BOSTON MEDICAL CENTER CORPORATION: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: BOSTON MEDICAL CENTER CORPORATION (EIN 04-3314093)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-15
IRS object ID: 202522279349301107
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-15T06:58:49-05:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	60 SOUTH STREET	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02111	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	043314093	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BOSTON MEDICAL CENTER CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BOST	BusinessNameControlTxt
Phone	6174141628	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID BECK	PersonNm
Person Title	SVP/CHIEF LEGAL COUNSEL/CLERK	PersonTitleTxt
Phone	6176387653	PhoneNum
Signature	2025-08-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KRISTIN ANDERSON	PreparerPersonNm
PTIN	P01231300	PTIN
Phone	6179881000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ANTHONY HOLLENBERG MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$3,162,137,298	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	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.	ActivityOrMissionDesc
Voting Members Governing Body	27	VotingMembersGoverningBodyCnt
Voting Members Independent	23	VotingMembersIndependentCnt
Total Employee	12872	TotalEmployeeCnt
Total Volunteers	380	TotalVolunteersCnt
Total Gross UBI	$2,156,814	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$388,088	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$31,735,184	PYContributionsGrantsAmt
CY Contributions Grants	$26,484,573	CYContributionsGrantsAmt
PY Program Service Revenue	$2,291,325,655	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,528,877,780	CYProgramServiceRevenueAmt
PY Investment Income	$42,038,184	PYInvestmentIncomeAmt
CY Investment Income	$32,645,067	CYInvestmentIncomeAmt
PY Other Revenue	$15,183,333	PYOtherRevenueAmt
CY Other Revenue	$12,517,960	CYOtherRevenueAmt
PY Total Revenue	$2,380,282,356	PYTotalRevenueAmt
CY Total Revenue	$2,600,525,380	CYTotalRevenueAmt
PY Grants And Similar Paid	$23,488,375	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$17,866,158	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$923,217,199	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$966,812,413	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$9,790,610	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,472,106,581	PYOtherExpensesAmt
CY Other Expenses	$1,656,822,597	CYOtherExpensesAmt
PY Total Expenses	$2,418,812,155	PYTotalExpensesAmt
CY Total Expenses	$2,641,501,168	CYTotalExpensesAmt
PY Revenues Less Expenses	-$38,529,799	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$40,975,788	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,632,199,167	TotalAssetsBOYAmt
Total Assets EOY	$2,832,076,979	TotalAssetsEOYAmt
Total Liabilities BOY	$1,384,746,661	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,438,600,051	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,247,452,506	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,393,476,928	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,310,689,481	ExpenseAmt
Revenue	$2,526,992,354	RevenueAmt
Desc	THE STATUTE THAT AUTHORIZED THE CREATION OF BOSTON MEDICAL CENTER REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 654-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. BOSTON MEDICAL CENTER IS DEDICATED TO PROVIDING ACCESSIBLE HEALTH CARE. NEARLY 75 PERCENT OF BMC'S PATIENTS 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; 27 PERCENT DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF DIVERSE PATIENT POPULATIONS, 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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$16,785,466	ExpenseAmt
Grant	$16,785,466	GrantAmt
Desc	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE UNITED STATES.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$1,080,692	ExpenseAmt
Grant	$1,080,692	GrantAmt
Desc	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$2,328,555,639	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (1)	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1153	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	12872	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Foreign Country	LT	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	27	GoverningBodyVotingMembersCnt
Independent Voting Member	23	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KAREN FINE	PersonNm
Phone	6176387406	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALASTAIR BELL MD
TRUSTEE /INTERIM PRESIDENT(THRU 5/31/24)	50.00	4.00	Yes (X)	Yes (X)	$1,769,199	$0	$180,077
JENNIFER TSENG MD
TRUSTEE (THRU 1/1/24)	1.00	50.00	Yes (X)		$0	$1,156,227	$41,056
KAREN ANTMAN MD
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
ANITA BEKENSTEIN
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
REV WILLIE BODRICK II
TRUSTEE (AS OF 11/7/23)	1.00	0.00	Yes (X)		$0	$0	$0
MARY BOYD
TRUSTEE (AS OF 5/14/24)	1.00	0.00	Yes (X)		$0	$0	$0
RYAN CARROLL
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
NADINE CHAKAR
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
ENRIQUE COLBERT
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
SANDRA COTTERELL
TRUSTEE (THRU 8/21/24)	1.00	1.00	Yes (X)		$0	$0	$0
TODD COZZENS
TRUSTEE (AS OF 5/14/24)	1.00	0.00	Yes (X)		$0	$0	$0
PIERRE CREMIEUX
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
RANDI CUTLER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
MANISHI DESAI
TRUSTEE	1.00	4.00	Yes (X)		$0	$291,570	$44,175
PAUL EGERMAN
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
RUTH ELLEN FITCH
TRUSTEE (THRU 5/14/24)	1.00	0.00	Yes (X)		$0	$0	$0
MELANIE FOLEY
TRUSTEE (THRU 5/14/24)	1.00	0.00	Yes (X)		$0	$0	$0
JOHN T HAILER
TRUSTEE (THRU 5/14/24)	1.00	0.00	Yes (X)		$0	$0	$0
ANTHONY HOLLENBERG MD
TRUSTEE/PRESIDENT (AS OF 5/31/24)	50.00	5.00	Yes (X)	Yes (X)	$0	$931,987	$32,363
KAREN KAMES
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
AZRA KANJI
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
FRED LOWERY
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
RICHARD MARKS
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
DEVIN MCCOURTY
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MICHELLE NADOW
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
BISOLA OJIKUTU MD
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
MARTHA SAMUELSON
TRUSTEE/CHAIR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
CYNTHIA SIERRA
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
PATRICK SMITH
TRUSTEE (AS OF 5/14/24)	1.00	0.00	Yes (X)		$0	$0	$0
TED TRUSCOTT
TRUSTEE (AS OF 11/7/23)	1.00	0.00	Yes (X)		$0	$0	$0
GREGORY WILMOT
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
ANDREW YOUNISS
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
TERRI NEWSOM
SVP/CFO/TREASURER (THRU 7/1/24)	50.00	2.00		Yes (X)	$809,132	$0	$114,386
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CLERK	50.00	10.00		Yes (X)	$681,033	$0	$56,003
JESSE SOUWEINE
TREASURER (07/01/24 - 11/12/24)	50.00	3.00		Yes (X)	$184,790	$0	$9,325
NANCY GADEN
SVP OF CLINICAL OPERATIONS/CNO	50.00	0.00			$788,987	$0	$53,276	Yes (X)
DAVID MCANENY
SVP/CHIEF MEDICAL OFFICER	50.00	1.00			$824,004	$0	$40,665	Yes (X)
LISA KELLY-CROSWELL
SVP/CHIEF HR OFFICER	50.00	0.00			$699,041	$0	$111,820	Yes (X)
RAVIN DAVIDOFF MD
SVP/EXECUTIVE MEDICAL DIRECTOR	50.00	0.00			$353,143	$0	$53,017	Yes (X)
JOE CAMILLUS
SVP AMBULATORY & PRF SVC	50.00	1.00			$760,503	$0	$138,091		Yes (X)
NICOLE FAUCHER
PRESIDENT, CLEARWAY HEALTH, LLC	0.00	50.00			$798,340	$0	$67,832		Yes (X)
ARTHUR HARVEY
VP/CIO	50.00	0.00			$645,941	$0	$117,202		Yes (X)
ROBERT BIGGIO
SVP/CHIEF SUSTAINABILITY/RE OFFICER	50.00	0.00			$604,968	$0	$87,861		Yes (X)
JODI LARSON
VP, CHIEF QUALITY OFFICER	40.00	0.00			$519,212	$0	$97,876		Yes (X)
KATHLEEN E WALSH
FORMER PRESIDENT	0.00				$583,594	$0	$5,611			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,021,887	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,379,784	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,250,636	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2129	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SHC SERVICES INC
1640 WEST REDSTONE CENTER DRIVE SU	PARK CITY	UT	84098	TEMPORARY STAFFING	$69,578,940
BOSTON UNIVERSITY
715 ALBANY ST STE 580	BOSTON	MA	021182528	RESEARCH & OTHER SHARED SERVICES	$67,776,195
WALSH BROTHERS INCORPORATED
210 COMMERCIAL STREET	BOSTON	MA	02109	BUILDING CONTRACTOR	$35,617,918
PRICEWATERHOUSECOOPERS ADVISOR
4040 W BOY SCOUT BOULEVARD	TAMPA	FL	33607	ACCOUNTS RECEIVABLE MANAGEMENT	$23,178,449
SOUTHERN MIDDLESEX INDUSTRIES
823 PLEASANT ST	NORWOOD	MA	02062	BUILDING CONTRACTOR	$10,793,300

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	251	CntrctRcvdGreaterThan100KCnt
Fundraising	$3,654,435	FundraisingAmt
All Other Contributions	$22,830,138	AllOtherContributionsAmt
Noncash Contributions	$924,851	NoncashContributionsAmt
Total Contributions	$26,484,573	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$1,534,908,632	$1,534,908,632
PHARMACY	900099	$839,420,261	$837,534,835	$1,885,426
GRANT & CONTRACT REVENUE	900099	$122,975,038	$122,975,038
OTHER PROGRAM REVENUE	900099	$31,573,849	$31,573,849

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,528,877,780	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,515,512	TotalRevenueColumnAmt
Unrelated Business Revenue	$228,481	UnrelatedBusinessRevenueAmt
Exclusion	$16,287,031	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,028,402	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$9,932,511	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$904,109	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$904,109	TotalRevenueColumnAmt
Exclusion	-$904,109	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$566,789,981	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$550,660,426	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$16,129,555	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,129,555	TotalRevenueColumnAmt
Unrelated Business Revenue	$42,907	UnrelatedBusinessRevenueAmt
Exclusion	$16,086,648	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$811,801	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$3,654,435	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,018,981	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$207,180	TotalRevenueColumnAmt
Exclusion	-$207,180	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PARKING	812930	$9,558,775	$9,558,775
CAFETERIA	900099	$4,070,474	$4,070,474

Field	Value	IRS element (for citing)
Other Revenue Total	$13,629,249	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,600,525,380	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,526,992,354	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,156,814	UnrelatedBusinessRevenueAmt
Exclusion	$44,891,639	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$16,785,466	TotalAmt
Program Services	$16,785,466	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$1,080,692	TotalAmt
Program Services	$1,080,692	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,098,962	TotalAmt
Management And General	$6,098,962	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$308,172	TotalAmt
Program Services	$308,172	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$762,526,114	TotalAmt
Program Services	$670,424,772	ProgramServicesAmt
Management And General	$87,154,548	ManagementAndGeneralAmt
Fundraising	$4,946,794	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$26,639,557	TotalAmt
Program Services	$23,237,425	ProgramServicesAmt
Management And General	$3,230,751	ManagementAndGeneralAmt
Fundraising	$171,381	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$105,935,045	TotalAmt
Program Services	$92,406,103	ProgramServicesAmt
Management And General	$12,847,428	ManagementAndGeneralAmt
Fundraising	$681,514	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$65,304,563	TotalAmt
Program Services	$56,964,531	ProgramServicesAmt
Management And General	$7,919,907	ManagementAndGeneralAmt
Fundraising	$420,125	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,035,908	TotalAmt
Program Services	$1,405,519	ProgramServicesAmt
Management And General	$620,980	ManagementAndGeneralAmt
Fundraising	$9,409	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,752,089	TotalAmt
Program Services	$792,721	ProgramServicesAmt
Management And General	$954,362	ManagementAndGeneralAmt
Fundraising	$5,006	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$344,678	TotalAmt
Management And General	$344,678	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$132,452,176	TotalAmt
Program Services	$93,682,656	ProgramServicesAmt
Management And General	$37,238,087	ManagementAndGeneralAmt
Fundraising	$1,531,433	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,628,850	TotalAmt
Program Services	$2,281,562	ProgramServicesAmt
Management And General	$330,536	ManagementAndGeneralAmt
Fundraising	$16,752	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,348,509	TotalAmt
Program Services	$17,965,646	ProgramServicesAmt
Management And General	$3,179,880	ManagementAndGeneralAmt
Fundraising	$202,983	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$54,030,657	TotalAmt
Program Services	$47,133,668	ProgramServicesAmt
Management And General	$6,549,556	ManagementAndGeneralAmt
Fundraising	$347,433	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$31,835,962	TotalAmt
Program Services	$27,770,198	ProgramServicesAmt
Management And General	$3,860,953	ManagementAndGeneralAmt
Fundraising	$204,811	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,740,514	TotalAmt
Program Services	$2,401,730	ProgramServicesAmt
Management And General	$1,316,840	ManagementAndGeneralAmt
Fundraising	$21,944	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,962,087	TotalAmt
Program Services	$1,711,089	ProgramServicesAmt
Management And General	$218,124	ManagementAndGeneralAmt
Fundraising	$32,874	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$24,770,439	TotalAmt
Program Services	$21,607,012	ProgramServicesAmt
Management And General	$3,004,071	ManagementAndGeneralAmt
Fundraising	$159,356	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$109,538,119	TotalAmt
Program Services	$95,549,029	ProgramServicesAmt
Management And General	$13,284,396	ManagementAndGeneralAmt
Fundraising	$704,694	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,984,551	TotalAmt
Program Services	$10,454,007	ProgramServicesAmt
Management And General	$1,453,444	ManagementAndGeneralAmt
Fundraising	$77,100	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
DRUGS	$711,388,280	$711,388,280
PHYSICIAN SERVICES	$188,718,191	$184,480,283	$4,237,908
PATIENT RELATED SUPPLIE	$117,547,159	$117,492,040	$52,342	$2,777
DIRECT RESEARCH	$96,383,950	$96,383,950

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$144,360,478	TotalAmt
Program Services	$34,849,088	ProgramServicesAmt
Management And General	$109,257,166	ManagementAndGeneralAmt
Fundraising	$254,224	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,641,501,168	TotalAmt
Program Services	$2,328,555,639	ProgramServicesAmt
Management And General	$303,154,919	ManagementAndGeneralAmt
Fundraising	$9,790,610	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$7,519,912	BOYAmt
EOY	-$7,360,633	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$55,357,335	BOYAmt
EOY	$90,588,591	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,778,929	BOYAmt
EOY	$30,559,895	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$348,337,332	BOYAmt
EOY	$426,500,319	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$97,828,426	BOYAmt
EOY	$87,857,740	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$27,928,035	BOYAmt
EOY	$29,208,456	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,907,948	BOYAmt
EOY	$5,499,315	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,410,443,088	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,373,420,675	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,005,631,372	BOYAmt
EOY	$1,037,022,413	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$46,383,460	BOYAmt
EOY	$392,400,231	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$324,982,638	BOYAmt
EOY	$515,490,342	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$230,000	BOYAmt
EOY	$230,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$705,353,604	BOYAmt
EOY	$224,080,310	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,632,199,167	BOYAmt
EOY	$2,832,076,979	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$292,693,919	BOYAmt
EOY	$307,929,861	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$16,343,576	BOYAmt
EOY	$26,044,529	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$634,691,719	BOYAmt
EOY	$619,025,143	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$180,000,000	BOYAmt
EOY	$180,952,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$261,017,447	BOYAmt
EOY	$304,648,518	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,384,746,661	BOYAmt
EOY	$1,438,600,051	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$889,523,906	BOYAmt
EOY	$989,115,507	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$357,928,600	BOYAmt
EOY	$404,361,421	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,247,452,506	BOYAmt
EOY	$1,393,476,928	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,632,199,167	BOYAmt
EOY	$2,832,076,979	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$40,975,788	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$101,061,973	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$11,751,533	DonatedServicesAndUseFcltsAmt
Investment Expense	-$404,863	InvestmentExpenseAmt
Other Changes In Net Assets	$98,094,633	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$133,609,173	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$150,978,125	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$65,960,590	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$31,735,184	CurrentTaxYearMinus1YearAmt
Current Tax Year	$26,484,573	CurrentTaxYearAmt
Total	$408,767,645	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$133,609,173	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$150,978,125	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$65,960,590	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$31,735,184	CurrentTaxYearMinus1YearAmt
Current Tax Year	$26,484,573	CurrentTaxYearAmt
Total	$408,767,645	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$408,767,645	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$18,969,810	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,480,934	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$18,817,706	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$23,601,276	CurrentTaxYearMinus1YearAmt
Current Tax Year	$25,315,433	CurrentTaxYearAmt
Total	$106,185,159	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,809,363	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,854,577	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,357,068	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,004,697	CurrentTaxYearMinus1YearAmt
Current Tax Year	$388,600	CurrentTaxYearAmt
Total	$11,414,305	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$23,251,865	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,079,088	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,178,299	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,180,285	CurrentTaxYearMinus1YearAmt
Current Tax Year	$13,629,249	CurrentTaxYearAmt
Total	$77,318,786	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$603,685,895	TotalSupportAmt
Gross Receipts Rltd Activities	$10,196,879,185	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.67710	PublicSupportCY170Pct
Public Support PY170	0.67530	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	CAFETERIA - 2019 AMOUNT: $ 3,300,767. 2020 AMOUNT: $ 2,802,878. 2021 AMOUNT: $ 3,309,312. 2022 AMOUNT: $ 3,574,036. 2023 AMOUNT: $ 4,070,474. PARKING - 2019 AMOUNT: $ 10,063,598. 2020 AMOUNT: $ 10,276,210. 2021 AMOUNT: $ 10,868,987. 2022 AMOUNT: $ 9,606,249. 2023 AMOUNT: $ 9,558,775. GAIN ON SALE OF TAX CREDITS - 2019 AMOUNT: $ 9,887,500.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$684,563,310	BeginningYearBalanceAmt
Contributions	$16,847,855	ContributionsAmt
Investment Earnings Or Losses	$129,418,418	InvestmentEarningsOrLossesAmt
Other Expenditures	$36,887,955	OtherExpendituresAmt
Administrative Expenses	$748,484	AdministrativeExpensesAmt
End Year Balance	$793,193,144	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$629,469,229	BeginningYearBalanceAmt
Contributions	$222,103,699	ContributionsAmt
Investment Earnings Or Losses	$63,592,898	InvestmentEarningsOrLossesAmt
Other Expenditures	$229,602,767	OtherExpendituresAmt
Administrative Expenses	$999,749	AdministrativeExpensesAmt
End Year Balance	$684,563,310	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$733,043,065	BeginningYearBalanceAmt
Contributions	$145,547,509	ContributionsAmt
Investment Earnings Or Losses	-$95,022,779	InvestmentEarningsOrLossesAmt
Other Expenditures	$155,578,825	OtherExpendituresAmt
Administrative Expenses	-$1,480,259	AdministrativeExpensesAmt
End Year Balance	$629,469,229	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$633,839,832	BeginningYearBalanceAmt
Contributions	$363,954,719	ContributionsAmt
Investment Earnings Or Losses	$108,079,400	InvestmentEarningsOrLossesAmt
Other Expenditures	$370,977,505	OtherExpendituresAmt
Administrative Expenses	$1,853,381	AdministrativeExpensesAmt
End Year Balance	$733,043,065	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$724,862,042	BeginningYearBalanceAmt
Contributions	$61,170,242	ContributionsAmt
Investment Earnings Or Losses	$42,383,073	InvestmentEarningsOrLossesAmt
Other Expenditures	$192,451,403	OtherExpendituresAmt
Administrative Expenses	$2,124,122	AdministrativeExpensesAmt
End Year Balance	$633,839,832	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.47290	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.39310	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.13400	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,626,946	OtherCostOrOtherBasisAmt
Book Value	$14,626,946	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,357,830,448	OtherCostOrOtherBasisAmt
Depreciation	$616,493,727	DepreciationAmt
Book Value	$741,336,721	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$71,398,647	OtherCostOrOtherBasisAmt
Depreciation	$31,416,864	DepreciationAmt
Book Value	$39,981,783	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$798,613,734	OtherCostOrOtherBasisAmt
Depreciation	$649,853,716	DepreciationAmt
Book Value	$148,760,018	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$167,973,313	OtherCostOrOtherBasisAmt
Depreciation	$75,656,368	DepreciationAmt
Book Value	$92,316,945	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,037,022,413	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
DONOR RESTRICTED INV	$284,509,071	F
BOARD DESIGNATED	$230,981,271	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$515,490,342	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
SETTLEMENT WITH 3RD PARTY PAYORS - CURRENT	$5,715,291
INSURANCE RECOVERIES RECEIVABLE	$42,138,544
DUE FROM RELATED PARTIES	$30,000,000
OTHER LONG-TERM ASSETS	$37,479,063
RIGHT OF USE ASSETS - FINANCE AND OPERATING	$108,747,412

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$224,080,310	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
SETTLEMENTS WITH 3RD PARTY PAYORS	$41,807,780
OTHER CURRENT LIABILITIES	$11,508,728
FINANCE/OPERATING LIABILITIES	$112,709,915
OTHER LONG-TERM LIABILITIES	$80,433,333
DUE TO RELATED PARTIES	$16,050,218
PROFESSIONAL LIABILITY CLAIMS	$42,138,544

Field	Value	IRS element (for citing)
Total Liability	$304,648,518	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	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.
PART X, LINE 2:	BOSTON MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF BMC HEALTH SYSTEM (BMCHS). THESE STATEMENTS INCLUDE THE FOLLOWING LANGUAGE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS WITHIN THE INCOME TAXES FOOTNOTE. BMCHS 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, 2024 AND 2023. BMCHS ANNUALLY ASSESSES WHETHER IT MUST RECOGNIZE UBIT EXPENSE. THE AMOUNTS RECOGNIZED AS UBIT EXPENSE WERE NOT MATERIAL TO BMCHS'S CONSOLIDATED OPERATIONS OR CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2024 AND 2023. NO INCOME, CAPITAL OR PREMIUM TAXES ARE LEVIED IN THE CAYMAN ISLANDS AND BMCIC HAS BEEN GRANTED AN EXEMPTION UNTIL JULY 8, 2042, FOR ANY TAXES THAT MIGHT BE INTRODUCED. BMCIC INTENDS TO CONDUCT ITS AFFAIRS SO AS NOT TO BE LIABLE FOR TAXES IN ANY OTHER JURISDICTION, OTHER THAN WITHHOLDING TAX ON CERTAIN INVESTEMENTS. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.
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, 2024 AUDITED FINANCIAL STATEMENTS CLASSIFY NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF SCHEDULE D, PART V, 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 F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (13 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	$617,308
EAST ASIA AND THE PACIFIC	0	0	INVESTMENTS	$3,264,111
EUROPE (INCLUDING ICELAND & GREENLAND)	0	0	INVESTMENTS	$12,408,255
MIDDLE EAST AND NORTH AFRICA	0	0	INVESTMENTS	$1,624,061
NORTH AMERICA	0	0	INVESTMENTS	$4,266,631
RUSSIA AND NEIGHBORING STATES	0	0	INVESTMENTS	$525,943
SOUTH AMERICA	0	0	INVESTMENTS	$746,385
SUB-SAHARIAN AFRICA	0	0	INVESTMENTS	$1,460,475
NORTH AMERICA	0	0	GRANTMAKING	$114,142
RUSSIA AND NEIGHBORING STATES	0	0	GRANTMAKING	$11,910
SOUTH ASIA	0	0	GRANTMAKING	$54,967
SUB-SAHARAN AFRICA	2	15	GRANTMAKING	$875,883
SOUTH AMERICA	0	0	GRANTMAKING	$23,790

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	2	ContinuationTotalOfficeCnt
Continuation Total Employee	15	ContinuationTotalEmployeeCnt
Total Office	2	TotalOfficeCnt
Total Employee	15	TotalEmployeeCnt
Subtotal Spent	$24,913,169	SubtotalSpentAmt
Continuation Spent	$1,080,692	ContinuationSpentAmt
Total Spent	$25,993,861	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (9 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Non Cash AssistanceNonCashAssistanceAmt
NORTH AMERICA	SUBAWARD	$13,011	WIRE TRANSFER	$0
SUB-SAHARAN AFRICA	SUBAWARD	$274,419	WIRE TRANSFER	$0
SUB-SAHARAN AFRICA	SUBAWARD	$44,837	WIRE TRANSFER	$0
SOUTH ASIA	SUBAWARD	$54,967	WIRE TRANSFER	$0
SUB-SAHARAN AFRICA	SUBAWARD	$37,450	WIRE TRANSFER	$0
NORTH AMERICA	SUBAWARD	$96,551	WIRE TRANSFER	$0
SUB-SAHARAN AFRICA	SUBAWARD	$519,177	WIRE TRANSFER	$0
SOUTH AMERICA	SUBAWARD	$23,790	WIRE TRANSFER	$0
RUSSIA AND NEIGHBORING STATES	SUBAWARD	$11,910	WIRE TRANSFER	$0

Field	Value	IRS element (for citing)
Total501c3 Org	9	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 ORGANIZATION'S PRINCIPAL INVESTIGATORS REGULARLY CONTACT THE FOREIGN SUBCONTRACT RECIPIENTS TO MONITOR THE PROGRESS OF THE RECIPIENTS' WORK.
PART I, LINE 3:	ACCRUAL METHOD OF ACCOUNTING
PART II, LINE 1 ACCOUNTING METHOD:	FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED IN THE ORGANIZATION'S ACCOUNTING RECORDS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$2,421,722	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,894,271	CharitableContriEvent1Amt
Gross Revenue Event1	$527,451	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$189,018	RentFacilityCostsEvent1Amt
Entertainment Event1	$130,628	EntertainmentEvent1Amt
Other Direct Expenses Event1	$75,839	OtherDirectExpensesEvent1Amt
Event2	CATWALK FOR CANCER	Event2Nm
Gross Receipts Event2	$511,391	GrossReceiptsEvent2Amt
Charitable Contri Event2	$445,091	CharitableContriEvent2Amt
Gross Revenue Event2	$66,300	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$9,237	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$2,477	FoodAndBeverageEvent2Amt
Entertainment Event2	$72,136	EntertainmentEvent2Amt
Other Direct Expenses Event2	$138,245	OtherDirectExpensesEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$1,533,123	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,315,073	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$218,050	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$38,462	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$74,364	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$177,209	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$111,366	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$4,466,236	GrossReceiptsTotalAmt
Charitable Contributions Tot	$3,654,435	CharitableContributionsTotAmt
Gross Revenue Total Events	$811,801	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$236,717	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$76,841	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$379,973	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$325,450	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,018,981	DirectExpenseSummaryEventsAmt
Net Income Summary	-$207,180	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$164,339,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,667,531	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$123,671,992	NetCommunityBenefitExpnsAmt
Total Expense	0.04680	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,056,929,619	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$968,167,926	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$88,761,693	NetCommunityBenefitExpnsAmt
Total Expense	0.03360	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,221,269,142	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,008,835,457	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$212,433,685	NetCommunityBenefitExpnsAmt
Total Expense	0.08040	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,570,504	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,693,663	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,876,841	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,505,719	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,620,542	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,885,177	NetCommunityBenefitExpnsAmt
Total Expense	0.02530	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	921	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$74,951,195	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,963,498	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,987,697	NetCommunityBenefitExpnsAmt
Total Expense	0.00760	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	921	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$179,027,418	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$89,277,703	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$89,749,715	NetCommunityBenefitExpnsAmt
Total Expense	0.03400	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	921	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$1,400,296,560	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,098,113,160	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$302,183,400	NetCommunityBenefitExpnsAmt
Total Expense	0.11440	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$60,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$60,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$16,060,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,060,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$515,116	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$515,116	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$867,750	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$867,750	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$693,002	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$693,002	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$18,195,868	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,195,868	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,279,684	BadDebtExpenseAmt
Reimbursed By Medicare	$158,796,405	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$187,962,849	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$29,166,444	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BOSTON MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BOSTON MEDICAL CENTER PLACE	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02118	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.BMC.ORG	WebsiteAddressTxt
State License	V112	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BOSTON MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.BMC.ORG/CARE-OUR-COMMUNITY	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, PAGE 8	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.BMC.ORG/CARE-OUR-COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.BMC.ORG/PATIENT-FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A:	BOSTON MEDICAL CENTER (BMC) IS LICENSED BY THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH TO OPERATE A HOSPITAL AT ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118. BMC IS (1) A LICENSED HOSPITAL, (2) PROVIDES GENERAL MEDICAL AND SURGICAL TREATMENT, (3) IS A TEACHING HOSPITAL, AND (4) OPERATES AN EMERGENCY DEPARTMENT 24 HOURS PER DAY. THE MAIN CAMPUS OF BMC IS LOCATED AT THE MENINO PAVILION, 830-840 HARRISON AVENUE, BOSTON, MASSACHUSETTS. AN INPATIENT SATELLITE HOSPITAL KNOWN AS BMC BROCKTON BEHAVIORAL HEALTH CENTER IS LOCATED AT 34 NORTH PEARL STREET, BROCKTON, MASSACHUSETTS. ANOTHER LOCATION AT 249 RIVER STREET, MATTAPAN, MASSACHUSETTS IS LISTED ON BMC'S DEPARTMENT OF PUBLIC HEALTH LICENSE, BUT, THIS LOCATION HAS BEEN OUT OF SERVICE SINCE 1996.THE FOLLOWING OUTPATIENT SATELLITES ARE ALSO LISTED ON BMC'S DEPARTMENT OF PUBLIC HEALTH HOSPITAL LICENSE:1. CODMAN SQUARE HEALTH CENTER2. BRIGHTON HIGH SCHOOL STUDENT HEALTH CENTER3. BOSTON MEDICAL CENTER RADIOLOGY AT RYAN CENTER BOSTON UNIVERSITY4. NEIGHBORHEALTH 10 GOVE STREET5. DOTHOUSE HEALTH6. MADISON PARK HIGH SCHOOL STUDENT HEALTH CENTER7. JEREMIAH E. BURKE STUDENT HEALTH CENTER8. GREATER ROSLINDALE MEDICAL & DENTAL9. LATIN ACADEMY STUDENT HEALTH CENTER10. TECHBOSTON ACADEMY SCHOOL HEALTH CENTER11. BOSTON MEDICAL CENTER RADIOLOGY AT UPHAM'S CORNER HEALTH CENTER12. MURIEL SNOWDEN INTERNATIONAL HIGH SCHOOL HEALTH CENTER13. SOUTH BOSTON COMMUNITY HEALTH CENTER 386 WEST BROADWAY14. BOSTON MEDICAL CENTER SCHOOL-BASED HEALTH CENTER AT BOSTON COMMUNITY LEADERSHIP ACADEMY15. SOUTH BOSTON COMMUNITY HEALTH CENTER 409 WEST BROADWAY16. NEIGHBORHEALTH 20 MAVERICK SQUARE17. NEIGHBORHEALTH 79 PARIS STREET18. BOSTON MEDICAL CENTER RADIOLOGY AT WHITTIER STREET HEALTH CENTER19. NEIGHBORHEALTH SCHOOL BASED HEALTH CENTER20. NEIGHBORHEALTH 17 MAIN STREET21. SOUTH BOSTON COMMUNITY HEALTH CENTER SEAPORT PRIMARY CARE22. BOSTON MEDICAL CENTER - DEPARTMENT OF FAMILY MEDICINE MELNEA CASS BOULEVARD23. BOSTON MEDICAL CENTER - CROSSTOWN 801 MASSACHUSETTS AVENUE24. BMC REHABILITATION SERVICES, PHYSICAL AND OCCUPATIONAL THERAPY, HYDE PARK25. NEIGHBORHEALTH 1601 WASHINGTON STREET26. NEIGHBORHEALTH 400 SHAWMUT AVE27. CURBSIDE CARE PROGRAM AT BOSTON MEDICAL CENTER (MOBILE UNIT)28. BMC REHABILITATION, ORTHOPEDICS & IMAGING 39B DISTRICT AVENUE29. BOSTON MEDICAL CENTER COMMUNITY BEHAVIORAL HEALTH SERVICES30. ACUTE HOSPITAL CARE AT HOME (SPECIAL PROJECT)31. SATELLITE BLOOD BANK CANTON FIRE DEPARTMENT (SPECIAL PROJECT)BMC IS LICENSED BY THE MASSACHUSETTS DEPARTMENT OF MENTAL HEALTH FOR INPATIENT PSYCHIATRY SERVICES LOCATED AT BMC BROCKTON BEHAVIORAL HEALTH CENTER, AN INPATIENT SATELLITE LOCATED AT 34 NORTH PEARL STREET, BROCKTON, MASSACHUSETTS.
BOSTON MEDICAL CENTER	PART V, SECTION B, LINE 5: QUALITATIVE DISCUSSIONS AND COMMUNITY ENGAGEMENTTHE COMMUNITY ENGAGEMENT WORK GROUP INCLUDES 24 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HEALTH CENTERS, LOCAL PUBLIC HEALTH, COMMUNITY DEVELOPMENT, COMMUNITY-BASED ORGANIZATIONS, AND HOSPITALS. THE WORK GROUP'S CHARGE IS TO PROVIDE GUIDANCE ON THE APPROACH TO COMMUNITY ENGAGEMENT, INPUT ON PRIMARY DATA COLLECTIONS METHODS, AND SUPPORT WITH LOGISTICS FOR PRIMARY DATA COLLECTION. THE COLLABORATIVE'S COMMUNITY ENGAGEMENT WORK GROUP LED EFFORTS TO GAIN INSIGHT INTO COMMUNITY NEEDS AND STRENGTHS AS WELL AS PRIORITIES FROM COMMUNITY LEADERS AND RESIDENTS, ESPECIALLY AMONG THOSE WHERE THERE HAS BEEN A GAP IN REPRESENTATION IN PREVIOUS PROCESSES. ALTOGETHER, THEY FACILITATED 29 VIRTUAL AND IN-PERSONFOCUS GROUP DISCUSSIONS WITH A TOTAL OF 309 RESIDENTS WHO HAVE BEEN DISPROPORTIONATELY BURDENED BY SOCIAL, ECONOMIC, AND HEALTH CHALLENGES, INCLUDING YOUTH AND ADOLESCENTS, OLDER ADULTS, PERSONS WITH DISABILITIES, LOW-RESOURCED INDIVIDUALS AND FAMILIES, LGBTQIA+ POPULATIONS, RACIALLY/ETHNICALLY DIVERSE POPULATIONS (FOR EXAMPLE AFRICAN AMERICAN, LATINO, HAITIAN, CAPE VERDEAN, VIETNAMESE, CHINESE), LIMITED-ENGLISH SPEAKERS, IMMIGRANT AND ASYLEE COMMUNITIES, FAMILIES AFFECTED BY INCARCERATION AND VIOLENCE, AND VETERANS. SOME FOCUS GROUPS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH, INCLUDING SPANISH, CHINESE, AND VIETNAMESE.COLLABORATIVE MEMBERS CONDUCTED KEY INFORMANT INTERVIEWS WITH 62 INDIVIDUALS. THESE REPRESENTED A CROSS SECTION OF SECTORS TO IDENTIFY AREAS OF ACTION AND PERSPECTIVES ON THE COMMUNITY. THESE INTERVIEWEES INCLUDED LEADERS AND STAFF FROM PUBLIC HEALTH, HEALTH CARE, BEHAVIORAL HEALTH, THE FAITH COMMUNITY, IMMIGRANT SERVICES, HOUSING ORGANIZATIONS, ECONOMIC DEVELOPMENT, COMMUNITY DEVELOPMENT, RACIAL JUSTICE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION, COMMUNITY COALITIONS, THE BUSINESS COMMUNITY, CHILDCARE CENTERS, AND ELECTED GOVERNMENT OFFICES.COLLABORATIVE MEMBERS ALSO CONDUCTED FOUR 90-MINUTE VIRTUAL COMMUNITY LISTENING SESSIONS IN JANUARY 2022. 122 COMMUNITY MEMBERS PARTICIPATED IN THESE FOUR SESSIONS. THESE SESSIONS OCCURRED MID-WAY INTO THE CHNA PROCESS AND PROVIDED AN OPPORTUNITY TO GATHER FEEDBACK AND INSIGHTS ON PRELIMINARY DATA FINDINGS AND POTENTIAL PRIORITIES. DURING THESE SESSIONS, COLLABORATIVE MEMBERS SHARED PRELIMINARY THEMES FROM FOCUS GROUPS, INTERVIEWS, AND THE REVIEW OF SECONDARY DATA. THE PARTICIPANTS DISCUSSED THEIR REACTIONS AND FEEDBACK IN SMALL GROUPS AND IDENTIFIED AREAS THAT WERE THEIR HIGHEST PRIORITIES FOR ACTION.TO DEEPEN UNDERSTANDING OF ISSUES THAT WERE SALIENT TO RESPONDENTS, INTERVIEW, FOCUS GROUP, AND COMMUNITY LISTENING SESSION DISCUSSION GUIDES USED OPEN-ENDED QUESTIONS AND DID NOT ASK ABOUT SPECIFIC TOPICS. COMMUNITY ENGAGEMENT WORK GROUP MEMBERS AND THEIR PARTNERS CONDUCTED THE FOCUS GROUPS AND INTERVIEWS, AND THEN SUMMARIZED THE KEY THEMES FROM THE DISCUSSIONS. THESE SUMMARIES WERE THEN ANALYZED TO IDENTIFY COMMON THEMES ACROSS POPULATION GROUPS AS WELL AS UNIQUE CHALLENGES AND PERSPECTIVES IDENTIFIED BY POPULATIONS AND SECTORS, WITH AN EMPHASIS ON UNDERSTANDING THE CAUSES OF INEQUITIES. FREQUENCY AND INTENSITY OF DISCUSSIONS ON A SPECIFIC TOPIC WERE KEY INDICATORS USED FOR EXTRACTING MAIN THEMES.
BOSTON MEDICAL CENTER	PART V, SECTION B, LINE 6A: BMC CONDUCTED THE CHNA WITH THE FOLLOWING HOSPITALS: 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.
BOSTON MEDICAL CENTER	PART V, SECTION B, LINE 6B: BOSTON MEDICAL CENTER ALSO CONDUCTED THE CHNA WITH THE FOLLOWING NON-HOSPITAL 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.BOSTON MEDICAL CENTER:PART V, SECTION B, LINE 7B: HTTPS://WWW.BOSTON.GOV/GOVERNMENT/CABINETS/BOSTON-PUBLIC-HEALTH-COMMISSION/RACIAL-JUSTICE-AND-HEALTH-EQUITY/BOSTONCHNA
BOSTON MEDICAL CENTER	PART V, SECTION B, LINE 11: BMC, UNWAVERING IN ITS COMMITMENT TO ADDRESS THE HEALTH NEEDS OF ITS COMMUNITY, PROVIDES A WIDE RANGE OF PROGRAMS BEYOND THE TRADITIONAL MEDICAL MODEL. CORE TO FULFILLING BMC'S PUBLIC HEALTH MISSION AND CONSISTENT WITH THE CHNA FINDINGS, THE GOALS OF ITS COMMUNITY BENEFITS PROGRAM ARE TO IMPROVE ACCESS TO HEALTH SERVICES AND IMPROVE HEALTH OUTCOMES FOR UNDER-RESOURCED POPULATIONS IN ITS COMMUNITY. KEY FINDINGS THAT EMERGED FROM THE CHNA INCLUDED HEALTH CARE ACCESS AND UTILIZATION, CHRONIC DISEASES AND RISK FACTORS, MENTAL HEALTH AND SUBSTANCE USE DISORDER, VIOLENCE, HOUSING AFFORDABILITY, AND ENVIRONMENTAL HEALTH. SCHEDULE H, PART VI, SUPPLEMENTAL INFORMATION, PROMOTION OF COMMUNITY HEALTH PROVIDES DETAILED INFORMATION ABOUT EACH OF THE PROGRAMS AND INITIATIVES THAT ADDRESSED THESE NEEDS. BOSTON MEDICAL CENTER:PART V, SECTION B, LINE 13A: FOR PATIENTS WHO FALL OUTSIDE THE COMMONWEALTH'S ASSISTANCE PROGRAMS, PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED, BUT THEY ARE OFFERED A PROMPT-PAY DISCOUNT (REGARDLESS OF INCOME LEVEL) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT.
BOSTON MEDICAL CENTER	PART V, SECTION B, LINE 13H: UNDER BMC'S FINANCIAL ASSISTANCE POLICY, PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE HAVE APPLIED FOR ONE OF THE COMMONWEALTH'S FINANCIAL ASSISTANCE PROGRAMS (MASSHEALTH, MEDICAID, HEALTH SAFETY NET, ETC.) 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.

Field	Value	IRS element (for citing)
Facility	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - MARGARET M SHEA RN ADULT DAY HEALTH PRO
229 RIVER STREET	BOSTON	MA	02126	ADULT DAY HEALTH PROGRAM
2 - BOSTON EMERGENCY SERVICES TEAM (BEST)
85 EAST NEWTON STREET	BOSTON	MA	02118	DEPARTMENT OF MENTAL HEALTH-LICENSED COMMUNITY CRISIS STABILIZATION SERVICE
3 - BMC BROCKTON BEHAVIORAL HEALTH CENTER
10 MEADOWBROOK ROAD	BROCKTON	MA	02301	BUREAU OF SUBSTANCE ADDICTION SERVICES-CERTIFIED CLINICAL STABILIZATION SRVC
4 - BOSTON MEDICAL CENTER COMMUNITY BEHAVIOR
850 HARRISON AVE - DOWLING BLDG 7TH	BOSTON	MA	02118	BUREAU OF SUBSTANCE ADDICTION SERVICES	FL

Supplemental Information Detail SupplementalInformationDetail (21 entries)

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PART I, LINE 3C:	FOR PATIENTS WHO FALL OUTSIDE THE COMMONWEALTH'S ASSISTANCE PROGRAMS, PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED, BUT THEY ARE OFFERED A PROMPT-PAY DISCOUNT (REGARDLESS OF INCOME LEVEL) BASED ON THE UNCOMPENSATED CARE COST TO CHARGE RATIO IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM THE AGREEMENT.INTRODUCTIONTHE STATUTE THAT CREATED BMC REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 654-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 AFFECT HEALTH OUTCOMES AMONG BMC'S PATIENTS AND COMMUNITY, THE GOAL OF BMC'S COMMUNITY HEALTH IMPROVEMENT ACTIVITIES, OR COMMUNITY BENEFITS, IS TO IMPROVE COMMUNITY HEALTH.APPROXIMATELY 72% OF BMC'S INPATIENT DISCHARGES AND OUTPATIENT VISITS ARE FROM GROUPS THAT HAVE BEEN ECONOMICALLY AND SOCIALLY DISADVANTAGED AND WHO RELY ON GOVERNMENT PAYERS, SUCH AS MEDICAID, THE HEALTH SAFETY NET, AND MEDICARE, FOR THEIR COVERAGE. ALMOST 30% OF BMC'S PATIENTS 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 PATIENT NAVIGATION AND A FOOD PANTRY, HELP REDUCE BARRIERS TO HEALTH SERVICES AND ULTIMATELY ELIMINATE INEQUITIES IN HEALTHCARE AMONG THE PATIENT POPULATIONS BMC SERVES.WITH 27,064 ADMISSIONS AND MORE THAN 1.17 MILLION PATIENT VISITS, 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, BMC'S EMERGENCY DEPARTMENT HAS APPROXIMATELY 124,550 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 16.9% 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 CENTER FOR HEALTH INFORMATION AND ANALYSIS (CHIA) MASSACHUSETTS HEALTH INSURANCE SURVEY'S 2023 RESEARCH BRIEF, AN ESTIMATED 1.7% OF RESIDENTS WERE UNINSURED DURING THE SURVEY OF WHICH 67.2% REPORTED EMPLOYER-SPONSORED INSURANCE (ESI) AND 31.9% REPORTED OTHER NON-ESI. STILL, INSURED RESIDENTS IN FAIR OR POOR HEALTH HAVE HIGH RATES OF AFFORDABILITY ISSUES WITH 14.8% REPORTING SPENDING A HIGH SHARE OF FAMILY INCOME ON OUT-OF-POCKET HEALTHCARE SPENDING. OF BMC'S PATIENTS IN 2024, MEDICAID MAKES UP 48.8%, MEDICARE 21.7%, UNINSURED 2.0%, AND PRIVATE COMMERCIAL 26.6%, WITH THE REMAINDER OF 0.9% ACCOUNTED FOR BY OTHER GOVERNMENT AND WORKERS COMP.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.
PART I, LINE 7:	FOR THE CALCULATION OF COSTS OF CHARITY CARE (LINE 7A) AND 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.PART I, LINE 7, COLUMN F:THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $0.DURING FISCAL YEAR 2024, BMC RECOGNIZED NET FAVORABLE SETTLEMENTS FROM MEDICARE, MEDICAID, WELLSENSE, BLUE CROSS, AND OTHER PAYORS RELATED TO PRIOR YEARS OF APPROXIMATELY $16,958,000.
PART II, COMMUNITY BUILDING ACTIVITIES:	BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON. THOSE LINKAGE FEES FUND SUPPORT PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. BMC ALSO PROVIDES SUBSIDIES TO BOSTON HEALTHNET, WHICH SUPPORTS COMMUNITY-BASED SERVICES.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 COMMUNITY HEALTH CENTERS' DIVERSE PATIENT POPULATION. COSTLY INFORMATION TECHNOLOGY UPGRADES ARE ALSO REQUIRED TO ENHANCE MANAGEMENT EFFICIENCIES AND PATIENT CARE. IN RESPONSE TO THE HEALTH CENTERS' NEEDS, BMC PROVIDED APPROXIMATELY $16.9 MILLION IN DIRECT OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS IN FISCAL YEAR 2024 WITH $17.8 MILLION IN TOTAL SUPPORT FOR THE COMMUNITY HEALTH CENTERS FOR THAT SAME PERIOD. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT, AND WORKFORCE DEVELOPMENT.
PART III, LINE 2:	SCHEDULE H, PART III, LINE 3 REPORTS BAD DEBT EXPENSE AT COST. PATIENT PAYMENTS ON ACCOUNTS THAT ARE WRITTEN OFF TO BAD DEBT ARE RECORDED AS A BAD DEBT RECOVERY, REDUCING THE GROSS BAD DEBT WRITE-OFF.
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.
PART III, LINE 4:	THE ORGANIZATION'S BAD DEBT EXPENSE IS ADDRESSED IN FOOTNOTES 2(T)(IV) AND 2(U) FOUND ON PAGES 15 THROUGH 18 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS OF $187,962,849 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.
PART III, LINE 9B:	POPULATIONS EXEMPT FROM COLLECTION ACTIVITIESTHE 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 ACCORDING 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 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'S 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 CEASES ITS BILLING OR COLLECTION ACTIVITIES.4. THE HOSPITAL MAY CONTINUE COLLECTION ACTION AGAINST 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.
PART VI, LINE 2:	IN 2022, 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 FORMED IN 2019 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 CHNAS.REVIEW OF SECONDARY DATATHE 2022 BOSTON CHNA DATA GATHERING EFFORT INCLUDED A REVIEW OF EXISTING SECONDARY DATA ON SOCIAL, ECONOMIC, AND HEALTH INDICATORS. THESE INDICATORS PROVIDE INSIGHTS INTO PATTERNS ACROSS BOSTON, BY BOSTON NEIGHBORHOOD, AND BY POPULATION GROUPS WITHIN BOSTON. SECONDARY DATA SOURCES INCLUDED U.S. CENSUS/AMERICAN COMMUNITY SURVEY, VITAL STATISTICS (BIRTH/DEATH RECORDS), HOSPITAL CASE MIX DATA, BOSTON BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY (BBRFSS), BBRFSS COVID-19 HEALTH EQUITY SURVEY, YOUTH RISK BEHAVIOR SURVEY (YRBS), AND THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH BUREAU OF SUBSTANCE ADDICTION SERVICES TREATMENT DATA. THE SECONDARY DATA WORK GROUP OF THE COLLABORATIVE INCLUDED 16 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HOSPITALS, HEALTH CENTERS, AND LOCAL PUBLIC HEALTH. THE SECONDARY DATA WORK GROUP'S CHARGE WAS TO PROVIDE GUIDANCE ON SECONDARY DATA APPROACH AND INDICATORS AND FOSTER CONNECTIONS WITH KEY NETWORKS AND GROUPS TO PROVIDE RELEVANT DATA.TO IDENTIFY THE LIST OF SOCIAL, ECONOMIC, AND HEALTH INDICATORS, SECONDARY DATA WORK GROUP MEMBERS REVIEWED THE INDICATOR LIST FROM THE 2019 BOSTON CHNA AND SELECTED INDICATORS TO REVISIT FOR THE 2022 REPORT. THE SECONDARY DATA WORK GROUP ENGAGED IN MULTIPLE DISCUSSIONS AND SET PRIORITIES USING THE SECONDARY DATA THAT ALIGNED WITH THE 2019 PRIORITY AREAS THAT COVID-19 HAD A DISPROPORTIONATE IMPACT ON, OR WHERE THERE WERE THE GREATEST INEQUITIES BY RACE/ETHNICITY, NEIGHBORHOOD, OR OTHER CHARACTERISTICS.SECONDARY DATA IN THE 2022 CHNA REPRESENTS THE MOST RECENT DATA AVAILABLE, AND IN SEVERAL CASES OVERLAPS WITH DATA INCLUDED IN THE 2019 CHNA DUE TO THE NEED TO COMBINE DATA ACROSS YEARS TO LOOK AT PATTERNS BY NEIGHBORHOOD AND SOCIAL AND DEMOGRAPHIC FACTORS. QUALITATIVE DISCUSSIONS (DESCRIBED IN THE SECTION THAT FOLLOWS) BUILT UPON THE SECONDARY DATA BY SHEDDING LIGHT ON RESIDENTS' RECENT EXPERIENCES WITH, AND PERSPECTIVES ON, MANY FACTORS,INCLUDING THE SOCIAL DETERMINANTS OF HEALTH AND HOW THESE ISSUES HAVE BEEN AFFECTED BY THE COVID-19 PANDEMIC.QUALITATIVE DISCUSSIONS AND COMMUNITY ENGAGEMENTTHE COMMUNITY ENGAGEMENT WORK GROUP INCLUDES 24 MEMBERS REPRESENTING A RANGE OF ORGANIZATIONS, INCLUDING HEALTH CENTERS, LOCAL PUBLIC HEALTH, COMMUNITY DEVELOPMENT, COMMUNITY-BASED ORGANIZATIONS, AND HOSPITALS. THE WORK GROUP'S CHARGE IS TO PROVIDE GUIDANCE ON THE APPROACH TO COMMUNITY ENGAGEMENT, INPUT ON PRIMARY DATA COLLECTIONS METHODS, AND SUPPORT WITH LOGISTICS FOR PRIMARY DATA COLLECTION. THE COLLABORATIVE'S COMMUNITY ENGAGEMENT WORK GROUP LED EFFORTS TO GAIN INSIGHT INTO COMMUNITY NEEDS AND STRENGTHS AS WELL AS PRIORITIES FROM COMMUNITY LEADERS AND RESIDENTS, ESPECIALLY AMONG THOSE WHERE THERE HAS BEEN A GAP IN REPRESENTATION IN PREVIOUS PROCESSES. ALTOGETHER, THEY FACILITATED 29 VIRTUAL AND IN-PERSON FOCUS GROUP DISCUSSIONS WITH 309 RESIDENTS WHO HAVE BEEN DISPROPORTIONATELY BURDENED BY SOCIAL, ECONOMIC, AND HEALTH CHALLENGES, INCLUDING YOUTH AND ADOLESCENTS, OLDER ADULTS, PERSONS WITH DISABILITIES, LOW-RESOURCED INDIVIDUALS AND FAMILIES, LGBTQIA+ POPULATIONS, RACIALLY/ETHNICALLY DIVERSE POPULATIONS (FOR EXAMPLE AFRICAN AMERICAN, LATINO,HAITIAN, CAPE VERDEAN, VIETNAMESE, CHINESE), LIMITED-ENGLISH SPEAKERS, IMMIGRANT AND ASYLEE COMMUNITIES, FAMILIES AFFECTED BY INCARCERATION OR VIOLENCE, AND VETERANS. SOME FOCUS GROUPS WERE CONDUCTED IN LANGUAGES OTHER THAN ENGLISH, INCLUDING SPANISH, CHINESE, AND VIETNAMESE.COLLABORATIVE MEMBERS CONDUCTED KEY INFORMANT INTERVIEWS WITH 62 INDIVIDUALS. THESE REPRESENTED A CROSS SECTION OF SECTORS TO IDENTIFY AREAS OF ACTION AND PERSPECTIVES ON THE COMMUNITY. THOSE INTERVIEWED INCLUDED LEADERS AND STAFF FROM PUBLIC HEALTH, HEALTH CARE, BEHAVIORAL HEALTH, THE FAITH COMMUNITY, IMMIGRANT SERVICES, HOUSING ORGANIZATIONS, ECONOMIC DEVELOPMENT, COMMUNITY DEVELOPMENT, RACIAL JUSTICE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, EDUCATION, COMMUNITY COALITIONS, THE BUSINESS COMMUNITY, CHILDCARE CENTERS, ELECTED GOVERNMENT OFFICES, AND OTHERS.COLLABORATIVE MEMBERS ALSO CONDUCTED FOUR 90-MINUTE VIRTUAL COMMUNITY LISTENING SESSIONS IN JANUARY 2022. 122 COMMUNITY MEMBERS PARTICIPATED IN THESE FOUR SESSIONS. THE SESSIONS OCCURRED MID-WAY INTO THE CHNA PROCESS AND PROVIDED AN OPPORTUNITY TO GATHER FEEDBACK AND INSIGHTS ON PRELIMINARY DATA FINDINGS AND POTENTIAL PRIORITIES. DURING THESE SESSIONS, COLLABORATIVE MEMBERS SHARED PRELIMINARY THEMES FROM FOCUS GROUPS, INTERVIEWS, AND THE REVIEW OF SECONDARY DATA. THE PARTICIPANTS DISCUSSED THEIR REACTIONS AND FEEDBACK IN SMALL GROUPS AND IDENTIFIED AREAS THAT WERE THEIR HIGHEST PRIORITY FOR ACTION.TO DEEPEN UNDERSTANDING OF ISSUES THAT WERE SALIENT TO RESPONDENTS, INTERVIEW, FOCUS GROUP, AND COMMUNITY LISTENING SESSION DISCUSSION GUIDES USED OPEN-ENDED QUESTIONS AND DID NOT ASK ABOUT SPECIFIC TOPICS. COMMUNITY ENGAGEMENT WORK GROUP MEMBERS AND THEIR PARTNERS CONDUCTED THE FOCUS GROUPS AND INTERVIEWS, AND THEN SUMMARIZED THE KEY THEMES FROM THE DISCUSSIONS THEY FACILITATED. THESE SUMMARIES WERE THEN ANALYZED TO IDENTIFY COMMON THEMES ACROSS POPULATION GROUPS AS WELL AS UNIQUE CHALLENGES AND PERSPECTIVES IDENTIFIED BY POPULATIONS AND SECTORS, WITH AN EMPHASIS ON UNDERSTANDING THE CAUSES OF INEQUITIES. FREQUENCY AND INTENSITY OF DISCUSSIONS ON A SPECIFIC TOPIC WERE KEY INDICATORS USED FOR EXTRACTING MAIN THEMES.KEY FINDINGS THAT EMERGED FROM THE CHNA INCLUDED HEALTH CARE ACCESS AND UTILIZATION, CHRONIC DISEASES AND RISK FACTORS, MENTAL HEALTH AND SUBSTANCE USE DISORDER, VIOLENCE, HOUSING AFFORDABILITY, AND ENVIRONMENTAL HEALTH.BMC, UNWAVERING IN ITS COMMITMENT TO ADDRESS THE HEALTH NEEDS OF ITS COMMUNITY, PROVIDES A WIDE RANGE OF PROGRAMS BEYOND THE TRADITIONAL MEDICAL MODEL TO ADDRESS THESE SOCIAL DETERMINANTS OF HEALTH. CORE TO FULFILLING BMC'S PUBLIC HEALTH MISSION AND CONSISTENT WITH THE CHNA FINDINGS, THE GOALS OF ITS COMMUNITY BENEFITS PROGRAM ARE TO IMPROVE ACCESS TO HEALTH SERVICES AND IMPROVE HEALTH OUTCOMES FOR UNDER-RESOURCED POPULATIONS IN ITS COMMUNITY.
PART VI, LINE 3:	THE HOSPITAL POSTS NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE IN: (1) INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT AND WAITING AREAS, (2) PATIENT FINANCIAL COUNSELOR AREAS, (3) CENTRAL ADMISSION/REGISTRATION AREAS, AND (4) 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 A 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 USES THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL HELPS THE PATIENT COMPLETE 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 5% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO ENGLISH, PORTUGUESE, SPANISH, VIETNAMESE, AND HAITIAN CREOLE.
PART VI, LINE 4:	COMMUNITY INFORMATIONPLEASE SEE INTRODUCTION.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHHEALTH CARE ACCESSBIRTH SISTERS: BIRTH SISTERS ARE COMMUNITY MEMBERS TRAINED BY BMC TO PROVIDE SUPPORT TO PREGNANT BMC PATIENTS FROM THEIR OWN COMMUNITIES DURING PREGNANCY, CHILDBIRTH, AND EARLY PARENTHOOD. BIRTH SISTERS OFFER CHILDBIRTH, AND PARENTING EDUCATION, CONNECT PATIENTS TO COMMUNITY AND HOSPITAL-BASED RESOURCES, PROVIDE CONTINUOUS LABOR SUPPORT, AND SUPPORT PATIENTS IN THE EARLY POSTPARTUM PERIOD. THE BIRTH SISTERS PROGRAM HAS BEEN LINKED TO SIGNIFICANTLY HIGHER BREASTFEEDING RATES AND FEWER CESAREAN BIRTHS. DURING THE 2024 FISCAL YEAR, BIRTH SISTERS PROVIDED SUPPORT FOR 194 PATIENTS.CATALYST CLINIC: LAUNCHED IN MAY 2016, BMC'S CATALYST CLINIC (CENTER FOR ADDICTION TREATMENT FOR ADOLESCENT/YOUNG ADULTS WHO USE SUBSTANCES), TREATS 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 2024, THE CATALYST CLINIC RECEIVED APPROXIMATELY 114 REFERRALS TO THE CLINIC (909 REFERRALS HAVE BEEN RECEIVED SINCE THE PROGRAM'S INCEPTION).THE CENTER FOR THE URBAN CHILD AND HEALTHY FAMILY: THE CENTER, LAUNCHED IN 2016, WORKS TO HELP BMC REALIZE ITS 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. 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 SUPPORT TO THRIVE BY AGE FIVE. TO ACHIEVE THIS GOAL, THE CENTER CO-DEVELOPED A NEW MODEL OF PEDIATRIC PRIMARY CARE, ORIGINALLY KNOWN AS 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 INITIALLY AIMED AT FAMILIES WITH NEWBORNS, AND IS COLLECTING DATA TO UNDERSTAND ITS IMPACT. THE PILOT LAUNCHED IN JANUARY 2020 AND HAS SINCE ENROLLED 2,432 PATIENTS. ULTIMATELY, A FINANCIALLY SUSTAINABLE MODEL WILL BE SCALED TO THE LARGER PRIMARY CARE PRACTICE. IN ADDITION, THE CENTER WORKS WITH WELLSENSE HEALTH PLAN TO TEST ALTERNATIVE PAYMENT MODELS TO ULTIMATELY REDEFINE VALUE IN PEDIATRIC CARE. THE CENTER ALSO SUPPORTS AN INTEGRATED MEDICAL HOME FOR FAMILIES AFFECTED BY SUBSTANCE USE DISORDER AND AN INNOVATIVE ASTHMA CARE PROGRAM TARGETED AT BMC'S URBAN PEDIATRIC POPULATION.LIVING WELL AT HOME (FORMERLY ELDERS LIVING AT HOME PROGRAM): THE GOAL OF LIVING WELL AT HOME IS TO HELP OLDER ADULTS AND PERSONS WITH DISABILITIES WHO ARE HOMELESS OR AT RISK FOR HOMELESSNESS SECURE AND MAINTAIN A PERMANENT RESIDENCE AND LIVE AS INDEPENDENTLY AS POSSIBLE. LIVING WELL AT HOME SERVED OVER 700 CLIENTS DURING FISCAL YEAR 2024 IN HOUSING HOUSING SEARCH AND PLACEMENT SERVICES. OF THESE CLIENTS, 310 WERE NEWLY ENROLLED DURING THE FISCAL YEAR, AND 199 WERE HOUSED OR HAD THEIR TENANCY PRESERVED. THE SUCCESS RATE OF LIVING WELL AT HOME'S STABILIZATION SERVICES IN THE BOSTON HOUSING AUTHORITY SUPPORTIVE HOUSING PROGRAM IS 98%. IN 2024, OVER 100 CLIENTS WERE SERVED THROUGH A COMMUNITY-BASED COMPLEX CARE MANAGEMENT PILOT DESIGNED TO IMPROVE HEALTH OUTCOMES FOR FRAIL RESIDENTS OF AN ELDERLY/DISABLED HOUSING COMPLEX IN ROXBURY AND IN CAMBRIDGE.GROW CLINIC: THE GROW CLINIC WAS FOUNDED IN 1984 WITHIN BMC'S 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. CHILDREN WITH FAILURE TO THRIVE HAVE SIGNIFICANT DIFFICULTY GROWING BECAUSE OF MALNUTRITION ASSOCIATED WITH ILLNESS, POVERTY, AND OTHER FAMILY STRESSORS. THE EFFECTS OF FAILURE TO THRIVE INCLUDE SHORTENED ATTENTION SPANS, EMOTIONAL PROBLEMS, DELAYED COGNITIVE DEVELOPMENT, LASTING GROWTH FAILURE, AND FREQUENT SERIOUS ILLNESS, WHICH CAN RESULT IN HOSPITALIZATION. THE GROW CLINIC PROVIDES MEDICAL TREATMENT, NUTRITIONAL ASSESSMENT, HOME HEALTH EDUCATION, SOCIAL SERVICE ADVOCACY, DEVELOPMENTAL REFERRALS, AND ACCESS TO BMC'S PREVENTIVE FOOD PANTRY, NUTRITIONAL SUPPLEMENTS, CHILDREN'S CLOTHES, DIAPERS, AND BOOKS AND EDUCATIONAL TOYS. APPROXIMATELY 230 FAMILIES ARE TREATED ANNUALLY BY THE GROW CLINIC. IN FY24, THERE WERE 118 NEW PATIENTS. FORTY-FIVE PERCENT (45%) OF CLINIC PATIENTS WERE 12 MONTHS OF AGE OR YOUNGER. THE AVERAGE AGE AT REFERRAL WAS 22 MONTHS AND THE AVERAGE LENGTH OF TREATMENT WAS 28 MONTHS. THERE WERE 858 TOTAL CLINIC VISITS DURING THIS PERIOD. APPROXIMATELY 12% OF PATIENT FAMILIES WERE HOMELESS AND LIVING IN SHELTERS. ALL PATIENTS DEMONSTRATED IMPROVED GROWTH, AND 80% DEMONSTRATED SIGNIFICANT WEIGHT IMPROVEMENT.
PART VI, LINE 6:	BOSTON MEDICAL CENTER HEALTH PLAN, INC., DOING BUSINESS AS WELLSENSE HEALTH PLAN WELLSENSE IS A NON-PROFIT HEALTH PLAN THAT PROVIDES HEALTH INSURANCE COVERAGE TO MASSACHUSETTS RESIDENTS, INCLUDING LOW INCOME, UNDERSERVED, DISABLED AND ELDERLY POPULATIONS. WELLSENSE HAS MORE THAN 25 YEARS OF EXPERIENCE DELIVERING ACCESSIBLE CARE TO COMPLEX POPULATIONS AND SERVES AN AVERAGE OF 684,000 MEMBERS ACROSS MASSACHUSETTS. IT ALSO PROVIDES HEALTH COVERAGE TO MEDICAID MEMBERS IN NEW HAMPSHIRE.BOSTON HEALTHNETTHE BOSTON HEALTHNET HEALTH CENTER NETWORK IS A PARTNERSHIP BETWEEN BOSTON MEDICAL CENTER AND COMMUNITY HEALTH CENTERS TO FULFILL A SHARED COMMITMENT TO THE MOST VULNERABLE AND DIVERSE PATIENTS SERVED. ESTABLISHED IN 1995, BOSTON HEALTHNET IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM COMPRISED OF BMC, BOSTON UNIVERSITY'S CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE, AND 12 COMMUNITY HEALTH CENTERS. THE PARTNERSHIP HAS BECOME A NATIONAL MODEL FOR COMMUNITY HEALTH CARE NETWORKS, ESPECIALLY THOSE SERVING URBAN, UNDERSERVED, AND WORKING CLASS POPULATIONS. BOSTON HEALTHNET'S COMMUNITY HEALTH CENTER PARTNERS PROVIDE OUTREACH, PREVENTION, PRIMARY CARE, SPECIALTY CARE, AND DENTAL SERVICES AT SITES LOCATED THROUGHOUT BOSTON'S COMMUNITIES AS WELL AS ATTLEBORO, QUINCY, TAUNTON, AND WINTHROP, EXTENDING BMC'S PRESENCE INTO THESE NEIGHBORHOODS. PHYSICIANS WORKING IN THE HEALTH CENTERS ARE CREDENTIALED MEMBERS OF BMC'S MEDICAL STAFF. HEALTH CENTER PATIENTS HAVE ACCESS TO HIGHLY TRAINED SPECIALISTS AND CUTTING-EDGE TECHNOLOGY AT BMC WHILE RECEIVING INDIVIDUALIZED AND CULTURALLY SENSITIVE CARE IN THEIR OWN NEIGHBORHOODS.A NOTABLE SHARE OF BMC VOLUME ORIGINATES FROM THE HEALTH CENTERS, AND THE NETWORK HAVE ACCOMPLISHED COLLABORATIVE DEVELOPMENT OF QUALITY IMPROVEMENT INITIATIVES, CLINICAL PROTOCOLS, AND STANDARDS OF PRACTICE, AND COORDINATION OF HEALTH INFORMATION TECHNOLOGY TRAINING, COMMUNICATION AND OPTIMIZATION ACROSS THE HEALTH CENTER NETWORK WITH NINE OF THE BOSTON HEALTHNET HEALTH CENTERS ON THE SAME ELECTRONIC HEALTH RECORD.THE COMMUNITY HEALTH CENTER PARTNERSHIP ALSO EXTENDS INTO CLINICIAN TRAINING AND JOINT HIRING. THE BU CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE STUDENTS USE HEALTH CENTER EDUCATION PROGRAMS, RESIDENTS GAIN LONGITUDINAL AMBULATORY EXPERIENCE AT COMMUNITY HEALTH CENTERS AND PROVIDERS ARE JOINTLY HIRED BY HEALTH CENTERS AND BU FAMILY MEDICINE ACROSS SIX HEALTH CENTERS.OTHER AREAS DEMONSTRATING THE LONGSTANDING AND DEEP PARTNERSHIP INCLUDE: GOVERNANCE: COMMUNITY HEALTH CENTERS ARE REPRESENTED ON BMC'S BOARD OF TRUSTEES, COMMITTEES OF THE BMC BOARD OF TRUSTEES, AND BMC HOSPITAL COMMITTEES.RESEARCH: FOR OVER 15 YEARS, A RESEARCH COLLABORATIVE COMPRISED OF BOSTON HEALTHNET, COMMUNITY HEALTH CENTERS, AND BOSTON UNIVERSITY CLINICAL TRANSLATIONAL SCIENCE INSTITUTE HAS ADVANCED HEALTH RELATED RESEARCH IN THE COMMUNITY, INCLUDED THE COMMUNITY VOICE IN RESEARCH PROJECTS, AND FACILITATED CLINICIAN ENGAGEMENT IN THE RESEARCH PROCESS.ACO PARTICIPATION: CURRENTLY, 11 BOSTON HEALTHNET COMMUNITY HEALTH CENTERS PARTICIPATE IN BOSTON ACCOUNTABLE CARE ORGANIZATION (BACO). BACO'S PARTICIPANTS ARE COLLECTIVELY ACCOUNTABLE FOR THE QUALITY AND COST OF THE CARE THEY PROVIDE. BACO'S 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 WELLSENSE.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):	IMMIGRANT AND REFUGEE HEALTH CENTER: THE CENTER CONNECTS ALL OF BMC'S EXISTING PROGRAMS AND EXPERTISE IN IMMIGRANT AND REFUGEE HEALTH CARE INTO ONE CENTRAL POINT OF ENTRY. THROUGH THE CENTER, ANY IMMIGRANT PATIENT CAN BE CONNECTED WITH ALL OF THE MEDICAL, MENTAL HEALTH, AND SOCIAL SERVICES THEY NEED TO HEAL, REBUILD, AND THRIVE, INCLUDING SPECIALIZED PRIMARY CARE SERVICES, REGULAR CHECK-UPS, IMMUNIZATIONS AND SCREENINGS, SPECIALIZED, TRAUMA-INFORMED MENTAL HEALTH CARE, AND TAILORED OBSTETRICS AND GYNECOLOGICAL CARE, INCLUDING PREGNANCY AND POSTPARTUM CARE, ANNUAL CHECK-UPS, GYNECOLOGIC CARE, CONTRACEPTION COUNSELING, SURGICAL CONSULTATION AND CONSULTATIONS REGARDING FEMALE GENITAL CIRCUMCISION. THE CENTER'S CASE MANAGEMENT TEAM PARTNERS WITH PATIENTS TO CONNECT THEM WITH THE MEDICAL AND SOCIAL SERVICES THEY NEED (FROM IMMIGRATION LEGAL NEEDS, TO CAREER DEVELOPMENT, TO FOOD AND HOUSING SUPPORT) IN A SUPPORTIVE ENVIRONMENT SPECIFICALLY TAILORED TO MEET THEIR UNIQUE NEEDS. FOREIGN AND SIGN LANGUAGE INTERPRETERS ARE AVAILABLE TO HELP PATIENTS COMMUNICATE WITH THE STAFF. THE PRACTICE PROVIDES ON-SITE INTERPRETERS AND PHONE-BASED INTERPRETERS FOR MORE THAN 250 LANGUAGES. IN THE PAST YEAR, THE CENTER SERVED OVER 2,000 IMMIGRANT, REFUGEE, AND ASYLUM SEEKING PATIENTS, DELIVERING APPROXIMATELY 6,400 CLINICAL VISITS ANNUALLY.MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM: LICENSED UNDER THE DEPARTMENT OF PUBLIC HEALTH, BMC'S MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM IS AN INTERDISCLIPLANARY PROGRAM THAT HELPS CLIENTS ACHIEVE AND MAINTAIN THEIR HIGHEST LEVEL OF FUNCTIONING WHILE PROVIDING SUPPORT TO THE CLIENTS AND THEIR CAREGIVERS TO ENABLE THEM TO REMAIN IN THE COMMUNITY. THIS IS ACHIEVED BY PROVIDING HOLISTIC CARE TO MEET THE INDIVIDUAL CLIENT'S PHYSICAL, COGNITIVE, SOCIAL, AND EMOTIONAL NEEDS WTIHIN A GROUP SETTING.OVER THE COURSE OF 2024, THE PROGRAM HAD 4,810 CLIENT VISITS, SERVING A TOTAL OF 40 CLIENTS; 7 OF WHOM WERE NEW ADMISSIONS. BASED ON MASSHEALTH CLASSIFICATIONS, THE PROGRAM HAS SEEN AN INCREASE IN THE ACUITY OF ITS CLIENTS. IN FY23 THE CLIENT ACUITY MIX WAS AT 85% BASIC AND 15% COMPLEX, INCREASING IN FY24 TO 82% BASIC AND 18% COMPLEX. EXCELLENCE IN THE QUALITY AND PROCESS IMPROVEMENT PROGRAM WAS RECOGNIZED WITH THE ACCEPTANCE OF, AND PRESENTATION BY, THE PROGRAM DIRECTOR AT THE 2024 NATIONAL ADULT DAY SERVICES ASSOCIATION NATIONAL CONFERENCE.PROGRAM FOR INTEGRATIVE MEDICINE AND HEALTH CARE DISPARITIES: STARTED IN 2004, THE PROGRAM FOR INTEGRATIVE MEDICINE AND HEALTH CARE DISPARITIES AT BMC COMBINES CONVENTIONAL MEDICAL TREATMENT, COMPLEMENTARY THERAPIES, AND LIFESTYLE CHANGES. THE CORE PURPOSE OF THE PROGRAM IS TO PIONEER A WIDELY ACCESSIBLE, MULTICULTURAL, CROSS-DISCIPLINARY, NATIONAL MODEL OF INTEGRATIVE HEALTH FOR ALL THROUGH CLINICAL SERVICES, EDUCATION, RESEARCH, AND ADVOCACY. COMPLEMENTARY THERAPIES INCLUDE YOGA, MASSAGE, ACUPUNCTURE, HERBAL THERAPY, DIETARY SUPPLEMENTS, MEDITATION, HYPNOSIS, CHI GUNG, TAI CHI, AND REIKI. THE PROGRAM OFFERS ALL CLINICAL SERVICES AND CLASSES AT LITTLE OR NO COST.CONVENTIONAL TREATMENTS MAY INCLUDE PRESCRIPTION MEDICATION, X-RAYS, SURGICAL PROCEDURES, PHYSICAL, AND OCCUPATIONAL THERAPY. HISTORICALLY, COMPLEMENTARY THERAPIES WERE NOT PART OF CONVENTIONAL MEDICINE, BUT CERTAIN THERAPIES ARE BECOMING MORE COMMON IN HEALTHCARE TODAY BECAUSE KNOWLEDGE AND RESEARCH ABOUT THEIR EFFECTIVENESS CONTINUES TO GROW.AUTISM PROGRAM: THE AUTISM PROGRAM AT BMC IS A MULTIDISCIPLINARY, MULTI-TIERED, COMPREHENSIVE AND CULTURALLY COMPETENT PROGRAM UNIQUELY EQUIPPED TO MEET THE COMPLEX NEEDS OF PATIENTS AND FAMILIES. THE TEAM, COMPRISED OF A PROGRAM DIRECTOR, PROGRAM MANAGER, AUTISM RESOURCE SPECIALISTS, TRANSITION SPECIALIST AND ADULT AUTISM RESOURCE SPECIALIST, OFFERS SPECIALIZED OUTREACH, TRAINING, AND ADVOCACY SERVICES. THE TEAM ALSO FORMS EFFECTIVE PARTNERSHIPS WITH SCHOOLS, COLLABORATES WITH LOCAL SUPPORT ORGANIZATIONS, AND DRAWS UPON A DEEP KNOWLEDGE BASE OF SOCIAL SERVICE AGENCIES TO PROVIDE CONNECTIONS TO RESOURCES AND SUPPORTS AND DEVELOP NOVEL INTERVENTIONS TO MEET GAPS IN SERVICES. AUTISM RESOURCE SPECIALISTS WORK INTENSIVELY WITH PATIENT FAMILIES TO HELP ENSURE TIMELY AND APPROPRIATE TREATMENT FOR CHILDREN, WHICH OFTEN INCLUDES PROVIDING SUPPORT FOR THOSE FACING FINANCIAL BARRIERS, LINGUISTIC NEEDS, AND CULTURAL ISSUES; ENHANCING PATIENT-PROVIDER COMMUNICATION; NAVIGATING HEALTH CARE SYSTEM OBSTACLES; AND HELPING GAIN ACCESS TO STATE AND GOVERNMENTAL BENEFITS. STAFF ALSO PROVIDE INDIVIDUALIZED BEHAVIOR CONSULTATION AND PARENT TRAINING TO STRENGTHEN CHILDREN'S COMMUNICATION AND RELATED SKILL-BUILDING AND REDUCE CHALLENGING BEHAVIORS. THE TRANSITION SPECIALIST PROVIDES TRANSITION-AGED YOUTH (14-22 YEARS OLD) AND THEIR FAMILIES WITH INFORMATION, GUIDANCE, AND RESOURCES REGARDING THE TRANSITION FROM SCHOOL SERVICES TO ADULT LIFE AND DISCUSSES TOPICS SUCH AS GOAL SETTING, SCHOOL IEP PLANNING, ADULT SERVICES, AND LIFE SKILLS DEVELOPMENT. THE ADULT RESOURCE SPECIALIST PARTNERS WITH ADULT CLINICAL SETTINGS TO HELP ADULTS OF ALL AGES AND THEIR CARE PROVIDERS AND FAMILIES GAIN ACCESS TO RESOURCES AND SUPPORT SYSTEMS NEEDED TO CONTINE TO THRIVE THROUGHOUT ADULTHOOD.BMC'S AUTISM FRIENDLY INITIATIVE IS RECOGNIZED AS A NATIONAL AND INTERNATIONAL LEADER IN IMPROVING THE HEALTHCARE EXPERIENCE FOR PATIENTS WITH AUTISM SPECTRUM DISORDER AND THEIR FAMILIES. THE INITIATIVE HAS SUCCESSFULLY DEVELOPED AND IMPLEMENTED A RANGE OF INTERVENTIONS ACROSS THE DOMAINS OF INDIVIDUALIZING PATIENT CARE, MODIFYING THE SENSORY ENVIRONMENT, STAFF TRAINING, AND PATIENT/FAMILY ACCOMMODATIONS. THE AUTISM PROGRAM ALSO HAS A WELL-ESTABLISHED SOCIAL MEDIA PRESENCE WHICH SERVES AS AN ADDITIONAL AVENUE TO PROVIDE RESOURCES, INFORMATION, AND GUIDANCE TO FAMILIES. THE AUTISM PROGRAM HAS SUPPORTED OVER 16,000 FAMILY REFERRALS SINCE ITS INCEPTION IN 2007 AND APPROXIMATELY 2,500 IN FY24. THE PROGRAM ALSO TRAINS OVER 1,500 INDIVIDUALS ANNUALLY.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):	PEDIATRIC PAIN CLINIC: BMC'S PEDIATRIC PAIN CLINIC MANAGES ACUTE, COMPLEX, AND CHRONIC PAIN IN CHILDREN FROM INFANCY TO AGE 22. THE CLINIC'S TEAM OF EXPERTS WORKS CLOSELY WITH EACH PATIENT'S PRIMARY CARE PHYSICIAN HELPING CHILDREN REGAIN NORMAL LIVES AND PARTICIPATE IN TYPICAL AGE-APPROPRIATE ACTIVITIES. THE PEDIATRIC PAIN CLINIC IS ABLE TO TREAT A WIDE VARIETY OF CONDITIONS, AND OFFERS A VARIETY OF SPECIALIZED THERAPIES. EACH PATIENT IS GIVEN A PERSONALIZED PAIN MANAGEMENT PLAN TO BEST FIT THEIR NEEDS. STRATEGIES AND PARENTING SUPPORT ARE ALSO OFFERED FOR FAMILIES WHO MAY TRAVEL A LONG DISTANCE TO RECEIVE THIS SPECIALIZED CARE. THE TEAM COMMUNICATES WITH SCHOOLS AND OUTSIDE PROVIDERS TO ENSURE COMPREHENSIVE AND COLLABORATIVE CARE.PREVENTIVE FOOD PANTRY, TEACHING KITCHEN, AND ROOFTOP FARM (NOURISHING OUR COMMUNITY): THE PREVENTIVE FOOD PANTRY AND TEACHING KITCHEN ADDRESS HUNGER-RELATED ILLNESS AND MALNUTRITION AMONG A LOW-INCOME, LARGELY UNDERSERVED PATIENT POPULATION WITHIN GREATER BOSTON. INDIVIDUALS AT RISK OF MALNUTRITION ARE REFERRED TO THE PROGRAM BY BMC OR BOSTON HEALTHNET PHYSICIANS OR NUTRITIONISTS WHO PROVIDE "PRESCRIPTIONS" FOR SUPPLEMENTAL FOOD THAT BEST PROMOTES PHYSICAL HEALTH, PREVENTS FUTURE ILLNESS, AND FACILITATES RECOVERY. THE PANTRY STAFF MEMBERS ARE FLUENT IN 4 LANGUAGES AND HAVE BEEN ESSENTIAL IN ASSISTING BMC'S MANY REFUGEE AND IMMIGRANT PATIENTS. THE FOOD PANTRY HAS CONTINUED TO PROVIDE NUTRITIONAL FOOD PRESCRIPTIONS TO APPROXIMATELY 6,756 PEOPLE EACH MONTH. IN FY24 THE FOOD PANTRY PROVIDED FOOD TO 81,072 PEOPLE, AND DISPENSED APPROXIMATELY 12,000 POUNDS OF FOOD EACH WEEK. THIS EQUATES TO APPROXIMATELY 8 POUNDS OF GROCERIES PER PERSON. HALF OF THE FOOD DISPENSED ARE PERISHABLE ITEMS, WHICH PATIENTS OFTEN LACK IN THEIR DIET BECAUSE OF THE COST.THE TEACHING KITCHEN: OFFERS IN-PERSON, VIRTUAL, AND HYBRID CLASSES TO PATIENTS, STAFF, STUDENTS, AND PARTNERING COMMUNITY ORGANIZATIONS. RECURRING CLASSES IN THE TEACHING KITCHEN INCLUDE HEALTHY HABITS, WELLNESS AND THE TEACHING KITCHEN, WEIGHT LOSS SURGERY PREP, COOKING FOR RECOVERY, FOOD EXPLORERS, CUISINES OF THE WORLD. NEW STRATEGIC PARTNERSHIPS HAVE BEEN MADE THROUGHOUT THE HOSPITAL TO FURTHER INTEGRATE INTO CLINICAL CARE. FOR EXAMPLE, AN INNOVATIVE CLASS WITH THE GROW CLINIC OFFERS NUTRITION AND CULINARY EDUCATION FOR PREGNANT AND POSTPARTUM PEOPLE TO SUPPORT PREGNANCY AND BABIES. PARTNERSHIPS WITH THE GRAYKEN CENTER'S START CLINIC AND CATALYST CLINIC SUPPORT INDIVIDUALS WITH SUBSTANCE USE DISORDER TO BUILD HEALTHY EATING HABITS AND GAIN CONFIDENCE IN FOOD PREPARATION USING ACCESSIBLE FOODS. THESE CLINICALLY INTEGRATED CLASSES ENHANCE CARE AND PROVIDE ADDITIONAL EDUCATION, SUPPORT, AND COMMUNITY TO ADDRESS THE NUTRITIONAL NEEDS OF BMC'S PATIENT POPULATION. RECIPES FEATURE STAPLE FOODS PROVIDED BY THE FOOD PANTRY, AND CULTURALLY COMPETENT FOODS FOR BMC'S DIVERSE COMMUNITY. RESEARCH EFFORTS CONTINUE TO GROW, INCLUDING A QUALITY IMPROVEMENT PROJECT ASSESSING PATIENTS' FOOD PREFERENCES AND ENVIRONMENT, THE FEASIBILITY OF TEACHING KITCHEN CLASSES IN CLINICAL CARE, AND RESEARCH ON HEALTH OUTCOMES. BMC'S ROOFTOP FARM, OPEN SINCE 2017, MEETS PATIENTS' GROWING NEED FOR FRESH PRODUCE. THE ROOFTOP FARM HAS 2,400 SQUARE FEET OF GROWING SPACE, AND IS LOCATED ON TOP OF BMC'S ALBANY STREET POWER PLANT. THE FARM PRODUCES CROPS SUCH AS SPINACH, COLLARDS, BOK CHOY, RADISHES, SWISS CHARD, KALE, AND TOMATOES. IN ADDITION TO PRODUCE, THE FARM ALSO HAS 4 BEEHIVES WHICH PROVIDE 20-100 POUNDS OF HONEY TO THE HOSPITAL EACH SEASON. AS OF 2022 THE FARM HAS BEEN FULLY OPEN TO THE PUBLIC, HOSTING OVER 1,000 VISITORS TO THE FARM LAST SEASON FOR TOURS, GARDENING CLASSES, YOGA, AND COOKING CLASSES. THE FARM CONTINUED TO HOST AN INTERNSHIP PROGRAM FOR PEOPLE LOOKING TO LEARN ABOUT ROOFTOP FARMING AND GROWING FOOD FOR A HOSPITAL. IN FY24, THE FARM GREW NEARLY 10,000 POUNDS OF FOOD VALUED AT $64,000 FOR THE HOSPITAL. MORE THAN HALF OF THE FOOD WENT TO THE FOOD PANTRY, WITH THE REST GOING TO THE HOSPITAL CAFETERIA AND WEEKLY FARMERS' MARKET. THE FARMERS' MARKET, HOSTED EVERY TUESDAY IN THE SHAPIRO BUILDING, SERVES PATIENTS AND STAFF FRESH FARM PRODUCE AT A SUBSIDIZED RATE.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):	PROJECT RECOVERY, EMPOWERMENT, SOCIAL SERVICES, PRENATAL CARE, EDUCATION, COMMUNITY AND TREATMENT (PROJECT RESPECT): PROJECT RESPECT IS A HIGH RISK OBSTETRICAL AND ADDICTION RECOVERY MEDICAL HOME AT BMC AND BOSTON UNIVERSITY CHOBANIAN & AVEDISIAN SCHOOL OF MEDICINE. PROJECT RESPECT PROVIDES A UNIQUE SERVICE OF COMPREHENSIVE OBSTETRIC AND SUBSTANCE USE DISORDER TREATMENT FOR BIRTHING PEOPLE AND THEIR NEWBORNS IN MASSACHUSETTS. PROJECT RESPECT SUPPORTS PATIENTS WITH ALL TYPES OF SUBSTANCE USE DISORDERS, AND THE MAJORITY OF PROJECT RESPECT'S PATIENTS ARE IN RECOVERY FROM OPIOID ADDICTION. PROJECT RESPECT PROVIDES INPATIENT, MONITORED, ACUTE SUBSTANCE WITHDRAWAL TREATMENT AND INDUCTION OF MEDICATIONS FOR OPIOID USE DISORDER, ALCOHOL USE DISORDER, AND CANNABIS USE DISORDER FOR BIRTHING PEOPLE SEEKING ADDICTION TREATMENT. INTENSIVE, INDIVIDUALIZED OUTPATIENT TREATMENT PLANS ARE OUTLINED FOR EACH PATIENT TAILORED TO THE SEVERITY OF THEIR DISEASE AND THEIR RECOVERY PROGRESS. THE OUTPATIENT MEDICAL HOME MODEL PROVIDES ON-SITE, COLLABORATIVE, AND MULTIDISCIPLINARY CARE FOR PREGNANT AND POST-PARTUM PATIENTS IN RECOVERY TO INCLUDE COMPREHENSIVE BEHAVIORAL HEALTH CARE. PROJECT RESPECT TREATS AN AVERAGE OF 75-90 UNIQUE PATIENTS EACH MONTH, WITH 6-10 NEW PATIENTS EACH MONTH. IN FY24 PROJECT RESPECT SUPPORTED MORE THAN 300 MOTHER/CHILD DYADS.STREETCRED: BMC'S STREETCRED PROGRAM ADDRESSES FINANCIAL AND HEALTH INEQUITIES BY LINKING LOW- TO MODERATE-INCOME PEDIATRIC PATIENT FAMILIES TO ANTI-POVERTY SAFETY NET PROGRAMS AND ASSET BUILDING TOOLS. STREETCRED PROVIDES AN ECONOMIC BUNDLE OF SERVICES DURING WELL CHILDVISITS IN THE FIRST YEAR OF LIFE, WHICH INCLUDES FREE TAX-PREPARATION SERVICES THROUGH WELL-TRAINED STAFF AND VOLUNTEERS WHO WORK WITH FAMILIES TO PREPARE THEIR TAXES AND TAKE ADVANTAGE OF THE EARNED INCOME TAX CREDIT, A REFUNDABLE TAX CREDIT FOR LOW TO MODERATE INCOME WORKING INDIVIDUALS, PARTICULARLY THOSE WITH CHILDREN. STREETCRED HAS PREPARED OVER 5,000 TAX RETURNS, WHICH PROVIDED IN EXCESS OF $5 MILLION IN TAX REFUNDS. THESE TAX REFUNDS CAN HAVE A PROFOUND POSITIVE IMPACT ON A FAMILY'S HOUSEHOLD BUDGET AND, IN CASES OF FINANCIAL STRESS, ALLEVIATE SIGNIFICANT FINANCIAL BURDEN.SUPPORTING PARENTS AND RESILIENT KIDS (SPARK) CENTER : THE SPARK CENTER HAS A LONG AND STORIED HISTORY OF PROVIDING INNOVATIVE CARE TO THOSE MOST IN NEED. THE CENTER OFFERS NEURODEVELOPMENTAL ASSESSMENTS AND PSYCHOLOGICAL EVALUATIONS THROUGH THE DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS TO IDENTIFY CHILDREN'S SPECIFIC EMOTIONAL, BEHAVIORAL, AND COGNITIVE CHALLENGES. MULTIDISCIPLINARY PROVIDERS, INCLUDING PEDIATRICIANS, ADVANCED PRACTICE CLINICIANS, PSYCHOLOGISTS, AND AUTISM RESOURCE SPECIALISTS, WORK COLLABORATIVELY WITH CAREGIVERS TO ENSURE ACCESS TO SPECIAL EDUCATION SERVICES AND OTHER VITAL THERAPEUTIC SUPPORTS AS EARLY AS POSSIBLE TO IMPROVE CHILDHOOD OUTCOMES. ADDING TO THE CONTINUUM OF SPECIALIZED CHILDREN'S SERVICES, THE SPARK CENTER IS THE HOME OF THE EARLY CHILDHOOD BEHAVIOR THERAPY PROGRAM AND THE GOOD GRIEF PROGRAM AND IS A CLINICAL SITE FOR THE CHILD WITNESS TO VIOLENCE PROJECT. THESE PROGRAMS OFFER AN ARRAY OF TRAUMA-INFORMED, EVIDENCE-BASED THERAPY INTERVENTIONS FOR CHILDREN AND FAMILIES ROOTED IN TWO-GENERATION APPROACHES THAT UTILIZE THE CAREGIVER-CHILD RELATIONSHIP TO FOSTER HEALTHY CHILD DEVELOPMENT. THE SYNERGISTIC COLOCATION OF THESE SERVICES MAKES THE SPARK CENTER A FACILITY THAT PROVIDES BEST-PRACTICE CARE TO CHILDREN AND FAMILIES AFFECTED BY COMPLEX DEVELOPMENTAL AND BEHAVIORAL CHALLENGES, GRIEF AND LOSS, AND DOMESTIC VIOLENCE AND OTHER FORMS OF INTERPERSONAL VIOLENCE.THE SPARK CENTER ALSO SERVES AS AN OUTLET FOR PEDIATRIC INFECTIOUS DISEASE CASE MANAGEMENT AND CONCRETE RESOURCE SUPPORT, THROUGH THEIR INTEGRATED FOOD PANTRY. SPARK IS ALSO THE LOCATION OF A MONTHLY CLINIC, PROJECT POSITIVE HOPE, THAT PROVIDES COORDINATED SERVICES FROM OBSTETRICS AND GYNECOLOGY, ADULT INFECTIOUS DISEASE AND PEDIATRIC INFECTIOUS DISEASE SPECIALISTS WITH ON-SITE CASE MANAGEMENT, PHARMACIST COUNSELING, AND PEER SUPPORT. WITH ITS ABUNDANCE OF INNOVATIVE CLINICAL SERVICES, THE SPARK CENTER HAS BECOME AN EXCEPTIONAL TRAINING SITE FOR MENTAL HEALTH CLINICIANS AND DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS TRAINEES. THE CLINICAL TRAINING OFFERED THROUGH THE SPARK CENTER WORKS TO ENHANCE THE SKILLS AND EXPERTISE OF THE FIELD OF PROVIDERS SUPPORTING CHILDREN AND FAMILIES WITH COMPLEX BEHAVIORAL AND DEVELOPMENTAL CHALLENGES AND PSYCHOSOCIAL SITUATIONS.TEAM UP: TEAM UP FOR CHILDREN - TRANFORMING AND EXPANDING ACCESS TO MENTAL HEALTH CARE UNIVERSALLY IN PEDIATRICS - IS A PEDIATRIC INTEGRATED BEHAVIORAL HEALTH INITIATIVE DESIGNED TO HELP PEDIATRIC PRIMARY CARE PRACTICES DELIVER EVIDENCE-INFORMED, TRAUMA-RESPONSIVE, INTEGRATED BEHAVIORAL HEALTHCARE ENSURING ALL CHILDREN CAN HAVE ACCESS TO NEEDED SERVICES. THE TEAM UP CLINICAL MODEL FOCUSES ON PREVENTION, PROMOTION, EARLY IDENTIFICATION OF SOCIAL, DEVELOPMENTAL, AND BEHAVIORAL HEALTH ISSUES, AND PROMPT ACCESS TO CARE. WHILE THE MAJORITY OF MODELS ARE BASED ON INITIATING CARE AT THE POINT OF DIAGNOSIS, TEAM UP'S GOAL, THROUGH CONSISTENT SCREENING AND MONITORING FROM BIRTH TO YOUNG ADULTHOOD, IS TO ADDRESS EMERGING ISSUES BEFORE THEY REACH A CRISIS POINT. BMC'S TEAM UP SCALING AND SUSTAINABILITY CENTER PROVIDES PRIMARY CARE PRACTICES WITH EVERYTHING THEY NEED TO OVERCOME ROADBLOCKS AND IMPLEMENT THE TEAM UP CLINICAL MODEL. ACCESS TO THE TEAM UP LEARNING COMMUNITY GIVES HEALTH CENTERS IN-DEPTH, ONGOING CLINICAL TRAINING AND PRACTICE TRANSFORMATION SUPPORT, WITH DATA-DRIVEN TECHNICAL ASSISTANCE CUSTOMIZED TO THE PRACTICE. LEARNING COMMUNITY SUPPORT LASTS THROUGHOUT THE IMPLEMENTATION PERIOD AND BEYOND, WITH THE ENGAGEMENT INTENSITY HIGHEST AT THE BEGINNING OF THE PROJECT AND DECREASING AS SITES TRANSITION TOWARD SUSTAINING INDEPENDENT OPERATIONS. TEAM UP'S ROBUST EVALUATION ARM HAS PUBLISHED OVER TEN PEER-REVIEWED ARTICLES, DEMONSTRATING POSITIVE OUTCOMES FOR CHILDREN AND FAMILIES, THE HEALTH CARE WORKFORCE, AND SYSTEM-WIDE UTLIZIATION OF PRIMARY CARE SERVICES. GOOD GRIEF: THE GOOD GRIEF PROGRAM PROVIDES TRAUMA-INFORMED, CULTURALLY RESPONSIVE THERAPEUTIC SERVICES TO CHILDREN (AGE 0-18) AFFECTED BY DEATH AND ACUTE LOSS. AS ONE OF THE ONLY CHILDREN'S GRIEF AND LOSS PROGRAMS WITHIN THE CITY OF BOSTON, GOOD GRIEF WORKS TIRELESSLY TO BEST SERVE URBAN CHILDREN AND YOUTH WHO HAVE SUFFERED MULTIPLE, TRAUMATIC LOSSES. GOOD GRIEF SERVES CHILDREN AND THEIR FAMILIES IN A HOLISTIC WAY, RECOGNIZING THAT SIGNIFICANT LOSS IS ALWAYS ACCOMPANIED BY SECONDARY LOSSES THAT ARE DESTABILIZING, DISORIENTING, AND DAUNTING. THE SMALL GOOD GRIEF CLINICAL TEAM WORKS WITH FAMILIES TO SUPPORT THEIR MENTAL AND EMOTIONAL HEALTH NEEDS WHILE ALSO MITIGATING OTHER LOSS-RELATED STRESSORS AND STRUCTURAL DETERMINANTS OF HEALTH THEY MAY EXPERIENCE AND WHICH AFFECT OVERALL HEALTH (FOR EXAMPLE, CHALLENGES AT SCHOOL, HOUSING/FOOD/FINANCIAL INSECURITY, AND IMMIGRATION-RELATED NEEDS).IN 2024, APPROXIMATELY 130 CHILDREN WERE REFERRED TO GOOD GRIEF, AND IN LATE 2024, GOOD GRIEF'S SERVICES WERE INTEGRATED INTO THE CHILD TRAUMA AND RESILIENCE NETWORK THAT CONSISTS OF THE GOOD GRIEF PROGRAM, THE CHILD WITNESS TO VIOLENCE PROJECT, AND THE CENTER OF EXCELLENCE FOR IMMIGRANT INFANT AND EARLY CHILDHOOD MENTAL HEALTH.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):	HOUSING: BMC'S MULTI-YEAR INVESTMENT IN A SUPPORTIVE HOUSING STRATEGY IS A MULTI-PRONGED APPROACH TO IMPROVE AFFORDABLE HOUSING AND AFFORDABLE HOUSING WITH SUPPORTS IN BOSTON, AND INCLUDES NEW FUNDING FOR INTERNAL HOUSING NAVIGATION SUPPORT IN THE PEDIATRIC AND COMPLEX CARE MANAGEMENT, EXPANSION OF LIVING WELL AT HOME PROGRAM AND DEEPER COLLABORATION WITH BOSTON AND CAMBRIDGE HOUSING AUTHORITY ON SUPPORTIVE HOUSING PROGRAMS.BMC INVESTED $1.35M IN A LOAN TO THE COMMUNITY ECONOMIC DEVELOPMENT ASSISTANCE CORPORATION (CEDAC). THE PURPOSE OF THIS LOAN IS TO PARTIALLY CAPITALIZE LOANS UNDER THE ACCELERATING INVESTMENTS IN HEALTH COMMUNITIES (AIHC) INITIATIVE. THROUGH THIS, CEDAC WILL PROVIDE SUBORDINATE LOANS TO THREE AFFORDABLE HOUSING DEVELOPMENTS. THIS INVESTMENT SERVES AS CRITICAL "GAP" FINANCING TO ALLOW ALL THE DIFFERENT FINANCING TO BE EXECUTED AT THE SAME TIME AND THEREFORE FOR CONSTRUCTION ON NEW AFFORDABLE HOUSING TO BEGIN BEFORE HOUSING COSTS INCREASE FURTHER. THE LOANS ARE LONG TERM, 20+ YEARS COMMITMENTS TO MATCH AND TAKE ADVANTAGE OF THE CITY AND STATE INVESTMENTS IN THESE PROJECTS.BMC INVESTED IN THE HEALTHY NEIGHBORHOOD EQUITY FUND, A $22.35 MILLION PRIVATE EQUITY FUND LED BY THE CONSERVATION LAW FOUNDATION AND THE MASSACHUSETTS HOUSING INVESTMENT CORPORATION. IT IS BASED ON A SOCIALLY RESPONSIBLE INVESTMENT MODEL THAT CONSIDERS THE COMMUNITY, ENVIRONMENTAL, AND HEALTH BENEFITS AS WELL AS THE FINANCIAL RISKS AND RETURNS. BOSTON PROJECTS INCLUDE TREADMARK, ASHMONT, DORCHESTER AND BARTLETT STATION, DUDLEY SQUARE, ROXBURY.BMC ALSO INVESTED IN THE METROPOLITAN AREA PLANNING COUNCIL (MAPC), THE EVALUATOR FOR BMC'S DETERMINATION OF NEED (DON). IN THIS ROLE, MAPC DEVELOPS AND IMPLEMENTS AN EVALUATION PLAN TO ASSESS THE EFFECTS OF BMC'S MULTI-YEAR DON FOCUSED ON IMPROVING HOUSING STABILITY. THE EVALUATION WILL SEEK TO ASCERTAIN HOW THE VARIOUS INVESTMENTS IN HOUSING STABILITY INDIVIDUALLY AND COLLECTIVELY ADDRESS CONDITIONS ASSOCIATED WITH HEALTH OUTCOMES AND WITH PERFORMANCE OF THE ORGANIZATIONS INVOLVED IN THE PROCESS.THE HOUSING TO HEALTH PROGRAM IN THE DEPARTMENT OF PEDIATRICS AT BOSTON MEDICAL CENTER HAS SUCCESSFULLY DEPLOYED A MULTIDIMENSIONAL STRATEGY FOR RESPONDING TO A RANGE OF HOUSING AND HOMELESSNESS ISSUES AMONG PATIENT FAMILIES. THIS MODEL INCLUDED TWO FULL-TIME HOUSING NAVIGATORS WITH DEEP EXPERTISE IN SUPPORTING FAMILIES TO IMPROVE ACCESS TO HOUSING-RELATED PROGRAMS AND SOLUTIONS. THESE NAVIGATORS WORK CLOSELY WITH FAMILIES TO ENTER SHELTER, RESOLVE HOUSING QUALITY ISSUES, APPLY FOR RENTAL ASSISTANCE AND SUBSIDIZED HOUSING, AND CONNECT WITH LEGAL AND COMMUNITY-BASED SERVICES (IN ADDITION TO OTHER WRAPAROUND SUPPORTS). THE WORK OF THE NAVIGATORS WAS BOLSTERED BY KEY EXTERNAL PARTNERSHIPS WITHIN HOUSING TO HEALTH. FUNDED PARTNERSHIPS WITH METRO HOUSING BOSTON, FAMILYAID BOSTON, AND MEDICAL-LEGAL PARTNERSHIP BOSTON SERVED TO ADDRESS A RANGE OF PATIENT FAMILY NEEDS. FOR EXAMPLE, METRO HOUSING CONNECTED BMC FAMILIES WITH RENTAL ASSISTANCE FOR ARREARAGES. FAMILYAID BOSTON WORKED WITH BMC FAMILIES TO PROVIDE ACCESS TO PRIORITY HOUSING VOUCHERS AND STABILIZATION SERVICES, RECENTLY WORKING WITH BMC AND BOSTON CHILDREN'S HOSPITAL TO ESTABLISH THE HOSPITAL EMERGENCY HOUSING PROGRAM, WHICH OFFERS RAPID RESPONSE SHELTER OPTIONS FOR FAMILIES WITH NO SAFE SHELTERING OPTIONS WHO WOULD OTHERWISE BE FORCED TO STAY OVERNIGHT IN A LOCAL EMERGENCY ROOM. FINALLY, MEDICAL LEGAL PARTNESRHIP BOSTON PROVIDED REGULAR LEGAL PROBLEM-SOLVING TRAININGS TO FRONTLINE STAFF WORKING WITH FAMILIES AS WELL AS CASE-SPECIFIC LEGAL CONSULTATION.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):	CHRONIC DISEASES AND RISK FACTORSCANCER SUPPORT GROUPS: SUPPORT PROGRAM OFFERINGS INCLUDED AN ARRAY OF SIXTEEN MONTHLY SUPPORT GROUPS BY CANCER TYPE (BREAST, GI, HEAD & NECK); POPULATION TYPE (MEN, SPANISH-SPEAKING); OTHER DISEASE (SICKLE CELL, AMYLOIDOSIS); AND RELATED SUPPORT (OSTOMY, CAREGIVER, BEREAVEMENT). ALSO PROVIDED TO ALL CLIENTS WERE SIX ONGOING SUPPORT ACTIVITIES THAT MET WEEKLY TO MONTHLY (FOUR DIFFERENT BODY/MIND CLASSES AND ARTS & CRAFTS AND COOKING CLASSES). EACH QUARTER ALSO SAW A VARIETY OF FOUR TO SIX FEATURED PROGRAMS IN ART-MAKING, WRITING, THEATER, OUTDOOR GAMES, COMEDY, MINDFUL HEALING, AND COMMUNICATION. BMC ALSO HELD TWO LARGE CELEBRATORY ANNUAL EVENTS: THE HOLIDAY PARTY AND THE (16TH ANNUAL) SURVIVORS CELEBRATION LUNCHEON. THE FREE WEEKLY ACUPUNCTURE CLINIC FOR PATIENTS CURRENTLY OR RECENTLY IN TREATMENT ALSO CONTINUED THROUGH THE YEAR.ALL PROGRAMS WERE MANAGED AND IMPLEMENTED BY THE PROGRAM MANAGER AND ONE PROGRAM ASSISTANT, TWO IN-HOUSE SOCIAL WORKERS WHO EACH LED ONE OF THE REGULAR MONTHLY GROUPS, A HIGHLY EXPERIENCED LICENSED ACUPUNCTURIST, BMC REGISTERED DIETITIANS FOR THE MONTHLY COOKING CLASS, AND SEVERAL OUTSIDE VENDORS CONTRACTED FOR THE FEATURED ART PROGRAMS.PATIENT NAVIGATION: BMC'S PATIENT NAVIGATION PROGRAM, LAUNCHED IN 2005, IDENTIFIES AND OVERCOMES BARRIERS THAT PLAY A KEY ROLE IN A PATIENT'S TREATMENT COMPLIANCE AND COMPLETION. PATIENT NAVIGATORS DO THIS BY PROVIDING ADVOCACY AND CASE MANAGEMENT TO ONCOLOGY PATIENTS WHO HAVE AT LEAST ONE IDENTIFIED BARRIER TO CARE AND ARE UNDERGOING ACTIVE CANCER TREATMENT. PATIENT NAVIGATION SUPPORT PATIENTS BY LINKING THEM TO A BROAD RANGE OF SERVICES, INCLUDING ONCOLOGY SUPPORT SERVICES, TRANSPORTATION, FINANCIAL ASSISTANCE, AND APPROPRIATE COMMUNITY RESOURCES.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):	VIOLENCECHILD WITNESS TO VIOLENCE PROJECT: THE CHILD WITNESS TO VIOLENCE PROJECT IS A NATIONALLY-RECOGNIZED AND AWARD-WINNING MENTAL HEALTH COUNSELING, OUTREACH, AND CONSULTATION PROGRAM. THE PROJECT SPECIALIZES IN INTERVENTION WITH VERY YOUNG CHILDREN EXPOSED TO DOMESTIC OR COMMUNITY VIOLENCE. THE PROGRAM OFFERS BOTH SHORT- AND LONG-TERM EVIDENCE-BASED TREATMENTS THAT REPRESENT BEST PRACTICE IN SERVING THE NEEDS OF TRAUMATIZED CHILDREN AND THEIR FAMILIES. THE PROGRAM PROVIDES A FLEXIBLE COMBINATION OF SERVICES, INCLUDING RESOURCE ADVOCACY, AND IT LINKS FAMILIES TO BASIC SERVICES SUCH AS HEALTH CARE, CHILDCARE, HOUSING, AND AFTER-SCHOOL PROGRAMS. THE PROGRAM PROVIDED REFERRALS, ADVOCACY, ASSESSMENT, AND SHORT-TERM AND LONGER-TERM CLINICAL CARE TO APPROXIMATELY 350 FAMILIES IN FY24. IN ADDITION TO ITS CLINICAL SERVICES, THE PROGRAM IS ENGAGED IN EXTENSIVE LOCAL, STATEWIDE, AND NATIONAL TRAINING EFFORTS TO RAISE THE STANDARD OF CARE FOR YOUNG CHILDREN EXPERIENCING THE TRAUMATIC EFFECTS OF VIOLENCE. THE STAFF HAVE DELIVERED NUMEROUS TRAININGS ACROSS MULTIPLE STATES AND ABROAD TO MENTAL HEALTH AND OTHER PROVIDERS ACROSS SERVICE SECTORS AND SETTINGS. IN LATE 2024, PROGRAM SERVICES WERE INTEGRATED INTO THE CHILD TRAUMA AND RESILIENCE NETWORK THAT CONSISTS OF THE GOOD GRIEF PROGRAM, THE CHILD WITNESS TO VIOLENCE PROJECT, AND THE CENTER OF EXCELLENCE FOR IMMIGRANT INFANT AND EARLY CHILDHOOD MENTAL HEALTH.COMMUNITY VIOLENCE RESPONSE TEAM: THE COMMUNITY VIOLENCE RESPONSE TEAM ADDRESSES THE NEED FOR SERVICES FOR VICTIMS OF COMMUNITY VIOLENCE AND THEIR FAMILIES, AS WELL AS FAMILY SURVIVORS OF HOMICIDE VICTIMS FROM THE GREATER BOSTON AREA. FREE, CULTURALLY SENSITIVE, FAMILY-FOCUSED CLINICAL SERVICES PROVIDED BY THE TEAM INCLUDE CRISIS INTERVENTION, ADVOCACY, CASE MANAGEMENT, AND TRAUMA-FOCUSED COUNSELING FOR ADULTS, ADOLESCENTS, AND CHILDREN (WITH A FOCUS ON AGE EIGHT AND OVER). THE TEAM SEEKS TO REDUCE THE EFFECTS OF TRAUMA BY PROVIDING THERAPEUTIC SUPPORT THROUGHOUT THE RECOVERY PROCESS AND ULTIMATELY MINIMIZING MENTAL HEALTH TRAUMA. THE TEAM REFLECTS THE DIVERSITY OF BMC'S PATIENT POPULATION. IN FY24 THE TEAM SERVED 736 INDIVIDUALS.DOMESTIC VIOLENCE PROGRAM: THE DOMESTIC VIOLENCE PROGRAM PROVIDES DIRECT ADVOCACY SERVICES FOR VICTIMS OF DOMESTIC VIOLENCE, AS WELL AS TRAINING AND EDUCATION FOR STAFF, STUDENTS, AND COMMUNITY GROUPS INTERESTED IN LEARNING MORE ABOUT DOMESTIC VIOLENCE, ITS IMPACT ON HEALTH ACROSS THE LIFESPAN, AND THE ROLE EACH PERSON CAN PLAY IN ADDRESSING IT. IN FY24 THE MULTI-LINGUAL TEAM OF 4 SAFETY AND SUPPORT ADVOCATES ASSISTED 509 VICTIMS AND SURVIVORS WITH A RANGE OF SERVICES INCLUDING CRISIS INTERVENTION/COUNSELING; RISK ASSESSMENT AND SAFETY PLANNING; ASSISTANCE WITH ACCESSING PROTECTIVE ORDERS AND VICTIM COMPENSATION; ACCOMPANIMENT TO COURT, LEGAL, MEDICAL, HOUSING AND OTHER APPOINTMENTS; REFERRAL TO COMMUNITY-BASED DV ADVOCACY/RAPE CRISIS COUNSELING, MEDICAL/MENTAL HEALTH SERVICES; AND EMERGENCY FINANCIAL ASSISTANCE. APPROXIMATELY 62% OF PATIENTS WERE REFERRED BY BMC PROVIDERS, 3% WERE BMC EMPLOYEES, AND 35% WERE SELF-REFERRALS OR REFERRED BY COMMUNITY AND GOVERNMENT PROGRAMS THAT ASSIST DOMESTIC VIOLENCE SURVIVORS AND THEIR CHILDREN.DURING FY24 THE DOMESTIC VIOLENCE PROGRAM ALSO OFFERED SEVERAL 6 WEEK SUPPORT GROUPS IN BOTH ENGLISH AND SPANISH FOR WOMEN-IDENTIFIED SURVIVORS, AS WELL AS A MONTHLY GROUP FOR SURVIVORS WHO ARE INVOLVED WITH THE MASSACHUSETTS DEPARTMENT OF CHILDREN AND FAMILY. THE PROGRAM MANAGER (WHO IS ALSO THE PROGRAM'S PRIMARY TRAINER/PRESENTER) PROVIDED 46 PRESENTATIONS AND OTHER TYPES OF TRAINING TO APPROXIMATELY 718 PARTICIPANTS, MOST OF WHOM WERE BMC STAFF AND PROVIDERS, AS WELL AS A FEW STUDENT AND COMMUNITY GROUPS. PRESENTATION TOPICS INCLUDED ORIENTATION TO THE DOMESTIC VIOLENCE PROGRAM, EDUCATION ABOUT THE DYNAMICS AND HEALTH IMPACT OF DOMESTIC VIOLENCE, AND FOCUSED SKILL BUILDING AND BEST PRACTICES FOR PROVIDING TRAUMA INFORMED RESPONSES TO DOMESTIC VIOLENCE.VIOLENCE INTERVENTION ADVOCACY PROGRAM (VIAP): CONCEIVED IN 2006 TO HELP STEM THE TIDE OF BOSTON'S GUN AND KNIFE VIOLENCE, VIAP HAS BECOME A VITAL COMPONENT OF VIOLENCE INTERVENTION IN THE CITY AND BEYOND. VIAP'S PURPOSE IS TO HELP VICTIMS HEAL SO THEY CAN AVOID FUTURE VIOLENCE AND BUILD A POSITIVE FUTURE. TO ACCOMPLISH THIS, PATIENT VICTIMS AND THEIR FAMILIES ARE PAIRED WITH A TEAM COMPRISED OF A CASE MANAGER, A MENTAL HEALTH CLINICIAN, AND A FAMILY SUPPORT ADVOCATE TO HELP THEM OVERCOME BARRIERS AND TURN THEIR LIVES AROUND.A POWERFUL VIAP INNOVATION IS THAT THE INTERVENTION WITH THE PATIENT BEGINS IN THE SAFETY OF THE HOSPITAL, WHERE THEY ARE VISITED BY A VIOLENCE INTERVENTION ADVOCATE IN REAL TIME, IN THE TRAUMA BAY, TO INITIATE CASE MANAGEMENT, TAKING ADVANTAGE OF THE "TEACHABLE MOMENT" ASSOCIATED WITH VIOLENT INJURY. AS THE VICTIM HEALS, THE VIAP TEAM CONTINUES A COMPREHENSIVE TREATMENT PROGRAM THAT INCLUDES SAFETY PLANNING, COUNSELING, JOB AND EDUCATIONAL TRAINING, MENTAL HEALTH, AND FAMILY SUPPORT SERVICES FOR BOTH THE VICTIM AND THEIR FAMILY MEMBERS.DURING FY24, VIAP PROVIDED ESSENTIAL SERVICES TO SURVIVORS OF GUNSHOTS AND STABBINGS, AND THEIR FAMILY MEMBERS (IN FY24 BMC RECEIVED 70% OF THE CITY'S GUNSHOT AND STABBING VICTIMS). DURING FY24 VIAP SERVED 248 NEW VICTIMS, INCLUDING 95 GUNSHOT AND 153 STABBING VICTIMS. THERE WERE 223 FAMILY MEMBERS SERVED THROUGH VIAP'S FAMILY SUPPORT COMPONENT, AS WELL AS 10 FAMILIES OF HOMICIDE VICTIMS. SURVIVORS RECEIVED A SPECTRUM OF SERVICES, INCLUDING EMPLOYMENT HELP, LEGAL SUPPORT AND REFERRALS, BEHAVIORAL AND MENTAL HEALTH CARE, AND LEGAL ASSISTANCE. VIAP ALSO ASSISTED WITH HOUSING APPLICATIONS AND EDUCATIONAL SUPPORT. MEDICAL ASSISTANCE AND SUPPORT INCLUDED ACCESSING PRIMARY CARE, PHYSICAL THERAPY, REHABILITATION, NURSING SERVICES, SUBSTANCE USE SERVICES, AND MEDICATION MANAGEMENT. ADDITIONAL ASSISTANCE INCLUDED HELP WITH FOOD INSECURITY, TRANSPORTATION, OBTAINING A DRIVER'S LICENSE AND SOCIAL SECURITY CARD, AND REGISTERING TO VOTE. VIAP'S STAFF WELLNESS PROGRAM HAS INCLUDED TRAININGS, TEAM BUILDING, AND OTHER ESSENTIAL SUPPORTIVE RESOURCES FOR STAFF TO ADDRESS VICARIOUS TRAUMA AND COMPASSION FATIGUE.MENTAL HEALTH AND SUBSTANCE USE DISORDERMENTAL HEALTH DIVERSION INITIATIVE (MHDI) OR CRIMINAL JUSTICE DIVERSION PROGRAM (DMH): THROUGHOUT FY24 BOSTON MEDICAL CENTER CONTINUED TO STAFF THE THREE BOSTON MUNICIPAL COURT MENTAL HEALTH COURT SESSIONS LOCATED WITHIN THE CENTRAL DIVISION, THE WEST ROXBURY DIVISION AND THE ROXBURY DIVISION. SESSIONS CONTINUE TO BE WELL UTILIZED WITH A TOTAL OF 247 CLIENTS SERVED ACROSS ALL THREE COURTS OVER THE COURSE OF THE FISCAL YEAR.IN TOTAL, ALL THREE SESSIONS COMPLETED INTAKES FOR AND ACCEPTED 122 NEW CLIENTS. AT THE END OF THE FISCAL YEAR, THERE WERE 27 NEW REFERRALS PENDING THROUGHOUT ALL THREE SESSIONS, A NUMBER REFLECTING STAFF LEAVES AND THE NUMBER OF REFERRED CLIENTS WHO WERE HOSPITALIZED OR INCARCERATED AT THE TIME OF REFERRAL. THE SESSIONS' SUCCESS CAN BE DEMONSTRATED THROUGH A VARIETY OF MEANS, INCLUDING THE NUMBER OF PROGRAM GRADUATES (CLIENTS WHO HAVE MET ALL LEGAL AND PROGRAMMATIC EXPECTATIONS). DURING FY24 THE THREE SESSIONS GRADUATED A TOTAL OF 42 CLIENTS. BMC CENTRAL AND WEST ROXBURY CURRENTLY HAVE THE HIGHEST NUMBER OF ACTIVE CLIENTS. ROXBURY CONTINUES TO ACCEPT NEW REFERRALS AND ENCOURAGE DEFENSE ATTORNEYS AND THE PROBATION DEPARTMENT TO CONSIDER INDIVIDUALS WHO MAY BE APPROPRIATE FOR SESSION.
SCHEDULE H, PART VI, LINE 5 (CONTINUATION):	FASTER PATHS: FASTER PATHS IS THE LOW-BARRIER SUBSTANCE USE DISORDER BRIDGE CLINIC AT BMC. OPEN SEVEN DAYS PER WEEK, FASTER PATHS OFFERS SAME-DAY, ON-DEMAND CARE BY ADDICTION MEDICINE AND NURSING SPECIALISTS, INCLUDING INITIATION AND CONTINUATION OF MEDICATIONS FOR OPIOID USE DISORDER, MEDICATIONS FOR OTHER SUBSTANCE USE DISORDERS, OUTPATIENT MEDICALLY MANAGED WITHDRAWAL, REFERRAL TO INPATIENT MEDICALLY MANAGED WITHDRAWAL, INFECTION SCREENING, TREATMENT, AND PREVENTION SERVICES, AND OVERDOSE PREVENTION. AFTER STABILIZATION, FASTER PATHS PATIENTS ARE REFERRED TO A COMPREHENSIVE NETWORK OF BMC AND COMMUNITY SERVICES FOR LONG-TERM CARE, INCLUDING PRIMARY AND BEHAVIORAL HEALTH CARE AND LONG-TERM MOUD. THE FASTER PATHS PROGRAM COLLABORATES CLOSELY WITH LICENSED ALCOHOL AND DRUG COUNSELORS FROM BMC'S PROJECT ASSERT, WHO PROVIDE PSYCHO-SOCIAL ASSESSMENTS AND REFERRALS TO AN ARRAY OF ADDICTION TREATMENT SERVICES AND SHELTERS, OVERDOSE PREVENTION EDUCATION AND NALOXONE, HARM REDUCTION SERVICES, AND TRANSPORTATION. THE RAPID ACCESS PROGRAM, WHICH INCLUDES A TEAM OF RECOVERY COACHES AND ADDICTION COUNSELORS, IS ALSO A CLOSE PARTNER. IN ADDITION TO THE INTERNAL COLLABORATIONS, FASTER PATHS PARTNERS CLOSELY WITH COMMUNITY PROGRAMS INCLUDING THE BOSTON PUBLIC HEALTH COMMISSION PROVIDING ACCESS TO ADDICTION TREATMENT, HOPE, AND SUPPORT PROGRAM, TO FACILITATE CONNECTIONS TO COMMUNITY SERVICES. IN A TWELVE-MONTH PERIOD, FASTER PATHS SERVED APPROXIMATELY 1,130 UNIQUE PATIENTS FOR 4,300 VISITS. THE SUCCESS OF THE FASTER PATHS MODEL HAS INSPIRED REPLICATION IN OTHER BRIDGE CLINICS. ALCOHOL & SUBSTANCE ABUSE SERVICES, EDUCATION, AND REFERRAL TO TREATMENT (PROJECT ASSERT): PROJECT ASSERT, ESTABLISHED IN 1994, PROVIDES GREATER ACCESS TO SUBSTANCE USE TREATMENT IN THE EMERGENCY DEPARTMENT SETTING AND HAS EXPANDED TO INCLUDE A VARIETY OF SOCIAL AND COMMUNITY HEALTHCARE SUPPORT SERVICES. BASED IN THE EMERGENCY DEPARTMENT, PROJECT ASSERT COUNSELS PATIENTS WHOSE ALCOHOL OR DRUG USE WAS DIRECTLY AND INDIRECTLY IMPLICATED IN THEIR NEED FOR EMERGENCY SERVICES. LICENSED ALCOHOL AND DRUG COUNSELORS CONSULT AND COLLABORATE WITH HOSPITAL STAFF TO OFFER PATIENTS ALCOHOL AND DRUG SCREENING, BRIEF INTERVENTION, COUNSELING ON TREATMENT OPTIONS AND REFERRALS TO HEALTH AND SOCIAL RESOURCES SUCH AS SUBSTITUTE USE DISORDER TREATMENT AND PRIMARY CARE SERVICES. IN FY24, 1,306 PATIENTS HAD 2,433 ENCOUNTERS WITH RECOVERY SUPPORT NAVIGATORS AT PROJECT ASSERT. 98% OF TAPS SCREENER ASSESSMENT RESULTS WERE POSITIVE FOR SUBSTANCE USE. ENCOUNTERS HAVE DOCUMENTED REFERRALS TO RECOVERY COACH SERVICES, FASTER PATHS, DETOX/WITHDRAWAL MANAGEMENT, AND CLINICAL STABILIZATION SERVICES. SUPPORTING OUR FAMILIES THROUGH ADDICTION AND RECOVERY (SOFAR): THE GOAL OF SOFAR IS TO CREATE A MEDICAL HOME IN THE PEDIATRIC PRIMARY CARE CLINIC FOR MOTHERS IN RECOVERY AND THEIR CHILDREN. SOFAR HOUSES A MULTIDISCIPLINARY TEAM OF PHYSICIANS, SOCIAL WORKERS, PATIENT NAVIGATORS, NURSE PRACTITIONERS, AND COORDINATORS WHO PROVIDE HIGH-QUALITY, COORDINATED MEDICAL AND PSYCHOSOCIAL CARE FOR FAMILIES TO MAXIMIZE THEIR ABILITY TO SUCCESSFULLY NAVIGATE PARENTING AND SUBSTANCE USE RECOVERY. SOFAR PROVIDES ONGOING SUPPORT FOR FAMILIES TO ENHANCE CHILD DEVELOPMENT AS WELL AS ONGOING SUPPORT FOR RECOVERY, WITH ACCESS TO SPECIALTY CARE AND SOCIAL SERVICES. IN FY24, SOFAR HAD APPROXIMATELY 375 PATIENTS ENROLLED IN THE CLINIC.
PART VI, LINE 7:	BMC DOES NOT FILE A COMMUNITY BENEFITS REPORT WITH THE COMMONWEALTH OF MASSACHUSETTS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (91 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRIS PARK AVENUE	BRONX	NY	10461	131624225	501(C)(3)	$67,364	$0	SUBAWARD
ALTERNATIVES FOR COMMUNITY & ENVIROMENT
2181 WASHINGTON STREET SUITE 301	ROXBURY	MA	02119	043228509	501(C)(3)	$81,800	$0	SUBAWARD
ANN & ROBERT H LURIE CHILDREN'S HOSPITAL OF CHICAGO
225 EAST CHICAGO AVENUE BOX 26-AP	CHICAGO	IL	60611	362170833	501(C)(3)	$51,226	$0	SUBAWARD
BAY COVE HUMAN SERVICES
66 CANAL STREET 3RD FLOOR	BOSTON	MA	02114	042518575	501(C)(3)	$189,147	$0	SUBAWARD
BAY STATE COMM SERVICES INC
1120 HANCOCK STREET	QUINCY	MA	02169	042468492	501(C)(3)	$463,068	$0	SUBAWARD
BAYSTATE MEDICAL CENTER
140 HIGH STREET C LEVEL	SPRINGFIELD	MA	01105	042790311	501(C)(3)	$291,965	$0	SUBAWARD
BEHAVIORAL HEALTH NETWORK INC
417 LIBERTY STREET	SPRINGFIELD	MA	01104	042103756	501(C)(3)	$171,292	$0	SUBAWARD
BERKSHIRE MEDICAL CENTER DENTAL CLINIC
725 NORTH STREET	PITTSFIELD	MA	01201	042791396	501(C)(3)	$154,438	$0	SUBAWARD
BERKSHIRE REGIONAL PLANNING COMMISSION
1 FENN STREET	PITTSFIELD	MA	01201	042430187	501(C)(3)	$379,244	$0	SUBAWARD
BIDMC BETH ISRAEL DEACONESS
330 BROOKLINE AVENUE MISC A/R -	BOSTON	MA	02215	042103881	501(C)(3)	$356,053	$0	SUBAWARD	OTHER A/R BR-3
BOSTON HEALTHCARE FOR THE HOMELESS PROGRAM INC
780 ALBANY STREET	BOSTON	MA	02118	043160480	501(C)(3)	$115,525	$0	SUBAWARD
BOSTON HOUSING AUTHORITY
52 CHAUNCY STREET 7TH FLOOR	BOSTON	MA	02111	046001907	501(C)(3)	$17,204	$0	SUBAWARD
BOSTON PUBLIC HEALTH COMMISSION
1010 MASSACHUSETTS AVENUE 6TH FLOOR	CAMBRIDGE	MA	02138	043316655	501(C)(3)	$36,057	$0	SUBAWARD	MVP ACCT
BOSTON UNIVERSITY OFFICE OF FINANCIAL AFFAIRS
715 ALBANY STREET SUITE 580	BOSTON	MA	021182528	042103547	501(C)(3)	$4,929,254	$0	SUBAWARD
BRANDEIS UNIVERSITY OFFICE OF GRANTS ADMIN
MAILSTOP 116	WALTHAM	MA	022549110	042103552	501(C)(3)	$68,855	$0	SUBAWARD
BRIGHAM & WOMENS HOSPITAL INC RESEARCH MANAGEMENT
75 FRANCIS STREET	BOSTON	MA	02115	042312909	501(C)(3)	$127,707	$0	SUBAWARD
BROCKTON AREA MULTI SERVICES INC
10 CHRISTYS DRIVE	BROCKTON	MA	02301	042562377	501(C)(3)	$211,555	$0	SUBAWARD
BROCKTON NEIGHBORHOOD HEALTH
63 MAIN STREET	BROCKTON	MA	02301	043165044	501(C)(3)	$48,115	$0	SUBAWARD
BROWN UNIVERSITY OFFICE OF CONTROLLER
BOX J	PROVIDENCE	RI	02912	500258809	501(C)(3)	$340,218	$0	SUBAWARD
CAMBRIDGE HEALTH ALLIANCE
10 PRESIDENTS LANDING 5TH FLOOR	MEDFORD	MA	02155	043320571	501(C)(3)	$55,933	$0	SUBAWARD
CHILDREN'S HOSPITAL OF BOSTON
300 LONGWOOD AVENUE	BOSTON	MA	02115	042774441	501(C)(3)	$23,501	$0	SUBAWARD
CITY OF NEW BEDFORD
133 WILLIAM STREET	NEW BEDFORD	MA	02740	046001402	CITY OF NEW BEFORD	$444,266	$0	SUBAWARD
CITY OF SPRINGFIELD DEPT OF HEALTH AND HUMAN SERVICES
95 STATE STREET SUITE 201	SPRINGFIELD	MA	01103	046001415	501(C)(3)	$546,295	$0	SUBAWARD
CLEVELAND CLINIC LABORATORIES
PO BOX 74222	CLEVELAND	OH	44194	340714585	501(C)(3)	$37,780	$0	SUBAWARD
COMAGINE HEALTH
10700 MERIDIAN AVENUE NORTH SUITE	SEATTLE	WA	981339008	911072875	501(C)(3)	$17,039	$0	SUBAWARD	100
COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTHDIVISION OF FOOD A
305 SOUTH STREET	JAMAICA PLAIN	MA	02130	046002284	COMMONWEALTH OF MA	$418,201	$0	SUBAWARD
COMMUNITY HEALTH CENTER OF FRANKLIN COUNTY INC
102 MAIN STREET	GREENFIELD	MA	01301	043312968	501(C)(3)	$68,175	$0	SUBAWARD
DARTMOUTH COLLEGE
37 DEWEY FIELD ROAD SUITE 6015	HANOVER	NH	037651471	020222111	501(C)(3)	$163,366	$0	SUBAWARD
DIGNITY HEALTH DBA ST JOSEPH'S HOS & MED CTR
350 WEST THOMAS ROAD	PHOENIX	AZ	85013	941196203	501(C)(3)	$22,022	$0	SUBAWARD
DOTHOUSE HEALTH INC
1353 DORCHESTER AVENUE	DORCHESTER	MA	02122	237125970	501(C)(3)	$45,881	$0	SUBAWARD
DREXEL UNIVERSITY
3201 ARCH STREET SUITE 420	PHILADELPHIA	PA	19104	231352630	501(C)(3)	$11,198	$0	SUBAWARD
DUDLEY ST NEIGHBRHD INITIATIVE
550 DUDLEY STREET	ROXBURY	MA	02119	042859066	501(C)(3)	$48,892	$0	SUBAWARD
EAST BOSTON NHC
10 GOVE STREET	EAST BOSTON	MA	02128	237425849	501(C)(3)	$28,061	$0	SUBAWARD
EMORY UNIVERSITY OFFICE OF GRANTS CONTRACTS
1599 CLIFTON ROAD 4TH FL	ATLANTA	GA	30322	580566256	501(C)(3)	$31,308	$0	SUBAWARD
EPILEPSY FOUNDATION NEW ENGLAND
650 SUFFOLK STREET UNIT 405	LOWELL	MA	01854	222505819	501(C)(3)	$7,000	$0	SUBAWARD
FAMILY SVCS OF MERRIMACK VALLEY
430 NORTH CANAL STREET	LAWRENCE	MA	01840	042104054	501(C)(3)	$266,203	$0	SUBAWARD
FENWAY COMMUNITY HEALTH CTR
1340 BOYLSTON STREET	BOSTON	MA	02215	042510564	501(C)(3)	$12,760	$0	SUBAWARD
FLORIDA INTERNATIONAL UNIVERSITY
11200 SW 8TH STREET CSC319	MIAMI	FL	33199	650177616	501(C)(3)	$13,287	$0	SUBAWARD
GREATER LAWRENCE HEALTH CENTER
34 HAVERHILL STREET	LAWRENCE	MA	01840	042708824	501(C)(3)	$374,942	$0	SUBAWARD
HARVARD UNIVERSITY OFFICE OF SPONSORED PROGSHOLYOKE CENTER
1350 MASSACHUSETTS AVENUE	CAMBRIDGE	MA	02138	042103580	501(C)(3)	$45,710	$0	SUBAWARD
HEALTH RESOURCES IN ACTION INC
2 BOYLSTON STREET 4TH FL ATTN MS	BOSTON	MA	02116	042229839	501(C)(3)	$23,790	$0	SUBAWARD	BORA TORO
HEPATITIS EDUCATION PROJECT
1621 SOUTH JACKSON STREET SUITE 201	SEATTLE	MA	98144	911658691	501(C)(3)	$12,009	$0	SUBAWARD
HOLYOKE HEALTH CENTER INC
230 MAPLE STREET ATTN KATHLEEN	HOLYOKE	MA	01040	042492730	501(C)(3)	$13,517	$0	SUBAWARD	LEBLANC
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PLACE BOX 1070	NEW YORK	NY	10029	136171197	501(C)(3)	$64,903	$0	SUBAWARD
JEWISH VOCATIONAL SERVICES
ATTN ACCOUNTING DEPARTMENT 105	BOSTON	MA	02111	042104357	501(C)(3)	$85,147	$0	SUBAWARD	CHAUNCY STREET
JOSLIN DIABETES CENTER
ONE JOSLIN PLACE	BOSTON	MA	02215	042203836	501(C)(3)	$219,545	$0	SUBAWARD
LAHEY CLINIC
41 MALL ROAD FINANCE OFFICE	BURLINGTON	MA	01805	042704683	501(C)(3)	$65,238	$0	SUBAWARD
LOWELL COMMUNITY HEALTH CTR
161 JACKSON STREET	LOWELL	MA	01852	042881348	501(C)(3)	$44,768	$0	SUBAWARD
MANET COMMUNITY HEALTH CENTER
110 WEST SQUANTUM STREET	N QUINCY	MA	02171	042646695	501(C)(3)	$61,606	$0	SUBAWARD
MASS INSTITUTE OF TECHNOLOGY DBA DIVISION OF COMPARATIVEMEDICINEBUILDING
77 MASSACHUSETTS AVENUE 16-849	CAMBRIDGE	MA	02139	042103594	501(C)(3)	$105,675	$0	SUBAWARD
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT STREET	BOSTON	MA	02114	042697983	501(C)(3)	$88,166	$0	SUBAWARD
MCLEAN HOSPITAL CORPORATION
115 MILL STREET	BELMONT	MA	024789106	042697981	501(C)(3)	$61,011	$0	SUBAWARD
NEW YORK UNIVERSITY
105 EAST 17TH STREET 4TH FL	NEW YORK	NY	10003	135562308	501(C)(3)	$37,964	$0	SUBAWARD
NORTH SUFFOLK MENTAL HEALTH ASSOCIATION
301 BROADWAY AVENUE	CHELSEA	MA	02150	042317215	501(C)(3)	$79,755	$0	SUBAWARD
NORTHEASTERN UNIVERSITY
360 HUNTINGTON AVENUE	BOSTON	MA	02115	041679980	501(C)(3)	$45,682	$0	SUBAWARD
NORTHWESTERN UNIVERSITY DIVISION OF ALLERGY IMMUNOLOGYTARRY
BLDG 3-707 MAIL CODE S207	CHICAGO	IL	606113008	362167817	501(C)(3)	$12,701	$0	SUBAWARD
NYU SCHOOL OF MEDICINE
550 FIRST AVENUE	NEW YORK	NY	10016	135562309	501(C)(3)	$49,614	$0	SUBAWARD
PROOF ALLIANCE
1876 MINNEHAHA AVENUE WESTSUITE 395	SAINT PAUL	MN	55104	411904618	501(C)(3)	$214,208	$0	SUBAWARD
RAND CORPORATION
1776 MAIN STREET PO BOX 2138	SANTA MONICA	CA	904072138	951958142	501(C)(3)	$38,447	$0	SUBAWARD
REACHING OUR SISTERS EVERYWHERE
EVERYWHERE INC 3614 COLUMBIA	DECATUR	GA	30034	452803568	503(C)(3)	$153,363	$0	SUBAWARD	PARKWAY
REGENTS OF THE UNIV OF CALIFORNIA DBA UNIV OF CALIFORNIA SAN DIEGO
9500 GILMAN DRIVE	LA JOLLA	CA	920930953	956006144	501(C)(3)	$55,069	$0	SUBAWARD
SOCIAL SCIENCE RESEARCH AND EVALUATION INC (SSRE)
84 MILL STREET	LINCOLN	MA	017731706	222551337	501(C)(3)	$36,243	$0	SUBAWARD
STANLEY STREET TREATMENT AND RESOURCES INC
386 STANLEY STREET	FALL RIVER	MA	02724	042604426	501(C)(3)	$94,419	$0	SUBAWARD
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ALABAMA CHILD DEVELOPMENT RESOU
ATT VIVIAN MCKINLEY 651 PETER BRYCE	TUSCALOOSA	AL	35401	636001138	501(C)(3)	$42,793	$0	SUBAWARD	BOULEVARD
THE BRIEN CTR FOR MENTAL HLTH & SUBSTANCE ABUSE SRVS INC
359 FENN STREET	PITTSFIELD	MA	01201	042081870	501(C)(3)	$497,357	$0	SUBAWARD
THE REGENTS OF THE UNIVERSITY OF COLORADO
1800 GRANT STREET SUITE 600	DENVER	CO	80203	846000555	501(C)(3)	$159,555	$0	SUBAWARD
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NY
615 WEST 131ST STREET 3RD FL	NEW YORK	NY	10027	135598093	501(C)(3)	$148,359	$0	SUBAWARD
THE UNIVERSITY OF RHODE ISLAND
75 LOWER COLLEGE ROAD	KINGSTON	RI	02881	223011455	STATE OF RI	$8,607	$0	SUBAWARD
THE UNIVERSITY OF TEXAS AT AUSTIN
110 INNER CAMPUS DRIVE STOP K5300	AUSTIN	TX	78712	746000203	STATE OF TX	$8,812	$0	SUBAWARD
TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
3400 SPRUCE STREET 6 WEST GATES	PHILADELPHIA	PA	19104	231352685	501(C)(3)	$14,324	$0	SUBAWARD	6041
TUFTS MEDICAL CENTER INC
800 WASHINGTON STREET	BOSTON	MA	02111	043400617	501(C)(3)	$27,684	$0	SUBAWARD
TUFTS UNIVERSITY NEMCH
096171 HARRISON AVENUE	BOSTON	MA	02111	042103634	501(C)(3)	$216,284	$0	SUBAWARD
UNIV OF N CAROLINA AT CHAPEL HILL OFFICE OF CONTRACTS GRANTS
CB 1350104 AIRPORT DRIVE SUITE 2200	CHAPEL HILL	NC	275991350	566001393	501(C)(3)	$446,269	$0	SUBAWARD
UNIVERSITY OF ARIZONA
888 NORTH EUCLID AVENUE ROOM 510	TUCSON	AZ	857194824	742652689	STATE OF AZ	$10,895	$0	SUBAWARD
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
500 PARNASSUS AVENUE MU 200-W	SAN FRANCISCO	CA	941430244	946036493	501(C)(3)	$340,881	$0	SUBAWARD
UNIVERSITY OF CONNECTICUT HEALTH CENTER
263 FARMINGTON AVENUE	FARMINGTON	CT	06030	521725543	STATE OF CT	$36,107	$0	SUBAWARD
UNIVERSITY OF GUAM
303 UNIVERSITY DRIVE	MANGILAO	GU	96913	980032933	TERRITORY OF GUAM	$23,759	$0	SUBAWARD
UNIVERSITY OF KANSAS MEDICAL CENTER RESEARCH INST INC
3901 RAINBOW BOULEVARD MAILSTOP	KANSAS CITY	KS	66160	481108830	501(C)(3)	$14,157	$0	SUBAWARD	1039
UNIVERSITY OF KENTUCKY RESEARCH FOUNDATION
109 KINKEAD HALL	LEXINGTON	KY	405060057	616033693	501(C)(3)	$17,032	$0	SUBAWARD
UNIVERSITY OF MASSACHUSETTS
55 LAKE AVENUE NORTH	WORCESTER	MA	01655	043167352	COMMONWEALTH OF MA	$539,544	$0	SUBAWARD
UNIVERSITY OF MIAMI
1600 NW 10TH AVENUE	MIAMI	FL	33136	590624458	501(C)(3)	$17,730	$0	SUBAWARD
UNIVERSITY OF NEVADA LAS VEGAS BOARD OF REGENTS NV SYS 0F HIGHER EDU
4505 SOUTH MARYLAND PARKWAY	LAS VEGAS	NV	89154	886000024	STATE OF NV	$82,816	$0	SUBAWARD
UNIVERSITY OF PITTSBURGH
ATTN NICOLE KAEFER 200 MEYRAN	PITTSBURGH	PA	15213	250965591	501(C)(3)	$686,623	$0	SUBAWARD	AVENUE SUITE 200
UNIVERSITY OF SOUTHERN CALIFORNIA UNIVERSITY GARDENS
3500 SOUTH FIGUEROA STREET SUITE	LOS ANGELES	CA	900898006	951642394	501(C)(3)	$67,213	$0	SUBAWARD	205
UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE
85 SOUTH PROSPECT STREET	BURLINGTON	VT	05405	030179440	STATE OF VT	$5,120	$0	SUBAWARD
UNIVERSITY OF WASHINGTON
4300 ROOSEVELT WAY NESUITE 300	SEATTLE	WA	98195	916001537	STATE OF WA	$10,882	$0	SUBAWARD
VINFEN CORP
1050 COMMONWEALTH AVENUE SUITE 200	BOSTON	MA	02215	042632219	501(C)(3)	$614,613	$0	SUBAWARD
WALK BOSTONSRS OLD CITY HALL
45 SCHOOL STREET	BOSTON	MA	02108	223061699	501(C)(3)	$22,489	$0	SUBAWARD
WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY CO RESEARCH ACCOUNTING DEPT
100 BROADWAY 8TH FL	NEW YORK	NY	10005	131623978	501(C)(3)	$31,048	$0	SUBAWARD
WESTERN MASSACHUSETTS TRAINING
187 HIGH STREET SUITE 202	HOLYOKE	MA	01040	237450656	501(C)(3)	$247,809	$0	SUBAWARD
YALE UNIVERSITY SCHOOL OF MED
2 WHITNEY AVENUE 6TH FLOOR	NEW HAVEN	CT	06510	060646973	501(C)(3)	$41,818	$0	SUBAWARD

Field	Value	IRS element (for citing)
Total501c3 Org	91	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	BMC'S DEPARTMENT OF RESEARCH ADMINISTRATION USES SOFTWARE REPORTING SYSTEMS TO MONITOR THE USE OF ALL GRANT FUNDING. PRINCIPAL INVESTIGATORS AND DEPARTMENT ADMINISTRATORS HAVE SYSTEM ACCESS TO REVIEW THEIR GRANT EXPENDITURES REGULARLY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALASTAIR BELL MD
TRUSTEE /INTERIM PRESIDENT(THRU 5/31	$1,228,295	$0	$459,250	$0	$81,654	$0	$169,725	$0	$10,352	$0	$1,949,276	$0	$68,250	$0
JENNIFER TSENG MD
TRUSTEE (THRU 1/1/24)	$0	$1,151,325	$0	$0	$0	$4,902	$0	$38,268	$0	$2,788	$0	$1,197,283	$0	$0
ANTHONY HOLLENBERG MD
TRUSTEE/PRESIDENT (AS OF 5/31/24)	$0	$889,949	$0	$0	$0	$42,038	$0	$0	$0	$32,363	$0	$964,350	$0	$0
TERRI NEWSOM
SVP/CFO/TREASURER (THRU 7/1/24)	$648,132	$0	$156,000	$0	$5,000	$0	$107,400	$0	$6,986	$0	$923,518	$0	$0	$0
JOE CAMILLUS
SVP AMBULATORY & PRF SVC	$610,156	$0	$117,000	$0	$33,347	$0	$91,350	$0	$46,741	$0	$898,594	$0	$23,790	$0
NICOLE FAUCHER
PRESIDENT, CLEARWAY HEALTH, LLC	$419,451	$0	$377,800	$0	$1,089	$0	$57,888	$0	$9,944	$0	$866,172	$0	$0	$0
DAVID MCANENY
SVP/CHIEF MEDICAL OFFICER	$604,681	$0	$122,400	$0	$96,923	$0	$8,758	$0	$31,907	$0	$864,669	$0	$0	$0
NANCY GADEN
SVP OF CLINICAL OPERATIONS/CNO	$502,546	$0	$101,400	$0	$185,041	$0	$16,500	$0	$36,776	$0	$842,263	$0	$31,980	$0
LISA KELLY-CROSWELL
SVP/CHIEF HR OFFICER	$536,209	$0	$117,000	$0	$45,832	$0	$79,881	$0	$31,939	$0	$810,861	$0	$35,490	$0
ARTHUR HARVEY
VP/CIO	$515,551	$0	$112,500	$0	$17,890	$0	$82,200	$0	$35,002	$0	$763,143	$0	$12,480	$0
DAVID BECK
SVP/CHIEF LEGAL COUNSEL/CLERK	$506,187	$0	$112,500	$0	$62,346	$0	$23,100	$0	$32,903	$0	$737,036	$0	$0	$0
ROBERT BIGGIO
SVP/CHIEF SUSTAINABILITY/RE OFFICER	$465,871	$0	$101,250	$0	$37,847	$0	$76,350	$0	$11,511	$0	$692,829	$0	$30,225	$0
JODI LARSON
VP, CHIEF QUALITY OFFICER	$439,376	$0	$70,980	$0	$8,856	$0	$46,300	$0	$51,576	$0	$617,088	$0	$0	$0
KATHLEEN E WALSH
FORMER PRESIDENT	$271,094	$0	$312,500	$0	$0	$0	$4,442	$0	$1,169	$0	$589,205	$0	$0	$0
RAVIN DAVIDOFF MD
SVP/EXECUTIVE MEDICAL DIRECTOR	$287,478	$0	$47,250	$0	$18,415	$0	$22,050	$0	$30,967	$0	$406,160	$0	$0	$0
MANISHI DESAI
TRUSTEE	$0	$289,776	$0	$1,362	$0	$432	$0	$30,524	$0	$13,651	$0	$335,745	$0	$0
JESSE SOUWEINE
TREASURER (07/01/24 - 11/12/24)	$158,602	$0	$26,188	$0	$0	$0	$0	$0	$9,325	$0	$194,115	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4B:

BMC HAS A 457(F) DEFERRED COMPENSATION PLAN FOR CERTAIN EXECUTIVES LISTED IN SCEHDULE J, PART II.

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 2023 PERFORMANCE BONUS PAYOUTS WERE APPROVED BY THE COMMITTEE AFTER IT REVIEWED THE 2023 PERFORMANCE RESULTS AGAINST PRE ESTABLISHED PERFORMANCE TARGETS, AND APPROVED THE FORMULA-BASED PAYOUTS ACCORDINGLY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MDFA 2015 SERIES D
A	043431814	57583U6Q6	2015-04-08	$167,471,151	FINANCE CAPITAL PROJECTS	0	0	0
MDFA 2016 SERIES E
B	043431814	57584XWT4	2016-09-22	$203,977,951	FINANCE NEW PROJECTS	0	0	0
MDFA 2017 SERIES F
C	043431814	57584X6Z9	2017-12-20	$45,272,849	FINANCE CAPITAL PROJECTS	0	0	0
MHEFA 2009 SERIES O-1
D	042456011	57586ELD1	2009-08-14	$101,485,000	REFUNDING OF SERIES M3-B	0	0	Yes (1)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt
A	$168,069,007	$16,059,025	$226,325	$2,007,035	$150,355,290	$259,175	2016	0	0	Yes (1)	Yes (1)
B	$206,393,981			$1,673,571	$29,046,728	$175,673,681	2017	0	Yes (1)	Yes (1)	Yes (1)	$13,780,000
C	$45,971,835		$9,238	$272,257	$45,690,339		2019	0	0	Yes (1)	Yes (1)	$5,435,000
D	$13,688,734	$34,537				$13,688,734		Yes (1)	0	Yes (1)	Yes (1)	$10,400,909

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Private Bus Concerning UBIPrivateBusConcerningUBIPct
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00500	0.00500
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	0	Yes (1)	Yes (1)	0		Yes (1)	0.00000	0.00000	0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	Yes (1)
B	0	Yes (1)	0	Yes (1)	Yes (1)
C	0	Yes (1)	0	0	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
COLUMN A, SERIES D - ENTITY 1:	PART I(F) - BONDS FINANCED CAPITAL PROJECTS, FUNDED A RESERVE, AND PAID COSTS OF ISSUANCE. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C) - THE MOST RECENT FIVE YEAR REBATE REPORT, DATED APRIL 27, 2020, WAS PREPARED BY BLX GROUP, LLC.
COLUMN B, SERIES E - ENTITY 1:	PART I(F) - BONDS FINANCED CAPITAL PROJECTS AND ADVANCED REFUNDED PRIOR BONDS (ISSUED ON JULY 1, 2008) BY THE MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C) - THE MOST RECENT FIVE YEAR REBATE REPORT, DATED OCTOBER 21, 2021, WAS PREPARED BY BLX GROUP, LLC.
COLUMN C, SERIES F - ENTITY 1:	PART I(F) - BONDS WERE ISSUED TO FINANCE CAPITAL PROJECTS. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C) - THE FIFTH YEAR REBATE REPORT WAS PREPARED ON SEPTEMBER 26, 2022.
COLUMN D, SERIES O-1 - ENTITY 1:	BONDS ARE PART OF A POOLED FINANCING (TOTAL PAR $101,485,000) AND THUS, EXCEPT FOR PART I, ONLY THE BORROWER'S ALLOCABLE PORTION IS REPRESENTED. PART I(F) - THE BORROWER'S PORTION OF THE BONDS REFINANCED THE PORTION OF THE ISSUER'S SERIES M3-B (2005) BONDS (ISSUED ON OCTOBER 3, 2005) ALLOCABLE TO THE BORROWER. PART II, LINE 4 - THE RESERVE HAS BEEN FUNDED BY PROCEEDS OF THE PRIOR BONDS. PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(B) - BOND PROCEEDS WERE EXPENDED TO FINANCE A CURRENT REFUNDING, WHICH HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT. NO COMPUTATION HAS BEEN MADE THAT WOULD INDICATE WHETHER ANY REBATE WOULD BE DUE ON THE PROCEEDS TRANSFERRED FROM THE PRIOR BONDS.
COLUMN A, SERIES G - ENTITY 2:	PART I(F) - BONDS FINANCED CAPITAL PROJECTS, CURRENT REFUNDED PRIOR BONDS (ISSUED ON JUNE 14, 2012), AND PAID COSTS OF ISSUANCE. PART II, LINE 3 - THE TOTAL PROCEEDS SHOWN IN PART II, LINE 3 DIFFERS FROM THE ISSUE PRICE SHOWN IN PART I, (E) DUE TO INTEREST EARNINGS ON INVESTED PROCEEDS. PART III, LINE 7 - AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE SECURITY OR PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY OR PAYMENT TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(B) - THE PORTION OF BOND PROCEEDS USED TO CURRENT REFUND PRIOR BONDS HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MDFA 2023 SERIES G	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	043431814	BondIssuerEIN
CUSIP	57584Y4U0	CUSIPNum
Bond Issued	2023-02-28	BondIssuedDt
Issue Price	$242,274,160	IssuePriceAmt
Purpose	FINANCE CAPITAL PROJECTS	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$3,105,000	RetiredAmt
Total Proceeds	$253,036,577	TotalProceedsAmt
Issuance Costs From Proceeds	$2,295,024	IssuanceCostsFromProceedsAmt
Capital Expenditures	$162,215,451	CapitalExpendituresAmt
Other Spent Proceeds	$17,978,105	OtherSpentProceedsAmt
Unspent	$70,547,996	UnspentAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	Yes (1)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (1)	EngageBondCounselResearchInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HANNAH LEAVER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	DAUGHTER OF TRUSTEE	RelationshipDescriptionTxt
Transaction	$308,172	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV:	FormAndLineReferenceDesc
Explanation	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: HANNAH LEAVER, DAUGHTER OF TRUSTEE RICHARD MARKS, IS EMPLOYED BY BMC. LEAVER HAS BEEN EMPLOYED BY BMC SINCE BEFORE TRUSTEE RICHARD MARKS JOINED THE BMC BOARD IN 2016.	ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$80,120	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	43	ContributionCnt
Noncash Contributions Rpt F990	$803,890	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVG. HIGH/LOW PRICE	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,640	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	GIFT CERTIFICATE	Desc
Contribution	24	ContributionCnt
Noncash Contributions Rpt F990	$39,201	NoncashContributionsRptF990Amt
Method Of Determining Revenues	DONOR ESTIMATE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN B:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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	BISOLA OJIKUTU, M.D. ALASTAIR BELL, M.D. BUSINESS RELATIONSHIP - THE OFFICERS AND TRUSTEES ABOVE ARE ALSO MEMBERS OR EMPLOYEES OF THE BOSTON PUBLIC HEALTH COMMISSION. MELANIE FOLEY (THRU 5/14/24) JENNIFER TSENG, M.D. (THRU 1/1/24) BUSINESS RELATIONSHIP - THE TRUSTEES ABOVE ARE ALSO DIRECTORS OF BOSTON MEDICAL CENTER INSURANCE COMPANY, LTD. MARTHA SAMUELSON PIERRE CREMIEUX BUSINESS RELATIONSHIP - THE TRUSTEES ABOVE ARE ALSO TRUSTEES, OFFICERS, 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 HEALTH SYSTEM'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC HEALTH SYSTEM'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 FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2024 WERE DISTRIBUTED BY BMC HEALTH SYSTEM'S CORPORATE COMPLIANCE DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OR THE CHIEF COMPLIANCE OFFICER'S DESIGNEE QUERIES TRUSTEES AND OFFICERS 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	BMC HEALTH SYSTEM, INC. IS A SUPPORTING ORGANIZATION OF BOTH BMC AND WELLSENSE. ALL THREE ENTITIES HAVE THE SAME INDEPENDENT COMPENSATION COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, THAT ESTABLISHES THE COMPENSATION OF THE PRESIDENT AND CEO AND APPROVES THE COMPENSATION OF SENIOR MANAGEMENT. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY HEALTH SYSTEM, BMC, OR WELLSENSE EXECUTIVE SEEKING COMPENSATION. INDIVIDUAL COMPENSATION IS SUPPORTED BY COMPARABLE DATA, WHICH INCLUDES COMPENSATION PAID FOR COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS (BOTH TAXABLE AND TAX-EXEMPT), INDEPENDENTLY COMPILED COMPENSATION SURVEYS, AND ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF AN EXECUTIVE. THE COMMITTEE MAY ALSO UTILIZE AN INDEPENDENT COMPENSATION CONSULTANT AS PART OF THE COMPENSATION-SETTING PROCESS. THE INDEPENDENT COMMITTEE'S ASSESSMENTS OF THESE CONSIDERATIONS ARE CONTAINED IN THE MINUTES OF THE COMMITTEE MEETINGS. THE REVIEW PROCESS INCLUDES, AND THE MINUTES INDICATE, DISCUSSIONS AND EVALUATIONS OF EACH EXECUTIVE'S PERFORMANCE, QUALIFICATIONS, AND EXPERIENCE. THE EXECUTIVES ARE NOT PRESENT FOR THE INDEPENDENT COMMITTEE'S DISCUSSIONS OR THE COMMITTEE'S 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. THE RESTATED ARTICLES OF THE ORGANIZATION ARE AVAILABLE ON THE SECRETARY OF THE COMMONWEALTH'S CORPORATIONS WEBSITE.
FORM 990, PART XI, LINE 9:	NET ASSETS TRANSFER FROM BMC HEALTH PLAN 100,000,000. PERIODIC PENSION COSTS 3,494,946. OTHER CHANGES 1,019,149. ADJUSTMENT RELATED TO NET ASSETS OF RELATED CAPTIVE ON CONSOLIDATED FINANCIALS -6,419,462.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (32 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
BMC HEALTH SYSTEM INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	463556853	SUPPORT SVCS.	MA	501 (C) (3)	12 B-II	BMC	Yes (1)
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	Yes (1)
BMC INTEGRATED CARE SERVICES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043414914	HEALTHCARE	MA	501 (C) (3)	12 A-I	BMCBACO	Yes (1)
BOSTON EMERGENCY PHYSICIAN FDN INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043286156	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON REHABILITATION MEDICINE ASSOC INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043286641	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIV NEUROLOGY ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043428462	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIV PLASTIC SURGERY ASSOC INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043555478	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIV SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043291148	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIVERSITY AFFILIATED PHYSICIANS
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043218267	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	3	BMC	Yes (1)
BOSTON UNIVERSITY DERMATOLOGY INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043335166	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIVERSITY EYE ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043137333	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIVERSITY FAMILY MEDICINE INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043354353	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BOSTON UNIVERSITY PSYCHIATRY ASSOC INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043355267	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU CARDIAC & THORACIC SURGICAL FDN INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	042966416	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU DERMATOLOGY SUPPORT SERVICES I INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043452877	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU DERMATOLOGY SUPPORT SERVICES II INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043452874	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU GENERAL SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043265008	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU MALLORY PATHOLOGY ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	042794543	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU MEDICAL CENTER RADIOLOGISTS INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043283573	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU MEDICAL CENTER UROLOGISTS INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043286643	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU MEDICAL CTR ANESTHESIOLOGISTS INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043276227	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU NEUROSURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043296068	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU OBSTETRICS & GYNECOLOGY FDN INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043067465	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU ORTHOPAEDIC SURGICAL ASSOCIATES INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043354360	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BU RADIATION ONCOLOGY INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	810716773	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
BUMC OTOLARYNGOLOGIC FOUNDATION
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043156471	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
CHILD HEALTH FOUNDATION OF BOSTON INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	042472758	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
EVANS MEDICAL FOUNDATION INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	510172171	MEDICAL GROUP PRACTICE	MA	501 (C) (3)	12C III-FI		0	N/A
THE BOSTON HEALTHNET CORPORATION
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043279836	SUPPORT SVCS.	MA	503 (C) (3)	12 B-II		0	N/A
FACULTY PRACTICE FOUNDATION INC
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	043289381	MEDICAL SVCS	MA	501 (C) (3)	12 B-II		0	N/A
BOSTON MEDICAL CENTER-SOUTH CORPORATION
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	994491180	HEALTHCARE	MA	501 (C) (3)	3	BMCHS	Yes (1)
BOSTON MEDICAL CENTER-BRIGHTON CORPORATION
ONE BOSTON MEDICAL CENTER PL	BOSTON	MA	02118	994793550	HEALTHCARE	MA	501 (C) (3)	3	BMCHS	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Legal Domicile StateLegalDomicileStateCd
BMC INSURANCE COMPANY LTD
878 WEST BAY ROAD PO BOX 1159	GRAND CAYMAN	CJ	980375219	INSURANCE	CJ	BMC	C	$990,533	$102,898,008	0.70000	Yes (1)
CHARITABLE REMAINDER TRUST - MA (3)
				SUPPORT		BMC	T				Yes (1)	MA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BMC INSURANCE COMPANY LTD
P	$9,452,351	FMV
BMC HEALTH SYSTEM INC
P	$179,979,025	FMV