Civic Intelligence

Bmc Health System Inc

990 • Fiscal year 2018 • EIN 46-3556853

Oct 01, 2017 to Sep 30, 2018 • Filed on Aug 14, 2019

One Boston Medical Center PlaceBoston, MA 02118

(617) 638-7901

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

66th percentile

0.44x

Higher debt load relative to assets than 66% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Liabilities / Revenue

72nd percentile

0.73x

Higher debt load relative to revenue than 72% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Net Margin

2nd percentile

-96%

Higher net margin than 2% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Top Officer Pay

98th percentile

$1,932,386

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 10.6% of source-year revenue.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2018

Asset Growth

1st percentile

-51%

Faster asset growth than 1% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2017 to 2018

Revenue Growth

100th percentile

34626%

Faster revenue growth than 100% of similar nonprofits.

2018 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2017 to 2018

Assets

Down

$30,559,471

Down $32,037,302 (-51%) from 2017

Net Assets

Down

$17,115,739

Down $15,594,509 (-48%) from 2017

Liabilities

Down

$13,443,732

Down $16,442,793 (-55%) from 2017

Revenue

Up

$18,290,998

Up $18,238,326 (+34626%) from 2017

Expenses

Up

$35,783,640

Up $20,792,745 (+139%) from 2017

Net Income

Down

-$17,492,642

Down $2,554,419 (-17%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$80M$60M$40M$20M$0-$20MAssets 2013: $1Liabilities 2013: $0Net Assets 2013: $02013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $64,009,769Liabilities 2015: $9,861,095Net Assets 2015: $54,148,6742015Assets 2016: $64,502,942Liabilities 2016: $19,966,522Net Assets 2016: $44,536,4202016Assets 2017: $62,596,773Liabilities 2017: $29,886,525Net Assets 2017: $32,710,2482017Assets 2018: $30,559,471Liabilities 2018: $13,443,732Net Assets 2018: $17,115,7392018Assets 2019: $26,075,339Liabilities 2019: $6,942,836Net Assets 2019: $19,132,5032019Assets 2020: $35,307,136Liabilities 2020: $36,114,808Net Assets 2020: -$807,6722020Assets 2021: $32,089,723Liabilities 2021: $29,723,712Net Assets 2021: $2,366,0112021Assets 2022: $36,520,974Liabilities 2022: $28,637,797Net Assets 2022: $7,883,1772022Assets 2023: $48,781,842Liabilities 2023: $33,504,079Net Assets 2023: $15,277,7632023Assets 2024: $50,816,540Liabilities 2024: $33,336,097Net Assets 2024: $17,480,4432024

Highlighted filing

2018

Assets$30,559,471
Liabilities$13,443,732
Net Assets$17,115,739

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MRevenue 2013: $0Expenses 2013: $0Net Income 2013: $02013Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $51,068Expenses 2015: $8,817,413Net Income 2015: -$8,766,3452015Revenue 2016: $55,247Expenses 2016: $11,717,243Net Income 2016: -$11,661,9962016Revenue 2017: $52,672Expenses 2017: $14,990,895Net Income 2017: -$14,938,2232017Revenue 2018: $18,290,998Expenses 2018: $35,783,640Net Income 2018: -$17,492,6422018Revenue 2019: $13,633,075Expenses 2019: $23,573,296Net Income 2019: -$9,940,2212019Revenue 2020: $175,232,629Expenses 2020: $183,215,805Net Income 2020: -$7,983,1762020Revenue 2021: $189,200,474Expenses 2021: $200,143,731Net Income 2021: -$10,943,2572021Revenue 2022: $234,822,561Expenses 2022: $234,205,395Net Income 2022: $617,1662022Revenue 2023: $299,557,088Expenses 2023: $292,162,502Net Income 2023: $7,394,5862023Revenue 2024: $275,159,627Expenses 2024: $272,956,947Net Income 2024: $2,202,6802024

Highlighted filing

2018

Revenue$18,290,998
Expenses$35,783,640
Net Income-$17,492,642
Jump To
Filing Snapshot
Filing Period
Oct 1, 2017 to Sep 30, 2018
Signed
Aug 14, 2019
Return Version
2017v2.3
Gross Receipts
$18,290,998
Mission and Program Overview

Mission

Bmc health system, inc.'s mission is to provide governance, long-term strategic planning, and budgetary and financial assistance for boston medical center corporation and other affiliates that share their mission to support boston medical center corporation.

Bmc health system, inc.'s mission is to provide governance, long-term strategic planning, and budgetary and financial assistance for boston medical center and its affiliates.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$25,814,299$28,590,064▲ $2,775,765
Other Notes and Loans Receivable, Net$8,182,833$0▼ $8,182,833
Accounts Receivable$28,159,744$1,537,092▼ $26,622,652
Land, Buildings, and Equipment, Net$439,716$387,953▼ $51,763
Prepaid Expenses and Deferred Charges$181$44,362▲ $44,181
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$62,596,773$30,559,471▼ $32,037,302
Other Assets Total$0$0→ $0
Liabilities
Other Liabilities$27,207,093$9,360,943▼ $17,846,150
Deferred Revenue$0$3,423,580▲ $3,423,580
Accounts Payable and Accrued Expenses$2,679,432$659,209▼ $2,020,223
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$29,886,525$13,443,732▼ $16,442,793
Net Assets / Fund Balance
Unrestricted Net Assets$32,710,248$17,115,739▼ $15,594,509
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$32,710,248$17,115,739▼ $15,594,509
Total Liabilities and Net Assets / Fund Balance$62,596,773$30,559,471▼ $32,037,302

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$387,953$1,995,400$2,383,353
Compensation and Service Providers

Employees

NameTitleOtherTotal
Charles OrlandoTreasurer (as of 12/12/2017)$142,059$142,059

Board Members and Trustees

NameTitle
Edmond EnglishTrustee/Chair
James S PhalenTrustee/Chair
Kathleen WalshPresident/Trustee
David AmentTrustee
James BlueTrustee
Mark NunnellyTrustee
Martha SamuelsonTrustee
Matthew BoteinTrustee
Richard SlifkaTrustee
Sandra CotterellTrustee
William Creevy MDTrustee
Andrew YounissTrustee (as of 6/12/18)
Randi CutlerTrustee (as of 6/12/18)
Richard MarksTrustee (as of 6/12/18)
Peggy KoenigTrustee (thru 11/28/2017)
David Beck EsqClerk
Laurie DoranTreasurer (THRU 12/12/2017)

Highest Paid Contractors

ContractorServicesLocationCompensation
Small Army INCMarketing300 Massachusetts Ave, Boston, MA 02115$524,234
Camden Coalition Of HealthcareConsulting Services800 Cooper St, Camden, NJ 08102$237,471
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$18,073,546
Investment Income
$217,452
Other Revenue
$0
Change in Net Assets
$-17,492,642
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$22,690,899
Salaries, Compensation, and Employee Benefits$13,092,741
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
All Other Expenses$11,831,448--$11,831,448
Other Salaries and Wages$10,200,005--$10,200,005
Other Employee Benefits$2,892,736--$2,892,736
Depreciation Depletion$1,917,755--$1,917,755
Insurance$1,469,314--$1,469,314
Fees for Services Other$454,821--$454,821
Travel$41,809--$41,809
Office Expenses$25,549--$25,549
Fees for Services Accounting-$11,040-$11,040
Other Expenses$7,434--$7,434
Conferences and Meetings$427--$427
Total Functional Expenses$35,772,600$11,040$0$35,783,640
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Bmc$9,166,163
Due to Bmchp$194,780
Governance and Compliance

Governance Checklist

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

Governance Explanations

Form 990, Part VI, Section A, Line 2

Kathleen Walsh David Ament James Blue Sandra Cotterell Business Relationship - Each serves as a director of Boston Medical Center Health Plan, Inc. William Creevy, M.D. David Beck Business Relationship - David Beck serves as an officer of Boston University Orthopaedic Surgical Associates, Inc. where William Creevy, M.D. is an employee. David Beck Sandra Cotterell William Creevy, M.D. Charles Orlando Business Relationship - The officers and trustees above are also officers/directors of Boston Accountable Care Organization, Inc. Kathleen Walsh David Beck Business Relationship - David Beck serves as an officer of Boston University Affiliated Physicians, Inc. and Kathleen Walsh is a trustee. Certain officers and directors of BMC Health System, Inc. also serve as officers and directors of Boston Medical Center, a related organization.

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

BMC Health System, Inc.'s Form 990 is prepared by KPMG LLP and reviewed by BOston Medical Center's (BMC) and BMC Health System's internal management. Following that review, BMC'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, Line 12C

Conflict of interest questionnaires for the fiscal year ending September 30, 2018 were distributed by BMC's corporate compliance department. The Chief Compliance Officer or her 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 her designee reviews all disclosures and determines whether there are actual or potential conflicts of interest. The Chief Compliance Officer or her designee informs the Chief Legal Counsel of any actual or potential conflicts of interest. The Chief Legal Counsel advises the Board of Trustees and officers of the Corporation accordingly.

Form 990, Part VI, Line 15A & 15B

The Officers are not compensated in their capacity as officers of BMC Health System, Inc. The President, Clerk, and the treasurer Charles Orlando are also employees of Boston Medical Center (BMC), and the treasurer Laurie Doran is emoployed by Boston Medical Center Health Plan, Inc. (BMCHP) for which they are compensated. Therefore, their compensation and benefits are determined by BMC and BMCHP.

Form 990, Part VI, Line 19

BMC Health System, Inc. does not make its governing documents, conflict of interest policy, or financial statements publicly available. However, the articles of the organization are posted on the secretary of the Commonwealth's website.

Filing and Contact Details

Filer

Filer Name
BMC Health System Inc
EIN
46-3556853
In Care Of
% KAITLYN CLIFFORD
Phone
6176387901
Address
ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118

Signing Officer

Name
Julie Joncas
Title
VP for Finance
Signed
2019-08-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Julie Joncas
Formed
2013
Legal Domicile
Ma
Voting Board Members
14
Independent Board Members
12
Employees
0
Volunteers
12

Preparer

Firm
Kpmg Llp
Address
60 South Street, Boston, MA 02111
Preparer
Shy Joseph
Phone
6179881000
Supplemental Narrative

Additional Explanations

Form 990 Part IX Line 24 - Other Expenses

Description:translation services total expenses:176 program services:176

Form 990 Part IX Line 24 - Other Expenses

Description:taxes total expenses:35 program services:35

Form 990 Part IX Line 24 - Other Expenses

Description:bank fees total expenses:400 program services:400

Form 990 Part IX Line 24 - Other Expenses

Description:other support services total expenses:-888613 program services:-888613

Form 990 Part IX Line 24 - Other Expenses

Description:ochin expense total expenses:9926769 program services:9926769

Form 990 Part IX Line 24 - Other Expenses

Description:phs supplies & other total expenses:1595825 program services:1595825

Form 990 Part IX Line 24 - Other Expenses

Description:manet foregivable loan amortiz total expenses:909667 program services:909667

Form 990 Part IX Line 24 - Other Expenses

Description:other expense total expenses:287189 program services:287189

Financial Statement Notes

Schedule D, Part X, Line 2

The Health System Corporation, the Medical Center, BMCHP, UDF, ECMF, BUAP, Faculty and the Plans, BACO, BMCICS, and BMCIC of Vermont are all nonprofit corporations that have been recognized as tax-exempt pursuant to Section 501(C)(3) of the Internal revenue Code. The shareholders of NAB are nonprofit, tax-exempt corporations. The Health System recognized tax positions when it is more-likely than-not that the positions will be sustainable based on the merits of the position. Management has concluded that there are not material uncertain tax positions that need to be recorded as of September 30, 2018 and 2017. The Health System annually assesses whether it must recognize an unrelated business income tax expense (UBIT). The amounts recognized as UBIT expense were not material to the Health Systems consolidated operations or changes in net assets for the years ended September 30, 2018 and 2017.

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