2012-08-15T10:08:54-05:00 2011-09-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2010-10-01 043373331 BOSTON MEDICAL CENTER HEALTH PLAN INC BOST 6177486000 2 COPLEY PLACE SUITE 600 BOSTON MA 02116 LAURIE DORAN 2012-08-15 true PRICEWATERHOUSECOOPERS LLP 6175305000 2010 2016-02-24 21:20:13Z THOMAS TRAYLOR 2 COPLEY PLACE SUITE 600 BOSTON MA 02116 1323670904 false X WWW.BMCHP.ORG X 1997 MA SEE SCHEDULE O 27 21 528 0 0 0 0 0 1179451201 1320416349 3296692 3254555 0 0 1182747893 1323670904 0 0 1065268383 1150983252 39884327 40497642 0 0 0 25888328 37610690 1131041038 1229091584 51706855 94579320 338713338 422923234 127422172 141745566 211291166 281177668 X SEE SCHEDULE O false false 1209053677 0 1320416349 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. 1209053677 true false false true false false false false false true false false false true false true true false false false false false false false false false false false true false false false false false false false true false false false false false true true false false false true 3925 0 true 528 true false false false false false false false false false false X 27 21 true true false false true true true true true false false true true true true true true true false MA X LAURIE DORAN 6177486000 2 COPLEY PLACE BOSTON MA 02116 X JOEL M ABRAMS 1.0 X 0 0 0 JAMES M BECKER MD 1.0 X 0 0 0 EDMOND J ENGLISH 1.0 X 0 0 0 ALYCE J LEE 1.0 X 0 0 0 JAMES MARTEN PHD 1.0 X 0 0 0 DAVID A PASSAFARO 1.0 X 0 0 0 JAMES O TAYLOR MD 1.0 X 0 0 0 KAREN ANTMAN MD 1.0 X 0 0 0 LISA GUSCOTT 1.0 X 0 0 0 THOMAS ALPERIN 1.0 X 0 0 0 RICHARD SLIFKA 1.0 X 0 0 0 AZZIE YOUNG MPA PHD 1.0 X 0 0 0 DAVID COLEMAN MD 1.0 X 0 0 0 SUSAN DONAHUE 1.0 X 0 0 0 RANDI CUTLER 1.0 X 0 0 0 BARBARA FERRER PHD 1.0 X 0 0 0 STEVEN D LEVY 1.0 X 0 0 0 WILLIAM J HALPIN JR 1.0 X 0 0 0 MARTHA S SAMUELSON 1.0 X 0 0 0 CHRISTINE M DUNN 1.0 X 0 0 0 REVEREND DR JOHN M BORDERS III 1.0 X 0 0 0 KATHLEEN E WALSH 5.0 X X 0 909332 431992 THEA JAMES MD 1.0 X 0 0 0 JOHN T HAILER 1.0 X 0 0 0 FERDINAND ALVARO JR 1.0 X 0 0 0 PAUL EGERMAN 1.0 X 0 0 0 PEGGY KOENIG 1.0 X 0 0 0 JAMES MONGAN MD 1.0 X 0 0 0 JAMES S PHALEN 1.0 X 0 0 0 RONALD L WALKER II 1.0 X 0 0 0 MARK NUNNELLY 1.0 X 0 0 0 SCOTT O'GORMAN 50.0 X 341400 0 41656 SUSAN COAKLEY 50.0 X 285821 0 42908 THOMAS TRAYLOR 25.0 X 0 642124 180189 KAREN FIFER FERRY 50.0 X 837573 0 0 JOHN CRAGIN 50.0 X 231751 0 44955 STANLEY HOCHBERG MD 50.0 X 363767 0 43209 ANNA TRASK 50.0 X 167009 0 51012 MICHAEL SCHRADER 50.0 X 229340 0 73115 LAURIE DORAN 50.0 X 224473 0 44406 JUDITH LEVY 50.0 X 230739 0 41227 ROSEMARY AJOKU 50.0 X 223097 0 43614 KIMBERLY SINCLAIR 50.0 X 205804 0 39715 KATHLEEN BRODIE 50.0 X 192522 0 37230 ELAINE ULLIAN X 0 2011053 193935 3533296 3562509 1309163 69 true true false BOSTON MEDICAL CENTER ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 MEDICAL SERVICES 95185000 BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET SPRINGFIELD MA 01199 MEDICAL SERVICES 93146016 BEACON HEALTH STRATEGIES LLC 200 STATE STREET SUITE 302 BOSTON MA 02110 BEHAVIORAL HLTH SVCS 83877593 SOUTHCOAST HOSPITAL GROUP 101 PAGE STREET NEW BEDFORD MA 02740 MEDICAL SERVICES 50154136 UMASS MEMORIAL MED CTR INC 365 PLANTATION STREET WORCESTER MA 01605 MEDICAL SERVICES 29733592 617 0 CAPITATION REVENUE 524114 1320416349 1320416349 1320416349 3254555 3254555 0 0 0 0 0 0 0 1323670904 1323670904 0 0 0 1150983252 1150983252 2471246 2471246 0 29297899 21538457 7759442 909041 629455 279586 5120200 4599451 520749 2699256 1869068 830188 299378 299378 316516 316516 571613 571613 0 0 0 16801073 13083858 3717215 2697768 2697768 1019571 652121 367450 6259291 4546467 1712824 0 3826817 2954817 872000 228612 186892 41720 0 126855 56587 70268 0 0 3282402 3282402 0 PRINTING AND FORMS 1561773 1561773 OTHER 413021 111931 301090 ADMINISTRATIVE FEES 206000 206000 1229091584 1209053677 20037907 0 207454403 168965056 23970324 10385074 0 344505 36314350 27977071 10109728 8337279 82563961 217649660 14614922 17241660 338713338 422923234 104513929 116437905 22908243 25307661 127422172 141745566 X 211291166 281177668 211291166 281177668 338713338 422923234 X 94579320 -24692818 X false true true X X X X false false false BOSTON MEDICAL CENTER 043314093 03 true 0 1 0 false false false false false false false false true 67527 67527 false SCHEDULE C, PART II-B, LINE 1 FOR THE YEAR ENDED SEPTEMBER 30, 2011, THE ORGANIZATION PAID $67,527 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. 10615509 5290502 5325007 14551016 13659688 891328 11147285 9026881 2120944 8337279 0 DUE TO AFFILIATE 23325807 DEFERRED RENT 1981854 25307661 1323670904 1229091584 94579320 -1692818 -23000000 -24692818 69886502 1304544809 -1692818 -17433277 -19126095 1323670904 1323670904 1234658307 5566723 5566723 1229091584 1229091584 SCHEDULE D, PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. SCHEDULE D, PART XI, LINE 8 TRANSFER TO AFFILIATE $23,000,000 SCHEDULE D, PART XII, LINE 2D TRANSFER TO AFFILIATE ($23,000,000) RECLASS OF PHARMACY REBATES $ 5,566,723 ------------- TOTAL ($17,433,277) SCHEDULE D, PART XIII, LINE 2D RECLASS OF PHARMACY REBATES $ 5,566,723 false true false false false true false false true true ELAINE ULLIAN 0 76405 0 57623 0 1877025 0 169433 0 24502 0 2204988 0 0 SCOTT O'GORMAN 266849 0 74101 0 450 0 21624 0 20032 0 383056 0 0 0 SUSAN COAKLEY 231321 0 54050 0 450 0 20376 0 22532 0 328729 0 0 0 THOMAS TRAYLOR 0 383290 0 182750 0 76084 0 153760 0 26429 0 822313 0 0 KATHLEEN E WALSH 0 730163 0 150000 0 29169 0 414958 0 17034 0 1341324 0 0 KAREN FIFER FERRY 837573 0 0 0 0 0 0 0 0 0 837573 0 0 0 JOHN CRAGIN 178021 0 52440 0 1290 0 24923 0 20032 0 276706 0 0 0 STANLEY HOCHBERG MD 287077 0 75400 0 1290 0 24677 0 18532 0 406976 0 0 0 ANNA TRASK 114083 0 52369 0 557 0 26270 0 24742 0 218021 0 0 0 LAURIE DORAN 173419 0 50754 0 300 0 23232 0 21174 0 268879 0 0 0 JUDITH LEVY 176638 0 52811 0 1290 0 22379 0 18848 0 271966 0 0 0 ROSEMARY AJOKU 171425 0 51372 0 300 0 25137 0 18477 0 266711 0 0 0 MICHAEL SCHRADER 200921 0 28125 0 294 0 16500 0 56615 0 302455 0 0 0 KIMBERLY SINCLAIR 162634 0 42900 0 270 0 24970 0 14745 0 245519 0 0 0 KATHLEEN BRODIE 159699 0 30843 0 1980 0 29793 0 7437 0 229752 0 0 0 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. ALL METHODS INCLUDED ON LINE 3 ARE UTILIZED BY BMC TO ESTABLISH THE PRESIDENT/CEO'S COMPENSATION. 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. 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 FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING EXECUTIVES IN CALENDAR YEAR 2010: TRAYLOR - $52,761 ULLIAN - $1,873,631 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, THE PRESIDENT AND CEO WAS CREDITED A ONE TIME PAYMENT THAT SUBJECT TO CERTAIN CONDITIONS WILL VEST EFFECTIVE DECEMBER 1, 2011. IN ADDITION, CERTAIN AMOUNTS ARE CREDITED TO PRESIDENT AND CEO'S ACCOUNT EACH YEAR. THESE AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT WILL BE MADE ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE AGREEMENT. THE APPLICABLE ACCRUED AMOUNTS ARE REFLECTED IN SCHEDULE J, PART II, COLUMN C. BMC PROVIDED A NON-QUALIFIED DEFINED BENEFIT PLAN TO CERTAIN EXECUTIVES. THE ESTIMATED ANNUAL INCREASE IN ACTUARIAL VALUE FOR THE FOLLOWING EXECUTIVES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN C. Traylor - $99,375 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). SCHEDULE J, PART I, LINE 8 KATHLEEN E. WALSH ENTERED INTO AN EMPLOYMENT CONTRACT WITH BMC IN MARCH 2010. THE TERMS OF HER CONTRACT INCLUDE BASE SALARY, INCENTIVE PROGRAM, DEFERRED COMPENSATION, EXECUTIVE BENEFITS, AND SEVERANCE PROVISION. THE HARWICH GROUP SEE PART V 870747 CONSULTING false FORM 990, SCHEDULE L, PART IV (1) NAME OF INTERESTED PERSON: THE HARWICH GROUP RELATIONSHIP: KAREN FIFER FERRY, A PRINCIPAL OF HARWICH GROUP, IS THE EXECUTIVE DIRECTOR THROUGH 3/1/11. 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 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). KAREN ANTMAN, M.D. IS A KEY EMPLOYEE OF BOSTON UNIVERSITY (BU). JAMES M. BECKER, M.D. AND DAVID COLEMAN, M.D. ARE EMPLOYEES OF BU. CERTAIN BOARD MEMBERS OF BMCHP ALSO SERVE ON THE BOARD OF BMC INSURANCE COMPANY, A RELATED ORGANIZATION OF BMCHP. FORM 990, PART VI, LINE 3 KAREN FIFER FERRY, A PRINCIPAL OF HARWICH GROUP, A CONSULTING FIRM, IS THE EXECUTIVE DIRECTOR THROUGH MARCH 1, 2011. FORM 990, PART VI, LINES 6 & 7 BMC IS THE SOLE MEMBER OF BMCHP. BMC HAS THE RIGHT TO MAKE DECISIONS ON BEHALF OF BMCHP AND HAS THE RIGHT TO ELECT BMCHP'S TRUSTEES, WHO ALSO SERVE AS BMC'S TRUSTEES. FORM 990, PART VI, LINE 11B BOSTON 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 BMC'S 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 12 CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2011 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 & B BOSTON MEDICAL CENTER HEALTH PLAN (BMCHP) RELIED ON BOSTON MEDICAL CENTER (BMC), A RELATED ORGANIZATION OF BMCHP, TO ESTABLISH ITS PRESIDENT/CEO'S COMPENSATION. BMCHP'S PROCESS FOR DETERMINING COMPENSATION OF ITS TOP MANAGEMENT AND KEY EMPLOYEES INCLUDES PERFORMING STANDARD BENCHMARKING, USING PUBLIC DATA AND SALARY SURVEYS FROM SOURCES INCLUDING MERCER AND THE HAY GROUP, BOTH AT THE TIME OF HIRE AND AGAIN WHEN OTHER THAN STANDARD INCREASES ARE CONSIDERED. DATA COLLECTED ARE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE CONSISTING OF INDEPENDENT PERSONS AND DELIBERATIONS AND DECISIONS ARE CONTEMPORANEOUSLY SUBSTANTIATED. FORM 990, PART VI, LINE 19 OTHER THAN AS REQUIRED BY LAW, BOSTON MEDICAL CENTER HEALTH PLAN DOES NOT MAKE DOCUMENTS PUBLICLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE. FORM 990, PART VII, SECTION A KATHLEEN E. WALSH, PRESIDENT/CEO, DEVOTES 50 HOURS PER WEEK AND THOMAS TRAYLOR, TREASURER/INTERIM EXECUTIVE DIRECTOR, DEVOTES 25 HOURS PER WEEK TO THE BOSTON MEDICAL CENTER (BMC) FOR THEIR RESPECTIVE ROLES AT BMC. FORM 990, PART XI, LINE 5 CHANGE IN NET UNREALIZED LOSSES ON INVESTMENTS ($1,692,818) TRANSFER TO AFFILIATE ($23,000,000) _____________ ($24,692,818) BOSTON MEDICAL CENTER 88 EAST NEWTON STREET BOSTON MA 02118 043314093 HEALTHCARE MA 501(C)(3) 3 NA false UNIVER DEVELOPMENT FOUNDATION INC 88 EAST NEWTON STREET BOSTON MA 02118 043101957 REAL ESTATE MA 501(C)(3) 11 TYPE 1 BMC true BMC INSURANCE CO LTD OF VERMONT PO BOX 530 100 BANK STREET BURLINGTON VT 05401 201810549 INSURANCE VT 501(C)(3) 11 TYPE 1 BMC true BOSTON HEALTHNET CORP 660 HARRISON AVENUE 3RD FLOOR BOSTON MA 02118 043279836 SUPPORT SVCS MA 501(C)(3) 11 TYPE 2 BMC true TRANSPORTATION SOL FOR COMMUTERS INC 715 ALBANY STREET BOSTON MA 02118 043144411 TRANS. 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