2011-08-15T10:32:55-04:00 2010-09-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2009-10-01 043373331 BOSTON MEDICAL CENTER HEALTH PLAN INC BOST 6177486000 2 COPLEY PLACE SUITE 600 BOSTON MA 02116 SCOTT O'GORMAN 6177486000 2011-08-09 true PRICEWATERHOUSECOOPERS LLP 6175305000 2011-08-05 2009 2016-02-24 21:20:13Z THOMAS TRAYLOR 2 COPLEY PLACE SUITE 600 BOSTON MA 02116 1182747893 false X WWW.BMCHP.ORG X 1997 MA SEE SCHEDULE O 30 29 581 0 0 0 0 0 1172208000 1179451201 3069000 3296692 0 0 1175277000 1182747893 0 0 1123784706 1065268383 45929593 39884327 0 0 0 34418701 25888328 1204133000 1131041038 -28856000 51706855 300050000 338713338 141367000 127422172 158683000 211291166 SEE SCHEDULE O false false 1116236089 0 1179451201 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. 1116236089 true false false true false false false false false true true false 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 false false false true 3980 0 true 581 true false false false false false false false false false 30 29 true true false false true true true true true false false true true true true true true false false false MA X SCOTT O'GORMAN CFO 6177486000 2 COPLEY PLACE boston MA 02116 ELAINE ULLIAN 5.0 X X 0 1572319 229903 JOEL M ABRAMS 1.0 X 0 0 0 JAMES M BECKER MD 1.0 X 0 0 0 N ANTHONY COLES 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 JUAN CARLOS MORALES 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 0 0 CAROL SULIS 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 SCOTT O'GORMAN 50.0 X 311135 0 17379 SUSAN COAKLEY 50.0 X 218799 0 18696 THOMAS TRAYLOR 5.0 X 0 1523133 84277 KAREN FIFER FERRY 50.0 X 203047 0 0 RAYMOND SESSLER 50.0 X 162203 0 0 MICHELE LEPORE 50.0 X 265814 0 16364 JOHN CRAGIN 50.0 X 185435 0 16559 KATHLEEN BENNETT 50.0 X 297185 0 8551 STANLEY HOCHBERG MD 50.0 X 183518 0 7982 ANNA TRASK 50.0 X 179838 0 18861 RICHARD KWEI 50.0 X 207372 0 18771 ELIZABETH ROSS WONG MD 50.0 X 278714 0 7350 LAURIE DORAN 50.0 X 204270 0 19977 JUDITH LEVY 50.0 X 212628 0 16478 ROSEMARY AJOKU 50.0 X 206333 0 22418 JEAN ANN HAYNES 50.0 X 281575 0 17612 3397866 3095452 521178 76 true true false BAYSTATE MEDICAL CENTER 759 CHESTNUT STREET SPRINGFIELD MA 01199 MEDICAL SERVICES 107876824 BOSTON MEDICAL CENTER ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 MEDICAL SERVICES 83416224 SOUTHCOAST HOSPITAL GROUP 101 PAGE STREET NEW BEDFORD MA 02740 MEDICAL SERVICES 57750165 CHILDREN'S HOSPITAL BOSTON 300 LONGWOOD AVENUE BOSTON MA 02115 MEDICAL SERVICES 36469335 BERKSHIRE MEDICAL CENTER 725 NORTH STREET PITTSFIELD MA 01201 MEDICAL SERVICES 30668153 634 0 0 CAPITATION REVENUE 524114 1179451201 1179451201 1179451201 3296692 3296692 0 0 0 0 0 0 0 1182747893 1179451201 0 3296692 0 0 0 1065268383 1065268383 2771477 0 2771477 0 0 0 0 0 28484874 22434648 6050226 0 700853 529418 171435 0 5425224 4756517 668707 0 2501899 1889912 611987 0 279209 279209 0 0 430197 0 430197 0 242061 0 242061 0 0 0 0 0 0 0 0 0 0 0 6717657 5031378 1686279 0 2282549 2282549 0 0 1021628 638602 383026 0 4264469 3981305 283164 0 0 0 0 0 3931982 3125382 806600 0 257547 207894 49653 0 0 0 0 0 59066 25546 33520 0 0 0 0 0 0 0 0 0 3734946 3734946 0 0 0 PRINTING AND FORMS 1995149 1995149 0 0 OTHER 465868 55251 410617 0 ADMINISTRATIVE FEES 206000 0 206000 0 1131041038 1116236089 14804949 0 166214000 207454403 28341000 23970324 34804396 24694668 12989000 10109728 38214000 82563961 54292000 14614922 300050000 338713338 121804000 104513929 19563000 22908243 141367000 127422172 X 158683000 211291166 158683000 211291166 300050000 338713338 X false true true X false X X X false false false BOSTON MEDICAL CENTER 043314093 03 true 0 1 0 false false false false false false false false true 147739 147739 false SCHEDULE C, PART II-B, LINE 1 FOR THE YEAR ENDED SEPTEMBER 30, 2010, THE ORGANIZATION PAID $147,739 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. 0 10361009 4254654 6106355 14385669 12751542 1634127 10057718 7688472 2369246 10109728 0 DUE TO AFFILIATE 20440685 DEFERRED RENT 2467558 22908243 1182747893 1131041038 51706855 901311 901311 52608166 1183649204 901311 901311 1182747893 1182747893 1131041038 1131041038 1131041038 SCHEDULE D, PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. true true false false false false false true false ELAINE ULLIAN 0 907742 0 333878 0 330699 0 186299 0 43604 0 1802222 0 0 JEAN ANN HAYNES 259044 0 0 0 22531 0 7350 0 10262 0 299187 0 0 0 SCOTT O'GORMAN 239045 0 55140 0 16950 0 3696 0 13683 0 328514 0 0 0 SUSAN COAKLEY 167840 0 34009 0 16950 0 5013 0 13683 0 237495 0 0 0 THOMAS TRAYLOR 0 381193 0 0 0 1141940 0 56254 0 28023 0 1607410 0 0 KAREN FIFER FERRY 203047 0 0 0 0 0 0 0 0 0 203047 0 0 0 RAYMOND SESSLER 162203 0 0 0 0 0 0 0 0 0 162203 0 0 0 MICHELE LEPORE 186566 0 0 0 79248 0 6102 0 10262 0 282178 0 0 0 JOHN CRAGIN 144861 0 26822 0 13752 0 11783 0 4776 0 201994 0 0 0 KATHLEEN BENNETT 161864 0 0 0 135321 0 730 0 7821 0 305736 0 0 0 STANLEY HOCHBERG MD 150249 0 17722 0 15547 0 0 0 7982 0 191500 0 0 0 ANNA TRASK 123552 0 36750 0 19536 0 5178 0 13683 0 198699 0 0 0 RICHARD KWEI 153829 0 0 0 53543 0 8509 0 10262 0 226143 0 0 0 ELIZABETH ROSS WONG MD 215117 0 46407 0 17190 0 7350 0 0 0 286064 0 0 0 LAURIE DORAN 151853 0 35617 0 16800 0 6294 0 13683 0 224247 0 0 0 JUDITH LEVY 158805 0 36333 0 17490 0 6050 0 10428 0 229106 0 0 0 ROSEMARY AJOKU 158095 0 35429 0 12809 0 8735 0 13683 0 228751 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. SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING 2009, IN ACCORDANCE WITH THEIR SEVERANCE AGREEMENTS: BENNETT - $83,260 KWEI - $44,662 LEPORE - $65,256 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 2009: TRAYLOR - $1,118,617 ULLIAN - $292,279 SCHEDULE J, PART I, LINE 7 BMCHP HAS A VARIABLE PAY PROGRAM IN EFFECT WHEREBY ADDITIONAL COMPENSATION CAN BE EARNED BY THE INDIVIDUAL BASED UPON THE ACHIEVEMENT OF BOTH COMPANY GOALS AND INDIVIDUAL GOALS. SUCH GOALS VARY FROM YEAR TO YEAR BASED UPON THE COMPANY'S STRATEGIC AND OPERATING PLANS FOR THE YEAR. KALTHLEEN E. WALSH WAS EMPLOYED AS OF MARCH 1, 2010 AS PRESIDENT AND CEO OF BOSTON MEDICAL CENTER. SHE DID NOT RECEIVE COMPENSATION DURING CALENDAR 2009. THE HARWICH GROUP SEE SCHEDULE O 1500282 CONSULTING false 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 CERTAIN INDIVIDUALS LISTED IN PART VII, SECTION A ARE EMPLOYEES OF BOSTON MEDICAL CENTER (BMC), A RELATED ORGANIZATION OF BOSTON MEDICAL CENTER HEATH PLAN, INC. (BMCHP). KAREN ANTMAN, M.D. JAMES M. BECKER, M.D. DAVID COLEMAN, M.D. CAROL SULIS, M.D. BUSINESS RELATIONSHIP - ALL EMPLOYED BY BOSTON UNIVERSITY CERTAIN BOARD MEMBERS OF BMCHP ALSO SERVE ON THE BOARD OF BMC INSURANCE COMPANY, A RELATED ORGANIZATION OF BMCHP. FORM 990, PART VI, LINES 2 AND 3 KAREN FIFER FERRY, A PRINCIPAL OF HARWICH GROUP, A CONSULTING FIRM, IS THE EXECUTIVE DIRECTOR AND RAYMOND SESSLER, ALSO A PRINCIPAL OF THE HARWICH GROUP, WAS INTERIM CHIEF OF OPERATIONS THROUGH MAY 2, 2010. 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 11A 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, 2010 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'S (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. THERE IS CURRENTLY NO INDEPENDENT REVIEW, APPROVAL OR SUBSTANTIATION OF THE DELIBERATION AND DECISIONS. GOING FORWARD, BMCHP WILL HAVE A COMPENSATION COMMITTEE CONSISTING OF INDEPENDENT PERSONS WHO WILL REVIEW AND APPROVE ALL BMCHP EXECUTIVE COMPENSATION. THIS COMMITTEE WILL USE COMPARABILITY DATA AND WILL CONTEMPORANEOUSLY SUBSTANTIATE THEIR DELIBERATIONS AND DECISIONS. 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 ELAINE ULLIAN, PRESIDENT/CEO (UNTIL 1/31/10), KATHLEEN E. WALSH PRESIDENT/CEO (AS OF 3/1/10), AND THOMAS TRAYLOR, TREASURER, EACH DEVOTE 50 HOURS PER WEEK TO THE BOSTON MEDICAL CENTER (BMC) FOR THEIR RESPECTIVE ROLES AT BMC. FORM 990, SCHEDULE L, PART IV AN OFFICER AND A KEY EMPLOYEE ARE PRINCIPALS OF HARWICH GROUP. 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