
    From this org
    $94,110
    From related orgs
    $141,164
    Other
    $17,573
    Hours/week
    15 + 22.5 related

    Schedule J breakdown matched by us

    Base
    $77,487 + $116,231 related
    Bonus
    $15,919 + $23,878 related
    Other
    $704 + $1,055 related
    Deferred
    $0
    Nontaxable benefits
    $7,029 + $10,544 related
    Filer's total
    $101,139 + $151,708 related

  • LINDA WILLIAMS

    SVP & CHIEF AUDIT EXECUTIVE

    Total calculated
    $1,094,816
    From this org
    $0
    From related orgs
    $915,976
    Other
    $178,840
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $355,000 related
    Bonus
    $0 + $451,276 related
    Other
    $0 + $109,700 related
    Deferred
    $0 + $149,134 related
    Nontaxable benefits
    $0 + $29,706 related
    Filer's total
    $0 + $1,094,816 related

  • MARK COLLURA

    ASSISTANT TREASURER

    Total calculated
    $253,570
    From this org
    $94,269
    From related orgs
    $141,403
    Other
    $17,898
    Hours/week
    15 + 22.5 related

    Schedule J breakdown matched by us

    Base
    $78,036 + $117,054 related
    Bonus
    $15,637 + $23,455 related
    Other
    $596 + $894 related
    Deferred
    $0
    Nontaxable benefits
    $7,159 + $10,739 related
    Filer's total
    $101,428 + $152,142 related

  • MICHAEL GURRIERE

    SVP & CHIEF ACTUARY

    Total calculated
    $1,027,508
    From this org
    $0
    From related orgs
    $832,855
    Other
    $194,653
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $419,031 related
    Bonus
    $0 + $401,044 related
    Other
    $0 + $12,780 related
    Deferred
    $0 + $169,623 related
    Nontaxable benefits
    $0 + $25,030 related
    Filer's total
    $0 + $1,027,508 related

  • JOSEPH SCHWARTZ

    PHYSICIAN REVIEWER

    Total calculated
    $355,758
    From this org
    $95,554
    From related orgs
    $218,766
    Other
    $41,438
    Hours/week
    11.5 + 26 related

    Schedule J breakdown matched by us

    Base
    $79,606 + $182,255 related
    Bonus
    $15,856 + $36,301 related
    Other
    $92 + $210 related
    Deferred
    $0
    Nontaxable benefits
    $12,597 + $28,841 related
    Filer's total
    $108,151 + $247,607 related

  • MICHAEL CONTI

    ASSOCIATE DIRECTOR, NATL SALES

    Total calculated
    $309,250
    From this org
    $265,697
    From related orgs
    $26,599
    Other
    $16,954
    Hours/week
    3.5 + 34 related

    Schedule J breakdown matched by us

    Base
    $122,715 + $12,285 related
    Bonus
    $134,817 + $13,497 related
    Other
    $8,165 + $817 related
    Deferred
    $0
    Nontaxable benefits
    $15,411 + $1,543 related
    Filer's total
    $281,108 + $28,142 related

  • MONICA RUEHLI

    PHYSICIAN REVIEWER

    Total calculated
    $320,580
    From this org
    $88,227
    From related orgs
    $201,990
    Other
    $30,363
    Hours/week
    11.5 + 26 related

    Schedule J breakdown matched by us

    Base
    $72,705 + $166,455 related
    Bonus
    $15,160 + $34,707 related
    Other
    $362 + $828 related
    Deferred
    $0
    Nontaxable benefits
    $9,230 + $21,133 related
    Filer's total
    $97,457 + $223,123 related

  • PETER CELLUCCI

    PHYSICIAN REVIEWER

    Total calculated
    $278,714
    From this org
    $79,115
    From related orgs
    $181,132
    Other
    $18,467
    Hours/week
    11.5 + 26 related

    Schedule J breakdown matched by us

    Base
    $67,360 + $154,219 related
    Bonus
    $11,562 + $26,471 related
    Other
    $193 + $442 related
    Deferred
    $0
    Nontaxable benefits
    $5,614 + $12,853 related
    Filer's total
    $84,729 + $193,985 related

  • RICHARD LEWIS

    PHYSICIAN REVIEWER

    Total calculated
    $305,984
    From this org
    $85,887
    From related orgs
    $196,636
    Other
    $23,461
    Hours/week
    11.5 + 26 related

    Schedule J breakdown matched by us

    Base
    $71,359 + $163,375 related
    Bonus
    $14,168 + $32,438 related
    Other
    $360 + $823 related
    Deferred
    $0
    Nontaxable benefits
    $7,132 + $16,329 related
    Filer's total
    $93,019 + $212,965 related

  • ANDREW DREYFUS

    FORMER DIRECTOR, PRESIDENT & CEO

    Total calculated
    $14,492,982
    From this org
    $0
    From related orgs
    $13,838,852
    Other
    $654,130
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $55,384 related
    Bonus
    $0 + $4,772,480 related
    Other
    $0 + $9,010,988 related
    Deferred
    $0 + $651,407 related
    Nontaxable benefits
    $0 + $2,723 related
    Filer's total
    $0 + $14,492,982 related

  • STEPHANIE LOVELL

    FORMER DIRECTOR AND FORMER CHIEF LEGAL OFFICER

    Total calculated
    $647,084
    From this org
    $0
    From related orgs
    $879,750
    Other
    -$232,666
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $598,749 related
    Other
    $0 + $281,001 related
    Deferred
    $0 + -$251,563 related
    Nontaxable benefits
    $0 + $18,897 related
    Filer's total
    $0 + $647,084 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · First-class or charter travel
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 1a First-class or charter travel
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 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 4a Severance or change-of-control payment
IN 2023, ANDREW DREYFUS RECEIVED A SEVERANCE PAYMENT OF $588,271 AND ANDREANA SANTANGELO RECEIVED A SEVERANCE PAYMENT OF $300,300.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
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 ANDREW DREYFUS ($8,217,260), STEPHANIE LOVELL ($281,001), AND ANDREANA SANTANGELO ($683,438) AND ARE REPORTED ON FORM 990 PART VII. THE ACTUARIALLY DETERMINED PRESENT VALUE OF THE BENEFITS ACCRUED UNDER THIS PLAN IS INCLUDED IN EACH APPLICABLE INDIVIDUAL'S DEFERRED COMPENSATION AMOUNT ON THIS FORM.
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the 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 J, Part I, Line 6b Compensation contingent on net earnings of a related 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202423199349313037

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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