2014-08-15T09:30:01-05:00 2013-09-30 PricewaterhouseCoopers LLP 125 High Street Boston MA 02110 990 2012-10-01 043314093 BOSTON MEDICAL CENTER % JOHN C LINDSTEDT BOST 6174141625 88 EAST NEWTON STREET Suite BOSTON MA 02118 RICHARD SILVERIA 6175304000 2014-08-13 true 6175305000 2012 2015-11-30 17:44:51Z KATHLEEN E WALSH 88 EAST NEWTON STREET BOSTON MA 02118 1023589002 false X www.bmc.org X 1996 MA 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. 27 18 7327 523 42665 27985 10023360 9605331 974874396 980736152 33542000 28517000 3826283 4238303 1022266039 1023096786 18926551 18402589 0 0 464959571 482311904 9576 46000 2518184 519429341 504229293 1003325039 1004989786 18941000 18107000 1772798000 1862453000 769719000 754736000 1003079000 1107717000 X 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. false false 890021773 980736152 SEE SCHEDULE O. 17940358 17940358 BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO ORGANIZATIONS WITHIN THE US. 462231 462231 BOSTON MEDICAL CENTER PROVIDES RESEARCH SUPPORT TO FOREIGN ORGANIZATIONS. 908424362 true true false true false false false false false true true true false true true false true true false true true true false true true false true true true false true true true false false false false false false false false true true true false false false true true true false false true 619 0 true 7327 true true true true EI CA CJ LT UK false false false true true false false false false X 27 18 true false true false true false true true true false false true true true true true true true true false MA X JOHN C LINDSTEDT 6174141625 88 EAST NEWTON STREET BOSTON MA 02118 X KAREN H ANTMAN MD 1.0 57.0 X 0 698175 34263 DAVID A PASSAFARO 1.0 2.0 X CHRISTINE M DUNN 1.0 1.0 X WILLIAM J HALPIN JR 1.0 1.0 X edmond J english 1.0 2.0 X Randi Cutler 1.0 1.0 X MARTHA S SAMUELSON 1.0 2.0 X STEVEN d levy 1.0 1.0 X LISA GUSCOTT 1.0 1.0 X RICHARD SLIFKA 1.0 2.0 X AZZIE YOUNG MPA PHD 1.0 1.0 X barbara ferrer phd 1.0 1.0 X david L coleman md 1.0 55.0 X 0 642386 35703 SUSAN DONAHUE 1.0 1.0 X JOHN T HAILER 1.0 1.0 X KATHLEEN E WALSH 50.0 11.5 X X 1151272 0 110583 PAUL EGERMAN 1.0 1.0 X PEGGY KOENIG 1.0 2.0 X JAMES S PHALEN 1.0 2.0 X MARK NUNNELLY 1.0 2.0 X CLAIRE PERLMAN 1.0 1.0 X DAVID AMENT 1.0 2.0 X JAMES BLUE 1.0 1.0 X SANDRA COTTERRELL 1.0 1.0 X JACK CRADOCK 1.0 2.0 X GERARD DOHERTY MD 1.0 55.0 X 0 910821 35828 ANAND DEVAIAH MD 1.0 1.0 X Ronald L Walker II 1.0 X 0 0 0 Thomas Alperin 1.0 2.0 X 0 0 0 DAVID BECK 50.0 11.5 X 333801 0 48133 RICHARD SILVERIA 50.0 6.5 X 568791 0 70824 RAVIN DAVIDOFF 50.0 0.5 X 713834 0 67739 STAN HOCHBERG 50.0 X 500042 0 70647 LISA O'CONNOR 50.0 X 558295 0 61602 BOB BIGGIO 50.0 X 325919 0 57154 PETER HEALY 50.0 X 435321 0 69160 TIM MANNING 50.0 X 425317 0 52848 NORMAN STEIN 50.0 X 649601 0 52172 THOMAS TRAYLOR 45.0 5.0 X 762814 0 63830 STEPHANIE LOVELL X 342267 0 0 MEG ARANOW 50.0 X 614539 0 0 7381813 2251382 830486 1290 true true false 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 107 3539301 1403834 4662196 770849 9605331 PATIENT SVC REVENUE 900099 893584000 893584000 OTHER PROGRAM REVENUE 900099 4967152 4967152 GRANT/CONTRACT REVENUE 900099 82185000 82185000 980736152 20374000 42665 20331335 0 0 208917 109214 99703 0 99703 99703 8143000 8143000 8143000 8143000 472670 3539301 383002 89668 89668 0 0 CAFETERIA 900099 3686398 3686398 PARKING 812930 362534 362534 4048932 1023096786 980736152 42665 32712638 17940358 17940358 0 462231 462231 0 8349791 7184587 1144330 20874 5696 5696 374568162 321557703 51217240 1793219 25864786 22255382 3544742 64662 42497925 36567384 5824296 106245 31025544 26695962 4252018 77564 0 904057 904057 1841753 1841753 157758 135672 22086 46000 46000 0 46707108 40189413 6400721 116974 426009 366560 58384 1065 15310754 13188516 2100610 21628 3872313 3331936 530696 9681 12207437 12207437 24189894 20814219 3315200 60475 217642 183446 29218 4978 0 529965 449099 71531 9335 13691809 11781131 1876448 34230 0 59231877 50966130 8117667 148080 5808131 4994993 813138 PHYSICIAN SERVICES 116958655 116958655 DIRECT RESEARCH 76808836 76808836 PATIENT RELATED SUPPLIES 56631979 56631979 DRUGS 40014180 40014180 28719136 26732857 1983105 3174 1004989786 908424362 94047240 2518184 85056000 77427000 29173000 62407000 53194000 43910000 130660000 106248000 0 0 0 0 87505000 131344000 4584000 5490000 6068000 7147000 1123034000 666687000 425320000 456347000 94471000 116984000 180004000 189499000 0 0 0 0 676763000 665650000 1772798000 1862453000 135701000 127955000 0 0 18334000 18348000 354132000 361634000 0 0 0 0 0 0 43482000 51174000 218070000 195625000 769719000 754736000 X 687623000 771252000 299103000 320112000 16353000 16353000 1003079000 1107717000 1772798000 1862453000 X 18107000 33884000 52647000 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 157758 false true 71569 229327 false SCHEDULE C, PART II-B, LINE 1 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. 612745109 59267481 6211967 2390014 663410609 470341198 81100000 68886188 5377065 2205212 612745109 405862208 127397784 -7312698 53911542 1694554 470341198 427693269 54430640 46804363 121360660 1705404 405862208 431600644 31375895 33917009 1366261 427693269 0.54000 0.02000 0.44000 false false 0 11291978 11291978 535002479 193532187 341470292 20947864 5718062 15229802 43605336 20810933 22794403 512186343 446625818 65560525 456347000 DONOR RESTRICTED INVESTMENTS 189499000 F 189499000 OTHER LT ASSETS 182650000 FUNDS HELD BY TRUSTEES 21720000 FOR FUNDED DEPRECIATION 359240000 BOND INDENTURE 49474000 NONCURRENT NOTES RECEIVABLE 17284000 INSURANCE RECOVERY RECEIVABLES 35282000 665650000 0 EST SETTLEMENT W/3RD PARTY PAY 62444000 LT DEBT AND OBL-CAPITAL LEASE 38029000 OTHER LONG-TERM LIABILITIES 59870000 PROFESSIONAL LIABILITY CLAIMS 35282000 195625000 1057090000 33884000 33884000 1023206000 -109214 -109214 1023096786 1005099000 109214 109214 1004989786 1004989786 SCHEDULE D, PART V, LINE 4 - GENERAL ENDOWMENT THE GENERAL ENDOWMENT INCLUDES FUNDS FROM A NUMBER OF SOURCES WITH VARIOUS RESTRICTIONS ON USE AND TREATMENT. THE ENDOWMENT FUNDS HAVE BEEN CONTRIBUTED FOR SPECIFIC PURPOSES INCLUDING CONSTRUCTION, MAINTENANCE, RESEARCH, CLINICAL CARE, EDUCATION, DEVELOPMENT, STAFFING, SALARIES, LABORATORY EQUIPMENT AND SUPPLIES, AND CONVALESCENT CARE. SCHEDULE D, PART X, LINE 2 THE 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 true 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 2 8 Program Services HEALTH SVCS TRAINING 130668 Central America and the Caribbean Program Services PREMIUMS 8949000 2 8 2 8 71007174 71007174 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 4 true false true false true false SCHEDULE F, PART I, LINE 2 THE PRINCIPAL INVESTIGATOR AND ADMINISTRATOR APPROVE ALL SUBCONTRACT INVOICES, INCLUDING THOSE FROM A FOREIGN COUNTRY. THE FOREIGN SUBCONTRACT RECIPIENT HAS A BUDGET TO WHICH INVOICES ARE MATCHED TO ENSURE THAT ALL SPENDING IS APPROPRIATE. ADDITIONALLY, THE 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. X X X X X X X true 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 2567048 46000 2521048 ME MA GALA 2216998 2103323 113675 182410 50897 26500 FOOD FOR THOUG 1140513 912410 228103 50000 3 654460 523568 130892 38495 34700 4011971 3539301 472670 38495 267110 50897 26500 383002 89668 88 EAST NEWTON STREET BOSTON MA 02118 true true X true X false true true true false true true 72954 84581139 83090507 1490632 0.00150 370622 346220242 280238263 65981979 0.06570 443576 430801381 363328770 67472611 0.06720 13612010 3769238 9842772 0.00980 63879137 12615756 51263381 0.05100 640 86299709 76999125 9300584 0.00930 135000 135000 0.00010 640 163925856 93384119 70541737 0.07020 640 443576 594727237 456712889 138014348 0.13740 30191 30191 0.00010 2 15930000 15930000 0.01590 820000 820000 0.00080 18 4362722 3410971 951751 0.00090 1 516742 516742 0.00050 2 808767 808767 0.00080 23 22468422 3410971 19057451 0.01900 true 25563126 202871775 164207019 38664756 X true false 1 1 BOSTON MEDICAL CENTER

88 EAST NEWTON STREET BOSTON MA 02118

http://www.bmc.org X X X X X BOSTON MEDICAL CENTER 1 true X X X X X X X X 12 true false true X X X false false true true 200. false true X X true true X X X X true false true X false false 2 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 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 PART I, LINE 3C 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 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 PANTRY AND DEMONSTRATION KITCHEN ADDRESS HUNGER-RELATED ILLNESS AND 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. VIOLENCE INTERVENTION ADVOCATE PROGRAM (VIAP): IN APRIL 2006, BMC PILOTED VIAP TO PROVIDE SPECIALIZED SERVICES TO VICTIMS OF VIOLENCE, 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. IN 2011, BMC RECEIVED A ONE-YEAR $454,967 GRANT FOR THE BALANCED SCORECARD/SAFE SIGN-OUTS PROJECT. BMC BALANCED SCORECARD IS A 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. true 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 74 0 SCHEDULE I, PART I, LINE 2 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. X false true X X X X X X true true false false false false false true true true STEPHANIE LOVELL 0 0 0 0 342267 0 0 0 0 0 342267 0 0 0 KAREN H ANTMAN MD 0 641000 0 0 0 57175 0 33240 0 1023 0 732438 0 0 david L coleman md 0 449279 0 0 0 193107 0 33240 0 2463 0 678089 0 0 BOB BIGGIO 268184 0 56000 0 1735 0 24275 0 32879 0 383073 0 0 0 RAVIN DAVIDOFF 461018 0 93400 0 159416 0 40642 0 27097 0 781573 0 59140 0 STAN HOCHBERG 403682 0 94500 0 1860 0 39833 0 30814 0 570689 0 0 0 PETER HEALY 326303 0 50250 0 58768 0 39300 0 29860 0 504481 0 17897 0 TIM MANNING 351769 0 71688 0 1860 0 31396 0 21452 0 478165 0 0 0 LISA O'CONNOR 366694 0 75000 0 116601 0 38375 0 23227 0 619897 0 58622 0 NORMAN STEIN 406093 0 55740 0 187768 0 42403 0 9769 0 701773 0 34533 0 THOMAS TRAYLOR 443205 0 101185 0 218424 0 42403 0 21427 0 826644 0 46679 0 DAVID BECK 270690 0 55000 0 8111 0 29166 0 18967 0 381934 0 0 0 RICHARD SILVERIA 461181 0 105750 0 1860 0 40842 0 29982 0 639615 0 0 0 KATHLEEN E WALSH 895640 0 225000 0 30632 0 75375 0 35208 0 1261855 0 0 0 MEG ARANOW 29006 0 35000 0 550533 0 0 0 0 0 614539 0 38797 0 GERARD DOHERTY MD 0 472217 0 0 0 438604 0 0 0 35828 0 946649 0 0 SCHEDULE J, PART I, LINE 1A AND 1B 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. A MASS HEALTH AND EDUCATIONAL FACILITES AUTHORITY 042456011 57586ELD1 2009-08-14 101485000 REFUND OF SERIES M3-B (2005) false false true B MASS HEALTH AND EDUCATIONAL FACILITES AUTHORITY 042456011 57586C7T6 2008-07-01 239309847 FINANCE CONSTRUCTION/RENOVATION false false false C MASS DEVELOPMENT FINANCE AGENCY 043431814 57583URP5 2012-06-14 117490498 REFUND OF PRIOR BONDS false false false A 2948175 0 13688734 106345 0 0 0 0 0 0 13688734 0 2006 true false true true B 1135000 0 254176351 24792332 31231616 0 2592758 0 0 173831192 0 21728453 false false false true C 5080000 0 117498723 10676533 0 0 1673406 0 0 0 115813841 11475 true false false true A false false false false 0 false false false true B false true true true true true 0.00700 0.00000 0.00700 false true C 0 A false false true false true false 0 false 0 false true B false false false true false false 0 false 0 true true C false false true true false false 0 true AIG 27.19 false true A true B true C true SCHEDULE K, PART II 0 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. 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 SCHEDULE L, PART IV, LINE 1 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. X 10 9340 FMV X 51 FMV X 15490 FMV X 6 370327 proceeds of stock X 53 134309 FMV X COMPUTERS/EQUIPMENT 12 35606 FMV X GIFT CERTIFICATES 195 205726 FMV false true false SCHEDULE M, PART I, COLUMN (B) THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED. 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. 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 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 BMC INSURANCE COMPANY LTD 10 MAIN STREET GRAND CAYMAN CJ 980375219 INSURANCE CJ BMC C-CORP 0 75010669 0.70000 true GRYANT INC ONE BOSTON MEDICAL CENTER BOSTON MA 02118 202047166 REAL ESTATE MA BMC C-CORP -1661183 447141 1.00000 true CHARITABLE REMAINDER TRUST (3) SUPPORT MA BMC TRUST true false false true false true false false false false false false true true true true false true false false 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 Schedule R, Part II 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.