BETH ISRAEL DEACONESS MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BETH ISRAEL DEACONESS MEDICAL CENTER INC (EIN 04-2103881)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-14
IRS object ID: 201402269349303980
Schema version: 2012v2.1
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)
Timestamp	2014-08-14T15:48:49-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	042103881	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	BETH	NameControl
Phone	6176678000	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	STEVEN FISCHER	Name
Title	SR VP & CFO	Title
Phone	6176678000	Phone
Date Signed	2014-08-14	DateSigned
Authorize Third Party	0	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00743140	PTIN
Phone	5169187000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DR KEVIN TABB	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	1541882716	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.BIDMC.HARVARD.EDU	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1915	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	TERTIARY CARE ACADEMIC MEDICAL CENTER	ActivityOrMissionDescription
Nbr Voting Members Governing Body	24	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	11838	TotalNbrEmployees
Total Nbr Volunteers	602	TotalNbrVolunteers
Total Gross UBI	6115665	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	24218280	ContributionsGrantsPriorYear
Contributions Grants Current Year	24050616	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1314492857	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1294183741	ProgramServiceRevenueCY
Investment Income Prior Year	13423172	InvestmentIncomePriorYear
Investment Income Current Year	28492215	InvestmentIncomeCurrentYear
Other Revenue Prior Year	54781862	OtherRevenuePriorYear
Other Revenue Current Year	46583007	OtherRevenueCurrentYear
Total Revenue Prior Year	1406916171	TotalRevenuePriorYear
Total Revenue Current Year	1393309579	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	38345753	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	34941421	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	652821201	SalariesEtcPriorYear
Salaries Etc Current Year	629927237	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	124603	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	116012	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	7526000	TotalFundrsngExpCurrentYear
Other Expense Prior Year	651746647	OtherExpensePriorYear
Other Expenses Current Year	644350454	OtherExpensesCurrentYear
Total Expenses Prior Year	1343038204	TotalExpensesPriorYear
Total Expenses Current Year	1309335124	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	63877967	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	83974455	RevenuesLessExpensesCY
Total Assets BOY	1541026079	TotalAssetsBOY
Total Assets EOY	1578043747	TotalAssetsEOY
Total Liabilities BOY	867941264	TotalLiabilitiesBOY
Total Liabilities EOY	698117799	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	673084815	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	879925948	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	835299290	Expense
Grants	4967945	Grants
Revenue	1049026704	Revenue
Description	SEE SCHEDULE O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	254414000	Expense
Grants	29973476	Grants
Revenue	227291000	Revenue
Description	SEE SCHEDULE O	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	93471108	Expense
Revenue	29167238	Revenue
Description	SEE SCHEDULE O	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	1183184398	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	1	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	1	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	1	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	418	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	11838	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	24	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	AK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	AZ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CO	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	HI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	KY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	LA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	ME	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MI	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MS	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MO	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NJ	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NM	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	NC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	ND	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OH	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OK	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	SC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	TN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	UT	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WA	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	6176671414	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (39 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
ANDERSON CAROL F
DIRECTOR & VICE CHAIR	4.00	1.00	X	0	0	0
BRADY MICHAEL J
DIRECTOR, EX-OFFICIO	1.00	14.00	X	0	0	0
BUFFERD ALLAN
DIRECTOR & TREASURER	2.00	1.00	X	0	0	0	X
CHAIKOF MD PHD ELLIOT
DIR & SURG CHIEF	30.00	35.00	X	454367	454367	110681
CRONIN MICHAEL
DIRECTOR, EX-OFFICIO	1.00	0.00	X	0	0	0
CUTLER JOEL
DIRECTOR	1.00	0.00	X	0	0	0
JICK DANIEL J
DIR & FIRST VICE CHAIR	5.00	0.00	X	0	0	0
JOHNSTON WILLIAM
DIRECTOR	1.00	0.00	X	0	0	0
KAY STEPHEN B
DIRECTOR AND BOARD CHAIR	5.00	1.00	X	0	0	0
LADD EDWARD
DIRECTOR & VICE CHAIR	5.00	0.00	X	0	0	0
LAMERE DAVID
DIRECTOR	1.00	0.00	X	0	0	0
LEPOFSKY ROBERT J
DIRECTOR	1.00	0.00	X	0	0	0
LINDE DOUGLAS
DIRECTOR	1.00	0.00	X	0	0	0
MACDOWELL VIRGINIA
DIRECTOR	1.00	1.00	X	0	0	0
MANNING JACK
DIRECTOR	1.00	0.00	X	0	0	0
MCKENNA MARGARET
DIRECTOR	1.00	0.00	X	0	0	0
O'HANLEY RONALD
DIRECTOR	1.00	0.00	X	0	0	0
ROSENBERG MD STUART
DIR & CEO-HMFP	1.00	64.00	X	0	766137	466881
ROTTENBERG ALAN
DIRECTOR	1.00	0.00	X	0	0	0
SCHLICHTE HELEN CHIN
DIRECTOR & CLERK	2.00	0.00	X	0	0	0	X
TABB MD KEVIN
PRESIDENT & CEO	60.00	5.00	X	1330803	0	48187	X
TURNBULL CLAYTON
DIRECTOR	1.00	0.00	X	0	0	0
WANG FREDERICK
DIRECTOR	6.00	0.00	X	0	0	0
ZEIDEL MD MARK L
DIR & CHIEF, MEDICINE	30.00	35.00	X	352367	358256	56574
FISCHER STEVEN
SR. VP - FINANCE & CFO	59.00	1.00		678932	0	53561	X
MAURER MARSHA
SVP-PAT CARE & INTRM COO	60.00	0.00		693904	0	54923	X
ARMSTRONG WALTER
SVP FACS & ENGINEER	60.00	0.00		448306	0	33782		X
BIEBER JUDITH
INTRM SVP - HR	60.00	0.00		173904	0	48986		X
SHEEHAN JAYNE
SVP AMBUL & EMERG SVS	60.00	0.00		450109	0	51223		X
SUKHATME MD PHD VIKAS P
SVP & CHIEF ACADEMIC OFFICER	54.00	6.00		573178	50341	49475		X
ZANKMAN LISA
SVP - HUMAN RESOURCES	60.00	0.00		417206	0	32572		X
GEBHARDT MD MARK C
CHIEF OF ORTHO SURGERY	30.00	35.00		360755	360754	84485			X
HALAMKA MD JOHN
CIO & SVP/INFORMATION SYSTEMS	40.00	25.00		468461	186246	47446			X
KRUSKAL MD PHD JONATHAN B
CHIEF OF RADIOLOGY	30.00	35.00		328531	329070	60598			X
LEWIS MD STANLEY
SVP, NETWORK INTEGRATION	55.00	10.00		731775	81309	42591			X
SIMON BRETT
CHIEF OF ANESTHESIA	30.00	35.00		303862	303861	86227			X
BUEHRENS ERIC
FRMR INTRM PRES/CEO&COO	60.00	0.00		706584	0	33190				X
FISCHER MD JOSEF E
FRMR DIR & FRMR CH-SURG	40.00	0.00		118355	0	37894				X
LEVY PAUL F
FORMER PRESIDENT & CEO	0.00	0.00		777205	0	9474				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	9368604	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2890341	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1408750	TotalOtherCompensation
Number Individuals GT100 K	1183	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	1	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HARVARD MEDICAL FAULTY PHYS AT BIMDC
375 LONGWOOD AVE	BOSTON	MA	02215	PHYSICIAN SERVICES	116826223
SODEXO
PO BOX 905374	CHARLOTTE	NC	28207	FOOD SERVICES	7653652
CAREGROUP INC
109 BROOKLINE AVE SUITE 300	BOSTON	MA	02215	MANAGEMENT SERVICES	6613010
LAZ PARKINGLTD
15 LEWIS STREET	HARTFORD	CT	06103	PARKING	3688346
ROPES & GRAY LLP
PRUDENTIAL TOWER 800 BOYLSTON ST	BOSTON	MA	02219	AUDITORS/CONSULTANTS	1069941

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	61	NumberOfContractorsGT100K
Fundraising Events	133838	FundraisingEvents
All Other Contributions	23916778	AllOtherContributions
Noncash Contributions	1223411	NoncashContributions
Total Contributions	24050616	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERV REV	541700	567572211	567572211
MEDICARE/MEDICAID REV	900099	470153292	470153292
SPONSORED RESEARCH	541700	177436534	177436534
NIH FUNDED RESEARCH	541700	49854466	49854466
GRADUATE MED EDUCATION	611710	29167238	29167238

Field	Value	IRS element (for citing)
Total Program Service Revenue	1294183741	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3597228	TotalRevenueColumn
Unrelated Business Revenue	324298	UnrelatedBusinessRevenue
Exclusion	$3,272,930	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1200700	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	43727	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1156973	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1156973	TotalRevenueColumn
Unrelated Business Revenue	25221	UnrelatedBusinessRevenue
Exclusion	$1,131,752	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	173225117	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	148330130	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	24894987	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	24894987	TotalRevenueColumn
Unrelated Business Revenue	192501	UnrelatedBusinessRevenue
Exclusion	$24,702,486	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	24635	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	133838	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	199085	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-174450	TotalRevenueColumn
Exclusion	-$174,450	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Gaming	3900	GrossIncomeGaming
Gaming Direct Expenses	195	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	3705	TotalRevenueColumn
Exclusion	$3,705	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
PARKING REVENUE	812930	21652746	24900	$21,627,846
OUTREACH LAB (UBIT)	621500	4130952	4130952
CYTOLOGY LAB (UBIT)	621500	474027	474027

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	19339054	TotalRevenueColumn
Related Or Exempt Function Income	11301201	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	943766	UnrelatedBusinessRevenue
Exclusion	$7,094,087	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	45596779	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1393309579	TotalRevenueColumn
Related Or Exempt Function Income	1305484942	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6115665	UnrelatedBusinessRevenue
Exclusion	$57,658,356	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	25409519	Total
Program Services	25409519	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	7500	Total
Program Services	7500	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	9524402	Total
Program Services	9524402	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	9848158	Total
Program Services	3939263	ProgramServices
Management And General	5908895	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	539060420	Total
Program Services	496344419	ProgramServices
Management And General	38437338	ManagementAndGeneral
Fundraising	4278663	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10382401	Total
Program Services	9350790	ProgramServices
Management And General	940836	ManagementAndGeneral
Fundraising	90775	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	38510161	Total
Program Services	34683791	ProgramServices
Management And General	3489791	ManagementAndGeneral
Fundraising	336579	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	32126097	Total
Program Services	28934000	ProgramServices
Management And General	2911214	ManagementAndGeneral
Fundraising	280883	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	5354479	Total
Management And General	5354479	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	6272662	Total
Management And General	6272662	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	631359	Total
Management And General	631359	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	123765	Total
Management And General	123765	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	116012	Total
Fundraising	116012	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	144277972	Total
Program Services	121413231	ProgramServices
Management And General	21903025	ManagementAndGeneral
Fundraising	961716	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2429888	Total
Program Services	414416	ProgramServices
Management And General	1986073	ManagementAndGeneral
Fundraising	29399	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	173772273	Total
Program Services	171966636	ProgramServices
Management And General	1296516	ManagementAndGeneral
Fundraising	509121	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7119241	Total
Program Services	5169477	ProgramServices
Management And General	1863188	ManagementAndGeneral
Fundraising	86576	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	68188199	Total
Program Services	62325261	ProgramServices
Management And General	5808612	ManagementAndGeneral
Fundraising	54326	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	609537	Total
Program Services	420656	ProgramServices
Management And General	130439	ManagementAndGeneral
Fundraising	58442	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	779576	Total
Program Services	638896	ProgramServices
Management And General	99558	ManagementAndGeneral
Fundraising	41122	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	15731620	Total
Program Services	15731620	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	73672887	Total
Program Services	58803297	ProgramServices
Management And General	14735118	ManagementAndGeneral
Fundraising	134472	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7855985	Total
Program Services	7842500	ProgramServices
Management And General	13485	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
RESEARCH	68078027	68078027	0	0
CONTRACTED SERVICES	25997362	25922025	40115	35222
UNCOMPENSATED CARE	7916251	7916251	0	0
FOOD	3044613	2314887	283879	445847

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	32494758	Total
Program Services	26033534	ProgramServices
Management And General	6394379	ManagementAndGeneral
Fundraising	66845	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1309335124	Total
Program Services	1183184398	ProgramServices
Management And General	118624726	ManagementAndGeneral
Fundraising	7526000	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	1	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	609257119	BOY
EOY	642442947	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	32865367	BOY
EOY	32610071	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	156107385	BOY
EOY	153662156	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9437860	BOY
EOY	9897342	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	8448783	BOY
EOY	9427617	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2030288297	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1551880926	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	488815171	BOY
EOY	478407371	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	162719897	BOY
EOY	182005950	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	73374497	BOY
EOY	69590292	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1541026079	BOY
EOY	1578043747	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	157844098	BOY
EOY	174561354	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	86668061	BOY
EOY	59247524	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	393800112	BOY
EOY	371621847	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	229628993	BOY
EOY	92687074	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	867941264	BOY
EOY	698117799	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	500285628	BOY
EOY	687338519	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	123834046	BOY
EOY	137930412	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	48965141	BOY
EOY	54657017	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	673084815	BOY
EOY	879925948	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1541026079	BOY
EOY	1578043747	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	83974455	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	14887267	ReconciliationUnrealizedInvest
Reconcilation Other Changes	107979411	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	1	MediaAdvertisements
Mailings Members	1	MailingsMembers
Publications Or Broadcast	1	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$294,997	OtherActivitiesAmount
Total Lobbying Expenditures IIB	294997	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
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 $294,997 FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2013. TOTAL LOBBYING EXPENDITURES ARE MINIMAL AND NOT SUBSTANTIAL BASED ON REVENUES.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	1	AgentTrusteeEtc
Additions During Year	1459830	AdditionsDuringYear
Distributions During Year	1459830	DistributionsDuringYear
Ending Balance	0	EndingBalance
Included On FS	0	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	172799187	BeginningOfYearBalance
Contributions	9753810	Contributions
Investment Earnings Or Losses	22259615	InvestmentEarningsOrLosses
Other Expenditures	12225183	OtherExpenditures
End Of Year Balance	192587429	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	158281306	BeginningOfYearBalance
Contributions	10376111	Contributions
Investment Earnings Or Losses	16376503	InvestmentEarningsOrLosses
Other Expenditures	12234733	OtherExpenditures
End Of Year Balance	172799187	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	172948409	BeginningOfYearBalance
Contributions	-1735365	Contributions
Investment Earnings Or Losses	546551	InvestmentEarningsOrLosses
Other Expenditures	13478289	OtherExpenditures
End Of Year Balance	158281306	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	150018022	BeginningOfYearBalance
Contributions	19184387	Contributions
Investment Earnings Or Losses	13662000	InvestmentEarningsOrLosses
Other Expenditures	9916000	OtherExpenditures
End Of Year Balance	172948409	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	148738525	BeginningOfYearBalance
Contributions	9044497	Contributions
Investment Earnings Or Losses	8406000	InvestmentEarningsOrLosses
Other Expenditures	16171000	OtherExpenditures
End Of Year Balance	150018022	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.30000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.70000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24282879	OtherCostOrOtherBasis
Book Value	24282879	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	306866412	OtherCostOrOtherBasis
Depreciation	241957562	Depreciation
Book Value	64908850	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	554889547	OtherCostOrOtherBasis
Depreciation	335220328	Depreciation
Book Value	219669219	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1144249459	OtherCostOrOtherBasis
Depreciation	974703036	Depreciation
Book Value	169546423	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	478407371	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	OTHER INVESTMENT THROUGH CIP	Description
Book Value	182005950	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	182005950	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
FUNDS HELD IN TRUST	$2,430,100
FUNDS MANAGED BY OTHERS	$8,794,747
MEDICAL MALPRACTICE	$888,000
POST RETIREMENT BENEFITS	$25,777,994
CLINICAL TRIALS	$11,231,277
PROFESSIONAL LIABLITY	$43,564,956

Field	Value	IRS element (for citing)
Total Of Amounts	92687074	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	1931040000	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	27351436	NetUnrealizedGainsInvestments
Other Revenues	531539763	OtherRevenues
Revenue Not Rptd F990	558891199	RevenueNotRptdF990
Revenue Subtotal	1372148801	RevenueSubtotal
Investment Expenses Not Included	-179010	InvestmentExpensesNotIncluded
Other Revenues Not Included	21339788	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	21160778	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1393309579	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1821538000	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	512202876	OtherExpensesIncluded
Expenses Not Rptd F990	512202876	ExpensesNotRptdF990
Expenses Subtotal	1309335124	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1309335124	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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:	ENDOWMENT 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 2013 $2,678,771 WAS APPROPRIATED OF WHICH $323,928 WAS RELATED SPECIFICALLY TO FREE CARE. 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.	DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
	NET ASSETS RELEASED FROM RESTRICTION 10,029,763. CONSOLIDATED AFFILIATES REVENUE NET OF ELIMINATION 521,510,000.	PART XI, LINE 2D - OTHER ADJUSTMENTS:
	FUNDS MANAGED FOR OTHERS 3,232,211. RENT -43,727. OTHER -441. TEMPORARILY AND PERMANENTLY RESTRICTED CONTRIBUTIONS 9,753,810. TEMPORARILY RESTRICTED REALIZED GAINS 8,397,935. FUNDRAISING/GAMING EXPENSE RECLASS	PART XI, LINE 4B - OTHER ADJUSTMENTS:
	OTHER 149. RENT 43,727. CONSOLIDATED AFFILITIES EXPENSE NET OF ELIMINATION 512,159,000.	PART XII, LINE 2D - OTHER ADJUSTMENTS:

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (31 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
CENTRAL AMERICA & THE CARIBBEAN	PROGRAM SERVICES	JOINTLY OWNED FOREIGN INSURANCE	6452362
CENTRAL AMERICA & THE CARIBBEAN	INVESTMENTS		66276192
EUROPE (INCLUDING ICELAND & GREENLAND)	INVESTMENTS		1767212
EAST ASIA AND THE PACIFIC	INVESTMENTS		927535
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	TEACHING/RESEARCH/ PATIENT CARE	8858442
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	TEACHING/RESEARCH/ PATIENT CARE	35489
SUB-SAHARAN AFRICA	PROGRAM SERVICES	TRAVEL FOR EDUCATIONAL SEMINARS/PRESENTATIONS	99920
SOUTH ASIA	PROGRAM SERVICES	TRAVEL FOR EDUCATIONAL SEMINARS/PRESENTATIONS	17823
RUSSIA AND THE NEWLY INDEPENDENT STATES	PROGRAM SERVICES	TRAVEL FOR EDUCATIONAL SEMINARS/PRESENTATIONS	8802
CENTRAL AMERICA & THE CARIBBEAN	PROGRAM SERVICES	TRAVEL FOR EDUCATIONAL SEMINARS/PRESENTATIONS	10920
EUROPE (INCLUDING ICELAND & GREENLAND)	PROGRAM SERVICES	TRAVEL FOR EDUCATIONAL SEMINARS/PRESENTATIONS	324423
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	TRAVEL FOR EDUCATIONAL SEMINARS/PRESENTATIONS	342139
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	TRAVEL FOR EDUCATIONAL SEMINARS/PRESENTATIONS	33876
NORTH AMERICA	PROGRAM SERVICES	TRAVEL FOR EDUCATIONAL SEMINARS/PRESENTATIONS	42958
SOUTH AMERICA	PROGRAM SERVICES	TRAVEL FOR EDUCATIONAL SEMINARS/PRESENTATIONS	24649
NORTH AMERICA	PROGRAM SERVICES	TEACHING/RESEARCH/PATIENT CARE	289877
NORTH AMERICA	INVESTMENTS		1136573
SOUTH AMERICA	INVESTMENTS		588317
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	TEACHING/RESEARCH/PATIENT CARE	337355
CENTRAL AMERICA & THE CARIBBEAN	PROGRAM SERVICES	HUMANITARIAN MISSION	16095
EAST ASIA AND THE PACIFIC	PROGRAM SERVICES	HUMANITARIAN MISSION	6578
MIDDLE EAST AND NORTH AFRICA	PROGRAM SERVICES	HUMANITARIAN MISSION	2656
SOUTH AMERICA	PROGRAM SERVICES	HUMANITARIAN MISSION	6216
SOUTH ASIA	PROGRAM SERVICES	HUMANITARIAN MISSION	13967
SUB-SAHARAN AFRICA	PROGRAM SERVICES	HUMANITARIAN MISSION	82404
EAST ASIA AND THE PACIFIC	GRANTMAKING		337354
EUROPE (INCLUDING ICELAND & GREENLAND)	GRANTMAKING		8858442
MIDDLE EAST AND NORTH AFRICA	GRANTMAKING		35489
NORTH AMERICA	GRANTMAKING		289877

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	84434975	SubtotalAmountSpent
Cont Amount Spent	12788967	ContAmountSpent
Total Amount Spent	97223942	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS (25 entries)

RegionRegion	Purpose Of GrantPurposeOfGrant	Amount Of Cash GrantAmountOfCashGrant
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	5000
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	15012
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	6271
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	5250
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	20490
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	5466
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	52212
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	13677
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	65365
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	21500
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	24931
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	37351
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	8056
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	22610
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	26758
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUB-AWARD	1039048
EAST ASIA AND THE PACIFIC	RESEARCH SUB-AWARD	7405
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUB-AWARD	7487009
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUB-AWARD	62495
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUB-AWARD	127572
MIDDLE EAST AND NORTH AFRICA	RESEARCH SUB-AWARD	35489
NORTH AMERICA	RESEARCH SUB-AWARD	9500
NORTH AMERICA	RESEARCH SUB-AWARD	23642
NORTH AMERICA	RESEARCH SUB-AWARD	256735
EUROPE (INCLUDING ICELAND & GREENLAND)	RESEARCH SUB-AWARD	142318

Field	Value	IRS element (for citing)
Total Number Of501c3 Orgs	0	TotalNumberOf501c3Orgs
Total Number Of Other Orgs	25	TotalNumberOfOtherOrgs
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	1	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	1	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (3 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:	SCHEDULE F, 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 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.
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 IV
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 F PART V

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Email Solicitations	X	EmailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	1	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Name Of IndividualNameOfIndividual	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	ActivityActivity	Fundraiser Control Of FundsFundraiserControlOfFunds	Gross ReceiptsGrossReceipts	Amount Retained By ContractorAmountRetainedByContractor	Net To OrganizationNetToOrganization
(no name)
GRETA MORGAN	34 APPLE BLOSSOM LN	STOWE	MA	01775	PLANNED GIVING	0	264905	20844	244061
HARRIS CONNECT
	1400A CROSSWAYS BLVD	CHESAPEAKE	VA	23320	PHONE CAMPAIGN	0	60921	95168	-34247

Field	Value	IRS element (for citing)
Total Gross Receipts	325826	TotalGrossReceipts
Total Retained By Contractors	116012	TotalRetainedByContractors
Total Net To Organization	209814	TotalNetToOrganization
Licensed States	AK	LicensedStates
Licensed States	AZ	LicensedStates
Licensed States	CO	LicensedStates
Licensed States	FL	LicensedStates
Licensed States	IL	LicensedStates
Licensed States	KY	LicensedStates
Licensed States	ME	LicensedStates
Licensed States	MD	LicensedStates
Licensed States	MA	LicensedStates
Licensed States	MI	LicensedStates
Licensed States	MN	LicensedStates
Licensed States	MS	LicensedStates
Licensed States	MO	LicensedStates
Licensed States	NH	LicensedStates
Licensed States	NJ	LicensedStates
Licensed States	NM	LicensedStates
Licensed States	NY	LicensedStates
Licensed States	NC	LicensedStates
Licensed States	ND	LicensedStates
Licensed States	OH	LicensedStates
Licensed States	OK	LicensedStates
Licensed States	OR	LicensedStates
Licensed States	SC	LicensedStates
Licensed States	TN	LicensedStates
Licensed States	UT	LicensedStates
Licensed States	WA	LicensedStates
Licensed States	WI	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	A REASON TO RIDE	NameOfEvent1
Gross Receipts Event1	79556	GrossReceiptsEvent1
Charitable Contributions Event1	76821	CharitableContributionsEvent1
Gross Revenue Event1	2735	GrossRevenueEvent1
Rent Facility Costs Event1	1100	RentFacilityCostsEvent1
Entertainment Event1	325	EntertainmentEvent1
Other Direct Expenses Event1	8434	OtherDirectExpensesEvent1
Name Of Event2	INTIMATE EVE OF CHAMBER MUSIC	NameOfEvent2
Gross Receipts Event2	58017	GrossReceiptsEvent2
Charitable Contributions Event2	50367	CharitableContributionsEvent2
Gross Revenue Event2	7650	GrossRevenueEvent2
Food And Beverage Event2	11223	FoodAndBeverageEvent2
Other Direct Expenses Event2	11270	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	20900	GrossReceiptsOtherEvents
Charitable Contrib Other Events	6650	CharitableContribOtherEvents
Gross Revenue Other Events	14250	GrossRevenueOtherEvents
Food And Beverage Other Events	42496	FoodAndBeverageOtherEvents
Entertainment Other Events	3000	EntertainmentOtherEvents
Other Direct Expenses Other Events	121237	OtherDirectExpensesOtherEvents
Gross Receipts Total	158473	GrossReceiptsTotal
Charitable Contributions Total	133838	CharitableContributionsTotal
Gross Revenue Total Events	24635	GrossRevenueTotalEvents
Rent Facility Costs Total Events	1100	RentFacilityCostsTotalEvents
Food And Beverage Total Events	53719	FoodAndBeverageTotalEvents
Entertainment Total Events	3325	EntertainmentTotalEvents
Other Direct Expenses Total Events	140941	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	199085	DirectExpenseSummaryEvents
Net Income Summary	-174450	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	27435122	TotalCommunityBenefitExpense
Direct Offsetting Revenue	132956	DirectOffsettingRevenue
Net Community Benefit Expense	27302166	NetCommunityBenefitExpense
Percent Of Total Expense	0.02090	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	160716628	TotalCommunityBenefitExpense
Direct Offsetting Revenue	124783525	DirectOffsettingRevenue
Net Community Benefit Expense	35933103	NetCommunityBenefitExpense
Percent Of Total Expense	0.02740	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	188151750	TotalCommunityBenefitExpense
Direct Offsetting Revenue	124916481	DirectOffsettingRevenue
Net Community Benefit Expense	63235269	NetCommunityBenefitExpense
Percent Of Total Expense	0.04830	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6558029	TotalCommunityBenefitExpense
Net Community Benefit Expense	6558029	NetCommunityBenefitExpense
Percent Of Total Expense	0.00500	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	93339610	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29167238	DirectOffsettingRevenue
Net Community Benefit Expense	64172372	NetCommunityBenefitExpense
Percent Of Total Expense	0.04900	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19750518	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7383780	DirectOffsettingRevenue
Net Community Benefit Expense	12366738	NetCommunityBenefitExpense
Percent Of Total Expense	0.00940	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	274744182	TotalCommunityBenefitExpense
Net Community Benefit Expense	274744182	NetCommunityBenefitExpense
Percent Of Total Expense	0.20980	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4205643	TotalCommunityBenefitExpense
Net Community Benefit Expense	4205643	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	398597982	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36551018	DirectOffsettingRevenue
Net Community Benefit Expense	362046964	NetCommunityBenefitExpense
Percent Of Total Expense	0.27640	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	586749732	TotalCommunityBenefitExpense
Direct Offsetting Revenue	161467499	DirectOffsettingRevenue
Net Community Benefit Expense	425282233	NetCommunityBenefitExpense
Percent Of Total Expense	0.32470	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$20,896,972	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	316622910	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	335717370	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-19094460	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

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	WWW.BIDMC.HARVARD.EDU	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Critical Access Hospital	X	CriticalAccessHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours
Other	TERTIARY CARE ACADEMIC MEDICAL CENTER	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

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)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Other	X	Other
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	3	NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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
3 BOWDOIN STREET HEALTH CENTER
230 BOWDOIN STREET	DORCHESTER	MA	02122	OUTPATIENT MEDICAL CARE

Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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, MORE THAN 32% OF THE MEDICAL CENTER'S TOTAL EXPENSES ARE INCURRED IN PROVIDING FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. 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. DETAIL FROM THAT FILING IS INCLUDED IN THE NARRATIVE DETAIL TO THIS SCHEDULE H. 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.
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS	FINANCIAL 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 $17,808,118 IN FISCAL YEAR ENDED SEPTEMBER 30, 2013 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 ACCOMPLISHMENTS OF ITS PURPOSES. AS PART OF THIS RELATIONSHIP, HMFP PATIENTS WHO MEET THE FREE CARE CRITERIA OF THE MEDICAL CENTER 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 $3,490,470. 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, 19.9% OR 201,983 OF THE MEDICAL CENTER'S PATIENT CASES WERE WITH MEDICAID PATIENTS. THIS TRANSLATES TO $124,783,525 IN MEDICAID REVENUE WHICH WAS LESS THAN THE COST OF CARE PROVIDED BY THE MEDICAL CENTER FOR SUCH SERVICES BY $ 35,933,103, 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, 20.8% OR 247,587 OF THE MEDICAL CENTER'S PATIENT ENCOUNTERS WERE WITH MEDICARE PATIENTS. THIS TRANSLATED TO $319,707,818. 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 $21,945,086. AS PREVIOUSLY NOTED IN THIS FORM 990, OF THAT AMOUNT, $2,850,626 RELATES TO THE PROVISION OF INPATIENT PSYCHIATRIC 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 $19,094,460 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 $20,896,972 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 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, 2013 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) 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 APPROXIMATELY $13,194,000 AND $12,432,000 IN 2013 AND 2012, 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 2013 AND 2012. THE MEDICAL CENTER'S ALLOWANCE FOR DOUBTFUL ACCOUNTS REPRESENTED APPROXIMATELY 11% OF PATIENT ACCOUNTS RECEIVABLE NET OF CONTRACTUAL ALLOWANCES IN BOTH 2013 AND 2012.EMERGENCY CARE ACCESSAS NOTED IN THIS SCHEDULE H, PART V, SECTION A AND SECTION B QUESTION 19, THE MEDICAL CENTER IS THE 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.	FINANCIAL ASSISTANCE AND MEANS TESTED GOVERNMENT PROGRAMS:
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 OPTIONSFINANCIAL 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, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET, HEALTH SAFETY NET AND/OR OTHER FINANCIAL PROGRAMS AS AVAILABLE AND APPROPRIATE.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.FOR CASES WHERE THE HOSPITAL IS USING THE VIRTUAL GATEWAY APPLICATION, THE HOSPITAL WILL ASSIST THE PATIENT IN COMPLETING THE APPLICATION FOR MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR OTHER FORMS OF FINANCIAL ASSISTANCE PROGRAMS AS THEY BECOME PART OF THE VIRTUAL GATEWAY PROGRAM, 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 COMMONWEALTH.
CREDIT AND COLLECTION POLICY - ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAM	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, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, 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 VIRTUAL GATEWAY APPLICATIONS 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, HEALTHY START, 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 BENEFITS MISSION STATEMENTTHE 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 $ 10,763,672 AS REPORTED ON THIS SCHEDULE H, PART I, LINES 7E AND 7I.COMMUNITY BENEFITS 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 OFFIER, 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 PARTNERS	THE MEDICAL CENTER RECOGNIZES ITS ROLE AS A TERTIARY/ACADEMIC RESOURCE IN A LARGER HEALTH SYSTEM AND KNOWS THAT TO BE SUCCESSFUL IT NEEDS TO COLLABORATE WITH ITS COMMUNITY PARTNERS AND THOSE IT SERVES. BIDMC'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND THE ASSOCIATED COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WERE COMPLETED IN CLOSE COLLABORATION WITH BIDMC'S STAFF, ITS HEALTH AND SOCIAL SERVICE PARTNERS, AND THE COMMUNITY AT-LARGE. THE MEDICAL CENTER'S COMMUNITY BENEFIT PROGRAM EXEMPLIFIES THE SPIRIT OF COLLABORATION THAT IS SUCH A VITAL PART OF BIDMC'S MISSION.BIDMC SERVES AND COLLABORATES WITH ALL SEGMENTS OF THE POPULATION. HOWEVER, IN RECOGNITION OF ITS LONG-STANDING TIES TO BOSTON'S URBAN CORE AND THE HEALTH DISPARITIES THAT EXIST FOR THESE COMMUNITIES, BIDMC 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).BIDMC CURRENTLY SUPPORTS NUMEROUS EDUCATIONAL, OUTREACH, AND COMMUNITY-STRENGTHENING INITIATIVES WITHIN THE COMMONWEALTH. IN THE COURSE OF THESE EFFORTS BIDMC COLLABORATES WITH MANY OF BOSTON'S LEADING HEALTHCARE, PUBLIC HEALTH, AND SOCIAL SERVICE ORGANIZATIONS. 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 $4,312,342 TO THESE COMMUNITY HEALTH CENTERS (CHC)S.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. BIDMC IS ALSO AN ACTIVE PARTICIPANT IN THE BOSTON ALLIANCE FOR COMMUNITY HEALTH (BACH). JOINING WITH SUCH GRASS-ROOTS COMMUNITY GROUPS AND RESIDENTS, THE BOSTON PUBLIC HEALTH COMMISSION, MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH, AND ACADEMIC PARTNERS, WE STRIVE TO CREATE A VISION FOR BOTH CITY-WIDE AND NEIGHBORHOOD-BASED HEALTH IMPROVEMENT. ANOTHER IMPORTANT PARTNERSHIP IS BIDMC'S INVOLVEMENT WITH THE INITIATIVE TO ELIMINATE CANCER DISPARITIES (IECD) THROUGH THE DANA-FARBER/HARVARD CANCER CENTER, OF WHICH BIDMC IS A FOUNDING MEMBER. COLLECTIVELY THE IECD, THE DF/HCC, BIDMC AND OTHERS ARE WORKING TO ADDRESS THE UNEQUAL BURDEN OF CANCER WITHIN COMMUNITIES OF COLOR BY FACILITATING DISPARITIES RESEARCH AND MINORITY CLINICAL TRIAL EDUCATION AND ENROLLMENT.BIDMC'S BOARD OF DIRECTORS ALONG WITH ITS CLINICAL AND ADMINISTRATIVE STAFF IS COMMITTED TO IMPROVING THE HEALTH AND WELL-BEING OF RESIDENTS THROUGHOUT ITS SERVICE AREA AND BEYOND. WORLD-CLASS CLINICAL EXPERTISE, EDUCATION AND RESEARCH ALONG WITH AN UNDERLYING COMMITMENT TO HEALTH EQUITY ARE THE PRIMARY TENETS OF ITS MISSION. BIDMC'S COMMUNITY BENEFITS DEPARTMENT, UNDER THE DIRECT OVERSIGHT OF BIDMC'S BOARD OF DIRECTORS, IS DEDICATED TO COLLABORATING WITH COMMUNITY PARTNERS AND RESIDENTS AND WILL CONTINUE TO DO SO IN ORDER TO MEET ITS COMMUNITY BENEFITS OBLIGATIONS.OTHER COMMUNITY PARTNERS WITH WHICH THE MEDICAL CENTER STAFF JOIN IN DEVELOPING AND IMPLEMENTING COMMUNITY BENEFITS HEALTH IMPROVEMENT EFFORTS INCLUDE:
	-ABCD HEALTH SERVICES-ABCD PARKER HILL/FENWAY NEIGHBORHOOD SERVICE CENTER-AIDS ACTION COMMITTEE-ALBERT SCHWEITZER FELLOWSHIP PROGRAM-AMERICAN CANCER SOCIETY-AMERICAN DIABETES ASSOCIATION-AMERICAN GASTROENTEROLOGICAL ASSOCIATION-AMERICAN HEART ASSOCIATION-AMERICAN PARKINSON DISEASE ASSOCIATION, MA CHAPTER-ASSOCIATED INDUSTRIES OF MASSACHUSETTS-ATRIUS/HARVARD VANGUARD-BARBARA MCINNIS HOUSE-BAY COVE HUMAN SERVICES-BEYOND BENIGN-BIRD STREET COMMUNITY CENTER-BOSTON ALLIANCE FOR COMMUNITY HEALTH-BOSTON AREA RAPE CRISIS CENTER-BOSTON CAREER LINK-BOSTON CENTER FOR INDEPENDENT LIVING-BOSTON CENTER FOR YOUTH & FAMILIES- STREET WORKERS PROGRAM-BOSTON COLLABORATIVE FOR FOOD AND FITNESS-BOSTON ELDER INFO-BOSTON EMERGENCY MEDICAL SERVICE-BOSTON FIRE DEPARTMENT-BOSTON GREEN RIBBON COMMISSION/HEALTHCARE SECTOR-BOSTON HEALTHCARE CAREERS CONSORTIUM-BOSTON LIVING CENTER-BOSTON MEDICAL CENTER-BOSTON MOVES FOR HEALTH-BOSTON NATURAL AREAS NETWORK/YOUTH CONSERVATION CORPS-BOSTON POLICE DEPARTMENT-BOSTON PRIVATE INDUSTRY COUNCIL-BOSTON PUBLIC HEALTH COMMISSION-BOSTON PUBLIC SCHOOLS-BOSTON RED SOX FOUNDATION-BOSTON REGIONAL DOMESTIC VIOLENCE PROVIDERS-BOSTON REGIONAL MENTAL HEALTH PROVIDERS SERVING LATINOS -BOSTON SENIOR HOME CARE-BOSTON URBAN ASTHMA COALITION-BOSTON VISITING NURSES ASSOCIATION-BOSTON YOUTH FUND-BOTTOM LINE-BOWDOIN GENEVA ALLIANCE-BOWDOIN GENEVA MAIN STREETS PROGRAM-BOWDOIN STREET HEALTH CENTER-BOYS AND GIRLS CLUB OF DORCHESTER-BRIGHAM AND WOMEN'S HOSPITAL-BROOKLINE HEALTH DEPARTMENT-BROOKLINE HIGH SCHOOL-BROOKLINE SENIOR CENTER-BROOKSIDE COMMUNITY HEALTH CENTER-BUNKER HILL COMMUNITY COLLEGE-CAMBRIDGE HEALTH ALLIANCE-CAPE VERDEAN ADULT DAY HEALTH PROGRAM-CAREER COLLABORATIVE-CATALYST FOR CHANGE LEARNING NETWORK-CATHOLIC CHARITIES-CENTER FOR COMMUNITY HEALTH EDUCATION AND RESEARCH (CCHER)-CHILD WITNESS TO VIOLENCE PROJECT-CHILDREN'S HOSPITAL BOSTON-COLLEGE BOUND DORCHESTER-COMBINED JEWISH PHILANTHROPIES-COMMUNITY CARE ALLIANCE-COMMUNITY ROWING, INC.-COMMUNITY SERVINGS-COMPASS SCHOOL-CONFERENCE OF BOSTON TEACHING HOSPITALS: COBTH-CRADLES TO CRAYONS-CVC UNIDO-DANA FARBER/HARVARD CANCER CENTER-DANA-FARBER CANCER INSTITUTE-DORCHESTER BAY ECONOMIC DEVELOPMENT CORPORATION-DORCHESTER CARES-DORCHESTER COMMUNITY FOOD CO-OP-DORCHESTER NEIGHBORHOOD SERVICE CENTER-DORCHESTER NORTH WIC OFFICE-DOT GROWS COMMUNITY GARDENERS COUNCIL -ECUMENICAL SOCIAL ACTION COMMITTEE-EDUCATIONAL DEVELOPMENT GROUP-EPA NEW ENGLAND-ETHOS-EVERCARE-FAMILY NURTURING CENTER-FENWAY COMMUNITY DEVELOPMENT CORPORATION-FENWAY HEALTH-FENWAY HIGH SCHOOL -FITNESS IN THE CITY-FOUND IN TRANSLATION-FRIENDS OF GENEVA CLIFFS-FRIENDSHIP WORKS-GENEVA AVENUE HEAD START-GLAD-GLBT DOMESTIC VIOLENCE COALITION-GLBTQ DOMESTIC VIOLENCE PROJECT-GREATER BOSTON INTERFAITH ORGANIZATION-GREATER BOWDOIN/GENEVA NEIGHBORHOOD ASSOCIATION-GREATER FOUR CORNERS ACTION COALITION-HARVARD CATALYST-HARVARD COOPERATIVE PROGRAM ON AGING-HARVARD MEDICAL SCHOOL-HARVARD SCHOOL OF PUBLIC HEALTH-HEALTH CARE FOR ALL-HEALTH RESOURCES IN ACTION-HEALTHCARE WITHOUT HARM-HEALTHWORKS AT CODMAN SQUARE-HEALTHY HOMES PARTNERSHIP-HEBREW SENIOR LIFE-HOLLAND COMMUNITY CENTER-HOSPITALITY HOMES-HYDE SQUARE TASK FORCE-INTERNATIONAL INSTITUTE OF BOSTON-JANE DOE, INC.-JEWISH CHILDREN'S AND FAMILY SERVICES-JEWISH COMMUNITY HOUSING FOR THE ELDERLY-JEWISH COMMUNITY RELATIONS COUNCIL-JEWISH DOMESTIC VIOLENCE COALITION-JEWISH VOCATIONAL SERVICES-JOSEPH M. SMITH COMMUNITY HEALTH CENTER-JOSLIN DIABETES CENTER-JUST A START-KIT CLARK SENIOR SERVICES-LEVENTHAL SIDMAN JEWISH COMMUNITY CENTER-LOUIS D. BROWN PEACE INSTITUTE-MASSACHUSETTS ATTORNEY GENERAL OFFICE-MASSACHUSETTS COMMISSION FOR THE BLIND-MASSACHUSETTS COMMISSION FOR THE DEAF AND HARD OF HEARING-MASSACHUSETTS DEPARTMENT OF CHILDREN AND FAMILIES-MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH-MASSACHUSETTS DEPARTMENT OF TRANSITIONAL ASSISTANCE-MASSACHUSETTS EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES-MASSACHUSETTS GENERAL HOSPITAL-MASSACHUSETTS HOSPITAL ASSOCIATION-MASSACHUSETTS IMMIGRANT AND REFUGEE ADVOCACY COALITION-MASSACHUSETTS OFFICE FOR VICTIM ASSISTANCE-MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS-MASSACHUSETTS PROSTATE CANCER COALITION-MASSACHUSETTS STATE POLICE-MASSACHUSETTS WORKFORCE INVESTMENT BOARD-MATTAPAN COLLABORATIVE FOR FOOD AND FITNESS-MAYHIM HAYIM-MAYOR'S OFFICE OF EMERGENCY MANAGEMENT-MAYOR'S OFFICE OF FOOD INITIATIVES-MAYOR'S OFFICE OF JOBS AND COMMUNITY SERVICES-MAYOR'S OFFICE OF NEIGHBORHOOD SERVICES-MAYOR'S OFFICE, BOSTON -MEDICAL ACADEMIC AND SCIENTIFIC COMMUNITY ORGANIZATION, INC.-MEDICAL INTELLIGENCE CENTER-MEETINGHOUSE HILL CIVIC ASSOCIATION-MISSION HILL MAIN STREETS ELDER FRIENDLY BUSINESS INITIATIVE-MISSION HILL YOUTH COLLABORATIVE-MOUNT AUBURN HOSPITAL-MULTICULTURAL COALITION ON AGING-NATIONAL PARKINSON FOUNDATION-NEIGHBORHOOD HEALTH PLAN-NEW BALANCE FOUNDATION-NEW ENGLAND BAPTIST HOSPITAL-NORTHEASTERN UNIVERSITY-ONE FUND BOSTON-OPERATION ABLE-OUTER CAPE HEALTH SERVICES-PARTNERSHIP FOR COMMUNITY HEALTH-POWISSET FARM-PRACTICE GREEN HEALTH-REACH OUT AND READ-RED'S BEST SEAFOOD-ROXBURY COMMUNITY ALLIANCE FOR HEALTH-SAGE-BOSTON (STOP ABUSE GAIN EMPOWERMENT)-SECOND STEP-SEXUAL ASSAULT NURSE EXAMINER PROGRAM-SIDNEY BORUM JR. HEALTH CENTER-SILENT SPRING INSTITUTE-SOCIEDAD LATINA, INC. -SOUTH COVE COMMUNITY HEALTH CENTER-SPORTSMAN'S TENNIS CLUB-ST. MARY'S CENTER FOR WOMEN AND CHILDREN-ST. PETER'S CHURCH-ST. PETER'S TEEN CENTER/CATHOLIC CHARITIES-STEPS TO SUCCESS-SUFFOLK COUNTY DISTRICT ATTORNEY'S OFFICE, VICTIM WITNESS ADVOCATES-SUFFOLK COUNTY SHERIFF'S DEPARTMENT-THE BOSTON FOUNDATION-THE DIMOCK CENTER (HEALTH CENTER AND HEAD START)-THE FOOD PROJECT-THE NETWORK, LA RED-THE PARTNERSHIP, INC.-THE TRUSTEES OF RESERVATIONS (CITY HARVEST AND POWISSET FARM)-UNITED WAY OF MASSACHUSETTS-UMASS BOSTON-UPHAM'S CORNER WIC-US SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION-VETERANS AFFAIRS HEALTHCARE SYSTEM - BOSTON-VICTIM RIGHTS LAW CENTER-VIETNAMESE AMERICAN CIVIC ASSOCIATION-WARD'S BERRY FARM-WHITTIER STREET HEALTH CENTER-YAWKEY BIKE CLUB-YEARUP-YMCA BLACK ACHIEVER'S PROGRAM-YMCA OF GREATER BOSTON-YMCA TRAINING, INC.-YOUTH CONNECT
TARGET POPULATION	BIDMC IS COMMITTED TO IMPROVING THE HEALTH STATUS AND WELL-BEING OF THOSE LIVING THROUGHOUT ITS COMMUNITY BENEFITS SERVICE AREA. HOWEVER, THE BIDMC'S COMMUNITY HEALTH NEEDS ASSESSMENT'S FINDINGS CLEARLY SHOW THAT LOW INCOME AND RACIAL/ETHNIC MINORITY POPULATIONS LIVING IN BOSTON'S URBAN CORE NEIGHBORHOODS OF ALLSTON/BRIGHTON, CHINATOWN, DORCHESTER, FENWAY/KENMORE, ROXBURY, AND THE SOUTH END, AS WELL AS THE ADJACENT CITY OF QUINCY AND THE ISOLATED AREAS ON THE OUTER CAPE PORTION OF CAPE COD ARE THE MOST AT-RISK. AS A RESULT, BIDMC FOCUSES IT COMMUNITY HEALTH/COMMUNITY BENEFITS EFFORTS PRIMARILY ON THESE GEOGRAPHIC, DEMOGRAPHIC, AND SOCIO-ECONOMIC SEGMENTS OF THE POPULATION. IN ADDITION, THE ASSESSMENT IDENTIFIED TWO SMALLER BUT HIGH NEED SEGMENTS OF THE POPULATION THAT ARE ALSO UNDERSERVED, AT-RISK, AND FACE DISPARITIES, NAMELY DISCONNECTED YOUTH AND THE LGBT COMMUNITY. COLLECTIVELY, THESE POPULATION SEGMENTS ARE BIDMC'S PRIORITY TARGET POPULATIONS. DETAILED DEMOGRAPHIC INFORMATION CONSIDERED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CAN BE FOUND IN THE CHNA BY SEARCHING FOR "COMMUNITY HEALTH NEEDS ASSESSMENT" ON THE WWW.BIDMC.ORG WEBSITE OR DIRECTLY AT: HTTP://WWW.BIDMC.ORG/CENTERS-AND-DEPARTMENTS/DEPARTMENTS/COMMUNITY-INITIATIVES/~/MEDIA/FILES/CENTERSANDDEPARTMENTS/COMMUNITY%20INITIATIVES/FINALCHNAREPORT92313.PDFBASIS FOR SELECTIONCOMMUNITY HEALTH NEEDS ASSESSMENTS; PUBLIC HEALTH DATA AVAILABLE FROM GOVERNMENT (MDPH, BOSTON PUBLIC HEALTH COMMISSION, FEDERAL AGENCIES) AND PRIVATE RESOURCES (FOUNDATIONS, ADVOCACY GROUPS); BIDMC'S AREAS OF EXPERTISE.
KEY ACCOMPLISHMENTS OF REPORTING YEAR	-SUPPORTED INCREASED CAPACITY OF PRIMARY CARE AND OB/GYN PRACTICES AT 6 AFFILIATED HEALTH CENTERS-INCREASED COMMUNITY-BASED SPECIALTY CARE SERVICES -CONTINUED EFFORTS TO PROVIDE CARE FOR DIVERSE PATIENTS THROUGH CANCER NAVIGATOR, INTERPRETER SERVICES, MULTILINGUAL PATIENT EDUCATION AND CULTURAL COMPETENCE INITIATIVES-NOTE: ALTHOUGH THE MEDICAL CENTER IS A REGIONAL AND NATIONAL LEADER IN PROVIDING INTERPRETER SERVICES TO PATIENTS IN ORDER TO FACILITATE PATIENT ACCESS TO CARE, SUCH EXPENSES HAVE NOT BEEN INCLUDED IN THE CALCULATIONS ON SCHEDULE H PER THE INSTRUCTIONS TO THIS FORM. IN ADDITION TO THE COMMUNITY BENEFITS ENUMERATED IN THIS SCHEDULE H, THE MEDICAL CENTER INCURRED $3,937,858 OF COSTS RELATED TO THE PROVISION OF INTERPRETER SERVICES TO PATIENTS.-EXPANDED BOWDOIN STREET HEALTH CENTER'S HEALTHY FOOD EQUITY PROJECT -CONTINUED VIOLENCE PREVENTION AND INTERVENTION PROGRAMS IN BOWDOIN/GENEVA NEIGHBORHOOD THAT DRAMATICALLY DECREASED INCIDENTS OF VIOLENCE IN AREA-CONTINUED CASE MANAGEMENT SERVICES WITHIN CHCS, ALIGNED WITH PAYMENT REFORM EFFORTS, AND FOCUSED ON DECREASING HOSPITAL RE-ADMISSION RATES. -INITIATED A HEALTHY EATING/ACTIVE LIVING PROGRAM TO INCREASE ACCESS TO HEALTHY FOOD AND ADDRESS FOOD SCARCITY AND BARRIERS TO HEALTHY NUTRITION AND PHYSICAL ACTIVITY -SUPPORTED OFFICE BASED OPIOID TREATMENT (OBOT) PROGRAM TO EXPAND COMMUNITY-BASED SUBSTANCE ABUSE TREATMENT.COMMUNITY HEALTH NEEDS ASSESSMENTCOMMUNITY 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 COMPLIED WITH THIS GUIDELINE AND 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 AND ARE INCLUDED WITH THIS FILING. 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 -- 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.
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.LARGE 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 AS NOTED IN THIS NARRATIVE DETAIL AND IN ITS CHNA AND IMPLEMENTATION STRATEGY WHICH ARE AVAILABLE ON THE MEDICAL CENTER'S WEBSITE AND UPON REQUEST. HOWEVER, AS NOTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7, BIDMC IS NOT ABLE TO ADDRESS ALL PARAMETERS OF THESE COMMUNITY HEALTH ISSUES BECAUSE OF LIMITED FINANCIAL RESOURCES.
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, 2013. THE BIDMC CEO ESTABLISHED A DIVERSITY TASK FORCE TO ADDRESS ISSUES OF URM RECRUITMENT AND RETENTION. THE TASK FORCE MADE RECOMMENDATIONS TO BIDMC ADMINISTRATION IN THE LATE SPRING OF 2013; PENDING IMPLEMENTATION OF THOSE RECOMMENDATIONS, THE OFFICE OF MULTICULTURAL AFFAIRS HAS CONTINUED ITS EXISTING PROGRAMMING.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 20 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" 15 STAFF MEMBERS FROM 12 DEPARTMENTS THROUGHOUT THE MEDICAL CENTER ON THURSDAY, MARCH 21, 2013. 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 10 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 $194,714 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 850 ACTIVE FEDERAL AND INDUSTRY SPONSORED PROJECTS AND MORE THAN 300 CLINICAL TRIALS DURING THE FISCAL PERIOD COVERED BY THIS FILING. THIS RESEARCH IS LED BY APPROXIMATELY 490 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 OUR 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 HAD NET EXPENDITURES OF $274,744,182 REPORTED ON THIS SCHEDULE H, PART I, LINE 7H RELATED TO RESEARCH TO FURTHER SCIENCE AND PATIENT CARE, WHICH REPRESENTED 20.98% OF THE MEDICAL CENTER'S TOTAL EXPENSES.
RESEARCH ENGAGED IN AT BIDMC	VIKAS P. SUKHATME, M.D., PHD, .THE MEDICAL CENTER'S SENIOR VICE PRESIDENT & 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 IN SEPARATE HIGHLY INFLUENTIAL INVESTIGATIONS, MEDICAL CENTER SCIENTISTS PIER PAOLO PANDOLFI, MD, PHD, AND JOHN RINN, PHD, HAVE FOUND THAT THIS "JUNK" MAY ACTUALLY BE HIDDEN TREASURE. IN EXCITING NEW DISCOVERIES, THEIR LABS HAVE IDENTIFIED AND DESCRIBED TWO NEW CLASSES OF NONCODING RNA, KNOWN RESPECTIVELY AS COMPETITIVE ENDOGENOUS RNAS (CERNAS) AND LARGE INTERVENING NONCODING RNAS (LINCRNAS).IN 2010, THE JOURNAL SCIENCE DESCRIBED JOHN RINN'S DISCOVERY OF LINCRNAS AS ONE OF THE "INSIGHTS OF THE DECADE." "THESE ARE CRUCIAL COMMUNICATION NETWORKS," SAYS PANDOLFI, DIRECTOR OF GENETICS IN THE DEPARTMENT OF MEDICINE AND SCIENTIFIC DIRECTOR OF THE MEDICAL CENTER'S CANCER CENTER. "WE HAVE UNCOVERED A WHOLE NEW LANGUAGE THAT HAS BEEN TAKING PLACE BEHIND THE SCENES WITHOUT OUR PRIOR KNOWLEDGE." DR. RINN, AN INVESTIGATOR IN THE MEDICAL CENTER DEPARTMENT OF PATHOLOGY, ADDS THAT "[T]HESE ARE POWERFUL MECHANISMS OF GENOMIC ORGANIZATION. IF WE CAN SOLVE THE CODE OF HOW EACH NONCODING RNA KNOWS WHAT PART OF THE GENOME TO REGULATE, WE MIGHT BE ABLE TO EXPLOIT THESE MECHANISMS TO 'FIX' A DAMAGED CANCER GENOME." AS DR. PANDOLFI EXPLAINS, "FIFTY PERCENT OF THE GENOME IS TRANSCRIBED, BUT ONLY TWO PERCENT MAKES PROTEIN, AND THERE WAS NO CODE, NO LANGUAGE FOR UNDERSTANDING THE REST. 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." CODING-INDEPENDENT REGULATION OF THE TUMOR SUPPRESSOR PTEN BY COMPETING ENDOGENOUS MRNAS," CELL, OCTOBER 14, 2011.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 "[T]HE 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. "A MURINE LUNG CANCER CO-CLINICAL TRIAL IDENTIFIES GENETIC MODIFIERS OF THERAPEUTIC RESPONSE," NATURE, MARCH 18, 2012.DR. PANDOLFI, IS THE RECIPIENT OF THE 2011 PEZCOLLER FOUNDATION-AACR (AMERICAN ASSOCIATION OF CANCER RESEARCH) INTERNATIONAL AWARD FOR CANCER RESEARCH. THIS AWARD WAS ESTABLISHED IN 1997 TO RECOGNIZE A SCIENTIST OF INTERNATIONAL RENOWN WHO HAS MADE A MAJOR SCIENTIFIC DISCOVERY IN EITHER BASIC OR TRANSLATIONAL CANCER RESEARCH AND WHOSE ONGOING WORK HOLDS PROMISE FOR PROGRESS IN THE FIELD OF CANCER. THIS IS THE SECOND TIME IN THE AWARD'S 14-YEAR HISTORY THAT A MEDICAL CENTER INVESTIGATOR HAS RECEIVED THIS PRESTIGIOUS HONOR. DR. LEWIS CANTLEY, PREVIOUSLY AT THE MEDICAL CENTER RECEIVED THIS AWARD IN 2005. THIS IS THE FIRST TIME IN THE AWARD'S HISTORY THAT TWO INVESTIGATORS FROM THE SAME INSTITUTION HAVE BEEN RECOGNIZED WHICH SPEAKS TO MEDICAL CENTER'S POSITION AS A WORLD-CLASS LEADER IN CANCER RESEARCH AND TO THE OUTSTANDING CONTRIBUTIONS BEING MADE BY THE MEDICAL CENTER CANCER CENTER IN TRANSLATING MOLECULAR DISCOVERIES INTO PATIENT TREATMENTS.DR. PANDOLFI WAS RECOGNIZED BY THE PEZCOLLER FOUNDATION AND THE AACR FOR BOTH HIS OUTSTANDING WORK IN THE FIELD OF CANCER GENETICS, AND FOR HIS GROUNDBREAKING DEVELOPMENT OF CANCER MOUSE MODELS AND UNDERSTANDING HOW MUTATIONS IN ONCOGENES AND TUMOR SUPPRESSOR GENES RESULT IN LEUKEMIAS, LYMPHOMAS AND SOLID TUMORS. "[DR. PANDOLFI'S] PIONEERING WORK IN DEVELOPING TRANSGENIC MOUSE MODELS OF CANCER HELPED LEAD TO NOVEL THERAPEUTIC STRATEGIES FOR ACUTE PROMYELOCYTIC LEUKEMIA [APL], AND, TODAY, THIS UNIQUE EXPERTISE IN MOUSE-MODEL ENGINEERING IS HELPING TO SPEED THE CLINICAL TESTING OF NEW PERSONALIZED CANCER THERAPIES.""I'M EXTREMELY HONORED TO RECEIVE THE PEZCOLLER AWARD," SAYS PANDOLFI. "THIS IS A TREMENDOUSLY EXCITING TIME I WOULD EVEN SAY REVOLUTIONARY FOR CANCER RESEARCH AND I'M THRILLED TO BE A PART OF IT. AS WE NOW CLEARLY RECOGNIZE, 'CANCER' IS NOT A SINGLE DISEASE, BUT IS MADE UP OF MANY, MANY DIFFERENT MUTATIONS. WHILE THIS PROVIDES US WITH UNPRECEDENTED OPPORTUNITIES FOR DEVELOPING PERSONALIZED TREATMENTS, OUR ULTIMATE GOAL IS TO UNDERSTAND AND CURE CANCER, AND THIS AWARD GIVES US FURTHER MOTIVATION TO ACHIEVE THIS GOAL AS WE CONTINUE TO FIGHT RELENTLESSLY FOR THE SAKE OF OUR PATIENTS."
	PIONEERS IN THE QUEST FOR AN HIV VACCINEAIDS 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 YEARTHE LATE NORMAN LETVIN, MD, CHIEF OF VIRAL PATHOGENESIS, WAS A PIONEER IN THE USE OF NON-HUMAN PRIMATES IN HIV/AIDS TESTING AND DESIGN, AND WAS AMONG THE FIELD'S FIRST SCIENTISTS TO DEMONSTRATE THAT THE BIOLOGY OF SIMIAN IMMUNODEFICIENCY VIRUS (SIV) IN ASIAN MONKEYS MIRRORS HIV INFECTION AND TRANSMISSION IN HUMANS. TODAY, THE MEDICAL CENTER IS A PREMIER CENTER FOR MODELING HUMAN DISEASE. DR. LETVIN, TOGETHER WITH COLLABORATORS FROM DUKE UNIVERSITY, WERE LEADERS IN THE NIH FUNDED CENTER FOR HIV/AIDS VACCINE IMMUNOLOGY (CHAVI). AN ALLIANCE OF 50 INSTITUTIONS WITH 11 CLINICAL INTERNATIONAL RESEARCH SITES, CHAVI WAS CREATED AS AN EXPERIMENT TO DETERMINE IF A LARGE SCALE SCIENTIFIC EFFORT COULD SPEED HIV/AIDS VACCINE DEVELOPMENT AND IT HAS. AMONG THE TEAM'S NOTABLE ADVANCES HAS BEEN THE ISOLATION OF A SINGLE VIRUS FROM AMONG BILLIONS OF MUTANT VIRUSES RESPONSIBLE FOR TRANSMITTING HIV/AIDS FROM ONE PERSON TO ANOTHER. THIS TRANSMITTED FOUNDER VIRUS, OR TFV, IS NOW A PRIME VACCINE TARGET. THE CHAVI TEAM ALSO UNVEILED AN ENTIRELY NEW CONCEPT IN VACCINE DESIGN, USING A VACCINE TO MOBILIZE THE INNATE IMMUNE SYSTEM'S MEMORY CELLS TO ATTACK A PATHOGEN UNTIL THE USUAL FIGHTER B-CELLS AND T-CELLS CAN TAKE OVER. MUCH OF THIS WORK IS NOW BEING LED BY DR. DAN BAROUCH.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. "PROLINE ISOMER-SPECIFIC ANTIBODIES REVEAL THE EARLY PATHOGENIC TAU CONFORMATION IN ALZHEIMER'S DISEASE," CELL, MARCH 30, 2012A 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. THE TRIAL IS LED BY THE MEDICAL CENTER CHIEF OF TRANSPLANTATION DOUGLAS HANTO, MD, PHD. DR. OTTERBEIN'S PARADOXICAL WORK IS FUNDED, IN PART, BY A $1.4 MILLION EUREKA (EXCEPTIONAL, UNCONVENTIONAL RESEARCH ENABLING KNOWLEDGE ACCELERATION) GRANT FROM THE NIH. EUREKA GRANTS ARE PART OF AN INITIATIVE UNVEILED BY THE NIH TO SUPPORT INNOVATIVE RESEARCH AND TEST NEW, UNCONVENTIONAL IDEAS AND SEEK TO GENERATE THOSE "EUREKA MOMENTS" WHEN SCIENTISTS MAKE MAJOR THEORETICAL OR TECHNICAL ADVANCES.
	A NEW GENETIC CLUE TO AUTISMAUTISM SPECTRUM DISORDER IS CHARACTERIZED BY THREE TRAITS: REDUCED SOCIAL INTERACTION, IMPAIRED COMMUNICATION AND EXCESSIVE REPETITIVE BEHAVIORS. WHEN MATTHEW ANDERSON, MD, PHD, CREATED A GENETICALLY ENGINEERED MOUSE THAT HAD EXTRA COPIES OF THE UBE3A GENE, IT WAS CLEAR THAT IT EXHIBITED ALL THREE OF THESE CLASSIC TRAITS. DESCRIBED IN SCIENCE TRANSLATIONAL MEDICINE, THE UBE3A MOUSE MODEL PROVIDES AN IMPORTANT NEW TOOL TO TEST DRUG THERAPIES TO TREAT AUTISM SPECTRUM DISORDER, WHICH NOW AFFECTS ONE IN 88 CHILDREN IN THE U.S. "UP UNTIL RECENTLY, THE CAUSE OF AUTISM WAS A MYSTERY," NOTES DR. ANDERSON, DIRECTOR OF NEUROPATHOLOGY AT THE MEDICAL CENTER. "TODAY'S NEWER TECHNOLOGIES HAVE MADE IT FEASIBLE TO DISCOVER THAT AT LEAST IN A SUBSET OF AUTISM PATIENTS, THERE ARE MICROSCOPIC DELETIONS OR DUPLICATIONS OF THEIR DNA." DR. ANDERSON'S TEAM IS NOW FOCUSED ON IDENTIFYING PRECISELY WHICH NEURONAL CIRCUIT DEFECTS IN THE UBE3A TRANSGENIC MOUSE UNDERLIE THESE BEHAVIORAL IMPAIRMENTS IN THE HOPE THAT ONE DAY TAILORED DRUG THERAPIES COULD IMPROVE THESE DEFECTS. DR. ANDERSON RECEIVED A $1 MILLION GRANT FROM THE NANCY LURIE MARKS FAMILY FOUNDATION TO SUPPORT THIS WORK. "INCREASED GENE DOSAGE OF UBE3A RESULTS IN AUTISM TRAITS AND DECREASED SYNAPTIC GLUTAMATE TRANSMISSION IN MICE," SCIENCE TRANSLATIONAL MEDICINE, OCTOBER 5, 2011RECOVERING SPEECH THROUGH SONGFOR 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 RECENTLY 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. "AUDITORY-MOTOR MAPPING TRAINING AS AN INTERVENTION TO FACILITATE SPEECH OUTPUT IN NONVERBAL CHILDREN WITH AUTISM: A PROOF OF CONCEPT STUDY," PLOS ONE, SEPTEMBER 29, 2011A HIGHLY PROMISING COMPUTER "PATHOLOGIST"THE SYSTEM USED BY PATHOLOGISTS TO GRADE BREAST TUMORS HASN'T CHANGED MUCH SINCE IT WAS INTRODUCED 80 YEARS AGO: CANCEROUS TISSUE IS STAINED WITH DYES AND EXAMINED UNDER THE MICROSCOPE TO PREDICT WHICH TUMORS ARE ASSOCIATED WITH WORSE OUTCOMES AND TO DETERMINE HOW AGGRESSIVE TREATMENT SHOULD BE - GRADE I TO GRADE III. BUT A NEW COMPUTER PROGRAM CALLED C-PATH, SHORT FOR COMPUTATIONAL PATHOLOGIST, COULD HELP MAKE THE PROCESS MORE SYSTEMATIC AND MORE ACCURATE. ANDREW BECK, MD, WHO RECENTLY JOINED THE MEDICAL CENTER'S DEPARTMENT OF PATHOLOGY, DEVELOPED THE ALGORITHM, WHICH SCANS MICROSCOPIC IMAGES OF BREAST TISSUE FOR MORE THAN 6,600 CHARACTERISTICS OF CANCER, AND TESTED IT ON TISSUE SAMPLES FROM TWO SETS OF WOMEN. THE RESULTS SHOWED THAT, UNLIKE HUMAN PATHOLOGISTS, WHO FOCUS EXCLUSIVELY ON TUMOR CELLS, C-PATH ADDITIONALLY EXAMINED CELLS IN THE STROMA SURROUNDING THE TUMOR. THE END RESULT: THE SOFTWARE YIELDED RESULTS THAT WERE MORE ACCURATE THAN HUMAN EVALUATION. "IN THE FUTURE, WE SEE PATHOLOGISTS WORKING WITH COMPUTERS TO MAKE THE MOST INFORMATIVE INTERPRETATION OF [BREAST CANCER] TISSUE SAMPLES," SAYS DR.BECK. "SYSTEMATIC ANALYSIS OF BREAST CANCER MORPHOLOGY UNCOVERS STROMAL FEATURES ASSOCIATED WITH SURVIVAL," SCIENCE TRANSLATIONAL MEDICINE, NOVEMBER 9, 2011TEAMING 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.SPACE SHUTTLE EXPERIMENT HOLDS PROMISE FOR BONE THERAPIESWHEN THE FINAL MISSION OF NASA'S 30-YEAR SPACE SHUTTLE PROGRAM WAS LAUNCHED IN JULY 2011, MARY BOUXSEIN, PHD, WAS ON HAND AT THE KENNEDY SPACE CENTER. THE REASON? SHE HAD PRECIOUS CARGO ON BOARD THIS HISTORIC FLIGHT 30 MICE THAT WERE GOING INTO SPACE AS PART OF AN EXPERIMENT TO TEST A NOVEL DRUG TO PREVENT BONE LOSS IN ASTRONAUTS, AND BY EXTENSION, IN PATIENTS ON EARTH, WHERE ONE IN TWO WOMEN AND ONE IN FIVE MEN OVER AGE 50 WILL SUFFER A FRACTURE DURING THEIR LIFETIME. DR. BOUXSEIN, A MEMBER OF THE MEDICAL CENTER'S CENTER FOR ADVANCED ORTHOPAEDIC STUDIES AND CO-PRINICIPAL INVESTIGATOR OF THE EXPERIMENT, TESTED AN ANTIBODY THAT BLOCKS THE PROTEIN SCLEROSTIN, A POTENT INHIBITOR OF BONE FORMATION. FUNDED BY NASA'S AMES RESEARCH CENTER, THE STUDY IS NOT ONLY ADDRESSING A SERIOUS PROBLEM FOR ASTRONAUTS, BUT MAY ALSO OFFER NEW OPTIONS TO ONE DAY PREVENT AND TREAT BONE DISEASE, A RAPIDLY GROWING PROBLEM HERE ON EARTH. 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 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 THROUGH SUPERVISION OF THEIR DAILY PATIENT CARE AND A RANGE OF INTERACTIVE LEARNING EXPERIENCES.
	CORE CLINICAL TRAINING PROGRAMSTHE MEDICAL CENTER SPONSORS CORE CLINICAL TRAINING PROGRAMS IN THE FOLLOWING FIELDS:-ANESTHESIOLOGY-EMERGENCY MEDICINE-INTERNAL MEDICINE-NEUROLOGY-OBSTETRICS AND GYNECOLOGY-PATHOLOGY-RADIOLOGY-SURGERYDURING THE FISCAL YEAR COVERED BY THIS FILING, THE MEDICAL CENTER HAD NET EXPENDITURES OF $64,172,372 REPORTED ON THIS SCHEDULE H, PART I, LINE 7F RELATED TO THE MEDICAL CENTER'S TEACHING FUNCTION WHICH REPRESENTED 4.90% 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. THE MAJORITY OF THESE PROGRAMS (37 OF 44) ARE ACGME APPROVED OR APPROVED BY A COMPARABLE BODY RELATED TO THE PARTICULAR SUBSPECIALTY. THE MEDICAL CENTER SPONSORS THE FOLLOWING FELLOWSHIP PROGRAMS:ANESTHESIA-CARDIOTHORACIC ANESTHESIA-CRITICAL CARE MEDICINE ANESTHESIA-PAIN MANAGEMENTDERMATOLOGY-DERMATOLOGYMEDICINE-CARDIOVASCULAR DISEASE-CLINICAL CARDIAC ELECTROPHYSIOLOGY-INTERVENTIONAL CARDIOLOGY-CLINICAL INVESTIGATOR TRAINING PROGRAM-ENDOCRINOLOGY, DIABETES, AND METABOLISM-GASTROENTEROLOGY-TRANSPLANT HEPATOLOGY-GENERAL MEDICINE-GERIATRIC MEDICINE-GERONTOLOGY-HEMATOLOGY / ONCOLOGY-INFECTIOUS DISEASE-NEPHROLOGY-INTERVENTIONAL PULMONARY-PULMONARY, CRITICAL CARE -RHEUMATOLOGY-SLEEP MEDICINENEONATOLOGY-NEONATAL-PERINATAL NEUROLOGY-NEUROLOGY-NEUROMUSCULAR MEDICINE-VASCULAR NEUROLOGY-CLINICAL NEUROPHYSIOLOGY-EEG AND AUTONOMIC DISORDERS OBSTETRICS AND GYNECOLOGY-REPRODUCTIVE ENDOCRINOLOGY-MATERNAL FETAL MEDICINEPATHOLOGY-CYTOPATHOLOGY-DERMATOPATHOLOGY-HEMATOPATHOLOGY-SELECTIVE PATHOLOGY-MEDICAL MICROBIOLOGYRADIATION ONCOLOGY-RADIATION ONCOLOGYRADIOLOGY-RADIOLOGYSURGERY-CARDIOTHORACIC SURGERY-CRITICAL CARE SURGERY-MINIMALLY INVASIVE SURGERY-ORTHOPAEDIC SPINE-PODIATRY-SOLID ORGAN SURGERY-TRANSPLANT-PLASTIC/HAND SURGERY-ORTHOPAEDIC HAND SURGERY-VASCULAR SURGERYUROLOGY-UROLOGY
	ADDITIONAL INFORMATION ON CLINICAL RESIDENCY AND FELLOWSHIPS -- EXAMPLESBELOW IS MORE DETAIL ON JUST A FEW OF THE SPECIFIC GRADUATE MEDICAL EDUCATION PROGRAMS OFFERED AT THE MEDICAL CENTER:HARVARD AFFILIATED EMERGENCY MEDICINE RESIDENCY (HAEMR) AT BIDMC THE BETH ISRAEL DEACONESS MEDICAL CENTER HARVARD AFFILIATED EMERGENCY MEDICINE RESIDENCY IS A THREE-YEAR PROGRAM (PGY-1 TO PGY-3) AFFILIATED WITH HARVARD MEDICAL SCHOOL AND BASED AT BETH ISRAEL DEACONESS MEDICAL CENTER (MEDICAL CENTER). THE MEDICAL CENTER EMERGENCY DEPARTMENT (ED) IS A 57,000 VISIT PER YEAR LEVEL I TRAUMA CENTER. 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 (RESIDENTS PARTICIPATING IN THIS PROGRAM HAVE THE OPPORTUNITY TO ROTATE AT CHILDREN'S HOSPITAL BOSTON, SOUTH SHORE HOSPITAL, TUFTS MEDICAL CENTER, ST. VINCENT'S HOSPITAL, ST. LUKE'S HOSPITAL, MOUNT AUBURN HOSPITAL AND BETH ISRAEL DEACONESS HOSPITAL-NEEDHAM) 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 ED. 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 THE MEDICAL CENTER. PROMOTING THE ADMINISTRATIVE ASPECTS OF EMERGENCY MEDICINE IS ANOTHER GOAL OF THE MEDICAL CENTER 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. SURGERY: EDUCATION THE 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.GENERAL SURGERY RESIDENCY: EDUCATION THE DEPARTMENT OF SURGERY AT BETH ISRAEL DEACONESS MEDICAL CENTER IS ONE OF THREE MAJOR TEACHING AND RESEARCH UNITS OF HARVARD MEDICAL SCHOOL'S DEPARTMENT OF SURGERY. THE PROGRAM IS NON-PYRAMIDAL. THE SURGICAL HOUSESTAFF IS COMPOSED OF 25 FIRST YEAR RESIDENTS, CONSISTING OF 9 CATEGORICAL (FULL FIVE-YEAR), AND 16 PRELIMINARY RESIDENTS (ONE- OR TWO-YEAR DEPENDING ON THE REQUIREMENTS OF THEIR CHOSEN SUBSPECIALTY). GENERALLY THERE ARE 9 CATEGORICAL, 4 NON DESIGNATED PRELIMINARY RESIDENTS AND 1 ROTATING PLASTIC SURGERY RESIDENT AT THE PGY-2 LEVEL. IN THE PGY-3, PGY-4 AND PGY-5 CHIEF RESIDENT LEVELS, THERE ARE GENERALLY 9 CATEGORICAL RESIDENTS. ALL MEMBERS OF THE HOUSE-STAFF HOLD ACADEMIC APPOINTMENTS AS CLINICAL FELLOWS IN SURGERY AT HARVARD MEDICAL SCHOOL.THE SURGICAL TRAINING PROGRAM PRODUCES THE COUNTRY'S FUTURE SURGICAL LEADERS. CLINICAL EXCELLENCE IS THE FOUNDATION UPON WHICH THAT LEADERSHIP IS BUILT, AND OUR TRAINING PROGRAMS ENDEAVOR TO HELP YOUNG SURGEONS DEVELOP BOTH TECHNICAL AND COGNITIVE EXPERTISE. AT ALL LEVELS, THE HOUSESTAFF ENJOY THE TRAINING AND PRACTICAL EXPERIENCE IN THE PREOPERATIVE, OPERATIVE, AND POST-OPERATIVE CARE OF PATIENTS. THE BETH ISRAEL DEACONESS 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. OUTSTANDING SPECIALTY FELLOWSHIPS IN PLASTIC, CARDIOTHORACIC, PEDIATRIC, TRANSPLANT, COLORECTAL, AND VASCULAR SURGERY ARE OBTAINED ROUTINELY BY OUR GRADUATES. GRADUATES TYPICALLY ENJOY SUPERB OPPORTUNITIES IN EITHER PRIVATE OR ACADEMIC PRACTICE.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.
	GENERAL SURGERY PGY-1 YEARTHE INTERNSHIP YEAR FOCUSES ON THE ACQUISITION OF BASIC PRINCIPLES AND CLINICAL SKILLS IN GENERAL AND VASCULAR SURGERY; ADDITIONAL ROTATIONS IN THE EMERGENCY DEPARTMENT AND SUBSPECIALTY SERVICES ROUND OUT THE FIRST YEAR EXPERIENCE. THE MAJORITY OF THESE ROTATIONS ARE AT BETH ISRAEL DEACONESS MEDICAL CENTER, SUPPLEMENTED BY COMMUNITY-BASED EXPERIENCE AT MOUNT AUBURN HOSPITAL AND ST. VINCENT HOSPITAL, AND PEDIATRIC EXPERIENCE AT CHILDREN'S HOSPITAL. PRE- AND POST-OPERATIVE PATIENT CARE IS EMPHASIZED UNDER THE GUIDANCE OF THE ATTENDING SURGEONS AND RESIDENT STAFF. INTERNS PARTICIPATE IN THOSE PROCEDURES APPROPRIATE FOR THEIR STAGE OF TRAINING AND CAN EXPECT TO PERFORM APPROXIMATELY 100 MAJOR AND MINOR CASES.GENERAL SURGERY PGY-2 THROUGH PGY-4THE SECOND AND THIRD YEARS OF RESIDENCY INCLUDE LONGER ROTATIONS TO PROVIDE MORE IN-DEPTH TRAINING IN GENERAL SURGERY, THORACIC AND TRAUMA SURGERY, AS WELL AS IN CRITICAL CARE AND ENDOSCOPY. IN THE FOURTH YEAR, SENIOR LEVEL EXPERIENCE IS OBTAINED IN GENERAL SURGERY, VASCULAR, TRANSPLANT AND PEDIATRIC SURGERY. CHIEF RESIDENCYDURING THE FIFTH YEAR OF TRAINING, CHIEF RESIDENTS HONE THEIR CLINICAL SKILLS, PERFORMING AN AVERAGE OF OVER 225 CASES AS SURGEON IN THEIR FINAL YEAR. ALSO IN THEIR CHIEF YEAR, RESIDENTS ARE ENCOURAGED TO DEVELOP THEIR ADMINISTRATIVE AND TEACHING SKILLS BY LEADING DIDACTIC SESSIONS, HEADING INPATIENT TEAMS AND TEACHING JUNIOR RESIDENTS. ONE CHIEF RESIDENT IS SELECTED ANNUALLY TO SERVE AS ADMINISTRATIVE CHIEF, AND ALSO SERVES AS RESIDENT REPRESENTATIVE TO THE HOUSE STAFF EDUCATION COMMITTEE. WHILE MOST OF THE RESIDENCY YEARS ARE SPENT AT THE MEDICAL CENTER, THE EXPERIENCE IS ROUNDED OUT WITH AN EXCELLENT COMMUNITY BASED EXPERIENCE AT OUTSIDE ROTATIONS AT NEARBY HOSPITALS:CARDIAC AND THORACIC SURGERY: EDUCATION RESIDENCY IN CARDIOTHORACIC SURGERYA TWO-YEAR, ACCREDITED RESIDENCY IN CARDIOTHORACIC SURGERY IS OFFERED TO APPLICANTS WHO HAVE COMPLETED TRAINING IN GENERAL SURGERY. BASED AT THE MEDICAL CENTER, THE PROGRAM INCLUDES A ROTATION AT THE CHILDREN'S HOSPITAL AND PROVIDES IN-DEPTH EXPOSURE TO CARDIAC, ESOPHAGEAL, PULMONARY AND COMPLEX AIRWAY SURGERY.ABOUT CARDIOTHORACIC SURGERYWITH FOUR FULL-TIME ADULT CARDIAC SURGEONS AND TWO DEDICATED GENERAL THORACIC SURGEONS, ABOUT 800 CARDIAC CASES AND ABOUT 600 MAJOR THORACIC CASES WERE PERFORMED AT THE MEDICAL CENTER OVER THE PAST YEAR. THE VARIETIES OF OPERATIONS INCLUDE:-VATS LOBECTOMY AND MINIMALLY INVASIVE ESOPHAGECTOMY (MIE)-TRACHEAL RESECTION AND TRACHEOBRONCHOPLASTY-MINIMALLY INVASIVE AND "OFF-BYPASS" CORONARY REVASCULARIZATIONS-AORTIC HOMOGRAFTS-AORTIC ROOT OPERATIONSOTHER MAJOR AORTIC PROCEDURESTEACHING BY OUTSTANDING HARVARD MEDICAL SCHOOL FACULTY ENABLES THE RESIDENT TO BECOME PROFICIENT IN THE OPERATIVE AND PERIOPERATIVE CARE OF PATIENTS. PROGRESS TOWARD TECHNICAL PROFICIENCY IS EVALUATED AT MULTIPLE POINTS DURING THE RESIDENCY. MULTIPLE EDUCATIONAL SESSIONS OCCUR THROUGHOUT THE WEEK ON EACH SERVICE, INCLUDING PREOPERATIVE CASE CONFERENCE, CORE CURRICULUM CONFERENCE, PROFESSOR ROUNDS, CLINICAL CASE CONFERENCE AND CARDIAC CATHETERIZATION CONFERENCE. IN ADDITION, MONTHLY JOURNAL CLUBS AND MULTIDISCIPLINARY AIRWAY CONFERENCES ARE HELD. PARTICIPATION IN THE HARVARD COMBINED CARDIOTHORACIC CONFERENCE IS MANDATORY. TWO-YEAR PROGRAM-OUR TWO-YEAR PROGRAM CONSISTS OF:-SIX MONTHS OF GENERAL THORACIC SURGERY AT THE MEDICAL CENTER-NINE MONTHS OF ADULT CARDIAC SURGERY AT THE MEDICAL CENTER-THREE MONTHS OF PEDIATRIC CARDIAC SURGERY AT BOSTON CHILDREN'S HOSPITAL-SIX MONTHS OF ADULT CARDIOTHORACIC SURGERY AT THE MEDICAL CENTER -- A CHIEF RESIDENT EXPERIENCE ON THE ADULT CARDIAC SURGERY OR GENERAL THORACIC SURGERY SERVICE, A FLEXIBLE DESIGNATION DEPENDING ON THE TRAINEE'S CAREER GOALSGENERAL THORACIC SURGERYTHE FIRST SIX-MONTH BLOCK OF THE FIRST YEAR IS COMPOSED OF GENERAL THORACIC SURGERY. EDUCATION CONSISTS OF: -PARTICIPATION IN THE PREOPERATIVE, OPERATIVE AND POSTOPERATIVE CARE OF ALL PATIENTS, WITH THE TRAINEE SERVING AS CHIEF RESIDENT OF THE SERVICE-GRADUALLY INCREASED OPERATIVE AUTONOMY, INCLUDING COMPLEX MINIMALLY INVASIVE PULMONARY AND ESOPHAGEAL OPERATIONS, COMPLEX AIRWAY SURGERY AND SURGICAL TREATMENT OF AIRWAY DISEASE -PARTICIPATION IN THE WEEKLY MULTIDISCIPLINARY THORACIC CLINIC, FOLLOWED BY A CONFERENCE AT WHICH THORACIC SURGEONS, MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, PULMONOLOGISTS AND THORACIC RADIOLOGISTS DISCUSS THE PATIENTS SEEN EARLIER IN THE DAY -CLOSE COLLABORATION WITH INTERVENTIONAL PULMONOLOGY, INCLUDING A TWO-WEEK ROTATION LEARNING ENDOBRONCHIAL ULTRASOUND (EBUS), RIGID BRONCHOSCOPY WITH ADVANCED ENDOSCOPIC INTERVENTION, PLEURAL ULTRASOUND AND MINIMALLY INVASIVE PLEURAL INTERVENTIONS ADULT CARDIAC SURGERYTHE SECOND SIX-MONTH BLOCK OF THE FIRST YEAR IS COMPOSED OF ADULT CARDIAC SURGERY. EDUCATION CONSISTS OF EXPOSURE TO: -CORONARY REVASCULARIZATION-VALVE REPAIR AND REPLACEMENT-AORTIC SURGERY AND REPAIR OF CONGENITAL DEFECTS SEEN IN ADULT PATIENTS-REPAIR OF ATRIAL SEPTIC DEFECTS-PARTICIPATION IN PREOPERATIVE, OPERATIVE AND POSTOPERATIVE CARE-RESIDENTS ARE INVOLVED IN THE OPERATIVE CARE AT AN EARLY STAGE, BUT ONLY AT A TIME WHEN THE ATTENDING SURGEON FEELS COMFORTABLE IN ALLOWING THE RESIDENT TO PERFORM AN ACTIVE ROLE.-TRAINING IN TRANSESOPHAGEAL ECHOCARDIOGRAPHY BOSTON CHILDREN'S HOSPITALDURING THE SECOND YEAR, IN A THREE-MONTH BLOCK, THE RESIDENT IS AT THE BOSTON CHILDREN'S HOSPITAL, A FELLOW HARVARD TEACHING HOSPITAL, WHERE THE RESIDENT IS EXPOSED TO CONGENITAL CARDIAC SURGERY IN INFANTS, ADOLESCENTS AND YOUNG ADULT SURGERY. PEDIATRIC CARDIAC SURGERY IS AN INTEGRAL COMPONENT OF THE SPECIALTY. ADULT CARDIAC SURGERYDURING THE SECOND QUARTER OF YEAR TWO, IN A THREE-MONTH BLOCK, THE RESIDENT IS AGAIN EXPOSED TO CARDIAC SURGERY. EDUCATION CONSISTS OF THE FOLLOWING:-THE RESIDENT WILL FUNCTION AS THE CHIEF RESIDENT AND WILL HAVE PRIMARY OVERSIGHT OF ALL PATIENTS ON THE ADULT CARDIAC SURGICAL SERVICE WHETHER OR NOT THE RESIDENT PARTICIPATES IN THE OPERATION -RESIDENTS EVALUATE POSTOPERATIVELY ALL PATIENTS ON WHICH HE/SHE PARTICIPATES IN THE OPERATIVE CARE, AND AT THIS POINT, IS THE OPERATING SURGEON ON THE VAST MAJORITY OF CASES-CONSULT MUST BE SEEN BY THE RESIDENT AND THE RESIDENT IS EXPECTED TO BE INVOLVED IN THE DECISION-MAKING PROCESS REGARDING INDICATIONS AND TIMING OF OPERATIONSADULT CARDIOTHORACIC SURGERYDURING THE SECOND HALF OF YEAR TWO, IN A SIX-MONTH BLOCK, THE RESIDENT SPENDS TIME ON THE ADULT CARDIAC SURGERY OR GENERAL THORACIC SURGERY SERVICE. THIS WILL BE DEPENDENT ON THE INDIVIDUAL RESIDENT'S EVENTUAL CAREER FOCUS AND EXPOSURE TO THAT POINT. THE RESIDENT FUNCTIONS AS THE CHIEF RESIDENT ON EITHER SERVICE.NEUROSURGERY THE PROGRAM WILL PROVIDE AN INTRODUCTORY EXPOSURE TO NEUROSURGERY. IN THIS ROTATION, TRAINEES EXPAND UPON THEIR UNDERSTANDING OF THE BASIC PHYSIOLOGY OF THE NERVOUS SYSTEM AND EXPLORE CRITICAL CONCEPTS IN THE PATHOPHYSIOLOGY OF NEUROSURGICAL DISORDERS. DIDACTIC SESSIONS HAVE BEEN DEVELOPED TO FAMILIARIZE YOU WITH CURRENT RESEARCH ON ASPECTS OF NEUROSURGICAL TREATMENT. PARTICIPATION IN PATIENT CARE PROVIDES A FRUITFUL GROUND FOR INTEGRATING KNOWLEDGE OF THE BASIC NEUROSCIENCES, DISEASE PATHOPHYSIOLOGY, AND CLINICAL PRACTICES. TRAINEES ARE EXPOSED TO BOTH IN-PATIENT AND OUT-PATIENT NEUROSURGICAL PRACTICES. FINALLY, EXPERIENCES IN THE OPERATING ROOM ARE DESIGNED TO FACILITATE AN UNDERSTANDING OF THE BASIC NEUROSURGICAL TECHNIQUES AND ETIQUETTE.ADDITIONALLY, THE PROGRAM IS DESIGNED TO OFFER A SAMPLING OF THE NEUROSURGERY PROGRAMS AVAILABLE THROUGH THE HARVARD MEDICAL SCHOOL. TRAINEES ROTATE THROUGH THE OTHER INSTITUTIONS OF THE HARVARD MEDICAL SCHOOL INCLUDING MASSACHUSETTS GENERAL HOSPITAL AS WELL AS THE BRIGHAM AND WOMAN'S HOSPITAL NEUROSURGERY PROGRAMS.
	PODIATRY: EDUCATION - RESIDENCY PROGRAMTHE DIVISION OF PODIATRIC SURGERY SPONSORS A THREE YEAR RESIDENCY PROGRAM IN PODIATRIC SURGERY.FIRST YEARTHE FIRST YEAR CONSISTS OF A ROTATING SURGICAL INTERNSHIP DESIGNED TO PREPARE THE NEW PODIATRIC GRADUATE WITH KNOWLEDGE AND SKILLS TO CARE FOR THE GENERAL SURGICAL AND HOSPITALIZED PATIENT. ROTATIONS INCLUDE INTERNAL MEDICINE, EMERGENCY MEDICINE, ANESTHESIOLOGY, GENERAL SURGERY, VASCULAR SURGERY, INFECTIOUS DISEASE, RADIOLOGY AND RHEUMATOLOGY.SECOND AND THIRD YEARTHE SECOND AND THIRD YEARS ARE DEVOTED TO THE DEVELOPMENT OF SURGICAL KNOWLEDGE AND SKILLS. THIS INCLUDES SURGICAL TRAINING IN DIABETIC FOOT SURGERY, TRAUMA AND RECONSTRUCTIVE SURGERY OF THE FOOT AND ANKLE.ACUTE CARE SURGERY / SURGICAL CRITICAL CARE: EDUCATION OUR ONE YEAR ACGME ACCREDITED SURGICAL CRITICAL CARE FELLOWSHIP AT HARVARD / MEDICAL CENTER PROVIDES ROBUST CLINICAL AND ACADEMIC TRAINING TO SURGEONS SEEKING TO BECOME LEADERS IN ACUTE CARE SURGERY AND SURGICAL CRITICAL CARE. THE PROGRAM IS FOCUSED ON A BROAD-BASED CURRICULUM IN TRAUMA AND SURGICAL CRITICAL CARE WITH A MULTIDISCIPLINARY EXPOSURE IN TWO HIGH-ACUITY INTENSIVE CARE UNITS, A TRAUMA SURGICAL ICU AND A SURGICAL ICU. OVER 2500 COMBINED ADMISSIONS PER YEAR ARE REPRESENTED BY A WIDE VARIETY OF GENERAL SURGERY SUBSPECIALTIES, AS WELL AS ACUTE CARE SURGERY, CARDIOTHORACIC, NEUROSURGERY, ORTHOPEDICS, OTORHINOLARYNGOLOGY, PLASTIC SURGERY, TRANSPLANT, UROLOGY, AND VASCULAR SURGERY. GRADUATING FELLOWS WILL BE WELL-TRAINED AND CONFIDENT IN CUTTING EDGE BEDSIDE ECHOCARDIOGRAPHY, A UNIQUE ASSET AMONG CRITICAL CARE TRAINING PROGRAMS. ADDITIONAL CRITICAL CARE EXPERIENCE WILL BE AVAILABLE IN THE CARDIOVASCULAR ICU, AS WELL AS LOCAL ROTATIONS IN BURN AND PEDIATRIC INTENSIVE CARE UNITS. A DEDICATED RESEARCH ELECTIVE ALLOWS FOR INNOVATION AND SCIENTIFIC DISCOVERY. ELECTIVES ARE AVAILABLE IN ACUTE CARE SURGERY, TRAUMA RADIOLOGY, EMERGENCY MEDICAL SERVICES, GLOBAL HEALTH, OR CAN BE FASHIONED TO INDIVIDUAL INTERESTS. OVERALL, THE FELLOWS RECEIVE A COMPREHENSIVE EDUCATIONAL EXPERIENCE IN THE MANAGEMENT OF COMPLEX PATIENTS, USING MODERN TECHNOLOGIES AND INNOVATIVE TECHNIQUES IN ADVANCED AIRWAY MANAGEMENT, CONVENTIONAL AND NON-CONVENTIONAL MODES OF VENTILATION, INVASIVE AND NON-INVASIVE HEMODYNAMIC MONITORING, PERMISSIVE HYPOTENSION, HYPOTHERMIC RESUSCITATION, AND CONTINUOUS RENAL REPLACEMENT THERAPY. THEY ARE EXPECTED TO GRADUATE AS MASTER BEDSIDE CLINICIANS. CENTER FOR MINIMALLY INVASIVE SURGERY: EDUCATION A ONE YEAR CLINICAL TRAINING PROGRAM IN MINIMALLY INVASIVE SURGERY IS OFFERED TO APPLICANTS WHO HAVE COMPLETED TRAINING IN GENERAL SURGERY. THE PROGRAM PROVIDES A FULL EXPERIENCE IN ALL AREAS OF ADVANCED MINIMALLY INVASIVE SURGERY. THE EMPHASIS IS ON LAPAROSCOPIC GASTRIC BYPASS AND LAPAROSCOPIC ADJUSTABLE BAND AND TREATMENT OF THE MORBIDLY OBESE PATIENT. BASED AT THE MEDICAL CENTER, THE PROGRAM INCLUDES ROTATIONS TO BRIGHAM AND WOMEN'S AND MASSACHUSETTS GENERAL HOSPITALS. PLASTIC AND RECONSTRUCTIVE SURGERY: EDUCATION THE DIVISION OF PLASTIC SURGERY PARTICIPATES IN THE COMBINED HARVARD PLASTIC SURGERY RESIDENCY PROGRAM. THE MEDICAL CENTER IS ONE OF THE AFFILIATE INSTITUTIONS IN THIS PROGRAM, WHICH ALSO INCLUDES THE BRIGHAM & WOMEN'S HOSPITAL, CHILDREN'S HOSPITAL, MASSACHUSETTS GENERAL HOSPITAL AND THE SHRINERS BURNS HOSPITAL. IN ADDITION TO THE PLASTIC SURGERY RESIDENCY PROGRAM, THE DIVISION OF PLASTIC SURGERY ALSO SPONSORS THREE POST-RESIDENCY FELLOWSHIP PROGRAMS. ALL OF THESE FELLOWSHIPS ARE FOR ONE YEAR AND INCLUDE THE FOLLOWING PROGRAMS:-AESTHETIC PLASTIC SURGERY FELLOWSHIP-HAND / MICROSURGERY FELLOWSHIP -PETER JAY SHARP AESTHETIC & RECONSTRUCTIVE BREAST SURGERY FELLOWSHIPVASCULAR AND ENDOVASCULAR SURGERY: EDUCATION RESIDENCY PROGRAMTHE OVERALL GOAL OF THE VASCULAR SURGERY RESIDENCY PROGRAM IS TO PREPARE RESIDENTS TO FUNCTION AS QUALIFIED PRACTITIONERS OF VASCULAR SURGERY AT THE HIGH LEVEL OF PERFORMANCE EXPECTED OF A BOARD-CERTIFIED SPECIALIST BY PROVIDING:-COMPREHENSIVE CLINICAL TRAINING IN VASCULAR SURGERY-BASIC SCIENCE OR CLINICAL RESEARCH EXPERIENCE FOR THE RESIDENT-EXCELLENT SURGICAL AND MEDICAL CAREBY ACCOMPLISHING THESE GOALS, THE MEDICAL CENTER AIMS TO PRODUCE TRAINEES WHO WILL BE ABLE TO SUCCESSFULLY PURSUE A CAREER IN ACADEMIC SURGERY OR ENTER PRIVATE PRACTICE IN VASCULAR SURGERY. OVERALL, THE PROGRAM IS DESIGNED WITH GRADUATED RESPONSIBILITY AND SUPERVISION AT EACH LEVEL OF TRAINING.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (109 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	IRC SectionIRCSection	Address Line2AddressUS/AddressLine2	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
ALBERT EINSTEIN COLLEGE OF MEDICINE
1300 MORRIS PARK AVE	BRONX	NY	10461	131624225	188497	RESEARCH SUB-AWARD
AMERICAN SOCIETY FOR CLINICAL PATHOLOGY
3462 EAGLE WAY	CHICAGO	IL	606781034	362406080	101707	RESEARCH SUB-AWARD
BIOSURFACES
200 HOMER AVE UNIT 1P	ASHLAND	MA	01721	028600865	94136	RESEARCH SUB-AWARD
BOSTON CHILDREN'S HOSPITAL
RESEARCH FINANCE	BOSTON	MA	022414413	042774441	1117097	RESEARCH SUB-AWARD	501(C)(3)
BOSTON MEDICAL CENTER
650 ALBANY ST ROOM 607	BOSTON	MA	02118	043314093	86404	RESEARCH SUB-AWARD	501(C)(3)
BRIGHAM & WOMENS HOSP
PO BOX 3149	BOSTON	MA	022413149	042312909	2622774	RESEARCH SUB-AWARD	501(C)(3)
BRIGHAM & WOMEN'S HOSPITAL TRANSGENIC
77 AVE LOUIS PASTEUR NRB837 ATTN	BOSTON	MA	02115	042312909	11083	RESEARCH SUB-AWARD	501(C)(3)	LISSA
BRIGHAM AND WOMEN'S HOSPTIAL
1620 TREMONT ST SUITE 3030	BOSTON	MA	02120	042312909	40082	RESEARCH SUB-AWARD	501(C)(3)
BROAD INSTITUTE
7 CAMBRIDGE CENTER NE30-7031	CAMBRIDGE	MA	02142	263428781	134830	RESEARCH SUB-AWARD
CAMBRIDGE HEALTH ALLIANCE
1493 CAMBRIDGE ST	CAMBRIDGE	MA	02139	010676306	39665	RESEARCH SUB-AWARD	501(C)(3)
CHILDREN'S HOSPITAL FINANCIAL REPORTING
300 LONGWOOD AVE	BOSTON	MA	02115	042774441	346029	RESEARCH SUB-AWARD	501(C)(3)
CLEVELAND CLINIC FOUNDATION
PO BOX 931652	CLEVELAND	OH	441935012	651133985	47091	RESEARCH SUB-AWARD
COLUMBIA UNIVERSITY
OFFICE OF THE CONTROLLERRESTRICTED	NEW YORK	NY	10027	135598093	27983	RESEARCH SUB-AWARD		FUNDS DIV
CORNELL UNIVERSITY
350 CALDWELL HALL	ITHACA	NY	148532602	150532082	148568	RESEARCH SUB-AWARD
DANA FARBER
44 BINNEY ST - M/S BP410	BOSTON	MA	02115	042263040	1464874	RESEARCH SUB-AWARD	501(C)(3)
DUKE UNIVERSITY
OFFICE OF SPONSORED PROGRAM	DURHAM	NC	277080491	560532129	610371	RESEARCH SUB-AWARD
FENWAY COMMUNITY HEALTH
1340 BOYLSTON STREET FINANCE	BOSTON	MA	022154302	042510564	239997	RESEARCH SUB-AWARD	501(C)(3)
FENWAY HEALTH
1340 BOYLSTON STREET	BOSTON	MA	02215	042510564	149233	RESEARCH SUB-AWARD	501(C)(3)
FRED HUTCHINSON CANCER RESEARCH CENTER
A/R LY305	SEATLE	WA	981091024	237156071	14129	RESEARCH SUB-AWARD
GEISINGER CLINIC
WEIS CENTER FOR RESEARCH	DANVILLE	PA	178222602	236291113	24658	RESEARCH SUB-AWARD
GEORGETOWN UNIVERSITY
OFFICE OF TECH LIC HARRIS BLDG STE	WASHINGTON	DC	20007	530196603	20279	RESEARCH SUB-AWARD		1500
GEORGIA STATE UNIV RESEARCH FOUNDATION
PO BOX 3999	ATLANTA	GA	303023999	581845423	213951	RESEARCH SUB-AWARD
HARVARD CLINICAL RESEARCH INST
P O BOX 846057	BOSTON	MA	02284	043521077	985933	RESEARCH SUB-AWARD	501(C)(3)
HARVARD UNIV OFFICE OF SPONSORED RES
HOLYOKE CENTER ROOM 620	CAMBRIDGE	MA	02138	042103580	32730	RESEARCH SUB-AWARD	501(C)(3)
HARVARD UNIVERSITY
GENL ACCTS REC	BOSTON	MA	02212	042103580	109703	RESEARCH SUB-AWARD	501(C)(3)
HEBREW REHABILITATION CENTER
ATTWENDY GUTTERSON PRACTICE ADMIN	ROSLINDALE	MA	02122	042104298	108959	RESEARCH SUB-AWARD	501(C)(3)
JACKSON LABORATORY
PO BOX 90260	CHICAGO	IL	606960260	010211513	43958	RESEARCH SUB-AWARD
JOSLIN DIABETES CENTER
TECH TRANS CONSULANT RM 503	BOSTON	MA	02215	012203836	506570	RESEARCH SUB-AWARD
LAWRENCE GENERAL HOSPITAL
1 GENERAL ST	LAWRENCE	MA	018420389	042103586	335087	RESEARCH SUB-AWARD	501(C)(3)
MABDX INC
RIVERFRONT INNOVATION CTR 1900	EURGENE	OR	97403		7000	RESEARCH SUB-AWARD		MILLRACE DR
MAINE MEDICAL CENTER
DEPT OF EMERGENCY MEDICINE	PORTLAND	ME	04102	010238552	53588	RESEARCH SUB-AWARD
MASS GENERAL HOSP PARTNER HLTH
ATTRACHEL SHAPIRO	BOSTON	MA	021149693	041564655	7389	RESEARCH SUB-AWARD	501(C)(3)
MASS GENERAL HOSPITAL
CORP SPONSORED RESEARCH LIC	CHARLESTOWN	MA	02129	041564655	5712	RESEARCH SUB-AWARD	501(C)(3)
MASSACHUSETTS GENERAL HOSPITAL
MGH RESEARCH FINANCE	BOSTON	MA	022414876	041564655	861380	RESEARCH SUB-AWARD	501(C)(3)
MASSACHUSETTS INSTITUTE OF TECHNOLOGY
C/O OFFICE OF SPONSERED PROG	CAMBRIDGE	MA	02139	042103594	375833	RESEARCH SUB-AWARD
MAYO CLINIC ROCHESTER
PO BOX 4006	ROCHESTER	MN	559034006	416011702	18098	RESEARCH SUB-AWARD
MCLEAN HOSPITAL
MARC J KAUFMAN PHD	BELMONT	MA	02478	042697981	13768	RESEARCH SUB-AWARD	501(C)(3)
MD ANDERSON CANCER CENTER
PO BOX 4390	HOUSTON	TX	772104390	746001118	181502	RESEARCH SUB-AWARD
MEDICAL COLLEGE OF WISCONSIN
9200 WEST WISCONSIN AVE	MILWAUKEE	WI	53226	390806261	60037	RESEARCH SUB-AWARD
MEDICAL UNIVERSITY OF SOUTH CAROLINA
173 ASHLEY THOMAS MSC 509	CHARLESTON	SC	29425	576000722	154675	RESEARCH SUB-AWARD
MEMORIAL SLOAN KETTERING CANCER CENTER
PHYSICIANS BILLING DEPT	NEW YORK	NY	100876352	131924236	266888	RESEARCH SUB-AWARD
NEW ENGLAND ORGAN BANK
60 FIRST AVE	WALTHAM	MA	02451	237024479	45029	RESEARCH SUB-AWARD
NORTHEASTERN UNIVERSITY
360 HUNTINGTION AVE	BOSTON	MA	02115	041679980	19740	RESEARCH SUB-AWARD
NYU SCHOOL OF MEDICINE
522 FIRST AVENUE SML-7 ROOM 701C	NEW YORK	NY	10016	135562308	19337	RESEARCH SUB-AWARD
OREGON HEALTH & SCIENCES UNIVERSITY
DEPT OF BIOMEDICAL ENGINEERING	PORTLAND	OR	97239	237083114	644281	RESEARCH SUB-AWARD
OREGON REGIONAL PRIMATE RESEARCH CTR
SPONSORED PROJECTS ADM	PORTLAND	OR	97239	237083114	440265	RESEARCH SUB-AWARD
PENNINGTON BIOMEDICAL RESEARCH CENTER
OFFICE OF FISCAL OPERATIONS	BATON ROUGE	LA	708084124	581767810	7250	RESEARCH SUB-AWARD
PHASE V TECHNOLOGIES INC
20 WALNUT STREET	WELLESLEY HILLS	MA	024814407	042976455	37652	RESEARCH SUB-AWARD
PRESIDENT & FELLOWS OF HARVARD COLLEGE
PO BOX 4999	BOSTON	MA	02212	042103580	1740371	RESEARCH SUB-AWARD
QUANTERIX CORPORATION
113 HARTWELL AVE	LEXINGTON	MA	02421	208957988	62786	RESEARCH SUB-AWARD
REGENTS OF THE UNIVERSITY OF CALIFORNIA
ACCOUNTING OFFICE-EMF BOX 0897	SAN FRANCISCO	CA	941430897	946036493	11757	RESEARCH SUB-AWARD
REGENTS OF THE UNIVERSITY OF MICHIGAN
PO BOX 223131	PITTSBURGH	PA	152512131	386006309	107101	RESEARCH SUB-AWARD
REGENTS OF THE UNIVERSITY OF MINNESOTA
NW 5957	MINNEAPOLIS	MN	554855957	416007513	144821	RESEARCH SUB-AWARD
RESEARCH FOUNDATION OF SUNY
UNIV AT ALBANY-SUNY SPON FUNDS FIN	ALBANY	NY	12222	141368361	7455	RESEARCH SUB-AWARD		MGT
RHODE ISLAND HOSPITAL
593 EDDY ST RESEARCH ADMIN	PROVIDENCE	RI	02903	050258954	37859	RESEARCH SUB-AWARD
RUTGERS STATE UNIVERSITY OF NEW JERSEY
145 BEVIER RD	PISCATAWAY	NJ	08854	226001086	32384	RESEARCH SUB-AWARD
SIEMENS CORPORATE RESEARCH INC
ATTN BILL PARKER	PRINCETON	NJ	08540	980335582	232458	RESEARCH SUB-AWARD
SPAULDING REHABILITATION HOSPITAL
RESEARCH FINANCE C/O BANK OF	BOSTON	MA	022413903	042551124	17529	RESEARCH SUB-AWARD	501(C)(3)	AMERICA
STANFORD UNIVERSITY
PO BOX 44253	SAN FRANCISCO	CA	941444253	941156365	35987	RESEARCH SUB-AWARD
THE DIMOCK CENTER
55 DIMOCK STREET	ROXBURY	MA	02119	043487835	63964	RESEARCH SUB-AWARD	501(C)(3)
THE EMMES CORPORATION
401 N WASHINGTON ST STE 700	ROCKVILLE	MD	20850	541058268	11102	RESEARCH SUB-AWARD
THE SCRIPPS RESEARCH INSTITUTE
10550 NORTH TORREY PINES RD	LA JOLLA	CA	92037	330435954	217464	RESEARCH SUB-AWARD
TRUSTEES OF BOSTON UNIVERSITY
BOSTON UNIVERSITY	BOSTON	MA	02205	042103547	176092	RESEARCH SUB-AWARD
TRUSTEES OF COLUMBIA UNIVERSITY
630 W 168TH BOX 31	NEW YORK	NY	10032	135598093	72442	RESEARCH SUB-AWARD
TRUSTEES OF DARTMOUTH COLLEGE
HINMAN BOX 7920	LEBANON	NH	03756	020222111	66426	RESEARCH SUB-AWARD
TRUSTEES OF THE UNIV OF PENNSYLVANIA
PO BOX 785541	PHILADELPHIA	PA	191785541	231352685	63033	RESEARCH SUB-AWARD
TRUSTEES OF TUFTS COLLEGE
DEPT OF PHARM EXPERIMENTAL	BOSTON	MA	02111	042103634	66658	RESEARCH SUB-AWARD
TUFTS MEDICAL CENTER
800 WASHINGTON STREET BOX 115	BOSTON	MA	02111	043400617	294853	RESEARCH SUB-AWARD	501(C)(3)
TUFTS UNIVERSITY
DEPT PHYSIOLOGY	BOSTON	MA	02111	042103634	119429	RESEARCH SUB-AWARD
UC REGENTS
9500 GILMAN DR	LA JOLLA	CA	920930689	943067788	31699	RESEARCH SUB-AWARD
UMASS MEDICAL SCHOOL
55 LAKE AVE NORTH	WORCESTER	MA	01655	043167352	380618	RESEARCH SUB-AWARD
UNIVERSITY OF ARIZONA
SPONSORED PROJECTS SERVICE	TUCSON	AZ	857223520	742652689	59630	RESEARCH SUB-AWARD
UNIVERSITY OF CALIFORNIA SAN DIEGO
CENTRAL CASHIER	LA JOLLA	CA	920930009	952872494	308251	RESEARCH SUB-AWARD
UNIVERSITY OF COLORADO AT DENVER
OFFICE GRANTS AND CONTRACTS F428	DENVER	CO	802910238	846049811	22699	RESEARCH SUB-AWARD
UNIVERSITY OF CONNECTICUT
438 WHITNEY RD EXTN UNIT 1133	STORRS	CT	062691133	060772160	266881	RESEARCH SUB-AWARD
UNIVERSITY OF FLORIDA BOARD OF TRUSTEES
FINANCE ACCOUNTING-CONTRACTS	GAINSVILLE	FL	32611	596002052	7787	RESEARCH SUB-AWARD
UNIVERSITY OF IOWA
DEPT OF OTOLARYNGOLOGY HNS 21154	IOWA CITY	IA	52242	426004813	30405	RESEARCH SUB-AWARD		PFP
UNIVERSITY OF LOUISVILLE
500 SOUTH PRESTON	LOUISVILLE	KY	40292	611014882	10210	RESEARCH SUB-AWARD
UNIVERSITY OF MASSACHUSETTS
CENTER FOR SURVEY RESEARCH	BOSTON	MA	021253393	043167352	159091	RESEARCH SUB-AWARD
UNIVERSITY OF NORTH CAROLINA
120 MASON FARM RD	CHAPEL HILL	NC	27599	566001393	43100	RESEARCH SUB-AWARD
UNIVERSITY OF PENNSYLVANIA
P221 FRANKLIN BLDG	PHILADELPHIA	PA	19104	231352685	218505	RESEARCH SUB-AWARD
UNIVERSITY OF PITTSBURGH
PO BOX 371220	PITTSBURGH	PA	152517220	250965591	226488	RESEARCH SUB-AWARD
UNIVERSITY OF ROCHESTER
265 CRITTENDEN BLVD CU420694	ROCHESTER	NY	14642	160743209	32590	RESEARCH SUB-AWARD
UNIVERSITY OF TEXAS
MD ANDERSON CANCER CTR	HOUSTON	TX	772104390	746000203	166956	RESEARCH SUB-AWARD
UNIVERSITY OF UTAH
50 N MEDICAL DRIVE	SALT LAKE CITY	UT	841321601	876000525	12260	RESEARCH SUB-AWARD
UNIVERSITY OF VERMONT
DEPT OF NEUROLOGY	BURLINGTON	VT	05405	030179440	89901	RESEARCH SUB-AWARD
UNIVERSITY OF WASHINGTON
GRANT CONTRACT ACCOUNTING	CHICAGO	IL	60693	916001537	417912	RESEARCH SUB-AWARD
VACCINE AND GENE THERAPY INSTITUTE OF
11350 SW VILLAGE PARKWAY3RD FLOOR	PORT ST LUCIE	FL	34987	364631835	905211	RESEARCH SUB-AWARD
VANDERBILT UNIVERSITY MEDICAL CENTR
DEPT OF FINANCE	ATLANTA	GA	311920303	620476822	131982	RESEARCH SUB-AWARD
WASHINGTON UNIVERSITY
ACCT PAYABLE DEPT BOX 1056	ST LOUIS	MO	631121408	430653611	11345	RESEARCH SUB-AWARD
WAYNE STATE UNIVERSITY
6071 WOUTER DR L435	DETROIT	MI	48235	383555142	56132	RESEARCH SUB-AWARD
WEILL CORNELL MEDICAL COLLEGE
DEPT OF PATHOLOGY LAB MEDICINE	NEW YORK	NY	10021	131623978	149260	RESEARCH SUB-AWARD
ALBERT SCHWEITZER FELLOWSHIP
330 BROOKLINE AVE	BOSTON	MA	02215			SPACE AND SUPPORT	501(C)(3)		88200	FMV	USE OF FACILITIES
CITY OF BOSTON - BIDMC
ONE CITY HALL SQUARE	BOSTON	MA	02201		1338898	SUPPORT CITY OF BOSTON SERVICES & INFRASTRUCTURE
COMMUNITY CARE ALLIANCE
330 BROOKLINE AVE	BOSTON	MA	02215		33500	PRIMARY CARE/HEALTHCARE ACCESS			71000	FMV	INFORMATION TECHNOLOGY & STAFF
DIMOCK COMMUNITY HEALTH CENTER
55 DIMOCK STREET	ROXBURY	MA	02119		435125	PRIMARY CARE/HEALTHCARE ACCESS	501(C)(3)
DIMOCK COMMUNITY HEALTH CENTER
55 DIMOCK STREET	ROXBURY	MA	02119		29196	INFORMATION TECHNOLOGY & EMR/HEALTH INFORMATION EXCHANGE SUPPORT	501(C)(3)
FENWAYSIDNEY BORUM COMMUNITY HEALTH CENTER
55 DIMOCK STREET	ROXBURY	MA	02119		703995	PRIMARY CARE/HEALTHCARE ACCESS	501(C)(3)
FENWAYSIDNEY BORUM COMMUNITY HEALTH CENTER
55 DIMOCK STREET	ROXBURY	MA	02119		25000	INFORMATION TECHNOLOGY & EMR/HEALTH INFORMATION EXCHANGE SUPPORT	501(C)(3)		4196	FMV	IT SUPPORT
HARVARD MEDICAL SCHOOL
25 SHATTUCK ST	BOSTON	MA	02215		20000	ARCHIVES FOR WOMEN IN MEDICINE & CENTER FOR HOSTORY OF MEDICINE
JOSEPH SMITH PRIMARY CARE
287 WESTERN AVE	ALLSTON	MA	02134		222980	PRIMARY CARE/HEALTHCARE ACCESS	501(C)(3)
KIT CLARK COMMUNITY HEALTH CENTER
66 CANAL STREET	BOSTON	MA	02214		45000	SENIOR SERVICES COORDINATION SUPPORT	501(C)(3)
OUTER CAPE PRIMARY CARE
3073 STATE HIGHWAY RTE 6	WELLFLEET	MA	02653		122000	PRIMARY CARE/HEALTHCARE ACCESS	501(C)(3)
SOUTH COVE COMMUNITY HEALTH CENTER
145 SOUTH STREET	BOSTON	MA	02111		649999	PRIMARY CARE/HEALTHYCARE ACCESS	501(C)(3)
SOUTH COVE COMMUNITY HEALTH CENTER
145 SOUTH STREET	BOSTON	MA	02111		25000	INFORMATION TECHNOLOGY & EMR/HEALTH INFORMATION EXCHANGE SUPPORT	501(C)(3)		4196	FMV	IT SUPPORT
DIMOCK COMMUNITY HEALTH CENTER
55 DIMOCK STREET	ROXBURY	MA	02119		6000	PRIMARY CARE/HEALTHCARE ACCESS	501(C)(3)
CITY OF BOSTON - EMS
ONE CITY HALL SQUARE	BOSTON	MA	02201			EMS SUPPORT			163665	FMV	USE OF FACILITIES
AMERICAN HEART ASSOCIATION
1 UNION ST STE 301	ROBBINSVILLE	NJ	08691		20000	HEALTHCARE SUPPORT
COMMONWEALTH OF MASSACHUSETTS
PO BOX 416936	BOSTON	MA	02241		950799	STATEWIDE HOSPITAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	33	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	76	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	S. ROBERT STONE AWARD	TypeOfGrant
Number Of Recipients	1	NumberOfRecipients
Amount Of Cash Grant	7500	AmountOfCashGrant
Method Of Valuation	OTHER	MethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	0	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	1	InitialContractException
Rebuttable Presumption Procedure	0	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CHAIKOF MD PHD ELLIOT
DIR & SURG CHIEF	447301	447300	0	0	7066	7067	39187	39187	16154	16153	509708	509707	0	0
ROSENBERG MD STUART
DIR & CEO-HMFP	0	622430	0	125924	0	17783	0	446875	0	20006	0	1233018	0	0
TABB MD KEVIN
PRESIDENT & CEO	832815	0	361512	0	136476	0	7167	0	41020	0	1378990	0	0	0
ZEIDEL MD MARK L
DIR & CHIEF, MEDICINE	346164	352054	0	0	6203	6202	20440	20441	7847	7847	380654	386544	0	0
FISCHER STEVEN
SR. VP - FINANCE & CFO	505870	0	123791	0	49271	0	12500	0	41061	0	732493	0	0	0
MAURER MARSHA
SVP-PAT CARE & INTRM COO	602767	0	41994	0	49143	0	12500	0	42423	0	748827	0	0	0
ARMSTRONG WALTER
SVP FACS & ENGINEER	318478	0	85156	0	44672	0	12500	0	21282	0	482088	0	0	0
BIEBER JUDITH
INTRM SVP - HR	171383	0	1500	0	1021	0	27805	0	21181	0	222890	0	0	0
SHEEHAN JAYNE
SVP AMBUL & EMERG SVS	321862	0	85360	0	42887	0	17354	0	33869	0	501332	0	0	0
SUKHATME MD PHD VIKAS P
SVP & CHIEF ACADEMIC OFFICER	452224	39823	102864	8945	18090	1573	31081	2703	14436	1255	618695	54299	0	0
ZANKMAN LISA
SVP - HUMAN RESOURCES	288230	0	70423	0	58553	0	12500	0	20072	0	449778	0	0	0
GEBHARDT MD MARK C
CHIEF OF ORTHO SURGERY	352430	352429	0	0	8325	8325	29695	29695	12548	12547	402998	402996	0	0
HALAMKA MD JOHN
CIO & SVP/INFORMATION SYSTEMS	323762	186246	96552	0	48147	0	12500	0	34946	0	515907	186246	0	0
KRUSKAL MD PHD JONATHAN B
CHIEF OF RADIOLOGY	319089	319629	3750	3750	5692	5691	15000	15000	15299	15299	358830	359369	0	0
LEWIS MD STANLEY
SVP, NETWORK INTEGRATION	434903	48323	114614	12735	182258	20251	22500	2500	15832	1759	770107	85568	0	0
SIMON BRETT
CHIEF OF ANESTHESIA	298422	298421	0	0	5440	5440	37888	37888	5226	5225	346976	346974	0	0
BUEHRENS ERIC
FRMR INTRM PRES/CEO&COO	103861	0	0	0	602723	0	5600	0	27590	0	739774	0	0	0
FISCHER MD JOSEF E
FRMR DIR & FRMR CH-SURG	112717	0	0	0	5638	0	13104	0	24790	0	156249	0	0	0
LEVY PAUL F
FORMER PRESIDENT & CEO	0	0	0	0	777205	0	0	0	9474	0	786679	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	SCHEDULE J - PART I QUESTION 1 GROSS-UP PAYMENTS AS NOTED BELOW, 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. SCHEDULE J - PART I QUESTION 1 GROSS-UP PAYMENTS AND PAYMENT FOR TEMPORARY HOUSING AND 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. DR. TABB PREVIOUSLY RESIDED OUTSIDE THE COMMONWEALTH OF MASSACHUSETTS AND HE AND HIS FAMILY DID NOT COMPLETE THEIR RELOCATION TO MASSACHUSETTS UNTIL THE 2012 CALENDAR YEAR. OTHER REPORTABLE COMPENSATION REPORTED IN THIS FILING FOR DR. TABB INCLUDES PAYMENTS INTENDED TO HELP EASE THE FINANCIAL COSTS OF RELOCATION, TEMPORARY HOUSING AND OTHER TRANSITIONAL EXPENSES INCURRED BY DR. TABB. TAXABLE REIMBURSEMENTS TO DR. TABB RELATED TO HIS RELOCATION WERE GROSSED-UP ACCORDING TO THE TERMS OF HIS AGREEMENT. ALL AMOUNTS 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.
PART I, LINES 4A-B	SCHEDULE J - PART I QUESTION 4A SEVERANCE AND CHANGE OF CONTROL PAYMENTS AS NOTED IN THIS FILING, PAUL LEVY SERVED AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) UNTIL FEBRUARY 2, 2011. IN ADDITION, 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. BOTH MR. LEVY AND MR. BUEHRENS BECAME ELIGIBLE FOR CERTAIN SEVERANCE 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, 2013 IS CALENDAR YEAR 2012 DETAIL. DURING THE 2012 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 AND THE PORTION PAID AS NOTED ABOVE, THE CURRENTLY TAXABLE 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 III	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 AND THE BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION MAY BE REFERRED TO AS PFHC, HMS OR PFHC/HMS AND BIDDM RESPECTIVELY. ANDERSON, CAROL F. DIRECTOR AND VICE CHAIR - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BETH ISRAEL ANESTHESIA FOUNDATION MS. ANDERSON DEVOTES, ON AVERAGE, A COMBINED 5 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 AND PRESIDENT - MILTON HOSPITAL DEVELOPMENT FUND DIRECTOR AND PRESIDENT - COMMUNITY PHYSICIANS ASSOCIATES MR. BRADY DEVOTES, ON AVERAGE, A COMBINED 15 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 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 BIDMC: BASE COMPENSATION: 447,301 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,066 DEFERRED COMPENSATION: 39,187 NON-TAXABLE BENEFITS: 16,154 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 447,300 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 7,067 DEFERRED COMPENSATION: 39,187 NON-TAXABLE BENEFITS: 16,153 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2012 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: $197,998 BASE AND OTHER REPORTABLE COMPENSATION, $31,499 DEFERRED COMPENSATION AND $6,675 NON-TAXABLE BENEFITS. CRONIN, MICHAEL DIRECTOR (EX-OFFICIO) - 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 FIRST VICE CHAIR - BETH ISRAEL DEACONESS MEDICAL CENTER MR. JICK DEVOTES, ON AVERAGE, 5 HOURS PER WEEK TO THE REPORTING ORGANIZATION. MR. JICK'S TERM ON THE BIDMC BOARD BEGAN OCTOBER 1, 2012. 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 AND BOARD CHAIR - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR (EX-OFFICIO) - CAREGROUP, INC. MR. KAY DEVOTES, ON AVERAGE, A COMBINED 6 HOURS 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.	SUPPLEMENTAL INFORMATION
PART III	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. MANNING, JACK DIRECTOR - BETH ISRAEL DEACONESS MEDICAL CENTER MR. MANNING 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.-	SUPPLEMENTAL INFORMATION
PART III	ROSENBERG, M.D., STUART A DIRECTOR (EX-OFFICIO) - BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND CHIEF EXECUTIVE OFFICER - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT - ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT - LONGWOOD MEDICAL INTERNATIONAL FOUNDATION, INC. F/K/A CARDIOVASCULAR ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR - BETH ISRAEL DEACONESS DEPARTMENT OF SURGERY FOUNDATION DIRECTOR - BETH ISRAEL DEACONESS ORTHOPAEDIC SURGERY FOUNDATION DIRECTOR - CONTINUING EDUCATION PROGRAM, INC. D/B/A BETH ISRAEL DEACONESS DEPARTMENT OF PSYCHIATRY FOUNDATION DIRECTOR - BETH ISRAEL DEACONESS DEPARTMENT OF MEDICINE FOUNDATION DIRECTOR - BETH ISRAEL DEACONESS DEPARTMENT OF NEONATOLOGY FOUNDATION DIRECTOR - BETH ISRAEL DERMATOLOGY FOUNDATION DIRECTOR - BIH PATHOLOGY FOUNDATION, INC. DIRECTOR (EX-OFFICIO) - MEDICAL CARE OF BOSTON MANAGEMENT CORP., D/B/A AFFILIATED PHYSICIANS GROUP DIRECTOR (EX-OFFICIO) - 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: 622,430 INCENTIVE COMPENSATION: 125,924 OTHER REPORTABLE COMPENSATION: 17,783 DEFERRED COMPENSATION: 446,875 NON-TAXABLE BENEFITS: 20,006 DEFERRED COMPENSATION REPORTED BY HMFP FOR THE 2012 CALENDAR YEAR INCLUDES $400,000 RELATED TO THE IMPLEMENTATION OF A RETENTION INCENTIVE PLAN ESTABLISHED BY HMFP'S BOARD OF DIRECTORS. AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED HERE IS FOR THE CALENDAR YEAR 2012 AND NO PORTION OF THIS AMOUNT WAS VESTED OR PAID DURING THAT TIME. THIS RETENTION INCENTIVE VESTS IN PERIODIC INCREMENTS IN ACCORDANCE WITH THE PLAN TERMS AND CONDITIONS PURSUANT TO WHICH ALL AMOUNTS WILL BE FULLY PAID BY JANUARY 2015. ROTTENBERG, ALAN DIRECTOR - BETH ISRAEL DEACONESS MEDICAL CENTER MR. ROTTENBERG DEVOTES, ON AVERAGE, 1 HOUR PER WEEK TO THE REPORTING ORGANIZATION. SCHLICHTE, HELEN CHIN DIRECTOR AND CLERK - BETH ISRAEL DEACONESS MEDICAL CENTER MS. SCHLICHTE DEVOTES, ON AVERAGE, 2 HOURS PER WEEK TO THE REPORTING ORGANIZATION. TABB, M.D., KEVIN DIRECTOR (EX-OFFICIO), 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: 832,815 INCENTIVE COMPENSATION: 361,512 OTHER REPORTABLE COMPENSATION: 136,476 DEFERRED COMPENSATION: 7,167 NON-TAXABLE BENEFITS: 41,020 DR. TABB COMMENCED HIS ROLES AS PRESIDENT AND CHIEF EXECUTIVE OFFICER OF BIDMC DURING THE 2011 CALENDAR YEAR AND COMPLETED HIS RELOCATION TO MASSACHUSETTS DURING 2012. AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED HERE IS FOR THE CALENDAR YEAR 2012. CERTAIN PAYMENTS MADE TO DR. TABB AND REPORTED HERE WERE INTENDED TO HELP EASE THE FINANCIAL COSTS OF RELOCATION, TEMPORARY HOUSING AND OTHER TRANSITIONAL EXPENSES INCURRED BY DR. TABB. THESE AMOUNTS ARE REPORTED IN INCENTIVE COMPENSATION AND OTHER REPORTABLE COMPENSATION IN THE AMOUNTS OF $93,750 AND $105,191 RESPECTIVELY. THESE AMOUNTS 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. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR DR. TABB INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $19,994. 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 DIRECTOR AND PRESIDENT - 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. DR. ZEIDEL ALSO PERFORMS SERVICES FOR BIDDM AND COMPENSATION PAID TO DR. ZEIDEL DIRECTLY BY BIDDM IS ALSO REPORTED. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 346,164 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,203 DEFERRED COMPENSATION: 20,440 NON-TAXABLE BENEFITS: 7,847 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 346,164 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 6,202 DEFERRED COMPENSATION: 20,441 NON-TAXABLE BENEFITS: 7,847 PAYMENTS REPORTED BY BIDDM: BASE COMPENSATION: 5,890 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY HMFP AND BIDMC FOR THE 2012 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: $143,869 BASE AND OTHER REPORTABLE COMPENSATION, $15,881 DEFERRED COMPENSATION AND $1,825 NON-TAXABLE BENEFITS. FISCHER, STEVEN SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER TRUSTEE - BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM 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: 505,870 INCENTIVE COMPENSATION: 123,791 OTHER REPORTABLE COMPENSATION: 49,271 DEFERRED COMPENSATION: 12,500 NON-TAXABLE BENEFITS: 41,061 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. FISCHER INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $59,375.	SUPPLEMENTAL INFORMATION
PART III	MAURER, R.N., MARSHA INTERIM EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER SENIOR VICE PRESIDENT, CLINICAL OPERATIONS & CHIEF NURSING OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER MS. MAURER SERVED AS THE INTERIM EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER (COO) OF BETH ISRAEL DEACONESS MEDICAL CENTER FROM JANUARY 5, 2012 TO MARCH 15, 2013, AT WHICH TIME SHE RESUMED HER POSITION AS SENIOR VICE PRESIDENT, CLINICAL OPERATIONS AND CHIEF NURSING OFFICER. MS. MAURER 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: 602,767 INCENTIVE COMPENSATION: 41,994 OTHER REPORTABLE COMPENSATION: 49,143 DEFERRED COMPENSATION: 12,500 NON-TAXABLE BENEFITS: 42,423 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. MAURER INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $59,375. 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: 318,478 INCENTIVE COMPENSATION: 85,156 OTHER REPORTABLE COMPENSATION: 44,672 DEFERRED COMPENSATION: 12,500 NON-TAXABLE BENEFITS: 21,282 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. ARMSTRONG INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $54,994. BIEBER, JUDITH INTERIM SENIOR VICE PRESIDENT OF HUMAN RESOURCES - BETH ISRAEL DEACONESS MEDICAL CENTER MS. BIEBER COMMENCED HER ROLE AS INTERIM SENIOR VICE PRESIDENT OF HUMAN RESOURCES OF BETH ISRAEL DEACONESS MEDICAL CENTER ON JULY 1, 2013. MS. BIEBER DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION. DURING 2012, MS. BIEBER SERVED AS DIRECTOR OF EMPLOYEE AND LABOR RELATIONS, FOR WHICH SHE RECEIVED PAYMENTS AS FURTHER OUTLINED BELOW: PAYMENTS MADE BY BIDMC: BASE COMPENSATION: 171,383 INCENTIVE COMPENSATION: 1,500 OTHER REPORTABLE COMPENSATION: 1,021 DEFERRED COMPENSATION: 27,805 NON-TAXABLE BENEFITS: 21,181 SHEEHAN, JAYNE SENIOR VICE PRESIDENT, AMBULATORY AND EMERGENCY SERVICES - BETH ISRAEL DEACONESS MEDICAL CENTER MS. SHEEHAN DEVOTES, ON AVERAGE, 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION PAYMENTS MADE BY BIDMC: BASE COMPENSATION: 321,862 INCENTIVE COMPENSATION: 85,360 OTHER REPORTABLE COMPENSATION: 42,887 DEFERRED COMPENSATION: 17,354 NON-TAXABLE BENEFITS: 33,869 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. SHEEHAN INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $53,994. SUKHATME, M.D., PHD, 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: 452,224 INCENTIVE COMPENSATION: 102,864 OTHER REPORTABLE COMPENSATION: 18,090 DEFERRED COMPENSATION: 31,081 NON-TAXABLE BENEFITS: 14,436 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 39,323 INCENTIVE COMPENSATION: 8,945 OTHER REPORTABLE COMPENSATION: 1,573 DEFERRED COMPENSATION: 2,703 NON-TAXABLE BENEFITS: 1,255 PAYMENTS REPORTED BY BIDDM: BASE COMPENSATION: 500 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 AS REQUIRED BY THIS FORM 990, COMPENSATION REPORTED BY BIDMC AND HMFP FOR THE 2012 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: $92,844 BASE AND OTHER REPORTABLE COMPENSATION AND $8,784 DEFERRED COMPENSATION. ZANKMAN, LISA 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: 288,230 INCENTIVE COMPENSATION: 70,423 OTHER REPORTABLE COMPENSATION: 58,553 DEFERRED COMPENSATION: 12,500 NON-TAXABLE BENEFITS: 20,072 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MS. ZANKMAN INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $51,994.	SUPPLEMENTAL INFORMATION
PART III	GEBHARDT, M.D., MARK C. CHIEF OF ORTHOPEDIC SURGERY - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR 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. F/K/A CARDIOVASCULAR ASSOCIATED PHYSICIANS OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR 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: 352,430 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,325 DEFERRED COMPENSATION: 29,695 NON-TAXABLE BENEFITS: 12,548 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 352,429 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 8,325 DEFERRED COMPENSATION: 29,695 NON-TAXABLE BENEFITS: 12,547 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY BIDMC AND HMFP FOR THE 2012 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: $88,034 BASE AND OTHER REPORTABLE COMPENSATION, $9,390 DEFERRED COMPENSATION AND $19,855 NON-TAXABLE BENEFITS. HALAMKA, M.D., JOHN D. SENIOR VICE PRESIDENT AND CHIEF MEDICAL INFORMATION OFFICER - BIDMC CHIEF INFORMATION OFFICER - PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL DR. HALAMKA DEVOTES, ON AVERAGE, A COMBINED 65 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. AS NOTED IN THIS RETURN, BIDMC IS REQUIRED TO PROVIDE CALENDAR YEAR 2012 COMPENSATION IN THIS FILING AND DURING PART OF THE 2012 CALENDAR YEAR, DR. HALAMKA PERFORMED SERVICES FOR BOTH BIDMC AND PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL. AS REQUIRED BY THIS FORM 990, ALTHOUGH DR. HALAMKA IS PAID DIRECTLY BY BIDMC, THE PORTION OF DR. HALAMKA'S COMPENSATION ATTRIBUTABLE TO HIS SERVICES PERFORMED AT HARVARD MEDICAL SCHOOL HAS BEEN SEPARATELY REPORTED ON THIS FORM 990, AS FURTHER OUTLINED BELOW. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 323,762 INCENTIVE COMPENSATION: 96,552 OTHER REPORTABLE COMPENSATION: 48,147 DEFERRED COMPENSATION: 12,500 NON-TAXABLE BENEFITS: 34,946 PAYMENTS REPORTED BY PFHC: BASE COMPENSATION: 186,246 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 OTHER REPORTABLE AND DEFERRED COMPENSATION FOR DR. HALAMKA INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $59,375. KRUSKAL, M.D., PHD, JONATHAN B. CHIEF OF RADIOLOGY - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND CHAIR (RADIOLOGY) - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT AND DIRECTOR - 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: 319,089 INCENTIVE COMPENSATION: 3,750 OTHER REPORTABLE COMPENSATION: 5,692 DEFERRED COMPENSATION: 15,000 NON-TAXABLE BENEFITS: 15,299 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 319,089 INCENTIVE COMPENSATION: 3,750 OTHER REPORTABLE COMPENSATION: 5,691 DEFERRED COMPENSATION: 15,000 NON-TAXABLE BENEFITS: 15,299 PAYMENTS REPORTED BY BIDDM: BASE COMPENSATION: 540 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 0 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 0 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 ASSOCIATE PROFESSOR OF MEDICINE - HARVARD MEDICAL SCHOOL 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: 434,903 INCENTIVE COMPENSATION: 114,614 OTHER REPORTABLE COMPENSATION: 182,258 DEFERRED COMPENSATION: 22,500 NON-TAXABLE BENEFITS: 15,832 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 48,323 INCENTIVE COMPENSATION: 12,735 OTHER REPORTABLE COMPENSATION: 20,251 DEFERRED COMPENSATION: 2,500 NON-TAXABLE BENEFITS: 1,759 OTHER REPORTABLE COMPENSATION REPORTED BY BIDMC AND HMFP FOR THE 2012 CALENDAR YEAR INCLUDES PAYMENT OF DR. LEWIS' SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) OF $190,806, WHICH VESTED IN 2012. AS REQUIRED BY FORM 990, $30,492 WAS REPORTED AS DEFERRED COMPENSATION IN THE PRIOR YEAR FORM 990.	SUPPLEMENTAL INFORMATION
PART III	SIMON, M.D., PHD., BRETT CHIEF OF ANESTHESIA - BETH ISRAEL DEACONESS MEDICAL CENTER DIRECTOR AND CHAIR OF ANESTHESIA - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER PRESIDENT - 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: 298,422 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,440 DEFERRED COMPENSATION: 37,888 NON-TAXABLE BENEFITS: 5,226 PAYMENTS REPORTED BY HMFP: BASE COMPENSATION: 298,421 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,440 DEFERRED COMPENSATION: 37,888 NON-TAXABLE BENEFITS: 5,225 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY BIDMC AND HMFP FOR THE 2012 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: $158,294 BASE AND OTHER REPORTABLE COMPENSATION, $25,776 DEFERRED COMPENSATION, AND $684 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 MR. BUEHRENS DEVOTED, ON AVERAGE, A COMBINED 60 HOURS PER WEEK TO THE REPORTING ORGANIZATION AND ALL RELATED ENTITIES FOR THE POSITIONS LISTED HERE. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 103,861 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 602,723 DEFERRED COMPENSATION: 5,600 NON-TAXABLE BENEFITS: 27,590 OTHER REPORTABLE COMPENSATION FOR MR. BUEHRENS INCLUDES SALARY CONTINUATION PAYMENTS PAID IN THE AMOUNT OF $568,612 DURING THE CALENDAR YEAR 2012. OTHER REPORTABLE AND DEFERRED COMPENSATION FOR MR. BUEHRENS INCLUDES COMBINED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN IN THE AMOUNT OF $39,094. FISCHER, M.D., JOSEF E. FORMER DIRECTOR (EX-OFFICIO) AND FORMER CHIEF OF SURGERY - BETH ISRAEL DEACONESS MEDICAL CENTER SURGEON - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER WILLIAM V. MCDERMOTT PROFESSOR OF SURGERY - HARVARD MEDICAL SCHOOL FORMER DIRECTOR/CHAIRMAN OF SURGERY - HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER DR. FISCHER SERVED AS DIRECTOR (EX-OFFICIO) AND CHIEF OF SURGERY AT BETH ISRAEL DEACONESS MEDICAL CENTER THROUGH JUNE 26, 2008. ALL PAYMENTS TO DR. FISCHER RELATED TO HIS POSITIONS HELD DURING THE 2012 CALENDAR YEAR. PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 112,717 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 5,638 DEFERRED COMPENSATION: 13,104 NON-TAXABLE BENEFITS: 24,790 AS REQUIRED IN THIS FORM 990, COMPENSATION REPORTED BY BIDMC FOR THE 2012 CALENDAR YEAR WAS PAID BY PRESIDENT AND FELLOWS OF HARVARD COLLEGE/HARVARD MEDICAL SCHOOL RELATED TO DR. FISCHER'S POSITION AS SURGEON AT HMFP AND WILLIAM V. MCDERMOTT PROFESSOR OF SURGERY, HARVARD MEDICAL SCHOOL. LEVY, PAUL F. FORMER DIRECTOR (EX-OFFICIO), FORMER PRESIDENT AND CHIEF EXECUTIVE OFFICER - BETH ISRAEL DEACONESS MEDICAL CENTER MR. LEVY SERVED AS PRESIDENT AND CHIEF EXECUTIVE OFFICER (CEO) OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC) UNTIL FEBRUARY 2, 2011. PAYMENTS MADE TO MR. LEVY ARE FURTHER OUTLINED BELOW: PAYMENTS REPORTED BY BIDMC: BASE COMPENSATION: 0 INCENTIVE COMPENSATION: 0 OTHER REPORTABLE COMPENSATION: 777,205 DEFERRED COMPENSATION: 0 NON-TAXABLE BENEFITS: 9,474 OTHER REPORTABLE COMPENSATION FOR MR. LEVY REPRESENTS SALARY CONTINUATION PAYMENTS PAID DURING THE CALENDAR YEAR 2012.	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing	CUSIP NumberCUSIPNumber
MA DEVELOPMENT FINANCE AGENCY
A	043431814	2012-07-11	49910000	REFUND ISSUE DATED 2/11/1998	0	0	0
MA DEVELOPMENT FINANCE AGENCY
B	043431814	2011-09-15	120280000	REFUND ISSUE DATED 2/11/1998	0	0	0
MA HEALTH & ED FACILITIES AUTHORITY
C	042456011	2008-06-09	377527010	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	187125000	REFUND ISSUES DATED 9/23/1992; 11/9/1994	0	0	0	57586CDK8

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Other Spent ProceedsOtherSpentProceeds	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Amount In Reserve FundAmountInReserveFund	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Credit EnhancementCreditEnhancement
A	49910000	368094	49541906	1	1	1
B	120280000	290672	119989328	1	1	1	19395000
C	378911689	3929290	213068927	1	0	1	74930000	27356617	134556855	2011
D	187125000	1796643	177336630	1	1	1	154175000				7991727

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	C	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	1	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	1	EngageBondCounselContracts
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00600	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00100	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00700	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
A	0	0	1	0	0	0	0	0	1
(no name)
B	0	0	1	0	0	0	0	0	1
(no name)
C	0	0	0	1	0	0	0	0	1
CITI BANK
D	0	0	0	1	1	1	0	0	1	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1
C	1
D	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (7 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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, MOUNT AUBURN HOSPITAL, NEW ENGLAND BAPTIST HOSPITAL AND THESE ENTITIES PHYSICIAN GROUPS AND AFFILIATED ENTITIESOTHER CAREGIVERS. 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.
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 LINE 3	THE DIFFERENCE BETWEEN THE TOTAL PROCEEDS AND THE ISSUE PRICE IS THE INVESTMENT EARNINGS OF $1,384,679	TOTAL ISSUE PROCEEDS
SCHEDULE K PART II LINE 11	COLUMNS A, B AND D: THE OTHER SPENT PROCEEDS RELATE TO THE REFUNDING PROCEEDS OF THESE ISSUES. COLUMN C: $8,993,760 OF THE PROCEEDS LISTED WERE USED FOR TERMINATION OF THE HEDGE AGREEMENT, WITH THE REMAINDER USED FOR REFUNDING PURPOSES OF THE ISSUE.	OTHER SPENT PROCEEDS
SCHEDULE K PART II LINE 13	THE PROJECTS FINANCED AND/OR REFINANCED WITH TAX-EXEMPT BOND FINANCED WERE COMPLETED, ON VARIOUS DATES. COLUMNS A, B AND D: ALL MEMBERS OF THE CAREGROUP OBLIGATED GROUP UNDERSTAND THIS QUESTION RELATES TO THE NON-REFUNDING PROCEEDS OF THE ISSUES. SINCE THE ISSUES LISTED IN THESE COLUMNS WERE USED ENTIRELY FOR REFUNDING PROCEEDS, THESE LINES HAVE BEEN LEFT BLANK.	YEAR OF SUBSTANTIAL COMPLETION OF PROJECT(S)
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, 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, 2013 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: A REBATE CALCULATION WAS COMPLETED AS OF SEPTEMBER 30, 2012 WITH NO REBATE DUE. COLUMN D: A REBATE CALCULATION WAS COMPLETED AS OF SEPTEMBER 30, 2013 WITH NO REBATE DUE.	REBATE CALCULATIONS

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CRICO
BUFFERD, TABB & MELZER - DIRECTORS	23399146	INSURANCE - SEE SUPPLEMENTAL INFORMATION	0
A WANG
FAMILY OF F. WANG	19644	SALARY - SEE SUPPLEMENTAL INFORMATION	0
E ROSENBERG
FAMILY OF S. ROSENBERG	69696	SALARY - SEE SUPPLEMENTAL INFORMATION	0
S FREEDMAN MD
FAMILY OF M. ZEIDEL	227981	SALARY - SEE SUPPLEMENTAL INFORMATION	0
J LEWIS
FAMILY OF S. LEWIS	65007	SALARY - SEE SUPPLEMENTAL INFORMATION	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE L PART IV COLUMN D	Identifier
Return Reference	DESCRIPTION OF TRANSACTIONS INVOLVING INTERESTED PERSONS	ReturnReference
Explanation	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 SCHEDULE L PART IV AS BIDMC AND HMFP RESPECTIVELY.ALLAN BUFFERD, TREASURER AND BOARD MEMBER OF BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER) IS 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/VT). CRICO/VT IS A WHOLLY-OWNED SUBSIDIARY OF CRICO/RMF. KEVIN TABB, BIDMC PRESIDENT AND CHIEF EXECUTIVE OFFICER ALSO HOLDS A POSITION ON THE CRICO/RMF BOARD. IN ADDITION, ROBERT MELZER SERVED ON BOTH THE CAREGROUP AND CRICO/RMF BOARDS THROUGH MARCH 2013. CAREGROUP, IS THE SOLE MEMBER AND A SUPPORTING ORGANIZATION OF BIDMC WHICH IN TURN IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM (BIDN). CAREGROUP IS A CRICO/CAYMAN SHAREHOLDER AND CRICO/RMF MEMBER AND THROUGH CAREGROUP, THESE ENTITIES PURCHASE PHYSICIAN PROFESSIONAL LIABILITY INSURANCE AND GENERAL LIABILITY INSURANCE. FOR THE PERIOD COVERED BY THIS FILING, THESE ENTITIES COMBINED PAID $23,399,146 TO CRICO AND RMF FOR THIS INSURANCE COVERAGE. ALL CRICO/RMF AND CRICO/CAYMAN SHAREHOLDERS ARE ENTITIES EXEMPT FROM INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED AND AMOUNTS RELATED TO CRICO/CAYMAN HAVE BEEN REPORTED ON SCHEDULE F, STATEMENT OF ACTIVITIES OUTSIDE THE UNITED STATES, FOR CAREGROUP AND ITS AFFILIATES AS REQUIRED BY FORM 990.STUART A. ROSENBERG, MD IS A DIRECTOR (EX-OFFICIO) OF BIDMC, AND PRESIDENT AND CEO OF HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER (HMFP). DR. ROSENBERG'S DAUGHTER, ELIZABETH ROSENBERG, IS AN ULTRASOUND TECHNOLOGIST AT BIDMC. HER SALARY AND OTHER INCOME FOR THE CALENDAR YEAR 2012 INCLUDED:BASE COMPENSATION: $59,507BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $7DEFERRED COMPENSATION: $0NON-TAXABLE BENEFITS: $10,182FREDERICK WANG IS A DIRECTOR (EX-OFFICIO) OF BIDMC. HIS DAUGHTER, ALLISON S. WANG, IS EMPLOYED BY THE BIDMC BUSINESS TRANSFORMATION DEPARTMENT. HER SALARY AND OTHER INCOME FOR THE CALENDAR YEAR 2012 INCLUDED:BASE COMPENSATION: $16,884BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $0DEFERRED COMPENSATION: $0NON-TAXABLE BENEFITS: $2,760MARK L. ZEIDEL, M.D., BIDMC DIRECTOR (EX-OFFICIO), MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP DIRECTOR (APG) AND CLINICAL CHIEF OF MEDICINE AT BIDMC/CLINICAL CHAIR OF MEDICINE AT HMFP, IS MARRIED TO SUSAN FREEDMAN, MD, A PHYSICIAN EMPLOYED BY HMFP AND APG. HMFP IS INTEGRALLY RELATED TO BIDMC AND BIDMC IS THE SOLE MEMBER OF APG. DR. FREEDMAN'S SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $195,000BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $3,741DEFERRED COMPENSATION: $24,000NON-TAXABLE BENEFITS: $5,240STANLEY LEWIS IS SENIOR VICE PRESIDENT OF NETWORK INTEGRATION AT BIDMC. HIS SON, JONATHAN JASON LEWIS IS EMPLOYED BY BIDMC AS A MEDICAL RESIDENT. DR. JASON LEWIS' SALARY AND OTHER INCOME INCLUDE:BASE COMPENSATION: $55,674 BONUS AND INCENTIVE COMPENSATION: $0OTHER REPORTABLE COMPENSATION: $5DEFERRED COMPENSATION: $0NON-TAXABLE BENEFITS: $9,328VARIOUS 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.	Explanation

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	45	NumberOfContributions
Noncash Contribs Rptd F990	1162381	NoncashContribsRptdF990
Method Of Determining Revenues	OTHER	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	56900	NoncashContribsRptdF990
Method Of Determining Revenues	OTHER	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	FASHION ACCESSORIES	1	50	COST OR SELLING PRICE
X	SPORTS MEMORABILIA	5	290	COST OR SELLING PRICE
X	SUPPLIES	4	3790	OTHER

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (20 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION MISSION STATEMENT	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.
PROGRAM SERVICE STATEMENT	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 2013 REGARDING PATIENT VOLUME ARE IDENTIFIED IN THE FOLLOWING TABLE: INPATIENT DISCHARGES 35,534 OUTPATIENT STATISTICS CLINIC ENCOUNTERS 538,925 EMERGENCY DEPARTMENT VISITS 55,312 RADIOLOGY EXAMS 193,330 AMBULATORY SURGERY CASES 15,999 RADIATION THERAPY TREATMENTS 19,826 ENDOSCOPY TREATMENTS 22,701 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 $17,808,118 IN 2013: CHARITY CARE, AT COST 18,744,760 PAYMENTS TO HEALTH SAFETY NET TRUST 8,557,406 PAYMENTS FROM HEALTH SAFETY NET TRUST (9,494,048) NET CHARITY CARE 17,808,118 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 $ 35,933,103 IN 2013 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 $21,945,086 IN 2013, $19,094,460 OF WHICH IS REPORTED IN THIS FORM 990 SCHEDULE H PART III LINE 7 AND $2,850,626 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 $20,896,972.
PROGRAM SERVICE STATEMENT	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 950 ACTIVE FEDERAL AND INDUSTRY SPONSORED PROJECTS AND MORE THAN 300 ACTIVE CLINICAL TRIALS WERE LED BY APPROXIMATELY 400 MEDICAL CENTER PRINCIPAL INVESTIGATORS, 329 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.
PROGRAM SERVICE STATEMENT	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 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, 2013. 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) 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.
INVESTMENT OF TAX-EXEMPT BOND PROCEEDS BEYOND THE TEMPORARY PERIOD EXCEPTIO	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.
STATEMENT RE PAYROLL	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., MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP (APG) AND BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM (BID-NEEDHAM). IN ACCORDANCE WITH INSTRUCTIONS TO THE 2012 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.
CONTRIBUTIONS OF INTELLECTUAL PROPERTY	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.
CONTRIBUTIONS OF CARS, BOATS, AIRPLANES AND OTHER VEHICLES	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 AS NOTED IN VARIOUS NARRATIVE DISCLOSURES WHICH SUPPORT THIS FORM 990 AND RELATED SCHEDULES, 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. 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 BETH ISRAEL DEACONESS MEDICAL CENTER (BIDMC OR MEDICAL CENTER). BIDMC IS THE SOLE MEMBER OF BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM, INC. (BIDN), MEDICAL CARE OF BOSTON MANAGEMENT CORPORATION, D/B/A AFFILIATED PHYSICIANS GROUP (APG) AND BETH ISRAEL DEACONESS HOSPITAL - MILTON, INC. (BID-MILTON). IN ADDITION, HARVARD MEDICAL FACULTY PHYSICIANS AT BETH ISRAEL DEACONESS MEDICAL CENTER, INC. (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 BOARDS OF DIRECTORS/TRUSTEES OR BY SERVING IN EMPLOYMENT RELATIONSHIP 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 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 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 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 MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP OF BETH ISRAEL DEACONESS MEDICAL CENTER); AND, -OTHER POWERS AND RIGHTS AS VESTED BY LAW. IN ADDITION, THE MEMBER HAS ADDITIONAL APPROVAL RIGHTS AS NOTED BELOW. -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 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 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 MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP OF BETH ISRAEL DEACONESS MEDICAL CENTER); AND, -OTHER POWERS AND RIGHTS AS VESTED BY LAW. IN ADDITION, THE MEMBER HAS ADDITIONAL APPROVAL RIGHTS AS NOTED BELOW. -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 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 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 MEDICAL CARE OF BOSTON MANAGEMENT CORP D/B/A AFFILIATED PHYSICIANS GROUP OF BETH ISRAEL DEACONESS MEDICAL CENTER); AND, -OTHER POWERS AND RIGHTS AS VESTED BY LAW. IN ADDITION, THE MEMBER HAS ADDITIONAL APPROVAL RIGHTS AS NOTED BELOW. -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 HIM/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 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
OTHER FEES	FORM 990, PART IX, LINE 11G	CONSULTING: PROGRAM SERVICE EXPENSES 2,336,148. MANAGEMENT AND GENERAL EXPENSES 2,651,095. FUNDRAISING EXPENSES 511,943. TOTAL EXPENSES 5,499,186. MD FEES: PROGRAM SERVICE EXPENSES 51,970,300. MANAGEMENT AND GENERAL EXPENSES 10,897,153. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,867,453. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 67,106,783. MANAGEMENT AND GENERAL EXPENSES 8,354,777. FUNDRAISING EXPENSES 449,773. TOTAL EXPENSES 75,911,333.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	UNREALIZED CHG IN EQUITY INTEREST IN LIMITED PARTNERSHIP 27,351,436. CHANGE IN FUNDED STATUS OF EMPLOYEE BENEFIT PLANS 102,103,277. TRANSFER (TO) FROM AFFILIATE -18,243,091. FUNDS MANAGED BY OTHERS -3,232,211.
	FORM 990, PART XII, LINE 2B,2C AND 2D	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

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	BIDCO HOSPITAL LLC	BusinessNameLine1

Address US AddressUS

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)
EIN	461643790	EIN
Primary Activities	OWN INTERESTS IN ACO'S AND PARTICIPATE IN HEALTH INSURANCE CONTRACTS	PrimaryActivities
Legal Domicile State	MA	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
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	02492	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
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 BOST	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
MILTON HOSPITAL DEVELOPMENT FUND INC
199 REEDSDALE RD	MILTON	MA	02186	222567057	FUNDRAISING/DEVELOPMENT	MA	501(C)(3)	LINE 7	MILTON HOSPITAL FOUNDATION 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

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Share Of Total IncomeShareOfTotalIncome	Code VCodeVAmount
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
400 BLUE HILL DRIVE SUITE 2B	WESTWOOD	MA	02090	043426253	COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC	MA	N/A
BIDCO PHYSICIAN LLC
400 BLUE HILL DRIVE SUITE 2B	WESTWOOD	MA	02090	043426253	COORDINATED, SAFE AND COST EFFECTIVE PATIENT CARE AT BIDMC	MA	N/A
CAREGROUP CLINICAL RESEARCH LLC
109 BROOKLINE AVENUE	BOSTON	MA	02215	300228711	TO PARTICIPATE IN A CLINICAL RESEARCH PARTNERSHIP	MA		NONE	RELATED	3221890	0	0	0.50000
CAREGROUP INVESTMENT PARTNERSHIP LLP
109 BROOKLINE AVENUE	BOSTON	MA	02215	043278109	INVESTMENT PARTNERSHIP	MA		NONE	EXCLUDED	366792377	0	0	0.50320	43151628	$516,799
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

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Controlled OrgControlledOrg
HORIZON VENTURES INC
199 REEDSDALE ROAD	MILTON	MA	02186	042853249	PHYSICIAN BILLING	MA	N/A	C	0
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
NEW ENGLAND BAPTIST HEALTH SERVICES
125 PARKER HILL AVE	BOSTON	MA	02120	043200386	PHYSICIAN/HOSPITAL ORGANIZATION	MA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg