Blue Cross Blue Shield of Massachusetts Hmo Blue Inc
Overview
Mission
The company offers health maintenance organization services and supplementary programs for the benefit of its members, providing hospitalization, medical, and other health benefits to members through contracts with hospitals, physicians, nursing facilities, and other health care providers.
What it reported doing in 2024
Provision of hospital and medical benefits.
Operating model
- Revenue model
- Earned-program. 98% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Member-benefit provider. The nonprofit used 100% of its reported program spending for member benefits.
Nonprofit profile at a glance
- EIN
- 043362283
- IRS 990 coverage
- 2020–2024
- Website reviewed
- Jul 2026
- Forms available
- Form 990 2024
- Headquarters
- Boston, MA, USA
- Rating
- 59
- Verdict
- MIXED
- Rating confidence
- Moderate
The verdict
MIXED - A large share of available resources goes toward mission work and program spending has grown recently. A relatively small share of voting board members are independent and the filing reports few safeguards for money sent abroad.
Rating breakdown
- Financial Efficiency: 88
- Transparency & Controls: 33
- Accountability: 37
- Sustainability: 30
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 89.4%; rating input score 89
- Program expense ratio: 87.5%; rating input score 87
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 71st percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Foreign activity oversight: Scored; rating input score 0
- Grant itemization coverage: Scored; rating input score 0
- Major donor itemization: Limited
- Related-party transparency: Limited
- Public monitoring controls: 0 of 8 controls in place; rating input score 0
- Public policy transparency: 0 of 7 controls in place; rating input score 0
- Public financial transparency: 0 of 5 controls in place; rating input score 0
- Impact reporting controls: 0 of 7 controls in place; rating input score 0
- Public relationship transparency: No; rating input score 0
Accountability
- Independent voting board: 0%; rating input score 0; 4th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Public governance controls: 0 of 4 controls in place; rating input score 0
- Zakat policy transparency: Limited
Sustainability
- Operating margin: -3.7%; rating input score 14; 14th percentile among comparable filings
- Operating reserve ratio: 0.58; rating input score 22; 22nd percentile among comparable filings
- Liabilities to assets ratio: 0.39; rating input score 46; 46th percentile among comparable filings
- Officer compensation ratio: 0%; rating input score 94; 94th percentile among comparable filings
Growth
- Program expense growth: 5.8% per year; rating input score 100; 48th percentile among comparable filings
- Revenue growth: 3.2% per year; rating input score 100; 24th percentile among comparable filings
- Asset growth: 5.6% per year; rating input score 100; 41st percentile among comparable filings
Details
- What they do: Mission, programs, and operating context captured from the official website.
- Where the money goes: 89.4% of revenue deployed · 87.5% of spending went to programs
- Governance: 0 of 5 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $5.4B in reported program spending
- Leadership: top reported pay $7.2M · 20 people listed · 0 of 6 pay-setting controls reported
- Consistency: 32 of 32 current checks pass
- Schedules: 5 filed schedules · includes foreign activity and executive pay
- Filing history: 4 annual filings from 2020 to 2024
- Money network: 7 filed money-flow records
- Related organizations: 3 filed related-organization links