2025-08-14T16:07:08-05:00 2024-09-30 135565207 KPMG LLP 60 SOUTH STREET TWO FINANCIAL CENTER BOSTON MA 02111 990 2023-10-01 043414914 BMC INTEGRATED CARE SERVICES INC BMCI 6176387901 ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 DAVID BECK CLERK 6176387901 2025-08-14 1 0 KRISTIN ANDERSON P01231300 6179881000 2025-08-14 2023 2025-03-06 01:10:19Z RAVIN DAVIDOFF MD ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 462352 0 X N/A X 1998 MA BMC INTEGRATED CARE SERVICES, INC. ("BMCICS") 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 AND TO PROMOTE AND SUPPORT, DIRECTLY OR INDIRECTLY, THE INTERESTS AND PURPOSES OF BOSTON MEDICAL CENTER CORPORATION (THE "SOLE MEMBER"), FOR SO LONG AS THE SOLE MEMBER IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND DESCRIBED IN SECTION 509(A)(1) OR (A)(2) OF THE INTERNAL REVENUE CODE. THE CORPORATION SHALL BE OPERATED, SUPERVISED, OR CONTROLLED BY OR IN CONNECTION WITH THE SOLE MEMBER AS SPECIFIED IN SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. 5 3 0 4 0 0 0 0 1625 14942 274548 447410 0 0 276173 462352 0 0 0 0 77690 81587 0 0 0 14368 80603 92058 162190 184115 300162 14582495 11757057 11118490 7992890 3464005 3764167 X MISSION STATEMENTBMC INTEGRATED CARE SERVICES, INC. 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 AND TO PROMOTE AND SUPPORT, DIRECTLY OR INDIRECTLY, THE INTERESTS AND PURPOSES OF BOSTON MEDICAL CENTER CORPORATION, FOR SO LONG AS THE SOLE MEMBER IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND DESCRIBED IN SECTION 509(A)(1) OR (A)(2) OF THE INTERNAL REVENUE CODE. THE CORPORATION SHALL BE OPERATED, SUPERVISED, OR CONTROLLED BY OR IN CONNECTION WITH THE SOLE MEMBER AS SPECIFIED IN SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. 0 0 151989 14942 BMC INTEGRATED CARE SERVICES, INC.'S PRIMARY ACTIVITY IS PROMOTING HEALTH FOR THE BENEFIT OF THE COMMUNITY IT SERVES THROUGH GOVERNMENT PROGRAMS AND COMMERCIAL PAYOR CONTRACTS WITH AFFILIATED PROVIDERS OF HEALTH CARE SERVICES. 151989 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 1 0 0 0 1 1 1 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 ALASTAIR BELL MD DIRECTOR 1.00 54.00 X 0 1769199 180077 TERRI NEWSOM DIRECTOR/TREASURER (THRU 6/30/24) 1.00 52.00 X 0 809132 114386 RAVIN DAVIDOFF MD PRESIDENT/DIRECTOR 1.00 53.00 X X 0 353143 53017 WILLIAM CREEVY MD DIRECTOR 1.00 2.00 X 0 0 0 WILLIAM J HALPIN JR DIRECTOR 1.00 1.00 X 0 0 0 DAVID HENDERSON MD DIRECTOR 1.00 1.00 X 0 0 0 JAGDEEP TRIVEDI DIRECTOR (THRU 8/28/24) 1.00 0.00 X 0 0 0 DAVID BECK CLERK 1.00 55.00 X 0 681033 56003 0 3612507 403483 0 0 1 0 0 CAPITATION REVENUE 900099 14942 14942 14942 447410 447410 462352 14942 0 447410 X 63973 63973 17614 17614 10201 10201 64589 64589 5813 5813 162190 151989 10201 0 835515 836214 7202044 10920843 6544936 0 14582495 11757057 1888158 1956804 9230332 6036086 11118490 7992890 X 3464005 3764167 3464005 3764167 14582495 11757057 300162 0 X 0 1 X 1 0 X X 1 BOSTON MEDICAL CENTER 043314093 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 RESERVE FOR CONTRACT LOSSES 3188674 DUE TO RELATED PARTIES 2847412 6036086 X PART X, LINE 2: BMC INTEGRATED CARE SERVICES, 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, 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. 0 0 0 0 0 0 0 0 0 ALASTAIR BELL MD DIRECTOR 0 1228295 0 459250 0 81654 0 169725 0 10352 0 1949276 0 68250 TERRI NEWSOM DIRECTOR/TREASURER (THRU 6/30/24) 0 648132 0 156000 0 5000 0 107400 0 6986 0 923518 0 0 DAVID BECK CLERK 0 506187 0 112500 0 62346 0 23100 0 32903 0 737036 0 0 RAVIN DAVIDOFF MD PRESIDENT/DIRECTOR 0 287478 0 47250 0 18415 0 22050 0 30967 0 406160 0 0 SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S PRESIDENT IS COMPENSATED BY ITS RELATED/SUPPORTED ORGANIZATION, BOSTON MEDICAL CENTER, WHICH USED ALL METHODS INCLUDED IN QUESTION 3 TO ESTABLISH HIS COMPENSATION. SCHEDULE J, PART I, LINE 4B: CERTAIN EXECUTIVES REPORTED ON SCHEDULE J, PART II ARE COMPENSATED BY BMC. BMC HAS A 457(F) DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES LISTED IN SCHEDULE J, PART II. FORM 990, PART VI, SECTION A, LINE 2 ALASTAIR BELL DAVID BECK RAVIN DAVIDOFF TERRI NEWSOM BUSINESS RELATIONSHIP - ALASTAIR BELL, DAVID BECK, RAVIN DAVIDOFF AND TERRI NEWSOM WERE ALL EMPLOYEES OF BOSTON MEDICAL CENTER CORPORATION. DAVID BECK ALASTAIR BELL DAVID HENDERSON WILLIAM CREEVY BUSINESS RELATIONSHIP - DAVID BECK, ALASTAIR BELL AND DAVID HENDERSON ARE ALL TRUSTEES OR OFFICERS OF THE FACULTY PRACTICE PLANS AND WILLIAM CREEVY IS AN EMPLOYEE OF THE FACULTY PRACTICE PLANS ("THE PLANS"). WILLIAM CREEVY IS PRESIDENT/TRUSTEE OF THE FACULTY PRACTICE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 6 BOSTON MEDICAL CENTER CORPORATION IS THE SOLE MEMBER OF BMC INTEGRATED CARE SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER HAS THE POWER TO APPOINT THE DIRECTORS OF THE ORGANIZATION IN ACCORDANCE WITH THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER SHALL HAVE CERTAIN POWERS INCLUDING: - THE APPROVAL OF ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION, INCLUDING ANY AMENDMENTS TO SUCH BUDGETS - ANY DECISION TO ENTER INTO ANY LOAN AGREEMENT OR ANY GUARANTY OF LOAN AGREEMENTS - ANY AGREEMENT TO SELL, ASSIGN, CONVEY, TRANSFER, PLEDGE, GRANT A SECURITY INTEREST OR MORTGAGE IN, OR OTHERWISE ENCUMBER THE ACCOUNTS, ACCOUNTS RECEIVABLE, OR OTHER TANGIBLE OR INTANGIBLE ASSETS OF THE CORPORATION - ANY MERGER, CONSOLIDATION, REORGANIZATION, LIQUIDATION, DISSOLUTION OF THE CORPORATION OR SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION FORM 990, PART VI, SECTION B, LINE 11B BMC INTEGRATED CARE SERVICE, INC.'S FORM 990 IS PREPARED BY KPMG LLP AND IS 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 AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE 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, 2023 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. BMC INTEGRATED CARE SERVICES, INC. FOLLOWS THE RECORD RETENTION POLICY OF BOSTON MEDICAL CENTER CORPORATION. FORM 990, PART VI, SECTION C, LINE 19 BMC INTEGRATED CARE SERVICES, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS PUBLICLY AVAILABLE. HOWEVER, THE ARTICLES OF THE ORGANIZATION ARE AVAILABLE ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE. FORM 990, PART IX, LINE 11G PROJECT CONSULTING EXPENSE: PROGRAM SERVICE EXPENSES 64,589. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 64,589. BOSTON MEDICAL CENTER CORPORATION ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043314093 HEALTHCARE MA 501(C)(3) LINE 3 N/A 0 BOSTON UNIV AFFILIATED PHYSICIANS INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043218267 HEALTHCARE MA 501(C)(3) LINE 3 BMC 1 BOSTON ACCOUNTABLE CARE ORGANIZATION INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 473468314 HEALTHCARE MA 501(C)(3) LINE 10 N/A 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 BMC INSURANCE COMPANY LTD 878 WEST BAY ROAD PO BOX 1159 GRAND CAYMAN CJ 980375219 INSURANCE CJ N/A C 1 CHARITABLE REMAINDER TRUST - MA (3) SUPPORT MA N/A T 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1