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Nonprofiteer
← BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC

Form 990 for tax year 2022

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

Totals

Total revenue
$5,527,610,698
Total expenses
$5,325,549,852
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$5,432,916,359
Investment income
$94,694,339
Other revenue
$0
Total assets, end of year
$3,083,661,495
Total liabilities, end of year
$943,145,098
Net assets or fund balances, end of year
$2,140,516,397
Program services expenses (Part IX)
$4,744,634,046
Management and general expenses
$580,915,806
Fundraising expenses
$0
Program service expenses (Part III)
$4,744,634,046

Program services were 89.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: PREMIUMS EARNED

    total $5,432,916,359 · related or exempt $5,432,916,359

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $77,738,640 · unrelated business $47,597 · excluded $77,691,043

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    securities $325,330,813 · other assets $96,188,418

  • 7b · Less cost or other basis and sales expenses

    securities $320,484,779 · other assets $84,078,754

  • 7c · Gain or loss

    securities $4,846,034 · other assets $12,109,664

  • 7d · Net gain or loss

    total $16,955,699 · excluded $16,955,699

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $4,744,634,046 · program services $4,744,634,046

  • 5 · Compensation of officers, directors and key employees

    total $198,445 · management and general $198,445

  • 7 · Other salaries and wages

    total $143,210,955 · management and general $143,210,955

  • 8 · Pension plan contributions

    total $23,002,134 · management and general $23,002,134

  • 9 · Other employee benefits

    total $23,829,608 · management and general $23,829,608

  • 10 · Payroll taxes

    total $9,320,855 · management and general $9,320,855

  • 11a · Fees: management

    total $851,099 · management and general $851,099

  • 11b · Fees: legal

    total $1,334,356 · management and general $1,334,356

  • 11c · Fees: accounting

    total $23,617,199 · management and general $23,617,199

  • 11g · Fees: other

    total $120,237,322 · program services $0 · management and general $120,237,322 · fundraising $0

  • 12 · Advertising and promotion

    total $4,320,475 · management and general $4,320,475

  • 13 · Office expenses

    total $5,544,741 · management and general $5,544,741

  • 14 · Information technology

    total $41,304,618 · management and general $41,304,618

  • 16 · Occupancy

    total $10,509,375 · management and general $10,509,375

  • 17 · Travel

    total $822,600 · management and general $822,600

  • 22 · Depreciation, depletion and amortization

    total $49,538,421 · management and general $49,538,421

  • 24a · Other expenses: OTHER - BROKER FEES

    total $103,782,838 · management and general $103,782,838

  • 24b · Other expenses: OTHER - DUES AND ASSESSMENTS

    total $29,041,815 · management and general $29,041,815

  • 24c · Other expenses: OTHER - OUT OF AREA PROGRAM

    total -$9,551,050 · management and general -$9,551,050

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $56,129,640 · end of year $14,568,105

  • 2 · Savings and temporary cash investments

    beginning of year $144,372,548 · end of year $164,402,574

  • 4 · Accounts receivable

    beginning of year $167,636,083 · end of year $148,021,449

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $139,387,638

  • 10b · Land, buildings and equipment: accumulated depreciation

    $54,700,593

  • 10c · Land, buildings and equipment, net

    beginning of year $87,042,944 · end of year $84,687,045

  • 11 · Investments: publicly traded securities

    beginning of year $1,628,507,225 · end of year $1,731,589,220

  • 12 · Investments: other securities

    beginning of year $962,957,591 · end of year $902,606,726

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $54,080,685 · end of year $37,786,376

  • 17 · Accounts payable and accrued expenses

    beginning of year $39,282,693 · end of year $62,750,558

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $180,158,814 · end of year $167,708,767

  • 25 · Other liabilities

    beginning of year $778,173,728 · end of year $712,685,773

  • 31 · Retained earnings, endowment or other funds

    beginning of year $2,103,111,481 · end of year $2,140,516,397

Mission and programs · 2022

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.

Activities or mission (Part I)

IT IS A HEALTH MAINTENANCE ORGANIZATION THAT PROVIDES MEDICAL AND OTHER HEALTH BENEFITS TO MEMBERS THROUGH CONTRACTS WITH HOSPITALS, PHYSICIANS, NURSING HOMES, ETC.

  • PROVISION OF HOSPITAL AND MEDICAL BENEFITS.

    Expenses $4,744,634,046 · Revenue $5,432,963,956

As filed on the 2022 return.

Listed in Part VII

  • Andreana Santangelo

    DIRECTOR, EVP & CFO

    Total calculated
    $3,995,285
    From this org
    $0
    From related orgs
    $2,928,587
    Other
    $1,066,698
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $715,000 related
    Bonus
    $0 + $2,011,741 related
    Other
    $0 + $201,846 related
    Deferred
    $0 + $1,036,284 related
    Nontaxable benefits
    $0 + $30,414 related
    Filer's total
    $0 + $3,995,285 related
  • Andrew Dreyfus

    DIRECTOR, PRESIDENT & CEO

    Total calculated
    $7,361,144
    From this org
    $0
    From related orgs
    $5,643,230
    Other
    $1,717,914
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,200,000 related
    Bonus
    $0 + $4,065,209 related
    Other
    $0 + $378,021 related
    Deferred
    $0 + $1,677,180 related
    Nontaxable benefits
    $0 + $40,734 related
    Filer's total
    $0 + $7,361,144 related
  • Donald Savery

    GENERAL COUNSEL AND SECRETARY

    Total calculated
    $1,079,143
    From this org
    $0
    From related orgs
    $899,249
    Other
    $179,894
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $400,000 related
    Bonus
    $0 + $477,680 related
    Other
    $0 + $21,569 related
    Deferred
    $0 + $148,808 related
    Nontaxable benefits
    $0 + $31,086 related
    Filer's total
    $0 + $1,079,143 related
  • Dorothy Puhy

    CHAIR

    Total calculated
    $138,140
    From this org
    $0
    From related orgs
    $138,140
    Other
    $0
    Hours/week
    0 + 5 related
  • Richard Lynch

    DIRECTOR, SVP & COO

    Total calculated
    $3,179,589
    From this org
    $0
    From related orgs
    $2,410,079
    Other
    $769,510
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $625,000 related
    Bonus
    $0 + $1,606,719 related
    Other
    $0 + $178,360 related
    Deferred
    $0 + $734,941 related
    Nontaxable benefits
    $0 + $34,569 related
    Filer's total
    $0 + $3,179,589 related
  • Alona Abalos

    VICE PRESIDENT & ASST. CLERK

    Total calculated
    $491,792
    From this org
    $0
    From related orgs
    $426,444
    Other
    $65,348
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $252,066 related
    Bonus
    $0 + $157,478 related
    Other
    $0 + $16,900 related
    Deferred
    $0 + $42,011 related
    Nontaxable benefits
    $0 + $23,337 related
    Filer's total
    $0 + $491,792 related
  • Anthony Criscuolo

    VP OF TREASURY AND INVESTMENTS

    Total calculated
    $711,104
    From this org
    $0
    From related orgs
    $608,762
    Other
    $102,342
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $304,802 related
    Bonus
    $0 + $289,402 related
    Other
    $0 + $14,558 related
    Deferred
    $0 + $75,533 related
    Nontaxable benefits
    $0 + $26,809 related
    Filer's total
    $0 + $711,104 related
  • Enrico Giammarco

    ASSISTANT TREASURER

    Total calculated
    $244,356
    From this org
    $90,855
    From related orgs
    $136,284
    Other
    $17,217
    Hours/week
    15 + 22.5 related

    Schedule J breakdown matched by us

    Base
    $73,491 + $110,237 related
    Bonus
    $16,665 + $24,998 related
    Other
    $699 + $1,049 related
    Deferred
    $0
    Nontaxable benefits
    $6,887 + $10,330 related
    Filer's total
    $97,742 + $146,614 related
  • Linda Williams

    SVP & CHIEF AUDIT EXECUTIVE

    Total calculated
    $1,208,446
    From this org
    $0
    From related orgs
    $926,345
    Other
    $282,101
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $355,000 related
    Bonus
    $0 + $478,114 related
    Other
    $0 + $93,231 related
    Deferred
    $0 + $248,772 related
    Nontaxable benefits
    $0 + $33,329 related
    Filer's total
    $0 + $1,208,446 related
  • Mark Collura

    ASSISTANT TREASURER

    Total calculated
    $251,755
    From this org
    $93,488
    From related orgs
    $140,232
    Other
    $18,035
    Hours/week
    15 + 22.5 related

    Schedule J breakdown matched by us

    Base
    $75,763 + $113,645 related
    Bonus
    $17,017 + $25,525 related
    Other
    $708 + $1,062 related
    Deferred
    $0
    Nontaxable benefits
    $7,214 + $10,821 related
    Filer's total
    $100,702 + $151,053 related
  • Michael Gurriere

    SVP & CHIEF ACTUARY

    Total calculated
    $886,176
    From this org
    $0
    From related orgs
    $793,254
    Other
    $92,922
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $390,742 related
    Bonus
    $0 + $388,155 related
    Other
    $0 + $14,357 related
    Deferred
    $0 + $63,333 related
    Nontaxable benefits
    $0 + $29,589 related
    Filer's total
    $0 + $886,176 related
  • Sarah Iselin

    PRESIDENT & CEO-ELECT

    Total calculated
    $2,356,716
    From this org
    $0
    From related orgs
    $2,343,462
    Other
    $13,254
    Hours/week
    0 + 37.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $92,308 related
    Bonus
    $0 + $2,250,000 related
    Other
    $0 + $1,154 related
    Deferred
    $0 + $12,335 related
    Nontaxable benefits
    $0 + $919 related
    Filer's total
    $0 + $2,356,716 related
  • Joseph Schwartz

    PHYSICIAN REVIEWER

    Total calculated
    $310,913
    From this org
    $88,174
    From related orgs
    $196,219
    Other
    $26,520
    Hours/week
    11.5 + 26 related

    Schedule J breakdown matched by us

    Base
    $70,404 + $156,706 related
    Bonus
    $14,546 + $32,337 related
    Other
    $3,224 + $7,176 related
    Deferred
    $0
    Nontaxable benefits
    $8,221 + $18,299 related
    Filer's total
    $96,395 + $214,518 related
  • Katiuscia Potier

    ASSISTANT GENERAL COUNSEL

    Total calculated
    $286,962
    From this org
    $83,928
    From related orgs
    $185,937
    Other
    $17,097
    Hours/week
    11.7 + 25.8 related

    Schedule J breakdown matched by us

    Base
    $59,066 + $130,857 related
    Bonus
    $24,545 + $54,377 related
    Other
    $317 + $703 related
    Deferred
    $0
    Nontaxable benefits
    $5,317 + $11,780 related
    Filer's total
    $89,245 + $197,717 related
  • Kerim Munir

    PSYCHIATRIST

    Total calculated
    $283,125
    From this org
    $88,685
    From related orgs
    $180,875
    Other
    $13,565
    Hours/week
    12.3 + 25.2 related

    Schedule J breakdown matched by us

    Base
    $72,723 + $148,320 related
    Bonus
    $15,630 + $31,877 related
    Other
    $332 + $678 related
    Deferred
    $0
    Nontaxable benefits
    $4,463 + $9,102 related
    Filer's total
    $93,148 + $189,977 related
  • Louis Caieiro

    CLIENT RELATIONSHIP MANAGER

    Total calculated
    $290,258
    From this org
    $5,741
    From related orgs
    $267,635
    Other
    $16,882
    Hours/week
    0.8 + 36.7 related

    Schedule J breakdown matched by us

    Base
    $2,581 + $120,316 related
    Bonus
    $2,992 + $139,502 related
    Other
    $168 + $7,817 related
    Deferred
    $0
    Nontaxable benefits
    $355 + $16,527 related
    Filer's total
    $6,096 + $284,162 related
  • Richard Lewis

    PHYSICIAN REVIEWER

    Total calculated
    $299,910
    From this org
    $87,465
    From related orgs
    $194,680
    Other
    $17,765
    Hours/week
    11.5 + 26 related

    Schedule J breakdown matched by us

    Base
    $71,912 + $160,063 related
    Bonus
    $15,263 + $33,972 related
    Other
    $290 + $645 related
    Deferred
    $0
    Nontaxable benefits
    $7,367 + $10,398 related
    Filer's total
    $94,832 + $205,078 related
  • Stephanie Lovell

    FORMER CHIEF LEGAL OFFICER

    Total calculated
    $2,749,837
    From this org
    $0
    From related orgs
    $2,114,580
    Other
    $635,257
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $81,293 related
    Bonus
    $0 + $1,485,316 related
    Other
    $0 + $547,971 related
    Deferred
    $0 + $631,042 related
    Nontaxable benefits
    $0 + $4,215 related
    Filer's total
    $0 + $2,749,837 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, and on a Form 990-PF Part VIII's — 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
  • 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

  • 4a · Severance or change-of-control payment
  • 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 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.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BLUE CROSS AND BLUE SHIELD OF MA INC

    C Corporation · SEE PART VII · MA

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202333199349322813

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