2021-08-16T14:20:32-05:00 2020-09-30 KPMG LLP 60 South Street Boston MA 02111 990 2019-10-01 043314093 Boston Medical Center % KAITLYN CLIFFORD BOST 6174141628 ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 DAVID BECK SVP/CHIEF LEGAL COUNSEL/CLERK 6174141628 2021-08-16 true STEPHANIE LONCZAK P01880207 6179881000 2021-02-10 2019 2022-09-23 18:48:47Z KATHLEEN E WALSH ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 1884871853 false X WWW.BMC.ORG X 1996 MA Boston Medical Center's mission is to provide consistently excellent and accessible health services to all in need of care regardless of status and ability to pay. 28 23 9892 419 4213939 1754946 25615642 133609173 1620141878 1699081795 82976388 23248318 17727347 25204705 1746461255 1881143991 25423342 26453637 0 0 681772082 666076602 0 0 6741508 942072320 1090128408 1649267744 1782658647 97193511 98485344 2427982000 2742187000 1100514000 1418264000 1327468000 1323923000 X BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. false false 1644633100 1699081795 See Schedule O. 25458830 25458830 Boston Medical Center provides research support to organizations within the US. 994807 994807 Boston Medical Center provides research support to foreign organizations. 1671086737 true true false true false false false false false true true true false true true true false true false true true true false false true false true true true false true true true false false false false false false false true false true false false false false true true true false true X 676 0 true 9892 true true true true CJ CA UK LT EI BD false false false true true false false false false true false X 28 23 true false false false true false true true true false false true true true true true true true true false MA X KAITLYN CLIFFORD 6174145907 ONE BOSTON MEDICAL CENTER PLACE BOSTON MA 02118 KATHLEEN WALSH President & CEO 50.0 7.5 X X 1958752 0 19187 ALASTAIR BELL SVP OPS & STRATEGY/COO 50.0 2.0 X 1136562 0 112030 JENNIFER TSENG MD TRUSTEE 1.0 54.0 X 0 1012451 38793 CHARLES ORLANDO SVP/CFO/TREAS 36.0 23.0 X 815975 0 114769 DAVID COLEMAN MD TRUSTEE 1.0 54.0 X 0 782366 34370 RAVIN DAVIDOFF MD SVP MEDICAL AFFAIRS AND CMO 50.0 1.5 X 733048 0 46658 DAVID BECK SVP/CHIEF LEGAL COUNSEL/CLERK 50.0 13.5 X 700866 0 44102 LISA A KELLY-CROSWELL SVP/CHRO 50.0 0.0 X 611747 0 81513 NANCY GADEN SVP CHIEF NURSING OFFICER 50.0 0.0 X 565440 0 105842 BOB BIGGIO SVP FACILITY & SUPT SVCS 50.0 0.0 X 540827 0 109748 NORMAN STEIN SVP CHIEF DEVELOPMENT OFFICER 50.0 0.0 X 546468 0 46800 ARTHUR HARVEY VP/CIO 50.0 0.0 X 525777 0 61395 JOE CAMILLUS SVP AMBULATORY & PRF SVC 50.0 0.5 X 470860 0 101474 JULIE JONCAS VP FINANCE 50.0 1.0 X 410831 0 47411 SUSANNAH ROWE MD TRUSTEE 1.0 50.0 X 0 220390 50572 David Ament Trustee 1.0 2.0 X 0 0 0 Karen Antman MD Trustee 1.0 2.0 X 0 0 0 Anita Bekenstein Trustee 1.0 0.0 X 0 0 0 Barry Bock Trustee 1.0 0.0 X 0 0 0 NADINE CHAKAR TRUSTEE (AS OF 05/05/2020) 1.0 0.0 X 0 0 0 Enrique Colbert Trustee 1.0 0.0 X 0 0 0 Sandra Cotterell Trustee 1.0 1.0 X 0 0 0 Pierre Cremieux Trustee 1.0 1.0 X 0 0 0 Randi Cutler Trustte 1.0 1.0 X 0 0 0 Paul Egerman Trustee 1.0 0.0 X 0 0 0 Ruth Ellen Fitch Trustee 1.0 0.0 X 0 0 0 Melanie Foley Trustee 1.0 0.0 X 0 0 0 Eileen Grayken Trustee 1.0 0.0 X 0 0 0 William J Halpin Jr Trustee (UNTIL 05/05/2020) 1.0 1.0 X 0 0 0 Karen Kames Trustee 1.0 0.0 X 0 0 0 Azra Kanji Trustee 1.0 0.0 X 0 0 0 Manuel Lopes Trustee 1.0 2.0 X 0 0 0 Monica Valdes Lupi Trustee (UNTIL 12/20/2019) 1.0 0.0 X 0 0 0 Richard Marks Trustee 1.0 1.0 X 0 0 0 Jerod Mayo Trustee (UNTIL 02/26/2020) 1.0 0.0 X 0 0 0 RITA NIEVES TRUSTEE (AS OF 12/20/2019) 1.0 0.0 X 0 0 0 Tricia Patrick Trustee 1.0 0.0 X 0 0 0 Claire Perlman Trustee 1.0 0.0 X 0 0 0 James S Phalen Trustee (UNTIL 05/05/2020) 1.0 1.0 X 0 0 0 Martha Samuelson Trustee/Chair 1.0 1.0 X 0 0 0 CYNTHIA SIERRA TRUSTEE (AS OF 05/05/2020) 1.0 0.0 X 0 0 0 Rev Liz Walker Trustee 1.0 0.0 X 0 0 0 Andrew Youniss Trustee 1.0 1.0 X 0 0 0 9017153 2015207 1014664 1394 false true false Boston University One Silber Way BOSTON MA 02215 SHARED RESEARCH SVCS 58775092 SCH Services Inc 1640 W REDSTONE CTR DR PARK CITY UT 84098 TEMPORARY STAFFING 13829432 PRICEWATERHOUSECOOPERS 4040 W BIY SCOUT BOULEVARD TAMPA FL 33607 A/R MANAGEMENT 9078098 MORRISON HEALTH CARE IN 714 SOUTHBRIDGE ST AUBURN MA 01501 FOOD SERVICE 7862260 Walsh Brothers Incorporated 210 Commercial Street BOSTON MA 02109 Construction 5027491 327 5850094 108003559 19755520 1495322 133609173 PATIENT SERVICE REVENUE 900099 1139678529 1139678529 PHARMACY REVENUE 900099 434398408 430184469 4213939 GRANT & CONTRACT REVENUE 900099 113699826 113699826 OTHER PROGRAM REVENUE 900099 11305032 11305032 1699081795 13715494 13715494 0 0 5254316 3354893 1899423 0 1899423 1899423 9532824 9532824 9532824 9532824 426386 5850094 372969 53417 53417 0 0 0 0 0 0 CAFETERIA 900099 3300767 3300767 PARKING 812930 10063598 10063598 GAIN ON SALE OF TAX CREDITS 900099 9887500 9887500 23251865 1881143991 1694867856 4213939 48453023 25458830 25458830 0 994807 994807 0 12371466 10919213 871687 580566 196764 196764 514305841 476271482 35497476 2536883 26506365 24546782 1807902 151681 64219386 59471725 4380170 367491 48476780 44892951 3306424 277405 0 252799 93930 158869 671905 15046 656859 72000 66677 5323 0 822411 822411 80052326 46849131 32431983 771212 470794 253404 217390 15577278 11682131 3770335 124812 3738478 3462097 254988 21393 1040078 963186 70940 5952 22029115 20400529 1502526 126060 1493273 899060 593072 1141 0 805308 693877 111420 11 25028709 23178367 1707117 143225 0 97399441 90198819 6643261 557361 7082130 6558557 483046 40527 DRUGS 360112654 360112654 PHYSICIAN SERVICES 147103245 147103245 DIRECT RESEARCH 91981080 91981080 PATIENT RELATED SUPPLIES 91379488 91379488 143015896 132442905 9754593 818398 1782658647 1671086737 104830402 6741508 22241000 43051000 176410000 435189000 17585000 17801000 170244000 225678000 0 0 0 0 72628000 97973000 12714000 17337000 4525000 4203000 2059351000 1019308000 1098661000 1040043000 65536000 60636000 265079000 264961000 410000 489000 0 0 521949000 534826000 2427982000 2742187000 164526000 209573000 0 0 23075000 96243000 448264000 439486000 0 0 0 0 0 0 0 0 464649000 672962000 1100514000 1418264000 X 989342000 961337000 338126000 362586000 1327468000 1323923000 2427982000 2742187000 X 98485344 21735219 -1372666 1919655 -124312552 X false true X true true true X 22129256 41186207 24563859 25615642 133609173 247104137 0 0 22129256 41186207 24563859 25615642 133609173 247104137 6971011 240133126 16401528 12553229 37639990 23179858 18969810 108744415 273343 1867255 1809363 3949961 5093586 6346770 6259300 15535712 23251865 56487233 416285746 7250791900 0.57685 0.44791 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 72000 false true 72000 false Schedule C, Part II-B, Line 1 Boston Medical Center PAID DEMPSEY, LUCEY & ASSOCIATES $72,000 TO REPRESENT THE ORGANIZATION. THESE FEES WERE PAID TO THE LOBBYISTS LISTED TO ADVANCE BOSTON MEDICAL CENTER'S MISSION: "TO CONSISTENTLY PROVIDE EXCELLENT AND ACCESSIBLE HEALTH CARE SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS OR ABILITY TO PAY" AS SET OUT IN CHAPTER 147 OF THE ACTS AND RESOLVES OF 1996 OF THE COMMONWEALTH OF MASSACHUSETTS. 724862042 61170242 42383073 192451403 2124122 633839832 709074381 285759688 25210971 292657917 2525081 724862042 697009021 21885406 40783482 47477741 3125787 709074381 642296242 127298970 71375617 142059930 1901878 697009021 618328530 42882728 16736661 2178355 642296242 0.48630 0.06410 0.44960 false false 0 14946000 14946000 1233306000 484848000 748458000 40320000 22538000 17782000 652499000 473632000 178867000 118280000 38290000 79990000 1040043000 DONOR RESTRICTED INVESTMENTS 264961000 F 264961000 BRD-DES. INVEST FOR FUNDED DEP 308243000 FUNDS HELD BY TRUSTEES 41624000 NONCURRENT NOTES RECEIVABLE 3991000 INSURANCE RECOVERY RECEIVABLES 35839000 OTHER L-T ASSETS 45447000 RIGHT OF USE ASSETS- NET 99682000 534826000 0 EST SETTLEMENT W/3RD PARTY PAY 187099000 CAPITAL LEASE OBLIGATIONS 3384000 OTHER LONG-TERM LIABILITIES 245933000 PROFESSIONAL LIABILITY CLAIMS 35839000 TAXABLE BONDS PAYABLE 180975000 RELATED PARTY LIABILITIES 19732000 672962000 X Schedule D, Part V, Line 2 Presentation of endowment assets Boston Medical Center HAS ADOPTED ASU 2016-14, PRESENTATION OF THE FINANCIAL STATEMENTS FOR NOT-FOR-PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 30, 2020 AUDITED FINANCIAL STATEMENTS CLASSIFY NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF SCHEDULE D, LINE 2, BOSTON MEDICAL CENTER HAS REPORTED ENDOWMENT FUNDS WITHOUT DONOR RESTRICTIONS AS BOARD DESIGNATED OR QUASI-ENDOWMENT AND ENDOWMENT FUNDS WITH DONOR RESTRICTIONS AS PERMANENT ENDOWMENT OR TERM RESTRICTED ENDOWMENT, RESPECTIVELY. Schedule D, Part V, Line 4 General Endowment The general endowment includes funds from a number of sources with various restrictions on use and treatment. The endowment funds have been contributed for specific purposes including construction, maintenance, research, clinical care, education, development, staffing, salaries, laboratory equipment and supplies, and convalescent care. Schedule D, Part X, Line 2 Boston Medical Center IS INCLUDED IN COMBINED FINANCIAL STATEMENTS. THE TEXT OF THE UNCERTAIN TAX POSITIONS FOOTNOTE INCLUDED IN THESE FINANCIAL STATEMENTS IS AS FOLLOWS: The Health System Corporation, the Medical Center, BMCHP, UDF, ECMF, BUAP, Faculty and the Plans, BACO, BMCICS, and BMCIC of Vermont are all nonprofit corporations that have been recognized as tax-exempt pursuant to Section 501(C)(3) of the Internal Revenue Code. The shareholders of NAB, before it was terminated, were nonprofit, tax-exempt corporations. The Health System recognizes income tax positions when it is more likely than not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material uncertain tax positions that need to be recorded as of September 30, 2020 and 2019. The Health System annually assesses whether it must recognize an unrelated business income tax expense (UBIT). The amounts recognized as UBIT expense were not material to the Health System's consolidated operations or changes in net assets for the years ended September 30, 2020 and 2019. true East Asia and the Pacific Investments 2139097 Europe (Including Iceland and Greenland) Investments 9216367 Middle East and North Africa Investments 845098 North America Investments 4950125 South America Investments 830749 Sub-Saharan Africa Investments 673835 Sub-Saharan Africa 2 8 Grantmaking 356489 Russia and the Newly Independent States Grantmaking 424269 South Asia Grantmaking 55777 East Asia and the Pacific Grantmaking 107760 Central America and the Caribbean Grantmaking 246 North America Grantmaking 50266 Central America and the Caribbean Program Services PREMIUMS 11425699 2 8 2 8 31075777 31075777 Sub-Saharan Africa Subaward 356489 Wire Russia and the Newly Independent States Subaward 424269 Wire South Asia Subaward 55777 Wire East Asia and the Pacific Subaward 107760 Wire North America Subaward 50266 Check 10 true false true true true false Schedule F, Part I, Line 2 The principal investigator and administrator approve all subcontract invoices, including those from a foreign country. The foreign subcontract recipient has a budget to which invoices are matched to ensure that all spending is appropriate. Additionally, the organizations principal investigators regularly contact the foreign subcontract recipients to monitor the progress of the recipients work. Schedule F, Part II, Line 1 Foreign expenditures are separately identified on the organization's General Ledger. MA GALA 3013011 2900961 112050 FOOD 4 THOUGHT 1415737 1371421 44316 79402 31809 6 1847732 1577712 270020 44993 216765 6276480 5850094 426386 124395 248574 372969 53417 MA true true X true X false true true false false 143958103 42432236 101525867 0.05700 816162239 515327122 300835117 0.16880 960120342 557759358 402360984 0.22580 22573850 12886618 9687232 0.00540 68474897 16186795 52288102 0.02930 464 66168936 48489705 17679232 0.00990 464 157217683 77563118 79654566 0.04460 464 1117338025 635322476 482015550 0.27040 2 25746 25746 0.00000 2 16220000 16220000 0.00910 11 839821 300000 539821 0.00030 1 901125 901125 0.00050 1 144594 144594 0.00010 17 18131286 300000 17831286 0.01000 true 11856528 164984934 184343257 -19358323 X true true 1 1 Boston Medical Center One Boston medical Center Place Boston MA 02118 http://www.bmc.org X X X X X Boston Medical Center 1 false false true X X X X X X X X 18 true true true true X SEE PART V, PAGE 8 X true 18 true SEE PART V, PAGE 8 false true X 200. 0. X X true true X X X X true X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X true X false X true X false false Schedule H, Part V, Section B, Line 5 Focus Groups: Thirteen focus groups were conducted with specific populations of interest: 12 focus groups were conducted specifically for the collaborative Community Health Needs Assessment (CHNA) and one additional focus group was conducted by work group members who submitted notes for the CHNA. Focus groups were 90-minute semi-structured conversations with approximately 8-12 participants per group and aimed to delve deeply into community's needs, strengths, and opportunities for the future. Focus groups were conducted with the following population groups, including residents of specific neighborhoods: Female low-wage workers (e.g. housekeepers, child care workers, hotel service workers, etc.); Male low-wage workers (e.g. janitorial staff, construction, etc.); Seniors (ages 65+) with complex, challenging issues (e.g. homebound, medical complications); Residents who are housing insecure (no permanent address or close to eviction); Latino residents in East Boston (in Spanish); LGBTQ youth and young adults at risk of being homeless; Immigrant parents of school age children (5-18 years); Survivors of violence; Mothers who have been impacted by violence; Parents who live in public housing in Dorchester; Chinese residents living in Chinatown (in Chinese); Haitian residents living in Mattapan (in Haitian Creole); Residents in active substance use recovery; and an additional focus group in Chinese with residents living in Chinatown. A total of 104 community residents participated in focus groups, representing 13 neighborhoods across the city. Nearly half of focus group participants identified as Black or African American (45%), a third of participants identified as Hispanic or Latino (34%), and 10% identified as White. The majority of participants identified as female (57%), 36% identified as male, and 7% identified as transgender or genderqueer. Additional data on focus group participant characteristics can be found in Appendix F. Fifteen community and social service organizations located throughout Boston assisted with recruiting participants and/or hosting focus groups. Key Informant Interviews: A total of 45 key informant interviews were completed, six of which were additional interviews submitted by work group volunteers. Interviews were 45-60-minute semi-structured discussions that engaged institutional, organizational, and community leaders and front-line staff across sectors. Discussions explored interviewees' experiences of addressing community needs and opportunities for future alignment, coordination, and expansion of services, initiatives, and policies. Sectors represented in these interviews included: public health, health care, housing and homelessness, transportation, community development, faith, education, public safety, environmental justice, government, workforce development, social services, food insecurity, and business organizational staff that work with specific population such as youth, seniors, disabled, LGBTQ, and immigrants. Schedule H, Part V, Section B, lines 6a Boston Medical Center (BMC) conducted the CHNA with the following hospital facilities: Beth Israel Deaconess Medical Center, Boston Children's Hospital, Brigham and Women's Faulkner Hospital, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Massachusetts Eye and Ear Infirmary, Massachusetts General Hospital, and Tufts Medical Center. Schedule H, Part V, Section B, lines 6b Boston Medical Center conducted the CHNA with the following organizations: Boston Health Care for the Homeless Program, Boston Public Health Commission, Jamaica Plain Neighborhood Development Corporation, Community Labor United, Fenway Community Health Center, Health Leads, Madison Park Development Corporation, Massachusetts League of Community Health Centers, Upham's Corner Health Center, and Urban Edge. Schedule H, Part V, Section B, Line 7A https://www.bmc.org/care-our-community Schedule H, Part V, Section B, Line 10A https://www.bmc.org/care-our-community Schedule H, Part V, Section B, Line 11 Unwavering in our commitment to address the health needs of our community, BMC provides a wide range of programs beyond the traditional medical model. Core to fulfilling our public health mission and consistent with the CHNA findings, the goals of our community benefits program are to improve access to health services and improve health outcomes for underserved populations in our community. Key findings that emerged from the CHNA included health care access and utilization, chronic diseases and risk factors, mental health and substance abuse, violence, housing affordability, environmental health. For detailed information about each of the programs and initiatives that addressed these needs last year, please see Schedule H, Part VI, Supplemental Information, promotion of community health below. Schedule H, Part V, Section B, Line 13a For patients who fall outside commonwealth assistance programs, patients are charged at the same levels as insurers are charged; however, they are offered a prompt-pay discount of 40% (regardless of income level, etc.) if the payments are made within the first 30 days from service. Schedule H, Part V, Section B, Line 13h By the definition of BMC's financial assistance policy, patients who qualify for financial assistance have applied for one of the Commonwealth's financial assistance programs (connectorcare, medicaid, or health safety net) or have been provided urgent/emergent services. In those instances, patients are viewed as unable to pay for these charges and the hospital submits the charge for reimbursement from the health safety net. Schedule H, Part V, Line 16a FAP Website: HTTP://WWW.BMC.ORG/SERVICES/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM Schedule H, Part V, Line 16b FAP Application Website: HTTP://WWW.BMC.ORG/SERVICES/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM Schedule H, Part V, Line 16c FAP Plain Language Summary Website: HTTP://WWW.BMC.ORG/SERVICES/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM 2 MARGARET M SHEA RN ADULT HEALTH PROGR RIVER STREET MATTAPAN MA 02126 ADULT DAYCARE SUPPORTING PARENTS & RESILIENT KIDS CT 225 RIVER STREET MATTAPAN MA 02126 THERAPEUTIC CENTER Schedule H, PART I, LINE 3C For patients who fall outside Commonwealth assistance programs, patients are charged at the same levels as insurers are charged; however, they are offered a prompt-pay discount of 40% (regardless of income level, etc.) if the payments are made within the first 30 days from service. INTRODUCTION The statute that created Boston Medical Center (BMC) requires it to serve all populations. BMC is a private, not-for-profit, 514-bed, urban academic medical center. It emphasizes community-based, accessible care and is grounded by its mission to provide consistently accessible health services to all in need of care, regardless of status and ability to pay. BMC is the largest safety-net hospital in New England and provides a full spectrum of pediatric and adult care services from primary to family medicine to advanced specialty care. Driven by the social determinants of health that impact health outcomes among our patients and community, the goal of our community health improvement activities, or community benefits, is to improve community health. Approximately 59% of our patients are from underserved populations, such as the low-income and the elderly, who rely on government payers such as Medicaid, the Health Safety Net and Medicare for their coverage, and 32% do not speak English as a primary language. To address the health needs of its diverse patient population, BMC provides a wide range of services beyond the traditional medical model. These programs, including but not limited to patient navigation and a food pantry, help reduce barriers to accessing health services and eliminate inequities in healthcare among the various populations BMC serves. With more than 25,816 admissions and 1 million patient visits per year, BMC provides a comprehensive range of inpatient, clinical and diagnostic services in more than 70 areas of medical specialties and subspecialties. The largest 24-hour Level I trauma center in New England, BMCs Emergency Department has more than 139,577 patient visits annually. BMC serves the urban community of Greater Boston. The majority of the communities that BMC serves are located in Boston census tracts that are federally-designated medically underserved areas/populations. Although Massachusetts universal care enables individuals to seek care at any hospital, BMC remains the largest safety net provider in Boston and New England. An estimated 18.9% of Boston residents live below the federal poverty level. The implementation of universal care did not reduce the real number or percent of underserved communities served by BMC According to the Massachusetts Health Insurance Surveys 2019 research brief, an estimate of 2.9% of residents were uninsured and 92% of Massachusetts residents had coverage for the full year during the survey of which 64.4% reported employer-sponsored insurance (ESI) and 34.5% reported other non-ESI. Still, insured residents in fair or poor health have high rates of affordability issues with 25.5% reporting challenges paying their medical bills. Of BMCs patients in 2020, approximately 9.63% were uninsured and coverage rates for primary insurance were approximately: 18.40% Medicare; 34.06% Medicaid; 36.44% private or employer-sponsored insurance; 6% Commonwealth Connector and 1.1% Other. Schedule H, PART I, LINE 5C The organization's charity care did not exceed budgeted amounts. The budgeted amounts are predicted charity care amounts. The organization did not have any excess funds. Schedule H, PART I, LINE 7 FOR THE CALCULATION OF COSTS OF CHARITY CARE (LINE 7A) & MEDICAID COST (LINE 7B), AN OVERALL COST TO CHARGE RATIO WAS USED. A COST TO CHARGE RATIO IS DETERMINED BY DIVIDING THE TOTAL CHARGES FOR ALL SERVICES INTO THE TOTAL COST OF PROVIDING THE SERVICES. THE RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE and MEDICAID TO OBTAIN THEIR RESPECTIVE COSTS. FOR THE CALCULATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES (LINE 7E) DISCRETE COSTING WAS USED. FOR THE CALCULATION OF HEALTH PROFESSIONS EDUCATION COST (LINE 7F) THE CENTERS FOR MEDICARE & MEDICAID services (CMS) COST ALLOCATION METHODOLOGY (CMS FORM 2552) WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT. Schedule H, PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $0. DURING FISCAL YEAR 2020, BMC RECOGNIZED NET FAVORABLE SETTLEMENTS FROM MEDICARE, MEDICAID, BMCHP, BLUE CROSS AND OTHER PAYORS RELATED TO PRIOR YEARS OF APPORXIMATELY $946,705 Schedule H, PART II, COMMUNITY BUILDING ACTIVITIES: BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON. THOSE LINKAGE FEE FUNDS SUPPORT PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. BMC ALSO PROVIDES SUBSIDIES TO BOSTON HEALTHNET, WHICH SUPPORTS COMMUNITY-BASED SERVICES. PHYSICAL IMPROVEMENTS AND HOUSING: ACCORDING TO THE DEVELOPMENT IMPACT PROJECT AGREEMENT FOR THE MOAKLEY CENTER ADDITION AND INPATIENT BUILDING PHASE I TRANSPORT BRIDGE PROJECT BETWEEN BOSTON MEDICAL CENTER AND THE BOSTON REDEVELOPMENT AUTHORITY, DATED MAY 5, 2014, BMC AGREES TO PAY LINKAGE FEES OF $25,746, ENDING IN 2022 TO THE NEIGHBORHOOD JOBS TRUST. MATTAPAN COMMUNITY HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $8,200,000 FROM BOSTON MEDICAL CENTER DURING 2009 AND 2010 IN THE FORM OF A LOAN THAT WAS ORIGINATED ON SEPTEMBER 30, 2010. EFFECTIVE JUNE 30, 2009, $1,000,000 OF THE 2009 PORTION OF THE MATTAPAN LOAN WAS FORGIVEN. COMMENCING NOVEMBER 1, 2011, BOSTON MEDICAL CENTER AGREED TO FORGIVE TEN PERCENT OF THE REMAINING PRINCIPAL AMOUNT ($7,200,000) OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING COULD BE FORGIVEN IN TEN YEARS. IN FISCAL YEAR 2018, BOSTON MEDICAL CENTER INCURRED AN EXPENSE OF $2,220,000 TO FULLY RESERVE AGAINST THE NOTE RECEIVABLE AS IT WAS DETERMINED THAT NO FUTURE PAYMENTS WERE ANTICIPATED ON THE LOAN. THE LOAN AND RESPECTIVE RESERVE IS ACCOUNTED FOR ON THE BALANCE SHEET, ANNUALLY, EACH IS REDUCED BY THE FORGIVABLE AMOUNT. EAST BOSTON NEIGHBORHOOD HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $1,000,000 FROM BOSTON MEDICAL CENTER DURING 2013 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JANUARY 15, 2013. COMMENCING SEPTEMBER 30, 2013, BOSTON MEDICAL CENTER AGREED TO FORGIVE TEN PERCENT OF THE ORIGINAL PRINCIPAL AMOUNT OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING COULD BE FORGIVEN IN TEN YEARS. IN FISCAL YEAR 2018, BOSTON MEDICAL CENTER INCURRED AN EXPENSE OF $500,000 TO FULLY RESERVE AGAINST THE NOTE RECEIVABLE AS IT WAS DETERMINED THAT NO FUTURE PAYMENTS WERE ANTICIPATED ON THE LOAN. THE LOAN AND RESPECTIVE RESERVE IS ACCOUNTED FOR ON THE BALANCE SHEET, ANNUALLY, EACH IS REDUCED BY THE FORGIVABLE AMOUNT. SOUTH BOSTON COMMUNITY HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $600,000 FROM BOSTON MEDICAL CENTER DURING 2016 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JANUARY 26, 2016. COMMENCING JANUARY 26, 2017, BOSTON MEDICAL CENTER AGREED TO FORGIVE TEN PERCENT OF THE ORIGINAL PRINCIPAL AMOUNT OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING COULD BE FORGIVEN IN TEN YEARS. IN FISCAL YEAR 2018, BOSTON MEDICAL CENTER INCURRED AN EXPENSE OF $540,000 TO FULLY RESERVE AGAINST THE NOTE RECEIVABLE AS IT WAS DETERMINED THAT NO FUTURE PAYMENTS WERE ANTICIPATED ON THE LOAN. THE LOAN AND RESPECTIVE RESERVE IS ACCOUNTED FOR ON THE BALANCE SHEET, ANNUALLY, EACH IS REDUCED BY THE FORGIVABLE AMOUNT. SOUTH END COMMUNITY HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $200,000 FROM BOSTON MEDICAL CENTER DURING 2017 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JUNE 16, 2017. COMMENCING JUNE 16, 2017, BOSTON MEDICAL CENTER AGREED TO FORGIVE ONE-THIRD OF THE ORIGINAL PRINCIPAL AMOUNT AND ACCRUED INTEREST OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING COULD BE FORGIVEN IN THREE YEARS. IN FISCAL YEAR 2018, BOSTON MEDICAL CENTER INCURRED AN EXPENSE OF $200,000 TO FULLY RESERVE AGAINST THE NOTE RECEIVABLE AS IT WAS DETERMINED THAT NO FUTURE PAYMENTS WERE ANTICIPATED ON THE LOAN. THE LOAN AND RESPECTIVE RESERVE IS ACCOUNTED FOR ON THE BALANCE SHEET, ANNUALLY, EACH IS REDUCED BY THE FORGIVABLE AMOUNT. CAPITAL INVESTMENTS IN BOSTON HEALTHNET: WHILE THE NEED FOR COMMUNITY-BASED SERVICES CONTINUES TO GROW, IT HAS BECOME INCREASINGLY DIFFICULT FOR COMMUNITY HEALTH CENTERS TO MEET THE DEMAND. REIMBURSEMENT OFTEN DOES NOT COVER THE FULL COST OF CARING FOR THE COMPLEX NEEDS OF HEALTH CENTERS' DIVERSE PATIENT POPULATION. COMPOUNDING THIS PROBLEM, IN THE MID-LATE 1990S, MANY HEALTH CENTERS FOUND THEMSELVES OPERATING IN FACILITIES THAT WERE IN DESPERATE NEED OF RESTORATION OR EXPANSION. COSTLY INFORMATION TECHNOLOGY UPGRADES WERE ALSO REQUIRED TO ENHANCE MANAGEMENT EFFICIENCIES AND PATIENT CARE. IN RESPONSE TO THE HEALTH CENTERS' NEEDS, BMC PROVIDED APPROXIMATELY $15.8 MILLION IN OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS EACH YEAR. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT. Schedule H, PART III, LINE 2: SCHEDULE H, PART III, LINE 3 REPORTS BAD DEBT EXPENSE AT COST. PATIENT PAYMENTS ON ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AND RECORDED AS A BAD DEBT RECOVERY, REDUCING THE GROSS BAD DEBT WRITE-OFF. Schedule H, PART III, LINE 3: THE ORGANIZATION ESTIMATED $0 OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY DUE TO THE MANNER IN WHICH THE DETAIL OF THE BAD DEBT EXPENSE IS PROCESSED IN ITS SYSTEM. Schedule H, PART III, LINE 4: THE ORGANIZATION'S BAD DEBT EXPENSE IS ADDRESSED IN FOOTNOTES 1(R)(III) AND 1(T) FOUND ON PAGES 15 AND 16 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS. Schedule H, PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF $184,343,257 WERE CALCULATED USING THE CMS FORM 2552 METHODOLOGY OF DETERMINING MEDICARE COSTS. THIS USES THE STEP DOWN METHOD OF DETERMINING FULLY-ALLOCATED COSTS BY DISTINCT CLINICAL COST CENTERS AS DEFINED BY CMS. THESE FULLY-ALLOCATED COSTS ARE APPLIED AGAINST TOTAL CHARGES TO CALCULATE A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES BY DISTINCT CLINICAL COST CENTERS TO DETERMINE THE MEDICARE COSTS. Schedule H, PART III, LINE 9B: POPULATIONS EXEMPT FROM COLLECTION ACTIVITIES THE HOSPITAL WILL NOT REQUIRE PRE-ADMISSION OR PRE-TREATMENT DEPOSITS FROM INDIVIDUALS REQUIRING EMERGENCY SERVICES OR DETERMINED TO BE LOW-INCOME. THE FOLLOWING INDIVIDUALS AND PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS: A. PATIENTS WITH MASSHEALTH, Emergency Aid to the Elderly, Disabled and Children of THE DISABLED, CHILDREN, AND FULL Health Safety Net OR PATIENTS WITH County Medical Services Program OR PARTIAL hepatosplenomegaly BELOW THE PROGRAM-DEFINED Federal Poverty Level OR Modified Adjusted Gross Income GUIDELINE, OR OTHERS DETERMINED TO BE LOW-INCOME PATIENTS ARE EXEMPT FROM COLLECTION SUBJECT TO: 1. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY LOW-INCOME PATIENT FOR THEIR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM. 2. THE HOSPITAL MAY SEEK COLLECTION TO ALLOW A PATIENT TO MEET THE COMMONWEALTH ONE-TIME DEDUCTIBLE. 3. THE HOSPITAL MAY ALSO INITIATE BILLING OR COLLECTION FOR A LOW-INCOME PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT WHO FAILS TO PROVIDE PROOF OF HIS OR HER PARTICIPATION AND WHOSE INSURANCE CANNOT BE VERIFIED IN THE HOSPITAL ELIGIBILITY SYSTEM. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM, INCLUDING RECEIPT OR VERIFICATION FROM THE INSURANCE CARRIER, THE HOSPITAL SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES. 4. THE HOSPITAL MAY CONTINUE COLLECTION ACTION ON ANY LOW-INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW-INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW-INCOME PATIENT STATUS HAS BEEN TERMINATED OR EXPIRED. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN THE HEALTH SAFETY NET, MASSHEALTH, OR CERTAIN FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL CEASE COLLECTION ACTIVITY FOR SERVICES PROVIDED PRIOR TO THE BEGINNING OF THE PATIENT'S ELIGIBILITY. 5. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR THE SERVICE. Schedule H, PART V, SECTION A THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH HAS LICENSED BOSTON MEDICAL CENTER TO OPERATE A HOSPITAL AT ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118. THIS LOCATION IS (1) A LICENSED HOSPITAL, (2) PROVIDES GENERAL MEDICAL & SURGICAL TREATMENT, (3) IS A TEACHING HOSPITAL, AND (4) OPERATES AN ER 24 HOURS. WHILE THE HOSPITAL LICENSE LISTS TWO CAMPUSES, ONLY ONE CAMPUS OPERATES: 1. BOSTON MEDICAL CENTER CORPORATION, MENINO PAVILION, 830-840 HARRISON AVENUE, BOSTON MA 02118 BOSTON MEDICAL CENTER ALSO OPERATES THE FOLLOWING OUTPATIENT CENTERS, WHICH ARE UNDER THE HOSPITAL'S LICENSE: CODMAN SQUARE HEALTH CENTER BRIGHTON HIGH SCHOOL STUDENT HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT RYAN CENTER BOSTON UNIVERSITY EAST BOSTON NEIGHBORHOOD HEALTH CENTER (10 GOVE STREET) DOTHOUSE HEALTH MADISON PARK HIGH SCHOOL STUDENT HEALTH CENTER JEREMIAH E. BURKE STUDENT HEALTH CENTER GREATER ROSLINDALE MEDICAL & DENTAL LATIN ACADEMY STUDENT HEALTH CENTER TECHBOSTON ACADEMY SCHOOL HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT WHITTIER STREET HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT UPHAM'S CORNER HEALTH CENTER MURIEL SNOWDEN INTERNATIONAL HIGH SCHOOL HEALTH CENTER SOUTH BOSTON COMMUNITY HEALTH CENTER 386 WEST BROADWAY SOUTH BOSTON COMMUNITY HEALTH CENTER 409 WEST BROADWAY BOSTON MEDICAL CENTER SCHOOL-BASED HEALTH CENTER AT BOSTON COMMUNITY LEADERSHIP ACADEMY EAST BOSTON NEIGHBORHOOD HEALTH CENTER - 20 MAVERICK SQUARE BOSTON MEDICAL CENTER RADIOLOGY AT MATTAPAN COMMUNITY HEALTH CENTER EAST BOSTON NEIGHBORHOOD HEALTH CENTER (79 PARIS STREET) EBHS SCHOOL BASED HEALTH CENTER WINTHROP COMMUNITY HEALTH CENTER SOUTH BOSTON COMMUNITY HEALTH CENTER SEAPORT PRIMARY CARE BOSTON MEDICAL CENTER - DEPARTMENT OF FAMILY MEDICINE BOSTON MEDICAL CENTER - CROSSTOWN Schedule H, PART VI, LINE 2 NEEDS ASSESSMENT In 2019, BMC conducted a comprehensive Community Health Needs Assessment (CHNA) in collaboration with community organizations, Boston residents, health centers, hospitals and the Boston Public Health Commission. The Boston Community Health Needs Assessment-Community Health Improvement Plan Collaborative (the CHNA-CHIP Collaborative) formed to undertake the first Boston-wide CHNA and CHIP. Focusing on the social determinants of health and using a health equity lens, the Collaborative employed a participatory approach that engaged the community in every step of the CHNA. This CHNA focuses on the social determinants of health using a health equity lens. The influences of race, ethnicity, income, and geography on health patterns are often intertwined. In the United States, social, economic, and political processes ascribe social status based on race and ethnicity, which may influence opportunities for educational and occupational advancement and housing options, two factors that profoundly affect health. Institutional racism, economic inequality, discriminatory policies, and historical oppression of specific groups are many of the root factors that drive the health inequities we see in the U.S. today. The CHNA used a participatory, collaborative approach that engaged the community through different avenues. Over 100 Collaborative members representing health care, public health, education, community development, social service, and community-based organizations provided input throughout the CHNA process and played an integral role in data collection efforts. Data collection efforts were focused on engaging hard-to-reach populations who are not typically engaged in these processes or represented in the secondary data. Existing data were drawn from national, state, and city sources, such as the U.S. Census, Massachusetts Department of Public Health, and Boston Public Health Commission, including datasets such as the Boston Behavioral Risk Factor Surveillance System (BBRFSS). For new data collection, over 91 organizations and 2,500 individuals were engaged in a CHNA community survey (N=2,404) administered online and in-person in seven languages, 13 focus groups with community residents (N=104), and 45 interviews with organizational and community leaders to gauge their perceptions of the communitys needs, strengths, and opportunities. Like all data gathering efforts, there are limitations to the CHNA data. Secondary data have a time lag, and various sources may use different definitions for similar topics. Data may be aggregated across time, geographies, or population groups to provide large enough sample sizes. More granular analysis for specific neighborhoods or ethnic groups within larger racial/ethnic categories is not possible. Primary data such as the survey and focus groups use a convenience sample which may not be representative of the larger population. Thirteen focus groups were conducted with specific populations of interest: 12 focus groups conducted specifically for the collaborative CHNA and one additional focus group conducted by work group members who submitted notes for the CHNA. Focus groups were 90-minute semi-structured conversations with approximately 8-12 participants per group and aimed to delve deeply into communitys needs, strengths, and opportunities for the future. Focus groups were conducted with the following population groups, including residents of specific neighborhoods: Female low-wage workers (e.g. housekeepers, child care workers, hotel service workers, etc.); Male low-wage workers (e.g. janitorial staff, construction, etc.); Seniors (ages 65+) with complex, challenging issues (e.g. homebound, medical complications); Residents who are housing insecure (no permanent address or close to eviction); Latino residents living in East Boston (in Spanish); LGBTQ youth and young adults at risk of being homeless; Immigrant parents of school age children (5-18 years); Survivors of violence; Mothers who have been impacted by violence; Parents living in public housing in Dorchester; Chinese residents living in Chinatown (in Chinese); Haitian residents living in Mattapan (in Haitian Creole); Residents in active substance use recovery; and an additional focus group with residents living in Chinatown. A total of 104 community residents participated in focus groups, representing 13 neighborhoods across the city. Nearly half of focus group participants identified as Black or African American (45%), a third of participants identified as Hispanic or Latino (34%), and 10% identified as White. The majority of participants identified as female (57%), 36% identified as male, and 7% identified as transgender or genderqueer. Additional data on focus group participant characteristics can be found in Appendix F. Fifteen community and social service organizations located throughout Boston assisted with recruiting participants and/or hosting focus groups. A total of 45 key informant interviews were completed, six of which were additional interviews submitted by work group volunteers. Interviews were 45-60-minute semi-structured discussions that engaged institutional, organizational, and community leaders and front-line staff across sectors. Discussions explored interviewees experiences of addressing community needs and opportunities for future alignment, coordination, and expansion of services, initiatives, and policies. Sectors represented in these interviews included: public health, health care, housing and homelessness, transportation, community development, faith, education, public safety, environmental justice, government, workforce development, social services, food insecurity, business organizational staff that work with specific population such as youth, seniors, disabled, LGBTQ, and immigrants. Key findings that emerged from the CHNA included health care access and utilization, chronic diseases and risk factors, mental health and substance abuse, violence, housing affordability, and environmental health. Unwavering in our commitment to address the health needs of our community, BMC provides a wide range of programs beyond the traditional medical model to address these social determinants of health. Core to fulfilling our public health mission and consistent with the CHNA findings, the goals of our community benefits program are to improve access to health services and improve health outcomes for underserved populations in our community. Schedule H, PART VI, LINE 3: THE HOSPITAL POSTS NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE IN: I. INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT AND WAITING AREAS; II. PATIENT FINANCIAL COUNSELOR AREAS; III. CENTRAL ADMISSION/REGISTRATION AREAS; AND IV. BUSINESS OFFICE AREAS THAT ARE OPEN TO PATIENTS. POSTED NOTICES ARE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. THE HOSPITAL ALSO INCLUDES A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL INITIAL BILLS. WHEN THE PATIENT CONTACTS THE HOSPITAL, THE PATIENT FINANCIAL SERVICES STAFF NOTIFIES THE PATIENT IF THEY QUALIFY FOR A PAYMENT PLAN. A PATIENT WHO IS ENROLLED IN A PUBLIC FINANCIAL ASSISTANCE PROGRAM (FOR EXAMPLE, MASSHEALTH, HEALTH SAFETY NET, OR FOR MEDICAL HARDSHIP) MAY QUALIFY FOR CERTAIN PLANS. PATIENTS MAY ALSO QUALIFY FOR ADDITIONAL ASSISTANCE BASED ON THE HOSPITAL'S OWN INTERNAL CRITERIA FOR FINANCIAL ASSISTANCE. FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL ASSISTS THE PATIENT IN COMPLETING THE APPLICATION FOR MASSHEALTH CONNECTORCARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTH START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM. ALL SIGNS AND NOTICES ARE TRANSLATED INTO LANGUAGES OTHER THAN ENGLISH IF A LANGUAGE IS SPOKEN BY 10% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO ENGLISH, PORTUGUESE, SPANISH, AND HAITIAN CREOLE. Schedule H, PART VI, LINE 4: COMMUNITY INFORMATION PLEASE SEE INTRODUCTION Schedule H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH Health Care Access Birth Sisters and Centering Pregnancy: Between October 1, 2019 and September 30, 2020, we adapted our CenteringPregnancy program in response to the COVID-19 pandemic. In March 2020, in-person Centering sessions were suspended to reduce the risk of COVID-19 transmission. Due to changes in access to services and recommendations around physical distancing, patients have reduced access to childbirth education resources, social support, and are at increased risk for social isolation and stress due to COVID-19. Therefore, we decided to trial a Centering telehealth option for our patients. By offering a telehealth model of CenteringPregnancy, we hope to provide patients with continued opportunities to gain valuable prenatal education and social connection. We formally started offering Centering telehealth on Zoom in July 2020. Patients join 1-2 hour group Zoom sessions with their midwife and group members every 2-4 weeks for a total of 9-11 group sessions. Additionally, they attend routine in-person visits based on the COVID-19 prenatal care guidelines. We had 62 patients fully participate in our in-person CenteringPregnancy program from October 1, 2019 until it was disrupted by COVID. We had 13 patients who participated in our Zoom telehealth CenteringPregnancy program between July 1, 2020 and September 30, 2020. CATALYST Clinic: In May 2016, Boston Medical Center launched the CATALYST Clinic (Center for Addiction Treatment for AdoLescent/Young adults who use SubsTances), a program designed to treat young people aged 25 and under who are struggling with substance use, or who have experimented with drugs and alcohol and may be at risk for developing an addiction. The CATALYST Clinic team works to provide interdisciplinary, team-based care that includes physicians, a nurse, two social workers, a recovery support navigator and a program manager. The CATALYST Clinic team works together to offer assessment, diagnosis, and treatment of various substance use disorders, as well as facilitates the transition from adolescent to adult care when appropriate. In Fiscal Year 2020, the CATALYST Clinic received approximately 78 referrals to the clinic; 630 referrals have been received since the programs inception. Child Life Program (CLP): The Child Life Program assists children and families in managing the stresses associated with hospitalization and illness. All CLP team members are trained developmental specialists, aiming to support children and families through the hospital experience. The goals of the CLP are to: help children express their feelings through play in a safe and supportive environment; advocate for children, offering support to effectively work through pain management; offer children developmentally appropriate choices that increase feelings of independence, self-esteem, and trust; and assist with implementation of coping techniques during stressful situations. The CLP currently covers the areas of Inpatient Pediatrics and the Pediatric Intensive Care Unit, Pediatric Ambulatory Care Clinic including Specialty Clinics, Pediatric Emergency Department, Pediatric Otolaryngology Clinic and Operating areas for pediatric surgery. The team remains a consult service for pediatric cases in the NICU, Radiology, Trauma services, and OBYGN as well as for bereavement support working with children of adult families. Child Passenger Safety Program: BMC recognizes and uses the Center for Disease Control and Preventions Child Passenger Safety recommendations. Massachusetts state law requires that all children under age 8 and less than 57 inches tall be properly fastened and secured in a federally approved car seat or booster seat. BMC requires all newborns leaving the hospital have an appropriate car seat prior to discharge home. The Division of Trauma partners with the Public Safety Office to provide child safety seat installation and inspection free of charge. Public Safety officers are trained Child Passenger Safety Technicians (CPSTs) who have been certified in correct installation of child safety seats and are re-certified every 2 years. BMCs CPSTs are responsible for and capable of: securing children in appropriate child restraint systems; installing child restraint systems in multiple types of vehicles; educating others on how to correctly install child restraint systems in vehicles and how to properly restrain children in motor vehicles; and organizing, coordinating or assisting at inspection stations and checkup events. In FY20, the Child Passenger Safety Program installed or provided education on approximately 100 car seats. Clothing Bank: BMCs social workers access the clothing bank in real time when a provider contacts Social Work about a basic clothing need (sweatpants, shirts, underwear, socks, shoes, and winter coats) for a low-income patient. The Center for the Urban Child and Healthy Family (the Center): The Center, launched in 2016, is catalyzing BMCs vision of making Boston one of the healthiest cities in the world by ensuring every child has an equal opportunity to be healthy and achieve their full potential. As such, the Center is creating a system of pediatric health care that actively promotes health equity and eradicates disparities. As an innovation hub within the Department of Pediatrics, the Center creates and tests innovative health care delivery models, working in partnership with families, communities and other child- and family-serving sectors. The Center has set a goal that by 2028, all children cared for by BMC Pediatrics will be healthy and ready to learn - with adequate supports to thrive - by age five. To achieve this goal, the center co-developed a new model of pediatric primary care- the Pediatric Practice of the Future - with families and pediatric providers. This model supports whole family development with attention to factors influencing well-being and bringing together care in a systematic, equitable way to promote wellness throughout the life course. The Center is piloting the new model aimed at families with newborns, and is collecting data to understand its impact. The pilot launched in January 2020 and has enrolled 95 of the target 100 families. Ultimately, a financially sustainable model will be scaled to the larger primary care practice. In addition, the Center is partnering with BMC HealthNet Plan, BMCs health insurance program, to test alternative payment models to ultimately redefine value in pediatric care. Cribs for Kids: BMC partners with the national Cribs for Kids program, where its mission is to provide cribs to babies whose mothers could not afford them otherwise and educate mothers about the dangers of unsafe sleep environments. BMC provides free pack-and-plays and cribs to families who do not otherwise have a safe space for their baby to sleep. This program is funded through the Injury Prevention Trauma Development fund. In FY20, the Cribs for Kids program at BMC provided pack and plays to approximately 50 families. Elders Living at Home Program (ELAHP): The goal of ELAHP is to help older adults who are homeless or at risk for homelessness secure and maintain a permanent residence and live as independently as possible. ELAHP served 269 clients during Fiscal Year 2020. Of the 269 clients, 79 received housing search and placement services; 66 received housing stabilization services; and 49 received homelessness prevention assistance. Some clients received more than one type of service. All clients suffer from at least one chronic illness, and 96% suffer from two or more disabling medical conditions. (These totals reflect a slight decline from previous years, mostly due to the pandemic.) Over the last 11 years, the success rate of ELAHPs stabilization services is 98%. An additional 119 clients were served through the Living Well at Home Project, a community-based complex care management pilot designed to improve health outcomes for frail residents of an elderly/disabled housing complex in Roxbury and another in Cambridge. In late March, BMC opened a COVID Recovery Unit (CRU) for patients who tested positive but were not sick enough to require hospitalization, yet still contagious and too sick to return to emergency shelter or unstable housing. Many of these individuals were older adults, and ELAHP stepped in to provide housing assessment and search services for these patients. Most of this work took place after patients were discharged from the CRU. Grow Clinic: The Grow Clinic was founded in 1984 within BMCs Department of Pediatrics. The primary goal of the Grow Clinic is to provide comprehensive multidisciplinary medical, nutritional, social services and developmental support to children from the Greater Boston area diagnosed with Failure to Thrive (FTT). Children with FTT have significant difficulty growing because of malnutrition associated with illness, poverty, and other family stressors. The effects of FTT include shortened attention sp Schedule H, PART VI, LINE 6 BMC HealthNet Plan BMC HealthNet Plan is a non-profit health plan that provides health insurance coverage to Massachusetts residents, including low income, underserved, disabled and elderly populations. It was established in 1997 by BMC and has more than 20 years of experience delivering accessible care to complex populations. BMC HealthNet Plan serves over 313,777 members across Massachusetts. IT also provides health coverage to Medicaid members in New Hampshire, where it operates as Well Sense Health Plan. Boston HealthNet (BHN) Established in 1995, Boston HealthNet (BHN) is an integrated health care delivery system comprised of BMC, the Boston University School of Medicine, and 12 community health centers (CHCs). The partnership has become a national model for community health care networks. Physicians who practice at HealthNet locations provide a wide range of comprehensive health care services to adult and pediatric patients, with a focus on disease prevention and health education. All physicians working in the health centers must be credentialed as members of BMC medical staff. Patients receiving primary care at HealthNet sites have access to highly trained specialists and cutting-edge technology at BMC while maintaining individualized and culturally sensitive care in their neighborhoods. Now in its 26th year, BHN and its CHC partners have extended BMCs presence into Boston-area neighborhoods, significantly impacting the health of their residents. The accomplishments of the network are evidenced by: the high volume of CHC admissions to BMC; the collaborative development of quality improvement initiatives, clinical protocols, and standards of practice; increased access to specialty services; and the significant coordination of BHNs information technology programs and services. In 2015 and in collaboration with BMC, 9 of the BHN CHCs began the process of implementing a new Electronic Health Record (EHR) and practice management system that facilitates CHC and BMC provider access to mutual patients EHRs. The implementation of the new EHR, OCHIN, greatly enhanced the care coordination efforts between Boston HealthNet CHCs and the specialty clinics at BMC. Grants: Boston HealthNet partners with the Massachusetts League of Community Health Centers to participate in a federal Health Center Controlled Network grant, a $900,000 three year grant (2019 - 2022) that supports quality improvement, data quality, reporting, and clinical EMR training. Research: A BHN Research Subcommittee was established in 2005 to review research projects that are proposed at the health centers, and has reviewed over 255 projects reviewed to-date. Advancing Medical Education: A number of Boston HealthNet community health centers also serve as the primary community-based training sites for Boston University School of Medicine (BUSM) pediatric, family medicine, psychiatry and general medicine residents. Boston HealthNet facilitates community health center engagement with nearly 240 BUSM students to provide community-based education programs. BUSM students and physician assistants round at community health centers to supplement their training with direct patient contact. Community health center participation is high; 80 residents have been placed at community health centers during the 2020 academic year. Boston Accountable Care Organization (BACO): Currently, eight Boston HealthNet community health centers participate in BACO. BACO enters into risk arrangements with government programs and commercial insurers and the BACO participants are collectively accountable for the quality and cost of the care they provide. BACOs most significant risk arrangement is with the MassHealth ACO program. With its participation in the MassHealth ACO program BACO became clinically and financially integrated with BMC Health System - which includes BMC, Boston University Medical Group, and BMC HealthNet Plan - and the parties engage in joint decision making over all substantive decisions regarding participation in the program. COVID-19 Initiatives: During the 2020 COVID-19 pandemic, Boston HealthNet community health centers collaborated with BMC, Mass League of CHCs and MA Department of Public Health-led COVID-19 initiatives and assisted in creating protocols for testing, triage, clinical practice re-configuration. "re-opening" planning, in addition to impementing an ongoing telehealth strategy. Current initiatives include strategizing and planning around COVID-19 vaccinations, creating a prioritization framework, planning logistics around supply, developing workflows, and staff training. Schedule H, PART VI, LINE 7 BMC does not file a community benefits report with the Commonwealth of Massachusetts. true Boston University 715 Albany Street Boston MA 021182528 042103547 501(c)(3) 5719998 Subaward Bay Cove Human Services 66 Canal St 3Rd Floor Boston MA 02114 042518575 501(c)(3) 4924357 Subaward North Suffolk Mental Health Association 301 Broadway Avenue Chelsea MA 02150 042317215 501(c)(3) 1999998 Subaward Beth Israel Deaconess Hospital 330 Brookline Ave Boston MA 02215 042103881 501(c)(3) 906123 Subaward Florida International Univ 11200 Sw 8Th Street Csc319 Miami FL 33199 650177616 501(c)(3) 884226 Subaward Commonwealth Of Massachusetts Dept of Public Hlth Jamaica Plain MA 02130 046002284 115 634771 Subaward Tufts University 715 Albany Street Boston MA 02111 042103634 501(c)(3) 627009 Subaward Vinfen Corp 1050 Commonwealth Ave Boston MA 02215 042632219 501(c)(3) 527973 Subaward Seattle Children'S Hospital 4800 Sand Point Way Ne Seattle WA 98105 910564748 501(c)(3) 527163 Subaward Child & Family Service 3057 Acushnet Avenue New Bedford MA 02745 042104754 501(c)(3) 514667 Subaward Northwestern University Tarry Bldg 3-707 303 E Chicago Ave Chicago IL 606113008 362167817 501(c)(3) 462920 Subaward Massachusetts General Hospital 55 Fruit Street Boston MA 02114 042697983 501(c)(3) 453928 Subaward Us Civilian Research And Development Fndn 1776 Wilson Blvd Arlington VA 22209 541773406 501(c)(3) 450565 Subaward Emory University Off Of Grants Contracts Atlanta GA 30322 580566256 501(c)(3) 310113 Subaward University Of North Carolina Off ContrGrnts Chapel Hill NC 275991350 566001393 501(c)(3) 289529 Subaward American Academy Of Pediatrics 141 NW Pt Blvd Elk Grove Vil IL 600070747 362275597 501(c)(3) 277770 Subaward Mass General Physicians 399 Revolution Dr Boston MA 02114 042807148 501(c)(3) 275000 Subaward John Hopkins University 600 Wolfe Street Baltimore MD 21210 520595110 501(c)(3) 259690 Subaward Cambridge Health Alliance Mystic Center Medford MA 02155 043320571 501(c)(3) 248799 Subaward University Of Massachusetts 55 Lake Avenue North Worcester MA 01655 043167352 115 227035 Subaward Northeastern University 360 Huntington Avenue Boston MA 02115 041679980 501(c)(3) 215818 Subaward Brockton Area Multi-Services Inc 10 Christys Dr Brockton MA 02301 042562377 501(c)(3) 183869 Subaward University Of Washington 4300 Roosevelt Way Ne Seattle WA 98195 916001537 115 180916 Subaward Hennepin Heathcare Research Institute 701 Park Ave Minneapolis MN 55404 411677920 501(c)(3) 178640 Subaward Yale University School Of Med 2 Whitney Ave6Th Floor New Haven CT 06510 060646973 501(c)(3) 177950 Subaward Southwest Boston Senior Svc 555 Amory Street Jamaica Plain MA 02130 237304163 501(c)(3) 171222 Subaward Brigham & Womens Hosp Po Box 3149 Boston MA 02115 042312909 501(c)(3) 168973 Subaward North Shore Community Health 47 Congress St Salem MA 01970 042610447 501(c)(3) 149276 Subaward Boston Senior Home Care Inc 89 South St Ste 501 Boston MA 02111 042546251 501(c)(3) 128417 Subaward Vanderbilt University 2301 Vanderbilt Pl Nashville TN 372406310 620476822 501(c)(3) 128415 Subaward Harvard University Office Of Spsd Progs Cambridge MA 02138 042103580 501(c)(3) 126982 Subaward Steward St Anne'S Hospital Co 1900 N Pearl Street 2400 Dallas TX 75201 272473637 125428 Subaward Chc Of Cape Code 107 Commercial St Mashpee MA 02649 043370560 501(c)(3) 117423 Subaward Weill Medical College Of Cornell University 100 Broadway 8Th Fl New York NY 10005 131623978 501(c)(3) 111728 Subaward Comagine Health 10700 Meridian Ave N Seattle WA 981339008 911072875 501(c)(3) 104617 Subaward University Of South California Univ Gardens Los Angeles CA 900898006 951642394 501(c)(3) 91889 Subaward Rutgers The State University 65 Davidson Road Piscataway NJ 08554 462354111 501(c)(3) 91409 Subaward Central Boston Elder Svc Inc 2315 Washington Street Boston MA 02119 042546441 501(c)(3) 87474 Subaward Harbor Health Service Inc 398 Neponset Ave Dorchester MA 02122 237100550 501(c)(3) 85348 Subaward Dana Farber Cancer Institute 450 Brookline Ave Boston MA 022156084 042263040 501(c)(3) 79995 Subaward Children's Hospital Of Boston 300 Longwood Ave Boston MA 02115 042774441 501(c)(3) 79666 Subaward Centering Healthcare Institute 89 South Street Boston MA 02111 061622668 501(c)(3) 79580 Subaward Cooper Health System One Cooper Place Camden NJ 08103 210634462 501(c)(3) 74000 Subaward Rand Corporation 1776 Main St Santa Monica CA 904072138 951958142 501(c)(3) 73668 Subaward Mclean Hospital Corporation 115 Mill St Belmont MA 024789106 042697981 501(c)(3) 72591 Subaward The Regents Of The University Of Colorado 1800 Grant St Denver CO 80203 846000555 501(c)(3) 71208 Subaward University Of Pittsburgh 200 Meyran Ave Pittsburgh PA 15213 250965591 501(c)(3) 68941 Subaward Third Sector New England Inc Lincoln Plaza 89 South St Boston MA 02111 042261109 501(c)(3) 68682 Subaward Arkansas Children'S Hospital 800 Marshall Slot 512 Little Rock AK 72202 710694931 501(c)(3) 68274 Subaward Connecticut Children's Med Ctr 10 Columbus Blvd Hartford CT 06106 060646755 501(c)(3) 67288 Subaward Brandeis University Office Of Grants Amn Waltham MA 022549110 042103552 501(c)(3) 66798 Subaward Baystate Medical Center 140 High Street C Springfield MA 01199 042790311 501(c)(3) 65693 Subaward Social Science Research And Evaluation Inc (Ssre) 84 Mill Street Lincoln MA 017731706 222551337 501(c)(3) 65353 Subaward Asian Women For Health Inc 83 Wallace St Somerville MA 02144 320390494 501(c)(3) 64131 Subaward Brown University Office Of Contr Box J Providence RI 02912 050258809 501(c)(3) 62966 Subaward Rhode Island Hospital 593 Eddy Street Providence RI 029034923 050258954 501(c)(3) 59372 Subaward Oregon State University Off For Spsd Res Corvallis OR 973312140 611730890 115 58253 Subaward Regents Of The U Of California 2760 Fifth Avenue La Jolla CA 920930953 956006144 501(c)(3) 57695 Subaward University Of Maryland Baltimore Foundation Inc 621 W Lombard St Baltimore MD 21201 311678679 501(c)(3) 39036 Subaward Drexel University 3201 Arch St Philadelphia PA 19104 231352630 501(c)(3) 56699 Subaward Brazelton Touchpoints Project 1295 Boylston St Boston MA 02215 043327682 501(c)(3) 56112 Subaward Reaching Our Sisters Everywhere Inc Decatur GA 300344314 452803568 501(c)(3) 55000 Subaward Academic Pediatric Association 6728 Old Mclean Vill Dr Mclean VA 22101 510202446 501(c)(3) 50982 Subaward Dothouse Health Inc 1353 Dorchester Avenue Dorchester MA 02122 237125970 501(c)(3) 48169 Subaward Institute For Health & Recovery 349 Broadway Cambridge MA 02139 043086647 501(c)(3) 47813 Subaward National League Of Cities Inst 1301 Penn Ave Nw Washington DC 20004 526055762 501(c)(3) 47735 Subaward Washington University School Of Medicine 700 Rosedale Ave Saint Louis MO 631121408 430653611 501(c)(3) 44303 Subaward Project Hope 550 Dudley St Roxbury MA 02119 042748880 501(c)(3) 42760 Subaward Agile Health Inc 4016 Vanderbilt Place Nashville TN 37212 460749304 36600 Subaward Holyoke Health Center Inc 230 Maple Street Holyoke MA 01040 042492730 501(c)(3) 36505 Subaward South Boston Chc 409 West Broadway South Boston MA 02127 042682152 501(c)(3) 35093 Subaward Plymouth County Outreach Hope PO box 401 East Bridgewater MA 02333 460970650 501(c)(3) 35092 Subaward The University Of Texas Health Science Center At Houston Houston TX 77030 741761309 115 34315 Subaward Brockton Neighborhood Health 63 Main Street Brockton MA 02301 043165044 501(c)(3) 34135 Subaward Lowell Community Health Ctr 161 Jackson St Lowell MA 01852 042881348 501(c)(3) 32284 Subaward Amga Analytics Llc One Prince Street Alexandria VA 22314 542020131 29051 Subaward Massachusetts Budget And Policy Center Inc One State St Ste 1250 Boston MA 02109 042967537 501(c)(3) 21897 Subaward Elon University 100 Campus Drive Elon NC 27244 560532303 501(c)(3) 21725 Subaward University Of Michigan 5082 Wol Twr 3003 Ann Harbor MI 481091287 386006309 501(c)(3) 20823 Subaward All Childrens Research Institute Inc 501 6th South St Petersburg FL 337014634 592481742 501(c)(3) 20035 Subaward South End Community Health Ctr 1601 Washington Street Boston MA 02118 042456134 501(c)(3) 18000 Subaward Metro Housing Boston 1411 Tremont Street Boston MA 021203401 042775991 501(c)(3) 16673 Subaward The University Of Rhode Island 75 Lower College Road Kingston RI 02881 223011455 501(c)(3) 16008 Subaward Partners In Health 888 Commonwealth Ave Boston MA 02215 043567502 501(c)(3) 13399 Subaward Boston Housing Authority 52 Chauncy St 7Th Fl Boston MA 02111 046001907 501(c)(3) 13081 Subaward Joslin Diabetes Center One Joslin Pl Boston MA 02215 042203836 501(c)(3) 12674 Subaward Health Resources In Action 2 Boylston Street 4Th Floor Boston MA 02116 042229839 501(c)(3) 12303 Subaward Action For Boston Community Development Inc 621 W Lombard St 3Rd Fl Boston MA 02111 042304133 501(c)(3) 10024 Subaward Boston Public Health Comm 1010 Massachusetts Avenue Boston MA 02118 043316655 115 10000 Subaward Equal Hope 300 S Ashland Ave Chicago IL 60607 262264895 501(c)(3) 7999 Subaward National Alliance On Mental Illness Of Masss 529 Main Street No 1M17 Woburn MA 01801 042777012 501(c)(3) 7350 Subaward Dimock Chc 55 Dimock Street Roxbury MA 02119 043487835 501(c)(3) 6650 Subaward 89 3 Schedule I, Part I, Line 2 Grants Administration uses Lawson general ledger and LBI reporting to monitor all grant funding. In addition, each Principal Investigator and Department Administrator have desktop access so they are able to review their funding and expenditures on a daily basis. X X X X X X false true false false false false false true false KATHLEEN WALSH President & CEO 1316552 0 447200 0 195000 0 14000 0 5187 0 1977939 0 0 0 ALASTAIR BELL SVP OPS & STRATEGY/COO 766810 0 325750 0 44002 0 104000 0 8030 0 1248592 0 28400 0 JENNIFER TSENG MD TRUSTEE 0 948638 0 0 63813 0 32388 0 6405 0 1051244 0 0 CHARLES ORLANDO SVP/CFO/TREAS 648275 0 167700 0 0 84650 0 30119 0 930744 0 0 0 DAVID COLEMAN MD TRUSTEE 0 775431 0 0 0 6935 0 32388 0 1982 0 816736 0 0 RAVIN DAVIDOFF MD SVP MEDICAL AFFAIRS AND CMO 535348 0 135450 0 62250 0 19133 0 27525 0 779706 0 0 0 DAVID BECK SVP/CHIEF LEGAL COUNSEL/CLERK 433758 0 92400 0 174708 0 19600 0 24502 0 744968 0 67100 0 LISA A KELLY-CROSWELL SVP/CHRO 490158 0 101050 0 20539 0 69050 0 12463 0 693260 0 13680 0 NANCY GADEN SVP CHIEF NURSING OFFICER 455461 0 94600 0 15379 0 65600 0 40242 0 671282 0 10800 0 BOB BIGGIO SVP FACILITY & SUPT SVCS 436060 0 91375 0 13392 0 65000 0 44748 0 650575 0 9333 0 NORMAN STEIN SVP CHIEF DEVELOPMENT OFFICER 412468 0 86000 0 48000 0 19833 0 26967 0 593268 0 0 0 ARTHUR HARVEY VP/CIO 431212 0 88150 0 6415 0 45600 0 15795 0 587172 0 3333 0 JOE CAMILLUS SVP AMBULATORY & PRF SVC 377917 0 79550 0 13393 0 57800 0 43674 0 572334 0 6000 0 JULIE JONCAS VP FINANCE 338806 0 72025 0 0 34500 0 12911 0 458242 0 0 0 SUSANNAH ROWE MD TRUSTEE 0 208686 0 10672 0 1032 0 25428 0 25144 0 270962 0 0 Schedule J, Part I, Line 4b Boston Medical Center Provides A Supplemental Executive Retirement Plan To Certain Executives. Amounts Are Credited To Participants' Accounts Each Year. Plan Amounts Are Subject To Forfeiture And Payment Only If Certain Conditions Are Met, As Outlined In The Plan Agreement. Amounts Vest On Specified Dates Based On Continued Employment But No Later Than The Executive's SIXTY-SECOND Birthday. Amounts Accrued In The Plan Are Reported In Schedule J, Part II, Column C. The Following Amounts Became Vested And Were Paid To The Following Executives In Calendar Year 2019: Walsh - $195,000 Bell - $44,002 Davidoff - $62,250 Beck - $174,708 Kelly-Croswell - $20,539 Gaden - $15,379 Biggio - $13,392 Stein - $48,000 Harvey - $6,415 Camillus - $13,393 BOSTON MEDICAL CENTER PROVIDED A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN TO DAVID BECK, SENIOR VICE PRESIDENT, CHIEF LEGAL COUNSEL, AND CLERK OF BOSTON MEDICAL CENTER. DAVID BECK REACHED THE PLAN RETIREMENT AGE IN 2019 AND VESTED 100% IN THE PLAN. THE BALANCE OF $124,608 IN THE PLAN WAS PAID OUT IN 2019. IN ADDITION, PURSUANT TO THE TERMS OF THE PLAN, ONCE THE PLAN PARTICIPANT REACHES THE PLAN RETIREMENT AGE, ALL FUTURE CONTRIBUTIONS ARE MADE IN CASH. ACCORDINGLY, THE REMAINING $50,100 WAS PAID TO DAVID BECK IN CASH IN 2019 AS WELL. BOSTON MEDICAL CENTER PROVIDED A SEPARATE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO KATHLEEN E. WALSH, PRESIDENT AND CEO AS OF MARCH 1, 2010. PURSUANT TO THE TERMS OF THE AGREEMENT, CERTAIN AMOUNTS WERE CREDITED TO THE PRESIDENT AND CEO'S ACCOUNT IN PRIOR YEARS. THESE AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT WILL BE MADE ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE AGREEMENT. FOR CALENDAR YEAR 2019 $195,000 WAS VESTED AND IS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III). Schedule J, Part I, Line 7 BMC Has An Annual Executive Performance Incentive Plan. Performance Targets And Payout Metrics Are Established And Approved By The Compensation Committee At The Beginning Of Each Performance Cycle. FISCAL YEAR 2019 Performance Bonus Payouts were Approved By The Committee after it reviewed the 2019 Performance Results Against Pre Established Performance Targets, And Approved The Formula-Based Payouts Accordingly. A MDFA 2012 Series C 043431814 57583U6Q6 2012-06-04 117490498 refunding of 1998 bonds true false false B MDFA 2015 Series D 043431814 57583U6Q6 2015-04-08 167471151 FINANCE CAPITAL PROJECTS false false false C MDFA 2016 Series E 043431814 57584XWT4 2016-09-22 203977951 FINANCE NEW PROJECTS false false false D MDFA 2017 Series F 043431814 57584X6Z9 2017-12-20 45272849 FINANCE CAPITAL PROJECTS false false false A 46125000 32625000 117498730 4416013 0 0 1684889 0 0 0 115813841 0 true false true true B 0 0 169111434 16034094 482754 0 2007035 0 0 150386240 201311 0 2020 false false true true C 2005000 0 206430670 0 16 0 1673571 0 0 29083402 175673681 0 false true false true D 3950000 0 45971835 0 9238 0 272257 0 0 45690339 0 0 false false false true A 0 B false true true true true true 0.00000 0.00000 0.00000 false false false true C false true true true true true 0.00600 0.00000 0.00600 false false false true D false true true true true true 0.00000 0.00000 0.00000 false false false true A true false false 0 true AIG Matched Funding 27.19 true true true B false false false true false false 0 false 0 false true C false true false false false false 0 false 0 true true D false true false false false false 0 false 0 false true A true B true C true D true Column A Part I(F): The prior bonds were issues on July 8, 1998, by the Massachusetts Health and Educational Facilities Authority. Part II, Line 3: THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS. Part II, Line 4: Debt service reserve fund was funded by proceeds of the prior bonds. Part II, Line 13: Since the proceeds of the 2012 bonds were used for refunding purposes, the year of substantial completion is not applicable. Part III: Because proceeds of the bonds were used to refund bonds issued before January 1, 2003, the issuer is not required to complete Part III. Part IV, Line 1: Boston Medical Center remitted an arbitrage rebate payment, along with Form 8038-T, to the IRS on or before August 13, 2017 (within 60 days of the fifth bond year). COLUMN B Part II, Line 3: THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS. Column C Part I(F): The prior bonds were issued on July 1, 2008, by the Massachusetts Health and Educational Facilities Authority. Part II, Line 3: THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS. Part II, Line 12: Unspent bond proceeds deposited to the project and expense funds. COLUMN D PART II, LINE 3: THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS. A MHEFA 2009 Series O-1 042456011 57586ELD1 2009-08-04 101485000 REFUNDING OF SERIES M3-B false false true A 7208306 0 13688734 63944 0 0 0 0 0 0 13688734 0 true false true true A false false true true false 0.00000 0.00000 0.00000 false false false true A false false true true true false 0 false 0 false true A true Column A, Page 2 THE BONDS ARE PART OF A POOLED FINANCING (TOTAL PAR $101,485,000) AND THUS, EXCEPT FOR PART I, ONLY THE BORROWER'S ALLOCABLE PORTION OF $13,688,734 IS REPRESENTED. PART I(F): THE BORROWER'S PORTION OF THE BONDS REFINANCED THE PORTION OF THE ISSUER'S SERIES M3-B (2005) BONDS (ISSUES ON OCTOBER 3, 2005) ALLOCABLE TO THE BORROWER. PART II, LINE 4: THE RESERVE HAS BEEN FUNDED BY THE PROCEEDS OF THE PRIOR BONDS. PART II, LINE 13: SINCE THE PROCEEDS OF THE BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 2(B): BOND PROCEEDS WERE EXPENDED TO FINANCE A CURRENT REFUNDING, WHICH HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT. THE BOND PROCEEDS WERE SPENT WITHIN SIX MONTHS OF THE ISSUE DATE. HANNAH LEAVER Daughter of Trustee 196764 EMPLOYMENT false SCHEDULE L, PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: HANNAH LEAVER, DAUGHTER OF TRUSTEE MARKS, IS EMPLOYED BY BMC. LEAVER HAS BEEN EMPLOYED BY BMC SINCE BEFORE TRUSTEE MARKS JOINED THE BMC BOARD IN 2016. X 18284 DONOR ESTIMATE X 40 408166 STOCK SALE PROCEEDS X 1 500 DONOR ESTIMATE X 22 805354 DONOR ESTIMATE X Gift Certificate 8 34506 Donor Estimate X Miscellaneous 12 228512 DONOR ESTIMATE 0 false true false Schedule M, Part I, Column b The organization is reporting the number of items contributed. Form 990, Part III, Line 4a THE STATUTE THAT AUTHORIZED THE CREATION OF BOSTON MEDICAL CENTER REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 514-LICENSED BED, URBAN ACADEMIC MEDICAL CENTER WHICH EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND THE MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. BMC IS THE LARGEST SAFETY NET HOSPITAL IN NEW ENGLAND AND PROVIDES A FULL SPECTRUM OF PEDIATRIC AND ADULT CARE SERVICES FROM PRIMARY TO FAMILY MEDICINE TO ADVANCED SPECIALTY CARE. APPROXIMATELY 72% OF BMC'S PATIENT VISITS COME FROM UNDERSERVED POPULATIONS, SUCH AS THE LOW-INCOME AND ELDERLY, WHO RELY ON GOVERNMENT PAYERS SUCH AS MEDICAID, THE HEALTH SAFETY NET AND MEDICARE FOR THEIR COVERAGE, AND 32% DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF DIVERSE PATIENT POPULATION, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS, INCLUDING PATIENT NAVIGATION AND A FOOD PANTRY, HELP TO REDUCE BARRIERS TO ACCESS TO HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG VARIOUS POPULATIONS THAT BMC SERVES. Form 990, Part IV, Line 12 Boston Medical Center is included in the consolidated financial statements for BMC Health System, Inc. Form 990, Part VI, Section A, Line 2 RITA NIEVES MONICA VALDES LUPI, JD, MPH KATHLEEN E. WALSH BUSINESS RELATIONSHIP - THE OFFICERS AND/OR TRUSTEES ABOVE ARE ALSO TRUSTEES AND/OR EMPLOYEES OF THE BOSTON PUBLIC HEALTH COMMISSION. DAVID COLEMAN, M.D. MELANIE FOLEY CHARLES ORLANDO JENNIFER TSENG, M.D. KATHLEEN E. WALSH BUSINESS RELATIONSHIP - THE OFFICERS AND/OR TRUSTEES ABOVE ARE ALSO TRUSTEES OF BOSTON MEDICAL CENTER INSURANCE COMPANY, LTD. MARTHA SAMUELSON PIERRE CREMIEUX BUSINESS RELATIONSHIP - THE TRUSTEES ABOVE ARE ALSO TRUSTEES, OFFICERS, AND/OR EMPLOYEES OF ANALYSIS GROUP. Form 990, Part VI, Section A, Line 6 The sole member of the organization is BMC Health System, Inc. Form 990, Part VI, Section A, Line 7B BMC Health System has the right to take certain actions including, but not limited to, the approval of budgets, mergers, acquisitions, and indebtedness. Form 990, Part VI, Section B, Line 11B Boston Medical Center's Form 990 is prepared by KPMG LLP and Reviewed by BMC's internal management. Following that review, BMC'S internal management and KPMG present the Form 990 to the audit AND COMPLIANCE committee for review and comment. The completed Form 990 is provided to all members of the board of trustees prior to the Form being filed with the IRS. Form 990, Part VI, Section B, Line 12C Conflict of interest questionnaires for the fiscal year ending September 30, 2020 were distributed by BMC's corporate compliance department. The Chief Compliance Officer of BMC or the Chief Compliance Officer's designee queries trustees, officers, and directors on at least an annual basis regarding relationships that may create potential conflicts of interest. The Chief Compliance Officer or the Chief Compliance Officer's designee reviews all disclosures and determines whether there are actual or potential conflicts of interest. The Chief Compliance Officer or the Chief Compliance Officer's designee informs the Chief Legal Counsel of any actual or potential conflicts of interest. The Chief Legal Counsel advises the board of trustees and officers of the corporation accordingly. Form 990, Part VI, Section B, Line 15 An independent committee, formed of individuals whose compensation is not in issue, determines the compensation of officers, key employees, and the highest compensated employees. The committee members are not under the control or direction of any BMC executive seeking compensation. The compensation plan is supported by comparable data, which includes compensation paid for comparable positions by similarly situated organizations, both taxable and tax-exempt, compensation surveys compiled independently, and actual written offers from similar institutions competing for the services of the BMC executive. The independent committee's assessment of these considerations are contained in the minutes of the committee meeting. The review process includes - and minutes indicate - discussions and evaluations of each executive's prior performance, qualification, and experience. Executives are not present for the independent committee's discussions and vote on compensation. The minutes reflect the fact that no executive was present. Form 990, Part VI, Section C, Line 19 Boston Medical Center does not make its governing documents, conflict of interest policy, and financial statements publicly available. However, the restated articles of the organization are posted on the Secretary of the Commonwealth's CORPORATIONS website. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer to Affiliates $ (125,000,000) Pension benefits, Non-Service $ 2,770,066 Periodic pension costs $ (2,411,930) Other Changes $ 328,377 Rounding $ 935 ----------------- Total $ (124,312,552) BMC Health System Inc One Boston Medical Center Pl Boston MA 02118 463556853 Support Svcs. MA 501(c)(3) 12 B-II BMC true BMC Insurance Co LTD Of Vermont PO BOX 530 100 BANK STREET Burlington VT 05401 201810549 Insurance VT 501(c)(3) 12 A-I BMCHS true BMC Integrated Care Services Inc One Boston Medical Center Pl Boston MA 02118 043414914 Healthcare MA 501(c)(3) 12 A-I BMCBACO true Boston Emergency Physician Fdn Inc One Boston Medical Center Pl Boston MA 02118 043286156 Healthcare MA 501(c)(3) 12C III-FI NA false Boston Rehabilitation Medicine Assoc Inc One Boston Medical Center Pl Boston MA 02118 043286641 Healthcare MA 501(c)(3) 12C III-FI NA false Boston Univ Neurology Associates Inc One Boston Medical Center Pl Boston MA 02118 043428462 Healthcare MA 501(c)(3) 12C III-FI NA false Boston Univ Plastic Surgery Assoc Inc One Boston Medical Center Pl Boston MA 02118 043555478 Healthcare MA 501(c)(3) 12C III-FI NA false Boston Univ Surgical Associates Inc One Boston Medical Center Pl Boston MA 02118 043291148 Healthcare MA 501(c)(3) 12C III-FI NA false Boston University Affiliated Physicians One Boston Medical Center Pl Boston MA 02118 043218267 Healthcare MA 501(c)(3) 3 BMC true Boston University Dermatology Inc One Boston Medical Center Pl Boston MA 02118 043335166 Healthcare MA 501(c)(3) 12C III-FI NA false Boston University Eye Associates Inc One Boston Medical Center Pl Boston MA 02118 043137333 Healthcare MA 501(c)(3) 12C III-FI NA false Boston University Family Medicine Inc One Boston Medical Center Pl Boston MA 02118 043354353 Healthcare MA 501(c)(3) 12C III-FI NA false Boston University Psychiatry Assoc Inc One Boston Medical Center Pl Boston MA 02118 043355267 Healthcare MA 501(c)(3) 12C III-FI NA false BU Cardiac & Thoracic Surgical Fdn Inc One Boston Medical Center Pl Boston MA 02118 042966416 Healthcare MA 501(c)(3) 12C III-FI NA false BU Dermatology Support Services I Inc One Boston Medical Center Pl Boston MA 02118 043452877 Healthcare MA 501(c)(3) 12C III-FI NA false BU Dermatology Support Services II Inc One Boston Medical Center Pl Boston MA 02118 043452874 Healthcare MA 501(c)(3) 12C III-FI NA false BU General Surgical Associates Inc One Boston Medical Center Pl Boston MA 02118 043265008 Healthcare MA 501(c)(3) 12C III-FI NA false BU Mallory Pathology Associates Inc One Boston Medical Center Pl Boston MA 02118 042794543 Healthcare MA 501(c)(3) 12C III-FI NA false BU Medical Center Radiologists Inc One Boston Medical Center Pl Boston MA 02118 043283573 Healthcare MA 501(c)(3) 12C III-FI NA false BU Medical Center Urologists Inc One Boston Medical Center Pl Boston MA 02118 043286643 Healthcare MA 501(c)(3) 12C III-FI NA false BU Medical Ctr Anesthesiologists Inc One Boston Medical Center Pl Boston MA 02118 043276227 Healthcare MA 501(c)(3) 12C III-FI NA false BU Neurosurgical Associates Inc One Boston Medical Center Pl Boston MA 02118 043296068 Healthcare MA 501(c)(3) 12C III-FI NA false BU Obstetrics & Gynecology Fdn Inc One Boston Medical Center Pl Boston MA 02118 043067465 Healthcare MA 501(c)(3) 12C III-FI NA false BU Orthopaedic Surgical Associates Inc One Boston Medical Center Pl Boston MA 02118 043354360 Healthcare MA 501(c)(3) 12C III-FI NA false BU Radiation Oncology Inc One Boston Medical Center Pl Boston MA 02118 810716773 Healthcare MA 501(c)(3) 12C III-FI NA false BUMC Otolaryngologic Foundation Inc One Boston Medical Center Pl Boston MA 02118 043156471 Healthcare MA 501(c)(3) 12C III-FI NA false Child Health Foundation of Boston Inc One Boston Medical Center Pl Boston MA 02118 042472758 Healthcare MA 501(c)(3) 12C III-FI NA false Evans Medical Foundation Inc One Boston Medical Center Pl Boston MA 02118 510172171 Healthcare MA 501(c)(3) 12C III-FI NA false Faculty Practice Foundation Inc One Boston Medical Center Pl Boston MA 02118 043289381 Medical Svcs. MA 501(c)(3) 12 B-II NA false The Boston Healthnet Corporation One Boston Medical Center Pl Boston MA 02118 043279836 Support Svcs. MA 501(c)(3) 12B-II NA false Univer Development Foundation Inc One Boston Medical Center Pl Boston MA 02118 043101957 Real Estate MA 501(c)(3) 12 A-I BMC true BMC Insurance Company LTD First Carribean House 10 Main St Grand Cayman Cayman Islands CJ 980375219 Insurance CJ BMC C Corp 1576568 91370652 0.70000 true Charitable Remainder Trust - MA (3) Support MA BMC Trust 0 0 true false false false true true false false false false false false false false false false true true true false Boston University Affiliated Physicians Inc Q 1649000 FMV BMC Insurance Company LTD p 5245000 FMV BMC Insurance Company LTD R 13372402 FMV BMC Integrated Care Services Q 1081416 FMV BMC HEALTH SYSTEM INC D 25306000 FMV