2017-05-10T18:50:01-05:00 2016-06-30 PricewaterhouseCoopers LLP 101 SEAPORT BOULEVARD BOSTON MA 02210 990 2015-07-01 043414914 BMC INTEGRATED CARE SERVICES INC % KAITLYN CLIFFORD BMCI 6176387901 ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 RICHARD SILVERIA TREASURER 6176387901 2017-05-05 true ERIN COUTURE P01390592 6175305000 2017-05-03 2015 2021-01-29 14:40:06Z STANLEY HOCHBERG MD ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 3911680 false X N/A X 1998 MA SEE SCHEDULE O 21 17 0 0 0 0 0 0 1457124 3909130 5566 2550 0 0 1462690 3911680 0 0 0 0 704718 367394 0 0 0 1585368 1981643 2290086 2349037 -827396 1562643 4308629 9103867 4141390 9321461 167239 -217594 X SEE SCHEDULE O false false 2193233 3909130 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. 2193233 true false false false false false false false false false false false false false true false false true false false false false false false false false false false false true false false true false false false false false false false false false false true true false false false true 0 0 true 0 false false false false false false false false false false X 21 17 false false false false true true true true true false false true true true true true false false false false MA X KAITLYN CLIFFORD 6174145907 88 EAST NEWTON STREET BOSTON MA 02118 X STANLEY HOCHBERG MD PRESIDENT/DIRECTOR 1.0 51.0 X X 0 524066 37352 RICHARD SILVERIA TREASURER/DIRECTOR 1.0 53.5 X X 0 629090 81747 FRANCIS DOYLE DIRECTOR 1.0 1.0 X 0 0 0 RAVIN DAVIDOFF MD DIRECTOR 1.0 51.5 X 0 576619 83967 DAVID COLEMAN MD DIRECTOR 1.0 1.0 X 0 0 0 GERARD M DOHERTY MD DIRECTOR 1.0 1.0 X 0 0 0 ROBERT J VINCI MD DIRECTOR 1.0 0.0 X 0 0 0 BRIAN JACK MD DIRECTOR 1.0 0.0 X 0 0 0 JONATHAN OLSHAKER MD DIRECTOR 1.0 1.0 X 0 0 0 WILLIAM CREEVY MD DIRECTOR 1.0 1.0 X 0 0 0 CHARLES TIFFT MD DIRECTOR 1.0 50.0 X 0 210014 48612 CHARLES WILLIAMS MD DIRECTOR 1.0 1.0 X 0 0 0 LARRY CULPEPPER MD DIRECTOR 1.0 0.0 X 0 0 0 LISA CARUSO MD DIRECTOR 1.0 0.0 X 0 0 0 JEFFREY SAMET MD DIRECTOR 1.0 0.0 X 0 0 0 KARIN SLOAN MD DIRECTOR 1.0 0.0 X 0 0 0 PHILIP SEVERIN III MD DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM HALPIN DIRECTOR 1.0 2.0 X 0 0 0 JULITA MIR DIRECTOR 1.0 0.0 X 0 0 0 AVIVA LEE-PARRITZ DIRECTOR 1.0 0.0 X 0 0 0 ALEXANDER NORBASH MD DIRECTOR (UNTIL 9/10/15) 1.0 0.0 X 0 0 0 ARAM CHOBANIAN MD DIRECTOR 1.0 0.0 X 0 0 0 DAVID BECK ESQ CLERK 1.0 55.5 X 0 457312 64425 LESLIE CARVER SNR DIR, MNGD CARE FIN&OPER 40.0 0.0 X 0 194521 25711 0 2591622 341814 0 false true false KIRBY ASSN HEALTHCARE 4 PARSONAGE LANE NORTH READING MA 01864 Contract Admin & Mgt 299139 ATHENAHEALTH INC 311 ARSENAL ST WATERTOWN MA 02472 Data Analytics 162500 2 0 CAPITATION REVENUE 900099 3909130 3909130 3909130 2550 2550 0 0 0 0 0 0 0 0 0 0 3911680 3909130 2550 0 0 0 0 0 0 301271 301271 0 66123 66123 0 145655 145655 0 5468 5468 0 0 0 4681 4681 0 17369 17369 84843 84843 0 0 637 637 0 0 0 0 0 0 SETTLEMENT FEES 1721709 1721709 DUES AND SUBSCRIPTIONS 118 118 LICENSE FEES 784 784 BANK FEES 379 379 2349037 2193233 155804 0 1991851 2616774 2266657 2269208 0 0 50121 4217885 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4308629 9103867 3874744 4922997 0 0 0 0 0 0 0 0 0 0 0 0 0 0 266646 4398464 4141390 9321461 X 167239 -217594 0 0 0 0 167239 -217594 4308629 9103867 X 1562643 -1947476 X false true X true false X X 1 BOSTON MEDICAL CENTER 043314093 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false true true FORM 990, SCHEDULE A, PART IV, SECTION B, LINE 2 AS A SUPPORTING ORGANIZATION OF BOSTON MEDICAL CENTER, BMC INTEGRATED CARE SERVICES, INC. OPERATES FOR THE BENEFIT OF BOSTON MEDICAL CENTER AND ITS AFFILIATES. 0 RELATED PARTY LIABILITIES 4398464 4398464 false true false false false false false false false STANLEY HOCHBERG MD PRESIDENT/DIRECTOR 0 412219 0 75469 0 36378 0 13250 0 24102 0 561418 0 15333 RICHARD SILVERIA TREASURER/DIRECTOR 501057 104391 23642 48750 32997 710837 16342 DAVID BECK ESQ CLERK 375145 77781 4386 43250 21175 521737 1333 RAVIN DAVIDOFF MD DIRECTOR 457602 95589 23428 50610 33357 660586 16142 CHARLES TIFFT MD DIRECTOR 208723 0 1291 27060 21552 258626 0 LESLIE CARVER SNR DIR, MNGD CARE FIN&OPER 0 155421 0 39100 0 0 0 7346 0 18365 0 220232 0 0 SCHEDULE J, PART I, LINE 3 BMC INTEGRATED CARE SERVICES, INC. RELIED ON BOSTON MEDICAL CENTER (BMC), AN AFFILIATED ORGANIZATION OF BMC INTEGRATED CARE SERVICES, INC., TO ESTABLISH ITS PRESIDENT'S COMPENSATION. ALL METHODS INCLUDED ON LINE 3 ARE UTILIZED BY BMC TO ESTABLISH THE PRESIDENT'S COMPENSATION. SCHEDULE J, PART I, LINE 4B BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. AMOUNTS ARE CREDITED TO PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE PLAN AGREEMENT. BOSTON MEDICAL CENTER MAINTAINS AN EXECUTIVE BENEFIT PLAN WHICH OFFERS PARTICIPATING EXECUTIVES THE OPTION OF ANNUALLY ALLOCATING BENEFIT DOLLARS TO A SUPPLEMENTAL RETIREMENT/PRE-TAX SAVINGS ACCOUNT. AMOUNTS VEST ON SPECIFIED DATES BASED ON CONTINUED EMPLOYMENT BUT NO LATER THAN THE EXECUTIVE'S 68TH BIRTHDAY. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING INDIVIDUALS IN CALENDAR YEAR 2015: STANLEY HOCHBERG - $33,600 RICHARD SILVERIA - $20,864 DAVID BECK - $1,608 RAVIN DAVIDOFF - $20,650 FORM 990, PART I, LINE 1 & PART III, LINE 1 BMC Integrated Care Services, Inc. ("BMC ICS") 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. FORM 990, PART VI, LINE 6 BOSTON MEDICAL CENTER (BMC) IS THE SOLE MEMBER OF BMC INTEGRATED CARE SERVICES. FORM 990, PART VI, LINE 7A THE MEMBER HAS THE POWER TO APPOINT THE DIRECTORS OF THE ORGANIZATION IN ACCORDANCE WITH THE BYLAWS. FORM 990, PART VI, LINE 7B THE 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, LINE 11B BMC INTEGRATED CARE SERVICE, INC.'S FORM 990 IS PREPARED BY PRICEWATERHOUSECOOPERS (PWC) AND REVIEWED BY BMC'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC'S INTERNAL MANAGEMENT AND PWC 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 JUNE 30, 2016 WERE DISTRIBUTED BY BMC'S 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 ORGANIZATION REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. WHEN A DISCLOSURE IS MADE PURSUANT TO THE INFORMATION ABOVE BY ANY DIRECTOR, OFFICER, OR OTHER EMPLOYEE, THE BOARD OF DIRECTORS SHALL EXAMINE ALL THE RELEVANT FACTS AND CIRCUMSTANCES TO DETERMINE WHETHER SUCH INTEREST OR RELATIONSHIP MIGHT ADVERSELY AFFECT THE DISCLOSING INDIVIDUAL'S INTEGRITY WITH RESPECT TO HIS OR HER DUTIES TO THE CORPORATION. FORM 990, PART VI, LINES 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. FORM 990, PART VI, 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 POSTED ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE. FORM 990, PART XI, LINE 9 Transfer of contract to related organization $ (1,947,476) BOSTON MEDICAL CENTER 88 EAST NEWTON STREET BOSTON MA 02118 043314093 HEALTHCARE MA 501(c)(3) 3 BMCHS false BOSTON MEDICAL CENTER HEALTH PLAN INC 529 MAIN STREET SUITE 500 CHARLESTOWN MA 02129 043373331 INSURANCE MA 501(C)(3) 11 A-1 BMCHS true UNIVER DEVELOPMENT FOUNDATION INC 88 EAST NEWTON STREET BOSTON MA 02118 043101957 REAL ESTATE MA 501(C)(3) 11 A-1 BMC true BMC INSURANCE CO LTD OF VERMONT PO BOX 530 100 BANK STREET BURLINGTON VT 05401 201810549 INSURANCE VT 501(C)(3) 11 A-1 BMC true BMC HEALTH SYSTEM INC ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 463556853 SUPPORT SVCS MA 501(C)(3) 11 B-II NA false BOSTON UNIVERSITY AFFILIATED PHYSICIANS 660 HARRISON AVE BOSTON MA 02118 043218267 HEALTHCARE MA 501(C)(3) 3 BMC true BOSTON ACCOUNTABLE CARE ORGANIZATION ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 473468314 HEALTHCARE MA 501(C)(3) 11C III-FI NA false BMC NAB BUS TR 85 CONCORD STREET BOSTON MA 02118 236368869 PROPERTY MGMN MA BMC BMC INSURANCE COMPANY LTD 10 MAIN STREET GRAND CAYMAN CJ 980375219 INSURANCE CJ BMC C-CORP true CHARITABLE REMAINDER TRUST (3) SUPPORT MA BMC TRUST true false false false false false false false false false false false false false true true true false true false