Civic Intelligence

Boston Medical Center Health Plan Inc

EIN 04-3373331 • 501(c)3 • Charlestown, MA

Profile

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.

100 City Square Suite 200Charlestown, MA 02129

www.wellsense.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

80th percentile

0.59x

Higher debt load relative to assets than 80% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Liabilities / Revenue

20th percentile

0.19x

Higher debt load relative to revenue than 20% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Net Margin

26th percentile

1.1%

Higher net margin than 26% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Source year 2024

Top Officer Pay

31st percentile

$1,197,985

Higher top officer pay than 31% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $1B+ nonprofits • Source year 2024

Asset Growth

21st percentile

2.5%

Faster asset growth than 21% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Revenue Growth

81st percentile

26%

Faster revenue growth than 81% of similar nonprofits.

501(c)3 • $1B+ nonprofits • Annualized from 2023 to 2024

Assets

Up

$1,702,165,103

Up $40,955,790 (+2.5%) from 2023

Liabilities

Up

$1,008,808,875

Up $29,190,919 (+3.0%) from 2023

Net Assets

Up

$693,356,228

Up $11,764,871 (+1.7%) from 2023

Revenue

Up

$5,196,975,117

Up $1,059,224,309 (+26%) from 2023

Expenses

Up

$5,141,306,831

Up $1,123,581,686 (+28%) from 2023

Net Income

Down

$55,668,286

Down $64,357,377 (-54%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0B$1.5B$1.0B$500M$0Assets 2010: $338,713,338Liabilities 2010: $127,422,172Net Assets 2010: $211,291,1662010Assets 2011: $422,923,234Liabilities 2011: $141,745,566Net Assets 2011: $281,177,6682011Assets 2012: $382,093,088Liabilities 2012: $152,370,360Net Assets 2012: $229,722,7282012Assets 2013: $356,082,737Liabilities 2013: $133,685,408Net Assets 2013: $222,397,3292013Assets 2014: $367,109,249Liabilities 2014: $188,147,198Net Assets 2014: $178,962,0512014Assets 2015: $429,520,379Liabilities 2015: $205,603,002Net Assets 2015: $223,917,3772015Assets 2016: $468,374,008Liabilities 2016: $253,200,196Net Assets 2016: $215,173,8122016Assets 2017: $470,392,724Liabilities 2017: $235,427,249Net Assets 2017: $234,965,4752017Assets 2018: $530,028,851Liabilities 2018: $292,044,206Net Assets 2018: $237,984,6452018Assets 2019: $529,003,106Liabilities 2019: $307,492,262Net Assets 2019: $221,510,8442019Assets 2020: $765,181,113Liabilities 2020: $337,769,944Net Assets 2020: $427,411,1692020Assets 2021: $1,006,404,859Liabilities 2021: $467,077,685Net Assets 2021: $539,327,1742021Assets 2022: $1,269,835,591Liabilities 2022: $726,332,361Net Assets 2022: $543,503,2302022Assets 2023: $1,661,209,313Liabilities 2023: $979,617,956Net Assets 2023: $681,591,3572023Assets 2024: $1,702,165,103Liabilities 2024: $1,008,808,875Net Assets 2024: $693,356,2282024

Highlighted filing

2024

Assets$1,702,165,103
Liabilities$1,008,808,875
Net Assets$693,356,228

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$6.0B$4.0B$2.0B$0-$2.0BExpenses 2010: $1,131,041,0382010Expenses 2011: $1,229,091,5842011Revenue 2012: $1,200,185,956Expenses 2012: $1,214,444,980Net Income 2012: -$14,259,0242012Revenue 2013: $1,372,748,755Expenses 2013: $1,356,579,990Net Income 2013: $16,168,7652013Revenue 2014: $1,711,757,566Expenses 2014: $1,757,523,032Net Income 2014: -$45,765,4662014Revenue 2015: $1,640,398,973Expenses 2015: $1,599,070,924Net Income 2015: $41,328,0492015Revenue 2016: $1,569,327,295Expenses 2016: $1,576,073,465Net Income 2016: -$6,746,1702016Revenue 2017: $1,639,576,890Expenses 2017: $1,632,103,887Net Income 2017: $7,473,0032017Revenue 2018: $2,076,590,608Expenses 2018: $2,073,442,438Net Income 2018: $3,148,1702018Revenue 2019: $2,660,517,755Expenses 2019: $2,664,525,014Net Income 2019: -$4,007,2592019Revenue 2020: $2,754,286,124Expenses 2020: $2,684,230,842Net Income 2020: $70,055,2822020Revenue 2021: $2,874,782,064Expenses 2021: $2,769,194,815Net Income 2021: $105,587,2492021Revenue 2022: $3,051,766,108Expenses 2022: $2,998,522,488Net Income 2022: $53,243,6202022Revenue 2023: $4,137,750,808Expenses 2023: $4,017,725,145Net Income 2023: $120,025,6632023Revenue 2024: $5,196,975,117Expenses 2024: $5,141,306,831Net Income 2024: $55,668,2862024

Highlighted filing

2024

Revenue$5,196,975,117
Expenses$5,141,306,831
Net Income$55,668,286

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$1,702$1,009$693$5,197$5,141$55.7
2023Detailed filing. Detailed filing data is available for this year.$1,661$980$682$4,138$4,018$120
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,270$726$544$3,052$2,999$53.2
2021Detailed filing. Detailed filing data is available for this year.$1,006$467$539$2,875$2,769$106
2020Detailed filing. Detailed filing data is available for this year.$765$338$427$2,754$2,684$70.1
2019Detailed filing. Detailed filing data is available for this year.$529$307$222$2,661$2,665$4.01
2018Detailed filing. Detailed filing data is available for this year.$530$292$238$2,077$2,073$3.15
2017Detailed filing. Detailed filing data is available for this year.$470$235$235$1,640$1,632$7.47
2016Detailed filing. Detailed filing data is available for this year.$468$253$215$1,569$1,576$6.75
2015Detailed filing. Detailed filing data is available for this year.$430$206$224$1,640$1,599$41.3
2014Detailed filing. Detailed filing data is available for this year.$367$188$179$1,712$1,758$45.8
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$356$134$222$1,373$1,357$16.2
2012Summary only. Only limited summary data is available for this year.$382$152$230$1,200$1,214$14.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$423$142$281$1,229
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$339$127$211$1,131
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 14, 2025
Return Version
2023v6.0
Gross Receipts
$6,558,704,015
Mission and Program 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.

Wellsense 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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$323,306,591$898,971,068▲ $575,664,477
Accounts Receivable$94,579,066$393,956,337▲ $299,377,271
Savings and Temporary Cash Investments$1,208,539,389$357,189,781▼ $851,349,608
Prepaid Expenses and Deferred Charges$20,107,158$29,217,352▲ $9,110,194
Land, Buildings, and Equipment, Net$11,875,088$13,817,849▲ $1,942,761
Total Assets$1,661,209,313$1,702,165,103▲ $40,955,790
Other Assets Total$2,802,021$9,012,716▲ $6,210,695
Liabilities
Other Liabilities$823,412,873$847,342,511▲ $23,929,638
Accounts Payable and Accrued Expenses$156,205,083$161,466,364▲ $5,261,281
Total Liabilities$979,617,956$1,008,808,875▲ $29,190,919
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$681,591,357$693,356,228▲ $11,764,871
Total Net Assets Fund Balance$681,591,357$693,356,228▲ $11,764,871
Total Liabilities and Net Assets / Fund Balance$1,661,209,313$1,702,165,103▲ $40,955,790

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$10,829,978$23,663,785$34,493,763
Leasehold Improvements$2,987,871$383,184$3,371,055
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Heather ThiltgenTrustee/presidentFT$654,716$543,269$1,197,985
James CollinsTreasurer/CFO (thru 6/30/24)FT$471,773$306,643$778,416
Rajesh NairChief Info Officer (eff. 5/2023)FT$272,312$474,207$746,519
Diana CruzChief Operating OfficerFT$419,712$275,559$695,271
Howard LuChief Medical Officer (thru 8/1/24)FT$461,681$221,592$683,273
Serina BarkleyChief Legal Off/clerkFT$304,012$218,888$522,900
Jennifer CarboneSVP, Service & OperationsFT$317,878$176,562$494,440
Paul WingleChief Product and Sales OfficerFT$341,441$146,554$487,995
Darren Bennett Senior Vp Thru6/30/24), Treas/CFO (eff. 7/1/24)FT$308,624$176,144$484,768
Daniel ConcaughVP, Network ContractingFT$307,506$175,213$482,719
Matthew ConnellSVP, Pharmacy ServicesFT$302,749$160,407$463,156
Kimberly SinclairFormer Chief Information Officer-$5,954$439,136$445,090
William KeoughSenior Medical DirectorFT$309,409$126,654$436,063

Board Members and Trustees

NameTitle
Mark TaberChair/trustee
Alastair Bell MdTrustee
Amanda EiselTrustee
James BlueTrustee
Jeffrey SchwartzTrustee
Neela MontgomeryTrustee
Paul Mendis MdTrustee
Robert SweetTrustee
Susan LevineTrustee
Tarsha WeaverTrustee
James MacpheeTrustee (as of 7/9/24)
Christopher GordonTrustee (thru 7/9/24)

Highest Paid Contractors

ContractorServicesLocationCompensation
Carelon Behavioral Health Strategies LlBehavioral Health Benefit Admin5800 NORTHAMPTON BLVD, Norfolk, VA 23502$20,300,337
Boston Children's Accountable Care OrganCare Mgmt And Other Admin Payments300 LONGWOOD AVENUE, Boston, MA 02115$11,998,791
Kaeppel Consulting LLCConsulting Services1141 NORTH LOOP STE 1604 E 105-11, San Antonio, TX 78232$6,999,413
Express Scripts INCPharmacy Benefits Manager21653 NETWORK DRIVE, Chicago, IL 60673$5,391,535
Shc Services INCTemporary Help Agency1640 W REDSTONE CENTER DR STE 200, Park City, UT 84098$3,902,963
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$5,124,054,283
Investment Income
$72,920,834
Other Revenue
$0
Change in Net Assets
$55,668,286
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$235,673,002
Salaries, Compensation, and Employee Benefits$171,250,892
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$4,734,382,937--$4,734,382,937
Other Salaries and Wages$125,818,938$4,658,756-$130,477,694
Fees for Services Other$109,889,000$28,588-$109,917,588
Information Technology$24,638,027$12,256-$24,650,283
Fees for Services Management$23,073,268--$23,073,268
Other Employee Benefits$21,588,718$788,601-$22,377,319
Advertising$9,609,323$41,878-$9,651,201
Payroll Taxes$8,874,422$329,874-$9,204,296
Other Expenses$7,496,492--$7,496,492
Depreciation Depletion$5,678,021$211,059-$5,889,080
Current Officers, Directors, Trustees, and Key Employees-$5,234,313-$5,234,313
Pension Plan Contributions$3,526,041$264,876-$3,790,917
All Other Expenses$3,541,244$4,579-$3,545,823
Office Expenses$3,330,672$98,544-$3,429,216
Fees for Service Investment Mgmnt Fees-$2,449,895-$2,449,895
Occupancy$1,121,711$41,691-$1,163,402
Fees for Services Accounting-$1,087,071-$1,087,071
Travel$1,032,287$40,453-$1,072,740
Fees for Services Legal-$405,105-$405,105
Fees for Services Lobbying$401,922--$401,922
Conferences and Meetings-$391,336-$391,336
Comp Disqual Persons-$166,353-$166,353
Insurance$11,466--$11,466
Total Functional Expenses$5,125,051,603$16,255,228$0$5,141,306,831
International Activity

International Summary

Offices
0
Employees
0
Spending
$69,650,035

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No

International Activities

RegionActivityServicesOfficesEmployeesSpending
Europe (including Iceland & Greenland)Investments-00$32,373,774
North AmericaInvestments-00$14,726,614
East Asia and the PacificInvestments-00$10,279,255
Central America and the CaribbeanInvestments-00$6,059,914
Sub-saharan AfricaInvestments-00$2,232,842
South AmericaInvestments-00$1,414,210
South AsiaInvestments-00$1,008,115
Russia and Neighboring StatesInvestments-00$806,216
Middle East and North AfricaInvestments-00$749,095
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Risk Share Payable$342,276,993
Medical Claims Payable & Related$336,460,987
Risk Adjustment$129,333,379
Due to Affiliates$13,341,046
Premium Deficiency Reserve$11,526,311
Lease Liability$9,628,907
Reserve for Pay for Performance$4,774,888
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
Yes
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Alastair bell, m.d. Serina barkley kimberly sinclair business relationship - the persons listed above are/were employees of boston medical center.

Form 990, Part VI, Section A, Line 6

Bmc health system, inc. Is the sole member of wellsense.

Form 990, Part VI, Section A, Line 7B

Certain actions including, but not limited to, the approval of budgets, mergers, acquisitions, and indebtedness are subject to the approval of the sole member.

Form 990, Part VI, Section B, Line 11B

Wellsense's tax return is prepared by kpmg llp and reviewed by wellsense's internal management. Following that review, wellsense's internal management and kpmg present the form 990 to the audit committee for review and comment. The completed form 990 is provided to all members of the board of trustees prior to the form being filed with the irs.

Form 990, Part VI, Section B, Line 12C

Conflict of interest questionnaires for the fiscal year end september 30, 2024 were distributed by boston medical center's ("bmc"), an affiliated organization, corporate compliance department. The chief compliance officer of bmc or the chief compliance officer's designee queries trustees, officers and directors on at least an annual basis regarding relationships that may create potential conflicts of interest. The chief compliance officer or the chief compliance officer's designee reviews all disclosures and determines whether there are actual or potential conflicts of interest. The chief compliance officer or the chief compliance officer's designee informs the chief legal counsel of any actual or potential conflicts of interest. The chief legal counsel advises the board of directors and officers of the corporation accordingly.

Form 990, Part VI, Section B, Line 15

Boston medical center health system is a supporting organization of both boston medical center and wellsense health plan. All three entities have the same independent compensation committee, formed of individuals whose compensation is not in issue, that establishes the compensation of the president and ceo and approves the compensation of senior management. The committee members are not under the control or direction of any health system, medical center, or health plan executive seeking compensation. The individual compensation plans are supported by comparable data, which includes compensation paid for comparable positions by similarly situated organizations (both taxable and tax-exempt), independently compiled compensation surveys, and actual written offers from similar institutions competing for the services of the health system, medical center, or health plan executive. The committee may also utilize an independent compensation consultant as part of the compensation-setting process. The independent committee's assessments of these considerations are contained in the minutes of the committee meetings. The review process includes, and the minutes indicate, discussions and evaluations of each executive's prior performance, qualifications, and experience. The executives are not present for the independent committee's discussions or the committee's vote on compensation. The minutes reflect the fact that no executive was present.

Form 990, Part VI, Section C, Line 19

Other than as required by law, wellsense does not make documents publicly available. However, the restated articles of the organization are posted on the secretary of the commonwealth's website.

Filing and Contact Details

Filer

Filer Name
Boston Medical Center Health Plan Inc
EIN
04-3373331
Phone
6177486000
Address
100 CITY SQUARE SUITE 200, CHARLESTOWN, MA 02129
Doing Business As
Wellsense Health Plan

Signing Officer

Name
Darren Bennett
Title
Chief Financial Officer
Phone
6177486000
Signed
2025-08-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Heather Thiltgen
Formed
1997
Legal Domicile
Ma
Voting Board Members
12
Independent Board Members
11
Employees
1,397
Volunteers
11

Preparer

Firm
Kpmg Llp
Address
60 SOUTH STREET TWO FINANCIAL, CENTER, BOSTON, MA 02111
Preparer
Kristin Anderson
Phone
6179881000
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Net assets transfer from bmc health plan (wellsense) -100,000,000.

Form 990, Part XI, Line 9, Changes in Net Assets

Wellsense and bmc may loan each other an aggregate outstanding principal amount of $100,000,000, plus accrued interest effective june 14, 2019. As of june 30, 2024, wellsense had a $100,000,000 receivable relating to the intercompany loan agreement with bmc. In july 2024, the wellsense board voted to convert the intercompany loan to a net asset transfer to bmc. The net asset transfer was made following the required notice to the division of insurance. This was treated as a decrease to surplus as there is no expectation of repayment.

Financial Statement Notes

PART X, LINE 2:

Boston medical center health plan (wellsense health plan or wellsense) is included in the consolidated financial statements of bmc health system (bmchs). These statements include the following language regarding liability for uncertain tax positions within the income taxes footnote. Bmchs recognizes income tax positions when it is more likely than not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material uncertain tax positions that need to be recorded as of september 30, 2024 and 2023. Bmchs annually assesses whether it must recognize ubit expense. The amounts recognized as ubit expense were not material to bmchs's consolidated operations or changes in net assets for the years ended september 30, 2024 and 2023.

Raw XML AppendixShowing 400 of 1,012 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt23VP, NETWORK CONTRACTING
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IRS990/MissionDesc0THE 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.
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