Boston Accountable Care Organization Inc

Nonprofit profile at a glance

EIN
473468314
IRS 990 coverage
2014–2024
Forms available
Form 990 2024
Location
Boston, MA, USA
Phone
6176387901
Rating
88
Verdict
STRONG
Rating confidence
Moderate
Sector
Community Health Systems

Reported finances

Revenue
$1,789,228
Expenses
$5,278,709
Assets
$30,414,945
Liabilities
$33,224,968

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

25 people listed

Executive titles in this filing

  • CYNTHIA SIERRA (PRESIDENT/DIRECTOR)

People named in this filing

  • ANKUR AGRAWAL (DIRECTOR (AS OF 10/23/24))
  • JULIE ALMOND (DIRECTOR (THRU 10/23/24))
  • ALASTAIR BELL MD (DIRECTOR (THRU 10/22/24))

Selected names, not a complete roster or a statement of current roles. Open leadership details for the complete filed list.

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

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.

What it reported doing in 2024

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.

Operating model

Revenue model
Mixed. Its operating money came from several sources; no one source provided a clear majority.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and revenue has declined or grown slowly.

Rating breakdown

  • Financial Efficiency: 89
  • Transparency & Controls: 91
  • Accountability: 100
  • Sustainability: 35
  • Growth: 60

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 99.8%; rating input score 100
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 90.9%; rating input score 91; 8th percentile among comparable filings
  • Pay-setting controls: Limited
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
  • Governance controls: 7 of 7 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: NotApplicable
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -195%; rating input score 0; 0th percentile among comparable filings
  • Total-asset coverage ratio: 5.76; rating input score 86; 86th percentile among comparable filings
  • Liabilities to assets ratio: 1.09; rating input score 5; 5th percentile among comparable filings
  • Officer compensation ratio: 0%; rating input score 81; 81st percentile among comparable filings

Growth

  • Program expense growth: 2.1% per year; rating input score 100; 27th percentile among comparable filings
  • Revenue growth: -0.5% per year; rating input score 0; 13th percentile among comparable filings
  • Asset growth: 13.1% per year; rating input score 100; 68th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 99.8% of spending went to programs
  • Governance: 19 of 19 board members independent · 7 of 7 filing controls reported
  • Programs: 1 filed program accomplishment · $5.3M in reported program spending
  • Leadership: top reported pay $0 · 25 people listed
  • Consistency: 19 of 20 current checks pass · 1 finding to review
  • Schedules: 4 filed schedules
  • Filing history: 11 filing years from 2014 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 3 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Sustainability: Operating margin scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • High — Sustainability: Liabilities to assets ratio scored 5/100.