BETH ISRAEL DEACONESS MEDICAL CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: BETH ISRAEL DEACONESS MEDICAL CENTER INC (EIN 04-2103881)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-14
IRS object ID: 201532269349303183
Schema version: 2013v4.0
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 C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-14T14:12:08-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	TWO JERICHO PLAZA	AddressLine1
City	JERICHO	City
State	NY	State
ZIP Code	11753	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	042103881	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BETH ISRAEL DEACONESS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	BETH	BusinessNameControlTxt
Phone	6176678000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	330 BROOKLINE AVE	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02215	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEVEN FISCHER	PersonNm
Person Title	SR VP & CFO	PersonTitleTxt
Phone	6176678000	PhoneNum
Signature	2015-08-13	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CHRISTINE KAWECKI	PreparerPersonNm
PTIN	P00743140	PTIN
Phone	5169187000	PhoneNum
Preparation	2015-08-11	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DR KEVIN TABB	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	330 BROOKLINE AVE	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02215	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$1,580,555,993	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BIDMC.HARVARD.EDU	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1915	FormationYr
Legal Domicile State	MA	LegalDomicileStateCd
Activity Or Mission	TERTIARY CARE ACADEMIC MEDICAL CENTER	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	12458	TotalEmployeeCnt
Total Volunteers	535	TotalVolunteersCnt
Total Gross UBI	$12,169,461	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$24,050,616	PYContributionsGrantsAmt
CY Contributions Grants	$25,659,510	CYContributionsGrantsAmt
PY Program Service Revenue	$1,294,183,741	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,332,513,700	CYProgramServiceRevenueAmt
PY Investment Income	$28,492,215	PYInvestmentIncomeAmt
CY Investment Income	$37,629,394	CYInvestmentIncomeAmt
PY Other Revenue	$46,583,007	PYOtherRevenueAmt
CY Other Revenue	$66,452,877	CYOtherRevenueAmt
PY Total Revenue	$1,393,309,579	PYTotalRevenueAmt
CY Total Revenue	$1,462,255,481	CYTotalRevenueAmt
PY Grants And Similar Paid	$34,941,421	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$42,558,157	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$629,927,237	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$682,153,776	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$116,012	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$152,235	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$7,521,977	CYTotalFundraisingExpenseAmt
PY Other Expenses	$644,350,454	PYOtherExpensesAmt
CY Other Expenses	$660,193,605	CYOtherExpensesAmt
PY Total Expenses	$1,309,335,124	PYTotalExpensesAmt
CY Total Expenses	$1,385,057,773	CYTotalExpensesAmt
PY Revenues Less Expenses	$83,974,455	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$77,197,708	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,578,043,747	TotalAssetsBOYAmt
Total Assets EOY	$1,616,172,939	TotalAssetsEOYAmt
Total Liabilities BOY	$698,117,799	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$708,172,838	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$879,925,948	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$908,000,101	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$909,613,191	ExpenseAmt
Revenue	$1,098,250,224	RevenueAmt
Desc	SEE SCHEDULE O- PATIENT CARE	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$243,497,000	ExpenseAmt
Grant	$35,136,425	GrantAmt
Revenue	$214,916,655	RevenueAmt
Desc	SEE SCHEDULE O- RESEARCH	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$97,130,190	ExpenseAmt
Grant	$20,059	GrantAmt
Revenue	$29,220,958	RevenueAmt
Desc	SEE SCHEDULE O- TEACHING	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Grant	$7,401,673	GrantAmt

Field	Value	IRS element (for citing)
Total Other Prog Srvc Grant	$7,401,673	TotalOtherProgSrvcGrantAmt
Total Program Service Expenses	$1,250,240,381	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	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	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
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	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	375	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	12458	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	0	ForeignFinancialAccountInd
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
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	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	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	6176671414	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	330 BROOKLINE AVENUE	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02215	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDERSON CAROL F
DIRECTOR & VICE CHAIR	5.00	1.00	Yes (X)	$0	$0	$0
BRADY MICHAEL J
DIRECTOR, EX-OFFICIO	1.00	11.00	Yes (X)	$0	$0	$0
BUFFERD ALLAN
DIRECTOR & TREASURER	2.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
CHAIKOF MD PHD ELLIOT
DIR & SURG CHIEF	30.00	35.00	Yes (X)	$460,221	$460,222	$108,649
CRONIN MICHAEL
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
CUTLER JOEL
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JICK DANIEL J
DIR & BOARD CHAIR	15.00	1.00	Yes (X)	$0	$0	$0
JOHNSTON WILLIAM
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
KAY STEPHEN B
DIRECTOR (EX-OFFICIO)	1.00	0.00	Yes (X)	$0	$0	$0
LADD EDWARD
DIRECTOR & VICE CHAIR	5.00	0.00	Yes (X)	$0	$0	$0
LAMERE DAVID
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
LEPOFSKY ROBERT J
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
LINDE DOUGLAS
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
MACDOWELL VIRGINIA
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$0
MANDELL MD JAMES
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
MCKENNA MARGARET
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
O'HANLEY RONALD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
ROSENBERG MD STUART
DIR & CEO-HMFP	1.00	64.00	Yes (X)	$0	$1,032,308	$66,675
ROTTENBERG ALAN
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
TABB MD KEVIN
PRESIDENT & CEO	60.00	5.00	Yes (X)	$1,307,416	$0	$46,916	Yes (X)
TURNBULL CLAYTON
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
WANG FREDERICK
DIRECTOR	6.00	0.00	Yes (X)	$0	$0	$0
ZEIDEL MD MARK L
DIR & CHIEF, MEDICINE	30.00	35.00	Yes (X)	$357,061	$357,062	$64,088
FISCHER STEVEN
SR. VP - FINANCE & CFO	59.00	1.00		$677,771	$0	$53,113	Yes (X)
FORMELLA RN MSN NANCY
CHIEF OPERATING OFFICER	58.00	2.00		$580,224	$0	$13,778	Yes (X)
ARMSTRONG WALTER
SVP FACILITIES	60.00	0.00		$447,885	$0	$30,265		Yes (X)
BIEBER JUDITH
SVP - HR	60.00	0.00		$198,454	$0	$50,160		Yes (X)
MAURER RN MSN MARSHA
SVP-PAT CARE & CNO	60.00	0.00		$599,110	$0	$46,314		Yes (X)
SHEEHAN RN MSN JAYNE
SVP AMBUL & EMERG SVCS	60.00	0.00		$446,855	$0	$37,576		Yes (X)
SUKHATME MD SCD VIKAS P
SVP & CHIEF ACADEMIC OFFICER	54.00	6.00		$571,293	$49,677	$54,013		Yes (X)
WARFIELD MD CAROL A
FORMER CHIEF OF ANESTHESIOLOGY	0.00	40.00		$6,596,667	$207,241	$433,710			Yes (X)
GEBHARDT MD MARK C
CHIEF OF ORTHO SURGERY	30.00	35.00		$374,493	$374,492	$81,490			Yes (X)
KRUSKAL MD PHD JONATHAN B
CHIEF OF RADIOLOGY	30.00	35.00		$346,042	$346,040	$61,043			Yes (X)
LEWIS MD STANLEY
SVP, NETWORK INTEGRATION	55.00	10.00		$565,781	$62,864	$47,002			Yes (X)
SIMON MD PHD BRETT
CHIEF OF ANESTHESIA	30.00	35.00		$312,388	$312,387	$83,910			Yes (X)
BUEHRENS ERIC
FRMR INTRM PRES/CEO&COO	0.00	0.00		$446,608	$0	$17,604				Yes (X)
ZANKMAN LISA
FORMER SR. VP - HR	0.00	0.00		$324,953	$0	$23,775				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,613,222	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,202,293	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,320,081	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1299	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (1)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
HARVARD MEDICAL FACULTY PHYS AT BIDMC
375 LONGWOOD AVE	BOSTON	MA	02215	PHYSICIAN SERVICES	$116,254,778
SODEXHO
PO BOX 905374	CHARLOTTE	NC	28207	FOOD SERVICES	$7,270,402
MASCO SERVICES
375 LONGWOOD AVE	BOSTON	MA	02215	PARKING	$6,489,722
CAREGROUPINC
SUITE 300 109 BROOKLINE AVE	BOSTON	MA	02215	MANAGEMENT SERVICES	$4,671,804
COX-ENGINEERING CO
35 INDUSTRIAL DRIVE	CANTON	MA	02021	ENGINEERING	$1,533,270

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	76	CntrctRcvdGreaterThan100KCnt
Fundraising	$134,692	FundraisingAmt
All Other Contributions	$25,524,818	AllOtherContributionsAmt
Noncash Contributions	$4,144,990	NoncashContributionsAmt
Total Contributions	$25,659,510	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE RE	541700	$613,875,062	$613,875,062
MEDICARE/MEDICAID REV	900099	$474,501,025	$474,501,025
NIH FUNDED RESEARCH	541700	$159,808,020	$159,808,020
SPONSORED RESEARCH	541700	$55,108,635	$55,108,635
GRADUATE MED EDUCATION	611710	$29,220,958	$29,220,958

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,332,513,700	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,040,869	TotalRevenueColumnAmt
Unrelated Business Revenue	$447,830	UnrelatedBusinessRevenueAmt
Exclusion	$593,039	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$766,260	TotalRevenueColumnAmt
Exclusion	$766,260	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$867,945	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$28,689	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$839,256	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$839,256	TotalRevenueColumnAmt
Unrelated Business Revenue	$21,837	UnrelatedBusinessRevenueAmt
Exclusion	$817,419	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$154,605,008	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$118,016,483	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$36,588,525	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,588,525	TotalRevenueColumnAmt
Unrelated Business Revenue	$572,609	UnrelatedBusinessRevenueAmt
Exclusion	$36,015,916	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$132,164	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$134,692	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$238,340	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$106,176	TotalRevenueColumnAmt
Exclusion	-$106,176	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$39,777	GamingGrossIncomeAmt
Gaming Direct Expenses	$17,000	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,777	TotalRevenueColumnAmt
Exclusion	$22,777	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PARKING REVENUE	812930	$22,771,398	$19,200	$22,752,198
OUTREACH LAB (UBIT)	621500	$3,488,958	$3,488,958
CYTOLOGY LAB (UBIT)	900099	$179,454	$179,454

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,490,950	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,874,137	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$7,439,573	UnrelatedBusinessRevenueAmt
Exclusion	$21,177,240	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$64,930,760	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,462,255,481	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,342,387,837	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$12,169,461	UnrelatedBusinessRevenueAmt
Exclusion	$82,038,673	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$37,461,976	TotalAmt
Program Services	$37,461,976	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$20,059	TotalAmt
Program Services	$20,059	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$5,076,122	TotalAmt
Program Services	$5,076,122	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,060,473	TotalAmt
Program Services	$3,030,236	ProgramServicesAmt
Management And General	$3,030,237	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$902,748	TotalAmt
Program Services	$451,374	ProgramServicesAmt
Management And General	$451,374	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$563,830,392	TotalAmt
Program Services	$517,763,676	ProgramServicesAmt
Management And General	$41,684,885	ManagementAndGeneralAmt
Fundraising	$4,381,831	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$23,740,781	TotalAmt
Program Services	$21,445,047	ProgramServicesAmt
Management And General	$2,092,750	ManagementAndGeneralAmt
Fundraising	$202,984	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$45,646,752	TotalAmt
Program Services	$41,232,711	ProgramServicesAmt
Management And General	$4,023,761	ManagementAndGeneralAmt
Fundraising	$390,280	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$41,972,630	TotalAmt
Program Services	$37,913,778	ProgramServicesAmt
Management And General	$3,699,905	ManagementAndGeneralAmt
Fundraising	$358,947	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$5,417,245	TotalAmt
Management And General	$5,417,245	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$4,758,852	TotalAmt
Management And General	$4,758,852	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$427,810	TotalAmt
Management And General	$427,810	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$285,739	TotalAmt
Management And General	$285,739	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$152,235	TotalAmt
Fundraising	$152,235	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$155,920,764	TotalAmt
Program Services	$128,171,296	ProgramServicesAmt
Management And General	$27,105,875	ManagementAndGeneralAmt
Fundraising	$643,593	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,354,803	TotalAmt
Program Services	$472,303	ProgramServicesAmt
Management And General	$1,878,837	ManagementAndGeneralAmt
Fundraising	$3,663	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$194,508,944	TotalAmt
Program Services	$192,486,805	ProgramServicesAmt
Management And General	$1,564,004	ManagementAndGeneralAmt
Fundraising	$458,135	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,195,884	TotalAmt
Program Services	$5,728,517	ProgramServicesAmt
Management And General	$2,340,319	ManagementAndGeneralAmt
Fundraising	$127,048	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$71,760,374	TotalAmt
Program Services	$65,722,398	ProgramServicesAmt
Management And General	$5,995,213	ManagementAndGeneralAmt
Fundraising	$42,763	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$683,403	TotalAmt
Program Services	$485,911	ProgramServicesAmt
Management And General	$148,105	ManagementAndGeneralAmt
Fundraising	$49,387	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$784,883	TotalAmt
Program Services	$678,462	ProgramServicesAmt
Management And General	$90,473	ManagementAndGeneralAmt
Fundraising	$15,948	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,983,164	TotalAmt
Program Services	$14,983,164	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$75,670,639	TotalAmt
Program Services	$60,397,616	ProgramServicesAmt
Management And General	$15,139,514	ManagementAndGeneralAmt
Fundraising	$133,509	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,609,455	TotalAmt
Program Services	$7,301,259	ProgramServicesAmt
Management And General	$308,196	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
RESEARCH	$58,703,540	$58,703,540	$0	$0
CONTRACTED SERVICES	$27,387,684	$26,647,148	$706,804	$33,732
UNCOMPENSATED CARE	$8,918,822	$8,918,822	$0	$0
FOOD	$3,550,947	$2,639,939	$386,895	$524,113

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,270,653	TotalAmt
Program Services	$12,508,222	ProgramServicesAmt
Management And General	$5,758,622	ManagementAndGeneralAmt
Fundraising	$3,809	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,385,057,773	TotalAmt
Program Services	$1,250,240,381	ProgramServicesAmt
Management And General	$127,295,415	ManagementAndGeneralAmt
Fundraising	$7,521,977	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1	BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$642,442,947	BOYAmt
EOY	$651,823,209	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$32,610,071	BOYAmt
EOY	$34,346,096	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$153,662,156	BOYAmt
EOY	$152,818,581	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,897,342	BOYAmt
EOY	$10,238,151	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,427,617	BOYAmt
EOY	$11,525,386	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,103,332,202	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,627,551,565	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$478,407,371	BOYAmt
EOY	$475,780,637	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$182,005,950	BOYAmt
EOY	$189,499,226	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$69,590,292	BOYAmt
EOY	$90,141,653	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,578,043,747	BOYAmt
EOY	$1,616,172,939	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$174,561,354	BOYAmt
EOY	$193,894,751	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$59,247,524	BOYAmt
EOY	$60,043,474	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$371,621,847	BOYAmt
EOY	$348,697,037	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$92,687,074	BOYAmt
EOY	$105,537,576	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$698,117,799	BOYAmt
EOY	$708,172,838	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$687,338,519	BOYAmt
EOY	$704,580,079	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$137,930,412	BOYAmt
EOY	$145,424,945	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$54,657,017	BOYAmt
EOY	$57,995,077	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$879,925,948	BOYAmt
EOY	$908,000,101	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,578,043,747	BOYAmt
EOY	$1,616,172,939	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$77,197,708	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$134,262	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$48,989,293	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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

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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	Yes (1)	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Publications Or Broadcast	Yes (1)	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$285,739	OtherActivitiesAmt
Total Lobbying Expenditures	$285,739	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE MEDICAL CENTER ENGAGED IN SOME LOBBYING EFFORTS ON BEHALF OF ITSELF AND OTHER AFFILIATED NETWORK ENTITIES. ADDITIONALLY, THE MEDICAL CENTER PAYS DUES TO CERTAIN MEMBERSHIP ORGANIZATIONS OF WHICH A PORTION MAY BE USED BY SUCH ORGANIZATIONS FOR LOBBYING ACTIVITIES ON BEHALF OF THIS INSTITUTION AND OTHER SIMILARLY SITUATED ORGANIZATIONS. LOBBYING COSTS ASSOCIATED WITH THESE COMBINED LOBBYING ACTIVITIES WAS $285,739 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2014. TOTAL LOBBYING EXPENDITURES ARE MINIMAL AND NOT SUBSTANTIAL BASED ON REVENUES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	Yes (1)	AgentTrusteeEtcInd
Additions During Year	$931,122	AdditionsDuringYearAmt
Distributions During Year	$931,122	DistributionsDuringYearAmt
Ending Balance	$0	EndingBalanceAmt
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$192,587,429	BeginningYearBalanceAmt
Contributions	$10,827,103	ContributionsAmt
Investment Earnings Or Losses	$12,156,351	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,150,860	OtherExpendituresAmt
End Year Balance	$203,420,023	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$172,799,187	BeginningYearBalanceAmt
Contributions	$9,753,810	ContributionsAmt
Investment Earnings Or Losses	$20,064,195	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,029,763	OtherExpendituresAmt
End Year Balance	$192,587,429	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$158,281,306	BeginningYearBalanceAmt
Contributions	$10,376,111	ContributionsAmt
Investment Earnings Or Losses	$16,376,503	InvestmentEarningsOrLossesAmt
Other Expenditures	$12,234,733	OtherExpendituresAmt
End Year Balance	$172,799,187	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$172,948,409	BeginningYearBalanceAmt
Contributions	-$1,735,365	ContributionsAmt
Investment Earnings Or Losses	$546,551	InvestmentEarningsOrLossesAmt
Other Expenditures	$13,478,289	OtherExpendituresAmt
End Year Balance	$158,281,306	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$150,018,022	BeginningYearBalanceAmt
Contributions	$19,184,387	ContributionsAmt
Investment Earnings Or Losses	$13,662,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,916,000	OtherExpendituresAmt
End Year Balance	$172,948,409	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.31000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.69000	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	$24,282,879	OtherCostOrOtherBasisAmt
Book Value	$24,282,879	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$312,714,818	OtherCostOrOtherBasisAmt
Depreciation	$244,907,922	DepreciationAmt
Book Value	$67,806,896	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$565,048,406	OtherCostOrOtherBasisAmt
Depreciation	$360,878,394	DepreciationAmt
Book Value	$204,170,012	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,201,286,099	OtherCostOrOtherBasisAmt
Depreciation	$1,021,765,249	DepreciationAmt
Book Value	$179,520,850	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$475,780,637	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	OTHER INVESTMENT THROUGH CIP	Desc
Book Value	$189,499,226	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$189,499,226	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
DEBT ISSUANCE COSTS	$2,294,717
DUE FROM AFFILIATES	$39,838,008
A/R MISC	$3,357,191
RESERVE FOR BAD DEBT	-$750,000
DEPOSITS	$1,500,000
CASH SURRENDER VALUE-EXEC LIFE	$571,302
HPHC WORKING CAPITAL	$1,436,436
PROFESSIONAL LIABILITY REINSURANCE RECOVERIES	$41,893,999

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$90,141,653	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
FUNDS HELD IN TRUST	$1,535,909
FUNDS MANAGED BY OTHERS	$10,018,867
MEDICAL MALPRACTICE	$784,630
POST RETIREMENT BENEFITS	$39,912,206
CLINICAL TRIALS	$11,391,965
PROFESSIONAL LIABILITY	$41,893,999

Field	Value	IRS element (for citing)
Total Liability	$105,537,576	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$2,232,352,000	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$1,950,216	NetUnrealizedGainsInvstAmt
Other Revenue	$795,895,860	OtherRevenueAmt
Revenue Not Reported	$797,846,076	RevenueNotReportedAmt
Revenue Subtotal	$1,434,505,924	RevenueSubtotalAmt
Investment Expenses Not Incld	$241,545	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$27,508,012	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$27,749,557	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,462,255,481	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,092,505,000	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$238,340	OtherExpensesIncludedAmt
Expenses Not Reported	$238,340	ExpensesNotReportedAmt
Expenses Subtotal	$2,092,266,660	ExpensesSubtotalAmt
Other Expenses Not Included	-$707,208,887	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$707,208,887	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,385,057,773	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 1B:	CUSTODIAN ARRANGEMENTS THE MEDICAL CENTER IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM (BID-NEEDHAM) WHICH IS A COMMUNITY HOSPITAL EXEMPT FROM INCOME TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. DURING THE FISCAL YEAR COVERED BY THIS FILING, BID-NEEDHAM DID NOT MAINTAIN ITS OWN DEVELOPMENT STAFF. INSTEAD, AS PART OF THE RELATIONSHIP BETWEEN THE ENTITIES, THE MEDICAL CENTER'S DEVELOPMENT STAFF SOLICITED AND PROCESSED CONTRIBUTIONS FOR BID-NEEDHAM. UPON RECEIPT, THE CONTRIBUTIONS WERE DEPOSITED INTO A MEDICAL CENTER ACCOUNT. AT THE END OF EACH MONTH, THE TOTAL OF THE DEPOSITS ARE TRANSFERRED FROM THE MEDICAL CENTER TO BID-NEEDHAM.
PART V, LINE 4:	BETH ISRAEL DEACONESS MEDICAL CENTER ENDOWMENT FUND THE MEDICAL CENTER'S ENDOWMENT FUNDS ARE INTENDED TO ENSURE THAT THE MEDICAL CENTER ACCOMPLISHES ITS CHARITABLE MISSIONS OF PROVIDING EXCELLENT CLINICAL CARE, ENGAGING IN CUTTING EDGE RESEARCH AND EDUCATING THE HEALTH CARE PRACTITIONERS OF TOMORROW. THE SPECIFIC USES OF THE ENDOWMENT VARY DEPENDING ON THE NATURE OF RESTRICTIONS, IF ANY, IMPOSED BY DONORS. UNDER THE MEDICAL CENTER'S CURRENT LONG-TERM INVESTMENT SPENDING POLICY, WHICH IS WITHIN THE GUIDELINES SPECIFIED UNDER MASSACHUSETTS STATE LAW, 5-6% OF THE AVERAGE OF THE FAIR VALUE OF QUALIFYING LONG-TERM INVESTMENTS APPLIED TO A THREE-YEAR MOVING AVERAGE WITH A ONE-YEAR LAG IS APPROPRIATED AS STATED BY THE DONOR. DURING FY 2014 $3,014,766 WAS APPROPRIATED OF WHICH $335,923 WAS RELATED SPECIFICALLY TO FREE CARE AND IS INCLUDED IN THIS FORM 990 SCHEDULE H. IN ESTABLISHING THESE POLICIES, THE MEDICAL CENTER CONSIDERED THE EXPECTED RETURN ON ITS ENDOWMENT AND ITS PROGRAMMING NEEDS. ACCORDINGLY, THE MEDICAL CENTER EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO MAINTAIN ITS PURCHASING POWER AND TO PROVIDE A PREDICTABLE AND STABLE SOURCE OF REVENUE FOR THE ANNUAL OPERATING BUDGET. ADDITIONAL REAL GROWTH WILL BE PROVIDED THROUGH NEW GIFTS OR EXCESS INVESTMENT RETURN.
PART X, LINE 2:	BIDMC, APG, NEEDHAM, MILTON, PLYMOUTH AND HMFP HAVE BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE ORGANIZATIONS DESCRIBED IN INTERNAL REVENUE CODE (THE CODE) SECTION 501(C)(3) AND, THEREFORE, ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE MEDICAL CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN FIFTY PERCENT LIKELY TO BE REALIZED UPON SETTLEMENT. CHANGES IN MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THE MEDICAL CENTER DID NOT RECOGNIZE THE EFFECT OF ANY INCOME TAX POSITIONS IN EITHER 2014 OR 2013.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	NET ASSETS RELEASED FROM RESTRICTION 12,150,860. CONSOLIDATED AFFILIATES REVENUE NET OF ELIMINATION 783,745,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	FUNDS MANAGED FOR OTHERS 2,835,024. RENT -28,689. OTHER 2,866. TEMPORARILY AND PERMANENTLY RESTRICTED CONTRIBUTIONS 10,827,103. TEMPORARILY RESTRICTED REALIZED GAINS 12,800,082. CONTRIBUTIONS OF MEDICAL & RESEARCH EQUIPMENT 1,309,966. DIRECT EXPENSES FROM FUNDRAISING EVENTS -238,340.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	DIRECT EXPENSES FROM FUNDRAISING EVENTS 238,340.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	OTHER 2,802. RENT -28,689. CONSOLIDATED AFFILIATES EXPENSE NET OF ELIMINATION -707,183,000.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (27 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	$70,365,681
EAST ASIA AND THE PACIFIC	INVESTMENTS	$890,311
EUROPE (INCLUDING ICELAND & GREENLAND)	INVESTMENTS	$3,300,422
NORTH AMERICA	INVESTMENTS	$3,005,698
SOUTH AMERICA	INVESTMENTS	$763,629
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	$6,875,078	JOINTLY OWNED FOREIGN INSURANCE
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	$19,938	TRAVEL FOR EDUCATIONAL SEMINARS/ PRESENTATIONS
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$281,363	TRAVEL FOR EDUCATIONAL SEMINARS/ PRESENTATIONS
EUROPE (INCLUDING ICELAND AND GREENLAND	PROGRAM SERVICES	$205,301	TRAVEL FOR EDUCATIONAL SEMINARS/ PRESENTATIONS
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	$11,176	TRAVEL FOR EDUCATIONAL SEMINARS/ PRESENTATIONS
NORTH AMERICA	PROGRAM SERVICES	$26,233	TRAVEL FOR EDUCATIONAL SEMINARS/ PRESENTATIONS
RUSSIA AND NEIGHBORING STATES	PROGRAM SERVICES	$4,647	TRAVEL FOR EDUCATIONAL SEMINARS/ PRESENTATIONS
SOUTH AMERICA	PROGRAM SERVICES	$16,203	TRAVEL FOR EDUCATIONAL SEMINARS/ PRESENTATIONS
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$27,637	TRAVEL FOR EDUCATIONAL SEMINARS/ PRESENTATIONS
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$255,622	TEACHING/ RESEARCH/ PATIENT CARE
EUROPE (INCLUDING ICELAND AND GREENLAND)	PROGRAM SERVICES	$4,418,310	TEACHING/ RESEARCH/ PATIENT CARE
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	$78,592	TEACHING/ RESEARCH/ PATIENT CARE
NORTH AMERICA	PROGRAM SERVICES	$371,143	TEACHING/ RESEARCH/ PATIENT CARE
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$154,130	TEACHING/ RESEARCH/ PATIENT CARE
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	$2,888	TEACHING/ RESEARCH/ PATIENT CARE
SOUTH AMERICA	PROGRAM SERVICES	$4,362	TEACHING/ RESEARCH/ PATIENT CARE
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	$6,390	HUMANITARIAN MISSION
SOUTH ASIA	PROGRAM SERVICES	$4,677	HUMANITARIAN MISSION
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	$6,510	HUMANITARIAN MISSION
SUB-SAHARAN AFRICA	PROGRAM SERVICES	$3,581	HUMANITARIAN MISSION
MIDDLE -EAST & NORTH AFRICA	PROGRAM SERVICES	$1,852	HUMANITARIAN MISSION
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	$30,538	TEACHING/ RESEARCH/ PATIENT CARE

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$85,502,120	SubtotalSpentAmt
Continuation Spent	$5,629,792	ContinuationSpentAmt
Total Spent	$91,131,912	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (27 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$45,000	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	RESEARCH SUB-AWARD	$924,407	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	RESEARCH SUB-AWARD	$24,162	WIRE TRANSFER
NORTH AMERICA	RESEARCH SUB-AWARD	$10,050	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	RESEARCH SUB-AWARD	$3,252,783	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$16,255	WIRE TRANSFER
MIDDLE EAST AND NORTH AFRICA	RESEARCH SUB-AWARD	$26,690	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$21,810	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$315	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$23,290	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	RESEARCH SUB-AWARD	$5,220	WIRE TRANSFER
MIDDLE EAST AND NORTH AFRICA	RESEARCH SUB-AWARD	$51,902	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	RESEARCH SUB-AWARD	$30,455	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$25,439	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$31,974	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$36,487	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$14,880	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$12,489	WIRE TRANSFER
NORTH AMERICA	RESEARCH SUB-AWARD	$23,760	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$9,592	WIRE TRANSFER
NORTH AMERICA	RESEARCH SUB-AWARD	$88,648	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	RESEARCH SUB-AWARD	$77,539	WIRE TRANSFER
NORTH AMERICA	RESEARCH SUB-AWARD	$2,160	WIRE TRANSFER
NORTH AMERICA	RESEARCH SUB-AWARD	$246,525	WIRE TRANSFER
EUROPE (INCLUDING ICELAND AND GREENLAND)	RESEARCH SUB-AWARD	$56,199	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$10,000	WIRE TRANSFER
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	$8,091	WIRE TRANSFER

Field	Value	IRS element (for citing)
Total Other Org	27	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	Yes (1)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 2:	AS NOTED IN BOTH SCHEDULES H, HOSPITALS AND SCHEDULE I, GRANTS AND OTHER ASSISTANCE TO ORGANIZATIONS, GOVERNMENTS, AND INDIVIDUALS IN THE UNITED STATES, AS PART OF THE MEDICAL CENTER'S COMMITMENT TO OUR COMMUNITY, THE MEDICAL CENTER PARTNERS WITH COMMUNITY LEADERS AND COMMUNITY-BASED ORGANIZATIONS WHO SERVE AS LINKS TO THE COMMUNITY AND TEACHERS OF HOW WE CAN BETTER SERVE THE POPULATIONS THEY REPRESENT. IN ADDITION, THE MEDICAL CENTER COLLABORATES WITH A WIDE VARIETY OF ORGANIZATIONS BOTH WITHIN AND OUTSIDE OF THE UNITED STATES BECAUSE HEALTHCARE SERVICES BY THEMSELVES ARE NOT ADEQUATE TO MAXIMIZE IMPROVEMENT OF HEALTH STATUS. AS SUCH, OUR INVOLVEMENT WITH OUR COMMUNITY IS ON-GOING AND PART OF THAT ON-GOING RELATIONSHIP INCLUDES REPORTING ON HOW GRANT FUNDS ARE EXPENDED. AS A RECIPIENT OF FEDERAL SPONSORED AWARDS, THE MEDICAL CENTER MUST COMPLY WITH THE GUIDELINES SPECIFIC TO THE FEDERAL AWARDING AGENCY FOR THE PARTICULAR PROGRAM. THE MEDICAL CENTER'S ADHERENCE TO THESE PROGRAMS' REQUIREMENTS IS AUDITED ANNUALLY AS REQUIRED BY OMB CIRCULAR A-133. THE MEDICAL CENTER IS REQUIRED BY FEDERAL REGULATION TO MONITOR EXPENSES OF FEDERAL FUNDS AWARDED TO THE MEDICAL CENTER THAT ARE SUB-CONTRACTED TO ANOTHER INSTITUTION, ORGANIZATION, OR INDIVIDUAL. FEDERAL SUBCONTRACTED RESEARCH GRANTS AS WELL AS OTHER SUBCONTRACTED RESEARCH GRANTS ARE MONITORED BY THE CLINICAL DEPARTMENT SPONSORING THE ACTIVITY. SIMILAR MONITORING PROGRAMS ARE IN PLACE THAT ASSURE ADHERENCE TO ALL NON-FEDERAL SPONSORS' GRANT REQUIREMENTS AS WELL THROUGH A GROUP OF DEDICATED RESEARCH ADMINISTRATIVE PROFESSIONALS THAT REPORT UP THROUGH THE OFFICE OF ACADEMIC AFFAIRS. THIS REPORTING STRUCTURE FURTHER ENHANCES INTERNAL CONTROLS.
SCHEDULE F PART IV FOREIGN FORMS	ALTHOUGH BIDMC WAS AN INDIRECT SHAREHOLDER OF A PASSIVE FOREIGN INVESTMENT COMPANY OR QUALIFIED ELECTING FUND DURING THE PERIOD COVERED BY THIS FILING, BIDMC WAS NOT REQUIRED TO FILE FORM 8621, INFORMATION RETURNS BY A SHAREHOLDER OF A PASSIVE FOREIGN INVESTMENT COMPANY OR QUALIFIED ELECTING FUND.
SCHEDULE F PART V -- SUPPLEMENTAL INFORMATION	GRANTS TO ENTITIES OUTSIDE THE UNITED STATES ARE RELATED TO AND FURTHER THE MEDICAL CENTER'S MISSION TO IMPROVE THE HEALTH OF ALL PATIENTS AND TO ENGAGE IN CUTTING EDGE RESEARCH. FUND RECIPIENTS PROVIDE THE MEDICAL CENTER WITH REPORTS DOCUMENTING THE USE OF SUCH FUNDS.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	ActivityActivityTxt	Fundraiser Control Of FundsFundraiserControlOfFundsInd	Gross ReceiptsGrossReceiptsAmt	Retained By ContractorRetainedByContractorAmt	Net To OrganizationNetToOrganizationAmt
HARRIS
1400-A CROSSWAYS BLVD	CHESAPEAKE	VA	23320	PHONE CAMPAIGN	0	$87,272	$111,736	-$29,464
BRUCE FLESSNER
7251 OHMS LN	MINNEAPOLIS	MN	02445	STRATEGY CONSULTING	0	$0	$23,833	-$23,833
DEVELOPMENT GUILD
233 HARVARD ST STE 107	BROOKLINE	MA	02445	STRATEGY CONSULTING	0	$0	$16,666	-$16,666

Field	Value	IRS element (for citing)
Total Gross Receipts	$87,272	TotalGrossReceiptsAmt
Total Retained By Contractors	$152,235	TotalRetainedByContractorsAmt
Total Net To Organization	-$69,963	TotalNetToOrganizationAmt
Licensed States	AK	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MS	LicensedStatesCd
Licensed States	NH	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NM	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	ND	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	OR	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WI	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	A REASON TO RIDE	NameOfEvent1Amt
Gross Receipts Event1	$73,451	GrossReceiptsEvent1Amt
Charitable Contri Event1	$5,187	CharitableContriEvent1Amt
Gross Revenue Event1	$68,264	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$5,229	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$0	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$3,053	OtherDirectExpensesEvent1Amt
Name Of Event2	PALM BEACH	NameOfEvent2Amt
Gross Receipts Event2	$54,400	GrossReceiptsEvent2Amt
Charitable Contri Event2	$28,560	CharitableContriEvent2Amt
Gross Revenue Event2	$25,840	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$0	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$0	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$53,235	FoodAndBeverageEvent2Amt
Entertainment Event2	$18,582	EntertainmentEvent2Amt
Other Direct Expenses Event2	$135,192	OtherDirectExpensesEvent2Amt
Other Events Total	4	OtherEventsTotalCnt
Gross Receipts Other Events	$139,005	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$100,945	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$38,060	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$6,320	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$12,743	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$0	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$3,986	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$266,856	GrossReceiptsTotalAmt
Charitable Contributions Tot	$134,692	CharitableContributionsTotAmt
Gross Revenue Total Events	$132,164	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$11,549	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$65,978	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$18,582	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$142,231	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$238,340	DirectExpenseSummaryEventsAmt
Net Income Summary	-$106,176	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$39,777	GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming	$15,011	CashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming	$1,989	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$39,777	GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming	$15,011	CashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming	$1,989	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$17,000	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$22,777	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	MA	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	0	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Own Facility	0.50000	GamingOwnFacilityPct
Gaming Other Facility	0.50000	GamingOtherFacilityPct

Persons With Books Name PersonsWithBooksName

Field	Value	IRS element (for citing)
Business Name Line1	BETH ISRAEL DEACONESS LEAGL DEPARTMENT	BusinessNameLine1

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	330 BROOKLINE AVENUE	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02215	ZIPCode

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd
Gaming Manager Person	STEVEN FISCHER	GamingManagerPersonNm
Gaming Manager Is Director Ofcr	Yes (X)	GamingManagerIsDirectorOfcrInd
Charitable Distribution Rqr	Yes (1)	CharitableDistributionRqrInd
Distributed	$22,777	DistributedAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,767,873	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,233,526	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,534,347	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$184,519,665	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$152,790,990	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,728,675	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$209,287,538	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$162,024,516	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,263,022	NetCommunityBenefitExpnsAmt
Total Expense	0.03410	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,586,212	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$603,158	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,983,054	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,818,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,220,958	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$67,597,581	NetCommunityBenefitExpnsAmt
Total Expense	0.04880	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,732,484	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,109,691	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,622,793	NetCommunityBenefitExpnsAmt
Total Expense	0.02070	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$262,471,716	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$203,543,508	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,928,208	NetCommunityBenefitExpnsAmt
Total Expense	0.04250	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,354,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$525,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,828,938	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$468,963,289	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$302,002,715	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$166,960,574	NetCommunityBenefitExpnsAmt
Total Expense	0.12060	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$678,250,827	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$464,027,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$214,223,596	NetCommunityBenefitExpnsAmt
Total Expense	0.15470	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$342,945	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$342,945	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$342,945	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$342,945	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$24,219,073	BadDebtExpenseAmt
Reimbursed By Medicare	$316,908,653	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$327,317,991	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,409,338	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

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	BETH ISRAEL DEACONESS MEDICAL CENTER	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	330 BROOKLINE AVE	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02215	ZIPCode

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.BIDMC.ORG/	WebsiteAddressTxt
State License	VL42	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	TERTIARY CARE ACADEMIC MEDICAL CENTER	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BETH ISRAEL DEACONESS MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
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
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SUPPLEMENTAL INFORMATION	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
Residency	Yes (X)	ResidencyInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BETH ISRAEL DEACONESS MEDICAL CENTER	PART V, SECTION B, LINE 3: FOR DISCLOSURES RELATED TO FORM 990 SCHEDULE H PART V, SECTION B PLEASE SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION.
BETH ISRAEL DEACONESS MEDICAL CENTER	PART V, SECTION B, LINE 7: FOR DISCLOSURES RELATED TO FORM 990 SCHEDULE H PART V, SECTION B PLEASE SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION.
BETH ISRAEL DEACONESS MEDICAL CENTER	PART V, SECTION B, LINE 20D: FOR DISCLOSURES RELATED TO FORM 990 SCHEDULE H PART V, SECTION B PLEASE SEE SCHEDULE H PART VI SUPPLEMENTAL INFORMATION.

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
BETH ISRAEL DEACONESS HEALTHCARE LEXIN
482 BEDFORD STREET	LEXINGTON	MA	02420	OUTPATIENT MEDICAL CARE
BETH ISRAEL DEACONESS HEALTHCARE CHELS
1000 BROADWAY	CHELSEA	MA	02150	OUTPATIENT MEDICAL CARE
BOWDOIN STREET HEALTH CENTER
230 BOWDOIN STREET	DORCHESTER	MA	02122	OUTPATIENT MEDICAL CARE
CHESTNUT HILL URGENT CARE
200 BOYLSTON STREET	NEWTON	MA	02467	OUTPATIENT URGENT MEDICAL CARE
BETH ISRAEL DEACONESS CANCER CENTER
148 CHESTNUT STREET	NEEDHAM	MA	02492	OUTPATIENT CANCER CARE

Supplemental Information Detail SupplementalInformationDetail (27 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 SCHEDULE H SUPPLEMENTAL INFORMATION	DISCLOSURES FOR FORM 990 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION WILL FOLLOW THOSE DISCLOSURES RELATED TO FORM 990 SCHEDULE H PART V, SECTION BFORM 990 SCHEDULE H PART V, SECTION C, SUPPLEMENTAL INFORMATION FOR SCHEDULE H PART V, SECTION BFINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSCOMMUNITY BENEFITS MISSION STATEMENT THE MEDICAL CENTER IS COMMITTED TO ITS COMMUNITY. THE MEDICAL CENTER HAS A COVENANT TO CARE FOR THE UNDERSERVED AND TO WORK TO CHANGE DISPARITIES IN ACCESS TO CARE AND TO THAT END THE BOARD OF DIRECTORS HAS CHARGED ITS PERMANENT COMMUNITY BENEFITS COMMITTEE WITH AUTHORITY AND OVERSIGHT OF ACTIVITIES TO FULFILL THE MISSION OF COMMUNITY BENEFITS. THE MEDICAL CENTER KNOWS THAT TO BE SUCCESSFUL IT NEEDS TO LEARN FROM THOSE IT SERVES. THIS COMMUNITY BENEFIT MISSION IS FULFILLED BY:-IMPLEMENTING PROGRAMS AND SERVICES IN GREATER BOSTON AND OUTER CAPE COD TO IMPROVE THE CURRENT AND FUTURE HEALTH STATUS OF MEDICALLY UNDERSERVED COMMUNITIES WHICH ARE CHALLENGED BY BARRIERS IN ACCESSING AND INTERACTING EFFECTIVELY WITH THE HEALTHCARE SYSTEM AND IMPACTED BY OTHER SOCIAL DETERMINANTS OF HEALTH.-ENSURING THAT THE MEDICAL CENTER IS WELCOMING AND INCLUSIVE AND THAT ALL PATIENTS RECEIVE EQUITABLE CARE THAT IS RESPECTFUL AND CULTURALLY RESPONSIVE; AND-ENCOURAGING COLLABORATIVE RELATIONSHIPS WITH OTHER PROVIDERS AND GOVERNMENT ENTITIES TO SUPPORT AND ENHANCE RATIONAL AND EFFECTIVE HEALTH POLICIES AND PROGRAMS. DURING THE FISCAL YEAR COVERED BY THIS FILING, THE MEDICAL CENTER PROVIDED COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS OF $ 11,811,992 AS REPORTED ON THIS SCHEDULE H, PART I, LINES 7E AND 7I.COMMUNITY CARE ALLIANCE (CCA) AND COMMUNITY HEALTH CENTERS (CHC)BIDMC HAS PARTICULARLY STRONG RELATIONSHIPS WITH MANY OF THE PRIMARY CARE CLINICS THAT OPERATE IN ITS COMMUNITY BENEFITS SERVICE AREA, MANY OF WHOM ARE AFFILIATED WITH BIDMC'S COMMUNITY CARE ALLIANCE (CCA). SERVING OVER 100,000 PATIENTS ANNUALLY, THE CCA HEALTH CENTERS INCLUDE:-BOWDOIN STREET HEALTH CENTER-THE DIMOCK CENTER-FENWAY HEATH AND SIDNEY BORUM JR. HEALTH SERVICES-JOSEPH M. SMITH COMMUNITY HEALTH CENTER-OUTER CAPE HEALTH SERVICES-SOUTH COVE COMMUNITY HEALTH CENTERTHE MEDICAL CENTER PROVIDED COMBINED DIRECT GRANT, FUNDING AND COMMUNITY BENEFIT PROGRAMMING SUPPORT OF THESE CHCS AND THE CCA OF $ 2,795,204. THESE AMOUNTS ARE INCLUDED IN SCHEDULE H PART I, LINES 7E AND 7I AND ARE REPORTED IN SCHEDULE I PART II. THE CCA HEALTH CENTERS ARE IDEAL COMMUNITY BENEFITS PARTNERS AS THEY ARE ROOTED IN THEIR COMMUNITIES AND, AS FEDERALLY QUALIFIED HEALTH CENTERS, MANDATED TO SERVE LOW INCOME, UNDERSERVED POPULATIONS. THESE CLINIC PARTNERS HAVE BEEN A VITAL PART OF BIDMC'S COMMUNITY HEALTH IMPROVEMENT STRATEGY SINCE 1968, WHEN BETH ISRAEL HOSPITAL FIRST JOINED FORCES WITH THE DIMOCK CENTER TO ADDRESS MATERNAL AND CHILD HEALTH ISSUES. HISTORICALLY, BIDMC HAS RELIED HEAVILY ON ITS CCA PARTNERS AS WELL AS A NUMBER OF OTHER KEY COMMUNITY HEALTH PARTNERS TO IMPLEMENT ITS COMMUNITY BENEFITS INITIATIVES. IN THIS REGARD, BIDMC HAS LEVERAGED CCA'S EXPERTISE AND THE VITAL CONNECTIONS THAT THESE ORGANIZATIONS HAVE WITH RESIDENTS AND ORGANIZATIONS IN THE COMMUNITIES THEY SERVE. COMMUNITY BENEFITS LEADERSHIP AND PROCESSTHE BOARD OF DIRECTORS HAS CHARGED ITS PERMANENT COMMUNITY BENEFITS COMMITTEE WITH AUTHORITY AND OVERSIGHT OF ACTIVITIES TO FULFILL THE MISSION OF COMMUNITY BENEFITS. SPECIFICALLY, THE RESPONSIBILITIES OF THE COMMITTEE ARE TO:" (I) RECOMMEND BROAD GUIDELINES BY WHICH THE CORPORATION'S PROGRAMS AND POLICIES SERVE ITS COMMUNITIES; (II) MAKE RECOMMENDATIONS OF POLICIES AND PRIORITIES WITH REGARD TO PROGRAMS THAT MEET THE HEALTH CARE NEEDS OF ITS COMMUNITIES; (III) STRENGTHEN THE INTEGRATION OF THE CORPORATION'S COMMUNITY SERVICE ACTIVITIES, PUBLIC HEALTH PROGRAMS AND ITS OVERALL STRATEGIC PLANNING EFFORTS; (IV) OVERSEE THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY BENEFIT PLAN TO ADDRESS IDENTIFIED NEEDS IN THE COMMUNITY; (V) IDENTIFY, SHARE AND REPLICATE INNOVATIVE AND EVIDENCE-BASED MODELS AND BEST PRACTICES TO ADDRESS THESE NEEDS; (VI) REVIEW, AT LEAST ANNUALLY, THE EXTENT AND NATURE OF THE COMMITMENT OF RESOURCES TO PROGRAMS TARGETED AT IMPROVING THE CURRENT AND FUTURE HEALTH STATUS OF SURROUNDING COMMUNITIES; (V) ENCOURAGE COLLABORATIVE RELATIONSHIPS WITH OTHER PROVIDERS AND GOVERNMENT ENTITIES TO SUPPORT AND ENHANCE RATIONAL AND EFFECTIVE PUBLIC HEALTH POLICIES AND PROGRAMS; (VI) DISCUSS PUBLIC POLICY ISSUES AND RELEVANT LEGAL AND REGULATORY MATTERS RELATED TO PUBLIC HEALTH AND COMMUNITY BENEFITS AND ADVISE THE BOARD OF DIRECTORS OF THE IMPLICATIONS FOR THE CORPORATION; (VII) EDUCATE DIRECTORS, TRUSTEES, OVERSEERS, STAFF AND THE COMMUNITY ABOUT HOW THE CORPORATION ADDRESSES ITS MISSION TO FOCUS ON THE HEALTH NEEDS OF ITS COMMUNITIES; AND (VIII) WORK TO RECOGNIZE AND CONFRONT HEALTH DISPARITIES AND ENSURE THAT THE CORPORATION IS WELCOMING AND INCLUSIVE FOR ALL INDIVIDUALS OF DIVERSE BACKGROUNDS.."THE MEMBERSHIP OF THE MEDICAL CENTER'S COMMUNITY BENEFITS COMMITTEE ASPIRES TO BE REPRESENTATIVE OF THE CONSTITUENCIES AND TARGET POPULATIONS OF OUR PROGRAMMATIC ENDEAVORS INCLUDING THOSE FROM DIVERSE RACIAL AND ETHNIC BACKGROUNDS, AGE, GENDER, SEXUAL ORIENTATION AND GENDER IDENTITY, AS WELL AS THOSE FROM CORPORATE AND NON-PROFIT COMMUNITY ORGANIZATIONS. SENIOR MANAGEMENT IS ACTIVELY ENGAGED IN THE DEVELOPMENT AND IMPLEMENTATION OF THE COMMUNITY BENEFITS PLAN, ENSURING THAT THE MEDICAL CENTER'S POLICIES AND RESOURCES ARE ALLOCATED TO SUPPORT PLANNED ACTIVITIES.IT IS NOT ONLY THE BOARD AND SENIOR LEADERSHIP THAT ARE HELD ACCOUNTABLE IN FULFILLING THE MEDICAL CENTER'S COMMUNITY BENEFITS MISSION. CONSISTENT WITH THE MEDICAL CENTER'S CORE VALUES IS THE RECOGNITION THAT THE MOST SUCCESSFUL COMMUNITY BENEFITS PROGRAMS ARE THOSE THAT ARE IMPLEMENTED ORGANIZATION-WIDE AND INTEGRATED INTO THE VERY FABRIC OF THE MEDICAL CENTER'S CULTURE, POLICIES AND PROCEDURES. IT IS NOT A STAND-ALONE EFFORT THAT IS THE RESPONSIBILITY OF ONE STAFF OR DEPARTMENT BUT RATHER AN ORIENTATION AND VALUE MANIFESTED THROUGHOUT OUR STRUCTURE, REFLECTED IN HOW WE PROVIDE CARE HERE AT THE MEDICAL CENTER AND IN AFFILIATED PRACTICES IN URBAN NEIGHBORHOODS AND CERTAIN RURAL AREAS.PROVIDING DIRECTION FOR OUR COLLECTIVE COMMITMENT AND EFFORT ARE THE COMMUNITY BENEFIT GUIDING PRINCIPLES THAT FOLLOW. ADOPTED BY A BROAD-BASED CONSTITUENCY OF BOARD, SENIOR LEADERSHIP AND STAFF, THESE PRINCIPLES PROVIDE THE FRAMEWORK FOR THE EXECUTION OF THE PLAN, SPEARHEADED BY THE DIRECTOR OF COMMUNITY BENEFITS. THE DIRECTOR OF COMMUNITY BENEFITS IS ACCOUNTABLE TO THE SENIOR VICE PRESIDENT AND CHIEF STRATEGY OFFICER, WITH DIRECT ACCESS TO THE PRESIDENT/CEO. IT IS THE RESPONSIBILITY OF THESE THREE SENIOR MANAGERS TO ENSURE THAT COMMUNITY BENEFITS IS ADDRESSED BY THE ENTIRE ORGANIZATION AND THAT THE NEEDS OF UNDERSERVED POPULATIONS ARE CONSIDERED EVERY DAY IN DISCUSSIONS ON RESOURCE ALLOCATION, POLICIES, AND PROGRAM DEVELOPMENT. THIS IS THE STRUCTURE AND METHODOLOGY EMPLOYED TO ENSURE THAT COMMUNITY BENEFITS IS NOT THE PURVIEW OF ONE OFFICE ALONE AND TO MAXIMIZE THE EXTENT TO WHICH EFFORTS ACROSS THE ORGANIZATION ARE FULFILLING THE GOALS OF COMMUNITY BENEFITS.THE MEDICAL CENTER ACCOMPLISHES THESE GOALS BY PARTNERING WITH OUR COMMUNITY AS FOLLOWS:-THE MEDICAL CENTER PARTNERS WITH COMMUNITY LEADERS AND COMMUNITY-BASED ORGANIZATIONS WHO SERVE AS LINKS TO THE COMMUNITY AND TEACHERS OF HOW WE CAN BETTER SERVE THE POPULATIONS THEY REPRESENT. IN ADDITION, THE MEDICAL CENTER COLLABORATES WITH A WIDE VARIETY OF ORGANIZATIONS BECAUSE HEALTHCARE SERVICES BY THEMSELVES ARE NOT ADEQUATE TO MAXIMIZE IMPROVEMENT OF HEALTH STATUS.-IMPROVING THE COMMUNITY'S HEALTH REQUIRES MORE THAN CLINICAL SERVICES. THE MEDICAL CENTER LOOKS TO PUBLIC HEALTH, PREVENTION, AND OTHER HEALTH-RELATED APPROACHES NOT TRADITIONALLY PROVIDED BY MANY ACUTE CARE HOSPITALS.-THE MEDICAL CENTER'S COMMITMENT TO THE COMMUNITY BENEFITS MISSION IS AS FUNDAMENTAL AS ITS COMMITMENT TO ITS PATIENT CARE AND ACADEMIC MISSIONS. THAT IS, RATHER THAN ABANDON ANY OF THESE FUNDAMENTAL MISSIONS WHEN BUDGET RESTRAINTS ARISE, THE MEDICAL CENTER WILL CONSTANTLY SEEK WAYS TO FULFILL ALL OF THEM IN AS EFFECTIVE AND EFFICIENT A MANNER AS POSSIBLE.-COMMUNITY BENEFITS PROGRAMS ARE MOST SUCCESSFUL WHEN IMPLEMENTED ORGANIZATION-WIDE, JUST AS QUALITY AND RESPECT. COMMUNITY BENEFITS CANNOT SUCCEED AS A STAND-ALONE ACTIVITY. THE IMPORTANCE OF THESE PRINCIPLES AND THE EFFORTS THAT RESULT MUST BE EMBRACED BY TRUSTEES, SENIOR MANAGEMENT AND PROVIDERS ALIKE, AS WELL AS BY THE COMMUNITIES SERVED.
COMMUNITY HEALTH NEEDS ASSESSMENT	COMMUNITY HEALTH NEEDS ASSESSMENT INTERNAL REVENUE CODE SECTION 501(R)INTERNAL REVENUE CODE SECTION 501(R), ENACTED AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, REQUIRES EACH HOSPITAL TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND TO FORMALLY ADOPT AN IMPLEMENTATION STRATEGY PURSUANT TO FEDERAL GUIDELINES, IN ORDER MAINTAIN ITS TAX EXEMPT STATUS AS A HOSPITAL UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE MEDICAL CENTER COMPLETED ITS MOST RECENT NEEDS ASSESSMENT IN SEPTEMBER 2013. THE NEEDS ASSESSMENT AND ACCOMPANYING IMPLEMENTATION PLAN WERE APPROVED BY THE BETH ISRAEL DEACONESS MEDICAL CENTER BOARD OF DIRECTORS ON SEPTEMBER 18, 2013. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ALONG WITH THE ASSOCIATED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) IS THE CULMINATION OF NINE MONTHS (NOVEMBER 2012 JULY 2013) OF WORK AND WAS BORNE LARGELY OUT OF BIDMC'S COMMITMENT TO BETTER UNDERSTAND AND ADDRESS THE HEALTH-RELATED NEEDS OF THOSE LIVING IN ITS COMMUNITY BENEFITS SERVICE AREA WITH AN EMPHASIS ON THOSE WHO ARE MOST DISADVANTAGED. THE PROJECT ALSO FULFILLS COMMONWEALTH ATTORNEY GENERAL'S OFFICE AND FEDERAL INTERNAL REVENUE SERVICE (IRS) REGULATIONS THAT REQUIRE THAT BIDMC ASSESS COMMUNITY HEALTH NEEDS, ENGAGE THE COMMUNITY, IDENTIFY PRIORITY HEALTH ISSUES, AND CREATE A COMMUNITY HEALTH STRATEGY THAT DESCRIBES HOW THE MEDICAL CENTER, IN COLLABORATION WITH THE COMMUNITY AND LOCAL HEALTH DEPARTMENT, WILL ADDRESS THE NEEDS AND THE PRIORITIES IDENTIFIED BY THE ASSESSMENT.COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY INFORMATIONBIDMC FOCUSES ITS COMMUNITY BENEFITS EFFORTS ON IMPROVING THE HEALTH STATUS OF THE LOW INCOME, UNDERSERVED POPULATIONS LIVING IN ALLSTON/BRIGHTON, CHINATOWN, DORCHESTER, FENWAY/KENMORE, ROXBURY, AND THE SOUTH END. BIDMC ALSO HAS HISTORICAL TIES TO UNDERSERVED COMMUNITIES IN QUINCY AND TO SOME OF THE MOST ISOLATED, VULNERABLE AREAS OF CAPE COD, SPECIFICALLY THE OUTER CAPE (HARWICH, WELLFLEET, TRURO, AND PROVINCETOWN). THESE COMMUNITIES MAKE UP BIDMC'S COMMUNITY BENEFITS SERVICE AREA AND INCLUDE THE COMMUNITY CARE ALLIANCE (CCA), THE NETWORK OF ONE LICENSED AND FIVE FEDERALLY QUALIFIED HEALTH CENTERS AFFILIATED WITH BIDMC. (SCHEDULE H PART VI QUESTION 4). COMMUNITY HEALTH NEEDS ASSESSMENT -- APPROACH AND METHODSTHE CHNA WAS CONDUCTED BY THE BIDMC COMMUNITY BENEFITS DEPARTMENT IN THREE PHASES, WHICH ALLOWED BIDMC TO: 1) COMPILE AN EXTENSIVE AMOUNT OF QUANTITATIVE AND QUALITATIVE DATA, 2) ENGAGE AND INVOLVE KEY STAKEHOLDERS, BIDMC SENIOR STAFF, AND THE COMMUNITY AT-LARGE THROUGHOUT THE PROCESS, 3) DEVELOP A REPORT AND DETAILED STRATEGIC PLAN, AND 4) COMPLY WITH ALL COMMONWEALTH ATTORNEY GENERAL AND FEDERAL IRS COMMUNITY BENEFIT REQUIREMENTS. BETH ISRAEL DEACONESS MEDICAL CENTER'S COMMUNITY BENEFITS PROGRAM IS PREDICATED ON THE NOTION OF PARTNERSHIP AND DIALOGUE WITH ITS MANY COMMUNITIES. OUR UNDERSTANDING OF THESE COMMUNITIES' NEEDS IS DERIVED FROM DISCUSSIONS WITH AND OBSERVATIONS BY, HEALTHCARE AND HEALTH-RELATED WORKERS IN THE NEIGHBORHOODS AS WELL AS MORE FORMAL ASSESSMENTS THROUGH AVAILABLE PUBLIC HEALTH DATA, FOCUS GROUPS, SURVEYS, ETC. THESE DATA ARE THEN AUGMENTED BY DEMOGRAPHIC AND HEALTH STATUS INFORMATION GLEANED FROM A VARIETY OF SOURCES INCLUDING THE MASSACHUSETTS' DEPARTMENT OF PUBLIC HEALTH, THE BOSTON PUBLIC HEALTH COMMISSION, FEDERAL RESOURCES SUCH AS THE INSTITUTE OF MEDICINE, AND CENTERS FOR DISEASE AND PREVENTION, AND REVIEW OF LITERATURE RELEVANT TO A PARTICULAR COMMUNITY'S NEEDS AS REPORTED IN SCHEDULE H, PART V, SECTION B, QUESTION 3. THE MEDICAL CENTER CONDUCTED THIS CHNA PROCESS INDEPENDENTLY AS REPORTED IN SCHEDULE H, PART V, SECTION B, QUESTION 4.THE ARTICULATION OF EACH SPECIFIC COMMUNITY'S NEEDS (DONE IN PARTNERSHIP BETWEEN BETH ISRAEL DEACONESS MEDICAL CENTER AND COMMUNITY PARTNERS) IS USED TO INFORM OUR DECISION-MAKING ABOUT PRIORITIES FOR COMMUNITY BENEFITS EFFORTS. FOLLOWING THE GUIDING PRINCIPLES DESCRIBED ABOVE, FOR EACH PRIORITY AREA, WE WORK IN CONCERT WITH COMMUNITY RESIDENTS AND LEADERS TO DESIGN SPECIFIC ACTIONS TO BE UNDERTAKEN EACH YEAR. EACH COMPONENT OF THE PLAN IS THUS DEVELOPED AND EVENTUALLY WOVEN INTO THE ANNUAL GOALS AND AGENDA FOR THE MEDICAL CENTER'S COMMUNITY BENEFITS PLAN THAT IS ADOPTED BY THE BOARD OF DIRECTOR'S COMMUNITY BENEFITS COMMITTEE.
COMMUNITY HEALTH NEEDS ASSESSMENT SUMMARY OF FINDINGS	-LIMITED ACCESS AND BARRIERS TO COMMUNITY-BASED CARE FOR MANY RESIDENTS IN BOSTON. ACCORDING TO THE BOSTON PUBLIC HEALTH COMMISSION, NEARLY ONE IN FIVE (17% (2008)) BOSTON RESIDENTS DID NOT HAVE A PERSONAL HEALTH CARE PROVIDER; AND NEARLY ONE IN FOUR (23%) OF BOSTON RESIDENTS HAD NOT HAD A MEDICAL VISIT IN MORE THAN A YEAR (2010). DESPITE THE OVERALL SUCCESS OF THE COMMONWEALTH'S HEATH REFORM EFFORTS, SEGMENTS OF THE POPULATION, PARTICULARLY LOW INCOME AND RACIAL/ETHNIC MINORITY POPULATIONS, FACE SIGNIFICANT BARRIERS TO CARE AND STRUGGLE TO ACCESS SERVICES DUE TO LACK OF INSURANCE, COST, TRANSPORTATION, CULTURAL/LINGUISTIC BARRIERS, AND SHORTAGES OF COMMUNITY-BASED PRIMARY CARE PROVIDERS.-HIGH RATES OF OBESITY, LIMITED PHYSICAL EXERCISE, AND POOR NUTRITIONNEARLY TWO-THIRDS OF BOSTON ADULTS (18+) ARE EITHER OBESE OR OVERWEIGHT. ACCORDING TO THE CHNA SURVEY, RATES FOR SPECIFIC DEMOGRAPHIC, SOCIO-ECONOMIC AND GEOGRAPHIC POPULATION SEGMENTS LIVING IN NEIGHBORHOODS WITHIN BIDMC'S COMMUNITY BENEFITS SERVICE AREA ARE EVEN HIGHER. HIGH PROPORTIONS OF RESIDENTS IN BOSTON'S URBAN CORE DO NOT EXERCISE AND HAVE POOR NUTRITION, WHICH ARE THE LEADING FACTORS ASSOCIATED WITH OBESITY AND CHRONIC DISEASES, SUCH AS HEART DISEASE, HYPERTENSION, DIABETES, CANCER, AND DEPRESSION. -HIGH CHRONIC DISEASE AND CANCER RATES. RATES OF ILLNESS AND DEATH VARY BY CONDITION, BUT OVERALL RACIAL/ETHNIC MINORITY GROUPS ARE MORE LIKELY TO HAVE CHRONIC HEALTH CONDITIONS AND DIE FROM THEM THAN THEIR NON-HISPANIC, WHITE COUNTERPARTS. THIS PUTS A DISPROPORTIONATE BURDEN ON COMMUNITIES WITH HIGH PROPORTIONS OF RACIAL/ETHNIC MINORITIES, SUCH AS ROXBURY, NORTH AND SOUTH DORCHESTER, AND THE SOUTH END WHICH ARE NEIGHBORHOODS WITHIN BIDMC'S COMMUNITY BENEFITS SERVICE AREA. CARDIOVASCULAR DISEASE (HEART DISEASE), CANCER, AND CEREBROVASCULAR DISEASE (STROKE) ARE THE THREE LEADING CAUSES OF DEATH IN THE UNITED STATES, MASSACHUSETTS, AND BOSTON. IN ADDITION, DIABETES IS RANKED IN THE TOP 10 ACROSS ALL THREE OF THESE GEOGRAPHIC AREAS. ACCORDING TO THE COMMONWEALTH'S HOSPITAL DISCHARGE DATABASE RESIDENTS OF NORTH AND SOUTH DORCHESTER, ROXBURY, AND CHINATOWN/SOUTH END WERE MORE LIKELY TO RECEIVE INPATIENT SERVICES FOR HYPERTENSION, HEART FAILURE, ASTHMA, PNEUMONIA, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE THAN RESIDENTS OF BOSTON AND MASSACHUSETTS OVERALL. SERVICE FOR THESE CONDITIONS ARE OFTEN CONSIDERED PREVENTABLE OR AVOIDABLE WITH REGULAR, PRIMARY CARE SERVICES AND THEREFORE ARE INDICATIVE OF POOR OR LIMITED ACCESS TO PRIMARY CARE. -HIGH RATES OF MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES ACCORDING TO MASSCHIP (2010) AND THE MASSACHUSETTS SUBSTANCE ABUSE BUREAU, BOSTON HAS STATISTICALLY HIGHER RATES OF SUBSTANCE ABUSE TREATMENT ADMISSIONS, INCLUDING COCAINE, HEROIN AND OTHER OPIOIDS, WHEN COMPARED TO THE COMMONWEALTH. RATES ARE PARTICULARLY HIGH IN SOUTH DORCHESTER AND ROXBURY. ACCORDING TO BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM DATA, 10% OF BOSTON RESIDENTS REPORTED BEING POOR MENTAL HEALTH STATUS FOR MORE THAN 15 DAYS IN A GIVEN MONTH. ACCORDING TO DATA FROM THE BIDMC CHNA SURVEY, APPROXIMATELY 30% OF RESPONDENTS WERE DEEMED AT RISK FOR DEPRESSION AND NEEDED ADDITIONAL MENTAL HEALTH ASSESSMENT BECAUSE THEY SCREENED POSITIVE FOR A SHORT SCREENING TOOL FOR DEPRESSION. -MATERNAL AND CHILD HEALTH NEEDS. ACCORDING TO THE MASSACHUSETTS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AND BOSTON PUBLIC HEALTH COMMISSION THE INFANT DEATH RATE FOR HISPANICS/LATINOS IN BOSTON IS TWICE THE RATE OF NON-HISPANIC, WHITES, AND FOR AFRICAN AMERICANS/BLACKS THE RATE IS THREE TIMES THE RATE OF NON-HISPANIC, WHITES. ACCORDING TO THE MASSACHUSETTS VITAL RECORDS NATALITY INFANT DEATHS DATASET, RESIDENTS OF NORTH DORCHESTER AND ROXBURY HAVE HIGHER RATES OF INFANT MORTALITY COMPARED TO BOSTON OVERALL. HISPANIC/LATINO ADOLESCENTS IN BOSTON ARE THREE TIMES MORE LIKELY TO GIVE BIRTH TO A BABY AS NON-HISPANIC, WHITE ADOLESCENTS.-HIV/AIDS AND OTHER INFECTIOUS DISEASES STILL A MAJOR BURDEN ON SMALL BUT HIGH NEED SEGMENTS OF POPULATION. RATES OF HIV/AIDS ILLNESS, DEATH, AND TRANSMISSION HAVE DECLINED DRAMATICALLY OVER THE PAST DECADE. HOWEVER, HIV/AIDS AND OTHER SEXUALLY TRANSMITTED INFECTIONS STILL HAS A MAJOR IMPACT ON THE LESBIAN, GAY, BISEXUAL AND TRANSGENDER (LGBT) COMMUNITY, DISCONNECTED, AT-RISK YOUTH, CERTAIN BOSTON NEIGHBORHOODS (FENWAY/KENMORE, ROXBURY, NORTH DORCHESTER), AND THE COMMUNITIES ON THE OUTER CAPE (WELLFLEET, TRURO, AND PROVINCETOWN). ADDITIONALLY, THE ASIAN COMMUNITY IS STILL AFFECTED BY HEPATITIS B INFECTIONS.COMMUNITY HEALTH NEEDS ASSESSMENT ADDRESSING COMMUNITY HEALTH NEEDSLARGE PROPORTIONS OF INDIVIDUALS RESIDING WITHIN BOSTON AND BIDMC'S COMMUNITY BENEFITS SERVICE AREA LIVE IN POVERTY, HAVE LIMITED FORMAL EDUCATION, ARE UNEMPLOYED, AND STRUGGLE TO AFFORD FOOD AND OTHER ESSENTIAL HOUSEHOLD ITEMS. THESE POPULATIONS ARE DISPROPORTIONATELY FROM RACIAL/ETHNIC MINORITY GROUPS AND, PARTLY AS A RESULT OF THEIR POVERTY, FACE DISPARITIES IN HEALTH AND ACCESS TO CARE OUTCOMES. IT IS CRITICAL TO NOTE THAT THERE IS A MULTITUDE OF INDIVIDUAL, COMMUNITY AND SOCIETAL FACTORS THAT WORK TOGETHER TO CREATE THESE INEQUITIES. IT IS INSUFFICIENT TO TALK SOLELY ABOUT RACE/ETHNICITY, FOREIGN BORN STATUS, OR LANGUAGE; AS THE UNDERLYING AND CORRELATIVE ISSUES RELATED TO HEALTH AND WELL-BEING INVOLVE ECONOMIC OPPORTUNITY, EDUCATION, CRIME, AND COMMUNITY COHESION. BIDMC STRIVES TO ADDRESS THE PRIORITY AREAS AND IN ITS CHNA AND IMPLEMENTATION STRATEGY WHICH ARE AVAILABLE ON THE MEDICAL CENTER'S WEBSITE (HTTP://WWW.BIDMC.ORG/~/MEDIA/FILES/CENTERSANDDEPARTMENTS/COMMUNITY%20INITIATIVES/FINALCHNAREPORT92313.PDF) AND UPON REQUEST. A SUMMARY OF THE MEDICAL CENTER'S COMMUNITY BENEFIT ACTIVITIES WHICH ADDRESS THE NEEDS IDENTIFIED IN THE MOST RECENT CHNA AND PRIORITIZED IN THE MOST RECENT CHIP ARE PROVIDED HERE ALONG WITH THE ENTITIES WITH WHICH THE MEDICAL CENTER PARTNERS RELATED TO THESE EFFORTS. (PLEASE NOTE THAT THIS KEY RELATES TO THE DETAIL PROVIDED BELOW: KEY: BASELINE 2013, YEAR 1 2014, YEAR 2 2015, YEAR 3 2016).
PRIORITY AREA 1: HEALTHY LIVING - OBESITY, FITNESS, AND NUTRITION	HEALTHY AND SAFE EATING IS IMPORTANT THROUGHOUT THE LIFESPAN. REGULAR PHYSICAL ACTIVITY COMBINED WITH HEALTHY EATING ARE IMPORTANT FOR PEOPLE OF ALL AGES. PHYSICAL ACTIVITY HELPS PREVENT MANY DISEASES (E.G. HEART DISEASE, DIABETES AND SOME CANCERS), STRENGTHENS BONES AND MUSCLES, REDUCES STRESS AND DEPRESSION, AND MAKES IT EASIER FOR PEOPLE TO MAINTAIN A HEALTHY BODY WEIGHT. EATING A HEALTHY DIET CAN HELP LOWER PEOPLE'S RISK FOR HEART DISEASE, HIGH BLOOD PRESSURE, DIABETES, AND CERTAIN CANCERS, AND ALSO HELPS PEOPLE MAINTAIN A HEALTHY BODY WEIGHT. ACCORDING TO DATA FROM THE MASSACHUSETTS BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), NEARLY TWO-THIRDS OF BOSTON ADULTS (18+) (60%) ARE EITHER OBESE OR OVERWEIGHT. RATES FOR SPECIFIC DEMOGRAPHIC, SOCIO-ECONOMIC AND GEOGRAPHIC POPULATION SEGMENTS LIVING IN MANY OF BOSTON'S NEIGHBORHOODS ARE EVEN HIGHER. MASSACHUSETTS BRFSS DATA ALSO SHOWS THAT ONLY ONE IN FOUR ADULTS (18+) (26%) IN BOSTON ATE THE RECOMMENDED FIVE SERVINGS OF FRUITS AND VEGETABLES PER DAY, AND ROUGHLY THE SAME PERCENTAGE (25%) REPORTED GETTING NO PHYSICAL ACTIVITY IN THE PAST 30 DAYS. QUALITATIVE INFORMATION FROM THE ASSESSMENT'S INTERVIEWS AND FOCUS GROUPS CORROBORATED THESE FINDINGS AND NEARLY ALL DISCUSSION PARTICIPANTS CITED OBESITY, POOR NUTRITION, AND LACK OF PHYSICAL EXERCISE AS LEADING HEALTH ISSUES.GOAL: INCREASE PHYSICAL ACTIVITY AND HEALTHY EATINGTARGET POPULATION: CHILDREN, YOUTH, ADULTSPROGRAMMATIC OBJECTIVES: 1.1 INCREASE THE NUMBER OF CHILDREN, YOUTH, AND ADULTS WHO ARE PHYSICALLY ACTIVECOMMUNITY ACTIVITIES/STRATEGIES:-SUPPORT COMMUNITY CARE ALLIANCE (CCA) CLINICS THROUGH MINI-GRANTS TO PROMOTE PHYSICAL ACTIVITY PROGRAMMING-SUPPORT AND PROMOTE THE DEVELOPMENT OF WALKING AND OTHER PHYSICAL ACTIVITY GROUPS IN SCHOOLS, COMMUNITY-BASED AND PRIMARY CARE-BASED SETTINGS (E.G., BOWDOIN STREET WELLNESS CENTER)-SUPPORT AND COLLABORATE WITH THE BOSTON PUBLIC HEALTH COMMISSION, THE BOSTON COLLABORATIVE FOR FOOD AND FITNESS, AND THE BOSTON ALLIANCE FOR COMMUNITY HEALTH, BOTH INDEPENDENTLY AND IN PARTNERSHIP WITH CCA CLINICS, ON EFFORTS RELATED TO ACTIVE LIVING (E.G., COMMUNITY POOLS, PARKS, ETC.)METRICS AND STATUS UPDATE:-EXPANDED WALKING CLUB PROGRAMMING O NUMBER OF SCHOOLS PARTICIPATING: 16 (BASELINE); 19 (YEAR 1) O NUMBER OF CHILDREN ENROLLED: 3,755 (BASELINE); 4,176 (YEAR 1) O NUMBER OF STAFF PARTICIPANTS: 292 (BASELINE); 585 (YEAR 1) O NUMBER OF ADULT PARTICIPANTS: 1,648 (BASELINE); 1,999 (YEAR 1) O NUMBER OF PEDOMETERS DISTRIBUTED: 7,082 (BASELINE); 8,937 (YEAR 1)-OFFERED ZUMBA CLASSES AS PART OF BOSTON RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH: OBESITY AND HYPERTENSION DEMONSTRATION PROJECT (REACH), OBESITY PREVENTION INITIATIVE-ESTABLISHED BOWDOIN STREET HEALTH CENTER (BSHC) AS A HARVARD MEDICAL SCHOOL AGENTS OF CHANGE SITE; ENROLLED 15 OLDER ADULTS PARTICIPATED IN TAI CHI CLASSES FOR 6 MONTHS (YEAR 1) 1.2 DEVELOP BIDMC / BOWDOIN STREET WELLNESS CENTERCOMMUNITY ACTIVITIES/STRATEGIES:-SUPPORT FUNDRAISING EFFORTS-SUPPORT PLAN DEVELOPMENT PROCESSMETRICS AND STATUS UPDATE:-MOVED FORWARD WITH WELLNESS CENTER LAUNCH O MET $4M FUNDRAISING GOAL IN YEAR 1 O STARTED CONSTRUCTION ON SCHEDULE IN YEAR 1 (MAY 2014)1.3 INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS IN COMMUNITIES1.4 IMPROVE NUTRITIONAL QUALITY OF THE FOOD SUPPLY1.5 DECREASE THE NUMBER OF INDIVIDUALS AND FAMILIES WHO SUFFER FROM FOOD INSECURITYCOMMUNITY ACTIVITIES/STRATEGIES: -SUPPORT CCA CLINICS THROUGH MINI-GRANTS TO PROMOTE HEALTHY EATING PROGRAMMING-SUPPORT AND PROMOTE COMMUNITY GARDENS IN CCA COMMUNITIES-SUPPORT AND PROMOTE PARTICIPATION IN BOSTON FARMERS MARKETS, COMMUNITY ASSISTED AGRICULTURE, AND BOUNTY BUCKS PROGRAMS-SUPPORT AND PROMOTE THE CORNER STORE INITIATIVE-SUPPORT AND COLLABORATE WITH THE BOSTON PUBLIC HEALTH COMMISSION, BOSTON COLLABORATIVE FOR FOOD AND FITNESS, AND THE BOSTON ALLIANCE FOR COMMUNITY HEALTHMETRICS AND STATUS UPDATE:-HELD BOWDOIN GENEVA FARMERS' MARKET WEEKLY FROM JULY TO OCTOBER WITH VENDORS THAT ACCEPT SNAP, WIC AND SENIOR FAMRERS MARKET NUTRITION PROGRAM BENEFITS (YEAR 1)-PROVIDED 30 FAMILIES A SUBSIDIZED CSA INCLUDING CARTONS OF FRUITS AND VEGETABLES IN BASELINE YEAR AND YEAR 1-HOSTED HEALTHY CHAMPIONS (TALENTED AND UNDERPRIVILEGED YOUTH) O 10 HEALTHY CHAMPIONS (BASELINE) O 8 HEALTHY CHAMPIONS (BASELINE) PARTICIPATED IN FOCUS GROUPS FOR PLANNING AROUND USE OF NEW BSHC WELLNESS CENTER IN YEAR 1-PLANNED ROXBURY RISES AGAINST DIABETES (RRAD) AND SEAFOOD THROWDOWN IN YEAR 1, EVENTS TO OCCUR IN YEAR 21.6 INCREASE THE NUMBER OF CHILDREN AND YOUTH WHO ARE SCREENED FOR (BODY MASS INDEX) BMI AND PROVIDED COUNSELING/COACHING ON PHYSICAL EXERCISE, NUTRITION, AND OBESITY/OVERWEIGHTNESSCOMMUNITY ACTIVITIES/STRATEGIES:-SUPPORT PROGRAMS AT CCA CLINICS THAT SCREEN CHILD AND ADOLESCENT PATIENTS FOR BMI AND EDUCATE, COUNSEL/COACH PATIENTS ON NUTRITION, PHYSICAL ACTIVITY, AND OVERWEIGHTNESS/OBESITYMETRICS AND STATUS UPDATE: -INCREASED PERCENT OF CHILDREN/YOUTH SEEN AT FEDERALLY QUALIFIED HEALTH CENTERS FQHCS WITH SCREENING FOR BMI AND COUNSELING FOR NUTRITION IN PHYSICAL ACTIVITY: 66% (BASELINE); 79% (YEAR 1) -ENROLLED 12 NEW FAMILIES IN OPTIMAL WEIGHT FOR LIFE (OWL) IN YEAR 1 (APPROXIMATELY 15 NEW FAMILIES ENROLL EACH YEAR)-INCREASED ENROLLMENT OF CHILDREN IN ACTIVE LIVING/HEALTHY EATING PROGRAM FROM 35 (BASELINE) TO 38 (YEAR1)-DOCUMENTED IMPROVEMENT OF BMI FOR 11% OF CHILDREN, 25% OF ADULTS AND 19% OF OLDER ADULTS ENROLLED IN YEAR 1-ENROLLED 101 CHILDREN IN FITNESS IN THE CITYCOMMUNITY PARTNERS: COMMUNITY CARE ALLIANCE, BOSTON PUBLIC HEALTH COMMISSION, BOSTON COLLABORATIVE FOR FOOD AND FITNESS, BOSTON ALLIANCE FOR COMMUNITY HEALTH, BOWDOIN STREET HEALTH CENTER, COMMUNITY GROCERS AND FOOD RETAILERS.
GOAL: ENVIRONMENTAL SUSTAINABILITY	TARGET POPULATION: CHILDREN, YOUTH, ADULTSPROGRAMMATIC OBJECTIVES: 1.7 REDUCE ENERGY AND WATER CONSUMPTION1.8 INCREASE RECYCLINGCOMMUNITY ACTIVITIES/STRATEGIES: -IMPLEMENT ENVIRONMENTAL STRATEGIC PLAN-PROMOTE RECYCLING AND CONSERVATION OF WATER AND ENERGY THROUGHOUT BIDMCMETRICS AND STATUS UPDATE: -INCREASED RECYCLING RATE TO 23% (YEAR 1)-REDUCED ENERGY USE FROM 2008 BASELINE BY 5% (YEAR 1) -REDUCED WATER USE FROM 2008 BASELINE BY 7% (YEAR 1) -REDUCED FUEL CONSUMPTION FROM 2010 BASELINE BY 30% (YEAR 1)COMMUNITY PARTNERS: MASCO, HEALTH CARE WITHOUT HARM, PRACTICE GREEN HEALTH, EPA, BEYOND BENIGN*****PRIORITY AREA 2: DISEASE MANAGEMENT AND PREVENTIONCARDIOVASCULAR DISEASE (HEART DISEASE), CANCER, AND CEREBROVASCULAR DISEASE (STROKE) ARE THE THREE LEADING CAUSES OF DEATH IN THE UNITED STATES, MASSACHUSETTS, AND BOSTON. IN ADDITION, DIABETES IS RANKED IN THE TOP 10 ACROSS ALL THREE OF THESE GEOGRAPHIC AREAS, AND ASTHMA AND OTHER RESPIRATORY DISEASES HAVE A HUGE IMPACT ON LARGE PORTIONS OF ADULTS AND CHILDREN. IN ADDITION TO BEING THE MOST COMMON CAUSES OF DEATH AND ILLNESS, THESE CONDITIONS ARE AMONG THE MOST COSTLY AND PREVENTABLE. ALL OF THESE CHRONIC CONDITIONS SHARE THE SEVERAL HEALTH RISK FACTORS (TOBACCO USE, LACK OF PHYSICAL EXERCISE, POOR NUTRITION AND OBESITY/OVERWEIGHTNESS).ACCORDING TO DATA FROM THE MASSACHUSETTS HOSPITAL INPATIENT DISCHARGE DATASET, RESIDENTS FROM BOSTON'S URBAN CORE OF DORCHESTER, ROXBURY, AND THE SOUTH END ARE MORE LIKELY TO BE HOSPITALIZED FOR CHRONIC DISEASES AND CANCER THAN RESIDENTS OF BOSTON AND MASSACHUSETTS OVERALL. IN SOME CASES, HOSPITALIZATION RATES WERE TWO TO THREE TIMES HIGHER. ACCORDING TO THE HEALTH OF BOSTON REPORT, 2012-13, BOSTON'S AFRICAN AMERICAN/BLACK AND HISPANIC/LATINO RESIDENTS HAD HIGHER RATES OF DIABETES, HEART DISEASE AND CEREBROVASCULAR DISEASE HOSPITALIZATIONS, AND CANCER DEATH RATES THAN NON-HISPANIC, WHITE RESIDENTS.GOAL: INCREASE APPROPRIATE MONITORING, COUNSELING/ COACHING, AND REFERRALS FOR TREATMENT FOR ADULTS WITH DIABETES, HYPERTENSION, AND PERSISTENT ASTHMATARGET POPULATION: LOW INCOME ADULTSPROGRAMMATIC OBJECTIVES: 2.1 INCREASE THE NUMBER OF ADULTS WITH DIABETES, HYPERTENSION, AND PERSISTENT ASTHMA WHO RECEIVE EVIDENCE-BASED COUNSELING/COACHING AND TREATMENT2.2 INCREASE THE NUMBER OF ADULTS WITH DIABETES, HYPERTENSION, AND PERSISTENT ASTHMA WHOSE CONDITIONS ARE CONTROLLED2.3 IMPROVE DISEASE AND HEALTH LITERACYCOMMUNITY ACTIVITIES/STRATEGIES:-SUPPORT PROGRAMS IN CCA CLINICS THAT EDUCATE AND SCREEN PATIENTS FOR DIABETES, HYPERTENSION, AND PERSISTENT ASTHMA. PROVIDE EVIDENCED-BASED COUNSELING/COACHING AND TREATMENT, AS WELL AS APPROPRIATE REFERRALS FOR SPECIALTY CARE SERVICES FOR THOSE WHO SCREEN POSITIVEMETRICS AND STATUS UPDATE:-SOUGHT TO IMPROVE CARE MANAGEMENT FOR FQHC PATIENTS WITH CHRONIC DISEASE O INCREASED PERCENT OF PATIENTS WITH DIABETES WITH HBA1C < 9 FROM 78% (BASELINE) TO 83% (YEAR 1) O PERCENT OF PATIENTS WITH DIABETES WITH HBA1C < 8: 73% (YEAR 1) O PERCENT OF PATIENTS WITH HYPERTENSION WHO HAD A BLOOD PRESSURE < 140/90; 63% (YEAR 1) O PERCENT OF PERSISTENT ASTHMATIC PATIENTS WITH PHARMACOLOGICAL THERAPY 66% (YEAR 1) O LINKED HIV POSITIVE PATIENTS AT THE DIMOCK CENTER TO HCV SCREENING AND TREATMENT-SOUGHT TO IMPROVE CARE MANAGEMENT FOR BSHC PATIENTS WITH CHRONIC DISEASE O BSHC PATIENTS THAT HAD AT LEAST ONE HBA1C TEST: 88% (BASELINE) AND 95% (YEAR 1); O BSHC PATIENTS THAT HAD AT LEAST ONE LDL TEST: 82% (BASELINE) AND 77% (YEAR 1) O BSHC PATIENTS THAT HAD AT LEAST ONE EYE EXAM: 62% (BASELINE) AND 68% (YEAR 1) O WORKED WITH HEALTHIER ROXBURY COALITION TO PLAN ROXBURY RISES AGAINST DIABETESCOMMUNITY PARTNERS: CCA CLINICS, BIDMC EMPLOYEES, COMMUNITYGOAL: INCREASE EDUCATION, SCREENING, AND COUNSELING/COACHING RELATED TO CANCER TARGET POPULATION: LOW INCOME AND RACIAL/ETHNIC MINORITY ADULTSPROGRAMMATIC OBJECTIVES: 2.4 INCREASE THE NUMBER OF LOW INCOME AND RACIAL/ETHNIC MINORITY ADULTS EDUCATED AND SCREENED FOR CANCER2.5 INCREASE THE NUMBER OF ADULTS WHO SCREEN POSITIVE FOR CANCER WHO ARE REFERRED FOR COUNSELING AND TREATMENT2.6 INCREASE THE NUMBER OF ADULTS WHO SCREEN POSITIVE FOR CANCER WHO ARE LINKED TO A CANCER NAVIGATORCOMMUNITY ACTIVITIES/STRATEGIES:-SUPPORT ACCESS TO CANCER SCREENING AND TREATMENT FOR LOW INCOME, UNINSURED ADULTS (BREAST AND COLON CANCERS) -SUPPORT AND PROMOTE THE CITY-WIDE CANCER NAVIGATORS PROGRAM-LINK PATIENTS SCREENED POSITIVE FOR CANCER TO CANCER PATIENT NAVIGATORSMETRICS AND STATUS UPDATE: -SOUGHT TO INCREASE ACCESS TO PATIENT NAVIGATORS O PATIENTS SERVED BY CHINESE PATIENT NAVIGATOR: 345 (BASELINE); 399 (YEAR 1) O PATIENT SERVED BY LATINA PATIENT NAVIGATOR: 364 (BASELINE); 354 (YEAR 1) O PATIENT NAVIGATORS PARTICIPATE IN QUARTERLY NETWORK MEETINGS: 35 (BASELINE); 38 (YEAR 1)-PROVIDED MAMMOGRAMS FOR LOW-INCOME WOMEN: 3,110 (BASELINE); 3,406 (YEAR 1) -PROVIDED COLON CANCER SCREENINGS FOR LOW-INCOME PATIENTS: 1,832 (BASELINE); 2,157 (YEAR 1)-FACES OF FAITH PHOTOGRAPHY EXHIBIT PROFILED FAITH-BASED UNDER-REPRESENTED MINORITY CANCER SURVIVORS-SUPPORTED MAYOR'S CANCER RIDE PROGRAMCOMMUNITY PARTNERS: BIDMC PRACTICES, CANCER NAVIGATOR PROGRAM, DANA-FARBER/HARVARD CANCER CENTER, BOSTON PUBLIC HEATLH COMMISSION, CCA CLINICS
GOAL:	SUPPORT THE IMPLEMENTATION OF THE PATIENT CENTERED MEDICAL HOME (PCMH) MODEL IN CCA CLINICSTARGET POPULATION: SAFETY NET CLINICS, LOW INCOME INDIVIDUALS AND FAMILIESPROGRAMMATIC OBJECTIVES: 2.7 INCREASE THE NUMBER OF CCA CLINIC SITES WHO MEET NCQA OR CMS PCMH CERTIFICATION REQUIREMENTS2.8 IMPROVE CARE COORDINATION AND CONTINUITY OF CARE2.9 COLLABORATE WITH CCA/HEALTH CENTERS ON RESEARCH AND BEST PRACTICESCOMMUNITY ACTIVITIES/STRATEGIES:-SUPPORT CCA CLINICS IN THEIR EFFORTS TO BECOME NCQA OR CMS PCMH CERTIFIED-PARTICIPATE IN THE EOHHS PCMH COUNCIL'S PCMH PROGRAM-DEVELOP INTERFACE FOR LAB WITH E-CLINICAL WORKS WITH CCA CLINIC SITES-PROMOTE THE USE OF WEB OMR TOOLS BY CCA CLINIC PROVIDERS FOR ED AND INPATIENT DISCHARGES-PROMOTE ENHANCEMENTS AFFECTED THROUGH THE NEHEN AND PUSH PROJECTSMETRICS AND STATUS UPDATE: -ALL CCA HEALTH CENTERS ACHIEVED PATIENT CENTERED MEDICAL HOME (PCMH) RECOGNITION IN YEAR 1COMMUNITY PARTNERS: CCA CLINICS*****PRIORITY AREA 3: ACCESS TO PRIMARY AND SPECIALTY CAREGREATER BOSTON HAS ONE OF THE STRONGEST AND MOST COMPREHENSIVE HEALTHCARE SYSTEMS IN THE WORLD. THIS SYSTEM IS EXPANSIVE AND SPANS THE FULL HEALTHCARE CONTINUUM, INCLUDING OUTREACH AND SCREENING SERVICES, PRIMARY CARE MEDICAL AND MEDICAL SPECIALTY CARE SERVICES. THERE ARE NO ABSOLUTE GAPS IN SERVICES ACROSS THE CONTINUUM, EVEN FOR LOW INCOME AND RACIAL/ETHNIC MINORITY POPULATIONS THAT OFTEN STRUGGLE WITH ACCESS TO HEALTH CARE SERVICES. THIS DOES NOT MEAN, HOWEVER, THAT EVERYONE IN GREATER BOSTON RECEIVES THE HIGHEST QUALITY SERVICES WHEN THEY WANT IT AND WHERE THEY WANT IT. IN FACT, DESPITE THE OVERALL SUCCESS OF THE COMMONWEALTH'S HEATH REFORM EFFORTS, DATA CAPTURED FOR THIS ASSESSMENT SHOWS THAT SEGMENTS OF THE POPULATION, PARTICULARLY LOW INCOME AND RACIAL/ETHNIC MINORITY POPULATIONS, FACE SIGNIFICANT BARRIERS TO CARE AND STRUGGLE TO ACCESS SERVICES DUE TO LACK OF INSURANCE, COST, TRANSPORTATION, CULTURAL/LINGUISTIC BARRIERS, AND SHORTAGES OF PROVIDERS WILLING TO SERVE MEDICAID INSURED OR LOW INCOME, UNINSURED PATIENTS. AMONG SOME OF BOSTON'S MOST PROMINENT SAFETY NET PRIMARY CARE CLINICS, THE UNINSURED RATES RANGE FROM 17% TO 48%. THESE CLINICS STRUGGLE TO ENSURE ACCESS TO CARE FOR THEIR PATIENTS, PARTICULARLY FOR MEDICAL SPECIALTY CARE SERVICES. MASSACHUSETTS BRFSS DATA ALSO INDICATES THAT APPROXIMATELY ONE IN FIVE (21%) RESIDENTS LIVING IN NORTH DORCHESTER AND ALLSTON/BRIGHTON DO NOT HAVE A PERSONAL HEALTH CARE PROVIDER OR PRIMARY CARE PROVIDER COMPARED TO ONE IN SIX (17%) FOR BOSTON RESIDENTS OVERALL.GOAL: INCREASE ACCESS TO QUALITY MEDICAL SERVICES, INCLUDING PRIMARY CARE, OB/GYN, AND SPECIALTY CARE IN BOSTON'S URBAN CORE, QUINCY, AND THE OUTER PORTION OF CAPE CODTARGET POPULATION: CHILDREN, YOUTH, ADULTSPROGRAMMATIC OBJECTIVES: 3.1 MAINTAIN AND INCREASE THE NUMBER OF PATIENTS RECEIVING PRIMARY MEDICAL CARE SERVICES, INCLUDING OB/GYN SERVICE AT CCA CLINICS3.2 MAINTAIN AND INCREASE THE NUMBER OF PATIENTS RECEIVING SPECIALTY CARE MEDICAL SERVICES3.3 ENSURE ACCESS TO SERVICES FOR THOSE ON THE OUTER CAPE3.4 ENSURE ACCESS TO APPROPRIATE TRAUMA CARE AND EMERGENCY SERVICES3.5 MAINTAIN OR INCREASE SUPPORT FOR HSN TRUST FUND; AND ADVOCATE FOR LEGISLATION AND POLICIES SUPPORTING PUBLIC HEALTH, MENTAL HEALTH AND SUBSTANCE ABUSE AND ANTI-POVERTY PROGRAMS3.6 SCREEN AND ENROLL THOSE WHO QUALIFY FOR HEALTH INSURANCE THROUGH THE AFFORDABLE CARE ACT (ACA)COMMUNITY ACTIVITIES/STRATEGIES: -SUPPORT CLINICAL PROGRAMS AT CCA CLINICS-SUPPORT TRANSPORTATION FOR INDIGENT, LOW-INCOME PATIENTS -SUPPORT INSTITUTIONAL AND COMMUNITY EMERGENCY PREPAREDNESS -SUPPORT OUTER CAPE HEALTH SERVICES EFFORTS TO IMPLEMENT MAMMOGRAPHY AND DIGITAL RADIOLOGY SERVICES-SUPPORT MEDFLIGHT AND CENTRALIZED, COORDINATED EMERGENCY MEDICAL SERVICES FOR BOSTON-SUPPORT HSNMETRICS AND STATUS UPDATE: -PROVIDED LOW-INCOME PATIENTS SERVICES AT BIDMC-AFFILIATED FQHCS O SERVED 94,150 PATIENTS (BASELINE); 95,365 PATIENTS (YEAR 1) O PROVIDED 486,220 VISITS (YEAR 1) O PATIENTS BEST SERVED IN LANGUAGE OTHER THAN ENGLISH: 41% (BASELINE); 44% (YEAR 1) O PATIENTS OF MINORITY RACE/ETHNICITY: 62% (BASELINE); 70% (YEAR 1) O PATIENTS WITHOUT INSURANCE: 12% (BASELINE); 12% (YEAR 1)-INCREASED NUMBER OF BIDMC SPECIALISTS SERVING CCA CLINICS FROM 21 (BASELINE) TO 24 (YEAR 1) -ASSIGNED RESIDENTS TO HEALTH CENTERS DURING ACADEMIC YEAR: 41 (BASELINE); 41 (YEAR 1)-HOSTED JOINT RESIDENCY PROGRAM WITH FENWAY HEALTH 12 RESIDENTS IN HIV/LGBT PRIMARY CARE RESIDENCY PROGRAM-STARTED A PRIMARY CARE RESIDENCY WITH 8 RESIDENTS -PROVIDED ONGOING SUPPORT TO MEDFLIGHT TO ENSURE ACCESS TO EMERGENCY SERVICES FOR THOSE IN ISOLATED AREAS-SCREENED INDIVIDUALS FOR INSURANCE ELIGIBILITY: 8,340 (BASELINE); 7,810 (YEAR 1)-ENROLLED INDIVIDUALS IN ENTITLEMENT PROGRAMS: 7,255 (BASELINE); 7,625 (YEAR 1)-SERVED HSN PATIENTS: 6,254 (BASELINE); 5,408 (YEAR 1)COMMUNITY PARTNERS: CCA CLINICS
GOAL: INCREASE ACCESS TO QUALITY PRIMARY CARE DENTAL SERVICES	TARGET POPULATION: CHILDREN, YOUTH, ADULTSPROGRAMMATIC OBJECTIVES:3.7 MAINTAIN AND INCREASE THE NUMBER OF PATIENTS RECEIVING PRIMARY DENTAL CARE SERVICES AT CCA CLINIC3.8 PUBLIC POLICY ADVOCACYCOMMUNITY ACTIVITIES/STRATEGIES: -SUPPORT CLINICAL PROGRAMS AT CCA CLINICS-SUPPORT HSNMETRICS AND STATUS UPDATE: -DENTAL VISITS AT BIDMC-AFFILIATED HEALTH CENTERS: 70,009 (YEAR 1)-UNIQUE PATIENTS WITH A DENTAL VISIT AT BIDMC-AFFILIATED HEALTH CENTERS: 24,471 (YEAR 1)COMMUNITY PARTNERS: CCA CLINICSGOAL: INCREASE ACCESS TO QUALITY PRIMARY BEHAVIORAL HEALTH CARE SERVICESTARGET POPULATION: CHILDREN, YOUTH, ADULTSPROGRAMMATIC OBJECTIVES: 3.9 MAINTAIN AND INCREASE THE NUMBER OF PATIENTS RECEIVING PRIMARY BEHAVIORAL HEALTH CARE SERVICES AT CCA CLINICS3.10 PUBLIC POLICY ADVOCACYCOMMUNITY ACTIVITIES/STRATEGIES:-SUPPORT CLINICAL PROGRAMS AT CCA CLINICS-SUPPORT HSN-SUPPORT PRIMARY CARE BEHAVIORAL HEALTH INTEGRATION AT CCA CLINICSMETRICS AND STATUS UPDATE:-MENTAL HEALTH AND SUBSTANCE ABUSE VISITS AT BIDMC-AFFILIATED HEALTH CENTERS: 60,223 (YEAR 1)-UNIQUE PATIENTS WITH A MENTAL HEALTH/SUBSTANCE ABUSE VISIT AT BIDMC-AFFILIATED HEALTH CENTERS: 6,693 (YEAR 1)-LAUNCHED TELEPHONIC PSYCHIATRIC CONSULTATION OF BIDMC PSYCHIATRIST TO HEALTH CENTER PCPS AT OUTER CAPE HEALTH SERVICESCOMMUNITY PARTNERS: CCA CLINICSGOAL: INCREASE QUALITY AND EFFICIENCY OF CLINICAL SERVICES AT CCA CLINICSTARGET POPULATION: CHILDREN, YOUTH, ADULTSPROGRAMMATIC OBJECTIVES:3.11 INCREASE PATIENT SATISFACTION3.12 INCREASE CLINIC EFFICIENCY AND PRODUCTIVITYCOMMUNITY ACTIVITIES/STRATEGIES:-IDENTIFY OPPORTUNITIES FOR ADMINISTRATIVE AND FISCAL SAVINGS-CONDUCT "MYSTERY SHOPPING" TO ADDRESS QUALITY IMPROVEMENT ISSUES RELATED TO ACCESS AND PATIENT EXPERIENCEMETRICS AND STATUS UPDATE:-COMPLETED MONTHLY MYSTERY SHOPPING SURVEYS AT 6 CCA HEALTH CENTERS: 92 (BASELINE); 72 (YEAR 1)-CONNECTED BSHC AND FENWAY HEALTH TO BETH ISRAEL DEACONESS CARE ORGANIZATION'S (BIDCO) QUALITY DATA CENTER (QDC) IN YEAR 1-IMPROVED MONTHLY REGULATORY OIG REVIEW FOR ALL CHC PERSONNEL AND VENDORS IN YEAR 1COMMUNITY PARTNERS: CCA CLINICS*****PRIORITY AREA 4: MENTAL HEALTH AND SUBSTANCE ABUSEMENTAL ILLNESS AND SUBSTANCE ABUSE HAVE A PROFOUND IMPACT ON THE HEALTH OF PEOPLE LIVING THROUGHOUT THE UNITED STATES, INCLUDING THOSE LIVING IN MASSACHUSETTS AND THE BOSTON AREA. MENTAL HEALTH AND SUBSTANCE ABUSE HOSPITALIZATION AND DEATH RATES ARE HIGHER FOR A NUMBER OF BOSTON'S NEIGHBORHOODS, PARTICULAR ROXBURY AND PARTS OF DORCHESTER. ACCORDING TO DATA FROM THE ASSESSMENT'S COMMUNITY SURVEY, HIGH PROPORTIONS OF BOSTON RESIDENTS STRUGGLE WITH PERSISTENT SADNESS AND/OR WERE AT RISK FOR DEPRESSION AND NEARLY ONE-THIRD (30%) OF RESPONDENTS QUALIFIED FOR ADDITIONAL MENTAL HEALTH SCREENING. NEARLY ONE IN SIX SURVEY RESIDENTS REPORTED POOR MENTAL HEALTH STATUS FOR MORE THAN 15 DAYS IN A GIVEN MONTH, COMPARED TO ONE IN TEN RESIDENTS IN BOSTON OVERALL. QUALITATIVE INFORMATION FROM THE ASSESSMENT'S INTERVIEWS AND FOCUS GROUPS CORROBORATED THESE FINDINGS AND A MAJORITY OF THE DISCUSSION PARTICIPANTS CITED MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES AS LEADING HEALTH ISSUES.
GOAL:	INCREASE ACCESS TO QUALITY MENTAL HEALTH CARE AND SUBSTANCE ABUSE SERVICES IN THE PRIMARY CARE SETTINGTARGET POPULATION: CHILDREN, YOUTH, ADULTSPROGRAMMATIC OBJECTIVES:4.1 MAINTAIN AND INCREASE THE NUMBER OF PATIENTS RECEIVING MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES IN THE PRIMARY CARE SETTING IN CCA CLINICSCOMMUNITY ACTIVITIES/STRATEGIES:-SUPPORT GENERAL CLINICAL PROGRAMS AT CCA CLINICS-SUPPORT PRIMARY CARE BEHAVIORAL HEALTH INTEGRATION AT CCA CLINICS-PUBLIC POLICY ADVOCACY-ADMINISTER ASK DEVELOPMENT EVALUATION PROGRAMMETRICS AND STATUS UPDATE:-ENROLLED FAMILIES IN MY CHILD PROGRAM AND DEVELOPED DEFINED INTERVENTION PLANS: 10 FAMILIES (BASELINE); 19 (YEAR 1)-PROVIDED CULTURALLY AND LINGUISTICALLY COMPETENT INDIVIDUAL AND GROUP PSYCHOTHERAPY AND PHARMACOLOGIC SERVICES TO HISPANIC/LATINO PATIENTS: O 1,250 VISITS (BASELINE); 1,848 (YEAR 1) O 337 UNIQUE PATIENTS (YEAR 1)-BEHAVIORAL HEALTH CARE MANAGER AT BSHC SERVED 457 PATIENTS (YEAR 1)-IMPLEMENTED SBIRT SCREENING IN ED-SPONSORED QUARTERLY SOBREMESA NETWORK/EDUCATION EVENT OF CULTURAL PSYCHIATRY-CONTINUE TO PROVIDE MONTHLY DEVELOPMENTAL ASSESSMENT AT TWO HEALTH CENTERS FOR SCHOOL-AGED CHILDREN WITH LEARNING AND BEHAVIORAL HEALTH ISSUES-PROVIDED OUTREACH AND HOME VISITING SERVICES TO PATIENTS WITH COMPLETE PHYSICAL AND BEHAVIORAL HEALTH NEEDSCOMMUNITY PARTNERS: CCA CLINICSGOAL: PROMOTE INTEGRATED MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES IN PRIMARY CARE SETTINGSTARGET POPULATION: ADULTSPROGRAMMATIC OBJECTIVES: 4.2. INCREASE THE NUMBER OF ADULTS WITH MENTAL HEALTH AND SUBSTANCE ISSUES WHO ARE APPROPRIATELY MONITORED, ASSESSED, AND TREATED IN CCA CLINICSCOMMUNITY ACTIVITIES/STRATEGIES: -SUPPORT PROGRAMS IN CCA CLINICS TO INTEGRATE SERVICES PROVIDED BY BEHAVIORAL HEALTH SPECIALISTS AND MONITOR, ASSESS, AND TREAT THOSE WITH MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (E.G., DEPRESSION, ANXIETY, ALCOHOL/PRESCRIPTION DRUG ABUSEMETRICS AND STATUS UPDATE:-SERVED PATIENTS IN DIMOCK CENTER OFFICE-BASED OPIOID TREATMENT PROGRAM: 63 PATIENTS SERVED (BASELINE); 60 (YEAR 1)-REDUCED NO-SHOW RATE BY 8% COMMUNITY PARTNERS: CCA CLINICS, BIDMC ED***PRIORITY AREA 5: YOUTH VIOLENCE PREVENTIONCRIME AND VIOLENCE AFFECT ALL OF BOSTON'S RESIDENTS TO SOME EXTENT BUT HAVE A MAJOR IMPACT ON TWO OF BOSTON'S INNER CITY NEIGHBORHOODS, ROXBURY AND DORCHESTER. THESE IMPACTS INCLUDE DEATH AND INJURY, EMOTIONAL TRAUMA, ANXIETY, AND OTHER MENTAL HEALTH ISSUES, ISOLATION, AND LACK OF TRUST AND/OR COMMUNITY COHESION. SEVERAL OF THE ASSESSMENTS KEY INFORMANT INTERVIEWEES DISCUSSED THE IMPACTS OF CRIME AND VIOLENCE AND ITS ASSOCIATED TRAUMA, PARTICULARLY ON THE AREA'S YOUTH AND THEIR FAMILIES. RATES OF HOMICIDE AND NON-FATAL GUNSHOT WOUNDS SEEN IN BOSTON'S HOSPITAL EMERGENCY DEPARTMENTS ARE CONSIDERABLY HIGHER FOR ROXBURY AND DORCHESTER RESIDENTS THAN FOR RESIDENTS OF BOSTON OVERALL. ROXBURY AND DORCHESTER BOTH HAD A RATE OF 21 HOMICIDE DEATHS PER 100,000 IN 2008 COMPARED TO A RATE OF 9 FOR THE CITY OF BOSTON OVERALL AND A RATE OF 3 FOR THE COMMONWEALTH. ACCORDING TO DATA DRAWN FROM THE HEALTH OF BOSTON REPORT IN 2012-13, AFRICAN AMERICANS/BLACKS (2.2 PER 100,000) ARE MORE THAN TWICE AS LIKELY AS HISPANICS/LATINOS (.9 PER 100,000) TO HAVE AN EMERGENCY DEPARTMENT VISIT FOR A NON-FATAL GUNSHOT WOUND OR STABBING, AND MORE THAN 10 TIMES MORE LIKELY AS NON-HISPANIC, WHITES (0.2 PER 100,000).GOAL: PROVIDE SUPPORT AND THERAPEUTIC INTERVENTIONS TO VICTIMS OF DOMESTIC VIOLENCE, SEXUAL ASSAULT AND COMMUNITY VIOLENCETARGET POPULATION: CHILDREN, YOUTH, ADULTSPROGRAMMATIC OBJECTIVES:5.1 INCREASE ACCESS TO MENTAL HEALTH SERVICES AT BSHC FOR AFFECTED VICTIMS5.2 INCREASE PARTICIPATION IN ADVOCATE EDUCATION AND SUPPORT PROJECT5.3 PROVIDE COUNSELING AND OTHER MEDICAL SERVICES TO RAPE VICTIMS5.4 PROVIDE GRIEVING SUPPORT ACTIVITIES5.6 CONDUCT NEIGHBORHOOD CAMPAIGNS TO ENGAGE COMMUNITY AND CREATE GREATER COMMUNITY COHESIONCOMMUNITY ACTIVITIES/STRATEGIES:-SUPPORT PROGRAMS IN BSHC THAT INTEGRATE SERVICES PROVIDED BY BEHAVIORAL HEALTH SPECIALISTS AND MONITOR, ASSESS, AND TREAT THOSE EXPERIENCING TRAUMA FROM VIOLENCE -HOLD HEALING SERVICES WHEN APPROPRIATE FOR COMMUNITY RESIDENTS-PARTICIPATE IN COMMUNITY INTERVENTIONS THAT RAISE AWARENESS ABOUT VIOLENCE, ENGAGE THE COMMUNITY, ADDRESS FACTORS ASSOCIATED WITH VIOLENCE (E.G., "BROKEN WINDOW" THEORY, BLOCK CAPTAINS PROGRAM, ETC.), AND PROMOTE A SENSE OF COMMUNITY -SUPPORT AND PROMOTE THE IMPLEMENTATION OF TRAINING PROGRAMS, SUPPORT GROUPS FOR ADVOCATES AND AFFECTED COMMUNITY MEMBERS-PROVIDE OVERNIGHT STAYS FOR DOMESTIC VIOLENCE AND/OR SEXUAL ASSAULT VICTIMS WITHOUT SAFE SHELTER-PUBLIC POLICY ADVOCACY FOR SAFE SHELTERS AND LONG-TERM HOUSING SUPPORTMETRICS AND STATUS UPDATE: -PROVIDED SERVICES TO SEXUAL ASSAULT VICTIMS: 43 (BASELINE); 78 (YEAR 1)-PROVIDED SAFE BED OVERNIGHT STAYS: 34 (BASELINE); 44 (YEAR 1)-PROVIDED EDUCATIONAL PROGRAMMING TO ADVOCATES: 58 ADVOCATES (BASELINE); 58 (YEAR 1)-PROVIDED HEALING CIRCLES WITH WOMEN, MEN, AND CHILDREN O 22 HEALING CIRCLES (BASELINE); 19 (YEAR 1) O 345 PARTICIPANTS (BASELINE); 289 (YEAR 1)-PROVIDED THERAPEUTIC SERVICES THROUGH DEFENDING CHILDHOOD PROGRAM O 33 FAMILIES (BASELINE); 37 (YEAR 1) O 165 ENCOUNTERS (BASELINE); 659 (YEAR 1)-PROVIDED TRAUMA-INFORMED, THERAPEUTIC SERVICES TO GROUPS AT COMMUNITY CENTERS: 19 GROUP VISITS (BASELINE); 30 (YEAR 1)-PROVIDED RESOURCES TO BACH TO ESTABLISH COMMUNITY ADVISORY BOARD IN BOWDOIN GENEVA NEIGHBORHOODCOMMUNITY PARTNERS: -BOWDOIN STREET HEALTH CENTER (BSHC)-BOSTON PUBLIC HEALTH COMMISSION-OTHER BOWDOIN/ GENEVA NEIGHBORHOOD ORGANIZATIONS-BOSTON ALLIANCE FOR COMMUNITY HEALTH (BACH)***AS DESCRIBED IN DETAIL IN THIS SUPPORTING NARRATIVE TO THE FORM 990 SCHEDULE H, THE MEDICAL CENTER IS DEEPLY DEDICATED TO ITS COMMUNITY BENEFITS OPERATIONS AND TO IMPROVING THE HEALTH OF ITS COMMUNITY. HOWEVER, AS NOTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7, THERE WERE SOME NEEDS IDENTIFIED IN THE CHNA THAT ARE NOT INCLUDED IN THE CHIP: TRANSPORTATION, UNEMPLOYMENT AFFORDABLE HOUSING, SAFE PARKS/PLAYGROUNDS. THE MEDICAL CENTER IS UNABLE TO ADDRESS THESE NEEDS DUE TO LIMITED FINANCIAL RESOURCES; HOWEVER, THE MEDICAL CENTER DID PARTICIPATE IN CERTAIN WORKFORCE DEVELOPMENT PROGRAMMING AS REPORTED IN THIS FORM 990 SCHEDULE H PART II AND AS DETAILED IN THE NARRATIVE TO THIS SCHEDULE H PART VI.AS NOTED IN DETAIL ABOVE, THE MEDICAL CENTER'S PRIMARY TOOL FOR ASSESSING THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED IS THROUGH THE CHNA AND CHIP (SCHEDULE H PART VI QUESTION 2).
FORM 990 SCHEDULE H PART VI SUPPLEMENTAL INFORMATION	THE PURPOSE OF THIS FORM 990 SCHEDULE H NARRATIVE DISCLOSURE IS TO HELP THE READER UNDERSTAND IN MORE DETAIL HOW THE MEDICAL CENTER CARES FOR ITS COMMUNITY BY PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AS WELL AS COMMUNITY BUILDING ACTIVITIES. AS DEMONSTRATED IN THIS SCHEDULE H, DURING THE PERIOD COVERED BY THIS FILING, 15.47% OF THE MEDICAL CENTER'S TOTAL EXPENSES WERE INCURRED IN PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. IN ADDITION AS NOTED IN THE NARRATIVE BELOW, THERE ARE SIGNIFICANT ADDITIONAL ACTIVITIES AND EXPENDITURES WHICH THE MEDICAL CENTER CONSIDERS FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS. UNDER THE INSTRUCTIONS TO THIS SCHEDULE H QUESTION 7 THESE ITEMS ARE NOT QUANTIFIED IN SCHEDULE H QUESTION 7, BUT IT IS WORTH NOTING THAT IF THE MEDICAL CENTER HAD INCLUDED THESE IN SCHEDULE H QUESTION 7, THE FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST WOULD BE APPROXIMATELY 30 % FOR THE PERIOD COVERED BY THIS FILING. COMMUNITY BENEFITS ANNUAL COMMUNITY BENEFITS REPORTIN ADDITION TO THE MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) WHICH WERE APPROVED BY THE COMMUNITY BENEFITS COMMITTEE AND BOARD OF DIRECTORS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2013, AS NOTED IN THIS FORM 990 SCHEDULE H, PART I, LINES 6A AND 6B, THE MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS SUBMITTED TO THE MASSACHUSETTS ATTORNEY GENERAL. THAT FILING IS AVAILABLE FOR PUBLIC INSPECTION AT THE ATTORNEY GENERAL'S OFFICE, ON THE ATTORNEY GENERAL'S WEBSITE AND AT THE MEDICAL CENTER UPON REQUEST. THERE ARE SOME DIFFERENCES BETWEEN THE MASSACHUSETTS ATTORNEY GENERAL DEFINITION OF CHARITY CARE AND COMMUNITY BENEFITS AND THE INTERNAL REVENUE SERVICE DEFINITION OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS. AS SUCH, THERE ARE VARIANCES BETWEEN THIS SCHEDULE H DISCLOSURE AND THE REPORT THE MEDICAL CENTER FILED WITH THE ATTORNEY GENERAL'S OFFICE. IN ADDITION, AS NOTED IN THIS FORM 990, SCHEDULE H, PART V, SECTION A, THE MEDICAL CENTER IS A TERTIARY CARE LICENSED ACADEMIC MEDICAL CENTER, PROVIDING MEDICAL AND SURGICAL CARE, TEACHING AND RESEARCH AND AS NOTED ELSEWHERE IN THIS RETURN, PROVIDES 24 HOUR EMERGENCY MEDICAL CARE TO ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS	FINANCIAL ASSISTANCE AND MEANS TESTED GOVERNMENT PROGRAMSFINANCIAL ASSISTANCEAS REPORTED IN THE MEDICAL CENTER'S CONSOLIDATED FINANCIAL STATEMENT AND IN THIS FORM 990, SCHEDULE H, THE MEDICAL CENTER'S NET COST OF CHARITY CARE, INCLUDING CARE FOR EMERGENT SERVICES PROVIDED TO NON-PAYING PATIENTS AND PAYMENTS TO AND RECEIPTS FROM THE HEALTH SAFETY NET TRUST, WAS $15,534,347 IN FISCAL YEAR ENDED SEPTEMBER 30, 2014 AND HAS BEEN REPORTED AS PART OF THE FINANCIAL ASSISTANCE AND CHARITY CARE REPORTED IN THIS SCHEDULE H, PART I, LINE 7A. AS NOTED THROUGHOUT THIS FORM 990, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) IS AN ENTITY EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER. THE OPERATIONS OF HMFP AND THE ENTITIES FOR WHICH HMFP SERVES AS MEMBER ARE INTEGRALLY RELATED TO THE MEDICAL CENTER'S ACCOMPLISHMENT OF ITS PURPOSES. AS PART OF THIS RELATIONSHIP, HMFP PATIENTS WHO MEET THE MEDICAL CENTER'S FREE CARE CRITERIA ARE PROVIDED FREE CARE AT HMFP AND ITS AFFILIATED ENTITIES. DURING THE FISCAL PERIOD COVERED BY THIS FILING, HMFP AND ITS AFFILIATED ENTITIES PROVIDED ADDITIONAL NET FREE CARE TO PATIENTS IN THE AMOUNT OF $3,623,709. SEE ADDITIONAL INFORMATION BELOW IN THIS SCHEDULE H NARRATIVE.OTHER UNCOMPENSATED CHARITY CARE MEDICAID AND MEDICAREIN ADDITION TO THE CHARITY CARE REPORTED ABOVE, THE MEDICAL CENTER ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN OTHER PROGRAMS DESIGNED TO SUPPORT LOW INCOME FAMILIES, INCLUDING THE MEDICAID PROGRAM, WHICH IS JOINTLY FUNDED BY FEDERAL AND STATE GOVERNMENTS. THE MASSACHUSETTS HEALTH REFORM LAW PROVIDED AN INITIATIVE FOR EXPANSION OF MEDICAID COVERAGE TO GREATER POPULATIONS AND FOR ENROLLMENT OF UNINSURED PATIENTS IN OTHER INSURANCE PROGRAMS. PAYMENTS FROM MEDICAID AND OTHER PROGRAMS WHICH INSURE LOW INCOME POPULATIONS DO NOT COVER THE COST OF SERVICES PROVIDED. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 20.89% OR 220,191 OF THE MEDICAL CENTER'S PATIENT CASES WERE WITH MEDICAID PATIENTS. THIS TRANSLATES TO $152,790,990 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY THE MEDICAL CENTER FOR SUCH SERVICES BY $ 31,728,675, AS REPORTED ON THIS SCHEDULE H, PART I, LINE 7B. MEDICARE IS THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS, AND THE MEDICAL CENTER PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM. DURING THE FISCAL PERIOD COVERED BY THIS FILING, 27.83% OR 293,260 OF THE MEDICAL CENTER'S PATIENT ENCOUNTERS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO $329,978,618. HOWEVER, BECAUSE PAYMENTS TO HOSPITALS THROUGH THIS GOVERNMENT SPONSORED PROGRAM HAVE NOT KEPT PACE WITH INFLATION, REVENUE COLLECTED WAS LESS THAN THE COST OF SERVICES BY $20,548,575. OF THESE AMOUNTS, REVENUE OF $13,069,965 AND $10,139,237 OF THE MEDICARE SHORTFALL RELATED TO THE PROVISION OF INPATIENT PSYCHIATRIC CARE, EMERGENCY DEPARTMENT VISITS AND CERTAIN ON-SITE MEDICAL CENTER PRIMARY CARE AND IS INCLUDED ON THIS SCHEDULE H, PART I, LINE 7G, AS PART OF SUBSIDIZED HEALTH SERVICES. IN RESPONSE TO THE FORM 990, SCHEDULE H, PART III, LINE 8, ALTHOUGH THE MEDICAL CENTER CONSIDERS THE PROVISION OF CLINICAL CARE TO ALL MEDICARE PATIENTS AS PART OF ITS COMMUNITY BENEFIT, THE ADDITIONAL MEDICARE SHORTFALL OF $10,409,338 IS NOT QUANTIFIED ON PAGE 1 OF THE SCHEDULE H. INSTEAD, PER THE IRS INSTRUCTIONS TO SCHEDULE H, THE MEDICAL CENTER HAS SEPARATELY REPORTED THIS AMOUNT IN SCHEDULE H, PART III, LINE 7, AS REQUIRED.BAD DEBTSAS REPORTED IN THE BETH ISRAEL DEACONESS MEDICAL CENTER AND AFFILIATES AUDITED FINANCIAL STATEMENT FOR THE PERIOD COVERED BY THIS FILING, IN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, THE MEDICAL CENTER ALSO INCURS LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENTS FOR SERVICES OR INSURED PATIENTS WHO FAIL TO PAY COINSURANCE OR DEDUCTIBLES FOR WHICH THEY ARE RESPONSIBLE UNDER INSURANCE CONTRACTS. BAD DEBT EXPENSE IS INCLUDED IN UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED FINANCIAL STATEMENTS, AND INCLUDES THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. CHARGES FOR THOSE SERVICES WERE $24,219,073 DURING THE FISCAL PERIOD COVERED BY THIS FILING AS REPORTED IN THE FINANCIAL STATEMENTS AND IN THIS FORM 990 SCHEDULE H, PART III AS REQUIRED.THE PERCENTAGES CALCULATED IN PART I, LINE 7, COLUMN F WERE BASED ON EACH ITEM OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT AT COST AS A PERCENTAGE OF TOTAL EXPENSES REPORTED IN PART IX OF THIS FORM 990. AS REQUIRED BY THIS FORM 990, SCHEDULE H, PART III, LINE 4, BELOW ARE THE BAD DEBT AND ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTES FROM THE MEDICAL CENTER'S AUDITED FINANCIAL STATEMENTS. AS PREVIOUSLY NOTED IN THIS FORM 990, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE MEDICAL CENTER AND AFFILIATES FOR FISCAL YEAR ENDED SEPTEMBER 30, 2014 INCLUDE THE ACCOUNTS OF THE MEDICAL CENTER AND ITS SUBSIDIARIES, (MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A AFFILIATED PHYSICIANS GROUP (APG)), BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, INC. (BID-NEEDHAM), BETH ISRAEL DEACONESS HOSPITAL MILTON, INC. (BID-MILTON), BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, INC. (BID-PLYMOUTH AND JORDAN HEALTH SYSTEMS, INC.), AND HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP), THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER ACCOMPLISH ITS CHARITABLE PURPOSES, AS WELL AS ALL ENTITIES FOR WHICH THESE ENTITIES SERVE AS MEMBER. THE MEDICAL CENTER'S FORM 990 IS PREPARED FOR THE MEDICAL CENTER ONLY AND AS SUCH, THE METRICS INCLUDED IN THESE FOOTNOTES WILL NOT TIE TO THE FACE OF THE MEDICAL CENTER'S FORM 990, SCHEDULE H.FINANCIAL STATEMENT FOOTNOTES:BAD DEBTSIN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, THE MEDICAL CENTER ALSO INCURS LOSSES RELATED TO SELF PAY PATIENTS WHO FAIL TO MAKE PAYMENTS FOR SERVICES OR INSURED PATIENTS WHO FAIL TO PAY COINSURANCE OR DEDUCTIBLES FOR WHICH THEY ARE RESPONSIBLE UNDER INSURANCE CONTRACTS. BAD DEBTS ARE INCLUDED AS A COMPONENT OF NET PATIENT SERVICE REVENUE IN THE CONSOLIDATED FINANCIAL STATEMENTS, AND INCLUDE THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. THE ESTIMATED COST OF PROVIDING SUCH SERVICES WAS $14,495,000 AND $13,194,000 IN 2014 AND 2013, RESPECTIVELY.PATIENT ACCOUNTS RECEIVABLE AND RELATED ALLOWANCE FOR DOUBTFUL ACCOUNTSPATIENT ACCOUNTS RECEIVABLE ARE REFLECTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE MEDICAL CENTER ANALYZES ITS PAST COLLECTION HISTORY, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN GOVERNMENTAL AND EMPLOYEE HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS FOR EACH OF ITS MAJOR CATEGORIES OF REVENUE BY PAYOR TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR CATEGORIES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THROUGHOUT THE YEAR, THE MEDICAL CENTER, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, WILL WRITE OFF PATIENTS' UNMET OR UNCOLLECTED RESPONSIBILITY AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN ADDITION TO THE REVIEW OF THE CATEGORIES OF REVENUE, MANAGEMENT MONITORS THE WRITE OFFS AGAINST ESTABLISHED ALLOWANCES TO DETERMINE THE APPROPRIATENESS OF THE UNDERLYING ASSUMPTIONS USED IN ESTIMATING THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE MEDICAL CENTER'S METHODOLOGY FOR VALUING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE REMAINED SUBSTANTIALLY CONSISTENT IN 2014 AND 2013. THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS REPRESENTED APPROXIMATELY 12% OF PATIENT ACCOUNTS RECEIVABLE NET OF CONTRACTUAL ALLOWANCES IN 2014 AND 11% IN 2013.EMERGENCY CARE ACCESSAS NOTED IN THIS SCHEDULE H, PART V, SECTION A AND SECTION B QUESTION 19, THE MEDICAL CENTER IS A FRONTLINE CAREGIVER PROVIDING MEDICALLY NECESSARY CARE FOR ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OFFERS THIS CARE FOR ALL PATIENTS THAT COME TO OUR FACILITY 24 HOURS A DAY, SEVEN DAYS A WEEK, AND 365 DAYS A YEAR.
CREDIT AND COLLECTION POLICY GUIDING PRINCIPLES	THE MEDICAL CENTER ASSISTS PATIENTS IN OBTAINING FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND OTHER SOURCES WHENEVER APPROPRIATE. TO REMAIN VIABLE AS IT FULFILLS ITS MISSION, THE MEDICAL CENTER MUST MEET ITS FIDUCIARY RESPONSIBILITY TO APPROPRIATELY BILL AND COLLECT FOR MEDICAL SERVICES PROVIDED TO PATIENTS. THE MEDICAL CENTER'S CREDIT AND COLLECTION POLICY, WHICH APPLIES TO THE MEDICAL CENTER AND ANY OTHER ENTITY WHICH IS PART OF THE MEDICAL CENTER'S LICENSE OR TAX IDENTIFICATION NUMBER, IS DESIGNED TO COMPLY WITH BOTH THE MASSACHUSETTS HEALTH SAFETY NET REGULATIONS ON CREDIT AND COLLECTION POLICIES, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES MEDICARE BAD DEBT REQUIREMENTS, THE MEDICARE PROVIDER REIMBURSEMENT MANUAL AND THE FEDERAL HEALTHCARE REFORM LAW'S "FINANCIAL ASSISTANCE POLICY" FOR WHICH THE IRS HAD PROVIDED PRELIMINARY GUIDANCE AT THE TIME THE MEDICAL CENTER FINALIZED THIS POLICY. THE MEDICAL CENTER CONTINUES TO MONITOR GUIDANCE FROM THE IRS AS IT IS ISSUED. THE MEDICAL CENTER DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, NATIONAL ORIGIN, CITIZENSHIP, ALIENAGE, RELIGION, CREED, SEX, SEXUAL ORIENTATION, DISABILITY, OR AGE IN ITS POLICIES OR IN ITS APPLICATION OF POLICIES CONCERNING THE ACQUISITION AND VERIFICATION OF FINANCIAL INFORMATION, PRE-ADMISSION OR PRE-TREATMENT DEPOSITS, PAYMENT PLANS, DEFERRED OR REJECTED ADMISSIONS, LOW INCOME PATIENT STATUS AS DETERMINED BY THE MASSACHUSETTS OFFICE OF MEDICAID, IN ITS DETERMINATION THAT A PATIENT IS LOW-INCOME, OR IN ITS BILLING AND COLLECTION PRACTICES. CREDIT AND COLLECTION POLICY NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE AND OTHER COVERAGE OPTIONS FINANCIAL ASSISTANCE IS INTENDED TO ASSIST LOW-INCOME PATIENTS WHO DO NOT OTHERWISE HAVE THE ABILITY TO PAY FOR THEIR HEALTH CARE SERVICES. SUCH ASSISTANCE TAKES INTO ACCOUNT EACH INDIVIDUAL'S ABILITY TO CONTRIBUTE TO THE COST OF HIS OR HER CARE. FOR PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE MEDICAL CENTER WILL ASSIST THEM IN APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILLS.THE MEDICAL CENTER PROVIDES THIS ASSISTANCE FOR BOTH RESIDENTS AND NON-RESIDENTS OF MASSACHUSETTS; HOWEVER, THERE MAY NOT BE COVERAGE FOR A MASSACHUSETTS HOSPITAL'S SERVICES THROUGH AN OUT-OF STATE PROGRAM. IN ORDER FOR THE MEDICAL CENTER TO ASSIST UNINSURED AND UNDERINSURED PATIENTS FIND THE MOST APPROPRIATE COVERAGE OPTIONS, PATIENTS MUST ACTIVELY WORK WITH THE HOSPITAL'S FINANCIAL COUNSELORS TO VERIFY THEIR FINANCIAL AND OTHER INFORMATION THAT COULD BE USED IN DETERMINING ELIGIBILITY. THE MEDICAL CENTER ADVISES PATIENTS OF THEIR RIGHT TO (I) APPLY FOR MASSHEALTH AND LOW INCOME PATIENT DETERMINATION AND (II) A PAYMENT PLAN. THE MEDICAL CENTER'S FINANCIAL CLEARANCE UNIT (FCU) WILL ASSIST PATIENTS IN FULFILLING THEIR RIGHT TO APPLY FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM INCLUDING MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OFFERED THROUGH THE HEALTH CONNECTOR (INCLUDING CONNECTORCARE), CHILDREN'S MEDICAL SECURITY PLAN, MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET, HEALTH SAFETY NET AND/OR OTHER FINANCIAL PROGRAMS AS AVAILABLE AND APPROPRIATE. PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY AND HOW TO APPLY FOR ASSISTANCE ARE INCLUDED IN BILLING STATEMENTS, POSTED IN THE EMERGENCY DEPARTMENT AND ADMISSIONS, AND FULL COPIES OF THE POLICY ARE AVAILABLE IN MULTIPLE LOCATIONS THROUGHOUT THE MEDICAL CENTER. ADDITIONAL HELP AND SUPPORT ARE PROVIDED BY ON-SITE FINANCIAL COUNSELORS. (SCHEDULE H PART VI QUESTION 3).THE MEDICAL CENTER ALSO WILL ASSIST UNINSURED OR UNDERINSURED PATIENTS, WHEN REQUESTED OR AS IDENTIFIED THROUGH INTERNAL SCREENING PROCEDURES, IN APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER SOME OR ALL OF THEIR UNPAID MEDICAL CENTER BILLS. IN ORDER TO HELP UNINSURED AND UNDERINSURED PATIENTS FIND AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE MEDICAL CENTER WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS WHO HAVE A FINANCIAL LIABILITY AS WELL AS IN GENERAL NOTICES THAT ARE POSTED THROUGHOUT THE MEDICAL CENTER.THE MEDICAL CENTER WILL TRY TO IDENTIFY AVAILABLE COVERAGE OPTIONS FOR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED WITH THEIR CURRENT INSURANCE PROGRAM WHEN THE PATIENT IS SCHEDULING SERVICES, WHILE THE PATIENT IS AT THE MEDICAL CENTER, UPON DISCHARGE, AND/OR FOR A REASONABLE TIME FOLLOWING DISCHARGE FROM THE HOSPITAL. THE HOSPITAL WILL DIRECT ALL PATIENTS SEEKING INFORMATION ON AVAILABLE COVERAGE OPTIONS OR THOSE THAT THE HOSPITAL DETERMINES MAY BE ELIGIBLE TO THE HOSPITAL'S FCU WHERE PATIENT FINANCIAL COUNSELORS CAN SCREEN PATIENTS FOR ELIGIBILITY IN AN APPROPRIATE COVERAGE OPTION. THE HOSPITAL WILL THEN ASSIST THE PATIENT IN APPLYING FOR APPROPRIATE COVERAGE OPTIONS THAT ARE AVAILABLE TO THEM.WHEN REQUESTED, THE HOSPITAL WILL ALSO PROVIDE INFORMATION ON HOW TO CONTACT THE APPROPRIATE STAFF WITHIN THE HOSPITAL'S FINANCE OFFICE TO VERIFY THE ACCURACY OF THE HOSPITAL BILL OR TO DISPUTE CERTAIN CHARGES. CONTACT INFORMATION IS PRINTED ON ALL PATIENT STATEMENTS.HOSPITALS HAVE NO ROLE IN SPECIFICALLY DETERMINING THE ELIGIBILITY FOR ENROLLMENT WITHIN A PUBLIC ASSISTANCE PROGRAM. IN MASSACHUSETTS, INDIVIDUALS WHO APPLY FOR COVERAGE IN MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OFFERED THROUGH THE HEALTH CONNECTOR (INCLUDING CONNECTORCARE), HEALTH SAFETY NET, THE CHILDREN'S MEDICAL SECURITY PROGRAM, OR MEDICAL HARDSHIP MUST DO SO THROUGH A SINGLE UNIFORM APPLICATION THAT IS SUBMITTED THROUGH THE STATE'S NEW ENROLLMENT SYSTEM CALLED THE HEALTH INSURANCE EXCHANGE (HIX). THROUGH THIS PROCESS, THE INDIVIDUAL SUBMITS AN APPLICATION USING AN ONLINE WEBSITE (WHICH IS CENTRALLY LOCATED ON THE STATE'S HEALTH CONNECTOR WEBSITE), SUBMITS A PAPER APPLICATION, OR COMPLETES THE APPLICATION OVER THE PHONE WITH A CUSTOMER SERVICE REPRESENTATIVE LOCATED AT EITHER MASSHEALTH OR THE CONNECTOR. THE MEDICAL CENTER ALSO HAS A CERTIFIED APPLICATION COUNSELOR WHO IS AVAILABLE TO HELP INDIVIDUALS WITH SUBMITTING THEIR APPLICATION EITHER ON THE WEBSITE OR ON PAPER.
CREDIT AND COLLECTION POLICY ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS	AS NOTED IN THIS, SCHEDULE H, PART III, SECTION C, QUESTION 9B, THE MEDICAL CENTER PROVIDES PATIENTS WITH INFORMATION ABOUT FINANCIAL ASSISTANCE PROGRAMS THAT ARE AVAILABLE THROUGH THE COMMONWEALTH OF MASSACHUSETTS OR OTHER AVAILABLE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE, WHICH MAY COVER ALL OR SOME OF THEIR UNPAID HOSPITAL BILL. FOR PATIENTS THAT REQUEST SUCH ASSISTANCE, THE HOSPITAL ASSISTS THEM BY SCREENING FOR ELIGIBILITY IN AN AVAILABLE PUBLIC PROGRAM AND ASSISTING THEM IN APPLYING FOR THE PROGRAM. THESE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO: MASSHEALTH, THE PREMIUM ASSISTANCE PAYMENT PROGRAM OFFERED THROUGH THE HEALTH CONNECTOR (INCLUDING CONNECTORCARE), CHILDREN'S MEDICAL SECURITY PLAN, HEALTH SAFETY NET, AND OTHERS. WHEN APPLICABLE, THE HOSPITAL MAY ALSO ASSIST PATIENTS IN APPLYING FOR COVERAGE OF SERVICES AS A MEDICAL HARDSHIP BASED ON THE PATIENT'S DOCUMENTED FAMILY INCOME, CURRENT AND PRIOR INSURANCE COVERAGE AND ALLOWABLE MEDICAL EXPENSES.IT IS THE PATIENT'S OBLIGATION TO PROVIDE THE FINANCIAL COUNSELORS WITH ACCURATE AND TIMELY INFORMATION REGARDING THEIR FULL NAME, ADDRESS, TELEPHONE NUMBER, DATE OF BIRTH, SOCIAL SECURITY NUMBER (IF AVAILABLE), CURRENT HEALTH INSURANCE COVERAGE OPTIONS, INCLUDING OTHER INSURANCE OR COVERAGE OPTIONS (SUCH AS MOTOR VEHICLE POLICY OR WORKER'S COMPENSATION POLICY) THAT CAN COVER THE COST OF THE CARE RECEIVED AND ANY OTHER APPLICABLE FINANCIAL RESOURCES, AND CITIZENSHIP AND RESIDENCY INFORMATION. THIS INFORMATION IS USED TO DETERMINE IF THE PATIENT IS ELIGIBLE TO APPLY FOR CERTAIN HEALTH INSURANCE PROGRAMS. IF THERE IS NO SPECIFIC COVERAGE FOR THE SERVICES PROVIDED, THE HOSPITAL WILL USE THE INFORMATION TO DETERMINE IF THE SERVICES MAY BE COVERED BY AN APPLICABLE PROGRAM THAT WILL COVER CERTAIN SERVICES DEEMED BAD DEBT. IN ADDITION, THE HOSPITAL WILL USE THIS INFORMATION TO DISCUSS ELIGIBILITY FOR CERTAIN HEALTH INSURANCE PROGRAMS. THE SCREENING AND APPLICATION PROCESS FOR A PUBLIC HEALTH INSURANCE PROGRAM IS DONE THROUGH THE HEALTH INFORMATION EXCHANGE (HIX), WHICH IS AN INTERNET PORTAL DESIGNED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES IN ORDER TO PROVIDE THE GENERAL PUBLIC, MEDICAL PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS WITH AN ONLINE APPLICATION FOR THE PROGRAMS OFFERED BY THE STATE, OR THROUGH A STANDARD PAPER APPLICATION THAT IS COMPLETED BY THE PATIENT AND SUBMITTED DIRECTLY TO THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES FOR PROCESSING AS THIS OFFICE SOLELY MANAGES THE APPLICATION PROCESS LISTED ABOVE, WHICH IS AVAILABLE FOR CHILDREN, ADULTS, SENIORS, VETERANS, HOMELESS, AND DISABLED INDIVIDUALS. THE HOSPITAL SPECIFICALLY ASSISTS THE PATIENT IN COMPLETING THE APPLICATION AND SECURING THE NECESSARY DOCUMENTATION REQUIRED BY THE APPLICABLE FINANCIAL ASSISTANCE PROGRAM. NECESSARY DOCUMENTATION INCLUDES PROOF OF: (1) ANNUAL HOUSEHOLD INCOME (PAYROLL STUBS, RECORD OF SOCIAL SECURITY PAYMENTS, AND A LETTER FROM THE EMPLOYER, TAX RETURNS, OR BANK STATEMENTS), (2) CITIZENSHIP AND IDENTITY, AND (3) IMMIGRATION STATUS FOR NON-CITIZENS (IF APPLICABLE), AND (4) ASSETS OF THOSE INDIVIDUALS WHO ARE ALSO ENROLLED IN THE MEDICARE PROGRAM. THE HOSPITAL WILL THEN SUBMIT THIS DOCUMENTATION TO THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES AND ASSIST THE PATIENT IN SECURING ANY ADDITIONAL DOCUMENTATION IF SUCH IS REQUESTED BY THE COMMONWEALTH AFTER COMPLETING THE APPLICATION. THE COMMONWEALTH PLACES A THREE DAY TIME LIMITATION ON SUBMITTING ALL NECESSARY DOCUMENTATION FOLLOWING THE SUBMISSION OF THE APPLICATION FOR A PROGRAM. FOLLOWING THIS THREE DAY PERIOD, THE PATIENT MUST WORK WITH THE MASSHEALTH ENROLLMENT CENTERS TO SECURE THE ADDITIONAL DOCUMENTATION NEEDED FOR ENROLLMENT IN THE APPLICABLE FINANCIAL ASSISTANCE PROGRAM.IN SPECIAL CIRCUMSTANCES, THE HOSPITAL MAY APPLY FOR THE PATIENT FOR ELIGIBILITY IN THE HEALTH SAFETY NET PROGRAM USING A SPECIFIC FORM DESIGNED BY THE MASSACHUSETTS DIVISION OF HEALTH CARE FINANCE AND POLICY. SPECIAL CIRCUMSTANCES INCLUDE INDIVIDUALS SEEKING FINANCIAL ASSISTANCE COVERAGE DUE TO BEING INCARCERATED, VICTIMS OF SPOUSAL ABUSE, OR INDIVIDUALS APPLYING DUE TO A MEDICAL HARDSHIP.ALL APPLICATIONS FOR ASSISTANCE ARE REVIEWED AND PROCESSED BY THE MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES WHICH USES THE FEDERAL POVERTY GUIDELINES, ASSET INFORMATION AS WELL AS NECESSARY DOCUMENTATION LISTED ABOVE AS THE BASIS FOR DETERMINING ELIGIBILITY FOR STATE SPONSORED PUBLIC ASSISTANCE PROGRAMS. THE MEDICAL CENTER HAS NO ROLE IN THE DETERMINATION OF PROGRAM ELIGIBILITY MADE BY THE COMMONWEALTH, BUT MAY TAKE A DIRECT ROLE IN APPEALING OR SEEKING INFORMATION RELATED TO THE COVERAGE DECISIONS AT THE PATIENT'S REQUEST. IT IS STILL THE PATIENT'S RESPONSIBILITY TO INFORM THE HOSPITAL OF ALL COVERAGE DECISIONS MADE BY THE COMMONWEALTH TO ENSURE ACCURATE AND TIMELY ADJUDICATION OF ALL HOSPITAL BILLS AND THE AMOUNTS ULTIMATELY CHARGED TO FINANCIAL ASSISTANCE ELIGIBLE PATIENTS IS DETERMINED BY THE SPECIFIC CONNECTOR PLAN FOR WHICH THEY QUALIFY. IN ADDITION, THE MEDICAL CENTER'S POLICY PROVIDES FOR INDIVIDUALS WHO ARE UNABLE TO AFFORD THEIR CARE BECAUSE OF MEDICAL HARDSHIP AND PROVIDES FOR FEES BASED ON A SLIDING SCALE RELATIVE TO PERCENTAGES OF THE FEDERAL POVERTY GUIDELINES (SCHEDULE H, PART V, SECTION B, QUESTION 20D). IN ADDITION, ALL MEDICAL CENTER PATIENTS WHO PRESENT WITHOUT PRIVATE INSURANCE ARE SCREENED FOR PRIOR HSN ELIGIBILITY AND/OR FINANCIAL ASSISTANCE BEFORE ANY BILLS ARE SENT TO THE PATIENT AND ONCE THE MEDICAL CENTER BECOMES AWARE OF A PATIENT'S HSN OR FINANCIAL ELIGIBILITY STATUS, ALL INVOICES ARE ADJUSTED ACCORDINGLY (SCHEDULE H, PART V, SECTION B, QUESTIONS 21 AND 22).
CREDIT AND COLLECTION POLICY BIDMC STANDARD COLLECTION PRACTICES	AS PREVIOUSLY NOTED IN THE NARRATIVE TO THIS FORM 990, SCHEDULE H, THE MEDICAL CENTER ASSISTS PATIENTS IN OBTAINING FINANCIAL ASSISTANCE FROM PUBLIC PROGRAMS AND OTHER SOURCES WHENEVER APPROPRIATE. ADDITIONALLY, TO REMAIN VIABLE AS IT FULFILLS ITS MISSION, THE MEDICAL CENTER MUST MEET ITS FIDUCIARY RESPONSIBILITY TO APPROPRIATELY BILL AND COLLECT FOR MEDICAL SERVICES PROVIDED TO PATIENTS. AS SUCH, THE MEDICAL CENTER HAS A FIDUCIARY DUTY TO SEEK REIMBURSEMENT FOR SERVICES IT HAS PROVIDED FROM INDIVIDUALS WHO ARE ABLE TO PAY, FROM THIRD PARTY INSURERS WHO COVER THE COST OF CARE, AND FROM OTHER PROGRAMS OF ASSISTANCE FOR WHICH THE PATIENT IS ELIGIBLE. TO DETERMINE WHETHER A PATIENT IS ABLE TO PAY FOR THE SERVICES PROVIDED AS WELL AS TO ASSIST THE PATIENT IN FINDING ALTERNATIVE COVERAGE OPTIONS IF THEY ARE UNINSURED OR UNDERINSURED, THE MEDICAL CENTER HAS ESTABLISHED CRITERIA RELATED TO BILLING AND COLLECTING FROM PATIENTS. THE MEDICAL CENTER MAKES THE SAME REASONABLE EFFORT AND FOLLOWS THE SAME REASONABLE PROCESS FOR COLLECTING ON BILLS OWED BY AN UNINSURED PATIENT AS IT DOES FOR ALL OTHER PATIENTS. THE MEDICAL CENTER WILL FIRST SHOW THAT IT HAS A CURRENT UNPAID BALANCE THAT IS RELATED TO SERVICES PROVIDED TO THE PATIENT AND NOT COVERED BY A PRIVATE INSURER OR A FINANCIAL ASSISTANCE PROGRAM. THE MEDICAL CENTER ALSO HAS ESTABLISHED CRITERIA RELATED TO BILLING AND COLLECTING FROM PATIENTS. THE MEDICAL CENTER AND/OR ITS AGENTS DO NOT CHARGE INTEREST ON AN OVERDUE BALANCE FOR A LOW INCOME PATIENT OR ANY OTHER PATIENT. THE MEDICAL CENTER FOLLOWS THE MASSACHUSETTS MEDICAL HARDSHIP INCOME LEVELS AND PERCENTAGES IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. THERE ARE NO INCOME LIMITS FOR MEDICAL HARDSHIP. MASSACHUSETTS RESIDENTS AT ALL INCOME LEVELS ARE ELIGIBLE IF A PATIENT'S FAMILY ALLOWED MEDICAL BILLS ARE HIGHER THAN A SPECIFIED SLIDING SCALE PERCENTAGE OF FAMILY INCOME.IN ADDITION TO PUBLICIZING THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY AS NOTED IN THIS FORM 990, SCHEDULE H, PART V, SECTION B, QUESTION 14A-F, THERE IS MULTI-LANGUAGE SIGNAGE IN THE FINANCIAL COUNSELING OFFICE STATING THAT A COPY OF THE POLICY IS AVAILABLE UPON REQUEST.CREDIT AND COLLECTION POLICY OUTSIDE COLLECTION AGENCIESTHE MEDICAL CENTER CONTRACTS WITH OUTSIDE COLLECTION AGENCIES TO ASSIST IN THE COLLECTION OF CERTAIN ACCOUNTS, INCLUDING PATIENT RESPONSIBLE AMOUNTS NOT RESOLVED AFTER ISSUANCE OF HOSPITAL BILLS OR FINAL NOTICES. HOWEVER, AS DETERMINED THROUGH THE MEDICAL CENTER'S CREDIT AND COLLECTION POLICY, THE MEDICAL CENTER MAY ASSIGN SUCH DEBT AS BAD DEBT OR CHARITY CARE (OTHERWISE DEEMED AS UNCOLLECTIBLE) PRIOR TO 120 DAYS IF IT IS ABLE TO DETERMINE THAT THE PATIENT WAS UNABLE TO PAY FOLLOWING THE MEDICAL CENTER'S OWN INTERNAL FINANCIAL ASSISTANCE PROGRAM.THE MEDICAL CENTER HAS A SPECIFIC AUTHORIZATION OR CONTRACT WITH ITS OUTSIDE COLLECTION AGENCIES AND REQUIRES SUCH AGENCIES TO ABIDE BY THE MEDICAL CENTER'S CREDIT AND COLLECTION POLICIES FOR DEBTS THAT THE AGENCY IS PURSUING, INCLUDING THE OBLIGATION TO REFRAIN FROM "EXTRAORDINARY COLLECTION ACTIVITIES" UNTIL SUCH TIME AS THE MEDICAL CENTER HAS MADE A REASONABLE EFFORT AND FOLLOWED A REASONABLE PROCESS FOR DETERMINING THAT A PATIENT IS ENTITLED TO ASSISTANCE OR EXEMPTION FROM ANY COLLECTION OR BILLING PROCEDURES UNDER THIS CREDIT AND COLLECTION POLICY. ALL OUTSIDE COLLECTION AGENCIES HIRED BY THE MEDICAL CENTER WILL PROVIDE THE PATIENT WITH AN OPPORTUNITY TO FILE A GRIEVANCE AND WILL FORWARD TO THE MEDICAL CENTER THE RESULTS OF SUCH PATIENT GRIEVANCES. THE MEDICAL CENTER REQUIRES THAT ANY OUTSIDE COLLECTION AGENCY THAT IT USES IS LICENSED BY THE COMMONWEALTH OF MASSACHUSETTS AND THAT THE OUTSIDE COLLECTION AGENCY ALSO IS IN COMPLIANCE WITH THE MASSACHUSETTS ATTORNEY GENERAL'S DEBT COLLECTION REGULATIONS.
CREDIT AND COLLECTION POLICY EXEMPTION FROM BIDMC COLLECTION PRACTICES	THE MEDICAL CENTER EXEMPTS PATIENTS ENROLLED IN A PUBLIC HEALTH INSURANCE PROGRAM, INCLUDING BUT NOT LIMITED TO, MASSHEALTH, EMERGENCY AID TO THE ELDERLY, DISABLED AND CHILDREN, CHILDREN'S MEDICAL SECURITY PLAN AND "LOW INCOME PATIENTS" AS DETERMINED BY THE OFFICE OF MEDICAID, SUBJECT TO SOME EXCEPTIONS, FROM ANY COLLECTION OR BILLING PROCEDURES BEYOND THE INITIAL BILL PURSUANT TO STATE REGULATIONS.CREDIT AND COLLECTION POLICY HOSPITAL FINANCIAL ASSISTANCE PROGRAMSTHE MEDICAL CENTER, WHEN REQUESTED BY THE PATIENT AND BASED ON INTERNAL REVIEW OF EACH PATIENT'S FINANCIAL STATUS, MAY OFFER AN ADDITIONAL DISCOUNT ON AN UNPAID BILL. ANY SUCH REVIEW SHALL BE PART OF A SEPARATE HOSPITAL FINANCIAL ASSISTANCE PROGRAM THAT IS APPLIED ON A UNIFORM BASIS TO PATIENTS. ANY DISCOUNT THAT IS PROVIDED BY THE MEDICAL CENTER IS CONSISTENT WITH FEDERAL AND STATE REQUIREMENTS, AND DOES NOT INFLUENCE A PATIENT'S ABILITY TO RECEIVE SERVICES FROM THE MEDICAL CENTER. SUCH PROGRAMS INCLUDE: PROMPT PAY DISCOUNTS FOR UNINSURED PATIENTS, ONE TIME OR SPECIAL CIRCUMSTANCE SITUATIONS AND PAYMENT PLANS.CREDIT AND COLLECTION POLICY DISCOUNT FOR UNINSURED PATIENTSIN ADDITION TO THE FINANCIAL ASSISTANCE INFORMATION PROVIDED ABOVE, THE MEDICAL CENTER GIVES A SELF-PAY DISCOUNT TO PATIENTS WHO ARE UNINSURED.BILLING AND COLLECTIONS BEFORE REASONABLE EFFORTSNEITHER THE MEDICAL CENTER NOR ANY AUTHORIZED THIRD PARTY TOOK ANY OF THE ACTIONS LISTED IN FORM 990, SCHEDULE H, PART V, SECTION B, QUESTION 17 OR 18.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS	COMMUNITY HEALTH IMPROVEMENT SERVICES AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSCOMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPLEMENTATION PLANDETAIL RELATED TO THE MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT, IMPLEMENTATION STRATEGY AND COMMUNITY BENEFITS ACTIVITIES HAS BEEN PROVIDED IN FORM 990, SCHEDULE H, PART V, SECTION C ABOVE.COMMUNITY BENEFITS ANNUAL COMMUNITY BENEFITS REPORTIN ADDITION TO THE MEDICAL CENTER'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) WHICH WERE APPROVED BY THE COMMUNITY BENEFITS COMMITTEE AND BOARD OF DIRECTORS DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2013, AS NOTED IN THIS FORM 990 SCHEDULE H, PART I, LINES 6A AND 6B, THE MEDICAL CENTER PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT WHICH IS SUBMITTED TO THE MASSACHUSETTS ATTORNEY GENERAL. THAT FILING IS AVAILABLE FOR PUBLIC INSPECTION AT THE ATTORNEY GENERAL'S OFFICE, ON THE ATTORNEY GENERAL'S WEBSITE AND AT THE MEDICAL CENTER UPON REQUEST. THERE ARE SOME DIFFERENCES BETWEEN THE MASSACHUSETTS ATTORNEY GENERAL DEFINITION OF CHARITY CARE AND COMMUNITY BENEFITS AND THE INTERNAL REVENUE SERVICE DEFINITION OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFITS. AS SUCH, THERE ARE VARIANCES BETWEEN THIS SCHEDULE H DISCLOSURE AND THE REPORT THE MEDICAL CENTER FILED WITH THE ATTORNEY GENERAL'S OFFICE. IN ADDITION, AS NOTED IN THIS FORM 990, PART V, SECTION A, THE MEDICAL CENTER IS A TERTIARY CARE LICENSED ACADEMIC MEDICAL CENTER, PROVIDING MEDICAL AND SURGICAL CARE, TEACHING AND RESEARCH AND AS NOTED ELSEWHERE IN THIS RETURN, PROVIDES 24 HOUR EMERGENCY MEDICAL CARE TO ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY. COMMUNITY BUILDING ACTIVITIES THE MEDICAL CENTER IS COMMITTED TO CREATING A SKILLED, DIVERSE WORKFORCE AT ALL LEVELS THROUGH VARIOUS EMPLOYEE AND HIGH SCHOOL STUDENT PROGRAMS. THE MEDICAL CENTER MAKES EMPLOYMENT OPPORTUNITIES AVAILABLE TO QUALIFIED COMMUNITY RESIDENTS THROUGH TRAINING INTERNSHIPS CONDUCTED IN PARTNERSHIP WITH COMMUNITY AGENCIES. WORKING WITH OTHER GROUPS, INCLUDING THE WORK PLACE, FENWAY COMMUNITY DEVELOPMENT CORPORATION, AND JAMAICA PLAIN NEIGHBORHOOD DEVELOPMENT CORPORATION, THE MEDICAL CENTER SEEKS OUT AND INTERVIEWS QUALIFIED COMMUNITY RESIDENTS WHO REFLECT THE CULTURAL DIVERSITY OF THE COMMUNITY SERVED BY THE MEDICAL CENTER AND WHO HAVE APPLIED FOR JOBS. KNOWING THE IMPORTANCE OF PROVIDER/PATIENT CULTURAL CONCORDANCE IN PROVIDING QUALITY CARE, IN ITS FISCAL YEAR ENDED SEPTEMBER 30, 2010 BIDMC INAUGURATED THE OFFICE OF MULTICULTURAL AFFAIRS (OMA), NAMING DR. RAFAEL CAMPO AS ITS DIRECTOR. THE OMA WAS CREATED TO REAFFIRM THE INSTITUTION'S ONGOING COMMITMENT TO DIVERSITY AND SPECIFICALLY CHARGED WITH RECRUITMENT OF DIVERSE RESIDENTS AND FELLOWS, RETENTION OF JUNIOR FACULTY OF COLOR AND EDUCATION OF IN-HOUSE STAFF AND FACULTY. EVIDENCE OF THIS SUCCESSFUL ORGANIZATIONAL CHANGE AND STRATEGY WAS SEEN IN THE FISCAL YEAR ENDED SEPTEMBER 30, 2011 RESIDENCY RECRUITMENT EFFORTS WHERE WE EXPERIENCED A 25% INCREASE IN THE NUMBER OF UNDERREPRESENTED (URM) APPLICATIONS INTERVIEWED AND A 47% INCREASE IN THE NUMBER OF URM APPLICANTS RANKED TO MATCH AT BIDMC. THE NUMBER OF URM APPLICATIONS HAS HELD STEADY BETWEEN THE FISCAL YEARS ENDED SEPTEMBER 30, 2011 AND SEPTEMBER 30, 2014. BIDMC IS COMMITTED TO MAKING EMPLOYMENT OPPORTUNITIES AVAILABLE TO QUALIFIED COMMUNITY RESIDENTS THROUGH TRAINING INTERNSHIPS CONDUCTED IN PARTNERSHIP WITH COMMUNITY AGENCIES SUCH AS ST. MARY'S CENTER FOR WOMEN AND CHILDREN AND YMCA TRAINING, INC. WE ALSO PROVIDE FEEDBACK TO COMMUNITY ORGANIZATIONS SUCH AS INTERNATIONAL INSTITUTE OF BOSTON, BOTTOM LINE, AND CAREER COLLABORATIVE ON ADULTS APPLYING TO JOBS AT BIDMC. DURING THE FISCAL PERIOD COVERED BY THIS FILING, BIDMC INTERPRETER SERVICES, WORKFORCE DEVELOPMENT, AND HUMAN RESOURCES PARTNERED WITH A COMMUNITY-BASED ORGANIZATION CALLED FOUND IN TRANSLATION TO PROVIDE A CAREER WORKSHOP FOR BILINGUAL LOW-INCOME WOMEN PURSUING A CAREER IN MEDICAL INTERPRETING. RECOGNIZING OUR COMMITMENT TO THE BOSTON AREA'S STUDENT POPULATION, THE MEDICAL CENTER PROVIDES SUMMER JOBS AND MID-YEAR INTERNSHIPS TO INTRODUCE HIGH SCHOOL STUDENTS AND OUT-OF-SCHOOL YOUTH TO CAREERS IN THE MEDICAL FIELD. IN PARTNERSHIP WITH THE BOSTON PRIVATE INDUSTRY COUNCIL, WE HOST STUDENTS FROM BOSTON PUBLIC HIGH SCHOOLS IN AN ANNUAL JOB SHADOW DAY WITH ADDITIONAL STUDENT GROUPS TOURING OUR SKILLS LAB THROUGHOUT THE YEAR. STUDENTS FROM THE JOHN D. O'BRYANT SCHOOL OF MATHEMATICS AND SCIENCE "SHADOWED" STAFF MEMBERS FROM MULTIPLE DEPARTMENTS THROUGHOUT THE MEDICAL CENTER. THE O'BRYANT STUDENTS (FRESHMEN TO SENIORS) ARE ALL ENROLLED IN EITHER THE NURSING CLUB OR THE GATEWAY PROGRAM AT THE SCHOOL. BOTH PROGRAMS ARE DESIGNED TO PREPARE STUDENTS FOR CLINICAL AND RESEARCH CAREERS. BIDMC IS ALSO A PRESENTING SPONSOR OF THE RED SOX SCHOLARS PROGRAM THAT PAIRS BIDMC MEDICAL CHAMPIONS WITH ACADEMICALLY TALENTED, ECONOMICALLY DISADVANTAGED 8TH GRADE STUDENTS FROM BOSTON PUBLIC SCHOOLS. THE PROGRAM INCLUDES OPPORTUNITIES FOR PROFESSIONAL DEVELOPMENT SUCH AS SHADOW DAY AT BIDMC CLINICAL SITES. BIDMC SENIOR LEADERS ARE ACTIVE IN ADVOCATING ON BEHALF OF EDUCATIONAL AND JOB OPPORTUNITIES. THE DIRECTOR OF WORKFORCE DEVELOPMENT, IS A MEMBER OF THE BOSTON PRIVATE INDUSTRY COUNCIL (PIC) AND CHAIRS THE PIC'S BOSTON HEALTH CARE CAREERS CONSORTIUM, AND IS A MEMBER OF THE MASSACHUSETTS WORKFORCE INVESTMENT BOARD.COMMUNITY BUILDING EXPENDITURES OF $ $342,495 RELATED TO THESE ACTIVITIES HAS BEEN REPORTED IN THIS FORM 990, SCHEDULE H, PART II.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS RESEARCH	AS PREVIOUSLY NOTED IN THIS FORM 990, PART III, PART OF THE MEDICAL CENTER'S MISSION IS TO BE A WORLD-CLASS RESEARCH INSTITUTION WHERE OUTSTANDING SCIENTISTS WORK TO DEVELOP NEW KNOWLEDGE FOR THE BETTERMENT OF THE HEALTH OF OUR LOCAL AND EXTENDED COMMUNITIES. THE RESEARCH PROGRAM STRIVES TO BE RENOWNED FOR ITS BENCH-TO-BEDSIDE MODEL OF TRANSLATIONAL RESEARCH AND FOR ITS COLLABORATION WITH INDUSTRY AS A PATHWAY FOR TRANSFERRING THE FRUITS OF RESEARCH INTO PRODUCTS THAT IMPROVE THE QUALITY OF LIFE.THE MEDICAL CENTER'S NOTABLE RESEARCH ACCOMPLISHMENTS INCLUDE CONSISTENTLY BEING RANKED IN THE TOP FOUR IN NATIONAL INSTITUTES OF HEALTH (NIH) FUNDING AMONG INDEPENDENT HOSPITALS. THE MEDICAL CENTER SCIENTISTS CONTINUE TO SEARCH FOR IMPROVED UNDERSTANDING OF DISEASES AND BETTER TREATMENTS FOR PATIENTS, WHICH IN TURN DIRECTLY IMPACT THE LIVES OF OUR PATIENTS AND IMPROVE THE MEDICAL CENTER'S PATIENT CARE. MEDICAL CENTER INVESTIGATORS LEAD MORE THAN 700 ACTIVE FEDERAL AND INDUSTRY SPONSORED PROJECTS AND MORE THAN 450 ACTIVE CLINICAL TRIALS DURING THE FISCAL PERIOD COVERED BY THIS FILING. THIS RESEARCH IS LED BY APPROXIMATELY 470 PRINCIPAL INVESTIGATORS WHO ARE HARVARD MEDICAL SCHOOL FACULTY. THE KEY AREAS OF RESEARCH INCLUDE VASCULAR BIOLOGY, MOLECULAR IMAGING, TRANSPLANTATION, SIGNAL TRANSDUCTION, CANCER BIOLOGY, METABOLIC DISEASE, NEUROBIOLOGY, AIDS, AND CARDIOLOGY/CARDIAC SURGERY.AS NOTED IN THIS FILING, THE MEDICAL CENTER IS A TEACHING HOSPITAL OF HARVARD MEDICAL SCHOOL COMMITTED TO MAINTAINING A COLLABORATIVE CULTURE, TO MAINTAINING MODERN, HIGH-QUALITY FACILITIES, AND TO TAKING FULL ADVANTAGE OF THE UNIQUE RELATIONSHIPS THAT EXIST AMONG THE HARVARD MEDICAL SCHOOL AND THE HARVARD TEACHING HOSPITALS. THE MEDICAL CENTER DESIGNS AND IMPLEMENTS MANY INTERDEPARTMENTAL AND INTERDISCIPLINARY RESEARCH PROGRAMS WITHIN THE INSTITUTION. THE MEDICAL CENTER ALSO REACHES OUT AND COLLABORATES WITH OTHER NATIONALLY RECOGNIZED AND WORLD RENOWNED EXPERTS IN VARIOUS FIELDS ALL ORIENTED TOWARD TRANSLATING NEW KNOWLEDGE INTO NOVEL MEDICAL TREATMENTS AND PATIENT CARE. THE MEDICAL CENTER PARTICIPATES IN HARVARD CATALYST, THE HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER, WHICH BRINGS TOGETHER THE INTELLECTUAL FORCE, TECHNOLOGIES, AND CLINICAL EXPERTISE AT HARVARD UNIVERSITY AND ITS ACADEMIC, HEALTH CARE, AND COMMUNITY PARTNERS TO CREATE CONNECTIONS, ENABLE RESEARCH AT THE CUTTING EDGE OF DISCOVERY, AND NURTURE CLINICAL AND TRANSLATIONAL RESEARCHERS WITH THE GOAL OF IMPROVING HUMAN HEALTH.STUDIES BY MEDICAL CENTER RESEARCHERS ARE ROUTINELY PUBLISHED IN THE WORLD'S LEADING SCIENTIFIC JOURNALS, INCLUDING NATURE, SCIENCE AND THE NEW ENGLAND JOURNAL OF MEDICINE WHICH HELPS TO BRING THE RESEARCH FINDINGS TO PATIENTS BEYOND THE MEDICAL CENTER. THE MEDICAL CENTER ENGAGES IN RESEARCH IN ALL OF THE FOLLOWING DISCIPLINES:-ANESTHESIA, CRITICAL CARE, AND PAIN MEDICINE -EMERGENCY MEDICINE -MEDICINE -ALLERGY AND INFLAMMATION-CARDIOVASCULAR MEDICINE-CENTER FOR VASCULAR BIOLOGY RESEARCH-CENTER FOR VIROLOGY AND VACCINE RESEARCH-CLINICAL INFORMATICS-CLINICAL NUTRITION-ENDOCRINOLOGY-EXPERIMENTAL MEDICINE-GASTROENTEROLOGY-GENERAL MEDICINE AND PRIMARY CARE-GENETICS-GERONTOLOGY-HEMATOLOGY AND ONCOLOGY-HEMOSTASIS AND THROMBOSIS-IMMUNOLOGY-INFECTIOUS DISEASE-INTERDISCIPLINARY MEDICINE AND BIOTECHNOLOGY-MOLECULAR AND VASCULAR MEDICINE-NEPHROLOGY-PULMONOLOGY-RHEUMATOLOGY-SIGNAL TRANSDUCTION-TRANSLATIONAL RESEARCH-TRANSPLANT IMMUNOLOGY-NEONATOLOGY -NEUROLOGY -OBSTETRICS AND GYNECOLOGY -ORTHOPAEDIC SURGERY -PATHOLOGY -PSYCHIATRY -RADIOLOGY -SURGERY -CARDIAC SURGERY-CENTER FOR MINIMALLY INVASIVE SURGERY-NEUROSURGERY-PLASTIC AND RECONSTRUCTIVE SURGERY-VASCULAR SURGERY-TRANSPLANT INSTITUTEDURING THE FISCAL YEAR COVERED BY THIS FILING, THE MEDICAL CENTER REPORTED $58,928,208 OF NET INTERNALLY FUNDED RESEARCH ON THIS SCHEDULE H, PART I, LINE 7H RELATED TO RESEARCH TO FURTHER SCIENCE AND PATIENT CARE, WHICH REPRESENTED 4.25% OF THE MEDICAL CENTER'S TOTAL EXPENSES. ADDITIONALLY, THE MEDICAL CENTER REPORTED $203,543,508 OF RESEARCH EXPENSES FUNDED BY GOVERNMENTS AND OTHER TAX-EXEMPT ENTITIES INCLUDING OTHER HOSPITALS, UNIVERSITIES AND FOUNDATIONS WHICH, IF INCLUDED IN THE SCHEDULE H, PART I, LINE 7H CALCULATION, WOULD INCREASE THE NET COMMUNITY BENEFIT REPORTED FROM RESEARCH ACTIVITIES ON THIS SCHEDULE H, PART I, LINE 7H TO 19.04%.
RESEARCH ENGAGED IN AT THE MEDICAL CENTER	RESEARCH ENGAGED IN AT BIDMCVIKAS P. SUKHATME, M.D., SCD, THE MEDICAL CENTER'S SENIOR VICE PRESIDENT AND CHIEF ACADEMIC OFFICER HAS SAID THAT THIS IS PERHAPS THE MOST VIGOROUS AND TRANSFORMING PERIOD IN THE HISTORY OF BIOMEDICAL RESEARCH, A TIME WHEN SOPHISTICATED TECHNOLOGIES ARE ENABLING THE PURSUIT OF HIGHLY ORIGINAL INVESTIGATIONS AND RAPIDLY EVOLVING GENOMIC DISCOVERIES ARE UNCOVERING IMPORTANT INSIGHTS INTO THE HEALTH OF THE INDIVIDUAL.THE REAL CORNERSTONES OF THE MEDICAL CENTER'S SUCCESS CAN BE DESCRIBED IN THREE KEY WORDS: INNOVATION, CULTIVATION, AND TRANSFORMATION. BEGINNING WITH SUPPORT OF BOLD AND INNOVATIVE IDEAS, EXTENDING TO CULTIVATION AND NURTURING OF PROMISING YOUNG SCIENTISTS, AND CULMINATING IN THE TRANSFORMATION OF NOVEL DISCOVERIES INTO THERAPIES AND DIAGNOSTICS, THE MEDICAL CENTER'S RESEARCH PROGRAM HAS EMERGED AS A UNIQUE AND SUCCESSFUL MODEL FOR TODAY'S RAPIDLY CHANGING HEALTH CARE LANDSCAPE.EXAMPLES OF THE RESEARCH ENGAGED IN AT BIDMCBELOW IS INFORMATION RELATED TO JUST A HANDFUL OF THE CUTTING-EDGE RESEARCH STUDIES AND PRINCIPAL INVESTIGATORS AT THE MEDICAL CENTER. THE DETAIL BELOW IS DESIGNED TO PROVIDE THE READER WITH A TASTE OF THE MANY CONTRIBUTIONS THE MEDICAL CENTER IS MAKING TO PATIENT CARE TODAY AND TOMORROW. EXPENSES FROM THE RESEARCH ACTIVITIES NOTED BELOW MAY OR MAY NOT BE QUANTIFIED IN FORM 990 SCHEDULE H, PART I, LINE 7H, DEPENDING ON FUNDING SOURCE. GROUNDBREAKING GENETICS DISCOVERIES CHALLENGE SCIENTIFIC DOGMAIN THE HALF-CENTURY OLD CENTRAL DOGMA OF MOLECULAR BIOLOGY, IT WAS UNDERSTOOD AND ACCEPTED THAT DNA INSTRUCTS THE BODY ON HOW TO CONSTRUCT PROTEINS, THE BUILDING BLOCKS OF LIFE. PACKAGED IN GENES, THESE INSTRUCTIONS WERE TRANSPORTED TO CELLS' PROTEIN-MAKING MACHINERY BY WAY OF DNA'S CHEMICAL COUSIN RNA. IN BETWEEN THE GENES WERE LONG STRETCHES OF NONCODING RNA, WHICH WERE BELIEVED TO SERVE NO PURPOSE, AND WERE OFTEN REFERRED TO AS "JUNK DNA." BUT INVESTIGATORS AT BIDMC HAVE MADE KEY DISCOVERIES DEMONSTRATING THAT THIS "JUNK" MAY ACTUALLY BE HIDDEN TREASURE, REVEALING THAT NONCODING RNA PLAYS KEY ROLES IN HEALTH AND DISEASE, PARTICULARLY CANCER. RECOGNIZING THESE INSIGHTS INTO THE WORLD OF NON-CODING RNAS, BIDMC HAS SET UP THE INSTITUTE FOR RNA MEDICINE WITHIN THE BIDMC CANCER CENTER AND FRANK SLACK, PH.D, FORMERLY OF YALE UNIVERSITY, JOINED AS ITS DIRECTOR DURING THE PERIOD COVERED BY THIS FILING THIS FLAGSHIP PROGRAM WILL FURTHER ENHANCE BIDMC'S VISIBILITY IN THE WORLD OF SCIENCE AND IS ENTIRELY CONSISTENT WITH ITS BENCH TO BEDSIDE PHILOSOPHY."FIFTY PERCENT OF THE GENOME IS TRANSCRIBED, BUT ONLY TWO PERCENT MAKES PROTEIN, AND THERE WAS NO CODE, NO LANGUAGE FOR UNDERSTANDING THE REST," EXPLAINS CANCER CENTER DIRECTOR PIER PAOLO PANDOLFI, MD, PHD. "IN TERMS OF BIOMEDICAL RESEARCH, THE IMPACT IS IMMENSE, BECAUSE NOW [THERE ARE] ALL OF THESE NEW ENTITIES, PSEUDOGENES, LINCRNAS, CERNAS THAT HAVE BEEN GIVEN A FUNCTION. WE HAVE NOW ALMOST TRIPLED THE SIZE OF THE FUNCTIONAL GENOME AND THIS IS CRITICALLY IMPORTANT FOR CANCER GENETICS*****THE CO-CLINICAL TRIAL SPEEDS TESTING OF CANCER DRUGSCLINICAL TRIALS TO TEST NEW CANCER DRUGS ARE LENGTHY AND COMPLEX. AS A RESULT, THERE IS A BACKLOG OF MORE THAN 800 NEW TARGETED CANCER THERAPIES AWAITING CLINICAL TESTING. "THE CURRENT SYSTEM CAN'T KEEP PACE," SAYS PIER PAOLO PANDOLFI, MD, PHD. "THERE ISN'T ENOUGH TIME OR RESOURCES TO TEST EACH ONE OF THESE NEW DRUGS IN HUMAN SUBJECTS AS SINGLE AGENTS LET ALONE IN COMBINATIONS."DR. PANDOLFI CONCEIVED AND DEVELOPED A REVOLUTIONARY NEW STREAMLINED TESTING METHOD KNOWN AS THE CO-CLINICAL TRIAL. IN THIS BIT OF SCIENTIFIC MULTITASKING, A HUMAN CLINICAL TRIAL IS SIMULTANEOUSLY PARTNERED WITH ANIMAL STUDIES OF MICE TO HELP DOCTORS LEARN MUCH MORE QUICKLY WHICH PATIENTS WITH WHICH MUTATIONS ARE BEING HELPED OR NOT BEING HELPED BY TARGETED CANCER DRUGS. PANDOLFI WAS AWARDED $4.2 MILLION IN AMERICAN REINVESTMENT AND RECOVERY ACT (ARRA) FUNDING FROM THE NATIONAL INSTITUTES OF HEALTH (NIH) FOR THE CO-CLINICAL TRIAL INVESTIGATIONS. THE NEW MODEL TAKES ADVANTAGE OF THE TREMENDOUS TECHNOLOGICAL ADVANCES THAT ARE PROVIDING SCIENTISTS WITH VALUABLE NEW INFORMATION ABOUT CANCER'S GENETIC UNDERPINNINGS. IN MARCH 2012, THE FIRST FINDINGS USING THE CO-CLINICAL STRATEGY WERE PUBLISHED IN NATURE, REVEALING KEY INSIGHTS INTO NEW LUNG CANCER THERAPIES. NATURE DESCRIBED THIS PROCESS AS ONE OF "FOUR WAYS TO FIX THE CLINICAL TRIAL" STATING THAT "THE CO-CLINICAL MODEL...[BRINGS] FUNDAMENTAL CHANGES TO THE CLINICAL TRIAL SYSTEM TO MAKE IT FASTER, CHEAPER, MORE ADAPTABLE AND MORE IN TUNE WITH MODERN MOLECULAR MEDICINE." THE "...ULTIMATE GOAL IS TO FIND OUT EXACTLY WHY DIFFERENT PATIENTS RESPOND TO DIFFERENT TREATMENTS... SO THAT DRUGS ARE GIVEN ONLY TO THE PATIENTS WHO WILL RESPOND," SAYS DR. PANDOLFI.
PIONEERS IN THE QUEST FOR AN HIV VACCINE	AIDS FIRST CAME TO LIGHT MORE THAN 30 YEARS AGO AND EVER SINCE HIV WAS IDENTIFIED AS THE VIRUS RESPONSIBLE FOR THIS FORMIDABLE DISEASE, MEDICAL CENTER SCIENTISTS HAVE DISTINGUISHED THEMSELVES AS INTERNATIONAL LEADERS IN THE QUEST TO DEVELOP AN HIV VACCINE. THERE ARE 2.7 MILLION NEW HIV INFECTIONS REPORTED EACH YEAR. DR. DAN BAROUCH, CHIEF OF THE DIVISION OF VIROLOGY AND VACCINE RESEARCH IN BIDMC'S DEPARTMENT OF MEDICINE, WAS THE RECENT RECIPIENT OF A $20 MILLION DOLLAR GRANT FROM THE BILL AND MELINDA GATES FOUNDATION. THIS IMPORTANT FUNDING WILL ENABLE DR. BAROUCH AND A TEAM OF 50 SCIENTISTS AT BIDMC TO TEST AN ANTIBODY THAT HAS PROVEN TO REDUCE THE HIV VIRUS IN MONKEYS. THE FOUR YEAR GRANT WILL FUND FURTHER TESTING ON MONKEY MODELS AS WELL AS OBSERVING IF THE ANTIBODY HAS A SIMILAR EFFECT ON HIV-INFECTED HUMANS. THE GOAL OF THIS WORK IS TO POTENTIALLY ATTACK THE VIRAL RESERVOIRS WITH THIS ANTIBODY IN THE HOPES OF REDUCING OR ELIMINATING THE VIRUS. THIS IS A MOST NOVEL APPROACH IN WHICH BIDMC IS A WORLD LEADER.***SCIENTISTS UNCOVER THE EARLIEST STAGES OF ALZHEIMER'S DISEASEALZHEIMER'S DISEASE (AD) CURRENTLY AFFLICTS 5.4 MILLION AMERICANS AND 30 MILLION INDIVIDUALS WORLDWIDE. IT IS ESTIMATED THAT BY 2050, MEDICAL COSTS OF CARING FOR AD PATIENTS WILL SOAR TO OVER $1 TRILLION IN THE U.S. ALONE. MEDICAL CENTER INVESTIGATORS KUN PING LU, MD, PHD, AND XIAO ZHEN ZHOU, MD, PHD, HAVE IDENTIFIED THE FIRST, EARLY STEP IN WHICH THE TAU PROTEIN IS TRANSFORMED FROM ITS BENEFICIAL FUNCTION AS A MEANS OF NEURONAL SUPPORT AND TURNED INTO A TWISTED, MISSHAPEN VILLAIN RESPONSIBLE FOR DEBILITATING MEMORY LOSS. THE DISCOVERY OFFERS A PROMISING NEW DIRECTION FOR THE DEVELOPMENT OF THERAPEUTIC ANTIBODIES AND VACCINES, AND HINGES ON AN ENZYME CALLED PIN1 (PROLYL ISOMERASE), WHICH CAN UNTANGLE THE TWISTED TAU. PIN1 WAS CO-DISCOVERED BY LU IN 1995. A NEW ANTIBODY TECHNOLOGY DEVELOPED BY DR. LU AND DR. ZHOU HAS MADE IT POSSIBLE TO DISTINGUISH BETWEEN HEALTHY AND DISEASE-CAUSING TAU PROTEIN. THEIR WORK HAS DEMONSTRATED THAT THE PROTEIN'S PATHOGENIC FORM APPEARS IN THE BRAIN CELLS OF PATIENTS WITH EARLY DEMENTIA AND AS IT PROGRESSES TO ALZHEIMER'S RAPIDLY ACCUMULATES AT THE BRAIN LOCATION THAT IS CRITICAL FOR MEMORY.*EUREKA! A POISONOUS GAS BECOMES A MEDICAL THERAPYALTHOUGH CARBON MONOXIDE'S BEST-KNOWN REPUTATION IS THAT OF A SINISTER, SILENT KILLER, IT TURNS OUT THE GAS IS VITAL TO OUR HEALTH AND WELL-BEING. EVERY CELL IN THE HUMAN BODY PRODUCES AND USES CO GAS MOLECULES TO RESPOND TO INTRACELLULAR STRESSES, AND TO HELP CONTROL BLOOD PRESSURE, MEMORY AND CIRCADIAN RHYTHMS. LEO OTTERBEIN, PHD, A SCIENTIST IN THE MEDICAL CENTER'S TRANSPLANT INSTITUTE, ACTIVELY INVESTIGATES THE UNDERLYING BIOLOGY BEHIND THE SEEMINGLY PARADOXICAL IDEA THAT VERY LOW LEVELS OF CARBON MONOXIDE CAN BE USED AS A THERAPY. HIS WORK, WHICH COULD LEAD TO NEW THERAPIES FOR A RANGE OF MEDICAL APPLICATIONS INCLUDING ADJUNCT CANCER TREATMENTS, IS CURRENTLY BEING TESTED AS A NOVEL WAY TO HELP KIDNEY TRANSPLANT PATIENTS AVOID ORGAN REJECTION.***
RECOVERING SPEECH THROUGH SONG	FOR STROKE PATIENTS WHO HAVE LOST THE ABILITY TO SPEAK, MUSIC AND SINGING MAY PROVIDE A SURPRISING WAY TO RESTORE THEIR LANGUAGE. AS THE DIRECTOR OF THE MEDICAL CENTER'S MUSIC AND NEUROIMAGING LABORATORY, GOTTFRIED SCHLAUG, MD, PHD, IS CONDUCTING ONE OF THE FIRST RIGOROUS CLINICAL TRIALS TO TEST A TREATMENT CALLED MELODIC INTONATION THERAPY IN APHASIA PATIENTS. "MELODIC INTONATION THERAPY WAS FIRST DEVELOPED IN THE 1970S, AFTER CLINICIANS OBSERVED THAT SOME PATIENTS WHO SUFFERED STROKES WERE NO LONGER ABLE TO TALK, BUT COULD STILL SING," EXPLAINS DR. SCHLAUG, WHO ALSO LEADS THE MEDICAL CENTER'S STROKE SERVICE. THE THEORY BEHIND THE TREATMENT IS THAT THE LEFT AND RIGHT SIDES OF THE BRAIN HAVE NETWORKS THAT CAN SUPPORT VOCAL OUTPUT ONE IS MORE ENGAGED IN SPEECH, THE OTHER WITH MUSIC AND SINGING. DR. SCHLAUG'S HOPE IS THAT "...THIS THERAPY ...CAN HELP THE UNAFFECTED RIGHT SIDE OF THE BRAIN TO DEVELOP SKILLS TO HELP RESTORE SPEECH OUTPUT." DR. SCHLAUG'S WORK WAS FEATURED IN A PROFILE ON NATIONAL PUBLIC RADIO'S "MORNING EDITION" AND HIS EXPERTISE WAS TAPPED BY ABC NEWS.COM AND OTHER MAJOR MEDIA OUTLETS, INSPIRED BY FORMER U.S. REP. GABRIELLE GIFFORDS' EXPERIENCE WITH MELODIC INTONATION THERAPY FOLLOWING HER BRAIN INJURY. BUILDING ON THE SUCCESS OF MELODIC INTONATION THERAPY, RESEARCHERS IN THE MEDICAL CENTER'S MUSIC AND NEUROIMAGING LABORATORY HAVE DEVELOPED A SIMILAR TREATMENT CALLED AUDITORY-MOTOR MAPPING TRAINING (AMMT) TO HELP NONVERBAL CHILDREN WITH AUTISM TO DEVELOP SPEECH. AMMT STEMS FROM THE OBSERVATIONS THAT CHILDREN WITH AUTISM WHO TYPICALLY STRUGGLE WITH COMMUNICATION, AS WELL AS SOCIAL INTERACTIONS OFTEN RESPOND POSITIVELY TO MUSIC, AND USES A COMBINATION OF SINGING AND MOTOR ACTIVITIES TO STRENGTHEN A NETWORK OF BRAIN REGIONS THAT IS THOUGHT TO BE ABNORMAL IN THESE CHILDREN. ***TEAMING UP TO TACKLE SEPSIS FROM BENCH TO BEDSIDESEPSIS IS ONE OF THE MOST COMMON AND MOST TERRIFYING OF CONDITIONS TO BE FOUND IN HOSPITAL EMERGENCY DEPARTMENTS AND INTENSIVE CARE UNITS. SOMETIMES KNOWN AS BLOOD POISONING, SEPSIS OCCURS WHEN THE BODY OVERREACTS TO WHAT IS OFTEN A SIMPLE INFECTION, AND CAN RAPIDLY ESCALATE TO LIFE-THREATENING ORGAN SHUTDOWN. EACH YEAR, SEPSIS IS RESPONSIBLE FOR MORE THAN 200,000 DEATHS, MAKING IT A LEADING CAUSE OF HOSPITAL MORTALITY. AT THE MEDICAL CENTER, INTERDISCIPLINARY RESEARCH TEAMS HAVE MADE SEPSIS A PRIMARY FOCUS OF THEIR ATTENTION. BY LITERALLY BRINGING KEY SCIENTIFIC FINDINGS FROM THE LAB BENCH TO THE PATIENT BEDSIDE, EMERGENCY ROOM PHYSICIAN NATHAN SHAPIRO, MD, PHD, HAS BEEN INSTRUMENTAL IN LEADING INVESTIGATIONS INTO THE ORIGINS OF THIS EXTREMELY DANGEROUS CONDITION, ESTIMATED TO COST $17 BILLION PER YEAR, NATIONWIDE. AS A MEMBER OF THE CENTER FOR VASCULAR BIOLOGY RESEARCH (CVBR) DR. SHAPIRO HAS PARTNERED WITH BASIC SCIENTISTS SAMIR PARIKH, MD, AND WILLIAM AIRD, MD, TO EXPLORE THE ROLE THAT BLOOD VESSELS PLAY IN THE ONSET OF SEPSIS AND IN ITS ESCALATION TO A LIFE-THREATENING CONDITION. THEIR WORK INVESTIGATING THE ENDOTHELIUM LAYER, WHICH LINES THE BLOOD CELLS, IS UNCOVERING VITALLY IMPORTANT CLUES, INCLUDING THE ROLE THAT THE VEGF (VASCULAR ENDOTHELIAL GROWTH FACTOR) PROTEIN MAY PLAY IN THE ONSET OF THIS PROGRESSIVELY SEVERE ILLNESS. THE EMERGENCY-ROOM-AS-LABORATORY IS A UNIQUE AND VALUABLE APPROACH TO STUDYING SEPSIS, AND AS AN ATTENDING PHYSICIAN, DR. SHAPIRO HAS BEEN PRINCIPAL INVESTIGATOR OF NUMEROUS ER-BASED CLINICAL TRIALS TO HELP ASCERTAIN THE MOST EFFECTIVE AND PRUDENT MANAGEMENT OF THE CONDITION IN CASES IN WHICH SEPSIS HAS TAKEN HOLD.*TRACING THE NEURAL CIRCUITRY OF APPETITE AND HUNGERIF YOU'VE EVER SKIPPED MEALS FOR A WHOLE DAY OR GONE ON A STRICT, LOW-CALORIE DIET, YOU KNOW JUST HOW POWERFUL AND UNCOMFORTABLE THE FEELING OF HUNGER CAN BE. HUNGER IS A COMPLEX MOTIVATION GOVERNED BY THE BRAIN AND BIDMC INVESTIGATOR BRADFORD LOWELL, MD, PHD, OF THE DIVISION OF ENDOCRINOLOGY, DIABETES AND METABOLISM IN BIDMC'S DEPARTMENT OF MEDICINE IS UNCOVERING THE INTRICATE NEUROCIRCUITRY THAT UNDERLIE THESE FEELINGS. IN A RECENT REPORT PUBLISHED IN NATURE NEUROSCIENCE, THE LOWELL LABORATORY MADE IMPORTANT PROGRESS IN UNDERSTANDING THE NEURAL BASIS OF APPETITE. USING A VARIETY OF INNOVATIVE TECHNOLOGIES TO CONTROL THE ACTIVITY IN THE BRAINS OF LIVING MICE, LOWELL AND HIS TEAM HAVE IDENTIFIED ONE PARTICULAR CIRCUIT THAT INVOLVES A GROUP OF MELANOCORTIN-4 RECEPTOR (MC4R) NEURONS THAT APPEARS TO SWITCH HUNGER OFF AND ON AND PROVIDED A HIGHLY PROMISING NEW STRATEGY FOR THE DEVELOPMENT OF WEIGHT LOSS DRUGS TO HELP COMBAT THE EPIDEMIC OF OBESITY.***NEW CLASS OF FATTY MOLECULES BATTLES DIABETES IN MICELIPIDS, THE CHEMICAL FAMILY THAT INCLUDES FATS AND RELATED MOLECULES, GET BLAMED FOR CLOGGED ARTERIES AND HEART ATTACKS. BUT RESEARCHERS LED BY BIDMC'S BARBARA KAHN, MD, HAVE MADE A SURPRISING DISCOVERY OF A PREVIOUSLY UNIDENTIFIED CLASS OF LIPID MOLECULES THAT ACTUALLY ENHANCE INSULIN SENSITIVITY AND BLOOD SUGAR CONTROL. THESE NEW FINDINGS, RECENTLY PUBLISHED IN THE JOURNAL CELL, OFFER A PROMISING NEW AVENUE FOR THE PREVENTION AND TREATMENT OF TYPE 2 DIABETES. NAMED FATTY ACID HYDROXYL FATTY ACIDS, OR FAHFAS, THESE NEW MOLECULES ARE IN FAT CELLS AS WELL AS OTHER CELLS THROUGHOUT THE BODY, AND NOW JOIN A SMALL GROUP OF FATTY ACIDS KNOWN TO BENEFIT HEALTH, WHICH ALSO INCLUDES OMEGA-3 FATTY ACIDS FOUND IN FISH OIL. THE DISCOVERY OF FAHFAS PROVIDES IMPORTANT NEW INSIGHTS UNDERLYING METABOLIC AND INFLAMMATORY DISEASES, AND OFFERS VIABLE NEW TREATMENT AVENUES THAT KAHN AND HER TEAM HOPE TO BE ABLE TO TEST IN CLINICAL TRIALS. "THIS IS OF CRITICAL IMPORTANCE AS RATES OF OBESITY AND TYPE 2 DIABETES REMAIN AT EPIDEMIC PROPORTIONS WORLDWIDE," SAYS KAHN, AN INVESTIGATOR IN BIDMC"S DIVISION OF ENDOCRINOLOGY, DIABETES AND METABOLISM IN THE DEPARTMENT OF MEDICINE.FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS GRADUATE MEDICAL EDUCATION THE MEDICAL CENTER"S DEVOTION TO TEACHING, RESPECT FOR STUDENTS/TRAINEES AND WILLINGNESS TO EMBRACE TECHNOLOGICAL AND CLINICAL PRACTICE INNOVATION MAKE THE MEDICAL CENTER A TOP CHOICE AMONG MEDICAL STUDENTS AND HEALTH CARE PROFESSIONALS. THE MEDICAL CENTER TRAINS HUNDREDS OF MEDICAL STUDENTS, INTERNS AND RESIDENTS, AS WELL AS PROFESSIONALS IN NURSING, SOCIAL WORK AND THE ALLIED HEALTH SCIENCES. THE MEDICAL CENTER HAS 43 APPROVED CLINICAL RESIDENCY AND FELLOWSHIP PROGRAMS WITH APPROXIMATELY 618 RESIDENTS AND CLINICAL FELLOWS. IN ADDITION, THE MEDICAL CENTER HAS APPROXIMATELY 35 NONSTANDARD CLINICAL FELLOWSHIP PROGRAMS WITH APPROXIMATELY 44 TRAINEES PER YEAR. STAFF PHYSICIANS AT THE MEDICAL CENTER WHO HOLD FACULTY APPOINTMENTS AT HARVARD MEDICAL SCHOOL INSTRUCT THE DOCTORS OF TOMORROW THROUGH SUPERVISION OF THEIR DAILY PATIENT CARE AND A RANGE OF INTERACTIVE LEARNING EXPERIENCES.
CORE CLINICAL TRAINING PROGRAMS	THE MEDICAL CENTER SPONSORS CORE CLINICAL TRAINING PROGRAMS IN THE FOLLOWING FIELDS:-ANESTHESIOLOGY-EMERGENCY MEDICINE-INTERNAL MEDICINE-NEUROLOGY-OBSTETRICS AND GYNECOLOGY-PATHOLOGY-RADIOLOGY-SURGERY-PODIATRYDURING THE FISCAL YEAR COVERED BY THIS FILING, THE MEDICAL CENTER HAD NET EXPENDITURES OF $67,597,581 REPORTED ON THIS SCHEDULE H, PART I, LINE 7F RELATED TO THE MEDICAL CENTER'S TEACHING FUNCTION WHICH REPRESENTED 4.88% OF THE MEDICAL CENTER'S TOTAL EXPENSES.RESIDENCY PROGRAMSTHE MEDICAL CENTER SPONSORS ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) APPROVED RESIDENCY PROGRAMS IN EACH OF THE CORE CLINICAL TRAINING PROGRAMS LISTED ABOVE, AS WELL AS PSYCHIATRY. FELLOWSHIP PROGRAMSIN ADDITION TO THE RESIDENT TRAINING PROGRAMS LISTED ABOVE, THE MEDICAL CENTER SPONSORS A WIDE VARIETY OF FELLOWSHIP TRAINING PROGRAMS FOR ELIGIBLE DOCTORS WHO HAVE COMPLETED THEIR RESIDENCY AND WANT TO ENGAGE IN MORE SPECIALIZED STUDY. HALF OF THESE PROGRAMS (35 OF 70) ARE ACGME APPROVED OR APPROVED BY A COMPARABLE BODY RELATED TO THE PARTICULAR SUBSPECIALTY. THE MEDICAL CENTER SPONSORS THE FOLLOWING FELLOWSHIP PROGRAMS:-ANESTHESIA: ADULT CARDIOTHORACIC ANESTHESIOLOGY, CRITICAL CARE MEDICINE, OBSTETRIC ANESTHESIOLOGY, PAIN MEDICINE, REGIONAL ANESTHESIA, VASCULAR ANESTHESIA-EMERGENCY MEDICINE: EMERGENCY MEDICAL SERVICES, EMERGENCY ULTRASOUND, TRAUMA, SIMULATION-INTERNAL MEDICINE: ADVANCED CARDIAC NON-INVASIVE IMAGING, ADVANCED ENDOSCOPY, CARDIOVASCULAR DISEASE, CELIAC DISEASE, CLINICAL CARDIAC ELECTROPHYSIOLOGY, CLINICAL INFORMATICS, ENDOCRINOLOGY, DIABETES, AND METABOLISM, GASTROENTEROLOGY, GENERAL MEDICINE, GERIATRIC MEDICINE, GI MOTILITY/FUNCTIONAL BOWEL DISORDERS, GLOBAL HEALTH, HEMATOLOGY AND ONCOLOGY, HEPATOLOGY, INFECTIONS DISEASE, INFLAMMATORY BOWEL DISEASE, INTERVENTIONAL CARDIOLOGY, INTERVENTIONAL PULMONOLOGY, NEPHROLOGY, PULMONARY CRITICAL CARE, RHEUMATOLOGY, SLEEP MEDICINE, TRANSPLANT HEPATOLOGY-NEUROLOGY: CLINICAL NEUROPHYSIOLOGY, EPILEPSY, MOVEMENT DISORDERS, MULTIPLE SCLEROSIS, NEUROLOGY-HIV, NEUROMUSCULAR MEDICINE, NEURO-ONCOLOGY, VASCULAR NEUROLOGY-OBSTETRICS AND GYNECOLOGY: FEMALE PELVIC MEDICINE & RECONSTRUCTIVE SURGERY, MATERNAL FETAL MEDICINE, MINIMALLY INVASIVE GYNECOLOGIC SURGERY, REPRODUCTIVE ENDOCRINOLOGY-PATHOLOGY: CYTOPATHOLOGY, HEMATOLOGY, MEDICAL MICROBIOLOGY, SELECTIVE PATHOLOGY -RADIOLOGY-DIAGNOSTIC: ABDOMINAL RADIOLOGY, BREAST IMAGING RADIOLOGY, MRI, MUSCULOSKELETAL IMAGING MSK, NEURORADIOLOGY, THORACIC IMAGING RADIOLOGY, VASCULAR AND INTERVENTIONAL RADIOLOGY-SURGERY: ABDOMINAL TRANSPLANT SURGERY/KIDNEY, CORNEA AND REFRACTIVE SURGERY, INTERVENTIONAL NEUROLOGICAL RADIOLOGY & ENDOVASCULAR NEUROSURGERY, MINIMALLY INVASIVE BARIATRIC SURGERY, NEUROSURGICAL ONCOLOGY & STERIOTACTIC NEUROSURGERY, ORTHOPAEDIC HAND SURGERY, ORTHOPAEDIC SPINE SURGERY, PLASTIC HAND SURGERY, PLASTIC SURGERY/BREAST RECONSTRUCTION, PODIATRY, SURGICAL CRITICAL CARE, THORACIC SURGERY, VASCULAR SURGERY, VASCULAR SURGERY-INTEGRATED
ADDITIONAL INFORMATION ON CLINICAL RESIDENCY AND FELLOWSHIPS - EXAMPLES	BELOW IS MORE DETAIL ON JUST A FEW OF THE SPECIFIC GRADUATE MEDICAL EDUCATION PROGRAMS OFFERED AT THE MEDICAL CENTER:HARVARD AFFILIATED EMERGENCY MEDICINE RESIDENCY AT BIDMCTHE BETH ISRAEL DEACONESS MEDICAL CENTER HARVARD AFFILIATED EMERGENCY MEDICINE RESIDENCY IS A THREE-YEAR PROGRAM (PGY-1 TO PGY-3) IS AFFILIATED WITH HARVARD MEDICAL SCHOOL AND IS BASED AT BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC), A 57,000 VISIT PER YEAR LEVEL I TRAUMA CENTER. RESIDENTS ROTATE AT CHILDREN'S HOSPITAL BOSTON, BROCKTON HOSPITAL, CAMBRIDGE HOSPITAL, TUFTS MEDICAL CENTER, ST. VINCENT HOSPITAL, ST. LUKE'S HOSPITAL, MOUNT AUBURN HOSPITAL AND BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM.THE EDUCATIONAL GOALS OF THE RESIDENCY ARE TO PROMOTE EXCELLENCE IN THE CLINICAL, ACADEMIC, AND ADMINISTRATIVE ASPECTS OF EMERGENCY MEDICINE. RESIDENTS ARE TAUGHT HOW TO BE OUTSTANDING CLINICIANS. THIS IS ACCOMPLISHED THROUGH CLINICAL EXPERIENCE IN SEVERAL BUSY EMERGENCY DEPARTMENTS AS WELL AS THROUGH A HIGH QUALITY DIDACTIC PROGRAM. DURING THE CLINICAL EXPERIENCE, THE RESIDENTS ARE CLOSELY SUPERVISED AND GIVEN GRADED RESPONSIBILITY FOR PATIENT CARE AND ULTIMATELY FOR PATIENT FLOW IN THE EMERGENCY DEPARTMENT. ADDITIONALLY, RESIDENTS ARE TAUGHT HOW TO SUPERVISE MEDICAL STUDENTS AND OTHER RESIDENTS AND HOW TO TEACH THE PRACTICE OF EMERGENCY MEDICINE. RESIDENTS TEACH MEDICAL STUDENTS AND PREHOSPITAL PERSONNEL AND CONTRIBUTE TO THE DIDACTIC PROGRAM. SENIOR RESIDENTS TAKE ON THE RESPONSIBILITY OF SUPERVISING JUNIOR RESIDENTS IN THE CLINICAL ARENA. THE FOCUS OF THE RESIDENCY PROGRAM IS ON TEACHING THE LEADERSHIP SKILLS NECESSARY TO DIRECT A BUSY EMERGENCY DEPARTMENT IN ANY SETTING.THE OTHER MAJOR EDUCATIONAL GOAL OF THE RESIDENCY IS TO DEVELOP THE RESEARCH AND ACADEMIC SKILLS REQUIRED FOR A CAREER IN ACADEMIC EMERGENCY MEDICINE. PARTICIPATION IN RESEARCH IS PROMOTED THROUGH A SYSTEM OF MENTORSHIP, JOURNAL CLUB PARTICIPATION, AND A DIDACTIC PROGRAM THAT TEACHES RESEARCH DESIGN AND STATISTICAL METHODS. RESIDENTS ARE REQUIRED TO COMPLETE A RESEARCH OR ACADEMIC PROJECT THAT RESULTS IN A PAPER SUITABLE FOR PUBLICATION. FUNDING IS AVAILABLE WITHIN THE DIVISION OF EMERGENCY MEDICINE AT HARVARD MEDICAL SCHOOL AND THE DEPARTMENT OF EMERGENCY MEDICINE AT BIDMC. PROMOTING THE ADMINISTRATIVE ASPECTS OF EMERGENCY MEDICINE IS ANOTHER GOAL OF THE BIDMC HARVARD AFFILIATED EMERGENCY MEDICINE RESIDENCY. THROUGH AN EMS/ADMINISTRATIVE ROTATION AND A LONGITUDINAL EXPERIENCE IN PREHOSPITAL ADMINISTRATION, RESIDENTS GAIN EXPERIENCE IN RUNNING A LOCAL PREHOSPITAL SYSTEM.THIS PROGRAM TAKES ADVANTAGE OF THE UNIQUE ACADEMIC OPPORTUNITIES AT HARVARD MEDICAL SCHOOL, THE HARVARD TEACHING HOSPITALS, AND THE HARVARD SCHOOL OF PUBLIC HEALTH. THESE OPPORTUNITIES INCLUDE THE OUTSTANDING EXPERIENCE AVAILABLE THROUGH BOSTON CHILDREN'S HOSPITAL AND THE DEPARTMENTS OF MEDICINE, SURGERY, OBSTETRICS AND GYNECOLOGY, AND ANESTHESIA AT BETH ISRAEL DEACONESS MEDICAL CENTER.*****
INTERNAL MEDICINE EDUCATION AT BIDMC	THE GOAL OF THIS PROGRAM IS TO DEVELOP EACH RESIDENT'S JUDGMENT AND SKILLS TO PROVIDE THE HIGHEST QUALITY MEDICAL CARE. THE MEDICAL CENTER TRAINS RESIDENTS AS ACADEMIC INTERNISTS AND PROVIDES THE FOUNDATION FOR THE PRACTICE OF INTERNAL MEDICINE OR FOR SUBSEQUENT CLINICAL AND RESEARCH TRAINING IN MEDICAL SUBSPECIALTIES. RESIDENTS ARE EXPOSED TO A WIDE ARRAY OF PATIENTS IN VARIOUS INPATIENT AND OUTPATIENT SETTINGS, INCLUDING DIFFERENT UNITS WITHIN BIDMC, DANA FARBER CANCER INSTITUTE, AND WEST ROXBURY VETERANS AFFAIRS MEDICAL CENTER. CLINICAL TEACHING IS A FOCUS AT BIDMC AND IS COMPRISED OF FORMAL AND INFORMAL DAILY ROUNDS AND NOONTIME CONFERENCES. THIS TEACHING PROVIDES THE BASIS OF AN ORGANIZED CURRICULUM FOR ALL MEDICAL INTERNS AND RESIDENTS AT BIDMC.INTERNSHIPTHE INTERNSHIP YEAR EMPHASIZES THE CARE OF PATIENTS IN GENERAL INPATIENT MEDICINE, INTENSIVE CARE MEDICINE, ONCOLOGY, CARDIOLOGY, EMERGENCY MEDICINE AND AMBULATORY CARE UTILIZING BOTH CAMPUSES AND SELECTED OUTSIDE SITES. WORKING AS PART OF A 2-4 PHYSICIAN TEAM WHICH INCLUDES AN OVERSEEING RESIDENT, ATTENDING STAFF AND OFTEN MEDICAL STUDENTS, INTERNS GAIN EXPERIENCE IN THE MANAGEMENT OF PATIENTS WITH A BROAD RANGE OF MEDICAL DISEASES. INTERNS HAVE PRIMARY RESPONSIBILITY FOR THE CARE OF ALL PATIENTS ADMITTED TO THE MEDICAL WARD SERVICE AND ARE CONSIDERED THEIR PATIENT'S PRIMARY INPATIENT DOCTOR FOR THE DURATION OF THE HOSPITALIZATION. THROUGHOUT INTERN YEAR, INTERNS MAINTAIN A LONGITUDINAL CONTINUITY CLINIC EXPERIENCE WHERE THEY DEVELOP A PANEL OF THEIR OWN PRIMARY CARE PATIENTS. DURING MOST OF THE YEAR, WITH THE EXCEPTION OF INTENSIVE CARE ROTATIONS, AN INTERN WILL HAVE CLINIC ONE HALF-DAY PER WEEK. DISTRIBUTED THROUGHOUT THE YEAR ARE FOUR "AMBULATORY BLOCKS" OF TWO WEEKS DURATION. DURING THIS TIME THE INTERN IS IN THEIR CONTINUITY CLINIC EVERY AFTERNOON AND ATTENDS OUTPATIENT SPECIFIC DIDACTIC LECTURES DURING THE MORNING HOURS. AS MEMBERS OF THE HARVARD FACULTY, INTERNS PLAY AN IMPORTANT ROLE IN TEACHING, BOTH OF THEIR PEERS AND OF ROTATING MEDICAL STUDENTS. WHILE ON THE MEDICAL WARDS, INTERNS PROVIDE DAILY CLINICAL GUIDANCE AND TEACHING TO THIRD AND FOURTH YEAR MEDICAL STUDENTS. AS PART OF THE AMBULATORY CARE CURRICULUM, INTERNS WILL ALSO HAVE THE OPPORTUNITY TO LEAD PRE-CLINIC CONFERENCES. DURING THE YEAR, THERE ARE SPECIAL INTERN-ONLY EDUCATIONAL ACTIVITIES INCLUDING THE TWICE-WEEKLY INTERN REPORT, MONTHLY INTERN FORUM SESSIONS AND BI-ANNUAL 24-HOUR INTERN RETREATS.JUNIOR AND SENIOR RESIDENCYRESIDENCY SOLIDIFIES CLINICAL AND TEACHING SKILLS AND ALLOWS TRAINEES TO EXPERIENCE LEADERSHIP OF A MEDICAL TEAM. JUNIOR RESIDENCY PROVIDES THE FIRST OPPORTUNITY FOR RESIDENTS TO SUPERVISE HOUSESTAFF TEAMS ON GENERAL MEDICAL SERVICES AND IN THE MEDICAL AND CARDIAC INTENSIVE CARE UNITS. SENIOR RESIDENCY PROMOTES CONSOLIDATION AND REFINEMENT OF THESE SKILLS, WITH ATTENDINGS ALLOWING INCREASING AUTONOMY. THE RESIDENT ON THE SERVICE IS LOOKED ON AS THE TEAM LEADER AND ASSUMES PRIMARY RESPONSIBILITY FOR TEACHING OF THE TEAM. RESIDENCY ALSO PROVIDES OPPORTUNITIES FOR INCREASED ELECTIVE TIME TO SAMPLE SUBSPECIALTY ROTATIONS. THIS PROVIDES ADDITIONAL SPECIALTY TRAINING IN AREAS OF INTEREST. THE ELECTIVE OPPORTUNITIES ARE DIVERSE, RANGING FROM ELECTROPHYSIOLOGY TO MUSCULOSKELETAL MEDICINE TO HEALTH POLICY. RESIDENTS ALSO HAVE THE OPPORTUNITY TO PARTICIPATE IN ONE OF SEVERAL "TRACKS" WITHIN THE RESIDENCY PROGRAM IF INTERESTED IN ADDITIONAL SPECIFIC TRAINING RESOURCES AND EXPERIENCES.TEACHING AS A RESIDENTAS MENTIONED ABOVE, RESIDENTS ARE VIEWED AS SOME OF THE PRIMARY TEACHERS WITHIN THE DEPARTMENT OF MEDICINE. SOME OF THESE TEACHING OPPORTUNITIES WILL ALSO BE OBSERVED BY DEPARTMENT FACULTY TO HELP THE RESIDENT REFINE THE STYLE AND EFFECTIVENESS OF THEIR TEACHING. TEACHING OPPORTUNITIES WILL INCLUDE:LEADING INPATIENT MEDICINE ROUNDS: -RESIDENTS ARE IN CHARGE OF RUNNING WARD ROUNDS. MEDICAL STUDENTS AND INTERNS PRESENT TO THE RESIDENT DURING ROUNDS. THE ATTENDING HOSPITALIST IS CONSIDERED THE RESIDENT'S CONSULTANT, WITH THE RESIDENT RETAINING THE PRIMARY DECISION-MAKING ROLE FOR THE PATIENTS ON THEIR SERVICE.-DURING THE MONTHS ON MEDICAL WARDS, THE CHIEF RESIDENTS AND FIRM CHIEFS ARE ASSIGNED TO DO WALK ROUND ONCE EACH WEEK WITH ONE OF THE RESIDENTS ON THEIR FIRM. THEY WILL OBSERVE THE RESIDENT RUNNING THE WARD ROUNDS AND PROVIDE FEEDBACK ON THE TEACHING SKILLS OBSERVED DURING ROUNDS.LEADING TEACHING ATTENDING ROUNDS: -DURING EVERY ROTATION ON THE MEDICAL WARDS, EACH RESIDENT WILL LEAD ONE TO THREE ATTENDING ROUNDS SESSIONS. THE TWO TEACHING ATTENDINGS HELP PROVIDE FEEDBACK ON THE RESIDENT'S SMALL GROUP DISCUSSION AND TEACHING SKILLS. SMALL GROUP PRESENTATIONS: -DURING AMBULATORY WEEKS, RESIDENTS WILL LEAD A MAJORITY OF THE PRE-CLINIC CONFERENCES, TYPICALLY PRESENTING EITHER A CHALLENGING AMBULATORY CASE OR AMBULATORY-BASED TOPIC.-ONCE DURING RESIDENCY, EACH JUNIOR RESIDENT WILL ALSO PRESENT A JOURNAL ARTICLE OF AMBULATORY CARE SIGNIFICANCE AT AMBULATORY JOURNAL CLUB TO A SMALL GROUP OF THEIR PEERS.*****
INTERNAL MEDICINE GLOBAL HEALTH PROGRAM	OUR MISSION IS TO TRAIN LEADERS IN GLOBAL HEALTH TO BE EFFECTIVE PRACTITIONERS IN UNDERSERVED, RESOURCE-LIMITED SETTINGS AND TO DESIGN, MANAGE, IMPROVE AND EVALUATE GLOBAL PUBLIC HEALTH PROGRAMS THAT ADDRESS THE HEALTH PROBLEMS OF THE WORLD'S NEEDIEST POPULATIONS.PROGRAM OBJECTIVES -INTRODUCE GLOBAL HEALTH ISSUES TO BIDMC MEDICAL RESIDENTS -CONTRIBUTE TO THE HEALTH AND WELL-BEING OF UNDERSERVED POPULATIONS IN BOSTON AND AROUND THE WORLD -ENRICH THE MEDICAL KNOWLEDGE AND ENHANCE THE CLINICAL SKILLS OF RESIDENTS BY PRACTICING IN UNIQUE SETTINGS WITH LIMITED RESOURCES -EXPAND RESEARCH OPPORTUNITIES -ADVANCE THE CAREERS OF BIDMC RESIDENTS IN THE FIELDS OF INTERNATIONAL HEALTH, PUBLIC POLICY AND RESEARCH SITE LOCATIONS -BOTSWANA: THE DEPARTMENT HAS A PERMANENT PRESENCE IN BOTSWANA WITH A MEMBER OF OUR DEPARTMENT FULL-TIME AT SCOTTISH LIVINGSTONE HOSPITAL IN MOLEPOLOLE, BOTSWANA. -VIETNAM: THE MEDICAL CENTER HAS A PERMANENT PRESENCE IN VIETNAM. PHYSICIAN AND NURSE TRAINING ON HIV/AIDS CARE IN VIETNAM TAKES PLACE THROUGH FUNDING FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION. -ADDITIONAL LOCATIONS: THE DEPARTMENT OFFERS ROTATIONS AT THE ALBERT SCHWEITZER HOSPITAL IN GABON AND OTHER INTERNATIONAL SITES. RESIDENTS CAN ALSO DO ROTATIONS THROUGH THE INDIAN HEALTH SERVICE OR AT BIDMC-AFFILIATED COMMUNITY HEALTH CENTERS. GLOBAL HEALTH TRACK LEARNING HOW TO WORK EFFECTIVELY IN RESOURCE-LIMITED SETTINGS REQUIRES BOTH TRAINING AND EXPERIENCE. PARTICIPANTS IN THE GLOBAL HEALTH TRACK WILL PARTICIPATE WITH LEARNERS FROM AROUND THE WORLD IN THE GLOBAL HEALTH EFFECTIVENESS PROGRAM AT THE HARVARD SCHOOL OF PUBLIC HEALTH; THEY WILL ENGAGE IN OUR HOSPITAL-WIDE, YEAR-LONG GLOBAL HEALTH CURRICULUM AND JOURNAL CLUB, AND THEY WILL BE GIVEN THE OPPORTUNITY FOR TWO FIELD EXPERIENCES DURING RESIDENCY. HOSPITAL-WIDE GLOBAL HEALTH PROGRAM THE BIDMC GLOBAL HEALTH PROGRAM IS A HOSPITAL-WIDE PROGRAM AVAILABLE TO ALL BIDMC RESIDENTS. WHILE REQUIREMENTS AND TIMELINES MAY DIFFER BETWEEN DEPARTMENTS AND SPECIALTIES, THE OVERARCHING GOAL IS TO PROVIDE RESIDENTS WITH FURTHER TRAINING AND EDUCATION IN THE DISCIPLINE OF GLOBAL HEALTH.
NEUROLOGY EDUCATION AT BIDMC	THE HARVARD MEDICAL SCHOOL NEUROLOGY PRGRAM AT BETH ISRAEL DEACONESS MEDICAL CENTER AND CHILDREN'S HOSPITAL IN BOSTON, MASSACHUSETTS WAS FOUNDED IN 1996 AS THE SUCCESSOR TO THE HARVARD-LONGWOOD NEUROLOGY PROGRAM. THE PROGRAM CONCENTRATES ON THE TRAINING AND RESEARCH OPPORTUNITIES AVAILABLE ON THE HARVARD MEDICAL SCHOOL LONGWOOD CAMPUS, BY COMBINING THE RESOURCES OF TWO MAJOR HARVARD TEACHING HOSPITALS, BETH ISRAEL DEACONESS MEDICAL CENTER AND CHILDREN'S HOSPITAL. THESE COMBINED HOSPITALS, WITH OVER 800 INPATIENT BEDS AND EXTENSIVE OUTPATIENT CLINICS, PROVIDE THE SETTING FOR TRAINING PHYSICIANS IN THE ART AND SCIENCE OF CLINICAL NEUROLOGY.THE COMBINED FACULTY CONSISTS OF MORE THAN 80 NEUROLOGISTS AT THE TWO PARTICIPATING HOSPITALS, AND PROVIDES CORE EXPERIENCES IN INPATIENT AND OUTPATIENT NEUROLOGY, AS WELL AS TRAINING IN ELECTROPHYSIOLOGY (INCLUDING EEG, EMG, AND SLEEP POLYSOMNOGRAPHY) AND NEUROPATHOLOGY. THE KEY DISTINGUISHING FEATURE OF THE PROGRAM IS THE CLOSE RELATIONSHIP BETWEEN THE CLINICAL FACULTY, NEARLY ALL OF WHOM ARE FULL-TIME ACADEMIC NEUROLOGISTS ENGAGED IN SUBSTANTIVE RESEARCH AND TEACHING EFFORTS, AND A SELECT GROUP OF RESIDENTS WHO ARE KEENLY INTERESTED IN FORGING ACADEMIC CAREERS IN NEUROLOGY. VIRTUALLY ALL OF THE CLINICAL TRAINING TAKES PLACE WITHIN A 2 BLOCK RADIUS ON THE HARVARD MEDICAL SCHOOL LONGWOOD CAMPUS. A CRITICAL COMPONENT OF THE PROGRAM IS THE OPPORTUNITY FOR RESIDENTS TO HAVE A MENTORED TEACHING EXPERIENCE AS WELL AS THE OPPORTUNITY TO UNDERTAKE A MENTORED PROJECT, WHICH MAY ENTAIL EITHER CLINICAL OR LABORATORY BASED INVESTIGATION OR PREPARATION OF INNOVATIVE TEACHING MATERIALS OR METHODS. ***PATHOLOGY EDUCATION AT BIDMCTHE DEPARTMENT OF PATHOLOGY AT BETH ISRAEL DEACONESS MEDICAL CENTER IS COMMITTED TO PROVIDING STATE-OF-THE-ART TRAINING TO PREPARE PHYSICIANS FOR LEADERSHIP ROLES IN PATHOLOGY AND ACADEMIC MEDICINE. THE PROGRAM OFFERS THREE RESIDENT TRAINING PATHWAYS: FIRST, A COMBINED ANATOMIC PATHOLOGY/CLINICAL PATHOLOGY (AP/CP) PATHWAY PROVIDES COMPREHENSIVE TRAINING IN ALL AREAS OF TISSUE DIAGNOSTICS AND LABORATORY MEDICINE. SECOND, THE AP ONLY PATHWAY PREPARES RESIDENTS FOR CAREERS AS ACADEMIC SURGICAL PATHOLOGISTS. THIRD, THE CP ONLY PATHWAY PREPARES RESIDENTS FOR CAREERS AS FUTURE LEADERS IN LABORATORY MEDICINE. ALL PATHWAYS INCLUDE EXTENSIVE OPPORTUNITIES TO PARTICIPATE IN RESEARCH PROJECTS WITH WORLD-RENOWNED EXPERTS IN PATHOLOGY OR RELATED DISCIPLINES. KNOWLEDGE COMES THROUGH EXPERIENCE AND EXTENSIVE INTERACTION WITH FACULTY. IN ANATOMIC PATHOLOGY SIGN OUT, RESIDENTS PREPARE THEIR OWN DIAGNOSES AND ARE THEN IN A POSITION TO TAKE FULL ADVANTAGE OF SIGN OUT WITH STAFF MEMBERS. IN CLINICAL PATHOLOGY, RESIDENTS GAIN EXPERIENCE DURING DAILY ROUNDS WITH ATTENDINGS, SOCRATIC TUTORIALS, AND THROUGH POSITIONING OF RESIDENTS AS AN INTERMEDIARY BETWEEN CLINICIAN AND LABORATORY. THERE ARE DAILY TEACHING AND CASE MANAGEMENT CONFERENCES COVERING THE DIFFERENT PATHOLOGY SPECIALTIES. GIVEN THE IMPORTANT ROLE PATHOLOGISTS PLAY IN TEACHING MEDICAL STUDENTS AND COLLEAGUES IN OTHER SPECIALTIES, THE PROGRAM PROVIDES GUIDANCE FOR RESIDENTS AS THEY HONE THEIR TEACHING SKILLS. SUCH "RESIDENT-AS-TEACHER" PROGRAMS ARE COMMON IN OTHER SPECIALTIES BUT NOT AS WELL-DEVELOPED IN PATHOLOGY. THE CURRICULUM INCLUDES SESSIONS DESIGNED TO IMPROVE SKILLS RELATED TO GIVING FEEDBACK AND SMALL GROUP TEACHING. THERE IS A SESSION ON DEVELOPING PRESENTATION SKILLS WITH CLOSE MENTORING OF FIRST YEAR RESIDENTS, BY SPECIFIC FACULTY WHO HAVE ALSO BEEN THROUGH THE CURRICULUM, AS THEY PREPARE FOR THEIR FIRST PRESENTATION. THERE ARE ALSO OPPORTUNITIES FOR RESIDENTS TO TEACH MEDICAL STUDENTS BOTH WITHIN OUR DEPARTMENT AND AT HARVARD MEDICAL SCHOOL, AS WELL AS TO RECEIVE FEEDBACK ON THEIR TEACHING SKILLS. RECOGNIZING THE NEED TO INTEGRATE TECHNOLOGY INTO RESIDENCY TRAINING, ALL FIRST YEAR RESIDENTS ARE PROVIDED WITH IPADS. THESE TABLETS ALLOW RESIDENTS TO MORE EASILY PREVIEW THE SLIDES THAT ARE ROUTINELY SCANNED FOR OUR SURGICAL SLIDE CONFERENCE. GENOMIC TECHNOLOGY WILL AFFECT THE PRACTICE OF ALL MEDICAL PRACTITIONERS. AS THE PHYSICIANS WHO MANAGE THE HOSPITAL LABORATORIES, PATHOLOGISTS MUST UNDERSTAND NEXT-GENERATION SEQUENCING TECHNOLOGY AND ITS APPLICATION TO PATIENT CARE. IN 2009, THE PROGRAM CREATED, TO OUR KNOWLEDGE, THE FIRST GENOMIC PATHOLOGY CURRICULUM IN THE COUNTRY. THE CURRICULUM HAS BEEN PUBLISHED AND HAS SERVED AS THE BASIS FOR A COLLABORATIVE EFFORT TO DEVELOP A NATIONAL GENOMICS CURRICULUM (WWW.ASCP.ORG/TRIG) WHICH IS CURRENTLY BEING FUNDED BY A $1.3 MILLION R25 GRANT FROM THE NIH.TRAINING IN EVIDENCE-BASED MEDICINE IS CRITICAL. A FIRST-YEAR RESIDENT JOURNAL CLUB ALLOWS AN INTRODUCTION TO CRITICAL REVIEW OF THE MEDICAL LITERATURE. IN LATER YEARS, RESIDENTS LEAD SMALL-GROUP DISCUSSIONS IN MONTHLY JOURNAL CLUBS. THERE IS ALSO AN EVIDENCE-BASED TRANSFUSION MEDICINE CURRICULUM TO HONE THESE SKILLS DURING CP TRAINING. ***
RADIOLOGY EDUCATION AT BIDMC	THE RADIOLOGY RESIDENCY PROVIDES FOUR YEARS OF TRAINING IN DIAGNOSTIC IMAGING. APPOINTMENTS ARE HELD JOINTLY AS A RESIDENT AT THE MEDICAL CENTER AND AS A CLINICAL FELLOW AT HARVARD MEDICAL SCHOOL. WITH A CENTRAL ROLE IN CLINICAL SERVICE, TEACHING, AND RESEARCH, THE RADIOLOGY DEPARTMENT PERFORMS OVER 400,000 RADIOLOGIC EXAMINATIONS EACH YEAR. THE DEPARTMENT PROVIDES RADIOGRAPHY, CT, ULTRASOUND, MRI, NUCLEAR MEDICINE, MAMMOGRAPHY, ANGIOGRAPHY, AND INTERVENTIONAL RADIOLOGY SERVICES TO BOTH THE MEDICAL CENTER AS WELL AS OUR AFFILIATED HEALTH CARE FACILITIES. A RADIOLOGY RESEARCH AND ANIMAL LABORATORY IS HOUSED ADJACENT TO THE RADIOLOGY DEPARTMENT. THERE ARE OVER 70 FULL-TIME AND PART-TIME CLINICAL DIAGNOSTIC RADIOLOGISTS, 15 ADDITIONAL RESEARCH FACULTY MEMBERS, PLUS 25 CLINICAL AND POST-DOCTORAL RESEARCH FELLOWS. ALL RESIDENTS, FELLOWS, AND FACULTY HAVE APPOINTMENTS AT HARVARD MEDICAL SCHOOL. ALL RADIOLOGIC STUDIES ARE INTERPRETED UNDER THE SUPERVISION OF STAFF RADIOLOGISTS. THE NUCLEAR MEDICINE PROGRAM IS A PART OF THE JOINT PROGRAM IN NUCLEAR MEDICINE AT HARVARD MEDICAL SCHOOL. THE DEPARTMENT PLACES STRONG EMPHASIS ON THE QUALITY OF TEACHING-BOTH IN DIDACTIC LECTURES AND IN INDIVIDUAL CASE-BASED TEACHING.WITH THE ADVENT OF RECENT CHANGES IN RESIDENCY TRAINING, THE CURRICULUM HAS RECENTLY BEEN REVISED SO THAT RESIDENTS UNDERTAKE A COURSE OF STUDY WHICH WILL PERMIT THEM TO OBTAIN EXPERTISE NOT JUST IN CLINICAL SUBSPECIALTIES BUT ALSO IN OTHER KEY AREAS SUCH AS RESEARCH, EDUCATION, GLOBAL HEALTH, QUALITY IMPROVEMENT, AND HEALTH POLICY. RADIOLOGIC PHYSICS HAS BEEN INTEGRATED INTO DAILY DIDACTIC SESSIONS. IN ADDITION, MANY DIDACTIC SESSIONS UTILIZE AUDIENCE RESPONSE TECHNOLOGY, VIDEO-RECORDING, AND IPAD2 TECHNOLOGY.THERE ARE NINE FORMAL SECTIONS IN THE DEPARTMENT: ABDOMINAL IMAGING, BREAST IMAGING, CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY (CVIR), MRI, MUSCULOSKELETAL IMAGING, NEURORADIOLOGY, NUCLEAR MEDICINE, ULTRASOUND, AND THORACIC IMAGING. MOST NON-ANGIOGRAPHIC INTERVENTIONAL PROCEDURES ARE PERFORMED BY THE RESPECTIVE SERVICES. RESIDENTS ROTATING THROUGH THESE SECTIONS ARE PROVIDED WITH READING SUGGESTIONS AND MATERIAL. ACADEMIC ROTATIONS ARE MADE UP OF THIRTEEN 4-WEEK BLOCKS ANNUALLY. AT THE END OF EACH ROTATION RESIDENTS RECEIVE WRITTEN EVALUATIONS AND HAVE THE OPPORTUNITY TO EVALUATE THE STAFF.FIRST YEAR ROTATIONS EMPHASIZE FUNDAMENTALS AND COMMON RADIOLOGIC EXAMINATIONS IN PREPARATION FOR INPATIENT AND EMERGENCY DEPARTMENT RESPONSIBILITIES. PRIOR TO TAKING CALL, ALL FIRST YEAR RESIDENTS ROTATE THROUGH ABDOMINAL IMAGING, BREAST IMAGING, EMERGENCY RADIOLOGY, FLUOROSCOPY, MUSCULOSKELETAL IMAGING, NEURORADIOLOGY, NUCLEAR MEDICINE, THORACIC IMAGING, AND ULTRASOUND.DURING THE SECOND YEAR, RESIDENTS CONTINUE TO GAIN EXPERIENCE IN THESE SECTIONS, PERFORMING AND INTERPRETING MORE ADVANCED EXAMINATIONS AND INTERVENTIONS AS THEIR LEVELS OF EXPERTISE INCREASE. ADDITIONAL ROTATIONS IN MORE SPECIALIZED TOPICS OCCUR THROUGHOUT THE SECOND THROUGH FOURTH YEARS, INCLUDING INTERVENTIONAL RADIOLOGY, MRI, HEAD AND NECK IMAGING, AND PEDIATRIC RADIOLOGY. IN ADDITION, ALL RESIDENTS PARTICIPATE IN A TWO-WEEK ROTATION IN QUALITY ASSURANCE WHICH PROVIDES THEM WITH ESSENTIAL SKILLS FOR EVENTUAL BOARD RE-CERTIFICATION.ROTATIONS AT OTHER TRAINING LOCATIONS DURING THE SECOND AND THIRD YEARS OF TRAINING INCLUDE:-THREE MONTHS OF TRAINING IN PEDIATRIC RADIOLOGY AT THE BOSTON CHILDREN'S HOSPITAL DURING THE SECOND YEAR.-FOUR WEEK PROGRAM IN RADIOLOGIC-PATHOLOGIC CORRELATION AT THE ARMED FORCES INSTITUTE OF PATHOLOGY (AIRP) SPONSORED BY THE AMERICAN COLLEGE OF RADIOLOGY IN SILVER SPRINGS, MARYLAND DURING THE THIRD YEAR.-ONE MONTH ROTATION AT THE MASSACHUSETTS EYE AND EAR INFIRMARY IN HEAD-AND-NECK RADIOLOGY DURING THE THIRD YEAR.UPON COMPLETION OF THE SECOND YEAR OF RESIDENCY TRAINING, RESIDENTS SELECT AN AREA OF ACADEMIC FOCUS FOR THEIR FOURTH YEAR WHICH WILL GUIDE CHOICES FOR THE 3-MONTH MINI-FELLOWSHIPS AND THE OTHER TWO MONTHS OF ELECTIVE TIME.
OUR UNIQUE EDUCATIONAL TRACKS	CURRENTLY, SIX TRACKS ARE OFFERED:-CLINICAL-EDUCATION-RESEARCH-GLOBAL HEALTH-QUALITY IMPROVEMENT-HEALTH POLICY/HEALTH ECONOMICSEACH OF THESE TRACKS HAS SPECIFIC CURRICULAR OFFERINGS AND EDUCATIONAL GOALS. MOST OF THE TRACKS ARE LINKED TO SPECIFIC EDUCATIONAL ENDEAVORS. FOR EXAMPLE, A RESIDENT SELECTING THE GLOBAL HEALTH TRACK WILL ENROLL IN THE GLOBAL EFFECTIVENESS CURRICULUM OFFERED BY THE HARVARD SCHOOL OF PUBLIC HEALTH AND WILL SPEND TIME ABROAD PROVIDING CLINICAL RADIOLOGY SERVICES AND UNDERTAKING A GLOBAL HEALTH PROJECT. A RESIDENT SELECTING THE EDUCATION TRACK WILL PURSUE ADVANCED TRAINING IN EDUCATIONAL THEORY AND ADULT LEARNING BY PARTICIPATING IN THE HARVARD MACY PROGRAM FOR PHYSICIAN EDUCATORS AND UNDERTAKE AN EDUCATIONAL PROJECT BASED AT BIDMC OR HARVARD MEDICAL SCHOOL. A RESIDENT CHOOSING THE RESEARCH TRACK WILL PARTICIPATE IN GRANT WRITING WORKSHOPS AND DELVE DEEPLY INTO A RESEARCH PROJECT OF THEIR CHOICE.NO MATTER WHICH TRAINING TRACK, THE EXPECTATION IS THAT EVERY RESIDENT WILL HAVE THE OPPORTUNITY TO UNDERTAKE A SUBSTANTIAL PROJECT DURING RESIDENCY THAT WILL CULMINATE IN PRESENTATION AT A NATIONAL MEETING AND/OR PUBLICATION.*****SURGERY EDUCATION AT BIDMCTHE ROBERTA AND STEPHEN R. WEINER DEPARTMENT OF SURGERY OFFERS EDUCATION OPPORTUNITIES FOR RESIDENTS, FELLOWS AND MEDICAL STUDENTS IN CARDIAC SURGERY, GENERAL SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY, PODIATRY, TRAUMA SURGERY, MINIMALLY INVASIVE SURGERY, AND VASCULAR SURGERY. STUDENTS LEARN THE MOST ADVANCED TECHNIQUES IN A STATE-OF-THE-FACILITY. STUDENTS ALSO HAVE THE OPPORTUNITY TO LEARN MINIMALLY INVASIVE TECHNIQUES AT THE CARL J. SHAPIRO SIMULATION AND SKILLS CENTER, THE FIRST OF ITS KIND TO BE ACCREDITED IN THE COUNTRY AND LOCATED WITHIN THE MEDICAL CENTER.THE MEDICAL CENTER'S DEPARTMENT OF SURGERY IS ONE OF THREE MAJOR TEACHING AND RESEARCH UNITS OF HARVARD MEDICAL SCHOOL'S DEPARTMENT OF SURGERY. AT ALL LEVELS, THE HOUSESTAFF GAIN TRAINING AND PRACTICAL EXPERIENCE IN THE PREOPERATIVE, OPERATIVE, AND POST-OPERATIVE CARE OF PATIENTS. THE PROGRAM EMPHASIZES RESIDENT-FACULTY INTERACTION FOR EDUCATIONAL PURPOSES. TEACHING CONFERENCES AND SEMINARS FOR THE HOUSESTAFF CAPITALIZE ON WORKING RELATIONSHIPS DEVELOPED WITH THE ATTENDING STAFF. UPON COMPLETION OF FIVE YEARS OF SURGICAL TRAINING, RESIDENTS ARE ELIGIBLE FOR THE AMERICAN BOARD OF SURGERY EXAMINATION. DIDACTIC TEACHINGTHE PROGRAM HAS DEDICATED EDUCATION TIME, INCLUDING A STRONG DIDACTIC CONFERENCE SCHEDULE, TO PROVIDE A BASIC FOUNDATION OF SURGICAL KNOWLEDGE AND SKILLS. REQUIRED WEEKLY CONFERENCES INCLUDE:-RESIDENT CURRICULUM CONFERENCE / MIS SKILLS LAB -SURGICAL SERVICE MORBIDITY/MORTALITY & SURGICAL GRAND ROUNDS -COMBINED GI CONFERENCETHROUGHOUT TRAINING, A PRIMARY RESPONSIBILITY OF SENIOR RESIDENTS IS TEACHING MORE JUNIOR RESIDENTS AND THE STUDENTS ON THEIR SERVICE. THEY ARE ALSO RESPONSIBLE FOR THE ASSIGNMENT OF CASES, CLINICAL SUPERVISION OF MEDICAL STUDENTS AND RESIDENTS, AND PREPARING MATERIAL FOR SERVICE AND TEACHING CONFERENCES.CARL J. SHAPIRO SIMULATION AND SKILLS CENTERTHE CARL J. SHAPIRO SIMULATION AND SKILLS CENTER (SASC) AT THE MEDICAL CENTER OFFERS THE LATEST ADVANCES IN MEDICAL SIMULATION TECHNOLOGY TO THE MEDICAL CENTER, NEIGHBORING INSTITUTIONS AND THE GLOBAL HEALTHCARE FIELD IN A NEW, STATE-OF-THE-ART FACILITY. THE SASC PROVIDES REALISTIC TRAINING OPPORTUNITIES FOR LEARNERS AT ALL LEVELS, FROM ALL DISCIPLINES, AND USES PROGRESSIVE TEACHING METHODS TO REPLICATE REAL-LIFE PATIENT CARE SITUATIONS, FROM ROUTINE PROCEDURES TO ACUTE MANAGEMENT CRISES. THE SASC RAISES THE BAR FOR MAJOR ACADEMIC MEDICAL CENTERS BY PROVIDING HEALTH CARE STUDENTS AND PROFESSIONALS WITH CURRICULA AND SKILLS TRAINING ON THE LATEST MEDICAL AND SURGICAL TECHNIQUES IN A STATE-OF-THE-ART, TECHNOLOGICALLY ADVANCED FACILITY. ALTHOUGH MOST HEALTH CENTERS OFFER SOME DEGREE OF MEDICAL SIMULATION TRAINING, THE SCALE AND SCOPE OF THE MEDICAL CENTER'S SASC MAKE IT ONE OF THE MOST COMPREHENSIVE SIMULATION TRAINING CENTERS IN THE COUNTRY. THE SASC INCLUDES A LARGE TELECONFERENCE ROOM FOR UP TO 65 LEARNERS AND CONTAINS LIVE MEDIA FEEDS TO FOUR DIFFERENT OPERATING ROOM ENDOSUITES, ALLOWING FOR TELEPROCTORING, INTER-INSTITUTIONAL COURSES, AND INTERCONTINENTAL BROADCASTING OF GRAND ROUNDS. THE HIGH FIDELITY MOCK OPERATING AND INTENSIVE CARE UNIT ROOMS USED FOR FULL-BODY SIMULATION FEATURE WORKING WATER AND GAS LINES, VIDEO CAMERAS AND OBSERVATION WINDOWS WITH STATE-OF-THE-ART TELECONFERENCING ABILITY. TWO SKILLS LAB AREAS ARE DEDICATED TO PROVIDING LEARNERS WITH HANDS-ON TRAINING FOR BASIC CLINICAL PROCEDURES, OPEN SURGICAL SKILLS, ENDOSCOPIC, ULTRA-SONOGRAPHY, AND LAPAROSCOPIC SKILLS WITH OVER 30 PARTIAL TASK TRAINERS AND HIGH-FIDELITY PROCEDURAL SIMULATORS.THE MEDICAL CENTER'S SASC HAS BEEN FORMALLY ACCREDITED AS A LEVEL 1 FACILITY BY THE AMERICAN COLLEGE OF SURGEONS (ACS), THE FIRST IN BOSTON AND NEW ENGLAND AND ONE OF ONLY SEVEN INAUGURAL CERTIFIED CENTERS IN THE UNITED STATES TO PROVIDE SIMULATION-BASED SKILLS TRAINING TO HEALTH CARE STUDENTS AND PROFESSIONALS FROM ALL MEDICAL AND SURGICAL DISCIPLINES. AS AN ACS ACCREDITED EDUCATION INSTITUTE, THE SASC IS PART OF THE ACS' DEVELOPING NETWORK OF REGIONAL EDUCATION FACILITIES DESIGNED TO "SPECIFICALLY ADDRESS THE TEACHING, LEARNING AND ASSESSMENT OF TECHNICAL SKILLS USING STATE-OF-THE-ART EDUCATIONAL METHODS AND CUTTING-EDGE TECHNOLOGY." THIS LATEST ACCREDITATION FOLLOWS SASC'S RECENT CERTIFICATION AS ONE OF 11 NATIONAL TEST SITES FOR FUNDAMENTALS OF LAPAROSCOPIC SURGERY (FLS) CANDIDATES. SASC FACULTY PROCTOR THE TWO-PART COGNITIVE AND MANUAL SKILLS EXAM FOR RESIDENTS, FELLOWS AND SURGEONS PERFORMING LAPAROSCOPIC SURGERY.
SCHEDULE H PART VI QUESTIONS 5 AND 6	ADDITIONAL PROMOTION OF COMMUNITY HEALTH AND AFFILIATED HEALTH CARE SYSTEMAS NOTED IN THIS FORM 990 PARTS I AND VI, THE MAJORITY OF THE MEDICAL CENTER'S BOARD MEMBERS ARE INDEPENDENT COMMUNITY MEMBERS. IN ADDITION, AS NOTED THROUGHOUT THIS FORM 990 AND SCHEDULES' NARRATIVE SUPPORT, THE MEDICAL CENTER IS PART OF THE CAREGROUP NETWORK OF AFFILIATES AND CAREGROUP SERVES AS THE MEDICAL CENTER'S SOLE MEMBER. IN ADDITION, THE MEDICAL CENTER SERVES AS THE SOLE MEMBER TO BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, BETH ISRAEL DEACONESS HOSPITAL MILTON, BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP AND JORDAN HEALTH SYSTEMS, INC. EACH OF THESE ENTITIES MAY, IN TURN, SERVE AS THE SOLE MEMBER OF ADDITIONAL AFFILIATES. THE MEDICAL CENTER AND EACH OF ITS AFFILIATES IS COMMITTED TO IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (148 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRIS PARK AVE	BRONX	NY	10461	131624225	501(C)(3)	$1,187,468	RESEARCH - SUBAWARD
AMERICAN SOCIETY FOR CLINICAL PATHOLOGY
33 WEST MONROE ST SUITE 1600	CHICAGO	IL	606035617	362406080		$10,210	RESEARCH - SUBAWARD
APTIMA INC
12 GILL ST STE 1400	WOBURN	MA	01801	043281859		$176,157	RESEARCH - SUBAWARD
BAYLOR COLLEGE OF MEDICINE
DR PHILIP NG	HOUSTON	TX	77030	741613878	501(C)(3)	$50,000	RESEARCH - SUBAWARD
BILLINGS CLINIC FOUNDATION
PO BOX 31031	BILLINGS	MT	59107	810407289	501(C)(3)	$9,799	RESEARCH - SUBAWARD
BIOSURFACES
200 HOMER AVE UNIT 1P	ASHLAND	MA	01721	028600865		$140,465	RESEARCH - SUBAWARD
BOSTON CHILDREN'S HOSPITAL
300 LONGWOOD AVE	BOSTON	MA	02115	042774441	501(C)(3)	$2,316,329	RESEARCH - SUBAWARD
BOSTON MEDICAL CENTER
650 ALBANY ST ROOM 607	BOSTON	MA	02118	043314093	501(C)(3)	$7,291	RESEARCH - SUBAWARD
BOSTON UNIVERSITY
P O BOX 55057	BOSTON	MA	02205	042103547	501(C)(3)	$15,083	RESEARCH - SUBAWARD
BRIGHAM & WOMENS HOSP
PO BOX 3149	BOSTON	MA	022413149	042312909	501(C)(3)	$3,665,544	RESEARCH - SUBAWARD
BRIGHAM AND WOMEN'S HOSPTIAL
1620 TREMONT ST SUITE 3030	BOSTON	MA	02120	042312909	501(C)(3)	$76,990	RESEARCH - SUBAWARD
BROAD INSTITUTE
7 CAMBRIDGE CENTER NE30-7031	CAMBRIDGE	MA	02142	263428781	501(C)(3)	$105,750	RESEARCH - SUBAWARD
BROWN UNIVERSITY
CASHIERS OFFICE	PROVIDENCE	RI	02912	050258809	501(C)(3)	$29,689	RESEARCH - SUBAWARD
CAMBRIDGE HEALTH ALLIANCE
1493 CAMBRIDGE ST	CAMBRIDGE	MA	02139	010676306	501(C)(3)	$48,554	RESEARCH - SUBAWARD
CAROLINAS HEALTHCARE SYSTEM
PO BOX 601979	CHARLOTTE	NC	282601979	561398929	501(C)(3)	$5,000	RESEARCH - SUBAWARD
CASE WESTERN RESERVE UNIVERSITY
1100 EUCLID AVE RM790	CLEVELAND	OH	441066003	341018992	501(C)(3)	$30,000	RESEARCH - SUBAWARD
CHILDREN'S HOSPITAL FINANCIAL REPORTING
300 LONGWOOD AVE	BOSTON	MA	02115	042774441	501(C)(3)	$574,298	RESEARCH - SUBAWARD
CLEVELAND CLINIC
PO BOX 931652	CLEVELAND	OH	441935012	651133985	501(C)(3)	$33,448	RESEARCH - SUBAWARD
COLUMBIA UNIVERSITY
OFFICE OF THE CONTROLLERRESTRICTED	NEW YORK	NY	10027	135598093	501(C)(3)	$135,728	RESEARCH - SUBAWARD	FUNDS DIV
CORNELL UNIVERSITY
350 CALDWELL HALL	ITHACA	NY	148532602	150532082	501(C)(3)	$141,667	RESEARCH - SUBAWARD
CURADEL LLC
377 PLANTATION STREET	WORCESTER	MA	01605	460950388		$629,979	RESEARCH - SUBAWARD
DANA FARBER
44 BINNEY ST - M/S BP410	BOSTON	MA	02115	042263040	501(C)(3)	$1,839,959	RESEARCH - SUBAWARD
DANA FARBER PARTNERS CANCER CARE
44 BINNEY ST BP10 317	BOSTON	MA	02115	042263040	501(C)(3)	$223,419	RESEARCH - SUBAWARD
DARTMOUTH COLLEGE
ATTN LINDA WOODWARD	LEBANON	NH	03756	020222111	501(C)(3)	$74,437	RESEARCH - SUBAWARD
DUKE UNIVERSITY
OFFICE OF SPONSORED PROGRAM	DURHAM	NC	277080491	560532129	501(C)(3)	$1,003,104	RESEARCH - SUBAWARD
FENWAY COMMUNITY HEALTH
1340 BOYLSTON STREET FINANCE	BOSTON	MA	022154302	042510564	501(C)(3)	$735,224	RESEARCH - SUBAWARD
FENWAY HEALTH
1340 BOYLSTON STREET	BOSTON	MA	02215	042510564	501(C)(3)	$141,977	RESEARCH - SUBAWARD
FORSYTH INSTITUTE
245 FIRST STREET	CAMBRIDGE	MA	021421200	042104230	501(C)(3)	$32,154	RESEARCH - SUBAWARD
FRED HUTCHINSON CANCER RESEARCH CENTER
1100 FARIVIEW AVE N	SEATTLE	WA	981091024	237156071		$524,198	RESEARCH - SUBAWARD
GEISINGER CLINIC
GEISINGER HEALTH SYSTEM	DANVILLE	PA	178223069	236291113		$45,940	RESEARCH - SUBAWARD
GEORGETOWN UNIVERSITY
OFFICE OF TECH LIC HARRIS BLDG STE	WASHINGTON	DC	20007	530196603	501(C)(3)	$119,864	RESEARCH - SUBAWARD	1500
GEORGIA STATE UNIV RESEARCH FOUNDATION
OFF OF LEGAL AFFAIRS- GWEN SPRATT	ATLANTA	GA	30302	581845423		$299,317	RESEARCH - SUBAWARD	ASSISTANT LEGAL ADVIS
GROUP HEALTH COOPERATIVE
CENTER FOR HEALTH STUDIES	SEATTLE	WA	981011448	910511770		$39,259	RESEARCH - SUBAWARD
HARBOR -UCLA
C/O LOS ANGELES BIOMEDICAL RESEARCH	LOS ANGELES	CA	90060	952138184		$13,348	RESEARCH - SUBAWARD	INSTITUTE
HARTFORD HOSPITAL
CLINICAL RESEARCH CENTER	HARTFORD	CT	061025037	060646668	501(C)(3)	$30,275	RESEARCH - SUBAWARD
HARVARD CLINICAL RESEARCH INST
P O BOX 846057	BOSTON	MA	02284	043521077	501(C)(3)	$442,465	RESEARCH - SUBAWARD
HARVARD NEURODISCOVERY CENTER
220 LONGWOOD AVE	BOSTON	MA	02115	311745145	501(C)(3)	$10,550	RESEARCH - SUBAWARD
HARVARD SCHOOL OF PUBLIC HEALTH
HARVARD SCHOOL OF PUBCLIC HEALTH	BOSTON	MA	02115	042103580	501(C)(3)	$13,565	RESEARCH - SUBAWARD	ADMISSONS OFFICE
HARVARD UNIV OFFICE OF SPONSORED RES
HOLYOKE CENTER ROOM 620	CAMBRIDGE	MA	02138	042103580	501(C)(3)	$50,965	RESEARCH - SUBAWARD
HARVARD UNIVERSITY
GENL ACCTS REC	BOSTON	MA	02212	042103580	501(C)(3)	$312,022	RESEARCH - SUBAWARD
HARVARD VANGUARD MED ASSC 120
CENTRAL OB/GYN ADMIN	BOSTON	MA	02215	043397450	501(C)(3)	$7,500	RESEARCH - SUBAWARD
HEALTH RESEARCH INC
ELM AND CARLTON ST	BUFFALO	NY	14263	200356233		$7,500	RESEARCH - SUBAWARD
HEART CENTER OF METROWEST
99 LINCOLN ST	FRAMINGHAM	MA	01702	030390670	501(C)(3)	$4,500	RESEARCH - SUBAWARD
HEBREW REHABILITATION CENTER
ATTWENDY GUTTERSON PRACTICE ADMIN	ROSLINDALE	MA	02122	042104298	501(C)(3)	$294,192	RESEARCH - SUBAWARD
IHC HEALTH SVS DBA INTERMOUNTAIN MED CTR
PO BOX 57828 ATTN GRANT ACCOUNTING	SALT LAKE CITY	UT	84157	870269232		$29,840	RESEARCH - SUBAWARD
INDIANA UNIVERSITY
PO BOX 66271	INDIANAPOLIS	IN	462666271	356018940		$66,250	RESEARCH - SUBAWARD
INSTITUTE FOR MEDICAL RESEARCH
508 FULTON ST 151-IMR	DURHAM	NC	27705	010211513	501(C)(3)	$13,640	RESEARCH - SUBAWARD
JACKSON LABORATORY
90260 COLLECTION CENTER DR	CHICAGO	IL	60693	010211513	501(C)(3)	$62,861	RESEARCH - SUBAWARD
JOHNS HOPKINS UNIVERSITY
JHU REFERENCE LABORATORY	BALTIMORE	MD	212644478	520595110	501(C)(3)	$7,812	RESEARCH - SUBAWARD
JOSLIN DIABETES CENTER
ACCOUNTING DEPT	BOSTON	MA	02215	012203836	501(C)(3)	$482,384	RESEARCH - SUBAWARD
LAWRENCE GENERAL HOSPITAL
1 GENERAL ST	LAWRENCE	MA	018420389	042103586	501(C)(3)	$252,240	RESEARCH - SUBAWARD
LEIDOS BIOMEDICAL RESEARCH INC
1050 BOYLES STREET	FREDERICK	MD	21702	371611326		$177,524	RESEARCH - SUBAWARD
MABDX INC
MICHAEL MARUSICHINST OF NEUROSCIENC	EURGENE	OR	97403	352261373		$26,400	RESEARCH - SUBAWARD
MAINE MEDICAL CENTER
DEPT OF EMERGENCY MEDICINE	PORTLAND	ME	04102	010238552	501(C)(3)	$38,735	RESEARCH - SUBAWARD
MASS GENERAL HOSPITAL
CORP SPONSORED RESEARCH LIC	CHARLESTOWN	MA	02129	041564655	501(C)(3)	$66,235	RESEARCH - SUBAWARD
MASSACHUSETTS GENERAL HOSPITAL
MGH RESEARCH FINANCE	BOSTON	MA	022414876	041564655	501(C)(3)	$1,395,256	RESEARCH - SUBAWARD
MASSACHUSETTS INSTITUTE OF TECHNOLOGY
C/O OFFICE OF SPONSERED PROG	CAMBRIDGE	MA	02139	042103594	501(C)(3)	$398,614	RESEARCH - SUBAWARD
MAYO CLINIC ROCHESTER
PO BOX 4006	ROCHESTER	MN	559034006	416011702	501(C)(3)	$5,357	RESEARCH - SUBAWARD
MEDICAL COLLEGE OF WISCONSIN
9200 WEST WISCONSIN AVE	MILWAUKEE	WI	53226	390806261		$192,371	RESEARCH - SUBAWARD
MEDICAL UNIVERSITY OF SOUTH CAROLINA
173 ASHLEY THOMAS MSC 509	CHARLESTON	SC	29425	576000722		$363,337	RESEARCH - SUBAWARD
MEMORIAL SLOAN KETTERING CANCER CENTER
PHYSICIANS BILLING DEPT	NEW YORK	NY	100876352	131924236	501(C)(3)	$413,845	RESEARCH - SUBAWARD
MIT CASHIERS
CASHIERS OFFICE NE49-3077	CAMBRIDGE	MA	02139	042103594		$151,519	RESEARCH - SUBAWARD
NEW MEXICO CONSORTIUM INC
4200 WEST JEMEZ ROAD STE 301	LOS ALAMOS	NM	87544	260370262		$224,893	RESEARCH - SUBAWARD
NORTHEASTERN UNIVERSITY
360 HUNTINGTION AVE	BOSTON	MA	02115	041679980	501(C)(3)	$25,959	RESEARCH - SUBAWARD
NYU SCHOOL OF MEDICINE
522 FIRST AVENUE SML-7 ROOM 701C	NEW YORK	NY	10016		501(C)(3)	$13,500	RESEARCH - SUBAWARD
OHIO STATE UNIVERSITY
COMPREHENSIVE CANCER CTR MASR	COLUMBUS	OH	43210	316025986		$95,958	RESEARCH - SUBAWARD
OREGON HEALTH & SCIENCES UNIVERSITY
DEPT OF BIOMEDICAL ENGINEERING	PORTLAND	OR	97239	237083114		$1,169,152	RESEARCH - SUBAWARD
ORLANDO HEALTH FOUNDATION INC
3160 SOUTHGATE COMMERCE BLVD MP13	ORLANDO	FL	32806	592244943		$45,854	RESEARCH - SUBAWARD
PARTNERS HEALTHCARE SYSTEMS INC
PO BOX 3715	BOSTON	MA	02241	042697983	501(C)(3)	$66,558	RESEARCH - SUBAWARD
PHASE V TECHNOLOGIES INC
20 WALNUT STREET	WELLESLEY HILLS	MA	024814407	042976455		$27,842	RESEARCH - SUBAWARD
PRESIDENT & FELLOWS OF HARVARD COLLEGE
P O BOX 415649	BOSTON	MA	022415649	042103580	501(C)(3)	$2,165,311	RESEARCH - SUBAWARD
QUANTERIX CORPORATION
113 HARTWELL AVE	LEXINGTON	MA	02421	208957988		$135,753	RESEARCH - SUBAWARD
QUEST DIAGNOSTICS INC
12436 COLLECTIONS CENTER DRIVE	CHICAGO	IL	606932436	366055558		$95	RESEARCH - SUBAWARD
REGENTS OF THE UNIVERSITY OF CALIFORNIA
ACCOUNTS PAYABLE	SAN FRANCISCO	CA	94143	946036493		$129,205	RESEARCH - SUBAWARD
REGENTS OF THE UNIVERSITY OF MICHIGAN
PO BOX 223131	PITTSBURGH	PA	152512131	386006309		$20,600	RESEARCH - SUBAWARD
REGENTS OF THE UNIVERSITY OF MINNESOTA
NW 5957	MINNEAPOLIS	MN	554855957	416007513		$272,124	RESEARCH - SUBAWARD
RESEARCH CORP OF THE UNIV OF HAWAII
1236 LAUHALA ST	HONOLULU	HI	96813	996000354			RESEARCH - SUBAWARD
RESEARCH FOUNDATION OF SUNY
UNIV AT ALBANY-SUNY SPON FUNDS FIN	ALBANY	NY	12222	141368361		$7,945	RESEARCH - SUBAWARD	MGT
RHODE ISLAND HOSPITAL
593 EDDY ST RESEARCH ADMIN	PROVIDENCE	RI	02903	050258954	501(C)(3)	$77,191	RESEARCH - SUBAWARD
RUSH UNIVERSITY MEDICAL CENTER
1725 W HARRISION ST STE 375	CHICAGO	IL	60612	362174823	501(C)(3)	$21,563	RESEARCH - SUBAWARD
SCHEPENS EYE RESEARCH
20 STANIFORD STREET	BOSTON	MA	021142500	042129889		$72,869	RESEARCH - SUBAWARD
SOUTH SHORE HOSPITAL
55 FOGG ROAD	SOUTH WEYMOUTH	MA	021902432	042769210	501(C)(3)	$273	RESEARCH - SUBAWARD
SOUTH SHORE HOSPITAL MEDICAL STAFF FUND
55 FOGG RD	S WEYMOUTH	MA	021902455	042769210	501(C)(3)	$3,888	RESEARCH - SUBAWARD
STANFORD UNIVERSITY
OFFICE OF TECHNOLOGY LICENSING	SAN FRANCISCO	CA	941444439	941156365	501(C)(3)	$11,877	RESEARCH - SUBAWARD
TEWKSBURY HOSPITAL
365 EAST STREET	TEWKSBURY	MA	01876	043436653		$3,094	RESEARCH - SUBAWARD
THE CLEVELAND CLINIC
9500 EUCID AVE	CLEVLAND	OH	44195	912153073		$6,386	RESEARCH - SUBAWARD
THE DIMOCK CENTER
55 DIMOCK STREET	ROXBURY	MA	02119	043487835	501(C)(3)	$173,180	RESEARCH - SUBAWARD
THE EMMES CORPORATION
401 N WASHINGTON ST STE 700	ROCKVILLE	MD	20850	541058268		$16,922	RESEARCH - SUBAWARD
THE MIRIAM HOSPITAL
ONE HOPPIN ST BOX 42 STE 1300	PROVIDENCE	RI	029034141	050258905	501(C)(3)	$144,109	RESEARCH - SUBAWARD
THE SCRIPPS RESEARCH INSTITUTE
10550 NORTH TORREY PINES RD	LA JOLLA	CA	92037	330435954		$295,040	RESEARCH - SUBAWARD
THE UNIVERSITY OF CHICAGO
FINANCIAL SERVICES SPONSORED AWARD	CHICAGO	IL	60637	362177139		$17,958	RESEARCH - SUBAWARD	ACCOUNTING
THE UNIVERSITY OF TENNESSEE
62 SOUTH DUNLAP STREET STE 300	MEMPHIS	TN	38163	626001636		$17,200	RESEARCH - SUBAWARD
TRUSTEES OF BOSTON UNIVERSITY
BOSTON UNIVERSITY	BOSTON	MA	02205	042103547	501(C)(3)	$556,870	RESEARCH - SUBAWARD
TRUSTEES OF DARTMOUTH COLLEGE
HINMAN BOX 7920	LEBANON	NH	03756	020222111	501(C)(3)	$19,139	RESEARCH - SUBAWARD
TRUSTEES OF THE UNIV OF PENNSYLVANIA
3400 SPRUCE ST 569 DULLES BUILDING	PHILADELPHIA	PA	191044283	231352685	501(C)(3)	$133,672	RESEARCH - SUBAWARD
TRUSTEES OF TUFTS COLLEGE
DEPT OF PHARM EXPERIMENTAL	BOSTON	MA	02111	042103634	501(C)(3)	$188,350	RESEARCH - SUBAWARD
TUFTS MEDICAL CENTER
800 WASHINGTON STREET BOX 115	BOSTON	MA	02111	043400617	501(C)(3)	$233,871	RESEARCH - SUBAWARD
TUFTS NEW ENGLAND MEDICAL CENTER
DEPT OF PATHOLOGY LAB MEDICINE	BOSTON	MA	02111	043400617	501(C)(3)	$33,599	RESEARCH - SUBAWARD
TUFTS UNIVERSITY
MV 701 DEPARTMENT PHYSIOLOGY	BOSTON	MA	02111	042103634	501(C)(3)	$10,612	RESEARCH - SUBAWARD	PHARMACOLOGY
UMASS MEDICAL SCHOOL
55 LAKE AVE NORTH	WORCESTER	MA	01655	043167352		$207,071	RESEARCH - SUBAWARD
UMMS-NENSP
ATTN MEDICAL SCHOOL BURSAR	WORCESTER	MA	01655	043167352		$396,613	RESEARCH - SUBAWARD
UNIVERSITY OF CALIFORNIA UC REGENTS
9500 GILMAN DRIVE MC0009	LA JOLLA	CA	920930009	952872494		$4,876	RESEARCH - SUBAWARD
UNIVERSITY OF ARIZONA
SPONSORED PROJECTS SERVICES	TUCSON	AZ	857190521	742652689		$9,687	RESEARCH - SUBAWARD
UNIVERSITY OF CALIFORNIA SAN DIEGO
CENTRAL CASHIER	LA JOLLA	CA	920930009	952872494		$117,836	RESEARCH - SUBAWARD
UNIVERSITY OF CINCINNATI
LARRY HEINEN DEPT INFECTIOUS	CINCINNATI	OH	452670560	316000989		$9,005	RESEARCH - SUBAWARD	DISEASE
UNIVERSITY OF COLORADO CANCER CENTER
CCTO FINAN13001 E 17TH PLACE	AURORA	CO	80045	840402535		$5,500	RESEARCH - SUBAWARD
UNIVERSITY OF CONNECTICUT
438 WHITNEY RD EXTN UNIT 1133	STORRS	CT	062691133	060772160		$74,730	RESEARCH - SUBAWARD
UNIVERSITY OF FLORIDA
DEPT OF MEDICINE ADMIN	GAINESVILLE	FL	326103594	596002052		$7,200	RESEARCH - SUBAWARD
UNIVERSITY OF FLORIDA BOARD OF TRUSTEES
FINANCE ACCOUNTING-CONTRACTS	GAINSVILLE	FL	32611	596002052		$9,000	RESEARCH - SUBAWARD
UNIVERSITY OF HAWAII
2440 CAMPUS RD BOX 368	HONOLULU	HI	96822	996000354		$27,123	RESEARCH - SUBAWARD
UNIVERSITY OF IOWA
DEPT OF OTOLARYNGOLOGY HNS 21154	IOWA CITY	IA	52242	426004813		$100,502	RESEARCH - SUBAWARD	PFP
UNIVERSITY OF LOUISVILLE
500 SOUTH PRESTON	LOUISVILLE	KY	40292	611014882		$19,551	RESEARCH - SUBAWARD
UNIVERSITY OF MARYLAND
3501 UNIVERSITY BLVD EAST	ADELPHI	MD	20783	526002033		$17,136	RESEARCH - SUBAWARD
UNIVERSITY OF MASSACHUSETTS
CENTER FOR SURVEY RESEARCH	BOSTON	MA	021253393	043167352		$149,529	RESEARCH - SUBAWARD
UNIVERSITY OF MIAMI
DR ECHARD PODACK	MIAMI	FL	33136	590624458		$344,051	RESEARCH - SUBAWARD
UNIVERSITY OF NORTH CAROLINA
120 MASON FARM RD	CHAPEL HILL	NC	27599	566001393		$32,201	RESEARCH - SUBAWARD
UNIVERSITY OF PENNSYLVANIA
P221 FRANKLIN BLDG	PHILADELPHIA	PA	19104	231352685	501(C)(3)	$424,974	RESEARCH - SUBAWARD
UNIVERSITY OF PITTSBURGH
UPMC HEALTH SYSTEM	PITTSBURGH	MA	152508007	250965591		$308,846	RESEARCH - SUBAWARD
UNIVERSITY OF ROCHESTER
ATTNAPRIL TIRABASSI	ROCHESTER	NY	14642	160743209		$32,590	RESEARCH - SUBAWARD
UNIVERSITY OF TEXAS
MD ANDERSON CANCER CTR	HOUSTON	TX	772104390	746000203		$60,332	RESEARCH - SUBAWARD
UNIVERSITY OF TEXAS HEALTH SCIENCE CTR
FINANCIAL ADMINSTRATIVE SUPPORT	HOUSTON	TX	772163382	741761309		$34,354	RESEARCH - SUBAWARD
UNIVERSITY OF UTAH
50 N MEDICAL DRIVE	SALT LAKE CITY	UT	841321601	876000525		$17,165	RESEARCH - SUBAWARD
UNIVERSITY OF VERMONT
GRANT CONTRACT ACCOUNTING SERVICES	BURLINGTON	VT	05405	030179440		$21,022	RESEARCH - SUBAWARD
UNIVERSITY OF VIRGINIA
LYMPHOCYTE CULTURE CENTER CORE	CHARLOTTESVILLE	VA	229080732	546001796		$16,097	RESEARCH - SUBAWARD
UNIVERSITY OF WASHINGTON
GRANT CONTRACT ACCOUNTING	CHICAGO	IL	60693	916001537		$542,031	RESEARCH - SUBAWARD
UNIVERSITY OF WISCONSIN
DEPT OF PATHOLOGY LABORATORY	MADISON	WI	537061532	916001537		$56,042	RESEARCH - SUBAWARD	MEDICINE
VANDERBILT UNIVERSITY MEDICAL CENTR
DEPT OF FINANCE	ATLANTA	GA	311920303	620476822	501(C)(3)	$26,131	RESEARCH - SUBAWARD
VGTI FLORIDA CORP
11350 SW VILLAGE PARKWAY3RD FLOOR	PORT ST LUCIE	FL	34987	364631835		$502,825	RESEARCH - SUBAWARD
WAKE FOREST UNIVERSITY HEALTH SCIENCES
OFFICE OF RESEARCH IRB OFFICE	WINSTONSALEM	NC	27157	223849199	501(C)(3)	$1,240	RESEARCH - SUBAWARD
WASHINGTON UNIVERSITY
ACCT PAYABLE DEPT BOX 1056	ST LOUIS	MO	631121408	430653611	501(C)(3)	$11,345	RESEARCH - SUBAWARD
WAYNE STATE UNIVERSITY
6071 WOUTER DR L435	DETROIT	MI	48235	383555142		$5,811	RESEARCH - SUBAWARD
WE CAN DO BETTER DBA ACHIMEDES MOVEMENT
PO BOX 13314	PORTLAND	OR	97213	272132905		$20,000	RESEARCH - SUBAWARD
WEILL CORNELL MEDICAL COLLEGE
DEPT OF PATHOLOGY LAB MEDICINE	NEW YORK	NY	10021	131623978	501(C)(3)	$104,995	RESEARCH - SUBAWARD
WINTHROP UNIVERISTY HOSPITAL
259 FIRST STREET	MINEOLA	NY	11501	111633486		$45,095	RESEARCH - SUBAWARD
YALE UNIVERSITY
OFFICE OF CORPORATE RESEARCH	NEW HAVEN	CT	06511	060646973	501(C)(3)	$44,013	RESEARCH - SUBAWARD
YALE UNIVERSITY SCHOOL OF MEDICINE
TREASURY OPERATIONS PO BOX 208087	NEW HAVEN	CT	065208087	060646973		$15,969	RESEARCH - SUBAWARD
CITY OF BOSTON - BIDMC
ONE CITY HALL SQUARE	BOSTON	MA	02201			$1,924,846	SUPPORT CITY OF BOSTON SERVICES & INFRASTRUCURE
COMMUNITY CARE ALLIANCE
330 BROOKLINE AVE	BOSTON	MA	02215		501(C)(3)	$38,600	PRIMARY CARE/HEALTHCARE ACCESS		$52,500	FMV	STAFF
DIMOCK COMMUNITY HEALTH CENTER
55 DIMOCK STREET	ROXBURY	MA	02119		501(C)(3)	$610,125	PRIMARY CARE/HEALTHCARE ACCESS
FENWAYSIDNEY BORUM COMMUNITY HEALTH CENTER
55 DIMOCK STREET	ROXBURY	MA	02119		501(C)(3)	$704,000	PRIMARY CARE/HEALTHCARE ACCESS
HARVARD MEDICAL SCHOOL
25 SHATTUCK ST	BOSTON	MA	02215		501(C)(3)	$1,760,824	MEDICAL EDUCATION AND RESEARCH SUPPORT
JOSEPH SMITH PRIMARY CARE
287 WESTERN AVE	ALLSTON	MA	02134		501(C)(3)	$427,980	PRIMARY CARE/HEALTHCARE ACCESS
KIT CLARK COMMUNITY HEALTH CENTER
66 CANAL STREET	BOSTON	MA	02214		501(C)(3)	$45,000	SENIOR SERVICES COORDINATION SUPPORT
OUTER CAPE PRIMARY CARE
3073 STATE HIGHWAY RTE 6	WELLFLEET	MA	02653		501(C)(3)	$122,000	PRIMARY CARE/HEALTHCARE ACCESS
SOUTH COVE COMMUNITY HEALTH CENTER
145 SOUTH STREET	BOSTON	MA	02111		501(C)(3)	$749,999	PRIMARY CARE/HEALTHCARE ACCESS
DIMOCK COMMUNITY HEALTH CENTER
55 DIMOCK STREET	ROXBURY	MA	02119		501(C)(3)		PRIMARY CARE/HEALTHCARE ACCESS		$10,000	FMV	PROGRAM
COMMONWEALTH OF MASSACHUSETTS
PO BOX 416936	BOSTON	MA	02241			$950,799	STATEWIDE HOSPITAL SUPPORT
BREAST CANCER RESEARCH FOUNDATION
60 EAST 56TH STREET 8TH FLOOR	NEW YORK	NY	10022			$5,000	SUPPORT OF RESEARCH MISSION

Field	Value	IRS element (for citing)
Total501c3 Org	78	Total501c3OrgCnt
Total Other Org	70	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
ROBERT STONE AWARD	2	$15,000
TOSTESON VISITING PROFESSORSHIP	1	$5,059

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	AS PREVIOUSLY DENOTED IN GREATER DETAIL IN THIS FORM 990, SCHEDULE H, HOSPITALS WHICH DESCRIBES THE MEDICAL CENTER'S COMMITMENT TO ITS COMMUNITY, THE MEDICAL CENTER PARTNERS WITH COMMUNITY LEADERS AND COMMUNITY-BASED ORGANIZATIONS. THESE ORGANIZATIONS SERVE AS LINKS TO THE COMMUNITY AND TEACHERS OF HOW WE CAN BETTER SERVE THE POPULATIONS THEY REPRESENT. IN ADDITION, THE MEDICAL CENTER COLLABORATES WITH A WIDE VARIETY OF ORGANIZATIONS BECAUSE HEALTHCARE SERVICES BY THEMSELVES ARE NOT ADEQUATE TO MAXIMIZE IMPROVEMENT OF HEALTH STATUS. AS SUCH, THE MEDICAL CENTER'S INVOLVEMENT WITH OUR COMMUNITY IS ON-GOING AND PART OF THAT ON-GOING RELATIONSHIP INCLUDES REPORTING ON HOW GRANT FUNDS ARE EXPENDED. AS A RECIPIENT OF FEDERAL SPONSORED AWARDS, THE MEDICAL CENTER MUST COMPLY WITH THE GUIDELINES SPECIFIC TO THE FEDERAL AWARDING AGENCY FOR THE PARTICULAR PROGRAM. THE MEDICAL CENTER'S ADHERENCE TO THESE PROGRAMS REQUIREMENTS ARE AUDITED ANNUALLY AS REQUIRED BY OMB CIRCULAR A-133. THE MEDICAL CENTER IS REQUIRED BY FEDERAL REGULATION TO MONITOR EXPENSES OF FEDERAL FUNDS AWARDED TO THE MEDICAL CENTER THAT ARE SUB-CONTRACTED TO ANOTHER INSTITUTION, ORGANIZATION, OR INDIVIDUAL. FEDERAL SUBCONTRACTED RESEARCH GRANTS AS WELL AS OTHER SUBCONTRACTED RESEARCH GRANTS ARE MONITORED BY THE CLINICAL DEPARTMENT SPONSORING THE ACTIVITY. SIMILAR MONITORING PROGRAMS ARE IN PLACE THAT ASSURE ADHERENCE TO ALL NON-FEDERAL SPONSOR'S GRANT REQUIREMENTS AS WELL THROUGH A GROUP OF DEDICATED RESEARCH ADMINISTRATIVE PROFESSIONAL THAT REPORTS UP THROUGH THE OFFICE OF ACADEMIC AFFAIRS. THIS REPORTING STRUCTURE FURTHER ENHANCES INTERNAL CONTROLS. THE SHAPIRO INSTITUTE FOR EDUCATION AND RESEARCH IS AN ORGANIZATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND A SUPPORT ORGANIZATION OF THE MEDICAL CENTER. THE MEDICAL CENTER'S DEPARTMENTS OF FISCAL SERVICES AND MEDICAL EDUCATION MANAGEMENT MONITOR PERIODIC SPENDING REPORTS SENT BY THE SHAPIRO INSTITUTE FOR REVIEW AND APPROVAL.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	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	Yes (1)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (1)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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
CHAIKOF MD PHD ELLIOT
DIR & SURG CHIEF	$452,888	$452,889	$0	$0	$7,333	$7,333	$37,009	$37,008	$17,316	$17,316	$514,546	$514,546	$0	$0
ROSENBERG MD STUART
DIR & CEO-HMFP	$0	$643,688	$0	$369,720	$0	$18,900	$0	$47,813	$0	$18,862	$0	$1,098,983	$0	$0
TABB MD KEVIN
PRESIDENT & CEO	$835,668	$0	$404,200	$0	$67,548	$0	$12,750	$0	$34,166	$0	$1,354,332	$0	$0	$0
ZEIDEL MD MARK L
DIR & CHIEF, MEDICINE	$351,556	$351,557	$0	$0	$5,505	$5,505	$22,089	$22,089	$9,955	$9,955	$389,105	$389,106	$0	$0
FISCHER STEVEN
SR. VP - FINANCE & CFO	$507,111	$0	$119,165	$0	$51,495	$0	$12,750	$0	$40,363	$0	$730,884	$0	$0	$0
FORMELLA RN MSN NANCY
CHIEF OPERATING OFFICER	$451,541	$0	$108,000	$0	$20,683	$0	$0	$0	$13,778	$0	$594,002	$0	$0	$0
ARMSTRONG WALTER
SVP FACILITIES	$320,334	$0	$83,417	$0	$44,134	$0	$12,750	$0	$17,515	$0	$478,150	$0	$0	$0
BIEBER JUDITH
SVP - HR	$196,396	$0	$0	$0	$2,058	$0	$31,405	$0	$18,755	$0	$248,614	$0	$0	$0
MAURER RN MSN MARSHA
SVP-PAT CARE & CNO	$443,456	$0	$105,778	$0	$49,876	$0	$14,990	$0	$31,324	$0	$645,424	$0	$0	$0
SHEEHAN RN MSN JAYNE
SVP AMBUL & EMERG SVCS	$321,875	$0	$82,631	$0	$42,349	$0	$17,799	$0	$19,777	$0	$484,431	$0	$0	$0
SUKHATME MD SCD VIKAS P
SVP & CHIEF ACADEMIC OFFICER	$456,149	$39,665	$102,764	$8,936	$12,380	$1,076	$33,890	$2,947	$15,802	$1,374	$620,985	$53,998	$0	$0
WARFIELD MD CAROL A
FORMER CHIEF OF ANESTHESIOLOGY	$96,667	$206,811	$0	$0	$6,500,000	$430	$403,333	$7,570	$0	$22,807	$7,000,000	$237,618	$0	$0
GEBHARDT MD MARK C
CHIEF OF ORTHO SURGERY	$365,647	$365,647	$0	$0	$8,846	$8,845	$30,495	$30,495	$10,250	$10,250	$415,238	$415,237	$0	$0
KRUSKAL MD PHD JONATHAN B
CHIEF OF RADIOLOGY	$333,157	$333,156	$7,500	$7,500	$5,385	$5,384	$15,300	$15,300	$15,222	$15,221	$376,564	$376,561	$0	$0
LEWIS MD STANLEY
SVP, NETWORK INTEGRATION	$434,673	$48,297	$120,063	$13,340	$11,045	$1,227	$25,245	$2,805	$17,057	$1,895	$608,083	$67,564	$0	$0
SIMON MD PHD BRETT
CHIEF OF ANESTHESIA	$307,491	$307,491	$0	$0	$4,897	$4,896	$34,844	$34,844	$7,111	$7,111	$354,343	$354,342	$0	$0
BUEHRENS ERIC
FRMR INTRM PRES/CEO&COO	$0	$0	$0	$0	$446,608	$0	$0	$0	$17,604	$0	$464,212	$0	$0	$0
ZANKMAN LISA
FORMER SR. VP - HR	$150,742	$0	$0	$0	$174,211	$0	$12,750	$0	$11,025	$0	$348,728	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	SCHEDULE J PART I QUESTION 1 GROSS-UP PAYMENTS AS NOTED BELOW IN THE EXPLANATORY NOTES TO THIS FORM 990, SCHEDULE J PART I QUESTION 4B, THE MEDICAL CENTER IS A PARTICIPATING EMPLOYER IN THE BETH ISRAEL DEACONESS MEDICAL CENTER, INC. ANNUITY RETIREMENT PLAN. INDIVIDUALS WHO QUALIFY AS PARTICIPANTS IN THIS PLAN, RECEIVE CURRENTLY TAXABLE INCOME, A PORTION OF WHICH IS DEFINED AS A GROSS-UP PAYMENT PURSUANT TO THE PLAN DOCUMENT.
PART I, LINES 4A-B	SCHEDULE J PART I QUESTION 4A SEVERANCE AND CHANGE OF CONTROL PAYMENTS AS NOTED IN THIS FILING, ERIC BUEHRENS SERVED AS THE INTERIM PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BIDMC FROM FEBRUARY 2 TO OCTOBER 17, 2011, AT WHICH TIME HE RESUMED THE POSITION OF CHIEF OPERATING OFFICER (COO). MR. BUEHRENS SERVED AS COO UNTIL JANUARY 5, 2012 AND WAS EMPLOYED BY BIDMC UNTIL FEBRUARY 29, 2012. LISA ZANKMAN RETIRED FROM HER POSITION AS SENIOR VICE PRESIDENT OF HUMAN RESOURCES ON JUNE 30, 2013. MR. BUEHRENS AND MS. ZANKMAN BOTH BECAME ELIGIBLE FOR CERTAIN SALARY CONTINUATION PAYMENTS ON LEAVING BIDMC AS NOTED IN MORE DETAIL IN THE DISCLOSURES BELOW. SCHEDULE J PART I QUESTION 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AS REQUIRED BY THIS FORM 990, SCHEDULE J, COMPENSATION INFORMATION, THE COMPENSATION DETAIL INCLUDED IN THE MEDICAL CENTER'S FORM 990 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2014 IS CALENDAR YEAR 2013 DETAIL. DURING THE 2013 CALENDAR YEAR, THE MEDICAL CENTER WAS A PARTICIPATING EMPLOYER IN THE BETH ISRAEL DEACONESS MEDICAL CENTER, INC. ANNUITY RETIREMENT PLAN WHICH, UNDER THE DEFINITIONS TO THIS FORM 990, IS CONSIDERED A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PARTICIPANTS RECEIVED BOTH CURRENTLY TAXABLE AND DEFERRED BENEFITS FROM THIS PLAN. AS PREVIOUSLY NOTED, THE CURRENTLY TAXABLE PORTION OF BENEFITS INCLUDES A GROSS-UP PURSUANT TO THE PLAN DESIGN. ADDITIONAL INFORMATION IS INCLUDED WITH THE EXPLANATORY NOTES TO SCHEDULE J BELOW. THE MEDICAL CENTER ALSO MAINTAINS AN IRC SEC. 457 PLAN PURSUANT TO WHICH ELIGIBLE EMPLOYEES CAN DEFER PART OF THEIR COMPENSATION. THIS PLAN IS STRICTLY EMPLOYEE FUNDED WITH NO EMPLOYER DEFERRALS. UNDER THE DEFINITIONS TO THIS FORM 990, THIS PLAN IS CONSIDERED A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. AMOUNTS DEFERRED BY PARTICIPANTS ARE INCLUDED IN FORM 990 SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION, IN ACCORDANCE WITH THE INSTRUCTIONS TO THIS FORM 990.
PART I, LINE 7	SCHEDULE J PART I QUESTION 7 NON-FIXED PAYMENTS THE MEDICAL CENTER'S EXECUTIVE COMPENSATION PACKAGES INCLUDE OPPORTUNITIES TO EARN INCENTIVE COMPENSATION BASED ON A COMBINATION OF MEETING OR EXCEEDING THE MEDICAL CENTER'S OBJECTIVES FOR QUALITY AND PATIENT SAFETY, THE MEDICAL CENTER'S BUDGETED CONSOLIDATED OPERATING MARGIN, AND MEETING INDIVIDUAL GOALS AND OBJECTIVES. THE INCENTIVE COMPENSATION FOR EACH EXECUTIVE IS REVIEWED AND APPROVED BY THE MEDICAL CENTER'S COMPENSATION COMMITTEE, WHICH AS PREVIOUSLY NOTED, IS FULLY STAFFED BY INDEPENDENT MEMBERS.
PART I, LINE 8	SCHEDULE J PART I QUESTION 8 INITIAL CONTRACT EXCEPTION AS NOTED IN THIS FILING, DR. KEVIN TABB COMMENCED HIS POSITION AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE MEDICAL CENTER DURING THE 2011 CALENDAR YEAR. ALL AMOUNTS PAID TO DR. TABB DURING THE CALENDAR YEAR 2013 AND REPORTED IN THIS FORM 990 WERE PAID PURSUANT TO THE INITIAL CONTRACT EXCEPTION DESCRIBED IN TREASURY REGULATIONS SECTION 53.4958-4(A)(3) AND BIDMC FOLLOWED THE REBUTTABLE PRESUMPTION PROCEDURES DESCRIBED IN TREASURY REGULATIONS SECTION 53.4958-6(C) IN SETTING DR. TABB'S COMPENSATION.
SCHEDULE J ADDITIONAL EXPLANATORY FOOTNOTES:	REPORTABLE COMPENSATION LISTED IN FORM 990 PART VII INCLUDES BASE COMPENSATION, INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION AS REPORTED IN FORM 990 SCHEDULE J. OTHER COMPENSATION LISTED IN FORM 990 PART VII INCLUDES DEFERRED COMPENSATION AND NON-TAXABLE BENEFITS AS REPORTED IN FORM 990 SCHEDULE J. REPORTABLE COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED IN THIS RETURN BUT QUANTIFIED IN OTHER REPORTABLE COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: AMOUNTS DEFERRED BY THE EMPLOYEE (PLUS EARNINGS) UNDER FULLY VESTED 457(B) PLAN; INCREASE/DECREASE IN VALUE OF NONQUALIFIED FULLY VESTED 457(B) PLAN; TAXABLE EMPLOYER-SUBSIDIZED PARKING; TAXABLE MOVING EXPENSES; TAXABLE LIFE, DISABILITY, OR LONG-TERM CARE INSURANCE; AND OTHER TAXABLE RETIREMENT BENEFITS DEFERRED COMPENSATION: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN DEFERRED COMPENSATION INCLUDE AMOUNTS FROM ONE OR MORE OF THE FOLLOWING ITEMS: EMPLOYER CONTRIBUTIONS TO 401K RETIREMENT PLAN, EMPLOYER CONTRIBUTIONS TO 403B RETIREMENT PLAN, EMPLOYER CONTRIBUTION TO PENSION PLAN NON-TAXABLE BENEFITS: AMOUNTS NOT OTHERWISE SEPARATELY NOTED BUT QUANTIFIED IN NON-TAXABLE BENEFITS INCLUDE AMOUNTS FROM ONE OR MORE OF THE NON-TAXABLE BENEFITS: EMPLOYEE CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYER CONTRIBUTIONS TO HEALTH INSURANCE, EMPLOYEE CONTRIBUTIONS TO FLEXIBLE SPENDING ACCOUNTS FOR DEPENDENT CARE AND/OR MEDICAL REIMBURSEMENT, GROUP TERM LIFE INSURANCE, DISABILITY INSURANCE ALL DIRECTORS/TRUSTEES SERVE WITHOUT COMPENSATION OR BENEFITS. COMPENSATION PAID TO OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES WAS EARNED FOR WORK PERFORMED IN A CAPACITY OTHER THAN THAT OF DIRECTOR/TRUSTEE, AS DENOTED BY THE LISTED TITLES BETH ISRAEL DEACONESS MEDICAL CENTER AND HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER MAY BE REFERRED TO IN THESE EXPLANATORY NOTES TO FORM 990 PART VII AND FORM 990 SCHEDULE J AS BIDMC AND HMFP RESPECTIVELY. IN ADDITION, THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL MAY BE REFERRED TO AS PFHC, HMS OR PFHC/HMS. ANDERSON, CAROL F. DIRECTOR AND VICE CHAIR BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR BETH ISRAEL ANAESTHESIA FOUNDATION MS. ANDERSON DEVOTES, ON AVERAGE, A COMBINED 6 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. BRADY, MICHAEL J. DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND BOARD CHAIR BETH ISRAEL DEACONESS HOSPITAL MILTON DIRECTOR AND BOARD CHAIR MILTON HOSPITAL FOUNDATION DIRECTOR COMMUNITY PHYSICIANS ASSOCIATES MR. BRADY DEVOTES, ON AVERAGE, A COMBINED 12 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. BUFFERD, ALLAN DIRECTOR AND TREASURER BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR CAREGROUP, INC. MR. BUFFERD DEVOTES, ON AVERAGE, A COMBINED 3 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. CHAIKOF, M.D., PHD, ELLIOT DIRECTOR (EX-OFFICIO) AND CHIEF (SURGERY) BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) AND CHAIR (SURGERY) HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) AND PRESIDENT BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION JOHNSON & JOHNSON PROFESSOR OF SURGERY HARVARD MEDICAL SCHOOL DR. CHAIKOF DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. CHAIKOF PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. CHAIKOF IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. CHAIKOF'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 452,889 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,333 DEFERRED COMPENSATION: 37,009 NON-TAXABLE BENEFITS: 17,316 PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 452,888 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,333 DEFERRED COMPENSATION: 37,008 NON-TAXABLE BENEFITS: 17,316 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2013 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. CHAIKOF'S POSITION AS CHIEF OF SURGERY AT BIDMC, CHAIR OF THE HMFP DEPARTMENT OF SURGERY AND JOHNSON & JOHNSON PROFESSOR OF SURGERY, HARVARD MEDICAL SCHOOL: $209,844 BASE AND OTHER REPORTABLE COMPENSATION, $26,204 DEFERRED COMPENSATION AND $4,186 NON-TAXABLE BENEFITS.
SCHEDULE J EXPLANATORY FOOTNOTES (CONTINUED)	CRONIN, MICHAEL DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER MR. CRONIN DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. CUTLER, JOEL DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER MR. CUTLER DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. JICK, DANIEL J. DIRECTOR AND BOARD CHAIR BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) CAREGROUP MR. JICK DEVOTES, ON AVERAGE, A COMBINED 16 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. JOHNSTON, WILLIAM DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER MR. JOHNSTON DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. KAY, STEPHEN B. DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS MEDICAL CENTER MR. KAY DEVOTES, ON AVERAGE, A COMBINED 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. LADD, EDWARD DIRECTOR AND VICE-CHAIR BETH ISRAEL DEACONESS MEDICAL CENTER MR. LADD DEVOTES, ON AVERAGE, 5 HOURS PER WEEK TO THE REPORTING ORGANIZATION. LAMERE, DAVID DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER MR. LAMERE DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. LEPOFSKY, ROBERT J. DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER MR. LEPOFSKY DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. LINDE, DOUGLAS T. DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER MR. LINDE DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. MACDOWELL, VIRGINIA DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR MEDICAL CARE OF BOSTON MANAGEMENT CORP. D/B/A AFFILIATED PHYSICIANS GROUP MS. MACDOWELL DEVOTES, ON AVERAGE, A COMBINED 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. MANDELL M.D., JAMES DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER DR. MANDELL'S TERM ON THE BIDMC BOARD BEGAN IN MARCH, 2014. DR. MANDELL DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. MCKENNA, MARGARET DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER MS. MCKENNA DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. O'HANLEY, RONALD DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER MR. O'HANLEY DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. ROSENBERG, M.D., STUART A DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO), PRESIDENT AND CHIEF EXECUTIVE OFFICER HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND DIRECTOR (EX-OFFICIO) ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND DIRECTOR (EX-OFFICIO) LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION DIRECTOR (EX-OFFICIO) CONTINUING EDUCATION PROGRAM, INC. D/B/A BETH ISRAEL DEACONESS DEPARTMENT OF PSYCHIATRY FOUNDATION DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION DIRECTOR (EX-OFFICIO) MEDICAL CARE OF BOSTON MANAGEMENT CORP., D/B/A AFFILIATED PHYSICIANS GROUP DIRECTOR BETH ISRAEL DEACONESS HOSPITAL MILTON SENIOR LECTURER ON MEDICINE HARVARD MEDICAL SCHOOL DR. ROSENBERG DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 643,688 INCENTIVE COMPENSATION: 369,720 OTHER REPORTABLE COMPENSATION: 18,900 DEFERRED COMPENSATION: 47,813 NON-TAXABLE BENEFITS: 18,862 INCENTIVE COMPENSATION REPORTED FOR THE 2013 CALENDAR YEAR INCLUDES A PAYMENT IN THE AMOUNT OF $240,000 PURSUANT TO A RETENTION INCENTIVE PLAN ESTABLISHED BY HMFP'S BOARD OF DIRECTORS IN 2012. AS REQUIRED BY THIS FORM 990, THIS INCENTIVE PAYMENT WAS REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990. ROTTENBERG, ALAN DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER MR. ROTTENBERG DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. TABB, M.D., KEVIN DIRECTOR, PRESIDENT AND CHIEF EXECUTIVE OFFICER BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION TRUSTEE (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL NEEDHAM DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL MILTON DR. TABB DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 835,668 INCENTIVE COMPENSATION: 404,200 OTHER REPORTABLE COMPENSATION: 67,548 DEFERRED COMPENSATION: 12,750 NON-TAXABLE BENEFITS: 34,166 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR DR. TABB INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $60,562 TURNBULL, CLAYTON DIRECTOR BETH ISRAEL DEACONESS MEDICAL CENTER MR. TURNBULL DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. WANG, FREDERICK DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS MEDICAL CENTER CHAIR BIDMC TRUSTEE ADVISORY BOARD MR. WANG DEVOTES, ON AVERAGE, A COMBINED 6 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. ZEIDEL, M.D. MARK L. DIRECTOR (EX-OFFICIO) AND CHIEF (MEDICINE) BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) AND CHAIR (MEDICINE) HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP PRESIDENT AND DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS DEPT. OF MEDICINE FOUNDATION (BIDDM) HERMAN LUDWIG BLUMGART PROFESSOR OF MEDICINE- HARVARD MEDICAL SCHOOL DR. ZEIDEL DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. ZEIDEL PERFORMS SERVICES FOR BOTH HMFP AND BIDMC. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. ZEIDEL IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. ZEIDEL'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 351,556 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,505 DEFERRED COMPENSATION: 22,089 NON-TAXABLE BENEFITS: 9,955 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 351,557 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,505 DEFERRED COMPENSATION: 22,089 NON-TAXABLE BENEFITS: 9,955 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2013 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. ZEIDEL'S POSITION AS CHIEF OF MEDICINE AT BIDMC, CHAIR OF THE HMFP DEPARTMENT OF MEDICINE AND HERMAN LUDWIG BLUMGART PROFESSOR OF MEDICINE, HARVARD MEDICAL SCHOOL: $144,848 BASE AND OTHER REPORTABLE COMPENSATION, $16,128 DEFERRED COMPENSATION AND $1,837 NON-TAXABLE BENEFITS.
SCHEDULE J EXPLANATORY FOOTNOTES (CONTINUED)	FISCHER, STEVEN SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER BETH ISRAEL DEACONESS MEDICAL CENTER TRUSTEE BETH ISRAEL DEACONESS HOSPITAL NEEDHAM DIRECTOR BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR JORDAN HEALTH SYSTEMS, INC. MR. FISCHER BEGAN HIS TERM ON BID-PLYMOUTH AND JORDAN HEALTH SYSTEMS' BOARDS ON JANUARY 1, 2014. MR. FISCHER DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS MADE BY BIDMC: BASE COMPENSATION: 507,111 INCENTIVE COMPENSATION: 119,165 OTHER REPORTABLE COMPENSATION: 51,495 DEFERRED COMPENSATION: 12,750 NON-TAXABLE BENEFITS: 40,363 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. FISCHER INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $60,562. FORMELLA, R.N., M.S.N., NANCY CHIEF OPERATING OFFICER BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR JORDAN HEALTH SYSTEMS, INC. MS. FORMELLA BEGAN HER TERM AS CHIEF OPERATING OFFICER (COO) OF BETH ISRAEL DEACONESS MEDICAL CENTER ON MARCH 13, 2013. MS. FORMELLA BEGAN HER TERM ON BID-PLYMOUTH AND JORDAN HEALTH SYSTEMS BOARDS ON JANUARY 1, 2014. MS. FORMELLA DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS MADE BY BIDMC: BASE COMPENSATION: 451,541 INCENTIVE COMPENSATION: 108,000 OTHER REPORTABLE COMPENSATION: 20,683 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 13,778 ARMSTRONG, WALTER SENIOR VICE PRESIDENT, CAPITAL FACILITIES AND ENGINEERING BETH ISRAEL DEACONESS MEDICAL CENTER MR. ARMSTRONG DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS MADE BY BIDMC: BASE COMPENSATION: 320,334 INCENTIVE COMPENSATION: 83,417 OTHER REPORTABLE COMPENSATION: 44,134 DEFERRED COMPENSATION: 12,750 NON-TAXABLE BENEFITS: 17,515 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. ARMSTRONG INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $54,706. BIEBER, JUDITH SENIOR VICE PRESIDENT OF HUMAN RESOURCES BETH ISRAEL DEACONESS MEDICAL CENTER FORMER INTERIM SENIOR VICE PRESIDENT OF HUMAN RESOURCES BETH ISRAEL DEACONESS MEDICAL CENTER MS. BIEBER COMMENCED HER ROLE AS SENIOR VICE PRESIDENT OF HUMAN RESOURCES OF BETH ISRAEL DEACONESS MEDICAL CENTER ON JANUARY 1, 2014. MS. BIEBER DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. DURING CALENDAR YEAR 2013, MS. BIEBER SERVED AS DIRECTOR OF EMPLOYEE AND LABOR RELATIONS THROUGH JUNE 30, 2013 AND THEN AS INTERIM SENIOR VICE PRESIDENT OF HUMAN RESOURCES THROUGH DECEMBER 31, 2013, FOR WHICH SHE RECEIVED PAYMENTS AS FURTHER OUTLINED BELOW: PAYMENTS MADE BY BIDMC: BASE COMPENSATION: 196,396 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 2,058 DEFERRED COMPENSATION: 31,405 NON-TAXABLE BENEFITS: 18,755 MAURER, R.N., M.S.N, MARSHA CHIEF NURSING OFFICER, SENIOR VICE PRESIDENT-PATIENT CARE SERVICES BETH ISRAEL DEACONESS MEDICAL CENTER FORMER INTERIM CHIEF OPERATING OFFICER BETH ISRAEL DEACONESS MEDICAL CENTER MS. MAURER DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS MADE BY BIDMC: BASE COMPENSATION: 443,456 INCENTIVE COMPENSATION: 105,778 OTHER REPORTABLE COMPENSATION: 49,876 DEFERRED COMPENSATION: 14,990 NON-TAXABLE BENEFITS: 31,324 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. MAURER INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $60,563. SHEEHAN, R.N., M.S.N., JAYNE SENIOR VICE PRESIDENT, AMBULATORY AND EMERGENCY SERVICES AND SYSTEMS CLINICAL INTEGRATION BETH ISRAEL DEACONESS MEDICAL CENTER MS. SHEEHAN DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION PAYMENTS MADE BY BIDMC: BASE COMPENSATION: 321,875 INCENTIVE COMPENSATION: 82,631 OTHER REPORTABLE COMPENSATION: 42,349 DEFERRED COMPENSATION: 17,799 NON-TAXABLE BENEFITS: 19,777 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. SHEEHAN INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $53,706. SUKHATME, M.D., SC.D., VIKAS P. SENIOR VICE PRESIDENT AND CHIEF ACADEMIC OFFICER BETH ISRAEL DEACONESS MEDICAL CENTER NEPHROLOGIST HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER VICTOR J. ARESTY PROFESSOR OF MEDICINE, HARVARD MEDICAL SCHOOL DR. SUKHATME DEVOTES, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. SUKHATME PERFORMS SERVICES FOR BOTH BIDMC AND HMFP. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. SUKHATME IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. SUKHATME'S COMPENSATION ATTRIBUTABLE TO HIS SERVICES PERFORMED AT BIDMC HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 456,149 INCENTIVE COMPENSATION: 102,764 OTHER REPORTABLE COMPENSATION: 12,380 DEFERRED COMPENSATION: 33,890 NON-TAXABLE BENEFITS: 15,802 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 39,665 INCENTIVE COMPENSATION: 8,936 OTHER REPORTABLE COMPENSATION: 1,076 DEFERRED COMPENSATION: 2,947 NON-TAXABLE BENEFITS: 1,374 AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY BIDMC AND HMFP FOR THE 2013 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. SUKHATME'S POSITION AS VICTOR J. ARESTY PROFESSOR OF MEDICINE, HARVARD MEDICAL SCHOOL: $87,866 BASE AND OTHER REPORTABLE COMPENSATION, $8,787 DEFERRED COMPENSATION AND $124 NON-TAXABLE BENEFITS. WARFIELD, M.D., CAROL A. PHYSICIAN, PAIN UNIT - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER EDWARD LOWENSTEIN DISTINGUISHED PROFESSOR OF ANAESTHESIA - HARVARD MEDICAL SCHOOL FORMER DIRECTOR/CHAIR OF ANESTHESIA - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER FORMER CHIEF OF ANESTHESIA - BETH ISRAEL DEACONESS MEDICAL CENTER PAYMENTS REPORTED BY HMFP/BIDMC: BASE COMPENSATION: 303,478 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,500,430 DEFERRED COMPENSATION: 410,903 NON-TAXABLE BENEFITS: 22,807 AS REQUIRED BY THIS FORM 990, AMOUNTS REPORTED IN BASE COMPENSATION, OTHER REPORTABLE COMPENSATION AND DEFERRED COMPENSATION INCLUDE A $7,000,000 LEGAL SETTLEMENT. AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY HMFP/BIDMC FOR THE 2013 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. WARFIELD'S POSITION EDWARD LOWENSTEIN DISTINGUISHED PROFESSOR OF ANAESTHESIA, HARVARD MEDICAL SCHOOL: $29,881 BASE AND OTHER REPORTABLE COMPENSATION, $3,620 DEFERRED COMPENSATION AND $19,538 NON-TAXABLE BENEFITS. GEBHARDT, M.D., MARK C. CHIEF OF ORTHOPAEDIC SURGERY BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO), BOARD CHAIR AND CHAIR OF ORTHOPEDIC SURGERY HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) CAREGROUP, INC. DIRECTOR LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. DIRECTOR (EX-OFFICIO) AND PRESIDENT BETH ISRAEL DEACONESS ORTHOPAEDIC SURGERY FOUNDATION FREDERIC W. & JANE M. ILFELD PROFESSOR OF ORTHOPEDIC SURGERY - HARVARD MEDICAL SCHOOL DR. GEBHARDT DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. GEBHARDT PERFORMS SERVICES FOR BOTH BIDMC AND HMFP. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. GEBHARDT IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. GEBHARDT'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 365,647 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,846 DEFERRED COMPENSATION: 30,495 NON-TAXABLE BENEFITS: 10,250 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 365,647 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,845 DEFERRED COMPENSATION: 30,495 NON-TAXABLE BENEFITS: 10,250 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY BIDMC AND HMFP FOR THE 2013 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. GEBHARDT'S POSITION AS CHIEF OF ORTHOPEDIC SURGERY AT BIDMC, CHAIR OF THE HMFP DEPARTMENT OF ORTHOPEDIC SURGERY AND FREDERIC W. & JAMES M. ILFELD PROFESSOR OF ORTHOPEDIC SURGERY, HARVARD MEDICAL SCHOOL: $92,974 BASE AND OTHER REPORTABLE COMPENSATION, $9,990 DEFERRED COMPENSATION AND $20,250 NON-TAXABLE BENEFITS.
SCHEDULE J EXPLANATORY FOOTNOTES (CONTINUED)	KRUSKAL, M.D., PHD, JONATHAN B. CHIEF OF RADIOLOGY BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) AND CHAIR (RADIOLOGY) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND DIRECTOR (EX-OFFICIO) BIH RADIOLOGIC FOUNDATION PROFESSOR OF RADIOLOGY HARVARD MEDICAL SCHOOL DR. KRUSKAL DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. KRUSKAL PERFORMS SERVICES FOR BOTH BIDMC AND HMFP. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. KRUSKAL IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. KRUSKAL'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 333,157 INCENTIVE COMPENSATION: 7,500 OTHER REPORTABLE COMPENSATION: 5,385 DEFERRED COMPENSATION: 15,300 NON-TAXABLE BENEFITS: 15,222 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 333,156 INCENTIVE COMPENSATION: 7,500 OTHER REPORTABLE COMPENSATION: 5,384 DEFERRED COMPENSATION: 15,300 NON-TAXABLE BENEFITS: 15,221 LEWIS, M.D., STANLEY SENIOR VICE PRESIDENT, NETWORK INTEGRATION BETH ISRAEL DEACONESS MEDICAL CENTER CARDIOLOGIST HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. DIRECTOR (EX-OFFICIO) MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION D/B/A AFFILIATED PHYSICIANS GROUP TRUSTEE BETH ISRAEL DEACONESS HOSPITAL NEEDHAM DIRECTOR BETH ISRAEL DEACONESS HOSPITAL MILTON DIRECTOR BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH DIRECTOR JORDAN HEALTH SYSTEMS, INC. ASSOCIATE PROFESSOR OF MEDICINE HARVARD MEDICAL SCHOOL DR. LEWIS BEGAN HIS TERM ON BID-PLYMOUTH AND JORDAN HEALTH SYSTEMS' BOARDS ON JANUARY 1, 2014. DR. LEWIS DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. LEWIS PERFORMS SERVICES FOR BOTH BIDMC AND HMFP. AS REQUIRED BY FORM 990, ALTHOUGH DR. LEWIS IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. LEWIS' COMPENSATION ATTRIBUTABLE TO HIS SERVICES PERFORMED AT BIDMC HAS BEEN SEPARATELY REPORTED ON FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 434,673 INCENTIVE COMPENSATION: 120,063 OTHER REPORTABLE COMPENSATION: 11,045 DEFERRED COMPENSATION: 25,245 NON-TAXABLE BENEFITS: 17,057 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 48,297 INCENTIVE COMPENSATION: 13,340 OTHER REPORTABLE COMPENSATION: 1,227 DEFERRED COMPENSATION: 2,805 NON-TAXABLE BENEFITS: 1,895 SIMON, M.D., PHD., BRETT CHIEF OF ANESTHESIA - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) AND CHAIR OF ANESTHESIA HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND DIRECTOR (EX-OFFICIO) BETH ISRAEL ANAESTHESIA FOUNDATION EDWARD LOWENSTEIN PROFESSOR OF ANAESTHESIA HARVARD MEDICAL SCHOOL DR. SIMON DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. DR. SIMON PERFORMS SERVICES FOR BOTH BIDMC AND HMFP. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. SIMON IS PAID DIRECTLY BY HMFP, THE PORTION OF DR. SIMON'S COMPENSATION ATTRIBUTABLE TO EACH POSITION HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 307,491 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 4,897 DEFERRED COMPENSATION: 34,844 NON-TAXABLE BENEFITS: 7,111 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 307,491 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 4,896 DEFERRED COMPENSATION: 34,844 NON-TAXABLE BENEFITS: 7,111 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY BIDMC AND HMFP FOR THE 2013 CALENDAR YEAR INCLUDES THE FOLLOWING PAYMENTS FROM THE PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. SIMON'S POSITION AS CHIEF OF ANESTHESIA AT BIDMC, CHAIR OF THE HMFP DEPARTMENT OF ANESTHESIA AND THE EDWARD LOWENSTEIN PROFESSOR OF ANAESTHESIA, HARVARD MEDICAL SCHOOL: $166,653 BASE AND OTHER REPORTABLE COMPENSATION, $19,325 DEFERRED COMPENSATION, AND $753 NON-TAXABLE BENEFITS. BUEHRENS, ERIC P. FORMER INTERIM PRESIDENT AND CHIEF EXECUTIVE OFFICER BETH ISRAEL DEACONESS MEDICAL CENTER FORMER EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER BETH ISRAEL DEACONESS MEDICAL CENTER MR. BUEHRENS SERVED AS THE INTERIM PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF BETH ISRAEL DEACONESS MEDICAL CENTER FROM FEBRUARY 2 TO OCTOBER 17, 2011, AT WHICH TIME HE RESUMED THE POSITION OF CHIEF OPERATING OFFICER (COO). MR. BUEHRENS SERVED AS COO UNTIL JANUARY 5, 2012 AND WAS EMPLOYED BY BIDMC UNTIL FEBRUARY 29, 2012. DURING THIS TIME, MR. BUEHRENS DEVOTED, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. WHILE MR. BUEHRENS SERVED AS INTERIM PRESIDENT AND CEO OF BIDMC, HE ALSO SERVED IN THE FOLLOWING POSITIONS: DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS MEDICAL CENTER OBSTETRICS AND GYNECOLOGY FOUNDATION DIRECTOR (EX-OFFICIO) BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION TRUSTEE (EX-OFFICIO) BETH ISRAEL DEACONESS HOSPITAL NEEDHAM PAYMENTS MADE TO MR. BUEHRENS ARE FURTHER OUTLINED BELOW: PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 0 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 446,608 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 17,604 OTHER REPORTABLE COMPENSATION FOR MR. BUEHRENS REPRESENTS SALARY CONTINUATION PAYMENTS PAID DURING THE CALENDAR YEAR 2013. ZANKMAN, LISA FORMER SENIOR VICE PRESIDENT, HUMAN RESOURCES BETH ISRAEL DEACONESS MEDICAL CENTER MS. ZANKMAN RETIRED FROM HER ROLE AS SENIOR VICE PRESIDENT, HUMAN RESOURCES ON JUNE 30, 2013. PRIOR TO RETIREMENT, MS. ZANKMAN DEVOTED, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. PAYMENTS MADE BY BIDMC: BASE COMPENSATION: 150,742 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 174,211 DEFERRED COMPENSATION: 12,750 NON-TAXABLE BENEFITS: 11,025 OTHER REPORTABLE COMPENSATION FOR MS. ZANKMAN INCLUDES SALARY CONTINUATION PAYMENTS PAID IN THE AMOUNT OF $149,038 DURING THE CALENDAR YEAR 2013. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. ZANKMAN INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $26,956.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
MA DEVELOPMENT FINANCE AGENCY
A	043431814	2012-07-11	$49,910,000	REFUND ISSUE DATED 2/11/1998	0	0	0
MA DEVELOPMENT FINANCE AGENCY
B	043431814	2011-09-15	$120,280,000	REFUND ISSUE DATED 2/11/1998	0	0	0
MA HEALTH & ED FACILITIES AUTHORITY
C	042456011	2008-06-09	$377,527,010	REFUND ISSUES DATED 1/19/1989; 9/23/1992; 8/12/2004; & CAPITAL PROJECTS	0	0	0	57586C3S2
MA HEALTH & ED FACILITIES AUTHORITY
D	042456011	2004-08-12	$187,125,000	REFUND ISSUES DATED 9/23/1992; 11/9/1994	0	0	0	57586CDK8

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt	In Reserve FundInReserveFundAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Credit EnhancementCreditEnhancementAmt
A	$49,910,000	$368,094	$49,541,906	Yes (1)	Yes (1)	Yes (1)
B	$120,280,000	$290,672	$119,989,328	Yes (1)	Yes (1)	Yes (1)	$29,700,000
C	$378,911,689	$3,929,290	$213,068,927	Yes (1)	Yes (1)	Yes (1)	$75,420,000	$27,356,617	$134,556,855	2011
D	$187,125,000	$1,796,643	$177,336,630	Yes (1)	Yes (1)	Yes (1)	$154,175,000				$7,991,727

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	C	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	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00600	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00100	PrivateBusConcerningUBIPct
Total Private Business Use	0.00700	TotalPrivateBusinessUsePct
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 (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	0	Yes (1)	0	0	0	0	0	Yes (1)
(no name)
B	0	0	Yes (1)	0	0	0	0	0	Yes (1)
(no name)
C	0	0	0	Yes (1)	0	0	0	0	Yes (1)
CITIBANK
D	0	0	Yes (1)	0	Yes (1)	Yes (1)	0	0	Yes (1)	21.000000000000	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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE K EXPLANATORY STATEMENT	CAREGROUP, INC., (CAREGROUP) IS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED THAT SERVES AS A SUPPORT ORGANIZATION OF BETH ISRAEL DEACONESS MEDICAL CENTER, BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, BETH ISRAEL DEACONESS HOSPITAL MILTON, BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH, MOUNT AUBURN HOSPITAL, NEW ENGLAND BAPTIST HOSPITAL AND THESE ENTITIES' PHYSICIAN GROUPS AND OTHER AFFILIATED ENTITIES. CAREGROUP'S PURPOSE IS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM. CAREGROUP AND SOME OF ITS AFFILIATES JOINTLY BORROW DEBT AS AN OBLIGATED GROUP. THE OBLIGATED GROUP MEMBERS ARE: CAREGROUP, BETH ISRAEL DEACONESS MEDICAL CENTER (MEDICAL CENTER), MOUNT AUBURN HOSPITAL (MAH), NEW ENGLAND BAPTIST HOSPITAL (NEBH), BETH ISRAEL DEACONESS - NEEDHAM (BID-NEEDHAM), MOUNT AUBURN PROFESSIONAL SERVICES (MAPS) AND MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP (APG). THE INFORMATION REPORTED ON SCHEDULE K FOR BETH ISRAEL DEACONESS MEDICAL CENTER (MEDICAL CENTER) REFLECTS THE COMBINED CAREGROUP OBLIGATED GROUP DEBT ISSUED AFTER DECEMBER 31, 2002 WITH AN OUTSTANDING PRINCIPAL BALANCE IN EXCESS OF $100,000.
SCHEDULE K PART 1F DESCRIPTION OF TAX-EXEMPT DEBT PURPOSE	PURPOSES OF CAREGROUP SERIES E BONDS: -TO FINANCE OR REFINANCE VARIOUS RENOVATION AND CONSTRUCTION PROJECTS AND CAPITAL EQUIPMENT ACQUISITIONS FOR THE MEDICAL CENTER -TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR MAH'S NEW AND EXPANDED FACILITIES WITH APPROXIMATELY 250,000 SQUARE FEET OF NEW AND RENOVATED SPACE TO INCLUDE: A NEW SIX-STORY ACUTE CARE FACILITY TO SUPPORT ADDITIONAL CRITICAL CARE AND MEDICAL /SURGICAL BEDS, EXPANDED OPERATING ROOMS AND INTERVENTIONAL RADIOLOGY ROOMS AND A NEW PARKING GARAGE -TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR NEBH'S MASTER FACILITY PLAN, INCLUDING A NEW ATRIUM OF APPROXIMATELY 2,740 SQUARE FEET, A PRE-OPERATIVE AND POST ANESTHESIA UNIT OF APPROXIMATELY 14, 310 SQUARE FEET, CONSTRUCTION OF A CENTRAL STERILE SUPPLY AREA OF APPROXIMATELY 8,290 SQUARE FEET AND CONSTRUCTION OF NEW OPERATING ROOMS OF APPROXIMATELY 18,615 SQUARE FEET; -TO FINANCE OR REFINANCE CONSTRUCTION, RENOVATION, FURNISHING AND VARIOUS OTHER CAPITAL ACQUISITIONS FOR BID-NEEDHAM'S NEW AND EXPANDED FACILITIES INCLUDING AN APPROXIMATELY 59,000 SQUARE FOOT PROJECT ON TWO FLOORS TO RENOVATE AND EXPAND SERVICES IN THE EMERGENCY DEPARTMENT, INPATIENT UNITS, RADIOLOGY DEPARTMENT AND ASSOCIATED SUPPORT SERVICES; -TO REFINANCE $201,975,000 OF DEBT PREVIOUSLY ISSUED BY MEMBERS OF THE OBLIGATED GROUP, INCLUDING $138,075,000 OF THE CAREGROUP SERIES C BONDS DESCRIBED BELOW. PURPOSES OF CAREGROUP SERIES D BONDS: -REFUNDING OF THE OUTSTANDING PRINCIPAL BALANCE OF THE MAH SERIES B BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 13, 2004 PURPOSES OF CAREGROUP SERIES C BONDS: -REFUNDING OF THE OUTSTANDING PRINCIPAL BALANCE OF THE BETH ISRAEL HOSPITAL ASSOCIATION SERIES G BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 13, 2004 PURPOSES OF CAREGROUP SERIES F BONDS: -REFUNDING OF A PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE CAREGROUP SERIES A BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED SEPTEMBER 1, 2011 PURPOSES OF CAREGROUP SERIES G BONDS: -REFUNDING THE REMAINING PORTION OF THE OUTSTANDING PRINCIPAL BALANCE OF THE CAREGROUP SERIES A BONDS BY CREATING AN IRREVOCABLE REFUNDING TRUST DATED JULY 1,2012
SCHEDULE K PART II, COLUMN C, LINE 3	THE TOTAL PROCEEDS OF THE ISSUE EXCEED THE ISSUE PRICE DUE TO THE INVESTMENT EARNINGS ON THE PROJECT FUND.
SCHEDULE K PART II, LINE 11	COLUMNS A,B AND D THE OTHER SPENT PROCEEDS ARE THE PROCEEDS USED TO REFUND PRIOR ISSUE(S). THE AMOUNTS ARE NOT LISTED ON LINE 6 BECAUSE THEY ARE NO LONGER IN ESCROW. COLUMN C : OF THE PROCEEDS LISTED, $8,993,760 WERE USED FOR TERMINATION OF THE HEDGE AGREEMENT, WITH THE REMAINDER USED FOR REFUNDING PURPOSES OF THE ISSUE.
SCHEDULE K PART III QUESTIONS 2 AND 3:	FACILITIES FINANCED WITH TAX-EXEMPT BONDS ARE PRIMARILY OCCUPIED BY CAREGROUP AND ITS AFFILIATED TAX-EXEMPT ENTITIES, INCLUDING BUT NOT LIMITED TO THE MEDICAL CENTER, BID-NEEDHAM, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER NEBH, NEW ENGLAND BAPTIST MEDICAL ASSOCIATES, MAH, MAPS AND APG. SOME FINANCED SPACE MAY CONTAIN LEASE ARRANGEMENTS, AND THE AFFILIATES WHICH OWN THE DEBT FINANCED SPACE MAY OPT TO ENGAGE A MANAGEMENT SERVICES COMPANY (I.E. CLEANING, PATIENT TRANSPORT, AND FOOD SERVICES) OR ENGAGE IN RESEARCH PURSUANT TO RESEARCH AGREEMENTS WITHIN TAX EXEMPT DEBT FINANCED SPACE. ANY SUCH AGREEMENTS IN PLACE AS OF SEPTEMBER 30, 2014 WERE REVIEWED TO ENSURE PROPER ACCOUNTING OF ANY PRIVATE USE GENERATED FROM SUCH ACTIVITIES. IN ADDITION, SUCH AGREEMENTS ARE GENERALLY REVIEWED BY INSIDE COUNSEL PRIOR TO FINALIZING.
SCHEDULE K PART IV, LINE 2C	COLUMN C, LINE 2C : AN ARBITRAGE REBATE CALCULATION WAS COMPLETED AS OF SEPTEMBER 30, 2012. COLUMN D, LINE 2C : AN ARBITRAGE REBATE CALCULATION WAS COMPLETED AS OF SEPTEMBER 30, 2013.
SCHEDULE K PART IV, COLUMN D, LINE 4C	AT THE TIME OF ISSUE, THE CAREGROUP OBLIGATED GROUP ENTERED INTO THREE FLOATING-TO-FIXED INTEREST RATE SWAPS, TWO OF WHICH HAD 21 YEAR MATURITY DATES AND THE THIRD HAD A 20 YEAR MATURITY. THESE HEDGES WERE TERMINATED IN 2008.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
CRICO
BUFFERD, TABB & MANDELL - DIRECTORS	$24,886,359	INSURANCE - SEE SUPPLEMENTAL INFORMATION	0
A WANG
FAMILY OF F. WANG	$53,511	SALARY - SEE SUPPLEMENTAL INFORMATION	0
E ROSENBERG
FAMILY OF S. ROSENBERG	$64,528	SALARY - SEE SUPPLEMENTAL INFORMATION	0
S FREEDMAN MD
FAMILY OF M. ZEIDEL	$170,906	SALARY - SEE SUPPLEMENTAL INFORMATION	0
J LEWIS
FAMILY OF S. LEWIS	$66,459	SALARY - SEE SUPPLEMENTAL INFORMATION	0
K RAND
FAMILY OF S. ROSENBERG	$50,208	SALARY - SEE SUPPLEMENTAL INFORMATION	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L PART IV COLUMN D, DESCRIPTION OF TRANSACTIONS INVOLVING INTERESTE	FormAndLineReferenceDesc
Explanation	ALLAN BUFFERD, TREASURER AND BOARD MEMBER OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) FOR WHICH CAREGROUP SERVES AS THE SOLE MEMBER, SERVED AS THE BOARD CHAIRMAN OF THE RISK MANAGEMENT FOUNDATION OF THE HARVARD MEDICAL INSTITUTIONS, INC. (CRICO/RMF), CONTROLLED RISK INSURANCE COMPANY, LTD (CRICO CAYMAN) AND CONTROLLED RISK INSURANCE COMPANY OF VERMONT, INC, (A RISK RETENTION GROUP) (CRICO VERMONT) THROUGH DECEMBER 31, 2013. HE CONTINUES TO SIT ON THE RMF BOARD. DR. JAMES MANDELL BECAME THE BOARD CHAIRMAN OF CRICO/RMF, CRICO CAYMAN AND CRICO VERMONT EFFECTIVE JANUARY 1, 2014 CRICO VERMONT IS A WHOLLY-OWNED SUBSIDIARY OF CRICO/RMF. IN ADDITION, KEVIN TABB, BIDMC PRESIDENT AND CHIEF EXECUTIVE OFFICER, ALSO HOLDS A POSITION ON THE CRICO/RMF BOARD.CAREGROUP IS THE SOLE MEMBER AND A SUPPORTING ORGANIZATION OF BIDMC, WHICH IN TURN SERVES AS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL NEEDHAM, BETH ISRAEL DEACONESS HOSPITAL MILTON AND BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH. CAREGROUP IS A CRICO CAYMAN SHAREHOLDER AND CRICO/RMF MEMBER AND THROUGH CAREGROUP, THESE ENTITIES PURCHASE PHYSICIAN PROFESSIONAL LIABILITY INSURANCE AND GENERAL LIABILITY INSURANCE. IN ADDITION, CAREGROUP AND ITS AFFILIATES ARE ENTITLED TO REPRESENTATION ON THE VARIOUS CRICO BOARDS PURSUANT TO THE CAREGROUP SHAREHOLDER/MEMBER INTEREST IN THE CRICO ENTITIES.FOR THE PERIOD COVERED BY THIS FILING, THESE ENTITIES COMBINED PAID $ 24,886,359 TO THE CRICO ENTITIES FOR THIS INSURANCE COVERAGE. ALL CRICO/RMF AND CRICO CAYMAN SHAREHOLDERS ARE ENTITIES EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. AMOUNTS RELATED TO CRICO CAYMAN HAVE BEEN REPORTED ON FORM 990 SCHEDULE F, STATEMENT OF ACTIVITIES OUTSIDE THE UNITED STATES, FOR CAREGROUP INC. AND ITS AFFILIATES AS REQUIRED BY FORM 990. STUART A. ROSENBERG, M.D., IS A DIRECTOR (EX-OFFICIO) OF BIDMC AND PRESIDENT AND CEO OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP). DR. ROSENBERGS DAUGHTER, ELIZABETH ROSENBERG, IS AN ULTRASOUND TECHNOLOGIST AT BIDMC. HER SALARY AND OTHER INCOME FOR THE CALENDAR YEAR 2013 INCLUDE:BASE COMPENSATION: $53,096INCENTIVE COMPENSATION: $200OTHER REPORTABLE COMPENSATION: $10DEFERRED COMPENSATION: $2,788NON-TAXABLE BENEFITS: $8,434IN ADDITION, DR. ROSENBERG'S DAUGHTER KATHERINE RAND IS A NURSE AND IS ALSO EMPLOYED BY BIDMC. HER SALARY AND OTHER INCOME FOR THE CALENDAR YEAR 2013 INCLUDE:BASE COMPENSATION: $45,641INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $1DEFERRED COMPENSATION: $ 1,426NON-TAXABLE BENEFITS: $3,140FREDERICK WANG IS A DIRECTOR (EX-OFFICIO) OF BIDMC. HIS DAUGHTER, ALLISON S. WANG O'CONNOR IS EMPLOYED BY THE BIDMC BUSINESS TRANSFORMATION DEPARTMENT. HER SALARY AND OTHER INCOME FOR THE CALENDAR YEAR 2013 INCLUDE:BASE COMPENSATION: $51,045INCENTIVE COMPENSATION: $150OTHER REPORTABLE COMPENSATION: $5DEFERRED COMPENSATION: $2,111NON-TAXABLE BENEFITS: $200MARK L. ZEIDEL, M.D., DIRECTOR (EX-OFFICIO) BIDMC, DIRECTOR (EX-OFFICIO) MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP (APG) AND CLINICAL CHIEF OF MEDICINE AT BIDMC / CLINICAL CHAIR OF MEDICINE AT HMFP, IS MARRIED TO SUSAN FREEDMAN, M.D., A PHYSICIAN EMPLOYED BY HMFP AND APG. HMFP IS THE MEDICAL CENTER'S DEDICATED PHYSICIAN PRACTICE AND AN ENTITY INTEGRALLY RELATED TO BIDMC. BIDMC IS THE SOLE MEMBER OF APG. DR. FREEDMAN'S SALARY AND OTHER INCOME FOR THE 2013 CALENDAR YEAR INCLUDE:BASE COMPENSATION: $149,400INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $2,726DEFERRED COMPENSATION: $18,000NON-TAXABLE BENEFITS: $780STANLEY LEWIS, M.D. IS THE SENIOR VICE PRESIDENT OF NETWORK INTEGRATION AT BIDMC. HIS SON, JONATHAN JASON LEWIS IS A MEDICAL RESIDENT TRAINING AT BIDMC. DR. JASON LEWIS' SALARY AND OTHER INCOME FOR THE 2013 CALENDAR YEAR INCLUDE:BASE COMPENSATION: $59,677INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $8DEFERRED COMPENSATION: $0NON-TAXABLE BENEFITS: $6,774VARIOUS CURRENT AND FORMER OFFICERS, DIRECTORS/TRUSTEES AND KEY EMPLOYEES OF BIDMC MAY ALSO HOLD POSITIONS WITH OTHER ENTITIES WHICH MAKE CHARITABLE CONTRIBUTIONS TO BIDMC. SUCH CONTRIBUTIONS HAVE NOT BEEN INCLUDED IN THE DISCLOSURES ABOVE. BIDMC MAINTAINS AN ACCOUNTABLE BUSINESS EXPENSE REIMBURSEMENT PLAN. FROM TIME TO TIME, BIDMC MAY REIMBURSE ITS OFFICERS, DIRECTORS/TRUSTEES AND/OR KEY EMPLOYEES FOR EXPENSES THEY INCURRED AND WHICH ARE PROPERLY ORDINARY AND NECESSARY BUSINESS EXPENSES OF THE REPORTING ENTITY. THE POLICIES AND PROCEDURES REQUIRED BY THE ACCOUNTABLE BUSINESS PLAN MUST BE FOLLOWED IN ORDER TO RECEIVE REIMBURSEMENT FOR SUCH EXPENSES AND IT IS POSSIBLE THAT ONE OR MORE INDIVIDUALS RECEIVED NON-TAXABLE REIMBURSEMENTS WHICH TOTALED $10,000 OR MORE DURING THE FISCAL PERIOD COVERED BY THIS FILING. ALL OF THE ABOVE TRANSACTIONS WERE NEGOTIATED AT ARMS-LENGTH AND IN ACCORDANCE WITH THE BIDMC CONFLICT OF INTEREST POLICY.	ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	50	ContributionCnt
Noncash Contributions Rpt F990	$2,896,299	NoncashContributionsRptF990Amt
Method Of Determining Revenues	STOCK MARKET QUOTE	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	MEDICAL & RES	3	$1,244,442	OTHER
Yes (X)	FASHION ACCES	6	$2,116	COST OR SELLING PRIC
Yes (X)	HOME DECOR &	5	$1,583	COST OR SELLING PRIC
Yes (X)	ATHLETIC EQUI	1	$550	COST OR SELLING PRIC

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 1	TO PROVIDE EXTRAORDINARY CARE, WHERE THE PATIENT COMES FIRST, SUPPORTED BY WORLD-CLASS EDUCATION AND RESEARCH. THE MISSION OF THE BETH ISRAEL DEACONESS MEDICAL CENTER (MEDICAL CENTER) IS TO SERVE OUR PATIENTS COMPASSIONATELY AND EFFECTIVELY, AND TO CREATE A HEALTHY FUTURE FOR THEM AND THEIR FAMILIES. THE MEDICAL CENTER'S MISSION IS SUPPORTED BY ITS COMMITMENT TO PERSONALIZED, EXCELLENT CARE FOR ITS PATIENTS; A WORKFORCE COMMITTED TO INDIVIDUAL ACCOUNTABILITY, MUTUAL RESPECT AND COLLABORATION; AND A COMMITMENT TO MAINTAINING OUR FINANCIAL HEALTH.
FORM 990, PART III, LINE 4A	PATIENT CARE THE MEDICAL CENTER IS PASSIONATE ABOUT LEADING-EDGE PATIENT CARE. THE MEDICAL CENTER'S PATIENTS RECEIVE TREATMENTS THAT ARE TODAY'S GOLD STANDARD OF CARE OR INNOVATIVE THERAPIES THAT WILL BECOME THE GOLD STANDARD OF TOMORROW. THE MEDICAL CENTER HAS DEVELOPED FIVE MAJOR COMPREHENSIVE CARE CENTERS THAT ALLOW PHYSICIANS AND CLINICAL STAFF FROM MULTIPLE DISCIPLINES - SUCH AS MEDICINE, SURGERY, PATHOLOGY, RADIOLOGY, ONCOLOGY, AND SOCIAL WORK - TO WORK TOGETHER SO THAT OUR PATIENTS ARE RECEIVING THE MOST COORDINATED, COMPREHENSIVE CARE POSSIBLE. THESE CENTERS INCLUDE A CANCER CENTER, A CARDIOVASCULAR INSTITUTE, A DIGESTIVE DISEASE CENTER, A SPINE CENTER, AND A TRANSPLANT INSTITUTE. OTHER NOTABLE AREAS WHERE THE MEDICAL CENTER LEADS THE WAY IN PATIENT CARE SPAN A WIDE ARRAY OF SERVICES INCLUDING AREAS SUCH AS VASCULAR SERVICES FOR PATIENTS WITH DIABETES COMPLICATIONS, AND CARE FOR THE MOST ROUTINE PREGNANCIES TO THE MOST COMPLEX PATIENT CIRCUMSTANCES. THE MEDICAL CENTER ALSO OFFERS A CENTER FOR MINIMALLY INVASIVE SURGERY, A STATE-OF-THE-ART EMERGENCY ROOM, A LEVEL ONE TRAUMA CENTER, AHEAD OF THE CURVE IMAGING SYSTEMS,, AND IS THE FIRST CENTER IN NEW ENGLAND TO OFFER A DYNAMIC NEW NONINVASIVE RADIATION THERAPY. SOME OF THE MEDICAL CENTER'S KEY STATISTICS FOR FY 2014 REGARDING PATIENT VOLUME ARE IDENTIFIED IN THE FOLLOWING TABLE: INPATIENT DISCHARGES 37,290 OUTPATIENT STATISTICS CLINIC ENCOUNTERS 557,812 EMERGENCY DEPARTMENT VISITS 55,244 RADIOLOGY EXAMS 200,936 AMBULATORY SURGERY CASES 16,351 RADIATION THERAPY TREATMENTS 21,635 ENDOSCOPY TREATMENTS 25,410 CHARITY CARE THE MEDICAL CENTER PROVIDES CARE WITHOUT CHARGE OR AT DISCOUNTED RATES TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. BECAUSE THE MEDICAL CENTER DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE SERVICES ARE NOT REPORTED AS REVENUE EXCEPT TO THE EXTENT REIMBURSED BY THE MASSACHUSETTS HEALTH SAFETY NET TRUST (HEALTH SAFETY NET TRUST). THE MEDICAL CENTER ALSO MAKES PAYMENTS TO THE HEALTH SAFETY NET TRUST TO SUPPORT THE DELIVERY OF CHARITY CARE TO PATIENTS THROUGHOUT MASSACHUSETTS. THESE PAYMENTS ARE REPORTED AS A COMPONENT OF UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS. THE MEDICAL CENTER'S NET COST OF CHARITY CARE REPORTED ON SCHEDULE H, PART I, LINE 7A, INCLUDING CARE FOR EMERGENT SERVICES PROVIDED TO FREE AND DISCOUNTED CARE ELIGIBLE PATIENTS AND INCLUDING PAYMENTS TO AND RECEIPTS FROM THE HEALTH SAFETY NET TRUST, WAS $15,534,347 IN 2014: CHARITY CARE, AT COST 15,677,927 PAYMENTS TO HEALTH SAFETY NET TRUST 8,809,230 PAYMENTS FROM HEALTH SAFETY NET TRUST (8,952,810) NET CHARITY CARE 15,534,347 OTHER UNCOMPENSATED CARE THE MEDICAL CENTER ALSO PROVIDES CARE TO PATIENTS WHO PARTICIPATE IN OTHER PROGRAMS DESIGNED TO SUPPORT LOW INCOME FAMILIES, INCLUDING PARTICULARLY THE MEDICAID PROGRAM, WHICH IS JOINTLY FUNDED BY FEDERAL AND STATE GOVERNMENTS. THE MASSACHUSETTS HEALTH REFORM LAW PROVIDED AN INITIATIVE FOR EXPANSION OF MEDICAID COVERAGE TO GREATER POPULATIONS AND FOR ENROLLMENT OF UNINSURED PATIENTS IN OTHER INSURANCE PROGRAMS. PAYMENTS FROM MEDICAID AND OTHER PROGRAMS, WHICH INSURE LOW INCOME POPULATIONS, DO NOT COVER THE COST OF SERVICES PROVIDED. IN AGGREGATE, THE COST OF CARE PROVIDED BY THE MEDICAL CENTER FOR SUCH SERVICES EXCEEDED REIMBURSEMENT BY $ 31,728,675 IN 2014 AS REPORTED ON PART I, LINE 7B OF SCHEDULE H, HOSPITALS. THE MEDICAL CENTER ALSO TREATS PATIENTS WHO PARTICIPATE IN THE MEDICARE PROGRAM, THE FEDERALLY SPONSORED HEALTH INSURANCE PROGRAM FOR ELDERLY OR DISABLED PATIENTS. BECAUSE PAYMENTS TO HOSPITALS HAVE NOT KEPT PACE WITH INFLATION IN RECENT YEARS, PAYMENTS TO THE MEDICAL CENTER FOR THOSE SERVICES ALSO DO NOT COVER THE COSTS OF SERVICES PROVIDED. IN AGGREGATE, THE COST OF CARE PROVIDED BY THE MEDICAL CENTER FOR SUCH SERVICES EXCEEDED REIMBURSEMENT BY $20,548,575 IN 2014, $10,409,338 OF WHICH IS REPORTED IN THIS FORM 990 SCHEDULE H PART III LINE 7 AND $10,139,237 OF WHICH IS INCLUDED IN FORM 990 PART I, LINE 7G AND RELATED TO THE PROVISION OF SUBSIDIZED HEALTH SERVICES FOR INPATIENT PSYCHIATRIC PATIENTS. BAD DEBTS IN ADDITION TO CHARITY CARE AND SHORTFALLS IN PROVIDING SERVICES TO PATIENTS INSURED UNDER STATE AND FEDERAL PROGRAMS, THE MEDICAL CENTER ALSO INCURS LOSSES RELATED TO SELF-PAY PATIENTS WHO FAIL TO MAKE PAYMENTS FOR SERVICES OR INSURED PATIENTS WHO FAIL TO PAY COINSURANCE OR DEDUCTIBLES FOR WHICH THEY ARE RESPONSIBLE UNDER INSURANCE CONTRACTS. BAD DEBT EXPENSE IS INCLUDED IN UNCOMPENSATED CARE EXPENSE IN THE CONSOLIDATED FINANCIAL STATEMENTS, AND INCLUDES THE PROVISION FOR ACCOUNTS ANTICIPATED TO BE UNCOLLECTIBLE. THE BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS AND THIS FORM 990 SCHEDULE H, PART III, LINE 2 IS $24,219,073.
FORM 990, PART III, LINE 4B	RESEARCH THE MISSION OF THE MEDICAL CENTER IS TO BE A WORLD-CLASS RESEARCH INSTITUTION WHERE OUTSTANDING SCIENTISTS WORK TO DEVELOP NEW KNOWLEDGE FOR THE BETTERMENT OF THE HEALTH OF THE LOCAL AND EXTENDED COMMUNITIES. THE RESEARCH PROGRAM STRIVES TO BE RENOWNED FOR ITS BENCH-TO-BEDSIDE MODEL OF TRANSLATIONAL RESEARCH AND FOR ITS COLLABORATION WITH INDUSTRY AS A PATHWAY FOR TRANSFERRING THE FRUITS OF RESEARCH INTO PRODUCTS THAT IMPROVE THE QUALITY OF LIFE. THE MEDICAL CENTER COMMITS TO MAINTAIN A COLLABORATIVE CULTURE AND MODERN, HIGH-QUALITY FACILITIES AND TO TAKE FULL ADVANTAGE OF THE UNIQUE RELATIONSHIPS THAT EXIST AMONG HARVARD MEDICAL SCHOOL AND THE HARVARD TEACHING HOSPITALS AS WELL AS REACHING OUT AND COLLABORATING WITH NATIONALLY RECOGNIZED AND WORLD RENOWNED EXPERTS IN VARIOUS FIELDS. THE MEDICAL CENTER'S NOTABLE RESEARCH ACCOMPLISHMENTS INCLUDE CONSISTENTLY BEING RANKED IN THE TOP FOUR IN NATIONAL INSTITUTES OF HEALTH (NIH) FUNDING AMONG INDEPENDENT HOSPITALS. THE MEDICAL CENTER'S SCIENTISTS CONTINUE TO SEARCH FOR IMPROVED UNDERSTANDING OF DISEASES AND BETTER TREATMENTS FOR PATIENTS, WHICH IN TURN DIRECTLY IMPACTS THE LIVES OF PATIENTS AND IMPROVES THE MEDICAL CENTER'S PATIENT CARE. DURING THE FISCAL PERIOD COVERED BY THIS FILING, MORE THAN 700 ACTIVE FEDERAL, INDUSTRY AND FOUNDATION SPONSORED PROJECTS AND MORE THAN 450 ACTIVE CLINICAL TRIALS WERE LED BY APPROXIMATELY 470 MEDICAL CENTER PRINCIPAL INVESTIGATORS, 395 OF WHOM ARE HARVARD MEDICAL SCHOOL FACULTY. THE KEY AREAS OF RESEARCH INCLUDE VASCULAR BIOLOGY, MOLECULAR IMAGING, TRANSPLANTATION, SIGNAL TRANSDUCTION, CANCER BIOLOGY, METABOLIC DISEASE, NEUROBIOLOGY, AIDS, AND CARDIOLOGY/CARDIAC SURGERY. THE MEDICAL CENTER'S EXTRAORDINARY FACULTY HAS ESTABLISHED A CULTURE THAT IS COLLABORATIVE AND ORIENTED TOWARD TRANSLATING NEW KNOWLEDGE INTO NOVEL MEDICAL TREATMENTS AND PATIENT CARE. ADDITIONAL DETAIL IS INCLUDED IN FORM 990, SCHEDULE H.
FORM 990, PART III, LINE 4C	TEACHING THE MEDICAL CENTER'S DEVOTION TO TEACHING, TO RESPECTING STUDENTS, AND TO EMBRACING TECHNOLOGICAL AND CLINICAL PRACTICE INNOVATION MAKE THE MEDICAL CENTER A TOP CHOICE AMONG MEDICAL STUDENTS AND HEALTH CARE PROFESSIONALS. THE MEDICAL CENTER TRAINS HUNDREDS OF MEDICAL STUDENTS, INTERNS AND RESIDENTS, AS WELL AS PROFESSIONALS IN NURSING, SOCIAL WORK AND THE ALLIED HEALTH SCIENCES. THE MEDICAL CENTER HAS APPROXIMATELY 40 APPROVED CLINICAL RESIDENCY AND FELLOWSHIP PROGRAMS WITH APPROXIMATELY 560 RESIDENTS AND CLINICAL FELLOWS. IN ADDITION, THE MEDICAL CENTER HAS APPROXIMATELY 40 NONSTANDARD CLINICAL FELLOWSHIP PROGRAMS WITH OVER 100 TRAINEES PER YEAR. STAFF PHYSICIANS AT THE MEDICAL CENTER WHO HOLD FACULTY APPOINTMENTS AT HARVARD MEDICAL SCHOOL INSTRUCT THE DOCTORS OF TOMORROW BY SUPERVISING OF THEIR DAILY PATIENT CARE AND BY CONDUCTING A RANGE OF INTERACTIVE LEARNING EXPERIENCES. THE CARL J. SHAPIRO INSTITUTE FOR EDUCATION AND RESEARCH AT HARVARD MEDICAL SCHOOL AND BIDMC, A SUPPORT ORGANIZATION OF THE MEDICAL CENTER AND AN INTEGRAL COMPONENT OF THE CENTER FOR EDUCATION AT THE MEDICAL CENTER, IS BOTH A "THINK TANK" FOR ADVANCING MEDICAL EDUCATION AND A UNIQUE TRAINING RESOURCE. WITHIN THE CENTER, THE CARL J. SHAPIRO SIMULATION AND SKILLS CENTER PROVIDES HIGH-TECH LEARNING EXPERIENCES ON TOPICS RANGING FROM MINIMALLY INVASIVE SURGERY TO INTENSIVE CARE AND OFFERS UNIQUE OPPORTUNITIES FOR FACULTY MEMBERS TO SHARE YEARS OF COLLECTIVE EXPERIENCE IN MASTERING THE ART OF SCIENCE AND MEDICINE WITH THEIR STUDENTS. IT ALSO OFFERS AN EXCEPTIONAL OPPORTUNITY AND EXTENSION OF MORE TRADITIONAL METHODS FOR MEDICAL STUDENTS AND RESIDENTS TO PRACTICE AND HONE THEIR MEDICAL AND SURGICAL SKILLS. ADDITIONAL DETAIL IS INCLUDED IN THE NARRATIVE SUPPORT TO THIS FORM 990, SCHEDULE H.
FORM 990, PART IV, LINE 12 AND 12A	STATEMENT RE AUDITED FINANCIAL STATEMENTS THE BOSTON, MA OFFICE OF KPMG ISSUED AN UNQUALIFIED OPINION ON THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE MEDICAL CENTER AND AFFILIATES FOR FISCAL YEAR ENDED SEPTEMBER 30, 2014. THESE STATEMENTS WERE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AND INCLUDED THE ACCOUNTS OF THE MEDICAL CENTER AND ITS SUBSIDIARIES, (MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A AFFILIATED PHYSICIANS GROUP (APG)), BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM, INC. (BID-NEEDHAM), BETH ISRAEL DEACONESS HOSPITAL-MILTON, INC. (BID-MILTON), BETH ISRAEL DEACONESS HOSPITAL-PLYMOUTH, INC. (BID-PLYMOUTH), AND HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (HMFP), THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER ACCOMPLISH ITS CHARITABLE PURPOSES, AS WELL AS ALL ENTITIES FOR WHICH THESE ENTITIES SERVE AS MEMBER.
FORM 990, PART IV, LINE 24B	PROCEEDS IN THE PROJECT FUND WERE UNEXPECTEDLY HELD BEYOND THE THREE-YEAR TEMPORARY PERIOD, BUT WERE YIELD RESTRICTED IN COMPLIANCE WITH FEDERAL TAX REQUIREMENTS.
FORM 990, PART V, LINE 2A	THE MEDICAL CENTER SERVES AS THE COMMON PAY AGENT FOR THE FOLLOWING ENTITIES FOR WHICH IT ALSO SERVES AS MEMBER OR WHICH SERVE AS THE MEDICAL CENTER MEMBER: CAREGROUP, INC. (CAREGROUP), APG, AND BID-NEEDHAM. IN ACCORDANCE WITH INSTRUCTIONS TO THE 2013 FORM 990, THE MEDICAL CENTER IS REPORTING ONLY THOSE FORMS W-2 ISSUED TO ITS OWN EMPLOYEES. FORMS W-2 ISSUED BY THE MEDICAL CENTER AS AGENT FOR CAREGROUP, APG AND BID-NEEDHAM ARE REPORTED BY THOSE ENTITIES AS IF ISSUED DIRECTLY BY THEM.
FORM 990, PART V, LINE 7G	THE MEDICAL CENTER DID NOT RECEIVE ANY CONTRIBUTIONS OF INTELLECTUAL PROPERTY AND AS SUCH, WAS NOT REQUIRED TO FILE FORM 8899.
FORM 990, PART V, LINE 7H	THE MEDICAL CENTER DID NOT RECEIVE ANY CONTRIBUTIONS OF CARS, BOATS, AIRPLANES OR OTHER VEHICLES AND AS SUCH, WAS NOT REQUIRED TO FILE FORM 1098-C.
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS AND FAMILY RELATIONSHIPS THE FOLLOWING MEDICAL CENTER OFFICERS, DIRECTOR/TRUSTEES, AND KEY EMPLOYEES HAVE BUSINESS OR FAMILY RELATIONSHIPS: ALLAN BUFFERD AND JOEL CUTLER BUSINESS RELATIONSHIP CAROL ANDERSON, DANIEL JICK, WILLIAM JOHNSTON, STEPHEN KAY AND DOUGLAS LINDE BUSINESS RELATIONSHIP AS NOTED IN VARIOUS NARRATIVE DISCLOSURES WHICH SUPPORT THIS FORM 990 AND RELATED SCHEDULES, CAREGROUP IS A MASSACHUSETTS NON-PROFIT CORPORATION EXEMPT FROM INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. CAREGROUP'S PURPOSE IS TO OVERSEE THE FINANCIAL WELL-BEING OF THE AFFILIATED ENTITIES WHICH MAKE UP THE CAREGROUP SYSTEM. CAREGROUP SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF THE MEDICAL CENTER. THE MEDICAL CENTER IS THE SOLE MEMBER OF BID-NEEDHAM, APG, BID-MILTON, AND BID-PLYMOUTH AND JORDAN HEALTH SYSTEMS, INC. (JHSI). IN ADDITION, HMFP IS THE DEDICATED PHYSICIAN PRACTICE OF THE MEDICAL CENTER AND AN ENTITY INTEGRALLY RELATED TO HELPING THE MEDICAL CENTER ACCOMPLISH ITS CHARITABLE PURPOSES. CAREGROUP ALSO SERVES AS THE SOLE MEMBER AND A SUPPORT ORGANIZATION OF NEW ENGLAND BAPTIST HOSPITAL (NEBH) AND MOUNT AUBURN HOSPITAL (MAH), WHICH IN TURN SERVE AS THE SOLE MEMBER OF NEW ENGLAND BAPTIST MEDICAL ASSOCIATES (NEBMA) AND MOUNT AUBURN PROFESSIONAL SERVICES (MAPS), RESPECTIVELY. EACH OF THE ENTITIES LISTED IN THIS PARAGRAPH MAY, IN TURN, SERVE AS MEMBER OF ADDITIONAL ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATES. TWO OR MORE OF THE PERSONS LISTED IN THIS FORM 990 PART VII HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER BY VIRTUE OF SITTING ON ONE OR MORE BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN AN EMPLOYMENT RELATIONSHIP WITH ONE OR MORE ENTITIES WITHIN THE CAREGROUP NETWORK OF AFFILIATED ORGANIZATIONS. ADDITIONAL DETAIL IS PROVIDED IN THE EXPLANATORY NOTES TO THIS FORM 990 SCHEDULE J.
FORM 990, PART VI, SECTION A, LINE 4	ON JANUARY 1, 2014, THE MEDICAL CENTER BECAME THE SOLE MEMBER OF JORDAN HOSPITAL, WHICH WAS RENAMED BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH (BID-PLYMOUTH) AND JORDAN HEALTH SYSTEMS, INC. (JHSI). THE MEDICAL CENTER'S BY-LAWS WERE AMENDED TO REFLECT THESE NEW RELATIONSHIPS.
FORM 990, PART VI, SECTION A, LINE 6	CAREGROUP, INC. (CAREGROUP) SERVES AS THE SOLE MEMBER OF THE MEDICAL CENTER. ACCORDING TO THE MEDICAL CENTER'S BYLAWS CAREGROUP APPROVES BUT DOES NOT ELECT MEMBERS OF THE GOVERNING BODY. ACCORDING TO THE MEDICAL CENTER'S BYLAWS, AS SOLE MEMBER, CAREGROUP HAS THE FOLLOWING RIGHTS: -TO APPROVE ANNUAL OPERATING AND CAPITAL BUDGETS; -TO APPROVE UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF FIVE PERCENT (5%) OF THE MOST RECENT APPROVED ANNUAL CAPITAL BUDGET; -TO APPROVE ANY UNBUDGETED CAPITAL COMMITMENT IN EXCESS OF $20 MILLION; -TO SELECT THE INDEPENDENT AUDITOR TO EXAMINE THE FINANCIAL ACCOUNTS; -TO APPROVE THE BORROWING OR INCURRENCE OF DEBT IN ANY AMOUNT, OTHER THAN (I) FOR THE PURPOSE OF SECURING WORKING CAPITAL FROM A LENDER APPROVED BY THE MEMBER AND PURSUANT TO THE EXISTING LOAN DOCUMENTATION CONTAINING THE TERMS AND PROVISIONS RELATING TO SUCH BORROWING APPROVED BY THE MEMBER AND, (II) DEBT INCURRED IN THE ORDINARY COURSE OF BUSINESS WHICH IS IN THE MEMBER APPROVED ANNUAL BUDGET; -TO APPROVE ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE MEDICAL CENTER, THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE MEDICAL CENTER'S ASSETS, THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION, OR THE ENTERING INTO ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENTS BY THE MEDICAL CENTER; -THE POWER AND AUTHORITY TO INITIATE AND TAKE ANY OF THE FOLLOWING ACTIONS: ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE MEDICAL CENTER, THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE MEDICAL CENTERS ASSETS, THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION, OR THE ENTERING INTO ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENTS BY THE MEDICAL CENTER; -THE EXCLUSIVE POWER AND AUTHORITY TO INITIATE ANY BANKRUPTCY OR INSOLVENCY ACTION ON BEHALF OF THE MEDICAL CENTER OR ANY OF ITS SUBSIDIARIES INCLUDING ANY DIRECT AFFILIATES; AND, -OTHER POWERS AND RIGHTS AS VESTED BY LAW. IN ADDITION, THE MEMBER HAS ADDITIONAL APPROVAL RIGHTS AS NOTED BELOW. -THE ANNUAL SLATE OF THE BOARD OF DIRECTORS SHALL BE SUBJECT TO APPROVAL BY THE MEMBER. IN ADDITION, A VACANCY ON THE BOARD MAY BE FILED BY THE BOARD OF DIRECTORS, SUBJECT TO APPROVAL OF THE MEMBER; -THE PRESIDENT OF THE CORPORATION, IN COLLABORATION WITH THE CORPORATION'S BOARD OF DIRECTORS, SHALL DEVELOP OVERALL STRATEGIC AND FINANCIAL PLANS FOR THE CORPORATION, WHICH SHALL BE CONSISTENT WITH THE STRATEGIC AND FINANCIAL PLANS AND PROGRAMS OF THE MEMBER AND SHALL BE SUBJECT TO APPROVAL BY THE MEMBER; -THE BOARD OF MANAGERS OF THE MEMBER IS AUTHORIZED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS TO SELL OR OTHERWISE TRANSFER INVESTMENTS AND ASSETS OF THE CORPORATION THAT ARE NOT USED OR INVOLVED IN THE OPERATION OF THE CORPORATION, INCLUDING SECURITIES AND REAL PROPERTY BUT EXCLUDING INVESTMENTS, IF ANY, SEPARATELY HELD TO SATISFY OBLIGATIONS OF THE CORPORATION WITH RESPECT TO ANY PENSION OR BENEFIT PLAN. THE BOARD OF MANAGERS OF THE MEMBER MAY EMPLOY AND COMPENSATE FROM FUNDS OF THE CORPORATION SUCH INVESTMENT ADVISER OR ADVISERS AS THE BOARD OF MANAGERS OF THE MEMBER MAY CONSIDER NECESSARY OR DESIRABLE, AND IT SHALL HAVE DISCRETION TO ACCEPT OR REJECT ANY OR ALL ADVICE GIVEN BY ANY SUCH ADVISER OR ADVISERS, ALL IN ACCORDANCE WITH THE PROVISIONS RELATING TO THE BOARD OF MANAGERS SET FORTH IN THE BY-LAWS OF THE MEMBER; -THE PRESIDENT SHALL BE APPOINTED BY, AND MAY BE REMOVED BY, THE BOARD OF DIRECTORS, SUBJECT TO THE APPROVAL OF THE MEMBER. THE PRESIDENT MAY ALSO BE REMOVED BY THE MEMBER IN ACCORDANCE WITH THE BY-LAWS OF THE MEMBER AS SUCH BY-LAWS MAY, AT THE TIME OF SUCH REMOVAL, PROVIDE; AND, -THE CORPORATION'S BY-LAWS MAY BE ALTERED, AMENDED OR REPEALED AT ANY MEETING OF THE MEMBER IN ACCORDANCE WITH THE BY-LAWS OF THE MEMBER AS SUCH BY-LAWS MAY, AT THE TIME OF SUCH MEETING, PROVIDE. WITHOUT LIMITING THE FOREGOING, THE BOARD OF DIRECTORS MAY RECOMMEND AMENDMENTS TO THESE BY-LAWS, WHICH AMENDMENTS SHALL BE SUBJECT TO APPROVAL BY THE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	CAREGROUP, INC. (CAREGROUP) SERVES AS THE SOLE MEMBER OF THE MEDICAL CENTER. ACCORDING TO THE MEDICAL CENTER'S BYLAWS CAREGROUP APPROVES BUT DOES NOT ELECT MEMBERS OF THE GOVERNING BODY. ACCORDING TO THE MEDICAL CENTER'S BYLAWS, AS SOLE MEMBER, CAREGROUP HAS THE FOLLOWING RIGHTS: -TO APPROVE ANNUAL OPERATING AND CAPITAL BUDGETS; -TO APPROVE UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF FIVE PERCENT (5%) OF THE MOST RECENT APPROVED ANNUAL CAPITAL BUDGET; -TO APPROVE ANY UNBUDGETED CAPITAL COMMITMENT IN EXCESS OF $20 MILLION; -TO SELECT THE INDEPENDENT AUDITOR TO EXAMINE THE FINANCIAL ACCOUNTS; -TO APPROVE THE BORROWING OR INCURRENCE OF DEBT IN ANY AMOUNT, OTHER THAN (I) FOR THE PURPOSE OF SECURING WORKING CAPITAL FROM A LENDER APPROVED BY THE MEMBER AND PURSUANT TO THE EXISTING LOAN DOCUMENTATION CONTAINING THE TERMS AND PROVISIONS RELATING TO SUCH BORROWING APPROVED BY THE MEMBER AND, (II) DEBT INCURRED IN THE ORDINARY COURSE OF BUSINESS WHICH IS IN THE MEMBER APPROVED ANNUAL BUDGET; -TO APPROVE ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE MEDICAL CENTER, THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE MEDICAL CENTER'S ASSETS, THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION, OR THE ENTERING INTO ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENTS BY THE MEDICAL CENTER; -THE POWER AND AUTHORITY TO INITIATE AND TAKE ANY OF THE FOLLOWING ACTIONS: ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE MEDICAL CENTER, THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE MEDICAL CENTERS ASSETS, THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION, OR THE ENTERING INTO ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENTS BY THE MEDICAL CENTER; -THE EXCLUSIVE POWER AND AUTHORITY TO INITIATE ANY BANKRUPTCY OR INSOLVENCY ACTION ON BEHALF OF THE MEDICAL CENTER OR ANY OF ITS SUBSIDIARIES INCLUDING ANY DIRECT AFFILIATES; AND, -OTHER POWERS AND RIGHTS AS VESTED BY LAW. IN ADDITION, THE MEMBER HAS ADDITIONAL APPROVAL RIGHTS AS NOTED BELOW. -THE ANNUAL SLATE OF THE BOARD OF DIRECTORS SHALL BE SUBJECT TO APPROVAL BY THE MEMBER. IN ADDITION, A VACANCY ON THE BOARD MAY BE FILED BY THE BOARD OF DIRECTORS, SUBJECT TO APPROVAL OF THE MEMBER; -THE PRESIDENT OF THE CORPORATION, IN COLLABORATION WITH THE CORPORATION'S BOARD OF DIRECTORS, SHALL DEVELOP OVERALL STRATEGIC AND FINANCIAL PLANS FOR THE CORPORATION, WHICH SHALL BE CONSISTENT WITH THE STRATEGIC AND FINANCIAL PLANS AND PROGRAMS OF THE MEMBER AND SHALL BE SUBJECT TO APPROVAL BY THE MEMBER; -THE BOARD OF MANAGERS OF THE MEMBER IS AUTHORIZED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS TO SELL OR OTHERWISE TRANSFER INVESTMENTS AND ASSETS OF THE CORPORATION THAT ARE NOT USED OR INVOLVED IN THE OPERATION OF THE CORPORATION, INCLUDING SECURITIES AND REAL PROPERTY BUT EXCLUDING INVESTMENTS, IF ANY, SEPARATELY HELD TO SATISFY OBLIGATIONS OF THE CORPORATION WITH RESPECT TO ANY PENSION OR BENEFIT PLAN. THE BOARD OF MANAGERS OF THE MEMBER MAY EMPLOY AND COMPENSATE FROM FUNDS OF THE CORPORATION SUCH INVESTMENT ADVISER OR ADVISERS AS THE BOARD OF MANAGERS OF THE MEMBER MAY CONSIDER NECESSARY OR DESIRABLE, AND IT SHALL HAVE DISCRETION TO ACCEPT OR REJECT ANY OR ALL ADVICE GIVEN BY ANY SUCH ADVISER OR ADVISERS, ALL IN ACCORDANCE WITH THE PROVISIONS RELATING TO THE BOARD OF MANAGERS SET FORTH IN THE BY-LAWS OF THE MEMBER; -THE PRESIDENT SHALL BE APPOINTED BY, AND MAY BE REMOVED BY, THE BOARD OF DIRECTORS, SUBJECT TO THE APPROVAL OF THE MEMBER. THE PRESIDENT MAY ALSO BE REMOVED BY THE MEMBER IN ACCORDANCE WITH THE BY-LAWS OF THE MEMBER AS SUCH BY-LAWS MAY, AT THE TIME OF SUCH REMOVAL, PROVIDE; AND, -THE CORPORATION'S BY-LAWS MAY BE ALTERED, AMENDED OR REPEALED AT ANY MEETING OF THE MEMBER IN ACCORDANCE WITH THE BY-LAWS OF THE MEMBER AS SUCH BY-LAWS MAY, AT THE TIME OF SUCH MEETING, PROVIDE. WITHOUT LIMITING THE FOREGOING, THE BOARD OF DIRECTORS MAY RECOMMEND AMENDMENTS TO THESE BY-LAWS, WHICH AMENDMENTS SHALL BE SUBJECT TO APPROVAL BY THE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	CAREGROUP, INC. (CAREGROUP) SERVES AS THE SOLE MEMBER OF THE MEDICAL CENTER. ACCORDING TO THE MEDICAL CENTER'S BYLAWS CAREGROUP APPROVES BUT DOES NOT ELECT MEMBERS OF THE GOVERNING BODY. ACCORDING TO THE MEDICAL CENTER'S BYLAWS, AS SOLE MEMBER, CAREGROUP HAS THE FOLLOWING RIGHTS: -TO APPROVE ANNUAL OPERATING AND CAPITAL BUDGETS; -TO APPROVE UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF FIVE PERCENT (5%) OF THE MOST RECENT APPROVED ANNUAL CAPITAL BUDGET; -TO APPROVE ANY UNBUDGETED CAPITAL COMMITMENT IN EXCESS OF $20 MILLION; -TO SELECT THE INDEPENDENT AUDITOR TO EXAMINE THE FINANCIAL ACCOUNTS; -TO APPROVE THE BORROWING OR INCURRENCE OF DEBT IN ANY AMOUNT, OTHER THAN (I) FOR THE PURPOSE OF SECURING WORKING CAPITAL FROM A LENDER APPROVED BY THE MEMBER AND PURSUANT TO THE EXISTING LOAN DOCUMENTATION CONTAINING THE TERMS AND PROVISIONS RELATING TO SUCH BORROWING APPROVED BY THE MEMBER AND, (II) DEBT INCURRED IN THE ORDINARY COURSE OF BUSINESS WHICH IS IN THE MEMBER APPROVED ANNUAL BUDGET; -TO APPROVE ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE MEDICAL CENTER, THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE MEDICAL CENTER'S ASSETS, THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION, OR THE ENTERING INTO ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENTS BY THE MEDICAL CENTER; -THE POWER AND AUTHORITY TO INITIATE AND TAKE ANY OF THE FOLLOWING ACTIONS: ANY VOLUNTARY DISSOLUTION, MERGER OR CONSOLIDATION OF THE MEDICAL CENTER, THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE MEDICAL CENTERS ASSETS, THE CREATION, ACQUISITION OR DISPOSAL OF ANY SUBSIDIARY OR AFFILIATED CORPORATION, OR THE ENTERING INTO ANY JOINT VENTURE OR OTHER PARTNERSHIP ARRANGEMENTS BY THE MEDICAL CENTER; -THE EXCLUSIVE POWER AND AUTHORITY TO INITIATE ANY BANKRUPTCY OR INSOLVENCY ACTION ON BEHALF OF THE MEDICAL CENTER OR ANY OF ITS SUBSIDIARIES INCLUDING ANY DIRECT AFFILIATES; AND, -OTHER POWERS AND RIGHTS AS VESTED BY LAW. IN ADDITION, THE MEMBER HAS ADDITIONAL APPROVAL RIGHTS AS NOTED BELOW. -THE ANNUAL SLATE OF THE BOARD OF DIRECTORS SHALL BE SUBJECT TO APPROVAL BY THE MEMBER. IN ADDITION, A VACANCY ON THE BOARD MAY BE FILED BY THE BOARD OF DIRECTORS, SUBJECT TO APPROVAL OF THE MEMBER; -THE PRESIDENT OF THE CORPORATION, IN COLLABORATION WITH THE CORPORATION'S BOARD OF DIRECTORS, SHALL DEVELOP OVERALL STRATEGIC AND FINANCIAL PLANS FOR THE CORPORATION, WHICH SHALL BE CONSISTENT WITH THE STRATEGIC AND FINANCIAL PLANS AND PROGRAMS OF THE MEMBER AND SHALL BE SUBJECT TO APPROVAL BY THE MEMBER; -THE BOARD OF MANAGERS OF THE MEMBER IS AUTHORIZED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS TO SELL OR OTHERWISE TRANSFER INVESTMENTS AND ASSETS OF THE CORPORATION THAT ARE NOT USED OR INVOLVED IN THE OPERATION OF THE CORPORATION, INCLUDING SECURITIES AND REAL PROPERTY BUT EXCLUDING INVESTMENTS, IF ANY, SEPARATELY HELD TO SATISFY OBLIGATIONS OF THE CORPORATION WITH RESPECT TO ANY PENSION OR BENEFIT PLAN. THE BOARD OF MANAGERS OF THE MEMBER MAY EMPLOY AND COMPENSATE FROM FUNDS OF THE CORPORATION SUCH INVESTMENT ADVISER OR ADVISERS AS THE BOARD OF MANAGERS OF THE MEMBER MAY CONSIDER NECESSARY OR DESIRABLE, AND IT SHALL HAVE DISCRETION TO ACCEPT OR REJECT ANY OR ALL ADVICE GIVEN BY ANY SUCH ADVISER OR ADVISERS, ALL IN ACCORDANCE WITH THE PROVISIONS RELATING TO THE BOARD OF MANAGERS SET FORTH IN THE BY-LAWS OF THE MEMBER; -THE PRESIDENT SHALL BE APPOINTED BY, AND MAY BE REMOVED BY, THE BOARD OF DIRECTORS, SUBJECT TO THE APPROVAL OF THE MEMBER. THE PRESIDENT MAY ALSO BE REMOVED BY THE MEMBER IN ACCORDANCE WITH THE BY-LAWS OF THE MEMBER AS SUCH BY-LAWS MAY, AT THE TIME OF SUCH REMOVAL, PROVIDE; AND, -THE CORPORATION'S BY-LAWS MAY BE ALTERED, AMENDED OR REPEALED AT ANY MEETING OF THE MEMBER IN ACCORDANCE WITH THE BY-LAWS OF THE MEMBER AS SUCH BY-LAWS MAY, AT THE TIME OF SUCH MEETING, PROVIDE. WITHOUT LIMITING THE FOREGOING, THE BOARD OF DIRECTORS MAY RECOMMEND AMENDMENTS TO THESE BY-LAWS, WHICH AMENDMENTS SHALL BE SUBJECT TO APPROVAL BY THE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE MEDICAL CENTER, THE TAX DIRECTOR OF CAREGROUP, WHICH IS THE MEMBER OF THE MEDICAL CENTER AND DELOITTE TAX LLP. THE COMPLETE FORM 990 IS PRESENTED TO THE COMPLIANCE, AUDIT AND RISK COMMITTEE OF THE MEDICAL CENTER FOR REVIEW AND DISCUSSION. A COPY OF THE COMPLETE RETURN IS THEN PROVIDED TO EACH MEMBER OF THE MEDICAL CENTER BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	THE MEDICAL CENTER HAS A WRITTEN, COMPREHENSIVE CONFLICT OF INTEREST POLICY THAT APPLIES TO ALL MEMBERS OF ITS WORKFORCE, INCLUDING EMPLOYEES, PROFESSIONAL STAFF, TRAINEES, CONSULTANTS, CONTRACTORS, AGENTS, AND VENDORS, AND TO THE MEMBERS OF THE BOARD OF DIRECTORS. IN ADDITION, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP) IS AN INTEGRALLY RELATED ENTITY TO THE MEDICAL CENTER AND EMPLOYS THE MAJORITY OF PHYSICIANS PROVIDING PATIENT CARE AT THE MEDICAL CENTER. HMFP ALSO HAS A COMPREHENSIVE CONFLICT OF INTEREST POLICY. PURSUANT TO THESE POLICIES, ALL MEMBERS OF THE MEDICAL CENTER'S WORKFORCE MUST DISCLOSE CONFLICTS OF INTEREST AT THE TIME OF INSTITUTIONAL TRANSACTIONS AND MUST REFRAIN FROM TAKING ANY ADMINISTRATIVE ACTION WITHIN THE INSTITUTION THAT IS BENEFICIAL TO AN OUTSIDE BUSINESS IN WHICH S/HE OR A FAMILY MEMBER HAS A POSITION OR A FINANCIAL INTEREST UNLESS S/HE INFORMS HIS/HER SUPERVISOR AND OBTAINS ADVANCE APPROVAL. THE MEDICAL CENTER MONITORS COMPLIANCE WITH THIS POLICY BY REQUIRING ALL MEMBERS OF THE WORKFORCE PARTICIPATING IN THE PROCESS TO COMPLETE A WRITTEN DISCLOSURE FORM AT THE TIME OF DISCUSSIONS AND NEGOTIATIONS WITH A SUPPLIER AND BY REQUIRING THE SUPPLIER TO IDENTIFY IN WRITING THOSE PARTICIPANTS WHO HAVE AN OUTSIDE RELATIONSHIP WITH THE SUPPLIER. A SUPPLIER'S FAILURE TO MAKE A REQUIRED DISCLOSURE MAY RESULT IN DISQUALIFICATION FROM BEING A SUPPLIER AND CAN BE GROUNDS FOR TERMINATION OF THE CONTRACT. SIMILARLY, ANY MEMBER OF THE BOARD OF DIRECTORS OF THE MEDICAL CENTER WHO IS IN A POSITION TO VOTE ON OR INFLUENCE A PARTICULAR TRANSACTION OR DECISION OF THE MEDICAL CENTER MUST NOTIFY THE BOARD OR THE COMMITTEE IF S/HE OR A FAMILY MEMBER MIGHT MATERIALLY BENEFIT AND RECUSE HIMSELF/HERSELF FROM PARTICIPATION AND VOTING ON THE DECISION. IN ADDITION, ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES OF BOTH THE MEDICAL CENTER AND HMFP ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT DISCLOSURE WHICH IS DESIGNED TO REQUIRE DISCLOSURE OF ANY BUSINESS RELATIONSHIPS MAINTAINED BY OFFICERS, DIRECTORS OR KEY EMPLOYEES AND THEIR IMMEDIATE FAMILY MEMBERS WHICH MAY RESULT IN A CONFLICT OF INTEREST. PURSUANT TO THE MEDICAL CENTER'S CONFLICT OF INTEREST POLICY, MANY INDIVIDUALS IN ADDITION TO THOSE REPORTED ON THE TAX RETURNS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT DISCLOSURE. THESE ADDITIONAL CATEGORIES INCLUDE OFFICERS, SENIOR MANAGEMENT, CHIEFS OF SERVICE, DIVISION CHIEFS, AND OTHER WORKFORCE AND PROFESSIONAL STAFF CATEGORIES AS IDENTIFIED FROM TIME TO TIME BY THE CHIEF EXECUTIVE OFFICER, THE SENIOR VICE PRESIDENT FOR COMPLIANCE, AUDIT, AND RISK OR THE CONFLICTS OF INTEREST COMMITTEE. FOR THESE EMPLOYEES, PROVIDING A DISCLOSURE IS A CONDITION OF EMPLOYMENT AND/OR MEDICAL STAFF APPOINTMENT. THE OFFICE OF COMPLIANCE AND BUSINESS CONDUCT COLLECTS, REVIEWS, AND DETERMINES APPROPRIATE ACTION FOR THE ANNUAL CONFLICT OF INTEREST DISCLOSURES ON BEHALF OF THE MEDICAL CENTER. THE DISCLOSURE MAY BE REFERRED TO MANAGEMENT AND TO THE CONFLICT OF INTEREST COMMITTEE, A SUBCOMMITTEE OF THE COMPLIANCE, AUDIT, AND RISK COMMITTEE, FOR REVIEW. THE HMFP COMPLIANCE OVERSIGHT COMMITTEE REVIEWS ANNUAL CONFLICT OF INTEREST DISCLOSURES ON BEHALF OF HMFP. BECAUSE OF THE INTEGRAL RELATIONSHIP BETWEEN THE MEDICAL CENTER AND HMFP, MANY INDIVIDUALS ARE COVERED BY BOTH ENTITIES' CONFLICT OF INTEREST POLICIES AND ANNUAL DISCLOSURE REQUIREMENTS. IN CASES OF DUAL RESPONSIBILITIES, THE RESPONSES ARE REVIEWED BY BOTH DEPARTMENTS FOR DETERMINATION OF ANY POTENTIAL OR ACTUAL CONFLICT. PURSUANT TO EACH INSTITUTION'S CONFLICT OF INTEREST POLICY, CERTAIN ACTIVITIES WHICH COULD CREATE CONFLICTS OF INTEREST ARE PROHIBITED, WHILE OTHER TYPES OF RELATIONSHIPS ARE PERMITTED, SUBJECT TO COMPLIANCE WITH A PLAN TO REQUIRE DISCLOSURE AND RECUSAL INCLUDING APPROPRIATE DOCUMENTATION IN THE MINUTES. CAREGROUP IS THE SOLE MEMBER OF THE MEDICAL CENTER. IN ADDITION TO THE CONFLICT OF INTEREST PROCESS OUTLINED ABOVE, THE MEDICAL CENTER OFFICE OF COMPLIANCE AND BUSINESS CONDUCT AND THE CAREGROUP TAX DEPARTMENT JOINTLY ISSUE A TAX QUESTIONNAIRE TO ALL CURRENT AND FORMER MEMBERS OF THE MEDICAL CENTER BOARD OF DIRECTORS AS WELL AS CURRENT AND FORMER MEDICAL CENTER OFFICERS AND KEY EMPLOYEES. THE TAX QUESTIONNAIRE IS DESIGNED TO GATHER THE INFORMATION NECESSARY FOR THE MEDICAL CENTER TO COMPLETELY AND ACCURATELY PROCESS AND COMPLETE FORM 990 SCHEDULE L, TRANSACTIONS WITH INTERESTED PERSONS AND FORM 990, PART VI, QUESTION 2, FAMILY AND BUSINESS RELATIONSHIPS BETWEEN OFFICERS, DIRECTORS/TRUSTEES AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION B, LINE 15	THE MEDICAL CENTER HAS A COMPENSATION COMMITTEE THAT IS COMPOSED OF MEMBERS OF THE BOARD OF DIRECTORS. ALL MEMBERS ARE INDEPENDENT. THE COMPENSATION COMMITTEE ESTABLISHES THE POLICIES AND THE COMPENSATION STRUCTURE OF THE CEO, COO, CFO, CLINICAL CHIEFS OF SERVICE, CHIEF ACADEMIC OFFICER, CHIEF INFORMATION OFFICER, GENERAL COUNSEL, SR. VICE PRESIDENTS AND VICE PRESIDENTS THE COMPENSATION COMMITTEE IS RESPONSIBLE FOR ASSURING THAT THE TOTAL COMPENSATION PROVIDED TO THESE INDIVIDUALS IS FAIR AND REASONABLE USING CURRENT AND CREDIBLE MARKET PRACTICE INFORMATION AND THAT IT COMPLIES WITH APPLICABLE LEGAL AND REGULATORY GUIDELINES. IN SETTING COMPENSATION, THE COMPENSATION COMMITTEE RELIED UPON WRITTEN COMPENSATION SURVEYS AND STUDIES PRODUCED BY AN INDEPENDENT COMPENSATION CONSULTING FIRM THAT REGULARLY ASSESSES EXECUTIVE COMPENSATION AND BENEFITS OF SIMILAR ORGANIZATIONS. THE COMPENSATION COMMITTEE MET TO REVIEW THE COMPENSATION STRUCTURE OF THE INDIVIDUALS DESCRIBED ABOVE AND AT THAT TIME REVIEWED THE COMPENSATION SURVEY PREPARED BY THE INDEPENDENT COMPENSATION CONSULTING FIRM. TO ENSURE INDEPENDENCE, THE SENIOR VICE PRESIDENT OF HUMAN RESOURCES RECUSED HERSELF FROM DISCUSSIONS AND VOTING RELATED TO HER OWN COMPENSATION PACKAGE AND FROM DISCUSSIONS RELATED TO THE PRESIDENT AND CEO'S COMPENSATION PACKAGE. THE COMPENSATION COMMITTEE THEN VOTED TO APPROVE THE COMPENSATION ARRANGEMENTS OF ALL INDIVIDUALS DESCRIBED ABOVE EXCEPT FOR THE CEO. THE COMPENSATION PACKAGE FOR THE CEO VOTED BY THE COMPENSATION COMMITTEE WAS SUBMITTED TO THE FULL BOARD OF DIRECTORS FOR APPROVAL. ALL DELIBERATIONS WERE CONTEMPORANEOUSLY DOCUMENTED IN MINUTES. SUBSEQUENT TO THE VOTE OF THE COMMITTEE, THE OUTSIDE CONSULTING FIRM PROVIDED A "REASONABLENESS LETTER" ATTESTING TO THE INDEPENDENCE OF THE COMMITTEE AND REASONABLENESS OF THE EXECUTIVE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	THE MEDICAL CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AT THE FOLLOWING LOCATION: BETH ISRAEL DEACONESS MEDICAL CENTER OFFICES 330 BROOKLINE AVENUE BOSTON, MA 02215
FORM 990, PART IX, LINE 11G	CONSULTING: PROGRAM SERVICE EXPENSES 2,244,545. MANAGEMENT AND GENERAL EXPENSES 5,039,476. FUNDRAISING EXPENSES 286,261. TOTAL EXPENSES 7,570,282. MD FEES: PROGRAM SERVICE EXPENSES 54,445,531. MANAGEMENT AND GENERAL EXPENSES 12,467,469. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,913,000. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 71,481,220. MANAGEMENT AND GENERAL EXPENSES 9,598,930. FUNDRAISING EXPENSES 357,332. TOTAL EXPENSES 81,437,482.
FORM 990, PART XI, LINE 9:	UNREALIZED CHG IN EQUITY INTEREST IN LIMITED PARTNERSHIP 1,950,216. CHANGE IN FUNDED STATUS OF EMPLOYEE BENEFIT PLANS -25,077,889. TRANSFER (TO) FROM AFFILIATE -21,716,631. FUNDS MANAGED BY OTHERS -2,835,024. NON CASH CONTRIBUTIONS NOT INCLUDED IN THE FINANCIAL STATEMENTS -1,309,965.
FORM 990, PART XII, LINE 2B AND 2C	FINANCIAL STATEMENTS AND COMMITTEE OVERSIGHT AS PREVIOUSLY REPORTED IN THIS FILING, THE MEDICAL CENTER IS A PUBLIC CHARITY AND A TERTIARY CARE ACADEMIC MEDICAL CENTER EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED. THE FINANCIAL RECORDS OF THE MEDICAL CENTER ARE AUDITED EACH YEAR AS PART OF THE MEDICAL CENTER'S CONSOLIDATED AUDITED FINANCIAL STATEMENT PROCESS. FOR THE PERIOD COVERED BY THIS FILING, THE BOSTON, MA OFFICE OF KPMG ISSUED AN UNQUALIFIED OPINION ON THESE FINANCIAL STATEMENTS. THIS PROCESS IS MONITORED AND REVIEWED INTERNALLY BY THE MEDICAL CENTER'S COMPLIANCE, AUDIT AND RISK COMMITTEE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (36 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ASSOC PHYS HARVARD MED FAC PHY AT BIDMC
375 LONGWOOD AVE	BOSTON	MA	02215	320058309	TO PROVIDE EMERGENCY MEDICAL SERVICES	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
BI ANAESTHESIA FOUNDATION INC
330 BROOKLINE AVE	BOSTON	MA	02215	042997215	SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
BI COMMUNITY FOUNDATION INC
330 BROOKLINE AVE	BOSTON	MA	02215	042776678	INACTIVE CORPORATION	MA	501(C)(3)	LINE 7		0	N/A
BI DEACONESS DEPARTMENT OF MEDICINE FOUNDATION INC
330 BROOKLINE AVE	BOSTON	MA	02215	043079630	SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
BI DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION INC
330 BROOKLINE AVE	BOSTON	MA	02215	208253452	SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
BI DEACONESS DEPARTMENT OF NEUROLOGY FOUNDATION INC
330 BROOKLINE AVE	BOSTON	MA	02215	043030397	SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
BI DEACONESS DEPARTMENT OF ORTHOPAEDIC SURGERY FOUNDATION INC
330 BROOKLINE AVE	BOSTON	MA	02215	204974585	SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
BI DEACONESS DEPARTMENT OF SURGERY FOUNDATION INC
110 FRANCIS STREET	BOSTON	MA	02215	020671240	SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
BI DEACONESS HOSPITAL - NEEDHAM INC
148 CHESTNUT ST	NEEDHAM	MA	00000	043229679	HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS.	MA	501(C)(3)	LINE 3	BETH ISRAEL DEACONESS MEDICAL CENTER INC	0
BETH ISRAEL DEACONESS MEDICAL CENTER
330 BROOKLINE AVE	BOSTON	MA	02215	042103881	THE OPERAION OF A WORLD CLASS ACADEMIC MEDICAL CENTER IN BOSTON, MA	MA	501(C)(3)	LINE 3	CAREGROUP INC	0
BIDMC AND CHILDREN'S HOSPITAL MEDICAL CARE CORP
300 LONGWOOD AVE	BOSTON	MA	02215	043200113	OUTPATIENT AMBULATORY CARE CENTER IN LEXINGTON, MA	MA	501(C)(3)	LINE 11A, I		0	N/A
BIDMC OBSTETRICS AND GYNECOLOGY FOUNDATION INC
330 BROOKLINE AVE	BOSTON	MA	02215	042794855	SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
BI DERMATOLOGY FOUNDATION INC
330 BROOKLINE AVE	BOSTON	MA	02215	043117601	SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
BIH PATHOLOGY FOUNDATION INC
330 BROOKLINE AVE	BOSTON	MA	02215	222548374	SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
BIH RADIOLOGIC FOUNDATION INC
330 BROOKLINE AVE	BOSTON	MA	02215	042571853	SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
LONGWOOD MEDICAL INTL FOUNDATION
185 PILGRIM ROAD	BOSTON	MA	02215	043208878	INACTIVE CORPORATION	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
CAREGROUP INC
109 BROOKLINE AVE	BOSTON	MA	02215	222629185	OVERSEE FINCIAL HEALTH OF AFFILIATES	MA	501(C)(3)	LINE 11D, III-O		0	N/A
CARL J SHAPIRO INSTITUTE
330 BROOKLINE AVE	BOSTON	MA	02215	043326928	DEVELOP INNOVATIVE PROG AND MODELS FOR TEACHING AND RESEARCH	MA	501(C)(3)	LINE 11A, I		0	N/A
CONTINUING EDU PROGRAM DBA BID DEPT OF PSYCH FDN
C/O HARVARD MED SCH 401 PARK DR	BOSTON	MA	02215	043242952	SUPPORT PATIENT CARE, RESEARCH AND TEACHING MISSIONS OF BIDMC, HFMP AND HMS	MA	501(C)(3)	LINE 11A, I	HMFP AT BIDMC	0
MED CARE OF BOSTON MGMT CORP DBA AFFILIATED PHYS GROUP
400 HUNNEWELL ST	NEEDHAM	MA	02494	042810972	OUTPATIENT, PRIMARY CARE AND SPECIALTY SERVICES	MA	501(C)(3)	LINE 9	BETH ISRAEL DEACONESS MEDICAL CENTER INC	0
MOUNT AUBURN HOSPITAL
330 MOUNT AUBURN ST	CAMBRIDGE	MA	02138	042103606	HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS	MA	501(C)(3)	LINE 3	CAREGROUP INC	0
MOUNT AUBURN PROFESSIONAL SERVICES INC
330 MOUNT AUBURN ST	CAMBRIDGE	MA	02138	043026897	OFFERING MEDICAL CARE IN GENERAL AND SPECIALIZED PRACTICES	MA	501(C)(3)	LINE 11A, I	MOUNT AUBURN HOSPITAL	0
NEW ENGLAND BAPTIST HOSPITAL
125 PARKER HILL AVE	BOSTON	MA	02120	042103612	ORTHOPEDIC SPECIALTY HOSPITAL	MA	501(C)(3)	LINE 3	CAREGROUP INC	0
NEW ENGLAND BAPTIST MEDICAL ASSOCIATES INC
125 PARKER HILL AVE	BOSTON	MA	02120	043235796	OUTPATIENT MEDICAL SERVICES TO THE VARIOUS COMMUNITIES SERVICED BY NEBH	MA	501(C)(3)	LINE 3	NEW ENGLAND BAPTIST HOSPITAL INC	0
RIVERBROOK CORPORATION
109 BROOKLINE AVE	BOSTON	MA	02215	042828955	TO HOLD TITLE TO PROPERTY FOR CAREGROUP, INC.	MA	501(C)(2)		CAREGROUP INC	0
HARVARD MEDICAL COLLABORATIVE INC
25 SHATTUCK ST	BOSTON	MA	02115	043476764	COORDINATE AND PROVIDE STATEGIC PLANNING OPP FOR HMS	MA	501(C)(3)	LINE 11A, I		0	N/A
HARVARD MEDICAL FACULTY PHYSICIANS AT BIDMC INC
375 LONGWOOD AVE	BOSTON	MA	02215	222768204	GENERAL AND SPECIALIZED MEDICAL SERVICES TO THE PATIENTS OF BIDMC AND OTHERS	MA	501(C)(3)	LINE 9		0	N/A
BETH ISRAEL DEACONESS HOSPITAL - MILTON INC
199 REEDSDALE RD	MILTON	MA	02186	042103604	HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS.	MA	501(C)(3)	LINE 3	BETH ISRAEL DEACONESS MEDICAL CENTER INC	0
COMMUNITY PHYSICIAN ASSOCIATES INC
199 REEDSDALE RD	MILTON	MA	02186	043243146	OUTPATIENT AND PRIMARY CARE SERVICES	MA	501(C)(3)	LINE 3	MILTON HOSPITAL FOUNDATION INC	0
MILTON HOSPITAL FOUNDATION INC
199 REEDSDALE RD	MILTON	MA	02186	222566792	PROMOTE HEALTHCARE	MA	501(C)(3)	LINE 11A, I	BETH ISRAEL DEACONESS MEDICAL CENTER INC	0
BETH ISRAEL DEACONESS HOSPITAL - PLYMOUTH INC
275 SANDWICH ST	PLYMOUTH	MA	02186	222667354	HOSPITAL FOR THE TREATMENT, CARE AND RELIEF OF SICK AND SUFFERING PERSONS.	MA	501(C)(3)	LINE 3	BETH ISRAEL DEACONESS MEDICAL CENTER INC	0
JH REALTY CORP
275 SANDWICH ST	PLYMOUTH	MA	02360	222677673	REAL ESTATE	MA	501(C)(3)	LINE 11A, I	BETH ISRAEL DEACONESS-PLYMOUTH	0
JORDAN AMBULATORY HEALTH CARE
36 CORDAGE PARK CIRCLE	PLYMOUTH	MA	02360	222667348	PROVIDE MEDICAL SERVICES	MA	501(C)(3)	LINE 11A, I	BETH ISRAEL DEACONESS-PLYMOUTH	0
JORDAN HEALTH FOUNDATION
175 SANDWICH ST	PLYMOUTH	MA	02360	510432984	PROMOTE HEALTHCARE	MA	501(C)(3)	LINE 11A, I	BETH ISRAEL DEACONESS-PLYMOUTH	0
JORDAN HEALTH SYSTEMS INC
275 SANDWICH ST	PLYMOUTH	MA	02360	042103805	PROMOTE HEALTHCARE	MA	501(C)(3)	LINE 11A, I	BETH ISRAEL DEACONESS MEDICAL CENTER INC	0
JORDAN PHYSICIANS ASSOCIATES INC
275 SANDWICH ST	PLYMOUTH	MA	02360	043228556	OUTPATIENT AND PRIMARY CARE SERVICES	MA	501(C)(3)	LINE 9	JORDAN HEALTH SYSTEMS INC	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ADVANCED VASCULAR CARE LLC
375 LONGWOOD AVE	BOSTON	MA	02215	261647880	TO PROVIDE MEDICAL SUPPORT SERVICES	MA	N/A
BETH ISRAEL DEACONESS PHYS ORG LLC DBA BIDCO
ONE UNIVERSITY AVE NORTH ENTRANCE	WESTWOOD	MA	02090	043426253	COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC	MA	N/A
BIDCO PHYSICIAN LLC
ONE UNIVERSITY AVE NORTH ENTRANCE	WESTWOOD	MA	02090	043426253	COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC	MA	N/A
BIDCO HOSPITAL LLC
ONE UNIVERSITY AVE NORTH ENTRANCE	WESTWOOD	MA	02090	461643790	COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC	MA		BETH ISRAEL DEACONESS MEDICAL CENTER	RELATED	-$10,143,482	$2,682,291	0	0	0.79000
CAREGROUP CLINICAL RESEARCH LLC
109 BROOKLINE AVENUE	BOSTON	MA	02215	300228711	TO PARTICIPATE IN A CLINICAL RESEARCH PARTNERSHIP	MA	N/A
CAREGROUP INVESTMENT PARTNERSHIP LLP
109 BROOKLINE AVENUE	BOSTON	MA	02215	043278109	INVESTMENT PARTNERSHIP	MA	N/A
CHARLTON MRI SERVICES LLC
330 BROOKLINE AVENUE	BOSTON	MA	02215	264662778	PROVISION OF PATIENT CARE SERVICES	MA	N/A
PHYSICIAN PROFESSIONAL SERVICES LLP
10 CABOT ROAD	MEDFORD	MA	02215	043275078	TO PROVIDE MEDICAL BILLING SERVICES	MA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
MILTON PHYSICIAN-HOSPITAL ORGANIZATION INC
199 REEDSDALE ROAD	MILTON	MA	02186	043213042	PHYSICIAN/HOSPITAL ORGANIZATION	MA	N/A	C	0
ANESTHESIA FINANCIAL SOLUTIONS INC
330 BROOKLINE AVE	BOSTON	MA	02215	043571311	INACTIVE CORPORATION	MA	N/A	C	0
JORDAN COMMUNITY ACO INC
275 SANDWICH ST	PLYMOUTH	MA	02360	454047430	COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BID-PLYMOUTH	MA	N/A	C	0
ATLANTIC MEDICAL MANAGEMENT INC
275 SANDWICH ST	PLYMOUTH	MA	02360	043161451	INACTIVE CORPORATION	MA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	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	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	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