2021-08-16T16:08:43-05:00 2020-09-30 KPMG LLP 60 South Street Boston MA 02111 990 2019-10-01 043373331 BOSTON MEDICAL CENTER HEALTH PLAN INC % JANICE M GOGUEN BOST 6177486000 529 MAIN STREET SUITE 500 CHARLESTOWN MA 02129 JAMES COLLINS TREASURER/CFO 6177486000 2021-08-13 true STEPHANIE M LONCZAK P01880207 6179881000 2021-08-13 2019 2022-09-23 18:48:47Z JAMES COLLINS 529 MAIN STREET SUITE 500 CHARLESTOWN MA 02129 2964540385 false X WWW.BMCHP.ORG X 1997 MA SEE SCHEDULE O 13 10 790 10 0 0 0 0 2629817364 2740110219 26123349 14175905 4577042 0 2660517755 2754286124 0 0 2488756360 2515898603 70949583 74903330 0 0 0 104819071 93428909 2664525014 2684230842 -4007259 70055282 529003106 765181113 307492262 337769944 221510844 427411169 X SEE SCHEDULE O false false 2670652008 2740110219 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. 2670652008 true false false true false false false false false false true false false false true true false true false false true false false false false false false false false true false false false false false false false false false false false false false true true false false true 4144 0 true 790 true false false false false false false false false false false false false X 13 10 true false false false true false true true true false false true true true true true true true true false MA X JANICE M GOGUEN 6177486000 529 MAIN STREET SUITE 500 CHARLESTOWN MA 02129 X KATHLEEN WALSH TRUSTEE 1.0 52.5 X 0 1958752 19187 ALASTAIR BELL MD TRUSTEE/ACT. PRES (UNTIL 2/20) 1.0 51.0 X 0 1136562 112030 CHARLES ORLANDO INTERIM CFO (9/24/19-11/22/19) 5.0 47.0 X 0 815975 114769 DAVID BECK FORMER CLERK (UNTIL 7/2019) 0.0 53.5 X 0 700866 44102 LYNN BOWMAN COO (UNTIL 9/20) 50.0 0.0 X 670101 0 60253 SUSAN COAKLEY FORMER PRESIDENT (UNTIL 2/19) 0.0 0.0 X 564155 0 13097 KIMBERLY SINCLAIR CHIEF INFORMATION OFFICER 50.0 0.0 X 16984 336980 69490 LAURIE DORAN FORMER TREASURER/CFO (U 3/18) 0.0 0.0 X 376005 0 0 MICHAEL GUERRIERE FORMER TREASURER/CFO ( U 9/19) 50.0 0.0 X 299200 0 33195 JONATHAN WELCH CHIEF MED OFFICER (U 12/31/19) 50.0 0.0 X 323396 0 5137 LISABRITT SOLSKY EXECUTIVE DIR (U 09/25/19) 50.0 0.0 X 279881 0 32998 BO LI CHIEF ACTUARY 50.0 0.0 X 266950 0 42603 JEANNE MURPHY VP POP HEALTH MGMT (UNTIL 9/19 50.0 0.0 X 267110 0 16869 DEBORAH BENJAMIN VP & DEPUTY GENERAL COUNSEL 50.0 0.0 X 233214 0 44353 SUZANNE PETERSON VP OF NETWORK MANAGEMENT 50.0 0.0 X 240928 0 25661 GARRETT GILLESPIE VP, DEPUTY GENERAL COUNSEL 50.0 0.0 X 222293 0 35672 JENNIFER CARBONE VP OF SERVICE & OPERATIONS 50.0 0.0 X 225463 0 23840 ELLEN WEINSTEIN CLERK 40.0 10.0 X 0 229683 17713 JAMES COLLINS TREASURER/CFO (AS OF 11/19) 50.0 0.0 X 16343 0 969 HEATHER THILTGEN TRUSTEE/PRESIDENT (AS OF 2/20) 50.0 0.0 X X 0 0 0 DAVID AMENT TRUSTEE 1.0 2.0 X 0 0 0 JAMES BLUE TRUSTEE 1.0 1.0 X 0 0 0 RYAN CARROLL TRUSTEE 1.0 0.0 X 0 0 0 STACY COWAN TRUSTEE 1.0 0.0 X 0 0 0 CHRISTOPHER GORDON TRUSTEE 1.0 0.0 X 0 0 0 PAUL MENDIS MD TRUSTEE 1.0 0.0 X 0 0 0 JEFFREY SCHWARTZ TRUSTEE 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 TARSHA WEAVER TRUSTEE 1.0 0.0 X 0 0 0 4002023 5178818 711938 114 true true false HUNTER LANE LLC 2181 E AURORA ROAD SUITE 201 TWINSBURG OH 44087 PHARMACY BENEFITS 546236635 BEACON HEALTH STRATEGIES LLC 200 STATE STREET BOSTON MA 02109 BEHAVIORAL HEALTH 321610474 MASS VISION SERVICES PLAN 3333 QUALITY DRIVE RANCHO CORDOVA CA 95670 VISION BENEFITS 2730010 DELTA DENTAL OF MASSACHUSETTS INC 465 MEDFORD STREET BOSTON MA 02109 DENTAL BENEFITS 1028172 HEALTH POLICY MATTERS INC 72 SUMMIT ST NEWTON MA 02458 MCR CONSULTING 655897 734 0 CAPITATION REVENUE 524114 2740110219 2740110219 2740110219 8950299 8950299 0 0 0 0 0 215479867 210254261 5225606 5225606 5225606 0 0 0 0 0 0 0 0 0 0 2754286124 2740110219 14175905 0 0 0 2515898603 2515898603 3951914 3951914 0 54916785 50790382 4126403 1750894 1619333 131561 10751114 9943284 807830 3532623 3267185 265438 3346644 3346644 48977 48977 824641 824641 257338 257338 0 712374 712374 35591094 35275918 315176 3183781 3183781 1073264 992620 80644 16175944 14960497 1215447 0 5249377 4854943 394434 119593 110607 8986 0 249822 231051 18771 0 0 2328604 2153635 174969 129253 119541 9712 Change in PDR -11048281 -11048281 Admin Fees 12702068 12702068 Medical Claims Assessments 9969061 9969061 Premium Tax - NH 10352458 10352458 2162897 1671340 491557 2684230842 2670652008 13578834 0 21983076 29243641 62507262 178038148 0 0 220867673 188888452 0 0 0 0 0 0 0 0 403336 2396563 33403220 23967797 9239550 9435423 211445856 329762745 0 0 0 0 0 0 2556353 27416141 529003106 765181113 87088639 110025930 0 0 0 0 0 0 0 0 0 0 0 0 0 0 220403623 227744014 307492262 337769944 X 221510844 427411169 0 0 221510844 427411169 529003106 765181113 X 70055282 10845043 125000000 X false true X true false X 0 0 0 0 0 0 1565691586 1637223141 2061595431 2629817364 2740110219 10634437741 0 0 0 1565691586 1637223141 2061595431 2629817364 2740110219 10634437741 0 0 0 10634437741 3635709 2353749 6184584 6543458 8950299 27667799 0 3635709 2353749 6184584 6543458 8950299 27667799 0 1651292 4577042 6228334 1569327295 1639576890 2069431307 2640937864 2749060518 10668333874 0.99682 0.99710 0.00259 0.00225 X false false false false false false true 157556 false true 99782 257338 false Schedule C, Part II-B, Line 1g BMCHP PAID MCLANE MIDDLETON PROFESSIONAL $97,556 AND NATHANSON + HAUCK $60,000 FOR LOBBYING SERVICES. Schedule C, Part II-B, Line 1i FOR THE YEAR ENDED SEPTEMBER 30, 2020, THE ORGANIZATION PAID $65,000 IN MEMBERSHIP DUES TO ASSOCIATION FOR COMMUNITY AFFLIATED PLANS. 1% OF IT, $650 IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE ORGANIZATION ALSO PAID $146,613 IN MEMBERSHIP DUES TO MASSACHUSETTS ASSOCIATION OF HEALTH PLANS. $99,132 IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 2801423 1763545 1037878 3709093 3579345 129748 26892704 18624907 8267797 9435423 0 MEDICAL CLAIMS PAYABLE & RELATED 195796792 LEASE LIABILITY 23299997 RESERVE FOR PAY FOR PERFORMANCE 4453291 DUE TO AFFILIATE 4193934 227744014 X Form Sch D Part X Line 2 FOR THE FISCAL YEARS ENDED SEPTEMBER 30, 2020 AND 2019, BOSTON MEDICAL CENTER HEALTH PLAN WAS INCLUDED IN THE SYSTEM'S FINANCIAL STATEMENTS. The text of the uncertain tax positions footnote included in these financial statements is as follows: THE HEALTH SYSTEM CORPORATION, THE MEDICAL CENTER, BMCHP, UDF, ECMF, BUAP, FACULTY AND THE PLANS, BACO, BMCISC, AND BMCIS 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, BEFORE IT WAS TERMINATED WERE NONPROFIT, TAX-EXEMPT CORPORATIONS. THE HEALTH SYSTEM RECOGNIZED TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED AS OF SEPTEMBER 30, 2020 AND 2019. 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 SYSTEM'S CONSOLIDATED OPERATIONS OR CHANGE IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2020 AND 2019. Central America and the Caribbean Investments 687994 East Asia and the Pacific Investments 1514656 Europe Investments 15548116 Middle East and North Africa Investments 67275 North America Investments 5186262 South America Investments 290613 23294916 23294916 false false false false false false X X X X X true true false false false true false true false KATHLEEN WALSH TRUSTEE 0 1316552 0 447200 0 195000 0 14000 5187 0 1977939 0 0 ALASTAIR BELL MD TRUSTEE/ACT. PRES (UNTIL 2/20) 0 766810 0 325750 0 44002 0 104000 8030 0 1248592 0 0 CHARLES ORLANDO INTERIM CFO (9/24/19-11/22/19) 0 648275 0 167700 0 0 0 84650 0 30119 0 930744 0 0 ELLEN WEINSTEIN CLERK 0 214983 0 14700 0 0 0 15075 0 2638 0 247396 0 0 DAVID BECK FORMER CLERK (UNTIL 7/2019) 0 433758 0 92400 0 174708 0 19600 0 24502 0 744968 0 67100 LYNN BOWMAN COO (UNTIL 9/20) 371076 0 294500 0 4525 0 33617 0 26636 0 730354 0 0 0 SUSAN COAKLEY FORMER PRESIDENT (UNTIL 2/19) 133193 0 0 0 430962 0 7460 0 5637 0 577252 0 0 0 KIMBERLY SINCLAIR CHIEF INFORMATION OFFICER 16923 288503 40500 61 7977 24931 19374 25185 41915 381539 0 0 LAURIE DORAN FORMER TREASURER/CFO (U 3/18) 0 0 0 0 376005 0 0 0 0 0 376005 0 0 0 MICHAEL GUERRIERE FORMER TREASURER/CFO ( U 9/19) 268002 0 30000 0 1198 0 8143 0 25052 0 332395 0 0 0 JONATHAN WELCH CHIEF MED OFFICER (U 12/31/19) 321869 0 0 0 1527 0 1267 0 3870 0 328533 0 0 0 LISABRITT SOLSKY EXECUTIVE DIR (U 09/25/19) 178591 0 0 0 101290 0 8388 0 24610 0 312879 0 0 0 BO LI CHIEF ACTUARY 215240 0 50600 0 1110 0 11400 0 31203 0 309553 0 0 0 JEANNE MURPHY VP POP HEALTH MGMT (UNTIL 9/19 167453 0 1000 0 98657 0 6706 0 10163 0 283979 0 0 0 DEBORAH BENJAMIN VP & DEPUTY GENERAL COUNSEL 211184 0 18778 0 3252 0 9500 0 34853 0 277567 0 0 0 SUZANNE PETERSON VP OF NETWORK MANAGEMENT 218117 0 17654 0 5157 0 12952 0 12709 0 266589 0 0 0 GARRETT GILLESPIE VP, DEPUTY GENERAL COUNSEL 204980 0 16198 0 1115 0 7600 0 28072 0 257965 0 0 0 JENNIFER CARBONE VP OF SERVICE & OPERATIONS 140889 0 83980 0 594 0 6976 0 16864 0 249303 0 0 0 Schedule J, Part I, Line 4a THE AMOUNT OF SEVERANCE COMPENSATION PAID TO SUSAN COAKLEY IS $240,000, LAURIE DORAN IS $241,160, LISABRITT SOLSKY IS $100,407, AND JEANNE MURPHY IS $96,852 WHICH IS REPORTED ON SCHEDULE J, PART II, COLUMN B(III). Schedule J, Part I, Line 4b BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. 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 EXECUTIVE'S SIXTY-SECOND 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 2019: WALSH - $195,000 BELL - $44,002 BECK - $174,708 BOSTON MEDICAL CENTER PROVIDED A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN TO DAVID BECK, SENIOR VICE PRESIDENT, CHIEF LEGAL COUNSEL, AND CLERK OF BOSTON MEDICAL CENTER. DAVID BECK REACHED THE PLAN RETIREMENT AGE IN 2019 AND VESTED 100% IN THE PLAN. THE BALANCE OF $124,608 IN THE PLAN WAS PAID OUT IN 2019. IN ADDITION, PURSUANT TO THE TERMS OF THE PLAN, ONCE THE PLAN PARTICIPANT REACHES THE PLAN RETIREMENT AGE, ALL FUTURE CONTRIBUTIONS ARE MADE IN CASH. ACCORDINGLY, THE REMAINING $50,100 WAS PAID TO DAVID BECK IN CASH IN 2019 AS WELL. BOSTON MEDICAL CENTER PROVIDED A SEPARATE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO KATHLEEN E. WALSH, PRESIDENT AND CEO AS OF MARCH 1, 2010. PURSUANT TO THE TERMS OF THE AGREEMENT, CERTAIN AMOUNTS WERE CREDITED TO THE PRESIDENT AND CEO'S ACCOUNT IN PRIOR YEARS. THESE AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT WILL BE MADE ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE AGREEMENT. FOR CALENDAR YEAR 2019 $195,000 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 2019, BMCHP PAID SIGN-ON BONUSES, RETENTION BONUSES, SHINE AWARDS AND OTHER BONUSES TO SOME EMPLOYEES LISTED WHERE DISCRETION WAS EXERCISED BY MANAGEMENT. 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 VI, Line 2 DAVID AMENT ALASTAIR BELL CHARLES ORLANDO KATHLEEN WALSH ELLEN WEINSTEIN BUSINESS RELATIONSHIP - THE OFFICERS AND/OR TRUSTEES ABOVE ARE ALSO EMPLOYEES, OFFICERS AND/OR TRUSTEES OF BOSTON MEDICAL CENTER. CHARLES ORLANDO KATHLEEN WALSH BUSINESS RELATIONSHIP THE OFFICERS AND/OR TRUSTEES ABOVE ARE ALSO TRUSTEES OF BOSTON MEDICAL CENTER INSURANCE COMPANY, LTD. 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, INC.'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 END SEPTEMBER 30, 2020 WERE DISTRIBUTED BY BOSTON MEDICAL CENTER'S ("BMC"), AN AFFILIATED ORGANIZATION, CORPORATE COMPLIANCE DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OF BMC OR THE CHIEF COMPLIANCE OFFICERS DESIGNEE QUERIES TRUSTEES, OFFICERS AND DIRECTORS ON AT LEAST AN ANNUAL BASIS REGARDING RELATIONSHIPS THAT MAY CREATE POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR THE CHIEF COMPLIANCE OFFICERS DESIGNEE REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR THE CHIEF COMPLIANCE OFFICERS DESIGNEE INFORMS THE CHIEF LEGAL COUNSEL OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF LEGAL COUNSEL ADVISES THE BOARD OF DIRECTORS AND OFFICERS OF THE CORPORATION ACCORDINGLY. Form 990, Part VI, Line 15a & 15b BOSTON MEDICAL CENTER HEALTH PLAN, INC. (BMCHP) RELIED ON BOSTON MEDICAL CENTER (BMC), A RELATED ORGANIZATION OF BMCHP, TO ESTABLISH ITS PRESIDENT'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, BOSOTN MEDICAL CENTER HEALTH PLAN, INC. DOES NOT MAKE DOCUMENTS PUBLICLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE. Form 990, Part VII The executive team and other key leadership positions are employed, depending on position, by either the Plan or the Plans parent company, BMC Health System. The amounts in the Supplemental Compensation Exhibit reflect the compensation either paid directly by the Plan or BMC Health System. The Plan experienced turnover at the executive level in 2019. Executives from BMC Health System, the Plans corporate parent, provided coverage while replacements were recruited for key roles. Specifically, Alastair Bell, M.D., Executive Vice President and Chief Operating Officer of BMC Health System, oversaw the Plan from February 9, 2019 until the hiring date of the Plans current President, Heather Thiltgen, who joined the Plan on February 10, 2020. Charles Orlando, Senior Vice President and Chief Financial Officer of BMC Health System, became the interim Chief Financial Officer of the Plan for the period September 25, 2019 through November 22, 2019. Form 990, Part XI, Line 9 NET ASSET TRANSFER TO AFFILIATES $125,000,000 BMC HEALTH SYSTEM INC ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 463556853 SUPPORT SVCS MA 501(C)(3) 12 B-II BMC true false false false false true false false false false false false false false false false false false false true