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ONE BOSTON MEDICAL CENTER PL BOSTON MA 02118 X David Ament Trustee 1.0 2.0 X 0 0 0 Karen Antman MD Trustee 1.0 2.0 X 0 0 0 Anita Bekenstein Trustee 1.0 0.0 X 0 0 0 Barry Bock Trustee 1.0 0.0 X 0 0 0 David Coleman MD Trustee 1.0 54.0 X 0 755693 33764 Enrique Colbert Trustee (as of 5/14/19) 1.0 0.0 X 0 0 0 Sandra Cotterell Trustee 1.0 1.0 X 0 0 0 Pierre Cremieux Trustee 1.0 1.0 X 0 0 0 Randi Cutler Trustte 1.0 1.0 X 0 0 0 Paul Egerman Trustee 1.0 0.0 X 0 0 0 Ruth Ellen Fitch Trustee 1.0 0.0 X 0 0 0 Melanie Foley Trustee 1.0 0.0 X 0 0 0 Eileen Grayken Trustee 1.0 0.0 X 0 0 0 John T Hailer Trustee (until 5/14/2019) 1.0 0.0 X 0 0 0 William J Halpin Jr Trustee 1.0 1.0 X 0 0 0 Karen Kames Trustee 1.0 0.0 X 0 0 0 Azra Kanji Trustee 1.0 0.0 X 0 0 0 Manuel Lopes Trustee 1.0 2.0 X 0 0 0 Monica Valdes Lupi Trustee 1.0 0.0 X 0 0 0 Richard Marks Trustee 1.0 1.0 X 0 0 0 Jerod Mayo Trustee 1.0 0.0 X 0 0 0 Tricia Patrick Trustee 1.0 0.0 X 0 0 0 Claire Perlman Trustee 1.0 0.0 X 0 0 0 James S Phalen Trustee 1.0 1.0 X 0 0 0 Susannah Rowe MD Trustee (as of 10/1/18) 1.0 0.0 X 0 210293 50874 Martha Samuelson Trustee/Chair 1.0 1.0 X 0 0 0 Richard Slifka Trustee (until 5/14/2019) 1.0 1.0 X 0 0 0 Jennifer Tseng MD Trustee 1.0 54.0 X 0 936767 6840 Kathleen Walsh President and CEO 50.0 7.5 X X 2535523 0 19357 Rev Liz Walker Trustee 1.0 0.0 X 0 0 0 Andrew Youniss Trustee 1.0 1.0 X 0 0 0 David Beck SVP/Chief Legal Counsel/Clerk 50.0 13.5 X 496971 0 87198 Charles Orlando SVP/CFO/TREAS 36.0 23.0 X 860299 0 70380 Alastair Bell SVP Ops & Strategy/COO 50.0 2.0 X 1113711 0 104719 Ravin Davidoff MD SVP MEDICAL AFFAIRS AND CMO 50.0 1.5 X 713194 0 40788 Nancy Gaden SVP CHIEF NURSING OFFICER 50.0 0.0 X 517761 0 92537 Lisa A Kelly-Croswell SVP/CHRO 50.0 0.0 X 556969 0 71960 Bob Biggio SVP Facility & Supt Svcs 50.0 0.0 X 564010 0 105647 Joe Camillus SVP Ambulatory & Prf Svc 50.0 0.5 X 454456 0 89496 Norman Stein SVP Chief Development Officer 50.0 0.0 X 570206 0 46270 Arthur Harvey VP/CIO 50.0 0.0 X 458978 0 46034 Julie Joncas VP Finance 50.0 1.0 X 415714 0 43001 Richard Silveria Former SVP Fin/CFO/Treas 0.0 0.0 X 293669 0 18834 MARY BETH BEGLEY FORMER OFFICER 0.0 0.0 X 225407 0 15434 Stanley Hochberg MD SVP Qual, Sfty, & Tech 0.0 0.0 X 406456 0 21823 10183324 1902753 964956 1543 true true false Boston University One Silber Way BOSTON MA 02215 SHARED RESEARCH SVCS 63048551 Suffolk Construction Company 69 Allerton Street BOSTON MA 02119 Construction 34977871 Walsh Brothers Incorporated 210 Commercial Street BOSTON MA 02109 Construction Service 21747278 Accenture LLP 161 N Clark Street CHICAGO IL 60601 EHR Implementation 15682501 SCH Services Inc 1640 W Redstone CTR DR PARK CITY UT 84098 Temporary Staffing 15664483 395 4841966 20773676 2062088 25615642 PATIENT SERVICE REVENUE 900099 1131959048 1131959048 PHARMACY REVENUE 900099 364278422 360983571 3294851 GRANT & CONTRACT REVENUE 900099 105266814 105266814 OTHER PROGRAM REVENUE 900099 18637594 18637594 1620141878 17454236 15 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RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 69000 false true 13830 82830 false Schedule C, Part II-B, Line 1 Boston Medical Center pays dues to Massachusetts Hospital Association and the Conference of Boston Teaching Hospitals and a portion of these dues are allocated to lobbying efforts. The portion of dues that was allocated to lobbying efforts was $13,830. BMC also paid Robert White Associates $15,000 and Dempsey, Lucey & Associates $54,000 to represent the organization. These fees were paid to the lobbyists listed to advance Boston Medical Center's mission: "to consistently provide excellent and accessible health care services to all in need of care, regardless of status or ability to pay" as set out in Chapter 147 of the Acts and Resolves of 1996 of the Commonwealth of Massachusetts. 709074381 285759688 25210971 292657917 2525081 724862042 697009021 21885406 40783482 47477741 3125787 709074381 642296242 127298970 71375617 142059930 1901878 697009021 618328530 42882728 16736661 2178355 642296242 671956753 9615073 60452156 2791140 618328530 0.54390 0.05140 0.40470 false false 14949000 14949000 1203712000 347364000 856348000 30866000 15766000 15100000 954225000 741961000 212264000 1098661000 DONOR RESTRICTED INVESTMENTS 265079000 F 265079000 OTHER L-T ASSETS 47911000 FUNDS HELD BY TRUSTEES 40057000 BRD-DES. INVEST FOR FUNDED DEP 394247000 NONCURRENT NOTES RECEIVABLE 3941000 INSURANCE RECOVERY RECEIVABLES 35793000 521949000 0 EST SETTLEMENT W/3RD PARTY PAY 55755000 CAPITAL LEASE OBLIGATIONS 43222000 OTHER LONG-TERM LIABILITIES 122072000 PROFESSIONAL LIABILITY CLAIMS 35793000 TAXABLE BONDS PAYABLE 180411000 RELATED PARTY LIABILITIES 27396000 464649000 X Schedule D, Part V, Line 2 Presentation of endowment assets Boston Medical Center HAS ADOPTED ASU 2016-14, PRESENTATION OF THE FINANCIAL STATEMENTS FOR NOT-FOR-PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 30, 2019 AUDITED FINANCIAL STATEMENTS CLASSIFY NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF SCHEDULE D, LINE 2, BOSTON MEDICAL CENTER HAS REPORTED ENDOWMENT FUNDS WITHOUT DONOR RESTRICTIONS AS BOARD DESIGNATED OR QUASI-ENDOWMENT AND ENDOWMENT FUNDS WITH DONOR RESTRICTIONS AS PERMANENT ENDOWMENT OR TEMPORARILY RESTRICTED ENDOWMENT, RESPECTIVELY. Schedule D, Part V, Line 4 General Endowment The general endowment includes funds from a number of sources with various restrictions on use and treatment. The endowment funds have been contributed for specific purposes including construction, maintenance, research, clinical care, education, development, staffing, salaries, laboratory equipment and supplies, and convalescent care. Schedule D, Part X, Line 2 The Health Ststem Corporation, the Medical Center, BMCHP, UDF, ECMF, BUAP, Faculty and the Plans, BACO, BMCICS, and BMCIC of Vermont are all nonprofit corporations that have been recognized as tax-exempt pursuant to Section 501(C)(3) of the Internal Revenue Code. The shareholders of NAB, before it was terminated, were nonprofit, tax-exempt corporations. The Health System recognizes income tax positions when it is more likely than not that the position will be sustainable based on the merits of the position. Management has concluded that there are no material uncertain tax positions that need to be recorded as of September 30, 2019 and 2018. The Health System annually assesses whether it must recognize an unrelated business income tax expense (UBIT). The amounts recognized as UBIT expense were not material to the Health System's consolidated operations or changes in net assets for the years ended September 30, 2019 and 2018. true South America Grantmaking 84079 Russia and the Newly Independent States Grantmaking 236213 South Asia Grantmaking 149107 Sub-Saharan Africa 2 8 Grantmaking 650752 North America Grantmaking 153447 East Asia and the Pacific Investments 2077757 Europe (Including Iceland and Greenland) Investments 11168677 Middle East and North Africa Investments 73482 North America Investments 3165480 South America Investments 1765344 Sub-Saharan Africa Investments 216061 Central America and the Caribbean Program Services PREMIUMS 13372402 2 8 2 8 33112801 33112801 South America SUBAWARD 84079 WIRE Russia and the Newly Independent States SUBAWARD 236213 WIRE South Asia SUBAWARD 149107 WIRE North America SUBAWARD 153447 WIRE Sub-Saharan Africa SUBAWARD 650752 WIRE 9 true false true true true false Schedule F, Part I, Line 2 The principal investigator and administrator approve all subcontract invoices, including those from a foreign country. The foreign subcontract recipient has a budget to which invoices are matched to ensure that all spending is appropriate. Additionally, the organizations principal investigators regularly contact the foreign subcontract recipients to monitor the progress of the recipients work. Schedule F, Part II, Line 1 Foreign expenditures are separately identified on the organization's General Ledger. MA Gala 2868883 2674968 193915 224733 39533 87487 68908 Food 4 Thought 804555 789055 15500 112912 4792 6 1662886 1377943 284943 373563 5336324 4841966 494358 224733 152445 87487 447263 911928 -417570 MA true true X true X false true true false false 128615128 46812373 81802755 0.04960 771648062 569460311 202187751 0.12260 900263190 616272684 283990506 0.17220 24875381 12339543 12535838 0.00760 64315179 15936188 48378991 0.02930 683 101425850 83019285 18406565 0.01120 683 190616410 111295016 79321394 0.04810 683 1090879600 727567700 363311900 0.22030 2 208366 208366 0.00010 2 15830000 15830000 0.00960 11 1366117 300000 1066117 0.00060 1 901130 901130 0.00050 1 146822 146822 0.00010 17 18452435 300000 18152435 0.01090 true 9289162 217482121 192033854 25448267 X true true 1 1 Boston Medical Center One Boston medical Center Place Boston MA 02118 http://www.bmc.org X X X X X Boston Medical Center 1 false false true X X X X X X X X 18 true true true true X SEE PART V, PAGE 8 X true 19 true SEE PART V, PAGE 8 false true X 200. 0. X X true true X X X X true X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X true X false X true X false false Schedule H, Part V, Section B, Line 5 Focus Groups: Thirteen focus groups were conducted with specific populations of interest: 12 focus groups conducted specifically for the collaborative CHNA and one additional focus group conducted by work group members who submitted notes for the CHNA. Focus groups were 90-minute semi-structured conversations with approximately 8-12 participants per group and aimed to delve deeply into community's needs, strengths, and opportunities for the future. Focus groups were conducted with the following population groups, including residents of specific neighborhoods: Female low-wage workers (for example, housekeepers, child care workers, hotel service workers, etc.); Male low-wage workers (for example, janitorial staff, construction, etc.); Seniors (ages 65+) with complex, challenging issues (for example, homebound, medical complications); Residents who are housing insecure (no permanent address or close to eviction); Latino residents in East Boston (in Spanish); LGBTQ youth and young adults at risk of being homeless; Immigrant parents of school age children (5-18 years); Survivors of violence; mothers who have been affected by violence; Parents who live in public housing in Dorchester; Chinese residents living in Chinatown (in Chinese); Haitian residents living in Mattapan (in Haitian Creole); Residents in active substance use recovery; and Additional focus group with notes provided: Chinese residents living in Chinatown. A total of 104 community residents participated in focus groups, representing 13 neighborhoods across the city. Nearly half of focus group participants identified as Black or African American (45%), a third of participants identified as Hispanic or Latino (34%), and 10% identified as White. The majority of participants identified as female (57%), male 36%, and transgender or genderqueer are 7%. Fifteen community and social service organizations located throughout Boston assisted with recruiting participants and hosting focus groups. Key Informant Interviews: A total of 45 key informant interviews were completed, six of which were additional interviews submitted by work group volunteers. Interviews were 45-60-minute semi-structured discussions that engaged institutional, organizational, and community leaders and front-line staff across sectors. Discussions explored interviewees' experiences of addressing community needs and opportunities for future alignment, coordination, and expansion of services, initiatives, and policies. Sectors represented in these interviews included: public health, health care, housing and homelessness, transportation, community development, faith, education, public safety, environmental justice, government, workforce development, social services, and food insecurity, and business organizational staff who work with specific population such as youth, seniors, disabled, LGBTQ, and immigrants. Schedule H, Part V, Section B, lines 6a Boston Medical Center conducted the CHNA with the following hospital facilities: Beth Israel Deaconess Medical Center, Boston Children's Hospital, Brigham and Women's Faulkner Hospital, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Massachusetts Eye and Ear Infirmary, Massachusetts General Hospital, and Tufts Medical Center. Schedule H, Part V, Section B, lines 6b Boston Medical Center conducted the CHNA with the following organizations: Boston Health Care for the Homeless Program, Boston Public Health Commission, Jamaica Plain Neighborhood Development Corporation, Community Labor United, Fenway Community Health Center, Health Leads, Madison Park Development Corporation, Massachusetts League of Community Health Centers, Uphams Corner Health Center, and Urban Edge. Schedule H, Part V, Section B, Line 7A https://www.bmc.org/about-us/commitment-our-community Schedule H, Part V, Section B, Line 10A https://www.bmc.org/about-us/commitment-our-community Schedule H, Part V, Section B, Line 11 Unwavering in our commitment to address the health needs of our community, BMC provides a wide range of programs beyond the traditional medical model. Core to fulfilling our public health mission and consistent with the CHNA findings, the goals of our community benefits program are to improve access to health services and improve health outcomes for underserved populations in our community. Key findings that emerged from the CHNA included health care access and utilization, chronic diseases and risk factors, mental health and substance abuse, violence, housing affordability, environmental health. For detailed information about each of the programs and initiatives that addressed the needs last year, please see schedule h, part vi, supplemental information, promotion of community health below. Schedule H, Part V, Section B, Line 13a For patients who fall outside commonwealth assistance programs, patients are charged at the same levels as insurers are charged; however, they are offered a prompt-pay discount of 40% (regardless of income level, etc.) if the payments are made within the first 30 days from service. Schedule H, Part V, Section B, Line 13h By the definition of BMC's financial assistance policy, patients who qualify for financial assistance have applied for one of the Commonwealth's financial assistance programs (connectorcare, medicaid, or health safety net) or have been provided urgent/emergent services. In those instances, patients are viewed as unable to pay for these charges and the hospital submits the charge for reimbursement from the health safety net. Schedule H, Part V, Line 16a FAP Website: HTTP://WWW.BMC.ORG/SERVICES/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM Schedule H, Part V, Line 16b FAP Application Website: HTTP://WWW.BMC.ORG/SERVICES/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM Schedule H, Part V, Line 16c FAP Plain Language Summary Website: HTTP://WWW.BMC.ORG/SERVICES/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM 2 MARGARET M SHEA RN ADULT HEALTH PROGR RIVER STREET MATTAPAN MA 02126 ADULT DAYCARE SUPPORTING PARENTS & RESILIENT KIDS CT 225 RIVER STREET MATTAPAN MA 02126 THERAPEUTIC CENTER Schedule H, PART I, LINE 3C For patients who fall outside Commonwealth assistance programs, patients are charged at the same levels as insurers are charged; however, they are offered a prompt-pay discount of 40% (regardless of income level, etc.) if the payments are made within the first 30 days from service. Introduction The statute that provided the authority to create Boston Medical Center (BMC) requires it to serve all populations. BMC is a private, not-for-profit, 514-bed, urban academic medical center which emphasizes community-based, accessible care. its mission is 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 recognition that certain social determinants affect health outcomes among our patients and community, the goal of our community health improvement activities, or community benefits, is to improve community health. Approximately 57% of our patients are from underserved populations, such as the low-income and elderly, who rely on government payers such as Medicaid, the Health Safety Net and Medicare for their coverage, and 32% do not speak English as a primary language. To address the health needs of 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 gaining access to health services and eliminate disparities in health care among the various populations BMC serves. With more than 25,000 admissions and 1 million patient visits per year, BMC provides a comprehensive range of inpatient, clinical and diagnostic services in more than 70 areas of medical specialties and subspecialties. The largest 24-hour Level I trauma center in New England, BMC's Emergency Department has more than 130,000 patient visits annually. BMC serves the urban community of Greater Boston. The majority of the communities that BMC serves are Boston census tracts that are federally-designated medically underserved areas/populations. Although individuals in Massachusetts can seek care at any hospital, BMC remains the largest safety net provider in Boston and New England. The implementation of healthcare reform in massachusetts did not reduce the real number or percent of underserved communities served by BMC. An estimated 20.5% of Boston residents live below the federal poverty level. According to the Massachusetts Health Insurance Survey's 2019 research brief, an estimated 4% of residents were uninsured and 96% of Massachusetts residents had coverage during the survey of which 62.7% reported employer-sponsored insurance and 37.3% reported other (non-employer-sponsored) insurance. Still, insured residents in fair or poor health struggle to afford health care with 25% reporting challenges paying their medical bills. OF BMC'S PATIENTS IN 2019, APPROXIMATELY 2.3% WERE UNINSURED AND COVERAGE RATES FOR PRIMARY INSURANCE WERE APPROXIMATELY: 30.6% MEDICARE; 42.0% MEDICAID; 18.3% PRIVATE OR EMPLOYER-SPONSORED INSURANCE; 5.9% COMMONWEALTH CONNECTOR AND 0.9% OTHER. Schedule H, PART I, LINE 5C The organization's charity care did not exceed budgeted amounts. The budgeted amounts are predicted charity care amounts. The organization did not have any excess funds. Schedule H, PART I, LINE 7 FOR THE CALCULATION OF COSTS OF CHARITY CARE (LINE 7A) & MEDICAID COST (LINE 7B), AN OVERALL COST TO CHARGE RATIO WAS USED. A COST TO CHARGE RATIO IS DETERMINED BY DIVIDING THE TOTAL CHARGES FOR ALL SERVICES INTO THE TOTAL COST OF PROVIDING THE SERVICES. THE RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE and MEDICAID TO OBTAIN THEIR RESPECTIVE COSTS. FOR THE CALCULATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES (LINE 7E) DISCRETE COSTING WAS USED. FOR THE CALCULATION OF HEALTH PROFESSIONS EDUCATION COST (LINE 7F) THE CENTERS FOR MEDICARE & MEDICAID services (CMS) COST ALLOCATION METHODOLOGY (CMS FORM 2552) WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT. Schedule H, PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $0. DURING FISCAL YEAR 2019, BMC RECOGNIZED NET FAVORABLE SETTLEMENTS FROM MEDICARE, MEDICAID, BMCHP, BLUE CROSS AND OTHER PAYORS RELATED TO PRIOR YEARS OF APPORXIMATELY $2,099,000. Schedule H, PART II, COMMUNITY BUILDING ACTIVITIES: BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON. THOSE LINKAGE FEE FUNDS SUPPORT PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. BMC ALSO PROVIDES SUBSIDIES TO BOSTON HEALTHNET, WHICH SUPPORTS COMMUNITY-BASED SERVICES. PHYSICAL IMPROVEMENTS AND HOUSING: ACCORDING TO THE DEVELOPMENT IMPACT PROJECT AGREEMENT FOR THE MOAKLEY CENTER ADDITION AND INPATIENT BUILDING PHASE I TRANSPORT BRIDGE PROJECT BETWEEN BOSTON MEDICAL CENTER AND THE BOSTON REDEVELOPMENT AUTHORITY, DATED MAY 5, 2014, BMC AGREES TO PAY LINKAGE FEES OF $22,746.14, ENDING IN 2022 TO THE NEIGHBORHOOD JOBS TRUST. MATTAPAN COMMUNITY HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $8,200,000 FROM BOSTON MEDICAL CENTER DURING 2009 AND 2010 IN THE FORM OF A LOAN THAT WAS ORIGINATED ON SEPTEMBER 30, 2010. EFFECTIVE JUNE 30, 2009, $1,000,000 OF THE 2009 PORTION OF THE MATTAPAN LOAN WAS FORGIVEN. COMMENCING NOVEMBER 1, 2011, BOSTON MEDICAL CENTER AGREED TO FORGIVE TEN PERCENT OF THE REMAINING PRINCIPAL AMOUNT ($7,200,000) OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING COULD BE FORGIVEN IN TEN YEARS. IN FISCAL YEAR 2018, BOSTON MEDICAL CENTER INCURRED AN EXPENSE OF $2,220,000 TO FULLY RESERVE AGAINST THE NOTE RECEIVABLE AS IT WAS DETERMINED THAT NO FUTURE PAYMENTS WERE ANTICIPATED ON THE LOAN. THE LOAN AND RESPECTIVE RESERVE IS ACCOUNTED FOR ON THE BALANCE SHEET, ANNUALLY, EACH IS REDUCED BY THE FORGIVABLE AMOUNT. EAST BOSTON NEIGHBORHOOD HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $1,000,000 FROM BOSTON MEDICAL CENTER DURING 2013 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JANUARY 15, 2013. COMMENCING SEPTEMBER 30, 2013, BOSTON MEDICAL CENTER AGREED TO FORGIVE TEN PERCENT OF THE ORIGINAL PRINCIPAL AMOUNT OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING COULD BE FORGIVEN IN TEN YEARS. IN FISCAL YEAR 2018, BOSTON MEDICAL CENTER INCURRED AN EXPENSE OF $500,000 TO FULLY RESERVE AGAINST THE NOTE RECEIVABLE AS IT WAS DETERMINED THAT NO FUTURE PAYMENTS WERE ANTICIPATED ON THE LOAN. THE LOAN AND RESPECTIVE RESERVE IS ACCOUNTED FOR ON THE BALANCE SHEET, ANNUALLY, EACH IS REDUCED BY THE FORGIVABLE AMOUNT. SOUTH BOSTON COMMUNITY HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $600,000 FROM BOSTON MEDICAL CENTER DURING 2016 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JANUARY 26, 2016. COMMENCING JANUARY 26, 2017, BOSTON MEDICAL CENTER AGREED TO FORGIVE TEN PERCENT OF THE ORIGINAL PRINCIPAL AMOUNT OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING COULD BE FORGIVEN IN TEN YEARS. IN FISCAL YEAR 2018, BOSTON MEDICAL CENTER INCURRED AN EXPENSE OF $540,000 TO FULLY RESERVE AGAINST THE NOTE RECEIVABLE AS IT WAS DETERMINED THAT NO FUTURE PAYMENTS WERE ANTICIPATED ON THE LOAN. THE LOAN AND RESPECTIVE RESERVE IS ACCOUNTED FOR ON THE BALANCE SHEET, ANNUALLY, EACH IS REDUCED BY THE FORGIVABLE AMOUNT. SOUTH END COMMUNITY HEALTH CENTER, A COMMUNITY HEALTH CENTER AFFILIATED WITH BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $200,000 FROM BOSTON MEDICAL CENTER DURING 2017 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JUNE 16, 2017. COMMENCING JUNE 16, 2017, BOSTON MEDICAL CENTER AGREED TO FORGIVE ONE-THIRD OF THE ORIGINAL PRINCIPAL AMOUNT AND ACCRUED INTEREST OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING COULD BE FORGIVEN IN THREE YEARS. IN FISCAL YEAR 2018, BOSTON MEDICAL CENTER INCURRED AN EXPENSE OF $200,000 TO FULLY RESERVE AGAINST THE NOTE RECEIVABLE AS IT WAS DETERMINED THAT NO FUTURE PAYMENTS WERE ANTICIPATED ON THE LOAN. THE LOAN AND RESPECTIVE RESERVE IS ACCOUNTED FOR ON THE BALANCE SHEET, ANNUALLY, EACH IS REDUCED BY THE FORGIVABLE AMOUNT. CAPITAL INVESTMENTS IN BOSTON HEALTHNET: WHILE THE NEED FOR COMMUNITY-BASED SERVICES CONTINUES TO GROW, IT HAS BECOME INCREASINGLY DIFFICULT FOR COMMUNITY HEALTH CENTERS TO MEET THE DEMAND. REIMBURSEMENT OFTEN DOES NOT COVER THE FULL COST OF CARING FOR THE COMPLEX NEEDS OF HEALTH CENTERS' DIVERSE PATIENT POPULATION. COMPOUNDING THIS PROBLEM, IN THE MID-LATE 1990S, MANY HEALTH CENTERS FOUND THEMSELVES OPERATING IN FACILITIES THAT WERE IN DESPERATE NEED OF RESTORATION OR EXPANSION. COSTLY INFORMATION TECHNOLOGY UPGRADES WERE ALSO REQUIRED TO ENHANCE MANAGEMENT EFFICIENCIES AND PATIENT CARE. IN RESPONSE TO THE HEALTH CENTERS' NEEDS, BMC PROVIDED APPROXIMATELY $15.8 MILLION IN OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS EACH YEAR. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT. HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT. RESPONSE TO THE HEALTH CENTERS' NEEDS, BMC PROVIDED APPROXIMATELY $15.8 MILLION IN OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS EACH YEAR. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT. HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT. Schedule H, PART III, LINE 2: SCHEDULE H, PART III, LINE 3 REPORTS BAD DEBT EXPENSE AT COST. PATIENT PAYMENTS ON ACCOUNTS ARE WRITTEN OFF TO BAD DEBT AND RECORDED AS A BAD DEBT RECOVERY, REDUCING THE GROSS BAD DEBT WRITE-OFF. Schedule H, PART III, LINE 3: THE ORGANIZATION ESTIMATED $0 OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY DUE TO THE MANNER IN WHICH THE DETAIL OF THE BAD DEBT EXPENSE IS PROCESSED IN ITS SYSTEM. Schedule H, PART III, LINE 4: THE ORGANIZATION'S BAD DEBT EXPENSE IS ADDRESSED IN FOOTNOTES 1(R)(III) AND 1(T) FOUND ON PAGES 15 AND 16 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS. Schedule H, PART III, LINE 8: MEDICARE ALLOWABLE COSTS OF $192,033,854 WERE CALCULATED USING THE CMS FORM 2552 METHODOLOGY OF DETERMINING MEDICARE COSTS. THIS USES THE STEP DOWN METHOD OF DETERMINING FULLY-ALLOCATED COSTS BY DISTINCT CLINICAL COST CENTERS AS DEFINED BY CMS. THESE FULLY-ALLOCATED COSTS ARE APPLIED AGAINST TOTAL CHARGES TO CALCULATE A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES IS APPLIED TO MEDICARE CHARGES BY DISTINCT CLINICAL COST CENTERS TO DETERMINE THE MEDICARE COSTS. Schedule H, PART III, LINE 9B: POPULATIONS EXEMPT FROM COLLECTION ACTIVITIES THE HOSPITAL WILL NOT REQUIRE PRE-ADMISSION OR PRE-TREATMENT DEPOSITS FROM INDIVIDUALS REQUIRING EMERGENCY SERVICES OR DETERMINED TO BE LOW-INCOME. THE FOLLOWING INDIVIDUALS AND PATIENT POPULATIONS ARE EXEMPT FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS: A. PATIENTS WITH MASSHEALTH, Emergency Aid to the Elderly, Disabled and Children of THE DISABLED, CHILDREN, AND FULL Health Safety Net OR PATIENTS WITH County Medical Services Program OR PARTIAL hepatosplenomegaly BELOW THE PROGRAM-DEFINED Federal Poverty Level OR Modified Adjusted Gross Income GUIDELINE, OR OTHERS DETERMINED TO BE LOW-INCOME PATIENTS ARE EXEMPT FROM COLLECTION SUBJECT TO: 1. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY LOW-INCOME PATIENT FOR THEIR REQUIRED CO-PAYMENTS AND DEDUCTIBLES THAT ARE SET FORTH BY EACH SPECIFIC PROGRAM. 2. THE HOSPITAL MAY SEEK COLLECTION TO ALLOW A PATIENT TO MEET THE COMMONWEALTH ONE-TIME DEDUCTIBLE. 3. THE HOSPITAL MAY ALSO INITIATE BILLING OR COLLECTION FOR A LOW-INCOME PATIENT WHO ALLEGES THAT HE OR SHE IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM THAT COVERS THE COSTS OF THE HOSPITAL SERVICES, BUT WHO FAILS TO PROVIDE PROOF OF HIS OR HER PARTICIPATION AND WHOSE INSURANCE CANNOT BE VERIFIED IN THE HOSPITAL ELIGIBILITY SYSTEM. UPON RECEIPT OF SATISFACTORY PROOF THAT A PATIENT IS A PARTICIPANT IN A FINANCIAL ASSISTANCE PROGRAM, INCLUDING RECEIPT OR VERIFICATION FROM THE INSURANCE CARRIER, THE HOSPITAL SHALL CEASE ITS BILLING OR COLLECTION ACTIVITIES. 4. THE HOSPITAL MAY CONTINUE COLLECTION ACTION ON ANY LOW-INCOME PATIENT FOR SERVICES RENDERED PRIOR TO THE LOW-INCOME PATIENT DETERMINATION, PROVIDED THAT THE CURRENT LOW-INCOME PATIENT STATUS HAS BEEN TERMINATED OR EXPIRED. HOWEVER, ONCE A PATIENT IS DETERMINED ELIGIBLE AND ENROLLED IN THE HEALTH SAFETY NET, MASSHEALTH, OR CERTAIN FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL CEASE COLLECTION ACTIVITY FOR SERVICES PROVIDED PRIOR TO THE BEGINNING OF THE PATIENT'S ELIGIBILITY. 5. THE HOSPITAL MAY SEEK COLLECTION ACTION AGAINST ANY OF THE PATIENTS PARTICIPATING IN THE PROGRAMS LISTED ABOVE FOR NON-COVERED SERVICES THAT THE PATIENT HAS AGREED TO BE RESPONSIBLE FOR, PROVIDED THAT THE HOSPITAL OBTAINED THE PATIENT'S PRIOR WRITTEN CONSENT TO BE BILLED FOR THE SERVICE. Schedule H, PART V, SECTION A THE MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH HAS LICENSED BOSTON MEDICAL CENTER TO OPERATE A HOSPITAL AT ONE BOSTON MEDICAL CENTER PLACE, BOSTON, MA 02118. THIS LOCATION IS (1) A LICENSED HOSPITAL, (2) PROVIDES GENERAL MEDICAL & SURGICAL TREATMENT, (3) IS A TEACHING HOSPITAL, AND (4) OPERATES AN ER 24 HOURS. WHILE THE HOSPITAL LICENSE LISTS TWO CAMPUSES, ONLY ONE CAMPUS OPERATES: 1. BOSTON MEDICAL CENTER CORPORATION, MENINO PAVILION, 830-840 HARRISON AVENUE, BOSTON MA 02118 BOSTON MEDICAL CENTER ALSO OPERATES THE FOLLOWING OUTPATIENT CENTERS, WHICH ARE UNDER THE HOSPITAL'S LICENSE: CODMAN SQUARE HEALTH CENTER BRIGHTON HIGH SCHOOL STUDENT HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT RYAN CENTER BOSTON UNIVERSITY EAST BOSTON NEIGHBORHOOD HEALTH CENTER (10 GOVE STREET) DOTHOUSE HEALTH MADISON PARK HIGH SCHOOL STUDENT HEALTH CENTER JEREMIAH E. BURKE STUDENT HEALTH CENTER GREATER ROSLINDALE MEDICAL & DENTAL LATIN ACADEMY STUDENT HEALTH CENTER TECHBOSTON ACADEMY SCHOOL HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT WHITTIER STREET HEALTH CENTER BOSTON MEDICAL CENTER RADIOLOGY AT UPHAM'S CORNER HEALTH CENTER MURIEL SNOWDEN INTERNATIONAL HIGH SCHOOL HEALTH CENTER SOUTH BOSTON COMMUNITY HEALTH CENTER 386 WEST BROADWAY SOUTH BOSTON COMMUNITY HEALTH CENTER 409 WEST BROADWAY BOSTON MEDICAL CENTER SCHOOL-BASED HEALTH CENTER AT BOSTON COMMUNITY LEADERSHIP ACADEMY EAST BOSTON NEIGHBORHOOD HEALTH CENTER - 20 MAVERICK SQUARE BOSTON MEDICAL CENTER RADIOLOGY AT MATTAPAN COMMUNITY HEALTH CENTER EAST BOSTON NEIGHBORHOOD HEALTH CENTER (79 PARIS STREET) EBHS SCHOOL BASED HEALTH CENTER WINTHROP COMMUNITY HEALTH CENTER SOUTH BOSTON COMMUNITY HEALTH CENTER SEAPORT PRIMARY CARE BOSTON MEDICAL CENTER - DEPARTMENT OF FAMILY MEDICINE BOSTON MEDICAL CENTER - CROSSTOWN Schedule H, PART VI, LINE 2 NEEDS ASSESSMENT In 2019, BMC conducted a comprehensive Community Health Needs Assessment (CHNA) in collaboration with community organizations, Boston residents, health centers, hospitals and the Boston Public Health Commission. The Boston Community Health Needs Assessment-Community Health Improvement Plan Collaborative formed to undertake the first Boston-wide CHNA and COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). Focusing on the social determinants of health and using a health equity lens, the Collaborative employed a participatory approach that engaged the community in every step of the CHNA. This CHNA focuses on the social determinants of health using a health equity lens. The influences of race, ethnicity, income, and geography on health patterns are often intertwined. In the United States, social, economic, and political processes ascribe social status based on race and ethnicity, which may influence opportunities for educational and occupational advancement and housing options, two factors that profoundly affect health. Institutional racism, economic inequality, discriminatory policies, and historical oppression of specific groups are many of the root factors that drive the health inequities we see in the U.S. today. The CHNA used a participatory, collaborative approach that engaged the community through different avenues. Over 100 Collaborative members representing health care, public health, education, community development, social service, and community-based organizations provided input throughout the CHNA process and played an integral role in data collection efforts. Data collection efforts were focused on engaging hard-to-reach populations who are not typically engaged in these processes or represented in the secondary data. Existing data were drawn from national, state, and city sources, such as the U.S. Census, Massachusetts Department of Public Health, and Boston Public Health Commission, including datasets such as the Boston Behavioral Risk Factor Surveillance System (BBRFSS). For new data collection, over 91 organizations and 2,500 individuals were engaged in a CHNA community survey (N=2,404) administered online and in-person in seven languages, 13 focus groups with community residents (N=104), and 45 interviews with organizational and community leaders to gauge their perceptions of the community's needs, strengths, and opportunities. Like all data gathering efforts, there are limitations to the CHNA data. Secondary data have a time lag, and various sources may use different definitions for similar topics. Data may be aggregated across time, geographies, or population groups to provide large enough sample sizes. More granular analysis for specific neighborhoods or ethnic groups within larger racial/ethnic categories is not possible. Primary data such as the survey and focus groups use a convenience sample which may not be representative of the larger population. Thirteen focus groups were conducted with specific populations of interest: 12 focus groups conducted specifically for the collaborative CHNA and one additional focus group conducted by work group members who submitted notes for the CHNA. Focus groups were 90-minute semi-structured conversations with approximately 8-12 participants per group and aimed to delve deeply into community's needs, strengths, and opportunities for the future. Focus groups were conducted with the following population groups, including residents of specific neighborhoods: Female low-wage workers (FOR EXAMPLE, housekeepers, child care workers, hotel service workers, etc.); Male low-wage workers (FOR EXAMPLE, janitorial staff, construction, etc.); Seniors (ages 65+) with complex, challenging issues (FOR EXAMPLE, homebound, medical complications); Residents who are housing insecure (no permanent address or close to eviction); Latino residents in East Boston (in Spanish); LGBTQ youth and young adults at risk of being homeless; Immigrant parents of school age children (5-18 years); Survivors of violence; mothers who have been impacted by violence; Parents who live in public housing in Dorchester; Chinese residents living in Chinatown (in Chinese); Haitian residents living in Mattapan (in Haitian Creole); Residents in active substance use recovery; and Additional focus group with notes provided: Chinese residents living in Chinatown. A total of 104 community residents participated in focus groups, representing 13 neighborhoods across the city. Nearly half of focus group participants identified as Black or African American (45%), a third of participants identified as Hispanic or Latino (34%), and 10% identified as White. The majority of participants identified as female (57%), 36% identified as male, and 7% identified as transgender or genderqueer. Fifteen community and social service organizations located throughout Boston assisted with recruiting participants and hosting focus groups. A total of 45 key informant interviews were completed, six of which were additional interviews submitted by work group volunteers. Interviews were 45-60-minute semi-structured discussions that engaged institutional, organizational, and community leaders and front-line staff across sectors. Discussions explored interviewees' experiences of addressing community needs and opportunities for future alignment, coordination, and expansion of services, initiatives, and policies. Sectors represented in these interviews included public health, health care, housing and homelessness, transportation, community development, faith, education, public safety, environmental justice, government, workforce development, social services, AND food insecurity, AND business organizational staff WHO work with specific populationS such as youth, seniors, disabled, LGBTQ, and immigrants. Key findings that emerged from the CHNA included health care access and utilization, chronic diseases and risk factors, mental health and substance abuse, violence, housing affordability, environmental health. Unwavering in our commitment to address the health needs of our community, BMC provides a wide range of programs beyond the traditional medical model. Core to fulfilling our public health mission and consistent with the CHNA findings, the goals of our community benefits program are to improve access to health services and improve health outcomes for underserved populations in our community. Schedule H, PART VI, LINE 3: THE HOSPITAL POSTS NOTICES OF AVAILABILITY OF FINANCIAL ASSISTANCE IN: I. INPATIENT, CLINIC, AND EMERGENCY DEPARTMENT AND WAITING AREAS; II. PATIENT FINANCIAL COUNSELOR AREAS; III. CENTRAL ADMISSION/REGISTRATION AREAS; AND IV. BUSINESS OFFICE AREAS THAT ARE OPEN TO PATIENTS. POSTED NOTICES ARE CLEARLY VISIBLE AND LEGIBLE TO PATIENTS VISITING THESE AREAS. THE HOSPITAL ALSO INCLUDES A NOTICE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IN ALL INITIAL BILLS. WHEN THE PATIENT CONTACTS THE HOSPITAL, THE PATIENT FINANCIAL SERVICES STAFF NOTIFIES THE PATIENT IF THEY QUALIFY FOR A PAYMENT PLAN. A PATIENT WHO IS ENROLLED IN A PUBLIC FINANCIAL ASSISTANCE PROGRAM (FOR EXAMPLE, MASSHEALTH, HEALTH SAFETY NET, OR FOR MEDICAL HARDSHIP) MAY QUALIFY FOR CERTAIN PLANS. PATIENTS MAY ALSO QUALIFY FOR ADDITIONAL ASSISTANCE BASED ON THE HOSPITAL'S OWN INTERNAL CRITERIA FOR FINANCIAL ASSISTANCE. FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL ASSISTS THE PATIENT IN COMPLETING THE APPLICATION FOR MASSHEALTH CONNECTORCARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTH START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM. ALL SIGNS AND NOTICES ARE TRANSLATED INTO LANGUAGES OTHER THAN ENGLISH IF A LANGUAGE IS SPOKEN BY 10% OR MORE OF THE POPULATION RESIDING IN THE HOSPITAL SERVICE AREA. CURRENTLY, THE HOSPITAL TRANSLATES THE NOTICES INTO ENGLISH, PORTUGUESE, SPANISH, AND HAITIAN CREOLE. Schedule H, PART VI, LINE 4: COMMUNITY INFORMATION PLEASE SEE INTRODUCTION Schedule H, PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH Health Care Access Birth Sisters and Centering Pregnancy: BMC has developed two programs, Birth Sisters and Centering Pregnancy, to improve health outcomes of childbearing women at risk for poor maternal and infant outcomes. Birth Sisters are women who are trained to provide social support and education to mothers from their own communities during pregnancy, labor, and the postpartum period. The Birth Sisters program has been linked to significantly higher breastfeeding rates and fewer cesarean deliveries. Centering Pregnancy is an innovative and proven model of care that offers prenatal care in 12 two-hour group sessions using a curriculum modified to meet the complex social needs of BMC's population. At these sessions, beginning early in the second trimester, patients receive health visits, prenatal and parenting education, and peer group support all in one visit. The programs served 253 patients in FISCAL YEAR 2019. Boston Center for Refugee Health and Human Rights: The mission of the BOSTON CENTER FOR REFUGEE HEALTH AND HUMAN RIGHTS is to provide comprehensive health care for refugees and survivors of torture and related trauma, coordinated with legal aid and social services; to educate and train agencies and professionals who serve these communities; to advocate for the promotion of health and human rights in the United States and worldwide; and to conduct clinical, epidemiological, and legal research for the better understanding and promotion of health and quality of life for survivors of torture and related trauma. The CENTER served 484 patients in FISCAL YEAR 2019. CATALYST Clinic: In May 2016, Boston Medical Center launched the CATALYST Clinic (Center for Addiction Treatment for Adolescent/Young adults who use Substances), a program designed to treat young people aged 25 and under who are struggling with substance use, or who have experimented with drugs and alcohol and may be at risk for developing an addiction. The CATALYST Clinic team works to provide interdisciplinary, team-based care that includes physicians, a nurse, a social worker, a community outreach 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 a transition from adolescent to adult care when appropriate. In Fiscal Year 2019, the CATALYST Clinic received approximately 98 referrals to the clinic; 552 have been received since the program's inception. Child Life Program: The Child Life Program assists children and families in managing the stresses associated with hospitalization and illness. The PROGRAM team members are all trained developmental specialists, aiming to support children and families through the hospital experience. The goals of the PROGRAM are to help children express their feelings through play in a safe and supportive environment; advocate for children, offering support to effectively work through pain management; offer children developmentally appropriate choices that increase feelings of independence, self-esteem, and trust; and assist with implementation of coping techniques during stressful situations. The PROGRAM currently covers the areas of inpatient Pediatrics and the Pediatric Intensive Care Unit, Pediatric Ambulatory Care Clinic, Pediatric Emergency Department, and Pediatric Otolaryngology/OR; THE PROGRAM will be adding a position for Radiology. The team remains a consult service to children of adult families as needed. Clothing Bank: BMC's social workers use the clothing bank in real time when a provider contacts Social Work about a basic clothing need (sweatpants, shirts, underwear, socks, shoes, and winter coats) for a low-income patient. The Center for the Urban Child and Healthy Family, launched in 2016, is working to implement Boston Medical Center's 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 are healthy and ready to learn with adequate supports to thrive by age five. To achieve this goal, the Center co-developed a new model of pediatric primary care- the Pediatric Practice of the Future - with families and pediatric providers. This model supports whole family development with attention to factors influencing well-being and bringing together care in a systematic, equitable way to promote wellness throughout the life course. In addition, the Center is partnering with BMC HealthNet Plan, BMC's health insurance program, to test alternative payment models to ultimately redefine value in pediatric care. Elders Living at Home Program: The goal of THE ELDERS LIVING AT HOME PROGRAM is to help older adults who are homeless or at risk for homelessness secure and maintain a permanent residence and live as independently as possible. THE PROGRAM served 262 clients during the 2019 fiscal year. Of this number, 128 received housing search and placement services; 101 received housing stabilization services; 72 received homelessness prevention assistance; 38 received nutritional assistance; and 75 clients were served through the Living Well at Home Project, a community-based complex care management pilot designed to improve health outcomes for frail residents of an elderly/disabled housing complex in Roxbury. Some clients received more than one type of service. All clients suffer from at least one chronic illness, and 252 suffer from two or more disabling medical conditions. Remarkably, all of the program clients who were placed in housing and all who received stabilization services have remained safely housed during this period. Of those clients who received homelessness prevention services, all but one case was successfully resolved. One client was too far along in the eviction process for us to intervene successfully; however, we were able to assist her in relocating to Maine to live with her daughter. Over the last ten years, the success rate of THE PROGRAM'S stabilization services is 98%. Grow Clinic: The Grow Clinic was founded in 1984 within BMC's Pediatrics DEPARTMENT. 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, access to BMC's PREVENTATIVE food pantry, nutritional supplements, children's clothes, diapers, books and educational toys. THE GROW CLINIC TREATS approximately 200 children EACH YEAR. In FISCAL YEAR 2019 there were 90 new patients. Twenty-three percent (23%) of clinic patients were 12 months of age or younger; the average age at referral was 32 months; and the average length of treatment was 24 months. There were 1,010 total clinic visits during this period. Approximately 6% of patient families were homeless and living in shelters. Clinicians made 523 home visits in FISCAL YEAR 2019. All patients demonstrated improved growth, and 80% demonstrated significant weight improvement. Immigrant and Refugee Health Program: The Immigrant & Refugee Health Program provides comprehensive primary care services to immigrant and refugee patients. The team of clinicians takes care of general healthcare needs through regular check-ups, immunizations, and screenings, as well as through providing care for illnesses and injuries. If needed, the team will coordinate patient care with a specialist for a more serious health issue. Foreign and sign language interpreters are available to help patients communicate with the staff. The practice provides on-site interpreters and over the phone interpreters for more than 250 languages. The program also offers access to psychiatric and case management support to provide care for the wide range of patient needs. Boston Medical Center's Immigrant and Refugee Health Program sees over 400 new immigrant, refugee, and asylum seeker patients per year and has an overall long-term primary care patient population of about 2,200. Integrative Medicine: Started in 2004, the Schedule H, PART VI, LINE 6 BMC HealthNet Plan BMC HealthNet Plan is a non-profit health plan that provides health insurance coverage to Massachusetts residents, including low income, underserved, disabled and elderly populations. It was established in 1997 by Boston Medical Center, the largest safety net hospital in New England, and has more than 20 years of experience delivering accessible care to complex populations. BMC HealthNet Plan also provides health coverage to Medicaid members in New Hampshire, where it operates as Well Sense Health Plan. BMC HealthNet Plan serves over 330,000 members across Massachusetts. Boston HealthNet (BHN) Established in 1995, Boston HealthNet is an integrated health care delivery system comprised of BMC, the Boston University School of Medicine, and 14 community health centers. The partnership has become a national model for community health care networks. Physicians who practice at HealthNet locations provide a wide range of comprehensive health care services to adult and pediatric patients, with a focus on disease prevention and health education. All physicians working in the health centers must be credentialed as members of BMC medical staff. Patients receiving primary care at HealthNet sites have access to highly trained specialists and cutting-edge technology at BMC while maintaining individualized and culturally sensitive care in their neighborhoods. Now in its TWENTY-FIFTH year, BOSTON HEALTHNET and its COMMUNITY HEALTH CENTER partners have extended BMC's presence into Boston-area neighborhoods, significantly IMPROVING the health of their residents. The accomplishments of the network are evidenced by the high volume of COMMUNITY HEALTH CENTER admissions to BMC; the collaborative development of quality improvement initiatives, clinical protocols, and standards of practice; increased access to specialty services; and the significant coordination of BOSTON HEALTHNET'S information technology programs and services. In 2015 and in collaboration with BMC, nine of the BOSTON HEALTHNET COMMUNITY HEALTH CENTERS began the process of implementing a new ELECTRONIC HEALTH RECORD and practice management system. The implementation of the new ELECTRONIC HEALTH RECORD system, OCHIN EPIC, greatly enhanced the care coordination efforts between Boston HealthNet COMMUNITY HEALTH CENTERS and the specialty clinics at Boston Medical Center. Grants: Boston HealthNet partners with the Massachusetts League of Community Health Centers to participate in a federal Health Center Controlled Network grant, a $900,000 three year grant (2019 - 2022) that supports quality improvement, data quality, reporting, and clinical EMR training. Research: A BOSTON HEALTHNET Research Subcommittee was set up in 2005 to review research projects that are proposed at the health centers with over 250 projects reviewed to-date. Increasing Patient Access: Community Access to BMC is enhanced through a free shuttle bus service and the UBER Health program. One shuttle bus is provided to East Boston Neighborhood Health Center that circulates twice an hour and the UBER program is to allow patients greater access to appointments for patients at 10 other health centers. On average, the shuttle bus transports over 210,000 patients and their families between BMC and EAST BOSTON EACH YEAR. The UBER Health program, implemented to SERVE 10 Boston HealthNet Health Centers, transports about 2,200 patients to BMC each year. Advancing Medical Education: A number of Boston HealthNet community health centers also serve as the primary community-based training sites for Boston University School of Medicine pediatric, family medicine, psychiatry and general medicine residents. Boston HealthNet COORDINATES community health center engagement with nearly 240 Boston University School of Medicine students to provide community-based education programs. BUSM students and physician assistants round at community health centers to supplement their training with direct patient contact. Community health center participation in the BMC residency training program has placed 80 residents at community health centers in the 2020 academic year. Boston Accountable Care Organization: Currently, nine Boston HealthNet community health centers participate in BOSTON ACO. BOSTON ACO enters into risk arrangements with government programs and commercial insurers and the BOSTON ACO participants are collectively accountable for the quality and cost of the care they provide. BOSTON ACO's most significant risk arrangement is with the MassHealth ACO program. With its participation in the MassHealth ACO program BOSTON ACO became clinically and financially integrated with BMC Health System - which includes Boston Medical Center, Boston University Medical Group, and BMC HealthNet Plan - and the parties engage in joint decision making over all substantive decisions regarding participation in the program. Schedule H, PART VI, LINE 7 BMC DOES NOT FILE A COMMUNITY BENEFITS REPORT WITH THE COMMONWEALTH OF MASSACHUSETTS. true Brockton Neighborhood 63 Main Street Brockton MA 02301 043165044 501(c)(3) 21063 Subaward Academic Pediatric Association 6728 Old Mclean Village Drive Mclean VA 22101 510202446 501(c)(3) 61667 Subaward Action For Boston Community Development Inc 621 W LOMBARD ST 3RD FL BOSTON MA 02111 042304133 501(c)(3) 15884 Subaward African Community Health Initiatives Inc 1290 Tremont St 2Nd Floor ROXBURY MA 02120 432017013 501(c)(3) 81938 Subaward Albert Einstein College Of Med 500 West 185Th Street New York NY 10033 131624225 501(c)(3) 67955 Subaward American Academy Of Pediatrics 141 Northwest Point Blvd Elk Grove Village IL 60007 362275597 501(c)(3) 146439 Subaward Arkansas Children'S Hospital 800 Marshall Slot 512 Little Rock AR 72202 710694931 501(c)(3) 178687 Subaward Asian Women For Health Inc 83 Wallace St Somerville MA 02144 320390494 501(c)(3) 40879 Subaward Bay Cove Human Service 66 Canal Street Boston MA 02114 042518575 501(c)(3) 7555586 Subaward Baystate Medical Center 759 Chestnut St Springfield MA 01199 042790311 501(c)(3) 6254 Subaward Becker College 61 Sever Street Worcester MA 01609 042108346 501(c)(3) 24000 Subaward Berkeley County First 6215 Murray Drive Room 114 Hannah SC 29410 571097780 501(c)(3) 35000 Subaward Beth Israel Deaconess Po Box 3784 Boston MA 02241 042103881 501(c)(3) 566977 Subaward Boston Health Care For The Homeless Prog Inc 780 Albany St Boston MA 02118 043160480 501(c)(3) 10000 Subaward Boston Housing AuthorITY 52 Chauncy Street BOSTON MA 02111 046001907 501(c)(3) 39679 Subaward Boston Senior Home Care Inc 89 South St Ste 501 Boston MA 02111 042546251 501(c)(3) 125715 Subaward Boston University 715 Albany Street Boston MA 02118 042103547 501(c)(3) 3171328 Subaward Brazelton Touchpoints 1295 Bolyston St Suite 320 Boston MA 02115 043327682 501(c)(3) 68030 Subaward Brigham & Womens HospITAL Po Box 3149 Boston MA 02241 042312909 501(c)(3) 87042 Subaward Brockton Area Multi-Services 10 ChristyS Drive Brockton MA 02301 042562377 501(c)(3) 158473 Subaward Brown University Off Of Cont Box J Providence RI 02912 050258809 501(c)(3) 26736 Subaward Cambridge Health AlliANCE 1493 Cambridge Street Cambridge MA 02139 043320571 501(c)(3) 230055 Subaward Cape Cod Hospital 27 Park St Hyannis MA 02601 042103600 501(c)(3) 17636 Subaward Center For Community 360 Huntington Ave 222 Ymca Boston MA 02115 043286409 501(c)(3) 24305 Subaward Centering Healthcare Institute Inc 89 South Street Boston MA 02111 061622668 501(c)(3) 11417 Subaward Central Boston Elder Services Inc 2315 Washington Street Boston MA 02119 042546441 501(c)(3) 117724 Subaward Child & Family Service 3057 Acushnet Avenue New Bedford MA 02745 042104754 501(c)(3) 579000 Subaward Children'S Defense Fund 555 Park Street Saint Paul MN 55105 520895622 501(c)(3) 35000 Subaward Colorado Statewide Parent Coalition 7150 Hooker St Ste B Denver CO 80030 742563848 501(c)(3) 35000 Subaward Comagine Health 10700 Meridian Ave N Seattle WA 98133 911072875 501(c)(3) 149812 Subaward Community Outreach An 208 West Coal Gallup NM 87301 465551998 501(c)(3) 35000 Subaward Cooper Health System 1 Cooper Plz Camden NJ 08103 210634462 501(c)(3) 45000 Subaward Corporation For Supportive Housing 61 Broadway Suite 2300 New York NY 10006 133600232 501(c)(3) 25000 Subaward Dana Farber Cancer InSTITUTE 450 Brookline Ave Bp418 Boston MA 02115 042263040 501(c)(3) 70015 Subaward Dimock Chc 55 Dimock St Roxbury MA 02119 043487835 501(c)(3) 6456 Subaward Dothouse Health Inc 1353 Dorchester Avenue Dorchester MA 02122 237125970 501(c)(3) 73826 Subaward Drexel School Of Publ Nesbitt Hl 3215 Market St Philadelphia PA 19104 231352630 501(c)(3) 51094 Subaward Drexel University Nesbitt Hl 3215 Market St Philadelphia PA 19104 231352630 501(c)(3) 189300 Subaward Emory University 1762 Clifton Rd Suite 1400 Atlanta GA 30322 580566256 501(c)(3) 160793 Subaward General Electric Medi 5517 Collectiions Ctr Dr Chicago IL 60693 140689340 Corp 21944 Subaward Harvard Pilgrim Health 1600 Crown Colony Dr Quincy MA 02169 042452600 501(c)(3) 7908 Subaward Harvard University 677 Huntington Avenue Boston MA 02115 042103580 501(c)(3) 167667 Subaward Healthinsight 756 Winchester St Suite 200 Salt Lake City UT 84107 870303872 501(c)(3) 125395 Subaward Institute For Health 349 Broadway Cambridge MA 02139 043086647 501(c)(3) 49808 Subaward John Hopkins University 600 Wolfe Street Baltimore MD 21287 520595110 501(c)(3) 175482 Subaward Katherine Flaherty Consulting 33 Winter Street 2 Franklin MA 02038 820811788 204953 Subaward Kelley-Ross & Associates Inc 2324 Eastlake Ave Ste 400 Seattle WA 98102 910688719 35969 Subaward Mass Institute Of TeCHNOLOGY 77 Massachusetts Avenue Ne 49-4097 Cambridge MA 02139 042103594 501(c)(3) 32569 Subaward Massachusetts General 55 Fruit Street Boston MA 02114 042697983 501(c)(3) 321275 Subaward Massachusetts Housing Shelter Alliance Inc 25 Kington St 3rd Fl Boston MA 02111 223068653 501(c)(3) 10000 Subaward Mgh Neurogenetics Dna 185 Cambridge Street Boston MA 02110 042807148 501(c)(3) 329167 Subaward Minneapolis Med ReseaRCH 600 Shapiro Building Minneapolis MN 55404 411677920 501(c)(3) 225570 Subaward National League Of Ci 660 N Capitol St Nw Ste 450 Washington DC 20001 526055762 501(c)(3) 52500 Subaward North Suffolk Mental 301 Broadway Avenue Chelsea MA 02150 042317215 501(c)(3) 2627361 Subaward Northeast Behavioral Health Co 199 Rosewood Drive Suite 250 Danvers MA 01923 042777145 501(c)(3) 12992 Subaward Northeastern University 360 Huntington Avenue Boston MA 02115 041679980 501(c)(3) 236385 Subaward Northwestern University Tarry Bldg 3-707 303 E Chicago Ave Chicago IL 60611 362167817 501(c)(3) 467940 Subaward Nuestra Comunidad Dev 56 Warren Street Suite 200 Roxbury MA 02119 042741543 501(c)(3) 15446 Subaward Oregon State University A312 Kerr Admin Corvallis OR 97331 611730890 115 101207 Subaward Partners In Health 888 Comm Ave 3Rd Floor Boston MA 02215 043567502 501(c)(3) 15348 Subaward Pine Street Inn 444 Harrison Avenue Boston MA 02118 042516093 501(c)(3) 10000 Subaward Program For Parents I 570 Broad Street Newark NJ 07102 222504469 501(c)(3) 35000 Subaward Project Hope 550 Dudley Street Roxbury MA 02119 042748880 501(c)(3) 54904 Subaward Rand Corporation 1776 Main St Santa Monica CA 90407 951958142 501(c)(3) 112170 Subaward Reaching Our Sisters 3614 Columbia Pkwy Decatur GA 30034 452803568 501(c)(3) 65000 Subaward Regents Of The U Of C 2760 Fifth Avenue San Diego CA 92103 956006144 501(c)(3) 78638 Subaward Rhode Island Hospital 593 Eddy St Providence RI 02903 050258954 501(c)(3) 62397 Subaward Riverside Research InSTITUTE 156 William St 9Th Flr New York NY 10038 132593244 501(c)(3) 19921 Subaward Rutgers The State UnIVERSITY OF NEW JERSEY 65 Davidson Road Piscataway NJ 08854 462354111 501(c)(3) 632251 Subaward Seattle Biomedical Re 307 Westlake Ave N Ste 500 Seattle WA 98109 910961784 501(c)(3) 28453 Subaward Seattle Children'S Hospital 4800 Sand Point Way Ne Seattle WA 98105 910564748 501(c)(3) 15582 Subaward Social Science Research And Evaluation Inc 84 Mill Street Lincoln MA 01773 222551337 501(c)(3) 38819 Subaward Southwest Boston Senior Svc 555 Amory Street Jamaica Plain MA 02130 237304163 501(c)(3) 99759 Subaward Steward St Anne'S Hospital Co 1900 N Pearl Street 2400 Dallas TX 75201 272473637 261078 Subaward The Board Of Trustee Of Univ Of Alabama 651 Peter Bryce Blvd Tusscaloosa AL 35401 630803491 501(c)(3) 35000 Subaward The Miriam Hospital 164 Summit Avenue Providence RI 02906 050258905 501(c)(3) 14627 Subaward The New York Immigrant 131 West 33Rd St Ste 610 New York NY 10001 133573409 501(c)(3) 35000 Subaward The Regents Of The University Of Colorado 1800 Grant St Ste 600 Denver CO 80203 846000555 501(c)(3) 43123 Subaward The University Of Rhode Island 75 Lower College Road Kingston RI 02881 223011455 115 13369 Subaward Univ Of Texas Health Science Center At Houston 700 Fannin Street Houston TX 77030 741761309 115 95172 Subaward Third Sector New EnglAND 89 South Street 7Th Floor Boston MA 02111 042261109 501(c)(3) 64093 Subaward Touro College 500 Seventh Ave 5Th Fl New York NY 10018 132676570 501(c)(3) 15938 Subaward Trustees Of The University 3451 Walnut Street Suite 305 Philadelphia PA 19104 231352685 501(c)(3) 14400 Subaward Tufts University 715 Albany Street Boston MA 02118 042103634 501(c)(3) 627529 Subaward US Civilian ReSEARch 1776 Wilson Blvd Ste 300 Arlington VA 22209 541773406 501(c)(3) 470886 Subaward United Way Of MetropoLITAN CHIGAGO 333 South Wabash Avenue Chicago IL 60604 300200478 501(c)(3) 35000 Subaward United Way Of Tucson And Southern Arizona 330 N Commerce Park Loop Suite 20 Tucson AZ 85745 860098932 501(c)(3) 70000 Subaward Univ Of Maryland Baltimore Foundation Inc 621 W Lombard St 3Rd Fl Baltimore MD 21201 311678679 501(c)(3) 194869 Subaward University Of Massachusetts 55 Lake Avenue North Worcester MA 01655 043167352 115 165451 Subaward University Of North Carolina Cb 13501 Chapel Hill NC 27599 566001393 501(c)(3) 121502 Subaward University Of Pittsburgh 200 Meyran Ave Ste 200 Pittsburgh PA 15213 250965591 115 20004 Subaward University Of Washington Box 359505 Gift Services Seattle WA 98195 916001537 115 92115 Subaward Vanderbilt University Gift Processing Vu Station B 3577 Nashville TN 37235 620476822 501(c)(3) 111985 Subaward Vinfen Corp Po Box 5059 Boston MA 02206 042632219 501(c)(3) 594589 Subaward Washington University School Of Medicine 700 Rosedale Ave Cb1034 Saint Louis MO 63112 430653611 501(c)(3) 20661 Subaward Weill Medical College Of Cornell University 100 Broadway 8Th Fl New York NY 10005 131623978 501(c)(3) 69633 Subaward Whatcom County 311 Grand Ave Bellingham WA 98225 916001383 115 35000 Subaward Yale University School Po Box 1873 New Haven CT 06508 060646973 501(c)(3) 86580 Subaward 94 4 Schedule I, Part I, Line 2 Grants Administration uses Lawson general ledger and LBI reporting to monitor all grant funding. In addition, each Principal Investigator and Department Administrator have desktop access so they are able to review their funding and expenditures on a daily basis. X X X X X X true true false false false false false true false David Beck SVP/Chief Legal Counsel/Clerk 374943 119700 2328 64850 22348 584169 Richard Silveria Former SVP Fin/CFO/Treas 293669 18834 312503 Alastair Bell SVP Ops & Strategy/COO 727883 383500 2328 99268 5451 1218430 Bob Biggio SVP Facility & Supt Svcs 412807 148875 2328 64750 40897 669657 Joe Camillus SVP Ambulatory & Prf Svc 341878 110250 2328 55750 33746 543952 Charles Orlando SVP/CFO/TREAS 606746 251225 2328 56038 14342 930679 David Coleman MD Trustee 749021 6672 31800 1964 789457 Susannah Rowe MD Trustee (as of 10/1/18) 204679 5062 552 25440 25434 261167 Jennifer Tseng MD Trustee 934313 2454 6840 943607 Kathleen Walsh President and CEO 1294489 573300 667734 13750 5607 2554880 436000 Ravin Davidoff MD SVP MEDICAL AFFAIRS AND CMO 493366 157500 62328 16958 23830 753982 Nancy Gaden SVP CHIEF NURSING OFFICER 389433 126000 2328 56250 36287 610298 Stanley Hochberg MD SVP Qual, Sfty, & Tech 406456 21823 428279 Lisa A Kelly-Croswell SVP/CHRO 420766 133875 2328 61542 10418 628929 Norman Stein SVP Chief Development Officer 394446 126000 49760 20625 25645 616476 Arthur Harvey VP/CIO 346400 110250 2328 36250 9784 505012 Julie Joncas VP Finance 316301 97150 2263 32717 10284 458715 MARY BETH BEGLEY FORMER OFFICER 152776 72631 8487 6947 240841 Schedule J, Part I, Line 4a The amount of severance compensation paid to Richard Silveria is $293,669 and Stanley Hochberg is $406,456 which is reported in Schedule J, Part II, Column B(iii). Both Richard Silveria and Stanley Hochberg received the standard severance package, which is twelve months of salary plus medical and dental benefits. The amount of severance compensation paid to Mary Beth Begley is $72,381 which is reported in Schedule J, Part II, Column (B)(iii). Mary Beth Begley received severance equivalent to sixteen weeks of weekly base wages. Schedule J, Part I, Line 4b Boston Medical Center Provides A Supplemental Executive Retirement Plan To Certain Executives. Amounts Are Credited To Participants' Accounts Each Year. Plan Amounts Are Subject To Forfeiture And Payment Only If Certain Conditions Are Met, As Outlined In The Plan Agreement. Boston Medical Center Maintains An Executive Benefit Plan Which Offers Participating Executives The Option Of Annually Allocating Benefit Dollars To A Supplemental Retirement/Pre-Tax Savings Account. Amounts Vest On Specified Dates Based On Continued Employment But No Later Than The Executive's SIXTY-SECOND Birthday. Amounts Accrued In The Plan Are Reported In Schedule J, Part II, Column C. The Following Amounts Became Vested And Were Paid To The Following Executives In Calendar Year 2018: Walsh - $191,250 Davidoff - $60,000 Stein - $47,432 BMC Provided A Supplemental Executive Retirement Plan To Kathleen Walsh, President And CEO As Of March 1, 2010. Pursuant To The Terms Of The Agreement, Certain Amounts Were Credited To The President And CEO's Account In Prior Years. These Amounts Are Subject To Forfeiture And Payment Will Be Made Only If Certain Conditions Are Met, As Outlined In The Agreement. For Calendar Year 2018, $461,050 was vested and is reflected in Schedule J, Part II, Column B (iii). Schedule J, Part I, Line 7 BMC Has An Annual Executive Performance Incentive Plan. Performance Targets And Payout Metrics Are Established And Approved By The Compensation Committee At The Beginning Of Each Performance Cycle. FISCAL YEAR 2018 Performance Bonus Payouts were Approved By The Committee after it reviewed the 2018 Performance Results Against Pre-Established Performance Targets, And Approved The Formula-Based Payouts Accordingly. A MDFA 2012 Series C 043431814 57583URP5 2012-06-14 117490498 Refunding of 1998 Bonds true false false B MDFA 2015 Series D 043431814 57583U6Q6 2015-04-08 167471151 FINANCE CAPITAL PROJECTS false false false C MDFA 2016 Series E 043431814 57584XWT4 2016-09-22 203977951 FINANCE NEW PROJECTS false false false D MDFA 2017 Series F 043431814 57584x6z9 2017-12-20 45272849 FINANCE CAPITAL PROJECTS false false false A 40690000 35340000 117498730 4416013 0 0 1684889 0 0 0 115813841 0 true false true true B 0 0 168727807 15703190 430032 0 2007035 0 0 150386240 201311 0 false false false true C 1580000 0 206430670 0 16 0 1673571 0 0 29083402 175673681 0 false true false true D 1545000 0 45971835 0 9238 0 272257 0 0 45690339 0 0 false false false true A 0 B false true true true true true 0 false false false true C false true true true true true 0.00600 0.00600 false false false true D false true true true true true 0 false false false true A true false false 0 true AIG Matched Funding 27.19 true true true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 true true D false true false false false false 0 false 0 false true A true B true C true D true Column A Part I(F): The prior bonds were issues on July 8, 1998, by the Massachusetts Health and Educational Facilities Authority. Part II, Line 3: THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS. Part II, Line 4: Debt service reserve fund was funded by proceeds of the prior bonds. Part II, Line 13: Since the proceeds of the 2012 bonds were used for refunding purposes, the year of substantial completion is not applicable. Part III: Because proceeds of the bonds were used to refund bonds issued before January 1, 2003, the issuer is not required to complete Part III. Part IV, Line 1: Boston Medical Center remitted an arbitrage rebate payment, along with Form 8038-T, to the IRS on or before August 13, 2017 (within 60 days of the fifth bond year). COLUMN B Part II, Line 3: THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS. Column C Part I(F): The prior bonds were issued on July 1, 2008, by the Massachusetts Health and Educational Facilities Authority. Part II, Line 3: THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS. Part II, Line 12: Unspent bond proceeds deposited to the project and expense funds. COLUMN D PART II, LINE 3: THE DIFFERENCE BETWEEN TOTAL PROCEEDS IN PART II, LINE 3 AND THE ISSUE PRICE OF THE BOND ISSUE IS DUE TO INTEREST EARNED ON BOND PROCEEDS. A MHEFA 2009 Series O-1 042456011 57586ELD1 2009-08-14 101485000 Refunding of Series M3-B false false true A 6490496 0 13688734 71019 0 0 0 0 0 0 13688734 0 true false true true A false false true true false 0 false false false true A false false true true true false 0 false 0 false true A true Column A, Page 2 THE BONDS ARE PART OF A POOLED FINANCING (TOTAL PAR $101,485,000) AND THUS, EXCEPT FOR PART I, ONLY THE BORROWER'S ALLOCABLE PORTION OF $13,688,734 IS REPRESENTED. PART I(F): THE BORROWER'S PORTION OF THE BONDS REFINANCED THE PORTION OF THE ISSUER'S SERIES M3-B (2005) BONDS (ISSUES ON OCTOBER 3, 2005) ALLOCABLE TO THE BORROWER. PART II, LINE 4: THE RESERVE HAS BEEN FUNDED BY THE PROCEEDS OF THE PRIOR BONDS. PART II, LINE 13: SINCE THE PROCEEDS OF THE BONDS WERE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART IV, LINE 2(B): BOND PROCEEDS WERE EXPENDED TO FINANCE A CURRENT REFUNDING, WHICH HAS MET AN EXCEPTION TO THE REBATE REQUIREMENT. THE BOND PROCEEDS WERE SPENT WITHIN SIX MONTHS OF THE ISSUE DATE. HANNAH LEAVER Daughter of Trustee 190949 EMPLOYMENT false SCHEDULE L, PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: HANNAH LEAVER, DAUGHTER OF TRUSTEE MARKS, IS EMPLOYED BY BMC. LEAVER HAS BEEN EMPLOYED BY BMC SINCE BEFORE TRUSTEE MARKS JOINED THE BMC BOARD IN 2016. X 1 900 Donor Estimate X 35 DONOR ESTIMATE X 31715 DONOR ESTIMATE X 40 1372418 stock sale proceeds X 5 1250 DONOR ESTIMATE X 17 335 DONOR ESTIMATE X 1 533508 DONOR ESTIMATE X Gift Certificate 100 40738 Donor Estimate X Tickets 50 21370 Donor Estimate X Jewelry 3 2629 Donor Estimate X Toys 17 12624 Donor Estimate X Travel 22 24461 DONOR ESTIMATE X Miscellaneous 11 10750 DONOR ESTIMATE X Beauty 3 9355 Donor Estimate false true false Schedule M, Part I, Column b The organization is reporting the number of items contributed. Form 990, Part III, Line 4a THE STATUTE THAT AUTHORIZED THE CREATION OF BOSTON MEDICAL CENTER REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 514-LICENSED BED, URBAN ACADEMIC MEDICAL CENTER WHICH EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND THE MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. BMC IS THE LARGEST SAFETY NET HOSPITAL IN NEW ENGLAND AND PROVIDES A FULL SPECTRUM OF PEDIATRIC AND ADULT CARE SERVICES FROM PRIMARY TO FAMILY MEDICINE TO ADVANCED SPECIALTY CARE. APPROXIMATELY 72% OF BMC'S PATIENT VISITS COME FROM UNDERSERVED POPULATIONS, SUCH AS THE LOW-INCOME AND ELDERLY, WHO RELY ON GOVERNMENT PAYERS SUCH AS MEDICAID, THE HEALTH SAFETY NET AND MEDICARE FOR THEIR COVERAGE, AND 32% DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF DIVERSE PATIENT POPULATION, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS, INCLUDING PATIENT NAVIGATION AND A FOOD PANTRY, HELP TO REDUCE BARRIERS TO ACCESS TO HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG VARIOUS POPULATIONS THAT BMC SERVES. Form 990, Part IV, Line 12 Boston Medical Center is included in the consolidated financial statements for BMC Health System, Inc. Form 990, Part VI, Section A, Line 2 Karen Antman, M.D. David Coleman, M.D. Susannah Rowe, M.D. Jennifer Tseng, M.D. Business relationship - Karen Antman, M.D., is a key employee at Boston University; Boston University also employs Drs Coleman, Rowe, and Tseng. Monica Valdes Lupi, JD, MPH Kathleen E. Walsh Business Relationship - Ms. Valdes Lupi was executive director of the Boston Public Health Commission during this fiscal year and Ms. Walsh serves on the board of health that governs the Commission. Karen Antman, M.D. David Beck David Coleman, M.D. Susannah Rowe, M.D. Jennifer Tseng, M.D. Kathleen E. Walsh Business Relationship - Each serves as an officer or director of Faculty Practice Foundation, Inc. David Coleman, M.D. Melanie Foley Charles Orlando Jennifer Tseng, M.D. Kathleen E. Walsh Business Relationship - Each serves as a director of Boston Medical Center Insurance Company, LTD. Martha Samuelson Pierre Cremieux BUSINESS RELATIONSHIP - Martha Samuelson is CEO/Chairman and Trustee, and Pierre Cremieux is President of Analysis Group. David Beck Alastair Bell Barry Bock Sandra Cotterell Ravin Davidoff, M.D. William J. Halpin, JR. Charles Orlando BUSINESS RELATIONSHIP - Each serves as an officer or director of Boston Accountable Care Organization. David Beck is an officer of each Faculty Practice foundation corporation that employs David Coleman, M.D., Susannah Rowe, M.D., AND Jennifer Tseng, M.D. David Beck Manuel Lopes Kathleen Walsh BUSINESS RELATIONSHIP - Each serves as an officer or trustee of Univer Development Foundation, Inc. David Beck (until 9/10/2019) Joe Camillus Ravin Davidoff, M.D. CHARLES ORLANDO Kathleen Walsh BUSINESS RELATIONSHIP - Each serves as an officer or trustee of Boston University Affiliated Physicians. Form 990, Part VI, Section A, Line 6 The sole member of the organization is BMC Health System, Inc. Form 990, Part VI, Section A, Line 7B BMC Health System has the right to take certain actions including, but not limited to, the approval of budgets, mergers, acquisitions, and indebtedness. Form 990, Part VI, Section B, Line 11B Boston Medical Center's Form 990 is prepared by KPMG LLP and Reviewed by BMC's internal management. Following that review, BMC'S internal management and KPMG present the Form 990 to the audit AND COMPLIANCE committee for review and comment. The completed Form 990 is provided to all members of the board of trustees prior to the Form being filed with the IRS. Form 990, Part VI, Section B, Line 12C Conflict of interest questionnaires for the fiscal year ending September 30, 2019 were distributed by BMC's corporate compliance department. The Chief Compliance Officer of BMC or the Chief Compliance Officer's designee queries trustees, officers, and directors on at least an annual basis regarding relationships that may create potential conflicts of interest. The Chief Compliance Officer or the Chief Compliance Officer's designee reviews all disclosures and determines whether there are actual or potential conflicts of interest. The Chief Compliance Officer or the Chief Compliance Officer's designee informs the Chief Legal Counsel of any actual or potential conflicts of interest. The Chief Legal Counsel advises the board of trustees and officers of the corporation accordingly. Form 990, Part VI, Section B, Line 15 An independent committee, formed of individuals whose compensation is not in issue, determines the compensation of officers, key employees, and the highest compensated employees. The committee members are not under the control or direction of any BMC executive seeking compensation. The compensation plan is supported by comparable data, which includes compensation paid for comparable positions by similarly situated organizations, both taxable and tax-exempt, compensation surveys compiled independently, and actual written offers from similar institutions competing for the services of the BMC executive. The independent committee's assessment of these considerations are contained in the minutes of the committee meeting. The review process includes - and minutes indicate - discussions and evaluations of each executive's prior performance, qualification, and experience. Executives are not present for the independent committee's discussions and vote on compensation. The minutes reflect the fact that no executive was present. Form 990, Part VI, Section C, Line 19 Boston Medical Center does not make its governing documents, conflict of interest policy, and financial statements publically available. However, the restated articles of the organization are posted on the Secretary of the Commonwealth's CORPORATIONS website. FORM 990, PART X, LINES 27, 28, AND 29 PRESENTATION OF NET ASSETS BOSTON MEDICAL CENTER HAS ADOPTED ASU 2016-14, PRESENTATION OF THE FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES. AS A RESULT, THE SEPTEMBER 30, 2019 AUDITED FINANCIAL STATEMENTS CLASSIFY NET ASSETS AS EITHER NET ASSETS WITHOUT DONOR RESTRICTIONS, OR NET ASSETS WITH DONOR RESTRICTIONS. FOR PURPOSES OF FORM 990, PART X, LINES 27, 28, AND 29, BOSTON MEDICAL CENTER HAS REPORTED NET ASSETS WITHOUT DONOR RESTRICTIONS AS UNRESTRICTED NET ASSETS AND NET ASSETS WITH DONOR RESTRICTIONS AS TEMPORARILY RESTRICTED NET ASSETS AND PERMANENTLY RESTRICTED NET ASSETS, RESPECTIVELY. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer to Affiliates $ (25,100,000) Pension related changes other than Periodic pension costs $ (26,196,907) Rounding $ 885 Total $ (51,296,022) BMC Health System Inc One Boston Medical Center Pl Boston MA 02118 463556853 Support Svcs. 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