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Full research edition - Boston Medical Center

This preserves the detailed investigation and source links behind the shorter reader. Historical figures and case status retain their original dates. Compilation date: August 27, 2026.

boston medical center master dossier.pdf

Download the visual investigation PDF

Boston Medical Center Master Dossier

Compiled: 2026-08-02

Purpose: One master, source-linked record of the Boston Medical Center investigation material created or gathered in this workspace and this chat. It includes the existing comprehensive investigation report, all structured ledgers, the later resident/fellow funding analysis, validation results, and a file manifest.

Publication safety: This is a public-source research package, not an accusation or finding of liability. Legal entities, accounting periods, documented facts, calculations, allegations, contradictions, and missing proof remain separate. The existing case is not human-approved for publication.

What this master includes

Research questions and work requested in this chat

  1. Build a reusable nonprofit-hospital investigation playbook from the MGB/Mass General research history.
  2. Create a Boston Medical Center report/PDF that identifies unusual patterns, red flags, transparency gaps, and issues worth investigating without asserting wrongdoing.
  3. Identify top-paid executives, CEO history, the current governing boards, and trustee business/directorship screens.
  4. Trace payments involving trustees, interested persons, related organizations, contractor relationships, and missing conflict/recusal evidence.
  5. Explain BMC financial health, assets, liabilities, net assets, cash, reserves, investments, debt, and spendability in plain language.
  6. Investigate capital projects, the Steward hospital acquisition, BMC South/BMC Brighton, state support, property terms, and who received purchase consideration.
  7. Investigate nursing, agency staffing, resident/fellow counts and pay, payer mix, and realistic recurring versus one-time ways to fund raises.
  8. Test the reported federal payment per resident, calculate Medicare GME/IME, identify other federal training support, and compare BMC with MGB and other hospitals.

Addendum: Medicare and federal resident/fellow funding

This addendum was researched after the original 47-page investigation report. It uses BMC's FY2025 Medicare hospital cost report (CCN 220031, reporting period October 1, 2024 through September 30, 2025), BMC's FY2025 Single Audit, CMS cost-report instructions, and BMC's public trainee descriptions.

The best direct Medicare number

Medicare's direct graduate medical education (DGME) payment to BMC was $22,755,735. Medicare's relevant supported FTE count was 415.67: 159.04 primary-care weighted FTEs + 232.81 other weighted FTEs + 23.82 Section 422 positions. Therefore:

$22,755,735 / 415.67 = $54,744.71

Simple conclusion: Medicare directly supported approximately $54,745 per Medicare-supported weighted resident FTE at BMC in FY2025. This is the most defensible answer to “how much Medicare pays for one resident.” It is not a check made out to each named resident and it is not a mandated resident salary.

The underlying approved-cost calculation was:

(159.04 x $148,472.07) + (232.81 x $140,755.87) + (23.82 x $150,270.44)
= approximately $59,961,814

The $140,000-$150,000 figures are formula inputs, called per-resident amounts, not the final payment. Medicare then applies BMC's Medicare patient-load share and Medicare Advantage carve-outs. The final reported DGME payment was $22,755,735.

Broader Medicare teaching support

BMC also reported $65,905,090 in indirect medical education (IME) payments: $28,826,443 traditional operating IME, $35,119,447 Medicare Advantage operating IME, and $1,959,200 capital IME. Adding direct and indirect teaching support:

$22,755,735 DGME + $65,905,090 IME = $88,660,825

BMC publicly describes more than 750 residents and fellows. If $88,660,825 is divided by 750 people, the simple ratio is $118,214 per resident/fellow. That is a hospital-level ratio, not a personal payment. IME supports the extra costs of teaching-hospital patient care and cannot properly be treated as a resident payroll account.

Other federal training awards

The FY2025 Single Audit identified at least $2,054,115 in federal expenditures for programs reasonably tied to residency, fellowship, or physician workforce training: $497,085 Preventive Medicine Residency; $752,247 Primary Care Training and Enhancement; and $804,783 Mental and Behavioral Health Education and Training. These grants are targeted programs, may support only particular trainees or activities, and some funds were passed to subrecipients.

$22,755,735 direct DGME + $2,054,115 identified training grants
= $24,809,850, or approximately $33,080 per 750 public trainee headcount

Adding IME produces a broader federal teaching footprint of $90,714,940, or approximately $120,953 per public trainee headcount. This includes IME and therefore is not a salary amount.

All identifiable federal awards are not resident funding

BMC's FY2025 federal-awards schedule reported $73,457,472 in federal-award expenditures, including $54,601,627 in research and development. Combining that schedule with Medicare teaching payments produces an identifiable public federal footprint of $162,118,297. Dividing that figure by 750 gives $216,158, but that calculation is not meaningful resident funding because it includes research and many other programs unrelated to resident compensation. It also measures award expenditures, not necessarily cash received during the year.

The reported $94,000 figure

No official CMS or BMC source reviewed stated that BMC receives a fixed $94,000 from the federal government for every resident. Plausible sources of confusion include: (1) older reporting about a national Medicare cap of approximately 94,000 residency positions; (2) a separate estimate of billable clinical services generated by certain surgical residents; or (3) an improper division of broad federal grant spending by a trainee count. The figure should not be used as a verified BMC per-resident payment without the original source.

Why Medicare pays and why this does not dictate wages

Medicare pays DGME to help teaching hospitals cover resident/fellow compensation, faculty supervision, and training infrastructure, but payment is limited by statutory formulas, caps, FTE weighting, and the hospital's Medicare patient share. IME is a separate adjustment for teaching-hospital patient-care costs. Neither stream is a legally required pass-through to individual resident salaries. A resident raise can be supported by recruitment, retention, workload, local cost-of-living, and patient-care considerations; the funding formulas alone do not prove that BMC must spend a particular amount on wages.

Primary sources

Core findings snapshot

The existing investigation found a large nonprofit system with separate hospital, health-plan, physician, ACO, captive-insurance, taxable-affiliate, joint-venture, and acquired-hospital universes. FY2025 consolidated assets were $5.036 billion, liabilities $2.801 billion, net assets $2.236 billion, operating loss $239.551 million, and net cash used in operations $404.981 million. The combined BMC South/BMC Brighton subgroup reported a $128.625 million operating loss in the first full acquisition year. These facts support continued scrutiny, not a conclusion of insolvency or wrongdoing.

The original report documents related-party/provider-plan flows, major contractor payments, historical 340B corrective action, current labor claims that still require underlying records, state acquisition support with conditions that need documents, and transparency gaps around procurement, property terms, staffing, 340B economics, and venture safeguards.

Narrative records reproduced from the package

README.md

Boston Medical Center nonprofit-hospital investigation

This is a populated case implementation of the Universal Nonprofit Hospital Investigation Playbook. It is public-source-only, evidence-as-of 2026-08-01, and not publication-approved.

Start here

  1. Read PLAIN_LANGUAGE_SYNTHESIS.md.
  2. Review FINDINGS_REPORT.md and EVIDENCE_INDEX.md.
  3. Use the workbook dashboard and filter Claims, Contradictions, Gaps, and Publication Review.
  4. Treat CSV/JSON files in data/ and graph/ as the source of truth.
  5. Refresh time-sensitive sources and complete human review before publication.

Evidence rules

Reproduce

Run scripts/build_case_data.mjs, then scripts/validate_case.mjs, then scripts/build_workbook.mjs with the bundled spreadsheet runtime.

FINDINGS_REPORT.md

Boston Medical Center investigation — findings report

Evidence as of: 2026-08-01
Publication status: Not approved; human review required.
Scope: BMC Health System, Boston Medical Center, BMC South, BMC Brighton, WellSense, named physician/ACO/captive/taxable affiliates, and activated transaction modules.

Bottom line

The evidence shows a large nonprofit health system with distinct hospital, health-plan, physician, captive-insurance, ACO, taxable-affiliate, and joint-venture entities. FY2025 combined substantial assets and net assets with a large operating loss and operating cash use. The first full acquisition year of BMC South and Brighton was a major source of pressure. These facts support continued financial and integration scrutiny, but not a simple insolvency or wrongdoing conclusion.

The strongest accountability leads are records questions rather than proven misconduct: Brighton real-estate terms; acquisition-support conditions; procurement and related-party value; WellSense/BMC transfer mechanics and incentives; current 340B economics and patient benefit; unit-level staffing evidence; and the economics and safeguards of Clearway and Tellica.

What is documented

Corrections and non-findings

Publication gate

Every material claim remains marked needs_human_review. Refresh time-sensitive sources, resolve high-priority gaps, verify entity/period/locator, consider counterevidence and a right-of-reply process, and obtain human approval before publication.

PLAIN_LANGUAGE_SYNTHESIS.md

Plain-language BMC synthesis

Boston Medical Center is best understood as a group of connected but legally distinct organizations. The main hospital is not the same entity as the parent health system, the WellSense insurance plan, the acquired hospitals, the physician organizations, or the system's taxable ventures. Mixing those entities is the easiest way to produce a misleading conclusion.

The FY2025 audit presents a mixed financial picture. The system had more than $5 billion in assets and more than $2.2 billion in net assets, but it also lost about $240 million from operations and used about $405 million of cash in operations. Much of the pressure came during the first full year operating BMC South and BMC Brighton; the combined community-hospital subgroup lost about $129 million from operations. That warrants monitoring, but it does not by itself prove insolvency, mismanagement, or a plan to reduce care.

BMC reports substantial community benefit, but the categories must stay separate. The FY2024 tax filing reported about $302 million in total net community benefit. Direct financial assistance at cost was about $124 million; the rest included Medicaid shortfall, education, research, and other categories. We cannot use the $302 million figure as a measure of discounts received by patients.

Several money relationships deserve deeper records review. BMC reported more than $211 million for services from its faculty organization and more than $801 million in revenue tied to WellSense members. It also reported large temporary-staffing and construction contractors. These are documented transactions, not proof of self-dealing or waste. To assess them, we would need contracts, bidding and recusal records, rate benchmarks, service volumes, and fair-market-value work.

The 340B record is similarly incomplete. HRSA found a historical diversion problem, BMC repaid manufacturers, and the audit closed in 2017. A current job posting describes a '$175M' 340B program, but the phrase is not defined. Without acquisition cost, reimbursement, fees, Medicaid adjustments, and patient-benefit data, no reliable net-profit or patient-pass-through calculation is possible.

Labor and staffing remain active accountability areas. A large 1199 bargaining group at BMC South and Brighton ratified a 2026 agreement, while separate nursing disputes continued. Union claims about staffing and impeded care are important leads, but they remain allegations until tested against unit-level staffing, acuity, payroll, complaint, inspection, and corrective-action records.

The overall conclusion is not that wrongdoing was found. It is that BMC's acquisition, affiliate, payer-provider, procurement, labor, real-estate, and 340B structures create specific questions that can now be tested without confusing association with misconduct.

METHOD_INDEX.md

Method index

EVIDENCE_INDEX.md

BMC evidence index

Evidence as of 2026-08-01. Source tiers and non-proof statements are mandatory. Historical facts must be refreshed before reuse.

RECORDS_REQUEST_DRAFTS.md

Draft records requests — do not send

These are research-gap drafts only. No outreach was performed or authorized.

Draft R01: Current OPAIS covered-entity sites and contract-pharmacy roster

Potential holder: HRSA OPAIS / BMC

Purpose: Required to define the current 340B operating universe.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R02: Audited net 340B economics and patient-benefit reconciliation

Potential holder: BMC Pharmacy/Finance

Purpose: Required to distinguish purchases, reimbursement, fees, duplicate discounts, charity use, and direct pass-through.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R03: Unit-level staffing grids, schedules, payroll/time-clock, vacancies, agency hours, and acuity

Potential holder: BMC hospitals / DPH

Purpose: Required to test union staffing allegations and safe-care claims.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R04: DPH/CMS complaint, inspection, and corrective-action records tied to the 2026 allegations

Potential holder: Mass DPH / CMS

Purpose: Required to separate submitted complaints from substantiated findings.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R05: Brighton deed chain and full EOHHS operating agreement

Potential holder: EOHHS / registries of deeds / BMC

Purpose: Required to identify landlord, rent, maintenance, capital, term, and property-control obligations.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R06: BMC expansion completion, final cost, bids, recusals, change orders, and contractor attribution

Potential holder: BMC / Mass DPH DoN

Purpose: Required to test procurement and project-delivery questions.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R07: Complete vendor master, contracts, procurement method, conflicts checks, and fair-market-value reviews

Potential holder: BMC Procurement / board committees

Purpose: Required because Form 990 exposes only top contractors.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R08: WellSense/BMC rates, referrals, utilization management, risk adjustment, patient cost, and intercompany transfer documents

Potential holder: WellSense / BMC / DOI / MassHealth

Purpose: Required to test integrated-care benefits versus conflicts or steering.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R09: Tellica operating agreement, governance, capital contributions, rates, referrals, distributions, and patient savings

Potential holder: Tellica Imaging-MA / BMC / DPH/HPC

Purpose: Required to evaluate nonprofit-private joint-venture economics.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R10: Clearway customer concentration, transfer pricing, valuation, distributions, and conflicts

Potential holder: BMCHS / Clearway

Purpose: Required to assess taxable-affiliate private-benefit safeguards.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R11: Complete LDA filing detail and scoped OCPF/FEC transaction review

Potential holder: U.S. Senate LDA / OCPF / FEC

Purpose: Required before any claim about lobbying spend or campaign-finance networks.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R12: Financial-assistance applications, approvals, denials, presumptive eligibility, collection transfers, and aggregate demographics

Potential holder: BMC Revenue Cycle / Finance

Purpose: Required to measure realized patient benefit rather than reported policy/cost.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R13: Current machine-readable price-file conformance for all three hospitals

Potential holder: BMC / CMS

Purpose: Required to verify present compliance after historical case closure.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R14: FY2026 audited/interim financials, rating reports, days cash, covenants, and unrestricted liquidity

Potential holder: BMCHS / bond trustees / EMMA

Purpose: Required to update FY2025 mixed financial picture.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R15: Comprehensive litigation inventory across PACER, Massachusetts courts, and acquired entities

Potential holder: Federal and state courts

Purpose: Required to move beyond official enforcement-index search.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

Draft R16: Compensation peer study, incentive scorecard, conflict/recusal minutes, and related-person employment safeguards

Potential holder: BMCHS board compensation/governance committees

Purpose: Required to assess reasonableness or influence rather than merely report disclosures.

Draft request scope: Please provide existing, non-privileged records sufficient to answer this question for the period identified in the related claim(s), using aggregate or de-identified data where patient or personnel privacy applies. Include the record title, date, legal entity, reporting period, definitions, amendments, and any withholding basis.

Do not send automatically. Human review is required for jurisdiction, exemptions, burden, privacy, and recipient.

validation/acceptance-report.md

BMC investigation acceptance report

Structured-case checks

Workbook checks

Scope limitations preserved

Final gate

This package is ready for investigative review and follow-on records work. It is not ready for public accusation or publication until a human reviewer refreshes time-sensitive records, resolves or fairly states open gaps, considers counterevidence and right of reply, and explicitly approves each material claim.

validation/pdf-report-validation.md

Comprehensive PDF Report Validation

Artifact: output/pdf/boston-medical-center-comprehensive-investigation-report.pdf
Evidence as of: August 1, 2026
Validation date: August 1, 2026

Structural checks

Visual checks

Evidence and publication controls

Result

PASS — structurally complete and visually verified. The artifact is an organized public-source investigation report, not a finding of liability, misconduct, or patient harm.

validation/validation-report.md

BMC case validation report

Checks

Errors

Warnings

Publication-safety interpretation

The ledgers pass structural validation only. No claim has human approval. searched_not_found results remain bounded to their recorded corpus, allegations remain attributed, and unresolved questions remain in the gap queue.

Complete structured-ledger data

The following CSV material is reproduced verbatim so this Markdown file is a complete readable companion to the workbook and graph. CSV remains the operational source of truth.

claims.csv (45 records)

claim_id,investigation_id,module_id,entity_id,claim_text,period_start,period_end,claim_status,source_ids,exact_locator,counterevidence,alternative_explanation,missing_proof,publication_wording,review_status,reviewer,reviewed_date
CLM-001,INV-BMC-001,M00,ENT-BMCHS,"BMCHS is the nonprofit parent and sole corporate member of the main hospital, acquired hospital operators, health plan, and named controlled affiliates.",2013-01-01,2026-08-01,documented_fact,SRC-001|SRC-013,FY2025 audit pp. 18-20; current leadership page,,"Separate entities retain distinct legal, tax, license, and reporting universes.",State corporate charters and every affiliate return were not retrieved.,BMCHS is the nonprofit parent; individual hospitals and affiliates remain separate legal/reporting entities.,needs_human_review,,
CLM-002,INV-BMC-001,M00,ENT-BMC-CORP,Boston Medical Center Corporation is the current nonprofit operator for CCN 220031 and NPI 1346218294.,1996-01-01,2026-08-01,documented_fact,SRC-001|SRC-009,FY2025 audit organization note; CMS enrollment CCN 220031,,"CMS identifiers reflect enrollment, not property title or every licensed satellite.",Current state license and corporate good-standing certificate.,CMS currently lists Boston Medical Center Corporation as the nonprofit operator for CCN 220031.,needs_human_review,,
CLM-003,INV-BMC-001,M00,ENT-BMCHS,"BMCHS acquired specified assets and liabilities of Good Samaritan and St. Elizabeth's effective October 1, 2024 for audited consideration of $136.479 million.",2024-10-01,2024-10-01,documented_fact,SRC-001|SRC-014|SRC-015,FY2025 audit pp. 20-21; BMC announcement; state transition page,Earlier public estimates may differ from finalized audited consideration.,Bankruptcy-asset accounting can differ from headline purchase price and state support.,Executed APA and settlement statement were not retrieved.,BMCHS's audited FY2025 statements report $136.479 million of acquisition consideration for specified hospital assets and liabilities.,needs_human_review,,
CLM-004,INV-BMC-001,M03,ENT-BMC-BRIGHTON,The St. Elizabeth's/BMC Brighton real property was not conveyed at acquisition; BMC operated it under an EOHHS operating agreement in FY2025.,2024-10-01,2025-09-30,documented_fact,SRC-001,FY2025 audit p. 21,,The arrangement followed the Steward bankruptcy transition and may be temporary or subject to later changes.,"Full operating agreement, deed history, rent/maintenance terms, and later amendments.",BMC's FY2025 audit says the Brighton real property was not conveyed and was used under an EOHHS operating agreement.,needs_human_review,,
CLM-005,INV-BMC-001,M03,ENT-BMC-SOUTH,Land and building associated with BMC South were included in the acquired assets.,2024-10-01,2025-09-30,documented_fact,SRC-001,FY2025 audit p. 21,,Audited asset inclusion does not substitute for deed-chain or parcel-level review.,"Recorded deeds, liens, parcel IDs, and post-closing property transfers.",The FY2025 audit states that BMC South land and building were included in the acquisition.,needs_human_review,,
CLM-006,INV-BMC-001,M00,ENT-BMCHS,"BMCHS reported $5.036 billion of assets, $2.801 billion of liabilities, and $2.236 billion of net assets at September 30, 2025.",2025-09-30,2025-09-30,documented_fact,SRC-001,"FY2025 audit p. 14, amounts in thousands",,Net assets include restrictions and do not equal cash available for operations.,Unrestricted liquidity schedule by entity beyond the audited disclosures.,"At September 30, 2025, BMCHS reported $5.036 billion in assets and $2.236 billion in net assets; this should not be read as unrestricted cash.",needs_human_review,,
CLM-007,INV-BMC-001,M00,ENT-BMCHS,BMCHS reported a $239.551 million FY2025 operating loss on $8.830 billion of operating revenue.,2024-10-01,2025-09-30,documented_fact,SRC-001,"FY2025 audit p. 15, amounts in thousands",,FY2025 includes a full year of newly acquired hospital operations and large health-plan capitation revenue.,Interim FY2026 audited results and normalized acquisition-adjusted analysis.,BMCHS's audited FY2025 consolidated operating loss was $239.551 million; the consolidated revenue base includes the health plan and acquired hospitals.,needs_human_review,,
CLM-008,INV-BMC-001,M00,ENT-BMCHS,Net cash used in operations was $404.981 million in FY2025 and cash declined by $182.092 million to $469 million.,2024-10-01,2025-09-30,documented_fact,SRC-001,"FY2025 audit p. 17, amounts in thousands",,Cash movement includes acquisition and capital-investment timing; one year is not a solvency forecast.,"Monthly liquidity, days cash on hand, restricted/unrestricted composition, and FY2026 cash flow.",BMCHS used $404.981 million of cash in operations in FY2025; liquidity should be assessed separately from total net assets.,needs_human_review,,
CLM-009,INV-BMC-001,M00,ENT-BMC-SOUTH,The acquired community-hospital subgroup reported a $128.625 million operating loss in FY2025.,2024-10-01,2025-09-30,documented_fact,SRC-001,"FY2025 audit p. 66, BMCCH column, amounts in thousands",,The subgroup combined acquired operations and first-year integration costs; the schedule does not allocate the loss between South and Brighton.,Hospital-by-hospital audited results and integration-cost normalization.,"The FY2025 consolidating schedule shows a $128.625 million operating loss for the combined acquired community-hospital subgroup, not for either hospital alone.",needs_human_review,,
CLM-010,INV-BMC-001,M00,ENT-BMCHS,"BMCHS received approximately $260 million of EOHHS supplemental funding in FY2025 and $77 million in FY2024, with different portions recognized, released for acquisition, or deferred.",2023-10-01,2025-09-30,documented_fact,SRC-001,FY2025 audit p. 21,,Public support had distinct accounting restrictions and timing; it is not one undifferentiated grant or profit measure.,"Executed funding agreements, eligibility conditions, repayment provisions, and entity-level cash tracing.","BMC's audit describes $337 million of EOHHS supplemental funding across FY2024-FY2025, divided among operating recognition, acquisition release, and deferred amounts.",needs_human_review,,
CLM-011,INV-BMC-001,M08,ENT-BMCHS,The FY2025 audit reported $163.512 million of free care at cost and an $8.096 million Health Safety Net assessment.,2024-10-01,2025-09-30,documented_fact,SRC-001,"FY2025 audit p. 30, amounts in thousands",,Audit free-care definitions differ from Schedule H financial-assistance and community-benefit categories.,Entity/facility breakdown and patient-level assistance outcomes.,BMCHS reported $163.512 million of free care at cost in FY2025; this is not interchangeable with total community benefit.,needs_human_review,,
CLM-012,INV-BMC-001,M08,ENT-BMC-CORP,"BMC Corporation's FY2024 Schedule H reported $302.183 million of total net community benefit, including $123.672 million of net financial assistance at cost and $88.762 million of Medicaid shortfall.",2024-01-01,2024-12-31,documented_fact,SRC-003,Schedule H Part I lines 7a-7k,,"Community benefit combines unlike categories, including education and research, and is not direct patient discount value.","Facility-level allocation, application/denial counts, collection outcomes, and patient demographic distribution.",BMC's FY2024 Schedule H reported $302.183 million in total community benefit; the direct financial-assistance-at-cost component was $123.672 million net.,needs_human_review,,
CLM-013,INV-BMC-001,M08,ENT-BMC-CORP,BMC's public financial-assistance page states eligibility up to 300% of the federal poverty level and a protection against charges above amounts generally billed for eligible patients.,2026-08-01,2026-08-01,documented_fact,SRC-020|SRC-035,"Current financial-assistance page, eligibility and billing sections",,"Policy availability does not measure access, approval, patient understanding, or collection outcomes.","Applications, approvals, denials, presumptive eligibility, bad-debt transfers, and collection-vendor records.",BMC publicly states financial-assistance eligibility up to 300% FPL and an amounts-generally-billed protection; realized patient benefit remains unmeasured here.,needs_human_review,,
CLM-014,INV-BMC-001,M00,ENT-BMC-CORP,"The FY2024 Form 990 reported $2.601 billion of revenue, $2.642 billion of expenses, and a $40.976 million deficit for the BMC Corporation filing group.",2024-01-01,2024-12-31,documented_fact,SRC-002,Form 990 Part I; filing 202522279349301107,,The return's entity and calendar-year reporting universe differs from BMCHS's FY2025 consolidated audit.,Reconciliation of tax-return group to audit component entities.,BMC Corporation's FY2024 return reported a $40.976 million deficit; it should not be compared directly with FY2025 BMCHS consolidated results without reconciliation.,needs_human_review,,
CLM-015,INV-BMC-001,M02,ENT-BMC-CORP,"BMC's FY2024 return reported Alastair Bell's total compensation as $1.949 million, including base, incentive, deferred, other, and nontaxable components.",2024-01-01,2024-12-31,documented_fact,SRC-004,"Schedule J Part II, Alastair Bell row",,Compensation can reflect multi-entity responsibilities and deferred amounts; amount alone does not prove excess benefit.,"Compensation consultant report, peer group, incentive metrics, board minutes, and Section 4958 process documentation.",BMC's FY2024 Schedule J reports $1.949 million in total compensation for Alastair Bell; reasonableness was not independently assessed here.,needs_human_review,,
CLM-016,INV-BMC-001,M12,ENT-BMC-CORP,"Schedule L disclosed $308,172 of compensation to employee Hannah Leaver, identified as trustee Richard Marks's daughter, and stated that her employment predated his 2016 board service.",2024-01-01,2024-12-31,documented_fact,SRC-005,"Schedule L Part IV, Hannah Leaver / Richard Marks",,The filing's chronology is a material innocent explanation; disclosure alone is not proof of nepotism or influence.,"Hiring, supervision, compensation benchmarking, recusal, and performance records.",BMC disclosed a trustee-family employment relationship and stated the employment predated the trustee's board service; no misconduct conclusion follows from the disclosure alone.,needs_human_review,,
CLM-017,INV-BMC-001,M02,ENT-BMC-CORP,"BMC reported five top contractor payments ranging from $10.793 million to $69.579 million and 251 independent contractors receiving more than $100,000.",2024-01-01,2024-12-31,documented_fact,SRC-006,Form 990 Part VII Section B,,"The return discloses only top contractors and calendar-year compensation conventions, not bid quality or profit.","Complete vendor master, contracts, bids, change orders, conflicts checks, and entity-level expense reconciliation.","BMC's FY2024 Form 990 listed five top contractors and 251 contractors over $100,000; procurement fairness cannot be determined from the return alone.",needs_human_review,,
CLM-018,INV-BMC-001,M02,ENT-BMCHS,The FY2025 audit reported $211.266 million provided by BMC to the Faculty practice organization for professional and support services.,2024-10-01,2025-09-30,documented_fact,SRC-001,"FY2025 audit pp. 58-59, related-party note",,Academic medical centers commonly fund physician services; related-party status does not imply impropriety.,"Service agreement, allocation methodology, fair-market-value analysis, productivity metrics, and board approvals.",BMC reported $211.266 million of related-party professional and support-service payments to the Faculty organization in FY2025; value and procurement terms require separate review.,needs_human_review,,
CLM-019,INV-BMC-001,M06,ENT-BMC-CORP,BMC reported $801.010 million of FY2025 medical and pharmacy revenue associated with WellSense members.,2024-10-01,2025-09-30,documented_fact,SRC-001,FY2025 audit pp. 58-59,,An affiliated payer-provider relationship can support integrated care; revenue does not by itself show referral steering or overpayment.,"Contract rates, utilization, risk-adjustment, referral patterns, prior authorization, and patient out-of-pocket data.",BMC reported $801.010 million of revenue from services to WellSense members in FY2025; the figure does not establish improper steering or patient harm.,needs_human_review,,
CLM-020,INV-BMC-001,M06,ENT-WELLSENSE,WellSense converted a $100 million intercompany loan to a net-asset transfer in July 2024; the audit's related-party wording also describes an amount BMC owed WellSense.,2024-07-01,2025-09-30,contradicted_or_disputed,SRC-001,FY2025 audit pp. 58-59,The loan-conversion and due-to wording require reconciliation.,"Consolidated financial notes can describe different legal balances, dates, or presentation after elimination.","Promissory note, transfer approval, legal entities, dates, and consolidating entries.","The audit describes a $100 million WellSense-BMC intercompany loan/net-asset transfer, but the precise legal balance and conversion mechanics require reconciliation before publication.",needs_human_review,,
CLM-021,INV-BMC-001,M07,ENT-CLEARWAY,Clearway Health is a taxable Delaware single-member LLC wholly owned by BMCHS; FY2025 consolidating operations showed $31.556 million of revenue and a $0.837 million net deficit.,2024-10-01,2025-09-30,documented_fact,SRC-001,FY2025 audit pp. 18-20 and 66,,"Ownership of a taxable affiliate is allowed; financial results do not establish valuation, distributions, or private benefit.","Customer/vendor relationships, transfer pricing, valuation, distributions, executive interests, and tax returns.",BMCHS wholly owns taxable affiliate Clearway Health; its FY2025 consolidating schedule showed $31.556 million revenue and a $0.837 million net deficit.,needs_human_review,,
CLM-022,INV-BMC-001,M07,ENT-TELLICA-MA,"Tellica Imaging-Massachusetts is a for-profit joint venture owned 51% by Tellica and 49% by BMCHS, formed for an outpatient imaging project with reported cost of $5.850 million.",2023-01-01,2025-12-31,documented_fact,SRC-021|SRC-022|SRC-023,Mass DPH DoN ownership/project summary; HPC transaction row,,A minority joint venture can expand access and lower site-of-care cost; ownership alone does not prove steering or private benefit.,"Operating agreement, capital contributions, governance, referral safeguards, rates, distributions, utilization, and patient cost data.",BMCHS holds 49% of a for-profit outpatient imaging joint venture; its referral and economic effects are not publicly determinable from the reviewed records.,needs_human_review,,
CLM-023,INV-BMC-001,M07,ENT-BMC-CORP,BMC reported $69.579 million paid to temporary-staffing contractor SHC Services in FY2024; prior source material linked SHC ownership to Vistria Fund IV and Apollo Impact Mission.,2024-01-01,2024-12-31,strongly_supported,SRC-006|SRC-034,Form 990 Part VII contractor row; prior ownership-source trail,Current SHC ownership was not independently refreshed in this run.,Temporary staffing may address vacancies and surge needs; vendor investors do not own BMC.,"Current SHC cap table, contract terms, rate cards, markups, staffing hours, and procurement record.","BMC disclosed $69.579 million of FY2024 temporary-staffing payments to SHC; this is PE-backed vendor exposure, not private-equity ownership of BMC.",needs_human_review,,
CLM-024,INV-BMC-001,M04,ENT-BMC-CORP,A historical HRSA audit found diversion involving an ineligible site/individual under BMC's 340B program; BMC completed corrective repayment and HRSA closed the audit in 2017.,2015-01-01,2017-04-18,documented_fact,SRC-016|SRC-017,HRSA FY2015 audit-results row and public final letter,,The finding was historical and closed after corrective action.,Current HRSA audit results and current internal compliance records.,HRSA reported a historical BMC 340B diversion finding that was corrected and closed in 2017; it is not evidence of current noncompliance.,needs_human_review,,
CLM-025,INV-BMC-001,M04,ENT-BMC-CORP,"A BMC job posting describes responsibility for a 340B program labeled '$175M,' but the posting does not define that figure.",2026-01-01,2026-08-01,documented_fact,SRC-018,"Job description: Senior Director, Supply Chain, Pharmacy",,"The figure may refer to purchases, savings, revenue, program scale, or another internal management measure.","Metric definition, acquisition cost, payer reimbursement, fees, chargebacks, duplicate discounts, patient assistance, and net reconciliation.",BMC used '$175M' to describe its 340B program in a job posting; it should not be reported as profit or verified savings without a definition.,needs_human_review,,
CLM-026,INV-BMC-001,M04,ENT-BMC-CORP,BMC's net 340B economics and the amount passed directly to patients are not publicly determinable from the reviewed corpus.,2025-01-01,2026-08-01,not_publicly_determinable,SRC-016|SRC-018,HRSA historical audit and current BMC job posting; current OPAIS export incomplete,"No audited, entity-specific net reconciliation or patient pass-through schedule was found.",Hospitals may use 340B margin to support uncompensated care and services without point-of-sale discounts.,"Acquisition, reimbursement, fees, Medicaid/duplicate-discount, charity-use, and patient pass-through data.",The reviewed public records do not permit a verified calculation of BMC's net 340B benefit or direct patient pass-through.,needs_human_review,,
CLM-027,INV-BMC-001,M09,ENT-BMC-SOUTH,"About 1,400 workers at BMC Brighton and South ratified a three-year 1199SEIU agreement in May 2026 with stated wage increases of 6%-15% and maintained benefits.",2026-05-14,2029-05-13,documented_fact,SRC-024,"1199SEIU May 14, 2026 announcement",,The union announcement summarizes the agreement; individual classifications may differ.,Executed collective bargaining agreement and wage scales.,"1199SEIU reported that approximately 1,400 BMC Brighton and South workers ratified a three-year contract with 6%-15% wage increases.",needs_human_review,,
CLM-028,INV-BMC-001,M05,ENT-BMC-SOUTH,"MNA alleged staffing, wage, and benefit problems at BMC South, citing 245 worker reports and 71 claimed instances of impeded care.",2026-04-20,2026-04-20,allegation,SRC-025,"MNA April 20, 2026 announcement",No underlying reports or final agency findings were reviewed.,The figures are union-generated bargaining and safety claims; BMC may dispute their characterization.,"De-identified reports, staffing grids, time-clock data, complaints, inspections, and adjudicated findings.",MNA alleged staffing and care problems at BMC South and cited internal worker reports; these claims are not independently verified here.,needs_human_review,,
CLM-029,INV-BMC-001,M09,ENT-BMC-CORP,"Nursing labor disputes at the main hospital and BMC South remained publicly active in July 2026, with BMC and union representatives offering different accounts of wages, staffing, and sustainability.",2026-04-20,2026-07-22,strongly_supported,SRC-024|SRC-025|SRC-026,"Union announcements and July 22, 2026 reporting",1199 agreements at Brighton/South covered different bargaining units.,"Multiple unions, facilities, and bargaining units have different agreements and expiration dates.","Current negotiation status, executed agreements, and NLRB/mediator records after evidence date.","As of July 22, 2026, separate nursing negotiations at BMC main and South remained unresolved publicly; this is distinct from the ratified 1199 agreement.",needs_human_review,,
CLM-030,INV-BMC-001,M05,ENT-BMC-CORP,CMS's current general-information file assigned three stars to BMC main and BMC Brighton and two stars to BMC South.,2026-04-28,2026-04-28,documented_fact,SRC-011,"CMS Care Compare CCNs 220031, 220036, 220111",,Overall stars summarize selected measures and may lag current care; acquired-hospital results predate or span ownership transition.,"Measure-level dates, denominators, reliability, ownership-period allocation, and trend analysis.",CMS's April 2026 data release lists three stars for BMC main and Brighton and two for BMC South; the ratings should be interpreted with measure dates and ownership transition in mind.,needs_human_review,,
CLM-031,INV-BMC-001,M00,ENT-BMC-BRIGHTON,"CMS's general-information dataset still labels Brighton and South as proprietary, while current enrollment and audited records identify nonprofit BMC operators.",2026-04-28,2026-07-27,contradicted_or_disputed,SRC-001|SRC-009|SRC-011,Care Compare ownership field versus current CMS enrollment and FY2025 audit,Current CMS enrollment and audited ownership records support nonprofit operation.,Care Compare ownership classification may lag the October 2024 acquisition or use a different update pipeline.,CMS data dictionary/update correspondence or corrected Care Compare release.,"CMS files conflict on the acquired hospitals' ownership label; current enrollment and audited records support nonprofit BMC operators, while Care Compare appears stale.",needs_human_review,,
CLM-032,INV-BMC-001,M00,ENT-BMC-CORP,"CMS price-transparency data records two warning-notice cases for BMC main, both later closed, with no civil monetary penalty shown in those rows.",2023-03-29,2025-06-25,documented_fact,SRC-012,Cases 945 and 3384; closure dates 2023-07-13 and 2025-06-25,,A closure notice resolves the recorded case but does not certify continuing or perfect compliance.,Current machine-readable file validation and full case correspondence.,CMS records two BMC main warning cases that were later closed; the reviewed rows do not show a civil monetary penalty.,needs_human_review,,
CLM-033,INV-BMC-001,M10,ENT-BMC-CORP,"BMC and two physician organizations paid $1.1 million in 2016 to resolve federal billing allegations involving Rituxan, duplicate pre-surgical treatment, and unsupported podiatry billing.",2016-02-10,2016-02-10,documented_fact,SRC-027,DOJ settlement announcement,The release says BMC cooperated and had repaid/audited some claims.,Civil settlements can resolve disputed allegations without adjudication or admission.,Settlement agreement and underlying claim sample if detailed attribution is required.,"In 2016, BMC and two physician organizations paid $1.1 million to resolve specified federal billing allegations; the settlement should not be described as a current pattern or adjudicated guilt.",needs_human_review,,
CLM-034,INV-BMC-001,M10,ENT-BMC-CORP,"BMC paid $313,246 in a 2017 OIG settlement concerning use of new-patient codes for established patients.",2017-09-01,2017-09-01,documented_fact,SRC-028,HHS OIG enforcement summary,,A settlement is historical and does not establish current conduct.,Settlement agreement and current audit/compliance records.,"HHS OIG reports a $313,246 BMC settlement in 2017 concerning patient-status coding; it is historical.",needs_human_review,,
CLM-035,INV-BMC-001,M10,ENT-BMC-CORP,No newer BMC-specific DOJ or HHS OIG settlement was located in the exact-name official web-index search for 2018-2026.,2018-01-01,2026-08-01,searched_not_found,SRC-027|SRC-028,Recorded official-domain search SEA-017,"The search did not cover every court docket, agency database, alias, subsidiary, or sealed matter.",Search-index limits can omit filings and enforcement actions.,"PACER, state courts, agency FOIA logs, aliases, physician groups, and every affiliate.",The recorded exact-name DOJ/OIG web search found no newer responsive settlement; this is not a universal no-enforcement finding.,needs_human_review,,
CLM-036,INV-BMC-001,M03,ENT-BMC-CORP,"Massachusetts approved a $121.240 million BMC expansion for 70 inpatient beds and five operating rooms, with a $6.062 million CHI obligation.",2022-12-14,2022-12-14,documented_fact,SRC-008,DoN staff report pp. 1 and 32,,"Approval and planned capacity do not prove completion, current staffing, or final cost.","Project closeout, certificate of occupancy, final cost, staffing, utilization, bids, and change orders.",Massachusetts approved BMC's $121.240 million expansion and $6.062 million community-health contribution in 2022; completion and staffing require separate verification.,needs_human_review,,
CLM-037,INV-BMC-001,M05,ENT-BMC-CORP,"The 2022 DoN record reported historical BMC medical/surgical occupancy near 90% and an October 2021-July 2022 average of 12% of emergency visits leaving without being seen, versus a cited 2% statewide average.",2021-10-01,2022-07-31,documented_fact,SRC-008,DoN staff report pp. 9-10,,The data supported a 2022 capacity application and are not current FY2026 performance.,"Current ED throughput, boarding, LWBS, occupancy, and post-expansion capacity data.",BMC reported severe access pressure in its 2022 DoN record; current conditions were not established by this historical evidence.,needs_human_review,,
CLM-038,INV-BMC-001,M08,ENT-BMC-CORP,"CHIA's FY2024 profile reported 77.9% public payer mix, 9,861 FTEs, 539 staffed beds, 91.6% occupancy, and 27,681 discharges for BMC.",2023-10-01,2024-09-30,documented_fact,SRC-007,CHIA FY2024 profile p. 1,,"Definitions differ from licensed beds, payroll headcount, Schedule H facilities, and later system-wide bed counts.","FY2025-FY2026 profile, staff category mix, vacancy, and acquired-hospital crosswalk.",CHIA's FY2024 BMC profile reported a 77.9% public payer mix and 91.6% occupancy; the figures predate a full year of the acquired hospitals.,needs_human_review,,
CLM-039,INV-BMC-001,M01,ENT-BMCHS,BMCHS submitted a March 2026 policy comment opposing aspects of a proposed HPC capacity regulation.,2026-03-20,2026-03-20,documented_fact,SRC-031,"March 20, 2026 BMCHS comment letter",,Regulated organizations routinely submit public comments; advocacy is not improper influence.,"HPC rulemaking record, meetings, lobbying reports, and contemporaneous decision chronology.","BMCHS publicly advocated on a proposed HPC capacity rule; the comment is evidence of policy engagement, not improper influence.",needs_human_review,,
CLM-040,INV-BMC-001,M01,ENT-BMCHS,"A federal lobbying filing/result associated with BMC Health System was located, but amount and issue details were not reliably retrievable in this run.",2026-01-01,2026-08-01,not_publicly_determinable,SRC-032,Senate LDA filing-result page; detail API access denied,,The filing may be routine organizational advocacy.,"Certified filing printout with registrant, client, issues, lobbyists, and income/expense fields.","A federal lobbying record associated with BMC Health System was located, but its details should not be reported until the filing is retrieved in full.",needs_human_review,,
CLM-041,INV-BMC-001,M02,ENT-BMCHS,The FY2025 federal-award audit identified an IT access/change-control significant deficiency but no federal-award material weakness and issued an unmodified compliance opinion.,2024-10-01,2025-09-30,documented_fact,SRC-001,"FY2025 audit pp. 8-11, finding 2025-001",,The auditor's test scope was limited and the finding did not assign questioned costs.,Remediation evidence and subsequent testing.,"BMC's FY2025 single audit reported an IT control significant deficiency, no material weakness for federal awards, and no questioned costs.",needs_human_review,,
CLM-042,INV-BMC-001,M00,ENT-BMCHS,"BMCHS's large asset base coexisted with an operating loss, operating cash use, debt, restricted assets, and first-year acquisition costs; no single figure supports a simple 'financially strong' or 'financially distressed' conclusion.",2024-10-01,2025-09-30,calculation_or_model,SRC-001,Synthesis of FY2025 audit pp. 14-17 and 20-21,Balance-sheet scale and net assets are positive counterweights to operating loss and cash use.,"Different liquidity, solvency, operating, and restriction measures answer different questions.","Current rating reports, days cash, covenant compliance, unrestricted liquidity, and FY2026 results.",BMC's FY2025 financial position is mixed: substantial assets and net assets alongside a large operating loss and operating cash use.,needs_human_review,,
CLM-043,INV-BMC-001,M00,ENT-BMCHS,"Current CMS ownership data report BMCHS as the 100% indirect owner of the acquired hospital operators with an association date of October 1, 2024.",2024-10-01,2026-08-01,documented_fact,SRC-010,"CMS All Owners, acquired CCN/operator rows",,"CMS ownership data describe enrollment ownership/control, not real-estate title or every contractual affiliation.",State corporate filings and CMS data dictionary explanation of self-owner rows.,"CMS currently reports BMCHS as the 100% indirect owner of the acquired hospital operators, effective October 1, 2024.",needs_human_review,,
CLM-044,INV-BMC-001,M06,ENT-WELLSENSE,WellSense generated $5.745 billion of FY2025 operating revenue and a $7.049 million net deficit in the consolidating schedule.,2024-10-01,2025-09-30,documented_fact,SRC-001,"FY2025 audit p. 66, WellSense column",,Health-plan revenue is largely capitation and should not be called hospital revenue or patient-service revenue.,"Risk corridor, reserve, membership, medical-loss-ratio, and state insurance filings.",WellSense accounted for most BMCHS consolidated revenue in FY2025 and reported a $7.049 million net deficit in the consolidating schedule.,needs_human_review,,
CLM-045,INV-BMC-001,M02,ENT-BMC-CORP,The contractor payment to SHC was larger than any other top-contractor amount reported on BMC's FY2024 return.,2024-01-01,2024-12-31,calculation_or_model,SRC-006,Form 990 Part VII Section B; comparison of five disclosed rows,Only the top five contractors are visible in this comparison.,Temporary staffing can be unusually costly during vacancy or integration periods.,"Complete contractor population and comparable units such as hours, rates, and service scope.","Among BMC's five disclosed FY2024 top contractors, SHC Services had the largest reported payment; this does not establish overpayment.",needs_human_review,,

contradictions.csv (9 records)

contradiction_id,investigation_id,issue,source_a_id,source_a_value,source_b_id,source_b_value,entity_boundary_a,entity_boundary_b,period_a,period_b,possible_explanation,resolution_status,missing_evidence
CON-001,INV-BMC-001,Acquired-hospital ownership classification,SRC-011,Care Compare labels Brighton and South proprietary,SRC-001|SRC-009,Audit and current enrollment identify nonprofit BMC operators,Care Compare hospital profile,BMC operators / CMS enrollment,2026-04-28,2026-07-27,Care Compare likely lags October 2024 ownership transition or uses a separate pipeline.,resolved_with_caveat,CMS correction history or data-owner confirmation
CON-002,INV-BMC-001,BMC bed counts,SRC-003,Schedule H lists 654 licensed beds and 31 satellites,SRC-007,CHIA reports 539 staffed/available beds,Schedule H hospital-facility universe,CHIA hospital profile,2024-01-01,2024-09-30,"Licensed, staffed, available, facility, and reporting-period definitions differ.",resolved_with_caveat,Current DPH license and bed-by-campus crosswalk
CON-003,INV-BMC-001,Tax-return versus consolidated revenue,SRC-002,BMC Corporation FY2024 revenue $2.601B,SRC-001,BMCHS FY2025 operating revenue $8.830B,BMC Corporation filing group,BMCHS consolidated system,2024-12-31,2025-09-30,"Different entity, period, health-plan inclusion, and consolidation universe.",resolved,Formal return-to-audit reconciliation
CON-004,INV-BMC-001,Community benefit versus charity care,SRC-003,Total net community benefit $302.183M,SRC-003,Net financial assistance at cost $123.672M,Broad Schedule H categories,Financial-assistance category,2024-12-31,2024-12-31,"Total includes Medicaid shortfall, education, research, and other benefits.",resolved,Facility-level patient-benefit details
CON-005,INV-BMC-001,Free care measures across reports,SRC-001,FY2025 audit free care at cost $163.512M,SRC-003,FY2024 Schedule H financial-assistance expense $164.340M and net $123.672M,BMCHS consolidated audit,BMC Corporation Schedule H,2025-09-30,2024-12-31,"Different period, entity, gross/net, and reporting definitions.",unresolved_but_explained,Accounting-policy reconciliation
CON-006,INV-BMC-001,WellSense $100M intercompany transaction,SRC-001,Loan converted to net-asset transfer in July 2024,SRC-001,Related-party wording also describes amount BMC owed WellSense,WellSense/BMC transfer presentation,Related-party balance presentation,2024-07-31,2025-09-30,"Different dates, legal balances, elimination entries, or imprecise summary language.",unresolved,"Promissory note, board approvals, journal entries, and legal transfer documents"
CON-007,INV-BMC-001,Financial condition shorthand,SRC-001,$5.036B assets and $2.236B net assets,SRC-001,$239.551M operating loss and $404.981M operating cash use,Balance-sheet position,Operating/cash-flow performance,2025-09-30,2025-09-30,"Liquidity, solvency, restrictions, and operations are distinct dimensions.",resolved_with_caveat,"Current rating, days cash, covenants, unrestricted liquidity"
CON-008,INV-BMC-001,PE exposure versus ownership,SRC-034,Prior source trail linked SHC vendor to PE investors,SRC-001|SRC-009|SRC-010,Official sources show nonprofit BMCHS control of hospitals,Vendor ownership universe,Hospital ownership universe,2024-12-31,2026-07-27,A PE-backed contractor relationship is not PE ownership of BMC.,resolved,Current SHC ownership confirmation and vendor-contract terms
CON-009,INV-BMC-001,Acquisition headline value versus audited value,SRC-015,Public transition coverage used approximate/transaction-wide figures,SRC-001,Audited consideration $136.479M,Government transition context,BMCHS purchase accounting,2024-09-27,2025-09-30,"Headline, state support, real property, and final purchase accounting can differ.",resolved_with_audited_value,Executed APA and settlement statement

entities-and-aliases.csv (30 records)

entity_id,canonical_name,alias,entity_type,legal_name,ein,ccn,npi,state_id,parent_entity_id,reporting_universe,effective_from,effective_to,source_ids,confidence,notes
ENT-BMCHS,"BMC Health System, Inc.",BMC Health System|BMCHS,nonprofit_parent,"BMC Health System, Inc.",46-3556853,,,MA,,Consolidated health-system reporting universe,2013-01-01,,SRC-001|SRC-013,1,Tax-exempt nonprofit parent and sole member of major controlled entities.
ENT-BMC-CORP,Boston Medical Center Corporation,Boston Medical Center|BMC,nonprofit_hospital_operator,Boston Medical Center Corporation,04-3314093,220031,1346218294,MA,ENT-BMCHS,Hospital corporation reporting universe,1996-01-01,,SRC-001|SRC-002|SRC-009,1,Main academic medical center; do not substitute BMCHS consolidated figures for this corporation.
ENT-BMC-SOUTH,Boston Medical Center-South Corporation,BMC South|Good Samaritan Medical Center|BMC Community Hospital Corporation,nonprofit_hospital_operator,Boston Medical Center-South Corporation,,220111,1871329110,MA,ENT-BMCHS,Community hospitals subgroup and hospital operator universe,2024-10-01,,SRC-001|SRC-009|SRC-014,0.98,Audit and CMS enrollment use different current legal/operator labels; aliases preserved.
ENT-BMC-BRIGHTON,Boston Medical Center-Brighton Corporation,BMC Brighton|St. Elizabeth's Medical Center|BMC Community Hospital Corporation II,nonprofit_hospital_operator,Boston Medical Center-Brighton Corporation,,220036,1720814072,MA,ENT-BMCHS,Community hospitals subgroup and hospital operator universe,2024-10-01,,SRC-001|SRC-009|SRC-014,0.98,Audit and CMS enrollment use different current legal/operator labels; Brighton real property was not conveyed at acquisition.
ENT-BMCAP,"BMC Affiliated Physicians, Inc.",Boston University Affiliated Physicians,physician_organization,"BMC Affiliated Physicians, Inc.",,,,MA,ENT-BMCHS,Physician organization reporting universe,2024-10-17,,SRC-001,1,"Name change effective October 17, 2024."
ENT-FACULTY,"Faculty Practice Foundation, Inc.",Boston University Medical Group|BUMG|Faculty Practice Foundation,physician_organization,"Faculty Practice Foundation, Inc.",,,,MA,ENT-BMCHS,Faculty practice and 22 practice-plan reporting universe,,,SRC-001|SRC-013,0.98,Audit describes the foundation and 22 practice plans; BMC leadership page uses BUMG.
ENT-WELLSENSE,"Boston Medical Center Health Plan, Inc.",WellSense Health Plan,nonprofit_health_plan,"Boston Medical Center Health Plan, Inc.",04-3373331,,,MA/NH,ENT-BMCHS,Health-plan reporting universe,,,SRC-001|SRC-013,1,"Nonprofit HMO; large capitation revenue belongs primarily to the plan/consolidated universe, not hospital patient-service revenue."
ENT-BMCIC-CAYMAN,BMC Insurance Company Ltd.,BMCIC Cayman,captive_insurer,BMC Insurance Company Ltd.,,,,Cayman Islands,ENT-BMCHS,Captive-insurance reporting universe,,,SRC-001,1,"70% BMC and 30% Faculty ownership; Cayman tax exemption through 2042 is disclosed, not evidence of illegality."
ENT-BMCIC-VT,BMC Insurance Company,BMCIC Vermont,captive_insurer,BMC Insurance Company,,,,VT,ENT-BMCHS,Dormant captive-insurance reporting universe,,,SRC-001,1,"Dormant Vermont nonprofit captive, wholly controlled by BMCHS."
ENT-BMCICS,BMC Integrated Care Services,BMCICS,care_management_entity,BMC Integrated Care Services,,,,MA,ENT-BMCHS,Value-based care reporting universe,,,SRC-001,1,Participates with BACO in risk arrangements.
ENT-BACO,Boston Accountable Care Organization,BACO,accountable_care_organization,Boston Accountable Care Organization,,,,MA,ENT-BMCHS,ACO reporting universe,,,SRC-001,1,Separate value-based care entity.
ENT-CLEARWAY,Clearway Health LLC,Clearway Health,taxable_affiliate,Clearway Health LLC,,,,DE,ENT-BMCHS,Taxable affiliate reporting universe,,,SRC-001,1,Delaware single-member LLC wholly owned by BMCHS.
ENT-TELLICA-MA,Tellica Imaging-Massachusetts LLC,Tellica Imaging Massachusetts,joint_venture,Tellica Imaging-Massachusetts LLC,,,,DE/MA,,Joint-venture reporting universe,2023-01-01,,SRC-021|SRC-022|SRC-023,1,"For-profit joint venture: 51% Tellica, 49% BMCHS."
ENT-TELLICA,Tellica Imaging,Tellica,imaging_company,Tellica Imaging,,,,US,ENT-INTERMOUNTAIN,Tellica corporate reporting universe,,,SRC-022,0.98,Intermountain subsidiary and 51% owner of the Massachusetts venture.
ENT-INTERMOUNTAIN,Intermountain Health,Intermountain Healthcare,nonprofit_health_system,Intermountain Health,,,,UT,,External nonprofit health-system universe,,,SRC-022,0.95,Parent of Tellica; not an owner of BMCHS.
ENT-BU,Boston University,BU,university,Boston University,04-2103547,,,MA,,University reporting universe,,,SRC-002|SRC-006,1,Academic/research and shared-services counterparty; separate legal entity.
ENT-SHC,"SHC Services, Inc.",Supplemental Health Care|SHC Services,staffing_vendor,"SHC Services, Inc.",,,,US,,Vendor reporting universe,,,SRC-006|SRC-034,0.95,Temporary-staffing contractor; its investors do not own BMC.
ENT-VISTRIA-IV,Vistria Fund IV,The Vistria Group Fund IV,private_equity_fund,Vistria Fund IV,,,,US,,Investment-fund reporting universe,2021-01-01,,SRC-034,0.9,Reported equal owner of SHC with Apollo Impact Mission; discovery lead requires current ownership confirmation.
ENT-APOLLO-IM,Apollo Impact Mission,Apollo Impact Mission Fund,private_equity_fund,Apollo Impact Mission,,,,US,,Investment-fund reporting universe,2021-01-01,,SRC-034,0.9,Reported equal owner of SHC; contractor exposure is not BMC ownership.
ENT-WALSH,"Walsh Brothers, Incorporated",Walsh Brothers,construction_vendor,"Walsh Brothers, Incorporated",,,,MA,,Vendor reporting universe,,,SRC-006,1,Top contractor disclosed on FY2024 Form 990.
ENT-PWC,PricewaterhouseCoopers Advisory Services LLC,PwC Advisory,professional_services_vendor,PricewaterhouseCoopers Advisory Services LLC,,,,US,,Vendor reporting universe,,,SRC-006,1,Accounts-receivable management contractor disclosed on FY2024 Form 990.
ENT-SOUTHERN-MIDDLESEX,"Southern Middlesex Industries, Inc.",Southern Middlesex,construction_vendor,"Southern Middlesex Industries, Inc.",,,,MA,,Vendor reporting universe,,,SRC-006,0.98,Building contractor disclosed on FY2024 Form 990.
ENT-COMMONWEALTH-MA,Commonwealth of Massachusetts,Massachusetts,government,Commonwealth of Massachusetts,,,,MA,,Government reporting universe,,,SRC-001|SRC-015,1,Government counterparty and source of acquisition support.
ENT-EOHHS,Massachusetts Executive Office of Health and Human Services,EOHHS,government_agency,Executive Office of Health and Human Services,,,,MA,ENT-COMMONWEALTH-MA,State-agency reporting universe,,,SRC-001|SRC-015,1,Brighton property operating-agreement counterparty and acquisition-support administrator.
ENT-HRIA,"Health Resources in Action, Inc.",HRiA,nonprofit_fiscal_agent,"Health Resources in Action, Inc.",,,,MA,,CHI fiscal-agent reporting universe,,,SRC-008,1,Fiscal agent designated for the statewide CHI payment.
ENT-US,United States Government,United States,government,United States Government,,,,US,,Federal government reporting universe,,,SRC-027|SRC-028,1,Settlement recipient/administrator; settlement does not equal admission.
ENT-STEWARD,Steward Health Care System LLC,Steward Health Care,former_hospital_owner,Steward Health Care System LLC,,,,US,,Former owner/bankruptcy estate reporting universe,,2024-09-30,SRC-001|SRC-015,1,Pre-closing liabilities generally remained with Steward except specified assumed liabilities.
ENT-HRSA,Health Resources and Services Administration,HRSA,federal_regulator,Health Resources and Services Administration,,,,US,ENT-US,Federal regulator reporting universe,,,SRC-016|SRC-017,1,340B oversight body.
ENT-CMS,Centers for Medicare & Medicaid Services,CMS,federal_regulator,Centers for Medicare & Medicaid Services,,,,US,ENT-US,Federal regulator reporting universe,,,SRC-009|SRC-010|SRC-011|SRC-012,1,"Enrollment, ownership, quality, and transparency datasets have different update cycles."
ENT-HPC,Massachusetts Health Policy Commission,HPC,state_regulator,Massachusetts Health Policy Commission,,,,MA,ENT-COMMONWEALTH-MA,State regulator reporting universe,,,SRC-023|SRC-031,1,Receives material-change notices and public policy comments.

facility-crosswalk.csv (5 records)

facility_id,entity_id,facility_name,address,city,state,postal_code,ccn,npi,license_id,operator_entity_id,parent_entity_id,campus_family_id,active_status,effective_date,source_ids,notes
FAC-BMC-MAIN,ENT-BMC-CORP,Boston Medical Center,One Boston Medical Center Place,Boston,MA,02118,220031,1346218294,,ENT-BMC-CORP,ENT-BMCHS,CAMPUS-BMC-BOSTON,active,1996-01-01,SRC-001|SRC-009|SRC-011,Academic medical center; identifiers current in CMS enrollment.
FAC-BMC-CROSSTOWN,ENT-BMC-CORP,BMC Crosstown outpatient satellite,801 Massachusetts Avenue,Boston,MA,02118,220031,,,ENT-BMC-CORP,ENT-BMCHS,CAMPUS-BMC-BOSTON,active,,SRC-003,Schedule H satellite example; full 31-satellite list remains available in filing.
FAC-BMC-SOUTH,ENT-BMC-SOUTH,Boston Medical Center - South,235 North Pearl Street,Brockton,MA,02301,220111,1871329110,,ENT-BMC-SOUTH,ENT-BMCHS,CAMPUS-BMC-SOUTH,active,2024-10-01,SRC-001|SRC-009|SRC-014,Former Good Samaritan Medical Center.
FAC-BMC-BRIGHTON,ENT-BMC-BRIGHTON,Boston Medical Center - Brighton,736 Cambridge Street,Brighton,MA,02135,220036,1720814072,,ENT-BMC-BRIGHTON,ENT-BMCHS,CAMPUS-BMC-BRIGHTON,active,2024-10-01,SRC-001|SRC-009|SRC-014,Former St. Elizabeth's Medical Center; real property operated under EOHHS agreement.
FAC-BMC-BROCKTON-BEHAVIORAL,ENT-BMC-CORP,BMC Brockton Behavioral Health Center,34 North Pearl Street,Brockton,MA,02301,22S031,1033854153,,ENT-BMC-CORP,ENT-BMCHS,CAMPUS-BMC-SOUTH,active,,SRC-009,CMS-enrolled inpatient psychiatric satellite of main CCN.

investigation-manifest.csv (1 records)

investigation_id,hospital_name,facility_name,jurisdiction,scope_start,scope_end,evidence_as_of,publication_audience,lead_question,hypotheses,status,lead_researcher,reviewer,notes
INV-BMC-001,Boston Medical Center Health System,Boston Medical Center and current hospital group,Massachusetts; United States federal,2015-01-01,2026-08-01,2026-08-01,Internal investigative review; publication requires human approval,"How is BMC Health System structured, financed, governed, and held accountable, and which documented transactions or patterns merit deeper review?",Acquisition losses may pressure labor and access; related-party and vendor payments may require procurement review; 340B scale may not reveal patient benefit; state support and private ventures require entity-specific accounting.,needs_human_review,Codex public-source research,Unassigned human reviewer,"Public-source-only investigation. No outreach, records request, message, reaction, publication, or allegation screen was performed."

metrics.csv (38 records)

metric_id,investigation_id,entity_id,metric_name,metric_value,unit,period_start,period_end,numerator_definition,denominator_definition,calculation_method,source_ids,comparison_group,status,limitations
MET-001,INV-BMC-001,ENT-BMCHS,Total assets,5036171000,USD,2025-09-30,2025-09-30,Audited total assets,Not applicable,Direct extraction from amounts in thousands,SRC-001,FY2025 BMCHS,documented_fact,Includes restricted and consolidated affiliate assets.
MET-002,INV-BMC-001,ENT-BMCHS,Total liabilities,2800642000,USD,2025-09-30,2025-09-30,Audited total liabilities,Not applicable,Direct extraction,SRC-001,FY2025 BMCHS,documented_fact,Consolidated figure.
MET-003,INV-BMC-001,ENT-BMCHS,Total net assets,2235529000,USD,2025-09-30,2025-09-30,Audited net assets,Not applicable,Direct extraction,SRC-001,FY2025 BMCHS,documented_fact,Not equal to unrestricted cash.
MET-004,INV-BMC-001,ENT-BMCHS,Cash and cash equivalents,469000000,USD,2025-09-30,2025-09-30,Audited cash,Not applicable,Direct extraction,SRC-001,FY2025 BMCHS,documented_fact,Does not include every liquid investment or restriction.
MET-005,INV-BMC-001,ENT-BMCHS,Long-term debt,782842000,USD,2025-09-30,2025-09-30,Audited long-term debt,Not applicable,Direct extraction,SRC-001,FY2025 BMCHS,documented_fact,Review covenants and current portions separately.
MET-006,INV-BMC-001,ENT-BMCHS,Operating revenue,8830274000,USD,2024-10-01,2025-09-30,Audited operating revenue,Not applicable,Direct extraction,SRC-001,FY2025 BMCHS,documented_fact,Includes health-plan capitation and consolidated eliminations.
MET-007,INV-BMC-001,ENT-BMCHS,Operating loss,-239551000,USD,2024-10-01,2025-09-30,Audited operating revenue minus operating expenses,Not applicable,Direct extraction,SRC-001,FY2025 BMCHS,documented_fact,Acquisition-year and system-wide figure.
MET-008,INV-BMC-001,ENT-BMCHS,Operating margin,-0.0271,ratio,2024-10-01,2025-09-30,Operating loss,Operating revenue,-239551000 / 8830274000,SRC-001,FY2025 BMCHS,calculation_or_model,Rounded; not an audited stated percentage.
MET-009,INV-BMC-001,ENT-BMCHS,Net patient service revenue,2190324000,USD,2024-10-01,2025-09-30,Audited net patient revenue,Not applicable,Direct extraction,SRC-001,FY2025 BMCHS,documented_fact,Not same as consolidated operating revenue.
MET-010,INV-BMC-001,ENT-WELLSENSE,Capitation revenue,5765791000,USD,2024-10-01,2025-09-30,Audited capitation revenue,Not applicable,Direct extraction,SRC-001,FY2025 consolidated,documented_fact,Primarily health-plan activity; do not label hospital revenue.
MET-011,INV-BMC-001,ENT-BMCHS,Operating cash flow,-404981000,USD,2024-10-01,2025-09-30,Net cash used in operating activities,Not applicable,Direct extraction,SRC-001,FY2025 BMCHS,documented_fact,One-year cash flow affected by acquisition/integration.
MET-012,INV-BMC-001,ENT-BMC-SOUTH,Community hospitals operating loss,-128625000,USD,2024-10-01,2025-09-30,Combined acquired-hospital subgroup operating result,Not applicable,Direct extraction,SRC-001,BMCCH subgroup,documented_fact,Cannot allocate to South versus Brighton.
MET-013,INV-BMC-001,ENT-BMC-CORP,BMC component operating loss,-30748000,USD,2024-10-01,2025-09-30,BMC component operating result,Not applicable,Direct extraction,SRC-001,BMC component,documented_fact,"Audit component schedule, not tax-return universe."
MET-014,INV-BMC-001,ENT-WELLSENSE,WellSense net deficit,-7049000,USD,2024-10-01,2025-09-30,WellSense component final deficit,Not applicable,Direct extraction,SRC-001,WellSense component,documented_fact,Requires insurance-statement context.
MET-015,INV-BMC-001,ENT-CLEARWAY,Clearway revenue,31556000,USD,2024-10-01,2025-09-30,Clearway component revenue,Not applicable,Direct extraction,SRC-001,Clearway component,documented_fact,Taxable affiliate only.
MET-016,INV-BMC-001,ENT-CLEARWAY,Clearway net deficit,-837000,USD,2024-10-01,2025-09-30,Clearway component final deficit,Not applicable,Direct extraction,SRC-001,Clearway component,documented_fact,Does not establish valuation.
MET-017,INV-BMC-001,ENT-BMCHS,Free care at cost,163512000,USD,2024-10-01,2025-09-30,Audited free-care cost,Not applicable,Direct extraction,SRC-001,FY2025 BMCHS,documented_fact,Definition differs from Schedule H community benefit.
MET-018,INV-BMC-001,ENT-BMC-CORP,Net financial assistance at cost,123671992,USD,2024-01-01,2024-12-31,Financial assistance expense less offsetting revenue,Reported expense 164339523,Schedule H direct extraction,SRC-003,FY2024 BMC Corporation filing group,documented_fact,Not total community benefit or patient discount face value.
MET-019,INV-BMC-001,ENT-BMC-CORP,Net Medicaid shortfall,88761693,USD,2024-01-01,2024-12-31,Medicaid expense less offsetting revenue,Reported expense 1056929619,Schedule H direct extraction,SRC-003,FY2024 BMC Corporation filing group,documented_fact,"Accounting cost-to-revenue shortfall, not direct patient discount."
MET-020,INV-BMC-001,ENT-BMC-CORP,Total net community benefit,302183400,USD,2024-01-01,2024-12-31,Schedule H net community benefit categories,Total expenses net of offsetting revenue,Schedule H direct extraction,SRC-003,FY2024 BMC Corporation filing group,documented_fact,"Includes Medicaid shortfall, education, research, and other categories."
MET-021,INV-BMC-001,ENT-BMC-CORP,Community benefit share of expenses,0.1144,ratio,2024-01-01,2024-12-31,Total net community benefit,Schedule H total expenses,Schedule H reported percentage,SRC-003,FY2024 BMC Corporation filing group,documented_fact,Not comparable without consistent Schedule H methods.
MET-022,INV-BMC-001,ENT-BMC-CORP,Total executive compensation - Alastair Bell,1949276,USD,2024-01-01,2024-12-31,Schedule J total compensation,Not applicable,Direct extraction,SRC-004,BMC FY2024 Form 990,documented_fact,Includes deferred and nontaxable components.
MET-023,INV-BMC-001,ENT-BMC-CORP,SHC temporary staffing contractor payment,69578940,USD,2024-01-01,2024-12-31,Form 990 contractor compensation,Not applicable,Direct extraction,SRC-006,Top five contractors,documented_fact,No hours/rates/markup denominator.
MET-024,INV-BMC-001,ENT-BMC-CORP,Staffed beds,539,beds,2023-10-01,2024-09-30,CHIA staffed beds,Not applicable,Direct extraction,SRC-007,BMC FY2024 hospital profile,documented_fact,Not licensed beds or system-wide beds.
MET-025,INV-BMC-001,ENT-BMC-CORP,Occupancy,0.916,ratio,2023-10-01,2024-09-30,Inpatient days relative to available beds under CHIA method,Available staffed beds,Direct extraction,SRC-007,BMC FY2024 hospital profile,documented_fact,Pre-acquisition and definition-specific.
MET-026,INV-BMC-001,ENT-BMC-CORP,Public payer mix,0.779,ratio,2023-10-01,2024-09-30,Gross patient service revenue from public payers,Gross patient service revenue,Direct extraction,SRC-007,BMC FY2024 hospital profile,documented_fact,Profile notes high-public-payer threshold based on prior-year mix.
MET-027,INV-BMC-001,ENT-BMC-CORP,FTEs,9861,FTE,2023-10-01,2024-09-30,CHIA-reported total FTEs,Not applicable,Direct extraction,SRC-007,BMC FY2024 hospital profile,documented_fact,Not headcount or current staffing.
MET-028,INV-BMC-001,ENT-BMC-CORP,Inpatient discharges,27681,discharges,2023-10-01,2024-09-30,CHIA inpatient discharges,Not applicable,Direct extraction,SRC-007,BMC FY2024 hospital profile,documented_fact,Pre-acquisition hospital profile.
MET-029,INV-BMC-001,ENT-BMC-CORP,Overall CMS star rating,3,stars,2026-04-28,2026-04-28,CMS overall hospital rating,Not applicable,Direct extraction,SRC-011,CCN 220031,documented_fact,Summary measure with lagged periods.
MET-030,INV-BMC-001,ENT-BMC-BRIGHTON,Overall CMS star rating,3,stars,2026-04-28,2026-04-28,CMS overall hospital rating,Not applicable,Direct extraction,SRC-011,CCN 220036,documented_fact,Some measure periods may predate BMC operation.
MET-031,INV-BMC-001,ENT-BMC-SOUTH,Overall CMS star rating,2,stars,2026-04-28,2026-04-28,CMS overall hospital rating,Not applicable,Direct extraction,SRC-011,CCN 220111,documented_fact,Some measure periods may predate BMC operation.
MET-032,INV-BMC-001,ENT-BMC-CORP,DoN expansion project value,121239760,USD,2022-12-14,2022-12-14,Approved total project value,Not applicable,Direct extraction,SRC-008,BMC expansion DoN,documented_fact,Final project cost/completion unverified.
MET-033,INV-BMC-001,ENT-BMC-CORP,DoN CHI obligation,6061988,USD,2022-12-14,2022-12-14,Required CHI contribution,Not applicable,Direct extraction,SRC-008,BMC expansion DoN,documented_fact,Payment/completion status unverified.
MET-034,INV-BMC-001,ENT-TELLICA-MA,BMCHS equity share,0.49,ratio,2023-01-01,2026-08-01,BMCHS ownership percentage,Total venture equity,Direct extraction,SRC-022,Tellica joint venture,documented_fact,Economic rights may differ from headline equity percentage.
MET-035,INV-BMC-001,ENT-TELLICA-MA,Proposed project value,5849992,USD,2025-01-01,2025-12-31,DoN project value,Not applicable,Direct extraction,SRC-021|SRC-022,Tellica project,documented_fact,Actual spending and opening date unverified.
MET-036,INV-BMC-001,ENT-BMC-CORP,Historical ED left without being seen,0.12,ratio,2021-10-01,2022-07-31,Patients leaving before being seen,Total ED visits,DoN applicant data average,SRC-008,BMC historical DoN data,documented_fact,"Historical, applicant-submitted, not current."
MET-037,INV-BMC-001,ENT-BMCHS,Private investment funds fair value,674704000,USD,2025-09-30,2025-09-30,Audited private investment funds fair value,Not applicable,Direct extraction,SRC-001,FY2025 BMCHS,documented_fact,Includes investment vehicles; not a flow or realized profit.
MET-038,INV-BMC-001,ENT-BMCHS,Private debt and equity fair value,80785000,USD,2025-09-30,2025-09-30,Audited private debt/equity fair value,Not applicable,Direct extraction,SRC-001,FY2025 BMCHS,documented_fact,Portfolio-company names and exits not disclosed in reviewed note.

module-completion.csv (14 records)

investigation_id,module_id,module_name,activation_reason,required,status,source_families_complete,open_gap_count,reviewer,evidence_as_of,publication_ready,notes
INV-BMC-001,M00,Mandatory baseline,Required for all investigations,yes,complete_with_findings,Entity/ownership; audit/tax; governance; community benefit; quality/access; contracts; regulatory baseline,8,,2026-08-01,needs_review,Research protocol completed with open evidence gaps; no wrongdoing score.
INV-BMC-001,M01,Political influence and campaign finance,Policy comment and lobbying-filing lead,no,in_progress,HPC comment and LDA result reviewed; campaign-finance protocol not run,1,,2026-08-01,no,Limited module; no improper-influence conclusion.
INV-BMC-001,M02,Related parties and procurement,Large related-party and contractor payments,no,complete_with_findings,Schedule L; top contractors; audit related parties; control finding,3,,2026-08-01,needs_review,Procurement fairness not publicly determinable.
INV-BMC-001,M03,Real estate and sale/lease structures,Hospital acquisition and Brighton operating agreement,no,complete_with_findings,Audit acquisition/property note; capital DoN,3,,2026-08-01,needs_review,"Deeds, agreement, and closeout remain open."
INV-BMC-001,M04,340B economics and patient benefit,Historical HRSA audit and current $175M job-description lead,no,complete_with_findings,HRSA historical audit; BMC posting; current portal attempted,2,,2026-08-01,needs_review,Net economics remain not publicly determinable.
INV-BMC-001,M05,Staffing and safe-ratio investigations,Union allegations and historical access pressure,no,complete_with_findings,CMS quality; DMH license; MNA allegations; DoN access data,2,,2026-08-01,needs_review,Allegations not converted to findings.
INV-BMC-001,M06,"Insurance, PBM, ACO, retail-clinic, and referral incentives",WellSense/BMC/ACO related-party flows,no,complete_with_findings,Audit related parties and consolidating schedules,1,,2026-08-01,needs_review,Patient-level effects remain open.
INV-BMC-001,M07,"Private equity, venture, and portfolio-company exposure",Tellica/Clearway and SHC vendor exposure,no,complete_with_findings,DoN/HPC venture records; audit affiliate data; contractor lead,3,,2026-08-01,needs_review,Vendor PE exposure kept separate from hospital ownership.
INV-BMC-001,M08,Charity-care and tax-exemption comparison,Schedule H and financial-assistance policy,no,complete_with_findings,Schedule H; audit free care; CHIA; policy page,1,,2026-08-01,needs_review,Patient-level realized benefit remains open.
INV-BMC-001,M09,Labor disputes and wage patterns,Active 2026 bargaining and strike/picket events,no,complete_with_findings,1199 agreement; MNA materials; reputable reporting,2,,2026-08-01,needs_review,Real-world dispute may remain unresolved after research protocol completion.
INV-BMC-001,M10,Litigation and regulatory enforcement,Historical federal settlements and current administrative case,no,in_progress,DOJ/OIG official index and CMS decision reviewed,1,,2026-08-01,no,Docket-complete litigation inventory not run.
INV-BMC-001,M11,Sensitive archive/network screening,No credible source-specific lead,no,not_applicable,Not activated under safety protocol,0,,2026-08-01,no,Never a default allegation screen.
INV-BMC-001,M12,Historical leadership and family/company networks,Schedule L family-employment disclosure,no,complete_with_findings,Current boards; Schedule L; Schedule J,1,,2026-08-01,needs_review,Disclosure is not misconduct; safeguards remain open.
INV-BMC-001,M13,Patient-tip verification and complaint patterns,No private tip corpus provided,no,not_applicable,No private allegations or patient data reviewed,0,,2026-08-01,no,Private tips must remain separate from publishable evidence.

money-flows.csv (20 records)

transaction_id,payer_entity_id,recipient_entity_id,amount,currency,amount_type,purpose,reporting_entity_id,reporting_universe,period_start,period_end,source_id,locator,duplication_key,related_person_ids,status,entity_caution
TX-001,ENT-BMCHS,ENT-STEWARD,136479000,USD,audited acquisition consideration,Acquisition of specified hospital assets and liabilities,ENT-BMCHS,BMCHS consolidated acquisition accounting,2024-10-01,2024-10-01,SRC-001,FY2025 audit pp. 20-21,BMCHS|STEWARD|ACQUISITION|2024-10-01|136479000,,completed,Do not combine with public acquisition support or call all consideration real-estate purchase price.
TX-002,ENT-EOHHS,ENT-BMCHS,260000000,USD,approximate supplemental funding received,Hospital transition support,ENT-BMCHS,BMCHS consolidated funding note,2024-10-01,2025-09-30,SRC-001,FY2025 audit p. 21,EOHHS|BMCHS|SUPPLEMENTAL-FY25|2025-09-30|260000000,,received,Approximate amount; components have different accounting treatment.
TX-003,ENT-EOHHS,ENT-BMCHS,77000000,USD,approximate supplemental funding received,Hospital transition support,ENT-BMCHS,BMCHS consolidated funding note,2023-10-01,2024-09-30,SRC-001,FY2025 audit p. 21,EOHHS|BMCHS|SUPPLEMENTAL-FY24|2024-09-30|77000000,,received,Approximate amount; do not duplicate against recognized/released/deferred components.
TX-004,ENT-COMMONWEALTH-MA,ENT-BMCHS,60000000,USD,advance payment on claims,Working-capital support recorded as current liability,ENT-BMCHS,BMCHS consolidated funding note,2024-10-01,2025-09-30,SRC-001,FY2025 audit p. 21,MA|BMCHS|CLAIMS-ADVANCE|2025-09-30|60000000,,outstanding_liability,Advance is not grant revenue or profit.
TX-005,ENT-BMC-CORP,ENT-FACULTY,211266000,USD,audited related-party service funding,Professional and support services,ENT-BMC-CORP,BMC and Faculty related-party universe,2024-10-01,2025-09-30,SRC-001,FY2025 audit pp. 58-59,BMC|FACULTY|SERVICES|2025-09-30|211266000,,reported,Value and service terms not evaluated.
TX-006,ENT-WELLSENSE,ENT-BMC-CORP,801010000,USD,audited revenue,Medical and pharmacy services for WellSense members,ENT-BMC-CORP,BMC/WellSense related-party universe,2024-10-01,2025-09-30,SRC-001,FY2025 audit pp. 58-59,WELLSENSE|BMC|MEMBER-SERVICES|2025-09-30|801010000,,reported,Payer/provider revenue does not prove referral steering.
TX-007,ENT-BMC-CORP,ENT-BMCIC-CAYMAN,7966000,USD,audited insurance expense/payment,Insurance coverage,ENT-BMC-CORP,BMC/captive related-party universe,2024-10-01,2025-09-30,SRC-001,FY2025 audit pp. 58-59,BMC|BMCIC|INSURANCE|2025-09-30|7966000,,reported,Premium value and loss experience require separate records.
TX-008,ENT-WELLSENSE,ENT-BMC-SOUTH,26376000,USD,audited revenue,Medical services for WellSense members at community hospitals,ENT-BMC-SOUTH,Community hospitals/WellSense related-party universe,2024-10-01,2025-09-30,SRC-001,FY2025 audit pp. 58-59,WELLSENSE|BMCCH|MEMBER-SERVICES|2025-09-30|26376000,,reported,Combined community-hospital figure is not allocated by facility.
TX-009,ENT-BMC-CORP,ENT-BMC-SOUTH,45000000,USD,intercompany loan outstanding,Community-hospital working capital,ENT-BMC-CORP,BMC/community hospitals intercompany universe,2024-10-01,2025-09-30,SRC-001,FY2025 audit pp. 58-59,BMC|BMCCH|LOAN|2025-09-30|45000000,,outstanding,Loan may cover combined community-hospital subgroup; legal borrower terms require note.
TX-010,ENT-WELLSENSE,ENT-FACULTY,53829000,USD,audited revenue,Medical services for WellSense members,ENT-FACULTY,Faculty/WellSense related-party universe,2024-10-01,2025-09-30,SRC-001,FY2025 audit pp. 58-59,WELLSENSE|FACULTY|MEMBER-SERVICES|2025-09-30|53829000,,reported,Does not allocate across practice plans.
TX-011,ENT-BMC-CORP,ENT-SHC,69578940,USD,Form 990 contractor compensation,Temporary staffing,ENT-BMC-CORP,BMC Corporation tax-return universe,2024-01-01,2024-12-31,SRC-006,Form 990 Part VII Section B,BMC|SHC|TEMP-STAFF|2024-12-31|69578940,,reported,Calendar-year return amount; not audited FY2025 expense and not BMC ownership.
TX-012,ENT-BMC-CORP,ENT-BU,67776195,USD,Form 990 contractor compensation,Research and shared services,ENT-BMC-CORP,BMC Corporation tax-return universe,2024-01-01,2024-12-31,SRC-006,Form 990 Part VII Section B,BMC|BU|RESEARCH-SHARED|2024-12-31|67776195,,reported,Academic affiliation and services require contract-level allocation.
TX-013,ENT-BMC-CORP,ENT-WALSH,35617918,USD,Form 990 contractor compensation,Building contractor,ENT-BMC-CORP,BMC Corporation tax-return universe,2024-01-01,2024-12-31,SRC-006,Form 990 Part VII Section B,BMC|WALSH|CONSTRUCTION|2024-12-31|35617918,,reported,"Project attribution, bidding, and change orders not public in return."
TX-014,ENT-BMC-CORP,ENT-PWC,23178449,USD,Form 990 contractor compensation,Accounts receivable management,ENT-BMC-CORP,BMC Corporation tax-return universe,2024-01-01,2024-12-31,SRC-006,Form 990 Part VII Section B,BMC|PWC|AR-MGMT|2024-12-31|23178449,,reported,Contract terms and collection outcomes not established.
TX-015,ENT-BMC-CORP,ENT-SOUTHERN-MIDDLESEX,10793300,USD,Form 990 contractor compensation,Building contractor,ENT-BMC-CORP,BMC Corporation tax-return universe,2024-01-01,2024-12-31,SRC-006,Form 990 Part VII Section B,BMC|SMI|CONSTRUCTION|2024-12-31|10793300,,reported,Project attribution and bidding not established.
TX-016,ENT-BMC-CORP,ENT-HRIA,1485187.06,USD,DoN required contribution,Statewide Community Health Initiative,ENT-BMC-CORP,BMC DoN project universe,2022-12-14,2022-12-14,SRC-008,DoN staff report p. 32,BMC|HRIA|CHI-STATEWIDE|BMCHS-22080908-HE|1485187.06,,required,Required amount; payment completion not verified.
TX-017,ENT-BMC-CORP,ENT-US,313246,USD,civil settlement payment,Medicare coding settlement,ENT-BMC-CORP,OIG settlement universe,2017-09-01,2017-09-01,SRC-028,OIG enforcement summary,BMC|US|OIG-SETTLEMENT|2017-09-01|313246,,settled,Settlement is not current conduct or adjudicated liability after trial.
TX-018,ENT-WELLSENSE,ENT-BMC-CORP,100000000,USD,intercompany loan/net asset transfer,Conversion described in July 2024,ENT-WELLSENSE,WellSense/BMC related-party universe,2024-07-01,2024-07-31,SRC-001,FY2025 audit pp. 58-59,WELLSENSE|BMC|LOAN-TRANSFER|2024-07|100000000,,requires_reconciliation,Direction and legal mechanics require underlying documents.
TX-019,ENT-BMC-CORP,ENT-HRIA,4455561.18,USD,DoN required contribution,Local Community Health Initiative approaches,ENT-BMC-CORP,BMC DoN project universe,2022-12-14,2022-12-14,SRC-008,DoN staff report p. 32,BMC|CHI-LOCAL|BMCHS-22080908-HE|4455561.18,,required,Recipients and payment completion not verified.
TX-020,ENT-BMC-CORP,ENT-HRIA,121239.76,USD,DoN administrative fee,CHI administration,ENT-BMC-CORP,BMC DoN project universe,2022-12-14,2022-12-14,SRC-008,DoN staff report p. 32,BMC|CHI-ADMIN|BMCHS-22080908-HE|121239.76,,required,Administrative fee component of total CHI obligation.

people-and-roles.csv (16 records)

person_id,canonical_name,entity_id,role_title,role_type,start_date,end_date,compensation_amount,compensation_period,related_company_ids,source_ids,identity_status,notes
PER-BELL,"Alastair Bell, MD, MBA",ENT-BMCHS,President & CEO,executive,2023-03-01,,1949276,CY2024 Form 990 compensation,,SRC-004|SRC-013,resolved,Compensation is reported by BMC Corporation's FY2024 return and may include deferred/nontaxable components.
PER-HOLLENBERG,"Anthony Hollenberg, MD",ENT-BMC-CORP,"President, BMC & System Chief Physician Executive",executive,2024-01-01,,,,,SRC-013,resolved,Current role verified on organization leadership page.
PER-GINMAN,"Ellen Ginman, MPH",ENT-WELLSENSE,President,executive,,,,,,SRC-013,resolved,Current leadership page.
PER-AGRAWAL,"Ankur Agrawal, MBA",ENT-BMCHS,"SVP, Chief Financial Officer",executive,,,,,,SRC-013,resolved,Current leadership page.
PER-BIGGIO,Robert Biggio,ENT-BMCHS,"SVP, Chief Sustainability & Real Estate Officer",executive,,,,,,SRC-013,resolved,Current leadership page.
PER-MURPHY,"Romey Murphy, JD",ENT-BMCHS,"SVP, General Counsel",executive,,,,,,SRC-013,resolved,Current leadership page.
PER-SANDERS,"Jason Sanders, MD, MBA",ENT-BMCHS,Chief Clinical Officer,executive,,,,,,SRC-013,resolved,Current leadership page.
PER-TWITCHELL,"David Twitchell, PharmD, MBA",ENT-BMCHS,"SVP, Chief Innovation Officer",executive,,,,,,SRC-013,resolved,Current leadership page.
PER-CARIGNAN,"Sarah Carignan Arbelaez, MBA",ENT-BMC-SOUTH,"Interim President, BMC South; SVP Hospital Integration",executive,,,,,,SRC-013,resolved,Current hospitals-group leadership page.
PER-SMITH,"Paul Smith, MS",ENT-BMC-BRIGHTON,"President, BMC Brighton",executive,,,,,,SRC-013,resolved,Current hospitals-group leadership page.
PER-AMENT,David Ament,ENT-BMCHS,"Chair, Board of Trustees",trustee,,,,,,SRC-013,resolved,Current system board list.
PER-MARKS,Richard Marks,ENT-BMCHS,"Trustee; Chair, Hospitals Group Board",trustee,2016-01-01,,,,,SRC-005|SRC-013,resolved,Schedule L relationship disclosure must not be described as misconduct.
PER-LEAVER,Hannah Leaver,ENT-BMC-CORP,Employee; disclosed family relationship to trustee,employee,,,308172,CY2024 Form 990 compensation,,SRC-005,resolved,Filing identifies Richard Marks as her father and says employment preceded his board service.
PER-CREEVY,"William Creevy, MD",ENT-FACULTY,"President & CEO, Boston University Medical Group",executive,2013-01-01,,,,,SRC-013,resolved,Also listed on system board.
PER-SHANNON,Melissa Shannon,ENT-BMCHS,"Vice President, Government Advocacy",government_affairs,,,,,,SRC-031,resolved,"Signed March 20, 2026 HPC policy comment."
PER-GADEN,"Nancy Gaden, DNP, RN, FAAN",ENT-BMC-CORP,SVP Clinical Operations & Chief Nursing Officer,executive,,,,,,SRC-013,resolved,"Current BMC leadership page states oversight of more than 1,700 nurses."

publication-review.csv (45 records)

review_id,investigation_id,claim_id,entity_boundary_verified,source_locator_verified,counterevidence_checked,allegation_labeled,model_labeled,privacy_checked,right_of_reply_status,human_approval,status,reviewer,reviewed_date,notes
REV-001,INV-BMC-001,CLM-001,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-002,INV-BMC-001,CLM-002,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-003,INV-BMC-001,CLM-003,yes,yes,yes,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-004,INV-BMC-001,CLM-004,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-005,INV-BMC-001,CLM-005,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-006,INV-BMC-001,CLM-006,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-007,INV-BMC-001,CLM-007,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-008,INV-BMC-001,CLM-008,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-009,INV-BMC-001,CLM-009,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-010,INV-BMC-001,CLM-010,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-011,INV-BMC-001,CLM-011,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-012,INV-BMC-001,CLM-012,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-013,INV-BMC-001,CLM-013,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-014,INV-BMC-001,CLM-014,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-015,INV-BMC-001,CLM-015,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-016,INV-BMC-001,CLM-016,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-017,INV-BMC-001,CLM-017,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-018,INV-BMC-001,CLM-018,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-019,INV-BMC-001,CLM-019,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-020,INV-BMC-001,CLM-020,yes,yes,yes,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-021,INV-BMC-001,CLM-021,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-022,INV-BMC-001,CLM-022,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-023,INV-BMC-001,CLM-023,yes,yes,yes,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-024,INV-BMC-001,CLM-024,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-025,INV-BMC-001,CLM-025,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-026,INV-BMC-001,CLM-026,yes,yes,yes,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-027,INV-BMC-001,CLM-027,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-028,INV-BMC-001,CLM-028,yes,yes,yes,yes,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-029,INV-BMC-001,CLM-029,yes,yes,yes,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-030,INV-BMC-001,CLM-030,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-031,INV-BMC-001,CLM-031,yes,yes,yes,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-032,INV-BMC-001,CLM-032,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-033,INV-BMC-001,CLM-033,yes,yes,yes,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-034,INV-BMC-001,CLM-034,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-035,INV-BMC-001,CLM-035,yes,yes,yes,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-036,INV-BMC-001,CLM-036,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-037,INV-BMC-001,CLM-037,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-038,INV-BMC-001,CLM-038,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-039,INV-BMC-001,CLM-039,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-040,INV-BMC-001,CLM-040,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-041,INV-BMC-001,CLM-041,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-042,INV-BMC-001,CLM-042,yes,yes,yes,not_applicable,yes,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-043,INV-BMC-001,CLM-043,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-044,INV-BMC-001,CLM-044,yes,yes,needs_review,not_applicable,not_applicable,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.
REV-045,INV-BMC-001,CLM-045,yes,yes,yes,not_applicable,yes,yes,not_requested_no_outreach_authorized,no,needs_human_review,,,Machine review completed; publication requires independent human review and evidence refresh where noted.

records-requests-and-gaps.csv (17 records)

gap_id,investigation_id,module_id,question_or_record,why_needed,target_holder,public_search_completed,related_claim_ids,status,request_draft_path,withholding_or_access_issue,next_action
GAP-001,INV-BMC-001,M04,Current OPAIS covered-entity sites and contract-pharmacy roster,Required to define the current 340B operating universe.,HRSA OPAIS / BMC,partial,CLM-026,open,Draft R01,Interactive export not captured,Download dated export and archive it
GAP-002,INV-BMC-001,M04,Audited net 340B economics and patient-benefit reconciliation,"Required to distinguish purchases, reimbursement, fees, duplicate discounts, charity use, and direct pass-through.",BMC Pharmacy/Finance,yes,CLM-025|CLM-026,not_publicly_determinable,Draft R02,No public net schedule,"Request aggregate, de-identified annual reconciliation"
GAP-003,INV-BMC-001,M05,"Unit-level staffing grids, schedules, payroll/time-clock, vacancies, agency hours, and acuity",Required to test union staffing allegations and safe-care claims.,BMC hospitals / DPH,yes,CLM-028|CLM-029,open,Draft R03,Underlying records not public,Request de-identified unit-month data
GAP-004,INV-BMC-001,M05,"DPH/CMS complaint, inspection, and corrective-action records tied to the 2026 allegations",Required to separate submitted complaints from substantiated findings.,Mass DPH / CMS,partial,CLM-028,open,Draft R04,Complaint IDs not obtained,Request logs and final findings; protect patient information
GAP-005,INV-BMC-001,M03,Brighton deed chain and full EOHHS operating agreement,"Required to identify landlord, rent, maintenance, capital, term, and property-control obligations.",EOHHS / registries of deeds / BMC,yes,CLM-004,open,Draft R05,Audit summarizes but does not attach agreement,Retrieve deed indices and request agreement/amendments
GAP-006,INV-BMC-001,M03,"BMC expansion completion, final cost, bids, recusals, change orders, and contractor attribution",Required to test procurement and project-delivery questions.,BMC / Mass DPH DoN,yes,CLM-036,open,Draft R06,DoN approves but does not close out project,Request compliance/closeout and procurement packet
GAP-007,INV-BMC-001,M02,"Complete vendor master, contracts, procurement method, conflicts checks, and fair-market-value reviews",Required because Form 990 exposes only top contractors.,BMC Procurement / board committees,yes,CLM-017|CLM-018|CLM-023|CLM-045,open,Draft R07,Nonpublic commercial records,Request policy and transaction-specific records where legally obtainable
GAP-008,INV-BMC-001,M06,"WellSense/BMC rates, referrals, utilization management, risk adjustment, patient cost, and intercompany transfer documents",Required to test integrated-care benefits versus conflicts or steering.,WellSense / BMC / DOI / MassHealth,yes,CLM-019|CLM-020|CLM-044,open,Draft R08,Public audit is aggregate,Request aggregate contracts/data and regulatory filings
GAP-009,INV-BMC-001,M07,"Tellica operating agreement, governance, capital contributions, rates, referrals, distributions, and patient savings",Required to evaluate nonprofit-private joint-venture economics.,Tellica Imaging-MA / BMC / DPH/HPC,yes,CLM-022,open,Draft R09,DoN is prospective,Request annual compliance and de-identified utilization/economic records
GAP-010,INV-BMC-001,M07,"Clearway customer concentration, transfer pricing, valuation, distributions, and conflicts",Required to assess taxable-affiliate private-benefit safeguards.,BMCHS / Clearway,yes,CLM-021,open,Draft R10,Audit gives only component totals,Request governance and related-party schedules
GAP-011,INV-BMC-001,M01,Complete LDA filing detail and scoped OCPF/FEC transaction review,Required before any claim about lobbying spend or campaign-finance networks.,U.S. Senate LDA / OCPF / FEC,partial,CLM-039|CLM-040,open,Draft R11,LDA detail blocked; campaign module not activated,Retrieve filing and run named/time-bounded identity-resolution protocol
GAP-012,INV-BMC-001,M08,"Financial-assistance applications, approvals, denials, presumptive eligibility, collection transfers, and aggregate demographics",Required to measure realized patient benefit rather than reported policy/cost.,BMC Revenue Cycle / Finance,yes,CLM-012|CLM-013,open,Draft R12,Not public in reviewed corpus,Request de-identified aggregate annual data
GAP-013,INV-BMC-001,M00,Current machine-readable price-file conformance for all three hospitals,Required to verify present compliance after historical case closure.,BMC / CMS,partial,CLM-032,open,Draft R13,Links found but files not schema-tested,"Download, hash, and validate all current files"
GAP-014,INV-BMC-001,M00,"FY2026 audited/interim financials, rating reports, days cash, covenants, and unrestricted liquidity",Required to update FY2025 mixed financial picture.,BMCHS / bond trustees / EMMA,yes,CLM-006|CLM-007|CLM-008|CLM-042,open,Draft R14,Evidence date precedes FY2026 audit,Refresh at publication
GAP-015,INV-BMC-001,M00,Human publication review and right-of-reply decision,Required for publication-safe wording and fairness.,Human editor / BMC named entities,no,CLM-001|CLM-045,needs_human_review,,No outreach authorized,Assign reviewer; decide whether and how to seek response
GAP-016,INV-BMC-001,M10,"Comprehensive litigation inventory across PACER, Massachusetts courts, and acquired entities",Required to move beyond official enforcement-index search.,Federal and state courts,partial,CLM-033|CLM-034|CLM-035,open,Draft R15,Not docket-complete,Run entity/alias/date docket protocol
GAP-017,INV-BMC-001,M12,"Compensation peer study, incentive scorecard, conflict/recusal minutes, and related-person employment safeguards",Required to assess reasonableness or influence rather than merely report disclosures.,BMCHS board compensation/governance committees,yes,CLM-015|CLM-016,open,Draft R16,Not public in filing,Request policies and minutes where available

relationships.csv (21 records)

relationship_id,from_entity_id,to_entity_id,relationship_type,effective_from,effective_to,relationship_evidence,confidence_score,source_ids,locator,proof_note,non_proof_note,status
REL-001,ENT-BMCHS,ENT-BMC-CORP,sole corporate member/control,2013-01-01,,extracted,1,SRC-001,FY2025 audit pp. 18-20,BMCHS is sole corporate member.,Does not merge legal entities.,active
REL-002,ENT-BMCHS,ENT-BMC-SOUTH,sole corporate member/control,2024-10-01,,extracted,1,SRC-001|SRC-010,Audit organization note; CMS All Owners,BMCHS controls the South operator.,Does not prove title to every parcel.,active
REL-003,ENT-BMCHS,ENT-BMC-BRIGHTON,sole corporate member/control,2024-10-01,,extracted,1,SRC-001|SRC-010,Audit organization note; CMS All Owners,BMCHS controls the Brighton operator.,Does not prove title to Brighton real estate.,active
REL-004,ENT-BMCHS,ENT-WELLSENSE,sole corporate member/control,,,extracted,1,SRC-001,FY2025 audit organization note,BMCHS controls WellSense.,Does not make health-plan revenue hospital revenue.,active
REL-005,ENT-BMCHS,ENT-CLEARWAY,100% ownership,,,extracted,1,SRC-001,FY2025 audit pp. 18-20,BMCHS wholly owns Clearway.,Does not determine valuation or private benefit.,active
REL-006,ENT-BMCHS,ENT-TELLICA-MA,49% equity ownership,2023-01-01,,extracted,1,SRC-022|SRC-023,Tellica DoN and HPC transaction,BMCHS owns 49% of the venture.,Does not prove referral steering.,active
REL-007,ENT-TELLICA,ENT-TELLICA-MA,51% equity ownership,2023-01-01,,extracted,1,SRC-022,Tellica DoN ownership section,Tellica owns 51%.,Does not establish day-to-day governance.,active
REL-008,ENT-INTERMOUNTAIN,ENT-TELLICA,parent/subsidiary,,,extracted,0.98,SRC-022,Tellica DoN background,Tellica is an Intermountain subsidiary.,Intermountain does not own BMCHS.,active
REL-009,ENT-BMC-CORP,ENT-FACULTY,professional and support services,2024-10-01,2025-09-30,extracted,1,SRC-001,FY2025 audit pp. 58-59,BMC funded professional/support services.,Related party does not imply improper payment.,active
REL-010,ENT-WELLSENSE,ENT-BMC-CORP,payer/provider and affiliated entities,2024-10-01,2025-09-30,extracted,1,SRC-001,FY2025 audit pp. 58-59,WellSense member services generated BMC revenue.,Does not establish improper steering.,active
REL-011,ENT-BMC-CORP,ENT-BMCIC-CAYMAN,70% equity and insurance purchaser,,,extracted,1,SRC-001,FY2025 audit organization and related-party notes,BMC owns 70% and buys insurance.,Cayman domicile alone is not wrongdoing.,active
REL-012,ENT-FACULTY,ENT-BMCIC-CAYMAN,30% equity ownership,,,extracted,1,SRC-001,FY2025 audit organization note,Faculty owns 30%.,Does not establish dividend or tax avoidance.,active
REL-013,ENT-BMC-CORP,ENT-SHC,temporary staffing contract,2024-01-01,2024-12-31,extracted,1,SRC-006,Form 990 contractor row,BMC paid SHC for temporary staffing.,Does not give contract terms or ownership of BMC.,historical
REL-014,ENT-VISTRIA-IV,ENT-SHC,reported equal ownership,2021-01-01,,inferred,0.8,SRC-034,Prior ownership source trail,Prior source material links Vistria Fund IV to SHC.,Current ownership was not refreshed; no BMC ownership.,unresolved
REL-015,ENT-APOLLO-IM,ENT-SHC,reported equal ownership,2021-01-01,,inferred,0.8,SRC-034,Prior ownership source trail,Prior source material links Apollo Impact Mission to SHC.,Current ownership was not refreshed; no BMC ownership.,unresolved
REL-016,ENT-EOHHS,ENT-BMC-BRIGHTON,real-property operating agreement,2024-10-01,,extracted,1,SRC-001,FY2025 audit p. 21,BMC used Brighton real property under EOHHS agreement.,Does not reveal full financial or maintenance terms.,active
REL-017,ENT-STEWARD,ENT-BMC-SOUTH,former owner/operator transition,,2024-09-30,extracted,1,SRC-001|SRC-015,Acquisition and state transition records,Steward was predecessor before acquisition.,Most pre-closing liabilities did not transfer except specified items.,historical
REL-018,ENT-STEWARD,ENT-BMC-BRIGHTON,former owner/operator transition,,2024-09-30,extracted,1,SRC-001|SRC-015,Acquisition and state transition records,Steward was predecessor before acquisition.,Property title and operating control are distinct.,historical
REL-019,ENT-BMCHS,ENT-HPC,regulatory advocacy/comment,2026-03-20,2026-03-20,extracted,1,SRC-031,BMCHS comment letter,BMCHS submitted a policy comment.,Does not prove improper influence.,historical
REL-020,ENT-BMC-CORP,ENT-BU,research and shared services,2024-01-01,2024-12-31,extracted,1,SRC-006,Form 990 contractor row,BMC reported payment to BU.,Does not establish fair market value or conflicts.,historical
REL-021,ENT-BMC-CORP,ENT-WALSH,construction contract,2024-01-01,2024-12-31,extracted,1,SRC-006,Form 990 contractor row,BMC reported construction payment.,"Does not establish project attribution, bidding, or board ties.",historical

search-log.csv (32 records)

search_id,investigation_id,module_id,searched_date,repository,query_or_identifier,filters,results_reviewed,result_summary,status,source_ids,exhaustion_boundary,next_step
SEA-001,INV-BMC-001,M00,2026-08-01,BMC FY2025 audit,entity map sole member affiliates acquisition,FY2025 report and consolidating schedules,All responsive entity and transaction notes reviewed,"Mapped parent, hospitals, plan, physician groups, ACO entities, captives, Clearway, and acquisition",responsive_found,SRC-001,FY2025 audit corpus,Use state corporate registry for charter-level verification if publication requires it
SEA-002,INV-BMC-001,M00,2026-08-01,CMS Hospital Enrollments,CCN 220031 220036 220111 22S031,Current July 27 2026 release,All exact CCN rows reviewed,"Current operators, nonprofit type, NPIs, and psych satellite found",responsive_found,SRC-009,Exact current dataset and four CCN/satellite identifiers,Recheck on publication date
SEA-003,INV-BMC-001,M00,2026-08-01,CMS Hospital All Owners,BMC HEALTH SYSTEM INC and acquired CCNs,Current July 27 2026 release,Exact organization and CCN rows reviewed,100% indirect BMCHS ownership and 2024-10-01 association date located,responsive_found,SRC-010,Exact current dataset filters,Human-review unusual self-owner dataset rows
SEA-004,INV-BMC-001,M00,2026-08-01,IRS Form 990,EIN 04-3314093 FY2024 filing 202522279349301107,Form 990 and Schedules H J L,Responsive rows extracted,"Financial, community-benefit, contractor, compensation, and related-person data found",responsive_found,SRC-002|SRC-003|SRC-004|SRC-005|SRC-006,One current full BMC Corporation filing,Add BMCHS/other-entity returns where available
SEA-005,INV-BMC-001,M00,2026-08-01,Massachusetts Form PC portal,BMC Health System and Boston Medical Center Corporation,Public portal browsing/search,Direct filing export was not reliably accessible in this run,Search documented; IRS and audited statements used instead,blocked,,Portal access and exact-name searches only,Obtain Form PC and attachments from AGO portal or records request
SEA-006,INV-BMC-001,M08,2026-08-01,CHIA hospital profiles,Boston Medical Center HFY2024,Current profile PDF,Full one-page profile reviewed,"Payer mix, FTEs, beds, occupancy, margins, and discharges extracted",responsive_found,SRC-007,BMC HFY2024 profile only,Use annual performance dashboard for multi-year system comparison
SEA-007,INV-BMC-001,M03,2026-08-01,Massachusetts DoN,BMC capital expansion BMCHS-22080908-HE,Staff report,All 41 pages searched; material pages reviewed,"Project, CHI, access metrics, and approval conditions extracted",responsive_found,SRC-008,Specific 2022 expansion DoN,Obtain current construction closeout and procurement records
SEA-008,INV-BMC-001,M03,2026-08-01,BMC FY2025 audit,Good Samaritan St Elizabeth property operating agreement,Acquisition note,Full acquisition note reviewed,South real property included; Brighton property not conveyed,responsive_found,SRC-001,Audited note through FY2025,Obtain deed and full EOHHS operating agreement
SEA-009,INV-BMC-001,M04,2026-08-01,HRSA 340B audit results,Boston Medical Center DSH220031,FY2015 audit index and public letter,BMC result and closure reviewed,Historical diversion finding and repayment located,responsive_found,SRC-016|SRC-017,Historical audit only,Do not generalize to current compliance
SEA-010,INV-BMC-001,M04,2026-08-01,HRSA OPAIS,DSH220031 covered entity and contract pharmacy export,Current interactive portal,Portal located but complete current export not captured,Current contract-pharmacy universe not publicly extracted in this run,partial,SRC-016,Interactive OPAIS search boundary; historical ID confirmed,Download/retain current covered-entity and contract-pharmacy records
SEA-011,INV-BMC-001,M04,2026-08-01,BMC careers,340B $175M pharmacy supply chain,Current job posting,Exact posting reviewed,Scale language found; definition absent,responsive_found,SRC-018,One current job description,Request accounting definition and net economics
SEA-012,INV-BMC-001,M05,2026-08-01,CMS Care Compare,CCN 220031 220036 220111,General information dataset,All exact CCN rows reviewed,Star ratings and measure comparison counts extracted,responsive_found,SRC-011,Current general-info release only,Review measure-level datasets before any quality conclusion
SEA-013,INV-BMC-001,M05,2026-08-01,Massachusetts DMH license list,BMC Brighton BMC South,Current list,Exact rows reviewed,Psychiatric bed counts and expiration dates found,responsive_found,SRC-030,DMH psychiatric-bed license list,Obtain DPH acute-care license and inspection histories
SEA-014,INV-BMC-001,M09,2026-08-01,1199SEIU and MNA,Boston Medical Center Brighton South contract strike,2026 announcements,Responsive official union pages reviewed,1199 agreement and MNA allegations/dispute found,responsive_found,SRC-024|SRC-025,Named union public corpus,Executed agreements and staffing data remain outstanding
SEA-015,INV-BMC-001,M09,2026-08-01,Reputable reporting,BMC nurses picket July 2026,Date and organization filters,Responsive Globe article reviewed subject to paywall,Current bargaining statements from both sides found,partial,SRC-026,One paywalled article plus union primary pages,Monitor for executed agreements or agency findings
SEA-016,INV-BMC-001,M10,2026-08-01,DOJ and HHS OIG enforcement,Boston Medical Center settlement billing false claims,Official domain search,Responsive historical 2016 and 2017 records reviewed,Two historical settlements found,responsive_found,SRC-027|SRC-028,Official DOJ/OIG indexed corpus queried by exact name,Search PACER and state court dockets separately for litigation inventory
SEA-017,INV-BMC-001,M10,2026-08-01,DOJ and HHS OIG enforcement,Boston Medical Center 2018 2019 2020 2021 2022 2023 2024 2025 2026,Official domain/name/date searches,No newer responsive settlement located in recorded search results,No responsive newer DOJ/OIG settlement in this corpus,searched_not_found,SRC-027|SRC-028,Exact-name official web index search through evidence date; not PACER-wide,Do not publish as no newer enforcement without corpus qualification
SEA-018,INV-BMC-001,M10,2026-08-01,CMS MGCRB,Boston Medical Center 25C0179,CMS decision index,Decision reviewed,Reimbursement redesignation decision located,responsive_found,SRC-029,One named administrative decision,Do not label administrative reimbursement dispute as misconduct
SEA-019,INV-BMC-001,M06,2026-08-01,BMC FY2025 audit,WellSense BACO BMCICS risk related party,Related-party and consolidating notes,Responsive transactions reviewed,Plan-provider and ACO flows mapped,responsive_found,SRC-001,Audited consolidated and component schedules,Patient-level referral and reimbursement incentives remain unavailable
SEA-020,INV-BMC-001,M07,2026-08-01,Massachusetts DoN and HPC,Tellica Imaging Massachusetts BMC joint venture,DoN staff report and MCN database,Responsive records reviewed,49% BMCHS joint venture and no-CMIR notice found,responsive_found,SRC-021|SRC-022|SRC-023,Named transaction regulatory corpus,Obtain operating agreement and actual economics
SEA-021,INV-BMC-001,M07,2026-08-01,Prior local BMC contractor research,SHC Vistria Apollo ownership,Prior source trail only,Prior ledger inspected; current owner refresh not completed,PE-backed vendor exposure lead retained with partial status,partial,SRC-034,"Prior-source trail, not current ownership audit",Refresh with official owner/investor source before publication
SEA-022,INV-BMC-001,M02,2026-08-01,IRS Form 990 contractors,BMC top five contractors FY2024,Part VII Section B,All top-five rows reviewed,Five contractors and 251-over-$100k count extracted,responsive_found,SRC-006,Top-five disclosure only,Obtain vendor master and procurement records for comprehensive review
SEA-023,INV-BMC-001,M02,2026-08-01,IRS Schedule L,BMC interested persons family employment,Schedule L Part IV,All responsive row reviewed,One disclosed employment relationship found,responsive_found,SRC-005,Current filing disclosure only,No inference about undisclosed relationships
SEA-024,INV-BMC-001,M01,2026-08-01,Massachusetts HPC,BMC capacity regulation comments,2026 public comments,Responsive letter reviewed,Direct policy advocacy found,responsive_found,SRC-031,One named rulemaking comment,Not evidence of improper influence
SEA-025,INV-BMC-001,M01,2026-08-01,U.S. Senate LDA,Boston Medical Center Health System,2026 filing search,Filing result located; detail API denied,Affiliate association visible but amount/issues unavailable,partial,SRC-032,One filing-result page; API access blocked,Retrieve certified filing detail before reporting amount or issues
SEA-026,INV-BMC-001,M01,2026-08-01,OCPF and FEC,BMC executives board family company PAC contributions,No complete person-by-person protocol run,Not activated absent a transaction-specific lead,Campaign-finance network remains untested,not_run,,No corpus reviewed,Activate only with time-bounded named lead and identity resolution
SEA-027,INV-BMC-001,M00,2026-08-01,CMS price transparency enforcement,Boston Medical Center exact name and address,Current enforcement dataset,Exact BMC main rows reviewed; acquired-hospital name/address variants checked,Two BMC main warnings closed; no responsive MA acquired-hospital rows located,responsive_found,SRC-012,Current dataset and recorded exact/variant searches,Closure is not perpetual compliance; negative result is corpus-limited
SEA-028,INV-BMC-001,M00,2026-08-01,BMC pricing page,machine readable files all hospitals,Current organization page,All three hospital links visible,Pricing resources located,responsive_found,SRC-019,Page and links only,Validate current file contents separately
SEA-029,INV-BMC-001,M08,2026-08-01,BMC financial assistance page,eligibility 300% FPL amounts generally billed,Current organization page,Policy summary reviewed,Public eligibility and billing protections documented,responsive_found,SRC-020|SRC-035,Public policy summary only,Obtain application outcomes and patient-level aggregate metrics
SEA-030,INV-BMC-001,M11,2026-08-01,Sensitive archive/network screening,BMC leadership historical network allegations,No credible source-specific lead supplied,Module deliberately not activated,No default allegation screening performed,not_run,,Not applicable under protocol,"Activate only on a specific document, person, event, and verification basis"
SEA-031,INV-BMC-001,M13,2026-08-01,Patient/community tips,private complaints or patient records,No tip corpus provided,Module deliberately not activated,No private allegations reviewed,not_run,,No private corpus in scope,Maintain separate confidential intake if a tip is later provided
SEA-032,INV-BMC-001,M00,2026-08-01,BMC leadership pages,current executives trustees hospitals group,Current official pages,All named leadership sections reviewed,Current leadership and boards mapped,responsive_found,SRC-013,Current page as retrieved,Role start dates remain incomplete where not stated

sources.csv (35 records)

source_id,title,publisher,source_type,source_tier,document_date,retrieved_date,url,archive_url,local_path,sha256,entity_boundary,period_covered,locator,what_it_proves,what_it_does_not_prove,access_status
SRC-001,BMC Health System Single Audit Report FY2025,BMC Health System / independent auditor,audited_financial_statement,tier_2_primary,2026-02-05,2026-08-01,https://www.bmc.org/sites/default/files/Research/uniform-guidance/BMC-Health-System-Single-Audit-Report-FY25.pdf,,research/boston-medical-center-investigation/documents/bmc-corporation-fy2025-single-audit.pdf,c11d58a592d228fcaa4523bedfa4c6b902cdfc7624bf2c450749012965e7683b,BMCHS consolidated and named component entities,FY2025 with FY2024 comparison,"PDF pp. 6, 8-11, 14-21, 30, 32-37, 58-66","Audited balances, operations, acquisition, related parties, investments, and control finding.","Does not prove unrestricted liquidity, misconduct, procurement fairness, or patient-level benefit.",available
SRC-002,Boston Medical Center Corporation FY2024 Form 990,IRS filing via ProPublica Nonprofit Explorer,tax_filing,tier_1_official,2025-08-07,2026-08-01,https://projects.propublica.org/nonprofits/organizations/43314093/202522279349301107/full,,research/boston-medical-center-investigation/documents/bmc-corporation-fy2024-form990.xml,7358a91bf503671a952abeef9c5ddc47ef1b2c01901339eae72072ed9e88b3d6,Boston Medical Center Corporation filing group,CY2024,Form 990 Part I and balance sheet; filing ID 202522279349301107,"BMC Corporation filing revenue, expenses, assets, liabilities, governance, contractors, and related schedules.",Does not equal the BMCHS consolidated audit universe or current FY2026 conditions.,available
SRC-003,FY2024 Form 990 Schedule H,IRS filing via ProPublica raw filing view,tax_filing_schedule,tier_1_official,2025-08-07,2026-08-01,https://projects.propublica.org/nonprofits/full_text/202522279349301107/IRS990ScheduleH,,,,BMC Corporation hospital-facility reporting group,CY2024,Schedule H Part I lines 7a-7k and supplemental facility information,"Reported financial assistance, Medicaid shortfall, education, research, and total community benefit.",Total community benefit is not synonymous with direct charity care or patient discounts.,available
SRC-004,FY2024 Form 990 Schedule J,IRS filing via ProPublica raw filing view,tax_filing_schedule,tier_1_official,2025-08-07,2026-08-01,https://projects.propublica.org/nonprofits/full_text/202522279349301107/IRS990ScheduleJ,,,,BMC Corporation filing group,CY2024,"Schedule J Part II, Alastair Bell row",Reported compensation components.,Does not assess reasonableness or compare compensation to a defined peer group.,available
SRC-005,FY2024 Form 990 Schedule L,IRS filing via ProPublica raw filing view,tax_filing_schedule,tier_1_official,2025-08-07,2026-08-01,https://projects.propublica.org/nonprofits/full_text/202522279349301107/IRS990ScheduleL,,,,BMC Corporation filing group,CY2024,"Schedule L Part IV, Hannah Leaver / Richard Marks disclosure",Disclosed related-person employment and reported compensation.,"Does not prove nepotism, excess compensation, improper influence, or a hiring decision by the trustee.",available
SRC-006,FY2024 Form 990 top independent contractors,IRS filing via ProPublica raw filing view,tax_filing,tier_1_official,2025-08-07,2026-08-01,https://projects.propublica.org/nonprofits/full_text/202522279349301107/IRS990,,,,BMC Corporation filing group,CY2024 compensation convention,Form 990 Part VII Section B; top five contractors,"Top contractor names, services, amounts, and count over $100,000.","Does not establish procurement defects, conflicts, profit margins, or audit-period expense classification.",available
SRC-007,Boston Medical Center Hospital Fiscal Year 2024 Profile,Massachusetts Center for Health Information and Analysis,state_hospital_profile,tier_1_official,2026-01-01,2026-08-01,https://www.chiamass.gov/assets/docs/r/hospital-profiles/2024/bmc.pdf,,research/boston-medical-center-investigation/documents/chia-bmc-fy2024-profile.pdf,3f50b757832c4c96e586bd4b73f67d9e8751b6262b92015dd3bc11176941e897,Boston Medical Center hospital profile; some system-level financial fields,HFY2024,PDF p. 1,"Utilization, staffed beds, payer mix, margins, discharges, and FTEs under CHIA definitions.",Does not cover the acquired hospitals in FY2025 or substitute for audited consolidated statements.,available
SRC-008,BMC capital expansion Determination of Need staff report,Massachusetts Department of Public Health,determination_of_need,tier_1_official,2022-12-14,2026-08-01,https://www.mass.gov/doc/staff-report-boston-medical-center-hospitalclinic-substantial-capital-expenditure/download,,research/boston-medical-center-investigation/documents/bmc-don-capital-expansion-staff-report.pdf,96319d51cb459a764c00a45b6ea06b74e59a2d64ce82a51e02c5b22cf4d4c3e9,BMC Health System applicant; BMC Corporation project,FY2019-FY2022 historical utilization; project approval 2022,"PDF pp. 1, 6, 9-10, 27, 32, 35-38","Project amount, beds/ORs, CHI obligation, historical access data, public comments, and approval conditions.","Does not prove current construction completion, current staffing adequacy, or procurement fairness.",available
SRC-009,CMS Hospital Enrollments dataset,Centers for Medicare & Medicaid Services,federal_dataset,tier_1_official,2026-07-27,2026-08-01,https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-enrollments,,,,Enrolled hospital operators and practice locations,"Current dataset release July 27, 2026","CCN filters 220031, 220036, 220111, and 22S031","Current CMS-enrolled operator names, nonprofit type, NPIs, and satellite relationship.","Does not by itself resolve state corporate names, property ownership, or historical effective dates.",available
SRC-010,CMS Hospital All Owners dataset,Centers for Medicare & Medicaid Services,federal_dataset,tier_1_official,2026-07-27,2026-08-01,https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-all-owners,,,,CMS enrollment ownership reporting universe,"Current dataset release July 27, 2026",CCN filters 220036 and 220111; organization-name filter BMC HEALTH SYSTEM INC,100% indirect BMCHS ownership and association date for acquired operators.,Self-direct-owner rows reflect dataset structure and should not be literalized without enrollment context.,available
SRC-011,CMS Care Compare Hospital General Information,Centers for Medicare & Medicaid Services,federal_dataset,tier_1_official,2026-05-13,2026-08-01,https://data.cms.gov/provider-data/dataset/xubh-q36u,,,,Hospital CCN quality-profile universe,Data modified 2026-04-28; released 2026-05-13,"CCN filters 220031, 220036, 220111",Star ratings and comparison measure counts; dataset ownership labels.,"Star ratings are summary measures, not a finding of wrongdoing; ownership labels may lag enrollment changes.",available
SRC-012,CMS Hospital Price Transparency Enforcement Activities and Outcomes,Centers for Medicare & Medicaid Services,federal_enforcement_dataset,tier_1_official,2026-07-14,2026-08-01,https://data.cms.gov/data-api/v1/dataset/6a3aa708-3c9d-411a-a1a4-e046d3ade7ef/data,,,,Hospital enforcement-case universe,Through 2026-07-14,Exact BMC name/address search; cases 945 and 3384,Two warning-notice cases for the main hospital and recorded closure dates.,Closure notices do not certify perpetual compliance or establish a civil monetary penalty.,available
SRC-013,Current BMC Health System leadership and boards,BMC Health System,organizational_leadership_page,tier_2_primary,,2026-08-01,https://www.bmchealthsystem.org/about/leadership,,,,"BMCHS, hospitals group, and named controlled entities",Current as retrieved,Health System Executive Leadership; Hospitals Group; Boards of Trustees,Current named executives and board members.,"Does not establish undisclosed outside interests, compensation, or historical role dates unless expressly stated.",available
SRC-014,BMC Health System unveils new names for acquired hospitals,BMC Health System,organizational_announcement,tier_2_primary,2025-05-01,2026-08-01,https://www.bmc.org/news/boston-medical-center-health-system-unveils-new-names-good-samaritan-and-st-elizabeths-medical,,,,BMC Health System and acquired hospital operations,2024-10-01 through 2025-05-01,Announcement body,Operations-assumption date and public-facing renaming.,Does not state final audited acquisition consideration or property title details.,available
SRC-015,Steward Health Care transitions and signed agreements,Commonwealth of Massachusetts,government_transition_record,tier_1_official,2024-09-27,2026-08-01,https://www.mass.gov/steward-health-care-transitions,,,,Massachusetts Steward hospital transition universe,2024,Steward transitions page and linked signed-agreements release,Government-described transition and agreements for hospitals leaving Steward.,Does not allocate every dollar of acquisition support or replace the executed agreements and audited accounting.,available
SRC-016,FY2015 340B audit results: Boston Medical Center,Health Resources and Services Administration,federal_audit_index,tier_1_official,2016-09-02,2026-08-01,https://www.hrsa.gov/opa/program-integrity/audit-results/fy-15-audit-results,,,,BMC covered entity DSH220031,FY2015 audit; closure 2017-04-18,Boston Medical Center / DSH220031 row,"Historical diversion finding, corrective action, repayment, and closure date.","Does not establish current noncompliance, current contract-pharmacy inventory, or current net 340B economics.",available
SRC-017,Boston Medical Center 340B public final audit letter,Health Resources and Services Administration,federal_audit_letter,tier_1_official,2016-09-02,2026-08-01,https://www.hrsa.gov/sites/default/files/hrsa/opa/programintegrity/auditresults/publicletters2015/bostonmedicalcenterpublicfinal9-2-16.pdf,,,,BMC covered entity DSH220031,FY2015 audit,Public final letter; web-indexed text; local direct download blocked by bot response,Historical eligibility/diversion details and corrective repayment language.,Does not prove current practices or quantify patient pass-through.,partial
SRC-018,"Senior Director, Supply Chain, Pharmacy job posting",Boston Medical Center,organizational_job_posting,tier_2_primary,,2026-08-01,https://bmc.wd1.myworkdayjobs.com/en-US/BMC/job/Senior-Director--Supply-Chain--Pharmacy_47235,,,,BMC pharmacy and supply-chain management description,Current as retrieved,Job description: 340B program ($175M); supply chain ($900M P&L),BMC's own description of the scale assigned to the role.,"Does not define $175M as profit, savings, spread, annual revenue, or patient benefit.",available
SRC-019,Pricing and estimates,BMC Health System,organizational_policy_page,tier_2_primary,,2026-08-01,https://www.bmchealthsystem.org/pricing-and-estimates,,,,Three BMC Health System hospitals,Current as retrieved,Hospital-specific machine-readable file links and estimate information,BMC publishes pricing resources for all three hospitals.,"Does not validate completeness, schema conformance, negotiated-rate accuracy, or CMS compliance on the retrieval date.",available
SRC-020,Patient Financial Assistance,Boston Medical Center,organizational_policy_page,tier_2_primary,,2026-08-01,https://www.bmc.org/patient-financial-assistance,,,,Boston Medical Center financial-assistance program,Current as retrieved,Eligibility and billing sections,"Stated assistance pathway, 300% FPL threshold, and amounts-generally-billed protection.","Does not show take-up, denial rates, average discounts, debt collection outcomes, or benefit by patient group.",available
SRC-021,Public announcement concerning proposed Tellica imaging project,Boston Medical Center,organizational_announcement,tier_2_primary,2025-02-14,2026-08-01,https://www.bmc.org/news/public-announcement-concerning-proposed-health-care-project-02142025,,,,Tellica Imaging-Massachusetts LLC joint venture,2025 proposed project,Announcement body,"Proposed CT/MRI project, joint-venture identity, Bedford location, and project cost.","Does not establish realized economics, referral patterns, or patient savings.",available
SRC-022,Tellica Imaging Massachusetts DoN staff report,Massachusetts Department of Public Health,determination_of_need,tier_1_official,2025-01-01,2026-08-01,https://www.mass.gov/doc/staff-report-pdf-tellica-imaging-massachusetts-llc-don-required-equipment/download,,,,Tellica Imaging-Massachusetts LLC,2023-2025,Ownership and project summary; approval conditions,"51% Tellica / 49% BMCHS ownership, for-profit status, project cost, CHI amount, and approval.","Does not establish improper steering, distributions, conflicts, or actual utilization.",available
SRC-023,HPC Material Change Notice transactions,Massachusetts Health Policy Commission,state_regulatory_dataset,tier_1_official,2024-03-07,2026-08-01,https://masshpc.gov/moat/mcn-cmir/mcn-transactions,,,,Massachusetts provider transaction notice universe,2024,BMC Health System and Tellica transaction row,Provider partnership/joint contracting notice and no-CMIR status.,"No CMIR does not mean the transaction lacks all cost, competition, or referral effects.",available
SRC-024,"1,400 BMC Brighton and South workers ratify contract",1199SEIU United Healthcare Workers East,labor_union_announcement,tier_2_primary,2026-05-14,2026-08-01,https://www.1199seiu.org/massachusetts/1400-healthcare-workers-bmc-brighton-and-south-ratify-new-union-contract-averting-strike,,,,1199SEIU bargaining units at BMC Brighton and South,2026,Announcement body,"Ratification, approximate workforce, three-year term, 6%-15% wage increases, maintained benefits, and separate main-campus bargaining status.",Union announcement does not independently verify every contract term or resolve separate MNA bargaining.,available
SRC-025,BMC South nurses and professionals submit strike notice,Massachusetts Nurses Association,labor_union_announcement,tier_2_primary,2026-04-20,2026-08-01,https://www.massnurses.org/2026/04/20/bmc-south-rns-and-healthcare-professionals-submit-official-notice-of-three-day-strike-from-april-30-may-3-as-talks-for-a-new-contract-stall-over-staffing-wages-and-dramatic-cuts-to-hea/,,,,MNA bargaining units at BMC South,2026,Announcement body,"Attributed union allegations, worker count, claimed reports/complaints, and strike notice.","Does not independently establish unsafe staffing, regulatory violations, or the merits of bargaining positions.",available
SRC-026,BMC nurses picket amid contract disputes,The Boston Globe,news_reporting,tier_3_reporting,2026-07-22,2026-08-01,https://www.bostonglobe.com/2026/07/22/business/boston-medical-center-picket/,,,,BMC main and South labor disputes,2026,Article body and attributed BMC/MNA statements,Current public status and statements from both sides.,"Paywall-limited secondary reporting is not a substitute for executed contracts, staffing records, or agency findings.",partial
SRC-027,Boston Medical Center agrees to pay $1.1 million to resolve billing allegations,"U.S. Attorney's Office, District of Massachusetts",federal_settlement_release,tier_1_official,2016-02-10,2026-08-01,https://www.justice.gov/usao-ma/pr/boston-medical-center-agrees-pay-11-million-resolve-allegations-it-improperly-billed,,,,BMC and two physician organizations settlement group,Historical claims resolved in 2016,Settlement announcement,"Payment amount, allegation categories, cooperation, and repayment/audit context.","Civil settlement does not itself establish admission, current conduct, or a systemwide pattern.",available
SRC-028,Boston Medical Center settles false and fraudulent Medicare claims case,HHS Office of Inspector General,federal_settlement_record,tier_1_official,2017-09-01,2026-08-01,https://oig.hhs.gov/fraud/enforcement/boston-medical-center-settles-false-and-fraudulent-medicare-claims-case/,,,,Boston Medical Center Corporation,Historical claims resolved in 2017,Enforcement summary,"$313,246 settlement and new-vs-established patient coding issue.",Does not establish current conduct or an adjudicated finding after trial.,available
SRC-029,Medicare Geographic Classification Review Board Case 25C0179,Centers for Medicare & Medicaid Services,administrative_decision,tier_1_official,2025-01-01,2026-08-01,https://www.cms.gov/medicare/regulations-guidance/office-attorney-advisor/decisions/mgcrb-case-no-25c0179,,,,Boston Medical Center wage-index redesignation request,FY2025 proceeding,Decision page and linked decision,Administrative denial/review of redesignation request.,A denied reimbursement classification request is not misconduct or enforcement.,available
SRC-030,DMH licensed hospital list,Massachusetts Department of Mental Health,state_license_list,tier_1_official,2026-01-01,2026-08-01,https://www.mass.gov/doc/dmh-licensed-hospital-list-1/download,,,,Massachusetts psychiatric-bed licensing universe,Current as listed,BMC Brighton and BMC South rows,Licensed adult and geriatric psychiatric beds and expiration dates.,"Does not show actual staffed beds, occupancy, or current compliance findings.",available
SRC-031,BMCHS comments on proposed HPC capacity regulation,BMC Health System,organizational_regulatory_comment,tier_2_primary,2026-03-20,2026-08-01,https://masshpc.gov/sites/default/files/2026-04/3.20.26%20-%20BMCHS%20Comments%20related%20to%20958%20CMR%207.00%20%281%29.pdf,,,,BMC Health System policy advocacy,2026,Letter to HPC signed by Melissa Shannon; proposed capacity-threshold discussion,Direct policy advocacy and the system's stated objections.,"Does not prove improper influence, quid pro quo, or regulatory capture.",available
SRC-032,Federal lobbying disclosure search result for BMC Health System,U.S. Senate Lobbying Disclosure Act database,federal_lobbying_filing,tier_1_official,2026-01-01,2026-08-01,https://lda.senate.gov/filings/public/filing/f1bf31c2-ece1-4410-bae0-1e6f839fb903/print/,,,,Federal lobbying disclosure universe,Current filing located in 2026 search,Filing print result; affiliate name visible; detail API access denied,A federal lobbying filing/result associated with BMC Health System was located.,"Blocked details prevent reliable reporting of amount, lobbyist, client, and issue fields from this retrieval.",partial
SRC-033,Prior BMC deep-dive research bundle,Healthcare Watch local research artifact,prior_research_bundle,tier_4_discovery,2026-07-11,2026-08-01,,,Original local research record
SRC-034,Supplemental Health Care ownership announcement and prior-source trail,Supplemental Health Care / investor source trail,organizational_announcement,tier_4_discovery,2021-01-01,2026-08-01,,,Original local research record
SRC-035,Boston Medical Center patient assistance profile and policy,Boston Medical Center,organizational_policy_page,tier_2_primary,,2026-08-01,https://www.bmc.org/patient-financial-assistance,,,,BMC patient financial assistance,Current as retrieved,Policy summary,Current public assistance eligibility and billing statements.,Does not quantify realized patient outcomes.,available

timeline.csv (19 records)

event_id,investigation_id,event_date,date_precision,entity_ids,event_type,event_description,source_ids,claim_ids,status,caveat
EVT-001,INV-BMC-001,1996-01-01,year,ENT-BMC-CORP,organization,Boston Medical Center was created from the Boston City Hospital and Boston University Medical Center merger.,SRC-013,,documented,Historical organization context; exact legal effective date should be confirmed from charter.
EVT-002,INV-BMC-001,2015-01-01,year,ENT-BMC-CORP|ENT-HRSA,340B_audit,HRSA audited BMC's 340B program and later reported a diversion finding.,SRC-016|SRC-017,CLM-024,documented,Historical finding later corrected and closed.
EVT-003,INV-BMC-001,2016-02-10,day,ENT-BMC-CORP|ENT-US,settlement,BMC and two physician organizations resolved federal billing allegations for $1.1 million.,SRC-027,CLM-033,documented,Settlement is not current conduct or an admission.
EVT-004,INV-BMC-001,2017-04-18,day,ENT-BMC-CORP|ENT-HRSA,audit_closure,HRSA recorded closure of the historical BMC 340B audit after corrective action.,SRC-016,CLM-024,documented,Closure pertains to that audit.
EVT-005,INV-BMC-001,2017-09-01,month,ENT-BMC-CORP|ENT-US,settlement,"OIG reported a $313,246 Medicare coding settlement.",SRC-028,CLM-034,documented,Historical settlement.
EVT-006,INV-BMC-001,2022-12-14,day,ENT-BMCHS|ENT-BMC-CORP,regulatory_approval,Massachusetts approved the $121.240 million BMC expansion with a $6.062 million CHI obligation.,SRC-008,CLM-036,documented,Approval is not project closeout.
EVT-007,INV-BMC-001,2023-03-29,day,ENT-BMC-CORP|ENT-CMS,price_transparency_warning,CMS issued warning notice in case 945.,SRC-012,CLM-032,documented,Case later closed.
EVT-008,INV-BMC-001,2023-07-13,day,ENT-BMC-CORP|ENT-CMS,case_closure,CMS closed price-transparency case 945.,SRC-012,CLM-032,documented,Not perpetual compliance certification.
EVT-009,INV-BMC-001,2024-03-07,day,ENT-BMCHS|ENT-TELLICA-MA|ENT-HPC,material_change_notice,HPC recorded the BMC-Tellica provider partnership/joint-contracting transaction without CMIR.,SRC-023,CLM-022,documented,No CMIR is not approval of all competitive effects.
EVT-010,INV-BMC-001,2024-07-01,month,ENT-WELLSENSE|ENT-BMC-CORP,intercompany_transfer,Audit describes conversion of a $100 million intercompany loan to a net-asset transfer.,SRC-001,CLM-020,requires_reconciliation,Underlying legal mechanics unresolved.
EVT-011,INV-BMC-001,2024-10-01,day,ENT-BMCHS|ENT-BMC-SOUTH|ENT-BMC-BRIGHTON|ENT-STEWARD,acquisition,BMCHS assumed operations and acquired specified assets/liabilities of the two Steward hospitals.,SRC-001|SRC-014|SRC-015,CLM-003,documented,Property and liability treatment differs by hospital and agreement.
EVT-012,INV-BMC-001,2025-03-25,day,ENT-BMC-CORP|ENT-CMS,price_transparency_warning,CMS issued warning notice in case 3384.,SRC-012,CLM-032,documented,Case later closed.
EVT-013,INV-BMC-001,2025-05-01,day,ENT-BMC-SOUTH|ENT-BMC-BRIGHTON,renaming,BMC publicly renamed the acquired hospitals BMC South and BMC Brighton.,SRC-014,CLM-003,documented,CMS and legal names may update on different schedules.
EVT-014,INV-BMC-001,2025-06-25,day,ENT-BMC-CORP|ENT-CMS,case_closure,CMS closed price-transparency case 3384.,SRC-012,CLM-032,documented,Not perpetual compliance certification.
EVT-015,INV-BMC-001,2025-09-30,day,ENT-BMCHS,fiscal_year_end,BMCHS ended FY2025 with a $239.551 million operating loss and $404.981 million operating cash use.,SRC-001,CLM-007|CLM-008,documented,Includes acquisition-year operations.
EVT-016,INV-BMC-001,2026-03-20,day,ENT-BMCHS|ENT-HPC,policy_comment,BMCHS submitted comments on the proposed HPC capacity regulation.,SRC-031,CLM-039,documented,Public advocacy is not proof of improper influence.
EVT-017,INV-BMC-001,2026-04-20,day,ENT-BMC-SOUTH,labor_notice,MNA announced a strike notice and staffing/wage/benefit allegations at BMC South.,SRC-025,CLM-028,allegation,Underlying reports and agency findings not obtained.
EVT-018,INV-BMC-001,2026-05-14,day,ENT-BMC-SOUTH|ENT-BMC-BRIGHTON,labor_contract,"1199SEIU announced ratification of a three-year contract for about 1,400 workers.",SRC-024,CLM-027,documented,Different bargaining units remained in separate negotiations.
EVT-019,INV-BMC-001,2026-07-22,day,ENT-BMC-CORP|ENT-BMC-SOUTH,labor_picket,Reporting described continued nursing pickets and unresolved negotiations.,SRC-026,CLM-029,strongly_supported,Current status should be refreshed before publication.

Complete local BMC artifact manifest

The two deliverables being generated are intentionally not self-hashed inside their own manifest: research/boston-medical-center-investigation/BMC_MASTER_DOSSIER.md and output/pdf/boston-medical-center-master-dossier.pdf. Every other located BMC artifact is listed below with a verification hash.

Category Path Bytes SHA-256 prefix
Core case package research/boston-medical-center-investigation/EVIDENCE_INDEX.md 15,702 208db1ea99c80dbe
Core case package research/boston-medical-center-investigation/FINDINGS_REPORT.md 3,509 1f5b660b020d5db3
Core case package research/boston-medical-center-investigation/METHOD_INDEX.md 1,023 e46a0e86f0198065
Core case package research/boston-medical-center-investigation/PLAIN_LANGUAGE_SYNTHESIS.md 2,845 66471393b2cc541c
Core case package research/boston-medical-center-investigation/README.md 1,172 889a374e7ffe59cd
Core case package research/boston-medical-center-investigation/RECORDS_REQUEST_DRAFTS.md 11,613 0b8ad04069174619
Core case package research/boston-medical-center-investigation/data/claims.csv 29,705 393c00de1aa410e9
Core case package research/boston-medical-center-investigation/data/contradictions.csv 3,804 3991cdf2bee5d60d
Core case package research/boston-medical-center-investigation/data/entities-and-aliases.csv 8,102 1d9e9136bc956481
Core case package research/boston-medical-center-investigation/data/facility-crosswalk.csv 1,492 392131c00fa568e0
Core case package research/boston-medical-center-investigation/data/investigation-manifest.csv 999 dfec2f28dea52f8e
Core case package research/boston-medical-center-investigation/data/metrics.csv 9,749 3e183a0a8ee4ee33
Core case package research/boston-medical-center-investigation/data/module-completion.csv 3,748 9060206fee9ed940
Core case package research/boston-medical-center-investigation/data/money-flows.csv 6,810 b44b4f5b165406ef
Core case package research/boston-medical-center-investigation/data/people-and-roles.csv 2,822 d2514183dbec96e6
Core case package research/boston-medical-center-investigation/data/publication-review.csv 11,349 da8266c050a2b9e2
Core case package research/boston-medical-center-investigation/data/records-requests-and-gaps.csv 5,828 8b1d32803044094d
Core case package research/boston-medical-center-investigation/data/relationships.csv 4,741 bdbf83b15f3e7646
Core case package research/boston-medical-center-investigation/data/search-log.csv 10,912 b321a1f0aea36851
Core case package research/boston-medical-center-investigation/data/sources.csv 19,912 af471fcd03395ff8
Core case package research/boston-medical-center-investigation/data/timeline.csv 4,395 cbc4f82d2b482214
Core case package research/boston-medical-center-investigation/documents/bmc-corporation-fy2024-form990.html 31,003 acc7042ec8803eab
Core case package research/boston-medical-center-investigation/documents/bmc-corporation-fy2024-form990.xml 320 7358a91bf503671a
Core case package research/boston-medical-center-investigation/documents/bmc-corporation-fy2025-single-audit.pdf 1,396,654 c11d58a592d228fc
Core case package research/boston-medical-center-investigation/documents/bmc-don-capital-expansion-staff-report.pdf 598,597 96319d51cb459a76
Core case package research/boston-medical-center-investigation/documents/bmc-hrsa-340b-audit-letter-2016.pdf 527 b78e027472a96564
Core case package research/boston-medical-center-investigation/documents/bmchs-fy2024-audited-financials.pdf 1,482,112 0b5bb5d3d7d7dc5c
Core case package research/boston-medical-center-investigation/documents/bmchs-hpc-comments-2026-03-20.pdf 5,763 6ce2bfff32f4a4db
Core case package research/boston-medical-center-investigation/documents/chia-bmc-fy2024-profile.pdf 251,138 3f50b757832c4c96
Core case package research/boston-medical-center-investigation/graph/bmc-investigation-graph.json 27,073 4583611973cd95e2
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/.graphify_analysis.json 11,709 72b02ba45f2c8ec1
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/.graphify_ast.json 42,782 032612c5646f4981
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/.graphify_chunk_01.json 21,824 2d6511586bf17e72
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/.graphify_detect.json 2,742 608f317b78cefb43
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/.graphify_extract.json 70,463 f217d3fb1b883796
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/.graphify_labels.json 355 fb3fdc52dcc10d8b
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/.graphify_python 61 4ee46f25e3a75fd8
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/.graphify_root 88 107a77b866f7e4ad
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/.graphify_semantic.json 27,760 a403c14b1fa7d53c
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/.graphify_semantic_new.json 27,760 a403c14b1fa7d53c
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/.graphify_uncached.txt 2,291 f8d20ae4865bf668
Core case package research/boston-medical-center-investigation/graphify-out/.vocab.txt 1,609 1048575c4fdb3ed8
Core case package research/boston-medical-center-investigation/graphify-out/GRAPH_REPORT.md 7,532 6ce9aa8f5c1c8dab
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/ast/d3a67514a64b2fee45e437b79aa100e5c15b57b7d9ead014749b7f32e2866881.json 6,351 e9c76d22d2b1e47a
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/01f673795423891ace05388ca98bc4f3526b702f72c9eced04ba5ec430b94ed9.json 368 7fe6ede83441d0c2
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/0b1b775c491b372c5915d6daa76ea6a6ac85dff2760c1937443a63bd7edde99f.json 3,284 847cee024c660cb0
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/0ce917ee0d2dabbd07d691d7bf73473bdc137479ade3ccd75ea1ee760bc02337.json 674 51ad880d616d1a93
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/345577ff684ae827abab53d8a4d33dfed87575b83f711f89425b433edc9e6288.json 1,379 01bf2839524b6997
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/34fc3864653539eb6b7a2c1ae52d39650019c1ce25e48347a3ebabffe117e07c.json 650 f120623dbbebbe68
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/5a2e300040f6ce18e42d102f860c55e32222a6d2f6d903b2c0aed99a2d5b9d8a.json 7,842 a9fa1a6483cc051a
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/62e5b261e13b664bb3e77d5c62936fb75954e3b33596628fa507aaa8475b31ec.json 645 74e9353ee95f16c0
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/71345e82095f99c1b254fb90442072327804e2666025c65ae8dc9c98ba8761b4.json 612 5a8a9c22b7d1d8bb
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/8507762df11583f845830c8beedb0a0803a9e19b8d996b4c483b1825af9f8d96.json 798 f9fb6dbd062481c1
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/89ef9d6fb3907c27534bd93b742e7429f918f074be6447b4c78d6ef602e8c729.json 1,171 1703ea96e6f6cf0d
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/a29143d49c15521e4e2a83cd9660e1ebbd1f0bf16c883031dd0d2b8c7b06bd6b.json 926 3dc0f180da268911
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/e6c8207d2f35a2f533daad16e0a0608383fb3d956539f0d0b29461683d89ecce.json 365 75e38d558ce74f7b
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/semantic/f5fe0e2026f230b514ddc2d5cc0e22fc9ce16a6524ca0974f0f614a13467e5c3.json 4,491 41cce00724f4529a
Core case package - derived cache research/boston-medical-center-investigation/graphify-out/cache/stat-index.json 4,607 fea5056b42e85ecf
Core case package research/boston-medical-center-investigation/graphify-out/cost.json 205 2910fa88db29e3fa
Core case package research/boston-medical-center-investigation/graphify-out/graph.html 94,903 7f07df5793aac884
Core case package research/boston-medical-center-investigation/graphify-out/graph.json 79,920 98eeefb89e2b7435
Core case package research/boston-medical-center-investigation/graphify-out/manifest.json 5,196 b020b2a9b4141b1e
Core case package research/boston-medical-center-investigation/graphify-out/memory/query_20260801_083214_please_implement_this_plan__bmc_direct_answers_inv.md 1,676 91ffa84deb7c0398
Core case package research/boston-medical-center-investigation/scripts/build_case_data.mjs 135,809 c80de16903a38736
Core case package research/boston-medical-center-investigation/scripts/build_master_dossier.py 27,654 17fd8aa17e2eee5f
Core case package research/boston-medical-center-investigation/scripts/build_pdf_report.py 61,451 1605a0e96649eefe
Core case package research/boston-medical-center-investigation/scripts/build_workbook.mjs 22,366 ab4b4e8ec27b35d1
Core case package research/boston-medical-center-investigation/scripts/validate_case.mjs 7,569 5ace376dfa4bfb8b
Core case package research/boston-medical-center-investigation/validation/acceptance-report.md 2,815 7e33e4f23c820ca0
Core case package research/boston-medical-center-investigation/validation/pdf-report-validation.md 2,295 29e5b1569c5f0017
Core case package research/boston-medical-center-investigation/validation/validation-report.md 846 885e70028f2ce676
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/boston-medical-center-investigation.xlsx 90,676 659250cabe4c9790
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/boston-medical-center-investigation.xlsx.inspect.ndjson 3,669,722 27b6d0e7377a5d40
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/preview-manifest.json 2,977 5fd1f1a7d774d282
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/claims.png 820,000 b1a5e8f56a8348db
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/codebook.png 43,651 6d3b6cd5f7be0d55
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/contradictions.png 124,579 21fe74e2b863fc8f
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/dashboard.png 191,772 e4ba70ab117057e7
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/entities.png 272,614 780e2d430cbef563
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/facility-crosswalk.png 57,467 29cee71d940f4e83
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/gaps-and-requests.png 185,601 011940563a273622
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/investigation-setup.png 36,247 4fbd3dc5489813ac
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/method-index.png 85,040 0ed39fb5e8b19c28
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/metrics.png 316,564 2d1e73d4aee3c4b0
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/module-completion.png 125,812 49419f60aef8c5a1
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/money-flows.png 240,704 f67aa4b3d144aafa
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/people-and-roles.png 108,912 cfbcbbf64fb7850c
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/publication-review.png 386,197 2a910679ffa52467
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/relationships.png 164,757 7f70605e79d82ed9
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/search-log.png 336,021 07f5a34f7e5048f6
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/sources.png 601,468 391edfb1d28bc38e
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/previews/timeline.png 156,014 f86e54d16b36a960
Workbook and rendered workbook previews outputs/boston-medical-center-investigation/workbook-inspect.ndjson 4,852 447747ccbc63d91c
Existing and master report PDFs output/pdf/boston-medical-center-comprehensive-investigation-report.pdf 228,368 6d1f61a560965d43

How to use this dossier

Start with the comprehensive report PDF for readable findings; use this Markdown dossier to search the raw structured records and see the resident-funding addendum; use the workbook for filters and dashboard totals; use the graph JSON for relationship visualization; and use the evidence index before relying on a claim. Refresh time-sensitive facts and obtain human review before publication.