Liabilities / Assets
53rd percentile
Higher debt load relative to assets than 53% of similar nonprofits.
EIN 04-3362283 • 501(c)4 • Boston, MA
Profile
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.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
53rd percentile
Higher debt load relative to assets than 53% of similar nonprofits.
Liabilities / Revenue
25th percentile
Higher debt load relative to revenue than 25% of similar nonprofits.
Net Margin
13th percentile
Higher net margin than 13% of similar nonprofits.
Top Officer Pay
93rd percentile
Higher top officer pay than 93% of similar nonprofits.
Top officer pay equals 0.1% of source-year revenue.
Asset Growth
35th percentile
Faster asset growth than 35% of similar nonprofits.
Revenue Growth
18th percentile
Faster revenue growth than 18% of similar nonprofits.
Assets
Up$3,575,326,930
Up $128,560,086 (+3.7%) from 2023
Liabilities
Up$1,394,642,616
Up $329,571,295 (+31%) from 2023
Net Assets
Down$2,180,684,314
Down $201,011,209 (-8.4%) from 2023
Revenue
Up$5,928,518,480
Up $77,089,837 (+1.3%) from 2023
Expenses
Up$6,149,161,429
Up $485,461,216 (+8.6%) from 2023
Net Income
Down-$220,642,949
Down $408,371,379 (-218%) from 2023
Most recent year
2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2023 below.
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.
It is a health maintenance organization that provides medical and other health benefits to members through contracts with hospitals, physicians, nursing homes, etc.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Rtn Earn Endowment Incm Other Fnds | $2,140,516,397 | $2,381,695,523 | ▲ $241,179,126 |
| Investments in Publicly Traded Securities | $1,731,589,220 | $1,971,885,950 | ▲ $240,296,730 |
| Investments Other Securities | $902,606,726 | $996,439,563 | ▲ $93,832,837 |
| Accounts Receivable | $148,021,449 | $190,727,230 | ▲ $42,705,781 |
| Savings and Temporary Cash Investments | $164,402,574 | $185,748,064 | ▲ $21,345,490 |
| Land, Buildings, and Equipment, Net | $84,687,045 | $60,555,560 | ▼ $24,131,485 |
| Cash and Non-Interest-Bearing Accounts | $14,568,105 | $7,377,501 | ▼ $7,190,604 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Program Related | $0 | - | - |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $3,083,661,495 | $3,446,766,844 | ▲ $363,105,349 |
| Other Assets Total | $37,786,376 | $34,032,976 | ▼ $3,753,400 |
| Liabilities | |||
| Other Liabilities | $712,685,773 | $853,515,706 | ▲ $140,829,933 |
| Unsecured Notes Loans Payable | $167,708,767 | $157,683,627 | ▼ $10,025,140 |
| Accounts Payable and Accrued Expenses | $62,750,558 | $53,871,988 | ▼ $8,878,570 |
| Total Liabilities | $943,145,098 | $1,065,071,321 | ▲ $121,926,223 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $2,140,516,397 | $2,381,695,523 | ▲ $241,179,126 |
| Total Liabilities and Net Assets / Fund Balance | $3,083,661,495 | $3,446,766,844 | ▲ $363,105,349 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $48,346,218 | $38,013,593 | $86,359,811 |
| Equipment | $4,662,566 | $22,850,834 | $27,513,400 |
| Land | $7,546,776 | - | $7,546,776 |
| Other Securities | $275,990,312 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| - | Associate Director, Natl Sales | - | $122,715 | $158,393 | $281,108 |
| - | Chair | - | - | $138,759 | $138,759 |
| - | Assistant Treasurer | PT | $78,036 | $23,392 | $101,428 |
| - | Physician Reviewer | PT | $67,360 | $17,369 | $84,729 |
| Name | Title |
|---|---|
| - | Director, President & CEO |
| - | Former Director, President & CEO |
| - | Vice President & Asst. Clerk |
| - | Director, Evp & CFO |
| - | Director, Evp & Chief Financial Officer |
| - | Director, General Counsel and Secretary |
| - | Director, SVP & COO |
| - | Former Director and Former Chief Legal Officer |
| - | SVP & Chief Actuary |
| - | SVP & Chief Audit Executive |
| - | VP of Treasury and Investments |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Perficient INC | It Consulting | 455 GRAND UNION BLVD, Somerville, MA 02145 | $11,694,952 |
| Cognizant Worldwide Limted | It Consulting | 6 TRAFALGAR SQ, Nashua, NH 03063 | $5,888,292 |
| Oliver Wyman INC | Business Consulting | 99 HIGH STREET, Boston, MA 02110 | $2,496,091 |
| Bain & Co INC | Business Management Consulting | 131 DARTMOUTH STREET, Boston, MA 02116 | $1,527,943 |
| Ernst & Young LLP | Audit & Consulting | 200 CLARENDON ST, Boston, MA 02116 | $1,312,178 |
| Line Item | Amount |
|---|---|
| Other Expenses | $412,201,443 |
| Salaries, Compensation, and Employee Benefits | $218,234,215 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Benefits to Members | $5,033,264,555 | - | - | $5,033,264,555 |
| Other Salaries and Wages | - | $170,609,022 | - | $170,609,022 |
| Fees for Services Other | $0 | $121,224,598 | $0 | $121,224,598 |
| Depreciation Depletion | - | $64,699,398 | - | $64,699,398 |
| Information Technology | - | $45,289,084 | - | $45,289,084 |
| Fees for Services Accounting | - | $32,627,237 | - | $32,627,237 |
| Other Employee Benefits | - | $29,205,204 | - | $29,205,204 |
| Occupancy | - | $11,446,534 | - | $11,446,534 |
| Payroll Taxes | - | $11,027,787 | - | $11,027,787 |
| Pension Plan Contributions | - | $7,189,635 | - | $7,189,635 |
| Office Expenses | - | $6,023,074 | - | $6,023,074 |
| Advertising | - | $5,496,650 | - | $5,496,650 |
| Travel | - | $1,969,790 | - | $1,969,790 |
| Other Expenses | - | $1,919,893 | - | $1,919,893 |
| Fees for Services Management | - | $837,858 | - | $837,858 |
| Current Officers, Directors, Trustees, and Key Employees | $0 | $202,567 | $0 | $202,567 |
| Fees for Services Legal | - | $55,306 | - | $55,306 |
| All Other Expenses | $0 | $-20,755,795 | $0 | $-20,755,795 |
| Total Functional Expenses | $5,033,264,555 | $630,435,658 | $0 | $5,663,700,213 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $5,663,700,213 |
| Total Expenses per Audited Statements | $5,663,700,213 |
| Total Expenses per Form 990 | $5,663,700,213 |
| Expenses Not Reported on Financial Statements | $0 |
| Expenses Not Reported on Form 990 | $0 |
| Other Expense Adjustments | $0 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| North America (Canada & Mexico only) | Investments | - | - | - | $71,877,781 |
| Central America and the Caribbean | Investments | - | - | - | $61,912,672 |
| Europe (Including Iceland and Greenland) | Investments | - | - | - | $46,862,122 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Liability | Amount |
|---|---|
| Claims Unpaid | $534,808,637 |
| Other Liabilities | $102,190,389 |
| Premiums Received in Advance | $92,932,873 |
| Aggregate Policy Reserves | $63,039,284 |
| Payable for Securities | $55,791,909 |
| Unpaid Claims Adjustment Expen | $4,752,614 |
“The organization's board of directors are appointed by, and accountable to, the board of directors of blue cross and blue shield of massachusetts, inc., the organization's parent company, which is comprised of a majority of independent voting members and which reserves the right to act as the board committees of the organization.”
“The organization's board of directors are appointed by, and accountable to, the board of directors of blue cross and blue shield of massachusetts, inc., the organization's parent company, which is comprised of a majority of independent voting members and which reserves the right to act as the board committees of the organization.”
“The organization's board of directors are appointed by, and accountable to, the board of directors of blue cross and blue shield of massachusetts, inc., the organization's parent company, which is comprised of a majority of independent voting members and which reserves the right to act as the board committees of the organization.”
“The organization's form 990 was prepared by the organization's finance department and reviewed by a paid preparer, with relevant input and review by subject matter personnel from throughout the organization. The completed form 990 was provided to both the voting members of the governing board of the organization and designated representatives of the independent governing board of blue cross blue shield of massachusetts, inc. At the direction of the full board of directors.”
“The avoidance of actual or perceived conflicts of interest is important to blue cross blue shield of massachusetts and its related organizations. As a matter of corporate responsibility the board ensures that the company maintains a thorough and robust disclosure process. Members of the board of directors of the organization, its corporate officers, senior leaders, and select other associates participate in an annual conflict of interest disclosure process. The conflict process is managed by the blue cross blue shield of massachusetts legal department and is designed to identify, among other matters, self-reported financial relationships between the organization, its directors, and senior management (including family members) and other organizations. The conflict process provides an opportunity to evaluate and address as necessary actual or perceived conflicts of interest. The conflict of interest policy, a confidentiality statement and a disclosure questionnaire are distributed annually to directors, officers, and members of senior management. Responses are subject to extensive evaluation by the legal department and governance committee. Recommendations and summary reports are provided to and evaluated annually by the governance committee.”
“The organization's senior level management services are provided by blue cross blue shield of massachusetts, inc., a related organization, under an arm's length services agreement. The organization's ceo is compensated solely by blue cross blue shield of massachusetts inc. The organization's ceo compensation is determined under the direction of the human resources committee of the blue cross blue shield of massachusetts, inc. Board of directors using market assessment information provided by independent compensation consultants. Final approval of the organization's ceo compensation is performed by the full board of directors of blue cross blue shield of massachusetts, inc.”
“The organization's senior level management services are provided by blue cross blue shield of massachusetts, inc., a related organization, under an arm's length services agreement. The organization's ceo is compensated solely by blue cross blue shield of massachusetts inc. The organization's ceo compensation is determined under the direction of the human resources committee of the blue cross blue shield of massachusetts, inc. Board of directors using market assessment information provided by independent compensation consultants. Final approval of the organization's ceo compensation is performed by the full board of directors of blue cross blue shield of massachusetts, inc.”
“The organization's governing documents, conflict of interest policy, and financial statements are available at the company's headquarters at 101 huntington avenue, suite 1300, boston, ma 02199-7611.”
“Changes in non-admitted assets - -391206; unrealized foreign exchange capital gain - 707383;”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | false |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 62750558 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 53871988 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 148021449 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 190727230 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | IT IS A HEALTH MAINTENANCE ORGANIZATION THAT PROVIDES MEDICAL AND OTHER HEALTH BENEFITS TO MEMBERS THROUGH CONTRACTS WITH HOSPITALS, PHYSICIANS, NURSING HOMES, ETC. |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 5496650 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 5496650 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | -20755795 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | -20755795 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 5033264555 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 5033264555 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | MICHAEL CARDER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6172465313 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 101 HUNTINGTON AVENUE SUITE 1300 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | BOSTON |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 02199 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 14568105 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 7377501 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 48 |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/FundraisingAmt | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 202567 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 202567 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 11694952 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 5888292 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 2496091 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 1527943 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 1312178 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 455 GRAND UNION BLVD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 6 TRAFALGAR SQ |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 99 HIGH STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 131 DARTMOUTH STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 200 CLARENDON ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SOMERVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | NASHUA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | BOSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | BOSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | BOSTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | NH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 02145 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 03063 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 02110 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 02116 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 02116 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | PERFICIENT INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | COGNIZANT WORLDWIDE LIMTED |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | OLIVER WYMAN INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | BAIN & CO INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | ERNST & YOUNG LLP |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | IT CONSULTING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | IT CONSULTING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | BUSINESS CONSULTING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | BUSINESS MANAGEMENT CONSULTING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | AUDIT & CONSULTING |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 5033264555 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 80916368 |
| IRS990/CYOtherExpensesAmt | 0 | 412201443 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 5770512275 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 187728430 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 218234215 |
| IRS990/CYTotalExpensesAmt | 0 | 5663700213 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 5851428643 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | true |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 64699398 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 64699398 |
| IRS990/Desc | 0 | PROVISION OF HOSPITAL AND MEDICAL BENEFITS. |
| IRS990/DescribedInSection501c3Ind | 0 | false |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | true |
| IRS990/EmployeeCnt | 0 | 144 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 5033264555 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditPerformedInd | 0 | true |
| IRS990/FederalGrantAuditRequiredInd | 0 | true |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 32627237 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 32627237 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 55306 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 55306 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 837858 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 837858 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 121224598 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 121224598 |
| IRS990/ForeignActivitiesInd | 0 | true |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 37.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 37.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 4.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 37.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 37.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 37.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 37.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 37.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 22.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 37.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 22.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 37.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 26.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 34.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 26.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 26.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 26.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 15.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 11.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 3.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 11.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 11.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 11.5 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 0.0 |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 0 | ANDREANA SANTANGELO |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 1 | DONALD SAVERY |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 2 | DOROTHY PUHY |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 3 | RICHARD LYNCH |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 4 | RUBY KAM |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 5 | SARAH ISELIN |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 6 | ALONA ABALOS |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 7 | ANTHONY CRISCUOLO |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 8 | ENRICO GIAMMARCO |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 9 | LINDA WILLIAMS |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 10 | MARK COLLURA |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 11 | MICHAEL GURRIERE |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 12 | JOSEPH SCHWARTZ |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 13 | MICHAEL CONTI |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 14 | MONICA RUEHLI |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 15 | PETER CELLUCCI |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 16 | RICHARD LEWIS |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 17 | ANDREW DREYFUS |
| IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt | 18 | STEPHANIE LOVELL |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 229865 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 159733 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 953842 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 513599 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 188658 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 67988 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 299631 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 17573 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 178840 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 17898 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 194653 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 41438 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 16954 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 30363 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 18467 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 23461 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 654130 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | -232666 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 94110 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 94269 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 95554 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 265697 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 88227 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 79115 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 85887 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 3520748 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 831391 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 138759 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 2341678 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 183884 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 6021080 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 414018 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 744952 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 141164 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 915976 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 141403 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 832855 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 218766 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 26599 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 201990 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 181132 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 196636 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 13838852 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 879750 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR, EVP & CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR, GENERAL COUNSEL AND SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR, SVP & COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR, EVP & CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR, PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | VICE PRESIDENT & ASST. CLERK |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VP OF TREASURY AND INVESTMENTS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | ASSISTANT TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | SVP & CHIEF AUDIT EXECUTIVE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | ASSISTANT TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | SVP & CHIEF ACTUARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN REVIEWER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | ASSOCIATE DIRECTOR, NATL SALES |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | PHYSICIAN REVIEWER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | PHYSICIAN REVIEWER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | PHYSICIAN REVIEWER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | FORMER DIRECTOR, PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | FORMER DIRECTOR AND FORMER CHIEF LEGAL OFFICER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/Form990TFiledInd | 0 | true |
| IRS990/FormationYr | 0 | 2005 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | true |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 8549622 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -22189175 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 5 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 228454068 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 223145622 |
| IRS990/GrossReceiptsAmt | 0 | 6316667886 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | false |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 196 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 45289084 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 45289084 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 94501858 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 94555921 |
| IRS990/InvestmentIncomeGrp/UnrelatedBusinessRevenueAmt | 0 | 54063 |
| IRS990/InvestmentInJointVentureInd | 0 | true |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 902606726 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 996439563 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 1731589220 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1971885950 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 60864427 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 84687045 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 60555560 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 121419987 |
| IRS990/LegalDomicileStateCd | 0 | MA |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 219904446 |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 245334797 |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LoansFromOfficersDirectorsGrp/BOYAmt | 0 | 0 |
| IRS990/LoansFromOfficersDirectorsGrp/EOYAmt | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | true |
| IRS990/MethodOfAccountingOtherInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MiscellaneousRevenueGrp/ExclusionAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/MissionDesc | 0 | 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. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 2140516397 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 2381695523 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -13639553 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -13639553 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 36189 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 53134519 |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 11446534 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 11446534 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 6023074 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 6023074 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501cInd | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 37786376 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 34032976 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 316177 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 29205204 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 29205204 |
| IRS990/OtherExpensesGrp/Desc | 0 | OTHER - BROKER FEES |
| IRS990/OtherExpensesGrp/Desc | 1 | OTHER - DUES AND ASSESSMENTS |
| IRS990/OtherExpensesGrp/Desc | 2 | DONATIONS AND PUBLIC RELATIONS |
| IRS990/OtherExpensesGrp/Desc | 3 | OTHER - OUT OF AREA PROGRAM |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 104345423 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 34285493 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 2736900 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 1919893 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 104345423 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 34285493 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 2736900 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 1919893 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 712685773 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 853515706 |
| IRS990/OtherRevenueTotalAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 170609022 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 170609022 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 11027787 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 11027787 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 7189635 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 7189635 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrincipalOfcrBusinessName/BusinessNameLine1Txt | 0 | SARAH ISELIN |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 524114 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PREMIUMS EARNED |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 5770512275 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 5770512275 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 4744634046 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYInvestmentIncomeAmt | 0 | 94694339 |
| IRS990/PYOtherExpensesAmt | 0 | 381353809 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 5432916359 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 202060846 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 199561997 |
| IRS990/PYTotalExpensesAmt | 0 | 5325549852 |
| IRS990/PYTotalRevenueAmt | 0 | 5527610698 |
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