BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC (EIN 043362283) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2005

Legal Domicile

Phone

6172465313

Tax Period

2023-01-01 to 2023-12-31

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC, founded in 2005, is a large national nonprofit that reported $5.9B in total revenue in fiscal year 2023. Expenses of $5.7B left a modest 3% surplus.

Mission

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

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $5,770,512,275

Investment Income $80,916,368

Other Revenue $0

TOTAL REVENUE $5,851,428,643

Expense Breakdown

Grants Paid $0

Salaries & Benefits $218,234,215

Fundraising Expenses $0

Program Expenses $5,033,264,555

Other Expenses $412,201,443

TOTAL EXPENSES $5,663,700,213

Year-over-Year Comparison

	2023	2022	Change
Revenue	$5,851,428,643	$5,527,610,698	+0.1%
Expenses	$5,663,700,213	$5,325,549,852	+0.1%
Net Income	$187,728,430	$202,060,846	-0.1%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✓ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

N/A

Employees

144

Volunteers

N/A

Governance Policies

✗ Conflict of Interest Policy

✗ Whistleblower Policy

✗ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$19,238,567

Total Directors

$15,083,237

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
N/A	DIRECTOR, EVP & CFO	0.0	Officer Director	$0	$229,865	$3,750,613
N/A	DIRECTOR, GENERAL COUNSEL AND SECRETARY	0.0	Officer Director	$0	$159,733	$991,124
N/A	CHAIR	0.0	Officer Director	$0	$0	$138,759
N/A	DIRECTOR, SVP & COO	0.0	Officer Director	$0	$953,842	$3,295,520
N/A	DIRECTOR, EVP & CHIEF FINANCIAL OFFICER	0.0	Officer Director	$0	$513,599	$697,483
N/A	DIRECTOR, PRESIDENT & CEO	0.0	Officer Director	$0	$188,658	$6,209,738
N/A	VICE PRESIDENT & ASST. CLERK	0.0	Officer	$0	$67,988	$482,006
N/A	VP OF TREASURY AND INVESTMENTS	0.0	Officer	$0	$299,631	$1,044,583
N/A	ASSISTANT TREASURER	15.0	Officer	$94,110	$17,573	$252,847
N/A	SVP & CHIEF AUDIT EXECUTIVE	0.0	Officer	$0	$178,840	$1,094,816
N/A	ASSISTANT TREASURER	15.0	Officer	$94,269	$17,898	$253,570
N/A	SVP & CHIEF ACTUARY	0.0	Officer	$0	$194,653	$1,027,508
N/A	PHYSICIAN REVIEWER	11.5	Highest	$95,554	$41,438	$355,758
N/A	ASSOCIATE DIRECTOR, NATL SALES	3.5	Highest	$265,697	$16,954	$309,250
N/A	PHYSICIAN REVIEWER	11.5	Highest	$88,227	$30,363	$320,580
N/A	PHYSICIAN REVIEWER	11.5	Highest	$79,115	$18,467	$278,714
N/A	PHYSICIAN REVIEWER	11.5	Highest	$85,887	$23,461	$305,984
N/A	FORMER DIRECTOR, PRESIDENT & CEO	0.0		$0	$654,130	$14,492,982
N/A	FORMER DIRECTOR AND FORMER CHIEF LEGAL OFFICER	0.0		$0	$-232,666	$647,084

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	No data	No data	No data	No data
2023	$5,851,428,643	$5,663,700,213	$3,446,766,844	$187,728,430
2022	$5,527,610,698	$5,325,549,852	$3,083,661,495	$202,060,846
2021	$5,379,580,781	$5,195,259,923	$3,100,726,716	$184,320,858
2020	$5,254,246,974	$4,914,661,962	$2,876,856,771	$339,585,012

BLUE CROSS BLUE SHIELD OF MASSACHUSETTS HMO BLUE INC