BOSTON MEDICAL CENTER HEALTH PLAN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BOSTON MEDICAL CENTER HEALTH PLAN INC (EIN 04-3373331)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201412269349302241
Schema version
2012v2.3
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)
Timestamp2014-08-14T11:57:28-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1125 High StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043373331EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BOSTON MEDICAL CENTER HEALTH PLAN INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% LAURIE DORANInCareOfName
Name ControlBOSTNameControl
Phone6177486000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 COPLEY PLACE SUITE 600AddressLine1
Address Line2SuiteAddressLine2
CityBOSTONCity
StateMAState
ZIP Code02116ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLAURIE DORANName
TitleCFOTitle
Phone6175304000Phone
Date Signed2014-08-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone6175305000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSUSAN COAKLEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12 COPLEY PLACE SUITE 600AddressLine1
CityBOSTONCity
StateMAState
ZIP Code02116ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1372748755GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.BMCHP.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees539TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1191612568ProgramServiceRevenuePriorYear
Program Service Revenue CY1362040133ProgramServiceRevenueCY
Investment Income Prior Year8573388InvestmentIncomePriorYear
Investment Income Current Year10708622InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1200185956TotalRevenuePriorYear
Total Revenue Current Year1372748755TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year1127099864BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY1265046201BenefitsPaidToMembersCY
Salaries Etc Prior Year42137436SalariesEtcPriorYear
Salaries Etc Current Year47397310SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year45207680OtherExpensePriorYear
Other Expenses Current Year44136479OtherExpensesCurrentYear
Total Expenses Prior Year1214444980TotalExpensesPriorYear
Total Expenses Current Year1356579990TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-14259024RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16168765RevenuesLessExpensesCY
Total Assets BOY382093088TotalAssetsBOY
Total Assets EOY356082737TotalAssetsEOY
Total Liabilities BOY152370360TotalLiabilitiesBOY
Total Liabilities EOY133685408TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY229722728NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY222397329NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1333820154Expense
Revenue1362040133Revenue
DescriptionTHE 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.Description
Total Program Service Expense1333820154TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964481NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees539NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLAURIE DORANNamePerson
Telephone Number6177486000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12 COPLEY PLACEAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02116ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (45 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationOther CompensationOtherCompensationReportable Comp From Related OrgsReportableCompFromRelatedOrgsKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
EDMOND J ENGLISH
TRUSTEE (UNTIL 06/30/2013)1.02.0X
DAVID A PASSAFARO
TRUSTEE (UNTIL 06/30/2013)1.02.0X
LISA GUSCOTT
TRUSTEE (UNTIL 06/30/2013)1.01.0X
THOMAS ALPERIN
TRUSTEE (UNTIL 06/30/2013)1.02.0X
RICHARD SLIFKA
TRUSTEE (UNTIL 06/30/2013)1.02.0X
AZZIE YOUNG MPA PHD
TRUSTEE (UNTIL 06/30/2013)1.01.0X
DAVID COLEMAN MD
TRUSTEE (UNTIL 06/30/2013)1.01.0X
SUSAN DONAHUE
TRUSTEE (UNTIL 06/30/2013)1.01.0X
RANDI CUTLER
TRUSTEE (UNTIL 06/30/2013)1.01.0X
BARBARA FERRER PHD
TRUSTEE (UNTIL 06/30/2013)1.01.0X
STEVEN D LEVY
TRUSTEE (UNTIL 06/30/2013)1.01.0X
SCOTT O'GORMAN
President50.0XX62814554581
WILLIAM J HALPIN JR
TRUSTEE (UNTIL 06/30/2013)1.01.0X
MARTHA S SAMUELSON
TRUSTEE (UNTIL 06/30/2013)1.02.0X
CHRISTINE M DUNN
TRUSTEE (UNTIL 06/30/2013)1.01.0X
KATHLEEN E WALSH
PRESIDENT/CEO5.055.5XX01105831151272
JOHN T HAILER
TRUSTEE (UNTIL 06/30/2013)1.01.0X
PAUL EGERMAN
TRUSTEE (UNTIL 06/30/2013)1.01.0X
PEGGY KOENIG
TRUSTEE (UNTIL 06/30/2013)1.02.0X
JAMES S PHALEN
TRUSTEE (UNTIL 06/30/2013)1.02.0X
RONALD L WALKER II
TRUSTEE (UNTIL 06/30/2013)1.01.0X
MARK NUNNELLY
TRUSTEE (UNTIL 06/30/2013)1.02.0X
DAVID AMENT
TRUSTEE1.02.0X
CLAIRE PERLMAN
TRUSTEE (UNTIL 06/30/2013)1.01.0X
SANDRA COTTERELL
TRUSTEE1.01.0X
ANAND DEVAIAH
TRUSTEE (UNTIL 06/30/2013)1.01.0X
JAMES BLUE
TRUSTEE1.01.0X
JACK CRADOCK
TRUSTEE (UNTIL 06/30/2013)1.02.0X
GERARD DOHERTY MD
TRUSTEE (UNTIL 06/30/2013)1.01.0X
FAY DONOHUE
TRUSTEE (AS OF 07/01/2013)1.00.0X000
KEITH P LEWIS MD
TRUSTEE (AS OF 07/01/2013)1.00.0X000
SUSAN COAKLEY
CLERK/GENERAL COUNSEL50.0X39516256645
THOMAS TRAYLOR
TREASURER (UNTIL 6/30/13)5.045.0X063830762814
LAURIE DORAN
Treasurer (from 7/1/13); CFO50.0X34905750745
JUDITH LEVY INT COO 1112-413
SR VP OF CLNCL & QUALITY MGMT50.030783848713X
MICHAEL SCHRADER
Chf Op. Ofcr(until 11/30/12)50.039295847098X
KIMBERLY SINCLAIR
Chief Information Officer50.023601443172X
SCOTT POLANSKY
CHIEF BUS DEV (UNTIL 07/27/12)50.027252647296X
Karen Boudreau MD
Chf Medcl Officr(from 5/16/12)50.021174334056X
KATHLEEN BRODIE
VP of PROVID AUD & Spl Investg50.023062839348X
DEBORAH BENJAMIN
VP & DEPUTY GENERAL COUNSEL50.024788556654X
DUANE DOWNEY
VP of Financ & Corp CNTRLLR50.024270148594X
Matthew Herndon
Deputy General Counsel50.023254248862X
Harry Castleman Jr
VP of Strategy & Planning50.021326646753X
RICHARD KALISH MD
INTERIM CMO (until 6/22/12)50.01954430X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4155908TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1914086TotalReportableCompFrmRltdOrgs
Total Other Compensation796930TotalOtherCompensation
Number Individuals GT100 K89NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BOSTON MEDICAL CENTER
ONE BOSTON MEDICAL CENTER PLACEBOSTONMA02118MEDICAL SERVICES99137624
BEACON HEALTH STRATEGIES LLC
200 STATE STREET SUITE 302BOSTONMA02110BEHAVIORAL HLTH SVCS101632611
BAYSTATE MEDICAL CENTER
759 CHESTNUT STREETSPRINGFIELDMA01199MEDICAL SERVICES93694780
SOUTHCOAST HOSPITAL GROUP
101 PAGE STREETNEW BEDFORDMA02740MEDICAL SERVICES46694196
BERKSHIRE MEDICAL CENTER
725 NORTH STREETPITTSFIELDMA01201MEDICAL SERVICES28950012
FieldValueIRS element (for citing)
Number Of Contractors GT100 K693NumberOfContractorsGT100K
All Other Contributions0AllOtherContributions
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCAPITATION REVENUEDescription
Business Code524114BusinessCode
Total Revenue Column1362040133TotalRevenueColumn
Related Or Exempt Function Income1362040133RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1362040133TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10708622TotalRevenueColumn
Exclusion$10,708,622ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1372748755TotalRevenueColumn
Related Or Exempt Function Income1362040133RelatedOrExemptFunctionIncome
Exclusion$10,708,622ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total1265046201Total
Program Services1265046201ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2877428Total
Management And General2877428ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total33835981Total
Program Services26957488ProgramServices
Management And General6878493ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1364092Total
Program Services1003720ProgramServices
Management And General360372ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5374976Total
Program Services4357924ProgramServices
Management And General1017052ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3944833Total
Program Services2902670ProgramServices
Management And General1042163ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total155070Total
Program Services155070ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total550083Total
Management And General550083ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total632104Total
Management And General632104ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total84100Total
Program Services72326ProgramServices
Management And General11774ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19515034Total
Program Services15496506ProgramServices
Management And General4018528ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3687889Total
Program Services3687889ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1411667Total
Program Services668648ProgramServices
Management And General743019ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7654149Total
Program Services4979483ProgramServices
Management And General2674666ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4374342Total
Program Services3318342ProgramServices
Management And General1056000ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total258384Total
Program Services207981ProgramServices
Management And General50403ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total150174Total
Program Services150174ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2858541Total
Program Services2858541ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total178978Total
Management And General178978ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PRINTING AND FORMS18794581879458
MISC EXPENSES54050677733462773
ADMINISTRATIVE FEES206000206000

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1356579990Total
Program Services1333820154ProgramServices
Management And General22759836ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY36354781BOY
EOY35032226EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY33884366BOY
EOY49577664EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY150000BOY
EOY278197EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis41051408LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec33877885LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7732554BOY
EOY7173523EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY286198854BOY
EOY246228313EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY17772533BOY
EOY17792814EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY382093088BOY
EOY356082737EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY127626005BOY
EOY101351438EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY24744355BOY
EOY32333970EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY152370360BOY
EOY133685408EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY229722728BOY
EOY222397329EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY229722728BOY
EOY222397329EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY382093088BOY
EOY356082737EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16168765ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-494164ReconciliationUnrealizedInvest
Reconcilation Other Changes-23000000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocAmountAmount
BOSTON MEDICAL CENTER (THROUGH 06302013)
04331409303true$0
BMC HEALTH SYSTEM INC (EFFECTIVE 07012013)
46355685307true$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$84,100DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$189,502OtherActivitiesAmount
Total Lobbying Expenditures IIB273602TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE C, PART II-B, LINE 1Identifier
ExplanationFOR THE YEAR ENDED SEPTEMBER 30, 2013, THE ORGANIZATION PAID $189,502 IN MEMBERSHIP DUES TO MEMBER ORGANIZATIONS WHICH MAY ENGAGE IN LOBBYING ACTIVITIES ON BEHALF OF ITS MEMBERS. THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES. BMCHP ALSO PAID MCLANE GOVERNMENT & PUBLIC STRATEGIES, LLC $84,100 FOR LOBBYING SERVICES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis11648353OtherCostOrOtherBasis
Depreciation7557910Depreciation
Book Value4090443BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis15678339OtherCostOrOtherBasis
Depreciation14706009Depreciation
Book Value972330BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis13724716OtherCostOrOtherBasis
Depreciation11613966Depreciation
Book Value2110750BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7173523TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATE$23,042,820
DEFERRED RENT$1,011,150
PREMIUM DEFICIENCY RESERVE$8,280,000
FieldValueIRS element (for citing)
Total Of Amounts32333970TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt1378492000TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-494164NetUnrealizedGainsInvestments
Other Revenues6237409OtherRevenues
Revenue Not Rptd F9905743245RevenueNotRptdF990
Revenue Subtotal1372748755RevenueSubtotal
Total Revenue Per Form9901372748755TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1362818000TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1362818000ExpensesSubtotal
Other Expenses Not Included-6238010OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-6238010ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901356579990TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART X, LINE 2Identifier
ExplanationTHE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. SCHEDULE D, PART XI, LINE 2D RECLASS OF PHARMACY REBATES $6,237,209 ROUNDING $200 ------------- TOTAL $6,237,409 SCHEDULE D, PART XII, LINE 4B RECLASS OF PHARMACY REBATES ($6,237,209) ROUNDING ($801) ------------- TOTAL ($6,238,010)Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Personal ServicesXPersonalServices
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SCOTT O'GORMAN
President43070519675069032843217386827260
SUSAN COAKLEY
CLERK/GENERAL COUNSEL27826711620569033404232414518070
THOMAS TRAYLOR
TREASURER (UNTIL 6/30/13)00000044320510118521842442403214278266440
KATHLEEN E WALSH
PRESIDENT/CEO000000089564022500030632753753520812618550
LAURIE DORAN
Treasurer (from 7/1/13); CFO24736110139630028774219713998020
JUDITH LEVY INT COO 1112-413
SR VP OF CLNCL & QUALITY MGMT194152111630205628888198253565510
MICHAEL SCHRADER
Chf Op. Ofcr(until 11/30/12)27737111515443326261208374400560
KIMBERLY SINCLAIR
Chief Information Officer1834625225230026812163602791860
KATHLEEN BRODIE
VP of PROVID AUD & Spl Investg1771215152719802942799212699760
SCOTT POLANSKY
CHIEF BUS DEV (UNTIL 07/27/12)151060012146633321139753198220
DEBORAH BENJAMIN
VP & DEPUTY GENERAL COUNSEL17188174714129032777238773045390
DUANE DOWNEY
VP of Financ & Corp CNTRLLR17920562206129026008225862912950
RICHARD KALISH MD
INTERIM CMO (until 6/22/12)19544300001954430
Karen Boudreau MD
Chf Medcl Officr(from 5/16/12)1865182480042521886121702457990
Matthew Herndon
Deputy General Counsel1725925950045027282215802814040
Harry Castleman Jr
VP of Strategy & Planning15875552531198032693140602600190

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J, PART I, LINE 1Identifier
ExplanationIN CONNECTION WITH HIS TERMINATION OF EMPLOYMENT WITH BOSTON MEDICAL CENTER HEALTH PLAN, INC. EFFECTIVE JULY 27,2012, SCOTT POLANSKY RECEIVED 1 YEAR OF PLACEMENT COUNSELING SERVICES. THE VALUE OF SUCH SERVICE IN 2012 WAS $15,000. SCHEDULE J, PART I, LINE 3 BOSTON MEDICAL CENTER HEALTH PLAN (BMCHP) RELIED ON BOSTON MEDICAL CENTER (BMC), A RELATED ORGANIZATION OF BMCHP, TO ESTABLISH ITS PRESIDENT/CEO'S COMPENSATION. THE PRESIDENT/CEO'S COMPENSATION WAS DETERMINED BY BMC USING ALL METHODS INCLUDED ON LINE 3. SCHEDULE J, PART I, LINE 4A IN CONNECTION WITH HIS TERMINATION OF EMPLOYMENT WITH BOSTON MEDICAL CENTER HEALTH PLAN, INC. EFFECTIVE JULY 27,2012, SCOTT POLANSKY IS ENTITLED TO 52 WEEKS OF SEVERANCE, 1 YEAR OF PLACEMENT COUNSELING, AND A LUMP SUM PAYMENT OF $25,000. INCLUDED IN COLUMN (B)(III) IS $120,672 PAID UNDER THIS AGREEMENT. SCHEDULE J, PART I, LINE 4B CERTAIN EXECUTIVES DISCLOSED ON THE BMCHP FORM 990, PART VII AND SCHEDULE J, PART II ARE COMPENSATED BY BMC, A RELATED ORGANIZATION, FOR SERVICES TO BMC. BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. IN ADDITION, AN EXECUTIVE OF BMCHP PARTICIPATES IN THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE CREDITED TO PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND/OR 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 68TH BIRTHDAY. THE AMOUNT THAT BECAME VESTED AND WAS PAID TO THOMAS TRAYLOR IN CALENDAR YEAR 2012 WAS $46,704. BMC 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. No amounts were accrued or vested under the plan in 2012. BMC PROVIDED A NON-QUALIFIED DEFINED BENEFIT PLAN TO CERTAIN EXECUTIVES. IN 2012, THIS PLAN WAS TERMINATED BY THE ORGANIZATION AND AMOUNTS DUE UNDER THE PLAN WERE FULLY PAID TO PARTICIPANTS. THE AMOUNTS PAID TO THE FOLLOWING EXECUTIVES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(III). Traylor - $169,860 SCHEDULE J, PART I, LINE 6A BOSTON MEDICAL CENTER HEALTH PLAN PAID COMPENSATION CONTINGENT ON 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).Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMARSH MCLENNAN AGENCY NEW ENGLANDNamePerson
FieldValueIRS element (for citing)
RelationshipSEE PART VRelationship
Amount Of Transaction147141AmountOfTransaction
Description Of TransactionCONSULTING SERVICESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSCHEDULE L, PART IV, LINE 1Identifier
ExplanationNAME OF INTERESTED PERSON: MARSH & MCLENNAN AGENCY NEW ENGLAND RELATIONSHIP: TRUSTEE BLUE IS CEO OF Marsh & McLennan Agency New England Description of Transaction: Marsh & McLennan Agency New England provides employee and retiree benefits consulting services to Boston Medical Center Health Plan, inc (BMCHP). As an interested person, Trustee Blues participation in any matters regarding Marsh & McLennan Agency New England is governed by BMCHPs conflict of interest policy and subject to disclosure and review by disinterested trustees.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART I, LINE 1 & PART III, LINE 1THE 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 2DAVID COLEMAN, M.D. SUSAN DONAHUE DAVID PASSAFARO KATHLEEN E. WALSH BUSINESS RELATIONSHIP EACH SERVES AS A DIRECTOR OF BOSTON MEDICAL CENTER INSURANCE COMPANY, LTD. KATHLEEN E. WALSH IS THE PRESIDENT/CEO OF BOSTON MEDICAL CENTER (BMC). CERTAIN INDIVIDUALS LISTED IN PART VII, SECTION A ARE EMPLOYEES OF BMC, A RELATED ORGANIZATION OF BOSTON MEDICAL CENTER HEALTH PLAN, INC. (BMCHP). FORM 990, PART VI, LINE 4 EFFECTIVE JULY 1, 2013 THE ORGANIZATION'S BYLAWS WERE AMENDED TO CHANGE THE SOLE MEMBER FROM BOSTON MEDICAL CENTER (BMC) TO BMC HEALTH SYSTEM, INC. (BMCHS). EFFECTIVE JULY 1, 2013 THE ORGANIZATION'S BYLAWS WERE AMENDED TO CHANGE THE SOLE MEMBER FROM BOSTON MEDICAL CENTER (BMC) TO BMC HEALTH SYSTEM, INC. (BMCHS).
FORM 990, PART VI, LINE 6PRIOR TO JULY 1, 2013 BMC WAS THE SOLE MEMBER OF BMCHP. AS OF JULY 1, 2013 BMCHS IS THE SOLE MEMBER OF BMCHP. FORM 990, PART VI, LINE 7A PRIOR TO JULY 1, 2013 BMC trustees also served as members of the board of trustees 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 11BBOSTON MEDICAL CENTER HEALTH PLAN'S (BMCHP) TAX RETURN IS PREPARED BY PRICEWATERHOUSECOOPERS LLP (PWC) AND REVIEWED BY BMCHP'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMCHP'S INTERNAL MANAGEMENT AND PWC 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 DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS.
FORM 990, PART VI, LINE 12CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013 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 & BBOSTON MEDICAL CENTER HEALTH PLAN (BMCHP) RELIED ON BOSTON MEDICAL CENTER (BMC), A RELATED ORGANIZATION OF BMCHP, TO ESTABLISH ITS PRESIDENT/CEO'S COMPENSATION. BMC'S PROCESS FOR DETERMINING COMPENSATION OF ITS TOP MANAGEMENT AND KEY EMPLOYEES INCLUDES 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 19OTHER THAN AS REQUIRED BY LAW, BOSTON MEDICAL CENTER HEALTH PLAN 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 XI, LINE 9TRANSFER TO AFFILIATE ($23,000,000)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
BOSTON MEDICAL CENTER
88 EAST NEWTON STREETBOSTONMA02118043314093HEALTHCAREMA501(C)(3)3BMCHStrue
UNIVER DEVELOPMENT FOUNDATION INC
88 EAST NEWTON STREETBOSTONMA02118043101957REAL ESTATEMA501(C)(3)11 TYPE 1BMCtrue
BMC INSURANCE CO LTD OF VERMONT
PO BOX 530 100 BANK STREETBURLINGTONVT05401201810549INSURANCEVT501(C)(3)11 TYPE 1BMCtrue
BOSTON UNIVERSITY AFFILIATED PHYSICIANS
660 HARRISON AVENUEBOSTONMA02118043218267HEALTHCAREMA501(C)(3)3BMCtrue
BMC HEALTH SYSTEM INC
ONE BOSTON MEDICAL CENTER PLACEBOSTONMA02118463556853SUPPORT SVCS.MA501(C)(3)11 B-IINAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BMC NAB BUS TR
85 CONCORD STBOSTONMA02118266368869PROPERTY MGMTMANA
BCD BUILDING LLC
33 UNION STBOSTONMA02108201855864REAL ESTATEMANA

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
BMC INSURANCE COMPANY LTD
10 MAIN STREETGRAND CAYMAN, CAYMAN ISLANDSCJ980375219INSURANCECJNAC-CORPtrue
GRYANT INC
202047166REAL ESTATENAC-CORPtrueONE BOSTON MEDICAL CENTERBOSTONMA02118MA
CHARITABLE REMAINDER TRUST (3)
SUPPORTNATRUSTtrueMA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSCHEDULE R, PART IIIdentifier
ExplanationBMC Health System, Inc. is a non-profit organization seeking exemption under IRC 501(c)(3). Currently, BMC Health System, Inc.'s application for tax exemption is pending.Explanation

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