BOSTON MEDICAL CENTER CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BOSTON MEDICAL CENTER CORPORATION (EIN 04-3314093)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-15
IRS object ID: 201402279349301530
Schema version: 2012v2.3
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	2014-08-15T09:30:01-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	125 High Street	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02110	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	043314093	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BOSTON MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% JOHN C LINDSTEDT	InCareOfName
Name Control	BOST	NameControl
Phone	6174141625	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	88 EAST NEWTON STREET	AddressLine1
Address Line2	Suite	AddressLine2
City	BOSTON	City
State	MA	State
ZIP Code	02118	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RICHARD SILVERIA	Name
Title	SVP FINANCE & CFO	Title
Phone	6175304000	Phone
Date Signed	2014-08-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6175305000	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	KATHLEEN E WALSH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	88 EAST NEWTON STREET	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02118	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1023589002	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.bmc.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	27	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	7327	TotalNbrEmployees
Total Nbr Volunteers	523	TotalNbrVolunteers
Total Gross UBI	42665	TotalGrossUBI
Net Unrelated Business Txbl Income	27985	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	10023360	ContributionsGrantsPriorYear
Contributions Grants Current Year	9605331	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	974874396	ProgramServiceRevenuePriorYear
Program Service Revenue CY	980736152	ProgramServiceRevenueCY
Investment Income Prior Year	33542000	InvestmentIncomePriorYear
Investment Income Current Year	28517000	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3826283	OtherRevenuePriorYear
Other Revenue Current Year	4238303	OtherRevenueCurrentYear
Total Revenue Prior Year	1022266039	TotalRevenuePriorYear
Total Revenue Current Year	1023096786	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	18926551	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	18402589	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	464959571	SalariesEtcPriorYear
Salaries Etc Current Year	482311904	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	9576	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	46000	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	2518184	TotalFundrsngExpCurrentYear
Other Expense Prior Year	519429341	OtherExpensePriorYear
Other Expenses Current Year	504229293	OtherExpensesCurrentYear
Total Expenses Prior Year	1003325039	TotalExpensesPriorYear
Total Expenses Current Year	1004989786	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	18941000	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	18107000	RevenuesLessExpensesCY
Total Assets BOY	1772798000	TotalAssetsBOY
Total Assets EOY	1862453000	TotalAssetsEOY
Total Liabilities BOY	769719000	TotalLiabilitiesBOY
Total Liabilities EOY	754736000	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1003079000	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1107717000	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	BOSTON MEDICAL CENTER'S MISSION IS TO PROVIDE CONSISTENTLY EXCELLENT AND ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	890021773	Expense
Revenue	980736152	Revenue
Description	SEE SCHEDULE O.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	17940358	Expense
Grants	17940358	Grants
Description	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE US.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	462231	Expense
Grants	462231	Grants
Description	BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	908424362	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	true	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	true	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	true	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	true	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	true	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	619	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	7327	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	EI	NameOfForeignCountry
Name Of Foreign Country	CA	NameOfForeignCountry
Name Of Foreign Country	CJ	NameOfForeignCountry
Name Of Foreign Country	LT	NameOfForeignCountry
Name Of Foreign Country	UK	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	27	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JOHN C LINDSTEDT	NamePerson
Telephone Number	6174141625	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	88 EAST NEWTON STREET	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02118	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (41 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
KAREN H ANTMAN MD
TRUSTEE	1.0	57.0	X	0	698175	34263
DAVID A PASSAFARO
VICE CHAIRMAN	1.0	2.0	X
CHRISTINE M DUNN
TRUSTEE	1.0	1.0	X
WILLIAM J HALPIN JR
TRUSTEe	1.0	1.0	X
edmond J english
CHAIRMAN	1.0	2.0	X
Randi Cutler
trustee	1.0	1.0	X
MARTHA S SAMUELSON
TRUSTEE	1.0	2.0	X
STEVEN d levy
TRUSTEE	1.0	1.0	X
LISA GUSCOTT
TRUSTEE	1.0	1.0	X
RICHARD SLIFKA
TRUSTEE	1.0	2.0	X
AZZIE YOUNG MPA PHD
TRUSTEE	1.0	1.0	X
barbara ferrer phd
TRUSTEE	1.0	1.0	X
david L coleman md
TRUSTEE	1.0	55.0	X	0	642386	35703
SUSAN DONAHUE
TRUSTEE	1.0	1.0	X
JOHN T HAILER
trustee	1.0	1.0	X
KATHLEEN E WALSH
PRESIDENT/CEO	50.0	11.5	X	1151272	0	110583	X
PAUL EGERMAN
TRUSTEE	1.0	1.0	X
PEGGY KOENIG
TRUSTEE	1.0	2.0	X
JAMES S PHALEN
TRUSTEE	1.0	2.0	X
MARK NUNNELLY
TRUSTEE	1.0	2.0	X
CLAIRE PERLMAN
TRUSTEE	1.0	1.0	X
DAVID AMENT
TRUSTEE	1.0	2.0	X
JAMES BLUE
TRUSTEE	1.0	1.0	X
SANDRA COTTERRELL
TRUSTEE	1.0	1.0	X
JACK CRADOCK
TRUSTEE	1.0	2.0	X
GERARD DOHERTY MD
TRUSTEE	1.0	55.0	X	0	910821	35828
ANAND DEVAIAH MD
TRUSTEE	1.0	1.0	X
Ronald L Walker II
TRUSTEE (UNTIL 6/30/13)	1.0		X	0	0	0
Thomas Alperin
TRUSTEE (UNTIL 9/9/13)	1.0	2.0	X	0	0	0
DAVID BECK
VP AND GENERAL COUNSEL	50.0	11.5		333801	0	48133	X
RICHARD SILVERIA
SVP FIN/CFO/TREAS	50.0	6.5		568791	0	70824	X
RAVIN DAVIDOFF
SR VP MED AFFAIRS/CMO	50.0	0.5		713834	0	67739		X
STAN HOCHBERG
SR. VP Qlty, Safety, and Tech	50.0			500042	0	70647		X
LISA O'CONNOR
SVP Clinic. Oper. (until 9/13)	50.0			558295	0	61602		X
BOB BIGGIO
VP FACILITY & SUPPORT SERVICES	50.0			325919	0	57154			X
PETER HEALY
VP PROF. SERVICE (UNTIL 7/13)	50.0			435321	0	69160			X
TIM MANNING
VP HR (Until 04/13)	50.0			425317	0	52848			X
NORMAN STEIN
VP DEVELOPMENT	50.0			649601	0	52172			X
THOMAS TRAYLOR
VP OF FED, STATE, LOCAL PROG	45.0	5.0		762814	0	63830			X
STEPHANIE LOVELL
FORMER SVP/GENERAL COUNSEL				342267	0	0				X
MEG ARANOW
VP INFO TECH/CIO(UNTIL 2/12)	50.0			614539	0	0				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7381813	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2251382	TotalReportableCompFrmRltdOrgs
Total Other Compensation	830486	TotalOtherCompensation
Number Individuals GT100 K	1290	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
BOSTON UNIVERSITY
715 ALBANY STREET SUITE 580	BOSTON	MA	021182528	SHARED RESEARCH SVCS	58527255
MORRISON HEALTH CARE INC
5801 PEACHTREE DUNWOODY ROAD	ATLANTA	GA	30342	FOOD SVCS/CAFETERIA	6004820
FTI Consulting Inc
200 State Street 2nd Floor	BOSTON	MA	02109	CONSULTING	3101730
PricewaterhouseCoopers
125 HIGH STREET	BOSTON	MA	02110	Auditing	2495625
SUFFOLK CONSTRUCTION COMPANY
65 ALLERTON STREET	BOSTON	MA	02119	CONSTRUCTION	2144490

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	107	NumberOfContractorsGT100K
Fundraising Events	3539301	FundraisingEvents
Government Grants	1403834	GovernmentGrants
All Other Contributions	4662196	AllOtherContributions
Noncash Contributions	770849	NoncashContributions
Total Contributions	9605331	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SVC REVENUE	900099	893584000	893584000
OTHER PROGRAM REVENUE	900099	4967152	4967152
GRANT/CONTRACT REVENUE	900099	82185000	82185000

Field	Value	IRS element (for citing)
Total Program Service Revenue	980736152	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	20374000	TotalRevenueColumn
Unrelated Business Revenue	42665	UnrelatedBusinessRevenue
Exclusion	$20,331,335	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	208917	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	109214	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	99703	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	99703	TotalRevenueColumn
Exclusion	$99,703	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	8143000	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	8143000	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	8143000	TotalRevenueColumn
Exclusion	$8,143,000	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	472670	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	3539301	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	383002	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	89668	TotalRevenueColumn
Exclusion	$89,668	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
CAFETERIA	900099	3686398	$3,686,398
PARKING	812930	362534	$362,534

Field	Value	IRS element (for citing)
Total Other Revenue	4048932	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1023096786	TotalRevenueColumn
Related Or Exempt Function Income	980736152	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	42665	UnrelatedBusinessRevenue
Exclusion	$32,712,638	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	17940358	Total
Program Services	17940358	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	462231	Total
Program Services	462231	ProgramServices

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	8349791	Total
Program Services	7184587	ProgramServices
Management And General	1144330	ManagementAndGeneral
Fundraising	20874	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	5696	Total
Program Services	5696	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	374568162	Total
Program Services	321557703	ProgramServices
Management And General	51217240	ManagementAndGeneral
Fundraising	1793219	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	25864786	Total
Program Services	22255382	ProgramServices
Management And General	3544742	ManagementAndGeneral
Fundraising	64662	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	42497925	Total
Program Services	36567384	ProgramServices
Management And General	5824296	ManagementAndGeneral
Fundraising	106245	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	31025544	Total
Program Services	26695962	ProgramServices
Management And General	4252018	ManagementAndGeneral
Fundraising	77564	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	904057	Total
Management And General	904057	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1841753	Total
Management And General	1841753	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	157758	Total
Program Services	135672	ProgramServices
Management And General	22086	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	46000	Total
Fundraising	46000	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	46707108	Total
Program Services	40189413	ProgramServices
Management And General	6400721	ManagementAndGeneral
Fundraising	116974	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	426009	Total
Program Services	366560	ProgramServices
Management And General	58384	ManagementAndGeneral
Fundraising	1065	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	15310754	Total
Program Services	13188516	ProgramServices
Management And General	2100610	ManagementAndGeneral
Fundraising	21628	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	3872313	Total
Program Services	3331936	ProgramServices
Management And General	530696	ManagementAndGeneral
Fundraising	9681	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	12207437	Total
Program Services	12207437	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	24189894	Total
Program Services	20814219	ProgramServices
Management And General	3315200	ManagementAndGeneral
Fundraising	60475	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	217642	Total
Program Services	183446	ProgramServices
Management And General	29218	ManagementAndGeneral
Fundraising	4978	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	529965	Total
Program Services	449099	ProgramServices
Management And General	71531	ManagementAndGeneral
Fundraising	9335	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	13691809	Total
Program Services	11781131	ProgramServices
Management And General	1876448	ManagementAndGeneral
Fundraising	34230	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	59231877	Total
Program Services	50966130	ProgramServices
Management And General	8117667	ManagementAndGeneral
Fundraising	148080	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5808131	Total
Program Services	4994993	ProgramServices
Management And General	813138	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
PHYSICIAN SERVICES	116958655	116958655
DIRECT RESEARCH	76808836	76808836
PATIENT RELATED SUPPLIES	56631979	56631979
DRUGS	40014180	40014180

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	28719136	Total
Program Services	26732857	ProgramServices
Management And General	1983105	ManagementAndGeneral
Fundraising	3174	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1004989786	Total
Program Services	908424362	ProgramServices
Management And General	94047240	ManagementAndGeneral
Fundraising	2518184	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	85056000	BOY
EOY	77427000	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	29173000	BOY
EOY	62407000	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	53194000	BOY
EOY	43910000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	130660000	BOY
EOY	106248000	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	87505000	BOY
EOY	131344000	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4584000	BOY
EOY	5490000	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6068000	BOY
EOY	7147000	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1123034000	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	666687000	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	425320000	BOY
EOY	456347000	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	94471000	BOY
EOY	116984000	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	180004000	BOY
EOY	189499000	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	676763000	BOY
EOY	665650000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1772798000	BOY
EOY	1862453000	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	135701000	BOY
EOY	127955000	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	18334000	BOY
EOY	18348000	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	354132000	BOY
EOY	361634000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	43482000	BOY
EOY	51174000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	218070000	BOY
EOY	195625000	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	769719000	BOY
EOY	754736000	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	687623000	BOY
EOY	771252000	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	299103000	BOY
EOY	320112000	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	16353000	BOY
EOY	16353000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1003079000	BOY
EOY	1107717000	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1772798000	BOY
EOY	1862453000	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	18107000	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	33884000	ReconciliationUnrealizedInvest
Reconcilation Other Changes	52647000	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	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)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$157,758	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$71,569	OtherActivitiesAmount
Total Lobbying Expenditures IIB	229327	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE C, PART II-B, LINE 1	Identifier
Explanation	BOSTON MEDICAL CENTER PAYS DUES TO NAPH, MHA, AND AHA, AND A PORTION OF THE DUES ARE ALLOCATED TO LOBBYING EFFORTS. THE PORTION OF THE DUES THAT was ALLOCATED TO LOBBYING EFFORTS WAS $71,569. BMC ALSO PAID GEORGE TRAYLOR $97,758, A LOBBYIST, TO REPRESENT THE ORGANIZATION. ADDITIONALLY, BOSTON MEDICAL CENTER PAID ROBERT WHITE ASSOCIATES $60,000 TO REPRESENT THE ORGANIZATION. THESE FEES WERE PAID TO THE LOBBYISTS LISTED TO ADVANCE BOSTON MEDICAL CENTER'S MISSION: "TO CONSISTENTLY PROVIDE EXCELLENT AND ACCESSIBLE HEALTH CARE SERVICES TO ALL IN NEED OF CARE, REGARDLESS OF STATUS OR ABILITY TO PAY" AS SET OUT IN CHAPTER 147 OF THE ACTS AND RESOLVES OF 1996 OF THE COMMONWEALTH OF MASSACHUSETTS.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	612745109	BeginningOfYearBalance
Investment Earnings Or Losses	59267481	InvestmentEarningsOrLosses
Other Expenditures	6211967	OtherExpenditures
Administrative Expenses	2390014	AdministrativeExpenses
End Of Year Balance	663410609	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	470341198	BeginningOfYearBalance
Contributions	81100000	Contributions
Investment Earnings Or Losses	68886188	InvestmentEarningsOrLosses
Other Expenditures	5377065	OtherExpenditures
Administrative Expenses	2205212	AdministrativeExpenses
End Of Year Balance	612745109	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	405862208	BeginningOfYearBalance
Contributions	127397784	Contributions
Investment Earnings Or Losses	-7312698	InvestmentEarningsOrLosses
Other Expenditures	53911542	OtherExpenditures
Administrative Expenses	1694554	AdministrativeExpenses
End Of Year Balance	470341198	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	427693269	BeginningOfYearBalance
Contributions	54430640	Contributions
Investment Earnings Or Losses	46804363	InvestmentEarningsOrLosses
Other Expenditures	121360660	OtherExpenditures
Administrative Expenses	1705404	AdministrativeExpenses
End Of Year Balance	405862208	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	431600644	BeginningOfYearBalance
Investment Earnings Or Losses	31375895	InvestmentEarningsOrLosses
Other Expenditures	33917009	OtherExpenditures
Administrative Expenses	1366261	AdministrativeExpenses
End Of Year Balance	427693269	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.54000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.02000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.44000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	11291978	OtherCostOrOtherBasis
Book Value	11291978	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	535002479	OtherCostOrOtherBasis
Depreciation	193532187	Depreciation
Book Value	341470292	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20947864	OtherCostOrOtherBasis
Depreciation	5718062	Depreciation
Book Value	15229802	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	43605336	OtherCostOrOtherBasis
Depreciation	20810933	Depreciation
Book Value	22794403	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	512186343	OtherCostOrOtherBasis
Depreciation	446625818	Depreciation
Book Value	65560525	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	456347000	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	DONOR RESTRICTED INVESTMENTS	Description
Book Value	189499000	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	189499000	TotalOfBookValueSecurities

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
OTHER LT ASSETS	182650000
FUNDS HELD BY TRUSTEES	21720000
FOR FUNDED DEPRECIATION	359240000
BOND INDENTURE	49474000
NONCURRENT NOTES RECEIVABLE	17284000
INSURANCE RECOVERY RECEIVABLES	35282000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	665650000	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
EST SETTLEMENT W/3RD PARTY PAY	$62,444,000
LT DEBT AND OBL-CAPITAL LEASE	$38,029,000
OTHER LONG-TERM LIABILITIES	$59,870,000
PROFESSIONAL LIABILITY CLAIMS	$35,282,000

Field	Value	IRS element (for citing)
Total Of Amounts	195625000	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	1057090000	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	33884000	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	33884000	RevenueNotRptdF990
Revenue Subtotal	1023206000	RevenueSubtotal
Other Revenues Not Included	-109214	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-109214	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1023096786	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1005099000	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	109214	OtherExpensesIncluded
Expenses Not Rptd F990	109214	ExpensesNotRptdF990
Expenses Subtotal	1004989786	ExpensesSubtotal
Total Expenses Per Form990	1004989786	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	SCHEDULE D, PART V, LINE 4 - GENERAL ENDOWMENT	Identifier
Explanation	THE GENERAL ENDOWMENT INCLUDES FUNDS FROM A NUMBER OF SOURCES WITH VARIOUS RESTRICTIONS ON USE AND TREATMENT. THE ENDOWMENT FUNDS HAVE BEEN CONTRIBUTED FOR SPECIFIC PURPOSES INCLUDING CONSTRUCTION, MAINTENANCE, RESEARCH, CLINICAL CARE, EDUCATION, DEVELOPMENT, STAFFING, SALARIES, LABORATORY EQUIPMENT AND SUPPLIES, AND CONVALESCENT CARE. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION'S FINANCIAL STATEMENTS DID NOT REPORT A LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48. SCHEDULE D, PART XI, LINE 4B RENTAL EXPENSE ($109,214) SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSE $109,214	Explanation

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	true	GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (9 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures	Number Of OfficesNumberOfOffices	Number Of EmployeesNumberOfEmployees	Specific Services ProvidedSpecificServicesProvided
East Asia and the Pacific	Grantmaking	66868
North America	Grantmaking	44000
Russia and the Newly Independent States	Grantmaking	164282
South America	Grantmaking	54891
Europe (Including Iceland and Greenland)	Investments	10790942
North America	Investments	40671098
Central America and the Caribbean	Investments	10135425
Sub-Saharan Africa	Program Services	130668	2	8	HEALTH SVCS TRAINING
Central America and the Caribbean	Program Services	8949000			PREMIUMS

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	2	SubtotalNumberOfOffices
Subtotal Number Of Employees	8	SubtotalNumberOfEmployees
Total Number Of Offices	2	TotalNumberOfOffices
Total Number Of Employees	8	TotalNumberOfEmployees
Subtotal Amount Spent	71007174	SubtotalAmountSpent
Total Amount Spent	71007174	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS (4 entries)

RegionRegion	Purpose Of GrantPurposeOfGrant	Amount Of Cash GrantAmountOfCashGrant	Manner Of Cash DisbursementMannerOfCashDisbursement
North America	SUBAWARD	44000	Wire Transfr
South America	SUBAWARD	54891	Wire Transfr
East Asia and the Pacific	SUBAWARD	66868	Wire Transfr
Russia and the Newly Independent States	SUBAWARD	164282	Wire Transfr

Field	Value	IRS element (for citing)
Total Number Of501c3 Orgs	4	TotalNumberOf501c3Orgs
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	true	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifier	ExplanationExplanation
SCHEDULE F, PART I, LINE 2	THE PRINCIPAL INVESTIGATOR AND ADMINISTRATOR APPROVE ALL SUBCONTRACT INVOICES, INCLUDING THOSE FROM A FOREIGN COUNTRY. THE FOREIGN SUBCONTRACT RECIPIENT HAS A BUDGET TO WHICH INVOICES ARE MATCHED TO ENSURE THAT ALL SPENDING IS APPROPRIATE. ADDITIONALLY, THE ORGANIZATION'S PRINCIPAL INVESTIGATORS REGULARLY CONTACT THE FOREIGN SUBCONTRACT RECIPIENTS TO MONITOR THE PROGRESS OF THE RECIPIENTS' WORK.
SCHEDULE F, PART II, LINE 1	FOREIGN EXPENDITURES ARE SEPARATELY IDENTIFIED ON THE ORGANIZATION'S GENERAL LEDGER.

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	true	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
OPEN HEARTS INC	28 SQUANTO RD	PEABODY	MA	01960	CATWALK FOR CANCER CARE	false	83621	10000	73621
Clappazzola Partners	4 LONGFELLOW PL 35TH FL	BOSTON	MA	02114	Gala,Golf Tournament	false	2483427	36000	2447427

Field	Value	IRS element (for citing)
Total Gross Receipts	2567048	TotalGrossReceipts
Total Retained By Contractors	46000	TotalRetainedByContractors
Total Net To Organization	2521048	TotalNetToOrganization
Licensed States	ME	LicensedStates
Licensed States	MA	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1
Gross Receipts Event1	2216998	GrossReceiptsEvent1
Charitable Contributions Event1	2103323	CharitableContributionsEvent1
Gross Revenue Event1	113675	GrossRevenueEvent1
Food And Beverage Event1	182410	FoodAndBeverageEvent1
Entertainment Event1	50897	EntertainmentEvent1
Other Direct Expenses Event1	26500	OtherDirectExpensesEvent1
Name Of Event2	FOOD FOR THOUG	NameOfEvent2
Gross Receipts Event2	1140513	GrossReceiptsEvent2
Charitable Contributions Event2	912410	CharitableContributionsEvent2
Gross Revenue Event2	228103	GrossRevenueEvent2
Food And Beverage Event2	50000	FoodAndBeverageEvent2
Total Number Of Other Events	3	TotalNumberOfOtherEvents
Gross Receipts Other Events	654460	GrossReceiptsOtherEvents
Charitable Contrib Other Events	523568	CharitableContribOtherEvents
Gross Revenue Other Events	130892	GrossRevenueOtherEvents
Rent Facility Costs Other Events	38495	RentFacilityCostsOtherEvents
Food And Beverage Other Events	34700	FoodAndBeverageOtherEvents
Gross Receipts Total	4011971	GrossReceiptsTotal
Charitable Contributions Total	3539301	CharitableContributionsTotal
Gross Revenue Total Events	472670	GrossRevenueTotalEvents
Rent Facility Costs Total Events	38495	RentFacilityCostsTotalEvents
Food And Beverage Total Events	267110	FoodAndBeverageTotalEvents
Entertainment Total Events	50897	EntertainmentTotalEvents
Other Direct Expenses Total Events	26500	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	383002	DirectExpenseSummaryEvents
Net Income Summary	89668	NetIncomeSummary

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	88 EAST NEWTON STREET	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02118	ZIPCode

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	72954	PersonsServed
Total Community Benefit Expense	84581139	TotalCommunityBenefitExpense
Direct Offsetting Revenue	83090507	DirectOffsettingRevenue
Net Community Benefit Expense	1490632	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	370622	PersonsServed
Total Community Benefit Expense	346220242	TotalCommunityBenefitExpense
Direct Offsetting Revenue	280238263	DirectOffsettingRevenue
Net Community Benefit Expense	65981979	NetCommunityBenefitExpense
Percent Of Total Expense	0.06570	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	443576	PersonsServed
Total Community Benefit Expense	430801381	TotalCommunityBenefitExpense
Direct Offsetting Revenue	363328770	DirectOffsettingRevenue
Net Community Benefit Expense	67472611	NetCommunityBenefitExpense
Percent Of Total Expense	0.06720	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13612010	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3769238	DirectOffsettingRevenue
Net Community Benefit Expense	9842772	NetCommunityBenefitExpense
Percent Of Total Expense	0.00980	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	63879137	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12615756	DirectOffsettingRevenue
Net Community Benefit Expense	51263381	NetCommunityBenefitExpense
Percent Of Total Expense	0.05100	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	640	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	86299709	TotalCommunityBenefitExpense
Direct Offsetting Revenue	76999125	DirectOffsettingRevenue
Net Community Benefit Expense	9300584	NetCommunityBenefitExpense
Percent Of Total Expense	0.00930	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	135000	TotalCommunityBenefitExpense
Net Community Benefit Expense	135000	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	640	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	163925856	TotalCommunityBenefitExpense
Direct Offsetting Revenue	93384119	DirectOffsettingRevenue
Net Community Benefit Expense	70541737	NetCommunityBenefitExpense
Percent Of Total Expense	0.07020	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	640	NumberOfActivitiesOrPrograms
Persons Served	443576	PersonsServed
Total Community Benefit Expense	594727237	TotalCommunityBenefitExpense
Direct Offsetting Revenue	456712889	DirectOffsettingRevenue
Net Community Benefit Expense	138014348	NetCommunityBenefitExpense
Percent Of Total Expense	0.13740	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	30191	TotalCommunityBuildingExpense
Net Community Building Expense	30191	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	15930000	TotalCommunityBuildingExpense
Net Community Building Expense	15930000	NetCommunityBuildingExpense
Percent Of Total Expense	0.01590	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	820000	TotalCommunityBuildingExpense
Net Community Building Expense	820000	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	18	NumberOfActivitiesOrPrograms
Total Community Building Expense	4362722	TotalCommunityBuildingExpense
Direct Offsetting Revenue	3410971	DirectOffsettingRevenue
Net Community Building Expense	951751	NetCommunityBuildingExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	516742	TotalCommunityBuildingExpense
Net Community Building Expense	516742	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	808767	TotalCommunityBuildingExpense
Net Community Building Expense	808767	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	23	NumberOfActivitiesOrPrograms
Total Community Building Expense	22468422	TotalCommunityBuildingExpense
Direct Offsetting Revenue	3410971	DirectOffsettingRevenue
Net Community Building Expense	19057451	NetCommunityBuildingExpense
Percent Of Total Expense	0.01900	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$25,563,126	BadDebtExpenseAmount
Amount Reimbursed By Medicare	202871775	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	164207019	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	38664756	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	true	WrittenDebtCollectionPolicy
Provision For Charity Care	false	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	BOSTON MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	88 EAST NEWTON STREET	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02118	ZIPCode

Field	Value	IRS element (for citing)
Website Address	http://www.bmc.org	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Research Facility	X	ResearchFacility
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BOSTON MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	false	UsesFPGDiscounted
Explains Basis	true	ExplainsBasis
Uninsured Discount	X	UninsuredDiscount
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MARGARET M SHEA RN ADULT HEALTH PROGRAM
229 RIVER STREET	MATTAPAN	MA	02126	ADULT DAYCARE
SUPPORTING PARENTS & RESILIENT KIDS CTR
255 RIVER STREET	MATTAPAN	MA	02126	THERAPEUTIC CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Introduction	THE STATUTE THAT CREATED BOSTON MEDICAL CENTER (BMC) REQUIRES IT TO SERVE ALL POPULATIONS. BMC IS A PRIVATE, NOT-FOR-PROFIT, 496-LICENSED BED, URBAN ACADEMIC MEDICAL CENTER WHICH EMPHASIZES COMMUNITY-BASED, ACCESSIBLE CARE AND THE MISSION TO PROVIDE CONSISTENTLY ACCESSIBLE HEALTH SERVICES TO ALL IN NEED OF CARE REGARDLESS OF STATUS AND ABILITY TO PAY. BMC IS THE LARGEST SAFETY NET HOSPITAL IN NEW ENGLAND AND PROVIDES A FULL SPECTRUM OF PEDIATRIC AND ADULT CARE SERVICES FROM PRIMARY TO FAMILY MEDICINE TO ADVANCED SPECIALTY CARE. APPROXIMATELY 70% OF OUR PATIENT VISITS COME FROM UNDERSERVED POPULATIONS, THE LOW-INCOME AND ELDERLY, WHO RELY ON GOVERNMENT PAYERS SUCH AS MEDICAID, THE HEALTH SAFETY NET AND MEDICARE FOR THEIR COVERAGE, AND 29 PERCENT DO NOT SPEAK ENGLISH AS A PRIMARY LANGUAGE. TO ADDRESS THE HEALTH NEEDS OF ITS DIVERSE PATIENT POPULATION, BMC PROVIDES A WIDE RANGE OF SERVICES BEYOND THE TRADITIONAL MEDICAL MODEL. THESE PROGRAMS, INCLUDING BUT NOT LIMITED TO, PATIENT NAVIGATION AND A FOOD PANTRY TO HELP REDUCE BARRIERS TO ACCESSING HEALTH SERVICES AND ELIMINATE DISPARITIES IN HEALTH CARE AMONG THE VARIOUS POPULATIONS BMC SERVES. WITH MORE THAN 26,035 ADMISSIONS AND 870,922 PATIENT VISITS IN FY13, BMC PROVIDES A COMPREHENSIVE RANGE OF INPATIENT, CLINICAL AND DIAGNOSTIC SERVICES IN MORE THAN 70 AREAS OF MEDICAL SPECIALTIES AND SUBSPECIALTIES. THE LARGEST 24-HOUR LEVEL I TRAUMA CENTER IN NEW ENGLAND, BMCS EMERGENCY DEPARTMENT HAD 129,783 VISITS IN FY13. BMC SERVES THE URBAN COMMUNITY OF GREATER BOSTON. THE MAJORITY OF THE COMMUNITIES THAT BMC SERVES ARE BOSTON CENSUS TRACTS THAT ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS/POPULATIONS. BMCS SERVICE COMMUNITIES REPRESENT MORE THAN 50% OF THE 180 SUCH DESIGNATED TRACTS IN SUFFOLK COUNTY (COMPRISING 17 NEIGHBORHOODS WITHIN AND SURROUNDING BOSTON). ALTHOUGH MASSACHUSETTS UNIVERSAL CARE ENABLES INDIVIDUALS TO SEEK CARE AT ANY HOSPITAL, BMC REMAINS THE LARGEST SAFETY NET PROVIDER IN BOSTON AND NEW ENGLAND. THE IMPLEMENTATION OF UNIVERSAL CARE DID NOT REDUCE THE REAL NUMBER OR PERCENT OF UNDERSERVED COMMUNITIES SERVED BY BMC. IN 2010, AN ESTIMATED 23% OF BOSTON RESIDENTS HAD INCOMES BELOW THE FEDERAL POVERTY LEVEL WHILE NEARLY HALF OF BMCS PATIENTS HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL. U.S. CENSUS BUREAU, 2010 AMERICAN COMMUNITY SURVEY. ACCORDING TO THE 2013 MASSACHUSETTS HEALTH INSURANCE SURVEY (DATA FROM 2011), AN ESTIMATE OF 3.1% OF RESIDENTS WERE UNINSURED AND CLOSE TO 97% OF MASSACHUSETTS RESIDENTS HAD COVERAGE DURING THE SURVEY. THE COMPOSITION OF THE LATTER IS: 17.7% MEDICAID; 61.8% EMPLOYER SPONSORED INSURANCE; AND 17.4% PUBLIC OR OTHER INSURANCE. OF BMCS PATIENTS, NEARLY 4.1% ARE UNINSURED, AND COVERAGE RATES FOR PRIMARY INSURANCE WERE APPROXIMATELY: 38.8% MEDICAID; 27.9% PRIVATE OR OTHER INSURANCE (EMPLOYER SPONSORED AND OTHER); AND 29% PUBLIC.
LINE 1: REQUIRED DESCRIPTIONS	THE ORGANIZATION OFFERS A DISCOUNT FROM CHARGES REGARDLESS OF INCOME OR ASSETS. THE DISCOUNT IS EQUAL TO THE UNCOMPENSATED CARE COST TO CHARGE RATIO. PART I, LINE 7 FOR THE CALCULATION OF COSTS OF CHARITY CARE (LINE 7A) & MEDICAID COST (LINE 7B) AN OVERALL COST TO CHARGE RATIO WAS USED. A COST TO CHARGE RATIO IS DETERMINED BY DIVIDING THE TOTAL CHARGES FOR ALL SERVICES INTO THE TOTAL COST OF PROVIDING THE SERVICES. THE RESULTING RATIO IS KNOWN AS A COST TO CHARGE RATIO. THE RATIO IS MULTIPLIED BY THE CHARGES FOR CHARITY CARE & MEDICAID TO OBTAIN THEIR RESPECTIVE COSTS. FOR THE CALCULATION OF COMMUNITY HEALTH IMPROVEMENT SERVICES(LINE 7E) DISCRETE COSTING WAS USED. FOR THE CALCULATION OF HEALTH PROFESSIONS EDUCATION COST (LINE 7F) THE CENTERS FOR MEDICARE & MEDICAID (CMS) COST ALLOCATION METHODOLOGY PER CMS FORM 2552 WAS USED. CMS FORM 2552 IS A REQUIRED ANNUAL FILING TO THE FEDERAL GOVERNMENT. PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE WAS $0. During fiscal year 2013, the Medical Center received favorable settlements from Medicaid, Medicare, and the Health Safety Net fund ("HSN") related to prior years. Changes include Medicaid Pay for Performance payments for $1,000,000, Medicare prior period cost report settlements for $5,500,000, and the Medical Center settled with the HSN for outpatient rate corrections, EMS ambulance free care payments and physician free care payments for $20,200,000.	PART I, LINE 3C
PART II	BMC CONTRIBUTES TO THE COMMUNITY THROUGH ITS PAYMENT OF LINKAGE FEES TO THE CITY OF BOSTON, WHICH FUNDS PROGRAMS FOR AFFORDABLE HOUSING AND NEIGHBORHOOD HEALTH CARE. BMC ALSO PROVIDES SUBSIDIES TO BOSTON HEALTHNET, WHICH SUPPORTS COMMUNITY BASED SERVICES. PHYSICAL IMPROVEMENTS AND HOUSING: ACCORDING TO THE DEVELOPMENT IMPACT PROJECT AGREEMENT FOR BUILDING FGH PROJECT BETWEEN BOSTON MEDICAL CENTER AND THE BOSTON REDEVELOPMENT AUTHORITY IN 2008, BMC AGREES TO PAY LINKAGE FEES OF $30,191.90, ENDING IN 2014, TO THE NEIGHBORHOOD HOUSING TRUST. MATTAPAN COMMUNITY HEALTH CENTER, AN AFFILIATE OF BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $8,200,000 FROM BOSTON MEDICAL CENTER DURING 2009 AND 2010 IN THE FORM OF A LOAN THAT WAS ORIGINATED ON SEPTEMBER 30, 2010. Effective June 30, 2009, $1,000,000 of the 2009 portion of the Mattapan loan was forgiven. COMMENCING NOVEMBER 1, 2011, BOSTON MEDICAL CENTER SHALL FORGIVE TEN PERCENT OF THE REMAINING PRINCIPAL AMOUNT ($7,200,000) OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING SHALL BE FORGIVEN IN TEN YEARS. THE FISCAL YEAR 2013 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $720,000. EAST BOSTON NEIGHBORHOOD HEALTH CENTER, AN AFFILIATE OF BOSTON MEDICAL CENTER, RECEIVED A TOTAL OF $1,000,000 FROM BOSTON MEDICAL CENTER DURING 2013 IN THE FORM OF A LOAN THAT WAS ORIGINATED EFFECTIVE JANUARY 15, 2013. COMMENCING SEPTEMBER 30, 2013, BOSTON MEDICAL CENTER SHALL FORGIVE TEN PERCENT OF THE ORIGINAL PRINCIPAL AMOUNT OF THE NOTE EACH YEAR, WITH THE RESULT THAT THE ENTIRE LOAN OUTSTANDING SHALL BE FORGIVEN IN TEN YEARS. THE FISCAL YEAR 2013 EXPENSE RELATED TO THE FORGIVENESS OF THIS LOAN WAS $100,000. CAPITAL INVESTMENTS IN BOSTON HEALTHNET: WHILE THE NEED FOR COMMUNITY-BASED SERVICES CONTINUES TO GROW, IT HAS BECOME INCREASINGLY DIFFICULT FOR HEALTH CENTERS TO MEET THE DEMAND. REIMBURSEMENT OFTEN DOES NOT COVER THE FULL COST OF CARING FOR THE COMPLEX NEEDS OF HEALTH CENTERS' DIVERSE PATIENT POPULATION. COMPOUNDING THIS PROBLEM, IN THE MID-LATE 1990S MANY HEALTH CENTERS FOUND THEMSELVES OPERATING IN FACILITIES THAT WERE IN DESPERATE NEED OF RESTORATION OR EXPANSION. COSTLY INFORMATION TECHNOLOGY UPGRADES WERE ALSO REQUIRED TO ENHANCE MANAGEMENT EFFICIENCIES AND PATIENT CARE. IN RESPONSE TO THE HEALTH CENTERS' NEEDS, BMC PROVIDES APPROXIMATELY $16 MILLION IN OPERATING SUPPORT TO THE BOSTON HEALTHNET HEALTH CENTERS EACH YEAR. OTHER NET SUBSIDIES INCLUDE MOSTLY ECONOMIC DEVELOPMENT, COMMUNITY HEALTH IMPROVEMENT AND WORKFORCE DEVELOPMENT.
PART III, LINE 2	Schedule H, Part III, Line 3 reports bad debt expense at cost. Patient payments on accounts are written off to bad debt and recorded as a bad debt recovery, reducing the gross bad debt write-off. PART III, LINE 3 THE ORGANIZATION ESTIMATED $0 OF THE ORGANIZATION'S BAD DEBT EXPENSE (AT COST) AS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY DUE TO THE MANNER IN WHICH THE DETAIL OF THE BAD DEBT EXPENSE IS PROCESSED IN ITS SYSTEM. PART III, LINE 4 The Organizations bad debt expense is addressed in Footnote 17 found on page 37 of its most recent audited financial statements. PART III, LINE 8 MEDICARE ALLOWABLE COSTS OF $164,207,019 WERE CALCULATED USING THE CMS FORM 2552 METHODOLOGY OF DETERMINING MEDICARE COSTS. THIS UTILIZES THE STEP DOWN METHOD OF DETERMINING FULLY ALLOCATED COSTS BY DISTINCT CLINICAL COST CENTERS AS DEFINED BY CMS. THESE FULLY ALLOCATED COSTS ARE APPLIED AGAINST TOTAL CHARGES TO CALCULATE A RATIO OF COST TO CHARGES (RCC). THE RCC IS APPLIED TO MEDICARE CHARGES BY DISTINCT CLINICAL COST CENTERS TO DETERMINE THE MEDICARE COSTS. PART V, SECTION A The Massachusetts Department of Public Health has licensed Boston Medical Center to operate a hospital at One Boston Medical Center Place, Boston, MA 02118. This location is (1) a Licensed Hospital, (2) provides General Medical & Surgical treatment, (3) is a Teaching Hospital, and (4) operates an ER 24 hours. While the hospital license lists three Campuses, only two campuses operate: 1. Boston Medical Center Corporation, Menino Pavilion, 830-840 Harrison Avenue, Boston, MA 02118; and, 2. Boston Medical Center Corporation, Newton Pavilion, 88 East Newton Street, Boston, MA 02118 Boston Medical Center also operates the following outpatient centers, which are under the hospital's license: Codman Square Health Center Charlestown High School Student Health Center Brighton High School Student Health Center Boston Medical Center Radiology at Ryan Center Boston University East Boston Neighborhood Health Center (10 Gove Street) Dorchester House Multi-Service Center Madison Park High School Student Health Center Jeremiah E. Burke student Health Center Greater Roslindale Medical & Dental Latin Academy Student Health Center TechBoston Academy School Health Center Harbor School Boston Medical Center Radiology at Whittier Health Center Boston Medical Center Radiology at Upham's Corner Health Center Muriel Snowden International High School Health Center South Boston Community Health Center Boston Medical Center School Based Center at Boston Community Leadership Academy Elder Service Plan Dispensing Pharmacy South Boston Community Health Center East Boston Neighborhood Health Center - 20 Maverick Square Boston Medical Center Radiology at Mattapan Community Health Center East Boston Neighborhood Health Center (79 Paris Street) PART V, SECTION B, LINE 3 This CHNA identifies the health-related needs of and assets in the community served by BMC through social determinants of health framework, which defines health broadly and recognizes numerous factors at multiple levels- from lifestyle behaviors (e.g., healthy eating and active living) to clinical care (e.g., access to medical services) to social and economic factors (e.g., poverty) to the physical environment (e.g., air quality)-which have an impact on the community's health. Existing social, economic, and epidemiological data were drawn from national, state, county, and local sources, such as the U.S. Census Bureau and the Massachusetts Department of Public Health, which include self-report, public health surveillance, and vital statistics data. More than 55 individuals-representing persons with expertise in public health; leaders, representatives and members of medically underserved, low-income, minority populations; and populations with chronic disease needs from the community served by the hospital-were engaged in focus groups and interviews between November 2012 and March 2013 in order to gauge their perceptions of the community and priority health concerns. Three of the focus groups were conducted in languages other than English, including Vietnamese, Spanish, and Cape Verdean Creole. PART V, SECTION B, LINE 7 BMC conducted a Community Health Needs Assessment (CHNA) and adopted an implementation strategy in the 2012 tax year. The organization will execute its implementation strategy in tax years 2013-2015. IT did not address all of the needs identified therein because the adopted Implementation Strategy is relevant to the 2013-2015 tax years; BMC IS currently, at the time of this submission, in tax year 2013 and reporting tax year 2012. The implementation strategy adopted by BMC addresses most of the needs determined in the CHNA. Unwavering in its commitment to address the health needs of its community, BMC provides a wide range of programs beyond the traditional medical model. Core to fulfilling its public health mission and consistent with the CHNA findings, the goals of BMC'S community benefits programs are to improve access to and utilization of health services, and improve health outcomes for underserved populations in ITS community. Although BMC's implementation strategy addresses most of the needs identified in its CHNA, poverty is unique among the needs identified because it exacerbates each of the other needs. Low-income populations are disproportionately affected by barriers to accessing and utilizing health care, chronic diseases and conditions, violence, mental health issues, and substance abuse. The eradication of poverty requires strategies that are well beyond the scope of any hospital's mission, including BMC's, yet ITS existing community benefits programs will continue to help assist those living in poverty to gain greater access to health care services. PART V, SECTION B, LINE 12H PATIENTS ARE CHARGED AT THE SAME LEVELS AS INSURERS ARE CHARGED; HOWEVER, THEY ARE OFFERED A PROMPT-PAY DISCOUNT OF 40% (REGARDLESS OF INCOME LEVEL, ETC.) IF THE PAYMENTS ARE MADE WITHIN THE FIRST 30 DAYS FROM SERVICE. PART V, SECTION B, LINE 20D BY THE DEFINITION OF BMC'S FINANCIAL ASSISTANCE POLICY (FAP), PATIENTS WHO QUALIFY FOR THE FAP HAVE APPLIED FOR ONE OF THE COMMONWEALTH'S FINANCIAL ASSISTANCE PROGRAMS (COMMONWEALTH CARE, MEDICAID, OR HEALTH SAFETY NET) OR HAVE BEEN RENDERED URGENT/EMERGENT SERVICES. IN THOSE INSTANCES, PATIENTS ARE VIEWED AS UNABLE TO PAY FOR THESE CHARGES AND THE HOSPITAL SUBMITS THE CHARGE FOR REIMBURSEMENT FROM THE HEALTH SAFETY NET.
PART VI, LINE 2: NEEDS ASSESSMENT	IN 2013 BMC CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH INCLUDED REVIEWING EXISTING SOCIAL, ECONOMIC, AND HEALTH DATA ABOUT RESIDENTS OF ITS COMMUNITY AND THOSE WHO ARE TRADITIONALLY UNDERSERVED; CONDUCTING FOCUS GROUPS WITH COMMUNITY MEMBERS; AND CONDUCTING KEY INFORMANT INTERVIEWS WITH HEALTH CARE PROVIDERS AND COMMUNITY LEADERS. KEY FINDINGS THAT EMERGED FROM THE NEEDS ASSESSMENT INCLUDED POVERTY, ACCESS TO AND UTILIZATION OF HEALTH CARE, CHRONIC DISEASES AND CONDITIONS, VIOLENCE, MENTAL HEALTH AND SUBSTANCE ABUSE. THESE FINDINGS FORMED BMC'S IMPLEMENTATION STRATEGY, WHICH WAS APPROVED BY BMCS BOARD OF TRUSTEES AND IS BMC'S ROADMAP FOR THE NEXT THREE YEARS. PART VI, Line 3: Patient education of eligibility for assistance The Hospital will post a notice (signs) of availability of financial assistance in the following locations: i. Inpatient, clinic, and emergency department and/or waiting areas; ii. Patient financial counselor areas; iii. Central admission/registration areas; and/or iv. Business office areas that ARE open to patients. Posted signs will be clearly visible and legible to patients visiting these areas. The Hospital will also include a notice about the availability of financial assistance in all initial bills. When the patient contacts the Hospital, the Hospital Patient Financial Services staff will notify the patient if they qualify for a payment plan. A patient who is enrolled in a public financial assistance program (e.g., MassHealth, Health Safety Net, or for Medical Hardship) may qualify for certain plans. Patients may also qualify for additional assistance based on the Hospitals own internal criteria for financial assistance. 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, Childrens Medical Security Plan, Healthy Start, Health Safety Net, or other forms of financial assistance programs as they become part of the Virtual Gateway program. All signs and notices shall be translated into languages other than English if such language is spoken by 10% or more of the population residing in the Hospital service area. Currently, the Hospital translates the notices into the following languages: -English -Portuguese -Spanish -Haitian Creole
PART VI, LINE 4: COMMUNITY INFORMATION	PLEASE SEE INTRODUCTION. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH ACCESS TO AND UTILIZATION OF HEALTH CARE ACUPUNCTURE: ACUPUNCTURE SERVICES AT BMC ARE PROVIDED FREE OF CHARGE TO MORE THAN 1,000 PATIENTS ANNUALLY WHO DO NOT HAVE AFFORDABLE ACCESS TO COMPLEMENTARY ALTERNATIVE MEDICINE (CAM). BIRTH SISTERS AND CENTERING PREGNANCY: BMC HAS DEVELOPED TWO PROGRAMS, BIRTH SISTERS AND CENTERING PREGNANCY, TO IMPROVE HEALTH OUTCOMES OF CHILDBEARING WOMEN AT RISK FOR POOR MATERNAL AND INFANT OUTCOMES. BIRTH SISTERS ARE WOMEN WHO ARE TRAINED TO PROVIDE SOCIAL SUPPORT AND EDUCATION TO MOTHERS FROM THEIR OWN COMMUNITIES DURING PREGNANCY, LABOR, AND THE POSTPARTUM PERIOD. THE BIRTH SISTERS PROGRAM HAS BEEN LINKED TO SIGNIFICANTLY HIGHER BREASTFEEDING RATES AND FEWER CESAREAN DELIVERIES. CENTERING PREGNANCY IS AN INNOVATIVE AND PROVEN MODEL OF CARE THAT OFFERS PRENATAL CARE IN 10 TWO-HOUR GROUP SESSIONS USING A CURRICULUM MODIFIED TO MEET THE COMPLEX SOCIAL NEEDS OF BMCS POPULATION. AT THESE SESSIONS, BEGINNING EARLY IN THE SECOND TRIMESTER, PATIENTS RECEIVE HEALTH VISITS, PRENATAL AND PARENTING EDUCATION, AND PEER GROUP SUPPORT ALL IN ONE VISIT. THE PROGRAMS SERVICED A COMBINED 833 PATIENTS IN FY13. BOSTON CENTER FOR REFUGEE HEALTH AND HUMAN RIGHTS (BCRHHR): THE MISSION OF THE BCRHHR IS TO PROVIDE COMPREHENSIVE HEALTH CARE FOR REFUGEES AND SURVIVORS OF TORTURE AND RELATED TRAUMA, COORDINATED WITH LEGAL AID AND SOCIAL SERVICES; TO EDUCATE AND TRAIN AGENCIES AND PROFESSIONALS WHO SERVE THESE COMMUNITIES; TO ADVOCATE FOR THE PROMOTION OF HEALTH AND HUMAN RIGHTS IN THE UNITED STATES AND WORLDWIDE; AND TO CONDUCT CLINICAL, EPIDEMIOLOGICAL, AND LEGAL RESEARCH FOR THE BETTER UNDERSTANDING AND PROMOTION OF HEALTH AND QUALITY OF LIFE FOR SURVIVORS OF TORTURE AND RELATED TRAUMA. IN FY13, THE BCRHHR SERVED 372 PATIENTS. CANCER SCREENINGS: BMC OFFERS ANNUAL FREE CANCER SCREENING EVENTS TO VULNERABLE, UNDERSERVED INDIVIDUALS IN ORDER TO PROMOTE THE EARLY DETECTION OF CANCER. BECAUSE BMC SERVES A PREDOMINANTLY MINORITY AND LOW-INCOME POPULATION, INCLUDING MANY NON-ENGLISH-SPEAKING CITIZENS AND IMMIGRANTS, THE DELIVERY OF EXCEPTIONAL CARE REQUIRES A KEEN SENSITIVITY TO THE CHALLENGES FOR OUR PATIENT POPULATION. THE WEEKEND CANCER SCREENINGS EFFECTIVELY REACH OUR TARGET POPULATION BECAUSE THEY CREATE A CONVENIENT TIME FOR PEOPLE WHO WORK TO ACCESS SCREENINGS. IN 2013, BMC HELD THREE DAYS OF CANCER SCREENING EVENTS, AT WHICH 77 PEOPLE WERE SCREENED AT NO OUT-OF POCKET-COSTS TO PARTICIPANTS. CHILD LIFE PROGRAM (CLP): THE CLP HELPS CHILDREN AND FAMILIES MANAGE THE STRESSES ASSOCIATED WITH HOSPITALIZATION AND ILLNESS. THE CHILD LIFE TEAM IS TRAINED TO HELP CHILDREN AND FAMILIES UNDERSTAND THE HOSPITAL EXPERIENCE AND RELATED FEELINGS. THE GOALS OF THE CLP ARE TO: HELP CHILDREN EXPRESS THEIR FEELINGS IN A SAFE AND SUPPORTIVE ENVIRONMENT; HELP CHILDREN MANAGE PAIN EFFECTIVELY; OFFER CHILDREN CHOICES THAT INCREASE FEELINGS OF INDEPENDENCE, SELF ESTEEM AND TRUST; AND ASSIST WITH IMPLEMENTATION OF COPING TECHNIQUES DURING STRESSFUL SITUATIONS. CLOTHING BANK: BMCS SOCIAL WORKERS ACCESS THE CLOTHING BANK IN REAL TIME WHEN A PROVIDER CONTACTS SOCIAL WORK ABOUT A BASIC CLOTHING NEED (SWEAT PANTS, SHIRTS, UNDERWEAR, SOCKS, SHOES, AND WINTER COATS) FOR A LOW-INCOME PATIENT. ELDERS LIVING AT HOME PROGRAM (ELAHP): THE GOAL OF ELAHP IS TO HELP OLDER ADULTS LOCATE AND MAINTAIN A PERMANENT RESIDENCE AND ALLOW THEM TO LIVE AS INDEPENDENTLY AS POSSIBLE. IN FY13, ELAHP SERVED 213 CLIENTS: 28 CLIENTS RECEIVED HOUSING SEARCH SERVICES; 65 CLIENTS RECEIVED STABILIZATION SERVICES; 97 CLIENTS RECEIVED NUTRITION SERVICES; AND 36 CLIENTS RECEIVED HOMELESSNESS PREVENTION SERVICES. ALL OF THE ELDERLY MEN AND WOMEN PLACED IN HOUSING AND PROVIDED HOUSING STABILIZATION SERVICES HAVE REMAINED SUCCESSFULLY HOUSED. GROW CLINIC: AS PART OF BMCS PEDIATRICS DEPARTMENT, THE PRIMARY GOAL OF THE GROW CLINIC IS TO PROVIDE COMPREHENSIVE MULTIDISCIPLINARY MEDICAL, NUTRITIONAL, SOCIAL SERVICES AND DIETARY ASSISTANCE TO CHILDREN FROM THE GREATER BOSTON AREA DIAGNOSED WITH FAILURE TO THRIVE (FTT). CHILDREN WITH FTT HAVE SIGNIFICANT DIFFICULTY GROWING BECAUSE OF MALNUTRITION ASSOCIATED WITH POVERTY, ILLNESS AND FAMILY STRESS. THE EFFECTS OF FTT INCLUDE SHORTENED ATTENTION SPANS, EMOTIONAL PROBLEMS, DELAYED COGNITIVE DEVELOPMENT, LASTING GROWTH FAILURE, AND FREQUENT SERIOUS ILLNESS, WHICH CAN RESULT IN HOSPITALIZATION. IN FY13, THE GROW CLINIC PROVIDED MEDICAL TREATMENT, NUTRITIONAL ASSESSMENT, HOME HEALTH EDUCATION, FAMILY ADVOCACY, ACCESS TO A THERAPEUTIC FOOD PANTRY, CHILDRENS CLOTHES, DIAPERS, BOOKS AND EDUCATIONAL TOYS AMONG OTHER SERVICES. AT ANY GIVEN TIME THERE ARE APPROXIMATELY 240-250 CHILDREN BEING TREATED IN-CLINIC, 19% OF WHOM ARE 12 MONTHS OF AGE OR YOUNGER; 46% OF CHILDREN WERE 12 MONTHS OR YOUNGER ON THE DATE OF REFERRAL TO THE GROW CLINIC. KIDS FUND: DONATIONS TO THE KIDS FUND ARE USED TO HELP FAMILIES OBTAIN EQUIPMENT AND ITEMS THAT THEIR CHILDREN NEED FOR OPTIMUM HEALTH AND SAFETY. FOR EXAMPLE, BMC PROVIDERS CARE FOR NEARLY 500 CHILDREN EACH WINTER WHO DO NOT HAVE A WARM WINTER COAT. OFTEN, FAMILIES CANNOT AFFORD TO BUY A CAR SEAT OR A CRIB, PUTTING THE CHILD AT RISK OF SERIOUS INJURY. NURSES AND SOCIAL WORKERS CAN ACCESS THE KIDS FUND TO PURCHASE COATS, CRIBS, CAR SEATS, EYEGLASSES, OR WHATEVER ELSE A CHILD MAY NEED YET THE FAMILY CANNOT AFFORD TO PURCHASE ON THEIR OWN. MARGARET M. SHEA RN ADULT DAY HEALTH PROGRAM: THIS PROGRAM OFFERS FAMILIES PEACE OF MIND AND A SUPPORT SYSTEM TO HELP THEM WITH DECISIONS INVOLVING THE CARE OF THEIR LOVED ONES. IT IS A HOLISTIC MEDICAL INTERVENTION PROGRAM THAT PROVIDES SERVICES IN AN AMBULATORY, HOME-LIKE SETTING FOR ADULTS WHO DO NOT REQUIRE 24-HOUR INSTITUTIONAL CARE, BUT BECAUSE OF PHYSICAL AND/OR MENTAL IMPAIRMENT, ARE NOT COMPLETELY ABLE TO LIVE INDEPENDENTLY. ALL PARTICIPANTS ARE REFERRED TO THE PROGRAM AND ARE SCREENED BEFORE ENTERING THE PROGRAM. SERVICES OFFERED BY THE PROGRAM INCLUDE NURSING, SOCIAL SERVICES, ACTIVITIES, AND TRANSPORTATION. THE PROGRAM SERVES APPROXIMATELY 60 INDIVIDUALS AT A TIME; PARTICIPANTS ATTEND THE PROGRAM UP TO FIVE TIMES PER WEEK. PEDIATRIC ASSESSMENT OF COMMUNICATION CLINIC (THE AUTISM PROGRAM): THE AUTISM PROGRAM PROVIDES COMPREHENSIVE CARE TO PATIENTS SEEN FOR A DIAGNOSIS OF AUTISM SPECTRUM DISORDER (ASD). THE AUTISM PROGRAM ASSISTS AND EMPOWERS THOSE AFFECTED BY ASDS THROUGH CULTURALLY COMPETENT DIRECT PATIENT SUPPORT AND COMMUNITY-BASED TRAININGS. AUTISM SPECIALISTS ARE AVAILABLE AT THE TIME OF DIAGNOSIS TO OFFER IMMEDIATE PSYCHOSOCIAL SUPPORT AND ASSISTANCE TO FAMILIES AS WELL AS LONGITUDINAL SUPPORT, INCLUDING AIDING WITH PUBLIC BENEFITS ENROLLMENT, NAVIGATING EDUCATIONAL AND THERAPEUTIC OPTIONS, AND FACILITATING LINKAGES TO COMMUNITY SUPPORT AGENCIES. AUTISM SPECIALISTS ROUTINELY WORK WITH COMMUNITY PARTNERS, SUCH AS BOSTON PUBLIC SCHOOLS AND OTHER NON-PROFIT AGENCIES, TO PROVIDE TRAINING AND CONSULTATION TO PARENTS AND PROFESSIONALS ON RESOURCES AND INTERVENTION PRACTICES RELATED TO AUTISM. IN FY13, THE AUTISM PROGRAM ASSISTED APPROXIMATELY 250 NEW PATIENTS AND PROVIDED REGULAR FOLLOW-UPS (AT LEAST TWICE PER YEAR) TO AN ADDITIONAL 200 FAMILIES. PEDIATRIC COMPREHENSIVE CARE PROGRAM (PEDIATRIC CCP): THE COMPREHENSIVE CARE PROGRAM IN THE DEPARTMENT OF PEDIATRICS SERVED 414 CHILDREN WITH SPECIAL HEALTH CARE NEEDS AND THEIR FAMILIES IN FY13. THE CLINICAL STAFF INTEGRATES PRIMARY CARE WITH SPECIALTY CARE AND SOCIAL SERVICES FOR CHILDREN WITH NEURODEVELOPMENTAL AND EMOTIONAL/BEHAVIORAL NEEDS RELATED TO PRE-TERM BIRTH, CONGENITAL SYNDROMES AND CHRONIC HEALTH CONDITIONS, AND/OR HAVE EXPERIENCED TRAUMA AS A RESULT OF ABUSE/NEGLECT, PARENTAL ABANDONMENT, DOMESTIC VIOLENCE, AND PARENTAL SUBSTANCE ABUSE. MOST OF THE CHILDREN SEEN IN THE CCP HAVE COMPLEX OVERLAPPING HEALTH, DEVELOPMENT AND EMOTIONAL/BEHAVIORAL ISSUES. MANY LOW-INCOME PARENTS OF SPECIAL NEEDS CHILDREN TEND TO ENGAGE HAPHAZARDLY AND EPISODICALLY WITH THE HEALTHCARE SYSTEM AND FAIL TO RECEIVE APPROPRIATE FOLLOW-UP CARE AND INTERVENTION. THESE PARENTS OFTEN FACE ECONOMIC HARDSHIPS, EDUCATIONAL BARRIERS, PSYCHOSOCIAL STIGMA, AND SOCIAL ISOLATION AS THEY TRY TO COPE WITH THEIR CHILDRENS NEEDS AND ATTEMPT TO MAINTAIN STABILITY FOR THEIR FAMILIES. THE CCP, WITH ITS MULTIDISCIPLINARY APPROACH, SEES ANYWHERE FROM 4 TO 6 PATIENTS PER HOUR, CONSIDERABLY LESS THAN THE 8 PATIENTS PER HOUR IN A REGULAR PEDIATRIC CLINIC. ADDITIONALLY, DURING THEIR PRIMARY CARE VISIT PATIENTS ALSO CAN SEE A NEUROLOGIST, PULMONOLOGIST, NUTRITIONIST, GASTROENTEROLOGIST, AND/OR A PEDIATRIC ENDOCRINOLOGIST. THIS 'ONE STOP SHOPPING' MODEL OF CARE PROMOTES COMMUNICATION BETWEEN ALL MEMBERS OF THE CHILD'S HEALTHCARE TEAM.
PREVENTIVE FOOD PANTRY AND DEMONSTRATION KITCHEN: THE PREVENTIVE FOOD	MALNUTRITION AMONG A LOW-INCOME, LARGELY UNDERSERVED AND VULNERABLE PATIENT POPULATION OF GREATER BOSTON. INDIVIDUALS AT RISK OF MALNUTRITION ARE REFERRED TO THE PROGRAM BY BMC OR BOSTON HEALTHNET PHYSICIANS OR NUTRITIONISTS WHO PROVIDE 'PRESCRIPTIONS' FOR SUPPLEMENTAL FOOD THAT BEST PROMOTES PHYSICAL HEALTH, PREVENTS FUTURE ILLNESS, AND FACILITATES RECOVERY. THE FOOD PANTRY NOW PROVIDES NUTRITIONAL FOOD PRESCRIPTIONS TO APPROXIMATELY 7,000 PEOPLE EACH MONTH. IN FY13, THE PANTRY PROVIDED NUTRITIOUS FOOD FOR 85,913 GREATER BOSTON RESIDENTS. APPROXIMATELY 12,000 POUNDS OF FOOD SUPPLIES ARE REQUIRED WEEKLY TO STOCK THE PANTRY SHELVES AT BMC. THE DEMONSTRATION KITCHEN COMPLEMENTS THE WORK OF THE PANTRY BY EDUCATING PATIENTS ABOUT NUTRITION THROUGH COOKING METHODS THAT ARE COMPATIBLE WITH THEIR MEDICAL AND DIETARY NEEDS, AS PRESCRIBED BY THEIR PHYSICIANS. SHUTTLE BUSES/TAXIS: COMMUNITY ACCESS TO BMC IS ENHANCED THROUGH A FREE SHUTTLE BUS SERVICE. FOUR BUSES CIRCULATE THROUGHOUT THE SYSTEM ON ESTABLISHED ROUTES, FROM 7AM-7PM, MONDAY THROUGH FRIDAY, BRINGING PATIENTS TO BMC. IN FY13, THESE SHUTTLE BUSES TRANSPORTED 204,199 PATIENTS AND THEIR FAMILIES BETWEEN BMC AND THE BOSTON HEALTHNET COMMUNITY HEALTH CENTERS. THERE IS ALSO A DIRECT TAXI AND VAN HOSPITAL-TO-HOME SERVICE FOR SPECIFIC CASES. SOCIAL WORK EMERGENCY FUND (SWEF): THE SWEF PROVIDED SHORT-TERM, IMMEDIATE ASSISTANCE TO PATIENTS WHO FACED CRISES IN FY13 AND HAD NOWHERE ELSE TO TURN. SWEF ENABLES BMC TO COVER THE COSTS OF EMERGENCY EXPENSES WHILE ITS SOCIAL WORKERS HELP INDIVIDUALS AND FAMILIES FIND THE RESOURCES AND SERVICES THEY NEED TO STABILIZE THEIR LIVES AFTER PERSONAL CRISES. WE PROVIDE CAB VOUCHERS FOR THOSE UNABLE TO ACCESS PUBLIC TRANSPORTATION TO GET TO BMC, AND CAR SEATS AND CLOTHING TO YOUNG FAMILIES. SWEF HAS THE FLEXIBILITY TO PROVIDE FOR A RANGE OF NEEDS AND THE JUDICIOUS USE OF FUNDS HELPS IN A NUMBER OF UNIQUE SITUATIONS WHEN, TOO OFTEN, INDIVIDUALS AND FAMILIES HAVE NO ALTERNATIVE. SUPPORTING PARENTS AND RESILIENT KIDS CENTER (SPARK): SPARK IS A THERAPEUTIC DAY PROGRAM FOR BOSTONS MOST VULNERABLE CHILDREN, INCLUDING THOSE LIVING WITH HIV/AIDS; THOSE BORN VERY PREMATURELY; THOSE WHO HAVE SUFFERED PSYCHOLOGICAL TRAUMA DUE TO ABUSE/NEGLECT; AND THOSE WITH COMPLEX MEDICAL AND EMOTIONAL NEEDS. SPARK STAFF PROVIDES MEDICAL, EDUCATIONAL, NUTRITIONAL, AND MENTAL HEALTH SERVICES TO VULNERABLE CHILDREN FROM BIRTH TO AGE 22. SPARK OPERATES AN EARLY CHILDHOOD DAY PROGRAM, A SCHOOL-AGE AFTER-SCHOOL PROGRAM, A YOUNG ADULT JOB TRAINING PROGRAM, AND A SUMMER CAMP PROGRAM SERVING APPROXIMATELY 60 CHILDREN ANNUALLY WHO LIVE IN GREATER BOSTON NEIGHBORHOODS. SPARK HELPS CHILDREN TO REACH THEIR FULL NEURODEVELOPMENTAL POTENTIAL, BUILD POSITIVE SOCIAL AND EMOTIONAL SKILLS, COPE PROACTIVELY WITH HEALTH CHALLENGES, AND LEARN HOW TO SUCCEED IN SCHOOL AND BEYOND. ADDITIONALLY, SPARK MAKES STRONG INVESTMENTS IN FAMILIES, THROUGH A VARIETY OF PARENT EDUCATION AND SUPPORT PROGRAMS. CHRONIC DISEASES AND CONDITIONS BWELL CENTER: THE BWELL CENTER PROVIDES PEDIATRIC PATIENTS AND THEIR FAMILIES WITH SIMPLE INTERVENTIONS THAT PROMOTE HEALTH AND WELL-BEING WHILE THEY ARE IN THE AMBULATORY CARE WAITING ROOM. BWELL CENTER STAFF AND VOLUNTEERS USE VARIOUS INTERACTIVE AND EDUCATIONAL TOOLS TO ENGAGE CHILDREN INCLUDING BOOKS, COMPUTERS, AGE APPROPRIATE VIDEOS ON A VARIETY OF HEALTHY LIVING TOPICS, PLAY AREAS WHERE CHILDREN CAN JUMP ROPE, FOR EXAMPLE, AND HOURLY DEMONSTRATIONS FOCUSED ON EXPOSING PATIENTS TO YOGA, NUTRITION, AND OTHER HEALTHY LIFESTYLE CHOICES. IN RESPONSE TO ITS POPULARITY AMONG CHILDREN, THEIR PARENTS, AND PROVIDERS, THE BWELL CENTER HAS EXPANDED SIGNIFICANTLY SINCE ITS CREATION MORE THAN TWO YEARS AGO. BWELL SERVES APPROXIMATELY 200 FAMILIES PER MONTH, A NUMBER THAT HAS GROWN STEADILY SINCE ITS INCEPTION AND IS EXPECTED TO CONTINUE TO GROW. CANCER SUPPORT GROUPS: IN 2006, BMC ESTABLISHED THE CANCER PATIENT SUPPORT SERVICES FUND TO PROVIDE CRUCIAL SERVICES AND PROGRAMS TO COMPLEMENT PATIENTS CLINICAL CARE. THE FUND IS USED FOR SURVIVORSHIP PROGRAMS SUCH AS SUPPORT GROUPS AND CELEBRATIONS, ASSISTANCE WITH TRANSPORTATION COSTS TO AND FROM THE HOSPITAL, PATIENT NAVIGATION, AND THE PROVISION OF COMPLEMENTARY THERAPIES SUCH AS YOGA AND MASSAGE. IN FY13, THERE WERE 30 CANCER SUPPORT AND ACTIVITY GROUPS THAT MET REGULARLY AND 10 SIGNIFICANT SPECIAL SURVIVORSHIP EVENTS. PATIENT NAVIGATION: THE PATIENT NAVIGATION PROGRAM IS DESIGNED FOR PATIENTS WITH CANCER AND CHRONIC ILLNESSES, SUCH AS DIABETES, WHO NEED SPECIAL ASSISTANCE IN NAVIGATING THE HEALTH CARE SYSTEM. PATIENT NAVIGATORS ARE INDIVIDUALS FROM THE COMMUNITIES SERVED BY BMC, WHO HAVE SPECIAL LANGUAGE SKILLS, TRAINING IN SCHEDULING, AND REFINED COMPASSION/COMMUNICATION SKILLS. PATIENT NAVIGATORS CONTACT OUR MOST VULNERABLE PATIENTS AND HELP THEM TO ACCESS THE DOCTOR VISITS AND TREATMENT THAT THEY NEED IN THE MOST EFFICIENT MANNER POSSIBLE, ARRANGING TRANSPORTATION FOR PATIENTS, REMINDING PATIENTS ABOUT APPOINTMENTS THAT THEY HELPED THE PATIENTS TO SCHEDULE, AND CONNECTING PATIENTS TO COMMUNITY RESOURCES SUCH AS THE BMC FOOD PANTRY. VIOLENCE CHILD PROTECTION TEAM (CPT): A SPECIAL SERVICES DIVISION OF THE DEPARTMENT OF PEDIATRICS, CPT SERVES ALL OF BMCS MALTREATED PEDIATRIC PATIENTS. THE CPT HAS THREE MAJOR AREAS OF RESPONSIBILITY: 1) SUPPORTING BMC PROVIDERS TO ENSURE THAT MALTREATED CHILDREN WHO RECEIVE THEIR CARE AT BMC ARE PROTECTED; 2) IMPROVING THE EFFECTIVE IDENTIFICATION AND RESPONSE TO MALTREATMENT THROUGH INNOVATIVE RESEARCH AND PROGRAM DEVELOPMENT AT BMC AND NATIONALLY; AND 3) PROVIDING TRAINING AND EDUCATION TO PEDIATRIC HEALTH AND OTHER PROFESSIONALS IN THE RECOGNITION AND MANAGEMENT OF CHILD MALTREATMENT. THE CPT COLLABORATES WITH COMMUNITY AND STATE AGENCIES, LAW ENFORCEMENT PERSONNEL AND THE JUDICIARY SYSTEM TO ENSURE THE BEST POSSIBLE OUTCOME FOR CHILDREN AND FAMILIES. IN FY13, CPT SERVED 873 CHILDREN AT BMC. CHILD WITNESS TO VIOLENCE PROJECT (CWVP): CWVP IS A NATIONALLY-RECOGNIZED AND AWARD-WINNING MENTAL HEALTH COUNSELING, OUTREACH, AND CONSULTATION PROGRAM. CWVP SPECIALIZES IN INTERVENTION WITH VERY YOUNG CHILDREN EXPOSED TO DOMESTIC OR COMMUNITY VIOLENCE. THE PROGRAM OFFERS BOTH SHORT- AND LONG-TERM EVIDENCE-BASED TREATMENTS THAT REPRESENT THE BEST PRACTICE IN SERVING THE NEEDS OF TRAUMATIZED CHILDREN AND THEIR FAMILIES. THE PROGRAM PROVIDES A FLEXIBLE COMBINATION OF SERVICES, INCLUDING RESOURCE ADVOCACY TO LINK FAMILIES TO BASIC SERVICES INCLUDING HEALTH CARE, CHILD CARE, HOUSING, AND AFTER-SCHOOL PROGRAMS. IN FY13, THE CWVP PROVIDED REFERRALS, ADVOCACY, ASSESSMENT, SHORT-TERM, AND/OR LONGER-TERM CLINICAL CARE TO APPROXIMATELY 250 CHILDREN. IN ADDITION TO ITS CLINICAL SERVICES, CWVP IS ENGAGED IN EXTENSIVE LOCAL, STATEWIDE, AND NATIONAL TRAINING EFFORTS TO RAISE THE STANDARD OF CARE FOR YOUNG CHILDREN EXPERIENCING THE TRAUMATIC EFFECTS OF VIOLENCE. IN FY13, CWVP STAFF DELIVERED APPROXIMATELY 85 TRAININGS ACROSS NINE STATES TO MENTAL HEALTH AND OTHER PROVIDERS ACROSS MULTIPLE SERVICE SECTORS AND SETTINGS. COMMUNITY VIOLENCE RESPONSE TEAM: THE COMMUNITY VIOLENCE RESPONSE TEAM ADDRESSES THE GREAT NEED FOR SERVICES FOR VICTIMS OF COMMUNITY VIOLENCE AND THEIR FAMILIES, AS WELL AS FAMILY SURVIVORS OF HOMICIDE VICTIMS FROM THE GREATER BOSTON AREA. FREE CULTURALLY SENSITIVE, FAMILY-FOCUSED CLINICAL SERVICES PROVIDED BY THE CVRT INCLUDE CRISIS INTERVENTION, ADVOCACY, CASE MANAGEMENT, AND TRAUMA-FOCUSED COUNSELING FOR ADULTS, ADOLESCENTS, AND CHILDREN (WITH A FOCUS ON AGE EIGHT AND OVER). CVRT SEEKS TO REDUCE THE EFFECTS OF TRAUMA BY PROVIDING THERAPEUTIC SUPPORT THROUGHOUT THE RECOVERY PROCESS AND ULTIMATELY MINIMIZING MENTAL HEALTH TRAUMA. CVRT STAFF REFLECTS THE DIVERSITY OF BMCS PATIENT POPULATION. IN FY13, THE CVRT SERVED 1,606 PEOPLE. DOMESTIC VIOLENCE PROGRAM (DVP): THE DVP PROVIDES TRAINING AND EDUCATION FOR STAFF, ASSISTANCE WITH HOSPITAL POLICY AND PROTOCOL DEVELOPMENT, CONSULTATION ON A VARIETY OF CLINICAL AND RESEARCH INITIATIVES, AS WELL AS DIRECT ADVOCACY/SUPPORT SERVICES FOR SURVIVORS OF DOMESTIC AND DATING ABUSE. IN 2009, A SAFETY AND SUPPORT ADVOCATE POSITION WAS CREATED TO PROVIDE A RANGE OF ADVOCACY AND SUPPORT SERVICES TO PATIENTS REFERRED FROM A RANGE OF ADULT AND ADOLESCENT SETTINGS AND PROVIDERS. IN FY13, THREE FULL-TIME ADVOCATES SERVED APPROXIMATELY 400 INDIVIDUALS BY PROVIDING SERVICES SUCH AS CRISIS INTERVENTION/COUNSELING; RISK ASSESSMENT AND SAFETY PLANNING; ASSISTANCE WITH ACCESSING PROTECTIVE ORDERS AND VICTIM COMPENSATION; ACCOMPANIMENT TO COURT, LEGAL, MEDICAL, HOUSING AND OTHER APPOINTMENTS; REFERRAL TO COMMUNITY-BASED DV ADVOCACY/RAPE CRISIS COUNSELING, MEDICAL/MENTAL HEALTH SERVICES AND OTHER SUPPORT AS NEEDED. ADVOCATES PROVIDE SERVICES IN FOUR LANGUAGES AND PROGRAM MATERIALS ARE AVAILABLE IN 10 LANGUAGES.	PANTRY AND DEMONSTRATION KITCHEN ADDRESS HUNGER-RELATED ILLNESS AND
VIOLENCE INTERVENTION ADVOCATE PROGRAM (VIAP): IN APRIL 2006, BMC	USING TWO COMMUNITY HEALTH WORKERS, VIOLENCE INTERVENTION ADVOCATES, TO PROVIDE INDIVIDUAL COUNSELING, TRIAGE AND REFERRAL SERVICES FOR VICTIMS OF VIOLENCE BROUGHT TO THE BMC EMERGENCY DEPARTMENT. VIAP STAFF COLLABORATES WITH PUBLIC AND PRIVATE AGENCIES TO OFFER A BROAD SPECTRUM OF CONCRETE SERVICES TO PATIENTS RECOVERING FROM VIOLENT INJURY. EACH VIAP SITE HAS HIRED A PEER VIOLENCE INTERVENTION ADVOCATE WITH STRONG COMMUNITY KNOWLEDGE. IN FY13, VIAP PROVIDED SERVICES TO A TOTAL OF 421 VICTIMS: 208 GUNSHOT VICTIMS AND 212 STABBING VICTIMS. OF THESE VICTIMS, 50 WERE FEMALE. VIAP PROVIDED THE FOLLOWING DIRECT SERVICES AND REFERRALS TO VICTIMS AND ASSOCIATED FAMILIES: CRISIS INTERVENTION AND STABILIZATION; HOUSING AND TRANSPORTATION; LEGAL; EDUCATIONAL; VOCATIONAL AND LIFE SKILLS DEVELOPMENT; MENTAL HEALTH; EMPLOYMENT; AND HEALTH AND WELLNESS. MENTAL HEALTH AND SUBSTANCE ABUSE MENTAL HEALTH DIVERSION INITIATIVE (MHDI): SINCE 2006, THE MHDI HAS WORKED WITH 1,309 INDIVIDUALS WITH MENTAL HEALTH AND/OR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE DEPENDENCE WHOSE ASSOCIATED BEHAVIOR BRINGS THEM TO THE ATTENTION OF LAW ENFORCEMENT AND COURTS. THE MHDI COLLABORATES WITH THE POLICE AND COURTS TO FIRST AND FOREMOST IDENTIFY INDIVIDUALS WITH THESE RISK FACTORS, AND THEN TO CONNECT THEM WITH APPROPRIATE SERVICES AND TREATMENT AS ALTERNATIVES TO ARREST AND INCARCERATION. THE MHDI TRAINS BOSTON POLICE DEPARTMENT AND MASSACHUSETTS BAY TRANSIT AUTHORITY OFFICERS TO IDENTIFY INDIVIDUALS WITH MENTAL ILLNESS AND HOW TO REFER INDIVIDUALS TO SERVICES INSTEAD OF ARRESTING THEM. AT THE COURT LEVEL, 103 MHDI PARTICIPANTS HAVE SUCCESSFULLY COMPLETED PROBATION RATHER THAN BEING INCARCERATED. PROJECT ASSERT STANDS FOR IMPROVING ALCOHOL & SUBSTANCE ABUSE SERVICES, EDUCATION, AND REFERRAL TO TREATMENT. SINCE 1998, PROJECT ASSERT HAS BEEN AN ONGOING COMPONENT OF SAFETY NET SERVICES AT BMC'S EMERGENCY DEPARTMENT (ED). AS MEMBERS OF THE PROJECT ASSERT TEAM, HEALTH PROMOTION ADVOCATES CONSULT AND COLLABORATE WITH HOSPITAL STAFF TO OFFER ED PATIENTS ALCOHOL AND DRUG SCREENING, BRIEF INTERVENTION, AND REFERRALS TO HEALTH AND SOCIAL RESOURCES, SUCH AS SUBSTANCE ABUSE TREATMENT AND PRIMARY CARE SERVICES. IN FY13, PROJECT ASSERT HAD 5,267 VISITS. PROJECT ASSERT ALSO EDUCATED PATIENTS AT RISK FOR OPIOID OVERDOSE AND DISTRIBUTED 230 NALOXONE RESCUE KITS TO ED PATIENTS AND 36 TO FAMILY AND FRIENDS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: BOSTON HEALTHNET HEALTH CARE SYSTEM ESTABLISHED IN 1995, BOSTON HEALTHNET (BHN) IS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM COMPRISED OF BMC, THE BOSTON UNIVERSITY SCHOOL OF MEDICINE, AND 15 COMMUNITY HEALTH CENTERS (CHCS). PHYSICIANS WHO PRACTICE AT HEALTHNET LOCATIONS PROVIDE A WIDE RANGE OF COMPREHENSIVE HEALTH CARE SERVICES TO ADULT AND PEDIATRIC PATIENTS, WITH A FOCUS ON DISEASE PREVENTION AND HEALTH EDUCATION. PATIENTS RECEIVING PRIMARY CARE AT HEALTHNET SITES HAVE ACCESS TO HIGHLY TRAINED SPECIALISTS AND CUTTING-EDGE TECHNOLOGY AT BMC WHILE MAINTAINING INDIVIDUALIZED AND CULTURALLY SENSITIVE CARE IN THEIR NEIGHBORHOODS. NOW IN ITS 19TH YEAR, BHN AND ITS CHC PARTNERS HAVE EXTENDED BMCS PRESENCE INTO BOSTON-AREA NEIGHBORHOODS, SIGNIFICANTLY IMPACTING THE HEALTH OF THEIR RESIDENTS. THE ACCOMPLISHMENTS OF THE NETWORK ARE EVIDENCED BY: THE GROWTH OF CHC ADMISSIONS TO BMC; THE ESTABLISHMENT OF AN INPATIENT ROUNDER SYSTEM FOR CHC PATIENTS; THE COLLABORATIVE DEVELOPMENT OF QUALITY IMPROVEMENT INITIATIVES, CLINICAL PROTOCOLS, AND STANDARDS OF PRACTICE; INCREASED ACCESS TO SPECIALTY SERVICES; A SUCCESSFUL PUBLIC HEALTH OUTREACH CAMPAIGN; AND THE SIGNIFICANT DEVELOPMENT AND COORDINATION OF BHNS INFORMATION TECHNOLOGY PROGRAMS AND SERVICES. IN 1997, BOSTON HEALTHNET ESTABLISHED A COMMUNITY PHYSICIAN GROUP INPATIENT ROUNDER SYSTEM AT BMC. THE ROUNDER SYSTEM BRINGS TOGETHER PHYSICIANS FROM THE CHCS AND THE BMC DEPARTMENT OF FAMILY MEDICINE TO CARE FOR PATIENTS FROM THESE CENTERS WHILE THEY ARE IN THE HOSPITAL, THEREBY COORDINATING AND ENHANCING THE QUALITY AND CONTINUITY OF CARE. TODAY, 12 CHCS AND BMCS DEPARTMENT OF FAMILY MEDICINE PARTICIPATE IN THE ROUNDER SYSTEM. THE SYSTEM WAS RECONFIGURED IN 2008 INTO THREE TEAMS, COMPRISED OF BMC AND CHC ATTENDING PHYSICIANS ASSISTED BY THREE NURSE PARTNERS AND FOUR PHYSICIAN ASSISTANTS. IN 2008, THE ROUNDER SYSTEM WAS EXTENDED TO EVENINGS AND SEVEN DAY COVERAGE. THE AVERAGE LENGTH OF STAY FOR THE ROUNDER SYSTEM WAS 4.39 DAYS, WHICH COMPARES FAVORABLY WITH OTHER NATIONAL AND LOCAL INDICES. EXAMPLES OF PROJECTS ON WHICH BMC AND BOSTON HEALTHNET HAVE COLLABORATED INCLUDE: INFORMATION TECHNOLOGY SIGNIFICANT STRIDES HAVE BEEN MADE IN THE AREA OF INFORMATION TECHNOLOGY. ALL OF OUR PRIMARY AND SECONDARY PARTNER HEALTH CENTERS ARE CONNECTED TO BMC OVER HIGH-SPEED ELAN CONNECTIONS THAT PUT BMCS CLINICAL SYSTEMS AT THE FINGERTIPS OF THE HEALTH CENTER PROVIDERS AND OTHER STAFF. IN 2001, THE PARTNERSHIP BETWEEN BMC AND THE CHCS, COUPLED WITH A SUBSTANTIAL GRANT FROM AN ANONYMOUS FOUNDATION, SUPPORTED THE IMPLEMENTATION OF THE CENTRICITY ELECTRONIC MEDICAL RECORD (EMR) AT EIGHT OF THE PRIMARY PARTNER CHCS. IN 2008, IMPLEMENTATION WAS COMPLETED AT ONE SECONDARY PARTNER CHC. ADDITIONALLY, ELECTRONIC PRESCRIBING WAS IMPLEMENTED AT THE NINE CENTRICITY SITES. A THREE YEAR, $746,246 HRSA AWARD TO BOSTON HEALTHNET IN FY07 SUPPORTED THE VERTICAL INTEGRATION OF ELECTRONIC MEDICAL RECORDS AT EIGHT CHCS WITH THAT OF BMC. THIS INTEGRATION TOOK PLACE VIA IMPLEMENTATION OF A CLINICAL INFORMATION EXCHANGE (CIE) THAT NOW ALLOWS CHC PROVIDERS TO VIEW INFORMATION IN BOTH BMC AND OTHER CHC SYSTEMS THROUGH THE LOCAL PATIENT RECORD. THE CIE ALSO ALLOWS PHYSICIANS IN THE CHCS TO BETTER TRACK PATIENTS RECEIVING CARE AT BMC. IN 2008, THE NETWORK WAS A RECIPIENT OF A ONE-YEAR, $543,000 HIGH IMPACT HEALTH INFORMATION TECHNOLOGY GRANT FROM HRSA THAT ALLOWED STAFF TO IMPLEMENT AN ELECTRONIC REFERRAL MANAGEMENT SYSTEM BETWEEN THE 10 BHN PRIMARY PARTNER CHCS AND SPECIALISTS IN THE BMC DEPARTMENT OF MEDICINE. BY LEVERAGING THE TECHNOLOGY OF THE CIE, THE EREFERRAL SYSTEM ALSO MAKES IT POSSIBLE FOR THE CHCS TO SCHEDULE APPOINTMENTS, ELECTRONICALLY SUBMIT REQUIRED CLINICAL INFORMATION TO SPECIALISTS, RECEIVE ELECTRONIC INFORMATION ABOUT REFERRALS, TRACK PATIENTS NO-SHOW RATES, AND RECEIVE RETURN SPECIALIST REPORTS THROUGH THE LOCAL EMR OR BY OPENING A WEB-BASED PRACTICE PORTAL. THE EREFERRAL PROJECT HAS HELPED TO ELIMINATE A NUMBER OF THE INEFFICIENCIES INHERENT IN THE CURRENT REFERRAL PROCESS. DATA AVAILABLE FROM THE EREFERRAL PORTAL SHOWS A SIGNIFICANT DECREASE IN LAG TIMES TO SPECIALTY APPOINTMENTS FOR CHCS PATIENTS RECEIVING CARE AT BMC. IN 2009, BMC APPROVED THE EXPANSION OF THE EREFERRAL PORTAL TO OTHER SPECIALTIES BEYOND THE DEPARTMENT OF MEDICINE. DURING 2010, THE EREFERRAL PORTAL WAS ROLLED OUT TO ALL SPECIALTY DEPARTMENTS AS WELL AS TWO ADDITIONAL HEALTH CENTERS. IN FY2012, 49,411 REFERRALS PASSED THROUGH THE EREFERRAL PORTAL. ON JUNE 1, 2010, BHN WAS AWARDED A TWO YEAR $2.98 MILLION HEALTH INFORMATION TECHNOLOGY (HIT) INNOVATIONS GRANT FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). WITH THIS FUNDING, BHN IS INTRODUCING THE INTEGRATED DATABASE, ELECTRONIC ALERTS AND STANDARDIZED SYSTEMS (IDEAS) PROJECT A SERIES OF ONE-TIME HIT IMPLEMENTATIONS AND INNOVATIONS THAT WILL INCREASE THE CAPACITY OF PROVIDERS AT THE CHCS TO MANAGE LOCAL HEALTH CARE AND BUSINESS OPERATIONS. SOME ELEMENTS OF THE IDEAS PROJECT INCLUDING THE INSTALLATION OF CENTRICITY PRACTICE SOLUTIONS (CPS) -- A CLINICAL AND FINANCIAL MANAGEMENT SYSTEM FULLY INTEGRATED WITH THE CENTRICITY EMR AT FIVE CHCS, CREATION OF A CHCS DATA WAREHOUSE, CLINICAL REGISTRIES AND COMPUTERIZED PHYSICIAN ORDER ENTRY AND RESULT RETRIEVAL FOR LAB TESTS PERFORMED AT BMC AND/OR OTHER PREFERRED LABORATORIES. LEVERAGING THE DATA WAREHOUSE WITH THE REGISTRIES POSITIONS BMC AND THE CHCS TO BETTER MANAGE PATIENTS WITH CHRONIC DISEASES. THIS IMPROVED MANAGEMENT IS ESSENTIAL TO THE LOOMING ACO ENVIRONMENT WITH GLOBAL PAYMENTS AND ASSOCIATED FINANCIAL RISK. THE BHN IDEAS PROJECT FACILITATES MEANINGFUL USE OF ELECTRONIC HEALTH RECORDS ACROSS ALL THREE STAGES OF MEANINGFUL USE, AS OUTLINED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. IT IS ALSO RESPONSIVE TO THE NCQA PATIENT CENTERED MEDICAL HOME REQUIREMENTS. STARTING LAST YEAR, MOST BHN COMMUNITY HEALTH CENTERS WORKED COLLABORATIVELY WITH BMC AS THEIR DESIGNATED IOO (IMPLEMENTATION AND OPTIMIZATION ORGANIZATION) THROUGH THE REGIONAL EXTENSION CENTER. THIS GOVERNMENT PROGRAM WAS ESTABLISHED TO PROVIDE ADDITIONAL ASSISTANCE TO PRIMARY CARE PROVIDERS IN EFFORTS TO REACH MEANINGFUL USE.	PILOTED VIAP TO PROVIDE SPECIALIZED SERVICES TO VICTIMS OF VIOLENCE,
IN 2011, BMC RECEIVED A ONE-YEAR $454,967 GRANT FOR THE BALANCED	CONTINUATION PROJECT TO MOVE TO THE NEXT LEVEL IN DEVELOPING A COMPUTER DASHBOARD SYSTEM TO DRILL DOWN ON PATIENT SAFETY AND QUALITY. THIS PROJECT FOCUSED ON THE PROVIDER LEVEL METRICS DEVELOPMENT AND TESTING. SAFE SIGN-OUTS WAS A NEW SYSTEMS DEVELOPMENT PROJECT WHICH CREATED A SOFTWARE SYSTEM AND PROTOCOL FOR RESIDENT SAFE SIGN-OUTS TO PREVENT PATIENT ADVERSE EVENTS. SOFTWARE SYSTEM AND PROTOCOL FOR RESIDENT SAFE SIGN-OUTS TO PREVENT PATIENT ADVERSE EVENTS. INCREASING PATIENT ACCESS COMMUNITY ACCESS TO BMC IS ENHANCED THROUGH A FREE SHUTTLE BUS SERVICE. FOUR BUSES CIRCULATE THROUGHOUT THE SYSTEM ON ESTABLISHED ROUTES, FROM 7AM-7PM, MONDAY THROUGH FRIDAY, BRINGING PATIENTS TO BMC. LAST YEAR, THESE SHUTTLE BUSES TRANSPORTED 204,199 PATIENTS AND THEIR FAMILIES BETWEEN BMC AND THE BOSTON HEALTHNET CHCS. ADVANCING MEDICAL EDUCATION A NUMBER OF HEALTHNET CHCS ALSO SERVE AS THE PRIMARY COMMUNITY-BASED TRAINING SITES FOR BOSTON UNIVERSITY SCHOOL OF MEDICINE PEDIATRIC, FAMILY MEDICINE, AND GENERAL MEDICINE RESIDENTS. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT BMC DOES NOT SUBMIT A COMMUNITY BENEFITS REPORT TO THE COMMONWEALTH OF MASSACHUSETTS. PART VI, LINE 8: FACILITY REPORTING GROUP(S) NOT APPLICABLE.	SCORECARD/SAFE SIGN-OUTS PROJECT. BMC BALANCED SCORECARD IS A

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (74 entries)

Address Line1AddressUS/AddressLine1	Address Line2AddressUS/AddressLine2	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
ARKANSAS CHILDREN'S HOSPITAL
800 Marshall Slot 512	RESEARCH INSTITUTE	Little Rock	AR	72202	710694931	501(c)(3)	12420	Subaward
BAY COVE HUMAN SERVICES
66 Canal Street		Boston	MA	02114	042518575	501(c)(3)	3710338	Subaward
BETH ISRAEL DEACONESS HOSPITAL
PO Box 3784		Boston	MA	02241	042103881	501(c)(3)	280702	Subaward
BOSTON PUBLIC HEALTH COMMISSION
1010 Massachusetts Avenue		Boston	MA	02118	043316655	N/A Gov't	158406	Subaward
BOSTON VA RESEARCH IN
150 S HUNTINGTON AVE		Boston	MA	02130	043081524	501(c)(3)	21923	Subaward
Brigham & Womens Hospital
PO Box 3149		Boston	MA	02241	042312909	501(c)(3)	224469	Subaward
BOARD OF TRUSTEES MICHIGAN
360 ADMIN BULDING		EAST LANSING	MI	48824	386005984	501(c)(3)	103335	Subaward
BROCKTON NEIGHBORHOOD HEALTH
63 Main Street		Brockton	MA	02301	043165044	501(c)(3)	26434	Subaward
BUTLER HOSPITAL
345 Blackstone Blvd		Providence	RI	02906	050258812	501(c)(3)	181877	Subaward
CAMBRIDGE HEALTH ALLIANCE
1493 Cambridge Street		Cambridge	MA	02139	043320571	501(c)(3)	312112	Subaward
CENTER FOR COMMUNITY HEALTH EDUCATION & RESEARCH
420 Washington Street		Dorchester	MA	02124	043112225	501(c)(3)	10795	Subaward
CHILDREN'S HOSPITAL OF BOSTON
300 Longwood Avenue		Boston	MA	02115	042774441	501(c)(3)	648638	Subaward
CODMAN SQUARE HEALTH CTR INC
637 Washington Street		Boston	MA	02124	042678774	501(c)(3)	17440	Subaward
DORCHESTER HOUSE MULTI SVC CTR
1353 Dorchester Avenue		Dorchester	MA	02122	237125970	501(c)(3)	13044	Subaward
BAYLOR COLLEGE OF MEDICINE
6621 FANNIN ST		HOUSTON	TX	77030	741613878	501(c)(3)	55620	Subaward
EAST CAROLINA UNIVERSITY
2200 S CHARLES BLVD		GREENVILLE	NC	27858	566000403	501(c)(3)	138130	Subaward
FRONTIER SCIENCE & TECHNOLOGY
900 COMMONWEALTH AVE		BOSTON	MA	02115	161056814	501(c)(3)	41105	Subaward
GEISINGER CLINIC
100 N ACADEMY AVE		Danville	PA	17822	236291113	501(c)(3)	72398	Subaward
GROUP HEALTH COOPERATIVE
521 Wall Street		Seattle	WA	98121	910511770	501(c)(3)	43422	Subaward
HARVARD UNIVERSITY
677 Huntington Avenue		Boston	MA	02115	042103580	501(c)(3)	391602	Subaward
HEALTH PARTNERS RESEARCH FOUNDATION
PO Box 1524	MAILSTOP 21111R	Minneapolis	MN	55440	411670163	501(c)(3)	36010	Subaward
INSTITUTE FOR HEALTH METRICS
One NE Exec Park		Burlington	MA	01803	113764559	501(c)(3)	142435	Subaward
JOHN HOPKINS UNIVERSITY
600 Wolfe Street		Baltimore	MD	21287	520595110	501(c)(3)	36137	Subaward
JONATHAN O COLE MENTAL HEALTH
115 Mill Street	C/O MCLEAN HOSPITAL	Belmont	MA	02178	043282088	501(c)(3)	15460	Subaward
Kaiser Foundation ResEARCH
1800 Harrison Street	16TH FLOOR	Oakland	CA	94612	941105628	501(c)(3)	93510	Subaward
BAYSTATE MEDICAL PRACTICES INC
280 CHESTNUT ST		SPRINGFIELD	MA	01199	042888373	501(c)(3)	87350	Subaward
LOVELACE BIOMEDICAL & ENVIRONMENTAL RSCH INST
2425 Ridge Street		Albuquerque	NM	87108	510154068	501(c)(3)	8386	Subaward
MASSACHUSETTS GENERAL HOSPITAL
55 Fruit Street		Boston	MA	02114	042697983	501(c)(3)	213773	Subaward
MGH NEUROGENETICS DNA
185 Cambridge Street		Boston	MA	02110	042807148	501(c)(3)	275000	Subaward
GREATER BOSTON SICKLE CELL
1803 DORCHESTER AVE		DORCHESTER	MA	02124	043524260	501(c)(3)	70000	Subaward
OREGON HEALTH & SCIENCE UNIV
3181 SW JACKSON PK RD		PORTLAND	OR	97239	931176109	501(c)(3)	22321	Subaward
NEW YORK UNIVERSITY MEDICAL CENTER
550 First Avenue		New York	NY	10016	135562309	501(c)(3)	13549	Subaward
NORTH SUFFOLK MENTAL HEALTH
301 Broadway Avenue		Chelsea	MA	02150	042317215	501(c)(3)	3436255	Subaward
NORTHEASTERN UNIVERSITY
360 Huntington Avenue		Boston	MA	02115	041679980	501(c)(3)	484691	Subaward
REGENTS OF UNIV OF MINNESOTA
1300 South Street		Minneapolis	MN	55454	416007513	501(c)(3)	42416	Subaward
RESEARCH TRIANGLE INSTITUTE
PO Box 900002		Raleigh	NC	27675	560686338	501(c)(3)	40828	Subaward
SOUTH BOSTON CHC
409 West Broadway		South Boston	MA	02127	042682152	501(c)(3)	16679	Subaward
SPECTRUM HEALTH HOSPITALS
25 MICHIGAN NE		GRAND RAPIDS	MI	49503	381360529	501(c)(3)	62212	Subaward
Tufts University
171 Harrison Avenue		Boston	MA	02111	042103634	501(c)(3)	499267	Subaward
USCIVILIAN RESEARCH
PO Box 630622		Baltimore	MD	21263	541773406	501(c)(3)	352316	Subaward
UNIV OF ALABAMA AT BIRMINGHAM
1530 3rd Avenue South	AP 990	Birmingham	AL	35294	636005396	501(c)(3)	158908	Subaward
UNIVERSITY OF MASSACHUSETTS BOSTON
55 Lake Avenue North		Worcester	MA	01655	043167352	501(c)(3)	200704	Subaward
University Of Rhode ISLAND
2 Chafee Road		Kingston	RI	02881	056000522	501(c)(3)	38988	Subaward
UNIVERSITY OF WASHINGTON
1959 NE PACIFIC ST		SEATTLE	WA	98195	916001537	501(c)(3)	22121	Subaward
VINFEN CORP
PO Box 5059		Boston	MA	02206	042632219	501(c)(3)	134271	Subaward
WAKE FOREST UNIVERSITY
1834 Wake Forest Rd		WinstonSalem	NC	27157	223849199	501(c)(3)	213474	Subaward
WILLIAM BEAUMONT HOSPITAL
3601 W 13 MILE RD		ROYAL OAK	MI	48073	381459362	501(c)(3)	151258	Subaward
UNIVERSITY OF CHICAGO DIST CTR
11030 S LANGLEY AVE		CHICAGO	IL	60628	362177139	501(c)(3)	154146	Subaward
YOUTH & FAMILY ENRICHMENT SVC
1234 Hyde Park Avenue		Hyde Park	MA	02136	050588064	501(c)(3)	279262	Subaward
YALE UNIVERSITY
PO BOX 1873		NEW HAVEN	CT	06508	060646973	501(c)(3)	154517	SUBAWARD
UNIVERSITY OF N CAROLINA
104 AIRPORT DR		CHAPEL HILL	NC	27599	566001393	501(c)(3)	94818	SUBAWARD
UNIVERSITY OF PITTSBURGH
116 ATWOOD ST STE 201		PITTSBURGH	PA	15260	250965591	501(c)(3)	119570	SUBAWARD
BOSTON HOUSING AUTHORITY
52 CHAUNCY STREET		Boston	MA	02111	046001907	501(c)(3)	40377	SUBAWARD
BOSTON UNIVERSITY
715 Albany Street		Boston	MA	02118	042103547	501(c)(3)	2633544	SUBAWARD
BROCKTON AREA MULTI-S
10 Christys Drive		Brockton	MA	02301	042562377	501(c)(3)	57400	SUBAWARD
CHILD & FAMILY SERVICE
52 CHAUNCY STREET		SPRINGFIELD	MA	01105	042103987	501(c)(3)	20041	SUBAWARD
DARTMOUTH COLLEGE
37 DEWEY FIELD RD		HANOVER	NH	03765	020222111	501(c)(3)	10748	SUBAWARD
GAYLORD HOSPITAL
PO Box 400		Wallingford	CT	06492	060646649	501(c)(3)	107164	SUBAWARD
HARVARD VANGUARD MEDICAL ASSOC
275 GROVE ST STE 3-300		Newton	MA	02466	043397450	501(c)(3)	18496	SUBAWARD
HOSPITAL FOR SPECIAL CARE
2150 CORBIN AVE		NEW BRITAIN	CT	06053	060646766	501(c)(3)	17550	SUBAWARD
INSTITUTE FOR HEALTH & RECOVERY
349 BROADWAY		Cambridge	MA	02139	043086647	501(c)(3)	8527	SUBAWARD
JSI RESEARCH & TRAINING INST
44 FARNSWORTH ST		Boston	MA	02210	042679824	501(c)(3)	38614	SUBAWARD
MID-ATLANTIC PERMANENTE MED GROUP INC
2101 e JEFFERSON ST		Rockville	MD	20849	521196226	501(c)(3)	29738	SUBAWARD
NE PHYSICAL THERAPY PLUS INC
PO BOX 52554		Boston	MA	02205	043242110	501(c)(3)	56832	SUBAWARD
PERSONAL CHEF TO GO INC
5000 NINE MILE RD		Richmond	VA	23223	542097252	501(c)(3)	26072	SUBAWARD
REGENTS OF THE U OF CALIFORNIA SAN DIEGO
2760 Fifth Avenue		San Diego	CA	92103	956006144	501(c)(3)	55888	SUBAWARD
South Coast Hospital
363 HIGHLAND AVE		FALL RIVER	MA	02720	222592333	501(c)(3)	18225	SUBAWARD
THIRD SECTOR NEW ENGLAND INC
89 SOUTH STREET 7TH FLOOR		Boston	MA	02111	042261109	501(c)(3)	92422	SUBAWARD
TRUSTEES OF THE UNIV OF PA
3451 Walnut Street		Philadelphia	PA	19104	231352685	501(c)(3)	52191	SUBAWARD
UNIVER OF MEDICINE AND DETISTRY OF NJ
335 GEORGE ST		NEW BRUSWICK	NJ	08903	221775306	501(c)(3)	312795	SUBAWARD
UNIVERSITY OF TEXAS
PO Box 297402	MD Anderson Cancer Center	Houston	TX	77297	746001118	501(c)(3)	37500	SUBAWARD
WASHINGTON HOSPITAL CTR CORP
110 IRVING ST NW		Washington	DC	20010	521272129	501(c)(3)	37500	SUBAWARD
WASHINGTON UNIVERSITY
Campus Box 1034	700 Rosedale Avenue	St Louis	MO	63112	430653611	501(c)(3)	58678	SUBAWARD
WEILL MEDICAL COLLEGE
1300 York Avenue		New York	NY	10005	131623978	501(c)(3)	19114	SUBAWARD

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	74	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE I, PART I, LINE 2	Identifier
Explanation	BOSTON MEDICAL CENTER MONITORS ALL SPONSORED PROGRAM GRANTS UTILIZING INTERNAL ELECTRONIC TRACKING SYSTEMS. DEPARTMENT STAFF MONITOR THE SYSTEM. GRANTS ADMINISTRATION WORKS CLOSELY WITH THE DEPARTMENT STAFF TO ENSURE THAT EXPENDITURES ARE APPROPRIATE AND ALLOWABLE PER THE AWARD CONTRACT AND NOTICE OF GRANT AWARD.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (16 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
STEPHANIE LOVELL
FORMER SVP/GENERAL COUNSEL	0	0	0	0	342267	0	0	0	0	0	342267	0	0	0
KAREN H ANTMAN MD
TRUSTEE	0	641000	0	0	0	57175	0	33240	0	1023	0	732438	0	0
david L coleman md
TRUSTEE	0	449279	0	0	0	193107	0	33240	0	2463	0	678089	0	0
BOB BIGGIO
VP FACILITY & SUPPORT SERVICES	268184	0	56000	0	1735	0	24275	0	32879	0	383073	0	0	0
RAVIN DAVIDOFF
SR VP MED AFFAIRS/CMO	461018	0	93400	0	159416	0	40642	0	27097	0	781573	0	59140	0
STAN HOCHBERG
SR. VP Qlty, Safety, and Tech	403682	0	94500	0	1860	0	39833	0	30814	0	570689	0	0	0
PETER HEALY
VP PROF. SERVICE (UNTIL 7/13)	326303	0	50250	0	58768	0	39300	0	29860	0	504481	0	17897	0
TIM MANNING
VP HR (Until 04/13)	351769	0	71688	0	1860	0	31396	0	21452	0	478165	0	0	0
LISA O'CONNOR
SVP Clinic. Oper. (until 9/13)	366694	0	75000	0	116601	0	38375	0	23227	0	619897	0	58622	0
NORMAN STEIN
VP DEVELOPMENT	406093	0	55740	0	187768	0	42403	0	9769	0	701773	0	34533	0
THOMAS TRAYLOR
VP OF FED, STATE, LOCAL PROG	443205	0	101185	0	218424	0	42403	0	21427	0	826644	0	46679	0
DAVID BECK
VP AND GENERAL COUNSEL	270690	0	55000	0	8111	0	29166	0	18967	0	381934	0	0	0
RICHARD SILVERIA
SVP FIN/CFO/TREAS	461181	0	105750	0	1860	0	40842	0	29982	0	639615	0	0	0
KATHLEEN E WALSH
PRESIDENT/CEO	895640	0	225000	0	30632	0	75375	0	35208	0	1261855	0	0	0
MEG ARANOW
VP INFO TECH/CIO(UNTIL 2/12)	29006	0	35000	0	550533	0	0	0	0	0	614539	0	38797	0
GERARD DOHERTY MD
TRUSTEE	0	472217	0	0	0	438604	0	0	0	35828	0	946649	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	SCHEDULE J, PART I, LINE 1A AND 1B	Identifier
Explanation	UNDER THE TERMS OF HER EMPLOYMENT AGREEMENT, THE ORGANIZATION'S PRESIDENT AND CEO RECEIVED REIMBURSEMENT FOR CERTAIN PERSONAL PROFESSIONAL SERVICES FEES INCLUDING LEGAL, TAX AND FINANCIAL PLANNING ADVICE. SUCH REIMBURSEMENTS WERE INCLUDED IN THE PRESIDENT'S TAXABLE INCOME. SCHEDULE J, PART I, LINE 4A AS OF DECEMBER 12, 2011, UNDER THE TERMS OF STEPHANIE LOVELL'S EMPLOYMENT CONTRACT, SHE WAS ENTITLED TO TWELVE MONTHS OF SALARY CONTINUATION WITH PARTIAL PAY OFFSET FOR MONTH SEVEN TO MONTH TWELVE. THE AMOUNT PAID IN 2012 WAS $260,481. AS OF January 27, 2012, UNDER THE TERMS OF A SEVERANCE ARRANGEMENT WITH MEG ARANOW, SHE RECEIVED TWELVE MONTHS OF SALARY AND BENEFITS CONTINUATION. THE AMOUNT PAID IN 2012 WAS $319,069. SCHEDULE J, PART I, LINE 4B BOSTON MEDICAL CENTER PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. AMOUNTS ARE CREDITED TO PARTICIPANTS' ACCOUNTS EACH YEAR. PLAN AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE PLAN AGREEMENT. BOSTON MEDICAL CENTER MAINTAINS AN EXECUTIVE BENEFIT PLAN WHICH OFFERS PARTICIPATING EXECUTIVES THE OPTION OF ANNUALLY ALLOCATING BENEFIT DOLLARS TO A SUPPLEMENTAL RETIREMENT/PRE-TAX SAVINGS ACCOUNT. AMOUNTS VEST ON SPECIFIED DATES BASED ON CONTINUED EMPLOYMENT BUT NO LATER THAN THE EXECUTIVE'S 68TH BIRTHDAY. THE FOLLOWING AMOUNTS BECAME VESTED AND WERE PAID TO THE FOLLOWING EXECUTIVES IN CALENDAR YEAR 2012: ARANOW - $38,813 DAVIDOFF - $65,331 HEALY - $17,907 O'CONNOR - $58,646 STEIN - $35,361 TRAYLOR - $46,704 BMC PROVIDED A SEPARATE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO KATHLEEN E. WALSH, PRESIDENT AND CEO AS OF MARCH 1, 2010. PURSUANT TO THE TERMS OF THE AGREEMENT, certain amounts were credited to the President and CEO's account in prior years. THESE AMOUNTS ARE SUBJECT TO FORFEITURE AND PAYMENT WILL BE MADE ONLY IF CERTAIN CONDITIONS ARE MET, AS OUTLINED IN THE AGREEMENT. No amounts were accrued or vested under the plan in 2012. BMC PROVIDED A NON-QUALIFIED DEFINED BENEFIT PLAN TO CERTAIN EXECUTIVES. IN 2012, THIS PLAN WAS TERMINATED BY THE ORGANIZATION AND AMOUNTS DUE UNDER THE PLAN WERE FULLY PAID TO PARTICIPANTS. THE AMOUNTS PAID TO THE FOLLOWING EXECUTIVES ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B(III). Aranow - $112,776 Davidoff - $92,225 Healy - $39,001 Lovell - $81,786 O'Connor - $56,095 Stein - $150,547 Traylor - $169,860 SCHEDULE J, PART II, LINE 7 BMC has an annual executive performance incentive plan. Performance targets and payout metrics are established and approved by the Compensation Committee at the beginning of each performance cycle. FY12 performance bonus payouts are approved by the Committee at the Compensation Committee meeting held on November 20, 2012. The Committee reviewed the FY12 performance results against pre-established performance targets, and approved the formula-based payouts accordingly. SCHEDULE J, PART I, LINE 8 KATHLEEN E. WALSH ENTERED INTO AN EMPLOYMENT CONTRACT WITH BMC IN MARCH 2010. THE TERMS OF HER CONTRACT INCLUDE BASE SALARY, INCENTIVE PROGRAM, DEFERRED COMPENSATION, EXECUTIVE BENEFITS, AND SEVERANCE PROVISION. RICHARD SILVERIA ENTERED INTO AN EMPLOYMENT CONTRACT WITH BMC IN DECEMBER 2010. THE TERMS OF HIS CONTRACT INCLUDE A BASE SALARY, INCENTIVE PROGRAM, EXECUTIVE BENEFITS, AND SEVERANCE PROVISION. DAVID BECK ENTERED INTO AN EMPLOYMENT CONTRACT WITH BMC IN DECEMBER 2011. THE TERMS OF HIS CONTRACT INCLUDE A BASE SALARY, EXECUTIVE BENEFITS, AND SEVERANCE PROVISION.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
MASS HEALTH AND EDUCATIONAL FACILITES AUTHORITY
A	042456011	57586ELD1	2009-08-14	101485000	REFUND OF SERIES M3-B (2005)	false	false	true
MASS HEALTH AND EDUCATIONAL FACILITES AUTHORITY
B	042456011	57586C7T6	2008-07-01	239309847	FINANCE CONSTRUCTION/RENOVATION	false	false	false
MASS DEVELOPMENT FINANCE AGENCY
C	043431814	57583URP5	2012-06-14	117490498	REFUND OF PRIOR BONDS	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	2948175	13688734	106345	0	0	0	13688734	0	2006	true	false	true	true
B	1135000	254176351	24792332	31231616	2592758	173831192	0	21728453		false	false	false	true
C	5080000	117498723	10676533	0	1673406	0	115813841	11475		true	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs	Engage Bond Counsel ContractsEngageBondCounselContracts	Engage Bond Counsel ResearchEngageBondCounselResearch	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse
A	false	false	false	false	0	false	false	false	true
B	false	true	true	true	0.00700	false			true	true	true	0.00000	0.00700
C					0

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 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	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Term Of GICTermOfGIC
0
A	false	false	true	false	true	false	false	0	false	true
0
B	false	false	false	true	false	false	false	0	true	true
0
C	false	false	true	true	false	false	true	AIG	false	true	27.19

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true
C	true

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SCHEDULE K, PART II	Identifier
Return Reference	0	ReturnReference
Explanation	BOND A THE BONDS ARE PART OF A POOLED (TOTAL PAR $101,485,000) FINANCING AND THUS ONLY THE BORROWER'S ALLOCABLE PORTION OF THE BONDS IS REPRESENTED IN PART I AND II. THE BORROWER'S PORTION OF THE BONDS REFINANCED THE PORTION OF THE ISSUER'S SERIES M3-B (2005) BONDS (ISSUED ON OCTOBER 3, 2005) ALLOCABLE TO THE BORROWER. BOND B THE DIFFERENCE BETWEEN PART I (E) AND PART II 3 IS DUE TO INTEREST EARNINGS ON BOND PROCEEDS. QUESTION 12 INCLUDES UNSPENT PROJECT FUND AND EXPENSE FUND INTEREST EARNINGS. BONDS A&C QUESTION 4 - THE RESERVE PROCEEDS REPRESENTED ARE TRANSFERRED PROCEEDS FROM THE REFUNDED BONDS. SCHEDULE K, PART III, LINE 4 BOND B ALTHOUGH THE PROJECT HAS NOT BEEN SUBSTANTIALLY COMPLETED CERTAIN PORTIONS OF THE PROJECT HAVE BEEN PLACED IN SERVICE. THE PRIVATE USE PERCENTAGE LISTED IN PART III LINE 4 REFLECTS THE USE OF ONLY THOSE PORTIONS OF THE PROJECT THAT HAVE BEEN PLACED IN SERVICE. SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE ANALYSIS WAS PERFORMED FOR BONDS B AND C IN FY13, LISTED BELOW ARE THE ANALYSIS DATES. NO PAYMENT WAS DUE TO THE IRS FOR THESE BONDS IN FY13. BOND B ARBITRAGE ANALYSIS OPINION LETTER ISSUED ON JULY 1, 2013 FOR BOND B. BOND C ARBITRAGE ANALYSIS OPINION LETTER ISSUED ON JULY 11, 2013 FOR BOND C. SCHEDULE K, PART V THE ORGANIZATION HAS ESTABLISHED WRITTEN PROCEDURES TO ENSURE VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TIMELY IDENTIFIED AND CORRECTED THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF-REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. AVAILABLE UNDER APPLICABLE REGULATIONS.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
BOSTON MEDICAL CENTER INSURANCE CO
SEE PART V	35411000	INSURANCE	false
SUFFOLK CONSTRUCTION COMPANY
SEE PART V	2144490	CONSTRUCTION	false
TRIAD ISOTOPES INC
SEE PART V	710913	MED SUPPLIES	false
ANAESTHESIA ASSOCIATES OF MA
SEE PART V	9207349	MEDICAL SERVICES	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE L, PART IV, LINE 1	Identifier
Explanation	NAME OF INTERESTED PERSON: BOSTON MEDICAL CENTER INSURANCE CO, LTD. RELATIONSHIP: TRUSTEES PASSAFARO, DONAHUE, AND COLEMAN, THE PRESIDENT/CEO, WALSH, AND THE VP & CRO/FORMER CLERK, CHRISTIANSEN, SERVE ON THE BOARD. AMOUNT OF TRANSACTION: BMC AND BMCIC HAVE SIGNIFICANT TRANSACTIONS WITH EACH OTHER FOR THE PURPOSE OF PROVIDING PROFESSIONAL AND GENERAL LIABILITY INSURANCE. TOTAL EXPENSES INCURRED BY THE MEDICAL CENTER RELATED TO THE INSURANCE PROVIDED BY BMCIC WAS $4,100,000 FOR THE YEAR ENDED SEPTEMBER 30, 2013. THE MEDICAL CENTER HAS $31,311,000 OF PREPAID PREMIUMS AND RETROSPECTIVE PREMIUM CREDITS THAT ARE PREPAID BY THE MEDICAL CENTER TO BMCIC AT SEPTEMBER 30, 2013. SCHEDULE L, PART IV, LINE 2 NAME OF INTERESTED PERSON:SUFFOLK CONSTRUCTION COMPANY RELATIONSHIP: TRUSTEE PASSAFARO IS VP OF SUFFOLK CONSTRUCTION COMPANY Description of Transaction: Suffolk Construction Company provides construction services to Boston Medical Center. As an interested person, Trustee Passafaros participation in any matters regarding Suffolk Construction Company is governed by BMCs conflict of interest policy and subject to disclosure and review by disinterested trustees. SCHEDULE L, PART IV, LINE 3 NAME OF INTERESTED PERSON: TRIAD ISOTOPES, INC. RELATIONSHIP: TRUSTEE AMENT IS ON THE BOARD OF TRIAD ISOTOPES, INC. Description of Transaction: Triad Isotopes, Inc. provides medical services to Boston Medical Center. As an interested person, Trustee Aments participation in any matters regarding Triad Isotopes, Inc., is governed by BMCs conflict of interest policy and subject to disclosure and review by disinterested trustees. SCHEDULE L, PART IV, LINE 4 NAME: ANAESTHESIA ASSOCIATES OF MA RELATIONSHIP: TRUSTEE ENGLISH'S BROTHER IS PRESIDENT. ANAESTHESIA ASSOCIATES BEGAN PROVIDING SERVICES TO BMC IN 1998. IT HAS BEEN PROVIDING SERVICES TO BMC, AND TRUSTEE ENGLISH'S BROTHER HAS BEEN PRESIDENT, SINCE BEFORE TRUSTEE ENGLISH JOINED THE BMC BOARD IN 2005.	Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	10	NumberOfContributions
Noncash Contribs Rptd F990	9340	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	51	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	15490	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	6	NumberOfContributions
Noncash Contribs Rptd F990	370327	NoncashContribsRptdF990
Method Of Determining Revenues	proceeds of stock	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	53	NumberOfContributions
Noncash Contribs Rptd F990	134309	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	COMPUTERS/EQUIPMENT	12	35606	FMV
X	GIFT CERTIFICATES	195	205726	FMV

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

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	SCHEDULE M, PART I, COLUMN (B)	Identifier
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	ExplanationExplanation
FORM 990, PART III, LINE 4A	The statute that created Boston Medical Center (BMC) requires it to serve all populations. BMC is a private, not-for-profit, 496-licensed bed, urban academic medical center which emphasizes community-based, accessible care and the mission to provide consistently accessible health services to all in need of care regardless of status and ability to pay. BMC is the largest safety net hospital in New England and provides a full spectrum of pediatric and adult care services from primary to family medicine to advanced specialty care. Approximately 70% of our patient visits come from underserved populations, the low-income and elderly, who rely on government payers such as Medicaid, the Health Safety Net and Medicare for their coverage, and 29 percent do not speak English as a primary language. To address the health needs of its diverse patient population, BMC provides a wide range of services beyond the traditional medical model. These programs, including but not limited to patient navigation and a food pantry to help reduce barriers to accessing health services and eliminate disparities in health care among the various populations BMC serves.
PART IV, LINE 12	BOSTON MEDICAL CENTER HAS SEPARATE FINANCIAL STATEMENTS AND IS ALSO INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR BMC HEALTH SYSTEM, INC.
FORM 990, PART VI, LINE 2	KAREN ANTMAN, M.D. DAVID COLEMAN, M.D. ANAND DEVAIAH, M.D. GERARD DOHERTY, M.D. BUSINESS RELATIONSHIP KAREN ANTMAN, M.D., IS A KEY EMPLOYEE AT BOSTON UNIVERSITY; BOSTON UNIVERSITY ALSO EMPLOYS DRS. COLEMAN, DEVAIAH, AND DOHERTY. BARBARA FERRER, PH.D. KATHLEEN E. WALSH BUSINESS RELATIONSHIP DR. FERRER IS EXECUTIVE DIRECTOR OF THE BOSTON PUBLIC HEALTH COMMISSION; MS. WALSH SERVES ON THE BOARD OF HEALTH THAT GOVERNS THE COMMISSION. DAVID COLEMAN, M.D. SUSAN DONAHUE DAVID PASSAFARO KATHLEEN E. WALSH BUSINESS RELATIONSHIP EACH SERVES AS A DIRECTOR OF BOSTON MEDICAL CENTER INSURANCE COMPANY, LTD. FORM 990, PART VI, LINE 4 Effective July 2013, the bylaws were amended to name BMC Health System, Inc. (BMCHS) as the sole member. FORM 990, PART VI, LINES 6 Effective July 2013 the sole member of the organization is BMC Health System, Inc. (BMCHS). FORM 990, PART VI, LINE 7B BMC HEALTH SYSTEM, INC. (BMCHS) has the right to take certain actions including, but not limited to, the approval of budgets, mergers, acquisitions, and indebtedness.
FORM 990, PART VI, LINE 11B	BOSTON MEDICAL CENTER'S (BMC) FORM 990 IS PREPARED BY PRICEWATERHOUSECOOPERS (PWC) AND REVIEWED BY BMC'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, BMC'S INTERNAL MANAGEMENT AND PWC PRESENT THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS.
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST QUESTIONNAIRES FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2013 WERE DISTRIBUTED BY THE ORGANIZATION'S LEGAL DEPARTMENT. THE CHIEF COMPLIANCE OFFICER OR HER DESIGNEE QUERIES TRUSTEES, OFFICERS AND DIRECTORS ON AT LEAST AN ANNUAL BASIS REGARDING RELATIONSHIPS THAT MAY CREATE POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR HER DESIGNEE REVIEWS ALL DISCLOSURES AND DETERMINES WHETHER THERE ARE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE CHIEF COMPLIANCE OFFICER OR HER DESIGNEE INFORMS THE GENERAL COUNSEL OF ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. THE GENERAL COUNSEL ADVISES THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION ACCORDINGLY.
FORM 990, PART VI, LINE 15 A&B	AN INDEPENDENT COMMITTEE, FORMED OF INDIVIDUALS WHOSE COMPENSATION IS NOT IN ISSUE, DETERMINES THE COMPENSATION OF OFFICERS, KEY EMPLOYEES, AND THE HIGHEST COMPENSATED EMPLOYEES. THE COMMITTEE MEMBERS ARE NOT UNDER THE CONTROL OR DIRECTION OF ANY BMC EXECUTIVE SEEKING COMPENSATION. THE COMPENSATION PLAN IS SUPPORTED BY COMPARABLE DATA, WHICH INCLUDES COMPENSATION PAID FOR COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, COMPENSATION SURVEYS COMPILED INDEPENDENTLY, AND/OR ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS COMPETING FOR THE SERVICES OF THE BMC EXECUTIVE. THE INDEPENDENT COMMITTEE'S ASSESSMENT OF THESE CONSIDERATIONS ARE CONTAINED IN THE MINUTES OF THE COMMITTEE MEETING. THE REVIEW PROCESS INCLUDES - AND MINUTES INDICATE - DISCUSSIONS AND EVALUATIONS OF EACH EXECUTIVE'S PRIOR PERFORMANCE, QUALIFICATIONS, AND EXPERIENCE. EXECUTIVES ARE NOT PRESENT FOR THE INDEPENDENT COMMITTEE'S DISCUSSION AND VOTE ON COMPENSATION. THE MINUTES REFLECT THE FACT THAT NO EXECUTIVE WAS PRESENT.
FORM 990, PART VI, LINE 19	BOSTON MEDICAL CENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS PUBLICLY AVAILABLE. HOWEVER, THE RESTATED ARTICLES OF THE ORGANIZATION ARE POSTED ON THE SECRETARY OF THE COMMONWEALTH'S WEBSITE.
FORM 990, PART XI, LINE 9	TRANSFER FROM BMCHP $23,000,000 CONTRIBUTED CAPITAL ASSET $3,846,000 PENSION RELATED CHANGES OTHER THAN PERIODIC PENSION COSTS $25,801,000 -------------- TOTAL $52,647,000.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (29 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
BOSTON MEDICAL CENTER HEALTH PLAN INC
2 COPLEY PLACE STE 600	BOSTON	MA	02116	043373331	INSURANCE	MA	501(c)(3)	11 A-I	BMCHS	true
UNIVER DEVELOPMENT FOUNDATION INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043101957	REAL ESTATE	MA	501(c)(3)	11 A-I	BMC	true
BMC INSURANCE CO LTD OF VERMONT
PO BOX 530 100 BANK STREET	BURLINGTON	VT	05401	201810549	INSURANCE	VT	501(c)(3)	11 A-I	BMC	true
FACULTY PRACTICE FOUNDATION INC
660 HARRISON AVENUE 3RD FLOOR	BOSTON	MA	02118	043289381	MEDICAL SVCS	MA	501(c)(3)	11 B-II	NA	false
BU MEDICAL CTR ANESTHESIOLOGISTS INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043276227	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON EMERGENCY PHYSICIAN FDN INC
818 HARRISON AVENUE	BOSTON	MA	02118	043286156	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU CARDIAC & THORACIC SURGICAL FDN INC
88 EAST NEWTON STREET	BOSTON	MA	02118	042966416	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIVERSITY DERMATOLOGY INC
609 ALBANY STREET	BOSTON	MA	02118	043335166	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU DERMATOLOGY SUPPORT SERVICES I INC
609 ALBANY STREET	BOSTON	MA	02118	043452877	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU DERMATOLOGY SUPPORT SERVICES II INC
609 ALBANY STREET	BOSTON	MA	02118	043452874	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIV SURGICAL ASSOCIATES INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043291148	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
EVANS MEDICAL FOUNDATION INC
88 EAST NEWTON STREET	BOSTON	MA	02118	510172171	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIVERSITY EYE ASSOCIATES INC
2005 BAY STREET SUITE 201	TAUNTON	MA	02780	043137333	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIVERSITY FAMILY MEDICINE INC
1 BOSTON MEDICAL CTR DOWLING 5	BOSTON	MA	02118	043354353	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU MALLORY PATHOLOGY ASSOCIATES INC
784 MASSACHUSETTS AVENUE	BOSTON	MA	02118	042794543	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIV NEUROLOGY ASSOCIATES INC
720 HARRISON AVENUE SUITE 707	BOSTON	MA	02118	043428462	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU NEUROSURGICAL ASSOCIATES INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043296068	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU OBSTETRICS & GYNECOLOGY FDN INC
818 HARRISON AVENUE	BOSTON	MA	02118	043067465	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU ORTHOPAEDIC SURGICAL ASSOCIATES INC
720 HARRISON AVENUE SUITE 808	BOSTON	MA	02118	043354360	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BUMC OTOLARYNGOLOGIC FOUNDATION INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043156471	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
CHILD HEALTH FOUNDATION OF BOSTON INC
818 HARRISON AVENUE DOWLING 3	BOSTON	MA	02118	042472758	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIV PLASTIC SURGERY ASSOC INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043555478	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON UNIVERSITY PSYCHIATRY ASSOC INC
720 HARRISON AVENUE	BOSTON	MA	02118	043355267	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU MEDICAL CENTER RADIOLOGISTS INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043283573	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BOSTON REHABILITATION MEDICINE ASSOC INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043286641	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU GENERAL SURGICAL ASSOCIATES INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043265008	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
BU MEDICAL CENTER UROLOGISTS INC
88 EAST NEWTON STREET	BOSTON	MA	02118	043286643	HEALTHCARE	MA	501(c)(3)	11C III-FI	NA	false
Boston University Affiliated Physicians
660 HARRISON AVE	BOSTON	MA	02118	043218267	HEALTHCARE	MA	501(c)(3)	3	BMC	true
BMC HEALTH SYSTEM INC
ONE BOSTON MEDICAL CENTER PLACE	BOSTON	MA	02118	463556853	SUPPORT SVCS.	MA	501(C)(3)	11 B-II	NA	false

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
BMC NAB BUS TR
85 CONCORD ST	BOSTON	MA	02118	266368869	PROPERTY MGMT	MA	BMC	Related	-5017455	147205552	false	$0	true	0.90000
BCD BUILDING LLC
33 UNION ST	BOSTON	MA	02108		REAL ESTATE	MA	BMC	RELATED	75377124	10152388	false	$0	true	0.60000

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Legal Domicile StateLegalDomicileState
BMC INSURANCE COMPANY LTD
10 MAIN STREET	GRAND CAYMAN	CJ	980375219	INSURANCE	CJ	BMC	C-CORP	0	75010669	0.70000	true
GRYANT INC
			202047166	REAL ESTATE		BMC	C-CORP	-1661183	447141	1.00000	true	ONE BOSTON MEDICAL CENTER	BOSTON	MA	02118	MA
CHARITABLE REMAINDER TRUST (3)
				SUPPORT		BMC	TRUST				true					MA

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Boston Medical Center Health Plan Inc
L	118714000	INSURANCE RATES
Boston Medical Center Health Plan Inc
C	23000000	NET ASSET TRANS
BOSTON UNIVERSITY AFFILIATED PHYSICIANS INC
M,N,O	3117000	FINANCIAL NEED
BMC INSURANCE COMPANY LTD
Q	8949000	BOOK
BMC INSURANCE COMPANY LTD
e	520000	BOOK

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	Schedule R, Part II	Identifier
Explanation	BMC Health System, Inc. is a non-profit organization seeking exemption under IRC 501(c)(3). Currently, BMC Health System, Inc.'s application for tax exemption is pending.	Explanation