Boston Medical Center Corporation: $2.4B Revenue, $1.9B Program Expenses

Boston Medical Center Corporation earns an A on the nonprofit efficiency rubric — a top-tier rating that reflects strong program-spending ratios, reasonable executive compensation, and stable financial reserves. The composite score of 84/100 places it in the upper bracket of U.S. tax-exempt organizations.

Boston Medical Center Corporation operates at corporate scale — $2.4B in reported 2023 revenue. At over a billion in annual revenue, nonprofits typically run consolidated operations across multiple states or business lines, and the IRS Form 990 reflects a much larger operational footprint than a typical 501(c)(3). Boston Medical Center Corporation directs 80% of its expenses to programs — above the third-party-rater threshold for an efficient organization.

Five-year revenue trajectory is strongly positive: Boston Medical Center Corporation has grown materially in real terms, which usually signals successful fundraising and program expansion. CEO compensation is reported as zero in the filing — typical for nonprofits where the chief executive is paid through a related entity (parent system, university, or foundation) rather than the filing organization itself, or for small organizations whose chief is a volunteer or board member. Boston Medical Center Corporation is categorized under Health — the largest segment of U.S. nonprofit revenue, dominated by hospitals, hospital systems, and health-research organizations. Revenue-to-program ratios in this category often look different from smaller-program nonprofits because the underlying operations are capital-intensive.