2026-08-14T10:16:12-05:00 2025-09-30 135565207 KPMG LLP 60 SOUTH STREET BOSTON MA 02111 990 2024-10-01 473468314 BOSTON ACCOUNTABLE CARE ORGANIZATION INC BOST 6176387901 ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 CYNTHIA SIERRA PRESIDENT/DIRECTOR 6176387901 2026-08-13 1 0 RAGINI BANURU P01906959 6179881000 2026-08-12 2024 2025-03-06 01:10:19Z CYNTHIA SIERRA ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 1789228 0 X N/A X 2015 MA BOSTON ACCOUNTABLE CARE ORGANIZATION, INC. (BACO) SHALL AT ALL TIMES BE ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND/OR SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MISSION OF BACO IS TO IMPROVE THE HEALTHCARE OF THE POPULATIONS THAT BOSTON MEDICAL CENTER CORPORATION (BMC), THE FACULTY PRACTICE FOUNDATION, INC. (FPF) PHYSICIANS, BOSTON MEDICAL CENTER-BRIGHTON CORPORATION (BMC-BRIGHTON), BOSTON MEDICAL CENTER-SOUTH CORPORATION (BMC-SOUTH), AND COMMUNITY HEALTH CENTERS (CHCS) SERVE. TO PROVIDE THE BEST CARE POSSIBLE, AN ACCOUNTABLE CARE ORGANIZATION (ACO) IS DESIGNED TO BETTER MANAGE ALL ASPECTS OF HEALTHCARE, IN AN EFFORT TO IMPROVE THE HEALTH OF THE POPULATION SERVED WHILE OPERATING MORE EFFICIENTLY. BACO WILL INTEGRATE THE RESOURCES OF BMC, THE FPF, BMC-BRIGHTON, BMC-SOUTH, AND THE CHCS TO PROVIDE MORE EFFECTIVE, HIGHER QUALITY AND LESS EXPENSIVE CARE FOR PATIENTS OF BACO. 19 19 0 24 0 0 0 0 1233350 1052128 640066 737100 0 0 1873416 1789228 0 0 0 0 931967 795855 0 0 0 2460849 4482854 3392816 5278709 -1519400 -3489481 22870298 30414945 22190840 33224968 679458 -2810023 X BACO SHALL AT ALL TIMES BE ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND/OR SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE MISSION OF BACO IS TO IMPROVE THE HEALTHCARE OF THE POPULATIONS THAT BMC, THE FPF PHYSICIANS, BMC- BRIGHTON, BMC-SOUTH, AND CHCS SERVE. TO PROVIDE THE BEST CARE POSSIBLE, AN ACCOUNTABLE CARE ORGANIZATION IS DESIGNED TO BETTER MANAGE ALL ASPECTS OF HEALTHCARE, IN AN EFFORT TO IMPROVE THE HEALTH OF THE POPULATION SERVED WHILE OPERATING MORE EFFICIENTLY. BACO WILL INTEGRATE THE RESOURCES OF BMC, THE FPF, BMC-BRIGHTON, BMC-SOUTH, AND THE CHCS TO PROVIDE MORE EFFECTIVE, HIGHER QUALITY AND LESS EXPENSIVE CARE FOR PATIENTS OF BACO. 0 0 5268725 1052128 SINCE ITS FORMATION, BOSTON ACCOUNTABLE CARE ORGANIZATION (BACO) HAS ENGAGED IN ITS MISSION TO IMPROVE THE HEALTHCARE OF POPULATIONS THAT BOSTON MEDICAL CENTER CORPORATION, THE FACULTY PRACTICE FOUNDATION, INC. PHYSICIANS, BOSTON MEDICAL CENTER-BRIGHTON CORPORATION, BOSTON MEDICAL CENTER-SOUTH CORPORATION, AND COMMUNITY HEALTH CENTERS SERVE BY BETTER MANAGING ALL ASPECTS OF HEALTHCARE, IN AN EFFORT TO IMPROVE THE HEALTH OF THE POPULATION SERVED WHILE OPERATING MORE EFFICIENTLY. 5268725 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 19 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MA X KAREN FINE 6176387406 ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 X ANKUR AGRAWAL DIRECTOR (AS OF 10/23/24) 1.00 0.00 X 0 0 0 JULIE ALMOND DIRECTOR (THRU 10/23/24) 1.00 0.00 X 0 0 0 ALASTAIR BELL MD DIRECTOR (THRU 10/22/24) 1.00 3.00 X 0 0 0 WILLIAM CREEVY MD TREASURER/DIRECTOR 1.00 1.00 X X 0 0 0 RAVIN DAVIDOFF MD DIRECTOR 1.00 1.00 X 0 0 0 HARLEY DAVIDSON DIRECTOR (AS OF 1/22/25) 1.00 0.00 X 0 0 0 DENISE DE LAS NUECES MD DIRECTOR (THRU 10/23/24) 1.00 0.00 X 0 0 0 SHERRY ELLIS DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL FISCHER DIRECTOR 1.00 0.00 X 0 0 0 GUY FISH DIRECTOR (AS OF 10/23/24) 1.00 0.00 X 0 0 0 WILLIAM J HALPIN JR DIRECTOR 1.00 1.00 X 0 0 0 SPIROS HATIRAS DIRECTOR 1.00 0.00 X 0 0 0 DAVID HENDERSON DIRECTOR 1.00 1.00 X 0 0 0 THEA JAMES MD DIRECTOR 1.00 0.00 X 0 0 0 CHUCK JONES DIRECTOR (THRU 10/23/24) 1.00 0.00 X 0 0 0 KELLY LANNUTTI DIRECTOR 1.00 0.00 X 0 0 0 STAN MCLAREN DIRECTOR (AS OF 1/22/25) 1.00 0.00 X 0 0 0 CHARLES MURPHY DIRECTOR 1.00 0.00 X 0 0 0 MICHELLE NADOW DIRECTOR 1.00 0.00 X 0 0 0 GEOFFREY OPDYKE DIRECTOR (AS OF 10/23/24) 1.00 0.00 X 0 0 0 AMY PFEFFER DIRECTOR (THRU 1/1/25) 1.00 0.00 X 0 0 0 CYNTHIA SIERRA PRESIDENT/DIRECTOR 1.00 0.00 X X 0 0 0 GUALE VALDEZ DIRECTOR 1.00 0.00 X 0 0 0 STEPHEN WILSON DIRECTOR 1.00 0.00 X 0 0 0 DAVID BECK CLERK 1.00 3.00 X 0 0 0 0 0 0 0 0 0 0 0 CAPITATION REVENUE 900099 1052128 1052128 1052128 737100 737100 1789228 1052128 0 737100 729782 729782 66073 66073 9984 9984 234962 234962 598 598 756 756 CORPORATE OVERHEADS 4235420 4235420 1134 1134 5278709 5268725 9984 0 19696773 26471857 3173525 3943088 22870298 30414945 1584719 2109846 2898366 2817045 17707755 28298077 22190840 33224968 X 679458 -2810023 679458 -2810023 22870298 30414945 -3489481 0 X 0 1 X 1 0 X 3942547 2409638 2884191 1233350 1052128 11521854 3942547 2409638 2884191 1233350 1052128 11521854 0 0 0 11521854 23278 75137 747642 640066 737100 2223223 23278 75137 747642 640066 737100 2223223 3965825 2484775 3631833 1873416 1789228 13745077 0.83830 0.92130 0.16170 0.07870 X 0 DUE FROM RELATED PARTIES 2957293 MANAGED CARE RISK CONTRACTS 985795 3943088 CONTRACT ACCRUALS 11766129 DUE TO RELATED PARTIES 16531948 28298077 X PART X, LINE 2: BOSTON ACCOUNTABLE CARE ORGANIZATION, INC. 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, 2025 AND 2024. 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, 2025 AND 2024. FORM 990, PART VI, SECTION A, LINE 2 ANKUR AGRAWAL DAVID BECK ALASTAIR BELL MICHELLE NADOW RAVIN DAVIDOFF CYNTHIA SIERRA BUSINESS RELATIONSHIP- THE OFFICERS OR DIRECTORS ABOVE ARE ALSO EMPLOYEES,OFFICERS OR TRUSTEES OF BOSTON MEDICAL CENTER CORPORATION. DAVID BECK ALASTAIR BELL WILLIAM CREEVY DAVID HENDERSON STEPHEN WILSON BUSINESS RELATIONSHIP - THE OFFICERS OR DIRECTORS ABOVE ARE ALSO EMPLOYEES, OFFICERS OR TRUSTEES OF THE FACULTY PRACTICE PLANS. FORM 990, PART VI, SECTION A, LINE 7A (A) EACH COMMUNITY HEALTH CENTER PARTICIPATING IN THE CORPORATION THAT PARTICIPATES IN THE MASSHEALTH ACO APPOINTS ONE DIRECTOR; (B) BOSTON MEDICAL CENTER APPOINTS FOUR DIRECTORS; (C) EACH NON-COMMUNITY HEALTH CENTER ENTITY PARTICIPATING IN THE CORPORATION THAT PARTICIPATES IN THE MASSHEALTH ACO APPOINTS ONE DIRECTOR (EXCEPT THAT THE BOSTON UNIVERSITY MEDICAL GROUP APPOINTS FOUR DIRECTORS TO REPRESENT ITS FACULTY PRACTICE PLAN CORPORATION PARTICIPANTS); AND (D) THE CORPORATION'S PATIENT ADVISORY COMMITTEE APPOINTS ONE DIRECTOR WHO IS A CONSUMER REPRESENTATIVE. FORM 990, PART VI, SECTION B, LINE 11B BACO'S FORM 990 IS PREPARED BY KPMG AND REVIEWED BY BMC HEALTH SYSTEM INC.'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC HEALTH SYSTEM INC.'S INTERNAL MANAGEMENT AND KPMG PRESENT THE FORM 990 TO THE BMC HEALTH SYSTEM INC.'S AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BACO BOARD OF DIRECTORS 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 ENDING SEPTEMBER 30, 2025 WERE DISTRIBUTED BY BMC HEALTH SYSTEM INC.'S, AN AFFILIATED ORGANIZATION, CORPORATE COMPLIANCE DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OF BMC HEALTH SYSTEM INC. 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, LINE 14 THE ORGANIZATION DOES NOT HAVE A RECORD RETENTION POLICY BUT HAS RECORD RETENTION REQUIREMENTS INCLUDED WITHIN ITS CONTRACTS. BOSTON ACCOUNTABLE CARE ORGANIZATION, INC. FOLLOWS THE RECORD RETENTION POLICY OF BOSTON MEDICAL CENTER. FORM 990, PART VI, SECTION C, LINE 19 BACO DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS PUBLICLY AVAILABLE. HOWEVER, THE ARTICLES OF ORGANIZATION ARE AVAILABLE ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE. BMC INTEGRATED CARE SERVICES INC ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02111 043414914 HEALTHCARE MA 501 (C) (3) 12 A-I BMCBACO 0 BOSTON MEDICAL CENTER-SOUTH CORPORATION ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 994491180 HEALTHCARE MA 501 (C) (3) 3 BMCHS 1 BOSTON MEDICAL CENTER-BRIGHTON CORPORATION ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 994793550 HEALTHCARE MA 501 (C) (3) 3 BMCHS 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0