BOSTON ACCOUNTABLE CARE ORGANIZATION INC (EIN 473468314) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

2015

Legal Domicile

Principal Officer

CYNTHIA SIERRA

Phone

6176387901

Tax Period

2023-10-01 to 2024-09-30

BOSTON ACCOUNTABLE CARE ORGANIZATION INC, founded in 2015, is a community nonprofit in the Health Care sector that reported $1.9M in total revenue in fiscal year 2023. Revenue fell 48% from the prior year — a significant decline worth monitoring. Expenses of $3.4M exceeded revenue, resulting in a 81% operating deficit.

Mission

BOSTON ACCOUNTABLE CARE ORGANIZATION, 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. THE MISSION OF BACO IS TO IMPROVE THE HEALTHCARE OF THE POPULATIONS THAT BOSTON MEDICAL CENTER CORPORATION (BMC), THE FACULTY PRACTICE FOUNDATION, INC. (FPF) PHYSICIANS, AND COMMUNITY HEALTH CENTERS (CHCS) SERVE. TO PROVIDE THE BEST CARE POSSIBLE, AN ACCOUNTABLE CARE ORGANIZATION (ACO) 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, AND THE CHCS TO PROVIDE MORE EFFECTIVE, HIGHER QUALITY AND LESS EXPENSIVE CARE FOR PATIENTS OF BACO.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $1,233,350

Investment Income $640,066

Other Revenue $0

TOTAL REVENUE $1,873,416

Expense Breakdown

Grants Paid $0

Salaries & Benefits $931,967

Fundraising Expenses $0

Program Expenses $3,382,616

Other Expenses $2,460,849

TOTAL EXPENSES $3,392,816

Year-over-Year Comparison

	2023	2022	Change
Revenue	$1,873,416	$3,631,833	-0.5%
Expenses	$3,392,816	$6,136,337	-0.4%
Net Income	$-1,519,400	$-2,504,504	-0.4%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

N/A

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
JULIE ALMOND	DIRECTOR	1.00	Director	$0	$0	$0
ALASTAIR BELL MD	DIRECTOR	1.00	Director	$0	$0	$0
CHRISTIAN BROWN	DIRECTOR (THRU 8/24/2024)	1.00	Director	$0	$0	$0
SANDRA COTTERELL	DIRECTOR (THRU 8/1/24)	1.00	Director	$0	$0	$0
WILLIAM CREEVY MD	TREASURER/DIRECTOR	1.00	Officer Director	$0	$0	$0
RAVIN DAVIDOFF MD	DIRECTOR	1.00	Director	$0	$0	$0
DENISE DELANUECES	DIRECTOR (AS OF 1/24/24)	1.00	Director	$0	$0	$0
SHERRY ELLIS	DIRECTOR	1.00	Director	$0	$0	$0
WILLIAM J HALPIN JR	DIRECTOR	1.00	Director	$0	$0	$0
SPIROS HATIRAS	DIRECTOR	1.00	Director	$0	$0	$0
DAVID HENDERSON MD	DIRECTOR	1.00	Director	$0	$0	$0
THEA JAMES MD	DIRECTOR	1.00	Director	$0	$0	$0
CHUCK JONES	DIRECTOR	1.00	Director	$0	$0	$0
KELLY LANNUTTI	DIRECTOR	1.00	Director	$0	$0	$0
CHARLES MURPHY	DIRECTOR	1.00	Director	$0	$0	$0
MICHELLE NADOW	DIRECTOR	1.00	Director	$0	$0	$0
TERRI NEWSOM	DIRECTOR (THRU 6/30/24)	1.00	Director	$0	$0	$0
AMY PFEFFER	DIRECTOR	1.00	Director	$0	$0	$0
CYNTHIA SIERRA	PRESIDENT/DIRECTOR	1.00	Officer Director	$0	$0	$0
STEPHANIE SULLIVAN	DIRECTOR (THRU 11/1/23)	1.00	Director	$0	$0	$0
GUALE VALDEZ	DIRECTOR	1.00	Director	$0	$0	$0
DAVID BECK	CLERK	1.00	Officer	$0	$0	$0

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$1,873,416	$3,392,816	$22,870,298	$-1,519,400
2023	$3,631,833	$6,136,337	$18,260,640	$-2,504,504
2022	$2,484,776	$2,324,759	$29,651,949	$160,017
2021	$3,965,825	$4,630,120	$22,135,062	$-664,295
2020	$7,646,247	$8,881,292	$28,865,430	$-1,235,045
2019	$15,381,190	$20,316,312	$29,117,050	$-4,935,122
2018	$2,064,751	$4,304,841	$8,812,733	$-2,240,090

BOSTON ACCOUNTABLE CARE ORGANIZATION INC