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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOSTON MEDICAL CENTER HEALTH SYSTEM, INC. (BMCHS), AS A SUPPORTING ORGANIZATION, HAS SPECIFICALLY LISTED TWO OF THE ORGANIZATIONS IT SUPPORTS BY NAME IN ITS ARTICLES OF INCORPORATION. THESE ARE THE TWO ORIGINAL SUPPORTED ORGANIZATIONS: BOSTON MEDICAL CENTER CORPORATION AND BOSTON MEDICAL CENTER HEALTH PLAN, INC. D.B.A. WELLSENSE HEALTH PLAN. THE ARTICLES OF ORGANIZATION PROVIDE THAT BMCHS SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF THOSE ORGANIZATIONS, AS WELL AS OTHER BMCHS AFFILIATES AND ENTITIES AS MAY BE FORMED OR DETERMINED BY THE CORPORATION FROM TIME TO TIME. BMCHS'S TWO OTHER SUPPORTED ORGANIZATIONS, BOSTON MEDICAL CENTER-SOUTH CORPORATION (BMC-SOUTH) AND BOSTON MEDICAL CENTER-BRIGHTON CORPORATION (BMC-BRIGHTON), ARE BOTH AFFILIATES OF BMCHS BY REASON OF BMC-SOUTH AND BMC-BRIGHTON'S BOARD OF TRUSTEES BEING COMPRISED OF AN INDIVIDUAL WHO IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BMCHS AND WHO SERVES AS AN EX-OFFICIO VOTING MEMBER OF THE BOARD OF TRUSTEES OF BMCHS. AS SUCH, BOTH BMC-SOUTH AND BMC-BRIGHTON FALL WITHIN THE CLASS OF SUPPORTED ORGANIZATIONS DESIGNATED IN BMCHS'S ARTICLES.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 5A:</FormAndLineReferenceDesc>
        <ExplanationTxt>I. SUPPORTED ORGANIZATIONS ADDED DURING THE TAX YEAR: 1) BOSTON MEDICAL CENTER-BRIGHTON CORPORATION - EIN: 99-4793550 2) BOSTON MEDICAL CENTER-SOUTH CORPORATION - EIN: 99-4491180 II. THE SUPPORTED ORGANIZATIONS ABOVE WERE CREATED AND ADDED AS OF OCTOBER 1, 2024 AFTER BMCHS ACQUIRED THE ASSETS OF TWO HOSPITALS VIA PURCHASE FROM STEWARD HEALTH CARE, FOLLOWING STEWARD'S BANKRUPTCY AND WITH SIGNIFICANT ENCOURAGEMENT AND SUPPORT FROM THE STATE OF MASSACHUSETTS. III. THE PURPOSE OF BMCHS PER ITS ARTICLES OF ORGANIZATION INCLUDES OPERATING "EXCLUSIVELY FOR THE BENEFIT OF BOSTON MEDICAL CENTER CORPORATION, BOSTON MEDICAL CENTER HEALTH PLAN, INC., AND OTHER BMC HEALTH SYSTEM, INC., AFFILIATES AND ENTITIES AS MAY BE FORMED OR DETERMINED BY THE CORPORATION FROM TIME TO TIME". ACCORDINGLY, BMCHS'S ARTICLES PROVIDE FOR A CLASS OF SUPPORTED ORGANIZATION THAT INCLUDES NEW AFFILIATES ADDED TO THE HEALTH SYSTEM SUCH AS BMC-SOUTH AND BMC-BRIGHTON. IV. AT A SPECIAL MEETING OF THE BOARD OF TRUSTEES ON AUGUST 21, 2024, THE BOARD VOTED TO AUTHORIZE THE ACQUISITION OF CERTAIN FACILITIES OPERATED BY STEWARD HEALTH CARE. THESE FACILITIES INCLUDED THE TWO HOSPITALS LISTED ABOVE WHICH BECAME PART OF BMC HEALTH SYSTEM.</ExplanationTxt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION C, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>BMCHS IS SUPERVISED AND CONTROLLED IN CONNECTION WITH BOSTON MEDICAL CENTER CORPORATION (BMC), A SUPPORTED ORGANIZATION. THE OVERLAP OF THE PERSONS CONTROLLING OR MANAGING BMCHS AND THOSE CONTROLLING OR MANAGING BMC IS SUFFICIENT SO THAT WHEN CONSIDERED TOGETHER WITH ALL THE FACTS AND CIRCUMSTANCES THERE IS A CLEAR SHOWING THAT BMC CAN ENSURE THAT BMCHS WILL BE RESPONSIVE TO ITS NEEDS OR DEMANDS, AND WILL CONSTITUTE AN INTEGRAL PART OF OR MAINTAIN A SIGNIFICANT INVOLVEMENT IN ITS OPERATIONS. THE PERSONS SERVING AS PRESIDENT, TREASURER, AND CLERK OF BMC ALSO SERVED IN THOSE ROLES FOR BMCHS FOR ALL OR A PORTION OF THE TAX YEAR. 8 OF THE 18 BMCHS TRUSTEES THAT SERVED FOR ALL OR A PORTION OF THE TAX YEAR WERE ALSO TRUSTEES OF BMC FOR ALL OR A PORTION OF THE TAX YEAR. THE CHAIR OF THE BMC BOARD WAS A TRUSTEE OF BMCHS. BMCHS SERVES AS THE PARENT OF AN INTEGRATED HEALTH SYSTEM AND BMCHS'S HISTORIC AND CONTINUING PURPOSE IS TO ASSIST BMC TO EFFECTIVELY DELIVER HEALTHCARE SERVICES TO ITS COMMUNITY. ACCORDINGLY, BMCHS CONSTITUTES AN INTEGRAL PART OF, MAINTAINS A SIGNIFICANT INVOLVEMENT IN, AND IS RESPONSIVE TO THE NEEDS AND DEMANDS OF BMC. BMCHS IS SUPERVISED AND CONTROLLED IN CONNECTION WITH BOSTON MEDICAL CENTER HEALTH PLAN, INC. D.B.A. WELLSENSE HEALTH PLAN (WELLSENSE), A SUPPORTED ORGANIZATION. THE OVERLAP OF THE PERSONS CONTROLLING OR MANAGING BMCHS AND THOSE CONTROLLING OR MANAGING WELLSENSE IS SUFFICIENT SO THAT WHEN CONSIDERED TOGETHER WITH ALL THE FACTS AND CIRCUMSTANCES THERE IS A CLEAR SHOWING THAT WELLSENSE CAN ENSURE THAT BMCHS WILL BE RESPONSIVE TO ITS NEEDS OR DEMANDS, AND WILL CONSTITUTE AN INTEGRAL PART OF OR MAINTAIN A SIGNIFICANT INVOLVEMENT IN ITS OPERATIONS. THE CHAIR OF THE WELLSENSE BOARD IS ALSO A BMCHS TRUSTEE AND BMCHS'S PRESIDENT APPOINTS THE PRESIDENT OF WELLSENSE. 4 OF THE 13 WELLSENSE TRUSTEES ARE ALSO TRUSTEES OF BMCHS. ADDITIONALLY, BMCHS AND WELLSENSE ARE PARTIES TO A SERVICE AGREEMENT UNDER WHICH BMCHS PROVIDES CARE MANAGEMENT AND PROVIDER SERVICES, AND OTHER ADMINISTRATIVE AND PERSONNEL SERVICES TO WELLSENSE. BY REASON OF THE FOREGOING RELATIONSHIP, BMCHS AND ITS TRUSTEES AND OFFICERS ARE RESPONSIVE TO THE NEEDS AND DEMANDS OF WELLSENSE. FINALLY, BMCHS IS ALSO SUPERVISED AND CONTROLLED IN CONNECTION WITH ITS TWO NEWEST SUPPORTED ORGANIZATIONS: BMC-SOUTH AND BMC-BRIGHTON. THE BOARDS OF TRUSTEES OF THESE ORGANIZATIONS CONSIST OF ONE PERSON, ALASTAIR BELL, WHO IS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BMCHS, AND SERVES AS AN EX-OFFICIO VOTING MEMBER OF THE BOARD OF TRUSTEES OF BMCHS. PER THE BYLAWS, AS PRESIDENT AND CEO OF BMCHS, HE HAS ALL THE EXPECTED POWERS AND RESPONSIBILITIES OF A HEALTH SYSTEM CEO, INCLUDING THE EXECUTION OF PAPERS. THIS IS A CLEAR SHOWING THAT BMC-SOUTH AND BMC-BRIGHTON, VIA THEIR OVERSIGHT AND GOVERNANCE BY ALASTAIR BELL, BMCHS PRESIDENT AND CEO, CAN ENSURE THAT BMCHS WILL BE RESPONSIVE TO THEIR NEEDS AND DEMANDS, AND BMCHS WILL CONSTITUTE AN INTEGRAL PART OF AND MAINTAIN A SIGNIFICANT INVOLVEMENT IN THEIR OPERATIONS.</ExplanationTxt>
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      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>1</DirectContactLegislatorsInd>
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      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>111677</OtherActivitiesAmt>
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        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>BMC HEALTH SYSTEM, INC. (BMCHS) MONITORS AND ADVOCATES ON FEDERAL, STATE, AND LOCAL LEGISLATION, FUNDING, REGULATIONS, AND OTHER GOVERNMENT ACTIONS AFFECTING IT, ITS PATIENTS, MEMBERS, COMMUNITIES AND AFFILIATES. IT ENGAGES LOBBYISTS TO ADVANCE ITS MISSION AND EMPLOYS ABOUT FIVE STAFF MEMBERS WHO TRACK RELEVANT LEGISLATIVE AND POLICY DEVELOPMENTS. BMCHS FILES REQUIRED REPORTS WITH THE COMMONWEALTH OF MASSACHUSETTS AND THE CITY OF BOSTON DETAILING THESE ACTIVITIES AND RELATED EXPENSES. OTHER INDIVIDUALS MAY OCCASIONALLY SPEND INSUBSTANTIAL TIME AND INCUR INSUBSTANTIAL EXPENSES ON LEGISLATIVE MATTERS AFFECTING BMCHS AND THE HEALTHCARE INDUSTRY. THE ORGANIZATION'S LOBBYING ACTIVITY INCLUDES PORTIONS OF EMPLOYEE'S SALARY WHICH WENT TOWARDS STATE AND FEDERAL LOBBYING ACTIVITIES, AS WELL AS PARTICIPATION IN A FEDERAL EFFORT TO SHORE UP FEDERAL PROGRAMS, WHICH DIRECTLY AND SIGNIFICANTLY IMPACT BMCHS AND ITS HOSPITALS AND COMMUNITY HEALTH CENTERS.</ExplanationTxt>
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        <Desc>LOAN RECEIVABLE</Desc>
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        <Desc>OTHER ASSETS</Desc>
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        <Desc>DUE TO RELATED ORGANIZATIONS</Desc>
        <Amt>38978840</Amt>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BMC HEALTH SYSTEM, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BMC HEALTH SYSTEM. THESE STATEMENTS INCLUDE THE FOLLOWING LANGUAGE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS WITHIN THE INCOME TAXES FOOTNOTE: BMC 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, 2025 AND 2024. BMC HEALTH SYSTEM ANNUALLY ASSESSES WHETHER IT MUST RECOGNIZE UBIT EXPENSE. THE AMOUNTS RECOGNIZED AS UBIT EXPENSE WERE NOT MATERIAL TO BMC HEALTH SYSTEM'S CONSOLIDATED OPERATIONS OR CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2025 AND 2024.</ExplanationTxt>
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        <PersonNm>ALASTAIR BELL MD</PersonNm>
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        <CompensationBasedOnRltdOrgsAmt>1280083</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>512500</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>126711</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>274150</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>5929</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>2199373</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>104250</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JESSE SOUWEINE</PersonNm>
        <TitleTxt>FORMER TREASURER</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID BECK ESQ</PersonNm>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>788225</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TERRI NEWSOM</PersonNm>
        <TitleTxt>FORMER TREASURER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>647691</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>5135</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>5573</DeferredCompRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANKUR AGRAWAL</PersonNm>
        <TitleTxt>TREASURER/CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>271106</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>100000</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>3654</OtherCompensationRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>3757</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>378517</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S PRESIDENT IS COMPENSATED BY A RELATED ORGANIZATION, BOSTON MEDICAL CENTER CORPORATION, WHICH USED ALL METHODS INCLUDED IN QUESTION 3 TO ESTABLISH HIS COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>TERRI NEWSOM, FORMER TREASURER OF BMCHS, RECEIVED A SEPARATION OF SERVICE PAYMENT FROM A RELATED ORGANIZATION WHICH IS INCLUDED IN THE COMPENSATION AMOUNT REPORTED IN PART II.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOSTON MEDICAL CENTER CORPORATION HAS A 457(F) DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES LISTED IN SCHEDULE J, PART II.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>BMC HEALTH SYSTEM, INC.'S MISSION IS TO PROVIDE GOVERNANCE, LONG-TERM STRATEGIC PLANNING, AND BUDGETARY AND FINANCIAL ASSISTANCE FOR BOSTON MEDICAL CENTER HOSPITALS AND OTHER AFFILIATES THAT SHARE THEIR MISSION TO SUPPORT BOSTON MEDICAL CENTER CORPORATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>ANKUR AGRAWAL DAVID BECK ALASTAIR BELL, M.D. RANDI CUTLER RICHARD MARKS MARTHA SAMUELSON PATRICK SMITH TED TRUSCOTT GREGORY WILMOT ANDREW YOUNISS BUSINESS RELATIONSHIP - THE OFFICERS AND TRUSTEES ABOVE ARE ALSO EMPLOYEES, OFFICERS, AND/OR TRUSTEES OF BOSTON MEDICAL CENTER. DAVID BECK WILLIAM CREEVY, M.D. MONICA NOETHER BUSINESS RELATIONSHIP - THE OFFICERS AND TRUSTEES ABOVE ARE ALSO EMPLOYEES, OFFICERS, OR TRUSTEES OF FACULTY PRACTICE FOUNDATION, INC. AND AFFILIATES. MONICA NOETHER ROBERT SWEET BUSINESS RELATIONSHIP - MONICA NOETHER AND ROBERT SWEET ARE DIRECTORS OF BMC INSURANCE COMPANY, LTD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>BMC HEALTH SYSTEM, INC.'S FORM 990 IS PREPARED BY KPMG LLP AND REVIEWED BY BMC HEALTH SYSTEM'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC HEALTH SYSTEM'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 TRUSTEES PRIOR TO THE FORM BEING FILED WITH THE IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2025 WERE DISTRIBUTED BY BMC HEALTH SYSTEM'S 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>BMC HEALTH SYSTEM'S COMPENSATION COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, ESTABLISHES THE COMPENSATION OF THE PRESIDENT AND CEO AND APPROVES THE COMPENSATION OF SENIOR MANAGEMENT. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY EXECUTIVE SEEKING COMPENSATION. INDIVIDUAL COMPENSATION IS 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 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>BMC HEALTH SYSTEM, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS PUBLICLY AVAILABLE. THE ARTICLES OF THE ORGANIZATION ARE AVAILABLE ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE.</ExplanationTxt>
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        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BOSTON MEDICAL CENTER HEALTH PLAN INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>100 CITY SQUARE SUITE 200</AddressLine1Txt>
          <CityNm>CHARLESTOWN</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02129</ZIPCd>
        </USAddress>
        <EIN>043373331</EIN>
        <PrimaryActivitiesTxt>INSURANCE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>12 A-I</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BOSTON MEDICAL CENTER-BRIGHTON CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE BOSTON MEDICAL CENTER PL</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02118</ZIPCd>
        </USAddress>
        <EIN>994793550</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BMCHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BOSTON MEDICAL CENTER-SOUTH CORPORATION</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>ONE BOSTON MEDICAL CENTER PL</AddressLine1Txt>
          <CityNm>BOSTON</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02118</ZIPCd>
        </USAddress>
        <EIN>994491180</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BMCHS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>