Boston Medical Center Health Plan Inc

Nonprofit profile at a glance

EIN
043373331
IRS 990 coverage
2009–2024
Forms available
Form 990 2024, Form 990-T 2024
Location
Charlestown, MA, USA
Phone
6177486000
Rating
78
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Single Organization Support

Official website

Reported finances

Revenue
$5,805,074,727
Expenses
$5,797,847,225
Assets
$1,709,189,856
Liabilities
$1,022,882,560

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

25 people listed

Executive titles in this filing

  • HEATHER THILTGEN (TRUSTEE/PRESIDENT)

Highest reported compensation

  • HEATHER THILTGEN (TRUSTEE/PRESIDENT): $1,091,260 total reported compensation
  • DIANA CRUZ (CHIEF OPERATING OFFICER): $686,992 total reported compensation
  • DAVID MUZINA (CHIEF MEDICAL OFFICER (AS OF 7/1/24)): $599,852 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

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.

Operating model

Revenue model
Earned-program. 99% of the money available for current operations came from fees and other program revenue.
Distribution model
Member-benefit provider. The nonprofit used 92% of its reported program spending for member benefits.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. The filing reports few safeguards for money sent abroad and the filing does not identify recipients for some grant dollars.

Rating breakdown

  • Financial Efficiency: 89
  • Transparency & Controls: 56
  • Accountability: 95
  • Sustainability: 32
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 99.8%; rating input score 100
  • Program expense ratio: 99.7%; rating input score 100
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 91.7%; rating input score 92; 8th percentile among comparable filings
  • Pay-setting controls: 5 of 6 controls in place; rating input score 83
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: Scored; rating input score 0
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 92.3%; rating input score 92; 41st percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 0.1%; rating input score 31; 31st percentile among comparable filings
  • Total-asset coverage ratio: 0.29; rating input score 10; 10th percentile among comparable filings
  • Liabilities to assets ratio: 0.6; rating input score 28; 28th percentile among comparable filings
  • Officer compensation ratio: 0.1%; rating input score 92; 92nd percentile among comparable filings

Growth

  • Program expense growth: 12.5% per year; rating input score 100; 82nd percentile among comparable filings
  • Revenue growth: 10.8% per year; rating input score 100; 80th percentile among comparable filings
  • Asset growth: 12.5% per year; rating input score 100; 80th percentile among comparable filings

Details

  • Where the money goes: 99.8% of revenue deployed · 99.7% of spending went to programs
  • Governance: 12 of 13 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $5.8B in reported program spending
  • Leadership: top reported pay $1.1M · 25 people listed · 5 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $58.2M reported
  • Consistency: 35 of 36 current checks pass · 1 finding to review
  • Schedules: 7 filed schedules · includes foreign activity and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 13 filed money-flow records
  • Related organizations: 3 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Transparency & Controls: Grant itemization coverage scored 0/100.
  • Moderate — Sustainability: Operating margin scored 31/100.
  • High — Sustainability: Total-asset coverage ratio scored 10/100.
  • High — Sustainability: Liabilities to assets ratio scored 28/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.