2026-08-14T10:56:08-05:00 2025-09-30 135565207 KPMG LLP 60 SOUTH STREET TWO FINANCIAL CENTER BOSTON MA 02111 990 2024-10-01 994793550 BOSTON MEDICAL CENTER-BRIGHTON CORPORATION BOST 6177893000 ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 ANKUR AGRAWAL TREASURER 6177893000 2026-08-13 1 0 KRISTIN ANDERSON P01231300 6179881000 2026-08-13 2024 2025-03-06 01:10:19Z ALASTAIR BELL ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 336414637 0 X HTTP://WWW.BMCHEALTHSYSTEM.ORG/BMC-BRIGHTON X 2024 MA SEE SCHEDULE O 1 0 2377 3 0 0 0 50382369 0 282104360 0 196957 0 3023714 0 335707400 0 0 0 0 0 190092233 0 0 0 0 237108525 0 427200758 0 -91493358 0 128165273 0 219658631 0 -91493358 X SEE SCHEDULE O 0 0 344743291 282104360 BOSTON MEDICAL CENTER-BRIGHTON (BMC-BRIGHTON) IS PART OF THE LARGEST SAFETY NET (ESSENTIAL) HEALTH SYSTEM IN NEW ENGLAND. IT IS A PRIVATE, NOT-FOR-PROFIT 291-LICENSED BED, ACADEMIC HOSPITAL THAT OFFERS PATIENTS ACCESS TO SOME OF BOSTON'S MOST ADVANCED TREATMENTS AND SPECIALTY CARE TO ALL IN NEED OF CARE, REGARDLESS OF STATUS AND ABILITY TO PAY. PATIENTS CAN RECEIVE CARE ACROSS A VARIETY OF SPECIALITIES INCLUDING BMC-BRIGHTON'S ADVANCED STROKE CENTER, LEVEL III NEONATAL INTENSIVE CARE UNIT AND AWARD-WINNING ADVANCED CARDIAC SURGERY. BMC-BRIGHTON PARTNERS WITH THE COMMUNITY IT SERVES TO IMPROVE THE OVERALL HEALTH AND WELLBEING OF PATIENTS AND NEIGHBORS BY DELIVERING PREVENTATIVE CARE, EDUCATION AND FUNDING OF COMMUNITY PROGRAMMING. AS THE TERTIARY CARE HOSPITAL FOR MASSACHUSETTS' GATEWAY CITIES, BMC-BRIGHTON CARES FOR TRANSFER PATIENTS FROM SOME OF THE COMMONWEALTH'S MOST HISTORICALLY UNDERSERVED REGIONS. 344743291 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 26 0 1 2377 1 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 1 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 1 1 0 0 MA X KAREN FINE 6176387406 ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 ALASTAIR BELL MD BOARD PRESIDENT/TRUSTEE 1.00 55.00 X X 0 1919294 280079 JESSE SOUWEINE TREASURER 1.00 51.00 X 0 718620 71281 DAVID BECK CLERK 1.00 54.00 X 0 730210 58015 PAUL SMITH PRESIDENT, BMC-BRIGHTON 50.00 0.00 X 105886 0 10196 THOMAS GILL SEMC CHIEF MEDICAL OFFICER 50.00 0.00 X 709847 0 5612 STANLEY TAM PHYSICIAN 50.00 0.00 X 290436 0 10097 MATTHEW WERGER PHYSICIAN 50.00 0.00 X 252343 0 9995 ARVIND AGNIHOTRI PHYSICIAN 50.00 0.00 X 209148 0 10071 EKKEHARD KASPER PHYSICIAN 50.00 0.00 X 206688 0 10097 1774348 3368124 465443 43 0 1 0 ADVANTAGE STAFFING SERVICES 13954 WEST WADDELL ROAD SUITE 103 SURPRISE AZ 85379 HEALTHCARE STAFFING 921654 CROTHALL HEALTHCARE INC 1550 LIBERTY RIDGE DRIVE SUITE 110 WAYNE PA 19087 HOUSEKEEPING 194654 SODEXO INC 100 MORRISSEY BOULEVARD BOSTON MA 02125 CAFETERIA OPERATIONS 154350 DOXIMITY INC 500 3RD STREET SUITE 510 SAN FRANSICO CA 941076803 HEALTHCARE STAFFING 103900 4 50150000 232369 50382369 PATIENT SERVICE REVENUE 622110 275047578 275047578 OTHER PROGRAM SERVICE REVENUE 900099 3316548 3316548 PHARMACY REVENUE 621330 2538988 2538988 LABORATORY REVENUE 621500 1201246 1201246 282104360 196957 196957 1366464 707237 659227 659227 659227 PARKING 812930 1600908 1600908 CAFETERIA 722510 763579 763579 2364487 335707400 282104360 0 3220671 X 562877 562877 163039958 144325612 18714346 3823981 3358974 465007 7365428 6398108 967320 15299989 13497023 1802966 96232 35419 60813 46797808 18925144 27872664 12673 12673 964991 599277 365714 631957 33593 598364 8130009 7173092 956917 137043 135720 1323 70581 67397 3184 1104605 974450 130155 1986929 1752810 234119 416867 416867 PHYSICIAN SERVICES 78165523 78165523 MEDICAL SUPPLIES 55289052 55289052 HSN ASSESSMENT FEES 10534356 10534356 REPAIRS & MAINTENANCE 9820621 1971877 7848744 22949278 11623353 11325925 427200758 344743291 82457467 0 0 11611561 0 87888 0 66207602 0 2256870 0 2586836 27574424 712879 0 26861545 0 18552971 0 128165273 0 44820400 0 28434591 0 146403640 0 219658631 X 0 -91493358 0 -91493358 0 128165273 -91493358 0 X 0 1 X 1 1 1 X 67939 6227 61712 9239710 706652 8533058 18266775 18266775 26861545 RIGHT OF USE ASSETS - FINANCE AND OPERATING 12600283 OTHER LONG-TERM ASSETS 5952688 18552971 FINANCE/OPERATING LIABILITIES 11954076 DUE TO RELATED PARTIES 129954619 SETTLEMENTS WITH 3RD PARTY PAYORS 4494945 146403640 X PART X, LINE 2: BOSTON MEDICAL CENTER-BRIGHTON 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. 1 1 X 1 X 1 X 1 1 0 0 6723023 311267 6411756 0.01500 139961131 75121556 64839575 0.15180 146684154 75432823 71251331 0.16680 28353020 8731752 19621268 0.04590 28353020 8731752 19621268 0.04590 175037174 84164575 90872599 0.21270 1 1407324 70181206 118652001 -48470795 X 1 1 1 1 BOSTON MEDICAL CENTER-BRIGHTON 736 CAMBRIDGE STREET BRIGHTON MA 02135 HTTP://WWW.BMCHEALTHSYSTEM.ORG/BMC-BRI 1720814072 X X X X X BOSTON MEDICAL CENTER-BRIGHTON 1 0 1 0 0 1 X 150.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X HTTPS://WWW.BMCHEALTHSYSTEM.ORG/PATIENT-FINANCIAL-ASSISTANCE X HTTPS://WWW.BMCHEALTHSYSTEM.ORG/PATIENT-FINANCIAL-ASSISTANCE X HTTPS://WWW.BMCHEALTHSYSTEM.ORG/PATIENT-FINANCIAL-ASSISTANCE X X X X X 1 X 0 X X X X 1 X 0 0 BOSTON MEDICAL CENTER-BRIGHTON PART V, SECTION B, LINE 2: IN AUGUST 2024, BMC HEALTH SYSTEM, INC. FORMED THE CORPORATION BMC COMMUNITY HOSPITAL CORPORATION (BMC CHC) TO ESTABLISH AND MAINTAIN A HOSPITAL OR HOSPITALS AND OTHER HEALTHCARE SERVICES. BMC CHC ENTERED INTO AN AGREEMENT TO PURCHASE THE ASSETS OF THE HOSPITALS FORMERLY KNOWN AS GOOD SAMARITAN MEDICAL CENTER AND ST. ELIZABETH'S MEDICAL CENTER FROM STEWARD HEALTH CARE SYSTEM, LLC AND ACREFI CS U, LLC. THE ACQUISITION CLOSED ON OCTOBER 1, 2024. PURSUANT TO THE ACQUISITION, THE ASSETS OF ST. ELIZABETH MEDICAL CENTER WERE ASSIGNED TO BMC COMMUNITY HOSPITAL CORPORATION II (BMC CHC II) ON OCTOBER 1, 2024. BMC CHC II WAS LEGALLY RENAMED BOSTON MEDICAL CENTER BRIGHTON-CORPORATION (BMC-BRIGHTON) EFFECTIVE MAY 1, 2025. BOSTON MEDICAL CENTER-BRIGHTON PART V, SECTION B, LINE 13H: UNDER BMC'S FINANCIAL ASSISTANCE POLICY, PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE HAVE APPLIED FOR ONE OF THE COMMONWEALTH'S FINANCIAL ASSISTANCE PROGRAMS (MASSHEALTH, MEDICAID, HEALTH SAFETY NET, ETC.) OR HAVE BEEN PROVIDED URGENT/EMERGENT SERVICES. IN THOSE INSTANCES, PATIENTS ARE VIEWED AS UNABLE TO PAY FOR THESE CHARGES AND THE HOSPITAL SUBMITS THE CHARGE FOR REIMBURSEMENT FROM THE HEALTH SAFETY NET. PART V, SECTION B, LINE 13A: FOR PATIENTS WHO FALL OUTSIDE THE COMMONWEALTH'S ASSISTANCE PROGRAMS, PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED, BUT THEY ARE OFFERED A PROMPT-PAY DISCOUNT (REGARDLESS OF INCOME LEVEL) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT. 2 1 - BMC-BRIGHTON OUTPATIENT CARE 77 WARREN STREET FL 1 2 STE 200 BOSTON MA 02135 OUTPATIENT HOSPITAL SATELLITE 2 - BMC-BRIGHTON COMPR ADDICTION PROGRAM 736 CAMBRIDGE STREET BOSTON MA 02135 BSAS LICENSED PROGRAM PART I, LINE 3C: FOR PATIENTS WHO FALL OUTSIDE THE COMMONWEALTH'S ASSISTANCE PROGRAMS, PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED, BUT THEY ARE OFFERED A PROMPT-PAY DISCOUNT (REGARDLESS OF INCOME LEVEL) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT.PART I, LINE 5C:THE ORGANIZATION'S CHARITY CARE DID NOT EXCEED BUDGETED AMOUNTS. THE BUDGETED AMOUNTS ARE PREDICTED CHARITY CARE AMOUNTS. THE ORGANIZATION DID NOT HAVE ANY EXCESS FUNDS. PART I, LINE 7: FOR THE CALCULATION OF COSTS OF CHARITY CARE (LINE 7A) & MEDICAID COST (LINE 7B), AN OVERALL COST TO CHARGE RATIO WAS USED. A COST TO CHARGE RATIO IS DETERMINED BY DIVIDING THE TOTAL CHARGES FOR ALL SERVICES INTO THE TOTAL COST OF PROVIDING THE SERVICES. THE RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE AND MEDICAID TO OBTAIN THEIR RESPECTIVE COSTS.FOR THE CALCULATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES (LINE 7E) DISCRETE COSTING WAS USED. FOR THE CALCULATION OF HEALTH PROFESSIONS EDUCATION COST (LINE 7F) THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) COST ALLOCATION METHODOLOGY (CMS FORM 2552) WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT.PART I, LINE 7, COLUMN F:THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $0. DURING FISCAL YEAR 2025, BMC-BRIGHTON RECOGNIZED NO FAVORABLE OR UNFAVORABLE SETTLEMENTS FROM MEDICARE, MEDICAID, WELLSENSE, BLUE CROSS AND OTHER PAYORS RELATED TO PRIOR YEARS, AS THOSE WOULD BELONG TO STEWARD. PART III, LINE 2: SCHEDULE H, PART III, LINE 3 REPORTS BAD DEBT EXPENSE AT COST. PATIENT PAYMENTS ON ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT ARE RECORDED AS A BAD DEBT RECOVERY, REDUCING THE GROSS BAD DEBT WRITE-OFF. PART III, LINE 3: THE ORGANIZATION ESTIMATED $0 OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY DUE TO THE MANNER IN WHICH THE DETAIL OF THE BAD DEBT EXPENSE IS PROCESSED IN ITS SYSTEM. PART III, LINE 4: THE ORGANIZATION'S BAD DEBT EXPENSE IS ADDRESSED IN FOOTNOTES 2(S)(IV) AND 2(T) FOUND ON PAGES 19 AND 20 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF $118,652,001 (W/S D-1 PART 11, LINE 49 BMC & BROCKTON AND W/S D PART V, LINE 202, COLS. 5-7, FILED FY25 MEDICARE COST REPORT) WERE CALCULATED USING THE CMS FORM 2552 METHODOLOGY OF DETERMINING MEDICARE COSTS. THIS USES THE STEP DOWN METHOD OF DETERMINING FULLY-ALLOCATED COSTS BY DISTINCT CLINICAL COST CENTERS AS DEFINED BY CMS. THESE FULLY-ALLOCATED COSTS ARE APPLIED AGAINST TOTAL CHARGES TO CALCULATE A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES BY DISTINCT CLINICAL COST CENTERS TO DETERMINE THE MEDICARE COSTS. PART III, LINE 9B: POPULATIONS EXEMPT FROM COLLECTION ACTIVITIESTHE HOSPITAL WILL NOT REQUIRE PRE-ADMISSION OR PRE-TREATMENT DEPOSITS FROM INDIVIDUALS REQUIRING EMERGENCY SERVICES OR DETERMINED TO BE LOW-INCOME. THE FOLLOWING INDIVIDUALS AND PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS:A. PATIENTS WITH MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN OF THE DISABLED, CHILDREN, AND FULL HEALTH SAFETY NET OR PATIENTS WITH COUNTY MEDICAL SERVICES PROGRAM OR PARTIAL HEPATOSPLENOMEGALY BELOW THE PROGRAM-DEFINED FEDERAL POVERTY LEVEL OR MODIFIED ADJUSTED GROSS INCOME GUIDELINE, OR OTHERS DETERMINED TO BE LOW-INCOME PATIENTS ARE EXEMPT FROM COLLECTION SUBJECT TO:1. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY LOW-INCOME PATIENT FOR THEIR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM.2. THE HOSPITAL MAY SEEK COLLECTION TO ALLOW A PATIENT TO MEET THE COMMONWEALTH ONE-TIME DEDUCTIBLE.3. THE HOSPITAL MAY ALSO INITIATE BILLING OR COLLECTION FOR A LOW-INCOME PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT WHO FAILS TO PROVIDE PROOF OF HIS OR HER PARTICIPATION AND WHOSE INSURANCE CANNOT BE VERIFIED IN THE HOSPITAL ELIGIBILITY SYSTEM. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM, INCLUDING RECEIPT OR VERIFICATION FROM THE INSURANCE CARRIER, THE HOSPITAL SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES.4. THE HOSPITAL MAY CONTINUE COLLECTION ACTION ON ANY LOW-INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW-INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW-INCOME PATIENT STATUS HAS BEEN TERMINATED OR EXPIRED. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN THE HEALTH SAFETY NET, MASSHEALTH, OR CERTAIN FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL CEASE COLLECTION ACTIVITY FOR SERVICES PROVIDED PRIOR TO THE BEGINNING OF THE PATIENT'S ELIGIBILITY.5. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR THE SERVICE. PART VI, LINE 2: NEEDS ASSESSMENTBMC-BRIGHTON IS JOINING THE BOSTON COMMUNITY HEALTH COLLABORATIVE (BCHC) ALONGSIDE BMC AND OTHER HEALTHCARE PARTNERS IN THE CITY. WE ARE IN THE PROCESS OF ADOPTING THE COLLABORATIVE'S CHNA FOR THE HOSPITAL. THE MOST RECENT CHNA WAS CONDUCTED IN 2021 UNDER PRIOR OWNERSHIP. THE COLLABORATIVE'S CHNA PROCESS INCORPORATES EXTENSIVE COMMUNITY FEEDBACK VIA A SURVEY AND COMMUNITY LEADER INPUT VIA FOCUS GROUPS, SECTOR FOCUS GROUPS, AND KEY INFORMANT INTERVIEWS. WE LOOK FORWARD TO SHARING THE PUBLICATION OF THIS CHNA IN MID-2026.IN ADDITION TO THE CHNA PROCESS, BMCHS HAS EXTENSIVE EXPERIENCE AND INTERNAL STRUCTURES FOR ASSESSING COMMUNITY NEEDS. AS A NEW MEMBER OF BMCHS, BMC-BRIGHTON BENEFITS FROM OUR ROBUST TRADITION OF USING PATIENT DATA AND COMMUNITY INPUT TO INFORM SYSTEM DIRECTION AND STRATEGY. BMCHS DESIGNS HEALTHCARE WITH AND FOR PATIENTS AND COMMUNITIES BY INTERROGATING RACIAL DISPARITIES AT THE ROOT CAUSE. BMCHS IS INVESTED IN DEVELOPING INNOVATIVE INTERVENTIONS TO CLOSE THE GAPS IN HEALTH EQUITY BY INTENTIONALLY BRINGING OUR COMMUNITIES TO THE TABLE. WE ACTIVELY SEEK PATIENT INPUT, VALUE THEIR EXPERIENCES, AND ENGAGE IN COMMUNITY CONVERSATIONS. BMCHS IS DEDICATED TO DEVELOPING AND SUPPORTING MEDICAL PROFESSIONALS THAT ADVANCE SCIENTIFIC DISCOVERY AND IMPLEMENT SCALABLE APPROACHES AND INNOVATIVE SOLUTIONS THAT CAN IMPROVE HEALTH AND WELLBEING.BMC-BRIGHTON IS ALSO IN THE PROCESS OF FORMING A PATIENT FAMILY ADVISORY COMMITTEE TO PROVIDE INPUT ON A VARIETY OF ISSUES REGARDING PATIENT EXPERIENCE. THE WORK IS STILL IN EARLY STAGES, BUT WILL BE MODELED AFTER BMC'S PFAC AS AN EXAMPLE OF STRUCTURE, TOPIC INCLUSION, AND INCORPORATION OF LEARNINGS ACROSS THE HOSPITAL. IN ADDITION, OUR HEALTH QUALITY & EQUITY COMMITTEE (HQEC) SERVES AS A SHARED FORUM FOR LEADERS ACROSS CLINICAL, OPERATIONAL, AND COMMUNITY-FACING TEAMS TO ALIGN ON EQUITY PRIORITIES, REDUCE SILOS, AND COORDINATE STRATEGIES, REINFORCING A MORE INTEGRATED AND SYSTEM-WIDE APPROACH TO ADVANCING HEALTH EQUITY. THIS COMMITTEE ALSO HAS PATIENT MEMBERSHIP REPRESENTATION. THIS PAST YEAR, THE HQEC INFORMED A MORE EXPANSIVE COMMUNITY ENGAGEMENT APPROACH AND SUPPORTED THE EXPANSION OF PATIENT INSIGHT GROUPS ACROSS DEPARTMENTS. BMCHS'S OFFICE OF COMMUNITY ENGAGEMENT AND EXTERNAL AFFAIRS HOSTS A BUSY CALENDAR OF EVENTS BOTH BMCHS-MANAGED AND COMMUNITY-RUN WHERE WE ENGAGE WITH COMMUNITY MEMBERS AND COLLECT INPUT. IN FY25, THE COMMUNITY ENGAGEMENT TEAM FOCUSED ON GETTING TO KNOW THE COMMUNITY IN AND AROUND BRIGHTON WHERE BMC-BRIGHTON IS LOCATED. THIS INCLUDED PARTNERING WITH COMMUNITY ORGANIZATIONS LIKE THE VERONICA B. SMITH SENIOR CENTER, CHARLES RIVER COMMUNITY HEALTH CENTER, AND THE ALLSTON BRIGHTON HEALTH COLLABORATIVE; AS WELL AS FOR EVENTS LIKE THE BRIGHTON FARMER'S MARKET, BRAZILIAN HERITAGE FESTIVAL, AND THE ANNUAL ALLSTON VILLAGE STREET FAIR FESTIVAL. AT MANY OF THESE EVENTS WE INCLUDE CLINICAL STAFF MEMBERS AND HEALTH INFORMATION IN MULTIPLE LANGUAGES. IN FY26, THE TEAM HAS AN EXTENSIVE CALENDAR PLANNED, INCLUDING EVENTS LIKE A RUSSIAN UKRAINE COMMUNITY CONVERSATION, A NEW PROSTATE CANCER SCREENING MOBILE HEALTHCARE VEHICLE, AND AN ONGOING PRESENCE AT THE BRIGHTON FARMER'S MARKET. THROUGH THE EQUITY PARTNERSHIP NETWORK, YOUTH ADVISORY BOARD, AND OTHER COMMUNITY-FACING GROUPS, THE OFFICE OF COMMUNITY ENGAGEMENT AND EXTERNAL AFFAIRS WORKS TO MAINTAIN A CONTINUOUS FEEDBACK LOOP WITH RESIDENTS, PATIENTS, AND LOCAL PARTNERS. THIS ENSURES THAT OUR HEALTH EQUITY STRATEGIES, BOTH WITHIN THE HOSPITAL AND ACROSS THE NEIGHBORHOODS WE SERVE, ARE INFORMED BY THE LIVED EXPERIENCES OF COMMUNITY MEMBERS.IN ADDITION TO WORKING WITH LARGE ANCHOR INSTITUTIONS, BMCHS IS DEEPLY COMMITTED TO SUPPORTING SMALLER COMMUNITY-BASED ORGANIZATIONS, GRASSROOTS LEADERS, AND NEIGHBORHOOD GROUPS. THESE PARTNERSHIPS HELP US REACH POPULATIONS THAT MAY NOT REGULARLY ENGAGE WITH LARGER INSTITUTIONS, ALLOWING US TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, PROMOTE WELLNESS, AND IMPROVE ACCESS TO PREVENTIVE SERVICES WITHIN TRUSTED LOCAL SETTINGS. AS WE GET TO KNOW THE COMMUNITY AT BMC-BRIGHTON, WE ARE WORKING HARD TO BUILD RELATIONSHIPS WITH COMMUNITY-BASED ORGANIZATIONS.IN 2017, BMC IMPLEMENTED THRIVE, A FIRST-IN-NATION SOCIAL DETERMINANTS OF HEALTH SCREENING PROGRAM. THRIVE ASSESSES PATIENTS FOR HOUSING AND FOOD INSECURITY, EDUCATION ACCESS, AND OTHER UNDERLYING NEEDS THAT CONTRIBUTE TO POOR HEALTH OUTCOMES. THE THRIVE SCREENER HAS BEEN ROLLED OUT TO OUR COMMUNITY HOSPITALS AT BMC-BRIGHTON AND BMC-SOUTH AS WELL. THRIVE HAS BEEN ACKNOWLEDGED FOR EXCELLENCE AND PRESENTED AS AN EXAMPLE MODEL BY THE JOINT COMMISSION. THRIVE, NOW IN ITS NINTH YEAR, PROVIDES IMPORTANT COMMUNITY DATA TO INFORM SYSTEM STRATEGY. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE HOSPITAL POSTS NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE IN: (1) INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT AND WAITING AREAS, (2) PATIENT FINANCIAL COUNSELOR AREAS, (3) CENTRAL ADMISSION/REGISTRATION AREAS, AND (4) BUSINESS OFFICE AREAS THAT ARE OPEN TO PATIENTS. POSTED NOTICES ARE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. THE HOSPITAL ALSO INCLUDES A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL INITIAL BILLS. WHEN A PATIENT CONTACTS THE HOSPITAL, THE PATIENT FINANCIAL SERVICES STAFF NOTIFIES THE PATIENT IF THEY QUALIFY FOR A PAYMENT PLAN. A PATIENT WHO IS ENROLLED IN A PUBLIC FINANCIAL ASSISTANCE PROGRAM (FOR EXAMPLE, MASSHEALTH, HEALTH SAFETY NET, OR FOR MEDICAL HARDSHIP) MAY QUALIFY FOR CERTAIN PLANS. PATIENTS MAY ALSO QUALIFY FOR ADDITIONAL ASSISTANCE BASED ON THE HOSPITAL'S OWN INTERNAL CRITERIA FOR FINANCIAL ASSISTANCE. FOR CASES WHERE THE HOSPITAL USES THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL HELPS THE PATIENT COMPLETE THE APPLICATION FOR MASSHEALTH CONNECTORCARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTH START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM. ALL SIGNS AND NOTICES ARE TRANSLATED INTO LANGUAGES OTHER THAN ENGLISH IF A LANGUAGE IS SPOKEN BY 5% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO ENGLISH, PORTUGUESE, SPANISH, VIETNAMESE, AND HAITIAN CREOLE. PART VI, LINE 4: COMMUNITY INFORMATIONTHE STATUTE THAT CREATED BMC-BRIGHTON REQUIRES IT TO SERVE ALL POPULATIONS. BMC-BRIGHTON IS A PRIVATE, NOT-FOR-PROFIT, 291-BED, URBAN MEDICAL CENTER. IT EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND IS GROUNDED BY ITS MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS AND ABILITY TO PAY. BMC-BRIGHTON IS DEDICATED TO IMPROVING THE OVERALL HEALTH AND WELLBEING OF ITS COMMUNITY MEMBERS IN THE HEART OF BRIGHTON AND ITS SURROUNDING AREAS.AT BMC-BRIGHTON APPROXIMATELY 77% OF OUR INPATIENT DISCHARGES AND 60% OF OUR OUTPATIENT VISITS ARE FROM GROUPS THAT HAVE BEEN ECONOMICALLY AND SOCIALLY MARGINALIZED AND WHO RELY ON GOVERNMENT PAYERS, SUCH AS MEDICAID, THE HEALTH SAFETY NET, AND MEDICARE, FOR THEIR COVERAGE.WITH 9,383 ADMISSIONS AND 123,986 OUTPATIENT VISITS, BMC-BRIGHTON PROVIDES A COMPREHENSIVE RANGE OF INPATIENT, CLINICAL AND DIAGNOSTIC SERVICES IN MORE THAN 52 AREAS OF MEDICAL SPECIALTIES AND SUBSPECIALTIES. BMC-BRIGHTON'S EMERGENCY DEPARTMENT HAS APPROXIMATELY 24,887 PATIENT VISITS ANNUALLY.ACCORDING TO THE CENTER FOR HEALTH INFORMATION AND ANALYSIS (CHIA) MASSACHUSETTS HEALTH INSURANCE SURVEY'S 2025 RESEARCH BRIEF, AN ESTIMATE OF 2.1% OF RESIDENTS WERE UNINSURED DURING THE SURVEY OF WHICH 66.3% REPORTED EMPLOYER-SPONSORED INSURANCE (ESI) AND 33.7% REPORTED OTHER NON-ESI. STILL, INSURED RESIDENTS IN FAIR OR POOR HEALTH HAVE HIGH RATES OF AFFORDABILITY ISSUES WITH 12.6% REPORTING SPENDING A HIGH SHARE OF FAMILY INCOME ON OUT-OF-POCKET HEALTHCARE SPENDING. OF BMC-BRIGHTON'S PATIENTS IN 2025, MEDICAID MAKES UP 17.1% (INCLUDING HEALTH SAFETY NET), MEDICARE IS 40.8%, UNINSURED IS 0.7%, PRIVATE COMMERCIAL IS 37.1%, WITH THE REMAINDER OF 4.3% ACCOUNTED FOR BY OTHER GOVERNMENT AND WORKERS COMP. PART VI, LINE 5: COMMUNITY HEALTH PROMOTIONBMCHS CONTINUES TO BE COMMITTED TO THE MANY WRAPAROUND SERVICES AND PROGRAMS WE HAVE MAINTAINED FOR DECADES. WE CONTINUE TO GO BEYOND TYPICAL HEALTHCARE, REMOVING BARRIERS TO CARE BY PAIRING DEEP CLINICAL EXPERTISE WITH A PROFOUND COMMITMENT TO ADDRESS THE SOCIAL AND STRUCTURAL DRIVERS OF HEALTH, ENSURING PATIENTS ARE NOT JUST TREATED BUT EMPOWERED TO THRIVE. MANY OF OUR PROGRAMS AND SERVICES GO BEYOND WHAT GOVERNMENT OR INSURANCE REIMBURSEMENT WILL FUND. OUR MISSION DRIVES US TO DO THE MOST WITH LIMITED RESOURCES. WITH PHILANTHROPIC FUNDING AT BMC, WE HAVE SUCCESSFULLY SCALED INNOVATIONS THAT SUPPORT OUR PATIENT POPULATION. BMC'S PROGRAMS OFTEN BECOME NATIONAL MODELS OR ARE EMBEDDED IN POLICY DESIGN AT THE STATE LEVEL BECAUSE WE HAVE PROVEN THEIR EFFECTIVENESS. AS WE GET TO KNOW THE COMMUNITY AT BMC BRIGHTON, WE ARE IDENTIFYING KEY PRIORITY AREAS THAT COULD BENEFIT FROM EXPANSION OF BMC'S EXISTING PROGRAMS. THIS WORK MAY INCLUDE SOME OF OUR MOST INNOVATIVE PROGRAMS THAT FOCUS ON DRIVERS OF HEALTH OUTCOMES LIKE HOUSING, FOOD INSECURITY, BEHAVIORAL HEALTH, AND BARRIERS TO CARE. THESE PROGRAMS ARE FULLY FUNDED BY PHILANTHROPY, AND WE ARE WORKING TO EXPAND PHILANTHROPIC OPERATIONS TO BMC BRIGHTON.BMC-BRIGHTON IS NOW A PART OF BOSTON MEDICAL CENTER HEALTH SYSTEM (BMCHS), WHICH SERVES AS AN ANCHOR OF HEALTH CARE PAYMENT AND DELIVERY TO LOW-INCOME POPULATIONS IN THE REGION. THROUGH OUR WELLSENSE HEALTH PLAN, WE PROVIDE COVERAGE TO OVER 700,000 MEMBERS IN MASSACHUSETTS AND NEW HAMPSHIRE, INCLUDING ABOUT 40% OF THE MEDICAID PATIENTS IN BOTH STATES. THIS PROVIDES A UNIQUE PLATFORM FOR US TO SPREAD BMC'S EXPERTISE IN PROVIDING HIGH-QUALITY COORDINATED CARE TO LOW-INCOME POPULATIONS. FOR EXAMPLE, THROUGH OUR POPULATION HEALTH SERVICES TEAM, WE PROVIDE BEST PRACTICE AND OPERATIONAL SUPPORT TO PRIMARY CARE PROVIDERS STATEWIDE WHO ARE PART OF EIGHT ACOS THAT PARTNER WITH BMCHS (VIA WELLSENSE AS A MANAGED CARE ENTITY, COVERING ALMOST 500,000 MASSHEALTH MEMBERS) TO HELP THEM STRENGTHEN QUALITY, MANAGE COST, AND IMPROVE OUTCOMES. FURTHERMORE, BMCHS ALWAYS STEPS UP WHEN THERE IS NEED. WHEN WE TOOK OVER BMC-BRIGHTON, WHICH WAS LEFT BARE FROM THE STEWARD BANKRUPTCY, WE FOCUSED ON STABILIZING OPERATIONS, PRESERVING ESSENTIAL SERVICES AND JOBS, AND IMPLEMENTING MAJOR SYSTEM IMPROVEMENTS. TODAY, WE ARE WORKING DILIGENTLY TO REBUILD TRUST IN THE COMMUNITY BY LISTENING, ENGAGING, AND LEARNING. PART VI, LINE 7: BMC-BRIGHTON DOES NOT FILE A COMMUNITY BENEFITS REPORT WITH THE COMMONWEALTH OF MASSACHUSETTS. X X X X X 0 0 0 0 0 0 0 0 0 ALASTAIR BELL MD BOARD PRESIDENT/TRUSTEE 0 1280083 0 512500 0 126711 0 274150 0 5929 0 2199373 0 104250 JESSE SOUWEINE TREASURER 0 509560 0 196875 0 12185 0 60138 0 11143 0 789901 0 0 DAVID BECK CLERK 0 535782 0 133875 0 60553 0 24150 0 33865 0 788225 0 0 THOMAS GILL SEMC CHIEF MEDICAL OFFICER 657398 0 0 0 52449 0 0 0 5612 0 715459 0 0 0 STANLEY TAM PHYSICIAN 234887 0 41564 0 13985 0 0 0 10097 0 300533 0 0 0 MATTHEW WERGER PHYSICIAN 182720 0 42000 0 27623 0 0 0 9995 0 262338 0 0 0 ARVIND AGNIHOTRI PHYSICIAN 148761 0 34024 0 26363 0 0 0 10071 0 219219 0 0 0 EKKEHARD KASPER PHYSICIAN 171977 0 25000 0 9711 0 0 0 10097 0 216785 0 0 0 FORM 990, PART I, LINE 1 & PART III, LINE 1, ORGANIZATION'S MISSION: TO CONSISTENTLY PROVIDE EXCELLENT AND ACCESSIBLE HEALTH CARE SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS OR ABILITY TO PAY. THE CORPORATION IS COMMITTED TO THE URBAN POPULATION, TO VULNERABLE POPULATIONS WITHIN THE COMMUNITY INCLUDING THOSE RESIDENTS WHO ARE UNDER-SERVED BY EXISTING HEALTH CARE SERVICES, AND TO OTHER COMMUNITIES SERVED. FORM 990, PART VI, SECTION A, LINE 2 ALASTAIR BELL DAVID BECK JESSE SOUWEINE BUSINESS RELATIONSHIP - ALASTAIR BELL AND DAVID BECK ARE OFFICERS OF BOSTON MEDICAL CENTER. JESSE SOUWEINE IS AN EMPLOYEE OF BOSTON MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE CORPORATE MEMBER IS BMC HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING DECISIONS ARE RESERVED TO THE ORGANIZATION'S SOLE MEMBER: - APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS OR ANY MATERIAL AMENDMENT TO, OR VARIATION FROM, THOSE BUDGETS; - APPOINTMENT OR REMOVAL OF THE PRESIDENT OF THE CORPORATION; - AUTHORIZATION OF ANY MERGER OR CONSOLIDATION WITH, OR ANY ACQUISITION OF, ANOTHER CORPORATION BY THE CORPORATION; - AUTHORIZATION OF THE SALE, LEASE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ANY ASSETS OF THE CORPORATION, OR AUTHORIZATION OF ANY INDEBTEDNESS OF THE CORPORATION, IN EXCESS OF AMOUNTS SET BY THE MEMBER OR THE BOARD FROM TIME TO TIME; - DETERMINATION OF THE THRESHOLD AMOUNT OF INDEBTEDNESS OF THE CORPORATION, OVER WHICH AMOUNT AUTHORIZATION IS REQUIRED PURSUANT TO SECTION 2.03(D); AND - APPROVAL OF THE FILING OF ANY VOLUNTARY BANKRUPTCY. FORM 990, PART VI, SECTION A, LINE 8B THERE IS ONLY ONE BOARD MEMBER; THUS, THERE ARE NO COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION'S AUDIT/TAX FIRM AND IS THEN REVIEWED BY MANAGEMENT. IT IS PROVIDED TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE HEALTH SYSTEM FOR REVIEW AND COMMENT, AND THE FINAL 990 IS PROVIDED TO ALL MEMBERS OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST QUESTIONNAIRES ARE 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 TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY. FORM 990, PART VI, LINE 14: DOCUMENT RETENTION POLICY THE ORGANIZATION HAS RECORD RETENTION REQUIREMENTS INCLUDED WITHIN ITS CONTRACTS AND FOLLOWS THE RECORD RETENTION POLICY OF BOSTON MEDICAL CENTER. FORM 990, PART VI, SECTION B, LINE 15A BOSTON MEDICAL CENTER-BRIGHTON'S COMPENSATION COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, APPROVES THE COMPENSATION OF THE ORGANIZATION'S OFFICERS. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY 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 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 BOSTON MEDICAL CENTER-BRIGHTON DOES NOT TYPICALLY MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS PUBLICLY AVAILABLE. HOWEVER, THE ARTICLES OF ORGANIZATION ARE AVAILABLE ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,115,905. MANAGEMENT AND GENERAL EXPENSES 25,386,789. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,502,694. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 14,665,564. MANAGEMENT AND GENERAL EXPENSES 76,930. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,742,494. CONSULTING EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,387,345. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,387,345. OTHER FEES: PROGRAM SERVICE EXPENSES 143,675. MANAGEMENT AND GENERAL EXPENSES 21,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 165,275. BMC HEALTH SYSTEM INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 463556853 SUPPORT SVCS. MA 501(C)(3) 12 B-II N/A 0 BMC INTEGRATED CARE SERVICES INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043414914 MEDICAL GROUP PRACTICE MA 501(C)(3) 12 A-I BMCBACO 0 BOSTON MEDICAL CENTER CORPORATION ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043314093 HEALTHCARE MA 501(C)(3) 3 N/A 0 BOSTON MEDICAL CENTER HEALTH PLAN INC 529 MAIN STREET SUITE 500 CHARLESTOWN MA 02129 043373331 INSURANCE MA 501(C)(3) 12 A-I N/A 0 BOSTON ACCOUNTABLE CARE ORGANIZATION ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 473468314 ACCOUNTABLE CARE ORGANIZATION MA 501(C)(3) 10 N/A 0 BOSTON MEDICAL CENTER-SOUTH CORPORATION ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 994491180 HEALTHCARE MA 501(C)(3) 3 BMCHS 0 BMC AFFILIATED PHYSICIANS INC ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 043218267 MEDICAL GROUP PRACTICE MA 501(C)(3) 3 BMCHS 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0