Civic Intelligence

Bmc Health System Inc

990 • Fiscal year 2019 • EIN 46-3556853

Oct 01, 2018 to Sep 30, 2019 • Filed on Aug 12, 2020

One Boston Medical Center PlBoston, MA 02118

(617) 638-7901

Siviq Scores

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

Liabilities / Assets

52nd percentile

0.27x

Higher debt load relative to assets than 52% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Liabilities / Revenue

64th percentile

0.51x

Higher debt load relative to revenue than 64% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Net Margin

3rd percentile

-73%

Higher net margin than 3% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Top Officer Pay

99th percentile

$2,554,880

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 18.7% of source-year revenue.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2019

Asset Growth

4th percentile

-15%

Faster asset growth than 4% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Revenue Growth

11th percentile

-25%

Faster revenue growth than 11% of similar nonprofits.

2019 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2018 to 2019

Assets

Down

$26,075,339

Down $4,484,132 (-15%) from 2018

Net Assets

Up

$19,132,503

Up $2,016,764 (+12%) from 2018

Liabilities

Down

$6,942,836

Down $6,500,896 (-48%) from 2018

Revenue

Down

$13,633,075

Down $4,657,923 (-25%) from 2018

Expenses

Down

$23,573,296

Down $12,210,344 (-34%) from 2018

Net Income

Up

-$9,940,221

Up $7,552,421 (+43%) from 2018

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

2019

Assets$26,075,339
Liabilities$6,942,836
Net Assets$19,132,503

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

2019

Revenue$13,633,075
Expenses$23,573,296
Net Income-$9,940,221
Jump To
Filing Snapshot
Filing Period
Oct 1, 2018 to Sep 30, 2019
Signed
Aug 12, 2020
Return Version
2018v3.3
Gross Receipts
$13,633,075
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
Prepaid Expenses and Deferred Charges$44,362$12,979,942▲ $12,935,580
Accounts Receivable$1,537,092$7,765,230▲ $6,228,138
Savings and Temporary Cash Investments$28,590,064$4,993,707▼ $23,596,357
Land, Buildings, and Equipment, Net$387,953$336,460▼ $51,493
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Other Notes and Loans Receivable, Net$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$30,559,471$26,075,339▼ $4,484,132
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$659,209$5,567,416▲ $4,908,207
Other Liabilities$9,360,943$737,606▼ $8,623,337
Deferred Revenue$3,423,580$637,814▼ $2,785,766
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$13,443,732$6,942,836▼ $6,500,896
Net Assets / Fund Balance
Unrestricted Net Assets$17,115,739$19,132,503▲ $2,016,764
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$17,115,739$19,132,503▲ $2,016,764
Total Liabilities and Net Assets / Fund Balance$30,559,471$26,075,339▼ $4,484,132

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$336,460$2,047,163$2,383,623
Compensation and Service Providers

Board Members and Trustees

NameTitle
Edmond EnglishTrustee/Chair
Kathleen WalshPresident/Trustee
Andrew YounissTrustee
David AmentTrustee
James BlueTrustee
James S PhalenTrustee
Mark NunnellyTrustee
Martha SamuelsonTrustee
Matthew BoteinTrustee
Randi CutlerTrustee
Richard MarksTrustee
Richard SlifkaTrustee
Sandra CotterellTrustee
William Creevy MDTrustee
Monica NoetherTrustee (AS OF 6/11/2019)
David Beck EsqClerk
Laurie DoranFormer treasurer
Richard SilveriaFormer Treasurer
Charles OrlandoTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Sovereign Systems LLCTechnology3930 E Jones Bridge Rd Suite 300, Peachtree Corners, GA 30092$2,112,678
Ge Precision Healthcare LLCTechnology3000 N Grandview Blvd, Waukesha, WI 53188-1615$1,831,344
Epic Systems CorporationTechnology1979 Milky Way, Verona, WI 53593$1,677,186
Healthtrio LLCTechnology603 N Wilmot Rd, Tucson, AZ 85711$1,634,806
Cognizant Trizetto SoftwareTechnology500 FRANK W BURR BLVD, Teaneck, NJ 07666$1,311,498
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$13,375,698
Investment Income
$257,377
Other Revenue
$0
Change in Net Assets
$-9,940,221
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$12,012,714
Other Expenses$11,523,732
Grants and Similar Amounts Paid$36,850
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,081,467--$9,081,467
Fees for Services Other$8,351,472--$8,351,472
Other Employee Benefits$2,931,247--$2,931,247
Other Expenses$467,272--$467,272
Office Expenses$330,889--$330,889
Travel$107,003--$107,003
Depreciation Depletion$51,763--$51,763
Foreign Grants$36,850--$36,850
Conferences and Meetings$12,040--$12,040
Fees for Services Accounting$10,250--$10,250
Occupancy$5,759--$5,759
Information Technology$3,395--$3,395
Total Functional Expenses$23,573,296$0$0$23,573,296
International Activity

International Summary

Offices
0
Employees
1
Spending
$126,628

International Compliance

Foreign grant records maintained
Yes
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
Sub-Saharan AfricaProgram ServicesPsychiatric Services01$89,778
Sub-Saharan AfricaGrantmaking-00$36,850
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 Fpf - Bmchs$722,216
Due to Bmc$13,770
Due to Bmchp$1,620
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 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. William Creevy, M.D. Kathleen Walsh Monica Noether David Beck Business Relationship - The officers and trustees above are also officers/directors of Faculty Practice Foundation, Inc. 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, 2019 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), for which they are compensated. Therefore, their compensation and benefits are determined by BMC.

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 PL, BOSTON, MA 02118

Signing Officer

Name
David Beck
Title
Clerk
Phone
6176387901
Signed
2020-08-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Julie Joncas
Formed
2013
Legal Domicile
Ma
Voting Board Members
15
Independent Board Members
14
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 11G

Description:other service fees total fees:381059

Form 990 Part IX Line 11G

Description:physician services total fees:7970413

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, before it was terminated, were nonprofit, tax-exempt corporations. The health system 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, 2019 and 2018. 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 system's consolidated operations or changes in net assets for the years ended september 30, 2019 and 2018.

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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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Filings

Peer Organizations

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